{"title":"Use of e-learning tools in integrated clinical biochemistry","authors":"S. Saeed, S. Mansoor","doi":"10.32593/jstmu/vol2.iss2.58","DOIUrl":"https://doi.org/10.32593/jstmu/vol2.iss2.58","url":null,"abstract":"Objective: To evaluate usefulness of e-learning tools in teaching integrated clinical biochemistry. \u0000Methodology: The study was carried out on the 1st year medical students of Shifa College of Medicine, Shifa Tameer-e-Millat University. Students were given questionnaire to fill. Statistical procedures were performed with the SPSS software. The qualitative data is presented in the form of frequency and percentages. \u0000Results: More than half of the students were already aware of some form of e-learning tool. Most beneficial tool was YouTube followed by Dropbox, WhatsApp. Most of the students wanted recorded video lectures, more online books and more handouts. Majority students wanted a combination of both forms of learning. \u0000Conclusion: e-learning means learning which involves technology. It aids in understanding concepts. The best form is blended learning, which is a combination of e-learning and traditional learning. Students found e-learning to be effective and economical. Students of Pakistan are using smart phones, iPads, computers, etc. Their integration will require development of computer systems and training of faculty members. Different institutes may select different modalities depending on their requirement, faculty training and financial resources.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"11 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":"130993922","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}
M. Bhatti, S. Naseem, I. Din, Z. Naeem, R. N. Ahmad
{"title":"Assessment of research methodology concepts through critical appraisal among undergraduate medical students and their perception: A single center study","authors":"M. Bhatti, S. Naseem, I. Din, Z. Naeem, R. N. Ahmad","doi":"10.32593/jstmu/vol2.iss1.46","DOIUrl":"https://doi.org/10.32593/jstmu/vol2.iss1.46","url":null,"abstract":"Introduction: Evidence based medicine is an interplay of individual clinical acumen and best available evidence through scientific systematic research. With the advent of modern medicine in the last two centuries, medical education has seen and continues to experience its revolutionary effects. An important aspect in this regard is the integration of biomedical research. \u0000Objectives: To assess the research skills among undergraduate medical students exposed to the teaching of research longitudinally through all the five academic years. \u0000Methodology: A mixed method study was conducted in which third year MBBS students were assessed in a group through power point presentation regarding different concepts of research while critically appraising a research article. Quantitative and qualitative data were collected. Descriptive statistics were calculated, as well as thematic analysis was done. \u0000Results: From a total of 102 participants, 58 were male and 42 were female. Majority of the participants (81.4%) achieved an average or a good score and only 18.6% achieved a poor score. Six themes were generated. General enthusiasm about the activity was noted among participants who considered it beneficial. However, only a few were in the favor of incorporating this activity as a mandatory component in undergraduate studies. \u0000Conclusion: Incorporating research in a mandatory longitudinal theme component as part of undergraduate medical studies seems a potential method of laying the foundation for future physician scientists.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115796071","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}
{"title":"From idiopathic thrombocytopenic purpura to systemic lupus erythematosus.","authors":"Taqdees Khaliq, Muhammad Zahoor, Malik Ia","doi":"10.32593/JSTMU/VOL2.ISS1.39","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL2.ISS1.39","url":null,"abstract":"Thrombocytopenia is one of the cardinal features of Systemic Lupus Erythematosus (SLE). It is recognized as the earliest and rarely the sole manifestation of SLE at the time of diagnosis. This report narrates the case of one such patient who had an abrupt onset of life-threatening thrombocytopenia and was subsequently diagnosed as having SLE.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"577 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132319302","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}
Lubna Meraj Chaudhary, Osama Ishtiaq, M. Bhatti, Munema Khan, Shahzad Manzoor
{"title":"To compare the postprandial glucose response of dates and white bread in diabetics and non-diabetics.","authors":"Lubna Meraj Chaudhary, Osama Ishtiaq, M. Bhatti, Munema Khan, Shahzad Manzoor","doi":"10.32593/JSTMU/VOL2.ISS1.42","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL2.ISS1.42","url":null,"abstract":"Objective: To evaluate the postprandial glucose response of dates and white bread (25g) in diabetics and non-diabetics. \u0000Methodology: It was cross-over/cross observational study done at Shifa International Hospital in May-October 2016. The study subjects were adults with Type 2 diabetes mellitus (DM) of age more than 30 years and the healthy controls. Each group was administered equally weighed (25 g) dates and white bread for two days with one week apart. Post prandial blood glucose measurements for dates and white bread was done in both groups and compared by applying student’s t-test. \u0000Results: Each group had twelve participants. The mean blood glucose response for both food groups was significantly higher in diabetics than controls. The peak response for dates in both groups was at 30 minutes and the peak response for bread was 60 and 30 minutes in diabetics and controls respectively. Response of dates and bread in diabetics was not statistically significant. The mean fasting glucose in diabetics and non -diabetics was 131.04 mg/dl and 90.12 mg/dl respectively. \u0000Conclusion: Dates are suitable for diabetics and their consumption bears no added risk or danger over white bread.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121451870","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}
