Pub Date : 2020-12-23DOI: 10.32593/JSTMU/VOL3.ISS2.89
W. Aslam, M. Habib, Madiha Habib, S. Aziz
Introduction: The COVID-19 pandemic has caused a significant burden on healthcare system and adversely affected the health care professionals all over the world including Pakistan. Therefore, the short- and long-term effects of this pandemic on mental health of Pakistani medical doctors need to be established. Objective: This study aimed to assess the mental health status and associated factors among doctors exposed to COVID-19 in Pakistan. Methodology: An online survey was carried among doctors working in different government hospitals. A Questionnaire was developed which comprised of three different sections. Mental health was assessed on basis of scoring in three Likert scales including Generalized anxiety disorder -7 scale (GAD-7), Insomnia severity index (ISI-7) and Patient health questionnaire (PHQ-9). Cluster analysis was used, and chi-square test was applied for comparison of characteristics. Results: Study was conducted on 73 specialists /consultants working in different government hospitals of the country. 54.8% of them suffered from subthreshold mental disturbances while 23.3% had mild disorders, 12.3% had moderate disorders and 9.6% suffered from severe mental disturbances. Various factors having significant relationship with psychological status of doctors were identified. Conclusion: COVID-19 outbreak has significantly affected the psychological health of Pakistani doctors. The factors adversely affecting the mental health of our health care professionals need to be addressed by providing psychological support to them.
{"title":"Psychological impact of COVID-19 pandemic on Pakistani doctors","authors":"W. Aslam, M. Habib, Madiha Habib, S. Aziz","doi":"10.32593/JSTMU/VOL3.ISS2.89","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL3.ISS2.89","url":null,"abstract":"Introduction: The COVID-19 pandemic has caused a significant burden on healthcare system and adversely affected the health care professionals all over the world including Pakistan. Therefore, the short- and long-term effects of this pandemic on mental health of Pakistani medical doctors need to be established. \u0000Objective: This study aimed to assess the mental health status and associated factors among doctors exposed to COVID-19 in Pakistan. \u0000Methodology: An online survey was carried among doctors working in different government hospitals. A Questionnaire was developed which comprised of three different sections. Mental health was assessed on basis of scoring in three Likert scales including Generalized anxiety disorder -7 scale (GAD-7), Insomnia severity index (ISI-7) and Patient health questionnaire (PHQ-9). Cluster analysis was used, and chi-square test was applied for comparison of characteristics. \u0000Results: Study was conducted on 73 specialists /consultants working in different government hospitals of the country. 54.8% of them suffered from subthreshold mental disturbances while 23.3% had mild disorders, 12.3% had moderate disorders and 9.6% suffered from severe mental disturbances. Various factors having significant relationship with psychological status of doctors were identified. \u0000Conclusion: COVID-19 outbreak has significantly affected the psychological health of Pakistani doctors. The factors adversely affecting the mental health of our health care professionals need to be addressed by providing psychological support to them.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132266396","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 : 2020-12-23DOI: 10.32593/JSTMU/VOL3.ISS2.97
Malik Muhammad Ali Awan, S. Qureshi, Kiran Khushnood
{"title":"Joint Commission International Accreditation: A breakthrough in Pakistan","authors":"Malik Muhammad Ali Awan, S. Qureshi, Kiran Khushnood","doi":"10.32593/JSTMU/VOL3.ISS2.97","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL3.ISS2.97","url":null,"abstract":"","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128834404","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}
Introduction: Thalassemia Major is a hemolytic anemia which is prevalent in developing countries and is preventable by promoting awareness among the masses. Objectives: To assess the current general disease awareness and compare the level of understanding between parents attending government versus private thalassemia care facilities. Methods: This cross-sectional study was conducted in four thalassemia centers of Rawalpindi and Islamabad from December 2017 to January 2019. Parents/caregivers of Thalassemia Major Patients were included by non-probability purposive sampling and those having children having other blood disorders, were excluded. After taking informed consent, a pretested structured questionnaire was given to participants and awareness level was classified into ‘unaware’, ‘aware’ and ‘well-aware’ categories, based on the score achieved. Data was evaluated using SPSS version 23.0. Chi-square test was used for analysis. Results: A total of 277 parents were included. Parents who took their children to government and private centers were 161 (58.1%) vs 116 (41.9%) respectively. There was a statistically significant difference in the know-how about mode of disease transmission (p value=0.02), blood-borne diseases (p value=0.00), method of complete cure (p value= 0.05) and harmful effects of repetitive blood transfusions (p value=0.05) among parents visiting the two different facilities. While 80.2% parents in private centers were ‘well-aware’, the corresponding percentage in government centers was 57.1%. Conclusion: General disease awareness was average. Parents visiting private institutes have shown much better awareness. Funding and dedicated education, with focus on government organizations, which are accessible for the common man, is required.
