DOCSLIB.ORG

Knowledge, Attitude and Practices of Dentists About Hepatitis B and C Infection in Lahore

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Knowledge, Attitude and Practices of Dentists About Hepatitis B and C Infection in Lahore Pak J Med Res Original Article Vol. 51, No. 3, 2012 Knowledge, Attitude and Practices of Dentists about Hepatitis B and C Infection in Lahore Asia Batool, Misbah Ul Islam Khan Sherwani, Khatoon Akhtar Bano, Muhammad Aasim PMRC Research Centre, Fatima Jinnah Medical College, Lahore. Abstract Objectives: To assess the knowledge, attitude and practices of dentists of public and private sector in Lahore about Hepatitis B and C infection. Study type and settings: This cross-sectional analytical study was conducted on private dental practitioners and public sector dental surgeons working in hospitals of Lahore. Subjects and Methods: Private sector dentists of Lahore working in Shahdara, Badami Bagh, Mughalpura, Baghbanpura, Gulberg, Shadman, Mozang, Feroz pur Road, Model Town, Multan Road, Johar Town and Tohkher Niaz Baig were selected for the study. In the public sector hospitals, dental surgeons were selected from Demont Morency Dental College and Hospital, Mayo Hospital, Services Hospital, Govt. Mozang Hospital, Jinnah Hospital, Lahore General Hospital, Mian Munshi Hospital, Sheikh Zaid Hospital, Railway Hospital, Wapda Hospital and Combined Military Hospital by using convenient sampling technique. A self-administered, close-ended questionnaire was used and information was gathered about their knowledge, attitude and practices for HBV/HCV infection and its prevention. Data was entered in the SPSS-13 computer program. Frequency and percentages were calculated for different segments and comparison between the two groups was performed by using z-test for proportion. p-value ≤0.05 was considered significant. Results: A total of 209 dentisits agreed to participate in the study (105 in private and 104 in public sector). The mean age of the respondents was 33+9.8. Although majority had good knowledge about these viruses, their spread and prevention but information was either lacking or was wrong in many dentists. Disease spread through close contact was thought by 35%, through mosquitoes by 15%, in closed environments by 8%. Sexual and perinatal transmission of these viruses was not known by 30% and 8% did not know that these can be transmitted by blood or unsterilized instruments. About 50% stated that B and C cases should be restricted from working in food industry. Vaccine for hepatitis B was not known in 7%, while 25% said that a vaccine is available for hepatitis C. Attitude evaluation highlighted that 98% dentitsts screened their patients for hepatitis-B and C prior to dental treatment and 80% gave virus positive patients the last appointment to prevent disease transmission. Alomost 52% agreed that virus infected health professionals should not be discouraged from treating patients. Deficiencies were observed in the dental practices, which were more common in public sector like not being vaccinated for hepatitis B, infrequent use of special containers to dispose sharps. Deficiencies more marked in private sector included infrequent hand washing, not using autoclave for sterilization, not using new forceps/handpiece or personel protective equipments (mask/eye face shield). Conclusions: There were deficiencies in the knowledge, attitude and practices about hepatitis B&C virus in dentists of both public and private sector which need to be addressed on priority basis to stop disease transmission from this very frequented site. Policy message: Provision of a continuous formal and obligatory education on hepatitis B and C regarding its nature, causative organisims, risk factors, diagnosis management and prevention to update in infection control practices. The Dental Association should be made partner in the infection control campaign. Key words: KAP study, dentists, public and private sector, hepatitis B&C virus. Introduction health care workers and their patients1. Dental care professionals are at an increased risk of cross infection as 2,3 ith the global rise in the number of people well as its transmission while treating patients . With W infected with hepatitis B and C viruses, cross