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  1. Arsenic enrichment in mangroves, and sediments along Karachi coast, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Rashida Parveen; Erum Zahir; Arshad Fazal Siddiqui

    2013-01-01

    Objective: To assess the arsenic (As) concentration in different parts of mangroves Avicenniamarina and sediments in Karachi coastal area i.e. Korangi Creek , Manora, Kakapir and Sandspit. Methods: Sites are identified for sampling owing to their vicinity to industrial activities. Sandspit is targeted for its being devoid of industries. The hydride generation atomic absorption spectrometry (HG-AAS) were used to analyse the concentration of arsenic in mangrove and sediment.Results:The high concentration of As was found in roots and middle aerial part as compared to the upper part of mangroves. The concentrations of As was found higher in sediments as compared to the mangroves. There is a seasonal variation of As enrichment in mangrove and sediments as dry seasons showed higher concentration while in rainy season dilution factors may be attributed to the low level of As. The concentration variation of As in sampling sites of mangroves and sediments following the trend i.e. Korangi Creek >Manora>Kakapir>Sandspit. The statistical analysis (Two way ANOVA) of data exhibited no significant difference (P>0.05) for trace metals concentrations in mangrove as well as in sediments.Conclusions:It is obvious to conclude that As should be continuously monitored in different environmental segments. The data must correlate with geographical distribution of As, quantification in different species, their solubility and bioavailability to understand the possible factors responsible for environmental pollution. The present study will be helpful to improve water management resources.

  2. Arsenic enrichment in mangroves, and sediments along Karachi coast, Pakistan

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    Rashida Parveen

    2013-08-01

    Full Text Available Objective: To assess the arsenic (As concentration in different parts of mangroves Avicennia marina and sediments in Karachi coastal area i.e. Korangi Creek , Manora, Kakapir and Sandspit. Methods: Sites are identified for sampling owing to their vicinity to industrial activities. Sandspit is targeted for its being devoid of industries. The hydride generation atomic absorption spectrometry (HG-AAS were used to analyse the concentration of arsenic in mangrove and sediment. Results: The high concentration of As was found in roots and middle aerial part as compared to the upper part of mangroves. The concentrations of As was found higher in sediments as compared to the mangroves. There is a seasonal variation of As enrichment in mangrove and sediments as dry seasons showed higher concentration while in rainy season dilution factors may be attributed to the low level of As. The concentration variation of As in sampling sites of mangroves and sediments following the trend i.e. Korangi Creek >Manora>Kakapir>Sandspit. The statistical analysis (Two way ANOVA of data exhibited no significant difference (P>0.05 for trace metals concentrations in mangrove as well as in sediments. Conclusions: It is obvious to conclude that As should be continuously monitored in different environmental segments. The data must correlate with geographical distribution of As, quantification in different species, their solubility and bioavailability to understand the possible factors responsible for environmental pollution. The present study will be helpful to improve water management resources.

  3. Diets of Halfbeak Hemiramphus lutkei (Valenciennes, 1847) from Karachi Coast, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Sadaf Tabassum; Farzana Yousuf; Naeema Elahi; Md Mosaddequr Rahman; Md Yeamin Hossain

    2014-01-01

    Objective: To investigate the diets of the Lutke’s halfbeak, Hemiramphus lutkei (H. lutkei) to determine the food and feeding habits. Methods:Samples of H. lutkei were collected from the landing sites of Karachi Coast, Pakistan. Total length was measured to the nearest 0.01 cm using digital slide calipers, and total body weight was measured using an electronic balance with 0.01 g accuracy. The dietary composition was determined from gut content examination and analysis was done using frequency of occurrence and numerical methods. To assess the changes in diet with size, H. lutkei were divided into two size groups, Group 1:14-20 cm (n=250) and Group 2:21-25 cm (n=160). Results:The total length and body weight of the sampled specimens ranged from 14 to 25 cm and 10 to 23.5 g, respectively. Out of the studied specimens, 45.12%fish stomachs were found to be empty. Dietary composition revealed daphnia, small fish, isopods, unidentified animal materials, ostracods and unidentified plant materials in the gut contents of Lutke’s halfbeak. Therefore, H. lutkei is omnivore fish feeding on algae, zooplankton, small fishes and different food items of both plant and animal origin. According to the Schoener overlap index (C), there was no significant difference in feeding of the two length groups of H. lutkei (C=0.833). On the other hand, the Shannon-Wiener index showed that the prey diversity of the Lutke's halfbeak in Group 1 was lower (H/=1.545) than that of Group 2 (H/=1.653). Conclusions:This study reports the first description of diets for H. lutkei, which would be useful for the sustainable management of this fishery in the coast of Pakistan and also neighboring countries.

  4. Diets of Halfbeak Hemiramphus lutkei (Valenciennes, 1847 from Karachi Coast, Pakistan

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    Sadaf Tabassum

    2014-02-01

    Full Text Available Objective: To investigate the diets of the Lutke’s halfbeak, Hemiramphus lutkei (H. lutkei to determine the food and feeding habits. Methods: Samples of H. lutkei were collected from the landing sites of Karachi Coast, Pakistan. Total length was measured to the nearest 0.01 cm using digital slide calipers, and total body weight was measured using an electronic balance with 0.01 g accuracy. The dietary composition was determined from gut content examination and analysis was done using frequency of occurrence and numerical methods. To assess the changes in diet with size, H. lutkei were divided into two size groups, Group 1: 14-20 cm (n=250 and Group 2: 21-25 cm (n=160. Results: The total length and body weight of the sampled specimens ranged from 14 to 25 cm and 10 to 23.5 g, respectively. Out of the studied specimens, 45.12% fish stomachs were found to be empty. Dietary composition revealed daphnia, small fish, isopods, unidentified animal materials, ostracods and unidentified plant materials in the gut contents of Lutke’s halfbeak. Therefore, H. lutkei is omnivore fish feeding on algae, zooplankton, small fishes and different food items of both plant and animal origin. According to the Schoener overlap index (C, there was no significant difference in feeding of the two length groups of H. lutkei (C=0.833. On the other hand, the Shannon-Wiener index showed that the prey diversity of the Lutke's halfbeak in Group 1 was lower (H/ =1.545 than that of Group 2 (H/ =1.653. Conclusions: This study reports the first description of diets for H. lutkei, which would be useful for the sustainable management of this fishery in the coast of Pakistan and also neighboring countries.

  5. Metal pollution and ecological risk assessment in marine sediments of Karachi Coast, Pakistan.

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    Mashiatullah, Azhar; Chaudhary, Muhammad Zaman; Ahmad, Nasir; Javed, Tariq; Ghaffar, Abdul

    2013-02-01

    Concentrations of 12 metals (Fe, Mn, Cr, Mo, Ni, Pb, Se, Sr, U, V, Zn, and Zr) in surface sediments of Karachi Coast, Pakistan were determined to evaluate their distribution and pollution assessment. The measured metals in the sediments were found to be in the range of Fe, 0.84-6.96 %; Mn, 300-1,300 μg/g; Cr, 12.0-319.84 μg/g; Mo, 0.49-2.03 μg/g; Ni, 1.53-58.86 μg/g; Pb, 9.0-49.46 μg/g; Se, 0.25-.86 μg/g; Sr, 192-1185 μg/g; U, 0.19-1.66 μg/g; V, 15.80-118.20 μg/g; Zn, 15.60-666.28 μg/g; and Zr, 44.02-175.26 μg/g. The mean contents of the metal studied were: Fe, 3.07 %, Mn, 0.05 %; Cr, 96.75 μg/g; Mo, 1.34 μg/g; Ni, 31.39 μg/g; Pb, 23.24 μg/g; Se, 0.61 μg/g; Sr, 374.83 μg/g; U, 0.64 μg/g; V, 61.75 μg/g; Zn, 204.75 μg/g; and Zr:76.27 μg/g, and arrangement of the metals from higher to lower mean content in this area is: Fe > Zn > Mn > Sr > Zn > Cr > Zr > V > Ni > Pb > Mo > U > Se. There is no significant correlation among most of these metals, indicating different anthropogenic and natural sources. To assess ecotoxic potential of marine sediments, Numerical Sediment Quality Guidelines were also applied. The concentration of Pb in all the sediments except one was lower than the threshold effect concentration (TECs) showing that there are no harmful effects to marine life from Pb. On the other hand, the concentrations of Cr, Ni, and Zn exceeded TEC in three stations, indicating their potential risk. The degree of pollution in sediments for metals was assessed by calculating enrichment factor (EF) and pollution load index (PLI). The results indicated that sediments of Layari River Mouth Area, Fish Harbour, and KPT Boat Building Area are highly enriched with Cr and Zn (EF > 5). Sediments of Layari River Outfall Zone were moderately enriched with Ni and Pb (EF > 2). The pollution load index was found in the range of 0.98 to 1.34. Lower values of PLI (≤ 1) at most of sampling locations imply no appreciable input from anthropogenic sources. However

  6. Temporal variations of mesozooplankton abundance and biomass in the mangrove creek area along the Karachi coast, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Farah Naz; Naureen Aziz Qureshi; Noor Us Saher

    2014-01-01

    The temporal variations of mesozooplankton abundance and biomass (1-Volumetric method by settling volume and displacement volume and 2- Gravimetric method through wet weight, dry weight and ash-free dry weight) with relation to environmental parameters were studied in the mangrove creek area of Karachi coast, Pakistan. The data of mesozooplankton samples along with environmental parameters (temperature, salinity, pH, etc.) were collected during January 1998 to December 1998 from two creek stations. The abun-dance of mesozooplankton also exhibited seasonal trends at both stations. At Sta. S2, the highest and low-est abundance values were observed during post-monsoon and southwest monsoon respectively whereas, at Sta. S1, a clear trend of high abundance in pre-monsoon to low abundance in southwest monsoon was observed. Mesozooplankton abundance was also positively correlated with settling volume, displacement volume, wet weight and dry weight. The highest biomass value was observed in the northeast monsoon and pre-monsoon periods. The results of the canonical analysis of the output from the discriminate function was tested. Out of fifteen variables, only one was significantly different in single character ratios dry weight/ash free-dry weight (F3,23=4.78,P<0.005). The mesozooplankton community was collectively composed of 28 taxa. Among these groups, copepoda (66.3%), gastropod larvae (9.94%), evadne (4.60%), zoea (3.60%), cypris nauplii (2.56%), lemellibranch larvae (1.87%), chaetognaths (1.81%), ostracods (1.73%), lucifer (1.15%) and barnacles nauplii (1.35%) contributed the most to the similarities within Sta. S1, while copepoda (74.68%), cypris nauplii (5.29%), gastropods (4.87%), barnacles nauplii (4.81%), evadne (1.72%), zoea (1.53%) and ca-ridean larvae (1.18%) at Sta. S2. The remaining mesozooplanktonic group were accounted for less than 5% and 6% at Sta. S1 and Sta. S2 respectively, of the total organisms. Similarity percentage (SIMPER) analysis revealed

  7. Primary amebic meningoencephalitis caused by Naegleria fowleri, Karachi, Pakistan.

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    Shakoor, Sadia; Beg, Mohammad Asim; Mahmood, Syed Faisal; Bandea, Rebecca; Sriram, Rama; Noman, Fatima; Ali, Farheen; Visvesvara, Govinda S; Zafar, Afia

    2011-02-01

    We report 13 cases of Naegleria fowleri primary amebic meningoencephalitis in persons in Karachi, Pakistan, who had no history of aquatic activities. Infection likely occurred through ablution with tap water. An increase in primary amebic meningoencephalitis cases may be attributed to rising temperatures, reduced levels of chlorine in potable water, or deteriorating water distribution systems.

  8. Information Needs of Media Practitioners in Karachi, Pakistan

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    Munira Nasreen Ansari

    2012-06-01

    Full Text Available This study explores the kind of information generally needed by media practitioners (MPs in Karachi, Pakistan to perform the duties. 185 MPs from three types of media (TV, radio and newspaper were surveyed. Reports of various organizations are the most used source of information. MPs need selective, rather than exhaustive, information on a daily basis. The findings of this study could help design library services and need-based collection development in media libraries.

  9. Predictors of diarrheal mortality and patterns of caregiver health seeking behavior in in Karachi, Pakistan

    National Research Council Canada - National Science Library

    Qamar, Farah Naz; Zaman, Umber; Quadri, Farheen; Khan, Asia; Shaikh, Babar Tasneem; Azam, Iqbal; Nasrin, Dilruba; Kotloff, Karen; Levine, Myron; Brown, Nick; Zaidi, Anita K M

    2016-01-01

    .... To explore factors associated with diarrheal deaths we assessed care-seeking behavior and other predictors of diarrhea-related mortality in children in selected low-income peri-urban communities of Karachi, Pakistan...

  10. Risk factors for secondary infertility among women in Karachi, Pakistan.

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    Neelofar Sami

    Full Text Available BACKGROUND: Secondary infertility in developing countries is mostly attributable to blockage of the fallopian tubes due to adhesions caused by reproductive tract infections. There is a dearth of information on the prevalence and causes of secondary infertility from Pakistan. This paper presents results on factors associated with secondary infertility among married women in Karachi, Pakistan. METHODS: A matched case-control study was conducted. Cases were women aged 15-35 years with history of at least one previous conception and currently seeking treatment for secondary infertility. Controls were women residing in the neighborhood of cases with at least one live birth and not taking treatment for secondary infertility. The age of controls was matched by ±5 years to that of cases. Data was collected from June to August 2003. Conditional logistic regression was used to determine crude and adjusted odds ratios (OR with corresponding 95% confidence intervals (CI for factors associated with secondary infertility. RESULTS: The final multivariate logistic regression model revealed that after adjusting for age, cases were more likely to be the housewives (AOR = 2.6, 95% CI:1.5-4.4, had used inappropriate material to absorb blood during menstruation (AOR = 9.0, 95% CI: 5.0-16.4, and at their last delivery, had a birth attendant who did not wash hands with soap and water (AOR = 3.0, 95% CI: 1.4-5.7. Moreover, women with secondary infertility were more likely to report current or past history of having STI symptoms (AOR = 3.6, 95% CI: 2.4-5.6 and use of intra-vaginal indigenous medicines during their last post-partum period (AOR = 3.1, 95% CI: 1.6-5.7. CONCLUSION: We recommend health education and awareness messages for safe practices during menstruation, delivery, and the postpartum period for women in general. Additionally, sanitary napkins should be made available at an affordable cost, and safe delivery kits should contain

  11. Menstrual Knowledge and Practices of Female Adolescents in Urban Karachi, Pakistan

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    Ali, Tazeen Saeed; Rizvi, Syeda Naghma

    2010-01-01

    Menstruation is a normal physiological process that is managed differently according to various social and cultural understandings. Therefore, this cross-sectional study was conducted to explore the menstrual practices among 1275 female adolescents of urban Karachi, Pakistan from April to October 2006 by using interviews. Data was entered and…

  12. A systematic approach of tracking and reporting medication errors at a tertiary care university hospital, Karachi, Pakistan

    OpenAIRE

    2008-01-01

    Khurshid Khowaja1, Rozmin Nizar1, Rashida J Merchant2, Jacqueline Dias3, Irma Bustamante-Gavino4, Amina Malik11Division of Nursing Services, 2Nursing Education Services, 3Diploma Programme, Nurudin Jivraj Professorship of Nursing, Aga Khan University, Karachi, Pakistan; 4The Ahmed Shivji Professorship of Nursing, The Aga Khan University School of Nursing, Karachi, PakistanIntroduction: Administering medication is one of the high risk areas for any health professional. It is a multidisciplinar...

  13. Impact of terrorism on health and Hospital Anxiety Depression Scale screening in medical students, Karachi, Pakistan.

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    Nasim, Sara; Khan, Mahjabeen; Aziz, Sina

    2014-03-01

    To determine the association of terrorism with psychiatric morbidity by Hospital Anxiety Depression scale among medical students in Karachi, Pakistan. The questionnaire based cross-sectional survey was conducted from February to March 2011 and comprised students of the Institute of Physical and Medical Rehabilitation and the Dow Medical College, Dow University of Health Sciences, Karachi. The study tool was a validated Hospital Anxiety Depression scale questionnaire. The data was analysed on SPSS 16. Factor analysis was performed to check which factors had the most influence. Overall there were 1036 respondents. The impact of terrorism on physical, social and mental health was 40 (3.9%), 178 (17.2%) and 818 (79%) respectively. There was an association of terrorism in 980 (84.6%) respondents with psychiatric morbidity. There was an association of terrorism with psychiatric morbidity in majority of respondents. The significant risk factors were age, gender, physical, mental and social health and the desire to live in Pakistan.

  14. Retention Strategies to Increase Organizational Commitment and Reduce Employee Turnover in Hospitality Sector of Karachi, Pakistan

    OpenAIRE

    Shaikh, Taha; Zahid, Marium

    2016-01-01

    This study aims to explore the relationship between retention strategies and employee turnover. In addition to that, the effectiveness of these strategies to enhance organizational commitment of employees working in the hospitality sector (fast-food chain) of Karachi, Pakistan. The study considered five decades of managerial literature to explain the relationship between variables. Semi-structured matrix based survey questionnaire and open-ended unstructured interview questions as researc...

  15. ICT Skills Proficiency of Library Professionals: A Case Study of Universities in Karachi, Pakistan

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    Munira Nasreen Ansari

    2013-12-01

    Full Text Available The purpose of this study is to investigate the information and communication technology proficiency of the library professionals at the universities in Karachi, Pakistan as well as to find out their software development, system analysis, and design skills. The findings of this study can be utilized in the design of training programs and refresher courses and also in the evaluation of librarians’ training need.

  16. Characterizing the Impact of Extreme Heat on Mortality, Karachi, Pakistan, June 2015.

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    Ghumman, Usman; Horney, Jennifer

    2016-06-01

    Introduction Karachi, Pakistan was affected by a heat wave in June 2015 during the Muslim holy month of Ramadan. Many media reports attributed the excess deaths in part to the practice of daylight fasting during Ramadan. As much of the published research reports on heat-related mortality in Europe and the United States, an exploration of the effects of extreme heat on residents of a South Asian mega-city address a gap in current disaster research. Hypothesis/Problem This report investigated potential risk factors for excess mortality associated with the June 2015 heat wave in Karachi, Pakistan. Data were obtained through manual review of death certificates at public hospitals and private clinics in Karachi, Pakistan, conducted from July 1 through July 31, 2015 by a trained physician. Demographic data for any deaths with a primary cause of death of heat-related illness were recorded in Microsoft Excel (Microsoft Corp.; Redmond, Washington USA). EpiSheet (2012; Rothman. Modern Epidemiology. Lippincott Williams & Wilkins; Philadelphia, Pennsylvania USA) was used to calculate risk differences (RD), rate ratios (RR), and 95% confidence intervals (95% CI). Overall, residents of Karachi were approximately 17 times as likely to die of a heat-related cause of death during June 2015 (RR=17.68; 95% CI, 13.87-22.53) when compared with the reference period of June 2014. Residents with a monthly income lower than 20,000 Pakistani Rupees (US $196; RD=0.03; 95% CI, 0.01-0.05) and those with less than a fifth grade education (RD=0.03; 95% CI, 0.00-0.05) were at significantly higher risk of death during the 2015 heat wave compared to the reference period. Fasting during Ramadan was not a significant risk factor for mortality from heat-related causes during the Karachi heat wave of June 2015. A large number of excess deaths were reported across all demographic groups, which due to the burden of record keeping in an under-resourced health system during a public health emergency, are

  17. Development of Conceptual Framework for Design Improvement in Urban Housing of Karachi, Pakistan

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    Afaq Hyder Chohan

    2011-04-01

    Full Text Available Need of housing and need of quality housing are two issues which remained the subject of research and interest to researchers and designers. It is generally observed that not all designers are fully aware of consequences of their design and only through post occupational survey; the designer usually realizes that what mistakes or bad decisions they have made during design process. Unfortunately, such unforeseen conditions are common in residential building projects in developing regions. This research has identified the causes of design deficiencies and their effects on residential building at the post occupational stage in Karachi Pakistan. In this context housing designs and conditions have been closely monitored and issues of deficient design have been identified. Furthermore, this research has circumscribed the implication of deficient design faced by users of private housing in Karachi. The study has established the criteria that these problems affect users through unplanned maintenance to major repairs, leading to danger of collapse. In order to evaluate these effects on buildings, a case study of private housing projects was conducted in Karachi, a metropolitan city of Pakistan. The collected research data was analysed through SPSS computational software and interpreted to understand the far reaching effects and implications of design deficiencies in the selected site of housing stocks. Based on literature review and findings of research, the study has eventually proposed a conceptual framework for improving design practice.

  18. Understanding unintentional childhood home injuries: pilot surveillance data from Karachi, Pakistan

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    Zia Nukhba

    2012-01-01

    Full Text Available Abstract Background Childhood injuries, an important public health issue, globally affects more than 95% of children living in low-and middle-income countries. The objective of this study is to describe the epidemiology of childhood unintentional injuries in Karachi, Pakistan with a specific focus on those occurring within the home environment. Methods This was a secondary analysis of a childhood unintentional injury surveillance database setup in the emergency department of the Aga Khan Hospital, Karachi, Pakistan for 3 months. The data was collected by interviewing caretakers of children under 12 years of age presenting with an unintentional injury to the emergency departments of the four major tertiary care hospitals of Karachi, Pakistan. Results The surveillance included 566 injured children of which 409 (72% injuries had taken place at/around home. Of 409 children, 66% were males and mostly between 5 and 11 years of age. Injuries commonly occurred during play time (51%. Fall (59%, dog bites (11% and burns (9% were the commonest mechanisms of injury. The majority of the children (78% were directly discharged from the emergency room with predicted short term disability (42%. There were 2 deaths in the emergency department both due to falls. Conclusion Childhood injury surveillance system provides valuable in-depth information on child injuries. The majority of these unintentional childhood injuries occur at home; with falls, dog bites and burns being the most common types of unintentional childhood home injuries. Specific surveillance systems for child injuries can provide new and valuable information for countries like Pakistan.

  19. Evaluation of World View-2 Satellite Data for Mapping Seaweed Beds Along Karachi Coast

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    Danish Siddiqui, Muhammad; Abdullah, Muhammad

    2016-07-01

    INTRODUCTION One of the important components for the coastal system are seaweeds. Seaweed provides numerous ecosystem facilities such as; habitats, fishing nursery grounds, feed production for aquatic biota, and ability to absorb nutrients such as nitrogen and phosphorus and carbon fixation for seawater purification. It's an important coastal resource that has great economic potential due to its utilization in food, cosmetics and industrial products. It also plays an important role in aquaculture and fish breeding. The habitats of many sea species rely on seaweeds for their shelter and food requirements. Seaweed resources are present along Pakistan coastal areas mainly around Karachi shoreline and there exists a potential market for seaweed in the country that is yet untapped. Not only this but the seaweed resources in Pakistan are still unexplored and unmapped. The need to preserve and map seaweed sites along Karachi coast is, cannot be overlooked due to the economic potential of seaweed. To protect marine biodiversity, regular monitoring and mapping of seaweeds are important in order to regulate their growth and their dependent species to maintain their biological associations. The main purpose of this study is to map naturally existing seaweed resources along the Karachi coast and identify the environmental parameters which impact seaweed growth in coastal waters of Karachi using geospatial techniques. To estimate marine resources such as seaweed over a certain area using traditional methods require an extensive amount of labor, cost and time. Remote sensing techniques, on the other hand, offer a good alternative to performing studies on a larger scale using minimum resources as compared to the conventional methods. DATA AND DATA SOURCES WorldView-2 images of 2 meter multispectral and 0.5 meter panchromatic and MODIS (Moderate Resolution Imaging Spectroradiometer) daily composite of Sea Surface Temperature (SST) product of 250 meter resolutions are used in this

  20. Urban Transport and Sustainable Transport Strategies:A Case Study of Karachi, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Intikhab Ahmed Qureshi; LU Huapu

    2007-01-01

    The uncontrolled growth in urbanization and motorization generally contributes to an urban land use and transportation system that is socially, economically, and environmentally unsustainable. This paper uses Karachi as a case study, which is the largest urban and economic centre of Pakistan, passing through an uncontrolled phase of rapid urbanization and motorization. The paper first reviews research related to sustainable transportation systems to comprehend the concept of sustainable development and transportation. The paper then evaluates the existing transportation and infrastructure system, national transportation policies, and urban transportation projects to determine if the current paradigm is moving toward or away from sustainable transportation. Furthermore, the principles for sustainable urban transportation are developed to see what significance national transportation policies have given to urban transportation from a sustainable transportation point of view. Finally some strategies are suggested, adoption of which may lead to a sustainable urban development and transportation system in Karachi.

  1. Journalism 2.0: Journalist View about Media Information Service Trends in Karachi, Pakistan

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    Muhammad Yousuf Ali

    2015-06-01

    Full Text Available Newspapers are one of essential vehicles of information dissemination in modern times. Technological changes have reshaped traditional newspapers into e-newspapers and blogs. Readers’ live comments on news stories directly change the phenomena of news-making and readership. Changing paradigms from paper to paperless environment also create challenges for journalists. This paper analyzed attitudes of journalists towards online published news and feedback. The findings show that journalists in Karachi, Pakistan use Web 2.0 tools very effective for their professional assignments, information gathering, reports and article preparation, and research project for their readers.

  2. Predictors of diarrheal mortality and patterns of caregiver health seeking behavior in in Karachi, Pakistan.

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    Qamar, Farah Naz; Zaman, Umber; Quadri, Farheen; Khan, Asia; Shaikh, Babar Tasneem; Azam, Iqbal; Nasrin, Dilruba; Kotloff, Karen; Levine, Myron; Brown, Nick; Zaidi, Anita K M

    2016-12-01

    Pakistan is unfortunately among the five countries that contributed to the most deaths due to diarrhea and pneumonia in 2010. To explore factors associated with diarrheal deaths we assessed care-seeking behavior and other predictors of diarrhea-related mortality in children in selected low-income peri-urban communities of Karachi, Pakistan. A mixed methods study (qualitative and quantitative) using matched case-control design and focus group discussions with parents of children with moderate to severe diarrhea (MSD) was undertaken. Cases were children  predictors of mortality were assessed. Conditional logistic regression was performed, matched adjusted odds ratios (mOR) are reported. Parents of 77 cases and 154 controls were interviewed. Cases were less likely to receive appropriate care compared to controls (mOR = 0.2, 95% confidence interval (CI) 0.05-0.91). Refusal for hospital admission (OR = 8.9, 95% CI 2.6-30.8), and delays in reaching the health facility (OR = 3.6, 95% CI 1.0-12.9) were significant independent predictors of mortality. We found strong beliefs in traditional and spiritual healing in the population; use of both modern and traditional/spiritual treatments concurrently was common. Appropriate care seeking behavior predicts survival in children with diarrhea in Pakistan. There is a complex belief system relating to traditional and standard therapies. Health education for appropriate health care seeking should be implemented in order to achieve a substantial decline in diarrheal disease mortality in Pakistan.

  3. Pathways to care: duration of untreated psychosis from Karachi, Pakistan.

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    Haider A Naqvi

    Full Text Available BACKGROUND: Substantial amount of time is lost before initiation of treatment in Schizophrenia. The delay in treatment is labelled as Duration of Untreated Psychosis (DUP. Most of these estimates come from western countries, where health systems are relatively better developed. There is dearth of information on pathway to care from developing countries. METHODS AND RESULTS: Patients with ICD-10 based diagnosis of Schizophrenia were enrolled by convenient method of sampling. The pathway to care was explored through a semi-structured questionnaire. Onset, course and symptoms of psychosis were assessed using Interview for the Retrospective Assessment of the Onset of Schizophrenia (IRAOS. Ethical approval of the project was taken from The Aga Khan University, Ethics Review Committee. Of the enrolled 93 subjects, 55 (59% were males and 38 (41% were females. In our sample, 1.56 mean (median, 2 attempts were made prior to successful help seeking. The duration of untreated psychosis was 14.8 months (St. Deviation; 29.4. DUP was 16.8 months (St. Deviation; 34.9 for males and 11.8 months (St. Deviation; 18.9 for females. In the pathway to care, psychiatrists featured prominently as initial care providers. In the first attempt at help-seeking, 43% patients were initially taken to psychiatrists. After the initial consultation, 45% were prescribed psychotropic medication while 7% were hospitalized. Only 9% subjects were given the diagnosis of schizophrenia initially. When participants were inquired about the reasons for delay, 29% reported financial difficulties as the barrier to care. Positive symptoms of psychosis were present in 57% subjects while negative symptoms were present in 30% subjects. There was a statistically significant difference (Chi-square; 7.928, df: 1, Sig 0.005 between DUP and the positive and negative symptoms category. CONCLUSION: In the absence of well developed primary care health system in Pakistan, majority of patients present to

  4. Prevalence of menopause, chronic illnesses and life style of middle aged women in Karachi, Pakistan

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    Sarah Saleem

    2012-10-01

    Full Text Available : Objectives: To determine the prevalence of menopause, chronic illnesses and lifestyle of middle aged women in Karachi, Pakistan. Design: A Cross Sectional survey was conducted among women of 40-60 years living in socio-economically different areas of Karachi. Information was gathered on their current menstrual status, age at menopause, body mass index, exercise habits, weekly recall of food consumed and chronic illnesses. These variables were also examined according to the socio economic status of the area where women reside. Results: A total of 1764 women in age group 40-60 years were interviewed. The prevalence of menopausal women in this age group was 39.3 percent (%. The mean age at menopause was 45.2 (±3.8 years. Only seven percent of women were doing some kind of exercise and approximately eighty percent had their Body Mass Index ≥ 23 kg/m2 according to Asian Standard. Approximately 31 percent (% of women reported eating any type of meat at least four times a week, of these most were from higher income area. Majority consumed meat less than three times a week. Similar pattern was observed for consumption of fruits and milk. Approximately 36 percent (% of women reported diabetes mellitus, hypertension, cardio vascular heart disease and arthritis. Conclusion: The sedentary life style, obesity and chronic illnesses are highly prevalent and are serious emerging public health problem for 40-60 years old women of Karachi. We recommend that awareness about balanced diet, exercise and healthy eating habits should be inculcated in women early in life, where possible through schools and media. Health policies and public health messages should be formulated according to the various stages of life cycle of women, so that women can prepare themselves for the next stage of life.

  5. Monitoring polio supplementary immunization activities using an automated short text messaging system in Karachi, Pakistan

    Science.gov (United States)

    Murtaza, A; Khoja, S; Zaidi, AK; Ali, SA

    2014-01-01

    Abstract Problem Polio remains endemic in many areas of Pakistan, including large urban centres such as Karachi. Approach During each of seven supplementary immunization activities against polio in Karachi, mobile phone numbers of the caregivers of a random sample of eligible children were obtained. A computer-based system was developed to send two questions – as short message service (SMS) texts – automatically to each number after the immunization activity: “Did the vaccinator visit your house?” and “Did the enrolled child in your household receive oral polio vaccine?” Persistent non-responders were phoned directly by an investigator. Local setting A cluster sampling technique was used to select representative samples of the caregivers of young children in Karachi in general and of such caregivers in three of the six “high-risk” districts of the city where polio cases were detected in 2011. Relevant changes In most of the supplementary immunization activities investigated, vaccine coverages estimated using the SMS system were very similar to those estimated by interviewing by phone those caregivers who never responded to the SMS messages. In the high-risk districts investigated, coverages estimated using the SMS system were also similar to those recorded – using lot quality assurance sampling – by the World Health Organization. Lessons learnt For the monitoring of coverage in supplementary immunization activities, automated SMS-based systems appear to be an attractive and relatively inexpensive option. Further research is needed to determine if coverage data collected by SMS-based systems provide estimates that are sufficiently accurate. Such systems may be useful in other large-scale immunization campaigns. PMID:24700982

  6. Assessment of Soil Liquefaction Potential in Defence Housing Authority, Karachi, Pakistan

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    Sumaira Asif Khan

    2017-04-01

    Full Text Available The occurrence of liquefaction phenomenon may be induced in the event of a large magnitude earthquake but sometimes loose, saturated and poorly graded sand may be subjected to liquefaction due to the vibration produced by other sources. Liquefaction could cause damage to building and infrastructure due to sudden increase of pore pressure in the loose layers of saturated sand causing the loss of bearing capacity and shear strength. Defence Housing Authority (DHA is the well planned residential scheme established by Pakistan Army along the coastal belt of Karachi. The soil occurring in DHA is fine grained, poorly graded and mainly comprises of sandy silt and silty sand of Recent age, where water table is encountered at very shallow depth. Hence, it is important to assess the geotechnical behavior of the soil in DHA area, where most of the high rise buildings and mega civil structures are being constructed. In present study, seismic soil liquefaction was evaluated at 15 sites (30 bore holes in DHA by using simplified empirical method in terms of Factor of Safety (FS. The Relative Density (RD was determined with the help of Standard Penetration Test (SPT data. Grain size analysis was also carried out on each borehole samples. The results revealed that the DHA area is vulnerable to liquefaction during severe seismic event of magnitude between 6.5 and 7.5 in Karachi.

  7. Drinking water: a major source of lead exposure in Karachi, Pakistan.

    Science.gov (United States)

    Ul-Haq, N; Arain, M A; Badar, N; Rasheed, M; Haque, Z

    2011-11-01

    Excess lead in drinking water is a neglected source of lead toxicity in Pakistan. A cross-sectional survey in 2007/08 was made of water samples from drinking water sources in Karachi, a large industrial city. This study aimed to compare lead levels between untreated ground water and treated surface (tap) water in 18 different districts. Of 216 ground and surface water samples collected, 86% had lead levels higher than the World Health Organization maximum acceptable concentration of l0 ppb. Mean lead concentration in ground water [146 (SD 119) ppb] was significantly higher than in surface water [77.1 (SD 54) ppb]. None of the 18 districts had a mean lead level of ground or surface water below the WHO cut-off and ground water sources in 9 districts had a severe level of contamination (>150 ppb). Urgent action is needed to eliminate sources of contamination.

  8. Benzodiazepine use among adults residing in the urban settlements of Karachi, Pakistan: A cross sectional study

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    Tharani Ambreen

    2011-08-01

    Full Text Available Abstract Background There are hardly any studies carried out in Pakistan on the usage of benzodiazepines at the level of community. This research was aimed to determine the frequency of benzodiazepine use, along with its associations with socio-demographic and clinical characteristics among community dwelling adults, residing in two urban settlements of Karachi, Pakistan. Methods We performed a cross sectional study from August 2008 to December 2009, in 2 areas of Karachi, namely Garden and Sultanabad. We followed the systematic sampling strategy to randomly select the households, with an adult of either sex and of age 18 years or more. Data collection was carried out through interview, using a pre-tested questionnaire, with items on socio-demographic position, medical history and benzodiazepine use. Student's t-test and χ2 test was employed to determine the associations between socio-demographic and clinical characteristics, and their relationship with benzodiazepine use was determined using applied logistic regression. Results The overall percentage of benzodiazepine consumption was estimated to be 14%. There were significantly more benzodiazepine users in the peri-urban Sultanabad community to the urban community of Garden (p-value = 0.001. The mean age (± SD for users was 51.3 (± 15.6 years compared to 37.1 (± 14.4 years among non-users. Bromazepam was the most widely used benzodiazepine (29%; followed by diazepam, with a median duration on primary use being 144 weeks (IQR = 48-240. The adjusted logistic regression model revealed that increasing age, location, female sex, unemployment and psychiatric consultation were associated with increased likelihood of benzodiazepine use. Conclusion We believe the unregulated over-the-counter sales of benzodiazepines and social conditions might be playing a role in this high consumption of benzodiazepines in the community.

  9. Benzodiazepine use among adults residing in the urban settlements of Karachi, Pakistan: A cross sectional study

    Science.gov (United States)

    2011-01-01

    Background There are hardly any studies carried out in Pakistan on the usage of benzodiazepines at the level of community. This research was aimed to determine the frequency of benzodiazepine use, along with its associations with socio-demographic and clinical characteristics among community dwelling adults, residing in two urban settlements of Karachi, Pakistan. Methods We performed a cross sectional study from August 2008 to December 2009, in 2 areas of Karachi, namely Garden and Sultanabad. We followed the systematic sampling strategy to randomly select the households, with an adult of either sex and of age 18 years or more. Data collection was carried out through interview, using a pre-tested questionnaire, with items on socio-demographic position, medical history and benzodiazepine use. Student's t-test and χ2 test was employed to determine the associations between socio-demographic and clinical characteristics, and their relationship with benzodiazepine use was determined using applied logistic regression. Results The overall percentage of benzodiazepine consumption was estimated to be 14%. There were significantly more benzodiazepine users in the peri-urban Sultanabad community to the urban community of Garden (p-value = 0.001). The mean age (± SD) for users was 51.3 (± 15.6) years compared to 37.1 (± 14.4) years among non-users. Bromazepam was the most widely used benzodiazepine (29%); followed by diazepam, with a median duration on primary use being 144 weeks (IQR = 48-240). The adjusted logistic regression model revealed that increasing age, location, female sex, unemployment and psychiatric consultation were associated with increased likelihood of benzodiazepine use. Conclusion We believe the unregulated over-the-counter sales of benzodiazepines and social conditions might be playing a role in this high consumption of benzodiazepines in the community. PMID:21801457

  10. Association of blood lead (Pb and plasma homocysteine: a cross sectional survey in Karachi, Pakistan.

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    Mohsin Yakub

    Full Text Available BACKGROUND: High blood lead (Pb and hyperhomocysteinemia have been found to be associated with cardiovascular disease (CVD. Mean blood Pb and mean plasma homocysteine levels have been reported to be high in Pakistani population. The objective of the present study was to assess the relationship of blood Pb to the risk of hyperhomocysteinemia in a low income urban population of Karachi, Pakistan. METHODOLOGY/PRINCIPAL FINDINGS: In a cross sectional survey, 872 healthy adults (355 males, 517 females; age 18-60 years were recruited from a low income urban population of Karachi. Fasting venous blood was obtained and assessed for blood Pb and plasma/serum homocysteine, folate, pyridoxal phosphate (PLP, a coenzymic form of vitamin B6 and vitamin B12. The study population had median (IQR blood Pb of 10.82 microg/dL (8.29-13.60. Prevalence of high blood Pb (levels>10 microg/dL was higher in males compared to females (62.5% males vs 56% females; p value=0.05. Mean+/-SD/median (IQR value of plasma homocysteine was significantly higher in the highest quartile of blood Pb compared to the lowest quartile 16.13+/-11.2 micromol/L vs 13.28+/-9.7micromol/L/13.15 (10.33-17.81 micromol/L vs 11.09 (8.65 14.31 micromol/L (p value<0.001. Daily consumption of fruit juice had a positive influence on both levels of plasma homocysteine and blood Pb. Compared with the lowest quartile of blood Pb, the OR for hyperhomocysteinemia was 1.69 (95% CI, 1.00 to 2.85 for the fourth quartile when the model was adjusted for age, gender, folate and vitamin B12. CONCLUSIONS/SIGNIFICANCE: This study showed a relationship between blood Pb and hyperhomocysteinemia in a general population of Karachi, Pakistan. The harmful effect of Pb on cardiovascular system could be due to its association with hyperhomocysteinemia.

  11. Functional Time Series Models to Estimate Future Age-Specific Breast Cancer Incidence Rates for Women in Karachi, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Farah Yasmeen[1; Sidra Zaheer[2

    2014-01-01

    Background: Breast cancer is the most common female cancer in Pakistan. The incidence of breast cancer in Pakistan is about 2.5 times higher than that in the neighboring countries India and Iran. In Karachi, the most populated city of Pakistan, the age-standardized rate of breast cancer was 69.1 per 100,000 women during 1998-2002, which is the highest recorded rate in Asia. The carcinoma of breast in Pakistan is an enormous public health concern. In this study, we examined the recent trends of breast cancer incidence rates among the women in Karachi. Methods: We obtained the secondary data of breast cancer incidence from various hospitals. They included Jinnah Hospital, KIRAN (Karachi Institute of Radiotherapy and Nuclear Medicine), and Civil hospital, where the data were available for the years 2004-2011. A total of 5331 new cases of female breast cancer were registered during this period. We analyzed the data in 5-year age groups 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75+. Nonparametric smoothing were used to obtained age-specific incidence curves, and then the curves are decomposed using principal components analysis to fit FTS (functional time series) model. We then used exponential smoothing statspace models to estimate the forecasts of incidence curve and construct prediction intervals. Results: The breast cancer incidence rates in Karachi increased with age for all available years. The rates increased monotonically and are relatively sharp with the age from 15 years to 50 years and then they show variability after the age of 50 years. 10-year forecasts for the female breast cancer incidence rates in Karachi show that the future rates are expected to remain stable for the age-groups 15-50 years, but they will increase for the females of 50-years and over. Hence in future, the newly diagnosed breast cancer cases in the older women in Karachi are expected to increase. Conclusion: Prediction of age

  12. Status of free-living amoebae (Acanthamoeba spp., Naegleria fowleri, Balamuthia mandrillaris) in drinking water supplies in Karachi, Pakistan.

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    Yousuf, Farzana Abubakar; Siddiqui, Ruqaiyyah; Subhani, Faysal; Khan, Naveed Ahmed

    2013-06-01

    The ability of pathogenic free-living amoebae to produce infections is a growing concern. In this study, we investigated the presence of free-living amoebae (Acanthamoeba spp., Naegleria fowleri, Balamuthia mandrillaris) in drinking water supplies in Karachi, Pakistan. Fifty-two domestic tap water samples were examined. Amoebae were identified by morphological characteristics and polymerase chain reaction. Thirty percent of the examined samples were positive for Acanthamoeba spp., 8% for N. fowleri while B. mandrillaris were not recovered. Additionally we examined secretory IgA antibody to Acanthamoeba and B. mandrillaris. Acanthamoeba antibody prevalence rate was 100% in both males and females, while B. mandrillaris antibody prevalence rate was 5.5% in males only (females were negative). Our findings suggest that free-living amoebae are a potential health hazard in domestic water supplies in Karachi, Pakistan.

  13. Aflatoxins in composite spices collected from local markets of Karachi, Pakistan.

    Science.gov (United States)

    Asghar, Muhammad Asif; Zahir, Erum; Rantilal, Summan; Ahmed, Aftab; Iqbal, Javed

    2016-06-01

    This survey was carried out to evaluate the occurrence of total aflatoxins (AFs; B1+B2+G1+G2) in unpacked composite spices. A total of 75 samples of composite spices such as biryani, karhai, tikka, nihari and korma masalas were collected from local markets of Karachi, Pakistan, and analysed using HPLC technique. The results indicated that AFs were detected in 77% (n = 58) samples ranging from 0.68 to 25.74 µg kg(-1) with a mean of 4.63 ± 0.95 µg kg(-1). In 88% (n = 66) samples, AFs level was below the maximum limits (ML = 10 µg kg(-1)) as imposed by EU. Furthermore, 61% (n = 46) tested samples contained AFs level between 1 and 10 µg kg(-1), 9% (n = 7) exhibited AFs contamination ranged 10-20 µg kg(-1) and only 3% (n = 2) of the investigated samples contained AFs levels higher than the ML of 20 µg kg(-1) for total aflatoxins as set by the USA. It was concluded that there is need to establish a strict and continuous national monitoring plan to improve safety and quality of spices in Pakistan.

  14. Assessing Parental Knowledge About Thalassemia in a Thalassemia Center of Karachi, Pakistan.

    Science.gov (United States)

    Maheen, Humaira; Malik, Farrukh; Siddique, Barera; Qidwai, Asim

    2015-12-01

    Thalassemia is the leading haemoglobinopathy after sickle cell anemia that accounts for 1.5 % of the global population. In Pakistan, every 1-4 per 1000 infants suffers from Thalassemia. Regardless of being a population "at high risk" for Thalassemia major, evidence suggest that Pakistanis possess poor knowledge of the disease. The present study aimed to assess parents' accurate knowledge about Thalassemia disease at Afzaal Memorial Thalassemia Foundation in Karachi, Pakistan. A total of 172 parents of existing patients who were receiving regular blood transfusion from the center were included in the study. Parents' knowledge was assessed via a pre-tested and validated Thalassemia knowledge questionnaire. Findings show that 40 % of the sample showed lower knowledge scores about Thalassemia. Among different ethnic origins, Urdu speaking respondents showed a higher average score of correct knowledge about Thalassemia major (21.6 ± 4.41) as compared to the Siraiki (17.9 ± 4.48) and the Pathans (17.2 ± 4.34). These latter two ethnic groups also showed poor knowledge about Thalassemia minor. Generally parents provided correct answers about treatment of Thalassemia major. The findings suggest targeted interventions are required for high risk ethnic groups. Thalassemia education programs should be offered to extended family members of existing patients by all Thalassemia centers. High risk ethnic groups (Siraiki and Pathan) need rigorous interventions, and Thalassemia worker program should be introduced nationwide.

  15. Risk factors associated with typhoid fever in children aged 2-16 years in Karachi, Pakistan.

    Science.gov (United States)

    Khan, M I; Ochiai, R L; Soofi, S B; Von-Seidlein, L; Khan, M J; Sahito, S M; Habib, M A; Puri, M K; Park, J K; You, Y A; Ali, M; Nizami, S Q; Acosta, C J; Bradley-Sack, R; Clemens, J D; Bhutta, Z A

    2012-04-01

    We analysed the data from the control group in a typhoid vaccine trial in Karachi to assess the differences in individual-, household- and cluster-level characteristics for developing typhoid fever. The annual incidence of typhoid in children aged 2-16 years in the control arm of the vaccine trial was 151/100 000 population. After adjustment, the risk of typhoid was lower with increasing age [risk ratio (RR) 0·89, 95% confidence interval (CI) 0·83-0·95], was higher with an increase in population density (RR 1·13, 95% CI 1·05-1·21) and was lower in the households using a safe drinking-water source (RR 0·63, 95% CI 0·41-0·99). Typhoid fever affects younger children living in areas of high population density and lack of access to safe water in Pakistan. A combination of environmental and biological interventions is required to prevent the continued epidemiological and economic impact of typhoid fever in high-risk areas of Pakistan.

  16. High risk behaviors of injection drug users registered with harm reduction programme in Karachi, Pakistan

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    Memon Ashraf

    2007-02-01

    Full Text Available Abstract Background Surveillance data of Sindh AIDS Control Programme, Pakistan suggest that HIV infection is rapidly increasing among IDUs in Karachi and has reached 9% in 2004–5 indicating that the country has progressed from nascent to concentrated level of HIV epidemic. Findings of 2nd generation surveillance in 2004–5 also indicate 104/395 (26.3% IDUs HIV positive in the city. Methods We conducted a cross sectional study among registered IDUs of a needle exchange and harm reduction programme in Karachi, Pakistan. A total of 161 IDUs were included in the study between October–November 2003. A detailed questionnaire was implemented and blood samples were collected for HIV, hepatitis B & C and syphilis. HIV, hepatitis B and C antibody tests were performed using Enzyme Linked Immunosorbent Assay (ELISA method. Syphilis tests (RPR & TPHA were performed on Randox kit. Besides calculating frequencies univariate analysis was performed using t tests for continuous variables as age, age at first intercourse and average age of initiation of addiction and chi square for categorical variables like paid for sex or not to identify risk factors for hepatitis B and C and syphilis. Results Average age of IDU was 35.9 years and average age of initiation of drugs was 15.9 years. Number of drug injections per day was 2.3. Shooting drugs in group sharing syringes was reported by 128 (79.5% IDUs. Over half 94 (58.3% reported paying for sex and 64% reported never using a condom. Commercial selling of blood was reported by 44 (28%. 1 of 161 was HIV positive (0.6%. The prevalence of hepatitis B was 12 (7.5%, hepatitis C 151 (94.3% and syphilis 21 (13.1%. IDUs who were hepatitis C positive were more likely to start sexual activity at an earlier age and had never used condoms. Similarly IDUs who were hepatitis B positive were more likely to belong to a younger age group. Syphilis positive IDUs were more likely to have paid for sex and had never used a condom

  17. Violence permeating daily life: a qualitative study investigating perspectives on violence among women in Karachi, Pakistan

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    Ali TS

    2012-11-01

    Full Text Available Tazeen S Ali,1,2,* Gunilla Krantz,3 Ingrid Mogren4,*1School of Nursing, Aga Khan University, Karachi, Pakistan; 2Department of Public Health Sciences, Division of Global Health, Karolinska Institute, Stockholm, 3Department of Public Health and Community Medicine/Social Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, 4Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden *These authors contributed equally to this workBackground: This study explored how married women perceive situations which create family conflicts and lead to different forms of violence in urban Pakistan. In addition, it examines perceptions of consequences of violence, their adverse health effects, and how women resist violence within marital life.Methods: Five focus group discussions were conducted with 28 women in Karachi. Purposive sampling, aiming for variety in age, employment status, education, and socioeconomic status, was employed. The focus group discussions were conducted in Urdu and translated into English. Manifest and latent content analysis were applied.Results: One major theme emerged during the analysis, ie, family violence through the eyes of females. This theme was subdivided into three main categories. The first category, ie, situations provoking violence and their manifestations, elaborates on circumstances that provoke violence and situations that sustain violence. The second category, ie, actions and reactions to exposure to violence, describes consequences of ongoing violence within the family, including those that result in suicidal thoughts and actions. The final category, ie, resisting violence, describes how violence is avoided through women’s awareness and actions.Conclusion: The current study highlights how female victims of abuse are trapped in a society where violence from a partner and family members is viewed as acceptable, where divorce is unavailable to the majority, and where

  18. Patients’ receptiveness for Medical students during consultation in Out patient department of a teaching hospital in Karachi Pakistan

    OpenAIRE

    Laiq-uz-Zaman Khan, Muhammad; Jawaid, Masood; Hafeez, Kamran

    2013-01-01

    Objective: Patients’ attitude towards medical students’ presence during treatment depends on the cultural values of the society. This study was conducted to find out the patients’ receptiveness in our society to be involved in teaching process for medical students during consultation in out patient department of a teaching hospital in Karachi Pakistan. Methodology: This cross sectional study was conducted in the surgical Out Patient Department (OPD) at Dow University Hospital from May 2012 to...

  19. Nutritional Status, Dietary Practices and Physical Activities of Adolescents in Public and Private Schools of Karachi, Pakistan

    OpenAIRE

    Paracha, P.I.; Bakht, S.; Paracha, S.I.; Vriesekoop, F.; I Alam; Din, Z.; Ullah, N

    2016-01-01

    A comparative study was undertaken to assess the nutritional status, dietary practices and physical\\ud activities of school going adolescents in public and private schools (PPSs) of Karachi, Pakistan.\\ud A sample of 101 boys and 100 girls from PPSs was randomly selected for their weight,height, waist and hip circumferences, percent body fat and lean body mass measurements. Adolescent boys and girls were interviewed for their dietary practices, socio-economic status,\\ud frequency and type of p...

  20. Sterol composition of marine algae from Karachi coast of Arabian Sea

    OpenAIRE

    Ahmad, V.U.; Perveen, S; Shaiq Ali, M.; Uddin, S; Rehman, A.; Shameel, M.

    1992-01-01

    During the course of chemical investigation of marine algae collected from Karachi coast of Arabian Sea, five sterols named as sarangosterol(1), 23-methyl cholesta-5, 25-dien-3ß-ol(2) from Endarachne binghamiae (brown alga), sargasterol(3) from Dictyota indica (brown alga), cholesterol(4) from Laurencia obtusa (red alga) and clerosterol(5) from Codium iyengarii (green alga) have been isolated. Their structures were elucidated with the help of spectroscopic means.

  1. Firearm Injuries Presenting to a Tertiary Care Hospital of Karachi, Pakistan

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    Junaid A Razzak

    2009-07-01

    Full Text Available Background: Violence is a public health problem in low and middle income countries. Our study attempted to define the circumstances, risk groups, extent and severity of firearm-related injuries in patients coming to the Aga Khan University Hospital (AKUH Karachi, Paki¬stan. Methods: This was a retrospective study conducted in the department of Emergency Medicine (EM at AKUH Karachi, Pakistan. Past medical records of all patients who were injured by firearms and were presented to the AKUH Emergency Department (ED from June 2002 till May 2007 were reviewed. Data were recorded on the basic demographics of injured, length of hospital stay, body parts injured and the outcome (alive vs. dead. Results: Total of 286 patients with firearm injuries were identified. Majority of them were males (92%; n=264. More than half of the patients (63% were in the age group of 21-40 years. Upon arrival to the hospital 85% (n=243 of patients had Glasgow Coma Scale (GCS ≥ 13. The mean injury severity score (ISS was found to be 6 (SD ±4. The length of hospital stay of patients ranged from 0 to 54 days with a mean of 7 days. Lower limb were the most affected body parts (30%, n=86 followed by abdomen pelvis (27%, n=77. Seven percent (n=21 of the patient who were brought to the hospital were labeled as “deceased on arrival”. Most of the injuries were caused during the act of robbery (40%, n=103 in the city. Conclusions: Robbery was the most common cause of firearm inju¬ries. Lower limb, abdomen and pelvis were the most affected body regions. Educational efforts, and individual, community and societal approaches are needed to alleviate firearm-related injuries.

  2. Insights on the effects of patient perceptions and awareness on ambulance usage in Karachi, Pakistan.

    Science.gov (United States)

    Chandran, Aruna; Ejaz, Kiran; Karani, Rabia; Baqir, Muhammad; Razzak, Junaid; Hyder, Adnan A

    2014-12-01

    Prehospital care is a vital part of emergency medical care. Countries with decentralised ambulance systems, such as Pakistan, require patient knowledge as to when to call an ambulance and which service to call. Little is known about how patient perceptions of ambulance services affect ambulance usage in most low- and middle-income countries (LMIC). The purpose of our study was to analyse patient perspectives of the ambulance system in Karachi to understand how to improve ambulance use. Indepth interviews were conducted with 30 individuals selected by convenience sampling representing patients who came to the emergency department by private transport versus one of two of the main ambulance service providers in Karachi. Similar to what has been shown in some LMIC contexts, two of the major themes that emerged which affect patient decision making with regard to ambulance use were a mistrust of the ambulance system or providers and a sense of inadequacy of the local system as compared with international standards. In addition, which has not been shown in previous studies, there was a fundamental misunderstanding of the role of ambulance services in the healthcare infrastructure. Insight into the main issues affecting patient decisions to use an ambulance service offers possible targets for patient education that could result in an increase in the proper usage of ambulances and thus optimise outcomes from serious injury and illness in an LMIC context. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  3. Acute health effects of the Tasman Spirit oil spill on residents of Karachi, Pakistan

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    Najam-ul-Hassan

    2006-04-01

    Full Text Available Abstract Background On July 27 2003, a ship carrying crude oil run aground near Karachi and after two weeks released 37,000 tons of its cargo into the sea. Oil on the coastal areas and fumes in air raised health concerns among people. We assessed the immediate health impact of oil spill from the tanker Tasman Spirit on residents of the affected coastline in Karachi, Pakistan. Methods We conducted a study consisting of an exposed group including adults living in houses on the affected shoreline and two control groups (A and B who lived at the distance of 2 km and 20 km away from the sea, respectively. We selected households through systematic sampling and interviewed an adult male and female in each household about symptoms relating to eyes, respiratory tract, skin and nervous system, smoking, allergies, beliefs about the effect on their health and anxiety about the health effects. We used logistic regression procedures to model each symptom as an outcome and the exposure status as an independent variable while adjusting for confounders. We also used linear regression procedure to assess the relationship exposure status with symptoms score; calculated by summation of all symptoms. Results Overall 400 subjects were interviewed (exposed, n = 216; group A, n = 83; and group B, n = 101. The exposed group reported a higher occurrence of one or more symptoms compared to either of the control groups (exposed, 96% vs. group A, 70%, group B 85%; P P Conclusion Results suggest that the occurrence of increased symptoms among the exposed group is more likely to be due to exposure to the crude oil spill.

  4. Undergraduate radiology education in private and public teaching hospitals in Karachi, Pakistan: teaching duties, methodologies, and rewards

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    Nadeem N

    2013-03-01

    Full Text Available Naila Nadeem,1,* Ranish Deedar Ali Khawaja,2,3,* Madiha Beg,1 Muhammad Naeem,4 Zain Majid41Department of Radiology, 2Aga Khan University Hospital, Karachi, Pakistan; 3Massachusetts General Hospital, Harvard Medical School, Boston, USA; 4Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan*These authors contributed equally to this workBackground: In an integrated method of education, medical students are introduced to radiology in their preclinical years. However, no study has been conducted in Pakistan to demonstrate an academic framework of medical radiology education at an undergraduate level. Therefore, we aimed to document and compare the current level of teaching duties, teaching methodologies, and teaching rewards among radiologists and residents in private and public teaching hospitals in Karachi, Pakistan.Methods: A survey was conducted among 121 radiologists and residents in two private and two public teaching hospitals in Karachi, Pakistan. Radiologists who were nationally registered with the Pakistan Medical and Dental Council either part-time or full-time were included. Radiology residents and fellows who were nationally registered with the Pakistan Medical and Dental Council were also included. Self-administered questionnaires addressing teaching duties, methods, and rewards were collected from 95 participants.Results: The overall response rate was 78.51% (95/121. All of the radiologists were involved in teaching residents and medical students, but only 36% reported formal training in teaching skills. Although most of the respondents (76% agreed that medical students appeared enthusiastic about learning radiology, the time spent on teaching medical students was less than five hours per week annually (82%. Only 37% of the respondents preferred dedicated clerkships over distributed clerkships (41%. The most common preferred teaching methodology overall was one-on-one interaction. Tutorials, teaching rounds, and

  5. Impact of marine pollution in green mussel Perna viridis from four coastal sites in Karachi, Pakistan, North Arabian Sea: histopathological observations.

    Science.gov (United States)

    Khan, Muhammad Iftikhar; Ayub, Zarrien; Siddiqui, Ghazala

    2015-04-01

    Pathological changes are regarded as a standard technique to monitor the effects of pollutants in marine animals. Histopathological examination of the population of green mussel Perna viridis (L.) from four sites in Pakistan, namely, Manora Channel, Rehri Creek, Sandspit Backwaters and Bhanbore was conducted. The first three sites are on the Karachi coast, whereas the fourth one, Bhanbore is situated outside Karachi, and is considered to be less polluted. Two types of parasites, Rickettsia-like organisms and metacestode were found in the mussels studied. In the present study, we observed various pathological lesions, such as inflammatory responses, granulocytomas, lipofuscin pigments, vacuolation in the digestive gland and gonads, lamellar fusion and dilated hemolymphatic sinus in the gills of P. viridis. These observations indicate the extent of environmental pollution in the studied areas. Although, Bhanbore is considered to be relatively less polluted compared to other three sites, the present results have revealed that the waters of Bhanbore are also polluted as evidenced by the pathological changes observed in the mussels collected from there.

  6. A case-control study of lung cancer in Karachi, Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Bhurgri, Y.; Decullier, E.; Bhurgri, A.; Sheikh Nassar; Ahmed Usman; Brennan, P.; Boffetta, P. [Karachi Cancer Registry, Karachi (Pakistan)

    2002-07-01

    A study was conducted to investigate the causes of lung cancer in Pakistan. 320 patients (282 men and 38 women) with lung cancer treated at the Liaquat National Post Graduate Medical Centre, the Jinnah Post Graduate Medical Center and the Civil Hospital, all in Karachi, and 640 controls (561 men and 79 women) were enrolled. A total of 275 patients and 222 controls reported having a history of smoking (57% of men and 14% of women). An increased risk of developing lung cancer was observed among individuals with a history of smoking (odds ratio (OR) 22.8; 95% confidence interval (CI) 13.9-37.3) and among current smokers (OR 30.2; 95% CI 17.8-51.3). The risk decreased with the number of years since quitting (most apparent 10 years after smoking cessation). Chewing betel quid (containing betel leaf, lime, areca nut and tobacco) was only marginally associated with increased lung cancer risk. However, heavy exposure to this habit resulted in a significantly elevated odds ratio (OR2.1; 95% CI 1.1-4.0). The OR for snuff use was significantly increased (OR 1.9; 95% CI 1.0-3.7), with a significant trend with years of exposure and average level of consumption. Having ever lived in a flat with a heating system (coal, wood, electricity and kerosene) was associated with an OR of 3.6 (95% CI 2.5-5.3). Using gas, electricity or kerosene for cooking was associated with a reduced OR compared with the use of wood, whereas the OR for the use of coal was 2.7 (95& CI 0.9-8.7). The primary role of tobacco smoking as the cause of lung cancer in Pakistan was confirmed. 13 refs.

  7. Human ophthalmomyiasis externa caused by the sheep botfly Oestrus ovis: a case report from Karachi, Pakistan

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    Naima Fasih

    2014-10-01

    Full Text Available Ocular myiasis due to Oestrus ovis larvae infestation is an eye infection in humans. A case of ophthalmomyiasis externa in a young male from Karachi, Pakistan in winter (December 2012, without history of close proximity to domestic animals or visit to any rural area was reported. The condition is self-limiting and the disease is confined to the conjunctiva. The eye was locally anesthetized and washed with 5% povidine iodine solution. A total number of 27 first instar larvae of Oestrus ovis were removed with fine forceps. The patient received 0.5% moxifloxacin and diclofenac eye drops for one week. His eye was examined after one day, one week and one month and the recovery status was favorable. The present case raise the awareness among ophthalmologists regarding larval conjunctivitis as one of the causes of conjunctivitis and it can occur throughout the year in any season including winter. Moreover, it can occurr in any area either rural or urban with or without close proximity to domestic animals especially in subtropical regions with high parasitic burden.

  8. Microbiologic effectiveness of hand washing with soap in an urban squatter settlement, Karachi, Pakistan.

    Science.gov (United States)

    Luby, S P; Agboatwalla, M; Raza, A; Sobel, J; Mintz, E D; Baier, K; Hoekstra, R M; Rahbar, M H; Hassan, R; Qureshi, S M; Gangarosa, E J

    2001-10-01

    We conducted a study in a squatter settlement in Karachi, Pakistan where residents report commonly washing their hands to determine if providing soap, encouraging hand washing, and improving wash-water quality would improve hand cleanliness. We allocated interventions to 75 mothers and collected hand-rinse samples on unannounced visits. In the final model compared with mothers who received no hand-washing intervention, mothers who received soap would be expected to have 65% fewer thermotolerant coliform bacteria on their hands (95% CI 40%, 79%) and mothers who received soap, a safe water storage vessel, hypochlorite for water treatment, and instructions to wash their hands with soap and chlorinated water would be expected to have 74% fewer (95% CI 57%, 84%). The difference between those who received soap alone, and those who received soap plus the safe water vessel was not significant (P = 0.26). Providing soap and promoting hand washing measurably improved mothers' hand cleanliness even when used with contaminated water.

  9. Public Health Problems in Low and High Socio Economic Areas of Karachi, Pakistan

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    HA Qazi

    2009-09-01

    Full Text Available "nBackground: Despite many media campaigns by government and private sectors highlighting, water and sanitation treat­ment plans and policies, the public health problems are still common in different socioeconomic areas. The objective of our study was to explore the major public health problems prevailing in two different socio economic areas in Karachi, Pakistan."nMethods: A cross sectional survey was conducted from January 1, 2008, to June 15, 2008. Convenience sampling was used to select the EVACUE housing situated and model village. From each house selected, interviews were conducted based on one participant per house. The main outcome variables were measure of different qualities of drinking water safety, taste, etc. Problems of waste and sanitation included disposal of solid waste and leakage of drainage system in the area."nResults: The results found water quality to be good with safe drinking water and less residents complained in EVACUEE as compared to Model. The results also found better sanitary services with proper drainage system and less open dumping of garbage in EVACUEE as compared to Model."nConclusion: Health problems of drinking water and sanitation were more prevalent in low socio economic areas as com­pared to higher socio economic area.

  10. Physicians reading and writing practices: a cross-sectional study from Civil Hospital, Karachi, Pakistan.

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    Khaliq, Muhammad Farhan; Noorani, Muhammad Muslim; Siddiqui, Uzair Ahmed; Anwar, Maheen

    2012-07-27

    To determine the behavior of physicians regarding medical literature reading and participation in research activities at one of the largest teaching hospitals in Pakistan. This descriptive, cross-sectional study was conducted by interviewing the house officers, residents and fellows of six major specialties (Medicine, Surgery, Pediatrics, Psychology, Obstetrics & Gynecology and Anesthesia) in Civil Hospital, Karachi between August and December, 2011. The questionnaire elicited responses regarding the reading habits of physicians, preferred sources of information, their participation in research activities (publication & supervision) and views regarding journal club. SPSS 17.0 was used for data entry and analysis. A total of 259 completely filled questionnaires were returned with a response rate of 85.19%. Mean age of the participants was 29.67 ± 7.65 years. Books were selected by 71.4% doctors as their preferred source of information, regardless of their clinical specialties. (p read 5 or less articles per week. 30 (11.6%) doctors have subscription of journals (printed or electronic). At least one research paper has been published by 151 (58.3%) of the physicians interviewed. Most common reason for not participating in research activities was busy schedule (56.4%). Almost half (49.4%) doctors reported lack of journal club in their units. Of these, majority (88.35%) wanted a journal club in their respective units. Urgent intervention is required to promote healthcare literature reading and writing practice in our physicians. Easy access to workplace computers with internet and subscription of paid journals will facilitate physicians. Lack of supervisors and busy schedule were reported to be important contributors for not participating in research. Addressing these issues will encourage doctors to participate more in research activities.

  11. Hepatoprotective potential of threesargassum species from Karachi coast against carbon tetrachloride and acetaminophen intoxication

    Institute of Scientific and Technical Information of China (English)

    Khan Hira; Viqar Sultana; Jehan Ara; Syed Ehteshamul-Haque; Mohammad Athar

    2016-01-01

    Objective:To assess the hepatoprotective effect of ethanol extracts ofSargassum variegatum (S. variegatum),Sargassum tenerrimum (S. tenerrimum) andSargassum binderi occurring at Karachi coast against carbon tetrachloride (CCl4) and acetaminophen intoxication in rats. Methods:Sargassum species were collected at low tide from Buleji beach at Karachi coast. Effect of ethanol extracts ofSargassum spp., on lipid parameter, serum glucose and kidney function was examined. Liver damage in rats was induced by CCl4 or acetaminophen. Rats were administered with ethanol extracts ofS. tenerrimum,S. variegatum andSargassum binderi at 200 mg/kg body weight daily for 14 days separately. Hepatotoxicity was determined in terms of cardiac and liver enzymes and other biochemical parameters. Results:S. variegatum showed highest activity by reducing the elevated level of hepatic enzymes, bilirubin, serum glucose, triglyceride with restoration of cholesterol. Urea and creatinine concentrations were also significantly (P < 0.05) reduced as compared to acetaminophen intoxicated rats.S. tenerrimum andS. variegatum showed moderate activity against CCl4 hepatic toxicity. Conclusions: The protective role ofS. variegatum against acetaminophen liver damage and its positive impact on disturbed lipid, glucose metabolism, kidney dysfunction andS. tenerrimum against CCl4 liver toxicity suggest thatSargassum species offer a non-chemical means for the treatment of toxicity mediated liver damage.

  12. Hepatoprotective potential of three sargassum species from Karachi coast against carbon tetrachloride and acetaminophen intoxication

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    Khan Hira

    2016-01-01

    Full Text Available Objective: To assess the hepatoprotective effect of ethanol extracts of Sargassum variegatum (S. variegatum, Sargassum tenerrimum (S. tenerrimum and Sargassum binderi occurring at Karachi coast against carbon tetrachloride (CCl4 and acetaminophen intoxication in rats. Methods: Sargassum species were collected at low tide from Buleji beach at Karachi coast. Effect of ethanol extracts of Sargassum spp., on lipid parameter, serum glucose and kidney function was examined. Liver damage in rats was induced by CCl4 or acetaminophen. Rats were administered with ethanol extracts of S. tenerrimum, S. variegatum and Sargassum binderi at 200 mg/kg body weight daily for 14 days separately. Hepatotoxicity was determined in terms of cardiac and liver enzymes and other biochemical parameters. Results: S. variegatum showed highest activity by reducing the elevated level of hepatic enzymes, bilirubin, serum glucose, triglyceride with restoration of cholesterol. Urea and creatinine concentrations were also significantly (P < 0.05 reduced as compared to acetaminophen intoxicated rats. S. tenerrimum and S. variegatum showed moderate activity against CCl4 hepatic toxicity. Conclusions: The protective role of S. variegatum against acetaminophen liver damage and its positive impact on disturbed lipid, glucose metabolism, kidney dysfunction and S. tenerrimum against CCl4 liver toxicity suggest that Sargassum species offer a non-chemical means for the treatment of toxicity mediated liver damage.

  13. Frequency and associated factors for care giving among elderly patients visiting a teaching hospital in Karachi, Pakistan.

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    Waris Qidwai

    Full Text Available OBJECTIVE: To study frequency and associated factors for care giving among elderly patients visiting a teaching hospital in Karachi, Pakistan. METHODOLOGY: A cross sectional questionnaire-based study was conducted at the Community Health Centre (CHC, Aga Khan University Hospital (AKUH Karachi, Pakistan from September to November 2009. All individuals, visiting the CHC and aged 65 years or above were interviewed after taking written informed consent. RESULTS: A total of 400 elderly completed the interview. Majority were females, 65-69 years age, More than half of the individuals ie: 227 (85% had received Care Giver experience for assistance and among these 195(72% had care provided by an immediate family member. A large proportion of them stated that their Care Givers managed to provide less than four hours in a day for care giving. Around 37% showed substantial improvement in their relationship with the care givers. About 70% of the respondents stated that the care provided by the Care Giver improved their quality of life. CONCLUSION: Elderly care is provided by majority of the family members resulting in increased satisfaction level, however small number still not satisfied due to unfulfilled need of these older people. This demands that efforts should be made to strengthen the family support by increasing awareness regarding elderly care and arranging support system by the government.

