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Sample records for karachi pakistan south

  1. Primary amebic meningoencephalitis caused by Naegleria fowleri, Karachi, Pakistan.

    PubMed

    Shakoor, Sadia; Beg, Mohammad Asim; Mahmood, Syed Faisal; Bandea, Rebecca; Sriram, Rama; Noman, Fatima; Ali, Farheen; Visvesvara, Govinda S; Zafar, Afia

    2011-02-01

    We report 13 cases of Naegleria fowleri primary amebic meningoencephalitis in persons in Karachi, Pakistan, who had no history of aquatic activities. Infection likely occurred through ablution with tap water. An increase in primary amebic meningoencephalitis cases may be attributed to rising temperatures, reduced levels of chlorine in potable water, or deteriorating water distribution systems.

  2. Determinants of childhood mortality in slums of Karachi, Pakistan.

    PubMed

    D'souza, R M; Bryant, J H

    1999-01-01

    Pakistan has an infant mortality rate (IMR) of 90.5/1000 live births, and the country's child mortality level of 117.5 is worse than in other South Asian countries. Rapid population growth combined with rural-to-urban migration has led to the creation of urban slums in which morbidity levels are usually higher than in rural populations. A study was conducted in January 1993 in 6 slums of Karachi where the Aga Khan University has operated primary health care programs since 1985. Researchers recorded the deaths of 347 children under age 5 years old due to diarrhea and acute respiratory infections (ARI) during 1989-93. 235 mothers of these children were interviewed. The following are discussed as risk factors for under-5 child mortality: the use of traditional healers, poor nutritional status, incomplete or no immunization, the quick change of healers, inappropriate child care arrangements, mother's literacy, who decides about outside treatment, short birth interval, bottle feeding, and nuclear family structure. Maternal autonomy, appropriate health-seeking behavior, and child-rearing processes identified in the study point to the need for intervention strategies which go beyond the usual primary health care initiatives and involve communities in developing social support systems for mothers.

  3. Cholera in a developing megacity; Karachi, Pakistan.

    PubMed Central

    Sheikh, A.; Khan, A.; Malik, T.; Fisher-Hoch, S. P.

    1997-01-01

    Despite rapid urbanization and increasing affluence in Karachi, cases of cholera are frequent. We analysed computerized isolation data from the AKUH Clinical Microbiology Laboratory, Karachi, from 1990-6 to examine microbiological, temporal and demographic trends in Vibrio cholerae infections. During this period 888 strains of V. cholerae (566 V. cholerae serogroup O1, and 204 V. cholerae serogroup O139) were isolated from specimens from 886 patients; 214/464 were adult inpatients, and 250/464 paediatric inpatients, the remaining 422 outpatients. Isolations peaked between June and August. Overlapping epidemics occurred in 1993 and 1994 of serogroup O1 (May to August), and serogroup O139 (August to October). All ages and social and economic strata were affected. Forty-four percent of all isolates were from children under the age of 5 years. The mean age of all patients with serogroup O1 infections was 19.6 years (+/-0.9) compared with 367 (+/-1.7) for serogroup O139 infections (P < 0.0001, t test). More than a quarter (27%) of all serogroup O1 isolates were from babies under 2 years of age. One patient had a serogroup O1 infection followed by a serogroup O139 infection 1 year later. Another patient was infected with serogroup O1 strains 5 years apart. Emergence of resistant strains was observed, but by 1996 serogroup O139 had disappeared. An aquatic organism, cholera nevertheless continues to take its toll in this city of 11 million situated in a desert. PMID:9440430

  4. Incidence of insulin dependent diabetes mellitus in Karachi, Pakistan

    PubMed Central

    Staines, A; Hanif, S; Ahmed, S; McKinney, P; Shera, S; Bodansky, H

    1997-01-01

    Accepted 16 September 1996
 OBJECTIVES—To determine the incidence of insulin dependent diabetes mellitus (IDDM) among children aged up to 16 years residing in the city of Karachi, Pakistan, during the five years from 1989 to 1993.
DESIGN—Retrospective study of incidence using hospital and clinic records.
SETTING—The city of Karachi, Pakistan.
SUBJECTS—Children satisfying standard criteria for the diagnosis of IDDM, attending treatment facilities for the first time during the study period.
MAIN OUTCOME MEASURES—The incidence of IDDM in this population and its variation by age and sex.
RESULTS—The incidence of IDDM in this population is 1.02/100 000 per year, which is one of the lowest incidence rates yet reported.
CONCLUSIONS—The very low incidence of IDDM, contrasted with the substantially higher incidence among migrants, supports the view that environmental factors are the major determinants of variations in the incidence of this condition between populations.

 PMID:9068300

  5. Prevalence of pulmonary tuberculosis in Karachi juvenile jail, Pakistan.

    PubMed

    Shah, S A; Mujeeb, S A; Mirza, A; Nabi, K G; Siddiqui, Q

    2003-07-01

    Jail inmates may be at increased risk of contracting tuberculosis (TB). We studied 386 detainees (mean age 17.7 years) in Karachi juvenile jail to determine the prevalence of TB and possible risk factors for contracting TB. We found a 3.9% prevalence of TB among the inmates, significantly higher than the estimated 1.1% prevalence in the general population of Pakistan. Positive family history of TB was a significant risk factor for TB. Poor adherence of previously diagnosed patients to anti-TB treatment was found. Our study highlights the vulnerability of inmates to TB owing to the presence of highly infectious cases, along with environmental conditions such as overcrowding and poor ventilation. This study strongly indicates the need for an effective treatment programme in the jails as well in the general community.

  6. The effect of antibacterial soap on impetigo incidence, Karachi, Pakistan.

    PubMed

    Luby, Stephen; Agboatwalla, Mubina; Schnell, Beverly M; Hoekstra, Robert M; Rahbar, Mohammad H; Keswick, Bruce H

    2002-10-01

    We conducted a study to determine if soap containing 1.2% triclocarban would be effective in reducing the incidence of impetigo. We randomized 162 households in a low-income neighborhood of Karachi, Pakistan, to receive a regular supply of 1.2% triclocarban-containing soap (n = 81) or an identically appearing placebo (n = 81); 79 households in a nearby neighborhood were enrolled as standard practice controls. After adjustment for household clustering and covariates, the incidence of impetigo among children living in households receiving triclocarban-containing soap (1.10 episodes per 100 person-weeks) was 23% lower than in households receiving placebo soap (P = 0.28) and 43% lower than the standard habit and practice controls (P = 0.02). The routine use of triclocarban-containing soap by children living in a community with a high incidence of impetigo was associated with a reduced incidence of impetigo.

  7. An experiment in primary health care in Karachi, Pakistan.

    PubMed

    Agboatwalla, M; Akram, D S

    1995-10-01

    The Health Education and Literacy Project (HELP) set up a primary health care (PHC) project in the urban slum of Naleem Colony in Karachi, Pakistan, in 1992. The project integrated preventive health, literacy, sanitation, and income generation. Its focus was the community health worker (CHW). Its motto was self-sustainability. A rotating fund allowed the community to contribute towards maintaining the CHW. A community grass-roots organization had administrative control of the project. Researchers had conducted a baseline survey and one year later a knowledge, attitude, and practices survey of 150 households that had received health education and of 150 other households that did not receive health education. The two groups were located in geographically distinct areas. At follow-up, the intervention group consistently was more likely to have good hygienic health practices than the control group (garbage covered, garbage disposal in the garbage drum, washing hands before feeding, and wash hands and child after defecation; p 0.05). Mothers in the intervention group were significantly more likely to know about the vaccinations children needed than those in the control group (for all vaccinations, 76% vs. 21%; p 0.0001). They were also more likely to know how to make oral rehydration solution (ORS) at home than their counterparts (65% vs. 15%). Among intervention mothers, 27% of their children had had diarrhea and 92% of the mothers had used ORS during an episode of diarrhea. The knowledge of correct dietary sources of protein among the intervention group improved significantly between baseline and follow-up (23% vs. 55%; p 0.05), while it did not for the controls (23% vs. 30%; p 0.05). These findings suggest that the project was on the right track towards overall community development by providing health education, sanitation, literacy, and income generation services to the people of the squatter settlement.

  8. Risk Factors for Secondary Infertility among Women in Karachi, Pakistan

    PubMed Central

    Sami, Neelofar; Ali, Tazeen Saeed; Wasim, Saba; Saleem, Sarah

    2012-01-01

    Background Secondary infertility in developing countries is mostly attributable to blockage of the fallopian tubes due to adhesions caused by reproductive tract infections. There is a dearth of information on the prevalence and causes of secondary infertility from Pakistan. This paper presents results on factors associated with secondary infertility among married women in Karachi, Pakistan. Methods A matched case-control study was conducted. Cases were women aged 15–35 years with history of at least one previous conception and currently seeking treatment for secondary infertility. Controls were women residing in the neighborhood of cases with at least one live birth and not taking treatment for secondary infertility. The age of controls was matched by ±5 years to that of cases. Data was collected from June to August 2003. Conditional logistic regression was used to determine crude and adjusted odds ratios (OR) with corresponding 95% confidence intervals (CI) for factors associated with secondary infertility. Results The final multivariate logistic regression model revealed that after adjusting for age, cases were more likely to be the housewives (AOR = 2.6, 95% CI:1.5–4.4), had used inappropriate material to absorb blood during menstruation (AOR = 9.0, 95% CI: 5.0–16.4), and at their last delivery, had a birth attendant who did not wash hands with soap and water (AOR = 3.0, 95% CI: 1.4–5.7). Moreover, women with secondary infertility were more likely to report current or past history of having STI symptoms (AOR = 3.6, 95% CI: 2.4–5.6) and use of intra-vaginal indigenous medicines during their last post-partum period (AOR = 3.1, 95% CI: 1.6–5.7). Conclusion We recommend health education and awareness messages for safe practices during menstruation, delivery, and the postpartum period for women in general. Additionally, sanitary napkins should be made available at an affordable cost, and safe delivery kits should contain educational

  9. 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…

  10. Mixing ratios of volatile organic compounds (VOCs) in the atmosphere of Karachi, Pakistan

    NASA Astrophysics Data System (ADS)

    Barletta, Barbara; Meinardi, Simone; Simpson, Isobel J.; Khwaja, Haider A.; Blake, Donald R.; Rowland, F. Sherwood

    Mixing ratios of carbon monoxide (CO), methane (CH 4), non-methane hydrocarbons, halocarbons and alkyl nitrates (a total of 72 species) were determined for 78 whole air samples collected during the winter of 1998-1999 in Karachi, Pakistan. This is the first time that volatile organic compound (VOC) levels in Karachi have been extensively characterized. The overall air quality of the urban environment was determined using air samples collected at six locations throughout Karachi. Methane (6.3 ppmv) and ethane (93 ppbv) levels in Karachi were found to be much higher than in other cities that have been studied. The very high CH 4 levels highlight the importance of natural gas leakage in Karachi. The leakage of liquefied petroleum gas contributes to elevated propane and butane levels in Karachi, although the propane and butane burdens were lower than in other cities (e.g., Mexico City, Santiago). High levels of benzene (0.3-19 ppbv) also appear to be of concern in the Karachi urban area. Vehicular emissions were characterized using air samples collected along the busiest thoroughfare of the city (M.A. Jinnah Road). Emissions from vehicular exhaust were found to be the main source of many of the hydrocarbons reported here. Significant levels of isoprene (1.2 ppbv) were detected at the roadside, and vehicular exhaust is estimated to account for about 20% of the isoprene observed in Karachi. 1,2-Dichloroethane, a lead scavenger added to leaded fuel, was also emitted by cars. The photochemical production of ozone (O 3) was calculated for CO and the various VOCs using the Maximum Incremental Reactivity (MIR) scale. Based on the MIR scale, the leading contributors to O 3 production in Karachi are ethene, CO, propene, m-xylene and toluene.

  11. 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

  12. Applying community-based participatory research methods to improve maternal and child health in Karachi, Pakistan.

    PubMed

    Karmaliani, Rozina; McFarlane, Judith; Asad, Nargis; Madhani, Farhana; Hirani, Saima; Shehzad, Shireen; Zaidi, Anita

    2009-01-01

    To achieve health for all, the development of partnerships between community residents and researchers is essential. Community-based participatory research (CBPR) engages community members, uses local knowledge in the understanding of health problems and the design of interventions, and invests community members in the processes and products of research. CBPR pivots on an iterative process of open communication, mutual respect, and power sharing to build community capacity to sustain effective health interventions. This article describes how the tenets of CBPR were applied by a multidisciplinary, international research team of maternal-child health specialists toward better health for women and children in multilingual, multiethnic, low socioeconomic communities in Karachi, Pakistan.

  13. 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

  14. Prevalence of asthma and allergic rhinitis among school children of Karachi, Pakistan, 2007.

    PubMed

    Hasnain, Syed Muhammad; Khan, Muneeba; Saleem, Asma; Waqar, Muhammad Anwar

    2009-02-01

    In recent times, the incidence of allergic diseases, particularly bronchial asthma, has been increasing worldwide. However, there appears to be no published data on the prevalence of allergic diseases among school children (3 to 16 years of age) in Karachi, Pakistan, with only limited data available among few age groups under one ISAAC study. The objective of this project was to investigate the prevalence of allergic diseases among school children (3 to 16 years of age) in the city of Karachi. The questionnaire that was used for data collection had previously been used for a similar study in neighboring Saudi Arabia and the U.A.E. In 2007, a total of 3,000 surveys were distributed in various schools of Karachi, of which 2,325 completed surveys were obtained. SPSS was used to perform statistical analysis on the collected data. Survey results showed that the frequency of diagnosed (previously seen by physicians) cases of asthma stood at 15.8%, while the frequency of allergic rhinitis was found to be 28.50% among these children. Other parameters that were analyzed included dry cough (20.1%), wheezing (11.7%), breathlessness (15.40%), and eczema (21.8%). Furthermore, smoking by family members was found to be associated with asthma (p value less than 0.05), allergic rhinitis (p value less than 0.05), breathlessness (p value less than 0.05), dry cough (p value 0.002), and wheezing (p value less than 0.05). This study reveals that there is a significant number of school children in the metropolitan city of Karachi who have various allergic symptoms. It also sheds light on the fact that exposure to indoor environmental factors as well as family atopy can play a key role in increasing the chances of an individual to experience asthma and other allergy symptoms.

  15. Quality of drug stores: Storage practices & Regulatory compliance in Karachi, Pakistan

    PubMed Central

    Shah, Syed Shaukat Ali Muttaqi; Naqvi, Baqar Shyum; Fatima, Mashhad; Khaliq, Asif; Sheikh, Abdul Latif; Baqar, Muhammad

    2016-01-01

    Objective: To assess and evaluate the drug storage quality and regulatory compliance among privately operated drug stores of Karachi Pakistan. Methods: A cross-sectional survey of drug stores located in Karachi was conducted from May to December 2013. A total of 1003 drug stores that were involved in the sales, purchase and dispensing of pharmaceutical products were approached by non-probability purposive sampling technique, and the information was collected using a close ended, structured questionnaire. Results: Out of 1003 drug stores inspected only 4.1%(n=41) were found compliant to regulatory requirements. Most of the stores 74.9%(n=752) were selling general items along with the drugs. Only 12%(n=124) stores were having qualified person working on the store, out of which 33% were pharmacist. 47.4%(n=400) of the stores had drug sales license displayed in the premises and 33.4%(n=282) of the stores had expired drug sales license. 11.4%(n=94) stores were found selling vaccines without proper refrigerator and only 11.7% stores had the power backup for the refrigerator. Only 40.2%(n=403) of stores were protected from direct sunlight and 5.4%(n=54) having air conditioning in the premises. Conclusion: The regulatory compliance of majority of the drug stores operated privately in different areas of Karachi is below standard. Only a few drugs stores have adequate facilities to protect the drugs from extreme temperature, sunlight and provision of refrigeration. Very few of the drug stores carry out drug sales under the supervision of qualified pharmacist. There is a dire need to improve the storage practices in the drug stores by complying with the regulatory standards/laws as specified by the Drug Regulatory Authority of Pakistan. PMID:27881996

  16. Source apportionment of particulate matter in a South Asian Mega City: A case study of Karachi

    NASA Astrophysics Data System (ADS)

    Shahid, imran

    2016-04-01

    Pakistan is facing unabated air pollution as a major issue and its cities are more vulnerable as compared to urban centers in the developed world. During the last few decades, there has been a rapid increase in population, urbanization, industrialization, transportation and other human activities. In year June 2015 heat wave in largest South Asian mega city Karachi more than 1500 people died in one week. Unfortunately no air quality monitoring system is operation in any city of Pakistan. There is a sharp increase in both the variety and quantity of air pollutants and their corresponding sources. In this study contributions of different sources to particulate matter concentration has estimated in urban area of 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 measured in atmospheric fine (PM2.5) and coarse (PM10) particles collected under pre-monsoon conditions (March - April 2009) at an urban site in Karachi (Pakistan). Average concentrations of PM2.5 were 75μg/m3 and of PM10 437μg/m3. The large difference between PM10 and PM2.5 originated predominantly from mineral dust. "Calcareous dust" and „siliceous dust" were the overall dominating material in PM, with 46% contribution to PM2.5 and 78% to PM10-2.5. 20 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 22 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. Of secondary inorganic constituents (NH4)2SO4 contributes 4.4% to PM2.5 and no detectable quantity to PM10-2.5. The sea salt contribution is about 2% both to

  17. 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

  18. Drinking water: a major source of lead exposure in Karachi, Pakistan.

    PubMed

    Ul-Haq, N; Arain, M A; Badar, N; Rasheed, M; Haque, Z

    2011-11-01

    Excess lead in drinking water is a neglected source of lead toxicity in Pakistan. A cross-sectional survey in 2007/08 was made of water samples from drinking water sources in Karachi, a large industrial city. This study aimed to compare lead levels between untreated ground water and treated surface (tap) water in 18 different districts. Of 216 ground and surface water samples collected, 86% had lead levels higher than the World Health Organization maximum acceptable concentration of l0 ppb. Mean lead concentration in ground water [146 (SD 119) ppb] was significantly higher than in surface water [77.1 (SD 54) ppb]. None of the 18 districts had a mean lead level of ground or surface water below the WHO cut-off and ground water sources in 9 districts had a severe level of contamination (>150 ppb). Urgent action is needed to eliminate sources of contamination.

  19. Predictors of diarrheal mortality and patterns of caregiver health seeking behavior in in Karachi, Pakistan

    PubMed Central

    Qamar, Farah Naz; Zaman, Umber; Quadri, Farheen; Khan, Asia; Shaikh, Babar Tasneem; Azam, Iqbal; Nasrin, Dilruba; Kotloff, Karen; Levine, Myron; Brown, Nick; Zaidi, Anita K M

    2016-01-01

    Background Pakistan is unfortunately among the five countries that contributed to the most deaths due to diarrhea and pneumonia in 2010. To explore factors associated with diarrheal deaths we assessed care–seeking behavior and other predictors of diarrhea–related mortality in children in selected low–income peri–urban communities of Karachi, Pakistan. Methods A mixed methods study (qualitative and quantitative) using matched case–control design and focus group discussions with parents of children with moderate to severe diarrhea (MSD) was undertaken. Cases were children  <5 years of age who died within 60 days of developing an episode of MSD. Controls were age–matched children who survived after 60 days of an episode of MSD. Demographic, clinical, and care–related behavioral predictors of mortality were assessed. Conditional logistic regression was performed, matched adjusted odds ratios (mOR) are reported. Results Parents of 77 cases and 154 controls were interviewed. Cases were less likely to receive appropriate care compared to controls (mOR = 0.2, 95% confidence interval (CI) 0.05–0.91). Refusal for hospital admission (OR = 8.9, 95% CI 2.6–30.8), and delays in reaching the health facility (OR = 3.6, 95% CI 1.0–12.9) were significant independent predictors of mortality. We found strong beliefs in traditional and spiritual healing in the population; use of both modern and traditional/spiritual treatments concurrently was common. Conclusion Appropriate care seeking behavior predicts survival in children with diarrhea in Pakistan. There is a complex belief system relating to traditional and standard therapies. Health education for appropriate health care seeking should be implemented in order to achieve a substantial decline in diarrheal disease mortality in Pakistan. PMID:27606059

  20. Volatile Organic Compounds (VOCs) Measurements in Karachi, Pakistan (2006): a Comparison With Previous Urban Sampling Campaigns Worldwide.

    NASA Astrophysics Data System (ADS)

    Barletta, B.; Meinardi, S.; Khwaja, H. A.; Beyersdorf, A. J.; Baker, A. K.; Zou, S.; Rowland, F.; Blake, D. R.

    2008-12-01

    Mixing ratios of carbon monoxide (CO), carbon dioxide (CO2), methane (CH4), and 47 nonmethane hydrocarbons - NMHCs - (19 alkanes, 13 alkenes, ethyne, and 14 aromatics) were determined for ground level whole air samples collected during the winter of 2006 in Karachi, Pakistan. Pakistan is among the fastest growing economies in Asia, and Karachi is one of the largest cities in the world with a rapidly expanding population of over 14 million in the whole metropolitan area, and a large industrial base. Samples were collected in January 2006 throughout the urban area to characterize the overall air composition of the city, and along the busiest road to determine the traffic signature of Karachi. This sampling campaign follows a previous study carried out in the winter of 1998-1999 in the same city, when elevated concentrations of many NMHCs were observed. Exceptionally high levels of methane were still observed in 2006 with an average mixing ratio of 5.0 ppmv (6.3 ppmv were observed in 1999). The overall air composition of the Karachi urban environment characterized during this 2006 sampling is compared to 1999 aiming to highlight any possible change in the main VOC sources present throughout the city. In particular, we want to evaluate the impact of the heavy usage of natural gas on the overall air quality of Karachi and the recently increased use of liquefied petroleum gas (LPG) as alternative source of energy. We also compare the composition of the urban troposphere of Karachi to other major urban centers worldwide such as Guangzhou (China), Mexico City (Mexico), and Milan (Italy).

  1. Status of free-living amoebae (Acanthamoeba spp., Naegleria fowleri, Balamuthia mandrillaris) in drinking water supplies in Karachi, Pakistan.

    PubMed

    Yousuf, Farzana Abubakar; Siddiqui, Ruqaiyyah; Subhani, Faysal; Khan, Naveed Ahmed

    2013-06-01

    The ability of pathogenic free-living amoebae to produce infections is a growing concern. In this study, we investigated the presence of free-living amoebae (Acanthamoeba spp., Naegleria fowleri, Balamuthia mandrillaris) in drinking water supplies in Karachi, Pakistan. Fifty-two domestic tap water samples were examined. Amoebae were identified by morphological characteristics and polymerase chain reaction. Thirty percent of the examined samples were positive for Acanthamoeba spp., 8% for N. fowleri while B. mandrillaris were not recovered. Additionally we examined secretory IgA antibody to Acanthamoeba and B. mandrillaris. Acanthamoeba antibody prevalence rate was 100% in both males and females, while B. mandrillaris antibody prevalence rate was 5.5% in males only (females were negative). Our findings suggest that free-living amoebae are a potential health hazard in domestic water supplies in Karachi, Pakistan.

  2. 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.

  3. Risk factors associated with typhoid fever in children aged 2-16 years in Karachi, Pakistan.

    PubMed

    Khan, M I; Ochiai, R L; Soofi, S B; Von-Seidlein, L; Khan, M J; Sahito, S M; Habib, M A; Puri, M K; Park, J K; You, Y A; Ali, M; Nizami, S Q; Acosta, C J; Bradley-Sack, R; Clemens, J D; Bhutta, Z A

    2012-04-01

    We analysed the data from the control group in a typhoid vaccine trial in Karachi to assess the differences in individual-, household- and cluster-level characteristics for developing typhoid fever. The annual incidence of typhoid in children aged 2-16 years in the control arm of the vaccine trial was 151/100 000 population. After adjustment, the risk of typhoid was lower with increasing age [risk ratio (RR) 0·89, 95% confidence interval (CI) 0·83-0·95], was higher with an increase in population density (RR 1·13, 95% CI 1·05-1·21) and was lower in the households using a safe drinking-water source (RR 0·63, 95% CI 0·41-0·99). Typhoid fever affects younger children living in areas of high population density and lack of access to safe water in Pakistan. A combination of environmental and biological interventions is required to prevent the continued epidemiological and economic impact of typhoid fever in high-risk areas of Pakistan.

  4. 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.

  5. 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.

  6. Elevated blood lead levels among children living in a fishing community, Karachi, Pakistan.

    PubMed

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

    2004-01-01

    Lead is a widespread environmental contaminant worldwide and is associated with adverse outcomes in children, including impaired neurobehavioral development and learning difficulties. A cross-sectional survey of 53 young children was conducted in a fishing village on an island adjacent to Karachi, Pakistan. Whole blood from each individual was tested for lead levels. Also tested were samples of cooked food, house dust, and drinking water from 36 households. Laboratory determinations were made by the Pakistan Council for Scientific and Industrial Research with quality control by the United States Centers for Disease Control and Prevention. Fifty-two subjects (98%) had blood lead levels above 10 microg/dl (mean 21.60 microg/dl), an internationally recognized threshold for potential neurotoxicity. The mean concentration was 3.90 microg/g in cooked food, 4.02 microg/l in drinking water, and 91.30 microg/g in house dust. These findings indicate possible major health concerns and suggest significant environmental contamination in this community as well as the need to identify locally relevant early childhood exposures.

  7. 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

  8. 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

  9. 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

  10. Hematological screening of heavy metals among patients of asthma using medicinal herbs in Karachi, Pakistan.

    PubMed

    Hina, Bushra; Rizwani, Ghazala H; Zahid, Hina

    2014-11-01

    Prevalence and concentration of some toxic (Pb, Cd, and As) and essential metals (Zn, Cu, Cr, Ni, and Co) were determined in the blood samples collected from asthmatic patients in Karachi, Pakistan using atomic absorption spectrophotometer. All selected patients were habitual of taking crude drugs and home remedy as self medication to treat and prevent asthma. We detected large proportion of the patients with detectable levels of heavy metals. The percentage prevalence of Pb, Cr, Ni, and Co, were found 100% while that of As and Cd were 55% and 60% respectively. Atomic absorption spectroscopic data showed the presence of metals in the analyzed samples in the range of 0.00-37.08 μg/dl for As, 8.1-41.4μg/dl for Pb, 0.0-9.6μg/l for Cd, 2.0-55.6μg/l for Cr, 20.0-85.9μg/l for Ni, and 0.15-3.6 μg/l for Co. The study will be helpful in creating awareness regarding the use of quality herbal medicines in asthma. It is suggested that along with avoidance of other risk factors, reliance on the use of quality traditional medicines free from heavy metal contamination is very essential especially incase of bronco asthmatic conditions.

  11. Knowledge, attitude and practices of school teachers towards epileptic school children in Karachi, Pakistan

    PubMed Central

    Homi Bhesania, Nasha; Rehman, Anaya; Saleh Savul, Ilma; Zehra, Nosheen

    2014-01-01

    Objective: To assess the knowledge and attitude of school teachers towards an epileptic child. Methods: This cross-sectional study was conducted among teachers of primary, middle and high schools from different communities in Karachi, Pakistan. A total of 120 self-administered KAP questionnaires were distributed in schools selected through convenience sampling. Data was analyzed using SPSS version 19. Results: Out of the total sample size, 90.9% (n=100) had heard about epilepsy. Sixteen (14.5%) teachers considered epilepsy to be contagious while 72.7% (n=80) teachers were of the view that epileptics can succeed as other normal children and sixty nine (62.7%) teachers were willing to help a child experiencing a fit, though only 15.5% (n=17) received knowledge about epilepsy during their training years. Conclusion: The research was conclusive for assessing the knowledge and attitude of teachers towards epileptic children. It highlighted the lack of awareness and negative attitude still existing among teachers. However, many were in the favor of mass education through awareness programs. PMID:24639865

  12. 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

  13. 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

  14. Development of an economic skill building intervention to promote women's safety and child development in Karachi, Pakistan.

    PubMed

    Hirani, Saima Shams; Karmaliani, Rozina; McFarlane, Judith; Asad, Nargis; Madhani, Farhana; Shehzad, Shireen; Ali, Nazbano Ahmed

    2010-02-01

    Violence against women is a global epidemic phenomenon that can result in major mental health problems. Not only are women affected but also the health and well-being of their children are in jeopardy. To prevent violence and promote women's safety, several strategies have been tested in various cultural contexts. This article describes the process of developing and validating an economic skill building intervention for women of an urban slum area of Karachi, Pakistan. The purpose of the intervention is to increase women's economic independence, promote women's safety, and improve the behavioral functioning of their children.

  15. 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

  16. 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…

  17. Diabetes related knowledge among residents and nurses: a multicenter study in Karachi, Pakistan

    PubMed Central

    2012-01-01

    Background Assessment of knowledge among resident trainees and nurses is very important since majority of patients admitted in hospital have underlying diabetes which could lead to adverse clinical outcomes if not managed efficiently. Therefore, the purpose of this study was to evaluate and compare the knowledge related to the management of diabetes among registered nurses (RN) and trainee residents of internal medicine (IMR), family medicine (FMR) and surgery (SR) at tertiary care hospitals of Karachi, Pakistan. Methods A validated questionnaire consisting of 21 open ended questions related to diabetes awareness was acquired through a study done at Thomas Jefferson University Hospital, Philadelphia with the permission of primary author. Results 169 IMR, 27 FMR, 86 SR and 99 RN completed a questionnaire that assessed the knowledge related to different aspects of management of diabetes. The results were further stratified by participant's specialty and level of training. The percentage of knowledge based questions answered correctly was found to be low. The overall mean correct percentage among all the participants was 50% +/- 21. There was no statistical difference in terms of knowledge between IMR & FMR residents (64% +/- 14 vs. 60% +/- 16, p = 0.47) respectively. The total scores of SR and RN were quite low (40% +/- 16 & 31% +/- 15 respectively).SR and RN were found to have profound deficit in both inpatient and outpatient knowledge of diabetes. We did not observe any improvement in level of knowledge of FMR & SR with increase in duration of their training (p = 0.47 & 0.80 respectively). In contrast, improvement in the level of knowledge of IMR was observed from first to second year of their training (p = 0.03) with no further improvement thereafter. RN's didn't respond correctly on most of the items related to in-patient management of diabetes (Mean score 40% +/- 20). Conclusion As there are no prior studies in our setting evaluating knowledge

  18. 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

  19. 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

  20. Metal pollution and ecological risk assessment in marine sediments of Karachi Coast, Pakistan.

    PubMed

    Mashiatullah, Azhar; Chaudhary, Muhammad Zaman; Ahmad, Nasir; Javed, Tariq; Ghaffar, Abdul

    2013-02-01

    Concentrations of 12 metals (Fe, Mn, Cr, Mo, Ni, Pb, Se, Sr, U, V, Zn, and Zr) in surface sediments of Karachi Coast, Pakistan were determined to evaluate their distribution and pollution assessment. The measured metals in the sediments were found to be in the range of Fe, 0.84-6.96 %; Mn, 300-1,300 μg/g; Cr, 12.0-319.84 μg/g; Mo, 0.49-2.03 μg/g; Ni, 1.53-58.86 μg/g; Pb, 9.0-49.46 μg/g; Se, 0.25-.86 μg/g; Sr, 192-1185 μg/g; U, 0.19-1.66 μg/g; V, 15.80-118.20 μg/g; Zn, 15.60-666.28 μg/g; and Zr, 44.02-175.26 μg/g. The mean contents of the metal studied were: Fe, 3.07 %, Mn, 0.05 %; Cr, 96.75 μg/g; Mo, 1.34 μg/g; Ni, 31.39 μg/g; Pb, 23.24 μg/g; Se, 0.61 μg/g; Sr, 374.83 μg/g; U, 0.64 μg/g; V, 61.75 μg/g; Zn, 204.75 μg/g; and Zr:76.27 μg/g, and arrangement of the metals from higher to lower mean content in this area is: Fe > Zn > Mn > Sr > Zn > Cr > Zr > V > Ni > Pb > Mo > U > Se. There is no significant correlation among most of these metals, indicating different anthropogenic and natural sources. To assess ecotoxic potential of marine sediments, Numerical Sediment Quality Guidelines were also applied. The concentration of Pb in all the sediments except one was lower than the threshold effect concentration (TECs) showing that there are no harmful effects to marine life from Pb. On the other hand, the concentrations of Cr, Ni, and Zn exceeded TEC in three stations, indicating their potential risk. The degree of pollution in sediments for metals was assessed by calculating enrichment factor (EF) and pollution load index (PLI). The results indicated that sediments of Layari River Mouth Area, Fish Harbour, and KPT Boat Building Area are highly enriched with Cr and Zn (EF > 5). Sediments of Layari River Outfall Zone were moderately enriched with Ni and Pb (EF > 2). The pollution load index was found in the range of 0.98 to 1.34. Lower values of PLI (≤ 1) at most of sampling locations imply no appreciable input from anthropogenic sources. However

  1. 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

  2. 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.

  3. 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

  4. 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.

  5. Situation analysis of child labour in Karachi, Pakistan: a qualitative study.

    PubMed

    Nafees, Asaad Ahmed; Khan, Kausar Saeed; Fatmi, Zafar; Aslam, Mubashir

    2012-10-01

    In Karachi, large employment opportunities, burgeoning population and the availability of cheap labour might be the contributing factors for the increasing prevalence of child labour. A literature review was conducted in 2007 that included published and unpublished literature since 2000. Various organizations working in the field were also covered, while the perception of the child labourers was covered through three focus group discussions. Common health issues among the child labourers in Karachi included respiratory illnesses, fever and generalised pains, as well as drug and sexual abuse. Organisations working for child labour could be broadly categorised into those working for legal advice and advocacy; those generating statistics; and those that are providing interventions. Discussion with children showed that irrespective of the immediate cause, the underlying determinant for child labour was poverty. The best practices identified included evening schools and drop-in centers for working children with provision for skill-based education and basic health facilities. There is need to have more such centres.

  6. 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.

  7. 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.

  8. 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

  9. Risk assessment of dissolved trace metals in drinking water of Karachi, Pakistan.

    PubMed

    Karim, Zahida

    2011-06-01

    Health risk caused by the exposure to trace metals in water through different exposure pathways was investigated. Graphite furnace atomic absorption spectrometry was used for the determination of trace metals (nickel, copper, chromium, lead, cobalt, manganese and iron) in drinking water samples. The concentration of metals was compared with the world health organization (WHO) drinking water quality guideline values. Risk of metals on human health was evaluated using Hazard Quotient (HQ). Hazard quotients of all metals through oral ingestion and dermal absorption are found in the range of 1.11 × 10⁻² to 1.35 × 10⁻¹ and 8.52 × 10⁻⁵ to 9.75 × 10⁻², respectively. The results of the present study reflect the unlikely potential for adverse health effects to the inhabitants of Karachi due to the oral ingestion and dermal absorption of water containing these metals.

