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Sample records for karachi pakistan south

  1. Harnessing Photovoice for tuberculosis advocacy in Karachi, Pakistan.

    PubMed

    Mohammed, Shama; Sajun, Sana Zehra; Khan, Faisal S

    2015-06-01

    In Pakistan, despite publically available free testing and treatment throughout the country, there were an estimated 58,000 deaths due to tuberculosis in 2010. Understanding the experiences of people affected by TB is essential in addressing barriers to effective treatment. The Indus Hospital used Photovoice to understand the experiences of people affected by TB in Karachi. Two hundred and thirty photographs and stories were collected from 55 people affected by TB. Five major themes and 12 sub-themes emerged from the data: the physical aspects of TB (weakness and the side effects of the medication), the social aspects of TB (loneliness, stigma, and the fear/guilt of infecting family members), the socio-economic aspects of TB (financial difficulties/poverty and poor living conditions), supportive factors during treatment (support from family and friends, support from welfare organizations, prayer, visiting peaceful places), and recovery (happiness about getting better). The photographs, stories, and a Call for Action were shared at a Gallery event with patients, practitioners, and policy-makers. This study provides a look at the complexities surrounding TB and emphasizes the need for holistic interventions for TB that address all aspects of the disease, including its social determinants. It also highlights the potential of Photovoice as an effective means to bring much-needed attention to this disease. PMID:23793302

  2. Knowledge and Attitude of General Practitioners regarding Autism in Karachi, Pakistan

    ERIC Educational Resources Information Center

    Rahbar, Mohammad Hossein; Ibrahim, Khalid; Assassi, Parisa

    2011-01-01

    General practitioners (GPs) could have an important role in early diagnosis of autism. There have been no studies evaluating the knowledge of GPs regarding autism in Pakistan. We aimed to fill that gap by assessing knowledge and attitude of GPs in Karachi regarding autism. We conducted a cross-sectional survey of 348 GPs; only 148 (44.6%) had

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

    ERIC Educational Resources Information Center

    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…

  4. The Main Reasons of Declining Educational Standards at Secondary Level in Karachi, Pakistan

    ERIC Educational Resources Information Center

    Faizi, Waqar-un-Nisa; Shakil, Anila Fatima; Lodhi, Farida Azim

    2011-01-01

    The cause of this investigation was to identify the main reasons which decline the educational standards at secondary level in Karachi, Pakistan. It was carried out through survey. The population of the study was both "government and private" schools students and teachers. The views of male and female students and teachers were sought out. One…

  5. Knowledge and Attitude of General Practitioners regarding Autism in Karachi, Pakistan

    ERIC Educational Resources Information Center

    Rahbar, Mohammad Hossein; Ibrahim, Khalid; Assassi, Parisa

    2011-01-01

    General practitioners (GPs) could have an important role in early diagnosis of autism. There have been no studies evaluating the knowledge of GPs regarding autism in Pakistan. We aimed to fill that gap by assessing knowledge and attitude of GPs in Karachi regarding autism. We conducted a cross-sectional survey of 348 GPs; only 148 (44.6%) had…

  6. The Main Reasons of Declining Educational Standards at Secondary Level in Karachi, Pakistan

    ERIC Educational Resources Information Center

    Lodhi, Farida Azeem; Faizi, Waqar Un Nisa

    2009-01-01

    The cause of this investigation was to identify the main reasons which decline the educational standards at secondary level in Karachi, Pakistan. It was carried out through survey. The population of the study was the both Government and Private schools students and teachers. The views of male and female students and teachers were sought out. One…

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

    ERIC Educational Resources Information Center

    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

  8. Heavy Metals Contamination in Coastal Sediments of Karachi, Pakistan

    NASA Astrophysics Data System (ADS)

    Siddique, A.; Mumtaz, M.; Zaigham, N. A.; Mallick, K. A.; Saied, S.; Khwaja, H. A.

    2008-12-01

    Toxic compounds such as heavy metals exert chronic and lethal effects in animals, plants, and human health. With the rapid industrialization, urbanization, and economic development in Karachi, heavy metals are continuing to be introduced to estuarine and coastal environment through rivers, runoff and land-based point sources. Pollution in the Karachi coastal region (167 km long) is mainly attributed to Lyari and Malir Rivers flowing through the city of Karachi. Both rivers are served by various channels of domestic and industrial wastes carrying more than 300 million gallons per day untreated effluent of 6000 industries and ultimately drain into the beaches of Arabian Sea. Concentrations of selected heavy metals (Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, and Zn) in surface sediments from eighty-eight sites in Karachi coastal region were studied in order to understand metal contamination due to industrialization, urbanization, and economic development in Karachi. Sediment samples were collected in 2005 and 2006. We have found that heavy metal concentrations in surface sediments varied from 0.006 to 24.3 ug/g for Cd, 5.1 to 95 ug/g for Co, 2.9 to 571 ug/g for Cr, 6.9 to 272 ug/g for Cu, 0.55 to 6.5% for Fe, 1.2 to 318 ug/g for Mn, 7.5 to 75 ug/g for Ni, 6.3 to 121 ug/g for Pb, and 3.3 to 389 ug/g for Zn. Enrichment factors (EFs) were calculated to assess whether the concentrations observed represent background or contaminated levels. The highest levels of metals were found to be at the confluence of the Lyari and Malir River streams at the Arabian Sea, indicating the impact of the effluents of the highly urbanized and industrialized city of Karachi. Furthermore, this study assessed heavy metal toxicity risk with the application of Sediment Quality Guideline (SQG) indices (effect range low/effect range median values, ERL/ERM). Results indicated that the potential toxicity of marine environment can cause adverse biological effects to the biota directly and the human health indirectly through food web chain.

  9. Consequences of traffic noise in residents of Karachi, Pakistan

    PubMed Central

    Siddiqui, Imtiaz Ather; Nizami, Sohaib; Chandio, Rida Rouf; Nizami, Saad; Sikander, Nazish; Ashraf, Sana

    2015-01-01

    Objective: To find out effect of road traffic noise on human beings in busy places of Karachi, working at these places and to compare its results with the previously done studies on this subject. Methods: This prospective epidemiological study was designed to evaluate effects of Noise induced hearing Loss due to road traffic at different places (Gurumander, Tibet Centre, Marry Weather Tower) of Karachi. A sample of 125 cases were randomly selected who had noise exposure of 90 dB or above of their surroundings for more than 6 months. The study was conducted from October 1st 2013 to January 1st 2013. Results: The minimum age was 18 years while maximum age was 47 years. The age group found most affected was from 23 years to 27 years. The males were 84% and females 16%. Subjects exposed to noise for more than 12 hours per day were 36.8%. Varying degree of hearing loss was evaluated in subjects where 17.6% were normal, 33.6% had mild hearing loss, 45.6% had moderate and 3.2% had moderately severe hearing loss. Traffic noise was found to bother 55.2% of subjects. Conclusion: Analysis of data indicates an enormous increase in noise levels as compared to previous studies. This study establishes that there exists a concrete direct link between NIHL and duration of exposure to noise above permissible levels. Traffic authorities should initiate measures to reduce the noise levels in the city particularly at more noisy places. PMID:26101509

  10. Exploring Fathers’ Role in Breastfeeding Practices in the Urban and Semiurban Settings of Karachi, Pakistan

    PubMed Central

    Mithani, Yasmin; Premani, Zahra Shaheen; Kurji, Zohra; Rashid, Shehnaz

    2015-01-01

    ABSTRACT This study explored fathers’ perceptions about breastfeeding infants. A qualitative exploratory study design was used. Study setting was urban and semiurban areas of Karachi, Pakistan. In-depth interviews were conducted with 12 fathers. The following themes emerged from the data collected: knowledge and awareness and enabling and impeding factors. Most fathers seemed eager to get involved and assist their partners in proper breastfeeding practices because they believed that doing so is in accordance with their faith. Fathers felt that adequate support from their family members and employers could enable them to encourage their partners to initiate and maintain exclusive and optimum breastfeeding practices. Exploring fathers’ perception regarding breastfeeding in the context of Pakistan is still a new field of study. PMID:26834446

  11. Prevalence of syphilis among antenatal clinic attendees in Karachi: Imperative to begin universal screening in Pakistan

    PubMed Central

    Shah, SA; Kristensen, S; Memon, MA; Usman, G; Ghazi, A; John, R; Sathiakumar, N; Vermund, SH

    2013-01-01

    Objectives Sexually transmitted infections are thought by some to be rare in socially conservative Muslim countries. Little is known about prevalence of syphilis in Pakistani women from the general population. We determined syphilis prevalence in a multi-center cross-sectional study of low risk pregnant women in Karachi, Pakistan. Methods We administered a structured questionnaire and obtained a blood sample for syphilis serology (rapid plasma reagin test with Treponema pallidum hemagglutination assay confirmation) from all women giving informed consent over six weeks in 2007. Results The prevalence of confirmed syphilis was less than one percent (0.9%; 95%CI: 0.4, 1.8) in a sample size of 800 women recruited from three urban sites (≈1% refusal rate). Women who lived in an area where male drug use is prevalent (Ibrahim Hyderi Hospital) had 1% (1.5%) higher prevalence rates than women from the other two sites 0.5%. Conclusions We documented higher-than-expected syphilis seroprevalence rates in a low risk population of antenatal clinic attendees in Pakistan. Bridge populations for syphilis may include drug users, who are usually married, and Hijras or their clients. Hijras are transgender and/or transvestite men who may provide sex for money to men. In accordance with our results, the national policy for syphilis control in Pakistan should be modified to include universal syphilis screening in antenatal clinics with subsequent partner notification. PMID:22356034

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

    PubMed Central

    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

  13. Use of satellite imagery in constructing a household GIS database for health studies in Karachi, Pakistan.

    PubMed

    Ali, Mohammad; Rasool, Shahid; Park, Jin-Kyung; Saeed, Shamoon; Ochiai, Rion Leon; Nizami, Qamaruddin; Acosta, Camilo J; Bhutta, Zulfiqar

    2004-09-28

    BACKGROUND: Household-level geographic information systems (GIS) database are usually constructed using the geographic positioning system (GPS). In some research settings, GPS receivers may fail to capture accurate readings due to structural barriers such as tall buildings. We faced this problem when constructing a household GIS database for research sites in Karachi, Pakistan because the sites are comprised of congested groups of multi-storied building and narrow lanes. In order to overcome this problem, we used high resolution satellite imagery (IKONOS) to extract relevant geographic information. RESULTS: The use of IKONOS satellite imagery allowed us to construct an accurate household GIS database, which included the size and orientation of the houses. The GIS database was then merged with health data, and spatial analysis of health was possible. CONCLUSIONS: The methodological issues introduced in this paper provide solutions to the technical barriers in constructing household GIS database in a heavily populated urban setting. PMID:15450121

  14. Morphotaxonomy and seasonal distribution of planktonic and benthic Prorocentrales in Karachi waters, Pakistan Northern Arabian Sea

    NASA Astrophysics Data System (ADS)

    Munir, Sonia; Burhan, Zaib-un-nisa; Naz, Tahira; Siddiqui, P. J. A.; Morton, Steve L.

    2013-03-01

    Morphotaxonomy and seasonal abundance of dinoflagellates of the genera Prorocentrum and Mesoporos (Prorocentrales) were studied from nutrient-rich waters, Karachi Harbor and the mouth of the Manora Channel, Pakistan during May 2002-July 2003. Using both light and scanning electron microscopy, 13 species of Prorocentrales were identified according to cell shape, size, ornamentation of thecal plates, and architecture of apical platelets, apical pore area, marginal pores, and intercalary bands. P. sigmoides, P. arcuatum, P. scutellum, P. donghaiense, P. balticum, P. minimum, P. emarginatum, P. lima, P. faustiae, and Mesoporos perforatus constitute new records for sindh coast of Pakistan. The most abundant species were P. minimum/P. balticum (4.5×103 cells/L), P. micans (1.1×103 cells/L), P. gracile / P. sigmoides (2.5×10 2 cells/L) and P. donghaiense (6.6×103 cells/L) at temperatures of 29-31°C and salinities of 35-40. Maximum abundance was observed in winter and lower abundance in summer. There was no significant change in the distribution of species between stations except for the benthic species which occurred close to Karachi Harbor waters. Significant positive correlations were observed between Prorocentrum spp. and temperature ( R 2 =0.27) and negative correlations with salinity ( R 2 =-0.32) except for P. minimum and P. emarginatum which has negative correlation with temperature ( R 2 =-0.24) and positive with salinity ( R 2 =0.08, 0.19). The finding of potential okadaic-acid producing species of benthic Prorocentrum call for monitoring for possible human health problems in this region.

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

    PubMed

    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. PMID:26883485

  16. Understanding the knowledge and perceptions about clubfoot in Karachi, Pakistan: a qualitative exploration.

    PubMed

    Burfat, Aziza; Mohammed, Shama; Siddiqi, Osman; Samad, Lubna; Khan, Mansoor Ali; Chinoy, Mohammad Amin

    2013-01-01

    This paper explores local knowledge and perceptions about clubfoot in the Indus Hospital's catchment population in Karachi, Pakistan. Data was collected through seven focus group discussions with community members and Lady Health Workers, nine in-depth interviews with parents of children with treated or untreated clubfoot, and one interview with an adult with untreated clubfoot. We found that participants were unable to distinguish clubfoot from other disabilities. Moreover, participants had a number of beliefs about the causes of clubfoot, which included lunar and solar eclipses, religious explanations, the health status and behaviours of parents, and genetics. While participants were aware of surgery and other allopathic treatments for clubfoot, many also believed in traditional and religious treatments or were unaware that clubfoot is a treatable condition. This study is the first of its kind in Pakistan and provides important insights that clubfoot programs need comprehensive strategies to raise awareness about clubfoot amongst community members, health providers, and religious leaders in order to be successful. PMID:24027475

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

    PubMed

    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. PMID:25843562

  18. Objects of temporary contraception: an exploratory study of women's perspectives in Karachi, Pakistan

    PubMed Central

    Marvi, Kamyla; Howard, Natasha

    2013-01-01

    Objectives To explore perspectives of three modern contraceptive objects, using an emic approach, among women in a low-income community in Karachi, Pakistan. Design A qualitative interview study design was employed, using qualitative content analysis with an inductive approach and manual thematic coding. Setting Shah Faisal Colony, Karachi. Participants 20 women, potential contraceptive users of reproductive age and living within a health centre catchment, were purposively selected to provide a similar number of non-users (n=5), contraceptive injection users (n=7), pill users (n=4), and intrauterine device users (n=4). One interview was excluded because it was not recorded. No other exclusion criteria were used. Primary and secondary outcome measures The primary outcome was interpretation of potency and effects of selected family planning objects. Secondary outcome measures were knowledge of family planning and description of therapeutic approaches used and preferred. Results Awareness of family planning was high. Women described different therapeutic approaches, stating they generally preferred modern medicine for contraception as it was fastest and most powerful. They reported that fear of some contraceptive objects, particularly injections and intrauterine contraceptive devices, influenced their choices. Women explained their perceptions of how the heating effects of contraceptives could cause unwanted side effects including menstrual irregularities, weight gain and weakness, leading to disease. Conclusions Most women wanted family planning, but remained dissatisfied with the available contraceptives and their effects. While women reported that they relied on modern medicine for contraception, their descriptions of how contraceptives affected their health relied on the hot–cold explanatory idiom of traditional medicine. PMID:23906959

  19. Cancer of the oral cavity - trends in Karachi South (1995-2002).

    PubMed

    Bhurgri, Yasmin

    2005-01-01

    The objective was to study the time trends in site-specific oral cancer incidence and to determine the age-and socio-economic profile over time in Karachi South. Oral cancer ranks second in this population, in both genders. The incidence is the highest reported worldwide. Incident oral cancer cases received at the Karachi Cancer Registry during 1(st) January 1995 to 30(th) June 2004 were reviewed. To ensure maximally complete data, cases registered between 1(st) January 1995 and 31(st) December 2002 were considered for the present study. Cases of lymphoma, leukemia and melanoma were not included. Trends were studied by grouping cases into two periods, 1995-1997 and 1998-2002. A total of 2253 cases of oral cancer were registered in Karachi South for the 8 year study period accounting for 8.8% of all cancer cases. Overall, the most common site was the mucosa cheek (55.9%), followed by the tongue (28.4%), palate (6.8%), gum (4.4%), lip (3.1%) and floor of the mouth (1.4%). About 30% of cases occurred in patients 40 years and younger and 23% occurred in patients 65 years and older. Sub-categories of oral cancer showed variation in trends, but an earlier onset of disease in period two was evident for all categories. The incidence of lip cancer in men decreased, the rates remained level in females. An increased incidence was observed for tongue, but a more dramatic increase in the cheek was evident in both sexes, despite no improvement during the past decade in detection of early, localized lesions. A strong socio-economic factor with a poorer, low literacy profile of oral cancer was apparent in the entire study period. The evidence that the largest increase in incidence has occurred in this population may unfavorably affect the mortality rates. Oral cancer trends are an interplay of prevalent risk factors, the level of prevalence, preventive education and intervention. Cost effective and efficient cancer control focused around the target populations would be beneficial for Pakistan. Educational campaigns should include information on oral hygiene, awareness of risk factors and symptoms and the importance of seeking early professional help when any of these are recognized. Audio-visual media involvement is imperative in view of the literacy status of the target population. Capacity building is required by the Government to increase the availability and accessibility of professionals. Population screening would reduce the incidence of oral cancer, but requires careful planning, and extensive financial resources. Mobilization of general practitioners, health visitors, volunteer organizations and medical students for early detection of oral cancer is the essential need of today. PMID:15780026

  20. Attitudes towards child restrains and seat belts usage in the learned population of Karachi, Pakistan

    PubMed Central

    Siddiqui, Emaduddin; Ejaz, Kiran; Waheed, Shahan; Kazi, Ghazala Irfan; Khursheed, Munawar

    2014-01-01

    BACKGROUND: Motor vehicles crashes (MVCs) are the leading cause of injury related morbidity and mortality in developed countries. Recent evidence proves that properly used child seat belts can dramatically reduce the risk of severe and life-threatening injury from MVCs. There are rarities of thought and inspiration regarding the use of child seat belts in our society and region, therefore we lack of data regarding factors and paucity of usage of child seat belts in motor vehicles. This study aimed to assess the knowledge and attitudes of child seat belt usage among the educated population in Karachi, Pakistan. METHODS: Altogether 304 employees were investigated. They were employees of Aga Khan University who were using their cars and having children younger than 10 years old. A cross sectional observational study was designed, and a 36-item questionnaire in English was used to collect data on participants’ demographic details, designation, educational level, economic status, validity of driving license, number of children and cars, availability of adult seat belts and child seat belts along with their functionality, awareness, knowledge and attitude toward its use, and reason of not using these devices. SPSS version 20 for Windows was used to analyze the data and the Chi-square test was used. RESULTS: Totally 290 participants were recruited with a response rate of 72% (212). Of 212 participants, 126 (59%) were male. 154 (72.6%) participants had valid driver licenses, and 154 (72.6%) had adult seat belts in their vehicles. Only 32 (15%) reported regular use of adult seat belts. Although 168 (79.2%) participants had some knowledge about child restrains (CRs), only 65 (22%) had CRs in their cars. Eighty-two (38.7%) participants got the knowledge about CRs and seat belts from media. Mothers were more concerned about the use of CRs than fathers. Only 14 (6.6%) parents were found to use both adult and child seat belts all the time. Of the 157 parents who did not us use CRs, 42 considered unnecessary, 35 lacked relevant knowledge. But 15 parents used CR against their children’s wills. CONCLUSIONS: The pattern of CR usage among the employees at Aga Khan University, Karachi is dictated by the unavailability of CR, followed by ignorance, inconvenience, and non-acceptance by their children. The important issue of CR has consistently been ignored over the years and it has never gained enough popularity in Pakistan. PMID:25225589

  1. Perception and attitude of general practitioners regarding generic medicines in Karachi, Pakistan: A questionnaire based study

    PubMed Central

    Jamshed, Shazia Qasim; Ibrahim, Mohamed Izham Mohamed; Hassali, Mohamed Azmi Ahmad; Masood, Imran; Low, Bee Yean; Shafie, Asrul Akmal; Babar, Zaheer-ud-din

    2012-01-01

    Objectives: In developing countries out-of-pocket payments (OOP) are as high as 80% of healthcare spending. Generic medicines can be instrumental in reducing this expenditure. The current study is aimed to explore the knowledge, perception, and attitude of general practitioners towards generic medicines in Karachi, Pakistan. Methods: This exploratory, descriptive study was conducted on a sample of 289 randomly selected general practitioners who were dispensing at their private clinics in Karachi, Pakistan. The questionnaires were distributed and collected by hand. Data was entered to SPSS version 17. Fischer’s exact test was applied to see the association between variables. Results: A total of 206 questionnaires were included in the study. A response rate of 71.3% was achieved. Out of 206 respondents, 139 (67.5%) were male while 67 (32.5%) respondents were female. Close to three quaters of the respondents (n= 148; 71.8%) showed correct knowledge about generic medicines being a ‘copy of the brand name medicines’ and ‘interchangeable with brand name medicines’ (n= 148; 71.8%). In terms of safety, the majority of respondents (n=85; 41.26%) incorrectly understood that the generic medicines are less safe than brand name medicines. The total percentage of correct responses was seen in 53% of the respondents. More than half of the respondents agreed that locally manufactured medicines are of the same effectiveness as brand name medicines (n=114; 55.4%). Male practitioners with practice experience of 11-15 years showed positive perception towards the quality of multinational products. The Majority of respondents believed that their prescribing decision is influenced by medical representatives (n=117; 56.8%). More than three-quarters of the respondents expressed their wish to prescribe low cost medicines in their practice (n=157; 76.2%). More than one third of the respondents expressed their uneasiness to prescribe products from all local manufacturers (n=72; 35%). Conclusion: There were gaps identified in the knowledge of respondents. Although good perception and attitude were noted among the respondents, dissemination of information regarding generic medicines may perhaps strengthen generic prescribing. There is a need to introduce ‘Quality by Design’ concept in local manufacturing units. This, in turn, can inculcate confidence in prescribers towards locally manufactured generic medicines. PMID:23093896

  2. The Burden of Non-Communicable Disease in Transition Communities in an Asian Megacity: Baseline Findings from a Cohort Study in Karachi, Pakistan

    PubMed Central

    Khan, Faisal S.; Lotia-Farrukh, Ismat; Khan, Aamir J.; Siddiqui, Saad Tariq; Sajun, Sana Zehra; Malik, Amyn Abdul; Burfat, Aziza; Arshad, Mohammad Hussham; Codlin, Andrew J.; Reininger, Belinda M.; McCormick, Joseph B.; Afridi, Nadeem; Fisher-Hoch, Susan P.

    2013-01-01

    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 health intervention programs tailored for these transition communities. PMID:23418493

  3. Home injury risks to young children in Karachi, Pakistan: a pilot study

    PubMed Central

    Khan, Uzma Rahim; Chandran, Aruna; Zia, Nukhba; Huang, Cheng-Ming; De Ramirez, Sarah Stewart; Feroze, Asher; Hyder, Adnan Ali; Razzak, Junaid Abdul

    2015-01-01

    Objective To pilot an in-home unintentional injury hazard assessment tool and to quantify potential injury risks for young children in a low-income urban setting. Methods Two low-income neighbourhoods in Karachi, Pakistan, were mapped, and families with at least one child between the ages of 12 and 59 months were identified. Using existing available home injury risk information, an in-home injury risk assessment tool was drafted and tailored to the local setting. Home injury assessments were done in June–July 2010 after obtaining informed consent. Results Approximately 75.4% of mothers were educated through at least grade 12. The main risks identified were stoves within the reach of the child (n=279, 55.5%), presence of open buckets in the bathroom (n=240, 47.7%) within the reach of the child, and pedestal fans accessible to the child (n=242, 48.1%). In terms of safety equipment, a first-aid box with any basic item was present in 70% of households, but only 4.8% of households had a fire extinguisher in the kitchen. Conclusions This was the first time that an in-home, all-unintentional injury risk assessment tool was tailored and applied in the context of a low-income community in Pakistan. There was a significant burden of hazards present in the homes in these communities, representing an important opportunity for injury prevention. This pilot may have future relevance to other LMICs where child injury prevention is a critical need. PMID:23995075

  4. Myths and Fallacies about Male Contraceptive Methods: A Qualitative Study amongst Married Youth in Slums of Karachi, Pakistan

    PubMed Central

    Nishtar, Noureen; Sami, Neelofar; Faruqi, Anum; Khowaja, Shaneela; Farid-Ul-Hasnain

    2013-01-01

    Pakistan presently has one of the largest cohorts of young people in its history, with around 36 million people between the ages of 15 and 24 years. One of the main reasons for high population growth in Pakistan is almost stagnant contraceptive prevalence rate of 30% nationally and 17.4% amongst youth. The study was conducted to explore the perceptions regarding myths and fallacies related to male contraceptive methods among married youth aged 18-24 year in Karachi, Pakistan. Qualitative exploratory study design was adopted and a total of eight Focus Group Discussions (FGDs) were conducted. Study was conducted in two Union Councils of Korangi Town in the squatter settlement of Karachi, Pakistan from July to September 2010. Thematic analysis was done manually. General, physical, sexual, psychological, socio-cultural and religious were the common categories which lead to myths and fallacies related to condoms use and vasectomy among the married youth. The foremost myth amongst male and female youth was that use of both condoms and vasectomy cause impotence in males. Additionally, condoms were thought to cause infections, backache and headache in males. Some youth of the area think that vasectomy is meant for prisoners only. In conclusion our findings suggest that the potential reasons behind low use of male contraceptive methods among youth of squatter settlement of Karachi were myths and fallacies about male contraceptive methods. There are some important policy implications like counseling of the couple through peers and well trained family planning service providers to address these myths and misconceptions from the minds of youth. PMID:23445697

  5. Geochemical assessment of metal concentrations in sediment core of Korangi Creek along Karachi Coast, Pakistan.

    PubMed

    Chaudhary, M Z; Ahmad, N; Mashiatullah, A; Ahmad, N; Ghaffar, A

    2013-08-01

    Sediment core from Korangi Creek, one of the polluted coastal locations along the Karachi Coast Pakistan, was collected to trace the history of marine pollution and to determine the impact of industrial activity in the area. Down core variation of metals such as Ca, K, Mg, Al, S, Ti, V, Cr, Mn, Fe, Ni, Cu and Zn was studied in the 72.0 cm core. Nuclear analytical techniques, proton induced X-rays emission (PIXE), was employed to ascertain the chemical composition in sediment core. Grain size analysis and sediment composition of cored samples indicated that Korangi creek sediments are clayey in nature. Correlation matrix revealed a strong association of Ni, Cu, Cr and Zn with Fe and Mn. To infer anthropogenic input, enrichment factor (EF), degree of contamination and pollution load index were calculated. EF showed severe enrichment in surface sediment for Ni, Cu, Cr and Zn, indicating increased industrial effluents discharge in recent years. The study suggests that heavy metal discharge in the area should be regulated. If the present trend of enrichment is allowed to continue unabated, it is most likely that the local food web complexes in the creek might be at highest risk. PMID:23279880

  6. The impact of consanguinity and inbreeding on perinatal mortality in Karachi, Pakistan.

    PubMed

    Hussain, R

    1998-10-01

    Close consanguineous unions continue to be extremely common in much of West Asia, including Pakistan. However, the impact of inbreeding on offspring mortality, particularly perinatal mortality, remains poorly documented. This paper attempts to measure the mortality risks associated with consanguinity and inbreeding while controlling for the effects of other potential confounders. The study sample comprises a multi-ethnic population residing in selected squatter settlements of Karachi. The adjusted odds ratio for perinatal mortality in the offspring of women married to their first cousins was 2.0 [95% CI 1.5, 2.6]. When parental inbreeding was also taken into account, the adjusted odds ratio for perinatal mortality increased further. Analysis of a subsample of data limited to pregnancies to women aged 35 years or above (at the time of the survey) showed that, despite adjustment for important biological and socio-demographic factors, both consanguinity and inbreeding remained important predictors of perinatal mortality in the offspring. Implications of the present study for further research are highlighted. PMID:9805711

  7. Knowledge and Practice Gaps among Pediatric Nurses at a Tertiary Care Hospital Karachi Pakistan

    PubMed Central

    Roshan Essani, Rozina; Ali, Tazeen Saeed

    2011-01-01

    The advancement in medical science has created health care environments that require nursing professionals who posses specialized clinical knowledge and skills to provide care and deal with critically and acutely ill children. This study explored gaps between knowledge and practice as perceived by the registered nurses of pediatric units by further recommending the changes suggested by them. A descriptive exploratory study design under the quantitative research methodology was utilized using universal sampling of all pediatric nurses working at a tertiary care hospital in Karachi, Pakistan. The gaps between knowledge and practice, as perceived by the participants, were categorized into five major categories: (1) medication (34%), (2) skills (28.3%), (3) knowledge (13.36%), (4) handling of code blue and intubations (12.6%), and (5) operating medical devices (11.58%). As a result, anxiety and incompetency were notably seen in the participants which had great amount of impact on the level of care provided to the patients. The implications of the findings for quality patient care were also analyzed. PMID:22389778

  8. Hyperendemic pulmonary tuberculosis in peri-urban areas of Karachi, Pakistan

    PubMed Central

    Akhtar, Saeed; White, Franklin; Hasan, Rumina; Rozi, Shafquat; Younus, Mohammad; Ahmed, Faiza; Husain, Sara; Khan, Bilquis Sana

    2007-01-01

    Background Currently there are very limited empirical data available on the prevalence of pulmonary tuberculosis among residents of marginalized settings in Pakistan. This study assessed the prevalence of pulmonary tuberculosis through active case detection and evaluated predictors of pulmonary tuberculosis among residents of two peri-urban neighbourhoods of Karachi, Pakistan. Methods A cross-sectional study was conducted in two peri-urban neighbourhoods from May 2002 to November 2002. Systematic sampling design was used to select households for inclusion in the study. Consenting subjects aged 15 years or more from selected households were interviewed and, whenever possible, sputum samples were obtained. Sputum samples were subjected to direct microscopy by Ziehl-Neelson method, bacterial culture and antibiotic sensitivity tests. Results The prevalence (per 100,000) of pulmonary tuberculosis among the subjects aged 15 years or more, who participated in the study was 329 (95% confidence interval (CI): 195 – 519). The prevalence (per 100,000) of pulmonary tuberculosis adjusted for non-sampling was 438 (95% CI: 282 – 651). Other than cough, none of the other clinical variables was significantly associated with pulmonary tuberculosis status. Analysis of drug sensitivity pattern of 15 strains of Mycobacterium tuberculosis revealed that one strain was resistant to isoniazid alone, one to streptomycin alone and one was resistant to isoniazid and streptomycin. The remaining 12 strains were susceptible to all five drugs including streptomycin, isoniazid, rifampicin, ethambutol, and pyrazinamide. Conclusion This study of previously undetected tuberculosis cases in an impoverished peri-urban setting reveals the poor operational performance of Pakistan's current approach to tuberculosis control; it also demonstrates a higher prevalence of pulmonary tuberculosis than current national estimates. Public health authorities may wish to augment health education efforts aimed at prompting health-seeking behaviour to facilitate more complete and earlier case detection. Such efforts to improve passive case-finding, if combined with more accessible DOTS infra-structure for treatment of detected cases, may help to diminish the high tuberculosis-related morbidity and mortality in marginalized populations. The economics of implementing a more active approach to case finding in resource-constrained setting also deserve further study. PMID:17477870

  9. Maternal nutritional status during pregnancy and surma use determine cord lead levels in Karachi, Pakistan

    SciTech Connect

    Janjua, Naveed Zafar Delzell, Elizabeth; Larson, Rodney R.; Meleth, Sreelatha; Kabagambe, Edmond K.; Kristensen, Sibylle; Sathiakumar, Nalini

    2008-09-15

    Objectives: To estimate the umbilical cord blood lead levels (BLLs) of Pakistani neonates and to identify determinants for umbilical BLLs. Methods: We conducted a cross-sectional study of mothers and infants at one of the two obstetric units of two tertiary care hospitals in Karachi during January-August 2005. Information from 540 mothers selected randomly from those registered for delivery was obtained about their pregnancy, diet, and current and past lead exposures. We collected umbilical cord blood for lead levels analyzed using graphite furnace atomic absorption spectrophotometry. We computed geometric and arithmetic means. We performed multiple linear regression analysis to identify factors associated with log-transformed umbilical cord BLLs. We also performed logistic regression analysis to identify determinants of high lead cord BLLs ({>=}10 {mu}g/dl). Results: The geometric mean cord BLL of the neonates was 9.6 {mu}g/dl; arithmetic mean (S.D.) was 10.8 {mu}g/dl (5.7) with a median of 9.7 {mu}g/dl and a range of 1.8-48.9 {mu}g/dl. Women who reported intake of less than 58.5 mg of elemental iron supplement per day during pregnancy had cord BLL of 10.0 {mu}g/dl; in comparison those women who had higher iron intake had lower cord BLL (8.4 {mu}g/dl). Those who used surma (an eye cosmetic) daily had higher cord BLL (11.5 {mu}g/dl) as compared to those who used it less frequently (9.4 {mu}g/dl). In multivariable linear regression model, higher iron intake, owning a car, and being in 2nd quartile of mid-arm circumference were associated with low lead levels while father's occupation in lead-based industry was associated with significantly higher umbilical cord BLLs. There was interaction of daily surma use and ethnicity. Geometric mean BLLs were varied among surma users by ethnicity. Conclusions: Umbilical cord BLLs are high in Karachi, Pakistan, in comparison to those in developed countries such as United States. Measures are needed to reduce fetal lead exposure to prevent adverse affect on neurocognitive development. Association of low iron (below RDA of 60 mg per day) with high umbilical cord has implications for strengthening iron supplement intake during pregnancy. Umbilical cord BLLs differed among surma users by ethnicity.

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

    PubMed Central

    Janjua, Naveed Zafar; Kasi, Pashtoon Murtaza; Nawaz, Haq; Farooqui, Sadia Zohra; Khuwaja, Urooj Bakht; Najam-ul-Hassan; Jafri, Syed Nadim; Lutfi, Shahid Ali; Kadir, Muhammad Masood; Sathiakumar, Nalini

    2006-01-01

    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 < 0.001). Mean summary symptom scores were higher among the exposed group (14.5) than control group A (4.5) and control group B (3.8, P < 0.001). Logistic regression models indicated that there were statistically significant, moderate-to-strong associations (Prevalence ORs (POR) ranging from 2.3 to 37.0) between the exposed group and the symptoms. There was a trend of decreasing symptom-specific PORs with increase in distance from the spill site. Multiple linear regression model revealed strong relationship of exposure status with the symptoms score (β = 8.24, 95% CI: 6.37 – 10.12). 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. PMID:16584541

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

    PubMed Central

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

    2012-01-01

    Background: 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 societal support of women is limited. There is an urgent need to raise the subject of violence against women and tackle this human rights problem at all levels of society by targeting the individual, family, community, and societal levels concurrently. PMID:23152709

  12. Fitting the Bill: Commissioned Theatre Projects on Human Rights in Pakistan--The Work of Karachi-Based Theatre Group "Tehrik e Niswan"

    ERIC Educational Resources Information Center

    Mundrawala, Asma

    2007-01-01

    Theatre practitioners in Pakistan's southern city Karachi have seen a recent surge of interest in the past two decades by donor agencies from the Western world to fund theatre companies and employ various forms of theatre for development to service their agendas and areas of interest within their target communities. This trend may have lent a…

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

    PubMed Central

    2012-01-01

    Background To determine the behavior of physicians regarding medical literature reading and participation in research activities at one of the largest teaching hospitals in Pakistan. Method 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. Result 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 < 0.05). E-journals were preferred by 75.7% of the doctors over printed journals. This holds true for doctors from all specialties (p < 0.05). The ease of searching for relevant articles was the major contributor (50.5%) in preference of e-journals. 137 (52.9%) doctors 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. Conclusion 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. PMID:22840218

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

    PubMed

    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 future reproductive and mental health. Awareness and counseling services for aborting women, for their health risks, as well as about human perspective of the issue, needs to be initiated, for better management of their reproductive health and rights. PMID:25553703

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

    PubMed Central

    2011-01-01

    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. PMID:21426559

  16. Eating disorders in medical students of Karachi, Pakistan-a cross-sectional study

    PubMed Central

    2012-01-01

    Background To assess the incidence of high-risk population of medical students with eating disorders in Karachi by using validated self-administered questionnaires. The earlier these disorders are diagnosed and assessed, the better the chances are for enhanced treatment and fuller recovery. Therefore, we intended to undertake a study to find out the frequency of such disorders among medical students of Karachi and design strategies to overcome them. Findings A descriptive cross sectional study was conducted in 435 medical students of Karachi. Data was collected using 2 self administered questionnaires, the SCOFF Eating Disorders Questionnaire and the Eating Attitudes Test (EAT-26). Subjects' body mass indexes (BMI) were also calculated. The data was sorted and analyzed in SPSS version 16. According to EAT-26, 22.75% individuals were found to be at high-risk of eating disorders, with 87.9% females and 12.1% males. However, according to SCOFF questionnaire, 17% individuals were found to be at high-risk, with 78.4% females and 21.6% males. According to BMI calculation, 9% were severely underweight, 41.4% underweight, 41.1% normal, 7.6% overweight and 0.9% belonged to obese class 1. Conclusions A significant fraction of medical students in Karachi are at high risk of development of eating disorders, females being more prone than males. Strategies should be designed to prevent occurrence of such disorders among medical students that would undoubtedly hamper the availability of dependable medical services in future. PMID:22296613

  17. Factors associated with elevated blood lead concentrations in children in Karachi, Pakistan.

    PubMed Central

    Rahbar, Mohammad Hossein; White, Franklin; Agboatwalla, Mubina; Hozhabri, Siroos; Luby, Stephen

    2002-01-01

    OBJECTIVES: To confirm whether blood lead concentrations in Karachi were as high as reported in 1989 and to identify which types of exposure to lead contribute most to elevated blood lead concentrations in children in Karachi. METHODS: A total of 430 children aged 36-60 months were selected through a geographically stratified design from the city centre, two suburbs, a rural community and an island situated within the harbour at Karachi. Blood samples were collected from children and a pretested questionnaire was administered to assess the effect of various types of exposure. Cooked food, drinking-water and house dust samples were collected from households. FINDINGS: About 80% of children had blood lead concentrations 10 g/dl, with an overall mean of 15.6 g/dl. At the 5% level of significance, houses nearer to the main intersection in the city centre, application of surma to children's eyes, father's exposure to lead at workplace, parents' illiteracy and child's habit of hand- to-mouth activity were among variables associated with elevated lead concentrations in blood. CONCLUSION: These findings are of public health concern, as most children in Karachi are likely to suffer some degree of intellectual impairment as a result of environmental lead exposure. We believe that there is enough evidence of the continuing problem of lead in petrol to prompt the petroleum industry to take action. The evidence also shows the need for appropriate interventions in reducing the burden due to other factors associated with this toxic element. PMID:12471396

  18. Enhanced disease surveillance through private health care sector cooperation in Karachi, Pakistan: experience from a vaccine trial.

    PubMed Central

    Khan, Mohammad Imran; Sahito, Shah Muhammad; Khan, Mohammad Javed; Wassan, Shafi Mohammad; Shaikh, Abdul Wahab; Maheshwari, Ashok Kumar; Acosta, Camilo J.; Galindo, Claudia M.; Ochiai, Rion Leon; Rasool, Shahid; Peerwani, Sheeraz; Puri, Mahesh K.; Ali, Mohammad; Zafar, Afia; Hassan, Rumina; von Seidlein, Lorenz; Clemens, John D.; Nizami, Shaikh Qamaruddin; Bhutta, Zulfiqar A.

    2006-01-01

    INTRODUCTION: In research projects such as vaccine trials, accurate and complete surveillance of all outcomes of interest is critical. In less developed countries where the private sector is the major health-care provider, the private sector must be included in surveillance systems in order to capture all disease of interest. This, however, poses enormous challenges in practice. The process and outcome of recruiting private practice clinics for surveillance in a vaccine trial are described. METHODS: The project started in January 2002 in two urban squatter settlements of Karachi, Pakistan. At the suggestion of private practitioners, a phlebotomy team was formed to provide support for disease surveillance. Children who had a reported history of fever for more than three days were enrolled for a diagnosis. RESULTS: Between May 2003 and April 2004, 5540 children younger than 16 years with fever for three days or more were enrolled in the study. Of the children, 1312 (24%) were seen first by private practitioners; the remainder presented directly to study centres. In total, 5329 blood samples were obtained for microbiology. The annual incidence of Salmonella typhi diagnosed by blood culture was 407 (95% confidence interval (95% CI), 368-448) per 100 000/year and for Salmonella paratyphi A was 198 (95% CI, 171-227) per 100 000/year. Without the contribution of private practitioners, the rates would have been 240 per 100 000/year (95% CI, 211-271) for S. typhi and 114 (95% CI, 94-136) per 100 000/year for S. paratyphi A. CONCLUSION: The private sector plays a major health-care role in Pakistan. Our experience from a surveillance and burden estimation study in Pakistan indicates that this objective is possible to achieve but requires considerable effort and confidence building. Nonetheless, it is essential to include private health care providers when attempting to accurately estimate the burden of disease in such settings. PMID:16501718

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

    PubMed

    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

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

    PubMed Central

    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

  1. Determinants of Contraceptives Use amongst Youth: An Exploratory Study with Family Planning Service Providers in Karachi Pakistan

    PubMed Central

    Nishtar, Noureen Aleem; Sami, Neelofar; Alim, Sabina; Pradhan, Nousheen; Farid-Ul-Hasnain

    2013-01-01

    Introduction: In Pakistan, Contraceptive Prevalence Rate (CPR) among married female youth is 17.4% and even lower in rural and slum areas leading to rapid population growth on one hand and poor health consequences on the other. The study was conducted to explore family planning service providers’ perceptions regarding use of different contraceptive methods and to identify factors that are influencing their use amongst currently married youth aged 18-24 years in slum areas of Karachi. Method: Qualitative exploratory study design was adopted and a total of ten in-depth interviews were conducted with family planning service providers of the area. For content analysis coding of transcribed interviews was done and then categories were made and furthermore themes were derived. Results: Our findings revealed that family planning service providers perceived that there is low use of contraceptive methods amongst youth of study area and low usage could be due to side effects; myths and misconceptions; lack of proper knowledge about different contraceptives; unmet needs of contraceptives; socio-cultural and religious factors about different contraceptive methods and family planning service providers own biases against or for use of contraceptive methods amongst youth in the study area. However better education of youth and family planning service providers’ improved knowledge about counseling and use of contraceptive methods was perceived to be associated with improved use of family planning methods amongst youth of the study area. Conclusion: Exaggerated side effects and socio-cultural factors could be important influences leading to low use of family planning methods amongst youth of Karachi. Some policy initiatives are the training of lady health Workers, lady health visitors, physicians and staff of the pharmacies for counseling youth in the correct use of family planning methods. PMID:23618469

  2. HEALTH CARE PERSONNEL AND WORKPLACE VIOLENCE IN THE EMERGENCY DEPARTMENTS OF A VOLATILE METROPOLIS: RESULTS FROM KARACHI, PAKISTAN

    PubMed Central

    Zafar, Waleed; Siddiqui, Emaduddin; Ejaz, Kiran; Shehzad, Muhammad Umer; Khan, Uzma Rahim; Jamali, Seemin; Razzak, Junaid A.

    2015-01-01

    Background Workplace violence (WPV) is an important challenge faced by health care personnel in the emergency department (ED). Study Objectives To determine the prevalence and nature of WPV reported by physicians and nurses working in the EDs of four of the largest tertiary care hospitals in Karachi, Pakistan and to understand the mental health impact of experiencing WPV. Methods This cross-sectional survey was conducted between September and November 2008 using a widely used questionnaire developed by the World Health Organization. Overall, 266 (86% response rate) questionnaires were included in this study. Results A total of 44 (16.5%) physicians and nurses said they had been physically attacked, and 193 (72.5%) said that they had experienced verbal abuse in the last 12 months. Among those who reported physical attack, 29.6% reported that the last incident involved a weapon, and in 64% of cases the attacker was a patient’s relative. Eighty-six percent thought that the last attack could have been prevented, and 64% said that no action was taken against the attacker. After adjusting for covariates, physicians were less likely than nurses to report physical attack (odds ratio [OR] 0.46; 95% confidence interval [CI] 0.2–1.0), and personnel with greater work experience (OR 4.8; 95% CI 2.0–11.7) and those who said that there were procedures to report WPV in their workplace (OR 3.2; 95% CI 1.6–6.5) were more likely to report verbal abuse. WPV was associated with mental health effects in the form of bothersome memories, super-alertness, and feelings of avoidance and futility. Conclusion WPV is an important challenge in the EDs of large hospitals in Karachi. A majority of respondents feel that WPV is preventable, but only a minority of attackers face consequences. PMID:24011477

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

    NASA Astrophysics Data System (ADS)

    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.

  4. Association of depression with newly diagnosed type 2 diabetes among adults aged between 25 to 60 years in Karachi, Pakistan

    PubMed Central

    2010-01-01

    Background The combination of depression with type 2 diabetes is a public health problem. If diabetes is managed in its initial phase, the morbidity and mortality due to this combination may be prevented at an early stage. Therefore, we aimed to determine the association of depression with newly diagnosed type 2 diabetes among adults aged between 25 to 60 years in Karachi, Pakistan. Methods From July 2006 to September 2007, a matched case control study (n = 592) was conducted in Civil Hospital, Karachi. Incident cases of type 2 diabetes (n = 296) diagnosed within one month were recruited from diabetic Out Patient Department (OPD) of Civil Hospital, Karachi. They were matched on age and sex with controls (n = 296), who were attendants sitting in the medical out patient department of the same hospital, recruited on the basis of absence of classical symptoms of polyuria and polydispia along with random blood glucose level of <200 mg/dl measured by a glucometer. Depression was identified by the Siddiqui Shah Depression Scale. Conditional logistic regression was applied to examine the association of depression and other independent variables with newly diagnosed type 2 diabetes at 95% C.I. and P < 0.05. Results The study comprised of 592 subjects with 432(73%) males and 160(27%) females. Depression was significantly associated with newly diagnosed type 2 diabetes having mild level (mOR: 3.86; 95%CI: 2.22,6.71) and moderate to severe level (mOR: 3.41; 95%CI: 2.07,5.61). History of (h/o) gestational diabetes (mOR: 2.83; 95%CI: 1.05,7.64), family h/o diabetes (mOR: 1.59; 95%CI: 1.04,2.43), nuclear family (mOR: 1.75; 95%CI: 1.14,2.69), BMI (mOR: 1.62; 95%CI: 1.01,2.60 for obese and mOR: 2.12; 95%CI: 1.19,3.79 for overweight vs healthy to underweight) were also significantly associated with outcome, adjusting for age, sex, marital status, h/o smoking and h/o high BP. Conclusions Diabetics should be screened simultaneously for depression and concomitant preventive strategies for gestational diabetes, nuclear family and high BMI should also be used to prevent mortality/morbidity among patients between 25 to 60 years of age. PMID:20298616

  5. Impact and correlation of environmental conditions on pollen counts in Karachi, Pakistan.

    PubMed

    Perveen, Anjum; Khan, Muneeba; Zeb, Shaista; Imam, Asif Ali

    2015-02-01

    A quantitative and qualitative survey of airborne pollen was performed in the city of Karachi, and the pollen counts were correlated with different climatic conditions. The aim of the study was to determine the possible effect of meteorological factors on airborne pollen distribution in the atmosphere of Karachi city. Pollen sampling was carried out by using Burkard spore Trap for the period of August 2009 to July 2010, and a total of 2,922 pollen grains/m(3) were recorded. In this survey, 22 pollen types were recognized. The highest pollen count was contributed by Poaceae pollen type (1,242 pollen grains/m(3)) followed by Amaranthaceae/Chenopodiaceae (948 pollen grains/m(3)), Cyperus rotundus (195 pollen grains/m(3)) and Prosopis juliflora (169 pollen grains/m(3)). Peak pollen season was in August showing a total of 709 pollen grains/m(3) and lowest pollen count was observed in January-2010. Pearson's chi-square test was performed for the possible correlation of pollen counts and climatic factors. The test revealed significant positive correlation of wind speed with pollen types of Amaranthaceae/Chenopodiaceae; Brassica campestris; Asteraceae; and Thuja orientalis. While the correlation of "average temperature" showed significant positive value with Asteraceae and Tamarix indica pollen types. Negative correlation was observed between humidity/ precipitation and pollen types of Brassica campestris; Daucus carota; Ephedra sp.; and Tamarix indica. In the light of above updated data one could identify various aeroallergens present in the air of Karachi city. PMID:25530143

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

    PubMed Central

    Jamshed, Shazia Qasim; Ibrahim, Mohamad Izham Mohamad; Hassali, Mohamad Azmi; Sharrad, Adheed Khalid; Shafie, Asrul Akmal; Babar, Zaheer-Ud-Din

    2015-01-01

    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. Cronbachs 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 the understanding of generic medicines. Pharmacy students lacked a thorough understanding of the concepts of bioequivalence. Pharmacy academia should address these issues, which will help build confidence in generic medicines and increase the generic medicine use in Pakistan. PMID:26028981

  7. Health Care Use Patterns for Diarrhea in Children in Low-Income Periurban Communities of Karachi, Pakistan

    PubMed Central

    Quadri, Farheen; Nasrin, Dilruba; Khan, Asia; Bokhari, Tabassum; Tikmani, Shiyam Sunder; Nisar, Muhammad Imran; Bhatti, Zaid; Kotloff, Karen; Levine, Myron M.; Zaidi, Anita K. M.

    2013-01-01

    Diarrhea causes 16% of all child deaths in Pakistan. We assessed patterns of healthcare use among caretakers of a randomly selected sample of 959 children ages 0–59 months in low-income periurban settlements of Karachi through a cross-sectional survey. A diarrheal episode was reported to have occurred in the previous 2 weeks among 298 (31.1%) children. Overall, 280 (80.3%) children sought care. Oral rehydration solution and zinc were used by 40.8% and 2%, respectively; 11% were admitted or received intravenous rehydration, and 29% sought care at health centers identified as sentinel centers for recruiting cases of diarrhea for a planned multicenter diarrheal etiology case-control study. Odds ratios for independent predictors of care-seeking behavior were lethargy, 4.14 (95% confidence interval = 1.45–11.77); fever, 2.67 (1.27–5.59); and stool frequency more than six per day, 2.29 (1.03–5.09). Perception of high cost of care and use of home antibiotics were associated with reduced care seeking: odds ratio = 0.28 (0.1–0.78) and 0.29 (0.11–0.82), respectively. There is a need for standardized, affordable, and accessible treatment of diarrhea as well as community education regarding appropriate care in areas with high diarrheal burden. PMID:23629928

  8. Do mothers-in-law matter? Family dynamics and fertility decision-making in urban squatter settlements of Karachi, Pakistan.

    PubMed

    Kadir, Muhammad Masood; Fikree, Fariyal F; Khan, Amanullah; Sajan, Fatima

    2003-10-01

    The perspectives of mothers-in-law about intra-household decision-making, family size and family planning are investigated, and their views compared with those of their sons and daughters-in-law. Women (717 daughters-in-law), their husbands (717 sons) and their 522 mothers-in-law were interviewed in eight squatter settlements in Karachi, Pakistan. Decisions about the schooling and health care of children, and the purchase of jewellery, are perceived to lie within the nuclear family domain (i.e. husband and wife). There was a difference in mothers-in-law's, daughters-in-law's and sons' desire to have more children. Twenty-eight per cent of mothers-in-law versus 58%, of daughters-in-law did not want more grandsons/sons and 36%, of mothers-in-law versus 66% of daughters-in-law did not want more granddaughters/daughters. The difference was markedly greater among the mother-in-law/daughter-in-law pairs than in the mother/son pairs. Overall, the mother-in-law's role seems to be somewhat overshadowed by that of her son (family male member), except for limiting family size. It is suggested that mothers-in-law should be included in Information-Education-Communication (IEC) campaigns about family planning. PMID:14621251

  9. Health care use patterns for diarrhea in children in low-income periurban communities of Karachi, Pakistan.

    PubMed

    Quadri, Farheen; Nasrin, Dilruba; Khan, Asia; Bokhari, Tabassum; Tikmani, Shiyam Sunder; Nisar, Muhammad Imran; Bhatti, Zaid; Kotloff, Karen; Levine, Myron M; Zaidi, Anita K M

    2013-07-01

    Diarrhea causes 16% of all child deaths in Pakistan. We assessed patterns of healthcare use among caretakers of a randomly selected sample of 959 children ages 0-59 months in low-income periurban settlements of Karachi through a cross-sectional survey. A diarrheal episode was reported to have occurred in the previous 2 weeks among 298 (31.1%) children. Overall, 280 (80.3%) children sought care. Oral rehydration solution and zinc were used by 40.8% and 2%, respectively; 11% were admitted or received intravenous rehydration, and 29% sought care at health centers identified as sentinel centers for recruiting cases of diarrhea for a planned multicenter diarrheal etiology case-control study. Odds ratios for independent predictors of care-seeking behavior were lethargy, 4.14 (95% confidence interval = 1.45-11.77); fever, 2.67 (1.27-5.59); and stool frequency more than six per day, 2.29 (1.03-5.09). Perception of high cost of care and use of home antibiotics were associated with reduced care seeking: odds ratio = 0.28 (0.1-0.78) and 0.29 (0.11-0.82), respectively. There is a need for standardized, affordable, and accessible treatment of diarrhea as well as community education regarding appropriate care in areas with high diarrheal burden. PMID:23629928

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

    ERIC Educational Resources Information Center

    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…

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

    ERIC Educational Resources Information Center

    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…

  12. Prevalence of Smoking and Associated Risk Factors Among Medical Professionals in Hospitals of Karachi, Pakistan

    PubMed Central

    Zafar, Mubashir

    2014-01-01

    Background: Cigarette smoking is the largest preventable risk factor for morbidity and mortality in developed countries where at least one in four adults smoke cigarettes. Healthcare providers who smoke are less likely to advise patients to quit smoking. The aim of this study is to find out the frequency of tobacco smoking among medical professionals in tertiary care hospitals of Karachi, and to identify the common factors responsible for the continuation of smoking among healthcare providers. Methods: This descriptive cross-sectional study was carried out at public and private tertiary Care Hospitals/Institutes at Karachi. A self-administered questionnaire was used to collect data from 180 subjects. An informed consent was obtained from all the subjects. The data were analyzed using SPSS version 16.0. Results: Prevalence of smoking was 29%. High prevalence of smoking was among male doctors as compared to female doctors. Sixty-eight per cent of smokers started smoking between 20 to 30 years of age. Age less than 35 years, male and public sectors hospitals were more likely OR 1.23, CI (0.98-2.41), 6.40 CI (4.48-10.52) and 2.61 CI (2.20-3.78) respectively. Conclusions: The Result of the study suggests that while healthcare smoking habits appear to be high, they are not uniformly low when compared from an international perspective. Health promotion programs focused on self-efficacy may be an effective tool for reducing the initiation, frequency, and amount of cigarette smoking among healthcare providers. PMID:24829733

  13. General practitioners’ knowledge and approach to chronic kidney disease in Karachi, Pakistan

    PubMed Central

    Yaqub, S.; Kashif, W.; Raza, M. Q.; Aaqil, H.; Shahab, A.; Chaudhary, M. A.; Hussain, S. A.

    2013-01-01

    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. PMID:23814416

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

    PubMed Central

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

    2015-01-01

    Purpose 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. Methods 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. Results 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. Conclusions 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 default from tuberculosis treatment. PMID:26562787

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

    PubMed Central

    2012-01-01

    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 strata are neglected patients and illiteracy further adds fuel to the fire by decreasing the contact with the health professionals. Assessment of the characteristics are very important because considering the great socio-economic burden, an intervention strategy in the form of mass media campaign as well as small group discussions in such rural areas can be formulated and applied to high risk populations to reduce the burden and complications of gallstone disease. PMID:22741543

  16. Association of SNP rs9939609 in FTO gene with metabolic syndrome in type 2 diabetic subjects, rectruited from a tertiary care unit of Karachi, Pakistan

    PubMed Central

    Fawwad, Asher; Siddiqui, Iftikhar Ahmed; Zeeshan, Nimra Fatima; Shahid, Syed Muhammad; Basit, Abdul

    2015-01-01

    Objective: To determine the association of SNP in FTO gene, rs9939609, with Metabolic Syndrome (MS) in type 2 diabetic subjects at a tertiary care unit of Karachi, Pakistan. Methods: We genotyped FTO rs9939609 SNP in 296 patients with type 2 diabetes from the Out Patient Department (OPD) of Baqai Institute of Diabetology and Endocrinology (BIDE). MS was defined on the basis of International Diabetes Federation (IDF) and National Cholesterol Education program (NCEP) criterion. Association between the rs9939609 SNP and MS was tested through chi-square and Z-tests by using odds ratio (OR) with 95% confidence intervals. Results: The frequency of MS as defined by IDF criterion was significantly higher in female subjects as compared to male subjects (p= 0.006). Carriers of ≥ 1 copy of the rs9939609 A allele were significantly more likely to had MS (69.6%) than non-carriers (30.4%), corresponding to a carrier odds ratio (OR) of 0.52 (95% confidence interval [CI] (0.29-0.93), with a similar trend for the ATP III-defined MS.“A” allele carriers under dominant model, carry all the criterion of MS more significantly as compared to non-carriers. Conclusion: The FTO rs9939609 SNP was associated with an increased risk for Metabolic Syndrome in type 2 diabetic populations at a tertiary care unit of Karachi, Pakistan. PMID:25878631

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

    PubMed Central

    Irfan, Syed Mohammad; Uddin, Jamal; Zaheer, Hasan Abbas; Sultan, Sadia; Baig, Amjad

    2013-01-01

    Objective: To determine the prevalence of Hepatitis-B, Hepatitis-C and Human Immunodeficiency infections in replacement blood donors. Materials and 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. Conflict of interest:None declared. PMID:24385780

  18. Pakistan.

    PubMed

    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 Afghanistan. There are close relations with China and security and economic interests in the Persian Gulf. Relations with the US are wide and bilateral. PMID:12178039

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

    PubMed

    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. PMID:26011983

  20. Risk Factors for Loss to Follow-Up among People Who Inject Drugs in a Risk Reduction Program at Karachi, Pakistan. A Case-Cohort Study

    PubMed Central

    Samo, Rab Nawaz; Agha, Ajmal; Shah, Sharaf Ali; Altaf, Arshad; Memon, Ashraf; Blevins, Meridith; Qian, Han-Zhu; Vermund, Sten H.