{"title":"Pakistan – Double burden of diseases","authors":"Z. Naeem","doi":"10.32593/JSTMU/VOL2.ISS1.45","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL2.ISS1.45","url":null,"abstract":"South Asian countries face a double burden of disease (DBD) due to communicable and noncommunicable diseases, Pakistan being one of them. On one end of the spectrum is the challenge of controlling the spread of communicable diseases (CD’s) while on the other end is the increase in the prevalence of NCDs which will place an unavoidable burden on health services; their availability and affordability.2 Unfortunately Pakistan has yet to control the communicable diseases like tuberculosis, malaria, dengue fever, typhoid, viral hepatitis, cholera, vaccine preventable diseases and other infectious diseases. Moreover, there is a rising trend of non-communicable diseases like cardiovascular diseases, diabetes mellitus, hypertension, cancers, stroke, mental health problems and accidents and injuries.3 despite number of vertical and horizontal national health programs, Pakistan is having high maternal and neonatal mortality rates, due to the causes like sepsis and hemorrhage which are mostly preventable. Furthermore, in young children, diarrhea and respiratory illnesses are considered as the major killers. The estimated prevalence for various forms of malnutrition in children under 5 years of age is: 31.6% underweight, 10.5% wasting, 45.0% stunting and 4.8% overweight. While half of the women of reproductive age are anemic i.e. 50.4%.3","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121999973","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}
M. Zahid, A. Siddiqa, Rehna Javaid, Hafsa Khalil, Farrah Pervaiz
{"title":"Healthcare associated infections in a tertiary care cardiac hospital: A point prevalence survey.","authors":"M. Zahid, A. Siddiqa, Rehna Javaid, Hafsa Khalil, Farrah Pervaiz","doi":"10.32593/JSTMU/VOL2.ISS1.26","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL2.ISS1.26","url":null,"abstract":"Objective: Hospitalized patients can pick infections from healthcare facilities which may lead to extended hospital stay, increased morbidity and mortality of hospitalized patients and economic burden on health care. Active surveillance of HAIs that is continuous and prospective in nature has been accepted as a gold standard approach in preventing and controlling healthcare associated infections. To estimate the prevalence HAIs and their types in a tertiary care cardiac center and to identify associated risk factors. \u0000Methodology: Nine prospective point prevalence surveys were conducted on three separate days in three consecutive weeks for three months. A data collectors team comprising of two research officers and an infection control nurse, visited the enrolled patients and patient’s history, demographics, physical examination, laboratory findings and other details were reviewed from patient files and recorded on study questionnaire. \u0000Results: A total of 559 patients were enrolled in the study. The prevalence of HAIs was 6.4%, which means 36 HAIs were identified in 559 patients. Univariate analysis showed a significant association between HAI and being in ICU/CCU ward (OR 3.4, 95% CI 1.5-7.4) longer duration of hospital stay (OR 3.0, 95% CI 1.5-6.0, P=0.001), exposure to urinary catheter, use of antimicrobials (OR 2.8, 95% CI 1.3-6.1, P=0.006), and diabetes (OR 2.5, 95% CI 1.2-5.2, P=0.008). \u0000Conclusion: Healthcare associated infection is a major public health problem and rate of HAIs in the selected centers was found to be 6.4%. Present survey provided baseline evidence for further surveillance and multifaceted infection.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127040386","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}
Adil Munir, Nazia Mumtaz, G. Saqulain, Munir Ahmad
{"title":"Comparison of auditory steady state response (ASSR) & auditory brainstem response (ABR) hearing thresholds in young children.","authors":"Adil Munir, Nazia Mumtaz, G. Saqulain, Munir Ahmad","doi":"10.32593/JSTMU/VOL2.ISS1.21","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL2.ISS1.21","url":null,"abstract":"Objective: Hearing loss (HL) with a local prevalence of 5.7%, is the commonest childhood disability, requiring Early Hearing Detection and Intervention (EHDI) programs to reduce the disability burden. Knowing the degree, type and configuration of HL is prerequisite for appropriate amplification, with Automated Auditory Brainstem Responses (ABR) being commonly used for this purpose, however Auditory Steady State Response (ASSR) has been recently introduced in the region. This study was conducted to compare ABR to ASSR, as an early diagnostic tool in children under five years of age. \u0000Methodology: This cross-sectional comparative study was performed at the Auditory Verbal Institute of Audiology and Speech (AVIAS) clinics in Rawalpindi and Islamabad, from December 2016 to September 2017. It included thirty-two cases (n=32) who visited AVIAS clinics for hearing assessment and conformed to the investigative protocol using non probability convenient sampling technique, and subjected to both ABR and ASSR for comparative purposes. Correlations were calculated between the thresholds obtained by ABR and ASSR. \u0000Results: N=32 children (64 ears) with male female ratio of 2.2:1 and mean age of 33.50±17.73 months were tested with ABR and ASSR for hearing thresholds and correlation coefficient between 2KHz, 4KHz ASSR and average of both with ABR was calculated to be 0.92 and 0.90 and 0.94 respectively. \u0000Conclusion: ASSR provides additional frequency specific hearing threshold estimation compared to C-ABR, essentially required for proper setting of amplification devices. ","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124517729","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}
