RÉSUMÉ
Effective utilisation of healthcare facilities is determined by spatial and non-spatial factors, including their spatial distribution and physical accessibility. Public sector plays an important role in the provision of healthcare services for improving health in developing countries like Pakistan. We analysed the spatial distribution and accessibility to public sector tertiary care teaching and general hospitals in the Khyber Pakhtunkhwa [KPK] districts of Abbottabad and Peshawar. Two such hospitals in Abbottabad and three in Peshawar were selected for the analyses. Out of the 44 union councils [UCs] in Abbottabad, there are 23 and 15 UCS that are partially or fully accessible within the 12-kilometer buffer and the service area around the hospitals, respectively. Out of the 93 UCs in Peshawar, there are 79 and 77 UCs that are partially or fully accessible, respectively, within the 12-kilometer buffer and service area around the hospitals
RÉSUMÉ
Background: Public sector provision of health care services is important for addressing health morbidity and mortality burden for population health in developing countries like Pakistan. Physical accessibility and spatial distribution of healthcare facilities affect their utilization for improving population health.
Aims: This study aimed to analyze the spatial distribution of five public sector, tertiary care, teaching, general hospitals in the city of Lahore, Pakistan.
Methods: The point locations of all five hospitals were obtained from Google Earth. While the vector road network file was downloaded from the OpenStreetMap website. GIS software ArcGIS 10.5 and the Network Analyst extension were used for processing, analysis and mapping. The Lahore city shapefiles and the hospital point locations were projected to ensure correct spatial distance analysis.
Results: The five hospitals are located in the northeastern and east-central parts of Lahore. Most of the Lahore "towns" (administrative subdivisions) are either partially or completely covered by the 12-kilometre buffer as well as the 12-kilometre service area around these five selected hospitals. However, either the 12-kilometre buffer or service area did not cover large swaths of Wagha, Nishtar, and Iqbal towns.
Conclusions: Availability of geographic and attribute data on road network and population characteristics would facilitate planning for allocating locations for new health care facilities based on utilitarian principles
RÉSUMÉ
Objective: to find out causes of heart failure in patients who presented for echocardiography in PIMS Islamabad
Material and Methods: this observational study was carried out in 100 consecutive patients with history of dyspnea and abnormal echocardiography who reported to the Cardiology Department, PIMS, and Islamabad
Results: out of 100 patients, 43 were male and 57 were female. Fifty one percent patients were above the age of 50 years and only 21 % were under 30 years of age. Hypertension was present in 51 % patients while 22% had diabetes mellitus. Coronary artery disease was present in 26% cases and was the commonest cause of systolic dysfunction
Conclusion: diastolic dysfunction was the leading cause of heart failure followed by myocardial infarction and rheumatic heart disease
RÉSUMÉ
A study of 108 patients with acute myocardical infarction is presented. 94 patients were male and 14 were females. Risk factors prevalent in our study are smoking, lack of exercise, stress, hypertension, diabetes mellitus and disturbed lipid levels