    2016-01-01

    Introduction Retention of male people who inject drugs (PWIDs) is a major challenge for harm reduction programs that include sterile needle/syringe exchange in resource-limited settings like Pakistan. We assessed the risk factors for loss to follow-up among male PWIDs enrolled in a risk reduction program in Karachi, Pakistan. Methods We conducted a prospective cohort study among 636 HIV-uninfected male PWIDs enrolled during March-June 2009 in a harm reduction program for the estimation of incidence rate. At 24 months post-enrollment, clients who had dropped out of the program were defined as lost to follow-up and included as cases for case-cohort study. Results The median age of the participants was 29 years (interquartile range: 23–36). Active outreach accounted for 76% (483/636) of cohort recruits. Loss to follow-up at 24 months was 25.5% (162/636). In multivariable logistic regression, younger age (AOR: 0.97, 95% CI: 0.92–0.99, p = 0.028), clients from other provinces than Sindh (AOR: 1.49, 95% CI: 1.01–2.22, p = 0.046), having no formal education (AOR: 3.44, 95% CI: 2.35–4.90, p<0.001), a history of incarceration (AOR: 1.68, 95% CI: 1.14–2.46, p<0.008), and being homeless (AOR: 1.47, 95% CI: 1.00–2.19, p<0.049) were associated with loss to follow-up. Conclusions Our cohort retained 74.5% of male PWIDs in Karachi for 24 months. Its loss to follow up rate suggested substantial ongoing programmatic challenges. Programmatic enhancements are needed for the highest risk male PWIDs, i.e., younger men, men not from Sindh Province, men who are poorly educated, formerly incarcerated, and/or homeless. PMID:26840414

  1. Sociocultural influences on newborn health in the first 6 weeks of life: qualitative study in a fishing village in Karachi, Pakistan

    PubMed Central

    2014-01-01

    Background Given regional variability and minimal improvement in infant mortality rates in Pakistan, this study aimed to explicate sociocultural influences impacting mothers’ efforts to maintain or improve newborn health. Methods We used a qualitative phenomenological approach. A total of 10 mothers and 8 fathers from a fishing village in Karachi, Pakistan were purposefully sampled and interviewed individually. A focus group was undertaken with four grandmothers (primary decision makers). Transcripts were independently reviewed using interpretive thematic analysis. Results A multigenerational approach was used in infant care, but mothers did not have a voice in decision-making. Parents connected breast milk to infant health, and crying was used as cue to initiate feeding. Participants perceived that newborns required early supplementation, given poor milk supply and to improve health. There were tensions between traditional (i.e., home) remedies and current medical practices. Equal importance was given to sons and daughters. Conclusion Findings suggest that social and cultural influences within families and the community must be considered in developing interventions to improve newborn health. Introducing non-breast milk substances into newborn diets may reduce the duration of exclusive or partial breastfeeding and increase risks to infant health. PMID:25030836

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

    PubMed Central

    2011-01-01

    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. PMID:21496343

  3. Parental perceptions surrounding polio and self-reported non-participation in polio supplementary immunization activities in Karachi, Pakistan: a mixed methods study

    PubMed Central

    Khowaja, Asif Raza; Khan, Sher Ali; Nizam, Naveeda; Omer, Saad Bin

    2012-01-01

    Abstract Objective To assess parent’s knowledge and perceptions surrounding polio and polio vaccination, self-reported participation in polio supplementary immunization activities (SIAs) targeting children aged < 5 years, and reasons for non-participation. Methods The mixed methods study began with a cross-sectional survey in Karachi, Pakistan. A structured questionnaire was administered to assess parental knowledge of polio and participation in polio SIAs conducted in September and October 2011. Additionally, 30 parents of Pashtun ethnicity (a high-risk group) who refused to vaccinate their children were interviewed in depth to determine why. Descriptive and bivariate analyses by ethnic and socioeconomic group were performed for quantitative data; thematic analysis was conducted for qualitative interviews with Pashtun parents. Findings Of 1017 parents surveyed, 412 (41%) had never heard of polio; 132 (13%) did not participate in one SIA and 157 (15.4%) did not participate in either SIA. Among non-participants, 34 (21.6%) reported not having been contacted by a vaccinator; 116 (73.9%) reported having refused to participate, and 7 (4.5%) reported that the child was absent from home when the vaccinator visited. Refusals clustered in low-income Pashtun (43/441; 9.8%) and high-income families of any ethnic background (71/153; 46.4%). Low-income Pashtuns were more likely to not have participated in polio SIAs than low-income non-Pashtuns (odds ratio, OR: 7.1; 95% confidence interval, CI: 3.47–14.5). Reasons commonly cited among Pashtuns for refusing vaccination included fear of sterility; lack of faith in the polio vaccine; scepticism about the vaccination programme, and fear that the vaccine might contain religiously forbidden ingredients. Conclusion In Karachi, interruption of polio transmission requires integrated and participatory community interventions targeting high-risk populations. PMID:23226894

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

    PubMed Central

    Ahmad, Khabir; Zwi, Anthony B.; Tarantola, Daniel J. M.; Soomro, Abdul Qadeem; Baig, Rashid; Azam, Syed Iqbal

    2015-01-01

    Background 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. Methods and Findings 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 <0.001). Conclusions The quality of cataract surgery in this marginalised population, especially among women, falls well below the WHO recommended standards. Gender disparities, in particular, deserve proactive attention in policy, service delivery, research and evaluation. PMID:26186605

  5. Young Adults’ Perceptions on Life Prospects and Gender Roles as Important Factors to Influence Health Behaviour: A Qualitative Study from Karachi, Pakistan

    PubMed Central

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

    2012-01-01

    The purpose of this qualitative study was to explore perceptions and expectations of young males and females, in Karachi, Pakistan, regarding their life prospects and gender roles, with resulting implications for health behaviour. The main theme emerging was “Young adults’ prospects in life are hampered by psychosocial and gender equality constraints”. Gender inequality and the low status of women in society were described as major obstacles to the prosperity and development. Persistent withholding of information to the younger generation on sexual and reproductive health issues was perceived to increase exposure to health risks, particularly sexually transmitted infections (STIs). The present study reveals new discourses on equality among young adults, pointing towards an increasing, sound interaction between the sexes and aspirations for more gender equal relationships. The study further reveals serious misconceptions about HIV/AIDS. Such views and awareness among the younger generation constitutes a strong force towards change of traditional norms, including reproductive health behaviour, and calls for policy change. PMID:22980235

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

    PubMed Central

    Khowaja, Yasmin; Karmaliani, Rozina; Hirani, Shela; Khowaja, Asif Raza; Rafique, Ghazala; McFarlane, Judith

    2016-01-01

    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-reactivity. Conclusion: Parenting programs can be implemented for mothers attending FHCs in Pakistan. Mothers require positive reinforcement and constant encouragement at the participant level. Integrating such programs into primary healthcare at the population level has the potential to maximize child health benefits and to improve parenting skills at the country level. PMID:26927394

  7. Prevalence of Mistreatment or Belittlement among Medical Students – A Cross Sectional Survey at a Private Medical School in Karachi, Pakistan

    PubMed Central

    Shoukat, Sana; Anis, Mariam; Kella, Danesh K.; Qazi, Fahad; Samad, Fatima; Mir, Faizia; Mansoor, Maryah; Parvez, Mohammad B.; Osmani, Bushra; Panju, Sukaina A.; Naqvi, Haider

    2010-01-01

    Background Mistreatment or belittlement of medical students either by faculty or fellow students has often been reported. Perception of mistreatment has also been associated with increased degree of psychological morbidity. There is a lack of such studies being conducted amongst the medical students of Pakistan. The aim of this study was to determine the prevalence and forms of perceived mistreatment and presence of mental health morbidity in a private medical school in Pakistan. Also, any association between mental health morbidity and mistreatment was to be identified. Methods A cross sectional study was carried out on medical students from Aga Khan University Hospital, Karachi, Pakistan during the period of June–September 2007. A self administered questionnaire, adapted from Frank et al and Baldwin et al was distributed to a total of 350 students. The questionnaire consisted of three parts: the first dealing with the demographics of the population, the second concerning the various forms of mistreatment, while the third assessed the mental health of students using the General Health Questionnaire 12(GHQ12). Descriptive statistics were performed. The Chi-square test and Fisher's exact tests were applied. Results A total of 350 students were approached out of which 232 completed the questionnaire giving a response rate of 66.2%. Mistreatment was reported by 62.5% (145/232) of the respondents. Of these, 69.7% (83/145) were males and 54.9% (62/145) were females. There was a significant relationship between gender, year division, stress at medical school and possible use of drugs/alcohol and reported mistreatment but no statistical relationship was seen with psychiatric morbidity. The overall prevalence of psychological morbidity was 34.8% (77/221). Conclusion This study suggests high prevalence of perceived mistreatment and psychological morbidity among Pakistani medical students. However, no association was found between these two aspects of medical student education. There is a need to bring about changes to make the medical education environment conducive to learning. Increased student feedback, support systems and guidance about progress throughout the year and the provision of adequate learning resources may provide help with resolving both of these issues. PMID:20976173

  8. Geographic Variation in Access to Dog-Bite Care in Pakistan and Risk of Dog-Bite Exposure in Karachi: Prospective Surveillance Using a Low-Cost Mobile Phone System

    PubMed Central

    Zaidi, Syed Mohammad Asad; Labrique, Alain B.; Khowaja, Saira; Lotia-Farrukh, Ismat; Irani, Julia; Salahuddin, Naseem; Khan, Aamir Javed

    2013-01-01

    Background Dog-bites and rabies are under-reported in developing countries such as Pakistan and there is a poor understanding of the disease burden. We prospectively collected data utilizing mobile phones for dog-bite and rabies surveillance across nine emergency rooms (ER) in Pakistan, recording patient health-seeking behaviors, access to care and analyzed spatial distribution of cases from Karachi. Methodology and Principal Findings A total of 6212 dog-bite cases were identified over two years starting in February 2009 with largest number reported from Karachi (59.7%), followed by Peshawar (13.1%) and Hyderabad (11.4%). Severity of dog-bites was assessed using the WHO classification. Forty percent of patients had Category I (least severe) bites, 28.1% had Category II bites and 31.9% had Category III (most severe bites). Patients visiting a large public hospital ER in Karachi were least likely to seek immediate healthcare at non-medical facilities (Odds Ratio = 0.20, 95% CI 0.17–0.23, p-value<0.01), and had shorter mean travel time to emergency rooms, adjusted for age and gender (32.78 min, 95% CI 31.82–33.78, p-value<0.01) than patients visiting hospitals in smaller cities. Spatial analysis of dog-bites in Karachi suggested clustering of cases (Moran's I = 0.02, p value<0.01), and increased risk of exposure in particular around Korangi and Malir that are adjacent to the city's largest abattoir in Landhi. The direct cost of operating the mHealth surveillance system was USD 7.15 per dog-bite case reported, or approximately USD 44,408 over two years. Conclusions Our findings suggest significant differences in access to care and health-seeking behaviors in Pakistan following dog-bites. The distribution of cases in Karachi was suggestive of clustering of cases that could guide targeted disease-control efforts in the city. Mobile phone technologies for health (mHealth) allowed for the operation of a national-level disease reporting and surveillance system at a low cost. PMID:24349590

  9. Simplified Antibiotic Regimens for the Management of Clinically Diagnosed Severe Infections in Newborns and Young Infants in First-level Facilities in Karachi, Pakistan

    PubMed Central

    2013-01-01

    Background: Infection in young infants is a major cause of morbidity and mortality in low-middle income countries, with high neonatal mortality rates. Timely case management is lifesaving, but the current standard of hospitalization for parenteral antibiotic therapy is not always feasible. Alternative, simpler antibiotic regimens that could be used in outpatient settings have the potential to save thousands of lives. Methods: This trial aims to determine whether 2 simplified antibiotic regimens are equivalent to the reference therapy with 7 days of once-daily (OD) intramuscular (IM) procaine penicillin and gentamicin for outpatient management of young infants with clinically presumed systemic bacterial infection treated in primary health-care clinics in 5 communities in Karachi, Pakistan. The reference regimen is close to the current recommendation of the hospital-based intravenous ampicillin and gentamicin therapy for neonatal sepsis. The 2 comparison arms are (1) IM gentamicin OD and oral amoxicillin twice daily for 7 days; and (2) IM penicillin and gentamicin OD for 2 days, followed by oral amoxicillin twice daily for 5 days; 2250 “evaluable” infants will be enrolled. The primary outcome of this trial is treatment failure (death, deterioration or lack of improvement) within 7 days of enrollment. Results are expected by early 2014. Discussion: This trial will determine whether simplified antibiotic regimens with fewer injections in combination with high-dose amoxicillin are equivalent to 7 days of IM procaine penicillin and gentamicin in young infants with clinical severe infection. Results will have program and policy implications in countries with limited access to hospital care and high burden of neonatal deaths. PMID:23945571

  10. Power, self-care and health in women living in urban squatter settlements in Karachi, Pakistan: a test of Orem's theory.

    PubMed

    Lee, M B

    1999-07-01

    This was a study of health in women living in urban squatter settlements in Karachi, Pakistan. The study grew out of the author's concern for the generally poor health status of Pakistani women. Orem's nursing theory was selected to examine health in these women. The purpose of the study was to examine relationships among basic conditioning factors, self-care agency (specifically, perception of power as a foundational capability of self-care agency and the enabling capabilities of self-care agency), self-care, and selected health outcomes of Pakistani women. Four hypotheses were developed and tested. They were that in a group of Pakistani women: (1) perception of power as a foundational capability and enabling capabilities of self-care agency and self-care will be related to selected basic conditioning factors; (2) perception of power, as a foundational capability of self-care agency, will be directly and positively related to enabling capabilities of self-care agency; (3) perception of power as a foundational capability and enabling capabilities of self-care agency will have a direct and positive relationship with self-care; and (4) self-care will be related to selected health outcomes. Hypotheses one, two and three were supported. Findings indicate that the basic conditioning factors, socioeconomic variables, ethnicity and roles, were predictive of perception of power, enabling capabilities of self-care agency, self-care and health. Hypothesis four was not supported; basic conditioning factors had more influence on health than self-care. PMID:10404002

  11. Knowledge, Attitude, and Practices of Healthcare Personnel Regarding the Transmission of Pathogens via Fomites at a Tertiary Care Hospital in Karachi, Pakistan

    PubMed Central

    Aftab, Hassaan Bin; Zia, Bushra; Zahid, Mohammad Faizan; Raheem, Ahmed; Beg, Mohammad Asim

    2016-01-01

    Background. Fomites are objects that can become colonized and serve as vectors in the transmission of pathogenic microorganisms. Literature examining the knowledge of healthcare personnel about this method of spread of infection is lacking. We conducted a study to assess the knowledge, attitude, and practices of healthcare personnel across different areas of patient care regarding the spread of infections at a tertiary care hospital in Karachi, Pakistan. Methods. A descriptive, cross-sectional study was conducted among healthcare personnel using a self-administered questionnaire. The questionnaire contained sections pertaining to demographic details and knowledge, attitude, and practices regarding fomites and their role in the transmission of pathogens. Results. Three hundred and fifty-three participants completed the questionnaire: 168 were male and 185 were female. Laboratory coats, stethoscopes, and bedside curtains were most frequently identified as fomites by the participants. Medical students had significantly lower mean scores in the knowledge and attitude sections than consultant physicians, resident physicians, and nurses. Nurses scored higher than consultant physicians, resident physicians, and medical students regarding practices that minimize fomite-borne spread of infections. 95% of the participants scored above 50% on the knowledge component of the questionnaire, but only 32.3% scored above 50% in the practices section. Conclusions. Our results show a large gap between the knowledge about fomites acting as vectors in the spread of pathogens and practices done to minimize this spread. Possessing adequate knowledge is ineffectual until and unless it is translated into the proper application of infection control practices. Incorporating awareness sessions and exercises into curricula are a reasonable way to raise awareness regarding this subject.

  12. 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

    PubMed Central

    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

  13. Association of depression with treatment outcomes in Type 2 Diabetes Mellitus: A cross-sectional study from Karachi, Pakistan

    PubMed Central

    2011-01-01

    Background To assess the associations of depression with glycemic control and compliance to self-care activities in adult patients with Type 2 Diabetes Mellitus Methods This cross-sectional study was conducted at a tertiary-care hospital in Karachi (Aga Khan University Hospital). Equal numbers of depressed and non-depressed patients were consecutively recruited from the diabetic clinic. Information on demographic and clinical characteristics was collected in face-to-face interviews and from medical records. Hospital Anxiety Depression Scale (HADS) was used to measure depression. Associations of depressed status (HADS ≥ 8) with poor glycemic control (Hemoglobin A1c level ≥ 7%) and compliance to self-care activities were assessed by logistic regression analyses. Results A total of 286 patients were included in this study with a male-female ratio of 1.2:1. Mean age was 52 years and in 64.7% of them, the duration of diabetes was more than 3 years. Depressed patients were more likely to be female (adjusted odds ratio [OR] = 1.88; 95% confidence interval [95%CI] = 1.07-3.31), had a family history of diabetes (OR = 2.64; 95%CI = 1.26-5.55), and poor glycemic control (OR = 5.57; 95%CI = 2.88-10.76) compared with non-depressed patients. Depression was also associated with low compliance to self-care activities such as taking dose as advised (OR = 0.32; 95%CI = 0.14-0.73), dietary restrictions (OR = 0.45; 95%CI = 0.26-0.79) and foot care (OR = 0.38; 95%CI = 0.18-0.83). Conclusions Adult patients with Type 2 Diabetes who have depression were more likely to have poor glycemic control and lower compliance to self-care activities, and they might need particular attention during follow-up visits. PMID:21324127

  14. Neonatal Mortality and Prevalence of Practices for Newborn Care in a Squatter Settlement of Karachi, Pakistan: A Cross-Sectional Study

    PubMed Central

    Ayaz, Afsheen; Saleem, Sarah

    2010-01-01

    Background During the past two decades there has been a sustained decline in child and infant mortality, however neonatal mortality has remained relatively unchanged. Almost all neonatal deaths (99%) occur in developing countries, where the majority are delivered at homes. Evidence suggests that these deaths could be prevented by simple, inexpensive practices and interventions during the pregnancy, delivery and postnatal period. In Pakistan over the last decade extensive efforts have been made by the international donors and government to implement these practices. However, limited attempts have been made to explore if these efforts have made a difference at the grass root level. This study assessed the burden of neonatal mortality and prevalence of practices for newborn care in a squatter settlement of Karachi, Pakistan. Methodology/Principal Findings A community based cross-sectional study was performed. A pre-tested structured questionnaire was administered to 565 women who had recently delivered. Information was collected on neonatal morbidity, mortality and practices of women regarding care during pregnancy, child birth and for newborn, till 28th day of birth. Although 70% of women mentioned receiving antenatal care by a skilled provider, only 54.5% had four or more visits. Tetanus toxoid was received by 79% of women while only 56% delivered at a health care facility by a skilled attendant. Newborn care practices like bathing the baby immediately after birth (56%), giving pre-lacteals (79.5%), late initiation of breast feeding (80.3%), application of substances on umbilical cord (58%) and body massage (89%) were common. Most neonates (81.1%) received BCG injection and polio drops after birth. Neonatal mortality rate was 27/1000 live births with the majority of deaths occurring during the first three days of life. Conclusion Even after years of efforts by government and nongovernmental sector to reduce newborn morbidity and mortality, inadequate antenatal care, home deliveries and unhealthy newborn care practices are highly prevalent. This leads us to important questions of why practices and behaviors have not changed. Who is responsible and what strategies are needed to bring this change? PMID:21072175

  15. Gender roles and their influence on life prospects for women in urban Karachi, Pakistan: a qualitative study

    PubMed Central

    Ali, Tazeen S.; Krantz, Gunilla; Gul, Raisa; Asad, Nargis; Johansson, Eva; Mogren, Ingrid

    2011-01-01

    Background Pakistan is a patriarchal society where men are the primary authority figures and women are subordinate. This has serious implications on women's and men's life prospects. Objective The aim was to explore current gender roles in urban Pakistan, how these are reproduced and maintained and influence men's and women's life circumstances. Design Five focus group discussions were conducted, including 28 women representing employed, unemployed, educated and uneducated women from different socio-economic strata. Manifest and latent content analyses were applied. Findings Two major themes emerged during analysis: ‘Reiteration of gender roles’ and ‘Agents of change’. The first theme included perceptions of traditional gender roles and how these preserve women's subordination. The power gradient, with men holding a superior position in relation to women, distinctive features in the culture and the role of the extended family were considered to interact to suppress women. The second theme included agents of change, where the role of education was prominent as well as the role of mass media. It was further emphasised that the younger generation was more positive to modernisation of gender roles than the elder generation. Conclusions This study reveals serious gender inequalities and human rights violations against women in the Pakistani society. The unequal gender roles were perceived as static and enforced by structures imbedded in society. Women routinely faced serious restrictions and limitations of autonomy. However, attainment of higher levels of education especially not only for women but also for men was viewed as an agent towards change. Furthermore, mass media was perceived as having a positive role to play in supporting women's empowerment. PMID:22065609

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

    PubMed Central

    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 development. Children’s stunting had an adverse impact on all five subscales of children’s development. Male children were at higher risk for delayed language and gross motor development relative to female children. Conclusions Our study found that postpartum anxiety and depression is associated with adverse outcomes regarding children’s mental development on all sub-scales. The impact was accentuated by low family income or child’s increasing age. PMID:24148567

  17. The utilization of LANDSAT imagery in nuclear power plant siting. [in Pakistan, South Carolina, and Spain

    NASA Technical Reports Server (NTRS)

    Eggenberger, A. J.; Rowlands, D.; Rizzo, P. C.

    1975-01-01

    LANDSAT imagery was used primarily to map geologic features such as lineaments, linears, faults, and other major geologic structures which affect site selection for a nuclear power plant. Areas studied include Pakistan, the South Carolina Piedmont, and Huelva, Spain.

  18. Need for Multilevel Strategies and Enhanced Acceptance of Contraceptive Use in Order to Combat the Spread of HIV/AIDS in a Muslim Society: A Qualitative Study of Young Adults in Urban Karachi, Pakistan

    PubMed Central

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

    2013-01-01

    This qualitative study explored knowledge, attitudes, beliefs and perceptions of sexual and reproductive health, focusing specifically on contraceptive use and HIV prevention among young unmarried men and women, 17-21 years, in urban Karachi, Pakistan. The main theme, identified as underlying meaning in the focus group discussions was “Societal norms and perceptions create barriers to knowledge and awareness about sexual and reproductive health matters among young adults”. A knowledge gap was revealed concerning HIV/AIDS and contraceptive use among young males and females, who have to rely on media and peers for information seeking. Study participants perceived that HIV/AIDS is incurable and carries a social stigma. It was further revealed, that there is an opposition towards contraceptive use from religious leaders. Young adults in Pakistan are in need of improved knowledge about HIV/AIDS and contraceptive use. Youth clinics and schools/colleges may play a significant role in this regard. The religious leaders need to be informed about the beneficial effects of contraceptives and they should be part of any family planning/contraceptive use program to ensure better community acceptance. At the structural level there is an urgent need for policies targeting the issue of sexual and reproductive health, particularly HIV/AIDS information and contraceptive use to target the young population. The health care services should be able to respond by offering relevant services. PMID:23985107

  19. Need for multilevel strategies and enhanced acceptance of contraceptive use in order to combat the spread of HIV/AIDS in a Muslim society: a qualitative study of young adults in urban Karachi, Pakistan.

    PubMed

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

    2013-09-01

    This qualitative study explored knowledge, attitudes, beliefs and perceptions of sexual and reproductive health, focusing specifically on contraceptive use and HIV prevention among young unmarried men and women, 17-21 years, in urban Karachi, Pakistan. The main theme, identified as underlying meaning in the focus group discussions was "Societal norms and perceptions create barriers to knowledge and awareness about sexual and reproductive health matters among young adults". A knowledge gap was revealed concerning HIV/AIDS and contraceptive use among young males and females, who have to rely on media and peers for information seeking. Study participants perceived that HIV/AIDS is incurable and carries a social stigma. It was further revealed, that there is an opposition towards contraceptive use from religious leaders. Young adults in Pakistan are in need of improved knowledge about HIV/AIDS and contraceptive use. Youth clinics and schools/colleges may play a significant role in this regard. The religious leaders need to be informed about the beneficial effects of contraceptives and they should be part of any family planning/contraceptive use program to ensure better community acceptance. At the structural level there is an urgent need for policies targeting the issue of sexual and reproductive health, particularly HIV/AIDS information and contraceptive use to target the young population. The health care services should be able to respond by offering relevant services. PMID:23985107

  20. Pakistan: Summary Report. Education Financing and People's Aspirations in Pakistan. Asia-South Pacific Education Watch

    ERIC Educational Resources Information Center

    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,…

  1. Impossible Fictions: The Lived Experiences of Women Teachers in Karachi

    ERIC Educational Resources Information Center

    Kirk, Jackie

    2004-01-01

    This article discusses data from a study of women teachers in Karachi, Pakistan, that present their alternative perspectives so as to inform educational policy development and to develop more explicitly gendered theories of teaching. It begins with a brief introduction to the positioning of women teachers within the international context of…

  2. Enhancing and Sustaining Teacher Professionalism in Pakistan

    ERIC Educational Resources Information Center

    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…

  3. High rate of non-susceptibility to metronidazole and clindamycin in anaerobic isolates: Data from a clinical laboratory from Karachi, Pakistan.

    PubMed

    Sheikh, Sadia Omer; Jabeen, Kauser; Qaiser, Saba; Ahsan, Syed Tanwir; Khan, Erum; Zafar, Afia

    2015-06-01

    Due to increasing resistance amongst anaerobic pathogens periodic surveillance of resistance has been recommended in regional/local settings. Anaerobic antimicrobial susceptibility testing is not routinely performed in many laboratories in Pakistan, hence absence of local data may lead to inappropriate empirical therapy in serious cases. 121 clinically significant anaerobic strains (26/121; 21% bacteremic isolates) were isolated and saved from 2010 to 2011. Susceptibility testing against metronidazole, clindamycin, co-amoxiclav, meropenem, piperacillin/tazobactam, linezolid and gatifloxacin was performed by determining minimum inhibitory concentrations (MICs). A high proportion of non-susceptible strains to metronidazole (10% of 121 isolates) and clindamycin (12% of 121 isolates) was seen, most noticeable in Bacteroides fragilis. Three Bacteroides species strains were non-susceptible to both metronidazole and clindamycin. One strain of Clostridium species was fully resistant to metronidazole and had intermediate resistance to clindamycin. No resistance to any of the other tested antibiotics was seen. Resistance to metronidazole was higher in bacteremic vs. non bacteremic isolates (p = value 0.07). In our setting where there is a high usage of empirical metronidazole and clindamycin for the treatment of serious anaerobic infections clinicians should be aware of increased resistance to these agents. Periodic surveillance of resistance to anti-anaerobic drugs especially metronidazole and clindamycin should be performed to generate antibiogram and guide appropriate empiric therapy. PMID:25800668

  4. The prevalence and demographic characteristics of consanguineous marriages in Pakistan.

    PubMed

    Hussain, R; Bittles, A H

    1998-04-01

    Consanguineous marriages are strongly preferred in much of West and South Asia. This paper examines the prevalence and sociodemographic correlates of consanguineous unions in Pakistan using local and national data. Information from 1011 ever-married women living in four multi-ethnic and multi-lingual squatter settlements of Karachi, the main commercial centre of the country, are compared with data from the national 1990/91 Pakistan Demographic and Health Survey (PDHS), based on information provided by 6611 women. Both sets of results indicate that approximately 60% of marriages were consanguineous, over 80% of which were between first cousins. The mean coefficients of inbreeding (F) in the present generation were 0.0316 and 0.0331 for the Karachi and PDHS data respectively. In both surveys the prevalence of consanguineous unions appeared to be unchanged over the past three to four decades. Consanguineous unions were more common among women who were illiterate or had only primary level education, were first or second generation migrants from rural areas of Pakistan or, in the PDHS, lived in rural areas, and whose parents were also consanguineously married. PMID:9746828

  5. Pakistan. Spotlight.

    PubMed

    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/woman. Although the government is ostensibly trying to help women, funding for women's programs during the Five Year Plan was cut. Economic growth has been good in recent years, but agricultural growth is a result of increased acreage rather than yield per acre. PMID:12280214

  6. The role of son preference in reproductive behaviour in Pakistan.

    PubMed Central

    Hussain, R.; Fikree, F. F.; Berendes, H. W.

    2000-01-01

    The sex of surviving children is an important determinant of reproductive behaviour in South Asia in general and Pakistan in particular. This cohort study evaluates the role of the sex of children on reproductive intentions and subsequent behaviour of women in urban slums of Karachi, Pakistan. The analysis is based on two rounds of surveys conducted in 1990-91 and 1995 of a cohort of married women aged 15-49 years. The results show that pregnancies became increasingly unwanted as the number of surviving sons increased. The sex of surviving children was strongly correlated with subsequent fertility and contraceptive behaviour. However, rather than an exclusive son preference, couples strove for one or more sons and at least one surviving daughter. The policy implications of the link between overt son preference and low status of women are discussed. PMID:10812738

  7. The Muslim Response to English in South Asia: With Special Reference to Inequality, Intolerance, and Militancy in Pakistan

    ERIC Educational Resources Information Center

    Rahman, Tariq

    2005-01-01

    This article argues that since the British colonial era, Muslims in South Asia have responded to English in three ways: (a) rejection and resistance, (b) acceptance and assimilation, and (c) pragmatic utilization. These responses continue in Pakistan and are respectively associated with the traditionalist ulema, the Westernized middle and upper…

  8. DELIBERATE SELF-HARM PATIENTS VISITING PUBLIC AND PRIVATE EMERGENCY DEPARTMENTS OF KARACHI

    PubMed Central

    SHAHID, MUHAMMAD; KHAN, MUHAMMAD ZAMAN; AFZAL, BADAR; KHAN, SUMAIYA TAUSEEQ; NAKEER, ROOHAM

    2015-01-01

    OBJECTIVE To study the mode of attempted deliberate self-harm (DSH) in patients presenting to the Emergency Departments (ED) of public and private hospitals of Karachi, Pakistan. DESIGN A cross sectional study. PLACE AND DURATION OF STUDY Aga Khan University Hospital Karachi, Jinnah Post Graduate Medical Centre Karachi and Civil Hospital Karachi; March 2011 to February 2012. SUBJECTS AND METHODS One hundred DSH cases from ED of a private sector hospital were compared with 101 patients from two public sector hospitals. RESULTS DSH patients in the private hospital were mostly females (70%), had higher level of education (32%), did not share their problems (67%) with someone and had more mental disorders (28%). Patients from public hospitals were treated more for physical illnesses compared to private facility. Organophosphorus poisoning (90%) was a common mode of DSH in patients presenting to public hospitals; however significant number of organophosphorus poisoning (40%) was also seen in private hospital besides the benzodiazepine overdose (32%). CONCLUSION Emergency Physicians working in the EDs, both public and private sector hospitals of Karachi, should have adequate knowledge of managing organophosphorus poisoning. As more and more cases are presenting to the EDs, there should be a public health initiative to control the illegal sale and availability of such compounds in Pakistan. PMID:26985203

  9. Patho-epidemiology of lung cancer in Karachi (1995-2002).

    PubMed

    Bhurgri, Yasmin; Bhurgri, Asif; Usman, Ahmed; Sheikh, Nassar; Faridi, Naveen; Malik, Jawaid; Ahmed, Rasheeda; Kayani, Naila; Pervez, Shahid; Hasan, Sheema H

    2006-01-01

    The objective of the study was to provide an overview of the demographics of lung cancer, the number one cancer killer of men in Karachi South (1995-2002). Lung cancer cases recorded at Karachi Cancer Registry during 1st January 1995 to 31st December 2004 were analyzed. To allow for maximum data completion, cases recorded from 1st January 1995 to 31st December 2002 were included for final analysis. Trends were studied by analyzing the age standardized incidence rates (ASR)s in 2 time periods, 1995-1997 and 1998-2002. Odds ratio for sex, age-groups, ethnicity, religion, and residence by socio-economic categories were calculated by considering all malignancies (except tobacco-associated malignancies) for each group, registered at KCR for the same period as controls. Cancer of the lung ranked the most frequent malignancy in men in Karachi in the entire 1995-2002 period, though it did not feature amongst the first 10 malignancies in the females. In the 1995-1997 period, the ASR per 100,000 population for cancer of the lung was 21.4 and 2.9 in males (M) and females (F) respectively. The mean age of the patients was 60.4 years (95% CI, 59.1-61.7) M and 53.7 years (95% CI 48.9-58.5) F. In the 1998-2002 period the incidence rate increased to 25.5 per 100,000 (M) and 4.2 per 100,000 (F). Thus between 1995 and 2002, the incidence of lung cancer registered a 19% increase in men and almost 100% in women. The component of adenocarcinoma in females remained stable during 8 years, but increased 55% in males. Histologic confirmation was 80%; majority of cancer cases presented as grade 3 and grade 4 lesions (62.3%), and were discovered at advanced stages (stage III 35.7%; stage IV 55.8%). The odds ratio (OR) in men was 4.5 (95% CI 3.7; 5.4). The risk of developing lung cancer increased with age, the highest risk being observed in the 65+ age group. A marginally higher risk was observed in the higher socio-economic categories for men and in the lower socio-economic categories for women. A higher risk was also observed for men who were residing along the coastal belt, and for ethnicities belonging to Southern Pakistan (Sindhi and Mohajir) residing in Karachi South. In conclusion, Pakistan at present falls into a low risk lung cancer region in females and a moderate risk region for males and the highest registered increase between 1995 and 2002 was observed in the older age groups (65+). It is however a cause of concern that the overall lung cancer incidence rates continue to rise. The age specific rates though stable in the younger age groups (35-49 years), are at present equivalent to contemporary rates in high- risk countries. These rates correspond with the trends of smoking prevalence in the younger age groups in the last 2 decades. Published studies have given alerts to increase in the smoking habits of the present day youngsters and with an expanding population the country can expect a substantial increase in lung cancer. This threat can only be averted by implementation of stringent anti-tobacco rules and health education; prohibition of smoking in educational institutions at all levels and a ban on the sale of cigarettes to minors. PMID:16629517

  10. The first competency-based higher education programme for midwives in the South Asian region - Pakistan.

    PubMed

    Jan, Rafat; Lakhani, Arusa; Kaufman, Karyn; Karimi, Sadia

    2016-02-01

    Midwives in Pakistan and the South Asian region who complete a diploma program face many challenges for career growth and development. The absence of higher education in professional midwifery in the region has contributed to general non-acceptance and invisibility of midwifery. In response to the interest, Aga Khan University (AKU) developed bachelors program in midwifery based on the Global Standards for Midwifery Education developed by the International Confederation of Midwives (ICM) with the vision to equip midwives to provide full-scope practice, develop confidence to practice midwifery independently, become clinical leaders and contribute to the future of midwifery. The final curriculum had a balance of theory and clinical practice in order to develop a high level of clinical competence that would meet the ICM standards and guidelines. The two year bachelors program is currently in progress. The first cohort of 21 midwives graduated in 2014 and a second cohort was enrolled in 2015. There is a planning for a future graduate program in midwifery to prepare individuals for leadership roles in practice, teaching, maternal-child health provision and policy making through a master's degree in midwifery. PMID:26775558

  11. Marine geology and oceanography of Arabian Sea and coastal Pakistan

    SciTech Connect

    Haq, B.U.; Milliman, J.D.

    1985-01-01

    This volume is a collection of papers presented at the first US-Pakistan workshop in marine science held in Karachi, Pakistan, in November 1982. Of the twenty-four contributions in this book, fourteen cover topics specific to the Arabian Sea-coastal Pakistan region. These include six papers on the geology, tectonics, and petroleum potential of Pakistan, four papers on sedimentary processes in the Indus River delta-fan complex, and four papers on the biological oceanography of the Arabian Sea and coastal Pakistan. The additional ten papers are overviews of shelf sedimentation processes, paleoceanography, the marine nutrient cycle, and physical and chemical oceanography.

  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.

    PubMed

    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. PMID:25895196

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

    ERIC Educational Resources Information Center

    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…

  14. Disasters, women's health, and conservative society: working in Pakistan with the Turkish Red Crescent following the South Asian Earthquake.

    PubMed

    Miller, Andrew C; Arquilla, Bonnie

    2007-01-01

    In recent years, numerous catastrophic disasters caused by natural hazards directed worldwide attention to medical relief efforts. These events included the: (1) 2003 earthquake in Bam, Iran; (2) 2004 earthquake and tsunami in Southeast Asia; (3) Hurricanes Katrina and Rita in the southern United States in 2005; (4) 2005 south Asian earthquake; and (5) 2006 Indonesian volcanic eruption and earthquakes. Health disparities experienced by women during relief operations were a component of each of these events. This article focuses on the response of the Turkish Red Crescent Society's field hospital in northern Pakistan following the South Asian Earthquake of October 2005, and discusses how the international community has struggled to address women's health issues during international relief efforts. Furthermore, since many recent disasters occurred in culturally conservative South Asia and the local geologic activity indicates similar disaster-producing events are likely to continue, special emphasis is placed on response efforts. Lessons learned in Pakistan demonstrate how simple adjustments in community outreach, camp geography, staff distribution, and supplies can enhance the quality, delivery, and effectiveness of the care provided to women during international relief efforts. PMID:18019091

  15. Million pound lifeline for Pakistan.

    PubMed

    Zubair, Z

    1994-01-01

    More than 1 million pounds in new funding has been secured by Population Concern for family planning services in Pakistan from the European Union (EU), and from the British Overseas Development Administration (ODA). This is Population Concern's biggest single financial commitment to date (1994). The sudden withdrawal of funding in 1993 by USAID created an unprecedented trauma for desperately needed family planning health programs which Pakistan's nongovernment organizations (NGOs) were providing. The government's network was totally insufficient to meet the demand for these services. Unmet need for family planning services is estimated to be about 56% of women in Pakistan. As a result, over three million family planning users were fast becoming nonusers and facing unwanted pregnancies. The Karachi-based NGO, PAVHNA, community-based services were seriously affected. Population Concern answered the desperate appeal last summer, raising enough emergency funds to support scaled-down services. This timely action by Population Concern averted many human tragedies, and also built a bond between the people of Pakistan and friends in the United Kingdom. This new funding commitment has secured the continuity of these vital services and expansion in some areas. Thousands of women and children would have suffered had it not been for Population Concern's tenacity, the ODA's concern for Pakistan, and that of the European Union. The work being undertaken through the funding includes community-based woman-to-woman services in the North and East of Karachi, where the city's poorest areas have been expanding rapidly. Through this network of services in Karachi and in the rural areas of the Peshawar hills and the Balochistan valley, more than 800,000 people will be reached through 32 family planning units involving eight NGOs. Contraceptive use is expected to double and maternal and child health care will be greatly improved. PMID:12288412

  16. Railway associated injuries in Pakistan.

    PubMed

    Bhatti, Junaid A; Razzak, Junaid A

    2010-03-01

    Pakistan is ranked 12th worldwide for passenger kilometres (km) travelled by railway network. The objective of this study was to assess the railway network related morbidity and mortality in Pakistan. Reported deaths and injuries due to this network were extracted from two secondary datasets: (1) an international disaster database and (2) ambulance log registers for the city of Karachi. Over the period from 1997 to 2006, a total of 11 railway disasters resulted in 449 deaths and 840 injuries. An estimated 2.05 passengers died and another 3.84 passengers were injured per billion km travelled in Pakistan, a rate six times higher than Western European countries. The ambulance log showed that one person died every two weeks in Karachi over a period from September 2007 to Jun 2008 (N = 26). The male-to-female ratio of all injury victims (N = 50) was 9:1 with a mean age of 35.6 years. Surveillance of these injuries is essential to implement prevention and control measures in Pakistan. PMID:19787521

  17. Comprehensive Bibliography of Pakistan Archaeology: Paleolithic to Historic Times. South Asia Series, Occasional Paper No. 24.

    ERIC Educational Resources Information Center

    King, Denise E.

    The comprehensive bibliography is a compilation of twentieth century documents about Pakistan prehistory from Paleolithic times to the arrival of the Greeks in approximately 330 B.C., also includes some of the major archaeological studies in adjacent countries which have a bearing on the interpretation and comparative analysis of Pakistan…

  18. Frequency of Stillbirths in a Tertiary Care Hospital, Karachi

    PubMed Central

    Mustufa, Muhammad Ayaz; Kulsoom, Shazia; Sameen, Ifra; Moorani, Khemchand N; Memon, Ashfaqe Ahmed; Korejo, Razia

    2016-01-01

    Background and Objective: Pakistan accounts for the highest stillbirth rate in the world. Therefore, this observational study was planned to determine the prevalence of stillbirths and its associated demographic characteristics in the given context. Hence our objective included: To determine the frequency of stillbirths with reference to parity and gestational age in a tertiary care public hospital, Karachi. To determine the socio-demographic characteristics of families with stillbirths. Methods: All pregnant mothers who delivered stillbirth babies at Gynaecology and Obstetrics ward of Jinnah Postgraduate Medical Center, Karachi a tertiary care facility were prospectively enrolled from October 2012 to September 2013. Deliveries occurred before 28 weeks of gestational age were excluded. Gestational age was confirmed from hospital record and attending physicians. Data was collected on predesigned proforma and analyzed using descriptive statistics. Results: Among 7708 registered deliveries, 137 were stillbirths. A total of 84 mothers were primiparous and 12% of mothers were below 20 years at the time of delivery. Majority of stillbirths were macerated type (80.3%) and 20% were fresh stillbirth. About 55% of still births occurred between 33-37 weeks and 20% between 28-32 weeks. Almost 80% (109) of stillbirths were low birth weight and only 20% (28) were normal birth weight. Conclusion: This study shows that stillbirths are more common in primiparous mothers in a given context. Conducting awareness sessions with special focus on antenatal and obstetrical care of primiparous may be helpful to reduce still births. PMID:27022352

  19. School Leadership in Pakistan: Exploring the Headteacher's Role.

    ERIC Educational Resources Information Center

    Simkins, Tim; Sisun, Charles; Memon, Muhammand

    2003-01-01

    Explores the nature of school leadership in Pakistan by drawing on two studies describing experiences of headteachers in Karachi. Identifies three determinants of personal efficacy of headteachers: The powers and accountability of the school system, community expectations within the context of the national culture, and the individual's personality…

  20. Antenatal Depression is Not Associated with Low-Birth Weight: A Study from Urban Pakistan

    PubMed Central

    Husain, Nusrat; Munshi, Tariq; Jafri, Farhat; Husain, Meher; Parveen, Asia; Saeed, Qamar; Tomenson, Barbara; Naeem, Farooq; Chaudhry, Nasim

    2014-01-01

    Background: Low-birth weight (LBW) (<2500 g) is considered to be a leading cause of cognitive impairment and physical disabilities in children. Incidence of LBW in South Asia has been reported to be as high as 33%. We investigated the association between antenatal depression and LBW in an urban community, in Karachi, Pakistan. Methods: A total of 1357 pregnant women in their third trimester were recruited into the study. They were screened for antenatal depression with Edinburgh postnatal depression scale. Self-reporting questionnaire was also used to measure psychological distress. Birth weights of 763 newborns were obtained from the hospital records. Results: We did not find a significant association between antenatal depression and LBW (odds ratio 0.881, 95%CI 0.732–1.060) in mothers attending a charity run hospital in an urban setting in Pakistan. Conclusion: Antenatal depression is not associated with LBW in this urban population in Pakistan. However, the prevalence of depression is high during pregnancy. There is a need to develop culturally adapted psychosocial interventions to address the high rates of depression for this population group. PMID:25540627

  1. Role of wastewater irrigation in mosquito breeding in south Punjab, Pakistan.

    PubMed

    Mukhtar, Muhammad; Herrel, Nathaly; Amerasinghe, Felix P; Ensink, Jeroen; van der Hoek, Wim; Konradsen, Flemming

    2003-03-01

    Mosquito breeding within the wastewater irrigation system around the town of Haroonabad in the southern Punjab, Pakistan, was studied from July to September 2000 as part of a wider study of the costs and benefits of wastewater use in agriculture. The objective of this study was to assess the vector-borne human disease risks associated with mosquito species utilizing wastewater for breeding. Mosquito larvae were collected on a fortnightly basis from components of the wastewater disposal system and irrigated sites. In total, 133 samples were collected, about equally divided between agricultural sites and the wastewater disposal system. Overall, 17.3% of the samples were positive for Anopheles, 12.0% for Culex and 15.0% for Aedes. Four anopheline species, viz, Anopheles stephensi (84.3% of total anophelines), An. subpictus (11.8%), An. culicifacies (2.0%) and An. pulcherrimus (0.2%) were present, as were two species of Culex, viz, Cx. quinquefasciatus (66.5% of culicines) and Cx. tritaeniorhynchus (20.1%). Aedes were not identified to species level. The occurrence of different species was linked to particular habitats and habitat characteristics such as physical water condition, chemical water quality and the presence of fauna and flora. Anophelines and Aedes mosquitos were mainly collected during the month of July, while Culex were collected in September. The prevalence of established vectors of human diseases such as An. stephensi (malaria), Cx. tritaeniorhynchus (West Nile fever, Japanese encephalitis) and Cx. quinquefasciatus (Bancroftian filariasis, West Nile fever) in the wastewater system indicated that such habitats could contribute to vector-borne disease risks for human communities that are dependent upon wastewater use for their livelihoods. Wastewater disposal and irrigation systems provide a perennial source of water for vector mosquitos in semi-arid countries like Pakistan. Vector mosquitos exploit these sites if alternative breeding sites with better biological, physical, and chemical conditions are not abundant. PMID:12971517

  2. Some aspects of South Asia's groundwater irrigation economy: analyses from a survey in India, Pakistan, Nepal Terai and Bangladesh

    NASA Astrophysics Data System (ADS)

    Shah, Tushaar; Singh, O. P.; Mukherji, Aditi

    2006-03-01

    Since 1960, South Asia has emerged as the largest user of groundwater in irrigation in the world. Yet, little is known about this burgeoning economy, now the mainstay of the region's agriculture, food security and livelihoods. Results from the first socio-economic survey of its kind, involving 2,629 well-owners from 278 villages from India, Pakistan, Nepal Terai and Bangladesh, show that groundwater is used in over 75% of the irrigated areas in the sample villages, far more than secondary estimates suggest. Thanks to the pervasive use of groundwater in irrigation, rain-fed farming regions are a rarity although rain-fed plots within villages abound. Groundwater irrigation is quintessentially supplemental and used mostly on water-economical inferior cereals and pulses, while a water-intensive wheat and rice system dominates canal areas. Subsidies on electricity and canal irrigation shape the sub-continental irrigation economy, but it is the diesel pump that drives it. Pervasive markets in tubewell irrigation services enhance irrigation access to the poor. Most farmers interviewed reported resource depletion and deterioration, but expressed more concern over the high cost and poor reliability of energy supply for groundwater irrigation, which has become the fulcrum of their survival strategy.

  3. Risk Factors for Deliberate Self-Harm in Patients Presenting to the Emergency Departments of Karachi

    PubMed Central

    Shahid, Muhammad; Iqbal, Romaina; Khan, Murad M.; Khan, Muhammad Zaman; Shamsi, Uzma Shoaib; Nakeer, Rooham

    2015-01-01

    Objective To determine the risk factors for Deliberate Self-Harm (DSH) in patients presenting to the Emergency Departments (EDs) of three tertiary care hospitals of Karachi, Pakistan. Study Design Multicentre matched case control study. Place and Duration of Study EDs of the Aga Khan University Hospital, Karachi, Civil Hospital, Karachi and Jinnah Postgraduate Medical Centre, Karachi, from March 2011 to February 2012. Methodology A total of 201 cases and 201 matched controls were taken from three hospitals situated in Karachi. All patients of 16 years and above presenting to the EDs of the hospitals with DSH attempt were invited to participate in the study. Controls were ED patients with complaints other than DSH. A control was matched with case for hospital, gender and age. Two questionnaires were used to collect information on the risk factors of DSH. Conditional Logistic Regression (CLR) was used to assess the association of various risk factors with DSH. Results Risk factors of DSH in Karachi included current history of mental disorder (OR = 4.53, 95% CI = 1.59 – 12.92), not sharing problems with someone (OR = 4.67, 95% CI = 2.4 – 9.0), living in rented houses (OR = 2.58, 95% CI = 1.37 – 4.84), Pathan ethnicity (OR = 5.05, 95% CI = 1.01–25.38) followed by others (OR = 3.88, 95% CI = 0.77 – 19.69) and Urdu speaking (OR = 2.71, 95% CI = 0.59 – 12.45). Absence of physical illness in the past month had an inverse association with DSH (OR = 0.17, 95% CI = 0.07 – 0.37). Conclusion Mental illnesses, low socio-economic status and loneliness were the risk factors of DSH patients presenting to the three EDs of Karachi. Physical illness in the last month was protective against DSH in these patients. Psychiatric evaluation of DSH patients in the ED is important for early diagnosis and management of mental disorders. PMID:25604370

  4. Grid parity analysis of stand-alone hybrid microgrids: A comparative study of Germany, Pakistan, South Africa and the United States

    NASA Astrophysics Data System (ADS)

    Siddiqui, Jawad M.

    Grid parity for alternative energy resources occurs when the cost of electricity generated from the source is lower than or equal to the purchasing price of power from the electricity grid. This thesis aims to quantitatively analyze the evolution of hybrid stand-alone microgrids in the US, Germany, Pakistan and South Africa to determine grid parity for a solar PV/Diesel/Battery hybrid system. The Energy System Model (ESM) and NREL's Hybrid Optimization of Multiple Energy Resources (HOMER) software are used to simulate the microgrid operation and determine a Levelized Cost of Electricity (LCOE) figure for each location. This cost per kWh is then compared with two distinct estimates of future retail electricity prices at each location to determine grid parity points. Analysis results reveal that future estimates of LCOE for such hybrid stand-alone microgrids range within the 35-55 cents/kWh over the 25 year study period. Grid parity occurs earlier in locations with higher power prices or unreliable grids. For Pakistan grid parity is already here, while Germany hits parity between the years 2023-2029. Results for South Africa suggest a parity time range of the years 2040-2045. In the US, places with low grid prices do not hit parity during the study period. Sensitivity analysis results reveal the significant impact of financing and the cost of capital on these grid parity points, particularly in developing markets of Pakistan and South Africa. Overall, the study helps conclude that variations in energy markets may determine the fate of emerging energy technologies like microgrids. However, policy interventions have a significant impact on the final outcome, such as the grid parity in this case. Measures such as eliminating uncertainty in policies and improving financing can help these grids overcome barriers in developing economies, where they may find a greater use much earlier in time.

  5. Useful ethnophytomedicinal recipes of angiosperms used against diabetes in South East Asian Countries (India, Pakistan & Sri Lanka).

    PubMed

    Marwat, Sarfaraz Khan; Rehman, Fazalur; Khan, Ejaz Ahmad; Khakwani, Abdul Aziz; Ullah, Imdad; Khan, Kaleem Ullah; Khan, Inam Ullah

    2014-09-01

    This paper is based on data recorded from various literatures pertaining to ethnophytomedicinal recipes used against diabetes in South East Asia (India, Pakistan and Srilanka). Traditional plant treatments have been used throughout the world for the therapy of diabetes mellitus. In total 419 useful phytorecipes of 270 plant species belonging to 74 Angiospermic families were collected. From the review it was revealed that plants showing hypoglycemic potential mainly belong to the families, Cucurbitaceae (16 spp.), Euphorbiaceae (15 spp.), Caesalpiniaceae and Papilionaceae (13 spp. each), Moraceae (11 spp.), Acanthaceae (10 spp.), Mimosaceae (09 spp.), Asteraceae, Malvaceae and Poaceae (08 spp. each), Hippocrateaceae, Rutaceae and Zingiberaceae (07 spp. each), Apocynaceae, Asclepiadaceae and Verbenaceae (06 spp. each), Apiaceae, Convolvulaceae, Lamiaceae, Myrtaceae, Solanaceae (05 spp.each). The most active plants are Syzigium cumini (14 recipes), Phyllanthus emblica (09 recipes), Centella asiatica and Momordica charantia (08 recipes each), Azadirachta indica (07 recipes), Aegle marmelos, Catharanthus roseus, Ficus benghalensis, Ficus racemosa, Gymnema sylvestre (06 recipes each), Allium cepa, A. sativum, Andrographis paniculata, Curcuma longa (05 recipes each), Citrullus colocynthis, Justicia adhatoda, Nelumbo nucifera, Tinospora cordifolia, Trigonella foenum-graecum, Ziziphus mauritiana and Wattakaka volubilis (4 recipes each). These traditional recipes include extracts, leaves, powders, flour, seeds, vegetables, fruits and herbal mixtures. Data inventory consists of botanical name, recipe, vernacular name, English name. Some of the plants of the above data with experimentally confirmed antidiabetic properties have also been recorded. More investigations must be carried out to evaluate the mechanism of action of diabetic medicinal plants. Toxicity of these plants should also be explained. Scientific validation of these recipes may help in discovering new drugs from these medicinal plants for diabetes. PMID:25176368

  6. The Role of School Principals in Enhancing Teacher Professionalism: Lessons from Pakistan

    ERIC Educational Resources Information Center

    Rizvi, Meher

    2008-01-01

    Following the initiation of educational reforms, this article reports on the different models of leadership that have emerged as being important for developing teacher professionalism in government primary schools in Karachi, Pakistan. The evidence from the case studies, reported in this article, illustrates that even within formalized government…

  7. The Role Perceptions of Government and Non-Government Headteachers in Pakistan.

    ERIC Educational Resources Information Center

    Simkins, Tim; Garrett, Viv; Memon, Muhammad; Ali, Rana Nazir

    1998-01-01

    A study of the principal's role involved interviews of six headteachers of government and nongovernment secondary schools in Karachi, Pakistan, and reviews of five one-week activity diaries. Nongovernmental principals had more managerial freedom, but governmental principals operated under less personal control by their superiors. The latter used a…

  8. Lay perceptions of genetic risks attributable to inbreeding in Pakistan.

    PubMed

    Hussain, Rafat

    2002-01-01

    Pakistan along with many other West and South Asian countries has a very high prevalence of consanguineous, especially close cousin, marriages. Although there is substantial empirical information on offspring morbidity and mortality attributable to parental consanguinity, population-based information on how communities in general, and women in particular, perceive the health risks associated with consanguineous unions is limited. This paper considers community perceptions of health effects associated with consanguineous marriages using qualitative data from 15 focus group discussions and 294 in-depth interviews. The study was conducted in four low-income, multi-ethnic, and multi-religious communities in Karachi, the principal commercial center of Pakistan. The results show a general lack of awareness of the possible adverse health effects of consanguineous marriage. In cases where a link between consanguinity and ill health was acknowledged, it often centered on the familial origins of non-communicable disorders such as diabetes and hypertension or infectious diseases such as tuberculosis. Belief in fate and the "evil eye" was widespread across all ethnic and religious groups. Many respondents did not agree with medical explanations of a genetic mode of disease inheritance, even in cases where there was an affected child in the family. The absence of a uniform manifestation of disease among all children of a couple who were identified as carriers of a specific mutation added to the confusion among participants. The study highlights the need for further quantification of risks associated with consanguinity and a need for provision of appropriate information to primary-care clinicians and also to communities. The likely impact of increasing morbidity attributable to inbreeding on the health care system in resource poor settings is also discussed. PMID:11891938

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

    SciTech Connect

    Ataur Rahman, Muhammad; Rahman, Bushra; Saeed Ahmad, Muhammad; Blann, Andrew; Ahmed, Nessar

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

    PubMed

    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. PMID:24935563

  11. Characaterization of H5N1 highly pathogenic avian influenza viruses isolated from poultry in Pakistan 2006-2008

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Nine avian influenza viruses (AIV), H5N1 subtype, were isolated from dead poultry in the Karachi region of Pakistan from 2006-2008. The intravenous pathogenicity indices and HA protein cleavage sites of all nine viruses were consistent with highly pathogenic AIV. Based on phylogenetic analysis of ...

  12. Description of Tylenchorhynchus qasimii sp. n with a new report of T. kegasawai Minagawa, 1995 from Pakistan

    Technology Transfer Automated Retrieval System (TEKTRAN)

    A new stunt nematode, from soil around the roots of coconut (Cocos nucifera L.) and rice (Oryza sativa L.) from Karachi, Pakistan is described and illustrated as Tylenchorhynchus qasimii n. sp. This new species is characterized by having females with 3-4 head annules, anteriorly directed stylet knob...

  13. Myths and fallacies about epilepsy among residents of a Karachi slum area.

    PubMed

    Shafiq, Majid; Tanwir, Mansoor; Tariq, Asma; Saleem, Ayesha; Zafar, Monaa; Khuwaja, Ali Khan

    2008-01-01

    Misconceptions about epilepsy may explain the considerable stigma accompanying it. We aimed to identify such fallacies through questionnaire-based interviews of 487 adult residents of a slum area in Karachi, Pakistan. Of those interviewed, 25% believed that epilepsy was caused by evil spirits, black magic and envy by others - those without a school education were more likely to hold these views (P < 0.05). Perceived complications included impotence and cancer. Shoe-sniffing was considered a treatment modality by 13%. It appears that misconceptions abound regarding epilepsy's causes, complications and methods of treatment. However, those who had received a school education were less likely to link epilepsy with supernatural phenomena. PMID:18302862

  14. Epidemiological review of head and neck cancers in Karachi.

    PubMed

    Bhurgri, Yasmin; Bhurgri, Asif; Usman, Ahmed; Pervez, Shahid; Kayani, Naila; Bashir, Imtiaz; Ahmed, Rashida; Hasan, Sheema H

    2006-01-01

    Head and neck cancers, categories lip, oral cavity, pharynx and larynx are placed amongst the top ten malignancies globally. The cancers have a similar epidemiology, risk factors, morphology, and control measures. The geographical variations in incidence are indicative of the global differences in the prevalence of risk factors. The present study was conducted with the objective of reviewing descriptive epidemiological characteristics, incidence and time trends of head and neck cancers in Karachi (1995-2002). Head and neck cancers accounted for approximately one-fifth (21%) of the cancers in males and about one-tenth (11%) in females in the study period. The age standardized incidence rate (ASR) was 37.1/100,000 in males and 21.7/100,000 in females. In males, oral cavity and larynx were the commonly affected sites, followed by pharynx. In females, oral cavity was the preponderant site. The mean age of the patients was 53.0 years (95% CI 48.0; 58.0). A rising incidence was observed in both genders, more apparent in males. About 30% of oral cancer cases, 28.6% of the nasopharyngeal, 6.3% of the oropharyngeal, and 2.6% of laryngeal cancers occurred in patients 40 years and younger. The age specific incidence rates (ASIR) for oral cancer in males showed a gradual rise from 10 to 64+ years of age, for pharynx from 20 to 64+ and for larynx at 25+. The ASIR for oral cancer in females showed a gradual rise from 14 to 64+ years of age, for pharynx from 20 to 64+, a decade after the oral cancer rise and cancer larynx showed a rise at 25+, a decade and a half after the oral cancer rise. The peak incidence was at 64-69 years for all three cancer sites, in both genders. Pakistan falls into a high risk head and neck cancer geographical zone Presentation is late and treatment is not optimum. Recommendations, therefore for NCCP Pakistan, for short term benefits are selected community-based screening for the high risk population, early diagnosis, better treatment, rehabilitation and palliative care. These measures will improve survival and also contribute to a better quality of life. Primary prevention remains the only strategy for absolute cancer control. PMID:16839210

  15. A systematic review of air pollution as a risk factor for cardiovascular disease in South Asia: limited evidence from India and Pakistan.

    PubMed

    Yamamoto, S S; Phalkey, R; Malik, A A

    2014-03-01

    Cardiovascular diseases (CVD) are major contributors to mortality and morbidity in South Asia. Chronic exposure to air pollution is an important risk factor for cardiovascular diseases, although the majority of studies to date have been conducted in developed countries. Both indoor and outdoor air pollution are growing problems in developing countries in South Asia yet the impact on rising rates of CVD in these regions has largely been ignored. We aimed to assess the evidence available regarding air pollution effects on CVD and CVD risk factors in lower income countries in South Asia. A literature search was conducted in PubMed and Web of Science. Our inclusion criteria included peer-reviewed, original, empirical articles published in English between the years 1990 and 2012, conducted in the World Bank South Asia region (Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka). This resulted in 30 articles. Nine articles met our inclusion criteria and were assessed for this systematic review. Most of the studies were cross-sectional and examined measured particulate matter effects on CVD outcomes and indicators. We observed a bias as nearly all of the studies were from India. Hypertension and CVD deaths were positively associated with higher particulate matter levels. Biomarkers of oxidative stress such as increased levels of P-selection expressing platelets, depleted superoxide dismutase and reactive oxygen species generation as well as elevated levels of inflammatory-related C-reactive protein, interleukin-6 and interleukin-8 were also positively associated with biomass use or elevated particulate matter levels. An important outcome of this investigation was the evidence suggesting important air pollution effects regarding CVD risk in South Asia. However, too few studies have been conducted. There is as an urgent need for longer term investigations using robust measures of air pollution with different population groups that include a wider range of air pollutants and outcomes, including early indicators of CVD. These regions are facing burdens from increasing urbanization, air pollution and populations, generally weaker health infrastructure, aging populations and increased incidence of non-communicable diseases, included CVD. The extent to which the problem of air pollution and CVD will impact these countries will depend largely on the information available to inform policy and programs, which are still lacking, political will as well as social and economic development. PMID:24064368

  16. Pakistan Flooding

    Atmospheric Science Data Center

    2013-04-16

    article title:  Flooding in Pakistan     View Larger Image ... This distinctly highlights the contrast between the water and vegetation on the river banks, because vegetation appears bright in ... feature near the bottom and left of center is Manchhar Lake. Water is apparent in shades of blue and cyan, though sediment content can add a ...

  17. Knowledge, attitude and practices regarding HIV/AIDS among adult fishermen in coastal areas of Karachi

    PubMed Central

    2014-01-01

    Background Migrant populations are at high risk of Human Immuno Deficiency Virus infection (HIV) and Acquired Immunodeficiency Syndrome (AIDS). Studies of HIV/AIDS knowledge, attitudes and practices among fishermen in developing countries have shown gaps in knowledge and fear of contagion with ambivalent attitudes towards HIV/AIDS and inconsistent universal precautions adherence. The aim of this study was to determine the knowledge, attitude and practices regarding HIV/AIDS among adult fishermen in a coastal area of Karachi, Pakistan. Methods Community based cross sectional study was conducted among fishermen in coastal area of Karachi from June to September 2012. A total of 297 adult fishermen were selected by using simple random sampling technique from different sectors of coastal village. Data were collected using a structured validated questionnaire. The frequency distribution of both dependent and independent variables were worked out. Comparisons of knowledge, attitude and practices regarding HIV/AIDS by socio-demographic characteristics were made using logistic regression. Results Out of 297 fishermen, majority had in-appropriate knowledge (93.6%), negative attitude (75.8%) and less adherent sexual practices (91.6%). In univariate analysis, lower education and higher income were significantly associated (OR 2.25, 95% CI, 1.11, 4.55), (OR = 3.04 CI 1.03-9.02, p value 0.04) with negative attitude and un-safe practices towards HIV/AIDS respectively, whereas no significant association of socio-economic characteristics with knowledge, attitude and practices were observed in multivariate analysis. Conclusions This study suggests that fishermen had very poor knowledge, negative attitudes towards HIV and AIDS and had unsafe sexual practices which suggest that they lack the basic understanding of HIV/AIDS infection. Extensive health education campaign should be provided to the vulnerable sections of the society for the control of HIV/AIDS. PMID:24886122

  18. Distance Education in South Asia. Proceedings of the Round Table Conference on Distance Education for South Asian Countries (Islamabad, Pakistan, November 6-8, 1989).

    ERIC Educational Resources Information Center

    Asian Development Bank, Manila (Philippines).

    This document begins with an introduction followed by a list of recommendations that were an outcome of the conference. The core papers included are "Liberation of the Learner: A Self-Reliance Strategy for Education" (Sharma); "Distance Education in South Asia: Problems and Strategies for Cooperation" (Taylor); "Cooperation in Distance Education…

  19. Production of crude oils in Pakistan: Outlook for the future

    SciTech Connect

    Ahmad, S.

    1995-12-31

    Pakistan`s sedimentary basins cover an area of 827,000 km{sub 2} that stretches from the Karakurum Mountains in the north to the Arabian Sea in the south. The first exploration well in the region was drilled near Kundal in 1866, just seven years after the Drake well in Pennsylvania. To date, 384 exploration wells have been drilled in Pakistan resulting in 45 oil and 55 gas discoveries, thus generating a highly favourable success ratio of 1:4. The drilling density in Pakistan is one well/1000 square kilometers. Pakistan has proven oil reserves of around 500 million barrels of oil, whereas proven gas reserves are about 31 trillion cubic feet. However, Pakistan`s resource potential is estimated to be 40 billion barrels of oil and 200 TCF of gas. The purpose of this paper is to describe: (i) habitat and production of crude oil in Pakistan, (ii) Pakistan`s current energy needs and future outlook, and (iii) steps being taken by the Government of Pakistan to promote exploration for oil and gas.

