Pub Date : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.228
Fatima Khurshid, Muzzamal Hussain, Ans Abdul Razzaq
Trichobezoar is an underdiagnosed condition that should be considered in children and teenagers, particularly girls. According to a late diagnosis, trichobezoars can result in gastrointestinal bleeding or perforation. In this report, we discussed a 14-year-old girl who presented with severe abdominal pain with a well-defined mass in the Epigastrium; a CT scan revealed a giant mass with stomach distension which was removed through Gastrotomy. Gastric bezoars that are misdiagnosed could have life-threatening effects. Effective screening is necessary for early diagnosis. It is crucial to receive medical counselling to avoid a recurrence of bezoar.
{"title":"Trichobezoar: A case report of a hairball in the stomach","authors":"Fatima Khurshid, Muzzamal Hussain, Ans Abdul Razzaq","doi":"10.32593/jstmu/vol6.iss1.228","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.228","url":null,"abstract":"Trichobezoar is an underdiagnosed condition that should be considered in children and teenagers, particularly girls. According to a late diagnosis, trichobezoars can result in gastrointestinal bleeding or perforation. In this report, we discussed a 14-year-old girl who presented with severe abdominal pain with a well-defined mass in the Epigastrium; a CT scan revealed a giant mass with stomach distension which was removed through Gastrotomy. Gastric bezoars that are misdiagnosed could have life-threatening effects. Effective screening is necessary for early diagnosis. It is crucial to receive medical counselling to avoid a recurrence of bezoar.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125002232","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 : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.233
Zoha Fatima, Ujala Abdul Rashid, Umara Nasim, Hafiza Amina Muattar
Background: Hemodialysis (HD) is a commonly employed treatment modality for chronic kidney disease (CKD) patients. It is also closely related to the sleep-wake cycle. It has both sleep-improving and deteriorating results. Sleep regulation is tightly coupled to vitamin D; hence, its deficiency might impact the duration and quality of sleep. This study intends to evaluate the association between sleep quality and serum vitamin D levels in HD patients. Objective: To assess the quality of sleep in patients with ESRD on routine HD and determine the association of vitamin D deficiency with sleep quality. Methodology: This cross-sectional analytical study was conducted on the patients presenting to the dialyzing centre of the Department of Nephrology, Holy Family Hospital, Rawalpindi, Pakistan, for twice-weekly routine hemodialysis, from May 2022 to June 2022. Results: In this study, the quality of sleep in End Stage Renal Disease (ESRD) patients on twice-weekly hemodialysis (HD) was assessed using the PSQI score. PSQI scores were associated with serum vitamin D levels in these patients. A significantly strong positive correlation existed between serum levels of 25-OH D and sleep quality (r = −0.468, p = 0.001). Conclusion: More than half of the patients undergoing routine hemodialysis could not sleep well at night. Among other related factors, vitamin D deficiency was an independent risk factor for poor sleep quality. Further studies are needed to determine the impact of vitamin D supplementation on improving sleep quality to strengthen the association between vitamin D levels and sleep disorders.
