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Articles 211 - 234 of 234
Full-Text Articles in Family Medicine
Accessibility And Effectiveness Of Healthcare Providers, Waris Qidwai
Accessibility And Effectiveness Of Healthcare Providers, Waris Qidwai
Department of Family Medicine
No abstract provided.
Implications For The Practice Of A Patient Expectation And Satisfaction Survey, At A Teaching Hospital In Karachi, Pakistan, Waris Qidwai, R. H. Dhanani, F. M. Khan
Implications For The Practice Of A Patient Expectation And Satisfaction Survey, At A Teaching Hospital In Karachi, Pakistan, Waris Qidwai, R. H. Dhanani, F. M. Khan
Department of Family Medicine
Objective: To study the expectations and satisfaction of patients visiting Family Practice Clinics, at the Aga Khan University Hospital, in Karachi, Pakistan. Methodology: A cross sectional survey of 316 patients was carried out. A questionnaire, based on the study objectives was developed and administered. The participating patient signed a consent form, after assurance of confidentiality was provided. Data on the demographic profile of the patients was collected.
Results: The mean age was 33.81 years, with 105 (33.2%) women, and 211 (66.8%) men. The majority were married, with education above intermediate level and were in private or government service or were …
Psychiatric Morbidity And Perceptions On Psychiatric Illness Among Patients Presenting To Family Physicians, In April 2001 At A Teaching Hospital In Karachi, Pakistan, Waris Qidwai, Iqbal Azam
Psychiatric Morbidity And Perceptions On Psychiatric Illness Among Patients Presenting To Family Physicians, In April 2001 At A Teaching Hospital In Karachi, Pakistan, Waris Qidwai, Iqbal Azam
Department of Family Medicine
Objective: To assess psychiatric morbidity and the perceptions about psychiatric illness, among patients presenting to family physicians, at a teaching hospital in Karachi, Pakistan.
Methods: A questionnaire based survey was developed to collect demographic data, information on psychiatric morbidity and perceptions on psychiatric illness. It was administered to 400 patients, against a sample size of 347. The study objective was explained, written consent was taken and confidentiality was assured.
Results: There were more women then men in the study, with a mean age of 37 years. The majority was married, better educated and socioeconomically placed then the rest …
Perceptions On Bioethics Among General Practitioners In Karachi, Pakistan, Waris Qidwai, Hafeez Qureshi, Iqbal Azam, Syed Sohail Ali, Semi Ayub
Perceptions On Bioethics Among General Practitioners In Karachi, Pakistan, Waris Qidwai, Hafeez Qureshi, Iqbal Azam, Syed Sohail Ali, Semi Ayub
Department of Family Medicine
Objective: To study the perceptions on bioethics among general practitioners in Karachi, Pakistan.
Design: A questionnaire based cross sectional survey. Settings: 85 general practitioners in Karachi were surveyed at their clinic premises. Main outcome measures: Perceptions on the broad principles of bioethics.
Results: The majority of general practitioners were males, with mean age of 36.3 years, had minimal postgraduate qualifications and continuing medical education. They reported the top five moral duties of a physician and their reaction in the event of the death of a close relative due to a doctor's negligence. A significant number of respondents agreed …
Patterns Of Use And Non-Use Of The Services Of Hakim Practitioners Among Patients In Karachi, Waris Qidwai
Patterns Of Use And Non-Use Of The Services Of Hakim Practitioners Among Patients In Karachi, Waris Qidwai
Department of Family Medicine
Objective: To study the pattern of use and non-use of the services of hakim practitioners, among patients visiting the Family Physicians, at a teaching hospital in Karachi.
Design: Cross-sectional survey
Place and Duration of Study: Family practice centre, The Aga Khan University, Karachi, from March to June, 2001.
Methods: A total of 387 patients were surveyed against an estimated sample size of 347. A questionnaire was developed and administered to collect information on the patterns of the use and non-use of the services of hakim practitioners among the respondents.
