INTERNATIONAL JOURNAL OF ENDORSING HEALTH SCIENCE RESEARCH
Volume 4 Issue 1 March 2016
Factors affecting child gender desirability
Aatir H. Rajput1, Tanzeela Baloch1&2, Sidra Humayoon1&2 and Muhammad Muneeb1
1LUMHS Research Forum 2Liaquat University of Medical & Health Sciences, Jamshoro
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Objective To evaluate the dynamics influencing child’s gender desirability among expecting females and ascertain the major determinants. Methodology This cross-sectional, observational study included 100 pregnant females, chosen via simple random sampling, at the OBGYN outpatient department of the Liaquat University Hospital, Hyderabad. Data was collected via structured interview based questionnaires from 1st December 2014 to 10th February 2015 after taking the verbal informed consent. SPSS v. 19.0 and Microsoft Excel were used to analyze the obtained data. Results Four main aspects were observed to affect the child gender desirability by the parents, namely the family structure of the expecting mother, socioeconomic circumstances of the expecting mother, locality of the expecting mother and the order of the expected child. The expecting females living in a rural vicinity, having deprived socioeconomic status and a combined family structure have a greater desire for giving birth to a male child. Furthermore, they also desire their first 3 children as a minimum to be born a male child. Conclusion On the roots of our results it has been accomplished that the desire of having a male child is a social taboo of our people and society and it has been recognized as one of the key reasons of domestic cruelty and brutality on women breathing in our society. This matter requires appropriate direction, advice, guidance and counseling.
Tourette’s Syndrome; Is there a causal link to Violence?
Mehboob Yaqub1, Yasir Akbar2 & Santosh Bangar3.
1Higher Specialty Trainee (ST6) General Adult Psychiatry (UK)
2Locum Specialty Doctor Acute Medicine (UK)
3Locum Consultant Psychiatrist Old Age Psychiatry (UK)
Corresponding Author Email: firstname.lastname@example.org
A narrative review of current literature was carried out to see whether Tourette’s syndrome is a cause of violence among patients. Two internet based resources were searched and seventeen eligible original studies were included in the review. Majority of the studies demonstrated that Tourette’s syndrome on its own does not cause violence but instead co-morbid conditions like Attention deficit hyperactivity disorder (ADHD) increased the likelihood of violence in patients directed towards self and others.
Effect of exercise on pseudo dilution anemia in healthy male subjects. A comparative study.
Amaila Fazal1 & Faizan Mirza2&3
1Psycho-physiology research lab, Department of Physiology, University of Karachi.
2Department of Physiology, University of Karachi.
3Psycho-physiology research division, AEIRC
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Regular exercise is largely done to have maintained body shape and fitness. It exerts influence on almost all physiological and psychological parameters. One of these is dilutional anemia or sports anemia that is the initial adaptation of body to exercise. The aim of present study was to evaluate the extent of dilutional anemia in healthy males who have been exercising for past three years at least. Randomly selected 40 male subjects from gymnasiums of Karachi were recruited in the study. Peripheral blood was collected pre and post exercise, and tested for hematocrit, hemoglobin concentration and red blood cell count. Increased hemoglobin concentration was observed which is directly related to increased red blood cell count which is inversely proportional to blood plasma level. So, decreased plasma level is the possible cause that pseudo dilution anemia was not observed in males who have been regularly exercising for past three years.
Substance use in youth
Nazish Hussain Ali Pachani
Sigma Theta Tau International and Aga Khan University Hospital, Karachi.
Corresponding Author Email: firstname.lastname@example.org
Youth is the time period of vast exploration and curiosity. Young people begin to explore the world around. They acquire pleasure and satisfaction by carrying out risky behaviors to satisfy their impulse. Substance use is one such action that young people get attraction from certain individual, familial, social and environmental variables. Young people’s past as well as present stressful experience and maladaptive coping style create strong affinity. Diverse researches have favored that pubertal transition, parenting style, family cohesiveness, maternal use, modeling, conditioning, and socialization reflect on youth’s upbringing. It is evident that the substance use is one of the cognitive and behavioral outcome. There is a need to construct a most supportive zone around youth that enables them to broader their horizon of emotional intelligence. As a health care professional, knowledge about all the levels of prevention can aid communities to have an addiction free environment. Individual counselling, family therapy, national and international awareness programs would help in eradicating substance use. Collaborative work of Governmental and Non-Governmental Organizations (NGO’s) would motivate youth to acquire a substance free lifestyle.
