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1. Study Of Socio-Demogrphic And Epidemiological Risk Factors Associated With Foot And Mouth

by Abdul Sattar | Dr. Muhammad Hassan mushtaq | Prof. Dr. Muhamad Athar Khan.

Material type: book Book; Format: print ; Literary form: drama Publisher: 2012Dissertation note: A cross sectional study was conducted during February 2012 to April 2012, in Chagai district, Balochistan. Information about education and economic status of the farmers, managemental practices, vaccination, outbreak history, veterinary services and transboundry animal movement was collected from 323 (282/323 farmers and 41/323 livestock traders) on a structured questionnaire. The status of foot and mouth disease (FMD) is not known in Chagai, following research has been planned to see the potential association between farming practices and FMD. Factors which were significantly associated with the occurrence of foot and mouth disease in district Chagai were education level of Farmers (illiterate 60%, literate 40%) and livestock traders (illiterate 42%, literate 58%), socioeconomic status of the farmers <20000 rupees (63%) and >20000 rupees (37%) and livestock traders <20000 rupees (12%) and >20000 rupees (88%), type of animals in the herd of farmers (cattle, 2%, sheep 4.2%, goat 19%, cattle-sheep-goat 9% and sheep-goat 67%) and livestock traders (cattle 17%, goat 3%, cattle-sheep-goat 68% and sheep-goat 12%), housing system used by farmers (open 93%, closed 7) and livestock traders (open 12%, closed 78%), feeding methods in case of farmers (grazing 93%, stall feeding 7%) vaccination against FMD farmers (yes 3%, no 97%) and livestock traders (yes 39%, no 61%), veterinary services available to farmers (yes 17%, no 87%) and livestock traders (yes 48%, no 52%) , nomadic movement of farmers (yes 62%, no 38%), export of live animals (yes 73%, no 27%) and import (yes 10%, no 90%). Other managmental practices like quarantine (no, 100%), isolation of sick animals from the herd (no, 100%), feeding of young animals milk of the sick mothers (yes, 100%) and proper disposal of the dead animals (no, 100%) were factors which were not analyzed due to zero cell values. It is concluded that illiteracy, poor economic status of farmers, type of animals (sheep and goat), open housing system, mixed grazing in the range land, low vaccine coverage, poor veterinary services and free movement of animals are strongly associated with the occurrence of foot and mouth disease in Chagai district. Transboudry animal movement of livestock to and from Afghanistan and Iran can aggravate the situation. Regular vaccination of livestock and awareness of farmers can help to improve the animal health status in Chagai. Availability: Items available for loan: UVAS Library [Call number: 1555,T] (1).

2. Veterinary Epidemiology / 3rd ed

by Thrusfield, Michael.

Edition: 3rd ed.Material type: book Book Publisher: Singapore: Wiley-Blackwell; 2007Availability: Items available for loan: UVAS Library [Call number: 636.08944 Michael 22499 3rd 2007 Epidemiology] (28). Checked out (1).

3. Veterinary Epidemiology / 2nd ed

by Thrusfield, Michael.

Edition: 2nd ed.Material type: book Book Publisher: Singapore: Wiley-Blackwell; 1995Availability: Items available for loan: UVAS Library [Call number: 636.08944 Michael 19863 2nd 1995 Epidemiology] (13).

4. Veterinary Clinical Epidemiology / 3rd ed

by Smith, Ronald D.

Edition: 3rd ed.Material type: book Book Publisher: USA: CRC Press; 2006Availability: No items available Checked out (1).

5. Statistical Methods in Spatial Epidemiology

by Lawson, Andrew B.

Edition: 2nd ed.Material type: book Book Publisher: USA: Wiley; 2006Availability: Items available for loan: UVAS Library [Call number: 614.42 Lawson 19045 2nd 2006 Epidemiology] (1).

6. Veterinary Clinical Epidemiology / 2nd ed

by Smith, Ronald D.

Edition: 2nd ed.Material type: book Book Publisher: USA: CRC Press; 1995Availability: Items available for loan: UVAS Library [Call number: 636.08944 Ronald 14347 2nd 1995 Epidemiology] (2).

