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The theme of green human resource management (GHRM) has got immense attention among researchers and professionals due to its potential to pacify environmental needs and simultaneously allowing firms to have win-win situation, hence achieving sustainable competitive edge over their rivals. In this context, a systematic review of 70 articles from the past 12 years (2008-2020) on green human resource management was conducted based on Scopus database in terms of (1) the reflections of green HRM, (2) execution of green HRM, (3) factors of green HRM, (4), Effects of green HRM. Results demonstrated that Green HRM is still in developing phase and a multidimensional paradigm with green training as an important element along with teamwork, management support, green organizational culture are the pioneer factors in ensuring sustainable development both at firm and individual level. Finally, this paper highlights the past, current and future endeavors in green HRM paradigm, sustainable development and serves as a guide for researchers who are new to this novel concept; it will also intensity their understanding about the productive journals, appropriate methodology, underpinning theories, sustainable development and substantial knowledge gaps.

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Background Jarcho-Levin syndrome (JLS) is a genetic condition that constitutes specific vertebral anomalies combined with coastal or thoracic anomalies due to specific gene mutations. Although the condition is associated typically to Puerto-Ricans, we describe the novel case of JLS in a Pakistani family that presented with respiratory distress secondary to the condition. Case presentation The case is a full-term girl that had a webbed neck with an undefined chest deformity. Radiology showed kyphoscoliosis and a crablike chest. Early identification of these high morbidity conditions is key to allow for optimal treatment and improved outcomes. Conclusions We have provided a brief breakdown of the management principles of the condition and more than 80 years after the first case of Jarcho-Levin syndrome was reported, we present the diagnostic criterion for JLS.

Background: COVID-19 has affected many people around the globe and is known for its effect on the lungs in the human body. However studies have shown the association of COVID-19 and its effect on other organs of the human body. Pheochromocytoma is a neuroendocrine tumor caused by the mutation in the genes and causes overproduction of catecholeamines in the human body resulting in hypertension, headache, elevated sweating, anxiety and panic attacks. Studies have determined that COVID-19 causes adrenal dysfunction but limited data is available to determine the direct relationship of COVID and pheochromocytoma. Case presentation: The current study is based on the report of a 30 year old female patient who was admitted in the hospital for the symptoms of hypertension, dyspnea, and severe headache. The patient was also having panic attacks prior to the admission in the hospital. Conclusion: The patient was diagnosed with pheochromocytoma and COVID-19. The patient showed the symptoms of activated inflammatory immune response in the adrenal gland which resulted in overproduction of catecholeamines caused by COVID and highlights the association of COVID and pheochromocytoma

Introduction: Patients receiving dialysis treatment in Combined Military Hospital, Abbottabad were suffering from some kind of depression and a few of these patients were also attending the psychiatry department for the management of depression. Chronic kidney disease being the commonest indication of dialysis was itself a known cause of depression like any other chronic disease. The longer redundant sessions of dialysis also added up to the existing low mood. Aim: To apply quality improvement methodology and apply a few appropriate interventions to reduce the prevalence of depression. The NICE guidelines 2009 for depression management were used to guide the introduction of appropriate interventions. PHQ-9 was used to score depression before and after the intervention. Methods: Diagrams, flowcharts were used to show aims and objectives. A Plan, Do, Study, Act cycle was used. The prevalence of depression in dialysis patients were calculated using the PHQ-9 questionnaire. A new plan for the dialysis department decoration and the introduction of facilities was formulated with input from the dialysis department staff. Help from NICE guidelines for depression management was taken and an increase in the availability of junior doctors for counseling and responding to the patient's condition was made. Results:120 patients involved in the dialysis sessions were targeted in this project for the six months duration. 40% of the patients were found to be suffering from moderate-moderately severe depression (score range 10-19) via the filled PHQ-9 questionnaire. Four months after the introduction of various changes the PHQ-9 was filled by the same patients. Now the prevalence of depression reduced to 10%. The patient's still scored as being depressed were in the mild depression range(i.e. score on PHQ:5-9). Conclusion: Following the implementations especially focusing on the counseling sessions (as mentioned in NICE guidelines)and increasing

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