Related Issues Research Articles

The Scenario of Human Resources in Public Libraries: A Pakistani Perspective

ABSTRACT This study analyzed the human resources of public libraries in Pakistan. It was observed that LIS professionals administered most libraries; nevertheless, a sizable number of libraries were managed by personnel with no professional background. There needed to be more staff in public libraries, including LIS, IT, and nonprofessional staff. In the information age and global economy, our libraries fall short of preparing the population for the future, let alone the present. The concerned authorities should enhance the library’s workforce; professionals should administer the library to offer better services and IT experts should be hired to solve IT related issues.

Identification of toxic metal contamination in surface sediments of the Xiaoqing River under a long-term perspective (1996–2020): Risks, sources and driving factors

The contamination of sediments by toxic metals poses a significant threat to both river ecosystems and human health. In this study, the geo-accumulation index (Igeo), biotoxicity evaluation method, and potential ecological risk index (RI) were employed to analyze the contamination level, biotoxicity risk, and potential ecological risk of toxic metals in surface sediments of the Xiaoqing River. To identify toxic metal sources, Spearman correlation and principal component analysis with multiple linear regression analysis (PCA−MLR) were employed. Additionally, redundancy analysis (RDA) was utilized to investigate potential driving factors affecting toxic metal accumulation in sediments. The results revealed that the levels of the five investigated metals (Cr, Pb, As, Hg, and Cd) showed constant fluctuations during the period 1996–2020. The midstream was found to be more polluted than the upstream and downstream. In the research area, Hg was identified as the primary contaminant with high levels of contamination, posing a biotoxicity risk and potential ecological risk. Pollution sources were identified for two periods: A (1996–2010) and B (2011–2020), with industrial, agricultural, traffic, and natural sources being the main contributors. During period A, industrial sources accounted for the highest proportion (40.8%), followed by agricultural sources (36.6%), and geological natural sources (22.6%). During period B, agricultural sources accounted for the highest proportion (42%), followed by industrial and traffic sources (32.4%), and geological natural sources (25.6%). The distribution of toxic metals in the basin was significantly influenced by water pH, sediment organic matter, population density, and per capita GDP. The study results provide fundamental data for preventing pollution and managing water resources contaminated with toxic metals in the sediments of the Xiaoqing River in Jinan. Additionally, it serves as a reference for analyzing related ecological and environmental issues in the basin.

Delayed resonator for complete vibration suppression of primary structures with nonlinear stiffness

Delayed resonator (DR) is an active vibration absorber and is known for its complete vibration suppression capability by manipulating the feedback loop delay. This work aims to extend the DR concept from the widely considered linear applications to suppress vibrations on primary structures with nonlinear stiffness, based on the motivation that absolute linearity does not exist and nonlinearity is inherent in many structures to be protected. The nonlinearity stems from the commonly seen nonlinear symmetrical restoring forces. Threefold objectives are pursued: (1). To generalize the tuning mechanism of the DR and the dynamical analysis of the system to the nonlinear case. (2). To evaluate the effect of such nonlinearity on system dynamics and vibration suppression. (3). To enhance control performance by properly constructing nonlinearity and, accordingly, to establish the design criteria. Without loss of generality, a widely considered three-spring-two-link model is borrowed as an example for constructing the stiffness nonlinearity. Then, an exclusive resultant-based calculation procedure is introduced to efficiently handle the delay-coupled nonlinear dynamics. Besides, the feedback tuning for complete vibration suppression and the related stability issues are tackled, showing that the nonlinearity can significantly extend the operable frequency band while posing no extra demands on the control law. Based on the parameters of an actual experimental setup, numerous comparisons between linear and nonlinear cases are performed to demonstrate how the DR settles a nonlinear primary structure and, furthermore, how such nonlinearity can affect control performance and how it can be utilized to enhance vibration suppression.

Investigating the Influence of Heavy Metals and Environmental Factors on Metabolic Syndrome Risk Based on Nutrient Intake: Machine Learning Analysis of Data from the Eighth Korea National Health and Nutrition Examination Survey (KNHANES).