{"title":"General disease awareness among parents of thalassemic children visiting government versus private care centers of Rawalpindi and Islamabad","authors":"M. Raja, Marriyam Khalid Sharif, Jannat Shahid, Ayesha Junaid, Rubina Zulfqar","doi":"10.32593/JSTMU/VOL3.ISS2.106","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL3.ISS2.106","url":null,"abstract":"Introduction: Thalassemia Major is a hemolytic anemia which is prevalent in developing countries and is preventable by promoting awareness among the masses. \u0000Objectives: To assess the current general disease awareness and compare the level of understanding between parents attending government versus private thalassemia care facilities. \u0000Methods: This cross-sectional study was conducted in four thalassemia centers of Rawalpindi and Islamabad from December 2017 to January 2019. Parents/caregivers of Thalassemia Major Patients were included by non-probability purposive sampling and those having children having other blood disorders, were excluded. After taking informed consent, a pretested structured questionnaire was given to participants and awareness level was classified into ‘unaware’, ‘aware’ and ‘well-aware’ categories, based on the score achieved. Data was evaluated using SPSS version 23.0. Chi-square test was used for analysis. \u0000Results: A total of 277 parents were included. Parents who took their children to government and private centers were 161 (58.1%) vs 116 (41.9%) respectively. There was a statistically significant difference in the know-how about mode of disease transmission (p value=0.02), blood-borne diseases (p value=0.00), method of complete cure (p value= 0.05) and harmful effects of repetitive blood transfusions (p value=0.05) among parents visiting the two different facilities. While 80.2% parents in private centers were ‘well-aware’, the corresponding percentage in government centers was 57.1%. \u0000Conclusion: General disease awareness was average. Parents visiting private institutes have shown much better awareness. Funding and dedicated education, with focus on government organizations, which are accessible for the common man, is required.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121567677","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 : 2020-12-23DOI: 10.32593/JSTMU/VOL3.ISS2.76
Bushra Zardad, Anisa Fawad, A. Ismail, Shazia Mehreen, S. Bibi
Introduction: Mid trimester of pregnancy is relatively a safe time of pregnancy with minimal and no complications. Mid trimester pregnancy loss constitutes 1 to 5 % of total miscarriages. The purpose of this study is to evaluate the causes of second trimester miscarriages so as to improve the outcome in future pregnancies. Materials & Methods: This was a prospective cross-sectional study. Demographic features, relevant information and risk factors were recorded in a predesigned proforma. Detailed history was followed by thorough clinical examination and appropriate investigations were advised. Results: Total number of miscarriages admitted in the unit over the period of two years were 336 and among them 30 patients presented with second trimester miscarriages (8.9%). The mean age of the patients was 31.4 years. In 19 patients (63.4%) there were identifiable causes for the miscarriage. 7 patients (23.33%) had fibroids in the uterus, 5 patients (16.67%) had bacterial vaginosis, 4 patients (13.33%) had cervical incompetence and in 3 patients (10%) there were congenital abnormalities in the uterus. Conclusion: Patients with second trimester pregnancy loss are at significantly increased risk (10 times more likely) for recurrent second trimester loss. In 50 to 70% of patients no cause can be identified. After single loss there is 80% chance of successful pregnancy outcome in future. Even after two and three mid trimester losses still there is 60% chance of alive pregnancy next time, so thorough evaluation and management plan is needed to prevent this mishap in future pregnancies.
