Annals of King Edward Medical University Lahore Pakistan最新文献_第6页

Problems in Physician-Patient Communication: What do our Students See and Hear? A Qualitative Study with a Pragmatic Approach 医患沟通中的问题:我们的学生看到和听到了什么?用语用方法进行质的研究

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5097

Ayesha Younas, R. Khan, Rahila Yasmeen, U. Mahboob, A. Ansar

{"title":"Problems in Physician-Patient Communication: What do our Students See and Hear? A Qualitative Study with a Pragmatic Approach","authors":"Ayesha Younas, R. Khan, Rahila Yasmeen, U. Mahboob, A. Ansar","doi":"10.21649/akemu.v28i2.5097","DOIUrl":"https://doi.org/10.21649/akemu.v28i2.5097","url":null,"abstract":"Background: Efficient communication with patients is an indispensable necessity for physicians of the 21 century. Over the past decades, much work has been done nationally and internationally to instill this essential skill in undergraduate students and medical graduates are now formally trained to become better communicators. However, deficiencies persist and medical students of today still observe various issues when they observe physician- patient communication interactions in their training. Objective: To understand perceptions of undergraduate medical students about the difficulties in Physician-Patient communication (PPC) & take suggestions on how to overcome them. Methods: A qualitative study design was employed, with data collection through three focus group discussions with medical students studying in Wah medical college, Pakistan in October 2019. Thematic data analysis was done using Atlas-ti 8 \u0000software. A pragmatic approach was used to understand student perceptions about difficulties in PPC. Conclusion: The various issues regarding the problems in physician patient communication portray a realistic picture of our current communication practices. Various factors have been identified in this study and, the most practical solution to these problems lies in the effective teaching of behavioral sciences.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85592625","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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Prevalence of ST-Segment Elevation Myocardial Infarction (STEMI) in Pakistan and the Role of Primary Percutaneous Coronary Intervention (PPCI) 巴基斯坦st段抬高型心肌梗死(STEMI)患病率及首次经皮冠状动脉介入治疗(PPCI)的作用

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5119

Shahzaib Ahmad, Anum Sohail, Muhammad Abubakar Shahid Chishti, T. Azeem

{"title":"Prevalence of ST-Segment Elevation Myocardial Infarction (STEMI) in Pakistan and the Role of Primary Percutaneous Coronary Intervention (PPCI)","authors":"Shahzaib Ahmad, Anum Sohail, Muhammad Abubakar Shahid Chishti, T. Azeem","doi":"10.21649/akemu.v28i2.5119","DOIUrl":"https://doi.org/10.21649/akemu.v28i2.5119","url":null,"abstract":"There are various strategies used for treating ST-segment elevated myocardial infarction (STEMI). Among those approaches, Primary percutaneous coronary intervention (PPCI) is the current treatment of choice for STEMI as it reperfuses the ischaemic cardiac tissue with fewer reported adverse events and a better survival rate. Although thrombolytic therapy is still used for STEMI in approximation, the benefits of PPCI outweigh thrombolytic therapy as thrombolytic therapy is associated with higher bleeding events and higher morbidity. The barriers in implementing a PPCI program and regional differences arise due to limited technologies, lack of proper training of first responders, lack of public awareness, and transport facilities and finances. Therefore, treatment varies between different regions of countries and even between different countries, including Pakistan. PPCI should be used in a timely manner as delayed use of this intervention can significantly reduce the benefits. We lack a coordinated approach to the delivery of this system in Pakistan; mainly, the \u0000paramedical staff is not fully familiarised and trained for making a definite diagnosis and lacks referral portals. We need a comprehensive approach and program to identify factors that cause a delay in providing PPCI to STEMI patients and to eliminate the factors responsible for the delay. This will help in improving the survival rate morbidity in STEMI patients.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77903845","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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Type 2 Diabetes Mellitus(T2DM) in Pakistan: Prevalence, Trends and Management Strategies 巴基斯坦2型糖尿病(T2DM):患病率、趋势和管理策略

