Pakistan

Pakistani consumers must be well informed that, in achieving their corporate goals, organizations now bear greater responsibility to develop healthy environment and aware society. This study aims towards assessment of the impact of Corporate Social Responsibility on Consumer Behavior in Pakistan and to analyze whether consumers reckon Organization's CSR initiative before buying decisions of goods and services. Carroll definition of CSR was adopted here that addresses whole range of economic, legal, ethical and philanthropic responsibilities. A Survey Questionnaire in this regard was carried out and 313 responses were collected across the different corners of Pakistan that further lead to culmination of this analysis report. The analysis showed that there is significant positive correlation between all CSR components and consumer behavior. However, Pakistani consumer's priority appeared to be different than offered by Carroll's Classical Pyramid, where economic responsibility was considered to be the greatest priority, followed by philanthropic, legal & ethical responsibilities.

Global terrorism continues to be a multifaceted security threat that decisively shapes the policies of political actors worldwide. An important component of contemporary terrorism is the financing mechanisms connected to the activities of terrorist organizations (TOs): TOs have proven apt in diversifying their funding sources and now rely on activities as broad as involvement in organized crime, illicit resource extraction as well as transnational trade in drugs and people. Following the innovation and popularization of modern communication technologies, TOs have also increasingly capitalized on the internet as a space through which to finance their operations, disseminate their propaganda and recruit new members. The financing mechanisms of TOs are subsequently in a process of consistent evolution and are shaped by external factors, thereby producing consistent challenges for State actors to develop their counterterrorist capacities in accordance with the newest trends in terrorist activities.

This study seeks to explore the relationship between corporate governance and dividend payout policywith the mediating role of leverage.Relationship between corporate governance and dividend payout already established but mediating role of leverage is checked for the first time. Better corporate governance may impact the capital structure due to reduced agency problem and hence the firms change the dividend payout policy. CEO duality, audit committee, number of meetings, independent directors and board size are taken as indicators of corporate governance. The study uses the secondary data of Pakistan Stock Exchange 100 index listed companies from 2011 to 211. Total 327 firm-year observations are included in the study. AMOS is used to apply Structural Equation Modeling for the confirmation of mediation process. The empirical results show that leverage plays mediating role between corporate governance and dividend payout policy when CEO is not holding the office of ChairmanBoD and there is existence of audit committee. Board size is significantly and positively related with leverage and the leverage is significantly and negatively related with dividend payout ratio.

The discourse on the 'Islamization' of laws in the legal systems of post-colonial Muslim states is dominated by two conflicting narratives. The dominant Western narrative views the Islamization of laws as the reincarnation of narrow and archaic laws embodied in discriminatory statutes. In contrast, the dominant narrative of political Islam deems it as the cure-all for a range of social, political and economic ills afflicting that particular Muslim state. This Paper presents a deeper insight into the Islamization of Pakistan's law. Pakistan has three decades of experience with incorporating shari'a law into its Common Law system, an experience which has been characterized by a constant struggle between the dominant Western and Islamist narratives. Pakistan's experience helps us deconstruct the narratives and discourses surrounding Islamization and understand that the project of incorporating Islamic laws in a modern Muslim society must be based upon indigenous demands and undertaken in accordance with the organically evolving norms of recognition, interpretation, modification and enforcement in that society. Furthermore, substantive law cannot be understood or enforced outside of a legal system, its legal culture(s) and professional discourse(s), and of the broader socio-political dialectics that give context and relevance to it. Therefore, we need to shift focus to the systemic problems deeply ingrained in Pakistan's legal system that allow law and legal processes to be used to prolong disputes and cause harassment. Islamic legality can, in fact, play a significant role in breaking down the resistance that vested interests may offer to such a restructuring of the legal system along more egalitarian lines.

