Muhammad Umar Khan, Omer Khalid Farooq, Asif Khan, Tariq Aziz, Waseem Akbar, Faisal Nazeer Hussain
Objectives: Intertrochanteric fractures of femur are difficult fractures to reconstruct because of strong biomechanical forces leading to failure of many an implant designs in the past. After failure of many designs Dynamic Hip Screw (DHS) has stood the test of time. We have prospectively studied the functional recovery of these fractures in 60 patients for 24weeks using Harris Hip scores. Harris hip score was used to measure the outcome. Material and Methods: It was a descriptive case series done between 15th March 2022 to 14 January2023 in Department of Orthopedics Surgery, Avicenna Hospital, Lahore. Sixty patients of intertrochanteric fractures within 2weeks ofinjury of age≥50 yearswere inducted in a descriptive study and Harris Hip Score was used to study the rehabilitation during 6 months after surgery. Patients with other fractures of same limb or multiple fractures, BMI >35.0kg/m2, or diabetic (BSR >200 mg/dl), patients with pre-existing symptomatic acetabular diseases, patient with previous stroke, hemiparesis or other neuromuscular disorder likely to interfere with uneventful rehabilitation were excluded. Patients were were followed-up in OPD after 12, 20 and 24 weeks of surgery. On each visit biplane X-rays were made, patient was interviewed and Harris hip score was calculated. In the end according to Harris hip score, functional outcome was categorized as excellent, good, fair and poor outcomes. Results: Out of these 60 patients, 20 (33.33%) were male and 40 (66.67%) were female. Mean age was 61.40 ± 5.97 years. Mean duration of fracture was 8.05 ± 2.51 months. In ourstudy, functional outcome was excellent in 63.33%, good in 26.67%, fair in 5.0% and poor in 5.0% cases. Mean Harris hip score was 88.40 ± 7.91. Conclusion: Harris hip score can be used to assess rehabilitation of patients treated with DHS for intertrochanteric fractures in early post operative period.
{"title":"Measurement of Harris Hip Scoring During Early post-operative Period in Intertrochanteric Fractures FemurTreated with Dynamic Hip Screw","authors":"Muhammad Umar Khan, Omer Khalid Farooq, Asif Khan, Tariq Aziz, Waseem Akbar, Faisal Nazeer Hussain","doi":"10.51273/esc23.25131933","DOIUrl":"https://doi.org/10.51273/esc23.25131933","url":null,"abstract":"Objectives: Intertrochanteric fractures of femur are difficult fractures to reconstruct because of strong biomechanical forces leading to failure of many an implant designs in the past. After failure of many designs Dynamic Hip Screw (DHS) has stood the test of time. We have prospectively studied the functional recovery of these fractures in 60 patients for 24weeks using Harris Hip scores. Harris hip score was used to measure the outcome. Material and Methods: It was a descriptive case series done between 15th March 2022 to 14 January2023 in Department of Orthopedics Surgery, Avicenna Hospital, Lahore. Sixty patients of intertrochanteric fractures within 2weeks ofinjury of age≥50 yearswere inducted in a descriptive study and Harris Hip Score was used to study the rehabilitation during 6 months after surgery. Patients with other fractures of same limb or multiple fractures, BMI >35.0kg/m2, or diabetic (BSR >200 mg/dl), patients with pre-existing symptomatic acetabular diseases, patient with previous stroke, hemiparesis or other neuromuscular disorder likely to interfere with uneventful rehabilitation were excluded. Patients were were followed-up in OPD after 12, 20 and 24 weeks of surgery. On each visit biplane X-rays were made, patient was interviewed and Harris hip score was calculated. In the end according to Harris hip score, functional outcome was categorized as excellent, good, fair and poor outcomes. Results: Out of these 60 patients, 20 (33.33%) were male and 40 (66.67%) were female. Mean age was 61.40 ± 5.97 years. Mean duration of fracture was 8.05 ± 2.51 months. In ourstudy, functional outcome was excellent in 63.33%, good in 26.67%, fair in 5.0% and poor in 5.0% cases. Mean Harris hip score was 88.40 ± 7.91. Conclusion: Harris hip score can be used to assess rehabilitation of patients treated with DHS for intertrochanteric fractures in early post operative period.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"48 s17","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yumna Asif, Gulbaz Ali Nasir, Ali Rafique Mirza, Ahmed Nouman, Waheed Bhutto, Maheen Tariq
