International journal of endorsing health science research, Jan 22, 2024
Background: Despite the advancements in making dentistry more comfortable, dental phobia remains ... more Background: Despite the advancements in making dentistry more comfortable, dental phobia remains a significant concern. Research suggests that children's dental anxiety may persist into adolescence, leading to avoidance of dental care and disruptive behavior during treatment. Early identification of children with dental fear is crucial for dental professionals to promptly employ appropriate pediatric management strategies. The study aims to assess the prevalence of dental fear among students in Hyderabad, Pakistan. Methodology: A cross-sectional study was conducted among 11-to 16-year-old male and female students in schools in Hyderabad, Pakistan. The Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) in English was utilized. The study included students in grades 6 to 8 residing in Hyderabad, with no general pathology and not on any medication. Data analysis was performed using SPSS version 25. The study encompassed 295 participants, 45.1% females and 54.9% males. The percentage of participants experiencing dental fear (combining moderate and high fear) was 168 (57%), while 127 (41%) reported no dental fear. Analysis based on low to high levels of fear indicated slightly increased moderate and high fear levels in female participants (47.5% and 52%, respectively) compared to male students (36.5% and 47%, respectively). The study suggests the need for significant attention to preventing dental fear. School-based health policies and parents should focus on psychosocial factors associated with the fear of dental treatment, as many of these factors are preventable. Dental anxiety poses challenges not only for patients but also for dentists, occasionally complicating the successful execution of treatments.
health practitioners (MHPs) has increased from 6% to 24% and from none to 16% with 13 FTE or more... more health practitioners (MHPs) has increased from 6% to 24% and from none to 16% with 13 FTE or more MHPs. For both LPSE-4 and LPSE-5, there were only two acute hospitals where both 8 FTE MHPs and 1.5 FTE consultants were present. For LPSE-4, only one site met the Core 24 criteria (for adultsthere are no criteria for paediatric LPSs) of 11 FTE MHPs and 1.5 FTE consultants, and for LPSE-5, both these sites exceeded them. Other paediatric services did not meet the adult core 24 criteria for a LPS. Acute hospitals with access to 24/7 paediatric LPSs increased from 12% to 19% between LPSE-4 and LPSE-5. In LPSE-5 68% of paediatric LPS worked to a one-hour response time target to the ED. This is an increase from 42% (14/33) in LPSE-4. Conclusion. There are still far fewer paediatric than adult LPSs, but the provision of paediatric LPSs improved from 2015 to 2019, with more services, more staffing, and faster response times. Services need to continue to improve as few services match the adult core 24 criteria for an LPS.
AimsTo assess the quality of information provided by pharmaceutical companies to patients and doc... more AimsTo assess the quality of information provided by pharmaceutical companies to patients and doctors regarding the impact of stimulant medications indicated for the treatment of Attention Deficit Hyperactive Disorder (ADHD) on Tourette's syndrome(TS) and tics in children and its implication on treatment.BackgroundIt is estimated that between 35% to 90% of TS patients also have ADHD. However, there remains a pervasive belief that the use of stimulants to treat ADHD symptoms in children with comorbid tic disorders is contraindicated because of concerns about possible tic exacerbation. Recent studies has disproved this, which is reflected in United Kingdom(UK) and European ADHD and TS guidelines. Pharmaceutical companies are legally required to provide a Summary of Product Characteristic (SPC) and Patient Information Leaflet (PIL) for each medicine as it is an integral part of the marketing authorisation approval. The SPC contains vital information for the usage and prescription o...
2014 International Conference on Energy Systems and Policies (ICESP), 2014
Pakistan is facing severe shortage of energy. The gap between demand and supply is gradually incr... more Pakistan is facing severe shortage of energy. The gap between demand and supply is gradually increasing leading to heavy load shedding. This crisis has badly affected the life of people and economic growth of Pakistan which appears as a barrier in the long-term future. Along with other reasons, energy losses by the end user are one of most important aspect of energy crisis. To cope with this situation proper interventions are needed. Building sector is one of the major energy consumers and source of energy wastages if not properly managed. The energy losses in buildings are due to installation of inefficient equipments and improper utilization of electrical & mechanical systems. It is also observed that, energy efficiency parameters & standards are not being kept under considerations during the designing and construction of new buildings, which is resulting in high consumption of energy. Keeping in view the importance of building energy consumption and its impacts, Energy Audits of public sector building i.e. Pakistan Secretariat (Block A, B, C, D, P, R and S) were conducted. The sample was comprised of old and new buildings. After analysis of data gathered through energy audits, up to 30 % of Energy Saving Opportunities were identified. In this paper, some technical parameters regarding windows to wall ratio, lighting, AC, building envelop and water treatment having high impact on energy consumption and comfort level in the building, are identified which may be adopted as per local environmental conditions.
