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Knowledge, attitude and practices study regarding current COVID-19 pandemic in patients presenting to rheumatology clinic of a Tertiary Care Hospital 某三级医院风湿病门诊患者对当前新冠肺炎大流行的知识、态度和实践研究
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.157
Taqdees Khaliq, Sarah Azam Shah, Saad Saleem, Safeena Hamed Quraishi
Introduction: The most important step in controlling the spread of any communicable disease is to stick to preventive measures and COVID-19 pandemic is no exception. Keeping this in mind, a KAP study was performed in the rheumatology unit of a tertiary care hospital of Islamabad. The main idea was to know the level of understanding of rheumatologic patients with respect to COVID-19 pandemic and its preventive measures. Objective: The objective of the study was to understand the knowledge, attitude and practices of rheumatologic patients towards COVID-19 pandemic. Methodology: A descriptive cross-sectional study in which consecutive, non-probability sampling technique was used. Results: There were 37 males and 73 females in the study group, with mean age of 38.75±13.9 years. The total knowledge score was 17 points. It was found that 12 (10.9%) participants had poor knowledge regarding COVID-19, whereas 27 (24.5%) and 71 (64.5%) had good and excellent knowledge respectively. The total attitude score of study participants 7 points. It was found that 11 (10.0%) participants had poor attitude, whereas 72 (65.5%) and 27 (24.5%) had good and excellent attitude. The total practice score was 11 points. It was calculated that 30 (27.3%) study participants had poor practices regarding COVID-19 prevention, whereas 78 (70.9%) had good practices and only 2 (1.8%) had excellent practices. Conclusion: Overall, it was noted that KAP of our rheumatologic patients towards COVID-19 infection was reasonable, however, there is always room for improvement.
导言:控制任何传染病传播的最重要步骤是坚持预防措施,COVID-19大流行也不例外。考虑到这一点,在伊斯兰堡一家三级保健医院的风湿病科进行了一项KAP研究。主要目的是了解风湿病患者对COVID-19大流行及其预防措施的了解程度。目的:了解风湿病患者对COVID-19大流行的知识、态度和行为。方法:一种描述性横断面研究,其中使用了连续的非概率抽样技术。结果:研究组男性37例,女性73例,平均年龄38.75±13.9岁。知识总分为17分。结果发现,12人(10.9%)对新冠肺炎知识的了解程度较差,27人(24.5%)和71人(64.5%)对新冠肺炎知识的了解程度较好。研究对象的态度总分为7分。结果发现,态度差的有11人(10.0%),态度好的有72人(65.5%),态度优秀的有27人(24.5%)。练习总分是11分。据计算,30名(27.3%)研究参与者在COVID-19预防方面采取了不良措施,78名(70.9%)采取了良好措施,只有2名(1.8%)采取了良好措施。结论:总体而言,我们的风湿病患者对COVID-19感染的KAP是合理的,但总有改进的余地。
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引用次数: 0
Niemann-pick disease: Type A presenting as a case of protein energy malnutrition 尼曼-匹克病:A型表现为蛋白质能量营养不良
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.147
Z. Arshad, Nimra Rana, Wajahat Sultan Baig
We hereby report a rare case of a young child with Niemann-Pick disease who had multiple hospital admissions due to repeated gastrointestinal and respiratory tract infections. The disease is overall quite rare in our population however, our case highlights the fact that in any young child with repeated infections of unknown etiology, this condition should be considered and evaluated.
我们在此报告一个罕见的病例与尼曼-匹克病的年轻的孩子有多次住院,由于反复的胃肠道和呼吸道感染。这种疾病在我们的人群中总体上是相当罕见的,然而,我们的病例强调了这样一个事实,即在任何病因不明的反复感染的幼儿中,都应该考虑和评估这种情况。
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引用次数: 0
A dire need for recruitment of rehabilitation professionals for provision of geriatric care 迫切需要招募康复专业人员提供老年护理
Pub Date : 2021-12-28 DOI: 10.32593/jstmu/vol4.iss2.173
Nazia Mumtaz, Arshad Mehmood Naz
This editorial is an introspection of recruitment of rehabilitation professionals. The rapid surge in Pakistan’s population has highlighted the dearth and demand of rehabilitation professionals. This has also highlighted the largely ignored geriatric care. Hence, it is imperative that the need of recruitment of rehabilitation professionals especially keeping in view the geriatric population.
