Cleaning The Margalla Hills

Published in Hilal English Jan 2014

Written By: Shamaim Bajwa

International Mountain Day was observed on 11th December, 2013. Mountains are a source of freshwater, energy and food – resources that will be increasingly scarce in coming de-cades. However, mountains are also extremely vulnerable to climate change, deforestation, land deg-radation and natural disasters.

NUST Environment Club (NEC), one of the central societies of National University of Sciences and Technology (NUST), organized a 'Hiking Trip & Walk' at Trail-3 of Margalla Hills, Islamabad. The sole purpose of this hiking trip was to spread awareness about the importance of mountains, their preservation and conservation. This event took place on 8th December, 2013 with approximately 100 people in attendance which included students and faculty members from NUST.

Upon arriving at the venue, a briefing about the International Mountain Day and it's importance was given by Mr. Munir Ahmed, Director DEVCOM. Later all participants were divided into five groups and a group leader was appointed for each.

Trail-3 is a famous and old hiking track of Margalla Hills. The initial phase of the climb was a little tough and strenuous but after a while, the difficulty of the track was soon forgotten. As we moved further up, we were struck by the grandeur and loveliness of the mountains. The higher we went, the more beautiful our surroundings became. The view of Islamabad from the mountain track was simply breathtaking. The three-hour tiring hike was worth every drop of sweat and every bit of trouble that we had on our way.

It was not only hiking but a cleanup drive as well. Each individual was handed over a garbage bag to collect the trash on the track. The groups reached the top point of the track, Monal, in different time brackets. But all of us had one observation is common; the hills were littered with different type of waste papers, cigarette butts, wrappers and what all and what not. We all need to understand the importance of keeping our surroundings clean, especially these mountains. It was painful to note that people had thrown waste in the open despite availability of waste bins. We need to improve our civic sense.

The lunch arrangements for the hikers were made by the management. Nothing beats pizza after a tiring calorie burning hike that was served to us for lunch.

After lunch we descended to the starting point by using similar track. This trip was both enlightening and exciting. It gave everyone a chance to seriously consider the importance of preserving mountains in their original shape.

The writer is a student at NUST and pursuing degree in Environmental Engineering. This email address is being protected from spambots. You need JavaScript enabled to view it.

Caveats of Health Informatics: Glimpsing Through IT Panels

Written By: Col Faysal Nawaz Janjua

Health Informatics (HI) is seen worldwide as one of the effective disciplines for enhancing the efficacy of medical procedures and promptly meeting the widening healthcare demands. Moreover, adoption rates of IT systems are exponentially increasing in healthcare sectors across the world. It is also commonly believed that healthcare IT systems improve patients’ satisfaction, enhance clinicians’ efficiency and lessen the impact of human resource shortages in healthcare sectors.


These [IT] systems are mission critical systems and are implemented in dynamic and peculiar environments of hospitals. Therefore, specific issues and actors that shape these environs deserve attention and consistent guidance respectively. The success of implementation process is as important as healthcare IT systems themselves; since these healthcare systems and their integrated applications cause huge risks of failure; and the effect of error is enormous, making these systems completely different from normal IT projects. The risk becomes even larger when such systems are deployed in multiple intra-load sharing hospitals which are scattered over wide areas. From a change management perspective, an interesting job of the project manager is “to get the unwilling to do the impossible for the ungrateful”.


One of the prime slip-ups expected from change managers is assuming the “finish line” at the end of the project. Hence management efforts and resources are restricted till the system implementation stage whereas; one critical stage of healthcare IT system rollout is the monitoring and management of “change” after successful implementation of the IT systems. Organizational change involves heavy risks, as the consequences of change are usually less eminent than the consequences of not changing. In such environments, when there is slight difference between perceptions of current situations and aspiration levels, the need for change is hardly recognized.


During the early stage of implementation, changes in clinician's productivity may require extra staff and to be able to make continuous adjustments. Another important factor during change process is to discern the difference between the organizational noise that comes due to change or reflects real problems, so that the organizational inertia is addressed accordingly. The literature identifies communication in healthcare individuals as often "informal, disorganized and variable". If cooperation is not part of the organizational culture, individuals will not fully participate in cooperative work. Furthermore, the complexities and required inter-dependencies of the medical processes make healthcare IT systems more intricate in their performance outcomes. Therefore, healthcare IT systems are not considered a cost-effective option, due to their complicated development and implementation process; and reduced success rate of acceptance by healthcare users.