{"title":"Causes of mid trimester pregnancy loss in a tertiary care hospital","authors":"Bushra Zardad, Anisa Fawad, A. Ismail, Shazia Mehreen, S. Bibi","doi":"10.32593/JSTMU/VOL3.ISS2.76","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL3.ISS2.76","url":null,"abstract":"Introduction: Mid trimester of pregnancy is relatively a safe time of pregnancy with minimal and no complications. Mid trimester pregnancy loss constitutes 1 to 5 % of total miscarriages. The purpose of this study is to evaluate the causes of second trimester miscarriages so as to improve the outcome in future pregnancies. \u0000Materials & Methods: This was a prospective cross-sectional study. Demographic features, relevant information and risk factors were recorded in a predesigned proforma. Detailed history was followed by thorough clinical examination and appropriate investigations were advised. \u0000Results: Total number of miscarriages admitted in the unit over the period of two years were 336 and among them 30 patients presented with second trimester miscarriages (8.9%). The mean age of the patients was 31.4 years. In 19 patients (63.4%) there were identifiable causes for the miscarriage. 7 patients (23.33%) had fibroids in the uterus, 5 patients (16.67%) had bacterial vaginosis, 4 patients (13.33%) had cervical incompetence and in 3 patients (10%) there were congenital abnormalities in the uterus. \u0000Conclusion: Patients with second trimester pregnancy loss are at significantly increased risk (10 times more likely) for recurrent second trimester loss. In 50 to 70% of patients no cause can be identified. After single loss there is 80% chance of successful pregnancy outcome in future. Even after two and three mid trimester losses still there is 60% chance of alive pregnancy next time, so thorough evaluation and management plan is needed to prevent this mishap in future pregnancies.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134026716","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 : 2020-12-23DOI: 10.32593/JSTMU/VOL3.ISS2.95
N. Sultan, Kiran Khushnood, Malik Muhammad Ali Awan
{"title":"Effects of COVID-19 on musculoskeletal system","authors":"N. Sultan, Kiran Khushnood, Malik Muhammad Ali Awan","doi":"10.32593/JSTMU/VOL3.ISS2.95","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL3.ISS2.95","url":null,"abstract":"","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"2010 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121349099","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 : 2020-12-23DOI: 10.32593/JSTMU/VOL3.ISS2.108
Sara Mahmood Qureshi, S. Kafeel, R. Bibi, Jawad Mohmand
Introduction: The unrestricted use of intracytoplasmic sperm injection (ICSI) for non-male factor infertility is associated with adverse outcomes. Post-wash total motile sperm count (PW-TMSC) offers prognostic value to assess sperm quality and aid in the decision to perform in vitro fertilization (IVF) or ICSI. Objectives: The aim of this study was to identify the effect of PW-TMSC on fertilization rates in patients undergoing IVF cycles exclusively with non-male factor infertility. It also aimed to identify whether unnecessary ICSI could be avoided in such cases, thus maximizing optimal outcomes. Materials & Methods: We retrospectively analyzed age, semen volume, prewash TMSC, and PW-TMSC in 68 conventional IVF cycles of infertile couples with non-male factor infertility. Clinical characteristics including female age, number of follicles, level of estradiol on trigger day, mature cumulus-oocyte complexes (COCs) collected, were also included. Results: Incidence of <30% fertilization was significantly higher in the 4-<10 Million group compared with the ≥20 Million post-wash TMSC group (P<0.001). Furthermore, Receiver operating characteristics (ROC) analysis revealed post-wash TMSC as a significant predictor (P<0.05) of total failed fertilization (TFF) and of ≥30% fertilization (P<0.05) with area under curve (AUC) of 0. 79 and 0.77, respectively, with a deemed cutoff of 10.89 Million. Conclusion: Post-wash TMSC is a good predictor of fertilization; it can help in avoiding potentially low or even total fertilization failure (TFF). A cut-off point of 10.89 Million or less should warrant the use of ICSI.