这篇社论是对康复专业人员招聘的反思。巴基斯坦人口的快速增长凸显了康复专业人员的短缺和需求。这也突出了很大程度上被忽视的老年护理。因此,招聘康复专业人员,特别是考虑到老年人口,是当务之急。
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引用次数: 0
Effect of formal training workshop on teachers’ quality of written feedback in higher education 正规培训工作坊对高等教育教师书面反馈质量的影响
Pub Date : 2021-08-01 DOI: 10.32593/jstmu/vol4.iss1.121
R. Gul, A. Tharani, N. F. Rizvi, S. Ali, A. Lakhani, A. gowani
Introduction: The significance of written feedback in students’ learning is well established in the literature; however, it is contingent on several factors, particularly the quality of written feedback. Many teachers are not formally trained to give feedback that could affect the student learning. Objective: This study was designed to investigate whether teachers modify their written feedback in response to a formal training workshop on written feedback. Methodology: Using a quasi-experimental design with pre and post within subject design, 94 teachers participated in this study. As a pre-test, participants were made to provide written feedback on a sample script at the beginning of the workshop. This was followed by a two-day interventional workshop that included discussions and hands on exercises on multiple aspects of written feedback. At the end of the workshop, the participants were again asked to provide feedback on the same script. Results: Comparisons between the pre- and post-intervention data revealed several differences. The quantity of feedback increased subsequent to the intervention. A rise in feedback on form and writing style was observed after the workshop, as opposed to a slight drop in feedback on content, leading to a more balanced focus. Although some of the desired differences, such as avoiding vague comments and criticism, were statistically insignificant, most of the other, differences in the pre-test and post-test were statistically significant. Conclusion: This study affirms that a formal training workshop could improve the quality of teachers’ written feedback.
引言:书面反馈在学生学习中的重要性在文献中得到了很好的确立;然而,这取决于几个因素,尤其是书面反馈的质量。许多教师没有经过正式培训,无法提供可能影响学生学习的反馈。目的:本研究旨在调查教师是否会在正式的书面反馈培训工作坊中修改他们的书面反馈。方法:采用准实验设计,课前与课后内设计,共94名教师参与本研究。作为预测试,参与者被要求在研讨会开始时提供关于示例脚本的书面反馈。随后是为期两天的干预性研讨会,包括讨论和实践练习,内容涉及书面反馈的多个方面。在研讨会结束时,参与者再次被要求对相同的脚本提供反馈。结果:干预前后数据的比较揭示了一些差异。在干预之后,反馈的数量增加了。在研讨会结束后,我们观察到对形式和写作风格的反馈有所增加,而对内容的反馈则略有下降,这导致了更平衡的关注。虽然一些期望的差异,如避免模糊的评论和批评,在统计上是微不足道的,但大多数其他的,测试前和测试后的差异在统计上是显著的。结论:本研究肯定了正式的培训工作坊可以提高教师书面反馈的质量。
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引用次数: 0
Effects of Surah Al-Rehman on pain, oxygen-saturation, and vital signs in post CABG patients: A Pilot Study 苏拉曼对CABG后患者疼痛、氧饱和度和生命体征的影响:一项初步研究
Pub Date : 2021-08-01 DOI: 10.32593/jstmu/vol4.iss1.129
M. Imran, R. Gul, Shumaila Batool
Objective: The main objective of the study was to determine the effects of Surah Al-Rehman on post CABG patients’ pain level, oxygen saturation, and vital signs. Methodology: A quasi-experimental pre and post-test design was used with a sample size of 60 patients in two tertiary care Hospitals, from July 2018 to September 2018. A non-probability convenient sampling method was used to recruit the participants. Post CABG adult Muslim patients were the study participants. Surah Al-Rehman’s recitation in the voice of the Qari Abdul Basit was the intervention for the current study. At a significance level of p-value ≤ 0.05, a repeated measure ANOVA was applied to determine the effects of Surah Al-Rehman on the outcome variables, which were patient’s pain level, oxygen saturation level, and vital signs including heart rate [HR], respiratory rate [RR], systolic and diastolic blood pressure. Results: Overall, Surah Al Rehman had shown statistically significant effects on the participants’ pain level (p<0.001), oxygen saturation level (p=0.01), respiratory rate (p<0.001), and diastole blood pressure (DBP, p=0.04). A minimum change in the pre and post values of HR and systolic blood pressure (SBP) was also observed, but statistically, this change was insignificant (HR, p=0.13 & SBP, p=0.47). Conclusion: Findings of the current study demonstrated that listening to the recitation of Surah Al-Rehman could decrease pain level, RR, DBP and enhance oxygen-saturation in post CABG patients.
