shazia tufail | CMH Lahore Medical College Lahore Cantt Pakistan (original) (raw)
Papers by shazia tufail
Medical teacher, Feb 2, 2024
Pakistan Armed Forces Medical Journal, Jun 22, 2023
Im mp pr ro ov vi is se ed d M Ma an nu ua al l V Va ac cu uu um m A As sp pi ir ra at ti io on n
Pakistan Armed Forces Medical Journal, Jun 21, 2023
As ss so oc ci ia at te ed d w wi it th h M Mo or rb bi id dl ly y A Ad dh he er re en nt t P Pl ... more As ss so oc ci ia at te ed d w wi it th h M Mo or rb bi id dl ly y A Ad dh he er re en nt t P Pl la ac ce en nt ta a
Journal of the College of Physicians and Surgeons Pakistan
Pakistan Armed Forces medical journal, Apr 29, 2024
Ex xp pe er ri ie en nc ce e w wi it th h I Ia at tr ro og ge en ni ic c U Ur re et te er ri ic c... more Ex xp pe er ri ie en nc ce e w wi it th h I Ia at tr ro og ge en ni ic c U Ur re et te er ri ic c I In nj ju ur ri ie e
Life and Science
Objective: To explore reflection as a learning tool in undergraduate medical education.Study Desi... more Objective: To explore reflection as a learning tool in undergraduate medical education.Study Design: Cross-sectional survey.Place and Duration of Study: The study was conducted among MBBS and BDS undergraduate students of CMH Lahore Medical College and Institute of Dentistry, Lahore, Pakistan from 1st January 2022 to 30th June 2022.Materials and Methods: In this online cross-sectional survey, the Reflective practices questionnaire (RPQ) was administered to 290 medical (fourth and final year) and dental (third and final year) undergraduates. Data were analyzed through SPSS 24.Results: Out of 290 participants, the majority were female (179, 61.7%). Most of the participants were from MBBS (188, 64.8%). The overall mean score of the questionnaire was 73.493 ± 17.407 (95% CI: 16.286 ± 18.439) out of a total score of 96. The highest score of critical appraisal was 18.790 ± 4.248 (95% CI: 4.064 ± 4.608). There was no difference of the mean score of different domains based on gender, specia...
Journal of Applied Social Science
Background: An effective communication between the doctor and patient is the foremost factor in e... more Background: An effective communication between the doctor and patient is the foremost factor in establishing good interpersonal relationships. This comprises of both verbal and non-verbal communicators. Particularly in the geriatric population, communication can be hindered due to physiological and psychological deterioration. This study was designed to assess the communication skills of dentistry postgraduate residents (PGRs), with their geriatric patients and provide a baseline for the shortcomings and improvements. Methods: Four postgraduate residents of both genders were selected to take clinical interviews of geriatric patients. Audio-video recordings were made by an expert and reviewed by all researchers. The interviews were transcribed individually and thematic analysis was done. Open and axial coding was done for data organization under themes and subthemes. Results: Data transcription led to initial generation of 61 codes. These codes were categorized under nine codes throu...
Pakistan Journal of Medical and Health Sciences, Dec 31, 2022
Pakistan Journal of Medical and Health Sciences
Aim: To assess the psychological impact of COVID-19 on mental status of undergraduate medical stu... more Aim: To assess the psychological impact of COVID-19 on mental status of undergraduate medical students, after reopening of educational institutions. Methods: This descriptive, online cross-sectional study was conducted on medical students of Combined Military Hospital Lahore Medical College & Institute of Dentistry, Lahore Pakistan for 6 months from 1st June to 30th November, 2021. Generalized Anxiety Disorder Scale (GAD-7) was used as the study tool. Data was analyzed by using statistical software SPSS - 23. Frequencies and percentages were used for descriptive variables. A univariate analysis was utilized to identify the noticeable associations between traits of sample and the anxiety level in current scenario of COVID-19 pandemic. Finally multivariate logistic regression analyses, odds ratio (OR), and Spearman's correlation coefficient, r, was used to evaluate the association between COVID-19-related stressors and anxiety level. Results: Of the 324 respondents, majority were ...
