Objective: To determine correlation between emotional intelligence and academic performance of fourth and final-year medical students of Pak International Medical College, Peshawar.
目的确定白沙瓦巴基斯坦国际医学院四年级和毕业班医学生的情商与学习成绩之间的相关性。
{"title":"CORRELATIONAL STUDY OF EMOTIONAL INTELLIGENCE AND ACADEMIC PERFORMANCE OF UNDERGRADUATE MEDICAL STUDENTS","authors":"Hina Zahoor, Kajal Hayat, Tahir Hayat","doi":"10.52764/jms.24.32.1.19","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.19","url":null,"abstract":"Objective: To determine correlation between emotional intelligence and academic performance of fourth and final-year medical students of Pak International Medical College, Peshawar.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hafsa Bashir, Muhammad Omar Malik, Sabahat Amir, Habiba Ahmad, Syed Kaleem Ur Rehman
Objectives: To compare the thymic Index, vitamin D3 level, and T cell receptor excision circle (TREC) of healthy and malnourished infants. To evaluate the effect of oral vitamin D3 supplementation on the Thymic Index and TREC in malnourished children. Material and Methods: This quasi-experimental study (non-equivalent control group design) included 44 infants within the age range of 2 to 6 months. The cases were 22 malnourished infants, and 22 were healthy infants (controls) based on WHO Z scores classification (weight for length). Weight, age, thymic Index (TI), Vitamin D levels, and TRECs were recorded for cases and controls(pre-test). The cases were given Vitamin D supplementation for 8 weeks. The weight for length (z-score), thymic Index (TI), vitamin D levels, and TRECs were checked in these malnourished children on follow-up (post-test). Thymic Index (TI) was checked by ultrasonography (length multiplied by breadth). ELISA was performed to check Vitamin D levels and RT-PCR was done to compare TRECs. Results: The malnourished infants had a mean thymic index of 8.015 ±3.2192 as compared to controls of 11.667 ±3.2730. Post Vit D supplementation TI increased (8.459 ±3.2191) in cases. Weight, length, and Z scores were found to be directly related to TI values. Pre and Post supplementation TI were strongly correlated to each other (r= 0.985, p= <0.001). The thymic index increased significantly (p= 0.001) after intervention. There was a statistically non-significant rise in TRECS (809 vs 4242) (p= 0.075) after vitamin D supplementation. The Pearson Correlation showed no significant correlation of TRECS to any of the variables including the Thymic index. Conclusion: TI (thymic size) and vitamin D levels increase with vitamin D supplementation in malnourished children. However, Vitamin D supplementation has no significant effect on TRECS. Keywords: Malnourished, Vitamin D3, T cell receptor excision circles, Thymic Index, TRECs.
研究目的比较健康婴儿和营养不良婴儿的胸腺指数、维生素D3水平和T细胞受体切割圈（TREC）。评估口服维生素 D3 补充剂对营养不良儿童胸腺指数和 TREC 的影响：这项准实验研究（非等效对照组设计）包括 44 名 2 至 6 个月大的婴儿。病例为 22 名营养不良婴儿，22 名健康婴儿（对照组）（根据世界卫生组织 Z 评分分类（体重与身长之比））。病例和对照组（测试前）的体重、年龄、胸腺指数（TI）、维生素 D 水平和 TRECs 均有记录。对病例进行为期 8 周的维生素 D 补充。随访（测试后）时，检查这些营养不良儿童的身长体重（z-score）、胸腺指数（TI）、维生素 D 水平和 TRECs。胸腺指数（TI）通过超声波检查（长度乘以宽度）。用 ELISA 检测维生素 D 水平，用 RT-PCR 比较 TRECs：结果：营养不良婴儿的平均胸腺指数为 8.015 ± 3.2192，而对照组为 11.667 ± 3.2730。补充维生素 D 后，病例的胸腺指数增加（8.459 ±3.2191）。体重、身长和 Z 评分与 TI 值直接相关。补充维生素 D 前和补充维生素 D 后的胸腺指数密切相关（r= 0.985，p= <0.001）。干预后胸腺指数明显增加（p= 0.001）。补充维生素 D 后，TRECS 上升（809 vs 4242）（p= 0.075），但无统计学意义。皮尔逊相关性显示，TRECS与包括胸腺指数在内的任何变量均无明显相关性：结论：营养不良儿童补充维生素 D 后，胸腺指数（胸腺大小）和维生素 D 水平都会增加。结论：营养不良儿童补充维生素D后，胸腺大小（TI）和维生素D水平会增加，但维生素D的补充对TRECS没有明显影响：营养不良 维生素D3 T细胞受体切割圈 胸腺指数 TRECs
