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The purpose of this study is to examine the relationship of various levels of social support with quality of life (QOL) among school teachers in Kashmir. It has been found that social support and its three dimensions namely support from significant others; support from family and support from friends had a positive significant relationship with quality of life and its four dimensions. Understanding the relationship between perceived social support and QOL in teachers may provide guidance to the healthcare providers, family members and social services about the importance of social support to the nation builders of the society.
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Background: Recovery after surgery for patients with colorectal disease has improved with the advent of minimal access surgery and standardized recovery protocols. Despite these advances, anastomotic leakage remains one of the most dreaded complications following colorectal surgery, with rates of 3-27 per cent depending on specific risk factors. The aim of the study was to assess sensitivity and specificity of systemic and peritoneal drain-fluid bio-markers in early prediction of anastomotic leak; and to co-relate rise in levels of biomarkers and severity of clinical symptoms in patients who have undergone colo-rectal surgeries.Methods: The present study was a prospective observational study conducted on 60 patients in the Postgraduate Department of Surgery, Government Medical College, Srinagar after obtaining due ethical clearance over a period of two years.Results: The mean age was 54.87±11.901 years with 44 patients (73.3%) were males. Among systemic makers: the mean CRP level was 2.7800±0.500 mg/L, the mean total leukocyte count was 10.783±0.940 thousands and the mean serum procalcitonin level was 0.365±0.1385 ng/ml. Among peritoneal fluid drain bio-makers, the mean IL-6 level was 3551.066±1311.965 pg/ml, the mean IL-10 level was 628.533±460.358 pg/ml and the mean TNF-a level was 16.391±6.736 pg/ml. The anastomotic leak after colo-rectal surgery was noted in 16 patients (26.7%). In our study significant co-relation was noted between the rise in levels of peritoneal drain fluid biomarkers and severity of clinical symptoms but no significant co-relation was noted between the rise in levels of systemic markers and severity of clinical symptoms in patients who have undergone colo-rectal surgeries.Conclusions: Systemic biomarkers are poor predictors of anastomotic leak after colorectal surgery. But sensitivity and specificity of peritoneal fluid drain biomarkers in predicting anastomotic leak was significantly high.
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Background: Congenital heart disease [CHD] are one of condition with significant morbidity and mortality among neonates
Objective: To determine the frequency of congenital heart diseases in neonatal nursery of tertiary care hospital, Rahim Yar Khan
Methodology: Study design: Cross sectional study. Place and duration of study: Neonatal unit, department of Paediatrics, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan from 1[st] January 2015 to 31[st] December 2016. In this study all the neonates admitted in neonatal unit and have some suspicion of cardiac defect [cyanosis, murmur etc] were investigated [CXR, ECG, Echocardiography]. The frequency of CHD was measured and presented as percentage
Results: We found that 0.44 % of congenital heart disease including both cyanotic and acyanotic were admitted in neonatal unit
ABSTRACT
Background: oral Glucose Tolerance test among children with celiac disease may help in management
Objective: to determine the frequency of impaired Oral Glucose Tolerance test in the children with celiac disease
Methodology: Study design: Cross - Sectional study. Place and duration of study: Department of Paediatric including Sheikh Zayed Medical College / Hospital, Rahim Yar Khan from 22[nd] April 2014 to 18[th]June 2015. In this study 77 patients of celiac disease were included. Oral glucose tolerance test was performed and noted. The Performa was filled and record was maintained. The data was entered and analyzed for frequency of impaired OGTT by using SPSS version 16
Results: in our study, we found that out of 77 patients of celiac disease, 9 [11.7%] patients were having impaired OGTT
Conclusion: impaired OGTT is frequent in children suffering from celiac disease. It can be used as monitoring tool for glycemic abnormalities in these patients. It will help in earlier detection and initiation of prompt management accordingly
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Objective: to study age related morphological changes in the minor salivary glands
Material and Methods: thirty five specimens of minor salivary glands were collected from dead bodies of adults, both male and female, brought to the Forensic Department of King Edward Medical University Lahore for autopsy within twenty four hours of unnatural death. Dead bodies with surgical scars on body, lymphadenopathy and enlarged salivary glands were excluded from the study. Autopsy specimens were placed in five groups according to estimated age. Samples were collected, processed and stained with Hematoxylin and Eosin for histomorphometric studies under light microscope for diameter of acini, number of acini, number of intercalated ducts and number of interlobular blood vessels
Results: statistically significant changes in diameter of acini and mean number of acini were observed in different study groups with advancing age [p value = 0.000] while no significant change was observed in mean number of intercalated ducts and interlobular blood vessels
