Khyber Medical University Journal-KMUJ最新文献

Mediating role of emotion disclosure between emotion regulation and apprehension in healthcare professionals during COVID-19 情绪披露在COVID-19期间医护人员情绪调节与恐惧之间的中介作用

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.22017

{"title":"Mediating role of emotion disclosure between emotion regulation and apprehension in healthcare professionals during COVID-19","authors":"","doi":"10.35845/kmuj.2023.22017","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22017","url":null,"abstract":"OBJECTIVE: To identify the mediating role of emotional disclosure between emotion regulation and apprehension in health care professionals during Coronavirus Disease 2019 (Covid-19). METHODS: This correlational study, spanning three months, involved seventy-six healthcare workers. These individuals, encompassing both paid and unpaid personnel serving in healthcare facilities, were selected through purposive sampling. They operated in various health-care settings across public and private sectors in Lahore, Pakistan, and had the potential for direct or indirect exposure to patients or their infectious secretions and materials. Three self-reported measures emotion regulation questionnaire, psychosocial reaction scale, and emotional self-disclosure scale were used along with one demographic sheet to collect data. Descriptive statistics, correlation method and mediation analysis were used to test the hypothesis. RESULTS: Out of 76 participants, 41 (54%) were males. Mean age of participants was 29.68±8.14 years. Majority (n=58/76;76%) of participants were doctors; 26 (34%) had prior exposure to Covid virus. Correlation analysis revealed that cognitive reappraisal is positively associated with positive emotional disclosure (r=.35; p<.001), and expressive suppression is positively associated with negative emotional disclosure (r=.23; p<.05) and apprehension (r=.43; p<.001) in healthcare workers. Furthermore, negatively emotional disclosure is positively associated with apprehension. Mediation analysis showed that negative emotional disclosure partially mediates the association between expressive suppression and apprehension (β=0.33, SE=0.11, p < .001). CONCLUSION: Findings suggest healthcare workers to be at greater risk of developing mental health conditions and they need to practice adaptive emotion regulation strategies such as acceptance, reappraisal, and problem solving especially during emergency situations like Covid.","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135084410","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

Effects of proprioceptive neuromuscular facilitation in addition to routine physical therapy on pain range of motion and postural alignment in patients with temporomandibular joint disorders: a randomized controlled trial protocol 除了常规物理治疗外，本体感觉神经肌肉促进对颞下颌关节疾病患者运动疼痛范围和姿势调整的影响:一项随机对照试验方案

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.23034

引用次数: 0

Potential efficacy of Turmeric as an anti-inflammatory agent and antioxidant in the treatment of Osteoarthritis 姜黄作为抗炎剂和抗氧化剂治疗骨关节炎的潜在功效

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.22212

引用次数: 0

Promotion of one health approach in Pakistan: Immediate need for the curtailment of emerging infectious diseases and future pandemics 在巴基斯坦推广一种保健办法:迫切需要减少新出现的传染病和未来的大流行病

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.23457

引用次数: 0

Predictor index for anatomic leg length discrepancy as a screening tool for referral to tertiary care center of India 预测指标解剖腿长度差异作为转诊到印度三级保健中心的筛选工具

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.22520

引用次数: 0

Anxiety, depression and low self-esteem among people with alopecia 脱发患者的焦虑、抑郁和自卑

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.22653

引用次数: 0

Prevalence of methicillin resistant staphylococcus aureus in Rashid hospital, Dubai, United Arab Emirates 阿拉伯联合酋长国迪拜拉希德医院耐甲氧西林金黄色葡萄球菌的流行情况

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.23302

{"title":"Prevalence of methicillin resistant staphylococcus aureus in Rashid hospital, Dubai, United Arab Emirates","authors":"","doi":"10.35845/kmuj.2023.23302","DOIUrl":"https://doi.org/10.35845/kmuj.2023.23302","url":null,"abstract":"OBJECTIVES: To evaluate the prevalence of Methicillin-resistant Staphylococcus aureus (MRSA) and its antibiotic susceptibility at Rashid hospital in Dubai, United Arab Emirates (U.A.E). METHODS: This retrospective cohort study was conducted among patients at Rashid hospital in Dubai, U.A.E. from January-December 2021. Isolates were put in blood and McConckey agars and gram- positive cocci in clusters were identified then incubated in a highly automated system called VITEK®2 to identify Staphylococcus aureus and its antibiotic susceptibility. RESULTS: Out of 665 samples of S. aureus isolates, MRSA were 236 (35.5%) while 429 (64.5%) were Methicillin Sensitive Staphylococcus Aureus (MSSA). Among male patients, the highest frequency MSSA & MRSA isolation was observed in the age bracket of 40-49 years (n=64/285; 22.4%) and 50-59 years (n=31/160; 19.4%) respectively. Smilarly, in females the highest frequency MSSA & MRSA isolation was observed in the age range of 20-29 years (n=24/144; 16.7%) and 60-69 years (n=13/76; 17.1%) respectively. MSSA was most commonly isolated from 269 (62.7%) wound sites. The MRSA demonstrated resistance to most of the antibiotics with highest resistance towards Ciprofloxacin 103 (44%) and Fusidic acid 100 (42%). Among different antibiotics, the isolates remained highly susceptible to linezolid, tigecycline, teicoplanin, rifampicin and vancomycin. CONCLUSION: the retrospective study at Rashid Hospital in Dubai identified a notable prevalence of MRSA (35.5%) and MSSA (64.5%), predominant in male patients. Age-specific patterns revealed higher frequencies of MSSA and MRSA isolations in distinct age brackets. MRSA displayed resistance to several antibiotics, emphasizing the need for judicious antimicrobial management in this healthcare setting.","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135084408","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

