RESUMO
Objective: The aim of the study is to find out the prevalence of Medical Student Syndrome [MSS] in Pakistan and its association with age, maturity level and the degree of medical knowledge. Study Design: Descriptive cross-sectional study. Place and Duration of Study: The survey was completed in one year, from Jul 2016 to Jul 2017
Material and Methods: A self-designed, self-explanatory questionnaire was used. The link of the questionnaire was disseminated electronically. The data were analyzed by using Statistical Package for Social Sciences [SPSS-22]
Results: Total 129 responses were received from the students of different medical colleges/universities of Pakistan. Mean age of the participants was 21.94 years. Among the respondents 43% were males while 57% were females. Maximum participants were from final year. Majority of the respondents that is about 81% reported they had symptoms of the diseases they study, yet 44% pursued and moved forward. Among them 28% of the respondents said that they investigated their felt symptoms further, of which maximum were from 3rd year. Only 43% of the students knew about the Medical Student Syndrome. Some of the respondents, about 22.8% admitted the fact that they used psychiatric medicines either for relaxing or sleep
Conclusion: It can be concluded that medical students are more vulnerable to conditions like Medical student syndrome so there is a need to counsel medical students about the symptoms of MSS as well as to support the students by discussing different techniques to subsist the stress level
RESUMO
Obstructed labour with ruptured uterus is a serious obstetrical complication with a high incidence of maternal and foetal morbidity and mortality. This study was conducted to find out the incidence of uterine rupture particularly in the patients of obstructed labour [OL], foeto-maternal outcome of such patients, and its management. This two year descriptive study was conducted in the Department of Obstetrics and Gynaecology Unit-I, at Muhammad Medical College Hospital from 1[st] January 2007 to 31[st] December 2008, on 40 diagnosed cases of OL. Patients were admitted through Casualty or were admitted in ward. Patients with previous caesarean section and myomectomy were excluded. Ruptured uterus was found in 8 out of 40 patients of obstructed labour, they were relatively elder and grand-multiparous. Mean age of the patients was 36.5 years, while parity ranged between 5 and 12. Only one [12.5%] patient was primigravida with mean gestational age of 39.15 weeks. Seven [87.5%] patients had abdominal pain and tenderness, 5 [62.5%] vaginal bleeding, and 2 [25%] had shock. All cases were immediately managed with fluid replacement, blood transfusion and surgery. Six [75%] cases were diagnosed as ruptured uterus on clinical features while 2 [25%] with incomplete rupture were diagnosed on caesarean section for obstructed labour. Foetal mortality rate was high [7, 87.5%]; 5 [62.5%] were fresh stillbirth and 2 [12.5%] died in nursery. Only 1 [12.5%] baby survived. There was 1 maternal death due to puerperal sepsis. The incidence of rupture uterus in obstructed labour was 20%. Immediate intervention is important factor for successful management of uterine rupture