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5117

Ramisha Aslam, Sam K Suhail, Rabeea Sajid, Bilal Bin Younis

{"title":"Type 2 Diabetes Mellitus(T2DM) in Pakistan: Prevalence, Trends and Management Strategies","authors":"Ramisha Aslam, Sam K Suhail, Rabeea Sajid, Bilal Bin Younis","doi":"10.21649/akemu.v28i2.5117","DOIUrl":"https://doi.org/10.21649/akemu.v28i2.5117","url":null,"abstract":"The rising incidence of diabetes has become one of the major health problems worldwide. It is especially overburdening low-income countries like Pakistan which ranks 4th in diabetes prevalence. The purpose of this review article is to analyze the current approach to diabetes management in Pakistan and to highlight its deficiencies. It also discusses the future strategies that can help Pakistan to reduce the rising disease burden. Information was collected from the publications which were searched on 'Google scholar' and 'PubMed'. The latest data provided by IDF has shown diabetes prevalence in Pakistan to be 17.1% in 2019; 148% higher than previous reporting. The major obstacles in the effective management of diabetes are lack of resources, societal barriers and patient related issues. In order to reduce the load of diabetes, combined efforts of government, health care professionals and patients are required. In future, diabetes education of the patients as well as HealthCare providers, use of telemedicine for the management of chronic diseases and concept of precision medicine can be applied to decrease diabetes burden in Pakistan.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81866377","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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Intranasal Dexmedetomidine as Sedative for Non-Invasive Pediatric Diagnostic Procedures Outside Operating Room 右美托咪定鼻内作为非侵入性儿科手术诊断程序的镇静剂

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5083

A. Akhtar, M. Ijaz, Adeel Bashir, A. Khan

引用次数: 0

The Sehat Ghar: An Innovation to Improve Primary Healthcare in Rural Punjab Sehat Ghar:改进旁遮普农村初级保健的创新

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5123

M. A. Bhatti, Muhammad Asad Azhar, Zohaib Hassan, Muhammad Ammar Agha, Syed Fahad Qadir Bukhari, Wajdan Aftab

{"title":"The Sehat Ghar: An Innovation to Improve Primary Healthcare in Rural Punjab","authors":"M. A. Bhatti, Muhammad Asad Azhar, Zohaib Hassan, Muhammad Ammar Agha, Syed Fahad Qadir Bukhari, Wajdan Aftab","doi":"10.21649/akemu.v28i2.5123","DOIUrl":"https://doi.org/10.21649/akemu.v28i2.5123","url":null,"abstract":"An effective healthcare sector essentially relies on a strong primary healthcare system. The primary healthcare system governs all major aspects of preventive healthcare and family planning services including immunization, hygiene, communicable disease prevention, sanitation, etc. In addition to this, a major bottleneck limiting the quality of healthcare at secondary and tertiary health facilities is the very high patient footfall that these hospitals. The primary healthcare facilities are designed to be the first tier of facility that a patient falls onto, and hence is either treated there or referred to higher level facilities by screening and limiting patient flow to next levels. Supporting this tier hence helps reduce burden on secondary and tertiary facilities of patients that could have been treated at primary facilities and hence exponentially improve the quality of health services in these lager hospitals. The document discusses some of the major issues faced by the primary healthcare sector in Punjab. These issues were studied and analyzed in detail at South Punjab Health Department, which is an arm of the provincial health department governing 11 districts of Southern Punjab – districts where socio-economic conditions are generally much poorer than the rest of Punjab. This document discusses the initiative of Sehat Ghar, its model, potential to ensure basic health services delivery to the local population and its direct & indirect contribution to tackle major issues of primary healthcare in Punjab.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74438894","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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Solving problems in Blood transfusion with efficient technology 用高效的技术解决输血中的问题