背景:血液透析(HD)是慢性肾脏疾病(CKD)患者常用的治疗方式。它也与睡眠-觉醒周期密切相关。它既有改善睡眠的效果，也有恶化睡眠的效果。睡眠调节与维生素D密切相关;因此，它的缺乏可能会影响睡眠的持续时间和质量。本研究旨在评估HD患者睡眠质量与血清维生素D水平之间的关系。目的:评价终末期肾病常规HD患者的睡眠质量，探讨维生素D缺乏与睡眠质量的关系。方法:这项横断面分析研究是对2022年5月至2022年6月期间在巴基斯坦拉瓦尔品第圣家医院肾内科透析中心就诊、每周进行两次常规血液透析的患者进行的。结果:在本研究中，使用PSQI评分评估终末期肾病(ESRD)患者每周两次血液透析(HD)的睡眠质量。PSQI评分与这些患者的血清维生素D水平相关。血清25-OH - D水平与睡眠质量呈显著正相关(r = - 0.468, p = 0.001)。结论:半数以上的常规血液透析患者夜间睡眠不好。在其他相关因素中，维生素D缺乏是睡眠质量差的独立风险因素。需要进一步的研究来确定补充维生素D对改善睡眠质量的影响，以加强维生素D水平与睡眠障碍之间的联系。
{"title":"Melody of sleep by sun: Association between serum vitamin D levels and sleep quality in ESRD patients.","authors":"Zoha Fatima, Ujala Abdul Rashid, Umara Nasim, Hafiza Amina Muattar","doi":"10.32593/jstmu/vol6.iss1.233","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.233","url":null,"abstract":"Background: Hemodialysis (HD) is a commonly employed treatment modality for chronic kidney disease (CKD) patients. It is also closely related to the sleep-wake cycle. It has both sleep-improving and deteriorating results. Sleep regulation is tightly coupled to vitamin D; hence, its deficiency might impact the duration and quality of sleep. This study intends to evaluate the association between sleep quality and serum vitamin D levels in HD patients. \u0000Objective: To assess the quality of sleep in patients with ESRD on routine HD and determine the association of vitamin D deficiency with sleep quality. \u0000Methodology: This cross-sectional analytical study was conducted on the patients presenting to the dialyzing centre of the Department of Nephrology, Holy Family Hospital, Rawalpindi, Pakistan, for twice-weekly routine hemodialysis, from May 2022 to June 2022. \u0000Results: In this study, the quality of sleep in End Stage Renal Disease (ESRD) patients on twice-weekly hemodialysis (HD) was assessed using the PSQI score. PSQI scores were associated with serum vitamin D levels in these patients. A significantly strong positive correlation existed between serum levels of 25-OH D and sleep quality (r = −0.468, p = 0.001). \u0000Conclusion: More than half of the patients undergoing routine hemodialysis could not sleep well at night. Among other related factors, vitamin D deficiency was an independent risk factor for poor sleep quality. Further studies are needed to determine the impact of vitamin D supplementation on improving sleep quality to strengthen the association between vitamin D levels and sleep disorders.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126567874","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 : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.226
Sadiah Sabir, N. Sabir, Ayesha Mushtaq, Merman Gul, M. Khan
Background: The rise of a viral respiratory sickness was recognized in China and later known as COVID-19. The current study reports the epidemiological and clinical attributes of COVID-19 in Baluchistan. Objective: This study aimed to investigate the epidemiological parameters and route of transmission of COVID-19 positivity that will help the health department develop future strategies to handle deadly pandemics. Methodology: This study was performed by gathering information from patients with their socioeconomics, epidemiological status, history of comorbidity, and clinical signs of the disease. The data was collected from the COVID-19 dashboard. A correlation test was applied to evaluate the connection between clinical pathological parameters. Results: A sum of 3999 clinical records was analyzed. Total 70.8% of patients were positive, and 29.2% were negative. The most affected group was aged 22-42, however, disease severity increased with age. Most positive patients had a high fever, severe cough, sore throat, body ache, shortness of breath and comorbidity on clinical pathological grounds. The earliest reported cases of the infection were connected to travelers returning to Pakistan from Iran. The spread among men was higher as compared to women. Conclusion: This report will display a linkage between the studies of disease transmission and clinical features which thus can be helpful to forestall the local transmission of similar infections in future. The epidemiological literature on this topic from Baluchistan is scarce.
