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Clinicopathological Correlation of Leiomyoma undergoing Myomectomy in a Tertiary Care Hospital
Get PDFAbstractObjective: To evaluate clinic pathological correlation of Leiomyomas undergoing myomectomy intertiary care hospital.Methodology: This cross-sectional study was conducted at Gynaecology and ObstetricsDepartment, Services Institute of Medical Sciences Lahore, from June2019 to September 2022 on asample of 123 eligible patients. After a detailed history investigations and clinical examination, e.g.CBC, blood grouping, fasting blood sugar, ESR, ultrasound scan, laparotomy was performed and thesize of uterus, tubal and ovaries condition and total number and location of fibroids we noted. A tubalpatency test using methylene blue was performed. Histopathological examination was performed toconfirm any endometrial pathology or degenerative process. The data was analysed SPSS 21.0.Categorical variables like demographic profile, clinical characteristics, and location of myoma werepresented as frequency and percentages.Results: Mean age was 25.23±5.623 years. In the study population, 69.1% were nulliparous. Heavymenstrual bleeding was the commonest symptom, constituting 44.7%, mass in abdomen in 30.1%,infertility in 22% and dysmenorrhea in 3.3% cases. Most common site of leiomyoma was Intramural(51.21%), Subseroal 29.26%, and Submucous 19.51%.Conclusion: The study concluded that leiomyoma is one of the most common diseases ofreproductive age.Keywords: Clinicopathological correlation, leiomyomas, fibroids, uterine fibroids
The Effect of Marital Status on Academic Performance of Medical Students: A Cross-sectional Study
No full textObjective: To measure association of demographics of medical students with attitude towards affect of marriage on education.
Study Design: Cross-sectional study Place of Study: CMH Lahore Medical College, Lahore.
Methodology: Students from all years of the MBBS, house officers and post graduate trainees were included in this study. Data was collected through two semi structured questionnaire designed, validated and reliability was assessed by reliability analysis using chronbach alpha which was 0.80. Information from married and unmarried subjects was collected separately. Data was entered and analyzed by using statistical package for social sciences (SPSS version 22.0). Descriptive statistics for qualitative data was calculated in form of frequencies and percentages whereas descriptive statistics for quantitative data were calculated in the form of mean and standard deviation. Chi-square test of significance was used to see association, if any between marriage and academic performance. P-value<0.05 was considered statistically significant.
Results: Total response rate was 92.5%. Mean age of unmarried respondents was 23.50+ 1.86. Mean age at marriage of females was 22.52+2.47 and for males it was 22.78–1.95. The gender distribution of the unmarried respondents was 31.6% male and 68.4% female while among married respondents there were 37.5% male and 62.5% female. Significant association was found between marriage and better academic performance (p =0.001). More female married respondents were of the view that they wish they had not married before graduation, significant value of (p=0.04) was obtained. Sixty seven point seven(67.7%) unmarried respondents thought that their married colleagues were happy; 84.9% said that they feel more relaxed as compared to their married colleagues. Eighty four point nine (84.9%) said they would marry after graduation. Eighty one point seven (81.7%) unmarried respondents were of the view that marriage clashes with the study.
Conclusion: Marriage has beneficial effects on academic performance and life's perception overall. Opinion varies among gender about being married before graduation or after which is understandable owing to difference in responsibilities and level of understanding between the spouses
Application of Robson Classification in Combined Military Hospital Lahore, a tertiary care centre
No full textObjectives: There is worldwide concern about rising rate of caesarean section. WHO proposes Robson classification as a global standard for comparing caesarean section rates within healthcare facilities. We conducted a study to determine whether this classification is reproducible in our local set-up.
Study design: Combined Military Hospital (CMH) Lahore is a tertiary care, thousand bedded teaching hospital with an approximate delivery rate of five thousand per annum. We looked into the maternity and birth record register of CMH Lahore and considered all births over a period of six months.
Results: The caesarean rate over this time period was 39%. Robson group 5 (women with previous caesarean section, term singleton pregnancy) had the highest number, with 56% of women delivering by caesarean section fell into this category. Considering the high rate of caesarean deliveries in these 6 months, we retrospectively looked into randomly selected 50 sets of notes for detailed study. This highlighted the need for revisiting our protocols for vaginal birth after caesarean and induction of labour and fresh perspective in management of breech.
