Pub Date : 2023-07-06DOI: 10.53350/pjmhs2023176211
Maham Ashfaq, Q. Ain, Mohsana Tariq, Misdaq Batool, Sidra Faisal, T. Ghaffar, Zara Fatima
Background: Inspiratory muscle preparing is a protected mediation in early postoperative period which cause enhancements in utilitarian limit and respiratory muscle strength might lead patients to take part in exercises of everyday living. Objective: The objective of study was to determine the effects of Inspiratory muscle training with and without resistance training on Functional capacity and quality of life in patients with phase II cardiac rehabilitation. Methods: It was randomized controlled trial. Data was collected from Dr. Zia ul Rehman Heart Center, Chiniot. 20 subjects Aged between 40-60 years were randomized in this study design. Cardiac Patients, Undergoing Cardiac surgery Patients, Patients undergoing CABG at least 3 weeks prior and Presently non-smokers were included in the study. Clinical course without complications during hospital stay was scored on Glittre-ADL test and Minnesota living with heart failure questionnaire before and after end of treatment session. Upper and lower limb resistance training was performed for 20 minutes, with 3 sets of 10 repetitions. Results: Independent sample t-test was applied to compare pre-treatment and post-treatment Minnesota Living with Heart Failure Questionnaire here was statistically significant difference between two groups with P < 0.05. Comparison of Glittre-ADL test within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P< 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Comparison of MLHFQ within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P< 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Practical Implication: it was shown that CABG patients whose personal satisfaction, uneasiness, and sorrow were undeniably diminished subsequent to taking part in inspiratory muscle preparing. Conclusion: Inspiratory muscle training with resistance training is more effective on functional capacity and quality of life in patients with phase II cardiac rehabilitation. Keywords: Inspiratory Muscle Training, Resistance training, Functional capacity, Cardiac rehabilitation.
{"title":"Effects of Inspiratory Muscle Training with and without Resistance Training on Functional Capacity and Quality of Life in Patients with Phase II Cardiac Rehabilitation","authors":"Maham Ashfaq, Q. Ain, Mohsana Tariq, Misdaq Batool, Sidra Faisal, T. Ghaffar, Zara Fatima","doi":"10.53350/pjmhs2023176211","DOIUrl":"https://doi.org/10.53350/pjmhs2023176211","url":null,"abstract":"Background: Inspiratory muscle preparing is a protected mediation in early postoperative period which cause enhancements in utilitarian limit and respiratory muscle strength might lead patients to take part in exercises of everyday living. Objective: The objective of study was to determine the effects of Inspiratory muscle training with and without resistance training on Functional capacity and quality of life in patients with phase II cardiac rehabilitation. Methods: It was randomized controlled trial. Data was collected from Dr. Zia ul Rehman Heart Center, Chiniot. 20 subjects Aged between 40-60 years were randomized in this study design. Cardiac Patients, Undergoing Cardiac surgery Patients, Patients undergoing CABG at least 3 weeks prior and Presently non-smokers were included in the study. Clinical course without complications during hospital stay was scored on Glittre-ADL test and Minnesota living with heart failure questionnaire before and after end of treatment session. Upper and lower limb resistance training was performed for 20 minutes, with 3 sets of 10 repetitions. Results: Independent sample t-test was applied to compare pre-treatment and post-treatment Minnesota Living with Heart Failure Questionnaire here was statistically significant difference between two groups with P < 0.05. Comparison of Glittre-ADL test within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P< 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Comparison of MLHFQ within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P< 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Practical Implication: it was shown that CABG patients whose personal satisfaction, uneasiness, and sorrow were undeniably diminished subsequent to taking part in inspiratory muscle preparing. Conclusion: Inspiratory muscle training with resistance training is more effective on functional capacity and quality of life in patients with phase II cardiac rehabilitation. Keywords: Inspiratory Muscle Training, Resistance training, Functional capacity, Cardiac rehabilitation.","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362360","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 : 2023-07-06DOI: 10.53350/pjmhs2023176234
Fozia Arshad, Sehrish Arshad, Razia Bano
Background: Person- organization -fit has great impact on patient care quality, without person-organization-fit patient care quality cannot be achieved. Today attention of health care organizations is diverted toward their benefit and they are not providing proper resources to staff nurses so, quality of patient care is compromised. Purpose of study: This research was done to determine impact of person-organization-fit on patient care quality. Methodology: A Quantitative, Descriptive, Cross sectional study done. Population was staff nurses of Services hospital Lahore, sample size was 150 with 5% of confidence error and 95% confidence interval. Research tool was adopted questionnaire on 5 points Likert scale (LS) with close ended questions. Descriptive statistics was used to measure demographic data. Linear regression was used to determine impact of person-organization-fit on patient care quality. Results: Study findings showed that there is strong positive relation between person- organization –fit and patient care quality. Moreover results showed reliability and validity of questions. 70% respondent’s values did not match their organizational values, 57.7% respondents not explaining procedure before perform,74% not encouraging patients for decision making, 62% respondents not involving patients in hospital care. Practical Implication: This study is beneficial for the organization as it will acknowledge health care organization about person-organization fit and patient care quality at their setting. It will help to improve patient care quality by making policies and rules to make their employees fit in an organization. This study will be beneficial for the employee as well as it will build them more professionally. They will be satisfied with their job performance and professional development. This study will be beneficial for organization as it will increase the productivity of organization. Conclusion: Study findings indicated that person -organization -fit has strong positive relation with patient care quality care quality; if person will be fit in organization patient care quality will be improved. Majority of respondents are not fit in their organization.70% nurses responded that their individual values did not match with their organizational values. Some respondents are providing some aspects of patient care quality but majority of respondents are missing important aspects of patient care quality. It is concluded that nurses are performing some aspects of patient care quality effectively but many other aspects are compromised due to person organization unfit. Person organization fit must be improved to improve patient care quality Keywords: POF Person- organization fit, Quality of patient care, Employees Satisfaction, LS Likert Scale, Productivity of organization.