Pakistan Journal of Medical and Health Sciences
Objective: To compare the frequency of perineal trauma in women undergoing the spontaneous vs the... more Objective: To compare the frequency of perineal trauma in women undergoing the spontaneous vs the Valsalva-type pushing in the second stage of labour. Study Design: Randomized controlled trial Duration of Study with Dates: The study was carried out from 15-12-2020 to 19-03-2021. Setting: Department of Obstetrics and Gynaecology, Combined Military Hospital, Lahore.National University of Medical Sciences NUMS. Material and Methods: A total of 154 labouring females were enrolled in the study. These females were randomly assigned to one of two groups, A (the Valsava-type pushing method group) and B (the spontaneous pushing group). After the delivery of the placenta, the patients were all examined for any perineal trauma as per the operational definition. Results: Patients ranged between 18-40 years of age with a mean age of 26.3±4.0 years in Group A and 27.0±3.3 years in Group B. All the patients were between 38-40 weeks of gestation at the time of enrollment with mean gestational age b...
Journal of Ayub Medical College Abbottabad, Nov 16, 2022
Pakistan Journal of Medical Sciences
Objectives: Primary objective was to explore experiences of female residents of Obstetrics and Gy... more Objectives: Primary objective was to explore experiences of female residents of Obstetrics and Gynecology (OB/GYN) regarding lapses in patient safety (PS) while secondary objective was to explore factors hampering or favouring improvement of PS in OB/GYN. Methods: In this qualitative narrative study carried out in OB/GYN department of Combined Military Hospital (CMH) Lahore for six months from 1st April to 30th September 2021, six fourth-year residents were asked to write narratives of their personal experiences of medical error (witnessed or committed) in detail and reflect on those experiences, which were then transcribed. Code labels and themes were assigned manually. Interpretation of these themes was done after thematic content analysis. Results: Six, fourth-year female residents with a mean age of 28.6±1.8 participated in the study. Two main themes with sub-themes were identified: 1) Challenges in patient safety (Personal challenges, Workplace challenges, Barriers to PS), 2) L...
PAFMJ, 2021
Objective: To compare the outcome in early versus delayed oral intake in patients after cesarean ... more Objective: To compare the outcome in early versus delayed oral intake in patients after cesarean section under regional anesthesia. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Obstetrics and Gynecology, Combined Military Hospital Lahore, from Dec 2017 to May 2018. Methodology: A total of 352 women undergoing elective cesarean section under regional anesthesia, nil by mouth for at least 8 hours before surgery were divided in 2 groups. In group 1, patients were given sips of clear oral fluid (water) <5 hours after cesarean section and in group 2, patients received sips of water 8 hours following surgery. Bowel motility was assessed after surgery on hourly basis. Data about time interval to first bowel movement and ileus were noted. Results: Mean age of patients was 32.329 ± 3.44 years and 33.051 ± 3.64 years in group 1 and 2 respectively. Mean gestational age and body mass index was 38.50 ± 0.93 weeks and 29.824 ± 4.97 kg/m2 in group-1 versus ...
<strong>Background& Objectives:</strong> To compare the efficacy of progesterone alon... more <strong>Background& Objectives:</strong> To compare the efficacy of progesterone alone versus progesterone plus human chorionic gonadotropin for management of threatened miscarriage. <strong>Study design:</strong> Randomized controlled trial <strong>Place & duration of study:</strong> The study was carried out in department of Obstetrics & Gynecology, CMH Lahore for six months from 12" July 2018 to 12th Jan 2019. <strong>Methods:</strong> One hundred females with threatened miscarriage fulfilling inclusion criteria were divided in two groups. In group A, 50 females were given progesterone in oral tablet form plus human chorionic gonadotropin (hCG) as intra-muscular injection, while in group B, 50 females were given (oral only) progesterone till 14 weeks. Females were followed up in OPD on weekly basis till 14 weeks of gestation and efficacy of treatment was compared. Efficacy was defined as successful treatment leading to continui...
