INTERNATIONAL JOURNAL OF ENDORSING HEALTH SCIENCE RESEARCH

Volume 3            Issue 3            October 2015

Knowledge Attitudes and practice of parents regarding Fever in children and its management at home.

Awal khan1, Hedayatullah Khan1, Afsha Badshah Said2, Aurang Zeb3 & Fakhrul Islam4

  1. Institute of nursing sciences Khyber Medical University Peshawar
  2. Hayat Abad Medical Complex, Peshawar
  3. RMI School of Nursing Peshawar
  4. Farkhanda Institute of nursing & Public Health Peshawar

Corresponding author: awalkhanmsn@gmail.com

Abstract

Fever may be a sign of both infectious and non-infectious disorders, occurs commonly in children and makes their parents unduly worried and panic as they perceived it a danger ailment. There are numerous myths and fallacy among parents related to fever management in children Objectives Study aimed to identify the parent’s knowledge regarding childhood fever and understanding of belief and attitude in the management of fever. Methods: A descriptive hospital based cross sectional study carried out among parents whose children under age 6 years were admitted to pediatric wards of a public sector teaching hospital in Peshawar with different medical conditions. Results: More than (93%) person were wrong about normal body temperature. About (37%) don’t know about causes of fever where (90%) parents detect fever through tactile method, about (57%) parents don’t know about appropriate body part for placing thermometer to record accurate temperature and large number of parents (40%) visit chemist for treatment after detecting fever in their kids, about (37%) brought their children to hospitals and only (13%) of total treat their children for fever at home  Conclusion: Parent’s knowledge about fever and its home management was found poor in the study. Need is there to educate parents about proper assessment, detecting, recording of fever and safe practicing of fever management at home

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Health system analysis: Pakistan and Afghanistan

Wais Mohammad Qarani and Samina Iqbal Kanji

School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan

Corresponding author: wais.qarani@gmail.com

Abstract

The purpose of this paper is to analyze the health system of the two neighboring countries i.e. Pakistan and Afghanistan; and recommend strategies to translate the available opportunities into effective actions within the countries. Therefore, the WHO, Health System Framework is used to analyze the Pakistan and Afghanistan health system in terms of; 1) leadership and governance 2) health financing 3) health workforce 4) medical products and technologies 5) information and research and 6) service delivery. Both the countries are having multiple strengths and opportunities in terms of healthcare delivery system. On the other hand, both the countries are affected by multiple challenges including; un-met Millennium Development Goals and un-met national health indicators.  Thus, appropriate strategies are required to be developed and executed in order to meet the national need for health.

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Knowledge, Attitude and Practice of Nurses Regarding Disaster Management: A Study from Peshawar KPK

Sabiha Ulfat, Razia Shaheen, Roheeda Riaz & Afsha Badshah Said

  Hayatabad Medical Complex Peshawar

Corresponding author: afshasaid@gmail.com

Abstract

Background: Disasters are unforeseeable events that destroy lives and affect people, ruins possessions and disturb environment. Nurses play a vital role in dealing with the victims of such events and it is essential for nurses to be prepared in facing the consequences of disasters. Objective: The purpose of this study was to determine the knowledge, attitude and practices of nurses in different department like emergency, trauma care intensive cares (cardio vascular, cardiothoracic and neurosurgery departments) regarding disaster preparedness. Methods:  Quantitative (descriptive study) among staff and student nurses of tertiary care hospitals (LRH, KTH and HMC) in Peshawar. Sample size was 90 through questionnaires. And collecting in 3 months from 15th Sep (2014) to 30th Dec (2014). Results: The main points developed during the presentations and discussions included: (1) the need for evidence-based assessments and planning, (2) the need for a shift in focus to health-sector readiness, (3) empowerment of survivors, (4) provision of relief for the caregivers, (5) address the incentives and disincentives to attain readiness, (6) engage in joint preparation, response, and training, (7) focus on prevention and mitigation of the damage from events, and (8) improve media relations. There exists a need for institutionalization of processes for learning from experiences obtained from disasters. Conclusion: There is an urgent need to proactively establish coordination and management procedures in advance of any crisis. A number of important insights for improvement in coordination and management during disasters emerged.

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The growing problem of Alcoholism in Pakistan: An overview of current situation and treatment options

Pasha Ghazal

Department of Bioscience, Comsats Institute of Information Technology, Islamabad, Pakistan

Corresponding author: pasha.ghazal@comsats .edu.pk

Abstract

Alcoholism is turning in to a growing problem in Pakistan despite its status of a “dry land” where 96% of the population do not drink and alcohol drinking is prohibited by law. Out of estimated ten million alcohol abusers, one million develop alcohol use disorders. Stress is the prevalent factor responsible for alcohol abuse. Moreover, the recent trend of alcohol abuse at a young age of 14 years is of growing concern. Literature research conducted using PubMed, Google Scholar resulted in almost no research articles or reviews directly addressing this problem. Hence, this review is the first on this subject. In this context, this review would try to comprehend current scenario of alcoholism in Pakistan. The role of globally recognized and FDA approved treatment medications is also discussed together with raising importance of psychosocial support therapy for alcohol addicted patients. In addition to that underlying neurobiology and different stages of alcoholism are elucidated.