This study delves into the complex interrelations among nutrient intake, environmental exposures (particularly to heavy metals), and metabolic syndrome. Utilizing data from the Korea National Health and Nutrition Examination Survey (KNHANES), machine learning techniques were applied to analyze associations in a cohort of 5719 participants, categorized into four distinct nutrient intake phenotypes. Our findings reveal that different nutrient intake patterns are associated with varying levels of heavy metal exposure and metabolic health outcomes. Key findings include significant variations in metal levels (Pb, Hg, Cd, Ni) across the clusters, with certain clusters showing heightened levels of specific metals. These variations were associated with distinct metabolic health profiles, including differences in obesity, diabetes prevalence, hypertension, and cholesterol levels. Notably, Cluster 3, characterized by high-energy and nutrient-rich diets, showed the highest levels of Pb and Hg exposure and had the most concerning metabolic health indicators. Moreover, the study highlights the significant impact of lifestyle habits, such as smoking and eating out, on nutrient intake phenotypes and associated health risks. Physical activity emerged as a critical factor, with its absence linked to imbalanced nutrient intake in certain clusters. In conclusion, our research underscores the intricate connections among diet, environmental factors, and metabolic health. The findings emphasize the need for tailored health interventions and policies that consider these complex interplays, potentially informing future strategies to combat metabolic syndrome and related health issues.

Insight to the psychosocial factors of survivors of suicidal hanging.

The incidence of hanging has increased over the last ten years and is the most common method of suicide. Because of its multifactorial causation, the reason behind hanging remains unfolded unless the victims leave a suicidal note. In the present study, the psychodynamic factors of hanging were assessed among the survivors of suicidal hanging. The cross-sectional study was conducted at S.C.B Medical College and Hospital, Cuttack, India, over a period of three years. Eighty-two individuals admitted in medicine ward of this tertiary care hospital to receive treatment for the complications as a sequel of hanging and willing to participate in study were included after obtaining informed consent. The information was recorded in a pre-designed pro forma. Subjects from rural areas (87.8%) and low socio-economic backgrounds (67.1%) attempted suicide more often. Most of the victims were in the age group of 21-30 years, followed by less than 20 years. The most common cause of attempted suicide by hanging was family-related issues, and mainly by immediately available materials like dupattas, saree, lungi, and other fabrics. Females in rural areas and males from urban areas attempted suicide by hanging in significantly higher proportions (P = 0.041). Most people commit suicide at a younger age due to failure to cope with the different stressful situations. The most common reason for attempted suicide by hanging was family-related issues. Early intervention in family disputes in developing countries, especially in younger individuals, may help to curb suicide.

Galaxy morphology classification based on Convolutional vision Transformer (CvT)

Context. The classification of galaxy morphology is among the most active fields in astronomical research today. With the development of artificial intelligence technology, deep learning is a useful tool in the classification of the morphology of galaxies and significant progress has been made in this domain. However, there is still some room for improvement in terms of classification accuracy, automation, and related issues. Aims. Convolutional vision Transformer (CvT) is an improved version of the Vision Transformer (ViT) model. It improves the performance of the ViT model by introducing a convolutional neural network (CNN). This study explores the performance of the CvT model in the area of galaxy morphology classification. Methods. In this work, the CvT model was applied, for the first time, in a five-class classification task of galaxy morphology. We added different types and degrees of noise to the original galaxy images to verify that the CvT model achieves good classification performance, even in galaxy images with low signal-to-noise ratios (S/Ns). Then, we also validated the classification performance of the CvT model for galaxy images at different redshifts based on the low-redshift dataset GZ2 and the high-redshift dataset Galaxy Zoo CANDELS. In addition, we visualized and analyzed the classification results of the CvT model based on the t-distributed stochastic neighborhood -embedding (t-SNE) algorithm. Results. We find that (1) compared with other five-class classification models of galaxy morphology based on CNN models, the average accuracy, precision, recall, and F1_score evaluation metrics of the CvT classification model are all higher than 98%, which is an improvement of at least 1% compared with those based on CNNs; (2) the classification visualization results show that different categories of galaxies are separated from each other in multi-dimensional space. Conclusions. The application of the CvT model to the classification study of galaxy morphology is a novel undertaking that carries important implications for future studies.