the presence of people who are infected with hepatitis B infection has become a paramount concern to dental and C and the HIV viruses, cross infection has become a major concern both to the dentist and his patient2. Both Corresponding Author: viruses can be transmitted after needle stick injuries and Asia Batool contact with body secretions and also because many PMRC Research Centre infected patients are unaware of their status or not willing Fatima Jinnah Medical College to disclose their disease status to health care workers. Lahore. There have been several reports of HBV and HCV Email: [email protected] Pakistan Journal of Medical Research, 2012 (July - September) 93 Knowledge, Attitude and Practices of Dentists about Hepatitis B and C Infection in Lahore transmission to patients from surgeons despite the surgeons were selected from Demont Morency Dental development of the universal precautions4,5. College and Hospital, Mayo Hospital, Services Hospital, Thousands of people infected with the life- Govt. Mozang Hospital, Jinnah Hospital, Lahore General threatening hepatitis C virus may have caught it during Hospital. Mian Munshi Hospital, Sheikh Zaid Hospital, routine dental treatment. Health campaigners warned that Railway Hospital, Wapda Hospital and CMH. Dental current practices in dental surgery, including the way surgeons who were not practically involved in dental tools are sterilized, may not be rigorous enough to procedures were excluded. remove the risk of transmission of the highly infectious Respondents were given ten minutes briefing on virus between patients. The transmission of HCV can the objectives of the study followed by a self filling of a occur via improper handling and cleaning of dental questionnaire containing study variables (socio- instruments. Risk of HCV transmission in this way has demographic characteristics, knowledge, attitude and proven by the researchers6 . practice of infection control procedures). There were 29 To minimize the risk of cross infection in the questions and 1 point was given for each correct answer dental clinic, specific recommendations have been issued and for all other responses, zero points were assigned. by professional health agencies. These recommendations Therefore, the score for knowledge ranged between zero include routine use of barrier techniques (gloves, masks), (no correct answers) and twenty nine (all answers correct). heat sterilization of dental instruments, vaccination against HBV, and the universal precautions7. Dentist’s Results compliance with these recommendations and infection control programs has been recently studied in different A total of 240 dentists were selected and out of 8-11 parts of the world . These studies indicate that there are whom 209(87%) agreed to participate in the study. Of gaps in some dentist’s knowledge regarding modes of 209 dentists 105 were from private sector and 104 from transmission of infectious diseases, the risk of infection public sector, majority (122) were males. Most of the from needle stick injuries, and awareness about general dentists (153=73.2%) were working as general measures which protect against HBV and HCV practitioners, 17 in operative dentistry, 11 in prosthetic 7 transmission . department, 8 in orthodontics, 2 in periodentics and18 in While it is important to assess health care diagnostic department. Hospital (public or private) was personnel’s hepatitis C knowledge, it is equally important the working place for 137(65.5%) dentists while to evaluate health care personnel’s attitudes and self- 72(34.4%) had their own clinics. The dentists of public reported behavior toward people with hepatitis C and to sector examined more than 30 patients a day as compared determine the factors that influence their behavior. to 15 patients in private sector. About 60% of public Interactions between patients and health care personnel sector and 40% of private sector dentitsts had less than represent an opportunity for education; yet if health care five years experience in their field. Almost a quarter personnel’s lack knowledge and hold judgmental dentists in public sector and 17% in private sector had no attitudes towards people with hepatitis C, they may not trained technician. 