Multan Pakistan Research Articles

ABO AND RHESUS BLOOD GROUP DISTRIBUTION IN URBAN AREA OF SOUTHERN PUNJAB MULTAN PAKISTAN

This study was conducted to find out the distribution of ABO phenotypes frequencies in urban area of Southern Punjab Multan Pakistan. A total of 1087 subjects (both male & female) were taken and their blood samples were tested for ABO blood group & Rh. by using anti sera of ABO blood grouping i.e. Anti-D, Anti-A and Anti-B, and confirmed by standard technique. Doubtful results were checked by tube method. The data was analyzed by applying Pearson correlation and chi square test. In the present study overall prevalence of blood group & Rh. positive was 997/1087 (91.72%) as compared to 90/1087 (8.28%) blood group & Rh. negative (P< 0.05). It is a part of evolution with a natural and random genetic drift selection. ABO blood group types were equally distributed but there was no significant difference in both sexes. However, among ABO blood group & Rh positive; dominance frequency was ‘B’ positive with 373 (34.32%) followed by ‘O’ positive 293 (26.95%), ‘A’ positive 218 (20.06%) and ‘AB’ positive with frequency of 113 (10.40%) respectively, and among ABO blood group & Rh. negative; ‘O’ negative was more prevalent with 42 (3.86%) followed by ‘B’ negative 23 (2.12%), ‘A’ negative 22 (2.02%), and ‘AB’ negative with frequency of 03 (0.28%) respectively In the present study ABO blood group ‘B’ positive was dominant as compared to other ABO blood groups & Rh positive (P> 0.05). Analysis of the data collected in the present study indicated that there was a dominant frequency of ABO blood group & Rh. positive as compared to Rh. negative, and blood group ‘B’ positive was dominant as compared to other ABO blood group types. The determination of the frequency of ABO blood group types in urban area Southern Punjab Multan would help us in understanding the distribution of ABO phenotypes. Whereas, the differences of ABO blood group’s frequencies in different races and regions is a part of evolution with a natural and random genetic drift selection.

Antibiotic susceptibility pattern of bacterial strains isolated from different clinical samples in Multan, Pakistan

Rapid evolution of resistance in bacteria towards antibiotics has dramatically become a global health crisis. The aim of present study was to check the prevalence and antimicrobial sensitivity of bacteria present in clinical samples. Two hundred and seventy different clinical samples were examined in laboratory of the Chaudhary Pervaiz Elahi Institute of Cardiology, Multan Pakistan. Clinical isolates were isolated on MacConkey agar, blood agar and Cystine Lactose Electrolyte Deficient Agar (CLED Agar). The isolated strains were tested for antimicrobial susceptibility against the panel of 27 antibiotics. Out of 270 sample, 91(33.7%) showed microbial load. Staphylococcus aureus, Pseudomonas spp., Escherichia coli, Klebsiella spp. and Candida spp. were commonly isolated. Staphylococcus aureus showed the highest prevalence as monoresistant and polyresistant strain. The malpractice of self-medication with unrestricted supply of medicines have played an important role in antimicrobial resistance. Keywords: Antimicrobial resistance; Escherichia coli; ESBL; Zone of inhibition http://dx.doi.org/10.19045/bspab.2020.90232

Impact of English Language on Career Opportunities in the Private Sector of Pakistan: A Case Study of Jazz Digital House Multan

The present study investigated the impact of English language on career opportunities of employees of Jazz Digital House Multan Pakistan,working in various domains. A quantitative approach was applied to obtain the employees' perceptions as an individual’s perspective. Data were collected through a four-point Likert scale questionnaire from 111 Jazz employees. A survey form was circulated through Google form, and the respondents’ responses were collected online. Descriptive and inferential statistics were used to analyze the respondents’ responses. The results revealed that the English language skills of hiring candidates make an impact on the interviewers’ committee, mandatory for finding a suitable candidate for the employer. The results also showed that English language skills increase the chances of one’s career success, break the barriers for jobseekers to find good jobs, and have a very significant impact on career-boosting opportunities in the private sector. Inferential statistics results showed that there is no significant variance at gender level in scores on English language impact on career opportunities. It is recommended that there must be training sessions for the new employees to enhance their English language skills like these (skills) play a significant role to the working environment.

Five years study of mortality and morbidity patterns of Tetanus cases in a Tertiary Care PICU (Pediatric Intensive Care Unit), Multan Pakistan.

