ISSN(Print) 2076-2860 ISSN(Online) 2958-5945 Email: Editorial@jaimc.org Phone: +924299231453 PMDC & UHS (IP-0043)
Journal Metrics Initial Processing: 14 Days Peer Review: 28 Days Publishing: 28 Days Acceptance Rate: 80%
Distinguished Reviewer of Current Issue
MBBS, FCPS
Assistant Professor Community Medicine, Allama Iqbal Medical College, Lahore
OJS Guide Manuscript Submission
CURRENT ISSUE
VOL. 22, ISSUE NO. 4
EDITORIAL
Human Metapneumovirus: An Emerging Threat with Pandemic Potential
Muhammad Arslan Tariq, Sana Iftikhar
https://doi.org/10.59058/jaimc.22.4.24
ORIGINAL ARTICLES
Frequency and Morphological Pattern of Rouvier’s Sulcus in Human Liver
Syeda Shabeeh Rubab, Warisha Iftikhar, Iram Atta, Tehreem Fatima, Saira Aslam,Areebah Akram
https://doi.org/10.59058/jaimc.22.4.2
ABSTRACT
Background and Objective: Seroma formation is a common complication after modified radical mastectomy and breast conservation surgery in breast cancer patients. This study investigates the factors influencing seroma development in women undergoing breast cancer surgery at a tertiary care hospital in Lahore, Pakistan.
Methods: A retrospective analysis was conducted at a tertiary care hospital in Lahore, including 159 female breast cancer patients aged 20 years and above from 01 august 2020 to 30 September 2022. Patients who underwent modified radical mastectomy (MRM) or breast conservation surgery were included, while those with uncontrolled diabetes, advanced liver disease, or prior axillary surgery were excluded. Data were collected using a semi-structured questionnaire, covering socio-demographic characteristics, known risk factors, and disease history and was analyzed using SPSS-26.
Results: Seroma formation was observed in 37(23.27%) patients out of 159 total patients .On bivariate analysis the findings revealed a higher incidence of seroma among patients from urban areas as compared to rural (29.9% vs 12.9%, p=0.013) and higher in lower socioeconomic backgrounds (> 32% Vs 19.2%, p=0.042). High body mass index (p=0.015) was also associated with increased seroma formation with more in higher BMI as compared to normal BMI ( 29% Vs 11.5%, p = 0.015). Surgical factors, like the number of axillary lymph nodes involved p=0.032) and postoperative wound infections (p<0.001) were also significantly associated with seroma formation. However, on multivariate analysis only body mass index with over weight patients (AOR= 4.89, 95% CI=1.29-8.79) , axillary lymph nodes involvement(AOR=2.88,95% CI=1.18-7.05) and post operative infection (AOR=6.23, 95% CI=2.54-15.28) showed significant association. However, factors such as age, education, neoadjuvant chemotherapy, diabetes, hypertension, and postoperative radiation showed no significant association with seroma formation.
Conclusion: Our study found a higher rate of seroma formation, with possible predictors including body mass index, extent of axillary nodal clearance and post operative infection. Mitigation of these factors can prevent seroma formation and better recovery of patient.
Key Words: Seroma, Mastectomy, Breast Conservation Surgery, Hypertension, Breast Neoplasms.
Evaluation of Baby Friendly Hospital Initiative: Comparing Clients’ and Providers’ Perspective
Fizza Anwar, Qurrat ul Ain Naqvi, Muhammad Faheem Anwer, Asma Kanwal,Navida Manzoor, Muhammad Fayyaz Atif,Ayesha Humayun
ABSTRACT
https://doi.org/10.59058/jaimc.22.4.3
Background and Objective: Rouvier's Sulcus is present as an indentation on the inferior aspect of right lobe of liver. It is used as an anatomical landmark by surgeons to begin dissection during laparoscopic cholecystectomy. It may be oriented horizontally, obliquely or vertically. The aim of our study was to determine the morphological appearance, size, frequency, types and orientation of Rouvier's Sulcus. Methods: A cross-sectional study was conducted on 38 formalin fixed cadaveric livers from March 2024 to August 2024. The livers which were healthy on gross examination were taken and measurement of rouvier's sulcus was done along with its type and orientation. Results: Rouvier's sulcus was present in 68% of the sample (mean length: 2.91cm). Three types were observed: Type 1A (46%), Type 1B (23%), and Type 2 (26.9%). Type 3 was rare (3.8%). Sulcus orientation was mainly oblique (80.7%) or horizontal (19.2%). Conclusion: The rouvier's sulcus is a consistent, easily identifiable landmark unaffected by biliary inflammation or cirrhosis. Its most common morphology noted is Type I, facilitates clear visualization of biliary and vascular structures. Key Words: Laparoscopic cholecystectomy, anatomical landmark, liver, rouvier's sulcus.
Preferred Teaching Techniques Among Undergraduate Medical Students at a Private Medical College in Lahore
Humayun Mirza, Seema Daud, Hina Ali, Farheen Ahmad, Bilal Ahmad,Shazray Zaffar
ABSTRACT
https://doi.org/10.59058/jaimc.22.4.4
Background and Objective: With ongoing educational reforms, understanding the teaching styles adopted by medical faculty is crucial for refining instructional strategies and enhancing learning outcomes. Limited research has explored the distinct teaching approaches employed by medical educators. This study aims to identify the preferred teaching methodologies among undergraduate medical students at Lahore Medical & Dental College, Lahore, Pakistan.
