Lahore Medical and Dental College

Lahore, Pakistan

Lahore Medical and Dental College

Lahore, Pakistan
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Mirza H.,Lahore Medical and Dental College | Saeed K.,Lahore Medical and Dental College
Pakistan Journal of Medical and Health Sciences | Year: 2016

Aim: To determine the following among the final year students of the Lahore Medical & Dental College, Lahore: their knowledge & awareness regarding biomedical (BM) waste management policy and practices, their attitude towards biomedical waste management, and their awareness regarding needle-stick injury and its prevalence among different categories of health care providers. Methods: A cross-sectional study was conducted using a questionnaire with closed-ended questions. It was distributed to 100 final year MBBS students at Lahore Medical & Dental College. The questionnaire was used to assess their knowledge of biomedical medical waste disposal. The resulting answers were graded and the percentage of correct and incorrect answers for each question from all the participants was obtained. Results: Of the 100 questionnaires, all were returned and the answers graded. The results showed that there was a poor level of knowledge and awareness of biomedical waste generation hazards, legislation and management among the final year MBBS students.It was surprising that only 8(8%) final year MBBS students had excellent knowledge about infectious waste generated from a health care facility, while 92(92%) of students had poor knowledge about it. Conclusions: It can be concluded from the present study that there are poor levels of knowledge and awareness about BM waste generation hazards, legislation and management among the students of a private Medical College. Regular monitoring and training are required at all levels. © 2016, Lahore Medical And Dental College. All rights reserved.

Mukhtar F.,Lahore Medical and Dental College | Hashmi N.R.,Lahore Medical and Dental College
Journal of the College of Physicians and Surgeons Pakistan | Year: 2012

Objective: To assess the students' perspective about role-plays conducted as a teaching methodology in community medicine. Study Design: A quasi-experimental study. Place and Duration of Study: Department of Community Medicine at Fatima Memorial College of Medicine and Dentistry from July to November 2010. Methodology: A probability technique of simple random sampling was used to collect 63 students from the third and fourth year MBBS who were randomly distributed in five sub-groups. They were variously ascribed the roles of obsceners, participants and helpers. A questionnaire was distributed to collect student's responses. The data was analyzed on SPSS version 17 to compare the responses. Chi-square test was applied and p-value was fixed at < 0.05 as significant. Results: Sixty-three students were selected as participants of this study in which 46 belonged to the fourth year MBBS class (73%) and 17 were third year MBBS students (27%). There were 13 male (20.6%) and 50 female (79.4%) students. Role-plays were identified as most effective method of teaching (n = 25, 37.9%) followed by lectures (n = 17, 25.8%, p = 0.054). Fifty-two students (78.5%) admitted that role-plays improved their knowledge of the subject, 55 (84.6%) said that it will help them in their clinical performance. Fifty-nine participants (89.4%) found role-plays interesting and 49 (74.2%) wanted to incorporate role-plays as a part of curriculum. Fifty-six of the participants (88.9%) agreed that role-plays improved their communication skills. Twenty-one participants (31.8%) believed that it helped them in making acquaintance with the local situation. Forty-six students (76.7%) identified role-plays as a feasible way of andragogy (p = 0.005) and 48 (76.2%) said that it provoked critical thinking about the subject (p = 0.038). Fifty-four students (85.7%) admitted that their attention span was better in role-plays as compared to lectures (p = 0.047). Conclusion: Role-plays were well accepted by the students as an effective teaching methodology and can be incorporated as a part of teaching strategies in Community Medicine.

