ABSTRACT
Objective: To determine the frequency of non-alcoholic fatty liver disease [NAFLD] in newly diagnosed cases of hepatitis C virus [HCV] infection and its association with genotypes in normal weight patients
Study Design: Descriptive cross-sectional study
Place and Duration of Study: Departments of internal medicine and diagnostic imaging, Combined Military Hospital Okara, from Oct 2013 to Mar 2014
Material and Methods: We included 211 patients from Okara through consecutive sampling who were found positive for anti HCV antibodies and HCV RNA after informed consent. The sampled patients were evaluated for liver echotexture through ultrasonography and genotype analysis by polymerase chain reaction. Variables were defined qualitatively and quantitatively and frequencies, percentages, means, and standard deviations were calculated. For the association of ultrasonographic findings with the genotypes, Pearson's Chi-square or Fischer's exact tests were applied where appropriate. All the data were analyzed using statistical package for social sciences version 20. A p-value <0.05 was considered significant
Results: The mean age was 32 +/- 6 years with a range of 21 +/- 47 years. Most [85.3 percent, n=180] were married. The majority [62.1 percent, n=131] hailed from the Punjab province and from the age-group of
Conclusion: Fifty-three percent patients with positive HCV RNA had NAFLD identified on ultrasonographic examination. The genotype 3 of HCV RNA was particularly affiliated with NAFLD
ABSTRACT
Objective: To study the key indicators of satisfaction for admitted patients in PNS Rahat
Study Design: Single Step Cross-Sectional Survey
Place and Duration of Study: PNS Rahat, June 2007 to Dec 2007
Patients and Methods: Priority population of 450 admitted patients whose feedback was recorded through a written questionnaire having 15 close ended questions out of which 2 questions were later excogitated to reduce study bias [duplication]
Results: Ninety three point seven percent [n%] patients filled the questionnaire reducing the sample size to 422 out of 450 patient approached. Fifty six point three percent patients were highly satisfied, 29.1% patients were moderately satisfied, 11.56% patients were just satisfied and 2.7%remained unsatisfied with hospital services provided during admission. In highly satisfied patients, performance of consultants was rated 82.7%. In moderately satisfied patients, standard of catering in ward was rated 41.5%. Twenty nine point five percent patients remained just satisfied and 25.4% were unsatisfied with hospital canteen services
Conclusion: Winning hearts and minds of admitted patients relies on consultants' and nurses' competence and availability. However, patients are highly dissatisfied by substandard catering in wards, unhygienic conditions and insufficient hospital canteen services