{"title":"Histamine receptors as drug target: Current and future therapeutics.","authors":"A. Jawad, R. Kaushal, M. Sohail, Amna Yaqoob","doi":"10.32593/JSTMU/VOL2.ISS1.25","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL2.ISS1.25","url":null,"abstract":"Histamine is a neurotransmitter responsible for central regulation of inflammatory reactions. Initial studies were done by Sir Henry Dale in 1993. Histamine acts on its four type of receptors. H1 and H2 are well-established with pharmacological status. H1 receptors are mainly linked with inflammatory responses and developed to mitigate the inflammatory symptoms. While H2 antagonists are established with their role in decreasing basal gastric secretions by decreasing the cyclic adenylyl mono phosphate (cAMP), thus used as therapy line for gastric ulcers. H3 being located centrally imparts its central effects in cognitive functions that are pain, sleep, and memory modulation of neurotransmitters release including, dopamine, acetylcholine, noradrenalin and serotonin. H4 is discovered recently during cloning of H3 and found on immune related cells as, mast cells, T cells and dendrites. Experimental studies are helping in development of more pharmacologically worth drugs that can increase the quality of life.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114203198","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}
{"title":"Effect of deep breathing exercises and incentive spirometry on respiratory distress scoring in second degree inhalational burn patients.","authors":"S. S. Malik, S. Saeed, Sumaira Kanwal","doi":"10.32593/JSTMU/VOL2.ISS1.28","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL2.ISS1.28","url":null,"abstract":"Objective: Study was conducted for 6 months in PIMS Hospital Islamabad. Data was collected on self-structured Questionnaire, Respiratory distress scoring, Objective tools of Arterial blood gases and vital signs with signed consent. \u0000Methodology: The subjects were randomly allocated in experimental and control groups. Baseline data was collected and re-collected on Day 0 and Day 7 respectively and assessed using non-probability convenient sampling technique. Both groups were given standard medical and nursing care. \u0000Results: The experimental group was given single treatment regimen i.e. Deep breathing exercises (with 5-10 repetitions of each DBE being possible onto patient for 15-30 minutes twice daily). The control group was given 10-15 cycles of ISM with prior steam inhalation and nebulization with salbutamol for a period of 15-20 minutes for 35-45 minutes twice daily for a period of 07 days. \u0000Conclusion: The experimental group results show that deep breathing exercises are significantly effective in improving post burn complications like pneumonia in patients suffering from second degree inhalation burns.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130646654","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}
Benish Shahzadi, Sadaf Tareen, Syeda Hina Zahoor, H. Hussain, M. M. Ali, H. Tariq
{"title":"Postural discomfort among right and left-handed University students of Rawalpindi and Islamabad.","authors":"Benish Shahzadi, Sadaf Tareen, Syeda Hina Zahoor, H. Hussain, M. M. Ali, H. Tariq","doi":"10.32593/JSTMU/VOL2.ISS1.40","DOIUrl":"https://doi.org/10.32593/JSTMU/VOL2.ISS1.40","url":null,"abstract":"Objective: Musculoskeletal discomfort is common in people working in poor ergonomic designs with prolonged poor posture. The main purpose of this study was to compare the postural discomfort among right and left-handed university students of Rawalpindi/Islamabad. \u0000Methodology: A cross-sectional survey was carried out using standardized Nordic Musculoskeletal Discomfort Questionnaire. Samples were collected by simple convenient sampling technique from 221 students (53.8% females and 46.2% Males) comprising of 110 left and 111 right-handed University students. \u0000Results: The comparison of percentages among left and right-handed participants at hip, knee and ankle were as follows: hip (left-handed 19% and 5.42% right-handed), knee (left-handed 17.19%, right-handed 9.04%), ankle (left-handed 9.50%, right-handed 8.14%). The prevalence of chronic musculoskeletal discomfort was significant in left-handed participants as compared to right-handed participants. The highest frequency of discomfort was found in the neck and shoulder region of left-handed participants. Chi square test showed a significant difference in frequencies of discomfort in left and right-handed participants (p<0.01), whereas there was as such no significance in ankle region (p>0.05). \u0000Conclusion: Postural discomfort was more prevalent among left-handed university students as compare to right-handed students. The highest frequency of discomfort was found in the neck and shoulder region of left-handed participants. Further research and attention should be directed towards the relation of handedness with musculoskeletal discomfort and factors influencing postural discomfort in left-handed students.","PeriodicalId":302306,"journal":{"name":"Journal of Shifa Tameer-e-Millat University","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130882254","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}