Objective: Skin cancer is preventable but nowadays it is one of the fastest growing cancers, especially in South Asia. The purpose of this study is to assess knowledge, attitude, and practice towards usage of sunscreen and prevention of Skin Cancer among Doctors of a Tertiary care hospital. Material and Methods: A cross-sectional study was conducted using a validated structured questionnaire covering the areas of knowledge, attitude, and practice of the study participants. Results: Atotal of 150 Doctors participated in thisstudy, 68 men and 82 women.Among the total participants, only 10 (6.66%) were aware thatsunscreen reducessunburns. In contrast, 16 (10.66%) of the candidates denied any sunscreen application asthey found it to be useless. 10% of the participants always used sunscreen whereas the majority (21.33%), only used it sometimes. There was no re-application of Sunscreen by 83 individuals that participated in the survey; however, 20.66% of doctors re-applied it every hour. Protection against skin cancer was the second most common reason of using sunscreen. Majority of the doctors (n=52) avoided sunscreen as they simply forgot to use it. Conclusion: This study has revealed that the knowledge and use of sunscreen among doctors in Lahore, Pakistan is suboptimal. Although 52.7% of participants reported using sunscreen, only 10% consistently used it, with 21.33% applying it occasionally. A substantial number of doctors in our study had poor attitudes and practices regarding sunscreen use, with many only using it during sunny months or citing reasons such as forgetfulness, greasiness, or cost as barriers.
{"title":"Knowledge, Attitude, and Practice Towards Usage of Sunscreen and Prevention of Skin CancerAmong Doctors of a Tertiary Care Hospital: ACross-Sectional Study","authors":"Yumna Asif, Gulbaz Ali Nasir, Ali Rafique Mirza, Ahmed Nouman, Waheed Bhutto, Maheen Tariq","doi":"10.51273/esc23.25131934","DOIUrl":"https://doi.org/10.51273/esc23.25131934","url":null,"abstract":"Objective: Skin cancer is preventable but nowadays it is one of the fastest growing cancers, especially in South Asia. The purpose of this study is to assess knowledge, attitude, and practice towards usage of sunscreen and prevention of Skin Cancer among Doctors of a Tertiary care hospital. Material and Methods: A cross-sectional study was conducted using a validated structured questionnaire covering the areas of knowledge, attitude, and practice of the study participants. Results: Atotal of 150 Doctors participated in thisstudy, 68 men and 82 women.Among the total participants, only 10 (6.66%) were aware thatsunscreen reducessunburns. In contrast, 16 (10.66%) of the candidates denied any sunscreen application asthey found it to be useless. 10% of the participants always used sunscreen whereas the majority (21.33%), only used it sometimes. There was no re-application of Sunscreen by 83 individuals that participated in the survey; however, 20.66% of doctors re-applied it every hour. Protection against skin cancer was the second most common reason of using sunscreen. Majority of the doctors (n=52) avoided sunscreen as they simply forgot to use it. Conclusion: This study has revealed that the knowledge and use of sunscreen among doctors in Lahore, Pakistan is suboptimal. Although 52.7% of participants reported using sunscreen, only 10% consistently used it, with 21.33% applying it occasionally. A substantial number of doctors in our study had poor attitudes and practices regarding sunscreen use, with many only using it during sunny months or citing reasons such as forgetfulness, greasiness, or cost as barriers.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"48 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction The terms 'medical negligence or medical malpractice' are often used synonymously, however, in stricto senso 'medical negligence' include “criminal negligence” while 'medical malpractice' encompasses civil negligence including two other types, i.e., contributory and third party negligence. The word negligence is a noun meaning “not to give proper care or carelessness”. Therefore, the medical negligence means medical treatment without proper care or is an act or omission by a medical practitioner therein he has deviated from accepted standards of practice in the medical fraternity and caused damage/injury or death to the patient. In case of damage/injury, it falls within the ambit of civil negligence and in case of death of patient; it falls within the purview of criminal negligence. Medical Negligence comes under the category of tort law. The scope of medical negligence is not limited to conduct of the medical practitioner alone. It extends to his staff working under his supervision (3rd party negligence) and in a hospital setting to the whole unit (captain of ship theory/master is responsible /vicarious liability) and in some cases role of patient also contribute in it (contributory negligence).
