Journal of University Medical & Dental College <p>Journal of University Medical &amp; Dental College, JUMDC, is the official peer reviewed Journal of University Medical &amp; Dental College, constitution 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> Jumdc en-US Journal of University Medical & Dental College 2221-7827 <p><a href="" rel="license"><img src="" alt="Creative Commons License" border="0"></a><br>This work is licensed under a&nbsp;<a href="" rel="license">Creative Commons Attribution 4.0 International License</a>.</p> ASSESSMENT: A STRATEGIC TOOL FOR TEACHING AND LEARNING IN MEDICINE Prof Dr. Mukhtiar Baig Copyright (c) 2020 2020-03-18 2020-03-18 11 1 v vi 10.37723/jumdc.v11i1.413 ROLE OF LOCAL INFILTRATION OF INJECTION BUPIVACAINE IN REDUCING EARLY POST-OPERATIVE PAIN <p>ABSTRACT:</p> <p><strong>BACKGROUND &amp; OBJECTIVE:</strong></p> <p style="text-align: justify;">Intolerable morbidity occurs after major thoracic, orthopedic or abdominal surgeries due to post-operative pain. Inadequately controlled pain leads to patient displeasure and major morbidities like postoperative pulmonary dysfunctions and cardiac ischemic changes. Various techniques are presently used to treat this pain and opiods are the most regularly used medications by parenteral or neuraxial route. Intolerable morbidity occurs post-operatively due to inadequately controlled pain. The objective of this study was to compare the mean pain scores in patients undergoing laparotomy with and without local infiltration of injection bupivacaine at surgical incision site in post-operative period.</p> <p style="text-align: justify;"><strong>METHODOLOGY:</strong> This randomized controlled trial was conducted at surgical department Allied hospital Faisalabad from June 2017 to December 2017.Total 80 patient were included in this study that were randomly divided into two groups using random number tables. In post-operative period, patients of both groups were given treatment as per requirement of their respective diseases. They received a baseline analgesia using Inj. Toradol (ketorolac) 30mg/1ml intravenously every 8 hours, first dose given during the surgery. The study group was additionally given 10ml Inj. Bupivacaine HCl 0.5% diluted with 10ml saline injected into the subcutaneous plane around the incision immediately after the closure of skin and time was noted. No further difference in the treatment of patients of both groups required for the purpose of this study. The patients in both groups were compared for the degree of pain experienced by them in early post-operative period. This information was collected using Numeric pain scale, 10 being worst pain and 1 meaning least appreciable pain. These assessments were done 2 and 4 hours after surgery.</p> <p><strong>RESULTS:</strong> We recorded pain score 3.0+0.75 in study and 5.2+0.72 in control group, p-value was &lt; 0.001 showing a significant difference.</p> <p><strong>CONCLUSION:</strong> We concluded that there is significantly lower pain in patients infiltrated with injection bupivacaine around surgical incision in early post-operative period as compared to those who had only intravenous analgesics.</p> Mudassar jabeen Fawad Zafar Sumara Tabassam Farhad Alam Muhammad Sohail Copyright (c) 2020-03-18 2020-03-18 11 1 1 8 10.37723/jumdc.v11i1.306 VIROLOGICAL RESPONSES OF VELPATASVIR/SOFOSBUVIR IN PATIENTS WITH HCV GENOTYPE 3 <p><strong>BACKGROUND &amp; OBJECTIVE:</strong> The role of Velpatasvir/Sofosbuvir in the treatment of hepatitis C virus type 3 infection is evaluated in terms of virologic responses. i.e Rapid Virological Response (RVR) End of treatment response (ETR) and Sustained virological response (SVR 12).</p> <p><strong>METHODOLOGY:</strong> This was a descriptive case study conducted in Liver OPD of Benazir Bhutto Hospital during 01 November 2018 to 30 April 2019 , in which 100 patients of HCV were enrolled, all of them had HCV genotype 3 infection. Every patient was treated with combination of Velpatasvir/Sofosbuvir 100mg/400 mg Once Daily as part of treatment regimen of HCV infection for 12 weeks. Pre-treatment HCV RNA QUANTITATIVE PCR was done, which was repeated on 4, 12 weeks of treatment and then 12 weeks post treatment.</p> <p><strong>RESULTS:</strong> Among 100 patients, 51 (51%) were male and 49 (49%) were females. Mean age of patients was 43.2 ± 10.4 years (mean ± SD). Mean BMI of enrolled patients was 21.34 ± 2.40 kg/m2. 33% patients were cirrhotic while 67% were non cirrhotic. 53% patients were treatment experienced while 47% were treatment naïve. Rapid Virological Response (RVR) was achieved in 92%, End of treatment response (ETR) was achieved in 96%, while Sustained Virological response (SVR12) was achieved in 99% patients. The results were stratified according to age, gender and BMI. There was no effect of these parameters on the final results.