Comparison of treatment of chronic obstructive pulmonary disease [COPD] by family physician and consultants

The goal of the study is to determine whether care for COPD patients is more consistent with guidelines when a Consultant rather than a Family Physician treat the patients. We use the Global Initiative for Obstructive Lung Disease Guidelines as a standard 1. We studied seven parameters, offering Pulmonary Function Test, Smoking cassation guidance, vaccination, use of oral steroid, inhaled steroids, inhaled Impratropium bromide, and symptom documentation. We concluded that both Family Physicians and Consultants are not fully following the guidelines. In compression Consultants are better than Family Physicians

Assessment of clinical teaching / training program in medicine among the medical students

A student's analysis of teaching / curriculum designing is important for proper educational planning. The study was conducted to evaluate the clinical training in subject of medicine with mutual collaboration of Foundation University Medical College Rawalpindi [FUMC] and Allama Iqbal Medical College [AIMC] Lahore. Total 151 students were interviewed out of those 74 were interview in FUMC Rawalpindi and 77 in AIMC Lahore. To get the feedback of clinical training in undergraduate students a simple questionnaire was distributed during the clinical attachments of final year students. The results showed 55% students were satisfied with duration of clinical rotation while 48.3% of the students thought, instead of rotation to all units, continuous stay in one unit would be a better idea; but marked variation in teaching standards and level of enthusiasm among teachers forces them to opt for the former to benefit from all teachers. Only 31 percent of students were satisfied with the level of commitment shown by senior faculty members and 21.8 percent thought that topics were adequately covered during clinical rotations. Ward tests were not rated very high as a reliable tool of their assessment and 60% felt it failed to assess them thoroughly

Seroprevalence of HBsAg and anti-HCV in Ghurki teaching hospital - Lahore

To find out the prevalence of hepatitis B and C in general population. This is an analytical type of and non-interventional study. Data was collected from a two-day free screening camp for hepatitis B and C at Ghurki Trust Teaching Hospital, Lahore. Normal people of any age and either sex were included in the study. Screening was performed for Hbs Ag and Anti HCV by Acu-check one step test [chromatographic immunoassay] in serum. A total 1680 subjects were screened for both Hbs Ag and Anti HCV. Prevalence of Hbs Ag was 2.97% and Anti HCV was 11.96%. The mean age was 24.96 +/- 14.67 years. Females were 55.2% and males were 44.8%. seroprevalence in females and males of Hb Ag was 1.2% and 1.78% and that of Anti HCV 8.6% and 3.33% respectively. These gender differences are statistically significant [p value <0.05]. Hbs Ag was more prevalent in younger population [up to 10 years]. The majority of Anti HCV positive was in 31 to 40 years of age. Seroprevalence of Hbs Ag and Anti HCV is high in general population. Prevalence of HCV is very high in younger age group while Hbs Ag is very high in children up to 10 years of age. Larger population based studies are needed to confirm the results