Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College最新文献

{"title":"Pictorial Quiz","authors":"Hadia Yousuf, Haseebullah Yousuf","doi":"10.58397/ashkmdc.v27i02.584","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.584","url":null,"abstract":"","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85333746","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":"Association of Clinicopathological Factors with Radiation Induced Oral Mucositis in Patients with Head and Neck Carcinoma","authors":"Uzma Zareef, A. Razi, R. Imad, A. Iqbal","doi":"10.58397/ashkmdc.v27i02.577","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.577","url":null,"abstract":"Objective: \u0000To evaluate the association of clinicopathological factors with radiation induced oral mucositis in patients with head and neck carcinoma . \u0000Methodology \u0000This cross sectional study was conducted at  Department of Neurospine and Cancer Institute,  Inclusion criteria were patients with confirmed non-metastatic carcinoma histologically, age range of > 20 and  70 years, patients requiring radical radiotherapy showing visible oral and oropharyngeal mucosa in the field of radiation (55 to 66 Gray). The exclusion criteria were: history of more than one tumour recurrence; prior history of radiation to the head and neck region; atypical liver and renal function; unusual haematological status; other deliberated medical conditions. Non-probability convenience sampling was used for  assesment of oral mucositis. Data was analysed by using SPSS version 23. \u0000Results:                                                 \u0000A total of 30 patients were included. The mean age was 43 years (25-70 years) and 76.7% were males. Right sided buccul mucosa was most common primary tumor site, 70%  cases belongs to middle-class families with 90%  has no previous family history. Histological grade 2 and grade 2 and grade 3 mucositis was mostly reported. Tobacco chewing and betel nut chewing is the most common habit. The most common site affected is  buccul mucosa, followed by the cheek and tongue. It has been observed that TNM staging and histological grading have shown significance in cases of oral mucositis. \u0000Conclusion: \u0000This study concludes that the oral mucositis is significantly associated with TNM staging and   histological grading of tumors. Male gender, elderly age, middle to low socioeconomic status,  tobacco and betal nut chewing , right sided buccal mucosa and stage II TNM staging. Grade 2 and grade 3 oral mucositis was  the most frequent clinicopathological factors associated with the development of head and neck cancer. Although previous family is not very frequent in our study population. \u0000 ","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81426881","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":"Learning Styles and Preferred Teaching Methodologies of Medical Students In Relation To Year of Study","authors":"Muhammad Zafar Iqbal Hydrie, Syed Muhammad Zulfiqar Hyder Naqvi, Syed Imtiaz Ahmed Jafry","doi":"10.58397/ashkmdc.v27i02.194","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.194","url":null,"abstract":"Objective: To assess learning styles and preferred teaching methodologies of medical students in relation to year of study. \u0000Methods: A cross-sectional study was carried out among 523 medical students of Baqai Medical College, Baqai Medical University, Karachi, from May 2019 to October 2019. All male and female students from first to final year, who attended the undergraduate MBBS program in the medical college, were included in the study. The study questionnaire was administered to all enrolled undergraduate medical students, from first to fifth year, on the campus out of which 523 forms were collected. The study instrument was a questionnaire containing students’ demographic details, David Kolb’s Learning Style Inventory 4.0 and their preferred teaching methodologies scored using a 5 point Likert scale. The association of various learning styles and preferred teaching methodologies with year of study was assessed by using Pearson chi-square test. \u0000Results: Out of 523 students who returned the form 518 had completed the questionnaire. A majority of the students had imagining or experiencing learning style. No change in learning style was observed between years of study. The top three teaching methodologies with highest mean scores were small group discussion (3.58±1.12), problem based learning (3.56±1.11) and demonstration on models (3.54±1.20). A significant association between some preferred teaching methodologies and year of study was found such as interactive lecture (p=0.011), problem based learning (p=0.026), small group discussion (p=0.024), and one way lecture (p=0.028) while a highly significant association was noted