12 provide optimal treatment and care . Though most of the dentist had good knowledge Since dental health care workers may have about the causative organisms for hepatitis B and C and regular contact with hepatitis infected patients, they their mode of transmission but some deficiencies and should be aware of the dangers of the condition and the misconceptions were also seen. Some dentists from both necessary precautions that need to be taken. Our study public and private sector did not know about the targeted this group of dentists of public and private sector availability of HBV vaccine and some said that there is a in Lahore, as their knowledge, attitudes and practices are vaccine for HCV. Misconceptions about disease spread crucial in the management and control of Hepatitis B and through personal contact, mosquito bite and air and C viral infection. restriction of infected persons to work in food industry were also noted (Table-1). Subjects and Methods Almost all dentist (98.5%) agreed on screening of patients for hepatitis-B and C prior to any treatment. It was a descriptive cross-sectional study where The misconceptions noted were that giving last non-probability convenient sampling technique was used. appointment to the infected patient will prevent spread
Load more

Recommended publications
  • Diagnostic Centers'!A1 Laboratories!A1 Dental Centers'!A1 Ophthalmology Clinics'!A1 Medical Center'!A1 Diagnostic Centers
    Diagnostic Centers'!A1 Laboratories!A1 Dental Centers'!A1 Ophthalmology Clinics'!A1 Medical Center'!A1 Diagnostic Centers L I S T O F A L L I A N Z E F U N E T W O R K D I S C O U N T D I A G N O S T I C C E N T R E S S.No Hospital Name Address Contact Contact Person Email Contact Number City Discount Category 021-35662052 Mr. Yousuf Poonawala 1 Burhani Diagnostic Centre Jaffer Plaza, Mansfield Street, Saddar, Karachi. 021-5661952 Karachi 10-15% Diagnostic Center 0336-0349355 (Administrator) [email protected] 02136626125-6 0334-3357471 [email protected] 2 Dr. Essa's Laboratory & Diagnostic Centre (Main Centre) B-122 (Blue Building) Block-H, Shahrah-e-Jahangir, Near Five Star, North Nazimabad. Mr. Shakeel / Ms. Shahida 021-36625149 Karachi 10-20% Diagnostic Center 0335-5755529 [email protected] 021-36312746 0335- 2.1 Ayesha Manzil Centre Ali Appartment, FB Area Karachi Karachi 10-20% Diagnostic Center 5755536 021-35862522 021- 2.2 Zamzama Centre Suite # 2, Plot 8-C (Beside Aijaz Boutique), 4th Zamzama Commercial Lane Karachi 10-20% Diagnostic Center 35376887 2.3 Medilink Centre Suite # 103, 1st Floor, The Plaza, 2 Talwar, Khayaban-e-Iqbal, Main Clifton Road, Karachi 021-35376071-74 Karachi 10-20% Diagnostic Center 2.4 Abdul Hassan Isphahani Centre A-1/3&4, Block-4, gulshan-e-Iqbal. Main Abdul Hassan Isphahani Road, Karachi 021-34968377-78 Karachi 10-20% Diagnostic Center 2.5 KPT Centre Karachi Port Trust Hospital Keemari, Karachi 021-34297786 Karachi 10-20% Diagnostic Center 021-34620176 021- 2.6 Gulistan-E-Johar Centre S
    [Show full text]
  • Algeria Angola Argentina Australia Austria Bahamas Bahrain
    Algeria Bahrain Anthena Medical Center Al Kindi Specialised Hospital Clinique Aya Al Rayan Hospital Clinique Chifa Hydra Amal Hospital Clinique Mohamed El Mehdi American Mission Hospital Mustapha Pacha hospital The International Hospital of Bahrain KIMS Bahrain Medical Center Angola King Hamad University Hospital Luanda Medical Center Royal Bahrain Hospital Argentina British Hospital Bangladesh Hospital Aleman Apollo Hospitals Dhaka Hospital Jose Nestor Lencinas Labaid Hospital Hospital Universitario Austral Square Hospitals Ltd Sanatorio San Carlos United Hospital Ltd Australia Belgium The Dornbirn Hospital Antwerp University Hospital Epworth HealthCare Jan Yperman Hospital Goulburn Valley Health Universitair Ziekenhuis Brussel Macquarie University Hospital Mount Hospital Belize The Northern Hospital Belize Medical Associates Sydney Children’s Hospital The Wesley Hospital Bolivia Hospital Cristo de las Americas Austria Life Gaborone Private Hospital Confraternität Privatklinik Josefstadt Polimedica Clinic EMCO Private Clinic Landskrankenhaus Salzburg Botswana Saint Josef Hospital Life Gaborone Private Hospital UKH Salzburg Wehrle-Diakonissen Private Hospital Bahamas Doctor’s Hospital Brazil Dou An Quan Healthcare Brasil Vida E-care International Clinic Hospital Barra’Or Global Doctor Chengdu Hospital Israelita Albert Einstein (HIAE) Global Doctor Chongqinq Hospital Santa Luzia Global Doctor Guangzhou Hospital Sao Luiz Guangzhou Taojin Medical Center Hospital Syrian-Lebanese Guangzhou United Family Healthcare Samaritano Hospital – Barra
