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Association of depression, physical activity levels and general psychological health among physical therapy students of Rawalpindi and Islamabad. 拉瓦尔品第和伊斯兰堡理疗学生抑郁、身体活动水平和一般心理健康的关系。
Pub Date : 2019-07-21 DOI: 10.32593/JSTMU/VOL2.ISS1.27
S. Qureshi, Huma Riaz, Malik Muhammad Ali Awan, Kiran Khushnood, R. Hussain
Objective: To determine the association of depression, physical activity (PA) levels and general psychological health among physical therapy students of Rawalpindi and Islamabad. Methodology: This was a cross-sectional study conducted among students of physiotherapy department at Rawalpindi and Islamabad Institutions, from August 2015 to January 2016. Five hundred students were recruited using non-probability convenient sampling. The data was collected through a questionnaire that comprised of demographic information, Beck Depression Inventory-II (BDI-II), General Health Questionnaire-12(GHQ-12) and Rapid Assessment of Physical Activity (RAPA). The data were analyzed using SPSS version 20 and correlation analysis was performed to see the relationship amongst depression, PA and general psychological health. Results: Majority of the students (42.6%) had mild depression. However, 64.8% students had no psychological distress. Moreover, 33.4% of the students were involved in aerobic activities and majority of them (37.6%) were not doing any activities to improve flexibility and increase muscle strength. There was an inverse correlation between RAPA and BDI-II (p<0.001) and a positive association between RAPA and GHQ-12 (p<0.001). Conclusion: The study concluded that majority of the students had mild depression but their general psychological health was not affected as they were involved in routine physical activity. The result of this study provides evidence that there is a negative relation between physical activity and depression and a positive relation between physical activity and general psychological health.
目的:了解拉瓦尔品第和伊斯兰堡地区物理治疗学生抑郁、身体活动水平与一般心理健康状况的关系。方法:这是一项横断面研究,于2015年8月至2016年1月在拉瓦尔品第和伊斯兰堡机构物理治疗部门的学生中进行。采用非概率方便抽样方法招募了500名学生。数据通过人口统计信息、贝克抑郁量表- ii (BDI-II)、一般健康问卷-12(GHQ-12)和身体活动快速评估(RAPA)问卷收集。采用SPSS version 20对数据进行分析,并进行相关分析,观察抑郁、PA与一般心理健康之间的关系。结果:绝大多数学生(42.6%)有轻度抑郁。64.8%的学生没有心理困扰。此外,33.4%的学生参加了有氧运动,其中大部分(37.6%)没有进行任何提高柔韧性和增加肌肉力量的活动。RAPA与BDI-II呈负相关(p<0.001),与GHQ-12呈正相关(p<0.001)。结论:大部分学生有轻度抑郁,但由于他们参与了日常的体育活动,他们的总体心理健康没有受到影响。本研究的结果提供了证据,证明体育活动与抑郁症之间存在负相关关系,而体育活动与一般心理健康之间存在正相关关系。
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引用次数: 4
Contraceptive prevalence rate in women of reproductive age in a semi urban community of Islamabad 伊斯兰堡半城市社区育龄妇女的避孕普及率
Pub Date : 2019-01-16 DOI: 10.32593/jstmu/vol1.iss1.33
U. K. Khattak, S. Iqbal, A. Abdullah, Ayesha Chowhan
Objective: To determine the prevalence of utilization of family planning methods among married women of reproductive age in a semi urban community of Islamabad. Methodology: A cross-sectional survey was done using two stage sampling, including cluster and consecutive sampling techniques. A proportionate sample from each mohallas of Nurpur Shahan was taken to achieve our sample size. All married women of the reproductive age group (15-45 years) living with their husbands, not diagnosed as a case of infertility and permanent residents of Nurpur Shahan were included. Results: Total of 550 women were included in the study with mean age of 31.64 years. Majority of women 497 (94.7%) were currently married while 322 (59.9 %) were literate. Of all the women, 72 (13.2%) women were currently pregnant and only 62 (11.3%) had a planned pregnancy. Induced abortion was practiced once by 9 (1.8%) women and 21 (4.1%) had done it twice. 394 (72.8%) had knowledge of family planning methods and only 102 (19.5%) women were using family Planning methods currently. Conclusion: Miscellaneous challenges are involved to increase involvement of the women and their families in the use of family planning services. Health education campaigns at community level to increase awareness regarding different family planning methods are highly needed. Government needs to improve the LHWs services to increase the use of family planning methods and combat induced abortions as a method of contraception. Controlling population through sterilization after attaining a large family size should not be the preferred method of family Planning.