in case of student presentation (p=0.001). \u0000Conclusion: The present study showed that different years of study at medical schools did not significantly affect students’ learning styles, although the students did change their preferences to some teaching methodologies. Longitudinal studies are necessary to reveal whether there is an effect of learning styles over time in medical education.","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78905915","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":"Assessing donor site pain after Iliac Crest Bone Graft","authors":"A. Khan, A. Jan, Farman Ullah, M. Waqar, Sajjad Ahmad, Sardar Hussain","doi":"10.58397/ashkmdc.v27i02.480","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.480","url":null,"abstract":"Objective: The aim of the present study was to evaluate the intensity of donor site pain after autogenous iliac crest bone graft harvest for arthrodesis of joints and non-union of fractures. \u0000Methodology: This prospective cross-sectional study was conducted at the Orthopedics Department of Khalifa Gul Nawaz Teaching Hospital in Bannu. A total of 156 patients who underwent iliac crest bone graft harvest were included in the study. The frequency and intensity of donor site pain were assessed using the visual analogue scale (VAS) after one month of postoperatively. \u0000Results: Out of 156 patients, the majority were males (61.5%). The mean age and pain score observed in the enrolled patients was 34.7 ± 9.5 years and 2.24 ± 2.01, respectively. Mild pain was present at one-month follow-up postoperatively in 50.6% of the patients. The pain intensity was assessed in relation to gender and age; there was no significant difference in the mean VAS scores between males and females (p=0.45). Furthermore, stratification with respect to age also displayed no significant variation in the pain scores with respect to age (p=0.99). \u0000Conclusion: Donor site pain remains significant morbidity associated with iliac crest bone graft, mild pain was observed in half of the enrolled cases, and only 23% were pain-free after one month of the surgery.","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86166274","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":"Post COVID-19 Syndrome: Biomarkers and Laboratory Evaluation","authors":"Bushra Moiz","doi":"10.58397/ashkmdc.v27i02.572","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.572","url":null,"abstract":"COVID-19 is a highly contagious acute respiratory disease caused by an RNA virus called SARSCoV-2 (severe acute respiratory syndrome corona virus-2). Two-year experience with COVID19 demonstrates that the infection is not localized to respiratory system but is a multi-system or multi-organ disease and may become chronic. The persistence of symptoms was observed for weeks, or months following recovery from COVID-19 and was identified as a distinct entity called postCOVID-19 syndrome (PCS), long COVID-19, Chronic COVID-19, or post-acute sequelae of COVID-19 (PASC). Though there is no general agreement on the duration, continuity of symptoms for at least three months from the onset of disease or two months following the hospital discharge was usually considered as PCS1.","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79212072","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":"Association between Functional Status of Patients and Cognitive Impairment in End Stage Renal Disease","authors":"A. Arman, M. Yaseen, Tahir Ansari, Natasha Billia, M. Butt","doi":"10.58397/ashkmdc.v27i02.566","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.566","url":null,"abstract":"ABSTRACT \u0000Objective: The increased incidence of diabetes, hypertension in third world countries has lead to an increase in end stage renal disease which in turn escalates the burden of dialysis on patients and caregivers. Dialysis is associated with many serious physical and mental disturbances. The aim of this study is to highlight the importance of screening for cognitive impairment and depression in End stage renal disease because cognitive impairment can impair the activities of daily living and overall quality of life.   \u0000Methods: 150 patients were included in a study after fulfilling the inclusion and exclusion criteria. They were screened for cognitive impairment by using the Montreal cognitive assessment scale, for depression by using Hospital Anxiety and Depression scale and Barthels index for assessment of activities of daily living.  \u0000Results: Of 150 patients most were males (56%) and females were (44%) out of which 36.67% males and 32.67% of females were cognitively impaired. Most patients were hypertensive and unemployed.  