The health sciences AUS
type: channel
description: Aims and Scope The health sciences AUS is an international, peer-reviewed, open-access journal dedicated to advancing knowledge and evidence-based practice across the health sciences. The journal publishes high-quality scholarly research that contributes to the understanding, improvement, and delivery of healthcare at local, regional, and global levels. The journal welcomes original research articles, systematic reviews, meta-analyses, clinical studies, case reports, methodological papers, policy analyses, and evidence-based commentaries across a broad range of health-related disciplines. Areas of interest include, but are not limited to: Public Health and Health Promotion Clinical Medicine and Healthcare Practice Nursing and Allied Health Sciences Medical Education Health Policy and Health Systems Research Epidemiology and Population Health Mental Health and Wellbeing Digital Health and Health Informatics Global Health Preventive and Community Health Dental and Oral Health Sciences The health sciences AUS seeks to foster interdisciplinary collaboration among researchers, clinicians, educators, policymakers, and healthcare professionals worldwide. The journal encourages the publication of scientifically rigorous and ethically conducted research that addresses contemporary health challenges and contributes to improved health outcomes. All submissions undergo a rigorous double-blind peer-review process conducted by qualified experts in the relevant field. The journal adheres to internationally recognized publication ethics and editorial standards, including the principles of transparency, research integrity, and ethical publishing practices, to ensure the quality, reliability, and scholarly value of published research. By promoting scholarly exchange and supporting both established and emerging researchers from diverse geographical regions, The Health Sciences AUS aims to serve as a trusted international platform for the dissemination of impactful health sciences rese…
publisher: The health sciences AUS
language: en
publication name: The health sciences AUS
issn: 2982-2181
copyright: You are free to: Share — copy and redistribute the material in any medium or format for any purpose, even commercially. Adapt — remix, transform, and build upon the material for any purpose, even commercially. The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms: Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits. Notices: You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation. No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
items: From Oil Shock to Health Crisis: Pakistan’s Mediation in the US-Israel-Iran War An International Relations Analysis
items: Divergent Paths: A Comparison of Magnification Practices
items: Gender Disparity in Medical Specializations: The Overrepresentation of Female Doctors in Gynecology and the Need for Diversification in Pakistan: Review Study
items: Intralesional Triamcinolone Acetonide in the Management of Acne Keloidalis Nuchae
items: S Rahba “Empowering Parents of Children with Cerebral Palsy: Impact of the Fav-Words Framework in Pakistan”
items: ADVANCEMENTS IN MINIMALLY INVASIVE TECHNIQUES: REVOLUTIONIZING POSTOPERATIVE RECOVERY IN COLORECTAL SURGERY
items: The Future of Doctors in Pakistan: Healthcare Corruption and Underdevelopment Crisis
items: Adverse Reactions to Ringer’s Lactate Infusion: The Role of Poor Dietary Habits in Fast-Food-Dependent Populations
items: Human Rights Violations and the Future of Doctors in Pakistan: A Case Study of Land Mafia and Institutional Corruption
items: Clinical Hematology in Khyber Pakhtunkhwa, Pakistan: A Crisis of Workforce, Infrastructure, and Ethics
items: Joint Liver-Kidney Transplantation for Primary Hyperoxaluria and Other Metabolic Conditions
items: KPK physicians' contentment with their jobs
items: The impact of hospital admissions for infected diabetic foot ulcers at Hayatabad Medical Complex
items: The Role of Vitamin D Supplementation in orthopedic trauma patients
items: Evaluating the Role of Automated Fact-Checking (AI) in Combating Health Misinformation and Strengthening Policy Effectiveness: A Comparative Study of Government Hospitals in Australia and Pakistan
items: "Involvement of Paranasal Sinuses in Patients with Bilateral Nasal Polyps: A cross-sectional descriptive Study "
items: The Role of Vitamin D Supplementation in Managing Autoimmune Disorders in Women Implications for Gynecological Health.
items: " Neurosurgical Emergencies in mardan medical complex: A Cross-Sectional Study"
items: OUTCOME OF PROCEDURE AT SPINE WITH THEIR COMPLICATIONS
items: Surgical Site Infections Following Orthopaedic Trauma Surgery
items: Risk Factors For Deep Surgical Site Infections Following Orthopaedic Trauma Surgery
items: Advantages Of Skin Closure With Staples In Orthopedic Surgery At Mardan Medical Complex
items: ADVANCES IN NON-SURGICAL INTERVENTIONS FOR UTERINE FIBROIDS: PATIENT-CENTERED OUTCOMES AT MARDAN MEDICAL COMPLEX
items: The Role of Artificial Intelligence in Diagnosing and Managing Chronic Diseases: A Paradigm Shift
items: Outcome of surgical site infection following inguinal hernia closure
items: Audit, Transparency, and Future Directions for the Sehat Card Plus Program: Insights and Recommendations
items: Editorial: The Future of Family Medicine as a Specialty in Pakistan
items: CONCERNS AND RECOMMENDATIONS FOR OPD SERVICES UNDER THE BENAZIR INCOME SUPPORT PROGRAM
items: Outcome of Breast feeding mothers with infants under 6 months admitted to Kohat district hospital
items: Outcome of Manifestation and sign of pneumonia in children under five years of age

From Oil Shock to Health Crisis: Pakistan’s Mediation in the US-Israel-Iran War An International Relations Analysis
type: item
description: This article provides a comprehensive analysis of the ongoing US-Israel-Iran war, which began on 28 February 2026. It examines the conflict through multiple lenses: military escalation, economic disruption (particularly the near‑closure of the Strait of Hormuz), the unfolding humanitarian and health crisis, and the diplomatic role of Pakistan as a mediator. Drawing on empirical data from international organizations and scholarly literature on International Relations and peace and conflict studies, the article argues that the war represents a fundamental breakdown of the liberal international order and a catastrophic failure of preventive diplomacy. It concludes with policy recommendations for de‑escalation, humanitarian relief, and long‑term regional security architecture.
subject: Articles
  topic: section
subject: Iran war; Strait of Hormuz; humanitarian crisis; Pakistan mediation; international political economy; peace and conflict studies; global health security.
  topic: keywords
subject: Intenational Relations
  topic: disciplines
subject: Peace and Conflict Studies
  topic: disciplines
creator: Abdullah Ishtiaq
rights: Copyright (c) 2026 Abdullah Ishtiaq (Author) https://creativecommons.org/licenses/by/4.0/
date: 2026-04-12
publication date: 2026-04-12
doi: 10.70765/5zmf7v86