Innovative healthcare providers are moving away from focusing heavily on acute care and instead shifting their focus to proactive care which cannot be possible without utilizing IT in healthcare sectors. Devoid of a defined care plan, medical errors often sneak through the cracks of disorganized healthcare IT systems and eventually lean processes fail. Lean, in its simplest terms, is about increasing value by eliminating waste. Untapped abilities and creativity of front line workers is a huge waste in healthcare. One of the challenges, that lean addresses, is the fact that waste is often not where we think it is.


Guiding principles for Health Sector Executives & Change Managers for Seamless Implementation of Health Informatics Projects are: Flexibility. "People believe software to be flexible, and therefore they flex it. They flex it beyond reasonable boundaries." (J. Millar). A related problem for IT projects, also stemming from the intangible nature of software is abuse of the perceived flexibility of software. The inability to visualize the boundaries of what is possible or practical in IT encourages people to change their mind more frequently than they might do for engineering projects where constraints are obvious.


Complexity. Complexity can be a significant obstacle to successful design and delivery of IT projects. As stated by G. Robinson: "On a large software project one is lucky if one person in 50 has anything resembling an overall understanding of the conceptual structure of the project, and divinely blessed if that person has the ability to explain it in lay terms."


Uncertainty. Many complex IT systems seek to undertake or augment tasks previously carried out by people. There can be great difficulty in elucidating clear requirements for such systems, since the outcome of any software project is necessarily uncertain and there is no problem “producing” software – the problem is knowing what to produce.


Software and Failure. "In my experience when things go wrong there is always somebody in the organization who knew they were going to go wrong. The question is how do you create an environment in which those who know it’s going to go wrong feel able to say so and then get a proper hearing?" (G. Robinson). In a software project you don’t finish any task until the whole task is complete. Requirements Management


"Humans are very poor at saying precisely what they do want and extraordinarily talented at recognizing what they don’t want." (M. Lunt). Requirements’ definition is one of the most critical, and most challenging, stage of the project. Many projects fail due to flaws in the elucidation of requirements, others fail because the requirements have become obsolete by the time the project is delivered. "Do not try to achieve everything in the first implementation. Get a working system implemented – the experience of using it generally changes your view of what you want it to do." (P. Haren). Lack of Clarity of Purpose


"Without strict project control mechanisms, projects either never end or end up as camels which should have been horses". (D. Ball). Any project or initiative is destined for trouble if its objectives and purposes are unclear. "Value the experience of failure – you have just spent a fortune on a very expensive lesson." (D. Dalcher).


Inadequate Executive Support. The organization’s leaders may be committed to the undertaking yet not demonstrate that commitment. Tough project decisions may get made in a way that shows the leaders are not as serious as their rhetoric, because when push came to shove, they caved in. Absence of Credence in the Project. At times the objectives are very clear, but the members of the organization are not convinced that the project is worth doing at all. Because the project will change the work life of many members and require that they participate in design and implementation, they need to be sufficiently convinced that the project will improve their lives or is necessary if the organization is to thrive. "If you have an incorrect architecture it does not matter what else you bring to the project, it will probably be doomed to failure." (H. Lilleniit).


Organizational Inertia. Clinical work has been described as mostly "unpredictable and non-routine". Dealing with multiple uncertainties is a challenge for clinicians. Even when the organization is willing to engage in a project, inertia can hinder it. People are busy and stressed; they may imagine that an uncertain outcome cannot be a good outcome.


Recognition & Apposite Reward System. Aspects of organizational policies, incentives, and practices can hinder a project. The organization’s incentive system may not be structured to reward multidisciplinary behaviour. An integrated delivery system may have encouraged its member hospitals to be self-sufficient. As a result, management practices that involve working across hospitals never matured, and the organization does not know how (even if it is willing) to work across hospitals.


Dearth of Forthrightness. Organizations can create environments that do not encourage healthy debate. Such environments can result when leadership is intolerant of being challenged or has an inflated sense of its worth and does not believe that it needs team effort to get things done. Absence of climate that encourages conflict and can manage conflict, means that initiative problems will not get resolved.


Project Complexity. Sometimes complex projects disappear in an organizational mushroom cloud. The complexity overwhelms the organization and causes the project to crash suddenly. Many curves will be thrown the project’s way as the implementation unfolds and people realize their mistakes and understand what they failed to understand initially.


Failure to Respect Uncertainty. Significant organizational change brings a great deal of uncertainty with it. The leadership may be correct in its understanding of where the organization needs to go but the belief that a particular outcome is certain can be a problem in itself. Agility and the ability to detect when a change is not working and to alter its direction are very important.


