1,723,845 research outputs found
OVARIAN CANCER: MOST FREQUENTLY SEEN GYNAECOLOGICAL MALIGNANCY IN ZIAUDDIN HOSPITAL, NORTH NAZIMABAD
Full text linkBackground: The prevalence of genital tract malignancies is rising worldwide making it one of the most
common malignancies in females after breast cancer. Despite cervical cancer being the most commonly
occurring cancer globally, a multitude of studies in Pakistan have identified ovarian cancer as the most
commonly occurring malignant tumor. The morbidity and mortality rates from genital tract tumors are
considerably higher in developing countries. In developed countries, screening tests for early diagnosis of a
malignancy followed by effective treatment are readily available. The objective of this study is to study the
pattern and relative frequency of the malignancies involving the genital tract among women admitted to
Ziauddin Hospital in 2015.
Methods: The study is a retrospective, observational analysis of the case files of female patients admitted into
Ziauddin University Hospital, North Nazimabad. The patients coming to the OPD have been followed for the
last 3 years to check for the suspected presence of a genital tract malignancy.
Results: A total of 55 patients over the last three years were confirmed to have some form of genital tract
malignancy. Ovarian cancer accounted for 49% of the outcome, with around 23.6% of the cases diagnosed
at stages 3 and 4. Endometrial cancer was the second most common cancer, with 27.2% being diagnosed
at stage 1. Cancers of the cervix and vulva accounted for 3.6% and 1.8% respectively. No cancer of the
vagina was documented.
Conclusion: The most common genital tract malignancy in female patients at Ziauddin University Hospital is
ovarian cancer, in contrast to the vast majority of developing countries where cervical cancer is the leading
cause of genitourinary malignancies
Impact Of Emergency Obstetric Care Skill Training Workshops For Medical Students At Ziauddin University. Karachi. Pakistan
Full text linkBackground:
Obstetric emergencies are usually sudden, unpredictable and may lead to maternal death and morbidity. Each year about 5,36,000 women die worldwide from complications of pregnancy and childbirth. Health professionals should be trained in emergency, life saving skills. Emergency obstetrics skills workshops for medical students were aimed to train them in providing care in emergency situations like antepartum and postpartum haemorrhage, eclampsia, shock, obstructed labour and abortion. Thus the purpose of our study was to evaluate the effect of emergency obstetrics workshop after providing training in team work in fourth year medical students to fulfil our future needs. We have evaluated the effect of hands-on training of emergency obstetrics skills in medical students in small groups and assessed the difference in their knowledge before and after the workshop.
Methods:
This cross-sectional study was conducted at Obstetrics and Gynaecology Department of Ziauddin University, Karachi, Pakistan from 2015 to 2016. Fourth year MBBS students (n=146) were included in the study with their informed consent. The knowledge regarding pre & post workshop was evaluated regarding various emergency situations with the help of a questionnaire. A pre-workshop test of 10 multiple-choice questions was administered to all the participants. At the end of the workshop, the same 10 questions were administered and the two scores compared using Paired sample t-test for paired data on SPSS statistical software version-21. A paired-sample t-test was for pre & post test score.
Results:
The results of pre test and post test showed profound improvement. We have been observed that the post test mean value of knowledge was higher than the pretest mean value of knowledge. Finally p-value <0.05 was considered statistically significance. Students were able to identify basic need of obstetric care that should be provided in obstetric emergency, compared with the situation before receiving the training.
Conclusion:
Well defined and structured hands-on training is an effective way of improving skills of medical students and may reduce maternal mortality in Pakistan
Treatment of Mycosis Fungoides with Total Skin Electron Beam Therapy Using Modified Stanford Technique
No full textA retrospective review of three patients with mycosis fungoides treated with total skin electron beam therapy , from the year 2007 to 2009 , at the Oncology department, Ziauddin University Hospital.
Key Words:
Mycosis Fungoides, Primary Cutaneous T-Cell Lymphoma, Total Skin Electron Beam Therapy
Comparison Of Frequency Of Habits Among Different Stages Of Oral Submucous Fibrosis
No full textBackground:
To compare the frequency of habits among different stages of oral submucous fibrosis.