目的:本研究的主要目的是确定苏拉对CABG术后患者疼痛水平、血氧饱和度和生命体征的影响。方法:采用准实验前后测试设计,样本量为两家三级医院2018年7月至2018年9月的60例患者。采用非概率方便抽样方法招募参与者。CABG术后的成年穆斯林患者为研究参与者。Surah Al-Rehman用Qari Abdul Basit的声音朗诵是当前研究的干预。在p值≤0.05的显著性水平下,采用重复测量方差分析(repeated measure ANOVA)确定苏拉对患者疼痛程度、血氧饱和度、心率(HR)、呼吸频率(RR)、收缩压和舒张压等生命体征的影响。结果:总体而言,Surah Al Rehman对参与者的疼痛水平(p<0.001)、血氧饱和度(p=0.01)、呼吸频率(p<0.001)和舒张血压(p= 0.04)有统计学意义上的显著影响。HR和收缩压(SBP)在治疗前后也有最小的变化,但在统计学上,这种变化不显著(HR, p=0.13; SBP, p=0.47)。结论:本研究结果表明,听苏拉·拉赫曼朗诵可降低CABG后患者的疼痛水平、RR、舒张压和血氧饱和度。
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引用次数: 2
Critical thinking dispositions of baccalaureate nursing students and their educators: A cross-sectional analytical study 护理本科学生及其教育工作者的批判性思维倾向:一项横断面分析研究
Pub Date : 2021-08-01 DOI: 10.32593/jstmu/vol4.iss1.118
N. Sultana, R. Gul
Background: Critical thinking is an imperative outcome of nursing education. However, several factors contribute to the development of critical being including critical thinking dispositions (CTDs). Objective: This study aimed to assess the critical thinking dispositions and factors affecting critical thinking dispositions of BScN students and their educators in twin city Rawalpindi and Islamabad, Pakistan. Methodology: A cross- sectional analytical design was used in this study. A consecutive sample of 215 BScN students and 63 educators participated in the study. Data were collected via Pakistan-Critical Thinking Dispositions Scale (P-CTDS) comprising 54 items under the seven constructs; responses were measured on 5-points Likert scale. Data were analyzed with SPSS version 22. Results: The findings showed that 52% of the educators were at the developed level of CTDs and nearly 48% at the developing level; whereas 76% students were inclined towards CTD and only 23% were found at the developed level of CTDs. Although with considerable difference in the scores of the 7 constructs, both, students and educators obtained highest scores on inquisitiveness and contextual perspective. Similarly, students and educators obtained low score on open-mindedness. The difference between students and their teachers was statistically significant for the total scores of CTDs as well as for the scores of six of seven constructs. Conclusion: Although educators exhibited stronger CTDs than their students, both have room for improvement, specifically their open mindedness. If educators are willing to challenge their personal assumptions, students will also emulate them.
背景:批判性思维是护理教育的必然结果。然而,有几个因素有助于批判性存在的发展,包括批判性思维倾向(CTDs)。目的:本研究旨在评估巴基斯坦拉瓦尔品第和伊斯兰堡双城BScN学生及其教育工作者的批判性思维倾向及其影响因素。方法:本研究采用横断面分析设计。215名BScN学生和63名教育工作者连续参加了这项研究。通过巴基斯坦批判性思维倾向量表(P-CTDS)收集数据,该量表包括七个构式下的54个项目;回答以5分李克特量表进行测量。数据采用SPSS version 22进行分析。结果:调查结果显示,52%的教育工作者处于CTDs的发达水平,近48%的教育工作者处于发展水平;而76%的学生倾向于持续发展,只有23%的学生达到持续发展水平。尽管7个构念的得分差异较大,但学生和教育工作者在探究性和情境视角上都获得了最高分。同样,学生和教育工作者在开放性方面得分较低。学生和教师在CTDs总分和七个构念中的六个构念得分上的差异有统计学意义。结论:尽管教育工作者表现出比学生更强的ctd,但他们都有改进的空间,特别是他们的开放思想。如果教育工作者愿意挑战他们的个人假设,学生也会效仿他们。
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引用次数: 1
Cardiac implantable electronic device related chest pain: A focused review 心脏植入式电子装置相关胸痛:重点综述
Pub Date : 2021-08-01 DOI: 10.32593/jstmu/vol4.iss1.130
J. Malik, Kashif Khan
More than 600,000 patients undergo cardiac implantable electronic device (CIED) implantation in a year, which comprise of pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapy devices (CRT). The most common symptom experienced after a CIED implantation is chest pain. In this review, we describe CIED implantation and associated complications causing chest pain.
