The underlying research problem was the outcome of a crucial need to estimate the scenario of women participation in the agricultural labor force in the Punjab Province of Pakistan. It is an established fact that agriculture is the backbone of the economy of Pakistan and the rural women take part in the agricultural activities with zeal and zest as the male to female ratio is slightly higher in Pakistan according to the census of 2018. There are numerous factors which affect the female participation in the agricultural labor force. Hence, this study was an effort to identify such factors and quantify their effect on female labor force participation decisions in the rural areas of the Punjab Province, Pakistan. Cross Sectional data of 1800 women for the years 2001-02 and 2010-11 were extensively used which was collected by Household Integrated Economic Survey (HIES). The identified influencing factors were: Age, educational level, household size, monthly income, and the status of women. The analysis of the logit model showed a positive relationship between female age, educational level, household size, household monthly income, and female as the household head, on the female labor force participation (FLFP) decisions in the agricultural activities. Negative relationship of FLFP was found with married women and the infants (under 5 years) in the household for the year 2001-02. The status of women as daughter, daughter-in-law and others (cousin, aunt etc.) were negatively influencing the FLFP decisions. But for the year 2010-11, the presence of the infants in the household, age, educational level, household size, household monthly income was positively related to FLFP. The status of women in the household as the household head, daughter, daughter-in-law and others (cousin, aunt etc.) were also positively influencing the FLFP decisions in rural areas of the Punjab Province of Pakistan. The findings of this present research study suggest that in focusing on the factors that encourage women to participate in agricultural labor force of Pakistan, an economic revolution can be brought in all the socio-economic spheres along with the emancipation of the suppressed women in the other provinces of Pakistan such as Sindh and Baluchistan where though women participate in the labor force but their participation still is not recognized by the dominated male community.

Ileal perforation is a common complication of Typhoid in developing countries other causes includes tuberculosis, trauma, and enteritis. Non-traumatic perforation is a challenge for surgeons because of considerable morbidity and mortality. This study tried to evaluate the etiology and clinical outcomes of surgical management for all the cases of non-traumatic ileal perforation. This prospective cross-sectional study was conducted in the Department of General Surgery, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. Inclusion criteria were all the patients above 15 years undergoing surgery for ileal perforation. Excluded patients were those with appendicular perforations, peritonitis, and traumatic perforations. Based on the inclusion and exclusion criteria of 21 male and 17 female patients were included in the study. A thorough clinical examination of the patient including vital signs, abdominal distension, guarding and tenderness was done and noted. The laboratory investigations included Hemoglobin, BT & CT, and serum creatinine. Chest X rays, ECG, Blood culture and WIDAL tests were done to diagnose patients with typhoid. Results: In the present study out of 22 male patients 17 were diagnosed with typhoid perforation and 5 were a non-specific perforation. In the 17 females, 15 were diagnosed with typhoid perforation and 2 were non-specific perforations. The surgical approach for the management included primary closure in the total of 25 (64.10%) male and female patients followed by Ileostomy in 8 (20.51%), Ileo Transverse Anastomosis in 4 (10.26%) and resection anastomosis in 2 (5.12%) of cases. Conclusion: Within the limitations of the present study it can be concluded that typhoid ileal perforations are common in the group of patients reaching our hospital. The operative treatment for intestinal perforations should be based on several factors including operative findings. Early surgery with skilled surgeons and good postoperative care will result in reduced morbidity and mortality.

This study aims to determine the effect of government spending on education, health, and minimum wages on the Five Human Development Index in Southern Sumatra Province. The analytical tool used is panel data with the study period of 2007 to 2016 in five southern Sumatra Provinces namely Jambi, South Sumatra, Bengkulu, Lampung and Bangka Belitung. The results show that minimum wages are the most dominant variable and have a significant effect on the HDI. Whereas the other two variables, namely government spending in education and health do not significantly affect the HDI. Overall the HDI average is not much different and there is no discrepancy between provinces in Southern Sumatra from the range of 68 percent to 70 percent. However, of the five provinces in Southern Sumatra, there are two provinces with higher HDI figures than the others, namely Jambi Province and Bangka Belitung Province.