  20. Teaching Bioethics to Medical Technology Students in Pakistan

    PubMed Central

    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. PMID:23908722

  1. An early South Asian dust storm during March 2012 and its impacts on Indian Himalayan foothills: a case study.

    PubMed

    Srivastava, A K; Soni, V K; Singh, Sachchidanand; Kanawade, V P; Singh, N; Tiwari, S; Attri, S D

    2014-09-15

    The impacts of an early South Asian dust storm that originated over the western part of the Middle East and engulfed northwest parts of India during the third week of March 2012 have been studied at four different stations covering India and Pakistan. The impacts of this dust storm on aerosol optical properties were studied in detail at Delhi, Jodhpur, Lahore and Karachi. The impact could also be traced up to central Himalayan foothills at Manora Peak. During dust events, the aerosol optical depth (AOD) at 500 nm reached a peak value of 0.96, 1.02, 2.17 and 0.49 with a corresponding drop in Ångström exponent (AE for 440-870 nm) to 0.01, -0.02, 0.00 and 0.12 at Delhi, Jodhpur, Lahore and Karachi, respectively. The single scattering albedo (SSA) at 675 nm was relatively lower at Delhi (0.87) and Jodhpur (0.86), with absorption Ångström exponent (AAE) less than 1.0, but a large value of SSA was observed at Lahore (0.98) and Karachi (0.93), with AAE value greater than 1.0 during the event. The study of radiative impact of dust aerosols revealed a significant cooling at the surface and warming in the atmosphere (with corresponding large heating rate) at all the stations during dust event. The effect of this dust storm was also seen at Manora Peak in central Himalayas which showed an enhancement of ~28% in the AOD at 500 nm. The transport of dust during such events can have severe climatic implications over the affected plains and the Himalayas. PMID:24973722

  2. Consanguineous marriage and differentials in age at marriage, contraceptive use and fertility in Pakistan.

    PubMed

    Hussain, R; Bittles, A H

    1999-01-01

    Fertility rates in Pakistan have remained consistently high over the past three decades. While numerous studies have examined sociodemographic determinants, the role of biological factors, and particularly consanguinity, has received little attention, even though marriage between close biological relatives continues to be the norm in Pakistan. Reproductive behaviour among women in consanguineous (first cousin) and non-consanguineous unions was compared, using data from a 1995 study of multi-ethnic communities in Karachi and the 1990-91 Pakistan Demographic & Health Survey (PDHS). The results show that, although female age at first marriage has been gradually rising in both study samples, women in consanguineous unions married at younger ages and were less likely to use modern contraceptive methods. In the Karachi sample, women in first cousin unions experienced a higher mean number of pregnancies and also reported a higher mean number of children ever born (CEB). However, their mean number of surviving children did not differ from those born to women in non-consanguineous unions, implying higher prenatal and/or postnatal losses in couples related as first cousins. On the other hand, the PDHS showed both lower CEB values for women in consanguineous marriages and a lower number of surviving children. Given the continuing popularity of consanguineous marriage, these findings have important implications for future fertility reduction in Pakistan. PMID:10081242

  3. Frequency of thyroid incidentalomas in Karachi population

    PubMed Central

    Kamran, Mahrukh; Hassan, Nuzhat; Ali, Muhammad; Ahmad, Farah; Shahzad, Sikandar; Zehra, Nosheen

    2014-01-01

    Objectives: The aim of this study was to determine frequency of thyroid incidentalomas (TI) through ultrasound (US) and its association with age, gender and ethnicities. Methods: It was a cross-sectional study. Total 269 adults who were asymptomatic for thyroid disease aged 21 years and above underwent ultrasound examination of their thyroid. Results: Frequency of TI found was 21%. TI was detected in 25% of females and 16% males (P= 0.078). 61% had thyroid nodules (TNs) in one lobe (right, left or isthmus) and 39% had TNs in more than one location. About 55% had single TN and 45% had multiple TNs. 38% had TNs greater than 1cm while 57% had TNs smaller than 1 cm. 5% had TNs greater and smaller than 1 cm. TI was equally common in individuals of different ethinicities (P= 0.758). Conclusion: Frequency of thyroid incidentalomas found in our study was higher than most of the other iodine sufficient states. Unlike other studies, incidentalomas were equally common in both the genders of our study. This may be due to the previous iodine deficient status of Pakistan which was prevalent. However further studies on the same topic will help us in identifying the correct status of thyroid incidentalomas if Pakistan retains it’s status as an iodine sufficient state. PMID:25097519

  4. Attitudes toward suicide bombing in Pakistan.

    PubMed

    Kazim, Syed Faraz; Aly, Zarmeneh; Bangash, Haider Khan; Harchandani, Bhisham Pardeep; Irfan, Affan Bin; Javed, Syed Muhammad; Khalil-ur-Rehman, Rana; Naqvi, Haider; Khan, Murad Moosa

    2008-01-01

    Although suicide bombing is a historical phenomenon, there has been a recent upsurge in such incidents. In Pakistan, over the last year, more than 1,000 people have been killed in suicide bombing incidents. Assessing the attitudes and perceptions of people toward suicide bombing can help understand some of the root causes of this phenomenon. In this pilot study, we conducted a cross-sectional survey of people (N = 215) in Karachi, Pakistan, to assess their attitudes and perceptions toward suicide bombing. The majority of the respondents condemned suicide bombing and disagreed with the notion that Islam or any other religion supports it. Belonging to the Sunni Muslim sect and strong adherence to religion predicted support for suicide bombing. The majority believed suicide bombing to be a result of religious fundamentalism. Opinion was divided as to whether suicide bombers have an underlying psychiatric illness. Further studies with larger sample sizes are needed to determine the attitudes and perceptions of the Pakistani population regarding this important issue. PMID:18664233

  5. Effects of leather industry on health and recommendations for improving the situation in Pakistan.

    PubMed

    Syed, Madiha; Saleem, Taimur; Shuja-ur-Rehman; Iqbal, Muhammed Asif; Javed, Faisal; Khan, Muhammed Bilal Salman; Sadiq, Kamran

    2010-01-01

    The leather industry and its associated sectors contribute significantly to the Pakistani economy. There are around 600 tanneries in Pakistan that are concentrated in 3 major cities (Kasur, Karachi, Sialkot). Waste discharge from tanneries pollutes the air, soil, and water, causing serious health problems. Exposure to such contaminated environmental milieu has been seen to culminate in a multiple array of disease processes such as asthma, dermatitis, hepatic and neurological disorders, and various malignancies. An overall dearth of research on the occupational hazards of employment in the leather industry as well as its effects on pediatric population was observed during literature review with particular reference to Pakistan. It is recommended that research should be conducted about the health hazards in the leather industry in Pakistan as well as globally to gather data that can be translated into effective prevention programs for both adults as well as pediatric populations. PMID:20705577

  6. Frequency of ABH secretors and non secretors: A cross sectional study in Karachi

    PubMed Central

    Saboor, Muhammad; Ullah, Aman; Qamar, Khansa; Mir, Awal; Moinuddin

    2014-01-01

    Objective: ABO blood group and secretor status is valuable in relation to some diseases in clinical and forensic medicine. Across the globe there are geographic and racial differences in the frequency of secretors and non-secretors. Aim of this study was to evaluate the status of ABH blood group secretors and non-secretors in Karachi (Pakistan). Methods: Blood and saliva samples were randomly collected from one hundred and one (n=101) healthy adult students (76 male, 25 female) ranging in age from 15 to 40 years. Their ABO and Rhesus blood groups were determined by conventional methods, and their secretor status was studied by hemagglutination inhibition method of saliva. Results: Results showed that 64.4% of the study population were ABH blood group secretors while 35.6% were non-secretors. Frequencies of the secretor status among various ABO blood groups were 71.4% in group A, 79.5% in group B, 45.5% in group AB, and 61.5% in group O. Conclusion: Frequency of ABH secretor is high (64.4%). Blood group B has the highest secretor (79.5%) frequency while Blood group AB has the lowest (45.5%). PMID:24639859

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

    PubMed

    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. PMID:26968287

  8. Women's mental health in Pakistan

    PubMed Central

    Niaz, Unaiza

    2004-01-01

    In Pakistan, societal attitudes and norms, as well as cultural practices (Karo Kari, exchange marriages, dowry, etc.), play a vital role in women's mental health. The religious and ethnic conflicts, along with the dehumanizing attitudes towards women, the extended family system, role of in-laws in daily lives of women, represent major issues and stressors. Such practices in Pakistan have created the extreme marginalisation of women in numerous spheres of life, which has had an adverse psychological impact. Violence against women has become one of the acceptable means whereby men exercise their culturally constructed right to control women. Still, compared to other South Asian countries, Pakistani women are relatively better off than their counterparts. PMID:16633458

  9. The organisation, operational dynamics and structure of female sex work in Pakistan

    PubMed Central

    Emmanuel, Faran; Thompson, Laura H; Athar, Uzma; Salim, Momina; Sonia, Altaf; Akhtar, Naeem; Blanchard, James F

    2013-01-01

    Background Pakistan is known to have large populations of female sex workers (FSWs) with considerable geographic heterogeneity in their characteristics. In this paper, we describe the social organisation and structural patterns of female sex work in different geographic regions of Pakistan. Methods We report geographic and network mapping data collected among FSWs in 15 cities across Pakistan in 2011 as part of the Canada-Pakistan HIV/AIDS Surveillance Project. Results A total number of 89 178 FSWs were estimated in the target cities for an average of 7.2 FSWs per 1000 adult males. 55% of the estimated number of FSWs concentrated in Karachi and Lahore. Based on the operations of female sex work, two major typologies of FSWs were identified: establishment-based and non-establishment-based. FSWs were further subtyped into those operating through brothels, homes, kothikhanas, streets and by cell phone. Cities varied considerably in terms of predominance of different FSW typologies. Conclusions There is considerable heterogeneity among FSWs in Pakistan, geographically and in terms of operational typology. Understanding the social organisation of sex work and the influence of social-cultural and legal factors in Pakistan is essential for the design of HIV prevention programmes and other services for FSWs. PMID:23771032

  10. Urbanisation and environmental degradation in Pakistan.

    PubMed

    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 waste should be recycled. Policy should be directed to improving living conditions in poor areas. Environmental Impact Assessment would be helpful in identifying physical, biological, and social consequences of environmental pollution. Trained personnel able to prepare these assessments are lacking. The introduction of new technologies should meet environmental tests. PMID:12346811

  11. Heterogeneity of characteristics, structure, and dynamics of male and hijra sex workers in selected cities of Pakistan

    PubMed Central

    Thompson, Laura H; Salim, Momina; Baloch, Chaker Riaz; Musa, Nighat; Reza, Tahira; Dar, Nosheen; Arian, Shahzad; Blanchard, James F; Emmanuel, Faran

    2013-01-01

    Background We sought to describe the characteristics and operational dynamics of male sex workers (MSW) and hijra sex workers (HSWs) in 11 cities across Pakistan in 2011. Methods We report descriptive statistics of self-reported sexual behaviour data from cross-sectional mapping and biological and behavioural surveys conducted among 1431 MSWs and 1415 HSWs in four cities across Pakistan in 2011. Results While Karachi had the largest numbers of MSWs and HSWs, Quetta had the largest relative population sizes, with 3.6 MSWs per 1000 male adults and 3.3 HSWs per 1000 male adults. There was considerable variability in the proportion of HSWs who operate through deras, ranging from 2.2% in Peshawar to 62.7% in Karachi. The number of HSWs per guru varies by city, from 1.5 in Quetta to 16.5 HSWs per guru in Karachi. Among HSWs, the use of mobile phones for solicitation ranged from 37.6% in Quetta to 83% in Peshawar and among MSWs the use of mobile phones ranged from 27% in Karachi to 52% in Quetta. In Quetta, a large proportion of HSWs (41%) find clients through gurus. Client volume tended to be higher among HSWs and among both MSWs and HSWs in Quetta and Peshawar. Condom use with clients was most consistent in Quetta, with 31% of MSWs and 41% of HSWs reporting always using condoms with clients. Peshawar had the greatest proportion reporting never using condoms. Conclusions There is considerable geographic heterogeneity in the characteristics and operational dynamics of MSWs and HSWs across Pakistan. PMID:23605854

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

    PubMed

    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. PMID:25937612

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

    PubMed

    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. PMID:26338750

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

    PubMed

    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. PMID:25869090

  15. Evaluation and comparison of different brands of domperidone tablets available in Karachi, Pakistan.

    PubMed

    Khan, Muhammad Qamar; Razvi, Nighat; Anjum, Fakhsheena; Ghazal, Lubna; Siddiqui, Saeed Ahmed; Shoaib, Muhammad Harris

    2014-07-01

    Domperidone is an anti-dopaminergic drug used for the treatment of nausea, vomiting and dyspepsia. It has also been used in Parkinson's disease. In this study, five different brands of Domeperidone tablets were selected from the local market for evaluation of their quality as the local market is occupied of many competitors for a single generic. The evaluation of Domperidone tablets was done using various pharmacopoeial and non-pharmacopoeial tests. All the test results fell within BP specified limits for all the selected brands i.e. the results for Brands A to E for weight variation, thickness and diameter were satisfactory and within limits. For Brands A to E, the results for hardness and friability were also satisfactory i.e. 4-10kg/cm2and 0.1-0.6% respectively. The results for Brands A to E for disintegration were 2-6 minutes; for dissolution and assay, the results were 89-92% and 95-99% respectively. The results of similarity factor (f2) also showed that all brands of Domperidone have comparative dissolution profiles. PMID:25015463

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

    SciTech Connect

    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.

  17. Use of locally made off-loading techniques for diabetic plantar foot ulcer in Karachi, Pakistan.

    PubMed

    Miyan, Zahid; Ahmed, Jameel; Zaidi, Syed I; Ahmedani, Muhammad Y; Fawwad, Asher; Basit, Abdul

    2014-12-01

    The aim of this study was to evaluate the effectiveness of applying locally made pressure off-loading techniques on plantar foot ulcer in individuals with diabetes. This prospective study of 70 diabetic patients was conducted at the foot clinic of Baqai Institute of Diabetology & Endocrinology. Plantar foot ulcer, stages 1A and 2A according to the University of Texas classification, was treated by using three off-loading techniques: modified foot wear (sandal), modified plaster of Paris cast with plywood platform and Scotchcast boot. The outcome was assessed at either complete wound healing (defined as complete epithelialisation) or at 12 weeks, whichever came first. Of the 70 patients, 24 were in modified foot wear group, 23 in modified plaster of Paris cast and 23 in Scotchcast boot group. There was almost equal proportion of patients healed within 12 weeks period treated with these three off-loading techniques, i.e. 22 (95·7%) for modified foot wear group, 19 (95%) for modified plaster cast and 18 (94·7%) for Scotchcast boot group. No significant difference was observed in median healing time and cumulative wound survival at 12 weeks in the three off-loading techniques. Modified foot wear group was the most cost effective ($7) amongst the three off-loading techniques. It is concluded that in this cohort, no significant difference in healing time was observed in the three off-loading techniques, although modified foot wear (sandal) was found to be a more cost-effective treatment modality. PMID:23369009

  18. Elevated iron levels in hair from steel mill workers in Karachi, Pakistan

    SciTech Connect

    Jamall, I.S.; Jaffer, R.A.

    1987-10-01

    Over the last two decades, much interest has been focused on the use of trace metals in human hair to diagnose nutritional deficiencies of these metals or toxicities of metals such as lead or organic mercury. Although the diagnostic value of zinc (Zn), copper (Cu), lead and mercury levels in human hair have been well established, little information is available on the significance of iron (Fe) levels in hair to diagnose nutritional deficiency or toxicity of this metal. The present study was conducted to determine if occupational exposure in the steel industry resulted in alterations i the levels of Fe, Zn, and Cu in hair and could thus serve as a simple tool for monitoring exposure to potentially hazardous levels of these metals.

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

    PubMed Central

    Zafar, Syed Nabeel; Syed, Reema; Waqar, Sana; Irani, Faria A; Saleem, Sarah

    2008-01-01

    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. PMID:18485246

  20. Nuclear programs in India and Pakistan

    SciTech Connect

    Mian, Zia

    2014-05-09

    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.

  1. Nuclear programs in India and Pakistan

    NASA Astrophysics Data System (ADS)

    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.

  2. Pottery from Pakistan. A Handbook.

    ERIC Educational Resources Information Center

    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…

  3. Islamic Education in Pakistan

    ERIC Educational Resources Information Center

    Fair, C. Christine

    2006-01-01

    On March 21, 2006 Christine Fair spoke about her recent trip to Pakistan. Fair's fieldwork was conducted with her Pakistan-based colleague Syed Rashad Bukhari and in collaboration with the National Bureau of Asian Research. Fair and Bukhari spent nearly three weeks visiting administrators at ten of the most prominent post-secondary madaris…

  4. Islamic Education in Pakistan

    ERIC Educational Resources Information Center

    Fair, C. Christine

    2006-01-01

    On March 21, 2006 Christine Fair spoke about her recent trip to Pakistan. Fair's fieldwork was conducted with her Pakistan-based colleague Syed Rashad Bukhari and in collaboration with the National Bureau of Asian Research. Fair and Bukhari spent nearly three weeks visiting administrators at ten of the most prominent post-secondary madaris

  5. Cost of treatment of deliberate self-harm. A study from Pakistan.

    PubMed

    Shahid, Muhammad; Khan, Murad M; Naqvi, Haider; Razzak, Junaid

    2008-01-01

    A retrospective review of 98 patients through medical and billing records, over a period of 12 months (January to December 2004), was conducted to evaluate the cost of treatment of patients presenting with deliberate self-harm (DSH) to a private tertiary care teaching hospital in Karachi, Pakistan. After initial treatment in the Emergency Department (ED), 34 patients were admitted to the medical wards for further treatment and 64 patients were either discharged or left against medical advice from ED. The mean cost for admitted and discharged patients was US $255 and US $55.60, respectively. One patient was intubated in the ED and shifted to intensive care unit. The cost of treatment of DSH is extremely high in a country like Pakistan, where the patients have to bear the hospital cost out of their own pocket. The most important determinant of cost was length of hospital stay, averaging 2.91 days. PMID:19069614

  6. Dimensions of physical wellness among medical students of public and private medical colleges in Pakistan

    PubMed Central

    Khan, Rakhshaan; Rehman, Rehana; Baig, Mukhtiar; Hussain, Mehwish; Khan, Mariam; Syed, Fatima

    2015-01-01

    Objectives: To determine adherence to dimensions of physical wellness among medical students of public and private medical colleges in Pakistan. Methods: This cross-sectional study was carried out from January to July 2011 among 820 students of private and public medical colleges in Karachi, Pakistan. Results: Overall, medical students scored low in dimensions of physical wellness. Private medical colleges students were fond of vigorous activities such as aerobics and swimming, whereas public medical colleges students were involved in moderate intensity activities such as walking and use of stairs (p<0.0001). Private students reported to consume more fast food (p=0.0001), had less sleep (p=0.0001), but attended regular annual medical checkups (p=0.009) as compared with their public institute counterparts. Safe practices such as avoidance of tobacco were almost the same. Conclusion: Comprehensive adherence to all dimensions of physical wellness was lacking among medical students. PMID:25987122

  7. Status of heavy metal residues in fish species of Pakistan.

    PubMed

    Hussain, Majid; Muhammad, Said; Malik, Riffat N; Khan, Muhammad U; Farooq, Umar

    2014-01-01

    In this review, we evaluate and summarize the available data that addresses the levels of HM that exist in aquatic species, mainly fish, of Pakistan. Data on this topic were collected from the literature of the last two decades (1990-2012). Results revealed that the highest number (>50%) of studies addressing HM-contaminated fish have occurred in the Punjab province, followed by the Sindh and Khyber Pakhtunkhwa provinces. Our review disclosed that the HM concentrations in Pakistani fish species varied considerably with location. Generally, the level of HM residues detected in fish species had the following descending order: Fe>Zn>Pb>Cd>Hg>Ni>Cu>Ag>Cr>Mn>As. Fish samples collected from the Kabul River near the Nowshera district, Stretch of Ravi River, Indus River near Mainwali district, and Arabian Sea at Karachi revealed extremely high HM concentrations (range: 0.34-8,381.30 jlg/g), compared to other fresh water bodies, such as the Llyold Barrage, Guddu Barrage, Jinnah Barrage, and Chashma Barrage (0.01-2.13 jlg/g). As a reference point, we also reviewed selected data on HM fish residues that exist in countries that neighbor Pakistan. With the exception of fish collected in India, the majority of fish analyzed for HM residues in neighboring countries displayed lower residues than did fish from Pakistan. We concluded from reviewing the available published data that the most probable sources for the HM contaminants found in Pakistani water and fish were release of domestic sewage, agricultural runoff, and industrial effluents. We strongly recommend that action be taken to better control the discharges of unregulated waste that enters the Pakistani aquatic environment, with the intent to mitigate any continuing future damage to the aquatic ecosystem. We also recommend intensifying research programs that address the toxicity of HM to the aquatic environment, so that a better understanding of metal effects on fish can be achieved that will lead to a sustainable ecological harmony in Pakistan. PMID:24609520

  8. Is Stapled Hemorrhoidectomy a Safe Procedure for Third and Fourth Grade Hemorrhoids? An Experience at Civil Hospital Karachi.

    PubMed

    Bota, Rafaqat; Ahmed, Mushtaq; Aziz, Adnan

    2015-12-01

    Hemorrhoids are amongst the most frequent anorectal conditions affecting approximately 4-36 % of the general population. The study was carried out to assess the clinical consequences of stapled hemorrhoidectomy comparing results with other published literature regarding postoperative pain, bleeding, incontinence, and other complications. A total of 120 patients were included in this study with symptomatic grade 3 or 4 prolapsed hemorrhoids, who underwent stapled hemorrhoidectomy from January 2006 to January 2012 at the Civil Hospital Karachi, Pakistan. In 92 patients (76.6 %), proctological examination showed grade 3 hemorrhoids. Fourth degree hemorrhoids were found in 28 cases (23.4 %). Hospitalization time ranged between 1 and 3 days (median time was 34 h). Seventy-eight patients were discharged on the first postoperative day, without severe pain, and the remaining 42 patients were discharge on the third day. Two cases of postoperative pain and thrombosis were found as postoperative complications. Stapled hemorrhoidectomy is a safe and quick procedure associated with less pain, better outcome, and early recovery with shorter hospital stay. PMID:27011510

  9. Pakistan's community health workers.

    PubMed

    Majumdar, B; Amarsi, Y; Carpio, B

    1997-05-01

    Pakistan's health characteristics are worse than those of other Asian countries at similar stages of development. Its mortality rate for children under five is 139 per 1,000, and its maternal mortality is 60 per 10,000. Malnutrition in women and children is widespread; 50 per cent of children under five are stunted. Pakistan's population growth rate of 3.1 per cent per year is among the highest in Asia. The high population growth rate and poor health status of many people call for extensive health care services, but, unfortunately, health services do not reach most of the people of Pakistan. Partly because the training of doctors and nurses is lengthy and expensive, there is an acute shortage of health care providers, especially women. Although female health professionals are preferred for caring for women, cultural constraints inhibit women from seeking education. Such is the multifaceted dilemma in the provision of primary health care in Pakistan. PMID:9223980

  10. Report: prevalence of shigellosis in three different areas of Karachi.

    PubMed

    Qureshi, Tasneem; Saeed, Aftab; Usmanghani, Khan

    2014-03-01

    Shigellosis is communicated when the pathogen is swallowed down through the factors like stool or polluted hands with dust. Inappropriate hygienic conditions may reach such clinical manifestations. Shigellosis is frequently originated in crowded places and where hygienic conditions are insufficient and sanitation is poor. Infections easily transmissible from person to person like family members or infected playmates. The disease can easily transmit through infected food handlers with inappropriate hygienic conditions, crops nurturing in contaminated water with sewage line system, swimming in contaminated pool water. Similarly houseflies can also form an important vector for its transmission. In this study, Ecological factors were also the causative indicators for the disease. The issue was the water contamination of the different areas of Karachi mainly the Pehlwan Goth, Safora Goth. Then another area we focused was Patel Para in which Salmonella species were present. Other indicator was the individual-to-individual transfer that was common in Safora Goth. PMID:24577930

  11. Nuclear nonproliferation: India Pakistan. Research report

    SciTech Connect

    Fallon, J.S.

    1997-04-01

    As most of the world continues to seek ways to reduce or eliminate the spread of nuclear weapons, two countries seem intent on pursuing a path which is contradictory. India and Pakistan, two neighboring and frequently warring nations, condemn the use of nuclear weapons as they continue to develop the capability to deliver a nuclear payload. Additionally, India has stood against the Non-Proliferation Treaty, insisting that all nations must agree to eliminate nuclear weapons. It is against this seemingly hopeless situation that this report is focused. How can nuclear proliferation in South Asia be diffused while answering the security concerns of both India and Pakistan. What I offer here is a review of the history, the current situation for the area, and a proposed solution to this nuclear stalemate.

  12. Pakistan: Frontline state again. Master`s thesis

    SciTech Connect

    Rivard, D.S.

    1995-12-01

    The objective of this study is to determine Pakistan`s place in contemporary U.S. national security strategy. Today, U.S.-Pakistan relations are strained due to the Pressler Amendment to the Foreign Assistance Act. The Pressler Amendment prohibits arms transfers from the United States to Pakistan in response to Pakistani efforts to develop a nuclear weapon capability. This thesis provides a historical background to the current impasse by examining Pakistani foreign policy since 1947. Next, the study examines the evolution of U.S. interests and security objectives in South and Southwest Asia. Current security objectives analyzed are the U.S. strategies to contain Iran and Iraq and to prevent nuclear proliferation in the region. In order to attain security objectives in the region, the author concludes that the U.S. needs a close cooperative relationship with Pakistan. Since the Pressler Amendment stands as the greatest obstacle to improved U.S.-Pakistan relations, the amendment should be repealed.

  13. Barite in Pakistan

    USGS Publications Warehouse

    Klinger, F.L.; Richards, R.L.

    1973-01-01

    Before 1953 almost no barite deposits were known in Pakistan. Discovery of such deposits relatively close to oil fields in northern Pakistan in 1953 led to increased barite production from 1957 to 1961 and to doubling of production in 1962, firmly establishing new industry for the country. During 1962 and 1963, most of the known barite deposits in Pakistan were geologically mapped, and minimum reserves were estimated to be 1,423,000 short tons. The largest single deposit, Ehuzdar, is estimated to contain more than 1,100,000 short tons of barite. Barite has been found in Pakistan principally in the Hazara, Khuzdar, and Las Bela districts. Although several vein deposits contain good quality barite, 90 percent of estimated reserves are in replacement deposits concordant to bedding in sedimentary rocks. Host rocks range in age from Precambrian to Pleistocene, but the periods of barite deposition are probably Jurassic or younger. Some barite concentrated in sandstone may be of detrital origin. In late 1962, demand for barite in Pakistan was estimated at about 8,000 tons annually. Although domestic barite resources exceed this figure, less than 40 percent of demand was being supplied by domestic nines in 1963. Transportation costs and limited production facilities are partly responsible for output, but the lack of quality control is a major obstacle. Producers are not generally familiar with commercial specifications for barite and have net recognized that their products are too impure to be successfully marketed without installing the necessarycontrol procedures of sampling and beneficiation.

  14. Forensic psychiatry in Pakistan.

    PubMed

    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. PMID:26024984

  15. Cretaceous source rocks in Pakistan

    SciTech Connect

    Kari, I.B. )

    1993-02-01

    Pakistan is located at the converging boundaries of the Indian, Arabian, and Eurasian plates. Evolution of this tectonic setting has provided an array of environmental habitats for deposition of petroleum source rocks and development of structural forms. The potential Cretaceous source rocks in Central and South Indus Basin are spread over an area of about 300,000 km[sup 2]. With 2% cutoff on Total Organic Carbon, the average source rock thickness is 30-50 m, which is estimated to have generated more than 200 billion bbl of oil equivalent. To date, production of more than 30,000 bbl of oil and about 1200 million ft[sup 3] of gas per day can be directly attributed to Cretaceous source. This basin was an area of extensional tectonics during the Lower to Middle Cretaceous associated with slightly restricted circulation of the sea waters at the north-western margin of Indian Plate. Lower Cretaceous source rocks (Sembar Formation) were deposited while the basin was opening up and anoxia was prevailing. Similarly Middle to Upper Cretaceous clastics were deposited in setting favorable for preservation of organic matter. The time and depth of burial of the Cretaceous source material and optimum thermal regime have provided the requisite maturation level for generation of hydrocarbons in the basin. Central Indus basin is characterized by Cretaceous source rocks mature for gas generation. However, in South Indus Basin Cretaceous source rocks lie within the oil window in some parts and have gone past it in others.

  16. Country Profiles, Pakistan.

    ERIC Educational Resources Information Center

    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,…

  17. Pakistan boosts science budget

    NASA Astrophysics Data System (ADS)

    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.

  18. Seismic azimuthal anisotropy beneath the Pakistan Himalayas

    NASA Astrophysics Data System (ADS)

    Sandvol, Eric A.; Ni, James F.; Hearn, Thomas M.; Roecker, Steve

    1994-07-01

    Teleseismics S, SKS, and SKKS data, collected from a temporary broadband array across the Himalayan front in Pakistan, are analyzed for shear-wave splitting parameters. The SKS and SKKS phases have ray paths originating from both the South Pacific and Colombia which have azimuths approximately 40 deg apart with respect to the Pakistan array. If significant seismic azimuthal anisotropy is present we should observe splitting associated with one of these ray paths. No evidence was seen for any shear-wave splitting beneath any of the stations in the array. Teleseismic S waves were also used in order to provide better azimuthal coverage for the shear-wave splitting measurements. We were able to correct for any source-side anisotropy when needed. No receiver-side splitting was observed in any of the S wave data. The lack of shear-wave splitting beneath the Pakistan array indicates that there is no appreciable large-scale azimuthal anisotropy beneath this part of the Himalayas. Therefore, if there is any significant strain in the upper mantle beneath this area, it must either be vertically oriented, or, if horizontal, vertically vary in such a way that the integrated effect on S wave splitting is null.

  19. Interorganizational collaboration for health care between nongovernmental organizations (NGOs) in Pakistan.

    PubMed

    Gulzar, Laila; Henry, Beverly

    2005-11-01

    The complexity and cost of health systems requires innovative forms of organization to provide accessible health services of an acceptable quality and at an acceptable cost. Interorganizational collaboration (IoC) is an innovation to increase the availability of organizational resources, improve service effectiveness, and improve access to health care. In Pakistan, a weak health system and little collaboration limit access, especially of women and children, to health services. Many nongovernmental organizations (NGOs) provide primary health care to the very poor, and some appear to collaborate to varying degrees; however, this has not been systematically analyzed. The purpose of this qualitative research, the first scientific study of collaboration between NGOs providing health services in Pakistan, was to describe collaboration between three pairs of NGOs providing community-based health services to women in Karachi. A long-term goal is to build a basis for future research linking IoC to access to health care and health outcomes. Findings indicated that collaboration was strongest when there was willingness to cooperate, a need for expertise and funds, and adaptive efficiency. In Pakistan's complex social environment, collaboration tended to be stronger when there was fairly high organizational formalization. Broader IoC appears to be positively associated with women's access to health care. Recommendations are made for future research, education, and management. PMID:15935537

  20. Community perceptions of reasons for preference for consanguineous marriages in Pakistan.

    PubMed

    Hussain, R

    1999-10-01

    Although the recent Pakistan Demographic and Health Survey (DHS) show that two-thirds of marriages in Pakistan are consanguineous, the sociocultural determinants of such marriages remain largely unexplored. This paper examines the relative importance of the three commonly perceived reasons for such marriages: religious, economic and cultural. The analysis is based on qualitative data collected in 1995 from multi-ethnic and multi-religious communities in Karachi, the largest city of Pakistan. Results show that consanguineous marriages are preferred across all ethnic and religious groups to a varying degree, and that parents continue to be the prime decision-makers for marriages of both sons and daughters. The major reasons for a preference for consanguineous marriages are sociocultural rather than any perceived economic benefits, either in the form of consolidation of family property or smaller and less expensive dowries. Among Muslims, following religious traditions is the least commonly cited reason for such marriages. Despite the reported sociocultural advantages of consanguineous marriages, such unions are perceived to be exploitative as they perpetuate the existing power structures within the family. PMID:10581876

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

    PubMed Central

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

    2015-01-01

    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. PMID:26351662

  2. Three Cups of Tea: Building Collaborations to Assess Earthquake Hazard in Pakistan

    NASA Astrophysics Data System (ADS)

    Hough, Susan E.; Yong, Alan

    2009-12-01

    Modern Methods in Seismic Hazard Assessment; Nagarkot, Nepal, 8-12 June 2009; The M7.6 Muzaffarabad, Pakistan, earthquake struck the Pakistani Kashmir on 8 October 2005, claiming more than 80,000 lives. The earthquake underscored two points about earthquake hazard in Pakistan: first, that it is high, and, second, that it is poorly understood. In Karachi, for example, hazard is generally considered to be low, yet this rapidly growing megacity is as close to a major strike-slip fault system as Los Angeles is to the San Andreas fault. The Pakistani engineering community has sought guidance from seismologists on improved characterization of seismic hazard. This requires both improved hazard assessment methodology and improved constraints on the critical inputs to seismic hazard maps, for example, assessment of fault slip rates and geological site characterization. These inputs are currently unavailable. Efforts to map seismicity and attenuation and to estimate fault slip rates have been hampered by political instability. Yet there is no shortage of intellectual energy—Pakistan boasts an eager community of trained earthquake professionals.

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

    PubMed

    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. PMID:26351662

  4. Tectonics of the Himalayan thrust belt in northern Pakistan

    NASA Technical Reports Server (NTRS)

    Yeats, R. S.; Lawrence, R. D.

    1982-01-01

    It is pointed out that the Himalayan ranges of southern Asia represent a dilemma in modern plate tectonic theory. Alvarez (1982) has tried to resolve some of the problems, but inconsistencies remain. The present investigation considers some of the problems which are now encountered in light of present knowledge. The investigation is concerned mainly with the evolution of the Himalaya south of the Main Mantle Thrust (MMT) and the Indus-Tsangpo suture zone, taking into account the neotectonic setting of northern Pakistan. Attention is given to subdivisions of the central Indian Himalaya, the transition from central Himalaya to northern Pakistan, subdivisions of the Himalaya of northern Pakistan, and aspects of neotectonics. Problems for future work are also discussed.

  5. Egrets as monitors of trace-metal contamination in wetlands of Pakistan.

    PubMed

    Boncompagni, E; Muhammad, A; Jabeen, R; Orvini, E; Gandini, C; Sanpera, C; Ruiz, X; Fasola, M

    2003-10-01

    Environments in Pakistan are subject to increasing pollution, but previous studies were very scanty. During 1999 and 2000, we assessed trace element contamination at three wetlands, Karachi Harbour (with presumed industrial-urban pollution), Taunsa Barrage (agricultural pollution), and Haleji Lake (relatively unpolluted), using as indicators the eggs and the feathers of colonial waterbirds, particularly Little Egrets, their prey, and the sediments collected within their foraging areas. The concentrations of As, Cd, Cr, Pb, Hg, Mn, Se, and Zn were generally within the normal background level, and mostly below the threshold that may affect bird survival or reproduction. However, somewhat high concentrations were found in fish from Karachi, for Pb that was at levels that may harm fish reproduction, and for Hg that was at limit concentration for human consumption. Alarming concentrations were found for Cr and Se in sediments from Karachi, that were above the critical levels for contaminated soil, and Se in eggs, that may affect egret reproduction. The differences among the three wetlands were less marked than hypothesized. The egret species within the same area differed in the concentration of certain elements in their eggs, possibly because females may have foraged in different habitats before breeding, whereas no interspecies difference was found in chick feathers, presumably because their food had been collected in similar habitats around the colony. High bioaccumulation from sediments to organic samples occurred for Hg, while Cd, Se, and Zn exhibited low accumulation; for all these elements, feathers of predatory birds such as the egrets are the best indicators of environmental contamination. On the other hand, As and Cr did not bioaccumulate, and the sediments, or the organisms low in the food chain, like fish or crustaceans, are better indicators of their presence in the environment than predatory birds. PMID:14674593

  6. Risks of drowning and safety concerns at the beaches of Karachi--perspective from lifeguards.

    PubMed

    Shaikh, Masood Ali

    2014-05-01

    Going to beaches is a popular pastime for many people in Karachi. Lifeguards have been deployed on many beaches for the safety and protection of beachgoers. This cross-sectional survey was conducted to study the opinions and experiences of lifeguards posted at eight beaches of Karachi. Ignorance among beachgoers about how dangerous it could be at seaside, was reported by 19 (61.3%) out of 31 lifeguards interviewed. Lifeguards had to put up with verbal and physical abuse while discharging their duties, with verbal abuse being the universal experience. Improved record keeping of drowning and near-drowning data would help make better evidence-informed beach-safety decisions in Karachi for reducing the morbidity and mortality burden owing to drowning. PMID:25272549

  7. Country watch: Pakistan.

    PubMed

    Toll, K; Agha, S

    1999-01-01

    In Pakistan, which has a high fertility rate, affordable prices of condoms and family planning services attract low-income residents. This was shown by the two projects: the condom distribution scheme and the family planning franchise. A condom social marketing (CSM) program started by Population Services International (PSI) increased contraceptive use in urban areas and sold low-priced condoms. However, in 1991 the price doubled in order to recover the costs, which resulted in a decline in sales. Thus, in 1995 PSI and Social Marketing Pakistan franchised the Green Star project that aimed to raise the quality of private sector family planning clinics serving low-income women and to increase the availability and use of female-controlled contraception. By 1996, the CSM project was selling over 80 million condoms annually. PMID:12295466

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

    NASA Astrophysics Data System (ADS)

    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.

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

    PubMed

    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. PMID:18561738

  10. Addition of steroids in medicated dentrifices marketed in Pakistan: a possible serious health hazard.

    TOXLINE Toxicology Bibliographic Information

    Farooqi OA; Hosein T; Hosein MM; Farooqui OA

    2003-08-01

    OBJECTIVE: To determine whether some dentrifices contain steroids.MATERIALS AND METHODS: Samples of 20 brands claiming to have any medicinal benefit and readily available in the open market were submitted for testing for the presence of steroids to the Pakistan Council of Scientific and Industrial Research Laboratories, Karachi.RESULTS: Eight samples tested positive on the first test and seven were positive after a second, confirmatory test.CONCLUSION: All these brands are freely available over the counter and their labels do not list steroid as an ingredient. Exposing consumers unknowingly to steroid may be regarded as a serious health hazard. Our state regulatory bodies and media need to play an active role in the prevention and monitoring of such possibly unethical marketing.

  11. View of Pakistan Atomic Energy Commission towards SMPR's in the light of KANUPP performance

    SciTech Connect

    Huseini, S.D.

    1985-01-01

    The developing countries in general do not have grid capacities adequate enough to incorporate standard size, economic but rather large nuclear power plants for maximum advantage. Therefore, small and medium size reactors (SMPR) have been and still are, of particular interest to the developing countries in spite of certain known problems with these reactors. Pakistan Atomic Energy Commission (PAEC) has been operating a CANDU type of a small PHWR plant since 1971 when it was connected to the local Karachi grid. This paper describes PAEC's view in the light of KANUPP performance with respect to such factors associated with SMPR's as selection of suitable reactor size and type, its operation in a grid of small capacity, flexibility of operation and its role as a reliable source of electrical power.

  12. Geothermal areas in Pakistan

    SciTech Connect

    Shuja, T.A.

    1986-01-01

    In this paper an attempt has been made to correlate the tectonic and geologic features with surface manifestations of geothermal activity in Pakistan to delineate prospective areas for exploration and development of geothermal energy. Underthrusting of the Arabian plate beneath the Eurasian plate has resulted in the formation of Chagai volcanic arc which extends into Iran. Quaternary volcanics in this environment, along with the presence of thermal springs, is an important geotectonic feature revealing the possible existence of geothermal fields. Geothermal activity in the northern areas of Pakistan, as evidenced by thermal springs, is the likely result of collision and underthrusting of the Indian plate beneath the Eurasian plate. Numerous hot springs are found along the Main Mantle thrust and the Main Karakorum thrust in Chilas and Hunza areas respectively. The concentration of hot springs in Sind Province is also indicative of geothermal activity. A string of thermal seepages and springs following the alignment of the Syntaxial Bend in Punjab Province is also noteworthy from the geothermal viewpoint. In Baluchistan Province (southwest Pakistan), Hamun-e-Mushkel, a graben structure, also shows geothermal prospects on the basis of aeromagnetic studies.

  13. Anthracycline-induced cardiotoxicity: prospective cohort study from Pakistan

    PubMed Central

    Shaikh, Abdul Sattar; Saleem, Ali Faisal; Mohsin, Shazia Samad; Alam, Muhammad Matloob; Ahmed, Mehnaz Atiq

    2013-01-01

    Objectives To identify anthracycline-induced acute (within 1 month) and early-onset chronic progressive (within 1 year) cardiotoxicity in children younger than 16 years of age with childhood malignancies at a tertiary care centre of Pakistan. Design Prospective cohort study. Setting Aga Khan University, Karachi, Pakistan. Participants 110 children (aged 1 month–16 years). Intervention Anthracycline (doxorubicin and/or daunorubicin). Outcome measurements All children who received anthracycline as chemotherapy and three echocardiographic evaluations (baseline, 1 month and 1 year) between July 2010 and June 2012 were prospectively analysed for cardiac dysfunction. Statistical analysis including systolic and diastolic functions at baseline, 1 month and 1 year was carried out by repeated measures analysis of variance. Results Mean age was 74±44 months and 75 (68.2%) were males. Acute lymphoblastic leukaemia was seen in 70 (64%) patients. Doxorubicin alone was used in 59 (54%) and combination therapy was used in 35 (32%). A cumulative dose of anthracycline <300 mg/m2 was used in 95 (86%). Fifteen (14%) children developed cardiac dysfunction within a month and 28 (25%) children within a year. Of these 10/15 (66.6%) and 12/28 (43%) had isolated diastolic dysfunction, respectively, while 5/15 (33.3%) and 16/28 (57%) had combined systolic and diastolic dysfunction. Seven (6.4%) patients expired due to severe cardiac dysfunction. Eight of 59 (13.5%) children showed dose-related cardiotoxicity (p=<0.001). Cardiotoxicity was also high when the combination of doxorubicin and daunorubicin was used (p=0.004). Conclusions Incidence of anthracycline-induced cardiotoxicity is high. Long-term follow-up is essential to diagnose its late manifestations. PMID:24259388

  14. Selected organochlorine pesticides and polychlorinated biphenyls in urban atmosphere of Pakistan: concentration, spatial variation and sources.

    PubMed

    Nasir, Jawad; Wang, Xiaoping; Xu, Baiqing; Wang, Chuanfei; Joswiak, Daniel R; Rehman, Said; Lodhi, Arifa; Shafiq, Shoaib; Jilani, Rehmatullah

    2014-01-01

    Robust knowledge on the occurrence and distribution of persistent organic pollutants (POPs) in the atmosphere of low-latitude regions is inevitable to forecast their transportation to pristine ecosystem and assess toxicological impacts upon local biota. Despite the earlier revelation of organochlorine pesticides (OCPs) and polychlorinated biphenyls (PCBs) in soils/sediments and water bodies in Pakistan, knowledge about atmospheric levels and sources of these POPs remains limited. For the first time, a network of XAD resin-based passive air samplers (PAS) was established across megacities of Pakistan, i.e., Karachi, the coastal city, and Lahore, lying in an agricultural region. Typical geographical locations of the two cities allowed assessing the influence of source regions on the occurrence and distribution patterns of selected POPs. Average concentrations (ng/PAS) in both cities ranged as endosulfan 39-101, DDTs 63-92, HCHs 33-65, heptachlor 10-26, and PCBs 48-61. High concentrations of endosulfan and lindane as observed throughout Lahore were certainly due to their ongoing applications in surrounding agricultural fields. Lower proportions of parental DDTs as compared to their metabolites were observed in both cities, suggesting inputs of DDTs from older or secondary sources. Owing to ultimate discharge of country's agricultural/industrial waste through river streams in to Arabian Sea, the coastal region of Karachi was found potential source of weathered POPs that could be dissipated at regional/global scales by maritime advections. The study contributes to the pool of information on fate and geographical distribution of POPs in subtropical developing countries. PMID:24467173

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

    PubMed

    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. PMID:26555627

  16. Atmospheric variability of methane over Pakistan, Afghanistan and adjoining areas using retrievals from SCIAMACHY/ENVISAT

    NASA Astrophysics Data System (ADS)

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

    2015-12-01

    In the present work we have studied spatial and temporal variability of methane total column (MTC) over Pakistan and neighboring regions of Afghanistan, India and Iran by using observations of SCanning Imaging Absorption SpectroMeter for Atmospheric CHartographY (SCIAMACHY) aboard EOS ENVISAT. Satellite measurements show large spatio-temporal variations in MTC over the study domain at different time scales. We find an average MTC of 1787±22 ppb (annual average±standard deviation) with 3.7% (slope 7.14±1.28, y-intercept 1751±7.19, r=0.91) increase during the period of January 2003 to April 2012. An enhanced MTC is observed mostly over the Indo-Gangetic Plain and areas with high anthropogenic activities. MTC exhibits a seasonal peak of 1804±28 ppb in summer followed by autumn (1800±25 ppb) and winter (1777±24 ppb). We have also discussed anthropogenic emission estimates in the study area obtained from EDGAR database. Substantial increments of 77% and 61% are observed in anthropogenic CH4 emissions for Pakistan and Afghanistan, respectively, during 1990-2008. Anthropogenic CH4 emissions from enteric fermentation and livestock sectors are found to be the highest. EDGAR data have also identified megacity Lahore, Sukkur, megacity Karachi, Dera Ghazi Khan, megacity Delhi and Ahmedabad as large point sources of CH4 emissions in the region. The emissions from Karachi show the highest increase of 107%, while Lahore is found with the highest annual average emissions of 8.8×10-10 kg m-2 s-1.

  17. Pakistan mental health country profile.

    PubMed

    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. PMID:15276941

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

    PubMed Central

    Azmat, Syed Khurram

    2011-01-01

    Purpose 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. Materials and methods 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. Results 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. Conclusion 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. PMID:22247617

  19. Law Information Facilities in Pakistan.

    ERIC Educational Resources Information Center

    Haider, Syed Jalaluddin

    1985-01-01

    Examination of present conditions of law libraries in Pakistan with respect to their origin, resources, and services covers court libraries, academic law libraries, bar association libraries, government department libraries. Development of legal information service, the judicial system in Pakistan, and problems and prospects peculiar to law…

  20. Association of airborne Aspergillus with asthma exacerbation in Southern Pakistan

    PubMed Central

    Zubairi, Ali Bin Sarwar; Azam, Iqbal; Awan, Safia; Zafar, Afia

    2014-01-01

    Background Exposure to airborne fungi has been related with exacerbation of asthma in adults and children leading to increased outpatient, emergency room visits, and hospitalizations. Hypersensitivity to these airborne fungi may be an important initial predisposing factor in the development and exacerbation of asthma. Objective This study was conducted to determine an association between fungal types and spore concentrations with the risk of asthma exacerbation in adults. Methods This cross-sectional study was conducted from May 2008 to August 2009 at the Aga Khan University Hospital Karachi, Pakistan. All adult (age≥16 years) patients presenting to the hospital with acute asthma exacerbation were enrolled after informed consent. A home survey was conducted for each patient to assess their environmental characteristics. Indoor air samples were also obtained from the patient's home to determine the type and spore concentration of fungi within the week of their enrollment in the study. Results Three hundred and ninety-one patients with an acute asthma exacerbation were enrolled during the study period. The mean age of participants was 46 years (standard deviation, ±18 years) and 247 (63.2%) were females. A trend of higher asthma enrollment associated with higher Aspergillus concentrations was found in two consecutive summers. A total of nineteen types of fungi were found in air samples. Aspergillus spp. was the most frequently isolated fungus with acute asthma exacerbation. Conclusion An association of higher concentration of indoor Aspergillus spp. with asthma exacerbation in adults was observed in this study. PMID:24809014

  1. Highest priority in Pakistan.

    PubMed

    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 available at the doorsteps of the people; and training, evaluation, and research should be multidimensional and continuous as an integral part of the program. The Central Family Planning Council as the highest autonomous tier formulated basic policy for the Pakistan program. Planning, evaluation, research, and coordination are its main responsibilities. As ignorance and cultural inertia can be overcome only by personal motivation, individual contacts are of high value. Family planning clinics vary in size and capability according to local requirements. The various categories include full-time clinics, part-time clinics in both urban and rural areas; and IUD camps arranged by family planning officers and operated by mobile teams. The provision of monetary incentives is a vital element in the program. Family planning is no longer taboo in Pakistan. There has been a sociological breakthrough, and inhibitions and reservations are fast disappearing. PMID:12313931

  2. Experiences of Adopting Blended Pedagogies in Health Assessment Course in Post RN Baccalaureate Program of Nursing in Karachi, Pakistan

    ERIC Educational Resources Information Center

    Cassum, Shanaz Hussein; Allana, Saleema; Dias, Jacqueline

    2016-01-01

    Purpose: There is little known about whether faculty and students in a resource constricted context experience a change in learning due to the adoption of blended learning (BL) pedagogies in a lab based course. The study aimed to understand the experiences of faculty and students' related to the adoption of BL pedagogies in health assessment…

  3. Duality of female employment in Pakistan.

    PubMed

    Kazi, S; Raza, B

    1991-01-01

    The trends in the level and pattern of women's employment in Pakistan in terms of supply and demand factors which influence women's participation in the labor market are discussed. Women's labor participation is underestimated in official sources such as the Labor Force Survey (LFS) and the Population Census. Figures which were obtained from micro level surveys and the Agricultural Census, show the duality of employment at the top and bottom socioeconomically. LFS data show the female share of the professional work force to have risen from 15.5% to 18.3% between 1984-95 and 1987-88, which translates to 33% of teachers and 25% of physicians being women. Urban female participation rates have increased only slightly from 3 to 5% between 1971 and 72 and 1987-88, based on LFS data, while informal sector surveys have shown an increase of workers who are women who have never worked before in the formal sector. In manufacturing, the female work force remains low at 5% in factories in the Punjab and Sindh, but only 20% were in regular employment compared with 50% of men. Agricultural work on the family farm has increased from 35% in 1972 and 42% in 1980. Increases are also shown in more recent LF surveys. Constraints on both male and female employment are the recent (1978-79 and 1986-87) shift to capital investment in agriculture with tubewells and tractors and in manufacturing. Women's movement into agriculture may be precipitated by men's out migration to urban areas or the Gulf region into other nonfarm occupations. In manufacturing there is exploitation of workers through low overhead costs of temporary or part time help. Supply constraints for women involve cultural restrictions, household responsibilities, and low levels of education and skills. Women enter the work force out of financial need. Data on female-headed households are scarce, but a Karachi survey finds that most female-headed households belong to the poorest strata and women work when family size increases. Enrollment figures show part of the gender gap in education and skills with 33% of women enrolling in school at the primary level and 25% at the secondary level. 50-60% drop out at the primary level. Area of study is also gender dominated with few women in engineering, commerce, and law. The problems of female employment are restricted demand in the labor market and supply side constraints. Preventing regular employment and keeping women in casual positions in the informal sector is the outcome of a deliberate policy of exploitation of a cheap source of labor. PMID:12285308

  4. Nuclear nonproliferation strategies for South Asia

    SciTech Connect

    Davis, Z.S.

    1994-05-03

    Continued expansion of the nuclear weapons capabilities of India and Pakistan, coupled with ongoing conflict between them, raises the probability of nuclear war in South Asia. A nuclear arms race between India and Pakistan could also harm efforts to discourage other nations from acquiring nuclear weapons. United States policy opposes the spread of nuclear weapons because proliferation increases threats to U.S. national security and to world peace and stability. However, there is debate on the dangers of an escalating arms race in South Asia. Steps taken by the United States and other countries to persuade India and Pakistan to end their nuclear weapons programs have had limited success, at most slowing down their pace. A complicating factor is that India maintains a nuclear capability in part to deter China, whereas Pakistan`s nuclear weapons capability is aimed at deterring India`s superior conventional and nuclear capabilities. Analysts and policy officials are divided on how to avoid an arms race in South Asia. The Clinton Administration has renewed efforts to break the deadlock over nonproliferation, but longstanding obstacles have blocked progress. Pakistan favors a regional approach to nonproliferation, while India insists on a global approach that treats the nuclear powers on an equal basis with non nuclear weapon countries. This report analyzes the nuclear capabilities of India and Pakistan and reviews several options for U.S. nonproliferation policy in South Asia.

  5. Moving Toward a Regional Safeguards System in South Asia

    SciTech Connect

    Killinger, Mark H.; Griggs, James R.

    2001-07-28

    In addressing the nuclear nonproliferation challenges of South Asia, it is useful to examine the similar past nonproliferation problems in South America. The nuclear rapprochement between Argentina and Brazil involved several developments in progression. We conclude that two developments are particularly applicable to the India/Pakistan problem: technical cooperation and a regional safeguards system. This paper reviews the history of Argentina/Brazil rapprochement, discusses application to India/Pakistan, and proposes specific actions to move South Asia toward regional stability.

  6. Molecular characterisation of banana bunchy top virus (BBTV) from Pakistan.

    PubMed

    Amin, Imran; Qazi, Javaria; Mansoor, Shahid; Ilyas, Muhammad; Briddon, Rob W

    2008-02-01

    Banana bunchy top disease is caused by a single-stranded circular DNA virus, banana bunchy top virus (BBTV), which is a member of the genus Babuvirus (family Nanoviridae). We have cloned and sequenced five components (DNA-R, DNA-S, DNA-N, DNA-M and DNA-C) of a BBTV isolate originating from Pakistan. In addition, the DNA-R and several other components of five further isolates, originating from geographically distinct sites across the banana-growing area of Sindh province, Pakistan, were cloned and sequenced. Analysis of the sequences indicates that BBTV present in Pakistan belongs to the "South Pacific" group of isolates and that the genetic diversity of the virus in the country is very low. The virus shows the highest levels of sequence identity to BBTV isolates originating from Egypt, India and Australia. The significance of these results with respect to the possible origin of the virus in Pakistan and the prospects for obtaining genetically engineered resistance to the virus are discussed. PMID:17990091

  7. Albian ammonites from northern Pakistan

    NASA Astrophysics Data System (ADS)

    Kennedy, William James; Fatmi, Ali N.

    2014-03-01

    The occurrence of rich Albian ammonite faunas in what is now northern Pakistan has been known for more than 80 years, but there has been no comprehensive account of the assemblages present. A total of 36 taxa are described below. The middle part of the Lumshiwal Formation yields Upper Aptian ammonites south of the Samana Range. Elsewhere, it yields Douvilleiceras leightonense Casey, 1962, of the lower Lower Albian Leymeriella regularis Zone and the Sonneratia perinflata and S. kitchini Subzones of the Sonneratia chalensis Zone of the northwest European sequence. The top one to two metres of the Lumshiwal yields an abundant fauna of rolled and phosphatised ammonites that includes elements from much of the Albian. Of these, Prolyelliceras gevreyi (Jacob, 1907) first appears in the lower Lower Albian Leymeriella tardefurcata Zone. The commonest ammonite is Douvilleiceras mammillatum (Schlotheim, 1813) sensu lato, which ranges from the perinflata Subzone of the chalensis Zone to the Otohoplites bulliensis Subzone of the O. auritiformis Zone of the Lower Albian. The presence of Lyelliceras pseudolyelli (Parona and Bonarelli, 1897) indicates the uppermost, pseudolyelli Subzone of the auritiformis Zone. The presence of Lyelliceras lyelli (d'Orbigny, 1841) indicates the basal Middle Albian lyelli Subzone of the Hoplites dentatus Zone. There is no evidence for the higher parts of the Middle Albian. Dipoloceras (Rhytidoceras ) sp. indicates the presence of lower Upper Albian, possibly the pricei Zone. There is evidence, in the form of specifically indeterminate Mortoniceras (Mortoniceras) sp., of a level within the inflatum to fallax Zone inteval from a single locality, but no evidence of the succeeding parts of the upper Upper Albian. The base of the Kawagarth Formation that succeeds the Lumshiwal yields lower Upper Albian Mortoniceras (M.) geometricum Spath, 1932 of the Mortoniceras pricei Zone, northwest of Darmasand in the Samana range.

  8. Establishment of a comprehensive epilepsy center in pakistan: initial experiences, results, and reflections.

    PubMed

    Tahir, M Zubair; Sobani, Zain A; Quadri, S A; Ahmed, S Nizam; Sheerani, Mughis; Siddiqui, Fowzia; Boling, Warren W; Enam, Syed Ather

    2012-01-01

    Background. Developing countries, home to 80% of epilepsy patients, do not have comprehensive epilepsy surgery programs. Considering these needs we set up first epilepsy surgery center in Pakistan. Methods. Seventeen teleconferences focused on setting up an epilepsy center at the Aga Khan University (AKU), Karachi, Pakistan were arranged with experts from the University of Alberta Hospital, Alberta, Canada and the University of West Virginia, USA over a two-year period. Subsequently, the experts visited the proposed center to provide hands on training. During this period several interactive teaching sessions, a nationwide workshop, and various public awareness events were organized. Results. Sixteen patients underwent surgery, functional hemispherectomy (HS) was done in six, anterior temporal lobectomy (ATL) in six, and neuronavigation-guided selective amygdalohippocampectomy (SAH) using keyhole technique in four patients. Minimal morbidity was observed in ATL and, SAH groups. All patients in SAH group (100%) had Grade 1 control, while only 5 patients (83%) in ATL group, and 4 patients (66%) in HS group had Grade 1 control according to Engel's classification, in average followups of 12 months, 24 months and 48 months for SAH, ATL, and HS, respectively. Conclusion. As we share our experience we hope to set a practical example for economically constrained countries that successful epilepsy surgery centers can be managed with limited resources. PMID:22957232

  9. Unsafe injections and the transmission of hepatitis B and C in a periurban community in Pakistan.

    PubMed Central

    Khan, A. J.; Luby, S. P.; Fikree, F.; Karim, A.; Obaid, S.; Dellawala, S.; Mirza, S.; Malik, T.; Fisher-Hoch, S.; McCormick, J. B.

    2000-01-01

    Following reports of frequent deaths associated with jaundice and chronic liver disease among adults in a periurban community of Karachi, Pakistan, an investigation was conducted to evaluate the relationship between injections and viral hepatitis infections, to identify the reasons why patients received frequent injections, and to observe the injection practices employed in clinics. Two hundred and three adult patients were interviewed as they left each of the 18 area clinics. Practitioners were interviewed and three consecutive injections were observed at each clinic. Eighty-one per cent of patients received an injection on the day of the interview. Of the 135 patients who provided a serum sample, 59 (44%) had antibodies against hepatitis C virus and 26 (19%) had antibodies against hepatitis B virus. Patients who received more injections were more likely to be infected with hepatitis C. If oral and injected medications were equally effective, 44% of patients preferred injected medication. None of the practitioners knew that hepatitis C could be transmitted by injections. Non-sterile syringes and needles that had been used earlier in the day on other patients were used for 94% of the observed injections. Interventions to limit injections to those which are safe and clinically indicated are needed to prevent injection-associated infections in Pakistan and other low-income countries. PMID:10994278

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

    PubMed

    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. PMID:25287803

  11. Renal transplantation in Pakistan.

    PubMed

    Rizvi, S A H; Naqvi, S A A; Zafar, M N

    2002-01-01

    The economic indicators of Pakistan show that the GNP is dollar 70 billion and foreign exchange reserves stand at dollar 8.0 billion and foreign debt at more than dollar 36 billion. Against this backdrop, the government is unlikely to provide state-of-the-art facilities for management of end-stage organ failure. The unequal distribution of wealth leaves more than 40% below the poverty line. Economic solutions are based on temporary fixes where foreign aid and loans keeps the government machinery operational. Many of the basic health measures such as immunization are also foreign funded. Under such a scenario, local philanthropy has come to play a vital role. SIUT developed a model based on self-help--a model based on a community-government partnership, where the doctor plays the pivotal role and the beneficiary is the patient. SIUT acquired funds by developing a community-government partnership. The government fulfills about 40% of the total budget and the rest comes from the community as donations. The scheme has been extremely successful in providing free medical care and renal support to thousands of patients. It has been sustained over the past 15 years through complete transparency, public audit and accountability. These confidence-building means stimulate the community to come forward and donate money, equipment and medicines. The goal of transplantation is to provide organs to all with long-term survival of the graft. The emerging challenges to achieve this goal and efforts that can be made to increase and sustain transplant activity in Pakistan require a concerted effort on the part of the government, society and the medical profession. PMID:12971449

  12. Patient communication in radiology: current status of breaking bad news among radiologists and radiology trainees in Pakistan.

    PubMed

    Ali Khawaja, Ranish Deedar; Akhtar, Waseem; Khawaja, Ali; Irfan, Hira; Naeem, Mohammad; Memon, Mukhtiar

    2013-10-01

    Breaking bad news can be an intimidating task for any physician. The aim of this study was to record the practices of breaking bad news to the patients by Pakistani radiologists and trainees. The radiologists and trainees attending the 26th National Radiological Conference in October 2010 in Karachi, Pakistan, were surveyed. The response rate was 76%. The respondents included residents (51%), private practicing radiologists (28%), academic radiologists (13%), and other trainees (8%). Most of the academic radiologists communicated with their patients. The daily frequency of breaking bad news by residents was noted, which was highest in the public teaching hospitals (71%). For severe abnormalities such as malignancy, 50% residents, 55% of the academic radiologists and 74% of the private practicing radiologists were very uncomfortable in disclosure of results. Differences in frequency of communication with patients were noticed with both different training levels, and different settings of practice in a developing country. PMID:24112271

  13. Crystalline rocks of the Spinatizha area, Pakistan

    NASA Astrophysics Data System (ADS)

    Lawrence, R. D.; Yeats, R. S.; Khan, S. H.; Subhani, A. M.; Bonelli, D.

    During the Cretaceous an andesitic arc developed across south Asia facing the Tethys Ocean. Remnants of this arc are preserved in Iran, Afghanistan, and the Chagai Hills and Kohistan, Pakistan. West of the Chaman fault near Spinatizha, Pakistan (33° 33'N, 66° 23'E) a terrain of crystalline rocks is exposed that links the Chagai Hills portion of this arc with the Kandahar portion of it in Afghanistan. Four units are present. (1) The Spinatizha Metamorphic Complex includes orthogneiss, greenschist, amphibolite, metavolcanics, marble and foliated muscovite granite. Extreme variation in rock type and degree of metamorphism characterises the entire complex. It is the oldest unit west of the Chaman fault in Pakistan. (2) The Bazai Ghar Volcanics consist of weakly deformed tuffs, flow breccias, and other coarse-grained pyroclastics of andesitic-arc type. Andesite flows and at least one silicic welded tuff are also present. The Bazai Ghar Volcanics are everywhere separated from the Spinatizha Metamorphic unit by granitic intrusions and a major fault. (3) Both the above units are intruded by a series of calc-alkaline granitic plutons ranging from diorite to granite. The silicic plutons generally intrude the more mafic ones. The Bazai Ghar Volcanics and related intrusions are probably equivalent to the Cretaceous (?) Sinjrani volcanics and the Cretaceous and younger intrusions of the Chagai Hills. (4) Along the fault zone between the volcanic and metamorphic rocks is a small area of previously unknown clastic sedimentary rocks: conglomerates and slates. The unit is of Palaeogene age but cannot yet be correlated with known units. The Spinatizha crystalline terrain extends south along the Chaman fault into Afghanistan and is covered by the Helmund desert to the west. It is the eastern continuation of the calc-alkaline arc terrain of the Chagai Hills dragged by oroclinal flexing into the Chaman transform zone. To the north it connects with the Kandahar volcanic arc. The metamorphic complex may represent the basement on which the arc terrain rests, only exposed due to strong vertical uplift near the Chaman fault.

