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Online Teaching and its challenges faced by Anatomists in Pakistan: A post-pandemic 巴基斯坦解剖学家面临的在线教学及其挑战:大流行后
Pub Date : 2024-06-14 DOI: 10.37723/jumdc.v15i2.912
Fatima Inam, Alvia Batool, Muhammad Shahid Akhtar, Hafiza Sadia Ahmed, Fariha Qureshi, Fauzia Qureshi
BACKGROUND AND OBJECTIVE: Medical teachers in Pakistan lacked the concept of online teaching and had to adapt with limited resources and experience during the COVID-19 pandemic. They were also lacking the necessary IT skills and computer literacy. This study aims to access the different types of online teaching methods, explore computer literacy, and identify the challenges and opportunities faced by the teachers of anatomy to assess the success of online teaching. METHODOLOGY: An online survey gathered data from n=80, anatomy teachers on demographic factors, prior online teaching experience, teaching methods, IT skills, and perceptions of online teaching challenges and benefits. Responses were analyzed using frequencies and percentages. The Chi-square and Fisher's exact tests were employed to explore relationships between dependent and independent variables. RESULTS: The study found that 17.5% of anatomy teachers had prior online teaching experience, with Zoom being the preferred app for 54% of respondents. A mix of synchronous and asynchronous teaching was favored by 48.75%. Most teachers reported IT skills above 70-80%. Teaching gross anatomy was cited as the biggest challenge by 74% of participants. Statistical analysis revealed no significant difference in app preference between junior and senior faculty (p > 0.05). CONCLUSION: Teachers of anatomy in Pakistan faced many difficulties in online teaching during the pandemic which is evident by this study conducted in post-pandemic time but did their best to deliver lectures using the resources available and minimal training.
背景和目标:巴基斯坦的医学教师缺乏在线教学的概念,在 COVID-19 大流行期间,他们不得不利用有限的资源和经验进行调整。他们还缺乏必要的信息技术技能和计算机知识。本研究旨在了解不同类型的在线教学方法,探讨计算机知识,并确定解剖学教师所面临的挑战和机遇,以评估在线教学的成功与否。方法:通过在线调查收集了 n=80 名解剖学教师的数据,内容包括人口统计因素、之前的在线教学经验、教学方法、信息技术技能以及对在线教学挑战和益处的看法。采用频率和百分比对回答进行分析。采用卡方检验和费雪精确检验来探讨因变量和自变量之间的关系。结果:研究发现,17.5% 的解剖学教师以前有过在线教学经验,54% 的受访者首选 Zoom 应用程序。48.75%的受访者喜欢将同步和异步教学结合起来。大多数教师的信息技术水平在 70-80% 以上。74%的参与者认为大体解剖学教学是最大的挑战。统计分析显示,初级和高级教师对应用程序的偏好无明显差异(P > 0.05)。结论:巴基斯坦的解剖学教师在大流行期间的在线教学中面临着许多困难,这一点在大流行后进行的这项研究中显而易见,但他们还是尽最大努力利用现有资源和最低限度的培训进行授课。
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引用次数: 0
Knowledge, Attitude, and Perception regarding antibiotic use and its associated resistance among the general public in Lahore, Pakistan. 巴基斯坦拉合尔公众对抗生素使用及其相关耐药性的知识、态度和看法。
Pub Date : 2024-06-03 DOI: 10.37723/jumdc.v15i2.892
Momina Ikram, Muhammad Aaliyan Khan, Haris Javed, Muhammad Asif Shareef, Iqra Mushtaq, Muhammad Ashraf Choudhary
BACKGROUND & OBJECTIVE: Increasing misuse and irrational prescribing of antibiotics by physicians has led to antimicrobial resistance (AMR) posing a major global threat. Furthermore, only a few studies have been conducted to evaluate this domain in Pakistan. The objective of this study is to assess the general public’s knowledge, attitude, and perception towards antibiotic use and its resistance, and to determine positive associations between the various socio-demographic variables. METHODOLOGY: A descriptive cross-sectional study was conducted from October 2022 to March 2023. A convenient sampling technique was employed, selecting participants ≥ 18 years of age (n= 339). Structured questionnaires were distributed on different study sites and random participants were asked to respond immediately. RESULTS: Results showed that assessing antibiotics use among these 342 participants in the last year, it was determined that the majority of them had only used antibiotics once 108(31.6%). A closer number of individuals had used antibiotics more than thrice 101(29.5%)  shows no significant association between rural and urban with a p-value=0.941>0.05. The majority were also aware of fatal allergic reactions produced by some antibiotics and agreed to stop antibiotic use if any adverse reaction were to occur 277(81.0%)p-value=0.674>0.05. No significance was observed, although some near-significant values of importance were noted and discussed. CONCLUSION: Antibiotic usage is commonly observed among all individuals; however, views contain many deviations. Constraints, including sample bias, Lahore’s urban dominance, and the omission of doctor-prescribing evaluations, highlight the study's limitations and have further skewed our results. 