  14. Prevalence and factors associated with irritable bowel syndrome among medical students of Karachi, Pakistan: A cross-sectional study

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    Naeem Syed

    2012-05-01

    Full Text Available Abstract Background Irritable bowel syndrome (IBS and its association with stress, has not been studied among university students in Pakistan. We investigated the prevalence and the pattern of anxiety related IBS symptoms among medical students of Karachi. Findings An observational case–control study was carried out at three medical colleges of Karachi, Pakistan. Random sampling was done on 360 medical students. Data was collected using validated tools “Rome III Criteria” and “Generalized Anxiety Disorder Questionnaire”. Participants with IBS were diagnosed on the criteria having experienced abdominal discomfort at least 2–3 days/month associated with high level of anxiety. The apparent prevalence of IBS was found to be 28.3%, with a predominance of 87 (85.29% females (85.29% over males (14.71%. The psychological symptoms of anxiety were encountered in 57 (55.8% participants with IBS, among which males were 15.7% and females 84.2% respectively. Conclusion Students who more frequently suffer with mental stress and anxiety are more associated with IBS.

  15. Association of post-traumatic stress disorder and work performance: A survey from an emergency medical service, Karachi, Pakistan.

    Science.gov (United States)

    Kerai, Salima; Pasha, Omrana; Khan, Uzma; Islam, Muhammad; Asad, Nargis; Razzak, Junaid

    2017-01-01

    The purpose of the study was to explore the association between post-traumatic stress disorder (PTSD) and work performance of emergency medical services personnel in Karachi, Pakistan. Emergency medical service personnel were screened for potential PTSD using Impact of Event Scale-Revised (IES-R). Work performance was assessed on the basis of five variables: number of late arrivals to work, number of days absent, number of days sick, adherence to protocol, and patient satisfaction over a period of 3 months. In order to model outcomes like the number of late arrivals to work, days absent and days late, negative binomial regression was applied, whereas logistic regression was applied for adherence to protocol and linear for patient satisfaction scores. Mean scores of PTSD were 24.0±12.2. No association was found between PTSD and work performance measures: number of late arrivals to work (RRadj 0.99; 0.98-1.00), days absent (RRadj 0.98; 0.96-0.99), days sick (RRadj 0.99; 0.98-1.00), adherence to protocol (ORadj 1.01; 0.99-1.04) and patient satisfaction (β 0.001%-0.03%) after adjusting for years of formal schooling, living status, coping mechanism, social support, working hours, years of experience and anxiety or depression. No statistically significant association was found between PTSD and work performance amongst EMS personnel in Karachi, Pakistan.

  16. Astioglossimetra karachiensis n. gen., n. sp. (Trematoda: Plagiorchiidae: Astiotrematinae) from the Marine Turtle Chelonia mydas of Karachi Coast

    OpenAIRE

    BILQEES, Fatima Mujib

    2002-01-01

    A new trematode genus Astioglossimetra n. gen. has been erected to accommodate an undescribed species A. karachiensis n. gen., n. sp., from Chelonia mydas of the Karachi coast. The genus name refers to its relation to the genera Astiotrema Looss and Glossimetra Mehra of the family Plagiorchiidae and subfamily Astiotrematinae.

  17. Diabetes related knowledge among residents and nurses: a multicenter study in Karachi, Pakistan

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    Ahmed Asma

    2012-09-01

    Full Text Available Abstract Background Assessment of knowledge among resident trainees and nurses is very important since majority of patients admitted in hospital have underlying diabetes which could lead to adverse clinical outcomes if not managed efficiently. Therefore, the purpose of this study was to evaluate and compare the knowledge related to the management of diabetes among registered nurses (RN and trainee residents of internal medicine (IMR, family medicine (FMR and surgery (SR at tertiary care hospitals of Karachi, Pakistan. Methods A validated questionnaire consisting of 21 open ended questions related to diabetes awareness was acquired through a study done at Thomas Jefferson University Hospital, Philadelphia with the permission of primary author. Results 169 IMR, 27 FMR, 86 SR and 99 RN completed a questionnaire that assessed the knowledge related to different aspects of management of diabetes. The results were further stratified by participant's specialty and level of training. The percentage of knowledge based questions answered correctly was found to be low. The overall mean correct percentage among all the participants was 50% +/- 21. There was no statistical difference in terms of knowledge between IMR & FMR residents (64% +/- 14 vs. 60% +/- 16, p = 0.47 respectively. The total scores of SR and RN were quite low (40% +/- 16 & 31% +/- 15 respectively.SR and RN were found to have profound deficit in both inpatient and outpatient knowledge of diabetes. We did not observe any improvement in level of knowledge of FMR & SR with increase in duration of their training (p = 0.47 & 0.80 respectively. In contrast, improvement in the level of knowledge of IMR was observed from first to second year of their training (p = 0.03 with no further improvement thereafter. RN's didn't respond correctly on most of the items related to in-patient management of diabetes (Mean score 40% +/- 20. Conclusion As there are no prior studies in our setting

  18. An evaluation of systematic tuberculosis screening at private facilities in Karachi, Pakistan.

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    Jacob Creswell

    Full Text Available BACKGROUND: In Pakistan, like many Asian countries, a large proportion of healthcare is provided through the private sector. We evaluated a systematic screening strategy to identify people with tuberculosis in private facilities in Karachi and assessed the approaches' ability to diagnose patients earlier in their disease progression. METHODS AND FINDINGS: Lay workers at 89 private clinics and a large hospital outpatient department screened all attendees for tuberculosis using a mobile phone-based questionnaire during one year. The number needed to screen to detect a case of tuberculosis was calculated. To evaluate early diagnosis, we tested for differences in cough duration and smear grading by screening facility. 529,447 people were screened, 1,010 smear-positive tuberculosis cases were detected and 942 (93.3% started treatment, representing 58.7% of all smear-positive cases notified in the intervention area. The number needed to screen to detect a smear-positive case was 124 (prevalence 806/100,000 at the hospital and 763 (prevalence 131/100,000 at the clinics; however, ten times the number of individuals were screened in clinics. People with smear-positive TB detected at the hospital were less likely to report cough lasting 2-3 weeks (RR 0.66 95%CI [0.49-0.90] and more likely to report cough duration >3 weeks (RR 1.10 95%CI [1.03-1.18]. Smear-positive cases at the clinics were less likely to have a +3 grade (RR 0.76 95%CI [0.63-0.92] and more likely to have +1 smear grade (RR 1.24 95%CI [1.02-1.51]. CONCLUSIONS: Tuberculosis screening at private facilities is acceptable and can yield large numbers of previously undiagnosed cases. Screening at general practitioner clinics may find cases earlier than at hospitals although more people must be screened to identify a case of tuberculosis. Limitations include lack of culture testing, therefore underestimating true TB prevalence. Using more sensitive and specific screening and diagnostic tests such

  19. Vitamin D levels in asymptomatic adults--a population survey in Karachi, Pakistan.

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    Adil Sheikh

    Full Text Available BACKGROUND: It is well established that low levels of 25(OH Vitamin D (<30 ng/dL are a common finding world over, affecting over a billion of the global population. Our primary objective was to determine the prevalence of vitamin D deficiency and insufficiency in the asymptomatic adult population of Karachi, Pakistan and the demographic, nutritional and co-morbidity characteristics associated with serum vitamin D levels. METHODS: A cross-sectional population survey was conducted at two spaced out densely populated areas of the city. Serum levels of 25OH vitamin D were measured and GFR as renal function was assessed by using 4 variable MDRD formula. RESULTS: Our sample of 300 had a median age of 48(interquartile range 38-55 years. The median level of serum vitamin D was 18.8 (IQ range 12.65-24.62 ng/dL. A total of 253 (84.3% respondents had low levels (<30 ng/dL of 25OH vitamin D. Serum PTH and vitamin D were negatively correlated (r = -0.176, p = 0.001. The median PTH in the vitamin D sufficiency group was 38.4 (IQ range28.0-48.8pg/mL compared with 44.4 (IQ range 34.3-56.8 pg/mL in the deficiency group (p = 0.011.The median serum calcium level in the sample was 9.46(IQ range 9.18-9.68 ng/dL. Low serum levels of vitamin D were not associated with hypertension (p = 0.771 or with an elevated spot blood pressure (p = 0.164.In our sample 75(26% respondents had an eGFR corresponding to stage 2 and stage 3 CKD. There was no significant correlation between levels of vitamin D and eGFR (r = -0.127, p-value = 0.277. Respondents using daily vitamin D supplements had higher 25 OH vitamin D levels (p-value = 0.021. CONCLUSION: We observed a high proportion of the asymptomatic adult population having low levels of vitamin D and subclinical deterioration of eGFR. The specific cause(s for this observed high prevalence of low 25OH vitamin D levels are not clear and need to be investigated further upon.

  20. Report: a study of morbidity of induced abortion data from women belonging to Karachi, Pakistan.

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    Aslam, Farah; Aslam, Muhammad

    2015-01-01

    The purpose of this study was to evaluate the morbidity of induced abortion in relation to facilities, service providers and social responses of general population of women, from Karachi, Pakistan. Cross-sectional survey, conducted from February to December 2010, through a researcher-administered questionnaire from 61 randomly selected women, who underwent for Induced Abortion, aged 18-50 years. The questionnaire included open and closed ended questions, regarding demography, facilities, service providers and various complications observed. Overall, 98 immediate health problems were reported by 40 (65.5%) of the respondents, 153 late adverse effects or chronic by 46 (75.4%); while 101 mental complications had been reported by 45 (73.8%) of the 61 aborting women; respectively. Private clinics surfaced as the most frequently adopted source as reported by 40.7% of the respondents. Two third majorities had the procedure in satisfactory, good hygienic conditions by skilled professionals. Around 59% of the aborting women were aware of the religious perspective of the subject. Marked incidence of complications had been registered, regardless of type of method adopted, hygienic condition of the procedure or skill of the provider. Although, awareness of religious perspective of the subject was there, still quite a lot opted for abortion. This suggests that strong socioeconomic factors influence women to take peril of such an attempt. It also reveals the existence of a big gap for the awareness services for educating the risks involved to the women's health. Study revealed that services are easily accessible; without any legal, religious or social barriers. Semi or un-educated women, mostly from low socioeconomic sector are opting the procedure in majority, being less aware and stalwartly influenced by environmental factors; hence excessive availability of abortion services should be revisited. Lack of deep awareness of the consequences also contributes for deteriorating

  1. A systematic approach of tracking and reporting medication errors at a tertiary care university hospital, Karachi, Pakistan

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    Khurshid Khowaja

    2008-09-01

    Full Text Available Khurshid Khowaja1, Rozmin Nizar1, Rashida J Merchant2, Jacqueline Dias3, Irma Bustamante-Gavino4, Amina Malik11Division of Nursing Services, 2Nursing Education Services, 3Diploma Programme, Nurudin Jivraj Professorship of Nursing, Aga Khan University, Karachi, Pakistan; 4The Ahmed Shivji Professorship of Nursing, The Aga Khan University School of Nursing, Karachi, PakistanIntroduction: Administering medication is one of the high risk areas for any health professional. It is a multidisciplinary process, which begins with the doctor’s prescription, followed by review and provision by a pharmacist, and ends with preparation and administration by a nurse. Several studies have highlighted a high medication incident rate at several healthcare institutions.Methods: Our study design was exploratory and evaluative and used methodological triangulation. Sample size was of two types. First, a convenient sample of 1000 medication dosages to estimate the medication error (95% CI. We took another sample from subjects involved in medication usage processes such as physicians, nurses, pharmacists, and patients. Two sets of instruments were designed via extensive literature review: a medication tracking error form and a focus group interview questionnaire.Results: Our study findings revealed 100% compliance with a computerized physician order entry (CPOE system by physicians, nurses, and pharmacists. The main error rate was 5.5% and pharmacists contributed an higher error rate of 2.6% followed by nurses (1.1% and physicians (1%. Major areas for improvement in error rates were identified: delay in medication delivery, lab results reviewed electronically before prescription, dispension, and administration.Keywords: medication error rate, associate error rate, physician, nurse, pharmacist

  2. Differences in police, ambulance, and emergency department reporting of traffic injuries on Karachi-Hala road, Pakistan

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    Lagarde Emmanuel

    2011-03-01

    Full Text Available Abstract Background Research undertaken in developing countries has assessed discrepancies in police reporting of Road Traffic Injury (RTI for urban settings only. The objective of this study was to assess differences in RTI reporting across police, ambulance, and hospital Emergency Department (ED datasets on an interurban road section in Pakistan. Methods The study setting was the 196-km long Karachi-Hala road section. RTIs reported to the police, Edhi Ambulance Service (EAS, and five hospital EDs in Karachi during 2008 (Jan to Dec were compared in terms of road user involved (pedestrians, motorcyclists, four-wheeled vehicle occupants and outcome (died or injured. Further, records from these data were matched to assess ascertainment of traffic injuries and deaths by the three datasets. Results A total of 143 RTIs were reported to the police, 531 to EAS, and 661 to hospital EDs. Fatality per hundred traffic injuries was twice as high in police records (19 per 100 RTIs than in ambulance (10 per 100 RTIs and hospital ED records (9 per 100 RTIs. Pedestrian and motorcyclist involvement per hundred traffic injuries was lower in police records (8 per 100 RTIs than in ambulance (17 per 100 RTIs and hospital ED records (43 per 100 RTIs. Of the 119 deaths independently identified after matching, police recorded 22.6%, EAS 46.2%, and hospital ED 50.4%. Similarly, police data accounted for 10.6%, EAS 43.5%, and hospital ED 54.9% of the 1 095 independently identified injured patients. Conclusions Police reporting, particularly of non-fatal RTIs and those involving vulnerable road users, should be improved in Pakistan.

  3. Effectiveness of Vi capsular polysaccharide typhoid vaccine among children: a cluster randomized trial in Karachi, Pakistan

    NARCIS (Netherlands)

    Khan, M.I.; Soofi, S.B.; Ochiai, R.L.; Habib, M.A.; Sahito, S.M.; Nizami, S.Q.; Acosta, C.J.; Clemens, J.D.; Bhutta, Z.A.; Group, D.T.K.V.E.S.

    2012-01-01

    BACKGROUND: Typhoid fever is endemic in Karachi, with an incidence among children ranging from 170 to 450 per 100,000 child-years. Vaccination strategies are important for prevention, and the Vi capsular polysaccharide (ViCPS) vaccine has been shown to be effective in reducing the burden of typhoid

  4. Effectiveness of Vi capsular polysaccharide typhoid vaccine among children: a cluster randomized trial in Karachi, Pakistan

    NARCIS (Netherlands)

    Khan, M.I.; Soofi, S.B.; Ochiai, R.L.; Habib, M.A.; Sahito, S.M.; Nizami, S.Q.; Acosta, C.J.; Clemens, J.D.; Bhutta, Z.A.; Group, D.T.K.V.E.S.

    2012-01-01

    BACKGROUND: Typhoid fever is endemic in Karachi, with an incidence among children ranging from 170 to 450 per 100,000 child-years. Vaccination strategies are important for prevention, and the Vi capsular polysaccharide (ViCPS) vaccine has been shown to be effective in reducing the burden of typhoid

  5. Ethnic disparities in routine immunization coverage: a reason for persistent poliovirus circulation in Karachi, Pakistan?

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    Siddiqui, Nida Tariq; Owais, Aatekah; Agha, Ajmal; Karim, Mehtab S; Zaidi, Anita K M

    2014-01-01

    Karachi is the only mega city in the world with persistent poliovirus transmission. We determined routine childhood immunization rates in Karachi and identified predictors of vaccine completion. A population-based cross-sectional survey was conducted in Karachi between August and September 2008. Data on demographics, socioeconomic, and DTP3 vaccination status in children 12 to 23 months old were collected. Logistic regression was used to identify predictors of vaccination completion. Overall, 1401 participants were approached; 1391 consented to participate. Of these, 1038 (75%) were completely vaccinated. Punjabi families had the highest DTP3 coverage (82%), followed by Urdu-speaking families (79%). Pashtun (67%) and Bengali (48%) families had the lowest vaccine coverage. Children of mothers with ≥ 12 years of schooling (OR = 25.4; 95% CI = 5.7-113.1) were most likely to be vaccinated. A quarter of study participants were unvaccinated. Targeted strategies for boosting DTP3 rates in communities with low immunization coverage are essential for polio eradication in Karachi.

  6. Indoor air pollution (PM2.5) due to secondhand smoke in selected hospitality and entertainment venues of Karachi, Pakistan.

    Science.gov (United States)

    Nafees, Asaad Ahmed; Taj, Tahir; Kadir, Muhammad Masood; Fatmi, Zafar; Lee, Kiyoung; Sathiakumar, Nalini

    2012-09-01

    To determine particulate matter smaller than 2.5 μm (PM(2.5)) levels at various hospitality and entertainment venues of Karachi, Pakistan. This was a descriptive cross-sectional study conducted at various locations in Karachi, during July 2009. Sampling was performed at 20 enclosed public places, including hospitality (restaurants and cafés) and entertainment (snooker/billiard clubs and gaming zones) venues. PM(2.5) levels were measured using an aerosol monitor. All entertainment venues had higher indoor PM(2.5) levels as compared to the immediate outdoors. The indoor PM(2.5) levels ranged from 25 to 390 μg/m(3) and the outdoor PM(2.5) levels ranged from 18 to 96 μg/m(3). The overall mean indoor PM(2.5) level was 138.8 μg/m(3) (± 112.8). Among the four types of venues, the highest mean indoor PM(2.5) level was reported from snooker/billiard clubs: 264.7 μg/m(3) (± 85.4) and the lowest from restaurants: 66.4 μg/m(3) (± 57.6) while the indoor/outdoor ratio ranged from 0.97 to 10.2, highest being at the snooker/billiard clubs. The smoking density ranged from 0.21 to 0.57, highest being at gaming zones. The indoor PM(2.5) concentration and smoking density were not significantly correlated (Spearman's correlation coefficient = 0.113; p = 0.636). This study demonstrates unacceptably high levels of PM(2.5) exposure associated with secondhand smoke (SHS) at various entertainment venues of Karachi even after 8 years since the promulgation of smoke-free ordinance (2002) in Pakistan; however, better compliance may be evident at hospitality venues. The results of this study call for effective implementation and enforcement of smoke-free environment at public places in the country.

  7. Influence of an enforcement campaign on seat-belt and helmet wearing, karachi-hala highway, pakistan.

    Science.gov (United States)

    Bhatti, Junaid A; Ejaz, Kiran; Razzak, Junaid A; Tunio, Israr Ali; Sodhar, Irshad

    2011-01-01

    This study assessed to what extent an enforcement campaign influenced seat-belt and helmet wearing on a Pakistani highway. The study setting was the Karachi-Hala highway where a traffic enforcement campaign was conducted from Dec 2009 to Feb 2010. Seat-belt and helmet wearing were observed in Nov 2009 and Apr 2010 at Karachi toll plaza. Differences in wearing rates as a function of occupants' age, sex, and vehicle type were compared between the two periods. On average, 9 119 (Standard deviation=1 896) traffic citations were issued per month from Aug 2009 to Feb 2010; 4.2% of which were for not wearing helmet. A 22.5% increase in citations was observed for Dec 2009 to Feb 2010 periods compared with Aug 2009 to Oct 2009 periods. Nearly six thousand four-wheeled and four hundred two-wheeled motorized vehicle occupants were observed in Nov 2009 and Apr 2010. Overall, two of the five drivers and one of the five front seat occupants wore seat belts. This proportion was significantly higher in drivers and front-seat occupants of cars than those of heavier vehicles. Similarly, one of two motorcyclists used a helmet but this proportion was 5.8% for pillion riders in Nov 2009. The increased enforcement had a limited influence on belt wearing in drivers (+4.0%; 95% Confidence Interval [95%CI]=1.8-6.1) and occupants (+6.2%; 95%CI=4.2-8.2). A higher increase was observed for motorcyclists (+9.8%; 95%CI=2.6-16.8) and pillion riders (+12.8%; 95%CI=5.4, 20.5). These results suggested that serious efforts are required to increase seat-belt and helmet use on Pakistani highways. Improving enforcement resources, increased fines, not allowing such vehicles on roads, and awareness campaigns targeting drivers of heavy vehicles might increase wearing rates in Pakistan.

  8. Influence of an Enforcement Campaign on Seat-Belt and Helmet Wearing, Karachi-Hala Highway, Pakistan

    Science.gov (United States)

    Bhatti, Junaid A.; Ejaz, Kiran; Razzak, Junaid A.; Tunio, Israr Ali; Sodhar, Irshad

    2011-01-01

    This study assessed to what extent an enforcement campaign influenced seat-belt and helmet wearing on a Pakistani highway. The study setting was the Karachi-Hala highway where a traffic enforcement campaign was conducted from Dec 2009 to Feb 2010. Seat-belt and helmet wearing were observed in Nov 2009 and Apr 2010 at Karachi toll plaza. Differences in wearing rates as a function of occupants’ age, sex, and vehicle type were compared between the two periods. On average, 9 119 (Standard deviation=1 896) traffic citations were issued per month from Aug 2009 to Feb 2010; 4.2% of which were for not wearing helmet. A 22.5% increase in citations was observed for Dec 2009 to Feb 2010 periods compared with Aug 2009 to Oct 2009 periods. Nearly six thousand four-wheeled and four hundred two-wheeled motorized vehicle occupants were observed in Nov 2009 and Apr 2010. Overall, two of the five drivers and one of the five front seat occupants wore seat belts. This proportion was significantly higher in drivers and front-seat occupants of cars than those of heavier vehicles. Similarly, one of two motorcyclists used a helmet but this proportion was 5.8% for pillion riders in Nov 2009. The increased enforcement had a limited influence on belt wearing in drivers (+4.0%; 95% Confidence Interval [95%CI]=1.8–6.1) and occupants (+6.2%; 95%CI=4.2–8.2). A higher increase was observed for motorcyclists (+9.8%; 95%CI=2.6–16.8) and pillion riders (+12.8%; 95%CI=5.4, 20.5). These results suggested that serious efforts are required to increase seat-belt and helmet use on Pakistani highways. Improving enforcement resources, increased fines, not allowing such vehicles on roads, and awareness campaigns targeting drivers of heavy vehicles might increase wearing rates in Pakistan. PMID:22105384

  9. Chemical characterization and mass closure of PM10 and PM2.5 at an urban site in Karachi - Pakistan

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    Shahid, Imran; Kistler, Magdalena; Mukhtar, Azam; Ghauri, Badar M.; Ramirez-Santa Cruz, Carlos; Bauer, Heidi; Puxbaum, Hans

    2016-03-01

    A mass balance method is applied to assess main source contributions to PM2.5 and PM10 levels in Karachi. Carbonaceous species (elemental carbon, organic carbon, carbonate carbon), soluble ions (Ca++, Mg++, Na+, K+, NH4+, Cl-, NO3-, SO4-), saccharides (levoglucosan, galactosan, mannosan, sucrose, fructose, glucose, arabitol and mannitol) were determined in atmospheric fine (PM2.5) and coarse (PM10) aerosol samples collected under pre-monsoon conditions (March-April 2009) at an urban site in Karachi (Pakistan). The concentrations of PM2.5 and PM10 were found to be 75 μg/m3 and 437 μg/m3 respectively. The large difference between PM10 and PM2.5 originated predominantly from mineral dust. "Calcareous dust" and "siliceous dust" were the over all dominating material in PM, with 46% contribution to PM2.5 and 78% to PM10-2.5. Combustion particles and secondary organics (EC + OM) comprised 23% of PM2.5 and 6% of PM10-2.5. EC, as well as OC ambient levels were higher (59% and 56%) in PM10-2.5 than in PM2.5. Biomass burning contributed about 3% to PM2.5, and had a share of about 13% of "EC + OM" in PM2.5. The impact of bioaerosol (fungal spores) was minor and had a share of 1 and 2% of the OC in the PM2.5 and PM10-2.5 size fractions. In case of secondary inorganic aerosols, ammonium sulphate (NH4)2SO4 contributes 4.4% to PM2.5 and no detectable quantity were found in fraction PM10-2.5. The sea salt contribution is about 2% both to PM2.5 and PM10-2.5.

  10. Breast cancer risk factor knowledge among nurses in teaching hospitals of Karachi, Pakistan: a cross-sectional study

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    Hatcher Juanita

    2006-09-01

    Full Text Available Abstract Background Breast cancer is the most common cancer among women in both the developed and the developing world. The incidence of breast cancer in Karachi, Pakistan is 69.1 per 100,000 with breast cancer presentation in stages III and IV being common (≥ 50%. The most pragmatic solution to early detection lies in breast cancer education of women. Nurses constitute a special group having characteristics most suited for disseminating breast cancer information to the women. We assessed the level of knowledge of breast cancer risk factors among registered female nurses in teaching hospitals of Karachi. We also identified whether selected factors among nurses were associated with their knowledge of breast cancer risk factors, so that relevant measures to improve knowledge of nurses could be implemented. Methods A cross-sectional survey was conducted in seven teaching hospitals of Karachi using stratified random sampling with proportional allocation. A total of 609 registered female nurses were interviewed using a structured questionnaire adapted from the Stager's Comprehensive Breast Cancer Knowledge Test. Knowledge of breast cancer risk factors was categorized into good, fair and poor categories. Ordinal regression was used to identify factors associated with risk knowledge among nurses. Results Thirty five percent of nurses had good knowledge of risk factors. Graduates from private nursing schools (aOR = 4.23, 95% CI: 2.93, 6.10, nurses who had cared for breast cancer patients (aOR = 1.41, 95% CI: 1.00, 1.99, those having received a breast examination themselves (aOR = 1.56, 95% CI: 1.08, 2.26 or those who ever examined a patient's breast (aOR = 1.87, 95% CI: 1.34, 2.61 were more likely to have good knowledge. Conclusion A relatively small proportion of the nursing population had good level of knowledge of the breast cancer risk factors. This knowledge is associated with nursing school status, professional breast cancer exposure and self

  11. Inculcating health awareness in Karachi, Pakistan: How innovative, socially acceptable methods can help combat communicable diseases of poverty

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    Maryam Huda

    2017-06-01

    Full Text Available In the megacity of Karachi, which has a population of more than 24 million, more than 9.2 million people (approximately 40 per cent live in squatter settlements. Communities here are characterised by low socioeconomic settings, crowded living conditions, inadequate water and sanitation facilities, and poor health-related behaviours. Such conditions create an environment favourable to the spread of communicable diseases like tuberculosis (TB, hepatitis and dengue. Since 1985, the Department of Community Health Sciences at the Aga Khan University, Karachi, Pakistan has run the Urban Health Program (UHP, a community-campus partnership operating in these disadvantaged squatter settlements. Recent explosive increases in the spread of dengue, hepatitis and TB, however, necessitated special attention and activities on a scale and pace that was greater than could be accommodated as part of UHP’s core work. Thus, having an already well-established collaborative model with social accountability measures in place, a dedicated mass awareness program was initiated over the course of one year, from mid 2015: the AGAHI project. This article describes AGAHI’s innovative, low-cost, collaborative activities conducted in partnership with two squatter communities, Sultanabad and Rehri Goth, to build health awareness, improved care-seeking and compliance to treatment. Activities ranged from school sessions, role plays and awareness walks to laneway meetings, training of health care workers, door-to-door campaigns and collaboration with local religious leaders, public sector groups and NGOs. Building on the collaborative work of the UHP, in just 12 months AGAHI was able to conduct 80 health awareness sessions with 4000 participants. Moreover, high-risk and vulnerable populations were identified and referred for further treatment. A comparative cross-sectional survey afterwards revealed a significant increase in knowledge among Sultanabad residents as compared to

  12. What practicing pharmacists think about their role in healthcare: Preliminary findings from Karachi, Pakistan

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    Shazia Qasim Jamshed

    2014-01-01

    Conclusion: The pharmacists expressed dissatisfaction about their perceived status in the healthcare system of Pakistan. In order to intensify the feel of professionalism, reconceptualization of education and training system is advocated.

  13. Prevelence of latent tuberculosis and associated risk factors in children under 5 years of age in Karachi, Pakistan

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    Mubashir Zafar

    2014-01-01

    Full Text Available Background: As infected children represent a large proportion of the pool from which tuberculosis (TB cases will arise and its associated risk factors that influence TB infection are basic cause for burden of TB. Aim: This study was to determine the prevalence of latent TB and associated risk factors in children less than 5 year of age in Karachi, Pakistan. Setting and Design: Cross-sectional study and it was conducted in tertiary care hospital in Karachi. Materials and Methods: In this study, children who were living in contact with individuals who had proven smear-positive pulmonary TB cases were investigated. A tuberculin skin test (TST was performed on each child. TST sizes ≥5 and 10 mm, respectively, were considered positive. Statistical Analysis: A random effects logistic regression model, which takes into account the clustering of contacts within households, was used to assess the relationship between the tuberculin response of the contact and risk factors. Results are reported as unadjusted and adjusted odds ratios and their 95% confidence intervals. The likelihood ratio test was used to assess the overall significance of risk factors, tests for trend, and tests for interaction. Results: The distribution of TST responses followed a bimodal pattern, with 135 (35% children presenting a palpable induration. The risk of positive TST response in the child increased with the geographic proximity of the child to the individual with TB within the household and with the degree of activities shared with the individual with TB. Nutritional status and presence of a bacille Calmette-Guérin (BCG scar were not independent risk factors for TST positivity in this population. On multivariate analysis, the effect of geographic proximity to the individual with TB, household size, and duration of cough in the index case persisted for TST responses ≥5 mm. Conclusions: Positive TST in a child reflects most probably TB infection rather than previous BCG

  14. Awareness and perceptions of electroconvulsive therapy among psychiatric patients: a cross-sectional survey from teaching hospitals in Karachi, Pakistan

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    Choudhary Maria

    2007-06-01

    Full Text Available Abstract Background Electroconvulsive therapy (ECT is shown to be effective in many psychiatric illnesses, but its distorted projection by the Pakistani media and its unregulated use by many physicians across the country have adversely affected its acceptability. Given this situation we aimed to assess the awareness and perceptions regarding ECT as a treatment modality among the psychiatric patients. Methods This was a questionnaire based cross-sectional study carried out at 2 tertiary care hospitals in Karachi, Pakistan. Results We interviewed 190 patients of which 140 were aware of ECT. The study showed that the level of education had a significant impact on the awareness of ECT (p = 0.009. The most common source of awareness was electronic and print media (38%, followed by relatives (24% and doctors (23%. Physical injuries (42% and neurological (12% and cognitive disturbances (11% were the commonly feared side effects. The most popular belief about ECT was that it was a treatment of last resort (56%. Thirty-nine percent thought that ECT could lead to severe mental and physical illness and 37% considered it inhumane. Patients' willingness to receive ECT was dependant on whether or not they were convinced of its safety (p = 0.001 and efficacy (p = 0.0001. Conclusion We identified a serious lack of dissemination of information regarding ECT by the psychiatrists and the mental health care providers. This may be the result of an inadequate postgraduate training in Pakistan or just a lack of concern about the mentally ill patients. The media seemed to be the major source of information for our patients. We also saw the prevalence of a variety of myths regarding ECT in our society, which we feel may be responsible for the patients' adverse attitudes. Given the widespread applicability of ECT there is a dire need to dispel these misconceptions and improve its acceptability.

  15. Human ophthalmomyiasis externa caused by the sheep botfly Oestrus ovis:a case report from Karachi, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Naima Fasih; Kanza Noor Qaiser; Syeda Aisha Bokhari; Bushra Jamil; Mohammad Asim Beg

    2014-01-01

    Ocular myiasis due to Oestrus ovis larvae infestation is an eye infection in humans. A case of ophthalmomyiasis externa in a young male from Karachi, Pakistan in winter (December 2012), without history of close proximity to domestic animals or visit to any rural area was reported. The condition is self-limiting and the disease is confined to the conjunctiva. The eye was locally anesthetized and washed with 5% povidine iodine solution. A total number of 27 first instar larvae of Oestrus ovis were removed with fine forceps. The patient received 0.5% moxifloxacin and diclofenac eye drops for one week. His eye was examined after one day, one week and one month and the recovery status was favorable. The present case raise the awareness among ophthalmologists regarding larval conjunctivitis as one of the causes of conjunctivitis and it can occur throughout the year in any season including winter. Moreover, it can occurr in any area either rural or urban with or without close proximity to domestic animals especially in subtropical regions with high parasitic burden.

  16. Human ophthalmomyiasis externa caused by the sheep botfly Oestrus ovis:a case report from Karachi,Pakistan

    Institute of Scientific and Technical Information of China (English)

    Naima; Fasih; Kanza; Noor; Qaiser; Syeda; Aisha; Bokhari; Bushra; Jamil; Mohammad; Asim; Beg

    2014-01-01

    Ocular myiasis due to Oestrus ovis larvae infestation is an eye infection in humans.A case of ophthalmomyiasis externa in a young male from Karachi,Pakistan in winter(December 2012),without history of close proximity to domestic animals or visit to any rural area was reported.The condition is self-limiting and the disease is confined to the conjunctiva.The eye was locally anesthetized and washed with 5%povidine iodine solution.A total number of 27 first instar larvae of Oestrus ovis were removed with fine forceps.The patient received 0.5%moxifloxacin and diclofenac eye drops for one week.His eye was examined after one day,one week and one month and the recovery status was favorable.The present case raise the awareness among ophthalmologists regarding larval conjunctivitis as one of the causes of conjunctivitis and it can occur throughout the year in any season including winter.Moreover,it can occurr in any area either rural or urban with or without close proximity to domestic animals especially in subtropical regions with high parasitic burden.

  17. Effects of Mothers' Employment on Toddlers' Cognitive Development: A Study Conducted in Karachi, Pakistan

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    Meherali, Salima Moez; Karmaliani, Rozina; Asad, Nargis

    2011-01-01

    Over the past several decades in Pakistan, an increasing number of women with young children are joining the workforce, which is one of the biggest social changes in the later half of the twentieth century. More children are being raised in households where mothers work for pay as compared with the scenario a generation ago. This change has…

  18. Effects of Mothers' Employment on Toddlers' Cognitive Development: A Study Conducted in Karachi, Pakistan

    Science.gov (United States)

    Meherali, Salima Moez; Karmaliani, Rozina; Asad, Nargis

    2011-01-01

    Over the past several decades in Pakistan, an increasing number of women with young children are joining the workforce, which is one of the biggest social changes in the later half of the twentieth century. More children are being raised in households where mothers work for pay as compared with the scenario a generation ago. This change has…

  19. The Effect of Clinical Clerkship on Students' Attitudes toward Psychiatry in Karachi, Pakistan

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    Sajid, Ayesha; Khan, Murad M.; Shakir, Murtaza; Moazam-Zaman, Riffat; Ali, Asad

    2009-01-01

    Objective: Attitudes of medical students toward a specialty is strongly related to their future choice of specialty. In developing countries like Pakistan, where there is a shortage of psychiatrists, there is a need to assess the effect of exposure to psychiatry on medical students. Methods: The authors conducted a survey of fourth-year medical…

  20. The Effects of Using Educational Technology in Private Secondary Schools of Karachi, Pakistan

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    Waqar-un-Nisa Faizi

    2013-04-01

    Full Text Available This study shows the effects of using educational technology in private secondary school of Karachi. This study was done through survey. The population of this study was consisting on both students and teachers of private secondary school. One hundred respondents including 30 teachers and 70 students were randomly selected. The questionnaire was used consisting of 24 items as a research instruments. Simple percentage method and simple mean methods were used for analyzing the collected data. The survey result shows that both of students and teachers taking interest in using towards educational technology at secondary level. After the conclusion of the results it was recommended that Government and private institutions should arrange seminars and workshops to aware students about the importance of educational technology and there should be some introduction courses to aware teachers about educational technology.

  1. Risk assessment of dissolved trace metals in drinking water of Karachi, Pakistan.

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    Karim, Zahida

    2011-06-01

    Health risk caused by the exposure to trace metals in water through different exposure pathways was investigated. Graphite furnace atomic absorption spectrometry was used for the determination of trace metals (nickel, copper, chromium, lead, cobalt, manganese and iron) in drinking water samples. The concentration of metals was compared with the world health organization (WHO) drinking water quality guideline values. Risk of metals on human health was evaluated using Hazard Quotient (HQ). Hazard quotients of all metals through oral ingestion and dermal absorption are found in the range of 1.11 × 10⁻² to 1.35 × 10⁻¹ and 8.52 × 10⁻⁵ to 9.75 × 10⁻², respectively. The results of the present study reflect the unlikely potential for adverse health effects to the inhabitants of Karachi due to the oral ingestion and dermal absorption of water containing these metals.

  2. The Need and Importance of Field Trips at Higher Level in Karachi, Pakistan

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    Anila Fatima Shakil

    2011-07-01

    Full Text Available This study identifies the importance of educational field trips at higher level in different universities of Karachi. This study was carried out through survey. The population of this study was the students and teachers of both government and private universities. The ideas and views of male and female students and teachers were sought out regarding the importance of educational field trips at higher level. One hundred and fifty respondents including 50 teachersand 100 students were randomly selected. The questionnaire was used as a research instrument which was consisted of 28, 28 items, collected data was analyzed by using simple percentage method. Majority of the respondents had a view that educational field trip ishelpful to cope up with advance learning. A large number of respondents opinioned that educational field trip help to give a practical approach for the curriculum and it is helpful to develop more interest in learning among students.

  3. Impact of Role Model on Behavioral and Purchase Intentions among Youngsters: Empirical Evidence from Karachi, Pakistan

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    Muhammad Zubair Haroon

    2015-10-01

    Full Text Available Concept of celebrity endorsement evolved in last few decades and it has strengthened its roots. Companies spend millions of dollar on celebrity endorsement. Marketers are trying to identify the impact of celebrity endorsement on companies’ profitability and advertising objectives. The purpose of this research was to investigate the impact of vicarious role model such as showbiz celebrity or sports celebrity on purchase intentions, brand loyalty and positive word of mouth among young adults of Karachi. Structured questionnaire was used to collect data through survey research method and data was collected from 252 students by using convenience sampling technique. Factor analysis and MANOVA were used as statistical techniques to test the model. Result showed that role model has significant impact on young adults’ purchase intentions, brand loyalty and positive word of mouth.

  4. Spatial and Seasonal Studies of Sedimentological and Neoichnological Characteristics from Mangrove areas of Karachi, Pakistan

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    Noor Us Saher

    2016-12-01

    Full Text Available The purpose of this study is to appraise the physicochemical properties of mangrove sediments and their influence on neoichnological properties produced by different crab species from Korangi Creek (S1 and Sandspit backwater areas (S2 and S3, Karachi. The significant spatial, seasonal and tidal differences (p <0.05 were examined in %moisture, %porosity and sorting coefficient Φ.The significant spatial and seasonal variations were observed in total organic matter, mean Φ, skewness Φ and kurtosis Φ of sediment. Neoichnological properties (burrow number, diameter and total burrow opening area were observed with significant differences among the macrohabitat (stations and microhabitat (tidal levels. The correlation analysis indicated that the neoichnological properties are strongly linked with sedimentological properties such as water contents, total organic matter and textural parameters. This study could be employed to distinguish between different paleoenvironmental controlling factors, predicated on similar paleoichnological features made by similar fossil organisms in a mangrove environment.

  5. Bioindicator Thais carinifera (mollusca, gastropoda: imposex response and consequences along the Pakistan coast during the period from 1993 to 2012

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    Nuzhat Afsar

    2015-06-01

    Full Text Available Abstract Endocrine mediated "imposex" phenomenon was investigated and recorded in the muricoid gastropod species Thais carinifera during the two decades from 1993 to 2012 at three (3 sites out of six (6 localities investigated along the Sindh and Balochistan coast, Pakistan. The VDS stages 1 to 4 were apparent in Thais carinifera. The intensity of imposex has remained comparatively low in the populations of harbours in close proximity to port Mohammad Bin-Qasim, namely; Old Korangi Fish Harbour (OKFH and New Korangi Fish Harbour (NKFH where shipping activities are sporadic as compared to those in Manora Channel and the adjoining Karachi Port area where intensive shipping activity is rather frequent. Target species found to be good bioindicators have shown a marked decrease over the prolonged study period. Investigations show that this decrease is solely due to globally imposed effective bans on tributyltin (TBT based antifouling paints over the past decade.

  6. An autoregressive integrated moving average model for short-term prediction of hepatitis C virus seropositivity among male volunteer blood donors in Karachi, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Saeed Akhtar; Shafquat Rozi

    2009-01-01

    AIM: To identify the stochastic autoregressive integrated moving average (ARIMA) model for short term forecasting of hepatitis C virus (HCV) seropositivity among volunteer blood donors in Karachi, Pakistan. METHODS: Ninety-six months (1998-2005) data on volunteer blood donors tested at four major blood banks in Karachi, Pakistan were subjected to ARIMA modeling. Subsequently, a fitted ARIMA model was used to forecast HCV seropositive donors for 91-96 mo to contrast with observed series of the same months. To assess the forecast accuracy, the mean absolute error rate (%) between the observed and predicted HCV seroprevalence was calculated. Finally, a fitted ARIMA model was used for short-term forecasts beyond the observed series. RESULTS: The goodness-of-fit test of the optimum ARIMA (2,1,7) model showed non- s igni f icant autocorrelations in the residuals of the model. The forecasts by ARIMA for 91-96 mo closely followed the pattern of observed series for the same months, with mean monthly absolute forecast errors (%) over 6 mo of 6.5%. The short-term forecasts beyond the observed series adequately captured the pattern in the data and showed increasing tendency of HCV seropositivity with CONCLUSION: To curtail HCV spread, public health authorities need to educate communities and health care providers about HCV transmission routes based on known HCV epidemiology in Pakistan and its neighboring countries. Future research may focus on factors associated with hyperendemic levels of HCV infection.

  7. Students’ perception of educational environment at Aga Khan University Medical College, Karachi, Pakistan

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    Rehman, Rehana; Ghias, Kulsoom; Fatima, Syeda Sadia; Hussain, Mehwish; Alam, Faiza

    2016-01-01

    Objective: To assess educational environment in Aga Khan University Medical College (AKUMC) by Dundee Ready Educational Environmental Measure (DREEM) scale. Methods: A cross-sectional survey of students at the AKUMC with simple random sampling was carried out from June 2014 till March 2015. Responses in five subscales were used to calculate DREEM scores. Results: The average DREEM score was 125.77±16.8 with a reliability of 91.3%. With regards to subscales, on the 12-item students’ perceptions of learning (PoL) subscale, the maximum score was 48; 11 items of students’ perceptions of teachers (PoT) had a maximum score of 44; students’ academic self-perceptions (ASP) identified by 8 items showed maximum score of 32; students’ perceptions of atmosphere (PoA) with 12 items obtained maximum score 48 and students’ social self-perceptions (SSP) subscale of 7 items had a maximum score of 28. Conclusion: Students perceived a positive learning environment at AKUMC Karachi. PMID:27375721

  8. PREMENSTRUAL SYNDROME SYMPTOMS (PMS AND PREVALENCE AMONG UNIVERSITY STUDENTS IN KARACHI, PAKISTAN

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    Zehra Sitwat

    2013-04-01

    Full Text Available A cross-sectional study was designed to investigate the frequency of PMS, on 520 subjects selected from University of Karachi (mean age 20±1.94.The PMS and menstrual cycle data of individuals were collected from prism calendar and symptom-thermal chart for three consecutive cycles. Based on the observations, all subjects were grouped as control (208 and PMS patients (312. The frequency (60% with symptoms include irritability (71.05%, fatigue (86.84%, and bowel constipation (36.76% and loose bowel (17.65%, appetite up (42.65%, and appetite down (51.47%.Breast tenderness (67.65%, abdominal blotting (47.06%, aggressiveness (29.41%, depression (13.24%, and insomnia (14.71%, labile mood (5.88%, and anger (7.35%. Elevated irritability and breast tenderness were observed in age group (19-24 years i.e. 92% and 82% respectively with p<0.001. The present study identified a pattern non-similar to the typical PMS pattern of the Western populations. The typical socio-cultural habitat of Pakistani population, may have led to the evolution of a different pattern of PMS.

  9. Evaluation of diploma in bioethics programme, Karachi, Pakistan: An educational research.

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    Shamim, Muhammad Shahid; Shirazi, Bushra; Omair, Aamir

    2015-04-01

    To perform an outcome-based evaluation of the diploma programme initiated in 2006 at the Centre of Biomedical Ethics and Culture. The broad based evaluation was done at the Centre of Biomedical Ethics and Culture, Sindh Institute of Urology and Transplantation, Karachi, from July 2011 to June 2012 and comprised pass out batches from 2006 to 2010. Outcome logic model was applied through a questionnaire-based approach. Emails were sent to the graduates, containing a mix of closed and open-ended questions. Quantitative feedback was analysed for frequencies and percentages. Content analysis was conducted for open-ended responses. SPSS 19 was used for statistical analysis. Four batches had graduated in the five-year study period. A total of 50 students had been enrolled, while 41(82%) graduated. Of them, 31(76%) graduates responded. Overall, 10(24%) graduates completed their Masters in bioethics, and 16(39%) were involved in institutional ethics committee. All (100%) believed the diploma had increased their knowledge of ethics and they were involved in disseminating the acquired knowledge through presentations, seminars/conferences 29(93.5%), teaching and awareness activities 22(71%). Besides, 28(90%) respondents believed their behaviour had changed and 27(87%)were improving the quality of work and environment, while 18(58%) had published related articles after their diploma. The programme was found to have achieved its objective during the first five years of its inception.

  10. The Understanding of Ebola Virus Disease (EVD Among Medical Practitioners of Karachi, Pakistan

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    Sadia Shakeel

    2017-06-01

    Full Text Available The World Health Organization (WHO has acknowledged the large West African Ebola virus disease (EVD outbreak to be a community health disaster of global concern, and the spread of disease demands a synchronized response. Medical practitioners have an increased risk of contracting the disease as compared to others as they are directly exposed to patients’ blood or fluids. This study evaluated the knowledge of medical practitioners in Karachi regarding EVD. It was descriptive and exploratory in nature and took place over a period of 4 months, i.e., August 2016 to November 2016. The respondents were randomly selected by convenience sampling and surveyed with a 20-item questionnaire. Overall, 403 questionnaires were included in the study and a response rate of 80.6% was achieved. The majority (56.3% considered themselves to be somewhat knowledgeable; females had more knowledge as compared to male (p < 0.003. More than 80% knew about the 2014 Ebola outbreak in West Africa. Interestingly, the findings revealed that respondents’ knowledge about diagnosis and identification of EVD is good. Respondents considered EVD a severe disease and emphasized on the need for protective measures when contacting affected patients. Interventions should be tailored to focus on areas where respondents showed a lack of knowledge about the disease.

  11. Determinants of Default from Tuberculosis Treatment among Patients with Drug-Susceptible Tuberculosis in Karachi, Pakistan: A Mixed Methods Study.

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    Natasha Chida

    Full Text Available Non-adherence to tuberculosis therapy can lead to drug resistance, prolonged infectiousness, and death; therefore, understanding what causes treatment default is important. Pakistan has one of the highest burdens of tuberculosis in the world, yet there have been no qualitative studies in Pakistan that have specifically examined why default occurs. We conducted a mixed methods study at a tuberculosis clinic in Karachi to understand why patients with drug-susceptible tuberculosis default from treatment, and to identify factors associated with default. Patients attending this clinic pick up medications weekly and undergo family-supported directly observed therapy.In-depth interviews were administered to 21 patients who had defaulted. We also compared patients who defaulted with those who were cured, had completed, or had failed treatment in 2013.Qualitative analyses showed the most common reasons for default were the financial burden of treatment, and medication side effects and beliefs. The influence of finances on other causes of default was also prominent, as was concern about the effect of treatment on family members. In quantitative analysis, of 2120 patients, 301 (14.2% defaulted. Univariate analysis found that male gender (OR: 1.34, 95% CI: 1.04-1.71, being 35-59 years of age (OR: 1.54, 95% CI: 1.14-2.08, or being 60 years of age or older (OR: 1.84, 95% CI: 1.17-2.88 were associated with default. After adjusting for gender, disease site, and patient category, being 35-59 years of age (aOR: 1.49, 95% CI: 1.10-2.03 or 60 years of age or older (aOR: 1.76, 95% CI: 1.12-2.77 were associated with default.In multivariate analysis age was the only variable associated with default. This lack of identifiable risk factors and our qualitative findings imply that default is complex and often due to extrinsic and medication-related factors. More tolerable medications, improved side effect management, and innovative cost-reduction measures are needed to

  12. Determinants of Default from Tuberculosis Treatment among Patients with Drug-Susceptible Tuberculosis in Karachi, Pakistan: A Mixed Methods Study.

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    Chida, Natasha; Ansari, Zara; Hussain, Hamidah; Jaswal, Maria; Symes, Stephen; Khan, Aamir J; Mohammed, Shama

    2015-01-01

    Non-adherence to tuberculosis therapy can lead to drug resistance, prolonged infectiousness, and death; therefore, understanding what causes treatment default is important. Pakistan has one of the highest burdens of tuberculosis in the world, yet there have been no qualitative studies in Pakistan that have specifically examined why default occurs. We conducted a mixed methods study at a tuberculosis clinic in Karachi to understand why patients with drug-susceptible tuberculosis default from treatment, and to identify factors associated with default. Patients attending this clinic pick up medications weekly and undergo family-supported directly observed therapy. In-depth interviews were administered to 21 patients who had defaulted. We also compared patients who defaulted with those who were cured, had completed, or had failed treatment in 2013. Qualitative analyses showed the most common reasons for default were the financial burden of treatment, and medication side effects and beliefs. The influence of finances on other causes of default was also prominent, as was concern about the effect of treatment on family members. In quantitative analysis, of 2120 patients, 301 (14.2%) defaulted. Univariate analysis found that male gender (OR: 1.34, 95% CI: 1.04-1.71), being 35-59 years of age (OR: 1.54, 95% CI: 1.14-2.08), or being 60 years of age or older (OR: 1.84, 95% CI: 1.17-2.88) were associated with default. After adjusting for gender, disease site, and patient category, being 35-59 years of age (aOR: 1.49, 95% CI: 1.10-2.03) or 60 years of age or older (aOR: 1.76, 95% CI: 1.12-2.77) were associated with default. In multivariate analysis age was the only variable associated with default. This lack of identifiable risk factors and our qualitative findings imply that default is complex and often due to extrinsic and medication-related factors. More tolerable medications, improved side effect management, and innovative cost-reduction measures are needed to reduce

  13. Understanding and perceptions of final-year Doctor of Pharmacy students about generic medicines in Karachi, Pakistan: a quantitative insight

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    Jamshed SQ

    2015-05-01

    Full Text Available Shazia Qasim Jamshed,1 Mohamad Izham Mohamad Ibrahim,2 Mohamad Azmi Hassali,3 Adheed Khalid Sharrad,4 Asrul Akmal Shafie,3 Zaheer-Ud-Din Babar5 1Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia, Kuantan Campus, Pahang, Malaysia; 2College of Pharmacy, Qatar University, Doha, Qatar; 3Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Penang, Malaysia; 4College of Pharmacy, University of Basra, Basra, Iraq; 5School of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand General objective: To evaluate the understanding and perceptions of generic medicines among final-year Doctor of Pharmacy students in Karachi, Pakistan. Methods: A 23-item survey instrument that included a question on the bioequivalence limits and Likert-type scale questions regarding the understanding and perceptions of generic medicines among the students was executed. Cronbach’s alpha was found to be 0.62. Results: Responses were obtained from 236 final-year Doctor of Pharmacy students (n=85 from a publicly funded institute; n=151 from a privately funded institute. When comparing a brand-name medicine to a generic medicine, pharmacy students scored poorly on bioequivalence limits. More than 80% of the students incorrectly answered that all the products that are rated as generic equivalents are therapeutically equivalent to each other (P<0.04. Half of the students agreed that a generic medicine is bioequivalent to the brand-name medicine (P<0.001. With regard to quality, effectiveness, and safety, more than 75% of the students disagreed that generic medicines are of inferior quality and are less effective than brand-name medicines (P<0.001. More than 50% of the students disagreed that generic medicines produce more side effects than brand-name medicines (P<0.001. Conclusion: The current study identified a positive perception toward generic medicines but also gaps in

  14. Pattern of bony injuries among civilian gunshot victims at tertiary care hospital in Karachi, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Ghulam Mustafa Kaim Khani; Syed Mujahid Humail; Kamran Hafeez; Naveed Ahmed

    2015-01-01

    Purpose:Firearm injuries impose a continuous economic burden on society and hospital resources.The aim of this study was to assess the pattern of bony injuries among victims of gunshots.Methods:A retrospective study was conducted in the Department of Orthopedics,Dow University of Health Sciences and Civil Hospital Karachi from January 2011 to December 2012.Patients with isolated bony injuries were included while patients with other systemic injuries were excluded.Results:There were 90 cases and the majority of them were male (84.4%).Mean age was (32,52 ± 10.27) years.Most of the patients (72.2%) belong to the younger age group.A low velocity weapon was used in 61 (67.8%) cases and a high velocity weapon was used in 29 (32.2%) cases.Armed robbery (64.4%) was the cause of conflict in more than half of the cases.Lower limb was involved in 72.2%.Fifty eight (64.4%) patients remained hospitalized for 15-20 days and others for more than 20 days.Internal fixation with intramedullary nailing was done in 35 patients while K-wire was used in 5 patients.Fifty patients were managed with external fixation,either uniplanar or multiplanar ilizarov.Deep wound infection and nonunion were observed more often in high velocity injuries.Conclusion:Armed robbery was the leading cause of gunshot bony injuries in our hospital.Young males were victimized in a majority of cases.High velocity injuries were associated with more complications.

  15. General practitioners′ knowledge and approach to chronic kidney disease in Karachi, Pakistan

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    S Yaqub

    2013-01-01

    Full Text Available Due to lack of adequate number of formally trained nephrologists, many patients with chronic kidney disease (CKD are seen by general practitioners (GPs. This study was designed to assess the knowledge of the GPs regarding identification of CKD and its risk factors, and evaluation and management of risk factors as well as complications of CKD. We conducted a cross-sectional survey of 232 randomly selected GPs from Karachi during 2011. Data were collected on a structured questionnaire based on the kidney disease outcomes and quality initiative recommendations on screening, diagnosis, and management of CKD. A total of 235 GPs were approached, and 232 consented to participate. Mean age was 38.5 ± 11.26 years; 56.5% were men. Most of the GPs knew the traditional risk factors for CKD, i.e., diabetes (88.4% and hypertension (80%, but were less aware of other risk factors. Only 38% GPs were aware of estimated glomerular filtration rate in evaluation of patients with CKD. Only 61.6% GPs recognized CKD as a risk factor for cardiovascular disease. About 40% and 29% GPs knew the correct goal systolic and diastolic blood pressure, respectively. In all, 41% GPs did not know when to refer the patient to a nephrologist. Our survey identified specific gaps in knowledge and approach of GPs regarding diagnosis and management of CKD. Educational efforts are needed to increase awareness of clinical practice guidelines and recommendations for patients with CKD among GPs, which may improve management and clinical outcomes of this population.

  16. Assessment of characteristics of patients with cholelithiasis from economically deprived rural Karachi, Pakistan

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    Naeem Muhammad

    2012-06-01

    Full Text Available Abstract Background Gallstones have been regarded as one of the most expensive diseases in Gastroenterology, posing a great economic burden on developing nations. The majority of Pakistani people live in rural areas where healthcare facilities are not available or are very primitive. We aim to assess the characteristics among cholelithiasis patients from rural Karachi so that a prevention campaign can be launched in rural underprivileged settings to reduce the economic burden of this preventable disease. Method A total of 410 patients were included in the study after giving verbal consent as well as written consent. Variables such as age, weight, height, body mass index (BMI, blood pressure, waist circumference, number of children, monthly family income, number of siblings, and number of family members, were considered in this questionnaire. All data was analysed by SPSS ver. 16.0. Mean and standard deviation (SD were calculated for continuous variables. Frequency and percentages were calculated for categorical variables. Results Nearly 85.4% of the participants were female. The mean ± S.D. for age was 43.8 ± 9.59. Nearly 61% of the patients were illiterate. All of our patients were from low socioeconomic status and their mean salary ± S.D. was 6915 ± 1992 PKR (1 US $ = 90.37PKR. 75% of them were smokers with mean consumption ± S.D. of 7.5 ± 10 cigarettes per day. Fibre in diet was not used by 83.65% of patients. 40.2% were living in combined families. 61% were living in purchased homes. A positive history of diabetes mellitus was given by 45.1%, family history of cholelithiasis by 61% and history of hypertension by 31.7% of subjects. Soft drink consumption was given by 45.1% of patients; while only 8.5% used snacked daily. Tea was consumed by 95.1% of the subjects. Daily physical activity for 30 minutes was reported by only 13.4% of participants. Conclusion In conclusion, rural dwellers from low socioeconomic

  17. Assessment of characteristics of patients with cholelithiasis from economically deprived rural Karachi, Pakistan.

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    Naeem, Muhammad; Rahimnajjad, Nasir Ali; Rahimnajjad, Muhammad Kazim; Khurshid, Madiha; Ahmed, Qazi Jalaluddin; Shahid, Syed Mariam; Khawar, Faiza; Najjar, Molham Mustafa

    2012-06-28

    Gallstones have been regarded as one of the most expensive diseases in Gastroenterology, posing a great economic burden on developing nations. The majority of Pakistani people live in rural areas where healthcare facilities are not available or are very primitive. We aim to assess the characteristics among cholelithiasis patients from rural Karachi so that a prevention campaign can be launched in rural underprivileged settings to reduce the economic burden of this preventable disease. A total of 410 patients were included in the study after giving verbal consent as well as written consent. Variables such as age, weight, height, body mass index (BMI), blood pressure, waist circumference, number of children, monthly family income, number of siblings, and number of family members, were considered in this questionnaire. All data was analysed by SPSS ver. 16.0. Mean and standard deviation (SD) were calculated for continuous variables. Frequency and percentages were calculated for categorical variables. Nearly 85.4% of the participants were female. The mean ± S.D. for age was 43.8 ± 9.59. Nearly 61% of the patients were illiterate. All of our patients were from low socioeconomic status and their mean salary ± S.D. was 6915 ± 1992 PKR (1 US $ = 90.37PKR). 75% of them were smokers with mean consumption ± S.D. of 7.5 ± 10 cigarettes per day. Fibre in diet was not used by 83.65% of patients. 40.2% were living in combined families. 61% were living in purchased homes. A positive history of diabetes mellitus was given by 45.1%, family history of cholelithiasis by 61% and history of hypertension by 31.7% of subjects. Soft drink consumption was given by 45.1% of patients; while only 8.5% used snacked daily. Tea was consumed by 95.1% of the subjects. Daily physical activity for 30 minutes was reported by only 13.4% of participants. In conclusion, rural dwellers from low socioeconomic strata are neglected patients and illiteracy further adds fuel

  18. Qing-Qi Rickshaw : A Boon Or Bane For Public Transportation? A Study Of Road Traffic Injury Patterns Involving Qing-Qi Rickshaws In Karachi Pakistan.

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    Muzzammil, Muhammad; Minhas, Muhammad Saeed; Effendi, Jahanzeb; Jahanzeb, Syed; Mughal, Ayesha; Qadir, Abdul

    2017-01-01

    The three-wheeler Qing-qi and Compressed Natural Gas (CNG) auto-rickshaws were introduced in Karachi to meet the transportation demand of the growing population. These vehicles have directly or indirectly been implicated in a number of road traffic violations as well as road accidents. This study aims to describe the crash characteristics and injury patterns for Qing-qi rickshaw occupants and other road users hit by Qing-qi rickshaw in Karachi, Pakistan. An Observational/ Descriptive study was conducted at Accident & Emergency and Orthopaedic Surgery Department, Jinnah Post Graduate Medical Centre, Karachi Pakistan from July 2014 to June 2015.All patients who came with Qing-qi rickshaw accident in Accident & Emergency (A&E) of JPMC were included. Crash characteristics, details of injuries, injury severity parameters and outcome were documented in detailed interviews. Four hundred and eighty-six rickshaw related injuries were noted in road traffic accidents by Qing-gi rickshaw. Age range was 2-85 (43.5±58.68). 350 injured victims were males and 136 were females. By occupation most victims were laborers and daily wage workers (45%) and students (21%). Overloading of vehicle with more than two passengers was found in (28.5%). The most common cause of injury was collision with a moving vehicle (56%), followed by fall from rickshaw. The most common contributing factor was the overloading of rickshaw and roll over on turning (61%). Injury severity on arrival were mild (49%), moderate were (32%), and severe were (19%). Injuries related to head and neck (26%), face (14%), thorax and abdomen (5%), lower extremity and pelvic girdle (31%) and upper extremity (23%) were observed. Qing-qi rickshaw injuries are common and these vehicles are vulnerable to road traffic accidents. Occupants and road users are both at risk of injuries.

  19. Correlates of cigarette smoking among male college students in Karachi, Pakistan

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    Akhtar Saeed

    2007-11-01

    Full Text Available Abstract Background About 1.3 billion people are regular smokers world wide and every day between 8,200 and 9,900 young people start to smoke, risking rapid addiction to nicotine. Transition from high school to college is a critical period to adopt healthy habits and life style. Therefore, it is important to understand the factors that might influence their smoking habit. Our study aims to assess the influence of factors that encourage college students to smoke cigarettes. Methods The data used in this survey were obtained from a representative sample of registered colleges of Karachi. A random sample of 576 male college students of ages ranging from 15–30 years was interviewed using a questionnaire administered by survey officers, by applying multi stage cluster sampling during the academic year 2004–2005. Results In this study, we found 26.7% of students had ever tried smoking, whereas 24%(95% CI: 21.0%–28.0% of college students reported current smoking (that is whether one had smoked a cigarette in past 30 days. Among different age groups, prevalence of current smoking was 19.2% in 15–17 years, 26.5% in 18–20 years and 65% in 21 years and above. After adjusting for age of respondent, students in public schools were more likely to smoke as compared to students in private schools (adjusted OR = 2.3; 95% CI: 1.3–4.2. Students whose friends are smokers were 5 times more likely to smoke compared to those whose friends are non-smokers (adjusted OR = 4.8; 95%CI: 3.1 – 7.4. Those students having fathers with no formal schooling were more likely to smoke (adjusted OR = 2.2; 95% CI: 1.1–4.2 as compared to those whose fathers had some degree of education. Students having non-working mothers were more likely to smoke as compared to students with working mothers (adjusted OR = 2.8; 95% CI: 0.9–9.1. Students belonging to Bin Qasim (adjusted OR = 2.1; 95% C.I: 1.1–4.1 and Gadap town (adjusted OR = 2.1; 95%C.I were more likely to smoke as

  20. Lead Exposure Assessment among Pregnant Women, Newborns, and Children: Case Study from Karachi, Pakistan.

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    Fatmi, Zafar; Sahito, Ambreen; Ikegami, Akihiko; Mizuno, Atsuko; Cui, Xiaoyi; Mise, Nathan; Takagi, Mai; Kobayashi, Yayoi; Kayama, Fujio

    2017-04-13

    Lead (Pb) in petrol has been banned in developed countries. Despite the control of Pb in petrol since 2001, high levels were reported in the blood of pregnant women and children in Pakistan. However, the identification of sources of Pb has been elusive due to its pervasiveness. In this study, we assessed the lead intake of pregnant women and one- to three-year-old children from food, water, house dust, respirable dust, and soil. In addition, we completed the fingerprinting of the Pb isotopic ratios (LIR) of petrol and secondary sources (food, house-dust, respirable dust, soil, surma (eye cosmetics)) of exposure within the blood of pregnant women, newborns, and children. Eight families, with high (~50 μg/dL), medium (~20 μg/dL), and low blood levels (~10 μg/dL), were selected from 60 families. The main sources of exposure to lead for children were food and house-dust, and those for pregnant women were soil, respirable dust, and food. LIR was determined by inductively coupled plasma quadrupole mass spectrometry (ICP-QMS) with a two sigma uncertainty of ±0.03%. The LIR of mothers and newborns was similar. In contrast, surma, and to a larger extent petrol, exhibited a negligible contribution to both the child's and mother's blood Pb. Household wet-mopping could be effective in reducing Pb exposure. This intake assessment could be replicated for other developing countries to identify sources of lead and the burden of lead exposure in the population.

  1. Trends in Transfusion Transmitted Infections Among Replacement Blood Donors in Karachi, Pakistan

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    Syed Mohammad Irfan

    2013-06-01

    Full Text Available OBJECTIVE: To determine the prevalence of Hepatitis-B, Hepatitis-C and Human Immunodeficiency infections in replacement blood donors. METHODS: From January 2004 to December 2011, 108,598 apparently healthy donors donated blood at our Blood Bank. Screening was done by Microparticle Enzyme Immuno Assay (MEIA method on Axsym System (Abbott Diagnostic, USA and in year 2011 by Chemiluminescent Immunoassay (CIA method on Architect i2000 (Abbott Diagnostic, USA. From 2010 onward, HIV reactive donors were advised for confirmatory tests and reported back with the results. RESULTS: Of the 108,598 total donors, 108,393 (99.8% were replacement donors with a mean age of 28.92 (17-55 years. Of this, only 164 (0.15% were females. Among the replacement donors, 4,906 (4.5% were found to be reactive for Hepatitis-B, C and Human Immunodeficiency Virus. All the reactive patients, except one, were males. HbsAg was positive in 2,068 (1.90% and anti-HCV in 2832 (2.61% donors, while 111 (0.10% were positive for Human Immunodeficiency Virus. Co-infectivity was observed in 103 (0.09% cases. The prevalence appeared to be higher in younger age group (17-30 yrs. Only 16.6% cases should be patients returned with results of the confirmatory tests for HIV and were found positive. CONCLUSION: Hepatitis-B and C sero-prevalence in our series of replacement donors appears high compared to most studies from neighboring countries and relatively low in comparison to earlier studies from Pakistan. Prevalence of HIV, however, appears low and turn out of HIV positive cases for confirmatory tests is low.

  2. What do young adults know about the HIV/AIDS epidemic? Findings from a population based study in Karachi, Pakistan

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    Johansson Eva

    2009-03-01

    Full Text Available Abstract Background HIVAIDS is spreading globally, hitting the younger generations. In Pakistan, the prevalence of HIV in high-risk subpopulations is five per cent or higher. This poses a serious threat of a generalised epidemic especially among the younger population. In the wake of HIVAIDS epidemic this is worrying as a well informed younger generation is crucial in restricting the spread of this epidemic. This study investigated Pakistani young adults' (male and female knowledge and awareness of the HIV/AIDS disease. Methods A population-based, cross-sectional study of 1,650 male and female adults aged 17–21 years living in Karachi was conducted using a structured questionnaire. A multi-stage cluster sampling design was used to collect data representative of the general population in an urban area. Bivariate and multivariate analyses were performed separately for males and females. Results Of 1,650 subjects, 24 per cent (n = 390 reported that they had not heard of HIV/AIDS. Among the males, those with a poor knowledge were younger (AOR = 2.20; 95 per cent CI, 1.38, 3.49, with less than six years of schooling (AOR = 2.46; 1.29 4.68 and no computer at home (AOR = 1.88; 1.06 3.34. Among the females, the risk factors for poor knowledge were young age (AOR = 1.74; 1.22, 2.50, low socio-economic status (AOR = 1.54; 1.06, 2.22, lack of enrolment at school/college (AOR = 1.61; 1.09, 2.39 and being unmarried (AOR = 1.85; 1.05, 3.26. Conclusion Alarming gaps in knowledge relating to HIV/AIDS were detected. The study emphasises the need to educate young adults and equip them with the appropriate information and skills to enable them to protect themselves from HIV/AIDS. However, taboos surrounding public discussions of sexuality remain a key constraint to preventive activities.

  3. What do young adults know about the HIV/AIDS epidemic? Findings from a population based study in Karachi, Pakistan.

    Science.gov (United States)

    Farid-ul-Hasnain, Syed; Johansson, Eva; Krantz, Gunilla

    2009-03-26

    HIVAIDS is spreading globally, hitting the younger generations. In Pakistan, the prevalence of HIV in high-risk subpopulations is five per cent or higher. This poses a serious threat of a generalised epidemic especially among the younger population. In the wake of HIVAIDS epidemic this is worrying as a well informed younger generation is crucial in restricting the spread of this epidemic. This study investigated Pakistani young adults' (male and female) knowledge and awareness of the HIV/AIDS disease. A population-based, cross-sectional study of 1,650 male and female adults aged 17-21 years living in Karachi was conducted using a structured questionnaire. A multi-stage cluster sampling design was used to collect data representative of the general population in an urban area. Bivariate and multivariate analyses were performed separately for males and females. Of 1,650 subjects, 24 per cent (n = 390) reported that they had not heard of HIV/AIDS. Among the males, those with a poor knowledge were younger (AOR = 2.20; 95 per cent CI, 1.38, 3.49), with less than six years of schooling (AOR = 2.46; 1.29 4.68) and no computer at home (AOR = 1.88; 1.06 3.34). Among the females, the risk factors for poor knowledge were young age (AOR = 1.74; 1.22, 2.50), low socio-economic status (AOR = 1.54; 1.06, 2.22), lack of enrolment at school/college (AOR = 1.61; 1.09, 2.39) and being unmarried (AOR = 1.85; 1.05, 3.26). Alarming gaps in knowledge relating to HIV/AIDS were detected. The study emphasises the need to educate young adults and equip them with the appropriate information and skills to enable them to protect themselves from HIV/AIDS. However, taboos surrounding public discussions of sexuality remain a key constraint to preventive activities.

  4. Post partum anxiety and depression in peri-urban communities of Karachi, Pakistan: a quasi-experimental study

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    Azam Iqbal S

    2009-10-01

    Full Text Available Abstract Background Postpartum anxiety and depression is a major public health concern because of its adverse effects on the cognitive and social development of the infant. Globally postpartum depression has been widely investigated but as anxiety is a more prominent feature of postpartum depression we assessed the prevalence of anxiety and depression and their associated factors in post partum women. Methods A quasi-experimental study investigating the impact of postpartum anxiety and depression on child growth and development was conducted in two peri-urban, multiethnic, communities of Karachi, a mega city of Pakistan. A house to house questionnaire based survey was done by trained field workers; 420 consenting pregnant women were identified and data for socio-demographic, home environment and family relationship variables was collected between 36 weeks of pregnancy and within 10 days of childbirth. Mother's levels of anxiety and depression were assessed after one month, two months, six months and twelve months of childbirth; this was two step process: initially an indigenous, validated screening instrument Aga Khan University Anxiety and Depression Scale was used and diagnostic confirmation was done through a psychologist's interview based on DSM IV criteria. Women found to be anxious and depressed at least once out of four assessments were considered for the computation of overall prevalence of postpartum anxiety and depression as well as its risk factors. However, point prevalence's of postpartum anxiety and depression were also reported at each assessment time. Two sixty seven women could be followed for one year. Data was analyzed using SPSS. Chi-square test, simple and multiple logistic regression were used to see the association of different factors. Results The overall prevalence of postpartum anxiety and depression was found to be 28.8 percent. Domestic violence, difficulty in breast feeding at birth and unplanned current pregnancy

  5. The burden of non-communicable disease in transition communities in an Asian megacity: baseline findings from a cohort study in Karachi, Pakistan.

