Context: Bullying is an emerging serious problem in schools worldwide resulting in physical and mental health problems in victimized children. Teachers play a critical role in identifying the acts of bullying, assisting the children who are victimized, linking up with healthcare providers for managing physical and emotional consequences of bullying, as well as managing bullying at school. Aims: To determine teachers’ knowledge regarding bullying among secondary school children. Settings and Design: A cross-sectional study conducted in five public and five private schools of Jamshed Town, Karachi, Pakistan. Methods and Materials: The study continued from October 2012 to February 2013. Stratified random sampling was used to select teachers. Data were collected through a pre-piloted structured questionnaire. Statistical Analysis Used: Data were analyzed using the SPSS v19.0. Descriptive analysis was done by calculating frequencies and percentages of the categorical variables such as teacher's age, educational level, and presence of adequate knowledge regarding bullying. The outcome variable of interest was knowledge about bullying. Results: Almost half of the153 teachers ( n = 82, 53.6%) lacked adequate knowledge about bullying in school children. A statistically significant association was present between knowledge of bullying with gender ( P -value = 0.02), educational level of the teachers ( P -value = 0.05), years of teaching experience ( P -value = 0.04), and educational training of teachers ( P -value = 0.01). Conclusions: More than half of the teachers were deficient in their knowledge about bullying in school children
Covid 19 pandemic brought many challenges for public and healthcare workers. Healthcare workers all around the world are at the heart of this dreadful situation. While providing critical care to Covid 19 patients, they have faced many clinical as well as ethical dilemmas. The novelty and profound uncertainty associated with the clinical course of the disease introduced a dimension to the context of ethical dilemmas faced in clinical practice.
Mayer-Rokitansky-Kuster-Hauser Syndrome is a rare condition in which Müllerian system does not develop and ends up with rudimentary upper vagina and the uterus. As compared to normal physiology of the ovaries and puberty, the patients present with primary amenorrhoea a key clinical symptom. However, the exact aetiology of the disease is still unknown. A few reports considered environmental and epigenetic changes, hormonal imbalance, and cellular receptor abnormalities as possible risk factors associated with the disease. This case was reported at the Department of Family Medicine, The Indus Hospital, Karachi. A 24-year-old woman, married for eight months, presented with primary amenorrhoea and painful intercourse. Upon detailed clinical evaluation and relevant radiological and diagnostic investigation, an assessment, of Mayer-Rokitansky syndrome was made. Keywords: Primary Amenorrhoea, Mullerian agenesis, Mayer-Rokitansky-Kuster- Hauser Syndrome.
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