  14. Prevalence of drug resistance associated mutations in Plasmodium vivax against sulphadoxine-pyrimethamine in southern Pakistan

    PubMed Central

    2013-01-01

    Background In Pakistan, Plasmodium vivax and Plasmodium falciparum co-exist and usage of sulphadoxine-pyrimethamine (SP) against P. falciparum exposes P. vivax to the drug leading to generation of resistant alleles. The main aim of this study was to investigate frequency distribution of drug resistance associated mutations in pvdhfr, pvdhps genes and provide baseline molecular epidemiological data on SP-associated resistance in P. vivax from southern Pakistan. Methods From January 2008 to May 2009, a total of 150 samples were collected from patients tested slide-positive for P. vivax, at the Aga Khan University Hospital, Karachi, or its collection units located in Baluchistan and Sindh Province. Nested PCR using pvdhfr and pvdhps specific primers was performed for all samples.91.3% (137/150) of the samples were tested PCR positive of which 87.3% (131/137) were successfully sequenced. Sample sequencing data was analysed and compared against wild type reference sequences. Results In dhfr, mutations were observed at codons F57L, S58R and S117N/T. Novel non-synonymous mutations were observed at codon positions N50I, G114R and E119K while a synonymous mutation was observed at codon position 69Y. In dhps, mutations were observed at codon position A383G and A553G while novel non-synonymous mutations were observed at codon positions S373T, E380K, P384L, N389T, V392D, T393P, D459A, M601I, A651D and A661V. Conclusion This is the first report from southern Pakistan on SP resistance in clinical isolates of P. vivax. Results from this study confirm that diverse drug resistant alleles are circulating within this region. PMID:23890361

  15. National Level Assessment of Mangrove Forest Cover in Pakistan

    NASA Astrophysics Data System (ADS)

    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. GIS and Remote Sensing based technologies and methods are in use to map forest cover since the last two decades in Pakistan. The national level forest cover studies based upon satellite images include, Forestry Sector Master Plan (FSMP) and National Forest & Range Resources Assessment Study (NFRRAS). In FSMP, the mangrove forest extent was visually determined from Landsat images of 1988 - 1991, and was estimated to be 155,369 ha; whereas, in NFRRAS, Landsat images of 1997 - 2001 were automated processed and the mangroves areas was estimated to be 158,000 ha. To our knowledge, a comprehensive assessment of current mangroves cover of Pakistan has not been made over the last decade, although the mangroves ecosystems have become the focus of intention in context of recent climate change scenarios. This study was conducted to support the informed decision making for sustainable development in coastal areas of Pakistan by providing up-todate mangroves forest cover assessment of Pakistan. Various types of Earth Observation satellite images and processing methods have been tested in relation to mangroves mapping. Most of the studies have applied classical pixel - based approached, there are a few studies which used object - based methods of image analysis to map the mangroves ecosystems. Object - based methods have the advantage of incorporating spatial neighbourhood properties and hierarchical structures into the classification process to produce more accurate surface patterns recognition compared with classical pixel - based approaches. In this research, we applied multi-scale hierarchical approach of object-based methods of image analysis to ALOS - AVNIR-2 images of the year 2008-09 to map the land cover in the mangroves ecosystems of Pakistan. Considering the tide height and phonological effects of vegetation, particularly the algal mats, these data sets were meticulously chosen. Incorporation of multi-scale hierarchical structures made it easy to effectively discriminate among the land cover classes, particularly the mudflats from sparse mangroves, at their respective scales. Results of current image analysis deciphered that the overall mangroves cover of Pakistan is ~ 98,128 ha. Mangroves cover along the Indus Delta is estimated to be 92, 412 ha that is ~94.17 % of the total mangroves area of the country. 1,056 ha of the forest thrive in Sandspit, whilst the remainin 4,660 ha mangroves occurs along the Makran coast in 3 isolated pockets at Miani Hor (4,018 ha), Kalmat Khor (407 ha) and Jiwani (235 ha). Overall accuracy of land cover maps, from 250 ground reference points, was estimated to be 83.2% (kappa value .7301; kappa variance .0029) which was considered acceptable for optical data in a semi-aquatic environment.

  16. Vulnerability of Internally Displaced Children in Disaster Relief Camps of Pakistan: Issues, Challenges, and Way Forward

    ERIC Educational Resources Information Center

    Hirani, Shela Akbar Ali

    2014-01-01

    Pakistan is a developing country with the second highest infant and child mortality rates in South Asia. During the past years this region has undergone several humanitarian emergencies that have negatively affected all the aspects of health and development of young children. During these emergencies relief camps are set up by governmental and

  17. Vulnerability of Internally Displaced Children in Disaster Relief Camps of Pakistan: Issues, Challenges, and Way Forward

    ERIC Educational Resources Information Center

    Hirani, Shela Akbar Ali

    2014-01-01

    Pakistan is a developing country with the second highest infant and child mortality rates in South Asia. During the past years this region has undergone several humanitarian emergencies that have negatively affected all the aspects of health and development of young children. During these emergencies relief camps are set up by governmental and…

  18. Interpretive Analysis of New Teacher Education Curriculum Reform Introduced in Pakistan

    ERIC Educational Resources Information Center

    Huma, Afshan

    2013-01-01

    Pakistan is among those South Asian countries that are still striving for a successful education policy to be in place for achieving the goals of quantity and quality. For more than 66 years there have been many interventions and initiatives to reform current practices in public educational institutions. In 2009 a similar initiative was taken by…

  19. Cancer profile of Larkana, Pakistan (2000-2002).

    PubMed

    Bhurgri, Yasmin; Pervez, Shahid; Kayani, Naila; Bhurgri, Asif; Usman, Ahmed; Bashir, Imtiaz; Ahmed, Rashida; Hasan, Sheema H; Khurshid, Mohd H

    2006-01-01

    This present study was conducted with the objective of providing the cancer profile of Larkana, the fourth largest city of Sindh, Province. The study included two sets of patients. The first set included the incident cancer cases, residents of Larkana, who reached Karachi for diagnosis or treatment. The second set consisted of the incident cancer cases registered at the Aga Khan University (AKU) Pathology collection points at Larkana during 1st January 2000 to 31st December 2002. The age-standardized rates (ASR) for cancer (all sites) were 134.2/100,000 in males and 110.3/100,000 in females. The most common malignancies in males were lymphoma, oral cavity, prostate, liver, and urinary bladder. Cancers in females were breast, oral cavity, lymphoma, skin and thyroid. Tobacco-associated cancers accounted for approximately 35.0% of the tumors in males and 18.6% in females. The gender ratio was 1.5, the mean age of cancer all sites was 45.5 years (95% CI 34.6; 56.4) in males and 42.9 years (95% CI 33.6; 52.2) in females. This is the first attempt to determine the cancer incidence pattern of Larkana and should serve as a guideline for estimation of the cancer burden of Pakistan and the cancer control program of the country. The data must be interpreted with care, as they are largely pathology-based with approximately 15-30% population-wise under-registration. However, the chances of selective collection bias were minimized as the AKU pathology specimens were collected from 2 centers within the city, Each collection centre provided diagnostic service to several health centres giving wide population coverage, thus ensuring adequate sampling from the entire city. PMID:17250420

  20. Pakistan: update on breastfeeding.

    PubMed

    Lambert, J

    1988-01-01

    Studies conducted in Pakistan have shown a decline in breastfeeding since 1966, especially in urban areas. Overall, the National Nutrition Surveys have found, the proportion of babies being breastfed for more than 2 years has declined from 59% in 1966 to 9% in 1985. 4 basic reasons have been found for this deterioration: 1) hospitals are separating newborns from their mothers, and not instructing mothers on how to establish and sustain breastfeeding; 2) health practicioners are not informed about the importance of breastfeeding; 3) many women give their babies formula out of fear that they will not produce sufficient milk for their babies; and 4) at hospitals and clinics some infant formula companies continue to give out free samples and to distribute posters and calendars promoting their formulas. These problems must be remedied. At a hospital in Indonesia, when infants began to be roomed in with their mothers, hospital staff to be encouraged to breastfeed their own babies, mothers to be counseled on breastfeeding, and when formula promotion was stopped, infant mortality dropped from 51.6/1000 to 33.4/1000. Cases of diarrhea dropped from 40.2/1000 to 5.5/1000. Breastmilk has unique properties that no infant formula can match. PMID:12342141

  1. Pakistan: focus on women's issues.

    PubMed

    1996-01-01

    In April 1996 at the senior officials' segment of the 52nd Session of the Economic and Social Commission for Asia and the Pacific (ESCAP), a representative of Pakistan informed participants that population well-being efforts are part of the means used in implementing Pakistan's Social Action Programme. The Minister of State for Parliamentary Affairs noted that US$3 billion has been allocated to the Programme for implementation during the Eighth Five-Year Plan (1993-1998). The Programme aims to develop human resources and to improve the quality of life of the population, using life expectancy, access to primary health care, and literacy as indicators of quality of life. A key target group of the Programme is women. The Programme includes education, health, nutrition, training, and employment projects. In Pakistan, the mass media are contributing greatly in effecting the social change required to increase participation of women in economic activities. PMID:12291136

  2. Evolution of the lithosphere in Pakistan

    NASA Astrophysics Data System (ADS)

    Farah, Abul; Abbas, Ghazanfar; De Jong, Kees A.; Lawrence, Robert D.

    1984-06-01

    The geological setting of Pakistan in the framework of the modern concept of plate tectonics is unique in the sense that, within an area of about 800,000 km 2, critical tectonic junctions of different interacting plates and microplates are present in an environment where field exposures are excellent. Here we discuss the dynamics of these various plate boundaries. Two types of active plate boundaries are conspicuous: (1) convergent boundaries characterized by continent-continent collision, obduction, and thrusting in the northern region of the Himalaya and by oceanic crust subduction with a volcanic arc and a wide accretionary wedge in the southern region of Chagai and Makran; (2) a transform boundary, the Chaman transform zone, characterized by very large strike-slip and lesser thrusting. The Chaman transform zone connects the Makran convergence zone, where oceanic lithosphere is being subducted beneath the Lut and Afghan microplates, with the Himalayan convergence zone, where the Indo-Pakistan lithosphere is underthrusting Eurasia. The Chaman zone is at present an intracontinental plate boundary with oblique motion, characterized by north-south strike-slip faults and eastward thrusting and folding in the Kirthar-Sulaiman mountain belt. This mountain belt, the northwestern margin of the Indo-Pak subcontinent, was an Atlantic-type margin from the late Paleozoic until the Cretaceous. In the Cretaceous, the continental margin became a plate boundary; a thrust belt was formed in the Paleocene, and fragments of the oceanic crust were obducted, either as thrust sheets (Muslimbagh) or as an ophiolitic melange (Bela and Waziristan).

  3. A Literacy Profile of Pakistan.

    ERIC Educational Resources Information Center

    Hussain, Neelam

    1987-01-01

    Pakistan, like the rest of the world, is confronted with urbanization, industrialization, the information explosion and all the complexities that characterize the atomic age; however, the majority of Pakistanis have yet to acquire basic reading, writing and arithmetic skills which are essential to meet the simplest demands of modern living. An…

  4. Democracy and Education in Pakistan

    ERIC Educational Resources Information Center

    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…

  5. Management of wastes from hospitals: A case study in Pakistan.

    PubMed

    Ali, Mustafa; Wang, Wenping; Chaudhry, Nawaz

    2016-01-01

    Proper management of hospital waste is a critical concern in many countries of the world. Pakistan is the sixth most populous country in the world, with one of the highest urbanisation and population growth rates in South Asia. Data and analyses regarding hospital waste management practices in Pakistan are scarce in scientific literature. This study was meant to determine waste management practices at selected hospitals in a major city in Pakistan, Gujranwala. A total of 12 different hospitals were selected for the survey, which involved quantification of waste generation rates and investigation of waste management practices. The results were analysed using linear regression. The weighted average total, general and infectious hospital waste generation rates were found to be 0.667, 0.497 and 0.17 kg bed-day(-1), respectively. Of the total, 73.85% consisted of general, 25.8% consisted of hazardous infectious and 0.87% consisted of sharps waste. The general waste consisted of 15.76% paper, 13.41% plastic, 21.77% textiles, 6.47% glass, 1.99% rubber, 0.44% metal and 40.17% others. Linear regression showed that waste generation increased with occupancy and decreased with number of beds. Small, private and specialised hospitals had relatively greater waste generation rates. Poor waste segregation, storage and transportation practices were observed at all surveyed hospitals. PMID:26628050

  6. An FTO variant is associated with Type 2 diabetes in South Asian populations after accounting for body mass index and waist circumference

    PubMed Central

    Rees, S. D.; Islam, M.; Hydrie, M. Z. I.; Chaudhary, B.; Bellary, S.; Hashmi, S.; O’Hare, J. P.; Kumar, S.; Sanghera, D. K.; Chaturvedi, N.; Barnett, A. H.; Shera, A. S.; Weedon, M. N.; Basit, A.; Frayling, T. M.; Kelly, M. A.; Jafar, T. H.

    2011-01-01

    Aims A common variant, rs9939609, in the FTO (fat mass and obesity) gene is associated with adiposity in Europeans, explaining its relationship with diabetes. However, data are inconsistent in South Asians. Our aim was to investigate the association of the FTO rs9939609 variant with obesity, obesity-related traits and Type 2 diabetes in South Asian individuals, and to use meta-analyses to attempt to clarify to what extent BMI influences the association of FTO variants with diabetes in South Asians. Methods We analysed rs9939609 in two studies of Pakistani individuals: 1666 adults aged ≥ 40 years from the Karachi population-based Control of Blood Pressure and Risk Attenuation (COBRA) study and 2745 individuals of Punjabi ancestry who were part of a Type 2 diabetes case–control study (UK Asian Diabetes Study/Diabetes Genetics in Pakistan; UKADS/DGP). The main outcomes were BMI, waist circumference and diabetes. Regression analyses were performed to determine associations between FTO alleles and outcomes. Summary estimates were combined in a meta-analysis of 8091 South Asian individuals (3919 patients with Type 2 diabetes and 4172 control subjects), including those from two previous studies. Results In the 4411 Pakistani individuals from this study, the age-, sex- and diabetes-adjusted association of FTO variant rs9939609 with BMI was 0.45 (95% CI 0.24–0.67) kg/m2 per A-allele (P = 3.0× 10−5) and with waist circumference was 0.88 (95% CI 0.36–1.41) cm per A-allele (P = 0.001). The A-allele (30% frequency) was also significantly associated with Type 2 diabetes [per A-allele odds ratio (95% CI) 1.18 (1.07–1.30); P = 0.0009]. A meta-analysis of four South Asian studies with 8091 subjects showed that the FTO A-allele predisposes to Type 2 diabetes [1.22 (95% CI 1.14–1.31); P = 1.07× 10−8] even after adjusting for BMI [1.18 (95% CI 1.10–1.27); P = 1.02× 10−5] or waist circumference [1.18 (95% CI 1.10–1.27); P = 3.97× 10−5]. Conclusions The strong association between FTO genotype and BMI and waist circumference in South Asians is similar to that observed in Europeans. In contrast, the strong association of FTO genotype with diabetes is only partly accounted for by BMI. PMID:21294771

  7. Panel Analyzes Pakistan's Internal Water Concerns

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    2013-06-01

    Although transboundary water issues between Pakistan and neighboring countries may be exciting and interesting, Pakistan's real water and security nexus is at the local level, according to Daanish Mustafa, coauthor of a new report, "Understanding Pakistan's Water-Security Nexus." Mustafa, a reader in politics and environment at King's College, London, U.K., was a panelist at a 30 May forum in Washington, D. C., sponsored by the United States Institute of Peace, which published the report.

  8. Pakistan combats hidden AIDS menace.

    PubMed

    1996-05-20

    The conservative Islamic society in Pakistan associates human immunodeficiency virus (HIV) infections and acquired immunodeficiency syndrome (AIDS) with prostitution, homosexuality, and drug abuse, activities which are prohibited in Pakistan. There are 1000 reported cases of HIV, 55 with advanced AIDS (53 have died) in Pakistan. Birjees Mazhar Kazi, head of the National AIDS Program, believes that, based on the computer model of the World Health Organization (WHO), the number of HIV cases in Pakistan can be 50,000 to 80,000. Prime Minister Benazir Bhutto's government has allocated $2 million for AIDS prevention. Although some officials argue that Islamic strictures and traditional social pressures discourage sexual license, the poor public health and education standards in Pakistan make it vulnerable to AIDS. Drug abuse has risen in the last 20 years; there are an estimated 1.5 million heroin users among an estimated 3 million addicts. According to Health Ministry Director General Naik Muhammad Shaikh, the government has established 30 HIV/AIDS screening centers and is sponsoring a law that would require all blood banks to provide only safe blood and blood products for transfusion. Marvi states that the reuse and poor disposal of needles, a common practice in Pakistan, could be responsible for most of the transmission there of AIDS and hepatitis C. Health experts acknowledge the obstacles placed in the way of AIDS awareness campaigns by sex taboos and religious sensitivities; condoms cannot be mentioned or displayed in shops, or used in electronic or print media campaigns. They can be mentioned in a recorded message on a 24-hr AIDS hotline. Community-based and nongovernmental organizations are being used to reach segments of society who cannot use the hotline. Eunuchs (hijras), who are much in demand as "female" entertainers at weddings, are particularly resistant to safe sex messages, according to Abid Atiq, head of the information and education section of the National AIDS Program. He says families conceal AIDS patients because of the stigma, and, although counseling services are provided, most are reluctant to contact the program. PMID:12320183

  9. Current trends in treatment of hypertension in Karachi and cost minimization possibilities

    PubMed Central

    Hussain, Izhar M.; Naqvi, Baqir S.; Qasim, Rao M.; Ali, Nasir

    2015-01-01

    Objective: This study finds out drug usage trends in Stage I Hypertensive Patients without any compelling indications in Karachi, deviations of current practices from evidence based antihypertensive therapeutic guidelines and looks for cost minimization opportunities. Methods: In the present study conducted during June 2012 to August 2012, two sets were used. Randomized stratified independent surveys were conducted in doctors and general population - including patients, using pretested questionnaires. Sample sizes for doctors and general population were 100 and 400 respectively. Statistical analysis was conducted on Statistical Package for Social Science (SPSS). Financial impact was also analyzed. Results: On the basis of patients’ doctors’ feedback, Beta Blockers, and Angiotensin Converting Enzyme Inhibitors were used more frequently than other drugs. Thiazides and low-priced generics were hardly prescribed. Beta blockers were prescribed widely and considered cost effective. This trend increases cost by two to ten times. Conclusion: Feedbacks showed that therapeutic guidelines were not followed by the doctors practicing in the community and hospitals in Karachi. Thiazide diuretics were hardly used. Beta blockers were widely prescribed. High priced market leaders or expensive branded generics were commonly prescribed. Therefore, there are great opportunities for cost minimization by using evidence-based clinically effective and safe medicines. PMID:26648979

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

    PubMed

    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. PMID:25796152

  11. Land contestation in Karachi and the impact on housing and urban development

    PubMed Central

    Hasan, Arif

    2015-01-01

    Karachi is one of the world’s fastest growing large cities. This paper describes the complex processes by which land is (formally and informally) made available for housing (and for commercial development), as well as who benefits – and how the low-income majority of Karachi citizens lose out. It also describes what underpins this – especially the political complications in a city that has grown so rapidly, has had fundamental changes in its ethnic composition (and thus also in its politics) and has attracted so many illegal immigrants. The paper describes the changes in formal and informal land markets over the last 50 years and the changing responses by government agencies to housing (and land for housing) issues. Also explored are the connections among land, housing and transport (which include different processes of densification) and the complex politics involved. The paper ends with recommendations for land titling, for changes in transport policies, for better use of land already owned by government agencies, for cross-political party agreement on how to address serious security issues (that are leading to loss of investment) and for increased political effectiveness of Karachi’s active civil society organizations. PMID:26321797

  12. Predictable Equilibrium Multichannel Network Characteristizes The Indus River, Pakistan

    NASA Astrophysics Data System (ADS)

    Carling, Paul

    2015-04-01

    PREDICTABLE EQUILIBRIUM MULTICHANNEL NETWORK CHARACTERIZES THE INDUS RIVER, PAKISTAN Carling, P.A.1, Trieu, H.1, Hornby, D.2, Darby, S.E.1, Sear, D.A.1, Hutton, C.2, Ali, Z.3, Iqbal, I.3 1Geography & Environment, University of Southampton, Southampton, UK; 2GeoData, University of Southampton, Southampton, UK; 3SUPARCO, Karachi, Pakistan The Indus River in Pakistan between Chasma and Taunsa is a 304 river km reach characterised by islands dividing multiple channels. Previously, the behaviour of such channel networks has been considered unpredictable. Crosato & Mosselman (2009) argue that physics-based predictors of channel splitting developed for braided-river bars apply poorly to island-divided rivers and recommend the application of regime theory (Bettess & White, 1983) to predict the number (n) of channels in rivers such as the Indus. The Indus is characterized by two to 11 channels at each cross section with, on average, about four channels being active during the dry season and five during the monsoon. Thus the expansion of the network during the monsoon is slight and is due to reoccupation of channels that are dry during low flows. The network evolves on an annual basis primarily due to bendway progression, whilst avulsions to form major new channels are relatively rare (one or two in the reach per year) and are matched by a similar number of closures. Thus the network structure, if not its shape, is relatively stable year to year. The standard deviation of channel numbers comparing sections throughout the reach is practically identical at c. two channels and there is no significant variation between years. Theory indicates that stable networks have three to four channels, thus the stability in the number of active channels through the annual monsoon and between years accords with the presence of a near-equilibrium reach-scale channel network that demonstrates local disequilibrium when 3 > n > 4, being perturbed by the annual monsoon. Application of the Bettess & White regime theory demonstrates that the river channel network does not respond to monsoon floods (which typically peak at 13,200 m3s-1), but rather it maintains a network that is in near-equilibrium with the 20-year mean annual flow (3090 m3s-1) for a narrow range of channel slopes (2.8 - 2.9 10-4) and a narrow range of total sediment load (120 - 180 mg l-1). Given the stability in n and B (channel width), it can be inferred that channel depths (d) also are relatively stable during the monsoon. Thus despite any minor adjustments in B:d during the annual hydrological cycle, the time-scale for adjustment of the physical network is much longer than the time-scale of the monsoon hydrograph, with the annual excess water being stored and transported across neighbouring floodplains, rather than being conveyed in enlarged channels or in new avulsed channels. The analysis explains the lack of significant channel adjustment following the largest recorded flood in 40 years: 27,100 m3s-1 in 2010.

  13. Food irradiation development in Pakistan

    NASA Astrophysics Data System (ADS)

    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.

  14. Defusing the Pakistan "bomb". Population.

    PubMed

    1990-09-28

    Pakistan has the highest population growth rate in Asia at 3.1%. The average Pakistani woman has 6 or 7 children. Currently the population 110 million; this has grown from 32.5 million in 1945. Nearly half the nation is under age 15 which means that even if growth rates level of the population will continue to grow for another 20 years to about 160 million. Due to a high illiteracy rate and pressure from husbands, most women do not have access to family planning services. Another reason that family planning is not widely accepted is a fear of government intervention similar to that of India's forced sterilization in the 70s. The Division of Population under the Ministry of Planning has been made into a separate Ministry and its budget increased from $20 million to 28.4% million. Also a new high profile multi-media campaign has been launched in 11 of Pakistan's largest cities to encourage family planning. A private distributor has started to market a new line of contraceptives called Sethi (friend). The author's conclusion is that other countries have turned around population problems of this magnitude, Pakistan can do it too. PMID:12283708

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

    PubMed Central

    Saleem, Taimur; Ishaque, Sidra; Habib, Nida; Hussain, Syedda Saadia; Jawed, Areeba; Khan, Aamir Ali; Ahmad, Muhammad Imran; Iftikhar, Mian Omer; Mughal, Hamza Pervez; Jehan, Imtiaz

    2009-01-01

    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 < 0.05) independent predictors of knowledge status of organ donation. For motivation, multiple logistic regression revealed that higher socioeconomic status, adequate knowledge score and belief that organ donation is allowed in religion were significant (p < 0.05) independent predictors. Television emerged as the major source of information. Only 3.5% had themselves donated an organ; with only one person being an actual kidney donor. 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. PMID:19534793

  16. The Pakistan National Emergency Department Surveillance Study (Pak-NEDS): Introducing a pilot surveillance

    PubMed Central

    2015-01-01

    Background Evidence-based decision making is essential for appropriate prioritization and service provision by healthcare systems. Despite higher demands, data needs for this practice are not met in many cases in low- and middle-income countries because of underdeveloped sources, among other reasons. Emergency departments (EDs) provide an important channel for such information because of their strategic position within healthcare systems. This paper describes the design and pilot test of a national ED based surveillance system suitable for the Pakistani context. Methods The Pakistan National Emergency Department Surveillance Study (Pak-NEDS) was pilot tested in the emergency departments of seven major tertiary healthcare centres across the country. The Aga Khan University, Karachi, served as the coordinating centre. Key stakeholders and experts from all study institutes were involved in outlining data needs, development of the study questionnaire, and identification of appropriate surveillance mechanisms such as methods for data collection, monitoring, and quality assurance procedures. The surveillance system was operational between November 2010 and March 2011. Active surveillance was done 24 hours a day by data collectors hired and trained specifically for the study. All patients presenting to the study EDs were eligible participants. Over 270,000 cases were registered in the surveillance system over a period of four months. Coverage levels in the final month ranged from 91-100% and were highest in centres with the least volume of patients. Overall the coverage for the four months was 79% and crude operational costs were less than $0.20 per patient. Conclusions Pak-NEDS is the first multi-centre ED based surveillance system successfully piloted in a sample of major EDs having some of the highest patient volumes in Pakistan. Despite the challenges identified, our pilot shows that the system is flexible and scalable, and could potentially be adapted for many other low- and middle-income settings. PMID:26690669

  17. Carbon monoxide (CO) emissions and its tropospheric variability over Pakistan using satellite-sensed data

    NASA Astrophysics Data System (ADS)

    ul-Haq, Zia; Rana, Asim Daud; Ali, Muhammad; Mahmood, Khalid; Tariq, Salman; Qayyum, Zarmina

    2015-08-01

    This study presents major anthropogenic sources of carbon monoxide (CO) in Pakistan and discusses the spatio-temporal variability of tropospheric CO over Pakistan and neighboring regions of Afghanistan, India and Iran for a period from 2003 to 2012 using satellite-sensed (AIRS/AMSU) data. The results show a large spatio-temporal variability of CO over the study region mostly associated with anthropogenic activities such as crop residue burning, vehicular transport, and electricity and energy generation, and local meteorology. The annual mean value of tropospheric CO is observed to be 115 ± 2 ppbv that remains almost steady during the study period with decadal increase of only 2%. Due to more anthropogenic emissions of CO and its transport, the eastern zone shows a higher average value of 122 ± 2 ppbv with 2.7% decadal increase than the western zone (111 ± 3 ppbv with 1.4% decadal increase). Elevated concentrations of CO have been observed over the Indo-Gangetic Basin, Lahore, Karachi, and Delhi. During the study period large fluctuations in CO mean monthly values are found ranging from 99 ppbv to 131 ppbv. The fact that, in spite of a large increase in the CO emissions from 2003 to 2012, its average concentration remains almost stable indicates that a large scale regional transport contributes substantially to the tropospheric CO. Carbon monoxide concentrations exhibit a strong seasonal pattern with maximum amplitude in spring and minimum in autumn. July is found to have the highest decadal increasing trend of 13% followed by August at 8%, whereas May has the highest decreasing trend of -8% followed by November at -4.4%.

  18. Protocol for a qualitative study on promoting dietary change and positive food choices for poor people with low income who experience cardiovascular disease in Pakistan

    PubMed Central

    Barolia, Rubina Iqbal; Clark, Alexander M; Higginbottom, Gina M A

    2013-01-01

    Introduction There is a misconception that cardiovascular disease (CVD) is the burden of wealthy nations, but, in fact, it is the leading cause of death and disability-adjusted life worldwide. Healthy diets are an essential factor in the prevention of CVD. However, promoting healthy diet is challenging, particularly for people with low-socioeconomic status (SES), because poverty is linked with many risk behaviours such as smoking, unhealthy eating and obesity. Multiple factors, cultural values and beliefs interact and make healthy eating very challenging. The effects of these factors in the context of low-SES populations with CVD are largely unknown. To address this gap, this study will examine the factors that affect decisions about consuming healthy diet in Pakistanis with low SES who suffer from CVD. Methods and analysis A qualitative method of interpretive description will be used. 25 participants will be selected from two cardiac rehabilitation (CR) centres in Karachi, Pakistan. Face-to-face interviews using a critical realist framework will be used to understand individual and contextual factors in the food choices of people with low SES and CVD. ATLAS.ti qualitative data analysis software will be used to identify themes and patterns in the interview data. Ethics and discussion Ethical approvals were received from the Ethics Review board of University of Alberta, Canada and Aga Khan University, Karachi Pakistan. The findings will generate new knowledge about which and how factors influence the food choices of Pakistanis with CVD and low SES to provide an insight into the development of an operational framework for designing interventions for prevention of CVD. For knowledge-translation purposes, we will publish the findings in highly accessed, peer-reviewed scientific and health policy journals at the national and international level. This research protocol received IRDC (International Development Research Centre) doctoral award from International Development Research Centre, Ottawa, Canada. PMID:24309173

  19. Bomb blast injuries: an exploration of patient characteristics and outcome using Pakistan National Emergency Departments Surveillance (Pak-NEDS) data

    PubMed Central

    2015-01-01

    Background Bomb blast injuries result in premature deaths and burdening of healthcare systems. The objective of this study was to explore the characteristics and outcome of patients presenting to the emergency departments in Pakistan with bomb blast injuries. Methods Active surveillance was conducted in seven major emergency departments of Pakistan from November 2010-March 2011. All the sites are tertiary care urban centers. All the patients who presented to the hospital's emergency department (ED) following a bomb blast injury as per self-report or the ambulance personnel were included in the study. Frequency of demographics, injury pattern, and outcomes were calculated. Results A total of 103 patients with bomb blast injuries presented to the selected emergency departments. The median age of patients was 30 years. Around three-fourth of the patients were males (n = 74, 74.7%). Most of the bomb blast patients were seen in Peshawar (n = 41, 39.8%) and Karachi city (n = 31, 30.1%) and the most common mode of arrival was non-ambulance transport (n = 71, 76.3%). Upper limb injuries (n = 12, 40%) were common in the under 18 age group and lower limb injuries (n = 31, 39.2%) in the 18 years and above group. There were a total of 8 (7.7%) deaths reported out of these 103 patients. Conclusion Bomb blast injuries in Pakistan generally affect young males. Non-ambulance transport is the most common way to access emergency departments (ED). Overall ED mortality is high and capturing data during a disaster in an emergency department is challenging. PMID:26692453

  20. Multi-drug resistant Mycobacterium tuberculosis complex genetic diversity and clues on recent transmission in Punjab, Pakistan.

    PubMed

    Yasmin, Memona; Gomgnimbou, Michel K; Siddiqui, Rubina T; Refrégier, Guislaine; Sola, Christophe

    2014-10-01

    Multi-Drug Resistant Tuberculosis (MDR-TB), i.e. bacilli resistant to rifampicin (RIF) and isoniazid (INH), is a major Public Health concern in Pakistan according to WHO estimates (3.5% and 32% of new and retreated cases, respectively). Previous Pakistanis reports identified a correlation between being MDR and belonging to Beijing or EAI lineages in one study, and belonging to "H4"-Ural Euro-American sublineage in another study. In addition, MDR-TB transmission was suspected in Karachi. We tested MDR characteristics on a Punjab sample of 278 clinical isolates (without selection for Multi-Drug Resistance) including new and retreated cases collected from 2008 to 2012. All samples were characterized by a new, microbead-based method named "TB-SPRINT" (molecular diagnostic including spoligotype identification, and genetic resistance determinants to first-line anti-TB drugs RIF and INH). Isolates from 2011 to 2012 (n=100) were further analyzed using 24-loci MIRU-VNTR. We detected 8.7% MDR isolates (CI95%=[5.0; 12.5]), mainly among CAS lineage that predominates in this central-East region of Pakistan. Out of 20 MDR-TB cases, 12 different TB-SPRINT profiles were identified, limiting the suspicion of MDR-TB transmission. 24 MIRU-VNTR confirmed the unrelatedness of isolates with different TB-SPRINT profiles and discriminated 3 isolates with identical TB-SPRINT profiles. In conclusion, our study did not confirm any of the correlations between Multi-Drug Resistance and lineage or sublineage in Punjab, Pakistan. MDR-TB isolates were diverse indicating that transmission is not pervasive. TB-SPRINT proved useful as a first step for detecting MDR-TB likely transmission events, before more extensive genotyping such as 15 or 24 MIRU-VNTR and thorough epidemiological investigation. PMID:24981519

  1. Female Suicide Rates in Ghizer, Pakistan

    ERIC Educational Resources Information Center

    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…

  2. Staff Development Needs in Pakistan Higher Education

    ERIC Educational Resources Information Center

    Ullah, Muhammad Hameed; Khan, Muhammad Naeem Ullah; Murtaza, Ali; Ud Din, Muhammad Naseer

    2011-01-01

    Staff development is very significant for the achievement of overall goals of higher education in Pakistan. The success of innovations depends largely upon the skills of instructors; but in Pakistan, the people with a simple masters degree (without any pedagogical training) are inducted as teaching staff at the university level, so it is time to…

  3. Higher Education and Women's Empowerment in Pakistan

    ERIC Educational Resources Information Center

    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.…

  4. Anatomy Education Faces Challenges in Pakistan

    ERIC Educational Resources Information Center

    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…

  5. The Frequency of Enterobius Vermicularis Infections in Patients Diagnosed With Acute Appendicitis in Pakistan

    PubMed Central

    Ahmed, Muhammad Umer; Bilal, Muhammad; Anis, Khurram; Khan, Ali Mahmood; Fatima, Kaneez; Ahmed, Iqbal; Khatri, Ali Mohammad; Shafiq-ur-Rehman

    2015-01-01

    Introduction: The main aim of this study was to determine the frequency of Enterobius Vermicularis infections and other unique histopathological findings in patients diagnosed with acute appendicitis. Materials: This retrospective study was conducted in a tertiary care hospital of Karachi, Pakistan over a time period of 9 years from 2005 to 2013. The recorded demographic and histopathological data for the 2956 appendectomies performed during this time frame were extracted using a structured template form. Negative and incidental appendectomies were excluded from the study. Results: Out of the 2956 patients diagnosed with acute appendicitis, 84 (2.8%) patients had Enterobius Vermicularis infections. Malignancy (n=2, 0.1%) and infection with Ascaris (n=1, 0.1%) was found very rarely among the patients. Eggs in lumen (n=22, 0.7%), mucinous cystadenoma (n=28, 1.0%), mucocele (n=11, 0.4%), lymphoma (n=9, 0.3%), obstruction in lumen (n=17, 0.6%) and purulent exudate (n=37, 1.3%) were also seldom seen in the histopathological reports. Conclusion: Enterobius Vermicularis manifestation is a rare overall but a leading parasitic cause of appendicitis. Steps such as early diagnosis and regular de worming may help eradicate the need for surgeries. PMID:26156929

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

    NASA Astrophysics Data System (ADS)

    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.

  7. Variability of aerosol optical depth and their impact on cloud properties in Pakistan

    NASA Astrophysics Data System (ADS)

    Alam, Khan; Khan, Rehana; Blaschke, Thomas; Mukhtiar, Azam

    2014-01-01

    This study analyzes seasonal and temporal variations in aerosol optical depth (AOD), and the impact of these variations on the properties of clouds over five cities in Pakistan, using Moderate Resolution Imaging Spectroradiometer (MODIS) data, obtained from the Terra satellite during the period (2001-2011). The obtained results indicated seasonal variation in AOD, with a high value of 2.3, in summer and low values of 0.2, in winter for the costal part of the region. The relationship between AOD and other cloud parameters, namely water vapor (WV), cloud fraction (CF), cloud optical thickness (COT), cloud liquid water path (CLWP), cloud top temperature (CTT), and cloud top pressure (CTP) were analyzed. On a temporal scale, latitudinal variations of both WV and AOD produce high correlations (>0.6) in some regions, and moderate correlations (0.4-0.6) in the other regions. An increasing trend in CF with AOD was found over urban regions in the period of observations. The CF values were higher for Lahore than the other selected regions during the whole period. During autumn and winter seasons the correlation was found to be positive between AOD and CLWP, while negative correlation was observed during the other seasons for all the selected regions. COT showed negative correlation with AOD at all locations except Karachi during spring and summer seasons.

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

    PubMed

    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. PMID:25869291

  9. Risk factors for term intrauterine growth retardation: a community-based study in Karachi.

    PubMed Central

    Fikree, F. F.; Berendes, H. W.

    1994-01-01

    Reported are the results of a community-based prospective study in four urban squatter settlements in Karachi that was carried out to assess the incidence of and risk factors for intrauterine growth retardation. The incidence of term intrauterine growth retardation was 24.4% among 738 singleton births. The socioeconomic and biological risk factors that were found to be statistically significant in a bivariate analysis were included in a logistic regression model to assess their independent effects. The major risk factors were low level of maternal education, paternal unemployment, consanguinity, short birth-to-conception intervals, short maternal stature, and low maternal weight. The population risk estimates suggest the desirability of public health interventions to improve maternal weight and birth spacing and of improvements in socioeconomic conditions, especially maternal education. Public education programmes to discourage consanguineous marriages should also be considered. PMID:7923537

  10. Knowledge about hepatitis B and C among patients attending family medicine clinics in Karachi.

    PubMed

    Khuwaja, A K; Qureshi, R; Fatmi, Z

    2002-11-01

    Knowledge about hepatitis B and C was assessed in a cross-sectional study of 300 adults aged 18 or older attending family medicine clinics at The Aga Khan University Hospital, Karachi. Most knew that hepatitis B and C are viral diseases that primarily affect the liver, but knowledge about risk factors for disease transmission was poor. Approximately 70% knew that hepatitis B is vaccine preventable; 60% had the misconception that hepatitis C is also vaccine preventable. The majority incorrectly believed that people with hepatitis B or C should follow the diet 'parhaiz'. Generally women knew more than men about the diseases. This study suggests that health education about these infections should be provided to the public. Family physicians can play an important role in educating people about the prevention of these diseases. PMID:15568456

  11. Airborne and allergenic fungal spores of the Karachi environment and their correlation with meteorological factors.

    PubMed

    Hasnain, Syed M; Akhter, Tasneem; Waqar, Muhammad A

    2012-03-01

    Airborne fungal spores are well known to cause respiratory allergic diseases particularly bronchial asthma, allergic rhinitis, rhino-conjunctivitis and allergic broncho-pulmonary aspergillosis in both adults and children. In order to monitor and analyze airborne fungal flora of the Karachi environment, an aeromycological study was conducted using a Burkard 7-Day Recording Volumetric Spore Trap from January to December 2010. The data recorded from the Spore Trap was further analyzed for percent catch determination, total spores concentration, seasonal periodicities and diurnal variations. Cladosporium spp (44.8%), Alternaria spp. (15.5%), Periconia spp (6.1%), Curvularia spp (2.1%), Stemphylium spp (1.3%) and Aspergillus/Penicillium type (1%) emerged to be major components constituting more than 70% of the airborne fungal flora. Cladosporium, Curvularia and Stemphylium displayed a clear seasonal trend, while there were no clear seasonal trends for other fungal spore types. Diurnal variations were observed to be mainly having daytime maxima. Spearman Rank Correlation Coefficient analysis was conducted using various weather parameters. The various fungal types showed a negative correlation with heat index, dew point, wind velocity and wind chill. However, a positive correlation was found with humidity, rain and barometric pressure. In fact, Alternaria, Bipolaris and Periconia showed a negative correlation with temperature, while Cladosporium and Periconia showed a negative correlation with heat index, dew point, wind velocity and wind chill. The barometric pressure was positively correlated with Cladosporium. On the basis of these findings, it can be concluded that a number of fungal spores are present in the atmosphere of Karachi throughout the year, with certain atmospheric conditions influencing the release, dispersion, and sedimentation processes of some genera. It is expected that clinicians will use the identified fungal flora for diagnosis and treatment and/or adopt preventative measures for allergic individuals. PMID:22327332

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

    PubMed Central

    2011-01-01

    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 < 0.0001) showing a statistically significant association between high 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 < 0.0001). 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. PMID:21609460

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

    PubMed Central

    2012-01-01

    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 to disclose their error to the patient. The most common perceived reason for not disclosing the error was threat of a claim or assault (90.9%). Majority (68.3%) believed that malpractice had a negative effect on reputation. Only 13(4.1%) had received at least one legal claim for damages. Only about three-fourths (75.5%) had the habit of frequently obtaining informed consent from the patients. 83(26.0%) expressed reluctance in accepting a case that was deemed to be difficult. Financial gains and liabilities were responsible for biased approach in 8.5% and 12.2% of the respondents respectively. Conclusion There is a dire need of programs aimed at increasing awareness among practicing surgeons in our setup. Proactive measures are required for the formulation of an efficient system of litigation. Physician accountability will not only arouse a greater sense of responsibility in them, but will also augment the confidence placed by patients on the healthcare system. PMID:23126456

  14. Weight misperception amongst youth of a developing country: Pakistan -a cross-sectional study

    PubMed Central

    2013-01-01

    Background Weight misperception is the discordance between an individual’s actual weight status and the perception of his/her weight. It is a common problem in the youth population as enumerated by many international studies. However data from Pakistan in this area is deficient. Methods A multi-center cross-sectional survey was carried out in undergraduate university students of Karachi between the ages of 15–24. Participants were questioned regarding their perception of being thin, normal or fat and it was compared with their Body Mass Index (BMI). Measurements of height and weight were taken for this purpose and BMI was categorized using Asian cut offs. Weight misperception was identified when the self-perceived weight (average, fat, thin) did not match the calculated BMI distribution. Chi square tests and logistic regression tests were applied to show associations of misperception and types of misperception (overestimation, underestimation) with independent variables like age, gender, type of university and faculties. P-value of <0.05 was taken as statistically significant. Results 42.4% of the total participants i.e. 43.3% males and 41% females misperceived their weight. Amongst those who misperceived 38.2% had overestimated and 61.8% had underestimated their weight. Greatest misperception of was observed in the overweight category (91%), specifically amongst overweight males (95%). Females of the underweight category overestimated their weight and males of the overweight category underestimated their weight. Amongst the total participants, females overestimated 8 times more than males (OR 8.054, 95% CI 5.34-12.13). Misperception increased with the age of the participants (OR 1.114, 95% CI 1.041-1.191). Odds of misperception were greater in students of private sector universities as compared to public (OR 1.861, 95% CI: 1.29-2.67). Odds of misperception were less in students of medical sciences (OR 0.693, 95% CI 0.491-0.977), engineering (OR 0.586, 95% CI 0.364-0.941) and business administration (OR 0.439, 95% CI 0.290-0.662) as compared to general faculty universities. Conclusion There was marked discrepancy between the calculated BMI and the self-perceived weight in the youth of Karachi. Better awareness campaigns need to be implemented to reverse these trends. PMID:23915180

  15. Population and population policy in Pakistan.

    PubMed

    Mauldin, W P

    1963-02-01

    Pakistan is a divided country with different religious groups represented. Since independence in 1941, the Muslim population has increased more rapidly than the Hindu population, the West Pakistan population more rapidly and steadily than the East Pakistan population. In the late 1950s the Pakistan government initiated a family planning program. The program has trained medical and paramedical personnel in family planning, added family planning services to existing medical centers, planned for a National Research Institute of Family Planning, employed mobile units to reach outlying areas, conducted limited clinical studies on some contraceptives, and used mass media advertising. Only India and Japan are doing more with government-sponsored family planning. A weak organizational structure and an inadequate number of trained personnel are the main weakness of the program. It is too early to assess the success of the program. A 10-point reduction in annual birth rates will be considered successful. PMID:12275622

  16. Blasphemy laws and mental illness in Pakistan

    PubMed Central

    Husain, Muzaffar

    2014-01-01

    There is emerging evidence that individuals who are mentally ill are overrepresented in the group of defendants prosecuted under the blasphemy laws of Pakistan. This article discusses the background of blasphemy legislation in Pakistan, and proposes causal interactions between underlying mental illness in the defendant and prosecution for blasphemy. It sketches possible legal safeguards for such blasphemy defendants with mental illness in mental health legislation. PMID:25237489

  17. Serotype and genotype analysis of dengue virus by sequencing followed by phylogenetic analysis using samples from three mini outbreaks-2007-2009 in Pakistan

    PubMed Central

    2011-01-01

    Background Since the first reported outbreak of dengue hemorrhagic fever in Pakistan, several mini outbreaks have erupted in the region. Dengue virus serotype 3 (DEN-3) was first documented in 2005 outbreak in Karachi. Reports show that serotype 3 is prevalent in Lahore since 2008. Serotype 2 (DEN-2) is the major circulating serotype in Pakistan as it is documented since 1994. We have conducted a detailed study of three outbreaks of dengue virus infection that occurred in years 2007, 2008 and 2009 in Lahore by using molecular techniques such as PCR and nucleotide sequencing of the C-prM gene junction of Dengue virus. Results Through the analysis of 114 serum samples collected over the period of three years (2007-2009), total 20 patients were found to be infected with dengue virus. In year 2007, four were positive for serotype 2 and one sample was positive for serotype DEN-3. In 2008, five samples had concurrent infection with serotypes DEN-2 and DEN-3 while three samples were infected only with serotype DEN-2. In year 2009, one sample had concurrent infection with serotypes DEN-2 and DEN-3 while six were positive for serotype DEN-2 only. Conclusions Our study showed that serotype DEN-2 was dominant in positive samples of dengue virus infection collected during the period of three years (2007-2009). The other serotype present was serotype DEN-3. Genotypes of serotype DEN-2 and serotype DEN-3 were subtype IV and subtype III, respectively. PMID:21906394

  18. Spatial biostratigraphy of NW Pakistan

    NASA Astrophysics Data System (ADS)

    Shafique, Naseer Ahmed

    2001-07-01

    Mesozoic to Cenozoic biostratigraphy of NW Pakistan has been conducted in order to document the temporal and spatial relationship between different marine strata with the help of remote sensing and Geographic Information Systems (GIS). These relationships were then used to help distinguish different tectonostratigraphic units in the Waziristan and the Kurram areas located at the northwestern margin of the Indo-Pakistani craton. Extensive biostratigraphic work in the Waziristan and Kurram areas enabled to distinguish five tectonostratigraphic units and two significant unconformities in the study area. Different foraminiferal zones from Early Jurassic to Middle Eocenewere developed, although due to random samples these zones are not continuous in the sedimentary record. However continuous biozonation from the Late Paleocene P4 to the Early Eocene P9 (Bolli, 1985) biozone was observed. It is observed that the Santonian stage is generally missing in the sedimentary sequence, and it is only found in the olistoliths. This implies that during the Campanian stage there was instability in the shelf due to ophiolite obduction, which caused the displacement of the Santonian strata. The absence of Early Paleocene (Zone P1--P3) microfauna is suggested by rapid subsidence of the NW Indian shelf beginning in the early Paleocene. Moreover, index fossils for the Palpha, P1a, b, c, d, P2 and P3 biozones are absent in the melange of the Thal area suggesting regional uplift during the Paleocene. The presence of Planorotalites pseudomenardii P4 zone microfauna above the unconformable Upper Cretaceous Kahi melange strata suggest the India-Asia collision age between 58 Ma--56 Ma. Foraminiferal biostratigraphy of upper Cretaceous olistoliths was conducted from the Mughal Kot gorge, Baluchistan, Pakistan in order to reveal the depositional history of Late Santonian aged (Dicarinella asymmetrica zone) olistoliths and associated upper Cretaceous to early Tertiary Indo-Pakistani shelf strata. These olistoliths are embedded in uppermost Campanian strata of the Mughal Kot Formation. Similar olistostromes are found at approximately the same stratigraphic level across a broad region of NW Pakistan. These olistostromes are similar in age to radiometrically constrained deformation in the Zhob and Waziristan ophiolites 50 and 90 km to the west and northwest respectively and may record incipient underthrusting of the NW Indo Pakistani craton beneath oceanic crust now in Waziristan and northern Baluchistan. This Campanian event precedes stratigraphically constrained Paleocene and Early Eocene deformation in Parachinar, Orakzai and the Attock-Cherat Ranges, which is interpreted as the collision of NW Indo-Pakistan with Asia and the Kabul Block. A turbiditic depositional environment of the Mughal Kot Formation was developed due to the regional collapse of the NW Indo-Pakistani shelf margin during the Late Campanian (G. calcarata zone ˜80--74 Ma), possibly as a result of ophiolite obduction as the Indo-Pakistani plate moved beneath Tethyan oceanic crust.

  19. Major earthquake shakes northern Pakistan

    NASA Astrophysics Data System (ADS)

    Kumar, Mohi

    A magnitude 7.6 earthquake that shook the western Himalayas on 8 October killed at least 23,000 in Pakistan and 1,400 in India, injured more than 50,000 people, and left more 2.5 million people homeless across the Kashmir region. The official death toll could exceed 30,000, placing this among most deadly earthquakes to have ever occurred on the Indian subcontinent.Scientists warn that, given the lack of development and poor construction in the area, future earthquakes in more densely populated areas could be devastating. David Simpson, president of the Incorporated Research Institutes for Seismology, said the 8 October quake ‘was a terrible disaster, but not to the level of what could happen in the future. This is yet again another warning message of things to come.”

  20. Health and safety measures available for young labourers in the cottage industries of Karachi.

    TOXLINE Toxicology Bibliographic Information

    Baig LA; Rasheed S; Zameer M; Zameer M

    2005-01-01

    OBJECTIVE: To determine the health problems faced by labourers, 18 years and under, working in the cottage industries of Karachi and know the safety measures available and utilized at these places.DESIGN: Cross-sectional study using two-stage cluster sampling.PLACE AND DURATION: From February 2002 to March 2003, 95 cottage industries from 10 different locations of five districts of Karachi were included.SUBJECTS AND METHODS: All workers, 18 years and below, present were interviewed. The environmental and safety gadgets present at the industry were inspected by the surveyors and the manager was interviewed for presence of health and safety benefits for the workers.RESULTS: A total of 280 workers were interviewed, 26 (9.3%) children were between 9-12 years, 82 (29.3%) were between 13-15 and 172 (61.4%) were between 16-18 years of age. Health benefit was given to only one 13-year-old worker in silk industry; appropriate gadgets were absent in 93 (97.8%) industries, present only in 2 industries (one silk and one loom). First Aid box was present in only one loom industry. Two hundred and forty workers (85.7%) were unaware of the materials they were using. One hundred and ninety-three (69%) children were working in improper light, 199(71%) workers experienced high level of noise, 232(83%) were working in high temperature and 155(55.3%) were working with improper ventilation. Health problems faced included joint pains (n=64, 22.85%), backache (n=85, 30.35%), vertigo (n=48, 17.14%), numbness of fingers (n=77, 27.5%) and fatigue experienced by 143 (51.07%) children.CONCLUSION: The children and adolescents employed in cottage industry are suffering from health problems due to lack of knowledge on their part, and improper ergonomics, environmental and safety conditions at the workplace. The cottage industry should be regulated and brought under labour law. The health sector non-governmental organizations should make concerted efforts for the rehabilitation of this workforce by creating awareness and providing opportunities for education and development of skills.

  1. Pakistan's population growth: the need for action.

    PubMed

    Robey, B

    1991-06-01

    Despite the existence of a national family planning program that dates to 1965 Pakistan has not seen a reduction in the fertility rate. One of the poorest countries in the world, Pakistan has 1 of the highest population growth rates in the world at about 3.0% annually. For over 2 decades, the average woman in Pakistan has given birth to more than 6 children. At the current fertility rate, the country's current population of 120 million will increase to over 150 million by the year 2000, and it will increase to 280 million by 2020. And even if today every woman were to begin having only 2 children, the population would still reach 160 million before leveling off. But reducing fertility in Pakistan will prove difficult. One of the leading obstacles is the low status of women. Few women in Pakistan have advanced education or professional jobs. Only 1/4 of those women without education or who are not working have any knowledge concerning contraception. Family size and composition also fuel the high rate of fertility. On the average, women desire 5 children (the fact that women average more than 5 suggests an unmet need for contraception). And due to social, cultural, and economic conditions, Pakistanis generally prefer male offsprings. Islamic opposition to family planning has also contributed to the continued high rates of fertility. Finally, administrative and management weaknesses have hindered Pakistan's family planning program. In order to overcome these obstacles, Pakistan will have to enlist the commitment of political, religious, and community leaders. The status of women will have to be improved, and the attitudes of people will need to change. PMID:12283984

  2. Knowledge, perceptions and myths regarding infertility among selected adult population in Pakistan: a cross-sectional study

    PubMed Central

    2011-01-01

    Background The reported prevalence of infertility in Pakistan is approximately 22% with 4% primary and 18% secondary infertility. Infertility is not only a medical but also a social problem in our society as cultural customs and perceived religious dictums may equate infertility with failure on a personal, interpersonal, or social level. It is imperative that people have adequate knowledge about infertility so couples can seek timely medical care and misconceptions can be rectified. We aim to assess the knowledge, perception and myths regarding infertility and suggest ways to improve it. Methods A cross-sectional survey was carried out by interviewing a sample of 447 adults who were accompanying the patients at two tertiary care hospitals in Karachi, Pakistan. They were interviewed one-on-one with the help of a pretested questionnaire drafted by the team after a thorough literature review and in consultation with infertility specialists. Results The correct knowledge of infertility was found to be limited amongst the participants. Only 25% correctly identified when infertility is pathological and only 46% knew about the fertile period in women's cycle. People are misinformed that use of IUCD (53%) and OCPs (61%) may cause infertility. Beliefs in evil forces and supernatural powers as a cause of infertility are still prevalent especially amongst people with lower level of education. Seeking alternative treatment for infertility remains a popular option for 28% of the participant as a primary preference and 75% as a secondary preference. IVF remains an unfamiliar (78%) and an unacceptable option (55%). Conclusions Knowledge about infertility is limited in the population and a lot of misconceptions and myths are prevalent in the society. Alternative medicine is a popular option for seeking infertility treatment. The cultural and religious perspective about assisted reproductive technologies is unclear, which has resulted in its reduced acceptability. PMID:21970548

  3. Regional Variation in Identified Cancer Care Needs of Early-Career Oncologists in China, India, and Pakistan

    PubMed Central

    Fawzy, Maria R.; Aziz, Zeba; Nair, Reena; Pramesh, C.S.; Parmar, Vani; Parikh, Purvish M.; Jamal, Rozmin; Irumnaz, Azizunissa; Ren, Jun; Stockler, Martin R.; Abernethy, Amy P.

    2015-01-01

    Background. Cancer incidence and mortality is increasing in the developing world. Inequities between low-, middle-, and high-income countries affect disease burden and the infrastructure needs in response to cancer. We surveyed early-career oncologists attending workshops in clinical research in three countries with emerging economies about their perception of the evolving cancer burden. Methods. A cross-sectional survey questionnaire was distributed at clinical trial concept development workshops held in Beijing, Lahore, Karachi, and Mumbai at major hospitals to acquire information regarding home-country health conditions and needs. Results. A total of 100 respondents participated in the workshops held at major hospitals in the region (India = 29, China = 25, Pakistan = 42, and other = 4). Expected consensus on many issues (e.g., emergence of cancer as a significant health issue) was balanced with significant variation in priorities, opportunities, and challenges. Chinese respondents prioritized improvements in cancer-specific care and palliative care, Indian respondents favored improved cancer detection and advancing research in cancer care, and Pakistani respondents prioritized awareness of cancer and improvements in disease detection and cancer care research. For all, the most frequently cited opportunity was help in improving professional cancer education and training. Conclusion. Predominantly early-career oncologists attending clinical research workshops (in China, India, and Pakistan) identified needs for increasing clinical cancer research, professional education, and public awareness of cancer. Decision makers supporting efforts to reduce the burden of cancer worldwide will need to factor the specific needs and aspirations of health care providers in their country in prioritizing health policies and budgets. PMID:25888267

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

    PubMed Central

    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

  5. In Pakistan, the Problems that Money Can Bring

    ERIC Educational Resources Information Center

    Neelakantan, Shailaja

    2007-01-01

    Over the past four years, Pakistan's higher-education budget has increased more than sevenfold, to about $449-million. While that amounts to only 0.5 percent of Pakistan's gross domestic product, it is a big improvement from the days of barely enough to pay "measly salaries and basic bills." But for students, along with many of Pakistan's most…

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

    PubMed Central

    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

  7. Baseline for Monitoring Water Resources Along Kabul and Indus Rivers of Pakistan for Potential Terrorist Contamination

    NASA Astrophysics Data System (ADS)

    Hamidullah, S.; Tariq, S.; Shah, M. T.; Bishop, M. P.; Kamp, U.; Olsenholler, J.

    2002-05-01

    Baseline for Monitoring Water Resources Along Kabul and Indus Rivers of Pakistan for Potential Terrorist Contamination Terrorism has temporarily constrained the dynamism of the world it was enjoying before September 11, 2001, but also has opened avenues for people of all ethnicities, creeds, and professions to join hands in combating it. Scientific efforts to combat terrorism are likely to lead to better use of existing scientific knowledge as well as to discoveries that will increase world organization, interconnectivity, and peace promotion. Afghanistan and surrounding regions are major focal points for current anti-terrorist activities of the USA and its allies, including Pakistan. The United States, Pakistan, and Afghanistan have shared many similar political objectives, as well as differences, in cold war and post-cold-war eras, reflected by variable provisions of material aid. It is well recognized that understanding Afghanistan requires comprehension of the Pakistan situation as well, especially for common resources. Water is paramount because it is absolutely vital, but can be contaminated by internal or cross-border terrorism. The Kabul and Indus rivers originate in the Hindu Kush - Himalaya ranges. The Kabul River flows from Afghanistan into Pakistan, and after irrigating Peshawar basin, joins the Indus. The Indus, after its origin in Tibet and flow through the Indian Himalaya, enters Pakistan and flows south as the irrigation lifeblood of the country. Any terroristic addition of radioactive nuclides or contaminants to either river could dramatically impact the dependent riverine ecologies. Monitoring cells thus need to be established at locations in Afghanistan and Pakistan to assess base-line river variances for possible future contamination by terrorists. This paper presents a general view and the physical and chemical parameters of parts of the two rivers, and of the surrounding underground water in Peshawar Basin, including pH, conductivity, total dissolved solids, major elements, trace elements, heavy metals and oxygen isotopes. Data are mostly within allowed limits of US-EPA for surface and underground water. Oxygen isotopes confirm the dangers of contamination from the Kabul River to underground water. Heavy metals were determined through spectrophotometery, however, modern geophysical methods are cheaper and quicker and can be applied at monitoring stations. With Kabul river and its surroundings as examples, similar theory and practice can be applied to rivers within the United States and other parts of the world.

  8. Nuclear weapons issues in South Asia

    SciTech Connect

    Joeck, N.

    1993-07-02

    This report discusses how the US can play a productive mediating role in South Asia by engaging India and Pakistan in an international forum to manage nuclear weapons, as Edward Teller advocated. India and Pakistan have developed their nuclear capabilities because they fear their neighbors, not because they want to threaten fear their neighbors, not because they want to threaten the US. The appropriate response for the US, therefore, is diplomatic engagement and negotiations. In addition to the international approach, encouragement and facilitation of regional and bilateral interactions will also be important. Formal arms control agreements have been reached, but less formal confidence-building measures, and unilateral security pledges may well be combined to form a more secure strategic environment in South Asia than a nuclear armed confrontation across the porous South Asian border.

  9. Drug-related HIV epidemic in Pakistan: a review of current situation and response and the way forward beyond 2015.

    PubMed

    Bergenstrom, Anne; Achakzai, Baseer; Furqan, Sofia; ul Haq, Manzoor; Khan, Rajwal; Saba, Marc

    2015-01-01

    Pakistan is among four countries in Asia where the estimated number of new HIV infections has been increasing year by year ever since 1990. The Asian Epidemic Modelling (AEM), conducted in 2015, reconfirmed that the use of contaminated injection equipment among people who inject drugs (PWID) remains the main mode of HIV transmission in the country. The estimated number of PWID ranges from 104,804 to 420,000 PWID. HIV prevalence in this population is above 40 % in several cities, including Faisalabad (52.5 %), D.G. Khan (49.6 %), Gujrat (46.2 %), Karachi (42.2 %) and Sargodha (40.6 %), respectively. Harm reduction service delivery is being implemented through a public-private partnership led by the National and Provincial AIDS Control Programmes and Nai Zindagi with funding support from the Global Fund. Current programmatic coverage of the needle and syringe programme, HIV testing and counselling and antiretroviral treatment among PWID remain insufficient to control ongoing transmission of HIV in the country. While opioid substitution therapy (OST) is yet to be introduced, significant progress and coordination among various ministries have taken place recently to register buprenorphine in the dosage required for treatment of opioid dependence, and possible introduction of OST will greatly facilitate adherence to antiretroviral treatment among PWID living with HIV. PMID:26471874

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

    PubMed

    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). PMID:16899470

  11. Factors affecting fertility in Pakistan.

    PubMed

    Hakim, A

    1994-01-01

    Data of the Pakistan Contraceptive Prevalence Survey of 1984-85 were used to determine whether there are any differentials in fertility levels by age at marriage, educational level, work status, region of residence (province), and place of residence (urban or rural) in Pakistan. Both bivariate and multivariate analyses examined the effects of these factors on fertility. The technique of Multiple Classification Analysis (MCA) was used to determine the net effect of each factor. Among the predictors, age at marriage was the most significant variable, followed by the husband's education, woman's education, husband's occupation, woman's work status, region, and place of residence. Among the demographic variables, age and age at marriage were the most important determinants of fertility. Among the socioeconomic variables, the educational level of both husband and wife were important determinants of cumulative fertility. Age at marriage was inversely related to fertility. The mean number of children ever born was 5.1 for those who married below age 16 vs. 4.1 for age at marriage 16-19, and 3.6 for 20-24. In the multivariate analysis the effect of age at marriage was the strongest as a predictor. Education had a negative effect on fertility. The mean number of children ever born to women with no education was 4.5; to women with primary education, 3.6; to women with secondary education, 3.2; and to women with tertiary education, 2.3. Women working as salaried employees had higher fertility (5.0) compared to women working in family business or at home (4.2). Women whose husbands worked as salaried employees had comparatively lower fertility than those whose husbands were working in their own business or in agriculture. The region of residence did not yield wide differentials. Furthermore, place of residence did not reveal any significant difference in fertility. The mean number of children was marginally higher among urban women (4.4) compared to their rural counterparts (4.2), indicating that the fertility transition has not started yet. PMID:12346202

  12. Physician migration at its roots: a study on the factors contributing towards a career choice abroad among students at a medical school in Pakistan

    PubMed Central

    2012-01-01

    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 had already started studying for licensing examinations, and were also planning of gaining clinical experience in their desired country of interest. Conclusion Physician migration is a serious condition that requires timely intervention from the concerned authorities. If considerable measures are not taken, serious consequences may follow, which may pose a threat to the healthcare system of the country. PMID:23241435

  13. A case study of outsourced primary healthcare services in Sindh, Pakistan: is this a real reform?

    PubMed Central

    2014-01-01

    Background 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. Methods 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. Results 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. Conclusion 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. PMID:24965769

  14. Potential Risk of Cross-Infection by Tourniquets: A Need for Effective Control Practices in Pakistan

    PubMed Central

    Mehmood, Zara; Mubeen, Syed Muhammad; Afzal, Muhammad Shehzad; Hussain, Zainab

    2014-01-01

    Background: Tourniquets used repeatedly on patients for blood sampling are a potential source of nosocomial infections. They harbor numerous microorganisms, including methicillin-resistant Staphylococcus aureus (MRSA). The aim of this study was to investigate tourniquets for the presence of microorganisms and to ascertain the infection control practices of health care workers. Methods: A cross-sectional study was carried out in 2012 on 100 samples of tourniquets collected from public and private sector hospitals in Karachi, Pakistan. The samples were cultured, and pathogenic microorganisms were identified and tested for methicillin resistance. A questionnaire was administered simultaneously to 100 health care workers who had used the tourniquets. Descriptive data are represented as frequencies and percentages. Ethical considerations were taken into account. Results: The total colonization rate was 51%, with no bacterial growth in 17/40 and 32/60 samples from public and private sector hospitals, respectively. S. aureus was isolated from 12 (42%) private sector hospital samples and 10 (43%) public sector hospital samples. Although MRSA was found in more samples from public than private sector hospitals, the difference was not statistically significant. Nevertheless, 90% of all elastic and 41% of all rubber tourniquets harbored microorganisms (P < 0.001). Although 96% of health care workers agreed that hospital staff and fomites can transmit infection, none identified tourniquets as a potential source. When asked whether tourniquets appeared clean before use, 66% agreed, and only 25% considered that tourniquets should be washed or cleaned before use. Conclusions: Tourniquets are a potential reservoir and vehicle for the spread of nosocomial infections, including MRSA. Health care workers have inadequate knowledge about infection control procedures and personal hygiene for disinfecting reusable items. PMID:25317294

  15. Source rock potential in Pakistan

    SciTech Connect

    Raza, H.A. )

    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.