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    Faisal S Khan

    Full Text Available BACKGROUND: The demographic transition in South Asia coupled with unplanned urbanization and lifestyle changes are increasing the burden of non-communicable disease (NCD where infectious diseases are still highly prevalent. The true magnitude and impact of this double burden of disease, although predicted to be immense, is largely unknown due to the absence of recent, population-based longitudinal data. The present study was designed as a unique 'Framingham-like' Pakistan cohort with the objective of measuring the prevalence and risk factors for hypertension, obesity, diabetes, coronary artery disease and hepatitis B and C infection in a multi-ethnic, middle to low income population of Karachi, Pakistan. METHODS: We selected two administrative areas from a private charitable hospital's catchment population for enrolment of a random selection of cohort households in Karachi, Pakistan. A baseline survey measured the prevalence and risk factors for hypertension, obesity, diabetes, coronary artery disease and hepatitis B and C infection. RESULTS: Six hundred and sixty-seven households were enrolled between March 2010 and August 2011. A majority of households lived in permanent structures (85% with access to basic utilities (77% and sanitation facilities (98% but limited access to clean drinking water (68%. Households had high ownership of communication technologies in the form of cable television (69% and mobile phones (83%. Risk factors for NCD, such as tobacco use (45%, overweight (20%, abdominal obesity (53%, hypertension (18%, diabetes (8% and pre-diabetes (40% were high. At the same time, infectious diseases such as hepatitis B (24% and hepatitis C (8% were prevalent in this population. CONCLUSION: Our findings highlight the need to monitor risk factors and disease trends through longitudinal research in high-burden transition communities in the context of rapid urbanization and changing lifestyles. They also demonstrate the urgency of public

  6. Pakistan.

    Science.gov (United States)

    1992-06-01

    Pakistan's background notes which profile the population, geography, government, and the economy contain a capsule of selected country statistics and a descriptive text. Pakistan has 117 million people distributed at 134/sq km with a growth rate of 3%. The major cities are Islamabad, Rawalpindi, Karachi, Lahore, and Faisalabad. Ethnic groups include the Punjabi, Sindhi, Pathan, Baluch, and Huhajirs. 97% are Muslim. Urdu is the official language, but 65% speak Punjabi, 11% Sindhi, and 24% other languages. 26% are literate. Infant mortality is 109/1000. 54% are involved in agriculture, 33% services, and 13% in industry. A parliamentary democracy was established in 1947 with an executive, legislative, and judicial branch of government. The Islamic Democratic Alliance is the most important national party. Voting rights are for those 21 years. Seats are reserved for non-Muslims. There are 4 political subdivisions. Gross national product (GNP) was $43 billion in 1990. The economic growth rate is 5% and 2%/capita. The natural resources are arable land, natural gas, petroleum, coal, iron ore, and hydropower potential. Agricultural products include wheat, cotton, rice, and sugarcane. Industry includes textiles, fertilizer, steel products, food processing, and oil and gas products. Major trade partners are Japan, the US, the United Kingdom, and Saudi Arabia. Economic aid was $36 billion between 1947-85, of which the US contributed 3 billion between 1981-87. Major donors are id entified. The population concentration is around Karachi. Political unrest has prevailed for 26 years and includes the creation of Bangladesh in 1970 from East Pakistan. Pakistan is considered to have the resources and entrepreneurial skills to develop economically rapidly. Defense strength is characterized as the world's 11th largest. Pakistan is nonaligned, but a member of the Organization of the Islamic Conference and the UN. Relations with India have been difficult. There is a desire for a stable

  7. Sustained improvements in handwashing indicators more than 5 years after a cluster-randomised, community-based trial of handwashing promotion in Karachi, Pakistan

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    Bowen, Anna; Agboatwalla, Mubina; Ayers, Tracy; Tobery, Timothy; Tariq, Maria; Luby, Stephen P.

    2015-01-01

    OBJECTIVE To evaluate handwashing behaviour 5 years after a handwashing intervention in Karachi, Pakistan. METHODS In 2003, we randomised neighbourhoods to control, handwashing promotion, or handwashing promotion and water treatment. Intervention households were given soap +/− water treatment product and weekly handwashing education for 9 months. In 2009, we re-enrolled 461 households from the three study groups: control (160), handwashing (141), and handwashing + water treatment (160) and assessed hygiene-related outcomes, accounting for clustering. RESULTS Intervention households were 3.4 times more likely than controls to have soap at their handwashing stations during the study visit [293/301 (97%) vs. 45/159 (28%), P soap/person/month (P soap at the household handwashing station, know key times to wash hands and report purchasing more soap than controls, suggesting habituation of improved handwashing practices in this population. Intensive handwashing promotion may be an effective strategy for habituating hygiene behaviours and improving health. PMID:23294343

  8. Does improving maternal knowledge of vaccines impact infant immunization rates? A community-based randomized-controlled trial in Karachi, Pakistan

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    Agha Ajmal

    2011-04-01

    Full Text Available Abstract Background In Pakistan, only 59-73% of children 12-23 months of age are fully immunized. This randomized, controlled trial was conducted to assess the impact of a low-literacy immunization promotion educational intervention for mothers living in low-income communities of Karachi on infant immunization completion rates. Methods Three hundred and sixty-six mother-infant pairs, with infants aged ≤ 6 weeks, were enrolled and randomized into either the intervention or control arm between August - November 2008. The intervention, administered by trained community health workers, consisted of three targeted pictorial messages regarding vaccines. The control group received general health promotion messages based on Pakistan's Lady Health Worker program curriculum. Assessment of DPT/Hepatitis B vaccine completion (3 doses was conducted 4-months after enrollment. A Poisson regression model was used to estimate effect of the intervention. The multivariable Poisson regression model included maternal education, paternal occupation, ownership of home, cooking fuel used at home, place of residence, the child's immunization status at enrollment, and mother's perception about the impact of immunization on child's health. Results Baseline characteristics among the two groups were similar. At 4 month assessment, among 179 mother-infant pairs in the intervention group, 129 (72.1% had received all 3 doses of DPT/Hepatitis B vaccine, whereas in the control group 92/178 (51.7% had received all 3 doses. Multivariable analysis revealed a significant improvement of 39% (adjusted RR = 1.39; 95% CI: 1.06-1.81 in DPT-3/Hepatitis B completion rates in the intervention group. Conclusion A simple educational intervention designed for low-literate populations, improved DPT-3/Hepatitis B vaccine completion rates by 39%. These findings have important implications for improving routine immunization rates in Pakistan.

  9. Prevalence and factors related to dental caries among pre-school children of Saddar town, Karachi, Pakistan: a cross-sectional study.

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    Dawani, Narendar; Nisar, Nighat; Khan, Nazeer; Syed, Shahbano; Tanweer, Navara

    2012-12-27

    Dental caries is highly prevalent and a significant public health problem among children throughout the world. Epidemiological data regarding prevalence of dental caries amongst Pakistani pre-school children is very limited. The objective of this study is to determine the frequency of dental caries among pre-school children of Saddar Town, Karachi, Pakistan and the factors related to caries. A cross-sectional study of 1000 preschool children was conducted in Saddar town, Karachi. Two-stage cluster sampling was used to select the sample. At first stage, eight clusters were selected randomly from total 11 clusters. In second stage, from the eight selected clusters, preschools were identified and children between 3- to 6-years age group were assessed for dental caries. Caries prevalence was 51% with a mean dmft score being 2.08 (±2.97) of which decayed teeth constituted 1.95. The mean dmft of males was 2.3 (±3.08) and of females was 1.90 (±2.90). The mean dmft of 3, 4, 5 and 6-year olds was 1.65, 2.11, 2.16 and 3.11 respectively. A significant association was found between dental caries and following variables: age group of 4-years (p-value dental plaque (p-value dental caries coupled with a high prevalence of unmet dental treatment needs. Association between caries experience and age of child, consumption of non-sweetened milk, dental plaque and poor oral hygiene had been established.

  10. Gendered Disparities in Quality of Cataract Surgery in a Marginalised Population in Pakistan: The Karachi Marine Fishing Communities Eye and General Health Survey.

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    Khabir Ahmad

    Full Text Available Marine fishing communities are among the most marginalised and hard-to-reach groups and have been largely neglected in health research. We examined the quality of cataract surgery and its determinants, with an emphasis on gender, in marine fishing communities in Karachi, Pakistan, using multiple indicators of performance.The Karachi Marine Fishing Communities Eye and General Health Survey was a door-to-door, cross-sectional study conducted between March 2009 and April 2010 in fishing communities living on 7 islands and in coastal areas in Keamari, Karachi, located on the Arabian Sea. A population-based sample of 638 adults, aged ≥ 50 years, was studied. A total of 145 eyes (of 97 persons had undergone cataract surgery in this sample. Cataract surgical outcomes assessed included vision (presenting and best-corrected with a reduced logMAR chart, satisfaction with surgery, astigmatism, and pupil shape. Overall, 65.5% of the operated eyes had some form of visual loss (presenting visual acuity [PVA] < 6/12. 55.2%, 29.0%, and 15.9% of these had good, borderline, and poor visual outcomes based on presenting vision; with best correction, these values were: 68.3 %, 18.6%, and 13.1%, respectively. Of 7 covariates evaluated in the multivariable generalized estimating equations (GEE analyses, gender was the only significant independent predictor of visual outcome. Women's eyes were nearly 4.38 times more likely to have suboptimal visual outcome (PVA<6/18 compared with men's eyes (adjusted odds ratio 4.38, 95% CI 1.96-9.79; P<0.001 after adjusting for the effect of household financial status. A higher proportion of women's than men's eyes had an irregular pupil (26.5% vs. 14.8% or severe/very severe astigmatism (27.5% vs. 18.2%. However, these differences did not reach statistical significance. Overall, more than one fourth (44/144 of cataract surgeries resulted in dissatisfaction. The only significant predictor of satisfaction was visual outcome (P <0

  11. Secondary prevention of heart disease – knowledge among cardiologists and Ω-3 (Omega-3 fatty acid prescribing behaviors in Karachi, Pakistan

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    Ravasia Wasik F

    2009-01-01

    Full Text Available Abstract Background The use of omega-3 fatty acids is a currently proven strategy for secondary prevention of heart disease. The prescription practices for this important nutraceutical is not currently known. It is imperative to assess the knowledge of cardiologists regarding the benefits of omega-3 fatty acids and to determine the frequency of its prescription. The aim of the study was to determine the practices and associations of dietary fish prescribing among cardiologists of Karachi and to assess their knowledge of fish oil supplementation and attitudes toward dietary practices. Methods A cross sectional survey was conducted during the period of January to March, 2008. A self report questionnaire was employed. All practicing cardiologists of Karachi were included in the study. Multiple logistic regression analysis was performed to determine the independent factors associated with high fish prescribers. Results The sample comprised of a total of 163 cardiologists practicing in Karachi, Pakistan. Most (73.6% of the cardiologists fell in the age range of 28 – 45 years and were male (90.8%. High fish prescribers only comprised 36.2% of the respondents. After adjusting for age and gender, multivariate analysis revealed that only the variable of knowledge about fish oil's role in reducing sudden cardiac death was independently associated with high fish prescribers OR = 6.38 [95% CI 2.58–15.78]. Conclusion The level of knowledge about the benefits of omega-3 fatty acids is high and the cardiologists harbor a favorable attitude towards dispensing dietary fish advice. However, the prescription practices are less than optimal and not concordant with recommendations of organisations such as the American Heart Association and National Heart Foundation of Australia. The knowledge of prevention of sudden cardiac death in CVD patients has been identified as an important predictor of high fish prescription. This particular life-saving property of omega

  12. Geochemical assessment of metal pollution and ecotoxicology in sediment cores along Karachi Coast, Pakistan.

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    Mashiatullah, Azhar; Chaudhary, Muhammad Zaman; Ahmad, Nasir; Ahmad, Nisar; Javed, Tariq; Ghaffar, Abdul

    2015-05-01

    This paper is an attempt to compare the pollution status in two sediment cores, one from a polluted site (Ghizri Creek) and another from a relatively unpolluted site (Sandspit). Sediment cores (45 cm in length) from coastal locations were characterized in terms of grain size, sediment composition, pH, organic matter, calcium carbonate, and metal element contents. Metal elements, including Al, Ca, Cr, Co Cu, Fe, K, Mg, Mn, Ni, Pb, V, Ti, and Zn, were determined using PIXE. Grain size analysis and sediment composition demonstrated a sandy nature of both cores. Acidic trend in sediment core I was predominant from bottom to top, whereas neutral pH was observed throughout core II. TOC values varied in the range of 1.23-2.68 and 1.14-2.60% in core I and core II, respectively; however, there was an increasing trend in TOC level from bottom to top. The values of enrichment factor for Zn, Cu, Co, Ni, Pb, and Cr were slightly higher in core I than core II. The average geo-accumulation index values for core I and core II showed that sediments were moderately Co- and Pb-polluted but not polluted with Mg, Al, Ca, K, Cr, Cu, Fe, Mn, Ni, Ti, V, and Zn. The degree of contamination was however considerably higher in core I relative to core II. The pollution load index values, although showing an increasing trend from bottom to top in both cores, overall rendered the marine sediment pollution free. The metal toxicology results demonstrated that heavy metal pollution, except Cr, may pose low to moderate risk to marine biota. The sum of toxic unit values however indicated that sediment core I was relatively more polluted than that of core II.

  13. Determination of gamma-emitting radionuclides in the inter-tidal sediments off Balochistan (Pakistan) Coast, Arabian Sea.

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    Akram, M; Qureshi, Riffat M; Ahmad, Nasir; Solaija, Tariq Jamal

    2007-01-01

    Natural radionuclide contents of 226Ra, 228Ra and (40)K were studied for inter-tidal sediments collected from selected locations off the745 km long Balochistan Coast using HPGe detector based gamma-spectrometry system. The sampling zone extends from the beaches of Sonmiani (near Karachi metropolis) through Jiwani (close to the border of Iran). The natural radioactivity levels detected in various sediment samples range from 14.4 +/- 2.5 to 36.6 +/- 3.8 Bq kg(-1) for 226Ra, 9.8 +/- 1.2 to 35.2 +/- 2.0 Bq kg(-1) for (228)Ra and 144.6 +/- 9.4 to 610.5 +/- 23.9 Bq kg(-1) for (40)K. No artificial radionuclide was detected in any of the marine coastal sediment samples. 137Cs, (60)Co, 106Ru and 144Ce contents in sediment samples were below the limit of detection. The measured radioactivity levels are compared with those reported in the literature for coastal sediments in other parts of the world. The information presented in this paper will serve as the first ever local radioactivity database for the Balochistan/Makran Coastal belt of Pakistan. The presented data will also contribute to the IAEA's, Asia-Pacific Marine Radioactivity Database (ASPAMARD) and the Global Marine Radioactivity Database (GLOMARD).

  14. Knowledge and awareness about cervical cancer and its prevention amongst interns and nursing staff in Tertiary Care Hospitals in Karachi, Pakistan.

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    Syed Faizan Ali

    Full Text Available BACKGROUND AND OBJECTIVE: Cervical cancer is one of the leading causes of morbidity and mortality amongst the gynecological cancers worldwide, especially in developing countries. It is imperative for at least health professionals in developing countries like Pakistan to have a sound knowledge about the disease. This study was carried out to assess the knowledge and awareness about cervical cancer and its prevention amongst health professionals in tertiary care hospitals in Karachi, Pakistan. METHODS AND DESIGN: A cross-sectional, interview based survey was conducted in June, 2009. Sample of 400 was divided between the three tertiary care centers. Convenience sampling was applied as no definitive data was available regarding the number of registered interns and nurses at each center. RESULTS: Of all the interviews conducted, 1.8% did not know cervical cancer as a disease. Only 23.3% of the respondents were aware that cervical cancer is the most common cause of gynecological cancers and 26% knew it is second in rank in mortality. Seventy-eight percent were aware that infection is the most common cause of cervical cancer, of these 62% said that virus is the cause and 61% of the respondents knew that the virus is Human Papilloma Virus (HPV. Majority recognized that it is sexually transmitted but only a minority (41% knew that it can be detected by PCR. Only 26% of the study population was aware of one or more risk factors. Thirty seven percent recognized Pap smear as a screening test. In total only 37 out of 400 respondents were aware of the HPV vaccine. CONCLUSION: This study serves to highlight that the majority of working health professionals are not adequately equipped with knowledge concerning cervical cancer. Continuing Medical Education program should be started at the hospital level along with conferences to spread knowledge about this disease.

  15. A new nematode Spirocotyle otolithi n. gen, n.sp, (Camallanidae Railliet and Henry, 1915) from the fish Otolithus rubber (Schneider) of Karachi coast.

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    Yasmin, A; Bilqees, F M

    2007-10-01

    A new genus and species of camallanid nematode Spirocotyle otolithi is described here from the fish Otolithus rubber (Schneider) of Karachi coast. This is a medium sized nematode, pointed to its posterior extremity in male and blunt in female, with a buccal capsule oval in shape in both the sexes and having a sucker like structure in its anterior extremity. The wall of the buccal capsule is provided with fifteen spiral thicknings. Two unequal spicules are present in male. Ten pairs of caudal papillae are present, including five pairs preanal, four pairs postanal and one adanal. Valva in female is prominent, post equatorial

  16. A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, Pakistan

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    Yasmin Khowaja

    2016-02-01

    Full Text Available Background Recently, parenting programs to address behavioural and emotional problems associated with child maltreatment in developing countries have received much attention. There is a paucity of literature on effective parent education interventions in the local context of Pakistan. This study aimed to assess the feasibility of offering a 6-week parenting program for mothers of pre-school children attending family health centres (FHCs in Karachi, the largest metropolitan city of Pakistan. Methods A pilot quasi-experimental trial was conducted. Two FHCs were selected, one as the intervention and the second as the control. A total of 57 mothers of pre-school children (n = 30 intervention; n = 27 control participated in this study. Mothers in the intervention group received SOS Help for parents module, while mothers in the control group received information about routine childcare. A parenting scale (PS was administered before the program was implemented and repeated 2 weeks after the program was completed in both groups. Statistical analysis was performed to compare participants’ attributes. Descriptive analysis was conducted to compare pre- and post-test mean scores along with standard deviation for parenting subscales in the intervention and control groups. Results A total of 50 mothers (n = 25 intervention; n = 25 control completed the 6-week program. Attrition was observed as 5/30 (17% in the intervention arm and 2/27 (2% in the control arm. Mothers commonly reported the burden of daily domestic and social responsibilities as the main reason for dropping out. Furthermore, the majority of participants in the control group recommended increasing the duration of weekly sessions from 1 to 1.5 hours, thereby decreasing the program period from 6 to 4 weeks. Mothers in intervention group reported substantial improvement in parenting skills as indicated by mean difference in their pre- and post-test scores for laxness and over

  17. Association of tobacco use and other determinants with pregnancy outcomes: a multicentre hospital-based case–control study in Karachi, Pakistan

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    Rozi, Shafquat; Butt, Zahid Ahmad; Zahid, Nida; Wasim, Saba; Shafique, Kashif

    2016-01-01

    Objectives The study aimed to identify the effects of maternal tobacco consumption during pregnancy and other factors on birth outcomes and obstetric complications in Karachi, Pakistan. Design A multicentre hospital-based case–control study. Setting Four leading maternity hospitals of Karachi. Participants A random sample of 1275 women coming to the gynaecology and obstetric department of selected hospitals for delivery was interviewed within 48 hours of delivery from wards. Cases were women with adverse birth outcomes and obstetric complications, while controls were women who had normal uncomplicated delivery. Primary and secondary outcome measures Adverse birth outcomes (preterm delivery, low birth weight, stillbirth, low Apgar score) and obstetric complications (antepartum haemorrhage, caesarean section, etc). Results Final multiple logistic regression analysis revealed that with every 1 year increase in age the odds of being a case was 1.03 times as compared with being a control. Tobacco use (adjusted OR (aOR): 2.24; 95% CI 1.56 to 3.23), having no slits in the kitchen (proxy indicator for indoor air pollution) (aOR=1.90; 95% CI 1.05 to 3.43), gravidity (aOR=0.83; 95% CI 0.73 to 0.93), non-booked hospital cases (aOR=1.87; 95% CI 1.38 to 2.74), history of stillbirth (aOR=4.06; 95% CI 2.36 to 6.97), miscarriages (aOR=1.91; 95% CI 1.27 to 2.85) and preterm delivery (aOR=6.04; 95% CI 2.52 to 14.48) were significantly associated with being a case as compared with control. Conclusions This study suggests that women who had adverse pregnancy outcomes were more likely to have exposure to tobacco, previous history of adverse birth outcomes and were non-booked cases. Engagement of stakeholders in tobacco control for providing health education, incorporating tobacco use in women in the tobacco control policy and designing interventions for tobacco use cessation is warranted. Prenatal care and health education might help in preventing such adverse events. PMID

  18. New record of Afrimenopon waar (Eichler) (Phthiraptera: Menoponidae) from budgerigar Melopsittacus undulatus (Psittaciformes: Psittacidae) from Karachi, Pakistan.

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    Sychra, Oldrich; Naz, Saima; Rizvi, S Anser

    2007-08-01

    Chewing lice of the species Afrimenopon waar (Eichler) were collected from captive budgerigar Melopsittacus undulatus (Shaw) in Pakistan. This is the first record of amblyceran lice from this host. It is also the first record of the genus Afrimenopon from Pakistani region. The primary host species of Afrimenopon waar is the rosy-faced lovebird Agapornis roseicollis (Vieillot). The finding of A. waar on budgerigars is, most likely, a result of a contamination in captivity. Morphological variation and origin of these lice are discussed.

  19. Serum ferritin levels, socio-demographic factors and desferrioxamine therapy in multi-transfused thalassemia major patients at a government tertiary care hospital of Karachi, Pakistan.

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    Riaz, Haris; Riaz, Talha; Khan, Muhammad Ubaid; Aziz, Sina; Ullah, Faizan; Rehman, Anis; Zafar, Qandeel; Kazi, Abdul Nafey

    2011-08-11

    Beta thalassemia is the most frequent genetic disorder of haemoglobin synthesis in Pakistan. Recurrent transfusions lead to iron-overload manifested by increased serum Ferritin levels, for which chelation therapy is required. The study was conducted in the Pediatric Emergency unit of Civil Hospital Karachi after ethical approval by the Institutional Review Board of Dow University of Health Sciences. Seventy nine cases of beta thalassemia major were included after a written consent. The care takers were interviewed for the socio-demographic variables and the use of Desferrioxamine therapy, after which a blood sample was drawn to assess the serum Ferritin level. SPSS 15.0 was employed for data entry and analysis.Of the seventy-nine patients included in the study, 46 (58.2%) were males while 33 (41.8%) were females. The mean age was 10.8 (± 4.5) years with the dominant age group (46.2%) being 10 to 14 years. In 62 (78.8%) cases, the care taker education was below the tenth grade. The mean serum Ferritin level in our study were 4236.5 ng/ml and showed a directly proportional relationship with age. Desferrioxamine was used by patients in 46 (58.2%) cases with monthly house hold income significant factor to the use of therapy. The mean serum Ferritin levels are approximately ten times higher than the normal recommended levels for normal individuals, with two-fifths of the patients not receiving iron chelation therapy at all. Use of iron chelation therapy and titrating the dose according to the need can significantly lower the iron load reducing the risk of iron-overload related complications leading to a better quality of life and improving survival in Pakistani beta thalassemia major patients.Conflicts of Interest: None.

  20. Serum ferritin levels, socio-demographic factors and desferrioxamine therapy in multi-transfused thalassemia major patients at a government tertiary care hospital of Karachi, Pakistan

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    Rehman Anis

    2011-08-01

    Full Text Available Abstract Background Beta thalassemia is the most frequent genetic disorder of haemoglobin synthesis in Pakistan. Recurrent transfusions lead to iron-overload manifested by increased serum Ferritin levels, for which chelation therapy is required. Findings The study was conducted in the Pediatric Emergency unit of Civil Hospital Karachi after ethical approval by the Institutional Review Board of Dow University of Health Sciences. Seventy nine cases of beta thalassemia major were included after a written consent. The care takers were interviewed for the socio-demographic variables and the use of Desferrioxamine therapy, after which a blood sample was drawn to assess the serum Ferritin level. SPSS 15.0 was employed for data entry and analysis. Of the seventy-nine patients included in the study, 46 (58.2% were males while 33 (41.8% were females. The mean age was 10.8 (± 4.5 years with the dominant age group (46.2% being 10 to 14 years. In 62 (78.8% cases, the care taker education was below the tenth grade. The mean serum Ferritin level in our study were 4236.5 ng/ml and showed a directly proportional relationship with age. Desferrioxamine was used by patients in 46 (58.2% cases with monthly house hold income significant factor to the use of therapy. Conclusions The mean serum Ferritin levels are approximately ten times higher than the normal recommended levels for normal individuals, with two-fifths of the patients not receiving iron chelation therapy at all. Use of iron chelation therapy and titrating the dose according to the need can significantly lower the iron load reducing the risk of iron-overload related complications leading to a better quality of life and improving survival in Pakistani beta thalassemia major patients. Conflicts of Interest: None

  1. Lessons and implications from a mass immunization campaign in squatter settlements of Karachi, Pakistan: an experience from a cluster-randomized double-blinded vaccine trial [NCT00125047

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    Abu-Elyazeed Remon

    2006-05-01

    Full Text Available Abstract Objective To determine the safety and logistic feasibility of a mass immunization strategy outside the local immunization program in the pediatric population of urban squatter settlements in Karachi, Pakistan. Methods A cluster-randomized double blind preventive trial was launched in August 2003 in 60 geographic clusters covering 21,059 children ages 2 to 16 years. After consent was obtained from parents or guardians, eligible children were immunized parenterally at vaccination posts in each cluster with Vi polysaccharide or hepatitis A vaccine. Safety, logistics, and standards were monitored and documented. Results The vaccine coverage of the population was 74% and was higher in those under age 10 years. No life-threatening serious adverse events were reported. Adverse events occurred in less than 1% of all vaccine recipients and the main reactions reported were fever and local pain. The proportion of adverse events in Vi polysaccharide and hepatitis A recipients will not be known until the end of the trial when the code is broken. Throughout the vaccination campaign safe injection practices were maintained and the cold chain was not interrupted. Mass vaccination in slums had good acceptance. Because populations in such areas are highly mobile, settlement conditions could affect coverage. Systemic reactions were uncommon and local reactions were mild and transient. Close community involvement was pivotal for information dissemination and immunization coverage. Conclusion This vaccine strategy described together with other information that will soon be available in the area (cost/effectiveness, vaccine delivery costs, etc will make typhoid fever control become a reality in the near future.

  2. A source of strength and empowerment? An exploration of the influence of disabled children on the lives of their mothers in Karachi, Pakistan.

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    Yousafzai, Aisha Khizar; Farrukh, Zia; Khan, Kausar

    2011-01-01

    Previous literature has highlighted marginalisation and stigma of children with disabilities in developing countries, but few studies have explored the central care-giving environment and the relationship of the mother and her child with disabilities in this context. A group of women caring for children with disabilities in a low income community in Karachi, Pakistan was identified for the study. The aims were: (1) to explore the influence children with disabilities have on the daily lives of their mothers, (2) to describe the factors which influence the care-giving capacity of mothers. A participatory qualitative research design was implemented. A women's group of caregivers of children with disabilities was formed. Several different tools were used during the course of the group meetings to facilitate discussion including social mapping. A thematic analysis of issues around care-giving and the relationship between the mother and her child with disabilities was conducted. In a society where women may experience restrictions in freedom of movement and decision making, caring for a child with disabilities enabled women to move beyond traditional boundaries in seeking health and education services for their children. However, the gain in empowerment was counter-acted by a lack of care-giving support, a lack of appropriate services for health, rehabilitation and education of children with disabilities and stigma creating anxiety and stress for women. While children with disabilities do have some positive effects on the lives of their mothers, there are many more factors which create anxiety for this group of mothers (including a lack of care-giving support and stigma). Community-based rehabilitation strategies should consider the care-giving environment of children with disabilities and shift from a child only to family focus. Interventions which support, empower and strengthen the capacity of mothers are essential for the well being of their children with

  3. Lessons and implications from a mass immunization campaign in squatter settlements of Karachi, Pakistan: an experience from a cluster-randomized double-blinded vaccine trial [NCT00125047

    Science.gov (United States)

    Khan, Mohammad Imran; Ochiai, Rion Leon; Hamza, Hasan Bin; Sahito, Shah Muhammad; Habib, Muhammad Atif; Soofi, Sajid Bashir; Bhutto, Naveed Sarwar; Rasool, Shahid; Puri, Mahesh K; Ali, Mohammad; Wasan, Shafi Mohammad; Khan, Mohammad Jawed; Abu-Elyazeed, Remon; Ivanoff, Bernard; Galindo, Claudia M; Pang, Tikki; Donner, Allan; von Seidlein, Lorenz; Acosta, Camilo J; Clemens, John D; Nizami, Shaikh Qamaruddin; Bhutta, Zulfiqar A

    2006-01-01

    Objective To determine the safety and logistic feasibility of a mass immunization strategy outside the local immunization program in the pediatric population of urban squatter settlements in Karachi, Pakistan. Methods A cluster-randomized double blind preventive trial was launched in August 2003 in 60 geographic clusters covering 21,059 children ages 2 to 16 years. After consent was obtained from parents or guardians, eligible children were immunized parenterally at vaccination posts in each cluster with Vi polysaccharide or hepatitis A vaccine. Safety, logistics, and standards were monitored and documented. Results The vaccine coverage of the population was 74% and was higher in those under age 10 years. No life-threatening serious adverse events were reported. Adverse events occurred in less than 1% of all vaccine recipients and the main reactions reported were fever and local pain. The proportion of adverse events in Vi polysaccharide and hepatitis A recipients will not be known until the end of the trial when the code is broken. Throughout the vaccination campaign safe injection practices were maintained and the cold chain was not interrupted. Mass vaccination in slums had good acceptance. Because populations in such areas are highly mobile, settlement conditions could affect coverage. Systemic reactions were uncommon and local reactions were mild and transient. Close community involvement was pivotal for information dissemination and immunization coverage. Conclusion This vaccine strategy described together with other information that will soon be available in the area (cost/effectiveness, vaccine delivery costs, etc) will make typhoid fever control become a reality in the near future. PMID:16725026

  4. Mothers' education and working status; do they contribute to corrosive poisoning among paediatric patients of Karachi, Pakistan?

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    Siddiqui, Emad-Uddin; Ejaz, Kiran; Irfan Kazi, Sayyeda Ghazala; Siddiqui, Saif; Raza, Syed Jamal

    2013-08-01

    To determine the causative factors behind corrosive poisoning in children like effect of working mothers, their educational status, financial background, family size and number of siblings. The multi-centre, prospective, case series of all paediatric patients presenting to the Emergency Department of the National Institute of Child Health and the Aga Khan University Hospital, Karachi from August 2008 to July 2009 is presented. It comprised all paediatric patients with a history of corrosive poisoning at the two hospitals. SPSS 20 was used for statistical analysis. Out of 105 cases, 56(53%) related to the private-sector Aga Khan University Hospital, and 49(47%) to the public-sector National Institute of Child Health. Of the total, 82(78%) were in 1-5 age group; 61 (58%) were males; and 44(42%) were females. While 59 (56.2%) mothers were educated, only 21 (20%) were working. Of the 46 (43.8%) non-educated mothers, 20 (19%) were working. The type of poison was alkali in 81(77%) cases, acid in 23(22%). The corrosive varied from liquid in 80(76%) cases to powder/gel/semi-solid form in 25(24%) exposures. Besides, 65 (61.9%) families had 3 or more siblings, and the age of siblings was less than 10 in 60 (57.14%) cases, In 34 (32.38%) cases, the chemical were kept in the original container, while in 71 (67.61%) cases other commonly used and familiar containers were used to store these chemicals. Kitchen was the most common place with 51 (48.57%) cases. The time of incident was afternoon in 51(48.57%) cases. Majority cases (n=23; 21.9%) occurred in October. There are multiple contributory factors in corrosive exposure among children rather than the mother's working status and her educational background.

  5. Postoperative use of drain in thyroid lobectomy – a randomized clinical trial conducted at Civil Hospital, Karachi, Pakistan

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    Memon Zahid

    2012-09-01

    Full Text Available Abstract Background Thyroidectomy is a common surgical procedure, after which drains are placed routinely. This study aims to assess the benefits of placing postoperative drains, its complications and affects on postoperative stay, in thyroid lobectomy. Methodology Randomized Clinical Trial of 60 goitre patients undergoing lobectomy was conducted at Civil Hospital Karachi, during July’11-December’11. Patients were randomly assigned into drain and non drain groups. Patient demographics, labs and complications were noted. Ultrasound of neck was performed on both groups. For drain group, the amount of fluid present in the surgical bed and redivac drain was added to calculate fluid collection while in non drain group it was calculated by ultrasound of neck on first and second post-op days. Data was entered and analyzed on SPSS v16 using Independent T tests. Result The mean total drain output for 2 days in non-drain group was significantly lower 10.67 (±9.072 ml while in drain group was 30.97 (±42.812 ml (p = 0.014. The mean postoperative stay of drain group (79.2 ±15.63 hours was significantly higher, as compared to mean postoperative stay of non drain group (50.4 ±7.32 hours. Mean Visual Analogue Score (VAS for pain day 1 (6.2 ±0.997 and day 2 (4.17 ±0.95 in drain group were significantly higher compared to day 1 (2.6 ±1.163 and day 2 (1.3 ±0.877 of non drain group. From drain group, 2 patients complained of stridor, dyspnea on Day 1 which subsided by Day 2 and 1 case of voice change, with no such complains in non drain group. No patients from both groups developed seroma, wound infection or hematoma. Conclusion In uncomplicated surgeries especially for lobectomy, use of drain can be omitted.

  6. Impact of postpartum anxiety and depression on child’s mental development from two peri-urban communities of Karachi, Pakistan: a quasi-experimental study

    Science.gov (United States)

    2013-01-01

    Background Postpartum anxiety and depression has detrimental effects on the overall mental development of children. This study aims to assess the impact of postpartum anxiety and depression on children’s mental development on all sub-scales in a Pakistani population. Methods A quasi-experimental study was conducted in two peri-urban communities of Karachi, a mega city of Pakistan, to assess the impact of postpartum anxiety and depression on children’s growth and mental development. A total of 420 women were enrolled, who had given consent out of 651 pregnant women identified, during February 2004 to December 2005. Data for socio-demographic, home environment and family relationship variables were collected between 36 weeks of pregnancy and within 10 days of childbirth. Mother’s levels of anxiety and depression were assessed at 1, 2, 6, 12, 18, 24, and 30 months of childbirth. An indigenous, validated screening instrument- Aga Khan University Anxiety and Depression scale was used and diagnostic confirmation was done through a psychologist’s interview, based on DSM IV criteria. Children’s growth and development was monitored in the same sequence using an Early Childhood Development tool that consists of five subscales; socio emotional, language, cognitive, gross motor and fine motor development. Physical growth was monitored by measuring height and weight of the child. Data was analyzed using SAS 9.2. Multivariable Generalized Estimating Equations (GEE) logistic regression was conducted to identify association of postpartum anxiety and depression with each early childhood development indicator, adjusting for parental and child factors. Results A significant association of postpartum anxiety and depression with delayed development on all five subscales of children’s mental development was found in our study. Interestingly, our study found that higher maternal age had adverse effects on child’s emotional whereas positive impact on child’s cognitive

  7. What Happens When "Germs Don't Get Killed and They Attack Again and Again": Perceptions of Antimicrobial Resistance in the Context of Diarrheal Disease Treatment Among Laypersons and Health-Care Providers in Karachi, Pakistan.

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    Joseph, Heather A; Agboatwalla, Mubina; Hurd, Jacqueline; Jacobs-Slifka, Kara; Pitz, Adam; Bowen, Anna

    2016-07-06

    In south Asia, where diarrhea is common and antibiotics are accessible without prescription, antimicrobial resistance is an emerging and serious problem. However, beliefs and behaviors related to antimicrobial resistance are poorly understood. We explored laypersons' and health-care providers' (HCP) awareness and perceptions of antimicrobial resistance in the context of treatment of adult diarrheal disease in Karachi, Pakistan. In-depth, open-ended interviews were conducted with 40 laypersons and 45 HCPs in a lower-middle-class urban neighborhood. Interviews conducted in Urdu were audiotaped, transcribed, translated, and coded using applied thematic analysis. Slightly over half of laypersons and two-thirds of HCPs were aware that antimicrobial medication could lose effectiveness, but misperceptions were common. Laypersons and HCPs often believed that "the body becomes immune" or "bacteria attack more strongly" if medications are taken "improperly." Another prevalent theme was that causes and effects of antimicrobial resistance are limited to the individual taking the antimicrobial medication and to the specific diarrheal episode. Participants often attributed antimicrobial resistance to patient behaviors; HCP behavior was rarely discussed. Less than half of the HCPs were aware of treatment guidelines. To combat antimicrobial resistance in urban Pakistan, a health systems strategy and community-supported outreach campaigns on appropriate antimicrobial use are needed. © The American Society of Tropical Medicine and Hygiene.

  8. Assessing reasons for school/college dropout among young adults and implications for awareness about STDs and HIV/AIDS: findings from a population-based study in Karachi, Pakistan.

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    Farid-ul-Hasnain, Syed; Krantz, Gunilla

    2011-06-01

    Dropping out of school/college not only impedes economic prosperity but may also result in poor knowledge and awareness about sexually transmitted diseases (STDs). This study investigated, among young adults in Karachi, Pakistan, the risk factors associated with involuntary school/college dropout and the implications for awareness about HIV/AIDS and STDs. A population-based, cross-sectional study of 1,650 young males and females, aged 17-21 years and living in Karachi, was conducted using a structured questionnaire. Bivariate and multivariate analyses were performed separately for males and females. Females were twice as likely to drop out of school/college as males. Furthermore, migrant residential status, living in an extended family and lower socio-economic status were identified as risk factors for school/college dropout both for males and females. In the total sample, only 17% of males and 13% of females had heard of STDs (p = 0.020). Furthermore, 26.8% of males and 20.5% of females had not heard of HIV/AIDS (p = 0.003). The females exhibited a higher level of awareness on these matters than the males, irrespective of whether they had dropped out of school or not. While the males who dropped out were considerably less aware than those who remained at school, there was no such difference among females. Young adults from poor families are at increased risk of dropping out of school/college. Among the dropouts, males were clearly at risk of ignorance about STDs while females were somewhat better informed.

  9. Socio-demographic correlates of betel, areca and smokeless tobacco use as a high risk behavior for head and neck cancers in a squatter settlement of Karachi, Pakistan

    OpenAIRE

    Fatmi Zafar; Majeed Atif; Malik Farida; Merchant Kanwal; Maqsood Maria; Malik Rabia; Mazahir Samia; Khawaja Muhammad; Ghaffar Shehzad

    2006-01-01

    Abstract Background Head and neck cancers are a major cancer burden in Pakistan. They share a common risk factor profile including regular consumption of products of betel, areca and tobacco. Use of paan, chaalia, gutka, niswar and tumbaku is acceptable in Pakistan and is considered a normal cultural practice. This cross-sectional study was carried out to understand the relation of socio-demographic factors for the consumption of paan, chaalia, gutka, niswar and tumbaku in Pakistani populatio...

  10. Plant Community and Soil Relationships in the Vicinity of International Leather Industry and Farooq Textile Mill of Landhi Industrial Area in Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    *S. Atiq-ur-Rahman

    2011-03-01

    Full Text Available Phytosociological studies were carried around the International Leather industry and Farooq Textile Mill in the vicinity of Landhi industrial estate of Karachi and compared with control area of University Campus to evaluate plant community-soil relationship in the localities. The vegetation was herbaceous, shrubs and predominantly disturbed in nature at all of the sites. Based on the composition, structure and distribution of species, plant communities of each area were recognized. Both plant communities of International Leather industry and Farooq Textile Mill had low number of plant species as related to control area. Importance value index of all the species were determined. Senna holosericea (Fresen. Greuter, Corchorus depressus (L. Stocks and Amaranthus viridis L. were found in all the communities whereas, Corchorus trilocularis L. and Abutilon indicum (L. Sweet were present in industrial areas. A relationship between soil characteristics and plant communities of the industries of Landhi and control site were conducted. Industrial plant communities have low level of water holding capacity and organic matter and high concentrations of total soluble salts and available sulfate as relative to soil of plant community of control area. The research demonstrated that the plant species were retarded in numbers due to soil pollution as compared to control area of Karachi University Campus due to industrial existing contamination and pollution in soil in the area

  11. Application of satellite derived information for disaster risk reduction: vulnerability assessment for southwest coast of Pakistan

    Science.gov (United States)

    Rafiq, Lubna; Blaschke, Thomas; Zeil, Peter

    2010-10-01

    The SW-coast of Pakistan is vulnerable to natural disasters, such as cyclones and tsunamis. Lack of spatially referenced information is a major hinder for proper disaster risk management programs in Pakistan, but satellite remote sensing being reliable, fast and spatially referenced information can be used as an important component in various natural disaster risk reduction activities. This study aimed to investigate vulnerability of coastal communities to cyclone and tsunamis based on satellite derived information. It is observed that SPOT-5 is relevant source on threatened features with respect to certain vulnerabilities like road, settlements, infrastructure and used in preparation of hazard zonation and vulnerability maps. Landsat ETM found very useful in demarcation of flood inundated areas. The GIS integrated evaluation of LANDSAT and ASTER GDEM helps identify low lying areas most susceptible to flooding and inundation by cyclone surges and tsunamis. The GIS integrated evaluation of SPOT, LANDSAT and ASTER GDEM data helps identify areas and infrastructure most vulnerable to cyclone surges and tsunami. Additionally, analysis of the vulnerability of critical infrastructures (schools, hospitals) within hazard zones provides indicators for the degree of spatial exposure to disaster. Satellite derived information in conjunction with detailed surveys of hazard prone areas can provide comprehensive vulnerability and risk analysis.

  12. Concentrations of Heavy Metals in Sardinella gibbosa (Bleeker, 1849) from the Coast of Balochistan, Pakistan.

    Science.gov (United States)

    Ahmed, Quratulan; Benzer, Semra; Elahi, Naeema; Ali, Qadeer Mohammad

    2015-08-01

    The concentrations of cadmium, iron, lead, manganese, nickel, and zinc in muscle tissue samples taken from Goldstripe sardinella (Sardinella gibbosa Bleeker, 1849) caught off the coast of Balochistan, Pakistan, in 2009 were determined. The samples were analyzed using a Perkin Elmer AAnalyst 700 flame atomic absorption spectrophotometer. The mean Cd, Fe, Mn, Ni, Pb, and Zn concentrations in the muscle samples were 0.65±0.05 µg g(-1), 23.39±1.97 µg g(-1), 4.35±0.22 µg g(-1), 0.61±0.07 µg g(-1), 0.39±0.04 µg g(-1), and 6.59±0.33 µg g(-1), respectively. The Cd, Fe, Pb, and Zn concentrations did not exceed the regulatory limits, but the Mn concentrations were high enough to potentially pose health risks to humans consuming S. gibbosa. Therefore, the Mn concentrations in S. gibbosa from the Balochistan coast should be monitored regularly.

  13. Health-seeking behaviour of people living with HIV/AIDS and their satisfaction with health services provided at a tertiary care hospital, Karachi, Pakistan.

    Science.gov (United States)

    Bhutto, Abdul-Qadir; Nisar, Nighat

    2017-02-21

    Appropriate health-seeking behaviour is important as it allows prompt treatment for a condition and this can reduce complications and improve quality of life. This study aimed to assess the health-seeking behaviour and satisfaction with health care services of people living with HIV/AIDS attending the HIV/AIDS clinic of the Civil Hospital in Karachi. A total of 182 patients were interviewed using a pretested semi-structured questionnaire. Mean age of the participants was 32.31 (SD 7.91) years, 76.9% were male, 81.3% had no education and 75.8% were employed. Only 23.6% showed positive health-seeking behaviour and 57.7% were satisfied with the health care services. In logistic regression analysis, the cost of treatment per visit < US$ 5 and duration of HIV infection < 2 years were significantly associated with health-seeking behaviour. Efforts are needed to improve the health-seeking behaviour of people living with HIV/AIDS at the clinic and the health services offered.

  14. Immune responses to Vi capsular polysaccharide typhoid vaccine in children 2 to 16 years old in Karachi, Pakistan, and Kolkata, India.

    Science.gov (United States)

    Ochiai, R Leon; Khan, M Imran; Soofi, Sajid B; Sur, Dipika; Kanungo, Suman; You, Young A; Habib, M Atif; Sahito, Shah Muhammad; Manna, Byomkesh; Dutta, Shanta; Acosta, Camilo J; Ali, Mohammad; Bhattacharya, Sujit K; Bhutta, Zulfiqar A; Clemens, John D

    2014-05-01

    The geometric mean concentration (GMC) and the proportion maintaining a protective level (150 enzyme-linked immunosorbent assay (ELISA) units [ELU]/ml) 2 years following a single dose of 25 μg of injectable Vi capsular polysaccharide typhoid vaccine was measured against that of the control hepatitis A vaccine in children 2 to 16 years old in cluster randomized trials in Karachi and Kolkata. The GMC for the Vi group (1,428 ELU/ml) was statistically significantly different from the GMC of the control hepatitis A vaccine group (86 ELU/ml) after 6 weeks. A total of 117 children (95.1%) in the Vi group and 9 (7.5%) in the hepatitis A group showed a 4-fold rise in Vi IgG antibody concentrations at 6 weeks (P polysaccharide typhoid vaccine is immunogenic in children in settings of South Asia where typhoid is highly endemic. The antibody levels in children who received this vaccine remained higher than those in children who received the control vaccine but were significantly reduced at 2 years of follow-up.

  15. Enhancing and Sustaining Teacher Professionalism in Pakistan

    Science.gov (United States)

    Rizvi, Meher; Elliott, Bob

    2007-01-01

    This paper presents a conceptual framework for fostering teacher professionalism in Government primary schools in Karachi, Pakistan. The framework identifies various stages for enhancing and sustaining teacher professionalism. These stages have been derived from in-depth multiple case studies of four Government primary schools in Karachi where…

  16. Physicochemical parameters and seasonal variation of coastal water from Balochistan coast, Pakistan

    Directory of Open Access Journals (Sweden)

    Naeema Elahi

    2015-03-01

    Full Text Available Objective: To determine common physico-chemical parameters of coastal water. Methods: Physicochemical properties of water were determined according to the standards of the American Public Health Association. Generally, all those parameters were recorded a small variation between stations. The variation in physico-chemical parameters like salinity, temperature, dissolved oxygen and pH at Gwadar (Coastal water of Balochistan were recorded. Results: The range of air temperature of coastal water of Balochistan during 2004 and 2006 varies from 25 ºC to 37 ºC, water temperature ranged from 15.00 ºC to 33.00 ºC, pH ranged from 7.08 to 8.95, salinity ranged from 37.4‰ to 41.3‰ and dissolved oxygen ranged from 5.32 to 8.67 mg/L. Conclusions: Results showed that these parameters of Balochistan coast of Pakistan is not dangerous for marine habitat and the use of these parameters in monitoring programs to assess ecosystem health has the potential to inform the general public and decision-makers about the state of the coastal ecosystems. To save this vital important habitat, the government agencies and scientists should work with proper attention.

  17. Physicochemical parameters and seasonal variation of coastal water from Balochistan coast, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Naeema Elahi; Quratulan Ahmed; Levent Bat; Farzana Yousuf

    2015-01-01

    Objective:To determine common physico-chemical parameters of coastal water. Methods:Physicochemical properties of water were determined according to the standards of the American Public Health Association. Generally, all those parameters were recorded a small variation between stations. The variation in physico-chemical parameters like salinity, temperature, dissolved oxygen and pH at Gwadar (Coastal water of Balochistan) were recorded. Results:The range of air temperature of coastal water of Balochistan during 2004 and 2006 varies from 25ºCto 37ºC, water temperature ranged from 15.00ºC to 33.00ºC, pH ranged from 7.08 to 8.95, salinity ranged from 37.4‰ to 41.3‰and dissolved oxygen ranged from 5.32 to 8.67 mg/L. Conclusions:Results showed that these parameters of Balochistan coast of Pakistan is not dangerous for marine habitat and the use of these parameters in monitoring programs to assess ecosystem health has the potential to inform the general public and decision-makers about the state of the coastal ecosystems. To save this vital important habitat, the government agencies and scientists should work with proper attention.

  18. Severity of acute hepatitis and its outcome in patients with dengue fever in a tertiary care hospital Karachi, Pakistan (South Asia

    Directory of Open Access Journals (Sweden)

    Akhtar Jaweed

    2010-05-01

    Full Text Available Abstract Background Liver injury due to dengue viral infection is not uncommon. Acute liver injury is a severe complicating factor in dengue, predisposing to life-threatening hemorrhage, Disseminated Intravascular Coagulation (DIC and encephalopathy. Therefore we sought to determine the frequency of hepatitis in dengue infection and to compare the outcome (length of stay, in hospital mortality, complications between patients of Dengue who have mild/moderate (ALT 23-300 IU/L v/s severe acute hepatitis (ALT > 300 IU/L. Methods A Cohort study of inpatients with dengue viral infection done at Aga Khan University Hospital Karachi. All patients (≥ 14 yrs age admitted with diagnosis of Dengue Fever (DF, Dengue Hemorrhagic Fever (DHF or Dengue Shock Syndrome (DSS were included. Chi square test was used to compare categorical variables and fischer exact test where applicable. Survival analysis (Cox regression and log rank for primary outcome was done. Student t test was used to compare continuous variables. A p value of less than or equal to 0.05 was taken as significant. Results Six hundred and ninety nine patients were enrolled, including 87% (605 patients with DF and 13% (94 patients with DHF or DSS. Liver functions tests showed median ALT of 88.50 IU/L; IQR 43.25-188 IU/L, median AST of 174 IU/L; IQR 87-371.5 IU/L and median T.Bil of 0.8 mg/dl; IQR 0.6-1.3 mg/dl. Seventy one percent (496 had mild to moderate hepatitis and 15% (103 had severe hepatitis. Mean length of stay (LOS in patients with mild/moderate hepatitis was 3.63 days v.s 4.3 days in those with severe hepatitis (P value 0.002. Overall mortality was 33.3% (n = 6 in mild/moderate hepatitis vs 66.7% (n = 12 in severe hepatitis group (p value Conclusion Severe hepatitis (SGPT>300IU in Dengue is associated with prolonged LOS, mortality, bleeding and RF.

  19. Formative research and development of an evidence-based communication strategy: the introduction of Vi typhoid fever vaccine among school-aged children in Karachi, Pakistan.

    Science.gov (United States)

    Pach, Alfred; Tabbusam, Ghurnata; Khan, M Imran; Suhag, Zamir; Hussain, Imtiaz; Hussain, Ejaz; Mumtaz, Uzma; Haq, Inam Ul; Tahir, Rehman; Mirani, Amjad; Yousafzai, Aisha; Sahastrabuddhe, Sushant; Ochiai, R Leon; Soofi, Sajid; Clemens, John D; Favorov, Michael O; Bhutta, Zulfiqar A

    2013-01-01

    The authors conducted formative research (a) to identify stakeholders' concerns related to typhoid fever and the need for disease information and (b) to develop a communication strategy to inform stakeholders and address their concerns and motivate for support of a school-based vaccination program in Pakistan. Data were collected during interactive and semi-structured focus group discussions and interviews, followed by a qualitative analysis and multidisciplinary consultative process to identify an effective social mobilization strategy comprised of relevant media channels and messages. The authors conducted 14 focus group discussions with the parents of school-aged children and their teachers, and 13 individual interviews with school, religious, and political leaders. Parents thought that typhoid fever was a dangerous disease, but were unsure of their children's risk. They were interested in vaccination and were comfortable with a school-based vaccination if conducted under the supervision of trained and qualified staff. Teachers and leaders needed information on typhoid fever, the vaccine, procedures, and sponsors of the vaccination program. Meetings were considered the best form of information dissemination, followed by printed materials and mass media. This study shows how qualitative research findings can be translated into an effective social mobilization and communication approach. The findings of the research indicated the importance of increasing awareness of typhoid fever and the benefits of vaccination against the disease. Identification and dissemination of relevant, community-based disease and vaccination information will increase demand and use of vaccination.

  20. Automated Versus Manual Blood Pressure Measurement: A Randomized Crossover Trial in the Emergency Department of a Tertiary Care Hospital in Karachi, Pakistan: Are Third World Countries Ready for the Change?

    Science.gov (United States)

    Mansoor, Kanaan; Shahnawaz, Saba; Rasool, Mariam; Chaudhry, Huwad; Ahuja, Gul; Shahnawaz, Sara

    2016-01-01

    BACKGROUND: Hypertension has proven to be a strong liability with 13.5% of all mortality worldwide being attributed to elevated blood pressures in 2001. An accurate blood pressure measurement lies at the crux of an appropriate diagnosis. Despite the mercury sphygmomanometer being the gold standard, the ongoing deliberation as to whether mercury sphygmomanometers should be replaced with the automated oscillometric devices stems from the risk mercury poses to the environment. AIM: This study was performed to check the validity of automated oscillometric blood pressure measurements as compared to the manual blood pressure measurements in Karachi, Pakistan. MATERIAL AND METHODS: Blood pressure was recorded in 200 individuals aged 15 and above using both, an automated oscillometric blood pressure device (Dinamap Procare 100) and a manual mercury sphygmomanometer concomitantly. Two nurses were assigned to each patient and the device, arm for taking the reading and nurses were randomly determined. SPSS version 20 was used for analysis. Mean and standard deviation of the systolic and diastolic measurements from each modality were compared to each other and P values of 0.05 or less were considered to be significant. Validation criteria of British Hypertension Society (BHS) and the US Association for the Advancement of Medical Instrumentation (AAMI) were used. RESULTS: Two hundred patients were included. The mean of the difference of systolic was 8.54 ± 9.38 while the mean of the difference of diastolic was 4.21 ± 7.88. Patients were further divided into three groups of different systolic blood pressure 120 to = 150 and > 150, their means were 6.27 ± 8.39 (p-value 0.175), 8.91 ± 8.96 (p-value 0.004) and 10.98 ± 10.49 (p-value 0.001) respectively. In our study 89 patients were previously diagnosed with hypertension; their difference of mean systolic was 9.43 ± 9.89 (p-value 0.000) and difference of mean diastolic was 4.26 ± 7.35 (p-value 0.000). CONCLUSIONS: Systolic

  1. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi

    OpenAIRE

    Aysha Almas; Ayaz Ghouse; Ahmed Raza Iftikhar; Munawwar Khursheed

    2014-01-01

    Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs) presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387) had un...

  2. Pakistan. Spotlight.

    Science.gov (United States)

    Greene, M

    1985-01-01

    Focus in this discussion of Pakistan is on demographic factors, the issue of ethnic versus national solidarity, and economic and social development. The population was estimated at 99.2 million in 1985. The birthrate was 43/1000 in 1984 and the deaths were 15/1000. The infant mortality rate is 105 infant deaths/1000 live births, and life expectancy at birth is 51 years. In 1983 the gross national product per capita was US$390. The population of Pakistan is concentrated around Karachi on the Arabian Sea and in the crescent formed by Lahore, Rawalpindi, and Peshawar. Pakistan was a British colony, part of the Indian subcontinent until partition in 1947, when Britain gave Pakistan and India their freedom. Pakistan is not a theocracy, but the military government turns to traditional Islam for affirmation of its authority. Its martial law regime, established in 1977, is headed by President Ziaul Haq. The issue of ethnic versus national solidarity has been a problem since independence. Bengali-speaking East Pakistanis felt they did not have equal power in their country whose official language was Urdu and whose capital was in West Pakistan. East and West Pakistan ended up in armed conflict with the formation of Bangladesh in 1971 as the result. Regional and ethnic conflict is exacerbated by the low rate of literacy and the low status of certain ethnic groups in Pakistan. In addition, Pakistan suffers problems typical of many developing nations: a low per capita income, a large and growing population, and a highly stratified traditional society. In 1981 doctors, engineers, and craftsmen were in short supply, but there was a surplus of 300,000 agricultural workers. Agriculture makes up 30% of the GNP and employs 55% of the work force. In Pakistan's 6th Five Year Plan, initiated in July 1983, the government acknowledged for the 1st time the extremely poor conditions for women as indicated by literacy, health, and fertility. The total fertility rate is 6.4 average births

  3. Country Presentation Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Gill Akhtar, Khalida [Pakistan Atomic Energy Commission, PS, QA/QC, 44400 Islamabad (Pakistan)

    2008-07-01

    Pakistan is the home to three Nuclear Power Plants: - Karachi Nuclear Power Plant KANUPP: KANUPP Karachi Nuclear Power Plant is located at Karachi, Sindh, Pakistan. KANUPP is a single unit Candu PHWR with a total gross capacity of 137 MW. The 137-MWe (Candu PHWR) Karachi Nuclear Power Plant (KANUPP) was commissioned earlier in 1972, supplied and built by Canada. It has completed its design life of 30 years and is undergoing indigenous refurbishment to enhance safety and extend its life for another 10-15 years. - Chashma Nuclear Power Plant CHASHNUPP 1: CHASNUPP-1 Chashma Nuclear Power Plant I is located at Kundian, Punjab, Pakistan. It forms part of the Chashma Nuclear Power Complex. The CHASNUPP-1 is a single unit. It was made operational in year 2000. The 325-MWe PWR, supplied and constructed by China. It has so far undergone four refueling outages. Its average capacity and availability factor for year 2004-05 were 93 % and 96.4 % respectively. - Chashma Nuclear Power Plant CHASHNUPP 2: The site is situated next to Chashma Nuclear Power Plant Unit-1. The CHASNUPP-2 will be a single-unit plant. The corresponding gross electric output of the turbine generator is 325 MWe. It is under construction, commercial operation expected {approx} 2011. Pakistan Current Nuclear Power Program: - All Nuclear Power Plants and fuel Cycle facilities operated by Pakistan Atomic Energy Commission (PAEC). - Pakistan nuclear safety issues regulated by Pakistan Nuclear Regulatory Authority (PNRA). All Nuclear Power Plants are under IAEA Safeguards. Pakistan is member of Candu Operators Group (COG), and of World Association of Nuclear (Plant) Operators (WANO). The government of Pakistan has chalked out a comprehensive plan to expand power generation to meet the demands of the country's rapidly growing economy. Pakistan Atomic Energy Commission has been given the task of increasing nuclear power generation in accordance with the country's energy security plan. Technical

  4. Length-weight relationship of eleven species of marine catfishes from the northern Arabian Sea coast of Pakistan

    Science.gov (United States)

    Farooq, Noureen; Qamar, Nazia; Rashid, Shahnaz; Panhwar, Sher Khan

    2016-10-01

    This study records length-weight relationships (LWRs) for eleven commercially important marine catfish species of the family Ariidae (sea catfishes) and Plotosidae (eel catfishes) from the northern Arabian Sea coast of Pakistan. The specimens were sampled from December 2014 to November 2015, using bottom trawls with various mesh sizes by commercial vessels. The species were Nemapteryx caelatus, Sciades sona, Arius gagora, Batrachocephalus mino, Netuma thalassina, N. bilineata, Osteogeneiosus militaris, Plicofollis dussumieri, P. tenuispinis, Plotosus limbatus, and P. lineatus. Of the eleven species, two species A. gagora and N. bilineata were recorded for the first time and LWRs for four species A. gagora, N. bilineata, S. sona, and B. mino still have no data in the FishBase database. In addition, new maximum length for each of the three species N. bilineata, O. militaris and B. mino was also found.

  5. Central Makran Range, Pakistan

    Science.gov (United States)

    1981-01-01

    A spectacular view of the Makran Range of Pakistan (27.0N, 65.5E) looking north with the Arabian Sea and the city of Karachi in the foreground. In the center, the Indian sub-continent moving slowly north into the Asian continent has caused the folded sedimentary Makran Range to bend from east-west to north-south as well as the uplift forming The Great Himalaya Range and the high Tibetan Plateau to the north.

  6. Determination of dioxins, dioxin-like PCBs and flame retardants (PBDEs) in sediments collected in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Khan, N. [National Institute of Oceanography, Karachi (Pakistan); Inam, A.; Mueller, J.F.; Herrmann, T.; Paepke, O.

    2004-09-15

    Pakistan, is a large (about 800 000 km{sup 2}) country located in the western reaches of the Indo- Gangetic plain in the north-west of the Indian subcontinent. The River Indus enters in the north and flows south from the Himalayas in the northern part of Pakistanis to Karachi the key metropolitan area (> 8 Mio inhabitants) located on the Arabian Sea coast. Much of the about 140 Mio inhabitants of Pakistan live in the vast, fertile plain that is formed by the Indus River. The coastline of Pakistan is 1046 km long some part of it being formed by the Indus River delta, the 12th largest delta in the world (i.e. about 30,000 km{sup 2}). Dioxin-like chemicals are predominantly generated as unintended by-products of combustion processes and are usually emitted into the atmosphere however the aquatic environment is an important sink for these chemicals and consumption of seafood is an important exposure pathway for humans. Environmental monitoring of persistent organic pollutants (POPs) such as PCDD/PCDF and the dioxin-like PCBs is quite expensive and requires specialized laboratory facilities ideally equipped with High Resolution Mass Spectrometry (HRMS) instrumentation. Hence, by far the majority of work on PCDD/PCDF and dioxin-like PCB has been carried out in industrialized countries in Europe, North America and Japan. In contrast there is very little - or no information available on the levels of these chemicals in the environment of developing nations and to our knowledge no data are available on the levels of these chemicals in the aquatic environment in Pakistan. The aim of this study was thus to evaluate dioxin-like chemicals in sediments collected along a transect in the Indus River to the Arabian Sea as well as in sediments from the most urbanised and industrialised area south of Karachi to obtain a first in-sight on the levels of dioxin-like chemicals in Pakistan.

  7. Stock Market Liquidity: A Case Study of Karachi Stock Exchange

    Directory of Open Access Journals (Sweden)

    Hakim Ali Kanasro

    2009-06-01

    Full Text Available A market is to be considered as liquid when large transactions are executed with a small impact on price. This paper identifies the position of stock market liquidity at Karachi Stock Exchange (KSE during the period from 1985 to 2006. The analysis is based on using annual data of the listed firms at KSE and the data available on economic survey of the Government of Pakistan and other sources. For measurements of liquidity at KSE we have used three measuring tools as; Liquidity Analysis, Turnover Ratio and Size of Market to determine the liquidity issues at KSE. We provide the evidences of less stock market liquidity or to say illiquidity at Karachi Stock Exchange during the sample period. Consequently, market is still for behind in its efficiency, especially in liquidity hence it fails to attract new investors. We find that less liquidity causes less synchronicity in prices attracting less inventors and results is low size of market.

  8. “Bringing-Light Tour” ——Symbol of China-Pakistan Friendship

    Institute of Scientific and Technical Information of China (English)

    Our Staff Reporter

    2012-01-01

    <正>On April 26, 2012, the 1008th cataract operation conducted at the Civil Hospital Karachi by the medical team of the China-Pakistan Friendship Bringing-Light Tour brought the activity to a successfully conclusion.

  9. From development authorities to democratic institutions: Studies in planning and management transition in the Karachi Metropolitan Region

    Directory of Open Access Journals (Sweden)

    Noman Ahmed

    2010-12-01

    Full Text Available Karachi is a relatively young metropolis. The city is about three centuries old, founded as a port by local Hindu merchants and traders. The British conquered the city in 1839, occupied the entire principality of Sindh in 1843 and designated Karachi as headquarters of the territory. The city experienced different phases of growth. When Pakistan came into being in 1947, a large number of refugees entered the city and the population jumped from 435,000 in 1947 to 1,050,000 in 1951. Karachi has remained the primate city of Pakistan, with a high annual growth rate of 5-7 percent per annum (Ahmed 1998. Current estimates suggest that the city has about 17 million inhabitants. Karachi houses 7 per cent of the total population and 23 per cent of the urban population of Pakistan. Its current rate of growth is estimated at around 5 per cent, of which 3 per cent is due to natural increase and 2 per cent to migration from the other parts of the country. Karachi provides 25 per cent of federal revenue and 15 per cent of Pakistan’s gross domestic product (GDP. In addition, 50 per cent of the country’s bank deposits and 72 per cent of all issued capital is contributed by the city (Hasan 2010; CDGK 2008. It houses the country’s largest stock market and about 26 per cent of the total national industrial establishments.

  10. A Review of the Status of the Indian Ocean Humpback Dolphin (Sousa plumbea) in Pakistan.

    Science.gov (United States)

    Kiani, Muhammad Shoaib; Van Waerebeek, Koen

    2015-01-01

    Limited historical and new information on Indian Ocean humpback dolphins, Sousa plumbea, in Pakistan are reviewed. Although present along most of the coast, S. plumbea concentrates in the mangrove-lined creek system of the Indus Delta (Sindh), Miani Hor (Sonmiani Bay), Kalmat Lagoon, Gwadar and the Dasht River estuary (Gwater Bay, Jiwani). Other areas of distribution comprise the Karachi coast, Kund Malir, Ormara and Pasni. In the Indus Delta, 46 small-boat surveys conducted monthly (minus July and October) in 2005-2009, documented 112 sightings (439 individuals) in major creeks, smaller channels and nearshore waters. Group sizes ranged from 1-35 animals (mean=3.92±4.60). Groups of 1-10 animals composed 91% of total (27.9% single animals). An encounter rate of 0.07-0.17 dolphins km(-1) lacked a significant trend across survey years. A discovery curve remained steep after 87 dolphins were photo-identified, suggesting the population is vastly larger. In Sonmiani Bay, Balochistan, during 9 survey days in 2011-2012, group sizes ranged from 1-68 animals (mean=11.9±13.59; n=36), totalling 428 dolphins. Incidental entanglements, primarily in gillnets, pollution (especially around Karachi), overfishing and the ship breaking industry in Gaddani, pose major threats. Incidental catches occur along the entire Pakistani coast. Of 106 stranded cetaceans, 24.5% were S. plumbea. Directed takes in Balochistan, driven by demand for bait in shark fisheries, have reportedly declined following dwindling shark stocks. Habitat degradation threats include depletion of prey and increased maritime traffic. Domestic sewage and solid waste pollution are predominant on the Balochistan coast, especially at Miani Hor, Kund Malir, Ormara, Kalmat Lagoon, Pasni, Gwadar and Jiwani. An exhaustive habitat assessment combined with appropriate fishery management is the only way to safeguard the future of S. plumbea in Pakistan.

  11. War against Rape (WAR): The Experience of an Activist Group in Karachi in Raising Awareness of Sexual Crimes against Women.

    Science.gov (United States)

    Zaman, Riffat Moazam

    This paper describes the experiences of an activist group in Karachi (Pakistan) in raising awareness of sexual crimes against women, pursuant to a rape of a professional woman which occurred during an armed robbery. It describes how, since rape was regarded as rare or nonexistent in a conservative, Islamic society, the efforts of the Women's…

  12. Impact of maternal education about complementary feeding on their infants' nutritional outcomes in low- and middle-income households: a community-based randomized interventional study in Karachi, Pakistan.

    Science.gov (United States)

    Saleem, Ali Faisal; Mahmud, Sadia; Baig-Ansari, Naila; Zaidi, Anita K M

    2014-12-01

    This cluster-randomized interventional trial at periurban settings of Karachi was conducted to evaluate the impact of maternal educational messages regarding appropriate complementary feeding (CF) on the nutritional status of their infants after 30 weeks of educational interventions delivered by trained community health workers. Mothers in the intervention group received three education modules about breastfeeding (BF) and appropriate CF at a baseline visit and two subsequent visits 10 weeks apart. The control group received advice about BF according to national guidelines. Infants' growth [weight, length, and mid-upper arm-circumference (MUAC), stunting, wasting, and underweight] were measured at four time points. At the end of the study, infants in the intervention group had a higher mean weight of 350 g (p=0.001); length of 0.66 cm (p=0.001), and MUAC of 0.46 cm (p=0.002) compared to the controls; proportionate reduction of stunting and underweight were 10% (84% vs. 74%; OR(adj) 8.36 (5.6-12.42) and 5% (25% vs. 20%; OR(adj) 0.75 (0.4-1.79) in the intervention compared to the control group. For relatively food-secure populations, educational interventions about appropriate CF to mothers had a direct positive impact on linear growth of their infants.

  13. Simulation of rainfall-runoff for major flash flood events in Karachi

    Science.gov (United States)

    Zafar, Sumaira

    2016-07-01

    Metropolitan city Karachi has strategic importance for Pakistan. With the each passing decade the city is facing urban sprawl and rapid population growth. These rapid changes directly affecting the natural resources of city including its drainage pattern. Karachi has three major cities Malir River with the catchment area of 2252 sqkm and Lyari River has catchment area about 470.4 sqkm. These are non-perennial rivers and active only during storms. Change of natural surfaces into hard pavement causing an increase in rainfall-runoff response. Curve Number is increased which is now causing flash floods in the urban locality of Karachi. There is only one gauge installed on the upstream of the river but there no record for the discharge. Only one gauge located at the upstream is not sufficient for discharge measurements. To simulate the maximum discharge of Malir River rainfall (1985 to 2014) data were collected from Pakistan meteorological department. Major rainfall events use to simulate the rainfall runoff. Maximum rainfall-runoff response was recorded in during 1994, 2007 and 2013. This runoff causes damages and inundation in floodplain areas of Karachi. These flash flooding events not only damage the property but also cause losses of lives

  14. CPECC Contracts Oil Products Pipeline Construction in Pakistan

    Institute of Scientific and Technical Information of China (English)

    Wang Yong

    2002-01-01

    @@ China Petroleum Engineering & Construction Corporation (CPECC), a subsidiary of CNPC, and Pak-Arab Pipeline Company (PARCO) of Pakistan have recently reached an agreement to confirm the US$317-million contract for construction a pipeline for oil products in Pakistan by CPECC. The project is called the white oil pipeline project (WOPP)running from Karachi to Mahmood Kot, the distribution center of oil products in the northwest part of the country.