Aims In 2019 members of the Liaison Psychiatry Department at Frimley Park Hospital completed an a... more Aims In 2019 members of the Liaison Psychiatry Department at Frimley Park Hospital completed an audit of the referrals to the service1. The quality of referrals was found to be highly variable, for example only 28% included a risk assessment and frequently omitted both past psychiatric and past medical histories. As such an intervention was designed involving three parts; Multidisciplinary education of staff New and more readily available referral guidelines New referral form This re-audit seeks to complete the audit cycle and assess the impact of the intervention. Method The first 50 referrals to the Liaison Psychiatry Department of Frimley Park Hospital during February 2021 were assessed using the following criteria: Staff type, referral source, physically fit for assessment, physical cause ruled out, drugs / alcohol involved, appropriate reason for referral, clinical question asked, did final diagnosis match referral diagnosis, risk assessment included, information about admissio...
Pakistan today is facing a serious energy crisis due to the alarming depletion of energy resource... more Pakistan today is facing a serious energy crisis due to the alarming depletion of energy resources and increasing demand of the industry, which has badly affected our industrial sector in general. No doubt, this situation has emerged globally, but this is also a fact that these energy crises in our industrial sector are due to orthodox processes, conventional infrastructures/buildings, inefficient HVAC systems, inadequate use of electrical and mechanical equipment, non compliance to standard inspection techniques which has resulted higher energy losses. This study reveal to the management of the factors, (i.e. housekeeping, control of operations and infrastructure), affecting the performance of AC plants of the spinning subsector of textile industry. Energy audits were conducted to collect data. The data was analyzed and it was concluded that along with the technological interventions we need to introduce green infrastructure in AC plants of spinning mills.
International journal of endorsing health science research, Jan 22, 2024
Background: Despite the advancements in making dentistry more comfortable, dental phobia remains ... more Background: Despite the advancements in making dentistry more comfortable, dental phobia remains a significant concern. Research suggests that children's dental anxiety may persist into adolescence, leading to avoidance of dental care and disruptive behavior during treatment. Early identification of children with dental fear is crucial for dental professionals to promptly employ appropriate pediatric management strategies. The study aims to assess the prevalence of dental fear among students in Hyderabad, Pakistan. Methodology: A cross-sectional study was conducted among 11-to 16-year-old male and female students in schools in Hyderabad, Pakistan. The Children's Fear Survey Schedule-Dental Subscale (CFSS-DS) in English was utilized. The study included students in grades 6 to 8 residing in Hyderabad, with no general pathology and not on any medication. Data analysis was performed using SPSS version 25. The study encompassed 295 participants, 45.1% females and 54.9% males. The percentage of participants experiencing dental fear (combining moderate and high fear) was 168 (57%), while 127 (41%) reported no dental fear. Analysis based on low to high levels of fear indicated slightly increased moderate and high fear levels in female participants (47.5% and 52%, respectively) compared to male students (36.5% and 47%, respectively). The study suggests the need for significant attention to preventing dental fear. School-based health policies and parents should focus on psychosocial factors associated with the fear of dental treatment, as many of these factors are preventable. Dental anxiety poses challenges not only for patients but also for dentists, occasionally complicating the successful execution of treatments.
health practitioners (MHPs) has increased from 6% to 24% and from none to 16% with 13 FTE or more... more health practitioners (MHPs) has increased from 6% to 24% and from none to 16% with 13 FTE or more MHPs. For both LPSE-4 and LPSE-5, there were only two acute hospitals where both 8 FTE MHPs and 1.5 FTE consultants were present. For LPSE-4, only one site met the Core 24 criteria (for adultsthere are no criteria for paediatric LPSs) of 11 FTE MHPs and 1.5 FTE consultants, and for LPSE-5, both these sites exceeded them. Other paediatric services did not meet the adult core 24 criteria for a LPS. Acute hospitals with access to 24/7 paediatric LPSs increased from 12% to 19% between LPSE-4 and LPSE-5. In LPSE-5 68% of paediatric LPS worked to a one-hour response time target to the ED. This is an increase from 42% (14/33) in LPSE-4. Conclusion. There are still far fewer paediatric than adult LPSs, but the provision of paediatric LPSs improved from 2015 to 2019, with more services, more staffing, and faster response times. Services need to continue to improve as few services match the adult core 24 criteria for an LPS.
