Abuse among school going adolescents in three major cities of Pakistan: is it associated with school performances and mood disorders?

To assess the proportion of various types of abuses and their association with school performances and psychological stress among adolescents from three major cities of Pakistan. The cross-sectional school survey was conducted from March to September 2009, comprising adolescent students at six schools in Karachi, Lahore and Quetta. Data was collected using a self-administered and pre-tested questionnaire by trained medical students. SPSS 16 was used for statistical analysis. Of the 414 subjects in the study, there were 223[54%] boys and 191[46%] girls with an overall mean age of 14.36 +/- 1.08 years. In all, 140[33.7%] participants were physically abused and 236[57%] participants were verbally abused in the preceding 12 months. Besides, 245[59.2%] were involved in physical fight and 195[47.1%] had suffered injury during the preceding year. There were 171[41.4%] subjects having suffered bullying during the same period. Verbal abuse [p=0.05], physical fight [p=0.05] and bullying [p<0.001] were significantly associated with poor school performances among adolescents. Physical abuse [p=0.05], verbal abuse [p=0.003], injury [p=0.02] and bullying [p<0.001] were significantly associated with psychological stress. Various types of abuse were quite prevalent in adolescents that were significantly associated with poor school performance and poor mental health

Preventable Lifestyle Risk Factors for Non-Communicable Diseases in the Pakistan Adolescents Schools Study 1 (PASS-1) / 예방의학회지

OBJECTIVES: The rising burden of preventable risk factors for non-communicable diseases (NCDs) among adolescents is a major public health challenge worldwide. We identified the preventable risk factors for NCDs in adolescents. METHODS: In a school-based study, pre-tested structured questionnaires were completed by 414 adolescents (14 to 17 years) at six schools in three cities in Pakistan. The chi-squared test and adjusted odds ratio (aOR) with 95% confidence interval (CI) were calculated in a multinomial logistic regression analysis. RESULTS: Over 80% of the adolescents had unhealthy diets, and 54% were physically inactive. Most adolescents were exposed to passive smoking, and 14% were also current smokers. More than one-third of participants chewed betel nut, and one-quarter used oral tobacco. More girls were physically inactive (OR, 4.07; 95% CI, 2.69 to 6.17), whereas a greater proportion of boys were current smokers (OR, 2.17; 95% CI, 1.19 to 3.91), exposed to passive smoking (OR, 2.57; 95% CI, 1.72 to 3.83), and using betel nut (OR, 2.03; 95% CI, 1.34 to 3.06). Only 3.1% of the participants were without any preventable lifestyle risk factor for NCDs, and over 80% had > or =2 factors. Co-existence of risk factors was independently associated with fathers being blue-collar workers (aOR, 3.57; 95% CI, 1.07 to 11.92) and parents not treating their child fairly (aOR, 5.05; 95% CI, 1.29 to 19.78). CONCLUSIONS: Most of the adolescents studied had preventable risk factors for NCDs. These results warrant comprehensive and integrated interventions to prevent lifestyle risk factors, and parents are front-line stakeholders.

Anesthetic considerations in Beckwith-Wiedemann syndrome

The anesthetic management of a thirty-month-old male with Beckwith-Wiedemann Syndrome is described. The presentation and features of this syndrome are described and the problems of providing anesthesia in such patients are discussed