{"title":"A retrospective study on epidemiological and clinical characteristics of COVID-19 in Baluchistan (Pakistan) and its future perspectives","authors":"Sadiah Sabir, N. Sabir, Ayesha Mushtaq, Merman Gul, M. Khan","doi":"10.32593/jstmu/vol6.iss1.226","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.226","url":null,"abstract":"Background: The rise of a viral respiratory sickness was recognized in China and later known as COVID-19. The current study reports the epidemiological and clinical attributes of COVID-19 in Baluchistan. \u0000Objective: This study aimed to investigate the epidemiological parameters and route of transmission of COVID-19 positivity that will help the health department develop future strategies to handle deadly pandemics. \u0000Methodology: This study was performed by gathering information from patients with their socioeconomics, epidemiological status, history of comorbidity, and clinical signs of the disease. The data was collected from the COVID-19 dashboard. A correlation test was applied to evaluate the connection between clinical pathological parameters. \u0000Results: A sum of 3999 clinical records was analyzed. Total 70.8% of patients were positive, and 29.2% were negative. The most affected group was aged 22-42, however, disease severity increased with age. Most positive patients had a high fever, severe cough, sore throat, body ache, shortness of breath and comorbidity on clinical pathological grounds. The earliest reported cases of the infection were connected to travelers returning to Pakistan from Iran. The spread among men was higher as compared to women. \u0000Conclusion: This report will display a linkage between the studies of disease transmission and clinical features which thus can be helpful to forestall the local transmission of similar infections in future. The epidemiological literature on this topic from Baluchistan is scarce.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123292183","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 : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.232
A. Khan, Muhammad Imran, Amjad Hayat Khan, Yaseen Hussain, Fazlullah Khan
Introduction: Malignant hyperthermia (MH) or hyperpyrexia is a pharmacogenetic syndrome of skeletal muscles caused by volatile anesthetics such as halothane and depolarized muscle relaxant suxamethonium. The prevalence of MH in Islamabad has not been explored. Methodology: This was a retrospective study on the severity and prevalence of MH in anesthetized patients with inhalational anesthetics Clinical data from the previous years, i.e. from June 2020 to June 2021, from eight tertiary care hospitals in Islamabad was collected. Results: Out of 40,900 patients discharged from these hospitals under general anesthesia, only 07 patients were diagnosed with MH due to anesthesia. MH is associated with gender; in our study, more incidence was observed in males than females. Of the seven patients with MH, four (57.14%) were males, and three (42.86%) were females. The prevalence rate of MH was 0.018% due to anesthesia in surgical patients which is approximately 1 per 5842 cases. Conclusion: This research study concluded that the prevalence rate of MH in Islamabad is 0.018%. The prevalence rate for males is slightly higher than for females. According to this statement, the total number of male patients who got MH was four, and females were three out of 40900 surgical cases under general anesthesia in a specific year of duration. The prevalence of MH due to anesthesia in surgical patients treated in Islamabad hospitals is approximately 1 per 5842 cases. MH risk in males is significantly higher than in females.
{"title":"A spectrum of severity and prevalence of malignant hyperthermia in anesthetized patients with inhalational anesthetic.","authors":"A. Khan, Muhammad Imran, Amjad Hayat Khan, Yaseen Hussain, Fazlullah Khan","doi":"10.32593/jstmu/vol6.iss1.232","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.232","url":null,"abstract":"Introduction: Malignant hyperthermia (MH) or hyperpyrexia is a pharmacogenetic syndrome of skeletal muscles caused by volatile anesthetics such as halothane and depolarized muscle relaxant suxamethonium. The prevalence of MH in Islamabad has not been explored. \u0000Methodology: This was a retrospective study on the severity and prevalence of MH in anesthetized patients with inhalational anesthetics Clinical data from the previous years, i.e. from June 2020 to June 2021, from eight tertiary care hospitals in Islamabad was collected. \u0000Results: Out of 40,900 patients discharged from these hospitals under general anesthesia, only 07 patients were diagnosed with MH due to anesthesia. MH is associated with gender; in our study, more incidence was observed in males than females. Of the seven patients with MH, four (57.14%) were males, and three (42.86%) were females. The prevalence rate of MH was 0.018% due to anesthesia in surgical patients which is approximately 1 per 5842 cases. \u0000Conclusion: This research study concluded that the prevalence rate of MH in Islamabad is 0.018%. The prevalence rate for males is slightly higher than for females. According to this statement, the total number of male patients who got MH was four, and females were three out of 40900 surgical cases under general anesthesia in a specific year of duration. The prevalence of MH due to anesthesia in surgical patients treated in Islamabad hospitals is approximately 1 per 5842 cases. MH risk in males is significantly higher than in females.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123940266","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 : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.229
A. Sherin
{"title":"Upholding the responsible conduct of medical research in Pakistan: The buck stops where?","authors":"A. Sherin","doi":"10.32593/jstmu/vol6.iss1.229","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.229","url":null,"abstract":"","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115393794","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 : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.225
S. Ismail, Fatima Khurshid
Hyper-IgE Syndrome (HIES), also known as Job Syndrome; is a rare genetic disorder that affects the immune system and can lead to various health complications. The text mentions cornerstone of HIES therapy is proper skin care, infection prevention, and aggressive infection treatment. Treatments for HIES can include antibiotics that target S. aureus, typically used to reduce the incidence of pneumonia and the risk of lung damage. Skincare routines can involve bleach baths or chlorhexidine washes, oral anti-staphylococcal prophylactic antibiotics, and other treatments to avoid abscesses. Antifungal prophylaxis may be beneficial for HIES patients who have chronic Candida infections. Defects in antibody synthesis can vary, making it difficult to provide general recommendations for immune globulin replacement in HIES.