{"title":"Medical Negligence orMalpractice: Critical Review of Relevant Laws in Pakistan","authors":"Arif Rasheed","doi":"10.51273/esc23.25131930","DOIUrl":"https://doi.org/10.51273/esc23.25131930","url":null,"abstract":"Introduction The terms 'medical negligence or medical malpractice' are often used synonymously, however, in stricto senso 'medical negligence' include “criminal negligence” while 'medical malpractice' encompasses civil negligence including two other types, i.e., contributory and third party negligence. The word negligence is a noun meaning “not to give proper care or carelessness”. Therefore, the medical negligence means medical treatment without proper care or is an act or omission by a medical practitioner therein he has deviated from accepted standards of practice in the medical fraternity and caused damage/injury or death to the patient. In case of damage/injury, it falls within the ambit of civil negligence and in case of death of patient; it falls within the purview of criminal negligence. Medical Negligence comes under the category of tort law. The scope of medical negligence is not limited to conduct of the medical practitioner alone. It extends to his staff working under his supervision (3rd party negligence) and in a hospital setting to the whole unit (captain of ship theory/master is responsible /vicarious liability) and in some cases role of patient also contribute in it (contributory negligence).","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"52 s34","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To get information about knowledge of doctors in the field of forensic medicine. Method: It was a cross sectional study. Convenience sampling technique was adopted. Study duration was 2 months and 10 days i.e., 6th May to 16th July 2023. Sample size was 200. Study centre was Sialkot medical college, Sialkot. A questionnaire containing 18 questions from different parts of forensic medicine was distributed to 200 doctors through e mail. Data was analysed by using SPSS version 25. It was presented in table form. Results: All doctors replied. Knowledge related to medical ethics was 100%. Law related issues had least knowledge. Eagerness to go in this field was only 22%. Conclusion: Most of the doctors are reluctant to choose forensic medicine as their future field. Overall knowledge was not good enough. It needs to be motivated and induce eagerness in this field by explaining the importance of this subject to the students and graduates of medicine.
{"title":"Current Status of Knowledge and Awareness of Doctors Regarding Medicolegal Work","authors":"Muhammad Asif Mughal, Usman Shahid Butt, Shaiqa Ramzan, Rehana Mushtaq, Zanib Ahsan, Hadiqa Iftikhar","doi":"10.51273/esc23.25131937","DOIUrl":"https://doi.org/10.51273/esc23.25131937","url":null,"abstract":"Objective: To get information about knowledge of doctors in the field of forensic medicine. Method: It was a cross sectional study. Convenience sampling technique was adopted. Study duration was 2 months and 10 days i.e., 6th May to 16th July 2023. Sample size was 200. Study centre was Sialkot medical college, Sialkot. A questionnaire containing 18 questions from different parts of forensic medicine was distributed to 200 doctors through e mail. Data was analysed by using SPSS version 25. It was presented in table form. Results: All doctors replied. Knowledge related to medical ethics was 100%. Law related issues had least knowledge. Eagerness to go in this field was only 22%. Conclusion: Most of the doctors are reluctant to choose forensic medicine as their future field. Overall knowledge was not good enough. It needs to be motivated and induce eagerness in this field by explaining the importance of this subject to the students and graduates of medicine.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"51 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: To assess the frequency of deficiency of vitamin D and associated factor among gravid women following up at antenatal clinic of social security hospital, Gujranwala Method: It was a cross-sectional study carried out at antenatal clinic social security hospital, Gujranwala. Total 100 pregnant females who were on follow-up visits and gave consent were enrolled in this study through a non-probability purposive sampling technique. A semi-structured and pre-tested questionnaire with anthropometric measurements and blood sample for vitamin D levels assessment was used to collect data and analysis was performed through SPSS version 23 Results: Among one hundred participants, two participants had deficient levels, 41 had insufficient and 57 had sufficient levels of vitamin D. Study participants had mean age of 28.8 ± 4.23 years. Mean duration of marriage and gestational period were 6.49 ± 4.0 years and 30.49 ± 10.49 weeks respectively. The mean vitamin D level was 29.9 ± 8.1ng/ml. Complaints such as backache, leg cramps, fatigue, gravidity, parity and low systolic Blood pressure were significantly associated with insufficient/low vitamin D levels. Conclusion: Deficiency of vitamin D is high in study participants hence need based supplementation to gravid women is suggested.
