Search

The creation In persuasion of green agenda, firms are now taking an active part to create pro-environmental behavior within employees via Green Human Resource Management Practices (GHP). Many scholars agreed to the fact that there is a need of implementing GHP properly as this way; a better green outcome can be achieved. Therefore, the present study aims to examine whether GHP affects green creativity and ultimately the green performance of employees in the presence of green factors i.e. green self-efficacy and green engagement in terms of environmental sustainability. The proposed model highlighted the role of green self-efficacy and green employee engagement as two important mediators in the relationship between GHP and green creativity. A framework is developed in the light of previous literature and is evaluated through AMOS-22 and SPSS-22 software. The study adopted a convenience sampling approach and collected data from the respondents in the context of the telecommunication industry. Lastly, the implications, limitations, and future recommendations have also been discussed at the end of the pape. [ABSTRACT FROM AUTHOR]

Women with heart disease during pregnancy are at higher risk, which can harm the fetus. This risk can be reduced if we diagnose and treat it early. The decision-making system is very helpful in such situations. Many clinical decision-making systems have been proposed, but they are too complicated for medical experts to understand and adapt. Here, we develop a new neutrosophic model for early diagnosis and explain it using explainable artificial techniques. Our model is taking eight symptoms and signs as inputs and determines the diagnosis, type of treatment, and prognosis. Age, obesity, smoking, family pathological history, personal pathological history, electrocardiogram, ultrasound, and functional class are the inputs of this model. Six diagnoses can be made- obstruction at existing, obstruction at entry, rhythm disorder, conduction disorders, congenital diseases, genetic diseases. The types of treatments are- pregnancy interruption, diuretic treatment, anti-arrhythmic treatment, treatment with beta-blockers and anticoagulants treatment. The prognosis is- eutectic delivery, dystocic delivery, the child with complications, child without complications, mother with complications, and mother without complications. The main parts of this system are neutrosophication, knowledge base, inference engine, de-neutrosophication, and explainability. To present the entire execution of the proposed system, we design an algorithm and compute its time complexity to demonstrate the working of the entire system. We compared the results of different methods to gain confidence in our model. [ABSTRACT FROM AUTHOR]

Objective: To determine the frequency of polycystic ovarian syndrome in female medical students and the risk factors associated with polycystic ovarian syndrome. Study Design: A cross-sectional analytical study. Place and Duration of Study: Combined Military Hospital Lahore Medical College, from Apr to Dec 2017. Methodology: All female medical students studying MBBS in Combined Military Hospital Lahore Medical College in 2017 were included in the study. A structured questionnaire was administered to all female medical students and polycystic ovarian syndrome was diagnosed through Rotterdam criteria. An interview was scheduled with the students diagnosed with polycystic ovarian syndrome to assess the risk factors associated with this condition. Results: Two hundred and forty two students participated in the study with a mean age of 21 ± 1.6 years. The frequency of polycystic ovarian syndrome in female medical students in year 2017 was 19.4% as 47 female students out of 242 fit the rotterdam consensus criteria for polycystic ovarian syndrome. Mean age of the students diagnosed with polycystic ovarian syndrome was 20 ± 1.4 years. Six out of 47 patients (13%) had BMI >30. 37 out of 47 students (78%) used fats/oils/sweets daily or more than once a day. Family history of diabetes mellitus was positive in 34 out of 47 students (72%). Conclusion: Our study showed a high frequency of polycystic ovarian syndrome in female medical students, which calls for a national study to look at its prevalence in our young female population, as it has long-term consequences for their reproductive and metabolic health. [ABSTRACT FROM AUTHOR]