{"title":"Hyper Immunoglobulin E (IgE); an immune deficiency (Job Syndrome)","authors":"S. Ismail, Fatima Khurshid","doi":"10.32593/jstmu/vol6.iss1.225","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.225","url":null,"abstract":"Hyper-IgE Syndrome (HIES), also known as Job Syndrome; is a rare genetic disorder that affects the immune system and can lead to various health complications. The text mentions cornerstone of HIES therapy is proper skin care, infection prevention, and aggressive infection treatment. Treatments for HIES can include antibiotics that target S. aureus, typically used to reduce the incidence of pneumonia and the risk of lung damage. Skincare routines can involve bleach baths or chlorhexidine washes, oral anti-staphylococcal prophylactic antibiotics, and other treatments to avoid abscesses. Antifungal prophylaxis may be beneficial for HIES patients who have chronic Candida infections. Defects in antibody synthesis can vary, making it difficult to provide general recommendations for immune globulin replacement in HIES.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121248899","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 : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.238
Aneesa Fawad, Bushra Zardad, H. Jadoon, A. Ismail
Introduction: Eclampsia is an acute obstetrical emergency carrying high maternal and perinatal morbidity and mortality. High blood pressure during pregnancy after 20 weeks of gestation is associated with proteinuria and generalized tonic-clonic convulsions. The purpose of the study is to observe seasonal variation in the presentation of eclampsia in a tertiary-level hospital. Methods: This is two years study conducted in the Gynae A unit, Ayub teaching hospital, Abbottabad, from January 2021 to December 2022. The study included all the patients admitted to the unit with eclampsia. It included antenatal patients and patients who developed eclampsia in labour or perpurium. Patients with a history of fits due to epilepsy or any other neurological disease were excluded from the study. Results: The total number of patients admitted with eclampsia during this period was 88 (1.22 %). The majority of patients were in the age group between 21 to 35 years (78.3%). There were 52 primigravidas out of 88(59.1%). There were 46 multigravidas (40.9%). 78 patients out of 88(88.6 %) belonged to areas more than 25 kilometres away from a medical facility. The season was cross-tabulated with different variables, and no statistical significance was found. Conclusion: Eclampsia is a severe obstetrical emergency usually involving young primigravidas with poor socioeconomic status and no antenatal care. Primary prevention is regular antenatal care. Early referral and time management will reduce maternal and perinatal morbidity and mortality. The incidence of eclampsia is more in the fall and winter seasons.
{"title":"Effect of seasonal changes on frequency of eclampsia in patients presenting to Ayub Teaching Hospital.","authors":"Aneesa Fawad, Bushra Zardad, H. Jadoon, A. Ismail","doi":"10.32593/jstmu/vol6.iss1.238","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.238","url":null,"abstract":"Introduction: Eclampsia is an acute obstetrical emergency carrying high maternal and perinatal morbidity and mortality. High blood pressure during pregnancy after 20 weeks of gestation is associated with proteinuria and generalized tonic-clonic convulsions. The purpose of the study is to observe seasonal variation in the presentation of eclampsia in a tertiary-level hospital. \u0000Methods: This is two years study conducted in the Gynae A unit, Ayub teaching hospital, Abbottabad, from January 2021 to December 2022. The study included all the patients admitted to the unit with eclampsia. It included antenatal patients and patients who developed eclampsia in labour or perpurium. Patients with a history of fits due to epilepsy or any other neurological disease were excluded from the study. \u0000Results: The total number of patients admitted with eclampsia during this period was 88 (1.22 %). The majority of patients were in the age group between 21 to 35 years (78.3%). There were 52 primigravidas out of 88(59.1%). There were 46 multigravidas (40.9%). 78 patients out of 88(88.6 %) belonged to areas more than 25 kilometres away from a medical facility. The season was cross-tabulated with different variables, and no statistical significance was found. \u0000Conclusion: Eclampsia is a severe obstetrical emergency usually involving young primigravidas with poor socioeconomic status and no antenatal care. Primary prevention is regular antenatal care. Early referral and time management will reduce maternal and perinatal morbidity and mortality. The incidence of eclampsia is more in the fall and winter seasons.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131407572","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 : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.224
Lamiaa Saoud Abbod, Fatima Amir Abd Algabar
The renin-angiotensin-aldosterone system (RAAS) has a noteworthy part in triggering, and inflammation is maintained by its physiological agents. A crucial mechanism for the initiation and headway of CVD, including Hypertension and atherosclerosis, is inflammation. In addition to its primary function in controlling blood pressure and its contribution to Hypertension, RAAS has pro-inflammatory and profibrotic cellular and molecular effects. Cardiovascular and renal disorders can be treated more effectively by hindering RAAS. Proof recommends that RAAS inhibition enhances vascular remodelling and gets better CVD sequels. Lower levels of oxidative stress and endothelial dysfunction, vascular inflammation, and favourable effects on endothelial progenitor cell regeneration are likely the causes of RAAS inhibition's sound vascular effects.
