IMPACT : Issue 5

Content - Chairman\u27s Message - During 2014 Your Donations Helped Countless Patients - You Never Walk Alone - Hepatitis : The Silent Killer - First Successful Surgery To Separate Conjoined Twins - With Gratitude To Our Benefactors and Partnershttps://ecommons.aku.edu/impact/1004/thumbnail.jp

IMPACT : Issue 6

Content - Chairman\u27s Message - Light Upon Light - Mending Hearts - APPNA: “It is all about service and giving back.” - “The Aga Khan University is a blessing in this country - S.M. Pervezhttps://ecommons.aku.edu/impact/1005/thumbnail.jp

IMPACT : Issue 2

Content - Update From The Chairman’s Desk - The Difference We Made in 2012 - Assisting in a Miracle - By Helping Another, Our Own Burden Is Lightened : Mrs Talat Dehlavi - All I Want is to Go Back to School - We Give Zakat Purely to Please Allah : S.M. Muneerhttps://ecommons.aku.edu/impact/1001/thumbnail.jp

IMPACT : Issue 4

Content - Chairman’s Message - Distribution of Patients Assisted by PBS - Where There is Life There is Hope : Shaukat Qasim Agaria - Happenings - Dean, Medical College Comes on Board - Department of Oncology - Advancement, innovation and quality : Interview with Mr Moin Fuddahttps://ecommons.aku.edu/impact/1003/thumbnail.jp

Zinc and Copper Levels in Patients with Primary Hypertension and Normotension

One of the causes of primary hypertension is an exposure to free radicals. The formation of free radicals in the body can be prevented by taking antioxidants. Zinc and copper are cofactors of endogenous antioxidant enzyme superoxide dismutase. This study aimed to analyze the differences of zinc and copper levels in primary hypertensive and normotensive patients. This was an analytical observational study with cross sectional design and simple random sampling method. Subjects were patients aged 40-70 years at Haji General Hospital consisting of 15 primary hypertensive patients and 15 normotensive individuals (comparison group). Data was collected through interviews and laboratory test of blood samples. Zinc and Copper serum concentrations were measured by AAS. Data were analyzed by chi-square and independent samples t-test. The results showed that the mean levels of zinc and copper in primary hypertensive patients was lower than normotensive. However, statistically there was no difference in zinc serum levels (p=0.852) in the two groups, and there was a significant difference in copper serum levels (p=0.032). It can be concluded that there were differences in copper serum levels between the two groups but not with the levels of zinc

Responses of Diabetes Mellitus Patients Who Used Complementary Medicine

Diabetes Mellitus as a chronic disease tend to seek appropriate medical treatment to heal the condition. Health-seek searched can be either medical treatment or Complementary and Alternative Medicine. This study explored deeply on the response of diabetes mellituspatients who visited to Indonesian Traditional Medicine Polyclinic on Regional Public Hospital dr. Soetomo Surabaya in using complementary medicine. This study used qualitative study with phenomenological method approach. The focus of this study was diabetes mellitus patients who use complementary medicine. Nine participants were selected based on purposive sampling method with certain criteria. Data collection used was in-depth interview and field note. Data analysis used thematic content analysis. Determining five themes that correspond with the purpose of study and a new theme. Some themes were psychological response after being diagnosed diabetes mellitus, opinion on the diabetes mellitus disease, complementary medicine usage patterns, reasons, the response after the use of complementary medicine, and family support. As a chronic disease, patients need proper treatment and conduct it continuously. Healer shopping was often taken by diabetes mellituspatients. It was required cooperation between patients and health professionals to monitor the behavior in order to achieve the effectiveness of medical treatment

Giving patients choices during involuntary admission : a new intervention

Background: People who receive involuntary treatment are some of the most vulnerable in psychiatric services. They are more likely to have poorer social and clinical outcomes and to be disillusioned with and disengaged from care. Research indicates that patients’ experience in the first week of involuntary treatment is a critical period: a better experience of care in the first week predicts better quality of life and reduced readmission 1 year later. Patients have identified involvement in clinical decisions as key to improving their experience of care. The aim of this study was to test the feasibility and acceptability of an intervention to facilitate involvement in decision making for involuntary inpatients called OPeNS (Options, Preferences, Negotiate, and Summarise). Methods: This was a mixed method study. The OPeNS intervention was developed based on previous research carried out by a multidisciplinary team. Clinicians were trained to deliver it to involuntary inpatients. Feasibility indices (rates of participation in the intervention and time required to deliver it) were collected. Patients (N = 14) and clinicians (N = 5) provided qualitative data on their experience of the intervention in semi-structured interviews which were analysed using thematic analysis. Results: The OPeNS intervention was found to be acceptable by both patients and clinicians and feasible to conduct within the first week of involuntary treatment. Patients’ and clinicians’ experiences of the intervention fall into two themes: ‘Enabling a different dynamic’ and ‘Clashing with usual practices and priorities’. Conclusion: The OPeNS intervention provides a structure that can be used by clinicians across disciplines to facilitate involving involuntary patients in decision making. Although challenges related to changing usual practices were identified, the intervention was received positively and was feasible to conduct in the first week of involuntary treatment