After a long period of research on this topic, motivating employees and retaining them is still a threatening challenge for organizations. The study aims to analyze impact of rewards and corporate social responsibility (CSR) on employee"s motivation in Pakistan. This study specifically examines the relationship between intrinsic rewards, extrinsic rewards, internal International Journal of Human Resource Studies

Background: Urolithiasis refers to the formation of calculi as a result of a disruption in the equilibrium between salt solubility and precipitation in the urinary system. Computed tomography is considered to be extremely sensitive diagnostic test for its detection due to development in technology. The goal of this study was to find out the accuracy of ultrasound for detection of urinary tract stones as compared to CT KUB. Objective: The purpose of this study is to evaluate the sensitivity and specificity of ultrasound with the reference of CT KUB for the diagnosis of urinary tract stones. Material and Method: The cross-sectional study was conducted from January 13, 2022 to May 13, 2022 in the Department of Radiology, Gondal Medical Complex Gujranwala, in 78 patients who underwent simple CT KUB after USG with suspected urinary stones. Ultrasound and CT findings were compared based on age, gender, clinical appearance, number of stones, and location. All data was collected using a self-made questionnaire. I analyzed the data using SPSS version 26. USG specificity, sensitivity, positive predictive value, and negative predictive value were evaluated using CT as a reference standard. Results: Among the 78 patients, 56.4 % (n=44) were male and 43.6 % (n=34) were female. The average age of the patients was 41.5430 years. Urolithiasis was discovered in 80.76 % of the patients (n=63) who had CT KUB. Trans-abdominal ultrasound sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy in urolithiasis were calculated to be 68.3 %, 66.7 %, 89.6 %, 33.33 %, and 67.95 %, respectively. Conclusion: Trans-abdominal ultrasonography has a satisfactory diagnostic accuracy for urolithiasis since a range of parameters such as operator reliance, patient compliance, and stone size or location determines its sensitivity. When a CT scan is unavailable or contraindicated, it may be utilized as an alternative.

Fibroids are typically well-defined solid masses that have a convoluted appearance. These are generally echogenic like the myometrium, though sometimes they can indeed be hypoechoic. Objective: To determine the incidence of uterine leiomyomas in multipara women in Gujranwala, Pakistan. Methods: A cross-sectional study was conducted at the diagnostic department of radiology (DHQ/Teaching Hospital, Gujranwala). The study lasted for three months, from February 24, 2022, to May 24, 2022. A total of 140 people participated in the research after written informed consent. 140 multiparous women with uterine fibroids were included between the mentioned dates. The examination of the patients included pelvic ultrasonography with a full bladder. Results: This survey consisted of 140 multiparous women. 100 (64.1%) of 140 females having fibroid uterus who reported to the gynaecology department exhibited submucosal fibroids, 33 (21.2%) contained intramural fibroids, and 23 (14.7%) of them had subserosal fibroids. Fibroids with 127 (81.4%) in the anterior and 29 (18.6%) in the posterior were observed. Menstrual inconsistency was the most prevalent clinical presentation of reported cases, featuring menorrhagia in 105 (75%) patients, polymenorrhagia in 24 (17.1%) patients, and abdominal discomfort in 44 (31.4%) patients, and urinary frequency in 29 (27.9%) women. A total of 47 (33.6%) of the females had a family background of uterine fibroids. Conclusion: Submucosal fibroids are the most abundant, followed by intramural and subserosal fibroids, with pedunculated fibroids being the least frequent. The anterior part of the uterus is the most probable site of fibroid emergence. Menorrhagia was the most prevalent symptom.