{"title":"EFFECT OF ORAL VITAMIN D3 ON THYMIC INDEX IN MALNOURISHED CHILDREN","authors":"Hafsa Bashir, Muhammad Omar Malik, Sabahat Amir, Habiba Ahmad, Syed Kaleem Ur Rehman","doi":"10.52764/jms.24.32.1.11","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.11","url":null,"abstract":"Objectives: To compare the thymic Index, vitamin D3 level, and T cell receptor excision circle (TREC) of healthy and malnourished infants. To evaluate the effect of oral vitamin D3 supplementation on the Thymic Index and TREC in malnourished children.\u0000Material and Methods: This quasi-experimental study (non-equivalent control group design) included 44 infants within the age range of 2 to 6 months. The cases were 22 malnourished infants, and 22 were healthy infants (controls) based on WHO Z scores classification (weight for length). Weight, age, thymic Index (TI), Vitamin D levels, and TRECs were recorded for cases and controls(pre-test). The cases were given Vitamin D supplementation for 8 weeks. The weight for length (z-score), thymic Index (TI), vitamin D levels, and TRECs were checked in these malnourished children on follow-up (post-test). Thymic Index (TI) was checked by ultrasonography (length multiplied by breadth). ELISA was performed to check Vitamin D levels and RT-PCR was done to compare TRECs.\u0000Results: The malnourished infants had a mean thymic index of 8.015 ±3.2192 as compared to controls of 11.667 ±3.2730. Post Vit D supplementation TI increased (8.459 ±3.2191) in cases. Weight, length, and Z scores were found to be directly related to TI values. Pre and Post supplementation TI were strongly correlated to each other (r= 0.985, p= <0.001). The thymic index increased significantly (p= 0.001) after intervention. There was a statistically non-significant rise in TRECS (809 vs 4242) (p= 0.075) after vitamin D supplementation. The Pearson Correlation showed no significant correlation of TRECS to any of the variables including the Thymic index.\u0000Conclusion: TI (thymic size) and vitamin D levels increase with vitamin D supplementation in malnourished children. However, Vitamin D supplementation has no significant effect on TRECS.\u0000Keywords: Malnourished, Vitamin D3, T cell receptor excision circles, Thymic Index, TRECs.\u0000 ","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140258431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hazrat ullah, Nasir Khan, Mahjabina S. Ghayur, Ahsan Rafi, Ishtia ur Rehman, Yasir Hakim
Objectives: To determine the effectiveness of early operative management of patients with Vesicovaginal fistula (VVF) secondary to benign gynecological surgeries. Material and methods: It is a descriptive case series of 70 patients selected from August 2018 to Oct 2022. All patients meeting inclusion criteria had routine lab investigations, imaging, cystoscopy, and vaginoscopy. The suprapubic approach described by O’Conor et al; was used. All surgeries were performed between the 4th and 6th weeks after the onset of the fistula to allow some time for tissue healing. All patients were followed after 2 weeks; a cystogram was performed to document fistula closure followed by removal of Foleys catheter. A second follow-up was at 3 months, patients were assessed with patient global impression of improvement score (PGI-I) for improvement in symptoms. Results: The mean age of the patients was 40.6 ± 10.2 years. 14(19.7%) patients were primipara while 56 (78.9%) patients were multipara. The mean fistula size was 11.5 ± 4.5mm. Supra-trigonal fistulas were more common than trigonal fistulas 43(60.6%) vs 27(38%). Hysterectomy (including cesarean hysterectomy and simple hysterectomy) was the commonest cause of VVF followed by cesarean section and difficult labor 33(46.5% vs 21(29.6) vs 12(16.9%). The overall mean operative time was 125.3 ± 10.7 minutes. The mean hospital stay was 3.8 ± 0.8 days. The fistula was successfully closed in 64 (90.1%) patients while 6 (9.9%) patients had failed surgery. The small-size fistulas (5-10mm) had a higher success rate of closure than larger fistulas (11-20mm) with statistical significance (p=0.02). Over 63 (90 %) patients responded PGI score below 3 with much improvement in symptoms. Conclusion: Our results show that early operative management of VVF secondary to benign gynecological and obstetric surgeries is feasible and effective. It also improves the symptoms of patients with PGI-I score. KEYWORDS: Vesicovaginal fistula (VVF), early repair, hysterectomy.