{"title":"Impact of Person-Organization-Fit on Patient Care Quality","authors":"Fozia Arshad, Sehrish Arshad, Razia Bano","doi":"10.53350/pjmhs2023176234","DOIUrl":"https://doi.org/10.53350/pjmhs2023176234","url":null,"abstract":"Background: Person- organization -fit has great impact on patient care quality, without person-organization-fit patient care quality cannot be achieved. Today attention of health care organizations is diverted toward their benefit and they are not providing proper resources to staff nurses so, quality of patient care is compromised. Purpose of study: This research was done to determine impact of person-organization-fit on patient care quality. Methodology: A Quantitative, Descriptive, Cross sectional study done. Population was staff nurses of Services hospital Lahore, sample size was 150 with 5% of confidence error and 95% confidence interval. Research tool was adopted questionnaire on 5 points Likert scale (LS) with close ended questions. Descriptive statistics was used to measure demographic data. Linear regression was used to determine impact of person-organization-fit on patient care quality. Results: Study findings showed that there is strong positive relation between person- organization –fit and patient care quality. Moreover results showed reliability and validity of questions. 70% respondent’s values did not match their organizational values, 57.7% respondents not explaining procedure before perform,74% not encouraging patients for decision making, 62% respondents not involving patients in hospital care. Practical Implication: This study is beneficial for the organization as it will acknowledge health care organization about person-organization fit and patient care quality at their setting. It will help to improve patient care quality by making policies and rules to make their employees fit in an organization. This study will be beneficial for the employee as well as it will build them more professionally. They will be satisfied with their job performance and professional development. This study will be beneficial for organization as it will increase the productivity of organization. Conclusion: Study findings indicated that person -organization -fit has strong positive relation with patient care quality care quality; if person will be fit in organization patient care quality will be improved. Majority of respondents are not fit in their organization.70% nurses responded that their individual values did not match with their organizational values. Some respondents are providing some aspects of patient care quality but majority of respondents are missing important aspects of patient care quality. It is concluded that nurses are performing some aspects of patient care quality effectively but many other aspects are compromised due to person organization unfit. Person organization fit must be improved to improve patient care quality Keywords: POF Person- organization fit, Quality of patient care, Employees Satisfaction, LS Likert Scale, Productivity of organization.","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362302","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}
Background: Gluteus Medius muscle plays an important role in stabilizing the pelvis during gait. Individuals with obesity may experience weakness in gluteus Medius and gait instability. However, it is still unclear whether the musculature of a person with obesity can compensate for these changes. Objective: To evaluate the comparison of gluteus medius strength and gait instability from university students with different BMI Methodology: This cross-sectional study was conducted. The study was completed June 2022 to October 2022 according to the rules and regulations set by the ethical committee of University Of Lahore, Gujrat campus by selecting 385 patients who cleared the inclusion and exclusion criteria. Both male and female university students were included. In this study the strength of gluteus medius was checked by using with Manual Muscle Testing Grading System (MMT). The Grading Scale Range from 0 to 5, gait instability was checked from the Gait analysis Questionnaire. Results: The results of current study shows that age of participants were 23.06±2.49, gender of participants were 1.30±0.46. BMI class * Manual Muscle Testing (Left) Cross tabulation shows that the normal (BMI Score >18.5 to 25) was 0 fair, 8 good and normal were 218, while Over Weight (BMI Score >25 to 30) were 2 fair, 11 good and 111 normal whereas Obese (BMI Score>30) got 3 fair, 15 Good and 17 Normal manual muscle testing scoring while (Right) side shows that normal (BMI Score >18.5 to 25) have 0 fair, 16 good and normal were 210, while Over Weight (BMI Score >25 to 30) have 3 fair, 21 good and 100 normal whereas Obese (BMI Score>30) got 6 fair, 9 Good and 20 Normal manual muscle testing scoring. Gait when walking through a narrow space have 373(10.2%), problems walking when getting on the lift 372(10.2%), problems walking when entering a revolving door was 374(10.2%), problem walking in crowded places 366(10.0%). Practical Implication: Scientific evidence, muscle strength is inversely and independently associated with all-cause mortality. Some authors even recommend the use of an algorithm to remove the dependence on body size and to more appropriately compare the strength of the hip muscles across individuals since it cannot be concluded that the force is directly proportional to body weight. Conclusion: There was significant correlation between BMI class and quadriceps strength. Participants with higher BMI shows less quadriceps strength than people with lesser BMI. Increased body mass, in absence of other obesity-related comorbidities, may have minimum impact on gait instability and in turn fall risk. Keywords: Gluteus, Medius, Gait Instability, BMI, muscle testing
