Prevalence of nail-biting in children and its association with mental health in Karachi, Pakistan

Introduction: The crossing of digit from an individual’s mouth known as onychophagia or nail biting. Nail-biting is not a life-threatening condition. However, the border between its healthy and unhealthy associations still need conclusive establishment. Objectives: To determine the prevalence of nail-biting among children in Karachi, Pakistan and its association with pediatric mental health and behavioral disorders. Methodology: Sample size was parents of 171 children between the ages 4-10 was selected by convenience sampling. Data collection was conducted with a use of questionnaire in two hospitals of Karachi, Pakistan. All participants of the study were explained the purpose of the study and written consent was obtained. Results: The overall prevalence of nail-biting in the sample was 39.2%. The prevalence in boys and girls was not statistically significant (P = 0.06). The mean total SDQ score was 15.3 (SD = 5.3) and the mean prosocial score was 6.8 (SD = 2.2). The comparison of the effect of a child’s schooling neither showed any significant effect on nail-biting frequency (P = 0.093) nor on SDQ score (P = 0.845). Conclusion: To conclude more research should be done on the importance of nail biting in children, parents and pediatricians alike should pay special attention to children that bite their nails. Read More …

Knowledge, attitude, and perception of University students toward COVID-19 Pandemic

Background: An increasing rate of COVID-19 cases throughout the world has increased the need to investigate the knowledge, attitude, and perception (KAP) of university students toward the COVID-19 pandemic to prevent its rapid spread as public cooperation and awareness regarding prevention is the only way to deal with this pandemic. Methods: A retrospective cross-sectional study was conducted in Pakistan in April 2020. Data was collected by Google statistics and percent reliability was calculated through SPSS. Results: The number of respondents n=678, out of which 443(65.2%) were female and 235(34.85%) were male. The perception of students regarding this disease is shown in a table in which 33.2% of students consider it very dangerous. 54.2% thought it moderately dangerous. 62.38% of students consider muscle pain and 73.59% of students consider throat pain as a clinical presentation of COVID-19. 80.7% of students thought that exposure to a suspected case of COVID-19 serves as a means of acquiring COVID-19 infection. The most effective measure of prevention comes out to be hand washing and covering face during coughing and sneezing. The main cause of the spread is a lack of public awareness and cooperation. Social media campaigns are an effective means of educating students about quarantine and controlling its rapid spread. Conclusion: Researchers concluded that It’s the need of the hour to increase awareness related to protective hygienic measures, rapid spread, and providing reliable approaches through social media campaigns to manage this pandemic. We believe that students should be involved in educating their surrounding society. Read More …

Employment Preferences and Self-Perceived Confidence of House-Officers across Dental Teaching Institutions of Lahore

Introduction: Despite progressive statistics, the oral healthcare system suffers from an unevenly distributed workforce, lack of infrastructure, and reduced quality of dental education. As a result, dental graduates have decreased job satisfaction and limited career prospects. This article assesses the perceptions of dental graduates regarding their workforce skills, abilities, and employment preferences. Methodology: This was a cross-sectional, questionnaire-based study targeting House-Officers from various randomly selected dental teaching institutes of Lahore. The study tool was a modified version of the questionnaire used by Manakil and George and assessed the perceptions of dental graduates regarding their workforce skills and preferences.[14] This study aimed to evaluate the self-perceived confidence of new dental graduates, and investigate the relationship between gender perceptions. Results: The sample size was 256 House- Officers. Most participants were confident in their skills and abilities with 167 (65.4%) individuals confident in workforce integration, 166 (64.8%) confident in their patient management skills, 154(60.2%) confident in their interpersonal skills, and 163 (63.7%) confident in their leadership abilities. The mentorship was considered to be crucial by 207 (80.9%) individuals. Two hundred and thirty-three (91%) individuals were willing for an additional year of internship and 174 (68%) participants chose city-based employment. The government sector was the most preferred for employment by 122 (47.7%) individuals whereas research was least preferred. Conclusion: Career development and mentorship programs must be put into practice, incentives are provided to work in rural areas and research culture is promoted. Read More …

Audit Of Genito-Anal Injuries In Male And Female Sexual Abuse Cases – A Retrospective Study.