Divergent Paths: A Comparison of Magnification Practices
type: item
description: Objective: This study was to compare the dental magnification practices and preferences of restorative and endodontic dentists. It aimed to measure how often different clinical procedures were used. The study also sought to determine the most popular kinds of magnification equipment. Lastly, it evaluated how clinical results and musculoskeletal health were thought to be affected by magnification. Method: From September 2024 to September 2025, a cross-sectional study was carried out at the Dr. Ishrat ul Ibad Khan Institute of Oral Health Sciences. A selected sample of certified endodontists and restorative dentists received a validated questionnaire. We gathered information on preferences, therapeutic applications, device usage, and demographics. Descriptive and inferential statistics were used in the statistical analysis conducted with SPSS version 26.0. Result: Restorative dentists employed loupes more frequently, mainly for operations like crack diagnosis and caries eradication. In complicated procedures like canal obturation and perforation repair, the use of magnification was a significant factor (p<0.05) determining reported outcomes. Additionally, there was a significant favorable association found between the usage of magnification and a decrease in musculoskeletal pain. Conclusion: Endodontists use high-magnification tools, such as the microscope, more frequently. In order to improve accuracy and ergonomics, magnification must be widely used. The results support the inclusion of integrated magnification training in postgraduate programs in order to standardize high-quality care.Due to procedural requirements, there is a significant difference in the two specialties' magnification procedures.
subject: Articles
  topic: section
subject: Endodontics, restorative dentistry, dental magnification, surgical loupes, dental operating microscopes,clinical procedures.
  topic: keywords
subject: dentistry
  topic: subjects
subject: periodontics
  topic: disciplines
subject: medical officer
  topic: disciplines
subject: pims
  topic: disciplines
creator: mudasar shah
rights: Copyright (c) 2025 mudasar shah (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-11-24
publication date: 2025-11-24
doi: 10.70765/sbxnrb48

Gender Disparity in Medical Specializations: The Overrepresentation of Female Doctors in Gynecology and the Need for Diversification in Pakistan: Review Study
type: item
description: In Pakistan, particularly in Khyber Pakhtunkhwa (KPK), cultural and religious norms often restrict women from seeking medical treatment from male doctors, especially in sensitive specialties. Despite this, a disproportionate number of female doctors choose gynecology over other critical fields such as surgery, diabetology, hematology, orthopedics, and urology. This paper examines the factors driving this trend, including societal expectations, institutional biases, and lack of mentorship in non-traditional specialties. A mixed-methods approach was used, combining surveys of female medical students and practitioners with an analysis of specialization trends in KPK hospitals. The findings reveal that while cultural restrictions necessitate more female doctors in all specialties, systemic barriers discourage women from pursuing non-gynecological fields. Policy recommendations include targeted scholarships, mentorship programs, and awareness campaigns to encourage female doctors to diversify their specializations.
subject: Articles
  topic: section
subject: Female doctors, medical specialization, gender disparity, gynecology, Pakistan, KPK
  topic: keywords
creator: Dr Shabana Tahir
rights: Copyright (c) 2025 shabana tahir (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-08-01
publication date: 2025-08-01
doi: 10.70765/1wydqg59

Intralesional Triamcinolone Acetonide in the Management of Acne Keloidalis Nuchae
type: item
description: Background: Acne keloidalis nuchae (AKN) is a chronic, scarring folliculitis that predominantly affects the occipital scalp and posterior neck, leading to significant cosmetic and psychological morbidity. Current treatment remains challenging, and recurrence is common. Objective: This article reviews the efficacy and safety of intralesional triamcinolone acetonide (ILTA) in AKN and presents clinical insights into its application as a practical, cost-effective therapy. Methods: A comprehensive review of the literature was undertaken using PubMed, Google Scholar, and regional databases. In addition, case experiences from patients treated with ILTA injections at a dermatology practice in Pakistan are highlighted. Results: ILTA demonstrates significant efficacy in reducing inflammation, pruritus, and lesion size, with high patient satisfaction. Side effects such as atrophy and hypopigmentation are rare when administered at appropriate concentrations. Combination approaches (ILTA with antibiotics, laser, or surgery) further improve long-term outcomes. Conclusion: ILTA is a cornerstone therapy for AKN, offering a safe and effective treatment option when delivered using proper technique and dosage.
subject: Articles
  topic: section
subject: Acne keloidalis nuchae; Intralesional triamcinolone; Keloid; Corticosteroid injection; Dermatology
  topic: keywords
subject: Acne keloidalis nuchae; Intralesional corticosteroids; Triamcin
  topic: subjects
subject: Dermatology; Clinical Medicine; Pharmacology; Surgery; Aesthetic Medicine
  topic: disciplines
creator: Dr Annass Sani
rights: Copyright (c) 2025 Dr. Annas Sani (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-09-02
publication date: 2025-09-02
doi: 10.70765/ebx1qj96

S Rahba “Empowering Parents of Children with Cerebral Palsy: Impact of the Fav-Words Framework in Pakistan”
type: item
description: Childhood disability in Pakistan exists within a complex socio-cultural matrix where stigma, silence, and misperception often overshadow the actual needs and potential of children with developmental disorders, such as cerebral palsy. In such contexts, parental understanding tends to be shaped by deficit-based perspectives emphasizing what the child cannot do rather than recognizing inherent abilities or future possibilities. This study set out to challenge these perceptions by introducing parents to the F-words for Child Development framework, a strengths-based approach grounded in the ICF model, which centers on Function, Family, Fitness, Fun, Friends, and Future. Through a structured intervention that included awareness sessions and pre- and post-intervention interviews, the research illuminated a profound shift in how parents began to perceive their children’s disabilities. Thematic analysis revealed that the F-words framework not only reframed disability as an opportunity for growth and participation but also encouraged families to reimagine their caregiving roles. From initial expressions of grief, guilt, and helplessness, many parents evolved toward a language of empowerment, agency, and hope placing the child’s strengths and aspirations at the heart of caregiving narratives. These findings underscore the transformative potential of contextually sensitive interventions that focus on capacity rather than limitation. By engaging with the F-words framework, parents were not simply informed; they were inspired. Their narratives moved from silence to advocacy, from marginalization to inclusion. This change was not just cognitive it was deeply emotional and relational, fostering a renewed sense of purpose and possibility within the family system. In a country where cultural beliefs and limited rehabilitative infrastructure often hinder progress, this study affirms that transformative change can begin with something as fundamental as a shift in perspective. When fami…
subject: Articles
  topic: section
subject: F-words, disability, cerebral palsy, Pakistan, parental empowerment, family-centered care, qualitative research, inclusion, child development, thematic analysis
  topic: keywords
subject: Parental Empowerment, Strength-Based Perspective , Cultural Reframing, Hope for the Future, Therapy Beyond Clinics.
  topic: subjects
subject: Psychology
  topic: disciplines
creator: Rahba Sani
rights: Copyright (c) 2025 rahba sani (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-09-02
publication date: 2025-09-02
doi: 10.70765/0bbcj120