{"title":"Association Between Gluteus Medius Strength and Gait Instability among University Students with BMI","authors":"Nayab John, Alina Ali, Khushboo Gulzar, Hurayra Arbab","doi":"10.53350/pjmhs2023176268","DOIUrl":"https://doi.org/10.53350/pjmhs2023176268","url":null,"abstract":"Background: Gluteus Medius muscle plays an important role in stabilizing the pelvis during gait. Individuals with obesity may experience weakness in gluteus Medius and gait instability. However, it is still unclear whether the musculature of a person with obesity can compensate for these changes. Objective: To evaluate the comparison of gluteus medius strength and gait instability from university students with different BMI Methodology: This cross-sectional study was conducted. The study was completed June 2022 to October 2022 according to the rules and regulations set by the ethical committee of University Of Lahore, Gujrat campus by selecting 385 patients who cleared the inclusion and exclusion criteria. Both male and female university students were included. In this study the strength of gluteus medius was checked by using with Manual Muscle Testing Grading System (MMT). The Grading Scale Range from 0 to 5, gait instability was checked from the Gait analysis Questionnaire. Results: The results of current study shows that age of participants were 23.06±2.49, gender of participants were 1.30±0.46. BMI class * Manual Muscle Testing (Left) Cross tabulation shows that the normal (BMI Score >18.5 to 25) was 0 fair, 8 good and normal were 218, while Over Weight (BMI Score >25 to 30) were 2 fair, 11 good and 111 normal whereas Obese (BMI Score>30) got 3 fair, 15 Good and 17 Normal manual muscle testing scoring while (Right) side shows that normal (BMI Score >18.5 to 25) have 0 fair, 16 good and normal were 210, while Over Weight (BMI Score >25 to 30) have 3 fair, 21 good and 100 normal whereas Obese (BMI Score>30) got 6 fair, 9 Good and 20 Normal manual muscle testing scoring. Gait when walking through a narrow space have 373(10.2%), problems walking when getting on the lift 372(10.2%), problems walking when entering a revolving door was 374(10.2%), problem walking in crowded places 366(10.0%). Practical Implication: Scientific evidence, muscle strength is inversely and independently associated with all-cause mortality. Some authors even recommend the use of an algorithm to remove the dependence on body size and to more appropriately compare the strength of the hip muscles across individuals since it cannot be concluded that the force is directly proportional to body weight. Conclusion: There was significant correlation between BMI class and quadriceps strength. Participants with higher BMI shows less quadriceps strength than people with lesser BMI. Increased body mass, in absence of other obesity-related comorbidities, may have minimum impact on gait instability and in turn fall risk. Keywords: Gluteus, Medius, Gait Instability, BMI, muscle testing","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362387","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: To determine frequency of congenital anomalies in children and associated risk factors of mothers. Setting: Department of obstetrics and gynecology Rai Medical College Sargodha. Study design: Descriptive observational study. Duration: July 2022 to December 2022. Methodology: All babies with congenital anomalies born within study duration and their mothers were included in this study. Anomalies of neonates were evaluated after proper clinical evaluation by a neonatologist. A questionnaire was designed to evaluate maternal risk factors. All collected data was analyzed using SPSS version 20. Results: Total 1900 babies delivered during this study period and out of them congenital anomalies were found in 31 (1.6%) cases. Most common anomaly was hydrocephalus in 10(32.2%) and meningomyelocele in 6(19.3%) cases. Most common maternal risk factor was consanguineous marriage in 15(48.3%) cases. Most commonly mothers with the age of 19-30 years were having babies with congenital anomalies. Practical Implication: This study helps us to understand the importance of avoiding consanguineous marriages, screening of high risk cases using various diagnostic techniques like ultrasonography during 16-20 weeks, use of folic acid supplements and in case of detecting congenital anomalies option of selective termination of pregnancy can be offered to the parents. Proper awareness of the parents and their counselling after birth of a baby with anomaly can prevent its recurrence in their future pregnancies Conclusion: Most common congenital anomaly reported in this study was hydrocapahlus followed by meningocele and most common maternal risk factor associated with these anomalies was consanguineous marriage. Keywords: Congenital anomaly, consanguineous marriage, Maternal risk factor, Neural tube defects