Methods: This cross-sectional study was conducted over a four-month duration from March to June 2023 at LM&DC, Lahore. All 131 students registered in fourth year MBBS were taken as the study population. Approval from the Institutional Review Board (IRB) LM&DC was obtained and an informed consent was taken from the participants. Data were collected using a modified questionnaire. A structured questionnaire was developed by adapting validated items from prior studies on medical education to assess preferences for lectures, small group discussions, scenario based learning and other techniques. The collected data were analyzed using the Statistical Package for Social Sciences (SPSS) version 22 and presented through tables.
Results: The results showed that most of the students (95.4%) were strongly in favor of practical hands-on activities and Case-Based Learning Scenarios, followed by clinical rotations and practical exposure for which 93.9% participants agreed, while the least preferred method was lectures to which only 54.2% agreed.
Conclusion: This study underscores the importance of adapting teaching methods to align with students' preferences. Incorporating a variety of teaching techniques, such as small group discussions and practical activities, alongside traditional lectures, can enhance the medical education experience. Key Words: Medical education, teaching techniques, student preferences, small group discussion, lectures
Attitude and Perceived Barriers Towards Research Among Medical Students
Huda Abbas, Sundas Hamna, Summaira Hassan, Shanawar Saeed, Ayesha Kausar
https://doi.org/10.59058/jaimc.22.4.1
ABSTRACT
Background and Objective: Research is a systematic investigation and study of materials and sources in
order to establish facts and reach new conclusions. Research has been incorporated into the undergraduate
medical curriculum to help future doctors become better clinicians and improve patient care. It is crucial to
understand and address the attitudes and challenges faced by the medical students and healthcare providers in
conducting quality research. The objective of this study was to determine attitudes and perceived barriers
towards research among medical students of Quaid e Azam Medical College (QAMC) Bahawalpur.
Methods: A descriptive cross-sectional study was conducted at QAMC, Bahawalpur over a period of six
months from April 2024 - September 2024 where a sample of 205 medical students was taken by using nonprobability convenient sampling technique. Data were collected by online questionnaire. Frequencies and
percentages were calculated and presented in the form of tables and graphs. Chi Square was applied as test of
significance where needed.
Results: Regarding awareness of the research 84.4% students had the knowledge of research and 94.6% of
the respondents found it helpful. 28.8% of the respondents ever participated in research. The barriers found
were lack of education and skills (87.3%), while lack of personal interest (40%) for future research.
Significant relationship was found between academic year and participation in research.
Conclusion: Most of the students showed positive attitude towards research. The barriers found were lack of
education, skills, opportunity and personal interest.
Key Words: Research, Skills, Barriers, Medical Education, Medical Students
Effect of Propofol Concentration on Mean Arterial Pressure and Success of Laryngeal Mask Airway Insertion: A Quasi Experimental Study
Maria Aslam, Lala Rukh Bangash, Madiha Zafar, Maria Arshad,
Muhammad Omer Ajmal, Sharib Khalid
https://doi.org/10.59058/jaimc.2.4.5
ABSTRACT
Background and Objective: Propofol effectively suppresses airway reflexes for supraglottic device insertion but can impact hemodynamic stability, particularly mean arterial pressure. In controlled infusions, Propofol provides good clinical outcomes with advantages of low dose requirement, short recovery time, and decreased incidence of adverse effects. This study aimed at comparing the frequency of successful attempts of Laryngeal Mask Airway (LMA) insertion and the effect on Mean Arterial Pressure (MAP) of two different target concentrations of propofol in blood given by TCI pump. Methods: A total of 80 patients of both genders undergoing minor surgery were included in this quasiexperimental study, which was carried out in the operating rooms of the general surgery, at the department of anesthesia, Mayo Hospital, Lahore from June 2021 to January 2022. Patients in Group Areceived propofol to achieve a blood concentration of 6 µg/ml, while those in Group B received propofol to reach a blood concentration of 8 µg/ml. The number of successful attempts and mean arterial pressures were noted in the two defined groups. Results: Mean arterial pressure was higher in Group A(96.98 ± 2.03 mmHg) compared to Group B (92.54 ± 1.79 mmHg) five minutes after achievement of target blood concentration of propofols, with a p-value of
Non-Classical Congenital Adrenal Hyperplasia with Incidental Adrenal Adenoma: A Case Report
Sadia Salman, Abida Pervaiz, Zahid Jamil
https://doi.org/10.59058/jaimc.2.4.5
ABSTRACT
A 33 years old female was referred to endocrinology clinic of Jinnah hospital, Lahore for the assessment of hirsutism and secondary amenorrhea. Her Ferriman-Gallwey scale for hirsutism was 29; however, there was no clitoromegaly or genital ambiguity. She had already undergone CECT of adrenals glands by her physician which was suggestive of bilateral adrenal enlargement with small right adrenal tumor. Her 17-hydroxy progesterone levels were raised on ACTH stimulation testing. An initial diagnosis of adrenal hyperlpasia (NCCAH) in association with adrenal incidentiloma was made and patient showed a good response to prednisolone in close follow up.
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