Journal of University Medical & Dental College 2024-07-15T10:08:29+00:00 Prof Dr. Muhammad Akram Malik [email protected] Open Journal Systems <p>Journal of University Medical &amp; Dental College, JUMDC, is the official peer reviewed Journal of University Medical &amp; Dental College, constituent college of The University of Faisalabad. JUMDC is open access journal being published quarterly.<br><br>ISSN, 2221-7827<br>ISSN, 2310-5542</p> <p>Original research articles, review articles, practical updates, case reports, letter to editor of medical and allied health sciences are being evaluated by editorial board and peer reviewers before publication in the journal.</p> Contents 2024-07-12T01:32:04+00:00 JUMDC [email protected] 2024-07-11T04:38:37+00:00 Copyright (c) 2024 Journal of University Medical & Dental College The Role of Digital Health Solutions in Modern Medicine 2024-06-06T03:59:24+00:00 Saba Tariq [email protected] Sundus Tariq [email protected] 2024-06-01T00:00:00+00:00 Copyright (c) 2024 Journal of University Medical & Dental College Multidisciplinary care plan and adherence to clinical practice guidelines is needed to improve breast cancer outcome in Pakistan 2024-06-06T04:03:17+00:00 Saira Saleem [email protected] 2024-06-01T00:00:00+00:00 Copyright (c) 2024 Journal of University Medical & Dental College Perception of General and Dental health hazards among Ragpickers in Lahore, Pakistan 2024-07-15T10:08:29+00:00 Imran Jawad [email protected] Nimra Ali [email protected] Izah Tahir [email protected] Nissa Khan [email protected] Wamik Ehsan [email protected] Furqan Khan [email protected] Obaid Bajwa [email protected] <p><strong>BACKGROUND &amp; OBJECTIVE: </strong>Ragpickers are free-lancer workers who wander throughout the day, or for the time that suits them to pick and gather recyclable waste materials from streets, wastebins and sell these items to various scrapyards which compensate them with a minimal amount. The conditions they work in are very difficult with health hazards around every corner of which they are unaware. To explore the awareness about health hazards among Ragpickers in Lahore.</p> <p><strong>METHODOLOGY: </strong>The study was conducted in the slum vicinity near The University of Lahore adjacent to Raiwind, Lahore.&nbsp; The perception of health hazards among Ragpickers was assessed through a proforma before the start of the study. The Snowball technique was used to collect data. An analysis among the same population was done two weeks later after being given awareness about health hazards.</p> <p><strong>RESULTS: </strong>The results show that amongst the 150 sample population the awareness level of the subjects increased by 50% about all diseases but the knowledge about personal hygiene practices remained unchanged. The data was analyzed using chi-square and paired sample t-tests with p value &lt;0.05 considered as significant.</p> <p><strong>CONCLUSION: </strong>Through health care programs sponsored by government and NGOs, significant improvement in health among Ragpickers could be seen by following simple principles of hygiene.</p> 2024-05-31T00:00:00+00:00 Copyright (c) 2024 Journal of University Medical & Dental College Intertrochanteric fracture neck treatment with percutaneous dynamic hip screw fixation technique: understanding outcomes in elderly patients 2024-06-25T08:15:51+00:00 Muhammad Ikram [email protected] Nadia Gul [email protected] Sajid Ejaz Rao [email protected] Sadia Ijaz [email protected] Munawer Latif Memon [email protected] Sohail Muzammil [email protected] <p><strong>Background and Objective:</strong></p> <p>Femur fractures result in a high rate of mortality and morbidity. Objective was to compare effectiveness of percutaneous dynamic hip screw fixation technique (PC-DHS) and conventional open dynamic hip screw (DHS) in terms of mean operative time, wound size, pain scores, intraoperative blood loss, screening time, hospital stay at 2 weeks, mean full weight bearing mobilization at 6 weeks, mean hip Harris scores at 6 weeks and 3 months and mean radiological healing at 3 months in older patients having an intertrochanteric fracture of femur neck at tertiary care hospital.