每年有超过60万的患者接受心脏植入式电子设备(CIED)植入,包括起搏器、植入式心律转复除颤器和心脏再同步化治疗装置(CRT)。植入CIED后最常见的症状是胸痛。在这篇综述中,我们描述了CIED植入和引起胸痛的相关并发症。
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引用次数: 1
Recommendations for management of burn patients in context of COVID-19 pandemic COVID-19大流行背景下烧伤患者管理建议
Pub Date : 2021-08-01 DOI: 10.32593/jstmu/vol4.iss1.120
Sajida Rashid
It has been reported from china that burn centers have the highest risk of COVID-19 infection. The virus is highly contagious and damaging and mortality rate as high as 61.5% has been reported. Burn patients have low level of immunity, lack skin barrier and are prone to infections. Due to these facts, they have less ability to fight against the corona virus, so surgical practices for management of burn patients should be modified to prevent the spread of infection and decrease mortality. Keeping these facts in mind, we adopted certain changes in the protocols for management of burn patients at Rawalian burn center, Rawalpindi Pakistan. We are presenting new recommendations which were followed at the burn center during COVID-19 pandemic. These are the first ever recommendations from any burn center of Pakistan since the start of recent pandemic. With help of literature search we identified risk factors for infection during the course of treatment of burn patients. These recommendations include alterations in structural layout, administration procedures, burn patient care like the introduction of telemedicine, online appointment system and use of online messaging applications i.e., WhatsApp, staff training and strategies like online learning system to provide new knowledge regarding COVID-19 continuously. Issues of staff like over work, availability of personal protective equipment (PPEs), and their health-related anxiety and fear should be addressed properly for the prevention of burn out syndrome in them.
据中国报道,烧伤中心感染COVID-19的风险最高。该病毒具有高度传染性和破坏性,据报道死亡率高达61.5%。烧伤患者免疫水平低,缺乏皮肤屏障,易发生感染。由于这些事实,它们对抗冠状病毒的能力较弱,因此应修改烧伤患者的外科治疗方法,以防止感染的传播并降低死亡率。考虑到这些事实,我们在巴基斯坦拉瓦尔品第的Rawalian烧伤中心对烧伤患者的管理方案进行了一些修改。我们正在提出新的建议,这些建议在COVID-19大流行期间在烧伤中心得到了遵循。这是自最近的大流行开始以来,巴基斯坦烧伤中心首次提出的建议。在文献检索的帮助下,我们确定了烧伤患者治疗过程中感染的危险因素。这些建议包括改变结构布局、管理程序、烧伤患者护理(如引入远程医疗)、在线预约系统和使用在线消息应用程序(如WhatsApp)、员工培训和在线学习系统等策略,以不断提供有关COVID-19的新知识。工作人员的过度工作、个人防护装备的可用性以及与健康有关的焦虑和恐惧等问题应得到妥善解决,以防止他们出现倦怠综合征。
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引用次数: 0
Influence of various demographic factors on nutritional status of children under five years of age 各种人口因素对5岁以下儿童营养状况的影响
Pub Date : 2021-08-01 DOI: 10.32593/jstmu/vol4.iss1.125
Sahira Aaraj, Alia Halim, S. Rehman, Iffat F. Zaman, Sameera Ahmed
Background: Malnutrition in under five children is prevalent in our country.  It makes them prone to infections and increases child mortality. This can be controlled by identifying and modifying the predisposing factors. Objective: To assess nutritional status and to analyze the influence of various demographic factors on nutritional status of under five children. Methodology: This cross-sectional study was conducted in Shifa Falahi and Community Health center in Islamabad. Children under five years of age were included. Information was collected from mothers on a self-designed questionnaire. Weight and height of children was recorded and classified according to WHO Z score. Data was evaluated on SPSS 20. Univariate analysis was done to determine independent effect of each predictor on outcome. Results: Total of 280 patients were enrolled. 162 (57. 9%) of them were malnourished. Stunting was seen in 24.6% cases, while 26.1% were underweight. Wasting was seen in 19.6% cases. More males were stunted (27.9%) and underweight (27.27%) as compared to females (21.2%) and (24.8%) respectively. Low household income (p value 0.014), poor maternal education (p value 0.018), joint family system (0.002), unboiled drinking water (0.008) and repeated diarrheas (0.02) were found significantly associated with malnutrition. Most of the mothers (>75%) had adequate knowledge of breast feeding, vaccination, seeking medical advice for their babies. Conclusion: All forms of childhood malnutrition are prevalent. Poor socioeconomic status and maternal illiteracy are strong contributors towards malnutrition. Unboiled drinking water and diarrheas are further aggravating the nutritional status of children.