  10. 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

  11. 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…

  12. 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…

  13. Attitudes of Pakistani and Pakistani heritage medical students regarding professionalism at a medical college in Karachi, Pakistan

    PubMed Central

    2014-01-01

    Background An increased interest in professionalism has been reported in the field of medical education due to concerns regarding deterioration of humanism and professional values in the teaching and practice of medicine. The primary aim of this study was to assess attitudes of Pakistani and Pakistani heritage students at a medical college in Pakistan about important elements of professionalism that an ideal medical doctor should possess. A further objective of the study was to determine students’ preferred ways of learning professionalism. Methods A written survey was distributed to undergraduate medical students at a public sector medical college at Karachi, Pakistan in 2011. Using the Penn State College of Medicine (PSCOM) Professionalism Questionnaire, attitudes of medical students of semester 1, 5, and 8 regarding professionalism were assessed anonymously. Results The mean age of the students was 21.11 ± 2.72 years. Forty-three percent of the respondents were male. Forty percent of the students held Pakistani citizenship. Thirty-five percent students were US citizens with Pakistani parents and twenty-five percent were Pakistani heritage students that had dual citizenships. No significant differences in the elements of professionalism (Accountability, Altruism, Duty, Excellence, Honesty & Integrity and Respect) mean scores or in the overall mean score of professionalism among the various classes were found. The total overall Cronbach alpha value for all elements of the professionalism in the selected classes was above 0.9. The most preferred methods for learning professionalism were role modeling by faculty, case based scenarios and role plays. Conclusion The students rated all the attributes of professionalism as important and there was no difference across the study years. The overall internal consistency of each element of professionalism was high in different classes. Faculty role models, case based scenarios and role plays may be used to teach

  14. Sexual abuse, social stigma and HIV vulnerability among young feminised men in Lahore and Karachi, Pakistan.

    PubMed

    de Lind van Wijngaarden, Jan W; Schunter, Bettina T; Iqbal, Qasim

    2013-01-01

    This study describes the experiences of 10 young feminised men in Pakistan. They face high levels of stigma, violence and sexual abuse. The average age of first sex was 11 years old and all reported having been been raped during childhood and early adolescence, often several times. While some mothers and siblings were quietly supportive, young feminised men often end up running away from home, finding support as a member of a hijra dera, a 'pseudo-household' led by an older feminised man or guru, in which they find employment as dancers or sex workers. After their entry into sex work there is little or no opportunity to use condoms. The hijra dera offer an important entry point for improved social support and sexual health programmes, including efforts to ensure young feminised men postpone their sexual debut and/or improve their sexual health, retain access to education, explore alternative forms of employment and improve access to health care.

  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

  16. 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.

  17. 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

  18. Nocturnal Stratification of the Ionospheric F-layer over Karachi, Pakistan during Solar Cycle 22 (1986-96)

    NASA Astrophysics Data System (ADS)

    Zafar, H.; Zaidi, S.

    This study has been carried out employing the ionospheric data of Karachi (24.95o N, 67.14o E) for a complete Solar Cycle-22 (1986-96), acquired by means of Digisonde DGS-256. The visual observations of data as shown that some times Nocturnal Ionospheric Stratification at Karachi do occur. However, Nocturnal Ionospheric Stratification is very rare in middle and lower latitudes (TAN and HUANG, 1985). Therefore, the present study is undertaken. Only the night-time F-layer Stratification cases have been included in this study. It is revealed that the Nocturnal Stratification in F-layer at Karachi is mainly a post-midnight phenomenon, under both magnetically quite and disturbed conditions. Though it may occur on pre and post -midnight periods, its occurrence in all the seasons is frequent (95%) in post mid-night period 0215-0500 LT . Only 5% cases were observed in pre mid-night period 2200-0000 LT. Its occurrence during Solar Maximum (1989-90) is significantly greater than at the two solar minimum i.e. 1986-87 and 1995-96. However, its maximum occurrence is observed in 1992 i.e. 2 years after the solar maximum. The seasons in order of its maximum occurrence are Winter, Equinoxes and Summer. Even in Winter its occurrence is observed to be the highest in the month of January. Nocturnal Ionospheric Stratification at Karachi may and may not occur on a TID (Traveling Ionospheric Disturbances) night, irrespective of the fact whether the night is magnetically quite and disturbed. This shows that the nocturnal Stratification is not caused by a TID as reported by TA N and HUANG (1985) over Wuchang (30.5o N, 11.4o E), China. Moreover, Karachi does not lie under any of the zones of particle precipitation described by BOSS and SMITH (1980). Therefore, a future study on the cause of Nocturnal Ionospheric Stratification is clearly required.

  19. Use of the Health Belief Model for the Assessment of Public Knowledge and Household Preventive Practices in Karachi, Pakistan, a Dengue-Endemic City

    PubMed Central

    Siddiqui, Taranum Ruba; Ghazal, Saima; Bibi, Safia; Ahmed, Waquaruddin; Sajjad, Shaimuna Fareeha

    2016-01-01

    Background Prevention is most effective in reducing dengue infection risk, especially in endemic countries like Pakistan. Evaluation of public awareness and health beliefs regarding dengue fever (DF) is important for devising disease control strategies. This study assessed dengue knowledge, health beliefs, and preventive practices against DF in different socioeconomic groups of Karachi, Pakistan. Methodology In this community-based cross-sectional study, 6 randomly selected towns were visited, 2 persons (man and woman) per household were interviewed using a structured questionnaire, and household practices were observed. Information regarding DF was shared through a printed pamphlet. Multivariate logistic regression analysis of variables associated with dengue knowledge and practices was conducted. Principal Findings We interviewed 608 Karachi residents (mean age: 33.2 ± 13.35 years); 7.7%, 71.9%, and 20.4% had a high, middle, and low socioeconomic status, respectively. The mean knowledge score was 6.4 ± 2.10 out of 14. The mean preventive practices score was 9 ± 1.8 out of 17. Predictors of dengue knowledge were perceived threat (odds ratio [OR] = 1.802; 95% confidence interval [CI] = 1.19–2.71; p = 0.005), self-efficacy (OR = 2.910; 95% CI = 1.77–4.76; p = 0.000), and television as an information source (OR = 3.202; 95% CI = 1.97–5.17; p = 0.000). Predictors of dengue preventive practices were perceived threat (OR = 1.502; 95% CI = 1.02–2.19; p = 0.036), self-efficacy (OR = 1.982; 95% CI = 1.34–2.91; p = 0.000), and dengue knowledge (OR = 1.581; 95% CI = 1.05–2.37; p = 0.028). Conclusions Public knowledge about DF is low in Karachi. Knowledge, threat perception, and self-efficacy are significant predictors of adequate dengue preventive practices. Prevention and control strategies should focus on raising awareness about dengue contraction risk and severity through television. Health messages should be designed to increase individual self

  20. 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

  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. Development of Automated Assignment Model for Sailors in Pakistan Navy

    DTIC Science & Technology

    1991-03-01

    Haider, Clifton Karachi, Pakistan 7. library, PNEC , PNS JAUHAR 1 Habib Rehmatullah Road Karachi, Pakistan 8. LCDR Sukhdev 1 Staff Officer Maintenance Fleet Operation Command 32100 Naval Base Lumut Malaysia 78

  4. Practices of self-medication with antibiotics among nursing students of Institute of Nursing, Dow University of Health Sciences, Karachi, Pakistan.

    PubMed

    Ali, Akbar Shoukat; Ahmed, Javed; Ali, Akbar Shoukat; Sonekhi, Gomand Beekho; Fayyaz, Nargis; Zainulabdin, Zeeshan; Jindani, Rahim

    2016-02-01

    Self-medication practice among nursing students is of growing concern. Access to drugs and handling them in their future practices make nursing students susceptible to self-prescription and self-medication. This cross-sectional study assesses the prevalence and pattern of self-medication with antibiotics among nursing students of Institute of Nursing, Dow University of Health Sciences, Karachi, Pakistan. A random sample of convenience of 160 nursing students underwent a predesigned questionnaire. More than half of nursing students 79 (52.7%) experienced self-medication with antibiotics. It was more prevalent among males 49 (62%) . Knowledge about the drug 59 (74.7%) and convenience 13 (16.5%) were the key reasons to self-medicate. Fever 37 (46.8%) and sore throat 27 (34.2%) were the common symptoms predisposing to self-medication. Beta-lactam group of antibiotics 35 (44.3%) was most frequent used. Only 26 (32.9%) respondents completed the entire antibiotic course. Efforts must be directed towards educating nursing students about responsible and informed self-medication practices.

  5. JPRS Report, Near East & South Asia, Pakistan

    DTIC Science & Technology

    1992-06-11

    Foresees Possible Partition of Afghanistan [JANG 27 Apr] 2 Afghan Developments Said Impacting on Balochistan [AKHBAR-E-JEHAN 2 May] 4 Kashmir: EEC...Counteract the American Conspiracy, the Mujaheddin Should Create Unity in Their Ranks’"] [Text] Karachi, 26 April (PR) Alama Sayed Sajed Ali Naqvi, leader...that the United States was conspiring to partition Afghanistan along racial and linguistic lines because it did not want the nation, which defied the

  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

  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

  8. Association of tobacco use and other determinants with pregnancy outcomes: a multicentre hospital-based case–control study in Karachi, Pakistan

    PubMed Central

    Rozi, Shafquat; Butt, Zahid Ahmad; Zahid, Nida; Wasim, Saba; Shafique, Kashif

    2016-01-01

    Objectives The study aimed to identify the effects of maternal tobacco consumption during pregnancy and other factors on birth outcomes and obstetric complications in Karachi, Pakistan. Design A multicentre hospital-based case–control study. Setting Four leading maternity hospitals of Karachi. Participants A random sample of 1275 women coming to the gynaecology and obstetric department of selected hospitals for delivery was interviewed within 48 hours of delivery from wards. Cases were women with adverse birth outcomes and obstetric complications, while controls were women who had normal uncomplicated delivery. Primary and secondary outcome measures Adverse birth outcomes (preterm delivery, low birth weight, stillbirth, low Apgar score) and obstetric complications (antepartum haemorrhage, caesarean section, etc). Results Final multiple logistic regression analysis revealed that with every 1 year increase in age the odds of being a case was 1.03 times as compared with being a control. Tobacco use (adjusted OR (aOR): 2.24; 95% CI 1.56 to 3.23), having no slits in the kitchen (proxy indicator for indoor air pollution) (aOR=1.90; 95% CI 1.05 to 3.43), gravidity (aOR=0.83; 95% CI 0.73 to 0.93), non-booked hospital cases (aOR=1.87; 95% CI 1.38 to 2.74), history of stillbirth (aOR=4.06; 95% CI 2.36 to 6.97), miscarriages (aOR=1.91; 95% CI 1.27 to 2.85) and preterm delivery (aOR=6.04; 95% CI 2.52 to 14.48) were significantly associated with being a case as compared with control. Conclusions This study suggests that women who had adverse pregnancy outcomes were more likely to have exposure to tobacco, previous history of adverse birth outcomes and were non-booked cases. Engagement of stakeholders in tobacco control for providing health education, incorporating tobacco use in women in the tobacco control policy and designing interventions for tobacco use cessation is warranted. Prenatal care and health education might help in preventing such adverse events. PMID

  9. JPRS Report, Near East & South Asia: Pakistan

    DTIC Science & Technology

    1993-06-15

    to "hear no evil", "see no evil" and "speak no Factories boss Maj. Gen. Mahmood Ali Durrani, an evil" are secretly decided in advance by mutual...nuclear technology, especially to the Middle East..." [Text] Whether the recent meeting between Pakistan’s Federal Minister, Chaudhry Nisar Ali , who...Nisar Ali , On his part, gave Mr Warren Christopher every obtain Russian cyrogenic [as published] rocket engines assurance that Pakistan was opposed

  10. 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. PMID:27169136

  11. Sustained improvements in handwashing indicators more than 5 years after a cluster-randomised, community-based trial of handwashing promotion in Karachi, Pakistan

    PubMed Central

    Bowen, Anna; Agboatwalla, Mubina; Ayers, Tracy; Tobery, Timothy; Tariq, Maria; Luby, Stephen P.

    2015-01-01

    OBJECTIVE To evaluate handwashing behaviour 5 years after a handwashing intervention in Karachi, Pakistan. METHODS In 2003, we randomised neighbourhoods to control, handwashing promotion, or handwashing promotion and water treatment. Intervention households were given soap +/− water treatment product and weekly handwashing education for 9 months. In 2009, we re-enrolled 461 households from the three study groups: control (160), handwashing (141), and handwashing + water treatment (160) and assessed hygiene-related outcomes, accounting for clustering. RESULTS Intervention households were 3.4 times more likely than controls to have soap at their handwashing stations during the study visit [293/301 (97%) vs. 45/159 (28%), P < 0.0001]. While nearly all households reported handwashing after toileting, intervention households more commonly reported handwashing before cooking [relative risk (RR) 1.2 (95% confidence interval (CI) 1.0–1.4)] and before meals [RR 1.7 (95% CI, 1.3–2.1)]. Control households cited a mean of 3.87 occasions for washing hands; handwashing households, 4.74 occasions; and handwashing + water treatment households, 4.78 occasions (P < 0.0001). Households reported purchasing a mean of 0.65 (control), 0.91 (handwashing) and 1.1 (handwashing + water treatment) bars of soap/person/month (P < 0.0001). CONCLUSIONS Five years after receiving handwashing promotion, intervention households were more likely to have soap at the household handwashing station, know key times to wash hands and report purchasing more soap than controls, suggesting habituation of improved handwashing practices in this population. Intensive handwashing promotion may be an effective strategy for habituating hygiene behaviours and improving health. PMID:23294343

  12. JPRS Report, Near East & South Asia, Pakistan

    DTIC Science & Technology

    2007-11-02

    control the supply of arms in the Middle there was desperate: shortage of food, fuel and flour , East, Mr Cheney, U.S. Defence Secretary, personally...Far East, receives Soviet support. where we have important relationships with Thailand, Malaysia , Korea and Japan, where the prime minister’s Pakistan...citizens everywhere, with the populace in Lahore ious parts of the world where the feudal system flour - and Sheikhupura giving vent to its outrage

  13. JPRS Report: Near East & South Asia - Pakistan.

    DTIC Science & Technology

    2007-11-02

    countries, developing countries offer an attractive avenue of investment. Thai- land, Malaysia , Taiwan, and South Korea have taken full advantage of...useful purpose would be achieved through half measures. Simi- larly announcing subsidy for poor in the price of wheat flour is going to cause serious

  14. JPRS Report Near East & South Asia Pakistan.

    DTIC Science & Technology

    2007-11-02

    2.50 per kg for flour . Now the government has announced that food stamps will be issued to the poor to buy flour at a discount of Rs.l per kg. No...South Korea, Singapore, Taiwan, Hong Kong and now Malaysia are more than revealing in this respect. None of them made any headway towards prosperity

  15. Are All Children Equal? Causative Factors of Child Labour in Selected Districts of South Punjab, Pakistan

    ERIC Educational Resources Information Center

    Haider, Syed Zubair; Qureshi, Ayesha

    2016-01-01

    The present study investigates the causative factors of child labour in selected districts of South Punjab, Pakistan. As a member of the International Labour Organization (ILO) Pakistan has a responsibility to stamp out child labour from its regions. Our sample was selected from seven working environments (workshops, hotels, tea stalls,…

  16. 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.

  17. JPRS Report, Near East and South Asia: Pakistan.

    DTIC Science & Technology

    2007-11-02

    nuclear program and said that Pakistan should not in the room where Rajiv Gandhi and Benazir held their become a nuclear power. This is exactly opposite...United States became very interested India Rajiv Gandhi in which he declared Azad Kashmir because Rajiv Gandhi and Benazir also said a few things an...and Pakistan and influence in this region. A U.S. diplomat took this was held in Pakistan. Rajiv Gandhi went as far as to say recorded conversation to a

  18. Health-seeking behaviour of people living with HIV/AIDS and their satisfaction with health services provided at a tertiary care hospital, Karachi, Pakistan.

    PubMed

    Bhutto, Abdul-Qadir; Nisar, Nighat

    2017-02-21

    Appropriate health-seeking behaviour is important as it allows prompt treatment for a condition and this can reduce complications and improve quality of life. This study aimed to assess the health-seeking behaviour and satisfaction with health care services of people living with HIV/AIDS attending the HIV/AIDS clinic of the Civil Hospital in Karachi. A total of 182 patients were interviewed using a pretested semi-structured questionnaire. Mean age of the participants was 32.31 (SD 7.91) years, 76.9% were male, 81.3% had no education and 75.8% were employed. Only 23.6% showed positive health-seeking behaviour and 57.7% were satisfied with the health care services. In logistic regression analysis, the cost of treatment per visit < US$ 5 and duration of HIV infection < 2 years were significantly associated with health-seeking behaviour. Efforts are needed to improve the health-seeking behaviour of people living with HIV/AIDS at the clinic and the health services offered.

  19. 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,…

  20. Formative research and development of an evidence-based communication strategy: the introduction of Vi typhoid fever vaccine among school-aged children in Karachi, Pakistan.

    PubMed

    Pach, Alfred; Tabbusam, Ghurnata; Khan, M Imran; Suhag, Zamir; Hussain, Imtiaz; Hussain, Ejaz; Mumtaz, Uzma; Haq, Inam Ul; Tahir, Rehman; Mirani, Amjad; Yousafzai, Aisha; Sahastrabuddhe, Sushant; Ochiai, R Leon; Soofi, Sajid; Clemens, John D; Favorov, Michael O; Bhutta, Zulfiqar A

    2013-01-01

    The authors conducted formative research (a) to identify stakeholders' concerns related to typhoid fever and the need for disease information and (b) to develop a communication strategy to inform stakeholders and address their concerns and motivate for support of a school-based vaccination program in Pakistan. Data were collected during interactive and semi-structured focus group discussions and interviews, followed by a qualitative analysis and multidisciplinary consultative process to identify an effective social mobilization strategy comprised of relevant media channels and messages. The authors conducted 14 focus group discussions with the parents of school-aged children and their teachers, and 13 individual interviews with school, religious, and political leaders. Parents thought that typhoid fever was a dangerous disease, but were unsure of their children's risk. They were interested in vaccination and were comfortable with a school-based vaccination if conducted under the supervision of trained and qualified staff. Teachers and leaders needed information on typhoid fever, the vaccine, procedures, and sponsors of the vaccination program. Meetings were considered the best form of information dissemination, followed by printed materials and mass media. This study shows how qualitative research findings can be translated into an effective social mobilization and communication approach. The findings of the research indicated the importance of increasing awareness of typhoid fever and the benefits of vaccination against the disease. Identification and dissemination of relevant, community-based disease and vaccination information will increase demand and use of vaccination.

  1. 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.

  2. 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

  3. 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

  4. International trends in health science librarianship part 12: South Asia (India, Pakistan and Sri Lanka).

    PubMed

    Joshi, Medha; Ali Anwar, Mumtaz; Ullah, Midrar; Kuruppu, Chandrani

    2014-12-01

    This is the 12th in a series of articles exploring international trends in health science librarianship. This issue describes developments in health science librarianship in the first decade of the 21st century in South Asia. The three contributors report on challenges facing health science librarians in India, Pakistan and Sri Lanka. There is consensus as to the need for education, training and professional development. Starting in the next issue, the focus will turn to Africa, starting with countries in southern Africa. JM.

  5. 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…

  6. 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…

  7. 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.

  8. Population structure of the mosquito Aedes aegypti (Stegomyia aegypti) in Pakistan.

    PubMed

    Rasheed, S B; Boots, M; Frantz, A C; Butlin, R K

    2013-12-01

    Eleven microsatellite markers were used to determine the genetic population structure and spread of Aedes aegypti (Stegomyia aegypti) (Diptera: Culicidae) in Pakistan using mosquitoes collected from 13 different cities. There is a single genetic cluster of Ae. aegypti in Pakistan with a pattern of isolation by distance within the population. The low level of isolation by distance suggests the long-range passive dispersal of this mosquito, which may be facilitated by the tyre trade in Pakistan. A decrease in genetic diversity from south to north suggests a recent spread of this mosquito from Karachi. A strong negative correlation between genetic distance and the quality of road connections shows that populations in cities connected by better road networks are less differentiated, which suggests the human-aided passive dispersal of Ae. aegypti in Pakistan. Dispersal on a large spatial scale may facilitate the strategy of introducing transgenic Ae. aegypti or intracellular bacteria such as Wolbachia to control the spread of dengue disease in Pakistan, but it also emphasizes the need for simple measures to control container breeding sites.

  9. Simulation of rainfall-runoff for major flash flood events in Karachi

    NASA Astrophysics Data System (ADS)

    Zafar, Sumaira

    2016-07-01

    Metropolitan city Karachi has strategic importance for Pakistan. With the each passing decade the city is facing urban sprawl and rapid population growth. These rapid changes directly affecting the natural resources of city including its drainage pattern. Karachi has three major cities Malir River with the catchment area of 2252 sqkm and Lyari River has catchment area about 470.4 sqkm. These are non-perennial rivers and active only during storms. Change of natural surfaces into hard pavement causing an increase in rainfall-runoff response. Curve Number is increased which is now causing flash floods in the urban locality of Karachi. There is only one gauge installed on the upstream of the river but there no record for the discharge. Only one gauge located at the upstream is not sufficient for discharge measurements. To simulate the maximum discharge of Malir River rainfall (1985 to 2014) data were collected from Pakistan meteorological department. Major rainfall events use to simulate the rainfall runoff. Maximum rainfall-runoff response was recorded in during 1994, 2007 and 2013. This runoff causes damages and inundation in floodplain areas of Karachi. These flash flooding events not only damage the property but also cause losses of lives

  10. 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.

  11. New records and a new species of chewing lice (Phthiraptera, Amblycera, Ischnocera) found on Columbidae (Columbiformes) in Pakistan.

    PubMed

    Naz, Saima; Sychra, Oldrich; Rizvi, Syed Anser

    2012-01-01

    The chewing lice (Phthiraptera) of Columbidae (Columbiformes) from Pakistan are studied. Six species of chewing lice with new host records are recorded and one new species of the genus Colpocephalum is described from Columba livia in the Karachi region. All the columbid chewing lice from Pakistan are keyed out and the new species is illustrated and compared with the closest allied species.

  12. 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…

  13. US-Pakistan Relations: The Way Forward

    DTIC Science & Technology

    2006-03-15

    of British India under the leadership of Quaid-e-Azam Muhammad Ali Jinnah . Jinnah is considered the father of Pakistan and set in motion many...political platforms that became the foundation for Pakistan’s society. Jinnah was influenced by both his life experiences and the challenges he overcame. A...Muslim from Karachi, Jinnah had received most of his higher education in law from London. As a barrister, he soon became the leading lawyer of

  14. Prevalence of immediate vasovagal reaction in blood donors visiting two blood banks of Karachi.

    PubMed

    Rohra, D K; Juriasinghani, V; Rai, K; Azam, S I

    2010-06-01

    Vasovagal reaction (VVR) is a very common adverse event related to blood donation. No study has been conducted in Pakistan to estimate the prevalence of VVR in blood donors. This study was conducted to estimate the prevalence of immediate VVR in blood donors of Karachi, Pakistan. The study was conducted in two blood banks of Karachi. Data regarding the development of immediate VVR were documented. The effect of blood donation on vital parameters like pulse rate, blood pressure (BP), temperature and respiratory rate was also observed. Six hundred and seventy-four blood donors were recruited. All the donors who consented were males. Weakness and dizziness were two most common symptoms which were reported by 91 (13.5%) and 73 (10.8%) of the participants, respectively. Out of 91 donors in whom signs and symptoms of immediate VVR were observed, a significant drop in systolic BP (13.5 +/- 2.5 mmHg) and decrease in pulse rate (13.3 +/- 3.6) were concurrently noted in 55 donors (8.2% of all the participants). There was lack of association of age, body mass index (BMI), estimated blood volume, ethnicity, educational status, profession and first time donation status with the frequency of VVR. Only marital status was found to be significantly associated with higher frequency of immediate VVR, where married donors were having higher odds as compared to singles. The prevalence of VVR in the blood donors at two blood banks of Karachi is at least 8.2%. Furthermore, married men are at more risk of experiencing VVR in our population.

  15. 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

  16. 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.

  17. Pesticide susceptibility status of Anopheles mosquitoes in four flood-affected districts of South Punjab, Pakistan.

    PubMed

    Rathor, Hamayun Rashid; Nadeem, Ghazala; Khan, Imtinan Akram

    2013-01-01

    Recent floods drastically increased the burden of disease, in particular the incidence of malaria, in the southern districts of the Punjab province in Pakistan. Control of malaria vector mosquitoes in these districts requires the adoption of an appropriate evidence-based policy on the use of pesticides, and having the latest information on the insecticide resistance status of malaria vector mosquitoes is essential for designing effective disease prevention policy. Using World Health Organization (WHO) test kits, the present study utilized papers impregnated with DDT, malathion, deltamethrin, lambda-cyhalothrin, and permethrin, to determine the insecticide susceptibility/resistance status of malaria vector mosquitoes in four flood-affected districts. The test results showed that both Anopheles stephensi and Anopheles culicifacies remained resistant to DDT and malathion. Tests with three commonly used pyrethroids, permethrin, lambda-cyhalothrin, and deltamethrin, detected resistance in the majority of cases, but in a number of localities mortalities with these three pyrethroids ranged from 80-97% and were therefore placed under verification-required status. This status indicates the presence of susceptible individuals in these populations. These results suggest that if appropriate resistance management strategies are applied in these areas, then the development of high levels of resistance can still be prevented or slowed. This study forms an important evidence base for the strategic planning of vector control in the four flood-affected districts.

  18. Merit and Admissions Policy: Case Studies from Pakistan. Discussion Paper Series No. 59 D.

    ERIC Educational Resources Information Center

    Klitgaard, Robert E.; And Others

    Studies were conducted to determine whether measures of intellectual merit that are used as criteria for admission to the University of Karachi in Pakistan have predictive validity. The predictive validity of the intermediate examination score was studied with recent graduates of the pharmacy, medicine, and engineering schools. Additional studies…

  19. 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…

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

    PubMed

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

    2012-10-01

    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] μg/dL) compared to those with normal iron status (19.1 [16.8-21.4] μg/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.

  1. 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.

  2. 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.

  3. 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.

  4. 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...

  5. 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 ...

  6. Evaluation of World View-2 Satellite Data for Mapping Seaweed Beds Along Karachi Coast

    NASA Astrophysics Data System (ADS)

    Danish Siddiqui, Muhammad; Abdullah, Muhammad

    2016-07-01

    INTRODUCTION One of the important components for the coastal system are seaweeds. Seaweed provides numerous ecosystem facilities such as; habitats, fishing nursery grounds, feed production for aquatic biota, and ability to absorb nutrients such as nitrogen and phosphorus and carbon fixation for seawater purification. It's an important coastal resource that has great economic potential due to its utilization in food, cosmetics and industrial products. It also plays an important role in aquaculture and fish breeding. The habitats of many sea species rely on seaweeds for their shelter and food requirements. Seaweed resources are present along Pakistan coastal areas mainly around Karachi shoreline and there exists a potential market for seaweed in the country that is yet untapped. Not only this but the seaweed resources in Pakistan are still unexplored and unmapped. The need to preserve and map seaweed sites along Karachi coast is, cannot be overlooked due to the economic potential of seaweed. To protect marine biodiversity, regular monitoring and mapping of seaweeds are important in order to regulate their growth and their dependent species to maintain their biological associations. The main purpose of this study is to map naturally existing seaweed resources along the Karachi coast and identify the environmental parameters which impact seaweed growth in coastal waters of Karachi using geospatial techniques. To estimate marine resources such as seaweed over a certain area using traditional methods require an extensive amount of labor, cost and time. Remote sensing techniques, on the other hand, offer a good alternative to performing studies on a larger scale using minimum resources as compared to the conventional methods. DATA AND DATA SOURCES WorldView-2 images of 2 meter multispectral and 0.5 meter panchromatic and MODIS (Moderate Resolution Imaging Spectroradiometer) daily composite of Sea Surface Temperature (SST) product of 250 meter resolutions are used in this

  7. India-Pakistan -- Adjusting the Unified Command Plan for the 21st Century.

    DTIC Science & Technology

    1998-04-06

    largest country and largest democracy. In Karachi, Pakistan, Mohammed Ali Jinnah hailed in less dramatic fashion a nation-state forged out of...territorial differences dating back to their partition in 1947. These differences have caused them to fight three wars since partition . Today, each of...noncooperation to achieve independence.2 On 15 August 1947, two great sovereign states arose when partition and independence arrived together—the one at

  8. The Pakistan Risk of Myocardial Infarction Study: a resource for the study of genetic, lifestyle and other determinants of myocardial infarction in South Asia

    PubMed Central

    2009-01-01

    The burden of coronary heart disease (CHD) is increasing at a greater rate in South Asia than in any other region globally, but there is little direct evidence about its determinants. The Pakistan Risk of Myocardial Infarction Study (PROMIS) is an epidemiological resource to enable reliable study of genetic, lifestyle and other determinants of CHD in South Asia. By March 2009, PROMIS had recruited over 5,000 cases of first-ever confirmed acute myocardial infarction (MI) and over 5,000 matched controls aged 30–80 years. For each participant, information has been recorded on demographic factors, lifestyle, medical and family history, anthropometry, and a 12-lead electrocardiogram. A range of biological samples has been collected and stored, including DNA, plasma, serum and whole blood. During its next stage, the study aims to expand recruitment to achieve a total of about 20,000 cases and about 20,000 controls, and, in subsets of participants, to enrich the resource by collection of monocytes, establishment of lymphoblastoid cell lines, and by resurveying participants. Measurements in progress include profiling of candidate biochemical factors, assay of 45,000 variants in 2,100 candidate genes, and a genomewide association scan of over 650,000 genetic markers. We have established a large epidemiological resource for CHD in South Asia. In parallel with its further expansion and enrichment, the PROMIS resource will be systematically harvested to help identify and evaluate genetic and other determinants of MI in South Asia. Findings from this study should advance scientific understanding and inform regionally appropriate disease prevention and control strategies. PMID:19404752

  9. Cochlear implant in a patient with mondini's deformity of the cochlea: pilot patient in Pakistan.

    PubMed

    Qadeer, Sadaf; Junaid, Montasir; Sobani, Zainul Abedeen; Nadeem, Naila; Awans, Mohammad Sohail

    2013-07-01

    Autosomal-recessive genes account for about 80% of the patients of non-syndromic deafness, and a major portion of those lead to cochlear pathology. Given the strong cultural practice of consanguineous marriages and the lack of awareness regarding screening modalities, a high prevalence of hereditary pre-lingual deafness is seen in Pakistan. Considering the situation, cochlear implant surgery was introduced by Aga Khan University Hospital (AKUH), Karachi, Pakistan, in 2003. Recently we decided to expand the profile and services available and conducted the first ever cochlear implant on an anatomically-challenged cochlea. The case report relates to the experience of our pilot patient who was suffering from Mondini's deformity.

  10. Lateral relationships in the Laki formation, Ganjo Takkar and Saidpur outlier, Hyderabad District, Sind Province, Pakistan

    USGS Publications Warehouse

    Thomas, Roger E.; Khan, Mohammed Riaz; Khan, Shafique Ahmed

    1989-01-01

    The sections presented were measured in an unstudied area southeast of the city of Hyderabad and 175 km northeast of Karachi, capital of Sind Province in southern Pakistan.  These sections are preliminary to more detailed studies, particularly of the fossil fauna and the Paleocene and Eocene stratigraphy in southern Pakistan.  The data present a major elucidation of the lateral relationships of individual rock units that collectively form part of the Laki Formation exposed in the Ganjo Takkar and nearby Saidpur outlier.

  11. Strategies for prevention of road traffic injuries (RTIs) in Pakistan: situational analysis.

    PubMed

    Khan, Adeel Ahmed; Fatmi, Zafar

    2014-05-01

    Road traffic injuries (RTIs) are one of the leading causes of death among productive age group. Using systems approach framework (SAF), current preventive strategies for RTI control were reviewed in Pakistan. A review of the literature was done using four international search engines. Only ten studies on preventive strategies for RTI stemming from Pakistan were found. The first Road Traffic Injuries Research Network (RTIRN) surveillance system for road traffic injuries was established in urban city (Karachi) in Pakistan has shown promise for injury control and should be scaled up to other cities. Enforcement of traffic laws on seat-belt and helmet wearing is poor. National Highway and Motorway Police Ordinance (2000) was one of the few legislative measure so far taken in Pakistan. Using SAF, efforts are required to implement interventions targeting human, vehicle design and also making environment safer for road users.

  12. Pakistan Flooding

    Atmospheric Science Data Center

    2013-04-16

    ... and the one on the right is from Aug. 11, 2010. These false-color views display the near-infrared, red and green bands of the instrument as ... bright in the near-infrared region of the electromagnetic spectrum. The region of southern Pakistan shown here includes the Sindh ...

  13. 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

  14. Spatial patterns monitoring of road traffic injuries in Karachi metropolis.

    PubMed

    Lateef, Muhammad U

    2011-06-01

    This article aims to assess the pattern of road traffic injuries (RTIs) and fatalities in Karachi metropolis. Assessing the pattern of RTIs in Karachi at this juncture is important for many reasons. The rapid motorisation in the recent years due to the availability of credit has significantly increased the traffic volume of the city. Since then, the roads of Karachi have continuously developed at a rapid pace. This development has come with a high human loss, because the construction of multilevel flyovers, signal-free corridors and the resulting high-speed traffic ultimately increase the severity of injuries. The reasons for this high proportion are inadequate infrastructure, poor enforcement of safety regulations, high crash severity index and greater population of vulnerable road user groups (riders and pedestrians). This research is the first of its kind in the country to have a geocoded database of fatalities and injuries in a geographical information system for the entire city of Karachi. In fact, road crashes are both predictable and preventable. Developing countries should learn from the experience of highly motorised nations to avoid the high burden of RTIs by adopting road safety and prevention measures.

  15. Initial results of Pakistan's first road traffic injury surveillance project.

    PubMed

    Shamim, Shahzad; Razzak, Junaid A; Jooma, Rashid; Khan, Uzma

    2011-09-01

    Our aim is to report the findings of the initial three years of road traffic injuries (RTI) surveillance at Karachi and to compare it with previously published RTI-related data from Pakistan and other low-and middle-income countries. Data were collected through the RTI surveillance programme at Karachi (RTIRP) from the five biggest emergency departments of the city, which receive almost all the major emergencies of the city for the period September 2006 till September 2009. A total of 99,272 victims were enlisted by the RTIRP during the study period. Annual incidence of RTI is calculated to be 184.3 per 100,000 populations and mortality is 5.7 per 100,000 populations. Eighty nine per cent of victims are male and 73% are between 15 and 44 years of age. Commonest road user to be affected is riders of two wheelers (45%). Only 7% of affected motorcyclists were found to be wearing helmets at the time of the accident. Trends of injuries remained uniform over the years. Most frequent injuries were external wounds, followed by orthopaedic injuries. On the basis of our surveillance system, we have presented the largest RTI-related data from a metropolitan city of Pakistan to date.