ADVANCEMENTS IN MINIMALLY INVASIVE TECHNIQUES: REVOLUTIONIZING POSTOPERATIVE RECOVERY IN COLORECTAL SURGERY
type: item
description: OBJECTIVE: This study evaluates advancements in minimally invasive techniques (MITs) and their impact on postoperative recovery in colorectal surgery patients METHOD: A retrospective cohort study was conducted at Khyber Teaching Hospital, Peshawar, from January 2024 to December 2024. Patients undergoing MITs were compared to those treated with conventional methods regarding postoperative outcomes, focusing on recovery times, complication rates, and patient satisfaction. RESULT: A total of 200 patients were analyzed. MITs showed a significant reduction in recovery times and complication rates compared to conventional methods. Key metrics, such as satisfaction scores and pain relief levels, indicated superior outcomes for MITs. CONCLUSION: MITs represent a revolution in colorectal surgery, enhancing postoperative recovery and reducing complications. Continued adoption and refinement of these techniques are essential for improving patient care
subject: Articles
  topic: section
subject: surgery
  topic: subjects
creator: Dr Fazli wadud
rights: Copyright (c) 2025 dr fazliwadud (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-01-02
publication date: 2025-01-02
doi: 10.70765/exkf1j46

The Future of Doctors in Pakistan: Healthcare Corruption and Underdevelopment Crisis
type: item
description: Pakistan's healthcare system faces a severe crisis due to systemic corruption, underfunding, and brain drain of medical professionals. Doctors, who are essential for national health security, struggle with inadequate infrastructure, political interference, and unethical practices that compromise patient care. This paper examines the impact of corruption on medical practice, the challenges faced by doctors, and the future of healthcare in an underdeveloped system. Using a mixed-methods approach, including surveys of physicians and analysis of healthcare policies, this study highlights how corruption worsens health inequities and forces skilled doctors to emigrate. Recommendations include anti-corruption reforms, increased healthcare funding, and incentives to retain medical talent.
subject: Articles
  topic: section
subject: Healthcare corruption, medical brain drain, Pakistan health crisis, doctor’s future, underdevelopment
  topic: keywords
creator: Dr Muhammad Danyal
rights: Copyright (c) 2025 Muhammad danyal khan (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-08-01
publication date: 2025-08-01
doi: 10.70765/neqad383

Adverse Reactions to Ringer’s Lactate Infusion: The Role of Poor Dietary Habits in Fast-Food-Dependent Populations
type: item
description: Ringer’s lactate (RL) is a widely administered crystalloid solution for fluid resuscitation and maintenance therapy. Although generally considered safe, emerging case reports document adverse reactions, including metabolic disturbances and electrolyte imbalances. This study investigates the potential link between RL-related complications and poor dietary habits, particularly high fast-food consumption and inadequate vegetable intake. We present three clinical cases demonstrating RL-induced hyperkalemia, metabolic alkalosis, and lactate intolerance in patients with nutritionally deficient diets. Our findings suggest that chronic fast-food dependence—characterized by excessive sodium, low potassium, and micronutrient deficiencies—may predispose individuals to RL-associated complications. Clinicians should evaluate dietary history when selecting intravenous fluids, particularly in metabolically vulnerable patients. Further research is needed to establish dietary guidelines for fluid therapy in high-risk populations.
subject: Articles
  topic: section
subject: Ringer’s lactate, adverse drug reactions, fast food, metabolic alkalosis, hyperkalemia, malnutrition
  topic: keywords
creator: Dr Shabana Tahir
rights: Copyright (c) 2025 shabana tahir (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-08-01
publication date: 2025-08-01
doi: 10.70765/ypb55f14

Human Rights Violations and the Future of Doctors in Pakistan: A Case Study of Land Mafia and Institutional Corruption
type: item
description: This paper presents a comprehensive examination of systemic human rights violations in Pakistan, focusing on two critical issues: illegal land occupation by politically powerful elites and the deteriorating state of the healthcare system. Through a personal case study involving the illegal seizure of ancestral property by a sitting senator and subsequent police inaction, this study reveals deep-rooted institutional corruption. Parallel to this, the paper analyzes the crisis facing medical professionals in Pakistan, where unemployment among doctors coexists with severe shortages in public healthcare facilities. The study employs a mixed-methods approach, combining personal narrative with analysis of legal frameworks, statistical data, and comparative studies. Findings demonstrate how weak governance, judicial inefficiency, and elite capture have created a system where fundamental rights are routinely violated, and professionals face diminishing opportunities. The paper concludes with policy recommendations aimed at land reform, judicial restructuring, and healthcare system revitalization.
subject: Articles
  topic: section
subject: Human rights, institutional corruption, land mafia, healthcare crisis, judicial reform, Pakistan
  topic: keywords
creator: Dr Shabana Tahir
rights: Copyright (c) 2025 shabana tahir (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-07-28
publication date: 2025-07-28
doi: 10.70765/wm5wvr57

Clinical Hematology in Khyber Pakhtunkhwa, Pakistan: A Crisis of Workforce, Infrastructure, and Ethics
type: item
description: Khyber Pakhtunkhwa (KPK) faces a dire hematology crisis with only 3 specialists for 40 million people—0.075 hematologists per million, 85% below WHO standards. This paper combines workforce analysis, policy review, and patient outcome data to expose systemic failures: (1) non-specialists ("pathology mafia") controlling 72% of hematology care, (2) zero dedicated bone marrow transplant (BMT) units, and (3) Rs. 0 allocated for hematology in KPK's 2019 health plan. We propose a 5-year action plan including immediate OPD expansions and long-term BMT center development. Keywords: Hematology workforce, Pakistan healthcare corruption, thalassemia care, health policy reform
subject: Articles
  topic: section
subject: Hematology workforce, Pakistan healthcare corruption, thalassemia care, health policy reform
  topic: keywords
creator: Dr Irsa Hiadayat
rights: Copyright (c) 2025 Irsa Hidayat (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-07-10
publication date: 2025-07-10
doi: 10.70765/71hd1390