{"title":"Post-wash total motile sperm count a useful predictor in the decision to perform IVF/ICSI in patients with non-male factor infertility","authors":"Sara Mahmood Qureshi, S. Kafeel, R. Bibi, Jawad Mohmand","doi":"10.32593/JSTMU/VOL3.ISS2.108","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL3.ISS2.108","url":null,"abstract":"Introduction: The unrestricted use of intracytoplasmic sperm injection (ICSI) for non-male factor infertility is associated with adverse outcomes. Post-wash total motile sperm count (PW-TMSC) offers prognostic value to assess sperm quality and aid in the decision to perform in vitro fertilization (IVF) or ICSI. \u0000Objectives: The aim of this study was to identify the effect of PW-TMSC on fertilization rates in patients undergoing IVF cycles exclusively with non-male factor infertility. It also aimed to identify whether unnecessary ICSI could be avoided in such cases, thus maximizing optimal outcomes. \u0000Materials & Methods: We retrospectively analyzed age, semen volume, prewash TMSC, and PW-TMSC in 68 conventional IVF cycles of infertile couples with non-male factor infertility. Clinical characteristics including female age, number of follicles, level of estradiol on trigger day, mature cumulus-oocyte complexes (COCs) collected, were also included. \u0000Results: Incidence of <30% fertilization was significantly higher in the 4-<10 Million group compared with the ≥20 Million post-wash TMSC group (P<0.001). Furthermore, Receiver operating characteristics (ROC) analysis revealed post-wash TMSC as a significant predictor (P<0.05) of total failed fertilization (TFF) and of ≥30% fertilization (P<0.05) with area under curve (AUC) of 0. 79 and 0.77, respectively, with a deemed cutoff of 10.89 Million. \u0000Conclusion: Post-wash TMSC is a good predictor of fertilization; it can help in avoiding potentially low or even total fertilization failure (TFF). A cut-off point of 10.89 Million or less should warrant the use of ICSI.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"85 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131207015","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 : 2020-12-23DOI: 10.32593/JSTMU/VOL3.ISS2.111
Z. Naeem, H. Choudhry, Ghanwa Bareach, S. Naseem, S. Rafi, Sana Mangrio
Mental health issues due to the pandemic of CoVID-19 have not been properly addressed since the outbreak emerged. Numerous studies were conducted worldwide to highlight the importance of the effect of pandemic on mental health. A large number of researches were carried out to address the impacts of CoVID-19. In present times, when social distancing and isolation at home is the main preventive measure suggested by the WHO, mental health problems are surfacing which need to be timely addressed and treated. This review article focuses on the importance of mental health issues after the lockdown, social distancing, staying at home and other measures implemented due to the outbreak of CoVID-19. Studies have also highlighted the effects of social media on the prevalence of mental health issues in people worldwide. Based on the findings of previous pandemics, mental health problems can leave long lasting and devastating effects on people. Therefore, adequate preventive measures must be taken to avoid such health problems. Studies have been carried out to emphasize the urgent need of research regarding the mental health issues due to CoVID-19. Many psychological problems like depression, anxiety, post-traumatic stress disorder, insomnia, fear of getting infected and death, lack of motivation is common during this perplexing period and the challenge is to remotely access such patients for early diagnosis and prompt treatment. Furthermore, the increase in the cases of domestic violence during this time has also been reported which should be addressed. In order to strengthen the mental health of a community, we must find ways to cope with stress and trauma in a better and healthy way in times of crisis.
{"title":"Mental health issues during COVID-19 pandemic","authors":"Z. Naeem, H. Choudhry, Ghanwa Bareach, S. Naseem, S. Rafi, Sana Mangrio","doi":"10.32593/JSTMU/VOL3.ISS2.111","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL3.ISS2.111","url":null,"abstract":"Mental health issues due to the pandemic of CoVID-19 have not been properly addressed since the outbreak emerged. Numerous studies were conducted worldwide to highlight the importance of the effect of pandemic on mental health. A large number of researches were carried out to address the impacts of CoVID-19. In present times, when social distancing and isolation at home is the main preventive measure suggested by the WHO, mental health problems are surfacing which need to be timely addressed and treated. This review article focuses on the importance of mental health issues after the lockdown, social distancing, staying at home and other measures implemented due to the outbreak of CoVID-19. \u0000 Studies have also highlighted the effects of social media on the prevalence of mental health issues in people worldwide. Based on the findings of previous pandemics, mental health problems can leave long lasting and devastating effects on people. Therefore, adequate preventive measures must be taken to avoid such health problems. Studies have been carried out to emphasize the urgent need of research regarding the mental health issues due to CoVID-19. Many psychological problems like depression, anxiety, post-traumatic stress disorder, insomnia, fear of getting infected and death, lack of motivation is common during this perplexing period and the challenge is to remotely access such patients for early diagnosis and prompt treatment. Furthermore, the increase in the cases of domestic violence during this time has also been reported which should be addressed. In order to strengthen the mental health of a community, we must find ways to cope with stress and trauma in a better and healthy way in times of crisis. ","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117277377","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 : 2020-12-23DOI: 10.32593/JSTMU/VOL3.ISS2.96
F. Abid, Musa Aamer, Samira Faiz, F. Azam, A. Shaheen, N. Javed
Introduction: Dysmenorrhea is a very common reproductive issue present in young females that severely impacts their life. Objectives: To determine the prevalence of primary dysmenorrhea amongst undergraduate students of Pakistan, the association of dysmenorrhea with various factors, and the impact on academic performance. Methodology: An observational study was carried out at different Pakistani universities. The data was collected using a self-designed, pre-tested questionnaire. which was distributed online. The data was analyzed using IBM Statistical Package for Social Sciences (SPSS) version (Armonk, NY) 26.0. Descriptive statistics were applied for qualitative variables. Mean and standard deviation were calculated for quantitative variables. Chi-square was applied to determine if the differences in cycle length were significantly related to dysmenorrhea. T-tests were applied to determine if there were significant differences in age and body mass index in participants with dysmenorrhea. Result: There were 226 students who had participated in the study. There were 193 (85.40%) participants who reported experiencing dysmenorrhea out of which 97 students (50.26%) took a drug or a combination of drugs to alleviate the pain. There was a high prevalence of stress symptoms associated with dysmenorrhea with fatigue after sleep (p<0.05). Physical activity did not have any effect on dysmenorrhea. Physical activity, the average grade of pain, and the presence of pain in each cycle were significant predictors of dysmenorrhea (p<0.05). Conclusion Physical activity and characteristics of pain, such as cyclical nature and intensity, are predictors of dysmenorrhea.
