Selecting the Right Cooking Medium
Shahid Kamal
There are few areas that are so riddled with confusion, contradictions, misinformation and conflicting opinions and recommendations than the issue of selecting the right cooking oil and fat for preparing one’s food. It is imperative to understand the basic facts about fats and oils. While the chefs are fixated on an oil with a mild flavor and a high smoke point, the health experts are more concerned with the polyunsaturated versus saturated fat discussion. The issue is plagued with various misconceptions like Polyunsaturated Fatty Acids (PUFA) being always healthy, assumption that flax or apricot oil must be healthy since the source is healthy, and overemphasis on smoke point without considering the process that the oil might have gone through. For instance, flax seed oil may have beneficial Omega-3s and PUFA, but, the low smoke point damages these rendering them pro-inflammatory.
doi.org/10.21089/njhs.94.0228
The 5Ss’ Approach for Managing Health of Client, Family and Community
Minhaj A. Qidwai
Abstract: Healthcare undergraduates’ curriculum is mostly based on clinical assessment and management of the patients. Consideration to the client, family, and community aspect is negligible. Health Management of a client requires a holistic approach encompassing the role of quality of services, communications skills, managing family and community; with ethical practices abiding the rules and regulations etc. World Health Organization (WHO) also defines health in terms of physical, mental, social and spiritual well-being and not merely the absence of disease or infirmity. Thus, for managing client, undergraduates need to be imparted with it is more than just teaching only the clinical approach. The 5Ss’ model concept is being presented for redesigning the healthcare undergraduate curriculum and to focus on the role of Self, Society, State, Systems and Spirituality as a part of the curriculum.
Received:November 15, 2023
Revised:November 11, 2024
Accepted: November 26, 2024
doi.org/10.21089/njhs.94.0231
Frequency of Stroke among Children with Sickle Cell Disease in Southern Region of Saudi Arabia: Single Center Experience
Badriah Gharamah Al Asmari, Mohammed Alpakra, Muhammad Saeed, Ali Mujtaba Tahir, Abla Abdullah Al-Ashik Alshahrani, Sultan Mahdi Alqarni and Yahya Salman Hassan Suhluli
Abstract: Background: Sickle cell disease (SCD), being an autosomal recessive disorder of hemoglobin, carries a varied worldwide prevalence. It is characterized by a range of complications hemolytic crisis, vaso-occlusive crisis, splenic sequestration, acute chest syndrome and occasionally stroke.
Objective: To ascertain the frequency of stroke in pediatric population with sickle cell disease (SCD).
Materials and Methods: Retrospective observational study, was conducted in Pediatric Medicine Department, King Fahad Armed Forces Hospital Southern Region, Khamis Mushait, Kingdom of Saudi Arabia, from1st July 2018 to 30th June 2023. The data was collected for last five years regarding pediatric patients of sickle cell anemia and aged one to 14 years.
Results: Among 322 patients of sickle cell disease, 116 were female and 206 male with mean age 6 years 2 months. Each patient had an average of 2.3 admissions during the course of the disease. The most common diagnosis was vaso-occlusive crisis for the inpatient care. The mean hemoglobin was 9.24 g/dL. Transcanial doppler identified recording of high velocity in middle cerebral artery in 2% of sickle patients. 6 patients (1.9%) were found to have stroke with mean age of 9 years 10 months, with obliteration of middle cerebral artery in 4 patients (66%).
Conclusion: Among the children of southern region of Saudi Arabia, the frequency of stroke in SCD patients was 1.9%.
Received: April 17, 2024
Revised: May 19, 2024
Accepted: May 20, 2024
doi.org/10.21089/njhs.94.0235
Antimicrobial Susceptibility Pattern of Escherichia Coli (E-Coli) and Association of Infections in Immune-Compromised Cancer Patients
Amber Yasmeen Alvi, Hina Faisal, Azra Idris, Maliha Yasmeen, Naseha Mushtaq and Hira Zafar Siddiqui
Abstract: Background: Incidents of infections in immune-compromised patients are the cause of increased morbidity and mortality, this study aims to determine the microbial spectrum of Cancer patients with urinary tract infections, respiratory tract infections, and gastrointestinal tract infections.
