This chapter offers a perspective from ethnographic heritage research on the preservation of Buddhist artifacts in the Muslim community of Taxila, Pakistan. While this form of heritage preservation practice and art may be interpreted as paradoxical, we discuss social, institutional, and political factors that are responsible for the revival and continuation of these heritage practices. Through the examination of this case study, we discuss a unique mode of engaging with the negotiation of past and present spiritual identities that resists the assumption that this is a territory of heritage in conflict.
Objective: To study frequency of contributing factors of lumbar puncture refusal in children presented with suspected meningitis. Methodology: In this descriptive cross-sectional study during 2019 to 2020 at Pediatric Department Ghurki Trust Teaching Hospital, Lahore a total of 155 cases of 2 months to 12 years of age who presented with suspected meningitis and refused the procedure were included. They were asked about various contributing factors like fear of side effects, little knowledge of the disease, unsuccessful experience and lack of medical facility. Results: In this study there were total 155 cases. Out of these 84 (54.19%) were males and 71 (45.81%) females. The mean age of the participants was 3.81±2.03 years. Among contributing factors for refusal, most common factor was fear of side effect which was observed in 39 (25.16%), followed by unsuccessful experience seen in 18 (11.61%), lack of medical facility seen in 16 (10.3%) and little knowledge of the disease in 13 (8.39%) of the cases. There was no significant association with any of the contributing factor with variable of this study. CONCLUSION: There are number of factors for refusal of LP and fear of side effect was the most common. There was near significant association of high socioeconomic class with lack of medical facility. Keywords: Lumber puncture, CSF, Medical Facility, Fear
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