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Afridi F.,Hayatabad Medical Complex | Gulab N.,Northwest General Hospital and Research Center | Qazi Q.,Hayatabad Medical Complex | Mehr-un-Nisa,Hayatabad Medical Complex
Journal of Medical Sciences (Peshawar) | Year: 2014

Objective: To determine the status of contraceptive awareness and its use in women seeking termination of pregnancy.Material and Methods: This descriptive, questionnaire-based cross-sectional study was carried out in Civil Hospital, Jamrud from March 2013 to April 2014, on 54 women presenting at OPD and seeking termination of pregnancy.Results: Their ages ranged from 15-49 years with mean age of 32 (± 2 years) and the predominant age group was 30-35 years (42%). Majority of the respondents were married (96%), did not have any formal education (65%) and were house wives (81%). Ninty-four percent were multigravida with mean number of children being 5. Majority of the respondents (83%) were aware of contraceptives but only 27% had ever used any method. The most common method used was oral contraceptives. The most common reasons quoted for seeking termination of pregnancy were having too many children (58%) and poverty (52%). Husbands’/in-laws’ opposition (22%) and perceiving contraception as against social/religious norms (30%) were the major reasons for not using contraception.Conclusion: Despite reasonable contraceptive awareness, the actual use is very low among women seeking termination of pregnancy. The socio-cultural and religious myths regarding contraception are the key factors in hampering its uptake and reducing the incidence of induced abortion. © 2014, Khyber Medical College. All rights reserved. Source

Khan T.M.,University of Selangor | Khan A.U.,Northwest General Hospital and Research Center | Khan A.U.,University of Swabi | Ali I.,Northwest General Hospital and Research Center | And 2 more authors.
Vaccine | Year: 2016

A cross-sectional study was carried out among HCPs in Northwest General Hospital & Research Centre, Hayatabad Peshawar, Pakistan. The purpose of this study was to investigate knowledge, awareness and attitude of HCPs towards influenza vaccination. A total of N = 170 questionnaires were distributed among the staff. There was a 97% response rate to this survey (n = 165). The median age of the respondents was 30 years and most of them, 98 (59.0%), were from age group of 24-30 years. The majority of the HCPs that participated in this study were male 106 (64.2%), and by profession, the majority were physicians 77 (46.7%), followed by pharmacists and nurses. A majority 114 (69.1%) believed that it was not compulsory for HCPs to get vaccinated for influenza. Top three identified barriers to vaccination were: not everyone is familiar with the availability of the influenza vaccination at their institution (Relative importance weight factors (RIWF) = 0.71), due to needle fear I do not like to get vaccinated (RIWF = 0.70) and it is not compulsory for healthcare professionals to get vaccinated for influenza (RIWF = 0.64). The logistic regression analysis has revealed association for job experience and profession with the most of the eleven knowledge item. However, when overall sum of eleven items were tested to identify the factors affecting the knowledge score, along with profession (-0.215 [-0.389 to 0.040]; p = 0.016) and job experience (0.823 [0.521-1.125]; p < 0.001) HCPs age (-0.409 [-0.755 to -0.064]; p = 0.020) was found to be another significant factor affecting the total knowledge score of HCPs. Overall, scoring of the correct responses revealed that nurses have better knowledge and understanding about influenza and the influenza vaccination (6.5 ± 0.8, p < 0.001*), followed by pharmacists (6.3 ± 1.14) and physicians. In spite of the published guidelines and recommendations, a very low percentage of the healthcare professionals in our hospital were vaccinated against influenza, and the barriers to vaccination were prevalent. Various strategies, including arranging seminars regarding awareness about vaccinations, are required to improve the knowledge and overall outcomes. © 2016 Elsevier Ltd. Source

Qadir R.I.,Northwest General Hospital and Research Center | Bukhari S.I.,Northwest General Hospital and Research Center
Journal of Medical Sciences (Peshawar) | Year: 2016