{"title":"OUTCOME OF EARLY TRANSABDOMINAL SUPRAPUBIC REPAIR OF VESICOVAGINAL FISTULA SECONDARY TO BENIGN GYNECOLOGICAL AND OBSTETRIC SURGERIES","authors":"Hazrat ullah, Nasir Khan, Mahjabina S. Ghayur, Ahsan Rafi, Ishtia ur Rehman, Yasir Hakim","doi":"10.52764/jms.24.32.1.5","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.5","url":null,"abstract":"Objectives: To determine the effectiveness of early operative management of patients with Vesicovaginal fistula (VVF) secondary to benign gynecological surgeries.\u0000Material and methods: It is a descriptive case series of 70 patients selected from August 2018 to Oct 2022. All patients meeting inclusion criteria had routine lab investigations, imaging, cystoscopy, and vaginoscopy. The suprapubic approach described by O’Conor et al; was used. All surgeries were performed between the 4th and 6th weeks after the onset of the fistula to allow some time for tissue healing. All patients were followed after 2 weeks; a cystogram was performed to document fistula closure followed by removal of Foleys catheter. A second follow-up was at 3 months, patients were assessed with patient global impression of improvement score (PGI-I) for improvement in symptoms.\u0000Results: The mean age of the patients was 40.6 ± 10.2 years. 14(19.7%) patients were primipara while 56 (78.9%) patients were multipara. The mean fistula size was 11.5 ± 4.5mm. Supra-trigonal fistulas were more common than trigonal fistulas 43(60.6%) vs 27(38%). Hysterectomy (including cesarean hysterectomy and simple hysterectomy) was the commonest cause of VVF followed by cesarean section and difficult labor 33(46.5% vs 21(29.6) vs 12(16.9%). The overall mean operative time was 125.3 ± 10.7 minutes. The mean hospital stay was 3.8 ± 0.8 days. The fistula was successfully closed in 64 (90.1%) patients while 6 (9.9%) patients had failed surgery. The small-size fistulas (5-10mm) had a higher success rate of closure than larger fistulas (11-20mm) with statistical significance (p=0.02). Over 63 (90 %) patients responded PGI score below 3 with much improvement in symptoms.\u0000Conclusion: Our results show that early operative management of VVF secondary to benign gynecological and obstetric surgeries is feasible and effective. It also improves the symptoms of patients with PGI-I score.\u0000KEYWORDS: Vesicovaginal fistula (VVF), early repair, hysterectomy.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: This study aimed to determine the effectiveness of the jigsaw cooperative learning strategy among Bachelor nursing students. Material and Methods: The quasi-experimental study was conducted from July to December 2021 at Ziauddin University Faculty of Nursing and Midwifery, Karachi, among 60 students of 4th year BSN, approached by non-probability consecutive sampling method. The willing students of BSN year VI were included. The participants were divided into A and B groups. Group A was interventional, and group B was non-interventional. Independent t-test, Mann-Whitney U test, and Fisher exact test were applied for inferential statistics. Results: The majority, 80% of the participants, were female, and almost half, 31 (51.67%) study participants were between 23-26 years. The average score of the participants through jigsaw cooperative learning and lecture method was18.73±3.5 and 14.13±2.42, respectively. Moreover, it was also found to be statistically significant (p-value<0.001). Conclusion: It is concluded that the jigsaw cooperative learning strategy was found effective as compared to the traditional teaching style. To increase the quality of education in the health sectors, the educational system must accept and apply modern interactive technologies. Keywords: Jigsaw method, lecture method, nursing students
研究目的本研究旨在确定拼图式合作学习策略在护理本科生中的有效性：这项准实验研究于 2021 年 7 月至 12 月在卡拉奇齐亚乌丁大学护理和助产学院进行，采用非概率连续抽样法，抽取了 60 名护理学学士学位四年级学生。 BSN六年级有意愿的学生被包括在内。参与者被分为 A 组和 B 组。A 组为干预组，B 组为非干预组。推断统计采用独立 t 检验、曼-惠特尼 U 检验和费雪精确检验：大多数参与者（80%）为女性，近一半（31 人，占 51.67%）的研究参与者年龄在 23-26 岁之间。采用拼图合作学习法和讲授法的学员的平均得分分别为（18.73±3.5）分和（14.13±2.42）分。结论：拼图合作学习法和讲授法的平均得分分别为（18.73±3.5）分和（14.13±2.42）分：结论：与传统教学方式相比，拼图式合作学习策略效果显著。为了提高卫生部门的教育质量，教育系统必须接受和应用现代互动技术：拼图法、讲授法、护理专业学生