  16. Advisory board approves Pakistan SMC marketing plan.

    PubMed

    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. PMID:12341468

  17. Development of agriculture biotechnology in Pakistan.

    PubMed

    Zafar, Yusuf

    2007-01-01

    Agriculture plays an important role in the national economy of Pakistan, where most of the rapidly increasing population resides in rural areas and depends on agriculture for subsistence. Biotechnology has considerable potential for promoting the efficiency of crop improvement, food production, and poverty reduction. Use of modern biotechnology started in Pakistan since 1985. Currently, there are 29 biotech centers/institutes in the country. However, few centers have appropriate physical facilities and trained manpower to develop genetically modified (GM) crops. Most of the activities have been on rice and cotton, which are among the top 5 crops of Pakistan. Biotic (virus/bacterial/insect) and abiotic (salt) resistant and quality (male sterility) genes have already been incorporated in some crop plants. Despite acquiring capacity to produce transgenic plants, no GM crops, either produced locally or imported, have been released in the country. Pakistan is signatory to the World Trade Organization, Convention on Biological Diversity, and Cartagena protocols. Several legislations under the Agreement on Trade-Related Aspects of Intellectual Property Rights have been promulgated in the country. National Biosafety Guidelines have been promulgated in April 2005. The Plant Breeders Rights Act, Amendment in Seed Act-1976, and Geographical Indication for Goods are still passing through discussion, evaluation, and analysis phases. Meanwhile, an illegal GM crop (cotton) has already sneaked into farmer's field. Concerted and coordinated efforts are needed among various ministries for implementation of regulation and capacity building for import/export and local handling of GM crops. Pakistan could easily benefit from the experience of Asian countries, especially China and India, where conditions are similar and the agriculture sector is almost like that of Pakistan. Thus, the exchange of information and experiences is important among these nations. PMID:17955999

  18. Lithosphere, crust and basement ridges across Ganga and Indus basins and seismicity along the Himalayan front, India and Western Fold Belt, Pakistan

    NASA Astrophysics Data System (ADS)

    Ravi Kumar, M.; Mishra, D. C.; Singh, B.

    2013-10-01

    Spectral analysis of the digital data of the Bouguer anomaly of North India including Ganga basin suggest a four layer model with approximate depths of 140, 38, 16 and 7 km. They apparently represent lithosphere-asthenosphere boundary (LAB), Moho, lower crust, and maximum depth to the basement in foredeeps, respectively. The Airy's root model of Moho from the topographic data and modeling of Bouguer anomaly constrained from the available seismic information suggest changes in the lithospheric and crustal thicknesses from ˜126-134 and ˜32-35 km under the Central Ganga basin to ˜132 and ˜38 km towards the south and 163 and ˜40 km towards the north, respectively. It has clearly brought out the lithospheric flexure and related crustal bulge under the Ganga basin due to the Himalaya. Airy's root model and modeling along a profile (SE-NW) across the Indus basin and the Western Fold Belt (WFB), (Sibi Syntaxis, Pakistan) also suggest similar crustal bulge related to lithospheric flexure due to the WFB with crustal thickness of 33 km in the central part and 38 and 56 km towards the SE and the NW, respectively. It has also shown the high density lower crust and Bela ophiolite along the Chamman fault. The two flexures interact along the Western Syntaxis and Hazara seismic zone where several large/great earthquakes including 2005 Kashmir earthquake was reported. The residual Bouguer anomaly maps of the Indus and the Ganga basins have delineated several basement ridges whose interaction with the Himalaya and the WFB, respectively have caused seismic activity including some large/great earthquakes. Some significant ridges across the Indus basin are (i) Delhi-Lahore-Sargodha, (ii) Jaisalmer-Sibi Syntaxis which is highly seismogenic. and (iii) Kachchh-Karachi arc-Kirthar thrust leading to Sibi Syntaxis. Most of the basement ridges of the Ganga basin are oriented NE-SW that are as follows (i) Jaisalmer-Ganganagar and Jodhpur-Chandigarh ridges across the Ganga basin intersect Himalaya in the Kangra reentrant where the great Kangra earthquake of 1905 was located. (ii) The Aravalli Delhi Mobile Belt (ADMB) and its margin faults extend to the Western Himalayan front via Delhi where it interacts with the Delhi-Lahore ridge and further north with the Himalayan front causing seismic activity. (iii) The Shahjahanpur and Faizabad ridges strike the Himalayan front in Central Nepal that do not show any enhanced seismicity which may be due to their being parts of the Bundelkhand craton as simple basement highs. (iv) The west and the east Patna faults are parts of transcontinental lineaments, such as Narmada-Son lineament. (v) The Munghyr-Saharsa ridge is fault controlled and interacts with the Himalayan front in the Eastern Nepal where Bihar-Nepal earthquakes of 1934 has been reported. Some of these faults/lineaments of the Indian continent find reflection in seismogenic lineaments of Himalaya like Everest, Arun, Kanchenjunga lineaments. A set of NW-SE oriented gravity highs along the Himalayan front and the Ganga and the Indus basins represents the folding of the basement due to compression as anticlines caused by collision of the Indian and the Asian plates. This study has also delineated several depressions like Saharanpur, Patna, and Purnia depressions.

  19. Epidemiology of major incidents: an EMS study from Pakistan

    PubMed Central

    2011-01-01

    Background A major incident is defined as an event that owing to the number of casualties has the potential to overwhelm the available resources. This paper attempts to describe the incidence and epidemiology of major incidents dealt with by a government-run emergency medical service (EMS) in the Punjab province of Pakistan, a developing country in South Asia. A major incident in this EMS is defined as any incident that produces three or more patients, or any incident in which extraordinary resources are needed. Methods All the calls received by an EMS Rescue 1122 were studied over a 6-month period. Calls that were defined as major incidents were identified, and further details were sought from the districts regarding these incidents. Questions specifically asked were the type of incident, time of the incident, response time for the incident, the resources needed, and the number of dead and injured casualties. Retrospective data were collected from the submitted written reports. Results Road traffic crashes (RTCs) emerged as the leading cause of a major incident in the province of Punjab and also led to the greatest number of casualties, followed by fire incidents. The total number of casualties was 3,380, out of which 73.7% were RTC victims. There was a high rate of death on the scene (10.4%). Certain other causes of major incidents also emerged, including violence, gas explosions and drowning. Conclusion Road traffic crashes are the most common cause of a major incident in developing countries such as Pakistan. Injury prevention initiatives need to focus on RTCs. PMID:21798011

  20. Sexually transmitted infections in Pakistan

    PubMed Central

    Maan, Muhammad Arif; Hussain, Fatma; Iqbal, Javed; Akhtar, Shahid Javed

    2011-01-01

    BACKGROUND AND OBJECTIVES: Sexually transmitted infections (STIs) represent a major global health problem leading to morbidity, mortality and stigma. Prior to this study there was no information on the prevalence and knowledge of STIs in Faisalabad, Pakistan. DESIGN AND SETTING: Prospective, cross-sectional study in patients attending STI clinics from July 2006 to September 2009. PATIENTS AND METHODS: After obtaining consent, patients completed structured questionnaires used for behavioral surveys. Blood and urethral swabs were collected and tested for syphilis, gonococcus, genital herpes, chlamydia and chancroid. RESULT: Mean (standard deviation) age of the 1532 participants was 38.9 (9.4) years, including 37.8 (10.2) years for males and 35.5 (6.3) years females. Male gender (n=1276, 83.3%), low socioeconomic class (n=1026, 67.0%) and residence in rural suburbs (n=970, 63.3%) were more common. Most (n=913, 59.6%) were aware of the modes of transmission of STIs and the associated complications, 20% (n=306) were condom users, and 21.2% (n=324) had knowledge of safe sex. Opposite-sex partners were preferred by 972 (63.4%) patients, while 29.9% (n=458) had both homosexual and heterosexual sex partners. Syphilis was present in 29.5% of patients (n=452); gonorrhea, in 13% (n=200), HSV-2, in 3.2% (n=49), chlamydia, in 4.7% (n=72) and chancroid, in 1.3% (n=20). CONCLUSION: This report establishes baseline local prevalence rates for STIs. Syphilis emerged as the most prevalent STI in Faisalabad. Population-based studies are required to study the epidemiology of STIs, along with initiation of national health-education campaign. PMID:21623055

  1. Communication Gap in Education in Sindh, Pakistan.

    ERIC Educational Resources Information Center

    Panhwar, Farzana

    Exposure to industrialization, urbanization, and commercial activities in the past 45 years has improved attitudes towards women in Pakistan, but they are still considered subordinate to men and the property of parents or husband. Traditional social values do not allow women full integration and participation in social and economic activities.…

  2. Library Web OPACs in Pakistan: An Overview

    ERIC Educational Resources Information Center

    Mahmood, Khalid

    2008-01-01

    Purpose: This paper aims to analyse features and functions of indigenously developed web-based catalogues of academic, special and national libraries of Pakistan. Design/methodology/approach: The assessment of 16 OPACs is based on a 91-item checklist developed with the help of previous studies conducted in other countries. Findings: The paper…

  3. Status of Project Management Education in Pakistan

    ERIC Educational Resources Information Center

    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

  4. Polarisation of Social Studies Textbooks in Pakistan

    ERIC Educational Resources Information Center

    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

  5. Status of Project Management Education in Pakistan

    ERIC Educational Resources Information Center

    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. Food safety challenges--a Pakistan's perspective.

    PubMed

    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. PMID:24915401

  7. Education, Ethnicity, and Political Socialization in Pakistan.

    ERIC Educational Resources Information Center

    Kazi, Aftab A.

    1986-01-01

    This paper addresses the correlation between educational policies and political conditions as an indicator of socialization in the nation and state building process in Pakistan. Because of the discrepancies between official statements and the level of ethnic conflict, this study seeks to analyze the standard national social studies curriculum for…

  8. Polarisation of Social Studies Textbooks in Pakistan

    ERIC Educational Resources Information Center

    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…

  9. Suicide and attempted suicide in Pakistan.

    PubMed

    Khan, M M

    1998-01-01

    Suicide and attempted suicide are understudied subjects in Pakistan, an Islamic country where they are considered criminal offenses. National suicide statistics are not compiled nor are suicide mortality statistics reported to the World Health Organization (WHO). Although there are strong religious sanctions against suicide, there are no clear principles against attempted suicide in Islam. Despite this, Pakistan, like many other Islamic countries, has punitive laws against attempted suicide. This has led to both suicide and attempted suicide being underdiagnosed and underreported. Data on suicide and attempted suicide are also difficult to obtain. This article gives an overview of the current state of suicide and attempted suicide in Pakistan, in the context of existing religious and legal factors, high-lighting the main findings of the few studies carried out over the last 50 years. It is important that researchers in Islamic countries like Pakistan not be deterred by the apparent low rates of suicide in these countries, but conduct further research in this important yet neglected public-health problem. PMID:10331315

  10. Library Web OPACs in Pakistan: An Overview

    ERIC Educational Resources Information Center

    Mahmood, Khalid

    2008-01-01

    Purpose: This paper aims to analyse features and functions of indigenously developed web-based catalogues of academic, special and national libraries of Pakistan. Design/methodology/approach: The assessment of 16 OPACs is based on a 91-item checklist developed with the help of previous studies conducted in other countries. Findings: The paper

  11. Pakistan human resources for health assessment, 2009.

    PubMed

    Hafeez, A; Khan, Z; Bile, K M; Jooma, R; Sheikh, M

    2010-01-01

    Pakistan faces a human resources for health (HRH) crisis. A cross-sectional survey was conducted to overview frontline health workers. A total of 750 health facilities were surveyed across Pakistan. The median estimate of public sector health care workers in the district health system in Pakistan is 417 288, including 46 153 estimate of public sector health care workers in the district health system in Pakistan is 417 288, including 46 153 doctors and 41 032 nurses. Another estimated 20 000 doctors work in public sector tertiary care hospitals across the country. A total of 3549 health care workers were interviewed regarding job satisfaction and work environment. The private sector had better work environment scores compared with the public sector. Policy dimensions showed an absence of robust policies in practice. The public sector is inadequately staffed and job satisfaction and work environment need improvement. HRH crisis countries should share experiences, and developmental partners should support them in overcoming the HRH crisis. PMID:21495600

  12. Pesticides exposure in Pakistan: a review.

    PubMed

    Tariq, Muhammad Ilyas; Afzal, Shahzad; Hussain, Ishtiaq; Sultana, Nargis

    2007-11-01

    This is the first systematic review of studies done since 1960, and to give an integrated picture of pesticides exposure to humans, animals, plants, waters, soils/sediments, atmosphere etc. in Pakistan. Authors have extracted data from different departments, published literature in research journals and National reports. Although the wide-spread usage of pesticides in Pakistan has controlled the pests, but like other countries, it has started causing environmental problems in the area. In some areas of Punjab and Sindh groundwater has been found contaminated and is constantly being under the process of contamination due to pesticide use. There is considerable evidence that farmers have overused and misused pesticides especially in cotton-growing areas. It is evident from the biological monitoring studies that farmers are at higher risk for acute and chronic health effects associated with pesticides due to occupational exposure. Furthermore, the intensive use of pesticides (higher sprays more than the recommended dose) in cotton areas involves a special risk for the field workers, pickers, and of an unacceptable residue concentration in cottonseed oil and cakes. The authors have also discussed the merits and demerits of different studies. The review will set the future course of action of different studies on pesticide exposure in Pakistan. Data limitations are still the major obstacle towards establishing clear environmental trends in Pakistan. The authors suggest that a reliable monitoring, assessment and reporting procedures shall be implemented in accordance with appropriate environmental policies, laws and regulations in order to minimize the pesticides exposure. PMID:17765971

  13. Knowledge and practices of barbers regarding HIV transmission in Karachi: a cross-sectional study.

    PubMed

    Bawany, Faizan Imran; Khan, Muhammad Shahzeb; Shoaib, Atif Bilal; Naeem, Muhammad; Kazi, Abdul Nafey; Shehzad, Abdul Moid

    2014-10-01

    A barber shop is a potential place for non-sexual transmission of deadly blood borne diseases such as acquired immuno-deficient syndrome. Few researches have been conducted to assess the knowledge of barbers regarding human immunodeficiency virus (HIV) transmission in Pakistan. With majority of the population visiting roadside saloons, it is imperative to have local data in this regard. The objective of this study was to investigate the knowledge and practices of barbers with reference to razor use and steps taken to sterilize their instruments. A total of 300 barber saloons were conveniently selected for this cross-sectional study during a time period of 5 months from May 2012 till September 2012. The shops were categorized into three groups: big saloons, small saloons and roadside saloons based on the inclusion criteria. One barber was randomly selected as a representative from each saloon. Data collection from each barber shop was carried out by an interviewer using a pre-coded questionnaire. Majority of the barbers had low school education. Awareness regarding sharing of blades as a route of HIV transmission was known by 90 % (n = 90) of big saloon barbers with awareness decreasing in small (n = 55) and roadside saloon barbers (n = 27). Only 60.3 % (n = 181) of the barbers used new blades between customers. In comparison to big saloon barbers, the majority (n = 53) of roadside saloon barbers used tap water for cleaning purposes. Only 40 % of the roadside barbers used antiseptic after shaving. The results of our study indicate that roadside saloon barbers, to whom majority of Pakistani population visit, have inadequate awareness regarding HIV transmission. Their poor barbering practices were mainly due to their low education. This potentiates a great risk for aggravating the HIV endemic in Pakistan. PMID:24504994

  14. MAHFIL: A Quarterly of South Asian Literature, Spring-Summer 1971.

    ERIC Educational Resources Information Center

    Coppola, Carlo, Ed.

    This volume contains both literature from South Asia and articles about South Asian literature. The first article consists of an interview with a leading Pakistani poet, N.M. Rashed, who discusses modern Urdu literature. Other articles are: "Five 'Dangerous' Books"--on censorship in East Pakistan--by P. Sarkar; "Baluchi Language and Literature"…

  15. Emission Sources and Chemical Composition of the Atmosphere of a Mega-city in South Asia

    NASA Astrophysics Data System (ADS)

    Husain, L.; Farhana, B. K.; Ghauri, B. M.

    2007-05-01

    The environmental regulations in the countries in the western hemisphere have greatly decreased the concentrations of PM2.5, black carbon (BC), SO4, SO2, and trace elements. Owing to rapid industrialization, concentrations of many chemical species in South Asia are rising and are expected to continue to increase. The impact of aerosols on global climate and on human health would also increase with time. Therefore, we conducted an extensive campaign to determine PM2.5 mass, concentrations of 25 trace elements, 13 ions, black and organic carbon, acidic gases and NH3 in the mega-cities of Karachi (population, ~14.5 million), and Lahore (population, 10 million), Pakistan. Here we present the data from Lahore. Continuous sampling of PM2.5 (particulate matter of <2.5 µm aerodynamic diameter) and acidic and alkaline gases was carried out in winter (2005-2006) in Lahore which is highly impacted by urban and agricultural emissions but has remained unexplored in terms of atmospheric chemistry. While sampling continued from November 2005 to February 2006, it was possible to collect several samples during fog episodes. A low volume sampler equipped with two inlets was deployed for simultaneous collection of aerosol on quartz and PTFE filters, the latter being coupled to an annular diffusion denuder to collect acidic and alkaline gases. Water soluble ions in denuder gas samples and PM2.5 collected on PTFE filters were analyzed using ion chromatography, trace elements by ICP-MS, and organic and elemental carbon on quartz filters using thermal-optical carbon analyzer. Concentrations of BC were determined every 5 min with an Aethalometer. PM2.5 mass concentration varied an order of magnitude, 53 to 476 μg m-3 (mean, 191 μg m-3). Concentrations of the anthropogenic elements were exceedingly high, as much 100 to 1000 fold of those observed in cities such as New York. Maximum concentrations of BC, OC, Pb, Zn, SO4 2- , NH4+ were 110, 250, 12, 48, 66, and 60 μgm-3, respectively. HONO and NH3 concentrations of up to 25 and 117 ppb were observed. A strong diurnal pattern was evident in the concentration of elemental and organic carbon which was perhaps controlled by variation in mixing heights. We used HYSPLIT4 air trajectories, intercomponent relationships and meteorological observations to explain the sources and the impacts of fog chemistry and mixing heights on atmospheric processing of the chemical constituents. Aerosols collected on this campaign were found to carry the signatures of emissions from Afghanistan, North and Central Pakistan, North India in addition to the local pollution sources. Statistical analysis suggests emissions from coal and oil combustion, industrial processes, building construction sites and biomass burning as the primary emission sources. Carbonaceous aerosols contributed about 69% of the PM2.5 mass. Findings of our study will improve the understanding of the critical roles and interactions between chemical composition and size of atmospheric particles, atmospheric boundary layer and meteorological phenomena that manipulate the chemistry of an urban atmosphere. The results should play a vital role in any strategy to regulate emissions and improve air quality in the region.

  16. On the Dynamics of Extreme Meteorological Droughts during Pakistan Summer Monsoon by Focusing the Anomalous States of Upper Troposphere

    NASA Astrophysics Data System (ADS)

    Ahmad, S.; Koike, T.; Nishii, K.

    2012-12-01

    The lack of summer monsoon sometimes brings severe droughts in many parts of the world including South Asian countries like Pakistan. Human life and economy in Pakistan considerably depends on the summer monsoon. So, an essential question arises "how can we contribute better to manage the water resources during drought conditions for the societal needs". To address the concern as a hydrologist, we need to develop a basis of the scientific understanding of the different contrast of the climatology during extremely dry rainfall events over Pakistan region. However, compared to other regional studies i.e. Indian Summer Monsoon (ISM) and South-East Asian Monsoon (SEAM), the basis of the thermodynamical structure and the processes associated with upper tropospheric conditions during the climatological mean Pakistan Summer Monsoon (PSM) and its extreme events have not been addressed deeply yet and need to be investigated, because it is immensely vital for the hydrologist as a first step to develop the basis of scientific understanding. By data analysis, an attempt has been made to accomplish this objective. Firstly, the climatological tropospheric conditions and the associated processes from pre-monsoon phase to the PSM mature phase are investigated. During the PSM mature phase (mid July), the climatological-mean structure of the atmosphere favors convective activity compared to the pre-monsoon phase (late June) with weakening of the subsidence in the upper troposphere and also with increasing of incoming moisture flux in the lower troposphere from Arabian Sea and Bay of Bengal around Pakistan. Specifically, in the upper troposphere, the upper-level subsidence and convergence observed over Pakistan during pre-monsoon phase shifts and reallocates to the northwest of Pakistan during mature phase, which results in weakening of the subsidence just over Pakistan, and then the PSM mature phase initiated. Secondly, comparing the PSM mature phase climatological mean characteristics, the characteristics of the extremely dry PSM events are investigated by focusing their common anomalous tropospheric conditions observed during the period 1979-2008. We found that the extremely dry PSM events were closely related with the anomalous state of upper tropospheric cyclonic circulation northwest of Pakistan and the associated cold temperature anomaly around Pakistan. This anomalous state of upper tropospheric cyclonic circulation is accompanied with the anomalous upper level convergence around Pakistan, which anomalously weakens the climatological mean PSM trough to suppress the PSM activities. We found two possibilities i.e. Matsuno-Gill type atmospheric response from the tropics and/or the Rossby wave train along the Asian Jet to trigger, reinforce, and maintain the upper-tropospheric cyclonic circulation. In summary, the strong convection anomalies resulting in severe drought events over the PSM region are suggested to be induced by both the tropical and extratropical processes. However what (i.e. source) triggers the circulation anomaly from the tropics and/or extratropics is unknown at the moment, which needs further investigations to reach a definite conclusion. Further, if hydrologist gets a prediction signal in advance, the integrated water resources management (IWRM) will be much more effective for the region.

  17. Exploring environmental literacy in low-literate communities of Pakistan: A descriptive study to recommend strategies for planning environmental education programs

    NASA Astrophysics Data System (ADS)

    Daudi, Sabiha Shafique

    2000-10-01

    The widely accepted definition of environmental education as stated by The Tbilisi Declaration of 1978 focuses on developing an environmentally literate citizenry which is capable of working "...individually and collectively toward solutions of current [environmental] problems and the prevention of new ones". The two basic tenets of environmental literacy are further defined in this study as the ability to understand environmental problems and the ability to address those environmental problems in a responsible manner. Acquisition of knowledge has also been considered an important element when developing environmental literacy programs. However, a large sector of the world population is non- or low-literate and communication is through channels other than the written word. The challenge for environmental educators is to reach the low-literate learners who have not had many opportunities to participate in formal education activities through established institutions. The purpose of this study was to describe levels of environmental literacy in communities with varying levels of formal literacy in two cities, Karachi and Islamabad, Pakistan to determine the role formal literacy plays in enhancing environmental literacy and decision making in relation to age, sex, location, number of years spent in formal education, and the socio-economic status (SES) of adult learners. Based on the outcomes, recommendations were made for designing effective programs to ensure involvement of low-literate communities in established decision-making processes through relevant program planning. This study suggested strategies to program planners and environmental educators for designing programs that reach low-literate communities, highlight local environmental concerns, and empower these communities in addressing local environmental issues. A purposive sample was identified from the constituencies of five non-governmental organizations in Karachi and Islamabad, Pakistan. Two instruments, one to measure levels of formal literacy, and the other to assess environmental literacy of the participants at the nominal, functional, and operational levels, were developed for this study. Negligible correlations were found between environmental literacy and the demographic or "external" variables of age, sex, location, number of years participants had spent in formal education institutions, socio-economic status, and formal literacy. However, some low and moderate positive correlations were found between formal literacy and age, sex, location, number of years participants had spent in formal education institutions, and socio-economic status of the participants. No correlations were found between environmental literacy and formal literacy indicating that the ability to read and write did not relate to environmental literacy or awareness in the participants.

  18. Hypertensive patients’ readiness to use of mobile phones and other information technological modes for improving their compliance to doctors’ advice in Karachi

    PubMed Central

    Hussain, Mirza Izhar; S. Naqvi, Baqir; Ahmed, Iqbal; Ali, Nasir

    2015-01-01

    Objective: To determine the use of information technology (IT) & electronic media for improving compliance rate to doctors’ advice in hypertensive patients in Karachi. Methods: Total 400 persons (200 males & 200 females) were randomly selected in six districts of Karachi. Data was collected through a pretested questionnaire. Following was sample criteria: age above 15 years, living in Karachi and ambulatory. Persons admitted in a hospital, individuals who were doing some physical activity during survey e.g. exercise, labor work etc., individual in stressed condition, non-cooperative individuals – not willing to get BP checked and fill questionnaire, and pregnant women were excluded. Those who did not sign the consent form were also excluded. SPSS was used for data analysis and descriptive statistics was employed for sensitivity analysis. Results: For healthcare awareness, people look for health programs on radio and TV channels. Short Message Service (SMS) and phone are highly appreciated by patients for reminders. To increase compliance to doctors’ advice, less educated people prefer phone calls over SMS whereas educated individuals favor SMS. Although price of medicine has not emerged as a major contributing factor for non-compliance, discount on medicinal products is highly appreciated by the patients. Conclusion: The study concludes that there is a widespread awareness of high blood pressure in the sample population of Karachi e.g. 72.5%. People consider reminder message system i.e. Calls and Short Messaging Service (SMS) would help them in improving compliance to doctors’ advice. PMID:25878606

  19. Anthropoid primates from the Oligocene of Pakistan (Bugti Hills): Data on early anthropoid evolution and biogeography

    PubMed Central

    Marivaux, Laurent; Antoine, Pierre-Olivier; Baqri, Syed Rafiqul Hassan; Benammi, Mouloud; Chaimanee, Yaowalak; Crochet, Jean-Yves; de Franceschi, Dario; Iqbal, Nayyer; Jaeger, Jean-Jacques; Métais, Grégoire; Roohi, Ghazala; Welcomme, Jean-Loup

    2005-01-01

    Asian tarsiid and sivaladapid primates maintained relictual distributions in southern Asia long after the extirpation of their close Holarctic relatives near the Eocene–Oligocene boundary. We report here the discovery of amphipithecid and eosimiid primates from Oligocene coastal deposits in Pakistan that demonstrate that stem anthropoids also survived in southern Asia beyond the climatic deterioration that characterized the Eocene–Oligocene transition. These fossils provide data on temporal and paleobiogeographic aspects of early anthropoid evolution and significantly expand the record of stem anthropoid evolution in the Paleogene of South Asia. PMID:15937103

  20. Fifty years of planning for water power in South Asia

    SciTech Connect

    Dutta, D.N.

    1995-12-31

    Water power is an important part of planning for energy in the Indian subcontinent and Burma. Hydropower projects in the four countries of South Asia: Pakistan, India, Bangladesh and Burma are reviewed, focusing on the challenges of foundation problems, construction in seismic areas, storage in Karstic areas and long-term planning for large and complex water power and multipurpose projects.

  1. Towards balanced development in Pakistan.

    PubMed

    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. Balanced development must alleviate poverty. Policies can be evaluated in terms of access, delivery, training, and financing; discussion follows on the failings of and needs for family planning, health, and education, and the implications for institutional policy. Balanced development as optimum use of existing resources and investment in areas with the highest return is movement in the right direction, assumes equality of opportunity, but does not provide social security. PMID:12318400

  2. Mapping human health risks from exposure to trace metal contamination of drinking water sources in Pakistan.

    PubMed

    Bhowmik, Avit Kumar; Alamdar, Ambreen; Katsoyiannis, Ioannis; Shen, Heqing; Ali, Nadeem; Ali, Syeda Maria; Bokhari, Habib; Schäfer, Ralf B; Eqani, Syed Ali Musstjab Akber Shah

    2015-12-15

    The consumption of contaminated drinking water is one of the major causes of mortality and many severe diseases in developing countries. The principal drinking water sources in Pakistan, i.e. ground and surface water, are subject to geogenic and anthropogenic trace metal contamination. However, water quality monitoring activities have been limited to a few administrative areas and a nationwide human health risk assessment from trace metal exposure is lacking. Using geographically weighted regression (GWR) and eight relevant spatial predictors, we calculated nationwide human health risk maps by predicting the concentration of 10 trace metals in the drinking water sources of Pakistan and comparing them to guideline values. GWR incorporated local variations of trace metal concentrations into prediction models and hence mitigated effects of large distances between sampled districts due to data scarcity. Predicted concentrations mostly exhibited high accuracy and low uncertainty, and were in good agreement with observed concentrations. Concentrations for Central Pakistan were predicted with higher accuracy than for the North and South. A maximum 150-200 fold exceedance of guideline values was observed for predicted cadmium concentrations in ground water and arsenic concentrations in surface water. In more than 53% (4 and 100% for the lower and upper boundaries of 95% confidence interval (CI)) of the total area of Pakistan, the drinking water was predicted to be at risk of contamination from arsenic, chromium, iron, nickel and lead. The area with elevated risks is inhabited by more than 74 million (8 and 172 million for the lower and upper boundaries of 95% CI) people. Although these predictions require further validation by field monitoring, the results can inform disease mitigation and water resources management regarding potential hot spots. PMID:26312405

  3. Drifting continents and endemic goitre in northern Pakistan.

    PubMed Central

    Stewart, A G

    1990-01-01

    Although Baltistan, north east Pakistan, is in a region of iodine deficiency disorders, the distribution of goitre within the district, according to age and sex, has not been clearly defined. To establish the prevalence of the condition and to measure the reported difference in prevalence in the north and south of the district thyroid size was assessed in new patients attending the Aman clinic, Khapalu, and outlying areas between April and September from 1981 to 1986. Samples of potable water collected from villages were analysed for iodine (as iodide) concentrations in Britain. Population weighted prevalences were: in the north in males 20.4%, in females 28.1% and in the south in males 13.9%, in females 21.2%. There was an overall deficiency of iodine in the water (mean iodine (as iodide) concentrations (north) 11.0 nmol/l (1.4 micrograms/l), (south) 11.8 nmol/l (1.5 micrograms/l) (95% confidence interval -0.7 to 0.9). The differences followed the Main Karakoram Thrust, suggesting a geological goitrogen in the north, which might be minerals containing ions such as BF4- and SO3F-, and molybdenite and calcium, which are present in rocks in Baltistan. A new hypothesis for the genesis of endemic goitre is proposed--that is, that continents on crustal plates drift across the earth and collide, one plate sliding under the other and melting, giving rise to characteristic mineral assemblages in the overlying rocks. As the minerals weather out they enter the diet of the local population, where in the presence of iodine deficiency they produce or enhance iodine deficiency disorders. Despite the current iodised oil campaign by the Pakistani government with Unicef a long term working iodisation programme is still urgently needed. PMID:2372605

  4. Cooperative Monitoring Center Occasional Paper/11: Cooperative Environmental Monitoring in the Coastal Regions of India and Pakistan

    SciTech Connect

    Rajen, Gauray

    1999-06-01

    The cessation of hostilities between India and Pakistan is an immediate need and of global concern, as these countries have tested nuclear devices, and have the capability to deploy nuclear weapons and long-range ballistic missiles. Cooperative monitoring projects among neighboring countries in South Asia could build regional confidence, and, through gradual improvements in relations, reduce the threat of war and the proliferation of weapons of mass destruction. This paper discusses monitoring the trans-border movement of flow and sediment in the Indian and Pakistani coastal areas. Through such a project, India and Pakistan could initiate greater cooperation, and engender movement towards the resolution of the Sir Creek territorial dispute in their coastal region. The Joint Working Groups dialogue being conducted by India and Pakistan provides a mechanism for promoting such a project. The proposed project also falls within a regional framework of cooperation agreed to by several South Asian countries. This framework has been codified in the South Asian Seas Action Plan, developed by Bangladesh, India, Maldives, Pakistan and Sri Lanka. This framework provides a useful starting point for Indian and Pakistani cooperative monitoring in their trans-border coastal area. The project discussed in this paper involves computer modeling, the placement of in situ sensors for remote data acquisition, and the development of joint reports. Preliminary computer modeling studies are presented in the paper. These results illustrate the cross-flow connections between Indian and Pakistani coastal regions and strengthen the argument for cooperation. Technologies and actions similar to those suggested for the coastal project are likely to be applied in future arms control and treaty verification agreements. The project, therefore, serves as a demonstration of cooperative monitoring technologies. The project will also increase people-to-people contacts among Indian and Pakistani policy makers and scientists. In the perceptions of the general public, the project will crystallize the idea that the two countries share ecosystems and natural resources, and have a vested interest in increased collaboration.

  5. Pakistan/USAID to start CSM project.

    PubMed

    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 required for product promotion. In addition, AID's agreement requires a yearly review by the Pakistan government of its marketing strategies. The Pakistan government hopes that its new emphasis on family planning can slow the country's annual rate of population growth from 1983's 2.9% figure to 2.6% by 1988. PMID:12266332

  6. Environment Friendly Coal Based Power Generation in Pakistan

    NASA Astrophysics Data System (ADS)

    Qureshi, S. A.; Javed, M. Adnan

    2010-06-01

    The main emphasis of this paper is on the engineering economics and design developments in the field of thermal power generation in Pakistan. Pakistan is rich with coal fields but is making no use of this available natural resource to fulfil its energy demands. The shortage of power is getting worst day by day and to align with the power requirements, Pakistan needs to add 2000 MW each year to national grid. With the increasing prices of natural gas and oil, Pakistan should consider coal, the abundantly available natural resource, as an alternate fuel for its new power plants to overcome the power crises.

  7. Perceptions of Private College Teachers of Karachi about the Curriculum Prescribed by Sindh Bureau of Curriculum (BOC)

    ERIC Educational Resources Information Center

    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. Hydrocarbon prospects of southern Indus basin, Pakistan

    SciTech Connect

    Quadri, V.U.N.; Shuaib, S.M.

    1986-06-01

    The Southern Indus basin extends approximately between lat. 23/sup 0/ and 28/sup 0/31'N, and from long. 66/sup 0/E to the eastern boundary of Pakistan. Of the 55 exploratory wells drilled (1955-1984), 27 were based on results of multifold seismic surveys. Five commercial oil discoveries and one gas discovery in Cretaceous sands, three gas discoveries in Paleocene limestone or sandstone, and one gas-condensate discovery from lower Eocene limestone prove that hydrocarbons are present. The main hydrocarbon fairways are Mesozoic tilted fault blocks. Tertiary reefal banks, and drape and compressional anticlines. Older reservoirs are accessible toward the east and northeast, and younger mature source rocks are to the west, including offshore, of the Badin block oil field area. The Indus offshore basin reflects sedimentation associated with Mesozoic rifting of the Pakistan-Indian margin, superimposed by a terrigenous clastic depositional system comprised of deltas, shelves, and deep-sea fans of the Indus River.

  9. Essential medicines management during emergencies in Pakistan.

    PubMed

    Bukhari, S K S; Qureshi, J A R H; Jooma, R; Bile, K M; Kazi, G N; Zaibi, W A; Zafar, A

    2010-01-01

    This paper illustrates the experiences of essential medicine management in providing cure and care to victims of Pakistan's 2005 earthquake in a safe, rational and effective mode. The health interventions assured access to essential medicine, sustained supply, inventory control through a computerized logistic support system and rational use of medicines. World Health Organization Pakistan outlined modalities for acceptance of donated medicines, assisted in speedy procurement of medicines and designed customized kits. Proper storage of medicines at controlled temperature was ensured in warehousing facilities in 12 locations. A steady supply of medicines and their consumption without stock-outs in the 56 first-level care facilities of calamity-hit areas helped to ascertain the average consumption and cost of essential medicines and supplies for the catchment population. Tools for quantification and forecasting of medicines and supplies were developed and shared. Medicines and medical supplies were efficiently used resulting in minimum wastage. PMID:21495596

  10. Indus basin off Pakistan contains few wells

    SciTech Connect

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

    1997-06-16

    The U.N. Conference on the Law of the Sea reaffirmed sovereignty of nations over 22 km of territorial sea, a 370 km Exclusive Economic Zone (EEZ), and rights over the continental shelf to at least 370 km and out to 648 km or beyond under specified conditions. With a coast line of about 990 km, the EEZ for Pakistan extends over an area almost 240,000 sq km, or 40% of the land sedimentary area, in which two distinct geological provinces, and the Indus Offshore and the Makran offshore, have been defined. The paper discusses the tectonics, structure, exploration history, and play types offshore Pakistan. Data show a potential for both oil and gas.

  11. CNS neoplasms in Pakistan, a pathological perspective.

    PubMed

    Ahmad, Zubair; Arshad, Huma; Hasan, Sheema H; Fatima, Saira; Idrees, Romana; Aftab, Kanwal; Barakzai, M Abrar; Ahmed, Arsalan; Ahmed, Rashida; Pervez, Shahid; Kayani, Naila

    2011-01-01

    The Section of Histopathology, Aga Khan University is the largest center for histopathology in Pakistan and is the major reporting and referral center for CNS neoplasms in the country. Over the years, a significant increase has been noted in the number of CNS neoplasms reported annually. This increase most likely represents increased number of neurosurgical procedures being performed. A major problem that we face as histopathologists is absence of clinical history or radiological films in a large number of cases. PMID:21517279

  12. Pakistan: social basis of the economy.

    PubMed

    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. PMID:12280894

  13. The Status of Women Physicists in Pakistan

    NASA Astrophysics Data System (ADS)

    Hasnain, Aziz Fatima; Islam, Jabeen

    2009-04-01

    A significant number of women physicists work in high-ranking positions in the universities and research institutes of Pakistan; however, the number of women is much lower compared with men. We surveyed these women about the challenges they faced in the workplace and the pace of their progress and scientific work in a male-dominant society. We also surveyed girls' attitudes toward studying physics at the graduate and undergraduate levels.

  14. Makran Mountain Range, Iran and Pakistan

    NASA Technical Reports Server (NTRS)

    1983-01-01

    The long folded mountain ridges and valleys of the coastal Makran Ranges of Iran and Pakistan (26.0N, 63.0E) illustrate the classical Trellis type of drainage pattern, common in this region. The Dasht River and its tributaries is the principal drainage network for this area. To the left, the continental drift of the northward bound Indian sub-continent has caused the east/west parallel ranges to bend in a great northward arc.

  15. An overview of poultry industry in Pakistan

    PubMed Central

    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

  16. Solar daily variation at geomagnetic observatories in Pakistan

    NASA Astrophysics Data System (ADS)

    Rahim, Zain; Kumbher, Abdul Salam

    2016-03-01

    A study of solar daily variation is performed using the famous Chapman-Miller method for solar cycles 22 & 23 (1986-2007). The objective is to study the characteristics of Sq variation at Pakistani geomagnetic observatories using solar harmonics and a more traditional five quietest day's method. The data recorded at the Karachi geomagnetic observatory for SC 22 and 23 and data sets from other Pakistani geomagnetic observatories; Sonmiani, Quetta and Islamabad are analyzed for H, D and Z components of the geomagnetic field. Except for the D and Z components at Karachi and Sonmiani and H component at Islamabad, the two solar daily variations correlated well with each other. Also, the synthesized daily variation from the solar harmonics of H, D and Z components explained the equivalent Sq current system reasonably well for all seasons. For H component, the first solar harmonic (s1) obtained from spherical harmonic analysis of the data, appeared as the largest harmonic with no significant changes for the seasonal division of data. However, for D and Z components, amplitudes are comparable, but undergo distinct variations. s1 for H and D components increases with magnetic activity while for Z component it is the largest for the medium phase of magnetic activity. With the sunspot number division of data, the weighted mean of the Wolf ratio of all three components is in good agreement with the previous studies. The synthesized solar daily variation for D component, S(D), at Karachi, Sonmiani, Quetta and Islamabad did not show any signs of winter anomaly for the period studied. However, S(D) variation at Karachi during winter season showed morning minimum followed by a maximum at local noon and another minimum in the afternoon. We suggest this could be the effects of Equatorial Ionospheric Anomaly (EIA) observable at the Karachi observatory only during the winter season. Similarly, much disturbed in equinoctial and summer months, S(Z) illustrated an unwavering daily variation for the winter season at the Karachi observatory for both solar cycles. We find that it is the vertical component which is more strongly correlated with the mean monthly sunspot number and F10.7 solar radio flux. An interesting result obtained at Islamabad is the semi-diurnal variation of H component with a morning maximum and afternoon minimum and the phase reversal noticed for Z component variation. Attributed to an early eastward current this is, usually, observed for stations close to the Sq focus current system.

  17. Ablation of avalanched and undisturbed snow, Himalaya Mountains, Pakistan

    SciTech Connect

    de Scally, F.A. ); Gardner, J.S. )

    1990-11-01

    Avalanche deposits represent a significant storage of winter snow on the south slope of the Himalaya Mountains, Pakistan, complicating the annual snowmelt cycle because of the differences in ablation of avalanche-transported snow and undisturbed snow. Measurements show very high rates of melting of both snow types, particularly of avalanche sow late in the melt season. The high rates are a function of the low latitude of the study area and the low elevation of the avalanche snow deposits, as well as heat release by condensation. Air temperature was closely correlated with daily snowmelt and appears to hold promise as a predictor, however, data constraints prevent an energy balance analysis of this relationship. Gravimetric measurements show that condensation is important in the snow surface energy exchange and can represent a significant source of energy for snowmelt. Rainfall during warm conditions also makes a more significant contribution to snowmelt than shown in previous studies. The derived temperature-based melt factors or coefficients compare well with published figures from other mountain areas, but their confidence limits are sufficiently wide to produce significant errors in the prediction of basin snowmelt runoff.

  18. Mutations of GJB2 encoding connexin 26 contribute to non-syndromic moderate and severe hearing loss in Pakistan.

    PubMed

    Salman, Midhat; Bashir, Rasheeda; Imtiaz, Ayesha; Maqsood, Azra; Mujtaba, Ghulam; Iqbal, Muddassar; Naz, Sadaf

    2015-08-01

    Mutations of GJB2 which encode connexin 26, contribute to 6-7 % of profound deafness in Pakistan. We investigated the involvement of GJB2 mutations in a cohort of 84 pedigrees and 86 sporadic individuals with moderate or severe hearing loss. Individuals in eight consanguineous families and four sporadic cases (9.52 and 4.65 %, respectively) were homozygous or compound heterozygous for p.W24X or p.W77X mutations in GJB2. These two variants are also among the most common mutations known to cause profound deafness in South Asia. The association of identical mutations with both profound and less severe phenotype of hearing loss suggests that alleles of other genes modify the phenotype due to these GJB2 nonsense mutations. Our study demonstrates that GJB2 mutations are an important contributor to aetiology of moderate to severe hearing loss in Pakistan. PMID:25636251

  19. Faunistics of Tiger Beetles (Coleoptera: Cicindelidae) from Pakistan

    PubMed Central

    Rafi, Muhammad Ather; Jürgen, Wiesner; Matin, Muhammad Abdul; Zia, Ahmed; Sultan, Amir; Naz, Falak

    2010-01-01

    The present biogeographic distribution of tiger beetle fauna is an attempt to register all modern taxa from Pakistan. It includes 55 taxa under 14 genera and 11 subgenera. Three species, Cylindera (Eriodera) albopunctata (Chaudoir 1852), Cicindela viridilabris (Chaudoir 1852) and Neocollyris (Neocollyris) redtenbacheri (Horn 1894) are recorded from Pakistan for the first time. PMID:20874597

  20. Empowerment of Women through Distance Education in Pakistan

    ERIC Educational Resources Information Center

    Bukhsh, Qadir

    2007-01-01

    The present study was undertaken to highlight the gender disparities of Pakistan as well as at regional and international level. The study, measured the comparative outcome of formal and non-formal system of education in Pakistan. To achieve the desired goal, documentary analysis was considered appropriate. The number of schools and enrollment…

  1. Transferring manufacturing technology. Producing essential vaccines in Pakistan.

    PubMed

    Burney, M I

    1993-01-01

    Pakistan has produced essential vaccines as part of an Expanded Program on Immunization. The program has been successful in achieving high rates of immunization in pregnant women and children under two years of age. This paper focuses on key events in the development of Pakistan's capacity to produce vaccines. PMID:8340204

  2. Education and Gendered Citizenship in Pakistan. Postcolonial Studies in Education

    ERIC Educational Resources Information Center

    Naseem, M. Ayaz

    2010-01-01

    "Education and Gendered Citizenship in Pakistan" challenges the uncritical use of the long held dictum of the development discourse that education empowers women. Situated in the post-structuralist feminist position, it argues that in its current state the educational discourse in Pakistan actually disempowers women. Through a systematic…

  3. Problematizing High School Certificate Exam in Pakistan: A Washback Perspective

    ERIC Educational Resources Information Center

    Jilani, Raana

    2009-01-01

    This paper describes and evaluates the Higher-Secondary School Certificate (HSC) exam in Pakistan that has been in place in its present form for more than thirty years. The author recounts her experience as a teacher of English in a representative high school in Pakistan and, reflecting on the impact of high school public exam, she argues that the…

  4. Education Reform in Pakistan: Building for the Future

    ERIC Educational Resources Information Center

    Hathaway, Robert M., Ed.

    2005-01-01

    Washington seems to be in a season of worrying--some might say "obsessing"--about the education system in Pakistan. The 9/11 Commission, whose final report has become a fixture on the bestseller lists, has highlighted the links between international terrorism and Pakistan's religious seminaries, or "madaris", and recommended that the United States…

  5. A Study of Students' Attitude Towards Virtual Education in Pakistan

    ERIC Educational Resources Information Center

    Hussain, Irshad

    2007-01-01

    Virtual education paradigm has been developing as a form of distance education to provide education across the boundaries of a nation and/or country. It imparts education through information and communication technologies. In Pakistan the Virtual University of Pakistan imparts it. The main objective of the study was to evaluate the students'…

  6. Returns to Schooling, Ability and Cognitive Skills in Pakistan

    ERIC Educational Resources Information Center

    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…

  7. 75 FR 51615 - Establishment of Pakistan and Afghanistan Support Office

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ..., 2010. [FR Doc. 2010-21020 Filed 8-20-10; 8:45 am] Billing code 3195-W0-P ... Documents#0;#0; ] Executive Order 13550 of August 18, 2010 Establishment of Pakistan and Afghanistan Support... temporary organization to be known as the Pakistan and Afghanistan Support Office (PASO). Sec. 2. Purpose...

  8. Mapping vulnerability to climate change and its repercussions on human health in Pakistan.

    TOXLINE Toxicology Bibliographic Information

    Malik SM; Awan H; Khan N

    2012-01-01

    BACKGROUND: Pakistan is highly vulnerable to climate change due to its geographic location, high dependence on agriculture and water resources, low adaptive capacity of its people, and weak system of emergency preparedness. This paper is the first ever attempt to rank the agro-ecological zones in Pakistan according to their vulnerability to climate change and to identify the potential health repercussions of each manifestation of climate change in the context of Pakistan.METHODS: A climate change vulnerability index is constructed as an un-weighted average of three sub-indices measuring (a) the ecological exposure of each region to climate change, (b) sensitivity of the population to climate change and (c) the adaptive capacity of the population inhabiting a particular region. The regions are ranked according to the value of this index and its components. Since health is one of the most important dimensions of human wellbeing, this paper also identifies the potential health repercussions of each manifestations of climate change and links it with the key manifestations of climate change in the context of Pakistan.RESULTS: The results indicate that Balochistan is the most vulnerable region with high sensitivity and low adaptive capacity followed by low-intensity Punjab (mostly consisting of South Punjab) and Cotton/Wheat Sindh. The health risks that each of these regions face depend upon the type of threat that they face from climate change. Greater incidence of flooding, which may occur due to climate variability, poses the risk of diarrhoea and gastroenteritis; skin and eye Infections; acute respiratory infections; and malaria. Exposure to drought poses the potential health risks in the form of food insecurity and malnutrition; anaemia; night blindness; and scurvy. Increases in temperature pose health risks of heat stroke; malaria; dengue; respiratory diseases; and cardiovascular diseases.CONCLUSION: The study concludes that geographical zones that are more exposed to climate change in ecological and geographic terms- such as Balochistan, Low-Intensity Punjab, and Cotton-Wheat Sindh -also happen to be the most deprived regions in Pakistan in terms of socio-economic indicators, suggesting that the government needs to direct its efforts to the socio-economic uplift of these lagging regions to reduce their vulnerability to the adverse effects of climate change.

  9. A Review of Comparison of Complications of Vaginal Hysterectomy with and without Concomitant Surgery for SUI: A 5 Years' Experience at a Tertiary Care Hospital of Pakistan

    PubMed Central

    Mohsin Rizvi, Raheela; Akhtar, Munnazza; Zuberi, Nadeem Faiyaz

    2013-01-01

    Objective. The study was performed to review the complications of surgery for POP with or without surgery for SUI. This included the need for second procedure two years after the primary surgery. Study Design. We conducted a retrospective cross-sectional comparative study at the Aga Khan University, Karachi, Pakistan. International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) was used to identify women who underwent vaginal hysterectomy with anterior/posterior repair alone and those with concomitant tension-free vaginal tape surgery for urodynamic stress incontinence. Results. The 28 cases of VH/repair combined with TVT were compared for complications with 430 cases of VH with repair alone. The basic characteristics like age, BMI, and degree of prolapse showed no statistical difference among two groups. The main comorbidities in both groups were hypertension, diabetes, and bronchial asthma. We observed no significant differences in intraoperative and postoperative complications except for cuff abscess, need for medical intervention, and readmission following discharge from hospital, which were higher in cases with vaginal hysterectomy with concomitant TVT. Conclusions. Vaginal hysterectomy is an efficient treatment for uterovaginal prolapse with a swift recovery, short length of hospital stay, and rare serious complications. The addition of surgery for USI does not appear to increase the morbidity. PMID:24454388

  10. Factors affecting the process of obtaining informed consent to surgery among patients and relatives in a developing country: results from Pakistan.

    PubMed

    Jahan, F; Roshan, R; Nanji, K; Sajwani, U; Warsani, S; Jaffer, S

    2014-09-01

    Efforts have been made in Pakistan to create ethical guidelines for research and medical practice. This study explored the perceptions of and factors affecting the process of obtaining informed consent to surgery among inpatients and families at a tertiary-care hospital in Karachi. A random sample of 400 post-surgery adult patients answered a pre-tested, structured questionnaire. Overall, 233 patients (58.3%) had signed the surgery consent form themselves, while 167 relatives (41.7%) had signed on behalf of the patient. Perceived factors significantly associated with patients not signing the consent form themselves were: language used (adjusted OR = 4.6), medical terminology used (aOR = 2.7), insufficient time allocation (aOR = 3.8), cultural/traditional reasons (aOR = 1.5) and low education (aOR = 2.4). Inappropriate timing for taking consent and not being informed/asked about consent were not statistically significant factors. Health-care practitioners should encourage patients to sign the consent form themselves. PMID:25343470

  11. Evidence for the recurrence of large-magnitude earthquakes along the Makran coast of Iran and Pakistan

    USGS Publications Warehouse

    Page, W.D.; Alt, J.N.; Cluff, L.S.; Plafker, G.

    1979-01-01

    The presence of raised beaches and marine terraces along the Makran coast indicates episodic uplift of the continental margin resulting from large-magnitude earthquakes. The uplift occurs as incremental steps similar in height to the 1-3 m of measured uplift resulting from the November 28, 1945 (M 8.3) earthquake at Pasni and Ormara, Pakistan. The data support an E-W-trending, active subduction zone off the Makran coast. The raised beaches and wave-cut terraces along the Makran coast are extensive with some terraces 1-2 km wide, 10-15 m long and up to 500 m in elevation. The terraces are generally capped with shelly sandstones 0.5-5 m thick. Wave-cut cliffs, notches, and associated boulder breccia and swash troughs are locally preserved. Raised Holocene accretion beaches, lagoonal deposits, and tombolos are found up to 10 m in elevation. The number and elevation of raised wave-cut terraces along the Makran coast increase eastward from one at Jask, the entrance to the Persian Gulf, at a few meters elevation, to nine at Konarak, 250 km to the east. Multiple terraces are found on the prominent headlands as far east as Karachi. The wave-cut terraces are locally tilted and cut by faults with a few meters of displacement. Long-term, average rates of uplift were calculated from present elevation, estimated elevation at time of deposition, and 14C and U-Th dates obtained on shells. Uplift rates in centimeters per year at various locations from west to east are as follows: Jask, 0 (post-Sangamon); Konarak, 0.031-0.2 (Holocene), 0.01 (post-Sangamon); Ormara 0.2 (Holocene). ?? 1979.

  12. The burden of headache disorders in Pakistan: methodology of a population-based nationwide study, and questionnaire validation

    PubMed Central

    2013-01-01

    Background Large geographical gaps in our knowledge of the prevalence and burden of headache disorders include Pakistan, a country with major problems of poverty, illiteracy and security. We report implementation in this country of standard methods developed by Lifting The Burden (LTB) for population-based burden-of-headache studies. Methods We surveyed six locations from the four provinces: Lahore and Multan (Punjab), Karachi and Sukkur (Sindh), Abbottabad (Khyber Pakhtunkhwa) and Gwadar (Baluchistan). We randomly selected rural and urban households in each, which were visited by trained non-medical interviewers from the same locations. One randomly selected adult member (18–65 years) of each household was interviewed using LTB’s structured questionnaire translated into Urdu, the national language. Validation was performed among patients and accompanying attendants in three (urban and rural) medical facilities. After responding to the questionnaire, these participants were re-interviewed and diagnosed by a neurologist (gold standard). Results The survey was completed by 4,223 respondents (1,957 [46.3%] male, 2,266 [53.7%] female, 1,443 [34.2%] urban, 2,780 [65.8%] rural, mean age 34.4 ± 11.0 years). The participation rate was 89.5%. There were 180 participants (46.1% male, 53.9% female, 41.7% urban, 58.3% rural, mean age 39.4 ± 14.2 years) in the validation sample, of whom 147 (81.7%) reported headache in the last year. The questionnaire was 100% sensitive in screening for headache and for headache on ≥15 days/month, and showed good agreement with the gold-standard diagnoses (kappa = 0.77). It was relatively insensitive for TTH. The questionnaire’s default diagnosis of probable MOH when medication overuse accompanied headache on ≥15 days/month was not supported by evidence of causation in most cases seen by the neurologist. In public-health terms, precise diagnosis in these cases matters less than reliably detecting the coexistence of these disorders. Conclusion In conclusion, the methods developed by LTB were applied successfully in Pakistan, despite problems unique to this country. PMID:23967900

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

    PubMed Central

    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 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. PMID:26112353

  14. Vertical and lateral flux on the continental slope off Pakistan: correlation of sediment core and trap results

    NASA Astrophysics Data System (ADS)

    Schulz, H.; von Rad, U.

    2014-06-01

    Due to the lack of bioturbation, the varve-laminated muds from the oxygen minimum zone (OMZ) off Pakistan provide a unique opportunity to precisely determine the vertical and lateral sediment fluxes in the nearshore part of the northeastern Arabian Sea. West of Karachi (Hab area), the results of two sediment trap stations (EPT and WPT) were correlated with 16 short sediment cores on a depth transect crossing the OMZ. The top of a distinct, either reddish- or light-gray silt layer, 210Pb-dated as AD 1905 ± 10, was used as an isochronous stratigraphic marker bed to calculate sediment accumulation rates. In one core, the red and gray layer were separated by a few (5-10) thin laminae. According to our varve model, this contributes < 10 years to the dating uncertainty, assuming that the different layers are almost synchronous. We directly compared the accumulation rates with the flux rates from the sediment traps that collected the settling material within the water column above. All traps on the steep Makran continental slope show exceptionally high, pulsed winter fluxes of up to 5000 mg m-2 d-1. Based on core results, the flux at the seafloor amounts to 4000 mg m-2 d-1 and agrees remarkably well with the bulk winter flux of material, as well as with the flux of the individual bulk components of organic carbon, calcium carbonate and opal. However, due to the extreme mass of remobilized matter, the high winter flux events exceeded the capacity of the shallow traps. Based on our comparisons, we argue that high-flux events must occur regularly during winter within the upper OMZ off Pakistan to explain the high accumulations rates. These show distribution patterns that are a negative function of water depth and distance from the shelf. Some of the sediment fractions show marked shifts in accumulation rates near the lower boundary of the OMZ. For instance, the flux of benthic foraminifera is lowered but stable below ~1200-1300 m. However, flux and sedimentation in the upper eastern Makran area are dominated by the large amount of laterally advected fine-grained material and by the pulsed nature of the resuspension events at the upper margin during winter.

  15. Munazza's story: Understanding science teaching and conceptions of the nature of science in Pakistan through a life history study

    NASA Astrophysics Data System (ADS)

    Halai, Nelofer

    In this study I have described and tried to comprehend how a female science teacher understands her practice. Additionally, I have developed some understanding of her understanding of the nature of science. While teaching science, a teacher projects messages about the nature of science that can be captured by observations and interviews. Furthermore, the manner is which a teacher conceptualizes science for teaching, at least in part, depends on personal life experiences. Hence, I have used the life history method to understand Munazza's practice. Munazza is a young female science teacher working in a private, co-educational school for children from middle income families in Karachi, Pakistan. Her stories are central to the study, and I have represented them using a number of narrative devices. I have woven in my own stories too, to illustrate my perspective as a researcher. The data includes 13 life history interviews and many informal conversations with Munazza, observations of science teaching in classes seven and eight, and interviews with other science teachers and administrative staff of the school. Munazza's personal biography and experiences of school and undergraduate courses has influenced the way she teaches. It has also influenced the way she does not teach. She was not inspired by her science teachers, so she has tried not to teach the way she was taught science. Contextual factors, her conception of preparation for teaching as preparation for subject content and the tension that she faces in balancing care and control in her classroom are some factors that influence her teaching. Munazza believes that science is a stable, superior and value-free way of knowing. In trying to understand the natural world, observations come first, which give reliable information about the world leading inductively to a "theory". Hence, she relies a great deal on demonstrations in the class where students "see" for themselves and abstract the scientific concept from the activity. I believe this inquiry is significant because it has led to a better understanding of a science teacher's practice and her conceptions of the nature of science in a school in Pakistan. Moreover, the study has utilized research methods that advocates a more equitable researcher-researched relationship.

  16. Fissile material production potential in South Asia

    SciTech Connect

    Nayyar, A.H.; Toor, A.H.; Mian, Z.

    1997-01-01

    The cases of India and Pakistan show how civilian nuclear activities could potentially contribute significantly to the production of weapons-grade fissile materials. The paper estimates the amount of weapons-grade plutonium that could have been produced from unsafeguarded power reactors in India if these reactors were operated deliberately for this purpose, and the rate at which Pakistan could accumulate weapons-grade uranium if it used its stockpile of low-enriched uranium as feed material to its enrichment facilities. These estimates are not judgments of what these countries have actually done or intend to do, but are forwarded to call attention to an issue that will have to be addressed under a fissile material production cutoff in South Asia and elsewhere. The prospect of a Fissile Material Cut-off convention raises important questions about the accumulated fissile material stocks in countries which are known to have nuclear weapons capability. We look here at the cases of India and Pakistan. These two countries have followed different routes to produce fissile material: India has reprocessed spent fuel from nuclear reactors to extract plutonium, while Pakistan has relied on uranium enrichment. While there are estimates available of weapons-grade plutonium (WGPu) production in India, they have assumed that the Indian nuclear power program has made no contribution to such production. Similarly, estimates for uranium enrichment in Pakistan have focused on production of highly enriched uranium (HEU) and not examined the stockpiling of low enriched uranium (LEU) and the time it would take to turn such stockpiled material into weapons-grade material. 24 refs., 5 tabs.

  17. Health sector reform in Pakistan: future directions.

    PubMed

    Islam, A

    2002-04-01

    The health care system in Pakistan is beset with numerous problems--structural fragmentation, gender insensitivity, resource scarcity, inefficiency and lack of functional specificity and accessibility. Faced with a precarious economic situation characterized by heavy external debt and faltering productivity, Pakistan's room to maneuver with health sector reform is quite limited. Although the recently announced Devolution Plan provides a window of opportunity, it must go beyond and introduce far-reaching changes in the health and social sectors. Regionalization of health care services in an integrated manner with functional specificity for each level of care is an essential step. Integration of current vertical programs within the framework of a need-based comprehensive primary health care system is another necessary step. Most importantly, fostering a public-private partnership to share the cost of basic primary health care and public health services must be an integral part of any reform. Pakistan must also make the health care system more gender sensitive through appropriate training programs for the service providers along with wide community participation in decision-making processes. Relevant WHO/World Bank/UNDP developed tools could be extremely useful in this respect. The article is based on a critical analysis of secondary data from the public domain as well as from various research projects undertaken by the Aga Khan University. It also draws from the experiences of health sector reform carried out in other countries, particularly those in the Asia-Pacific region. The purpose is to inform and hopefully influence, public policy as the country moves towards devolution. PMID:12174483

  18. First report of ophthalmomyaisis externa in Pakistan.

    PubMed

    Ali, Azam; Feroze, Agha Hassan; Ferrar, Paul; Abbas, Asad; Beg, Mohammad Asim

    2006-02-01

    Two individuals presented to the Aga Khan University Opthalmology service with foreign-body sensation, pain and redness in one of their eyes. Slit-lamp biomicroscopy revealed tiny larvae crawling around the conjunctival sac. They were mechanically removed under topical anaesthesia and preserved for light microscopy and photography. Comprehensive liaison was established with the Australian Centre for International Agriculture Research for identification of these larvae. Their morphology characterized them as members of fruit-fly, Oestridae family. At least one of them was positively identified as first instar larva of Oestrus ovis. This report describes the first instance of such infections in Southern Pakistan, as concluded after a Medline search. PMID:16555644

  19. Political determinants of Health: Lessons for Pakistan.

    PubMed

    Jooma, Rashid; Sabatinelli, Guido

    2014-05-01

    There is much concern about the capacity of the health system of Pakistan to meet its goals and obligations. Historically, the political thrust has been absent from the health policy formulation and this is reflected in the low and stagnant public allocations to health. Successive political leaderships have averred from considering healthcare is a common good rather than a market commodity and health has not been recognized as a constitutional right. Over 120 of world's nation states have accepted health as a constitutional right but the 1973 Constitution of Pakistan does not mandate health or education as a fundamental right and the recently adopted 18th constitutional amendment missed the opportunity to extend access to primary health care as an obligation of the State. It is argued in this communication that missing from the calculations of policy formulation and agenda setting is the political benefits of providing health and other social services to underserved populations. Across the developing world, many examples are presented of governments undertaking progressive health reforms that bring services where none existed and subsequently reaping electoral benefit. The political determinant of healthcare will be realized when the political leaders of poorly performing countries can be convinced that embracing distributive policies and successfully bringing healthcare to the poor can be major factors in their re-elections. PMID:24948958

  20. Induced Abortions and Unintended Pregnancies in Pakistan

    PubMed Central

    Sathar, Zeba; Singh, Susheela; Rashida, Gul; Shah, Zakir; Niazi, Rehan

    2015-01-01

    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 otherwise 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. PMID:25469930

  1. Political determinants of Health: Lessons for Pakistan

    PubMed Central

    Jooma, Rashid; Sabatinelli, Guido

    2014-01-01

    There is much concern about the capacity of the health system of Pakistan to meet its goals and obligations. Historically, the political thrust has been absent from the health policy formulation and this is reflected in the low and stagnant public allocations to health. Successive political leaderships have averred from considering healthcare is a common good rather than a market commodity and health has not been recognized as a constitutional right. Over 120 of world’s nation states have accepted health as a constitutional right but the 1973 Constitution of Pakistan does not mandate health or education as a fundamental right and the recently adopted 18th constitutional amendment missed the opportunity to extend access to primary health care as an obligation of the State. It is argued in this communication that missing from the calculations of policy formulation and agenda setting is the political benefits of providing health and other social services to underserved populations. Across the developing world, many examples are presented of governments undertaking progressive health reforms that bring services where none existed and subsequently reaping electoral benefit. The political determinant of healthcare will be realized when the political leaders of poorly performing countries can be convinced that embracing distributive policies and successfully bringing healthcare to the poor can be major factors in their re-elections. PMID:24948958

  2. Reefal petroleum prospects possible in Pakistan

    SciTech Connect

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

    1996-03-25

    Carbonate buildups including reefs and banks have proven to be prolific hydrocarbon reservoirs in the US, Canada, Mexico, North Africa, Southeast Asia, and the Middle East. Seismic interpretation, particularly of high quality marine data, and geological analyses, including petrographic studies of selected formations, reveal a broad spectrum of possible reefal prospects in formations of different ages in Pakistan. However, the region with good seismic that provides good recognition of possible reefal buildups remains to date devoid of well confirmation. Oil and Gas Development Corp. of Pakistan formed the technical services department in 1976 for a systematic scientific review of all exploration data and basin analysis. In 1985 this department was renamed offshore department, with responsibility for all offshore exploration. This article is based on the department`s work in collaboration with geoscientists from Russia, the US, Norway, and Canada covering the area shown. Four major types of carbonate buildups, easily recognized from seismic interpretation, include: barrier buildups that are linear with relatively deep water on both sides during deposition; pinnacle buildups that are roughly equidimensional and were surrounded by deep water during deposition; shelf margin buildups that are linear with deep water on one side and shallow water on the other; and patch buildups that form in shallow water either in close proximity to shelf margins, or over broad shallow seas.