Life and Science, 2021
Objective: To determine the effectiveness of Multiple Choice Questions (MCQ) construction as a le... more Objective: To determine the effectiveness of Multiple Choice Questions (MCQ) construction as a learning toolfor empowering the students towards self-directed learning.Study Design: Mixed quantitative and qualitative study.Place and Duration of Study: The study was carried out at Department of Obstetrics and Gynaecology, CMHst th Lahore Medical College, from 1 April to 30 September 2019.Materials and Methods: All students of final year MBBS were divided into two groups. After a pre-test (test 1)of MCQs, they attended a workshop on construction of MCQs, followed by construction and vetting of MCQs bystudents. The students took a test (test 2) based on those MCQs and evaluated it, followed by post-test (test 3)08 weeks later to assess deep learning. Semi structured in-depth interviews of 10 randomly selected studentsbased on 10 open ended questions were conducted about their perceptions of learning. Quantitative dataanalysis was performed using SPSS version 17. A thematic analysis was ...
Material and Methods: The study was performed on 69 nursing students using the already validated ... more Material and Methods: The study was performed on 69 nursing students using the already validated Dundee Ready Education Environment Measure (DREEM) questionnaire (50 items on a 0-4 Likert scale). The items, as well as scale scores were compared among nursing students. Data was analyzed by SPSS 16 using one sample t test. Results: The mean total score was 131.77 out of a maximum of 200 (SD 12.309) which corresponds to 65.88% of the maximum score indicating positively perceived environment. The sub-scale with the highest mean score was the Students' Perception of Learning for which the mean score was 32.61(SD 3.469) corresponding to 67.9% of the maximum score. The lowest mean score was for the Perceptions of the Atmosphere which was 29.61(SD 4.725) corresponding to 61.6% of the maximum score. Conclusion: The present study revealed that all groups of nursing students perceived the learning environment highly positively. Nevertheless, the study also revealed areas of learning enviro...
Pakistan Armed Forces Medical Journal, 2019
Objective: To determine the knowledge, attitude and practices of family planning methods among Pa... more Objective: To determine the knowledge, attitude and practices of family planning methods among Pakistani women attending a tertiary care hospital. Study Design: Cross sectional study. Place and Duration of Study: Outpatient department of Obstetrics and Gynaecology, Combined Military Hospital Lahore, from Jul to Dec 2018. Material and Methods: A total of 200 patients attending the OPD of CMH Lahore were enrolled in the study. After explaining the rationale of the study and taking verbal consent, a predesigned questionnaire was filled by the researcher. Based on their responses data was prepared, analyzed and interpreted. Results: The patients were between the ages of 19 to 48 years while the mean age of the patients was 28.41 ± 4.909. Ninety four percent being housewives. Awareness about contraception was 89% in women but only 66% knew about the benefits of contraception. Barrier method was found to be most popular (66%). Conclusion: Awareness among women regarding contraception is v...
Tamoxifen in breast cancer can be continued for 10 years with increased benefit but endometrial c... more Tamoxifen in breast cancer can be continued for 10 years with increased benefit but endometrial cancer can develop in treated patients. We report a case of poorly differentiated endometrioid adenocarcinoma, which developed in a woman with history of tamoxifen intake of over five years after breast cancer, who did not undergo any endometrial surveillance.
Objective: To compare the efficacy of cervical cerclage with vaginal progesterone in patients wit... more Objective: To compare the efficacy of cervical cerclage with vaginal progesterone in patients with cervical insufficiency. Study Design: Quasi experimental study. Place and Duration of Study: Department of Gynecology and Obstetrics, Combined Military Hospital Lahore, from Jan 2018 to Jun 2018. Methodology: The study involved 188 pregnant women with cervical insufficiency reporting in outpatient Department. After taking informed consent, the outcome variables age, number of mid-trimester pregnancy losses, body mass index and gestational age were recorded on specially designed proforma. Efficacy as if pregnancy was carried to 37 weeks of gestation was recorded. 93 patients were inducted in cerclage arm and 95 patients were treated with vaginal progesterone 400 mg once daily. Results: The mean age of the patients with cervical cerclage and vaginal progesterone was 31.622 ± 1.90 years and 31.42 ± 1.86 years respectively, while mean gestational age of cervical cerclage group was 21.840 ±...