Results: The majority of the respondents were young, well-educated …
The Utilization Of Services Of Health Care Providers Among Patients Presenting To Family Physicians At A Teaching Hospital In Karachi, Pakistan, Waris Qidwai, Iqbal Azam, S. S. Ali, S. Ayub
The Utilization Of Services Of Health Care Providers Among Patients Presenting To Family Physicians At A Teaching Hospital In Karachi, Pakistan, Waris Qidwai, Iqbal Azam, S. S. Ali, S. Ayub
Department of Family Medicine
Objective: To study the utilization of services of Health care providers among patients presenting to Family Physicians in a teaching hospital in Karachi.
Methodology: It was a cross sectional study. A questionnaire was developed to collect patient’s utilization of services of health care providers. The investigators administered the questionnaire to 387 patients, after purpose of the study was explained, written consent was taken and confidentiality was assured.
Results: The study population included more females than males, with average age of 32.6 years. The majority were married, well educated, in private and government service, were students or housewives. …
Myths Regarding Treatment Of Hepatitis: The Vicious Cycle Of Increasing Morbidity, Waris Qidwai, Naureen Alim, Iqbal Azam
Myths Regarding Treatment Of Hepatitis: The Vicious Cycle Of Increasing Morbidity, Waris Qidwai, Naureen Alim, Iqbal Azam
Department of Family Medicine
Viral hepatitis has high prevalence rates in Pakistan. It is a potentially serious condition with associated high morbidity and mortality. Studies from neighboring regions document significant utilization of the services of faith healers for the treatment of patients with hepatitis. This article is a short communication
Knowledge About Sexually Transmitted Infections Among Young Pakistani Men, Waris Qidwai
Knowledge About Sexually Transmitted Infections Among Young Pakistani Men, Waris Qidwai
Department of Family Medicine
Prevalence of Human Immuno-deficiency Virus (HIV) infection is still believed to be low in Pakistan. However, because of its location in South Asia and the presence of high risk group for the disease, it is likely that Pakistan would experience diffusion of HIV1. We therefore decided to cany out this study to access the understanding of young Pakistani men about sexually transmitted infections (STI s).
Behind The Counter: Pharmacies And Dispensing Patterns Of Pharmacy Attendants In Karachi., Fauziah Rabbani, F. H. Cheema, N. Talati, S. Siddiqui, S. Syed, S. Bashir, L. Z. Zuberi, A. Shamim, Q. Mumtaz
Behind The Counter: Pharmacies And Dispensing Patterns Of Pharmacy Attendants In Karachi., Fauziah Rabbani, F. H. Cheema, N. Talati, S. Siddiqui, S. Syed, S. Bashir, L. Z. Zuberi, A. Shamim, Q. Mumtaz
Community Health Sciences
BACKGROUND:
There is little literature available on dispensing patterns and unsupervised sale of medicines from pharmacies in developing countries.
OBJECTIVE:
This study obtained background information on pharmacies assessed the level of training, knowledge and dispensing patterns of pharmacy attendants in Karachi.
METHODOLOGY:
This is a descriptive cross sectional study with convenient sampling. A structured questionnaire was used to interview pharmacy attendants.
RESULTS:
Of the 219 pharmacies surveyed, 62% reported more than 50 customers daily and 20% also sold items of general provision. Mean operating hours were 13. Only 24 (11%) had a visible license. On an average 3 attendants were …
Physician Assisted Suicide Perceptions Among Patients Presenting To Family Physicians At A Teaching Hospital In Karachi, Pakistan, Waris Qidwai, H. Qureshi, S. S. Ali, M. Alam, S. I. Azani
Physician Assisted Suicide Perceptions Among Patients Presenting To Family Physicians At A Teaching Hospital In Karachi, Pakistan, Waris Qidwai, H. Qureshi, S. S. Ali, M. Alam, S. I. Azani
Department of Family Medicine
Objective: To study the perceptions on physician assisted suicide, among patients presenting to family physicians, at a teaching hospital in Karachi, Pakistan.