Background. Acute kidney injury (AKI) is a common but least studied complication of lymphoma. Objective. To determine the frequency and predictors of AKI in lymphoma and to study the impact of AKI on hospital stay and mortality. Methods. Retrospective review of medical records of hospitalized lymphoma patients aged >=14 years between January 2008 and December 2011 was done. Results. Out of 365 patients, AKI was present in 31.8% (116/365). Multivariate logistic regression analysis showed that independent predictors for AKI included sepsis (odds ratio (OR) 3.76; 95% CI 1.83-7.72), aminoglycosides (OR 4.75; 95% CI 1.15-19.52), diuretics (OR 2.96; 95% CI 1.31-6.69), tumor lysis syndrome (OR 3.85; 95% CI 1.54-9.59), and R-CVP regimen (OR 4.70; 95% CI 1.20-18.36). AKI stages 2 and 3 was associated with increased hospital stay (OR 2.01; 95% CI 1.19-3.40). Conclusion. AKI was significantly associated with sepsis, aminoglycoside, diuretics, presence of tumor lysis syndrome, and use of R-CVP regimen. Presence of AKIN (Acute Kidney Injury Network) stages 2 and 3 AKI had increased hospital stay. AKI was also associated with increased mortality. [ABSTRACT FROM AUTHOR]

The meaningful participation of young people from marginalized ethnic backgrounds in civic processes is central to the social cohesion of increasingly diverse liberal democracies, but their participation is compromised by a range of barriers resulting in decision-making that is disconnected from their lives. To address participation barriers, a group of young people from marginalized ethnic migrant backgrounds joined a team of researchers, social innovators, and community leaders to co-design and pilot an innovation to increase youth participation in policymaking. Delivered in phases over an 18-month period, the project followed an approach that combined social innovation and evaluation methods. The process revealed factors that help and hinder young people from marginalized ethnic backgrounds' genuine engagement in partnerships with adults. The project learnings informed principle-based guidelines for marginalized young people's civic engagement, which are offered to policymakers, practitioners, and researchers interested in inclusive youth participation., (© 2025 The Author(s). American Journal of Community Psychology published by Wiley Periodicals LLC on behalf of Society for Community Research and Action.)

This study was conducted to assess the level of awareness about sexually transmitted diseases in females of different age groups and to investigate the role that education and social status may play in their knowledge. It was a cross-sectional study, conducted at the CMH Lahore's Gynaecology and Obstetrics out-patient department, from June 2019 till July 2019. Three hundred and thirty-seven participants were interviewed, after obtaining a written informed consent. These participants were females who presented at the CMH Gynaecology & Obstetrics OPD, with any particular complaint. Those who did not give consent were not included in the study. The participants were given a hard copy of the questionnaire to fill and any queries that they had were answered on the spot. Data was analysed using SPSS version 23. Of the 337 participants interviewed, 158 were aged 26-35 years; 71 were undergraduates and 99 had completed post graduate studies. To determine their socioeconomic status, they were asked about their family income; 205 participants belonged to families with an income of less than Rs50,000. Most participants (229) had presented to the OPD for a routine pregnancy check-up. Of the 337 participants, 244 attested to know about STD's and the most common source of their knowledge was through TV (142), followed by the internet (137); 251 participants were familiar with limited STDs such as AIDS and Hepatitis B. The study showed that age, level of education, and income have a profound effect on the knowledge regarding sexually transmitted diseases amongst the women in Pakistan.

Ethnic minorities in developed countries suffer a disproportionately high burden of COVID-19 morbidity and mortality, and COVID-19 ethnic disparities have been attributed to social determinants of health. Vitamin D has been proposed as a modifiable risk factor that could mitigate COVID-19 health disparities. We investigated the relationship between vitamin D and COVID-19 susceptibility and severity using the UK Biobank, a large progressive cohort study of the United Kingdom population. Structural equation modelling was used to evaluate the ability of vitamin D, socioeconomic deprivation, and other known risk factors to mediate COVID-19 ethnic health disparities. Asian ethnicity is associated with higher COVID-19 susceptibility, compared to the majority White population, and Asian and Black ethnicity are both associated with higher COVID-19 severity. Socioeconomic deprivation mediates all three ethnic disparities and shows the highest overall signal of mediation for any COVID-19 risk factor. Vitamin supplements, including vitamin D, mediate the Asian disparity in COVID-19 susceptibility, and serum 25-hydroxyvitamin D (calcifediol) levels mediate Asian and Black COVID-19 severity disparities. Several measures of overall health also mediate COVID-19 ethnic disparities, underscoring the importance of comorbidities. Our results support ethnic minorities' use of vitamin D as both a prophylactic and a supplemental therapeutic for COVID-19.