Objective: The aim of the current study is to find the rate of H. pylori eradication by Levofloxacin based and Clarithromycin based sequential therapy regimens at tertiary care hospital

Study design: Study was conducted on out patients at Department of Gastroenterology, Liaquat National Hospital, Karachi.

Duration of study: Was six months from 23th Oct 2016 to 23th Apr 2017 .

Subject & methods: All in patients who fulfilled the inclusion criteria in the Department of Gastroenterology, Liaquat National Hospital, Karachi were included in the study. After taking informed written consent history, clinical examination, upper GI endoscopy was performed levofolxacin and clarithromycin based sequential H. pylori eradication was given. Eradication was checked by performing stool for H. pylori eradication. All the collected information was entered in the prescribed Performa.

Results: A total 254 patients were included in our study. 106 (41.7%) were female and 148 (58.2%) were male. Mean duration of dyspepsia was 5.03±1.24 months. Eradication rate was 95% with levofloxacin based sequential therapy and 85% with clarithromycin based regime.

Conclusion: The eradication rate with levofloxacin sequential therapy was better than clarithromycin based regime, could be due to high resistance in our population so it is suggested to prefer levofloxacin based regime in our day to day practice.

Nursing basically is an art of providing to the sick and instead of being worshipped has come under constant scrutiny and is being forced to face many challenges. Challenges like regional differences have penetrated through and has gradually led to the development of income inequalities. Not only this,  the nurses on a day to day basis are exposed to various diseases, pathogens as well as flu germs which affects their health adversely. Inspite of their gruelling schedules they are forced to work for longer hours and also for more shifts that to without any incentives. Often this leads to fatigue, lack of sleep and gradual development of a negative atmosphere. Societies have been very harsh on the women from the start but this problem has become more acute in the case of nurses as they have to face the violent behavior not only from their fellow workers but also from the patients. A lot of times due to shortage of staff the nurses are pressurized to work more which leads to burnout and as it is their job is extremely taxing. These challenges leave them dissatisfied with their jobs. This leads to less and less people being attracted and opting for this profession.

The aim of this paper is to explore the context of the decision making process to become a nurse in India for both the male and female nurses, examining the differences between the genders. Nursing itself has changed there are different way of performing nursing which has led in part to the reduction of stigma associated with nursing. Nursing is associated with much more positive prospects in terms of career, travel and earning potential. This has attracted more men to the profession and led to more non-Christian nurses taking up the profession. Nursing at first glance appears ungendered as with other professional roles however both men and women show how gender can be fluid and adaptable within nursing. Two distinct explanations exist for what it means to be a nurse one feminine and the other masculine. For the female nurses the profession is one that encompasses service to others and duty a way to honour ones religion, community and family. Nursing is closely aligned with the aptitudes of a mother that is to care and nurture. The masculine explanation of nursing is concerned with career and social development, one linked to economic gain and status with little mention of care as a motivation to nurse. Through my ethnographic work I revealed clear differences and contrasting views of the male and female nurse’s career aspirations. The discussion with the nurses demonstrates how they fulfil they gender roles but also offer insights in to how nursing can support changes in gender roles, such as the women becoming the main breadwinner and financially secure. The male nurse, by expressing an economic motivation to become a nurse, would be able to fulfil his expected role as a son and husband; the primary contributor to the family’s finances.

In recent years, e-rostering systems, have been implemented by an ever-increasing number of health care organisations around the world, however, there is a dearth of empirical and policy research and few independent evaluations of e-Rostering solutions in the literature.  The aim of the study was to evaluate the implementation of the e-rostering system in an acute hospital setting among front line staff (nurses, nurse manager and health care assistants).A mixed methods exploratory research design was used to gauge the views and attitudes of a population of front line staff in one acute hospital settings following implementation of an e-rostering system.  An extensive literature review and six focus groups with frontline staff (n=34) informed the development of the items; an expert panel (n=8) reviewed the items prior to distribution.  A cross sectional survey was used to gauge frontline staff views using an 18-itemed tool.  The tool examined five broad constructs; assessment of needs, benefits of the e-rostering system, organisational support, satisfaction with the implementation process, training issues by profession.  Full ethical approval was sought and gained.