AimsTo assess the quality of information provided by pharmaceutical companies to patients and doc... more AimsTo assess the quality of information provided by pharmaceutical companies to patients and doctors regarding the impact of stimulant medications indicated for the treatment of Attention Deficit Hyperactive Disorder (ADHD) on Tourette's syndrome(TS) and tics in children and its implication on treatment.BackgroundIt is estimated that between 35% to 90% of TS patients also have ADHD. However, there remains a pervasive belief that the use of stimulants to treat ADHD symptoms in children with comorbid tic disorders is contraindicated because of concerns about possible tic exacerbation. Recent studies has disproved this, which is reflected in United Kingdom(UK) and European ADHD and TS guidelines. Pharmaceutical companies are legally required to provide a Summary of Product Characteristic (SPC) and Patient Information Leaflet (PIL) for each medicine as it is an integral part of the marketing authorisation approval. The SPC contains vital information for the usage and prescription o...
2014 International Conference on Energy Systems and Policies (ICESP), 2014
Pakistan is facing severe shortage of energy. The gap between demand and supply is gradually incr... more Pakistan is facing severe shortage of energy. The gap between demand and supply is gradually increasing leading to heavy load shedding. This crisis has badly affected the life of people and economic growth of Pakistan which appears as a barrier in the long-term future. Along with other reasons, energy losses by the end user are one of most important aspect of energy crisis. To cope with this situation proper interventions are needed. Building sector is one of the major energy consumers and source of energy wastages if not properly managed. The energy losses in buildings are due to installation of inefficient equipments and improper utilization of electrical & mechanical systems. It is also observed that, energy efficiency parameters & standards are not being kept under considerations during the designing and construction of new buildings, which is resulting in high consumption of energy. Keeping in view the importance of building energy consumption and its impacts, Energy Audits of public sector building i.e. Pakistan Secretariat (Block A, B, C, D, P, R and S) were conducted. The sample was comprised of old and new buildings. After analysis of data gathered through energy audits, up to 30 % of Energy Saving Opportunities were identified. In this paper, some technical parameters regarding windows to wall ratio, lighting, AC, building envelop and water treatment having high impact on energy consumption and comfort level in the building, are identified which may be adopted as per local environmental conditions.
Aims In 2019 members of the Liaison Psychiatry Department at Frimley Park Hospital completed an a... more Aims In 2019 members of the Liaison Psychiatry Department at Frimley Park Hospital completed an audit of the referrals to the service1. The quality of referrals was found to be highly variable, for example only 28% included a risk assessment and frequently omitted both past psychiatric and past medical histories. As such an intervention was designed involving three parts; Multidisciplinary education of staff New and more readily available referral guidelines New referral form This re-audit seeks to complete the audit cycle and assess the impact of the intervention. Method The first 50 referrals to the Liaison Psychiatry Department of Frimley Park Hospital during February 2021 were assessed using the following criteria: Staff type, referral source, physically fit for assessment, physical cause ruled out, drugs / alcohol involved, appropriate reason for referral, clinical question asked, did final diagnosis match referral diagnosis, risk assessment included, information about admissio...
Pakistan today is facing a serious energy crisis due to the alarming depletion of energy resource... more Pakistan today is facing a serious energy crisis due to the alarming depletion of energy resources and increasing demand of the industry, which has badly affected our industrial sector in general. No doubt, this situation has emerged globally, but this is also a fact that these energy crises in our industrial sector are due to orthodox processes, conventional infrastructures/buildings, inefficient HVAC systems, inadequate use of electrical and mechanical equipment, non compliance to standard inspection techniques which has resulted higher energy losses. This study reveal to the management of the factors, (i.e. housekeeping, control of operations and infrastructure), affecting the performance of AC plants of the spinning subsector of textile industry. Energy audits were conducted to collect data. The data was analyzed and it was concluded that along with the technological interventions we need to introduce green infrastructure in AC plants of spinning mills.
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