目的:了解伊斯兰堡半城市社区已婚育龄妇女计划生育方法使用情况。方法:横断面调查采用两阶段抽样,包括整群抽样和连续抽样技术。按比例从努尔普尔沙汗的每个莫哈拉抽取样本,以达到我们的样本量。所有育龄组已婚妇女(15-45岁)与丈夫同住,未被诊断为不孕症和努尔普尔沙汗的永久居民都包括在内。结果:共纳入550例女性,平均年龄31.64岁。497名(94.7%)妇女目前已婚,322名(59.9%)妇女识字。在所有妇女中,72名(13.2%)妇女目前怀孕,只有62名(11.3%)有计划怀孕。人工流产1次9例(1.8%),两次21例(4.1%)。394名(72.8%)妇女对计划生育方法有所了解,目前仅有102名(19.5%)妇女在使用计划生育方法。结论:提高妇女及其家庭对计划生育服务使用的参与涉及各种挑战。亟需在社区一级开展保健教育运动,提高人们对不同计划生育方法的认识。政府需要改善家庭保健服务,增加计划生育方法的使用,并反对将人工流产作为一种避孕方法。在达到较大家庭规模后通过绝育控制人口不应成为计划生育的首选方法。
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引用次数: 0
Medical students assisted health checkup and focused health education – An integration of community and family medicine 医学生协助健康检查和重点健康教育-社区和家庭医学的结合
Pub Date : 2019-01-16 DOI: 10.32593/JSTMU/VOL1.ISS1.35
S. Naseem, Haider Ghazanfar, S. H. Fatima, Ali Ghazanfar
Objective: The objective of the study was to integrate family medicine practice with the theme of school health service, nutrition and communication skills in the year 4 MBBS curriculum at Shifa College of Medicine, Islamabad. Methodology: Health checkup of students aged 5-15 years, in a private school Mashal Model School, Nurpur Shahan, Islamabad was carried out by a family physician assisted by 100 medical students of Year 4, undergoing Community and Family Medicine clerkship at Shifa College of Medicine, Islamabad. School children were given health education in their identified health problem. Medical students’ views regarding the activity were recorded through focused group discussion. Results: Each medical student got the opportunity to assist health checkup along with educating them on their health issue in an interactive group discussion for five minutes. Mean score of the impact of this activity on their career was found to be 7.55±1.04 while the impact of this activity in their role as a health provider was found to be 7.64±1.12. Different themes were generated from the focused group discussion. Conclusion: Themes of school health service, nutrition and communication skills can be successfully integrated in the undergraduate teaching of community and family medicine. Medical students by assisting the generalist practice in the school environment can learn communication skills, thus moving towards social responsibility.