  15. Volatility at Karachi Stock Exchange

    OpenAIRE

    Aslam Farid; Javed Ashraf

    1995-01-01

    Frequent “crashes” of the stock market reported during the year 1994 suggest that the Karachi bourse is rapidly converting into a volatile market. This cannot be viewed as a positive sign for this developing market of South Asia. Though heavy fluctuations in stock prices are not an unusual phenomena and it has been observed at almost all big and small exchanges of the world. Focusing on the reasons for such fluctuations is instructive and likely to have important policy implications. Proponen...

  16. Drivers of Long-Term Insecurity and Instability in Pakistan: Urbanization

    Science.gov (United States)

    2014-01-01

    leader, Nawaz Sharif (not pictured), during an election campaign rally in Islamabad, Pakistan, May 2013. (AP Photo/Anjum Naveed ) iii Preface...2 As the nation’s financial center, Karachi carries both political and economic weight. Karachi is the country’s most important locus of industry ...category wholly separate from that of other large industrial centers, such as Faisalabad, Multan, and Hyderabad. A 2005 Asian Development Bank

  17. Democratic Values and Support for Militant Politics: Evidence from a National Survey of Pakistan

    Science.gov (United States)

    2012-11-27

    the Pakistan Muslim League) are Kashmiri. Many products, such as cooking oil, are sold and marketed under the brand name “Kashmir.” The notion of...districts and cities in Southern Punjab as well as in the major provincial capitals (e.g. Quetta, Lahore, Peshawar , and Karachi). In the last five...throughout KPK (especially Peshawar and its environs), and hit Islamabad, Lahore, and Karachi (Gul 2009; Jones and Fair 2010). In the year before our

  18. Prevalence and pattern of self-medication in Karachi: A community survey

    Science.gov (United States)

    Afridi, M. Iqbal; Rasool, Ghulam; Tabassum, Rabia; Shaheen, Marriam; Siddiqullah; Shujauddin, M.

    2015-01-01

    Objective: To study the prevalence and pattern of self-medication among adult males and females in Karachi, Pakistan. Methods: This cross-sectional community- based survey was carried out at five randomly selected towns of Karachi (Defence, Gulshan-e-Iqbal, North Nazimabad, Malir, Orangi town) over a period of 3 months (October, November & December 2012). A sample size of 500 adult cases (250 males & 250 females), with systemic random selection from different towns of Karachi were inducted in this study. The city was divided in 5 zones and one town from each zone was selected by systemic randomization. First available male and female from each randomly selected house were included in the study. After consent and confidentiality assurance they were interviewed on semi-structured Performa designed for this purpose. Results were analyzed and tabulated through SPSS v14.0. Result: The prevalence of self-medication in males and females in Karachi is found to be 84.8% (males 88.4% and females 81.2%). The most frequent symptoms for which self-medication used were headache (32.7%), fever (23.3%) and the medicines used were painkillers (28.8%), fever reducer medicines (19.8%). The most common reason 33.3% was previous experience with similar symptom. Conclusion: Self-medication is highly prevalent (84.8%) in Karachi. It was frequently used for headache followed by fever. Predominantly painkillers, fever reducer and cough syrups were used in the form of tablets and syrups. Main source of medicines for males were friends and for females were relatives. PMID:26649022

  19. Prevalence of obesity in school-going children of Karachi.

    Directory of Open Access Journals (Sweden)

    Haider Javed Warraich

    Full Text Available BACKGROUND: Obesity is an emerging problem in Pakistan. The authors sought to determine prevalence of obesity and malnutrition in school-going children, from grades 6(th to 8(th of different schools of Karachi and assess associations that affect the weight of the children. METHODOLOGY/PRINCIPAL FINDINGS: A cross sectional study design with children studying in grades 6(th to 8(th grade, in different schools of Karachi. We visited 10 schools of which 4 consented; two subsidized government schools and two private schools. A questionnaire was developed in consultation with a qualified nutritionist. Height and weight were measured on calibrated scales. A modified BMI criterion for Asian populations was used. Data was collected from 284 students. Of our sample, 52% were found to be underweight whereas 34% of all the children were normal. Of the population, 6% was obese and 8% overweight. Of all obese children, 70% belonged to the higher socio-economic status (SES group, while of the underweight children, 63.3% were in the lower SES. Amongst obese children in our study, 65% ate meat every day, compared to 33% of normal kids. CONCLUSION: Obesity and undernutrition co-exist in Pakistani school-children. Our study shows that socio-economic factors are important since obesity and overweight increase with SES. Higher SES groups should be targeted for overweight while underweight is a problem of lower SES. Meat intake and lack of physical activity are some of the other factors that have been highlighted in our study.

  20. Analyzing the Stock Markets Role as a Source of Capital Formation in Pakistan

    Directory of Open Access Journals (Sweden)

    Hakim Ali Kanasro

    2011-12-01

    Full Text Available This paper is to examine the stock markets role in the capital formation in Pakistan from the period 1st January 2001 to 31st December 2008. This analytical study is based on the data collected from the secondary sources such as State Bank of Pakistan and three stock exchanges; Karachi, Lahore and Islamabad Stock exchanges. The stock market size of capital, number of listed companies and liquidity positions has been examined in the study. The study reveals that Karachi Stock exchange is the oldest and biggest Stock exchange of Pakistan and it is the first mover to adapt institutional developments, new policies and procedures in the business of securities exchange and shares a big role in the capital formation in Pakistan. In recent years all stock exchanges have implemented the advanced technology and fully automated trading systems. This has changed the stock markets role in the capital formation as great boom has been observed during the study period.

  1. Enhancement of safety at nuclear facilities in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Ahmad, S.A.; Hayat, T.; Azhar, W. [Directorate of Safety, Pakistan Atomic Energy Commission, P.O. Box 3416, Islamabad (Pakistan)

    2006-07-01

    Pakistan is benefiting from nuclear technology mostly in health and energy sectors as well as agriculture and industry and has an impeccable safety record. At the national level uses of nuclear technology started in 1955 resulting in the operation of Karachi Radioisotope Center, Karachi, in December 1960. Pakistan Nuclear Safety Committee (PNSC) was formulated in 1964 with subsequent promulgation of Pakistan Atomic Energy Commission (PAEC) Ordinance in 1965 to cope with the anticipated introduction of a research reactor, namely PARR-I, and a nuclear power plant, namely KANUPP. Since then Pakistan's nuclear program has expanded to include numerous nuclear facilities of varied nature. This program has definite economic and social impacts by producing electricity, treating and diagnosing cancer patients, and introducing better crop varieties. Appropriate radiation protection includes a number of measures including database of sealed radiation sources at PAEC operated nuclear facilities, see Table l, updated during periodic physical verification of these sources, strict adherence to the BSS-115, IAEA recommended enforcement of zoning at research reactors and NPPs, etc. Pakistan is party to several international conventions and treaties, such as Convention of Nuclear Safety and Early Notification, to improve and enhance safety at its nuclear facilities. In addition Pakistan generally and PAEC particularly believes in a blend of prudent regulations and good/best practices. This is described in this paper. (Author)

  2. Geriatric patients' expectations of their physicians: findings from a tertiary care hospital in Pakistan

    OpenAIRE

    Qidwai Waris; Khalid Umair; Saleem Taimur

    2009-01-01

    Abstract Background Geriatric health is a neglected and under-explored area internationally and in Pakistan. We aimed to ascertain the expectations of the geriatric patients from their physicians and the factors associated with patient satisfaction in this particular age bracket. Methods A cross-sectional survey was carried out at a tertiary care teaching hospital in Karachi, Pakistan. Data collection was carried out via face-to-face interviews based on structured, pre-tested questionnaires. ...

  3. Weight patterns and perceptions among female university students of Karachi: a cross sectional study

    Science.gov (United States)

    2013-01-01

    Background Body weight and its perception play an important role in the physical and mental well-being of a person. Weight perception is found to be a better predictor of weight management behaviour as compared to actual weight. In Pakistan, studies have been done on the prevalence of weight status but weight perception is still unexplored. The study was done to examine relationships between body weight perception, actual weight status, and weight control behaviour among the female university students of Karachi. Methods A cross sectional study was carried out during Sep-Nov 2009 on female students in four universities of Karachi, Pakistan. Our final sample size included 338 female university students. Height and weight were measured on calibrated scales. A modified BMI criterion for Asian populations was used. Results Based on measured BMI; the prevalence of underweight, normal weight and overweight females was 27.2%, 51.5% and 21.3% respectively. As a whole, just over one third (33.73%) of the sample misclassified their weight status. Among underweight (n=92), 45.70% thought they were of normal weight. No one who was truly underweight perceived them self as overweight. Among the normal weight (n= 174), 9.8% thought they were underweight and 23.6% considered themselves overweight. Among the overweight (n=72); 18.3% considered themselves normal. Only one female student thought she was underweight despite being truly overweight. Conclusions Our study shows that among female university students in Karachi, the prevalence of being underweight is comparatively high. There is a significant misperception of weight, with one third of students misclassifying themselves. Underweight females are likely to perceive themselves as normal and be most satisfied with their weight. Health policy makers should implement these findings in future development of health interventions and prevention of depression, social anxiety and eating disorders associated with incorrect weight

  4. Merit and Admissions Policy: Case Studies from Pakistan. Discussion Paper Series No. 59 D.

    Science.gov (United States)

    Klitgaard, Robert E.; And Others

    Studies were conducted to determine whether measures of intellectual merit that are used as criteria for admission to the University of Karachi in Pakistan have predictive validity. The predictive validity of the intermediate examination score was studied with recent graduates of the pharmacy, medicine, and engineering schools. Additional studies…

  5. Does diversification affect capital structure and profitability in Pakistan?

    OpenAIRE

    Qureshi, Muhammad Azeem; Akhtar, Waqas; Imdadullah, Muhammad

    2012-01-01

    Diversification has become a common strategy of corporate risk management along with availing other potential benefits. The intent of this study is to identify and analyze the nature of relationship that exists between diversification and capital structure as well as profitability in Pakistan. For this purpose we use the 10 years’ (2000-2009) data of all the companies of chemical and food sector listed at the Karachi Stock Exchange (KSE). We find that the diversified firms are more profitable...

  6. Nature and extent of perceived stigma among epileptics in Pakistan

    OpenAIRE

    Rehana Khalil; Saadia Gul; Zahid Naeem

    2016-01-01

    Background: Epilepsy is one of the oldest disorders known to mankind. Often the social stigma (whether a and ldquo;felt and rdquo; stigma or an and ldquo;enacted and rdquo; stigma) attached to epilepsy is a greater handicap to the person with epilepsy compared to the disability associated with seizures or the side-effects from medications. The aim of this study was to explore the perceived sigma and discrimination among epileptics of Karachi, Pakistan. Methods: A descriptive cross sectio...

  7. Unconventional Warfare and Counterinsurgency in Pakistan: A Brief History

    Science.gov (United States)

    2012-11-01

    for the Mujahideen were being sold in the open market , leading to rising violence across the country. There were also allegations of ISI officers...convoys inflicted heavy casualties. There was also a wave of suicide bombings in major cities – especially Lahore, Peshawar , and Karachi – many of...Pakistan,” Asia Times, January 30, 2008. 75 Lalwani, 2009. 76 “Jailed TNSM chief admitted to Peshawar hospital,” Daily Times, November 17, 2007

  8. Occupational Hazards Among Dental Surgeons In Karachi.

    Science.gov (United States)

    Baig, Nabeel Naeem; Aleem, Sajid Atif

    2016-04-01

    To determine the frequency of different occupational hazards among dental surgeons in Karachi. Cross-sectional survey. Amulticenter study conducted at Ameen Diabetic and Dental Hospital, Dental OPD, Karachi Medical and Dental College, and Abbasi Shaheed Hospital, Karachi, from February to March 2014. Dentists, practicing in different areas of Karachi, were given a self-administered questionnaire. It comprised of a form containing information about the socio-demographic profile of dentists and questionnaires regarding occupational hazards experienced in practice. Atotal of 130 dentists, involved in clinical practice, were randomly selected. There were 45 (35%) males and 85 (65%) females. The average age was 39 ±5.76 years. Out of 130 dentists, 93.8% (122/130) had occupational hazard during practice. Cervical back pain was observed in 81.96% dentists followed by knee / elbow joint pain in 53.27%, eye infection in 44.615%, impaired hearing in 40.98%, psychological stress in 41.80% and material allergy was 12.29%. Various spinal and joint pains, eye infections, impaired hearing, stress and material allergy represented occupational hazard to 93.8% of the surveyed dentists.

  9. Blood and hair lead in children with different extents of iron deficiency in Karachi

    Energy Technology Data Exchange (ETDEWEB)

    Ataur Rahman, Muhammad; Rahman, Bushra [Karachi Institute of Biotechnology and Genetic Engineering, University of Karachi, Karachi-75270 (Pakistan); Saeed Ahmad, Muhammad [School of Healthcare Science, Manchester Metropolitan University, Manchester M1 5GD (United Kingdom); Blann, Andrew [Department of Medicine, City Hospital, Birmingham B18 7QH, United Kingdom. (United Kingdom); Ahmed, Nessar, E-mail: N.Ahmed@mmu.ac.uk [School of Healthcare Science, Manchester Metropolitan University, Manchester M1 5GD (United Kingdom)

    2012-10-15

    Childhood iron deficiency has a high incidence in Pakistan. Some but not all studies have shown that dietary iron deficiency may cause increased absorption of lead as both compete for the same transporters in the small intestine. Therefore, children in Pakistan, residing in heavily polluted cities like Karachi may be prone to lead poisoning. This hypothesis was tested by investigating blood and hair lead concentrations in children from Karachi who were divided into four groups of iron status; normal, borderline iron deficiency, iron deficiency and iron deficiency anaemia. A prospective observational study was conducted where 269 children were categorized into four groups of iron status using the World Health Organization criteria and one based on soluble transferrin receptor measurements. Blood iron status was determined using a full blood count, serum iron, ferritin, transferrin saturation and soluble transferrin receptor measurements. Blood lead was determined by graphite atomic absorption spectroscopy, whereas hair lead was assessed using an inductively coupled plasma atomic emission spectroscopy technique. Blood lead concentrations were significantly higher in children with iron deficiency anaemia (mean [95% confidence intervals] were 24.9 [22.6-27.2] {mu}g/dL) compared to those with normal iron status (19.1 [16.8-21.4] {mu}g/dL) using WHO criteria. In contrast, hair lead content was not significantly different in children of different iron status. Our findings reinforce the importance of not only reducing environmental lead pollution but also the development of national health strategies to reduce childhood iron deficiency in Pakistan.

  10. Does academic assessment system type affect levels of academic stress in medical students? A cross-sectional study from Pakistan

    OpenAIRE

    Ali, Madiha; Asim, Hamna; Edhi, Ahmed Iqbal; Hashmi, Muhammad Daniyal; Khan, Muhammad Shahjahan; Naz, Farah; Qaiser, Kanza Noor; Qureshi, Sidra Masud; Zahid, Mohammad Faizan; Jehan, Imtiaz

    2015-01-01

    Introduction: Stress among medical students induced by academic pressures is on the rise among the student population in Pakistan and other parts of the world. Our study examined the relationship between two different systems employed to assess academic performance and the levels of stress among students at two different medical schools in Karachi, Pakistan.Methods: A sample consisting of 387 medical students enrolled in pre-clinical years was taken from two universities, one employing the se...

  11. New records and a new species of chewing lice (Phthiraptera, Amblycera, Ischnocera found on Columbidae (Columbiformes in Pakistan

    Directory of Open Access Journals (Sweden)

    Saima Naz

    2012-03-01

    Full Text Available The chewing lice (Phthiraptera of Columbidae (Columbiformes from Pakistan are studied. Six species of chewing lice with new host records are recorded and one new species of the genus Colpocephalum is described from Columba livia in the Karachi region. All the columbid chewing lice from Pakistan are keyed out and the new species is illustrated and compared with the closest allied species.

  12. Pakistan seminar.

    Science.gov (United States)

    1970-02-01

    Public participation in the national family planning programme and the promotion of population education were the main topics discussed at the national conference of the Family Planning Association of Pakistan held at Cokilla in December. The Conference was opened by the Governor of East Pakistan, Vice-Admiral S.M. Ahsan. The Minister of Health, Dr. A.M. Malik, presided at the first session when delegates and visitors were welcomed by Begum Manzoor Quadir, President of the Pakistan Association. Experience in India, Cylon and Nepal, as well as in Pakistan was examined in relation to public participation in national programmes. At the session concerned with the promotion of a population education programme special attention was paid to a new element in the education programme, the proposals for teaching the elements of responsible parenthood and population dynamics to school children and young people. Mrs. Sarwat Rahman and Mrs. Fatema Iftekhar, members of the Pakistan Association who recently attended a prototype course in family life education at IPPF headquarters in London, addressed the conference on certain approaches to the education of young people that they consider particulary suitable for Pakistan. Dr. Malcolm Potts, Medical Secretary of the IPPF, also took part in the session on population education. He subsequently addressed meetings of doctors in three towns in East Pakistan as well as visiting urban and rural projects of the Pakistan Association and saw vasectomy clinics at work.

  13. Source apportionment of particulate matter in a South Asian Mega City: A case study of Karachi

    Science.gov (United States)

    Shahid, imran

    2016-04-01

    Pakistan is facing unabated air pollution as a major issue and its cities are more vulnerable as compared to urban centers in the developed world. During the last few decades, there has been a rapid increase in population, urbanization, industrialization, transportation and other human activities. In year June 2015 heat wave in largest South Asian mega city Karachi more than 1500 people died in one week. Unfortunately no air quality monitoring system is operation in any city of Pakistan. There is a sharp increase in both the variety and quantity of air pollutants and their corresponding sources. In this study contributions of different sources to particulate matter concentration has estimated in urban area of Karachi. Carbonaceous species (elemental carbon, organic carbon, carbonate carbon), soluble ions (Ca++, Mg++, Na+, K+, NH4+, Cl-, NO3-, SO4--), saccharides (levoglucosan, galactosan, mannosan, sucrose, fructose, glucose, arabitol and mannitol) were measured in atmospheric fine (PM2.5) and coarse (PM10) particles collected under pre-monsoon conditions (March - April 2009) at an urban site in Karachi (Pakistan). Average concentrations of PM2.5 were 75μg/m3 and of PM10 437μg/m3. The large difference between PM10 and PM2.5 originated predominantly from mineral dust. "Calcareous dust" and „siliceous dust" were the overall dominating material in PM, with 46% contribution to PM2.5 and 78% to PM10-2.5. 20 Combustion particles and secondary organics (EC+OM) comprised 23% of PM2.5 and 6% of PM10-2.5. EC, as well as OC ambient levels were higher (59% and 56%) in PM10-2.5 than in 22 PM2.5. Biomass burning contributed about 3% to PM2.5, and had a share of about 13% of "EC+OM" in PM2.5. The impact of bioaerosol (fungal spores) was minor and had a share of 1 and 2% of the OC in the PM2.5 and PM10-2.5 size fractions. Of secondary inorganic constituents (NH4)2SO4 contributes 4.4% to PM2.5 and no detectable quantity to PM10-2.5. The sea salt contribution is about 2% both to

  14. An empirical investigation on the existence of weak form efficiency: The case of Karachi stock exchange

    Directory of Open Access Journals (Sweden)

    Haroon Hussain

    2013-01-01

    Full Text Available This research study focuses the existence of “weak form efficiency” in the Karachi stock exchange of Pakistan. Daily stock returns are used to check the “weak form efficiency’ in KSE covering a time period of 15 years ranges from July, 1997 to April, 2012. Kolmogrov-Smirnov (K-S test, runs test, Unit root test Augumented Dickey Fuller test, Phillips Perron test are run to check the hypothesis. It is revealed that the KSE is not distributed normally and patterns are there in the prices so, the technical analyst can get the benefit in short run through predicting the future prices. This means that there exists some opportunity for the traders and investors to predict the upcoming stock prices of the securities, which are trading in the KSE and can earn high return and outperform the market. However, in long run scenario (in monthly data the results are vice versa and Karachi stock exchange is a weak form efficient market.

  15. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi

    Directory of Open Access Journals (Sweden)

    Aysha Almas

    2014-01-01

    Full Text Available Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387 had uncontrolled hypertension. The prevalence of hypertensive crisis among uncontrolled hypertensive was 56.3% (218. Per oral calcium channel blocker; 35.4% (137 and intravenous nitrate; 22.7% (88 were the most commonly administered medication in the ER. The mean (SD drop in SBP in patients with hypertensive crisis on intravenous treatment was 53.1 (29 mm Hg and on per oral treatment was 43 (27 mm Hg. The maximum mean (SD drop in blood pressure was seen by intravenous sodium nitroprusside; 80 (51 mm Hg in SBP. Acute renal failure was the most common complication with a prevalence of 11.5% (24. Conclusion. The prevalence of hypertensive crisis is high. Per oral calcium channel blocker and intravenous nitrate are the most commonly administered medications in our setup.

  16. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi.

    Science.gov (United States)

    Almas, Aysha; Ghouse, Ayaz; Iftikhar, Ahmed Raza; Khursheed, Munawwar

    2014-01-01

    Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs) presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387) had uncontrolled hypertension. The prevalence of hypertensive crisis among uncontrolled hypertensive was 56.3% (218). Per oral calcium channel blocker; 35.4% (137) and intravenous nitrate; 22.7% (88) were the most commonly administered medication in the ER. The mean (SD) drop in SBP in patients with hypertensive crisis on intravenous treatment was 53.1 (29) mm Hg and on per oral treatment was 43 (27) mm Hg. The maximum mean (SD) drop in blood pressure was seen by intravenous sodium nitroprusside; 80 (51) mm Hg in SBP. Acute renal failure was the most common complication with a prevalence of 11.5% (24). Conclusion. The prevalence of hypertensive crisis is high. Per oral calcium channel blocker and intravenous nitrate are the most commonly administered medications in our setup.

  17. Perceptions of Teachers towards Assessment Techniques at Secondary Level Private School of Karachi

    Directory of Open Access Journals (Sweden)

    Henna Fatemah

    2015-12-01

    Full Text Available This paper sets out to explore the perceptions of teachers towards assessment techniques at a secondary level private school of Karachi. This was conjectured on the basis of the circumstances of parallel boards in the education system of Pakistan and its effectiveness within the context with respect to the curriculum. This was gauged in line with the forms and techniques of assessment corresponding with the curriculum. A qualitative research design based on interviews was chosen for this study. Purposive sampling was used to select the teachers from a school. The findings of the study revealed that the General Certificate of Secondary Education (GCSE is best suited to assess students’ knowledge and skills and the teachers viewed that in order for students to be accomplished in this board, the ways of assessment must take a more meaningful measure of evaluating student’s progress

  18. Pakistan programme thrives despite unrest.

    Science.gov (United States)

    1996-01-01

    In Pakistan, strikes and riots in the Korangi district of Karachi during 1995 prevented staff from finding a suitable location for the new Marie Stopes International family planning clinic. Once the clinic opened, field workers received violent threats and had to be escorted to and from work. A mobile clinic was hijacked at gun point. Nevertheless, the Pakistan program has expanded to five clinics with one more to open soon. It has established an extensive community-based distribution (CBD) network. Before the CBD project was implemented, less than 10% of couples within the target group used a modern contraceptive method. An effective information and education strategy along with high quality service provision has increased use of modern contraceptives three-fold in some areas. The program plans to expand into underserved areas of rural Sind Province and Balochistan. 4% of women in Balochistan and 9% in Sind have access to modern contraceptives. In fact, many women resort to illegal and unsafe abortion. The program aims to submit a proposal to UK's Overseas Development Administration for major funding.

  19. Evaluating the Road Safety Design through High Resolution Satellite Image: A Case Study of Karachi Metropolitan

    Directory of Open Access Journals (Sweden)

    Zubair Salman

    2016-01-01

    Full Text Available Humanity is suffering from numerous natural, technological and health related hazards. Urban Road crash is one of the growing health issues these days in both developed and developing countries. Pakistan stands 1st in Asia and 48th in the world in this regard. Similarly, the metropolitan city of Pakistan, Karachi; ranks fourth in the list. Various reasons are responsible for these crashes in Karachi. Around 34% of crashes in the city were accounted due to errors in road geometry. In this study use of high resolution satellite imagery made it possible for identifying geometrical errors at the U-turns on major arteries of the city. It was also recognized that most of the U-turns were built on the fastest lane of the roads with average distance of 1.1 Km apart, are marked as vulnerable for considerable number of severe injury and fatal crashes. Moreover, inlet wall of all median U-turns were found broken, suggested that the car crash had occurred at least once. To cross check this observation, nearly 120 U-turns were surveyed and marked on the satellite imagery based on convenience. Trained professionals interviewed the people working/living nearby the U-turns. Out of 120 U-turns studied, 72.5% were without wall/median and 27.5% were with wall/median. Average number of people got injured or died due to crashes were statistically significant (p<0.05 between the above mentioned types of U-turns. In order to reduce geometrical errors use of RS (Remote Sensing and GIS (Geographical Information System techniques are strongly suggested to be incorporated while planning road design in the city. This would certainly save the resources particularly the lives of the people.

  20. Factors affecting adoption of mobile banking in Pakistan: Empirical Evidence

    Directory of Open Access Journals (Sweden)

    Abdul Kabeer Kazi

    2013-07-01

    Full Text Available In this research paper we investigated the determinants likely to influence the adoption of mobile banking services, with a special focus on under banked/unbanked low-income population of Pakistan. For this purpose, Technology Acceptance Model (TAM was used, with additional determinants of perceived risk and social influence. We designed a questionnaire for this research; data was collected by surveying 372 respondents from the two largest cities (Karachi and Hyderabad of the province Sindh, in Pakistan. This study empirically concluded that consumers’ intention to adopt mobile banking services was significantly influenced by social influence, perceived risk, perceived usefulness, and perceived ease of use. The most significant positive influence was of social influence on consumers’ intention to adopt mobile banking services. The paper concluded with discussion on results, and several business implications for the banking industry of Pakistan.

  1. Re-Emergence of Congo Virus in Pakistan: Call for Preparedness

    Directory of Open Access Journals (Sweden)

    Tauseef Ahmad

    2016-08-01

    Full Text Available Crimean-congo hemorrhagic fever (CCHF once again re-emerged in Pakistan. In July 2016, 2 CCHF cases were reported from Lodhran and Bahawalpur districts of Pakistan. Later on the CCHF virus was also reported from other region of the country including Balochistan, Karachi and Khyber Pakhtunkhwa. Up to 22 August 2016, a total of 20 deaths were reported of which 12 from Balochistan, 5 from Karachi, 2 from Bahawalpur and 1 from Khyber Pakhtunkhwa. Precautions measurements and awareness is necessary to protect the normal individuals away from this fatal disease. The media, health department and government need to play their active role to stop the spread of CCHF in the country. [Biomed Res Ther 2016; 3(8.000: 742-744

  2. Evaluation of a cancer awareness campaign: experience with a selected population in Karachi.

    Science.gov (United States)

    Ali, Tazeen Saeed; Baig, Sanah

    2006-01-01

    The incidence and prevalence of cancer is rapidly increasing in both developed and developing countries. The most common cancers reported in Pakistan are breast and cervical cancers in females, and lung and oral cancers in males. Public awareness of cancer can play a vital role in its prevention, early diagnosis and treatment. A pilot survey conducted by the Cancer Support Group (CSG) of Aga Khan University Hospital from 2001 till 2004 to gauge the public awareness of cancer in Pakistan revealed that people were afraid of cancer and had little knowledge about its prevention and early detection. The survey also identified several social, religious and cultural misconceptions which hinder cancer screening and treatment. In order to create awareness amongst the general public, especially the young generation, members of the CSG also organized fifteen health education sessions in schools, colleges, hospitals and communities in Karachi which were attended by more than 1,500 people. With the help of the results generated in the pilot project, education material was designed and developed for these health education sessions. Ten percent of the participants contacted CSG members for some unusual finding after administering a self screening tests taught in these sessions. This indicates the importance of holding cancer awareness sessions and the positive feedback obtained suggests that people would like to have cancer awareness sessions continued.

  3. Balancing the Trinity: U.S. Approaches to Marginalizing Islamic Militancy in Pakistan

    Science.gov (United States)

    2013-12-01

    economic development, private enterprise, and developing international markets for the United States. • Advance America’s moral values and...economies to free market economies supported 1.9 million jobs in the United States. That translates to over four million jobs for Americans [worldwide...Karachi, Peshawar , and Rawalpindi (2013). Moreover, Lashkar-i-Jhangvi’s alliance with Tehrik-e-Taliban Pakistan has delivered the FATA-based

  4. Evidence for a "Founder Effect" among HIV-infected injection drug users (IDUs in Pakistan

    Directory of Open Access Journals (Sweden)

    Yanagihara Richard

    2010-01-01

    Full Text Available Abstract Background We have previously reported a HIV-1 subtype A infection in a community of injection drug users (IDUs in Karachi, Pakistan. We now show that this infection among the IDUs may have originated from a single source. Methods Phylogenetic analysis was performed of partial gag sequences, generated using PCR, from 26 HIV-positive IDU samples. Results Our results showed formation of a tight monophyletic group with an intra-sequence identity of Conclusion Specific measures need to implemented to control transmission of HIV infection in Pakistan through infected migrant workers.

  5. Strategies for prevention of road traffic injuries (RTIs) in Pakistan: situational analysis.

    Science.gov (United States)

    Khan, Adeel Ahmed; Fatmi, Zafar

    2014-05-01

    Road traffic injuries (RTIs) are one of the leading causes of death among productive age group. Using systems approach framework (SAF), current preventive strategies for RTI control were reviewed in Pakistan. A review of the literature was done using four international search engines. Only ten studies on preventive strategies for RTI stemming from Pakistan were found. The first Road Traffic Injuries Research Network (RTIRN) surveillance system for road traffic injuries was established in urban city (Karachi) in Pakistan has shown promise for injury control and should be scaled up to other cities. Enforcement of traffic laws on seat-belt and helmet wearing is poor. National Highway and Motorway Police Ordinance (2000) was one of the few legislative measure so far taken in Pakistan. Using SAF, efforts are required to implement interventions targeting human, vehicle design and also making environment safer for road users.

  6. National Level Assessment of Mangrove Forest Cover in Pakistan

    Science.gov (United States)

    Abbas, S.; Qamer, F. M.; Hussain, N.; Saleem, R.; Nitin, K. T.

    2011-09-01

    Mangroves ecosystems consist of inter tidal flora and fauna found in the tropical and subtropical regions of the world. Mangroves forest is a collection of halophytic trees, shrubs, and other plants receiving inputs from regular tidal flushing and from freshwater streams and rivers. A global reduction of 25 % mangroves' area has been observed since 1980 and it is categorized as one of to the most threatened and vulnerable ecosystems of the world. Forest resources in Pakistan are being deteriorating both quantitatively and qualitatively due to anthropogenic activities, climatic v and loose institutional management. According to the FAO (2007), extent of forest cover of Pakistan in 2005 is 1,902,000 ha, which is 2.5% of its total land area. Annual change rate during 2000-2005 was -2.1% which is highest among all the countries in Asia. The Indus delta region contains the world's fifth-largest mangrove forest which provides a range of important ecosystem services, including coastal stabilisation, primary production and provision of nursery habitat for marine fish. Given their ecological importance in coastal settings, mangroves receive special attention in the assessment of conservation efforts and sustainable coastal developments. Coastline of Pakistan is 1050km long shared by the provinces, Sind (350km) and Baluchistan (700 km). The coastline, with typical arid subtropical climate, possesses five significant sites that are blessed with mangroves. In the Sindh province, mangroves are found in the Indus Delta and Sandspit. The Indus Delta is host to the most extensive mangroves areas and extends from Korangi Creek in the West to Sir Creek in the East, whereas Sandspit is a small locality in the West of Karachi city. In the Balochistan province, mangroves are located at three sites, Miani Hor, Kalmat Khor and Jiwani. Contemporary methods of Earth observation sciences are being incorporated as an integral part of environmental assessment related studies in coastal areas

  7. Wind and solar energy in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Nasir, S.M.; Raza, S.M. (Balochistan Univ., Quetta (Pakistan). Dept. of Physics)

    1993-04-01

    Hourly wind-speed data at four meteorological observatories (Quetta, Karachi, Peshawar, and Lahore) in Pakistan have been analysed to determine monthly and annual wind power and these are then compared with the monthly mean solar radiation energies for the period 1980-1984. The monthly average wind speeds for the four stations range from 2.5 to 4.4, 2.75 to 6.7, 0.6 to 1.7, and 0.7 to 1.6 m/sec while the solar radiation varies from 3.6 to 7.65, 3.39 to 6.31, 2.4 to 6.35, and 2.8 to 6.27 kWh/m[sup 2], respectively. (author)

  8. Retrospective study of cancer types in different ethnic groups and genders at Karachi.

    Science.gov (United States)

    Khaliq, Sheikh Abdul; Naqvi, Syed Baqir; Fatima, Anab

    2013-12-01

    Retrospective study of Cancer types in different ethnic groups & genders determines the pattern of cancers in different ethnic groups & genders during the last eight years reported in Oncology wards of hospitals of Karachi, Pakistan. Every single one male & female case with histologically and cytologically established cancer was enrolled from January 2003 to December 2010. Data for all patients were collected retrospectively by patient's file & charts, which represents the population of Karachi, Interior Sindh & Balochistan. 5134 patients (Male = 2432 / Female = 2702) investigated for their diagnosis of cancer type, ethnicity, age & gender. Classification of malignancy was done according to the International Classification of Disease coding system by W.H.O (ICD-10). The statistical analysis was performed for mean, standard error & proportions for ethnic groups & genders. Proportionately 47.37% males and among which major ethnic groups 17% Sindhi, 17% Immigrant, 4% Baloch, 3% Pukhtoon, ≈ 4% Punjabi, 1% Siraiki, 2% Minorities and 52.62% females, in which 16% Sindhi, 21% Immigrant, 4% Baloch 3% Pukhtoon, 5% Punjabi, 1% Siraiki, 3% Minorities. Mean age of males = 45.75 years, SE ± 0.227 and for females = 44.07, SE ± 0.183. The three most occurring tumors in all cancers of male were found Head & Neck, Adenoma/Carcinoma of Glands & Body cavity membranes, GIT, and females Breast, Head & Neck, Adenoma/Carcinoma of Glands & Body cavity membranes, GIT. The analysis of data indicates Head & Neck is most common cancer among male, in the similar way Breast cancer is the most common malignancy among female.

  9. THE PERCEPTION OF PHYSIOTHERAPISTS OF KARACHI IN THEIR ROLE TO REHABILITATE AND MANAGE OBESITY

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    Muhammad Sarfraz

    2016-02-01

    Full Text Available Background: Physiotherapists as providers of primary health care are well placed in promoting physical activity and lifestyles changes, but the role and practice of physiotherapist towards its promotion among obese individuals has not been fully investigated. The objective of this study is to examine perceptions of Karachi physiotherapists regarding their role in management of obesity, the learning needs for, and hurdles facing by them in the rehabilitation. Methods: It was cross-sectional survey that has been conducted among 100 Physiotherapists from three tertiary care hospitals & universities of Karachi from April to June 2013. There has been used Self-administered questionnaire and sampling was Convenient Purposive sampling in qualitative research. Descriptive statistics were calculated for all variables using the Statistical Package for the Social Sciences (SPSS version 17. Questionnaire was intended to determine physiotherapist’s perceptions of their role and consisted of questions about respondent’s demographics profile, practice and domains related to management of obesity and associated conditions. Result: In this study 93% of participants agreed that physiotherapists has role in the management of patients with obesity by developing exercise interventions.95% plays role in functional mobility and 94%in cardio respiratory training programme. In this study participants were found less aware about weight loss management. Barrier found in patient treatment is due to lack of patient motivation. Conclusion: This study revealed physiotherapist played important role in patient rehabilitation management with obesity, especially in a area of mobility and exercise prescription for conditions associated with obesity. In future there is need to take into account the different perspectives of physical therapy and with a larger sample size representing all four states of Pakistan.

  10. Cholera in children in Karachi from 1990 through 1995: a study of cases admitted to a tertiary care hospital.

    Science.gov (United States)

    Nizami, S Q; Farooqui, B J

    1998-06-01

    Although cholera is an endemic disease in Bangladesh, India and other countries, it was never a significant cause of gastroenteritis in Pakistan before 1988. Since then, cases of cholera are identified each year, both in adults and children in Pakistan. In order to see the contribution of Vibrio cholerae as a cause of gastroenteritis in children, we reviewed the cases of cholera admitted in the pediatric ward of the Aga Khan University Hospital, Karachi, Pakistan. Of 4346 children hospitalized with gastroenteritis during 1990 through 1995, 348 children (8%) were confirmed to have cholera. The youngest child with cholera was seven days old. The mean age was 31 +/- 34 months. The cases of cholera were received from all over the city. Most cases were due to Vibrio cholerae Ogawa biotype ELTOR but the new strain, i.e., Vibrio cholerae 0139 was isolated in 14% cases in 1994. The sensitivity of Vibrio cholerae has also changed. In 1994, the organisms were resistant to commonly recommended antibiotics, i.e., tetracycline, ampicillin and erythrocin but sensitive to ceftrioxone, cefixime, ofloxacin and nalidixic acid. Adequate measures to improve hygiene and sanitation and supply of safe potable water is needed to prevent any future epidemic of cholera in the city.

  11. Geographical distribution of cutaneous leishmaniasis and sand flies in Pakistan.

    Science.gov (United States)

    Shakila, Ashraf; Bilqees, Fatima Mujib; Salim, Azra; Moinuddin, Moinuddin

    2006-01-01

    Cutaneous leishmaniasis is found in all the four provinces of Pakistan; these are NWFP, Balochistan, Sindh and Punjab. In Balochistan the areas from where the patients came are Uthal, Quetta and Ormara. The highest number of patients came from Quetta and least from Ormara. The patients included in this study were from the Mangopir and Chakewara, areas of Karachi. The infection is endemic in this country and the recent epidemics in the Dadu District and Nawabshah indicate its importance in the locality. The sand fly vector is found in all four provinces of Pakistan that are listed here. It is quite obvious that presence of leishmaniasis indicates the presence of sand flies and cutaneous leishmaniasis is more common.

  12. Teaching bioethics to medical technology students in pakistan.

    Science.gov (United States)

    Naqvi, Rubina

    2009-01-01

    Incorporating ethics education in curriculum of medical technology students and highlighting the importance of teaching the subject to this particular population in this part of world are our aims. At SIUT we have a school with name of "Zain ul Abidin" school of Biomedical Technology, which is supposed to award B.S. degree in 5 sub-specialties that is hemodialysis, radiology, laboratory sciences, operation theater technology and intensive care technology. This school is affiliated by Karachi University. The students entering in school have done fellow in science (F.Sc.)with pre-medical group, thus have background knowledge of biology, physics, chemistry, languages, religion and Pakistan studies. Here for B.S. included in their curriculum are the subjects of anatomy, physiology, biochemistry, microbiology, pharmacology, pathology, Islamiat and English for all and then related sub-specialty topics to each group for example student in hemodialysis group more exposed to nephrology topics etc. I planned to add ethics with subjects, which are common to all specialties and designed curriculum. Curriculum was approved (after minor changes), from Karachi University and I started teaching ethics to these students. This paper highlights methods and tools of teaching and evaluation and results observed. This will be the first examination in bioethics from medical technologists, at university level in the history of country. This is a great achievement in country to start teaching bioethics to medical technologists. Karachi University has implemented the same curriculum to other medical technology schools affiliated with University.

  13. Breast cancer in Pakistan: identifying local beliefs and knowledge.

    Science.gov (United States)

    Raza, Sughra; Sajun, Sana Z; Selhorst, Christopher C

    2012-08-01

    The aim of this study was to assess the attitudes of women and general practitioners (GPs) living in Karachi, Pakistan, regarding breast cancer, mammographic screening, and local barriers to breast health care. This study was performed using questionnaires designed specifically for women and for GPs in Karachi. Geographically dispersed collaborators identified GPs from neighborhoods across Karachi; snowball sampling located additional GPs and women in neighboring areas. Trained local community health workers conducted one-on-one surveys and used specially equipped (openXdata) mobile phones to enter and upload participant responses in real time. The survey included 200 women (median age, 35 years; range, 24-63 years), and 100 GPs (49% men, 51% women). Women's knowledge of breast cancer incidence, diagnosis, and treatment was proportionate to educational level, while willingness to address breast health issues and interest in early detection were high regardless of education level. Very few women had ever undergone clinical breast examinations (16%) or mammography (9%). Among GPs (median time practicing, 12 years; range, 1-40 years), most understood major risk factors and importance of early detection. However, 20% did not believe breast cancer occurs in Pakistan, and 30% believed that it is a fatal disease. Female GPs were more likely to perform clinical breast examinations (98%) than male GPs (24%). This study has identified specific areas to target for educational and early detection programs. Women need more awareness and access to routine examinations and mammography; GPs need more education regarding the incidence and management of breast cancer. Male GPs would benefit from having trained female assistants to perform clinical breast examinations. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  14. LINK OF SATISFACTION COMMITMENT AND PERFORMANCE ON FACULTY MEMBERS’ PERFORMANCE AT HIGHER EDUCATION INSTITUTIONS IN PAKISTAN

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    Arsalan SHOEBY

    2012-01-01

    Full Text Available The contribution of faculty members in producing scholars and economy building can’t be rule out in any country. The faculty member’s satisfaction, commitment and performance are the points to investigate in higher education sector of Pakistan, especially in private sector universities. This study is conducted in Pakistan to investigate the relationship of satisfaction with commitment and performance, and commitment association with performance. The tools were adopted from the studies of Rice & Schneider (1994 and Smeenk et al. (2008. The top five, private sector universities of Karachi, as per HEC criteria, were taken as target sample to conduct the survey. This research affirmed that satisfaction is positively correlated with commitment and performance, and commitment also correlated with performance of faculty members of private sector universities in Pakistan.

  15. Regression in polio eradication in Pakistan: A national tragedy.

    Science.gov (United States)

    Kanwal, Sumaira; Hussain, Abrar; Mannan, Shazia; Perveen, Shazia

    2016-03-01

    Polio is one out of 200 infections results to lasting paralysis, usually in the legs. The year 2014 has been the saddest year for the Pakistan when the World was about to eliminate Polio from all over the World. In year 1994 Pakistan took the initiative to eliminate Polio from the country. The efforts were going well until 2005, when Pakistan was on the wedge to overcome the Disease. The hopes were high that soon Pakistan will become a polio-virus-free country, but the drone strikes in FATA and the rise of different militant groups as a reaction of the drone attacks in FATA made it difficult for the health workers to continue their vaccination campaigns in these areas. However various factors ruined the efforts made to eradicate Polio. In Pakistan, polio is widespread to three sections. These are Karachi, Quetta block (Quetta, Pishin and Killah Abdullah district) and FATA and Peshawar district. Numerous things are accountable for polio flourishing in these regions. These comprise near to the ground socioeconomic rank of the families, not having the knowledge concerning hazard caused by polio and disinformation by limited significant people concerning how polio vaccines fabricate damage. In 2014, only 3 countries in the world remain polio-endemic: Nigeria, Pakistan and Afghanistan. From year 2012-2014 the number of registered Polio cases is on rise contrary to rest of the other two Polio-endemic countries. In spite of the extensive work done by Polio workers the number of Polio cases has broken the 16 year record. The situation is getting worse because it can also be threatening to the rest of the World.

  16. Intimate partner violence in urban Pakistan: prevalence, frequency, and risk factors

    Directory of Open Access Journals (Sweden)

    Tazeen S Ali

    2011-03-01

    Full Text Available Tazeen S Ali1,2, Nargis Asad3, Ingrid Mogren4, Gunilla Krantz51School of Nursing, Aga Khan University, Karachi, Pakistan; 2Department of Public Health Sciences, Division of Global Health, Karolinska Institutet, Stockholm, Sweden; 3Department of Psychiatry, Aga Khan University, Karachi, Pakistan; 4Department of Clinical Science, Obstetrics and Gynecology, Umeå University, Umeå, Sweden; 5Department of Public Health and Community Medicine/Social Medicine, The Sahlgrenska Academy at University of Gothenburg, Göteborg, SwedenBackground: Intimate partner violence (IPV is an important public health issue with severe adverse consequences. Population-based data on IPV from Muslim societies are scarce, and Pakistan is no exception. This study was conducted among women residing in urban Karachi, to estimate the prevalence and frequency of different forms of IPV and their associations with sociodemographic factors.Methods: This cross-sectional community-based study was conducted using a structured questionnaire developed by the World Health Organisation for research on violence. Community midwives conducted face-to-face interviews with 759 married women aged 25–60 years.Results: Self-reported past-year and lifetime prevalence of physical violence was 56.3 and 57.6%, respectively; the corresponding figures for sexual violence were 53.4% and 54.5%, and for psychological abuse were 81.8% and 83.6%. Violent incidents were mostly reported to have occurred on more than three occasions during the lifetime. Risk factors for physical violence related mainly to the husband, his low educational attainment, unskilled worker status, and five or more family members living in one household. For sexual violence, the risk factors were the respondent’s low educational attainment, low socioeconomic status of the family, and five or more family members in one household. For psychological violence, the risk factors were the husband being an unskilled worker and low

  17. Use of miltefosine in the treatment of visceral leishmaniasis in children at a tertiary care hospital of Karachi.

    Science.gov (United States)

    Humayun, Khadija Nuzhat; Saleem, Taimur; Khalid, Umair; Jehan, Fyezah; Soofi, Sajid

    2010-06-01

    Existing standard treatment options for visceral leishmaniasis are less than optimal. We report here the use of oral miltefosine in the treatment of two paediatric cases of visceral leishmaniasis at a tertiary care hospital in Karachi, Pakistan. One patient came from Balochistan while the second patient was from Northern Pakistan. Both presented with a prolonged history of fever, massive hepatosplenomegaly, anaemia and thrombocytopenia. Visceral leishmaniasis was diagnosed with bone marrow studies. Amphotericin B was first started in the first patient; however severe hypokalaemia and allergic reaction occurred. Oral miltefosine was then administered. The child showed clinical improvement with regards to signs of leishmania infection but succumbed to a nosocomial infection during the hospital stay. In the second patient, miltefosine was started in the first instance. He showed remarkable clinical improvement. At 2 months follow-up, the child showed adequate weight gain along with successful resolution of hepatosplenomegaly and fever. Miltefosine has the potential to be considered a first line therapy for visceral leishmaniasis in developing countries; however larger studies are warranted to validate the trends observed in this small case series.

  18. Urbanisation and environmental degradation in Pakistan.

    Science.gov (United States)

    Sahibzada, S A

    1993-01-01

    Environmental degradation in urban Pakistan is described and solutions offered for policy changes and changes in design of development projects. Government intervention should involve the development of institutional and legal structures for implementing effective pollution control laws and ordinances, the development of skills for evaluation of environmental consequences of development projects, and training in the aforementioned areas. Past development policies have ignored environmental consequences. The policy of incorporation of protectionists practices is feared as a strategy that would result in a decline in income and standard of living. The Report of the World Commission in 1987 revealed that environmental pollution would increase with rising urbanization. 52% of the urban population reside in the cities of Karachi, Lahore, Faisalabad, Rawalpindi/Islamabad, Hyderabad, Multan, and Gujranwala. Environmental degradation due to industrialization results in waste dumped into rivers and canals. In Karachi, industrial waste water is contaminated with toxic chemicals, which disrupts marine life, reduces quantities of fish for harvesting, and creates a health hazard for polluted fish that are eaten. The pollution in the Peshawar Vale and the Kabul River is threatening not only the water fishery industry but also irrigation of farmland. Transportation discharges due to leaded fuels are a major source of air pollution, with concomitant effects of lung cancer and mental retardation. Air emission standards established by the World Health Organization have not been met. Energy consumption is costly even without including the costs of pollution. Environmental degradation leads to poverty. Environmental problems must be included as externalities in market analyses. Command and control approaches need to be directed to industrial polluters. Public environmental education is needed. Policy should be directed to changing the residential energy consumptions patterns, and

  19. Prevalence and risk factors for psychological distress and functional disability in urban Pakistan.

    Science.gov (United States)

    Husain, Nusrat; Chaudhry, Nasim; Jafri, Farhat; Tomenson, Barbara; Surhand, Ishaq; Mirza, Ilyas; Chaudhry, Imran B

    2014-01-01

    There is a close association between poor mental health status and both poor physical health and decreased productivity. An evidence base on the risk factors for psychological distress in low-income countries is lacking and is much needed to help develop appropriate interventions. We aimed to estimate the prevalence of psychological distress in urban Pakistan and identify associated risk factors and functional disability. This was a population-based study of 18-75-year-olds in urban Pakistan. The Self-Reporting Questionnaire (SRQ) was offered to 1000 adults to measure psychological distress. The Life Events Checklist, Oslo-3 for Social Support and Brief Disability Questionnaires were used to establish social stressors, support and functional disability. Questionnaires were completed by 880 (94%) eligible participants, of whom 41% of women and 19% of men scored 9 or more on the SRQ (possible range 0-20). Low educational status was associated with high rates of psychological distress. Women had significantly higher levels of distress than men and were less likely to receive practical support. The prevalence of psychological distress was lower in urban Karachi than that reported previously for rural Punjab province, Pakistan. However, in urban Karachi, as in rural Punjab, socioeconomic status seemed to have more of an impact on the mental health of women than that of men.

  20. Typhoid vaccine introduction: An evidence-based pilot implementation project in Nepal and Pakistan.

    Science.gov (United States)

    Khan, M Imran; Pach, Alfred; Khan, Ghulam Mustafa; Bajracharya, Deepak; Sahastrabuddhe, Sushant; Bhutta, Waqaas; Tahir, Rehman; Soofi, Sajid; Thapa, Chandra B; Joshi, Nilesh; Puri, Mahesh K; Shrestha, Parisha; Upreti, Shyam Raj; Clemens, John D; Bhutta, Zulfiqar; Ochiai, R Leon

    2015-06-19

    The World Health Organization (WHO) in 2008 recommended the use of currently licensed typhoid vaccines using a high risk or targeted approach. The epidemiology of disease and the vaccine characteristics make school-based vaccination most feasible in reducing typhoid disease burden in many settings. To assess feasibility of school-based typhoid vaccination, two districts in Kathmandu, Nepal and two towns in Karachi, Pakistan were selected for pilot program. Vaccination campaigns were conducted through the departments of health and in partnerships with not-for-profit organizations. In total 257,015 doses of Vi polysaccharide vaccine were given to students in grades 1-10 of participating schools. The vaccination coverage ranged from 39 percent (38,389/99,503) in Gulshan town in Karachi, to 81 percent (62,615/77,341) in Bhaktapur in Kathmandu valley. No serious adverse event was reported post vaccination. The coverage increased for vaccination of the second district in Pakistan as well as in Nepal. There was an initial concern of vaccine safety. However, as the campaign progressed, parents were more comfortable with vaccinating their children in schools. Supported and conducted by departments of health in Pakistan and Nepal, a school-based typhoid vaccination was found to be safe and feasible.

  1. An assessment of Pakistan's urban policies 1947-1997.

    Science.gov (United States)

    Qadeer, M A

    1996-01-01

    This paper aims at analyzing and assessing the evolution and outcomes of Pakistan's urban policies during 1947-97. One-third of Pakistan's population live in urban areas, and the level of urbanization increased from 18% in 1951 to 32% in 1991. The rapid rate of urbanization has produced two megacities, Karachi with a population of 8-10 million and Lahore with a population of about 5 million, and 6 other cities with populations of 1 million or more. Pakistan is one of the pioneering countries in implementing physical planning and planned housing; this is reflected in its urban policies as constituted by the Five-Year Plan and national development budgets. The programs through which the policies were implemented are divided into three phases. Phase 1 (1947-70) involved the resettlement of refugees and laying of the institutional framework; core housing schemes (consisting of 1- to 2-room quarters) were the key element of the urban strategy in this period. Phase 2 (1971-78) policies were guided by the promise of mass housing, particularly for the working and lower classes. At this time, too, a set of squatter settlements known as Katchi Abadis emerged, and international organizations started funding Pakistan's urban development programs. Phase 3 (1980-95) saw the steady "privatization" of the housing and land markets and improved housing conditions, while urban policy continued to concentrate on public works, plots and construction. Despite the improvements, urban crises persist, and policies are shifting towards more complex issues of quality and the provision of new collective goods. In general, the achievements of Pakistan's urban policies have outweighed its failures, as both the rich and the poor have benefitted from them.

  2. Determinants of Brand Equity of QMobile: A case study of Pakistan

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    Arshian Aslam Sharif

    2014-03-01

    Full Text Available The purpose of this paper is to examine the determinants of brand equity of QMobile users. A random survey was taken using a systematic sampling of colleges and universities in a metropolitan city, Karachi, Pakistan. The questionnaire was used to collect data. The impact of each determinant was explored by using factor analysis and multiple regression analysis. The results suggested that all the determinants have a signicant impact on brand equity whereas brand response has no impact on brand equity dimension.

  3. EFFECTIVENESS OF MANUAL THERAPY VERSUS EXERCISE THERAPY FOR THE MANAGEMENT OF KNEE OSTEOARTHRITIS IN KARACHI PAKISTAN

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    Ayesha Zakir

    2016-02-01

    Full Text Available Introduction: Among musculoskeletal disorders knee Osteoarthritis (OA is exceedingly prevailing articular disorder affecting people and it is a major cause of disability and socioeconomic burden. It is more common in women than men. Entities with knee OA must often undergo a variety of problems, such as pain and tenderness in joints, movement limitation, crepitus on movement, swelling, recurrent effusion, and local inflammation which ultimately leads to limitation in physical function, like lack of ability to perform Activities of Daily Living (ADL or Instrumental Activities of Daily Living (IADL. For reducing knee pain in osteoarthritis several conventional treatment methods are used world widely but most extensively used in our country are pharmacologic and physical therapy. The objective of the study is to find out the effectiveness of Manual therapy verses Exercise therapy for the management of knee osteoarthritis. Methods: Sixty patients including both male and female with mean age (51years and SD of (5.1 were enrolled in the study and divided randomly in to two groups. Those who were assigned as group A had received Manual therapy and those who were assigned as group B had received Exercise therapy. Participants had received three treatment sessions of 30 min per week for consecutive 4 weeks. OUTCOME MEASURE: WOMAC index score for pain, stiffness and physical function was used to evaluate the baseline score and treatment effects after 12 therapy sessions. Results: Study showed significant improvement in both groups before and after the treatment but in comparison manual therapy group showed significant results with respect to pain subscale (p=0.003 and physical function subscale (p=0.004. Conclusion: Significant difference found between manual therapy and exercise therapy treatment approaches in treating knee osteoarthritis. Findings of this study revealed the fact that short term treatment sessions of manual therapy were superior to exercise therapy in terms of alleviating pain, stiffness and functional limitation.

  4. Learning from the Past, Looking to the Future: Modeling Social Unrest in Karachi, Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Olson, Jarrod; Kurzrok, Andrew J.; Hund, Gretchen; Fagley, Erik M.

    2014-01-01

    Social unrest represents a major challenge for policy makers around the globe, as it can quickly escalate from small scale disturbances to highly public protests, riots and even civil war. This research was motivated by a need to understand social instability and to unpack the comments made during a spring 2013 conference hosted by Pacific Northwest National Laboratory’s Center for Global Security and the U.S. Institute for Peace, where policymakers noted that models considering social instability are often not suitable for decision-making. This analysis shows that existing state level models of instability could be improved in spatial scale to the city level, even without significantly improved data access. Better data would make this analysis more complete and likely improve the quality of the model. Another challenge with incorporating modeling into decision-making is the need to understand uncertainty in a model. Policy makers are frequently tasked with making decisions without a clear outcome, so characterization of uncertainty is critical. This report describes the work and findings of the project. It took place in three phases: a literature review of social stability research, a “hindsight scan” that looked at historical data, and a “foresight scan” looking at future scenarios.

  5. Prescription of medicines by medical students of Karachi, Pakistan: A cross-sectional study

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    Irani Faria A

    2008-05-01

    Full Text Available Abstract Background Prescription of medicines by non-doctors is an issue with serious global implications. To our knowledge prescription of drugs by medical and non-medical students has not been studied before. We aimed to determine the practice and attitudes of drug prescription by medical students and: a how non-medical students respond to this practice, b How this compares with the attitudes and practices of non-medical students. Methods A cross-sectional study was conducted on a sample of 600 students randomly selected from 2 medical and 2 non-medical universities. Ethical requirements were ensured and data was collected using self administered questionnaires. The Chi square tests and logistic univariate regression analyses were performed using SPSS v 14 to identify associations and differences. Results A total of 572 forms were completed and the sample consisted of 295 medical students and 277 non-medical students with no significant difference in their demographic profile. Of the 295 medical students 163 (55.3% had prescribed a medicine independently and most (48.5% said that they did this 2–3 times a year. The commonest reasons for this were 'previous experience' (68.7%, 'problem too trivial' (34.4% and 'we knew everything about the condition' (31.3%. One-third (33.6% of the undergraduate medical students thought that it was alright to independently diagnose an illness while a vast majority (78.3% thought that it was alright for them to prescribe medicines to others. Common prescriptions were pain-killers, antipyretics, antiallergics and antibiotics. Medical students who prescribed medicines were of lesser age (CI = 1.366–1.887 and more likely to belong to the 1st (CI = 3.588–21.731, 2nd (CI = 2.059– 10.869 or 3rd (CI = 4.331–26.374 year of medical college. One-third (33.9% of the non-medical students reported that a medical student had prescribed medicines to them and 21.3% said that they trusted medical students and would follow their advice blindly. Many students thought it alright for medical students to diagnose and treat illnesses. A similar proportion of non-medical students (58.5% reported prescribing medicines to others. Conclusion Prescription of medicines by non-doctors is rampant and urgent corrective measures are warranted. We have highlighted areas for future research and intervention and have given a few recommendations.

  6. Energy drinks consumption practices among medical students of a Private sector University of Karachi, Pakistan.

    Science.gov (United States)

    Usman, Asma; Bhombal, Swaleha Tariq; Jawaid, Ambreen; Zaki, Samar

    2015-09-01

    Consumption of energy drinks has become popular among students and athletes over the past few years. To explore the phenomenon, a cross-sectional survey was conducted through a self-administered pilot-tested questionnaire. Frequency of energy drinks consumption was found to be 121(52%) in a sample of 233 medical students. Red bull was the most common brand consumed 101(43%). The major reasons reported for its usage were to gain/replenish energy by 36(15.4%), and studying for examination by 34(14.6%). Television was reported as the major source of information 153(66%) followed by friends 113(48%). There was a high frequency of energy drinks' consumption among medical students of a private university. There is a strong need to create awareness regarding these drinks, especially among adolescents and teenagers.

  7. Hepatitis B and C: prevalence and risk factors associated with seropositivity among children in Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Akhtar Saeed

    2006-06-01

    Full Text Available Abstract Background Infections with hepatitis B virus (HBV and hepatitis C virus (HCV can lead to chronic liver disease and hepato-cellular carcinoma (HCC. This cross-sectional study estimated the prevalence and identified risk factors associated with Hepatitis B surface antigen (HBsAg and HCV antibody (anti-HCV sero-positivity among children 1 to 15 years of age. Methods The study targeted the low to middle socioeconomic population that comprises 80% to 85% of the population. Consent was obtained from parents of the eligible children before administering questionnaire and collected a blood sample for anti-HCV and HBsAg serology. Results 3533 children were screened for HBsAg and anti-HCV. 1826 (52 % were males. 65 (1.8 % were positive for HBsAg, male to female ratio 38:27; mean age 10 ± 4 years. 55 (1.6 % were positive for anti-HCV with a mean age 9 ± 4 years. 3 (0.11% boys were positive for both HBsAg and anti-HCV. The overall infection rate was 3.3 % in the studied population. Hepatitis BsAg was more prevalent in subjects who received therapeutic injections 45 (69.2% positive [Odd Ratio OR = 2.2; 95% Confidence interval CI: 1.3–3.6] inspite of using new needle and syringe 44 (67.7% positive [OR = 2.2; 95% CI: 1.3–3.7] and vaccination in the government healthcare facilities 46 (70.7 % positive with [OR = 3.0; 95% CI: 1.4–6.4]. These factors were not significant in anti-HCV positive cases. Conclusion There is a need to educate general population regarding HBV and HCV infection and risks associated with inappropriate therapeutic injections. Hepatitis B vaccine should be administered to all newborns regardless of maternal HBsAg status.

  8. Facilities of Government & Private Secondary School Teachers of Karachi, Pakistan: A comparative Analysis

    Directory of Open Access Journals (Sweden)

    Rabia Abdul Karim

    2011-08-01

    Full Text Available Education is necessary for the personality grooming of individual, so society had established separate formal institutes for that purpose. These institutes are having the triangle of three main pillars; consisted on Teachers, Students and Curriculum. Without teachers, educational process is impossible as flow of knowledge for the development of students is from teachers to student side. They have assigned by the divine duty of transmitting knowledge to the unknowns(students. Their work is too much curious and purposeful. Teachers are like the role models for students and that is why they can easily mold the new generation towards the better life. But for dedicatedly working its necessary to provide facilitated and relaxed environment to our teachers, tens or strict disciplinary environment results in the worse out put and bad heartedness by their profession. The research study is going to elaborate the difference between the facilities availed by government teachers and private school teachers and recommendation are related to unanimously application of good facilities of both sectors.

  9. Prevalence of non- Helicobacter pylori duodenal ulcer in Karachi,Pakistan

    Institute of Scientific and Technical Information of China (English)

    Javed Yakoob; Wasim Jafri; Nadim Jafri; Muhammad Islam; Shahab Abid; Saeed Hamid; Hasnain AliShah; Hizbullah Shaikh

    2005-01-01

    AIM: To determine the prevalence of non-Helicobacter pylori (H pylori)-related duodenal ulcer in patients with acid-peptic diseases.METHODS: Medical records of patients who attended the Gastroenterology Department at Aga Khan University Hospital from 1999 to 2001 and had endoscopic diagnosis of duodenal ulcers were reviewed. Duodenal ulcer associated with H pylori was diagnosed on the basis of endoscopy,rapid urease test and histopathology whereas histories of aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) related duodenal ulcers. Non-H pylori, non-NSAID duodenal ulcers were those without H pylori infection and history of NSAID intake. Co-morbid conditions associated were noted.RESULTS: Of 2 260 patients, 10% (217/2 260) had duodenal ulcer. Duodenal ulcer related to H pylori infectionaccounted for 53% (116/217), NSAID-related 10% (22/217),non-H pylori non-NSAID 29% (62/217), and 8% (17/217) had both Hpyloriinfection and histories of NSAID intake. Fifteen percent (18/116)_patients had past histories of peptic ulcer disease in Hpyloriinfection, while 8% (5/62) in non-Hpylorinon-NSAID ulcer. Co-morbid conditions in H pylori infection were seen in 23% (27/116) and 34%(21/62) in non-H pylori non-NSAID ulcer.CONCLUSION: Incidence of H pylori infection related with duodenal ulcer is common. In the presence of co-morbids, non-Hpyloriand non-NSAID duodenal ulcer is likely to be present.

  10. An empirical study of factors influencing adoption of Internet banking among students of higher education: Evidence from Pakistan

    Directory of Open Access Journals (Sweden)

    Abdul Kabeer Kazi

    2013-05-01

    Full Text Available Thispaper investigated the influence of factors on the intention to adopt Internetbanking services among students of higher education in Pakistan. Theoreticalframework used for this study has been adopted from Technology Acceptance Model(TAM with four independent variables. Convenience sampling method was usedwith a total of valid 220 respondents, which included students of Khadim AliShah Bukhari Institute of Technology (KASBIT, Karachi, Pakistan.  Data was collected through self administeredquestionnaire of two parts: Demographic and Likert scale multi-item scale forvariables under study. Results indicated that convenience, perceivedcredibility, and perceived usefulness had significant positive influence amongstudents on the intention to adopt Internet banking. The findings from thisresearch would be useful for banks in the subject area, particularly forstudents in Pakistan.

  11. Religious Extremism in Pakistan

    Science.gov (United States)

    2014-12-01

    Face (July 2008): 32. 21 Ahmed Rashid , Pakistan on the Brink: The Future of America, Pakistan, and Afghanistan (New York: Viking, 2012). 22 Brian J...promoting extremism. Commentators such as Jessica Stern, Alan Richards, Hussain Haqqani, Ahmed Rashid , and Ali Riaz are a few of the scholars who...www.jstor.org/stable/3183558; See also Ahmed Rashid , Descent Into Chaos: The United States and the Failure of Nation Building in Pakistan, Afghanistan, and

  12. China Relief to Pakistan

    Institute of Scientific and Technical Information of China (English)

    Audrey GUO

    2010-01-01

    @@ In Pakistan the rains and floods that started around July 22 have raged through Khyber Pakhtunkhwa,Balochistan,Punjab,Azad Kashmir and Gilgit Baltistan.The rain and floods are now headed towards the Southern Province of Sindh.The provincial governments are bracing for huge flood waters."These are the most massive and heaviest floods in Pakistan territory since 1929,"said the ambassador of Pakistan Masood Khan at a press conference on August 6 in Beijing.

  13. Population structure of the mosquito Aedes aegypti (Stegomyia aegypti) in Pakistan.

    Science.gov (United States)

    Rasheed, S B; Boots, M; Frantz, A C; Butlin, R K

    2013-12-01

    Eleven microsatellite markers were used to determine the genetic population structure and spread of Aedes aegypti (Stegomyia aegypti) (Diptera: Culicidae) in Pakistan using mosquitoes collected from 13 different cities. There is a single genetic cluster of Ae. aegypti in Pakistan with a pattern of isolation by distance within the population. The low level of isolation by distance suggests the long-range passive dispersal of this mosquito, which may be facilitated by the tyre trade in Pakistan. A decrease in genetic diversity from south to north suggests a recent spread of this mosquito from Karachi. A strong negative correlation between genetic distance and the quality of road connections shows that populations in cities connected by better road networks are less differentiated, which suggests the human-aided passive dispersal of Ae. aegypti in Pakistan. Dispersal on a large spatial scale may facilitate the strategy of introducing transgenic Ae. aegypti or intracellular bacteria such as Wolbachia to control the spread of dengue disease in Pakistan, but it also emphasizes the need for simple measures to control container breeding sites.

  14. Comparative analysis of three prehospital emergency medical services organizations in India and Pakistan.

    Science.gov (United States)

    Sriram, V; Gururaj, G; Razzak, J A; Naseer, R; Hyder, A A

    2016-08-01

    Strengthened emergency medical services (EMS) are urgently required in South Asia to reduce needless death and disability. Several EMS models have been introduced in India and Pakistan, and research on these models can facilitate improvements to EMS in the region. Our objective was to conduct a cross-case comparative analysis of three EMS organizations in India and Pakistan - GVK EMRI, Aman Foundation and Rescue 1122 - in order to draw out similarities and differences in their models. Case study methodology was used to systematically explore the organizational models of GVK EMRI (Karnataka, India), Aman Foundation (Karachi, Pakistan), and Rescue 1122 (Punjab, Pakistan). Qualitative methods - interviews, document review and non-participant observation - were utilized, and using a process of constant comparison, data were analysed across cases according to the WHO health system 'building blocks'. Emergent themes under each health system 'building block' of service delivery, health workforce, medical products and technology, health information systems, leadership and governance, and financing were described. Cross-cutting issues not applicable to any single building block were further identified. This cross-case comparison, the first of its kind in low- and middle-income countries, highlights key innovations and lessons, and areas of further research across EMS organizations in India, Pakistan and other resource-poor settings. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  15. Spatiotemporal assessment of CO2 emissions and its satellite remote sensing over Pakistan and neighboring regions

    Science.gov (United States)

    ul-Haq, Zia; Tariq, Salman; Ali, Muhammad

    2017-01-01

    For the first time, anthropogenic CO2 emissions and spatiotemporal variability of mid-tropospheric CO2 has been discussed using EDGAR database and Atmospheric Infrared Sounder (AIRS) onboard Aqua satellite observations. The EDGAR data indicate an increase of 147% in anthropogenic CO2 emissions from 66,101 to 163,737 Gg for Pakistan during the period of 1990-2008. Dera Ghazi Khan (Pakistan) is found with the highest increase of 260% of anthropogenic CO2 emissions followed by Delhi (India) 153%, Karachi (Pakistan) 66% and Lahore (Pakistan) 59% whereas a decreasing trend of -53% is observed for Kabul (Afghanistan) during 1990-2008. Industrial activities, road transportation, open field crop-waste burning, and energy production have been identified as major anthropogenic emission sources of CO2 in the studied region. AIRS CO2 retrievals over Pakistan and adjoining areas of India and Afghanistan show an averaged CO2 to be 383±5 ppm with a positive trend of 5.05% during December 2002 to February 2012. An elevated value of CO2 has been observed over northern mountainous and high human settlement regions. The seasonal analysis shows a spring maximum 385±5 ppm with a secondary peak in late autumn, and the highest increasing trend of 5.5% associated with winter. May and August showed maximum and minimum mean monthly values of 385±5 ppm and 382±5 ppm respectively. HYSPLIT trajectories of air masses movement have been drawn to track CO2 transport.

