STAYING STRONG BY STAYING IN CARE (original) (raw)
Related papers
Prevalence of Congenital Heart Disease in Rural Communities of Pakistan
Journal of Ayub Medical College, Abbottabad : JAMC
Prevalence of Congenital Heart Disease (CHD) is well established in most of the developed countries, where childbirth is obligatory in hospitals and allied facilities. In rural Pakistan the situation is reverse, where most of deliveries take place in homes by traditional birth attendants' therefore true prevalence of CHD in our population is unknown. In rural Pakistan almost 80% children are born at home hence the figures are unknown. This study was designed, to determine the prevalence of congenital heart disease in rural Pakistan. During a cross-sectional survey of rural population belonging to major ethnic groups living in three provinces of Pakistan to determine the prevalence of rheumatic heart disease (RHD), CHD rates were calculated as a sub study. Nine thousand four hundred and seventy-six (9476) subjects of all ages were screened using cluster sampling technique. Socio-demographic variables were recorded. Auscultation and short physical examination performed for initial...
PATTERNS OF CARDIOTHORACIC DISEASES AND PROCEDURES IN PAKISTAN QR code
Introduction: Cardiovascular, heart valve and congenital heart diseases (CHD) constitute a major part of adult and pediatric diseases. Objectives: The main objective of the study is to analyse the patterns of cardiothoracic diseases and procedures in Pakistan. Material and methods: This descriptive study was conducted in Ayub medical college during June 2019 to December 2019. Collecting patients' data was conducted through interviewing the patients included in the study and reviewing their medical files. A predesigned questionnaire was used for data collection, and included inquiries about socio-demographic data of the studied patients, smoking, types of cardiovascular diseases and thyroid dysfunction among them. Results: The data was collected from 180 patients. There were more females than males. The patients who were younger than 60 years old represented 39.2% of the study population. More than one-third of the individuals (34.3%) were between 60 and 70 years of age, 19.9% were between 70 and 80 years of age, and only 6.6% were older than 50 years. Conclusion: It is concluded that majority of patients presented were male and had triple vessel disease. Thyroid dysfunction may add to cardiovascular risk and assessment of thyroid function is recommended especially in a high-risk population.
A Review of Frequency and Pattern of Diseases among Patients in Pakistan
Pakistan Journal of Pharmaceutical Research, 2015
An important aspect of human life is a sound health. The chance of illness reduces with better health. It is proved that level of mortality, morbidity and infertility lowers with healthy life style. In healthy population the rate of diseases is minimum. Better health also improves school children attendance due to fewer leaves as comparative in illness. For better development of human resource investment should be done on health departments of the country (World Bank, 1993). In Pakistan health care system has been improved by view of physical infrastructure and manpower growth in both public and private setup. However, health care delivery system is not fulfilling the needs of fast growing population of the country. Maternal and infants mortality rate is still high as compared to its other neighboring countries. The conditions would be better by increasing budget allocation to the health sector.
Heart disease epidemic in Pakistan: Women and men at equal risk
American Heart Journal, 2005
Background Migrant South Asians residing in the West have one of the highest rates of CAD in the world. Estimates of disease in nonmigrant populations are conflicting. Methods We conducted a population-based cross-sectional survey on 320 randomly selected adults aged z40 years. Coronary artery disease was defined as the composite outcome of (1) abnormalities indicative of definite or probable CAD based on the Minnesota classification of electrocardiogram or (2) past history of heart attack. Results The overall prevalence of CAD (95% CI) was 26.9% (22.3%-32.0%): 23.7% (17.8%-30.9%) in men vs 30.0% (23.4-37.5%) in women (P = .12). Risks did not differ substantially by age group. The factors (odds ratio, 95% CI) independently associated with CAD were current tobacco use (2.12, 1.21-3.73), systolic blood pressure (1.08, 1.02-1.15, for each 5 mm Hg increase), and proteinuria (2.49, 1.04-5.95). Coronary artery disease odds for women vs men (1.38, 0.84-2.62) increased to 1.60 (0.93-2.75), when adjusted for key risk factors. Conclusions One in 4 middle-aged adults in Pakistan has prevalent CAD. Risks are uniformly high in the young and in women. Concerted efforts are needed to prevent the epidemic of cardiovascular disease in South Asia, focusing on hypertension, diabetes, smoking, and dyslipidemia.