</p> <p><strong>CONCLUSION:</strong> Virological response (RVR, ETR, SVR12) of Velpatsvir /Sofosbuvir and Ribavirin is encouraging.<br><br></p> Muhammad Sarfraz Arshad Rabbani Muhammad Shahzad Manzoor Benish Adil Copyright (c) 2020-03-18 2020-03-18 11 1 9 14 10.37723/jumdc.v11i1.397 The PROBLEMATIC INTERNET USE AMONG HEALTHCARE PROFESSIONALS: EMERGING BEHAVIORAL PATTERNS IN SOCIAL NETWORKING SITES ADDICTION <p><strong>ABSTRACT:</strong></p> <p><strong>BACKGROUND &amp; OBJECTIVE: </strong>Internet has swayed all aspects of human society and the exponential rise in global internet users indicates that internet &amp; Social Networking sites (SNS) have become an essential part of the daily lives of people with potentially addictive effects of its overuse. This may lead to social isolation, depression &amp; professional effects. This behavioral addictive pattern has also been observed in increasing trend among healthcare professionals worldwide. This study aims to assess prevalence of internet addiction and its behavioral patterns (BP) in Pakistani healthcare context, to determine the prevalence and intensity of Internet Addiction (IA) among Medical Doctors.<strong><br></strong></p> <p><strong>METHODOLOGY:</strong> A Quantitative; Cross-sectional Survey was conducted at Shaikh Khalifa Bin Zayed/ Azad Kashmir Combined Military Hospital Rawalakot for 2 months.After calculating sample size with 95% Confidence Interval limit,100 medical and dental doctors were selected using convenience sampling. After IRB approval &amp; informed consent data was collected using prevalidated “Young's Internet Addiction Scale”&amp; “Behavioral Patterns scale”. The participants recorded their response on a 5-point Likert scale and dichotomous scale for each scale respectively. Data was summarized using descriptive statistics &amp; inferential statistics in SPSS 23. Addiction was classified into 4 categories. The significant association between IA groups and BP groups was computed by Fisher's exact test with P-value &lt;0.05 as significant.&nbsp;</p> <p><strong>RESULTS:</strong> The Response rate was 87% with 54% males and 56% females. The prevalence of internet addiction was 79%(n=69). Out of them 36% (n=31) had mild, 41% (n=36) had moderate addiction while 2% (n=2) had severe addiction. Pattern of internet addiction symptomatology shows that prevalence of IA is higher in excessive use (87.35%) &amp; lack of control (77.01%) while least in anticipation (35.63%) category. Statistically significant difference was seen in behavioral patterns among addicted and nonaddicted medical and dental doctors.</p> <p><strong>CONCLUSION:</strong> Internet Addiction is a recognizable disorder from the spectrum of Problematic Internet Use. This study reports the prevalence of internet addiction among health care professionals and burden of multiple behavioral patterns in association with IA, which is an emerging mental health concern.</p> Marium Sohail Haris Rauf Tayyeba Iftikhar Mirza Rabia Ashfaq Anbreen Aziz Hasan Ibrahim Copyright (c) 2020-03-18 2020-03-18 11 1 15 22 10.37723/jumdc.v11i1.262 COMMONLY ISOLATED ORGANISM IN DIABETIC FOOT AND ITS ANTIBIOTIC SENSITIVITY, AN EXPERIENCE AT TERTIARY CARE HOSPITAL <p><strong>Abstract</strong></p> <p><strong>BACKGROUND &amp; OBJECTIVE:</strong> To determine the commonly isolated organism in ulcers of diabetic foot and its sensitivity to antibiotics.</p> <p><strong>METHODOLOGY:</strong> A total of 167 patients of diabetic foot were included in this descriptive Crosssectional study. All the patients were informed and consent was obtained according to ethical criteria approved by the ethical committee. The use of antibiotics in last 72 hours was strictly observed. The samples were obtained under aseptic conditions by applying the swap slightly to the exudate or base of the ulcer and were then carefully transferred in to the container and were then sent to the laboratory on the same date. The culture sensitivity was performed. Data was analyzed using SPSS. 20.</p> <p><strong>RESULTS:</strong> A total of 140 samples were positive for 8 types of bacteria out of 167. 94 samples were monomicrobial were as 46 were polymicrobial. Over all Staphylococcus aureus 63(40.3%) was the most commonly isolated bacteria followed by Pseudomonas aeruginosa 40 (25.6%). S. aureus was most sensitive to imipenem/ meropenem (79.3%) followed by vancomycin (71%), linezolid (69.8%) and moxifloxacin (69.8%). P. aeruginosa was sensitive to impenem/ meropeneum (90%) followed by Ticarcilline/ clavulante (92.5%), amikacin (87.5%) and pipracilline / tazobactom (80%). Most of the gram positive and negative bacteria were resistant to commonly available antibiotic like ampiciline/ cloxacillin, amoxicilline/ clavulante and cephradine.