Materials and Methods: This is a cross-sectional study conducted at a Layari General Hospital, in Karachi from March 2022 till May 2023. Patients from the oncology department were recruited in the study, Sputum, urine (mid-stream), or stool samples were collected for analysis. SPSS 22 was used to analyze the data. Effect modifiers were controlled through stratification. To assess the association between two variable mean values, a chi-square test was performed keeping the p-value ≤0.05 as significant.
Results: A total of 170 patients were included in the study, with a mean age of 36.8 ± 12.9 years and, a mean weight of 66.8 ± 14.2 kgs. Gender distribution indicated higher incidents in male patients with 95 (%) while 80 (%) females were included in the study. Escherichia Coli (E-Coli) was the most frequently reported organism 133 (78.2%) in Urinary tract infection, similarly Staphylococcus aureus was most frequently reported in Respiratory tract infection with 86 (50.4%), and Salmonella spp. and Shigella Spp. were reported with equal frequency in Gastrointestinal infection with 26 (15.6%) and 26 (15.6%) respectively.
Conclusion: According to this study’s findings, urinary tract infections are the most frequently reported illness in immune-compromised patients, with Escherichia Coli (E-Coli) being the most widely reported microorganism. Broad-spectrum antibiotic overuse causes antibiotic resistance and increases illness rates.
Received: October 09, 2023
Revised: April 18, 2024
Accepted: April 22, 2024
doi.org/10.21089/njhs.94.0239
Job Stress in Administrative Employees of Public Medical Institutes in Punjab, Pakistan
Ahmad Rashid, Muhammad Maaz Arif, Nauman Mazhar, Hammad Hassan, Saira Khalid and Noreen Maqbool Bukhari
Abstract: Background: Job stress arises when job demands exceed an individual’s coping capacity, leading to physical and psychological strain. Factors include excessive workload, tight deadlines, and lack of support.
Objective: To measure the job-related stress in the administrative employees in public medical institutes of Punjab.
Materials and Methods: This descriptive cross-sectional study took place at three public medical institutes in Punjab from Nov 2022 to July 2023, after the approval of the ethical review board. The data was collected through an interview-administered questionnaire. A well-structured questionnaire was devised using the Likert scale to collect the required data, with a score of 1 denoting no stress and 5 denoting extreme stress. A sample of 150 subjects was taken by purposive sampling technique. The collected data was entered and analyzed on SPSS software version 20.
Results: This descriptive cross-sectional study took place at three public medical institutes in Punjab from Nov 2022 to July 2023, after the approval of the ethical review board. The data was collected through an interview-administered questionnaire. A well-structured questionnaire was devised using the Likert scale to collect the required data, with a score of 1 denoting no stress and 5 denoting extreme stress. A sample of 150 subjects was taken by purposive sampling technique. The collected data was entered and analyzed on SPSS software version 20.
Conclusion: The study indicated that most employees had moderate to high levels of job stress during work owing to several factors such as working overtime, unfamiliar duty, excessive criticism, heavy workload, and lack of authority.
Received: October 25, 2023
Revised: May 22, 2024
Accepted: May 22, 2024
doi.org/10.21089/njhs.94.0245
Mini Cholecystectomy versus Conventional Cholecystectomy: A Comparative Interventional Study among Cholelithiasis Patients Operated at DHQ Teaching Hospital, Dera Ghazi Khan
Muhammad Rizwan Anwar, Muhammad Asim Bhatti and Uzair Qaisrani
Abstract: Background: Gall-bladder-associated diseases, specifically Cholelithiasis, is among the most common Hepatobiliary tract disorders, and hence, cholecystectomy remains the most frequently performed surgical procedure worldwide, many incisional approaches for cholecystectomy have been demonstrated.
