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From the Chief Editor's Desk 总编辑的办公桌上
Pub Date : 2021-06-29 DOI: 10.53685/jshmdc.v2i1.26
E. Board
.
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引用次数: 0
COVID-19 Vaccine Uptake in Pakistan: No Time to Err 巴基斯坦的COVID-19疫苗接种:没有时间犯错
Pub Date : 2021-06-29 DOI: 10.53685/jshmdc.v2i1.20
Sarosh Saleem
COVID 19 pandemic has had a significant impact on social, physical, mental and financial aspects of human life. Among the sickness and despair experienced for last more than a year, COVID vaccination is a ray of hope. The uptake of COVID vaccines has remained low. The government, institutions as well healthcare professionals should take this responsibility of promoting vaccination. A strong will and simple nudges are what it takes to fight the menace of the COVID pandemic.
2019冠状病毒病大流行对人类生活的社会、身体、精神和经济方面产生了重大影响。在持续一年多的疾病和绝望中,COVID疫苗接种是一线希望。COVID疫苗的接种率仍然很低。政府、机构以及卫生保健专业人员都应该承担起促进接种疫苗的责任。坚强的意志和简单的推动是对抗COVID大流行威胁所需要的。
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引用次数: 2
Protective Effect of Commercial Green Tea on Ibuprofen Induced Changes in Renal Function Tests of Adult Rats 市售绿茶对布洛芬诱导的成年大鼠肾功能变化的保护作用
Pub Date : 2021-06-29 DOI: 10.53685/jshmdc.v2i1.15
A. Gul, Muhammad Bahadur Baloch
Background: Nephrotoxicity of ibuprofen is a growing international public health problem in the wake of excessive use of the drug for the treatment of a broad spectrum of diseases in both adults and pediatric patients.Objectives: To present an overview of the protective effect of the green tea on ibuprofen-induced changes in the biochemical markers of the adult rat kidneys.Methods: It is an experimental study conducted in the department of Anatomy, Army Medical College Rawalpindi. The investigation was led on 30 male and non-pregnant female Sprague Dawley rodents of 9-11 weeks old enough and going in weight from 200-330 gm. The animals were divided into three groups consisting of 10 animals each; group A served as control, each animal in group B was given ibuprofen at a dose of 120 mg/kg/day and each animal in group C was given both green tea at a dose of 1ml/100g/day and Ibuprofen 120mg/kg body weight for a period of 9 weeks. Ibuprofen manufactured by Abbot Laboratories (Pvt.) Limited was utilized. Green tea was obtained from local market. Data was collected at the end of experimental period and was analyzed using SPSS version 22. One Way ANOVA was exerted, afterwards by post-hoc Tukey test to find out intergroup differences for quantitative variables. The results were depicted as mean ± standard deviation (mean ± SD). A p value < 0.05 was believed significant.Results: Green tea administration had a significantly favorable effect on serum urea (mg/dl) (Group A=21.9 ± 2.8, Group B=93.2 ± 3.9, Group C=36.4± 3.0; p<0.001) and serum creatinine (mg/dl) (Group A=0.9 ± 0.22, Group B=2.4± 0.52, Group C=0.97 ± 0.3; p<0.001).Conclusions: Green tea had ameliorative effects on the ibuprofen-induced changes in the biochemical markers of the adult rat kidneys.
背景:布洛芬的肾毒性是一个日益严重的国际公共卫生问题,在成人和儿童患者中过度使用该药物治疗广泛的疾病。目的:综述绿茶对布洛芬诱导的成年大鼠肾脏生化指标变化的保护作用。方法:在拉瓦尔品第陆军医学院解剖学系进行实验研究。选取9 ~ 11周龄、体重200 ~ 330 gm的雄性和未怀孕雌性Sprague Dawley啮齿动物30只,分为3组,每组10只;A组作为对照,B组每只动物给予布洛芬120mg/kg /d, C组每只动物同时给予绿茶1ml/100g/d和布洛芬120mg/kg体重,为期9周。使用Abbot Laboratories (Pvt.) Limited生产的布洛芬。绿茶是从当地市场购买的。实验结束时收集数据,使用SPSS 22进行统计分析。采用单因素方差分析,事后Tukey检验定量变量的组间差异。结果以均数±标准差(mean±SD)表示。p值< 0.05为显著性。结果:绿茶给药对血清尿素(mg/dl)的影响显著(a组=21.9±2.8,B组=93.2±3.9,C组=36.4±3.0;p<0.001),血清肌酐(mg/dl) (A组=0.9±0.22,B组=2.4±0.52,C组=0.97±0.3;p < 0.001)。结论:绿茶对布洛芬诱导的成年大鼠肾脏生化指标的改变有改善作用。
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引用次数: 1
Hypertriglyceridemia Induced Pancreatitis Treated with Medical Management without Plasmapheresis 高甘油三酯血症诱发的胰腺炎在医疗管理中治疗而不采用血浆置换
Pub Date : 2021-06-29 DOI: 10.53685/jshmdc.v2i1.13
Ushna Naveed, Aneela Iqbal
Hypertriglyceridemia is third prevailing cause of acute pancreatitis after biliary and alcoholic etiology. It accounts for 1 to 4% cases of pancreatitis. Present case describes a thirty years old diabetic male, who presented in emergency with pain in the abdomen and yellow discoloration of the skin. He was admitted with suspicion of diabetic ketoacidosis (DKA), but no improvement was seen after DKA treatment. His laboratory investigations showed normal serum amylase levels and dyslipidemia with raised serum triglycerides levels. He was diagnosed as acute pancreatitis secondary to hypertriglyceridemia, which is considered as a rare cause of acute pancreatitis.