{"title":"THE EFFECTIVENESS OF JIGSAW COOPERATIVE LEARNING STRATEGY AMONG BACHELOR NURSING STUDENTS AT ZIAUDDIN UNIVERSITY, KARACHI","authors":"Abdul Rehman, Raja Raja, Abbas Husain, A. Ghouri","doi":"10.52764/jms.24.32.1.9","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.9","url":null,"abstract":"Objective: This study aimed to determine the effectiveness of the jigsaw cooperative learning strategy among Bachelor nursing students.\u0000Material and Methods: The quasi-experimental study was conducted from July to December 2021 at Ziauddin University Faculty of Nursing and Midwifery, Karachi, among 60 students of 4th year BSN, approached by non-probability consecutive sampling method. The willing students of BSN year VI were included. The participants were divided into A and B groups. Group A was interventional, and group B was non-interventional. Independent t-test, Mann-Whitney U test, and Fisher exact test were applied for inferential statistics.\u0000Results: The majority, 80% of the participants, were female, and almost half, 31 (51.67%) study participants were between 23-26 years. The average score of the participants through jigsaw cooperative learning and lecture method was18.73±3.5 and 14.13±2.42, respectively. Moreover, it was also found to be statistically significant (p-value<0.001).\u0000Conclusion: It is concluded that the jigsaw cooperative learning strategy was found effective as compared to the traditional teaching style. To increase the quality of education in the health sectors, the educational system must accept and apply modern interactive technologies.\u0000Keywords: Jigsaw method, lecture method, nursing students","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140258364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayesha Safdar, Raazia Mehmood, Maria Khan, Faryal Javaid, Ayesha Sajjad, Maria Tasneem Khattak, Iqbal Muhammad Khan
Objectives: To correlate the screening ability of ultrasound-based TIRADS with the FNAC-based Bethesda system when the latter is kept as a gold standard. Material and Methods: A cross-sectional study was conducted in the Histopathology department, Rehman Medical Institute, Peshawar 15th June 2022- 14th June 2023. A total of 363 patients from any age group of either gender diagnosed with thyroid nodules were included in the trial. All the participants underwent ultrasound followed by ultrasound-guided fine needle aspiration of thyroid nodules. TIRADS and Bethesda grading was done for each participant. Demographics and grading scores were recorded. Keeping Bethesda scoring as gold standard diagnostic performance of TIRADS grading was calculated. Results: Mean age of the patients was 46.68 ± 12.28 years with a female-to-male ratio of 2.3:1. TIRADS grading revealed 210 (69.8%) from TIRADS 2 while 70(82.4%), 12(50%), and 09(23.7%) patients were from TIRADS 3, 4 and 5 categories respectively. Bethesda grades were 301(82.9%), 21(5.8%), 09(2.5%), 28(7.7%), and 04(1.1%) from Bethesda 2, 3, 4, 5, and 6 categories respectively. The sensitivity of the TIRADS was 93.8%, specificity 89.1%, positive predictive value 45%, negative predictive value 99.3%, and a diagnostic accuracy of 89.5%. Conclusion: TIRADS grading has a high diagnostic ability when Bethesda scoring is kept as the gold standard. It can be used effectively in segregating benign from malignant nodules and is recommended for screening patients presenting with thyroid nodules. Keywords: Biopsy, Fine-Needle, Sensitivity and Specificity, Thyroid Nodule
{"title":"THE CORRELATION BETWEEN BETHESDA SYSTEM AND ULTRASOUND-BASED TIRADS FOR REPORTING THYROID CYTOPATHOLOGY","authors":"Ayesha Safdar, Raazia Mehmood, Maria Khan, Faryal Javaid, Ayesha Sajjad, Maria Tasneem Khattak, Iqbal Muhammad Khan","doi":"10.52764/jms.24.32.1.17","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.17","url":null,"abstract":"Objectives: To correlate the screening ability of ultrasound-based TIRADS with the FNAC-based Bethesda system when the latter is kept as a gold standard.\u0000Material and Methods: A cross-sectional study was conducted in the Histopathology department, Rehman Medical Institute, Peshawar 15th June 2022- 14th June 2023. A total of 363 patients from any age group of either gender diagnosed with thyroid nodules were included in the trial. All the participants underwent ultrasound followed by ultrasound-guided fine needle aspiration of thyroid nodules. TIRADS and Bethesda grading was done for each participant. Demographics and grading scores were recorded. Keeping Bethesda scoring as gold standard diagnostic performance of TIRADS grading was calculated.\u0000Results: Mean age of the patients was 46.68 ± 12.28 years with a female-to-male ratio of 2.3:1. TIRADS grading revealed 210 (69.8%) from TIRADS 2 while 70(82.4%), 12(50%), and 09(23.7%) patients were from TIRADS 3, 4 and 5 categories respectively. Bethesda grades were 301(82.9%), 21(5.8%), 09(2.5%), 28(7.7%), and 04(1.1%) from Bethesda 2, 3, 4, 5, and 6 categories respectively. The sensitivity of the TIRADS was 93.8%, specificity 89.1%, positive predictive value 45%, negative predictive value 99.3%, and a diagnostic accuracy of 89.5%.\u0000Conclusion: TIRADS grading has a high diagnostic ability when Bethesda scoring is kept as the gold standard. It can be used effectively in segregating benign from malignant nodules and is recommended for screening patients presenting with thyroid nodules.\u0000Keywords: Biopsy, Fine-Needle, Sensitivity and Specificity, Thyroid Nodule","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anila Kausar, Anum Rafique, Nazish Rafique, Kiran Afzal, Mohabbat Ali
