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AWARENESS OF TYPE 2 DIABETES MELLITUS CONTROL AMONG URBAN AND RURAL PATIENTS 城市和农村患者对控制 2 型糖尿病的认识
Journal of Medical Sciences Pub Date : 2023-11-14 DOI: 10.52764/jms.23.31.4.4
Iqra Jabbar, Muhammad Faheem Afzal, Muneeba Saeed, Adeela Arif, Waqar Ahmed
{"title":"AWARENESS OF TYPE 2 DIABETES MELLITUS CONTROL AMONG URBAN AND RURAL PATIENTS","authors":"Iqra Jabbar, Muhammad Faheem Afzal, Muneeba Saeed, Adeela Arif, Waqar Ahmed","doi":"10.52764/jms.23.31.4.4","DOIUrl":"https://doi.org/10.52764/jms.23.31.4.4","url":null,"abstract":"Objective: To compare the level of awareness of type 2 Diabetes Mellitus control among urban and rural patients. Materials & Methods: A Comparative Cross-sectional study was conducted at Ganga Ram, Sheikh Zayed, and PSRD Hospital, Lahore by using a non-probability purposive sampling technique. The data from 362 participants were gathered and analyzed from November 2021 to April 2022. Participants who had type 2 Diabetes Mellitus for 10 years, aged 34-68 years, and Body Mass Index (BMI) of 18.5 to 34.9kg/m2 were included and those with micro and macrovascular complications were excluded from this study. Ethical approval was taken from the Institutional Review Board of PSRD College of Rehabilitation (Ref#PSRD/CRS/IAJ/REC/Letter-002). Semi-structured questionnaires that comprised pharmacological, diet, and exercise components were used for data collection after getting informed consent from participants. Results: Results of this study show Mean±SD of age in urban and rural 49.7011±7.38161, 48.3457±7.09693 years, BMI 27.6858±4.27858, 27.6551±4.27986kg/m2 respectively. The   Mean±SD of pharmacological awareness in urban and rural 4.4483±0.44174, 4.3085±0.55392, and exercise awareness was 1.4415±.49789, 1.4368±.49742 showed no significant difference while diet awareness to control diabetes was 3.8391±1.10043, 2.7553±1.44922, with significant difference(p-value<0.05). Conclusion: This study concludes that there is no significant difference between urban and rural patients for pharmacological and exercise awareness and a significant difference for diet management in diabetes control. Keywords: Awareness, Diabetes Mellitus, Disease Management, Rural population, Type II Diabetes Mellitus, Urban population.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139276499","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}
引用次数: 0
PREVALENCE OF LOWER LIMB EDEMA IN NATAL AND POST-NATAL PERIOD 产期和产后下肢水肿的发生率
Journal of Medical Sciences Pub Date : 2023-11-14 DOI: 10.52764/jms.23.31.4.5
Anum Rafique, Nazish Rafique, Kiran Afzal, Hafsa Ahmed Khan, Nazish Ashfaq, Amna Rubab
{"title":"PREVALENCE OF LOWER LIMB EDEMA IN NATAL AND POST-NATAL PERIOD","authors":"Anum Rafique, Nazish Rafique, Kiran Afzal, Hafsa Ahmed Khan, Nazish Ashfaq, Amna Rubab","doi":"10.52764/jms.23.31.4.5","DOIUrl":"https://doi.org/10.52764/jms.23.31.4.5","url":null,"abstract":"Introduction: Pregnancy is a very special period for women, they experience emotional, physical, and physiological deviations. The majority of females encounter peripheral edema during their gestation time. The objective of this study was to determine the occurrence of edema in the natal and post-natal period, risk factors, and their association with edema. Methods: An observational study was conducted at Cantonment Hospital and Benazir Bhutto Hospital, Rawalpindi, Pakistan from August 2018 to January 2019. Out of 405 females, 18-35 years of age and 3rd trimester of gestation or post-natal period and women with previous venous diseases or high-risk gestations were included. Whereas women with edema in other body parts and those after puerperium were excluded. The data was collected by self-structured questionnaire, edema grading scale, and limb measurement. Data were analyzed by SPSS 23. Results: The frequency of leg edema was 65.9% and higher in the third trimester, especially during the eighth and nine months of pregnancy. It could lead to several other symptoms like pain and cramps