This work is a beguiling prospect for anyone who has been involved in South Asia or has an interest in the region. The idea of analysing so many distinct insurgencies and counter-insurgency (COIN) campaigns within the covers of a single book is both ambitious and tantalising. Unfortunately, and in spite of occasional good moments, this book provides few of the answers. It has a clunky structure, is peppered with editorial and factual errors and unsupported statements. The British General Templer in Malaya argued that COIN should only be 25% shooting. The remainder should be winning "hearts and minds". Sadly this has all too rarely been the case in South Asia where many of the COIN campaigns have been heavy-handed and brutal. Partly this is a function of capability; effective COIN needs excellent intelligence and highly trained and equipped Special Forces. Yet it is interesting to reflect that two "successful" COIN operations of recent years; the Indian defeat of the Khalistan movement and President Rajapaksa's suppression of the Tamil Tigers owed little to Templer or the proponents of minimum force

Urdu is one of the official languages of Pakistan and like many other languages it has incorporated elements from other languages of the world, ancient and modern alike. In Pakistan it thrives alongside English and the other regional languages. Historically, it is associated with Islam as many Persian and Arabic words are found in it and the Muslims of Pakistan and India have emotional attachment to this language although non-Muslims had immense contribution to its evolution and development. However, this religious association has different connotations according to the politics and the situation of Muslims in each country. In this regard, Urdu language has undergone a series of development during its evolution. The different constitutions of Pakistan addressed Urdu language issues from different perspectives. The purpose of this study is to elaborate and analyze Urdu language genealogical affiliation, history and evolutionary process especially after the emergence of Pakistan.

China’s dazzling infrastructure and energy-driven Belt and Road Initiative (BRI), a US$1 trillion investment across Eurasia and beyond, has lost its shine. Increasingly, China’s leveraging of the initiative is being perceived by a growing number of recipients and critics alike as a geopolitical power play, a tool to shape a new world order partly populated by autocrats and authoritarians, and progressively characterized by intrusive surveillance, potential debt traps, and perceived as a self-serving way to address domestic overcapacity

The current status of solid waste management in Lahore, a metropolitan city of Pakistan, is reviewed in this article using an existing approach, the UN-Habitat city profile. This involves a systematic quantitative and qualitative assessment of physical components and governance features of the current waste management system. A material flow diagram (MFD) is developed, which allows visualisation of the current waste management system with all related inputs and outputs. This study shows that in the current system, waste collection and transportation is the main focus, however the collection coverage is only about 68%. There is no controlled or even semi-controlled waste disposal facility in Lahore. There is no official recycling system in the city. It is estimated that currently ~27% of waste by weight is being recycled through the informal sector. Making use of the organic content of the waste, a composting facility is operative in the city, producing 47,230 tonnes year(-1) of orga...

Anglo-Indians, a designation acquired in the 1911 Indian Census, had previously been known as Eurasians, East Indians, Indo-Britons and half-castes. ‘Anglo-Indian’ had previously denoted, and among some scholars continues to denote, Britons long resident in India. We will define Anglo-Indians as a particular mixed race Indo-European population arising out of the European trading and imperial presence in India, and one of several constructed categories by which transient Britons sought to demarcate racial difference within the Raj’s socio-racial hierarchy. Anglo-Indians were placed in an intermediary (and differentially remunerated) position between Indians and Domiciled Europeans (another category excluded from fully ‘white’ status), who in turn were placed below imported British superiors. The domiciled community (of Anglo-Indians and Domiciled Europeans, treated as a single socio-economic class by Britons) were relied upon as loyal buttressing agents of British rule who could be deployed to help run the Raj’s strategically sensitive transport and communication infrastructure, and who were made as a term of their service to serve in auxiliary military forces which could help to ensure the internal security of the Raj and respond to strikes, civil disobedience or crises arising from international conflict.

The thesis reveals how calls for Indianisation of state and railway employment by Indian nationalists in the assemblies inaugurated by the 1919 Government of India Act threatened, through opening up their reserved intermediary positions to competitive entry and examination by Indians, to undermine the economic base of domiciled employment. Anglo-Indian leaders responded with varying strategies. Foremost was the definition of Anglo-Indians as an Indian minority community which demanded political representation through successive phases of constitutional change and statutory safeguards for their existing employment. This study explores various strategies including: deployment of multiple identities; widespread racial passing by individuals and families; agricultural colonisation schemes; and calls for individual, familial or collective migration.

