BACKGROUND: The purpose of the study was to explore the association between posttraumatic stress disorder(PTSD) and work performance of emergency medical services personnel in Karachi, Pakistan.METHODS: Emergency medi...BACKGROUND: The purpose of the study was to explore the association between posttraumatic stress disorder(PTSD) and work performance of emergency medical services personnel in Karachi, Pakistan.METHODS: Emergency medical service personnel were screened for potential PTSD using Impact of Event Scale-Revised(IES-R). Work performance was assessed on the basis of fi ve variables: number of late arrivals to work, number of days absent, number of days sick, adherence to protocol, and patient satisfaction over a period of 3 months. In order to model outcomes like the number of late arrivals to work, days absent and days late, negative binomial regression was applied, whereas logistic regression was applied for adherence to protocol and linear for patient satisfaction scores.RESULTS: Mean scores of PTSD were 24.0±12.2. No association was found between PTSD and work performance measures: number of late arrivals to work(RRadj 0.99; 0.98–1.00), days absent(RRadj 0.98; 0.96–0.99), days sick(RRadj 0.99; 0.98–1.00), adherence to protocol(ORadj 1.01; 0.99–1.04) and patient satisfaction(β 0.001%–0.03%) after adjusting for years of formal schooling, living status, coping mechanism, social support, working hours, years of experience and anxiety or depression.CONCLUSION: No statistically significant association was found between PTSD and work performance amongst EMS personnel in Karachi, Pakistan.展开更多
The temporal variations of mesozooplankton abundance and biomass (1-Volumetric method by settling volume and displacement volume and 2- Gravimetric method through wet weight, dry weight and ash-free dry weight) with...The temporal variations of mesozooplankton abundance and biomass (1-Volumetric method by settling volume and displacement volume and 2- Gravimetric method through wet weight, dry weight and ash-free dry weight) with relation to environmental parameters were studied in the mangrove creek area of Karachi coast, Pakistan. The data of mesozooplankton samples along with environmental parameters (temperature, salinity, pH, etc.) were collected during January 1998 to December 1998 from two creek stations. The abun-dance of mesozooplankton also exhibited seasonal trends at both stations. At Sta. S2, the highest and low-est abundance values were observed during post-monsoon and southwest monsoon respectively whereas, at Sta. S1, a clear trend of high abundance in pre-monsoon to low abundance in southwest monsoon was observed. Mesozooplankton abundance was also positively correlated with settling volume, displacement volume, wet weight and dry weight. The highest biomass value was observed in the northeast monsoon and pre-monsoon periods. The results of the canonical analysis of the output from the discriminate function was tested. Out of fifteen variables, only one was significantly different in single character ratios dry weight/ash free-dry weight (F3,23=4.78,P<0.005). The mesozooplankton community was collectively composed of 28 taxa. Among these groups, copepoda (66.3%), gastropod larvae (9.94%), evadne (4.60%), zoea (3.60%), cypris nauplii (2.56%), lemellibranch larvae (1.87%), chaetognaths (1.81%), ostracods (1.73%), lucifer (1.15%) and barnacles nauplii (1.35%) contributed the most to the similarities within Sta. S1, while copepoda (74.68%), cypris nauplii (5.29%), gastropods (4.87%), barnacles nauplii (4.81%), evadne (1.72%), zoea (1.53%) and ca-ridean larvae (1.18%) at Sta. S2. The remaining mesozooplanktonic group were accounted for less than 5% and 6% at Sta. S1 and Sta. S2 respectively, of the total organisms. Similarity percentage (SIMPER) analysis revealed that copepoda, gastropod larvae and cyprus nauplii contributed most of the similarities within Sta. S2 along Sta. S1.展开更多
The Karachi Port of Pakistan is a deep natural sea port with a history of 150 years. The Port has an 11 km long approach channel decaracted with buoys for proriding safe navigation of 75,000 DWT tankers,modern contain...The Karachi Port of Pakistan is a deep natural sea port with a history of 150 years. The Port has an 11 km long approach channel decaracted with buoys for proriding safe navigation of 75,000 DWT tankers,modern container vessels,bulk Karachi Port is the premier port of Pakistan and handles over 85 percent of the whole dry gen-展开更多
