1.
Epidemiological Study Of Zoonotic Leishmaniasis In Humans And Dogs In District Jhelum
by Behzad kayani | Dr. Mamoona chaudhry | Dr. Muhammad | Dr. Muhammad hassan mushtaq.
Material type: ; Format:
print
Publisher: 2014Dissertation note: Abstract Availability: Items available for loan: UVAS Library [Call number: 2000,T] (1).
2.
Incidence Of Animal Bite Injuries In Three Tehsil Headquarter Hospitals Of District Swat
by Munibullah | Dr. Mamoona Chaudhry | Dr. Muhammad Hassan Mushtaq.
Material type: ; Format:
print
; Literary form:
not fiction
Publisher: 2014Dissertation note: Abstract Availability: Items available for loan: UVAS Library [Call number: 2133,T] (1).
3.
Evaluation Of Vaccine Effectiveness Of Foot And Mouth Disease In District Dera Ghazi Khan
by Muhammad Fahed | Dr. Mamoona Chaudhry | Dr. Muhammad Hassan Mushtaq.
Material type: ; Format:
print
; Literary form:
not fiction
Publisher: 2014Dissertation note: Abstract Availability: Items available for loan: UVAS Library [Call number: 2163,T] (1).
4.
Molecular Epidemiological Analysis Of Pbi-F2 Protein Of Influenza A Virus Reported From Pakistan
by Muhammad Usman Basharat | Dr. Muhammad Hassan Mushtaq | Dr. Aqeel | Dr. Mamoona Chaudhry.
Material type: ; Format:
print
; Literary form:
not fiction
Publisher: 2014Dissertation note: Abstract Availability: Items available for loan: UVAS Library [Call number: 2179,T] (1).
5.
Targeted Survey Of Avian Influenza (H5, H7, H9) In Backyard Poultry In High Risk Area Kasur District
by Shumaila IQbal (2009-VA-83) | Dr. Mamoona Chaudhry | Dr. Muhammad Hassan Mushtaq | Dr. Muhammad Ijaz.
Material type: ; Literary form:
not fiction
Publisher: 2016Dissertation note: Avian Influenza is the most feared disease of poultry and other birds throughout the world. The segmented, negative strand RNA viruses that form the family Orthomyxoviridae are divided into three types of influenza virus, A, B and C. Only influenza A viruses have been reported to cause natural infections of birds. The outbreak can be mitigated by applying biosecurity measures, controlling poultry movement, using inactivated vaccines and initiating an AI surveillance network throughout the country.
A targeted survey was conducted for a period of 3 months in order to determine prevalence of Avian Influenza H5, H7 and H9 in the villages of Kasur district. Two stage cluster sampling without replacement was adopted in this study. Thirty clusters were selected and in each cluster, seven elementary units (chicken) were sampled, i.e. a total of 210 birds. Tracheal swabs were collected from live and apparently healthy backyard birds then swabs were stored properly at 4°C (24-48hours) until processed. Data were collected from the owner in a face to face interview. A detail predesigned questionnaire was filled after taking written consent from the owner. The sample was collected during the survey of backyard poultry in villages of Kasur district was processed for laboratory analysis. Polymerase chain reaction for Avian Influenza virus isolation was conducted to diagnose sample for AIV.
The weighted proportion estimate with 95% Cl (confidence intervals) of the overall prevalence was computed by using “R” software. Multivariable logistic regression was conducted to estimate the effect of each study variable on the outcome. Variables with significant univariate relationship at p <0.25 was selected for inclusion in the final model. Odds ratios (ORs) and corresponding 95% Cl (confidence intervals) were calculated (Hosmer and Lemeshow, 2000).
CHAPTER 6
SUMMARY
Discussion
53
The management practice risk scores provide a means to quantify the level of risk to avian influenza across villages. However, the utility of such a measure cannot be assessed until these are related to AI status form clinical tests. Nevertheless it is useful to assess what factors are associated with these scores. In particular, specific profiles of farms can be identified with potential high risk and control resources allocate accordingly. For example, this study has found amongst other things that farms with mixed poultry breeds, which have reported diarrhea, or reported high mortality have high risk scores, and these might be targeted for intervention. Prevalence estimate of Avian Influenza was generated. Potential risk factors associated with this prevalence was identified and will be communicated to concerned persons through publication. The poultry birds reared completely outdoor have more chance to contact with wild birds which increase the occurrence of AIV. A strong association between source of water and AIV was found. Water source can play a vital role in transmission of AIV. Another strong association was found in unethical disposal of dead birds and waste poultry farm near to houses with increase the chances of infection. Presence of live bird market stall and visiting of poultry farm vehicle to villages can increase the chances of AIV infection. Elimination or reduction of above mentioned risk factors, use of disinfectant for cleaning and regular vaccination against AI could significantly improve backyard poultry production system in villages. Availability: Items available for loan: UVAS Library [Call number: 2655-T] (1).
6.
Application Of Euroscore To Predict Risk Of Mortality After Coronary Artery Bypass Grafting In Pakistani Population
by Ali Naeem (2014-VA-780) | Dr. Muhammad Hassan Mushtaq | Dr. Ammar Hameed Khan | Dr. Mamoona Chaudhry | Dr. Muhammad Nasir.