目的:了解古吉兰瓦拉市社会保障医院产前门诊妊娠妇女维生素D缺乏症的发生率及相关因素。方法:采用横断面研究方法在古吉兰瓦拉市社会保障医院产前门诊开展。本研究采用非概率有目的抽样方法，对100名接受随访并表示同意的孕妇进行研究。采用半结构化预测问卷，结合人体测量和血液样本进行维生素D水平评估，收集数据，并通过SPSS version 23进行分析。结果:100名参与者中，维生素D缺乏2名，不足41名，充足57名。研究参与者的平均年龄为28.8±4.23岁。平均婚龄为6.49±4.0年，平均妊娠期为30.49±10.49周。平均维生素D水平为29.9±8.1ng/ml。背痛、腿抽筋、疲劳、妊娠、产胎和低收缩压等症状与维生素D水平不足或低有显著关联。结论:研究参与者维生素D缺乏症严重，因此建议孕妇补充维生素D。
{"title":"Frequency of Vitamin D Deficiency and associated Factors Among Pregnant Women Visiting Tertiary Care Hospital, Gujranwala, Pakistan","authors":"Danish Farah, Rukhsana Hameed, Summia Khan, Anjum Razzaq, Saleha Aziz, Zarfishan Tahir","doi":"10.51273/esc23.2519220","DOIUrl":"https://doi.org/10.51273/esc23.2519220","url":null,"abstract":"Objectives: To assess the frequency of deficiency of vitamin D and associated factor among gravid women following up at antenatal clinic of social security hospital, Gujranwala Method: It was a cross-sectional study carried out at antenatal clinic social security hospital, Gujranwala. Total 100 pregnant females who were on follow-up visits and gave consent were enrolled in this study through a non-probability purposive sampling technique. A semi-structured and pre-tested questionnaire with anthropometric measurements and blood sample for vitamin D levels assessment was used to collect data and analysis was performed through SPSS version 23 Results: Among one hundred participants, two participants had deficient levels, 41 had insufficient and 57 had sufficient levels of vitamin D. Study participants had mean age of 28.8 ± 4.23 years. Mean duration of marriage and gestational period were 6.49 ± 4.0 years and 30.49 ± 10.49 weeks respectively. The mean vitamin D level was 29.9 ± 8.1ng/ml. Complaints such as backache, leg cramps, fatigue, gravidity, parity and low systolic Blood pressure were significantly associated with insufficient/low vitamin D levels. Conclusion: Deficiency of vitamin D is high in study participants hence need based supplementation to gravid women is suggested.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Summaira Hassan, Muhammad Tauseef Javed, Hashir Javed
Objective: To find out the frequency and association of gamble variables of impaired glucose tolerance among medical students. Method: This cross-sectional study was conducted at Quaid-e-Azam Medical College Bahawalpur in month of March 2022 to assess the frequency of impaired glucose tolerance and the factors predisposing to the same. After necessary permissions, participants giving written informed consent were interviewed and participants were subjected to an oral glucose tolerance test (OGTT) and their heights, weights were measured. Results: None of the participants had increased fasting blood glucose but 60 min after OGTT serum glucose levelswere increased in 79(49.37%)subjects and 120min afterOGTTserumglucosewasincreased in 15 (9.3%) subjects. There was association of age, male gender, increased BMI, positive family history of diabetes, lack of physical activity, junk food intake and smoking with impaired glucose tolerance in medical students. Conclusions: Impaired glucose tolerance was found in a substantial number of non-diabetic medical students and had a statistically significant association with gamble variables high BMI, family foundation of diabetes middle financial class, scarce physical activity, high junk food intake and smoking
{"title":"Frequency and Association of Gamble Variables of Impaired Glucose Tolerance Among Medical Students","authors":"Summaira Hassan, Muhammad Tauseef Javed, Hashir Javed","doi":"10.51273/esc23.251922","DOIUrl":"https://doi.org/10.51273/esc23.251922","url":null,"abstract":"Objective: To find out the frequency and association of gamble variables of impaired glucose tolerance among medical students. Method: This cross-sectional study was conducted at Quaid-e-Azam Medical College Bahawalpur in month of March 2022 to assess the frequency of impaired glucose tolerance and the factors predisposing to the same. After necessary permissions, participants giving written informed consent were interviewed and participants were subjected to an oral glucose tolerance test (OGTT) and their heights, weights were measured. Results: None of the participants had increased fasting blood glucose but 60 min after OGTT serum glucose