Results: A response rate of 31.8% (n=203) was achieved. The tool was found to have acceptable psychometric properties.  Most respondents felt confident about using the e-Rostering system, reported that the system was easy to use and that they were supported during implementation.  Respondents were uncertain about the benefits of using the system for patients and staff in providing effective skill mix, staffing levels and ensuring patient safety.  Positive aspects of the system identified were: accessibility, schedule in advance and personnel monitoring.  The size of the unit and age of respondent had a significant impact on construct scores.

Conclusions: Frontline staff experienced mixed opinions regarding the implementation of e-rostering.  The findings highlight contextual factors that may assist with successful implementation in the future.

INTRODUCTION: Depression is one of the oldest and most common psychiatric illnesses. The disease has been described as early as 1500 BC. The word depression is used in a variety of ways. It can refer to a sign, symptom, syndrome, emotional state, reaction, disease or clinical entity. According to WHO (2011) 450 million people in the world currently suffer from some form of mental and brain disorders. 121 million suffer from depression and it is estimated that more than 80,000 die by suicide each year. Projected figures from 1990 to 2020 suggest that proportion of the global burden of all diseases accounted by mental and brain disorder could increase to 15% from the present 8.5%. Established psychiatric diagnosis from developing countries like India and Taiwan is only 1.5%.

NEED FOR THE STUDY: Depression carries a considerable degree of morbidity and mortality. It has become a common condition due to stressful life style and life events. Depression is a preventable problem if identified early and treated appropriately. Symptoms are rarely expressed by individuals making it difficult to identify the morbidity in the community. The disease is a chronic disorder and is frequently found among women population. The common age group affected ranges from 30 to 50 years. It is commonly found among people deprived of social, economical and educational development and it is one of the most important predictor of suicidal behavior in many people.General studies on psychiatric disorders in the last 2 to 3 decades identified depression to be more prevalent among female population due to poverty, lack of education, over whelming population, unequal distribution of resources are some of the common risk factors for mental disorders and are more severe among women. Hence mental disorders among women especially in India cannot be separated from social, cultural and economic issues. The women have always been pressured by the family members and also due to self imposed objectives. Women are unable to develop deep relationship and feel hopeless and empty when these objectives are not met. When these happen to a woman who is not well educated receives less support and guidance from the social network, aggravated with life events women end up with depression. The researcher with the vast experience has found many rural women suffer silently in the community.

A study to assess the effectiveness of Yoga on depression among post menopausal women residing in village of Tamilnadu, South India.

Mental disorders (MD) is significantly contributing to global burden of disease and this is the fourth leading cause of global disability. To overcome this concern, the World Health Organization recommended integration of mental health care into general health care facilities and conjointly with nurses in Health Centres, community Health Workers (CHWs) have an important role in the implementation of WHO recommendation about the integration. The objectives of this study are as follows: To describe stereotypical attitudes amongst CHWs regarding persons with a mental disorder and to explore relationships between specific socio-demographic factors (age, gender, level of education, experience and familiarity) and CHWs’ stigmatizing attitudes towards persons with mental disorders in health center of a selected district hospital in Rwanda.

A quantitative, descriptive cross sectional study was conducted among CHWs operating under health centre of a selected District hospital in Rwanda and a self-report questionnaire that included person four demographic variables and two sections such as level of contact and the Community Attitudes towards Mental Illness - Swedish version. The self-report questionnaire was distributed to available CHWs (n=138) and data analysis were performed using the SPSS version 20. This study revealed that participants held negative stereotypes towards persons with MD. Association test revealed more negatives stereotypes towards MD amongst lower educated CHWs, younger CHWs and less experienced CHWs. Also, correlation test revealed that increases in LOC correlates with decrease in score in some CAMIs, subscales and total score respectively.