Pub Date : 2019-12-23DOI: 10.22442/jlumhs.191840636
W. Qidwai
Dengue is vectorborne viral infection transmitted to humans by the female Aedes aegypti mosquito. Infection with dengue virus may result either in an asymptomatic infection or a febrile illness of varying severity ranging from mild illness to more severe forms such as dengue hemorrhagic fever and dengueshock syndrome 2. At global level, there has been a reported 30fold increase in incidence of Dengue in previous five decades 1. Recent Dengue outbreak in Pakistan has reached epidemic proportion and has surpassed all previous records. Previous large outbreak occurred in 2011 and affected 27,000 people across the country including 370 deaths. During the current year over 25,000 dengue cases have been confirmed from across the country. This includes 6, 537, 5, 642, 4, 403, 4, 276 2, 750 cases from Islamabad, Punjab, Sindh, Khyber Pakhtunkhwa and Bal ochi stan respectively.
{"title":"Dengue Outbreak in Pakistan: Status, Challenges and way Forward","authors":"W. Qidwai","doi":"10.22442/jlumhs.191840636","DOIUrl":"https://doi.org/10.22442/jlumhs.191840636","url":null,"abstract":"Dengue is vectorborne viral infection transmitted to humans by the female Aedes aegypti mosquito. Infection with dengue virus may result either in an asymptomatic infection or a febrile illness of varying severity ranging from mild illness to more severe forms such as dengue hemorrhagic fever and dengueshock syndrome 2. At global level, there has been a reported 30fold increase in incidence of Dengue in previous five decades 1. Recent Dengue outbreak in Pakistan has reached epidemic proportion and has surpassed all previous records. Previous large outbreak occurred in 2011 and affected 27,000 people across the country including 370 deaths. During the current year over 25,000 dengue cases have been confirmed from across the country. This includes 6, 537, 5, 642, 4, 403, 4, 276 2, 750 cases from Islamabad, Punjab, Sindh, Khyber Pakhtunkhwa and Bal ochi stan respectively.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87291015","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 : 2019-10-09DOI: 10.22442/jlumhs.191830635
Shireen Arif, A. Nasir
OBJECTIVE: To explore the experiences of BSN students regarding application of nursing theories at the clinical practice. METHODOLOGY: Qualitative Phenomenology approach was used by using semi-structured questionnaire. Study was conducted at Ziauddin College of Nursing BSN Year IV Semester VIII students after completion of Nursing Theories course. Data was collected from four in-depth interviews from key informants and 3 Focus Groups having 6 members in each group. Data was collected till saturation occurs. Interviews were tape recorded and notes were also taken. Total 22 nursing students participated after signing consent form.RESULTS: The result of the study revealed challenges at clinical site under that helpless, unavailability of subject expert instructor, lack of clinical faculty interest, delay in assignment submission and no long term application were emerged as the categories of the data. CONCLUSION: The current study highlights the experiences of application of nursing theory while applying it at the clinical area. KEYWORDS: Nursing theory, Application of nursing theory, Clinical.
