Objective: To determine the factors that influence the future career choice among female medical students of Rawalpindi Medical University (RMU). Study Design: Descriptive Cross Sectional study. Setting: Rawalpindi Medical University, Rawalpindi. Period: 1st July 2021 to 31st August 2021. Material & Methods: Female students of 3rd, 4th and final year MBBS were included. Students were asked to complete a pre-designed questionnaire, which included demographic details and parameters such as, marital status, plan to have children in future, house job and post graduation preferances. Results: Four hundred fifty three students were included in this study. 69.8% students were neither married nor engaged. 32.5% had no intention of extending their family in next 5 years. Majority of the students (73.1%) chose medical profession on their own wish. About 96.2% females were planning to do house job. Out of these, 97.5% had already planned to pursue their post graduation. A quarter of medical students planned to pursue postgraduate training as well as family progression in the next 5 years (66.7% vs 25.7%). Current marital status, family extension in next 5 years, and reasons for adopting medical profession were found to be statistically significant, when compared to future career progression. (P < 0.05). Conclusion: Female medical students in pakistan are becoming more career oriented and taking decisions independently.
Objectives: Comparing the effectiveness of combining ondansetron and dexamethasone vs ondansetron unaided in amounts suggested by SAMBA strategies for stoppage of post-operative nausea and vomiting in laparoscopic cholecystectomy patients. Study Design: Randomized Control trial. Setting: Department of Anaesthesia, Combined Military Hospital, Rawalpindi. Period: Six months (April 2015–October 2015). Material & Methods: A sum of 160 patients were experimented by taking 80 in every group. Group A: of ondansetron. Group B: ondansetron plus dexamethasone. Significance level: 5% Test power: 80% Proportion of the projected population A is 72%1. Foreseen population percentage B is 88%1. Besides successive non-probability specimen system was taken for sample gathering. Patients who were selected were American society of anesthesiologists 1 & 2 while ones with struggle in communiqué e.g. psychologic issues, memory loss, loss of speech etc, pregnant and menstruating ladies3, known of PONV, motion disease, ear problems and vertigo, on long term steroid use3, anguished from diabetes mellitus, hiatal hernia were excluded. The frequency of side effects were duly scribed down and doses of drugs wrote down. Rescue anti vomiting was secondhand for ones of PONV. Results: We deduced that mixture of ondansetron & dexamethasone was effectual in averting post-operative nausea & vomiting equated to Ondansetron unaided. Conclusion: There is variance in incidence of PONV in mutual clusters with combination remedy of ondansetron plus dexamethasone being safer as equated to Ondansetron unaided.
Objective: To compare the frequency of postoperative sore throat and hoarseness between two different sizes of endotracheal tube in females after GA. Material and Methods: It was comparative analysis study carried in Anaesthesia Department, QIH, Islamabad. During study 200 patients were included (100 patients in each group) according to inclusion criteria. All data was entered in computer software SPSS version 24.0. Results: Mean age of the patients in Group-A (ETT size 6.0 mm) was 42.2 ± 15 years and 46.7 ± 13.1 in Group-B (ETT size 7.0 mm). The mean duration of surgery among the patients was 57.90 ± 19.8 minutes in Group-A and 77.4 ± 42.2 minutes in Group-B. In Group-A nasogastric tube was used among 36 patients while in Group-B it was used among 25 patients. In both groups, throat pack was not used for any patient. In Group-A, 96 patients and in Group-B, 55 patients had no sore throat. None of the patients in both groups had hoarseness of voice after the procedure. Conclusion: Study concluded that there was significant difference in the mean score of sore throat when ETT of two different sizes were used. ETT size 6.0mm significantly reduces the incidence of sore throat among females after GA. Keywords: Incidence, sore throat, endotracheal tube, intubation.
Objective: To determine the efficacy of ERCP in acute severe biliary pancreatitis inrelation to rate of complications and hospital stay. Patients and Methods: 30 patents wereincluded in the study, divided into ERCP group & Non ERCP group. The study was conducted atSurgical Unit-I, Holy Family Hospital Rawalpindi from July 2009 to April 2011. ERCP Groupcomprised of 11 patients and non ERCP Group 19 patients. All patients having severe acutebiliary pancreatitis raised alkaline phosphatase and common bile duct diameter >8mm wereincluded in the study. Results: In ERCP Group, there were 3 males and 4 females with mean age42.77 ± 14 years. In non ERCP group there were 17 males and 2 females with mean age 46.76 ±13 years. ERCP was done within 3 day in 8 patients and within 7 day in 5 patients in ERCP group.The rate of complications in both groups was insignificant (P= .92). The length of hospital stayalso does not differ significantly between two groups (P=.874). Conclusions: In our set up therewas no significant difference in outcome in ERCP and non-ERCP group of severe acutepancreatitis. However, in ERCP group intervention was mostly performed after 72hrs.
Objective: In this study we evaluated the two most commonly used methods for pain relief in acute pancreatitis i.e. epidural analgesia and I/V analgesia and compared the results. Study Design: Randomized Controlled Clinical Trial. Setting: Surgical Unit-1 of Holy Family Hospital, Rawalpindi. Period: June 2019 to June 2020. Material & Methods: Patients presenting with acute pancreatitis with moderate severity were divided into groups A and B. In group A patients, epidural catheter was passed at T9-T10 level epidural space and they received 0.125% Bupivacaine injection every 4 hours, while group B patients received combination analgesia in the form of IV tramadol 100mg TDS and IV Toradol 30mg BD. Pain was assessed by using visual analog scale (VAS) at 12 hour intervals. Rescue analgesia, in the form of IV paracetamol 1g given in the case of >7 VAS score was also recorded. Results: Total 100 patients were included according to the inclusion criteria of the study. Patients were randomly divided into two groups; Group A (Epidural) and group B (intravenous). Mean age (years) in the study was 42.39+11.21 whereas there were 37 male and 63 female patients who were included in the study. In our study, mean pain score in group A was 3.16+1.23 which was significantly lower than group B (5.42+1.01), p-value < 0.0001. There was a single mortality in the study. 6 patient’s required ventilatory support due to respiratory complications, 5 in group B and 1 in group A. Conclusion: Epidural analgesia is superior to I/V analgesics in pain management of moderately severe pancreatitis and it also reduces respiratory morbidity in these patients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.