  16. Expo Pakistan 2005 - the First Ever Mega Showcase of Pakistani Products

    Institute of Scientific and Technical Information of China (English)

    Liu Yun

    2005-01-01

    @@ The First-ever Mega Showcase of Pakistani products for Global Mar-ket, Expo 2005 is being held in Karachi from February 2-5, 2005.This will be the largest ever interna-tional commercial event in Pakistan with about 600 exhibitors of Paki-stani goods and services displaying their products providing opportuni-ties for joint ventures and investment,besides the exhibition. Thus it would be an ideal one-stop sourcing event,showcasing the premium and value-priced products of Pakistan. It brings out the best of Pakistan congregat-ing the buyers and sellers at one place giving them an opportunity to establish new busi-ness alliances in trade, joint ventures and business investments. This exhibition enjoys the full support of the Government and pri-vate sector. The Technical Session and Con-ferences held during Expo Pakistan 2005,will give the participants an opportunity to understand the sectoral and overall opportu-nities that Pakistan offers.

  17. Working Capital Approaches and Firm’s Returns in Pakistan

    Directory of Open Access Journals (Sweden)

    Dr. Talat Afza

    2008-09-01

    Full Text Available This study investigates the relationship between the aggressive/conservative working capital policies for seventeen industrial groups of public limited companies listed at Karachi Stock Exchange for a period of 1998-2003. The ordinary least square regression model has been used to investigate into the relationship of working capital approaches and the returns of firms. The study found significant differences among their working capital investment and financing policies across different industries. Moreover, these significant differences are remarkably stable over the period of six years. The aggressive investment working capital policies are accompanied by aggressive working capital financing policies. Finally, we found a negative relationship between the profitability measures of firms and degree of aggressiveness of working capital investment and financing policies. The study would contribute a better understanding of working capital management policies in an emerging market like Pakistan.

  18. Seismic risk analysis of coastal area of Pakistan

    Institute of Scientific and Technical Information of China (English)

    Shahid A. Khan; M.Ali Shah; M.Qaisar

    2003-01-01

    Estimation of seismic hazard for the fast developing coastal area of Pakistan is carried out using deterministic and probabilistic approaches. On the basis of seismotectonics and geology, eleven faults are recognized in five seismic provinces as potential hazard sources. Maximum magnitude potential for each of these sources is calculated. Peak ground acceleration (PGA) values at the seven coastal cities due to the maximum credible earthquake on the relevant source are also obtained. Cities of Gwadar and Ormara with acceleration values of 0.21g and 0.25g respectively fall in the high seismic risk area. Cities of Turbat and Karachi lie in low seismic risk area with acceleration values of less than 0.1g. The Probabilistic PGA maps with contour interval of 0.05g for 50 and 100 years return period with 90% probability of non-exceedance are also compiled.

  19. A FINANCIAL PERFORMANCE COMPARISON OF GROUP AND NON-GROUP FIRMS IN TEXTILE SECTOR OF PAKISTAN

    Directory of Open Access Journals (Sweden)

    Ishtiaq AHMAD

    2016-12-01

    Full Text Available Pakistan is a developing economy and business groups are key players of the Pakistan’s economy. Previous research evidence shows that in the emerging economies group affiliation creates value for the firms. This study is intended to empirically investigate to know that whether group affiliated (GA firms perform financially better than non-group affiliated firms or not? GA firms in emerging economies can have better financial performance by sharing tangible and intangible resources at group level. The financial ratio is used to compare performance of affiliated and non-group affiliated firms by using the data of 70 textile firms listed at Karachi Stock Exchange(now Pakistan Stock Exchange covering a period from 2008 to 2012. Based on mean values of return on assets (ROA, results of the study show that GA firms have higher financial performance than non-group affiliated firms in each year and over all five years.

  20. Pottery from Pakistan. A Handbook.

    Science.gov (United States)

    Rammage, Alix

    One of three handbooks dealing with pottery traditions from around the world, this packet draws together information about historical, ethnographic, and pottery traditions of Pakistan. The handbook begins with a brief discussion of Pakistan's land and people, a short history of Pakistan, Islamic pottery traditions, and Pakistan potters and…

  1. Pakistan Guest Visit HRC

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Companied by CMEC Beijing representative, Dr. Eng. S.M.Bhutta,a technical advisor of Alternative Energy Development Board (AEDB) in Pakistan, paid a visit to HRC during June 3-5, 2005. Both sides exchanged ideas on micro & small hydropower development, and intended to further strengthen the cooperation in micro & small hydropower fields as to push forward the rural electrification program in Pakistan.

  2. Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern experience

    Directory of Open Access Journals (Sweden)

    Ur-Rahman Shafiq

    2008-11-01

    Full Text Available Abstract Background Perforation peritonitis is the most common surgical emergency encountered by the surgeons all over the world as well in Pakistan. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counter part. This study was conducted at Dow University of health sciences and Civil Hospital Karachi (DUHS & CHK Pakistan, designed to highlight the spectrum of perforation peritonitis in the East and to improve its outcome. Methods A prospective study includes three hundred consecutive patients of perforation peritonitis studied in terms of clinical presentations, Causes, site of perforation, surgical treatment, post operative complications and mortality, at (DUHS&CHK Pakistan, from 1st September 2005 – 1st March 2008, over a period of two and half years. All patients were resuscitated underwent emergency exploratory laparotomy. On laparotomy cause of perforation peritonitis was found and controlled. Results The most common cause of perforation peritonitis noticed in our series was acid peptic disease 45%, perforated duodenal ulcer (43.6% and gastric ulcer 1.3%. followed by small bowel tuberculosis (21% and typhoid (17%. large bowel perforation due to tuberculosis 5%, malignancy 2.6% and volvulus 0.3%. Perforation due to acute appendicitis (5%. Highest number of perforations has seen in the duodenum 43.6%, ileum37.6%, and colon 8%, appendix 5%, jejunum 3.3%, and stomach 2.3%. Overall mortality was (10.6%. Conclusion The spectrum of perforation peritonitis in Pakistan continuously differs from western country. Highest number of perforations noticed in the upper part of the gastrointestinal tract as compared to the western countries where the perforations seen mostly in the distal part. Most common cause of perforation peritonitis is perforated duodenal ulcer, followed by small bowel tuberculosis and typhoid perforation. Majority of the large bowel perforations are also tubercular

  3. Pakistan Journal of Medical Sciences: A bibliometric assessment 2001-2010.

    Science.gov (United States)

    Baladi, Zameer Hussain; Umedani, Loung V

    2017-01-01

    The aim of this study was to measure the growth of scientific research, authors' productivity, affiliation with the institute and geographic locations published in the Pakistan Journal of Medical Sciences during the period of 2001 - 2010. This numerical analysis was conducted during mid-August 2016 to mid-October, 2016. The data for the study was downloaded from websites of e-journal of Pakistan Journal of Medical Sciences (PJMS) and Pak Medi-Net Com. A total number of 1199 articled were covered by PJMS in 10 volumes and 40 issues with contribution of 3798 (3%) authors during 2001 - 2010. The average number of papers per issue is 30%. A gender wise contribution of males was higher 3050 (80%) than the females 748 (20%). A majority of articles were multi-authored 1052 (87%) as opposed to single author contribution 147 (13%). All 1199 articles were covered under four major disciplines i.e Basic medical sciences, medicine & allied, surgery & allied and radiological sciences and 39 sub-specialties according to medical subject headings (MeSH). It observed that 467 (39%) articles were published in Pakistan and 732 (61%) articles produced by other 32 countries. The Karachi city of Pakistan has produced 199 (16%) articles as highest as its national level and followed by Tehran (Iran) 77 (6%) as followed internationally. This study reveals that the participation of 32 countries in the PJMS publications proves it to be an internationally circulated journal to support research with the constant approach of publishing articles to each volume in basic medical sciences, biomedical, clinical and public health sciences. Abbreviations: DOAJ: Directory of Open Access Journals IMEMR: Index Medicus Eastern Mediterranean Region HEC: Higher Education Commission (Pakistan) PJMS: Pakistan Journal of Medical Sciences MeSH: Medical Subject Headings PMDC: Pakistan Medical & Dental Council SCIE: Science Citation Index Expanded.

  4. Test of Random Walk Behavior in Karachi Stock Exchange

    Directory of Open Access Journals (Sweden)

    Muhammad Mudassar

    2013-05-01

    Full Text Available Study was carried out to check the random behavior of the Karachi Stock Exchange (KSE 100 Index during the period of past three financial years to know whether investors could generate abnormal profits during the period or otherwise. Tests used were Runs Test, ADF Test, PP Test and Autocorrelation Function Test. During the study it was found that the performance of KSE 100 Index remained in weak form of inefficiency and investors have been able to generate excessive returns on their investment most of the times.

  5. Mobilizing male opinion leaders' support for family planning to improve maternal health: a theory-based qualitative study from Pakistan.

    Science.gov (United States)

    Azmat, Syed Khurram

    2011-01-01

    Pakistan is a patriarchal society in which male opinion leaders play an important role in determining health-seeking behaviors pertaining to family planning (FP) among their respective communities. This research focuses on cataloguing the perceptions of opinion leaders (clergymen, health professionals, and social workers) about the barriers for using services and practical solutions for promoting FP in the slums of Karachi, Pakistan. A qualitative study using an open-ended, semistructured interview schedule with hypothetical scenarios and in-depth interviews with a purposive sample of 45 opinion leaders (25 mosque imams/clergymen, 12 nonallopathic health professionals, and eight social workers/activists) was conducted in 2006-2007 in Karachi, Pakistan. Transcripts were coded thematically utilizing NVivo by using an adapted constant comparison analysis process as described by Strauss and Corbin. Seven key themes were derived from the in-depth interviews. Five themes provide insight into the opinion leaders' perceptions of barriers to FP and modern contraception methods. Among the barriers religious taboos and cultural pressures were particularly note-worthy. Two themes offered opportunities for more effective development and implementation of FP programs. It is evident from the study that opinion leaders in the community and the clergy lack the understanding of the importance of birth spacing. However, because they have a great deal of influence on the community at large, it is imperative to interact with them to build their capacity in order to propagate the messages of FP and improve maternal health and reproductive health in general.

  6. Incidence of medication error associated with the use of beta-blockers in Pakistan.

    Science.gov (United States)

    Nesar, Shagufta; Shoaib, Muhammad Harris; Yousuf, Rabia Ismail; Rahim, Najia; Muhammad, Iyad Naeem

    2014-05-01

    Medication errors (ME) are human errors, which are very frequent in cardiovascular patients and result in patient morbidity and mortality. This study was focused to evaluate the quality of prescriptions and to emphasize the placement of clinical pharmacist in health care team. This study was carried out in different outpatient settings of (in) Karachi, Pakistan. The study period was June 2011 till June 2012. Retrospective data was analyzed for the outpatients' prescription of beta blocker drugs. During the study, prescriptions (n=450) were collected from different outpatient settings of (in) Karachi, Pakistan. Prescription containing beta-blockers were analyzed for the essential elements to be mentioned in prescription. Drug-drug interactions were identified by the Micromedex.2.0 Drug-Reax database and severity of medication error was determined by NCCMERP Index. A total of 1627 medication errors were identified in 450 prescriptions. The most frequent error was not mentioning the patient's weight (95%), followed by missing diagnosis (79.4%) and drug-drug interactions (69.5%). Twenty-two prescriptions were placed in the most severe category I (4.88%). Average number of drugs per prescription was 4.76. Significant difference was observed (χ(2)=52.418, p<0.05) using SPSS 19 for those prescription orders having more than 5 drugs with Beta-blockers. This indicates that the errors in prescription such as drug-drug interactions, wrong dose etc. was significantly increased with the number of drugs per prescription. Results showed that medication errors are very frequent in prescription written in outpatient setting of various hospitals and clinics in Karachi. This shows that the irrational prescribing is a common practice in developing countries. Placement of skilled pharmacist in the health care system is the only solution for avoidance of these medication related problems.

  7. Eradication and Current Status of Poliomyelitis in Pakistan: Ground Realities

    Directory of Open Access Journals (Sweden)

    Shazia Ghafoor

    2016-01-01

    Full Text Available Pakistan is among the last three countries along with Afghanistan and Nigeria, where polio virus is still endemic. More or less, with some fluctuations, numbers of reported cases in the past few years have shown a rising trend. Year 2014 pushed the country into the deep sea of difficulties, as number of cases rose to red alert level of 328. Security situation has adversely affected the whole immunization coverage campaign. In a country where 40 polio vaccinators have been killed since 2012, such a big number of cases is not a surprising outcome. Worse perception of parents about polio vaccine as in Karachi and FATA, the high risk zones, makes 100% coverage a dream. Minor and perhaps delayed payments to polio workers make them frustrated, resulting in decline of trained manpower for vaccination. Strong implementation of policies is required and those found guilty of attack on polio workers need to be punished. Targeted community awareness programme, strong surveillance network, and involvement of influential religious entities can help to root out polio disease from country. Present review is aimed at analyzing all barriers on the road to success in eradication of polio from Pakistan.

  8. Eradication and Current Status of Poliomyelitis in Pakistan: Ground Realities.

    Science.gov (United States)

    Ghafoor, Shazia; Sheikh, Nadeem

    2016-01-01

    Pakistan is among the last three countries along with Afghanistan and Nigeria, where polio virus is still endemic. More or less, with some fluctuations, numbers of reported cases in the past few years have shown a rising trend. Year 2014 pushed the country into the deep sea of difficulties, as number of cases rose to red alert level of 328. Security situation has adversely affected the whole immunization coverage campaign. In a country where 40 polio vaccinators have been killed since 2012, such a big number of cases is not a surprising outcome. Worse perception of parents about polio vaccine as in Karachi and FATA, the high risk zones, makes 100% coverage a dream. Minor and perhaps delayed payments to polio workers make them frustrated, resulting in decline of trained manpower for vaccination. Strong implementation of policies is required and those found guilty of attack on polio workers need to be punished. Targeted community awareness programme, strong surveillance network, and involvement of influential religious entities can help to root out polio disease from country. Present review is aimed at analyzing all barriers on the road to success in eradication of polio from Pakistan.

  9. Eradication and Current Status of Poliomyelitis in Pakistan: Ground Realities

    Science.gov (United States)

    Ghafoor, Shazia

    2016-01-01

    Pakistan is among the last three countries along with Afghanistan and Nigeria, where polio virus is still endemic. More or less, with some fluctuations, numbers of reported cases in the past few years have shown a rising trend. Year 2014 pushed the country into the deep sea of difficulties, as number of cases rose to red alert level of 328. Security situation has adversely affected the whole immunization coverage campaign. In a country where 40 polio vaccinators have been killed since 2012, such a big number of cases is not a surprising outcome. Worse perception of parents about polio vaccine as in Karachi and FATA, the high risk zones, makes 100% coverage a dream. Minor and perhaps delayed payments to polio workers make them frustrated, resulting in decline of trained manpower for vaccination. Strong implementation of policies is required and those found guilty of attack on polio workers need to be punished. Targeted community awareness programme, strong surveillance network, and involvement of influential religious entities can help to root out polio disease from country. Present review is aimed at analyzing all barriers on the road to success in eradication of polio from Pakistan. PMID:27517055

  10. Embajada de U. S. A., Karachi (Pakistán

    Directory of Open Access Journals (Sweden)

    Neutra, Richard J.

    1961-04-01

    Full Text Available Pakistán, un país con más de 90.000.000 de habitantes y en constante crecimiento, es una de las naciones más grandes del mundo. Se halla estratégicamente situado entre el Oriente Medio, el Sur de Asia y el centro de Asia. Ha sido uno de los aliados más firmes de los Estados Unidos y tiene importancia suficiente para desempeñar un papel importante en el concierto de las naciones. Richard Neutra fue consultado, primeramente, y más tarde, contratado con todo su equipo, Neutra y Alexander e ingenieros asociados, para estudiar y realizar la Embajada de los EE. UU. en Karachi.

  11. Testing the Weak Form Efficiency of Karachi Stock Exchange

    Directory of Open Access Journals (Sweden)

    Muhammad Arshad Haroon

    2012-12-01

    Full Text Available In an efficient market, share prices reflect all available information. The study of efficient market hypothesis helps to take right decisions related to investments. In this research,weak form efficiency has been tested of Karachi Stock Exchange—KSE covering the period of 2nd November 1991 to 2nd November 2011. Descriptive statistics indicated the absence of weak form efficiency while results of non-parametric tests, showed consistency as well. We employed non-parametric tests were KS Goodness-of-Fit test,run test and autocorrelation test to find out serial independency of the data. Results prove that KSE is not weak-form-efficient. This happens because KSE is an emerging market and there, it has been observed that information take time to be processed. Thus it can besaid that technical analysis may be applied to gain abnormal returns.

  12. Forensic psychiatry in Pakistan.

    Science.gov (United States)

    Hassan, Tariq; Nizami, Asad Tamizuddin; Hirji, Sarah

    2015-01-01

    This article reviews existing forensic psychiatric services in Pakistan highlighting the role played by the judicial and the medical fraternity in managing the legal and forensic issues of the population of patients with mental illnesses. Until 2001, all legal and forensic issues were dealt with the mental health legislation of 1912, the Lunacy Act of 1912. This was inherited from the British rulers in the Sub-Continent at the time. The Mental Health Ordinance of 2001 could not sustain following the 18th constitutional amendment in 2010, whereby psychiatric healthcare was devolved to the provinces from the previous federal authority. The article also highlights the difficulties and the barriers in implementation of the forensic psychiatric services in Pakistan at various levels within the healthcare system. This article also delves into the current framework of training in forensic psychiatry for postgraduates as well as the assessments and management schedules for the mentally ill offenders at tertiary care institutions in Pakistan.

  13. Dietary modification, body mass index (BMI), blood pressure (BP) and cardiovascular risk in medical students of a government medical college of Karachi.

    Science.gov (United States)

    Raza, Sajjad; Sheikh, Muhammad Adil; Hussain, Muhammad Fawwad Ahmed; Siddiqui, Saad Ebrahim; Muhammad, Rabia; Aziz, Sina; Qamar, Salima; Saleem, Mohammad Azfar; Waki, Nida; Faruqi, Hina; Zia, Aisha

    2010-11-01

    To determine the prevalence of major risk factors including dietary modification, Body Mass Index (BMI), Blood Pressure (BP) and physical activity in medical students of government teaching hospitals of Karachi. A cross sectional study was conducted on students of Dow Medical College, Karachi, Pakistan through a structured pre-tested questionnaire. Non-probability purposive sampling was used. Smoking, hypertension, family history of cardiovascular disease (CVD), overweight and low physical activity levels are risk factors the presence of which can lead to development of CVD. Prevalence of these risk factors was determined by asking appropriate questions and through measurement of BMI and blood pressure for overweight and hypertension respectively. Awareness of risk factors was determined through knowledge of the effect of various food substances on development of CVD and of adoption of dietary changes keeping in mind the risk of developing CVD. SPSS 16.0 was used for statistical analysis. A total of 132 medical students were included in the study of which 57 (43.2%) and 75 (56.8%) were male and female respectively with mean age of 20.85 +/- 1.21 years. About 15.9% of students had elevated blood pressure i.e. > or = 140/90 mmHg. Twenty eight percent of the total students were found to be underweight and 17.4% were overweight, 5% had some history of CVD, 56.8% had family history of CVD, 9.4% were smokers and 29.5% had high physical activity level. About 87.1% had modified their diet for preventing CVD. Most of the students had adequate knowledge about the cardiovascular risk factors Majority of students were not overweight. A high prevalence of cardiovascular risk factors; family history and elevated blood pressure was present. Awareness in terms of knowledge was satisfactory but implementation in terms of diet modification and adequate physical activity was lacking.

  14. Pakistan-U.S. Relations

    Science.gov (United States)

    2008-05-30

    political activists marched in Karachi to protest satirical Dutch newspaper cartoons and the release of a Dutch film deemed offensive to Muslims...than one-third of the foreign investment value comes from U.S.-based investors; much of the remainder originates in Saudi Arabia and other Persian Gulf

  15. Country Profiles, Pakistan.

    Science.gov (United States)

    Hardee, J. Gilbert; Satterthwaite, Adaline P.

    A profile of Pakistan is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

  16. Pakistan's breastfeeding campaign.

    Science.gov (United States)

    Martin, L

    1989-01-01

    A campaign to promote and protect breastfeeding in Pakistan was launched March 1988 with the adoption by the Pakistan Pediatric Association (PPA) of a twenty-point statement in support of breastfeeding. A national committee on breastfeeding comprised of representatives of the PPA, UNICEF, USAID, and the Nutrition Section of the Government of Pakistan was subsequently formed. The committee prepared over the course of six months a bibliography on breastfeeding studies in Pakistan, developed and coordinated two research studies on infant feeding practices, and planned a series of six regional seminars and a national workshop on Breastfeeding for Child Survival. The two-day seminars brought together almost 1000 health professionals, government officials, and representatives from the media, family planning associations, social welfare groups, and private voluntary organizations. Seminar recommendations formed the basis for discussion at the national workshop. The National Breastfeeding Committee has tried to sustain the momentum generated during the seminars through personal communication with health professionals and through journal articles and conferences. Over the next few months, the committee will be developing a national newborn feeding policy to issue to health facilities. The committee will also be identifying ways to train health care providers so that they are better able to assist lactating mothers. A study tour of infant feeding programs is being planned for health policymakers.

  17. Empowering growth in Pakistan?

    NARCIS (Netherlands)

    K.A. Siegmann (Karin Astrid); H. Majid (Hadia)

    2014-01-01

    textabstractPakistan's Vision 2025 connects a policy commitment to greater gender equality with inclusive growth. It prioritises a "good quality of life and high living standard for all citizens across regions, gender" and to "achieve an annual average growth rate of 7 to 8 per cent that is

  18. Afghan refugees in Pakistan

    NARCIS (Netherlands)

    Exterkate, M.

    2003-01-01

    Against the background of the changing situation in Afghanistan, the United Nations High Commissioner for Refugees (UNHCR) requested NIDI in the beginning of 2002 to conduct a rapid survey among Afghan refugees living in Pakistan. It's purpose was to assess the demographic and socio-economic

  19. Empowering growth in Pakistan?

    NARCIS (Netherlands)

    K.A. Siegmann (Karin Astrid); H. Majid (Hadia)

    2014-01-01

    textabstractPakistan's Vision 2025 connects a policy commitment to greater gender equality with inclusive growth. It prioritises a "good quality of life and high living standard for all citizens across regions, gender" and to "achieve an annual average growth rate of 7 to 8 per cent that is inclusiv

  20. Otter Conservation In Pakistan

    Directory of Open Access Journals (Sweden)

    Waseem Ahmad Khan

    2010-04-01

    Full Text Available This note describes the conservation status and threats of the two otter species described in Pakistan; Smooth coated otter (Lutrogale perspicillata sindica and the Eurasian or common otter (Lutra lutra. It also briefly describes the actors involved as well as the efforts made for its conservation.

  1. China and Pakistan

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    China’s 90-ton emergency humanitarian aid package arrived in Pakistan,which has recently been battered by severe floods,on August 4.The package,valued at 10 million yuan($1.5million),included 30 tons of water purifiers and medicine

  2. Pakistan boosts science budget

    Science.gov (United States)

    Harris, Margaret

    2009-08-01

    Government spending on science and technology development in Pakistan will jump by about a quarter in 2009-2010 compared with the previous fiscal year, with big increases planned for nuclear physics and higher education. In late June the country's National Assembly approved a budget of 48.2bn Pakistani rupees (Rs), or about £361m, for new science projects.

  3. Pakistans Nuclear Weapons

    Science.gov (United States)

    2016-02-12

    Memorandum from Air Commodore Khalid Banuri, 2011. 84 Mahmud Ali Durrani, “Pakistan’s Strategic Thinking and the Role of Nuclear Weapons...Richard P. Cronin , K. Alan Kronstadt, and Sharon Squassoni. Also see CRS Report RL33498, Pakistan-U.S. Relations, by K. Alan Kronstadt. 168 For a

  4. Impact of human mobility on the emergence of dengue epidemics in Pakistan.

    Science.gov (United States)

    Wesolowski, Amy; Qureshi, Taimur; Boni, Maciej F; Sundsøy, Pål Roe; Johansson, Michael A; Rasheed, Syed Basit; Engø-Monsen, Kenth; Buckee, Caroline O

    2015-09-22

    The recent emergence of dengue viruses into new susceptible human populations throughout Asia and the Middle East, driven in part by human travel on both local and global scales, represents a significant global health risk, particularly in areas with changing climatic suitability for the mosquito vector. In Pakistan, dengue has been endemic for decades in the southern port city of Karachi, but large epidemics in the northeast have emerged only since 2011. Pakistan is therefore representative of many countries on the verge of countrywide endemic dengue transmission, where prevention, surveillance, and preparedness are key priorities in previously dengue-free regions. We analyze spatially explicit dengue case data from a large outbreak in Pakistan in 2013 and compare the dynamics of the epidemic to an epidemiological model of dengue virus transmission based on climate and mobility data from ∼40 million mobile phone subscribers. We find that mobile phone-based mobility estimates predict the geographic spread and timing of epidemics in both recently epidemic and emerging locations. We combine transmission suitability maps with estimates of seasonal dengue virus importation to generate fine-scale dynamic risk maps with direct application to dengue containment and epidemic preparedness.

  5. Working Capital Management And Corporate Performance Of Textile Sector In Pakistan

    Directory of Open Access Journals (Sweden)

    Muzaffar Asad

    2012-12-01

    Full Text Available Textile sector is considered as the backbone of Pakistani economy. The profitability and sustainability of the textile sector is very important for the economic growth of Pakistan. Working capital has a major role in the performance of any business entity. In this article the authors have tried to find out the impact of working capital management on the performance of textile sector companies. For the above said purpose, the data of 30 textile sector companies listed at Karachi Stock Exchange having maximum market share were analyzed. All the manufacturing firms generally face problems with their collection and payments schedule. The results have indicated that sales growth, receivables turnover, payables turnover, inventory turnover, gross working capital turnover, current assets turnover, and financial debt ratio have a significant impact on the profitability of the textile companies of Pakistan. The study also concludes that firms in Pakistan are following conservative working capital management policy due to shortage of funds; thus, the firms need to concentrate on the collection policies. There is a great need for the efficient policies for the management of working capital. Furthermore, the efficient management and least cost financing can increase the profitability of textile companies.

  6. Prospect of Tea Cultivation & Processing in Pakistan

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    HistoryIn 1958, a farmer brought some tea seeds and plants from Bangladesh (then east Pakistan), and successfully cultivated them in district Mansehra. At that time, Pakistan was self-sufficient in tea that was produced in East Pakistan. After the separation (in 1971) of East Pakistan, Pakistan diverted attention to initial work on tea production. The Pakistan Agricultural Research Council (PARC) took over the charge of tea cultivation in 1976-77 and launched a project in 1980.

  7. Internal Security Threats to Pakistan

    Science.gov (United States)

    2004-12-01

    affiliations with militant groups are discussed at length. Pakistan came into existence as a moderate and modern nation state under the vision of Jinnah ...considered it as an affront and an unfair imposition. Their provincial sentiment, which was organized under the banner of religion in the pre- Partition ...Pakistani. Yet, in the first decades after partition , East Pakistan had a favorable trade balance while West Pakistan ran a deficit. Before 1965 East

  8. Using SERVQUAL for assessing and improving patient satisfaction at a rural health facility in Pakistan.

    Science.gov (United States)

    Shaikh, B T; Mobeen, N; Azam, S I; Rabbani, F

    2008-01-01

    A cross-sectional study of patient satisfaction with care was conducted over a period of 1 year from March 2004 to March 2005 in a secondary-level hospital in a peri-urban area of Karachi, Pakistan. Using the SERVQUAL tool and exit interviews, data were collected quarterly from a total of 1533 patients. Results sharing and capacity-building workshops were arranged during the 4 phases of the survey to sensitize the staff of the hospital to work towards improving patient satisfaction. The level of satisfaction of the patients with the outpatient health services provided showed a gradual increase from 34.4% to 82.0% over the 1-year period.

  9. Content Analysis of KSE Pakistan – 100 Index Companies Websites: A Marketing Perspective

    Directory of Open Access Journals (Sweden)

    Masood Ul Hassan

    2012-10-01

    Full Text Available In this study, content analysis of Karachi Stock Exchange (KSE Pakistan 100 indexed companies is carried out to identify the mix of promotional activities on their web sites. This content analysis of Web sites utilized many categories representing a range of marketing communications, including: communicating product, pricing and dealer/retail location information, advertisements, sales promotion, direct marketing, basic company information, corporate social responsibility and public relations. The study identified difference between andamong industries based on ANOVA. The results revealed considerable variability in how members of the KSE 100 indexed companies used their Web sites. The Web sites ranged from very simple ones that focused on basic company information, such as company history, to quite complex Web sites that incorporated a mix of promotional elements, such as press releases, advertisements, games, free gifts and pricing information.

  10. Board Size and Board Independence: A Quantitative Study on Banking Industry in Pakistan

    Directory of Open Access Journals (Sweden)

    Kashif Rashid

    2014-12-01

    Full Text Available This paper aims to investigate the relationship of board independence and board size with productivity and efficiency of the listed banks on the Karachi Stock Exchange, Pakistan. There is a lack of consensus regarding impact of corporate governance practices in correspondence to number of board members and board independence in banking sector. The derived results of the study show that there is a positive relationship between board independence and bank profitability and efficiency. Independent directors play a crucial role in providing genuine advice during executive decision making process which is an important source for improving overall corporate governance. Moreover, results regarding the role of control variables suggest a positive relationship of the total assets and deposits of the firm with the firm’s performance supporting stewardship theory in the market.

  11. Determinants of Dividend Payout Policy: A Case of Pakistan Engineering Sector

    Directory of Open Access Journals (Sweden)

    Kashif Imran

    2011-09-01

    Full Text Available The return on investment can be divided in capital gain and dividend payouts. It is a difficult task for management to allocate a sufficient amount in both segments, especially to prevent from agency problems. The firms pay dividends only when enough amounts have after meeting their requirements and short term needs. The purpose of the present study is to empirically investigate the factors determine the dividend payout decisions in the case of Pakistan’s engineeringsector by using the data of thirty-six firms listed on Karachi Stock Exchange from the period 1996 to 2008. By employing various panel data techniques like fixed and random effects, the results suggest that the previous dividend per share, earnings per share, profitability, cash flow, sales growth, and size of the firm are the most critical factors determining dividend policy in the engineering sector of Pakistan.

  12. Genomic epidemiology of Vibrio cholerae O1 associated with floods, Pakistan, 2010.

    Science.gov (United States)

    Shah, Muhammad Ali; Mutreja, Ankur; Thomson, Nicholas; Baker, Stephen; Parkhill, Julian; Dougan, Gordon; Bokhari, Habib; Wren, Brendan W

    2014-01-01

    In August 2010, Pakistan experienced major floods and a subsequent cholera epidemic. To clarify the population dynamics and transmission of Vibrio cholerae in Pakistan, we sequenced the genomes of all V. cholerae O1 El Tor isolates and compared the sequences to a global collection of 146 V. cholerae strains. Within the global phylogeny, all isolates from Pakistan formed 2 new subclades (PSC-1 and PSC-2), lying in the third transmission wave of the seventh-pandemic lineage that could be distinguished by signature deletions and their antimicrobial susceptibilities. Geographically, PSC-1 isolates originated from the coast, whereas PSC-2 isolates originated from inland areas flooded by the Indus River. Single-nucleotide polymorphism accumulation analysis correlated river flow direction with the spread of PSC-2. We found at least 2 sources of cholera in Pakistan during the 2010 epidemic and illustrate the value of a global genomic data bank in contextualizing cholera outbreaks.

  13. Energy Crisis In Pakistan

    Science.gov (United States)

    2015-12-01

    Present, and Future,” Renewable and Sustainable Energy Reviews 12, no. 6 (2008): 107. 20 Kashmir (AJ&K). Existing installed projects... Renewable and Sustainable Energy Review 13, no. 6 (2009): 1659. 25 • Encourage the transfer of technology and develop an indigenous manufacturing...Harijan. “Hydropower Use in Pakistan: Past, Present, and Future.” Renewable and Sustainable Energy Reviews 12, no. 6 (2008): 307–20. Musadiq

  14. DIGITAL PAKISTAN: OPPORTUNITIES & CHALLENGES

    Directory of Open Access Journals (Sweden)

    Ghulam Muhammad Kundi

    2008-10-01

    Full Text Available IT has revolutionized the social and organizational life around the globe. Given the newness of IT as a technology, there is a lot of potential that needs to be explored. It is however, argued that as IT can revolutionize the economic development, by the same coin, although its mismanagement in adoption process can end up in problems or even straight failure of the technology at the business-end. This study was conducted with reference to opportunities and challenges in the IT adoption process in Pakistan. The aim of the study was to point out the barriers that are impeding the country’s computerization process in order to provide facts to the policy makers for smooth computerization. The primary data collected through structured questionnaires was analyzed and tested through correlation, regressions analysis and t-test. Out of 10 hypotheses, 3 were accepted while in the rest null hypotheses were not substantiated. Based on primary and secondary data analysis this study has found that all independent bureaucratic, political, education and social and cultural variables are mutually correlated and have significant impact on shaping and reshaping of IT in Pakistan, while the Pakistan IT policy is inconsistent, administrative machinery attitude is negative and non cooperative, procedures are cumbersome and implementation is weak and ineffective, not to mention the lack of IT knowledge on the bureaucratic side. The political environment is instable and law and order is worse which is discouraging the investment. Moreover, physical and legal infrastructure is insufficient and the country is lacking good quality IT professionals. IT organization alignment is another serious issue in Pakistan. However, government incentives and growing interest from the private sector indicate positive attitude towards computerization of the country.

  15. Pakistan: Frontline State Again?

    Science.gov (United States)

    1995-12-01

    leader Mohammed Ali Jinnah embarked on a new strategy against Indian Congress domination stating that Islam was in danger and the congress was...A. OUTLINE OF THE STUDY ............................. 4 II. A COLD W AR W ITHIN ...................................... 9 A. LEGACY OF PARTITION ...in the region, one absolute of Indo-Pak relations remains after the end of the cold war. Since the partition of India in 1947, Pakistan has been

  16. CREATION OF PAKISTAN

    OpenAIRE

    Sindhu, Shakila Noor

    2017-01-01

    Creation of a country is not an ordinary situation. But creation of Pakistan is an exception in the world history. This is one of the most debated topics in the subcontinent's socioeconomic, literature, art and political realm. Scores of researchers have investigated this extraordinary historical development in a diversity of perspectives and paradigms. Variety of exogenous and endogenous factors and a range of variables that acted, reacted and interacted among each other are evaluated. ...

  17. DIGITAL PAKISTAN: OPPORTUNITIES & CHALLENGES

    Directory of Open Access Journals (Sweden)

    Ghulam Muhammad Kundi

    2008-12-01

    Full Text Available ABSTRACT IT has revolutionized the social and organizational life around the globe. Given the newness of IT as a technology, there is a lot of potential that needs to be explored. It is however, argued that as IT can revolutionize the economic development, by the same coin, although its mismanagement in adoption process can end up in problems or even straight failure of the technology at the business-end. This study was conducted with reference to opportunities and challenges in the IT adoption process in Pakistan. The aim of the study was to point out the barriers that are impeding the country’s computerization process in order to provide facts to the policy makers for smooth computerization. The primary data collected through structured questionnaires was analyzed and tested through correlation, regressions analysis and t-test. Out of 10 hypotheses, 3 were accepted while in the rest null hypotheses were not substantiated. Based on primary and secondary data analysis this study has found that all independent bureaucratic, political, education and social and cultural variables are mutually correlated and have significant impact on shaping and reshaping of IT in Pakistan, while the Pakistan IT policy is inconsistent, administrative machinery attitude is negative and non cooperative, procedures are cumbersome and implementation is weak and ineffective, not to mention the lack of IT knowledge on the bureaucratic side. The political environment is instable and law and order is worse which is discouraging the investment. Moreover, physical and legal infrastructure is insufficient and the country is lacking good quality IT professionals. IT organization alignment is another serious issue in Pakistan. However, government incentives and growing interest from the private sector indicate positive attitude towards computerization of the country.

  18. Intimate partner violence in urban Pakistan: prevalence, frequency, and risk factors

    Science.gov (United States)

    Ali, Tazeen S; Asad, Nargis; Mogren, Ingrid; Krantz, Gunilla

    2011-01-01

    Background: Intimate partner violence (IPV) is an important public health issue with severe adverse consequences. Population-based data on IPV from Muslim societies are scarce, and Pakistan is no exception. This study was conducted among women residing in urban Karachi, to estimate the prevalence and frequency of different forms of IPV and their associations with sociodemographic factors. Methods: This cross-sectional community-based study was conducted using a structured questionnaire developed by the World Health Organisation for research on violence. Community midwives conducted face-to-face interviews with 759 married women aged 25–60 years. Results: Self-reported past-year and lifetime prevalence of physical violence was 56.3 and 57.6%, respectively; the corresponding figures for sexual violence were 53.4% and 54.5%, and for psychological abuse were 81.8% and 83.6%. Violent incidents were mostly reported to have occurred on more than three occasions during the lifetime. Risk factors for physical violence related mainly to the husband, his low educational attainment, unskilled worker status, and five or more family members living in one household. For sexual violence, the risk factors were the respondent’s low educational attainment, low socioeconomic status of the family, and five or more family members in one household. For psychological violence, the risk factors were the husband being an unskilled worker and low socioeconomic status of the family. Conclusion: Repeated violence perpetrated by a husband towards his wife is an extremely common phenomenon in Karachi, Pakistan. Indifference to this type of violence against women stems from the attitude that IPV is a private matter, usually considered a justifiable response to misbehavior on the part of the wife. These findings point to serious violations of women’s rights and require the immediate attention of health professionals and policymakers. PMID:21573146

  19. Biogas technology in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Ahmed, M.

    1997-02-01

    Although biomethanation is a mature technology its implementation is paradoxically only partly a success in Pakistan. Biogas plants on family farms can be economical but seldom are so in Pakistan. Either the investment cost has been high or satisfactory performance of the process could not be maintained or in some case for a short period of time only. It is, however, concluded that biogas plants, if correctly operated and maintained, may prove to be appropriate to the technical abilities and economic capacity of Pakistani farmers. It can get a change to be disseminated in rural areas. Biogas technology is appropriate to the ecological and economic demands of the future. With the potential from existing cattle population only, 3 to 4 million family size biogas plants may be installed in Pakistan which can substitute of considerable part of rural fuel wood demand for their daily household energy requirements. A large amount of dung is burnt every year by households which if put in the biogas plant, may provide a considerable amount of energy along with organic fertilizer could be saved from being burned at the same time. On the basis of available data from the livestock excluding agriculture residue (50% collectivity-1991), in terms of fuel substitution, this would be equivalent to 1200 million litres of kerosene at worth economic value of 9021 million rupees saving in the form of gas and 821 million rupees as additional fertilizer value annually. (LN)

  20. Pattern of unintentional burns: A hospital based study from Pakistan.

    Science.gov (United States)

    Adil, Syed Omair; Ibran, Ehmer-Al; Nisar, Nighat; Shafique, Kashif

    2016-09-01

    Burns are major cause of morbidity and mortality in developing countries. Better understanding of the nature and extent of injury remains the major and only available way to halt the occurrence of the event. The present study was conducted to determine the prevalence of by self and by other unintentional burn, their comparison and the possible mode of acquisition by obtaining the history of exposure to known risk factors. A cross-sectional questionnaire based survey was conducted in Burns Centre of Civil Hospital Karachi, Pakistan and 324 hospitalized adult patients with unintentional burns were consecutively interviewed during August 2013 to February 2014. Information was collected on socio-demographic profile. The source of burn, affected body part and place of injury acquisition in terms of home, outside or work were also noted. Logistic regression model was conducted using SPSS software. Out of 324 patients, 295 (91%) had unintentional burn by self and 29 (9%) had unintentional burn by others. Male gender were 2.37 times and no schooling were 1.75 times more likely to have self-inflicted unintentional burn. Lower limb and head and neck were less likely to involve in unintentional burn by self. The burden of unintentional burn by self was considerably higher. Male gender and no schooling were found more at risk to have unintentional burn by self. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  1. Peaceful Economies: Assessing the Role of the Private Sector in Conflict Prevention in Pakistan

    Directory of Open Access Journals (Sweden)

    Safwan A Khan

    2014-07-01

    Full Text Available Pakistan today seems to be embroiled in a number of conflicts that have both domestic as well as international dimensions. Conflicts of course vary, ranging from household disputes to increasing crime resulting from disparities. However, at an aggregated level, conflicts have a societal connotation that reflects deep-rooted divisions within a society. On a macro-level, these conflicts suppress a country’s potential and inhibit future prosperity. Hence, investor confidence has declined in Pakistan as have market opportunities. The poor law and order situation in Karachi over the last few years, for example, has significantly affected the income of daily wage earners, while investors have taken a back seat. Moreover, entrepreneurial activity becomes even more difficult to pursue for those with less capital or access to financing. With the rise in conflicts across the country coupled with a bleak economic situation, communities and businesses have suffered alike. Economic disparities often breed sustained conflicts. In this context, what is needed in Pakistan is an economic environment that engenders strategic peace. The two are complementing factors, and neglecting either can seriously undermine the effectiveness of measures taken for the other. This research study, conducted by Sustainable Development Policy Institute (SDPI in 2013, undertook an analysis of the private sector’s role in achieving sustainable peace in Pakistan. It is important to note that as far as sustainable peace is concerned, the private sector is just one of many actors. In that, Corporate Social Responsibility (CSR initiatives by businesses can certainly play an important role. Their main contribution, however, can be to influence public policy in favor of strategic peace across the country. While approaches such as dispute resolution (formal and informal and CSR are important in terms of conflict mitigation, long-term peace is contingent upon a just and equitable system

  2. Renewable hot dry rock geothermal energy source and its potential in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Zaigham, Nayyer Alam [Department of Geology, University of Karachi, Karachi 75270 (Pakistan); Nayyar, Zeeshan Alam [Department of Applied Physics, University of Karachi, Karachi 75270 (Pakistan)

    2010-04-15

    Geothermal energy source, one of the viable renewable energy sources, has encouraging potential to generate full base-load electricity, which has not been explored so far in Pakistan. Though the country can be benefited by harnessing the hydro-geothermal options of energy generation in areas where sources exist, but most of these sources lie in extreme remote and inaccessible rugged mountainous ranges away from the urban-industrial centers. On the other hand, the present study shows that the HDR geothermal option is one of the most viable renewable sources considering the tectonic setup of Pakistan. Results of the study highlight the HDR geothermal energy prospects at relatively deeper depths than hydro-geothermal resources in water-free condition. The basement tectonic analyses reveal that the HDR prospects could be found even just below the urban-industrial centers of Pakistan where there are no hot springs and/or geysers like southern Indus basin in Sindh province or the Kharan trough in the western Balochistan province. Presence of high earth-skin temperature gradient trends derived from satellite temperature data and the high geothermal gradient anomalous zone derived from scanty data of bottom-hole temperatures of some of the oil and gas exploratory wells, indicates encouraging prospects for HDR energy sources in southern Indus and Thar Desert regions inclusive of Karachi synclinorium area. These high geothermal gradients have been inferred to be the result of the deep-seated southern Indus and the Thar fossil-rift structures. Moreover, the prospects of the HDR geothermal energy sources have also been inferred in the Chagai Arc region and the Kharan-Panjgur tectonic depression in the western part of Pakistan based on the analysis of integrated geophysical data. If HDR prospects are developed, they can offer the sustainable, CO{sub 2}-free and independent of time, of day, of weather or season, and the base-load energy-generation resource. (author)

  3. The constant threat of terrorism: stress levels and coping strategies amongst university students of Karachi.

    Science.gov (United States)

    Ahmed, Ayesha Ejaz; Masood, Komal; Dean, Sohni Vicky; Shakir, Tanzila; Kardar, Ahmed Abdul Hafeez; Barlass, Usman; Imam, Syed Haider; Mohmand, Mohammad Ghawar Khan; Ibrahim, Hussain; Khan, Imad Saeed; Akram, Usman; Hasnain, Farid

    2011-04-01

    To assess the levels of stress in the face of terrorism and the adopted coping strategies, amongst the student population of universities in Karachi. A descriptive, cross sectional study was conducted on undergraduate students from four universities of Karachi. Self-administered questionnaires were filled out by 291 students. Pearson Chi-Square test was used to assess associations between stress levels and different variables at a level of significance of 0.05%. A total of 65.8% of the students had mild stress levels, 91.5% of university students were exposed to terrorism through television, while only 26.5% students reported personal exposure to terrorism. 67.4% students were forbidden by their parents to go out (p = 0.002). Most of those who had self exposure to an attack were the ones whose parents forbade them from going out (p = 0.00). Most commonly used coping strategy was increased faith in religion. Irritability was the most common stress symptom. A majority of students studying in universities of Karachi had mild stress levels due to the constant threat of terrorism whereas a minority had severe stress levels. Possible reasons for resilience and only mild stress levels could be the history of Karachi's internal conflicts and its prolonged duration of being exposed to terrorism. These students who are positive for stress need to be targeted for counseling either through the media or through their universities. More extensive research is needed in this area.

  4. Highest priority in Pakistan.

    Science.gov (United States)

    Adil, E

    1968-01-01

    Responding to the challenge posed by its population problem, Pakistan's national leadership gave the highest priority to family planning in its socioeconomic development plan. In Pakistan, as elsewhere in the world, the first family planning effort originated in the private sector. The Family Planning Association of Pakistan made a tentative beginning in popularizing family planning in the country. Some clinics were opened and some publicity and education were undertaken to emphasize the need for family limitation. It was recognized soon that the government needed to assume the primarily responsibility if family planning efforts were to be successful. For the 1st plan period, 1955-60, about $10 million was allocated by the central government in the social welfare sector for voluntary family planning. The level of support continued on the same basis during the 2nd plan, 1960-65, but has been raised 4-fold in the 1965-70 scheme of family planning. Pakistan's Family Planning Association continues to play vital collaborative roles in designing and pretesting of prototype publicity material, involvement of voluntary social workers, and functional research in the clinical and public relations fields. The real breakthrough in the program came with the 3rd 5-year plan, 1965-70. High priority assigned to family planning is reflected by the total initial budget of Rs.284 million (about $60,000,000) for the 5-year period. Current policy is postulated on 6 basic assumptions: family planning efforts need to be public relations-oriented; operations should be conducted through autonomous bodies with decentralized authority at all tiers down to the grassroots level, for expeditious decision making; monetary incentives play an important role; interpersonal motivation in terms of life experience of the clientele through various contacts, coupled with mass media for publicity, can produce a sociological breakthrough; supplies and services in all related disciplines should be

  5. The role of different factors in the Promotion of Islamic values among the students of secondary level in Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Waqar-un-Nisa Faizi

    2011-10-01

    Full Text Available Islam is a very vast religion and itself an educational system. Therefore there were so many researches done in generating the basic knowledge of Islam. This study also probed into a descriptive research to evaluate the role of different factors like parents, teachers, text books etc in promoting Islamic values among the students of secondary (IX-X level. The main objective was to clear the duty of parents in this regard. The secondary objective was to evaluate the key place of teachers in inculcating Islamic values among the students. Special focus was given to the secondary level education because at this stage many sexual changes occur among children, so the training of Islamic values is essential for a child. The population of the study was the both male and female students of IX & X classes. By random sampling 20 Government schools were selected. 200 respondents including 100 boys and 100 girls (students were selected for the collection of data. The researcher had also taken the interview of renowned scholar. The data was collected through questionnaire and interview. The researchers presented the statistical analysis by using simple percentage and correlation methods. The results identified the importance of Islamic values and determined the role of parents, teachers and other factors in promoting Islamic values. Mostly the responses show that there is a great role of parents and teachers in this regard but they are failed in their jobs. In the light of conclusion it was recommended that parents should play their active role in providing Islamic knowledge and text books should also be written in perspective of Islamic values.

  6. IPT uptake among child contacts of TB patients: Experience from the Indus Hospital TB program, Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Rabab Jafri

    2015-01-01

    Conclusion: Despite a large cohort of TB patients in the Indus TB program-5487 SS+ patients registered during the study period – this IPT program enrollment has been low. A high rate of patient default after the first visit indicates a lack of understanding about the benefit and safety of preventive therapy in young children among families of TB patients, and awareness enhancing efforts by community field teams will help improve outcomes. It is vital that the National TB Program strengthens and expands contact management with a community-based approach and incentives.

  7. Counterinsurgency in Pakistan

    Science.gov (United States)

    2010-01-01

    As one assessment noted, “[n]ot a single shop [in Spinkai] . . . is now intact. Even petrol stations and local factories have been razed to the...Director of Opera- tions, Nurith Berstein. She can be reached by email at Nurith_Ber stein@rand.org; by phone at 703-413-1100, extension 5469; or by...Pakistan supported numerous covert cells within Indian-administered Kashmir, sometimes using operatives based in the Pakistani embassy in New Delhi. In

  8. Pakistan, Madrassas, and Militancy

    Science.gov (United States)

    2006-12-01

    not part of this proposed Muslim state. 18 with a Muslim majority.50 Also in the 1930s, Mohammed Ali Jinnah , a Bombay lawyer and future father of...of the dichotomy of India.51 Jinnah was able to use this theory as a rallying point for Indian Muslims to demand an independent Muslim state as part...large part to the diversity of India’s Muslim community.52 Pakistan was partitioned from India in 1947, at the end of British Colonial rule, as

  9. Cooperative Development of the Pakistan Seismic Network System (PSNS)

    Science.gov (United States)

    Detweiler, S.; Mooney, W.; McDonald, S.

    2005-12-01

    We propose to cooperate with the Pakistan Meteorological Department for the design and construction of the new Pakistan Seismic Network System (PSNS) that has been funded by the government of Pakistan. The PSNS will consist of 12-15 broadband stations, 50 short-period stations, and 50 accelerometers. Our role will be to provide technical assistance in site selection, to prepare the Request for Proposals (RFP) from industry, and to evaluate performance. The relative importance of tsunami warnings, national earthquake and landslide hazards, and whether a largely urban or truly national network is envisioned will be determined early in the program. Final placement of stations will take many factors into consideration including proximity to faults and seismic activity, geographic accessibility, the consistency of bedrock, and various cultural or social effects. This cooperation has the potential to lead to the development of a desperately needed tsunami early warning network that could protect the Pakistani coastal population in the event of a natural disaster such as the Dec. 26, 2004 Sumatra earthquake and tsunami. The seismic hazard off the coast of Pakistan is high due to the proximity of the Makran and Sumatra subduction zones, the former of which could trigger tsunamis in Pakistan with heights of 12m within minutes. In addition to monitoring earthquake activity, the PSNS will provide seismic data of interest to the world-wide scientific community for a region in which there is little understanding of the upper crust and mantle. It will furthermore address educational outreach and diplomacy issues by providing training to Pakistani scientists in routine network operation and data processing.

  10. Impact of Working Capital Management on Firm’s Profitability: A Case Study of Cement Industry of Pakistan

    Directory of Open Access Journals (Sweden)

    Farrukh Shahzad

    2015-02-01

    Full Text Available The fundamental purpose behind this study is to exactly test the effect of working capital management on profitability of cement industry of Pakistan. To explore this relationship between these two, the creator gathered auxiliary information from 12 listed firms in Karachi stock exchange (KSC for the time period of 2007-2013. For this reason, in this study we utilize variable of return on assets ratio to gauge the benefit of organization and variables of CR, QR, NCA/TA, WCT and ITR as living up to expectations working capital management criteria. The consequences of the research demonstrate that there is a huge effect of the working capital management on profitability of cement industry of Pakistan. Accordingly, manager may improve the Profitability of their organizations by minimizing the inventory turnover ratio, and by diminishing working capital turnover ratio but there is no impact of expanding or diminishing the current proportion on profitability. Along these lines, the results show that through fitting working capital management the organization can expand its benefit. This study shall be helping hand for the cement industry of Pakistan in the management of their working capital in such an effective way thus, to the point that they can increase their profitability.

  11. Dengue fever virus in Pakistan: effects of seasonal pattern and temperature change on distribution of vector and virus.

    Science.gov (United States)

    Bostan, Nazish; Javed, Sundus; Nabgha-E-Amen; Eqani, Syed Ali Musstjab Akber Shah; Tahir, Faheem; Bokhari, Habib

    2017-01-01

    Dengue fever is regarded as one of the most prominent emerging arboviral infections in Pakistan since its first epidemic almost 2 decades ago. Interplay between potential vectors, susceptible host, and lax environmental conditions may promote the infection, leading to an epidemic. These factors may indeed have played a major role in the spread of the disease in the country, which was limited to Karachi till 2006. With recent natural disasters such as the earthquake in 2005 and flooding in 2010, 2011 and 2012, numbers of vector-borne diseases and outbreaks including dengue fever are on the rise in Pakistan. Therefore, it is a major concern for health sector workers and of utmost importance to have some understanding of the factors affecting disease outbreak for better risk assessment in the region. In the following report we review the climatic as well as host- and vector-associated factors involved in the outbreak of dengue epidemics in Pakistan and highlight high-risk zones in the country. Copyright © 2016 John Wiley & Sons, Ltd.

  12. The Role of Ownership Concentration, its Types and Firm Performance: A Quantitative Study of Financial Sector in Pakistan

    Directory of Open Access Journals (Sweden)

    Kashif Rashid

    2014-06-01

    Full Text Available The issue of ownership concentration has attracted a lot of attention in an emerging economy. The aim of this study is to investigate the impact of ownership concentration and its different types on the performance of a firm. For this purpose a panel data of 27 firms of banking and financial services sector of Pakistan listed at Karachi Stock Exchange (KSE is used as a sample for the period from 2007 to 2011. Ownership concentration and types of ownership are used as independent variables. Tobin’s Q is used as a proxy for the firm performance. The results of regression show that ownership concentration has a negative impact on the performance of a firm. Furthermore, the results of the study suggest that bigger size, individual and family ownership and bank and institutional ownership improve the value of shareholders in the selected market. The types of ownership have a positive relationship with the firm performance supporting stewardship theory. On the contrary, higher leverage and aged firms deteriorate the shareholder’s value in Pakistan. The results of incremental regression analysis show that the firm size is the most important variable in affecting the value of a firm. These results are valuable to researchers and policy makers in Pakistan.

  13. Effects of education on reproductive behavior: lessons from Pakistan.

    Science.gov (United States)

    Greenspan, A

    1992-12-01

    Evidence from the Pakistan Demographic and Health Survey 1990/91 (PDHS) and a 1987 study by Zeba A. Sathar and Karen Oppenheim on women's fertility in Karachi and the impact of educational status, corroborates the correlation between improved education for women and fertility decline. PDHS revealed that current fertility is 5.4 children/ever married woman by the end of the reproductive period. 12% currently use a contraceptive method compared to 49% in India, 40% in Bangladesh, and 62% in Sri Lanka. The social environment of high illiteracy, low educational attainment, poverty, high infant and child and maternal mortality, son preference, and low status of women leads to high fertility. Fertility rates vary by educational status; i.e., women with no formal education have 2 more children than women with at least some secondary education. Education also affects infant and child mortality and morbidity. Literacy is 31% for women and 43% for men. 30% of all males and 20% of all females have attended primary school. Although most women know at least 1 contraceptive method, it is the urban educated woman who is twice as likely to know a source of supply and 5 times more likely to be a user. The Karachi study found that lower fertility among better educated urban women is an unintended consequence of women's schooling and deliberate effort to limit the number of children they have. Education-related fertility differentials could not be explained by the length of time women are at risk of becoming pregnant (late marriage age). Fertility limitation may be motivated by the predominant involvement in the formal work force and higher income. The policy implications are the increasing female schooling is a good investment in lowering fertility; broader improvements also need to be made in economic opportunities for women, particularly in the formal sector. Other needs are for increasing availability and accessibility of contraceptive and family planning services and increasing

  14. Pervasiveness of scholastic duplicity and plagiarism among the pharmacy students in Pakistan

    Directory of Open Access Journals (Sweden)

    Sadia Shakeel

    2013-04-01

    Full Text Available The present study was conducted with the aim to identify pharmacy students’ attitude towards the plagiarism and scholastic duplicity in Pakistan. This cross sectional study was conducted from Aug till Oct 2013. A pretested 17 items questionnaire was administered to first to fifth professional pharmacy undergraduate students of different private and public sector universities of Karachi. The questionnaire sought the demographics of the students, their attitude towards the plagiarism and scholastic duplicity in Pakistan. Descriptive statistics on the sample characteristics including percentages were computed. One way ANOVA was used to determine the influence of gender, institute and professional year on their responses. More than 75% of the students copy another student’s work without their knowledge. More that 60% of the students submit the assignment that has already been assessed. More than 55% utilize the efforts of their colleagues to write assignment or part of the assignment and considered to pass off other ideas/ images/design as their own. On the other hand, more than 55 % of the pharmacy undergraduate students did not used concealed information in examination and only 1.82% invents references themselves. Pharmacy is a noble profession in which the students are trained to be an ethical health care professional .There is a great need of time to properly educate students about the policy regarding plagiarism to cut down the trend of increased rate of cheating and plagiarism. Specific procedures should be developed to become more vigilant about the cheating behaviors of students.

  15. Sexually transmitted infections treatment and care available to high risk populations in Pakistan.

    Science.gov (United States)

    Rahimtoola, Minal; Hussain, Hamidah; Khowaja, Saira N; Khan, Aamir J

    2008-01-01

    Limited literature exists on the quality and availability of treatment and care of sexually transmitted infections (STIs) in Pakistan. This article aims to document existing services for the care and treatment of STIs available in Pakistan's public and private sectors to high risk groups (HRG), particularly the transgendered population. We conducted a cross-sectional survey to document STI services in Lahore, Karachi, Rawalpindi, Peshawar, and Quetta. Seventy-three interviews were administered with health service providers at the 3 largest public sector hospitals in each city, as well as with general physicians and traditional healers in the private sector. Twenty-five nongovernmental organizations (NGO) providing STI services were also interviewed. Fewer than 45% of private and public sector general practitioners had been trained in STI treatment after the completion of their medical curriculum, and none of the traditional healers had received any formal training or information on STIs. The World Health Organization (WHO) syndromic management guidelines were followed for STI management by 29% of public and private sector doctors and 5% of traditional healers. STI drugs were available at no cost at 44% of NGOs and at some public sector hospitals. Our findings show that although providers do treat HRGs for STIs, there are significant limitations in their ability to provide these services. These deterrents include, but are not limited to, a lack of STI training of service providers, privacy and adherence to recommended WHO syndromic management guidelines, and costly diagnostic and consultation fees.

  16. Paediatric innovation in Pakistan: our experience and a call to action.

    Science.gov (United States)

    Farooqi, Walid; Subhani, Faysal; Mian, Asad

    2017-10-01

    Standardisation in paediatric medicine may have the unintended effect of stifling innovation. Thinking outside the box becomes even more important in low-income to middle-income countries like Pakistan, where a large paediatric population requires healthcare. In addition, there is always a lack of funds, making an innovative, low-cost and high impact solution all the more necessary. While regulation and formal research is an integral part of the process, the local synthesis of a solution must start with a creative idea. To address the dearth of avenues promoting lateral thinking relevant to biomedicine and healthcare among students and faculty, the Critical Creative Innovative Thinking forum was formed at the Aga Khan University in Karachi, Pakistan, by a group consisting of students and faculty in 2014. The primary objective of the forum was to provide an arena conducive to lateral thinking and to equip biomedical professionals with the skill set to enable and promote creativity and innovation. This paper seeks to outline those efforts and discuss their potential impact on paediatric care for resource-limited settings. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  17. Suicidal ideation among medical students of Pakistan: a cross-sectional study.

    Science.gov (United States)

    Osama, Muhammad; Islam, Mohammad Yousuful; Hussain, Syed Ather; Masroor, Syed Muhammad Zia; Burney, Muhammad Usman; Masood, Muhammad Atif; Menezes, Ritesh G; Rehman, Razaur

    2014-10-01

    Few studies have investigated suicidal ideation among medical students in the developing world. We found only one report on suicidal ideation among medical students in Pakistan published in the year 2005. The present cross-sectional survey on suicidal ideation conducted in July 2013 involved 331 medical students of Dow University of Health Sciences, Karachi, Pakistan. In the past one year, suicidal ideation was found in 118 (35.6%) students. Forty-six (13.9%) of all the students had made a plan in their life time to commit suicide while 16 (4.8%) of the 331 students tried to commit suicide at some point of time in their life. More females than males pondered suicide while first year medical students formed the majority of those with suicidal ideation. The single greatest risk factor predisposing to suicidal ideation was substance abuse. This was followed jointly by parental neglect and previous psychiatric disorder. Campaigns against substance abuse and counseling of vulnerable students will help in eradicating suicidal intent.

  18. Knowledge, attitudes and practices survey on organ donation among a selected adult population of Pakistan

    Directory of Open Access Journals (Sweden)

    Saleem Taimur

    2009-06-01

    Full Text Available Abstract Background To determine the knowledge, attitudes and practices regarding organ donation in a selected adult population in Pakistan. Methods Convenience sampling was used to generate a sample of 440; 408 interviews were successfully completed and used for analysis. Data collection was carried out via a face to face interview based on a pre-tested questionnaire in selected public areas of Karachi, Pakistan. Data was analyzed using SPSS v.15 and associations were tested using the Pearson's Chi square test. Multiple logistic regression was used to find independent predictors of knowledge status and motivation of organ donation. Results Knowledge about organ donation was significantly associated with education (p = 0.000 and socioeconomic status (p = 0.038. 70/198 (35.3% people expressed a high motivation to donate. Allowance of organ donation in religion was significantly associated with the motivation to donate (p = 0.000. Multiple logistic regression analysis revealed that higher level of education and higher socioeconomic status were significant (p Conclusion Better knowledge may ultimately translate into the act of donation. Effective measures should be taken to educate people with relevant information with the involvement of media, doctors and religious scholars.

  19. Federalism in Pakistan, Current Developments

    Directory of Open Access Journals (Sweden)

    Razia Musarrat

    2012-04-01

    Full Text Available Purpose of this study is to elaborate the political issues and challenges faces by the federation of Pakistan during and after the Gen. Pervez Musharraf government. In this paper effort is made to discuss those issues on the biases of which politics of federalism started in the country. Pinching problems that caused disintegration to Pakistan are also discussed. Those issues are also discussed in details which are a constant threat to the “new federation of Pakistan”. Authors also focus on the 2008 elections and its consequences on Pakistan politics. All the results of this research are proved via review of the previous literature. Researchers have proved that as Pakistan has a diversified culture so federalism is best suited for its political structure. Researchers have also discussed few suggestive solutions for better bureaucracy.

  20. Dietary pattern, height, weight centile and BMI of affluent school children and adolescents from three major cities of Pakistan.

    Science.gov (United States)

    Aziz, Sina; Umm-e-Rubab; Noorulain, Wajeeha; Majid, Rukhsana; Hosain, Kehkashan; Siddiqui, Intisar Ahmed; Manzoor, Shaheena

    2010-01-01

    To compare the dietary pattern, height, weight centile and BMI of affluent school children and adolescents from three major cities of Pakistan. Cross-sectional study. Private Schools of Karachi, Quetta and Lahore, from September 2007 to March 2008. The affluent socioeconomic group was identified by the monthly income of the parents (average>Rs.15,000 per month, $246); school fees of child (average>Rs.1,500 per month, $25) and household items such as computer, refrigerator, washing machine, television, car etc. A total of 652 healthy immunized children with no history of chronic infection, inducted through multistage stratified sampling were divided into groups A, B, and C by ages of 6-9, 10-13, and 14-17 years respectively. Height, weight and 24 hours diet recall was obtained. Centre for Disease Control and prevention (CDC), clinical charts with 5th and 95 percentile for standard height and weight were used. Food records subjected to USDA food exchange list were used. Forms were used as inputs to generate tables for Statistical Package for social sciences -SPSS, Window 13.0. In girls calories and food intake in group A and B of Quetta was lower (pjunk food but their consumption of protein is lowered and of a poor quality. Overall fat is below normal recommended standards. However, minimum fat intake was seen in school children of Quetta when compared with Karachi and Lahore. Carbohydrate consumption was adequate. BMI was highest in boys of Quetta than Lahore and Karachi. Majority of children on NCHS centile charts plotted between the 50th-90th centiles.

  1. Pakistan-U.S. Relations

    Science.gov (United States)

    2009-02-06

    2008. 3 See http://islamabad.usembassy.gov/pr_03272008.html. 4 Talat Masood, “Managing Pakistan-U.S. Relations” (op-ed), Hindu ( Chennai ), June 25...Taleban Bring New Fear to Peshawar,” BBC News, November 13, 2008. Paramilitary commanders reported having secured most areas surrounding the city ...Pakistan.”40 34 “Pakistan’s Deal With the Devil,” Salon, July 8, 2008; “In City of

  2. Predicting Bankruptcy in Pakistan

    Directory of Open Access Journals (Sweden)

    Abdul RASHID

    2011-09-01

    Full Text Available This paper aims to identify the financial ratios that are most significant in bankruptcy prediction for the non-financial sector of Pakistan based on a sample of companies which became bankrupt over the time period 1996-2006. Twenty four financial ratios covering four important financial attributes, namely profitability, liquidity, leverage, and turnover ratios, were examined for a five-year period prior bankruptcy. The discriminant analysis produced a parsimonious model of three variables viz. sales to total assets, EBIT to current liabilities, and cash flow ratio. Our estimates provide evidence that the firms having Z-value below zero fall into the “bankrupt” whereas the firms with Z-value above zero fall into the “non-bankrupt” category. The model achieved 76.9% prediction accuracy when it is applied to forecast bankruptcies on the underlying sample.

  3. Development and validation of sunlight exposure measurement questionnaire (SEM-Q) for use in adult population residing in Pakistan.

    Science.gov (United States)

    Humayun, Quratulain; Iqbal, Romaina; Azam, Iqbal; Khan, Aysha Habib; Siddiqui, Amna Rehana; Baig-Ansari, Naila

    2012-06-08

    Vitamin D deficiency has been identified as a major public health problem worldwide. Sunlight is the main source of vitamin D and its measurement using dosimeters is expensive and difficult for use in population-based studies. Hence, the aim of this study was to develop and validate questionnaires to assess sunlight exposure in healthy individuals residing in Karachi, Pakistan. Two questionnaires with seven important items for sunlight exposure assessment were developed. Fifty four healthy adults were enrolled based on their reported sunlight exposure (high = 17, moderate = 18, low = 19) from Aga Khan University, Karachi. Over four days, study participants were asked to wear a dosimeter between sunrise and sunset and report time spent and activities undertaken in the sun for questionnaire validation. Algorithm for item weightage was created as an average score based on ultraviolet B percentage received. Blood samples were obtained for serum vitamin D. The mean time (minutes) spent in sun over 4 days (±SD) was 69.5 (±32) for low, 83.5 (±29.7) for moderate and 329 (±115) for high exposure group. The correlation between average time (minutes) spent in sun over 4 days and mean change in absorbance of UV dosimeters for 4 days was 0.60 (p sunlight exposure measurement questionnaires were valid tools for use in large epidemiological studies to quantify sunlight exposure.

  4. Clinical presentation and genotype of hepatitis delta in Karachi

    Institute of Scientific and Technical Information of China (English)

    Tariq Moatter; Zaigham Abbas; Sabhita Shabir; Wasim Jafri

    2007-01-01

    AIM: To assess the clinical presentation and genotypes of delta hepatitis in local population.METHODS: In this prospective study, 39 consecutive patients who were positive for HBsAg and hepatitis D virus (HDV) antibody were included. The patients were divided in two groups on the basis of presence or absence of HDV RNA and a comparative study was done. Genotype of HDV was determined in PCR positive patients.RESULTS: Overall there is male dominance, in which 34 patients out of 39 (87.2%) were male. Twenty (51%) patients were from the adjacent areas of three provinces; Sindh, Punjab and Balochistan indicating the higher prevalence of delta hepatitis in this mid region of Pakistan. Patients of all age groups were affected with delta hepatitis (median 31.5 years, range 12-75).HDV RNA was detectable in 23 patients (59%). All the HDV strains belonged to genotype Ⅰ. HBV DNA was detectable only in 3 cases who were also HBeAg and HDV RNA positive. Patients with detectable HDV RNA were younger than patients with undetectable RNA; mean age 29.7 ± 12.8 years vs 36.8 ± 15.2.There were no statistically significant differences in the clinical presentation and routine biochemical profile of patients with detectable or undetectable HDV RNA.Clinical cirrhosis was present in 19 (49%) patients; 12 with detectable RNA and 7 with undetectable HDV RNA (P = 0.748). Decompensated disease was seen in eight patients; five and three respectively from each group.Four patients with undetectable RNA and two patients with detectable RNA had normal ALT and ultrasound abdomen.CONCLUSION: HDV may infect at any age, usually young adult males. Genotype Ⅰ is prevalent. With time some of the patients become HDV RNA negative or asymptomatic carrier. Most of the patients have suppressed HBV DNA replication. Significant numbers of patients have cirrhosis.

  5. Thermal Performance of Typical Residential Building in Karachi with Different Materials for Construction

    Directory of Open Access Journals (Sweden)

    Nafeesa Shaheen

    2016-04-01

    Full Text Available This research work deals with a study of a residential building located in climatic context of Karachi with the objective of being the study of thermal performance based upon passive design techniques. The study helps in reducing the electricity consumption by improving indoor temperatures. The existing residential buildings in Karachi were studied with reference to their planning and design, analyzed and evaluated. Different construction?s compositions of buildings were identified, surveyed and analyzed in making of the effective building envelops. Autodesk® Ecotect, 2011 was used to determine indoor comfort conditions and HVAC (Heating, Ventilation, Air-Conditioning and Cooling loads. The result of the research depicted significant energy savings of 38.5% in HVAC loads with proposed building envelop of locally available materials and glazing.