{"title":"Frequency of Various Congenital Anomalies and Associated Maternal Risk Factors, an Experience at Tertiary Care Hospital","authors":"Javaria Aslam, Sadaf Khurshid, Sheeba Rehman, Shahnilah Zafar, Iram Aslam, Sara Gulbaz","doi":"10.53350/pjmhs2023176215","DOIUrl":"https://doi.org/10.53350/pjmhs2023176215","url":null,"abstract":"Objective: To determine frequency of congenital anomalies in children and associated risk factors of mothers. Setting: Department of obstetrics and gynecology Rai Medical College Sargodha. Study design: Descriptive observational study. Duration: July 2022 to December 2022. Methodology: All babies with congenital anomalies born within study duration and their mothers were included in this study. Anomalies of neonates were evaluated after proper clinical evaluation by a neonatologist. A questionnaire was designed to evaluate maternal risk factors. All collected data was analyzed using SPSS version 20. Results: Total 1900 babies delivered during this study period and out of them congenital anomalies were found in 31 (1.6%) cases. Most common anomaly was hydrocephalus in 10(32.2%) and meningomyelocele in 6(19.3%) cases. Most common maternal risk factor was consanguineous marriage in 15(48.3%) cases. Most commonly mothers with the age of 19-30 years were having babies with congenital anomalies. Practical Implication: This study helps us to understand the importance of avoiding consanguineous marriages, screening of high risk cases using various diagnostic techniques like ultrasonography during 16-20 weeks, use of folic acid supplements and in case of detecting congenital anomalies option of selective termination of pregnancy can be offered to the parents. Proper awareness of the parents and their counselling after birth of a baby with anomaly can prevent its recurrence in their future pregnancies Conclusion: Most common congenital anomaly reported in this study was hydrocapahlus followed by meningocele and most common maternal risk factor associated with these anomalies was consanguineous marriage. Keywords: Congenital anomaly, consanguineous marriage, Maternal risk factor, Neural tube defects","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"87 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362202","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 : 2023-07-06DOI: 10.53350/pjmhs2023176240
Jawad Jan Arif, Subhan Shahid, Tanveer Afzal, Muhammad Abubakar, Ali Irfan
Objective: To determine meantime to return to work of patients with traumatic thoracolumbar spine fracture managed with open versus percutaneous trans-pedicular screw fixation. Materials and methods: A randomized controlled trial conducted in a joint venture of orthopedic and neurosurgeons in a private hospital of Lahore. Study was completed in six months duration from July to December 2022. 80 patients having traumatic thoracolumbar spine fractures presenting to the study hospital and falling in inclusion criteria were enrolled into this study. Two groups made containing equal number of patients in each (n=40). One group underwent open transpedicular screw fixation and other group underwent percutaneous trans-pedicular screw fixation. Monthly follow up was done and the time taken return to work (TTRW) was noted. Results: Mean age of the patients was 34.62 years. There were 40(50%) male and 40(50%) female patients in the study group (n=80). Mean time taken return to work after the surgery was 3.1±0.61 months in group-A (percutaneous screw fixation) versus 5.2±0.84 months in group-B (open screw fixation). The difference in two groups regarding TTRW was significant (p<0.005). Male and female patients showed significant difference in TTRW within group-A (p=0.021) while no significance difference found in TTRW among male and female patients within group-B (p=0.18). Duration of the procedure had significant impact on TTRW (p=0.001). Practical Implication: Percutaneous technique has been proved to be safer, quicker and minimal invasive method that should replace open technique. It is recommended to conduct comparative randomized controlled trials on larger study groups to obtain more data regarding outcomes of percutaneous versus open technique. This study helps us to understand comparatively safety, efficacy and feasibility of both techniques so that better treatment option may be used in such patients for better outcomes. Conclusion: We concluded that time taken return to work was shorter in the patients treated by percutaneous technique of transpedicular screw fixation versus those patients treated by open technique. Percutaneous technique has shorter duration of the procedure, less morbidity, early recovery and more effective. Keywords: Transpedicular screw fixation, Thoracolumbar spine fracture, Spinal cord injury, Time taken return to work