A Theological Study of the Impact of an Interreligious Marriage: Self-Adjustment in Couples from Different Religions

In the world in which we currently live, individuals of different religions may be involved in many dating relationships. Interfaith couples do not have a comfortable space in this set-up because of their different backgrounds and beliefs. Consequently, interfaith relationships come under much pressure from their environment, such as friendships and families. Problems often found in relationships between interfaith couples are obtaining approval from parents and family, the views of people around them, and conflicts resulting from interfaith relationships relating to issues of faith. Differences in religion and belief should factor in conflict between couples in interfaith relationships. Self-adjustment is very important to do and strive for to achieve happiness and find peace. This research undertaken was qualitative research using phenomenological methods. The data collection methods used were interviews and observation. The data collection technique used a purposive sampling technique. The data analysis technique consisted of preparing and processing data, reading all the data, coding, describing the coding results into themes being analyzed, presenting themes in narrative form, and interpreting the data. The research showed that the subjects were less able to adapt to the environment in interfaith marriages. The subject's emotional and social self-adjustment means that the subjects choose to undergo a relationship without thinking about the possibilities of what might happen in the future and ignore the opinions of the environment so that harmony and peace in the relationship are maintained. Future researchers can examine other factors regarding adjustment to interfaith relationships to discover new things experienced by students and others in interfaith relationships. Psychologically and sociologically, interfaith marriages can trigger and strengthen existing disputes. In addition, interfaith marriages are also considered to cause psychological and educational problems for children because they are confused about which religion to follow. Thus, allowing interfaith marriages often creates inconsistencies with the relevant legal provisions relating to guardianship, inheritance, and other related issues in such marriages.

Lorna Breen Heroes' Foundation announces partnership to address physician burnout and MH

Dr. Lorna Breen Heroes' Foundation, the only nonprofit organization exclusively focused on health worker mental health and well‐being, on Feb. 27 announced an exclusive partnership with Jackson + Coker Locum Tenens to focus on physician and advanced practitioner burnout and well‐being, the Foundation annouced. Through this strategic alliance and as part of the Dr. Lorna Breen Heroes' Foundation's “ALL IN: Caring for Caregivers Program,” the two organizations are uniting around a mission to eliminate the stigma and barriers associated with physicians and advanced practitioners seeking support for mental health, burnout and related issues that can occur in the high‐paced, pressure‐filled environments in which they provide critical and transforming care to those in need. In addition to helping make it professionally safe to seek support, the partnership champions and advocates for work environments in which physicians and advanced practitioners feel valued and supported, cultures that embrace their whole health and well‐being, and settings that enable them to deliver safe, quality patient care. Through this relationship, Jackson + Coker reinforces its commitment to physician and advanced practitioner well‐being and positive outcomes for all. By participating in the “ALL IN: Caring for Caregivers Program,” Jackson + Coker commits to.

Climate Governance and multilevel policy practices in Thailand and Malaysia

Objectives: This paper investigates Thailand and Malaysia climate governance policy in practice within their multi-level governance structures. Thailand presents a unique case of a unitary state with a degree of deconcentration and decentralization, while Malaysia showcases a federal state with a high degree of centralization. Methodology: The paper collected and analyzed both primary and secondary data. In-depth interviews with government officials, NGOs, and international organizations were conducted online and onsite in Thailand and Malaysia from May 2022 to September 2023. Interview data was triangulated with secondary data from key national policy documents on climate change and related issues. This paper examines the contributions and hindrances of multi-level governance on climate governance and highlights some lessons learned from both countries. Results: It concludes that multi-level government systems provide opportunities for various stakeholders to engage in decision-making and create policy innovation. However, the administration of decision-making in these systems can be constrained by tensions within these systems, between tendencies towards the centralization of decision-making, and little engagement between subnational governments and local-level stakeholders. Conclusions: Overall, we assert that clear direction and guidance at the national level complemented by mechanisms that engage local stakeholders in administration and civil society is essential to achieve overarching climate action goals regardless of the administrative system.

Mezhgosudarstvennye otnosheniya v sfere protivodejstviya ekonomicheskoj prestupnosti pri provedenii gosudarstvennyh zakupok tovarov (rabot, uslug)

The article deals with topical issues of interstate relations in the effective counteraction to economic crime during public procurement of goods, works, and services for the needs of government authorities. The article also reveals the criminal legal aspects of the formation and development of the criminal legislation of Russia on the inevitable responsibility of perpetrators for these criminally punishable acts.

Parenting young children during COVID-19: Parenting stress trajectories, parental mental health, and child problem behaviors.