目的:本研究的目的是将家庭医学实践与学校卫生服务、营养和沟通技巧主题整合到伊斯兰堡Shifa医学院四年级MBBS课程中。方法:在伊斯兰堡Nurpur Shahan的一所私立学校Mashal示范学校,一名家庭医生在伊斯兰堡Shifa医学院社区和家庭医学实习的100名四年级医学生的协助下,对5-15岁学生进行了健康检查。对在校儿童进行了健康教育,以解决他们确定的健康问题。通过小组讨论记录医学生对活动的看法。结果:每位医学生都有机会在五分钟的互动小组讨论中协助健康检查并对他们进行健康问题的教育。该活动对其职业生涯影响的平均得分为7.55±1.04,对其作为健康提供者角色的影响的平均得分为7.64±1.12。焦点小组讨论产生了不同的主题。结论:学校卫生服务、营养和沟通技巧等主题可成功融入社区与家庭医学本科教学。医学生通过在学校环境中协助多面手实习,可以学习沟通技巧,从而走向社会责任。
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引用次数: 1
Trends of undergoing formative assessment in undergraduate medical students 医本科生进行形成性评价的趋势
Pub Date : 2019-01-16 DOI: 10.32593/JSTMU/VOL1.ISS1.34
F. Azam, A. Shaheen, Khurram Irshad, N. Javed, Madiha Ata
Objective: Medical curriculum is always subject to new strategies to ensure effective delivery of learning material. Online formative assessments are gaining popularity over conventional paper based formative assessments due to recent advances in technology and increasing familiarity of students with computer-based examinations. With this background, objectives of this study were to explore trends of computer based formative assessment in undergraduate medical students and to investigate the impact of online formative assessments on summative assessment scores. Methodology: A prospective cohort study was conducted on 100 medical students from 3rd year in November 2016 and July 2017. The data was collected using SPSS software and analyzed by T-tests and descriptive tables. Results: The mean summative score of students who took an online formative assessment in a module was significantly higher compared to mean score of students who did not take formative assessment. Mean summative score of another group of students who took an online formative assessment in a different module was statistically different than mean score of students who did not take formative assessment (p- Value = 0.00). Conclusion: Online formative assessment is an effective tool for improving student’s performance in the summative assessment.
目的:医学课程不断更新,以确保学习材料的有效传递。由于最近技术的进步和学生对计算机考试的日益熟悉,在线形成性评估比传统的基于纸张的形成性评估越来越受欢迎。在此背景下,本研究旨在探讨医学生计算机形成性评估的趋势,并探讨在线形成性评估对总结性评估分数的影响。方法:于2016年11月至2017年7月对100名三年级医学生进行前瞻性队列研究。数据采用SPSS软件收集,采用t检验和描述性表进行分析。结果:在一个模块中,参加在线形成性评估的学生的平均总结性得分显著高于没有参加形成性评估的学生的平均得分。另一组在不同模块进行在线形成性评估的学生的平均总结性得分与未进行形成性评估的学生的平均总结性得分有统计学差异(p- Value = 0.00)。结论:网络形成性评价是提高学生总结性评价成绩的有效工具。
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引用次数: 4
Physicians’ and Nurses’ perspectives on the importance of advance directives in tertiary care hospitals 医生和护士对三级护理医院预先指示重要性的看法
Pub Date : 2019-01-16 DOI: 10.32593/JSTMU/VOL1.ISS1.31
N. Panjwani, R. Gul, Fauziya Ali, R. Khan
Objective: This study aimed to explore and identify the nurses’ and physicians’ views about Advance Directives and identified their perspectives on its importance, in the context of Pakistan. Methodology: Using a purposive sample, six physicians and seven nurses from two tertiary care hospitals in Karachi participated in the study. Data was collected using semi structured interviews that were transcribed verbatim. The interviews were coded and categorized manually. Analysis of the data drew four categories: roles of physicians and nurses in the End of life care, challenges they faced while taking end of life care decisions; their perspectives about Advance Directives, and the scope of acceptability of Advance Directives in the context of a Pakistani society. Results: This study revealed that patients’ families and physicians usually take decisions for patients’ End of Life care. Although majority of participants acknowledged the usefulness of Advance Directives, they explicated several issues that may be encountered in implementing it. The issues included non-disclosure of diagnosis to the patient in Pakistani culture, the tedious legalization process involved, and the potential problem of forged documents. Conclusion: Participants recommended establishment of Palliative Care services before execution of Advance Directives. This study indicated viability of Advance Directives; however, a wider exploration would be required in terms of study population. Reforms to support this concept would be required in systems, structure, legal policy, and training of Health care professionals. Besides these transformations, promotion of public education about the advantages of Advance Directives could enhance their acceptability among the general population.
