Prevalence and factors associated with anxiety and depression among family practitioners in Karachi, Pakistan

Objective: We aimed to assess anxiety and depression and to identify the factors associated with these conditions among family practitioners in Karachi, Pakistan.Methods: A self-reported postal survey was conducted among 540 family practitioners in Karachi during the months of July - August 2003. Aga Khan University Anxiety and Depression Scale (AKUADS) was used to assess anxiety and depression. Additional questions were also inquired to get information about socio-demographic, professional and lifestyle characters.Results: Using AKUADS, 155 (39%) family practitioners had anxiety and depression. Mutlivariate analysis disclosed five factors to be significantly associated with anxiety and depression; these were female sex (AOR = 6.4, 95% CI 3.2-12.6); age group of \u3c 35 years (AOR = 23.3, 95% CI 9.0-60.3); lack of regular exercise (AOR = 4.9, 95% CI 2.4-10.2) and working for more than 48 hours per week (AOR = 12.7, 95% CI 6.2-26.2).CONCLUSION: This study reveals that prevalence of anxiety and depression among family practitioners in Karachi is high and higher than general population in Karachi. Further research and intervention studies are required to identify preventive measures in this regard and also to assess the impact of these interventions

Efecto de la hormona de crecimiento sobre los parámetros seminales, el hemograma parcial y el nivel de testosterona en búfalos Nili Ravi

The purpose of this trial was to examine the possible effects of exogenous growth hormone (GH) on semen quality, hematological variables and serum testosterone concentration in Nili Ravi buffalo. Bulls of the treatment group (n=3) were injected with recombinant GH 500 mg in a 15 day interval for 10 consecutive weeks, while bulls of control group (n=3) received equal volume of normal saline solution. Semen samples were collected twice per week and analyzed for physiological parameters. Blood samples collected fortnightly were analyzed for red blood cells count (RBC), hemoglobin concentration (Hb), packed cell volume (PCV), mean corpuscular volume (MCV), white blood cell (WBC), neutrophils, lymphocytes, and serum testosterone levels. Data were analyzed statistically using t-test. Results indicated that GH treatment of Nili-Ravi buffaloes significantly (p<0.05) increased ejaculatory volume (8.8±0.2 vs 7.7±0.2 ml), sperm motility (72.6±0.4 vs 67.4±0.7%), mass activity (3.35±0.07 vs 2.52±0.08), sperm concentration (982.2±67.8 vs 731.9±50.5 million/ml), live sperm (80.1±0.3 vs 75.8±0.5%) and serum testosterone (4.02±0.21 vs 2.37±0.07 ng/ml) compared to control bulls. Among hematological variables, lymphocytes were increased (p<0.05), but MCV, WBC count, and neutrophils decreased (p<0.05). Hb, RBC and PCV remained unchanged. However, values of these variables were within normal ranges for buffalo bulls. In conclusion, treatment of Nili-Ravi bulls with GH improved semen quality and increased serum testosterone without ostensible adverse effects on the general state.El propósito de este ensayo fue examinar los posibles efectos de la hormona de crecimiento exógena (GH) sobre la calidad del semen, algunas variables del hemograma y la concentración de testosterona en suero de toros bubalinos Nili Ravi. Los búfalos del grupo tratado (n=3) fueron inyectados con 500 mg de somatotropina recombinante cada 15 días durante 10 semanas consecutivas, mientras que los del grupo control (n=3) recibieron igual volumen de solución fisiológica salina. Las muestras de semen fueron tomadas dos veces por semana y analizadas para evaluar los parámetros fisiológicos. Las muestras de sangre colectadas quincenalmente fueron analizadas para establecer el recuento de glóbulos rojos, la  concentración de hemoglobina, el hematocrito, el volumen corpuscular medio (MCV), recuento de glóbulos blancos (WBC), tasa de neutrófilos y linfocitos, así como los niveles séricos de testosterona. Los datos obtenidos fueron analizados estadísticamente por medio del test-t de Student. Los resultados indicaron que el tratamiento con somatotropina aumentó significativamente (p<0,05) el volumen eyaculado (8,8±0,2 versus 7,7±0,2 ml), la motilidad del semen (72,6±0,4 versus 67,4±0,7%), la actividad de masa (3,35±0,07 versus 2,52±0,08), la concentración de espermatozoides (982,2±67,8 versus 731,9±50,5 millones/ml), los espermatozoides vivos (80,1±0,3 versus 75,8±0,5%) y el nivel de testosterona sérica (4,02±0,21 versus 2,37±0,07 ng/ml), comparados con los animales controles. En el hemograma aumentaron los linfocitos (p<0,05) y disminuyeron variables como volumen corpuscular medio, recuento de leucocitos y tasa de neutrófilos (p<0,05). Hemoglobina, concentración de eritrocitos y hematocrito permanecieron inalterados. Todos los parámetros investigados se situaron dentro de los rangos normales para toros bubalinos. En conclusión, el tratamiento de búfalos Nili-Ravi con somatotropina mejoró la calidad del semen y aumentó la testosterona sérica, sin provocar ostensibles efectos adversos en el estado general de los toro