{"title":"The cardiovascular system's Renin-Angiotensin-Aldosterone System (RAAS).","authors":"Lamiaa Saoud Abbod, Fatima Amir Abd Algabar","doi":"10.32593/jstmu/vol6.iss1.224","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.224","url":null,"abstract":"The renin-angiotensin-aldosterone system (RAAS) has a noteworthy part in triggering, and inflammation is maintained by its physiological agents. A crucial mechanism for the initiation and headway of CVD, including Hypertension and atherosclerosis, is inflammation. In addition to its primary function in controlling blood pressure and its contribution to Hypertension, RAAS has pro-inflammatory and profibrotic cellular and molecular effects. Cardiovascular and renal disorders can be treated more effectively by hindering RAAS. Proof recommends that RAAS inhibition enhances vascular remodelling and gets better CVD sequels. Lower levels of oxidative stress and endothelial dysfunction, vascular inflammation, and favourable effects on endothelial progenitor cell regeneration are likely the causes of RAAS inhibition's sound vascular effects.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121010233","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 : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.231
Saad Amir Zaman, Shahroz Zahid, Umer Ijaz, Amna Khan, Ramsha Abbas
Introduction: Beginning to deal with patients can be a testing experience for medical students. Many schools have endeavored to understand students' perceptions and acclimatize them to the stresses of clinical work with success. Objective: This study aimed to identify undergraduate students' apprehensions when dealing with patients, explore the underlying causes of these apprehensions, examine gender differences in apprehension levels, and investigate any effect of patient encounters on career choices. Methodology: This cross-sectional study was conducted on third, fourth and fifth-year medical students of Shifa College of Medicine, selected by simple random sampling. Data was collected using a self-administered questionnaire. Statistical analysis was done using Statistical Package for the Social Sciences (SPSS). Results: Results showed that 22.5% of the students felt significant apprehension when dealing with contagious patients, 11.2% with psychiatric patients, and 13.0% with terminal patients. Male students exhibited more apprehension than female students when interacting with female patients of similar age (p=0.0001) and middle age (p=0.020). Greater apprehension was felt in the Emergency Room (mean 2.66) as compared to in-patient (2.07) and community clinic (1.82). The highest level of apprehension was in the presence of a consultant (51.5% answered either 4 or 5). 128 students (75.7%) believed they would be less apprehensive if they saw more patients. Conclusion: Specific apprehensions among medical students were identified when interacting with different types of patients. Gender differences, clinical settings, and the presence of consultants influenced apprehension levels. Increasing patient exposure was seen as one solution to reduce apprehension.
