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, 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> en-US <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> [email protected] (Prof Dr. Muhammad Akram Malik) [email protected] (JUMDC) Sat, 01 Jun 2024 10:00:15 +0000 OJS 60 Contents JUMDC Copyright (c) 2024 Journal of University Medical & Dental College Thu, 11 Jul 2024 04:38:37 +0000 The Role of Digital Health Solutions in Modern Medicine Saba Tariq, Sundus Tariq Copyright (c) 2024 Journal of University Medical & Dental College Sat, 01 Jun 2024 00:00:00 +0000 Multidisciplinary care plan and adherence to clinical practice guidelines is needed to improve breast cancer outcome in Pakistan Saira Saleem Copyright (c) 2024 Journal of University Medical & Dental College Sat, 01 Jun 2024 00:00:00 +0000 Perception of General and Dental health hazards among Ragpickers in Lahore, Pakistan <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> Imran Jawad, Nimra Ali, Izah Tahir, Nissa Khan, Wamik Ehsan, Furqan Khan, Obaid Bajwa Copyright (c) 2024 Journal of University Medical & Dental College Fri, 31 May 2024 00:00:00 +0000 Intertrochanteric fracture neck treatment with percutaneous dynamic hip screw fixation technique: understanding outcomes in elderly patients <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> Muhammad Ikram, Nadia Gul , Sajid Ejaz Rao , Sadia Ijaz, Munawer Latif Memon, Sohail Muzammil Copyright (c) 2024 Journal of University Medical & Dental College Fri, 31 May 2024 00:00:00 +0000 Pause procedure to enhance learning during the lectures in Medical Colleges <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> Zafar Ali Chaudhry, Muhammad Tahir Bashir Malik, Ayesha Ayub, Aamir Imtiaz Khan, Moin Anwar, Mahnoor Shakeel Copyright (c) 2024 Journal of University Medical & Dental College Sat, 01 Jun 2024 00:00:00 +0000 Correlation of Assessment Scores and Performance of Students from Admission to Graduation at Liaquat College of Medicine and Dentistry <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> Faiza Siddiqui, Naila Baig , Zeelaf Shahid, Hanan Furqan Siddiqui , Mohd Subhan Ali Siddiqui Copyright (c) 2024 Journal of University Medical & Dental College Sat, 01 Jun 2024 00:00:00 +0000 Impact of transurethral resection of the prostate on erectile function in benign prostatic hyperplasia patients: a descriptive study at a tertiary care hospital <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> Farhan Khan, Naveed Soomro, Muhammad Adnan Sarwar, Muhammad Mashkoor Aslam, Haider Ali Qureshi , Hafiz Bilal Murtaza Copyright (c) 2024 Journal of University Medical & Dental College Sat, 01 Jun 2024 00:00:00 +0000 Online Teaching and its challenges faced by Anatomists in Pakistan: A post-pandemic perspective <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> Fatima Inam, Alvia Batool , Muhammad Shahid Akhtar, Hafiza Sadia Ahmed, Fariha Qureshi, Fauzia Qureshi Copyright (c) 2024 Journal of University Medical & Dental College Fri, 14 Jun 2024 00:00:00 +0000 Knowledge, Attitude, and Perception regarding antibiotic use and its associated resistance among the general public in Lahore, Pakistan. <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> Momina Ikram, Muhammad Aaliyan Khan, Haris Javed, Muhammad Asif Shareef, Iqra Mushtaq, Muhammad Ashraf Choudhary Copyright (c) 2024 Journal of University Medical & Dental College Mon, 03 Jun 2024 00:00:00 +0000