Sleep Quality and Its Possible Predictors Among University Students of Islamabad, Pakistan

Objective: To assess sleep quality among Islamabad university students and find predictors of poor sleep quality. Study Design: Cross-sectional analytic study Place and Duration of Study: Capital University of Science and Technology ,Islamabad Pakistan, from Feb to Jun 2019 Methodology: The study population (n=397) was undergraduate students from all eight semesters of four faculties. The dependent variable sleep quality was measured through a standard validated tool, Pittsburgh Sleep Quality Index (PSQI). Results: Out of 397 participants, 158(40%) were hostelities and 239(60%) were day scholars. There were 134(33.5%) students having a good sleep, and 263(66.5%) were having a bad sleep, according to PSQI scores obtained. Association analysis showed a statistically significant association between sleep quality and heavy meals, gadget use, drinking beverages before bedtime,sleeping in a noisy room, and type of residence (p ≤ 0.001). Study findings showed gadget use before bedtime (AOR=4.472,95% CI=2.674-7.478), residence type (AOR=2.323,95% CI=1.4-3.855), sleeping in a noisy room (AOR=2.241,95% CI=1.369-3.665)and heavy meal before bedtime (AOR=1.985,95% CL=1.142-3.451) were significant predictors of poor sleep quality. Conclusion: It was concluded that two out of three students need better sleep quality. Universities should give preparatory assistance for developing and executing health promotion and educational curricula

Investigation of the prevalence of female genital tract tuberculosis and its relation to female infertility: An observational analytical study

Background: Genital tuberculosis is a common entity in gynecological practice particularly among infertile patients. It is rare in developed countries but is an important cause of infertility in developing countries. Objective: The present study has investigated the prevalence of female genital tract tuberculosis (FGT) among infertile patients, which was conducted at the Obstetrics and Gynecology Unit-I, Allied Hospital, affiliated with Punjab Medical College, Faisalabad, Pakistan. Materials and Methods: 150 infertile women who were referred to infertility clinic were selected randomly and enrolled in our study. Patients were scanned for possible presence of FGT by examination and relevant investigation. We evaluated various aspects (age, symptoms, signs, and socio-economic factors) of the patients having tuberculosis. Results: Very high frequency of FGT (20%) was found among infertile patients. While, a total of 25 patients out of 30 (83.33%) showed primary infertility and the remaining 5 cases (16.67%) had secondary infertility. Among secondary infertility patients, the parity ranged between 1 and 2. A total of 40% of patients (12 cases) were asymptomatic but infertile. Evidence of family history was found in 4 out of a total of 30 patients (13.3%), respectively. According to histopathological and bacteriological examination of endometrial biopsy and laparotomy, tuberculous endometritis was found in 20 out of a total of 25 (80%) cases, while tuberculous salpingitis and tuberculous oophoritis were found both in 2 (8%) of the cases, respectively. Only one case (4%) of tuberculosis cervicitis was found in the present study. Conclusion: Although infertility is not a disease in classical sense, but it is an extremely important personal concern for many couples and a significant health problem for our profession. So, it is worthwhile to identify and evaluate the factors contributing to infertility