There was no significant social demographic association observed for cognitive impairment. The patients with cognitive impairment need assistance in feeding, bathing and mobility as compared to patients with no cognitive impairment.   \u0000Conclusion: Our study revealed that cognitive impairment is present in patients and it is related with activities of daily living. The presence of depressive symptoms and anxiety is also affecting activities of daily living difficulty in ambulatory hemodialysis patients. Patients especially need help in climbing stairs and minor help in transferring, occasional bladder help, minor help in feeding and minor help during walk.  \u0000Key words: Cognitive impairment, End stage renal disease, Dialysis, Activities of daily living. \u0000 ","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88194410","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":"Significance Of Student's Feedback In The Development Of Dental Curriculum: A Qualitative Study","authors":"Q. Sheikh, M. Ghafoor, Rafey Ahmad Jameel, Sabahat Yasmin Ghafoor Chaudhry, Sumera Ejaz, Minal Masood","doi":"10.58397/ashkmdc.v27i02.396","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.396","url":null,"abstract":"Objective: \u0000       The objective of this study is to understand the significance of student’s feedback as a stakeholder so that we can incorporate their feedback in the development of Dental Curriculum. \u0000Methods: \u0000        A qualitative explorative study was done a; duration was 6 months i.e. from 6th Feb to 18th Aug 2017. We conducted a two session focus group discussion (FGD) with likewise graded students as per their exam scores i.e. high achieving (75-85%) and low achieving groups (55-66%) in Oral Biology. A total of 14 students took part in the Focus Group Discussion FGD sessions. \u0000Results: \u0000       Six common themes on which students expressed their reservations are as follows; \u0000 \u0000i) Teaching approach, ii) Issues regarding 1st year BDS education, iii) Teachers/Students collaboration, iv) Faculty qualification/experience status, v) Impact of student’s input in curriculum development and vi) Absence of collaborative sessions. \u0000 \u0000All these points that were emphasized by the student’s feedback about curriculum, teachers and assessment modes are critical for better learning. \u0000Conclusion: \u0000        As per our study findings, integrating multiple teaching approaches and emphasizing on students feedback is significant for dental curriculum development.","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"132 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88822364","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":"A Journey towards Improved Quality of Life of a Typist with Retinitis Pigmintosa","authors":"Malab Sana Balouch, Muhammad Shahbaz, Mohammad Moaz Balouch","doi":"10.58397/ashkmdc.v27i02.523","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.523","url":null,"abstract":"Abstract: Retinitis pigmentosa (RP) is a group of inherited rod-cone degenerative pathologies that present clinically with similar signs and symptoms. Common fundus findings include bone-spicule pigment formation, attenuated blood vessels in the posterior pole and waxy optic nerve pallor. Symptoms mostly start with progressive night blindness, mid-peripheral visual field defects, and eventual tunnel vision. A 42 year old male patient, typist by profession presented to our clinic with complaints of decreased vision and reduced dark adaptation affecting his quality of life a lot. On examination, he was diagnosed as an advanced case of retinitis pigmentosa bilaterally and there was bilateral posterior sub capsular cataract. His quality of life was assessed by using a simplified version of the VFQ-25 questionnaire. After successful cataract surgery and low vision rehabilitation his quality of life was reassessed by using same questionnaire. He had a much more positive outlook towards his eyesight. Our case report reviews the life changing personalized low vision rehabilitation of a typist with retinitis pigmentosa. \u0000Key words: retinitis pigmentosa, quality of life, low vision rehabilitation \u0000 ","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81559789","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":"Sutureless and Glue Free Conjunctival Autograft in Pterygium Surgery","authors":"Uzma Taqi, E. Shahid","doi":"10.58397/ashkmdc.v27i02.417","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.417","url":null,"abstract":"Objective: The objective of the study is to report a newer technique of pterygium excision followed by suture less and glue free conjunctival autograft for its complications and recurrence rate.   \u0000METHODS: This prospective and quassi experimental study was carried out at Baqai medical university hospital, Karachi from January 2016 to December 2016. This study consists of 30 eyes of 22 patients, above 15 years of age with primary progressive Pterygium of 2 mm or more in size and interfering with the vision. All the patients were operated under sub tenon’s anesthesia, Pterygium was excised with surgical blade followed by suture less and glue free conjunctival autograft from superior limbus. Primary outcomes measures included graft loss, granuloma and any other complications noted within six months. Recurrence was also noted at 6 months. \u0000RESULTS: There were 30 eyes of 22 patients.  There were 4 females (18.18%) and 18 male patients (81.81%). The mean age was 31.28 years ± 9.4 SD. Right eye was seen in 16 (53%) cases. Graft lost was recorded in 1 patient (4.5%), conjunctival pyogenic granuloma in 1 patient (4.5%) and graft retraction was seen in 1 (4.5%) case. Recurrence rate was none at 6 months post operatively. \u0000CONCLUSION: Conjunctival autograft without suture and glue is a new and simple technique that can be done with minimal expenses and limited resources. It has fewer complications and no recurrence.","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90220617","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":"Awareness of Dental Personnel towards Occupational Injury- A Cross Sectional Study","authors":"Maimoona Naeem, Fasahat Khan, Syed Mahmood Shah, Z. Abbas, Amna Rehman, Muhammad Saad ul Hassan","doi":"10.58397/ashkmdc.v27i02.528","DOIUrl":"https://doi.org/10.58397/ashkmdc.v27i02.528","url":null,"abstract":"TITLE: \u0000Awareness of dental personnel towards occupational injury- a cross sectional study \u0000ABSTRACT \u0000Objective: To determine the awareness of dental personnel towards dental occupational injury in Karachi. \u0000Methods:        \u0000This cross-sectional prospective study was conducted using pre-designed questionnaire addressing dental personnel of two dental hospitals of Karachi. It includes final year students, house officers, dental officers, general dental practitioners, consultants, post-graduate residents, and dental staff assistants. The inclusion criteria include dental personnel from both genders aged between 20 years to 60 years and had given verbal consent for the study. The non-cooperative respondents, not willing to participate in the study were excluded The sample population includes final year BDS students, house officers (HOs), dental officers (DOs), general dental practitioners, consultants, post-graduate residents (PGs) and dental staff assistants (DSAs). The dental health care workers were asked for the frequencies, tool, procedure and the departments in which they experienced NSI/SII; their knowledge and practice regarding standard management protocols for NSI/SII and their reporting was assessed.  A sample size of 201 personal was selected. Through informed verbal consent dental personnel of both genders aged between 20-60 years, filled questionnaire. Statistical analysis was done on SPSS version 19.00. \u0000Results: \u0000Female and final year BDS participants were74.6% (n=150) and 35.3% (n=71) respectively. Needle stick injury or sharp instrument injury (NSI/SII) was 69.6 % (n=140). Most frequent  Instrument causing injury was dental needle i.e. 54.3% (n=76) while most frequent procedure was during local anesthesia administration i.e. 28.6% (n=40). Department of Oral Surgery was the most common department reported for injury i.e. 53.6% (75). Total 86.6% (n=174) were aware and 79.3% (n=111) of dental personnel followed standard protocols for its management. The statistical analysis was done with SPSS version 19.0. with significant p-value was < 0.05. \u0000Conclusion: \u0000The percentage of dental occupational injury is high and awareness of dental personnel towards dental occupational injury in Karachi is inadequate. \u0000Keywords: \u0000Wounds and Injuries, occupational injuries, dental instruments \u0000word count abstract: 204 \u0000word count: 1781 \u0000Number of tables and Figures: 2 each \u0000Conflict of interest and funding: \u0000None \u0000TITLE: \u0000Awareness of dental personnel towards occupational injury- a cross sectional study \u0000ABSTRACT \u0000Objective: To determine the awareness of dental personnel towards dental occupational injury in Karachi. \u0000Methods:        \u0000This cross-sectional prospective study was conducted using pre-designed questionnaire addressing dental personnel of two dental hospitals of Karachi. It includes final year students, house officers, dental officers, general dental practitioners, consultants, post-graduate residents, and dental staff assistants. The inclus","PeriodicalId":53838,"journal":{"name":"Annals Abbasi Shaheed Hospital & Karachi Medical & Dental College","volume":"42 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73436577","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}