  6. CERN and Pakistan consolidate their partnership

    CERN Multimedia

    2006-01-01

    During the President of Pakistan's visit to CERN, the Laboratory and Pakistan decided to strengthen their collaboration. The President of Pakistan, Pervez Musharraf, the Chairman of PAEC, Parvez Butt, and CERN's Director-General, Robert Aymar, exchange congratulations following the signing of the letter of intent to strengthen partnership between CERN and Pakistan.The President of the Islamic Republic of Pakistan, Pervez Musharraf, during his speech in the Council Chamber. The President of the Islamic Republic of Pakistan, General Pervez Musharraf, visited CERN on 27 January this year, accompanied by an important delegation of five ministers from the Pakistani Government, the Chairman of Pakistan's Atomic Energy Commission (PAEC), Parvez Butt, and an eminent former Chairman of the Commission, Ishfaq Ahmad, who pioneered cooperation with CERN. Welcomed by CERN's Director-General, Robert Aymar, the President visited the CMS experiment to which Pakistan is making a substantial contribution. The presidential pa...

  7. Professor Tariq Solaija, Pakistan Atomic Energy Commission

    CERN Multimedia

    Patrice Loïez

    2002-01-01

    Photo 01: Dr Austin Ball, CMS Deputy Technical Coordinator, discussing a section of CMS with Mr Tariq Solaija, National Centre of Physics, Pakistan, in charge of Pakistan's contribution to the Muon detector (Resistive Plate Chambers). Photo 02: Dr Austin Ball, CMS Deputy Technical Coordinator (right) presents neutron absorber panels for the CMS detector to (right-to-left) Mr Syed Shaukat Hasan, Minister Technical, Pakistan Mission in Geneva; Mr Tariq Solaija, National Centre of Physics, Pakistan and Dr Diether Blechschmidt, Non-Member States Relations, CERN. Photo 03: Mr Syed Shaukat Hasan, Minister Technical, Pakistan Mission in Geneva; Mr Tariq Solaija, National Centre of Physics, Pakistan; Dr Diether Blechschmidt, Non-Member States Relations, CERN and Austin Ball, CMS Deputy Technical Coordinator (right) looking up to the CMS detector. Photo 04: Mr Syed Shaukat Hasan, Minister Technical, Pakistan Mission in Geneva; Mr Tariq Solaija, National Centre of Physics, Pakistan listen to a presentation of the CMS d...

  8. Frequency of tetanus toxoid immunization among college/university female students of Karachi.

    Science.gov (United States)

    Qadir, Murad; Murad, Rafat; Mumtaz, Seema; Azmi, Abdul Azim; Rehman, Rehana; Omm-E-Hani; Aziz, Nasir

    2010-01-01

    Tetanus is a deadly infectious disease for which immunisation is available in EPI at both infant level and for females of reproductive age. More than 95% of patients who develop tetanus have not been previously immunised. Objectives of the study were to determine the frequency of tetanus vaccination and to access the awareness of immunisation among females studying in 11 girls' colleges of Karachi and University of Karachi. A cross sectional study was conducted among 1,407 females studying in colleges and University of Karachi from April to August 2007 using a prescribed questionnaire. Among 1,407 female students who were interviewed for the study, 232 (16.48%) were not aware about tetanus immunisation program for females of reproductive age. Only 560 students (39.80%) received at least 1 of 5 recommended doses. Only 41 female students (2.91%) received complete course of 5 doses. Coverage of tetanus immunisation among literate females in most populous city of the country is far behind satisfactory. There is need for awareness and crash programs of tetanus immunisation.

  9. Comparison between Greulich-Pyle and Girdany-Golden methods for estimating skeletal age of children in Pakistan.

    Science.gov (United States)

    Awais, Muhammad; Nadeem, Naila; Husen, Yousuf; Rehman, Abdul; Beg, Madiha; Khattak, Yasir Jamil

    2014-12-01

    To compare Greulich-Pyle (GP) and Girdany-Golden (GG) methods for estimation of Skeletal Age (SA) in children referred to a tertiary care hospital in Karachi, Pakistan. Cross-sectional study. Department of Radiology, The Aga Khan University Hospital, Karachi, Pakistan, from July 2010 to June 2012. Children up to the age of 18 years, who had undergone X-ray for the evaluation of trauma were included. Each X-ray was interpreted using both methods by two consultant paediatric radiologists having at least 10 years experience, who were blinded to the actual Chronologic Age (CA) of children. A total of 283 children were included. No significant difference was noted in mean SA estimated by GP method and mean CA for female children (p=0.695). However, a significant difference was noted between mean CA and mean SA by GG method for females (p=0.011). For males, there was a significant difference between mean CA and mean SA estimated by both GP and GG methods. A stronger correlation was found between CA and SA estimated by GP method (r=0.943 for girls, r=0.915 for boys) as compared to GG method (r=0.909 for girls, r=0.865 for boys) respectively. Bland- Altman analysis also revealed that the two methods cannot be used interchangeably. Excellent correlation was seen between the two readers for both GP and GG methods. There was no additional benefit of using GP and GG methods simultaneously over using GP method alone. Moreover, although GP was reliable in estimating SA in girls, it was unable to accurately assess SA in boys. Therefore, it would be ideal to develop indigenous standards of bone age estimation based on a representative sample of healthy native children.

  10. The role of family configuration in early childhood intellectual development in the context of an extended family system in Pakistan

    Directory of Open Access Journals (Sweden)

    Avan B

    2007-01-01

    Full Text Available Context: The confluence theory of intelligence by Zajonc and Markus emphasizes that individual intellectual difference of children manifests itself in the context of family configuration. Instead of assuming its generalizability, careful scientific work is required before applying the model to South Asian cultures where, predominantly, an extended family type exists. Aims: To assess the role of extended family configuration on the child′s intellectual development in a South Asian setting. Settings and Design: A cross-sectional study was conducted on 4-5-year-old preschool children residing in Karachi, Pakistan. Materials and Methods: Three hundred and forty-two child and mother dyads were assessed through a validated cognitive psychometric tool and through a structured questionnaire. Children who were registered at the main Mother and Child Health Centres (MCH of the Aga Khan Health Services, Pakistan (AKHSP Karachi and who were born between July 1st 1993-June 30th 1994 with traceable birth records at the maternity homes, were considered for this study. Statistical Analysis: Multivariate linear regression models were used to identify the individual effect of family configuration on the intellectual scores. Results: Family configuration variables such as number of co-residents ( P < 0.05 and the number of siblings ( P < 0.01 in the house were significantly correlated with the psychometric score. Even after controlling for gender, socio-economic status, birth order and birth intervals, significant differentials were observed in favor of an extended family system on a child′s intellectual development. Conclusion: The findings suggest the positive role of co-residents of an extended family environment on the intellectual development in early childhood.

  11. Influence of patient's perceptions, beliefs and knowledge about cancer on treatment decision making in Pakistan.

    Science.gov (United States)

    Kumar, Shiyam; Shaikh, Asim Jamal; Khalid, Sana; Masood, Nehal

    2010-01-01

    Cancer is a cause of major disease burden across the world and Pakistani data suggest that its incidence is increasing. Pakistan's socio-cultural history, social practices, religious beliefs and family systems differ in many ways from rest of the world. These factors make the practice of oncology a challenge. A comprehensive questionnaire focusing on socio-cultural and religious aspects was administered to patients with a diagnosis of cancer and receiving chemotherapy at the Aga Khan University Hospital, Karachi, Pakistan. A total of 230 patients agreed to answer the questionnaire, with a mean age of 46 years and 63% were females. Obtaining some formal education was claimed by 87%, 75.2% had received some treatment before seeing an oncologist, including homeopathic physicians and faith healers. Of all 27 % thought that cancer is contagious, a fact observed more so in those who were illiterate, 27 % believed in some myth such as past sins, evil eye or God's curse as to be cause of their cancer, while 39.6% thought that cancer can be prevented by a regular religious activity. Some 30% thought that a meaningful life after diagnosis of cancer was not possible and 28%considered that they did not have proper information about chemotherapy. About 73% wanted to have their treatment related decision made by the treating physician. Patient related beliefs in myths and concerns are unique in the socio-cultural set up of Pakistan. If physicians are better aware of these factors, they may be able to handle patient related issues in a more effective way.

  12. Challenges and Opportunities for Libraries in Pakistan

    OpenAIRE

    Shafiq UR, Rehman; Pervaiz, Ahmad

    2007-01-01

    Abstract: This paper, based on review of literature, observation, and informal conversations, discusses various challenges regarding finance, collection development, ICTs, human resources, library education, library association and research & development faced by library profession in Pakistan. The opportunities to meet these challenges have also been explored. Keywords: Library challenges and opportunities (Pakistan); Librarianship (Pakistan); Library issues; Library profession in Pa...

  13. Pakistan’s Impact on Afghanistan

    Science.gov (United States)

    2009-10-01

    never loses CI • Baloch five insurgencies: 1948, 1958-59, 1962-63, 1973-77, and 2002+ (Talibanizing) • Suppressed 75 million Bengalis in 1970-71 with...1962-1963 sporadic infiltration • Pakistan: Lesson Learned : Local security • 1963-1973 Royal Peace with Pakistan • Afghanistan supports Pakistan

  14. Acceptors of Population Programme in Pakistan

    OpenAIRE

    SABIHA HASAN SyED

    1981-01-01

    Data from Pakistan's population planning programme, the Nationa11mpact Survey (1968) and the Pakistan Fertility Survey (1975) are ana1ysed to estimate the number of 'births averted' in Pakistan by various contraceptives. Limitations of the population planning programme statistics for determining the impact of the programme on fertility rates are pointed out.

  15. Antiacanthamoebic properties of natural and marketed honey in Pakistan

    Institute of Scientific and Technical Information of China (English)

    Farzana Abubakar Yousuf; Malik Hassan Mehmood; Abdul Malik; Ruqaiyyah Siddiqui; Naveed Ahmed Khan

    2016-01-01

    Objective: To determine antiacanthamoebic activity of natural and marketed honey samples. Methods: Natural honey samples were collected directly from the bee hive and marketed honey samples were purchased from the local market in Karachi, Pakistan. Both honey samples were tested for their flavonoid content (quercetin equivalent per gram of the extract) and phenolic content (gallic acid equivalent per gram). Furthermore, their anti-oxidant activity was determined by measuring 2,2-diphenyl-1-picrylhydrazyl. Using amoebistatic and amoebicidal assays, the effects of honey samples were tested against growth and viability of Acanthamoeba parasites. Results: Natural honey exhibited potent amoebistatic and amoebicidal effects, in a concentration-dependent manner. Honey-treated Acanthamoeba castellanii showed loss of acanthopodia, following which amoebae detached, rounded up, reduced in size, decreased in cytoplasmic mass and they were observed floating in the culture medium. Importantly, honey-treated amoebae did not revive when inoculated in fresh growth medium, however, glycerol-treated amoebae exhibited viable trophozoite and active growth. In contrast, marketed honey samples varied in their efficacy against Acantha-moeba castellanii. The proportion of flavonoid, as determined by quercetin measurements and the proportion of phenolic, as determined by gallic acid measurements was higher in natural honey compared with marketed honey. Similarly, the antioxidant activity, as determined by 2,2-diphenyl-1-picrylhydrazyl scavenging activity was higher in natural honey vs. marketed honey. Conclusions: This study shows that natural honey has antiacanthamoebic properties and possesses higher flavonoid, phenolic and antioxidant properties compared with the marketed honey. These findings are of concern to the public, health officials, and to the manufacturers regarding production of honey for medical applications.

  16. Prevailing trends of climatic extremes across Indus-Delta of Sindh-Pakistan

    Science.gov (United States)

    Abbas, Farhat; Rehman, Iqra; Adrees, Muhammad; Ibrahim, Muhammad; Saleem, Farhan; Ali, Shafaqat; Rizwan, Muhammad; Salik, Muhammad Raza

    2017-01-01

    This study examines the variability and change in the patterns of climatic extremes experienced in Indus-Delta of Sindh province of Pakistan, comprising regions of Karachi, Badin, Mohenjodaro, and Rohri. The homogenized daily minimum and maximum temperature and precipitation data for a 36-year period were used to calculate 13 and 11 indices of temperature and precipitation extremes with the help of RClimDex, a program written in the statistical software package R. A non-parametric Mann-Kendall test and Sen's slope estimates were used to determine the statistical significance and magnitude of the calculated trend. Temperatures of summer days and tropical nights increased in the region with overall significant warming trends for monthly maximum temperature as well as for warm days and nights reflecting dry conditions in the study area. The warm extremes and nighttime temperature indices showed greater trends than cold extremes and daytime indices depicting an overall warming trends in the Delta. Historic decrease in the acreage of major crops and over 33% decrease in agriculture credit for Sindh are the indicators of adverse impacts of warmer and drier weather on Sindh agriculture. Trends reported for Karachi and Badin are expected to decrease rice cultivation, hatching of fisheries, and mangroves forest surrounding these cities. Increase in the prevailing temperature trends will lead to increasingly hotter and drier summers resulting to constraints on cotton, wheat, and rice yield in Rohri and Mohenjodaro areas due to increased crop water requirements that may be met with additional groundwater pumping; nonetheless, the depleted groundwater resources would have a direct impact on the region's economy.

  17. A Diagnostic Study of Heavy Rainfall in Karachi Due to Merging of a Mesoscale Low and a Diffused Tropical Depression during South Asian Summer Monsoon

    Institute of Scientific and Technical Information of China (English)

    Ghulam RASUL; Qamar-uz-Zaman CHAUDHRY; ZHAO Sixiong; ZENG Qingcun; QI Linlin; ZHANG Gaoying

    2005-01-01

    This paper presents the results of a diagnostic study of a typical case of very heavy rainfall during the South Asian summer monsoon when a mesoscale low in a desert climate merged with a diffused tropical depression. The former low was located over Pakistan's desert region and the latter depression originated over the Bay of Bengal. Surface and NCEP reanalysis data supported by satellite and radar images were incorporated in the diagnosis. The relationship between the heavy precipitation process and large-scale circulations such as monsoon trough, subtropical high, westerly jet, low level jet and water vapor transport were investigated to further understand the mechanism of this peculiar interaction. It was found that: (1)the mesoscale low developed as a result of cold air advection aloft from northern latitudes and strong convection over the region of humidity convergence on 24 July 2003 over the Indian Rajistan area. (2) On the same day, a low that formed over the Bay of Bengal was transformed into a monsoon depression and moved westward to the mesoscale low which existed over southwest India and the adjoining southeastern parts of Pakistan. (3) Initially, the mesoscale low received moisture supply from both the Bay of Bengal as well as the Arabian Sea, whereas the Bay of Bengal maintained the continuous supply of moisture to the monsoon depression. (4) After the depression crossed central India, the Bay's moisture supply was cut off and the Arabian Sea became the only source of moisture to both the closely located systems. On 27July, both of the systems merged together and the merger resulted in a heavy downpour in the Karachi metropolitan and in its surroundings. (5) With the intensification as well as the southeastward extension of the subtropical high and the shift of the monsoon trough axis from southwest-west to northeast-east,the monsoon depression moved southwestward. In this situation, there existed a very favourable condition for a merger of the two

  18. SOCIAL LEGAL TRANSFORMATION OF PAKISTAN

    Directory of Open Access Journals (Sweden)

    Sohaib Mukhtar

    2015-07-01

    Full Text Available Pakistan came into being in 1947. It struggled a lot during its initial days. It did not come to consensus to make a constitution until 1956 but later on military regime intervened. It is a drawback of Pakistan that laws and the constitution are not made indeed for its people rather they are made for the selfish elite who come into the power time to time without the support of the people. An unelected person cannot make a law for the betterment of the people he always do things for his own interest. Purpose - To point out weaknesses and hindrances in the social legal transformation of Pakistan and to recommend changes and best possible ways to build a highly social legal transformed society. Design/methodology/approach - The treatise is made taking into account the qualitative approach by looking into the historical prospect of social legal issues of Pakistan and to come to a conclusion to draw a better picture if followed the suggested steps. Findings - The paper includes the review of the history and weaknesses in legal transformation and comprehensive suggested steps to be followed to overcome the weaknesses and deficiencies. Research limitations/implications - The paper is limited to the social and legal aspects of the transformation in Pakistan and does not go into the deep details of politics and culture. Practical implications - Suggested steps can be followed by the legislature to make amendments in laws and to make more suitable laws which is a necessity for the better social transformation of Pakistan. Originality/Value - The research is a good piece and has an importance in its field and may help a lot in the development of the country and the region specially and the world at large generally. Keywords: Islamic rulers of the sub-continent; British India and its laws; Constitution of Pakistan 1956,1962 and 1973. Research type: The said research is a critical analysis on the development and transformation of Pakistan with respect to law

  19. Ivory Coast.

    Science.gov (United States)

    1985-07-01

    Since the Ivory Coast's independence (1960), the population has increased from 3.7 million to 9.7 million, representing a growth rate of up to 4.2%. The country's 5th 5-Year Plan (1981-85) has 4 priorities: 1) agricultural modernization, 2) traditional industry and crafts modernization, 3) human resources enhancement, and 4) continued economic growth. Population objectives include 1) increasing peasant aid, 2) making education more development oriented, 3) making health care more accessible, and 4) finding solutions to employment and unemployment problems. The government wants to increase population size because it needs labor for economic development. Programs 1) develop areas with high out-migration, 2) reduce maternal and child mortality, and 3) support family planning only to benefit family well being. Although the Ivory Coast's population will reach 15 million by the year 2000, and population density has tripled since 1950, the country is still thinly populated. The current population policy strives to 1) reduce infant mortality, 2) maintain fertility, and 3) diminish immigration and emigration. Life expectancy is 47 years, infant mortality is 122/1000, and most rural people have no health services. The government considers the total fertility rate of 6.7 satisfactory. Abortion for contraceptive purposes and sterilization are illegal; access to contraception is limited. The Ivory Coast, because of rapid economic growth, attracts immigrants from neighboring countries; at present 1/3 of the population is foreign-born. The government is trying to integrate natives more fully into the labor force. There is little emigration, but internal migration involves almost half of the population. The government attempts to 1) slow down and redirect rural to urban migration to small and medium sized towns and 2) slow rural to rural migration from the savannah to the forest zone.

  20. How our practice of histopathology, especially tumour pathology has changed in the last two decades: reflections from a major referral center in Pakistan.

    Science.gov (United States)

    Ahmad, Zubair; Idrees, Romana; Fatima, Saira; Arshad, Huma; Din, Nasir-ud; Memon, Aisha; Minhas, Khurram; Ahmed, Arsalan; Fatima, Syeda Samia; Arif, Muhammad; Ahmed, Rashida; Haroon, Saroona; Pervez, Shahid; Hassan, Sheema; Kayani, Naila

    2014-01-01

    Continued advances in the field of histo-pathology (and cyto-pathology) over the past two decades have resulted in dramatic changes in the manner in which these disciplines are now practiced. This is especially true in the setting of a large university hospital where the role of pathologists as clinicians (diagnosticians), undergraduate and postgraduate educators, and researchers has evolved considerably. The world around us has changed significantly during this period bringing about a considerable change in our lifestyles and the way we live. This is the world of the internet and the world-wide web, the world of Google and Wikipedia, of Youtube and Facebook where anyone can obtain any information one desires at the push of a button. The practice of histo (and cyto) pathology has also evolved in line with these changes. For those practicing this discipline in a poor, developing country these changes have been breathtaking. This is an attempt to document these changes as experienced by histo (and cyto) pathologists practicing in the biggest center for Histopathology in Pakistan, a developing country in South Asia with a large (180 million) and ever growing population. The Section of Histopathology, Department of Pathology and Microbiology at the Aga Khan University Hospital (AKUH) in Karachi, Pakistan's largest city has since its inception in the mid-1980s transformed the way histopathology is practiced in Pakistan by incorporating modern methods and rescuing histopathology in Pakistan from the primitive and outdated groove in which it was stuck for decades. It set histopathology in Pakistan firmly on the path of modernity and change which are essential for better patient management and care through accurate and complete diagnosis and more recently prognostic and predictive information as well.

  1. JPRS Report Near East & South Asia Pakistan.

    Science.gov (United States)

    2007-11-02

    that only the pimps could get them bail. While they were in prison, other Bangladeshi women were also brought there under arrest. Rabia and Raheema...her aunt was out, took her to Ayesha Manzil in Karachi with another group of women that included Rabia and Neelofar. None of the women in this group

  2. Reforming Customs Clearance in Pakistan

    OpenAIRE

    Ahmad, Manzoor

    2010-01-01

    Simple, fast, transparent customs clearance procedures encourage trade-and the resulting tariffs and related taxes raise government revenue and stimulate economic development. After outsourcing failed to make customs more efficient or increase revenue, in 2002 Pakistan began pursuing a modern single window system for customs clearance. In 2005 the system was introduced at the port of Karac...

  3. Democracy and Education in Pakistan

    Science.gov (United States)

    Nazir, Muhammad

    2010-01-01

    This paper explores the potential for democratic change in educational practice in Pakistan. Using focus group discussions in urban and rural areas of Sindh and Balochistan, it builds up a picture of educational practices from policy-making to implementation level and identifies the barriers to democratic approaches in education. It suggests that…

  4. Molecular epidemiology of glanders, Pakistan.

    Science.gov (United States)

    Hornstra, Heidie; Pearson, Talima; Georgia, Shalamar; Liguori, Andrew; Dale, Julia; Price, Erin; O'Neill, Matthew; Deshazer, David; Muhammad, Ghulam; Saqib, Muhammad; Naureen, Abeera; Keim, Paul

    2009-12-01

    We collected epidemiologic and molecular data from Burkholderia mallei isolates from equines in Punjab, Pakistan from 1999 through 2007. We show that recent outbreaks are genetically distinct from available whole genome sequences and that these genotypes are persistent and ubiquitous in Punjab, probably due to human-mediated movement of equines.

  5. Molecular Epidemiology of Glanders, Pakistan

    OpenAIRE

    Hornstra, Heidie; Pearson, Talima; Georgia, Shalamar; Liguori, Andrew; Dale, Julia; Price, Erin; O’Neill, Matthew; DeShazer, David; Muhammad, Ghulam; Saqib, Muhammad; Naureen, Abeera; Keim, Paul

    2009-01-01

    We collected epidemiologic and molecular data from Burkholderia mallei isolates from equines in Punjab, Pakistan from 1999 through 2007. We show that recent outbreaks are genetically distinct from available whole genome sequences and that these genotypes are persistent and ubiquitous in Punjab, probably due to human-mediated movement of equines.

  6. Diagnostic Plausibility of MTBDRplus and MTBDRsl Line Probe Assays for Rapid Drug Susceptibility Testing of Drug Resistant Mycobacterium tuberculosis Strains in Pakistan

    Directory of Open Access Journals (Sweden)

    Javaid

    2016-06-01

    Full Text Available Background World health organization (WHO recommends the use of line probe assays (LiPAs for rapid drug susceptibility testing (DST. However, only a limited number of studies from Pakistan have documented the performance characteristics of line probe assays in testing multi-drug resistant (MDR strains of Mycobacterium tuberculosis (MTB. Objectives The objective of this work is to evaluate the diagnostic plausibility of the LiPA tests MTBDRplus and MTBDRsl on MDR MTB isolates from Pakistan. Patients and Methods This was a cross-sectional study conducted at the Indus hospital, Karachi. LiPA testing was performed on 196 smear-positive samples using BACTEC MGIT 960 as a gold standard. Results The sensitivity of MTBDRplus for isoniazid and rifampicin was found to be 88.8% and 90.2%, respectively, while sensitivity of MTBDRsl for fluoroquinolones, amikacin/capreomycin, and ethambutol was found to be 72.9%, 81.8%, and 56.6%, respectively. Conclusions The MTBDRplus and MTBDRsl genotypic testing can serve as useful additional tools for DST in a high-burden country like Pakistan provided it is used in combination with phenotypic testing.

  7. The effects of the China-Pakistan Economic Corridor on India-Pakistan relations

    OpenAIRE

    Wagner, Christian

    2016-01-01

    The China-Pakistan Economic Corridor (CPEC) constitutes one of the largest foreign investments China has made in the framework of the "One Belt, One Road" initiative. The expenditures planned for the coming years in the amount of approximately $46 billion will further intensify relations between China and Pakistan. At the same time, Pakistan will assume a more prominent role in China's foreign policy. But CPEC also affects relations between India and Pakistan. The transport corridor between P...

  8. Fourth-generation spinal instrumentation: experience with adolescent idiopathic scoliosis at a tertiary care hospital in Pakistan

    Directory of Open Access Journals (Sweden)

    Fazal A

    2012-02-01

    Full Text Available Akil Fazal1, Riaz H Lakdawala21Hospital for Joint Disease, New York University, New York, USA; 2Section of Orthopaedics, Department of Surgery, The Aga Khan University Hospital, Karachi, PakistanObjective: To evaluate the radiological and functional outcome of surgical treatment of adolescent idiopathic scoliosis using fourth-generation posterior spinal instrumentation at The Aga Khan University, Karachi, Pakistan.Design: Case series.Place and duration of study: The Aga Khan University Hospital after a minimum of 2 years postoperatively.Patients and methods: A total of 20 patients with adolescent idiopathic scoliosis were recruited into the study and evaluated for radiological and functional outcome. The study period was from 2000 to 2005. Radiological outcome was assessed using Cobb angle measurement pre and postoperatively, hence assessing percentage correction. The lower instrumented vertebra was taken as the neutral vertebra and the level was recorded. Functional outcome was determined using the Scoliosis Research Society patient administered questionnaire. All patients were called to the clinic and asked to fill in the form. Those patients who were out of the city were mailed the forms and requested via telephone to complete and return.Results: Of the 20 patients operated on, twelve were female and eight were male. The average age at operation was 12.7 years. The mean Cobb angle was 69° preoperatively and 20° postoperatively, representing a percentage correction of 71%. The average duration of follow-up was 3.6 years. There was one major complication involving neurological injury post-op and two minor complications involving wound infection. The average Scoliosis Research Society score (on a scale of 1–5, with 5 being best for pain was 4.5, self-image was 4.2, functional status was 4.1, mental status was 3.8, and satisfaction was 4.4. There was no relationship between the percentage correction of scoliosis and the functional outcome

  9. Patellar resurfacing versus nonresurfacing in total knee arthroplasty for osteoarthritis: experience at a tertiary care institution in Pakistan

    Directory of Open Access Journals (Sweden)

    Lakdawala RH

    2012-02-01

    Full Text Available Akil Fazal1, Riaz H Lakdawala21Clinical Fellow, NYU Hospital for Joint Disease, New York, US; 2Associate Professor and Chief, Section of Orthopedics, Department of Surgery, The Aga Khan University Hospital, Karachi, PakistanObjective: To determine the effect of patellar resurfacing in patients offered total knee arthroplasty for osteoarthritis.Design: Randomized control study.Place and duration of study: The Aga Khan University Hospital, Karachi, Pakistan from January 3, 2005 to January 9, 2010.Patients and methods: Patients undergoing primary total knee arthroplasty for osteoarthritis were assigned to either the patellar resurfacing or nonresurfacing arm using systematic sampling. This consisted of patients undergoing unilateral and bilateral knee arthroplasty. Preoperatively, Knee Society Knee and Function Scores were calculated. After a minimum of 3 years postoperatively Knee Society Knee and Function Scores as well as the Clinical Anterior Knee Pain Rating were calculated and analysis done to check for differences.Results: Seventy-five patients were recruited in each arm; 135 patients had bilateral and 15 had unilateral knee arthroplasty. The mean preoperative knee score was 40.4 for the resurfacing group and 40.60 for the nonresurfacing group (P = 0.45. This improved postoperatively to 93.67 and 94.23 respectively, with no difference between the two groups (P = 0.67. The mean preoperative function score was 45.50 for resurfaced patellae and 45.83 for nonresurfaced. This improved to 89.67 and 90.50, respectively, again with no difference (P = 0.51. Postoperative Clinical Anterior Knee Pain Rating was a mean of 0.1 for resurfaced and 0.13 for nonresurfaced patellas, with no difference on analysis (P = 0.06. However, patients who had bilateral knee arthroplasty had a slightly higher Clinical Anterior Knee Pain Rating than those who had single knee surgery (P = 0.046 irrespective of whether the patellar was resurfaced or not.Conclusion: In

  10. Underestimation of weight and its associated factors among overweight and obese adults in Pakistan: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Siddiqui Fawad

    2011-05-01

    Full Text Available Abstract Background Weight loss is known to decrease the health risks associated with being overweight and obese. Awareness of overweight status is an important determinant of weight loss attempts and may have more of an impact on one's decision to lose weight than objective weight status. We therefore investigated the perception of weight among adults attending primary care clinics in Karachi, Pakistan, and compared it to their weight categories based on BMI (Body Mass Index, focusing on the underestimation of weight in overweight and obese individuals. We also explored the factors associated with underestimation of weight in these individuals. Methods This was a cross sectional study conducted on 493 adults presenting to the three primary care clinics affiliated with a tertiary care hospital in Karachi, Pakistan. We conducted face to face interviews to gather data on a pre-coded questionnaire. The questionnaire included detail on demographics, presence of comorbid conditions, and questions regarding weight assessment. We measured height and weight of the participants and calculated the BMI. The BMI was categorized into normal weight, overweight and obese based on the revised definitions for Asian populations. Perception about weight was determined by asking the study participants the following question: Do you consider yourself to be a thin b just right c overweight d obese. We compared the responses with the categorized BMI. To identify factors associated with underestimation of weight, we used simple and multiple logistic regression to calculate crude odds Ratios (OR and adjusted Odds Ratios (AOR with 95% Confidence Intervals. Results Overall 45.8% (n = 226 of the study participants were obese and 18% (n = 89 were overweight. There was poor agreement between self perception and actual BMI (Kappa = 0.24, SE = 0.027, p Conclusion In this cross sectional survey, we observed marked discordance between the actual and perceived weight

  11. Pattern of benzodiazepine use in psychiatric outpatients in Pakistan: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Haider Imran

    2009-04-01

    Full Text Available Abstract Background Benzodiazepines (BDZ are the largest-selling drug group in the world. The potential of dependence with BDZ has been known for almost three decades now. In countries like Pakistan where laws against unlicensed sale of BDZ are not implemented vigorously the risk of misuse of and dependence on these drugs is even higher. Previous studies have shown that BDZ prevalence among patients/visitors to general outpatient clinics in Pakistan may be as high as 30%. However, no research has been carried out on the prevalence of BDZ use in psychiatric patients in Pakistan. Methods We carried out a cross-sectional survey over 3 months in psychiatry outpatient clinics of two tertiary care hospitals in Karachi and Lahore. Besides basic socio-demographic data the participants were asked if they were taking a BDZ at present and if yes, the frequency, route and dosage of the drug, who had initiated the drug and why it had been prescribed. We used chi-square test and t-test to find out which socio-demographic or clinical factors were associated with an increased risk of BDZ use. We used Logistic Regression to find out which variable(s best predicted the increased likelihood of BDZ use. Results Out of a total of 419 participants 187 (45% of the participants had been currently using at least one BDZ. Seventy-three percent of the users had been using the drug for 4 weeks or longer and 87% were taking it every day. In 90% of cases the BDZ had been initiated by a doctor, who was a psychiatrist in 70% of the cases. Female gender, increasing age, living in Lahore, and having seen a psychiatrist before, were associated with an increased likelihood of using BDZ. Conclusion The study shows how high BDZ use is in psychiatric outpatients in Pakistan. Most of the users were taking it for a duration and with a frequency which puts them at risk of becoming dependent on BDZ. In most of the cases it had been initiated by a doctor. Both patients and doctors need to

  12. Delivering Better Health Services to Pakistan's Poor

    OpenAIRE

    World Bank

    2010-01-01

    Pakistan is not on track to achieve most Millennium Development Goals (MDGs) related to health, nutrition and population. Given its current rate of progress, in 2015 Pakistan's infant mortality rate (IMR) will be 65 deaths per 1,000 live births and the under-five mortality rate (U5MR) will be 78, considerably above the MDG4 targets of 33 and 43 deaths per 1000 births respectively. Pakistan...

  13. The Economics of Dowry Payments in Pakistan

    OpenAIRE

    Anderson, K.S.

    2000-01-01

    Although there are numerous studies of the dowry phenomenon in India, research pertaining to the custom in the rest of South Asia is sparse.The aim of this paper is to study dowry payments in Pakistan.Several interpretations for dowry are distinguished using a simple theoretical framework and the predictions of this model are tested using recent data from Pakistan.The investigation concludes that despite religious and cultural differences, the phenomenon of dowry in Pakistan appears to occur ...

  14. Assessment of postgraduate educational environment in public and private hospitals of Karachi.

    Science.gov (United States)

    Sheikh, Shiraz; Kumari, Bhavita; Obaid, Munazza; Khalid, Noman

    2017-02-01

    To assess the environment of postgraduate fellowship training in teaching hospitals of an urban centre. The cross-sectional study was conducted at one public-sector and two private-sector teaching hospitals in Karachi from December 2014 to June 2015. Data was collected by using a modified version of Postgraduate Hospital Educational Environment Measure, a validated questionnaire, for which clinical residents were selected through convenience sampling. Data was analyzed using SPSS 16. Of the 302 participants, 168(55.6%) were males and 134(44.4%) were females. The overall mean age of the respondents was 28.46±3.03 years. The internal reliability of the questionnaire was good with a Cronbach's alpha of 0.92. The overall mean score of 93.96±20.79suggested more positive than negative perception with room for improvement. After adjusting for all important socio-demographic and residency co-variates, residency in a private hospital was positively associated with Postgraduate Hospital Educational Environment Measure score (p<0.01) compared to residency in public hospitals. There is an urging need to standardise postgraduate training in terms of teaching, autonomy and social support in public and private hospitals of Karachi.

  15. Current trends in treatment of obesity in Karachi and possibilities of cost minimization.

    Science.gov (United States)

    Hussain, Mirza Izhar; Naqvi, Baqir Shyum

    2015-03-01

    Our study finds out drug usage trends in over weight and obese patients without any compelling indications in Karachi, looks for deviations of current practices from evidence based antihypertensive therapeutic guidelines and identifies not only cost minimization opportunities but also communication strategies to improve patients' awareness and compliance to achieve therapeutic goal. In present study two sets were used. Randomized stratified independent surveys were conducted in hospital doctors and family physicians (general practitioners), using pretested questionnaires. Sample size was 100. Statistical analysis was conducted on Statistical Package for Social Science (SPSS). Opportunities of cost minimization were also analyzed. One the basis of doctors' feedback, preference is given to non-pharmacologic management of obesity. Mass media campaign and media usage were recommended to increase patients awareness and patients' education along with strengthening family support systems was recommended for better compliance of the patients to doctor's advice. Local therapeutic guidelines for weight reduction were not found. Feedbacks showed that global therapeutic guidelines were followed by the doctors practicing in the community and hospitals in Karachi. However, high price branded drugs were used instead of low priced generic therapeutic equivalents. Patient's education is required for better awareness and improving patients' compliance. The doctors found preferring brand leaders instead of low cost options. This trend increases cost of therapy by 0.59 to 4.17 times. Therefore, there are great opportunities for cost minimization by using evidence-based clinically effective and safe medicines.

  16. NGO field workers in Pakistan

    Directory of Open Access Journals (Sweden)

    Muhammad Haroon SIDDIQUE

    2009-06-01

    Full Text Available NGOs came into the society in their present form after World War II and more precisely in 1960s. Before that also different forms of philanthropy existed. Like elsewhere in the world, in Pakistan also state and the market were the two sectors catering for different needs of the people. When foreign funding started coming into the poor countries, the channel of NGOs was considered more appropriate including the fact they had roots in the society and the benefit could reach the far flung areas. NGO field workers are the real actors in the NGOs’ activities but sadly the NGOs those raise the slogans of working for the destitute do not bother to facilitate the NGO field workers. Eventually the NGO field workers are facing problems of job insecurity, poor salary structure, unhealthy working environment and even harassment especially in case of women NGO field workers in Pakistan

  17. Food irradiation development in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Khan, I. (Nuclear Inst. for Food and Agriculture, Peshawar (Pakistan))

    1990-01-01

    Large scale trials were held to extend the storage life of potatoes, onions and dry fruits by gamma radiation. It was concluded that radiation preservation of potatoes and onions was much cheaper as compared to conventional methods. A dose of 1 kGy can control the insects in dry fruits and nuts. The consumers' acceptability and market testing performed during the last four years are also conducive to the commercialization of the technology in this country. The Government of Pakistan has accorded clearance for the irradiation of some food items like potatoes, onions, garlic and spices for human consumption. The Pakistan Radiation Services (PARAS), the commercial irradiator (200 Kci) at Lahore, has already started functioning in April 1987. It is planned to start large scale sterilization of spices by gamma radiation in PARAS shortly. (author).

  18. Food irradiation development in Pakistan

    Science.gov (United States)

    Khan, I.

    The large scale trials were held to extend the storage life of potatoes, onions and dry fruits by gamma radiation. It was concluded that radiation preservation of potatoes and onions was much cheaper as compared to conventional methods. A dose of 1 kGy can control the insects in dry fruits and nuts. The consumers' acceptability and market testing performed during the last four years are also conducive to the commercialization of the technology in this country. The Government of Pakistan has accorded clearance for the irradiation of some food items like potatoes, onions, garlic and spices for human consumption. The Pakistan Radiation Services (PARAS), the commercial irradiator (200 Kci) at Lahore, has already started functioning in April, 1987. It is planned to start large scale sterilization of spices by gamma radiation in PARAS shortly.

  19. EFFECT OF MATERNAL SOCIOECONOMIC CONDITIONS ON MATERNAL HEALTH INDICATORS AND NEONATAL PARAMETERS IN PAKISTAN

    Directory of Open Access Journals (Sweden)

    Muhammad Usman

    2015-12-01

    Full Text Available Infant mortality rate is a serious issue worldwide. Pakistan being a developing country comprises of diverse socioeconomic classes. Various studies have suggested some association of maternal anthropometric parameters with neonatal outcomes. The aim behind this research is to determine the impact of socioeconomic conditions on maternal health indicators and neonatal parameters in the population of Pakistan. This study included 90 pregnant females belonging to different socioeconomic conditions and were grouped according to their socioeconomic classes. Data was collected from the case histories of participants admitted in different hospitals of Karachi. The data of maternal and neonatal parameters was assessed statistically and their associations with the socioeconomic conditions were assessed. Maternal hemoglobin and maternal gravidity have shown a strong association with socioeconomic conditions with high significance (p < 0.05. However, neonatal parameters have shown diverse results among the three classes. Neonatal gestational age was found to be significant in comparison between upper versus lower (p = 0.001 and upper versus middle classes (p = 0.006, but it was insignificant in case of middle versus lower class (p = 0.88. Likewise, neonatal birth weight is significant between upper versus lower (p = 0.001 and upper versus middle classes (p = 0.019, but it was insignificant in case of middle versus lower class (p = 0.258. Neonatal apgar score is found to be significant in upper versus lower (p = 0.001 and middle versus lower classes (p = 0.001 and insignificant between middle and lower class (p = 0.125. This study concludes that socioeconomic factors play a vital role in determining the maternal health characteristics which in turn affects the neonatal outcomes. It is therefore recommended that antenatal care should be provided to all pregnant females. The whole community should work hand in hand to establish good health care centers, create

  20. Pakistan-U.S. Relations

    Science.gov (United States)

    2008-01-11

    Party,” BBC News, January 9, 2008. 34 Reporters Without Borders , “Five Key Problems for Media Coverage of February’s Legislative Elections,” January 9...thousands of party activists and sympathizers.33 Paris-based Reporters Without Borders warned in January 2008 that press censorship and intimidation...after they shot footage of the Jacobabad airbase that was used by U.S. forces. Paris-based Reporters Without Borders placed Pakistan 152nd out of 169

  1. China-Pakistan Economic Corridor.

    Energy Technology Data Exchange (ETDEWEB)

    Boyce, Tucker [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-01-01

    International trade and related economic activities in Central and South Asia are increasing as developing economies, particularly India and Pakistan, grow. China continues to emerge as a major regional and global power and has embarked upon numerous regional economic and political initiatives . A major development is the China - Pakistan Economic Corridor (CPEC), a host of infrastructure and trade projects worth over 40 billion American dollars . This report analyzes CPEC a nd its potential regional effects, including the trade security implications of the port and land infrastructure developments . As trade increase s in the reg ion and the major CPEC infrastructure projects are completed, there will be numerous implications on trade security and geopolitics within South Asia. CPEC projects uniquely intersect numerous regional situations, including territorial disputes in Kashmir, the Afghanistan/Pakistan border, and Chinese foreign policy a mbitions. A nuanced understanding of these effects can influence future policy adjustments in this region . The views expressed in this report are those of the author and do not necessarily reflect the position of Sandia National Laboratories or the author's current and past institutions.

  2. Assessing acceptability of hypertensive/diabetic patients towards mobile health based behavioral interventions in Pakistan: A pilot study.

    Science.gov (United States)

    Siddiqui, Mahrukh; Islam, Mohammad Yousuf ul; Mufti, Bushra Abid Iqbal; Khan, Natasha; Farooq, Muhammad Saad; Muhammad, Mariam Gul; Osama, Muhammad; Kherani, Danish; Kazi, Abdul Nafey; Kazi, Abdul Momin

    2015-11-01

    Diabetes and hypertension are prevalent chronic diseases among the general population of Pakistan with an exponential progress expected over the upcoming years. Mobile Health services can be an efficient method of helping curtail this rise and improve quality of life of such patients as proven in developed countries. We aim to assess the acceptability of using Mobile Health services among diabetic and hypertensive patients in Pakistan. A total of 100 patients were approached in a large tertiary care Government Hospital of Karachi, Pakistan, using a nonprobability convenient sampling technique. Co-authors conducted an interview based sampling of a modified questionnaire to each participant after consent. All data was recorded and analyzed on SPSS 16. A total of 100 patients participated in our study with 66 (66%) males and 34 (34%) females having a mean prevalence age of 54.27. All the 100 participants had easy access to cell phones with 88% participants (88/100) stating that they would be willing to participate in Mobile Health based interventions. A statistically significant number (p=0.014) of them preferred receiving phone calls (85.2%) rather than SMS (14.8%) reminders for these interventions. 85% of the participants even agreed to participate in such intervention on cash incentives. The use of phone call reminders or SMS reminders seems like an acceptable and favorable option among hypertensive and diabetic patients. This can greatly improve their self-management and help curtail this rise in the future. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  3. Ampharetidae (Annelida: Polychaeta) from cold seeps off Pakistan and hydrothermal vents off Taiwan, with the description of three new species.

    Science.gov (United States)

    Reuscher, Michael G; Fiege, Dieter

    2016-07-20

    The new ampharetid species Eclysippe yonaguniensis sp. nov. and Glyphanostomum bilabiatum sp. nov. from the Yonaguni Knoll IV hydrothermal field off the coast of Taiwan and Pavelius makranensis sp. nov. from the cold seeps in the Makran accretionary prism off the coast of Pakistan are described. Amage cf. ehlersi Reuscher, Fiege & Imajima, 2015 and Anobothrus dayi Imajima, Reuscher & Fiege, 2013 are newly recorded from the Yonaguni Knoll IV hydrothermal field.

  4. Impact of Working Capital Management on Profitability of Textile Sector of Pakistan

    Directory of Open Access Journals (Sweden)

    Sumaira Tufail

    2013-06-01

    Full Text Available Working capital can be considered as source of existence for a financial body and management of working capital is regarded as one of the most essential part of business management. This study aims to find out the impact of working capital policies on profitability. Return on assets is used as a measure of profitability. Current assets to total assets ratio is used to compute the investment policy of working capital management and to determine financing policy of working capital management current liabilities to total assets ratio is used. Other variables that are used in this study are quick ratio, debt to equity ratio and size of the firms. Secondary data of 117 textile firms listed on Karachi stock exchange is taken for a period of six years i.e. 2005-2010 to calculate all these variables. Results of the regression analysis show that aggressiveness of working capital management policies is negatively associated with profitability. Moreover liquidity and size of the firm have positive relation profitability whereas debt to equity ratio is negatively correlated with profitability. Textile sector is one of the majors sectors of Pakistan. It needs due consideration regarding the management of assets and liabilities. So, the aim of this study is to provide some useful recommendations for the people responsible for the management of this sector. This study also establishes the basis for future research in this area of business.

  5. Fluoride in the drinking water of Pakistan and the possible risk of crippling fluorosis

    Directory of Open Access Journals (Sweden)

    M. A. Tahir

    2013-02-01

    Full Text Available To explore the possibility of fluoride toxicity, 747 water samples were collected from surface water and groundwater sources of 16 major cities of Pakistan, adopting a uniform sampling design with distribution of samples: Lahore (79, Kasur (46, Faisalabad (30, Khushab (50, Chakwal (51, Mianwali (30, Jhelum (53, Bahawalpur (60, Karachi (60, Mirpur Khas (55, Peshawar (38, Risalpur (35, Quetta (81, Ziarat (21, Loralai (21, and Mastung (37. Comparison of analytical findings with WHO Guidelines of Drinking Water for Fluoride (i.e., 1.5 ppm has concluded that 16% of the monitored water sources have fluoride concentration beyond the permissible safe limit of 1.5 mg L−1 falling in the concentration range of 1.6–25 mg L−1. The highest fluoride contamination (22% is detected in the Balochistan province followed by 19% in Punjab province. Comparatively higher fluoride levels of > 20% in the groundwater sources like hand pumps supported the possibility of increased groundwater contamination as excessive fluoride concentrations are expected to come from calcium-poor aquifers and in areas where fluoride-bearing minerals are common or where cation exchange of sodium for calcium occurs. Field observations have also indicated the prevalence of fluoride-associated health implications in the study areas with excessive fluoride in water sources. Findings of this study have provided bidirectional vision for the epidemiological investigations as well as to mitigate the issues in the affected vicinities of fluoride-rich areas.

  6. Determinants of Price-Earnings Ratio: The Case of Chemical Sector of Pakistan

    Directory of Open Access Journals (Sweden)

    Samya Tahir

    2012-08-01

    Full Text Available Price-to-Earnings (P/E ratio, a relative valuation technique has always remained at the centre of attention of market analysts and investors ever since the origin of discounted dividend growth model of Gordon and Shapiro (1956. The present study attempts to identify the factors explaining variations in P/E ratio for chemical sector of Pakistan by using Ordinary Least Square (OLS regression on pooled data of 25 firms listed at Karachi stock exchange for the period 2005 to 2009. Furthermore, taking into account the volatility in Pakistani stock market during the study period, a time-series analysis has also made by using OLS regression model to examine whether determinants of P/E ratio differ across years or not. Results demonstrate that Dividend payout ratio and Tobin’s Q remain the most important determinants of P/E ratios for pooled as well as time-series analysis. The study is expected to facilitate decision makers to evaluate factors that explain variations in firm’s P/E ratio in order to attract investor’s attention and raise their confidence to select these firms in their portfolios.

  7. What Causes Stock Market Volatility in Pakistan? Evidence from the Field

    Directory of Open Access Journals (Sweden)

    Bushra Ghufran

    2016-01-01

    Full Text Available We examined the presence of volatility at the Karachi Stock Exchange (recently changed the name to Pakistan Stock Exchange (KSE by fitting Exponential Generalized Autoregressive Conditional Heteroskedasticity (EGARCH model to 25 years’ index data. We found that the ARCH effects are present in the data indicating the stock market cluster volatility during the period under study. We found persistent high volatility in the stock market and presence of negative leverage effect. Moreover, we tried to identify the factors causing stock market volatility by collecting and analyzing the primary data obtained from 246 individual investors of stock market and 28 brokers listed with KSE. Our results show that investors consider political situation as the most important factor causing turbulence in the stock market. Interviews with the brokers also confirmed this. The second most important factor identified by investors is the herd behavior among investors that results in over- and underpricing of stocks and the overall market shows a volatile behavior. Our findings suggest that individual investor’s behavioral dimensions of involvement, risk attitude, and overconfidence are significantly associated with factors causing market volatility.

  8. Prescription pattern of benzodiazepines for inpatients at a tertiary care university hospital in Pakistan.

    Science.gov (United States)

    Khawaja, Muhammad Rizwanulhaq; Khawaja, Muhammad Rizwanullah; Majeed, A; Malik, F; Merchant, K A; Maqsood, M; Malik, R; Mazahir, S; Naqvi, H

    2005-06-01

    To determine the point prevalence of benzodiazepine prescriptions for inpatients at a tertiary care university hospital in Pakistan and to correlate it with prescription patterns of various specialties, indications and demographic variables of the patients. This 24-hours point prevalence study was done at The Aga Khan University Hospital, Karachi. By convenient random sampling, 208 inpatients were interviewed. Patients' files were also studied to record the drugs administered. Data was entered into questionnaires and analyzed by SPSS 10.0. The point prevalence of the benzodiazepines was 21.2%. It was higher among males than females and among surgical than non-surgical patients. Midazolam was the most commonly used benzodiazepine, followed by Alprazolam and Lorazepam. Pre-anesthesia and psychiatric symptoms were the two most common indications. Oral route was used in 84% patients for drug administration and mean Valium equivalent dosage was 4.86 mg/day. Mean length of prescription was 3 days. Longer duration of hospitalization was a significant predictor of the requirement of benzodiazepine prescription (p-value = 0.020). Prescription pattern of benzodiazepines at a tertiary care university hospital is similar to that reported in the developed countries through monitoring at various levels by physicians, clinical pharmacist and nursing staff. Data regarding the prescription pattern of benzodiazepines is scarce, and it needs to be expanded to formulate clear guidelines regarding their prescription.

  9. Analysis of ochratoxin A blood levels in bladder cancer cases and healthy persons from Pakistan.

    Science.gov (United States)

    Aslam, Muhammad; Rivzi, S Abidul Hassan; Beg, Anwer Ejaz; Blaszkewicz, Meinolf; Golka, Klaus; Degen, Gisela H

    2012-01-01

    The mycotoxin ochratoxin A (OTA), a well-known human nephrotoxic and carcinogenic agent, is a public health concern in many countries. Exposure is assessed by means of mycotoxin analysis in food commodities and by human biomonitoring of OTA in blood samples. Data available from several European countries and some studies in Africa, Asia, and the Americas indicate frequent detection of OTA. Thus far, data from developing countries that compare blood levels in healthy and diseased individuals are scarce. Thus, the aim of this investigation was to determine OTA levels in blood samples of bladder cancer patients (n = 96) and healthy controls (n = 31) from Pakistan. OTA in blood plasma was analyzed after extraction by high-performance liquid chromatography (HPLC) with fluorescence detection. Among samples of 87 cancer patients and 30 controls, 92% in total contained quantifiable amounts of OTA. In bladder cancer cases the median OTA concentration was 0.19 ng/ml (mean 0.296; range: 0.03 to 3.41 ng/ml), and in healthy controls the median OTA was 0.19 ng/ml (mean 0.3; range: 0.04 to 1.24 ng/ml). The OTA levels found in the Pakistanian cohorts were comparable to those reported previously for the general population in the European Union. In conclusion, OTA is not likely to play a major role in the etiology of bladder cancer in the Karachi cohort, at least as the sole risk factor.

  10. Contact lens use and its compliance for care among healthcare workers in Pakistan

    Directory of Open Access Journals (Sweden)

    Muhammed Hamza Khan

    2013-01-01

    Full Text Available Background: Poor care and hygiene of contact lens (CL results in eye problems and infections. Healthcare workers have an important role in advocating correct lens care. Objectives: To determine the practices of CL care and the adverse consequences of poor CL care among healthcare workers. Setting and Design: A cross-sectional study in one public and three private sector hospitals in Karachi, Pakistan, in 2009-2010. Materials and Methods: We questioned 500 healthcare workers of all ages and both sexes, who wore CL, about compliance with advice on care and any complications due to improper hygiene practices. Ethical approval was obtained. Chi-square tests were used to determine significance and p-value less than 0.05 was considered statistically significant. Results: Of the total CL users, 385 (77% were females. Most (75% respondents wore CL to correct myopia, whereas 54% wore CL only occasionally. Surprisingly, only 24% knew the CL cleaning protocol. Lens solution was changed daily by 33% of users and after more than 2 weeks by 42%. Although 412 (82% participants practised reasonable hand hygiene before inserting CL, 88 (18% did not. Infection and eye dryness were statistically significantly (P < 0.01 associated with sex, hand-washing, and frequency of CL use. Conclusion: Noncompliance with the CL protocol was common among healthcare workers in our society. This behavior calls for targeted health education and awareness programs for healthcare workers.

  11. Severity of burn and its related factors: A study from the developing country Pakistan.

    Science.gov (United States)

    Adil, Syed Omair; Nisar, Nighat; Ehmer-Al-Ibran; Shafique, Kashif; Baig-Ansari, Naila

    2016-06-01

    Burns are leading cause of fatal injuries and major cause of morbidity and mortality in developing countries. The major obstacle in controlling severity is factors related to burn. This study determines frequency of burns and the factors related to it in Karachi, Pakistan. A cross-sectional study was conducted and 384 hospitalized adult patients with burns were consecutively interviewed during August 2013 to February 2014. Information was collected on socio-demographic profile, intent of burn, severity of burn, health hazards, physical and psychological characteristics. TBSA burn of >15% was considered as higher severity of burn. Higher severity of burns was found in 76.3% patients. Multivariate analysis showed that higher severity of burns were significantly associated with age less than 25 years (OR 2.7, 95% CI 1.5-4.9), never had been to school (OR 3.1, 95% CI 1.7-5.9) and intentional burn (OR 20.6, 95% CI 5.0-84.9). Majority of patients had higher severity of burn. The intent of injury was intentional, age less than 25 years and no schooling were found significantly associated with higher severity of burns. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  12. Epidemiology of Transfusion Transmitted Infection among Patients with β-Thalassaemia Major in Pakistan

    Science.gov (United States)

    Ahmed Kiani, Rizwan; Anwar, Muhammad; Asad, Muhammad Javaid; Abbasi, Saleem; Abbas Zaheer, Hasan

    2016-01-01

    Introduction. Transfusion Transmitted Infections (TTIs) continue to be a major risk in transfusions in many parts of the world. The transfusion-dependent β-thalassaemia patients are particularly at risk of acquiring TTIs. The current study was undertaken to estimate the prevalence of TTIs in transfusion-dependent β-thalassaemia patients. Material and Methods. A cross-sectional study of 1253 multitransfused thalassaemia major patients was conducted in five different centres of Islamabad, Rawalpindi, and Karachi. The study subjects were screened for HIV, HCV, and HBV. The screening was performed at two centres: Department of Pathology, Shaheed Zulfiqar Ali Bhutto (SZAB) Medical University, and Blood Transfusion Services, Jinnah Postgraduate Medical Centre, from July to December 2015. The confirmatory screening was performed by Chemiluminescent Immunoassay (CLIA). Results. Out of the 1253 multiple transfused patients, 317 (25.3%) were infected with TTIs. HCV was positive in 273 cases (21.7%), HBV in 38 cases (3.0%), and HIV in 6 cases (0.5%). Conclusion. HCV was the leading TTI in multitransfused thalassaemia major patients in the study. Presence of HIV in thalassaemia patients is a recent disturbing development in Pakistan. Improved regulation of blood banks including use of internationally or nationally evaluated kits will bring down the incidence of TTIs in transfusion-dependent β-thalassaemia patients. More stringent behavioral and serological pretransfusion screening of blood for TTIs must be implemented in blood banks. PMID:27559490

  13. Epidemiology of Transfusion Transmitted Infection among Patients with β-Thalassaemia Major in Pakistan

    Directory of Open Access Journals (Sweden)

    Rizwan Ahmed Kiani

    2016-01-01

    Full Text Available Introduction. Transfusion Transmitted Infections (TTIs continue to be a major risk in transfusions in many parts of the world. The transfusion-dependent β-thalassaemia patients are particularly at risk of acquiring TTIs. The current study was undertaken to estimate the prevalence of TTIs in transfusion-dependent β-thalassaemia patients. Material and Methods. A cross-sectional study of 1253 multitransfused thalassaemia major patients was conducted in five different centres of Islamabad, Rawalpindi, and Karachi. The study subjects were screened for HIV, HCV, and HBV. The screening was performed at two centres: Department of Pathology, Shaheed Zulfiqar Ali Bhutto (SZAB Medical University, and Blood Transfusion Services, Jinnah Postgraduate Medical Centre, from July to December 2015. The confirmatory screening was performed by Chemiluminescent Immunoassay (CLIA. Results. Out of the 1253 multiple transfused patients, 317 (25.3% were infected with TTIs. HCV was positive in 273 cases (21.7%, HBV in 38 cases (3.0%, and HIV in 6 cases (0.5%. Conclusion. HCV was the leading TTI in multitransfused thalassaemia major patients in the study. Presence of HIV in thalassaemia patients is a recent disturbing development in Pakistan. Improved regulation of blood banks including use of internationally or nationally evaluated kits will bring down the incidence of TTIs in transfusion-dependent β-thalassaemia patients. More stringent behavioral and serological pretransfusion screening of blood for TTIs must be implemented in blood banks.

  14. Dengue transmission based on urban environmental gradients in different cities of Pakistan.

    Science.gov (United States)

    Khalid, Bushra; Ghaffar, Abdul

    2015-03-01

    This study focuses on the dengue transmission in different regions of Pakistan. For this purpose, the data of dengue cases for 2009-2012 from four different cities (Rawalpindi, Islamabad, Lahore, and Karachi) of the country is collected, evaluated, and compiled. To identify the reasons and regions of higher risk of Dengue transmission, land use classification, analysis of climate covariates and drainage patterns was done. Analysis involves processing of SPOT 5 10 m, Landsat TM 30 m data sets, and SRTM 90 m digital elevation models by using remote sensing and GIS techniques. The results are based on the change in urbanization and population density, analysis of temperature, rainfall, and wind speed; calculation of drainage patterns including stream features, flow accumulation, and drainage density of the study areas. Results suggest that the low elevation areas with calm winds and minimum temperatures higher than the normal, rapid increase in unplanned urbanization, low flow accumulation, and higher drainage density areas favor the dengue transmission.

  15. Environmental risk factors and hotspot analysis of dengue distribution in Pakistan

    Science.gov (United States)

    Khalid, Bushra; Ghaffar, Abdul

    2015-11-01

    This study is an attempt to find out the factors responsible for sudden dengue outbreak in different cities of Pakistan during 2011. For this purpose, spatio-temporal distribution of dengue in Islamabad, Rawalpindi, Lahore, and Karachi has been taken into account. According to the available data, the factors responsible for this spread includes climate covariates like rainfall, temperature, and wind speed; social covariates like population, and area of locality, and environmental risk factors like drainage pattern and geo-hydrological conditions. Reported dengue cases from localities and Shuttle Radar Topography Mission (SRTM) 90 m digital elevation model (DEM) of study areas have been processed for hotspots, regression model and stream density in the localities of high dengue incidence. The relationship of daily dengue incidence with climate covariates during the months of July-October of the study year is analyzed. Results show that each dry spell of 2-4 days provides suitable conditions for the development and survival of dengue vectors during the wet months of July and August in the areas of high stream density and population. Very few cases have been reported in July while higher number of cases reported in the months of August, September, until late October. Hotspot analysis highlights the areas of high dengue incidence while regression analysis shows the relationship between the population and the areas of localities with the dengue incidence.

  16. Pakistan strong industrial base urged for economic progress

    CERN Multimedia

    2001-01-01

    A conference organized by Pakistan Nuclear Society urged that Pakistan should develop a strong industrial base and capability to export equipment for economic progress. The chairmen of PAEC pointed out that Pakistan is already showing remarkable progress in export of science-related equipment to CERN. He also asked scientists to wage a war against Pakistans inability to acquire indigenous technology (1 page).

  17. Security and the Environment in Pakistan

    Science.gov (United States)

    2010-08-03

    persons (IDPs), are among the most food insecure in Pakistan.31 25 FAO , “Nutrition and Consumer...Pakistan........................................ 13 Demographics and Food Insecurity ...water Decline in human health Food insecurity Increased migration Increased social tension Potential threats to security and stability, such as Risk

  18. Female Suicide Rates in Ghizer, Pakistan

    Science.gov (United States)

    Khan, Murad M.; Ahmed, Aziz; Khan, Sultan R.

    2009-01-01

    Suicide is an understudied subject in Pakistan. There are many social, legal, and religious sanctions against it. National rates of suicides are not known. We calculated suicide rates of women in the Ghizer District of the remote Northern Areas of Pakistan. During years 2000 to 2004, 49 women committed suicide. Taking average mean population for…

  19. Higher Education and Women's Empowerment in Pakistan

    Science.gov (United States)

    Malik, Samina; Courtney, Kathy

    2011-01-01

    This paper summarises the findings of a 2005 doctoral study by Malik which explored to what extent participation in higher education offers empowerment to women in Pakistan. A survey instrument was used to question female faculty members and female students from 10 public universities in Pakistan; 1290 students and 290 faculty members responded.…

  20. Anatomy Education Faces Challenges in Pakistan

    Science.gov (United States)

    Memon, Ismail K.

    2009-01-01

    Anatomy education in Pakistan is facing many of the same challenges as in other parts of the world. Roughly, a decade ago, all medical and dental colleges in Pakistan emphasized anatomy as a core basic discipline within a traditional medical science curriculum. Now institutions are adopting problem based learning (PBL) teaching philosophies, and…

  1. Higher Education and Women's Empowerment in Pakistan

    Science.gov (United States)

    Malik, Samina; Courtney, Kathy

    2011-01-01

    This paper summarises the findings of a 2005 doctoral study by Malik which explored to what extent participation in higher education offers empowerment to women in Pakistan. A survey instrument was used to question female faculty members and female students from 10 public universities in Pakistan; 1290 students and 290 faculty members responded.…

  2. Expanding the collaboration between CERN and Pakistan

    CERN Multimedia

    2002-01-01

    Parvez Butt, chairman of the Pakistan Atomic Energy Commission, and CERN Director General, Luciano Maiani, signed a letter of intent last week to expand collaboration. Through an agreement which should be formalized within a few months, Pakistan would make a substantial contribution to the LHC and its detectors, coordinated by the Pakistani National Centre of Physics.

  3. Balochistan basin of Pakistan deserves a second look

    Energy Technology Data Exchange (ETDEWEB)

    Quadri, V.N.; Quadri, S.M.G.J.

    1996-09-23

    The event of UMC Pakistan, a unit of United Meridian Corp. of Houston, obtaining an exploration license covering 7,480 sq km in the Gwadar district off Makran in the Balochistan basin is good news. The extent of exploration surveys and drilling place this 300,000 sq km basin in the frontier category with confidence in the area speculative due to inadequate data, although hydrocarbon potential may be regarded as moderate to high by comparison with its analogs in other parts of the world. However, the presence along the Makran coast of spectacular volcanoes spewing gas charged water, if not anything else, justifies a second look, or rather a first for some parts, at the Balochistan basin. The paper describes the tectonics and geology, exploration results, source rocks, reservoir rocks, and play types.

  4. JPRS Report Near East & South Asia, Pakistan.

    Science.gov (United States)

    1993-08-11

    was also a physical reflection of his nerve . He was not one to decide, dither, come unstuck, remain undecided, and then crawl under his bed. It was...for himself. "And, at that stage, the future dictator, much celebrated for his nerves of steel, could only order his generals, ’OK, now, go ahead...any. As a result, megacities like Karachi, home to all linguistic and ethnic groups turn into festering cauldrons of hate and frenzy because these

  5. Risk Forecasting of Karachi Stock Exchange: A Comparison of Classical and Bayesian GARCH Models

    Directory of Open Access Journals (Sweden)

    Farhat Iqbal

    2016-09-01

    Full Text Available This paper is concerned with the estimation, forecasting and evaluation of Value-at-Risk (VaR of Karachi Stock Exchange before and after the global financial crisis of 2008 using Bayesian method. The generalized autoregressive conditional heteroscedastic (GARCH models under the assumption of normal and heavy-tailed errors are used to forecast one-day-ahead risk estimates. Various measures and backtesting methods are employed to evaluate VaR forecasts. The observed number of VaR violations using Bayesian method is found close to the expected number of violations. The losses are also found smaller than the competing Maximum Likelihood method. The results showed that the Bayesian method produce accurate and reliable VaR forecasts and can be preferred over other methods. 

  6. A survey of antibiotic resistance among E. coli strains isolated from poultry in Karachi.

    Science.gov (United States)

    Ansari, F A; Khatoon, H

    1999-01-01

    Studies were carried out to investigate the incidence of multiple antibiotic resistance among E .coli (total 152) isolated from poultry in Karachi to eight commonly used antibiotics: ampicillin (A), chloramphenicol (C), gentamycin (G), anamycin (K), neomycin (N), polymyxin B (P), streptomycin (S) and tetracycline (T) at the levels of 50 microg/ml, 100 microg/ml and 500 microg/ml. Tables of the results are given, showing the number of resistant strains of different patterns of antibiotic resistance at different levels. A comparison of antibiotic resistance to different number of antibiotics and the frequency of resistance to individual antibiotic at different levels is also reported. The highest frequency of resistance was against tetracycline whereas the lowest frequency of resistance was against gentamycin. Thirty R plasmids were isolated from the resistant strains and will be reported elsewhere.

  7. Test Of Capital Asset Pricing Model On Stocks At Karachi Stock Exchange

    Directory of Open Access Journals (Sweden)

    Arbab Khalid Cheema

    2010-12-01

    Full Text Available This paper attempts to empirically test the single-factor CAPM developed by Sharpe (1964, Lintner (1965 and Jan Mossin (1966 and others, which proposes that the expected returns of capital assets are dependent on their risk relative to the entire market which is quantified by a correlation co-efficient between asset returns and market returns. The test of 20 stocks at Karachi Stock Exchange have shown that though, the beta co-efficients are significant, their strength is considerably weak. Therefore, other factors which are unaccounted for in this model are important in determining risk and return. In addition, betas are less relevant in a volatile emerging capital markets like the KSE. Thus, the multi-factor models are better than the classical CAPM at determining the risk-return relationship. However, the single-factor CAPM remains in practice beacause of its simplicity.

  8. Occupation Stress and Coping Mechanism to Increase Job Satisfaction Amount Supervisors at Karachi Pharmaceuticals

    Directory of Open Access Journals (Sweden)

    Mohammad Ahmed Khan

    2007-01-01

    Full Text Available This research explores the extent of stress and coping mechanism, in pharmaceuticals based in Korangi and other industrial areas in Karachi. The research is based on a previous study conducted by MA Khan (2006. The findings substantiate the view that coping mechanism increases job satisfaction of supervisors in the sampled firms. The design of the research is based on the measurement of the Organizational Stress Index. The data collected and analyzed is both from national and multinational pharmaceutical companies.Major causes of job stress have been identified as task demand, role demand and organizational structure. In Korangi area there is no significant difference in overall stress and job satisfaction levels between national and multinational pharmas. In the non Korangi sample job satisfaction is higher and job stress level in the multinationals is lower than in national pharmas.

  9. A Fresh Start For Pakistan

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    After a yearlong political standoff,the country elects a new prime minister Pakistan has been in turmoil since 2007.With deadly incidents strik- ing the country from time to time,"bombing,""assassination"and"state of emergency"have become the defining themes of its political life.The per- sistent chaos,in the final analysis,is attrib- utable to Pakistan’s elections. Various opposition forces attempted to take this opportunity to create trouble and force President Pervez Musharraf to step

  10. Pakistan-beyond your expectation

    Institute of Scientific and Technical Information of China (English)

    Jason Liu

    2004-01-01

    <正> Few Westerners know much about Pakistan beyond media reports of Islamic fundamentalism, communal violence and martial law, but it contains some of Asia’s most mind-blowing landscapes, extraordinary trekking opportunities, a multitude of cultures and a long tradition of hospitality.The China’s neighbouring country is the site of some of the earliest human settlements, home to an ancient civilisation rivalling those of Egypt and Mesopotamia, and the crucible of two of the world’s major religions, Hinduism and Buddhism. You’ll surely get more than what you expected there. .

  11. Impact of today's media on university student's body image in Pakistan: a conservative, developing country's perspective

    Directory of Open Access Journals (Sweden)

    Khan Hussain I

    2011-05-01

    Full Text Available Abstract Background Living in a world greatly controlled by mass media makes it impossible to escape its pervading influence. As media in Pakistan has been free in the true sense of the word for only a few years, its impact on individuals is yet to be assessed. Our study aims to be the first to look at the effect media has on the body image of university students in a conservative, developing country like Pakistan. Also, we introduced the novel concept of body image dissatisfaction as being both negative and positive. Methods A cross-sectional study was conducted among 7 private universities over a period of two weeks in the city of Karachi, Pakistan's largest and most populous city. Convenience sampling was used to select both male and female undergraduate students aged between 18 and 25 and a sample size of 783 was calculated. Results Of the 784 final respondents, 376 (48% were males and 408 (52% females. The mean age of males was 20.77 (+/- 1.85 years and females was 20.38 (+/- 1.63 years. Out of these, 358 (45.6% respondents had a positive BID (body image dissatisfaction score while 426 (54.4% had a negative BID score. Of the respondents who had positive BID scores, 93 (24.7% were male and 265 (65.0% were female. Of the respondents with a negative BID score, 283 (75.3% were male and 143 (35.0% were female. The results for BID vs. media exposure were similar in both high and low peer pressure groups. Low media exposure meant positive BID scores and vice versa in both groups (p Conclusions Our study confirmed the tendency of the media to have an overall negative effect on individuals' body image. A striking feature of our study, however, was the finding that negative body image dissatisfaction was found to be more prevalent in males as compared to females. Likewise, positive BID scores were more prevalent amongst females.

  12. Impact of today's media on university student's body image in Pakistan: a conservative, developing country's perspective.