背景与目标:医生滥用和不合理开具抗生素处方的现象日益严重,导致抗菌药耐药性(AMR),对全球构成了重大威胁。此外,只有少数研究对巴基斯坦的这一领域进行了评估。本研究旨在评估公众对抗生素使用及其耐药性的知识、态度和看法,并确定各种社会人口变量之间的正相关关系。方法:2022 年 10 月至 2023 年 3 月期间进行了一项描述性横断面研究。研究采用方便抽样技术,选取年龄≥ 18 岁的参与者(n= 339)。在不同的研究地点分发了结构化问卷,并要求随机参与者立即回答。结果:结果显示,在对这 342 名参与者去年的抗生素使用情况进行评估后发现,大多数人只使用过一次抗生素,占 108 人(31.6%)。使用抗生素超过三次的人数较少,为 101 人(29.5%),这表明农村和城市之间没有显著关联,P 值=0.941>0.05。大多数人还知道某些抗生素会产生致命的过敏反应,并同意在出现任何不良反应时停止使用抗生素 277(81.0%)人 p 值=0.674>0.05。没有观察到显著性,但注意到一些接近显著的重要值,并进行了讨论。结论:抗生素的使用在所有人中都很普遍,但也存在许多偏差。样本偏差、拉合尔的城市主导地位以及医生处方评估的遗漏等限制因素凸显了本研究的局限性,并进一步歪曲了我们的结果。
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引用次数: 0
Impact of transurethral resection of the prostate on erectile function in benign prostatic hyperplasia patients: a descriptive study at a tertiary care hospital 经尿道前列腺切除术对良性前列腺增生患者勃起功能的影响:一家三级医院的描述性研究
Pub Date : 2024-06-01 DOI: 10.37723/jumdc.v15i2.985
Farhan Khan, Naveed Soomro, Muhammad Adnan Sarwar, Muhammad Mashkoor Aslam, Haider Ali Qureshi, Hafiz Bilal Murtaza
  Background & Objective: Benign prostatic hyperplasia (BPH) is a prevalent condition in older males, primarily responsible for lower urinary tract symptoms (LUTS). Transurethral resection of the prostate (TURP), a frequently utilized surgical procedure for BPH management, has mixed effects on erectile function (EF). The objective of this study is to evaluate the changes in EF following TURP in patients with BPH. Methodology: This descriptive study was conducted at Bilawal Medical College for Boys, LUMHS Jamshoro, involving 261 male subjects between the ages of 50 and 70 who underwent TURP. Evaluation of EF was carried out before and after the surgical procedure using the International Index of Erectile Function (IIEF) scoring system. RESULTS: The average age of the participants was 60.47 years, and the mean duration of BPH prior to surgery was 15.83 months. The mean IIEF score prior to surgery was 16.72, which notably decreased to 11.50 after surgery. This decline was statistically significant (p < 0.001), and this trend remained consistent across variables such as age, duration of BPH, and prostate volume. Conclusion: The study concludes that TURP significantly correlates with a decline in EF among patients with BPH. These outcomes highlight the necessity for comprehensive preoperative counseling about the potential impacts on sexual health for patients considering TURP.  