    [Show full text]
  • Health Bulletin July.Pdf
    July, 2014 - Volume: 2, Issue: 7 IN THIS BULLETIN HIGHLIGHTS: Polio spread feared over mass displacement 02 English News 2-7 Dengue: Mosquito larva still exists in Pindi 02 Lack of coordination hampering vaccination of NWA children 02 Polio Cases Recorded 8 Delayed security nods affect polio drives in city 02 Combating dengue: Fumigation carried out in rural areas 03 Health Profile: 9-11 U.A.E. polio campaign vaccinates 2.5 million children in 21 areas in Pakistan 03 District Multan Children suffer as Pakistan battles measles epidemic 03 Health dept starts registering IDPs to halt polio spread 04 CDA readies for dengue fever season 05 Maps 12,14,16 Ulema declare polio immunization Islamic 05 Polio virus detected in Quetta linked to Sukkur 05 Articles 13,15 Deaths from vaccine: Health minister suspends 17 officials for negligence 05 Polio vaccinators return to Bara, Pakistan, after five years 06 Urdu News 17-21 Sewage samples polio positive 06 Six children die at a private hospital 06 06 Health Directory 22-35 Another health scare: Two children infected with Rubella virus in Jalozai Camp Norwegian funding for polio eradication increased 07 MULTAN HEALTH FACILITIES ADULT HEALTH AND CARE - PUNJAB MAPS PATIENTS TREATED IN MULTAN DIVISION MULTAN HEALTH FACILITIES 71°26'40"E 71°27'30"E 71°28'20"E 71°29'10"E 71°30'0"E 71°30'50"E BUZDAR CLINIC TAYYABA BISMILLAH JILANI Rd CLINIC AMNA FAMILY il BLOOD CLINIC HOSPITAL Ja d M BANK R FATEH MEDICAL MEDICAL NISHTER DENTAL Legend l D DENTAL & ORAL SURGEON a & DENTAL STORE MEDICAL COLLEGE A RABBANI n COMMUNITY AND HOSPITAL a CLINIC R HOSPITALT C HEALTH GULZAR HOSPITAL u "' Basic Health Unit d g CENTER NAFEES MEDICARE AL MINHAJ FAMILY MULTAN BURN UNIT PSYCHIATRIC h UL QURAN la MATERNITY HOME CLINIC ZAFAR q op Blood Bank N BLOOD BANK r ishta NIAZ CLINIC R i r a Rd X-RAY SIYAL CLINIC d d d SHAHAB k a Saddiqia n R LABORATORY FAROOQ k ÷Ó o Children Hospital d DECENT NISHTAR a .
    [Show full text]
  • Calculus Renal Failure; a Study to Profile the Calculus Renal Failure and Its 1
    CALCULUS RENAL FAILURE The Professional Medical Journal www.theprofesional.com ORIGINAL PROF-4941 DOI: 10.29309/TPMJ/18.4941 CALCULUS RENAL FAILURE; A STUDY TO PROFILE THE CALCULUS RENAL FAILURE AND ITS 1. MCPS (Surgery), FCPS (Urology) SIU Fellow Urology Nephrology MANAGEMENT STRATEGY Centre Mansoura Egypt Fellowship in Uro Oncology Assistant Professor of Urology Azfar Ali1, Ghulam Ghous2, Zakariya Rashid3, Nabeel Shafi4, Irshad Ali5, Department of Urology & Renal Muhammad Hassam Khalid6, Muhammad Safdar Khan7 Transplant AMC/PGMI/Lahore General Hospital ABSTRACT… Background: Urolithiasis is a common urological disease in Pakistan. Calculus Lahore. renal failure is a urological emergency that required immediate intervention to prevent further 2. FCPS Urology Senior Registrar Urology deterioration of renal function. Objectives: The purpose of this study is to present clinical profile SIMS/Services Hospital Lahore. of calculus renal failure patient and to report our experience of management of such patients. 3. FCPS, MRCS(Ed) Study Design: Descriptive Cross sectional study. Setting and Period: Department of urology Assistant Professor Surgery Aziz Fatima Medical & Dental Services Hospital from July 2015 to December 2016 were included. Materials and Methods: College Faisalabad. Patients of all ages of either sex who presented with calculus renal failure. The patients with 4. FCPS Urology obstructive uropathy due to causes other than stone disease were excluded. Demographic Senior Registrar Urology information along with detailed history recorded. Baseline investigations included Complete SIMS/Services Hospital Lahore. 5. MBBS blood counts, serum creatinine, serum electrolytes and ultrasound for KUB. For stone position Registrar Urology Xray KUB in every case & CT in selected cases performed. Functional status of individual kidney SIMS/Services Hospital Lahore.
