Search

Objective: To identify the existing system of janitorial services in the army hospitals, and to give recommendations for standardized policy formulation in military hospitals. Study Design: Cross-sectional study. Place and Duration of Study: Tertiary Care Hospitals, namely Hospital A, B and C, at Rawalpindi Pakistan, from Oct 2019 Jan 2020. Methodology: Responses from 401 Healthcare Administrators (HCAs), Nurses and Janitorial staff were collected through a validated questionnaire, and hospitals' documents/ SOPs, cleaning audit reports, feedback process documents, communication mechanisms and training schedules were reviewed. Results: Out of 401 respondents, the majority were females (54.4%, 5 were HCAs, 143 were Nurses, and 70 were Janitorial staff). The availability of SOPs was associated with cleaning functional areas of hospitals (p=0.001). Awareness of the risk of infection among healthcare workers was associated with Hepatitis B vaccination (p=0.03). Knowledge of hospital areas regarding cleanliness among hospital workers was linked to providing cleanliness training according to job requirements (p=0.001). Conclusion: Hospital A performed admirably in most areas but was found to need more human resources, with staff shortages, high turnover, and a lack of adherence to SOPs. To achieve optimum performance, existing and emerging technology must be integrated with sanitary worker preparation and career development; costs must be reduced.Keywords: Hospital environment, Infection control and disinfectants, Janitorial service, Training

Objective To find the perceived stress level and monetary burden in the thalassemia patients and their caregivers related to thalassemia treatment sessions. Methods A descriptive cross sectional study was conducted at Rawalpindi Thalassemia Centre and Military Hospital Rawalpindi of six months' duration from November 2016 to April 2017. A total of 87 sample size was calculated by using WHO sample size calculator. Participants were inducted through purposive sampling technique from thalassemia centers. A validated standardized Cohen's Perceived Stress score was used. Data were entered and analyzed in SPSS 22. Results Mean age of the participants was 30.42 ± 14.53 years. There were 30 (34.2%) males and 57 (65.8%) females. There were 39 (51.3%) patients and 48 (48.7%) caregivers. The mean income per month of the participants was 48706.9 ± 39492.68 PKR. The mean total expenditure per treatment session was 48706 ± 4037.12 PKR. Among the patients, there were 15 (38.5%) who were having average stress, while 4 (10.3%) were having moderate stress while 45 (51.7%0 were having severe stress. Among the caregivers, 10 (20.8%) were having mild stress, 13 (27.1%) were having moderate stress while 25 (52.1%) were having severe stress. The stress among the two groups was not statistically significant (p=0.066). Conclusion More than half of the patients and caregivers were having a high perceived stress levels and there was a significant association between the two groups. The monetary burden was a lot to bear by the patients and the cost of treatment session most expensive.

The betavoltaic battery is a type of micro nuclear battery that harvests beta emitting radioactive decay energy using semiconductors. The literature results suggest that a better model is needed to design a betavoltaic battery. This dissertation creates a comprehensive model that includes all of the important factors that impact betavoltaic battery output and efficiency. Recent advancements in micro electro mechanical systems (MEMS) necessitate an onboard miniaturized power source. As these devices are highly functional, longevity of the power source is also preferred. Betavoltaic batteries are a very promising power source that can fulfill these requirements. They can be miniaturized to the size of a human hair. On the other hand, miniaturization of chemical batteries is restricted by low energy density. That is why betavoltaics are a viable option as a power source for sophisticated MEMS devices. They can also be used for implantable medical devices such as pacemakers; for remote applications such as spacecraft, undersea exploration, polar regions, mountains; military equipment; for sensor networks for environmental monitoring; and for sensors embedded in bridges due to their high energy density and long lifetime (up to 100 years). A betavoltaic battery simulation model was developed using Monte Carlo particle transport codes such as MCNP and PENELOPE whereas many researchers used simple empirical equations. These particle transport codes consider the comprehensive physics theory for electron transport in materials. They are used to estimate the energy deposition and the penetration depth of beta particles in the semiconductors. A full energy spectrum was used in the model to take into account the actual radioactive decay energy of the beta particles. These results were compared to the traditional betavoltaic battery design method of estimating energy deposition and penetration depth using monoenergetic beta average energy. Significant differences in results were observed that have a major impact on betavoltaic battery design. Furthermore, the angular distribution of the beta particles was incorporated in the model in order to take into account the effect of isotropic emission of beta decay. The backscattering of beta particles and loss of energy with angular dependence were analyzed. Then, the drift-diffusion semiconductor model was applied in order to estimate the power outputs for the battery, whereas many researchers used the simple collection probability model neglecting many design parameters. The results showed that an optimum junction depth can maximize the power output. The short circuit current and open circuit voltage of the battery varied with the semiconductor junction depth, angular distribution, and different activities. However, the analysis showed that the analytical results overpredicted the experimental results when self-absorption was not considered. Therefore, the percentage of self-absorption and the source thickness were estimated using a radioisotope source model. It was then validated with the thickness calculated from the specific activity of the radioisotope. As a result, the battery model was improved significantly. Furthermore, different tritiated metal sources were analyzed and the beta fluxes were compared. The optimum source thicknesses were designed to increase the source efficiencies. Both narrow and wide band gap semiconductors for beryllium tritide were analyzed. PHD