  16. Ambient air quality of two metropolitan cities of Pakistan and its health implications

    NASA Astrophysics Data System (ADS)

    Parekh, Pravin P.; Khwaja, Haider A.; Khan, Adil R.; Naqvi, Ronaq R.; Malik, Abdul; Shah, Sajjad A.; Khan, Khalid; Hussain, Ghazanfar

    The present study reports findings on TSP loading in the ambient air of two major cities in Pakistan - Karachi and Islamabad. Data for TSP were collected at one site in Karachi and two in Islamabad between 10 December 1998 and 08 January 1999. This article reports one of the highest TSP loadings recorded so far in any megacity of the world. During the study period, average daily TSP concentrations at the Karachi site ranged from 627 to 938 μg m -3 with a mean of 668 μg m -3. On four occasions TSP concentrations were >1000 μg m -3 (range 1031-1736 μg m -3). At the Islamabad sampling site in close proximity to the city's industrial sector, daily TSP concentrations varied in the range of 428-998 μg m -3 (mean 691 μg m -3). Even at a relatively remote site of the city (Saidpur), TSP loading was high (range 145-448 μg m -3; mean 275 μg m -3). By virtue of the WHO definition, the 24-h average TSP concentrations in a busy commercial site in Karachi and in the vicinity of an industrial sector in Islamabad were in "exceedance" by a factor of 4-8. At Saidpur, the remote site, the 24-h average TSP loading exceeded the WHO guideline of 120 μg m -3 by a factor of 1.2-3.7.

  17. Epidemiology of polio virus infection in Pakistan and possible risk factors for its transmission.

    PubMed

    Kabir, Mahvish; Afzal, Muhammad Sohail

    2016-11-01

    End Polio Pakistan program still has to overcome many hurdles; unfortunately on 8th February 2016 first polio case of the year has surfaced in Karachi. It seems that battle against polio demands little bit more conviction and motivation. WHO has set a goal of polio eradication in Pakistan till 2018, in order to evaluate the success of this target; polio eradication campaign in Pakistan has been analyzed in different perspectives. Our analysis indicated that major obstacles in eradication are low literacy rate, poor health infrastructure, lack of planning, natural disaster, economic crisis, counter insurgencies and almost no protection for polio health workers. WHO has allocated new funds to tackle this problem, now there is a need to spend this money more effectively; with proper planning and honest deployment of funds.

  18. 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.

  19. 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.

  20. China-Pakistan Economic Corridor.

    SciTech Connect

    Boyce, Tucker

    2017-01-01

    International trade and related economic activities in Central and South Asia are increasing as developing economies, particularly India and Pakistan, grow. China continues to emerge as a major regional and global power and has embarked upon numerous regional economic and political initiatives . A major development is the China - Pakistan Economic Corridor (CPEC), a host of infrastructure and trade projects worth over 40 billion American dollars . This report analyzes CPEC a nd its potential regional effects, including the trade security implications of the port and land infrastructure developments . As trade increase s in the reg ion and the major CPEC infrastructure projects are completed, there will be numerous implications on trade security and geopolitics within South Asia. CPEC projects uniquely intersect numerous regional situations, including territorial disputes in Kashmir, the Afghanistan/Pakistan border, and Chinese foreign policy a mbitions. A nuanced understanding of these effects can influence future policy adjustments in this region . The views expressed in this report are those of the author and do not necessarily reflect the position of Sandia National Laboratories or the author's current and past institutions.

  1. 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.

  2. 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.

  3. 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.

  4. Trends in transfusion transmitted infections among replacement blood donors in karachi, pakistan.

    PubMed

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

    2013-06-01

    Amaç: Kan bağışçılarında, Hepatit-B, Hepatit-C ve Human Immunodeficiency enfeksiyonlarının prevelansını belirlemek.Gereç ve Yöntemler: Ocak 2004’den aralık 2011’e kadar, 108598 sağlıklı verici, kan bankamıza bağışta bulunmuştur. Taramalar, Axsym System (Abbott Diagnostic, USA) için Microparticle Enzyme Immuno Assay (MEIA) methodu ve 2011 yılında da Architect i2000 (Abbott Diagnostic, USA) için Chemiluminescent Immunoassay (CIA) yöntemi ile yapılmıştır. 2010 yılından itibaren, HIV reaktif vericilerin sonuçlarına doğrulama testleri uygulanmış ve kişilere geri bildirimde bulunulmuştur.Bulgular: Toplam 108598 bağışçının 108393’ü (%99,8) replasman bağışçısı olup, yaş ortalaması 28,92 (17-55) idi. Bunların sadece 164’ü (%0,15) kadındı. Kan bağışçıları arasında 4906 (%4,5) olgu Hepatit-B, C ve Human Immunodeficiency Virus yönünden pozitif bulundu. Bunların biri hariç hepsi erkekti. Bağışçıların 2068’inde (%1,90) Hbs Ag ve 2832’sinde (%2,61) ise anti-HCV pozitif bulundu. 111 (%0,10) kişi Human Immunodeficiency Virus yönünden pozitifdi. Birden fazla enfeksiyon varlığı 103 (%0,09) olguda saptandı. Prevelans, görece genç yaştakilerde (17-30 yaş) daha yüksek bulundu. Sadece %16,6 olgu HIV doğrulama testi ile pozitif saptanarak reddedildi.Sonuç: Çalışmamızda kan bağışçılarındaki Hepatit-B ve C seroprevelansı, komşu ülkelerin çalışmalarıyla kıyaslandığında yüksek bulunmakla birlikte, Pakistan’dan daha evvel yapılan çalışmalardaki sonuçlarla karşılaştırıldığında ise görece düşük saptanmıştır. Buna karşın, HIV prevelansı ve doğrulama testine tabi tutulan HIV pozitif olgu sayısı ise düşük görünmektedir.

  5. [The Karachi health resort: synthesis of science and practice].

    PubMed

    Smirnova, I N; Levitskiĭ, E F; Reshetova, G G; Evsiutina, T V; Churina, L M

    2014-01-01

    This article is devoted to the history of one of the oldest Siberian health resorts known as "The Karachi Lake". It describes the stages of its development, the scientific component of the system of spa-and-resort therapy and medico-social rehabilitation of the patients. The detailed analysis of the mechanisms underlying the beneficial action of the natural therapeutic factors, cooperation with the leading research institutions, and the formation of the modern scientific and technical basis have strengthened the position of the resort on the market of the medical, health-promoting, and recreational services due to the development of the new activities in this field.

  6. Spatiotemporal assessment of CO2 emissions and its satellite remote sensing over Pakistan and neighboring regions

    NASA Astrophysics Data System (ADS)

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

    2017-01-01

    For the first time, anthropogenic CO2 emissions and spatiotemporal variability of mid-tropospheric CO2 has been discussed using EDGAR database and Atmospheric Infrared Sounder (AIRS) onboard Aqua satellite observations. The EDGAR data indicate an increase of 147% in anthropogenic CO2 emissions from 66,101 to 163,737 Gg for Pakistan during the period of 1990-2008. Dera Ghazi Khan (Pakistan) is found with the highest increase of 260% of anthropogenic CO2 emissions followed by Delhi (India) 153%, Karachi (Pakistan) 66% and Lahore (Pakistan) 59% whereas a decreasing trend of -53% is observed for Kabul (Afghanistan) during 1990-2008. Industrial activities, road transportation, open field crop-waste burning, and energy production have been identified as major anthropogenic emission sources of CO2 in the studied region. AIRS CO2 retrievals over Pakistan and adjoining areas of India and Afghanistan show an averaged CO2 to be 383±5 ppm with a positive trend of 5.05% during December 2002 to February 2012. An elevated value of CO2 has been observed over northern mountainous and high human settlement regions. The seasonal analysis shows a spring maximum 385±5 ppm with a secondary peak in late autumn, and the highest increasing trend of 5.5% associated with winter. May and August showed maximum and minimum mean monthly values of 385±5 ppm and 382±5 ppm respectively. HYSPLIT trajectories of air masses movement have been drawn to track CO2 transport.

  7. 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.

  8. Religious Extremism in Pakistan

    DTIC Science & Technology

    2014-12-01

    Face (July 2008): 32. 21 Ahmed Rashid , Pakistan on the Brink: The Future of America, Pakistan, and Afghanistan (New York: Viking, 2012). 22 Brian J...promoting extremism. Commentators such as Jessica Stern, Alan Richards, Hussain Haqqani, Ahmed Rashid , and Ali Riaz are a few of the scholars who...www.jstor.org/stable/3183558; See also Ahmed Rashid , Descent Into Chaos: The United States and the Failure of Nation Building in Pakistan, Afghanistan, and

  9. Comparison of exhaled carbon monoxide levels among commuters and roadside vendors in an urban and a suburban population in Pakistan.

    PubMed

    Sabzwari, Saniya R; Fatmi, Zafar

    2011-09-01

    Carbon monoxide (CO) is one of the six criteria air pollutants related to urbanization and has a wide range of health effects. The study measured and compared the exhaled CO levels among commuters and roadside vendors in potentially heavy and low traffic volume areas of Karachi, a megacity in Pakistan. Saddar town [areas of M. A. Jinnah Road (Tibet Center, Denso Hall) and Empress Market] was selected to represent an area of high traffic volume and the suburban town of Gadap (Gadap and Gulshan-e-Maymar) was selected to represent an area of no or low traffic volume. The study compared the CO exposure of commuters and roadside vendors in high and low traffic volume in Karachi. CO exposure was measured in expired air using the breath analyzer module of Bacharach Monoxor-II, USA. A total of 326 individuals (115 commuters and 211 stationary roadside vendors) from Saddar town (n = 193) and Gadap town (n = 133) were selected. In addition, CO levels in ambient air in the same areas, using portable CO analyzer (Bacharach, Monoxor-II, USA), were measured. The mean ambient CO level at Saddar town was 15.6 (SE ± 2.6) ppm compared to 3.3 (SE ± 0.3) ppm at Gadap town. The mean CO level in expired air was significantly higher among nonsmokers at Saddar town (12.8 ± 0.5 ppm) compared to the nonsmokers at Gadap town (7.8 ± 0.4 ppm). The mean CO level in expired air among smokers was twice that of nonsmokers (21.6 vs. 10.6 ppm). CO in expired air was greater among high traffic volume commuters and roadside stationary population in Karachi, Pakistan. The population in Karachi is exposed to high concentration of air pollutants. These pollutants need to be characterized for health effects and interventions needs to be developed.

  10. Bioethics on the subcontinent: the Sindh Institute in Karachi.

    PubMed

    Lombardo, Paul A

    2011-03-01

    In this personal narrative the author recounts his experiences teaching bioethics in Pakistan. He notes the different moral, cultural and legal environments of Pakistan as compared to the United States, and in particular, the ways in which subtle interpretations of Sharia law shape bioethical reflections as well as the biomedical legal environment. As he argues, any attempt to export models of bioethics from one country to another with no attention to social and cultural differences is a recipe for failure. To presume that all ethical considerations are universal is to devalue moral traditions that differ from our own, and dismiss cultural values of other societies.

  11. 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…

  12. Bibliographical Control in Pakistan.

    ERIC Educational Resources Information Center

    Mohammadally, R.

    1986-01-01

    Discusses the main aspects of national bibliographical control in Pakistan--legal deposit, national bibliographical agency, and retrospective and current national bibliographies. Highlights include registration of publications, copyright, the National Bibliographic Unit, National Book Council of Pakistan, and Library of Congress Office. Works…

  13. Pakistan and Afghanistan Librarianship.

    ERIC Educational Resources Information Center

    Harvey, John F.

    In March and April 1968, the author was a guest of the U.S. Information Service on a two week trip to Pakistan and Afghanistan. During this stay, 30 libraries in five cities were visited. This paper describes this trip and relates the library happenings in these countries. It was obvious that Pakistan librarianship had advanced beyond the…

  14. 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.

  15. 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.

  16. Incidence of medication error associated with the use of beta-blockers in Pakistan.

    PubMed

    Nesar, Shagufta; Shoaib, Muhammad Harris; Yousuf, Rabia Ismail; Rahim, Najia; Muhammad, Iyad Naeem

    2014-05-01

    Medication errors (ME) are human errors, which are very frequent in cardiovascular patients and result in patient morbidity and mortality. This study was focused to evaluate the quality of prescriptions and to emphasize the placement of clinical pharmacist in health care team. This study was carried out in different outpatient settings of (in) Karachi, Pakistan. The study period was June 2011 till June 2012. Retrospective data was analyzed for the outpatients' prescription of beta blocker drugs. During the study, prescriptions (n=450) were collected from different outpatient settings of (in) Karachi, Pakistan. Prescription containing beta-blockers were analyzed for the essential elements to be mentioned in prescription. Drug-drug interactions were identified by the Micromedex.2.0 Drug-Reax database and severity of medication error was determined by NCCMERP Index. A total of 1627 medication errors were identified in 450 prescriptions. The most frequent error was not mentioning the patient's weight (95%), followed by missing diagnosis (79.4%) and drug-drug interactions (69.5%). Twenty-two prescriptions were placed in the most severe category I (4.88%). Average number of drugs per prescription was 4.76. Significant difference was observed (χ(2)=52.418, p<0.05) using SPSS 19 for those prescription orders having more than 5 drugs with Beta-blockers. This indicates that the errors in prescription such as drug-drug interactions, wrong dose etc. was significantly increased with the number of drugs per prescription. Results showed that medication errors are very frequent in prescription written in outpatient setting of various hospitals and clinics in Karachi. This shows that the irrational prescribing is a common practice in developing countries. Placement of skilled pharmacist in the health care system is the only solution for avoidance of these medication related problems.

  17. Eradication and Current Status of Poliomyelitis in Pakistan: Ground Realities.

    PubMed

    Ghafoor, Shazia; Sheikh, Nadeem

    2016-01-01

    Pakistan is among the last three countries along with Afghanistan and Nigeria, where polio virus is still endemic. More or less, with some fluctuations, numbers of reported cases in the past few years have shown a rising trend. Year 2014 pushed the country into the deep sea of difficulties, as number of cases rose to red alert level of 328. Security situation has adversely affected the whole immunization coverage campaign. In a country where 40 polio vaccinators have been killed since 2012, such a big number of cases is not a surprising outcome. Worse perception of parents about polio vaccine as in Karachi and FATA, the high risk zones, makes 100% coverage a dream. Minor and perhaps delayed payments to polio workers make them frustrated, resulting in decline of trained manpower for vaccination. Strong implementation of policies is required and those found guilty of attack on polio workers need to be punished. Targeted community awareness programme, strong surveillance network, and involvement of influential religious entities can help to root out polio disease from country. Present review is aimed at analyzing all barriers on the road to success in eradication of polio from Pakistan.

  18. Eradication and Current Status of Poliomyelitis in Pakistan: Ground Realities

    PubMed Central

    Ghafoor, Shazia

    2016-01-01

    Pakistan is among the last three countries along with Afghanistan and Nigeria, where polio virus is still endemic. More or less, with some fluctuations, numbers of reported cases in the past few years have shown a rising trend. Year 2014 pushed the country into the deep sea of difficulties, as number of cases rose to red alert level of 328. Security situation has adversely affected the whole immunization coverage campaign. In a country where 40 polio vaccinators have been killed since 2012, such a big number of cases is not a surprising outcome. Worse perception of parents about polio vaccine as in Karachi and FATA, the high risk zones, makes 100% coverage a dream. Minor and perhaps delayed payments to polio workers make them frustrated, resulting in decline of trained manpower for vaccination. Strong implementation of policies is required and those found guilty of attack on polio workers need to be punished. Targeted community awareness programme, strong surveillance network, and involvement of influential religious entities can help to root out polio disease from country. Present review is aimed at analyzing all barriers on the road to success in eradication of polio from Pakistan. PMID:27517055

  19. Progress toward poliomyelitis eradication--Afghanistan and Pakistan, 2008.

    PubMed

    2009-03-06

    Afghanistan and Pakistan, two of the four remaining countries where wild poliovirus (WPV) transmission has never been interrupted, represent one epidemiologic reservoir. During 2008, both countries continued to conduct coordinated supplemental immunization activities (SIAs) against type 1 WPV (WPV1) and type 3 WPV (WPV3) using oral polio vaccine (OPV). Much of Afghanistan remained polio-free in 2008, with the exception of the conflict-affected South Region. In Pakistan, however, WPV transmission increased, particularly after WPV1 reintroduction into polio-free areas of Punjab Province. In total, 149 WPV cases (31 in Afghanistan and 118 in Pakistan) were confirmed in 2008, compared with 49 cases in 2007. Serious security problems in areas along the common border limited access by vaccination teams to large numbers of children in the two countries. In Pakistan, continued managerial and operational problems impeded full implementation of SIAs and adversely affected vaccination coverage in areas not affected by security problems. This report updates previous reports and describes polio eradication activities in Afghanistan and Pakistan during January--December 2008. Further progress toward interruption of WPV transmission in Afghanistan and Pakistan will require continued measures to overcome access problems in conflict-affected areas of both countries and improvements in the quality of SIAs and delivery of routine immunization services in Pakistan.

  20. The Future of US-Pakistan Relations

    DTIC Science & Technology

    2012-01-18

    40s). However, in spite of Western influences, the true prime mover for Pakistan “in South Asia was Muhammad Ali Jinnah , also known as Baba-e-Quam...the region and world today.30 Muhammad Ali Jinnah – a British lawyer – seemed like an unlikely candidate to essentially create the world’s first...India) in 1947 resulted in the Union of India. The subsequent partition of India ignited communal violence, displaced an estimated 12.5 million

  1. HIV-1 subtype A infection in a community of intravenous drug users in Pakistan

    PubMed Central

    Khan, Saeed; Rai, Mohammad A; Khanani, Mohammad R; Khan, Muhammad N; Ali, Syed H

    2006-01-01

    Background Data on the subtypes of HIV in a population help in predicting the potential foci of epidemic, tracking the routes of infection and following the patterns of the virus' genetic divergence. Globally, the most prevalent HIV infection is the HIV-1 subtype C. In Asia, predominant subtypes of HIV-1 are B, C, and CRF-01AE. During the last few years, HIV prevalence in Pakistan has taken the form of a concentrated epidemic in at least two high risk groups, namely, Intravenous Drug Users (IDUs) and Male Sex Workers (MSWs). Factors that have facilitated the proliferation of HIV infection include transmission through a large number of repatriates and needle-sharing intravenous drug users, unscreened blood transfusions, and sexual illiteracy. The HIV subtypes infecting Pakistani populations have not been explored to date. In this study, we analyzed HIV-1 subtypes from in a high-risk community of IDUs in Karachi, the largest city of Pakistan. Methods Samples were collected from 34 IDUs after their informed consent. In addition, the study subjects were administered a questionnaire regarding their sexual behavior and travel history. For HIV analysis, DNA was extracted from the samples and analyzed for HIV types and subtypes using subtype-specific primers in a nested polymerase chain reaction (PCR). The results from this PCR were further confirmed using the Heteroduplex Mobility Assay (HMA). Results We found HIV-1 subtype A in all the 34 samples analyzed. A few of the study subjects were found to have a history of travel and stay in the United Arab Emirates. The same subjects also admitted to having contact with commercial sex workers during their stay abroad. Conclusion Our study therefore shows clade A HIV-1 to be prevalent among the IDUs in Karachi. As the prevalence of HIV in Pakistan continues to rise, more work needs to be done to track the infection, and to analyze the strains of HIV spreading through the country. PMID:17105667

  2. Palynofacies analysis of the Permian-Triassic transition in the Amb section (Salt Range, Pakistan): Implications for the anoxia on the South Tethyan Margin

    NASA Astrophysics Data System (ADS)

    Schneebeli-Hermann, Elke; Kürschner, Wolfram M.; Hochuli, Peter A.; Bucher, Hugo; Ware, David; Goudemand, Nicolas; Roohi, Ghazala

    2012-10-01

    The uppermost Chhidru Formation and the lower part of the Mianwali Formation were sampled in the Amb Valley, Salt Range, Pakistan for the study of the particulate organic matter (POM) content in order to evaluate the depositional environment during the Permian-Triassic transition. The POM content was assigned to four distinct palynofacies (palynofacies A-D). Palynofacies A recovered from siltstone within the white sandstone unit of the Upper Permian Chhidru Formation indicates a shallow marine oxic shelf setting. Recorded from the siltstone intercalations in the Kathwai Member of the basal Mianwali Formation, the Griesbachian palynofacies B is characterised by abundant acritarchs indicating a transgressive event. Palynofacies C recovered from the siltstone of the lowest Ceratite Marls (middle Dienerian) is dominated by terrestrial organic particles and indicates shallowing of the depositional environment, whereas 40 cm above, palynofacies D represents transgressive oxygen depleted conditions. The comparison with sections from the Australian Tethyan margin shows that oxygen depleted conditions occurred during the Griesbachian in the Perth Basin, while in the Bonaparte Basin oxygenated conditions prevailed. Hence, oxygen depleted facies do not correspond to a single, synchronous Permian-Triassic oceanic anoxic event but depend on local geography and bathymetry.

  3. 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.

  4. Determinants of aggregate fertility in Pakistan.

    PubMed

    Soomro, G Y

    1986-01-01

    Data were obtained from the government of Pakistan's Census Organization and the Population Welfare Division to investigate and identify policy-relevant factors which influence fertility at an aggregate level by examining the supply, demand, and cost factors of fertility regulation. Information on fertility, mortality, nuptiality, and other socioeconomic variables was gathered for the 63 districts of Pakistan. The 3 districts of Karachi division were taken together as there appeared to be no appreciable variation among those districts. The unit of analysis was a district, which, as an administrative unit, ranks in importance after a province and a division. The dependent variable of an aggregate fertility measure is Total Fertility Rate (TFR). The TFR was measured indirectly from the age structure through the application of the stable population model. Only 2 variables appeared significant in their effect on fertility, i.e., enrollment ratio and marriage age, which tended to show a negative effect on fertility when controlled for other socioeconomic development variables. The effect of urbanization, although insignificant, showed a positive association with fertility; it was expected to have a negative association. The mean age at marriage was dropped from the equation in Table 2 because of its association with infant mortality. Only enrollment appeared to be a significant variable. In Table 3, only 3 variables, including urbanization, were controlled to rank individual variables in regard to their effect on their fertility. The results did not show any change from those of the 1st equation. In the 4th equation (Table 4), electrification substituted for the variable of urbanization; the results did not differ from those of the previous equation. In the 5th equation (Table 5), the composite variable was controlled with the family planning clinics variable. The effect of family planning clinics was insignificant. The enrollment variable appeared to be the most

  5. 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.

  6. 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.

  7. Suicides in the Developing World: Case Study from Pakistan

    ERIC Educational Resources Information Center

    Khan, Murad Moosa; Hyder, Adnan Ali

    2006-01-01

    There are no official data on suicide from Pakistan, a conservative South Asian Islamic country with traditionally low suicide rates. Both suicide and attempted suicide are illegal acts, as well as socially and religiously condemned, making research in this area difficult. Recent reports suggest an increase in suicide rates. In this study, police…

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. 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,…

  13. Clothing-related motorcycle injuries in Pakistan: findings from a surveillance study.

    PubMed

    Khan, Uzma R; Bhatti, Junaid A; Shamim, M Shahzad; Zia, Nukhba; Razzak, Junaid A; Jooma, Rashid

    2015-01-01

    This study aims to assess the burden and patterns of clothing-related motorcycle injuries in Karachi, Pakistan. Data were extracted from an ongoing traffic injury surveillance system. In three years (2007-2009), out of 99155 road traffic injury cases there were 986 (0.9%) cases of clothing-related motorcycle injuries. Most cases were females (73.9%) and pillion riders (80.6%). The crashes involving clothing-related injuries were mostly single vehicle (98.5%), and largely resulted in injuries to the external body (60.3%), limbs (51.0%), head (41.5%) and face (35.9%). One-third of injuries were either moderate (26.7%) or severe (10.2%) while 10 (1.01%) deaths were reported. Female gender (11.4%), age ≥ 45 years (19.4%), pillion riding (11.3%) and crashes occurring at intersections (12.3%) were more likely to result in moderate or severe injury as compared to other users (P < 0.001). Injuries due to entanglement of loose fitting clothing in motorcycles are not uncommon in Karachi. Awareness campaigns for prevention of such injuries may involve promotion of appropriate dressing for motorcycle riding including close wrapping of clothes and encouraging installations of covers on the rear wheels and drive chains.

  14. 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.

  15. 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.

  16. 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.

  17. Invasive candidiasis in Pakistan: clinical characteristics, species distribution and antifungal susceptibility

    PubMed Central

    Farooqi, J. Q.; Jabeen, K.; Saeed, N.; Iqbal, N.; Malik, B.; Lockhart, S. R.; Zafar, A.; Brandt, M. E.; Hasan, R.

    2015-01-01

    This study reports for the first time, to our knowledge, descriptive epidemiological data for 18 invasive Candida isolates from Pakistan, including species identification and antifungal susceptibility against fluconazole, itraconazole, voriconazole, caspofungin, micafungin, anidulafungin and amphotericin. Risk factors for invasive candidiasis (IC) were determined for 96 patients from Karachi, Pakistan. In adults and neonates, Candida tropicalis (38 and 36 %, respectively) was the most common species, followed in adults by Candida parapsilosis (17.8 %), Candida glabrata (15.9 %) and Candida albicans (12.3 %). C. albicans (21 %) was the second most common in neonates. In children, C. albicans (31.9 %), C. tropicalis (26.4 %) and C. parapsilosis (19.4 %) were the most common. C. albicans IC was significantly associated with paediatric age [crude odds ratio (COR) 3.46, 95% confidence interval (CI) 1.63–7.32]. Rare species made up 17.5% of the total isolates studied. Resistance to fluconazole was seen in C. glabrata (15.0%) and Candida krusei (100.0%). Only one isolate (C. glabrata) was resistant to all three echinocandins. Low MICs of fluconazole for 98% (184/188) of isolates tested support its continued use as an empiric therapy for IC. Non-C. albicans IC was associated with the use of β lactam inhibitor combinations (COR 3.16, 95% CI 1.05–9.57). Use of healthcare devices was documented in 85.4% of IC patients, whilst 75.0% had been admitted to special care units. Surprisingly, 66.7% of patients with IC were not obviously immunosuppressed. The high frequency of modifiable risk factors in this population indicates that candidaemia can be reduced with stringent antibiotic and infection control measures. These data will be useful for empiric selection of antifungals in Karachi, and contribute to global assessments of antifungal resistance. PMID:23105021

  18. 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.

  19. Clinical manifestations and outcomes of pulmonary aspergillosis: experience from Pakistan

    PubMed Central

    Iqbal, Nousheen; Irfan, Muhammad; Zubairi, Ali Bin Sarwar; Jabeen, Kauser; Awan, Safia; Khan, Javaid A

    2016-01-01

    Introduction Pulmonary aspergillosis has variable course of illness, severity and outcomes depending on underlying conditions. There is limited data available on the clinical manifestations and outcome of pulmonary aspergillosis from Pakistan. Methods To determine the clinical manifestations and outcome of pulmonary aspergillosis in a tertiary care hospital a retrospective study was conducted from 2004 to 2014 in patients admitted with pulmonary aspergillosis at the Aga Khan University Hospital Karachi, Pakistan. Results Of the 280 cases with provisional diagnosis of aspergillosis 69 met the inclusion criteria. The mean age was 45±15.7 years, 48 (69.6%) were men and 21 (30.4%) had diabetes mellitus (DM). The average length of hospital stay (LOS) was 10.61±9.08 days. Aspergillus fumigatus was the most common (42.0%), followed by Aspergillus flavus (28.9%). More than one-third of patients previously had tuberculosis (TB) (39.13%). The commonest pulmonary manifestation was chronic pulmonary aspergillosis (CPA) 47 (68.1%) followed by invasive pulmonary aspergillosis (IPA) 12 (17.4%) and subacute invasive aspergillosis (SAIA) 8 (11.6%). Surgical excision was performed in 28 patients (40.57%). Intensive care unit admission was required for 18 patients (26.08%). Case fatality rate was 14/69 (20.3%). DM, mean LOS and hypoxic respiratory failure were identified as independent risk factors of mortality on multivariate analysis. Conclusion A. fumigatus was the most frequent species found especially in patients with prior TB. CPA was the commonest pulmonary manifestation seen as post TB sequel. Diabetes, hypoxic respiratory failure and increased LOS were independent predictors of poor outcomes. Overall patients had good outcome with CPA compared with SAIA and IPA. PMID:28074136

  20. Spatial distribution and accessibility to public sector tertiary care teaching hospitals in Karachi: A Geographic Information Systems application.

    PubMed

    Shaikh, Masood Ali; Ali, Mir Shabbar

    2016-07-01

    Optimal utilization of specialized curative healthcare services is contingent on spatial access to tertiary-care hospitals by the targeted population. The objectives of this study were to determine the spatial distribution of public sector tertiary-care teaching hospitals in Karachi, and to use GIS and network analysis for modeling the accessibility to these hospitals for Karachi residents. Maps of three, six, and nine kilometer buffers were created around the five selected hospitals to determine which towns of Karachi are either entirely or partially covered/accessible. Most of the towns in Karachi were covered either partially or completely by the three buffers and service areas of 3,6, and 9 kilometers around the five selected hospitals. This study highlights the limitations of using publicly available data for road network, and the need for creating and making available in public domain, comprehensive road network vector dataset in conjunction with population breakdowns by administrative subdivisions.

  1. 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.

  2. A systematic approach of tracking and reporting medication errors at a tertiary care university hospital, Karachi, Pakistan

    PubMed Central

    Khowaja, Khurshid; Nizar, Rozmin; Merchant, Rashida J; Dias, Jacqueline; Bustamante-Gavino, Irma; Malik, Amina

    2008-01-01

    Introduction: Administering medication is one of the high risk areas for any health professional. It is a multidisciplinary process, which begins with the doctor’s prescription, followed by review and provision by a pharmacist, and ends with preparation and administration by a nurse. Several studies have highlighted a high medication incident rate at several healthcare institutions. Methods: Our study design was exploratory and evaluative and used methodological triangulation. Sample size was of two types. First, a convenient sample of 1000 medication dosages to estimate the medication error (95% CI). We took another sample from subjects involved in medication usage processes such as physicians, nurses, pharmacists, and patients. Two sets of instruments were designed via extensive literature review: a medication tracking error form and a focus group interview questionnaire. Results: Our study findings revealed 100% compliance with a computerized physician order entry (CPOE) system by physicians, nurses, and pharmacists. The main error rate was 5.5% and pharmacists contributed an higher error rate of 2.6% followed by nurses (1.1%) and physicians (1%). Major areas for improvement in error rates were identified: delay in medication delivery, lab results reviewed electronically before prescription, dispension, and administration. PMID:19209247

  3. 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…

  4. Progress toward poliomyelitis eradication - Afghanistan and Pakistan, 2009.

    PubMed

    2010-03-12

    Afghanistan, Pakistan, India, and Nigeria are the four remaining countries where indigenous wild poliovirus (WPV) transmission has never been interrupted. This report updates previous reports and describes polio eradication activities in Afghanistan and Pakistan during January-December 2009 and proposed activities in 2010 to address challenges. During 2009, both countries continued to conduct coordinated supplemental immunization activities (SIAs) and used multiple strategies to reach previously unreached children. These strategies included 1) use of short interval additional dose (SIAD) SIAs to administer a dose of oral poliovirus vaccine (OPV) within 1-2 weeks after a prior dose during negotiated periods of security; 2) systematic engagement of local leaders; 3) negotiations with conflict parties; and 4) increased engagement of nongovernmental organizations delivering basic health services. However, security problems continued to limit access by vaccination teams to large numbers of children. In Afghanistan, poliovirus transmission during 2009 predominantly occurred in 12 high-risk districts in the conflict-affected South Region; 38 WPV cases were confirmed in 2009, compared with 31 in 2008. In Pakistan, 89 WPV cases were confirmed in 2009, compared with 118 in 2008, but transmission persisted both in security-compromised areas and in accessible areas, where managerial and operational problems continued to affect immunization coverage. Continued efforts to enhance safe access of vaccination teams in insecure areas will be required for further progress toward interruption of WPV transmission in Afghanistan and Pakistan. In addition, substantial improvements in subnational accountability and oversight are needed to improve immunization activities in Pakistan.

  5. 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.

  6. Pakistan, Madrassas, and Militancy

    DTIC Science & Technology

    2006-12-01

    not part of this proposed Muslim state. 18 with a Muslim majority.50 Also in the 1930s, Mohammed Ali Jinnah , a Bombay lawyer and future father of...Terror Networks, Princeton University Press, 2004. Peter Bergan “The Madrassa Scapegoat,” The Washington Quarterly 29:2 (Spring 2006), 117. 4 Ali Riaz...Saleem Ali . Islamic Education and Conflict: Understanding the Madrassas of Pakistan. Oxford University Press. August 2005. 3 development of the

  7. Pakistan: Frontline State Again?

    DTIC Science & Technology

    1995-12-01

    leader Mohammed Ali Jinnah embarked on a new strategy against Indian Congress domination stating that Islam was in danger and the congress was...A. OUTLINE OF THE STUDY ............................. 4 II. A COLD W AR W ITHIN ...................................... 9 A. LEGACY OF PARTITION ...in the region, one absolute of Indo-Pak relations remains after the end of the cold war. Since the partition of India in 1947, Pakistan has been

  8. The China-India-Pakistan Water Crisis: Prospects for Interstate Conflict

    DTIC Science & Technology

    2008-09-01

    it is a major transportation route in south China. Second, it provides a significant source of electrical power with the recent completion of the...Nuclear Strategy in Pakistan: A concise report of a visit by Landau Network-Centro Volta (Landau Network, 21 January 2002), 4, http://lxmi.mi.infn.it...nuclear strategy in Pakistan: a concise report of a visit by Landau Network- Centro Volta (Landau Network, 21 January 2002), http://lxmi.mi.infn.it

  9. 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.