痛经是一种非常常见的生殖问题，存在于年轻女性中，严重影响她们的生活。目的:了解巴基斯坦大学生原发性痛经的患病率，痛经与各种因素的关系，以及痛经对学习成绩的影响。方法:在巴基斯坦不同的大学进行了一项观察性研究。数据是通过自行设计、预先测试的问卷收集的。在网上发布。使用IBM Statistical Package for Social Sciences (SPSS) version (Armonk, NY) 26.0对数据进行分析。定性变量采用描述性统计。计算定量变量的均值和标准差。采用卡方法确定周期长度的差异是否与痛经显著相关。应用t检验来确定痛经患者的年龄和体重指数是否有显著差异。结果:共有226名学生参与了本研究。有193人(85.40%)报告痛经，其中97人(50.26%)服用药物或联合用药来缓解痛经。痛经伴睡后疲劳的应激症状发生率较高(p<0.05)。体力活动对痛经没有任何影响。体力活动、疼痛的平均程度和每个周期疼痛的存在是痛经的显著预测因子(p<0.05)。结论体力活动和疼痛特征，如周期性和强度，是痛经的预测因素。
{"title":"Dysmenorrhea in students: Characteristics and predictors","authors":"F. Abid, Musa Aamer, Samira Faiz, F. Azam, A. Shaheen, N. Javed","doi":"10.32593/JSTMU/VOL3.ISS2.96","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL3.ISS2.96","url":null,"abstract":"Introduction: Dysmenorrhea is a very common reproductive issue present in young females that severely impacts their life. \u0000Objectives: To determine the prevalence of primary dysmenorrhea amongst undergraduate students of Pakistan, the association of dysmenorrhea with various factors, and the impact on academic performance. \u0000Methodology: An observational study was carried out at different Pakistani universities. The data was collected using a self-designed, pre-tested questionnaire. which was distributed online. The data was analyzed using IBM Statistical Package for Social Sciences (SPSS) version (Armonk, NY) 26.0. Descriptive statistics were applied for qualitative variables. Mean and standard deviation were calculated for quantitative variables. Chi-square was applied to determine if the differences in cycle length were significantly related to dysmenorrhea. T-tests were applied to determine if there were significant differences in age and body mass index in participants with dysmenorrhea. \u0000Result: There were 226 students who had participated in the study. There were 193 (85.40%) participants who reported experiencing dysmenorrhea out of which 97 students (50.26%) took a drug or a combination of drugs to alleviate the pain. There was a high prevalence of stress symptoms associated with dysmenorrhea with fatigue after sleep (p<0.05). Physical activity did not have any effect on dysmenorrhea. Physical activity, the average grade of pain, and the presence of pain in each cycle were significant predictors of dysmenorrhea (p<0.05). \u0000Conclusion Physical activity and characteristics of pain, such as cyclical nature and intensity, are predictors of dysmenorrhea. ","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127440448","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 : 2019-12-19DOI: 10.32593/jstmu/vol2.iss2.51
Saeeda Taj, K. Anwar, A. Sajjad
Objective: The main purpose of this study was to create awareness of holistic Screening approach about Peripheral Diabetic Neuropathy among Physical Therapists in Twin Cities. A descriptive cross-sectional study conducted at hospitals of Rawalpindi and Islamabad for of 6 months. Methodology: A descriptive cross-sectional survey was carried out and non-probability purposive sampling technique was used to collect data from 110 Physical Therapists (58.1% females and 41.8% Males. A specified semi structured questionnaire was used to collect data from Physical Therapists. Results: This study was carried out on 110 Physical Therapists. Results of our study showed that 94 (85.5%) Physical Therapists screened patients with different modalities such as 7 (6.4%) used touch perception, 6 (5.5%) used pain perception, 2 (1.8%) used vibration perception and only 1 (.9%) used ankle deep tendon reflex. 97 (88.2%) Physical Therapists assessed pain by different methods such as Pin prick method was used by 67 (60.9%) therapist, VAS was used by 15 (13.6%) therapists, 87 (79.1%) Physical Therapists assessed touch sensation. 21 (19.1%), used cotton ball, 5 (4.5%) used manual touch while 41 (37.3%) were having no specific response. Conclusion: It is concluded that Physical Therapists of twin cities are aware of basic screening steps for Peripheral Diabetic Neuropathy and they utilize appropriate tool/modalities for assessing sensations and motor reflexes. This highlight the up to date evidence-based knowledge of PT working in twin cities.