Objective: Work-related musculoskeletal problems are common in many occupations and these musculoskeletal problems can decrease an individual’s quality of life by affecting their daily living activities. The objective of this research was to evaluate the level of exposure to musculoskeletal symptoms risk among employees working in banks. Materials and Methods: This cross-sectional study was conducted in Rawalpindi and Islamabad, Pakistan from January 2018 to June 2018. 620 bank employees of both genders, with the age of 25-45 years were included in this study, and employees with musculoskeletal and neurological disorders, amputee or prosthetic limb, and any trauma were excluded from this study. Rapid office strain assessment (ROSA) and quick exposure check (QEC) scales were used to assess the risk and prevalence of musculoskeletal symptoms. Data were analyzed by using SPSS 21. Results: According to the scoring of QEC scales 92.2% of participants fall in the acceptable ergonomics category, 6% fall into investigate further and 1.1% fall into investigate and change soon, with the highest symptoms among low back (17.7%). And the mean ROSA final score (5.51) indicates that most of the participants have a high risk of musculoskeletal symptoms. Conclusion: Regarding the scoring of ROSA and QEC scale musculoskeletal symptoms has a high prevalence among bank employees. Keywords: Ergonomics, Employee, Environment, Pain, Risk.
{"title":"ERGONOMICS ASSESSMENT OF EXPOSURE TO RISK OF MUSCULOSKELETAL SYMPTOMS IN BANK EMPLOYEES","authors":"Anila Kausar, Anum Rafique, Nazish Rafique, Kiran Afzal, Mohabbat Ali","doi":"10.52764/jms.24.32.1.6","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.6","url":null,"abstract":"Objective: Work-related musculoskeletal problems are common in many occupations and these musculoskeletal problems can decrease an individual’s quality of life by affecting their daily living activities. The objective of this research was to evaluate the level of exposure to musculoskeletal symptoms risk among employees working in banks.\u0000Materials and Methods: This cross-sectional study was conducted in Rawalpindi and Islamabad, Pakistan from January 2018 to June 2018. 620 bank employees of both genders, with the age of 25-45 years were included in this study, and employees with musculoskeletal and neurological disorders, amputee or prosthetic limb, and any trauma were excluded from this study. Rapid office strain assessment (ROSA) and quick exposure check (QEC) scales were used to assess the risk and prevalence of musculoskeletal symptoms. Data were analyzed by using SPSS 21.\u0000Results: According to the scoring of QEC scales 92.2% of participants fall in the acceptable ergonomics category, 6% fall into investigate further and 1.1% fall into investigate and change soon, with the highest symptoms among low back (17.7%). And the mean ROSA final score (5.51) indicates that most of the participants have a high risk of musculoskeletal symptoms.\u0000Conclusion: Regarding the scoring of ROSA and QEC scale musculoskeletal symptoms has a high prevalence among bank employees.\u0000Keywords: Ergonomics, Employee, Environment, Pain, Risk.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr. Sajjad Ali Senior Registrar, Muhammad Imran, Sajad Ali, Fayaz Rahman, Khawar Saeed, Mahjabina S. Ghayur