目的:本研究旨在探讨和确定护士和医生对预先指示的看法,并确定他们对其重要性的看法,在巴基斯坦的背景下。方法:使用有目的的样本,来自卡拉奇两家三级护理医院的六名医生和七名护士参加了研究。数据收集采用半结构化访谈,逐字记录。这些访谈是手工编码和分类的。对数据的分析得出了四个类别:医生和护士在临终关怀中的角色,他们在做出临终关怀决定时面临的挑战;他们对预先指示的看法,以及在巴基斯坦社会背景下预先指示的可接受范围。结果:本研究显示患者临终关怀通常由家属及医师决定。虽然大多数与会者承认预先指示的有用性,但他们阐述了在实施时可能遇到的几个问题。这些问题包括在巴基斯坦文化中不向患者披露诊断,涉及的繁琐的合法化过程,以及伪造文件的潜在问题。结论:参与者建议在执行预嘱前建立姑息治疗服务。本研究表明预先指示的可行性;然而,就研究人群而言,需要进行更广泛的探索。需要在制度、结构、法律政策和卫生保健专业人员培训方面进行改革,以支持这一概念。除了这些转变之外,促进有关预先指示优点的公众教育可以提高其在一般人群中的接受程度。
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引用次数: 1
Research and reporting 研究和报告
Pub Date : 2019-01-16 DOI: 10.32593/JSTMU/VOL1.ISS1.30
M. I. Khan
Research is indispensable for the growth and development of all disciplines, particularly medical sciences which fundamentally need continuous research and progressive innovation. Writing and reporting scientific discoveries is an important outcome of a researcher. Mostly, editors and reviewers appreciate manuscripts that are easy to read and to edit beside valuable scientific contents. Medical writings have significantly improved in past two decades resulting in increased number of medical journals and quality of reporting. Once research findings are ready to be reported, a researcher makes an educated choice, as to where to get it published. A high impact factor indicates that research findings published in journal are considered highly influential. With stirring zeal and drive, the “Journal of Shifa Tameer-e-Millat University” (JSTMU) is being launched and a dedicated team of editors, advisors and reviewers has been appointed to facilitate the researchers who wish to publish in JSTMU. 
研究对于所有学科的成长和发展都是不可或缺的,尤其是医学科学,它从根本上需要不断的研究和不断的创新。写作和报告科学发现是研究人员的重要成果。大多数情况下,编辑和审稿人欣赏的是除了有价值的科学内容外,易于阅读和编辑的手稿。在过去二十年中,医学著述有了显著的改善,导致医学期刊数量和报告质量的增加。一旦研究结果准备好报告,研究人员就会做出一个有根据的选择,即在哪里发表。影响因子高表明发表在期刊上的研究成果具有很高的影响力。在激动人心的热情和动力下,《什法塔米尔-e-米拉特大学学报》(JSTMU)正在创刊,并任命了一支由编辑、顾问和审稿人组成的专门团队,为希望在JSTMU发表论文的研究人员提供便利。
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引用次数: 0
Prevalence of sensorineural hearing loss among patients of diabetes mellitus in Southern Punjab, Pakistan 巴基斯坦旁遮普南部糖尿病患者感音神经性听力损失的患病率
Pub Date : 2019-01-16 DOI: 10.32593/jstmu/vol1.iss1.36
S. Majeed, Nazia Mumtaz, G. Saqulain
Background: Diabetes Mellitus (DM) is a common metabolic disorder with a prevalence of 11.77%. Studies report that DM can result in Sensorineural hearing loss (SNHL). A high prevalence of Hearing loss (HL) (43.6%) in diabetics was noted in an Indian study. In absence of local studies and a high expected prevalence, with no screening recommendations, this study was carried out to determine the prevalence of Sensorineural Hearing Loss (SNHL) in Diabetes Mellitus DM in Southern Punjab. Methodology: In this cross-sectional study, a sample of 310 diabetics, hailing from southern Punjab and fulfilling selection criteria were recruited. Samples were collected using probability sampling technique from September 2016 to December 2016. Following detailed history and examination, cases were subjected to pure tone audiometry (PTA) at 0.5 to 6 KHz to obtain hearing thresholds to determine the prevalence. Data was analyzed by SPSS 20. Results: Sample included N=310 diabetics with Mean age of 35.00 + 6.93 years with 58.39% males and 41.61% females. The prevalence of HL was 46.1%. Gender wise of the male population with HL, 27.97% and 28.67% had mild and moderate HL respectively with severe HL in 8.39% cases, while moderate HL was prevalent in females 20.98%, followed by mild HL in 9.97% and severe HL in 4.20%. There was significant correlation between Diabetes and SNHL with p-value < 0.05. Conclusion: There is a high prevalence of sensorineural hearing loss in Diabetes mellitus.