Medical teacher, Feb 2, 2024
Pakistan Armed Forces Medical Journal, Jun 22, 2023
Im mp pr ro ov vi is se ed d M Ma an nu ua al l V Va ac cu uu um m A As sp pi ir ra at ti io on n
Pakistan Armed Forces Medical Journal, Jun 21, 2023
As ss so oc ci ia at te ed d w wi it th h M Mo or rb bi id dl ly y A Ad dh he er re en nt t P Pl ... more As ss so oc ci ia at te ed d w wi it th h M Mo or rb bi id dl ly y A Ad dh he er re en nt t P Pl la ac ce en nt ta a
Journal of the College of Physicians and Surgeons Pakistan
Pakistan Armed Forces medical journal, Apr 29, 2024
Ex xp pe er ri ie en nc ce e w wi it th h I Ia at tr ro og ge en ni ic c U Ur re et te er ri ic c... more Ex xp pe er ri ie en nc ce e w wi it th h I Ia at tr ro og ge en ni ic c U Ur re et te er ri ic c I In nj ju ur ri ie e
Life and Science
Objective: To explore reflection as a learning tool in undergraduate medical education.Study Desi... more Objective: To explore reflection as a learning tool in undergraduate medical education.Study Design: Cross-sectional survey.Place and Duration of Study: The study was conducted among MBBS and BDS undergraduate students of CMH Lahore Medical College and Institute of Dentistry, Lahore, Pakistan from 1st January 2022 to 30th June 2022.Materials and Methods: In this online cross-sectional survey, the Reflective practices questionnaire (RPQ) was administered to 290 medical (fourth and final year) and dental (third and final year) undergraduates. Data were analyzed through SPSS 24.Results: Out of 290 participants, the majority were female (179, 61.7%). Most of the participants were from MBBS (188, 64.8%). The overall mean score of the questionnaire was 73.493 ± 17.407 (95% CI: 16.286 ± 18.439) out of a total score of 96. The highest score of critical appraisal was 18.790 ± 4.248 (95% CI: 4.064 ± 4.608). There was no difference of the mean score of different domains based on gender, specia...
Journal of Applied Social Science
Background: An effective communication between the doctor and patient is the foremost factor in e... more Background: An effective communication between the doctor and patient is the foremost factor in establishing good interpersonal relationships. This comprises of both verbal and non-verbal communicators. Particularly in the geriatric population, communication can be hindered due to physiological and psychological deterioration. This study was designed to assess the communication skills of dentistry postgraduate residents (PGRs), with their geriatric patients and provide a baseline for the shortcomings and improvements. Methods: Four postgraduate residents of both genders were selected to take clinical interviews of geriatric patients. Audio-video recordings were made by an expert and reviewed by all researchers. The interviews were transcribed individually and thematic analysis was done. Open and axial coding was done for data organization under themes and subthemes. Results: Data transcription led to initial generation of 61 codes. These codes were categorized under nine codes throu...
Pakistan Journal of Medical and Health Sciences, Dec 31, 2022
Pakistan Journal of Medical and Health Sciences
Aim: To assess the psychological impact of COVID-19 on mental status of undergraduate medical stu... more Aim: To assess the psychological impact of COVID-19 on mental status of undergraduate medical students, after reopening of educational institutions. Methods: This descriptive, online cross-sectional study was conducted on medical students of Combined Military Hospital Lahore Medical College & Institute of Dentistry, Lahore Pakistan for 6 months from 1st June to 30th November, 2021. Generalized Anxiety Disorder Scale (GAD-7) was used as the study tool. Data was analyzed by using statistical software SPSS - 23. Frequencies and percentages were used for descriptive variables. A univariate analysis was utilized to identify the noticeable associations between traits of sample and the anxiety level in current scenario of COVID-19 pandemic. Finally multivariate logistic regression analyses, odds ratio (OR), and Spearman's correlation coefficient, r, was used to evaluate the association between COVID-19-related stressors and anxiety level. Results: Of the 324 respondents, majority were ...