that could be intensified by long-standing and comforted through rest whereas a few other factors that affect edema contain less water intake and lack of exercise. There is a significant association between edema and its related risk factors including months of pregnancy, exercises during pregnancy, and activity level (p < 0.001). Conclusion(s): Lower limb edema is prevalent in late pregnancy, especially during the 8th - 9th month. There is a significant association between edema and its related risk factors including months of pregnancy, exercises during pregnancy, and activity level. Keywords: Edema, lower limb, pregnancy, prevalence.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139277046","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}
引用次数: 0
ENTREPRENEURIAL MINDSET: PERSPECTIVE OF MEDICAL UNDERGRADUATES 创业心态:医科大学生的视角
Journal of Medical Sciences Pub Date : 2023-11-14 DOI: 10.52764/jms.23.31.4.14
Iqbal Haider, Manahil Saeed Khan, Mohsin Shafi, Qaisar Ali Khan, Reshael Saeed
{"title":"ENTREPRENEURIAL MINDSET: PERSPECTIVE OF MEDICAL UNDERGRADUATES","authors":"Iqbal Haider, Manahil Saeed Khan, Mohsin Shafi, Qaisar Ali Khan, Reshael Saeed","doi":"10.52764/jms.23.31.4.14","DOIUrl":"https://doi.org/10.52764/jms.23.31.4.14","url":null,"abstract":"Objectives: This study aimed to comprehend the entrepreneurial and abroad practice mindset among Pakistani medical undergraduates and the factors influencing their choices. Methods: A cross-sectional survey involving 401 students from various medical and dental colleges in Khyber Pakhtunkhwa, Pakistan, was conducted. Participants completed a questionnaire concerning their career preferences, reasons for working abroad or in private practice, and perceptions of benefits and drawbacks to working in public and private sectors, among other questions. Data was analyzed using the SPSS software (IBM Corp. Released 2019. IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp.). Results: Two hundred and five (205) students prefer postgraduate training, while 168 prefer overseas clinical training. Outpatient services in governmental hospitals were mentioned as a benefit, while a lack of facilities was noted as a hurdle. Twenty-eight (28) students chose private practice due to its appealing work environment. There was no significant association between studying years and preference for working abroad as a clinician, with a p-value of 0.251 regarding barriers in private practice or the type of setup preferred. Conclusion: Perceptions of general practice among medical students in Pakistan are influenced by various factors, such as income potential, quality of life, and the chance to acquire new skills. The responses reflect the students' inclination towards furthering training and gaining experience in different healthcare setups. Further research may explore how these perceptions affect healthcare delivery within the country. Keywords: Entrepreneurial Mindset, Overseas Training, Public Sector Benefits, Private Practice Barriers, Postgraduate Training.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139277531","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}
引用次数: 0
COMPARATIVE EVALUATION OF PARENTAL PERCEPTIONS OF THE ORAL HEALTH-RELATED QUALITY OF LIFE OF AUTISTIC AND NON-AUTISTIC CHILDREN AFTER FULL MOUTH REHABILITATION UNDER GENERAL ANESTHESIA 比较评估自闭症儿童和非自闭症儿童在全身麻醉下进行全口康复治疗后家长对口腔健康相关生活质量的看法
Journal of Medical Sciences Pub Date : 2023-11-14 DOI: 10.52764/jms.23.31.4.7
Noor AL Aswad, A. Abushanan, Saqib Ali
