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https://www.readbyqxmd.com/read/29451432/diagnosing-isolated-hepatosplenic-tuberculosis-in-an-immunocompetent-patient-a-case-report
#1
Om Dawani, Raja Samir Khan, Mujtaba Jamal Syed, Abdul Moid Shehzad, Ahmed Alratoot, Muhammad Faizan Ahmed
For many years, tuberculosis (TB) has been endemic in Pakistan; many rare and unusual presentations have been reported. There is a myriad of non-specific symptoms which always requires a high index of clinical suspicion for TB. World Health Organization data suggest that Pakistan ranks as the fifth highest country burdened with TB and has the fourth highest prevalence of multi-drug resistant TB globally. With an annual incidence of 277 cases per 100,000, the importance of early diagnosis and treatment is self-evident...
January 1, 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29451104/a-multi-criteria-decision-making-approach-to-rank-supplier-selection-criteria-for-hospital-waste-management-a-case-from-pakistan
#2
Palvisha Ishtiaq, Sharfuddin Ahmed Khan, Moiz-Ul Haq
To address environmental issues and cost effectiveness, waste management is necessary for healthcare facilities. Most importantly, segregation of hazardous and non-hazardous waste must be done as in many developing countries; disposal of both types of healthcare waste is done together, which is an unsafe practice. Waste generated in hospitals needs proper management to minimise hazards for patient and healthcare workers. At the same time, it is quite difficult for hospitals to find a systematic way to select appropriate suppliers for hospital waste management...
February 1, 2018: Waste Management & Research
https://www.readbyqxmd.com/read/29449119/violence-against-health-care-providers-a-mixed-methods-study-from-karachi-pakistan
#3
Lubna Ansari Baig, Shiraz Shaikh, Maciej Polkowski, Syeda Kausar Ali, Seemin Jamali, Lubna Mazharullah, Marium Soomro, Bhavita Kumari, Sobia Memon, Greesh Maheshwari, Saleema Arif
BACKGROUND: Violence against health care providers (HCPs) remains a significant public health problem in developing countries, affecting their performance and motivation. OBJECTIVES: To report the quantity and perceived causes of violence committed upon HCPs and identify strategies intended to prevent and de-escalate it. METHODS: This was a mixed-methods concurrent study design (QUAN-QUAL). A structured questionnaire was filled in on-site by trained data collectors for quantitative study...
February 12, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29448948/occupational-exposure-to-hiv-in-a-developing-country-assessing-knowledge-and-attitude-of-healthcare-professional-before-and-after-an-awareness-symposium
#4
Samina Ismail, Safia Awan, Rubaba Naeem, Sarfraz Siddiqui, Badar Afzal, Bushra Jamil, Uzma Rahim Khan
OBJECTIVE: Health care providers (HCPs) are at risk of occupational exposure to HIV infection. In developing world these exposure occur due to general lack of awareness, education and structured training of HCPs. The objective of the study was to asses if continuing medical education symposium can be used as an effective educational tool to improve attitude, awareness and knowledge regarding occupational exposure to HIV infection. This quasi-experimental study was conducted among HCPs from Karachi, Pakistan...
February 15, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29447950/ethnobotanical-and-ethnomedicinal-studies-in-baluchi-tribes-a-case-study-in-mt-taftan-southeastern-iran
#5
Tahereh Maleki, Hossein Akhani
ETHNOBOTANICAL RELEVANCE: From ancient times, the applied use of herbs has been common among indigenous people throughout the world. The present survey is a regional ethnobotanical study of Baluchi tribes living in the Mt. Taftan area, Sistan and Baluchistan Province, southeastern Iran. The aim of this study was to document all traditional knowledge and analyze the medicinal plants used in area and also to identify significant plant species for future pharmacological study. MATERIALS AND METHODS: Local knowledge was obtained through semi structured and open interviews, in which 51 informants were interviewed...
February 12, 2018: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/29446409/better-management-of-groundwater-needed-in-pakistan
#6
Muhammad Arif Watto, Safdar Bashir, Nabeel Khan Niazi
No abstract text is available yet for this article.
