Carneygeisler0636

At the time of reporting the case, she was in the follow-up phase. The case highlights the value of hypnosis as a tool of empowerment especially important to diminish depression when used as an adjunct with cognitive behaviour therapy.Frontal sinuses have unique anatomical features that are distinct to every individual. Radiographic measurement of the frontal sinus is becoming popular in identifying deceased persons in cases where soft tissue remains are not found such as in cases of mass explosions and natural disasters. The aim of this review article is to highlight the significance of employing the method of radiography of frontal sinuses in the process of identification of human bodies. With the use of Pubmed, Medline and Embase, articles on frontal sinus anthropological significance were analyzed from 2015 till 2018. Sexual dimorphism was evident between the two genders. The dimensions are bigger for the males as compared to the females. The left sinus has bigger dimensions as compared to the right frontal air sinus. The reliable use of the radiographic technique is a simple and cost effective method of knowing identity even when the body is severely decomposed.The 2015 heat wave resulted in an estimated over 1200 deaths during the month of June. However, there were no records on the spatial distribution of the effects of this heat wave. An analysis of Moderate Resolution Imaging Spectroradiometer (MODIS) land surface temperature (LST) daily data was conducted to identify regions that experienced above normal temperatures in 2015. An analysis of the monthly averages showed that in general April and May were the warmer months in Karachi, unlike the case in 2015. In addition, the general warm trends were common in the highly industrialised Sindh Industrial Trading Estate (SITE) and Liaquatabad towns, while Gadap, with its mostly barren land, and New Karachi also experience higher temperatures. Coastal towns were naturally cooler and more habitable in the given scenario. A count of the spatial presence of health facilities for the city was also extracted where Gadap and Korangi were poorly served while the more affluent towns of Defence Housing Authority (DHA) and Gulshan-e-Iqbal appeared to be better served.OBJECTIVE To determine the effect of a multi-component exercise programme on elderly adults' risk of falling in nursing homes. METHODS A computerised search of published randomised controlled trials in the English language was performed using PubMed, Cochrane Library, the Cumulative Index of Nursing and Allied Health Literature, Physiotherapy Evidence Database (PEDro), and the Institute for Scientific Information up to December 2017. We included highquality articles that reported a score of ≥5 on the Physiotherapy Evidence Databasescale which compared multicomponent exercise with a single exercise programme in nursing homes, with the risk of falling as an outcome, among participants aged ≥65 years. RESULTS A total of 8 articles, comprising 382 participants, were included. All these articles scored 6-8 points out of 10 on the PEDro scale, with an average of 6.7 points. The mean age of participants in the included articles was ranged from 76±8.0 to 92±2.0 years, and286 (75%) participants were females. A multi-component exercise programme in the experimental group, which had 204 (53.4%) subjects significantly reduced the risk of falling in nursing homes compared to a single-exercise programme, which was used in the control group that had 178(46.6%) subjects. CONCLUSIONS A multi-component exercise programme was found to be useful for reducing elderly adults' risk of falling in nursing homes.OBJECTIVE To assess the compliance of healthcare personnel with regard to sending completely filled transfusion requisition forms. METHODS The audit was conducted at Aga Khan University Hospital, Karachi, and comprised requisition slips received at the hospital blood bank from September 2014 to February 2015. The British Committee for Standards in Haematology guidelines was used as the standard. Carboplatin ic50 Percentage of each variable on the proforma was analsyed. Rating less then 50% for each form was defined as "needs improvement", 51-99% as "good compliance" and 100% as "excellent compliance". After implementing strategies to increase awareness and the launching of an online transfusion requisition form, a re-audit of physician compliance was done from February to April 2016 and the results were compared with the initial audit.. Data was analysed using SPSS 21. RESULTS The audit and the re-audit both comprised 1000 transfusion requisition forms each. In the audit, The sum of total scores of all the transfusion requisition forms was 4911, indicating a compliance rate of 46.9%, while the corresponding numbers in the re-audit were 10000 and 100%. CONCLUSIONS The implementation of online blood transfusion requisition system had a positive impact on compliance rate.OBJECTIVE To evaluate pre-microscopic errors in anatomical pathology. METHODS The cross-sectional descriptive study was conducted at the Department of Pathology of a tertiary care hospital in Lahore, Pakistan, from September, 2016, to January, 2017, and comprised surgical pathology specimens. Errors were noted across the pre-microscopic process. Defects per million opportunities were calculated to determine sigma metric value in every step, from requisition to slide preparation. Root cause analysis was applied to the process of histology preparation to identify the root cause of each previously identified problem using Eindhoven classification. All errors were recorded on a pre-designed proforma. RESULTS There were 2420 specimens. While errors were encountered in all phases of the pre-microscopic process, but the (G6 n=1085, 44.83%), followed by requisition (R3 n=893, 36.9%) and cover slipping (C1 n=776, 32.06%). CONCLUSIONS Development of standard procedures and protocols with staff training is likely to help in controlling the errors.OBJECTIVE To determine the frequency of factors related to hypertension in a peri-urban community. METHODS It was a cross-sectional survey conducted from January to August, 2016, in Nain Sukh, Sheikhupura, near Lahore comprised household individuals of either gender aged 15-69 years. Data was collected through interviews by using a structured questionnaire focussing on socio-demography, history and factors associated with hypertension, like body mass index and lifestyle modifications. Hypertensive patients were identified by using clinical and medication history. SPSS 21 was used to analyse data. RESULTS Of the 1080 subjects, 871(80.6%) were females and 209(19.4%) were males. The overall mean age was 33.5±14 years. Hypertension was found in 307(28.4%) subjects. Hypertension was significantly associated with lifestyle modification factors, like weight reduction, reduction in salt intake and smoking cessation (p less then 0.05), and with body mass index categories (p less then 0.05). CONCLUSIONS Hypertension was found to be significantly high among overweight and obese participants, especially females.