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Automatic Health Care Unit

Zulqarnain1, Obaid Ashraf1, Malka Alia2

  1. Sir Syed University of Engineering and Technology
  2. University of Karachi

Corresponding author:Zulqarnain.sheikh92@gmail.com

 Abstract

This paper reflects on a novel concept of automation in the health care sector. The idea is to design an automatic system (AHCU) capable of performing remote physical examination with blood glucose estimation, pulse rate measurement, body mass measurement and body temperature measurement. The medical automatic system is consisted of a built-in dispenser to provide front-desk medicines to patient and also prescription in hard copy as well as in soft copy. In the Karachi city, we conducted first focus groups with doctors in order to identify how the remote medical diagnostician system is assessed and conceptualized regarding the examination procedures (activities), communication issues, and the visualization of needed information. The AHCU was found to be very reliable and efficient machine to provide front-desk monitoring, prescription and medication. It takes approximately 20 seconds to examine glucose level in blood, 10 seconds for fever measurement, 5 seconds in pulse rate measurement and 7 seconds for weight measuring. For providing medicines, it takes maximum 60 seconds in all cases. Based on the findings, we has reflected on the technology assessment, i.e., if remote medical services can be a suitable possibility for rural areas where the availability of doctors with various specializations is often a problem, as well as necessities for this novel type of medical treatment from a doctor’s point of view (i.e., identified aspects increasing acceptance and adoption by users of the system).

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Tuberculosis: Moving From Cure to Prevention in Pakistan.

Samina Iqbal kanji

Aga Khan University Hospital

Corresponding author: kanji.samina@gmail.com

Abstract

For many years, most of the world’s population is fighting its battle against the disastrous organism, biologically known as “Mycobacterium Tuberculosis”. According to Gul, Fatima, and Shabbir (2013), tuberculosis (TB) is amongst the leading causes of mortality globally, and 98% of these deaths are unfortunately prevalent in developing countries. Similarly, Pakistan is sharing the huge burden of morbidity and mortality by TB despite the preventable nature of disease. According to World Health Organization (2013), Pakistan is ranking fifth amongst the 22 high TB burden countries by sharing the prevalence rate of 373 per 100,000 cases. Tuberculosis can be defined as “an infectious bacterial disease caused by Mycobacterium tuberculosis, which most commonly affects the lungs. It is transmitted from person to person via droplets from the throat and lungs of people with the active respiratory disease” (WHO, 2013). Moreover, according to the Nair, Wares, and Sahu (2010), tuberculosis mostly affects the age group of adults who can contribute productively towards the economy of the country. Therefore, high TB burden can further play a huge role in increasing poverty in Pakistan.

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Women’s Satisfaction with Birth Control Methods

Laila Khan1, Manzoor Ahmed2, Tahira Gul3, Umaira Azeem4

  1. North West Hospital, Peshawar
  2. Bridge Consultant Foundation, Karachi
  3. Bridge Consultant Foundation, Karachi
  4. Gesellschaft Fur Internationale Zusammenarbeit (GIZ), Pakistan

Corresponding author: tahiragul89@gmail.com

Abstract

The maternal and infant mortality in Pakistan is still high. The use of safe and important methods of contraception allows men and women to decide the number and spacing of their pregnancies and to improve the uptake and continuation of use of family planning services through improving the quality of family planning services. objectives of this study is to assess the quality of family planning services, asses information provided by providers to clients, asses client knowledge and satisfaction with services provided preferred choice and current method of contraception used by client. A cross sectional study was conducted from May to July 2014 in Family Planning Department of PIMS hospital, Islamabad by using consecutive sampling technique for data collection. Data was analyzed by using SPSS version 16. The information about each element of quality of care is present as a list of 25 indicators of quality of care each indicator specifies a percentage, mean or SD. Among 100 clients with 0.05 margin of error and 95% Confidence level (Zα/2). Majority of the clients were satisfied with the services of the facility. (40.27%) of the clients would like to have next child after >5 years while the mean age of the youngest child was 11.77 months with Standard deviation SD of 9.850. Majority of the clients (57%) choose Intra Uterine Contraceptive Device (IUCD) after consultation and 62.50% want to change their method. Non-availability of IEC material on FP was another problem. Rate of discontinuation is higher among women who have not been adequately counseled about side effects. It is concluded from this research study that the information provided to the clients were inadequate, this might be due to provider’s improper training and poor interpersonal communication and technical skills.

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Exercise leads to physical stress, A cross sectional study of Karachi – Pakistan

Muzna2, Sadaf Ahmed1,2, Shamoon Noushad1 & Amara Farooq2

  1. Advance Educational Institute & Research Centre
  2. Psychophysiology Research Lab – University of Karachi

Abstract

Exercise has many health benefits but also exercise is a stress situation for which the body must find a new dynamic equilibrium. If workout is performed beyond the limitations than it may disturb normal body homeostasis and results in stress. The basic objective behind this study was to evaluate the relation between Physical activities & Physical Stress. A cross sectional study was conducted to evaluate physical stress during exertion. All the subjects were randomly selected from Arts, Science, Commerce, Engineering & Pharmacy faculty of Karachi University. Serum cortisol, a potential biomarker evaluating stressed condition and finding a correlation with stress scores noted by using sadaf stress scale showed high intensity of stress while other results showed that around 41 percent participants were severely affected with physical stress during performance.

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volume 3 issue 3