Method: The study was carried out at the Community Health Center of The Aga Khan University Hospital, Karachi, between December 1999 and May 2000. The principal and co-investigators filled a pre-coded and pretested questionnaire consisting of important demographic characteristics and bio-medical ethics issues. A system of convenience sampling was used and a written consent was taken from respondents over the age of 16 years, who agreed to participate. The data were managed by using the Epi …
Clinical Spectrum Of Systemic Lupus Erythematosus At The Aga Khan University Hospital., K. Sulaiman, N. Sohail, A. A. Sheikh, F. Raza, F. Shahzad, A. Siddique, T. Shakir, Fauziah Rabbani
Clinical Spectrum Of Systemic Lupus Erythematosus At The Aga Khan University Hospital., K. Sulaiman, N. Sohail, A. A. Sheikh, F. Raza, F. Shahzad, A. Siddique, T. Shakir, Fauziah Rabbani
Community Health Sciences
BACKGROUND:
Systemic lupus erythematosus is a disease of unknown etiology, which at onest may involve only one organ system or be multisystemic. The aim of our study is to determine the clinical presentation of SLE patients presenting to AKUH to establish whether guidelines laid down about this disease are in agreement with our experience.
METHODS:
A retrospective log review was carried out at AKUH, based on data obtained from 165 files of individuals admitted to the hospital over a period of 12 years with a confirmed diagnosis of SLE.
RESULTS:
From the sample size of 165, 143 (86.7%) were females …
The Minds Of Mothers: Maternal Mental Health In An Urban Squatter Settlement Of Karachi., Fauziah Rabbani, Furqan Farooq Raja
The Minds Of Mothers: Maternal Mental Health In An Urban Squatter Settlement Of Karachi., Fauziah Rabbani, Furqan Farooq Raja
Community Health Sciences
BACKGROUND:
Community-based information on maternal mental health in developing countries is meager and nearly non-existent in Pakistan.
OBJECTIVE:
To determine the proportion of probable cases of women with mental disorders and examine the associated conditions and risk factors which contribute to maternal mental ill-health.
METHODS:
With convenient sampling 260 mothers in an urban squatter settlement of Karachi were interviewed. The tools consisted of a household questionnaire collecting information on basic demographic and other characteristics and the Aga Khan University Anxiety and Depression Scale (AKUADS), an instrument to assess psychiatric morbidity.
RESULTS:
The proportion of probable cases of mental disorder was …
Perceptions About Female Sexuality Among Young Pakistani Men Presenting To Family Physicians At A Teaching Hospital In Karachi, Waris Qidwai
Perceptions About Female Sexuality Among Young Pakistani Men Presenting To Family Physicians At A Teaching Hospital In Karachi, Waris Qidwai
Department of Family Medicine
Objective: To study the perceptions about female sexuality among young Pakistani men, presenting to family physicians at a teaching hospital in Karachi, Pakistan
Study Design: A questionnaire based prevalence study.
Setting: Questionnaire administered to 188 young Pakistani men, between the ages 18-30 veai-s, who presented to family physicians, at the outpatient department of the Aga Khan University Hospital, Karachi, Pakistan.
Main Outcome Measures: Perception among Pakistani young men about enjoyment of sexual experiences in women, whether women stop to enjoy sexual experiences during stress, menstruation, pregnancy and after menopause. Whether they are aware about “orgasm” in women and their belief …
Effect Of Dietary Garlic (Allium Sativum) On The Blood Pressure In Humans - A Pilot Study, Waris Qidwai, Riaz Qureshi, Iqba Azam, Syed Najmul Hasan
Effect Of Dietary Garlic (Allium Sativum) On The Blood Pressure In Humans - A Pilot Study, Waris Qidwai, Riaz Qureshi, Iqba Azam, Syed Najmul Hasan
Department of Family Medicine
Objective: To find out whether individuals with blood pressures on the lower side consume more garlic in their diets. A pilot study to make grounds for more elaborate future trials.
Method: A questionnaire was developed in order to estimate the dietary intake of garlic per person per month and to record three blood pressure readings on each individual. It was administered to 101 adult subjects, presenting to the Family Practice Centre of a hospital in the city of Karachi, Pakistan. The various demographic parameters including age, sex, marital status and education were recorded. Those subjects found to be overweight, with …
Evaluation And Management Of Gout, N S. Ali
Evaluation And Management Of Gout, N S. Ali
Department of Family Medicine
No abstract provided.
Views About Women's Mental Health: Study In A Squatter Settlement Of Karachi., Fauziah Rabbani
Views About Women's Mental Health: Study In A Squatter Settlement Of Karachi., Fauziah Rabbani
Community Health Sciences
OBJECTIVE:
Mental health of women is globally receiving particular attention. This study assessed community's view on certain aspects of women's mental health prior to introducing an intervention.
