ORIGINAL PROF-3213 ABSTRACT…Introduction: e-Health is a combination of medical informatics, public health, business and information technology. Health information technology has increased the productivity by reengineering of health care but it requires new measurement tools to monitor the impact of it .e-health is not only for the development of technologies but also it includes proper planning, thinking, broad thinking to improve healthcare services with the help of information and communication technology. Objectives: 1) To assess the perceptions of physicians towards the use, effectiveness and efficiency of EHR 2) To identify the differences between electronic and paper based records 3) To evaluate the usage of Electronic Health Records.4) To analyze satisfaction and challenges face by the physicians using EHR. Research Design: This is an Exploratory and Descriptive Research. In this study hybrid research method is used which includes qualitative and quantitative research methods. Sampling technique: For this study, a purposive sample of 43 physicians was selected. The sample size was 60 but 17 responses were incomplete so they were excluded and the final sample size was 43. Data was collected from two different hospitals of Pakistan which include the physicians from Shaukat Khanum Memorial Cancer Hospital and Research Centre, and Indus Hospital. Of the 43 participants, 51% were from Indus Hospital and 49% were from Shaukat Khanum Memorial Cancer Hospital and Research Centre. Instrument: A structured questionnaire was used to collect data and it was collected by email responses and direct interview. EHR Questionnaire: A questionnaire was used in the study. The EHR Questionnaire has comprised of 24 items. This questionnaire was developed by Msukwa. B.K.Martin. 1 Data Analysis: Data analysis was done by Statistical Package for Social Sciences (SPSS) and Microsoft Excel. Procedure: The sample consisted of physicians from Shaukat Khanum Memorial Cancer Hospital and Research Centre, and Indus Hospital from Karachi. EHR is a new technology and hospitals are moving towards it, some are under process and very few like the above mentioned hospitals are using it. The questionnaire was not complicated. It was a structured questionnaire with easy questions with multiple options to fill in. Respondents were also acknowledged for their cooperation and participation in the study. Conclusion: EHR should be used effectively, proper training is needed to ensure that physicians are able to operate the system and can have maximum benefits from the technology by utilizing all its applications. The government should encourage adoption of Electronic Health l Records in Pakistan by developing a public-private partnership. The study focused also on EHR effectiveness by checking the working of EHR its quick and satisfactory results its accuracy, adequacy, timeliness, user-friendliness, availability and reliability.

ABSTRACT  BACKGROUND & OBJECTIVE: Breastfeeding provides immunity against bacterial, viral, and other infectious diseases. More than four million new neonates die due to vaccine-related diseases in the first 28 days of their lives. It is therefore emphasized that breastfeeding in the first hours after delivery may save the neonate. The objective of this study was to determine the factors affecting the pattern of breastfeeding among the neonates and assess the frequency of early breastfeeding among neonates at Gulab Devi Hospital, Lahore. METHODOLOGY: It was a cross-sectional descriptive study. One hundred mothers were selected through convenient purposes sampling. Chi-square test applied for an association between mode of delivery and initiation of breastfeeding. RESULTS: The result of the study showed variability in the time of breastfeeding by the mothers from one hour to 24 hours after delivery. Pre-lacteal was given to 59 mothers, while 41 were not given with any pre-lacteal. A significant association was found between mode of delivery and initiation of breastfeeding with a p-value less than 0.001 CONCLUSION: The result of the study showed that variability in the time of breastfeeding by the mothers from one hour to 24 hours after delivery provided a significant difference in the production of the neonate in the first 28 days.

In Pakistan the total fertility rate is 4.5 which is too high and the main reason forthis is the low contraceptive prevalence rate of only 28%. A woman’s ability to space and limither pregnancies has a direct impact on her health and as well as on the outcome of eachpregnancy”. The population of Pakistan represents 2.56% of the world’s total population whichmean that every 39th person of the world is resident of Pakistan. Objectives: To highlight thefactors affecting male’s decision making regarding family planning in district Buner KPK. StudyDesign: A cross sectional study. Setting: District Buner, KPK. Period: March, 2015 and July,2015. Methods: Stratified simple random sampling was performed for collecting data. Samplesize of 210 was collected from two Union Councils of Buner. Outcome variable was husband’sdecision making regarding family planning. Researcher administered questionnaire was usedfor data collection. Results: Husband’s decision making regarding family planning was mainlyeffected desire for more children, 68.5% of the respondents were male decision maker whohad desire for more children. Family structure also influence the decision maker’s decision asin nuclear families 90.7% were decision maker were from nuclear family. Religious perceptionand side effects was contributing to family planning decision making. Conclusion: The studyshowed that 71.9% of male and 6.9% female take the decision of family planning. The studyresults showed that desire for more children, lack of information, family structure, and fear ofside effects and perception of people that family planning is against Islam played an importantrole in decision making regarding family planning.