Conclusion: Robson classification is reproducible in our set-up, and can be used for quality improvements in tertiary care maternity units in local context
Failure of tooth suported fixed dental prothesis and future restorability of abutment teeth among patients visiting CMH Lahore Medical College, Lahore, Pakistan
No full textObjective: Extent of failure of tooth supported fixed prosthesis may affect the future restorability of abutment tooth. The objective of this study was to identify the cause of failure in tooth supported the fixed prosthesis and to assess the future restorability of abutment teeth.
Study Design: Cross sectional study.
Place and duration: Study was conducted in department of prosthodontics, Institute of Dentistry CMH Lahore Medical College in year 20162017.
Patients and Methods: Total 50 patients were examined with 80 abutment teeth. A self-administered Proforma was made to collect data regarding patient's age, gender, type of prosthesis and cause of failure. Intra-oral examination of patients was carried out along with prosthesis evaluation. Radiographic assessment of abutment teeth was done with the aid of peri-apical and bitewing radiographs. Failure was classified and data were analyzed using SPSS 21.
Results: Periodontal breakdown of abutment teeth was reported as a most common cause of failure (38.8%) followed by caries (31.3%). endodontic failure (7.5%), mechanical failure (6.3%), and esthetic failure (5%). Least reported factor was decementation (2%). Data showed that 32.5% failures fall in grade 4 category, 22.1% in grade 6 followed by grade 5 (18.2%), 3(16.9), 2 (7.8%) and 1 (2.6%) being least common.
Conclusion: While planning any fixed prosthesis the future longevity of prosthesis as well as serviceability of abutment tooth should be considered. Oral hygiene status, endodontic status and periodontal condition of abutment teeth must be assessed before giving any prosthesis
Burnout: Comparative Study between House Officers and Final Year Medical Students across Gender and Sector
No full textBackground& Objectives: The purpose of this study was to compare the burnout in house officers and medical students of final year in public and private sector of Lahore. Additionally the current study aims to find out the gender differences and sector wise differences on the variable of burnout.
Study design: Cross-sectional study. Place & duration of study: Public and private medical colleges and hospitals of Lahore, Pakistan. The duration of the study was from March 2017 to Dec 2017.
Methods: The sample of 240 participants(120 final year MBBS students & 120 house officers) having age range of 22 to 25 years of age was selected from public and private sector.For assessment purpose demographic form and the abbreviated nine items inventory “abbreviated Maslach Burnout Inventory (MBI)" was used for the measurement of burnout among medical students and house officers.
Results: Findings of current study revealed more "depersonalization" (t (238) = 3.14, p<.05) and more "personal accomplishment"(t (238) = 4.24.p<.05) on the sub-scales of burnoutin house officers as compared to the final year medical students. No significant gender differences were revealed. Further sector wise analysis showed interesting findings that participants from public sector showed more "personal accomplishment" (t (238) = .029, p<.05) than their counterparts from private sector, but revealed no significant differences on other subscales of burnout of "emotional exhaustion” and “depersonalization".
Conclusion: This study highlighted that house officers are suffering more from "depersonalization” which indicates lack of commitment, distancing from patients, and handling of the patients as inanimate objects. This study also revealed that public sector house officers and final year students showed more personal accomplishment which represents high sense of efficacy, commitment and capacity to involve, change and improve than their counter parts in private sector
Knowledge and Practice of Specialists and Residents of Gynecology towards the Management of Post- Menopausal Burning Mouth Syndrome
No full textObjective: To assess the knowledge of gynecologists about burning mouth syndrome among post-menopausal women and to assess the treatment modalities used by gynecologists for Burning mouth syndrome among post-menopausal women.
Study design: Cross sectional, Descriptive, Questionnaire based study.
Place and Duration of Study: Data collection for this study conducted in four teaching and practicing hospitals of Lahore (CMH Lahore, Jinnah Hospital, FMH and Ghurki trust teaching hospital) from July 2017 to November 2017.
Methods: A questionnaire was filled by specialists and 3 and 4" year resident gynecologists in four teaching and practicing hospitals of Lahore from July 2017 to November 2017. The inclusion criteria was both genders of any age, teaching and practicing hospitals. The exclusion criteria included: private clinics, medical officers. Data was analyzed using SPSS version 23 (IBM SPSS Statistics, version 23, USA). Chi square test was used to compare frequencies amongst groups. A p value of <0.05 was set as the level for statistical significance.
Results: A total of 43 out of the 50 gynecologists including specialists and residents responded to questionnaire. 18.3 % residents and specialists said that they knew about burning mouth syndrome.