  10. Stroke radiology and distinguishing characteristics of intracranial atherosclerotic disease in native South Asian Pakistanis

    PubMed Central

    Khan, Maria; Rasheed, Asif; Hashmi, Saman; Zaidi, Moazzam; Murtaza, Muhammad; Akhtar, Saba; Bansari, Lajpat; Shah, Nabi; Samuel, Maria; Raza, Sadaf; Khan, Umer Rais; Ahmed, Bilal; Ahmed, Bilawal; Ahmed, Naveeduddin; Ara, Jamal; Ahsan, Tasnim; Munir, S. M.; Ali, Shoukat; Mehmood, Khalid; Maki, Karim Ullah; Ahmed, Muhammad Masroor; Sheikh, Niaz; Memon, Abdul Rauf; Frossard, Philippe M.; Kamal, Ayeesha Kamran

    2012-01-01

    Background There are no descriptions of stroke mechanisms from intracranial atherosclerotic disease (ICAD) in native South Asian Pakistanis. Methods Men and women aged >/= 18 years with acute stroke presenting to four tertiary care hospitals in Karachi, Pakistan were screened using Magnetic Resonance Angiography/Transcranial Doppler scans. TOAST criteria were applied to identify strokes from ICAD. Results 245 patients with acute stroke due to ICAD were studied. 230 scans were reviewed. 206 /230(89.0%) showed acute ischemia. The most frequent presentation was with cortically based strokes in 42.2% (87/206) followed by border zone infarcts (52/206, 25.2%).Increasing degrees of stenosis correlated with the development of both cortical and border zone strokes (p=.002). Important associated findings were frequent atrophy (166/230, 72.2%) silent brain infarcts (66/230, 28%) and a marked lack of severe leukoaraiosis identified in only 68 /230 (29.6 %). A total of 1870 arteries were studied individually. MCA was the symptomatic stroke vessel in half, presenting with complete occlusion in 66%. Evidence of biological disease, symptomatic or asymptomatic was identified in 753 (40.2%) vessels of which 543 (72%) were significantly (>50%) stenosed at presentation. Conclusion ICAD is a diffuse process in Pakistani South Asians, with involvement of multiple vessels in addition to the symptomatic vessel. The MCA is the most frequent symptomatic vessel presenting with cortical embolic infarcts. There is a relative lack of leukoaraiosis. Concomitant atrophy, silent brain infarcts and recent ischemia in the symptomatic territory are all frequently associated findings. PMID:23013556

  11. History as the Architect of the Present: What Made Kashmir the Nucleus of South Asia Terrorism? India-Pakistan Conflict and Its Impact on U.S. Homeland Security

    DTIC Science & Technology

    2012-03-01

    Naval Postgraduate School, Monterey, CA). Bajoria, J. (2009). The troubled Afghan-Pakistani border. Council on foreign relations publications ...on foreign relations publications . Retrieved from http://www.cfr.org/pakistan/isi-terrorism- behind-accusations/p11644 Barfield, T. (2007). The...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release; distribution is unlimited HISTORY AS THE

  12. Pakistan RAPID III.

    PubMed

    Bhatti, M U

    1990-01-01

    The author describes the software called RAPID (Resources for the Awareness of Population Impact on Development), which was developed by the Futures Group, a U.S. company. The software is designed for IBM-PCs and compatibles, with a configuration that includes 640K RAM, a fixed disk drive, and DOS 2.0 or higher. The application in Pakistan of this software in an information, education, and communication program sponsored by the National Institute of Population Studies, including the translation of the software into Urdu, is briefly outlined.

  13. 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.

  14. Sexually transmitted infections treatment and care available to high risk populations in Pakistan.

    PubMed

    Rahimtoola, Minal; Hussain, Hamidah; Khowaja, Saira N; Khan, Aamir J

    2008-01-01

    Limited literature exists on the quality and availability of treatment and care of sexually transmitted infections (STIs) in Pakistan. This article aims to document existing services for the care and treatment of STIs available in Pakistan's public and private sectors to high risk groups (HRG), particularly the transgendered population. We conducted a cross-sectional survey to document STI services in Lahore, Karachi, Rawalpindi, Peshawar, and Quetta. Seventy-three interviews were administered with health service providers at the 3 largest public sector hospitals in each city, as well as with general physicians and traditional healers in the private sector. Twenty-five nongovernmental organizations (NGO) providing STI services were also interviewed. Fewer than 45% of private and public sector general practitioners had been trained in STI treatment after the completion of their medical curriculum, and none of the traditional healers had received any formal training or information on STIs. The World Health Organization (WHO) syndromic management guidelines were followed for STI management by 29% of public and private sector doctors and 5% of traditional healers. STI drugs were available at no cost at 44% of NGOs and at some public sector hospitals. Our findings show that although providers do treat HRGs for STIs, there are significant limitations in their ability to provide these services. These deterrents include, but are not limited to, a lack of STI training of service providers, privacy and adherence to recommended WHO syndromic management guidelines, and costly diagnostic and consultation fees.

  15. 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

  16. JPRS Report Near East & South Asia, Pakistan.

    DTIC Science & Technology

    1993-08-11

    Hussain Ahmad’s New Front; Nawaz Sharif, Benazir and President Ishaq: All Cater to the U. S ."] [Text] "The caretaker prime minister, the provincial...objectives in order to please the U. S ." Referring to the performance of the former government, Qazi Hussain Ahmad said: "Under U. S . pressure Nawaz Sharif...past administration would be con- tinued. The reason for this was that those policies were in fact U. S . policies." Qazi Hussain Ahmad said, "After

  17. JPRS Report, Near East & South Asia, Pakistan

    DTIC Science & Technology

    2007-11-02

    Disorder Continue To Escalate ................................................................................................ 57 Government...already agreed on this issue. level or through which person it works; there will be no positive results. The United States wants to "dictate" its We... personal and political identities lost their importance in fortunes of the people of Iran, but also the beliefs of the the Islamic world. Some even went

  18. JPRS Report, Near East & South Asia, Pakistan

    DTIC Science & Technology

    1991-08-09

    countries and singling out areas of sharp openly and the government, which does not arrest the disagreements like the nuclear issue, persons who adulterate ...edibles, is very alert indeed in apprehending those who adulterate alcoholic beverages. Regarding the aid issue the U.S. administration ensured He...there is no way to eliminate insecurity, save hair -splitting distinctions between the central and pro- by temporary suspension of democracy, let it

  19. 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.

  20. 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.

  1. 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.

  2. Survey report: Pakistan.

    PubMed

    Zheng, J

    1991-10-01

    Pakistan suffers an unsuccessful population policy, with a resultant annual population growth of greater than 3%. Cultural and religious objections to family planning (FP) are recognized as the major obstacles to reducing fertility. Accordingly, a 1990-91 demographic and health survey was conducted to elicit information or fertility, family planning, marriage patterns, breastfeeding, and child health for planners and policymakers. The survey was jointly funded by the U.S. Agency for International Development and the government of Pakistan, and interviewed 6,494 ever-married women aged 15-49. The average total fertility rate for the 6-year period prior to the survey was 5.5 lifetime births/woman, less than the figure of greater than 6 found in previous surveys. Increasing age at 1st marriage and a slightly higher level of contraceptive use may be causal factors for the observed decline. Decreased fertility notwithstanding, contraceptive prevalence is low compared to other developing countries in Asia. 1 out of 5 Pakistani women report ever having used contraceptives, and no single method has ever been used by more than 7% of married women. 7% use condoms, 5% the pill, 3% female sterilization, and 3 the IUD and injections, with male sterilization virtually nonexistent, and only limited knowledge of barrier methods. Contraceptive prevalence, including traditional methods, among married women was 12%, with higher coverage in cities, especially among educated women. 37% desire no additional children, and 18% wish to delay child birth for 2 years. Intervention strategy may include working to improve the status of women, fostering greater educational opportunities for women, changing traditional attitudes toward large families and son preference, providing sufficient FP services, and getting commitments for support and action from government and community leaders.

  3. 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.

  4. Prevailing trends of climatic extremes across Indus-Delta of Sindh-Pakistan

    NASA Astrophysics Data System (ADS)

    Abbas, Farhat; Rehman, Iqra; Adrees, Muhammad; Ibrahim, Muhammad; Saleem, Farhan; Ali, Shafaqat; Rizwan, Muhammad; Salik, Muhammad Raza

    2017-01-01

    This study examines the variability and change in the patterns of climatic extremes experienced in Indus-Delta of Sindh province of Pakistan, comprising regions of Karachi, Badin, Mohenjodaro, and Rohri. The homogenized daily minimum and maximum temperature and precipitation data for a 36-year period were used to calculate 13 and 11 indices of temperature and precipitation extremes with the help of RClimDex, a program written in the statistical software package R. A non-parametric Mann-Kendall test and Sen's slope estimates were used to determine the statistical significance and magnitude of the calculated trend. Temperatures of summer days and tropical nights increased in the region with overall significant warming trends for monthly maximum temperature as well as for warm days and nights reflecting dry conditions in the study area. The warm extremes and nighttime temperature indices showed greater trends than cold extremes and daytime indices depicting an overall warming trends in the Delta. Historic decrease in the acreage of major crops and over 33% decrease in agriculture credit for Sindh are the indicators of adverse impacts of warmer and drier weather on Sindh agriculture. Trends reported for Karachi and Badin are expected to decrease rice cultivation, hatching of fisheries, and mangroves forest surrounding these cities. Increase in the prevailing temperature trends will lead to increasingly hotter and drier summers resulting to constraints on cotton, wheat, and rice yield in Rohri and Mohenjodaro areas due to increased crop water requirements that may be met with additional groundwater pumping; nonetheless, the depleted groundwater resources would have a direct impact on the region's economy.

  5. 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

  6. Pakistan’s Impact on Afghanistan

    DTIC Science & Technology

    2009-10-01

    never loses CI • Baloch five insurgencies: 1948, 1958-59, 1962-63, 1973-77, and 2002+ (Talibanizing) • Suppressed 75 million Bengalis in 1970-71 with...1962-1963 sporadic infiltration • Pakistan: Lesson Learned : Local security • 1963-1973 Royal Peace with Pakistan • Afghanistan supports Pakistan

  7. 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.

  8. City tumour board Karachi: an innovative step in multidisciplinary consensus meeting and its two years audit.

    PubMed

    Asghar, Asghar Hussain; Abbasi, Ahmed Nadeem; Jamal, Abid; Haider, Ghulam; Rizvi, Sadia

    2013-12-01

    Management of cancer patients is a team work which usually comprises of surgeons, oncologists, radiologists, pathologists, psychiatrist, nutritionist and a nurse. Any patient who is suffering from any tumour needs a multimodality meeting as cancer treatment is not a single persons job. Most of the time, it is difficult to get the whole team together for a plan discussion due to their busy schedule. This problem was overcome by starting a tumour board meeting early morning of Sunday in Karachi which was named "City Tumour Board (CTB) Karachi". Its first meeting was held on Sunday March 28, 2010 and since then it takes place regularly fortnightly. Till March 2012, 44 sessions were conducted and total 264 cases were discussed. Here we present an audit of these two years. On average, in 60% of cases, tumour was up (36%) or down staged (12%) while in 52% of cases the stage remained unchanged. In 70% of cases (inclusive of above 60%), initial treatment plan was changed after discussion in the tumour board. This data signifies the importance of tumour board especially in a Pakistani setup where patient and even referring persons are not well aware of this disease and its outcome. It is advisable that every case should be discussed in tumour board before embarking on any treatment so that the best treatment plan can be given. It is also important that all relevant specialists should be present in the tumour board when planning for any treatment.

  9. 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

  10. Multidrug resistant gram-negative bacteria in clinical isolates from Karachi.

    PubMed

    Saeed, Asma; Khatoon, Hajra; Ansari, Fasihuddin Ahmed

    2009-01-01

    A total of 54 gram-negative bacteria obtained from various pathological labs and hospitals of Karachi were screened for their resistance to ampicillin, chloramphenicol, gentamycin, kanamycin, neomycin, streptomycin and tetracycline antibiotics. Of the 54 bacteria, 50 were resistant to one or more antibiotics. Among the resistant bacteria, 13 out of 28 were found to transfer their resistances by conjugation. This indicates that at least 46% of clinical gram-negative bacteria in Karachi possess various types of transferable R plasmids, such as pAK5, pAK9, pAK10, pAK11, pAK12, pAK13, pAK14, pAK15, pAK16, pAK17, pAK18, pAK19, pAK20 and pAK21. The non-conjugative R plasmids included pMT14 and pZ26. Only pAK15 showed 26% segregation even after 20 consecutive transfers in plain broth (spontaneous segregation) whereas only pAK15 and pAK16 showed any significant loss of their markers in curing by acridine orange. The stability of R plasmids is more dangerous from clinical point of view.

  11. Serious fungal infections in Pakistan.

    PubMed

    Jabeen, K; Farooqi, J; Mirza, S; Denning, D; Zafar, A

    2017-02-04

    The true burden of fungal infection in Pakistan is unknown. High-risk populations for fungal infections [tuberculosis (TB), diabetes, chronic respiratory diseases, asthma, cancer, transplant and human immunodeficiency virus (HIV) infection] are numerous. Here, we estimate the burden of fungal infections to highlight their public health significance. Whole and at-risk population estimates were obtained from the WHO (TB), BREATHE study (COPD), UNAIDS (HIV), GLOBOCAN (cancer) and Heartfile (diabetes). Published data from Pakistan reporting fungal infections rates in general and specific populations were reviewed and used when applicable. Estimates were made for the whole population or specific populations at risk, as previously described in the LIFE methodology. Of the 184,500,000 people in Pakistan, an estimated 3,280,549 (1.78%) are affected by a serious fungal infection, omitting all cutaneous infection, oral candidiasis and allergic fungal sinusitis, which we could not estimate. Compared with other countries, the rates of candidaemia (21/100,000) and mucormycosis (14/100,000) are estimated to be very high, and are based on data from India. Chronic pulmonary aspergillosis rates are estimated to be high (39/100,000) because of the high TB burden. Invasive aspergillosis was estimated to be around 5.9/100,000. Fungal keratitis is also problematic in Pakistan, with an estimated rate of 44/100,000. Pakistan probably has a high rate of certain life- or sight-threatening fungal infections.

  12. SSA 02-4 DISPARITIES IN HYPERTENSION MANAGEMENT OF CKD IN SOUTH ASIA.

    PubMed

    Jafar, Tazeen

    2016-09-01

    population lives in conditions of poverty (Fortunately, adverse complications of CKD can be prevented by prompt detection and early institution of therapy. Healthy lifestyle (maintaining ideal body weight, physical activity, healthy diet, and smoking cessation) and pharmaceutical interventions including maintaining blood pressure control preferably with blockers of renin angiotensin system (RAS) to reduce proteinuria, and glycemic control, and reduce the risk of atherosclerotic events with lipid lowering are important for prevention of CVD and delaying progression to ESRD. However, despite the publication of evidence-based guidelines on management of CKD, serious deficiencies in provider knowledge and practices regarding management of hypertension and CKD have been identified. Thus, CKD awareness rates are abysmally poor (6 and 10%) in the general and high risk population with CKD, respectively, in South Asia. Moreover, evidence of effective community based program to prevent and manage CKD has been lacking.The Control of Blood Pressure and Risk Attenuation Trial assessed the effects of a combined public health intervention on the kidney health of hypertensive adults in Pakistan's general population. The intervention included training of community health workers on aspects of a healthy lifestyle (such as improving diet, stopping smoking, increasing physical activity, and taking prescribed blood pressure-lowering medications) and training of community general practitioners (GP) on the updated guidelines related to managing hypertension.The combined home health education (HHE) plus trained GP intervention was beneficial in preserving kidney function over 7 years among adults with hypertension in communities in Karachi. These findings highlight the importance of scaling-up simple strategies for renal risk reduction in LMICs. Efforts are needed for integrate CKD prevention and management program within the broader NCD policy framework in South Asia.

  13. Drivers of Long-Term Insecurity and Instability in Pakistan: Urbanization

    DTIC Science & Technology

    2014-01-01

    vaccinations of children aged 12–23 months. Urbanization Trends in Pakistan 15 it has advantages over other South Asian states in providing public... Vaccination Rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2.5. Perception of Household Economic...13 2.3. Measles Vaccination Rates, Cities Versus Provincial Average

  14. 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…

  15. 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…

  16. Study of Nocturnal Stratification of the Ionospheric F-Layer Over Karachi during Solar CYCLE-22 (1986-96)

    NASA Astrophysics Data System (ADS)

    Kanwal, Ambreen; Shahrukh Zaidi, Syed; Ara Zafar, Husan

    This study has been carried out employing the ionospheric data of Karachi (24.950 N, 67.140 E) for a complete Solar Cycle (1986- 96), acquired by means of Digisonde DGS-256. The visual observations of data as shown that some times Nocturnal Ionospheric Stratification at Karachi do occur. However, Nocturnal Ionospheric Stratification is very rare in middle and lower latitudes (TAN and HUANG, 1985).Therefore, the present study is undertaken. Only the night-time F-layer Stratification cases have been included in this study. It is revealed that the Nocturnal Stratification in F-layer at Karachi is mainly a post-midnight phenomenon, under both magnetically quite and disturbed condition. Though it may occur on pre and post- midnight periods, its occurrence in all seasons is frequent (95 %) in post-midnight period 0215- 0500 LT. Only 5% cases were observed in pre-midnight 0200-000 LT. Its occurrence during Solar Maximum (1989-90) is significantly greater than two Solar Minimum i.e. 1986-87 and 1995-96. However, its maximum occurrence is observed in 1992 i.e. 2 years after the Solar Maximum. The seasons in order of its maximum occurrence are Winter, Equinoxes and Summer. Nocturnal Stratification occurrence even in Winter is observed to be the highest in the month of January. Nocturnal Ionospheric Stratification at Karachi may and may not occur on a TID (Traveling Ionospheric Disturbances) night, irrespective of the fact whether the night is magnetically quite and disturbed. This shows that the Nocturnal Stratification is not caused by a TID as reported b TAN and HUANG (1985) over Wuchang (30.50 N, 11.40 E), China. Moreover, Karachi dose not lie under any of the zones of precipitation described by BOSS and SMITH (1980). Therefore, a future study on the cause of Nocturnal Ionospheric Stratification is clearly required.

  17. Spatiotemporal patterns of correlation between atmospheric nitrogen dioxide and aerosols over South Asia

    NASA Astrophysics Data System (ADS)

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

    2016-10-01

    An accurate knowledge is needed on the complex relation between atmospheric trace gasses and aerosol variability and their sources to explain trace gases-aerosols-climate interaction and next-generation modeling of climate change and air quality. In this regard, we have used tropospheric Nitrogen Dioxide (NO2), Aerosol Optical Depth (AOD) and Angstrom Exponent (AE) obtained from satellite-based Ozone Monitoring Instrument (OMI)/Aura and Moderate-Resolution Imaging Spectroradiometer (MODIS)/Aqua over South Asia. NO2-AOD correlation with coefficient r = 0.49 is determined over the landmass of South Asia during 2005-2015. Yearly mean NO2-AOD correlation over South Asia shows large variations ranging from r = 0.32 to 0.86 in 2008 and 2009, respectively. The highest correlation (r = 0.66) is seen over eastern regions of Bangladesh and India, as well as adjoining areas of western Myanmar mostly linked to anthropogenic activities. A significant correlation (r = 0.59) associated with natural causes is found over some parts of Sistan region, located at the borders of Iran, Pakistan and Afghanistan, and adjoining territory. We find significant positive correlations for monsoon and post-monsoon seasons with r = 0.50 and r = 0.61, respectively. A linear regression on the annual correlation coefficients data suggests that NO2-AOD correlation is strengthening with an increase of 12.9% over South Asia during the study period. The spatial distribution of data slopes reveals positive trends in NO2-AOD correlation over megacities Lahore, Dhaka, Mumbai and Kolkata linked to growing anthropogenic activities. Singrauli city (India) has the highest correlation (r = 0.62) and 35% increase in correlation coefficient value per year. A negative correlation is observed for megacity Karachi (r = -0.37) suggesting the non-commonality of NO2 and aerosols emission sources. AE has also been used to discuss its correlation with NO2 over the areas with dominance of fine-mode aerosols.

  18. Microbial and chemical analysis of illicit drugs samples confiscated from different areas of PakistanMicrobial and chemical analysis of illicit drugs samples confiscated from different areas of Pakistan.

    PubMed

    Hussain, Shahzad; Khattak, Zainab; Mahmood, Sidra; Malik, Farnaz; Riaz, Humayun; Raza, Syed Atif; Khan, Samiullah

    2016-09-01

    The microbial and chemical analysis of illicit drug samples from different areas of Pakistan i.e. Quetta, Karachi, Lahore and Islamabad was conducted in a cross-sectional study at National Institute of Health, Islamabad. The drug samples were confiscated by Anti Narcotics Force (ANF), Pakistan. Microbial analysis was done by estimating bioburden which revealed the presence of gram negative and positive bacteria's, fungus, Streptococcus, Staphylococcus species. Trypton soya agar was used for total aerobic count, MacConkey agar for gram-negative bacteria, Sabouraud dextrose agar for fungus and Vogel-Johnson agar for Streptococcus and Staphylococcus species. Colour tests were applied to identify the drug samples. Qualitative and quantitative analysis of suspected samples of Heroin, morphine, cocaine and acetic anhydride was made by employing different chromatographic techniques i.e. Thin-layer chromatography (TLC) and High-performance liquid chromatography (HPLC). The samples were found to be adulterated with paracetamol, diazepam and Dextromethorphen. Acetic anhydride was adulterated with hydrochloric acid (HCl). There is lack of information providing structured advice on responses to the consequences of illicit drug adulteration. Robust and rehearsed interventions and communication strategies would provide a basis for response for a wide variety of organisations. Research into the usefulness of media warnings about adulteration of illicit drugs is required.

  19. Pakistan-U.S. Relations

    DTIC Science & Technology

    2007-12-04

    determined due to an “inflexible Indian attitude.”43 In a more positive sign, on October 1 trucks carrying tomatoes from India to Pakistan crossed...strong,” and the Islamabad government has made impressive strides in eradicating indigenous opium poppy cultivation . However, opium production spiked in

  20. Pakistan-U.S. Relations

    DTIC Science & Technology

    2008-01-11

    due to an “inflexible Indian attitude.”66 In a more positive sign, on October 1 trucks carrying tomatoes from India to Pakistan crossed the... cultivation . However, opium production spiked in post- Taliban Afghanistan, which is now said to supply 92% of the world’s heroin.138 Elements of

  1. Pakistan-U.S. Relations

    DTIC Science & Technology

    2008-02-22

    tomatoes from India to Pakistan crossed the international border for the first time in 60 years. Mid-October saw mid-level Pakistani and Indian officials...strong,” and the Islamabad government has made impressive strides in eradicating indigenous opium poppy cultivation . However, opium production spiked

  2. 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…

  3. Contribution of BRCA1 and BRCA2 Mutations to Breast and Ovarian Cancer in Pakistan

    PubMed Central

    Liede, Alexander; Malik, Imtiaz A.; Aziz, Zeba; Rios, Patricia de los; Kwan, Elaine; Narod, Steven A.

    2002-01-01

    The population of Pakistan has been reported to have the highest rate of breast cancer of any Asian population (excluding Jews in Israel) and one of the highest rates of ovarian cancer worldwide. To explore the contribution that genetic factors make to these high rates, we have conducted a case-control study of 341 case subjects with breast cancer, 120 case subjects with ovarian cancer, and 200 female control subjects from two major cities of Pakistan (Karachi and Lahore). The prevalence of BRCA1 or BRCA2 mutations among case subjects with breast cancer was 6.7% (95% confidence interval [CI] 4.1%–9.4%), and that among case subjects with ovarian cancer was 15.8% (95% CI 9.2%–22.4%). Mutations of the BRCA1 gene accounted for 84% of the mutations among case subjects with ovarian cancer and 65% of mutations among case subjects with breast cancer. The majority of detected mutations are unique to Pakistan. Five BRCA1 mutations (2080insA, 3889delAG, 4184del4, 4284delAG, and IVS14-1A→G) and one BRCA2 mutation (3337C→T) were found in multiple case subjects and represent candidate founder mutations. The penetrance of deleterious mutations in BRCA1 and BRCA2 is comparable to that of Western populations. The cumulative risk of cancer to age 85 years in female first-degree relatives of BRCA1-mutation–positive case subjects was 48% and was 37% for first-degree relatives of the BRCA2-mutation–positive case subjects. A higher proportion of case subjects with breast cancer than of control subjects were the progeny of first-cousin marriages (odds ratio [OR] 2.1; 95% CI 1.4–3.3; P=.001). The effects of consanguinity were significant for case subjects with early-onset breast cancer (age <40 years) (OR=2.7; 95% CI 1.5–4.9; P=.0008) and case subjects with ovarian cancer (OR=2.4; 95% CI 1.4–4.2; P=.002). These results suggest that recessively inherited genes may contribute to breast and ovarian cancer risk in Pakistan. PMID:12181777

  4. Implementation of a triage score system in an emergency room in Timergara, Pakistan.

    PubMed

    Dalwai, M K; Tayler-Smith, K; Trelles, M; Jemmy, J-P; Maikéré, J; Twomey, M; Wakeel, M; Iqbal, M; Zachariah, R

    2013-03-21

    Following implementation of the South African Triage Scale (SATS) system in the emergency department (ED) at the District Headquarter Hospital in Timergara, Pakistan, we 1) describe the implementation process, and 2) report on how accurately emergency staff used the system. Of the 370 triage forms evaluated, 320 (86%) were completed without errors, resulting in the correct triage priority being assigned. Fifty completed forms displayed errors, but only 16 (4%) resulted in an incorrect triage priority being assigned. This experience shows that the SATS can be implemented successfully and used accurately by nurses in an ED in Pakistan.

  5. Implementation of a triage score system in an emergency room in Timergara, Pakistan

    PubMed Central

    Dalwai, M. K.; Trelles, M.; Jemmy, J-P.; Maikéré, J.; Twomey, M.; Wakeel, M.; Iqbal, M.; Zachariah, R.

    2013-01-01

    Following implementation of the South African Triage Scale (SATS) system in the emergency department (ED) at the District Headquarter Hospital in Timergara, Pakistan, we 1) describe the implementation process, and 2) report on how accurately emergency staff used the system. Of the 370 triage forms evaluated, 320 (86%) were completed without errors, resulting in the correct triage priority being assigned. Fifty completed forms displayed errors, but only 16 (4%) resulted in an incorrect triage priority being assigned. This experience shows that the SATS can be implemented successfully and used accurately by nurses in an ED in Pakistan. PMID:26392995

  6. Satellite image maps of Pakistan

    USGS Publications Warehouse

    ,

    1997-01-01

    Georeferenced Landsat satellite image maps of Pakistan are now being made available for purchase from the U.S. Geological Survey (USGS). The first maps to be released are a series of Multi-Spectral Scanner (MSS) color image maps compiled from Landsat scenes taken before 1979. The Pakistan image maps were originally developed by USGS as an aid for geologic and general terrain mapping in support of the Coal Resource Exploration and Development Program in Pakistan (COALREAP). COALREAP, a cooperative program between the USGS, the United States Agency for International Development, and the Geological Survey of Pakistan, was in effect from 1985 through 1994. The Pakistan MSS image maps (bands 1, 2, and 4) are available as a full-country mosaic of 72 Landsat scenes at a scale of 1:2,000,000, and in 7 regional sheets covering various portions of the entire country at a scale of 1:500,000. The scenes used to compile the maps were selected from imagery available at the Eros Data Center (EDC), Sioux Falls, S. Dak. Where possible, preference was given to cloud-free and snow-free scenes that displayed similar stages of seasonal vegetation development. The data for the MSS scenes were resampled from the original 80-meter resolution to 50-meter picture elements (pixels) and digitally transformed to a geometrically corrected Lambert conformal conic projection. The cubic convolution algorithm was used during rotation and resampling. The 50-meter pixel size allows for such data to be imaged at a scale of 1:250,000 without degradation; for cost and convenience considerations, however, the maps were printed at 1:500,000 scale. The seven regional sheets have been named according to the main province or area covered. The 50-meter data were averaged to 150-meter pixels to generate the country image on a single sheet at 1:2,000,000 scale

  7. 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

  8. New US Policy Options for South Asia

    DTIC Science & Technology

    1991-02-25

    Rev. 8-98) Prescribed by ANSI Std Z39-18 SUMMARY Since Pakistan and india gained independence in the iate i940s, US policies toward South Asla...or nuclear proliferation, For most of the postwar period, the US favored Pakistan over India . Changing international circumstances--the demise of the...Cold War, Soviet withdrawal from Afghanistan, alleviation of superpower rivalry in much of the Third World, and new democratic governments in India

  9. 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

  10. 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

  11. 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

  12. 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%.

  13. Clinical and demographic features of burn injuries in karachi: a six-year experience at the burns centre, civil hospital, Karachi.

    PubMed

    Ali, S A; Hamiz-Ul-Fawwad, S; Al-Ibran, E; Ahmed, G; Saleem, A; Mustafa, D; Hussain, M

    2016-03-31

    Burn injuries are a leading cause of morbidity and mortality, with 195,000 deaths annually. This study was conducted to identify the demographics of burn victims and the effect of different variables on the outcome of their injuries. 4016 patients admitted to the Burns Centre, Civil Hospital Karachi from January 2006 to December 2011 were retrospectively analyzed. Demographics, burn injury details and their outcome were recorded in a pre-designed questionnaire. Injuries were categorized as: fire, chemical, scald or electrical. To estimate total body surface area (TBSA) burned in adults, the rule of nines was used. For children and infants, the Lund-Browder chart was employed. SPSS v16.0 software was used for analysis. Frequencies and percentages of all variables, and the measure of central tendencies and dispersion for continuous variables were calculated. Cross tabs were used to assess mortality. Mean age was 28.13 years. More than half of the cases (n=2337, 58.2%) were aged between 16-30 years. Labourers, housewives and students were the most commonly affected groups. Burn injuries by flame/fire and electricity were most common. Most cases were accidental, followed by suicide attempts and homicides. Mean percentage of TBSA affected was 35.49%. Mean duration of hospital stay was 16.45 days. 50.6% of the expired cases were females. The mean age of expired patients was 30.07 while for patients who survived it was 27.01 years. The outcome of burn injuries is related to various demographic factors. Female gender, increasing age, burn injuries following suicide attempts and greater surface area involvement predict poor outcome.

  14. Clinical and demographic features of burn injuries in karachi: a six-year experience at the burns centre, civil hospital, Karachi

    PubMed Central

    Ali, S.A.; Hamiz-ul-Fawwad, S.; Al-Ibran, E.; Ahmed, G.; Saleem, A.; Mustafa, D.; Hussain, M.

    2016-01-01

    Summary Burn injuries are a leading cause of morbidity and mortality, with 195,000 deaths annually. This study was conducted to identify the demographics of burn victims and the effect of different variables on the outcome of their injuries. 4016 patients admitted to the Burns Centre, Civil Hospital Karachi from January 2006 to December 2011 were retrospectively analyzed. Demographics, burn injury details and their outcome were recorded in a pre-designed questionnaire. Injuries were categorized as: fire, chemical, scald or electrical. To estimate total body surface area (TBSA) burned in adults, the rule of nines was used. For children and infants, the Lund-Browder chart was employed. SPSS v16.0 software was used for analysis. Frequencies and percentages of all variables, and the measure of central tendencies and dispersion for continuous variables were calculated. Cross tabs were used to assess mortality. Mean age was 28.13 years. More than half of the cases (n=2337, 58.2%) were aged between 16-30 years. Labourers, housewives and students were the most commonly affected groups. Burn injuries by flame/fire and electricity were most common. Most cases were accidental, followed by suicide attempts and homicides. Mean percentage of TBSA affected was 35.49%. Mean duration of hospital stay was 16.45 days. 50.6% of the expired cases were females. The mean age of expired patients was 30.07 while for patients who survived it was 27.01 years. The outcome of burn injuries is related to various demographic factors. Female gender, increasing age, burn injuries following suicide attempts and greater surface area involvement predict poor outcome. PMID:27857643

  15. Epidemiology of Transfusion Transmitted Infection among Patients with β-Thalassaemia Major in Pakistan

    PubMed Central

    Ahmed Kiani, Rizwan; Anwar, Muhammad; Asad, Muhammad Javaid; Abbasi, Saleem; Abbas Zaheer, Hasan

    2016-01-01

    Introduction. Transfusion Transmitted Infections (TTIs) continue to be a major risk in transfusions in many parts of the world. The transfusion-dependent β-thalassaemia patients are particularly at risk of acquiring TTIs. The current study was undertaken to estimate the prevalence of TTIs in transfusion-dependent β-thalassaemia patients. Material and Methods. A cross-sectional study of 1253 multitransfused thalassaemia major patients was conducted in five different centres of Islamabad, Rawalpindi, and Karachi. The study subjects were screened for HIV, HCV, and HBV. The screening was performed at two centres: Department of Pathology, Shaheed Zulfiqar Ali Bhutto (SZAB) Medical University, and Blood Transfusion Services, Jinnah Postgraduate Medical Centre, from July to December 2015. The confirmatory screening was performed by Chemiluminescent Immunoassay (CLIA). Results. Out of the 1253 multiple transfused patients, 317 (25.3%) were infected with TTIs. HCV was positive in 273 cases (21.7%), HBV in 38 cases (3.0%), and HIV in 6 cases (0.5%). Conclusion. HCV was the leading TTI in multitransfused thalassaemia major patients in the study. Presence of HIV in thalassaemia patients is a recent disturbing development in Pakistan. Improved regulation of blood banks including use of internationally or nationally evaluated kits will bring down the incidence of TTIs in transfusion-dependent β-thalassaemia patients. More stringent behavioral and serological pretransfusion screening of blood for TTIs must be implemented in blood banks. PMID:27559490

  16. 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.

  17. 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

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

    PubMed

    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.

  19. 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.

  20. Pakistan-U.S. Relations

    DTIC Science & Technology

    2008-05-30

    final status has yet to be determined due to an “inflexible Indian attitude.”139 In a more positive sign in October, trucks carrying tomatoes from...Profits,” Associated Press, April 11, 2007. strides in eradicating indigenous opium poppy cultivation . However, the Department’s most recent...political attention away from Pakistan’s goal of returning to a poppy-free status and Pakistan saw an increase of poppy cultivation in 2007.” It also

  1. Internal Security Threats to Pakistan

    DTIC Science & Technology

    2004-12-01

    because of the personalities of two topmost leaders, M. A. Jinnah and Liaquat Ali Khan. But after the assassination of Liaquat Ali in 1951...APPENDIX H. HEADS OF STATE AND GOVERNMENT, 1947-99 Leader Position1 Term of Office2 Mohammad Ali Jinnah Governor General August 1947-September...affiliations with militant groups are discussed at length. Pakistan came into existence as a moderate and modern nation state under the vision of Jinnah

  2. Pakistan-U.S. Relations

    DTIC Science & Technology

    2008-08-25

    average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed...attacks on the United States, policymakers searched for new means of providing assistance to Pakistan. President Bush’s issuance of a final determination...Trade Division Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to

  3. Pakistan-U.S. Relations

    DTIC Science & Technology

    2008-11-10

    September 2001 terrorist attacks on the United States, policymakers searched for new means of providing assistance to Pakistan. President Bush’s issuance of...0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions... searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send

  4. Somatoform disorders: perspectives from Pakistan.

    PubMed

    Minhas, Fareed A; Nizami, Asad Tamizuddin

    2006-02-01

    Somatoform disorders represent widespread and largely unsolved problems at the border between psychiatry and medicine. Patients with somatoform disorders often present difficult diagnostic and management problems. A series of three community-based epidemiological surveys of rural and urban populations in Pakistan found high prevalence of common mental disorders where the core presentations were somatic complaints. All the three epidemiological surveys used the Bradford Somatic Inventory (BSI), which was developed from symptom reports by psychiatric patients in Pakistan; these enquired about somatic symptoms in the local language, taking into account local cultural idioms of distress. At a conservative estimate, 66% of women and 25% men suffered from anxiety and depressive disorders whereby the complaints predominantly were somatic in nature. People in rural non-Western cultures are not psychologically minded and do not have abstract language or concepts of emotional distress and therefore communicate their emotions somatically. In Pakistan somatoform disorders possess a prominent diagnostic dilemma. The cornerstone of the management is a comprehensive medical, psychiatric and psychosocial evaluation of the patient. Patients with multiple somatic complaints not only present formidable management problems but also often have severe functional impairments that may outweigh those of patients with other so-called severe mental illnesses. Since somatoform disorders are the most common psychiatric disorders to present in non-psychiatric settings, it is important that training about them begin at undergraduate level. It should also be incorporated in the training of a wide variety of non-psychiatric specialists, both medical and non-medical.