{"title":"Experiences of BSN Students regarding Application of Nursing Theories at Clinical","authors":"Shireen Arif, A. Nasir","doi":"10.22442/jlumhs.191830635","DOIUrl":"https://doi.org/10.22442/jlumhs.191830635","url":null,"abstract":"OBJECTIVE: To explore the experiences of BSN students regarding application of nursing theories at the clinical practice. METHODOLOGY: Qualitative Phenomenology approach was used by using semi-structured questionnaire. Study was conducted at Ziauddin College of Nursing BSN Year IV Semester VIII students after completion of Nursing Theories course. Data was collected from four in-depth interviews from key informants and 3 Focus Groups having 6 members in each group. Data was collected till saturation occurs. Interviews were tape recorded and notes were also taken. Total 22 nursing students participated after signing consent form.RESULTS: The result of the study revealed challenges at clinical site under that helpless, unavailability of subject expert instructor, lack of clinical faculty interest, delay in assignment submission and no long term application were emerged as the categories of the data. CONCLUSION: The current study highlights the experiences of application of nursing theory while applying it at the clinical area. KEYWORDS: Nursing theory, Application of nursing theory, Clinical.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83668513","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 : 2019-09-30DOI: 10.22442/jlumhs.191830627
OBJECTIVE: To identify and differentiate the self-resolving Paediatric Orthopedic conditions namely bow-legs and knock-knees from pathological conditions like metabolic bone diseases -rickets and bone dysplasias.METHODOLOGY: This prospective descriptive, non-randomized, convenience sampling technique study was conducted in the out patient department of the Orthopedic units of the Jinnah Medical College Hospital Karachi, Dow University Hospital Ojha Campus Karachi and Fatima Hospital Baqai University Karachi from February 2012 -January 2018. Total three hundreds children between 1-8 years of age were included with deformities comprising mainly of bowlegs and knock-knees. We included the children having nutritional deficiencies alongside former deformities, and excluded children with neurological disturbances or other syndromes. A detailed history of each patient was taken, emphasizing their perinatal history and developmental milestones.RESULTS: Out of 300 patients 224 (74.67%) had improvement in deformity of legs without any active treatment. There were 64 (21.33%) children, who required treatment, were diagnosed as ricketic patients. There were another group of 12 (4%) children who didn’t show improvement without active intervention. They were categorized as suffering from epiphyseal dysplasias or post-traumatic epiphyseal injury.CONCLUSION: The majority of deformities like bowlegs and knock-knees in children are self-resolving and are considered as physiological variant of musculoskeletal development.The knowledge of spontaneous resolution saves both the time and money spent unnecessarily on these normal variants. KEY WORDS: Bow-legs, Knock-knees, Self-resolving deformity.
{"title":"Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological Deformity","authors":"","doi":"10.22442/jlumhs.191830627","DOIUrl":"https://doi.org/10.22442/jlumhs.191830627","url":null,"abstract":"OBJECTIVE: To identify and differentiate the self-resolving Paediatric Orthopedic conditions namely bow-legs and knock-knees from pathological conditions like metabolic bone diseases -rickets and bone dysplasias.METHODOLOGY: This prospective descriptive, non-randomized, convenience sampling technique study was conducted in the out patient department of the Orthopedic units of the Jinnah Medical College Hospital Karachi, Dow University Hospital Ojha Campus Karachi and Fatima Hospital Baqai University Karachi from February 2012 -January 2018. Total three hundreds children between 1-8 years of age were included with deformities comprising mainly of bowlegs and knock-knees. We included the children having nutritional deficiencies alongside former deformities, and excluded children with neurological disturbances or other syndromes. A detailed history of each patient was taken, emphasizing their