</p> <p><strong>Methodology:</strong></p> <p>The study design was a prospective observation study at the Department of Orthopedics, POF hospital. The study duration was 2 years (2018-2020). The sample size was 130 with 1:1 randomization in each group. Patients were selected through nonprobability sampling (lottery method) and divided into two groups; Group A underwent PC-DHS and Group B underwent conventional DHS procedure. Data was analyzed using SPSS version 24.</p> <p><strong>Results:</strong></p> <p>A total of 130 patients were studied. Patients who underwent PC-DHS showed significantly low operative time (p&lt;0.00), wound size (p&lt;0.00), intraoperative blood loss (p&lt;0.00), pain scores (p&lt;0.00), hospital stay length (p&lt;0.00) at 2 weeks as compared to conventional DHS. PC-DHS patients showed high Hip scores (p&lt;0.00) at 3 months and at 6 months (p&lt;0.00). The frequency of chronic hip pain, non-union, implant failure, avascular necrosis, chronic osteomyelitis, and deep venous thrombosis was high in conventional open DHS.</p> <p><strong>Conclusion:</strong></p> <p>We found PC-DHS as a more effective and safe technique for intertrochanteric fracture fixation resulting in significant improvement in surgical outcomes at 2 weeks, 6 weeks, 3 months, and 6 months.</p> 2024-05-31T00:00:00+00:00 Copyright (c) 2024 Journal of University Medical & Dental College Pause procedure to enhance learning during the lectures in Medical Colleges 2024-07-13T10:53:45+00:00 Zafar Ali Chaudhry [email protected] Muhammad Tahir Bashir Malik [email protected] Ayesha Ayub [email protected] Aamir Imtiaz Khan [email protected] Moin Anwar [email protected] Mahnoor Shakeel [email protected] <p style="margin: 0in; line-height: 150%;"><strong><span style="color: #0e101a;">BACKGROUND &amp; OBJECTIVE: </span></strong><span style="color: #0e101a;">Lectures are still the most appropriate and practical way of conveying knowledge in available limited resources but their effectiveness is very debatable. The pause procedure is a strategy that uses strategic pauses in a lecture to help students overcome this problem<strong>.</strong> The objective of this study was to analyze the effectiveness of pausing to enhance learning during lectures in medical colleges. </span></p> <p style="margin: 0in; line-height: 150%;"><strong><span style="color: #0e101a;">METHODOLOGY: </span></strong><span style="color: #0e101a;">After institutional permission # 48.ERC/FMU/2023-24.384, this comparative cross-sectional study was conducted on fourth-year MBBS students (the whole Batch was involved, which comes to the urology ward) in a public sector medical institution. The technique of taking a clarification pause during the long sessions (equal to or more than 45 minutes) was utilized and feedback was taken. </span></p> <p style="margin: 0in; line-height: 150%;"><strong><span style="color: #0e101a;">RESULTS:</span></strong><span style="color: #0e101a;"> Student satisfaction was described by 75% of students in Method-A (taught with pausing technique) and 48% of the students in Method-B (taught without pausing) (p=0.018). Maintaining the attention span till the end of the lecture was described by 74% of Method-A and 34% of Method-B students (p≤0.001). Clarity of the topic was described by 82% with A and 51 % with B students(p≤0.001). The mean MCQ score of the students group after method A was 62% and 52% with B.&nbsp;&nbsp;&nbsp; </span></p> <p style="margin: 0in; line-height: 150%;"><strong><span style="color: #0e101a;">CONCLUSION:</span></strong><span style="color: #0e101a;"> The pause procedure is an effective methodology to improve learning and academic performance in undergraduate medical students without causing any added burden.