Mohyuddin T.,National Hospital and Medical Center | Ayyaz D.,Lahore Medical and Dental College | Sarwar S.,National Hospital and Medical Center
Journal of the College of Physicians and Surgeons Pakistan | Year: 2017

We report a case of 34-year patient who had uncomplicated elective caesarean-section. Postoperatively, she developed sudden hypotension, bradycardia, dyspnea and disseminated intravascular coagulation (DIC), all signs associated with amniotic fluid embolism (AFE). Echocardiogram showed signs of acutely increased right ventricular after load including McConell's sign, i.e. right ventricular dilatation, segmental hypokinesia (mid-right ventricular) and hypercontractile right ventricular apex and overall right ventricular dysfunction. Similarly, 60/60 sign was positive on echocardiography (decreased right ventricular acceleration time of less than 60 milli-seconds and pulmonary artery systolic pressure of less than 60 mmHg). Performance of CT pulmonary angiogram failed to show any clear thromboembolic phenomenon; although, there were other indirect signs pointing towards the diagnosis. She was treated with aggressive supportive care without anticoagulation and she showed complete recovery, with follow-up echocardiogram becoming absolutely normal after 9 days with normalization of right ventricular size and function and improvement in 60/60 sign.

Ibnerasa S.N.,Lahore Medical and Dental College
Pakistan Journal of Medical and Health Sciences | Year: 2011

Design: Cross sectional study / Retrospective study Setting: Lahore Medical and Dental College, Lahore, Pakistan Duration of study: 4 years. From cases received in Pathology Department from 2004 - 2008 Main outcome: Morphological spectrum of dental biopsy specimens Results: During the study period, 127 biopsies were performed by Dental Department, and were sent to the Histopathology Departmrnt. The age range of the samples were from 5 - 80 yrs. The mean age of the group was 32.16 yrs. Out of 123 cases, there were 62 (50%) males and 61 (49.6%) females in the study. Maximum number of dental lesions that required biopsy was seen in the second decade 33 (26.8%) followed by third decade 28 (22.8%). Chronic Inflammation was the most common non-neoplastic oral mucosa lesion (38.46%). Hemangioma constituted 46.7% of the benign neoplastic lesion. Squamous cell carcinoma was the most common lesion (94.73%) in malignant group. Amongst cystic lesions, Radicular cyst was seen in 7 out of 18 patients (38.8%) with an age range between 12 - 30 yrs and a mean of 20.85 + 5.58 yrs. Conclusion: This study has provided information about the epidemiologic aspects of oral mucosal lesions that may prove valuable in planning of future oral health studies.

Manzoor I.,Lahore Medical and Dental College | Hashmi N.R.,Lahore Medical and Dental College | Mukhtar F.,Lahore Medical and Dental College
Journal of the College of Physicians and Surgeons Pakistan | Year: 2010

Objective: To describe the socio-demographic along with the medico-legal characteristics of rape victims reporting to a female police station of Lahore. Study Design: Observational study. Place and Duration of Study: Female Police Station in Shadman, Lahore, from, June 1995 to January 2009. Methodology: A total of 74 cases of alleged rape victims were identified while reviewing all available police files concerning reported rapes and attempted rapes from 1995 to 2008. The data was gathered on preformed questionnaires after conducting the pilot study. All information about victims and alleged offenders were extracted from the police files including socio-demographic profile of the accused and victim both. Use of weapon, evidence of physical and genital trauma, assailant identification and his relationship with the victim, number of accused persons and location of rape was noted in each case. Examination by doctor and obtaining the specimens were also identified and was related to the outcome of the court case. Chi-square test was applied to determine the association of rape with age and educational status of the victim and the accused. Results: A total of 74 cases of alleged rape were reported in the study period at Shadman Female Police Station. Maximum number of victims was reported in the age group 10-19 years (n=46, 62.2%). Majority of the accused belonged to 20-39 years' age group constituting 64.8% of the total. Regarding educational status 45 (60.8%) of the victims and 51 (68.9%) of the accused were illiterate. Significant association was found between the educational status of rape victims and accused (p = 0.016) but not between their ages (p = 0.862). The maximum incidence of rape was reported in unmarried (n = 55, 74.3%) and unemployed (n =61, 82.4%) women. In 14 cases (19%) use of weapon was reported. Physical trauma was reported in 29 (39%) and genital trauma in 14 (19%) cases. The accused were identified as family friends (25%) and neighbours (23%) respectively. Only 21% of the victims were examined by doctor and specimens were obtained in only 14.9% of the cases. Acquittal of the accused was observed in 43% of the cases while 34% cases were still pending; conviction of the accused was observed in only 5% of the cases. Conclusion: Rape victims usually belong to young age group between 10-19 years majority of being unmarried and unemployed. Only a smaller fraction of the victims were examined by doctor and specimens were obtained in only few of the cases.