Material type: ; Literary form:
not fiction
Publisher: 2016Dissertation note: Coronary artery bypass surgery has become the standard of care for advanced coronary artery disease. It is one of the most audited and closely monitored operations in the history of surgery. Morbidity and mortality associated with this operation is also very closely monitored by surgeons, hospitals, professional bodies and governments at large. Based on the preoperative clinical information available about patients preparing to undergo coronary artery bypass surgery various predictive models for assessment of mortality risk have been developed over the last two decades in various regions across the world. Euro SCORE is one such predictive model which can accurately predict the risk of mortality for large groups of patients for the population in which it was developed. A large number of Pakistanis and nationals from South East Asian countries reside in different European countries and form part of the population on which this score has been developed and validated. We intend to find out the predictive accuracy of this model in our patients living in Pakistan.
Euro SCORE accurately predicts operative mortality in patients from Pakistani population.
This study will be conducted at the Department of Cardiac Surgery Shalamar Hospital Lahore. One hundred consecutive patients admitted to hospital for coronary artery bypass surgery will be enrolled in study. A total of 18 variables as included in EuroSCORE (Appendix 1) will be collected and entered into database. The expected mortality risk will be calculated by the EuroSCORE Calculator software (http://www.euroscore.org/). Actual or observed mortality and morbidity will also be recorded.
Statistical analysis will be performed using SPSS version16. Continuous numerical data will be presented as mean ± Standard deviation, the Student t test will be used to compare means of normally distributed data. The qualitative data will be analyzed using chi square test. The relationship of the observed and the expected rates of mortality will be assessed using ROC curves for the accuracy of prediction of the Euro-SCORE.
This study will indicate how accurately Euro SCORE can predict the risk of mortality after coronary artery bypass grafting in our population and more over it may indicate other patient related variables that can contribute to operative mortality other than Euro SCORE.
Availability: Items available for loan: UVAS Library [Call number: 2713-T] (1).
7.
Prevalence And Associated Risk Factors Of Needle Stick Injuries Among Health Care Workers In Government Tertiary Care Hospitals Of Lahore
by Gurdeep Singh (2014-VA-957) | Dr. Mamoona Chaudhry | Dr. Muhammad Hassan Mushtaq | Dr. Ali Ahmad sheikh.
Material type: ; Literary form:
not fiction
Publisher: 2016Dissertation note: In present study, seventy six percent (n=228) of respondents were involved in
sharp injuries and twenty four percent (n=72) were not involved. This study concluded there
was high occurrence of needle stick sharps injuries among healthcare workers in tertiary care
hospitals of Lahore. There are several risks associated with handling healthcare sharps
among healthcare workers which include, needle prick that could be contributed to cases of
occupational infections such as HIV/AIDS. Majority of reported cases were due to following
reasons , inadequate supply of barrier products ,unsafe practice such as recapping of needle
In paramedical staff due to failure in standard guide lines to handle medical sharps and lack
of reporting of sharps incidents and very lower ratio utilization of post exposure
prophylaxis. It was observed that risks of needle stick injuries were reduced with the
experience. Those who have work experience of 5 years or less had higher ratio of sharp
injuries than those who had work experience five to eight years. Respondents with nursing
profession and laboratory technicians were at high risk; their exposure to handle sharps is
greater and due to failure in precautionary measure risk of needle stick injuries in this
category is higher compared to other. While Females were at high exposure risk of sharp
injuries at tertiary care hospitals than male. Respondents with education level of diploma
were more exposed to needle stick injuries as compared with degree holders in paramedical
staff. It was observed that shift of eight hour work is absolute and healthcare workers were
normal with it. If work load increased and time was exceeded then it was difficult to manage
such injuries .while training on infection control and prevention has no effect in government
hospitals of Lahore to decrease the risk of sharps injury among healthcare workers.
Several recommendations which need to be implemented at the hospitals were
identified as discussed below. and special attention need to be given to nurses , cleaners ,
the critical care section and the department of medicines There is need of fully trained
Summary
38
health care workers in critical care units , medical and surgical ward Momentary to
developed infection control department in every government and private hospital of Lahore
and give them special training about the handling of medical sharps. adequate supply of
barrier products (gloves, masks, lab coats etc) Check and balance on proper use of barrier
product , there is need of timely collection of used medical sharps in puncture proof
containers such as safety boxes that should be ¾ full when emptying .Need of safe
transportation in a covered vehicle for incarnation .Administration of hospital need to
developed polices for reporting of needle stick injuries by designing a log form that capture
information on demographic data of the employee. Data and time of injury, type of sharp,
procedure involved, part of body involved where it occurred. So it’s important to analyzed
enter data in an order to understand root cause. It’s important to conduct surveillance and
prevent further injury. Infection control department should need to check post-exposure
prophylaxis status in health care workers go through counseling and are followed up to
enhance post exposure prophylaxis in health care workers it’s not up to individual effort it’s
a team work by involving administration and health care workers.. In government hospitals of
Lahore there is many factors which contribute to needle stick injuries it might be reduced by
strengthening of reporting system is necessary. The responsibility of government is to
strengthen the check and balance on use of barrier products (gloves, pads, lab coats etc.) and
create awareness on standard guidelines on handling of medical sharps. Thus rate of needle
stick injuries could be reduced to acceptable level. Availability: Items available for loan: UVAS Library [Call number: 2748-T] (1).