perinatal history and developmental milestones.RESULTS: Out of 300 patients 224 (74.67%) had improvement in deformity of legs without any active treatment. There were 64 (21.33%) children, who required treatment, were diagnosed as ricketic patients. There were another group of 12 (4%) children who didn’t show improvement without active intervention. They were categorized as suffering from epiphyseal dysplasias or post-traumatic epiphyseal injury.CONCLUSION: The majority of deformities like bowlegs and knock-knees in children are self-resolving and are considered as physiological variant of musculoskeletal development.The knowledge of spontaneous resolution saves both the time and money spent unnecessarily on these normal variants. KEY WORDS: Bow-legs, Knock-knees, Self-resolving deformity.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84601191","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 : 2019-09-30DOI: 10.22442/jlumhs.191830634
Farwa Batool, Fatima Muaaz, K. Tariq, Nazia Sarfraz
OBJECTIVES: To find out the relationship between chronic LBP (Low back pain) and hamstring tightness in professionals.METHODOLOGY: This was a cross sectional study. The sample size was 150 subjects. Data was collected from Allied Hospital and DHQ Hospital Faisalabad. Male and female both were selected who were High grade professionals (Engineer, Doctor, Businessman) Low grade professionals (Teacher, Bankers), House wife and house husband working in home or hotel. Oswestary disability questionnaire was used to determine the percentage disability in different professionals. Active Knee extension (AKE) test was used for hamstring tightness. Chi square test for independence is used to determine the relationship between chronic low back pain and hamstring tightness in professionals. SPSS was used for analysis of results.RESULTS: About 28% (42) respondents with moderate disability have hamstring tightness and 19% (29) respondents with severe disability have hamstring tightness (P=0.004). Disability percentage has relationship with activities of daily living. Subjects with active life style i.e. involve in different type of activities such as physical activity and exercise or physical work have tight hamstring (P˂0.003). Majority of housewife and house man have tight hamstring so chi square test shows that subject with different level of profession with back pain have hamstring tightness (P˂ 0.001).CONCLUSION: Study indicates that subjects interlinked with different professions (High grade profes-sion, Low grade profession, Housewife, house husband and peon, sweepers) with back pain have tight hamstring muscle. House wife and house husband are most commonly affected. Key words: Chronic back pain, Hamstring tightness, Professionals
{"title":"Relationship of Chronic LBP (Low Back Pain) with Hamstring Tightness in Professionals","authors":"Farwa Batool, Fatima Muaaz, K. Tariq, Nazia Sarfraz","doi":"10.22442/jlumhs.191830634","DOIUrl":"https://doi.org/10.22442/jlumhs.191830634","url":null,"abstract":"OBJECTIVES: To find out the relationship between chronic LBP (Low back pain) and hamstring tightness in professionals.METHODOLOGY: This was a cross sectional study. The sample size was 150 subjects. Data was collected from Allied Hospital and DHQ Hospital Faisalabad. Male and female both were selected who were High grade professionals (Engineer, Doctor, Businessman) Low grade professionals (Teacher, Bankers), House wife and house husband working in home or hotel. Oswestary disability questionnaire was used to determine the percentage disability in different professionals. Active Knee extension (AKE) test was used for hamstring tightness. Chi square test for independence is used to determine the relationship between chronic low back pain and hamstring tightness in professionals. SPSS was used for analysis of results.RESULTS: About 28% (42) respondents with moderate disability have hamstring tightness and 19% (29) respondents with severe disability have hamstring tightness (P=0.004). Disability percentage has relationship with activities of daily living. Subjects with active life style i.e. involve in different type of activities such as physical activity and exercise or physical work have tight hamstring (P˂0.003). Majority of housewife and house man have tight hamstring so chi square test shows that subject with different level of profession with back pain have hamstring tightness (P˂ 0.001).CONCLUSION: Study indicates that subjects interlinked with different professions (High grade profes-sion, Low grade profession, Housewife, house husband and peon, sweepers) with back pain have tight hamstring muscle. House wife and house husband are most commonly affected. Key words: Chronic back pain, Hamstring tightness, Professionals","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74055464","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 : 2019-09-30DOI: 10.22442/jlumhs.191830630