    [Show full text]
  • Investigation on the Prevalence of Leukaemia at a Tertiary Care Hospital, Lahore
    INVESTIGATION ON THE PREVALENCE OF LEUKAEMIA AT A TERTIARY CARE HOSPITAL, LAHORE NIGHAT NASIM, KALIMUDDIN MALIK, NAUMAN A. MALIK SHAISTA MOBEEN, SAUD AWAN AND NAGHMANA MAZHAR Department of Pathology, PGMI / Lahore General Hospital, Lahore ABSTRACT Introduction: Cancer in all forms is causing about 12% deaths throughout the world. After recent advances and improvement in treatment and prevention in cardiovascular diseases, tumour is an important cause of morbidity and mortality. 1 The incidence of leukaemia across the world is 1 per 100,000 annually. It contributes to 25% of childhood cancers. 2 The study was designed to investi- gate the Prevalence of Leukemia subtypes at Lahore General Hospital / The Graduate Medical Insti- tute, Lahore and was carried out in the Bone Marrow Clinic. The study was cross – sectional pros- pective. The period of the study was two year from 01 June, 2010 to 30 June, 2012. Methodology: Complete blood counts, bone marrow aspiration and trephine biopsies were perfor- med according to standard methods. Results: In a total of 45 cases of leukaemia, acute leukemia was more prevalent than chronic leu- kaemia. The ratio of acute and chronic leukaemias was 4:1. Male to female ratio was 1.3: 1. Most of the patients (42%) were below the age of 15 years. ALL (49%) was more common than AML (31%). Among chronic leukaemias, CML (16%) was more common than CLL (2%) and CMML (2%). The study of acute leukaemia subtypes revealed that ALL – L2 was more common (77%) than L 1 (24%). In AML subtypes, M3 (57%) was most prevalent while M 2 (14%) and M 4 (14%) and M 1 (7%) and M 6 (7%) were less prevalent of leukaemia subtypes.
    [Show full text]
  • Curriculum Vitae Prof.Dr. Khalid Mahmood M.B.B.S Frcs,Frcs(Sn)
    CURRICULUM VITAE PROF.DR. KHALID MAHMOOD M.B.B.S FRCS,FRCS(SN) INTERCOLLEGIATE BOARD IN NEUROSURGERY UK ENDOSCOPIC SKULL BASE FELLOWSHIP OHIO STATE UNIVERSITY USA PROFESSOR & HEAD NEUROSURGERY UNIT II POSTGRADUATE MEDICAL INSTITUTE/ AMEER-UD-DIN MEDICAL COLLEGE/ LAHORE GENERAL HOSPITAL,LAHORE E-MAIL [email protected] QUALIFICATIONS MBBS (FEB 1987) PUNJAB , PAKISTAN FRCS (OCTOBER 1992) GLASGOW , UK FRCS (SURGICAL NEUROLOGY) (OCTOBER 1998) Intercollegiate Board Neurosurgery Royal college of Surgeons UK&Ireland ENDOSCOPIC SKULL BASE FELLOWSHIP OHIO STATE UNIVERSITY USA 2014 PRESENT APPOINTMENT PROFESSOR & HEAD NEUROSURGERY UNIT II PGMI/AMC/LGH, JOB DESCRIPTION I am working as Professor of Neurosurgery and Head Unit II at Postgraduate Medical Institute/Ameer-ud-Din Medical College/Lahore General Hospital, Lahore. This Neurosurgery Department is oldest in Punjab and being leader of Neurosurgery in Pakistan for last 50 years, has contributed enormously to development of Neurosurgery and Public sector service. The clinical work is divided among three independently functioning Neurosurgery Units. Every year we attract the highest number of postgraduate trainees and Senior Registrars. This indeed is the most sought after professorial position in the country. I take pride in teaching and training postgraduates, Senior Registrars and junior Consultants while at the same time keeping myself updated all the time through National and international workshops, meetings and conferences. This means regular didactic teaching rounds, journal club, morbidity & mortality meetings, development of SOPs, Surgical Audit, pre- operative demonstration of surgical technique in skill laboratory, demonstration of new neurosurgical techniques, innovation and keen supervision during operative procedures. My job is to ensure conducive environment to execute above activities which is reflected by our personal “STICH SKILL Lab” and library with indexed journals and Audio visual aids.