Hashmi N.R.,Lahore Medical and Dental College | Daud S.,Lahore Medical and Dental College | Manzoor I.,Lahore Medical and Dental College
Journal of the College of Physicians and Surgeons Pakistan | Year: 2010

Objective: To obtain the views and recommendations of final year MBBS medical students of Lahore Medical and Dental College, Lahore about various aspects of the current medical education. Study Design: Cross-sectional survey. Place and Duration of Study: Lahore Medical and Dental College, Lahore in October and November 2007. Methodology: Preformed close ended structured questionnaire regarding medical teaching and evaluation methods and recommendations was used to collect the data from students of final year MBBS (n=120) at Lahore Medical and Dental College. SPSS 15 program was used for analysis. Data was presented as frequency percentages. Results: A majority of the students (79%) thought that multimedia was the most effective teaching tool, (54%) students viewed 45 minutes as ideal lecture duration. Measures suggested to improve the examination results were regular tests (54%), improved lecture content (32%) and regular tutorials (10%). MCQ's were the mode of examination questions preferred by 62% of students. Recommendations given by students for improving the current medical education were better teaching (26%) followed by increased motivation in students 54 (16%) and more hands-on training/practical field work (12%). Conclusion: Medical students in this study preferred multimedia, lecture duration less than 45 minutes and MCQ's as their preferred mode of evaluation. Students recommended increased emphasis on better lectures, increasing learning motivation in students and more hands on training/practical field work to improve current medical teaching.

Mumtaz Z.,University of Alberta | Salway S.,University of Sheffield | Bhatti A.,Foundation Medicine | Shanner L.,University of Alberta | And 3 more authors.
American Journal of Public Health | Year: 2014

Evidence suggests national- and community-level interventions are not reaching women living at the economic and social margins of society in Pakistan. We conducted a 10-month qualitative study (May 2010-February 2011) in a village in Punjab, Pakistan. Data were collected using 94 in-depth interviews, 11 focus group discussions, 134 observational sessions, and 5 maternal death case studies. Despite awareness of birth complications and treatment options, poverty and dependence on richer, higher-caste people for cash transfers or loans prevented women from accessing required care. There is a need to end the invisibility of low-caste groups in Pakistani health care policy. Technical improvements in maternal health care services should be supported to counter social and economic marginalization so progress can be made toward Millennium Development Goal 5 in Pakistan.

Mukhtar F.,Lahore Medical and Dental College
Journal of the Pakistan Medical Association | Year: 2010

Objectives: To estimate Brucella seropositivity among slaughterhouse workers of Lahore district and to elucidate risk factors associated with seropositivity to Brucella. Method: During the year 2008, a cross-sectional study was conducted in four slaughterhouses of Lahore district. A sample of 360 workers was selected from these slaughterhouses through stratified random sampling on proportional basis. Workers were interviewed using a structured questionnaire to obtain risk factor information and their blood samples were collected to be screened for the presence of anti-Brucella IgG using Enzyme Linked Immunosorbent Assay (ELISA) technique. Data management and analysis were performed using SPSS (statistical package for social sciences) version 16. Risk factors associated with seropositivity to anti-Brucella IgG were identified by constructing a logistic regression model. Results: Of the 360 serum samples tested, 21.7% (95% CI 17.44% - 25.96%) were positive by ELISA test. The logistic regression model identified age (OR 0.96, 95% CI 0.94-0.99), assistance in parturition of animal (OR 0.47, 95% CI 0.23-0.96), consuming raw milk (OR 2.25, 95% CI 1.04-4.87) and handling sheep (OR 0.30, 95% CI 0.09- 0.92) as risk factors for Brucella seropositivity among slaughterhouse workers of Lahore district. Conclusion: To reduce the burden of brucellosis, a national brucellosis control programme should be initiated with special emphasis on the high risk population of slaughterhouse workers.