  5. English-Teaching Institutions in Pakistan.

    ERIC Educational Resources Information Center

    Rahman, Tariq

    2001-01-01

    Discusses English medium teaching in Pakistan and suggests that at the moment it is an elitist preserve and a stumbling block for Pakistanis not taught through English. Indicates that exposing other students to English could counteract growing cultural and religious intolerance in Pakistan. (Author/VWL)

  6. Pakistan's Education Crisis: The Real Story

    ERIC Educational Resources Information Center

    Naviwala, Nadia

    2016-01-01

    Pakistan suffers from an extensive education crisis. Millions of Pakistani children do not attend school, and those that do must deal with absent teachers and poor learning environments, among other challenges. While this crisis is frequently discussed in Pakistan and beyond, it is often misunderstood. This new Wilson Center report, based on…

  7. 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…

  8. 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…

  9. 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…

  10. 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.…

  11. Health-seeking behavior of Karachi women with reproductive tract infections.

    PubMed

    Bhatti, Lubna Ishaq; Fikree, Fariyal F

    2002-01-01

    To explore the contextual factors influencing health-seeking behavior of women in Karachi regarding reproductive tract infections, 18 women with reproductive tract infections from different clinics and community settings were identified and in-depth interviews were conducted. Physicians in our study diagnosed a woman to have lower reproductive tract infection if she complained of malodorous vaginal discharge with or without perineal itching; and to have pelvic inflammatory disease or upper reproductive tract infection if she had any two of the following complaints: malodorous vaginal discharge, menstrual irregularities, lower abdominal pain or dyspareunia. Women consulted a variety of healthcare providers in their pursuit for treatment, mainly allopathic doctors and hakims. The different treatments prescribed to women ranged from oral and intravaginal medications to various home remedies including refraining from specific foods. Causes of reproductive tract infections reported were "melting bones", consuming foods with perceived hot composition, poor personal hygiene and procedures like dilatation and curettage, delivery and induced abortions. None reported sexually transmitted diseases as the perceived cause of their problem. Interference with religious activities, sexual relationships or socializing was reported as consequences of reproductive tract infections, in addition to lower abdominal pain, menstrual irregularities, backache and kamzori (weakness). Pakistani women seek care for reproductive tract infections and visit a variety of providers, though causes and treatments offered are usually not related to sexually transmitted diseases. We therefore suggest training of healthcare providers for appropriate counseling and that treatment management protocols be advocated.

  12. Progress toward poliomyelitis eradication--Afghanistan and Pakistan, January 2010-September 2011.

    PubMed

    2011-11-11

    Indigenous transmission of wild poliovirus (WPV) has never been interrupted in Afghanistan, Pakistan, India, and Nigeria. Among those countries, Afghanistan and Pakistan represent a common epidemiologic reservoir. This report updates previous reports (1,4) and describes polio eradication activities and progress in Afghanistan and Pakistan during January 2010--September 2011, as of October 31, 2011, and planned activities during 2011--2012 to address challenges to polio eradication. In Afghanistan, WPV transmission during 2010--2011 predominantly occurred in the conflict-affected South Region and the adjacent Farah Province of the West Region. During 2010, 25 WPV cases were confirmed in Afghanistan, compared with 38 in 2009; 42 WPV cases were confirmed during January--September 2011, compared with 19 for the same period in 2010. In Pakistan, WPV transmission during 2010--2011occurred both in conflict-affected, inaccessible areas along the common border with Afghanistan and in accessible areas; 144 WPV cases were confirmed in 2010, compared with 89 in 2009, and 120 WPV cases were confirmed during January--September 2011, compared with 93 during the same period in 2010. In Pakistan, the president launched a National Emergency Action Plan for polio eradication in January 2011, emphasizing the key role and responsibility of political and health-care leaders at the district and subdistrict (union council) levels. Enhanced commitment, management, and oversight by provincial and district authorities will be needed to achieve further progress toward interruption of WPV transmission in Pakistan. Continued efforts also will be needed to enhance the safety of vaccination teams within insecure areas of both countries.

  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

  14. 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

  15. Mapping global biodiversity connections with DNA barcodes: Lepidoptera of Pakistan

    PubMed Central

    Akhtar, Saleem; Rafi, Muhammad Athar; Mansoor, Shahid; Hebert, Paul D. N.

    2017-01-01

    Sequences from the DNA barcode region of the mitochondrial COI gene are an effective tool for specimen identification and for the discovery of new species. The Barcode of Life Data Systems (BOLD) (www.boldsystems.org) currently hosts 4.5 million records from animals which have been assigned to more than 490,000 different Barcode Index Numbers (BINs), which serve as a proxy for species. Because a fourth of these BINs derive from Lepidoptera, BOLD has a strong capability to both identify specimens in this order and to support studies of faunal overlap. DNA barcode sequences were obtained from 4503 moths from 329 sites across Pakistan, specimens that represented 981 BINs from 52 families. Among 379 species with a Linnaean name assignment, all were represented by a single BIN excepting five species that showed a BIN split. Less than half (44%) of the 981 BINs had counterparts in other countries; the remaining BINs were unique to Pakistan. Another 218 BINs of Lepidoptera from Pakistan were coupled with the 981 from this study before being compared with all 116,768 BINs for this order. As expected, faunal overlap was highest with India (21%), Sri Lanka (21%), United Arab Emirates (20%) and with other Asian nations (2.1%), but it was very low with other continents including Africa (0.6%), Europe (1.3%), Australia (0.6%), Oceania (1.0%), North America (0.1%), and South America (0.1%). This study indicates the way in which DNA barcoding facilitates measures of faunal overlap even when taxa have not been assigned to a Linnean species. PMID:28339501

  16. Mixed Salmonella infection: a report of two cases from the Aga Khan University Hospital, Karachi.

    PubMed

    Sultan, Binish Arif; Fasih, Naima; Qaiser, Saba; Khan, Erum; Zafar, Afia; Irfan, Seema

    2013-04-01

    Enteric fever remains a major health problem in the developing world, including Pakistan. Poor sanitation and hygienic conditions are the major predisposing factors. Salmonella infection with different strains in the same patient has rarely been reported previously. We are reporting two cases of bacteraemia with simultaneous detection of two strains of Salmonella in a single episode of infection. In both the cases, 2 different serotypes of Salmonella were causing bacteraemia leading to fever. In highly endemic area, one must be aware of mixed Salmonella infections as inappropriate diagnosis of such infections may lead to treatment failure.

  17. Differences in various biochemical and clinical parameters with respect to family history of Non Communicable Diseases in fourth year MBBS students of Karachi, Pakistan

    PubMed Central

    Basit, Khalid Abdul; Fawwad, Asher; Munir, Muhammad Asadullah; Siddiqui, Iftikhar Ahmed; Siddiqui, Sidra; Basit, Abdul

    2015-01-01

    Objective: To observe the differences of various biochemical and clinical parameters with respect to Family History (FH) of Non-communicable Diseases (NCDs) in fourth year Bachelor of Medicine, Bachelor of Surgery (MBBS) students. Methods: This observational study was conducted at Baqai Institute of Diabetology & Endocrinology from December 2013 to January 2014. Total 50 medical students from Dow University of Health Sciences (DUHS) participated in the study. Statistical Package for Social Sciences (SPSS) version 13 was used to analyze the data. For cross tabulation and mean comparison z-test and t test were applied. Results: Out of 50 subjects, there were 26 (52%) females. Mean age of the study population was 21.56 ± 0.90 years. Mean serum cholesterol levels with positive FH of NCDs was significantly higher than negative FH of NCDs (p=0.005). Mean value of low density lipoprotein (LDL) of positive family history of NCDs was found higher than those with negative FH (p=0.006) being statistically significant. The insulin levels in subjects with positive FH of NCDs were higher than subjects with negative FH of NCDs (p=0.685). However, serum leptin and plasma renin showed no significant difference with the negative FH of NCDs being higher compared to positive FH of NCDs (p=0.068) and (p=0.884) respectively. However, Waist circumference, Body mass index and central obesity in subjects with positive FH of NCDs shows increasing trend but no statistically significant difference (p > 0.05) was observed. Conclusion: In our study of various biochemical and clinical parameters with respect to FH of NCDs, Serum Cholesterol and LDL levels were observed higher and statistically significant. PMID:26430439

  18. Productive and reproductive choices: report of a pilot survey of urban working women in Karachi.

    PubMed

    Kazi, S; Sathar, Z A

    1986-01-01

    The primary objective of the pilot survey of urban working women in Karachi was to collect information on women's productive and reproductive choices within the context of the conditions in their household. A sample of working women in the formal sectors was selected through procurement of lists of personnel from factories, government offices, and so forth. The sample was not chosen systematically. The intention was not only to sample but to identify commonly found occupations among women. The sample of 110 working women included respondents between 19-50 years. 93 of these women were currently married, 6 were separated or divorced, and 11 were widowed. Most of the ethnic groups living in Karachi were represented. The sample includes 3 distinct socioeconomic groups: highly educated women employed in high status jobs with earnings above the average; women of lower middle class backgrounds who work in the formal sector but in lower-status occupations as compared with those of the professional group; and mostly uneducated women who work as low-status workers and whose incomes are meager. More than 70% of the women gave financial pressure as a reason for their entering the labor force. Women for whom the important reason for work was pursuit of a career or job satisfaction were highly educated and employed in high-status, remunerative jobs. Only 20 of the sample of 110 women worked for noneconomic reasons. Of 64 women working as factory workers, domestic servants, and other miscellaneous workers in the informal sector, there were only 2 women working out of choice. Women who worked before marriage comprised nearly 51% of the sample. There was a very strong positive association between work before marriage and level of education and occupation. A much larger percentage of educated women in professional jobs worked before marriage as compared with their uneducated or less educated counterparts. The majority of women in the static, low-income occupations did not work

  19. NASA's IMERG Measures Flooding Rainfall in Pakistan

    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. Damselflies (Zygoptera: Odonata) of Pakistan: Part 1

    PubMed Central

    Zia, Ahmed; Naeem, Muhammad; Rafi, Muhammad Ather; Naz, Falak; Afsheen, Sumera; Ilyas, Muhammad

    2011-01-01

    The present study is an effort to document bio-geographical distribution for Zygoptera of Pakistan. Damselflies were collected throughout the country and territory of Azad Jammu and Kashmir during 2004–2009. A total of 2692 specimens were collected yielding 9 families, 21 genera, and 48 species and subspecies. Three of these species, Libellago lineata lineata (Burmeister), Elattoneura atkinsoni (Selys), and Elattoneura souteri (Fraser), are recorded for the first time from Pakistan. Distribution, habitats, previous records, and Zoogeographic affiliation for all collected taxa are discussed. Help was also taken from published literature on Zygoptera of Pakistan, and specimens housed at National Insect Museum were also studied. In total, 53 species are accounted for providing an updated record for all modern taxa of damselfly fauna of Pakistan. PMID:22221175

  1. Adopting Cloud Computing in the Pakistan Navy

    DTIC Science & Technology

    2015-06-01

    ABSTRACT (maximum 200 words) Pakistan’s proximity to the Strait of Hormuz, through which millions of barrels of oil is shipped per day, makes it a...As a flag bearer of protecting the country’s sea lines of communication and safeguarding its maritime territories, the Pakistan Navy is in the...information from anywhere around the globe. This thesis explores the peculiarities of cloud computing and its potential utility to the Pakistan Navy. After

  2. India and Pakistan Civil-Military Relations

    DTIC Science & Technology

    2015-05-21

    India and Pakistan Civil -Military Relations A Monograph by MAJ Brent Williams United States Army School of Advanced...2015 2. REPORT TYPE Master’s Thesis 3. DATES COVERED (From - To) JUN 2014 – MAY 2015 4. TITLE AND SUBTITLE India and Pakistan Civil Military...explains civil -military relationships throughout a wide range of interactions between a society and the society’s military. The monograph uses this

  3. 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

  4. An Ethnolinguistic and Genetic Perspective on the Origins of the Dravidian-Speaking Brahui in Pakistan

    PubMed Central

    Pagani, Luca; Colonna, Vincenza; Tyler-Smith, Chris; Ayub, Qasim

    2017-01-01

    Pakistan is a part of South Asia that modern humans encountered soon after they left Africa ~50 – 70,000 years ago. Approximately 9,000 years ago they began establishing cities that eventually expanded to represent the Harappan culture, rivalling the early city states of Mesopotamia. The modern state constitutes the north western land mass of the Indian sub-continent and is now the abode of almost 200 million humans representing many ethnicities and linguistic groups. Studies utilising autosomal, Y chromosomal and mitochondrial DNA markers in selected Pakistani populations revealed a mixture of Western Eurasian-, South- and East Asian-specific lineages, some of which were unequivocally associated with past migrations. Overall in Pakistan, genetic relationships are generally predicted more accurately by geographic proximity than linguistic origin. The Dravidian-speaking Brahui population are a prime example of this. They currently reside in south-western Pakistan, surrounded by Indo-Europeans speakers with whom they share a common genetic origin. In contrast, the Hazara share the highest affinity with East Asians, despite their Indo-European linguistic affiliation. In this report we reexamine the genetic origins of the Brahuis, and compare them with diverse populations from India, including several Dravidian-speaking groups, and present a genetic perspective on ethnolinguistic groups in present-day Pakistan. Given the high affinity of Brahui to the other Indo-European Pakistani populations and the absence of population admixture with any of the examined Indian Dravidian groups, we conclude that Brahui are an example of cultural (linguistic) retention following a major population replacement. PMID:28381901

  5. Crimean-Congo hemorrhagic fever nosocomial infection in a immunosuppressed patient, Pakistan: case report and virological investigation.

    PubMed

    Hasan, Zahra; Mahmood, Faisal; Jamil, Bushra; Atkinson, Barry; Mohammed, Murtaza; Samreen, Azra; Altaf, Lamia; Moatter, Tariq; Hewson, Roger

    2013-03-01

    Crimean-Congo hemorrhagic fever (CCHF) is endemic in the Baluchistan province, Pakistan. Sporadic outbreaks of CCHF occur throughout the year especially in individuals in contact with infected livestock. Nosocomial transmission remains a risk due to difficulties in the diagnosis of CCHF and limited availability of facilities for the isolation of suspected patients. Rapid diagnosis of CCHF virus infection is required for early management of the disease and to prevent transmission. This study describes the case of a 43-year-old surgeon who contracted CCHF during a surgical procedure in Quetta, Baluchistan and who was transferred to a tertiary care facility at the Aga Khan University Hospital, Karachi within 1 week of contracting the infection. Diagnosis of CCHF was made using a rapid real-time reverse transcription polymerase chain reaction (RT-PCR) assay for CCHF viral RNA. The patient had chronic hepatitis B and hepatitis D infection for which he had previously received a liver transplant. He proceeded to develop classic hemorrhagic manifestations and succumbed to the infection 14 days post-onset of disease. There was no further nosocomial transmission of the CCHF during the hospital treatment of the surgeon. Early diagnosis of CCHF enables rapid engagement of appropriate isolation, barrier nursing and infection control measures thus preventing nosocomial transmission of the virus.

  6. 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).

  7. Framingham risk score in impaired glucose tolerant population: A sub analysis of Diabetes Prevention and Awareness Program of Pakistan

    PubMed Central

    Fawwad, Asher; Moin, Hassan; Siddiqui, Iftikhar Ahmed; Hydrie, Muhammad Zafar Iqbal; Basit, Abdul

    2016-01-01

    Objective: To assess the 10-year risk of coronary artery disease (CAD) in subjects with impaired glucose tolerance (IGT) using Framingham risk score. Methods: Data for this study was collected from Diabetes Prevention and Awareness Program. Primary prevention team visited different primary health care centers, factories, service organizations and offices within Karachi, Pakistan. IGT was diagnosed according to World Health Organization criteria after taking informed consent. Information regarding social-demography, dietary habits and physical activities were obtained by a designed questionnaire on one-to-one based interview. Framingham risk score (FRS) was used to assess risk of developing CAD. Results: A total of 315 subjects with IGT were recruited for the study. Mean age of subjects was 44.1 ± 9.8 years and mean BMI was 27.3 ± 5.0 kg/m2. Overall, 31.4% of the participants were at risk of having CAD. Males were 6.4 times and hypertensive subjects were 2.44 times more likely to have CAD in next 10 years. Conclusion: According to the findings of the study, male and hypertensive IGT subjects were more likely to develop CAD in next 10 years. Community based awareness programs are needed to educate people regarding healthy lifestyle in order to reduce the risk of IGT and CAD. PMID:27882006

  8. 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

  9. Institution-based cancer incidence in a local population in Pakistan: nine year data analysis.

    PubMed

    Hanif, Muhammad; Zaidi, Parveen; Kamal, Shahid; Hameed, Abid

    2009-01-01

    At present no national level of cancer registry program exists in Pakistan and the data available from different sources, necessary for incidence, prevalence, morbidity/mortality, and etiological assessment of cancer and cancer control programs, are from hospital or institutional databases. Karachi Institute of Radiotherapy and Nuclear Medicine (KIRAN) is a comprehensive healthcare facility for diagnosis, treatment and research of all cancers. This is a retrospective analysis of the cancer patients of both genders of all age groups to determine frequencies of different cancers presented to this Institute from 1st January 2000 to 31 December 2008. A total of 16,351 cancer patients were registered at KIRAN during the nine year period. Male cancers accounted for 48.1% and female cancers 51.8%. Some 558 (3.4%) were in children (0-15 years). The mean ages at presentation for males and females were 50-/+9.6 and 47-/+7.4 years respectively. In males the five most frequent malignancies were head and neck (32.6%), lung (15%), gastrointestinal tract (GIT) (6.9%), lymphoma (6.1%), and bone and soft tissue (4.9%). In females breast cancer was the most common cancer accounting for 38.2% followed by head and neck (15.1%), cervical (5.5%), ovarian (4.9%) and GIT cancer (4.9%) respectively. Cancer prevalence in different age groups with respect to gender and the epidemiologies of most common cancers with reference to our cultural and environmental factors and dietary habits are also discussed. Overall cancer incidence in nine years in this tertiary care cancer institution showed that head and neck cancers in males and breast cancers in females are most common, at rates almost highest in Asia. Mean age and male to female ratio in all other cancers are essentially comparable to other developing countries.

  10. Monitoring health implications of pesticide exposure in factory workers in Pakistan.

    PubMed

    Khan, Dilshad Ahmed; Hashmi, Imran; Mahjabeen, Wajiha; Naqvi, Tatheer A

    2010-09-01

    The study aimed to determine the hazardous health effects of pesticides exposure in the factory workers by measuring plasma cholinesterase (PChE), pesticides residues, and renal and hepatic biochemical markers. In addition, we also assessed the knowledge, attitudes, and safety practices adopted by the industrial workers. The study was conducted in three different sizes of factories located in Lahore (large), Multan (medium), and Karachi (small) in Pakistan. Total 238 adult males consisting of 184 pesticide industrial workers (exposed group) from large-sized (67), medium-sized (61), small-sized (56) industrial formulation factories, and 54 controls (unexposed) were included in the study. All the participants were male of aged 18 to 58 years. PChE levels were estimated by Ellmann's method. Plasma pesticides residue analysis was performed by using reverse phase C-18 on high-performance liquid chromatograph and GC with NPD detector. Plasma alanine aminotransferase (ALT), aspartate aminotransferase (AST), creatinine, urea, and gamma glutamyltransferase (GGT) were measured on Selectra E auto analyzer. Plasma and C-reactive protein was analyzed by Immulite 1000. The results revealed a significant decrease in plasma post exposure PChE levels (<30%) as compared to baseline in the workers of small (29%) and medium (8%) industrial units (p < 0.001). Plasma cypermethrin, endosulfan, imidacloprid, thiodicarb, carbofuran, and methamidophos levels were found to be higher than allowable daily intake. Serum AST, ALT, creatinine GGT, malondialdehyde, total antioxidant, and CRP were significantly raised among the workers of small and medium pesticide formulation factories as compared to large industrial unit and controls (p < 0.001). The study demonstrated that unsafe practices among small- and medium-sized pesticides industrial workers cause significant increase in pesticide exposure, oxidative stress, and derangement of hepatic and renal function.

  11. Son preference, fertility desire and contraceptive use in two largest cities of Pakistan.

    PubMed

    Farooqui, M N

    1990-01-01

    The preference for sons in deeprooted in Pakistan and the growth rate is 3.1%/year, which has long term implications for the Population Welfare Program. In this study, the relationship between living sons and contraceptive use is examined among 1243 currently married industrial workers and 307 control group workers from 13 sample industries in Karachi and Lahore, Pakistan. The Family Welfare Education for Workers' Project has been operating in these industries. Questions were asked about the number of living children by sex, desired number of children by sex, and ideal family size by sex. The ideal number of children was 4 (3.7) with an average of 2.2 sons and 1.5 daughters, which indicates son preference. Average desired children (living plus additional wanted) is 5.0 (4.7) with an average of 2.6 for sons and 2.1 for daughters. All workers with an ideal of 1 wanted a son. 90% of those wanting an ideal of 2 children desired 1 son and 1 daughter. 95% with an ideal of 3 children wanted 2 sons and 1 daughter. 83% with an ideal of 4 children desired 2 sons and 2 daughters, and 16% wanted 3 sons and 1 daughter. 85% with an ideal of 5 children wanted 3 sons and 2 daughters. Further evidence for son preference occurs with total desired number of children; i.e., 79% of those desiring 2 children preferred 1 of each sex, and 21%, 2 sons. This pattern was repeated for each increase in child desired. The desire for children was also examined in terms of existing children. Workers who have more sons were less likely to desire another child; however, those with 2 living daughters desired 1.63 more children and those with 1 of each desired .85 more children. Those with 2 sons desired .67 more children. The number of additional children desired decreases with the increasing number of living children, and with increasing numbers of living sons. Desiring no more children tends to increase with an increase in number of living children, and with an increase in the number of living

  12. 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

  13. The United States in Pakistan: Toward a More Unified Effort

    DTIC Science & Technology

    2012-05-25

    Rashid, Pakistan on the Brink: The Future of America, Pakistan and Afghanistan. (Viking Press, 2012). 14 Stephen D . Krasner , ―Talking Tough to...39 ―America and Pakistan: Sorry Story,‖ The Economist, December 22, 2011. 40 Stephen D . Krasner , ―Talking Tough to Pakistan,‖ Foreign Affairs, Jan...pomed-notes-cap-8-12-09.pdf 43 Stephen D . Krasner , ―Talking Tough to Pakistan,‖ Foreign Affairs, Jan/Feb 2012, 90-93. 44 K. Alan Kronstadt

  14. Comparative Analysis of Seasonal Variation in Tropospheric Nitrogen Dioxide over Pakistan and Saudi Arabia

    NASA Astrophysics Data System (ADS)

    Fahim Khokhar, Muhammad; Wagner, Thomas; Jamil, Mohsin

    2016-07-01

    In this study, spatial and temporal distributions of tropospheric NO2 vertical column densities over Pakistan and Saudi Arabia during the time period of 2004-2015 are discussed. Data products from the satellite instrument OMI are used. The results show a large NO2 growth over major cities of both countries, particularly the areas with rapid urbanization. Different seasonal cycles were observed over both countries. Especially, seasonal variation in tropospheric NO2 over Pakistan is largely impacted by the photolysis rate, OH radical and monsoon rains in addition to soil emissions, agriculture fires and other anthropogenic activities. While in the case of Saudi Arabia, the seasonal variation in tropospheric NO2 is completely driven by thermal power generation. Furthermore, different regions of Pakistan exhibited different seasonal trends. In the provinces of Punjab (north-east), Khyber Paktunkhwa (north-west) and Sindh (south-east), NO2 columns are maximum in winter and minimum in summer months while a reversed seasonality was observed in the province of Baluchistan (south-west). We compared the observed Spatio-temporal patterns to existing emission inventories and found that for the most populated provinces the NOx emissions are clearly dominated by anthropogenic sources. In these areas also the strongest positive trends were observed. NOx released from soils and produced by lightning both together contribute about 20% for the provinces of Punjab, Sindh, and Khyber Pakhtunkhwa, while its contribution in Baluchistan is much stronger (~50%). NOx emissions from biomass burning are negligible. This finding can also explain the observed summer maximum in Baluchistan since the highest lightning activity occurs during the Monsoon season. Our comparison also indicates that the inventories of anthropogenic NOx emissions over Pakistan seem to underestimate the true emissions by about a factor of two.

  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.

  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

  18. 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…

  19. Perspectives from Fragile Crescent: A South Asia Crisis Simulation

    DTIC Science & Technology

    2009-02-24

    World War II. Instability in Afghanistan and Pakistan has propelled South Asia to the top of a U.S. national security agenda already crowded with a...a South Asia crisis simulation exercise. The exercise posed a number of hypothetical scenarios intend- ed to stimulate thinking about current and...future challenges in South Asia . The Institute for National Strategic Studies (INSS) Center for Applied Strategic Learning at NDU devel- oped the

  20. 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.

  1. 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…

  2. Pakistan: Key Current Issues and Developments

    DTIC Science & Technology

    2010-06-01

    significant damper on commerce and everyday activities, causing factory shutdowns and rioting by mobs angry with price hikes and shortages. A 2009 survey...presidency (58%) than Zardari (17%) (see http://www.iri.org/news-events- press-center/news/ iri -releases-survey-pakistan-public-opinion). 292 Some

  3. 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.

  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. BCG-vaccination programme in Pakistan

    PubMed Central

    Roelsgaard, Erik; Christensen, Hans; Iversen, Erik

    1957-01-01

    The authors outline the development and organization of the BCG-vaccination campaign that was launched in August 1949 by the Government of Pakistan, with assistance from the International Tuberculosis Campaign. They present some statistical data on the work done up to the end of December 1954 and briefly discuss the pattern of tuberculin sensitivity found in various parts of the country. PMID:13489463

  6. The hawkmoth fauna of Pakistan (Lepidoptera: Sphingidae).

    PubMed

    Rafi, Muhammad Ather; Sultan, Amir; Kitching, Ian J; Pittaway, Anthony R; Markhasiov, Maxim; Khan, Muhammad Rafique; Naz, Falak

    2014-05-07

    This study represents the first complete modern account of the Sphingidae of Pakistan and takes the form of an annotated checklist, based on several national collections and those of a number of individuals. Of the 60 species and subspecies found, 14 are new records to the fauna of Pakistan, namely Agnosia orneus, Langia zenzeroides subsp. zenzeroides, Polyptychus trilineatus subsp. trilineatus, Dolbina inexacta, Ambulyx sericeipennis subsp. sericeipennis, Thamnoecha uniformis, Macroglossum belis, Macroglossum stellatarum, Cechetra scotti, Hippotion boerhaviae, Hyles euphorbiae subsp. euphorbiae, Rhagastis olivacea, Rethera brandti subsp. euteles and Theretra latreillii subsp. lucasii. Anambulyx elwesi subsp. kitchingi and Clanis deucalion subsp. thomaswitti are not recognised as valid subspecies and are synonymized with their respective nominotypical subspecies. An additional list is given of 30 taxa which may yet be found in Pakistan as they are present in neighbouring countries close to the border. Of the species/subspecies found, 24 are part of the Palaearctic fauna, 27 are part of the Oriental fauna and nine are Palaeo-Oriental/Palaeotropical. This reconfirms the transitional biogeographical position of the Pakistan fauna.

  7. 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

  8. Aid cutoff threatens condom program in Pakistan.

    PubMed

    Barron, T

    1991-01-01

    The Pressler Amendment, a law prohibiting US assistance to any country that does not sign the UN Nuclear Nonproliferation Treaty, is forcing USAID to shut down its highly successful Social Marketing of Contraceptives (SMC) program in Pakistan. Adopted in 1985, the amendment calls for an end of funding for projects in Pakistan as of fiscal year 1991, since the country has refused to sign the treaty. Only previously committed funds have kept SMC running, but it may soon have a close shop. The cutoff comes at an especially inopportune time--just when SMC had begun to make an impact. Introduced 5 years ago, Sathi condoms (the project's main product) account for 2/3 of all condoms used in Pakistan. Sales jumped from 30 million in 1978 to 74 million last year. SMC administrators explain that the country has a vast potential for social marketing. But because of the cutoff in aid, the program will exhaust its supply of condoms by March 1992. The end of the SMC program will mean a serious setback for Pakistan, which already has the 2nd largest population in southern Asia, and which has double the fertility of the most populous country in the region, India. Only 7% of the women in Pakistan rely on a modern method of contraception, compared to 42% in India and 26% in Bangladesh. USAID officials explain that the organization is working with the Pakistani government to find ways to continue funding the program after US funds run out. They add that this development will provide Pakistani Prime Minister Nawaz Sharif an opportunity to demonstrate his stated commitment to curb population growth.

  9. Molecular characterisation of foot-and-mouth disease viruses from Pakistan, 2005-2008.

    PubMed

    Waheed, U; Parida, S; Khan, Q M; Hussain, M; Ebert, K; Wadsworth, J; Reid, S M; Hutchings, G H; Mahapatra, M; King, D P; Paton, D J; Knowles, N J

    2011-04-01

    Foot-and-mouth disease (FMD), an economically important disease of cloven-hoofed animals, is endemic in Pakistan where three virus serotypes are present (O, A and Asia 1). Fifty-eight clinical samples collected between 2005 and 2008 from animals with suspected FMD in various locations in Pakistan were subjected to virus isolation on primary cell culture, antigen ELISA and real-time RT-PCR (rRT-PCR). Viruses were isolated from 32 of these samples and identified as FMDV type O (n = 31) or type A (n = 1). Foot-and-mouth disease virus (FMDV) genome was detected in a further 11 samples by real-time RT-PCR. Phylogenetic analyses of the VP1 nucleotide sequences showed that all of the type O viruses belonged to the MIDDLE EAST-SOUTH ASIA topotype with the majority belonging to the PanAsia-2 lineage; a single example of the older PanAsia lineage was identified. The single FMDV type A virus belonged to the ASIA topotype, but did not cluster with known strains that are currently circulating (such as Iran-05) and was not closely related to other type A viruses from the region. These findings demonstrate the widespread distribution of O-PanAsia-2 in Pakistan and the presence of undisclosed novel type A lineages in the region.

  10. JPRS Report, Near East and South Asia: Pakistan.

    DTIC Science & Technology

    2007-11-02

    people fear they’re besieged by mixture of cultures , at the base of which is a thick cluster disaster, with their political, economic and social struc- of...23 Missile Technology Transfer [NA WA-I- WAQT 3 Sep] ............................................................ 23 F-7 Planes Purchased ...Unrealistic [THE MUSLIM 8 Oct] ......................................... 80 SOCIAL Social System Said Degenerating [DAWN 12 Sep

  11. Potential fluoride contamination in the drinking water of Naranji area, NorthWest Frontier Province, Pakistan.

    PubMed

    Shah, Mohammad Tahir; Danishwar, Shuhab

    2003-12-01

    The drinking water of Naranji village and surrounding areas of the NorthWest Frontier Province (NWFP), Pakistan, was analyzed for its fluoride content. The fluoride content of water samples from the springs in the Naranji village goes up to 13.52 mg kg(-1), which exceeds the permissible limit (1.5 mg kg(-1)) set by the World Health Organization (WHO). This study explores the source of fluoride contamination and attributes it to the alkaline rocks of the Ambela granitic complex and the Koga complex. The low-lying areas towards the south have a fluoride content within the permissible limit. The Naranji area therefore needs urgent remedial measures.

  12. 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

  13. A Questionnaire-Based Survey of Physical Medicine and Rehabilitation Residency Training in Pakistan

    PubMed Central

    Butt, Aamir W; Soomro, Nabila; Akhtar, Noreen

    2017-01-01

    Pakistan is one of the three countries in South East Asia that has an active postgraduate physical medicine and rehabilitation (PM&R) training program. College of Physicians and Surgeons Pakistan (CPSP) offers a four-year structured training program in PM&R. It consists of clinical teaching, lectures, rotations in other specialties, and writing a research dissertation. The aim of this survey was to provide an objective analysis of the current PM&R training program, including the facilities available for training, the participation of residents in academic activities, and their participation in different PM&R procedures. Hospital ethics committee approval was obtained. The questionnaire had sections on informed consent; basic demographics; the different components of residency training; and self-assessement of competence in different procedural skills. It was approved by the dean of PM&R at CPSP. There are six accredited training centers in Pakistan. Twelve residents are undergoing residency training at four different centers (Dec 2015). Key persons were nominated at each center to facilitate data collection. All residents (100% response rate) completed the survey. Almost all had read the CPSP training manual. Most had submitted the research dissertation. Training facilities varied across different centers, with the military center being the best equipped. The self-assessed competence of residents in different PM&R procedures varied among different centers, but overall it conformed to the competency levels specified in the training manual. Overall PM&R residency training in Pakistan is satisfactory, but there is a need to strengthen the weak areas and standardize the training across all centers in the country. PMID:28286724

  14. 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.

  15. A Questionnaire-Based Survey of Physical Medicine and Rehabilitation Residency Training in Pakistan.

    PubMed

    Rathore, Farooq A; Butt, Aamir W; Soomro, Nabila; Akhtar, Noreen

    2017-01-31

    Pakistan is one of the three countries in South East Asia that has an active postgraduate physical medicine and rehabilitation (PM&R) training program. College of Physicians and Surgeons Pakistan (CPSP) offers a four-year structured training program in PM&R. It consists of clinical teaching, lectures, rotations in other specialties, and writing a research dissertation. The aim of this survey was to provide an objective analysis of the current PM&R training program, including the facilities available for training, the participation of residents in academic activities, and their participation in different PM&R procedures. Hospital ethics committee approval was obtained. The questionnaire had sections on informed consent; basic demographics; the different components of residency training; and self-assessement of competence in different procedural skills. It was approved by the dean of PM&R at CPSP. There are six accredited training centers in Pakistan. Twelve residents are undergoing residency training at four different centers (Dec 2015). Key persons were nominated at each center to facilitate data collection. All residents (100% response rate) completed the survey. Almost all had read the CPSP training manual. Most had submitted the research dissertation. Training facilities varied across different centers, with the military center being the best equipped. The self-assessed competence of residents in different PM&R procedures varied among different centers, but overall it conformed to the competency levels specified in the training manual. Overall PM&R residency training in Pakistan is satisfactory, but there is a need to strengthen the weak areas and standardize the training across all centers in the country.