{"title":"Awareness about peripheral diabetic neuropathy among physical therapists in twin cities","authors":"Saeeda Taj, K. Anwar, A. Sajjad","doi":"10.32593/jstmu/vol2.iss2.51","DOIUrl":"https://doi.org/10.32593/jstmu/vol2.iss2.51","url":null,"abstract":"Objective: The main purpose of this study was to create awareness of holistic Screening approach about Peripheral Diabetic Neuropathy among Physical Therapists in Twin Cities. A descriptive cross-sectional study conducted at hospitals of Rawalpindi and Islamabad for of 6 months. \u0000Methodology: A descriptive cross-sectional survey was carried out and non-probability purposive sampling technique was used to collect data from 110 Physical Therapists (58.1% females and 41.8% Males. A specified semi structured questionnaire was used to collect data from Physical Therapists. \u0000Results: This study was carried out on 110 Physical Therapists. Results of our study showed that 94 (85.5%) Physical Therapists screened patients with different modalities such as 7 (6.4%) used touch perception, 6 (5.5%) used pain perception, 2 (1.8%) used vibration perception and only 1 (.9%) used ankle deep tendon reflex. 97 (88.2%) Physical Therapists assessed pain by different methods such as Pin prick method was used by 67 (60.9%) therapist, VAS was used by 15 (13.6%) therapists, 87 (79.1%) Physical Therapists assessed touch sensation. 21 (19.1%), used cotton ball, 5 (4.5%) used manual touch while 41 (37.3%) were having no specific response. \u0000Conclusion: It is concluded that Physical Therapists of twin cities are aware of basic screening steps for Peripheral Diabetic Neuropathy and they utilize appropriate tool/modalities for assessing sensations and motor reflexes. This highlight the up to date evidence-based knowledge of PT working in twin cities.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131887604","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 : 2019-12-19DOI: 10.32593/jstmu/vol2.iss2.56
S. Mansoor, Almas Ashraf
Objective: The simple curriculum of Medical science has the complex biochemical theories which are hard to grasp. To address this problem, practical knowledge and change in approach to study is relevant to have a better foundation in clinical years; where this information has to be applied. Methodology: Modifications were made in experimental biochemistry and genetics to focus on more applied knowledge through experiments and problem-based learning. A seven-item questionnaire to check the students’ perspective of biochemistry was distributed among second year students, 89 out of 104 responded. Results: 42 were males and 47 were females. The results were positive between 60% and 70% for all the items. 70% was highest, which was for component, which they still hope for better courses in the future. Conclusion: Numerous strategies have been applied to promote teaching results and increase the effectiveness of teaching to undergraduate clinical students in biochemistry.
{"title":"Prespective of medical students towards experimental biochemistry","authors":"S. Mansoor, Almas Ashraf","doi":"10.32593/jstmu/vol2.iss2.56","DOIUrl":"https://doi.org/10.32593/jstmu/vol2.iss2.56","url":null,"abstract":"Objective: The simple curriculum of Medical science has the complex biochemical theories which are hard to grasp. To address this problem, practical knowledge and change in approach to study is relevant to have a better foundation in clinical years; where this information has to be applied. \u0000Methodology: Modifications were made in experimental biochemistry and genetics to focus on more applied knowledge through experiments and problem-based learning. A seven-item questionnaire to check the students’ perspective of biochemistry was distributed among second year students, 89 out of 104 responded. \u0000Results: 42 were males and 47 were females. The results were positive between 60% and 70% for all the items. 70% was highest, which was for component, which they still hope for better courses in the future. \u0000Conclusion: Numerous strategies have been applied to promote teaching results and increase the effectiveness of teaching to undergraduate clinical students in biochemistry.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129015970","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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