Joint Liver-Kidney Transplantation for Primary Hyperoxaluria and Other Metabolic Conditions
type: item
description: Combined liver-kidney transplantation (CLKT) represents a pivotal therapeutic advancement in the management of metabolic disorders, particularly primary hyperoxaluria type I (PH-I), a rare autosomal recessive condition resulting in systemic oxalosis and end-stage renal disease (ESRD). This review synthesizes clinical evidence from key studies, including the University of Kansas Medical Center and international registries, to assess the efficacy, outcomes, and current management strategies associated with CLKT in PH-I and other metabolic diseases. CLKT effectively corrects the underlying hepatic enzymatic deficiency and restores renal function, significantly improving patient and graft survival rates compared to kidney-alone transplantation, which is often compromised by recurrent oxalate deposition. The review outlines perioperative management strategies such as intensive dialysis, high-volume diuresis, and pyridoxine therapy, and highlights critical considerations like timing of transplantation, oxalate mobilization, and immunosuppressive regimens. Despite ongoing challenges, including persistent post-transplant hyperoxaluria and risk of graft rejection, CLKT remains the gold standard for pyridoxine-unresponsive PH-I. Emerging approaches such as gene therapy, improved diagnostic tools, and personalized treatment protocols offer promising avenues for future care.
subject: Articles
  topic: section
creator: Abdullah .
rights: Copyright (c) 2025 Abdullah Ishtiaq (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-05-31
publication date: 2025-05-31
doi: 10.70765/anh36e79

KPK physicians' contentment with their jobs
type: item
description: Assess physician and student burnout and job satisfaction among KPK physicians. Analyse the differences in workplace barriers according to designation and gender. Identify the systemic factors affecting career opportunities and mental wellbeing. Method: 218 participants in a cross-sectional research study conducted at kpk from January to May 2025. Employed validated surveys on job satisfaction, burnout, and worries. Furthermore, this Data was analysed using ANOVA (SPSS v26) and t-tests with a significance level of p<0.05. Result: Males were more inclined to remain in Pakistan (p=0.027), whereas females felt less workplace security (p=0.002). Burnout (1.47±0.50) and anxiety about unemployment were highest among medical students (p=0.009). Salary discontent did not differ by gender (p=0.566). Conclusion: At KPK, hierarchy and gender greatly influence job satisfaction. Workplace safety precautions and mental health support are urgently needed. The results are consistent with issues related to physician well-being in resource-constrained environments worldwide.
subject: Articles
  topic: section
subject: Physician burnout, Gender disparities, Workplace security, Job anxiety, Pakistan healthcare
  topic: keywords
subject: Health
  topic: disciplines
subject: Human Resources
  topic: disciplines
subject: Management
  topic: disciplines
subject: Analysis
  topic: disciplines
creator: Abdullah .
rights: Copyright (c) 2025 abdullah khan (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-05-31
publication date: 2025-05-31
doi: 10.70765/azh0r736

The impact of hospital admissions for infected diabetic foot ulcers at Hayatabad Medical Complex
type: item
description: .Objective: Diabetic foot ulcers (DFUs) are a major complication of diabetes, with significant variations in outcomes based on age and comorbidities. This study aimed to compare clinical characteristics and treatment outcomes between younger (≤60 years) and older (>60 years) DFU patients at a tertiary care center. Method: A retrospective cohort study was conducted at Hayatabad Medical Complex's Orthopedic Ward from June 2024 to March 2025. We included 100 patients with DFUs (Wagner Grade 1-3), excluding those with non-diabetic ulcers or incomplete follow-up. Data on demographics, clinical parameters, and outcomes (healing rates, complications, mortality) were analyzed using SPSS v26, with p<0.05 considered significant. Result: The cohort (mean age 65±9.5 years, 60% male) showed significant differences between age groups. Older patients had higher BMI (31.4 vs 26.7 kg/m², p<0.01) and mortality (7.5% vs 1.7%, p=0.05). While overall healing rates were high (90%), older adults had numerically higher complications (7.5% vs 3.3%, p=0.23) and rehospitalization rates (10% vs 6.7%, p=0.55). Conclusion: Despite similar ulcer healing rates, older DFU patients exhibited worse outcomes, emphasizing the need for age-specific management strategies. These findings highlight the importance of tailored care for elderly diabetic patients to reduce complications and mortality.
subject: Articles
  topic: section
creator: Dr Rashid Khan
rights: Copyright (c) 2025 dr rashid khan (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-05-01
publication date: 2025-05-01
doi: 10.70765/wn4nh696

The Role of Vitamin D Supplementation in orthopedic trauma patients
type: item
description: This randomized controlled trial evaluated the effects of vitamin D supplementation on disease activity in trauma patients with baseline vitamin D deficiency at Hayatabad Medical Complex's Orthopedic Ward from July 2024 to March 2025. A total of 150 patients with bike trauma, firearm trauma, or history of falls were equally divided into supplemented (n=75) and control (n=75) groups. The supplemented group received 50,000 IU vitamin D3 weekly for 8 weeks followed by 2000 IU/day maintenance, while controls received standard care. Results demonstrated significantly greater reductions in disease activity scores in supplemented patients across all trauma types: bike trauma (2.4 vs 1.0, p=0.04), firearm trauma (1.6 vs 0.7, p=0.03), and history of falls (1.1 vs 0.5, p=0.05). The supplemented group also showed more stable outcomes (SD=0.7) compared to controls (SD=0.9) and achieved substantial increases in vitamin D levels (14 to 46 ng/mL) versus minimal change in controls (16 to 17 ng/mL). These findings indicate that vitamin D supplementation significantly improves disease activity and reduces clinical variability in trauma patients, supporting its potential role in orthopedic rehabilitation protocols for vitamin D-deficient individuals.
subject: Articles
  topic: section
subject: Vitamin D supplementation, trauma patients, disease activity, orthopedic rehabilitation
  topic: keywords
creator: Dr Muhammad Abbas
creator: Dr Inzimam Chughtai
rights: Copyright (c) 2025 dr inzimam chughtai (Author); Dr Muhammad Abbas (Translator) https://creativecommons.org/licenses/by/4.0/
date: 2025-05-01
publication date: 2025-05-01
doi: 10.70765/bfzkax62

Evaluating the Role of Automated Fact-Checking (AI) in Combating Health Misinformation and Strengthening Policy Effectiveness: A Comparative Study of Government Hospitals in Australia and Pakistan
type: item
description: Health misinformation poses a significant threat to public health, particularly during crises such as pandemics. Automated fact-checking systems powered by artificial intelligence (AI) have emerged as vital tools in detecting and countering false health claims. This study evaluates the role of AI-driven fact-checking in combating health misinformation, comparing its implementation and effectiveness in government hospitals in Australia and Pakistan. While Australia has integrated AI into its national health communication strategies, Pakistan faces challenges due to limited digital infrastructure and policy gaps. Through a comparative analysis, this article assesses the strengths, limitations, and policy implications of AI fact-checking in these two contrasting healthcare systems. The findings suggest that while AI can significantly reduce misinformation, its success depends on governmental support, digital literacy, and healthcare infrastructure. Policy recommendations are provided to optimize AI fact-checking in diverse healthcare settings.
subject: Articles
  topic: section
subject: Artificial Intelligence, Fact-Checking, Health Misinformation, Public Health Policy, Australia, Pakistan
  topic: keywords
creator: Dr Saad Ali
rights: Copyright (c) 2025 dr saad (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-03-28
publication date: 2025-03-28
doi: 10.70765/m7v8b944