{"title":"COMPARATIVE EVALUATION OF PARENTAL PERCEPTIONS OF THE ORAL HEALTH-RELATED QUALITY OF LIFE OF AUTISTIC AND NON-AUTISTIC CHILDREN AFTER FULL MOUTH REHABILITATION UNDER GENERAL ANESTHESIA","authors":"Noor AL Aswad, A. Abushanan, Saqib Ali","doi":"10.52764/jms.23.31.4.7","DOIUrl":"https://doi.org/10.52764/jms.23.31.4.7","url":null,"abstract":"Objectives: To compare the parental perceptions of the oral health-related quality of life (OHRQOL) of autistic and non-autistic children after full mouth rehabilitation under general anesthesia (GA). Methods and Materials: The study included 114 autistic children and 116 children without autism. Two years after receiving therapy under GA, participating parents completed a condensed version of the Perceptions Questionnaire (P-CPQ) and Family Impact Scale (FIS).  Demographic data was collected. Oral symptoms, social health, psychology, functional limitation, and family affect ratings. Mean, standard deviation and statistical differences between groups were analyzed using SPSS. Results: Children with autism received higher overall P-CPQ scores than children without autism, according to the frequency distribution of the P-CPQ for parental perception when children with and without autism were compared. In all four domains, when scores were compared according to the domain, there was no statistically significant difference in the scores. According to the FIS frequency distribution, children with autism had higher total FIS scores than children without the condition. The change was not statistically significant, though. Only parental emotions showed a statistically significant difference when scores were examined by domain. Conclusion: Children with autism and children without autism score the same on the P-CPQ, indicating that the impact of comprehensive rehabilitation under GA is positive for both types of children. Parent emotions may not change immediately following the complete rehabilitation under GA which may be required to be handled separately to boost the confidence of the patient. Keywords: Autistic, children, general anesthesia, parents, perception","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139276288","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}
引用次数: 0
COMPARATIVE EFFECTS OF MUSCLE ENERGY TECHNIQUE AND COUNTERSTRAIN TECHNIQUE ON PAIN, FUNCTION STATUS AND SATISFACTION LEVEL IN PLANTER FASCIITIS PATIENTS 肌能技术和反拉伸技术对平面筋膜炎患者疼痛、功能状态和满意度的比较效果
Journal of Medical Sciences Pub Date : 2023-11-14 DOI: 10.52764/jms.23.31.4.3
Taliah Bashir Sandhu, Ayesha Jamil, Syed Asadullah Arslan
{"title":"COMPARATIVE EFFECTS OF MUSCLE ENERGY TECHNIQUE AND COUNTERSTRAIN TECHNIQUE ON PAIN, FUNCTION STATUS AND SATISFACTION LEVEL IN PLANTER FASCIITIS PATIENTS","authors":"Taliah Bashir Sandhu, Ayesha Jamil, Syed Asadullah Arslan","doi":"10.52764/jms.23.31.4.3","DOIUrl":"https://doi.org/10.52764/jms.23.31.4.3","url":null,"abstract":"Objective: To compare the effects of muscle energy technique and counterstrain technique on pain, functional status and satisfaction level in patients with planter fasciitis. Methods: This randomized clinical trial was conducted from May to November 2022. Total 66 patients were recruited using purposive sampling technique. Clinically diagnosed patients of plantar fasciitis of age 20-60 years, both gender and history of pain?4 weeks were randomly allocated into two groups. Muscle energy technique was applied to group A and Counterstrain technique was given to Group B with routine physiotherapy. Outcomes measure were Visual Analog Scales for pain, Foot and Ankle Ability Measure for functional level and Patient Satisfaction Questionnaire-18 for satisfaction level. Assessment was conducted at baseline, 1st and 2ndweek. Independent t-test and RM-ANOVA was used for between and within-group differences with p?0.05 was significant. Results: The results showed no significant difference between Group A and Group B in pain (p=0.245), functional status (ADL: p=0.862, Sport: p=0.092) and satisfaction level (p=0.108). However, significant within-group difference was observed with pain (p=0.000), functional status (p=0.000) and general satisfaction level (p=0.000). Conclusion: Muscle Energy and Counterstrain Technique are equally beneficial in decreasing pain, enhancing functional status and patient satisfaction level in plantar fasciitis patients. Keywords: Counterstrain Technique; Functional Status; Foot and ankle ability measure; Muscle energy technique; Pain; Planter fasciitis; Satisfaction Level; Visual analog scale","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139277670","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}