{"title":"Transpedicular Screw Fixation of Traumatic Thoracolumbar Spine Fracture Open Versus Percutaneous Technique","authors":"Jawad Jan Arif, Subhan Shahid, Tanveer Afzal, Muhammad Abubakar, Ali Irfan","doi":"10.53350/pjmhs2023176240","DOIUrl":"https://doi.org/10.53350/pjmhs2023176240","url":null,"abstract":"Objective: To determine meantime to return to work of patients with traumatic thoracolumbar spine fracture managed with open versus percutaneous trans-pedicular screw fixation. Materials and methods: A randomized controlled trial conducted in a joint venture of orthopedic and neurosurgeons in a private hospital of Lahore. Study was completed in six months duration from July to December 2022. 80 patients having traumatic thoracolumbar spine fractures presenting to the study hospital and falling in inclusion criteria were enrolled into this study. Two groups made containing equal number of patients in each (n=40). One group underwent open transpedicular screw fixation and other group underwent percutaneous trans-pedicular screw fixation. Monthly follow up was done and the time taken return to work (TTRW) was noted. Results: Mean age of the patients was 34.62 years. There were 40(50%) male and 40(50%) female patients in the study group (n=80). Mean time taken return to work after the surgery was 3.1±0.61 months in group-A (percutaneous screw fixation) versus 5.2±0.84 months in group-B (open screw fixation). The difference in two groups regarding TTRW was significant (p<0.005). Male and female patients showed significant difference in TTRW within group-A (p=0.021) while no significance difference found in TTRW among male and female patients within group-B (p=0.18). Duration of the procedure had significant impact on TTRW (p=0.001). Practical Implication: Percutaneous technique has been proved to be safer, quicker and minimal invasive method that should replace open technique. It is recommended to conduct comparative randomized controlled trials on larger study groups to obtain more data regarding outcomes of percutaneous versus open technique. This study helps us to understand comparatively safety, efficacy and feasibility of both techniques so that better treatment option may be used in such patients for better outcomes. Conclusion: We concluded that time taken return to work was shorter in the patients treated by percutaneous technique of transpedicular screw fixation versus those patients treated by open technique. Percutaneous technique has shorter duration of the procedure, less morbidity, early recovery and more effective. Keywords: Transpedicular screw fixation, Thoracolumbar spine fracture, Spinal cord injury, Time taken return to work","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362401","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}
Background: Patients with Diabetes Mellitus type 2 have reported to be more disabled in self-care tasks and other daily living activities because of many hand complications. There is reduction in grip strength in diabetic population. The purpose of this study was to compare hand grip strength among diabetes mellitus with and without cervical radiculopathy. A dynamometer can be used to swiftly and precisely measure the link between diabetic patient’s hand grip strength and their blood sugar levels. Objective(s): The study's objective was to evaluate the comparison of hand grip strength among diabetes mellitus with and without cervical radiculopathy. Methodology: A Cross-sectional study was carried among 385 diabetic patients with and without cervical radiculopathy from age 35-75. Data collected from two hospitals of Gujrat City. The study was completed June 2022 to October 2022 within 4 months by non-probability convenient sampling. Both genders were included. Instruments used in this study were handheld dynamometer. We were start to measure handgrip strength in both dominant and non-dominant hand of diabetic patients with and without cervical radiculopathy. Result was analyzed by SPSS version 24; mean and standard deviation were calculated for quantitative variables whereas frequency and percentages were used for qualitative variables. Results: The results had been obtained from 385 diabetic patients (50.6%) were females and (49.4%) were males. In our study the data was collected on the bases of age, gender, socioeconomic status, area and dominancy of hand. 61(32.28%) diabetic patients with cervical radiculopathy hand grip strength are more effected as compared to those without cervical radiculopathy that were 15(7.94%) and there (P<0.001) which indicates it is statistically significant. Practical Implication: The study suggests that fewer patients were diagnosed with cervical radiculopathy in diabetic patients and more patients were without cervical radiculopathy. Conclusion(s): This study concluded that the hand grip strength of patients with cervical radiculopathy prone to diabetes was affected highly as compared to those of which were not diagnosed with cervical radiculopathy but with diabetes. Although our study suggests that less patients were diagnosed with cervical radiculopathy in diabetic patients and more patients were without cervical radiculopathy, our study also proves that diabetic patients are also likely to develop neuropathies in later ages. Keywords: Hand grip strength, Handheld Dynamometer, Cervical Radiculopathy, Diabetes Mellitus