Methods:
A cross-sectional study was conducted. Patients were recruited through purposive sampling technique from Dental OPD of Ziauddin Dental College, Clifton campus and Keamari campus, Ziauddin Hospital, Karachi. There were 50 stage 1 OSMF patients with limited mouth opening between 26-35 mm and 50 stage 2 OSMF patients with limited mouth opening less than 26mm. A detailed questionnaire was filled with details regarding patient’s medical history along with the frequency of pan, ghutka, betelnut, tobacco and alcohol. Co-relations were studied between various continuous variables. Cross-tabulations were performed between frequency of habits and different stages of OSMF.
Results:
In the present study, 100 OSMF patients, 70 (70 %) males and 30 (30 %) females, were recruited and diagnosed into different stages on the basis of limited mouth opening. Majority of addictions in OSMF stage 1were due to pan chewing (54%) followed by ghutka (40%), tobacco (34 %) and betelnut (28%) respectively. OSMF stage 2 patients showed highest consumption of ghutka (68%) followed by pan (60%), betelnut (50%) and tobacco (42%) respectively. Alcohol consumption alone in both stages was found insignificant causative factor in OSMF disease.
Conclusion:
The present study revealed that the relative risk of disease becomes higher with increased frequency and duration of daily consumption of pan for stage 1 and ghutka for stage 2 OSMF patients.
Key Words:
Oral sub mucous fibrosis, frequency, ghutka, betelnut, tobacco, pa
COMPARING THE EFFECTS OF INSPIRATORY RESERVE VOLUME IN CIGARETTE AND SHISHA SMOKERS BY USING SPIROMETER
No full textBACKGROUNDShisha and cigarette are the two most common type of tobaccosmoking. Cigarette and shisha smoking have grown fast in differentages globally. Shisha and cigarette both contain chemicals that affect health badly and can cause common diseases such as cough and some life threatening diseases like cancer, emphysema and bronchitis also affect bones causing osteoporosis and decrease functional capacities of lung. There are no proper guidelines for the awareness of the public about the hazards of shisha smoking as they are present for cigarette smoking but it’s a fact that shisha smoking is as harmful as cigarette smoking.OBJECTIVESTo compare the effect of Inspiratory Reserve Volume (IRV) on shishaand cigarette smokers by using spirometer.STUDY DESIGN AND SAMPLING TECHNIQUECross-sectional survey was steered, convenient sampling was used.STUDY SETTINGS & PARTICIPANTSThe study was conducted on 50 participants of Ziauddin College ofNursing and Ziauddin College of Physical TherapyRESULTS IRV is more compromised in shisha smokers than in cigarette smokers. As far as deciding between health concerning effects of shisha and cigarette smokers, the shisha smoking effects are same as cigarette smoking.CONCLUSIONShisha smokers have more exposure to tobacco than cigarettesmokers. IRV is disturbed by both means of smoking but shisha smoking has more potential risks
The Prevalence of Depression Among Resident Doctors in a Teaching Hospital
No full textABSTRACTBackground: Residency training programs and level of stress on trainees has been a topic of concern.Stressors identified have ranged from increased workload, to poor learning environment and to financialconstraints. Consequences have been physical and emotional sometimes making them more susceptibleto depression or to suicide in severe cases.Objectives: This study looked at prevalence of depression among trainee doctors in Ziauddin Hospital,Karachi, Pakistan.Methods: A survey was conducted in three campuses of Ziauddin hospital, while maintaining strictconfidentiality of participant’s data. Survey focused on prevalence of depression, gender differences anddifferences in prevalence during years of training. The Beck Depression Inventory was used and allcomputations were done using IBM SPSS 20 software.Results: Our results showed Prevalence of depression to be statistically insignificant among the trainees(mean ±SD = 7.88 ±5.93; ).There were no gender based and training level variances (mean ±SD = 9.37±10.52 and 8.52 ±7.55 respectively). Prevalence of depression in the three campuses remained nonsignificant (P=0.337).Conclusion: Residency Training programs can be a source of depression in trainees. This study, on thecontrary, has shown statistically insignificant results regarding depression in trainees. These can beindicative of positive reflection of structured training programs resulting in overall wellbeing of thetrainees.KEY WORDS: Residency, Training, Trainees, Depression, Pakistan