背景与目的:良性前列腺增生症(BPH)是老年男性的常见病,主要导致下尿路症状(LUTS)。经尿道前列腺切除术(TURP)是治疗良性前列腺增生症的常用手术方法,但对勃起功能(EF)的影响不一。本研究旨在评估良性前列腺增生症患者经尿道前列腺切除术后勃起功能的变化。研究方法:这项描述性研究在比拉瓦尔男子医学院(Bilawal Medical College for Boys)、LUMHS Jamshoro进行,共有261名年龄在50至70岁之间的男性受试者接受了TURP手术。采用国际勃起功能指数(IIEF)评分系统对手术前后的勃起功能进行了评估。结果:参与者的平均年龄为 60.47 岁,手术前患良性前列腺增生症的平均时间为 15.83 个月。手术前的平均 IIEF 分数为 16.72,手术后明显降低至 11.50。这一下降具有显著的统计学意义(P < 0.001),而且这一趋势在年龄、良性前列腺增生症持续时间和前列腺体积等变量中保持一致。结论:该研究得出结论,TURP 与良性前列腺增生症患者的 EF 值下降密切相关。这些结果突出表明,有必要为考虑进行 TURP 的患者提供全面的术前咨询,使其了解对性健康的潜在影响。
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引用次数: 0
Pause procedure to enhance learning during the lectures in Medical Colleges 在医学院授课期间暂停程序以提高学习效果
Pub Date : 2024-06-01 DOI: 10.37723/jumdc.v15i2.987
Zafar Ali Chaudhry, Muhammad Tahir Bashir Malik, Ayesha Ayub, Aamir Imtiaz Khan, Moin Anwar, Mahnoor Shakeel
BACKGROUND & OBJECTIVE: Lectures are still the most appropriate and practical way of conveying knowledge in available limited resources but their effectiveness is very debatable. The pause procedure is a strategy that uses strategic pauses in a lecture to help students overcome this problem. The objective of this study was to analyze the effectiveness of pausing to enhance learning during lectures in medical colleges. METHODOLOGY: After institutional permission # 48.ERC/FMU/2023-24.384, this comparative cross-sectional study was conducted on fourth-year MBBS students (the whole Batch was involved, which comes to the urology ward) in a public sector medical institution. The technique of taking a clarification pause during the long sessions (equal to or more than 45 minutes) was utilized and feedback was taken. RESULTS: Student satisfaction was described by 75% of students in Method-A (taught with pausing technique) and 48% of the students in Method-B (taught without pausing) (p=0.018). Maintaining the attention span till the end of the lecture was described by 74% of Method-A and 34% of Method-B students (p≤0.001). Clarity of the topic was described by 82% with A and 51 % with B students(p≤0.001). The mean MCQ score of the students group after method A was 62% and 52% with B.    CONCLUSION: The pause procedure is an effective methodology to improve learning and academic performance in undergraduate medical students without causing any added burden.