Objectives: Tetanus is an avoidable disease. Significant reduction in the incidence of tetanus is observed around the globe but in Pakistan, its incidence is still high. The objective of current study was to determine the demographic, clinical features, outcome and complications of tetanus patients admitted in Pediatric Intensive Care Unit (PICU). Study Design: This Descriptive-observational study. Setting: At PICU of The Children Hospital & ICH Multan Pakistan. Periods: 1st January 2013 to 31st December 2017. Material and Methods: A total of 77 tetanus cases admit through the study period in PICU. Clinical features, complications, duration of stay and outcome of 77 tetanus cases during study period were noted. Results: Amongst a total of 77 cases, 62 were male (80.6%) and 15(19.4%) female. Most (57.1%) were between 2 to 7 years. Twenty five (32.4%) were unvaccinated, 52 (67.6%) partially vaccinated. According to the grade of severity (Ablett classification), majority (40) were of grade-III. Regarding the outcome, 15 (19.5%) expired. Conclusion: Tetanus is a fatal disease with high mortality rate. Vaccination and right management of the disease are the best options to minimize the load of tetanus in our country.

Attitude of Medical Students Towards Psychiatry in a Tertiary Care Hospital

Background : Dearth of psychiatrist specialists is evident worldwide. Awareness of undergraduate students towards mental illness has an important role in affecting the quality of care the patient receives and in choosing psychiatry as a career . Decision to specialize in psychiatry based on many factors, however attitude of undergraduates towards career choice play most important role in this aspect. Objective : This study aims to explore attitude and towards psychiatry among medical undergraduates in tertiary care hospital and factors influencing this decision. Methodology: It was Descriptive cross sectional study done at Nishtar medical University, tertiary care hospital of Multan Pakistan from July to December 2019. The total 384 students from first to final year were enrolled by non probability convenient sampling technique. Participation was voluntary and ensured that response would be kept anonymous. ATP-30 (Attitude towards Psychiatry) a 30 item self- administered questionnaire was used to measure the attitude of medical students. Data collected on a pre defined questionnaire was analyzed using SPSS version 23. Results pertaining to rates were reported as frequencies and percentages. Result : 47.4% of study respondents were male and 52.6 % were female. 52.3% of our study respondents strongly agree that psychiatry was respected branch of medicine and 56.7% strongly agree that psychiatry should be an important part of medical curriculum. 19.4% of study respondents consider it in the list of the carrier choice while majority didn’t think that it should be in their career list options. Conclusion : Majority of students shows positive attitude. Mostly found it as respected and essential field of medicine. However insufficient knowledge and awareness can also be observed in responses pertaining to available treatment and advancement in the field. There is a need to revise the curriculum and clinical rotation schedule to raise interest of students regarding mental health issues of their community and ease their decision in choosing it as a career. Keywords: Attitude, Undergraduate medical students, Psychiatry, Multan, Pakistan DOI : 10.7176/JMPB/63-06 Publication date: January 31 st 2020

Relationship between Workload Performance and Job Satisfaction

In Pakistan’s public health care delivery system, charge nurses hold a very challenging position to perform their workload. They have to work very hard to accomplish nursing and non-nursing care tasks which are imposed on them by the system. Overstretching of workload deprives them from concentration which is badly needed for their performance and this creates dissatisfaction which negatively impact on the quality of nursing care. As a result, this study intends to analyses the relationship between workload performance (WLP) and job satisfaction (JS). This correlation study involved 105 charge nurses in Nishtar Medical College and Hospital Multan Pakistan recruited by convenience sampling. Nurses’ WLP were collected by using self-developed instrument, and JS were collected by using modified Spector 1985. The collected data were analyze descriptively (mean, SD, frequencies, percentage) and inferentially (Pearson’s correlation). The results suggested that nurses’ WLP (average time consumption) in the morning (93.83%) and evening shift (95.63%) were higher compared with night shift (70.69%). Additionally, the proportion of time consumed in the morning and evening shift were higher on nursing care activities (Morning = 57.10%, Evening =52.1%) rather than non-nursing care activities. Oppositely, in the night shifts nurses consumed more than half of their time in non-nursing care activities (55. 66%). Charge nurses observed on moderate level of job satisfaction (mean = 38.6, SD = 5.42). There was no statistically significant correlation between nurses’ job satisfaction and workload performance (p =.137). The findings conclude nurses’ high workload and moderate level of job satisfaction and no statistically significant correlation between both. The results suggested that, it is important for hospital management to adopt some better strategies in order to improve WLP and JS.