Objective: To compare the surgical outcomes of mini cholecystectomy with conventional cholecystectomy in the management of Cholelithiasis.
Materials and Methods: This comparative interventional study was conducted at the Department of Surgery in Allama Iqbal Teaching Hospital, Dera Ghazi Khan, from Feb 2022 to Jan 2023. A total of 100 Cholelithiasis patients were included and randomly assigned to the treatment groups (A and B) in equal proportion. Group A patients were treated with Mini-cholecystectomy, while in group B, conventional open cholecystectomy was performed. The patients of both treatment groups were followed up a day after surgery (24 hrs.) for pain assessment via visual analogue scale (VAS), and SOS analgesic consumption was also monitored. The 2nd follow-up was planned on the 10th postoperative day for the assessment of wound infection.
Results: The mean age of patients in group A (Mini Cholecystectomy) and group B (Conventional Cholecystectomy) was 44.92±11.16 and 45.64±9.79 years, respectively. Females represented 77% of the study population. There was a significant difference in the mean hospital stay among group A and B patients, i.e. 1.22±0.42 days vs. 1.5±0.5 days (p=0.026). Furthermore, 7% of patients in group A and 14% of group B had wound infections. It was also observed that moderate to severe pain was reported in 6% and 17% of group A and B patients respectively, while no pain was reported among 68% and 58%, respectively.
Conclusion: Mini cholecystectomy is a better and more reliable approach than conventional cholecystectomy in terms of decreased post-operative pain, hospital stay and lesser chances of wound infection.
Received: April 09, 2024
Revised: July 12, 2024
Accepted: July 12, 2024
doi.org/10.21089/njhs.94.0250
Effect of Nasal Deviation on the Perception of Upper Dental Midline by General Dentists and Orthodontists
Ittrat Haider, Mehwish Shaheed, Yusra Shaukat, Wardah Tahir, Hafiz Muhammad Talha Arshad and Kausar Ilyas
Abstract: Background: Establishing the relationship between dental and facial midlines aids in achieving the desired dentofacial aesthetics post-orthodontic treatment.
Objective: The primary objective of this study was to assess the effect of nasal deviation on the perception of maxillary dental midline by the orthodontic practitioners and general dentists. Secondary objectives were to see if there was any significant difference between the perception of female and male participants, and orthodontic practitioners and general dentists.
Materials and Methods: This cross-sectional study was conducted in Margalla Institute of Health Sciences (MIHS) Rawalpindi after obtaining ethical approval. Morphed frontal smiling photographs of a female subject were used to assess the perception of the participants. The nasal midline was progressively altered at every 1 mm from 0 mm to 4 mm towards left while keeping the upper dental midline on. The data were analyzed by using SPSS version 26.0. P-values of < 0.05 were taken as significant.
Results: Out of 200 study subjects, 106( 53%) were general dentists and 94 (47%) were orthodontic practitioners. There was a significant increase in the misperception of upper dental midline with an increase in the nasal deviation. There was no statistically significant difference found between the findings of general dentists and orthodontists, with the exception of one image (Image 2), for which the p value was 0.017. Statistically, no significant difference was observed between male and female participants’ results.
Conclusion: The nasal deviation affects dental midline perception, with only minor differences between general dentists and orthodontists underscoring the necessity for comprehensive facial evaluations in dental practice to ensure accurate aesthetic and functional assessments.
Received: January 11, 2024
Revised: June 19, 2024
Accepted: June 20, 2024
doi.org/10.21089/njhs.94.0255
The Role of Decompressive Craniectomy in Traumatic Brain Injury: An Institutional Experience in a Tertiary Care Hospital
Aurangzeb Kalhoro, Sher Hassan, Irum Bokhari, Ghulam Muhammad Brohi, Faizyab Ahmed and Tanweer Ahmed
Abstract: Background: Traumatic brain injury can damage the brain on permanent basis, to protect the brain Decompressive can play a pivot role to protect from secondary brain injury.
