Silenced Voices: Healthcare Needs of Children With Disabilities in Pakistan

Asim, Muhammad

doi:10.55519/jamc-03-11058

Cited by 9 publications

(13 citation statements)

References 12 publications

(13 reference statements)

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“…26 Unfortunately, this was not reported in half of the studies included, and it might have unexpectedly influenced the investigations' conclusions. 28 The same is true for components of patients' medical histories, such as bruxism and past TMJ disorders, [29][30][31][32][33][34][35] which were also underreported in the included study. More than half of the studies did not specify pre-existing temporomandibular joint dysfunction (TMD) as an exclusion criterion.…”

Section: Discussionmentioning

confidence: 87%

“…This is especially true for midface fractures due to the need to restore ramus height 26 . Unfortunately, this was not reported in half of the studies included, and it might have unexpectedly influenced the investigations' conclusions 28 . The same is true for components of patients' medical histories, such as bruxism and past TMJ disorders, 29–35 which were also underreported in the included study.…”

Section: Discussionmentioning

confidence: 99%

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Conservative treatment of temporomandibular joint condylar fractures: A systematic review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions

Franco

Minervini

Blasio

et al. 2023

J of Oral Rehabilitation

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The majority are caused less by direct trauma and more by indirect pressures from another blow given to the condyle. Therefore, mandibular condylar fractures (MCFs) are the most overlooked.MCFs have a distinctive position in oral and maxillofacial surgery because, although frequently obtaining positive initial clinical outcomes, substantial late complications, including discomfort, reduced mandibular mobility, muscle spasm and mandibular deviation, malocclusion, and pathological alterations in the temporomandibular joint (TMJ), including such asymmetry, ankyloses, have been reported. 1 These fractures are treated primarily with surgical and non-surgical techniques (functional). In the past, physiotherapy was followed with maxillomandibular fixation (MMF). MMF united with physiotherapy was the gold standard for treating MCFs without surgery.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Conservative treatment of temporomandibular joint condylar fractures: A systematic review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions

Franco

Minervini

Blasio

et al. 2023

J of Oral Rehabilitation

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“…The final sample size which was included in the study was n=362 after deleting missed data and poorly filled forms. Number of participants required for inclusion in the sample is based upon a previous household study conducted upon the elderly (12) The data was collected through a questionnaire based survey by face to face interviews by primary investigator and three trained data collectors. It consisted of three parts: sociodemographic profile, quality of life and morbidities.…”

Section: Methodsmentioning

confidence: 99%

Multimorbidity and Quality of Life among Geriatric Population of Karachi Pakistan

Danish¹,

Ahmad²,

Fahad³

et al. 2023

PJMHS

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Objective: To determine association of quality of life and multimorbidity among geriatric population of Karachi Pakistan Methods: It was a cross sectional study conducted in district of Karachi district using cluster sampling technique. Sample had greater than 60 years of age restricting those with mental disorders, speech disorders or language barriers. Sample size was n=362. Data was collected using WOHQOL-BREF with four domains, social relationships, psychological health, physical health and environment domain. Data was collected by face to face interviews after informed consent keeping information confidential. p-value less than 0.05 was considered significant. For numerical data descriptive analysis was used and categorical data was expressed by frequency and percentages using SPSS version 24. Odds ratio was used to find association of multimorbidty and quality of life Results: Of total n=90 (25%) participants had none or single disease, with multimorbidity in n=272 (75%) participants. Most n=165 (46%) had hypertension, Diabetes was present in n=56 (16%). Bones and joints in n=133 (38%), Obesity in n=80(22%). Most n=144 (40%) rated their life quality as good, n=30 (8.3%) as very good, n=57 (15.5%) rated their quality of life as poor, n=3 (0.8%%) rated it very poor and remaining n=128(35.4%) were in between. Mean scores of Environmental domain had highest score then physical health, psychological domain and least for social domain. When association was seen in multimorbidity and life quality Environment domain displayed significant association with OR: 1.9 ( p value 0.009).In Environment and Social domain majority were found to be satisfied. Conclusion: Significant association was seen between Multimorbidity and Enviornmental domain in Quality of life. Keywords: Multimorbidity, Quality of life, Geriatrics

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“…This is especially true for patients from lower-income countries, who bear the burden of out-of-pocket expenses for better quality health services from the private sector [34]. Though public sector healthcare services are labelled as free, there are other nancial burdens associated with seeking care such as expense for transport, medication, and in-patient care [35]. The Health Belief Model also elaborates on how the ability to cope with illness [36] and mental health [37] in uences health-seeking behaviors of patients.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Predictors for Health-seeking Behavior in Patients with Chronic Liver Disease: A Cross-Sectional Study from Pakistan

Jafree

Naveed

Ahsan

et al. 2023

Preprint

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Background Pakistan has one of the highest rates of chronic liver disease (CLD) burden in the world. Poor and underserved patients of CLD in the country may suffer from limited health-seeking behaviors, but there is not much research in this area. The aim of this study is to identify the factors influencing health-seeking behaviors in CLD patients to better plan support for these patients. Methods We conducted a cross-sectional study. Data was collected over a four-month period from May 2022 to August 2022. A total of 850 patients visiting the Pakistan Kidney and Liver Institute and Research Centre were part of the study. We used correlation tests and multivariate logistic regression to investigate the relationship between the health-seeking behavior and the independent study domains (economic stability, health literacy, social support, experiencing grief, mental health, healthcare service quality, and coping strategies). Results Main results suggest that patients with hepatocellular carcinoma, non-viral liver disease, and cirrhosis have less health-seeking behavior, compared to patient with chronic viral hepatitis. Multivariate logistic regression results reveal that the following groups have lower odds for health-seeking behavior: (i) illiterate people; (ii) those living in rented homes; (iii) those belonging to nuclear families; and (iv) those with low monthly household income. The following study domains also show lower odds for health-seeking behavior: (i) health illiteracy; (ii) low health service quality; (iii) low ability to use coping strategies; (iv) grief; (v) lack of social support; (vi) mental health challenges; and (vii) economic instability. Conclusions Our study highlights that the majority of CLD patients are poor, illiterate, or semi-literate and in urgent need of holistic care with respect to health literacy, mental health counseling, financial help, and improved support from provider and families. This is only possible through the integration of social policy officers and social workers in the tertiary health sector of the country.

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Silenced Voices: Healthcare Needs of Children With Disabilities in Pakistan

Cited by 9 publications

References 12 publications

Conservative treatment of temporomandibular joint condylar fractures: A systematic review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions

Conservative treatment of temporomandibular joint condylar fractures: A systematic review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions

Multimorbidity and Quality of Life among Geriatric Population of Karachi Pakistan

Predictors for Health-seeking Behavior in Patients with Chronic Liver Disease: A Cross-Sectional Study from Pakistan

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