RESUMEN
Objective: To evaluate the curriculum for Doctor of Physical Therapy [DPT] programme based on World Federation of Medical Education [WFME] standards
Methods: A questionnaire was constructed based on WFME Should' and Must' standards. It was validated by five experts in two rounds. It is comprised of Items/ questions with Yes/No options. The questionnaire was filled by the DPT Faculty and final year students at Riphah International University, Islamabad from March 01, to April 30, 2017
Results: The key weakness identified were students participation in program management, evaluation, mission statement, program designing, curriculum committee, students activities and organization, and other matters relevant to students, followed by the use of external examiners, reliability and validity of assessment tools, scrutiny of assessments by external examiners and feedback to the students on assessment. The integration of behavioral and social sciences, readiness of graduates for postgraduate studies, institutional autonomy and academic freedom for curriculum development and designing, and opportunity for the participation of other stakeholders were identified as strengths
Conclusions: As per WFME standards the curriculum for DPT program needs improvements in student's assessments and their participation in program management, evaluation, mission statement and designing, along with facilitation in student's activities, organizations. Strengths of the curriculum were integration of behavioral and social sciences, readiness for postgraduate studies, institutional autonomy and academic freedom for the development and designing of curriculum, and the participation of other stakeholders
RESUMEN
Background: The first outbreak of Dengue fever was reported in State of Azad Jammu and Kashmir [AJ and K] in 2016
Objective: This study was carried out to assess the magnitude of dengue fever and its description with respect to socio demographic and clinical characteristics during 2016 in AJ and K
Methodology: This descriptive study was carried out on secondary data received at the Directorate of Communicable Diseases Control [CDC] Muzaffarabad. A case was defined as "any resident of state of AJ and K, presenting with fever and having any two of the symptoms; Headache, retro-orbital pain, myalgia, arthralgia, nausea, vomiting, abdominal pain and bleeding, and found positive on screening with Immune chromatographic IgM/IgG rapid test or NS1Ag from 1[st] January 2016 to 31[st] December, 2016". Data was analyzed by person place and time and frequencies proportions and rates were calculated
Results: A total of 388 cases were recorded in which 61.85% [n=240] were males. Majority of the cases [98.7%] were reported from district Muzaffarabad. The median age of cases was 30 years [range 4-72 yrs]. Majority of cases [78%] were below 40 years. The attack rate was highest in age group 20-29 years[25/100,000 population] The Epi-curve showed that index case was reported on 21st August 2016.Multiple peaks were noted thereafter and epidemic subsided in November 2016. Fever was associated with headache [90%], myalgia [86%], retro-orbital pain [60%], nausea [51%] vomiting [45%] abdominal pain [38%] arthralgia [35%] and rash [20%] of the cases. Diagnosis was made on NS1 in 30% and IgM serology in 70% of the cases. Mortality rate was zero and recovery rate was 100%
Conclusions: Majority of cases were males below 40 years. Headache, retro-orbital pain and myalgia were commonly associated symptom with fever in dengue patients and all cases recovered fully with treatment. Dengue surveillance and community awareness regarding its prevention are keys to keep it under control in AJ and K
RESUMEN
Objective: Post-traumatic stiff hand is common a condition which causes pain and disability, the paraffin wax bath and joint mobilizations have the key role in its rehabilitation. We conducted the present study to determine the efficacy of paraffin wax bath with mobilization techniques compared with joint mobilization alone
Methodology: This single blind randomized control trial was conducted on 71 patients in department of physical therapy and rehabilitation, Riphah International University Islamabad, and patients with posttraumatic stiff hand after distal upper extremity fractures, were included. The patients were randomized into two groups: the joint mobilization techniques with paraffin wax bath were included in group A, and joint mobilization techniques without paraffin wax bath in group B. The study variables were pain score on visual analogue scale [VAS] 0/10, thumb function score [TFS] and passive range of motion [PROM] of wrist flexion, extension, radial and ulnar deviation, and were compared at baseline and at completion on planof-care after six weeks
Results: Seventy one patients with post-traumatic stiff hand were enrolled and placed randomly into two groups. The baseline characteristics were similar in both groups. Six week after intervention, patients in group A had more improvement in pain score [p=0.001], TFS [p=0.003], and PROM of wrist flexion [p=0.002], extension [p=0.003], radial deviation [p=0.013], and ulnar deviation [p=0.004], as compared to group B. However, in group B the improvement was less in pain score [p=0.104], TFS [p=0.520], and PROM of wrist flexion [p=0.193], extension [p=0.1081], radial deviation [p=0.051], and ulnar deviation [p=0.168], as compared to group A
Conclusion: Paraffin wax bath with joint mobilization techniques are more effective than mobilization techniques without paraffin wax bath in the rehabilitation of post traumatic stiff hand