IOSR Journals , 2019
To assess the level of knowledge on factors of congenital heart diseaseamong Paediatricdoctors ofsome selected hospitals in Dhaka City this descriptive cross sectional study was done. The study was a descriptive type of cross sectional study place was Anwar Khan Modern Medical College Hospital and Dhaka Medical College Hospital 103Paediatric doctors who passed M.B.B.S Examination recently and who can participate willingly were included. About 60% (59.2%) respondents were below 25 years, 42(40.8%) of respondents were between 26-30 years. The mean age of respondent was 25.28±0.94 years, minimum 23 and maximum age 28 years. Out of 103 Paediatric doctors, 48(46.6%) were male and 55(53.4%) were female. Most of the respondents 205(85.4%) were Muslim. Majority of the participants (41.7%) were from medicine department, 26.2% participants were from surgery, 30.1% patients were from Obs and Gynae and 1.9% participants were from other department. Most of the participants (98.1%) had knowledge about congenital heart disease. 96.1% had knowledge regarding the risk factors of congenital heart disease. 52.4% participants reports that genetics is 1 of the factors responsible for CHD. 44.7% participants reported age of mother, 40.8% participants told that mother with HTN, 39.8% participants told mother with DM, 33% reported mother with obesity, 27.2% reported environmental and 57.3% participants noted all of them are responsible factors for CHD. 98.1% participants had knowledge about sign and symptoms of CHD, they reported abnormal heart study, a bluish discoloration of skin, fingernails tip of nose lips, fast breathing, poor feeding and poor weight were 90.3%, 92.2%, 73.8%, 72.8% and 69.9% respectively. Most of the participants 98.1% had knowledge about heart murmer and 96.1% participants had knowledge about cyanosis. Majority of the participants 85.4% reported that CHD can be diagnosed. 52.4% respondents had knowledge about new screening test for CHD. Most of the participants (97.1%) reported that CHD can be treated. Maximum respondents 76.7% noted that CHD can be treatment by both conservative and surgical procedure, 16.6% reported surgical treatment and only 6.8% reported CHD can be treatment by conservative treatment. Majority of the Paediatric doctors had satisfactory knowledge (88.3%). If doctors have the required knowledge on this topic then they can serve our community as they are alert about this disease.
Challenges Faced by Pakistani Healthcare System: Clinician's Perspective
Journal of the College of Physicians and Surgeons Pakistan, 2018
Quality healthcare is a composite of safe, patientcentred, clinically cost-effective, efficient and equitable environment with the promise of ongoing and relentless efforts for improvement. 1 Patients' and their families' satisfaction and improved outcomes of the healthcare are few of the main determinants of quality. Caregivers including doctors, nurses, staff, paramedics, pharmacists, laboratory personnel, administrative persons, pharmaceuticals, government agencies, policy makers and patients and society feedback, all play an important role in providing, maintaining, and improving quality care, either directly or indirectly. 1
Preventing Chronic …, 2006
Most developing countries do not comprehensively address chronic diseases as part of their health agendas because of lack of resources, limited capacity within the health system, and the threat that the institution of national-level programs will weaken local health systems and compete with other health issues. An integrated partnership-based approach, however, could obviate some of these obstacles.
Cureus, 2023
Objective: To identify the frequency of congenital heart disease (CHD) in various Khyber Pakhtunkhwa (KPK) divisions. Materials and methods: To perform this research, we reviewed the medical records of pediatric cardiology patients hospitalized between January 2022 and July 2022. Data was taken from the cardiology department's computerized data system between January 1 and July 31, 2022. To prevent any errors in diagnosis and address them during input by the ward clerk, patients' addresses, diagnoses, and gender were verified with the computerized medical record. Data were analyzed, and frequency and percentages were calculated. Per the digital mapping of KPK districts, we stratified and examined the data among various KPK divisions. Results: Out Of the 371 patients with CHD who were admitted, 36.98% (137) were from the Peshawar division, 28.84% (107) from the Malakand division, 16.71% (62) from the Mardan division, 6.1% (23) from the Kohat division, 4.3% (16) from the Bannu division, 3.5% (13) from the Dera Ismail Khan division, and 3.5% (13) from the Hazara division. A total of 371 had CHD, of which 234 (63.07%) were cyanotic and 137 (36.92%) were cyanotic. The most prevalent acynotic congenital heart defect was patent ductus arteriosus (PDA) at 36.32% (85), followed by a ventricular septal defect (VSD) at 35.04 (82). The most frequent acyanotic congenital cardiac abnormality was tetralogy of Fallot (TOF) at 49.63% (68), which was followed by transposition of the great arteries (TGA) at 33.57% (46). Conclusion: In KPK, congenital heart disease is most prevalent in the divisions of Peshawar and Malakand, while it is least prevalent in Hazara.
Missed Opportunities in Pakistan: The Never-Ending Struggles and Challenges in Clinical Research
Annals of Clinical and Laboratory Research, 2017
Pakistan among other South Asian developing countries is the seventh most populous country in the world. Despite offering inexpensive research resources, patient pool, well-established GCP compliant institutions and skilled researchers Pakistan has been unable to draw attention of multinational companies. Pakistan holds largest patient pool both treated and naïve, high burden of communicable diseases, established and accredited institutes, internationally certificated trainers yet Pakistan deal with challenges in global market. The division health facilities are mainly into private and public but due to unjust distribution of health sectors, rural remain the main area of concern due to lack of availability of the treatment. Even being an ideal site for clinical trials, Pakistan faces tremendous difficulties in achieving rank in international market due to fragmentation of national infrastructure and ethical consideration. Extensive investment and advancement is needed in improving the clinical research in Pakistan. This document discusses these challenges and failed opportunities in clinical research of Pakistan.
CPD in Pakistan: ready to take off
This is an invited editorial I wrote for Isra Medical Journal and got published in Sep - Dec 09 issue which will be soon available in electronically.