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Over the last few decades, Iran's scientific development has been on the increase, and it is now the fastest growing country in scientific development, and is currently ranked at 17. Yet there are few papers which address Iran's sustainable development, and the implications that arise from the development of science. In this paper we therefore aim to answer whether or not Iran's scientific development supports its sustainable development. To address both parts we have taken data from 1998-2012, and have looked at scientific development, as well as the development of social, economic, and environmental sustainability. What we found was that all areas of sustainability along with scientific development have significantly increased over the years, with subject areas such as Medicine, Chemistry and Engineering producing the highest number of publications in 2012. As well as this, the data clearly shows that all areas have followed a similar trajectory, and show similar percentage changes year on year. Looking at the data alone we can say that Iran's scientific development does support sustainable development, however this is not the case when we include performance data. Both sets of data show that all areas of sustainability and science in general have increased over the last 15 years, however they differ with regards to the areas in specific. These differences however can be attributed to many points. Further research could look into finding a more robust way of defining the output of research, using a different approach to categorise subject areas, and collecting qualitative data to support the data collected.

Regardless of quality education, alteration of conservative era into modernization and escalating the streamers of gender equality, women are still standing at the verge of being victim of cruelty, injustice, malice, forced marriages, sexual violence and hatred. The law enforcement agencies themselves become part of exploiting women’s rights, co-modifying them and reinforcing the stereotype in this patriarchal society. When discussing the fate of women it matters less whether they are the women of East or West. Culture change, place change, traditions and values change, but the thing that never change is the behavior of community towards women. However, women are going to become abandoned or protagonist, it depends upon the inner courage of women. For an instance, women become helpless and start feeling them as the caged birds that can never flew independently. On the other hand, some women refuse to become the part of darkness and decide to become spark in nightfall. Moreover, Pakistan is land of tremendous examples about such women. Since the dawn history of human beings, subjugation towards the identity of women’s status has been observed in different communities and cultures. Additionally, this subjugation is deeply rooted and exists on a large scale in Pakistani society. Therefore, this proposed study is the splendid reflection of this acrimonious datum by ascertaining our point of view with the bounteous examples from the stories of “Burnt Shadows”, “Broken Verses” and “Home Fire” by Kamila Shamsie. This study will be a milestone for presenting the women’s condition in Pakistan and clearing the depiction that in developing countries like Pakistan, women are only victims of cruelty. For this purpose, Marxist’s interpellation theory was used to enlighten the feminist, race and language analysis by using the primary and secondary sources for data collection. Results concluded on the basis detailed analysis of all the novels explain that the systematic flow in the lives of women that is hidden in the generosity of world that can rampant the prestige of humanity up to great extent.

BACKGROUND Diabetic ketoacidosis (DKA) teaching is often inadequate leading to confusion amongst medical students and junior doctors. Active learning approaches such as simulation improves retention of learning. A peer led simulated OSCE programme improved medical students’ knowledge and confidence in recognising and managing DKA. OBJECTIVE To design a protocol to improve medical education on the topic of DKA. METHODS A combination of Objective Structured Clinical Examination (OSCE) and medical simulation was devised utilising a SMART simulator mannequin and a peer taking the role of simulated patient. Students received two debriefs, individual feedback and group discussion. Students were assessed through objective assessment results from a questionmark assessment. RESULTS Objective scores on assessment were improved from 5.2/10 (SD, 1.0) to 10/10 (SD, 2.1) on the questionmark. The difference in scores was statistically significant (p<0.05). CONCLUSIONS Medical students benefit from and enjoy OSCE style simulation education on DKA. This programme could be expanded to other topics in acute medicine and extended to other students in healthcare professions.

BACKGROUND The Northern Ireland Regional Immunology Service (NIRIS) has developed an expedited omalizumab home self-administration pathway to reduce face-to-face clinic attendance during the COVID19 pandemic. This audit evaluates the safety of this pathway with a particular focus on anaphylaxis. OBJECTIVE To retrospectively audit the records of 39 patient undertaking expedited home self-administration at NIRIS for complications, particularly Emergency Department attendance for anaphylaxis. The target was for 100% of patients to complete a six-month course without experiencing anaphylaxis related to omalizumab administration. METHODS 39 records of patients who underwent expedited omalizumab self-administration were audited by a single reviewer. They were prospectively collected between March 2020 and August 2021. Clinical data was collected from the Northern Ireland Electronic Care Record (NIECR). RESULTS 100% of patients were in the process of completing or had completed a six-dose course without anaphylaxis. 7.6% of patients attended the Emergency Department during their course of omalizumab. 0% experienced anaphylaxis triggered by omalizumab. The target of 100% patients completing the expedited pathway without omalizumab-related anaphylaxis was met. CONCLUSIONS The expedited omalizumab home self-administration pathway is safe and may become the standard of care post-pandemic.