    [Show full text]
  • 19 Laboratory Capacity National Institute of Health, Islamabad 28 June 2021
    COVID – 19 Laboratory Capacity National Institute of Health, Islamabad 28 June 2021 S. No. Province/ City Category Functional Lab/Site Region (No) 1. Federal Islamabad Public National Institute of Health - (NIH) 2. (35) (35) PIMS – (POCT + PCR) 3. Private Islamabad Diagnostic Center (IDC) 4. Biotech Lab and Research Center 5. Metropole Laboratories 6. Capital Diagnostic Centre 7. Biogene 8. Shifa International 9. Excel Labs 10. Global Clinical Care Diagnostic Centre 11. Temar Diagnostics 12. Margalla Diagnostics and Clinics 13. Advanced Diagnostics Centre 14. Kulsum Intl Hospital 15. Maroof Hospital 16. Nayab Labs 17. Medikay Pvt limited 18. Akbar Niazi Teaching Hospital 19. Real Time PCR Diagnostic, Research & Reference Laboratories 20. Shaafi Hospital PWD 21. Crown Diagnostic Centre 22. Shaheen Medical Laboratories & Health Services 23. DAHA Lab and Diagnostic 24. Rehman Laboratories 25. Islamabad Health Care Laboratory 26. Biomaxx Lab and Diagnostic Centre 27. Ali Medical Centre 28. Ideal Labs & Diagnostic Center 29. European Diagnostic Center 30. BEKS Advanced Medical Services (Pvt) Ltd 31. Global Research and Reference Laboratories 32. Sharif Labs and Diagnostics (Pvt) Ltd 33. Nimra Diagnostic Centre (NDC) 34. Public/Private MedAsk 35. IHITC Lab 36. Punjab Lahore Public Punjab AIDS Control Program incl Hepatitis Lab 37. (77) (39) Punjab Forensic Science Auth Lab 38. Jinnah Hospital 39. PKLI 40. Lahore General Hospital 41. CAMB 42. UVAS (BSL-3) 43. Lahore TB Program (BSL-3) 44. IPH Lahore 45. Private Chughtai Lab 46. Shaukat Khanum Memorial Hospital 47. Islamabad Diagnostic Center (IDC) 48. Rahila Research and Reference Lab 49. Venus Diagnostics 50. Hameed Lateef Hospital 51. Citilab & Research Centre 52.
    [Show full text]
  • Outcome of Extracorporeal Shockwave Lithotripsy (ESWL) in Cases with Renal Calculi in a Local Community
    Clinics in Medicine ISSN: 2688-6731 Research Article Outcome of Extracorporeal Shockwave Lithotripsy (ESWL) in Cases with Renal Calculi in a Local Community Athar Hameed Sheikh1, Syed Imtiaz Ali3, Azeem Mughal2, Nadeem Iqbal2*, Ahsan Nazar4, Mohammad Haroon Hassan4, Behzad Saeed Gill4 and Muhammad Nazir5 1Department of Urology, Fatima Jinnah Medical University, Ganga Ram Hospital, Lahore, Pakistan 2Department of Urology and Kidney Transplant, Pakistan Kidney and Liver Institute, Lahore, Pakistan 3Department of Urology, Medcare Hospital, Jumeirah, Dubai 4Department of Urology and Kidney Transplant, Pakistan Kidney Institute, Shifa International Hospital, Islamabad, Pakistan 5Department of Urology, Lahore General Hospital, Lahore, Pakistan Abstract Background: The goal of renal stone treatment is to achieve maximal stone clearance with minimal morbidity. Extra Corporeal Shock Wave Lithotripsy (ESWL) has revolutionized the treatment of kidney stone disease and majority of cases can be treated satisfactorily with this modality. Objective: To determine the outcome of Extracorporeal Shock wave Lithotripsy (ESWL) in cases with renal calculi. Material and methods: This cross-sectional study was done at Department of Urology in collaboration with the Department of Diagnostic Radiology, Lahore General Hospital Lahore for one year. Hundred patients of solitary renal calculus of 0.6 cm to 2 cm in size were included through Non probability/Consecutive sampling technique. All patients were treated with ESWL (Storz Medical Modulith SLX-F2). During each ESWL session maximum of 3000 shock waves were given. CT scan was done to determine the outcome of ESWL, i.e. pain during procedure and clearance of the calculi. Results: The mean age of patients was 37.7 ± 10.9 years.