February 15, 2018: Nature
https://www.readbyqxmd.com/read/29446028/ridge-sowing-of-sunflower-helianthus-annuus-l-in-a-minimum-till-system-improves-the-productivity-oil-quality-and-profitability-on-a-sandy-loam-soil-under-an-arid-climate
#7
Ahmad Sher, Muhammad Suleman, Abdul Qayyum, Abdul Sattar, Allah Wasaya, Muhammad Ijaz, Ahmad Nawaz
Sunflower (Helianthus annuus L.) is a major oilseed crop grown for its edible oil across the globe including Pakistan. In Pakistan, the production of edible oil is less than the required quantity; the situation is being worsened with the increasing population. Thus, there is dire need to grow those sunflower genotypes which perform better under a given set of agronomic practices. In this 2-year study, we compared four sunflower genotypes, viz., Armoni, Kundi, Sinji, and S-278 for their yield potential, oil contents, fatty acid composition, and profitability under three sowing methods, viz...
February 14, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29445310/training-in-emerging-advances-in-chronic-hepatitis-c-infection-in-pakistan-the-teach-pak-project
#8
Faisal W Ismail, Shahab Abid, Minaz Mawani, Wasim Jafri, Saeed S Hamid
Purpose: Viral hepatitis B and C represent the primary health challenge confronting Asia and Pakistan. With direct-acting antiviral therapy for hepatitis C, patients will be treated by general physicians (GPs) and will need training through continuing medical education (CME). Blended learning is a combination of didactic teaching with online, self-paced learning, and it has not been evaluated as a CME tool for general physicians. We aimed to compare the change in physician's knowledge about chronic viral hepatitis following a blended learning educational program...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29444802/building-support-for-adolescent-sexuality-and-reproductive-health-education-and-responding-to-resistance-in-conservative-contexts-cases-from-pakistan
#9
Venkatraman Chandra-Mouli, Marina Plesons, Sheena Hadi, Qadeer Baig, Iliana Lang
BACKGROUND: Despite international recommendations and supportive evidence, there are few examples of scaled-up and sustained programs to provide adolescents with sexuality education. Moreover, despite acknowledgment that building community support and responding to resistance are key challenges, there is a lack of detailed discussion on specific programmatic strategies to address these issues. OBJECTIVES: This article reviews the work of 2 organizations-Aahung and Rutgers Pakistan-that are successfully implementing large-scale sexuality education programs in Pakistan, collectively reaching more than 500,000 students...
February 13, 2018: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29444132/a-linear-bi-level-multi-objective-program-for-optimal-allocation-of-water-resources
#10
Ijaz Ahmad, Fan Zhang, Junguo Liu, Muhammad Naveed Anjum, Muhammad Zaman, Muhammad Tayyab, Muhammad Waseem, Hafiz Umar Farid
This paper presents a simple bi-level multi-objective linear program (BLMOLP) with a hierarchical structure consisting of reservoir managers and several water use sectors under a multi-objective framework for the optimal allocation of limited water resources. Being the upper level decision makers (i.e., leader) in the hierarchy, the reservoir managers control the water allocation system and tend to create a balance among the competing water users thereby maximizing the total benefits to the society. On the other hand, the competing water use sectors, being the lower level decision makers (i...
2018: PloS One
https://www.readbyqxmd.com/read/29441245/case-of-enteric-fever-with-bicytopenia
#11
Madeeha Subhan, Waleed Sadiq
Infectious diseases are one of the major causes of morbidity and mortality in developing countries. Typhoid has its own contribution to the disease burden, especially in Pakistan and other tropical countries. Herein, we present a case of enteric fever with a rare presentation. Our patient is a 20-year-old man who gradually developed high-grade fever lasting seven days associated with rigors and chills. No additional accompanying systemic signs helped to localize the infection. After extensive laboratory testing, his typhoid serology was positive along with leukocytopenia and thrombocytopenia...