Objective: To assess the prognosis and functional outcomes in role of decompressive craniectomy in traumatic brain injury in tertiary care hospital.
Materials and Methods: This study conducted at Jinnah Post Graduate Medical Institute (JPMC) in Karachi from January 2018 to April 2022, comprises of 304 patients who underwent decompressive craniectomy following traumatic brain injury, specifically those with traumatic mass lesions. Our aim was to gain insight into their functional outcomes over a period of six months, utilizing the Glasgow Outcome Score at intervals of one month, three months, and six months, employing the chi-squared test, to identify any parameters that correlated with poor outcomes. This helped us discern potential factors contributing to unfavorable results.
Results: The current study comprised 304 individuals, with a median age of 48 years (IQR: 43-53). The majority of patients (66.1%) were older than 45 years. The median time since injury was 10 hours (IQR: 7-13.75). The median GCS score was (IQR: 5-7). The majority of patients had ASDH + Contusion (44.1%) and ASDH (42.1%) on CT scans. In our study, 38.5% of patients had a good outcome, whereas 61.5% had a poor outcome. The outcome was significantly associated with gender (p=0.033), age group (p <0.001), time since injury (p<0.001), GCS score (p<0.001), midline shift (p<0.001), mass lesion volume (p<0.001), and CT findings (p=0.002).
Conclusion: Decompressive craniectomy stands as a pivotal intervention in the management of severe traumatic brain injury (sTBI) patients grappling with traumatic mass lesions.
Received: April 20, 2024
Revised: August 29, 2024
Accepted: September 03, 2024
doi.org/10.21089/njhs.94.0260
Correlation of iPTH, Serum Calcium, and Serum Phosphorous with Different Stages of Chronic Kidney Disease
Muhammad Talha Jawaid, Bilal Jamil, Ameen Zubair Syed, Kulsoom, Asif Mehdi and Erum Alam
Abstract: Background: CKD-mineral and bone disorders (CKD-MBD) include abnormalities in blood calcium (Ca), phosphate (P), and parathyroid hormone (PTH), as well as bony derangements and vascular calcification, which are increasingly more frequent in patients with chronic kidney disease (CKD) stages 4 and 5.
Objective: To assess the correlation of chronic kidney disease, mineral, and bone disorder (CK-MBD) with stages of CKD.
Materials and Methods: This is a cross-sectional, study conducted at the Tabba Kidney Institute, Serum levels of calcium, phosphate, and intact PTH (iPTH) were measured as part of the study at baseline. The statistical package of Social Sciences version 22 was used to enter, sort, and analyze data. To assess the risk of vascular calcification in different stages of CKD, odds ratio (OR) test was performed, keeping confidence interval as 95% and OR of 1 as positive risk of outcome after exposure.
Results: A total of 82 patients were enrolled in the study with a mean age of 59.6 ± 13.3 years. The results indicated positive odds of vascular calcification in CKD stage V with 1.418 and Confidence interval of 95% as a lower bound and upper bound of 1.121-10.817, indicating higher chances of vascular calcification in stage V patients. Similarly, CKD stage IV reported 0.042 OR with lower and upper bound of 0.352-4.162 confidence interval respectively.
Conclusion: This study concludes that CKD progression is directly associated with Bone mineral disorders and allied complications, including the risk of vascular calcification in patients which increases from stage III to V.
Received: May 08, 2024
Revised: July 22, 2024
Accepted: July 22, 2024
doi.org/10.21089/njhs.94.0265
Frequency and Risk Factors of Diabetic Retinopathy in Children having Type-1 Diabetes Mellitus
Muhammad Nasir Javed, Mohsina Noor Ibrahim, Zubair Khoso, Ikramullah Shaikh, Maira Riaz and Versha Rani Rai
Abstract: Background: Diabetic retinopathy is the most prevalent complication and the primary cause of blindness in people with type 1 diabetes mellitus. There are two categories of risk factors: modifiable and non-modifiable for development of diabetic retinopathy.