The Private Hospital is a Charity Health Business owned by Private Business. The BPJS (the Social Security Organizing Body)procedure that must be carried out by the hospital is quite complicated and the lack of information for BPJS users, such as nurses inpatient rooms must always monitor the ceiling limit limit of BPJS rates and the difficulty of referring to other private hospitals. This study uses a descriptive quantitative approach. Data analysis of this study uses multiple linear regression analysis which is processed using the SPSS for Windows program. The sampling technique in this study used proportionate stratified random sampling and samples were 64 employees. The results of this study are reward, policy and and wages have a significant effect simultaneously on the employee performance in Private Hospital Surabaya. Second, the most dominant variable influencing employee performance in Private Hospital Surabaya is wages variable

Several heterogeneity factors such as government policies on foreign trade, growth rate of economy, market size and cost of labour in emerging economies motivated this study. However, bulk of recent empirical cross country studies on FDI and economic growth in emerging countries have shown mixed results. Therefore, this study employs OLS technique to examine a comparative analysis of performance of FDI inflows in BRICS economies alongside with Singapore and Hong Kong in the last 27 years. Consequently, the findings from this analysis show that the principal determinant of FDI inflows in China is large market size, growth rate and GDP per capita growth. Meanwhile, only the market size is the principal determinant of FDI inflows in Brazil, India, South Africa, Singapore and Hong Kong and GDP per capita growth is an insignificant determinant of FDI inflows in both Russia and South Africa. This paper hereby recommends based on its findings that: the policy makers in Brazil, India, Russia Federation, South Africa, Singapore and Hong Kong should embark on policy measures that will facilitate a rapid expansion of the country`s market size. This in turn will have a positive multiplier effects on the growth rate and GDP per capita growth in their economies. However, policy makers in China should embark on policy measure that will ensure the sustainability of the market size of the economy.

Iron craft is a society cultural heritage that has to be preserved. There are many factors working on the sustainability of domestic iron craft industry. This research aims to investigate those factors. The primary data were collected through the field observation, deep interviews, surveys, and documentation. The secondary data were obtained from literature reviews. Those data were deeply analized by qualitative method. The result of this research reveals some factors obstracting the rise of iron craft productivity which are human resourses, management, and finishing. The decreasing number of labors working in this industry and the absence of potential future Iron craftmen as well as the inadequate tecnology application to do the finishing process. Good management practise is required to develop the iron craft business. The values believed by the blacksmiths are family values, community values, and cultural values. The trade off of technology application replacing the labors potentially decrease the current values. On the other hand, technology is requaired to increase the productivity.

EDTA-dependent pseudothrombocytopenia (PTCP) is the phenomenon of a low platelet count due to EDTA-induced aggregation of platelets. Since the failure to recognize EDTA-dependent PTCP may result in incorrect diagnosis and inappropriate treatment, the recognition of this phenomenon is very important in managing the patient and giving correct treatment. We here by discuss about a case of, A 21 year old male admitted for fever for evaluation showed severe thrombocytopenia by automated 5 part Mindray analyser. Manual count and peripheral smear done revealed higher count and small platelet aggregates. Following which citrated sample was collected and manual counting done both showed similar values, low count in singles without aggregation when compared to EDTA sample. EDTA induced platelet aggregation was thus conformed.