背景:糖尿病(DM)是一种常见的代谢性疾病,患病率为11.77%。研究报道,糖尿病可导致感音神经性听力损失(SNHL)。印度的一项研究指出,糖尿病患者中听力损失(HL)的患病率很高(43.6%)。在缺乏当地研究和高预期患病率的情况下,没有筛查建议,本研究旨在确定旁遮普南部糖尿病患者感音神经性听力损失(SNHL)的患病率。方法:在这项横断面研究中,招募了310名来自旁遮普南部并符合选择标准的糖尿病患者。样本采集时间为2016年9月至2016年12月,采用概率抽样方法。在详细的病史和检查后,对病例进行0.5至6 KHz的纯音测听(PTA)以获得听力阈值以确定患病率。数据采用SPSS 20进行分析。结果:纳入糖尿病患者310例,平均年龄35.00 + 6.93岁,男性占58.39%,女性占41.61%。HL患病率为46.1%。男性HL患者中,轻、中度发生率分别为27.97%和28.67%,重度发生率为8.39%,女性为中度发生率为20.98%,其次为轻度发生率为9.97%,重度发生率为4.20%。糖尿病与SNHL有显著相关性,p值< 0.05。结论:糖尿病患者感音神经性听力损失发生率较高。
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引用次数: 2
Torsion of lesser omentum: A rare presentation of acute abdomen 小网膜扭转:急腹症的罕见表现
Pub Date : 2019-01-16 DOI: 10.32593/JSTMU/VOL1.ISS1.38
Muhammad Abdullah Khalid, A. Amin, M. Amir
Intraperitoneal Focal Fat Infarction is a rare cause of acute abdomen. There are two types, Omental Torsion and Epiploic Appendagitis. We present a case of 19 years old male who presented to ER with severe pain in epigastrium and right iliac fossa. Clinical diagnosis of acute appendicitis was made, but epigastric pain remained unexplained. CT scan was reported as non-significant. Diagnostic Laparoscopy picked lesser omental infarction and acute appendicitis. Patient was successfully managed by Laparoscopic Surgery. Symptoms not explained by a single pathology should be thoroughly investigated. CT Scan is the best investigation. Laparoscopic surgery is an effective and safe approach for small segmental omental torsion.
