Background: COVID-19 was announced as a pandemic issue globally on 11th March, 2020. In response to this situation, all educational activities including medical and clinical education in various colleges across the country were suspended on the 15th of March. So, online education emerged as an alternative method of teaching & learning to maintain continuity of education Aim: To evaluate the use of online learning modalities and to find their feasibility and usability in medical education. Methods: A cross-sectional study was performed across the government and private medical colleges of Lahore. Eligible participants were undergraduate medical students from 10 medical colleges of Lahore. A questionnaire linked to a Google form was distributed to the medical students across 10 government and private medical colleges through different social platforms. Results: A total of 439 valid questionnaires were collected. 31.7% of students disagreed that interaction between students and teachers was possible through online teaching. Only 7.7% of students agreed that online learning can be used for clinical teaching of medical sciences, as compared to 35.8% who disagreed with this answer and 12.8% who were neutral. 23% of the students agreed that online learning was more convenient and flexible than traditional learning, while 24% disagreed and 21.4% were neutral in this regard. Only 19.8% of students had problems with poor internet services. Conclusion: As Pakistan has faced four waves of the COVID-19 which is not over yet due to the emergence of new strains. Due to vaccination of medical students medical education is back to conventional physical learning but online learning has gained importance as an effective alternate to continue learning processes in exceptional situations like COVID-19 pandemic. Keywords: Covid-19 pandemic, online education
BACKGROUND & OBJECTIVE: The most common cause of low back pain is disc prolapse. Disc prolapse occurs in both gender, but females are more prone to disc degenerative changes. The aim of this study was to determine the correlation between clinical findings and MRI findings of lumbar disc prolapse patients. METHODOLOGY: This study recruited 32 participants of either gender, between the ages of 19 to 65, in the Radiology department of Shalamar Hospital. This study was carried out in six months with follow-up. Only diagnosed patients with lumbar disc prolapse on MRI were recruited. NPRS was used to identify the intensity of pain. History and neurological examinations were done in all diagnosed patients. MRI reports of all these patients were reviewed. All these findings of MRI were correlated with the clinical findings at different levels of lumbar vertebrae. RESULTS: There was a statistically significant positive correlation of MRI findings with clinical findings in the presence of nerve root compression at the L1-L2 level of lumbar vertebrae. All abnormal findings on MRI did not correlate with clinical findings because some patients did not produce symptoms. According to the Pearson coefficient correlation, there was a positive but insignificant (p-value≥0.05) correlation between clinical features (sensations, power and reflexes) and MRI findings at all the levels of lumbar vertebrae except L2 dermatome and myotome. CONCLUSION: There was a not good correlation between MRI findings and clinical findings of patients with lumbar disc prolapse except L2.
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