Background: Sexual assault is a global issue wherein timely examination of sexual assault victims by medico-legal officers and an understanding of the characteristics and factors influencing their injuries have a crucial impact on medico-legal evidence collection and its use in the court. Genital injury findings improve the level of justice for victims, but the lack of injury does not negate the possibility of sexual violence incurred on the victim. The following study describes in great detail the different factors associated with injury characteristics and the medico-legal importance of all these factors. Methodology: It was a retrospective descriptive study conducted at the Forensic Medicine Department of King Edward Medical University, Lahore, Pakistan. All the cases included that fulfill the predefined inclusion criteria were included. A record chart was designed, and six years’ data was recorded in it from the medical records of the medico-legal clinic. It was entered and edited manually. Methods used to prevent data entry errors included double entry and validation following data entry Difference of proportions between variables, where appropriate, has been calculated by Pearson Chi-Square test and Fischer Exact test at 95% confidence interval. Data were analyzed using SPSS v23. All procedures performed in this study involving human participants were following the ethical standards of the institutional and/or national research committee and the Helsinki declaration. Results: Genito anal injury was present in 28.2% cases and was absent in 71.8% cases. Most of the victims were aged 11 to 15 years. The most common injury in the victims was a tear. In females, the most common injury site was the vagina, while the perianal area was the most injured site in males. There was a significant relation (p<0.05) between type and site of injury, gender, site of injury, and prior sexual intercourse experience and prevalence rate of injury. Conclusion: This study concludes that the presence of injuries in the Genito anal area is suggestive of sexual assault and provides useful court evidence. Read More …

The effect of physical activity on stress levels of medical students: A cross-sectional analysis

Nausharwan Butt1, Nimrah Bader1, Marium N. Khan1, Ahreen Allana1, Ahmer Ashraf1, Danial Siddiqui1, Maria H. Baig1, Aamer Mahmood1, Arhama Malik1, Imran S. Khalek1, Sarah Saleem2 Students Final Year MBBS, the Aga Khan University, Karachi, Pakistan. Professor of Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan. Corresponding Author: Nausharwan Butt, PGY-2 Internal Medicine Washington Hospital Center 110 Irving St. NW Read More …

Assessment of psychosocial work environment of doctors

Zainab Bashir Khan 1, Aima Pervaiz 1, Arooma Majid 1, Ahmed Toheed 2. Shaikh Khalifa Bin Zayed Al Nahyan Medical and Dental College, Lahore. King Edward Medical University, Lahore. Corresponding Author: Zainab Bashir Khan, House Officer, Shaikh Zayed Hospital, Lahore. Contact Author.Submission: Oct 8, 2019Acceptance: May 1, 2020Publication: May 11, 2020 © Author(s) (or their employer(s) 2020. Re-use permitted under CC Read More …

Effectiveness and safety of endoscopic vs open carpal tunnel release: Single center experience from Maldives

Ali Niyaf 1, Kiran Niraula 2, Aishath Sofia Shareef 3, Mohamed Sajuan Mushrif 4 Senior Consultant Neurosurgery, ADK Hospital, Male, Maldives. Consultant Neurosurgery, ADK Hospital, Male, Maldives. Medical Officer, Neurosurgery, ADK Hospital, Male, Maldives. Medical Student, Lithuanian university of health sciences, Lithuania. Corresponding Author: Ali Niyaf, Senior Consultant Neurosurgeon, ADK HospitalSosun Magu Male’, 20040, Maldives.Maldives. Contact Author.Submission: Mar 20, Read More …

The Economic impact of Lower Extremity Amputations in Diabetics. A retrospective study from A Tertiary Care Hospital Of Faisalabad, Pakistan.

Muhammad Labeeq1, Muhammad Ahsan Tariq1, Samar Atta Tung1, Muhammad Asfand Yar1, Waleed Rehman1, Sumera Badar Ehsan2. Students, Final Year MBBS, Punjab Medical College, Faisalabad Medical University, Faisalabad, Pakistan. Assistant Professor (Medical Education), Punjab Medical College, Faisalabad Medical University, Faisalabad, Pakistan. Corresponding Author: Muhammad Labeeq, Student Final Year MBBS, Faisalabad Medical University, Faisalabad, Pakistan.Contact AuthorSubmission: Oct 2, Read More …

Correlation of Atrial Fibrillation with Left Atrial Volume in Patients with Mitral Stenosis. A single centre study from Pakistan.

Muhammad Arshad1 , Furqan Yaqub Pannu1, Bilal Ahmed1,  Ahmad Kamran2, Faryal Zafar3, Salman Khalid1. Senior Registrar, Cardiology, Mayo Hospital, Lahore, Pakistan. Medical Officer, Cardiac Surgery, Mayo Hospital, Lahore, Pakistan. Medical Officer, Pathology, Services Institute of Medical Sciences, Lahore, Pakistan. Corresponding Author: Dr Bilal Ahmed, Senior Registrar Cardiology, Mayo Hospital, Lahore. Contact Author.Submission: Oct 9, 2019Acceptance: Jan Read More …

Prevalence of Muscle dysmorphia and associated health activities in male medical students in Karachi, Pakistan.

Azza Sarfraz1, Ali Faisal Sultan1, Mirza Zain Baig1, Moheudin Khan1,Noayna Arshad1, Rijah Chappra1, Sarosh Madhani1, Muhammad Owais Abdul Ghani1, Hassan Bin Khalid1, Imtiaz Jehan2. Students 4th Year MBBS, Aga Khan University, Karachi, Pakistan. Associate Professor, Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan. Corresponding Author: Dr Imtiaz Jehan, Associate Professor, Department of Community Read More …