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Adverse Drug Reactions (ADRs) underreporting is a great challenge to pharmacovigilance. Healthcare professionals should consider ADR reporting as their professional obligation because the effective system of ADR reporting is important to improve patient care and safety. This study was designed to assess the knowledge, attitude, practice and factors associated with ADR reporting by healthcare professionals (physicians and pharmacists) in secondary and tertiary hospitals of Islamabad. A pretested questionnaire comprising of 27 questions (knowledge 12, attitude 4, practice 9 and factors influencing ADR reporting 2) was administered to 384 physicians and pharmacists in public and private hospitals. Respondents were evaluated for their knowledge, attitude and practice related to ADR reporting. Additionally, the factors which encourage and discourage respondents to report ADRs were also determined. The data was analysed by using SPSS statistical software. Among 384 respondents, 367 provided responses to questionnaire, giving a response rate of 95.5%. The mean age was 28.3 (SD = 6.7). Most of the respondents indicated poor ADR reporting knowledge (83.1%). The majority of respondents (78.2%) presented a positive attitude towards ADR reporting and only a few (12.3%) hospitals have good ADR reporting practice. The seriousness of ADR, unusualness of reaction, new drug involvement and confidence in the diagnosis of ADR are the factors which encourage respondents to report ADR whereas lack of knowledge regarding where and how to report ADR, lack of access to ADR reporting form, managing patient is more important than reporting ADR legal liability issues were the major factors which discourage respondents to report ADR. The study reveals poor knowledge and practice regarding ADR reporting. However, most of the respondents have shown a positive attitude towards ADR reporting. There is a serious need for educational training as well as sincere and sustained efforts should be made by Government and Hospital Authorities to ensure proper implementation of ADR reporting system in all of the hospitals.

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Wound care has come through various trials and errors with primitive cultures applying old age techniques and knowledge. Recent research has shown that the moist environment promotes wound healing than the dry. In the present research, hydrogel membranes were fabricated by esterification of polyvinyl alcohol (PVA) with starch and glutaraldehyde as a cross-linker. The essential oils (clove oil, Oregano oil and tea tree oil) have been incorporated in PVA/Starch based hydrogel membranes. The aim was to achieve optimized anti-bacterial activity and mechanical strength. The anti-bacterial testing was performed using the disc diffusion method. The maximum antibacterial activity for fabricated hydrogels was attained by addition of 0.1 mL clove oil in PVA/Starch hydrogel was 39±0.57 mm and 37±0.29 mm for MRSA and E.Coli, respectively. The FTIR results presented the occurrence of -OH group in hydrogel membrane. The SEM results showed around dense nature of membranes with having an antibacterial agent in it or not.Mechanical examination of hydrogel membranes presented suitable tensile strength of 19.36 MPa for 0.1 mL Clove oil. Furthermore, water vapour transmission rate (WVTR) and moisture retention capability (MRC) for 0.1 mL clove oil was 36.22 g/m 2 h and 95.50%, respectively. The experimental conclusion nominated that fabricated hydrogel articulates good antibacterial, mechanical and physical properties that it could be used in wound dressing applications. The best results were obtained for clove oil using 0.1 mL as an antibacterial agent.