Manzoor I.,Lahore Medical and Dental College
Journal of Ayub Medical College, Abbottabad : JAMC | Year: 2010

Needle-stick injury (NSI) is a major occupational health and safety issue faced by healthcare professionals globally. This study was aimed to assess the frequency and factors associated with NSIs in nurses of a tertiary health care facility in Lahore, Pakistan. It also focuses on safety measures adopted by these nurses after a needle stick injury. This cross-sectional descriptive study was conducted in Ghurki Trust Teaching Hospital, Lahore from October 2009 to January 2010. All nurses have participated in the study with a response rate of 99%. These responses were obtained via a pretested self-administered questionnaire. The data was analysed using SPSS-16. Percentages of the categorical variables were computed and represented in various statistical data presentation forms, for analysis and comparison. Chi-square test was applied as a test of significance with fixing the p-value of 0.05 as significant. Out of 77 nurses who participated in our study, only 33 (42%) nurses were aware of the occupational hazards of their profession when they joined nursing. Needle stick injury was reported by 40 (71.9%) of the nurses in last one year. About 17 (31.5%) were injured at the time of recapping the syringe. The availability of needle cutters in the hospital was reported by 75 (97.4%) nurses while only 46 (60%) of them had undertaken a sharp management training course. Approximately 50 (64.9%) nurses failed to use gloves while administering injections. After getting stuck by a contaminated needle 71 (92%) of the nurses cleaned the wound with a spirit swab, 67 (87%) washed the area with soap and water and 58 (75%) applied a readily available bandage. Only 38 (49%) went on to inform the higher officials about a needle stick injury. Fifty-seven (74%) of the nurses were vaccinated against HBV, and 56 (72.2%) of needle stick injured nurses proceeded for HBV screening, while 53 (68.6%) for HCV and 37(48.5%) for HIV. Needle stick injury is the most important occupational health hazard in nurses with alarmingly high rates. Reporting to the concerned authorities, screening of nurses after needle stick injury and promotion of safety measures against it should be greatly encouraged.

Daud S.,Lahore Medical and Dental College | Javaid F.,Lahore Medical and Dental College
Pakistan Journal of Medical and Health Sciences | Year: 2011

Objectives: To determine the BMI status of undergraduate medical students. Design: A descriptive cross sectional study. Place of study: Lahore Medical & Dental College (LMDC), Lahore. Duration of study: January to March, 2011. Methodology: Body weight and height were of 136 fourth year MBBS students measured and body mass index (BMI) values were calculated by dividing weight with (height). Under weight, normal weight, overweight and obesity were defined using WHO international standard BMI cut-offs. Additional information including gender and age were obtained using a structured proforma. Data was entered and cleaned using SPSS version 16 computer package. Data was presented in the form of graphs and described in numbers and percentages. Results: Among the MBBS students interviewed, 70% were in the age group 20 to 22 years and 57% were females. The mean height of the students was167.7 metres (sd= 10.8); males 176.6 meters (sd= 6.3) and females 160.90 meters (sd= 8.4). The mean weight of the students was 67.7 kg (sd=14.1); males 72.14 kg (sd=13.3) and females 60.79 kg (sd=12.7. Overall, 60% of students were within the normal weight range overweight (66% males and 56% females). Around 27% male and female students were overweight. Obesity was found in 7% of students (3% males and 9% females). The 6% underweight students included 8% males and 3% females. Conclusion: Being overweight is a rising problem of male and female medical students. Both obesity and under weight issues are more common in female students.

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