Aim: To know about the prevalence, characteristic and nature of near miss events and to relate the nature of near miss events with that of maternal mortality. Study design: Descriptive cross sectional study Place and duration of study: Department of Obstetrics & Gynecology Unit IV, LUMHS Jamshoro from 1st January 2020 to 31st December 2020 Methodology: Pregnancy outcomes segregated into maternal death, near-miss event, or live birth categories. Age, level of education, religion, and residence were socio demographic variables. Obstetrics characteristics and nature of maternal near-miss events also studied. Result: The prevalence of maternal near-miss event was 5.6%, and the maternal near-miss events were seen more in multigravida, pregnant women with the lack of antenatal care in referral cases. Live birth as fetal outcome was 75%. The maternal death to near-miss ratio in this study was 1:5. 44 (42.3%) postpartum haemorrhage and 28 (26.9%), hypertensive disorders cases were leading cause of maternal near-miss events. Conclusion: Every fifth women who survived life-threatening complications, one died. Maternal near-miss should be adopted as an indicator for evaluating maternal health services. Keywords: Maternal near-miss (MNM), Maternal mortality, Life-threatening complication
Aim: To assess the pattern of firearm injuries and different effecting factors based on gender in Hyderabad, Sindh, Pakistan. Study Design: Retrospective and descriptive Place and duration of study: Depart. Forensic Medicine & Toxicology, BMC LUMHS Jamshoro 01-01-2017 to 31-12-2019. Methodology: Three hundred and nineteen autopsies based on purposive sampling method were revealed the death due to firearm injuries. The demographic information, pattern of death due to firearm and which part of body involved based on variables. Results: There were 267 males and 52 were females and 95 firearm autopsies were between 31 to 40 years. It was revealed that in 38 autopsies, head was involved, 78 autopsies chest was involved, 76 autopsies abdomen was involved while 267 were from homicidal. Moreover, the cause of death due to firearm in maximum patients was hemorrhage followed by septicemia in 106 autopsies. According to gender wise, 38 autopsies involved head part 30 were male and 8 were female, 78 autopsies involved chest part 65 were male and 13 were female, 76 autopsies involved abdomen part 66 were male and 10 were female. Conclusion: The high impact on the health care setups of country, which needs the immediate attention. The firearm injuries have an impact on young and older adult population. Key words: Firearm injury, Gender, Age
Aim: To determine prevalence of workplace bullying and its effects on doctors at LUMHS Jamshoro. Study design: Cross sectional survey. Place and duration of study: Liaquat University of Medical & Health Sciences Jamshoro from 1stJanuary 2021 to 31stMarch. Methodology:Seventy five postgraduate residents, house officers and medical officers were selected randomly, all were interviewed by questionnaire. Questions were asked regarding any incident of bullying, aggression, violence, and harassment during hospital duty hours. Which behavior they faced and what was the reason of that behavior; asked from participants. The data was entered and analyzed using the SPSS 22. Results: Seventy four (98.66%) were females and 1(1.33%) was male with mean age of 27.3±4.7 years. 51 [68%] have been subjected to being bullied. Main source of harassing was by administration in 12%, faculty in 34.66%, senior colleagues in 42.66% colleagues 16%, paramedics15%, and patient’s attendants in 13%. Effects noticed on personality/ behavior were sadness in 41.33%, aggression 32%, confrontation change in sleep 12%, health complaints in headache/ palpitations 34.66%, loss of interest in activities 41.33%, poor performance at work 18.66%, lack of confidence 46.66%, fear to go to work place 20% and avoiding bullier in 29.33%. Conclusion: Prevalence of bullying was 68% among health care professionals interviewed in this study. Violence towards medical caretakers is expanding day by day.Serving in safe and healthy surroundings is the basic right of every health care worker to take healthy decisions to give quality patient care. Keywords: Bullying, harassment, Violence, Doctors, Heath care worker
The major aim of this study was to assess the knowledge, attitude and practice of numerous risk factors of cardio vascular disease among the local population of Sukkur district. Embracing of western culture and quick conversion of rural areas into urbanization leads to enhance the cardio vascular burden on the population of modern world. Developing countries has not enough medical facilities to overcome the burden of Cardio vascular Disease (CVD) and it is co-related with education and awareness about the cardiac disease. Descriptive Crossectional study was carried out at National Institute of Cardio Vascular Disease (NICVD) Sukkur for the period of 06 months from July 2020 to December 2020. Total 186 patients were included in the study and the selection criteria for study subjects was depends on the different factors such as patients, who had admitted in the hospital for more than 03 days with positive Troponin T and disturbed ECG reports. A well designed questionnaire was used for the collection of demographic and clinical data from the patients regarding research. From the obtained data 123 were male patients and area of residency of mostly patients was rural areas. 39 patients complain about chest pain, 74 about shoulder pain, 44 had severe headache and 29 were presented with cardiac arrest. 109 patients were diagnosed with hypertension, 34 had Diabetes Mellitus, 26 had gastric issues. Trop T test was positive among 91 patients, 109 had disturbed ECG. 64 patients were aware about various risk factors of CVD. In our research it was concluded that people of interior Sindh were unaware of modifiable risk factor for cardiovascular disease when presented with heart problem, most of the population even couldn’t identify the obesity, physical exercise, heavy diets and smoking as major reversible risk factors for CVD. Mass counseling and seminar should be conducted from time to time in order to overcome the raising issues of cardio vascular disease and its risk factors.
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