Implantable cardiac devices, including defibrillators and pacemakers, may be the cause of tricuspid regurgitation (TR) or may worsen existing TR. Diagnosis by clinical exam and 2-dimensional echocardiography may be augmented by 3-dimensional echocardiography and/or computed tomography or cardiac magnetic resonance. The mechanism may be mechanical perforation or laceration of leaflets, scarring and restriction of leaflets, or asynchronized activation of the right ventricle. Pacemaker-related TR might cause severe right-sided heart failure. Percutaneous removal of PM and ICD leads is often performed in large specialty centers with significant experience, but carries with it significant and sometimes fatal risk. TR is usually treated by either surgical repair (usually consisting of ring annuloplasty) or by tricuspid replacement in some patients with advanced valvular disease

Chalk board talk lecture is the oldest and most commonly used teaching method. After introduction of digitalized teaching in medical colleges Power point presentation Lecture method is commonly used. To evaluate the feedback from first MBBS students regarding opinion and preferences of chalk board and PPT lecture delivery aids. A cross sectional questionnaire based study was conducted in medical college in Telangana State .150 first MBBS students participated in this study. Students were divided into 2 groups .In one group Lecture was delivered by using chalk board, for second group same topic was delivered using PPT presentation, two such lecture were delivered. Multiple choice questions paper was used for assessing the knowledge gained on next day. A questionnaire containing 10 questions was used to study students opinion for blackboard and power point teaching method. The differences in marks obtained in the 2 groups were analysed by independant student t test. Students who attended the lecture using chalk board obtained higher score in MCQ test as compared to those who attended the same lecture using PPT. The chalk board teaching method was preferred by 65% of the students. The blackboard teaching remains the best preferred teaching method, which can be supplemented by PPT presentation for better understanding.

Uterine fibroids, also known as uterine leiomyomas or fibroids, are benign smooth muscle tumors of the uterus. Most women have no symptoms while others may have painful or heavy periods. If large enough, they may push on the bladder causing a frequent need to urinate. Dermatoglyphics is referred to as study of the friction ridge formation that appears on the palms of the hands and soles of the feet. There have been works done by different researchers on dermatoglyphics in the field of medicine which has helped in the detection of diseases like breast cancer, anemia etc. But not much has been done at level 2 dermatoglyphics which has created a gap in literatures on those areas especially uterine leiomyoma. This study was aimed at determining the level 2 dermatoglyphic digital patterns in Uterine Leiomyoma. The study was non-experimental and analytical. One hundred subjects selected by simple random sampling. Chi-square test was done using SPSS twenty version. The result of the study has shown clearly that the most distributed level-2 pattern in both categories is the bifurcation and ridge crossing the least distributed pattern in both categories. In uterine leiomyoma the distribution of bifurcation was higher than in the control group. The higher distribution of bifurcations in the uterine leiomyoma could be attributed to the genetic difference in both categories. The difference between the uterine leiomyoma subjects and the control subjects (normal) was not significant statistically (p>0.05) in there pattern distribution, but there was a marked difference that can be used as a guide in the diagnosis of uterine leiomyoma condition

Friction is the vital aspect of Orthodontics which requires attention during all the phases of treatment, especially during the phase of space closure. In Orthodontics, space closure can be achieved by the sliding mechanics and/or the segmented arch mechanics. Though sliding mechanics is the most commonly used space closure mechanics, it has the disadvantage of generating the friction at the bracket-archwire interface which indirectly affects the desired tooth movement. Due to the universal acceptance of this type of mechanics, the role of friction in orthodontics has become the topic of interest. Thus, this article enlightens the role of friction in orthodontic tooth movement, with an approach to its clinical implication, the importance of frictional resistance, and the recent advances in orthodontics to reduce the friction.

Allopurinol is a drug indicated for the treatment of hyperuricemia. Its hepatic toxicity is rare. This is a case report about acute cytolytic hepatitis caused by allopurinol in a 62-year-old.

