UNDERSTANDING JOHN RAWLS CONCEPTION OF JUSTICE

Hydro politics is the modern term for water issues. Every country wishes to protect its sweet water resources, especially those that have difficulties with rivers that run through more than one country. Water is required for the survival of over 180 species. This study is center on the importance of water to all living things, including humans, as well as to countries and their economies. The conflicts and treaties are also covered in the area of study on hydro-politics on the river Jhelum between India and Pakistan. Both countries have fought wars over water more than once, and if the water distribution issue can handle peacefully then their relationship may improve. The Jhelum River began in the disputed area of Jammu and Kashmir and flows through Pakistan and meets the Indus River. The distribution of Jhelum water was settled by the Indus Water Treaty in 1960, but India's repeated breaches made it a problem between the two neighboring states and one of the reasons for conflict between them. The research's main goal is to not only examine the causes of conflict but also to predict how it will be resolved in the future.

Comparison of Cardiovascular Risk Profiles Amongst Newly Diagnosed Cancer Patients and Non-Cancer Patients at the Aga Khan University Hospital Nairobi

Background: Non-Communicable Diseases (NCDs) are fast becoming the leading causes of morbidity and mortality in Low and Middle-income countries (LMIC) with cancers and cardiovascular diseases (CVDs) becoming the most prominent. CVD can be prevented if appropriate measures of screening and treatment of modifiable risk factors are addressed. This may translate to reduced risk of CVDs and some cancers in the long term. Increasing evidence exhibits common risk factors for both CVDs and cancer and that CVDs and their risk factors when present in cancer patients may worsen the overall outcome. Objectives: The primary objective was to determine and compare the prevalence of hypertension, diabetes, obesity and dyslipidaemia amongst newly diagnosed cancer patients and non-cancer patients (elective surgical patients). Secondary objectives were to estimate and compare the 10yrs predicted occurrence of major cardiovascular events using WHO Afri-E risk score and prevalence of metabolic syndrome in the two populations. Methodology: a Cross-sectional survey of newly diagnosed cancer patients and non-cancer patients in the same institution. Results: The prevalence of hypertension was 23.4 and 31.58% in the cancer and non-cancer group respectively (p-value = 0.62). Diabetes was more prevalent in the cancer group, but this was not statistically different (7.89% vs. 1.32% with a P-value of 0.05). Obesity was more prevalent in the non-cancer group than the cancer group (58% vs. 54%), but this was not statistically significant (p- value = 0.85). The prevalence of total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides were higher in the cancer group (76.3%) than the non-cancer group (67.1%), but this difference was not significant (p-value =0.21) .The prevalence of metabolic syndrome was similar in both groups with the cancer group having a prevalence of 30.26% and the non-cancer group 31.58% (p-value=0.86). The AFRI-E CV risk estimations were similar across the various risk stratifications (p-values ranging from 0.32 – 1) Conclusion: There is no significant difference in prevalence of hypertension, diabetes, obesity, but there was a significant difference in the HDL levels (p=0.009), with the cancer group with lower HDL levels, amongst newly diagnosed cancer patients and non-cancer patients at AKUHN. Despite this the prevalence of CVR is appreciable and warrants screening. Similarly, the CV risk scores and prevalence of metabolic syndrome were not significantly different.