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Hepatitis B Vaccination Rate and Determining Factors Amongst Health Care Workers at Aga Khan University Hospital, Nairobi

Thesis Info

Author

Ekea, Herman

Department

Internal Medicine (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2011

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728053436

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Aim: To determine Hepatitis B vaccination rate and determining factors for health care workers (HCWs) at AKUHN. Design: Cross sectional analytical study Study subjects and setting: Aga Khan University Hospital-Nairobi, is a 254 bed tertiary hospital, with 815 HCWs with occupational risk of infection with hepatitis B virus (HBV). The hospital has a HCW vaccination policy and vaccine available to HCWs as part of medical scheme Methodology: Two hundred and sixty six (266) eligible HCWs of all cadres were stratified then randomly recruited after giving informed consent. A questionnaire was then administered to assess knowledge, attitude and practice towards HBV infection, risk of infection, vaccination status and reasons for non vaccination. The analysis included vaccination rate, association between knowledge, attitude and practice with vaccination rates and reasons for non vaccination. Results: The hepatitis B vaccination rate is 56.01%. More than 95.5% of the HCWs know about hepatitis B, more than 86.8% know the routes of transmission. There is an association between knowledge of Hepatitis B and vaccination status (p=0.01). Fifty three percent (53%) of the non vaccinated HCWs either didn‟t know the need or procedure for vaccination, while 19.6% were concerned about side effects and costs of vaccination. Conclusion: The vaccination rate is low and efforts should be put in place to educate the HCWs on vaccination, offer reassurance on the safety of the vaccines and maintain updated vaccination records.
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مہاتما گاندھی

گاندھی، مہاتما
فداے انسانیت گاندھی!
مصائب اور تھے پر دل کا جانا
عجب اک سانحہ سا ہوگیا ہے
واحسر تاکہ آج قلم کو امن و سلامتی کے اس داعی عدل و انصاف کے اس علمبردار اور اخلاص و عمل کے اس پیکر کا ماتم کرنا پڑا جو ساری عمر ملک و قوم کا غم گسار رہا، اور اس کی راہ میں جان عزیز تک قربان کردی اور کس قدر عبرت کا مقام ہے کہ اس بدقسمت ملک و قوم کے ایک فرد کے ہاتھوں اس کے محسن اعظم کی شمع حیات گل ہوئی، جس کی عزت و سربلندی کے لئے اس نے اپنی پوری عمر صرف کردی اور اس کو زمین کی پستی سے اٹھا کر آسمان کی بلندی تک پہنچا دیا، لیکن دنیا کے بہت سے اکابر اور محسنین انسانیت اس درجہ عظمیٰ پر سرفراز ہوئے، پھر یہ جلیل القدر انسان اس خلعت امتیاز سے کیوں محروم رہتا، یہ تو اس کی عظمت و جلالت کی آخری اور سب سے بڑی سند ہے۔
مادیت کے اس تاریک دور میں جب کہ مہذب انسان انسانیت کی بربادی کے درپے ایٹم بم کی تیاری میں مشغول، ساری دنیا آگ و خون کے سمندر میں غرق اور امن و سلامتی کو ترستی ہے، اس محسن انسانیت نے دنیا کو الفت و محبت اور اخوت و مساوات کا پیام دیا اور اخلاق و روحانیت کا بھولا ہوا سبق یاد دلادیا اور بے تیغ و تفنگ کے اخلاقی قوت سے فتح حاصل کرنا اور دلوں کو مسخر کرنا سکھایا، اور عملاً ثابت کرکے دکھا دیا کہ دنیا میں اصل طاقت اسلحہ کی نہیں بلکہ اخلاق کی ہے اور اسی کے ذریعہ دنیا میں ہندوستان کا سر اونچا کیا، اس نے مکر و فریب کی سیاست میں سچائی کی روح پھونکی وہ مظلوموں کا حامی، غریبوں کا سہارا اور بے...