    [Show full text]
  • History of Spinal Neurosurgery and Spine Societies
    Neurospine 2020;17(4):675-694. Neurospine https://doi.org/10.14245/ns.2040622.311 pISSN 2586-6583 eISSN 2586-6591 Essay History of Spinal Neurosurgery and Spine Societies Mehmet Zileli1, Salman Sharif2, Maurizio Fornari3, Premenand Ramani4, Fengzeng Jian5, Richard Fessler6, Se-Hoon Kim7, Toshihiro Takami8, Nobuyuki Shimokawa9, Gilbert Dechambenoit10, Mahmood Qureshi11, Nikolay Konovalov12, Marcos Masini13, Enrique Osorio-Fonseca14, José António Soriano Sanchez15, Abdul Hafid Bajamal16, Jutty Parthiban17, Ibet Marie Sih18, Óscar Luis Alves19, Joachim Oertel20, Lukas Rasulic21, Francesco Costa3, Wilco C. Peul22, Krishna Sharma23, Mohamed Mohi Eldin24, Nasiru Jinjiri Ismail25, Ignatius Ngene Esene26, Mohammad Hossain27, Svetoslav Kalevski28, Oliver N. Hausmann29, Onur Yaman30, Shahswar Arif31, Zarina Brady31 1Department of Neurosurgery, Ege University, Izmir, Turkey Corresponding Author 2Liaquat National Hospital & Medical College, Karachi, Pakistan 3 Mehmet Zileli Department of Neurosurgery, Humanitas University, Milan, Italy 4 https://orcid.org/0000-0002-0448-3121 Department of Neurosurgery, L.T.M. Medical College, University of Mumbai, Mumbai, India 5Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China 6Department of Neurosurgery, Rush University Medical Center, Chicago, USA Department of Neurosurgery, Ege 7Department of Neurosurgery, Ansan Hospital, Korea University Medical Center, Ansan, Korea 8 University, 1416 sok No 7 Kahramanlar, Department of Neurosurgery, Osaka Medical College, Takatsuki, Japan
    [Show full text]
  • Client Satisfaction Regarding Family Planning Services in Reproductive Center at Jinnah Hospital, Lahore
    ORIGINAL ARTICLE Client Satisfaction Regarding Family Planning Services in Reproductive Center at Jinnah Hospital, Lahore FARAH REHMAN1, ABDUL REHMAN JANJUA2, HUMERA SHAHZAD3 ABSTRACT Background: Patient satisfaction is one the utmost goals of any health system. Patient’s perceptions about health care system have been seen largely ignored by health care managers in developing countries. Family planning has a major role in reducing maternal and newborn mortality rates and improving the health of women and children. Aim: To describe family planning services being provided at Reproductive Health Services A (RHS-A) Center in a teaching hospital and to explore the satisfaction level of clients using these services. Methods: This descriptive study was included 91 subjects and carried at Family Planning OPD Reproductive Health Services (RHS-A) Center Jinnah Hospital Lahore over a period of one month. Married women in reproductive age who were using family planning services and willing to participate in the study were included. Subjects reporting for emergency and surgical services were excluded. Results: Out of 91 respondents, only (33%) of the clients was satisfied with the available services, whereas rest (67%) was unsatisfied with one or other aspect of the provided services. Majority (62%) were unsatisfied with the availability of methods and some (56%) were unsatisfied with staff attitude, (89%) of respondents were unsatisfied with the working hours of health facility whereas 52(57.1%) were unsatisfied with the behavior of staff and 36(39.6%) were satisfied with waiting time before examination. Conclusion: Improving the attitude of health care providers and spending time on counseling as well as ensuring provision of information and availability of methods will help in improving the services.
