Immunization of Children in a Rural Area of North Kashmir, India: A KAP Study.

Background: Knowledge, attitude and practices about immunization among mothers of children aged 1-2 years was assessed. Method: 300 mothers were administered a semi-structured questionnaire at PHC Hajan from 1st march to 1st may 2011 to elicit the information about the knowledge, attitude and practices of the mothers regarding immunization. Results: 100% of mothers knew that vaccination is beneficial and protects their children from diseases. 39% knew OPV protects from polio while only 1% were aware of protective role of BCG. All mothers knew about immunization in pregnancy but 86% were unaware about its preventive role. 26% mothers believed that 3 doses of T.T (tetanus toxoid) are to be given during pregnancy. Whereas 98% of children were completely immunized, 93% completed on schedule. Eighty percent of mothers reported of fever following DPT. All mothers had received tetanus toxoid during pregnancy. Conclusion: Considering mothers' poor knowledge and good attitude, health education on immunization is emphasized to improve their practices

Universal scaling dynamics in a perturbed granular gas

We study the response of a granular system at rest to an instantaneous input of energy in a localised region. We present scaling arguments that show that, in $d$ dimensions, the radius of the resulting disturbance increases with time $t$ as $t^{\alpha}$, and the energy decreases as $t^{-\alpha d}$, where the exponent $\alpha=1/(d+1)$ is independent of the coefficient of restitution. We support our arguments with an exact calculation in one dimension and event driven molecular dynamic simulations of hard sphere particles in two and three dimensions.Comment: 5 pages, 5 figure

Increased isolation of vibrio cholerae O1 serotype inaba over serotype ogawa in Pakistan

Although the predominant Vibrio cholerae serotype in Pakistan is Ogawa and serotype Inaba is rare, there has been a significant increase in the isolation of Inaba in our referral laboratory in Karachi. This paper reports this observation and further analysis of previous cholera data from 1993 to 2005 to assess the trend of occurrence and resistance pattern of V. cholerae strains. From January to September 2005, 245/3292 (7.4%) specimens yielded growth of V. cholerae. Of these, 243 were serotype Inaba, outnumbering serotype Ogawa. This recent Inaba strain is 100% resistant to cotrimoxazole, 3% resistant to chloramphenicol and not resistant to ampicillin, tetracycline and ofloxacin. This sensitivity pattern is almost similar to that of the previous predominant serotype Ogawa

Comparison of double disc and combined disc method for the detection of extended spectrum beta lactamases in enterobacteriaceae

Objective: To compare double disc approximation and combined disc method for their ability to detect extended spectrum b lactamase (ESBL) production in enterobacteriaceae and determine the percentage of isolates which are falsely reported as sensitive in absence of ESBL detection, in a clinical microbiology laboratory of a tertiary care hospital between September-October 2002. Methods: Selected isolates were identified according to standard biochemical tests. Disc susceptibility tests were performed according to NCCLS. ESBL detection by combined disc [cefotaxime (30 ug) versus cefotaxime plus clavulanate (30+10 ug)] was compared with detection using double discs [amoxy-clavulanic acid (20+10 ug) and aztreonam (30 ug) applied 10 mm apart]. Results were interpreted according to NCCLS and analysed on SPSS version 10. Results: ESBL production was detected in 140 (30%) isolates by combined disc method and 139 (29.5%) by double disc method. There was no significant difference between two methods. Of the ESBL positive isolates 41 (29%) gave zone diameters that were within the sensitivity range cutoff and would have been falsely reported as being beta lactam sensitive in absence of ESBL detection. Conculsion: ESBL detection should be routinely performed in clinical laboratories as false reporting would result in treatment failure despite in vitro sensitivity. No difference was found between the combined disc and double disc methods hence either of two could be used

A Review on Preparation of ZnO Nanorods and Their Use in Ethanol Vapors Sensing

The devices of polycrystalline film have small sensitivity that can be overthrown by using high aspect ratio of 1D nanostructures, such as ZnO nanostructures. Sensors based on 1D nanostructures show very quick response time and high sensitivity for their high impact factor. The purpose of this article is to provide a comparison of different methods and the quality of the sensors thus produced. Currently, metal oxide 1D nanoarchitectures like ZnO have great attraction due to their applications in sensors. Metal oxide nanostructures have high aspect ratio, with small consumption of power and low weight, however, keeping excellent chemical and thermal dependability. Different techniques have been adopted to fabricate metal oxide one-dimensional nanostructures like hydrothermal, electro-spinning, sol-gel, ultrasonic irradiation, anodization, solid state chemical reaction, molten-salt, thermal evaporation, carbothermal reduction, aerosol, vapor-phase transport, chemical vapor deposition, RF sputtering, gas-phase-assisted nanocarving, molecular beam epitaxy, dry plasma etching, and UV lithography. The sensitivity depends upon the materials; synthesis technique and morphology of the sensor performance toward a particular gas have different range of success. This article estimates the efficiency of ZnO 1D nanoarchitectures, gas sensors. Finally, in this review, we had mentioned the future directions of investigations in this field

Importance of clinical toxicology teaching and its impact in improving

Objective: To assess the impact of a one-day clinical toxicology workshop in improving knowledge.Methods: A one-day clinical toxicology workshop was conducted as a pre-conference workshop of the Annual Emergency Medicine Conference at the Aga Khan University Hospital, Karachi, in April 2012. The course was composed of poisoning-related common clinical scenarios. The pre-test and post-test understanding was used to assess the impact of the course in improving knowledge. The participants also evaluated the workshop as a whole thorough written evaluation forms. SPSS 19 was ued for statistical analysis of the data.Result: There were 22 participants in the course. The pre-test mean score was 31.6±15.1% (95% CI; 24-40; n=19) compared to the post-test the mean score of 56.0±10.8% (95% CI; 47- 61; n=17). The positive difference was also statistically significant (pConclusion: Short training in clinical toxicology improved knowledge of the participants

A comparison of WHO guidelines issued in 1997 and 2009 for dengue fever - single centre experience.

Objective: To compare the original (1997) and revised (2009) versions of World Health Organization guidelines for dengue patientsMethods: Adult patients with a positive dengue Immunoglobulin M serology, and a diagnosis of dengue were included in the study at Aga Khan University Hospital during a three-year period from January 2005 to December 2007. Data related to these dengue patients was collected from their medical records. Guidelines were then applied by the research assistant and correlation among these guidelines was computed. SPSS 19 was used for statistical analysis.Results: A total of 612 patients were found with a diagnosis of dengue, but only 439 (71.73%) had a positive IgM. The median age of these 439 patients was 28 (interquartile range: 18) years and majority of them were males, 295 (67%). According to the 1997 guidelines, 383 (87%) patients were classified as having dengue, while according to the 2009 guidelines, all the 439 (100%) patients were classified with a dengue infection. Under WHO 1997, 21 (5.5%) cases were classified as dengue shock syndrome, while 2009 guidelines labelled 88 (20%) cases as severe dengue. There was a consensus on only 11 severe cases by both the guidelines, showing different results between the two.Conclusion: By using 2009 guidelines, a physician would classify more dengue patients as having severe disease