"Involvement of Paranasal Sinuses in Patients with Bilateral Nasal Polyps: A cross-sectional descriptive Study "
type: item
description: Objective: To determine the frequency of paranasal sinus involvement in patients with bilateral nasal polyps aged 20–50 years using a validated self-structured questionnaire and radiological imaging. Methods: A cross-sectional study was conducted at the ENT Department of Bacha Khan Medical Complex, Swabi, from January 24, 2024, to June 23, 2024. A sample size of 50 patients was selected using a convenient sampling technique. Data were collected using a pre-tested, validated questionnaire, and sinus involvement was assessed via CT scans. Descriptive statistics were analyzed using SPSS version 26. Results: Among 50 patients, 72% (n=36) were male, and 28% (n=14) were female. The 20–25 age group constituted 30% (n=15) of the sample. Maxillary sinus involvement was most common (36%), followed by ethmoid (26%), frontal (26%), and sphenoid sinuses (18%). Bilateral maxillary sinus involvement was observed in 40% of patients. Conclusion: The study highlights the predominant involvement of maxillary sinuses in bilateral nasal polyps, emphasizing the need for comprehensive radiological evaluation to guide management. The findings align with existing literature but underscore the need for larger, randomized studies to improve generalizability.
subject: Articles
  topic: section
subject: Bilateral nasal polyps, maxillary sinuses, ethmoid sinuses, frontal sinuses, sphenoid sinuses, CT scan
  topic: keywords
creator: Dr Saad Ali
rights: Copyright (c) 2025 dr saad (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-03-28
publication date: 2025-03-28
doi: 10.70765/292rrc36

The Role of Vitamin D Supplementation in Managing Autoimmune Disorders in Women Implications for Gynecological Health.
type: item
description: Background: The function of vitamin D in the human body was found to be critical for immune regulation, and the deficiency in vitamin D has been seen to cause several autoimmune diseases; most gynecological conditions often affect women. Thus, growing evidence shows that vitamin D might be effective for immunological disorders including SLE, RA and thyroid autoimmune diseases. This paper focuses on the impact of vitamin D administration on inflammation in autoimmune disease female patients to better understand better patient outcomes as well as gynecological implications. Objectives: To assess the effect of vitamin D on disease activity in female autoimmune disease patients and to establish possible advantages of vitamin D in managing gynecologic health extenuated autoimmune complications. Study design: A Cross sectional study. Duration and place of study. The department of Obs & Gynae and Surgical Unit from jan 2023 to Dec 2023 Methods: 150 women of childrearing age with a doctor’s diagnosis of an autoimmune disease: SLE, RA, or autoimmune thyroid disease. Participants were divided into two groups: One group of patients was given 1000 IU of vitamin D daily while the others were not. DAS at 28 and vitamin D at baseline and after One Year of intervention were compared. Scoring systems were used according to SLEDAI for SLE and DAS28 for RA; results were analyzed by SPSS version 24.0. Results: 150 women consumers of vitamin D had lower disease activity scores than the control group. The mean SLEDAI score reduction for SLE was 2.3 ± 0.7 in the supplemented group, and 1.0 ± 0.6 in the controls (p=0.03). DAS28 was reduced in RA patients at the end of supplementation 1.5 ± 0.3 in the supplemented group compared with controls 0.7 ± 0.4 (p = 0.02). The level of standard deviation for disease activity was relatively low, 0.6 in the supplemented group and 0.8 in the control group, indicating that vitamin D helps to reduce the variability of the disease. Conclusion: vitamin D s…
subject: Articles
  topic: section
subject: Calcium-D-vitamin, autoimmunpatologi, gynecology, supplementvoeding
  topic: keywords
creator: Dr Saad Ali
rights: Copyright (c) 2025 dr saad (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-03-28
publication date: 2025-03-28
doi: 10.70765/9pfm5629

" Neurosurgical Emergencies in mardan medical complex: A Cross-Sectional Study"
type: item
description: Objective: To analyze the age-related variations in neurological emergencies, including spinal cord injury, epidural hematoma, subdural hematoma, and traumatic brain injury, and to assess their clinical significance across different age groups. Method: A retrospective analysis was conducted on patients with neurological emergencies, categorized into three age groups: 17–25, 25–35, and 35–42 years. The frequency of spinal cord injury, epidural hematoma, subdural hematoma, and traumatic brain injury was compared across age groups using statistical analysis, with significance determined by p-values. Result: Spinal cord injury was most common in the 25–35 age group (73.4%), but no significant difference was observed between age groups (p = 0.99). Epidural hematoma and subdural hematoma showed significant age-related differences (p = 0.001 and p = 0.016, respectively), with increasing prevalence in older age groups. Traumatic brain injury was most frequent in the 17–25 age group (17.5%), absent in the 25–35 age group, and reemerged in the 35–42 age group (13.3%) (p = 0.001). Conclusion: The study highlights significant age-related variations in neurological emergencies, with older individuals being more susceptible to epidural and subdural hematomas, while younger individuals have a higher incidence of traumatic brain injuries. Spinal cord injuries showed no significant difference across age groups. These findings emphasize the need for targeted prevention and age-specific management strategies to improve clinical outcomes.
subject: Articles
  topic: section
subject: Neurological emergencies, spinal cord injury, epidural hematoma, subdural hematoma, traumatic brain injury, age-related variations, neurotrauma management.
  topic: keywords
creator: Dr Saad Ali
rights: Copyright (c) 2025 dr saad (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-03-02
publication date: 2025-03-02
doi: 10.70765/7zfjzt48