  16. Effective and Efficient Training and Advising in Pakistan

    DTIC Science & Technology

    2010-06-01

    1 Peter Bergen, “Pakistan Drone War Takes a Toll on Militants—and Civilians,” CNN: Opinion (2009), http://edition.cnn.com/2009/OPINION/10/29...TRACING THE PROBLEM In the wider context of post-World War II decolonization, Pakistan, which gained its independence in 1947 and declared itself an...campaign to tailor counterinsurgency for the FATA, an improved FC would stand a much 13 Al Jazeera, "Pakistan’s War : On the Frontline

  17. 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

  18. Risk factors and prevalence of tuberculosis, human immunodeficiency virus, syphilis, hepatitis B virus, and hepatitis C virus among prisoners in Pakistan

    PubMed Central

    Kazi, Abdul M.; Shah, Sharaf A.; Jenkins, Cathy A.; Shepherd, Bryan E.; Vermund, Sten H.

    2010-01-01

    Background We evaluated the burden of sexual- or injection drug use (IDU)-related infections in male prisoners in Karachi, Pakistan. Methods We administered a structured questionnaire in a cross-sectional survey of 365 randomly selected imprisoned men. We analyzed blood for human immunodeficiency virus (HIV) and Hepatitis B and C by ELISA, and for syphilis by rapid plasma reagin and Treponema pallidum hemagglutination assay confirmation. Subjects with possible tuberculosis (WHO criteria) provided sputum samples for an acid fast bacillus smear and culture. Results Prevalence of tuberculosis was 2.2% (95%CI: 0.71, 3.8). HIV infected 2.0% (95%CI: 0.55, 3.4) of 357 randomly selected prisoners (8 refused to give blood), with confirmed syphilis in 8.9% (95%CI: 6.0, 11.8), hepatitis B virus in 5.9% (95%CI: 3.5, 8.3), and hepatitis C virus in 15.2% (95%CI: 11.7, 18.8). By self-report, 59.0% had used any illicit drugs, among whom 11.8% (95%CI: 8.5, 15.0) had injected drugs. The median length of stay in the prison had been 3.2 (range 1-72) months. Conclusions All four infections were prevalent among the prisoners in Pakistan. Prisons are excellent venues for infectious disease screening and intervention given conditions of poverty and drug addiction. Collaboration with community-based health providers is vital for post-discharge planning. PMID:20189863

  19. 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

  20. 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.

  1. 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

  2. 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

  3. Drifting continents and endemic goitre in northern Pakistan.

    PubMed

    Stewart, A G

    1990-06-09

    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.

  4. Long term changes of tropospheric Nitrogen Dioxide over Pakistan derived from Ozone Monitoring Instrument (OMI) during the time period of October 2004 to December 2014

    NASA Astrophysics Data System (ADS)

    Murtaza, Rabbia; Fahim Khokhar, Muhammad

    2016-07-01

    Urban air pollution is causing huge number of diseases and deaths annually. Nitrogen dioxide is an important component of urban air pollution and a precursor to particulate matter, ground level ozone, and acid rain. The satellite based measurements of nitrogen dioxide from Ozone Monitoring Instrument (OMI) can help in analyzing spatio temporal variability in ground level concentrations within a large urban area. In this study, the spatial and temporal distributions of tropospheric nitrogen dioxide Vertical Column Densities (VCDs) over Pakistan are presented from 2004 to 2014. The results showed that the winter season is having high nitrogen dioxide levels as compared to summers. The increase can be attributed to the anthropogenic activities especially thermal power generation and traffic count. Punjab is one of the major provinces with high nitrogen dioxide levels followed by Sindh, Khyber Pakhtunkhwa and Balochistan. Six hotspots have been examined in the present study such as Lahore, Islamabad, Karachi, Faisalabad, Okara and Multan. Emissions of nitrogen compounds from thermal power plants and transportation sector represent a significant fraction of the total nitrogen dioxide emissions to the atmosphere.

  5. 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

    2014-10-12

    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.

  6. 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…

  7. 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.

  8. Pakistan: Ascending a Path through Regional Turmoil

    DTIC Science & Technology

    2013-03-01

    paper are those of the author and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the U.S...student academic research paper are those of the author and do not reflect the official policy or position of the Department of the Army, Department of...particular. Driven in large measure by the global war on terrorism, Pakistan finds itself at a strategic crossroads facing a growing threat from violent

  9. 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.

  10. Militancy in Pakistan: Rebottling the Genie

    DTIC Science & Technology

    2013-03-01

    North America, Europe , Asia, Africa, and the Middle East - including the United States.”6 This paper argues that Pakistan can overcome this problem...gross domestic product (GDP) devoted to education has kept literacy rates as low as 54.9 percent.54 Lack of public education facilities in the FATA...full cooperation to the victim country. Visa and immigrations rules must be reviewed to curtail the traveling of suspected militants. Convince the

  11. Pakistan’s Domestic Political Developments

    DTIC Science & Technology

    2005-09-19

    two parliamentary seats in the 1993 and 1997 elections). Notable Leaders of Pakistan Governor-General Mohammed Ali Jinnah 1947-1948 Prime Minister...Nation) Muhammed Ali Jinnah and his lieutenant, Liaquat Ali Khan, the PML was weakened upon their premature deaths in 1948 and 1951 ( Jinnah by natural...Liaquat Ali Khan 1947-1951 President Iskandar Ali Mirza 1955-1958 President-General Mohammed Ayub Khan 1958-1969 President-General Mohammed Yahya Khan

  12. 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.

  13. Radio and distance learning in Pakistan.

    PubMed

    Abbas, R

    1987-01-01

    Radio is a powerful communication vehicle in Pakistan able to reach 3/4 of urban and 2/3 of rural households. Until 1974, most radio broadcasts of the Pakistan Broadcasting Corporation, a state monopoly, were in the categories of music, drama, and features; news and current affairs; and religious broadcasts. The Allama Iqbal Open University (AIOU), a distance learning educational institution, was established through an act of the Pakistan Parliament in 1974 and is the only institution in the country to use radio broadcasts for its curriculum. Also established in 1974 within the AIOU was the Institute of Educational Technology (IET). The IET channels the transmission and flow of well-designed educational messages and lessons from the teachers to the students by employing distance teaching methodology that seeks to reinforce students' weekly lessons. IET closely integrates its activities within the University's academic departments. IET staff members not only participate in the development of course curriculum and syllabi, but also help to identify course content needing reinforcement through radio. While the teachers at AIOU convert the course curricula into distance-learning self-study activity-oriented correspondence texts, IET producers transcribe these scripts into actual production scripts. Feedback from students and findings of the University's Research and Statistical Cell are used to make revisions in the scripts. The AIOU enrolls an average of 100,000 students each year. Expansion is being limited only by the costs of purchasing time from the Pakistan Broadcasting Corporation (Rs 2000 for a 15-minute lesson) and the availability of appropriate time slots.

  14. 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

  15. Crimean-Congo hemorrhagic fever in Pakistan.

    PubMed

    Rai, Mohammad A; Khanani, Mohammad R; Warraich, Haider J; Hayat, Abbas; Ali, Syed H

    2008-06-01

    Crimean-Congo virus, the causative agent of Crimean-Congo Virus Fever (CCVF) is endemic in Pakistan. Cases are documented sporadically ever year, mostly at and around the time of Eid-ul-Adha, an Islamic festival, celebrated on day 10 through 13 of the 12th month of each lunar calendar year. At this time of the year in Pakistan, livestock are brought down to the urban areas from the rural parts of the country. Animals are housed in open spaces and private houses until they are slaughtered during the 3 days of Eid-ul-Adha. This allows the CCHF virus, which is carried by a tick that inhabits the animal hide, to be transmitted through unprotected contact with live animals as well as through contact with animal blood subsequent to its slaughter. In this report, a typical case of CCVF is described that was encountered in Rawalpindi, Pakistan. A number of issues pertaining to the management of recurrent outbreaks of CCVF in the country are discussed.

  16. 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.

  17. 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.

  18. Growing burden of stroke in Pakistan: a review of progress and limitations.

    PubMed

    Hashmi, Mubashirah; Khan, Maria; Wasay, Mohammad

    2013-10-01

    Stroke rates in middle-aged people are five to ten times higher in Pakistan, India, Russia, China, and Brazil, compared with the United Kingdom or United States. South Asia is home to 20% of the world's population and has one of the highest burdens of cardiovascular disease in the world. With an aging population, there is an expected increase in the number of stroke cases and a corresponding increase in the burden of stroke in developing countries including South Asian countries like Pakistan. Limited data from prior studies in developing countries indicate that stroke epidemiology differs between these and Western countries. These differences include a higher incidence of stroke at younger ages, a higher prevalence of hemorrhagic stroke, and higher age-specific prevalence rates of stroke in women. The reasons for these differences in stroke epidemiology in developing countries are not clear. This may be explained by higher prevalence of established stroke risk factors, or potential nontraditional risk factors such as water pipe smoking, use of daldaghee or naswaar, and paan chewing; hepatitis and rheumatic heart disease may also contribute to these differences. Acute and long-term stroke treatment has shown limited progress in Pakistan like other developing countries because of poor awareness of patients and general physician on stroke symptomatology, management of stroke risk factors, lack of specialized stroke units in the country, very low utilization of thrombolytic therapy because of financial constraints and, above all, poor knowledge of physicians on the role of rehabilitation and its different aspects in the management of post stroke disability.

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

    PubMed

    Ali, Madiha; Asim, Hamna; Edhi, Ahmed Iqbal; Hashmi, Muhammad Daniya; 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.

  20. 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

  1. 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

  2. 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

  3. Promoting Primary Education for Girls in Pakistan. CDIE Impact Evaluation.

    ERIC Educational Resources Information Center

    Agency for International Development (IDCA), Washington, DC.

    This report details a field study to evaluate the efforts of Pakistan's Primary Education Development Program (PED) to improve the access, equity, and quality of primary education in Pakistan, especially for rural girls. A 3-week visit was conducted in 1997 by a team from the United States Agency for International Development (USAID) Center for…

  4. 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'…

  5. 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

  6. 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…

  7. What Drives Pakistan’s Interest in Afghanistan?

    DTIC Science & Technology

    2011-05-19

    Asian markets . 40 Ibid, 52-53. 41 Ahmed Rashid, Taliban: Militant Islam, Oil and...complex challenges in this volatile region, an observer must not only analyze Pakistan but also their historical relationship with Afghanistan to...analyze Pakistan but its relationship with Afghanistan to understand Pakistani motivations and concerns within this volatile region of the world

  8. Deconstructive Pedagogy and Ideological Demystification in Post-Colonial Pakistan

    ERIC Educational Resources Information Center

    Mansoor, Asma; Malik, Samina

    2016-01-01

    With post-colonial Pakistan inheriting the British colonial ideological and governmental apparatus, the English literature curriculum implemented at the university level in Pakistan carried the interpellatory baggage of its colonial past. Our interdisciplinary exploration focuses on using deconstructive pedagogy to demystify and subvert the…

  9. Evaluation Study of Early Childhood Education in Pakistan

    ERIC Educational Resources Information Center

    Shakeel, Muhammad; Farooq, Muhammad; Umbreen

    2011-01-01

    Early Childhood Education (ECE) was globally and locally an innovation, particularly in third world. The objective of this study was to investigate an impact evaluation of ECE initiated recently in Pakistan. The data of impact evaluation were drawn from three ECE Centers of Islamabad Capital Territory (ICT), Pakistan. Total samples of 65…

  10. 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…

  11. 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…

  12. 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 voices remain…

  13. 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…

  14. 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…

  15. 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…

  16. Heterorhabditis pakistanense n. sp. (Nematoda: Heterorhabditidae) a new entomopathogenic nematode from Pakistan.

    PubMed

    Shahina, F; Tabassum, K A; Salma, J; Mehreen, G; Knoetze, R

    2017-03-01

    A new entomopathogenic nematode species of Heterorhabditis, described as H. pakistanense n. sp., was isolated from soil samples around the roots of grass at Malir, Karachi, Sindh, Pakistan. The new species is characterized morphologically by features of males: body size 819 μm (720-1013 μm), D% ((distance from anterior end to excretory pore divided by pharynx length) × 100) 119 (110-126), SW% ((spicule length divided by anal body diameter) × 100) 156 (144-191), GS% ((gubernaculum length divided by spicule length) × 100) 58 (48-65) and variations in the number of bursal papillae of the terminal group: 8th and 9th papillae sometimes absent on both sides, sometimes eight papillae present on the right side whereas six papillae present on the left side. On the right side the arrangement of papillae is 1 + 2 + 3 + 2 whereas on the left side it is 1 + 2 + 3. The hermaphrodite has a prominent post-anal swelling and a conoid tail 82 μm (64-95 μm) long with a pointed terminus. Hermaphrodites of H. pakistanense n. sp. can be distinguished from all species of Heterorhabditis except H. downesi by having a mucronate tail. Infective juveniles have a medium-sized body (581 μm (558-624 μm)), long pharynx (117 μm (113-125 μm)), ensheathed tail (99 μm (95-110 μm)) and E% ((distance from anterior end to excretory pore divided by tail length) × 100) 100 (95-107). The new species can be distinguished from all species of Heterorhabditis by the absence of the 7th, 8th and 9th bursal papillae. Heterorhabditis pakistanense is further characterized by the internal transcribed spacer (ITS) and the D2D3 region of the 28S rDNA gene. The closest species H. indica, H. gerrardi, H. amazonensis and H. noenieputensis being separated by 9, 7, 66 and 15 bp, respectively, in the ITS region. Molecular phylogenetic trees based on sequences of ITS rDNA, D2D3 regions and the mitochondrial 12S rRNA gene support the description of H. pakistanense as a new species.

  17. 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.

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

    PubMed Central

    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

  19. Review of the idiocerine leafhoppers of Pakistan (Hemiptera, Cicadellidae) with a description of a new species.

    PubMed

    Khatri, Imran; Webb, M D

    2014-09-05

    The Idiocerinae of Pakistan are reviewed and a new species, Tasnimocerus sindhensis sp. nov. (Pakistan: Tandojam), is described and illustrated from Pakistan. Two new junior synonyms of Idioscopus nitidulus (Walker) are recognized: Idioscopus karachiensis Ahmed, Naheed & Ahmed syn. nov. and I. freytagi Ahmed, Naheed & Ahmed syn. nov. Idioscopus nagpurensis (Pruthi) is newly recorded from Pakistan. A checklist of Idiocerinae from Pakistan is also provided together with a key to genera and species. 

  20. Women's rights in Pakistan: a forensic perspective.

    PubMed

    Hadi, Sibte

    2003-04-01

    Pakistan is a large and an important West Asian country which came into being in the name of Islam and therefore Islamic tenets remain the core of its constitution. The laws of the state have to conform to Islamic law so that they can have a positive impact on the society. Unfortunately, in Pakistan today not all men enjoy the rights and facilities to which they are entitled and women are doubly disadvantaged by poverty and gender. With their own political agendas, various governments have promulgated laws which affect the society in various ways. The laws which directly influence women's rights merit mention, as women comprise more than 50% of the population of Pakistan and are still kept on the sidelines by the male dominant society. The Muslim Family Law Ordinance, 1961, and the Hudood Ordinance, 1979 were both promulgated by military dictators with different visions. The former codified the rights of women bestowed by Islamic law; the latter repealed laws for sexual offences according to the injunctions of Islam and had a negative impact. Both laws need the assistance of forensic medicine as age estimation and medical examinations are necessary if they are to be followed in the right perspective. However, a legal need for an examination by an expert in forensic medicine is sadly lacking in both laws. This has happened due to lack of training of forensic physicians and therefore a lack of research in important areas of forensic medicine in the country. This paper examines these laws and the interaction they have with forensic medicine and proposes that the laws need revision in accordance with modern science, incorporating forensic sciences as well as the injunctions of Islam.

  1. Factors affecting contraceptive use in Pakistan.

    PubMed

    Mahmood, N; Ringheim, K

    1996-01-01

    This study postulates that contraceptive use in Pakistan is affected by the usual demographic factors as well as husband-wife communication, female autonomy, son preference, religious beliefs, and family planning service supply. Analysis is based on data obtained from the Pakistan Demographic and Health Survey of 1990-91. Findings indicate that 74% of women never talked in the past year with their husbands about family planning. Almost 60% believed that family size was "up to God." About 47% knew where to obtain contraception; only 20.4% had easy access to a source of supplies. Current use was 14% and ever use was 22.4%. Analysis is based on three basic models. Model 1 includes the control variables and son preference. Model 2 includes husband-wife communication, religious attitudes, and female autonomy. Model 3 includes the addition of family planning to model 2 variables. Urban residence increases the odds of contraceptive use considerably only in Model 1. The influence of urban residence in the other models is reduced. Husband's education is significant only in Models 1 and 2 and insignificant in Model 3 when the family planning variable is included. Increased women's age is also insignificant in Model 3. Of the supply factors in Model 3, knowledge of a source and easy access to a source were highly significant, while mass media exposure was not important. Knowledge of a source was the most important predictor. Model 3 explained 90% of use. Among urban women, lack of husband-wife communication and fatalistic beliefs reduce the log-odds of contraceptive use. For rural women, age and women's secondary education were key predictors. Findings confirm that demographic and socio-cultural factors affect contraceptive use in Pakistan. All the theorized variables exerted a strong influence on contraceptive use, which can be counteracted by improved supply and service strategies.

  2. Area Handbook Series. Pakistan: A Country Study,

    DTIC Science & Technology

    1983-10-01

    Nkislaos. A CountrV Stdu* to critism and inpbent with those who quetionied his reasoning or Bhutto irt rejected the avice (if some of his closest...Pakistan Trading (Qporation These actions Substutiafly skiwed economic growth by the mid-lM Shuttos determination to crush an and all po- tental...se’ets Anioti thr %blu.lims triggred ii re. action amng the Sunni twe’ (deisais. %IJAII in the Aristocracy ItI threatened In. the addition of I’e’rsaas

  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.

  5. 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

  6. Cutaneous Leishmaniasis in Khyber Pakhtunkhwa Province of Pakistan: Clinical Diversity and Species-Level Diagnosis

    PubMed Central

    Khan, Nazma Habib; Bari, Arfan ul; Hashim, Rizwan; Khan, Inamullah; Muneer, Akhtar; Shah, Akram; Wahid, Sobia; Yardley, Vanessa; O'Neil, Brighid; Sutherland, Colin J.

    2016-01-01

    This study primarily aimed to identify the causative species of cutaneous leishmaniasis (CL) in the Khyber Pakhtunkhwa Province of Pakistan and to distinguish any species-specific variation in clinical manifestation of CL. Diagnostic performance of different techniques for identifying CL was assessed. Isolates of Leishmania spp. were detected by in vitro culture, polymerase chain reaction (PCR) on DNA extracted from dried filter papers and microscopic examination of direct lesion smears from patients visiting three major primary care hospitals in Peshawar. A total of 125 CL patients were evaluated. Many acquired the disease from Peshawar and the neighboring tribal area of Khyber Agency. Military personnel acquired CL while deployed in north and south Waziristan. Leishmania tropica was identified as the predominant infecting organism in this study (89.2%) followed by Leishmania major (6.8%) and, unexpectedly, Leishmania infantum (4.1%). These were the first reported cases of CL caused by L. infantum in Pakistan. PCR diagnosis targeting kinetoplast DNA was the most sensitive diagnostic method, identifying 86.5% of all samples found positive by any other method. Other methods were as follows: ribosomal DNA PCR (78.4%), internal transcribed spacer 2 region PCR (70.3%), culture (67.1%), and microscopy (60.5%). Clinical examination reported 14 atypical forms of CL. Atypical lesions were not significantly associated with the infecting Leishmania species, nor with “dry” or “wet” appearance of lesions. Findings from this study provide a platform for species typing of CL patients in Pakistan, utilizing a combination of in vitro culture and molecular diagnostics. Moreover, the clinical diversity described herein can benefit clinicians in devising differential diagnosis of the disease. PMID:27601518

  7. 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

  8. 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

  9. 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

  10. Improving oral health in Pakistan using dental hygienists.

    PubMed

    Shah, M A; Darby, M L; Bauman, D B

    2011-02-01

    This paper reviews the healthcare system, available dental care, and oral health status of people in Pakistan. Considering the enormous unmet oral health needs, the insufficient supply of dental professionals and the current unstructured dental hygiene curriculum in Pakistan, a mission, vision, and goals for professional dental hygiene in Pakistan is recommended. The authors offer recommendations for competency-based dental hygiene education and practice, professional credentialing, a practice act, and a dental hygiene scope of practice to promote the health, welfare, and quality of life of the Pakistani people. Specifically, the authors recommend increasing the number of quality dental hygiene programs, establishing the dental hygienist as a primary care provider of oral health services, enhancing current dental hygiene curriculum, and establishing a dental hygiene council with responsibility for educational requirements and regulation of dental hygienists in Pakistan.

  11. 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)

  12. Barriers and strategies to improve influenza vaccination in Pakistan.

    PubMed

    Farrukh, Muhammad Junaid; Ming, Long Chiau; Zaidi, Syed Tabish Razi; Khan, Tahir Mehmood

    2017-02-06

    Influenza vaccination is strongly recommended by World Health Organisation on a yearly basis. The rate of immunization in Pakistan is suboptimal. High cost, traditional norms, customs and low levels of education in Pakistan are preventing people from getting vaccinated. It is timely to include influenza vaccination in the expanded programme on immunization (EPI), which is a disease prevention programme aiming to eradicate preventable diseases through subsidized or free immunization. The Ministry of National Health Services, Regulation and Coordination, Government of Pakistan should launch a national influenza vaccine policy in view of this current situation and oversee its implementation. Healthcare professionals should promote influenza vaccination and focus on high risk groups such as the elderly, pregnant women and children. Convincing and educating family members regarding immunization of pregnant women and follow-up with parents regarding a second influenza shot for their children will further improve vaccination rates in Pakistan.

  13. Genetic history of hepatitis C virus in Pakistan.

    PubMed

    ur Rehman, Irshad; Vaughan, Gilberto; Purdy, Michael A; Xia, Guo-liang; Forbi, Joseph C; Rossi, Livia Maria Gonçalves; Butt, Sadia; Idrees, Muhammad; Khudyakov, Yury E

    2014-10-01

    Hepatitis C virus (HCV) genotype 3a accounts for ∼80% of HCV infections in Pakistan, where ∼10 million people are HCV-infected. Here, we report analysis of the genetic heterogeneity of HCV NS3 and NS5b subgenomic regions from genotype 3a variants obtained from Pakistan. Phylogenetic analyses showed that Pakistani genotype 3a variants were as genetically diverse as global variants, with extensive intermixing. Bayesian estimates showed that the most recent ancestor for genotype 3a in Pakistan was last extant in ∼1896-1914 C.E. (range: 1851-1932). This genotype experienced a population expansion starting from ∼1905 to ∼1970 after which the effective population leveled. Death/birth models suggest that HCV 3a has reached saturating diversity with decreasing turnover rate and positive extinction. Taken together, these observations are consistent with a long and complex history of HCV 3a infection in Pakistan.

  14. 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

  15. The challenges of injuries and trauma in Pakistan: an opportunity for concerted action.

    PubMed

    Hyder, A A; Razzak, J A

    2013-08-01

    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.

  16. 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.

  17. "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.

  18. Pakistan’s Nuclear Weapons: Proliferation and Security Issues

    DTIC Science & Technology

    2012-05-10

    plan in 2009, it did not support the adoption of a draft program of work for 2010.58 Ambassador Zamir Akram , Pakistan’s Permanent Representative to the...Statement by Ambassador Zamir Akram , Permanent Representative of Pakistan to the Conference on Disarmament, August 31, 2010. 59 Statement by Ambassador...Zamir Akram , February 18, 2010. 60 Zia Mian and A.H. Nayyar, “Playing the Nuclear Game: Pakistan and the Fissile Material Cutoff Treaty,” Arms

  19. Pakistan’s Nuclear Weapons: Proliferation and Security Issues

    DTIC Science & Technology

    2009-07-30

    Fissile Material Report 2007,” International Panel on Fissile Materials http://www.fissilematerials.org/ipfm/site_down/gfmr07.pdf; SIPRI Yearbook 2007...for Foreign and Commonwealth Affairs David Miliband told the Charlie Rose Show December 15, 2008, that Islamabad’s nuclear weapons “are under pretty...Weapons in Pakistan,” Pakistan Security Research Unit Brief Number 22, University of Bradford, November 18, 2007. Available at http

  20. Pakistan’s Nuclear Weapons: Proliferation and Security Issues

    DTIC Science & Technology

    2009-10-15

    www.fissilematerials.org/ipfm/ site_down/gfmr07.pdf; SIPRI Yearbook 2007. The International Panel on Fissile Materials estimates that Pakistan has enough fissile material...Adviser M. K. Narayanan said that the arsenal is safe and has adequate checks and balances.64 Similarly, Secretary of State for Foreign and Commonwealth ...Pakistan Security Research Unit Brief Number 22, University of Bradford, November 18, 2007. Available at http://spaces.brad.ac.uk:8080/download

  1. Pakistan’s Nuclear Weapons: Proliferation and Security Issues

    DTIC Science & Technology

    2009-04-01

    2007,” ibid.; SIPRI Yearbook 2007. 5 “Nuclear Notebook,” ibid. 6 “Global Fissile Material Report 2007,” International Panel on Fissile Materials...State for Foreign and Commonwealth Affairs David Miliband told the Charlie Rose Show December 15, 2008, that Islamabad’s nuclear weapons “are under...Nuclear Weapons in Pakistan,” Pakistan Security Research Unit Brief Number 22, University of Bradford, November 18, 2007. Available at http

  2. Pakistan’s Nuclear Weapons: Proliferation and Security Issues

    DTIC Science & Technology

    2009-12-09

    International Panel on Fissile Materials http://www.fissilematerials.org/ipfm/ site_down/gfmr07.pdf; SIPRI Yearbook 2007. The International Panel on Fissile...and Commonwealth Affairs David Miliband told the Charlie Rose Show December 15, 2008, that Islamabad’s nuclear weapons “are under pretty close lock...Pakistan,” Pakistan Security Research Unit Brief Number 22, University of Bradford, November 18, 2007. Available at http://spaces.brad.ac.uk:8080

  3. 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

  4. Islamic Fundamentalism in Pakistan. Its Characters and Prospects

    DTIC Science & Technology

    1991-01-01

    For although Pakistan was founded as a Muslim homeland, it was not at all the intention of its founder, Muhammad Ali Jinnah , that the state should be...origin: "* The founder of Pakistan, Muhammad ’ Ali Jinnah , was of Isma’ili background; "* Yahya Khan, former Commander in Chief of the Army, and then...more interested in socialist policies or regional issues. Islam entered more fully into the political debate when former Prime Minister Zulfikar Ali

  5. Monitoring spatio-temporal aerosol patterns over Pakistan based on MODIS, TOMS and MISR satellite data and a HYSPLIT model

    NASA Astrophysics Data System (ADS)

    Alam, Khan; Qureshi, Salman; Blaschke, Thomas

    2011-09-01

    Three different satellite-borne sensors, namely the Total Ozone Mapping Spectrometer (TOMS), the Moderate Resolution Imaging Spectroradiometer (MODIS), and the Multi-angle Imaging Spectroradiometer (MISR), were used to investigate the spatial and temporal variations of aerosols over several cities in Pakistan. A Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT) model was used for trajectory analysis in order to reconstruct the origins of air masses and understand the spatio-temporal variability of aerosol concentrations. Recent MODIS aerosol data (2002-2008) and earlier TOMS data (1979-2001) revealed increasing concentrations of aerosols over Pakistan and adjacent areas. Validation of MODIS and MISR derived aerosol optical depths (AODs) with Aerosol Robotic Network (AERONET) data for 2007 demonstrated that the MISR data was more accurate when close to the ocean, while the MODIS was more accurate over vegetated areas. The relationship between MODIS and MISR AOD data from 2002 to 2008 was analyzed, revealing a strong correlation between the two datasets. An assessment of seasonal variability in AOD for industrial, urban, semi-urban, rural, and semi-arid areas revealed maximum AOD values during the summer over all the areas investigated. Back trajectory analyses indicated that while winter air masses reaching Pakistan had travelled long distances, summer air masses had travelled only short distances. The higher aerosol concentrations during the summer are interpreted to be a result of the air masses spending more time over land during the summer than they do during the winter. While monsoonal rainfall tends to reduce aerosol concentrations by washing aerosols out of the atmosphere, this effect is mainly restricted to the eastern and south-eastern parts of Pakistan.

  6. Structure and evolution of the northern Potwar deformed zone, Pakistan

    SciTech Connect

    Jaswal, T.M.; Lillie, R.J.; Lawrence, R.D.

    1997-02-01

    The northern Potwar deformed zone (NPDZ) is part of the active foreland fold and thrust belt of the Salt Range and Potwar Plateau in northern Pakistan. About 500 km of seismic reflection profiles are integrated with surface geologic and drilling data to examine the deformation style and structure of the NPDZ with particular emphasis on history of deformation of the Dhurnal oil field. The seismic lines suggest that the overall structure of the eastern NPDZ is a duplex structure developed beneath a passive roof thrust. The roof thrust is generated from a tipline in the Miocene Murree Formation, and the sole thrust is initiated from the same Eocambrian evaporate zone that extends 80 km southward beneath the Soan syncline and Salt Range. The Dhurnal oil field structure is a pop-up at the southern margin of the NPDZ, and developed beneath the passive roof thrust. The passive roof thrust crops out just north of Dhurnal on the steep, northern limb of the Soan syncline. An overstep passive roof thrust (Sakhwal fault) is interpreted west of Dhurnal; this fault developed due to southward progression of the deformation front beneath the earlier passive roof thrust. Very gentle basement dip and almost zero topographic slope in the NPDZ suggest that the Eocambrian salt provides effective decoupling at the present position of the NPDZ. The strong deformation in the NPDZ appears to have developed farther north, in an area where the evaporates may be lacking. Since 2 Ma, the NPDZ moved farther south over the evaporates without further deformation, whereas erosion removed any former topographic slope. Restoring a balanced cross section suggests that the minimum shortening across the NPDZ is more than 55 km. Assuming that this shortening occurred between 5.1 and 2 Ma, the shortening rate is about 18 mm/yr.

  7. A statistical downscaling model for summer rainfall over Pakistan

    NASA Astrophysics Data System (ADS)

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

    2016-10-01

    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.

  8. 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

  9. 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

    2015-11-25

    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

  10. AID seeks proposals for Pakistan's CSM project.

    PubMed

    1985-01-01

    The US Agency for International Development (AID) has prepared a request for proposals (RFP) for an international contractor to provide technical advice to Pakistan's projected contraceptive social marketing program. Sales of both condoms and a low-dose oral contraceptive were planned for 1986. At this point, however, the social marketing project's implementation remains in doubt as a result of internal government opposition. The government had hoped to implement the project without an outside contractor, but this proved infeasible. The RFP prepared by USAID outlines a 4-year involvement for a resident advisor. Funds will come from a 5-year US$20 million contract signed in 1984 by USAID and the Pakistani government. USAID remains optimistic that the project will continue, despite this delay, and is proceeding to procure commodities.

  11. Progress in the Gondwanan Carboniferous-Permian palynology and correlation of the Nilawahan Group of the Salt Range, Pakistan: A brief review

    NASA Astrophysics Data System (ADS)

    Jan, Irfan U.

    2014-02-01

    This paper comprises of two sections. The first section describes challenges in the Carboniferous-Permian Gondwanan stratigraphic palynology, and progress in techniques such as presence of the `rare-marine intervals', and `radiometric dating' in some Gondwanan successions, e.g., South Africa, Australia and South America, as tools to confidently calibrate these palynozones. The second section describes developments in the palynological work on the Carboniferous-Permian Nilawahan Group of the Salt Range, Pakistan, and summarises their correlation with the coeval succession of the Gondwana continents and with the Russian/International stages.

  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

  13. 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

  14. Anthracobunids from the middle eocene of India and pakistan are stem perissodactyls.

    PubMed

    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.

  15. Hydrological applications of Landsat imagery used in the study of the 1973 Indus River flood, Pakistan

    USGS Publications Warehouse

    Deutsch, Morris; Ruggles, F.H.

    1978-01-01

    During August and September 1973, the Indus River Valley of Pakistan experienced one of the largest floods on record, resulting in damages to homes, businesses, public works, and crops amounting to millions of rupees. Tremendous areas of lowlands were inundated along the Indus River and major tributaries. Landsat data made it possible to easily measure the extent of flooding, totaling about 20,000 km2 within an area of about 400,000 km2 south from the Punjab to the Arabian Sea.The Indus River data were used to continue experimentation in the development of rapid, accurate, and inexpensive optical techniques of flood mapping by satellite begun in 1973 for the Mississipi River floods. The research work on the Indus River not resulted in the development of more effective procedures for optical processing of flood data and synoptically depicting flooding, but also provided potentially valuable ancillary information concerning the hydrology of much of the Indus River Basin.

  16. Monovalent type-1 oral poliovirus vaccine given at short intervals in Pakistan: a randomised controlled, four-arm, open-label, non-inferiority trial

    PubMed Central

    Mir, Fatima; Quadri, Farheen; Mach, Ondrej; Ahmed, Imran; Bhatti, Zaid; Khan, Asia; Rehman, Najeeb ur; Durry, Elias; Salama, Maha; Oberste, Steven M; Weldon, William C; Sutter, Roland W; Zaidi, Anita K M

    2015-01-01

    Summary Background Supplementary immunisation activities with oral poliovirus vaccines (OPVs) are usually separated by 4 week intervals; however, shorter intervals have been used in security-compromised areas and for rapid outbreak responses. We assessed the immunogenicity of monovalent type-1 oral poliovirus vaccine (mOPV1) given at shorter than usual intervals in Karachi, Pakistan. Methods This was a multicentre, randomised, controlled, four-arm, open-label, non-inferiority trial done at five primary health-care centres in low-income communities in and around Karachi, Pakistan. Eligible participants were healthy newborn babies with a birthweight of at least 2.5 kg, for whom informed consent was provided by their parent or guardian, and lived less than 30 km from the study clinic. After receiving a birth dose of trivalent OPV, we enrolled and randomly assigned newborn babies (1:1:1:1) to receive two doses of mOPV1 with an interval of 1 week (mOPV1–1 week), 2 weeks (mOPV1–2 weeks), or 4 weeks (mOPV1–4 weeks) between doses, or two doses of bivalent OPV (bOPV) with an interval of 4 weeks between doses (bOPV–4 weeks). We gave the first study dose of OPV at age 6 weeks. We did the randomisation with a centrally generated, computerised allocation sequence with blocks of 16; participants’ families and study physicians could not feasibly be masked to the allocations. Trial participants were excluded from local supplementary immunisation activities during the study period. The primary outcome was non-inferiority (within a 20% margin) between groups in seroconversion to type-1 poliovirus. The primary and safety analyses were done in the per-protocol population of infants who received all three doses of vaccine. This trial is registered with ClinicalTrials.gov, number NCT01586572, and is closed to new participants. Findings Between March 1, 2012, and May 31, 2013, we enrolled 1009 newborn babies, and randomly assigned 829 (82%) to treatment. 554 (67%) of the 829

  17. CTC Sentinel. Volume 6, Issue 5, May 2013

    DTIC Science & Technology

    2013-05-01

    Infiltrating Karachi,” Express Tribune, October 3, 2012; Fahim Zaman and Naziha Syed Ali, “Taliban in Karachi: The Real Story,” Dawn, March 31, 2013; “Taliban...Flex Muscle in Karachi Ahead of Pakistan Vote,” Agence France-Presse, May 11, 2013. 7 Syed Aarfeen, “Karachi Main Security Idray Baihis, Mukhbar...inter- view, TTP associate in Karachi who identified himself as “Mohsin,” Karachi, Pakistan, April 8, 2013. 13 Personal interview, Shahi Syed , Sindh

  18. Civil Airlines/Air Services in Bangladesh, India and Pakistan. Volumes 1 thru 4.

    DTIC Science & Technology

    1985-03-01

    Calcutta-Dacca-Chittagong. The Indian subcontinent was partitioned into India and Pakistan in 1947; Bangladesh formed the eastern wing of Pakistan. Because...aircraft on following occasions: - Evacuation of refugees immediately after the partition of India and Pakistan during which period Indian civil aviation...year earlier to October 1946, when Mohammad Ali Jinnah , the founder of Pakistan, formed the Muslim-owned Orient Airways Limited in Calcutta. The

  19. Taming the `Wild West’ - Integrating the Federally Administered Tribal Areas of Pakistan

    DTIC Science & Technology

    2005-12-01

    Azam Muhammad Ali Jinnah (the founder of Pakistan) for extending cooperation towards Pakistan in June 1947 at Delhi. One of the three30 conditions...Areas of Pakistan. 20. 10 NWFP.31 The Jinnah had a positive reaction to the proposal, but died before any...decision could be reached. After partition , the new state of Pakistan was to enter into fresh agreements and treaties with the tribal chiefs. The

  20. 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.