Initiative Undernourishment. There may be a temptation, particularly as the leadership tries to accomplish as much as it can with obvious constraints. The leadership may believe that such bravado will make the team work extra hard and, through heroic efforts, complete the project in a grand fashion. However, bravado may turn out to be bellicose stupidity. This approach may doom a project, despite the valiant efforts of the team to do the impossible.


Invisible Progress. Sometimes initiatives are launched with great fanfare. Speeches are made outlining the rationale for the initiative. Then nothing seems to be happening. If possible, the project should seek to produce a series of short-term deliverables, even if they are small. Organizational commitment is like a slowly leaking balloon; it must be constantly re-inflated.


Organizational Baggage. Some organizations have no history of competence in making significant organizational change. They never master staying the course over years during the execution of complex agendas. This taints the credibility of newly proposed initiatives and helps ensure that organizational acceptance will be weak.


Failure to Anticipate Short-Term Disruptions. When processes are changed, there is a shakeout period as staff adjusts and learns how to make new processes work well. This can degrade organizational performance and balls will be dropped in many areas. The organization can misinterpret these problems as a sign that the initiative is failing. Listening closely to the issues and suggestions of the front line is essential during this time.



While Implementing HI applications there are embedded and unbounded number of assumptions. Most of which are not decisions that you have taken, but things that you have not thought about. As victor Hugo states: “Nothing is more powerful than an idea whose time has come”.

The writer is MS in Computer Software Engineering & Engineering Project Management from NUST & Melbourne Uni Australia respectively.
We know why projects fail; we know how to prevent their failure – so why do they still fail?" (Cobb’s Paradox)



For Liberia – From Pakistan (Establishment of a School in Liberia by Pak Army)

Published in Hilal English Jan 2014

Written By: Maj Fahad Hafeez

Liberia is a country in West Africa; bordered by Sierra Leone to its west, Guinea to its north, Côte d'Ivoire to its east and Atlantic Ocean in its south. It is the only country in Africa founded by United States colonization while occupied by native Africans. Though it is rich in iron ore, rubber and timber, but approximately 85% of the population lives below the international poverty line. The country's education sector is hampered by inadequate schools and supplies, as well as a lack of qualified teachers.

Liberia is in the process of re-establishing herself to get her out of the post civil war effects. The UN is also supplementing Liberia through a Peace Keeping Mission. Pakistan is front line contributor in peace establishment missions all over the world. In Liberia, almost 2,000 military and police personnel from Pakistan are undertaking the assignment with full motivation, zeal and enthusiasm. To be specific, Pakistani troops have been at the forefront to bring improvements in civil infrastructure and provision of basic facilities to the locals in Liberia.

Recently, Pakistani Contingent's 'Force Quick Reaction Force' (FQRF) renovated GoYe Apostolic Pentecostal Community School which shall accommodate more than 150 students with better schooling facilities. The school is located at Camp Clara in Monrovia. Before this renovation project, the school was lacking basic facilities. School staff comprised of only seven teachers who were previously running the school in a single room. There were no separate classrooms for different classes and students had to sit in a single room. Dearth of furniture, books and stationery was a major worry for the school administration. Moreover, there was no facility of a playground. It was kind of a hodgepodge learning environment.

The renovation task was completed in a short span of time. Now the school has separate classrooms, new furniture, an outdoor playground, and a new nursery classroom. The School has also been facilitated by provision of free medical check-ups to students, organization of sports events and cartoon movie nights.

Reconstruction of Principal's office and seasonal renovations are in process. That efforts by Pakistani Contingent have been well appreciated by the locals as well as UN Mission Staff in Liberia. Ms. Massa Gibson, one of the school's seven teachers, shared her feeling by saying, “I just want to say thank you. This is so important because it will not only help our country but the people of Liberia also. Children now have a decent school and playground; and we hope they will grow up fine.” A 13 years old girl Sangay, who studies in 8th grade and wants to become a doctor, said, “I love the new school, it is so beautiful. I appreciate the Pakistanis for what they have done. The walls are so pretty and we have a place to sit and learn.”

Force Commander of United Nations Mission in Liberia (UNMIL), Major General Leonard M. Ngondi, who is originally from Kenya, inaugurated the new school and acknowledged the efforts of Pakistani Contingent. He emphasized the role of UNMIL in supporting the government of Liberia to fulfill its responsibilities. He said, “Our main purpose here is to enable government and Liberian people to do their work in a better environment. They may be having some problems, but those problems can be addressed.”