{"title":"Apprehension among medical students while dealing with patients: A cross-sectional study in a private sector medical college and teaching hospital.","authors":"Saad Amir Zaman, Shahroz Zahid, Umer Ijaz, Amna Khan, Ramsha Abbas","doi":"10.32593/jstmu/vol6.iss1.231","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.231","url":null,"abstract":"Introduction: Beginning to deal with patients can be a testing experience for medical students. Many schools have endeavored to understand students' perceptions and acclimatize them to the stresses of clinical work with success. \u0000Objective: This study aimed to identify undergraduate students' apprehensions when dealing with patients, explore the underlying causes of these apprehensions, examine gender differences in apprehension levels, and investigate any effect of patient encounters on career choices. \u0000Methodology: This cross-sectional study was conducted on third, fourth and fifth-year medical students of Shifa College of Medicine, selected by simple random sampling. Data was collected using a self-administered questionnaire. Statistical analysis was done using Statistical Package for the Social Sciences (SPSS). \u0000Results: Results showed that 22.5% of the students felt significant apprehension when dealing with contagious patients, 11.2% with psychiatric patients, and 13.0% with terminal patients. Male students exhibited more apprehension than female students when interacting with female patients of similar age (p=0.0001) and middle age (p=0.020). Greater apprehension was felt in the Emergency Room (mean 2.66) as compared to in-patient (2.07) and community clinic (1.82). The highest level of apprehension was in the presence of a consultant (51.5% answered either 4 or 5). 128 students (75.7%) believed they would be less apprehensive if they saw more patients. \u0000Conclusion: Specific apprehensions among medical students were identified when interacting with different types of patients. Gender differences, clinical settings, and the presence of consultants influenced apprehension levels. Increasing patient exposure was seen as one solution to reduce apprehension.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125900133","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 : 2023-07-09DOI: 10.32593/jstmu/vol6.iss1.230
Fatima Khurshid, Ans Abdul Razzaq, Hafsa Khurshid
Background: In this study, we investigated the prevalence of anxiety and depression in cancer patients undergoing radiation therapy and identified the factors associated with the multidimensional model, including sociodemographic, clinical, function and well-being, and symptom variables. Methodology: The research was conducted at the Shifa International Hospital Ltd. in Islamabad's radiation oncology clinic from February 2022 to May 2022. Assessments of side effects and the intensity of typical symptoms experienced by cancer patients receiving radiation therapy have been carried out using the MD Anderson Symptom Inventory (MDASI) questionnaire. Version 20.0 of the Statistical Package for the Social Sciences (SPSS) has been used to analyze the data. They were described using categorical statistics using frequency and percentage. Results: The majority of participants were women. During the treatment, patients experienced various psychological reactions, such as nausea, Pain, anxiety, depression, fear, fatigue, disturbed sleep, and shortness of breath. Many patients also reported feeling sad, losing enjoyment of life, and having disturbed relationships with people around them. However, the psychological state of patients improved at the end and after the Intervention. Conclusion: Acute psychological side effects appeared in several patients receiving radiation therapy, such as anxiety, depression, fear, and low self-esteem. Hence, we concluded it has a high incidence. So, radiation therapy patients should receive support and care for their psychological well-being.
{"title":"Psychological side effects of radiation therapy on cancer patients.","authors":"Fatima Khurshid, Ans Abdul Razzaq, Hafsa Khurshid","doi":"10.32593/jstmu/vol6.iss1.230","DOIUrl":"https://doi.org/10.32593/jstmu/vol6.iss1.230","url":null,"abstract":"Background: In this study, we investigated the prevalence of anxiety and depression in cancer patients undergoing radiation therapy and identified the factors associated with the multidimensional model, including sociodemographic, clinical, function and well-being, and symptom variables. \u0000Methodology: The research was conducted at the Shifa International Hospital Ltd. in Islamabad's radiation oncology clinic from February 2022 to May 2022. Assessments of side effects and the intensity of typical symptoms experienced by cancer patients receiving radiation therapy have been carried out using the MD Anderson Symptom Inventory (MDASI) questionnaire. Version 20.0 of the Statistical Package for the Social Sciences (SPSS) has been used to analyze the data. They were described using categorical statistics using frequency and percentage. \u0000Results: The majority of participants were women. During the treatment, patients experienced various psychological reactions, such as nausea, Pain, anxiety, depression, fear, fatigue, disturbed sleep, and shortness of breath. Many patients also reported feeling sad, losing enjoyment of life, and having disturbed relationships with people around them. However, the psychological state of patients improved at the end and after the Intervention. \u0000Conclusion: Acute psychological side effects appeared in several patients receiving radiation therapy, such as anxiety, depression, fear, and low self-esteem. Hence, we concluded it has a high incidence. So, radiation therapy patients should receive support and care for their psychological well-being.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"14 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130603298","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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