Objective: To determine the frequency and risk factors of diabetic retinopathy in children having type-1 diabetes mellitus.
Materials and Methods: Children aged 7 to 18 years participated in this cross-sectional study, which was carried out in the National Institute of Child Health’s endocrinology department. Clinical, anthropometric, and demographic data of the patients were gathered. To identify diabetic retinopathy, a fundus examination involved examining the optic disc, macula, retinal blood vessels, background, and fundus periphery.
Results: With an average age of 14.07±2.82 years, 157 patients were examined. 88(56.1%) were male and 69(43.9%) were female. Average HbA1C level was 10.10±2.63%. Total 116(73.9%) patients had diabetic retinopathy, of which 103(88.8%) had mild non-proliferative, 10(8.6%) had moderate non-proliferative, 1(0.9%) had severe non-proliferative, and 2(1.7%) had proliferative diabetic retinopathy. Diabetic retinopathy was significantly associated with age group (p=0.025), random blood sugar (p=0.050) and insulin regimen type (p=0.018). Male patients had a lower risk of diabetic retinopathy (OR=-0.497, p=0.069). Individuals with age 14 years or less had a lower probability of developing diabetic retinopathy (OR=0.437, p=0.027). Patients with High HbA1c had more risk to develop diabetic retinopathy (OR=1.314, p=0.003). Patients on basal bolus insulin had a higher risk of developing diabetic retinopathy (OR=2.378, p=0.020).
Conclusion: The results of our investigation showed that a significant portion of the study group had diabetic retinopathy. The most common kind of retinopathy was mild non-proliferative. Males who were less than 14 years old, had a low HbA1c, had the disease for less than ten years, and used regular insulin and neutral protamine Hagedorn (NPH) were less likely to develop diabetic retinopathy.
Received: May 09, 2024
Revised: June 21, 2024
Accepted: June 25, 2024
doi.org/10.21089/njhs.94.0271
Etiology, Clinical Profile and Outcome of Non-Traumatic in Children
Asma Majeed, Muhammad Ashfaq, Zara Shoukat, Mariam Aijaz and Badar u Nisa
Abstract: Background: Non-traumatic coma in children is a neurological emergency associated with high risk of mortality and undesired consequences.
Objective: To investigate the etiology, clinical profile and neurological and clinical outcome in children presented with non-traumatic coma at National Institute of Child Health Karachi.
Materials and Methods: A prospective follow-up study was conducted on inpatients visiting pediatric department of National Institute of Child Health Karachi. The study period was six months from 20th December 2022 to 19th June 2023. One hundred and forty-three non-traumatic coma children of age 2 months to 16 years were consecutively selected for investigation. Each child was assessed for vitals, GCS score, duration of unconsciousness and presenting complaints. Laboratory investigations were performed to confirm the etiology of non-traumatic coma. Each child was followed until hospital discharge for final neurologic and clinical outcomes.
Results: Out of 143 non-traumatic coma children, male children were 77 (53.8%) and female children were 66 (46.2%) with mean age of 6.74 ± 2.68 years. The most common clinical presentation was fever 123 (86.0%) followed by convulsions 117 (81.8%), headache 112 (78.3%), fast breathing 83 (58.0%), vomiting 70 (49.0%) and abdominal pain 52 (36.4%). Viral encephalitis 41 (28.7%) and acute bacterial meningitis 31 (21.7%) were the most common infectious; while epilepsy 24 (16.8%) and acute poisoning 11 (7.7%) were the most common non-infectious etiologies of nontraumatic coma. The most common neurological outcome was moderate disability 80 (55.9%) children followed by mild and severe disability in 32 (22.4%) and 31 (21.7%) children, respectively. Overall, 112 (78.3%) non-traumatic coma children survived while 31 (21.7%) children died.