Interaction between meropenem and valproate: Not to overlook
Department of Pharmacy Aga Khan University Hospital, Karachi, Pakistan.
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Background Valproic acid is commonly used to treat various types of seizures and follows non-linear pharmacokinetics with a therapeutic range of 50 – 150 ug/ml. Several retrospective studies have reported that concomitant administration of VPA and carbapenem lead to decrease in VPA levels significantly and results in failure of seizure control. Different studies suggest the mechanism of interaction as (i) carbapenem may inhibit the gastrointestinal absorption of VPA (ii) meropenem accelerated the glucuronidation of VPA to VPA glucuronide (VPA-G) and inhibited the hydrolysis of VPA-G back to the VPA thus increasing the clearance of VPA and VPA-G and (iii) due to fast erythrocyte distribution of VPA by carbapenem, VPA levels has been reduced. Purpose To report four cases who were maintained on therapeutic levels of VPA and had sub-therapeutic levels afterward due to the administration of meropenem. Method through CPOE system of AKUH the cases in 2014 were identified who were on valproate-meropenem combination with the available pre and post meropenem valproate levels. Result Patients of different age group showed significant reduction in VPA levels within 48 hour of administration of meropenem. Conclusion This case series describing the clinical importance of this probable drug interaction and promote its awareness among physicians in Pakistan. If a patient was therapeutic on the same dose of valproate and need broad spectrum coverage, a dose adjustment of valproate should not be done and physicians should consider either alternative broad spectrum antibiotic or renaly cleared antiepileptic to avoid this frequently used dangerous drug combination.
Trend of fast food consumption among university girls in Karachi, Pakistan
RLAK Govt. College of Home Economics, Karachi, Pakistan
Corresponding Author Email:firstname.lastname@example.org
Background The present study is aimed at improving the understanding of fast food trend among university girls. Objectives To study the trend of fast food consumption among university girls and to find out the association between university girls’ perception regarding the unhealthfulness of fast food and their frequency of eating fast food. Methods A sample size of 50 female university students was selected for data collection through purposive sampling. By using questionnaire method, respondents were asked about their trend of fast food consumption by inquiring about their fast food preferences, their consumption pattern, and their monthly fast food expenditure. Correlation was used to analyze the association between the perception regarding the unhealthfulness of fast food and frequency of eating fast food. Results We found that the most preferred fast food item among university girls was burger (44.7%). The majority of respondents consume fast food at an average of 2-3 times a month (29.8%) and the main reason for their fast food consumption was convenience (55.3%). Among those who infrequently consume fast food, a majority (90%) agreed to the statement that fast food is unhealthful whereas among those who frequently consume fast food, a comparatively low percent (77.7%) agreed to the statement. Through correlation, we observed no association between all of the asked perceptions regarding fast food and frequency of fast food consumption among university girls (p >0.05). Conclusion The overall results showed that university girls’ perception regarding the unhealthfulness of fast food does not necessarily affect their frequency of fast food consumption.
Obesity as a noticeable cause of physical stress; a study on relationship of physical exertion and cardiovascular parameters
Ammara Farooq2, Muzna Patel2, Sadaf Ahmed1&2 & Shamoon Noushad1
1Advance Educational Institute & Research Center
2Psychophysiology Research Lab, University of Karachi
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Introduction Physical tension is a response to environmental pressures, needs or demands or any vigorous bodily activity leading in altering physiological responses, is counted as physical stress such as aerobics, work outs, injury or aches. It may also count on physical traumas as cuts, burns, sprains, broken bones, surgery etc. In other words physical stress is bodily response to substantial pressures such as exertion, noise, illness or exercises. Methodology The purpose of this study is to observe the severity of physical stress in individuals with respect to their BMI, subjects were assessed pre & post for blood pressure and pulse while Physical stress scores were calculated through Sadaf stress scale (SSS), the data was then analyzed using SPSS 19.0. Results showed that physical stress increases with increased BMI while it also shows significant difference in obese individuals presystolic and pre diastolic with post systolic and post diastolic pressures. Conclusion From this study we conclude that BMI is directly proportional to physical stress. So maintenance of normal body weight is the utmost requirement for healthier life.