OBJECTIVE: To develop a scale of mental toughness among medical doctors.METHODOLOGY: In the current study Mixed-Method research design was used, qualitative design was used to elicit the items for mental toughness and quantitative was used to establish psychometrics. This study was carried out in Govt. hospitals of Lahore. The study was carried out from August 2018-April 2019. The construct of mental toughness was explored from 20 post graduate residents and house offi-cers (10 men and 10 women) through a semi structured interview. After excluding the repetition finalist of 40 items was further validated by 10 experts and based on the 50% agreement from the experts, a list of 30 items was finalized and piloted on 40 doctors (20 men and 20 women) for assessing user friendli-ness. Finally, a sample of two hundred doctors (100 men and 100 Women) between the ages of 22 to 36 (M =26.17, SD =1.83) from different Government. Hospitals of Lahore were given Mental Toughness Scale, Depression, Anxiety, Stress Scale (DASS-21) along with a Demographic form.RESULTS: Exploratory factor analysis through varimax rotation yielded three factors solution named as Determination, Resilience and Optimism. The MTS was found to have sound psychometric properties as split half reliability was .74 test, retest reliability was .75. CONCLUSION: Mental toughness scale was found high psychometric properties; results were discussed in term of counseling and enhancing positive strengths in medical doctors. KEY WORDS: Mental toughness, Culture, Medical doctors, Scale, Mental health
{"title":"The Development of a Mental Toughness Scale for Doctors: A Psychometric Study","authors":"","doi":"10.22442/jlumhs.191830630","DOIUrl":"https://doi.org/10.22442/jlumhs.191830630","url":null,"abstract":"OBJECTIVE: To develop a scale of mental toughness among medical doctors.METHODOLOGY: In the current study Mixed-Method research design was used, qualitative design was used to elicit the items for mental toughness and quantitative was used to establish psychometrics. This study was carried out in Govt. hospitals of Lahore. The study was carried out from August 2018-April 2019. The construct of mental toughness was explored from 20 post graduate residents and house offi-cers (10 men and 10 women) through a semi structured interview. After excluding the repetition finalist of 40 items was further validated by 10 experts and based on the 50% agreement from the experts, a list of 30 items was finalized and piloted on 40 doctors (20 men and 20 women) for assessing user friendli-ness. Finally, a sample of two hundred doctors (100 men and 100 Women) between the ages of 22 to 36 (M =26.17, SD =1.83) from different Government. Hospitals of Lahore were given Mental Toughness Scale, Depression, Anxiety, Stress Scale (DASS-21) along with a Demographic form.RESULTS: Exploratory factor analysis through varimax rotation yielded three factors solution named as Determination, Resilience and Optimism. The MTS was found to have sound psychometric properties as split half reliability was .74 test, retest reliability was .75. CONCLUSION: Mental toughness scale was found high psychometric properties; results were discussed in term of counseling and enhancing positive strengths in medical doctors. KEY WORDS: Mental toughness, Culture, Medical doctors, Scale, Mental health","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85442476","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 : 2019-09-30DOI: 10.22442/jlumhs.191830626
M. Malik, M. Iqbal, Abdul Malik Magsi, S. Parveen, Muhammad iqbal Khan, M. Shamim., S. Malik