背景与目标:在资源有限的情况下,讲课仍然是传递知识的最合适、最实用的方式,但其有效性却很值得商榷。停顿程序是一种在讲座中使用策略性停顿来帮助学生克服这一问题的策略。本研究的目的是分析在医学院讲课过程中暂停以提高学习效果的有效性。方法:经48.ERC/FMU/2023-24.384号机构许可后,本比较性横断面研究在一家公立医疗机构的MBBS四年级学生中进行(整个批次的学生都参与其中,其中包括泌尿科病房的学生)。在长时间(等于或超过 45 分钟)的课程中,采用了暂停澄清的技巧,并进行了反馈。结果:75%的学生对方法 A(使用暂停技巧教学)和 48%的学生对方法 B(不使用暂停技巧教学)表示满意(P=0.018)。74%的 "方法-A "学生和 34%的 "方法-B "学生认为自己的注意力一直保持到讲座结束(p≤0.001)。对主题清晰度的描述,方法 A 的学生为 82%,方法 B 的学生为 51%(p≤0.001)。结论:暂停程序是一种有效的方法,可在不增加任何负担的情况下提高医科本科生的学习成绩和学术表现。
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引用次数: 0
Correlation of Assessment Scores and Performance of Students from Admission to Graduation at Liaquat College of Medicine and Dentistry 利亚卡特医学和牙科学院学生从入学到毕业的评估分数与成绩的相关性
Pub Date : 2024-06-01 DOI: 10.37723/jumdc.v15i2.869
Faiza Siddiqui, Naila Baig, Zeelaf Shahid, Hanan Furqan Siddiqui, Mohd Subhan Ali Siddiqui
BACKGROUND &OBJECTIVE: Gaining admission to medical school is highly competitive, requiring rigorous selection criteria by educational institutions. They carefully assess entry qualifications and eligibility tests to identify suitable applicants for their medical programs. The objective is to evaluate how well these criteria predict student's overall academic performance in medical colleges across Pakistan. METHODOLOGY: The descriptive, observational study was conducted at a private medical and dental College, in Karachi. A multiple linear regression analysis was conducted to predict the final year score based on factors such as HSC score, entry test score, and scores from the first, second, third, and fourth years. RESULTS: The study shows that the pre-medical scores of HSC and A levels have a moderate positive correlation with the first-year MBBS (r=0.403) and a strong correlation with the final-year scores (r=0.603). The entry test (MDCAT) has a moderately positive correlation with the first, third (r=0.348), and fourth-year (r=0.367) scores. On comparing pre-clinical year scores with clinical years, a strong positive correlation was seen between 1st year and 3rd year (r=0.721), 1st year and 4th year (r=0.570), 1st year and final year (r=0.619), 3rd year and 4th year (r=0.711), 3rd year and 5th-year scores (r=0.602), 4th year, and 5th-year scores (r=0.651). CONCLUSION: This study shows that the pre-medical scores and medical college entry tests can predict student’s overall future academic performance in professional examinations. Also, provides insight to medical educationists to identify weak students in their early medical college years.
背景与目标:医学院的入学竞争非常激烈,需要教育机构制定严格的选拔标准。他们会仔细评估入学资格和资格考试,以确定适合其医学课程的申请人。本文旨在评估这些标准对巴基斯坦各地医学院学生总体学业成绩的预测作用。方法:这项描述性观察研究在卡拉奇的一所私立医科和牙科学院进行。根据 HSC 分数、入学考试分数以及第一、第二、第三和第四学年的分数等因素进行了多元线性回归分析,以预测最后一年的成绩。结果:研究表明,HSC 和 A 级的医学预科成绩与 MBBS 第一学年成绩呈中等正相关(r=0.403),与最终学年成绩呈强相关(r=0.603)。入学考试(MDCAT)与第一年、第三年(r=0.348)和第四年(r=0.367)的分数呈中度正相关。在比较临床前学年成绩与临床学年成绩时,发现一年级与三年级(r=0.721)、一年级与四年级(r=0.570)、一年级与最后一年(r=0.619)、三年级与四年级(r=0.711)、三年级与五年级成绩(r=0.602)、四年级与五年级成绩(r=0.651)之间有很强的正相关性。结论:本研究表明,医学预科成绩和医学院入学测试可预测学生未来在专业考试中的总体学习成绩。同时,也为医学教育工作者提供了洞察力,以发现医学院低年级的薄弱学生。
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引用次数: 0
The Role of Digital Health Solutions in Modern Medicine 数字医疗解决方案在现代医学中的作用
Pub Date : 2024-06-01 DOI: 10.37723/jumdc.v15i2.1036
Saba Tariq, Sundus Tariq
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引用次数: 0
Multidisciplinary care plan and adherence to clinical practice guidelines is needed to improve breast cancer outcome in Pakistan 需要制定多学科护理计划并遵守临床实践指南,以改善巴基斯坦的乳腺癌治疗效果
Pub Date : 2024-06-01 DOI: 10.37723/jumdc.v15i2.1037
Saira Saleem
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引用次数: 0
Assessment of pre and post Neonatal Resuscitation program (NRP) training in a neonatal intensive care unit of Pakistan 巴基斯坦新生儿重症监护病房新生儿复苏计划(NRP)培训前后的评估
Pub Date : 2024-03-04 DOI: 10.37723/jumdc.v15i1.966
Sughra Zulfiqar, Kaneez Fatima, Nauman Naseer, S. Shabbir, Tasleem Bano