Since the flight of a kite by some Chinese, thousands of years ago, the UAVs have developed to the level of unleashing immeasurable destruction even without endangering the life of the " man in the loop ". This paper traces the history of the drones in the modern times while focussing on the American utilisation of the UAVs in the wars of the twenty-first century. Drones basically address the " friction " element of the war. While analysing the technical aspects of the UAVs, the article assesses the revolution these have brought in the conduct of the warfare. There are issues of collateral damage being labelled against the use of UAVs, but there is no denying the fact that these are the best weapons available in the arsenal to minimise the number of civilian casualties – as compared with the manned aircrafts and the casualties caused by the missiles fired from the aircraft carriers at times stationed hundreds of miles away. Pilotless target aircraft (PTA), Reconnaissance UAVs, and Strike UAVs or UCAVs are the three main types of Drones according to their function. The advantages of the UAVs over the manned aircrafts are the performance of dull, dirty, and dangerous work, their development and use being economical, their tactical advantage of not endangering the life of the controller, and most recently their use in the civilian arena like the flood relief activities, monitoring of the borders, reconnaissance of the areas after accidents or natural disasters, etc. Biggest challenges in the development of the drones are enhancing the endurance and autonomy of the UAVs, in-flight refuelling, increasing the payload capacity, having less numbers of satellites, and most importantly the issues related with the international law and the attached ethical issues. With the successful tests of Burraq, Pakistan has also joined the club of the states developing the UAVs and the race is still " on " .

Fruit growers from three districts of the Punjab took part in this study whereas their knowledge, attitude, skill and practices were evaluated regarding the use of pesticides. The hygiene and sanitation practices of the respondent were also related with proper use of PPA ...

Background Patients admitted to intensive care unit (ICU) present with severe and life-threatening illnesses. Most of them suffer from various comorbidities. They usually receive complex pharmacotherapy with large number of medicines which increase the risk of drug-drug interactions (DDIs). Objective The present report aimed to investigate prevalence and levels of potential DDIs (pDDIs) in medical ICU. Methods Medications profiles of 416 patients were checked for pDDIs using Micromedex Drug-Reax(®). Prevalence, levels of severity and levels of documentation were reported. Results Of total 416 patients, 310 were exposed to pDDIs (overall prevalence = 74.5 %). Likewise, a prevalence rate of 13.9 % was recorded for contraindicated pDDIs, 52.2 % for major pDDI and 58.4 % for moderate pDDI. This study reported 740 interacting drug pairs that were presented in total 1686 pDDIs. Of 1686 pDDIs, 4.3 % were of contraindicated severity, 33.8 % of major severity and 49.6 % of moderate severity, whereas 45.5 % were of fair scientific evidence and 41.4 % of good scientific evidence. Conclusion In this study, pDDIs were found highly prevalent in ICU patients at a rate of 74.5 %. Most of the pDDIs had moderate severity; however, substantial number of interactions (38.1 %) had major and contraindicated severity.

To evaluate the outcomes of cataract surgery in Pakistan. Methods: Cross-sectional, nationally representative sample of 16 507 adults (aged >30 years). Each underwent interview, logarithm of the minimum angle of resolution visual acuity (VA), autorefraction, examination of optic disc. Those with ,6/12 VA on presentation underwent best-corrected VA and dilated biomicroscopic ocular examination. Results: 1317 subjects (633 men) had undergone surgery in one or both eyes. Of the 1788 operated eyes, 1099 (61%) had undergone intracapsular cataract extraction (ICCE) and 607 (34%) extracapsular surgery with an intraocular lens (ECCE+IOL). Presenting VA: 275 (15.4%) eyes: 6/12 or better; 253 (14.1) ,6/12 >6/18; 632 (35.3%) 6/18 to 6/60; 85 (4.8%): 6/60 to 3/60; 528 (29.5%): ,3/60. With ''best'' refractive correction, these values were: 563 (31.5%), 332 (18.6%), 492 (27.5%), 61 (3.4%), 334 (18.7%), respectively. Of the 1498 eyes with VA (6/12 on presentation, 352 (23.5%) were the result of coincident disease, 800 (53.4%) refractive error and 320 (21.4%) operative complications. Eye camp surgery (OR 1.72, p = 0.002), ICCE (OR 3.78; p,0.001), rural residence (OR 1.36, p = 0.01), female gender (OR 1.55, p,0.001) and illiteracy (OR 2.44, p,0.001) were associated with VA of ,6/18. More recent ICCE surgeries were associated with a poorer outcome. The ratio of ECCE+IOL:ICCE in the last 3 years was 1.2:1, compared with 1:3.3 >4 years before the survey. Conclusion: Almost a third of cataract operations result in a presenting VA of ,6/60, which could be halved by appropriate refractive correction. This study highlights the need for an improvement in quality of surgery with a more balanced distribution of services.