OBJECTIVE: To determine the factors causing peritonitis and deaths at Jinnah Hospital Karachi.METHODOLOGY: The study included 216 patients with acute peritonitis who underwent exploratory laparotomy from 2016 to 2018. Surgical treatment according to cause and post-operative treatment of disease carried out. Histopathological report and other diagnostic test like typhoid dot test and blood culture results were recorded and resultwas analyzed by SPSS version 24.RESULTS: Frequent causes of acute peritonitis were typhoid intestinal perforation 62(28.70%),Peptic ulcer perforation 54 (25%), rupture appendix 38 (17.59%), tuberculous intestine perforation 26 (12.05%), gangrene gut 14 (6.48%), large gut tumor perforation 10 (4.62%), ruptured liver abscess 4 (1.85%), ruptured gall balder 4 (1.85%) and acute pancreatitis 4 (1.85%). Complications were septic shock 30 (13.88%), paralytic ileus 16 (7.40%), burst abdomen 12 (5.5%) and mortality was 8 (3.70%.)CONCLUSION: Infectious diseases like typhoid, H-pylori PUD, ruptured appendix, ruptured liver abscess, and TB intestine are common causes of peritonitis. KEY WORDS: Perforation peritonitis, Typhoid Ileal perforation, Duodenal ulcer perforation
{"title":"Causes of Acute Peritonitis and its Outcome in Tertiary Medical Centre","authors":"M. Malik, M. Iqbal, Abdul Malik Magsi, S. Parveen, Muhammad iqbal Khan, M. Shamim., S. Malik","doi":"10.22442/jlumhs.191830626","DOIUrl":"https://doi.org/10.22442/jlumhs.191830626","url":null,"abstract":"OBJECTIVE: To determine the factors causing peritonitis and deaths at Jinnah Hospital Karachi.METHODOLOGY: The study included 216 patients with acute peritonitis who underwent exploratory laparotomy from 2016 to 2018. Surgical treatment according to cause and post-operative treatment of disease carried out. Histopathological report and other diagnostic test like typhoid dot test and blood culture results were recorded and resultwas analyzed by SPSS version 24.RESULTS: Frequent causes of acute peritonitis were typhoid intestinal perforation 62(28.70%),Peptic ulcer perforation 54 (25%), rupture appendix 38 (17.59%), tuberculous intestine perforation 26 (12.05%), gangrene gut 14 (6.48%), large gut tumor perforation 10 (4.62%), ruptured liver abscess 4 (1.85%), ruptured gall balder 4 (1.85%) and acute pancreatitis 4 (1.85%). Complications were septic shock 30 (13.88%), paralytic ileus 16 (7.40%), burst abdomen 12 (5.5%) and mortality was 8 (3.70%.)CONCLUSION: Infectious diseases like typhoid, H-pylori PUD, ruptured appendix, ruptured liver abscess, and TB intestine are common causes of peritonitis. KEY WORDS: Perforation peritonitis, Typhoid Ileal perforation, Duodenal ulcer perforation","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73671999","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 : 2019-09-30DOI: 10.22442/jlumhs.191830631
OBJECTIVE: To identify relationship between operative time and surgical complications encountered during and soon after removal of impacted 3rdMolar teeth.METHODOLOGY: This cross-sectional study was conducted at the department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Liaquat University of Medical & Health Sciences, Jamshoro from February 2017 to July 2017. Total ninety two surgical removals were done after pre-operative assessment of impaction. Operative time was recorded. Any intra-operative complication was noted during surgery and postoperative complications were recorded on 3rd, 5th and 7thday. The Data was analysed by statistical software package SPSS version 20.0 Qualitative variables were expressed as absolute frequencies and percentages. The variables were presented as mean, frequencies/percentages.RESULTS: The results of this study showed that surgical removal of third molar was more common in females (58%) with the highest percent of mesioangular (39%).The pre-operative pain was more in females and older patients. In intraoperative complication, injury to soft tissue was more common than other complications. In postoperative complications, swelling and trismus were more on the 3rdday.CONCLUSION: The inflammatory complications that can be considered (pain, swelling and trismus) after third molar surgery remain an important factor at the early postoperative periods. The intraoperative and postoperative complication also depends on surgeons experience and duration of procedure which may increase or decrease the sequela of removal impacted teeth. KEY WORDS: Operative Time, Impaction, Impacted mandibular, Third molar.