Conclusion: with increasing age mean diameter and number of acini decreases while number of intercalated ducts and interlobular blood vessels remains unchanged in minor salivary glands
ABSTRACT
Background: Neonatal mortality and morbidity is always a great concern for clinicians and public health experts. Objectives: To determine the disease pattern and outcome in neonatal unit of Sheikh Zayed Hospital, Rahim Yar Khan
Patients and Methods: This prospective study was conducted in the neonatal unit of Sheikh Zayed Medical College /Hospital, Rahim Yar Khan from 1[st] January to 31[st] December 2010. The data of all the neonates admitted during the study period was analyzed regarding diagnosis, outcome [discharge, discharge on request, left against medical advice, death] and death cases were evaluated in detail regarding sex of patient, place of delivery and mode of delivery
Results: A total of 17150 patients were admitted in pediatric unit of which 4214 [24.6%] were neonates. Birth asphyxia was the commonest cause of admission in 1610 [38.2%] patients, followed by prematurity and low birth weight 1052 [24.9%], sepsis 631 [14.9%], congenital malformations 435 [10.3%], neonatal jaundice 225 [5.3%], meconium aspiration syndrome 181 [4.3%] and miscellaneous 80 [1.91%]. Total Paediatric deaths were 1651 with neonatal deaths 1030 [24.4%] while post-neonatal deaths were 621 [4.8%]. Main bulk of mortality was observed in first 7 days of life in 794 [77%]. The commonest cause of mortality was prematurity with its complications in 470 [45.6%] deaths, followed by birth asphyxia 302 [29.3%] and sepsis 191 [18.5%]. Of the total expired patients 405 [39.3%] were delivered in Sheikh Zayed Hospital, 385 [37.4%] at home, while 240 [23.3%] in private clinics and hospitals
Conclusion: Birth asphyxia, prematurity, low birth weight, sepsis, and congenital malformation are the main causes of neonatal admissions, while common causes of mortality are prematurity followed by birth asphyxia and sepsis. Solid and sustainable policies need to formulated and implemented to avoid the various preventable causes of neonatal morbidity and mortality
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To assess the knowledge and practices of contraception and reasons for non utilization of family planning services at Rawalpindi, Pakistan. A cross sectional survey. Fauji Foundation Hospital Rawalpindi from January 2007 to September 2007. This study was designed to investigate contraceptive knowledge and practice in Pakistani women attending a tertiary care hospital. A sample of 200 married women of reproductive age were interviewed to record their age, educational status, relatives practicing contraception, knowledge about contraceptive methods, source of the information and family support for contraception. Simple convenience sampling technique was used in this study. Close ended questionnaire was used to record the information. Subjects [99%] of study population were aware of currently available contraceptives and among them [48%] were practicing these methods. Educated females were [71%] and 93% practiced contraception while [29%] were uneducated and among them [47%] practiced contraception. [51%] of Females were supported by their families for practicing contraception. Source of information for [53%] was health service providers and for [39%] female was mass media. Most of [67%] female relatives also practiced contraception .Only [3%] of the subject's did not practice because of fear of Allah and [32%] had some other reasons. Level of Knowledge in study population was high but there was a huge gap of practice of contraception. Reasons for not practicing was not religious rather it was social pressure
Subject(s)
Humans , Female , Health Knowledge, Attitudes, Practice , Cross-Sectional Studies , Surveys and Questionnaires , ContraceptionABSTRACT
To assess the knowledge of Hepatitis B in paramedical staff of Abbasi Shaheed Hospital regarding the risk of transmission; to determine the preventive measures taken by the paramedical staff of Abbasi Shaheed Hospital; to estimate the percentage of vaccinated staff. Knowledge, Attitude, Practice [K.A.P] Study. Paramedical staff. A representative sample of paramedical staff was taken from Abbasi Shaheed Hospital . The sample comprise of 100 paramedics, with distribution of 40 males and 60 females from different wards and operation theatres. Subjects answered a 27-item, questionnaire composed of 2-sub categories v.i.z knowledge about Hep.B, attitude and practice regarding Hep.B. Subjects were asked to endorse upon those choices which in their opinion best stated their knowledge, attitude and practice. From the data analysis it is revealed that, out of 100 paramedical staff, 40 were male and 60 were females comprising O.T. technicians and nursing staff Most of them working in morning shift [82%], their average working experience is more than 10 yrs [64%]. Their knowledge was adequate but their attitude and practice wasn`t satisfactory. Table 1,2,3 and chart 1 shows frequencies of knowledge about Hep.B. Table4and5 and chart 2and3 shows frequencies of attitude and practice regarding Hep2B. Table 6, 7and8 shows association of knowledge with attitude and practice. Table 6 shows association between knowledge about complications of Hepatitis B and completely vaccinated staff [P value=0.002]. Table 7 shows association between knowledge of preventive measures with use of gloves [P-Value=0.004]. Table 8 shows association between completely vaccinated staff with staff who had their antibody titer checked [P-Value=0.000]. From our result it has been concluded that the knowledge about Hep.B was adequate among paramedical staff of A.S.H but their attitude and practice regarding exposure to risk factors was significantly different from their knowledge