Objectives: This study aims to share our experience of laparoscopic exploration for infantile hypertrophic pyloric stenosis. Material and methods: This retrospective study was conducted in the Department of Pediatric Surgery, Khyber Teaching Hospital, Peshawar from June 2017 to July 2020. This study includes all patients whose diagnosis of infantile hypertrophic pyloric stenosis (IHPS) was confirmed through ultrasound parameters and laparoscopic pyloromyotomy was performed. Data was retrieved from the laparoscopic surgery record. Retrieved data was tabulated and fed in SPSS 25 for analysis. Results: This study included 42 patients with a mean age of 50.28 ±18.5days and a mean weight of 3.35±0.76 kg. Male patients were 57 % while females were 43 %. The mean time to resuscitate the patient pre-operatively was 34.6±15.4 hours while the mean postoperative hospital stay was 45±12.47 hours. The mean operative time was 31.6±10.4 min. Operative time decreased with time depicting improvement in our learning curve (p=0.004). The method of working instrument placement had no impact on operative time (p=0.337). Meantime to full oral feed was 9.7±5.1 hours. We did not encounter mucosal perforation or incomplete myotomy. No surgery was converted to open. Conclusion: Laparoscopic pyloromyotomy is a safe and effective method of treatment for infantile hypertrophic pyloric stenosis. Keywords: laparoscopic pyloromyotomy, pyloric stenosis, IHPS
{"title":"LAPAROSCOPIC EXPLORATION FOR INFANTILE HYPERTROPHIC PYLORIC STENOSIS: AN EXPERIENCE AT TERTIARY CARE HOSPITAL","authors":"Dr. Sajjad Ali Senior Registrar, Muhammad Imran, Sajad Ali, Fayaz Rahman, Khawar Saeed, Mahjabina S. Ghayur","doi":"10.52764/jms.24.32.1.3","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.3","url":null,"abstract":"Objectives: This study aims to share our experience of laparoscopic exploration for infantile hypertrophic pyloric stenosis.\u0000Material and methods: This retrospective study was conducted in the Department of Pediatric Surgery, Khyber Teaching Hospital, Peshawar from June 2017 to July 2020. This study includes all patients whose diagnosis of infantile hypertrophic pyloric stenosis (IHPS) was confirmed through ultrasound parameters and laparoscopic pyloromyotomy was performed. Data was retrieved from the laparoscopic surgery record. Retrieved data was tabulated and fed in SPSS 25 for analysis.\u0000Results: This study included 42 patients with a mean age of 50.28 ±18.5days and a mean weight of 3.35±0.76 kg. Male patients were 57 % while females were 43 %. The mean time to resuscitate the patient pre-operatively was 34.6±15.4 hours while the mean postoperative hospital stay was 45±12.47 hours. The mean operative time was 31.6±10.4 min. Operative time decreased with time depicting improvement in our learning curve (p=0.004). The method of working instrument placement had no impact on operative time (p=0.337). Meantime to full oral feed was 9.7±5.1 hours. We did not encounter mucosal perforation or incomplete myotomy. No surgery was converted to open.\u0000Conclusion: Laparoscopic pyloromyotomy is a safe and effective method of treatment for infantile hypertrophic pyloric stenosis.\u0000Keywords: laparoscopic pyloromyotomy, pyloric stenosis, IHPS","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OBJECTIVE: The aim of current study was to identify and compare the children with behavioral problems and without behavioral problems on self-esteem, academic self-concept, and locus of control. METHOD: For this study, a cross sectional research design was used, for data collection purposive sampling technique was applied. Out of 300 children a sample of 34 children with behavioral problems (that lies above 67th percentile) and a matched comparative group of 34 children (fall below 33 percentile children) were selected. The age range of sample was 11-13 years and from Wah Cantt data was collected. A booklet consisted of consent form, demographic sheet, children behavioral problem checklist; self-esteem scale, academic self-concept, and locus of control scales were administered. RESULTS: Correlational analysis indicated that there was significant relationship between all the study variables. Children with behavioral problems exhibited lower level of self-esteem (M=39.92; SD=16.4) than non-behavioral problem children (M=47.57; SD=9.52). On academic self-concept, children with behavioral problems exhibited lower mean scores (M=32.9; SD=26.3) as compared to children having non-behavioral problems (M=44.6; SD=15.8). Furthermore, results also highlighted that non-problematic children exhibit less external locus of control (M=8.35; SD=2.51) as compared to problematic children (M=10.70; SD=3.36). CONCLUSION: This study highlighted that SE, ASC and LOC are related process children behavioral problems. Therefore, in order to handle such children, teachers and school counselor should develop such intervention strategies that promote their self-esteem, academic self-concept and internal locus of control. Keywords: self-esteem, Locus of control, Behavioral problems, academic self-esteem.