HIV/AIDS is a viral malady which is causing havoc with the lives of the people in the Punjab Province of Pakistan. It has become notorious in taking away the lives of the people due to the lack of awareness on the part of the victims. The chief sources of the mass prevalence of this disease are: contaminated water, reuse of needles and syringes, carelessness about blood transfusion, lack of awareness about the use of contraceptives while having sex, and non-sterilized shaving and surgical instruments. District Faisalabad, from the central Punjab (Pakistan) was the place where this present research study was conducted. Throughout the course of this research study, multistage sampling technique was widely employed. At first stage, out of four tehsils of district Faisalabad, one tehsil (tehsil Faisalabad) was selected randomly. At second stage, out of eight towns of tehsil Faisalabad, two towns (Jinnah Town and Iqbal Town) were selected randomly. At third stage, two union councils were randomly selected from each town. At fourth stage, a sample of 25 young people was drawn from each selected union council to make an overall sample of 200 respondents. An interview schedule was developed for data collection which was divided into two parts. Individual characteristics i.e. gender, age, conjugal status was included in the preliminary part of the questionnaire. The questions related to the awareness regarding HIV/AIDS were the part and parcel of the remaining part of the questionnaire. The major findings of this study are: majority of the respondents 68.0 % were males, 56.0 % of the informants were intermediate, 48.5% were disclosed during interview that they had adequate knowledge about the preventive methods of HIV/AIDS after blood test or blood transfusion, 30% respondents had no knowledge about the preventive methods of HIV/AIDS after blood test or blood transfusion, 76.0 % were un-married, and 42.5 % were of the view that their source of sexual health information was their friends. HIV/AIDS, no doubt, is a fatal malady but can be controlled by launching awareness campaigns via mass media informing people about the preventive measures such as insisting on new syringe during inoculation, secure and safe blood transfusion, abstaining from extra-marital activities, avoiding contaminated water, and refraining from using the razor, tooth brush, and towel of an infected person.

Sickle cell disease is a chronic, inherited disorder. Complications from SCD place patients at risk for poor psychosocial adaptation, including symptoms of depression anxiety and stress. To measure the prevalence of depression, anxiety and stress in adults with sickle cell anemia in the Kingdom of Bahrain, and to study the factors related to the development of depression, anxiety and stress in these patients, we did a cross-sectional study that involved administering Depression Anxiety Stress Scales (DASS-21). A total number of 343 patients above 18 years, with sickle cell disease were recruited by convenient sampling from Salmaniya medical complex, health centers and sickle cell disease society. Participants also completed a survey of demographic data with specific inquiries about common sickle cell anemia risk factors and complications. From 343 participants (199 males &144 females) 53.9% were depressed, 70.8% had anxiety and 51.6% were stressed. A significant association was seen for depression and female gender(p-value 0.041), lower educational level (p-value 0.005), unemployment (p-value 0.01), number of emergency visits (p-value 0.008), hospital admissions (p-value 0.005) and medications like anti-depressants (p-value <0.001). Similarly, anxiety was significantly associated with female gender (p-value 0.031), unemployment (p-value 0.017), hospital admissions (p-value 0.047) and medications (like MST, codalgin and anxiolytics). Stress, however, was not found to be associated with any of the socio-demographic factors but was significantly associated with number of emergency visits (p-value 0.001), hospital admissions (p-value 0.008) and medications (like MST, codalgin and anxiolytics). We found the prevalence of depression to be (53.9%), anxiety (70.8%) and stress (51.6 %) among the studied population. Screening of sickle cell anemia patients for depression, anxiety and stress symptoms is recommended at regular intervals

The prosthetic considerations for treatment of partially edentulous patients involve evaluation of important aspects such as presence of certain functional or skeletal deficits, orientation of the occlusal plane, free-way space, size and location of edentulous areas, number, strategic location and quality of the likely abutment teeth, vertical dimension, and the type of occlusion. A comprehensive evaluation, multidisciplinary approach and a sequential treatment plan, worked out in harmony with the patient’s perceptions are important factors to ensure a successful outcome. One of the major conditions faced for full mouth rehabilitation is the severely worn dentition. In the present era with increased life expectancy, improved dental care, increased retention of teeth and increased awareness about oral health number of patients with generalized worn dentition have increased. This case report presents a case of partially edentulous bilateral jaws in which full mouth rehabilitation was done using implants and tooth supported prosthesis.