Objective: To compare Singh’s index accuracy versus DEXA scan in diagnosing osteoporosis in post-menopausal women. Material & Methods: This was a cross-sectional study, conducted in the Department of Orthopaedics, Northwest General Hospital & Research Centre, Peshawar, Pakistan, involving 120 post-menopausal women at Northwest General Hospital & Research Centre, Peshawar, from June 2015 to December 2015. All patients had X-ray Pelvis and DEXA scan was done. Results: There was ‘slight agreement’ between DEXA scan and Singh Index on the basis of Kappa statistics (.088). Mean age was 62.91 ± 9.6 SD. Chi-square value was 1.106, p-value was 0.293 which was not significant. Conclusion: Singh index assessment for osteoporosis is not reliable and can not be a valid substitute for DEXA scan. © 2016, Khyber Medical College. All rights reserved. Source

Ullah A.R.,Northwest General Hospital and Research Center | Hussain A.,Northwest General Hospital and Research Center | Ali I.,University of Peshawar | Ali I.,Northwest General Hospital and Research Center | And 4 more authors.
Pakistan Journal of Medical Sciences | Year: 2016

Objective: The current study aims to explore the factors associated with outcome among patients with severe sepsis and septic shock admitted to the intensive care unit, Northwest General Hospital and Research Centre, Peshawar, Pakistan. Methods: A prospective observational study was carried out at intensive care unit of our hospital from February 2014 to October 2015. Data was collected using a structured format and statistical analysis was done using SPSS version 20®. Regression model was applied to identify the factors contributing to the outcome of severe sepsis and septic shock. P-value less than 0.05 was considered statistically significant. Results: Majority of the patients meeting the criteria of this study were male 147 (54.9%) with a mean age of 54.8. The most common source of sepsis was lung infections (42.2%) followed by urinary tract infections (18.7%), soft tissue infections (6.3%) abdominal infections (6%) and in 6.3% patients the source remained unknown. Further analysis has revealed that increase in number of days of hospitalization was observed to be slightly associated with the outcome of the treatment (1.086 [1.002-1.178], 0.046). Moreover, the risk of mortality was the higher among the patients with septic shock 22.161[10.055-48.840], and having respiratory, kidney and central nervous system complications. Overall it is seen that septic shock alone was found responsible to cause death among 32.0% of the patients (Model 1: R2 0.32, p=0.000), and upon involvement of the organ complications the risk of mortality was observed to 42.0%. Conclusion: Chances of recovery were poor among the patients with septic shock. Moreover, those patients having respiratory and urinary tract infection are least likely to survive. © 2016, Professional Medical Publications. All Rights Reserved. Source

Hussain A.,Northwest General Hospital and Research Center | Ali I.,University of Swabi | Ali I.,Northwest General Hospital and Research Center | Khan A.U.,University of Swabi | And 2 more authors.
Therapeutic Advances in Endocrinology and Metabolism | Year: 2016

The value of sulphonylureas in the long-term treatment of type II diabetes has been questioned. The potential benefits of an antidiabetic drug must be carefully weighed against the risk of developing hazardous adverse effects like hypoglycaemia. We present drug-induced hypoglycaemia in a 77-year-old Pakistani male who had hypertension, type II diabetes and renal parenchymal disease (grade I), presented to the emergency department complaining of a 1-day history of fever, loose motions and drowsiness. His fever was low grade, intermittent, and not associated with rigors and chills. He had four episodes of watery stools for 1 day, with no associated vomiting but with drowsiness. He was aphasic, unable to walk and did not recognize his family members. The patient was taken to his local doctor who found him to be hypoglycaemic, with a blood sugar of 45 mg/dl. He was managed with intravenous (IV) dextrose and referred to the hospital. Hypoglycaemia is perhaps the most widespread and underreported complication of oral hypoglycaemic agents and may lead to overwhelming morbidity and mortality. Patient evaluation and proper counselling may help in identifying patients at greatest risk and avoid complications associated with these commonly prescribed drugs. © 2016, © The Author(s), 2016. Source

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