Glasgow Blatchford scoring system enables accurate risk stratification of patients with upper gastrointestinal haemorrhage 格拉斯哥布拉奇福德评分系统使上消化道出血患者的准确风险分层

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.22778

{"title":"Glasgow Blatchford scoring system enables accurate risk stratification of patients with upper gastrointestinal haemorrhage","authors":"","doi":"10.35845/kmuj.2023.22778","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22778","url":null,"abstract":"OBJECTIVE: To evaluate Glasgow Blatchford (GB) scores ability for risk stratification in patients presenting with upper gastrointestinal bleeding (UGIB). METHODS: The prospective cohort study was conducted in the inpatient department of medicine at Fauji Foundation Hospital Rawalpindi, Pakistan, from April to September 2021. One hundred and thirty patients with UGIB (hematemesis, melena, and blood in the nasogastric tube) were included by consecutive sampling technique. We excluded traumatic patients with UGIB, pregnant females, patients with chronic kidney disease, anorexia nervosa, bulimia nervosa, and chronic diarrhea. Laboratory and demographic data were collected. The GB score was calculated at the time of admission. Data was analyzed through SPSS version 23, and frequencies were deduced. Groups were compared using the chi-square test. RESULTS: Mean age of patients was 61.1±13.8 years. There were 56 (43.1%) males and 74 (56.9%) females in the study. The main reason for acute gastrointestinal bleeding was Hepatitis C-associated portal hypertension (n = 103; 79.2%), followed by non-steroidal anti-inflammatory drug-induced gastrointestinal bleeding (n=13; 10.0%). There were 90 (69.2%) patients in high-risk group (Group A) and 40 (30.8%) in low-risk group (Group B). The high-risk group had a significantly higher GB score than the low-risk group (11.61±3.2 vs 3.85±1.9, p<0.001). GB score of ≥4 has sensitivity of 97.7%, a specificity of 92.5%, and an area under curve of 0.967 with a p-value of<0.001. Conclusion: GB score has an excellent accuracy for risk stratification of patients with UGIB. With a cutoff of ≥4, GB score accurately identifies 97.7% of high risk patients.","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135084407","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

Hyperammonemia in patients on Valproic Acid therapy in a tertiary care hospital of Karachi 卡拉奇三级医院丙戊酸治疗患者的高氨血症

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.22619

引用次数: 0

Munchausen syndrome - a case series at Camp Jail Lahore, Pakistan 孟乔森综合征——巴基斯坦拉合尔监狱的一系列病例

Khyber Medical University Journal-KMUJ Pub Date : 2023-09-30 DOI: 10.35845/kmuj.2023.21151

{"title":"Munchausen syndrome - a case series at Camp Jail Lahore, Pakistan","authors":"","doi":"10.35845/kmuj.2023.21151","DOIUrl":"https://doi.org/10.35845/kmuj.2023.21151","url":null,"abstract":"INTRODUCTION: Munchausen syndrome is a rare condition where individuals intentionally simulate illness despite the absence of actual symptoms. The objective of our case series was to underscore the importance of recognizing this mental disorder, frequently overlooked in routine clinical practice. CASE PRESENTATION: This case series presents eight inmates in a central jail in Lahore, Pakistan, diagnosed with Munchausen syndrome within a period of one year (February 2019 to March 2020). Cases include a death row inmate complaining of abdominal pain, investigations revealing no pathology, and subsequent self-harm; a drug user with recurrent rectal bleeding resorting to self-inflicted injuries; prisoners intentionally causing head injuries, resulting in a fatality; a chest pain complaint used as a diversion for escape; a prisoner with a recurring leg ulcer engaging in self-mutilation; ingestion of a shaving blade; simulated sexual activity for admission; and inmates faking severe chest pain for medical attention. CONCLUSION: The study highlights diverse manifestations of Munchausen syndrome in a jail setting, emphasizing the need for psychological evaluation and management. In constructing a differential diagnosis for diverse pathologies, it's important to consider Munchausen syndrome, especially when confronted with a cluster of signs and symptoms that prove difficult to elucidate.","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135084409","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