Farmers' adaptation to climate change in Pakistan: Can their climate risk management strategies lead to sustainable agriculture?

Farming communities in many developing nations are facing the impacts of climate change, characterized by greater variability and frequency of extreme weather events, which threaten their livelihoods and the agricultural sector as a whole. Agricultural sustainability is at risk when farmers engage in off-farm activities to protect their economic future and combat climate change. This study aimed to identify the determinants of off-farm management activities adoption and highlight the issues faced by farmers after their adoption in agriculture.

Epidemiological and economic consequences of lumpy skin disease outbreaks on farm households in Khyber Pakhtunkhwa, Pakistan.

The livestock sector plays a crucial role in sustaining the livelihoods of millions of families across the world, especially in developing countries. However, farming households that rely on agriculture and livestock are particularly susceptible to the impacts of various infectious diseases and natural disasters. This study focuses on estimating the economic burden imposed on households by lumpy skin disease (LSD) in Pakistan and explores the effect of various socioeconomic factors on mortality ratio.

Satisfaction of Tuberculosis Patients with Directly Observed Treatment Strategy under Pakistan Health Care Policy: A Mixed-Method Study.

(1) Background: Patients' satisfaction is based on the perceived health care services of individuals and is influenced by the level of care provided by the health care system. It is often based on the patients' expectations of care and self-assessment of their experiences. The success of the Directly Observed Treatment Strategy (DOTS) also depends on the quality of health care provided at the Tuberculosis (TB) centers, which can be evaluated by satisfaction levels of the patients.

Constraints to agroforestry diffusion under the Billion Trees Afforestation Project (BTAP), Pakistan: policy recommendations for 10-BTAP.

Effective agroforestry diffusion under the newly started 10-Billion Trees Afforestation Project (10-BTAP) needs a thorough understanding of the policy and implementation shortfalls of the already completed BTAP. This study examines the factors that affected the diffusion of the agroforestry in the Hindu-Kush Himalayan (HKH) region of Pakistan under BTAP. The data were gathered through in-depth interviews with Village Development Committee (VDC) members, Forest Department (FD) officials, and local farmers.

Health-Related Quality of Life of Tuberculosis Patients and the Role of Socioeconomic Factors: A Mixed-Method Study.

This study aims to assess tuberculosis (TB) patients' health-related quality of life (HRQoL) and to determine the relationship between HRQoL and the socioeconomic and health characteristics of patients. A mixed-method approach of explanatory sequential design is used in this study. Data were collected at 11 TB centers and two private clinics in Khyber Pakhtunkhwa, Pakistan.

Disparities in Physical Accessibility among Rural Thais Under Universal Health Coverage.

This study aims to explore various barriers in accessing outpatient care among the participants from different age groups and to identify determinants associated with physician visits. The study had adopted Andersen's Behavioral Model (ABM) of Health Services Use. A cross-sectional study design was adopted to collect data from 417 participants through a questionnaire survey.

Care and social support from family and community in patients with pulmonary tuberculosis in Pakistan.

Objectives: This study aimed to validate the Medical Outcome Study-Social Support Survey (MOS-SSS) instrument in Pakistan and to quantify the nature of care and social support currently extended to patients with pulmonary tuberculosis (TB) in Pakistan.

Design: This is a cross-sectional study design conducted within a period of 3 months from 1 November 2016 to 31 January 2017.

Participants: A total of 269 patients, registered at 11 TB centres and private clinics, were interviewed through an interviewer-administered questionnaire.

Adult Bochdalek Hernia with Organo-Axial Gastric Volvulus: Misdiagnosed as Hydropneumothorax.

Bochdalek hernia (BH) in an adult may manifest clinically with a myriad of abdominal or chest symptoms or a combination of them. Diagnosis of an adult BH is usually delayed in view of rarity of the lesion and its varied presentation. A 30-year-old adult gentleman presented to us with a left thoracostomy which was draining pus and ingested food particles.

Treatment Delay among Pulmonary Tuberculosis Patients within the Pakistan National Tuberculosis Control Program.

Delay in diagnosis and treatment worsens the disease and clinical outcomes, which further enhances transmission of tuberculosis (TB) in the community. Therefore, this study aims to assess treatment delay and its associated factors among pulmonary TB patients in Pakistan. A cross-sectional study was conducted among 269 pulmonary TB patients in the district.

Prevalence of Blood-Borne Viruses in Health Care Workers of a Northern District in Pakistan: Risk Factors and Preventive Behaviors.

Background. Blood-borne viral infections like viral hepatitis are highly prevalent in Pakistan. There is also a potential threat of human immunodeficiency virus (HIV) spread in the country.

Prevalence and epidemiology of blood borne pathogens in health care workers of Rawalpindi/Islamabad.

Objective: To attempt to trace the molecular epidemiology of blood-borne diseases in the hospital community of Pakistan.

Methods: The cross-sectional study was conducted at three major hospitals of Rawalpindi and Islamabad from January to May, 2014.The prevalence of three blood-borne pathogens hepatitis B and C as well as human immunodeficiency virus was investigated in hospital workers of different occupations.

Newspaper articles as a tool for cardiovascular prevention programs in a developing country.

The purpose of this study was to evaluate changes in knowledge and attitudes as intermediate measures of community impact of a health education campaign using newspaper articles. The intervention involved prominently placed, illustrated newspaper articles by Heartfile (heartfile.org) with nationwide urban outreach, posted regularly in the largest English newspaper in Pakistan using newspaper donated space for a period of 130 consecutive weeks.

Street children in Pakistan: a situational analysis of social conditions and nutritional status.

This paper examines the social conditions and nutritional status of street children in Pakistan. Nutritional status is evaluated by an assessment of height and weight relative to age. A heterogeneous sample of 108 street children in the twin cities of Rawalpindi and Islamabad was studied.

Waist-hip ratio and low HDL predict the risk of coronary artery disease in Pakistanis.

Objective: To establish risk factor causal associations for coronary artery disease (CAD) in the native Pakistani population.

Methods: We conducted a hospital-based, case-control study of 200 cases with angiographically documented CAD and 200 age- and sex-matched controls without angiographic evidence of CAD. Patients on lipid lowering therapy were excluded.