OUTCOME OF PROCEDURE AT SPINE WITH THEIR COMPLICATIONS
type: item
description: Objective: To evaluate the outcomes and complications associated with corpectomy procedures for spinal pathologies, focusing on neurological improvement, levels of disease involvement, and postoperative complications in patients treated at the Neurosurgery Ward, Mardan Medical Complex. Method: This retrospective observational study was conducted at the Neurosurgery Ward of Mardan Medical Complex. Patients undergoing corpectomy for spinal pathologies involving the thoracic spine (D4-D12) were included. Data were collected on demographic characteristics, preoperative and postoperative neurological status (Frankle grading), surgical procedures performed, and associated complications such as CSF leaks, mortality, and neurological deficits. Surgical procedures included corpectomy with cage fixation, corpectomy with bone graft fixation, and corpectomy without fusion. Patients with prior spinal surgeries or incomplete follow-up records were excluded. The primary outcomes measured were postoperative Frankle grading, procedure types, and complications. Result: A total of 39 patients were included in the study, with disease distribution at D4-D8 (43.8%) and D9-D12 (56.2%). The most common procedure performed was corpectomy with cage fixation (90.47%). Postoperative outcomes demonstrated significant neurological improvements, with Frankle A grading reducing from 5.3% preoperatively to 0.25% postoperatively, and Frankle E improving from 7.8% to 18.4%. However, complications included CSF leaks (8.3%), one mortality (4.26%), and one case of severe neurological deficit (2.63%). Conclusion: Corpectomy with cage fixation is a highly effective procedure for managing thoracic spine pathologies, leading to substantial neurological improvement and structural stability. Despite the low rates of severe complications, vigilance in perioperative management and advanced surgical techniques are essential to further reduce risks and optimize patient outcomes.
subject: Articles
  topic: section
subject: corpectomy, cage fixation, Frankle grading, CSF leak, spinal surgery complications, neurological improvement.
  topic: keywords
creator: Dr Saad Ali
rights: Copyright (c) 2025 dr saad (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-03-02
publication date: 2025-03-02
doi: 10.70765/jtvx9s21

Surgical Site Infections Following Orthopaedic Trauma Surgery
type: item
description: Objecticve: To evaluate the impact of age, diabetes, hypertension, and surgical site infection (SSI) on postoperative complications in surgical patients. Method: A retrospective analysis of surgical patients was conducted, assessing age, diabetes, hypertension, and SSI as potential risk factors for postoperative complications. Data were analyzed using statistical tests to determine significance levels. Result: The study found that SSI was significantly associated with surgical complications (p<0.001), whereas age, diabetes, and hypertension did not show statistically significant associations. Younger patients (20-39 years) had a higher complication rate (24%) compared to older patients (>40 years, 12.3%), though this was not significant (p=0.101). Conclusion: Surgical site infection is a critical determinant of postoperative complications, emphasizing the need for stringent infection control measures. While age, diabetes, and hypertension did not show significant associations, targeted interventions for infection prevention remain crucial. Future research should explore antimicrobial strategies and optimized perioperative care to reduce SSI-related complications.
subject: Articles
  topic: section
subject: Surgical site infection, postoperative complications, diabetes, hypertension, antimicrobial strategies, perioperative management.
  topic: keywords
subject: orthopedic
  topic: subjects
subject: health
  topic: disciplines
creator: Dr Saad Ali
rights: Copyright (c) 2025 dr saad (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-03-02
publication date: 2025-03-02
doi: 10.70765/21dbbj36

Risk Factors For Deep Surgical Site Infections Following Orthopaedic Trauma Surgery
type: item
description: Background: Surgical site infections (SSIs) represent a major concern in orthopedic surgery, leading to prolonged hospital stays, increased healthcare costs, and potentially life-threatening complications. SSIs are particularly common in patients with severe fractures, such as those classified by the Cauchoix grading system, where the risk of infection is heightened due to the complexity of the injury and the surgical intervention required. Factors such as nutritional status, diabetes, smoking, and the use of external fixators contribute to the development of SSIs. This study, conducted at Bacha Khan Medical Complex, Mardan, seeks to identify the clinical and laboratory markers that can predict SSIs in patients undergoing orthopedic fracture management, thereby helping to reduce the incidence and severity of these infections. Method: This prospective cohort study was conducted from January 2024 to December 2024 at the orthopedic ward of Bacha Khan Medical Complex, Mardan. A total of 207 patients who underwent surgery for fractures were included in the study. Inclusion criteria were patients over the age of 18 years undergoing orthopedic fracture surgery. Exclusion criteria included patients with pre-existing infections, immunocompromised conditions, or those who underwent emergency surgeries. Data was collected on patient demographics, fracture grade (Cauchoix classification), laboratory markers (hemoglobin, lactate levels, creatinine, glycemia, and arterial oxygen levels), and the use of external fixators. Statistical analysis was performed using SPSS, and predictive models for SSI development were created based on these parameters. Result: Fractures classified as Cauchoix grade 3 were associated with a higher incidence of SSIs (47%). Polymicrobial infections were found in 64% of the SSI cases, with gram-positive cocci, including Staphylococcus aureus, being the most common pathogens (72%). A predictive model with an AUC of 0.80 and a negative predictive value of 9…
subject: Articles
  topic: section
subject:
  topic: keywords
  value: Surgical Site Infection (SSI), Orthopedic Surgery, Fracture Classification, Cauchoix Grade 3, Predictive Model, Risk Factors, External Fixator, Polymicrobial Infection, Gram-positive Cocci, Lactate Levels, Glycemia, Hospital Mortality, Bacha Khan Medical Complex.
creator: Dr Abdus Samad
rights: Copyright (c) 2025 dr Abdus Samad (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-02-04
publication date: 2025-02-04
doi: 10.70765/wkcz6p49

Advantages Of Skin Closure With Staples In Orthopedic Surgery At Mardan Medical Complex
type: item
description: Background: Wound closure is a fundamental aspect of surgery that impacts recovery, cosmetic outcomes, and postoperative complications. Among various closure techniques, sutures and staples are widely used, each with distinct advantages and limitations. Sutures offer precision and adaptability, while staples are valued for faster application and reduced surgical time. Despite their widespread use, comparative studies evaluating their effectiveness in orthopedic surgeries remain limited. Previous research highlights variability in outcomes such as infection rates, wound healing, and patient satisfaction across surgical settings, emphasizing the need for specialty-specific data. This study focuses on orthopedic wound closure, aiming to provide evidence-based insights for optimizing patient care. Method: This prospective observational study was conducted in the orthopedic ward of Bacha Khan Medical College, Mardan, from January 2024 to December 2024. A total of 120 patients undergoing surgical wound closure with either sutures or staples were included. Patients aged 22–60 years were eligible, while those with pre-existing wound infections, immune deficiencies, or incomplete medical records were excluded. Data collection involved demographic details, clinical outcomes, and postoperative follow-ups. Key parameters included skin closure time, infection rates, wound discharge, necrosis, hypertrophic scar formation, and cosmetic outcomes. Statistical analyses were performed to compare outcomes between the two groups, with a p-value of <0.05 considered significant. Result: A total of 120 patients (mean age: 42 years; 68 males, 52 females) were evaluated. The mean skin closure time was significantly shorter with staples (5.2 ± 0.9 minutes) compared to sutures (12.6 ± 1.5 minutes; p < 0.0001). Complication rates, including wound infections (6.6% in sutures vs. 3.3% in staples; p = 0.647), wound discharge (3.3% in both groups; p = 1.000), and hypertrophic scar formation (3.3% i…
subject: Articles
  topic: section
subject: Orthopedic wound closure, sutures, staples, postoperative outcomes, skin closure time, wound complications, infection rates, cosmetic results.
  topic: keywords
creator: Dr Fazli Wadud
rights: Copyright (c) 2025 dr fazliwadud (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-02-04
publication date: 2025-02-04
doi: 10.70765/vymt6765