PROSPECTS OF CANCER REGISTRATION SYSTEM AT ZIAUDDIN UNIVERSITY
No full textDespite cancer being one of the most common causes of mortality in Pakistan, little authentic data is available regarding the status, incidence and survival of cancer in our population the reason being the non existence of a national cancer registry and major neglect in this area. A cancer registry gathers, and analyses data on individuals with cancer, to formulate directives for control. Several scientific studies are coming up regarding the putative risk factors in relation to chemical, biological and environmental carcinogens associated in cancer pathogenesis. The recent risk factor analysis based on epidemiology, molecular biology and genetics of colon cancer has given a major to its management [1]. However, information regarding these risk factors and cancer burden from our country is not adequate to formulate and implement policies for primary and secondary prevention. This makes the formation of a cancer registry crucial. In addition, standardized data maintained in cancer registries can be used not only for clinical research but also for epidemiological research and to improve quality of care by healthcare planning and monitoring [2]. As cancer registries play a major role in assessing cancer burden and formulating cancer control programs, incorrect data can have detrimental effects on the resources of a developing country like Pakistan. It is therefore of utmost importance that the data collected by cancer registries is reliable and standardized [3]
Hybrid Semester System in MBBS Program – Ziauddin Medical College Experience
No full textIntroduction
With the passage of time the demands of health care delivery system are changing. The rate of scientific discovery and accumulation of knowledge is gathering speed. In order to prepare medical students as tomorrow’s leaders, an effort to improve the curriculum is unavoidable
EFFECTIVENESS OF TEACHING ECG STRATEGY IN PRECLINICAL YEARS: STUDENTS’ PERSPECTIVE
No full textBackground:
ECG interpretation is an important skill in patient care provision in all levels of health care system. Although its importance cannot be denied in clinical practice, ECG patterns of patients are often misdiagnosed causing adverse outcomes and even death of patients. This study aims to assess the basic knowledge in undergraduates about ECG interpretation and to determine the effectiveness of teaching ECG strategy during the preclinical years.
Methods:
A cross sectional study was conducted in Ziauddin University Karachi in which 232 MBBS and BDS students from preclinical years participated. A structured questionnaire was administered regarding ECG teaching in preclinical years. Answers were recorded on Likert scale. Statistical analysis was done on SPSS version 20. Frequencies and percentages were calculated for categorical variables. Chi square test was used to compare groups. P value of ≤0.05 was considered as significant.
Results:
Among 232 students 132(81.5%) MBBS and 62(88.6%) BDS, considered the use of practical classes as a good mode of teaching ECG while 124(76.5%) MBBS and 59(84.3%) BDS students considered problem based learning to teach ECG. 54(77.1%) BDS and 134(82.7%) MBBS students considered ECG to be taught by a cardiologist. The correct response rate of the basic knowledge of ECG was 83% among MBBS and 80% among BDS students.
Conclusion:
The basic knowledge of ECG interpretation was good among students of Ziauddin University. However there is a need of more integrated program along with collaboration with cardiologists to teach this competency
CRANIOSYNOSTOSIS: A CASE REPORT
No full textBackground:
Craniosynostosis has a prevalence of 1 in 2000 to 2500 live births. We report on a case of craniosynostosis managed surgically.Method: A 2-year old male, case of craniosynostosis which presented to Ziauddin Hospital North Nazimabad OPD. This child had a history of multiple falls since the past 4 months for which sutures were required twice. His head circumference was above 95 percentile for his age. He was diagnosed as a case of trigonocephaly based on the findings of the 3D CT scan. He underwent surgical remodellingResult: Patient was discharged after an unremarkable post-operative period
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