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5115

Bushra Khalid, Dure Najaf, Bisma Tahir, Abdul Bari Khan

{"title":"Solving problems in Blood transfusion with efficient technology","authors":"Bushra Khalid, Dure Najaf, Bisma Tahir, Abdul Bari Khan","doi":"10.21649/akemu.v28i2.5115","DOIUrl":"https://doi.org/10.21649/akemu.v28i2.5115","url":null,"abstract":"Blood transfusion is a life-sustaining procedure. But there are several hurdles in safe blood administration which can cause transfusion transmitted infections (TTI) and acute transfusion reactions and even death. Besides, human errors anywhere in the transfusion chain add fuel to the fire. Blood borne Infections like Hepatitis B and Hepatitis C are highly prevalent in Pakistan affecting about 7.4% of the general population. Among acute transfusion reactions, Febrile nonhemolytic reaction and the allergic reaction are the most common. Moreover, a variety of human errors and near-miss events in transfusion have been reported in the past. Technology has played an important contribution in upgrading the quality of life and healthcare. The main goal of this review is to point out the problems in blood transfusion and to hint at possible solutions with the use of Technology. In addition to following the WHO strategies for safe blood transfusion, blood safety can be ensured by incorporating haemovigilance systems, pathogen reduction technologies and certain approaches to reduce the risk of bacterial contamination. Human errors can be halted via a Management Information System called “Blood Bank Management Information System (BBMIS)” which can recognize and arrest such errors simultaneously.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76140110","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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A Case Report of Fibrolamellar Hepatocellular Carcinoma in a Young Adult 青壮年纤维层状肝细胞癌1例报告

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5095

M. Atiq, M. Haroon, Muhammad Imran Khan, A. Ammar, Wardah Khalid, F. Hanif

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Digital Health and Future of Healthcare in Pakistan 巴基斯坦的数字健康和医疗保健的未来

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5120

Wara Naeem, H. A. Nadeem, Ayesha Javed, Waqas Ahmed

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Advanced Endoscopy Training in UK –what's in there for Pakistan? 英国的高级内窥镜检查培训-巴基斯坦的培训内容是什么?

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5114

Emaan Munir, Tehreem Saleemi, Haris Mahmood, Farooq Khan

{"title":"Advanced Endoscopy Training in UK –what's in there for Pakistan?","authors":"Emaan Munir, Tehreem Saleemi, Haris Mahmood, Farooq Khan","doi":"10.21649/akemu.v28i2.5114","DOIUrl":"https://doi.org/10.21649/akemu.v28i2.5114","url":null,"abstract":"Gastrointestinal endoscopy revolutionized the diagnostic as well as therapeutic paradigms of many gastrointestinal diseases. Advanced endoscopy procedures like ERCP and EUS have gained paramount importance in recent times. Structured training in basic as well as advanced endoscopy techniques is essential to boost the confidence of the trainee and ensure positive patient outcomes. This review article used the databases, published literature, and a large number of research journals to find out the latest data on the standards of advanced endoscopy training to improve patient care. To excel in the field of endoscopy, studies have established that an endoscopy trainee should be assessed based on his skill and expertise; not based on a particular number of procedures. The endoscopists must benchmark their performance against their peers to assess their competency. The training of endoscopists should be on real patients, in addition to practice on simulators. Also, training programs and curricula should be well structured. With advanced endoscopy being established across the world in patient-care, it is the need of the hour to establish standards and mechanisms for endoscopy training in Pakistan. The UK systems can offer a roadmap to achieve this goal.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81776403","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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A Case Report of Scar Endometrioma, A Rare Entity 瘢痕性子宫内膜异位瘤1例

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Annals of King Edward Medical University Lahore Pakistan Pub Date : 2022-08-04 DOI: 10.21649/akemu.v28i2.5101

Javeria Mushtaq, T. Wasim, Jamshaid Feroze

引用次数: 0