目的:探讨阻生第三磨牙拔除术中及术后并发症与手术时间的关系。方法:本横断面研究于2017年2月至2017年7月在Jamshoro Liaquat医学与健康科学大学牙科学院口腔颌面外科进行。在术前评估嵌塞后，共进行了92例手术切除。记录手术时间。术中未发现任何术中并发症，术后3、5、7日分别记录并发症。采用SPSS version 20.0统计软件包对数据进行分析，定性变量用绝对频率和百分比表示。变量以平均值、频率/百分比表示。结果:本研究结果显示，第三磨牙的手术切除在女性中更为常见(58%)，其中中角磨牙的比例最高(39%)。术前疼痛多见于女性和老年患者。术中并发症中，软组织损伤较其他并发症更为常见。术后并发症中，肿胀、牙关多见于第3天。结论:第三磨牙术后可考虑的炎症并发症(疼痛、肿胀、牙关)仍是术后早期的重要因素。术中和术后并发症还取决于外科医生的经验和手术时间，这可能会增加或减少拔除埋伏牙的后遗症。关键词:手术时间，嵌塞，下颌阻生，第三磨牙
{"title":"Relationship between Operative Time and Complications for Impacted Mandibular Third Molar Removal","authors":"","doi":"10.22442/jlumhs.191830631","DOIUrl":"https://doi.org/10.22442/jlumhs.191830631","url":null,"abstract":"OBJECTIVE: To identify relationship between operative time and surgical complications encountered during and soon after removal of impacted 3rdMolar teeth.METHODOLOGY: This cross-sectional study was conducted at the department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Liaquat University of Medical & Health Sciences, Jamshoro from February 2017 to July 2017. Total ninety two surgical removals were done after pre-operative assessment of impaction. Operative time was recorded. Any intra-operative complication was noted during surgery and postoperative complications were recorded on 3rd, 5th and 7thday. The Data was analysed by statistical software package SPSS version 20.0 Qualitative variables were expressed as absolute frequencies and percentages. The variables were presented as mean, frequencies/percentages.RESULTS: The results of this study showed that surgical removal of third molar was more common in females (58%) with the highest percent of mesioangular (39%).The pre-operative pain was more in females and older patients. In intraoperative complication, injury to soft tissue was more common than other complications. In postoperative complications, swelling and trismus were more on the 3rdday.CONCLUSION: The inflammatory complications that can be considered (pain, swelling and trismus) after third molar surgery remain an important factor at the early postoperative periods. The intraoperative and postoperative complication also depends on surgeons experience and duration of procedure which may increase or decrease the sequela of removal impacted teeth. KEY WORDS: Operative Time, Impaction, Impacted mandibular, Third molar.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78354522","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 : 2019-09-30DOI: 10.22442/jlumhs.191830632
Mohsin Javaid, Ramesh Kumar, M. M. Abbasi, Shoaib Kiyani, Kavita, S. Basharat
OBJECTIVE: To determine knowledge, attitude, practice of using Personal Protective Equipment (PPE) among dental assistants working at tertiary care hospitals of Multan.METHODOLOY: Descriptive cross-sectional study was conducted in Multan by completing 98 questionnaires through random sampling technique from private and public sector hospital. Data was analyzed with SPSS, with the significant level being p<0.05 by using chia-square test.RESULTS: Majority 50 (51.02) participants were from private hospitals and 26 (52%) participants from private sector have a good knowledge about the use of PPE where as 34(70.8%) participants from the public sector had good knowledge as compare to private hospital. 34 (68%) participants from the private sector has a good or positive attitude towards the use of PPE as compared to 36 (75%) participants from the public sector. 29 (58%) participants from the private sector use PPE as compared to 31 (65%) participants from the public sector. P-value for knowledge vs practice of public sector was 0.046 (p<0.05), which was statistically significant and p-value for attitude vs practice of public sector was 0.015 (p<0.05), which was also statistically significant. However, in private sector hospitals we did not find any statistical significance.CONCLUSION: Study has concluded that the Knowledge, Attitude & Practice among dental assistants working in Public sector was better than those who were working in private sector hospitals. KEY WORDS: Dental assistants, Health care workers, Infection Control Guidelines, Personal Protective Equipment and Standard precautions.
