level of patient satisfaction in emergency departments of public sector tertiary care hospitals, faisalabad

Introduction: The patient satisfaction is a feeling which affects the patient's experience in the hospitals. The services which they are provided with in the emergency departments also known as ED, need to be assessed on certain parameters in order to recognize the standard of the provided health care services in the emergency, and the meticulous assessment of the areas which require improvement

Objective: To determine the outcome of patients who were satisfied by the emergency services provided at the public sector tertiary care hospitals of Faisalabad to evaluate the parameters from which the patients turned out to be unsatisfied, in order to improve the quality of care

Study Design: This is a descriptive cross-sectional study

Setting: It was carried out in the Emergency departments of tertiary care hospitals in Public sectors, Faisalabad

Duration of study: The study was carried out within time frame of three [03] months [March to May 2017]

Sample Size: A real time survey was conducted on approximately 4000 patients

Data collection procedure: The patients visiting the ED in tertiary care hospitals were interviewed regarding their experience, their time of arrival, the medical personnel who received them and their satisfaction level with the provided treatment and care

Results: The most consistently observed finding associated with higher levels of satisfaction, was the patient-oriented care provided by doctors, nurses and paramedic staff. Doctors and nurses who spent more time with the patient, had better communication skills, showed more empathy and treated the patients within 5 minutes of arrival in the emergency resulted in more patient satisfaction. On the basis of these characteristics, the calculated number of satisfied patients turned out to be 75%. However, 25% of the patients responded that they would not prefer emergency departments of public sector tertiary care hospitals of Faisalabad for future visits

Conclusion: The evaluation of patient satisfaction level provided a precise estimation of the health care services in the Emergency departments which were up to the mark and which required improvement in order to serve the patients well in future

Anti-Tuberculosis therapy induced Liver injury in children

Introduction: Tuberculosis has remained and is one of the major issues of the under developed world including Pakistan. About 10-11 percent cases of tuberculosis are from pediatric population. Isoniazid, rifampicin and pyrazinamide constitutes generally used therapeutic regime. Directly observed treatment short course [DOTS] is now much popular strategy. Ant tuberculosis drug-induced liver injury creates obstacles in treatment and also exerts socioeconomic strain on resources

Objective: To determine the frequency, severity and pattern of the Anti-tuberculosis Drug-Induced Liver Injury in children under 14 years of age

Study Design: Case series study

Duration of Study: 02-10-2015 to 03-10-2016

Setting: Department of Pediatric Medicine Unit-1, Allied Hospital, Faisalabad. Sample size: The total sample size is 100 cases. Sampling Technique: Non-probability purposive sampling. Methodology: Total of 100 patients with either sex from 1 to 15 years of age, on anti-tuberculosis therapy due to any variety of tuberculosis having normal liver anatomy and function initially were studied. Patients already having hepatobiliary disease regardless of etiology were not enrolled in study. Initial diagnosis was confirmed using set criteria. All patients underwent detailed medical history and physical examination followed by investigations. Data comprising age, sex, type of tuberculosis, treatment interval, and hepatotoxicity etc. was collected using designed Performa by the researcher. The data was analyzed through SPSS-20 by means of descriptive statistic

Results: In our study, out of 100 children, minimum age was 6 months and maximum age was 156 months and Mean + SD was calculated as 38.07+/-37.368 months, 51 [53.1 percent] were male and 45 [46.9 percent] were females, ventilator associated pneumonia was recorded in 19 [19.8 percent] while 77[80.2 percent] had no findings of the ventilator associated pneumonia

Conclusion: The frequency of TB DILI was 14.0 percent in this study, indicating the importance of keeping index of suspicion high for the development of hepatotoxicity with anti-tuberculosis therapy in children being treated for any variety of tuberculosis

Effect of video games on the aggressive behavior of children

Introduction: Video games are considered to be causing deleterious effect on children as they influence their minds regarding aggression. Aggressive behaviour includes fighting, arguing, yelling and bullying others. The promotion of these emotions by video games depends upon various factors like active parental surveillance and minimizing the number and duration of playing sessions, tactfully

Objective: To investigate the relation between over playing of video games and aggressiveness of children

Study design: Descriptive cross-sectional study

Setting: Community and Elementary schools of Faisalabad

Duration of study: Three months from January to March 2018

Sample size: 100 children. Both male and females were included

Data collection procedure: The children were given survey questionnaires and then assessed accordingly

Results: The children who played games with more violent content were found fighting and arguing in more number. This verified the significance of positive relation between video games and aggression

Conclusion: Video games play a prominent role in boosting the aggressive emotions in children