Conclusion: Infections were the most common cause of non-traumatic coma and also the most common cause of death in children. Meningitis including acute bacterial meningitis and tuberculosis meningitis was the only significant cause of death in children of non-traumatic coma. Death was significantly associated with severe disability.
Received: April 05, 2024
Revised: October 06, 2024
Accepted: October 21, 2024
doi.org/10.21089/njhs.94.0277
Evaluation of Pattern of Deep Wrist Injuries in Suicidal versus Accidental Cases Presenting in a Tertiary Care Hospital
Rabeeaa Farrukh, Faisal Akhlaq Ali Khan, Erum Naz, Saira Ahmed Chhotani, Mehak Ali Memon and Saira Bhutto
Abstract: Background: The hand is the most dominant and important part of human body. Hand and wrist injuries are frequently associated with long-term pain, loss of productivity, disability and hence compromised quality of life. The primarily cause of wrist injuries are can be accidental or suicidal.
Objective: To determine accidental and suicidal deep wrist injury (DWI) rate and compare patients’ anatomical features among the two injury types.
Materials and Methods: This cross-sectional study was performed in Ruth Pfau Civil Hospital, DUHS during June to December, 2022. Patients visiting emergency rooms with acute hand injuries were enrolled into the study. The assigned data collectors’ participants’ features in a pre-designed structured proforma. Data was analyzed using SPSS version 26.
Results: Total 384 patients were enrolled into the study with median age of 32 (IQR=25-45) years. Majority of victims were males (77.3%). Frequency of accidental injury was 82.6%. Out of 317 (82.6%) patients with accidental injury, common mechanism was road traffic accident (51%) followed by occupational injury (21.1%) and domestic violence (14.1%). None of the patients’ features were significantly different among accidental and suicidal injuries except marital status. Frequency of suicidal injury was significantly higher among married individuals than those who were single. Frequency of ulnar nerve (p=, flexor pollicis longus tendon (p= and flexor digitoram profundus (p=) was significantly higher in accidental cases than suicidal cases whereas ulnar artery (p=) and radial artery was significantly higher in suicidal cases.
Conclusion: The current study found that almost one-fifth of DWI were suicidal attempts. Suicidal injuries were mainly damaging to radial and ulnar arteries where accidental injuries affected deep wrist structures such as ulnar nerve, flexor tendons and flexor digitoram profundus.
Received: May 22, 2024
Revised: July 15, 2024
Accepted: July 18, 2024
doi.org/10.21089/njhs.94.0284
Assessing the Predictive Ability of the Pyeloplasty Prediction Score on Surgical Outcomes: A New Use of a Tool in Pediatric Urology
Umber Rasheed, Sherjeel Saulat, Ashba Mushtaque, Muhammad Osama, Anil Kumar Utraadi and Jahanzeb Shaikh
Abstract: Background: Pediatric urology requires precise surgical techniques and effective communication with parents. Establishing trust through knowledge sharing is essential for guiding treatment pathways. Parents, particularly those with antenatal diagnoses, seek reassurance through counseling. Antenatal hydronephrosis, affecting approximately 1 in 1000-1500 live births, often involves conditions like Pelviureteric junction obstruction (PUJO). Various scoring systems, including the ultrasound-based Pyeloplasty Prediction Score, assist in predicting surgical outcomes. Leveraging such scores as counseling tools enhances parental understanding and facilitates informed decision-making in pediatric urology.
Objective: To evaluate the predictive ability of Pyeloplasty Prediction Score on surgical outcomes of Pyeloplasty and to assess the use of this score as a counselling tool.
Materials and Methods: This prospective study, conducted at the Department of Urology, Tabba Kidney Institute, enrolled 50 patients under 15 years with antenatal hydronephrosis or incidental diagnosis of HDN. Patients over 15 years of age and those with bilateral hydronephrosis were excluded. The Pyeloplasty Prediction Score, comprising SFU grade, Anteroposterior Pelvic Diameter (APPD), and percentage renal length difference, was used for risk stratification. Scores were categorized as low (≤4), intermediate (5-7), or high (≥8) risk. Post-pyeloplasty, patients were monitored for hydronephrosis resolution and cortical thickness gain via ultrasound. Resolution was defined as APPD less than 10mm or more than 50% decrease from preoperative value.