</span></p> 2024-06-01T00:00:00+00:00 Copyright (c) 2024 Journal of University Medical & Dental College Correlation of Assessment Scores and Performance of Students from Admission to Graduation at Liaquat College of Medicine and Dentistry 2024-07-02T10:10:31+00:00 Faiza Siddiqui [email protected] Naila Baig [email protected] Zeelaf Shahid [email protected] Hanan Furqan Siddiqui [email protected] Mohd Subhan Ali Siddiqui [email protected] <p><strong>BACKGROUND &amp;OBJECTIVE: </strong>Gaining admission to medical school is highly competitive, requiring rigorous selection criteria by educational institutions. They carefully assess entry qualifications and eligibility tests to identify suitable applicants for their medical programs. The objective is to evaluate how well these criteria predict student's overall academic performance in medical colleges across Pakistan.</p> <p><strong>METHODOLOGY: </strong>The descriptive, observational study was conducted at a private medical and dental College, in Karachi. A multiple linear regression analysis was conducted to predict the final year score based on factors such as HSC score, entry test score, and scores from the first, second, third, and fourth years.</p> <p><strong>RESULTS: </strong>The study shows that the pre-medical scores of HSC and A levels have a moderate positive correlation with the first-year MBBS (r=0.403) and a strong correlation with the final-year scores (r=0.603). The entry test (MDCAT) has a moderately positive correlation with the first, third (r=0.348), and fourth-year (r=0.367) scores. On comparing pre-clinical year scores with clinical years, a strong positive correlation was seen between 1st year and 3rd year (r=0.721), 1st year and 4th year (r=0.570), 1st year and final year (r=0.619), 3rd year and 4th year (r=0.711), 3rd year and 5th-year scores (r=0.602), 4th year, and 5th-year scores (r=0.651).</p> <p><strong>CONCLUSION: </strong>This study shows that the pre-medical scores and medical college entry tests can predict student’s overall future academic performance in professional examinations. Also, provides insight to medical educationists to identify weak students in their early medical college years.</p> 2024-06-01T00:00:00+00:00 Copyright (c) 2024 Journal of University Medical & Dental College Impact of transurethral resection of the prostate on erectile function in benign prostatic hyperplasia patients: a descriptive study at a tertiary care hospital 2024-07-05T10:40:30+00:00 Farhan Khan [email protected] Naveed Soomro [email protected] Muhammad Adnan Sarwar [email protected] Muhammad Mashkoor Aslam [email protected] Haider Ali Qureshi [email protected] Hafiz Bilal Murtaza [email protected] <p>&nbsp;</p> <p><strong>Background &amp; Objective: </strong>Benign prostatic hyperplasia (BPH) is a prevalent condition in older males, primarily responsible for lower urinary tract symptoms (LUTS). Transurethral resection of the prostate (TURP), a frequently utilized surgical procedure for BPH management, has mixed effects on erectile function (EF). The objective of this study is to evaluate the changes in EF following TURP in patients with BPH.</p> <p><strong>Methodology: </strong>This descriptive study was conducted at Bilawal Medical College for Boys, LUMHS Jamshoro, involving 261 male subjects between the ages of 50 and 70 who underwent TURP. Evaluation of EF was carried out before and after the surgical procedure using the International Index of Erectile Function (IIEF) scoring system.</p> <p><strong>RESULTS</strong>: The average age of the participants was 60.47 years, and the mean duration of BPH prior to surgery was 15.83 months. The mean IIEF score prior to surgery was 16.72, which notably decreased to 11.50 after surgery. This decline was statistically significant (p &lt; 0.001), and this trend remained consistent across variables such as age, duration of BPH, and prostate volume.</p> <p><strong>Conclusion: </strong>The study concludes that TURP significantly correlates with a decline in EF among patients with BPH. These outcomes highlight the necessity for comprehensive preoperative counseling about the potential impacts on sexual health for patients considering TURP.