Maternal risk factors associated with low birth weight in Karachi: A case-control study

To evaluate maternal risk factors associated with low birth weight (LBW) among women aged 15-35 years, we carried out a hospital-based, case-control study on 262 cases (mothers of neonates weighing \u3c or = 2.5 kg) and 262 controls (mothers of neonates weighing \u3e 2.5 kg). Odds of delivering a low-birth-weight baby decreased with increase in maternal haemoglobin [odds ratio (OR): 0.701; 95% confidence interval (CI): 0.62-0.79]. Odds were greater among mothers not using iron supplements during pregnancy (OR: 2.88; 95% CI: 1.83-4.54). Mothers of LBW babies had lower haemoglobin levels before delivery

Serum Macromineral Levels in Estrual, Fertile, Subfertile and Pregnant Mares Kept Under Two Different Managemental Conditions

This study was conducted on 300 mares kept under one of the two managemental conditions: field (individual management) and farm (organizational management). Mares were categorized as estrual, fertile, subfertile or pregnant. Any possible relationship between fertility and serum levels of sodium, magnesium, phosphorus, potassium and calcium was investigated. The serum sodium level differed significantly (P<0.05) among all groups of mares at both conditions, with pregnant mares having the highest and subfertile the lowest levels. Also, independent of the condition, the pregnant mares had significantly higher (P<0.05) serum potassium levels compared with subfertile ones. Serum calcium levels were significantly higher in estrual mares when compared with those of pregnant mares under farm management or subfertile mares under field conditions. In each group, mares kept under farm management had significantly higher serum magnesium levels but significantly lower serum calcium levels than those of mares kept under field. In estrual group, mares raised under field condition had significantly higher serum phosphorus levels. These results sufficiently provide the foundation for more rigorous and controlled studies to establish a firm basis for fertility versus serum-mineral-profile relationship. Moreover, due to marginally adequate serum mineral levels in mares kept under both managements, supplementation with mineral mixture was recommended for optimum fertility

Diagnosis of Faulty Sensors in Antenna Array using Hybrid Differential Evolution based Compressed Sensing Technique

In this work, differential evolution based compressive sensing technique for detection of faulty sensors in linear arrays has been presented. This algorithm starts from taking the linear measurements of the power pattern generated by the array under test. The difference between the collected compressive measurements and measured healthy array field pattern is minimized using a hybrid differential evolution (DE). In the proposed method, the slow convergence of DE based compressed sensing technique is accelerated with the help of parallel coordinate decent algorithm (PCD). The combination of DE with PCD makes the  minimization faster and precise. Simulation results validate the performance to detect faulty sensors from a small number of measurements

TRANSVERSE VAGINAL SEPTUM: A CONGENITAL MALFORMATION AND ITS MANAGEMENT IN A FEMALE DROMEDARY CAMEL

A seven year old female dromedary camel was examined for the complaint of inability to breed due to problem during penile intromission. Vaginoscopy, using equine tube vaginoscope, revealed the presence of a tissue flap cranial to the urethral opening, buldging caudally and separating the cranial and caudal parts of vagina. Digital palpation was also performed and the condition was diagnosed as transverse vaginal septum. For treatment, the vaginal septum was grasped with an Allis tissue forceps and a circular piece was severed from the center with the Metzenbaum scissors. The remaining portion of septum was then carefully trimmed. About 28 days after surgery, the animal showed heat signs and was mated. On ultrasonographic examination three months, post mating the animal was found pregnant

In vitro Maturation and Fertilization of Riverine Buffalo Follicular Oocytes in Media Supplemented with Oestrus Buffalo Serum and Hormones

Effects of two maturation media (TCM-199 and Ham's F-12) with and without the addition of oestrus buffalo serum (OBS) and hormones (FSH, LH, E2) on the maturation rate of buffalo follicular oocytes were evaluated. The results revealed a significant (P P 2+ free Tyrode's medium (63.72%) than in TALP (10.9%) and IVF-TL (32.18%). Thus, TCM-199 containing hormones and OBS appeared better for in vitro maturation, whereas modified Ca2+ free tyrode's medium was found to be more suitable for in vitro fertilization of buffalo follicular oocytes