{"title":"A STUDY OF SELF-ESTEEM, ACADEMIC SELF-CONCEPT, AND LOCUS OF CONTROL AMONG BEHAVIORAL PROBLEM AND NON-BEHAVIORAL PROBLEM CHILDREN","authors":"Saima Arzeen, Naeema Arzeen, Syed mubashar Shah","doi":"10.52764/jms.24.32.1.8","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.8","url":null,"abstract":"OBJECTIVE: The aim of current study was to identify and compare the children with behavioral problems and without behavioral problems on self-esteem, academic self-concept, and locus of control.\u0000METHOD: For this study, a cross sectional research design was used, for data collection purposive sampling technique was applied. Out of 300 children a sample of 34 children with behavioral problems (that lies above 67th percentile) and a matched comparative group of 34 children (fall below 33 percentile children) were selected. The age range of sample was 11-13 years and from Wah Cantt data was collected. A booklet consisted of consent form, demographic sheet, children behavioral problem checklist; self-esteem scale, academic self-concept, and locus of control scales were administered. \u0000RESULTS: Correlational analysis indicated that there was significant relationship between all the study variables. Children with behavioral problems exhibited lower level of self-esteem (M=39.92; SD=16.4) than non-behavioral problem children (M=47.57; SD=9.52). On academic self-concept, children with behavioral problems exhibited lower mean scores (M=32.9; SD=26.3) as compared to children having non-behavioral problems (M=44.6; SD=15.8). Furthermore, results also highlighted that non-problematic children exhibit less external locus of control (M=8.35; SD=2.51) as compared to problematic children (M=10.70; SD=3.36).\u0000CONCLUSION: This study highlighted that SE, ASC and LOC are related process children behavioral problems. Therefore, in order to handle such children, teachers and school counselor should develop such intervention strategies that promote their self-esteem, academic self-concept and internal locus of control.\u0000Keywords: self-esteem, Locus of control, Behavioral problems, academic self-esteem.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-29DOI: 10.4103/jmedsci.jmedsci_245_23
Shu-I Pao, Jiann-Torng Chen, Yun-Hsiang Chang
Polypropylene is a commonly used suturing material for intraocular lens (IOL) scleral fixation, but a high breakage rate after several years of follow-up is reported. Meanwhile, Gore-Tex has been a popular artificial material in ophthalmic surgery. This pilot study investigated the safety and efficacy of a modified surgical technique for scleral fixation of a four-point, close-loop haptic IOL using Gore-Tex as the suture material for aphakic patients without adequate capsular support. A modified IOL scleral fixation technique was developed using a four-point, close-loop haptic IOL and Gore-Tex as the suture material. Patients undergoing the operation between March 2018 and May 2019 at one center were included in the study. The preoperative uncorrected distance visual acuity (UDVA) with spectacles and postoperative UDVA with an IOL were compared as the main outcome. Follow-up time was 17–43 months. A total of 10 eyes of 10 patients were enrolled, including 3 with iatrogenic IOL dislocation, 3 with iatrogenic lens drop, 2 with traumatic lens dislocation, and 2 with late in-the-bag IOL dislocation. The mean age was 70.8 ± 12.11 years. The mean UDVA, evaluated by the logarithm of the minimum angle of resolution, was decreased from preoperative 1.89 ± 0.28 to postoperative 0.58 ± 0.70 (P < 0.001). No complications were reported except in one case with a postoperative corneal ulcer which healed after antibiotic treatment. The favorable outcome suggests Gore-Tex sutures as a safe and stable material for IOL scleral fixation. Prospective studies with a larger sample size would be necessary for more details on the safety and efficacy of the Gore-Tex suture in IOL scleral fixation.