高甘油三酯血症是急性胰腺炎的第三大病因,仅次于胆汁和酒精。它占胰腺炎病例的1%到4%。本病例描述一位30岁男性糖尿病患者,急诊时腹部疼痛和皮肤变黄。患者怀疑为糖尿病酮症酸中毒(DKA),经DKA治疗后未见好转。他的实验室检查显示血清淀粉酶水平正常,血脂异常伴血清甘油三酯水平升高。他被诊断为急性胰腺炎继发于高甘油三酯血症,这被认为是一种罕见的急性胰腺炎的原因。
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引用次数: 0
Difference in the Characteristics of Imposter Syndrome in Dental Students of Preclinical and Clinical Phase 临床前期与临床阶段牙科学生冒名顶替综合征特征的差异
Pub Date : 2021-06-29 DOI: 10.53685/jshmdc.v2i1.19
Munsara Khalid Khan, K. Khan
Background: People suffering from imposter syndrome despite being competent consider themselves less skillful and incapable. Such individuals are also more prone to regret their choice of career with consequent early drop out, experience burnout, more prone to medical errors, absenteeism and low job satisfaction.  The current study aims to determine the difference in the characteristics of imposter syndrome in dental students of preclinical and clinical phase and its gender predisposition.Objectives: 1. To find out the frequency and characteristics of imposter syndrome among dental students. 2. To evaluate the differences in the characteristics of imposter syndrome among dental students of preclinical and clinical year. 3. To determine gender predisposition of imposter syndrome among dental students.Methods: The cross-sectional study was conducted on 138 dental students of CMH Lahore Medical and Dental College. A validated questionnaire (Clance IP Scale) containing 20 items with 5-point Likert scale was used to collect data by convenient sampling technique. The characteristics of IP were determined by adding the scores of all items. Descriptive statistics were done, chi-square applied, p-value <0.05 was considered significant.Results: One hundred and thirty-eight students filled the IP Scale. The frequency of imposter syndrome is found to be 52.1% among Dental Students. Majority (72) of the dental students have frequent to intense imposter feelings. There is non-significant difference in the IP characteristics of male and female students. No significant difference in the characteristics of imposter syndrome is found between dental students of preclinical and clinical year.Conclusions: There frequency of imposter syndrome is high among Dental students. Non-significant difference in the IP characteristics is found between male and female students as well as students of preclinical and clinical year.
背景:尽管有能力,但患有冒名顶替综合症的人认为自己不够熟练和无能。这些人也更容易后悔自己的职业选择,因此早早辍学,经历倦怠,更容易出现医疗差错,缺勤和低工作满意度。本研究旨在探讨牙科学生临床前与临床阶段冒名顶替综合症的特征差异及其性别易感性。目的:1。目的了解牙科学生冒名顶替综合征的发生频率及特点。2. 目的:评价临床前与临床年级牙科学生冒名顶替综合征特征的差异。3.目的探讨牙科学生冒名顶替综合症的性别易感性。方法:对拉合尔医学院牙科专业138名学生进行横断面调查。采用有效问卷(Clance IP Scale),共20项,李克特5分量表,采用方便抽样法收集数据。通过将所有项目的得分相加来确定IP的特征。进行描述性统计,采用卡方法,p值<0.05为显著性。结果:138名学生填写了IP量表。冒名顶替者综合征的发生率为52.1%。大多数(72)牙科学生有频繁或强烈的冒名顶替感。男女学生的知识产权特征差异不显著。冒名顶替者综合征的特征在临床前和临床年牙科学生之间无显著差异。结论:冒名顶替综合征在牙科学生中发生率较高。男女学生、临床前年级和临床年级学生的IP特征差异无统计学意义。
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引用次数: 0
Contact Tracing: A Forgotten Tool? 接触追踪:一个被遗忘的工具?