引用次数: 0
ASSOCIATION OF LEVEL OF EDUCATION AND OCCUPATION WITH DIABETIC FOOT ULCER IN PATIENTS WITH TYPE 2 DIABETES MELLITUS 教育水平和职业与 2 型糖尿病患者糖尿病足溃疡的关系
Journal of Medical Sciences Pub Date : 2023-11-14 DOI: 10.52764/jms.23.31.4.8
Suleman Elahi Malik, Shaista Kanwal, Javeria Javed, Hammad Naeem, Zabia Jehandad, Iqbal Haider
{"title":"ASSOCIATION OF LEVEL OF EDUCATION AND OCCUPATION WITH DIABETIC FOOT ULCER IN PATIENTS WITH TYPE 2 DIABETES MELLITUS","authors":"Suleman Elahi Malik, Shaista Kanwal, Javeria Javed, Hammad Naeem, Zabia Jehandad, Iqbal Haider","doi":"10.52764/jms.23.31.4.8","DOIUrl":"https://doi.org/10.52764/jms.23.31.4.8","url":null,"abstract":"Objective: Diabetic foot ulcer (DFU) is a well-known microvascular complication of Type 2 Diabetes mellitus (T2DM) with several risk factors. This study intended to determine the association of the level of education and occupation with the severity and outcome of DFU in diabetic patients. Materials and Methods: This study was conducted from 1st January 2023 to 25th January 2023 in the Endocrinology Division of the Department of Medical Specialties, Khyber Teaching Hospital, Peshawar. Adult diabetic patients with DFU were enrolled in the study. All the relevant demographic, clinical, and biochemical characteristics were measured. Results: Out of 148 patients, only 50 (33.8%) patients were educated. The study participants had a mean age, BMI, HbA1c, and duration of DM of 56.48 years, 27.3 kg/m2, 10.3 % and 9.4 years, respectively. There was a substantial association between the level of education and occupation with the severity of DFU which was statistically significant (p-value = 0.001 and p-value = 0.01, respectively). Regarding the outcome of DFU, it was found that patients with medium and high levels of literacy and skilled occupation had lower rates of major amputations. These results were statistically non-significant however they were found to be clinically significant. Conclusion: A significant association was observed between the education level and occupation with the severity and outcome of DFU. This underpins the significance of structured education of patients with low and medium literacy levels and those with unskilled and semiskilled jobs regarding their foot care. Keywords: Type 2 Diabetes Mellitus, Diabetic Foot ulcer, Occupation","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139277463","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}
引用次数: 0
EMPOWERING ADOLESCENTS: EXPLORING MENSTRUAL HYGIENE AWARENESS AND PRACTICES AMONG SCHOOLGIRLS IN PESHAWAR- A CROSS-SECTIONAL STUDY 增强青少年的能力:探索白沙瓦女学生的月经卫生意识和做法--一项横断面研究
Journal of Medical Sciences Pub Date : 2023-11-14 DOI: 10.52764/jms.23.31.4.12
Uzma Mahmood, Hifsa, Beenish Qazi, Izaz Akhtar, S. Rehman, Muhammad Asim, Parsa Mustafa, Hafiza Sabahat Iqbal, Kashan Zafar, Muhammad Junaid
{"title":"EMPOWERING ADOLESCENTS: EXPLORING MENSTRUAL HYGIENE AWARENESS AND PRACTICES AMONG SCHOOLGIRLS IN PESHAWAR- A CROSS-SECTIONAL STUDY","authors":"Uzma Mahmood, Hifsa, Beenish Qazi, Izaz Akhtar, S. Rehman, Muhammad Asim, Parsa Mustafa, Hafiza Sabahat Iqbal, Kashan Zafar, Muhammad Junaid","doi":"10.52764/jms.23.31.4.12","DOIUrl":"https://doi.org/10.52764/jms.23.31.4.12","url":null,"abstract":"Objectives: To assess the awareness and practices relating to menstrual hygiene among school-going adolescent girls of Peshawar, Pakistan Materials and methods: A cross-sectional institution-based research was employed in Hayatabad, Peshawar, from February 2022 to July 2022. The selection of the four schools was done through a multi-stage sampling technique. Data was collected from 200 adolescent girls through self-administered questionnaires and statistical analysis was done using SPSS. Descriptive data was expressed in the form of mean ±SD, frequencies, and percentages. A chi-square test was applied to find the association between sociodemographic factors and menstrual hygiene practices. A p-value of <0.05 was considered significant. Results: Out of 200 girls who took part in the study, 120 (60%) exhibited inadequate awareness of menstrual hygiene, while 86 (43%) demonstrated poor hygiene practices during menstruation. 