levelswere increased in 79(49.37%)subjects and 120min afterOGTTserumglucosewasincreased in 15 (9.3%) subjects. There was association of age, male gender, increased BMI, positive family history of diabetes, lack of physical activity, junk food intake and smoking with impaired glucose tolerance in medical students. Conclusions: Impaired glucose tolerance was found in a substantial number of non-diabetic medical students and had a statistically significant association with gamble variables high BMI, family foundation of diabetes middle financial class, scarce physical activity, high junk food intake and smoking","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To identify perceptions, concerns and barriers affecting willingness for COVID-19 vaccination among pregnant females. Method: This was a cross-sectional study conducted on 356 pragnent women from Gynae outdoor department of Jinnah Hospital, Lahore from August 2021 to January 2022. It was a cross sectional study conducted on 365 pregnant women from gynae outdoor department of Jinnah Hospital, Lahore. After informed consent, data were collected with the help of a semi-structured questionnaire; entered, cleaned and analyzed using SPSS version 20.0. Chi Square was applied as a test of significance where p value is 0.05 Results: Among 365 females, only 58(15.9%) were vaccinated. About 6(10.4%) women received vaccination in the 1st trimester and 26(44.8%) each in the 2nd and 3rd trimester. Significant contributors for vaccination were vaccination center location, advice from health care provider, perception about vaccine safety and vaccine protection, supportive family attitude, previous history of COVID-19 infection and suspicious rumors. Conclusion: Vaccine hesitancy and rejection can be minimized through a multipronged strategy to combat infodemic and to educate the public. Health care providers can play a vital role through their effect communication and counseling.
{"title":"Perception and Willingness towards COVID-19 Vaccination in Pregnant Females in Jinnah Hospital, Lahore","authors":"Fareeha Ghias, Rukhsana Hameed, Summia Khan, Khadija Humayun, Faisal Mushtaq, Zarfishan Tahir","doi":"10.51273/esc23.2519211","DOIUrl":"https://doi.org/10.51273/esc23.2519211","url":null,"abstract":"Objective: To identify perceptions, concerns and barriers affecting willingness for COVID-19 vaccination among pregnant females. Method: This was a cross-sectional study conducted on 356 pragnent women from Gynae outdoor department of Jinnah Hospital, Lahore from August 2021 to January 2022. It was a cross sectional study conducted on 365 pregnant women from gynae outdoor department of Jinnah Hospital, Lahore. After informed consent, data were collected with the help of a semi-structured questionnaire; entered, cleaned and analyzed using SPSS version 20.0. Chi Square was applied as a test of significance where p value is 0.05 Results: Among 365 females, only 58(15.9%) were vaccinated. About 6(10.4%) women received vaccination in the 1st trimester and 26(44.8%) each in the 2nd and 3rd trimester. Significant contributors for vaccination were vaccination center location, advice from health care provider, perception about vaccine safety and vaccine protection, supportive family attitude, previous history of COVID-19 infection and suspicious rumors. Conclusion: Vaccine hesitancy and rejection can be minimized through a multipronged strategy to combat infodemic and to educate the public. Health care providers can play a vital role through their effect communication and counseling.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Faisal Rafiq, Mazhar Iftikhar, Jawad Ahmad, Sana Nadeem, Azam Khan, Ghulam Murtaza