Objective: To determine the pre and post Neonatal Resuscitation Program (NRP) training score in a neonatal unit. Study Design: Quasi experimental study Place and duration of study: NRP training was conducted at Neonatal unit of CMH hospital, Rawalpindi on 20 September 2022. Methodology: A total of 111 participants were included through non-probability purposive sampling. Participants including doctors, specialists, nurses etc. who attended the NRP training of any age and both gender were included. It was a two days training procedure. All the participants were given pre training questionnaire and post training questionnaire. Pre and post evaluation of the questionnaires was done. SPSS v-26 was used for data entry and analysis. Descriptive and inferential statistics was applied. Results: A total of 111 participants were included with the mean age of 36.4±11.3 years. Gender distribution of study population showed 37% (n=41) male and 63% (n=70) females. The study population comprised on consultants (38.6%), nurses (25.4%), trainees (28.1%) and few medical officers (5.3%). The mean score percent of pre and post training assessment was calculated to be 61.72±19.65% and 85.8±10.9% respectively, which showed that post training score was improved after training with statistically significant findings (p<0.0001). Conclusion: It is concluded that the neonatal resuscitation program has proven to be effective in improving the knowledge and skills regarding neonatal resuscitation practice.
目的确定新生儿科新生儿复苏计划(NRP)培训前后的评分。研究设计:准实验研究 研究地点和时间:NRP 培训于 2022 年 9 月 20 日在拉瓦尔品第 CMH 医院新生儿科进行。研究方法:通过非概率目的性抽样,共纳入 111 名参与者。参加新生儿护理培训的人员包括医生、专科医生、护士等,年龄不限,性别不限。培训为期两天。所有参与者都收到了培训前问卷和培训后问卷。对问卷进行了前后评估。使用 SPSS v-26 进行数据录入和分析。采用了描述性和推论性统计方法。结果共有 111 人参加了培训,平均年龄为(36.4±11.3)岁。研究人群的性别分布显示,男性占 37%(n=41),女性占 63%(n=70)。研究对象包括顾问(38.6%)、护士(25.4%)、实习生(28.1%)和少数医务人员(5.3%)。经计算,培训前后评估的平均得分率分别为(61.72±19.65)%和(85.8±10.9)%,这表明培训后的得分率有所提高,具有显著的统计学意义(P<0.0001)。结论事实证明,新生儿复苏课程能有效提高新生儿复苏实践的知识和技能。
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引用次数: 0
Data-Driven Medicine: The Promise and Potential of Clinical Decision Support Systems 数据驱动医学:临床决策支持系统的前景和潜力
Pub Date : 2024-03-04 DOI: 10.37723/jumdc.v15i1.993
Saba Tariq, Sundus Tariq
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引用次数: 0
Knowledge and attitude about covid-19 Vaccination in pregnant women at Baqai Medical University 巴盖医科大学孕妇对接种covid-19疫苗的认识和态度
Pub Date : 2024-03-01 DOI: 10.37723/jumdc.v15i1.864
Dr. Saadia Akram, Farrukh Naheed, Nazish Ali, Naila Qamar, Farah Liaquat, N. Ahsan
Objective: The objective of this study was to explore the knowledge and attitude of pregnant women about Covid 19 vaccination. Methodology: A cross-sectional survey was conducted between 1st May 2022 to 30th November 2022 at OPD of Gynecology &Obstetric, Fatima Hospital, Baqai Medical University. This survey included women age 18-40 years seeking antenatal care through OPD and all pregnant women who were coming in emergency in active labour were excluded. A Pre-validated questionnaire was used in this study. Data was entered and statistical analysis was done using SPSS version 25.0 (IBM Corp., Armonk, NY, USA). Categorical variables were described using frequencies and percentages. Cross tabulation was done by using Chi-square test to assess the association between the respondents’ socio-demographic characteristics and their willingness to accept  the COVID-19 vaccine. A p-value of <0.05 was considered statistically significant. Result: Frequency of participants response to knowledge questions’56% had history of Covid 19 infection prior to pregnancy and conception.62% were vaccinated with vaccine other than Covid vaccine.65.8% did not receive Covid vaccine and upon asking if they are willing to receive ,only 27% answered positively. Conclusion: The study found that more than half of pregnant women were unable to receive Covid 19 vaccination more likely due to lack of awareness regarding the safety of vaccination during pregnancy.