Antibiotic misuse for upper respiratory tract infections such as the common cold is widespread in clinical practice. Excessive prescription of antibiotics by doctors has resulted in increased antimicrobial resistance. This led to our objective of determining the percentage of doctors in Pakistan prescribing antibiotics for the treatment of common cold and to know about their knowledge in preventing the spread of this disease.It was a cross-sectional descriptive study, conducted in 9 cities of Pakistan including Rawalpindi, Islamabad, Peshawar, Lahore, Karachi, Faisalabad, Sargodha, Multan and D.G. Khan over a period of 03 months -from October to December, 2013. Questionnaire regarding the disease spread and its treatment was distributed among 300 randomly selected doctors in nine cities of Pakistan from both public and private sector.Eighteen percent of the doctors prescribe antibiotics for common cold. Only 113 (37.7%) doctors correctly responded that mean incubation period for common cold was 1-2 days. Two hundred and nine (69.7%) answered correctly that cold weather increases susceptibility to common cold. Only 84 (28%) responded correctly by choosing that regular and frequent hand-washing with good quality soaps was the most effective way to prevent spread of this disease in day-to-day life.Antibiotics are being prescribed for treatment of common cold by a large proportion of doctors. There is insufficient knowledge among our doctors regarding the factors which aggravate or alleviate common cold symptoms as well as the methods by which these infections can be prevented.

To determine the frequency of microbiological contamination of water in different water filtration plants in Islamabad.Descriptive cross-sectional study.Water Filtration Plants (WFP) in different sectors of Islamabad, from April to September 2012.Water samples were collected in sterilized bottles according to the standard water sampling protocol from site and transported to Pakistan Council for Research in Water Resources (PCRWR) for analysis. Microbiological quality of water was determined in terms of total coliforms (2.0 MPN/100 ml) and Escherichia coli (2.0 MPN/100 ml). Microbiological contaminated water was defined the sample which had more than 2.0 MPN per 100 ml of either total coliforms or Escherichia (E.) coli.Thirty two WFP were analyzed for microbiological contamination. E. coli was present in 8 (25.0%) water samples, while 24 (75.0%) water samples were free from it. Total coliforms were present in 13 (40.6%) of the samples of WFP, while 19 (59.3%) samples were free from total coliform. Faecal coliforms were present in 8 (25.0%) and absent in 24 (75.0%) samples. Both E. coli and total coliform were present in 8 (25.0%) samples. Nine (59.3) WFP were free from E. coli, total coliform and faecal coliform. Statistically, no significant association was found (p0.05) between microbiological contamination and the sectors.Less than half of the water samples of the WFP were contaminated while certain sectors showed more frequent contamination than others.

In today’s era online social networks are getting extensive popularity among internet users. People are using online social networks for different purposes like sharing information, chatting with friends, family and planning to hang out. It is then no surprise that online social network should be easy to use and easily understandable. Previously many researchers have evaluated different online social networks but there is no such study which addresses usability concerns about online social network with a focus on Facebook on an academic level (using students as subjects). The main rationale behind this study is to find out efficiency of different usability testing techniques from social network’s point of view, with a focus on Facebook, and issues related to usability. To conduct this research, we have adopted the combination of both qualitative and quantitative approach. Graduate students from BTH have participated in usability tests. Our findings are that although think aloud is more efficient then remote testing, but this difference is not very significant. We found from survey that different usability issues are in Facebook profile, media, Picture Tagging, Chatting etc. We have identified different usability issues in Facebook such as issues in media, chatting, facebook profile, changing profile name etc. Here we can say that although think aloud protocol is more efficient then remote testing but this difference is not very significant. We have also suggested some extension in usability testing techniques. If participants of usability test do not verbalize while interacting with the system and keep their focus on performing the test. After completion of each task participants can express their thoughts and opinions what they did. Furthermore we sent our founded results to developer for validation purpose. Developers replied that the results of this research are satisfactory. Tariq Alam Address: Folkparksvagen 18:19, 37240 Ronneby, Sweden E-mail: chochoswati@hotmail.com, Muhammad Ali Address: Folkparksvagen 18:19, 37240 Ronneby, Sweden E-mail: alijpjgujrat@yahoo.com