Objective: To determine frequency of hypertension in adult patients diagnosed with sensorineural hearing loss and to determine which hearing frequencies & degrees are more affected with respect to grades of hypertension. Method: This is a Cross sectional study which was conducted in the ENT Department UNIT-I, Services Institute of Medical Sciences, Lahore / Services Hospital, Lahore. Duration of this study was One year from May 2020 to April2021.100 patients who met the inclusion criteria were enrolled for the study. Then history of patient for hypertension was taken and blood pressure was also checked on the spot and hypertension was labelled accordingly. Hearing thresholds were assessed via pure tone audiometry by delivering pure tones at frequencies of 125-8000hz at the intensities from 0 dB to 120 dB in 5 dB steps to check for both air and bone conduction by using Garson Stadler audiometer & categorized according to WHO criteria of normal hearing <25dB, mild 26-40dB, moderate 41-60 dB, severe 6180dB, profound > 80 dB hearing loss. Results: Patients' mean age was 47.70±9.04 years, 67(67%) patients were male. The hypertension was found in 55(55%) patients in which grade I severity of hypertension was noted in 42(76.4 %) patients and grade II severity of hypertension was noted in 13(23.6%) patients. Conclusion: According to this study the frequency of hypertension was 55% in adult patients with sensorineural hearing loss in which 76.4% had grade I and 23.6% had grade II hypertension
{"title":"Frequency of Hypertension in Patients Diagnosed with Sensorineural Hearing Loss At a Tertiary Care Hospital","authors":"Faisal Rafiq, Mazhar Iftikhar, Jawad Ahmad, Sana Nadeem, Azam Khan, Ghulam Murtaza","doi":"10.51273/esc23.251925","DOIUrl":"https://doi.org/10.51273/esc23.251925","url":null,"abstract":"Objective: To determine frequency of hypertension in adult patients diagnosed with sensorineural hearing loss and to determine which hearing frequencies & degrees are more affected with respect to grades of hypertension. Method: This is a Cross sectional study which was conducted in the ENT Department UNIT-I, Services Institute of Medical Sciences, Lahore / Services Hospital, Lahore. Duration of this study was One year from May 2020 to April2021.100 patients who met the inclusion criteria were enrolled for the study. Then history of patient for hypertension was taken and blood pressure was also checked on the spot and hypertension was labelled accordingly. Hearing thresholds were assessed via pure tone audiometry by delivering pure tones at frequencies of 125-8000hz at the intensities from 0 dB to 120 dB in 5 dB steps to check for both air and bone conduction by using Garson Stadler audiometer & categorized according to WHO criteria of normal hearing <25dB, mild 26-40dB, moderate 41-60 dB, severe 6180dB, profound > 80 dB hearing loss. Results: Patients' mean age was 47.70±9.04 years, 67(67%) patients were male. The hypertension was found in 55(55%) patients in which grade I severity of hypertension was noted in 42(76.4 %) patients and grade II severity of hypertension was noted in 13(23.6%) patients. Conclusion: According to this study the frequency of hypertension was 55% in adult patients with sensorineural hearing loss in which 76.4% had grade I and 23.6% had grade II hypertension","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saba Saif, Sara Sarfraz, Neha Khan, Noor Fatima Chaudhry
Objective: Toassesspatients' awareness andattitude towardsintra-articulartherapy.Todetermine the frequency of refusal among patients who were offered intra-articularsteroid injections and to identify the variousreasons for this refusal. Method: This was a cross-sectional study done at the Rheumatology CMH Lahore outpatient clinic from 1st June to 31st July 2022. A total of 204 patients 16 years or above who were potential candidates for intraarticular corticosteroids (IACS) or who had received injections in the past were asked about their knowledge, beliefs, and consent for intra-articular injections as per pre-defined questionnaire. Results: Out of the total 204 patients, 34% refused to get the intra-articular injection. Their major concern was fear of injection, dependence, and only temporary pain relief. Consent was directly correlated with disease severity as determined by pain visual analogue score (VAS) and affected activities of daily living (ADLs), and physician guidance (p=0.001). A negative review from a relative or a personal bad experience leads to rejection of IACS (p=0.001). Those who did not have prior knowledge of IACS, and its response variability agreed more (p=0.01). Conclusion: The patients' fear of dependency, partial effectiveness, and pain were major concerns that lead to the refusal of IACS in almost one-third of the patients. Information gathered from different sources apart from doctors misleads the patients.