Introduction: Hyperemesis Gravidarum (HG) is a common early pregnancy syndrome that usually occurs around 6 weeks of pregnancy. The patient may cause dehydration, electrolyte metabolism disorders and abnormal fat metabolism, causing increased risk of pregnancy-induced. Objective: The effects of vitamin B and acupressure application combined with psychological adjuvant therapy on vomiting symptoms and mental health in pregnant women with severe vomiting. Methods: Study Type: Randomized Control Trial Duration of Study: Twelve Months from January 2019 to December 2019 Sampling Technique: The data has been collected from the subject index coming to the gynecology OPD of Gulab Devi Teaching Hospital, Lahore, Pakistan. Control group: aged 20 to 37 years, with an average of (26.12±2.44) years; 8 to 17 weeks of gestation, with an average of (9.18±1.77) weeks. Sample Selection Inclusion Criteria: All persons who have 1) meet the diagnostic criteria for HG; 2) 20 to 40 years of age; 3) both signed informed consent. Exclusion Criteria: vomiting caused by medical diseases such as hydatidiform mole, gastrointestinal disease, viral hepatitis, cholecystitis. This study was approved by the Medical Ethics Committee of Gulab Devi Teaching hospital. Pregnant women who were enrolled were divided into control group and experimental group according to the random number table method, with 48 cases in each group. Study Tools: Questionnaire and Interview Sample size (n)=96. Results: After 7 days of treatment the effective percentage rate in the experimental group was higher as compare to the control group in terms of clinical efficacy, SAS and SDS scores, antiemetic and hospitalization time and cost was much lower and within limits in the experimental group as compare to control group. Discussion: In addition to physiological treatment such as fluid replacement, psychological treatment should not be ignored. Conclusion: vitamin B6 and acupressure application combined with psychological adjunctive treatment of HG had a significant effect and could significantly relieve pregnant women Anxiety, depression and promote the recovery of pregnant women.

Sex discrimination in a newborn child is still present in Pakistan. It is despite relative wealth, rapid globalization, female education and socioeconomic development. Although mother's education improves quality of childcare, but still it does not reduce discrimination against her children. The mental torture a female goes through in a life time for being female starts at the time of her birth and ends only with her life. These cultural bounded thinking has overshadowed a woman's own perception about a daughter. But some times to a family it does not make any difference that the child is a son or a daughter. Aims: The aim of the Research is to discuss how mothers of a female child feel about having a daughter if they wanted to have a son. Objectives: To explore what are the feelings of a mother upon having a daughter. To identify why they feel what they feel. To identify what are some of the reasons behind their thinking. To discuss how their experiences can be used in planning for interventions of future this can help in a better understanding of our mothers and daughters requirements. Methodology: The methodology of current research is based on qualitative anthropological research method. Period: Dec 2014 to Oct 2015. Settings: The sampling is taken from different socioeconomic strata. It is divided into low, middle and upper socioeconomic groups. Every stratum is with a different point of view regarding the same question. Results: "In Pakistan 42 percent of women accept violence as part of their fate; 33 percent feel too helpless to stand up to it; 19 percent protested and 4 percent took action against it. Discussion: It is also found that the middle socioeconomic group is the most crushed group of all in Pakistan. This is the strata who wanted to be modern like upper socioeconomic group but have lesser resources and opportunities. Females are educated equally like males in urban areas such as Lahore, Islamabad and Karachi. However, in rural areas, the education rate is substantially lower. Recommendation: For woman there must be a right to life, security and protection from violence which can be mental, physical, psychological and verbal. Government should ensure effective, prompt and impartial investigations into alleged cases of crimes and other incidents, and ensure that particular attention is paid to the investigation of such crimes and incidents and that those responsible for such acts are effectively brought to justice and, where appropriate, punished in order to avoid impunity.