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Objective: To assess the sleep quality among medical students, comparing their sleep cycles during physical and online studies along with other factors associated with sleep patterns. Study Design: Cross-sectional Questionnaire based survey Place and Duration of Study: Department of Community Medicine, HITEC Institute of Medical Sciences Taxila from 1st January 2020 to 31st March 2020 Methodology: One hundred and forty seven students were surveyed in a time period of 1 month. The questionnaire included PSQI Pittsburgh Sleep Quality Index and other clinically validated questions. Students with known sleeping disorders were excluded from this survey. Result(s): There were 81 (55.1%) females and 65 (44.2%) males with mean age 20+/-1.4 years. Out of these 94(63.9%) were classified as "Poor Sleepers" and only 53 (36.1%) were "Good Sleepers". Poor sleep quality was associated with female gender (p<0.05), day-scholar residence status (p<0.054), excessive time required to sleep (p<0.00), excessive screen time usage (p<0.007), increased hours of study (p<0.089), experiencing trouble while driving, eating and socializing (p<0.002), lack of enthusiasm (p<0.000), unsatisfactory daily activities (p<0.000) and poor daytime alertness levels (p<0.360). 104 (70.7%) were aware of the effects of melatonin on sleep, only 51 (34.7%) admitted to have used coffee to stay awake at night. 98 (66.7%) subjects were pre-exam workers, 95 (64.6%) admitted not being able to wake up easily in the morning. Conclusion(s): The students and hostelites that used less screen time slept better. Excessive daytime tiredness was also a result of poor sleeping habits. Students who studied for longer periods of time and had difficulty waking up in the morning slept poorly. Poor sleepers also find it difficult to interact and are often unambitious about performing their daily menial tasks, as well as displeased with their daily activities. As a matter of fact, we deduce that sleep quality has unanticipated consequences for medical students' social and mental health.Copyright © 2023 Lahore Medical And Dental College. All rights reserved.
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Aim: To find out association of herpes zoster and changes in disease course like incidence of post-herpetic neuralgia with Covid-19 vaccination. Study design: Cross-sectional, observational study. Place and duration of study: Outpatient Department of Dermatology, CMH and PEMH Rawalpindi from 1st January 2021 to 30th September 2021. Methodology: Seventy three patients presenting with herpes zoster selected by convenience sampling after their verbal and written consent. Demographics, Covid-19 vaccination history, type of vaccination, dermatome effected, co-morbids and presence of post herpetic neuralgia were recorded in them. Results: Mean age of participants was 48.09±15.73 years with 50 (68.5%) were males and 23 (31.5%) were females. 33 (45.2%) were vaccinated and 36 (49.3%) were non-vaccinated against covid-19. Maximum patients were vaccinated with Sinopharm i.e. 19(57.6%).8 (24.2%) patients developed the lesions after first dose and 25(75.8%) after 2nd dose of vaccination. Conclusion: Herpes zoster risk is increased with covid-19 vaccination.
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Objective: To determine the prevalence of psychological distress among medical doctors during the covid-19 pandemic and identify the coping mechanisms being employed by them. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Department of Community Medicine, HITEC Institute of Medical Sciences, Taxila from 1st February 2020 to 31st July 2020 Methodology: Three hundred and ninety eight doctors (non-specialists, interns, junior consultants and senior consultants) from emergency services, medicine and allied and surgery and allied departments. Results: There were 224 (56.3%) females, 174 (43.7%) were males. Mean age was 35.2±8.6. Majority of participants were from medicine department (n=266,66.8%). Health professionals who worked at frontline during Covid pandemic were 186 (46.7%). One hundred and ninety four (48.7%) participants had no psychological distress, 62 (15.6%) had mild, 30 (7.5%) had moderate and 112 (28.1%) had severe psychological distress. BREIF-COPE questionnaire was found to have high reliability (Cronbach alpha=0.82). High mean scores were observed for Problem focused (4.7±1.4) and Emotional focused coping (4.7±1.1). Relatively low mean score was found for dysfunctional coping (3.3±1.0). A statistically significant low positive correlation ofIES-R scores was observed with Problem focused coping (r=.47, p=.001) and with emotional focused coping (r=.42, p=.001). However, moderately positive correlation was observed between IES-R scores and dysfunctional coping (r=.64, p=.001). Conclusion: Psychological distress was significantly higher among Covid-19 frontline health workers, particularly among postgraduate trainees working in Medicine and Emergency departments.