In this study, we explored the attitudes towards Medically Unexplained Symptoms (MUS) of 500 GP's in Karachi, Pakistan. Using a questionnaire previously developed by Reid et al (2001), we aimed to investigate whether GP's attitudes towards medically unexplained symptoms are similar to those of GP's in the developed world.

The following study describes the basic demography of colorectal cancer patients and characteristics of the disease seen at a regional tertiary care cancer hospital. The study highlights the influence of gender and age on the occurrence of this malignancy in patients in Pakistan. In general, this population shares many epidemiological features of developing countries for colorectal carcinoma. These include a younger age at presentation (mean age of patients was 46.5 years), subsite distribution (72.5% had left-sided tumors), and delayed presentation of the disease in an advanced stage. We stress the significance of public awareness regarding colorectal cancer to improve the outcome.

The term 'Faculty Development' encompasses all those activities which help faculty members enhance their academic competencies. It comprises three domains: personal development, professional development, and instructional and course development. The objectives of this study were to determine the proportion of medical colleges involved in faculty development activities, to assess the types of faculty development activities, and to identify the factors influencing such activities, along with formulating recommendations for faculty development. A cross-sectional study was conducted in the medical colleges (public and private) of Pakistan from September to December 2010. A questionnaire was designed through literature review, was pre-tested and then sent via mail to principals of the institutions outside Lahore. Questionnaires were self-administered to respondents within Lahore. Apart from describing the data, Chi-square and Fisher's exact tests were applied to determine sta...

Although the majority of serious cases in the world are concerned with snake bite envenomation, but those which are caused by scorpion stings are also famous for causing extreme pain. The present view is an attempt to enlist scientifically ignored medicinal plants of Pakistan exhibiting anti-scorpion venom activity. In this review data of 35 medicinal plants is collected with their families, parts used, distribution in Pakistan, and major constituents present in plant. Amaranthaceae, Astraceae and Euphorbiaceae represent 3 species. Anacardiaceae, Asclepidaceae and Liliaceae represent 2 species. Araceae, Capparidaceae, Ceasalpinaceae, Cyperaceae, Labiatae, Lamiaceae, Meliaceae, Menispermaceae, Oleaceae, Oxalidaceae, Pinaceae, Polygonaceae, Rhamnaceae, Rubiaceae, Solanaceae, Valerianaceae and Zingiberaceae represented single medicinal plant with anti scorpion potential. According to literature, all parts are used in anti scorpion envenomination. Leaves exhibit 30%, whole plant 9%, fru...

Adiponectin has been associated with common metabolic disorders. The current study was conducted to measure and compare levels of adiponectin with obesity, type 2 diabetes mellitus (T2DM) and gender in Punjabi subjects from Faisalabad, Pakistan. Serum adiponectin was measured by enzyme-linked immunosorbent assay (ELISA) along with measurements of some clinically important analytes (fasting blood glucose, cholesterol, triglycerides) as well as body mass index (BMI) in 80 subjects. The main results were significantly (p < 0.003) decreased serum adiponectin level in T2DM patients (n = 40) compared to non-diabetic controls (n = 40). In obese subjects, (n = 40) also, there was a decrease, but it was not significant. Adiponectin levels in the subgroups of diabetic and obese patients were also observed, but no significant gender-based differences were found.

This paper examines humanitarian assistance practices to understand how approaches followed by various actors address-or fail to address-social vulnerability to disasters. This question is addressed through a study of humanitarian responses in two disaster-affected villages of Baltistan in northern Pakistan. Through analysis of key informant interviews, semi-structured interviews with men and women, group discussions and secondary data sources, we identify how government, non-governmental and faith-based organisations understand and seek to address underlying socio-political processes that define vulnerability. We analyse how knowledges and practices serve to legitimise authority relations between and among humanitarian organisations and local populations. The paper finds that a simplistic understanding of vulnerability-that people with higher losses are more vulnerable and deserve more assistance in comparison to those who suffer lower losses-tends to favour well-off people, as the...