115 (57.5%) knew that hormones were the cause of menstruation. The most frequently used menstrual product was a disposable sanitary pad followed by cloth. The menstrual hygiene practices were significantly associated with the education status of the mother (p= 0.022) and the occupation of the father (p= 0.047). Conclusion: The results of our study revealed a concerning trend: approximately two-thirds of the respondents exhibited inadequate awareness, while one-third demonstrated suboptimal hygiene practices related to menstruation. This demonstrates the need to make efforts to educate adolescent girls about more hygienic and safer methods of managing menstruation and such products are made more affordable and accessible to them. Keywords: Awareness, practices, menstrual hygiene, adolescent girls, menstruation","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139276856","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}
引用次数: 0
COMPARISON OF BLOOD PRESSURE INDICES (MEAN ARTERIAL PRESSURE AND PULSE PRESSURE) AFTER INDUCTION OF STRESS BETWEEN POST-COVID-19 AND HEALTHY ADULTS 19 岁后成年人与健康成年人在压力诱导后的血压指数(平均动脉压和脉压)比较
Journal of Medical Sciences Pub Date : 2023-11-14 DOI: 10.52764/jms.23.31.4.10
Syed Shahmeer Raza, Nida Wali Khan, Najma Fida, Umema Zafar, Dureshahwar Ali, Attaullah Shah
{"title":"COMPARISON OF BLOOD PRESSURE INDICES (MEAN ARTERIAL PRESSURE AND PULSE PRESSURE) AFTER INDUCTION OF STRESS BETWEEN POST-COVID-19 AND HEALTHY ADULTS","authors":"Syed Shahmeer Raza, Nida Wali Khan, Najma Fida, Umema Zafar, Dureshahwar Ali, Attaullah Shah","doi":"10.52764/jms.23.31.4.10","DOIUrl":"https://doi.org/10.52764/jms.23.31.4.10","url":null,"abstract":"Objectives: This study aimed to compute the effect of stress 6-minute Walk Test (6-MWT)/Exercise) on Blood Pressure Indices (BPIs) in both COVID-19 patients and Controls. Materials and Methods: A total of 122 young adults were included in this research with 61 participants each in the cases and the controls group. Participants between the ages of 18-40 with a previously positive confirmed PCR report covid (>3 months had passed after resolution of COVID-19 infection) were included as cases while healthy adults who did not contract covid were included in the control group. All the participants from both groups were stressed by asking them to perform the 6MWT. The subject’s blood pressure was checked both before and after the stress and their MAP and PP were calculated. Results: In both pre and post-stress comparisons between cases and controls there was no significant difference between MAP (Post-Stress p=1 and Pre-Stress p=0.25) and PP (Post-Stress p=0.129 and Pre-Stress p=0.68). Matrix Scatter Plot between variables both pre and post-stress shows that all the variables (MAP, PP, and HR) did not correlate with each other. Conclusion: BPI i.e., MAP and PP show no significant difference between post-COVID participants and healthy adults after induction of stress. Keywords: Six Minute Walk Test; Covid-19; Mean Arterial Pressure; Pulse Pressure","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139277469","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}
引用次数: 0
THE EFFECTIVENESS OF CEFTRIAXONE AND MEROPENEM IN THE TREATMENT OF ENTERIC FEVER IN CHILDREN- EXPERIENCE IN A TERTIARY CARE HOSPITAL IN PAKISTAN 头孢曲松和美罗培南治疗儿童肠道热的有效性--巴基斯坦一家三级医院的经验
Journal of Medical Sciences Pub Date : 2023-11-14 DOI: 10.52764/jms.23.31.4.13
Jan Muhammad Afridi, Sabahat Amir, Sana Pervez, Syed Kaleem Ur Rahman