  3. Priorities for toxic wastewater management in Pakistan

    SciTech Connect

    Rahman, A.

    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.

  4. Terrorism in Pakistan: a behavioral sciences perspective.

    PubMed

    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. PMID:24777397

  5. Sociopolitical adjustment among Afghan refugees in Pakistan.

    PubMed

    Centlivres, P; Centlivres-demont, M

    1987-01-01

    Although international organizations and Pakistanis expect Afghans to act like true refugees--dependent, obedient, and grateful--Afghans consider themselves as temporary exiles who, in protest against an anti-Islamic government, found temporary refuge in Pakistan; or as soldiers in the holy wars who temporarily use their Islamic neighbor as a base before returning to fight in Afghanistan. Conforming to this concept and to these objectives, the refugees seek to preserve a certain autonomy and to lean towards forms of organization which are derived either from their traditional social structure, or as is more common now, from the ideology of the Islamic movements. One can understand that this situation may cause many misunderstandings, especially with international organizations which finance and supervise aid to the Afghan refugees in Pakistan. As for anthropologists, it is necessary to go beyond known concepts, to relativize familiar models and to act on changes which have come about in the structures and ideology of the Afghan people. PMID:12315316

  6. Rabies in South Asia: fighting for elimination.

    PubMed

    Chowdhury, Fazle-Rabbi; Basher, Ariful; Amin, Mohammad R; Hassan, Nazia; Patwary, Mohammad I

    2015-01-01

    South Asia is regarded as the hot spot for the tourist and travelers. Unfortunately, three big countries (India, Pakistan and Bangladesh) of this region belong to top five rabies endemic countries of the world. Around 55,000 people die of rabies every year globally and 45% of them belong to South and South East Asia. Countries are now working on the elimination of rabies by the year 2020. Elimination of animal rabies is the pivotal of controlling human rabies. Dog (primary source) registration, population control and mass vaccination are the different ways of eliminating animal rabies. Pre (for risk groups including travelers) and post-exposure vaccine is the core for controlling human rabies. Post-exposure vaccine consists of nerve tissue vaccine and tissue culture vaccine. Due to low antigenicity and post-vaccine neurological complications all countries of South Asia except Pakistan have phased out the production and use of nerve tissue vaccine. To reduce the cost intramuscular regimen is now largely replaced by intradermal regimen and equine rabies immunoglobulin will probably replace human immunoglobulin in future for category III animal bite. 'SAARC' took initiatives for rabies elimination through 'SAARC development fund' which would hopefully play a vital role in regional collaboration to make the region rabies free. PMID:25858305

  7. Emigration dynamics from and within South Asia.

    PubMed

    Shah, N M

    1995-01-01

    This review of current knowledge about emigration dynamics from and within South Asia (Bangladesh, India, Pakistan, and Sri Lanka) opens with a brief history of the three phases of emigration from the area since the 1830s (plantation labor; postindependence to the UK, US, Canada, and Australia; and labor migration to the oil-exporting countries). The influence of the creation of Pakistan and Bangladesh is also covered as are British colonial and commonwealth policies. It is noted that migration data are incomplete and that India exhibits an ambivalence about collecting such information. The discussion then turns to emigration since 1970 and considers permanent migration from South Asia to the traditional receivers; South Asian asylum seekers in Europe; South Asian refugees, illegal migrants, migrant workers (flows and destinations), the stock of contract migrant workers (and their characteristics); returnee migrant workers; and skill levels. Analysis is provided of macro level determinants of emigrations such as gross national product (level and growth), the general demographic and social situation, labor force growth and structure, poverty and inequality, and internal and international migration. Environmental factors causing displacement in Southern Asia include floods, cyclones, river bank erosion, drought, and desertification. Global warming could displace millions of people in the region, and development projects have contributed to displacement. The remainder of the report covers political and ethnic factors, micro-factors influencing migration decision-making, the policies of sending and receiving countries, the consequences of emigration, and the potential for migration in the future. PMID:12347011

  8. Immunogenicity of poliovirus vaccines in chronically malnourished infants: A randomized controlled trial in Pakistan

    PubMed Central

    Saleem, Ali Faisal; Mach, Ondrej; Quadri, Farheen; Khan, Asia; Bhatti, Zaid; Rehman, Najeeb ur; Zaidi, Sohail; Weldon, William C.; Oberste, Steven M.; Salama, Maha; Sutter, Roland W.; Zaidi, Anita K.M.

    2015-01-01

    Reaching high population immunity against polioviruses (PV) is essential to achieving global polio eradication. Efficacy of oral poliovirus vaccine (OPV) varies and is lower among children living in tropical areas with impoverished environments. Malnutrition found as a risk factor for lower serological protection against PV. We compared whether inactivated polio vaccine (IPV) can be used to rapidly close the immunity gap among chronically malnourished (stunted) infants in Pakistan who will not be eligible for the 14 week IPV dose in routine EPI schedule. A phase 3, multicenter 4-arm randomized controlled trial conducted at five Primary Health Care (PHC) centers in Karachi, Pakistan. Infants, 9–12 months were stratified by length for age Z score into chronically malnourished and normally nourished. Infants were randomized to receive one dose of either bivalent OPV (bOPV) alone or bOPV + IPV. Baseline seroprevalence of PV antibodies and serum immune response to study vaccine dose were assessed by neutralization assay. Vaccine PV shedding in stool was evaluated 7 days after a bOPV challenge dose. Sera and stool were analyzed from 852/928 (92%) enrolled children. At baseline, the seroprevalence was 85.6% (n = 386), 73.6% (n = 332), and 70.7% (n = 319) in malnourished children against PV types 1, 2 and 3 respectively; and 94.1% (n = 448), 87.0% (n = 441) and 83.6% (n = 397) in the normally nourished group (p < 0.05). Children had previously received 9–10 doses of bOPV (80%) or tOPV (20%). One dose of IPV + bOPV given to malnourished children increased their serological protection (PV1, n = 201, 97.6%; PV2, n = 198, 96.1% and PV3, n = 189, 91.7%) to parity with normally nourished children who had not received IPV (p = <0.001). Seroconversion and boosting for all three serotypes was significantly more frequent in children who received IPV + bOPV than in those with bOPV only (p < 0.001) in both strata. Shedding of polioviruses in stool did not differ between study groups and ranged from 2.4% (n = 5) to 7.1% (n = 15). In malnourished children the shedding was reduced after bOPV + IPV compared to bOPV only. Chronically malnourished infants were more likely to be unprotected against polioviruses than normal infants. bOPV + IPV helped close the immunity gap better than bOPV alone. PMID:25917673

  9. Hydrology of mountainous areas in the upper Indus Basin, Northern Pakistan with the perspective of climate change.

    PubMed

    Ahmad, Zulfiqar; Hafeez, Mohsin; Ahmad, Iftikhar

    2012-09-01

    Mountainous areas in the northern Pakistan are blessed by numerous rivers that have great potential in water resources and hydropower production. Many of these rivers are unexploited for their water resource potential. If the potential of these rivers are explored, hydropower production and water supplies in these areas may be improved. The Indus is the main river originating from mountainous area of the Himalayas of Baltistan, Pakistan in which most of the smaller streams drain. In this paper, the hydrology of the mountainous areas in northern Pakistan is studied to estimate flow pattern, long-term trend in river flows, characteristics of the watersheds, and variability in flow and water resource due to impact of climate change. Eight watersheds including Gilgit, Hunza, Shigar, Shyok, Astore, Jhelum, Swat, and Chitral, Pakistan have been studied from 1960 to 2005 to monitor hydrological changes in relation to variability in precipitation, temperature and mean monthly flows, trend of snow melt runoff, analysis of daily hydrographs, water yield and runoff relationship, and flow duration curves. Precipitation from ten meteorological stations in mountainous area of northern Pakistan showed variability in the winter and summer rains and did not indicate a uniform distribution of rains. Review of mean monthly temperature of ten stations suggested that the Upper Indus Basin can be categorized into three hydrological regimes, i.e., high-altitude catchments with large glacierized parts, middle-altitude catchments south of Karakoram, and foothill catchments. Analysis of daily runoff data (1960-2005) of eight watersheds indicated nearly a uniform pattern with much of the runoff in summer (June-August). Impact of climate change on long-term recorded annual runoff of eight watersheds showed fair water flows at the Hunza and Jhelum Rivers while rest of the rivers indicated increased trends in runoff volumes. The study of the water yield availability indicated a minimum trend in Shyok River at Yogo and a maximum trend in Swat River at Kalam. Long-term recorded data used to estimate flow duration curves have shown a uniform trend and are important for hydropower generation for Pakistan which is seriously facing power crisis in last 5 years. PMID:22109645

  10. Assessment of hydrocarbons concentration in marine fauna due to Tasman Spirit oil spill along the Clifton beach at Karachi coast.

    PubMed

    Siddiqi, Hina A; Ansari, Fayyaz A; Munshi, Alia B

    2009-01-01

    On 27 July 2003, Tasman Spirit spilled 31,000 tonnes of crude oil into the sea at the Karachi coast. This disaster badly affected the marine life (Flora and Fauna.) Present research has been proposed to ascertain the level of Polycyclic Aromatic hydrocarbons (PAHs) contamination in different fisheries including Fishes, Crustaceans; Crabs and Shrimps, Mollusks and Echinoderms along with passing time. Heavier components of crude oil such as Polycyclic Aromatic Hydrocarbons (PAHs) appear to cause most damages as these are relatively unreactive and persist in water. High concentrations of toxic PAHs were observed in all the fisheries and shellfishes caught form oil-impacted area. In this study fishes were found most contaminated than shellfishes i.e. summation operator 16 PAH = 1821.24 microg/g and summation operator 1164.34 microg/g, respectively. Naphthalene was found in the range of 0.042-602.23 microg/g. Acenaphthylene, acenaphthene, fluorene, phenanthrene and anthracene were detected in the range 0.008-80.03 microg/g, fluoranthene, pyrene, benzo(a)anthracene and chrysene 0.0008-221.32 microg/g, benzo(b) fluoranthene, benzo(k)fluoranthene and benzo(a) pyrene 0.0005-7.71 microg/g, benzo(g,h,i)perylene and indeno(1,2,3-c,d)pyrene 0.02-503.7 microg/g. Dibenzo(a,h)anthracenre was not detected in any specie. PMID:18302003

  11. Pattern of fall injuries in Pakistan: the Pakistan National Emergency Department Surveillance (Pak-NEDS) study

    PubMed Central

    2015-01-01

    Background We aimed to analyse the frequency and patterns of fall-related injuries presenting to the emergency departments (EDs) across Pakistan. Methods Pakistan National Emergency Departments surveillance system collected data from November 2010 to March 2011 on a 24/7 basis using a standardized tool in seven major EDs (five public and two private hospitals) in six major cities of Pakistan. For all patients presenting with fall-related injuries, we analysed data by intent with focus on unintentional falls. Simple frequencies were run for basic patient demographics, mechanism of falls, outcomes of fall injuries, mode of arrival to ED, investigations, and procedures with outcomes. Results There were 3335 fall-related injuries. In cases where intent was available, two-thirds (n = 1186, 65.3%) of fall injuries were unintentional. Among unintentional fall patients presenting to EDs, the majority (76.9%) were males and between 15-44 years of age (69%). The majority of the unintentional falls (n = 671, 56.6%) were due to slipping, followed by fall from height (n = 338, 28.5%). About two-thirds (n = 675, 66.6%) of fall injuries involved extremities, followed by head/neck (n = 257, 25.4%) and face (n = 99, 9.8%). Most of the patients were discharged from the hospital (n = 1059, 89.3%). There were 17 (1.3%) deaths among unintentional fall cases. Conclusion Falls are an important cause of injury-related visits to EDs in Pakistan. Most of the fall injury patients were men and in a productive age group. Fall injuries pose a burden on the healthcare system, especially emergency services, and future studies should therefore focus on safety measures at home and in workplaces to reduce this burden. PMID:26691821

  12. The challenges of injuries and trauma in Pakistan: An opportunity for concerted action

    PubMed Central

    Hyder, A.A.; Razzak, J.A.

    2015-01-01

    Injuries and trauma are a major cause of mortality and morbidity in low and middle income countries (LMICs). In Pakistan, a low income South Asian developing country, they are among the top ten contributors to disease burden and causes of disabilities, with the majority of the burden falling on younger people in the population. This burden of injuries comes with a high social and economic cost. Several distal and proximal determinants, such as poverty, political instability, frequent natural disasters, and the lack of legislation and enforcement of preventive measures, make the Pakistani population susceptible to injuries. Historically, there has been a low level of investment in the prevention of injuries in Pakistan. Data is limited and while a public sector surveillance project has been initiated in one major urban centre, the major sources of information on injuries have been police and hospital records. Given the cost-effectiveness of injury prevention programs and their success in other LMICs, it is essential that the public sector invest in injury prevention through improving national policies and creating a strong evidence-based strategy while collaborating with the private sector to promote injury prevention and mobilizing people to engage in these programs. PMID:23489711

  13. "Social marketing" for early neonatal care: saving newborn lives in Pakistan.

    PubMed

    Ejaz, Iram; Shaikh, Babar Tasneem

    2010-01-01

    According to the World Health Organization and the United Nations Children's Fund, developing countries carry a large share of neonatal mortality in the world. According to UNICEF, almost 450 newborn children die every hour, mostly from preventable causes. Restricted access to quality and hygienic delivery services and limited knowledge about handling the newborn aggravate the situation. South Asia, and Pakistan in particular, have reduced their child and infant mortality during the last decade; however, neonatal mortality still remains unacceptably high. There are multiple reasons, mainly related to practices and behaviours of communities and traditional birth attendants. Rural and poor populations suffer most in Pakistan, where three out of five deliveries still occur at home. Traditional community practices and conservative norms drastically affect neonatal health outcomes. Preventing sepsis at the umbilical cord, keeping the baby at the correct temperature after birth and early initiation of exclusive breastfeeding are three simple strategies or messages that need to be disseminated widely to prevent many neonatal mortalities and morbidities. Since inappropriate practices in handling newborns are directly linked with persistent and unremitting behaviours among health providers and the community at large, we suggest doing robust "social marketing" for saving newborn lives. The objective of the paper is to present a social-marketing strategy and a marketing mix that will help address and surmount actual barriers and promote alternative behaviours in early neonatal care. PMID:20357556

  14. Seismic safety assessment of unreinforced masonry low-rise buildings in Pakistan and its neighbourhood

    NASA Astrophysics Data System (ADS)

    Korkmaz, K. A.

    2009-06-01

    Pakistan and neighbourhood experience numerous earthquakes, most of which result in damaged or collapsed buildings and loss of life that also affect the economy adversely. On 29 October, 2008, an earthquake of magnitude 6.5 occurred in Ziarat, Quetta Region, Pakistan which was followed by more than 400 aftershocks. Many villages were completely destroyed and more than 200 people died. The previous major earthquake was in 2005, known as the South Asian earthquake (Mw=7.6) occurred in Kashmir, where 80 000 people died. Inadequate building stock is to be blamed for the degree of disaster, as the majority of the buildings in the region are unreinforced masonry low-rise buildings. In this study, seismic vulnerability of regionally common unreinforced masonry low-rise buildings was investigated using probabilistic based seismic safety assessment. The results of the study showed that unreinforced masonry low-rise buildings display higher displacements and shear force. Probability of damage due to higher displacements and shear forces can be directly related to damage or collapse.

  15. Predicting impacts of climate change on medicinal asclepiads of Pakistan using Maxent modeling

    NASA Astrophysics Data System (ADS)

    Khanum, Rizwana; Mumtaz, A. S.; Kumar, Sunil

    2013-05-01

    Maximum entropy (Maxent) modeling was used to predict the potential climatic niches of three medicinally important Asclepiad species: Pentatropis spiralis, Tylophora hirsuta, and Vincetoxicum arnottianum. All three species are members of the Asclepiad plant family, yet they differ in ecological requirements, biogeographic importance, and conservation value. Occurrence data were collected from herbarium specimens held in major herbaria of Pakistan and two years (2010 and 2011) of field surveys. The Maxent model performed better than random for the three species with an average test AUC value of 0.74 for P. spiralis, 0.84 for V. arnottianum, and 0.59 for T. hirsuta. Under the future climate change scenario, the Maxent model predicted habitat gains for P. spiralis in southern Punjab and Balochistan, and loss of habitat in south-eastern Sindh. Vincetoxicum arnottianum as well as T. hirsuta would gain habitat in upper Peaks of northern parts of Pakistan. T. hirsuta is predicted to lose most of the habitats in northern Punjab and in parches from lower peaks of Galliat, Zhob, Qalat etc. The predictive modeling approach presented here may be applied to other rare Asclepiad species, especially those under constant extinction threat.

  16. High HIV Incidence among Persons Who Inject Drugs in Pakistan: Greater Risk with Needle Sharing and Injecting Frequently among the Homeless

    PubMed Central

    Samo, Rab Nawaz; Altaf, Arshad; Agha, Ajmal; Pasha, Omrana; Rozi, Shafquat; Memon, Ashraf; Azam, Saleem; Blevins, Meridith; Vermund, Sten H.; Shah, Sharaf Ali

    2013-01-01

    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 (ARR = 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. PMID:24358123

  17. PHYTOPHAGOUS INSECTS ASSOCIATED TO REPRODUCTIVE STRUCTURES OF MESQUITE (PROSOPIS SPP) IN ARGENTINA THEIR POTENTIAL USE IN BIOLOGICAL CONTROL IN SOUTH AFRICA

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Mesquites (Prosopis spp.) are thorny leguminous shrubs or trees native to Southwest Asia, Africa, and, predominantly, North and South America. Introduced as beneficial plants in India, Pakistan, South Africa, Egypt, Kuwait, Australia, USA (Hawaii) and Brazil, some Prosopis species have become weeds ...

  18. Child Labor in Pakistan: A Study of the Lahore Area.

    ERIC Educational Resources Information Center

    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)

  19. NASA's IMERG Measures Flooding Rainfall in Pakistan - Duration: 13 seconds.

    NASA Video Gallery

    NASA used satellite data and added up heavy rainfall that has been occurring in northwestern Pakistan that caused flooding that killed more than 50 people. NASA's IMERG added up rainfall in northwe...

  20. A statistical downscaling model for summer rainfall over Pakistan

    NASA Astrophysics Data System (ADS)

    Kazmi, Dildar Hussain; Li, Jianping; Ruan, Chengqing; Sen, Zhao; Li, Yanjie

    2016-02-01

    A statistical approach is utilized to construct an interannual model for summer (July-August) rainfall over the western parts of South Asian Monsoon. Observed monthly rainfall data for selected stations of Pakistan for the last 55 years (1960-2014) is taken as predictand. Recommended climate indices along with the oceanic and atmospheric data on global scales, for the period April-June are employed as predictors. First 40 years data has been taken as training period and the rest as validation period. Cross-validation stepwise regression approach adopted to select the robust predictors. Upper tropospheric zonal wind at 200 hPa over the northeastern Atlantic is finally selected as the best predictor for interannual model. Besides, the next possible candidate `geopotential height at upper troposphere' is taken as the indirect predictor for being a source of energy transportation from core region (northeast Atlantic/western Europe) to the study area. The model performed well for both the training as well as validation period with correlation coefficient of 0.71 and tolerable root mean square errors. Cross-validation of the model has been processed by incorporating JRA-55 data for potential predictors in addition to NCEP and fragmentation of study period to five non-overlapping test samples. Subsequently, to verify the outcome of the model on physical grounds, observational analyses as well as the model simulations are incorporated. It is revealed that originating from the jet exit region through large vorticity gradients, zonally dominating waves may transport energy and momentum to the downstream areas of west-central Asia, that ultimately affect interannual variability of the specific rainfall. It has been detected that both the circumglobal teleconnection and Rossby wave propagation play vital roles in modulating the proposed mechanism.

  1. Child health inequalities and its dimensions in Pakistan

    PubMed Central

    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

  2. Stem Cell Research in Pakistan; Past, Present and Future

    PubMed Central

    Zahra, Sayeda Anum; Muzavir, Sayed Raheel; Ashraf, Sadia; Ahmad, Aftab

    2015-01-01

    Background and Objectives Stem cells have proved to have great therapeutic potential as stem cell treatment is replacing traditional ways of treatment in different disorders like cancer, aplastic anemia, stroke, heart disorders. The developed and developing countries are investing differently in this area of research so research output and clinical translation of research greatly vary among developed and developing countries. Present study was done to investigate the current status of stem cells research in Pakistan and ways to improve it. Results Many advanced countries (USA, UK and Canada etc.) are investing heavily in stem cell research and treatment. Different developing countries like Iran, Turkey and India are also following the developed countries and investing a lot in stem cells research. Pakistan is also making efforts in establishing this field to get desired benefits but unfortunately the progress is at very low pace. If Government plays an active role along with private sector, stem cell research in Pakistan can be boosted up. The numbers of publications from Pakistan are very less compared to developed and neighboring countries and Pakistan also has very less number of institutes working in this area of research. Conclusions Stem cells research is at its initial stages in Pakistan and there is great need to bring Government, academia and industry together so they could make serious efforts to promote research in this very important field. This will help millions of patients suffering from incurable disorders and will also reduce economic loss. PMID:26019749

  3. A Survey of Communication/Journalism Education in South Asian Universities.

    ERIC Educational Resources Information Center

    Vilanilam, John V.

    In South Asia (the land mass that includes Afghanistan, Bangladesh, Bhutan, India, Nepal, Pakistan, and the island nation Sri Lanka), college-level programs in journalism and communication, which can help developing nations to promote social change and to improve societal living standards, have not progressed with media growth. The reasons for…

  4. Analysis of misoprostol and chlorhexidine policy gains in Pakistan: the advocacy experience of Mercy Corps Pakistan.

    PubMed

    Sarwar, Zahida; Cutherell, Andrea; Noor, Arif; Naureen, Farah; Norman, Jennifer

    2015-01-01

    While Pakistan has made progress toward achieving Millennium Development Goal 5 for maternal health, it is unlikely to achieve the target; further, it is also not on track for Millennium Development Goal 4 regarding child health. Two low-cost, temperature stable and life-saving drugs, misoprostol and chlorhexidine, can respectively avert maternal and newborn deaths, and are particularly pertinent for poor and marginalized areas which bear the brunt of maternal and newborn deaths in Pakistan. In response, Mercy Corps led focused advocacy efforts to promote changes in policies, protocols, and regulatory environments for misoprostol (2012-2014) and for chlorhexidine (2014). These short-duration advocacy projects facilitated significant policy gains, such as inclusion of misoprostol and chlorhexidine into province-specific essential drug lists, development and endorsement of clinical protocols for the two drugs by provincial health departments, inclusion of misoprostol into pre-service training curriculum for several health cadres, and application for registration of chlorhexidine (at the concentration required for newborn care) by two pharmaceutical companies. These results were achieved by a consultative and evidence-based process which generated feedback from community members, program implementers, and policymakers, and ultimately put the government in the driver's seat to facilitate change. Community Action Dialogue forums were linked with provincial-level Technical Working Groups and Provincial Steering Committees, who passed on endorsed recommendations to the Health Secretary. The key factors which facilitated change were the identification of champions within the provincial health departments, prioritization of relationship building and follow-up, focus on concrete advocacy aims rather than broad objectives, and the use of multi-stakeholder forums to secure an enabling environment for the policy changes to take root. While these advocacy initiatives resulted in significant policy changes in Pakistan's devolved health system, to ensure these policy changes have an impact on health outcomes, Pakistan should focus on the scale-up of appropriate use of chlorhexidine and misoprostol. Further, future policy initiatives in Pakistan should make use of similar multi-stakeholder policy forums, while ensuring a third party to facilitate the process so that civil society and community voices are not lost in the policy development discussion. PMID:26792198

  5. Barcoding of fresh water fishes from Pakistan.

    PubMed

    Karim, Asma; Iqbal, Asad; Akhtar, Rehan; Rizwan, Muhammad; Amar, Ali; Qamar, Usman; Jahan, Shah

    2016-07-01

    DNA bar-coding is a taxonomic method that uses small genetic markers in organisms' mitochondrial DNA (mt DNA) for identification of particular species. It uses sequence diversity in a 658-base pair fragment near the 5' end of the mitochondrial cytochrome c oxidase subunit 1 (CO1) gene as a tool for species identification. DNA barcoding is more accurate and reliable method as compared with the morphological identification. It is equally useful in juveniles as well as adult stages of fishes. The present study was conducted to identify three farm fish species of Pakistan (Cyprinus carpio, Cirrhinus mrigala, and Ctenopharyngodon idella) genetically. All of them belonged to family cyprinidae. CO1 gene was amplified. PCR products were sequenced and analyzed by bioinformatic software. Conspecific, congenric, and confamilial k2P nucleotide divergence was estimated. From these findings, it was concluded that the gene sequence, CO1, may serve as milestone for the identification of related species at molecular level. PMID:25980661

  6. Food poverty and its causes in Pakistan.

    PubMed

    Mahmood, S; Sheikh, K H; Mahmood, T

    1991-01-01

    Economists and a demographer analyzed data from the 1984-1985 Household and Income Expenditure Survey using the Foster and Thorbeke model to measure the poverty level in Pakistan. This model considers the minimum level of food expenditure/adult equivalent required to purchase the required daily allowance of energy intake. The analysts calculated the poverty lines to be Rs 246.00 for urban areas and Rs 149.00 for rural areas. They learned that the real poor and less poor households did not rank expenditures on food as a top priority despite deficient food intake. Thus traditional diet pattern did not differentiate the real poor from the less power, but rather lower purchasing power. They defined real poor households as those who had a negative or O relationship between income and food and less poor households as those who had a positive relationship even though the magnitude of the slope coefficient was extremely small (.024 for urban areas and .082 for rural areas). The larger the family size the more likely a household was poor and the members malnourished. This was especially true if the family size grew because of the addition of more dependents. On the other hand, the more education the head of the household and his wife the less likely the household was poor and the members malnourished. In fact, the negative effect of education on poverty and malnutrition was strongest for the wife. 2% of all urban households and 3% of all rural households ranked as real poor households. 59% and 35% respectively ranked as less poor households. Even though the difference in food poverty between extended and nuclear families was insignificant, extended families fared better than nuclear families. These findings showed that Pakistan should design its food policy to target the real poor by improving their nutritional status without forsaking that of the less poor. PMID:12285313

  7. Comments on "Consanguineous Marriages in Pakistan".

    PubMed

    Hakim, A

    1994-01-01

    Some critical comments are made on a paper entitled "Consanguineous Marriages in Pakistan." Most studies have considered early age at marriage, rural or extended family setup and low socioeconomic status when investigating the issue. The background demographic variables and behavioral aspects of consanguinity were studied only by a few, therefore a lack of data exists on pertinent social, cultural, and behavioral dynamics. In Pakistan over 60% of marriages are between first or second cousins. The highest rates of such marriages have been reported in rural areas, among individuals with low educational level, and among the poorest. However, cousin unions are also common among landowning families. In addition to socioeconomic reasons, these marriages are socially acceptable because they facilitate prenuptial negotiations and provide more compatibility between the husband and wife as well as the bride and the mother-in-law. The evidence on consanguinity and fertility is conflicting. The effect of inbreeding on fertility has been demonstrated by most studies. The effect of consanguinity on mortality is also wrought with ambiguities because of methodological flaws. Although the present authors used limited bivariate analysis, they could not account for increased fertility and mortality in consanguineous matings by examining socioeconomic differences and background demographic variables. There is a need to indicate clearly to what extent the genetic effect is responsible for the excess fertility and mortality after controlling for maternal, sociodemographic, and behavioral characteristics. The article made a contribution to elucidating the impact of cousin marriages, a well entrenched custom, on fertility, mortality, and the status of women. PMID:12346200

  8. Solar-hydrogen energy system for Pakistan

    SciTech Connect

    Lutfi, N.

    1990-01-01

    A solar-hydrogen energy system has been proposed for Pakistan as the best replacement for the present fossil fuel based energy system. It has been suggested to produce hydrogen via photovoltaic-electrolysis, utilizing the available non-agricultural sunny terrain in Baluchistan region. There will be a desalination plant for sea water desalination. The area under the photovoltaic panels with the availability of water would provide suitable environment for growing some cash crops. This would change the cast useless desert land into green productive farms. In order to show the quantitative benefits of the proposed system, future trends of important energy and economical parameters have been studied with and without hydrogen introduction. The following parameters have been included: population, energy demand (fossil + hydrogen), energy production (fossil + hydrogen), gross national product, fossil energy imports, world energy prices, air pollution, quality of life, environmental savings due to hydrogen introduction, savings due to the higher utilization efficiency of hydrogen, by-product credit, agricultural income, income from hydrogen sale, photovoltaic cell area, total land area, water desalination plant capacity, capital investment, operating and maintenance cost, and total income from the system. The results indicate that adopting the solar-hydrogen energy system would eliminate the import dependency of fossil fuels, increase gross product per capita, reduce pollution, improve quality of life and establish a permanent and clean energy system. The total annual expenditure on the proposed system is less than the total income from the proposed system. The availability of water, the cash crop production, electricity and hydrogen would result in rapid development of Baluchistan, the largest province of Pakistan.

  9. Synergizing health and population in Pakistan.

    PubMed

    Nishtar, Sania; Amjad, Saba; Sheikh, Sobia; Ahmad, Mahbub

    2009-09-01

    The delivery of health and family planning services in Pakistan is the respective mandate of the Ministry of Health/departments of health and the Ministry of Population Welfare. This institutional separation creates issues due to marginalization of family planning and reproductive health as core health issues. The government of Pakistan has made several attempts in the past to merge both the institutional hierarchal arrangements. This study was conducted to examine if merger is a viable option and to explore a way forward to bridge the current population-health disconnect in the country. Qualitative survey methods, inclusive of review of published and grey literature, archival analysis, informant interviews and focus group discussions were used for the analysis. Findings outline both the imperatives for merging the ministries and the challenges inherent in doing so. Recommendations recognize that although not a sufficient step to improve health and population outcomes, creating synergies between the health and population sectors is an imperative. The sustainable long-term solution to the existing population-health disconnect centres on deep-rooted reform at several levels in both the institutional hierarchies, with transformation of the role of stewardship agencies and reengineering of service delivery arrangements as its hallmarks. Restructured service delivery arrangements are meant to allow the delivery of a set of MDG+ services, where family planning and reproductive health are grouped alongside and together with essential health services. The latter are envisaged to be a yardstick for public delivery of services and the basis of contractual relationships in new management arrangements, which involve a role for the private sector. The short to medium term strategies proposed in this paper centre on a range of specific collaborative measures with a view to building capacity for the broader systems transformation. Sustained political and institutional commitment will be needed to implement these recommendations. PMID:20088459

  10. Anthracobunids from the Middle Eocene of India and Pakistan Are Stem Perissodactyls

    PubMed Central

    Cooper, Lisa Noelle; Seiffert, Erik R.; Clementz, Mark; Madar, Sandra I.; Bajpai, Sunil; Hussain, S. Taseer; Thewissen, J. G. M.

    2014-01-01

    Anthracobunidae is an Eocene family of large mammals from south Asia that is commonly considered to be part of the radiation that gave rise to elephants (proboscideans) and sea cows (sirenians). We describe a new collection of anthracobunid fossils from Middle Eocene rocks of Indo-Pakistan that more than doubles the number of known anthracobunid fossils and challenges their putative relationships, instead implying that they are stem perissodactyls. Cranial, dental, and postcranial elements allow a revision of species and the recognition of a new anthracobunid genus. Analyses of stable isotopes and long bone geometry together suggest that most anthracobunids fed on land, but spent a considerable amount of time near water. This new evidence expands our understanding of stem perissodactyl diversity and sheds new light on perissodactyl origins. PMID:25295875

  11. Daughter neglect, women's work, and marriage: Pakistan and Bangladesh compared.

    PubMed

    Miller, B D

    1984-01-01

    This article looks at juvenile sex ratios, juvenile mortality, women's work roles and marriage patterns in Pakistan and bangladesh in order to assess whether patterns previously observed in India, namely, daughter neglect in the northwest and equal juvenile sex ratios in the eastern part of the country, are carried over into the 2 adjacent nations, Pakistan and Bangladesh, respectively. The Indian study indicates that nationwide sex ratio data, sample survey data on childhood mortality, longitudinal population records in several locations and ethonographic evidence all point to inequalities in mortality as the prime cause of unbalanced sex ratios. The juvenile sex ratios of Pakistan and Bangladesh are very different from 1 another. Whereas there are no regional contrasts among juvenile sex ratios within Bangladesh, it is greater within Pakistan. Sex ratio data correspond roughly to what the mortality data indicate in terms of the contrast between Pakistan and Bangladesh. The evidence on juvenile mortality in both countries is too scant to support an airtight argument that juvenile females in Pakistan have much higher mortality rates than boys, while mortality rates are more balanced in Bangladesh. But the existing evidence clearly points to that conclusion. The immediate causes of the greater sex-differential mortality in Pakistan cannot be documented in the available ethnographic literature. Biased allocation of food, medical care, and love might be operating. Looking at the economic and sociocultural complex that promotes much differences between Pakistan and Bangladesh, it is argued that, in both countries, class-based variations in both women's work and marriage patterns exist and are important. It is hypothesized that females in Pakistan are little valued for agricultural labor, and pose an economic liability on their families who need to provide a large dowry with her marriage to compensate for the daughter's low economic utility to the agrucultural workforce. Both agroeconomic and household economic factors would contribute to an intense preference for sons and a concomitant neglect of daughters. In Bangladesh, where female labor is highly valued, marriage costs for daughters would be relatively low. The present study reveals that, in spite of economic and cultural reasons for son preference in both Pakistan and Bangladesh, survival of daughters relative to sons is less impaired in the latter. The direction of change for both, however, appears toward increased devaluation of daughters, relative to sons, as tribal groups become settled peasants, as machines replace women's work functions, and as bridewealth is transformed into large cash dowries. PMID:6536850

  12. K-means cluster analysis and seismicity partitioning for Pakistan

    NASA Astrophysics Data System (ADS)

    Rehman, Khaista; Burton, Paul W.; Weatherill, Graeme A.

    2014-07-01

    Pakistan and the western Himalaya is a region of high seismic activity located at the triple junction between the Arabian, Eurasian and Indian plates. Four devastating earthquakes have resulted in significant numbers of fatalities in Pakistan and the surrounding region in the past century (Quetta, 1935; Makran, 1945; Pattan, 1974 and the recent 2005 Kashmir earthquake). It is therefore necessary to develop an understanding of the spatial distribution of seismicity and the potential seismogenic sources across the region. This forms an important basis for the calculation of seismic hazard; a crucial input in seismic design codes needed to begin to effectively mitigate the high earthquake risk in Pakistan. The development of seismogenic source zones for seismic hazard analysis is driven by both geological and seismotectonic inputs. Despite the many developments in seismic hazard in recent decades, the manner in which seismotectonic information feeds the definition of the seismic source can, in many parts of the world including Pakistan and the surrounding regions, remain a subjective process driven primarily by expert judgment. Whilst much research is ongoing to map and characterise active faults in Pakistan, knowledge of the seismogenic properties of the active faults is still incomplete in much of the region. Consequently, seismicity, both historical and instrumental, remains a primary guide to the seismogenic sources of Pakistan. This study utilises a cluster analysis approach for the purposes of identifying spatial differences in seismicity, which can be utilised to form a basis for delineating seismogenic source regions. An effort is made to examine seismicity partitioning for Pakistan with respect to earthquake database, seismic cluster analysis and seismic partitions in a seismic hazard context. A magnitude homogenous earthquake catalogue has been compiled using various available earthquake data. The earthquake catalogue covers a time span from 1930 to 2007 and an area from 23.00° to 39.00°N and 59.00° to 80.00°E. A threshold magnitude of 5.2 is considered for K-means cluster analysis. The current study uses the traditional metrics of cluster quality, in addition to a seismic hazard contextual metric to attempt to constrain the preferred number of clusters found in the data. The spatial distribution of earthquakes from the catalogue was used to define the seismic clusters for Pakistan, which can be used further in the process of defining seismogenic sources and corresponding earthquake recurrence models for estimates of seismic hazard and risk in Pakistan. Consideration of the different approaches to cluster validation in a seismic hazard context suggests that Pakistan may be divided into K = 19 seismic clusters, including some portions of the neighbouring countries of Afghanistan, Tajikistan and India.

  13. Hydrology of Himalayas Mountains through gauging of flood and Glaciers Melt historic data hydrographs over selected watersheds under changing climate, Pakistan

    NASA Astrophysics Data System (ADS)

    Ahmad, Z.

    2013-12-01

    Mountainous areas of higher altitudes in the northern Pakistan have numerous rivers of great surface runoff during the rainy months and glaciers melt seasons that play a significant role in water resources and hydro-power production. Many of these rivers are unexploited for their water resource potential. If the potential of these rivers are explored, hydro-power production and water supplies in these areas may be improved. The Indus is the mighty river in the Asian countries originating from mountainous area of the Himalayas of Baltistan, Pakistan in which most of the smaller streams and four main rivers drain. Under the larger interest of the economic development of the country, hydrology of these mountainous in northern Pakistan is studied in the perspective of climate change, which includes eight watersheds namely Gilgit, Hunza, Shigar, Shyok, Astore, Jhelum, Swat and Chitral. Available historic data from1960-2005 have been precisely utilized to study the hydrological changes with respect to variability in precipitation, temperature and mean monthly flows, trend of snow melt runoff, daily hydrographs of selected periods (1990 to 1999), water yield and runoff relationship, and flow duration curves. Precipitation from ten meteorological stations in mountainous area of northern Pakistan has not shown uniform distribution of rains but variability in the winter and summer rains is noticed. Review of mean monthly temperature of ten stations suggested that the Upper Indus Basin can be categorized into three hydrological regimes i.e., high altitude catchments with large glacierized parts, middle altitude catchments south of Karakoram, and foothill catchments. A 3-D finite element model (Feflow) has also been used for regional groundwater flow modeling of the Upper Chaj Doab in Indus Basin, Pakistan.

  14. Teacher Education in Pakistan: Analysis of Planning Issues in Early Childhood Education

    ERIC Educational Resources Information Center

    Hunzai, Zohra Nisar

    2009-01-01

    This article focuses on the status of teacher education and early childhood education in Pakistan. The paper analyzes planning issues in early childhood teacher education by examining education policies and existing practices in early childhood teacher education in Pakistan. Initiatives taken at public and private levels in Pakistan are also…

  15. Potential for Expatriate Involvement with Handicapped Children in the N.W.F.P. of Pakistan.

    ERIC Educational Resources Information Center

    Miles, M.

    The North West Frontier Province of Pakistan plans to improve services and facilities for handicapped children and is encouraging expatriates to bring their skills to Pakistan. Staff of current institutions are either untrained or have received short courses of training within Pakistan. There are currently about five expatriates working in the…

  16. Regional Studies of the Potwar Plateau Area, Northern Pakistan

    USGS Publications Warehouse

    Warwick, Peter D.; Wardlaw, Bruce R.

    2007-01-01

    The papers in this volume are products of a cooperative program between the Geological Survey of Pakistan (GSP) and the U.S. Geological Survey (USGS), sponsored by the Government of Pakistan and the U.S. Agency for International Development. The focus of the program, the Coal Resources Exploration and Assessment Program (COALREAP), was to explore and assess Pakistan?s indigenous coal resources. As part of COALREAP, GSP and USGS geologists conducted regional geologic studies from 1988 to 1991 of the coal-bearing areas in the Potwar region of northern Pakistan. A reference section was selected from which to obtain faunal and floral analyses. The composite sections at Nammal Pass and Nammal Dam served as the basis for this regional reference. Although this Bulletin 2078 is being released in 2007, the writing and technical reviews were completed in 1993, and the chapters reflect the work done until that time. During the long production process for the Bulletin, which ultimately resulted in the oversize plates being digitized, the scientific content of the chapters was not changed, and most reports published since 1993 were not cited. A change in the age of the Patala Formation is discussed below [in the full preface], but the age discussions and illustrations in the chapters were not updated.

  17. A Study on Extremely Dry and Wet Summer Monsoon in Pakistan by Focusing on the Anomalous States of the Upper Troposphere

    NASA Astrophysics Data System (ADS)

    Ahmad, S.; Koike, T.; Nishii, K.

    2012-04-01

    Seasonally-changes in wind pattern, monsoon, sometimes results in severe droughts and intense flooding in many parts of the world including South Asian countries like Pakistan. The livelihood of a vast population in Pakistan depends on agriculture and land use is strongly influenced by water-based ecosystems that depend on the monsoon rains. Furthermore, climate change studies undertaken so far reveal that action is essential in order to prevent long term damage to water cycle and thus of great concern to the community and stakeholders. Pakistan Summer Monsoon (PSM) is generally affected by both the disturbances from the tropical and the extratropical regions; however there is lack of understanding of physical mechanisms of PSM compared to other regional studies i.e. Indian Summer Monsoon (ISM) and South-East Asian Monsoon (SEAM). In our study, we applied heat and vorticity budgets and wave train analysis to reveal the mechanisms of the extremely dry and wet PSM events associated with the anomalous upper tropospheric circulation. We found that the extremely dry (wet) PSM events are closely related with the strengthening(weakening) of the upper-tropospheric central Asian high. We also found that in addition to Rossby-wave (Matsuno-Gill) type atmospheric response, the Rossby wave train along the Asian Jet originating from northwestern Europe or North Atlantic Ocean strengthened(weakened) the upper-tropospheric central Asian high. Therefore strong convection anomalies resulting in severe flooding (drought) events over the PSM region are induced by both the tropical and extratropical processes. Key Words: Pakistan, Extremes Monsoon Events, Physical Processes, Heat Budget, Vorticity, Wave Train

  18. The Frequency of Smoking and Common Factors Leading to Continuation of Smoking among Health Care Providers in Tertiary Care Hospitals of Karachi

    PubMed Central

    Khan, Muhammad Shahzeb; Bawany, Faizan Imran; Ahmed, Muhammad Umer; Hussain, Mehwish; Bukhari, Noreen Maqbool; Nisar, Nighat; Khan, Maham; Raheem, Ahmed; Arshad, Mohammad Hussham

    2014-01-01

    Background: The primary objective of the study was to find out the frequency of tobacco smoking among health care providers in tertiary care hospitals of Karachi. The secondary objective was to identify the common factors responsible for the continuation of smoking. Method: This cross sectional study was conducted in the wards and out-patient departments of three selected tertiary hospitals of Karachi. A total of 180 health care providers were enrolled in the study using proportionate stratified sampling. Postgraduate students, house officers and trainees were excluded from the study. Data were collected from randomly selected health care providers using survey methodology. SPSS v. 20.0 was used to enter and analyze the data. Results: Fifty two participants out of 180 were smokers for past one year (28.9%). Among them, 21 (11.7%) smoked more than 5 cigarettes per day. Twenty smokers (11.1%) were found to smoke due to peer influence. It was found that those who were influenced by their peers were 8.33 times more prone to be addicted to smoking than those who were less influenced. Similarly, the likelihood of addiction increased up to 76.9% with the lack of incentives. Conclusion: Our results clearly indicate that a large number of health care providers smoke which should be a serious concern. Hence our health agencies should take immediate action in order to curtail the heaving burden of smoking and its related health consequences. PMID:24762367

  19. 2D Ball-and-Socket Tectonic Rotation in a Heterogeneous Strain Field: The 2013 Mw7.7 Balochistan, Pakistan Earthquake

    NASA Astrophysics Data System (ADS)

    Barnhart, W. D.; Hayes, G. P.; Briggs, R. W.; Gold, R. D.; Bilham, R. G.

    2014-12-01

    The September 2013 Mw7.7 Balochistan strike-slip earthquake ruptured a ~200 km long segment of the curved Hoshab fault within the Makran accretionary prism - the active zone of convergence between the northward subducting Arabia plate and overriding Eurasia. The Hoshab fault ruptured bilaterally with ~10 m of mean sinistral and ~1.7 m of dip slip along the length of the rupture, quantified jointly from geodetic and seismological observations. This rupture is unusual because the fault dips ~60o towards the focus of a small circle centered in northwest Pakistan, and, despite a 30o increase in obliquity along the curving strike of the fault with respect to Arabia:Eurasia convergence, the ratio of strike and dip slip remain relatively uniform. Static friction prior to rupture was unusually weak ( <0.05) as inferred from topographic and slab profiles, and friction may have approached zero during dynamic rupture, thus permitting in part this unusual event. In this presentation, we argue that the northward dipping Hosab fault defines the northern rim of a structural unit in southeast Makran. This unit rotates - akin to a 2-D ball-and-socket joint - counter clockwise in response to India's penetration into the Eurasia plate. According to this interpretation, the mechanically weak Makran accretionary prism is subjected to a highly heterogeneous strain and deforms in response to convergence from both the Arabia and India plates. Rotation of the southeast Makran block accounts for complexity in the Chaman fault system and, in principle, reduces the seismic potential near Karachi by accommodating some slip along the southern Ornach-Nal fault. At the same time, geological indicators and along-strike fault slip profiles indicate that the Hoshab fault may also slip as a reverse fault in response to Arabia:Eurasia convergence - indicating that a single fault may accommodate multiple components of strain partitioning in a heterogeneous strain field over several seismic cycles.

  20. Abnormally high formation pressures, Potwar Plateau, Pakistan

    USGS Publications Warehouse

    Law, B.E.; Shah, S.H.A.; Malik, M.A.

    1998-01-01

    Abnormally high formation pressures in the Potwar Plateau of north-central Pakistan are major obstacles to oil and gas exploration. Severe drilling problems associated with high pressures have, in some cases, prevented adequate evaluation of reservoirs and significantly increased drilling costs. Previous investigations of abnormal pressure in the Potwar Plateau have only identified abnormal pressures in Neogene rocks. We have identified two distinct pressure regimes in this Himalayan foreland fold and thrust belt basin: one in Neogene rocks and another in pre-Neogene rocks. Pore pressures in Neogene rocks are as high as lithostatic and are interpreted to be due to tectonic compression and compaction disequilibrium associated with high rates of sedimentation. Pore pressure gradients in pre-Neogene rocks are generally less than those in Neogene rocks, commonly ranging from 0.5 to 0.7 psi/ft (11.3 to 15.8 kPa/m) and are most likely due to a combination of tectonic compression and hydrocarbon generation. The top of abnormally high pressure is highly variable and doesn't appear to be related to any specific lithologic seal. Consequently, attempts to predict the depth to the top of overpressure prior to drilling are precluded.

  1. WLCG Node in Pakistan - Challenges & Experiences

    NASA Astrophysics Data System (ADS)

    Adeel-Ur-Rehman; Asghar, Sajjad; Malik, Usman Ahmad

    In this paper, the experiences and the issues encountered during deployment and management of Worldwide LHC Computing Grid node in Pakistan (NCP-LCG2) have been presented. After describing about some significant figures and requirements regarding WLCG, it moves to discuss the core subject matter covering the challenges faced as well as the lessons learnt from running the setup during this time. A special emphasis is made on the weak and unstable network, non-standard hardware and insubstantial power infrastructure available for the setup, and as a consequence what was the performance of the site. This experience is unique and would be very beneficial to existing and new grid sites facing similar conditions. In the final part, a few of the online sites' performance monitoring tools are referred to along with the standings of NCP-LCG2 with respect to each. The historical statistics results have been shown in the form of graphs illustrating the contrast and achievements under the weak and then improved infrastructure of NCP-LCG2 within the WLCG planet.

  2. Foraminiferal stratigraphy of Ranikot (Paleocene) of Pakistan

    SciTech Connect

    Kureshy, A.A.

    1983-03-01

    The sedimentary deposits of Pakistan are divided into three distinct basins: the Lower Indus basin, the Upper Indus basin, and the Baluchistan basin. The Lower Indus basin is further divided into two parts; the northern part is the Sulaiman Province, and the southern part is known as Kirthar Province. The tertiary stratigraphy of Kirthar Province is conspicuous for its characteristic lithostratigraphic units. The Paleocene deposits of Kirthar Province are designated as Ranikot Group. The Ranikot Group was divided by Cheema et al in 1977 into three distinct lithostratigraphic units: the Khadro formation (Cardita beaumonti beds), Bara formation (Lower Ranikot), and Lakhra formation (Upper Ranikot). The Khadro and Lakhra formations are marine, characterized by foraminiferal assemblages. The characteristic planktonic forms are: Globigerina triloculinoides Plummer, Globorotalia pseudobulloids (Plummer), G. compressa (Plummer), G. valascoensis (Cushman), and G. pseudomenardii Bolli. The diagnostic forms of larger foraminifera are: Nummulites nuttalli Davies, Miscellanea (d'Archiac and Haime), Kathina major Smout, and Lockartia conditii (Nuttall). The planktonic foraminifera were assigned to Globorotali trinidadensis, G. pseudomenardii, and G. velasoensis zones of Kureshy in 1977, and larger foraminifera were assigned to Nummulities nuttalli zones of Kureshy in 1978.

  3. Female status and fertility in Pakistan.

    PubMed

    Syed, S H

    1978-01-01

    The roles of education and labor force participation in the reproductive behavior of women (aged 20-29 and 30-39) were analyzed using data from the 1975 Pakistan Fertility Survey. Analysis shows that urban women of both age groups fare better than rural women with respect to overall literacy and educational achievement. No significant differentials were observed between urban and rural women as regards labor force participation. The difficulty in presenting a true picture of the work status of Pakistani women is attributed to the difficulty of defining the concept of female labor force participation, not to mention biases in response and enumeration during the survey. Nevertheless, it is suggested that most urban and rural women are either not economically active or are engaged in traditional activities which do not provide stimulus for changes in their fertility behavior. With respect to education, the data shows that the effect of education on contraceptive use is statistically significant for urban women, but not for rural women, urban women being 3 times greater users of contraceptives than rural women. Work status did not significantly affect ever contraceptive use. The findings lend support to the hypothesis that education reduces female vulnerability to unwanted pregnancies by increasing age at 1st marriage, by becoming more aware of available contraceptive methods, and by limiting family size. Thus, policy should be geared towards providing educational opportunities for both rural and urban women. PMID:12309175

  4. Thyroid dysfunction in Khyber Pakhtunkhwa, Pakistan

    PubMed Central

    Attaullah, Shahnaz; Haq, Bibi Safia; Muska, Mairman

    2016-01-01

    Objectives: The objective of this research was to elucidate some of the major relation of thyroid dysfunctions, keeping in view the various selected demographic details of included patients. Methods: This study was approved by the ethical committee of Post Graduate Medical Institute (PGMI) Hayatabad Medical Complex Peshawar, and was conducted in the Institute of Radioactive Nuclear Medicine (IRNUM) Peshawar. The blood samples were collected, followed by their analysis for triiodothyronine (T3), tetraiodothyronine (T4) and thyroid stimulating hormone (TSH). Results: The results obtained regarding the demographical aspects of the patients revealed that female gender has categorically significantly high percentage of occurrence of thyroid abnormality as compared to male gender (75.8% vs. 24.2%). Results regarding locality distribution of the patients depicted that majority of those belonged to the local population of Peshawar and Charsadda region. Conclusion: In Pakistan especially Khyber Pakhtunkwa (KPK), thyroid diseases are more common in females as compared to males. The most probable causes could be lactation and pregnancy. PMID:27022356

  5. Physicochemical characteristics of various milk samples available in Pakistan

    PubMed Central

    Imran, Mohammad; Khan, Hamayun; Hassan, Syed Shah; Khan, Rasool

    2008-01-01

    We report physicochemical characteristics of various kinds of liquid milk commercially available in Pakistan in comparison with those of fresh natural milk from animals. Milk samples were collected from local markets at Peshawar, Pakistan, and analyzed for their physical features, including moisture, total solids, specific gravity, conductivity, viscosity and titratable acidity (lactic acid equivalent), and chemical components and macro-minerals, including total protein, casein, lactose, ash and minerals (Na, K and Mg). These items were compared with the physicochemical characteristics of the fresh natural milk samples from buffalo, cow and goat. The results were also compared with reported nutritional quality of milk from various countries and World Health Organization (WHO) standards. We found that all the physical features and chemical components of commercially available milk in Pakistan markets meet WHO’s requirements, except for Na, K, Ca and Mg, which are below the standards. PMID:18600784

  6. Beliefs about euthanasia among university students: perspectives from Pakistan.

    PubMed

    Shaikh, M A; Kamal, A

    2011-10-01

    Opinions of university students about euthanasia were studied in 4 cities in Pakistan using convenience sampling. A total of 836 students (316 males and 520 females) completed a questionnaire in which euthanasia was defined as deliberate administration of an overdose of a drug by a doctor to relieve pain and suffering of a dying patient at his/her explicit request to end his/her life. Only 25.6% of students agreed that euthanasia should be legalized in Pakistan. The most common reason cited for legalization of euthanasia was to relieve patient's suffering but only when a committee of physicians agreed to recommend it. Students who opposed legalization (74.4%) cited impediments to future medical research as the most common reason, followed by the risk of misuse by physicians or family members. Only 8.9% of students cited religious beliefs as a reason against legalization. There is a need in Pakistan for more debate about euthanasia. PMID:22256415

  7. Violence against Children: A Challenge for Public Health in Pakistan

    PubMed Central

    Hyder, Adnan Ali; Malik, Fauzia Aman

    2007-01-01

    World Health Organization has identified violence against children as a growing public-health issue with a global magnitude. This paper explored violence against children as a challenge in the developing world using Pakistan as a case study. A systematic review of existing research and literature on violence against children was followed by assessing the magnitude of this challenge and its impact on policy. Most research done in Pakistan is observational, descriptive, and anecdotal with data collected through survey methods and interviews with small sample sizes. The findings suggest that the confluence of macro risk factors, such as poverty, poor legal protections, illiteracy, large family size, and unemployment, create an enabling environment for violence against children. Lack of empirical data makes it difficult to assess the magnitude of this issue. The health problems reported and the extent of human potential destroyed are unknown. Conclusion calls for focused research to examine the prevalence, potential interventions, and policies in Pakistan. PMID:17985818

  8. The sparid fishes of Pakistan, with new distribution records.

    PubMed

    Siddiqui, Pirzada Jamal; Amir, Shabir Ali; Masroor, Rafaqat

    2014-01-01

    The family sparidae is represented in Pakistan by 14 species belonging to eight genera: the genus Acanthopagrus with four species, A. berda, A. arabicus, A. sheim, and A. catenula; Rhabdosargus, Sparidentex and Diplodus are each represented by two species, R. sarba and R. haffara, Sparidentex hasta and S. jamalensis, and Diplodus capensis and D. omanensis, and the remaining four genera are represented by single species, Crenidens indicus, Argyrops spinifer, Pagellus affinis, and Cheimerius nufar. Five species, Acanthopagrus arabicus, A. sheim, A. catenula, Diplodus capensis and Rhabdosargus haffara are reported for the first time from Pakistani coastal waters. The Arabian Yellowfin Seabream Acanthopagrus arabicus and Spotted Yellowfin Seabream Acanthopagrus sheim have only recently been described from Pakistani waters, while Diplodus omanensis and Pagellus affinis are newly identified from Pakistan. Acanthopagrus catenula has long been incorrectly identified as A. bifasciatus, a species which has not been recorded from Pakistan. All species are briefly described and a key is provided for them.  PMID:25283097

  9. Satellite Monitoring of Pakistan's Rockslide-Dammed Lake Gojal

    NASA Astrophysics Data System (ADS)

    Kargel, Jeffrey S.; Leonard, Gregory; Crippen, Robert E.; Delaney, Keith B.; Evans, Stephen G.; Schneider, Jean

    2010-10-01

    On 4 January 2010, a rockslide 1200 meters long, 350 meters wide, and 125 meters high dammed the Hunza River in Attabad, northern Pakistan, and formed Lake Gojal. The initial mass movement of rock killed 20 people and submerged several villages and 22 kilometers of the strategic Karakoram Highway linking Pakistan and China. Tens of thousands of people were displaced or cut off from overland connection with the rest of the country. On 29 May, the lake overflow began to pour through a spillway excavated by Pakistani authorities. On approximately 20 July, the lake attained a maximum depth of 119 meters and a torrent at least 9 meters deep issued over the spillway, according to Pakistan's National Disaster Management Authority (NDMA). To date, the natural dam is holding and eroding slowly. However, the threat of a catastrophic outburst flood remains.

  10. The tribe Scymnini (Coccinellidae: Coleoptera) from Sindh Province, Pakistan.

    PubMed

    Ali, Muhammad; Perveen, Rukhsana; Naqvi, Arif-Un-Nisa; Ahmed, Khalil; Raza, Ghulam; Hussain, Ishtiaq

    2015-01-01

    Coccinellids are important natural enemies of aphids, scale insects, mealybugs, whiteflies, jassids and mites. They are being augmented or conserved for population reduction of different agricultural crop pests in the concept of Integrated Pest Management throughout the world. The genera and species in the tribe Scymnini known from Pakistan are revised and redescribed. Two genera including two subgenera and six species among which three species are newly reported, is therefore, a new addition to Coccinellid fauna of Pakistan. Keys to all taxa, descriptions of the higher taxa, species diagnoses, synonymies, and distribution records are included. PMID:26454480

  11. The Tribe Scymnini (Coccinellidae: Coleoptera) From Sindh Province, Pakistan

    PubMed Central

    Ali, Muhammad; Perveen, Rukhsana; Naqvi, Arif-Un-Nisa; Ahmed, Khalil; Raza, Ghulam; Hussain, Ishtiaq

    2015-01-01

    Coccinellids are important natural enemies of aphids, scale insects, mealybugs, whiteflies, jassids and mites. They are being augmented or conserved for population reduction of different agricultural crop pests in the concept of Integrated Pest Management throughout the world. The genera and species in the tribe Scymnini known from Pakistan are revised and redescribed. Two genera including two subgenera and six species among which three species are newly reported, is therefore, a new addition to Coccinellid fauna of Pakistan. Keys to all taxa, descriptions of the higher taxa, species diagnoses, synonymies, and distribution records are included. PMID:26454480

  12. Hunza Landslide and Monsoon Flooding in Pakistan Call for International Attention to Transboundary Natural Hazards

    NASA Astrophysics Data System (ADS)

    Kargel, J. S.; Fink, W.; Furfaro, R.; Leonard, G. J.; Patterson, M.; Glims, Gaphaz

    2010-12-01

    Two major disasters in Pakistan and innumerable lesser disasters throughout the Himalaya-Karakoram region in 2010 highlight geologic events and extreme weather (perhaps climate change) in affecting the well being of whole nations and commerce and relations between nations. Two chief events in Pakistan include the Jan. 4 rockslide into the Hunza River and the subsequent formation of a natural dam lake (Lake Gojal); and the monsoon precipitation-fed flooding across the Indus Basin. The first event severed Pakistan’s major land link with China. The second event devastated Pakistan’s national land-based transportation infrastructure and agriculture and displaced millions of people. In a country plagued by monsoon-driven floods, the lack of catastrophic breakout of Lake Gojal is welcome. Satellite-based monitoring shows the spillway to be eroding more rapidly (but not alarmingly) under August’s monsoon peak flow. Similar events have occurred before in the region and will occur again. These mega-events in Pakistan should be an alert for all of South Asia, as climate change increases or shifts the hazard environment, encroaching development and urbanization increases the vulnerabilities, and as improved capacity for trans-national commerce breaks down the Himalayan barrier and both promotes new opportunities and possible conflicts. 2010's natural mega-calamities in Pakistan and widespread landsliding and flooding elsewhere in South Asia underscores the subcontinent’s need for a thorough field-, remote sensing-, and modeling-based assessment of the disaster potential related to landslides, glacier surges, extreme monsoon precipitation events, natural glacier and landslide dam lake outbursts, and unseasonal snow melting. The Himalayan-Karakoram region is remarkable for its heterogeneous responses to climate change. For instance, some areas are undergoing rapid glacier recession and stagnation; others are undergoing glacier growth. We take the instance of the rockslide-formed Lake Gojal and of the region’s glacier dynamics seen by satellite to show the promise of remote sensing to address disaster management and hazard identification. However, the biggest role of remote sensing should be in the identification of hazard-prone situations, such as areas where landslides or the development of dangerous glacier lakes is likely. Increased satellite surveillance and deployment of air- and land surface-borne sensor platforms, and in some cases surface or subsurface watercraft, may aid the characterization of the landscape, identify geologic and climatic instabilities, and identify vulnerabilities among the people and infrastructure. A broad-based remote sensing program should fit within a coherent regional/international approach to the key related issues of natural hazards, water resources, urban planning, food security, hydropower, and environmental conservation. Notably, these issues all are interlinked to transboundary hydrology and climate change.