Postnatal depression is an important public health problem worldwide. Recent evidence suggests that rates may be relatively higher in developing countries. We aimed to explore the prevalence of postnatal depression and its association with social support and other risk factors in a sample of Pakistani women. Population-based survey of 149 women at 12 weeks postnatal using the Edinburgh Postnatal Depression Scale (EPDS), Multidimensional Scale of Perceived Social Support (MSPSS) and Personal Information Questionnaire (PIQ). Thirty six percent women scored > or =12 on EPDS. High depression score was associated with lower social support, increased stressful life events in the preceding year and higher levels of psychological distress in the antenatal period. There is a high prevalence of postnatal depression in Pakistani women. Early interventions should be developed that target the antenatal period and strengthen social support networks in women at risk.

There have been few previous studies of the kinetics of pigmentation following ultraviolet B (UVB) exposure, and these have included only fair-skinned persons. The current study investigated pigmentation increase to steady state and fading in 12 Scandinavians and 12 Indians/Pakistanis. Over a period of 3 weeks the subjects were UV-irradiated 6 times on the right side of the back and 12 times on the left side using a Solar Simulator and narrowband UVB with equal sub-Minimal Melanogenesis Doses (individually predetermined). Pigmentation was measured from skin remittance at 555 nm and 660 nm (allowing correction for erythema). The absolute pigmentation increase was independent of pre-exposure pigmentation, therefore the percentage pigmentation increase was higher in fair-skinned volunteers. The UV dose to minimal pigmentation was higher in darker-skinned persons for single and multiple UV exposures for both UV sources. Going from a single exposure to 6 and 12 exposures, the required do...

To correlate the clinical features of women presenting with locally advanced breast cancer with event-free survival (EFS) and overall survival (OS) and to evaluate the patterns of relapse. A total of 200 patients presenting consecutively over 9 years with Stage III breast cancer were evaluated for age, socio-economic status (SES), tumour size and grade, number of involved lymph nodes, stage III sub-categories, estrogen and progesterone receptor (ER/PR) status, treatment profiles and responses, and sites of relapse. EFS and OS at 5 and 10 years were calculated. Median age was 45 years. Poorly differentiated tumours were found in 127 patients, while 128 had larger tumours (T3 and T4). Eighty women had extensive nodal involvement (N2 and N3), and 86 had Stage IIIA tumours. Chemotherapy was given to 44 patients before surgery and one of these patients achieved pathological complete response. At 5 and 10 years, EFS was 25% and 7%, and OS was 52% and 31%, respectively. By Cox regression a...

Eleven species of the pygmy grasshoppers under four genera, i.e., Ergatettix, Euparatettix, Hedotettix and Paratettix have been collected from different localities of Rawalpindi Division. Out of these, Ergatettix dorsiferus has been recorded for the first time from the Punjab, while E. guentheri is a first record from Pakistan. The measurements of all the species, alongwith their distribution and habitat are also provided.

For estimation of grain yield in wheat, Normalized Difference Vegetation Index (NDVI) is considered as a potential screening tool. Field experiments were conducted to scrutinize the response of NDVI to yield behavior of different wheat cultivars and nitrogen fertilization at agronomic research area, University of Agriculture Faisalabad (UAF) during the two years 2008-09 and 2009-10. For recording the value of NDVI, Green seeker (Handheld-505) was used. Split plot design was used as experimental model in, keeping four nitrogen rates (N1= 0 kg ha−1,N2= 55 kg ha−1,N3=110 kg ha−1, andN4= 220 kg ha−1) in main plots and ten wheat cultivars (Bakkhar-2001, Chakwal-50, Chakwal-97, Faisalabad-2008, GA-2002, Inqlab-91, Lasani-2008, Miraj-2008, Sahar-2006, and Shafaq-2006) in subplots with four replications. Impact of nitrogen and difference between cultivars were forecasted through NDVI. The results suggested that nitrogen treatment N4(220 kg ha−1) and cultivar Faisalabad-2008 gave maximum NDV...