Parenting stress reflects a discrepancy between a parent's perception of their resources, the demands of their child's needs, and the caregiving relationship and contexts (Abidin, 1992). Parenting stress can increase the risk of issues in the parent-child relationship, as well as child behavioral and emotional outcomes (Neece et al., 2012; Spinelli et al., 2021). Chronic stressors, such as living through the COVID-19 pandemic, have the potential to increase the demands of parenting and thus parenting stress. Using latent growth curve modeling, we examined parenting stress trajectories of 298 American parents with young children (Mage = 15.02 months, range = 1-34 months) over the first year of the COVID-19 pandemic. We also examined the effects of parental mental health on parenting stress, and the effects of parental mental health and parenting stress on child problem behaviors using data gathered through the Prolific survey platform. Parental mental health, measured by depressive symptoms Centre for Epidemiological Studies Depression Scale-10, anxiety symptoms Generalized Anxiety Disorder Scale (GAD-7), and overall stress levels 10-item Perceived Stress Scale, was related to higher initial parenting stress index-short form. Changes in parenting stress over time were linked with higher levels of children's problem behaviors (CBCL). Child temperament was also related to initial parenting stress. Lower levels of household income were linked with higher levels of parental mental health symptoms and higher rates of parenting stress increases over time. These results highlight the importance of considering the well-being of all family members in child outcomes, and the ways in which different experiences and resources during the COVID-19 pandemic affect parental and child well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Enhanced proportional integral controller for DSTATCOM with particle swarm optimization algorithm in power system

Power system expansion planning is supported by using distributed generation (DG) instead of installing new main power system generators. The portability and autonomous operation of the DG make it capable of integrating into the distribution system. Power electronics devices for home loads, mainly electric vehicles, mobile phones, and laptops, introduce harmonics and related power quality issues to the distribution system. This load creates power quality issues like an increase in total harmonic distortion (THD) and a reduction in power factor. This paper uses the DG to supply important power electronics devices for the mitigation of power quality problems in distributed systems with non-linear loads, such as electric vehicles, called the “distributed static compensator (DSTATCOM)”. Wind and photovoltaic (PV) generators supply power to a common DC source. To improve power quality D-STATCOM powered by PV and wind energy systems at the DC link is incorporated. The direct axis/quadrature axis method (DQ method) controls the real and reactive components of the power. Proportional integral (PI) and particle swarm optimization (PSO) based PI controller parameter estimation are developed, and results are compared for power quality performance. In terms of improving power quality, the PSO-based parameter estimate of the PI controller performs better than the traditional PI controller.<br /><div class="extension_reset_css AnnotateNet_widget AnnotateReviewNotesButton" style="display: none; z-index: 2147483644;" data-id="ExtensionWidget"><div class="extension_reset_css AnnotateNet_widget annotateclickable" style="z-index: 8; display: none;" title="Resize" data-id="Widget"> </div></div>

Challenges Of The Industrial Relations Court In The Reform Era In Creating Fast, Accurate, Fair And Cheap Court

The Industrial Relations Court is a special court with absolute competence in dealing with industrial relations disputes arising from work relations between workers/laborers and employers. As the last resort in resolving employment conflicts if non-litigation channels fail, this court is expected to provide a fast, precise, fair and inexpensive resolution process for the parties so that it becomes the best solution. However, in practice, the existence of the industrial relations court has not fully become a mechanism that can realize the urgency of the court's existence since its inception. Various obstacles often arise and are even unavoidable in relation to the substance and mechanisms that hinder the realization of the initial intention of establishing the overarching law, namely Law Number 2 of 2004 concerning Settlement of Industrial Relations Disputes. This research explains the various challenges faced by the Industrial Relations Court since its formation until the post-reform period. The research method of implementing literature studies and the type of research is normative law by compiling and reviewing various normative provisions regarding industrial relations courts and problems in their application. Industrial relations courts face various challenges related to their substance and mechanisms, for example when they are at the decision implementation stage, it is quite difficult to carry out the execution because they are guided by the execution procedures in civil courts which are quite expensive and time consuming. Meanwhile, industrial relations issues are ideally oriented towards fast processes and low costs. On the other hand, from the data on registered dispute cases, the worker/laborer mostly acts as a plaintiff, meaning that even if the plaintiff in this case wins, the court decision is not yet able to fully grant the worker/laborer their maximum rights.