{"title":"Factors Influencing the Acceptability of Intra-Articular Corticosteroid Injections among Pakistani Patients with Arthritis","authors":"Saba Saif, Sara Sarfraz, Neha Khan, Noor Fatima Chaudhry","doi":"10.51273/esc23.251926","DOIUrl":"https://doi.org/10.51273/esc23.251926","url":null,"abstract":"Objective: Toassesspatients' awareness andattitude towardsintra-articulartherapy.Todetermine the frequency of refusal among patients who were offered intra-articularsteroid injections and to identify the variousreasons for this refusal. Method: This was a cross-sectional study done at the Rheumatology CMH Lahore outpatient clinic from 1st June to 31st July 2022. A total of 204 patients 16 years or above who were potential candidates for intraarticular corticosteroids (IACS) or who had received injections in the past were asked about their knowledge, beliefs, and consent for intra-articular injections as per pre-defined questionnaire. Results: Out of the total 204 patients, 34% refused to get the intra-articular injection. Their major concern was fear of injection, dependence, and only temporary pain relief. Consent was directly correlated with disease severity as determined by pain visual analogue score (VAS) and affected activities of daily living (ADLs), and physician guidance (p=0.001). A negative review from a relative or a personal bad experience leads to rejection of IACS (p=0.001). Those who did not have prior knowledge of IACS, and its response variability agreed more (p=0.01). Conclusion: The patients' fear of dependency, partial effectiveness, and pain were major concerns that lead to the refusal of IACS in almost one-third of the patients. Information gathered from different sources apart from doctors misleads the patients.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shafiq ur Rehman, Muhammad Faizan, Anam Shakeel, Khawar Naeem Satti, Muhammad Mohsin
Objective: To determine the association of monocyte count to thrombus burden in ST-segment elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (P-PCI). Method: This analytical, cross-sectional study was done in the Angiography Department of Rawalpindi Institute of Cardiology, Rawalpindi from October 30, 2020 to April 30, 2021. After taking ethical approval, 180 STEMI patients undergoing P-PCI who presented within 24 hours of symptoms were included using nonprobability convenient sampling. Informed written consent of the patients was obtained. Primary PCI with stenting was done and the thrombolysis in myocardial infarction (TIMI) scale was applied to determine intracoronary thrombus burden. The blood samples of patients were taken to estimate monocyte count. The data was analyzed through the Statistical Package for the Social Sciences (SPSS) version 25. Results: The frequency of thrombus burden was high in 71(39.4%) patients and low in 109(60.6%) patients. The monocyte count showed a significant difference in patients with high thrombus versus low thrombus burden. In low thrombus burden patients, the mean monocyte count was 0.49±0.50 and in high thrombus burden patients, the mean monocyte count was 0.64±0.48. The results of stratification of thrombus burden with age group showed significant p-value and with others showed non-significant p-value. Conclusion: The monocyte count is a reliable, inexpensive and simple-to-measure predictor of high thrombus burden in coronary arteries in STEMI patients undergoing primary PCI
{"title":"Relation of Monocyte Count to Thrombus Burden in ST-Segment Elevation Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Intervention","authors":"Shafiq ur Rehman, Muhammad Faizan, Anam Shakeel, Khawar Naeem Satti, Muhammad Mohsin","doi":"10.51273/esc23.2519214","DOIUrl":"https://doi.org/10.51273/esc23.2519214","url":null,"abstract":"Objective: To determine the association of monocyte count to thrombus burden in ST-segment elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (P-PCI). Method: This analytical, cross-sectional study was done in the Angiography Department of Rawalpindi Institute of Cardiology, Rawalpindi from October 30, 2020 to April 30, 2021. After taking ethical approval, 180 STEMI patients undergoing P-PCI who presented within 24 hours of symptoms were included using nonprobability convenient sampling. Informed written consent of the patients was obtained. Primary PCI with stenting was done and the thrombolysis in myocardial infarction (TIMI) scale was applied to determine intracoronary thrombus burden. The blood samples of patients were taken to estimate monocyte count. The data was analyzed through the Statistical Package for the Social Sciences (SPSS) version 25. Results: The frequency of thrombus burden was high in 71(39.4%) patients and low in 109(60.6%) patients. The monocyte count showed a significant difference in patients with high thrombus versus low thrombus burden. In low thrombus burden patients, the mean monocyte count was 0.49±0.50 and in high thrombus burden patients, the mean monocyte count was 0.64±0.48. The results of stratification of thrombus burden with age group showed significant p-value and with others showed non-significant p-value. Conclusion: The monocyte count is a reliable, inexpensive and simple-to-measure predictor of high thrombus burden in coronary arteries in STEMI patients undergoing primary PCI","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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