{"title":"Knowledge, Attitude & Practice regarding use of Personal Protective Equipment (PPE) among Dental Assistants Working at Tertiary Care Hospitals of Multan, Pakistan","authors":"Mohsin Javaid, Ramesh Kumar, M. M. Abbasi, Shoaib Kiyani, Kavita, S. Basharat","doi":"10.22442/jlumhs.191830632","DOIUrl":"https://doi.org/10.22442/jlumhs.191830632","url":null,"abstract":"OBJECTIVE: To determine knowledge, attitude, practice of using Personal Protective Equipment (PPE) among dental assistants working at tertiary care hospitals of Multan.METHODOLOY: Descriptive cross-sectional study was conducted in Multan by completing 98 questionnaires through random sampling technique from private and public sector hospital. Data was analyzed with SPSS, with the significant level being p<0.05 by using chia-square test.RESULTS: Majority 50 (51.02) participants were from private hospitals and 26 (52%) participants from private sector have a good knowledge about the use of PPE where as 34(70.8%) participants from the public sector had good knowledge as compare to private hospital. 34 (68%) participants from the private sector has a good or positive attitude towards the use of PPE as compared to 36 (75%) participants from the public sector. 29 (58%) participants from the private sector use PPE as compared to 31 (65%) participants from the public sector. P-value for knowledge vs practice of public sector was 0.046 (p<0.05), which was statistically significant and p-value for attitude vs practice of public sector was 0.015 (p<0.05), which was also statistically significant. However, in private sector hospitals we did not find any statistical significance.CONCLUSION: Study has concluded that the Knowledge, Attitude & Practice among dental assistants working in Public sector was better than those who were working in private sector hospitals. KEY WORDS: Dental assistants, Health care workers, Infection Control Guidelines, Personal Protective Equipment and Standard precautions.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88557073","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 : 2019-09-30DOI: 10.22442/jlumhs.191830633
OBJECTIVES: To analyse and compare fat mass obesity gene polymorphism from blood samples in females with T2DM and Non-diabetic healthy females in population of Hyderabad, Sindh.METHODOLOGY: Across sectional comparative study was conducted at Institute of Biotechnology and Genetic Engineering University of Sindh, Jamshoro. The patients were recruited from Department of Medicine unit-II (LUH) Jamshoro/Hyderabad while non-Diabetic healthy females were recruited from society by filling Performa. The verbal and written consent was taken from all participants and explaining them about purpose of study. Finallyblood sample for gene analysis and other biochemical tests were collected and stored in the laboratory at -20C. Total 100 females were included in this study out of which 50 were T2DM females and 50 were normal healthy females.RESULTS: FTO (fat mass obesity) gene has strong association with basal metabolic index (BMI), as BMI increases the risk of T2DM in females also increases. We observed minor allele A and T at rs9939609 in Type 2 diabeticfemales with significantly higher with difference of (p <0.05) as compared with control group.In the present study rs9939609 FTO variant is strongly associated with Type 2Diabeticfemales of Hyderabad, Sindh. CONCLUSION: In the present study rs9939609 FTO variant was strongly associated with Type 2 Diabetic females of Hyderabad, Sindh. The study was also aimed to aware the population about inherited FTO gene variant which might be possible to implement genetic screening of females with T2DM which will be help in prevention of T2DM in future. KEY WORDS: FTO gene, T2DM, BMI, ARMS PCR, Electrophoresis
{"title":"Exposure of Fat Mass Obesity Gene Polymorphism in Diabetes Mellitus Type-II Females of Hyderabad, Sindh","authors":"","doi":"10.22442/jlumhs.191830633","DOIUrl":"https://doi.org/10.22442/jlumhs.191830633","url":null,"abstract":"OBJECTIVES: To analyse and compare fat mass obesity gene polymorphism from blood samples in females with T2DM and Non-diabetic healthy females in population of Hyderabad, Sindh.METHODOLOGY: Across sectional comparative study was conducted at Institute of Biotechnology and Genetic Engineering University of Sindh, Jamshoro. The patients were recruited from Department of Medicine unit-II (LUH) Jamshoro/Hyderabad while non-Diabetic healthy females were recruited from society by filling Performa. The verbal and written consent was taken from all participants and explaining them about purpose of study. Finallyblood sample for gene analysis and other biochemical tests were collected and stored in the laboratory at -20C. Total 100 females were included