Results:Out of the enrolled 50 patients, with a mean age of 6 years (range: 2 months to 11 years), 28 (56%) were female and 22 (44%) were male. 56% presented with antenatal hydronephrosis, while 44% had incidental PUJO-like HDN. 20 patients (40%) were categorized as high risk, and 30 patients (60%) as intermediate, with none in the low-risk group. Laparoscopic Retroperitoneal Pyeloplasty was performed in 19 patients (38%) above 2 years, and open Pyeloplasty with DJ stenting in 31 patients (62%) below 2 years. Postoperatively, 24 patients (80%) in the intermediate-risk group showed cortical thickness gain, compared to 9 patients (45%) in the high-risk group (p=0.05). Resolution of hydronephrosis was observed in 13 patients (65%) in the high-risk group and 12 patients (40%) in the intermediate-risk group, possibly due to pelvis excision in severely hydronephrotic cases (p=0.78).
Conclusion:The Pyeloplasty Prediction Score serves as an effective counseling tool for predicting the outcome of Pyeloplasty in terms of cortical gain, eliminating the need for radioisotope exposure post operatively. However, its effectiveness in predicting hydronephrosis resolution is limited.
Received: May 30, 2024
Revised: August 01, 2024
Accepted: August 01, 2024
doi.org/10.21089/njhs.94.0289
Academic Procrastination among Nursing Students at Private Nursing Schools in Karachi
Rizwan Ali, Muhammad Hasnain Shaikh, Afsha Bibi, Nasar Khan and Muhammad Adnan Tamraiz
Abstract: Background: Academic Procrastination refers to the act of delaying any academic task or assignment without any logical reason including academic assignments, examinations, and their preparation.
Objective: The purpose of this study is to determine academic procrastination among nursing students at private nursing schools in Karachi.
Materials and Methods: This cross-sectional analytical study was conducted in two private nursing colleges Horizon School of Nursing and Allied Health Sciences and Suvastu School of Nursing and Allied Health Sciences, from May 2023 to July 2023. The study participants were approached by a convenient sampling technique utilizing Procrastination Assessment Scale-Students (PASS) with a total sample size of 235 nursing students enrolled in Generic Bachelor of Science Nursing (GBSN) including 1st, 2nd, 3rd, and 4th years.
Results:The study findings show that 52.13% nursing students reported moderate levels of procrastination, 45.72% showed severe procrastination, and 2.56% mild procrastination. Moreover, there is a statistically significant difference between procrastination scores and gender (p = 0.001), but no significant difference was found regarding relationship status (p = 0.582), college attendance (p = 0.240), and academic year (p = 0.442) among the participants.
Conclusion:Majority of nursing students reported moderate to severe levels of academic procrastination, emphasizing the necessity for focused interventions and support to enhance time management and study habits in this student population.
Received: August 01, 2023
Revised: July 18, 2024
Accepted: July 18, 2024
doi.org/10.21089/njhs.94.0295
Sudden Unilateral Loss of Vision in a Young Girl: A Case Report
Mahnoor Saeed, Jamilah Hadi Al-Ali, Muhammad Saeed, Mohammad Al-Sumaili and Badriah Al-Asmari
Abstract: A casual association seems to exist between the onset of intracranial hypertension (IH) and growth hormone (GH) therapy. Children receiving GH treatment, if they complain of headaches or visual difficulties, should undergo detailed ophthalmological evaluation. Herein, we report a young girl who was receiving GH treatment for idiopathic short stature, and due to the adverse effects of GH, she developed intracranial hypertension, as a result of which, she developed unilateral blindness.
Received: August 28, 2024
Revised: December 05, 2024
Accepted: December 16, 2024
doi.org/10.21089/njhs.94.0300