{"title":"THE EFFECTIVENESS OF CEFTRIAXONE AND MEROPENEM IN THE TREATMENT OF ENTERIC FEVER IN CHILDREN- EXPERIENCE IN A TERTIARY CARE HOSPITAL IN PAKISTAN","authors":"Jan Muhammad Afridi, Sabahat Amir, Sana Pervez, Syed Kaleem Ur Rahman","doi":"10.52764/jms.23.31.4.13","DOIUrl":"https://doi.org/10.52764/jms.23.31.4.13","url":null,"abstract":"Objectives: To determine the effectiveness of ceftriaxone and Meropenem in the treatment of Enteric Fever in the Pediatric Department of Khyber Teaching Hospital Peshawar. MATERIALS AND METHODS: This cross-sectional descriptive study was conducted at the Department of Child Health Khyber Teaching Hospital Peshawar Pakistan from June 2020 to June 2022. The sample size included 392 patients. Keeping in view 392 blood samples were taken and sent for blood culture. Both positive and negative cultures were incorporated in the study. The patients were started empirically on ceftriaxone and then in case of no response, the patients were shifted to Meropenem based on the sensitivity of the culture report. The response was defined as when the patient is afebrile for 72 hours after the treatment and the absence of complications like peritonitis, intestinal hemorrhage, and obtundation.  Data was analyzed using SPSS version 21.0.   RESULTS: In our study, out of 392 patients, 64% were males while 36% were females. Among blood cultures sent, 16.8% were positive and 83.2% were negative. Among the culture positive, 10.5% of patients were sensitive to Meropenem, 3.6% were sensitive to ceftriaxone and 2.8% were sensitive to other drugs. 60.7% of patients responded to Meropenem. Ceftriaxone-responsive patients were 11.7%, while 27.6% showed a response to other drugs. CONCLUSION: The efficacy of Meropenem was significantly high (in 2/3rd patients) while Ceftriaxone showed 11.73% efficacy. KEYWORDS: Enteric fever, ceftriaxone, Meropenem","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139277699","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}
引用次数: 0
ASSESSING SLEEP QUALITY AND ITS IMPACT ON ACADEMIC PERFORMANCE AMONG UNDERGRADUATE STUDENTS OF PESHAWAR 白沙瓦大学生睡眠质量评估及其对学业成绩的影响
Journal of Medical Sciences Pub Date : 2023-08-23 DOI: 10.52764/jms.23.31.3.15
Abdul Majid, Muhammad Zohaib Ul Hassan, Muhammad Awais, Manahil Saeed Khan, Muhammad Sabih, Faiqa Asghar, Iqbal Haider
{"title":"ASSESSING SLEEP QUALITY AND ITS IMPACT ON ACADEMIC PERFORMANCE AMONG UNDERGRADUATE STUDENTS OF PESHAWAR","authors":"Abdul Majid, Muhammad Zohaib Ul Hassan, Muhammad Awais, Manahil Saeed Khan, Muhammad Sabih, Faiqa Asghar, Iqbal Haider","doi":"10.52764/jms.23.31.3.15","DOIUrl":"https://doi.org/10.52764/jms.23.31.3.15","url":null,"abstract":"Objectives: To assess students’ sleep quality and to find the association of students’ academic performance with sleep quality. Materials and Methods: It is a cross-sectional study conducted in three public sector institutes: Khyber Medical College Peshawar (KMC), Khyber College of Dentistry (KCD) Peshawar, and the University of Peshawar (UOP). A convenience sampling technique was used, and a sample size of 139 was calculated using the Cochran formula. Data collection was done from September 10, 2022 to October 1, 2022. A self-administered well-validated questionnaire was used to inquire about students' personal and lifestyle characteristics and academic performance and also included the Pittsburgh Sleep Quality Index (PSQI). A score equal to or greater than 5 on the PSQI scale signifies poor sleep quality. The chi-square test and Pearson correlation were applied to determine statistical significance. The data analyses were conducted using IBM's SPSS Statistical Software for Windows (IBM SPSS Version 21, Chicago, IL, USA). Results: Out of 139 participants, 29 (20.9%) had good-quality sleep, while 110 (79.1%) were poor sleepers. However, we could find no significant association between sleep quality and academic performance (p = 0.194; r = - 0.049) Conclusion: A very high percentage of students had poor sleep quality. However, we could establish no association with academic performance. Keywords: Sleep Quality, Academic Performance, Medical Students, Dental Students","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135620846","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}
引用次数: 0
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