{"title":"Comparison of Handgrip Strength among Diabetes Mellitus with and without Cervical Radiculopathy","authors":"Fayza Mushtaq, Mirza M Farooq, Khusboo Gulzar, Farooq Islam, Shahrayar Asgher, Fatima Kalsoom","doi":"10.53350/pjmhs2023176264","DOIUrl":"https://doi.org/10.53350/pjmhs2023176264","url":null,"abstract":"Background: Patients with Diabetes Mellitus type 2 have reported to be more disabled in self-care tasks and other daily living activities because of many hand complications. There is reduction in grip strength in diabetic population. The purpose of this study was to compare hand grip strength among diabetes mellitus with and without cervical radiculopathy. A dynamometer can be used to swiftly and precisely measure the link between diabetic patient’s hand grip strength and their blood sugar levels. Objective(s): The study's objective was to evaluate the comparison of hand grip strength among diabetes mellitus with and without cervical radiculopathy. Methodology: A Cross-sectional study was carried among 385 diabetic patients with and without cervical radiculopathy from age 35-75. Data collected from two hospitals of Gujrat City. The study was completed June 2022 to October 2022 within 4 months by non-probability convenient sampling. Both genders were included. Instruments used in this study were handheld dynamometer. We were start to measure handgrip strength in both dominant and non-dominant hand of diabetic patients with and without cervical radiculopathy. Result was analyzed by SPSS version 24; mean and standard deviation were calculated for quantitative variables whereas frequency and percentages were used for qualitative variables. Results: The results had been obtained from 385 diabetic patients (50.6%) were females and (49.4%) were males. In our study the data was collected on the bases of age, gender, socioeconomic status, area and dominancy of hand. 61(32.28%) diabetic patients with cervical radiculopathy hand grip strength are more effected as compared to those without cervical radiculopathy that were 15(7.94%) and there (P<0.001) which indicates it is statistically significant. Practical Implication: The study suggests that fewer patients were diagnosed with cervical radiculopathy in diabetic patients and more patients were without cervical radiculopathy. Conclusion(s): This study concluded that the hand grip strength of patients with cervical radiculopathy prone to diabetes was affected highly as compared to those of which were not diagnosed with cervical radiculopathy but with diabetes. Although our study suggests that less patients were diagnosed with cervical radiculopathy in diabetic patients and more patients were without cervical radiculopathy, our study also proves that diabetic patients are also likely to develop neuropathies in later ages. Keywords: Hand grip strength, Handheld Dynamometer, Cervical Radiculopathy, Diabetes Mellitus","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362198","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 : 2023-07-06DOI: 10.53350/pjmhs2023176208
Noureen Farooq, Ayesha Sajid, Humaira Aftab, Summaiya Malik Zaman, Azaz Ullah Shah, Firasha Ayub
Asthma is one of the most widespread respiratory ailments characterized by persistent inflammation, breathing difficulty, and airway hypersensitiveness. Critical and poorly controlled asthma influence the quality of life (QoL) of patients. The study aimed to evaluate asthma control and its association with the quality of life of the affectees. Methods: A single cross-sectional survey was carried out at Lady Reading Hospital Peshawar from November 2019 to January 2020. 217 participants participated in a study. The survey was conducted by 217 using a convenience sampling technique. The asthma score scale and WHOQOL BREF-100 were used to collect data. Results: Out of 217, 136(62.7%) males and 81(37.3%) females participated in study. Mean age of the participants was 42.98± 19.26. Almost half of the responder’s family reported positive asthma family history (101=46.5%). The mean Asthma Score (Asthma Control Test) was 15.86±4.02. The current study reported relatively poor quality of life in social Relations 48.21±14.58 and environment 42.85± 8.56 domains. Data regarding correlation showed a non-significant but positive association between asthma control and physical health, social relations, environment-related domains of WHOQOL but a non-significant negative association was found between asthma control score and psychological health. Practical Implication: The findings showed a relatively poor quality of life in social and environmental domains. Moreover, a positive association was found between the asthma score and Physical Health, Social Relations, Environment related domains of WHOQOL Conclusions: Majority of the participants had well-controlled asthma symptoms. The study findings regarding WHOQOL showed he relatively poor quality of life in social and environmental domains. Moreover, a positive association was found between the asthma score, physical health, social relations, environment-related domains of WHOQOL. Practical Implication: Asthma affects quality of life among affectees. This study helps patients, physicians and cardiopulmonary physical therapist to understand the impact of asthma on quality of life of a asthmatic. Keywords: Asthma, Health related quality of life, Physical health, psychological health, Quality of life.