背景:我国五岁以下儿童营养不良现象普遍。它使他们容易受到感染,并增加了儿童死亡率。这可以通过识别和修改诱发因素来控制。目的:了解5岁以下儿童的营养状况,分析各种人口因素对营养状况的影响。方法:本横断面研究在伊斯兰堡的Shifa Falahi和社区卫生中心进行。五岁以下的儿童也包括在内。从母亲们那里收集信息,填写一份自行设计的问卷。记录儿童的体重和身高,并根据WHO Z评分进行分类。用SPSS 20对数据进行评价。单因素分析确定每个预测因子对结果的独立影响。结果:共纳入280例患者。162(57。9%)营养不良。发育迟缓占24.6%,体重不足占26.1%。19.6%的病例出现消瘦。男性发育不良(27.9%)和体重不足(27.27%)分别高于女性(21.2%)和(24.8%)。家庭收入低(p值0.014)、母亲教育程度低(p值0.018)、联合家庭制度(p值0.002)、饮用水未煮沸(p值0.008)和反复腹泻(p值0.02)与营养不良显著相关。大多数母亲(>75%)对母乳喂养、疫苗接种和为婴儿寻求医疗建议有足够的了解。结论:各种形式的儿童营养不良普遍存在。贫穷的社会经济地位和产妇文盲是造成营养不良的重要因素。未煮沸的饮用水和腹泻进一步恶化了儿童的营养状况。
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引用次数: 0
Effect of parental relationships on stress levels of students in a medical college 父母关系对医学院学生压力水平的影响
Pub Date : 2021-08-01 DOI: 10.32593/jstmu/vol4.iss1.131
A. Hussain, Hamza Mustufa Khan, Hania Ahmer, Shahmeer Zafar, Saad bin Altaf, S. Ahmed, Safura Awais
Introduction: Multiple studies have been conducted on the theme of stress faced by medical students due to the load of medical education and lack of adequate stress coping skills which may affect the students variedly. Objective: To critically assess stress levels in medical students of Shifa College of Medicine (a private medical college in Islamabad, Pakistan) and the quality of relationship between students and parents, thereby studying a relationship between the two. Methodology: A cross-sectional study was conducted among the students of Shifa College of Medicine. A sample size of 315 students filled a pretested student stress questionnaire, which was made using the student life stress inventory survey consisting of 34 questions. Data was then analyzed using SPSS version 23. Results: Increased levels of stress were found to be common among medical students with a prevalence of 53.3% among our study group. A total of 65.7% students face stress due to the increased expectations of their parents. There was a positive correlation (p<0.05) between stress faced by medical students and their relationship with parents. Academics, lack of recreational time and high self-expectations were also major contributors to student stress. Conclusion: It can be concluded that there is a positive relationship between parental involvement and medical student stress at Shifa College of Medicine, which manifested in the form of excessively high parental aspirations, leading to adverse effects on the academic, social and personal life of a medical student.
导读:由于医学教育的负荷和缺乏适当的压力应对技能,医学生面临的压力这一主题已经进行了多项研究,这些研究可能会对学生产生不同的影响。目的:批判性地评估Shifa医学院(巴基斯坦伊斯兰堡一所私立医学院)医学生的压力水平和学生与家长关系的质量,从而研究两者之间的关系。方法:采用横断面研究方法对什法市医学院学生进行调查。采用《学生生活压力量表》编制的学生压力问卷,共包含34个问题,样本量为315名学生。然后使用SPSS version 23对数据进行分析。结果:压力水平增加在医学生中很常见,在我们的研究组中患病率为53.3%。65.7%的学生由于父母期望的增加而面临压力。医学生压力与父母关系呈正相关(p<0.05)。学业、缺乏娱乐时间和过高的自我期望也是学生压力的主要原因。结论:什法市医学院医学生压力与父母参与之间存在正相关关系,表现为父母期望过高,对医学生的学业、社会和个人生活产生不利影响。
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引用次数: 0
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Journal of Shifa Tameer-e-Millat University
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