in this study out of which 50 were T2DM females and 50 were normal healthy females.RESULTS: FTO (fat mass obesity) gene has strong association with basal metabolic index (BMI), as BMI increases the risk of T2DM in females also increases. We observed minor allele A and T at rs9939609 in Type 2 diabeticfemales with significantly higher with difference of (p <0.05) as compared with control group.In the present study rs9939609 FTO variant is strongly associated with Type 2Diabeticfemales of Hyderabad, Sindh. CONCLUSION: In the present study rs9939609 FTO variant was strongly associated with Type 2 Diabetic females of Hyderabad, Sindh. The study was also aimed to aware the population about inherited FTO gene variant which might be possible to implement genetic screening of females with T2DM which will be help in prevention of T2DM in future. KEY WORDS: FTO gene, T2DM, BMI, ARMS PCR, Electrophoresis","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90242278","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 : 2019-09-30DOI: 10.22442/jlumhs.191830628
OBJECTIVE: To find the association between low levels of vitamin D3 and Idiopathic Low Back Pain (LBP) among the women of child bearing age attending Neurosurgery OPD, and to find the association between observing veil and vitamin D3 deficiency.METHODOLOGY: Cross-sectional study, conducted at Neurosurgery OPD, Civil Hospital, Hyderabad, Pakistan from December 2013 to May 2014. Questionnaires from 100 patients selected by Stratified random sampling of only Women of Child Bearing Age (15-49 years) having LBP of unknown cause were included. Vitamin D3 test reports were obtained. Software’s used were Microsoft Excel, SPSS version 16.0 and SPSS version 20.0.RESULTS: Out of 100 patients, 60 patients (60%) were Vitamin D3 deficient (0-20ng/ml), 23 patients (23%) were having Vitamin D3 insufficiency (20-30ng/ml) and those with Vitamin D sufficiency (30-100ng/ml) or efficiency (>100ng/ml) were only 15 patients (15%) and 2 patients (2%) respectively. Out of 60 females who were Vitamin D deficient, 49(81.7%) were observing veil (no adequate sunlight exposure) and 11(18.3%) were without veil (well-exposed to sun) which was found to be statistically significant.CONCLUSION: Vitamin D3 deficiency or insufficiency is an associated risk factor for Idiopathic LBP, also observing veil can lead to significantly low vitamin D3 levels associated with high prevalence of LBP risk in women of child bearing age in otherwise sunny regions. Therefore, adequate vitamin D3 supplementation can be mandatory to prevent and treat LBP. This needs to be evaluated in further researches at a local level. KEY WORDS: Vitamin D3, Idiopathic Low Backache, Child Bearing Age.
{"title":"Vitamin D3 Levels in Idiopathic Low Backache Women of Child Bearing Age attending Neurosurgery OPD","authors":"","doi":"10.22442/jlumhs.191830628","DOIUrl":"https://doi.org/10.22442/jlumhs.191830628","url":null,"abstract":"OBJECTIVE: To find the association between low levels of vitamin D3 and Idiopathic Low Back Pain (LBP) among the women of child bearing age attending Neurosurgery OPD, and to find the association between observing veil and vitamin D3 deficiency.METHODOLOGY: Cross-sectional study, conducted at Neurosurgery OPD, Civil Hospital, Hyderabad, Pakistan from December 2013 to May 2014. Questionnaires from 100 patients selected by Stratified random sampling of only Women of Child Bearing Age (15-49 years) having LBP of unknown cause were included. Vitamin D3 test reports were obtained. Software’s used were Microsoft Excel, SPSS version 16.0 and SPSS version 20.0.RESULTS: Out of 100 patients, 60 patients (60%) were Vitamin D3 deficient (0-20ng/ml), 23 patients (23%) were having Vitamin D3 insufficiency (20-30ng/ml) and those with Vitamin D sufficiency (30-100ng/ml) or efficiency (>100ng/ml) were only 15 patients (15%) and 2 patients (2%) respectively. Out of 60 females who were Vitamin D deficient, 49(81.7%) were observing veil (no adequate sunlight exposure) and 11(18.3%) were without veil (well-exposed to sun) which was found to be statistically significant.CONCLUSION: Vitamin D3 deficiency or insufficiency is an associated risk factor for Idiopathic LBP, also observing veil can lead to significantly low vitamin D3 levels associated with high prevalence of LBP risk in women of child bearing age in otherwise sunny regions. Therefore, adequate vitamin D3 supplementation can be mandatory to prevent and treat LBP. This needs to be evaluated in further researches at a local level. KEY WORDS: Vitamin D3, Idiopathic Low Backache, Child Bearing Age.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85693201","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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