Total quality management (TQM) has effectively enhanced product quality in the manufacturing business, but services are always experiencing a low quality and hard to guarantee the product. The use of TQM in the service business issue has been studied. This research explores the key challenges and implementation strategy for the whole quality management of the Egypt’s economic condition as a research subject. This paper based on qualitative method and uses several factors to describe, such as, the mission and vision, sustainable development and improvement, effective leadership, and information systems etc. The results revealed that there are multiple obstacles, procedure; mechanism must be resolved on the Egypt’s management universities. Central decision-making, no innovation and routine and administrative complexities that weaken work and performance. The TQM application needs an extraordinarily adequate budget, the administrators, workers, do not use acceptable development and improvement methods, adopting an information system on traditional methods. Overall analysis suggests that the use of TQM characteristics in higher education in Egypt still presents obvious weaknesses. However, the average value of these six factors is less than 70 percent.

Preeclampsia is the complex disorder characterized by hypertension and proteinuria. Preeclampsia if complicated can progress to eclampsia, endangering life of both mother and fetus. Eclampsia occurring during delivery is referred as intrapartum eclampsia. Few studies have been conducted on intrapartum eclampsia, as it is less frequent in developed countries due to the availability of better health care facilities and awareness. Here we report a case series of patients presented with intrapartum eclampsia presented at a tertiary care hospital.

Objective: To evaluate the effects of pumpkin seed oil and apricot oil on the atherogenic index. Methods: This experimental study was carried out on 24 male albino rats (n=24) at the Department of Biochemistry in collaboration with the Diagnostic and Research Laboratory, Liaquat University of Medical and Health Science Jamshoro, Sindh. The study population (n=24) divided into three groups, with 8(n=8) in each group. Lipid profile determined and atherogenic index calculated by the formula log Triglycerides/HDL ratio. The atherogenic index was compared in three groups(high- fat diet group, High-fat diet+Pumpkin seed oil group and high -fat diet+apricot oil group). Data analyzed on IBM SPSS 22.0 and p value <0.05 taken as significant. Results: Serum cholesterol, triglycerides, and LDL levels were decreased in the groups of rats given high-fat diet +pumpkin seed oil group and high-fat diet +apricot oil group as compared to high fat diet controls. HDL levels increased to significant level in the groups of rats given high-fat diet +pumpkin seed oil and high-fat diet +apricot oil as compared to high-fat diet control. The atherogenic index was 1.426±0.19 in high-fat diet controls, and this decreased to 1.31 ±0.21 in the rats given high fat diet+ pumpkin seed oil and at the same time decreased to 1.20±0.14 in those given high fat diet with apricot oil. Conclusion: Pumpkin seed oil and apricot oil, both are effective in decreasing the atherogenic index in the rat taking high fat diet but apricot oil is more effective in reducing atherogenic index in the rats taking high fat diet. Keywords: Atherogenic index, Apricot oil, High fat diet, Pumpkin seed oil

Aim: To evaluate the clinical outcomes and severity of disease in COVID-19 patients presenting with and without comorbidities.  Study Design: Cross-sectional study. Place and Duration: ICUs, wards of Jinnah Postgraduate Medical Center Karachi from March, to June 2021. Methodology: The enrolled patients diagnosed with COVID-19 ie according to the provisional directions given by WHO, were assessed for clinical outcomes. Comorbidities were determined based on patients self-report on admission.   Results: Total 200 COVID patients were enrolled in the study, out of them 179 were with comorbidities like type 2 Diabetes mellitus, hypertension, cardiac disorders and  asthma, while 21 COVID patients were with no co morbidity. In present study (n=200), 55.5% were belonging to the age group more than fifty five years old, there were 50.5% males and 29.5% patients came in the month of June 2021. There were 84% hypertensive, 54% were diabetic, 10% were Ischemic Heart Disease and 5% were Asthmatic patients.  Clinical outcomes, i.e., pneumothorax, pulmonary embolism, Myocardial Infarction,   septic shock, heart failure, Disseminated Intravascular Coagulation was compared  regarding associated co-morbidities at the time of admission, p-value was <0.01 and  x2=20.15 . Conclusion: COVID patients with comorbidities are more at risk of developing worst clinical outcomes.