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Coronavirus disease 2019 (COVID-19) is a communicable illness which has become a global pandemic involving all the age groups. We report a case of neonatal SARS-CoV-2 infection in NICU of Pak Emirates Military Hospital Rawalpindi in a 26-day-old neonate who presented to us with fever and refusal to feed. Laboratory parameters revealed SARS-CoV-2 and typical CT-chest findings. Considering this scenario, we are of the opinion that the transmission of the virus was horizontal. Under the current circumstances, COVID-19 should be in the differentials while evaluating all the neonates presenting with fever. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective: To look for the associative factors in avoidance of exclusive and nonexclusive breastfeeding among mothers after lower segment Caesarean section. Study Design: Cross-sectional study. Place and Duration of Study: Paediatrics department, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Oct to Mar 2020. Methodology: Mothers bringing their infants for vaccination at six weeks of age with babies born with lower segment caesarean section were included in the study. They were asked simple questions regarding exclusive or nonexclusive breastfeeding. Relevant sociodemographic factors were also recorded and compared among mothers breastfeeding their babies and those avoiding it. Results: A total of 500 mothers were included in the study. The mean age of the study participants was 33.576±9.174 years. 336(67.2%) women were primiparous, while 164(32.8%) were multiparous. 208(41.6%) women were actively breastfeeding their child, while 292(58.4%) avoided breastfeeding their babies. 150(72.1%) women were nonexclusively breastfeeding, while 58(27.9%) showed an exclusive breastfeeding pattern. Pearson chi-square test revealed that low education and working outside the home had a statistically significant association with the avoidance of breastfeeding the babies among our target population (p-value <0.05). Conclusion: Avoidance of breastfeeding was a common finding after six weeks of birth among women who delivered the babies via lower segment caesarean section. Mothers with low education and duties to work outside the home were more at risk of avoiding this highly beneficial practice for the baby. [ABSTRACT FROM AUTHOR]

Objective: To determine the burden on the caregivers of patients receiving dialysis treatment., Methods: This cross-sectional study was carried out in four different dialysis centres of Rawalpindi, Pakistan, from June 1 to December1, 2015, and comprised attendants of patients receiving dialysis. The data was collected from the attendants of patients receiving dialysis, and caregiver burden was measured using the Zarit Burden Interview questionnaire. SPSS 22 was used for data analysis., Results: Of the 164 subjects, 97(59%) were females. The majority of caregivers reported stress for caring (2.28±1.31), patients asking for more help than needed (2.14±1.13), health problems (1.03±1.11), financial constraints (1.70±1.15) and little time for self-care (2.15±1.21). Besides, 107(65%) caregivers perceived the burden of their patients as mild to moderate. A positive correlation was found between the duration of a person on dialysis, daily hours of care-giving and the total burden score of his/her caregiver (p<0.05 each)., Conclusions: Care-giving can create enormous burdens on caregivers, affecting their physical and psychological health.