</p> <p>&nbsp;</p> 2024-06-01T00:00:00+00:00 Copyright (c) 2024 Journal of University Medical & Dental College Online Teaching and its challenges faced by Anatomists in Pakistan: A post-pandemic perspective 2024-07-08T05:16:46+00:00 Fatima Inam [email protected] Alvia Batool [email protected] Muhammad Shahid Akhtar [email protected] Hafiza Sadia Ahmed [email protected] Fariha Qureshi [email protected] Fauzia Qureshi [email protected] <p><strong>BACKGROUND AND OBJECTIVE: </strong>Medical teachers in Pakistan lacked the concept of online teaching and had to adapt with limited resources and experience during the COVID-19 pandemic. They were also lacking the necessary IT skills and computer literacy. This study aims to access the different types of online teaching methods, explore computer literacy, and identify the challenges and opportunities faced by the teachers of anatomy to assess the success of online teaching.</p> <p><strong>METHODOLOGY:</strong> An online survey gathered data from n=80, anatomy teachers on demographic factors, prior online teaching experience, teaching methods, IT skills, and perceptions of online teaching challenges and benefits. Responses were analyzed using frequencies and percentages. The Chi-square and Fisher's exact tests were employed to explore relationships between dependent and independent variables.</p> <p><strong>RESULTS:</strong> The study found that 17.5% of anatomy teachers had prior online teaching experience, with Zoom being the preferred app for 54% of respondents. A mix of synchronous and asynchronous teaching was favored by 48.75%. Most teachers reported IT skills above 70-80%. Teaching gross anatomy was cited as the biggest challenge by 74% of participants. Statistical analysis revealed no significant difference in app preference between junior and senior faculty (p &gt; 0.05).</p> <p><strong>CONCLUSION: </strong>Teachers of anatomy in Pakistan faced many difficulties in online teaching during the pandemic which is evident by this study conducted in post-pandemic time but did their best to deliver lectures using the resources available and minimal training.</p> 2024-06-14T00:00:00+00:00 Copyright (c) 2024 Journal of University Medical & Dental College Knowledge, Attitude, and Perception regarding antibiotic use and its associated resistance among the general public in Lahore, Pakistan. 2024-07-11T04:34:34+00:00 Momina Ikram [email protected] Muhammad Aaliyan Khan [email protected] Haris Javed [email protected] Muhammad Asif Shareef [email protected] Iqra Mushtaq [email protected] Muhammad Ashraf Choudhary [email protected] <p><strong>BACKGROUND &amp; OBJECTIVE:</strong> Increasing misuse and irrational prescribing of antibiotics by physicians has led to antimicrobial resistance (AMR) posing a major global threat. Furthermore, only a few studies have been conducted to evaluate this domain in Pakistan. The objective of this study is to assess the general public’s knowledge, attitude, and perception towards antibiotic use and its resistance, and to determine positive associations between the various socio-demographic variables.</p> <p><strong>METHODOLOGY:</strong> A descriptive cross-sectional study was conducted from October 2022 to March 2023. A convenient sampling technique was employed, selecting participants ≥ 18 years of age (n= 339). Structured questionnaires were distributed on different study sites and random participants were asked to respond immediately.</p> <p><strong>RESULTS:</strong> Results showed that assessing antibiotics use among these 342 participants in the last year, it was determined that the majority of them had only used antibiotics once 108(31.6%). A closer number of individuals had used antibiotics more than thrice 101(29.5%)&nbsp; shows no significant association between rural and urban with a p-value=0.941&gt;0.05. The majority were also aware of fatal allergic reactions produced by some antibiotics and agreed to stop antibiotic use if any adverse reaction were to occur 277(81.0%)p-value=0.674&gt;0.05. No significance was observed, although some near-significant values of importance were noted and discussed<strong>. </strong></p> <p><strong>CONCLUSION:</strong> Antibiotic usage is commonly observed among all individuals; however, views contain many deviations. Constraints, including sample bias, Lahore’s urban dominance, and the omission of doctor-prescribing evaluations, highlight the study's limitations and have further skewed our results.<strong>&nbsp; </strong></p> 2024-06-03T00:00:00+00:00 Copyright (c) 2024 Journal of University Medical & Dental College