    Science.gov (United States)

    Khan, Amad N; Khalid, Salema; Khan, Hussain I; Jabeen, Mehnaz

    2011-05-24

    Living in a world greatly controlled by mass media makes it impossible to escape its pervading influence. As media in Pakistan has been free in the true sense of the word for only a few years, its impact on individuals is yet to be assessed. Our study aims to be the first to look at the effect media has on the body image of university students in a conservative, developing country like Pakistan. Also, we introduced the novel concept of body image dissatisfaction as being both negative and positive. A cross-sectional study was conducted among 7 private universities over a period of two weeks in the city of Karachi, Pakistan's largest and most populous city. Convenience sampling was used to select both male and female undergraduate students aged between 18 and 25 and a sample size of 783 was calculated. Of the 784 final respondents, 376 (48%) were males and 408 (52%) females. The mean age of males was 20.77 (+/- 1.85) years and females was 20.38 (+/- 1.63) years. Out of these, 358 (45.6%) respondents had a positive BID (body image dissatisfaction) score while 426 (54.4%) had a negative BID score. Of the respondents who had positive BID scores, 93 (24.7%) were male and 265 (65.0%) were female. Of the respondents with a negative BID score, 283 (75.3%) were male and 143 (35.0%) were female. The results for BID vs. media exposure were similar in both high and low peer pressure groups. Low media exposure meant positive BID scores and vice versa in both groups (p media exposure and negative body image dissatisfaction. Finally, we looked at the association between gender and image dissatisfaction. Again a statistically significant association was found between positive body image dissatisfaction and female gender and negative body image dissatisfaction and male gender (p media to have an overall negative effect on individuals' body image. A striking feature of our study, however, was the finding that negative body image dissatisfaction was found to be more prevalent in

  13. National Disaster Management Authority in Pakistan: Role of Pakistan Army in Disaster Management

    OpenAIRE

    Raza, Ali; Sirajul Haq KANDHRO

    2015-01-01

    Pakistan army as a institution has been playing various role in the development of the country. The history shows that army has played a very significant role in coping up the emergencies facing the nation. Government often turn to military, when there is a natural or man induced disaster in Pakistan. The Armed forces obviously need to be involved in humanitarian emergencies and disaster management operations. The Pakistan army plays a vital role in the disaster management in history of Pakis...

  14. Delivering Better Health Services to Pakistan's Poor

    OpenAIRE

    Belay, Tekabe; Couffinhal, Agnes; Haq, Inaam; Kazi, Shahnaz; Loevinsohn, Benjamin

    2010-01-01

    Pakistan is not on track to achieve most Millennium Development Goals (MDGs) related to health, nutrition and population. Given its current rate of progress, in 2015 Pakistan's infant mortality rate (IMR) will be 65 deaths per 1,000 live births and the under-five mortality rate (U5MR) will be 78, considerably above the MDG4 targets of 33 and 43 deaths per 1000 births respectively. Pakistan will not achieve the MDG related to nutrition. The review aims to develop a limited set of practical opt...

  15. Malpractice awareness among surgeons at a teaching hospital in Pakistan.

    Science.gov (United States)

    Sheikh, Asfandyar; Ali, Sajid; Ejaz, Sadaf; Farooqi, Marium; Ahmed, Syed Salman; Jawaid, Imran

    2012-11-06

    The duty of a doctor to take care presumes the person who offers medical advice and treatment to unequivocally possess the skills and knowledge to do so. However, a sense of responsibility cannot be guaranteed in the absence of accountability, which in turn requires a comprehensive medical law system to be in place. Such a system is almost non-existent in Pakistan. Keeping the above in mind, we designed this study to assess the knowledge, attitudes and practices of surgeons regarding malpractice at a tertiary care center in Pakistan. This was an observational, cross-sectional, questionnaire-based study conducted during a three month period from 31st March, 2012 to 30th June, 2012 at Civil Hospital, Karachi. Surgeons who were available during the period of our study and had been working in the hospital for at least 6 months were included. Self-administered questionnaires were distributed after seeking informed, written consent. The specialties included were general surgery, cardiothoracic surgery, neurosurgery, ophthalmology, otolaryngology, plastic surgery, pediatric surgery, orthopedic surgery, oral and maxillofacial surgery and gynecology and obstetrics. The study questionnaire comprised of four sections. The first section was concerned with the demographics of the surgeons. The second section analyzed the knowledge of the respondents regarding professional negligence and malpractice. The third section assessed the attitudes surgeons with regard to malpractice. The last section dealt with the general and specific practices and experiences of surgeons regarding malpractice. Of the 319 surgeons interviewed, 68.7% were oblivious of the complete definition of malpractice. Leaving foreign objects inside the patient (79.6%) was the most commonly agreed upon form of malpractice, whereas failure to break news in entirety (43.9%) was most frequently disagreed. In the event of a medical error, majority (67.7%) were ready to disclose their error to the patient. The most

  16. Malpractice awareness among surgeons at a teaching hospital in Pakistan

    Directory of Open Access Journals (Sweden)

    Sheikh Asfandyar

    2012-11-01

    Full Text Available Abstract Background The duty of a doctor to take care presumes the person who offers medical advice and treatment to unequivocally possess the skills and knowledge to do so. However, a sense of responsibility cannot be guaranteed in the absence of accountability, which in turn requires a comprehensive medical law system to be in place. Such a system is almost non-existent in Pakistan. Keeping the above in mind, we designed this study to assess the knowledge, attitudes and practices of surgeons regarding malpractice at a tertiary care center in Pakistan. Methods This was an observational, cross-sectional, questionnaire-based study conducted during a three month period from 31st March, 2012 to 30th June, 2012 at Civil Hospital, Karachi. Surgeons who were available during the period of our study and had been working in the hospital for at least 6 months were included. Self-administered questionnaires were distributed after seeking informed, written consent. The specialties included were general surgery, cardiothoracic surgery, neurosurgery, ophthalmology, otolaryngology, plastic surgery, pediatric surgery, orthopedic surgery, oral and maxillofacial surgery and gynecology and obstetrics. The study questionnaire comprised of four sections. The first section was concerned with the demographics of the surgeons. The second section analyzed the knowledge of the respondents regarding professional negligence and malpractice. The third section assessed the attitudes surgeons with regard to malpractice. The last section dealt with the general and specific practices and experiences of surgeons regarding malpractice. Results Of the 319 surgeons interviewed, 68.7% were oblivious of the complete definition of malpractice. Leaving foreign objects inside the patient (79.6% was the most commonly agreed upon form of malpractice, whereas failure to break news in entirety (43.9% was most frequently disagreed. In the event of a medical error, majority (67.7% were ready

  17. Rationale, design, and cohort enrolment of a prospective observational study of the clinical performance of the new contraceptive implant (Femplant in Pakistan

    Directory of Open Access Journals (Sweden)

    Azmat SK

    2014-05-01

    Full Text Available Syed Khurram Azmat,1 Waqas Hameed,1 Anja Lendvay,2 Babar Tasneem Shaikh,3 Ghulam Mustafa,1 Muhammad Ahmed Siddiqui,1 Sajid Brohi,1 Asif Karim,1 Muhammad Ishaque,1 Wajahat Hussain,1 Mohsina Bilgrami,1 Paul J Feldblum2 1Research, Monitoring and Evaluation Department, Marie Stopes Society, Karachi, Pakistan; 2FHI 360, Durham, NC, USA; 3Health Services Academy, Islamabad, Pakistan Introduction: The use of hormonal implants has gained positive traction in family planning programs in recent times. Compared to other popular methods, such as long-term reversible intrauterine devices, the use of hormonal implants as a family planning method has distinct advantages in terms of long-term efficiency and better user compliance and availability. This paper presents a study protocol to document and evaluate the efficacy, safety, and acceptability of Femplant (contraceptive implant in Pakistan during the first year of its use among married women of reproductive age (18–44 years at clinics in two provinces of Pakistan (Sindh and Punjab. Materials and methods: A total of 724 married women were enrolled in a noncomparative prospective observational study. The study involved six government clinics from the Population Welfare Department in Sindh Province and 13 clinics run by the Marie Stopes Society (a local nongovernmental organization in both provinces. The participation of women was subject to voluntary acceptance and medical eligibility. All respondents were interviewed at baseline and subsequently at each scheduled visit during the study period. Side effects, complications and adverse events, if any, were recorded for every participant at each visit to the facility. Discussion: Over the next 5-year period (2013–2018, 27 million hormonal implants will be made available in lower- to middle-income countries by international donors and agencies. The evidence generated from this study will identify factors affecting the acceptability and satisfaction of end

  18. Pakistan prime minister pledges science boost

    CERN Multimedia

    1999-01-01

    Pakistan's prime minister announced plans for a 1 billion rupee (23 million US dollars) investment in science and technology. About half is expected to be spent on research and infrasture, the rest on science education (6 paragraphs).

  19. Lagunenud valitsusega Pakistan vaevleb kriisis / Sandra Maasalu

    Index Scriptorium Estoniae

    Maasalu, Sandra

    2008-01-01

    Ilmunud ka: Postimees : na russkom jazõke 27. aug. 2008, lk. 7. Pakistani valitsuse lagunemisest, kui endine peaminister Navaz Sharif oma parteiga koalitsioonist lahkus. Vt. samas: Pakistani ahistavad separatistid ja majanduse allakäik. Kaart: Pakistan

  20. Violence and vulnerabilities: Afghans in Pakistan

    Directory of Open Access Journals (Sweden)

    Sanaa Alimia

    2014-05-01

    Full Text Available Given that the majority of Afghans who live in Pakistan today are unlikely to return to Afghanistan, more needs to be done to address their vulnerabilities and protect them from harassment and violence.

  1. Lagunenud valitsusega Pakistan vaevleb kriisis / Sandra Maasalu

    Index Scriptorium Estoniae

    Maasalu, Sandra

    2008-01-01

    Ilmunud ka: Postimees : na russkom jazõke 27. aug. 2008, lk. 7. Pakistani valitsuse lagunemisest, kui endine peaminister Navaz Sharif oma parteiga koalitsioonist lahkus. Vt. samas: Pakistani ahistavad separatistid ja majanduse allakäik. Kaart: Pakistan

  2. Prime Minister of Pakistan visits CERN

    CERN Multimedia

    Anaïs Schaeffer

    2016-01-01

    On Saturday, 23 January 2016, CERN welcomed Mr Muhammad Nawaz Sharif, Prime Minister of Pakistan.   From left to right: Minister of Finance Mr Mohammad Ishaq Dar, Prime Minister of the Islamic Republic of Pakistan, Muhammad Nawaz Sharif, CERN Director-General Fabiola Gianotti and CMS national contact physicist Hafeez Hoorani. Mr Muhammad Nawaz Sharif arrived at Point 5 in Cessy, where he was welcomed onto French soil by the sous-préfet of Cessy, Stéphane Donnot, and, representing CERN, Director-General Fabiola Gianotti, Directors Eckhard Elsen and Charlotte Warakaulle, and Rüdiger Voss, the adviser for relations with Pakistan. It was the first visit by a head of government of Pakistan since the country became CERN's latest Associate Member State in July 2015. The Prime Minister then had the opportunity to visit the CMS underground experimental area accompanied by the CMS Spokesperson, Tiziano Camporesi, and the CMS collaboration’...

  3. Reforming mysticism: Sindhi separatist intellectuals in Pakistan

    NARCIS (Netherlands)

    O. Verkaaik

    2010-01-01

    Introduction: Anthropology, Islam, and Pakistan / Magnus Marsden -- Of children and jinns : an enquiry into an unexpected friendship during uncertain times / Naveeda Khan -- The modern businessman and the Pakistani saint : the interpenetration of worlds / Katherine P. Ewing -- Islamic influences on

  4. Determinants of Maternal Mortality in Pakistan

    Directory of Open Access Journals (Sweden)

    Shahida Abbasi

    2015-06-01

    Full Text Available Maternal mortality refers to the death of a woman who dies during pregnancy or within six weeks after delivery. A number of factors contribute to the high maternal mortality ratio around the globe, particularly, in underdeveloped countries. Pakistan has the highest mortality ratio (260 per 100,000 live births in the region and is one of the developing countries which have committed to decrease maternal mortality by 2015, according to the millennium developing goals (MDG 5. However, there are number of factors which made Pakistan unable to achieve the MDG 5 by 2015. In Pakistan there are many factors such as biological, socio-economic, cultural and poor quality of Reproductive Health Services (RHS, which contribute to the alarming figure of Maternal Mortality.. This paper aimed to do an in-depth analysis of the determinants of maternal mortality in Pakistan.

  5. Innovations in Large Classes in Pakistan.

    Science.gov (United States)

    Sarwar, Zakia

    2001-01-01

    Explains innovations taking place in large English-as-a-foreign-language classrooms in Pakistan. Describes a pilot project that investigated ways of bringing out effective learning in large classes. (Author/VWL)

  6. Trends in Books Publication in Pakistan

    OpenAIRE

    Mustafa, Khawaja; Shah, Syed Attaullah

    2007-01-01

    Abstract: Writing and Publishing books in Pakistan is a complex undertaking; and to a large extent devoid of monetary gain. An average 1200 books were published annually during five year period from 2001 to 2005. Most books were published on Islam, Pakistan, Literature, and History. The Social Sciences, Humanities, Science and Technology are more or less been neglected by the Pakistani Authors Strong areas in Authorship: a) Books on Islam were the most favo...

  7. Pakistan: Key Current Issues and Developments

    Science.gov (United States)

    2010-06-01

    Chairman Representative Howard Berman also voiced strong support for the President’s plan to boost civilian assistance efforts in Pakistan and...The Laws of War and the Right to Self-Defense,” Washington Post, April 13, 2010. See Harold Hongju Koh’s March 25, 2010, speech at http...Pakistan-specific legislation in the 111th Congress (P.L. 111-73), also known as the “Kerry-Lugar- Berman ” bill, contains numerous reporting requirements

  8. Security Decision-Making in Pakistan

    Science.gov (United States)

    1980-09-01

    Arrl , and the institution of the Junior Commissioned Officer; this structure, developed by the British is found nowhere else in the world except India...DCO Baluchis, 1911). This is one of many handbooks published by or about various regiments of the Indian Army; they contain a wealth of information...the armed forces of Pakistan in Richard F. Nyrop, et al. Area Handbook for Pakistan, Washington, -211- Government Printing Office, 1975, which has

  9. Adopting Cloud Computing in the Pakistan Navy

    Science.gov (United States)

    2015-06-01

    trafficking, arms smuggling, and piracy . In addition, the Pakistan Navy is participating in various multinational exercises and hosting exercises of...The Pakistan Navy is still in the process of modernization and is upgrading its equipment to conduct counter- piracy and counterterrorism operations...drives from its data center will be sold on some online store like eBay or Amazon, thus causing consumers to lose control over their data. Data

  10. On Overinvoicing of Exports in Pakistan

    OpenAIRE

    Zafar Mahmood; Mohammad Azhar

    2001-01-01

    Whereas the policy incentives were designed to promote exports from Pakistan, the incentive system instead led to illicit export practices, i.e., export overinvoicing due to the weaknesses of implementation. Such practices resulted in a significant financial loss to the country and undermined the effectiveness of the export-promoting policy. This paper has determined the presence of overinvoicing of exports in Pakistan and the geographic and product-wise patterns in export overinvoicing. The ...

  11. Political Instability and Inflation in Pakistan

    OpenAIRE

    Khan, Safdar Ullah; Saqib, Omar Farooq

    2008-01-01

    This study investigates the effects of political instability on inflation in Pakistan. Applying the Generalized Method of Moments and using data from 1951-2007, we examine this link in two different models. The results of the ‘monetary’ model suggest that the effects of monetary determinants are rather marginal and that they depend upon the political environment of Pakistan. The ‘nonmonetary’ model’s findings explicitly establish a positive association between measures of political instabilit...

  12. Pakistan: Ascending a Path through Regional Turmoil

    Science.gov (United States)

    2013-03-01

    the main trade route between Afghanistan and the Indian sub- continent (the ancient Silk Road). More recently, it has also been a conduit for...Rashid, Pakistan on the Brink, 197. 65 Pande, Explaining Pakistan’s Foreign Policy, 132. 66 Rashid, Pakistan on the Brink, 199. 67 From Persia to...Iran: The Iran Neighborhood, Friend or Foe, http://www.pakalertpress.com/2012/06/14/from- persia -to-iran-the-iran-neighborhood-friend-or- foe

  13. Co-integration of Karachi stock exchange with major Asian markets

    Directory of Open Access Journals (Sweden)

    Asma Sarfraz

    2012-10-01

    Full Text Available The purpose of this research is to study the long run relationships and co movement amongthe stock markets of Pakistan and other Asian stock marketsi.e.India,Malaysiaand Indonesia.Overthe period of Jan 1,1998 to October 3,2011.This paper examines the co-movement among stockmarkets of Pakistan,India,Malaysia and Indonesia.Descriptive statistics,correlation,co-integrationtests are run to check the behavior and co movement of markets.Granger causality test is used tocheck the lead lag relationship.Impulse response tells about the one standard deviation change inmarket bring what standard deviation change in other market.Variance decomposition technique isused to decompose the variance in one market due to change in another market and due to its owndynamicsi.e.economic and political conditions also affect the market.The results shows that the fourmarkets Pakistan,India,Malaysia and Indonesia areweakly correlated with each other and find noco-integration.Variance decomposition shows that most of the change in above listed countries is dueto their own factors.Number of studies has been conducted on developed markets like United Statesof America,United Kingdom,France,Japan Canada and underdeveloped countries,but this paperfocuses on emerging markets of Asia.

  14. Drug-prescribing patterns during pregnancy in the tertiary care hospitals of Pakistan: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Shaikh Abdul M

    2008-07-01

    Full Text Available Abstract Background The rationale for use of drugs during pregnancy requires a careful assessment as in addition to the mother, the health and life of her unborn child is also at stake. Information on the use of drugs during pregnancy is not available in Pakistan. The aim of this study was to evaluate the patterns of drug prescriptions to pregnant women in tertiary care hospitals of Pakistan. Methods This was a cross-sectional study conducted at five tertiary care hospitals of Pakistan. Copies of outpatient medicinal prescriptions given to pregnant patients attending the antenatal clinics were collected. The drugs were classified according to the pharmacological class and their teratogenic potential. Results All the pregnant women attending the antenatal clinics received a prescription containing at least one drug. A total of 3769 distinct prescriptions given to different women were collected. Majority of the women who received the prescriptions belonged to third trimester (55.4% followed by second (33.6% and first trimester (11.0%. On an average, each prescription contained 1.66 ± 0.14 drugs. The obstetricians at Civil Hospital, Karachi and Chandka Medical College Hospital, Larkana showed a tendency of prescribing lesser number of drugs compared to those in other hospitals. Anti-anemic drugs including iron preparations and vitamin and mineral supplements (79.4% were the most frequently prescribed drugs followed by analgesics (6.2% and anti-bacterials (2.2%. 739 women (19.6% received prescriptions containing drugs other than vitamin or mineral supplements. Only 1275 (21.6% of all the prescribed drugs (n = 6100 were outside this vitamin/mineral supplement class. Out of these 1275 drugs, 29 (2.3% drugs were prescribed which are considered to be teratogenic. Misoprostol was the most frequently prescribed (n = 6 among the teratogenic drugs followed by carbimazole (n = 5 and methotrexate (n = 5. Twenty nine pregnant women (0.8% of all the women

  15. Wind energy in Balochistan (Pakistan)

    Energy Technology Data Exchange (ETDEWEB)

    Nasir, S.M.; Raza, S.M.; Abidi, S.B.H. (Balochistan Univ., Quetta (PK). Dept. of Physics)

    1991-01-01

    The wind energy potentials in Balochistan, Pakistan are examined using 3-hourly wind data from 16 stations scattered all over the province. The speed duration and frequency curves for each observatory are represented graphically, to read the extreme wind speed and total number of hours for a particular wind speed every year. Annual mean wind speed for a period of 5 years, energy and power are determined for each location; the mean wind speed ranging from 1 to 1.8m/s and 2 to 3.2m/s for different locations are mentioned against each station. The analysis of this data indicates that the wind energy potentials in some locations are very high. These high potential areas are more useful and suitable for the use of wind energy for windmills and electricity for light for scattered populations. (author).

  16. HIV and homosexuality in Pakistan.

    Science.gov (United States)

    Rajabali, Alefiyah; Khan, Saeed; Warraich, Haider J; Khanani, Mohammad R; Ali, Syed H

    2008-08-01

    In Pakistan, seven times more men are reported to be infected with HIV than women. Among the Pakistani population, modes of HIV transmission include infection through sexual contact, contaminated blood and blood products, injecting drug use, and mother-to-child transmission. Although most sexual transmission of HIV results from unsafe heterosexual contact, homosexual and bisexual contact also represent important modes of transmission. According to unpublished reports, the prevalence of HIV among homosexual and bisexual Pakistani men is reaching alarming proportions. We describe the Pakistani homosexual and bisexual culture, review statistics regarding HIV prevalence and risk behaviour, and identify areas of improvement in the HIV policy with specific focus on men who have sex with men.

  17. Does academic assessment system type affect levels of academic stress in medical students? A cross-sectional study from Pakistan.

    Science.gov (United States)

    Ali, Madiha; Asim, Hamna; Edhi, Ahmed Iqbal; Hashmi, Muhammad Daniyal; Khan, Muhammad Shahjahan; Naz, Farah; Qaiser, Kanza Noor; Qureshi, Sidra Masud; Zahid, Mohammad Faizan; Jehan, Imtiaz

    2015-01-01

    Stress among medical students induced by academic pressures is on the rise among the student population in Pakistan and other parts of the world. Our study examined the relationship between two different systems employed to assess academic performance and the levels of stress among students at two different medical schools in Karachi, Pakistan. A sample consisting of 387 medical students enrolled in pre-clinical years was taken from two universities, one employing the semester examination system with grade point average (GPA) scores (a tiered system) and the other employing an annual examination system with only pass/fail grading. A pre-designed, self-administered questionnaire was distributed. Test anxiety levels were assessed by The Westside Test Anxiety Scale (WTAS). Overall stress was evaluated using the Perceived Stress Scale (PSS). There were 82 males and 301 females while four did not respond to the gender question. The mean age of the entire cohort was 19.7 ± 1.0 years. A total of 98 participants were from the pass/fail assessment system while 289 were from the GPA system. There was a higher proportion of females in the GPA system (85% vs. 59%; p Students in the pass/fail assessment system had a lower score on the WTAS (2.4 ± 0.8 vs. 2.8 ± 0.7; p = 0.01) and the PSS (17.0 ± 6.7 vs. 20.3 ± 6.8; p stress than in students enrolled in the GPA assessment system. More students in the pass/fail system were satisfied with their performance than those in the GPA system. Based on the present study, we suggest governing bodies to revise and employ a uniform assessment system for all the medical colleges to improve student academic performance and at the same time reduce stress levels. Our results indicate that the pass/fail assessment system accomplishes these objectives.

  18. Self-Perceived Health among School Going Adolescents in Pakistan: Influence of Individual, Parental and Life Style Factors?

    Science.gov (United States)

    Afridi, Asad Ali Khan; Motwani, Komal; Khawaja, Saleem; Khoja, Adeel A; Fatmi, Zafar; Azam, Iqbal; Kadir, Muhammad Masood

    2013-01-01

    Background: Adolescents are at substantial risk of acquiring behaviors which might influence their health status. This study was aimed to assess the proportion of school going adolescents (both males and females) with poor self-perceived health and its associated factors. Methodology: A cross-sectional study was conducted in three major cities of Pakistan i.e. Karachi, Lahore and Quetta. From each city, six (6) secondary schools were randomly selected (3 public and 3 private). Pre-tested, self-administered questionnaire was distributed to students. Binary logistic regression analysis was conducted to determine independent factors associated with poor self-perceived health. Results: Approximately 29% adolescents (119/414) reported poor self-perceived health. Individual and parental factors significantly associated with poor self-perceived health were being male (AOR = 1.75, 95% CI: 1.09 – 2.79), living in extended family (AOR = 2.65, 95% CI: 1.66 – 4.22), unskilled employment of father (AOR = 2.17, 95% CI: 1.35 – 3.48), lack of parental-child communication (AOR = 1.74, 95% CI: 1.03 – 2.91) and unfair treatment by parents (AOR = 1.80, 95% CI: 1.09 – 2.96). Life style factors such as use of smokeless tobacco (AOR = 2.14, 95% CI: 1.26 – 3.96) and unhealthy diet (AOR = 3.60, 95% CI: 1.76 – 7.33) were associated with poor self-perceived health. Conclusion: Better employment opportunities for father, parental counseling and increase awareness for adolescents about healthy diet are recommended to improve adolescent self-perceived health in Pakistan. PMID:23777723

  19. Scanning electron microscopy analysis of hair index on Karachi's population for social and professional appearance enhancement.

    Science.gov (United States)

    Ali, N; Zohra, R R; Qader, S A U; Mumtaz, M

    2015-06-01

    Hair texture, appearance and pigment play an important role in social and professional communication and maintaining an overall appearance. This study was especially designed for morphological assessment of hair damage caused to Karachi's population due to natural factors and cosmetic treatments using scanning electron microscopy (SEM) technique. Hair samples under the study of synthetic factor's effect were given several cosmetic treatments (hot straightened, bleached, synthetic dyed and henna dyed) whereas samples under natural factor's effect (variation in gender, age and pigmentation) were left untreated. Morphological assessment was performed using SEM technique. Results obtained were statistically analysed using minitab 16 and spss 18 softwares. Scanning electron microscopy images revealed less number of cuticular scales in males than females of same age although size of cuticular scales was found to be larger in males than in females. Mean hair index of white hair was greater than black hair of the same head as it is comparatively newly originated. Tukey's method revealed that among cosmetic treatments, bleaching and synthetic henna caused most of the damage to the hair. Statistical evaluation of results obtained from SEM analysis revealed that human scalp hair index show morphological variation with respect to age, gender, hair pigmentation, chemical and physical treatments. Individuals opting for cosmetic treatments could clearly visualize the extent of hair damage these may cause in long run. © 2015 Society of Cosmetic Scientists and the Société Française de Cosmétologie.

  20. Adherence to the European Society of Cardiology (ESC) guidelines for chronic heart failure - A national survey of the cardiologists in Pakistan

    Science.gov (United States)

    2011-01-01

    Background The aims of this study were to evaluate the awareness of and attitudes towards the 2005 European Society of Cardiology (ESC) guidelines for Heart Failure (HF) of the cardiologists in Pakistan and assess barriers to adherence to guidelines. Methods A cross-sectional survey was conducted in person from March to July 2009 to all cardiologists practicing in 4 major cities in Pakistan (Karachi, Lahore, Quetta and Peshawar). A validated, semi-structured questionnaire assessing ESC 2005 Guidelines for HF was used to obtain information from cardiologists. It included questions about awareness and relevance of HF guidelines (See Additional File 1). Respondents' management choices were compared with those of an expert panel based on the guidelines for three fictitious patient cases. Cardiologists were also asked about major barriers to adherence to guidelines. Results A total of 372 cardiologists were approached; 305 consented to participate (overall response rate, 82.0%). The survey showed a very high awareness of CHF guidelines; 97.4% aware of any guideline. About 13.8% considered ESC guidelines as relevant or very relevant for guiding treatment decisions while 92.8% chose AHA guidelines in relevance. 87.2% of respondents perceived that they adhered to the HF guidelines. For the patient cases, the proportions of respondents who made recommendations that completely matched those of the guidelines were 7% (Scenario 1), 0% (Scenario 2) and 20% (Scenario 3). Respondents considered patient compliance (59%) and cost/health economics (50%) as major barriers to guideline implementation. Conclusion We found important self reported departures from recommended HF management guidelines among cardiologists of Pakistan. PMID:22093082

  1. Adherence to the European Society of Cardiology (ESC guidelines for chronic heart failure - A national survey of the cardiologists in Pakistan

    Directory of Open Access Journals (Sweden)

    Shoukat Sana

    2011-11-01

    Full Text Available Abstract Background The aims of this study were to evaluate the awareness of and attitudes towards the 2005 European Society of Cardiology (ESC guidelines for Heart Failure (HF of the cardiologists in Pakistan and assess barriers to adherence to guidelines. Methods A cross-sectional survey was conducted in person from March to July 2009 to all cardiologists practicing in 4 major cities in Pakistan (Karachi, Lahore, Quetta and Peshawar. A validated, semi-structured questionnaire assessing ESC 2005 Guidelines for HF was used to obtain information from cardiologists. It included questions about awareness and relevance of HF guidelines (See Additional File 1. Respondents' management choices were compared with those of an expert panel based on the guidelines for three fictitious patient cases. Cardiologists were also asked about major barriers to adherence to guidelines. Additional file 1 Questionnaire. Description: Questionnaire that was administered to participants. Click here for file Results A total of 372 cardiologists were approached; 305 consented to participate (overall response rate, 82.0%. The survey showed a very high awareness of CHF guidelines; 97.4% aware of any guideline. About 13.8% considered ESC guidelines as relevant or very relevant for guiding treatment decisions while 92.8% chose AHA guidelines in relevance. 87.2% of respondents perceived that they adhered to the HF guidelines. For the patient cases, the proportions of respondents who made recommendations that completely matched those of the guidelines were 7% (Scenario 1, 0% (Scenario 2 and 20% (Scenario 3. Respondents considered patient compliance (59% and cost/health economics (50% as major barriers to guideline implementation. Conclusion We found important self reported departures from recommended HF management guidelines among cardiologists of Pakistan.

  2. Differences in various biochemical and clinical parameters with respect to family history of Non Communicable Diseases in fourth year MBBS students of Karachi, Pakistan

    Science.gov (United States)

    Basit, Khalid Abdul; Fawwad, Asher; Munir, Muhammad Asadullah; Siddiqui, Iftikhar Ahmed; Siddiqui, Sidra; Basit, Abdul

    2015-01-01

    Objective: To observe the differences of various biochemical and clinical parameters with respect to Family History (FH) of Non-communicable Diseases (NCDs) in fourth year Bachelor of Medicine, Bachelor of Surgery (MBBS) students. Methods: This observational study was conducted at Baqai Institute of Diabetology & Endocrinology from December 2013 to January 2014. Total 50 medical students from Dow University of Health Sciences (DUHS) participated in the study. Statistical Package for Social Sciences (SPSS) version 13 was used to analyze the data. For cross tabulation and mean comparison z-test and t test were applied. Results: Out of 50 subjects, there were 26 (52%) females. Mean age of the study population was 21.56 ± 0.90 years. Mean serum cholesterol levels with positive FH of NCDs was significantly higher than negative FH of NCDs (p=0.005). Mean value of low density lipoprotein (LDL) of positive family history of NCDs was found higher than those with negative FH (p=0.006) being statistically significant. The insulin levels in subjects with positive FH of NCDs were higher than subjects with negative FH of NCDs (p=0.685). However, serum leptin and plasma renin showed no significant difference with the negative FH of NCDs being higher compared to positive FH of NCDs (p=0.068) and (p=0.884) respectively. However, Waist circumference, Body mass index and central obesity in subjects with positive FH of NCDs shows increasing trend but no statistically significant difference (p > 0.05) was observed. Conclusion: In our study of various biochemical and clinical parameters with respect to FH of NCDs, Serum Cholesterol and LDL levels were observed higher and statistically significant. PMID:26430439

  3. Effectiveness of counseling for anxiety and depression in mothers of children ages 0-30 months by community workers in Karachi, Pakistan: a quasi experimental study

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    Azam Iqbal S

    2010-07-01

    Full Text Available Abstract Background The prevalence of anxiety/depression is quite high during the perinatal period but unfortunately its detection and treatment have been less than satisfactory. Moreover, many women are reluctant to take pharmacotherapy for fear of excretion of drugs into their breast milk. This study assesses the effectiveness of counseling from minimally trained community health workers in reducing anxiety/depression, the rate of recurrence and the interval preceding recurrence in women during first two and a half years after childbirth. Methods In a quasi-experimental study, community women from two under-privileged communities were trained in data gathering, teaching healthy child-rearing practices, basic counseling skills, and screening for anxiety/depression by using an indigenously developed questionnaire, the Aga Khan University Anxiety and Depression Scale (AKUADS. The diagnosis was further confirmed by a clinical psychologist using DSM IV criteria. After obtaining consent, 420 women were screened and 102 were identified as having anxiety/depression. Screening was carried out after 1, 2, 6, 12, 18, 24 and 30 months of a live birth. Only 62 out of 102 agreed to be counseled and received eight weekly sessions. AKUADS was re-administered at 4 weeks and 8 weeks after the beginning of counseling; this was followed by the clinical psychologist's interview for confirmation of response. After recovery, screening was continued every 3 months for detection of recurrence throughout the study period. Out of the women who had declined counseling 12 agreed to retake AKUADS after 4 and 8 weeks of diagnosis. Independent samples t-test, chi-square test, Repeated Measures ANOVA and Kaplan Meier technique were used for the analysis. Results A significant decline in level of anxiety/depression was found in both the counseled and the non-counseled groups at 4 and 8 weeks (p-value Conclusions As our results cannot be generalized; further studies need to be carried out, to assess the benefit of incorporating minimal counseling skills in the training of community health workers.

  4. Differences in various biochemical and clinical parameters with respect to family history of Non Communicable Diseases in fourth year MBBS students of Karachi, Pakistan.

    Science.gov (United States)

    Basit, Khalid Abdul; Fawwad, Asher; Munir, Muhammad Asadullah; Siddiqui, Iftikhar Ahmed; Siddiqui, Sidra; Basit, Abdul

    2015-01-01

    To observe the differences of various biochemical and clinical parameters with respect to Family History (FH) of Non-communicable Diseases (NCDs) in fourth year Bachelor of Medicine, Bachelor of Surgery (MBBS) students. This observational study was conducted at Baqai Institute of Diabetology & Endocrinology from December 2013 to January 2014. Total 50 medical students from Dow University of Health Sciences (DUHS) participated in the study. Statistical Package for Social Sciences (SPSS) version 13 was used to analyze the data. For cross tabulation and mean comparison z-test and t test were applied. Out of 50 subjects, there were 26 (52%) females. Mean age of the study population was 21.56 ± 0.90 years. Mean serum cholesterol levels with positive FH of NCDs was significantly higher than negative FH of NCDs (p=0.005). Mean value of low density lipoprotein (LDL) of positive family history of NCDs was found higher than those with negative FH (p=0.006) being statistically significant. The insulin levels in subjects with positive FH of NCDs were higher than subjects with negative FH of NCDs (p=0.685). However, serum leptin and plasma renin showed no significant difference with the negative FH of NCDs being higher compared to positive FH of NCDs (p=0.068) and (p=0.884) respectively. However, Waist circumference, Body mass index and central obesity in subjects with positive FH of NCDs shows increasing trend but no statistically significant difference (p > 0.05) was observed. In our study of various biochemical and clinical parameters with respect to FH of NCDs, Serum Cholesterol and LDL levels were observed higher and statistically significant.

  5. Crimean-Congo hemorrhagic fever nosocomial infection in a immunosuppressed patient, Pakistan: case report and virological investigation.

    Science.gov (United States)

    Hasan, Zahra; Mahmood, Faisal; Jamil, Bushra; Atkinson, Barry; Mohammed, Murtaza; Samreen, Azra; Altaf, Lamia; Moatter, Tariq; Hewson, Roger

    2013-03-01

    Crimean-Congo hemorrhagic fever (CCHF) is endemic in the Baluchistan province, Pakistan. Sporadic outbreaks of CCHF occur throughout the year especially in individuals in contact with infected livestock. Nosocomial transmission remains a risk due to difficulties in the diagnosis of CCHF and limited availability of facilities for the isolation of suspected patients. Rapid diagnosis of CCHF virus infection is required for early management of the disease and to prevent transmission. This study describes the case of a 43-year-old surgeon who contracted CCHF during a surgical procedure in Quetta, Baluchistan and who was transferred to a tertiary care facility at the Aga Khan University Hospital, Karachi within 1 week of contracting the infection. Diagnosis of CCHF was made using a rapid real-time reverse transcription polymerase chain reaction (RT-PCR) assay for CCHF viral RNA. The patient had chronic hepatitis B and hepatitis D infection for which he had previously received a liver transplant. He proceeded to develop classic hemorrhagic manifestations and succumbed to the infection 14 days post-onset of disease. There was no further nosocomial transmission of the CCHF during the hospital treatment of the surgeon. Early diagnosis of CCHF enables rapid engagement of appropriate isolation, barrier nursing and infection control measures thus preventing nosocomial transmission of the virus.

  6. Mixed Salmonella infection: a report of two cases from the Aga Khan University Hospital, Karachi.

    Science.gov (United States)

    Sultan, Binish Arif; Fasih, Naima; Qaiser, Saba; Khan, Erum; Zafar, Afia; Irfan, Seema

    2013-04-01

    Enteric fever remains a major health problem in the developing world, including Pakistan. Poor sanitation and hygienic conditions are the major predisposing factors. Salmonella infection with different strains in the same patient has rarely been reported previously. We are reporting two cases of bacteraemia with simultaneous detection of two strains of Salmonella in a single episode of infection. In both the cases, 2 different serotypes of Salmonella were causing bacteraemia leading to fever. In highly endemic area, one must be aware of mixed Salmonella infections as inappropriate diagnosis of such infections may lead to treatment failure.

  7. EFA in Pakistan: Struggle for Upgrading Literacy

    Directory of Open Access Journals (Sweden)

    Dr. Mumtaz Ahmad

    2011-07-01

    Full Text Available Literacy is an instrument of stability within and among countries and thus may prove an indispensable means of effective participation in the societies and (the economies of today’s world. Eradication of illiteracy from the world is an important agenda of UNESCO, and one of the six goals of Dakar Framework of Action on Education for All. Illiteracy is also a major problem in Pakistan. The picture of illiteracy in Pakistan is grim, and although successive governments have announced various programmes to promote literacy the situation is still poor because of various political, social, economic and cultural obstacles. To sum up, it can be said that literacy is a skill necessary to acquire or transmit (information to others. It is a means not an end in itself. Keeping in view the gravity of the situation of literacy and basic education in the country, Pakistan has completed/implemented a number of actions/activities for broad-based consultations with principal actors of EFA. Furthermore, the Government of Pakistan has accomplished the preparation of provincial and national plans of action and resource mobilization for EFA planning. This paper therefore examines the efforts to decrease illiteracy in Pakistan, a signatory of the worldwide EFA movement.

  8. Physician migration at its roots: a study on the factors contributing towards a career choice abroad among students at a medical school in Pakistan.

    Science.gov (United States)

    Sheikh, Asfandyar; Naqvi, Syed Hassan Abbas; Sheikh, Kainat; Naqvi, Syed Hassan Shiraz; Bandukda, Muhammad Yasin

    2012-12-15

    Physician migration, also known as "brain drain," results from a combination of a gap in the supply and demand in developed countries and a lack of job satisfaction in developing countries. Many push and pull factors are responsible for this effect, with media and internet playing their parts. Large-scale physician migration can pose problems for both the donor and the recipient countries, with a resulting reinforcement in the economic divide between developed and developing countries. The main objectives of our study were to determine the prevalence of migration intentions in medical undergraduates, to elucidate the factors responsible and to analyze the attitudes and practices related to these intentions. This was a cross-sectional, observational, questionnaire-based study, conducted at Dow Medical College of Dow University of Health Sciences, Karachi, between January, 2012 and May, 2012. A total of 323 students responded completely. The questionnaire consisted of 3 sections, and was aimed at collecting demographic details, determining students' migratory intentions, evaluating reasons for and against migration and assessing attitudes and practices of students related to these intentions. Out of 323 respondents, 195 wanted to pursue their careers abroad, giving a prevalence rate of 60.4% in our sample. United States was the most frequently reported recipient country. The most common reasons given by students who wished to migrate, in descending order, were: lucrative salary abroad followed by quality of training, job satisfaction, better way of life, relatives, more opportunities, better working environment, terrorism in Pakistan, harassment of doctors in Pakistan, desire to settle abroad, more competition in Pakistan, better management, peer pressure, longer working hours in Pakistan, religious reasons, parent pressure, political reasons and favoritism in Pakistan. A considerable number of respondents had already started studying for licensing examinations, and

  9. Physician migration at its roots: a study on the factors contributing towards a career choice abroad among students at a medical school in Pakistan

    Directory of Open Access Journals (Sweden)

    Sheikh Asfandyar

    2012-12-01

    Full Text Available Abstract Background Physician migration, also known as “brain drain,” results from a combination of a gap in the supply and demand in developed countries and a lack of job satisfaction in developing countries. Many push and pull factors are responsible for this effect, with media and internet playing their parts. Large-scale physician migration can pose problems for both the donor and the recipient countries, with a resulting reinforcement in the economic divide between developed and developing countries. The main objectives of our study were to determine the prevalence of migration intentions in medical undergraduates, to elucidate the factors responsible and to analyze the attitudes and practices related to these intentions. Methods This was a cross-sectional, observational, questionnaire-based study, conducted at Dow Medical College of Dow University of Health Sciences, Karachi, between January, 2012 and May, 2012. A total of 323 students responded completely. The questionnaire consisted of 3 sections, and was aimed at collecting demographic details, determining students’ migratory intentions, evaluating reasons for and against migration and assessing attitudes and practices of students related to these intentions. Results Out of 323 respondents, 195 wanted to pursue their careers abroad, giving a prevalence rate of 60.4% in our sample. United States was the most frequently reported recipient country. The most common reasons given by students who wished to migrate, in descending order, were: lucrative salary abroad followed by quality of training, job satisfaction, better way of life, relatives, more opportunities, better working environment, terrorism in Pakistan, harassment of doctors in Pakistan, desire to settle abroad, more competition in Pakistan, better management, peer pressure, longer working hours in Pakistan, religious reasons, parent pressure, political reasons and favoritism in Pakistan. A considerable number of respondents

  10. Hepatitis B virus subgenotypes D1 and D3 are prevalent in Pakistan

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    Chakravarty Runu

    2009-01-01

    Full Text Available Abstract Background As the hepatitis B genotyping is important for assessing its clinical implications and geographical distribution, the sub-genotypes have been found useful for determination of specific genomic markers related to hepatocarcinogenesis. In Pakistan, there is no reported data on molecular evolutionary analysis of HBV. A study was, therefore, much needed to evaluate the spectra of mutations present in the strains prevalent here. Findings to confirm specificity of PCR typing, phylogenetic analysis of the pre-S1 region and the divergence was studied through 13 sequences of 362 bp (accession number EF432765 – EF432777. A total of 315 serum samples, selected from HBsAg positive patients representing the major ethnic groups, residing in Karachi, Sindh were tested for genotyping. Genotype D (219/315 was found to be the most prevalent (70% amongst our patients. The rest of the genotypes A and a mixture of A and D (AD were distributed as 20%, and 10% respectively. Phylogenetic tree demonstrated clustering of 11 samples with subgenotype D1 sequences and the remaining two strains on a branch within D3 samples. All samples intermixed with strains from other countries and were found to be closely related to Indian, Iranian and Egyptian HBV strains with 98.7 – 99.0% homology. Conclusion This study confirms the predominance of genotype D in southeastern Asia and presence of subgenotypes DI and D3 in the Pakistani infected patients. More studies are required to investigate the reason for fewer inclusions of D3 compared to the D1 in Pakistani HBV strains.

  11. Fluoride in the drinking water of Pakistan and the possible risk of crippling fluorosis

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    M. A. Tahir

    2012-09-01

    Full Text Available To explore the possibility of fluoride toxicity, seven hundred and forty seven (747 water samples were collected from surface and ground water sources of sixteen major cities of Pakistan, adopting a uniform sampling design with distribution of samples as: Lahore (79, Kasur (46, Faisalabad (30, Khushab (50, Chakwal (51, Mianwali (30, Jhelum (53, Bahawalpur (60, Karachi (60, Mirpur Khas (55, Peshawar (38, Risalpur (35, Quetta (81, Ziarat (21, Loralai (21, Mastung (37. The comparison of analytical findings with WHO Guidelines of Drinking Water for Fluoride (i.e. 1.5 ppm has concluded that 16% of the monitored water sources have fluoride concentration beyond the permissible, safe limit of 1.5 mg l−1, falling in the concentration range of 1.6–25 mg l−1. The highest fluoride contamination (22% has been detected in the Balochistan province followed by 19% in Punjab province. Comparatively higher fluoride levels of >20% in groundwater sources such as hand pumps has supported the possibility of increased ground water contamination, as excessive fluoride concentrations are expected to come from calcium-poor aquifers and from areas where fluoride-bearing minerals are common or where cation exchange of sodium for calcium occurs. Field observations have also indicated the prevalence of fluoride-associated health implications in the study areas with excessive fluoride in water sources. The findings in this study have provided a bidirectional vision for epidemiological investigations as well as for mitigating the issues in the affected vicinities of fluoride-rich areas.

  12. Residents′ perceptions of communication skills in postgraduate medical training programs of Pakistan

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    Avan B

    2005-01-01

    Full Text Available Background: The importance of communication skills in postgraduate medical training is likely to be highlighted given the convergence of research and educational forces. Assessment of these skills in residency training is vital since it can provide basis for policy undertaking among Pakistani medical academia for improving postgraduate training programs. Aim: To assess the perceived status of communication skills of residents in different specialties. Materials and Methods: A cross sectional survey was conducted in four teaching hospitals of Karachi between July 1999 and January 2001. A total of 455 residents in different residency programs were contacted. Residents registered both with College of Physicians and Surgeons of Pakistan and Postgraduate Medical Education office of selected hospitals were included in this study. Responses of residents were obtained on 5-point Likert scale. Indices were formed for three components of communication skills: informative, affective and professional communication. Statistical Analysis: Differences between residents′ groups were assessed through analysis of variance. Results: Total informative communication index was lowest for multi-disciplinary (12.05, SD = 4.87 and highest for surgical (15.27, SD = 2.51 residents. Total affective index was lowest for multi-disciplinary (12.58, SD = 5.68 and highest for medical (15.74, SD = 3.59 residents. The group differences for four groups of residency programs were not statistically significant for either professional attributes separately or for the total professional index. Conclusions: The residency programs must establish goals, process and outcomes to incorporate communication skills in postgraduate medical training since this can enhance residents′ performance as effective health care providers. Accomplishment of better communication skills can be achieved if the importance of its teaching and training is valued by residency program coordinators.

  13. A case study of outsourced primary healthcare services in Sindh, Pakistan: is this a real reform?

    Science.gov (United States)

    Tanzil, Sana; Zahidie, Aysha; Ahsan, Adeel; Kazi, Ambreen; Shaikh, Babar Tasneem

    2014-06-25

    Since a decade, low and middle income countries have a rising trend of contracting their primary healthcare services to NGOs. In Pakistan, public sector often lacks capacity to effectively & equitably manage the healthcare services. It led the government to outsource the administration of primary health care services to a semi-autonomous government entity i.e. Peoples' Primary Healthcare Initiative (PPHI). This small scale study has assessed the quality of healthcare services at the contracted Basic Health Units (BHUs) with the PPHI and compared it with those managed by the local district government in the province of Sindh. A cross-sectional mix methods survey was conducted in November 2011. Two BHUs of each type were selected from the districts Karachi and Thatta in Sindh province. BHUs were selected randomly and a purposive sampling technique was used to recruit the study participants at the two study sites. Focus group discussions were conducted with patients visiting the facility while in-depth interviews were conducted with service providers. An observation based resource availability checklist was also administered. There was a significant difference between the PPHI and the district government administered BHUs with regard to infrastructure, availability of essential medicines, basic medical appliances, mini-lab facilities and vehicles for referrals. These BHUs were found to have sufficient number of trained clinical staff and no punctuality and retention issues whatsoever. The district government administered BHUs presented a dismal picture in all the aspects. Out-sourcing of primary healthcare facilities has resulted in significantly improved certain aspects quality and responsiveness of primary healthcare services. This strategy is likely to achieve an efficient and perhaps an equitable healthcare delivery in low and middle income countries where governments have limited capacity to manage healthcare services.

  14. Residents′ perceptions of work environment during their postgraduate medical training in Pakistan

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    Avan B

    2006-01-01

    Full Text Available Background: In Pakistan, there is a lack of information about the work environment of residency programs. This lack is a major impediment in their improvement. One of the approaches for improvement in these programs can be directed through the residents′ own perception of their working conditions. Therefore, we collected data which would reflect working conditions of residents. Aim: To assess the perceived status of "work environment" in different specialities Materials and Methods: A cross-sectional survey was conducted in four teaching hospitals of Karachi from July 1999 to January 2000. Residents from selected programs were grouped into four broad groups: specialist, medical, surgical, and multidisciplinary. Responses of residents were obtained on a Likert scale of 0 to 4. Indices were formed for two components of work environment: academic and mistreatment. Statistical Analysis: Differences between residents′ groups were assessed through analysis of variance (ANOVA at 5% significance. Results: A total of 341 registered residents responded (response rate: 75%. Surgical residents were working more than 80 h/week and this was more than the other three groups. Medical residents were spending the highest actual time on research and teaching activities (10% and 14%, respectively. Academic index score was highest for surgical group (15.81, SD = 4.69 and lowest for multidisciplinary group (11.82, SD = 4.80. Medical group had the highest perceived mistreatment index score (5.56, SD = 4.57. Conclusions: In a study of work environment of residency programs, differential impact was found for the four groups on work environment perceptions. Most of the residents recognized undergraduate teaching, grand rounds, patient rounds, and seminars or workshops as contributing to their academic learning. Reporting of sexual harassment was low, indicating either underreporting or cultural dynamics of our setting.

  15. The United States in Pakistan: Toward a More Unified Effort

    Science.gov (United States)

    2012-05-25

    Rashid, Pakistan on the Brink: The Future of America, Pakistan and Afghanistan. (Viking Press, 2012). 14 Stephen D. Krasner , ―Talking Tough to...39 ―America and Pakistan: Sorry Story,‖ The Economist, December 22, 2011. 40 Stephen D. Krasner , ―Talking Tough to Pakistan,‖ Foreign Affairs, Jan...pomed-notes-cap-8-12-09.pdf 43 Stephen D. Krasner , ―Talking Tough to Pakistan,‖ Foreign Affairs, Jan/Feb 2012, 90-93. 44 K. Alan Kronstadt

  16. Geriatric patients' expectations of their physicians: findings from a tertiary care hospital in Pakistan

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    Qidwai Waris

    2009-11-01

    Full Text Available Abstract Background Geriatric health is a neglected and under-explored area internationally and in Pakistan. We aimed to ascertain the expectations of the geriatric patients from their physicians and the factors associated with patient satisfaction in this particular age bracket. Methods A cross-sectional survey was carried out at a tertiary care teaching hospital in Karachi, Pakistan. Data collection was carried out via face-to-face interviews based on structured, pre-tested questionnaires. All consenting individuals aged 65 years or above were recruited into the study. Convenience sampling was used to draw the sample. The data was analyzed using SPSS version 16. Geriatric patient's expectations from physicians were elicited using a set of 11 questions that were graded on a scale of 1-3 where 1 = not important, 2 = important, 3 = very important. Results Three hundred and eighty geriatric patients were interviewed. The response rate of this study was 89.8%. The mean age of the respondents was 73.4 ± 6.8 years. Two hundred and forty eight respondents (65.3% were female. Diabetes mellitus (53.7%, hypertension (59.5%, arthritis (40.5% and renal disease (32.1% were common ailments among geriatric patients. More than 50% of the patients were visiting their physicians once every two to three months. Discussing treatment options and letting patients make the final decision (79.2%, prescribing minimum possible medications (84.5%, physician's holistic knowledge about the spectrum of care issues for geriatric patients (79.2%, being given a realistic but optimistic picture of future health by physicians (85.5% were ranked as very important expectations by patients from their physicians. Cumulative household income (p = 0.005, most important health complaint (p = 0.01 and frequency of experiencing health complaint (p Conclusion We have documented the expectations of the geriatric patients from their physicians in a developing country. Physicians belonging

  17. Source rock potential in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Raza, H.A. (Hydrocarbon Development Institute of Pakistan, Islamabad (Pakistan))

    1991-03-01

    Pakistan contains two sedimentary basins: Indus in the east and Balochistan in the west. The Indus basin has received sediments from precambrian until Recent, albeit with breaks. It has been producing hydrocarbons since 1914 from three main producing regions, namely, the Potwar, Sulaisman, and Kirthar. In the Potwar, oil has been discovered in Cambrian, Permian, Jurassic, and Tertiary rocks. Potential source rocks are identified in Infra-Cambrian, Permian, Paleocene, and Eocene successions, but Paleocene/Eocene Patala Formation seems to be the main source of most of the oil. In the Sulaiman, gas has been found in Cretaceous and Tertiary; condensate in Cretaceous rocks. Potential source rocks are indicated in Cretaceous, Paleocene, and Eocene successions. The Sembar Formation of Early Cretaceous age appears to be the source of gas. In the Kirthar, oil and gas have been discovered in Cretaceous and gas has been discovered in paleocene and Eocene rocks. Potential source rocks are identified in Kirthar and Ghazij formations of Eocene age in the western part. However, in the easter oil- and gas-producing Badin platform area, Union Texas has recognized the Sembar Formation of Early Cretaceous age as the only source of Cretaceous oil and gas. The Balochistan basin is part of an Early Tertiary arc-trench system. The basin is inadequately explored, and there is no oil or gas discovery so far. However, potential source rocks have been identified in Eocene, Oligocene, Miocene, and Pliocene successions based on geochemical analysis of surface samples. Mud volcanoes are present.

  18. Pakistan mental health country profile.

    Science.gov (United States)

    Karim, Salman; Saeed, Khalid; Rana, Mowaddat Hussain; Mubbashar, Malik Hussain; Jenkins, Rachel

    2004-01-01

    The Republic of Pakistan is a South East Asian country with a population of over 140.7 million. Its population is fast growing and the majority (70%) live in rural areas with a feudal or tribal value system. The economy is dependent on agriculture and 35% of the population live below the poverty line. Islam is the main religion and 'mental illnesses' are stigmatized and widely perceived to have supernatural causes. The traditional healers along with psychiatric services are the main mental health service providers. The number of trained mental health professionals is small as compared to the population demands and specialist services are virtually non-existent. Lack of data on prevalence of various mental illnesses and monitory constraints are the major hurdles in the development of mental health services. A number of innovative programmes to develop indigenous models of care like the 'Community Mental Health Programme' and 'Schools Mental Health Programme' have been developed. These programmes have been found effective in reducing stigma and increase awareness of mental illness amongst the adults and children living in rural areas. Efforts by the government and mental health professionals have led to the implementation of a 'National Mental Health Policy' and 'Mental Health Act' in 2001. These aim at integrating mental health services with the existing health services, improving mental health care delivery and safeguarding the rights of mentally ill people. A favourable political will and the help of international institutions like the World Health Organization are required to achieve these aims.

  19. Advisory board approves Pakistan SMC marketing plan.

    Science.gov (United States)

    1986-01-01

    Under a 2-year contract funded by the US Agency for International Development, PSI Marketing Associates is providing technical assistance for the development of a social marketing project in Pakistan. The national launch of a new condom, Sathi, is planned for 1987. This new social marketing of contraceptives project emphasizes child spacing and will use the slogan, "Until you want another child." As a result of the Pakistan Government's generic family planning advertising and promotion campaigns, there is a high degree of public awareness of contraception. However, this awareness is not reflected in levels of contraceptive use. A 3-month test market for Sathi (which means "companion") will take place in 2 areas representative of Pakistan's socioeconomic and ethnic composition. All printed materials (including posters, stickers, mobiles, and shop signs) will use the Sathi logo--2 birds flying into the sun. Other project materials include a 1-minute video and pamphlets for consumers, dealers, and medical professionals.

  20. Productive and reproductive choices: report of a pilot survey of urban working women in Karachi.

    Science.gov (United States)

    Kazi, S; Sathar, Z A

    1986-01-01

    The primary objective of the pilot survey of urban working women in Karachi was to collect information on women's productive and reproductive choices within the context of the conditions in their household. A sample of working women in the formal sectors was selected through procurement of lists of personnel from factories, government offices, and so forth. The sample was not chosen systematically. The intention was not only to sample but to identify commonly found occupations among women. The sample of 110 working women included respondents between 19-50 years. 93 of these women were currently married, 6 were separated or divorced, and 11 were widowed. Most of the ethnic groups living in Karachi were represented. The sample includes 3 distinct socioeconomic groups: highly educated women employed in high status jobs with earnings above the average; women of lower middle class backgrounds who work in the formal sector but in lower-status occupations as compared with those of the professional group; and mostly uneducated women who work as low-status workers and whose incomes are meager. More than 70% of the women gave financial pressure as a reason for their entering the labor force. Women for whom the important reason for work was pursuit of a career or job satisfaction were highly educated and employed in high-status, remunerative jobs. Only 20 of the sample of 110 women worked for noneconomic reasons. Of 64 women working as factory workers, domestic servants, and other miscellaneous workers in the informal sector, there were only 2 women working out of choice. Women who worked before marriage comprised nearly 51% of the sample. There was a very strong positive association between work before marriage and level of education and occupation. A much larger percentage of educated women in professional jobs worked before marriage as compared with their uneducated or less educated counterparts. The majority of women in the static, low-income occupations did not work

  1. Globalization and Economic Growth: Evidence from Pakistan

    Directory of Open Access Journals (Sweden)

    Zaheer Khan Kakar

    2011-06-01

    Full Text Available The process of globalization has positives as well as negative impacts on any society,which differ from country to country. The negative effects can be countered by adopting the policiesthat contribute in economic development. This study attempts to review the nature of relationshipbetween economic growth and globalization in Pakistan for the period 1980-2009 by employing thetime series data. Co-integration and error correction technique are use to determine the long run effectof globalization on economic growth. The results indicate that globalization can be a useful tool foreconomic growth for a developing country like Pakistan.

  2. Pakistan Economy DSGE Model with Informality

    OpenAIRE

    2012-01-01

    In this paper we develop a closed economy DSGE model of Pakistan with informality both in the labor and product markets. We try to remain consistent with the micro-foundations of Pakistan’s economy for the purpose of estimation of the model parameters. However a couple of them have been calibrated to match the long-run features of the Pakistan economy. We introduce exogenous shocks of technology, fiscal spending and nominal interest rate in our model. Despite having to rely on annual data our...

  3. Money Supply, Deficit, and Inflation in Pakistan

    OpenAIRE

    Mohammad Aslam Chaudhary; Naved Ahmad

    1995-01-01

    Inflation is a burning issue in Pakistan. It is generally felt that for several years Pakistan has had a double-digit inflation. The public sector has used a mix of policies to control inflation, and it is also held responsible for its creation. The consumer price index (CPI) increased over 11 percent in 1981-82, and over 12 percent in 1990-91. Similarly, sensitive price index (SPI) increased over 15 percent in 1981-82, and over 12 percent in 1990-91. The GDP deflator was also double-digit fo...

  4. Schools as potential vaccination venue for vaccines outside regular EPI schedule: results from a school census in Pakistan

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    Soofi Sajid

    2012-01-01

    Full Text Available Abstract Background Vaccines are the most effective public health intervention. Expanded Program on Immunization (EPI provides routine vaccination in developing countries. However, vaccines that cannot be given in EPI schedule such as typhoid fever vaccine need alternative venues. In areas where school enrolment is high, schools provide a cost effective opportunity for vaccination. Prior to start of a school-based typhoid vaccination program, interviews were conducted with staff of educational institutions in two townships of Karachi, Pakistan to collect baseline information about the school system and to plan a typhoid vaccination program. Data collection teams administered a structured questionnaire to all schools in the two townships. The administrative staff was requested information on school fee, class enrolment, past history of involvement and willingness of parents to participate in a vaccination campaign. Results A total of 304,836 students were enrolled in 1,096 public, private, and religious schools (Madrasahs of the two towns. Five percent of schools refused to participate in the school census. Twenty-five percent of schools had a total enrolment of less than 100 students whereas 3% had more than 1,000 students. Health education programs were available in less than 8% of public schools, 17% of private schools, and 14% of Madrasahs. One-quarter of public schools, 41% of private schools, and 43% of Madrasahs had previously participated in a school-based vaccination campaign. The most common vaccination campaign in which schools participated was Polio eradication program. Cost of the vaccine, side effects, and parents' lack of information were highlighted as important limiting factors by school administration for school-based immunization programs. Permission from parents, appropriateness of vaccine-related information, and involvement of teachers were considered as important factors to improve participation. Conclusions Health

  5. Status of Project Management Education in Pakistan

    Science.gov (United States)

    Arain, Faisal Manzoor; Tipu, Syed Awais Ahmad

    2009-01-01

    Emerging contractual delivery systems, collaborative partnerships, new management initiatives, and global product markets require professionals and students to have a broader awareness of construction methods and project management issues. This paper presents the state of the project management education in Pakistan. The analysis is based on…

  6. The Economics of Dowry Payments in Pakistan

    NARCIS (Netherlands)

    Anderson, K.S.

    2000-01-01

    Although there are numerous studies of the dowry phenomenon in India, research pertaining to the custom in the rest of South Asia is sparse.The aim of this paper is to study dowry payments in Pakistan.Several interpretations for dowry are distinguished using a simple theoretical framework and the

  7. Polarisation of Social Studies Textbooks in Pakistan

    Science.gov (United States)

    Zaidi, Syed Manzar Abbas

    2011-01-01

    This article looks at the evolution of the social studies curricula in Pakistan, which are of critical importance in shaping the outlook of many young Pakistanis, who are affected by this polarised discourse. The author argues that this trend of polarisation springing from dynamics of education also effectively contributes to a widening social…

  8. Soccer Ball Production for Nike in Pakistan

    NARCIS (Netherlands)

    K.A. Siegmann (Karin Astrid)

    2008-01-01

    textabstractThis paper looks at how Nike’s soccer ball suppliers (previous and current) in Sialkot (Pakistan) fare in relation to the company’s code of ethics. While minimum required working conditions are implemented, the criteria for social and environmental compliance are not met with. The

  9. The Economics of Dowry Payments in Pakistan

    NARCIS (Netherlands)

    Anderson, K.S.

    2000-01-01

    Although there are numerous studies of the dowry phenomenon in India, research pertaining to the custom in the rest of South Asia is sparse.The aim of this paper is to study dowry payments in Pakistan.Several interpretations for dowry are distinguished using a simple theoretical framework and the pr

  10. Soccer Ball Production for Nike in Pakistan

    NARCIS (Netherlands)

    K.A. Siegmann (Karin Astrid)

    2008-01-01

    textabstractThis paper looks at how Nike’s soccer ball suppliers (previous and current) in Sialkot (Pakistan) fare in relation to the company’s code of ethics. While minimum required working conditions are implemented, the criteria for social and environmental compliance are not met with. The multin

  11. Food safety challenges--a Pakistan's perspective.

    Science.gov (United States)

    Akhtar, Saeed

    2015-01-01

    Biological, chemical, and physical contamination of foods is a terrifying threat for the health and economic growth in developing societies. Rampantly available literature on foodborne illnesses especially diarrhea among children exclusively depicts the intensified disease burden associated with foodborne illness in the underdeveloped economies. Prevalence of many pathogens in several foods is commonplace in Pakistan. Precise estimates for foodborne illnesses in Pakistan are hard to make because of the absence of any monitoring, surveillance, and infection control. Poor processing and storage of milk, cereal grains, and nuts are a major cause of aflatoxin contamination and mold proliferation. Numerous studies manifest a multitude of foods to be contaminated with heavy metals. Escalating population growth limits the economic potential of the individual and the state through a tendency among the traders and manufacturers to intentionally debase food commodities offered for sale to make profit at the cost of their quality and safety. Therefore, a growing trend of adulteration in foods during the recent past, particularly adulteration of milk, poses a pressing challenge for the government. This review is a concerted attempt to elucidate the prevailing food safety scenario in Pakistan. Information derived from local and related international studies will be presented to clearly depict a picture of food safety in Pakistan. It is proposed that an extensive food safety infrastructure leading to a safer supply of foods needs to be devised, designed, and implemented.

  12. Nuclear programs in India and Pakistan

    Science.gov (United States)

    Mian, Zia

    2014-05-01

    India and Pakistan launched their respective nuclear programs in the 1940s and 1950s with considerable foreign technical support, especially from the United States Atoms for Peace Program. The technology and training that was acquired served as the platform for later nuclear weapon development efforts that included nuclear weapon testing in 1974 and in 1998 by India, and also in 1998 by Pakistan - which had illicitly acquired uranium enrichment technology especially from Europe and received assistance from China. As of 2013, both India and Pakistan were continuing to produce fissile material for weapons, in the case of India also for nuclear naval fuel, and were developing a diverse array of ballistic and cruise missiles. International efforts to restrain the South Asian nuclear build-up have been largely set aside over the past decade as Pakistani support became central for the U.S. war in Afghanistan and as U.S. geopolitical and economic interests in supporting the rise of India, in part as a counter to China, led to India being exempted both from U.S non-proliferation laws and international nuclear trade guidelines. In the absence of determined international action and with Pakistan blocking the start of talks on a fissile material cutoff treaty, nuclear weapon programs in South Asia are likely to keep growing for the foreseeable future.

  13. Peste des Petits Ruminants (PPR) in Pakistan

    NARCIS (Netherlands)

    Abubakar, Muhammad; Zahur, Aamir Bin; Afzal, Muhammad; Ali, Qurban; Gonzales Rojas, Jose

    2017-01-01

    The study was aimed to obtain baseline information about the presence and distribution of Peste des petits ruminants (PPR) in Pakistan by quantifying the sero-prevalence of this infection in all provinces/regions in the country. There are ongoing activities towards the progressive control and

  14. Status of Project Management Education in Pakistan

    Science.gov (United States)

    Arain, Faisal Manzoor; Tipu, Syed Awais Ahmad

    2009-01-01

    Emerging contractual delivery systems, collaborative partnerships, new management initiatives, and global product markets require professionals and students to have a broader awareness of construction methods and project management issues. This paper presents the state of the project management education in Pakistan. The analysis is based on…

  15. Consumer Perceptions of Brand Trust Online of Clothing in Karachi: A case study of Gul Ahmed

    Directory of Open Access Journals (Sweden)

    Amna Javed

    2014-03-01

    Full Text Available Online purchase, in the clothing industry of Pakistan, is on a historical high. There are various factors that affect the brand trust of online consumers. This research is aimed to find the correlation between security and privacy of personal information, name of the brand, word-of-mouth, prior online experience and information quality on the one hand and the online brand trust of consumers on the other. The study is conducted in relation to a single brand, named Gul Ahmed. The sample for this study contained 387 respondents. The results of the study show that all these factors have a significant relationship with online brand trust. Word of mouth however, has been found to have the strongest correlation with the online brand trust.

  16. Review of geothermal energy resources in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Alam Zaigham, Nayyer [Department of Geology, University of Karachi, Karachi 75270 (Pakistan); Alam Nayyar, Zeeshan [Department of Applied Physics, University of Karachi, Karachi 75270 (Pakistan); Hisamuddin, Noushaba [422 Wycliffe, Irvine, CA 92602 (United States)

    2009-01-15

    Pakistan, despite the enormous potential of its energy resources, remains energy deficient and has to rely heavily on imports of hydrocarbon products to satisfy hardly its needs. Moreover, a very large part of the rural areas does not have the electrification facilities because they are either too remote and/or too expensive to connect to the national grid. Pakistan has wide spectrum of high potential renewable energy sources, conventional and as well non-conventional. Many of them have not been adequately explored, exploited and developed. Geothermal energy is one of them. Pakistan can be benefited by harnessing the geothermal option of energy generation as substitute energy in areas where sources exist. Most of the high enthalpy geothermal resources of the world are within the seismic belts associated with zones of crustal weakness like the seismo-tectonic belt that passes through Pakistan having inherited a long geological history of geotectonic events. The present study of the geotectonic framework suggests that Pakistan should not be lacking in commercially exploitable sources of geothermal energy. This view is further strengthened by (a) the fairly extensive development of alteration zones and fumeroles in many regions of Pakistan, (b) the presence of a fairly large number of hot springs in different parts of the country, and (c) the indications of Quaternary volcanism associated with the Chagai arc extending into Iran and Afghanistan border areas. These manifestations of geothermal energy are found within three geotectonic or geothermal environments, i.e., (1) geo-pressurized systems related to basin subsidence, (2) seismo-tectonic or suture-related systems, and (3) systems related to Neogene-Quaternary volcanism. A few localities, scattered sporadically all over the country, have been studied to evaluate only some of the basic characteristic parameters of the geothermal prospects. The present review study the geothermal activities of varying intensity and

  17. Towards balanced development in Pakistan.

    Science.gov (United States)

    Pyatt, G

    1992-01-01

    Pakistan is a country whose economic growth is surprising in light of its social indicators. The aim of this article is to examine why conditions are such and to develop a framework for understanding the issues as an aid to redesigning policies. 5 sections are devoted to a summary of the main findings, the diagnosis of development and the impact on social sectors, a proposal for balanced development, and implications for policy changes. A sound macro economic context is needed with reforms economically in price and incentive systems, institutionally, and in the law and order sector. Public administration needs to be improved and individual opportunities need to be expanded. Internal security needs to be secured, so that law and order are restored. Economic growth has been high between 1960 and 1988, due to exploitation of natural resources and cheap unskilled labor, expansion of irrigated land, and growth of the unregulated informal sector. The major constraints on economic growth will come from a lack of fiscal discipline. 40% of government revenues are consumed by the military and 20% for servicing debt. Other constraints are the population growth rate in excess of 3%/year, an urban bias in allocation of resources, neglected primary education, and gender bias in education. There has been little incentive for provincial governments to balance budgets, and civil service has become disorganized. Balanced development entails recognizing human capital, natural resources, and infrastructure; accepting the status quo; and creating and maintaining an institutional framework to correct market failures and promote individual opportunities. The environmental polluter must pay. Income must be increased through higher wages, increasing the demand for labor, and transfers to households in the form of food rations, schooling, and medical care. Investment in women will increase household earnings, and improve living conditions and the health of themselves and their children

  18. US west coast

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Aerial surveys are conducted along the US west coast to determine distribution and abundance of endangered leatherback turtles (Dermochelys coriacea), loggerhead...

  19. Seasonal variations of heavy metal concentration in Sardinella sindensis (Day, 1878 from Balochistan coast

    Directory of Open Access Journals (Sweden)

    Quratulan Ahmed

    2015-05-01

    Full Text Available Objective: To determine Fe, Cu, Zn, Pb and Cd concentrations in muscle of sind sardinella [Sardinella sindensis (S. sindensis] from Balochistan coast, Pakistan. Methods: S. sindensis were collected from Balochistan coast, Pakistan, at autumn inter monsoon, north east monsoon, spring inter monsoon and south west monsoon during October 2005-September 2006. All samples were analyzed for Fe, Cu, Zn, Pb and Cd by AAnalyst 700 flame atomic absorption spectrophotometer. Results: Generally, S. sindensis caught from Balochistan coast showed the accumulation level of Fe [(16.88 ± 5.60 µg/g], Cu [(2.74 ± 1.89 µg/g], Cd [(0.29 ± 0.25 µg/g], Zn [(4.29 ± 2.31 µg/g] and Pb [(0.24 ± 0.24 µg/g] in the muscle tissues. Conclusions: The metal concentrations in fish from Balochistan coast observed in this study were lower than the limit values. Therefore, all metal accumulations in S. sindensis have to be monitored continuously, especially in this region.