SETTING:
The study was conducted in an urban squatter settlement located in District West of Karachi in 1997 where the Aga Khan University has set up a Primary Health Care program in partnership with the communities.
METHODS:
Using convenient sampling, door to door household survey was conducted by medical students.
RESULTS:
Two hundred and eighty one residents were interviewed. Respondents were asked to list contributory factors which lead to mental distress in women. …
Economic Development And Health Status Among The Poor In Squatter Settlements Of Karachi., Fauziah Rabbani, Anwer T. Merchant
Economic Development And Health Status Among The Poor In Squatter Settlements Of Karachi., Fauziah Rabbani, Anwer T. Merchant
Community Health Sciences
OBJECTIVE:
Socioeconomic status is an important determinant of health outcome measures. This study examines and presents some of the important health outcomes amongst the higher and lower socioeconomic groups within the urban poor.
SETTING:
Data analysis is based on a Health and Demographic Survey conducted in urban squatter settlements of Karachi in 1996.
METHODS:
A structured questionnaire was administered to all households in the catchment area. The indicator used to assess economic status is ownership of assets.
RESULTS:
Comparison between the two economic levels shows that the lower socio-economic group was more likely to experience child mortality, (CI; 1.02-1.29, p …
Home-Care Of The Dying, Riaz Qureshi
Home-Care Of The Dying, Riaz Qureshi
Department of Family Medicine
No abstract provided.
Poor Performance Of Health And Population Welfare Programmes In Sindh: Case Studies In Governance Failure, Mehtab S. Karim, Shehla Zaidi
Poor Performance Of Health And Population Welfare Programmes In Sindh: Case Studies In Governance Failure, Mehtab S. Karim, Shehla Zaidi
Community Health Sciences
Over the past few years, the issue of what is meant by “good governance” has generated increasing attention and debate both at the national and international level [Streeten (1997)]. The role of state and how that role is to be exercised is appearing high on the agenda of politicians, policy-makers and academicians in the developing world. Governance has been defined by the World Bank as “the manner in which power is exercised in the management of the country’s economic and social resources” [World Bank (1994)]. The somewhat narrow scope of this definition has been broadened in recent years to “the …
Sexual Knowledge And Practice In Pakistani Young Men, Waris Qidwai
Sexual Knowledge And Practice In Pakistani Young Men, Waris Qidwai
Department of Family Medicine
Background: There is a shortage of scientific data on the subject of sexuality from Pakistan. We decided to document misconceptions among Pakistani young men, regarding masturbation and nocturnal emissions and to make a case for sex education in the country.
Objective: To study the knowledge, attitude and practice of Pakistani young men as regards masturbation and nocturnal emissions and to see any associations with demographic factors like age, marital status, occupation, level of education and socio economic status.
Method: A questionnaire was developed, based on the objectives of the study. It was administered to 188 men between the ages 18-30 …
Protocol For Management Of Hypertension By Family Practitioners, Badar Sabir Ali, R Qureshi, R H. Dhanani
Protocol For Management Of Hypertension By Family Practitioners, Badar Sabir Ali, R Qureshi, R H. Dhanani
Department of Family Medicine
No abstract provided.
Evaluation Of Chest Pain In General Practice, S Dodani
Evaluation Of Chest Pain In General Practice, S Dodani
Department of Family Medicine
No abstract provided.
Principles Of Family Medicine, Riaz Qureshi
Principles Of Family Medicine, Riaz Qureshi
Department of Family Medicine
No abstract provided.
Management Of Hyperlipidaemia In General Practice, Waris Qidwai
Management Of Hyperlipidaemia In General Practice, Waris Qidwai
Department of Family Medicine
Hyperlipidaemia is a powerful predictor of coronary artery disease, with a strong, independent, continuous and grades positive associationbetweencholesterol levels and risk of coronary events. Several large studies have shown the benefit of cholesterol reduction and there is clear evidence of the efficacy of statins in the reduction of events inprimazy and secondary prevention1. A 1% reduction in the total serum cholesterol reduces the frequency of fatal coronary heart disease by atleast 2%2. A l0% meandecrease inthe total serum choelsterol level reduces the incidence of both fatal and nonfatal myocardial infarctions3. Family physicians need to …