Informatics Publishing Limited

Abida Nasreen ¹, Anjum Naz ²

Affiliations
1 Institute of Education and Research, University of the Punjab, Lahore, PK
2 Department of Education, University of Sargodha, Sargodha, PK

Abstract

A key ingredient in the knowledge economy is the development of people's careers. All development starts with self development and self development is the essence of human resource development (HRD). All types of organisations are striving for the best practices at work. Among these best practices, career management is crucial for the individual and organisational success. In this paper, we present the findings of an empirical survey of career practices in the old and new universities of the Punjab, Pakistan and examine how these are applied.

Keywords

Creer Management, Learning Organisations, Faculty Reflections.

Full Text

     

Anjum Naz ¹, Bivash Halder ¹, Prithviraj Chakraverty ¹, Avishek Naha ¹, Nivedita Mukherjee ¹

Affiliations
1 Department of Anaesthesiology and Intensive Care, KPC Medical College and Hospital, Kolkata, West Bengal, IN

Abstract

Opioid induced muscle rigidity and myoclonus is a frequently described complication which occurs more commonly with large doses and rapid administration of the drugs and is observed at the time of induction. In the post-operative period this complication is reported in patients undergoing cardiac surgery, where large dosages of fentanyl or analogs are employed. Rigidity and myoclonus in the postoperative period with analgesic doses of opioids is extremely rare. We report a case where a life threatening chest wall rigidity and myoclonus occurred in a patient where fentanyl was used as an intraoperative analgesic in a relatively low dose. Though the mechanism of occurrence of this phenomenon remains unclear but the fact that the rigidity was terminated with naloxone confirms that it was fentanyl induced.

Keywords

Chest Wall Rigidity, Fentanyl, Myoclonus, Naloxone, Post-Operative.

Full Text

   

Abida Nasreen ¹, Anjum Naz ²

Affiliations
1 Punjab University, Punjab, IN
2 University of Sargodha, PK

Abstract

Universities are knowledge-based organizations and high-quality performance management of professionals in these organizations has particular importance. The paper analyses performance appraisal systems in universities with particular emphasis on teaching faculty and Head of the Departments’ (HoDs) perspectives and their expectations. According to the information provided by the teachers and HoDs, Faculty members were generally given informal verbal feedback on their performance. Moreover, universities have written job duties and responsibilities and teachers were being measured according to that document. According to the responses in old and new universities, it emerged that students’ results of teachers, academic activities, professional commitment, and punctuality were relatively more reported aspects in new universities, while knowledge, research and personal behavior related aspects were given more emphasis in ACR by the old universities’ HoDs.

Keywords

Performance Appraisal, Universities, Faculty, Management.

Full Text

     

Anjum Naz ¹, Arcojit Ghosh ¹

Affiliations
1 Department of Anaesthesiology, KPC Medical College, Kolkata, IN

Abstract

Intravenous fluid therapy is vital for resuscitation of critically ill patients. However, the procedure is very complex; the standards of operation and monitoring are controversial and the indications of commencement and weaning are fiercely debated. Administration of intravenous fluids is imperative for circulatory stabilization and is potentially lifesaving in shock patients; on the other hand it can be the cause of increased morbidity and mortality if there is a volume overload. Crystalloids and colloids are the two types of fluids which can be used for resuscitation; and each one is associated with its own set of benefits and adverse effects. The population of critically ill patients is significantly heterogeneous, thus the targets, and safety limits cannot be clearly defined which can be applied to all the patients in Intensive Care Unit patients (ICU) alike. The fluids should be considered as any other intravenous drug in ICU with an optimal dose and a therapeutic and toxic window. The amount and the type of Intravenous (IV) fluids used play a crucial role in patient outcome and need to be individualized. The patients who are responsive to fluid resuscitation initially are susceptible to overload later so it is very crucial to know when to stop IV fluids. The monitoring which is generally used in ICU and the static measures of fluid responsiveness are not sufficient to guide the fluid therapy in critically ill patients. Dynamic measures to predict the fluid responsiveness can be helpful to prevent excessive fluid administration.

Keywords

Fluid Therapy, Intensive Care, Resuscitation, Volume Overload.

Full Text