We present an analysis and evaluation of breast cancer detection and diagnosis using segmentation models. We used an advanced semantic segmentation method and a deep convolutional neural network to identify the Breast Imaging Reporting and Data System (BI-RADS) lexicon for breast ultrasound images. To improve the segmentation results, we used six models to analyse 309 patients, including 151 benign and 158 malignant tumour images. We compared the Unet3+ architecture with several other models, such as FCN, Unet, SegNet, DeeplabV3+ and pspNet. The Unet3+ model is a state-of-the-art, semantic segmentation architecture that showed optimal performance with an average accuracy of 82.53% and an average intersection over union (IU) of 52.57%. The weighted IU was found to be 89.14% with a global accuracy of 90.99%. The application of these types of segmentation models to the detection and diagnosis of breast cancer provides remarkable results. Our proposed method has the potential to provide a more accurate and objective diagnosis of breast cancer, leading to improved patient outcomes.

Multiparity is a matter of great concern regarding the health of women as well as child. At the same time it has different determinants and socioeconomic backgrounds. Objective: To determine the determinants of lack of family planning in grand multiparous women. Methods: It is a descriptive cross sectional study including 271 GMP patients from DHQ Hospital Okara city. Mean age was 35 ± 10 years. Data was collected with the help of questionnaire and evaluated and analyzed using SPSS version 24. Mean and standard deviation was calculated for quantitative data and frequency and percentages for qualitative data. To measure the determinants of lack of family planning, chi square test was used. P values less than and equal to 0.05 were taken as significant. Results: Most of women belong to rural area 172 (63.47%) and are Muslims 259 (95.5%). Most of the families lie under upper lower 149 (54.8%) and lower middle group of income 71 (26.1%). The reason of last pregnancy was desire for baby boy 66 (24.4%), then husband’s wish 45 (16.6%) and so on. There is a good association of socioeconomic status and residence of head of family as p < 0.05, (Results are 325.272a, df = 10, p=0 .000). There is an association of Gravida and socioeconomic status of head of family as p<0.05. (27.294, df= 20, p=.05). There is a good association between reasons of last pregnancy and gravida as p<0.05, (41.920, df = 24, p=0 .001). Conclusions: The grand multiparty is still very common in Okara Pakistan district, considering the easy availability of modern contraceptive methods but very few women are aware of it. The most popular explanation given for present pregnancy by grand multiparous women was an urge for baby boy followed by husband wish. Most of women are Muslims. Rural Women are more socio-economically down and they have grander multiparty

A plethora of synthetic, hybrid, and biological polymers are widely being used in medical supplications. A variety of polymers are helpful in our civic activities. Their peculiar chemical, physical, and biological properties are applicable in multiple domains of life from engineering to medicine. This review specifically addresses the novel polymers and their applications in wound dressings. It has been reported by the researchers that, natural polymers are not only playing tremendous roles in micro and macro medical-industry but they are also playing a remarkable role at nano levels as nano-drug carriers and being widely used in wound dressings in pharmaceuticals. In this editorial, we will give a brief introduction of polymers and how they are widely being used in medicinal interventions, it further sheds light on the prospects of polymers with an updated version.

Bio Medical waste refers to any type of waste which is generated during the diagnosis, treatment or immunization of human beings or animals or in research purposes pertaining to or in the fabrication or testing of biologicals. Objective: To assess the awareness about bio-medical waste management among Doctors and Nurses of Children Hospital. Methods: Descriptive study was conducted in Children's Hospital and Institute of Child Health Lahore. Convenient Sampling Technique was applied to gather data. This was a hospital-based study in which staff members of both genders were included. The study population divided into two strata and these strata consisted of doctors and nurses. A total of 139 staff members were involved out of which there were 77 doctors, 62 nurses. Their responses checked by a Performa about problems in the management of biomedical waste. Results: The result showed that majority (62%) staff members had knowledge about bio-medical waste. The remaining staff had very basic knowledge about bio-medical waste. Conclusions: The awareness about BMW management among Children's Hospital Operation theater staff is satisfactory. But still, they need to improve their knowledge to ensure more patient safety by organizing seminars, workshops.

An operation theatre is any facility within a hospital domain where the surgical procedures are carried out in a strict sterile cosmos. Management of the operation theatre requires the coordination of humane and material resources in such a way that surgery can be performed safely, efficiently and cost effectively.Objective: To identify the difficulties in coordination of operating room management and find out their solutions for better patient outcomes. Methods: This descriptive study was conducted in Main Operation Theatre of Children Hospital and Institute of Child Health Lahore. Data was collected by using Convenient Sampling Technique. This was a hospital-based study in which staff members of both genders were included. The study population divided into four strata; doctors (surgeons and anesthetists), nurses, operation theatre technicians and anesthesia technicians. A total of 51 cases were observed and checked by a checklist about coordination diffculties in the management of operation theatre. Results: A total of 51 cases were studied to determine the difficulties in management of operation theatre. 25.22% cases showed difficulty in proper management of Operation Theater. This result showed that there are still some difficulties like insufficient and old equipments, absence of proper sterilization, lack of proper leadership, work overload, no quality check of equipments, no teaching program, and unpunctuality of staff, improper timing and organization in the operation theater. Conclusions: There are many difficulties in management of operation theatre regarding staff members, equipments, timings and sterilization. A proper leadership and organization can sort out these problems.