  13. Ambulance use in Pakistan: an analysis of surveillance data from emergency departments in Pakistan

    PubMed Central

    2015-01-01

    Background The utilization of ambulances in low- and middle-income countries is limited. The aim of this study was to ascertain frequency of ambulance use and characteristics of patients brought into emergency departments (EDs) through ambulance and non-ambulance modes of transportation. Methods The Pakistan National Emergency Departments Surveillance (Pak-NEDS) was a pilot active surveillance conducted in seven major tertiary-care EDs in six main cities of Pakistan between November 2010 and March 2011. Univariate and multivariate logistic regression was performed to investigate the factors associated with ambulance use. Results Out of 274,436 patients enrolled in Pak-NEDS, the mode of arrival to the ED was documented for 94. 9% (n = 260,378) patients, of which 4.1% (n = 10,546) came to EDs via ambulances. The mean age of patients in the ambulance group was significantly higher compared to the mean age of the non-ambulance group (38 ± 18.4 years versus 32.8 ± 14.9 years, p-value < 0.001). The most common presenting complaint in the ambulance group was head injury (12%) while among non-ambulance users it was fever (12%). Patients of all age groups were less likely to use an ambulance compared to those >45 years of age (p-value < 0.001) adjusted for gender, cities, hospital type, presenting complaint group and disposition. The adjusted odds ratio of utilizing ambulances for those with injuries was 3.5 times higher than those with non-injury complaints (p-value < 0.001). Patients brought to the ED by ambulance were 7.2 times more likely to die in the ED than non-ambulance patients after adjustment for other variables in the model. Conclusion Utilization of ambulances is very low in Pakistan. Ambulance use was found to be more among the elderly and those presenting with injuries. Patients presenting via ambulances were more likely to die in the ED. PMID:26689242

  14. Phytoecological evaluation with detail floristic appraisal of the vegetation arround Malam Jabba, Swat, Pakistan

    PubMed Central

    Rashid, Abdur; Swati, Mohammad Farooq; Sher, Hassan; Al-Yemeni, Mohammad N

    2011-01-01

    Objective To determine the present status of plant communities and their possible association with the habitat in Malam Jabba, Swat, Pakistan. Methods A study on the phytoecology was conducted in various ecologically important sites of Malam Jabba, Swat, Pakistan from 2002 to 2004. The altitude of these sites ranged from 1 200 m to 3 200 m. Quadrat method was used for evaluation of plants communities and the data on these attributes was converted to relative values. The plant communities were named after 3 leading species with highest importance values. Biological spectrum of the flora based on the life form was prepared by following Raunkiar's life form classes. Results The floristic composition and structure of the study area were found to be 200 species belonging to 75 families. Asteraceae, Lamiaceae and Poaceae were important families in the study area. The biological spectrum showed that therophytic and hemicrytophytic life form and micro-nonophyllous leaf sizes were dominant in the area. The air and soil temperatures were decreasing with increasing elevation. Both the air and soil temperatures were relatively higher in south slopes than on the northeast slopes. The vegetation analysis of the area indicated eleven plant communities around the area. The present vegetation is the relics of moist temperate coniferous forest in the area. The communities reflect highly deteriorated conditions. Both the structure and composition of the surrounding vegetation were associated with the types of habitats. Conclusions The conservation of the remaining populations of the reported communities will be best achieved by proper time of sustainable harvesting. It is only possible with the participation of local communities. PMID:23569814

  15. Comments on "Towards Balanced Development in Pakistan".

    PubMed

    Fitzgerald, E V

    1992-01-01

    Critical comment on the proposal of Professor Pyatt for balanced development in Pakistan focused on broad methodological issues. Professor Pyatt's approach proposes to balance efficiency criteria with longterm objectives of sustainable economic and human development: changing asset distribution through new investment and shifting investment returns in the social sector to households. I is a systematic attempt to compensate for deficits in human development. Policies would include "tariffisation of quota allocation of goods such as water, differential pricing to protect the poor; national conservation and polluter penalties; foreign aid shift to human maintenance expenditure; and reform of fiscal policy on income and expenditure to allow for support of social objectives." Patterns of property and institutional privilege can be effectively altered through market practices, such that wage goods could be subsidized in order to increase productivity. Constructive rethinking of assumptions underlying the balanced development argument is suggested, because of Pyatt model is contrary to the Dornbusch assumptions behind structural adjustment of the standard World Bank model. The assumption in question is that nontraditional expenditure on health, education, and the environment reduces unit labor costs. Concern is also raised about the approach to "efficiency wages" and the inputs of health and education, and food and housing, which are required to supply labor. Real wages might be conceptualized as affecting labor productivity in a more dynamic way than Professor Pyatt recognized. Use of human capital would be maximized and would be equivalent to the formation of new human capital. Wages may be construed to act like internal trade, where prices and markets are effectively interchanged so that farmers receive not only agricultural products, but also essential and nonessential consumer goods. Professor Pyatt's article is relevant to any country's development planning and important because of the structural constraints that remain on development. Discussion will center on these issues when it becomes apparent that productive investment requires more than monetary stability. PMID:12345148

  16. Mortality from tetanus neonatorum in Punjab (Pakistan).

    PubMed

    Suleman, O

    1982-01-01

    Researchers conducted a survey study of 59,598 households in 3 major socioeconomic groups (urban slums, rural agricultural areas, and rural cattle and horse raising areas) in the Punjab province of Pakistan to estimate mortality from neonatal tetanus and to develop a strategy for its control. The investigators learned of 13,831 live births. 724 of these died in the 1st month of life with 432 (60%) dying from neonatal tetanus. Village untrained "dai" or trained midwives delivered all infants in all 3 areas. Often these deliverers placed cow dung on the stump of the severed umbilical cord and used a dirty cloth for cleaning the infant. In addition, the trained midwives would use unclean unsterilized tools to assist in delivery. In rural areas, animals sleep inside with the family and they are always with the family. Since Clostridium tetani is found in intestines of animals, especially horses, the neonatal tetanus rates as a percentage of all neonatal deaths for the rural agricultural and rural cattle and horse raising areas were higher (60% and 73%) than for the urban slums (45%). The village barber circumcises male infants on or before the 7th day of life. Since he stuffs the wound with ash or cow dung or rubs it with a dirty cloth, the chances of infecting the wound with C1. tetani increases. Therefore the total ratio of male deaths to female deaths was 1.61:1. Most males died during the last 3 weeks of the 1st month which can be attributed to circumcision. Overall most deaths occurred between 4-19 days. None of the mothers interviewed had been vaccinated with a tetanus toxoid during pregnancy which greatly contributed to the neonatal tetanus mortality rate. PMID:12282427

  17. Burn Wound Infections and Antibiotic Susceptibility Patterns at Pakistan Institute of Medical Sciences, Islamabad, Pakistan

    PubMed Central

    Saaiq, Muhammad; Ahmad, Shehzad; Zaib, Muhammad Salman

    2015-01-01

    BACKGROND Burn wound infections carry considerable mortality and morbidity amongst burn injury victims who have been successfully rescued through the initial resuscitation. This study assessed the prevalent microrganisms causing burn wound infections among hospitalized patients; their susceptibility pattern to commonly used antibiotics; and the frequency of infections with respect to the duration of the burn wounds. METHODS This study was carried out at Burn Care Centre, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan over a period of two years (i.e. from June 2010 to May 2012). The study included all wound-culture-positive patients of either gender and all ages, who had sustained deep burns and underwent definitive management with wound excisions and skin auto-grafting. Patients with negative cultures of the wounds were excluded. Tissue specimens for culture and sensitivity were collected from burn wounds using standard collection techniques and analyzed at microbiological laboratory. RESULTS Out of a total of 95 positive microbial growths, 36 were Pseudomonas aeruginosa (35.29%) as the most frequent isolate found, followed by 21 Klebsiella pneumoniae (20.58%), 19 Staphylococcus aureaus (18.62%), 10 Proteus (9.80%), 7 E. coli (6.86%), 7 Acinetobacter (6.86%), and 4 Candida (3.92%). A variable antibiotic susceptibility pattern was observed among the grown microbes. Positive cultures were significantly more frequent among patients with over two weeks duration of burn wounds. CONCLUSION P. aeruginosa, K. pneumoniae and S. aureus constituted the most common bacterial microbes of burn wounds in our in-patients cases. Positive cultures were more frequent among patients with over two weeks duration of burn wounds. Early excision and skin grafting of deep burns and adherence to infection control measures can help to effectively reduce the burden of these infections. PMID:25606471

  18. Household Schooling Decisions in Rural Pakistan. Working Paper.

    ERIC Educational Resources Information Center

    Sawada, Yasuyuki; Lokshin, Michael

    A study of household schooling decisions in rural Pakistan found serious supply-side constraints on female primary education in the villages studied. Field surveys of 25 Pakistani villages were integrated with economic theory and econometric analysis to investigate the sequential nature of educational decisions. The full-information maximum…

  19. Gender Representation in the Public Sector Schools Textbooks of Pakistan

    ERIC Educational Resources Information Center

    Ullah, Hazir; Skelton, Christine

    2013-01-01

    This paper examines gender biases in school textbooks after a decade long effort by the ministry of education (MoE) Pakistan and international organisation (IOs) to eliminate all forms of gender inequality in education. The intention underpinning these initiatives was to nurture a view of gender equality based consciousness through the…

  20. Strategic Framework for Teacher Education and Professional Development: Pakistan

    ERIC Educational Resources Information Center

    US Agency for International Development, 2006

    2006-01-01

    It is common to find well-crafted and coherent policy designs failing to attain desired results in developing counties. Pakistan is no exception. Despite having taken a significant number of initiatives in a quest to further its Teacher Professional Development (TPD) objectives, progress remains less than satisfactory. While a number of studies…

  1. Technology and Distance Education: Sharing Experience in Sindh, Pakistan.

    ERIC Educational Resources Information Center

    Panhwar, Farzana

    Female literacy in Pakistan is among the lowest in the world. In 1981, the literacy rate was 16 percent for females, and 7.3 percent for rural women. Distance education can effect many social changes. Females would be the main beneficiaries because it is not socially acceptable for girls to leave home for education; parents do not like…

  2. Hepatocellular Carcinoma in Pakistan: National Trends and Global Perspective

    PubMed Central

    Hafeez Bhatti, Abu Bakar; Dar, Faisal Saud; Waheed, Anum; Shafique, Kashif; Sultan, Faisal; Shah, Najmul Hassan

    2016-01-01

    Hepatocellular carcinoma (HCC) ranks second amongst all causes of cancer deaths globally. It is on a rise in Pakistan and might represent the most common cancer in adult males. Pakistan contributes significantly to global burden of hepatitis C, which is a known risk factor for HCC, and has one of the highest prevalence rates (>3%) in the world. In the absence of a national cancer registry and screening programs, prevalence of hepatitis and HCC only represents estimates of the real magnitude of this problem. In this review, we present various aspects of HCC in Pakistan, comparing and contrasting it with the global trends in cancer care. There is a general lack of awareness regarding risk factors of HCC in Pakistani population and prevalence of hepatitis C has increased. In addition, less common risk factors are also on a rise. Majority of patients present with advanced HCC and are not eligible for definitive treatment. We have attempted to highlight issues that have a significant bearing on HCC outcome in Pakistan. A set of strategies have been put forth that can potentially help reduce incidence and improve HCC outcome on national level. PMID:26955390

  3. A socioeconomic survey of kidney vendors in Pakistan.

    PubMed

    Naqvi, Syed Ali Anwar; Ali, Bux; Mazhar, Farida; Zafar, Mirza Naqi; Rizvi, Syed Adibul Hasan

    2007-11-01

    In recent years, Pakistan has emerged as one of the largest centres for commerce and tourism in renal transplantation. Kidney vendors belong to Punjab in eastern Pakistan, the agricultural heartland, where 34% people live below poverty line. We report results of a socioeconomic and health survey of 239 kidney vendors. The mean age was 33.6 +/- 7.2 years (M:F 3.5:1). Mean nephrectomy period was 4.8 +/- 2.3 years. Ninety per cent of the vendors were illiterate. Sixty-nine per cent were bonded labourers who were virtual slaves to landlords, labourers 12%, housewives 8.5% and unemployed 11%. Monthly income was $US15.4 +/- 8.9 with 2-11 dependents per family. Majority (93%), vended for debt repayment with mean debt of $1311.4 +/- 819. The mean agreed sale price was $1737 +/- 262. However, they received $1377 +/- 196 after deduction for hospital and travel expenses. Postvending 88% had no economic improvement in their lives and 98% reported deterioration in general health status. Future vending was encouraged by 35% to pay off debts and freedom from bondage. This study gives a snapshot of kidney vendors from Pakistan. These impoverished people, many in bondage, are examples of modern day slavery. They will remain exploited until law against bondage is implemented and new laws are introduced to ban commerce and transplant tourism in Pakistan. PMID:17645418

  4. A Long-Term Investment in Pakistan: Early Childhood Education

    ERIC Educational Resources Information Center

    Hunzai, Zohra Nisar

    2006-01-01

    Despite the enormous demand for early childhood education care and education, it remains a privilege for young children in most of the world's nine high population countries, known as the E-9 group (Bangladesh, Brazil, China, Egypt, India, Indonesia, Mexico, Nigeria and Pakistan), according to a report published by UNESCO (2003). The World…

  5. The Molecular Basis of Retinal Dystrophies in Pakistan

    PubMed Central

    Khan, Muhammad Imran; Azam, Maleeha; Ajmal, Muhammad; Collin, Rob W. J.; den Hollander, Anneke I.; Cremers, Frans P. M.; Qamar, Raheel

    2014-01-01

    The customary consanguineous nuptials in Pakistan underlie the frequent occurrence of autosomal recessive inherited disorders, including retinal dystrophy (RD). In many studies, homozygosity mapping has been shown to be successful in mapping susceptibility loci for autosomal recessive inherited disease. RDs are the most frequent cause of inherited blindness worldwide. To date there is no comprehensive genetic overview of different RDs in Pakistan. In this review, genetic data of syndromic and non-syndromic RD families from Pakistan has been collected. Out of the 132 genes known to be involved in non-syndromic RD, 35 different genes have been reported to be mutated in families of Pakistani origin. In the Pakistani RD families 90% of the mutations causing non-syndromic RD and all mutations causing syndromic forms of the disease have not been reported in other populations. Based on the current inventory of all Pakistani RD-associated gene defects, a cost-efficient allele-specific analysis of 11 RD-associated variants is proposed, which may capture up to 35% of the genetic causes of retinal dystrophy in Pakistan. PMID:24705292

  6. The Changing Perspective of Art Education in Pakistan

    ERIC Educational Resources Information Center

    Khan, Muhammad Sher Ali

    2014-01-01

    The development of art education in Pakistan over the last five decades is explored through three major phases: Arts as traditional crafts together with proficiency in painting and calligraphy. Such skills; somewhat existed in academies but, were then transferred through apprenticeship system. Arts in the academies; the first turning point, that…

  7. School Inspection and Supervision in Pakistan: Approaches and Issues

    ERIC Educational Resources Information Center

    Jaffer, Kulsoom

    2010-01-01

    This article traces how the concept of educational inspection has evolved in Pakistan, especially in the province of Sindh, and discusses whether the existing inspection system helps to improve quality and establish accountability. The inspection system that originated in colonial days has evolved to incorporate the notion of using supervision to…

  8. Schools for Change: A Perspective on School Improvement in Pakistan

    ERIC Educational Resources Information Center

    Riaz, Ismat

    2008-01-01

    This article focuses on the deeply unsatisfactory state of public and private schooling in a developing country, Pakistan, and the half-hearted measures employed at improving these schools. In the process, the author explores the negative aspects of the ways in which change has been effected in the country's education system and why these reasons…

  9. Early Childhood Teacher Education in Pakistan: Time for Action

    ERIC Educational Resources Information Center

    Zada, Khan

    2014-01-01

    This paper presents a critical account of early childhood education (ECE) in Pakistan. It moves from a general review of the benefits of ECE to focus on the issues and challenges connected to the professional development of early childhood teachers. It highlights problems encountered in developing practitioners who are highly skilled in the…

  10. Perspectives of Aacademic Activities in Universities in Pakistan

    ERIC Educational Resources Information Center

    Ali, Akhtar; Tariq, Riaz H.; Topping, Keith J.

    2013-01-01

    The article explores perspectives on academic activities in public sector universities in Pakistan. Seven Pakistani universities yielded 290 teachers and 568 students in the sample. Factor analysis indicated five main factors in both teacher and student data sets. Both teachers and students were dissatisfied with the performance of the…

  11. Improving Public School Teachers in Pakistan: Challenges and Opportunities

    ERIC Educational Resources Information Center

    Hussain, Rana; Ali, Sajid

    2010-01-01

    This article tries to respond to a basic question: "can in-service teachers of public sectors in Pakistan be reformed?" The authors' response to this question is: "yes, public teachers can be reformed, if contextual possibilities are exploited efficiently". Although a straightforward and simplistic response to the question, this was felt necessary…

  12. The Determinants of Child Health in Pakistan: An Economic Analysis

    ERIC Educational Resources Information Center

    Shehzad, Shafqat

    2006-01-01

    This paper estimates linear structural models using LISREL and employs MIMIC models to find out factors determining child health in Pakistan. A distinction has been made in permanent and transitory health states that lend support to Grossman's (1972) stock and flow concepts of health. The paper addresses the issue of health unobservability and…

  13. Stitching Footballs: Voices of Children in Sailkot, Pakistan.

    ERIC Educational Resources Information Center

    Marcus, Rachel; Husselbee, David; Shah, Faiz; Harper, Annie; Ali, Bahar

    This report details a situation analysis of children working in football stitching around Sialkot, Pakistan. The analysis (1) examined the reasons that children work and the probable impact of eradicating children's involvement and phasing out home-based production and (2) determined a baseline for monitoring changes in children's and families'…

  14. Attitudes to School Science Held by Primary Children in Pakistan

    ERIC Educational Resources Information Center

    Iqbal, Hafiz Muhammad; Nageen, Tabassum; Pell, Anthony William

    2008-01-01

    Attitudes to science scales developed earlier in England have been used in and around a Pakistan city with children in Primary/Elementary Grades 4-8. The limitations of a "transferred scale" in a culturally different context are apparent in a failure to reproduce the English factor patterns, but items are identified to serve as a base for future…

  15. A Strategy for Upgrading Primary Education in Pakistan.

    ERIC Educational Resources Information Center

    Eastmond, Jefferson N.

    Upgrading education requires a systematic effort to resolve its problems, expand its impact, and improve its quality by (1) acquiring commitment, (2) determining the present status, (3) setting goals and establishing a plan, (4) executing the plan, and (5) monitoring and evaluating progress. In Pakistan, a national commitment is needed to solve

  16. Kiran Libraries for Children in Prison in Pakistan

    ERIC Educational Resources Information Center

    Shinji, Tajima

    2009-01-01

    In Pakistan, there are 7,000 children in 70 jails. From observations on why children commit crime, the author offers that the core cause is poverty; 99 per cent of young prisoners belong to deprived sections of society. They do not have access to education; living in prison is difficult; the degrading and harsh treatment adversely affects the…

  17. Conflict, Development and Community Participation in Education: Pakistan and Yemen

    ERIC Educational Resources Information Center

    Jones, Adele

    2005-01-01

    In development policy, community participation has increasingly come to be seen as a way to encourage community interest, involvement, ownership and ultimately, sustainability of projects. Education has also been affected by this discourse. The following paper examines two countries affected by conflict (Pakistan and Yemen), asking what type of…

  18. Satellite-Based Study of Glaciers Retreat in Northern Pakistan

    NASA Astrophysics Data System (ADS)

    Munir, Siraj

    Glaciers serve as a natural regulator of regional water supplies. About 16933 Km 2 area of glaciers is covered by Pakistan. These glaciers are enormous reservoirs of fresh water and their meltwater is an important resource which feed rivers in Pakistan. Glacier depletion, especially recent melting can affect agriculture, drinking water supplies, hydro-electric power, and ecological habitats. This can also have a more immediate impact on Pakistan's economy that depends mainly on water from glacier melt. Melting of seasonal snowfall and permanent glaciers has resulted not only in reduction of water resources but also caused flash floods in many areas of Pakistan. With the advent of satellite technology, using optical and SAR data the study of glaciers, has become possible. Using temporal data, based on calculation of snow index, band ratios and texture reflectance it has been revealed that the rate of glacier melting has increased as a consequent of global warming. Comparison of Landsat images of Batura glacier for October 1992 and October 2000 has revealed that there is a decrease of about 17 sq km in Batura glaciers. Although accurate changes in glacier extent cannot be assessed without baseline information, these efforts have been made to analyze future changes in glaciated area.

  19. Kiran Libraries for Children in Prison in Pakistan

    ERIC Educational Resources Information Center

    Shinji, Tajima

    2009-01-01

    In Pakistan, there are 7,000 children in 70 jails. From observations on why children commit crime, the author offers that the core cause is poverty; 99 per cent of young prisoners belong to deprived sections of society. They do not have access to education; living in prison is difficult; the degrading and harsh treatment adversely affects the

  20. Acquisition of Scientific Literature in Developing Countries. 3: Pakistan.

    ERIC Educational Resources Information Center

    Haider, Syed Jalaluddin

    1989-01-01

    Summarizes the development of science and technology in Pakistan and the existing library resources in science and technology. The organization of acquisitions work is described, including acquisitions policy, book selection, financial support, procurement of books and periodicals, import restrictions, book order work, and gifts and exchanges.…

  1. Gender Representation in the Public Sector Schools Textbooks of Pakistan

    ERIC Educational Resources Information Center

    Ullah, Hazir; Skelton, Christine

    2013-01-01

    This paper examines gender biases in school textbooks after a decade long effort by the ministry of education (MoE) Pakistan and international organisation (IOs) to eliminate all forms of gender inequality in education. The intention underpinning these initiatives was to nurture a view of gender equality based consciousness through the

  2. Library Web Sites in Pakistan: An Analysis of Content

    ERIC Educational Resources Information Center

    Qutab, Saima; Mahmood, Khalid

    2009-01-01

    Purpose: The purpose of this paper is to investigate library web sites in Pakistan, to analyse their content and navigational strengths and weaknesses and to give recommendations for developing better web sites and quality assessment studies. Design/methodology/approach: Survey of web sites of 52 academic, special, public and national libraries in…

  3. Qualitative Inquiry into Local Education Administration in Pakistan

    ERIC Educational Resources Information Center

    Komatsu, Taro

    2009-01-01

    The level of educational development in Pakistan is low. A decentralisation reform was introduced in 2000 to improve the delivery of basic education by designating the local government body with primary responsibility for administering it. A qualitative field study on local education administration at the North West Frontier Province found…

  4. A Long-Term Investment in Pakistan: Early Childhood Education

    ERIC Educational Resources Information Center

    Hunzai, Zohra Nisar

    2006-01-01

    Despite the enormous demand for early childhood education care and education, it remains a privilege for young children in most of the world's nine high population countries, known as the E-9 group (Bangladesh, Brazil, China, Egypt, India, Indonesia, Mexico, Nigeria and Pakistan), according to a report published by UNESCO (2003). The World

  5. Instructional Leadership Potential among School Principals in Pakistan

    ERIC Educational Resources Information Center

    Niqab, Muhammad; Sharma, Sailesh; Wei, Leong Mei; Maulod, Shafinaz Bt A.

    2014-01-01

    This study highlights the pivotal role of the school principal in relation to organizational commitment and expected student outcomes in schools in Pakistan. By critically examining the available literature, and by evaluating relevant data, this study will draw attention to how successful principals manage their schools, by providing an…

  6. Education Policies in Pakistan--Process & FOCI of Change

    ERIC Educational Resources Information Center

    Chaudhry, Taqadus Bashir; Shami, Pervez A.

    2007-01-01

    To achieve the highest pedestal of civilization knowledge is the key driver toward the product of education. All the independent states like Pakistan are under obligation to recognize education as a right of citizens. To embark on a path of progress and realize the potentials of a nation every state invests in education to address the needs and…

  7. Temperament Styles of Children from Pakistan and the United States

    ERIC Educational Resources Information Center

    Oakland, Thomas; Callueng, Carmelo; Rizwan, Muhammad; Aftab, Sobia

    2012-01-01

    Age, gender, and cross-national differences of children ages 9 through 16 in Pakistan (n = 463) and the United States (n = 500) are examined on four bipolar temperament styles: Extroversion-introversion, practical-imaginative, thinking-feeling, and organized-flexible. In general, Pakistani children prefer extroverted over introverted, practical…

  8. Effective Use of Action-Oriented Studies in Pakistan.

    ERIC Educational Resources Information Center

    Miles, M.

    1991-01-01

    This article summarizes results from action-oriented studies carried out at the Mental Heath Centre in Peshawar, Pakistan, dealing with such topics as attitudes toward disability, casual integration, and trends in polio paralysis. The article also considers problems associated with the dissemination of special education and rehabilitation research…

  9. Simulating the Afghanistan-Pakistan opium supply chain

    SciTech Connect

    Watkins, Jennifer H; MacKerrow, Edward P; Merritt, Terence M

    2010-04-08

    This paper outlines an opium supply chain using the Hilmand province of Afghanistan as exemplar. The opium supply chain model follows the transformation of opium poppy seed through cultivation and chemical alteration to brown heroin base. The purpose of modeling and simulating the Afghanistan-Pakistan opium supply chain is to discover and test strategies that will disrupt this criminal enterprise.

  10. Pakistan embarks on new campaign to reduce fertility.

    PubMed

    1992-01-01

    There was both international and domestic significance in a plea for population stabilization issued by Pakistan's Prime Minister Nawaz Sharif in his address at the recent Earth Summit conference in Rio de Janeiro. Speaking as both a national leader and chairman of the Group of 77, a coalition of developing countries, Sharif said that to eradicate the abject poverty under which more than a billion people in the world live today "developing countries must assume their full responsibility in limiting population growth to manageable levels." Those words may seem odd coming from the leader of a country that has been indifferent about population problems for the past 2 decades. Until Prime Minister Sharif made a public commitment to a population program last July, the last leader of Pakistan to take such action was the late President Ayub Khan in 1969. With an annual 3.1% growth rate, Pakistan's population of 122 million is projected to double in only 23 years. The average Pakistani woman has 6.1 children in her reproductive lifetime. Reduction of population growth was an issue in the October 1990 election campaign. After his Islamic Democratic Alliance won, the government named Syeda Abida Hussain, a prominent and popular politician, to the cabinet post of Minister of Family Welfare. Hussain, who is now Pakistan's Ambassador to the US, recalls that many experts felt that starting a population program would be "an impossible undertaking, "that" attitudes were not conducive to family planning and government would never support it." In a speech on World Population Day in Rio, organized by the Population Institute, she said she soon found that "the problems were managerial, not attitudinal." She maintained that the relatively low acceptance of contraception among the people of Pakistan, Bangladesh and India is not because of religion or ideology "but because they are too poor to have access to birth control." Shortly after Hussain was names Minister of Family Welfare, she travelled throughout Pakistan to promote a small family norm. Under the new government program, family planning services would be provided along with maternal and child health services. Meanwhile, in an address before a national population conference, Prime Minister Sharif made a strong emotional appeal for a slowdown in population growth. He directed all government ministries and departments to provide all possible support. A recent study in Pakistan showed that the lack of service delivery outlets, rather than lack of awareness of family planning, was the reason behind the weak response to earlier programs. The study further indicated that 60% of married women either do not want more children or want to delay their next birth, but only 20% have access to family planning services. 90% said their desired family size was 4 children, yet they were having 7. The shortage of family planning services is especially acute in rural areas. While 54% of the country's 35 million urban residents have access to services, only 5% of rural people do. In the past, population programs in Pakistan have been handicapped by bureaucratic red tape, inefficiency and corruption. But with the Prime Minister solidly supporting lower population growth as a key to the success of his economic initiatives, top managers of the program are optimistic that this time it will work. "Bringing down the population growth rate in Pakistan is not the world's responsibility, "says Ambassador Syeda Abida Hussain. "It is Pakistan's." PMID:12317621

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

    NASA Astrophysics Data System (ADS)

    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.

  12. Evolution of Doctoral Education in Pakistan: Challenges and Successes of Doctoral Students of Education in a Public Sector University of Pakistan

    ERIC Educational Resources Information Center

    Halai, Nelofer

    2011-01-01

    This paper presents a part of the findings from a larger study undertaken to explore the experience of graduate students in education in Pakistan. Analysis of a smaller slice of data collected from students who were enrolled in the PhD and MPhil programmes of the Department of Education in a large public sector university in Northern Pakistan was…

  13. Governance and Higher Education in Pakistan: What Roles Do Boards of Governors Play in Ensuring the Academic Quality Maintenance in Public Universities versus Private Universities in Pakistan?

    ERIC Educational Resources Information Center

    Usman, Sidra

    2014-01-01

    There are major structural issues in the higher education system in Pakistan leading to poor governance of institutions and questionable quality of education. This paper looks at the differences in the role of boards of governors in maintaining quality of education in both the public and the private sector universities in Pakistan. After having…

  14. Literacy, Income Generation, and Poverty Alleviation in Sindh Pakistan and Its Impact on Economic Development, Human Resource Development in Pakistan.

    ERIC Educational Resources Information Center

    Panhwar, Farzana

    Rural poverty in Sindh, Pakistan, has been artificially created by low prices of wheat, fixed by the federal government's price control board. Agriculture and agro-based industries account for 80 percent of the country's labor force. Among the consequences of this price control are low margins of profit to the farming community; low capacity to…

  15. Association Between Grading of Oral Submucous Fibrosis With Frequency and Consumption of Areca Nut and Its Derivatives in a Wide Age Group: A Multi-centric Cross Sectional Study From Karachi, Pakistan

    PubMed Central

    Hosein, Mervyn; Mohiuddin, Sidra; Fatima, Nazish

    2015-01-01

    Background: Oral submucous fibrosis (OSMF) is a chronic, premalignant condition of the oral mucosa and one of the commonest potentially malignant disorders amongst the Asian population. The objective of this study was to investigate the association of etiologic factors with: age, frequency, duration of consumption of areca nut and its derivatives, and the severity of clinical manifestations. Methods: A cross-sectional, multi centric study was conducted over 8 years on clinically diagnosed OSMF cases (n = 765) from both public and private tertiary care centers. Sample size was determined by World Health Organization sample size calculator. Consumption of areca nut in different forms, frequency of daily usage, years of chewing, degree of mouth opening and duration of the condition were recorded. Level of significance was kept at P ≤ 0.05. Results: A total of 765 patients of OSMF were examined, of whom 396 (51.8%) were male and 369 (48.2%) female with a mean age of 29.17 years. Mild OSMF was seen in 61 cases (8.0%), moderate OSMF in 353 (46.1%) and severe OSMF in 417 (54.5%) subjects. Areca nut and other derivatives were most frequently consumed and showed significant risk in the severity of OSMF (P ≤ 0.0001). Age of the sample and duration of chewing years were also significant (P = 0.012). Conclusions: The relative risk of OSMF increased with duration and frequency of areca nut consumption especially from an early age of onset. PMID:26473161

  16. Girl child marriage and its effect on fertility in Pakistan: findings from Pakistan Demographic and Health Survey, 2006-2007.

    PubMed

    Nasrullah, Muazzam; Muazzam, Sana; Bhutta, Zulfiqar A; Raj, Anita

    2014-04-01

    Child marriage (before 18 years) is prevalent in Pakistan, which disproportionately affects young girls in rural, low income and low education households. Our study aims to determine the association between early marriage and high fertility and poor fertility health indicators among young women in Pakistan beyond those attributed to social vulnerabilities. Nationally representative data from Pakistan Demographic and Health Survey, 2006-2007, a cross-sectional observational survey, were limited to ever-married women aged 20-24 years (n = 1,560; 15% of 10,023) to identify differences in poor fertility outcomes [high fertility (three or more childbirths); rapid repeat childbirth (<24 months between births); unwanted pregnancy (any ever); pregnancy termination (any stillbirth, miscarriage or abortion ever)] by early (<18) versus adult (≥18) age at marriage. Associations between child marriage and fertility outcomes were assessed by calculating adjusted odds ratios (AORs) using logistic regression models after controlling for demographics, social equity indicators (education, wealth index, rural residence), contraception use, marriage duration and culture-specific factors (husband's desire for more children, son preference). Overall, 50% of ever-married women aged 20-24 years in Pakistan were married before the age of 18 years. Girl child marriage was significantly (p < 0.001) associated with low social equity indicators (poverty, rural residence, and no formal education). Adjusted logistic regression models showed that girl child marriage was significantly associated with high fertility (AOR 6.62; 95% CI 3.53-12.43), rapid repeat childbirth (AOR 2.88; 95% CI 1.83-4.54), unwanted pregnancy (AOR 2.90; 95% CI 1.75-4.79), and pregnancy termination (AOR 1.75; 95% CI 1.10-2.78). Girl child marriage affects half of all ever-married women aged 20-24 years in Pakistan, and increases their risk for high fertility and poor fertility health indicators, highlighting the need of increasing the age of marriage among women in Pakistan. Efforts to eliminate girl child marriage by strict law enforcement, promoting civil, sexual and reproductive health rights for women can help eliminate girl child marriage in Pakistan. PMID:23580067

  17. Motivational determinants among physicians in Lahore, Pakistan

    PubMed Central

    2010-01-01

    Introduction Human resource crises in developing countries have been identified as a critical aspect of poor quality and low accessibility in health care. Worker motivation is an important facet of this issue. Specifically, motivation among physicians, who are an important bridge between health systems and patients, should be considered. This study aimed to identify the determinants of job motivation among physicians, a neglected perspective, especially in developing countries. Methods A stratified random sample of 360 physicians was selected from public primary, public secondary and public and private tertiary health facilities in the Lahore district, Pakistan. Pretested, semi-structured, self-administered questionnaires were used. For the descriptive part of this study, physicians were asked to report their 5 most important work motivators and demotivators within the context of their current jobs and in general. Responses were coded according to emergent themes and frequencies calculated. Of the 30 factors identified, 10 were classified as intrinsic, 16 as organizational and 4 as socio-cultural. Results Intrinsic and socio-cultural factors like serving people, respect and career growth were important motivators. Conversely, demotivators across setups were mostly organizational, especially in current jobs. Among these, less pay was reported the most frequently. Fewer opportunities for higher qualifications was a demotivator among primary and secondary physicians. Less personal safety and poor working conditions were important in the public sector, particularly among female physicians. Among private tertiary physicians financial incentives other than pay and good working conditions were motivators in current jobs. Socio-cultural and intrinsic factors like less personal and social time and the inability to financially support oneself and family were more important among male physicians. Conclusion Motivational determinants differed across different levels of care, sectors and genders. Nonetheless, the important motivators across setups in this study were mostly intrinsic and socio-cultural, which are difficult to affect while the demotivators were largely organizational. Many can be addressed even at the facility level such as less personal safety and poor working conditions. Thus, in resource limited settings a good strategic starting point could be small scale changes that may markedly improve physicians' motivation and subsequently the quality of health care. PMID:20618962

  18. Dubai syndrome in Karachi.

    PubMed

    Ahmed, S H; Zainulabdin, F

    1991-01-01

    This is an attempt to study the effects of migration of earning member (to Gulf States) on the family, specially children left behind. Twenty five families who sought psychiatric help for one of their members were included. A control group (of non-migrant family) attending the out-patient's department was selected for comparison. The wife and children left behind experienced considerable emotional hardship. Twenty two families (88%) reported statistically significant recent maladjustment in 35 children (30%) as compared to control group of twelve families (48%) in 15 children (10%). Undoubtedly the major brunt is faced by the wives but the damage done to children is much less appreciated. This study identifies the current disturbance but the future effects on the personality of other children could manifest much later. PMID:1900543

  19. Land surface hydrological investigation in Upper Indus River Basin (UIB), North Pakistan under the Framework of TPE Program

    NASA Astrophysics Data System (ADS)

    Zhang, Y.

    2012-12-01

    The Upper Indus Basin (UIB) is home to three of the world's mightiest mountain ranges. The Karakoram in north and the Himalaya in northeast while the Hindukush in the northwest of Pakistan. The Indus River emerges from the Tibetan Plateau and flows toward northern areas of Pakistan where it changes its direction toward the south and flows into the Arabian Sea. The catchment area of Indus River is located in Pakistan, China and India, but most part covered in Pakistan. The Upper Indus Basin lies within the variable influence of three major weather systems: the sub-Mediterranean regime of mainly winter, westerly storms; the summer monsoon; and the Tibetan anticyclone. The Upper Indus River Basin has a total catchment area of approx. 206,000 km2. The UIB includes the Hunza, Gilgit, Astore, Shigar and Shyok sub-basins. Nearly 11.5% (22,000 km2) of the total area of the UIB is covered by perennial glacial ice (including most of the largest valley glaciers) making it the largest area outside the polar and Greenland regions (Hewitt, 2007). UIB has a mean elevation of 4750 m with almost 60% of its total area above an elevation of 4500 m and 12% of its area (almost the same area is glacier covered) above 5500 m. Glacial melt is one of the major sources of inflow in the Upper Indus Basin, 44.8% of its river flow depends upon glacial melting. Its mean discharge at Tarbela dam is 5533 m3/s (IUCN, IWMI). Most of the annual precipitation in the UIB falls in the winter and spring and originates from the west (Young and Hewitt, 1990). Several researchers reported that 80% of the flow of the Upper Indus River is contributed by less than 20% of its area, essentially from the zones of heavy snowfall and glaciated basins above 3500m in elevation. Under the Framework of TPE Program, observational researches have been lunched since last year. The project aim to the objective of hydrological consequence of snow cover in UIB; impact of glacier dynamic to basin drainage and response of discharge to climatic changes during past 50 years. The presentation will highlight the research including field expedition in 2011, objective and strategies, and request to cooperation as well.

  20. Increase in malaria cases imported from Pakistan to Germany in 2012.

    PubMed

    Stark, K; Schöneberg, I

    2012-01-01

    A significant increase of malaria cases imported to Germany from Pakistan was observed in 2012. As of 14 November, Pakistan was the country of infection in 32 out of 434 malaria cases in 2012, compared to zero to eight annual malaria cases (out of over 500 cases) in previous years. Physicians and public health authorities should consider malaria in febrile patients returning or migrating from Pakistan. PMID:23231855

  1. Supporting Innovations in Education: Preparing Administrators, Supervisors and Other Key Personnel. Report of a Technical Working Group Meeting (Seoul, South Korea, September 29-October 11, 1980).

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and the Pacific.

    Eleven countries (Bangladesh, India, Indonesia, Japan, Malaysia, Nepal, Pakistan, Philippines, South Korea, Sri Lanka, and Thailand) participated in a 1980 meeting on methods of training educational administrators and supervisors to be supportive of educational innovation. This report summarizes the proceedings of that meeting and the…

  2. Epidemiology and Outcome of Childhood Electrical Burn Injuries at Pakistan Institute of Medical Sciences Islamabad, Pakistan.

    PubMed

    Saaiq, Muhammad

    2016-01-01

    To describe the epidemiologic profile of children sustaining electrical burn injuries and assess the outcome in terms of need for amputations, hospitalization, and the associated in-hospital mortality. This case series study was performed over a 5-year period (January 2008 to December 2012) at the Department of Plastic surgery and Burn Care Centre, Pakistan Institute of Medical Sciences (PIMS), Islamabad. All children of either gender up to 15 years of age were included. They were admitted for indoor management with standard burn care protocols. The demographic profile of the child, injury characteristics, and outcome were recorded and the data analyzed statistically. Of 85 children who presented with electrical burn injuries during the study period, 89.41% (n = 76) were males and 10.58% (n = 9) were females. The age ranged from 1 to 15 years with a mean age of 10.47 4.09 years. High-voltage burns were the commonest type (n = 61; 71.76%). There were 35 major limb amputations. The mean hospital stay was 6.78 5.01 days (range 1-25 days). The mortality rate was 2.35%. Male children aged 10 to 15 years are the most frequent victims of electric burn injuries, and high-voltage injuries constitute the commonest form of these injuries. There is associated considerable morbidity due to inevitable major amputations of the limbs among otherwise healthy children. There is dire need for primary prevention. PMID:25423434

  3. Diagnostic Testing for Hemorrhagic Fevers in Pakistan: 2007–2013

    PubMed Central

    Hasan, Zahra; Atkinson, Barry; Jamil, Bushra; Samreen, Azra; Altaf, Lamia; Hewson, Roger

    2014-01-01

    Crimean–Congo hemorrhagic fever virus (CCHFV) and dengue virus (DENV) are endemic to Pakistan. Patients presenting with symptoms of fever, bleeding, and rash cannot be distinguished without appropriate testing. We report data on 354 samples tested for CCHFV at The Aga Khan University Hospital in Pakistan between 2007 and 2013. All samples were tested for the presence of CCHFV RNA. Some samples were also tested for DENV RNA, NS-1 antigen, and/or reactive immunoglobulin M antibodies. Of 354 clinical specimens screened for CCHFV, 52 specimens were positive, with 24 cases in 2013 alone. Most cases were from Sindh and Baluchistan, which border other CCHFV-endemic regions: Iran and Afghanistan. Among CCHFV-negative samples, 168 samples were tested for DENV, and 36% of these samples were found to be DENV-positive. Rapid differentiation of CCHFV and DENV can prevent nosocomial transmission and result in time and cost savings for patients and healthcare workers. PMID:25311694

  4. Polio in Pakistan: Social constraints and travel implications.

    PubMed

    Mushtaq, Asim; Mehmood, Sajid; Rehman, Muhammad Ateeq Ur; Younas, Asma; Rehman, Muhammad Saif Ur; Malik, Muhamamd Faheem; Hyder, Muhammad Zeeshan

    2015-01-01

    The Global Polio Eradication Initiative (GPEI) in Pakistan has faced failure despite being implemented successfully. Polio cases were successfully reduced by 99% until 2005. However, thereafter, new polio cases were registered, which continue to rise annually. This repeat polio outbreak has placed the country on watch by the World Health Organization (WHO) due to travelers, and Hajj and Umrah pilgrims. The present report reviews the published literature for determining the social constraints to the polio eradication initiative in Pakistan. Religion, politics, awareness, insecurity, inequity, governance, and social responsibility have been identified as key social factors in the failure of any vaccination campaign. Possible interventions have been proposed, which include effectively using modern mass media and educating vaccinators on the social and cultural background of the target community. PMID:26324410

  5. Estimates of outage costs of electricity in Pakistan

    SciTech Connect

    Ashraf, J.; Sabih, F.

    1993-12-31

    This article estimates outage costs of electricity for each of the four provinces in Pakistan (Punjab, North-West Frontier Province, Baluchistan, and Sind). The term {open_quotes}power outage{close_quotes} refers to all problems associated with electricity supply, such as voltage drops (brownouts), power failures (blackouts), and load shedding. The most significant of these in Pakistan is load shedding when power supply to different consumers is shut off during different times of the day, especially during peak hours when the pressure on the system is the highest. Power shortages mainly arise during the low-water months when the effective capacity of hydropower plants drops significantly. This decline in power supplied by hydro plants cannot be made up by operating thermal power plants because of the limited availability of gas and the high cost of alternative fuels required for the operation of gas turbines.

  6. Progress Toward Poliomyelitis Eradication--Pakistan, January 2014-September 2015.

    PubMed

    Farag, Noha H; Wadood, Mufti Zubair; Safdar, Rana Muhammad; Ahmed, Nabil; Hamdi, Sabrine; Tangermann, Rudolph H; Ehrhardt, Derek

    2015-11-20

    Since Nigeria reported its last case of wild poliovirus type 1 (WPV1) in July 2014, Pakistan and Afghanistan remain the only two countries where WPV transmission has never been interrupted. This report describes actions taken and progress achieved toward polio eradication in Pakistan during January 2014-September 2015 and updates previous reports. A total of 38 WPV1 cases were reported in Pakistan during January-September 2015, compared with 243 during the same period in 2014 (an 84% decline). Among WPV1 cases reported in 2015, 32 (84%) occurred in children aged <36 months, nine (32%) of whom had never received oral poliovirus vaccine (OPV). Twenty-six (68%) of the 38 reported cases occurred in the Federally Administered Tribal Areas (FATA) and Khyber Pakhtunkhwa (KPK) Province. During January-September 2015, WPV1 was detected in 20% (64 of 325) of environmental samples collected, compared with 34% (98 of 294) of samples collected during the same period in 2014. The quality and scope of polio eradication activities improved considerably following the establishment of a national Emergency Operations Center, which coordinated polio eradication partners' activities. All activities are following a National Polio Eradication Emergency Action Plan that includes a rigorous action plan for the polio low transmission season (January-April). The presence of WPV1 in environmental samples in areas where no polio cases are detected highlights the need to improve surveillance for acute flaccid paralysis (AFP). Focused efforts to close remaining immunity gaps by locating, tracking, and vaccinating continually missed children and improving coverage with OPV through the routine vaccination program are needed to stop WPV transmission in Pakistan. PMID:26584026

  7. Makran Mountain Range, Indus River Valley, Pakistan, India

    NASA Technical Reports Server (NTRS)

    1984-01-01

    The enormous geologic pressures exerted by continental drift can be very well illustrated by the long northward curving parallel folded mountain ridges and valleys of the coastal Makran Range of Pakistan (27.0N, 66.0E). As a result of the collision of the northward bound Indian sub-continent into the Asian Continent, the east/west parallel range has been bent in a great northward arc and forming the Indus River valley at the interface of the collision.

  8. Quality of ceftriaxone in Pakistan: reality and resonance.

    PubMed

    Obaid, Ali

    2009-04-01

    The quality of pharmaceuticals is a global concern, counterfeit/ poor quality/ substandard medicines can cause harms in various ways: In a number of developing countries including Pakistan there is reportedly a high incidence of the availability of substandard drugs. The majority of these reports do not contain quantitative data to support these claims, nor do they describe the methodology employed for the quality assessment. Quality of drugs available in Pakistan are being questioned and topic of discussion in local news paper, TV channels in general public including journalist and physicians due to disparity of price among same generics, lack of knowledge for such science and unknown reasons. Since, quality of drugs can neither be assessed by naked eye or by every one therefore, randomly selected, 96 samples of different strength of injection ceftriaxone sodium and its generic, a widely used third generation cephalosporin in Pakistan since 1982 and 1994 till date respectively included in the said study to know the reality. 15.62% of ceftriaxone injection was found to be out of specification, however, not a single sample was found fake (spurious) out of 96 tested samples. Nevertheless, quality is a wide ranging concept covering all matters that individually or collectively influence the excellence of a product hence price and other related issues are also analyzed in the study. PMID:19339236

  9. Investigation of summer monsoon rainfall variability in Pakistan

    NASA Astrophysics Data System (ADS)

    Hussain, Mian Sabir; Lee, Seungho

    2016-01-01

    This study analyzes the inter-annual and intra-seasonal rainfall variability in Pakistan using daily rainfall data during the summer monsoon season (June to September) recorded from 1980 to 2014. The variability in inter-annual monsoon rainfall ranges from 20 % in northeastern regions to 65 % in southwestern regions of Pakistan. The analysis reveals that the transition of the negative and positive anomalies was not uniform in the investigated dataset. In order to acquire broad observations of the intra-seasonal variability, an objective criterion, the pre-active period, active period and post-active periods of the summer monsoon rainfall have demarcated. The analysis also reveals that the rainfall in June has no significant contribution to the increase in intra-seasonal rainfall in Pakistan. The rainfall has, however, been enhanced in the summer monsoon in August. The rainfall of September demonstrates a sharp decrease, resulting in a high variability in the summer monsoon season. A detailed examination of the intra-seasonal rainfall also reveals frequent amplitude from late July to early August. The daily normal rainfall fluctuates significantly with its maximum in the Murree hills and its minimum in the northwestern Baluchistan.

  10. Polyendocrine syndrome type 3C in a family from Pakistan.

    PubMed

    Gessoni, G; Antico, F; Caroli, D; Nogara, A; Valverde, S; Fezzi, M; Zucchelli, M; Boscolo-Bariga, A

    2013-09-01

    In type 3 polyendocrine syndrome (PAS3), autoimmune thyroiditis occurs with other organ-specific autoimmune disease, but not with autoimmune adrenalitis. In this report we described a family from Pakistan in which mother and three daughters were affected by a PAS3. We studied a family from Pakistan: Father MMu age 44, mother KN aged 44, three daughters MM age 20, MH age 16 and MA age 14 and a son MU age 18. These subjects were tested for thyroids function, metabolic function, adrenal function, autoimmune disease. In this family the four females were shown hypothyroidism with presence of anti thyroid autoantibodies (AA) and high TSH serum concentration in association with the presence of anti transglutaminase AA. Moreover KN, MM and MH were positive for anti nuclear AA (granular pattern) and for antibodies against Saccaromyces cerevisiae. MM was positive for AA against nuclear extractable antigens (SSA and SSB) too. No diabetes or pernicious anemia were observed. Adrenal and Pituitary function were normal. PAS 3C is an uncommon disease. In this family from Pakistan we observed a PAS3C in the four female members: mother and three daughters while father and son were unaffected. PMID:24126553

  11. Privatisation in reproductive health services in Pakistan: three case studies.

    PubMed

    Ravindran, T K Sundari

    2010-11-01

    Privatisation in Pakistan's health sector was part of the Structural Adjustment Programme that started in 1998 following the country's acute foreign exchange crisis. This paper examines three examples of privatisation which have taken place in service delivery, management and capacity-building functions in the health sector: 1) large-scale contracting out of publicly-funded health services to private, not-for-profit organisations; 2) social marketing/franchising networks providing reproductive health services; and 3) a public-private partnership involving a consortium of private players and the government of Pakistan. It assesses the extent to which these initiatives have contributed to promoting equitable access to good quality, comprehensive reproductive health services. The paper concludes that these forms of privatisation in Pakistan's health sector have at best made available a limited range of fragmented reproductive health services, often of sub-optimal quality, to a fraction of the population, with poor returns in terms of health and survival, especially for women. This analysis has exposed a deep-rooted malaise within the health system as an important contributor to this situation. Sustained investment in health system strengthening is called for, where resources from both public and private sectors are channelled towards achieving health equity, under the stewardship of the state and with active participation by and accountability to members of civil society. PMID:21111347

  12. Gas pricing in developing countries: A case study of Pakistan

    SciTech Connect

    Sohail, H.M.; Abid, M.S.; Ansari, A.M.

    1994-02-01

    Pakistan, a developing country, has gone through various phases of formulating gas pricing policies during its 40-year history of natural gas production and consumption. This paper identifies critical factors that influenced gas pricing policies in Pakistan and adverse effects experienced when any of these factors was not given proper consideration. For instance, on the producer's side, discounted pricing formulas discouraged further exploration and development, leaving high-potential areas unexplored and discovered fields dormant for more than a decade. On the consumer's side, subsidized gas prices encouraged consumption to rise steeply without new discoveries to offset additional surplus consumption. The paper also discusses various short- and long-term variables that should go into a gas pricing policy for developing countries. References to recent policies are also given, indicating how these variables were incorporated in real terms. The conclusions and recommendations, based on Pakistan's long experience with the gas industry, should be useful for other oil-importing countries rich in indigenous gas resources.

  13. 3 CFR 13550 - Executive Order 13550 of August 18, 2010. Establishment of Pakistan and Afghanistan Support Office

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... Establishment of Pakistan and Afghanistan Support Office 13550 Order 13550 Presidential Documents Executive Orders Executive Order 13550 of August 18, 2010 EO 13550 Establishment of Pakistan and Afghanistan... temporary organization to be known as the Pakistan and Afghanistan Support Office (PASO). Sec. 2. Purpose...

  14. India and Pakistan`s nuclear arms race: Out of the closet but not in the street

    SciTech Connect

    Albright, D.

    1993-06-01

    CIA Director James Woolsey testified before the Senate on February 24, 1993, {open_quotes}The arms race between India and Pakistan poses perhaps the most probable prospect for future use of weapons of mass destruction, including nuclear weapons.{close_quotes} Currently, both countries are dependent on relatively crude nuclear bombs that do not appear to have been deployed. According to US officials, because of fears of accidental nuclear detonation, both sides would only assemble their nuclear weapons when absolutely necessary. Nevertheless, according to Woolsey, both nations {open_quotes}could, on short notice, assemble nuclear weapons.{close_quotes} Each has combat aircraft that could deliver these bombs in a crisis. India and Pakistan continue to improve their nuclear weapons. Unless their programs are stopped, they might succeed in moving from large, cumbersome bombs to miniaturized, easily armed and fuzed weapons able to be permanently deployed on attack aircraft or ballistic missiles, which are being developed or sought by both countries.

  15. Cooperative Monitoring Center Occasional Paper/18: Maritime Cooperation Between India and Pakistan: Building Confidence at Sea

    SciTech Connect

    SIDDIQA-AGHA,AYESHA

    2000-11-01

    This paper discusses ways in which the navies of both India and Pakistan can cooperate on issues of maritime and naval significance. Although the militaries and navies of the two countries have traditionally seen each other as rivals, international economic developments make cooperation imperative. South Asia requires an approach that can alter the existing hostile images and perceptions. This can be achieved through developing an incremental approach towards confidence building that would allow consistency and help build confidence gradually. The aim is to make confidence building a sustainable activity that would help transform hostile images and build cooperative and nonhostile relationships. This paper proposes a five-step model to suggest what the two navies can do jointly to build confidence, with the ultimate goal of naval arms control. The steps include (1) the Signaling Stage to initiate communication between the two navies, (2) the Warming-Up Stage to build confidence through nonmilitary joint ventures, (3) the Handshake Stage to build confidence between the two navies through military joint ventures, (4) the Problem-Solving Stage to resolve outstanding disputes, and (5) the Final Nod Stage to initiate naval arms control. This model would employ communication, navigation, and remote sensing technologies to achieve success.

  16. Smokeless tobacco consumption in a multi-ethnic community in Pakistan: a cross-sectional study.

    PubMed

    Abbas, S M; Alam, A Y; Usman, M; Siddiqi, K

    2014-06-01

    Smokeless tobacco is commonly used in south Asia. In addition to causing oral and pharyngeal cancers, its harmful effects are comparable to smoking tobacco. A cross-sectional survey with systematic sampling was conducted in 2010-2011 to investigate smokeless tobacco use in a multi-ethnic, semi-urban population in Islamabad, Pakistan (n = 2030). The prevalence of smokeless tobacco use was 16.0% (21.6% among males and 8.8% among females); 51.7% of smokeless tobacco users were also cigarette smokers. The rate of smokeless tobacco use was comparatively high among Pakhtun males (38.2%) and Sindhi females (22.4%). The associations between smokeless tobacco use and ethnicity, age group, income level and cigarette smoking were statistically significant among male smokeless tobacco users. Of the sample 41.4% (840/2030) had inadequate knowledge about the health problems associated with smokeless tobacco. Appropriate interventions are needed to raise awareness of the health risks and to prevent smokeless tobacco use. PMID:24960515

  17. Climate change and managing water crisis: Pakistan's perspective.

    TOXLINE Toxicology Bibliographic Information

    Hussain M; Mumtaz S

    2014-01-01

    Climate change is a global phenomenon manifested mainly through global warming. The International Panel on Climate Change (IPCC) has reported its negative consequences on natural resources, anthropogenic activities, and natural disasters. The El Nino and La Nina have affected hydrologic regimes and ecosystems. It has been observed that the average temperature in 1995 was 0.4°C higher than that in 1895. By the end of the 21st century, 10% of the area of Bangladesh is likely to be submerged by the sea. Most of the islands of Pacific Ocean will disappear. A major part of Maldives will be submerged. The sea level is expected to rise by 30-150 cm. Extreme events such as floods, cyclones, tsunamis, and droughts have become regular phenomena in many parts of the world. Other adverse impacts are proliferation of water-borne diseases, sea water intrusion, salinization of coastal areas, loss of biodiversity, eco-degradation of watersheds and global glacial decline, and haphazard snow melts/thaws. In turn, these factors have serious effect on water resources. Pakistan is confronting similar climate change. Meteorological data reveal that winter temperatures are rising and summers are getting cooler. Temperature is expected to increase by 0.9°C and 1.5°C by years 2020 and 2050, respectively. Water resources in Pakistan are affected by climate change as it impacts the behavior of glaciers, rainfall patterns, greenhouse gas emissions, recurrence of extreme events such as floods and droughts. Severe floods have occurred in the years 1950, 1956, 1957, 1973, 1976, 1978, 1988, 1992, 2010, 2011, and 2012. Pakistan has faced the worst-ever droughts during the period from 1998 to 2004. Pakistan has surface water potential of 140 million acre feet (MAF) and underground water reserve of 56 MAF. It is one of the most water-stressed countries in the world. The per capita annual availability of water has reduced from 5140 m3 in 1950 to 1000 m3 now. It is fast approaching towards water scarcity. To minimize adverse impacts of climate change on the water crisis in Pakistan, the preparation of integrated national, provincial, and local level master plans encompassing technical, social, environmental, administrative, and financial considerations is necessary. It is imperative to implement two simultaneous approaches of adaptation (living with climate change) and mitigation (addressing negativities of climate change). Salient features are integrated management of watersheds/catchments/water bodies, optimum exploitation of present sources, development of new sources, water conservation, adequate drainage, efficient design of water storage, conveyance, distribution and supply systems, utilization of waste water, and regulation of water quality.

  18. Child survival and changing fertility patterns in Pakistan.

    PubMed

    Sathar, Z A

    1992-01-01

    Pakistan is a country with high fertility and high infant and child mortality, and declines in total mortality and substantial development initiatives. The discussion considers whether fertility patterns in Pakistan can be related to changes in child mortality, and whether current and future changes in fertility influence child survival favorably. Omran's study linked large family size to child survival. Resources, which are divided, become more important deficits in households below the poverty line: a situation common in Pakistan. High fertility is associated with short birth intervals, which are related to higher infant and child mortality. In Pakistan, the spacing and mortality link was found among both poverty and higher socioeconomic households. There is some support for the notion that it is birth weight and general health that are linked to survival rather than competition for resources. Other studies link the maternal age at birth and birth order with child mortality (Alam and Cleland). Trussel argues for limiting births in high risk ages of under 20 years and over 35 years. The exact casual link is not well documented. Institutional and community factors are also considered important in influencing child survival: sanitation, potable water, access to roads, electricity, health and family planning services, and sewage. Young infants are more vulnerable to these factors. Bangladesh and some Indian states have shown that population programs and raising per captia incomes are necessary to fertility decline. In India, female autonomy, access to education, and more equal income distribution were considered more important than economic development to child survival. In Pakistan, Sathar and Kazi have linked at least 2 years of elementary, maternal education with reductions in child mortality. The pervasiveness of female illiteracy hinders the chances of child survival. Sex preferences also impact on female children. The probably impacts of declines in breast feeding, smaller family sizes, and delayed childbearing on child survival are discussed. Lessons to be learned from sub-Saharan Africa are that countries should not be caught in social cutbacks due to structural adjustment packages, and should use approaches, such as in Matlab in Bangladesh, to provide contraceptives and immunization. Policy must emphasize female education at least through the primary level for long lasting effects. PMID:12286751

  19. Health policies and human capital: the case of Pakistan.

    PubMed

    Bjorkman, J W

    1986-01-01

    Economic progress leads to improved nutrition, which in turn improves health, which in turn leads to higher output, better use of education, and the capacity to secure still further improvements in health by changes in the environment and behavior. Investment in the health of mothers and children, for example, is an investment in the labor force of the future by preventing the wasted physical, mental, and social potential of stunted growth. Strong political commitment to economic and social reform is essential to push development toward meeting basic human needs. The rural sector needs to achieve a political weight more commensurate with its numbers. Decisions about health services also confront the political problem of selectivity versus universality. Should services favor any particular age or sex group or should they apply equally to all? There is a particularly strong case to be made for promoting maternal and child health care. The health service system of Pakistan is fragmented and underfunded, with an urban bias. The health situation in Pakistan is characterized by high infant and child mortality, malnutrition, high communicable disease morbidity, and wasteful fertility patterns. Pakistan spends only 1/5 of what other low-income developing countries spend on health care. It is difficult to see how Pakistan can sustain high economic growth and achieve a better distribution of economic benefits without substantially strengthening its social base. Ironically, Pakistan has managed to expand its production of physicians but with little impact on rural-sector services. The medical schools socialize doctors to expect a type of job at a certain level of pay for delivering types of health services which are inappropriate, expensive, and probably ought not to exist. The fault lies with the medical system, particularly its medical schools and the government plans behind them. The rural health sector remains the problem--and the key. Any scheme which depends on doctors to extend health services to rural areas is bound to run into serious difficulties. A better alternative would use multi-purpose auxiliaries who are more extensively trained than the existing paramedicals but less than doctors. PMID:12280756

  20. Climate change and managing water crisis: Pakistan's perspective.

    PubMed

    Hussain, Mumtaz; Mumtaz, Saniea

    2014-01-01

    Climate change is a global phenomenon manifested mainly through global warming. The International Panel on Climate Change (IPCC) has reported its negative consequences on natural resources, anthropogenic activities, and natural disasters. The El Nino and La Nina have affected hydrologic regimes and ecosystems. It has been observed that the average temperature in 1995 was 0.4°C higher than that in 1895. By the end of the 21st century, 10% of the area of Bangladesh is likely to be submerged by the sea. Most of the islands of Pacific Ocean will disappear. A major part of Maldives will be submerged. The sea level is expected to rise by 30-150 cm. Extreme events such as floods, cyclones, tsunamis, and droughts have become regular phenomena in many parts of the world. Other adverse impacts are proliferation of water-borne diseases, sea water intrusion, salinization of coastal areas, loss of biodiversity, eco-degradation of watersheds and global glacial decline, and haphazard snow melts/thaws. In turn, these factors have serious effect on water resources. Pakistan is confronting similar climate change. Meteorological data reveal that winter temperatures are rising and summers are getting cooler. Temperature is expected to increase by 0.9°C and 1.5°C by years 2020 and 2050, respectively. Water resources in Pakistan are affected by climate change as it impacts the behavior of glaciers, rainfall patterns, greenhouse gas emissions, recurrence of extreme events such as floods and droughts. Severe floods have occurred in the years 1950, 1956, 1957, 1973, 1976, 1978, 1988, 1992, 2010, 2011, and 2012. Pakistan has faced the worst-ever droughts during the period from 1998 to 2004. Pakistan has surface water potential of 140 million acre feet (MAF) and underground water reserve of 56 MAF. It is one of the most water-stressed countries in the world. The per capita annual availability of water has reduced from 5140 m3 in 1950 to 1000 m3 now. It is fast approaching towards water scarcity. To minimize adverse impacts of climate change on the water crisis in Pakistan, the preparation of integrated national, provincial, and local level master plans encompassing technical, social, environmental, administrative, and financial considerations is necessary. It is imperative to implement two simultaneous approaches of adaptation (living with climate change) and mitigation (addressing negativities of climate change). Salient features are integrated management of watersheds/catchments/water bodies, optimum exploitation of present sources, development of new sources, water conservation, adequate drainage, efficient design of water storage, conveyance, distribution and supply systems, utilization of waste water, and regulation of water quality. PMID:24695031

  1. 75 FR 53732 - In the Matter of the Designation of Tehrik-e Taliban Pakistan (TTP) Also Known as Tehrik-I...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ... Matter of the Designation of Tehrik-e Taliban Pakistan (TTP) Also Known as Tehrik-I-Taliban Pakistan Also..., 2003, I hereby determine that the organization known as Tehrik-e Taliban Pakistan (TTP), also known as Tehrik-I-Taliban Pakistan, also known as Tehrik-e-Taliban, also known as Pakistani Taliban, also known...