    [Show full text]
  • MD - JULY2021 Sr
    MD - JULY2021 Sr. Sepecility Hospital Seats Punjab 1Cardiology Benazir Bhutto Hospital, Rawalpindi 1 2Cardiology Bahawal Victoria Hospital, Bahawalpur 3 3Cardiology Choudhary Prevez Ilahi Institute of Cardiology , Multan 4 4Cardiology Faisalabad Institute of Cardiology 3 5Cardiology Mayo Hospital, Lahore 2 6Cardiology Nishtar Hospital, Multan 1 7Cardiology Punjab Institute of Cardiology, Lahore 7 8Dermatology Benazir Bhutto Hospital, Rawalpindi 1 9Dermatology Bahawal Victoria Hospital, Bahawalpur 1 10Dermatology DHQ Hospital, Faisalabad 1 11Dermatology Lahore General Hospital, Lahore 1 12Dermatology Mayo Hospital, Lahore 2 13Dermatology Sir Ganga Ram Hospital, Lahore 1 14Diagnostic Radiology Benazir Bhutto Hospital, Rawalpindi 1 15 Diagnostic Radiology Choudhary Prevez Ilahi Institute of Cardiology , Multan 1 16Diagnostic Radiology Holy Family Hospital, Rawalpindi 1 17Diagnostic Radiology Lahore General Hospital, Lahore 4 18Diagnostic Radiology Mayo Hospital, Lahore 2 19Diagnostic Radiology Sir Ganga Ram Hospital, Lahore 1 20Diagnostic Radiology Punjab Institute of Neurosciences, Lahore 1 21Emergency Medicine Holy Family Hospital, Rawalpindi 1 22Gastroenterology Holy Family Hospital, Rawalpindi 1 23Gastroenterology Govt. Teaching Hospital GM Abad, Faisalabad 1 24Gastroenterology Lahore General Hospital, Lahore 1 25Gastroenterology Mayo Hospital, Lahore 1 26Medical Oncology Jinnah Hospital, Lahore 1 27Medical Oncology Mayo Hospital, Lahore 1 28Medicine Mayo Hospital, Lahore 6 29Medicine Allied Hospital, Faisalabad 4 30Medicine Benazir
    [Show full text]
  • Socio-Economic Factors Affecting Quality of Life of Hemodialysis Patients and Its Effects on Mortality
    Original Article Socio-economic factors affecting quality of life of Hemodialysis patients and its effects on mortality Muhammad Anees1, Shazia Batool2, Marium Imtiaz3, Muhammad Ibrahim4 ABSTRACT Objective: Many factors affect quality of life (QOL) of dialysis patients. This study was conducted to determine the effect of socio-economic factors effecting QOL of hemodialysis patients. Methods: This descriptive multi-centric, follow up study was conducted at Department of Nephrology, Mayo Hospital, Lahore, from February 2015 to August 2017. All patients who were on regular maintenance hemodialysis (MHD) for more than three months and able to read and understand Urdu version of Kidney Disease Quality Of Life (KDQOL) tool were included in the study. Patients were included from hemodialysis units of Mayo Hospital (MH), Shalamar Hospital (SH), and Shaikh Zayed Hospital (SZH), Lahore. Patients with less than three-month duration on dialysis, with cognitive impairment, dementia, active psychosis, non-Urdu readers/speakers were excluded. Demographic data and lab data was collected on predesigned pro forma. Patients were divided into different groups on the basis of education, monthly income, source of funding for treatment and employment. Patients were followed up for two years to determine the effect of QOL on mortality. Results: One hundred and thirty-five patients were included in the study. Socio-economic factors like education, employment, income, funding was compared with KDQOL sub scales and were found statistically significant (p-value (<0.05). We found that patients with higher income had better work status (p=0.039) but social (0.04) and sexual function (p=0.029) were relatively better in patients with low income.
    [Show full text]