&nbsp;</p> <p><strong>CONCLUSION:</strong> Most of the commonly used antibiotics had developed resistance. was S. aureus most common bacteria from the isolates and was sensitive to impenem/meropenem, vancomycin and linezolid. Gram-negative bacteria showed sensitivity to impenem/meropeneum, pipracilline/ tazobactom, Ticarcilline/ clavulante and amikacin.</p> Muhammad Iqbal Khan Riffat Arbab. Abdullah Khan Maria Mehmood Aisha Arshad Hafsa Jaffar Hafsa Qazi Copyright (c) 2020-03-18 2020-03-18 11 1 23 30 10.37723/jumdc.v11i1.310 A COMPARISON BETWEEN TRANSURETHRAL CYSTOLITHOCLASTY AND VESICOLITHOTOMY IN PEDIATRIC MALE PATIENTS <p><strong>ABSTRACT</strong></p> <p><strong>BACKGROUND &amp; OBJECTIVE:</strong> To compare transurethral cystolithoclasty with ureteroscope over open vesicolithotomy in pediatric male patients.</p> <p><strong>METHODOLOGY:</strong> Study comprises of hundred pediatric male patients, divided into two equal groups of 50 each, labeled as Group-A and Group-B. All the patients having stones less than 20mm size (average 14mm) were included. Group-A patients were treated with transurethral cystolithoclasty by using ureteroscope and pneumatic lithoclast assisted with the help of Dormia basket. Group-B patients were treated with open vesicolithotomy.<br><strong>RESULTS:</strong> All hundred male pediatric patients were between the ages of 1-15 years (mean age 8 years). Hospital stay was 2-3 days (average 2.5 days) in Group-A patients and 3-5 days (average 4 days) in Group-B patients. In Group-A3 (6%) patients had urinary tract infection, 1(2%) had urethral injury and 2(4%) had residual stone post-operatively. While Group-B4 (8%) suffered from urinary tract infection, 1(2%) had wound infection, 1(2%) had hematuria, and 2(4%) had fever. Retention of urine was 1(2%) in each Group.</p> <p><strong>CONCLUSION:</strong> Transurethral cystolithoclasty is a much better way of treating vesical calculus in pediatric male patients because it is a procedure with short hospital stay, minimal invasion, no scar and less complication. KEYWORDS: Bladder Calculus, Comparison, Cystolithoclasty, Ureteroscope, Pneumatic Lithoclast, Dormia basket, Vesicolithotomy. <br><br></p> Muhammed khalid Muhammad Faizan Muhammad Asif Gurmani Amjad Ali Siddiqui Qadeer Ahmed Choudhary Zulfiqar Anjum Copyright (c) 2020-03-18 2020-03-18 11 1 31 38 10.37723/jumdc.v11i1.163 OUTCOME OF CEREBRAL CONTUSIONS DUE TO TRAUMATIC BRAIN INJURY <p><strong>ABSTRACT:</strong><br><strong>BACKGROUND &amp; OBJECTIVE:</strong> To compare the results of surgically operated vs conservatively treated patients of cerebral contusions due to traumatic brain injury.</p> <p><strong>METHODOLOGY:</strong> This comparative study was conducted from January 2012 to December 2014 at the department of Neurosurgery, PGMI Lahore General Hospital, Lahore. A total of 50 patients were included in this study of both gender (male and female) and in the age range of 15-65 years. In our study 20 patients were managed conservatively while other 30 patients were operated for cerebral contusions. The mode of injury in our study was road traffic accidents and history of falls.</p> <p><strong>RESULTS:</strong> Out of 50 patients, there were 41 (82%) males and 09 (18%) female patients. Their age ranged from 15 - 65 years. In this study the overall mean age is 38.36 years. The maximum numbers of patients were in their third and fourth decades of life. In our study the duration of hospital stay in conservatively managed patients was longer as compared to surgically treated patients who were discharged earlier. Mortality rate in surgically managed patients having a GCS ranged between 09 to 12 was very low contrary to the conservatively managed group, similarly the rate of delayed contusion formation and edema was also low in surgically managed patients as compared to those who were managed conservatively.</p> <p><strong>CONCLUSION:</strong> Surgically managed patients of cerebral contusions in traumatic brain injury has better outcome and decreased hospital stay as compared to conservatively managed patients.</p> Zubair Ahmed Khan Habib sultan Amir Aziz Shahrukh Rizvi Tauqeer Ahmed Waseem Ahmed Copyright (c) 2020-03-18 2020-03-18 11 1 39 43 10.37723/jumdc.v11i1.263 RESTORATION OF A POST-SURGICAL DEFECT BY MAGNETIC MAXILLOFACIAL PROSTHESIS: A CASE REPORT <p><strong>ABSTRACT:</strong><br>Edentulous patient with an intra-oral and extra-oral defect suffers from both functional loss and psychological distress. Magnets give a successful approach to rehabilitate the oral functions and improve the quality of life. This case report describes a simple method of fabricating a two part magnetic maxillofacial prosthesis.<br><br></p> Muhammad Aamir Rafique Safana Khan Hira Ahmed Copyright (c) 2020-02-18 2020-02-18 11 1 44 48 10.37723/jumdc.v11i1.350 Obituary Late Dr.Pashya Roberto Kaplan Copyright (c) 2020-03-18 2020-03-18 11 1 54 54