  2. 75 FR 53732 - In the Matter of the Designation of Tehrik-e Taliban Pakistan (TTP) also known as Tehrik-I...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ... Matter of the Designation of Tehrik-e Taliban Pakistan (TTP) also known as Tehrik-I-Taliban Pakistan also..., as amended (hereinafter ``INA'') (8 U.S.C. 1189), exist with respect to Tehrik-e Taliban Pakistan (TTP), also known as Tehrik-I-Taliban Pakistan, also known as Tehrik-e- Taliban, also known...

  3. Exploring English-Language Teachers' Professional Development in Developing Countries: Cases from Syria and Pakistan

    ERIC Educational Resources Information Center

    Dayoub, Ruba; Bashiruddin, Ayesha

    2012-01-01

    This paper attempts to present the findings of a study carried out in Pakistan that explored English-language teachers' professional development in developing countries. The main guiding question for the study was: How do English-language teachers at secondary schools learn to teach and develop professionally in Syria and Pakistan? Two cases were…

  4. Factors Affecting Teachers' Motivation: An HRM Challenge for Public Sector Higher Educational Institutions of Pakistan (HEIs)

    ERIC Educational Resources Information Center

    Rasheed, Muhammad Imran; Humayon, Asad Afzal; Awan, Usama; Ahmed, Affan ud Din

    2016-01-01

    Purpose: The purpose of this paper is to explore/investigate various issues of teachers ' motivation in public sector Higher Educational Institutions of Pakistan. Design/methodology/approach: This is an exploratory research where surveys have been conducted in the well known public sector Universities of Pakistan; primary data have been collected

  5. The Mosque Schools in Pakistan: An Experiment in Integrating Nonformal and Formal Education.

    ERIC Educational Resources Information Center

    Khan, K. A.

    A wide-ranging study of the centrality of the mosque to Islamic education in Pakistan emphasizes Islamic educational traditions, the historical background of such education, the obstacles to educational improvement in Pakistan, and the attempt to provide universal primary education. Traditionally, the Prophet Mohammad and the Holy Quran have been…

  6. Eliminating Educational Inequality through E-Learning: The Case of Virtual University of Pakistan

    ERIC Educational Resources Information Center

    Din, Aisha Muhammad; Jabeen, Sadia

    2014-01-01

    This study aims at examining the role of e-learning in combating the issues of inequality in terms of access and quality in the field of higher education in Pakistan. The education system in Pakistan is mainly characterized by educational disparity. The standard of education is directly proportional to the investment students make in the form of…

  7. Exploring Leadership Practices of Principals of Government Elementary Colleges of Education in Pakistan

    ERIC Educational Resources Information Center

    Bana, Zubeda; Khaki, Jan-e-Alam

    2015-01-01

    This article shares the findings from a case study conducted to explore the leadership practices of Principals of the Government Elementary Colleges of Education across Pakistan. The study focused on how these Principals understood their roles and responsibilities in the context of the changing role of teacher education in Pakistan and in the…

  8. Equality or Equity: Gender Awareness Issues in Secondary Schools in Pakistan

    ERIC Educational Resources Information Center

    Halai, Anjum

    2011-01-01

    This paper focuses on gender awareness issues as a dimension of addressing the wider issue of the quality of education in Pakistan from the perspective of social justice. In Pakistan classrooms, boys and girls learn separately and therefore teachers and others tend to think that there are no gender issues once access is achieved and the learners…

  9. Women's Perspectives of Peace: Unheard Voices from Pakistan

    ERIC Educational Resources Information Center

    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…

  10. Study on Instructional Paradigms of Virtual Education in Pakistan: A Learners' Perspective

    ERIC Educational Resources Information Center

    Hussain, Irshad

    2012-01-01

    The present study is aimed at examining instructional paradigms of virtual education in Pakistan. The population of the study consisted of learners from Master of Business Administration (MBA) Program at Virtual University (VU) of Pakistan. The researcher adopted convenient sampling technique and collected data from 600 learners through five-point…

  11. Professional Activities, Needed Competencies and Training Needs of Medical Librarians in Pakistan

    ERIC Educational Resources Information Center

    Ullah, Midrar; Ameen, Kanwal; Bakhtar, Salman

    2011-01-01

    The study aims to explore the professional activities, needed competencies and education/training needs of medical librarians in Pakistan. The following questions guided the study: what are the current professional activities of medical librarians in Pakistan? What is their perception of the competencies needed of medical librarians? And what are…

  12. Can Education Be a Path to Gender Equality in the Labour Market? An Update on Pakistan

    ERIC Educational Resources Information Center

    Aslam, Monazza; Kingdon, Geeta

    2012-01-01

    This paper investigates some of the economic outcomes of education in Pakistan with a view to understanding if education can act as a vehicle for labour market success. Data from a purpose-designed survey of more than 1000 households in Pakistan are utilised. Earnings functions are estimated for agricultural workers, the self-employed and wage…

  13. Voices of Strength and Struggle: Women's Coping Strategies against Spousal Violence in Pakistan

    ERIC Educational Resources Information Center

    Zakar, Rubeena; Zakar, Muhammad Zakria; Kramer, Alexander

    2012-01-01

    This article documents the coping strategies adopted by women victims of spousal violence in Pakistan. By drawing on 21 in-depth interviews conducted in Lahore and Sialkot (Pakistan), we found that the women tried to cope with violence by using various strategies, both emotion focused (e.g., use of religion, placating the husband, etc.) and…

  14. Scaling up of Life Skills Based Education in Pakistan: A Case Study

    ERIC Educational Resources Information Center

    Svanemyr, Joar; Baig, Qadeer; Chandra-Mouli, Venkatraman

    2015-01-01

    Young people between the ages of 10 and 19 make up 23% of Pakistan's population. In Pakistan, young people face many challenges in terms of sexual and reproductive health (SRH) issues. These include early marriage and pregnancy, low use of contraception, use of unsafe abortion, lack of relevant information and poor knowledge about bodily…

  15. The Role of Educational Technology in Upgrading Teacher Education in Pakistan.

    ERIC Educational Resources Information Center

    Abbasi, M. Hashim; Millar, Alex C.

    This paper outlines a joint Asian Bank/Pakistan Ministry of Education project designed to upgrade the state of teacher education and to improve the quality, status, and professional self-esteem of Pakistan's teachers. The main strategies identified by the Project for priority attention include: structural changes through the creation of four new…

  16. Age, Gender and Job Satisfaction among Elementary School Head Teachers in Pakistan

    ERIC Educational Resources Information Center

    Ghazi, Safdar Rehman; Maringe, Felix

    2011-01-01

    The purpose of this study was to explore general job satisfaction of elementary school head teachers in Pakistan with respect to their age and gender. One hundred and eighty head teachers were sampled from government elementary schools of Toba Tek Singh, Punjab, Pakistan, to collect the relevant data using a modified version of the Minnesota…

  17. Factors Affecting Teachers' Motivation: An HRM Challenge for Public Sector Higher Educational Institutions of Pakistan (HEIs)

    ERIC Educational Resources Information Center

    Rasheed, Muhammad Imran; Humayon, Asad Afzal; Awan, Usama; Ahmed, Affan ud Din

    2016-01-01

    Purpose: The purpose of this paper is to explore/investigate various issues of teachers ' motivation in public sector Higher Educational Institutions of Pakistan. Design/methodology/approach: This is an exploratory research where surveys have been conducted in the well known public sector Universities of Pakistan; primary data have been collected…

  18. Scaling up of Life Skills Based Education in Pakistan: A Case Study

    ERIC Educational Resources Information Center

    Svanemyr, Joar; Baig, Qadeer; Chandra-Mouli, Venkatraman

    2015-01-01

    Young people between the ages of 10 and 19 make up 23% of Pakistan's population. In Pakistan, young people face many challenges in terms of sexual and reproductive health (SRH) issues. These include early marriage and pregnancy, low use of contraception, use of unsafe abortion, lack of relevant information and poor knowledge about bodily

  19. Contextualising "Education in Pakistan, a White Paper": Global/National Articulations in Education Policy

    ERIC Educational Resources Information Center

    Lingard, Bob; Ali, Sajid

    2009-01-01

    This article contextualises "Education in Pakistan, a White Paper" (2007), an influential education policy paper in Pakistan. The focus is on the ways the White Paper constructs its own contexts as a complement to the policy solutions proffered. Here we recognise Seddon's point about the discursive work of policy in constructing context. We focus…

  20. Initiated by the south. South - South Cooperation.

    PubMed

    Parsons, J S

    1993-12-01

    The UNFPA Deputy Chief of the Asia and Pacific Division explains how relations between representatives of developing countries to the South have often been less than congenial and how efforts have been made to smooth the way for greater cooperation between neighbors in the region. President Soeharto of Indonesia at a G-15 submeeting of Non-Aligned Countries in Malaysia in 1990 made the first overtures to his peers. He offered to work more closely with other interested countries economically and in terms of technical assistance. Prime Minister Von Van Kiet of Vietnam took him up on his offer and visited the President in Indonesia in January 1992 to discuss family planning issues. The subsequent assistance rendered by Indonesia to Vietnam in developing its family planning program was unique in bilateral relations in the region in that it was initiated by the nonaligned countries without outside interference. The author thinks that the UNFPA should play a facilitating role financially and organizationally in what may be the beginning of a trend toward greater South-South cooperation. Any help which developing countries could render to other developing nations will certainly be appreciated in this period of waning resources from developed countries for international population programs. The author also argues that service quality in donor countries is likely to improve. PMID:12345389

  1. South Prow Section, South Prow Interior Elevations, and Reconstructed South ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    South Prow Section, South Prow Interior Elevations, and Reconstructed South Prow Double Hung and Clerestory Windows - U. S. Naval Asylum, Biddle Hall, Gray's Ferry Avenue, Philadelphia, Philadelphia County, PA

  2. 13. VIEW SOUTH, ROUTE 130 SOUTH FROM ROUTE 130 SOUTH ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    13. VIEW SOUTH, ROUTE 130 SOUTH FROM ROUTE 130 SOUTH ISLAND - White Horse Pike Rond Point, Intersection of Crescent Boulevard (U.S. Route 130), White Horse Pike (U.S. Route 30), & Clay Avenue, Collingswood, Camden County, NJ

  3. Turmeric use is associated with reduced goitrogenesis: Thyroid disorder prevalence in Pakistan (THYPAK) study

    PubMed Central

    Jawa, Ali; Jawad, Ali; Riaz, Syed Hunain; Assir, Muhammad Zaman Khan; Chaudhary, Abdul Wahid; Zakria, Muhammad; Akram, Javed

    2015-01-01

    Introduction: South Asian population has a particularly high prevalence of thyroid disorders mainly due to iodine deficiency and goitrogen use. There is no data available for prevalence of thyroid disorders in the general population living in nonmountainous regions of Pakistan. Materials and Methods: A total of 2335 residents of Pak Pattan, Punjab, Pakistan were interviewed about demographic, dietary, medical and environmental history as well as screened for goiter. Individuals of all ages and either gender were included. Results: Median age was 34 (1088) years and 1164 (49.9%) were males. Median monthly income was 49 (3.9137) USD. Six hundred and sixty-nine (28.7%) subjects had palpable goiter. 77.5% (n = 462) and 22.5% (n = 133) had World Health Organization Grade I and Grade II goiters respectively, further screened by measuring thyroid-stimulating hormone (TSH). In subjects with TSH <0.4 mg/dL, free T3 and free T4 levels were measured. In 185 goiter subjects when TSH was measured, 50% (n = 93) were euthyroid, 48% (n = 89) were hyperthyroid, and one subject each was hypothyroid and subclinically hyperthyroid. 29/89 hyperthyroid subjects underwent radionuclide scanning. Twelve subjects had heterogeneous uptake consistent with multinodular goiter, 12 subjects had diffuse uptake, two had cold nodules and two had hyperfunctioning single nodules. Goiter was significantly more common among females, unmarried individuals and individuals drinking tube well (subterranean) water. Goiter was less common among those who consumed daily milk, daily ghee (hydrogenated oil), spices, chilies, and turmeric. Discussion: In our study population, goiter was endemic with very high prevalence of hyperthyroidism. Turmeric use was association with reduced goitrogenesis. Further studies to assess iodine sufficiency, thiocyanate exposure and autoimmunity need to be conducted. Masses consuming high goitrogen diets should be educated to incorporate turmeric, spices and green chilies in their cooking recipes, to reduce the risk of goiter development. In addition, use of iodized salt in their daily diet cannot be overemphasized. PMID:25932388

  4. Comparing risk factors of HIV among hijra sex workers in Larkana and other cities of Pakistan: an analytical cross sectional study

    PubMed Central

    2012-01-01

    Background In 2005, Pakistan was first labeled as a country with concentrated epidemic of Human Immunodeficiency Virus (HIV). This was revealed through second generation surveillance conducted by HIV/AIDS Surveillance Project (HASP). While injection drug users (IDUs) were driving the epidemic, subsequent surveys showed that Hijra (transgender) sex workers (HSWs) were emerging as the second most vulnerable group with an average national prevalence of 6.4%. An exceptionally high prevalence (27.6%) was found in Larkana, which is a small town on the right bank of river Indus near the ruins of Mohenjo-Daro in the province of Sindh. This paper presents the risk factors associated with high prevalence of HIV among HSWs in Larkana as compared to other cities of the country. Methods Data were extracted for secondary analysis from 2008 Integrated behavioral and biological survey (IBBS) to compare HSWs living in Larkana with those living in other cities including Karachi and Hyderabad in Sindh; Lahore and Faisalabad in Punjab; and Peshawar in Khyber Pakhtunkhwa provinces. After descriptive analysis, univariate and multivariate analyses were performed to identify risk factors. P value of 0.25 or less was used to include factors in multivariate analysis. Results We compared 199 HSWs from Larkana with 420 HSWs from other cities. The average age of HSWs in Larkana was 26.42 (±5.4) years. Majority were Sindhi speaking (80%), uneducated (68%) and unmarried (97%). In univariate analysis, factors associated with higher prevalence of HIV in Larkana included younger age i.e. 20–24 years (OR: 5.8, CI: 2.809–12.15), being unmarried (OR: 2.4, CI: 1.0–5.7), sex work as the only mode of income (OR: 5.5, CI: 3.70–8.2) and longer duration of being involved in sex work 5–10 years (OR: 3.3, CI: 1.7–6.12). In multivariate logistic regression the HSWs from Larkana were more likely to lack knowledge regarding preventive measures against HIV (OR 11.9, CI: 3.4–41.08) and were more prone to use of alcohol during anal intercourse (OR: 6.3, CI: 2.77–17.797). Conclusion Outreach programs focusing on safer sexual practices and VCT are urgently needed to address the upsurge of HIV among HSWs in Larkana. PMID:22490045

  5. Microbial contamination of drinking water in Pakistan--a review.

    PubMed

    Nabeela, Farhat; Azizullah, Azizullah; Bibi, Roqaia; Uzma, Syeda; Murad, Waheed; Shakir, Shakirullah Khan; Ullah, Waheed; Qasim, Muhammad; Häder, Donat-Peter

    2014-12-01

    Water pollution with pathogenic microorganisms is one of the serious threats to human health, particularly in developing countries. The main objective of this article is to highlight microbial contamination of drinking water, the major factors responsible for microbial contamination, and the resulting health problems in Pakistan. Furthermore, this study will be helpful for researchers and administrative agencies to initiate relevant studies and develop new policies to protect further deterioration of water supply with pathogenic microbes and ensure clean and safe drinking water to the public in Pakistan. In Pakistan, water at the source, in the distribution network, and at the consumer tap is heavily polluted with coliforms and fecal coliforms all over the country. An overview of more than 7,000 water samples reviewed here reveals that an average of over 71 and 58 % samples in the country was contaminated with total coliforms and fecal coliforms, respectively. Drinking water contamination accounts for 20 to 40 % of all diseases in the country, which causes national income losses of Rs 25-58 billion annually (US$0.25-0.58 billion, approximately 0.6-1.44 % of the country's GDP). Improper disposal of industrial and municipal wastes is the most important factor responsible for water pollution in the country followed by cross-contamination due to old and leaking pipes and lack of water filtration and disinfection facilities. There is an urgent need for emergency steps to stop further deterioration of water quality and improve the existing water quality so as to protect the public from widespread waterborne diseases. PMID:25056753

  6. Analyzing Mosquito (Diptera: Culicidae) Diversity in Pakistan by DNA Barcoding

    PubMed Central

    Ashfaq, Muhammad; Hebert, Paul D. N.; Mirza, Jawwad H.; Khan, Arif M.; Zafar, Yusuf; Mirza, M. Sajjad

    2014-01-01

    Background Although they are important disease vectors mosquito biodiversity in Pakistan is poorly known. Recent epidemics of dengue fever have revealed the need for more detailed understanding of the diversity and distributions of mosquito species in this region. DNA barcoding improves the accuracy of mosquito inventories because morphological differences between many species are subtle, leading to misidentifications. Methodology/Principal Findings Sequence variation in the barcode region of the mitochondrial COI gene was used to identify mosquito species, reveal genetic diversity, and map the distribution of the dengue-vector species in Pakistan. Analysis of 1684 mosquitoes from 491 sites in Punjab and Khyber Pakhtunkhwa during 2010–2013 revealed 32 species with the assemblage dominated by Culex quinquefasciatus (61% of the collection). The genus Aedes (Stegomyia) comprised 15% of the specimens, and was represented by six taxa with the two dengue vector species, Ae. albopictus and Ae. aegypti, dominant and broadly distributed. Anopheles made up another 6% of the catch with An. subpictus dominating. Barcode sequence divergence in conspecific specimens ranged from 0–2.4%, while congeneric species showed from 2.3–17.8% divergence. A global haplotype analysis of disease-vectors showed the presence of multiple haplotypes, although a single haplotype of each dengue-vector species was dominant in most countries. Geographic distribution of Ae. aegypti and Ae. albopictus showed the later species was dominant and found in both rural and urban environments. Conclusions As the first DNA-based analysis of mosquitoes in Pakistan, this study has begun the construction of a barcode reference library for the mosquitoes of this region. Levels of genetic diversity varied among species. Because of its capacity to differentiate species, even those with subtle morphological differences, DNA barcoding aids accurate tracking of vector populations. PMID:24827460

  7. Genetic characterization of norovirus strains in hospitalized children from Pakistan.

    PubMed

    Alam, Amna; Qureshi, Sohail A; Vinjé, Jan; Zaidi, Anita

    2016-02-01

    Norovirus is one of the most common causes of acute gastroenteritis among children in developing countries. No data on the prevalence and genetic variability of norovirus are available for Pakistan, where early childhood mortality due to acute gastroenteritis is common. We tested 255 fecal specimens from children under 5 years of age hospitalized between April 2006 and March 2008 with severe acute gastroenteritis in five hospitals in the four largest cities in Pakistan for norovirus by real-time RT-PCR. Positive samples were further genotyped by conventional RT-PCR targeting the 5'-end of the capsid gene followed by sequencing of the positive PCR products. Overall, 41 (16.1%) samples tested positive for norovirus with an equal frequency in rotavirus-positive and rotavirus-negative samples. Nine (22%) samples were genogroup (G)I positive, 30 (73%) GII positive and two (5%) samples contained a mixture of GI and GII viruses. Sequence analyses demonstrated co-circulation of 14 norovirus genotypes including four GI genotypes (GI.3, GI.5, GI.7, GI.8) and 10 GII genotypes (GII.2, GII.3, GII.4, GII.5, GII.6, GII.7, GII.9, GII.13, GII.16, and GII.21). The most prevalent genotypes were GI.7 and GII.4 both causing 12.2% of the infections. This report confirms the presence of multiple norovirus genotypes in hospitalized children with acute gastroenteritis in Pakistan and a lack of clear predominance of GII.4 viruses. J. Med. Virol. 88:216-223, 2016. © 2015 Wiley Periodicals, Inc. PMID:26175018

  8. Role of the state in population planning: Singapore and Pakistan.

    PubMed

    Hassan, R

    1984-01-01

    State intervention in population and family planning has been gradually increasing on the assumption that unregulated population growth poses serious national problems requiring public action. Among 152 developing nations in areas surveyed with respect to population and family planning policies in 1980, 52 supported family planning primarily from a demographic rationale and 65 from a health or human rights rationale, while only 35 provide no support. There appear to be 4 major underlying sociophilosophical perspectives on the role of the state in population planning: 1) the deontic/utilitarian whose prime concern is with the rights and obligations of present generations to future generations; this view provides a very vague basis for a general policy of population planning, 2) the environmentalist, which with varying degrees of pessimism in different formulations argue the need to limit population and economic growth because of the limited nature of the world's resources; this view ignores a considerable body of evidence that more than just overpopulation is involved in environmental problems, 3) the family planning perspective, advocated and supported by various international organizations and conferences, holds that decisions about birth control should be made by prospective parents. The assumption is that making birth control methods and education readily accessible to everyone will eventually result in birth rates which are desirable for the society as a whole. In practice, it is difficult to establish whether such voluntaristic measures are enough to control population, 4) the developmental distributionist position sees low birth rates as resulting from modernization, including such factors as more equitable distribution of income and increased educational and social services. Pakistan's family planning program has undergone 3 major bureaucratic reorganizations and shifts in strategy consequent on changes in national leadership since services were 1st offered in 1965. Singapore's leadership has supported family planning actively and consistently since 1966, and the country's socioeconomic development has contributed to its remarkable fertility decline. A 1975 survey of 864 persons in Singapore and a 1981 survey of 584 persons in Pakistan included questions on opinions of the appropriate role of the state in population planning. In Singapore and Pakistan respectively, 31 and 17% felt that the government should have a strict role in controlling family size, 32 and 10% felt that the government should primarily provide advice and pass laws, 18 and 18% felt the government should provide advice only, 17 and 37% felt it should be left to the married couple, and 2 and 18% didn't know. The empirical evidence suggests that the political legitimacy of the state and public policies to promote distributive justice, are both more developed in Singapore than Pakistan, have significant influence on the degree of public acceptance of state intervention in family planning. PMID:12279906

  9. A day with the women physicists of Pakistan

    NASA Astrophysics Data System (ADS)

    Hasnain, Aziz Fatima; Islam, Aquila; Ali, Asima; Qureshi, Riffat Mehmood; Qamar, Anisa

    2015-12-01

    The Working Group on Women in Physics successfully organized a national-level meeting of women physicists at the National Centre for Physics, Quaid-e-Azam University, to discuss the agenda for the 5th IUPAP International Conference on Women in Physics. This report describes the outcome of the meeting and the status of female physicists in Pakistan. It also includes a comparative study of the enrollment of women in undergraduate and graduate programs in physics, along with a brief description of factors that create hurdles for female students opting for higher education in this field.

  10. Neonatal tetanus elimination in Pakistan: progress and challenges.

    PubMed

    Lambo, Jonathan A; Nagulesapillai, Tharsiya

    2012-12-01

    Pakistan is one of the 34 countries that have not achieved the neonatal tetanus (NT) global elimination target set by the World Health Organization (WHO). NT, caused by Clostridium tetani, is a highly fatal infection of the neonatal period. It is one of the most underreported diseases and remains a major but preventable cause of neonatal and infant mortality in many developing countries. In 1989, the World Health Assembly called for the elimination of NT by 1995, and since then considerable progress has been made using the following strategies: clean delivery practices, routine tetanus toxoid (TT) immunization of pregnant women, and immunization of all women of childbearing age with three doses of TT vaccine in high-risk areas during supplementary immunization campaigns. This review presents the activities, progress, and challenges in achieving NT elimination in Pakistan. A review of the literature found TT vaccination coverage in Pakistan ranged from 60% to 74% over the last decade. Low vaccination coverage, the main driver for NT in Pakistan, is due to many factors, including demand failure for TT vaccine resulting from inadequate knowledge of TT vaccine among reproductive age females and inadequate information about the benefits of TT provided by health care workers and the media. Other factors linked to low vaccination coverage include residing in rural areas, lack of formal education, poor knowledge about place and time to get vaccinated, and lack of awareness about the importance of vaccination. A disparity exists in TT vaccination coverage and antenatal care between urban and rural areas due to access and utilization of health care services. NT reporting is incomplete, as cases from the private sector and rural areas are underreported. To successfully eliminate NT, women of reproductive age must be made aware of the benefits of TT vaccine, not only to themselves, but also to their families. Effective communication strategies for TT vaccine delivery and health education focusing on increasing awareness of NT are strongly suggested. It is imperative that the private and government sectors work cooperatively to report NT cases and improve routine TT vaccination coverage. PMID:22940280

  11. Solar and Wind Resource Assessments for Afghanistan and Pakistan

    SciTech Connect

    Renne, D. S.; Kelly, M.; Elliott, D.; George, R.; Scott, G.; Haymes, S.; Heimiller, D.; Milbrandt, A.; Cowlin, S.; Gilman, P.; Perez, R.

    2007-01-01

    The U.S. National Renewable Energy Laboratory (NREL) has recently completed the production of high-resolution wind and solar energy resource maps and related data products for Afghanistan and Pakistan. The resource data have been incorporated into a geospatial toolkit (GsT), which allows the user to manipulate the resource information along with country-specific geospatial information such as highway networks, power facilities, transmission corridors, protected land areas, etc. The toolkit allows users to then transfer resource data for specific locations into NREL's micropower optimization model known as HOMER.

  12. Health burden of skin lesions at low arsenic exposure through groundwater in Pakistan. Is river the source?

    SciTech Connect

    Fatmi, Zafar; Azam, Iqbal; Ahmed, Faiza; Kazi, Ambreen; Gill, Albert Bruce; Kadir, Muhmmad Masood; Ahmed, Mubashir; Ara, Naseem; Janjua, Naveed Zafar

    2009-07-15

    A significant proportion of groundwater in south Asia is contaminated with arsenic. Pakistan has low levels of arsenic in groundwater compared with China, Bangladesh and India. A representative multi-stage cluster survey conducted among 3874 persons {>=}15 years of age to determine the prevalence of arsenic skin lesions, its relation with arsenic levels and cumulative arsenic dose in drinking water in a rural district (population: 1.82 million) in Pakistan. Spot-urine arsenic levels were compared among individuals with and without arsenic skin lesions. In addition, the relation of age, body mass index, smoking status with arsenic skin lesions was determined. The geographical distribution of the skin lesions and arsenic-contaminated wells in the district were ascertained using global positioning system. The total arsenic, inorganic and organic forms, in water and spot-urine samples were determined by atomic absorption spectrophotometry. The prevalence of skin lesions of arsenic was estimated for complex survey design, using surveyfreq and surveylogistic options of SAS 9.1 software.The prevalence of definitive cases i.e. hyperkeratosis of both palms and soles, was 3.4 per 1000 and suspected cases i.e. any sign of arsenic skin lesions (melanosis and/or keratosis), were 13.0 per 1000 among {>=}15-year-old persons in the district. Cumulative arsenic exposure (dose) was calculated from levels of arsenic in water and duration of use of current drinking water source. Prevalence of skin lesions increases with cumulative arsenic exposure (dose) in drinking water and arsenic levels in urine. Skin lesions were 2.5-fold among individuals with BMI <18.5 kg/m{sup 2}. Geographically, more arsenic-contaminated wells and skin lesions were alongside Indus River, suggests a strong link between arsenic contamination of groundwater with proximity to river.This is the first reported epidemiological and clinical evidence of arsenic skin lesions due to groundwater in Pakistan. Further investigations and focal mitigation measures for arsenic may be carried out alongside Indus River.

  13. South Africa

    Atmospheric Science Data Center

    2013-04-16

    article title:  Red Tide Strands South African Rock Lobsters     ... in search of oxygen, but were stranded by the retreating tide. The Multi-angle Imaging SpectroRadiometer (MISR) nadir camera ... northeast of the jutting Cape Columbine. The term "red tide" is used to refer to a number of different types of phytoplankton blooms ...

  14. Epidemiology, determinants and dynamics of cholera in Pakistan: gaps and prospects for future research.

    PubMed

    Naseer, Maliha; Jamali, Tanzil

    2014-11-01

    Cholera is one of the notifiable endemic diseases in Pakistan, but the reporting of cholera cases is still unsatisfactory. Most of the diagnosed cases are never reported to the relevant authorities. In the year 1993 - 2005, the country did not report any single case of cholera to the WHO. The objectives of this review were to understand the epidemiology and to identify the possible determinants of cholera infection in Pakistan. Medscape, Medline, PakMedinet and PubMed, was searched, using key words, epidemiology and determinants of cholera infection in Pakistan during 1995 - 2010. Morbidity and mortality due to cholera infection during 1995 - 2010, without any language restriction. Out of 27 articles published between 1995 - 2010, 17 articles were included in the review. Vibrio cholerae O139 identified as a major cause of infection in older age group, while O1 biotype of cholera as a predominant cause of cholera among young individuals. Mainly reported determinants of cholera in Pakistan include poor sanitation and hygiene practices, increased population density in urban areas, leading to rapid and unplanned urbanization of the major cities and climate change due to increased environmental pollution in Pakistan are plausible factors for endemicity of cholera in Pakistan. Cholera reporting as a notifiable disease to the relevant departments and timely action can prevent the risk of outbreaks. There is a need to identify specific behavioral and environmental determinants responsible for outbreaks and epidemics of cholera in Pakistan which can help to design appropriate preventive and control interventions. PMID:25404447

  15. Current Status of HIV/AIDS in South Asia

    PubMed Central

    Rodrigo, Chaturaka; Rajapakse, Senaka

    2009-01-01

    Background: According to the United Nations Joint Program on HIV/AIDS, 33.2 million adults and children are living with the infection worldwide. Of these, two to three million are estimated to be in South Asia. All countries of the region have a low prevalence of human immunodeficiency virus (HIV). However, it is important to review the current epidemiological data to identify the trends of infection as it would have implications on prevention. Materials and Methods: We performed a MEDLINE search using phrases ‘South Asia’ plus ‘HIV’, ‘AIDS’, and names of individual countries in South Asia (limits: articles published in last 10 years, in English language). Clinical trials, reviews, meta-analyses, letters, editorials, and practice guidelines were all considered. The following countries were included as belonging to South Asia; Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka. Recent estimates and data on country status, and details of national control programs were obtained from websites of international agencies such as the World Bank and United Nations Joint Program on HIV/AIDS (UNAIDS). Results and Discussion: This review looks into many aspects of HIV infection in South Asia including country profiles with regard to infection, economic and psychological burden of illness and treatment issues in the South Asian context. PMID:20300398

  16. [South] Korea.

    PubMed

    1987-04-01

    The Republic of Korea occupies approximately 38,000 square miles in the southern position of a mountaineous peninsula. It shares a land boundary with North Korea. With a population of more than 40 million people, South Korea has 1 of the highest population densities in the world. The language spoken is a Uralic language, closely akin to Japanese, Hungarian, Finnish, and Mongolian, and the traditional religions are Shamanism and Buddhism. Over the course of time, South Korea has been invaded and fought over by its neighbors. The US and the Soviet Union have never been able to reach a unification agreement for North and South Korea. The 3rd Republic era, begun in 1963, saw a time of rapid industrialization and a great deal of economic growth. The 5th Republic began with a new constitution and new elections brought about the election of a president to a 7-year term of office beginning in 1981. Economic growth has been remarkable over the last 25 years despite the fact that North Korea possesses most of the mineral and hydroelectric resources and the existing heavy industrial base built by the Japanese while South Korea has the limited agricultural resources and had, initially, a large unskilled labor pool. Serious industrial growth began in South Korea in the early 1960s and the GNP grew at an annual rate of 10% during the period 1963-78. Current GNP is now, at $2000, well beyond that of its neighbors to the north. The outlook for longterm growth is good; however, the military threat posed by North Korea and the absence of foreign economic assistance has resulted in Korea spending 1/3 of its budget on defense. South Korea is active in international affairs and in the UN. Economic realities have forced Korea to give economics priority in their foreign policy. There has been an on-again, off-again quality to dialogue between the 2 nations. However, the US is committed to maintaining peace on the Korean peninsula. In order to do so, they have supplied manpower and support to supplement Korea's efforts to deter aggression. The US also believes that talks between governments are essential if reunification will ultimately occur. South Korea is now the US' largest commercial partner and Korea seems to understand that they can benefit greatly by having increased US private sector involvement in Korea's development. PMID:12177925

  17. South Africa

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This true-color image of South Africa was acquired on May 14, 2000, by NASA's Moderate-resolution Imaging Spectroradiometer, or MODIS. The image was produced using a combination of the sensor's 250-m and 500-m resolution visible wavelength bands. As part of the opening ceremony to begin the joint U.S.-South Africa SAFARI Field Experiment, NASA presented print copies of this image as GIFts to Dr. Ben Ngubane, Minister of Arts, Science and Technology, and Honorable Advocate Ngoaka Ramathlodi, Premier of the Northern Province, South Africa. The area shown in this image encompasses seven capital cities and a number of the region's distinctive geological features can be seen clearly. Toward the northern (top) central part of the image, the browns and tans comprise the Kalahari Desert of southern Botswana. The Tropic of Capricorn runs right through the heart of the Kalahari and the Botswanan capital city of Gaborone sits on the Limpopo River, southeast of the Kalahari. Along the western coastline of the continent is the country of Namibia, where the Namib Desert is framed against the sea by the Kaokoveld Mountains. The Namibian capital of Windhoek is obscured by clouds. Looking closely in the center of the image, the Orange River can be seen running from east to west, demarcating the boundary between Namibia and South Africa. On the southwestern corner of the continent is the hook-like Cape of Good Hope peninsula and Cape Town, the parliamentary capital of South Africa. Running west to east away from Cape Town are the Great Karroo Mountains. The shadow in this image conveys a sense of the very steep grade of the cliffs along the southern coast of South Africa. Port Elizabeth sits on the southeasternmost point of South Africa, and a large phytoplankton bloom can be seen in the water about 100 miles east of there. Moving northward along the east coast, the Drakensberg Mountains are visible. The two small nations of Lesotho and Swaziland are in this region, completely contained within South Africa's boundaries. In the upper righthand corner of the image is the Bay of Maputo, where sits Maputo, the capital of Mozambique. Fires are visible in the northeast corner of the image, near Maputo. Just north of Maputo is where the Limpopo River empties into the Indian Ocean. Tracing the Limpopo inland back toward the west, this river defines the northern boundary of South Africa with both Zimbabwe and Botswana. Johannesburg, the commercial capital of South Africa, can be seen as the greyish pixels in the northeastern region of the country. The country's legislative capital, Pretoria, is about 50 miles north of Johannesburg and 250 miles west of Maputo, in the heart of the Northern Province (formerly known as Transvaal). (Image courtesy Jacques Descloitres, MODIS Land Group, NASA Goddard Space Flight Center)

  18. Epidemiology of foot-and-mouth disease in Landhi Dairy Colony, Pakistan, the world largest Buffalo colony

    PubMed Central

    Klein, Joern; Hussain, Manzoor; Ahmad, Munir; Afzal, Muhammad; Alexandersen, Soren

    2008-01-01

    Background Foot-and-mouth disease (FMD) is endemic in Pakistan and causes huge economic losses. This work focus on the Landhi Dairy Colony (LDC), located in the suburbs of Karachi. LDC is the largest Buffalo colony in the world, with more than 300,000 animals (around 95% buffaloes and 5% cattle, as well as an unknown number of sheep and goats). Each month from April 2006 to April 2007 we collected mouth-swabs from apparently healthy buffaloes and cattle, applying a convenient sampling based on a two-stage random sampling scheme, in conjunction with participatory information from each selected farm. Furthermore, we also collected epithelium samples from animals with clinical disease, as well as mouth-swabs samples from those farms. In addition, we analysed a total of 180 serum samples randomly collecting 30 samples each month at the local slaughterhouse, from October 2006 to March 2007. Samples have been screened for FMDV by real-time RT-PCR and the partial or full 1D coding region of selected isolates has been sequenced. Serum samples have been analysed by applying serotype-specific antibody ELISA and non-structural proteins (NSP) antibody ELISA. Results FMDV infection prevalence at aggregate level shows an endemic occurrence of FMDV in the colony, with peaks in August 2006, December 2006 and February 2007 to March 2007. A significant association of prevalence peaks to the rainy seasons, which includes the coldest time of the year and the muslimic Eid-festival, has been demonstrated. Participatory information indicated that 88% of all questioned farmers vaccinate their animals. Analysis of the serum samples showed high levels of antibodies for serotypes O, A, Asia 1 and C. The median endpoint-titre for all tested serotypes, except serotype C, in VNT titration is at a serum dilution of equal or above 1/100. All 180 serum samples collected have been tested for antibodies against the non-structural proteins and all but four have been found positive. Out of the 106 swab-samples from apparently healthy and affected animals positive in real-time RT-PCR, we sequenced the partial or full 1D coding region from 58 samples. In addition we sequenced the full 1D coding region of 17 epithelium samples from animals with clinical signs of FMD. From all sequenced samples, swabs and epithelium, 19 belong to the regional PanAsia II lineage of serotype O and 56 to the A/Iran/2005 lineage of serotype A. Conclusion For an effective and realisable FMD control program in LDC, we suggest to introduce a twice annually mass vaccination of all buffaloes and cattle in the colony. These mass vaccinations should optimally take place shortly before the beginning of the two rainy periods, e.g. in June and September. Those vaccinations should, in our opinion, be in addition to the already individually performed vaccinations of single animals, as the latter usually targets only newly introduced animals. This suggested combination of mass vaccination of all large ruminants with the already performed individually vaccination should provide a continuous high level of herd immunity in the entire colony. Vaccines used for this purpose should contain the matching vaccine strains, i.e. as our results indicate antigens for A/Iran/2005 and the regional type of serotype O (PanAsia II), but also antigens of the, in this world region endemic, Asia 1 lineage should be included. In the long term it will be important to control the vaccine use, so that subclinical FMD will be avoided. PMID:18445264

  19. Market or government: lessons from a comparative analysis of the experience of Pakistan and India.

    PubMed

    Papanek, G F

    1991-01-01

    A comparison of India and Pakistan (and Bangladesh) in the last 40 years is made in view of the consensus emerging in the 1980s about the supremacy of market-oriented strategy to overcome and alleviate poverty even in less developed countries (LDC). For 4 decades India consistently intervened in the economy, while Pakistan had periods of deregulation and more reliance on market forces. The period from 1947 to 1969-1970, the 1970's, and the 1980s were examined. Dirigiste strategy produced similar or lower production in Pakistan and Bangladesh as in India (1% growth), however, market strategy production in the former countries (3%). Foreign aid (over 10% of gross domestic product in Pakistan and less than one-half of that in India) also stimulated growth. In the late 1970s and late 1980s the import surplus of Pakistan and Bangladesh was 11% vs. 25% of that in India. In the 1950s Pakistan's exports grew rapidly, and in the 1960s the rate of growth in manufactured goods was double that of India due to the Export Bonus Voucher System. The reverse was true during 1969-70 and 1976-77 when India's total manufactured exports grew at twice the rate of Pakistan as the abolition of the voucher scheme occurred, inflation climbed and export duties were imposed. In the late 1970s to mid 1980s military governments in Pakistan and Bangladesh relied heavily on the market devaluing by 100%, deregulating imported inputs, and introducing incentives for exports. Dirigism produced a 50% higher grown in India vs. 200% in the other countries by market efforts. Government intervention tended to aggravate market distortions, although it produced positive results in nontraditional exports in Pakistan and in agricultural infrastructure building, primary school attendance and health services, electrification, and road building in India. Market-induced rapid growth used more unskilled labor and alleviated poverty. PMID:12285367

  20. An all time low utilization of intrauterine contraceptive device as a birth spacing method- a qualitative descriptive study in district Rawalpindi, Pakistan

    PubMed Central

    2013-01-01

    Background Pakistan was among the leading countries in south Asia which started the family planning program in late 50s, forecasting the need to control the population. Despite this early intervention, fertility rate has declined but slower in Pakistan as compared to most other Asian countries. Pakistan has almost a stagnant contraceptive prevalence rate for more than a decade now, perhaps owing to the inadequate performance of the family planning programs. The provision and use of long term contraceptives such as IUCD has always been low (around 2%) and associated with numerous issues. Married women who want to wait before having another child, or end childbearing altogether, are not using any long term method of contraception. Methodology A descriptive qualitative study was conducted from May to July 2012, to explore and understand the perceptions of women regarding the use of IUCDs and to understand the challenges/issues at the service provider’s end. Six FGDs with community women and 12 in-depth interviews were conducted with family planning providers. The data was analyzed using the Qualitative Content Analysis approach. Results The study revealed that the family planning clients are reluctant to use IUCDs because of a number of myths and misconceptions associated with the method. They have reservations about the provider’s capability and quality of care at the facility. Private health providers are not motivated and are reluctant to provide the IUCDs because of inadequate counseling skills, lack of competence and improper supporting infrastructure. Government programs either do not have enough supplies or trained staff to promote the IUCD utilization. Conclusion Besides a well-designed community awareness campaign, providers’ communication and counseling skills have to be enhanced, as these are major contributing factors in IUCD acceptance. Ongoing training of all family planning service providers in IUCD insertion is very important, along with strengthening of their services. PMID:23394188

  1. Wolbachia pipientis: A potential candidate for combating and eradicating dengue epidemics in Pakistan.

    PubMed

    Tahir, Uruj; Khan, Umair Hassan; Zubair, Muhammad Saad; Bahar-E-Mustafa

    2015-12-01

    Dengue virus syndrome is an emerging global health challenge which is endemic in tropical countries like Pakistan. In recent years dengue incidences have increased considerably in different areas of Pakistan with more sever impacts on urban and peri-urban populations. This review is an effort to highlight the changing epidemiology of dengue fever, role of Government of Pakistan in disease management and control using preventive and community based approaches in the region. Moreover, there is an emphasis on application of Wolbachia as novel, inexpensive and environmentally benign candidate for control and eradication of dengue transmitting vectors. PMID:26706669

  2. Diagnosis, treatment and follow-up in four children with biotinidase deficiency from Pakistan.

    PubMed

    Afroze, Bushra; Wasay, Mohammad

    2013-11-01

    Biotinidase deficiency is an inherited disorder in which the vitamin biotin is not recycled. If untreated, affected individuals develop neurological and cutaneous symptoms. Untreated individuals with biotinidase deficiency either succumb to disease or are left with significant morbidity. We describe clinical course and follow-up of 4 children from Pakistan. All 4 presented with classical symptoms of biotinidase deficiency and responded dramatically to oral biotin within days to weeks. Biotinidase deficiency is reported in Pakistani children from different part of world, however; there is no such report from Pakistan. This highlights lack of awareness of biotinidase deficiency among physicians in Pakistan. PMID:24169397

  3. Turbulent times for Pakistan: U.S. government halts funding.

    PubMed

    Wickstrom, J

    1993-10-01

    Only 12% of married women in Pakistan use contraception. Yet amid political disputes and US allegations of terrorist activities, the US has decided to end its foreign assistance to the country. Both the family planning program of the government of Pakistan and operations of nongovernmental organizations (NGO) will be severely crippled by this US action. Many family planning providers will have to cut services. The Association for Voluntary Surgical Contraception (AVSC) has been working with 6 NGOs and 2 private hospitals at 11 sites since 1985 to focus upon the delivery of high-quality family planning services. Although these sites constitute only 3.5% of all voluntary sterilization sites in the country, they perform more than 15% of male and female surgical sterilization procedures. All remaining procedures are carried out at 300 government sites throughout the country. The AVSC will fund these Pakistani NGOs for a period of 6 months with funds provided by individual contributors. Over that time, the organizations will search for alternative funding and, if necessary, undergo a gradual shutdown of operations. PMID:12287106

  4. Development of the Himalayan frontal thrust zone: Salt Range, Pakistan

    SciTech Connect

    Baker, D.M.; Lillie, R.J.; Yeats, R.S.; Johnson, G.D.; Yousuf, M.; Zamin, A.S.H.

    1988-01-01

    The Salt Range is the active frontal thrust zone of the Himalaya in Pakistan. Seismic reflection data show that a 1 km offset of the basement acted as a buttress that caused the central Salt Range-Potwar Plateau thrust sheet to ramp to the surface, exposing Mesozoic and Paleozoic strata. The frontal part of the thrust sheet was folded passively as it overrode the subthrust surface on a ductile layer of Eocambrian salt. Lack of internal deformation of the rear part of the thrust sheet is due to decoupling of sediments from the basement along this salt layer. Early to middle Pliocene (approx. 4.5 Ma) conglomerate deposition in the southern Potwar Plateau, previously interpreted in terms of compressional deformation, may instead document uplift related to basement normal faulting. Stratigraphic evidence, paleomagnetic dating of unconformities, and sediment-accumulation rates suggest that the thrust sheet began to override the basement offset from 2.1 to 1.6 Ma. Cross-section balancing demonstrates at least 20 to 23 km of shortening across the ramp. The rate of Himalayan convergence that can be attributed to underthrusting of Indian basement beneath sediments in the Pakistan foreland is therefore at least 9-14 mm/yr, about 20-35% of the total plate convergence rate.

  5. Community health promotion in Pakistan: a policy development perspective.

    PubMed

    Ronis, K A; Nishtar, S

    2007-01-01

    Pakistan was one of the initial signatories to the Alma-Ata Declaration in 1978; however, it was not until 2004 that the first policy dedicated solely to public health and health promotion was launched. The National Action Plan for Prevention and Control of Non-communicable Diseases and Health Promotion in Pakistan has gained a prominent place on the nation's health agenda competing for resources with traditional health policies that focus on treatment, cure and evolving technology. From a health promotion perspective the action plan was unique in that it focused on the community setting through two major behavioral communication change initiatives--one through the media and the other by integrating non-communicable disease prevention into the work plan of the Lady Health Workers. The development phase of this inaugural public health/health promotion policy follows closely the pathway of the Australian Policy Cycle and celebrates a comprehensive consultation process. Its strength comes from the tripartite partnership between the Government, the World Health Organization and a Non-Government Organization, Heartfile who lent impetus to the creation of the initiative. This public-private partnership greatly facilitated the process of policy development and continues to support research, implementation and evaluation. This paper endeavors to analyze the development of the National Action Plan with a focus on community health promotion. PMID:17665712

  6. Stalling HIV through social marketing: prospects in Pakistan.

    PubMed

    Husain, Sara; Shaikh, Babar T

    2005-07-01

    Over the last two decades HIV/AIDS has evolved from a series of interesting case-reports to a growing epidemic that threatens the entire world. It is feared to cause devastation among large pockets of populations and may roll back more than thirty years of public health achievements. This killer disease has been more amenable to behavioral change than by provision of curative services and attempts are being made to educate the public about this threat. Various techniques of promotion have been tried through out the world including television dramas/soaps, mass media and school curricula. Social marketing is an evolving strategy used to influence human behavior and choices. By using the principles of marketing and promoting behavior as a product, social marketers attempt to understand the dynamics of human behaviour and devise messages and products to change, modify, accept or reject unsafe behaviors or practices. Thus, social marketers provide an effective force to combat the spread of HIV and may serve to be invaluable allies in health promotion efforts. In a complex and diversified cultural milieu of Pakistan, social marketing can have a significant impact on health determinants and the conditions that will facilitate the adoption of health-oriented behaviors and practices. This paper gives an account of the elements needed for the success of a health promotion strategy adopted in a developing country and makes a case for social marketing to be adopted as the lead strategy for stalling HIV/AIDS in Pakistan. PMID:16108514

  7. Intercomparison of personal dosimetry for service providers in Pakistan.

    PubMed

    Jabeen, Akhter; Salman, Syed Ahmad

    2009-02-01

    An intercomparison exercise for personal dosimetry service providers within Pakistan was conducted by the Health Physics Division of the Pakistan Institute of Nuclear Science and Technology. Participation in the exercise was on voluntary basis. The exercise was carried out to harmonize individual dose monitoring techniques for high energy photons in terms of a new operational quantity, namely personal dose equivalent Hp(10), for personal dosimetry in accordance with the recommendations of the International Commission on Radiation Units and Measurements. Each laboratory submitted 25 dosimeters for participation in the intercomparison exercise. Protection level Co and Cs sources were used for irradiation of dosimeters on a water phantom according to International Atomic Energy Agency protocol at the Secondary Standard Dosimetry Laboratory. Hp(10) doses for five different dose levels were measured by the participating laboratories. The ratios of measured dose/true dose (Hm/Ht) remained in the range of 0.66 to 1.11 for the Co source and 0.84 to 1.17 for the Cs source. Performance of service providers' laboratories to measure Hp(10) doses was analyzed and evaluated in terms of trumpet curves plotted for photons at a 95% confidence level. PMID:19125056

  8. Seismically reactivated Hattian slide in Kashmir, Northern Pakistan

    NASA Astrophysics Data System (ADS)

    Schneider, Jean F.

    2009-07-01

    The Pakistan 2005 earthquake, of magnitude 7.6, caused severe damage on landscape and infrastructure, in addition to numerous casualties. The event reactivated Hattian Slide, creating a rock avalanche in a location where earlier mass movements had happened already, as indicated by satellite imagery and ground investigation. The slide originated on Dana Hill, in the upper catchment area of Hattian on Karli Stream, a tributary of Jhelum River, Pakistan, and buried the hamlet Dandbeh and several farms nearby. A natural dam accumulated, impounding two lakes, the larger one threatening parts of downstream Hattian Village with flooding. An access road and artificial spillways needed to be constructed in very short time to minimize the flooding risk. As shown by this example, when pointing out the risk of large-scale damage to population and infrastructure by way of hazard indication maps of seismically active regions, and preparing for alleviation of that risk, it is advisable to consider the complete Holocene history of the slopes involved.

  9. Complementary and Alternative Medicine in Pakistan: Prospects and Limitations.

    PubMed

    Shaikh, Babar T; Hatcher, Juanita

    2005-06-01

    Despite all the marvelous advancements in modern medicine, traditional medicine has always been practiced. More than 70% of the developing world's population still depends on the complementary and alternative systems of medicine (CAM). Cultural beliefs and practices often lead to self-care or home remedies in rural areas and consultation with traditional healers. Evidence-based CAM therapies have shown remarkable success in healing acute as well as chronic diseases. Alternative therapies have been utilized by people in Pakistan who have faith in spiritual healers, clergymen, hakeems, homeopaths or even many quacks. These are the first choice for problems such as infertility, epilepsy, psychosomatic troubles, depression and many other ailments. The traditional medicine sector has become an important source of health care, especially in rural and tribal areas of the country. The main reasons for consulting a CAM healer is the proximity, affordable fee, availability, family pressure and the strong opinion of the community. Pakistan has a very rich tradition in the use of medicinal plants for the treatment of various ailments. It necessitates the integration of the modern and CAM systems in terms of evidence-based information sharing. The health-seeking behavior of the people especially in developing countries calls for bringing all CAM healers into the mainstream by providing them with proper training, facilities and back-up for referral. A positive interaction between the two systems has to be harnessed to work for the common goal of improving health of the people. PMID:15937553

  10. Karo-kari: a form of honour killing in pakistan.

    PubMed

    Patel, Sujay; Gadit, Amin Muhammad

    2008-12-01

    Karo-Kari is a type of premeditated honour killing, which originated in rural and tribal areas of Sindh, Pakistan. The homicidal acts are primarily committed against women who are thought to have brought dishonour to their family by engaging in illicit pre-marital or extra-marital relations. In order to restore this honour, a male family member must kill the female in question. We conducted a systematic review of the published literature other sources on karo-kari and related forms of honour killing or violence against women. Media and non-governmental organization reports were utilized for case studies and analysis. Although legally proscribed, socio-cultural factors and gender role expectations have given legitimacy to karo-kari within some tribal communities. In addition to its persistence in areas of Pakistan, there is evidence that karo-kari may be increasing in incidence in other parts of the world in association with migration. Moreover, perpetrators of ;honour killings' often have motives outside of female adultery. Analysis of the socio-cultural and psycho-pathological factors associated with the practice of karo-kari can guide the development of prevention strategies. PMID:19091732

  11. Moving Pakistan into the Global Community via Networking

    NASA Astrophysics Data System (ADS)

    Ali, Arshad

    2007-04-01

    The knowledge economies are the key enablers for the creation of jobs, fast economic development, wealth generation and prosperity to masses. Developing countries have started feeling the need to rapidly develop their knowledge base through investments in Information Communication Technologies (ICT) infrastructure and human resource development as a means for facilitating competitiveness. To meet this challenge, emerging technologies offer excellent opportunities for collaborative efforts across the globe among academia, research institutions and industry to ensure that local economy could reap the benefits of economic prosperity. Government of Pakistan at its highest level recognizes that information and knowledge are the driving forces for the economic growth today and we all witness a new era in communications that would not only revolutionize this sector but undoubtedly lays the foundation for connectivity for our future generations. An efficient, low-cost, broadband and high-speed communication system, employing state-of-the-art technologies across the whole spectrum, is a key pillar of the knowledge society. This paper highlights the major initiatives taken by Pakistan in revolutionizing the Internet access to its people. Case study in establishing international collaborations of Pakistani academia with internationally renowned research centers bring about a practical solution in bridging knowledge divide across developing nations and the key role it can play in human resource development by providing access to dispersed laboratory facilities at minimal cost.

  12. Resistance of polio to its eradication in Pakistan

    PubMed Central

    2011-01-01

    Background This study is based on EPI (Expanded Program on Immunization) immunization surveys and surveillance of polio, its challenges in immunization and the way forward to overcome these challenges. Methods Several Government documents, survey reports and unpublished program documents were studied and online search was made to find information on EPI Pakistan. SPSS 16 and Microsoft Excel 2007 were used for the statistical analysis. Results Immunization against polio is higher in urban areas as compared to rural areas. Marked variation in vaccination has been observed in different provinces of Pakistan in the last decade. Secondly 10-20% of the children who have received their first dose of trivalent polio vaccine were deprived of their 2nd and 3rd dose because of poor performance of EPI and Lack of information about immunization. Conclusion In spite of numerous successes, such as the addition of new vaccines and raising immunization to over 100% in some areas, EPI is still struggling to reach its polio eradication goals. Inadequate service delivery, lack of information about immunization and limited number of vaccinators were found to be the key reason for poor performance of immunization and for large number of cases reported each year due to the deficiency of second and third booster dose. PMID:21962145

  13. Complementary and Alternative Medicine in Pakistan: Prospects and Limitations

    PubMed Central

    2005-01-01

    Despite all the marvelous advancements in modern medicine, traditional medicine has always been practiced. More than 70% of the developing world's population still depends on the complementary and alternative systems of medicine (CAM). Cultural beliefs and practices often lead to self-care or home remedies in rural areas and consultation with traditional healers. Evidence-based CAM therapies have shown remarkable success in healing acute as well as chronic diseases. Alternative therapies have been utilized by people in Pakistan who have faith in spiritual healers, clergymen, hakeems, homeopaths or even many quacks. These are the first choice for problems such as infertility, epilepsy, psychosomatic troubles, depression and many other ailments. The traditional medicine sector has become an important source of health care, especially in rural and tribal areas of the country. The main reasons for consulting a CAM healer is the proximity, affordable fee, availability, family pressure and the strong opinion of the community. Pakistan has a very rich tradition in the use of medicinal plants for the treatment of various ailments. It necessitates the integration of the modern and CAM systems in terms of evidence-based information sharing. The health-seeking behavior of the people especially in developing countries calls for bringing all CAM healers into the mainstream by providing them with proper training, facilities and back-up for referral. A positive interaction between the two systems has to be harnessed to work for the common goal of improving health of the people. PMID:15937553

  14. Dengue fever in Pakistan: a paradigm shift; changing epidemiology and clinical patterns.

    PubMed

    Haider, Zahra; Ahmad, Farina Zia; Mahmood, Asif; Waseem, Tariq; Shafiq, Irfan; Raza, Tanzeem; Qazi, Javaria; Siddique, Nasir; Humayun, Malik Asif

    2015-11-01

    Dengue fever has huge public health implications and affects over 100 million people worldwide. This review pictures the current situation of Dengue in Pakistan and presents a review of published literature. Pakistan has seen recurrent epidemics of Dengue Fever recently. Unfortunately, these epidemics are becoming more severe in their clinical manifestation. Pakistan experienced large epidemics of dengue fever during 2008, 2010 and 2011 affecting thousands of people and claiming hundreds of deaths. A comparison of data during these epidemics indicates a shift from mild to a more severe disease, which could be interpreted as an epidemiologic transition pattern in the country. Expansion of Dengue in Pakistan seems to be multifactorial, including the climate change, frequent natural disasters, vector resistance to insecticides and lack of resources. This highlights the need for rigorous vector control. Continuing education of primary care physicians is crucial for early appropriate management to reduce mortality. PMID:26342006

  15. SURVEY OF STYLET BEARING NEMATODES ASSOCIATED WITH DATE PALM IN KHUZDAR DISTRICT, BALOCHISTAN, PAKISTAN

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Surveys were conducted during September and October 2002 to identify the stylet-bearing nematodes associated with date palm in Khuzdar district, Balochistan, Pakistan. The nematodes recorded were Tylenchus sp., Merlinius sp., Helicotylenchus indicus, Psilenchus hilarulus, Aphelenchoides sp., Meloido...

  16. 75 FR 71079 - Determination on Use of Cooperative Threat Reduction Funds in Pakistan and Afghanistan Under...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... Afghanistan Under Section 1308 of the National Defense Authorization Act for Fiscal Year 2004 AGENCY... the implementation of CTR programs in Pakistan and Afghanistan will permit the United States to...

  17. Psychosocial Factors of Antenatal Anxiety and Depression in Pakistan: Is Social Support a Mediator?

    PubMed Central

    Waqas, Ahmed; Raza, Nahal; Lodhi, Haneen Wajid; Muhammad, Zerwah; Jamal, Mehak; Rehman, Abdul

    2015-01-01

    Introduction Pregnancy is generally viewed as a time of fulfillment and joy; however, for many women it can be a stressful event. In South Asia it is associated with cultural stigmas revolving around gender discrimination, abnormal births and genetic abnormalities. Methodology This cross-sectional study was done at four teaching hospitals in Lahore from February, 2014 to June, 2014. A total of 500 pregnant women seen at hospital obstetrics and gynecology departments were interviewed with a questionnaire consisting of three sections: demographics, the Hospital Anxiety and Depression Scale (HADS) and the Social Provisions Scale (SPS). Pearson’s chi-squared test, bivariate correlations and multiple linear regression were used to analyze associations between the independent variables and scores on the HADS and SPS. Results Mean age among the 500 respondents was 27.41 years (5.65). Anxiety levels in participants were categorized as normal (145 women, 29%), borderline (110, 22%) or anxious (245, 49%). Depression levels were categorized as normal (218 women, 43.6%), borderline (123, 24.6%) or depressed (159, 31.8%). Inferential analysis revealed that higher HADS scores were significantly associated with lower scores on the SPS, rural background, history of harassment, abortion, cesarean delivery and unplanned pregnancies (P < .05). Social support (SPS score) mediated the relationship between the total number of children, gender of previous children and HADS score. Women with more daughters were significantly more likely to score higher on the HADS and lower on the SPS, whereas higher numbers of sons were associated with the opposite trends in the scores (P < .05). Conclusion Because of the predominantly patriarchal sociocultural context in Pakistan, the predictors of antenatal anxiety and depression may differ from those in developed countries. We therefore suggest that interventions designed and implemented to reduce antenatal anxiety and depression should take into account these unique factors. PMID:25629925

  18. Non-O1Vibrio cholerae bacteremia in an infant, first case report from Pakistan.

    PubMed

    Sarwar, Samreen; Hannan, Abdul; Sultana, Qamar; Saleem, Sidrah; Sohail, Muhammad; Arshad, Muhammad Usman; Rasool, Karam

    2016-01-01

    To the best of our knowledge, Non-O1 Vibrio cholerae (NOVC) bacteremia has never been documented in Pakistan. This case report is the first reported case of bacteremia in an infant due to NOVC in Pakistan. A neonate was admitted to a hospital with fever and no history of diarrhea. The isolate was identified biochemically and serologically and was sensitive to all the drugs tested as per CLSI 2014 guidelines. PMID:26927462

  19. Dorcatherium majus, a Study of Upper Dentition from the Lower and Middle Siwaliks of Pakistan

    NASA Astrophysics Data System (ADS)

    Farooq, Umar; Akbar Khan, Muhammad; Akhtar, Muhammad; Majid Khan, Abdul

    Dorcatherium majus, comparatively a large tragulid is studied from the Lower and Middle Siwaliks of Pakistan. D. majus is only found from the fresh water deposits along the foot hills of Himalayas. A number of localities are thoroughly visited from the Potwar Plateau of northern Pakistan and collected worth describing specimens of D. majus. Eight specimens are described in this study and all belong to the upper dentition of D. majus.

  20. Changes in mortality in Pakistan 1960-88.

    PubMed

    Sathar, Z A

    1991-01-01

    General trends in Pakistan infant/child mortality, adult mortality, differentials in mortality, and prospects for future declines in mortality are presented. Future mortality declines are desired and recognized by government policy. Paucity of data and quality control issues cloud an accurate presentation of trends. The crude death rate (CDR) has nonetheless declined in 4 decades form 40-50/1000 in 1900 to 10-12/1000 in the late 1970s and early 1980s. The 1984-88 Pakistan Demographic Survey (PDS) reports a CDR of 10.8/1000. Life expectancy is expected to improve. The majority of deaths are infant/child related. Government policy aims to have 1 trained traditional birth attendant/village in order to improve maternal and child care. Although official statistics are in dispute, there is general agreement that infant mortality has declined particularly in neonatal mortality, i.e., infant mortality is now at 56-62/1000 and neonatal mortality 48/1000 in 1988. Data are derived from the Pakistan Fertility Survey (PFS), and Population Labor Force and Migration Survey (PLM) in the 1960-70s, the 1976-79 Population Growth Surveys (PGS), and the 1984-88 PDS. Lower death rates have also occurred among adults. Sex differentials in mortality have reversed, although the sex ratio still favors males; the improvement may be due to better reporting of female mortality. Life expectancy has improved for women, and there are gains over males. The disadvantage at 15-40 years has been eliminated. Differential mortality is expressed geographically, where urban mortality is much lower than in rural areas. There is a relationship between mothers who have some education and lower infant mortality. Labor force participation effects on mortality are dependent on the reasons for work: economic necessity or in pursuance of a career and supplemental income. Findings on the relationship between income or social class and mortality are equivocal. Improvements are dependent on further fertility declines through birth spacing, educational attainment increases, contraceptive use increases, and the declining trend in length of breast feeding. The Population Program needs to achieve its targets of reducing family size norms and greater spacing between children. Improvements in combating communicable disease, including infective and parasitic diseases, are integral to decline in death rates. Better sanitation, particularly in slums, and availability of potable water are government objectives and will contribute to mortality decline. Access and availability of health care are crucial to improvements, particularly in rural areas. PMID:12285306