Besides renovation and construction of education facilities, Pakistani Contingent is also providing technical, vocational, and educational training as well as essential medical aid and sensitization to locals in Liberia – truly serving the humanity for a noble cause. Pakistan Army has a history of being a peace friendly force and has done much to prove it. The services of Pak Army have been acknowledged by world leaders many times, and the army and people of Pakistan have a proud contribution in promotion of world peace.

The writer is part of Pakistan’s Peacekeeping contingent in Liberia.

The Race to Turn Fair

Published in Hilal English Jan 2014

Written By: Brig (Retd) Simeenber Rehman

Dr sahib I just want to be fair, want a glowing skin, want to look fresh...

These are the words I hear day in and day out from each of my younger patients whether they are boys or girls. The question is why this sudden fad has engulfed our youth for the past few years. We seem to have forgotten that we Pakistanis or Asian are born a brown race by the will and great thoughtfulness of Allah the Almighty. We must also remember the old saying all that glitters is not gold. Our beautiful brown colour protects us from the harsh sun rays, saves us from deadly skin cancers and other diseases.

White skin races are suffering from recurrent skin cancers, early ageing of skin in the form of wrinkles, black spots on the face in the form of freckles and seborreoric keratosis. They may also develop much darker spots known as sun spots or actinic keratosis, these are pre malignant and eventually develop into skin cancers if not treated in time.

This craze to become fair comes from two apparent factors; 1) Social pressures 2) Media. All women looking for brides for their sons, desire for girls who are fair and pretty, and reject nice decent girls, because of the complexion and some minute marks or scars. This racism should be finished. This is against our religion as well as ethically wrong. Criticizing physical attributes of any one means displeasing Allah, because all people are created equal by God. Media adds fuel to this smouldering fire by advertising so called fairness creams that claims to change the complexion within seconds. The so called miracle creams are actually steroid containing products that lightens the colour slightly but have adverse effects in the form of excessive hair growth, pimples and thinning of the skin leading to red faces, brown pigmentation and early wrinkling. In other words early ageing! So how to deal with this situation? The thing to remember is that there are actual substances that can dilute skin colour without causing bad effects, and there are ways and means to cure scars and marks.

Pigmentation can be diluted with applications of different substances made up of fruit acids, plant extracts, vitamin A derivatives, components of vitamin B and amino acids. Fruit acids are probably the oldest forms of skin scrubs and lightening agents. Egyptian women were the pioneers in this field. Juices of sugar cane, grapes, lemon and peach were frequently used, which contain alpha hydroxy acids. The extracts of Pine Bark are also included in the list of lightening agents. These are rediscovered now and mixed into different creams – when applied in proper proportions for some weeks can lead to lightening of the skin tone.

Sun protection is a compulsory feature as sun rays have skin damaging affect and frequent exposure leads to patchy pigmentation. Black hijabs also absorb sun light and may increase pigmentation of the skin. Therefore, by changing the colour of the hijab into a lighter shade will help in protection from the sun along with a sun block application.

The simple way to look after the skin and to look fresh is actually a regime which has to be followed always. Wash regularly with a mild soap – soaps that are frequently advertised on the media usually contain harmful acids that will dry out the skin and abrade it, making it vulnerable to environmental changes. This cause pigmentation, early wrinkling or eczematous changes.

Moisture is important for the body to maintain suppleness of the skin. Therefore, to moisturize the skin after washing is important. There is no need to buy expensive moisturizers as simple creams available in the market are nice and do not harm the skin. Drinking plenty of water, approximately 6-12 glasses a day, will hydrate the skin and reduce early formation of wrinkles. Fruit and vegetables are easy sources of vitamins and antioxidants. The darker the colour of the fruit or vegetables the better it is. Fruits like plums, pomegranate, oranges and black grapes are really good antioxidants. Similarly vegetables like tomatoes, beet root, carrots, spinach, broccoli, green pepper and green chiles are great source of antioxidants. Therefore, should be taken frequently.

Experimentation with different chemicals or plants may lead to excessive pigmentation of the skin. Makeover is not bad for the skin; the rule is to wash off the makeover as soon as possible. The newer foundations contain sun blocks and actually are protective.

The real key to the beauty is a beautiful personality that comes with a clean & honest heart and a smile. It changes everything and makes you beautiful. Stay pretty by not having bad feelings about anybody; forgiveness is the key for a clean heart. Anger, malice and making a sour face spoils the beauty of fairies, too.

The writer is a practicing Dermatologist. This email address is being protected from spambots. You need JavaScript enabled to view it.

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