What is the Connection between Normal Body Temperature and Chicken Likeness?

The objective of current study was to co-relate normal body temperature with chicken likeness. Body temperature is the normal temperature of the body. Usual body temperature may change in different situations such as by age, person, time of the day and activity. Thermometer is the instrument used to find out the temperature of the body. Total of 150 students took part in the recent study and they were the students of Bahauddin Zakariya University, Multan Pakistan. We arranged the instrument and then measured their body temperature. At the end we can concluded that there is a strong relation between these two variables. The male and female individuals with high body temperature are chicken lovers.

Surgical Repair of post-infarction ventricular septal rupture: Determinants of operative mortality and survival outcome analysis.

Background and Objective:Ventricular septal rupture (VSR) is one of the fatal complications of myocardial infarction (MI). Surgery provides the maximum survival benefit. Our objective was to investigate the risk factors of surgical mortality and to do the survival analysis in the past six years at our hospital.Methods:All the patients operated at CPE Institute of Cardiology Multan Pakistan, between 2009 and 2015 for repair of post MI VSR were analysed retrospectively for demographics, comorbidities, operative and post operative outcomes. The primary outcome was 30 days mortality. The follow up was done till April 2017 and the follow up data was obtained from hospital records and by telephoning the patients. SPSS was used for statistical analysis. P value < 0.05 was considered significant.Results:A total of 31 patients were operated for VSR repair with a mean age of 57.19±7.73 years. Eighteen patients also had a concomitant coronary artery bypass grafting (CABG). The operative mortality in this series was 25.8% Univariate analysis showed that pre-operative ejection fraction (E.F) (p value 0.010) and cardiogenic shock (p value 0.031) were a significant risk factors for operative mortality while on logistic regression analysis only the cardiogenic shock was found to be an independent risk factor for operative mortality with the odds ratio of 2.17. Low ejection fraction only acted as a confounding variable. The mean survival at six years was 34 months with a survival rate of 28.6%. The additional CABG did not confer any survival benefit.Conclusion:The patients in cardiogenic shock pre-operatively have a high operative mortality. Low ejection fraction (E.F) acts as a confounding factor. Concomitant CABG does not confer any survival benefit.

COMPARISON OF CARDIOVASCULAR ENDURANCE AND SPEED BETWEEN URBAN AND RURAL FEMALE STUDENTS OF BAHAUDDIN ZAKARIYA UNIVERSITY PAKISTAN

The purpose of the present study was to determine which group of female students urban/rural has better physical fitness performance in tests. Samples comprised of 72 females’ students (36 urban and 36 rural), this represented 10% of the population from each school of Bahauddin Zakariya University Multan Pakistan. Two physical Fitness components: speed and cardiovascular endurance were assessed using 60 Meters Speed test for speed and Harward Step Test for cardiovascular endurance. Descriptive Statistics examine the characteristics of the samples and Independent ‘t’ test was employed using IBM SPSS Statistics 22 software. The results indicated that urban girls’ performance was superior to the rural girls in speed (9.29Mean) and cardiovascular endurance (5.97Mean) in both physical fitness tests urban girls’ physical fitness level was higher. The findings of this study proved that the results of this study are unique and shows that urban girls have more physical fitness trend than urban girls, moreover it was also discovered for future studies that the cultural, social and living environment had a great impact on the physical fitness of females in Pakistan.

Causes of short stature identified in children presenting at a tertiary care hospital in Multan Pakistan

Objective: To determine the frequency of common causes of short stature in children presenting to the Children’s Hospital & the Institute of Child Health, Multan. Methodology: This cross sectional study was done in Pediatric Endocrinology department, the Children’s Hospital & the Institute of Child Health, Multan, from March to September, 2011. One hundred and sixty nine children with short stature presenting to the outpatient department meeting inclusion criteria were recruited after taking an informed consent. The detailed history, physical examination including anthropometric measurements and relevant investigations were recorded. Causes of short stature (outcome variable) were recorded on a predesigned proforma for final analysis. Results: The common causes of short stature identified were; familial short stature (FSS) 36 cases (21.3%), hypothyroidism 29(17.2%), growth hormone deficiency (GHD) 18(10.7%), insulin dependent diabetes mellitus (IDDM) 16(9.5%) and constitutional delayed growth and maturation (CDGM) 11(6.5%) cases. This was followed by primary malnutrition 8(4.7%), celiac disease 6(3.6%),Turner syndrome 5(3%) cases and unknown syndromes 4(2.4%) followed by other rare causes. Conclusion: Common causes of short stature identified in this study were endocrine diseases followed by normal variant short stature (NVSS), while nonendocrine causes were the least.