{"title":"Association of Asthma and Quality of life among Asthma Affectees","authors":"Noureen Farooq, Ayesha Sajid, Humaira Aftab, Summaiya Malik Zaman, Azaz Ullah Shah, Firasha Ayub","doi":"10.53350/pjmhs2023176208","DOIUrl":"https://doi.org/10.53350/pjmhs2023176208","url":null,"abstract":"Asthma is one of the most widespread respiratory ailments characterized by persistent inflammation, breathing difficulty, and airway hypersensitiveness. Critical and poorly controlled asthma influence the quality of life (QoL) of patients. The study aimed to evaluate asthma control and its association with the quality of life of the affectees. Methods: A single cross-sectional survey was carried out at Lady Reading Hospital Peshawar from November 2019 to January 2020. 217 participants participated in a study. The survey was conducted by 217 using a convenience sampling technique. The asthma score scale and WHOQOL BREF-100 were used to collect data. Results: Out of 217, 136(62.7%) males and 81(37.3%) females participated in study. Mean age of the participants was 42.98± 19.26. Almost half of the responder’s family reported positive asthma family history (101=46.5%). The mean Asthma Score (Asthma Control Test) was 15.86±4.02. The current study reported relatively poor quality of life in social Relations 48.21±14.58 and environment 42.85± 8.56 domains. Data regarding correlation showed a non-significant but positive association between asthma control and physical health, social relations, environment-related domains of WHOQOL but a non-significant negative association was found between asthma control score and psychological health. Practical Implication: The findings showed a relatively poor quality of life in social and environmental domains. Moreover, a positive association was found between the asthma score and Physical Health, Social Relations, Environment related domains of WHOQOL Conclusions: Majority of the participants had well-controlled asthma symptoms. The study findings regarding WHOQOL showed he relatively poor quality of life in social and environmental domains. Moreover, a positive association was found between the asthma score, physical health, social relations, environment-related domains of WHOQOL. Practical Implication: Asthma affects quality of life among affectees. This study helps patients, physicians and cardiopulmonary physical therapist to understand the impact of asthma on quality of life of a asthmatic. Keywords: Asthma, Health related quality of life, Physical health, psychological health, Quality of life.","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362199","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: To study frequency of complications in fetus and mothers developed due to intrahepatic cholestasis during pregnancy. Materials and methods: This is a cross sectional study conducted in the department of gynecology and obstetrics Rai medical College Sargodha. Study was commenced in July 2022 and completed in December 2022. Study sample was calculated using WHO sample size calculator. Pregnant ladies presenting with intrahepatic cholestasis of pregnancy having age 16-40 years were included in this study. Patients with multiple pregnancies, or having carcinoma of liver, presence of chronic liver disease or history of alcohol addiction were excluded from the study. Proper follow ups were done in all pregnant women till the delivery having gestational age ≤ 41 weeks. All necessary data regarding feto-maternal outcomes was documented on a proforma like mode of delivery, APGAR Score, postpartum hemorrhage, low birth weight, meconium stained liquor, premature birth or intrauterine fetal death. Results: This study was conducted on 130 cases with intrahepatic cholestasis, cesarean section was done in 55(42.3%) cases, post-partum hemorrhage reported in 09(6.9%), APGAR score was <7 at five minutes in 11(8.5%), preterm birth happened in 29(22.3%), low birth weight reported in 12(9.2%), intrauterine death of the fetus reported in 08(6.1%) and meconium stained liquor was noted in 41(31.5%) cases. Mean age of the mothers was 24±3.7 years. Practical Implication: In our community we have to consider this health issue seriously if we want to reduce mortality due to ICP and its associated complications in our community. Conclusion: This study concluded that intrahepatic cholestasis of pregnancy is related to poor fetomaternal outcomes that can be prevented by some serious recommendations for such high risk pregnancies. It will reduce fetomaternal morbidity and mortality rate in our setups. Keywords: Intrahepatic cholestasis, Intrauterine death, Pregnancy, Fetomaternal complications, Postpartum hemorrhage,
{"title":"Frequency of Fetomaternal Complications Due to Intrahepatic Cholestasis of Pregnancy","authors":"Sheeba Rehman, Sara Gulbaz, Shahnilah Zafar, Sanum Asif, Iram Aslam, Javaria Aslam","doi":"10.53350/pjmhs2023176222","DOIUrl":"https://doi.org/10.53350/pjmhs2023176222","url":null,"abstract":"Objective: To study frequency of complications in fetus and mothers developed due to intrahepatic cholestasis during pregnancy. Materials and methods: This is a cross sectional study conducted in the department of gynecology and obstetrics Rai medical College Sargodha. Study was commenced in July 2022 and completed in December 2022. Study sample was calculated using WHO sample size calculator. Pregnant ladies presenting with intrahepatic cholestasis of pregnancy having age 16-40 years were included in this study. Patients with multiple pregnancies, or having carcinoma of liver, presence of chronic liver disease or history of alcohol addiction were excluded from the study. Proper follow ups were done in all pregnant women till the delivery having gestational age ≤ 41 weeks. All necessary data regarding feto-maternal outcomes was documented on a proforma like mode of delivery, APGAR Score, postpartum hemorrhage, low birth weight, meconium stained liquor, premature birth or intrauterine fetal death. Results: This study was conducted on 130 cases with intrahepatic cholestasis, cesarean section was done in 55(42.3%) cases, post-partum hemorrhage reported in 09(6.9%), APGAR score was <7 at five minutes in 11(8.5%), preterm birth happened in 29(22.3%), low birth weight reported in 12(9.2%), intrauterine death of the fetus reported in 08(6.1%) and meconium stained liquor was noted in 41(31.5%) cases. Mean age of the mothers was 24±3.7 years. Practical Implication: In our community we have to consider this health issue seriously if we want to reduce mortality due to ICP and its associated complications in our community. Conclusion: This study concluded that intrahepatic cholestasis of pregnancy is related to poor fetomaternal outcomes that can be prevented by some serious recommendations for such high risk pregnancies. It will reduce fetomaternal morbidity and mortality rate in our setups. Keywords: Intrahepatic cholestasis, Intrauterine death, Pregnancy, Fetomaternal complications, Postpartum hemorrhage,","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139362291","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 : 2023-06-30DOI: 10.53350/pjmhs2023176350
Lubna Hameed, Hajra Sarwar, Muhammad Afzal
Background: Children in school age frequently engage in aggressive activities. Aggression has the greatest detrimental impact on both the child and the surroundings. Aggressive children are more likely to experience long-term behavioral issues and other emotional and social challenges. Violence that results from aggression is an issue that is getting more and more attention.