Pakistan Journal of Medical and Health Sciences
Objective: To compare the frequency of perineal trauma in women undergoing the spontaneous vs the... more Objective: To compare the frequency of perineal trauma in women undergoing the spontaneous vs the Valsalva-type pushing in the second stage of labour. Study Design: Randomized controlled trial Duration of Study with Dates: The study was carried out from 15-12-2020 to 19-03-2021. Setting: Department of Obstetrics and Gynaecology, Combined Military Hospital, Lahore.National University of Medical Sciences NUMS. Material and Methods: A total of 154 labouring females were enrolled in the study. These females were randomly assigned to one of two groups, A (the Valsava-type pushing method group) and B (the spontaneous pushing group). After the delivery of the placenta, the patients were all examined for any perineal trauma as per the operational definition. Results: Patients ranged between 18-40 years of age with a mean age of 26.3±4.0 years in Group A and 27.0±3.3 years in Group B. All the patients were between 38-40 weeks of gestation at the time of enrollment with mean gestational age b...
Journal of Ayub Medical College Abbottabad, Nov 16, 2022
Pakistan Journal of Medical Sciences
Objectives: Primary objective was to explore experiences of female residents of Obstetrics and Gy... more Objectives: Primary objective was to explore experiences of female residents of Obstetrics and Gynecology (OB/GYN) regarding lapses in patient safety (PS) while secondary objective was to explore factors hampering or favouring improvement of PS in OB/GYN. Methods: In this qualitative narrative study carried out in OB/GYN department of Combined Military Hospital (CMH) Lahore for six months from 1st April to 30th September 2021, six fourth-year residents were asked to write narratives of their personal experiences of medical error (witnessed or committed) in detail and reflect on those experiences, which were then transcribed. Code labels and themes were assigned manually. Interpretation of these themes was done after thematic content analysis. Results: Six, fourth-year female residents with a mean age of 28.6±1.8 participated in the study. Two main themes with sub-themes were identified: 1) Challenges in patient safety (Personal challenges, Workplace challenges, Barriers to PS), 2) L...
PAFMJ, 2021
Objective: To compare the outcome in early versus delayed oral intake in patients after cesarean ... more Objective: To compare the outcome in early versus delayed oral intake in patients after cesarean section under regional anesthesia. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Obstetrics and Gynecology, Combined Military Hospital Lahore, from Dec 2017 to May 2018. Methodology: A total of 352 women undergoing elective cesarean section under regional anesthesia, nil by mouth for at least 8 hours before surgery were divided in 2 groups. In group 1, patients were given sips of clear oral fluid (water) <5 hours after cesarean section and in group 2, patients received sips of water 8 hours following surgery. Bowel motility was assessed after surgery on hourly basis. Data about time interval to first bowel movement and ileus were noted. Results: Mean age of patients was 32.329 ± 3.44 years and 33.051 ± 3.64 years in group 1 and 2 respectively. Mean gestational age and body mass index was 38.50 ± 0.93 weeks and 29.824 ± 4.97 kg/m2 in group-1 versus ...
<strong>Background& Objectives:</strong> To compare the efficacy of progesterone alon... more <strong>Background& Objectives:</strong> To compare the efficacy of progesterone alone versus progesterone plus human chorionic gonadotropin for management of threatened miscarriage. <strong>Study design:</strong> Randomized controlled trial <strong>Place & duration of study:</strong> The study was carried out in department of Obstetrics & Gynecology, CMH Lahore for six months from 12" July 2018 to 12th Jan 2019. <strong>Methods:</strong> One hundred females with threatened miscarriage fulfilling inclusion criteria were divided in two groups. In group A, 50 females were given progesterone in oral tablet form plus human chorionic gonadotropin (hCG) as intra-muscular injection, while in group B, 50 females were given (oral only) progesterone till 14 weeks. Females were followed up in OPD on weekly basis till 14 weeks of gestation and efficacy of treatment was compared. Efficacy was defined as successful treatment leading to continui...