Influence of Taekwondo Training as a Martial Art Sport on Enhancing Mental Wellness of Security Officers in Kenya

Purpose: The purpose of this research was to investigate whether or not training in taekwondo as a martial art sport has a positive impact on the mental health of Kenyan security officers.
 Methodology: The study used a desk top approach where literature was sought from different sources. The research was carried out with consideration given to previous theoretical literature, both published and unpublished.
 Findings: Problems with mental wellness is a serious societal and work related issue that has numerous ramifications, including far-reaching social and economic impact in Kenyan security officers. However, a significant number of security officers do not seek help when they are experiencing issues with their mental wellness. Research in this area is scant, but there are suggestions that training in Taekwondo as martial arts sport may be an effective sports-based intervention for mental wellness, and that it may provide an affordable alternative to psychological therapy to security officers both public and private.
 Unique contribution to theory, practice and policy: Uncertainty regarding the validity and trustworthiness of previous research is unfortunately caused by the limited number of studies that are relevant to the topic at hand, in addition to other methodological issues.

Analysis of a nurse-provided on-call peritoneal dialysis support in an outpatient reference care centre

BackgroundTo analyse the nature of medical or technical emergency issues of ambulatory peritoneal dialysis (PD) patients calling a nurse-provided emergency PD support service of a reference centre that is provided all year in the after-hours.MethodsWe retrospectively analysed patients’ chief complaint, urgency, resolution of and association to current PD treatment and modality directed to an on-call nurse-provided PD support service from 2015–2021 based on routinely collected health data. Calls were systematically categorized being technical/procedural-, medical-, material-related or type of correspondence. Call urgency was categorized to have “immediate consequence”, inquiry was eligible for “processing next working day” or whether there was “no need for further action”. Call outcomes were classified according to whether patients were able to initiate, resume or finalize their treatments or whether additional interventions were required. Unexpected adverse events such as patients’ acute hospitalization or need for nurses’ home visits were evaluated and quantified.ResultsIn total 753 calls were documented. Most calls were made around 7:30 a.m. (5:00–9:00; median, 25-75th CI) and 6:30 p.m. (5:00–8:15). 645 calls were assigned to continuous ambulatory- (CAPD) or automated PD (APD). Of those, 430 calls (66.7%) had an “immediate consequence”. Of those 77% (N = 331) were technical/procedural-, 12.8% (N = 55) medical- and 6.3% (N = 27) material related issues. 4% (N = 17) were categorized as other correspondence.Issues disrupting the course of PD were identified in 413 cases. In 77.5% (N = 320) patients were able to initiate, resume or finalize their treatment after phone consultation. Last-bag exchange was used in 6.1% enabling continued therapy in 83.6%.In 35 cases a nurse visit at patients’ home or patients' visit to the practice at the earliest possible date were required, while hospitalization was required in seven medical category cases (5.4% and 1.09% of total assessed calls, respectively).ConclusionThe on-call PD-nurse provides patient support for acute and imminent issues enabling them to successfully initiate, resume or finalize their prescribed treatment. Nurses triage of acute conditions facilitated rapid diagnostics and therapy. Maintaining quality PD homecare, the provision of trained personnel is indispensable. The information gathered in this study may therefore be used as a foundation to tailor educational programs for nephrology nurses and doctors to further develop their competencies in PD.

Blockchain and machine learning in education: a literature review

<span lang="EN-US">There is a growing influence around the use of technology in education, with many solutions already being implemented and many others being explored. Using various forms of technology to assist the educational process has increased dramatically in the previous decade in education systems in many respects. Both machine learning and the blockchain have had a significant impact on education. The purpose of this study is to conduct a literature review on the application of machine learning and blockchain technology in educational institutions. Additionally, this study examines the potential applications, benefits, and challenges those educational institutions may face as a result of using machine learning and blockchain technologies. Using machine learning and blockchain in educational systems will have a positive impact on the entire educational process and student achievement. Researchers, academics, and practitioners will benefit from this study to focus on a wider range of educational applications and solve the related issues of machine learning and blockchain technology in the education sector.</span>

School Strategies on Improving Students’ Physical Activity Engagement During COVID-19 Pandemic Period: A Thematic Review

