ABSTRACT
Objective: The aim of this study was to explore the level of Medical prescription adherence among gynecological patients of Pakistan
Study Design: Cross-sectional study
Place and Duration of Study: The study was conducted in Punjab province and data were collected from June 2015 to April 2016
Material and Methods: This cross-sectional study was carried out in main cities of Punjab province of Pakistan; Lahore, Gujranwala, Faisalabad and Sheikhupura. The survey data was collected from different location of cities. Patients visiting the gynecological and going to chemists for getting the prescribed medicine were selected through probability based random sampling for this study. The questionnaire consisted on the extent to which they adhere to time, dose, frequency and procedure prescribed from their doctors. The questions were asked in native language [Urdu]. The data analysis was performed by using SPSS software [Ver.21]
Results: Results of this study, based on sample from four big cities of Punjab province of Pakistan, showed that the level of medical prescription was associated with the age, qualification and background of the patients. Adherence level of patients reporting with rural background was observed higher than the adherence level of patients from urban areas
Conclusion: Over all the patient require counseling regarding adherence to medical prescription irrespective of the nature of the disease
ABSTRACT
Objective: To measure the differences of lipids including total cholesterol and triglycerides among subjects with or without GDM
Study Design: Cross sectional comparative study
Place and duration of study: This study was carried out between Dec 2010 to Jun 2012 at the department of gynecology and obstetrics Pakistan Naval Ship [PNS] Shifa and department of pathology, PNS Rahat
Material and Methods: Pregnant women who presented in outpatient department of gynaecology between 24-34 weeks of gestation were randomly selected, and were requested to undergo 100 Gm oral glucose tolerance test for diagnosis of gestational diabetes mellitus [GDM]. A total of 93 pregnant women were included in the study
Afterwards they were divided in 2 groups on basis of presence and absence of GDM. Later all the patients were analyzed for total cholesterol and triglycerides. Results of triglycerides and total cholesterol were compared among subjects with or without GDM
Results: The differences for serum triglycerides and total cholesterol were not found to be significant among subject with or without gestational diabetes mellitus, where 0.05 was considered significant
Conclusion: There was no difference between serum triglyceride and total cholesterol levels among subjects with or without gestational diabetes mellitus
Subject(s)
Humans , Female , Adult , Triglycerides , Cholesterol , Cross-Sectional Studies , Pregnant Women , Glucose Tolerance TestABSTRACT
To evaluate the effects of epidural analgesia on the pain relief and maternal and fetal outcome. Comparative and analytical study. In Military Hospital Rawalpindi from Oct 1998 to Oct 1999. 100 full term healthy primigravida admitted for induction of labour. Fifty patients were given epidural analgesia and 50 served as control to whom no analgesia was given. Outcome measures observed were duration of labour, mode of delivery; Apgar score of the newborn; untoward reaction and intra-partum complications. The data analysis revealed that epidural analgesia significantly prolonged labour time and was associated with increased instrumental delivery rate. Significant reduction in intra-partum fetal complications was seen, while C-section rate was not effected by epidural analgesia. Apgar scores were higher in analgesia group as compared to control. Although accused of prolonging labour time, it's benefits in terms of great maternal satisfaction and reduced intra-partum complications still makes it an option for labouring patients