A Comparative Study of Dawn and Jang with Special Regard to Agenda Setting Theory of Press: Ten Years before and after 9/11

The relationship between Pakistan and America has always been a focus of the media of both countries as well as the international media. Even a slight shift in the policies of these two countries for each other is capable of making newspaper headlines and attracting maximum attention of the press of both countries. This study is a comparative analysis of the editorial pages of daily Dawn (English) and daily Jang (Urdu) to explore the agenda setting role of two of Pakistan’s oldest and most credible newspapers, vis-à-vis the Pakistan-US relationship. The research takes into consideration a total of 20 years of Pakistan-US relations by dividing the period into two groups which are ten years before the incident of 9/11 and ten years after 9/11. This understudied period is specifically important because the relations between Pakistan and America during these phases have vacillated between periods of engagements, wherein Pakistan enjoyed the status of the most favoured ally without compromising its regional interest, and the periods of disengagements wherein Pakistan faced sanctions from the US and was left alone to deal with the aftermath of the Afghan war and the War on Terrorism. Hence, this study obtains interesting insights about how the two Pakistani newspapers which represent the Urdu and the English press of Pakistan highlighted the agenda-setting role of the press through the coverage of the issues between Pakistan and US on their editorial pages.

Electronic and Optoelectronic Studies of Organic Semiconductors

Organic semiconductors have made inroad into many area of devices which was formally dominated by inorganic semiconductors because of their wide variety of electronic and optoelectronic properties. They being low cost, light weight and low temperature processing materials provide opportunities to fabricate the variety of devices, such as, solar cells, field effect transistors, lasers, light emitting diodes, sensors, photo detectors, smart windows, large area displays, e-paper, etc. The material manipulation, low cost fabrication techniques and the emerging ideas are bringing about much improved performances in the organic electronic devices. Most of the earlier studies have been reported on the p-type organic semiconductors and little is known about n-types. In the development of future organic electronic industry, all organic complementary circuits are not possible without the availability of both p- and n-type organic semiconductors and data is required on the junction properties and mobility studies of these materials. Plenty of data is available on the junction diodes of p-type organic semiconductors but little is known on the n-type organic semiconductors based junction devices and mobility investigations. In this dissertation, the n-type organic semiconducting materials formyl- TIPPCu(II), N,N ́-di-n-heptyl-2,3:6,7-anthracenetetracarboxydiimide (ADCI7) and N,N ́- di-n-octyl 2,3,6,7 anthracenetetracarboxydiimide (ADCI8) have been investigated as active organic materials for their potential application in organic electronic devices. Using organic semiconductor formyl-TIPPCu(II), junction diode, temperature, light and humidity sensors have been fabricated, while ADCI7 and ADCI8 have been used for the fabrication of n-channel organic thin film transistors. To investigate junction properties of formyl-TIPPCu(II) organic semiconductor, fabrication of Ag/formyl-TIPPCu(II)/p-Si heterojunction diode was undertaken and it was made successfully. Its temperature dependent electrical properties are reported. The values of series resistance, ideality factor, zero bias barrier height are observed strongly dependent on temperature. The series resistance and ideality factor decease while the zero bias barrier height increases with the rise in temperature. viiThe surface type Ag/formyl-TIPPCu(II)/Ag humidity sensors has been fabricated to study the effects of changing relative humidity on the electrical parameters and their frequency dependant responses. The values of capacitance and resistance of the sensors were measured at different humidity levels at frequencies of 1 kHz, 10 kHz and 100 kHz. An increase in capacitance and decrease in resistance were observed during the rise of relative humidity from 45 to 95% RH. The hysteresis response of these humidity sensors was also studied at the frequency of 1 kHz. Effects of temperature and light are studied on the capacitance and resistance of the Au/formyl-TIPPCu(II)/Au device. The relative capacitance of the fabricated sensor increased by 4.3 times by rising temperature from 27 to 187 0 C, while under illumination up to 25000 lx, the capacitance of the Au/formyl-TIPPCu(II)/Au photo capacitive sensor increased by 13.2 times as compared to dark conditions. ADCI7 and ADCI8 were used to fabricate n-channel organic thin film transistors (OTFTs) on oxidized silicon wafers. To get the high performance of the devices and to avoid the trapping of charge carriers, the dielectric surface were modified by developing the buffer layer of PMMA or by self assembly monolayer (SAM) of HMDS. The OTFTs exhibited high charge mobility of the order of 10 -2 cm 2 V -1 S-1 (ADCI7) and 10 -3 cm 2 V -1 S - 1 (ADCI8) with the on/off ratio of the order of 10 4 showing the appreciable enhancement in the field effect properties of these materials as compared to the previously reported researches for the same family of materials. ADCI7 is introduced as new compound for high mobility n-channel OTFTs.