  1. 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.

  2. 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…

  3. 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…

  4. High burden of prediabetes and diabetes in three large cities in South Asia: The Center for Cardio-metabolic Risk Reduction in South Asia (CARRS) Study

    PubMed Central

    Deepa, Mohan; Grace, Mundu; Binukumar, Bhaskarapillai; Pradeepa, Rajendra; Roopa, Shivashankar; Khan, Hassan M; Fatmi, Zafar; Kadir, Muhammad M.; Naeem, Imran; Ajay, Vamadevan S; Anjana, Ranjit Mohan; Ali, Mohammed K; Prabhakaran, Dorairaj; Tandon, Nikhil; Mohan, Viswanathan; Venkat Narayan, KM

    2016-01-01

    Aim To estimate the prevalence of, and assess factors associated with, diabetes and prediabetes in three South Asian cities. Methods Using a multi-stage cluster random sample representative of each city, 16,288 subjects aged ≥20 years (Chennai: 6906, Delhi: 5365 and Karachi: 4017) were recruited to the Centre for cArdiometabolic Risk Reduction in South-Asia (CARRS) Study. Fasting plasma glucose (FPG) and glycosylated hemoglobin (HbA1c) were measured in 13720 subjects. Prediabetes was defined as FPG 100-125mg/dl (5.6-6.9 mmol/l) and/or HbA1c 5.7-6.4% (39-46mmol/mol) and diabetes as self-report and/or drug treatment for diabetes and/or FPG ≥126 mg/dl (≥7.0mmol/l) and/or HbA1c ≥6.5% (48mmol/mol). We assessed factors associated with diabetes and prediabetes using polytomous logistic regression models. Results Overall 47.3-73.1% of the population had either diabetes or prediabetes: Chennai 60.7% [95%CI: 59.0-62.4%] (diabetes-22.8% [21.5-24.1%], prediabetes-37.9% [36.1-39.7%]); Delhi 72.7% [70.6-74.9%] (diabetes-25.2% [23.6-26.8%], prediabetes-47.6% [45.6-49.5%]); and Karachi 47.4% [45.7-49.1%]; (diabetes-16.3% [15.2-17.3%], prediabetes-31.1% [29.5-32.8%], respectively). Proportions of self-reported diabetes were 55.1%, 39.0%, and 48.0% in Chennai, Delhi, and Karachi, respectively. City, age, family history of diabetes, generalized obesity, abdominal obesity, body fat, high cholesterol, high triglyceride, and low HDL cholesterol levels were each independently associated with prediabetes, while the same factors plus waist-to-height ratio and hypertension were associated with diabetes. Conclusion Six in ten adults in large South Asian cities have either diabetes or prediabetes. These data call for urgent action to prevent diabetes in South Asia. PMID:26432412

  5. U.S. Foreign Aid to East and South Asia: Selected Recipients

    DTIC Science & Technology

    2008-10-08

    assistance from U.S. State Department programs funded outside the foreign operations budget, such as educational and cultural exchange programs, and...and South Asia regions, with Pakistan, India , the Philippines, and Indonesia receiving the bulk of the increases. In 2007, the Bush Administration...20 Malaysia

  6. The usage of complementary and alternative medicine in gastrointestinal patients visiting the outpatients’ department of a large tertiary care centre-views from Pakistan

    PubMed Central

    Lail, Ghulamullah; Luck, Nasir; Tasneem, Abbas Ali; Rai, AyeshaAslam; Laeeq, Syed Mudasir; Majid, Zain

    2016-01-01

    Introduction The use of complementary and alternative medicine (CAM) has increased over the last few years, and an emergent data suggests that some CAM modalities may be helpful in addressing gastrointestinal (GI) conditions. Our aim was to find out the prevalence of such practices for GI condition amongst patients visiting an OPD of a large tertiary care centre of Karachi, Pakistan. Methods Patients visiting outpatient department of Hepatogastroenterology department at SIUT, Pakistan from March 2014 to March 2015, were included in this cross sectional study. A pre designed questionnaire was used that included the demographic data, primary disease of the patient, CAM modality used, reason for the use of CAM therapy and reasons for stopping it. Frequencies of different variables were computed using SPSS version 18. Results 906 patients were interviewed, out of which 52% (471) were males. The mean age at presentation was 39.81±12.4 years. 234 (25.8%) of the participants used one of the CAM modalities; Herbal medicine being most common one, seen in 122 (52.13%) followed by spiritual 61 (26%), and homeopathy 33 (14%). The duration of therapy was limited to six months in 161(68%), whereas 7 patients (2.9%) had prolonged duration of use of more than five years. Reasons for using CAM therapy included advice by family and friends in 66 patients (28%), personal will in 42 (17.94%), no benefit from allopathic treatment in 34 (14.5%), while high cost was the reason of use in 3(5%) of the patients. The most common reason for discontinuation of CAM was no benefit, seen in 113 patients (48.30%), followed by physician's advice in 32 (17%) patients, and side effects in 19 (8%). On the other hand 44 patients (18.80%) reported benefit from the therapy while 14 (5.9%) were still continuing with CAM modality. Among the CAM users 140 (60.09%) were un-educated or had primary education while CAM nonusers had 328 (47%) were either uneducated or had primary education only correlation

  7. Molecular characterization of Ephedra species found in Pakistan.

    PubMed

    Ghafoor, S; Shah, M M; Ahmad, H; Swati, Z A; Shah, S H; Pervez, A; Farooq, U

    2007-12-11

    Ephedra, also known as "ma huang", is a dioecious, drought- and frost-resistant, perennial, evergreen shrub with compelling medicinal value. The genus is represented by 42 species around the world, 9 of which were provisionally reported from Pakistan. Species of the genus have a controversial taxonomy due to their overlapping morphological features. Conventional tools alone are not sufficient for characterizing the species. The objective of present study was to assess the genetic variability present in different biotypes of Ephedra growing in Pakistan using molecular markers. A total of six genotypes collected from diverse geographic zones of Pakistan were used. The DNA of all genotypes was amplified using nine randomly amplified polymorphic DNA (RAPD) primers to study genetic variability at the molecular level. The dissimilarity coefficient matrix based on the data of 9 RAPD primers was used to construct a dendrogram which was then used to group the genotypes in clusters. Based on the dendrogram and dissimilarity coefficient matrix, the RAPD markers used here revealed a moderate to high level of genetic polymorphism (6 to 49%) among the genotypes. It was found that the collection of genotype accessions from Swat Valley in northwestern Pakistan was most distantly related to the other five collections. More molecular markers including functional genes and ribosomal spacer regions are suggested to find a better estimate of the genetic diversity present in Ephedra growing in Pakistan. The information provided here is useful for identifying valuable Ephedra variants which will be used for medicinal purposes and earning foreign currency.

  8. Non-communicable diseases and injuries in Pakistan: strategic priorities.

    PubMed

    Jafar, Tazeen H; Haaland, Benjamin A; Rahman, Atif; Razzak, Junaid A; Bilger, Marcel; Naghavi, Mohsen; Mokdad, Ali H; Hyder, Adnan A

    2013-06-29

    Non-communicable diseases, including cardiovascular diseases, cancers, respiratory diseases, diabetes, and mental disorders, and injuries have become the major causes of morbidity and mortality in Pakistan. Tobacco use and hypertension are the leading attributable risk factors for deaths due to cardiovascular diseases, cancers, and respiratory diseases. Pakistan has the sixth highest number of people in the world with diabetes; every fourth adult is overweight or obese; cigarettes are cheap; antismoking and road safety laws are poorly enforced; and a mixed public-private health-care system provides suboptimum care. Furthermore, almost three decades of exposure to sociopolitical instability, economic uncertainty, violence, regional conflict, and dislocation have contributed to a high prevalence of mental health disorders. Projection models based on the Global Burden of Disease 2010 data suggest that there will be about 3·87 million premature deaths by 2025 from cardiovascular diseases, cancers, and chronic respiratory diseases in people aged 30-69 years in Pakistan, with serious economic consequences. Modelling of risk factor reductions also indicate that Pakistan could achieve at least a 20% reduction in the number of these deaths by 2025 by targeting of the major risk factors. We call for policy and legislative changes, and health-system interventions to target readily preventable non-communicable diseases in Pakistan.

  9. 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.

  10. Progress toward poliomyelitis eradication--Pakistan and Afghanistan, 2007.

    PubMed

    2008-03-28

    Of the four countries worldwide where wild poliovirus (WPV) transmission has never been interrupted, Pakistan and Afghanistan are considered a single epidemiologic block. Use of intense poliomyelitis eradication measures, including close coordination between the two countries and increased use of monovalent oral poliovirus vaccines (mOPVs) against type 1 WPV (WPV1) and type 3 WPV (WPV3), has reduced WPV transmission to historically low levels. However, despite these efforts, in 2007 both types of WPV continued to circulate in areas of Pakistan and Afghanistan. Ongoing conflicts and security concerns in remote areas with rugged terrain limit access to children and decrease vaccination coverage from routine and supplementary immunization activities (SIAs) in border areas of both countries where WPV transmission is endemic. In other WPV-endemic areas of Pakistan, where security and access concerns do not exist, operational problems in implementing SIAs resulted in inadequate vaccination of children, which failed to interrupt WPV transmission. This report updates previous reports and describes polio eradication activities in Pakistan and Afghanistan during January-December 2007 (data as of March 22, 2008). Further progress toward polio eradication will require continued measures to address security concerns in portions of both countries and problems with implementing SIAs in secure areas of Pakistan.

  11. National External Quality Assurance Program Pakistan (NEQAPP) –A Milestone in Proficiency Testing in Pakistan

    PubMed Central

    Ijaz, Aamir

    2016-01-01

    Objective The objective of this study was to highlight current status and importance of National External Quality Assurance Program Pakistan (NEQAPP). Study Design: Cross sectional study Place and duration of study Department of Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology (AFIP) from August to October 2015. Methods The study data was extracted from electronic NEQAPP database. Results from 2014-2015 were evaluated for clinical chemistry, hematology, microbiology, and immunoassay programs. Frequencies of unsatisfactory results of individual analytes as well as of all the participating laboratories were calculated. Results Failure rate of newly enrolled laboratories were more as compared to those which were participating for the last two years. The percentages of unsatisfactory results of all laboratories were 19% and 15% in 2014 and 2015, respectively. Fifteen analytes were selected according to their increasing percentage of participation. Failure rate was highest for alkaline phosphatase (35%) followed by creatinine (22%) and urea (20%) in two years analysis. Performance of laboratories in each quarter was evaluated depending upon number of analytes in which they fail to pass. The major failures were due to clerical and technical errors as determined during data compilation of results. Conclusion There is an increase in trend of participating in NEQAPP by health care laboratories which is a step towards laboratory quality management system in Pakistan. Nonetheless, there is a need for improving quality of laboratory results. PMID:28149266

  12. Radiological implications of granite of northern Pakistan.

    PubMed

    Asghar, M; Tufail, M; Sabiha-Javied; Abid, A; Waqas, M

    2008-09-01

    Granite is an igneous rock that contains natural radioactivity of primordial radionuclides. In Pakistan, granite is distributed in a vast area called the Ambela Granitic Complex (AGC) in North West Frontier Province (NWFP). Granite is a hard rock that exists in different colours and is used to decorate floors, kitchen counter tops, etc. The use of granite in a building as a decor material is a potential source of radiation dose; therefore, natural radioactivity has been measured in 20 granite samples of the AGC with an HPGe (high purity germanium) based gamma ray spectrometer. The average specific activities and their range (given in parentheses) for primordial radionuclides (40)K, (226)Ra and (232)Th were 1218 (899-1927), 659 (46-6120) and 598 (92-3214) Bq kg(-1), respectively. The measured activity concentrations were used for the assessment of hazard indices and radiation dose which were evaluated based on the permissible limits defined for these parameters. The measured specific activities and the derived quantities, hazard indices and radiation dose, have been compared with those given in the literature for these parameters.

  13. 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.

  14. Cholera vaccine field trials in East Pakistan

    PubMed Central

    Benenson, A. S.; Joseph, P. R.; Oseasohn, R. O.

    1968-01-01

    Double-blind controlled cholera-vaccine trials were carried out in rural East Pakistan in 1963 and 1964. Pretrial studies indicated that a whole-cell cholera vaccine of high mouse protective potency, at a dose of 0.5 ml, produced an antibody response and reaction pattern consistent with use in such trials. A purified Ogawa antigen, given at a dose of 100 μg, elicited no adverse reactions and evoked both agglutinating and vibriocidal antibodies against both Inaba and Ogawa test suspensions. In the field, adverse reactions to the cholera vaccines occurred primarily among adults and were observed with both the whole-cell preparation and the purified Ogawa antigen. At the dose used in the field trials (0.4 ml), the reactions elicited by the whole-cell vaccine were acceptable to the population and no more marked than those following the locally prepared typhoid-paratyphoid vaccine. Delayed reactions to the whole-cell cholera vaccine were observed beginning 4 to 7 days after the vaccine was administered; the bulk of them (60%) did not interfere with work at any time; all resolved promptly; and none developed fluctuation or was associated with abscess formation. PMID:5302328

  15. 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.

  16. 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

  17. 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

  18. 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.

  19. A study on natural radioactivity in Khewra Salt Mines, Pakistan.

    PubMed

    Baloch, Muzahir Ali; Qureshi, Aziz Ahmed; Waheed, Abdul; Ali, Muhammad; Ali, Nawab; Tufail, Muhammad; Batool, Saima; Akram, Muhammad; Iftikhar, Poonam; Qayyum, Hamza; Manzoor, Shahid; Khan, Hameed Ahmed

    2012-01-01

    The Khewra Salt Mines, the second largest salt mines in the world, are located 160 km south of Islamabad, the capital of Pakistan. Around 1000 workers are involved in the removal of salt from these mines. More than 40,000 visitors come annually to see the mines. The visitors and workers are directly exposed to the internal and external radiological hazards of radon and gamma rays in these mines. The general public is affected by the intake of the salt containing the naturally occurring radionuclides. Therefore the concentration of radon (²²²Rn) in the Khewra Salt Mines and activity concentrations of the naturally occurring radionuclides in the salt samples from these mines were measured. Both active and passive techniques were employed for the measurement of radon with Radon Alpha Detector (RAD-7) and SSNTD respectively. The concentration of ²²²Rn was 26 ± 4 Bq m⁻³ measured by the active method while 43 ± 8 Bq m⁻³ was measured by the passive method. The activity concentration of the radionuclides was measured using gamma ray spectrometry with HPGe detector. The mean activity of ⁴⁰K in salt samples was found to be 36 ± 20 Bq kg⁻¹ and the concentration of ²²⁶Ra and ²³²Th in the salt samples was below the detection limits. Gamma radiation hazard was assessed in terms of the external gamma dose from salt slabs and the rooms made of salt and the annual effective dose due to gamma radiation. The exposure to radon daughters, annual effective dose and excessive lifetime cancer risk due to radon in the mines were estimated. The mean annual effective dose due to an intake of ⁴⁰K from the salt was calculated as 20.0 ± 11.1 µSv, which is lower than the average annual effective dose rate of 0.29 mSv, received by the ingestion of natural radionuclides. Due to the low concentration values of primordial radionuclides in the salt and radon ²²²Rn) in the mines, a 'low level activity measurement laboratory' is suggested to be established in these

  20. 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

  1. 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

  2. The demand for fertility control in Pakistan.

    PubMed

    Mahmood, N; Zahid, G M

    1993-01-01

    The analysis of fertility and contraceptive use data for Pakistan is directed toward estimating the likelihood of contraceptive use. Data are drawn from the 1975 Fertility Survey, the 1979-80 Population, Labor Force, and Migration Survey, the 1984-85 Contraceptive Prevalence Survey, and the 1990-91 Demographic and Health Survey. Increased demand for family planning is construed to be reflected in the excess number of children over the desired number of children according to the Easterlin and Crimmons and the Bulatao and Lee frameworks. A higher probability of contraceptive use is expected to be related to having a large family. Findings indicate that there was a lack of correspondence between the desire for no more children and actual use of contraception. The proportion desiring no more children was 40-50%. In the logistic model, the findings show that the likelihood of contraceptive use in all surveys was significantly increased with women's education, urban residence, and family planning accessibility. The number of living and desired children were independent of each other, and neither factor influenced significantly the demand for contraception. The nature of and magnitude of the effect varied for each survey. The generalized conclusion was that contraceptive use is not being used by women who desire no more children. Although contraceptive use has increased over time, the number of desired children has remained stable. The suggestion is to target women aged 35-44 years who appear to have achieved their desired fertility and to expand levels of education and economic and social opportunities for women.

  3. Some dimensions of child labour in Pakistan.

    PubMed

    Jafri, S M; Raishad

    1997-01-01

    This paper reports on the prevalence of child labor among children 5-14 years of age in Pakistan. As reliable and comprehensive data on this age group are not available, the study was based on microdata of child labor in the 10-14 year age range from the latest Labor Force Surveys: 1990-91, 1991-92, and 1992-93. The study shows that child labor in the 1014 age cohort increased to 2.0 million during 1992-93 from 1.8 million during 1990-91. The growth of the number of girl workers is higher than that of the number of boys. Gender differential in participation is more obvious in urban areas. In urban areas, the services sector played the major role by employing 52.14% of all children, followed by the manufacturing sector, which employed 38.08%. In occupational structure, a majority of the children were engaged in farm activities (64.70% of all boys and 66.68% of all girls), as against production activities (22.53% of all boys and 28.70% of all girls). In addition, a high number of children have been working as unpaid family helpers (63.22% of all boys and 65.41% of all girls); this practice is more prevalent in the rural population. Moreover, it was reported that about 70% of the children worked beyond normal working hours (35 hours/week). A majority of those children were from urban areas. This paper concludes by suggesting that in order to produce a clearer picture of the socioeconomic characteristics and hazardous work conditions of child labor, independent household and establishment surveys should be carried out.

  4. 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

  5. Performance of CMORPH, TMPA, and PERSIANN rainfall datasets over plain, mountainous, and glacial regions of Pakistan

    NASA Astrophysics Data System (ADS)

    Hussain, Yawar; Satgé, Frédéric; Hussain, Muhammad Babar; Martinez-Carvajal, Hernan; Bonnet, Marie-Paule; Cárdenas-Soto, Martin; Roig, Henrique Llacer; Akhter, Gulraiz

    2017-01-01

    The present study aims at the assessment of six satellite rainfall estimates (SREs) in Pakistan. For each assessed products, both real-time (RT) and post adjusted (Adj) versions are considered to highlight their potential benefits in the rainfall estimation at annual, monthly, and daily temporal scales. Three geomorphological climatic zones, i.e., plain, mountainous, and glacial are taken under considerations for the determination of relative potentials of these SREs over Pakistan at global and regional scales. All SREs, in general, have well captured the annual north-south rainfall decreasing patterns and rainfall amounts over the typical arid regions of the country. Regarding the zonal approach, the performance of all SREs has remained good over mountainous region comparative to arid regions. This poor performance in accurate rainfall estimation of all the six SREs over arid regions has made their use questionable in these regions. Over glacier region, all SREs have highly overestimated the rainfall. One possible cause of this overestimation may be due to the low surface temperature and radiation absorption over snow and ice cover, resulting in their misidentification with rainy clouds as daily false alarm ratio has increased from mountainous to glacial regions. Among RT products, CMORPH-RT is the most biased product. The Bias was almost removed on CMORPH-Adj thanks to the gauge adjustment. On a general way, all Adj versions outperformed their respective RT versions at all considered temporal scales and have confirmed the positive effects of gauge adjustment. CMORPH-Adj and TMPA-Adj have shown the best agreement with in situ data in terms of Bias, RMSE, and CC over the entire study area.

  6. U.S. National Security Strategy - The Magnitude of Second and Third-Order Effects on Smaller Nations: The Cases of Lebanon During the Cold War and Pakistan During the Global War on Terrorism

    DTIC Science & Technology

    2007-11-02

    first ruler and founding father, Muhammed Ali Jinnah . Pakistanis are more likely to identify themselves by their ethnic or linguistic group than by their...South Asia has favored India since the partition of the subcontinent in 1947. In its quest to counter India’s regional influence, Pakistan’s foreign...arguably the first time since partition , the US finds itself on reasonably good terms with both India and Pakistan. Whether the US can parlay its

  7. Countering Terrorism Through Control of Pakistan’s Information Environment

    DTIC Science & Technology

    2014-09-01

    Terrorism ... 69 2. Gordon McCormick’s Influence Process of Terrorism ....... 71 B. AL-QAEDA AND THE INFORMATION ENVIRONMENT .................. 75 C...31 Figure 4. McCormick influence process model...the process of terrorism), to evaluate why terrorists use information operations. The research covers the way Tehreek-e-Taliban Pakistan (TTP) is

  8. Voices of out of School Children with Disabilities in Pakistan

    ERIC Educational Resources Information Center

    Manzoor, Afaf; Hameed, Abdul; Nabeel, Tanzila

    2016-01-01

    In Pakistan, 96% children with disabilities are out of school and are unreached for any educational services. According to UNESCO (2010), the unreached are those children and youth who are of school age but not attending school for some reasons. Some of these children may have never been to school; others may have attended school but eventually…

  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. 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…

  11. 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…

  12. Weapons of Mass Destruction: Trade Between North Korea and Pakistan

    DTIC Science & Technology

    2006-10-11

    2 centrifuge design, which is a more advanced design, with greater efficiency, using maraging steel . 29 The International Atomic Energy Agency’s (IAEA...Pakistan that is typically used in uranium enrichment. Special steel containers were also seized. One source reports that uranium enrichment

  13. 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…

  14. 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…

  15. 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'…

  16. 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…

  17. Positive Perceptions to Sustain the US-Pakistan Relationship

    DTIC Science & Technology

    2010-01-01

    foreign policy. Pakistanis believe that GWOT is just another religious cru- sade against Islam.8 President Asif Ali Zardari noted, “The cordial relations...conventional-defence-250-hh-04. 40. Sue Pleming, “US Lawmakers Press Pakistan on Lashkar-e-Taiba,” Reuters, 11 March 2010. 41. Gannon. 42. Muhammad Arshad

  18. 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…

  19. 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…

  20. 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…

  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. 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…

  3. 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…

  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. 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…

  6. 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…

  7. Teacher Governance Factors and Social Cohesion: Insights from Pakistan

    ERIC Educational Resources Information Center

    Halai, Anjum; Durrani, Naureen

    2016-01-01

    This paper explores teacher governance factors, particularly recruitment and deployment of teachers, in relation to inequalities and social cohesion. Pakistan introduced major reforms in education in the post 9/11 context of escalating conflict. These include a merit and needs-based policy on teacher recruitment to eliminate corruption in…

  8. Home Economics Curricula in Pakistan: Time for Reform?

    ERIC Educational Resources Information Center

    Saeed, Fouzia; McClelland, Jerry

    1991-01-01

    Most home economics in Pakistan focuses on women's homemaking skills (food preparation, clothing, interior design), not career orientation; it caters to upper/middle class needs and traditional roles. Rural/lower class women's needs (agricultural production, nutrition, hygiene, family planning) are not generally served. (SK)

  9. 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…

  10. 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…

  11. 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…

  12. 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

  13. 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.

  14. 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…

  15. 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…

  16. 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…

  17. 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

  18. 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

  19. Why are older peoples' health needs forgotten post-natural disaster relief in developing countries? A healthcare provider survey of 2005 Kashmir, Pakistan earthquake.

    PubMed

    Chan, Emily Ying Yang

    2009-01-01

    Although older people may be recognized as a vulnerable group post-natural disasters, their particular needs are rarely met by the providers of emergency services. Studies about older people's health needs post disasters in the South East Asia Tsunami, Kashmir, Pakistan, China, and United States has revealed the lack of concern for older people's health needs. Recent study of older people's health needs post the Kashmir Pakistan earthquake (2005) found older peoples' health needs were masked within the general population. This survey study examines the providers' perceptions of older people's vulnerabilities post-2005 Pakistan earthquake. It aims to understand the awareness of geriatric issues and issues related to current service provision/planning for older people's health needs post disasters. Specifically, service delivery patterns will be compared among different relief agencies. Cross-sectional, structured stakeholder interviews were conducted within a 2 weeks period in February 2006, 4 months post-earthquake in Pakistan-administrated Kashmir. Health/medical relief agencies of three different types of organizational nature: international nongovernmental organization (INGO), national organization, and local/community group were solicited to participate in the study. Descriptive analysis was conducted. Important issues identified include the need to sensitize relief and health workers about older people's health needs post disaster the development of relevant clinical guidelines for chronic disease management postdisaster in developing countries and the advocacy of building in geriatric related components in natural disaster medical relief programs. To effectively address the vulnerability of older people, it is important for governments, relief agencies, and local partners to include and address these issues during their relief operations and policy planning.

  20. 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.

  1. Road traffic crashes managed by Rescue 1122 in Lahore, Pakistan.

    PubMed

    Tahir, Navid; Naseer, Rizwan; Khan, Samina Mohsin; Macassa, Gloria; Hashmi, Waseem; Durrani, Mohsin

    2012-01-01

    The objective of this retrospective study was to describe demographic characteristics, injury patterns and causes of road traffic crashes (RTCs) managed by Rescue 1122 in Lahore, Pakistan during the period 2005-2010. In total 123,268 RTCs were reported and responded by Rescue 1122 ambulance service during the study period. Of the 132,504 victims of RTCs, there were 67% male and 33% female subjects, and the maximum share (65%) was reported among people aged 16-35 years. Motorcyclists were involved in 45% of crashes, with over-speeding (40%) found to be the major reason of these collisions. Similarly, minor injuries (65%) and fractures (25%) were the most reported outcome of these crashes. It is concluded that data from ambulance services, if appropriately collected, can provide valuable epidemiological information to monitor RTCs in developing countries. However, in Pakistan, the collection of data as well as the registration process needs further improvement.

  2. InSAR observations of strain accumulation and fault creep along the Chaman Fault system, Pakistan and Afghanistan

    NASA Astrophysics Data System (ADS)

    Fattahi, Heresh; Amelung, Falk

    2016-08-01

    We use 2004-2011 Envisat synthetic aperture radar imagery and InSAR time series methods to estimate the contemporary rates of strain accumulation in the Chaman Fault system in Pakistan and Afghanistan. At 29 N we find long-term slip rates of 16 ± 2.3 mm/yr for the Ghazaband Fault and of 8 ± 3.1 mm/yr for the Chaman Fault. This makes the Ghazaband Fault one of the most hazardous faults of the plate boundary zone. We further identify a 340 km long segment displaying aseismic surface creep along the Chaman Fault, with maximum surface creep rate of 8.1 ± 2 mm/yr. The observation that the Chaman Fault accommodates only 30% of the relative plate motion between India and Eurasia implies that the remainder is accommodated south and east of the Katawaz block microplate.

  3. Pakistan: Can the United States Secure an Insecure State?

    DTIC Science & Technology

    2010-01-01

    need to invest more in infrastructure, especially roads and electric power, if growth is to rebound from the current downturn. More and more...about the central gov- ernment’s policy of refusing to pay market prices for Baluch natural gas while failing to improve access to electricity and...Strategy in Pakistan: A Concise Report of a Visit by Landau Network—Centro Volta ,” Como, Italy: Centro Volta , January 2002. 116 For expositions of

  4. Pakistan’s Nuclear Weapons: Proliferation and Security Issues

    DTIC Science & Technology

    2012-06-26

    the work plan in 2009, it did not support the adoption of a draft program of work for 2010.60 Ambassador Zamir Akram , Pakistan’s Permanent...Also see Statement by Ambassador Zamir Akram , Permanent Representative of Pakistan to the Conference on Disarmament, August 31, 2010. 61 Statement...by Ambassador Zamir Akram , February 18, 2010. Pakistan’s Nuclear Weapons: Proliferation and Security Issues Congressional Research Service 10

  5. Human Papillomavirus Genotype Distribution in Invasive Cervical Cancer in Pakistan

    PubMed Central

    Loya, Asif; Serrano, Beatriz; Rasheed, Farah; Tous, Sara; Hassan, Mariam; Clavero, Omar; Raza, Muhammad; De Sanjosé, Silvia; Bosch, F. Xavier; Alemany, Laia

    2016-01-01

    Few studies have assessed the burden of human papillomavirus (HPV) infection in Pakistan. We aim to provide specific information on HPV-type distribution in invasive cervical cancer (ICC) in the country. A total of 280 formalin-fixed paraffin-embedded tissue blocks were consecutively selected from Shaukat Khanum Memorial Cancer Hospital and Research Centre (Lahore, Pakistan). HPV-DNA was detected by SPF10 broad-spectrum PCR followed by DNA enzyme immunoassay and genotyping by LiPA25. HPV-DNA prevalence was 87.5% (95%CI: 83.0–91.1), with 96.1% of cases histologically classified as squamous cell carcinoma. Most of the HPV-DNA positive cases presented single infections (95.9%). HPV16 was the most common type followed by HPV18 and 45. Among HPV-DNA positive, a significantly higher contribution of HPV16/18 was detected in Pakistan (78.4%; 72.7–83.3), compared to Asia (71.6%; 69.9–73.4) and worldwide (70.8%; 69.9–71.8) and a lower contribution of HPVs31/33/45/52/58 (11.1%; 7.9–15.7 vs. 19.8%; 18.3–21.3 and 18.5%; 17.7–19.3). HPV18 or HPV45 positive ICC cases were significantly younger than cases infected by HPV16 (mean age: 43.3, 44.4, 50.5 years, respectively). A routine cervical cancer screening and HPV vaccination program does not yet exist in Pakistan; however, the country could benefit from national integrated efforts for cervical cancer prevention and control. Calculated estimations based on our results show that current HPV vaccine could potentially prevent new ICC cases. PMID:27483322

  6. Nuclear Threat Reduction Measures for India and Pakistan

    DTIC Science & Technology

    2005-02-17

    drive systems, and on-line fuel charging and discharging equipment for CANDU reactors. considered to have made “substantial progress in the...Reduction Measures for India and Pakistan Updated February 17, 2005 Sharon Squassoni Specialist in National Defense Foreign Affairs, Defense, and Trade...hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and

  7. Viable Circumstances for Financial Negotiations in Pakistan Contracting Process

    DTIC Science & Technology

    2015-06-01

    PPRA rules in 2004, the model UNCITRAL was amended in 2011. The amended 2011 UNCITRAL law also allows negotiations, such as the competitive form of...School of Business and Public Policy iii THIS PAGE INTENTIONALLY LEFT BLANK iv ABSTRACT In Pakistan, competitive forms of procurement...the model UNCITRAL was amended in 2011. The amended 2011 UNCITRAL law also allows negotiations, such as the competitive form of procurement. The

  8. Pakistan’s Nuclear Future: Reining in the Risk

    DTIC Science & Technology

    2009-12-01

    market on longer-term Pakistan Investment Bonds ( PIBs ) without offering higher interest rates. It thus resorted to the low cost alternative of...expanded by largely eliminating the sizable amount of government borrowing. Market borrowing by the government through the PIBs will help to identify...of the PIBs of varying maturities. At this level, there should not be a significant crowding out of credit to the private sector. Beyond this, the

  9. Unconventional Warfare and Counterinsurgency in Pakistan: A Brief History

    DTIC Science & Technology

    2012-11-01

    expenditure and an emphasis on monolithic nationalism.”5 Second only to survival was the pursuit of Kashmir. As British India was partitioned , a...passionate dispute erupted over the remote princely state, which had a Hindu ruler and a mostly Muslim population. Under the rules of partition , all Muslim...to Pakistan. Pakistan’s founding leader, Mohammad Ali Jinnah , turned to a politician in Pakistan’s northwest, who organized a small army of Pashtun

  10. 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.

  11. 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.

  12. Progress toward poliomyelitis eradication - Pakistan, January 2012-September 2013.

    PubMed

    2013-11-22

    Pakistan is one of three countries where transmission of indigenous wild poliovirus (WPV) has never been interrupted. This report describes polio eradication activities and progress in Pakistan during January 2012-September 2013 and updates previous reports. During 2012, 58 WPV cases were reported in selected areas, compared with 198 cases throughout the country in 2011; 52 WPV cases were reported during January-September 2013, compared with 54 cases during the same period in 2012. Of the 110 WPV cases reported since January 2012, 92 cases (84%) occurred in the conflict-affected Federally Administered Tribal Areas (FATA) and in security-compromised Khyber Pakhtunkhwa (KP) Province. WPV type 3 (WPV3) was isolated from only three persons with polio in a single district in 2012; the most recent case occurred in April 2012. During August 2012-September 2013, 52 circulating vaccine-derived poliovirus type 2 (cVDPV2) cases were detected, including 30 cases (58%) identified in FATA during January-September 2013. Approximately 350,000 children in certain districts of FATA have not received polio vaccine during supplementary immunization activities (SIAs) conducted since mid-2012 because local authorities have banned polio vaccination. In some other areas of Pakistan, SIAs have been compromised by attacks targeting polio workers that started in mid-2012. Further efforts to reach children in conflict-affected and security-compromised areas, including vaccinating at transit points and conducting additional short-interval-additional-dose (SIAD) SIAs as areas become accessible, will be necessary to prevent reintroduction of WPV into other areas of Pakistan and other parts of the world.