To evaluate the difference between pre- and post-menopausal breast cancer regarding menstrual and reproductive risk factors The case-control study was conducted in Mayo Hospital, Lahore, between October 2008 and April 2009. Cases were breast cancer patients admitted in the surgical and oncology floors of the hospital. Controls were hospital patients without breast cancer. The study enrolled 150 cases and 300 controls. Menstrual and reproductive history was taken from both the cases and the controls. For every risk factor age-adjusted odds ratio (OR) and 95% confidence interval (CI) was calculated by logistic regression analysis, separate for pre- and post-menopausal women. Among the breast cancer patients, 42.7% were pre-menopausal and 57.3% were post-menopausal. Age at menarche had no association with breast cancer for both pre- and post-menopausal women. Nulliparity was a risk factor for both pre-menopausal (OR 4.1, 95% CI 1.4-12.6) and post-menopausal breast cancer (OR 8.2, 95% C...

Khan made his debut in the world of show business in the year 2016 and, in a very short period of time, established himself as an actor of considerable merit and promise. After working in a number of theater plays, television serials and one feature film, the handsome young man arrived as a star with his sensitive portrayal of a mild-mannered orphan in Hum Television's television

Objectives: To assess the effect of fasting and physical activity on blood pressure, fasting glucose, cholesterol, triglyceride, high density and low density lipoproteins among diabetic type 2 patients. Methodology: Seventy five patients who had three visits (last ten days of Shabann (visit 1), Ramadan (visit 2) and Shawwal (visit 3)) were included in the study. Physical measurements, clinical measurements and 12 hours fasting blood sample were taken, along with an interview for demographic information and physical activity on each visit. The samples were analyzed for 1) Glucose, 2) Cholesterol, 3) Triglyceride, 4) Uric Acid, 5) HDL-C, and 6) LDL-C. Results: The mean weight of the patients decreased significantly from 71.43 kg to 69.41 kg from visit 1 to visit 2. Mean systolic blood pressure also decreased significantly from 124.25 mm/Hg to 119.86 mm/Hg while. Mean triglyceride level decreased from 239.095mg/L to 207.07 mg/L from visit 1 to visit 2 and it kept decreasing to 159.25 mg/L till third visit. Mean LDL value increased from 104.12 mg/L to 112.64 mg/L from visit one to visit two and then further increased to 119.0 mg/L on the third visit. Conclusion: Ramadan fasting is safe for diabetes type II patients and is associated with weight loss and improvement in the overall diabetic control. Furthermore, the physical activities could reduce the body weight, waist measurement, systolic blood pressure, triglyceride and HDL. . Effects of Ramadan fasting and physical activity on glucose levels and serum lipid profile among Type 2 diabetic patients. Pak J Med Sci 2012;28(1):91-96

Aims We carried out a survey of important nonclinical issues including awareness and self-management of diabetes on a group of South Asian and Caucasian patients attending diabetic clinics within a set period.Methods A structured questionnaire examined various issues including demographics, perceived knowledge and awareness of diabetes, perceived self-help/support, and psycho-social factors. A total of 500 patients (268 South Asians and

Prevalence of Human Immuno-deficiency Virus (HIV) infection is still believed to be low in Pakistan. However, because of its location in South Asia and the presence of high risk group for the disease, it is likely that Pakistan would experience diffusion of HIV1. We therefore decided to cany out this study to access the understanding of young Pakistani men about sexually transmitted infections (STI s).

The presentation of depression in primary care is in many ways different from that seen in psychiatric settings. The process of detection and treatment is also different. This is particularly so in developing countries like Pakistan, which has high prevalence rates of depression but poorly organized primary health care services and primary care physicians (PCPs) who have little psychiatric training, either at undergraduate or postgraduate levels. There is a need to review difficulties faced by primary care physicians in detection and management of depression. It is hoped this would lead to better and more effective management of depression at primary health care level.

Objective: A reviewing study of the health policy planning and formulation was initiated which explored the procedure of formulation of health policy and its implementation in Pakistan. The purpose of the study is to learn the procedure of health policy formulation and its implementation and to observe the issues in health system in Pakistan. Methodology: This study on health policy formulation was exploratory in nature. The research design was qualitative. The data was collected through secondary sources which includes research articles published in various journals and available on online sites. Moreover, data was also collected through books written on public policy by some foreign and local authors. Findings: The findings indicates that the planning and policy formation of the health sector in Pakistan is capable at the preparation level but not at the execution level. Implications: This paper recommends overcoming the health-related problems in Pakistan through formulation and ...