December 6, 2017: Curēus
https://www.readbyqxmd.com/read/29441106/mid-upper-arm-circumference-as-a-screening-measure-for-identifying-children-with-elevated-body-mass-index-a-study-for-pakistan
#12
Muhammad Asif, Muhammad Aslam, Saima Altaf
Purpose: Mid-upper-arm circumference (MUAC) is considered an alternative screening method for obesity. The aims of this investigation were to examine the ability of MUAC to correctly identify children with elevated body mass index (BMI) and to determine the best MUAC cutoff point for identification of children with high BMI. Methods: Anthropometric measurements (height, weight, and MUAC) from a cross-sectional sample of 7,921 Pakistani children aged 5-14 years were analyzed...
January 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29439433/multiple-mycotoxins-in-rice-occurrence-and-health-risk-assessment-in-children-and-adults-of-punjab-pakistan
#13
Saima Majeed, Marthe De Boevre, Sarah De Saeger, Waqar Rauf, Abdul Tawab, Moazur Rahman, Mazhar Iqbal
Mycotoxin contamination in rice can create a health risk for the consumers. In this study, the measurement of 23 mycotoxins in rice samples ( n = 180) was performed using a validated LC-MS/MS method. A food frequency questionnaire was used to get rice consumption data for the assessment of mycotoxin dietary exposure, before calculating the health risk in adults and children of north and south regions of the Pakistani Punjab province. The prevalence of aflatoxin B₁ (56%), aflatoxin B₂ (48%), nivalenol (28%), diacetoxyscirpenol (23%), fumonisin B₁ (42%), zearalenone (15%), HT-2 toxin (10%), deoxynivalenol (8%), and ochratoxin A (6%) was estimated in samples with a mean concentration range between 0...
February 10, 2018: Toxins
https://www.readbyqxmd.com/read/29433667/inequalities-in-the-use-of-secondary-prevention-of-cardiovascular-disease-by-socioeconomic-status-evidence-from-the-pure-observational-study
#14
Adrianna Murphy, Benjamin Palafox, Owen O'Donnell, David Stuckler, Pablo Perel, Khalid F AlHabib, Alvaro Avezum, Xiulin Bai, Jephat Chifamba, Clara K Chow, Daniel J Corsi, Gilles R Dagenais, Antonio L Dans, Rafael Diaz, Ayse N Erbakan, Noorhassim Ismail, Romaina Iqbal, Roya Kelishadi, Rasha Khatib, Fernando Lanas, Scott A Lear, Wei Li, Jia Liu, Patricio Lopez-Jaramillo, Viswanathan Mohan, Nahed Monsef, Prem K Mony, Thandi Puoane, Sumathy Rangarajan, Annika Rosengren, Aletta E Schutte, Mariz Sintaha, Koon K Teo, Andreas Wielgosz, Karen Yeates, Lu Yin, Khalid Yusoff, Katarzyna Zatońska, Salim Yusuf, Martin McKee
BACKGROUND: There is little evidence on the use of secondary prevention medicines for cardiovascular disease by socioeconomic groups in countries at different levels of economic development. METHODS: We assessed use of antiplatelet, cholesterol, and blood-pressure-lowering drugs in 8492 individuals with self-reported cardiovascular disease from 21 countries enrolled in the Prospective Urban Rural Epidemiology (PURE) study. Defining one or more drugs as a minimal level of secondary prevention, wealth-related inequality was measured using the Wagstaff concentration index, scaled from -1 (pro-poor) to 1 (pro-rich), standardised by age and sex...
March 2018: Lancet Global Health
https://www.readbyqxmd.com/read/29433468/suicide-and-deliberate-self-harm-in-pakistan-a-scoping-review
#15
Sualeha S Shekhani, Shagufta Perveen, Dur-E-Sameen Hashmi, Khawaja Akbar, Sara Bachani, Murad M Khan
BACKGROUND: Suicide is a major global public health problem with more than 800,000 incidents worldwide annually. Seventy-five percent of the global suicides occur in low and middle-income countries (LMICs). Pakistan is a LMIC where information on suicidal behavior is limited. The aim of the review is to map available literature on determinants, risk factors and other variables of suicidal behavior in Pakistan. METHOD: This study was based on Arksey and O'Malley's methodological framework of scoping review, combining peer reviewed publications with grey literature...