{"title":"Aggression Level and its Associated Factors among High School Children in Lahore","authors":"Lubna Hameed, Hajra Sarwar, Muhammad Afzal","doi":"10.53350/pjmhs2023176350","DOIUrl":"https://doi.org/10.53350/pjmhs2023176350","url":null,"abstract":"Background: Children in school age frequently engage in aggressive activities. Aggression has the greatest detrimental impact on both the child and the surroundings. Aggressive children are more likely to experience long-term behavioral issues and other emotional and social challenges. Violence that results from aggression is an issue that is getting more and more attention.","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366864","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 : 2023-06-30DOI: 10.53350/pjmhs2023176384
Sabahat Anwar, Rabia Shaheen, Iqra Hameed, Nawal Farooq, Usama Bin Sabir, Tamjeed Ghafar, Efra Akdas, Muhammad Nisar
Introduction: Prolonged and forceful utilization of hand-held devices has contributed to a global increase in upper extremity and cervical musculoskeletal disorders. These pathologies are directly associated with the excessive use of mobile phones, tablets, and similar devices. Objectives: The study aimed to evaluate the impact of diverse hand-held devices on musculoskeletal (MSK) symptoms in the neck and shoulder and investigate the relation between usage duration and MSK symptoms in the neck and shoulder region. Materials and Methods: This study utilized an observational design with a self-structured questionnaire approved by the Department of Physical Therapy at Sargodha Medical College. The sample consisted of 300 young adults aged 21 to 28 years, selected through convenient sampling across different academic years. Data collection involved the distribution of a comprehensive questionnaire, ensuring meticulous responses and privacy. Inclusive criteria included 2nd to final year students, while exclusions maintained homogeneity. Rigorous standards were followed, enhancing reliability and validity, and facilitating a comprehensive exploration of musculoskeletal health in the medical college student population. Results: Among the 300 participants, 76% experienced musculoskeletal discomfort in the neck and shoulder regions, while 24% were asymptomatic. Specifically, 57% reported pain, 16% had numbness, 5% experienced cramping, and 22% felt stiffness. Moreover, 55% of the total population reported some level of pain on the Visual Analog Scale, while 45% were pain-free. Conclusion: Excessive utilization of handheld devices is intricately associated with cervico-brachial discomfort, revealing correlations between device typology, duration of usage, postural alignments, and musculoskeletal symptoms. Keywords: hand-held devices, musculoskeletal symptoms, neck and shoulder discomfort
{"title":"Comparison of Musculoskeletal Symptoms of Neck and Shoulder among Different Types of Hand Held Device Users","authors":"Sabahat Anwar, Rabia Shaheen, Iqra Hameed, Nawal Farooq, Usama Bin Sabir, Tamjeed Ghafar, Efra Akdas, Muhammad Nisar","doi":"10.53350/pjmhs2023176384","DOIUrl":"https://doi.org/10.53350/pjmhs2023176384","url":null,"abstract":"Introduction: Prolonged and forceful utilization of hand-held devices has contributed to a global increase in upper extremity and cervical musculoskeletal disorders. These pathologies are directly associated with the excessive use of mobile phones, tablets, and similar devices. Objectives: The study aimed to evaluate the impact of diverse hand-held devices on musculoskeletal (MSK) symptoms in the neck and shoulder and investigate the relation between usage duration and MSK symptoms in the neck and shoulder region. Materials and Methods: This study utilized an observational design with a self-structured questionnaire approved by the Department of Physical Therapy at Sargodha Medical College. The sample consisted of 300 young adults aged 21 to 28 years, selected through convenient sampling across different academic years. Data collection involved the distribution of a comprehensive questionnaire, ensuring meticulous responses and privacy. Inclusive criteria included 2nd to final year students, while exclusions maintained homogeneity. Rigorous standards were followed, enhancing reliability and validity, and facilitating a comprehensive exploration of musculoskeletal health in the medical college student population. Results: Among the 300 participants, 76% experienced musculoskeletal discomfort in the neck and shoulder regions, while 24% were asymptomatic. Specifically, 57% reported pain, 16% had numbness, 5% experienced cramping, and 22% felt stiffness. Moreover, 55% of the total population reported some level of pain on the Visual Analog Scale, while 45% were pain-free. Conclusion: Excessive utilization of handheld devices is intricately associated with cervico-brachial discomfort, revealing correlations between device typology, duration of usage, postural alignments, and musculoskeletal symptoms. Keywords: hand-held devices, musculoskeletal symptoms, neck and shoulder discomfort","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139367141","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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