ADVANCES IN NON-SURGICAL INTERVENTIONS FOR UTERINE FIBROIDS: PATIENT-CENTERED OUTCOMES AT MARDAN MEDICAL COMPLEX
type: item
description: OBJECTIVE: Uterine fibroids significantly affect the quality of life of women, with symptoms including excessive bleeding, pain, and infertility. Non-surgical interventions have emerged as effective alternatives to invasive procedures like hysterectomy.To evaluate the outcomes of non-surgical interventions for uterine fibroids, including symptom severity, fibroid size reduction, and patient satisfaction, at Mardan Medical Complex, with a focus on patient-centered outcomes. METHOD: this study was conducted after ethical aproval at gynea b ward mardan medical complex.the study assessed demographic data, clinical characteristics, and treatment outcomes, including symptom relief and quality-of-life measures. data were statistically analyzed using descriptive and inferential methods, with significance determined at p < 0.05. RESULT: This study analyzed data from 150 patients receiving uterine artery embolization (UAE), focused ultrasound surgery (FUS), and pharmacological therapy. UAE showed the highest symptom reduction (60%), followed by FUS (50%) and pharmacological therapy (40%). Size reduction was consistent across all modalities, with no statistically significant differences observed (p>0.05). CONCLUSION:Non-surgical approaches such as UAE and FUS are effective and patient-centered alternatives for managing uterine fibroids. Tailored treatments are critical for optimizing patient satisfaction and clinical outcomes.
subject: Articles
  topic: section
subject: Uterine fibroids, Non-surgical interventions, Uterine artery embolization, Focused ultrasound surgery, Patient outcomes
  topic: keywords
creator: Dr Hemasa Gul
rights: Copyright (c) 2025 dr hemasa gul (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-01-02
publication date: 2025-01-02
doi: 10.70765/2pggs048

The Role of Artificial Intelligence in Diagnosing and Managing Chronic Diseases: A Paradigm Shift
type: item
description: BACKGROUND: To evaluate the impact of artificial intelligence (AI) on diagnosing and managing chronic diseases, focusing on its efficacy in improving patient outcomes and reducing healthcare burdens. METHOD: This observational study was conducted at Mardan Medical Complex from January 2024 to December 2024. Data analysis incorporated patient characteristics, diagnostic accuracy, and management outcomes facilitated by AI, comparing AI-based and conventional approaches. RESULT: AI diagnostic systems showed a mean improvement in diagnostic accuracy (65 ± 9.5) compared to traditional methods (55 ± 4.8), with significant reductions in symptom severity scores (AI: 28.5 ± 4.3, Traditional: 31.4 ± 4.6; p < 0.01). Treatment satisfaction rates were higher in AI-supported interventions (70%) compared to manual methods (67%, p = 0.45). CONCLUSION: AI represents a transformative approach in chronic disease management, enhancing diagnostic precision, symptom relief, and patient satisfaction. Its integration into healthcare systems heralds a paradigm shift toward personalized medicine.
subject: Articles
  topic: section
subject: Artificial Intelligence, Chronic Disease, Diagnostics, Management, Healthcare Technology
  topic: keywords
subject: medicine
  topic: subjects
creator: Dr Saad Ali
rights: Copyright (c) 2025 dr saad (Author) https://creativecommons.org/licenses/by/4.0/
date: 2025-01-02
publication date: 2025-01-02
doi: 10.70765/qa5e6x14

Outcome of surgical site infection following inguinal hernia closure
type: item
description: Objective: This study's goal is to look into how inguinal hernia surgery patients respond to surgical site infections (SSIs). The purpose of the study is to examine the association between the prevalence of SSIs and demographic factors such as age, body mass index (BMI), habitation type (urban/rural), presence of diabetes mellitus and hypertension, degree of education, length of hospital stay, and length of surgery. Methods: Patients who underwent inguinal hernia closure surgeries were included in this retrospective analysis, which was carried out in a medical facility. A patient's demographics, BMI, type of habitation, diabetes and hypertension status, education level, length of hospital stay, length of operation, and presence or absence of surgical site infections were all collected from their medical records. To evaluate the patient population's characteristics and the prevalence of SSIs, data analytic techniques included frequency distribution and percentage calculation. In order to identify correlations between factors and the occurrence of SSI, statistical tests were run. Results: The study involved all of the patients. The age distribution displayed 35.1% in the 20–30 age, 21.1% in the 40–50 age, and 43.9 % in the 40–50 age. BMI categories were revealed with BMIs of 20–23, 23–25, and 25–28. Participants who lived in cities made up 22(29.7%) of the group, whereas participants who lived in rural areas made up 35.1 %. Diabetes mellitus was more common than hypertension 23 (20.2%) vs. 17(14.9%). The distribution of education levels was as follows: 17(14.9 %) with no education, 46 (40.4%) with SSC-level education and 51(44.7%) with HSSC or higher education. Hospital stays lasting 1-3 days in 55 (48.2%) of cases and 3-6 days in 59 (51.8%) of cases, respectively. There were two categories for operation length: 1-3 months 59(51.8%) and 3-6 months 55 (48.2%). 22 (19.3%) of cases had surgical site infections, while 92 (80.7%) of cases had no infections at all. Conclusi…
subject: Articles
  topic: section
subject: inguinal hernia, surgical site infection, diabetes, hypertension, age
  topic: keywords
creator: Dr Fazli Wadud
rights: Copyright (c) 2024 dr fazliwadud (Author) https://creativecommons.org/licenses/by/4.0/
date: 2024-11-24
publication date: 2024-11-24
doi: 10.70765/mejsym59