February 12, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29432552/routine-immunization-in-pakistan-comparison-of-multiple-data-sources-and-identification-of-factors-associated-with-vaccination
#16
Hafsa Imran, Dania Raja, Nicholas C Grassly, M Zubair Wadood, Rana M Safdar, Kathleen M O'Reilly
Background: Within Pakistan, estimates of vaccination coverage with the pentavalent vaccine, oral polio vaccine (OPV) and measles vaccine (MV) in 2011 were reported to be 74%, 75% and 53%, respectively. These national estimates may mask regional variation. The reasons for this variation have not been explored. Methods: Data from the Multiple Indicator Cluster Surveys (MICS) for Balochistan and Punjab (2010-2011) are analysed to examine factors associated with receiving three or more doses of the pentavalent vaccine and one or more MVs using regression modelling...
February 8, 2018: International Health
https://www.readbyqxmd.com/read/29431916/clinical-relevance-of-smartphone-apps-for-diabetes-management-a-global-overview
#17
Zhilian Huang, Michael Soljak, Bernhard Otto Boehm, Josip Car
AIMS: We assessed the number, proportion and clinical relevance of diabetes self-management apps in major languages spoken by ten countries with the greatest number of people with diabetes. METHODS: China, India, USA, Brazil, Russian Federation, Mexico, Indonesia, Egypt, Japan and Pakistan were identified as the ten countries with the largest number of people with diabetes based on the latest NCD-RisC survey. Android and iOS apps in the ten national languages were extracted with a search strategy...
February 12, 2018: Diabetes/metabolism Research and Reviews
https://www.readbyqxmd.com/read/29429413/a-case-of-a-patient-infected-with-a-hepatitis-c-virus-genotype-3a-multidrug-resistant-variant-in-pakistan
#18
Asad Zia, Muhammad Ali, Hafsa Aziz, Muhammad Zia, Zabta Khan Shinwari, Abida Raza
BACKGROUND: Approximately 10 million people in Pakistan are infected with the hepatitis C virus (HCV). Most patients develop chronic hepatitis, with rare cases of spontaneous clearance. However, little is known about multidrug resistant viral variants in Pakistan. FINDINGS: This case study describes a 47-year-old male diagnosed with chronic HCV genotype 3a infection in 2003. After an initial diagnosis of viral infection, the patient remained treatment naïve for 5 years...
February 11, 2018: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/29429111/health-risk-assessment-of-drinking-arsenic-containing-groundwater-in-hasilpur-pakistan-effect-of-sampling-area-depth-and-source
#19
Riaz Ahmad Tabassum, Muhammad Shahid, Camille Dumat, Nabeel Khan Niazi, Sana Khalid, Noor Samad Shah, Muhammad Imran, Samina Khalid
Currently, several news channels and research publications have highlighted the dilemma of arsenic (As)-contaminated groundwater in Pakistan. However, there is lack of data regarding groundwater As content of various areas in Pakistan. The present study evaluated As contamination and associated health risks in previously unexplored groundwater of Hasilpur-Pakistan. Total of 61 groundwater samples were collected from different areas (rural and urban), sources (electric pump, hand pump, and tubewell) and depths (35-430 ft or 11-131 m)...
February 10, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29427710/pathophysiology-of-peste-des-petits-ruminants-in-sheep-dorper-kajli-and-goats-boer-beetal
#20
Ahrar Khan, M Kashif Saleemi, Farah Ali, Muhammad Abubakar, Riaz Hussain, Rao Zahid Abbas, Imtiaz Ahmad Khan
Peste des petits ruminants (PPR), an economically important viral transboundary disease of small ruminants is not only prevalent in Pakistan but also in other countries where people rely on agriculture and animal products. The present study was aimed at describing the pathology and antigen localization in natural PPR infections in local (Kajli sheep; Beetal goats) as well as imported small ruminant breeds (Dorper sheep; Australian Boer goat). Morbidity and mortality rates were significantly (P < 0.001) higher in indigenous Kajli sheep (75...
February 7, 2018: Microbial Pathogenesis
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