  20. Seasonal variations of heavy metal concentration in Sardinella sindensis (Day, 1878) from Balochistan coast

    Institute of Scientific and Technical Information of China (English)

    QuratulanAhmed; Semra Benzer; Naeema Elahi

    2015-01-01

    Objective: To determine Fe, Cu, Zn, Pb and Cd concentrations in muscle of sind sardinella [Sardinella sindensis (S. sindensis)] from Balochistan coast, Pakistan. Methods: S. sindensis were collected from Balochistan coast, Pakistan, at autumn inter monsoon, north east monsoon, spring inter monsoon and south west monsoon during October 2005-September 2006. All samples were analyzed for Fe, Cu, Zn, Pb and Cd by AAnalyst 700 flame atomic absorption spectrophotometer. Results: Generally, S. sindensis caught from Balochistan coast showed the accumulation level of Fe [(16.88 ± 5.60) µg/g], Cu [(2.74 ± 1.89) µg/g], Cd [(0.29 ± 0.25) µg/g], Zn [(4.29 ± 2.31) µg/g] and Pb [(0.24 ± 0.24) µg/g] in the muscle tissues. Conclusions: The metal concentrations in fish from Balochistan coast observed in this study were lower than the limit values. Therefore, all metal accumulations in S. sindensis have to be monitored continuously, especially in this region.

  1. Privatisation electric power sector in Pakistan: some important issues

    Energy Technology Data Exchange (ETDEWEB)

    Ghafoor, A.; Weiss, J.

    1998-06-01

    This discussion paper highlights important issues relating to the privatisation of Pakistan's electric power sector. Salient features of the electric power sector in Pakistan, factors affecting the economic performance of this sector, the partial privatisation policy adopted by Pakistan, ongoing private power projects, and current privatisation policy are examined. The arguments for competition are raised, and alternative policy reforms the are considered.

  2. Viable Circumstances for Financial Negotiations in Pakistan Contracting Process

    Science.gov (United States)

    2015-06-01

    Pakistan established the Pakistan Procurement Regulatory Authority (PPRA) in 2002 on the recommendations of the World Bank and enacted PPRA rules in 2004...the Pakistan Procurement Regulatory Authority (PPRA) in 2002 on the recommendations of the World Bank and enacted PPRA rules in 2004 based on the 1994...goods are defined as raw materials, products, equipment and other physical objects of every kind and description, whether in solid, liquid or

  3. Islamic Fundamentalism in Pakistan. Its Characters and Prospects

    Science.gov (United States)

    1991-01-01

    For although Pakistan was founded as a Muslim homeland, it was not at all the intention of its founder, Muhammad Ali Jinnah , that the state should be...origin: "* The founder of Pakistan, Muhammad ’Ali Jinnah , was of Isma’ili background; "* Yahya Khan, former Commander in Chief of the Army, and then...itself. These Muslims could not or would not emigrate to Pakistan during partition in 1947. Their position in Indian society is ambiguous, and they

  4. Changing Trade Relation of India & Pakistan: An Evaluation

    OpenAIRE

    Dr. Vivek Kumar Srivastava; Dr. Bhavtosh Kumar

    2011-01-01

    Kautilya was the first one to write extensively on political economy. He theorized that to maintain a strong kingdom, the king must develop healthy relations with the neighbouring states through trade. When we talk about India, we can never ignore the Pakistan. India and Pakistan are the countries whose relations not only affect the economic relations of both the countries but also have some influence in the world politics. Pakistan is a neighbouring country of India. But the relationship of ...

  5. Exploring the China-Pakistan Relationship. Roundtable Report

    Science.gov (United States)

    2010-06-01

    Mumbai Terror Strikes: Pro-Pakistan Bias? South Asia Analysis Group, Paper No. 2972, December 8, 2008. (Rajan is the Director of the Chennai Centre...for Chinese Studies in Chennai , India.) that China should support Pakistan in such a case.s Other views in China appear more harshly critical of India...its northern end, the Chinese city of Kashgar with key points in northern Pakistan (see figure 2). The highway remains a critical connection between

  6. Pakistan/USAID to start CSM project.

    Science.gov (United States)

    1984-01-01

    Pakistan, with the assistance of funds for the US Agency for International Development (USAID), is about to start its novel approach to contraceptive social marketing (CSM). This new effort suggests a marked policy shift on the part of the Pakistan government toward intensifying its family planning activities. The program will be government-operated and supported by AID over the next 5 years with $20 million, more than double the cost of similar CSM projects elswhere. Distribution of a condom on a pilot project basis is expected to begin by December 1984. Sales of a low-dose oral contraceptive (OC) could begin in test market areas by mid-1985, with national launching of both products tentatively scheduled for January 1986. The Pakistan/USAID agreement represents the 1st time since the formation of India's Nirodh project in the late 1960s that a CSM program is being established without the involvement of either an international social marketing contractor or a country's family planning association. The Pakistan CSM program will be managed by a policy board composed of representatives from the government's Ministries of Planning, Health and Education; a resident advisor from USAID; and a local company responsible for product marketing and distribution. The approach has received a skeptical response among international social marketing experts about the program's chances for success. Their doubts extend to 2 other aspects of the proposed design: an official of the Ministry of Planning's Population and Welfare Division expects the CSM program to generate sufficient revenues to cover all operating costs following the 5-year subsidy period, while also providing attractive profit margins for the marketing/distribution company; and the government prohibits mass media advertising of contraceptives. According to AID, the issue of mass media contraceptive advertising has not yet been resolved, and a national survey will be conducted to determine what communication needs are

  7. Perceptions of Private College Teachers of Karachi about the Curriculum Prescribed by Sindh Bureau of Curriculum (BOC)

    Science.gov (United States)

    Syeda, Talat Jehan

    2015-01-01

    Curriculum at the college level is prescribed at provincial level to ensure a standardized education throughout. A prescribed curriculum aligns educational standards and maintains them to ensure teaching standards. In Pakistan the curriculum for intermediate students at both private and government colleges is designed and proposed by Sindh Bureau…

  8. Federalism in Pakistan: Of Promises and Perils

    Directory of Open Access Journals (Sweden)

    Shahid Zubair

    2015-11-01

    Full Text Available This paper presents the case of Pakistan, which is also broadly illustrative of the issues concerning federalism and subnational empowerment in developing countries characterized by unconsolidated political systems and enhanced constitutionalism. In the course of the analysis, this paper examines the dynamics and determinants of federalist/subnational politics in Pakistan, the formal constitutional and ordinance frameworks stipulated in support of federalism and subnational governance. The analysis shall be focused on the Local Governments Ordinance of 2001 and the 18th Constitutional Amendment, as these have been the most substantive attempts at subnational constitutionalism that were instituted under opposing political systems, and the extent to which they have enabled greater prospects for a stable federation while also examining the challenges that the radical departure under the 18th Constitutional Amendment put forth.

  9. India-Pakistan: Contours of Relationship

    Directory of Open Access Journals (Sweden)

    Devika Mittal

    2016-06-01

    Full Text Available Even after about 70 years of separation, India and Pakistan continue to live in the prison of the past. The rhetoric of partition is still alive in the memory of the people of both the countries. They have constructed fixed, unchanging and competing images for each other. While Pakistan became an Islamic Republic, India adopted secularism, thereby, negating the two-nation theory. The ‘differences’ along with memories of partition has made Indian and Pakistani to remain in permanent hostile situation. The leaders of the two countries try to settle their disputes but fails because of lack of support from their social and political institutions. Since its coming into power in 2014, the NDA government under the Indian Prime Minister, Mr. Narendra Modi has managed to engage the Pakistani establishment, despite many problems between the two countries. This article tries to highlight upon the contours of relationships post-2014.

  10. Donation of CERN computing equipment to Pakistan

    CERN Multimedia

    Anaïs Schaeffer

    2015-01-01

    An official ceremony marking the eighth donation of CERN computing equipment to an outside institute, this time a university in Pakistan, took place on Monday, 2 March.     From left to right: Sajjad Mohsin, Dean at the COMSATS Institute of Information Technology (CIIT), Rolf Heuer, CERN Director-General, S. M. Junaid Zaidi, Rector of CIIT, Aumair Qayyum (CIIT) and Syed Ali Zahir Bukhari (CIIT).   On this occasion, 224 servers and 30 network hubs were donated to the CIIT (COMSATS Institute of Information Technology) in Islamabad, Pakistan, where they will be used by scientists working on the LHC’s ALICE experiment. For several years now, CERN has regularly donated computing equipment that no longer meets its highly specific requirements but is still more than adequate for less exacting environments. To date, a total of 1,149 servers and 79 hubs have been donated to eight countries, namely Bulgaria, Egypt, Ghana, Morocco, the Philippines, Senegal, Serbia and now P...

  11. Trade, Financial and Growth Nexus in Pakistan

    Directory of Open Access Journals (Sweden)

    Abdul Qayyum

    2007-12-01

    Full Text Available This paper empirically investigates the impact of trade and financial liberalization on economic growth in Pakistan using annual observations over the period 1961-2005. The analysis is based on the bound testing approach of cointegration advanced by Pesaran et al (2001. The empirical findings suggest that both trade and financial liberalization policies play an important role in enhancing economic growth in Pakistan in the long-run. However, the short-run responses of real deposit rate and trade policy variables are very low, suggesting further acceleration of reform process. The feedback coefficient suggests a very slow rate of adjustment towards long-run equilibrium. The estimated equation remains stable over the period of study as indicated by CUSUM and CUSUMQ stability tests.

  12. ISOLATION AND CHARACTERIZATION OF AVIAN INFLUENZA (H9N2 VIRUS FROM AN OUTBREAK AT POULTRY FARMS IN KARACHI

    Directory of Open Access Journals (Sweden)

    Mohammad A. Muneer, Ali Mohammad Bahram, Zahid Munir, I. Hussain, K. Muhammad, Masood Rabbani, S. Akhtar, M. Aleem, Bakht Sultan1, Munir A. Tariq and K. Naeem2

    2001-02-01

    Full Text Available Avian influenza virus (AIV type H9N2 was isolated from poultry flocks which were suffering from acute respiratory illness in Karachi area. High haemagglutination inhibition (HI titers against AIV virus type H9N2, ranging from 6.38 to 7.81, in the convalescent sera of birds were demonstrated. The infected flocks had mortality between 30 to 80 per cent. Those flocks also had considerable of HI titres against infectious bronchitis (IB virus stains D274 and D1466, against which they were never vaccinated. It is believed that AI H9N2 virus in collaboration with IBV and some unidentified bacterial species caused high mortality in the infected flocks

  13. Climate Change Impacts and Adaptation to Flow of Swat River and Glaciers in Hindu Kush Ranges, Swat District, Pakistan (2003-2013

    Directory of Open Access Journals (Sweden)

    Saifullah Khan

    2016-06-01

    Full Text Available This work aims at the climate change impacts and adaptation to surface flow of Swat river and glacier resources in Swat river catchments area, Hindu Kush ranges, Northwest Pakistan. The data about temperature and precipitation have been collected from the Pakistan Meteorological Department, Karachi, whereas the Swat River flow data from the Irrigation Department, Peshawar, Khyber Pukhtunkhwa. Two types of climate that is humid and undifferentiated highlands prevail over the area. The total precipitation recorded has been 41.8inches (1061.7 millimeters with mean monthly precipitation of 3.5 inches (88.9 millimeters having a decrease of -0.1 inch (-2.8 millimeters. The area has been humid during 2004 and currently at the threshold of the sub-humid climates (20-40 inches. Kalam valley experiences cold long winters (7 months and short warm summers (5 months. The mean temperature reveals an increase of 0.90C, maximum temperature 0.40C and mean minimum temperature 0.50Celsius. This increase in the temperature of the area has caused water stress and retreat of glaciers and affected the permafrost condition at higher altitudes in the area. The annual flow of the Swat river is 192.2 cubic meter/seconds with a decline of -0.03 cubic m/sec from 2003 to 2013. The annual trend of water flow is directly proportional to precipitation and contrary to maximum temperature during 2003 to 2012 and shows converse condition till 2013. The decrease in the flow of Swat river seems both in winter and summer season. The glaciers and snow covered area of the Kalam valley decreases with passage of time and required mitigation. The vulnerability of the study area to climate change can be minimized by the construction of small reservoirs, river embankments, improvement in sewerage and sanitation, planning for flood water, and revision of the water management policy, implementation, and establishment of research and development funds.

  14. Militancy in Pakistan: Rebottling the Genie

    Science.gov (United States)

    2013-03-01

    North America, Europe , Asia, Africa, and the Middle East - including the United States.”6 This paper argues that Pakistan can overcome this problem...gross domestic product (GDP) devoted to education has kept literacy rates as low as 54.9 percent.54 Lack of public education facilities in the FATA...full cooperation to the victim country. Visa and immigrations rules must be reviewed to curtail the traveling of suspected militants. Convince the

  15. Impediments Of Green Marketing In Pakistan

    OpenAIRE

    Siddique, Muhammad; Hayat, Khizer; Akbar, Irfan; Cheema, Khaliq Ur Rehman

    2013-01-01

    This study investigates different factors and the impact of these factors on adoption of green marketing in Pakistan. Motivational factors which are legislation, competitiveness, and ethical reasoning. Company features in which company size, internationalization, position in value chain, managerial attitude, and strategic attitude fall. Some external factors like geographical location and industrial factors also have effects on green marketing adoption. The last factor in our study is stakeho...

  16. Pakistan’s Domestic Political Developments

    Science.gov (United States)

    2005-09-19

    Nation) Muhammed Ali Jinnah and his lieutenant, Liaquat Ali Khan, the PML was weakened upon their premature deaths in 1948 and 1951 ( Jinnah by natural...two parliamentary seats in the 1993 and 1997 elections). Notable Leaders of Pakistan Governor-General Mohammed Ali Jinnah 1947-1948 Prime Minister...service. 44 The Muttahida Quami Movement (MQM) is a Sindhi regional party mainly composed of the descendants of pre- partition immigrants (Muhajirs) from

  17. Impediments Of Green Marketing In Pakistan

    OpenAIRE

    Siddique, Muhammad; Hayat, Khizer; Akbar, Irfan; Cheema, Khaliq Ur Rehman

    2013-01-01

    This study investigates different factors and the impact of these factors on adoption of green marketing in Pakistan. Motivational factors which are legislation, competitiveness, and ethical reasoning. Company features in which company size, internationalization, position in value chain, managerial attitude, and strategic attitude fall. Some external factors like geographical location and industrial factors also have effects on green marketing adoption. The last factor in our study is stakeho...

  18. Pakistan: social basis of the economy.

    Science.gov (United States)

    Maloney, C

    1987-01-01

    Pakistan's gross domestic product (GDP) has grown at an average of 5.3%/year since 1950 and real per capita income has increased 3.7%/year over the past decade, despite a 3% annual population growth rate. Contributing to this dynamic economic growth have been migration, the construction of a new national economy following independence, controlled irrigation, foreign exchange availability, and an expectation on the part of the public of higher earnings and consumption. Despite these trends, the Pakistan economy is structurally weak and there have been rapid increases in both the domestic and foreign debt. Economic growth has been based largely on trading and soft services. Government departments are known for their corruption. This self-contradictory economic picture derives directly from the structure of Pakistani society, which is dominated by the elite of Punjab Province. Urbanization is increasing economic inequality in the society, and government taxation policies are biased toward big agriculture and industry. Pakistan's poor performance in education, social development, and family planning are expected to inhibit future economic development. Only 26% of Pakistanis are literate, reflecting the low social value placed on education. Even in urban areas, there is no evidence of a decline in fertility. This results from the psychological and economic need for children, women's limited roles, Islamic opposition to family planning, and inefficient government delivery of social services. Within a few years, population growth will magnify the structural weaknesses of the Pakistan economy. It is hoped that the dynamic nature of Panjabi values and behavior, especially of the new middle class, will lead to a redress of this situation.

  19. China-Pakistan Young Scientist Forum

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    <正>The China-Pakistan Young Scientist Forum, cosponsored by the CPAFFC and the China Association for Science and Technology (CAST), was held at the China International Conference Center for Science and Technology on April 17. Feng Zuoku, Vice President of the CPAFFC, Xu Yanhao, a member of the CAST Secretariat, and Zahoor Ahmed, Charge d’Affaires of the Pakistani Embassy in China, addressed the opening ceremony.

  20. Radio and distance learning in Pakistan.

    Science.gov (United States)

    Abbas, R

    1987-01-01

    Radio is a powerful communication vehicle in Pakistan able to reach 3/4 of urban and 2/3 of rural households. Until 1974, most radio broadcasts of the Pakistan Broadcasting Corporation, a state monopoly, were in the categories of music, drama, and features; news and current affairs; and religious broadcasts. The Allama Iqbal Open University (AIOU), a distance learning educational institution, was established through an act of the Pakistan Parliament in 1974 and is the only institution in the country to use radio broadcasts for its curriculum. Also established in 1974 within the AIOU was the Institute of Educational Technology (IET). The IET channels the transmission and flow of well-designed educational messages and lessons from the teachers to the students by employing distance teaching methodology that seeks to reinforce students' weekly lessons. IET closely integrates its activities within the University's academic departments. IET staff members not only participate in the development of course curriculum and syllabi, but also help to identify course content needing reinforcement through radio. While the teachers at AIOU convert the course curricula into distance-learning self-study activity-oriented correspondence texts, IET producers transcribe these scripts into actual production scripts. Feedback from students and findings of the University's Research and Statistical Cell are used to make revisions in the scripts. The AIOU enrolls an average of 100,000 students each year. Expansion is being limited only by the costs of purchasing time from the Pakistan Broadcasting Corporation (Rs 2000 for a 15-minute lesson) and the availability of appropriate time slots.

  1. China-Pakistan Strengthen Bilateral Custom Cooperation

    Institute of Scientific and Technical Information of China (English)

    Guo Yan

    2008-01-01

    @@ Mr.Abdullah Yusuf,Secretary General/Chairman,Central Board Of Revenue of Pakistan,arrived Shenzhen on April 22 to meet with Mr.Sheng Guangzu,the Chinese Minister for Customs Administration for discussing the bilateral customs issues.During his two-day visit,China's Foreign Trade Magazine interviewed to Mr.Abdullah Yusuf in Beijing,he gave the high evaluation on this visit and China's great development in the recent years.

  2. Knowledge and attitude regarding euthanasia among medical students in the public and private medical schools of Karachi.

    Science.gov (United States)

    Hassan, Wafa; Ahmad, Farah; Malik, Aisha; Ali, Saba

    2013-02-01

    To assess the awareness about and perception of euthanasia among medical students of Karachi. The cross-sectional study was conducted from December 2011 to March 2012 among students of private-sector and one public-sector medical college in Karachi. Data was analysed using SPSS version 17, and associations were worked out using chi-square test. Out of the 493 students, 226 (46%) were from the matriculation system and 194 (39%) from the Cambridge system, while the remaining 15% were from the American High School. The male-female ratio was 1:3. There were 284 (58%) students from the private medical college. Majority of the private medical school students (n = 284; 99.6%) knew about euthanasia, compared to the public-sector facility where only 161 (77%) knew of it. Of the total, 405 (82%) students agreed that it is physician-assisted suicide; 255 (52%) agreed to the idea of palliative care, claiming it was sufficient to maintain life; 226 (54%) disagreed that a doctor should not be allowed to administer a lethal dose while only 162 (33%) agreed to the idea of it; 285 (58%) disagreed that a law regarding the practice of euthanasia should not be introduced, whereas 134 (27%) agreed to it; 70 (14%) agreed to the practice of euthanasia, while 311 (63%) disagreed, mostly for religious reasons. The awareness of euthanasia was high, but a very small proportion of students approved of it. There is need to include palliative care and euthanasia in the Behavioural Science module in the under-graduation programme of both public and private medical schools.

  3. Regulated compensated donation in Pakistan and Iran.

    Science.gov (United States)

    Rizvi, Adibul Hasan S; Naqvi, Anwar S A; Zafar, Naqi M; Ahmed, Ejaz

    2009-04-01

    Paid living unrelated kidney donor transplantation has flourished in Pakistan and Iran. This review discusses the dynamics and consequences of organ trade in Pakistan and of a regulated paid donor model in Iran on transplant activities in these countries. In 2007, over 2500 renal transplants were performed in Pakistan, where more than 70% were from socioeconomic disadvantaged kidney vendors. More than half of recipients were foreigners who paid US$20,000-30,000. Recipients of vendor kidneys had poor outcome and high infectious complications. Regulated paid donor kidney transplant in Iran number around 1500 per year and constitute 70% of the total transplants. Graft survival rates are similar to those for living related donors. The donors are paid US$1200 and additional monies are negotiated between the recipient-donor pair. This model claims to have abolished waiting lists, although many poor patients wait for deceased donors. In both countries, recipients are relatively rich and vendors are the poor of the society who sell kidneys for quick money or to repay debts. Paid donation, regulated or commercial, leads to coercion and exploitation of the poor and benefits the rich. This situation has forestalled deceased donor program and hence other solid-organ transplants. The way forward is to promote deceased donors by making transplant available to all who need it.

  4. PROSPECTS OF ISLAMIC BANKING: REFLECTIONS FROM PAKISTAN

    Directory of Open Access Journals (Sweden)

    Muhammad Akram

    2011-06-01

    Full Text Available This study examines the growth and development phases as well as prospects of Islamic banking in Pakistan. The role of Islamic banking is explained with special regards to corporate social responsibility (CSR as now days this concept is growing vastly. Awareness in public also has been growing and people are moving towards Islamic banking system. As we live in a Muslim country so it is very essential to have some basic knowledge about the Islamic banking. In this paper growth and performance of Islamic banking is discussed and compared among the financial years from 2003 to 2010 in terms of growth parameters like assets, deposits, sources and uses of funds. The performance indicators are also discussed to evaluate the growth and performance of Islamic banking system. In the last eight years, Islamic banking paved with the rapid market share of banking services. Moreover the efforts made by the central bank in Pakistan (SBP are also remarkable in growth of Islamic banking. By seeing the present growth of Islamic banking, it is anticipated that in near future, Islamic banking with get major share in banking industry in Pakistan.

  5. Microbial contaminants in Pakistan: a review

    Directory of Open Access Journals (Sweden)

    Maida Kanwal

    2016-04-01

    Full Text Available Worldwide contamination of surface waters with microbial pathogens is of substantial health concern. These contaminants are usually transmitted by improper sanitation measures, unsafe waste disposal, excretions from patients, and physical contacts, i.e., sexual and nonsexual. Majority of these microbial pathogens have been categorized into three classes, i.e., bacteria, viruses and protozoa. Pakistan, being a developing country, is facing a noteworthy threat due to microbial contamination. In Pakistan, bacterial contaminants are reported extensively followed by viral and protozoa contaminants. The health issues associated with bacterial population includes dysentery, abdominal pain, headache, diarrhea etc.; and usually includes faecal and total coliforms, E. coli, Salmonella, Shigella and Campylobacter. The cases related to viral contamination are lesser but chronic and evidenced the presence of HCV, HAV, HEV viruses causing hepatitis, and other hepatic disorders. Lastly, the health impacts associated with protozoans are least reported; and a number of diseases such as giardia, cryptosporidium and toxoplasma have been linked with this class of contaminants. The current review compiles information of these biological contaminants along with their health issues in Pakistan. Moreover, potential sources and fate of microbial contaminants are also discussed.

  6. WTO REFORMS AND RICE MARKET IN PAKISTAN

    Directory of Open Access Journals (Sweden)

    Muhammad Bachal Jamali

    2011-10-01

    Full Text Available This research investigates the WTO reforms and Rice market in Pakistan. Data were collected from the Primary as well secondary sources of the Rice producing countries, and data were analysis by using SPSS-18 version, A structural questionnaire was developed for reliability and validity of the data. It was revealed that from the last five years there is no visible impact on export laid growth but from last three years price shocks was observed in Pakistan, due to increases in the world rice market by 200 percent in various Asian countries. Consumers are facing the price shock problem in Pakistan and world Rice market the statistical results were similar for the alternative specification of gross margins and prices as the economic decision available. However, the price elasticities derived using the gross margins specification were about a third of those using the prices specification. The gross margin specification yielded additional information in the form of yield and input cost elasticities. The analysis indicates that there are lags which are due primarily to the difficulties and cost of rapid adjustment rather than to the time required to revise expectations. The statistical results were similar for the alternative specification of gross margins and prices as the economic decision available. However, the price elasticities derived using the gross margins additional information in the form of yield and input cost elasticities

  7. An overview of poultry industry in Pakistan

    Science.gov (United States)

    HUSSAIN, J.; RABBANI, I.; ASLAM, S.; AHMAD, H.A.

    2015-01-01

    The poultry sector is an important and vibrant segment of agriculture in Pakistan with a significant contribution to the national GDP (1.3%). Commercial poultry production in Pakistan started in the 1960’s and has been providing a significant portion of daily proteins to the Pakistani population ever since. During its evolution the industry enjoyed promotional policies of the Government, but has faced several challenges such as disease outbreaks and retail price fluctuations. Despite its important role in the country’s economy, not a single scientific study is available on its evolutionary history. The data available in this regard are scattered and lack reliability. This review is an effort to encompass the history of the overall growth of the poultry industry in Pakistan, its present status (2012 statistics) and future directions and challenges. This article may serve as the basic source of information on Pakistan’s poultry industry achievements. It will also guide poultry experts and policy makers for developing strategic planning for further growth of the industry. PMID:26696690

  8. South Oregon Coast Reinforcement.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1998-05-01

    The Bonneville Power Administration is proposing to build a transmission line to reinforce electrical service to the southern coast of Oregon. This FYI outlines the proposal, tells how one can learn more, and how one can share ideas and opinions. The project will reinforce Oregon`s south coast area and provide the necessary transmission for Nucor Corporation to build a new steel mill in the Coos Bay/North Bend area. The proposed plant, which would use mostly recycled scrap metal, would produce rolled steel products. The plant would require a large amount of electrical power to run the furnace used in its steel-making process. In addition to the potential steel mill, electrical loads in the south Oregon coast area are expected to continue to grow.

  9. Cardiovascular Disease-Related Lifestyle Factors among People with Type 2 Diabetes in Pakistan: A Multicentre Study for the Prevalence, Clustering, and Associated Sociodemographic Determinants

    Directory of Open Access Journals (Sweden)

    Ali Khan Khuwaja

    2011-01-01

    Full Text Available Background. We evaluated the prevalence and clustering pattern of cardiovascular disease (CVD related lifestyle factors and their association with CVD among patients with type 2 diabetes. We also examined the association of these factors with various socio-demographic characteristics. Methods. A total of 1000 patients with type 2 diabetes were interviewed in a cross-sectional, multi-center study in out-patient clinics in Karachi, Pakistan. Results. In this study 30.3% study participants had CVD. Majority of the patients were physically inactive and had adverse psychosocial factors. Forty percent of the study participants were exposed to passive smoking while 12.7% were current smokers. Only 8.8% of study subjects had none of the studied lifestyle factor, 27.5% had one, while 63.7% had two or three factors. CVDs were independently associated with physical inactivity, adverse psychosocial factors, passive smoking and clustering of two or three lifestyle factors. Physical inactivity was more prevalent among females and patients with no/less education. Proportion of adverse psychosocial factors were higher among females, elders and patients with no/less education. Clustering of these lifestyle factors was significantly higher among females, elderly and no/less educated patients. Conclusion. These results suggest the need of comprehensive and integrated interventions to reduce the prevalence of lifestyle factors.

  10. Long term changes of tropospheric Nitrogen Dioxide over Pakistan derived from Ozone Monitoring Instrument (OMI) during the time period of October 2004 to December 2014

    Science.gov (United States)

    Murtaza, Rabbia; Fahim Khokhar, Muhammad

    2016-07-01

    Urban air pollution is causing huge number of diseases and deaths annually. Nitrogen dioxide is an important component of urban air pollution and a precursor to particulate matter, ground level ozone, and acid rain. The satellite based measurements of nitrogen dioxide from Ozone Monitoring Instrument (OMI) can help in analyzing spatio temporal variability in ground level concentrations within a large urban area. In this study, the spatial and temporal distributions of tropospheric nitrogen dioxide Vertical Column Densities (VCDs) over Pakistan are presented from 2004 to 2014. The results showed that the winter season is having high nitrogen dioxide levels as compared to summers. The increase can be attributed to the anthropogenic activities especially thermal power generation and traffic count. Punjab is one of the major provinces with high nitrogen dioxide levels followed by Sindh, Khyber Pakhtunkhwa and Balochistan. Six hotspots have been examined in the present study such as Lahore, Islamabad, Karachi, Faisalabad, Okara and Multan. Emissions of nitrogen compounds from thermal power plants and transportation sector represent a significant fraction of the total nitrogen dioxide emissions to the atmosphere.

  11. Returns to Schooling, Ability and Cognitive Skills in Pakistan

    Science.gov (United States)

    Aslam, Monazza; Bari, Faisal; Kingdon, Geeta

    2012-01-01

    This study investigates the economic outcomes of education for wage earners in Pakistan. This is done by analysing the relationship between schooling, cognitive skills and ability, on the one hand, and economic activity, occupation, sectoral choice and earnings, on the other. In Pakistan, an important question remains largely unaddressed: what…

  12. Women's Perspectives of Peace: Unheard Voices from Pakistan

    Science.gov (United States)

    Habib, Zehra

    2013-01-01

    Pakistan is currently impacted by rampant terrorism and is simultaneously grappling with intrastate ethnic and sectarian violence. The focus of this dissertation was on examining grassroots Pakistani women's perspectives on peace and women's contributions to peace in Pakistan. The study was centered on grassroots women because their voices remain…

  13. Evaluation Study of Early Childhood Education in Pakistan

    Science.gov (United States)

    Shakeel, Muhammad; Farooq, Muhammad; Umbreen

    2011-01-01

    Early Childhood Education (ECE) was globally and locally an innovation, particularly in third world. The objective of this study was to investigate an impact evaluation of ECE initiated recently in Pakistan. The data of impact evaluation were drawn from three ECE Centers of Islamabad Capital Territory (ICT), Pakistan. Total samples of 65…

  14. Pakistan: Can the United States Secure an Insecure State?

    Science.gov (United States)

    2010-01-01

    Ethnocentrism is a problem. Pakistan lost Bangladesh in its 1971 civil war in part because West Pakistanis viewed Bengalis, who are the dominant ethnic...137. 64 Pakistan: Can the United States Secure an Insecure State? in the last few years of rapid growth, consumer price inflation surged to 25

  15. Deconstructive Pedagogy and Ideological Demystification in Post-Colonial Pakistan

    Science.gov (United States)

    Mansoor, Asma; Malik, Samina

    2016-01-01

    With post-colonial Pakistan inheriting the British colonial ideological and governmental apparatus, the English literature curriculum implemented at the university level in Pakistan carried the interpellatory baggage of its colonial past. Our interdisciplinary exploration focuses on using deconstructive pedagogy to demystify and subvert the…

  16. On 25 January Pervez Musharraf, president of Pakistan, visited CERN

    CERN Multimedia

    Maximilien Brice

    2006-01-01

    The President of the Islamic Republic of Pakistan, General Pervez Musharraf, welcomed by CERN's Director-General, Robert Aymar. The president is accompanied by an important delegation of five ministers from the Pakistani Government, the Chairman of Pakistan's Atomic Energy Commission (PAEC), Parvez Butt, and an eminent former Chairman of the Commission, Ishfaq Ahmad, who pioneered cooperation with CERN.

  17. Pakistan - The Most Dangerous Place in the World

    Science.gov (United States)

    2009-07-01

    violence . If these conditions were not problem enough, Pakistan endures political pendulum swings that make the incessant finger-pointing between...Democrats and Republicans sound like the kindergarten antics of cranky babies. In just over 60 years of independence, Pakistan has had five-and-a

  18. The political economy of trade relations between India-Pakistan

    Directory of Open Access Journals (Sweden)

    Kishore C. Dash

    2014-04-01

    Full Text Available A growing number of scholarly studies in and outside South Asia suggest the linkage between trade, economic development and peace between India and Pakistan. Despite many tangible political and economic gains of expanded India-Pakistan trade, the level of trade between India and Pakistan has remained anemic over the past six decades. Why hasn’t trade grown between India and Pakistan? What are the prospects of trade expansion between these two countries? Drawing on the growing political economy literature, we have identified four facilitating conditions to explain the growth of trade flows between a given pair of countries: distance, trade complementarity, rivalry, and government strength. In this article, we examine the dynamics and implications of these four conditions for trade relations between India and Pakistan. Following this analysis, we identify several key issues - trade liberalization, market access, energy cooperation, and regional stability - that can provide impetus needed to drive these two countries toward greater trade expansion.

  19. Northwest Coast Indian Art.

    Science.gov (United States)

    Manning, Thomas; Knecht, Elizabeth

    The visual art forms of the Northwest Coast Indian Tribes of Alaska (Haida, Tlingit, and Tsimshian) share common distinctive design elements (formline, ovoid, U-form, and curvilinear shapes) which are referred to as the "Northern Style." Designs represent events or characters taken from the oral tradition of song and legend.…

  20. Manado: A Developing Coast

    NARCIS (Netherlands)

    Tenthof van Noorden, C.; Vermeij, D.; Van Zuijlen, J.; Zeelenberg, W.

    2013-01-01

    Manado, the capital city of North Sulawesi in Indonesia, is rapidly developing. The last years Manado has been extending into the sea, which changed the hydraulics and morphology of Manado Bay. This had negative effects on the currents, inducing erosion along the coast. Also Manado has problems with

  1. High Performance Management Practices and Sustainability of SMEs. Evidence from Manufacturing and Services-based Industries in Pakistan

    Directory of Open Access Journals (Sweden)

    Abdul Raziq

    2016-05-01

    Full Text Available Prior research on high performance management practices (HPMP has primarily examined the relationship between HPMP and firm performance in the context of large organisations. However, this study examines the relationship between HPMP and Sustainability outcomes (firm performance in small and medium-size enterprises (SMEs and also within a specific cultural background which is under researched. This research study is related to both theory and practice. The main relevance lies in analyzing the relationship between HPMP and sustainability outcomes in SMEs. This research study relates to theory by applying the resource-based view and configurational approaches used in this study. The study employed a quantitative methodology. Data were collected through a self-administered survey questionnaire. The questionnaire was adopted from a previous validated survey measuring HPMP in Australian SMEs. The target population consisted of SMEs operating in the city of Karachi, Pakistan. Stratified random sampling was applied to collect data from two stratums i.e. manufacturing and service-sector SMEs. A total of 703 firms were selected, contacted by phone, and invited to participate in this survey. Of these firms, 357 SMEs (50.78 percent response rate accepted the invitation to fill out the survey questionnaire. Most of the respondents who agreed requested that the researcher to visit their organizations personally. The data were analyzed by using Structural Equation Modeling techniques including exploratory factor analysis. The findings indicate a positive significant relationship between HPMP and sustainability outcomes. The link between these HPMP and the sustainability of SMEs demonstrates the value and importance of HPMP in achieving sustainability.

  2. Drinking water quality assessment in Southern Sindh (Pakistan).

    Science.gov (United States)

    Memon, Mehrunisa; Soomro, Mohammed Saleh; Akhtar, Mohammad Saleem; Memon, Kazi Suleman

    2011-06-01

    The southern Sindh province of Pakistan adjoins the Arabian Sea coast where drinking water quality is deteriorating due to dumping of industrial and urban waste and use of agrochemicals and yet has limited fresh water resources. The study assessed the drinking water quality of canal, shallow pumps, dug wells, and water supply schemes from the administrative districts of Thatta, Badin, and Thar by measuring physical, chemical, and biological (total coliform) quality parameters. All four water bodies (dug wells, shallow pumps canal water, and water supply schemes) exceeded WHO MPL for turbidity (24%, 28%, 96%, 69%), coliform (96%, 77%, 92%, 81%), and electrical conductivity (100%, 99%, 44%, 63%), respectively. However, the turbidity was lower in underground water, i.e., 24% and 28% in dug wells and shallow pumps as compared to open water, i.e., 96% and 69% in canal and water supply schemes, respectively. In dug wells and shallow pumps, limits for TDS, alkalinity, hardness, and sodium exceeded, respectively, by 63% and 33%; 59% and 70%, 40% and 27%, and 78% and 26%. Sodium was major problem in dug wells and shallow pumps of district Thar and considerable percent in shallow pumps of Badin. Iron was major problem in all water bodies of district Badin ranging from 50% to 69% and to some extent in open waters of Thatta. Other parameters as pH, copper, manganese, zinc, and phosphorus were within standard permissible limits of World Health Organization. Some common diseases found in the study area were gastroenteritis, diarrhea and vomiting, kidney, and skin problems.

  3. Governor Punjab, Pakistan: Pakistan-China Friendship Imbued by High Trust

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ During the late period of 2006, H.E. Lt. Gen.(Retired) Khalid Maqbool, Governor of Punjab Province, Pakistan visited China. His visit covered many places in China including Xinjiang Autonomous Region, Ningxia Hui Autonomous Region, Beijing, etc. Gen. Khalid Maqbool also was interviewed by Chinese media.

  4. Pakistan: Summary Report. Education Financing and People's Aspirations in Pakistan. Asia-South Pacific Education Watch

    Science.gov (United States)

    Lozada, Rebecca, Ed.

    2008-01-01

    This study was conducted across the country in a total of 23 districts, 5 districts each in the four provinces of Pakistan, i.e. Balochistan, Punjab, Sindh, North Western Frontier Province (NWFP), and 2 districts in Azad Jammu & Kashmir (AJK). The main purpose of the paper was to unravel the intricate budgeting process in the education sector,…

  5. Does academic assessment system type affect levels of academic stress in medical students? A cross-sectional study from Pakistan

    Directory of Open Access Journals (Sweden)

    Madiha Ali

    2015-06-01

    Full Text Available Introduction: Stress among medical students induced by academic pressures is on the rise among the student population in Pakistan and other parts of the world. Our study examined the relationship between two different systems employed to assess academic performance and the levels of stress among students at two different medical schools in Karachi, Pakistan. Methods: A sample consisting of 387 medical students enrolled in pre-clinical years was taken from two universities, one employing the semester examination system with grade point average (GPA scores (a tiered system and the other employing an annual examination system with only pass/fail grading. A pre-designed, self-administered questionnaire was distributed. Test anxiety levels were assessed by The Westside Test Anxiety Scale (WTAS. Overall stress was evaluated using the Perceived Stress Scale (PSS. Results: There were 82 males and 301 females while four did not respond to the gender question. The mean age of the entire cohort was 19.7±1.0 years. A total of 98 participants were from the pass/fail assessment system while 289 were from the GPA system. There was a higher proportion of females in the GPA system (85% vs. 59%; p<0.01. Students in the pass/fail assessment system had a lower score on the WTAS (2.4±0.8 vs. 2.8±0.7; p=0.01 and the PSS (17.0±6.7 vs. 20.3±6.8; p<0.01, indicating lower levels of test anxiety and overall stress than in students enrolled in the GPA assessment system. More students in the pass/fail system were satisfied with their performance than those in the GPA system. Conclusion: Based on the present study, we suggest governing bodies to revise and employ a uniform assessment system for all the medical colleges to improve student academic performance and at the same time reduce stress levels. Our results indicate that the pass/fail assessment system accomplishes these objectives.

  6. Health-Related Anxiety and Hypochondriacal Concerns in Medical Students: A Cross-Sectional Study From Pakistan.

    Science.gov (United States)

    Zahid, Mohammad Faizan; Haque, Ambreen; Aslam, Moaz; Aleem, Numra Abdul; Hussain, Sheraz; Fahad, Hamna; Naqvi, Haider Ali; Ghias, Kulsoom

    2016-01-01

    Phenomenon: Transient health-related anxiety/hypochondriacal concerns in medical students are well documented. The literature suggests that after studying a particular disease, medical students are likely to consider any symptoms earlier regarded as normal to be signs of the disease they are studying. The aim of this study was to investigate the prevalence of these phenomena and their cognitive and distress aspects among medicals students in Karachi, Pakistan. This was an analytical, cross-sectional study. Self-administered questionnaires comprising demographic details, the Short Health Anxiety Inventory, Medical Students' Disease (MSD) Perception Scale, and MSD Distress Scale were distributed to 1st- through 5th-year medical students. In total, 513 medical students (66% female) participated. Their mean age was 21 ± 1.6 years. Three hundred seventy-five students (73%) reported having visited a doctor at least once in the past 6 months. Fifty students (9.9%) admitted to having addictions. The overall prevalence of significant hypochondriacal concerns was 11.9% (61 students). The presence of addiction was associated with a greater likelihood of developing significant health-related anxiety (odds ratio = 3.82, p = .003), 95% confidence interval [1.51, 7.11]. Age, gender, medical school, year of medical school, and visits to the doctor in the previous 6 months were not associated with greater likelihood of developing significant health-related anxiety. Second-year medical students experienced a significantly greater degree of worry (MSD-Distress scale) than 5th-year students (M score = 12.6 ± 4.6 vs. 10.7 ± 4.4, p = .04). Insights: The prevalence of substantial hypochondriacal concerns in medical students in Pakistan was low in comparison to similar studies published in literature. Student health physicians should be aware of the true prevalence of hypochondriacal concerns and behavior and not dismiss legitimate complaints. Educational sessions to counteract this

  7. Review of the idiocerine leafhoppers of Pakistan (Hemiptera, Cicadellidae) with a description of a new species.

    Science.gov (United States)

    Khatri, Imran; Webb, M D

    2014-01-01

    The Idiocerinae of Pakistan are reviewed and a new species, Tasnimocerus sindhensis sp. nov. (Pakistan: Tandojam), is described and illustrated from Pakistan. Two new junior synonyms of Idioscopus nitidulus (Walker) are recognized: Idioscopus karachiensis Ahmed, Naheed & Ahmed syn. nov. and I. freytagi Ahmed, Naheed & Ahmed syn. nov. Idioscopus nagpurensis (Pruthi) is newly recorded from Pakistan. A checklist of Idiocerinae from Pakistan is also provided together with a key to genera and species. 

  8. Coast guard STD calibration procedures

    National Research Council Canada - National Science Library

    Freeman, R.H; Krug, W.S

    1973-01-01

    This manual describes the procedures used by the Coast Guard Oceanographic UNIT (CGOU) to calibrate several Model 9040 STD systems, manufactured by Plessey Environmental Systems, currently in use within the Coast Guard...

  9. Women's rights in Pakistan: a forensic perspective.

    Science.gov (United States)

    Hadi, Sibte

    2003-04-01

    Pakistan is a large and an important West Asian country which came into being in the name of Islam and therefore Islamic tenets remain the core of its constitution. The laws of the state have to conform to Islamic law so that they can have a positive impact on the society. Unfortunately, in Pakistan today not all men enjoy the rights and facilities to which they are entitled and women are doubly disadvantaged by poverty and gender. With their own political agendas, various governments have promulgated laws which affect the society in various ways. The laws which directly influence women's rights merit mention, as women comprise more than 50% of the population of Pakistan and are still kept on the sidelines by the male dominant society. The Muslim Family Law Ordinance, 1961, and the Hudood Ordinance, 1979 were both promulgated by military dictators with different visions. The former codified the rights of women bestowed by Islamic law; the latter repealed laws for sexual offences according to the injunctions of Islam and had a negative impact. Both laws need the assistance of forensic medicine as age estimation and medical examinations are necessary if they are to be followed in the right perspective. However, a legal need for an examination by an expert in forensic medicine is sadly lacking in both laws. This has happened due to lack of training of forensic physicians and therefore a lack of research in important areas of forensic medicine in the country. This paper examines these laws and the interaction they have with forensic medicine and proposes that the laws need revision in accordance with modern science, incorporating forensic sciences as well as the injunctions of Islam.

  10. Leprosy in Pakistan: LEPRA elective study.

    Science.gov (United States)

    Ladhani, S

    1998-06-01

    As part of the curriculum, medical students at the United Medical and Dental Schools of Guy's and St Thomas's Hospitals (UMDS), London, are encouraged to spend an elective period of 8 weeks in their final year anywhere in the world, studying any field of medicine they are interested in. Having lived in Tanzania for 10 years, I have had contact with people suffering from leprosy and my interest in leprosy continued after I moved to Europe to continue my education. I therefore decided to use my elective to gain hands-on experience with the disease so that I could understand and appreciate the impact of leprosy in developing countries such as Pakistan.

  11. Area Handbook Series. Pakistan: A Country Study,

    Science.gov (United States)

    1983-10-01

    and shrimp were a significant portion of the catch. sea bss, tuna, bonito. shad. and shark were the important fish caught. Some modernization of the...34tha w citable wues to thi day. Wh@eer sabiiy wa mantied by the IFpNel power in &ia a de is so m.ds ,o f , t, ciil to&wrvuM . MMOe r. So6sha athoriy was...34the Military Elite in Pakistan. A Socio-listoral Anal- -sis - (Unpublished mantis -Opt. April 1973) Iuissai. As{ Elite Politics in an Ideolo al Star The

  12. Determinants of Corporate Philanthropy in Pakistan

    Directory of Open Access Journals (Sweden)

    Muhammad Abdul Majid Makki

    2008-09-01

    Full Text Available The importance of corporate philanthropy and its related philosophy of corporate social responsibility have captured the attention of researchers and humanitarian groups in WTO era. Corporate donations have been considered as a critical tool to improve corporate image in a highly competitive environment. This paper explores the determinants of corporate donations based on LSE-25 index companies over the five year period 2002-06. Multiple regression techniques have been used for gauging the determinants of corporate philanthropy after collecting data from audited financial reports of companies. The study is a pioneering attempt in measuring the determinants of philanthropy in corporate sector of Pakistan.

  13. An Empirical Analysis of Foreign Direct Investment in Pakistan

    Directory of Open Access Journals (Sweden)

    Akbar Minhas

    2015-04-01

    Full Text Available The aim of this paper is to explore the trends in Foreign Direct Investment (FDI inflows in Pakistan and to identify the key determinants of FDI for the period of 2000-2013. The country experienced a continuous surge in FDI inflows from 2000-2008. On the contrary, the phase of 2009-2013 has been characterized by a persistent decline in FDI in Pakistan. This slump is mainly attributed to political and economic instability as wells as poor law and order situation in the country. Keeping these periods with differing results in perspective, multiple regression analysis is employed to empirically analyze the key determinants that are expected to explain variation in FDI in Pakistan. The selected variables were found significant determinants of FDI in Pakistan. Gross Domestic Product (GDP, degree of trade openness and regime of dictatorship have a significant positive effect on FDI. While, terrorism attacks foreign debt, exchange rate, political instability, and domestic capital formation are negatively significant determinants of FDI inflows in Pakistan. Considering the dynamic changes in the broad macro factors in economy, this study provides a fresh perspective on the factors that determine FDI in Pakistan. Moreover, the study findings provide important insights to policy makers to design policy measures that enhance FDI inflows in Pakistan.

  14. Maine coast winds

    Energy Technology Data Exchange (ETDEWEB)

    Avery, Richard

    2000-01-28

    The Maine Coast Winds Project was proposed for four possible turbine locations. Significant progress has been made at the prime location, with a lease-power purchase contract for ten years for the installation of turbine equipment having been obtained. Most of the site planning and permitting have been completed. It is expect that the turbine will be installed in early May. The other three locations are less suitable for the project, and new locations are being considered.

  15. Coast Guard SOF

    Science.gov (United States)

    2006-02-01

    fire as they approached the coast of Vietnam.” 45 The first elements of Task Force 115, Operation Market Time, had arrived for combat duty. Task...inter- diction missions of Operation Market Time—and were generally the only maritime interdiction forces underway offshore in monsoon sea- son—these...Embassy. ITD members serve as advisers to the Panamanian Servicio Maritima Nacional (National Maritime Service), an agency modeled after the US

  16. EARLIEST TRIASSIC CONODONTS FROM CHITRAL, NORTHERNMOST PAKISTAN

    Directory of Open Access Journals (Sweden)

    MARIA CRISTINA PERRI

    2004-07-01

    Full Text Available Extensive tracts of very shallow water carbonates in the valleys of the Yarkhun and Mastuj rivers of Chitral (northernmost Pakistan previously though to be Permian (or Cretaceous are shown by conodonts from two horizons in sequences 110 km apart—near Torman Gol (Mastuj valley and near Sakirmul (upper Yarkhun valley—to include earliest Triassic (Scythian—Induan horizons. Both faunas have Isarcicella staeschei Dai & Zhang, Is. lobata Perri, Is. turgida (Kozur et al. and Hindeodus parvus (Kozur & Pjatakova, whereas Is. Isarcica (Huckriede has been recognised only in the Torman Gol occurrence. The presence, respectively, of Is. staeschei in the Sakirmul and Is. isarcica in the Torman Gol occurrences, allows discrimination of the staeschei and isarcica zones respectively the third and the fourth conodont biozones of the Early Triassic conodont biozonation of Perri (in Perri & Farabegoli 2003. Such faunas, consisting mainly of isarcicellids and hindeodids but lacking gondolellids, are characteristic of restricted sea environments across the Permian–Triassic boundary and in the earliest Triassic in other Tethyan areas. The conodont faunas from these two occurrences are remarkably similar, nearly contemporaneous, and indicate shallow water biofacies. They are inferred to equate with the Ailak Dolomite, a sequence of Late Permian–?Late Triassic dolostones discriminated farther up the Yarkhun valley and extending eastwards into the upper Hunza region of northernmost Pakistan. The Zait Limestone and Sakirmul carbonate sequence are consistent with extension of the previously inferred Triassic carbonate platform at least 110 km farther to the SW than previously supposed.

  17. Priorities for toxic wastewater management in Pakistan

    Energy Technology Data Exchange (ETDEWEB)

    Rahman, A. [Sustainable Development Policy Institute, Islamabad (Pakistan)

    1996-12-31

    This study assesses the number of industries in Pakistan, the total discharge of wastewater, the biological oxygen demand (BOD) load, and the toxicity of the wastewater. The industrial sector is a major contributor to water pollution, with high levels of BOD, heavy metals, and toxic compounds. Only 30 industries have installed water pollution control equipment, and most are working at a very low operational level. Priority industrial sectors for pollution control are medium- to large-scale textile industries and small-scale tanneries and electroplating industries. Each day the textile industries discharge about 85,000 m{sup 3} of wastewater with a high BOD, while the electroplating industries discharge about 23,000 m{sup 3} of highly toxic and hazardous wastewater. Various in-plant modifications can reduce wastewater discharges. Economic incentives, like tax rebates, subsidies, and soft loans, could be an option for motivating medium- to large-scale industries to control water pollution. Central treatment plants may be constructed for treating wastewater generated by small-scale industries. The estimated costs for the treatment of textile and electroplating wastewater are given. The legislative structure in Pakistan is insufficient for control of industrial pollution; not only do existing laws need revision, but more laws and regulations are needed to improve the state of affairs, and enforcement agencies need to be strengthened. 15 refs., 1 fig., 9 tabs.

  18. The Debt Overhang Hypothesis: Evidence from Pakistan

    Directory of Open Access Journals (Sweden)

    Shah Muhammad Imran

    2016-04-01

    Full Text Available This study investigates the debt overhang hypothesis for Pakistan in the period 1960-2007. The study examines empirically the dynamic behaviour of GDP, debt services, the employed labour force and investment using the time series concepts of unit roots, cointegration, error correlation and causality. Our findings suggest that debt-servicing has a negative impact on the productivity of both labour and capital, and that in turn has adversely affected economic growth. By severely constraining the ability of the country to service debt, this lends support to the debt-overhang hypothesis in Pakistan. The long run relation between debt services and economic growth implies that future increases in output will drain away in form of high debt service payments to lender country as external debt acts like a tax on output. More specifically, foreign creditors will benefit more from the rise in productivity than will domestic producers and labour. This suggests that domestic labour and capital are the ultimate losers from this heavy debt burden.

  19. Terrorism in Pakistan: a behavioral sciences perspective.

    Science.gov (United States)

    Nizami, Asad Tamizuddin; Rana, Mowadat Hussain; Hassan, Tariq Mahmood; Minhas, Fareed Aslam

    2014-01-01

    This article reviews the behavioral science perspectives of terrorism in Pakistan. It can be argued that Pakistan has gained worldwide attention for "terrorism" and its role in the "war against terrorism". The region is well placed geopolitically for economic successes but has been plagued by terrorism in various shapes and forms. A behavioral sciences perspective of terrorism is an attempt to explain it in this part of the world as a complex interplay of historical, geopolitical, anthropological and psychosocial factors and forces. Drawing from theories by Western scholars to explain the behavioral and cognitive underpinnings of a terrorist mind, the authors highlight the peculiarities of similar operatives at individual and group levels. Thorny issues related to the ethical and human right dimensions of the topic are visited from the unique perspective of a society challenged by schisms and divergence of opinions at individual, family, and community levels. The authors have attempted to minimize the political descriptions, although this cannot be avoided entirely, because of the nature of terrorism. Copyright © 2014 John Wiley & Sons, Ltd.

  20. Economics of Tea Production in Pakistan

    Directory of Open Access Journals (Sweden)

    Bushra Rehman

    2012-09-01

    Full Text Available Tea is one of the most important non-alcoholic beverage drinks worldwide and has been gaining further popularity as an important „health drink‟ in view of its purported medicinal value. Pakistan has the potential of producing quality tea. National Tea Research Institute NTRI plays a very important role in the production and promotion of tea cultivation in Pakistan. The study was conducted to identify the opportunities and constraints in Shinkiari Mansehra. Primary data was collected from NTRI and different farmers of Shinkiari and evaluate the farmer‟s perceptions production processing and marketing of tea. Results revealed that NTRI processing unit was working at below its full capacity and 226.59 Rs/Kg extra costs bearing due to below capacity. Tea is a high value crop of gross margin of 21340 Rs/ Acre and annually earned gross margin from other Crops wheat and maize was 6675Rs/Acre and Tea Cultivation Advantage was 14665 Rs/Acre but farmers was not interested to cultivate due to its high initial investment. Internal Rate of Return (IRR and Net Present Value (NPV were calculated for investment appraisal of the tea. Hence, there is need to promote tea cultivation on grass land area which will increase their income and livelihood and create more employment opportunities for local people.

  1. Induced abortions and unintended pregnancies in pakistan.

    Science.gov (United States)

    Sathar, Zeba; Singh, Susheela; Rashida, Gul; Shah, Zakir; Niazi, Rehan

    2014-12-01

    During the past decade, unmet need for family planning has remained high in Pakistan and gains in contraceptive prevalence have been small. Drawing upon data from a 2012 national study on postabortion-care complications and a methodology developed by the Guttmacher Institute for estimating abortion incidence, we estimate that there were 2.2 million abortions in Pakistan in 2012, an annual abortion rate of 50 per 1,000 women. A previous study estimated an abortion rate of 27 per 1,000 women in 2002. After taking into consideration the earlier study's underestimation of abortion incidence, we conclude that the abortion rate has likely increased substantially between 2002 and 2012. Varying contraceptive-use patterns and abortion rates are found among the provinces, with higher abortion rates in Baluchistan and Sindh than in Khyber Pakhtunkhwa and Punjab. This suggests that strategies for coping with the other wise uniformly high unintended pregnancy rates will differ among provinces. The need for an accelerated and fortified family planning program is greater than ever, as is the need to implement strategies to improve the quality and coverage of postabortion services. © 2014 The Population Council, Inc.

  2. High HIV incidence among persons who inject drugs in Pakistan: greater risk with needle sharing and injecting frequently among the homeless.

    Directory of Open Access Journals (Sweden)

    Rab Nawaz Samo

    Full Text Available BACKGROUND: The incidence of HIV among persons who inject drugs (PWIDU has fallen in many nations, likely due to successes of clean needle/syringe exchange and substance abuse treatment and service programs. However in Pakistan, prevalence rates for PWID have risen dramatically. In several cities, prevalence exceeded 20% by 2009 compared to a 2003 baseline of just 0.5%. However, no cohort study of PWID has ever been conducted. METHODS: We enrolled a cohort of 636 HIV seronegative PWID registered with three drop-in centers that focus on risk reduction and basic social services in Karachi. Recruitment began in 2009 (March to June and PWID were followed for two years. We measured incidence rates and risk factors associated with HIV seroconversion. RESULTS: Incidence of HIV was 12.4 per 100 person-years (95% exact Poisson confidence interval [CI]: 10.3-14.9. We followed 474 of 636 HIV seronegative persons (74.5% for two years, an annual loss to follow-up of <13 per 100 person years. In multivariable Cox regression analysis, HIV seroconversion was associated with non-Muslim religion (Adjusted risk ratio [ARR] = 1.7, 95%CI:1.4, 2.7, p = 0.03, sharing of syringes (AR  = 2.3, 95%CI:1.5, 3.3, p<0.0001, being homeless (ARR = 1.7, 95%CI:1.1, 2.5, p = 0.009, and daily injection of drugs (ARR = 1.1, 95%CI:1.0, 1.3, p = 0.04. CONCLUSIONS: Even though all members of the cohort of PWID were attending risk reduction programs, the HIV incidence rate was very high in Karachi from 2009-2011. The project budget was low, yet we were able to retain three-quarters of the population over two years. Absence of opiate substitution therapy and incomplete needle/syringe exchange coverage undermines success in HIV risk reduction.

  3. Prevalence of Hepatitis ‘B’ and Hepatitis ‘C’ among preoperative cataract patients in Karachi

    Directory of Open Access Journals (Sweden)

    Naeem Syed

    2012-09-01

    Full Text Available Abstract Background To report the findings of preoperative screening regarding prevalence of Hepatitis B and Hepatitis C in patients presenting for cataract surgery. Findings A descriptive study was conducted among 377 patients presenting for cataract surgery to Department of Ophthalmology Unit I, CHK from April 2010 to May 2011. Convenience sampling was done to recruit the participants aged 18 years and above. The patients were screened for Hepatitis B and C infections and findings were recorded on a structured compilation sheet. The total prevalence of both Hepatitis B and Hepatitis C in preoperative Cataract patients was found to be 49 out of 377(12.99%. Overall, 8 out of 377 (2.1% patients were HBsAg positive and 42 out of 377 (11.1% were Anti-HCV positive. Only 1 patient was found with a co-infection with both HBsAg and Anti-HCV positive. Conclusions High proportions of Hepatitis B and C are reported among preoperative cataract patients of Karachi. Routine serological screening prior to surgery should be made mandatory so that asymptomatic patients would no longer pose a threat to its spread.

  4. Child Labor in Pakistan: A Study of the Lahore Area.

    Science.gov (United States)

    Ahmed, Mian Aftab

    1991-01-01

    Child labor is exceptionally extensive in Pakistan. An interview survey in the Lahore area documented the magnitude, causes, and effects of child labor. Steps for fighting this problem are recommended. (BC)

  5. Child Labor in Pakistan: A Study of the Lahore Area.

    Science.gov (United States)

    Ahmed, Mian Aftab

    1991-01-01

    Child labor is exceptionally extensive in Pakistan. An interview survey in the Lahore area documented the magnitude, causes, and effects of child labor. Steps for fighting this problem are recommended. (BC)

  6. Genetic history of hepatitis C virus in Pakistan.

    Science.gov (United States)

    ur Rehman, Irshad; Vaughan, Gilberto; Purdy, Michael A; Xia, Guo-liang; Forbi, Joseph C; Rossi, Livia Maria Gonçalves; Butt, Sadia; Idrees, Muhammad; Khudyakov, Yury E

    2014-10-01

    Hepatitis C virus (HCV) genotype 3a accounts for ∼80% of HCV infections in Pakistan, where ∼10 million people are HCV-infected. Here, we report analysis of the genetic heterogeneity of HCV NS3 and NS5b subgenomic regions from genotype 3a variants obtained from Pakistan. Phylogenetic analyses showed that Pakistani genotype 3a variants were as genetically diverse as global variants, with extensive intermixing. Bayesian estimates showed that the most recent ancestor for genotype 3a in Pakistan was last extant in ∼1896-1914 C.E. (range: 1851-1932). This genotype experienced a population expansion starting from ∼1905 to ∼1970 after which the effective population leveled. Death/birth models suggest that HCV 3a has reached saturating diversity with decreasing turnover rate and positive extinction. Taken together, these observations are consistent with a long and complex history of HCV 3a infection in Pakistan.

  7. Vulture populations in Pakistan and the Gyps Vulture Restoration ...

    African Journals Online (AJOL)

    vulture declines have included the establishment and development of conservation breeding centres. Apart from two such centres currently operating in India, a third regional centre opened in Pakistan in 2007. ... March 2008. Vulture News 58 ...

  8. Improving oral health in Pakistan using dental hygienists.

    Science.gov (United States)

    Shah, M A; Darby, M L; Bauman, D B

    2011-02-01

    This paper reviews the healthcare system, available dental care, and oral health status of people in Pakistan. Considering the enormous unmet oral health needs, the insufficient supply of dental professionals and the current unstructured dental hygiene curriculum in Pakistan, a mission, vision, and goals for professional dental hygiene in Pakistan is recommended. The authors offer recommendations for competency-based dental hygiene education and practice, professional credentialing, a practice act, and a dental hygiene scope of practice to promote the health, welfare, and quality of life of the Pakistani people. Specifically, the authors recommend increasing the number of quality dental hygiene programs, establishing the dental hygienist as a primary care provider of oral health services, enhancing current dental hygiene curriculum, and establishing a dental hygiene council with responsibility for educational requirements and regulation of dental hygienists in Pakistan.

  9. Impact of Fiscal Autonomy on Poverty in Pakistan

    Directory of Open Access Journals (Sweden)

    Muhammad Zahir Faridi

    2013-05-01

    Full Text Available Pakistan is an underdeveloped state with strong central government. At present there are three levels of government functioning in Pakistan i.e. the federal, provincial and the local. Due to the competence and distributional aspects, the resource allocation method always remained under discussion. Therefore, the present study focused on the role of fiscal autonomy in reducing poverty in Pakistan. Both expenditure and revenue indicators of fiscal policy are considered in this study. For the purpose of analysis, time series annual data from FY1972 to FY2010 is used. Ordinary least square technique is applied to estimate the effect of fiscal autonomy on poverty. The study concludes that the central government should transfer fiscal powers to lower tiers of government in order to reduce poverty in Pakistan.

  10. Shaukat Aziz: Closer Ties with China Benefits Pakistan

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ China and Pakistan are good neighbors and time-honored friends. During the past 56 years of diplomatic relations, both sides have developed a special friendship which enjoys the fame of "All Weather Friendship".

  11. Child health inequalities and its dimensions in Pakistan

    Science.gov (United States)

    Murtaza, Fowad; Mustafa, Tajammal; Awan, Rabia

    2015-01-01

    Background and Objective: Poverty and inequality in health is pervasive in Pakistan. The provisions and conditions of health are very dismal. A significant proportion of the population (16.34%) of Pakistan is under 5 years, but Pakistan is in the bottom 5% of countries in the world in terms of spending on health and education. It is ranked the lowest in the world with sub-Sahara Africa in terms of child health equality. The objective of this study was to examine child health inequalities in Pakistan. Materials and Methods: We analyzed data from Pakistan Integrated Household Survey/Household Integrated Economic Survey 2001–2002, collected by the Pakistan Bureau of Statistics, Government of Pakistan. Coverage of diarrhea and immunization were used as indicators of child health. Stata 11.0 was used for data analysis. Descriptive statistics including frequency distribution and proportions for categorical variables and mean for continuous variables were computed. Results: Children under 5 years of age account for about 16.34% of the total population, 11.76% (2.5 million) of whom suffered from diarrhea in 1-month. The average duration of a diarrheal episode was 7 days. About 72% of the children who had diarrhea lived in a house without pipe-borne water supply. Around 22% children who had diarrhea had no advice or treatment. More than one-third of the households had no toilet in the house, and only 29% of the households were connected with pipe-borne drinking water. About 7.73% (1.6 million) children had never been immunized. The main reason for nonimmunization was parents’ lack of knowledge and of immunization. Conclusion: Child health inequalities in Pakistan are linked with several factors such as severe poverty, illiteracy, lack of knowledge, and awareness of child healthcare, singularly inadequate provision of health services, and poor infrastructure. PMID:26392798

  12. Pakistan’s Security Paradox: Countering and Fomenting Insurgencies

    Science.gov (United States)

    2009-12-01

    Brookings Institu- tion’s Foreign Policy Studies (U.S.-Pakistan Relations), Woodrow Wilson International Center for Scholars (Pakistan’s Political Economy ...discussion of how Pakistan drafted and implemented policies to counter and create insurgencies between 1948 and 2001. Pakistan’s Uber -National Security...Strategy Pakistan’s Uber -National Security Strategy is a function of the conditions surrounding the creation of the nation state, its multiethnic

  13. Flooding in Pakistan: Overview and Issues for Congress

    Science.gov (United States)

    2010-09-21

    exacerbated poverty and food security issues in Pakistan. FAO estimated that an additional 17 million people became food - insecure as a result of food ...before the flooding, FAO had estimated that about 60 million people were food - insecure in Pakistan, which accounts for about half of the country’s...of food for most rural families until the next harvest in April. Tentative estimates made by FAO indicate that 500,000 to 600,000 tonnes of wheat

  14. Pakistan’s Nuclear Weapons: Proliferation and Security Issues

    Science.gov (United States)

    2010-10-07

    on Fissile Materials http://www.fissilematerials.org/ipfm/ site_down/gfmr07.pdf; SIPRI Yearbook 2007. The International Panel on Fissile Materials...State for Foreign and Commonwealth Affairs David Miliband told the Charlie Rose Show December 15, 2008, that Islamabad’s nuclear weapons “are under...Weapons in Pakistan,” Pakistan Security Research Unit Brief Number 22, University of Bradford, November 18, 2007. Available at http://spaces.brad.ac.uk

  15. Fiscal Responsiveness, Persistence and Discretion: A Case Study of Pakistan

    Directory of Open Access Journals (Sweden)

    Syed Ammad

    2012-09-01

    Full Text Available The main objective of this study is to analyses the fiscal policy conditions in Pakistan; in case of output change ( fiscal responsiveness, effect of last year policy on this year( fiscal persistence and finally fiscal discretion, through a 2SLS method the study period consist of 1972 to 2010. The main finding of the study is government expenditures are more responsive in case Pakistan which is the main cause of this fiscal imbalances and also indicating an unstable fiscal stance.

  16. Women’s Autonomy in the Context of Rural Pakistan

    OpenAIRE

    Zeba Ayesha Sathar; Shahnaz Kazi

    2000-01-01

    The paper explores the elements that constitute women’s autonomy in rural Pakistan. Hitherto most research on women’s status in Pakistan has either been restricted to proxy measures of women’s status generally or to the urban areas. Community or region, each of which has distinctive features, have an overriding influence on this subject. Northern Punjabi women have lower economic autonomy but greater mobility and decision-making authority than women in Southern Punjab. Gender systems at the v...

  17. Impact of Exchange Rate on Foreign Private Investment in Pakistan

    Directory of Open Access Journals (Sweden)

    Muhammad Asif

    2013-10-01

    Full Text Available This study is focused on analyzing exchange rates on foreign private investment in Pakistan. Times series data from periods 1973 to 2012 was used for the analysis. The results of estimation suggest that an exchange rate and gross domestic product are the most important variable that affects private foreign investment in Pakistan. Exchange rate was recommended to be more market responsive compared to the other variables of the model

  18. Factors affecting adoption of mobile banking in Pakistan: Empirical Evidence

    Directory of Open Access Journals (Sweden)

    Abdul Kabeer Kazi

    2016-01-01

    Hyderabad of the province Sindh, in Pakistan using judgement sampling method. This study empirically concluded that consumers’ intention to adopt mobile banking services was significantly influenced by social influence, perceived risk, perceived usefulness, and perceived ease of use. The most significant positive impact was of social influence on consumers’ intention to adopt mobile banking services. The paper concluded with discussion on results, and several business implications for the banking industry of Pakistan.

  19. Impact of Fiscal Variables on Economic Development of Pakistan

    Directory of Open Access Journals (Sweden)

    Zaheer Khan KAKAR

    2011-12-01

    Full Text Available The objective of this paper is to determine the impact of the fiscal variables on economic growth in Pakistan using time series data for the period 1980-2009. Cointegration and error correction techniques are used for this analysis and Granger causality test is used to determine the direction of causality. This study will provide help in determining the importance of fiscal policy for the development of Pakistan.

  20. Child health inequalities and its dimensions in Pakistan

    Directory of Open Access Journals (Sweden)

    Fowad Murtaza

    2015-01-01

    Full Text Available Background and Objective: Poverty and inequality in health is pervasive in Pakistan. The provisions and conditions of health are very dismal. A significant proportion of the population (16.34% of Pakistan is under 5 years, but Pakistan is in the bottom 5% of countries in the world in terms of spending on health and education. It is ranked the lowest in the world with sub-Sahara Africa in terms of child health equality. The objective of this study was to examine child health inequalities in Pakistan. Materials and Methods: We analyzed data from Pakistan Integrated Household Survey/Household Integrated Economic Survey 2001-2002, collected by the Pakistan Bureau of Statistics, Government of Pakistan. Coverage of diarrhea and immunization were used as indicators of child health. Stata 11.0 was used for data analysis. Descriptive statistics including frequency distribution and proportions for categorical variables and mean for continuous variables were computed. Results: Children under 5 years of age account for about 16.34% of the total population, 11.76% (2.5 million of whom suffered from diarrhea in 1-month. The average duration of a diarrheal episode was 7 days. About 72% of the children who had diarrhea lived in a house without pipe-borne water supply. Around 22% children who had diarrhea had no advice or treatment. More than one-third of the households had no toilet in the house, and only 29% of the households were connected with pipe-borne drinking water. About 7.73% (1.6 million children had never been immunized. The main reason for nonimmunization was parents′ lack of knowledge and of immunization. Conclusion: Child health inequalities in Pakistan are linked with several factors such as severe poverty, illiteracy, lack of knowledge, and awareness of child healthcare, singularly inadequate provision of health services, and poor infrastructure.