Blinds Children Education and Their Perceptions towards First Institute of Blinds in Pakistan

This paper investigates the parental participation, their perceptions and opinions about the education of their visually handicapped children in the first institute for the blinds children in Multan Pakistan. Students with visual impairments have unique educational needs which could most effectively meet using a team approach of professionals, parents and students. In order to meet their unique needs, students must have specialized services, books and materials in appropriate media to enable them to most effectively compete with their peers in school and ultimately in society. This study examines the role of education imparted by the institute as felt by the parents of visually impaired children

Cross-resistance, genetics and stability of resistance to deltamethrin in a population of Chrysoperla carnea from Multan, Pakistan

Broad-spectrum insecticides are still widely being used. Chrysoperla carnea has been shown to develop resistance to the insecticides in the field. Knowledge of the evolution and genetics of resistance to insecticides in natural enemies could enable to explain how effectively natural enemies can be implemented in different IPM systems. To examine this, a population of C. carnea from Multan Pakistan was collected and was subjected to deltamethrin selection in the laboratory. Bioassays at generation G 1 gave resistance ratios of 47, 86, 137, 76 and 110 for deltamethrin, alphamethrin lambdacyhalothrin, chlorpyrifos and profenofos respectively compared with susceptible Lab-PK. Bioassays at G 4 with a deltamethrin-selected population (Delta-SEL) showed that selection gave resistance ratios of 896 and 30 for deltamethrin compared with the Lab-PK and UNSEL, respectively. Cross-resistance to other insecticides tested was observed in the selected population. A notable feature of the Delta-SEL strain was that resistance to deltamethrin, alphamethrin, lambdacyhalothrin, chlorpyrifos and profenofos did not decline over the course of four generations. Synergism tests with microsomal oxidase (MO) and esterase-specific inhibitors indicated that the deltamethrin resistance was associated with MO and, possibly, esterase activity. Reciprocal crosses between the Delta-SEL and Lab-PK strains indicated that resistance was autosomal and incompletely dominant. A direct test of monogenic inheritance suggested that resistance to deltamethrin was controlled by more than one locus. The broad spectrum of resistance, cross resistance, incompletely dominant mode of inheritance and stability of resistance to insecticides suggest that Delta-SEL population of C. carnea could be compatible with most spray programs.

Management of iatrogenic ureteric injuries associated with gynecological surgery.

This retrospective study defines the presentation and management of iatrogenic ureteric injuries consequent upon gynecological surgery in a teaching hospital in Punjab, Pakistan. 18 patients with median age 35 years (range 18-80 years) with iatrogenic ureteric injuries associated with gynecological surgery were referred to the department of urology at Nishtar Hospital Multan Pakistan. Main presenting symptoms were urinary incontinence, loin pain and anuria. Median time since injury and presentation was 3 weeks (range 1 day to 7 years). In 16 (88%) patients injury resulted from abdominal hysterectomy. Other causes included ovarian cystectomy (one patient) and vaginal hysterectomy (one patient). 11 (61%) patients had ureterovaginal fistula, 5 (28%) patients had complete unilateral ureteric obstruction and 2 (11%) patients had bilateral ureteric obstruction and anuria. In 11 patients with ureterovaginal fistula ureteroneocystostomy was performed. In five patients with unilateral ureteric obstruction, one had end to end anastomosis of ureter, three had ureteroneocystostomy only and one had ureteroneocystostomy and psoas hitch done. Two had anuria secondary to bilateral ureteric obstruction. In one of these patients Boari flap and ureteroneocystostomy was carried out. The second patient had deligation of catgut sutures on ipsilateral side and ureteroneocystostomy on the contra-lateral side. In 17 patients no major complication occurred. One patient who had deligation of catgut sutures, the distal ureter sloughed and re-exploration and ureteroneocystostomy was performed. Renal salvage was achieved in all cases. Open surgical procedures for repair of iatrogenic ureteric injuries are associated with good outcome. Strategies to prevent these injuries include adequate surgical training and meticulous surgical techniques.