Life and Science, 2021
Objective: To determine the effectiveness of Multiple Choice Questions (MCQ) construction as a le... more Objective: To determine the effectiveness of Multiple Choice Questions (MCQ) construction as a learning toolfor empowering the students towards self-directed learning.Study Design: Mixed quantitative and qualitative study.Place and Duration of Study: The study was carried out at Department of Obstetrics and Gynaecology, CMHst th Lahore Medical College, from 1 April to 30 September 2019.Materials and Methods: All students of final year MBBS were divided into two groups. After a pre-test (test 1)of MCQs, they attended a workshop on construction of MCQs, followed by construction and vetting of MCQs bystudents. The students took a test (test 2) based on those MCQs and evaluated it, followed by post-test (test 3)08 weeks later to assess deep learning. Semi structured in-depth interviews of 10 randomly selected studentsbased on 10 open ended questions were conducted about their perceptions of learning. Quantitative dataanalysis was performed using SPSS version 17. A thematic analysis was ...
Material and Methods: The study was performed on 69 nursing students using the already validated ... more Material and Methods: The study was performed on 69 nursing students using the already validated Dundee Ready Education Environment Measure (DREEM) questionnaire (50 items on a 0-4 Likert scale). The items, as well as scale scores were compared among nursing students. Data was analyzed by SPSS 16 using one sample t test. Results: The mean total score was 131.77 out of a maximum of 200 (SD 12.309) which corresponds to 65.88% of the maximum score indicating positively perceived environment. The sub-scale with the highest mean score was the Students' Perception of Learning for which the mean score was 32.61(SD 3.469) corresponding to 67.9% of the maximum score. The lowest mean score was for the Perceptions of the Atmosphere which was 29.61(SD 4.725) corresponding to 61.6% of the maximum score. Conclusion: The present study revealed that all groups of nursing students perceived the learning environment highly positively. Nevertheless, the study also revealed areas of learning enviro...
Pakistan Armed Forces Medical Journal, 2019
Objective: To determine the knowledge, attitude and practices of family planning methods among Pa... more Objective: To determine the knowledge, attitude and practices of family planning methods among Pakistani women attending a tertiary care hospital. Study Design: Cross sectional study. Place and Duration of Study: Outpatient department of Obstetrics and Gynaecology, Combined Military Hospital Lahore, from Jul to Dec 2018. Material and Methods: A total of 200 patients attending the OPD of CMH Lahore were enrolled in the study. After explaining the rationale of the study and taking verbal consent, a predesigned questionnaire was filled by the researcher. Based on their responses data was prepared, analyzed and interpreted. Results: The patients were between the ages of 19 to 48 years while the mean age of the patients was 28.41 ± 4.909. Ninety four percent being housewives. Awareness about contraception was 89% in women but only 66% knew about the benefits of contraception. Barrier method was found to be most popular (66%). Conclusion: Awareness among women regarding contraception is v...
Tamoxifen in breast cancer can be continued for 10 years with increased benefit but endometrial c... more Tamoxifen in breast cancer can be continued for 10 years with increased benefit but endometrial cancer can develop in treated patients. We report a case of poorly differentiated endometrioid adenocarcinoma, which developed in a woman with history of tamoxifen intake of over five years after breast cancer, who did not undergo any endometrial surveillance.
Objective: To compare the efficacy of cervical cerclage with vaginal progesterone in patients wit... more Objective: To compare the efficacy of cervical cerclage with vaginal progesterone in patients with cervical insufficiency. Study Design: Quasi experimental study. Place and Duration of Study: Department of Gynecology and Obstetrics, Combined Military Hospital Lahore, from Jan 2018 to Jun 2018. Methodology: The study involved 188 pregnant women with cervical insufficiency reporting in outpatient Department. After taking informed consent, the outcome variables age, number of mid-trimester pregnancy losses, body mass index and gestational age were recorded on specially designed proforma. Efficacy as if pregnancy was carried to 37 weeks of gestation was recorded. 93 patients were inducted in cerclage arm and 95 patients were treated with vaginal progesterone 400 mg once daily. Results: The mean age of the patients with cervical cerclage and vaginal progesterone was 31.622 ± 1.90 years and 31.42 ± 1.86 years respectively, while mean gestational age of cervical cerclage group was 21.840 ±...