Audit, Transparency, and Future Directions for the Sehat Card Plus Program: Insights and Recommendations
type: item
description: The Sehat Card Plus program in Khyber Pakhtunkhwa (KP), Pakistan, launched to provide free healthcare services, has faced growing demand as it now extends from inpatient (IPD) to outpatient (OPD) services. Despite its transformative potential, the program struggles with transparency, resource allocation, and accountability issues that compromise service delivery and patient outcomes. This study critically examines the program’s operational challenges using data from various healthcare facilities across KP, highlighting significant shortages in medical equipment, inadequate fund distribution, and inefficiencies within the program’s administrative processes. Recommendations for stricter audit protocols and improvements in operational transparency are provided to enhance the program’s effectiveness
subject: Articles
  topic: section
subject: audit, transperency, health, funds
  topic: keywords
creator: Ammad Ali
creator: Dr Saad Ali
creator: Dr Isra Hidayat
rights: Copyright (c) 2024 Ammad Ali, Dr Saad Ali, Dr Isra Hidayat (Author) https://creativecommons.org/licenses/by/4.0/
date: 2024-11-30
publication date: 2024-11-30
doi: 10.70765/6scetf82

Editorial: The Future of Family Medicine as a Specialty in Pakistan
type: item
description: Globally, family medicine is considered the foundation of primary healthcare systems, and its significance is becoming more widely acknowledged in Pakistan. Pakistan's healthcare system is under a lot of strain due to the country's fast expanding population, diverse healthcare system, and new public health issues. Given this, family medicine is a profession with great potential to address numerous systemic problems, increase access to healthcare, and promote the patient-centered care movement. But there are many obstacles facing family medicine in Pakistan, and lawmakers, educators, and medical professionals must work together to overcome them. Family medicine as a specialty focuses on the continuous, comprehensive care of patients of all ages and genders, incorporating social, mental, and physical health into treatment regimens. (1) Family medicine stresses the full range of healthcare, including preventive, curative, and rehabilitative treatments, in contrast to specialty medicine, which sometimes concentrates on a limited field. Better patient outcomes and increased satisfaction with healthcare services are the results of fostering long-term connections between patients and healthcare providers. Family medicine is more important than ever in Pakistan. Alongside the persistent problems caused by infectious diseases, the nation is seeing a rise in the prevalence of chronic conditions like diabetes, high blood pressure, and cardiovascular disorders. (2) Because of this dual burden of disease, family medicine may offer a comprehensive approach to healthcare. Family doctors are qualified to treat both acute and chronic illnesses, providing the continuity of care required to manage diseases over the long term, lowering hospitalization rates, and relieving the burden on specialized care.
subject: Articles
  topic: section
subject: faimly medicine, health, future, kpk.
  topic: keywords
creator: Dr Ihtisham kakakheel
rights: Copyright (c) 2024 dr ihtisham kakakheel (Author) https://creativecommons.org/licenses/by/4.0/
date: 2024-11-23
publication date: 2024-11-23
doi: 10.70765/6nx0fh25

CONCERNS AND RECOMMENDATIONS FOR OPD SERVICES UNDER THE BENAZIR INCOME SUPPORT PROGRAM
type: item
description: The program proposes an annual allocation of €11–€3 (approximately PKR 900) per family, paid quarterly to hospitals managing 4,000 families each. This approach excludes vital specialty care, investigations, and hospital admissions, which are essential for managing severe communicable diseases (e.g., dengue, acute hepatitis, and pneumonia) and chronic non-communicable diseases (e.g., diabetes mellitus, coronary artery disease, and stroke). These limitations significantly undermine the initiative's potential to deliver comprehensive and quality healthcare. Furthermore, reimbursing hospitals regardless of actual service provision raises ethical concerns about transparency and accountability
subject: Articles
  topic: section
subject: audit, transperency, health, funds
  topic: keywords
creator: Dr Irsa Hidayat
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by/4.0/
date: 2024-11-29
publication date: 2024-11-29
doi: 10.70765/q9325596

Outcome of Breast feeding mothers with infants under 6 months admitted to Kohat district hospital
type: item
description: BACKGROUND: Exclusive breastfeeding within the first six months of infancy is one of the main goals of global public health.There is evidence linking early breastfeeding termination to several factors, including the reasons given by women for quitting. The purpose of this study was to describe the actual nursing practices and the stated intentions of women to breastfeed, as well as to examine the correlations between different parameters at Lady Reading Hospital. METHODOLGY: the study subject to the greatest extent possible by using this convergent design "to obtain different but complementary data on same topic." At Kohat District Hospital's Peads OPD & Ward, a cross-sectional study was carried out with ethical approval. RESULT: The age group under 35 had the highest percentage, at 151 (69%). 118 people, or 54%, had primary level education, which was more than other factors. There was a lower employment ratio among working mothers (87, 40%). The store milk had the highest percentage of respondents not answering (19), but everyone had the same opinion about breast milk as the first food after birth. For water utilization, 22 moms gave the same response. Thirty-three women did not respond, 89 were safe, and 97 mothers had depression. 137 babies received colostrum, whereas 107 (48%) of them received hand washing as part of their hygiene routine. Thirty-one moms, or eighteen percent, utilized medication for lactation. CONCLUSION: For the mother and the child, proper hygiene is crucial. Education and support are beneficial after the initial delivery. Health care professionals should visit all expectant moms to provide education and advice on sanitary care, as well as to monitor postpartum depression.
subject: Articles
  topic: section
subject: breast feeding, infant, mothers, education, hygiene care, traditions and culture
  topic: keywords
creator: Dr Zakir Ullah
rights: Copyright (c) 2024 dr zakir ullah (Author) https://creativecommons.org/licenses/by/4.0/
date: 2024-11-24
publication date: 2024-11-24
doi: 10.70765/80ynw041

Outcome of Manifestation and sign of pneumonia in children under five years of age
type: item
description: Objective: Acute infectious diseases such as pneumonia can be brought on by bacteria, viruses, or fungi and harm the lung parenchyma. It continues to be the world's top cause of death for children under five. Immunizations, a balanced diet, and a reduction in environmental stressors can all help with prevention. Early discovery, appropriate care, and prompt hospital admission are essential for treating this illness with low-tech, accessible therapies. Methods: With ethical consent, a case series study was carried out in the pediatric department of District Kohat Hospital from August 2023 to February 2024. Informed consent was obtained from the parents of 139 study participants. SPSS version 24 was used for the data analysis process. Results: Lethargy was the most prevalent clinical symptom (23.74%), while cyanosis was the least common (2.87%). Men experienced greater effects than women (59% vs. 41%). The vaccination rate for the first dosage was the lowest (28%) and the non-vaccination rate was the highest (44%). Conclusion: Health planners must emphasize filling in the gaps in the EPI schedule by using media like radio, television, and newspapers.
subject: Articles
  topic: section
subject: pneumonia, education, health, presentation, Kohat , age.
  topic: keywords
creator: Dr Zakir Ullah
rights: Copyright (c) 2024 dr zakir ullah (Author) https://creativecommons.org/licenses/by/4.0/
date: 2024-11-24
publication date: 2024-11-24
doi: 10.70765/28grfk04