7. The International Statistical Classification of Diseases and Health Related Problems / Vol.1

by World Health Organization.

Edition: Second Edition.Material type: book Book Publisher: Switzerland: World Health Organization; 2004Availability: Items available for loan: UVAS Library [Call number: 616.0012 WHO 19555 2nd 2004 Public.Health] (1).

8. Clinical Epidemiology

by Grobbee, Diederick E.

Edition: 1st ed.Material type: book Book Publisher: USA: Jones & Bartlett Learning; 2008Availability: Items available for loan: UVAS Library [Call number: 614.4 Grobbee 23651 1st 2008 Epidemiology] (1).

9. The International Statistical Classification of Diseases and Health Related Problems / Vol.3

by World Health Organization.

Edition: Second Edition.Material type: book Book Publisher: Switzerland: World Health Organization; 2004Availability: Items available for loan: UVAS Library [Call number: 616.0012 WHO 19557 2nd 2004 Public.Health] (1).

10. Veterinary Clinical Epidemiology / 1st ed

by Smith, Ronald D.

Edition: 1st ed.Material type: book Book Publisher: USA: CRC Press; 1991Availability: Items available for loan: UVAS Library [Call number: 636.08944 Ronald 13643 1st 1991 Epidemiology] (1).

11. Seroprevalence Of Brucellosis In Pregnant And Aborted Women Of Rural And Urban Areas In Three Selected Districts Of Punjab Pakistan

by Shakeela Anjum (2006-VA-172) | Dr. Iahtasham khan | Prof. Dr. Abdul shakoor | Prof. Dr. Muhammad Younus.

Material type: book Book; Literary form: not fiction Publisher: 2015Dissertation note: Brucellosis is an important zoonotic disease of animals and human. According to OIE (Office International des Epizooties), it is the second most important zoonotic disease in the world after rabies Brucellosis is more common in countries with Poorly standardized animal and public health programme. Human Brucellosis caused by B. abortus, B. abortus are small, non-motile, aerobic, facultative intracellular, Gram-negative cocobacilli. The symptoms of human brucellosis are undulant fever, headache, weakness, body pain, and sometimes endocarditis, orchitis, or arthritis may develop. Prolonged use of combination of antibiotics and human vaccine is main control measure strategies for human brucellosis. This disease is under investigated and hence people are ignorant of this insidious problem. Serological surveillance is a good and cheap tool to diagnose this problem. There is also need to know that which diagnostic antigen (Pakistani or French) is more sensitive and specific from disease eradication and control point of view. Unfortunately annual incidence of brucellosis in whole Pakistan is unknown but they are expected above 2 per 100,000 people. The hypothesis of present study was that brucellosis is considered to be endemic in Pakistan but there is no data available about seroprevalence of brucellosis in pregnant, aborted, rural and urban women with different risk factors in Pakistan. In present study sero-screening of total 199 serum samples of pregnant and women presenting with abortions from district Jhang, district Chinoit and district Faisalabad. Test was performed on 199 samples which showed 40 (20%) positives by RBPT (Pakistan) and 42 (21%) positives by RBPT (France) (Table 4.4). While the indirect modified ELISA showing 5 (2.5%) positive samples. All sera tested positives (5) with modified i-ELIA were also tested positives with another specific and highly expensive ELISA (Verion Serion) at OIE reference Summary 41 Laboratory for brucellosis, Germany. Prevalence data was analyzed by chi square test using SPSS version 20 Software (Apache License, USA) to find out correlation between risk factors and brucellosis prevalence. Risk factors such as consumption of raw milk, contact with animals, and symptoms were significant. In our opinion, indirect modified ELISA is more sensitive than RBPT (Pakistan) and RBPT (French). RBPT, (Pakistan) can be used for primary screening of brucellosis cases because of cross reactivity present in RBPT antigen and confirmation must be made with a more specific and sensitive serological test, such as B. abortus-specific indirect modified ELISA. The results of present study showed that RBPT, Pakistan antigen showed almost same sensitivity and specificity as that of RBPT (Pourquier, France) antigen. Indirect modified ELISA is more specific as compared to RBPT (Pakistan) and RBPT (French). It is highly suggestive to combine serodiagnostics test with molecular detection including PCR and Real time PCR to increase the detection rate of brucellosis. Human ELISA kit is extremely expensive that cannot be afforded in developing countries like Pakistan to screen the human. PCR technique is highly reliable and less time consuming. It is highly suggestive to conduct the study on human brucellosis on other districts of south Punjab as it is believed that brucellosis is endemic due to lack of awareness and vaccination in these areas. Availability: Items available for loan: UVAS Library [Call number: 2359-T] (1).