腹膜局灶性脂肪梗死是一种罕见的急腹症。有两种类型,网膜扭转和网膜阑尾炎。我们提出了一个19岁的男性谁提出了严重的疼痛在上腹部和右髂窝急诊室。临床诊断急性阑尾炎,但胃脘痛仍不明原因。CT扫描结果无统计学意义。诊断性腹腔镜检出小网膜梗塞和急性阑尾炎。经腹腔镜手术成功治疗。不能由单一病理解释的症状应彻底调查。CT扫描是最好的检查方法。腹腔镜手术是治疗小节段性网膜扭转的一种安全有效的方法。
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引用次数: 1
Awareness among medical students in Islamabad and Rawalpindi regarding use of anti-bacterial soaps: A cross-sectional study 伊斯兰堡和拉瓦尔品第医科学生对抗菌肥皂使用的认识:一项横断面研究
Pub Date : 2019-01-16 DOI: 10.32593/JSTMU/VOL1.ISS1.32
A. Shaheen, N. Javed, F. Azam, Madiha Ata, Anoosh Zafar
Objective: The objective of this study was to determine the knowledge, practices and attitudes of undergraduate medical students about anti-bacterial soaps and hand sanitizers. Methodology: This was a cross-sectional study conducted with the help of a self-designed, validated online and paperback questionnaire.  The questions were based on knowledge, attitudes and practices of students regarding antibacterial soaps and hand sanitizers. Results: A total of 474 students participated in the study. Majority of the students preferred medicated soaps (55.7%) and hand sanitizers (41.6%) for daily use and considered these products to be superior to regular non-medicated soaps and hand sanitizers. Television commercials (61.8%) were the most common source of information about these products. Medical students found it important to further increase the use of medicated soaps for better protection against disease causing microbes. Conclusion: Majority of the study participants were conscious about hygiene and hand sanitization because of interaction with patients. Moreover, most of the students perceived medicated soaps and hand sanitizers to be effective for protection against disease causing microbes under the influence of media marketing campaigns.
目的:了解医学生抗菌肥皂和洗手液的知识、做法和态度。方法:这是一项横断面研究,通过自行设计、验证的在线平装问卷进行。这些问题是基于学生对抗菌肥皂和洗手液的知识、态度和实践。结果:共有474名学生参与了研究。大多数学生更喜欢日常使用药物肥皂(55.7%)和洗手液(41.6%),并认为这些产品优于普通的非药物肥皂和洗手液。电视广告(61.8%)是这些产品最常见的信息来源。医学院学生发现,为了更好地预防致病微生物,进一步增加药用肥皂的使用非常重要。结论:大多数研究参与者由于与患者的互动而具有卫生和手卫生意识。此外,在媒体营销活动的影响下,大多数学生认为药物肥皂和洗手液对预防致病微生物有效。
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引用次数: 0
Shisha use and trends in Pakistan: A narrative review 巴基斯坦水烟的使用和趋势:叙述性回顾
Pub Date : 2019-01-16 DOI: 10.32593/jstmu/Vol1.Iss1.37
Saba Savul
Shisha smoking is a growing global epidemic and a preventable cause of mortality and morbidity. Shisha use is popular among youth worldwide constituting a voguish social trend. It is widely regarded as less hazardous and more acceptable than cigarette smoking. However, research evidence has highlighted numerous harmful effects of shisha smoking. A literature review was conducted to identify all available research related to shisha smoking in Pakistan. “Pubmed” and “Google Scholar” were employed as search engines. This review presents and evaluates evidence regarding trends, patterns, knowledge, beliefs and usage of shisha in Pakistan. It culminates with recommendations to increase awareness of shisha and preventive strategies to combat this significant public health issue in Pakistan.
水烟吸烟是一种日益严重的全球流行病,也是一种可预防的死亡和发病原因。水烟在全球年轻人中流行,构成了一种时尚的社会趋势。它被广泛认为比吸烟危害更小,更容易被接受。然而,研究证据强调了水烟的许多有害影响。进行了一项文献综述,以确定所有与巴基斯坦水烟吸烟有关的现有研究。“Pubmed”和“Google Scholar”被用作搜索引擎。本综述介绍并评估了巴基斯坦水烟的趋势、模式、知识、信仰和使用的证据。报告最后建议提高对水烟的认识,并提出预防战略,以解决巴基斯坦的这一重大公共卫生问题。
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引用次数: 1
期刊
Journal of Shifa Tameer-e-Millat University
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