  13. Pakistan’s Security Paradox: Countering and Fomenting Insurgencies

    DTIC Science & Technology

    2009-12-01

    science and art of joint special operations. JSOU provides education to the men and women of SOF and to those who enable the SOF mission in a joint...Moreover, policy confusion has lead to desperate measures.19 Asif Ali Zardari of the Pakistan Peoples Party is stuck between a rock and hard place. On...government must provide a combination of artful governance dedicated to social welfare, including meeting basic needs for food, water, shelter, clothing, and

  14. Human Papillomavirus Genotype Distribution in Invasive Cervical Cancer in Pakistan.

    PubMed

    Loya, Asif; Serrano, Beatriz; Rasheed, Farah; Tous, Sara; Hassan, Mariam; Clavero, Omar; Raza, Muhammad; De Sanjosé, Silvia; Bosch, F Xavier; Alemany, Laia

    2016-07-30

    Few studies have assessed the burden of human papillomavirus (HPV) infection in Pakistan. We aim to provide specific information on HPV-type distribution in invasive cervical cancer (ICC) in the country. A total of 280 formalin-fixed paraffin-embedded tissue blocks were consecutively selected from Shaukat Khanum Memorial Cancer Hospital and Research Centre (Lahore, Pakistan). HPV-DNA was detected by SPF10 broad-spectrum PCR followed by DNA enzyme immunoassay and genotyping by LiPA25. HPV-DNA prevalence was 87.5% (95%CI: 83.0-91.1), with 96.1% of cases histologically classified as squamous cell carcinoma. Most of the HPV-DNA positive cases presented single infections (95.9%). HPV16 was the most common type followed by HPV18 and 45. Among HPV-DNA positive, a significantly higher contribution of HPV16/18 was detected in Pakistan (78.4%; 72.7-83.3), compared to Asia (71.6%; 69.9-73.4) and worldwide (70.8%; 69.9-71.8) and a lower contribution of HPVs31/33/45/52/58 (11.1%; 7.9-15.7 vs. 19.8%; 18.3-21.3 and 18.5%; 17.7-19.3). HPV18 or HPV45 positive ICC cases were significantly younger than cases infected by HPV16 (mean age: 43.3, 44.4, 50.5 years, respectively). A routine cervical cancer screening and HPV vaccination program does not yet exist in Pakistan; however, the country could benefit from national integrated efforts for cervical cancer prevention and control. Calculated estimations based on our results show that current HPV vaccine could potentially prevent new ICC cases.

  15. Pakistan Education Systems and the Radical Islamic Jihadist Ideology

    DTIC Science & Technology

    2006-12-15

    government and religious leaders continue to negotiate these measures. After the 8 October 2005 earthquake that devastated Pakistan, al -Qaida-linked...exploit Islam and use terrorism for ideological ends.”19 An example, the Al Qaida Associated Movement--comprised of al Qaida and affiliated jihadists...jihadists, such as Osama Bin Laden and al -Qaida in general, believe that targeting and destroying the United States and the West is of primary

  16. Coal briquetting in Pakistan: A market and business assessment

    SciTech Connect

    Stevenson, G.G.; Willson, T.D.

    1988-04-01

    Our objectives are to evaluate the potential financial success of an unsubsidized, private sector coal briquetting venture in Pakistan, based on financial competitiveness in market niches, market size, and consumer acceptance; to examine private sector interest and potential business arrangements; to examine potential effects of government policies on such an undertaking; and to make recommendations to the private sector, USAID, and the Government of Pakistan on further work. Our results show that coal briquettes potentially can compete against firewood in some markets, particularly in certain urban areas of Punjab and most urban markets of the NWFP. Salt Range or Makerwal coal would be used for these briquettes. Coal briquettes will also compete against charcoal and kerosene in many areas of Pakistan. The most promising briquette is a coal/biomass mixture not requiring carbonization. A limited opportunity may also exist for a carbonized briquette using Makerwal coal. Smoky briquettes for space heating also are competitive in certain areas, but market size is limiting. The total penetrable residential market for coal briquettes in the Punjab and NWFP of 440,000 to 545,000 tonnes of briquettes per year replacing firewood is sufficiently large to support one or more plants of 50,000 tonnes per year. Charcoal, kerosene, and commercial uses of briquettes could add to this market. 9 refs., 20 figs., 39 tabs.

  17. Genetic analysis of peste des petits ruminants virus from Pakistan

    PubMed Central

    2013-01-01

    Background Peste des petits ruminants (PPR) is an endemic and highly contagious disease in small ruminants of Pakistan. Despite the fact that an effective vaccine is available, outbreaks are regularly occurring in the country. Thus so far, the diagnosis has primarily been made based on clinical outcome or serology. This study was carried out to characterize PPRV from an emerging wave of outbreaks from Punjab, Pakistan. Results A total of 32 blood samples from five different flocks were tested with real-time PCR for the presence of PPRV genome. The samples detected positive in real-time PCR (n = 17) were subjected to conventional PCR for the amplification of the nucleoprotein (N) gene. Phylogenetic analysis of the sequenced N genes (n = 8) indicated the grouping of all the sequences in lineage IV along with PPRV strains from Asian and Middle East. However, interestingly sequences were divided into two groups. One group of viruses (n = 7) clustered with previously characterized Pakistani isolates whereas one strain of PPRV was distinct and clustered with Saudi Arabian and Iranian strains of PPRV. Conclusions Results demonstrated in this study expanded the information on the genetic nature of different PPRV population circulating in small ruminants. Such information is essential to understand genetic nature of PPRV strains throughout the country. Proper understanding of these viruses will help to devise control strategies in PPRV endemic countries such as Pakistan. PMID:23537146

  18. Molecular characterization of infectious bursal disease viruses from Pakistan.

    PubMed

    Shabbir, Muhammad Zubair; Ali, Muhammad; Abbas, Muhammad; Chaudhry, Umer Naveed; Zia-Ur-Rehman; Munir, Muhammad

    2016-07-01

    Since the first report of infectious bursal disease in Pakistan in 1987, outbreaks have been common even in vaccinated flocks. Despite appropriate administration of vaccines, concerns arise if the circulating strains are different from the ones used in the vaccine. Here, we sequenced the hypervariable region (HVR) of the VP2 gene of circulating strains of infectious bursal disease virus (IBDV) originating from outbreaks (n = 4) in broiler flocks in Pakistan. Nucleotide sequencing followed by phylogeny and deduced amino acid sequence analysis showed the circulating strains to be very virulent (vv) and identified characteristic residues at position 222 (A), 242 (I), 256 (I), 294 (I) and 299 (S). In addition, a substitution at positions 221 (Q→H) was found to be exclusive to Pakistani strains in our analysis, although a larger dataset is required to confirm this finding. Compared to vaccine strains that are commonly used in Pakistan, substitution mutations were found at key amino acid positions in VP2 that may be responsible for potential changes in neutralization epitopes and vaccine failure.

  19. 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.

  20. 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.

  1. 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.

  2. Seeking explanations for high levels of infant mortality in Pakistan.

    PubMed

    Sathar, Z A

    1987-01-01

    Data from the Fertility Module of the 1979 Population, Labour Force and Migration (PLM) Survey of Pakistan were analyzed to determine which of 4 factors were primarily responsible for the high infant mortality rate. The factors examined were poverty, childbearing and childrearing practices, distribution of health care and lack of individual attention given to children due to ignorance. These items were presented in a discussion format. Infant mortality in Pakistan is high at about 125-140/1000, for a country with mid-level per capita income. Income was not a good indicator of child mortality, primarily because it was difficult to determine, particularly in rural areas where non-cash income predominates. Wealth and status were good indicators of child survival. Child-rearing practices were somewhat important, as judged by birth order, breastfeeding duration and gender. Childbearing practices as shown by spacing were important determinants of survival. Health care facilities were somewhat important, indicated by higher mortality in rural areas. Rural neonates die from tetanus due to lack of immunization, or later from diarrheal disease due to lack of potable water or poor weaning practices. Maternal education was a strong indicator of survival, much more so than paternal education. Similarly, female heads of households increased survival, probably because they control financial allocations. The study suggested that rather than attempting to eliminate poverty overall, improvements in maternal education, nutrition, health care facilities and their use, and childbearing and child-rearing methods would do more to improve child survival in Pakistan.

  3. Investigation of summer monsoon rainfall variability in Pakistan

    NASA Astrophysics Data System (ADS)

    Hussain, Mian Sabir; Lee, Seungho

    2016-08-01

    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.

  4. 75 FR 52712 - Notice of Decision To Issue Permits for the Importation of Fresh Mango Fruit From Pakistan Into...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-27

    ... Fresh Mango Fruit From Pakistan Into the Continental United States AGENCY: Animal and Plant Health... issuing permits for the importation into the continental United States of fresh mango fruit from Pakistan... weeds via the importation of fresh mango fruit from Pakistan. DATES: Effective Date: August 27,...

  5. ASSESSMENT OF PRACTICE AT RETAIL PHARMACIES IN PAKISTAN: EXTENT OF COMPLIANCE WITH THE PREVAILING DRUG LAW OF PAKISTAN.

    PubMed

    Ullah, Hanif; Zada, Wahid; Khan, Muhammad Sona; Iqbal, Muhammad; Chohan, Osaam; Raza, Naeem; Khawaja, Naeem Raza; Abid, Syed Mobasher Ali; Murtazai, Ghulam

    2016-01-01

    The main objective of this study was to assess the practice at retail pharmacies in Pakistan and to compare the same in rural and urban areas. The maintenance of pharmacy and drug inspectors' visit was also assessed. This cross sectional study was conducted in Abbottabad, Pakistan during October-November, 2012. A sample of 215 drug sellers or drug stores was selected by employing convenient sampling method. With a response rate of 91.6%, 197 drug sellers participated in this study. All the drug sellers were male. Overall, 35% (n = 197) of the drug sellers did not have any professional qualification. A majority of the drug sellers were involved in various malpractices like selling of medicines without prescription (80.7%), prescribing practice (60.9%), prescription intervention (62.4%) and selling of controlled substances (66%) without a license for selling it. These malpractices were significantly higher in rural area than that in urban area.

  6. 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.

  7. 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

  8. Determinants of maternal health care services utilization in Pakistan: evidence from Pakistan demographic and health survey, 2012-13.

    PubMed

    Zakar, Rubeena; Zakar, Muhammad Zakria; Aqil, Nauman; Chaudhry, Ashraf; Nasrullah, Muazzam

    2017-04-01

    The aim of this study was to determine the association between maternal utilisation of health-care services and socio-demographic factors among reproductive-age women in Pakistan. We used the sample of ever-married reproductive-age women (n = 7446) from the Pakistan Demographic and Health Survey (PDHS), 2012-13. We measured maternal utilisation of health-care services by using three dependent variables: number of antenatal care (ANC) visits, delivery assistance by a skilled health provider, and delivery in a health-care facility. Around 36.6% of women had made four or more ANC visits, 59% had received assistance from skilled health providers during delivery, and 55.3% had given birth in a health-care facility. On multivariable logistic regression, all three variables were positively associated with education and wealth, and negatively associated with birth order and women's autonomy. Policymakers and health planners may use our findings to develop efficient strategies, particularly for uneducated women and those with poor economic status, to improve the utilisation of maternal health-care services in Pakistan.

  9. 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

    ... Designation of Tehrik-e Taliban Pakistan (TTP) also known as Tehrik-I-Taliban Pakistan also known as Tehrik-e... (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 as Pakistani Taliban, also...

  10. 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…

  11. 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…

  12. 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…

  13. A Dime a Day: The Possibilities and Limits of Private Schooling in Pakistan

    ERIC Educational Resources Information Center

    Andrabi, Tahir; Das, Jishnu; Khwaja, Asim Ijaz

    2008-01-01

    The authors of this article state that Pakistan is severely offtrack in its progress toward the Millennium Development Goals relating to education for all. Its educational performance is poor, both in absolute terms and relative to the average income of the country. Pakistan has received global attention because of the widespread perception that…

  14. 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…

  15. Household Consequences of High Fertility in Pakistan. World Bank Discussion Paper Series No. 111.

    ERIC Educational Resources Information Center

    Cochrane, Susan Hill; And Others

    The theory and evidence of the consequences of high fertility in Pakistan are reviewed in this paper. Several data sets are analyzed to examine the effects of the number of children on school participation and labor participation in urban Pakistan. Other data are utilized to examine the effects of children on savings in urban and rural areas.…

  16. Pakistan-Specific Cases for the Advanced Management Course in Public Administration.

    ERIC Educational Resources Information Center

    McLean, Gary N., Ed.

    A compilation of management case studies concerning public administration in Pakistan and accompanying teaching notes, this document is intended to foster discussion in classes such as the advanced management course in public administration at the National Institute of Public Administration in Lahore, Pakistan. Included are case studies entitled…

  17. 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…

  18. 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…

  19. Maritime Issues between Pakistan and India: Seeking Cooperation and Regional Stability

    DTIC Science & Technology

    2012-12-01

    2, ( JSTOR , Sage Publications, Apr-June 2005), 191. 67 exchange, some promising small steps also include the resolution of such less contentious...Pakistan,” Alternatives: Global, Local, Political, Vol. 30, No. 2, ( JSTOR , Sage Publications, Apr-June 2005). “India, Pakistan in War of Words as

  20. 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…

  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. Pakistan’s Law Enforcement Agencies -- Harnessing their Potential to Combat Terrorism

    DTIC Science & Technology

    2008-12-01

    Jinnah, Pakistan and Islamic Identity: The Search for Saladin (London: Routledge, 1997), 171. 58 Shahid Javed Burki, Pakistan: A Nation in the...Identity: The Search for Saladin . London: Routledge, 1997. Ahrari, Ihsan. “Pakistan’s Stakes in American War on Terrorism.” http://www.cdi.org

  6. 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

    2014-06-18

    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.

  7. 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.

  8. Gender, pregnancy and the uptake of antenatal care services in Pakistan.

    PubMed

    Mumtaz, Zubia; Salway, Sarah M

    2007-01-01

    An integrated analysis of detailed ethnography and large-scale survey data is presented to explore the gendered influences on women's uptake of antenatal care (ANC) services in Punjab, Pakistan. Pregnancy and its associated decisions were shown to be normatively the older women's domain, with pregnant women and their husbands being distanced from the decision-making process. Women who successfully claimed ANC did so not by overtly challenging the dominant construction of young femininity, but rather by using existing gendered structures and channels of communication to influence authority figures. The quality of a woman's inter-personal ties, particularly with her mother-in-law and husband, were found to be important in accessing resources, including ANC. Gendered influences were moderated by social class. Family finances were an important determinant of ANC use, as was women's education. Wealthier, higher status women also found it easier to circumvent gendered proscriptions against their mobility while pregnant. As well as illuminating the ways in which the sociocultural construction of gender acts to constrain women's access to ANC, the empirical findings are used to highlight significant inadequacies in the 'autonomy paradigm' that has dominated much of the research into women's reproductive health in South Asia.

  9. 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

  10. The potential of the flora from different regions of Pakistan in phytoremediation: a review.

    PubMed

    Kamran, Muhammad Aqeel; Amna; Mufti, Rabia; Mubariz, Nadia; Syed, Jabir Hussain; Bano, Asghari; Javed, Muhammad Tariq; Munis, Muhammad Farooq Hussain; Tan, Zhiyuan; Chaudhary, Hassan Javed

    2014-01-01

    Soil and water quality is greatly affected by environmental pollution due to the increasing trend of urbanization and industrialization. In many developing countries, including Pakistan, the situation is more alarming as no preventive measures are still taken to tackle the problem. Although in developed countries, many techniques are used to remediate the environment including phytoremediation. It is the most eco-friendly technique in which plants are used to remove pollutants from the environment. Pakistan has also a great diversity of plants which could be used for the remediation of environmental pollutants. To our knowledge, few studies from Pakistan were reported about the use of flora for phytoremediation. According to recent literature, 50 plant species from Pakistan are studied for remediation purposes. In this review, the potential of different plant species for phytoremediation from Pakistan has been discussed along with their comparison to other countries to relate future perspectives.

  11. Interpretation of seismic reflection data across the Himalayan foreland thrust belt in Pakistan

    SciTech Connect

    Lillie, R.J.; Yeats, R.S.; Leathers, M.; Baker, D.M.; Yousuf, M.; Jaume, S.C.

    1985-01-01

    Approximately 5000 km of Pakistan government and industry seismic reflection profiles have been incorporated into studies of the active collisional foreland of the western Himalaya. From south to north, the profiles reveal a gently north-dipping detachment zone separating Precambrian basement of the Indian shield from southward thrusted Phanerozoic strata. At its leading edge, the detachment lies within an Eocambrian evaporite sequence at the base of the section in the Salt Range and southern Potwar Plateau. Strata of the Punjab plains south of the Salt Range can be traced northward on the seismic profiles 25 kilometers beneath the Salt Range thrust. Beneath the north flank of the Salt Range, the reflection data reveal a large normal fault offsetting the top of the basement. This normal fault caused thrusts to ramp upsection, exposing Paleozoic and Mesozoic strata in the Salt Range. Farther north, strata within the southern Potwar Plateau have been transported at least 25 kilometers, but have undergone little internal deformation. In the northern Potwar Plateau, strata within the upper thrust plate are complexly folded and faulted, perhaps indicating that the Eocambrian evaporite sequence is missing or less effective than a decoupling zone beneath the thicker overthrust section. At the north end of the seismic control, the detachment remains at a low angle beneath approximately nine km of allochthonous sedimentary rocks. A continuation of seismic coverage as a deep crustal profile is needed to study the northward continuation of the detachment and its relations to more interior thrust faults, including the Main Boundary and Main Mantle thrusts.

  12. Morphotectonic analysis of the Hazara arc region of the Himalayas, north Pakistan and northwest India

    NASA Astrophysics Data System (ADS)

    Gornitz, Vivien; Seeber, Leonard

    1981-04-01

    In the Hazara arc region of northern Pakistan, some of the active basements structures buried below a thick, detached sedimentary layer are inferred from the distribution of lineaments and the drainage patterns, as viewed in Landsat satellite imagery and from river profiles. A prominent set of NW-trending lineaments seen on satellite imagery, coincides approximately with the southwest or updip side of the Indus—Kohistan seismic zone (IKSZ) —the most active basement structure of the region, even though this structure is buried beneath and decoupled from a 12 km thick sedimentary layer. The IKSZ has been interpreted as an extension of the Himalayan Basement Thrust, and is also associated with a prominent topographic "step". Knickpoints on major rivers in the region lie on or north of the IKSZ. All Indus River tributaries, examined north of the IKSZ, show prominent knickpoints, while two tributaries draining south of the IKSZ have no knickpoints. These results suggest ongoing uplift above and north of the IKSZ, and are consistent with the tectonic model obtained from the seismic data. Another prominent lineament set is detected along the north—south section of the Indus River. This set is probably related to the Indus River horst—anticline and associated reentrant. One of the two highest lineament concentrations occurs at the intersection between the NW-trending IKSZ lineament and the N-trending Indus River lineament. The other is along the west bank of the Indus Valley, 25 km north of Tarbela Dam. A topographic ridge (Swabi—Nowshera ridge) appears to be forming along the west side of the Indus River, in the Peshawar Basin. The rising ridge is ponding the Kabul River upstream of Nowshera, where the drainage is braided.

  13. On the fog variability over south Asia

    NASA Astrophysics Data System (ADS)

    Syed, F. S.; Körnich, H.; Tjernström, M.

    2012-04-01

    An increasing trend in fog frequencies over south Asia during winter in the last few decades has resulted in large economical losses and has caused substantial difficulties in the daily lives of people. In order to better understand the fog phenomenon, we investigated the climatology, inter-annual variability and trends in the fog occurrence from 1976 to 2010 using observational data from 82 stations, well distributed over India and Pakistan. Fog blankets large area from Pakistan to Bangladesh across north India from west to east running almost parallel to south of the Himalayas. An EOF analysis revealed that the fog variability over the whole region is coupled and must therefore be governed by some large scale phenomenon on the inter-annual time scale. Significant trends were found in the fog frequencies and this increase is not gradual, as seen in the humidity, but shows two distinct regimes shifts in 1990 and 1998 with respect to both mean and variance. The fog is also detected in ERA-Interim 3 hourly, surface and model level forecast data when using the concept of "cross-over temperature" combined with boundary layer stability. This detected fog index is able to reproduce the regime shift around 1998 and shows that the method can be applied to detect fog over south Asia. The inter-annual variability seems to be associated with the wave train originating from north Atlantic in the upper atmosphere that causes higher pressure over the region,resulting in increased boundary layer stability and surface-near relative humidity. The trend and shifts in the fog occurrence seems to be associated with the gradual increasing trend in relative humidity from 1990 onwards.

  14. On the fog variability over south Asia

    NASA Astrophysics Data System (ADS)

    Syed, F. S.; Körnich, H.; Tjernström, M.

    2012-12-01

    An increasing trend in fog frequencies over south Asia during winter in the last few decades has resulted in large economical losses and has caused substantial difficulties in the daily lives of people. In order to better understand the fog phenomenon, we investigated the climatology, inter-annual variability and trends in the fog occurrence from 1976 to 2010 using observational data from 82 stations, well distributed over India and Pakistan. Fog blankets large area from Pakistan to Bangladesh across north India from west to east running almost parallel to south of the Himalayas. An EOF analysis revealed that the fog variability over the whole region is coupled and therefore must be governed by some large scale phenomenon on the inter-annual time scale. Significant positive trends were found in the fog frequency but this increase is not gradual, as with the humidity, but comprises of two distinct regimes shifts, in 1990 and 1998, with respect to both mean and variance. The fog is also detected in ERA-Interim 3 hourly, surface and model level forecast data when using the concept of "cross-over temperature" combined with boundary layer stability. This fog index is able to reproduce the regime shift around 1998 and shows that the method can be applied to analyze fog over south Asia. The inter-annual variability seems to be associated with the wave train originating from the North Atlantic in the upper troposphere that when causing higher pressure over the region results in an increased boundary layer stability and surface-near relative humidity. The trend and shifts in the fog occurrence seems to be associated with the gradual increasing trend in relative humidity from 1990 onwards.

  15. 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 (10–88) years and 1164 (49.9%) were males. Median monthly income was 49 (3.9–137) 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

  16. 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

  17. Strategic forum. Number 71. Escalating tensions in south Asia

    SciTech Connect

    Oakley, R.B.; Snyder, J.C.

    1996-04-01

    Policymakers in both India and Pakistan have concluded that the potential capability to develop and deploy nuclear weapons serves their national security and political interests. International efforts to reverse these conclusions are unlikely to succeed, particularly if these initiatives center on the nuclear non-proliferation treaty (NPT) regime. The present state of tension and the ambiguous balance of nuclear capabilities and ballistic missiles between India and Pakistan is not sustainable over the long-term because deterrence could break down in a crisis. Nuclear armed missiles could be deployed or even used, by one or both parties, perhaps for pre-emptive purposes. Even without a crisis, escalating domestic and regional tensions may lead India and Pakistan into declared nuclear weapons programs. A nuclear arms race, analogous in nature (but not in magnitude) to that between the United States and Soviet Union during the Cold War, could follow. Traditional global arms control regimes cannot address the problem. A new security approach by the United States and other concerned governments is warranted one that freezes the weapons programs of these de facto nuclear powers at current levels by mutual agreement with international assurances. As the first step toward constructing a new regional approach to South Asian security this could avoid nuclear weapons escalation in the near term, and might eventually lead these two countries to agree to accede to international non-proliferation regimes.

  18. 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.

  19. Progress Toward Poliomyelitis Eradication - Pakistan, January 2015-September 2016.

    PubMed

    Hsu, Christopher H; Mahamud, Abdirahman; Safdar, Rana Muhammad; Ahmed, Jamal; Jorba, Jaume; Sharif, Salmaan; Farag, Noha; Martinez, Maureen; Tangermann, Rudolph H; Ehrhardt, Derek

    2016-11-25

    Pakistan, Afghanistan, and Nigeria remain the only countries where endemic wild poliovirus type 1 (WPV1) transmission continues. This report describes the activities, challenges, and progress toward polio eradication in Pakistan during January 2015-September 2016 and updates previous reports (1,2). In 2015, a total of 54 WPV1 cases were reported in Pakistan, an 82% decrease from 2014. In 2016, 15 WPV1 cases had been reported as of November 1, representing a 61% decrease compared with the 38 cases reported during the same period in 2015 (Figure 1). Among the 15 WPV1 cases reported in 2016, children aged <36 months accounted for 13 cases; four of those children had received only a single dose of oral poliovirus vaccine (OPV). Seven of the 15 WPV1 cases occurred in the province of Khyber Pakhtunkhwa (KP), five in Sindh, two in the Federally Administered Tribal Areas (FATA), and one in Balochistan (3). During January-September 2016, WPV1 was detected in 9% (36 of 384) of environmental samples collected, compared with 19% (69 of 354) of samples collected during the same period in 2015. Rigorous implementation of the 2015-2016 National Emergency Action Plan (NEAP) (4), coordinated by the National Emergency Operations Center (EOC), has resulted in a substantial decrease in overall WPV1 circulation compared with the previous year. However, detection of WPV1 cases in high-risk areas and the detection of WPV1 in environmental samples from geographic areas where no polio cases are identified highlight the need to continue to improve the quality of supplemental immunization activities (SIAs),* immunization campaigns focused on vaccinating children with OPV outside of routine immunization services, and surveillance for acute flaccid paralysis (AFP). Continuation and refinement of successful program strategies, as outlined in the new 2016-2017 NEAP (5), with particular focus on identifying children missed by vaccination, community-based vaccination, and rapid response to virus

  20. Discrimination in the Pakistan labour market: myth and reality.

    PubMed

    Mohiuddin, Y

    1991-01-01

    This paper examines what author calls a fundamental form of sex discrimination in Pakistan: the fact that women's extensive participation in the labor force is ignored by economic planners. While wage and job discrimination are the most common forms of sex discrimination in Europe and North America, in Pakistan sex discrimination revolves around the divergence between the myth that women do not work and the reality that women's labor force participation is high. Because of the myth that women do not work, women are overlooked by the same planning process that could serve to enhance their productivity. The paper is divided into 5 sections: 1) the introduction; 2) an examination of the myth concerning women's labor force participation and its underlying reasons; 3) an analysis of the extent of women's participation in the labor force in rural and urban settings; 4) a discussion of the extent of wage and occupational discrimination in Pakistan; and 5) a discussion of the policy implications. While official figures calculate the labor force activity of rural women and urban women to be between 3%-10.7% and 3.5%-4.7%, respectively, the author explains that the figures are closer to 55% and 25% (and this does not include women's participation in the informal sector). The author identifies 4 reasons that perpetuate the myth that women do not work: 1) women are physically hidden from view, a seclusion institutionalized by the practice of purdah (the veil); 2) the middle-class ideal of a nonworking wife; 3) the perception that only paid labor counts as work; and 4) the failure of statistics to capture the true extent of women's participation.

  1. Migration and development in Pakistan: some selected issues.

    PubMed

    Irfan, M

    1986-01-01

    Various sources of cross-sectional data were used as a basis for considering some of the interrelationships between migration and development in Pakistan, particularly the effects on the labor-exporting rural areas. The available data yield a range of estimates as to the level of mobility. During the 1970s, around 7-10% of Pakistan's population changed residence. The incidence of migration was higher among females than males. Women's greater propensity to migrate can be attributed primarily to patrilocal marriage customs wherein a significant proportion of females migrate, particularly in the rural areas. According to the 1979 Population, Labor Force and Migration Survey, the share of migrants in the total female population fell from 11.8% to 4.8% when migration for marriage is excluded. In Pakistan, mobility is predominantly local or involves short distances only. Only 19% of the internal migrants crossed provincial boundaries. 29.8% of the flow was from rural to urban areas. The remainder of the volume of internal migration was shared equally by inter-city and urban-to-rural migrants. The coincidence of the timing of marriage and entry into the labor market in individuals' life cycles generated a peak for the 15-24 age group in the age-mobility curve. A positive association exists between education and the propensity to migrate. In terms of origin, the propensity to move exhibited by the higher educational group was higher (33%) in rural areas than in urban areas (10%). 83% of this group from rural areas moved to urban centers; 80% of the same educational background chose another urban center as destination. The data on remittances may suffer both from reporting areas and being unrepresentative. The remittances estimated due to internal migration, on the basis of the PLM survey, amounted to 3 billion rupees in 1978. On average, remittances accounted for 35% of the earnings of the migrants. Average remittances were substantially less than the earnings of

  2. Measurement of natural radioactivity from soil samples of Sind, Pakistan.

    PubMed

    Mujahid, S A; Hussain, S

    2011-06-01

    Natural radioactivity has been measured from the soil samples collected from the Sind province of Pakistan. The measured activities of ²²⁶Ra, ²³²Th and ⁴⁰K were found in the range of 18-47, 24-69 and 254-769 Bq kg⁻¹, respectively. The calculated values of the absorbed dose rate in air and the annual effective dose were in the range of 33-87 nGy h⁻¹ and 0.16-0.43 mSv, respectively. The measured results of activity were found compatible with the worldwide findings.

  3. Untypeable hepatitis C virus subtypes in Pakistan: A neglected section.

    PubMed

    Khan, Abdul Waheed; Nasim, Zeeshan; Zahir, Fazli; Ali, Shahid; Ali, Abid; Iqbal, Aqib; Munir, Iqbal

    2016-12-01

    Diagnostically untypeable subtypes contribute a considerable percent of hepatitis C virus (HCV) subtypes in Pakistan. In the present study, chronically infected HCV patients with known viremia were subjected to HCV genotyping. Among the total retrieved samples, 92.7% (64/69) were found typeable while 7.24% (5/69) were diagnostically untypeable. In conclusion, the presence of large number of untypeable HCV subtypes emphasizes the need of an updated type-specific genotyping assay and consideration of primers for proportionally rare subtypes to minimize the number of untypeable HCV subtypes.

  4. 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.

  5. Deadly addiction: India and Pakistan on the nuclear brink.

    PubMed

    Arya, Neil

    2006-01-01

    The effects of nuclear weapons on Hiroshima and Nagasaki and the political and moral context surrounding their use are discussed. The rationale for development of the Indian and Pakistani nuclear weapons programmes are summarised and critically examined in comparison to the costs of the programmes and the social needs, which could have been addressed. Alternative routes to provide peace and security are proposed, both for India, Pakistan, and other nuclear-weapon states, with particular emphasis on the role of physicians and other health workers.

  6. Growing burden of diabetes in Pakistan and the possible role of arsenic and pesticides.

    PubMed

    Bahadar, Haji; Mostafalou, Sara; Abdollahi, Mohammad

    2014-01-01

    This review is undertaken to address the possible role of arsenic and pesticides in the prevalence of diabetes in Pakistan and to highlight a resourceful targeted research in this area. A bibliographic search of scientific databases was conducted with key words of "epidemics of diabetes in Pakistan", "diabetes in Asia", "diabetes mellitus and environmental pollutants", "diabetes mellitus and heavy metals", "diabetes mellitus and pesticides", "prevalence of pesticides in Pakistan", and "heavy metals contamination of drinking water, "vegetables and fruits in Pakistan". More than 200 articles were examined. Studies reporting the prevalence of diabetes mellitus (DM), pesticides and heavy metal contamination of drinking water, fruits and vegetables were included in the study. According to WHO 2011 report, about 12.9 million people are suffering from DM and the number is constantly increasing. Water pollution is a major public health threat in Pakistan. Most of the people in Pakistan are exposed to arsenic and pesticides either in drinking water or through vegetables, fruits, and other edible items with various concentrations above the WHO/FAO permissible limits. Being an agricultural country, a 1169% increase has been recorded with the use of different types of pesticides since last two decades, and almost similar rise in the burden of diabetes. There is a growing global concern of arsenic and pesticides exposure with the incidence of DM. Besides other factors, the environmental attributors in the incidence of DM in Pakistan have not been conclusively elucidated yet which in turn deserve a resourceful targeted research.

  7. 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.

  8. 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.

  9. 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

  10. Size and sociodemographic characteristics of the Afghan refugee population in Pakistan.

    PubMed

    Yusuf, F

    1990-07-01

    Some recent data are presented on the size and selected sociodemographic characteristics of the Afghan refugee population in Pakistan. Although the official figures show that there were 3.27 million registered Afghan refugees in Pakistan, it is estimated that the actual number may be as high as 3.6 million. There is an excess of females over males, mainly due to war-related activities and excessive casualties particularly among males. While infant and childhood mortality rates are declining and are lower than the levels prevalent in Pakistan, as well as in Afghanistan during the pre-war period, the fertility levels among Afghan refugees seem very high indeed.

  11. Development of the Himalayan frontal thrust zone: Salt Range, Pakistan

    NASA Astrophysics Data System (ADS)

    Baker, Dan M.; Lillie, Robert J.; Yeats, Robert S.; Johnson, Gary D.; Yousuf, Mohammad; Zamin, Agha Sher Hamid

    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 (˜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.

  12. 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.

  13. 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

  14. 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.

  15. 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.

  16. Factors affecting breastfeeding practices among working women in Pakistan.

    PubMed

    Soomro, J A; Shaikh, Z N; Bijarani, S A; Saheer, T B

    2017-02-01

    In urban areas of Pakistan, women's return to work after giving birth has frequently been found to be a main contributor to the early termination of breastfeeding. This study aimed to assess workplace breastfeeding support provided to working mothers in Pakistan. In a cross-sectional survey in 2014, mothers and employers from a representative sample of 297 workplaces were interviewed using a pre-tested questionnaire. Mothers from 36 (12.1%) sites reported receiving breastfeeding breaks, and 86% of the mothers had received 3 months paid maternity leave. Provision of a lighter job and information about breastfeeding options on return to work were reported from 15% and 5% of the workplaces, respectively. Only two sites had designated breastfeeding corners. Significantly different results were found between types of employer (government or private) and type of organization (national or multinational) with regard to breastfeeding breaks, breastfeeding corners, lighter jobs and paid maternity leave. Public and multinational companies were slightly better than private and national ones in providing breastfeeding facilities.

  17. 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.

  18. 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.

  19. Routine immunization services in Pakistan: seeing beyond the numbers.

    PubMed

    Husain, S; Omer, S B

    2016-06-15

    Vaccine-preventable diseases continue to be a major cause of morbidity and mortality among children under 5 years of age in Pakistan, and the country remains one of the last reservoirs of polio, posing a threat of viral spread within the region and globally. This structured review describes challenges in the achievement of vaccination targets and identifies arenas for policy and programmatic interventions and future research. Burdened with limited demand and inefficient vaccination services, the recently devolved Expanded Programme on Immunization (EPI) faces multiple hurdles in increasing immunization volumes, improving the quality of services and ensuring timely vaccination. The EPI requires multi-pronged, multi-level, coordinated interventions to improve programme functioning and to enhance vaccination uptake at community level. Additionally, a lack of rigorous scientific enquiry on vaccination services limits the introduction of well-developed, responsive interventions. The paper describes systemic bottlenecks, proposes potential solutions and suggests lines of further enquiry to understand and reduce the languishing immunization rates in Pakistan.

  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