基金partially supported through the Johns Hopkins-Pakistan International Collaborative Trauma and Injury Research Training program(grant number 2D43-TW007-292)from the Fogarty International Center of the United States,National Institutes of Healthpartially supported from department of Community Health Sciences,Aga Khan University,Karachi,Pakistan
文摘BACKGROUND: The purpose of the study was to explore the association between posttraumatic stress disorder(PTSD) and work performance of emergency medical services personnel in Karachi, Pakistan.METHODS: Emergency medical service personnel were screened for potential PTSD using Impact of Event Scale-Revised(IES-R). Work performance was assessed on the basis of fi ve variables: number of late arrivals to work, number of days absent, number of days sick, adherence to protocol, and patient satisfaction over a period of 3 months. In order to model outcomes like the number of late arrivals to work, days absent and days late, negative binomial regression was applied, whereas logistic regression was applied for adherence to protocol and linear for patient satisfaction scores.RESULTS: Mean scores of PTSD were 24.0±12.2. No association was found between PTSD and work performance measures: number of late arrivals to work(RRadj 0.99; 0.98–1.00), days absent(RRadj 0.98; 0.96–0.99), days sick(RRadj 0.99; 0.98–1.00), adherence to protocol(ORadj 1.01; 0.99–1.04) and patient satisfaction(β 0.001%–0.03%) after adjusting for years of formal schooling, living status, coping mechanism, social support, working hours, years of experience and anxiety or depression.CONCLUSION: No statistically significant association was found between PTSD and work performance amongst EMS personnel in Karachi, Pakistan.
基金The Office of Naval Research(ONR)Project NP-30 grant
文摘The temporal variations of mesozooplankton abundance and biomass (1-Volumetric method by settling volume and displacement volume and 2- Gravimetric method through wet weight, dry weight and ash-free dry weight) with relation to environmental parameters were studied in the mangrove creek area of Karachi coast, Pakistan. The data of mesozooplankton samples along with environmental parameters (temperature, salinity, pH, etc.) were collected during January 1998 to December 1998 from two creek stations. The abun-dance of mesozooplankton also exhibited seasonal trends at both stations. At Sta. S2, the highest and low-est abundance values were observed during post-monsoon and southwest monsoon respectively whereas, at Sta. S1, a clear trend of high abundance in pre-monsoon to low abundance in southwest monsoon was observed. Mesozooplankton abundance was also positively correlated with settling volume, displacement volume, wet weight and dry weight. The highest biomass value was observed in the northeast monsoon and pre-monsoon periods. The results of the canonical analysis of the output from the discriminate function was tested. Out of fifteen variables, only one was significantly different in single character ratios dry weight/ash free-dry weight (F3,23=4.78,P<0.005). The mesozooplankton community was collectively composed of 28 taxa. Among these groups, copepoda (66.3%), gastropod larvae (9.94%), evadne (4.60%), zoea (3.60%), cypris nauplii (2.56%), lemellibranch larvae (1.87%), chaetognaths (1.81%), ostracods (1.73%), lucifer (1.15%) and barnacles nauplii (1.35%) contributed the most to the similarities within Sta. S1, while copepoda (74.68%), cypris nauplii (5.29%), gastropods (4.87%), barnacles nauplii (4.81%), evadne (1.72%), zoea (1.53%) and ca-ridean larvae (1.18%) at Sta. S2. The remaining mesozooplanktonic group were accounted for less than 5% and 6% at Sta. S1 and Sta. S2 respectively, of the total organisms. Similarity percentage (SIMPER) analysis revealed that copepoda, gastropod larvae and cyprus nauplii contributed most of the similarities within Sta. S2 along Sta. S1.
文摘The Karachi Port of Pakistan is a deep natural sea port with a history of 150 years. The Port has an 11 km long approach channel decaracted with buoys for proriding safe navigation of 75,000 DWT tankers,modern container vessels,bulk Karachi Port is the premier port of Pakistan and handles over 85 percent of the whole dry gen-