Conclusion: The results yielded that only 2.3% of the physicians thought that the condition should be referred to a dentist for the treatment. 11.6% thought that no treatment is required, 9.3% thought only counselling was required and medications were the mode of treatment for 7.0
Orthodontic Camouflage in a Patient with Mild Skeletal Class II Malocclusion
No full textCamouflage is the masking of underlying skeletal problem by treating only dental problems. This case report describes a 14 years 2 months old Asian male presented with increased overjet on mild Class-II skeletal base with average vertical facial proportions. Treatment involved orthodontic camouflage by extracting maxillary first premolars with correction of proclined incisors in the upper arch. Treatment took 18 months in completion in which patient profile and esthetics were significantly improved
Role of Medicinal Plants in the Treatment of Peptic Ulcer
No full textPeptic ulcer is caused by a mucosal injury that penetrates through muscularis mucosal covering and forms a wound that is surrounded by acute and chronic inflammation. Peptic ulcers are comprised of both duodenal and stomach ulcers. Peptic ulcer disease is an imbalance of protective mucosal blockage and aggressive gastric luminal factors like lipid peroxidation, nitric oxide and acid pepsin secretion. Standard treatments of peptic ulcers using H-2 (Histamine Receptor) antagonists and H pump inhibitors have shown drug interactions, mild to severe adverse effects, and also relapses in some cases. While the medicinal plants and their antiulcer phytoconstituent's are advantageous in the treatment of peptic ulcers. There are so many plants that constitute have numerous floral products that have been turned up to possess antiulcer activity. Phytoconstituents like flavonoids, tannins, terpenoids, kaempferol etc. are useful in treating peptic ulcers. This review focuses on medicinal plants whose phytoconstituents have a gastroprotective role and thus they can be used for the prevention or treatment of peptic ulcers
COVID-19: Impact, Concerns and Mental Health of Medical Students of CMH LMC
Get PDFObjective: The current study aimed to assess the concerns of the medical students regarding their studies and clinical rotations during this pandemic. Additionally, this study also explores the impact of this novel COVID-19 on different domains of medical student’s life and on their mental well-being. Methodology: We conducted cross-sectional survey. Questions focusing on concerns and impact of COVID-19 were included. Depression, Anxiety Stress Scale (DASS-21) was used to assess the mental wellbeing. Results: The results of current survey revealed that 49.6 % medical students of their final years suffered from the mild to extremely severe range of anxiety, 39.6 % from depression and 16.8 % suffered from the stress. Findings also highlight that mostly travelling, studies and social life were affected. As observed that mostly, students highlight their concerns about availability of Personal Preventive Equipment (PPE) and about taking of preventive measures by patients. Almost 81.4 % agreed that e learning is not the alternative for classroom face-to-face lectures. It is also observed that 60.5 % showed satisfaction about teacher’s adaptation to the e learning and 57.3 % highlight the competency of teachers about giving proper feedback and asking questions during online classes. Conclusion: This survey exposed students concerns due to this pandemic on their studies and clinical rotations in the clinical settings. Additionally revealed about the huge impact of Covid-19 on mental health and daily functioning of medical students in different aspects of life
Prevalence of Sleep Paralysis in the Medical Students of a Local Medical College
Get PDFAbstract
Objective: To find out the prevalence of sleep paralysis among the medical students of a local Pakistani medical college. Methodology: This cross-sectional study was conducted on 107 medical students from, Karachi Institute of Medical Sciences (KIMS), Karachi, Pakistan. Non-probability Convenient Sampling Technique was utilized for this study. Students suffering from any psychiatric illness were excluded from this study. The study was performed after taking permission from the Institutional Ethical Review Committee. Written informed consent was taken from all the students. The data were collected using a pretested predesigned Questionnaire which was consisted of 10 questions related to the common10 happening and symptoms of sleep paralysis. Data were recorded in the form of frequency and percentages and analyzed using SPSS 24.
Results: 52% (56 out of 107) participants have had an experience of sleep paralysis. Most of the participants (76.6%) described their experience as an Inability to move. Frequency of experience ranged from 0 to 20 times in the last year. Age at first experience ranged between 10-20 years.
Conclusion: We found a high prevalence of sleep paralysis (47.2%) among the medical students at a local Pakistani medical college. Majority of the students experienced the phenomenon multiple times in their life. The students associated the symptoms the factors such as academic stress, anxiety, workload, emotional experiences, sleep deprivation, work routine, sleep pattern, sleep deprivation, fatigue, mental disturbance, studies and routine stress. 37.3% of the students also related the phenomenon to their position of sleep (lying on back). The participants described the experience as a source of great distress. Sleep paralysis needs to be studied, investigated and addressed in context of mental health of the students