Study purpose. Physical inactivity among school students was an existing health issue over the past decade. This became more alarming when the world was hit by the COVID–19 pandemic. Movement restriction that results temporary school closure significantly affect students’ physical activity participation. Therefore, strategies and practices to improve active play engagement as well as to counteract its negative health-related effects on students were widely implemented by teachers and administrators in school upon its re-opening. Numerous articles have been published on the effectiveness of school-based interventions during the COVID-19 pandemic, but there is still a lack of a review paper that deals with the identification of patterns and trends about school practices in this area. Hence, this paper intends to generate impressions and identify concepts within the published articles during 2021 to 2023. Materials and methods. Selected articles for this study were collected from the following databases: SCOPUS, Sage, ProQuest, Academic Search complete, Science Direct. Computer-assisted qualitative data analysis (ATLAS ti. 23) guided the comprehensiveness of this review. Study findings were generated and presented through quantitative and qualitative lenses. Results. Four central themes were identified: 1) Alternative Physical Education – modifying traditional physical education subject; 2) Physical literacy focus – approach anchored to multi-dimensional foundation in physical activity engagement 3) Web-based intervention – virtual and cyberspace approach and 4) Needs–based intervention – focusing on integration of participants’ attributes and specifically designed program. Conclusions. The structure of strategies conducted by schools were greatly affected by the current community health status. Findings of this study will serve as a reference for designing future intervention approach to address the sedentary lifestyles of young populations associated to specific community health and other related issues.

Analysing Barriers to Girls’ Education Outcomes in South Sudan

The study was conducted to analyzed barriers to girl education South Sudan programme. With literacy rate for the country at 47%, female literacy is worse within the region with 42% of the overall enrolment were girls which was lower by 16% to that of boys. The outcome of the results might be used to scale up cash transfers and other initiatives for girls as keys barriers are identified and analyzed for girls’ education outcomes. The study has used pareto analysis, tables and graphs to demonstrate the effects of those barriers to girl’s education outcome. The findings indicated that: For instance, girls are more likely to dropout due to pregnancy at 7%, and early marriage at 9% than boys who are more likely to dropout due to recruitment into military and insecurity on the road to school. The research found that girls are more likely to drop out of school (7.4%) as they go to higher level of education compared to male counter dropout rate. 85% of girls are likely to miss school due to long distance from school and fees related issues. While 79% are more likely to drop out of schools due to displacement, 70% are likely to miss due to personal and cultural issues at home, 59z% due to marriage and pregnancy having score 40%. Therefore, partners and the national ministry of general education and instructions should prioritize those factors in their strategy to improve girls’ education outcomes.

Predictors of menstrual health management among the high school adolescent girls

Background: Adolescence (10-19 years) is an essential human developmental stage, during which physical, sexual, psychological, and social development occurs Objectives: To estimate the knowledge and attitude regarding menstruation health as well as its determinants among school going adolescent girls. Methods: A questionnaire based cross-sectional study was conducted among school going adolescent girls. In addition to descriptive analysis, bi-variate analysis was also done to find out the association between various predictors of knowledge and attitudes of the study population. Results: Majority of the adolescent girls preferred mother (75.6%) as a source of information regarding puberty related issue with 86.2% of them using health related sanitary pad as one of the methods for menstrual hygiene. Conclusion: Proper menstrual hygiene practices which could be imparted through appropriate interventions at earlier stages of life can prevent the girls and women from suffering reproductive morbidities.

Gastrointestinal perforations induced by long-term non-steroidal anti-inflammatory drugs use: a case series analysis and discussion

Non-steroidal anti-inflammatory drugs (NSAIDS) are used in a wide range but may cause harm to the gastrointestinal mucosa, which leads to various complications. This study shows the impact of long term NSAID use on small and large intestine and presents 2 cases of patients with NSAID induced perforations. The first case involves a 62-year-old male patient with RA on long term Ibuprofen use, presented with abdominal pain, vomiting, and lower limbs pain. Laparotomy revealed a 5 mm perforation in the proximal jejunum. The second case, a male patient of 65 years of age using diclofenac without a prescription, which lead to a 4×4 cm sigmoid colon perforation. The comparison of both the cases presents a difference in examination and laboratory findings. Long-term NSAID use has been associated with various GI complications, including perforations. The case presents the importance of considering NSAID related complications, mainly in older patients and the persons with ulcers. Combining NSAIDS with other drugs, like misoprostol may minimize the risk of the GI complications. NSAIDs are also linked with cardiovascular events, and heart related issues. This study shows the need of careful NSAID prescription, with their association with preventable adverse effects. 30% of hospitalizations for adverse drug reactions are only by the NSAIDs. PPIs and H2 receptor antagonist are commonly used to protect the gastrointestinal mucosa which minimizes the occurrence of ulcers. Healthcare professionals should be careful particularly in case of high risk patients to minimize the NSAID related complications.