{"title":"A Modified Four-point Scleral Fixation of Intraocular Lens in Aphakic Eyes without Adequate Capsular Support","authors":"Shu-I Pao, Jiann-Torng Chen, Yun-Hsiang Chang","doi":"10.4103/jmedsci.jmedsci_245_23","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_245_23","url":null,"abstract":"\u0000 \u0000 \u0000 Polypropylene is a commonly used suturing material for intraocular lens (IOL) scleral fixation, but a high breakage rate after several years of follow-up is reported. Meanwhile, Gore-Tex has been a popular artificial material in ophthalmic surgery.\u0000 \u0000 \u0000 \u0000 This pilot study investigated the safety and efficacy of a modified surgical technique for scleral fixation of a four-point, close-loop haptic IOL using Gore-Tex as the suture material for aphakic patients without adequate capsular support.\u0000 \u0000 \u0000 \u0000 A modified IOL scleral fixation technique was developed using a four-point, close-loop haptic IOL and Gore-Tex as the suture material. Patients undergoing the operation between March 2018 and May 2019 at one center were included in the study. The preoperative uncorrected distance visual acuity (UDVA) with spectacles and postoperative UDVA with an IOL were compared as the main outcome. Follow-up time was 17–43 months.\u0000 \u0000 \u0000 \u0000 A total of 10 eyes of 10 patients were enrolled, including 3 with iatrogenic IOL dislocation, 3 with iatrogenic lens drop, 2 with traumatic lens dislocation, and 2 with late in-the-bag IOL dislocation. The mean age was 70.8 ± 12.11 years. The mean UDVA, evaluated by the logarithm of the minimum angle of resolution, was decreased from preoperative 1.89 ± 0.28 to postoperative 0.58 ± 0.70 (P < 0.001). No complications were reported except in one case with a postoperative corneal ulcer which healed after antibiotic treatment.\u0000 \u0000 \u0000 \u0000 The favorable outcome suggests Gore-Tex sutures as a safe and stable material for IOL scleral fixation. Prospective studies with a larger sample size would be necessary for more details on the safety and efficacy of the Gore-Tex suture in IOL scleral fixation.\u0000","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-21DOI: 10.4103/jmedsci.jmedsci_226_23
Tushar Kambale, B. Iqbal, Nilanjan D. Choudhury, Komal D Sawaimul
Tailgut cyst, or retrorectal cystic hamartoma, is a rare congenital malformation originating from retrorectal or presacral space. It stands as an embryonic vestige of the hindgut’s postnatal component. Owing to its rarity, undiagnosed asymptomatic cases and diverse array of clinical presentations that potentially mimic other diseases, correct diagnosis is often delayed. It can present at any age but is most prevalent in middle-aged females, often remaining asymptomatic and eluding detection during digital rectal examinations. Postoperative histopathological examination is the definitive diagnostic method. This case report highlights an unusual presentation of a tailgut cyst as an underlying etiology for lower back pain in a 17-year-old female patient, emphasizing the importance of considering it as a potential differential diagnosis for intractable lower back pain, especially in young females. Timely recognition of this condition is pivotal for precise management and better patient outcomes.
{"title":"Tailgut Duplication Cyst: A Rare Cause of Refractory Low Back Pain in a Teenage Girl","authors":"Tushar Kambale, B. Iqbal, Nilanjan D. Choudhury, Komal D Sawaimul","doi":"10.4103/jmedsci.jmedsci_226_23","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_226_23","url":null,"abstract":"\u0000 Tailgut cyst, or retrorectal cystic hamartoma, is a rare congenital malformation originating from retrorectal or presacral space. It stands as an embryonic vestige of the hindgut’s postnatal component. Owing to its rarity, undiagnosed asymptomatic cases and diverse array of clinical presentations that potentially mimic other diseases, correct diagnosis is often delayed. It can present at any age but is most prevalent in middle-aged females, often remaining asymptomatic and eluding detection during digital rectal examinations. Postoperative histopathological examination is the definitive diagnostic method. This case report highlights an unusual presentation of a tailgut cyst as an underlying etiology for lower back pain in a 17-year-old female patient, emphasizing the importance of considering it as a potential differential diagnosis for intractable lower back pain, especially in young females. Timely recognition of this condition is pivotal for precise management and better patient outcomes.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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