研究目的本研究旨在探讨孕妇对 Covid 19 疫苗接种的认识和态度。研究方法2022 年 5 月 1 日至 2022 年 11 月 30 日期间,在巴盖医科大学法蒂玛医院妇产科手术室进行了一项横断面调查。调查对象包括通过手术室寻求产前护理的 18-40 岁女性,但不包括所有急诊临产孕妇。本研究使用了一份经过预先验证的调查问卷。使用 SPSS 25.0 版(IBM Corp., Armonk, NY, USA)输入数据并进行统计分析。分类变量使用频率和百分比进行描述。交叉表采用卡方检验来评估受访者的社会人口学特征与其接受 COVID-19 疫苗的意愿之间的关联。P 值小于 0.05 视为具有统计学意义。结果受访者回答知识问题的频率为:56%的受访者在怀孕和受孕前有Covid-19感染史;62%的受访者接种过Covid疫苗以外的疫苗;65.8%的受访者没有接种过Covid疫苗;当问及是否愿意接种时,只有27%的受访者做出了肯定回答。结论研究发现,半数以上的孕妇未能接种 Covid 19 疫苗,这很可能是因为她们对孕期接种疫苗的安全性缺乏认识。
{"title":"Knowledge and attitude about covid-19 Vaccination in pregnant women at Baqai Medical University","authors":"Dr. Saadia Akram, Farrukh Naheed, Nazish Ali, Naila Qamar, Farah Liaquat, N. Ahsan","doi":"10.37723/jumdc.v15i1.864","DOIUrl":"https://doi.org/10.37723/jumdc.v15i1.864","url":null,"abstract":"Objective: The objective of this study was to explore the knowledge and attitude of pregnant women about Covid 19 vaccination. \u0000Methodology: A cross-sectional survey was conducted between 1st May 2022 to 30th November 2022 at OPD of Gynecology &Obstetric, Fatima Hospital, Baqai Medical University. This survey included women age 18-40 years seeking antenatal care through OPD and all pregnant women who were coming in emergency in active labour were excluded. A Pre-validated questionnaire was used in this study. Data was entered and statistical analysis was done using SPSS version 25.0 (IBM Corp., Armonk, NY, USA). Categorical variables were described using frequencies and percentages. Cross tabulation was done by using Chi-square test to assess the association between the respondents’ socio-demographic characteristics and their willingness to accept  the COVID-19 vaccine. A p-value of <0.05 was considered statistically significant. \u0000Result: Frequency of participants response to knowledge questions’56% had history of Covid 19 infection prior to pregnancy and conception.62% were vaccinated with vaccine other than Covid vaccine.65.8% did not receive Covid vaccine and upon asking if they are willing to receive ,only 27% answered positively. \u0000Conclusion: The study found that more than half of pregnant women were unable to receive Covid 19 vaccination more likely due to lack of awareness regarding the safety of vaccination during pregnancy.","PeriodicalId":178216,"journal":{"name":"Journal of University Medical &amp; Dental College","volume":"106 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088641","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}
引用次数: 0
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Journal of University Medical &amp; Dental College
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