12. Seroprevalence Of Brucellosis In Ruminants At Sale And Purchase Markets And Abattoirs In Three Selected Districts Of Punjab, Pakistan

by Muhammad Tahir (2008-VA-301) | Dr. Iahtasham Khan | Prof. Dr. Muhammad Younus | Dr. Syed Ehtisham-ul-Haque.

Material type: book Book; Literary form: not fiction Publisher: 2016Dissertation note: This is a representative study from Pakistan accompanied in three districts of Punjab i.e. Jhang, Layyah and Toba Tek Singh which are rich in livestock population. There is a lot of research work on livestock farms but the sale and purchase markets and abattoirs are neglected. Pakistan is an agricultural country and livestock contribute a major share to agriculture in Pakistan GDP and its economy. Sheep, goats, cattle and buffaloes contribute in the economy of Pakistani people by milk and meat production on majority basis. Livestock contribution to the agriculture value added is 56.3%, while it contributes 11.9% to the national GDP during 2014-15. More than 8.0 million rural families of the country are involved in raising livestock. But productivity of livestock is questioned by a lot of factors. Infectious zoonotic diseases are among these. Brucellosis is one of the major and unreported problem amongst livestock markets and abattoirs of our country. It results in losses to the economics of the farmers or owners in terms of poor health, abortions, long calving interval, production of weak offsprings and deprived quality of milk and meat. This disease is under investigated and hence people are unaware of this deceptive problem. Serological surveillance is a good and cheaper tool to diagnose this problem. Determination of the seroprevalence is important to know the load of disease and pockets of infections in the area of Punjab, Pakistan. There is also a need to know which diagnostic antigen is more sensitive and specific from disease eradication and control point of view. A total of 300 animals serum samples were collected from three districts of the Punjab province and tested by conventional screening test i.e. Rose Bengal Plate Agglutination Test (RBPT) by using two antigens of different countries origin i.e. VRI (Lahore, Pakistan), IDEXX (Pourquier, France) and ID.vet, France and then tested with indirect Enzyme-linked Immunosorbent Assay (iELISA). The data thus obtained regarding seroprevalence was analyzed using Chi-square SPSS version -19 (Nahar et al. 2009). Of the total 300 animals (77 male and 223 female), 1.3% male and 35.66% female were seropositive for anti-Brucella antibodies. Different risk factors were also included in study like sex, area, age, gender, abortion, reproductive problems and also history of orchitis in male. All of these risk factors were statistically analyzed to reveal the truth about ruminants brucellosis. Among the various risk factors studied, the risk factors including history of abortion (16.44%), orchitis (1.3%), retained placenta (26.47%), species cattle (35.55%) and in Toba Tek Singh (47.36%) were statistically significant which could be potential source of threat for humans and other animals. The testing was performed using conventional methods as well as using iELISA. It is concluded that iELISA is more sensitive and specific than conventional screening tests but molecular diagnosis is highly recommended for future studies. The current study will help to minimize and eradicate the low prevalence of ruminants brucellosis by creating awareness between the farmers and through vaccination and herd immunization. By implementing the policy of testing and culling of positive reactors will be pivotal to achieve the objectives. For confirmatory diagnosis all the sera were further tested with iELISA. For this purpose an exclusive commercially available iELISA Kit (ID.vet, France) was used which would be able to differentiate anti-Brucella antibodies of B. abortus and B. melitensis and this iELISA kit would be able to be used for multispecies including cattle, buffaloes, sheep and goats. Availability: Items available for loan: UVAS Library [Call number: 2556-T] (1).

13. 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: book Book; 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).



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