Pub Date : 2021-06-29 DOI: 10.53685/jshmdc.v2i1.18
M. Tarar, Saadia Shahzad
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引用次数: 0
Infant and Young Child Feeding Practices among Mothers in Lahore, Pakistan: A Cross-Sectional Study 巴基斯坦拉合尔母亲的婴幼儿喂养实践:一项横断面研究
Pub Date : 2021-06-29 DOI: 10.53685/jshmdc.v2i1.14
F. Farooq, M. Raza, Zoofishan Imran, Fatima Zulfiqar, Fareeha Gul, H. Altaf
Background: Inadequate child feeding practices lead to malnutrition, higher under-five mortality rates and adverse effects on quality of life. This study aimed to assess the breastfeeding and complementary feeding practices of mothers as well as the influence of various sociodemographic factors on them in local families of Lahore.Methods: This is a cross-sectional, descriptive study. It was conducted in CMH (Combined Military Hospital), Lahore in 2018. It comprises a sample of 203 mothers with children of at least two years of age, from various urban areas of Lahore. The subjects were selected on the basis of the inclusion criteria. Mothers with psychiatric illnesses and children with congenital anomalies were excluded from the study. Mothers were approached in the paediatric outpatient departments of four tertiary care hospitals of Lahore. Responses were recorded using a modified version of the Action Contre La Faim (ACF) questionnaire. Independent sample t-test and chi-square test were applied for analysis of the data.Results: Early initiation of breastfeeding within one hour from birth was observed in 83.3% children. Most children were administered colostrum (69.5%). The rate of exclusive breastfeeding for the first six months was 45.3%.  A child was being breastfed 8.21 ± 6.67 (mean ± SD) times a day. Maternal educational status, total number of adults in a household, and access to free healthcare were identified as important factors influencing the practice of breastfeeding. Porridge, khichdi, eggs, fruit and yoghurt were the most frequently used complementary foods.Conclusions: A high rate of an early start of breastfeeding and a low rate of exclusive breastfeeding for at least six months were predominant in our population. Administration of colostrum was observed in approximately two-thirds of the study participants. Education of the mother, type of the family system (nuclear or combined), and access to free healthcare strongly influence the breastfeeding practices.
背景:不适当的儿童喂养做法导致营养不良,五岁以下儿童死亡率升高,并对生活质量产生不利影响。本研究旨在评估拉合尔当地家庭中母亲的母乳喂养和补充喂养做法以及各种社会人口因素对其的影响。方法:这是一项横断面描述性研究。该研究于2018年在拉合尔的CMH(联合军队医院)进行。它包括来自拉合尔各个城市地区的203名至少有两岁孩子的母亲的样本。根据纳入标准选择受试者。患有精神疾病的母亲和患有先天性异常的儿童被排除在研究之外。在拉合尔四所三级保健医院的儿科门诊部与母亲进行了接触。使用修改版的反饥饿行动问卷记录了答复。数据分析采用独立样本t检验和卡方检验。结果:83.3%的儿童在出生后1小时内开始母乳喂养。大多数儿童服用初乳(69.5%)。前6个月纯母乳喂养率为45.3%。每天母乳喂养8.21±6.67次(平均±SD)。母亲的教育状况、家庭中成年人的总数和获得免费保健的机会被确定为影响母乳喂养做法的重要因素。粥、khichdi、鸡蛋、水果和酸奶是最常用的辅食。结论:在我们的人群中,早期开始母乳喂养的比例高,而纯母乳喂养至少6个月的比例低。大约三分之二的研究参与者服用了初乳。母亲的教育程度、家庭制度类型(核心或组合)以及获得免费保健对母乳喂养的做法有很大影响。
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引用次数: 0
Stigmatization and Resources Allocation-Ethical Dilemmas for HIV Positive Intravenous Drug Users 污名化与资源分配——HIV阳性静脉吸毒者的伦理困境
Pub Date : 2019-12-01 DOI: 10.53685/jshmdc.v1i2.69
Sarosh Saleem, Maryam Riaz Tarar
The burden of disease due to Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) in Pakistan is on the rise. According to an estimate approximately 0.165 million people in Pakistan are infected with HIV and 17,149 person are currently receiving treatment for HIV/AIDS. The prevalence of HIV is 20% for intravenous Drug Users (IVDUs) while national surveillance data shows rate of infection in most major cities in range of 15-50%. In light of such alarming figures, distribution of resources and stigmatization are two ethical issues that gain attention of not only healthcare providers but also patients. Following is a case with discussion on these ethical issues.
在巴基斯坦,由于人类免疫缺陷病毒(艾滋病毒)和获得性免疫缺陷综合症(艾滋病)造成的疾病负担正在上升。据估计,巴基斯坦约有16.5万人感染艾滋病毒,目前有17 149人正在接受艾滋病毒/艾滋病治疗。静脉注射吸毒者的艾滋病毒感染率为20%,而国家监测数据显示,大多数主要城市的感染率在15-50%之间。鉴于这些令人震惊的数字,资源分配和污名化是两个伦理问题,不仅受到医疗保健提供者的关注,而且受到患者的关注。下面是一个讨论这些伦理问题的案例。
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引用次数: 0
Urethral Leiomyoma: A Benign Smooth Muscle Tumor in Female Urethra 尿道平滑肌瘤:女性尿道良性平滑肌肿瘤
Pub Date : 2019-12-01 DOI: 10.53685/jshmdc.v1i2.71
N. Hameed, Binyamin Butt
Background: A benign smooth muscle fibroid was found in urethra. The tumor can be seen in females of reproductive age group with a peak incidence reported at 41 years. The rarity is supported by less than a hundred cases reported in literature. Case presentation: In this case report a 48 year old woman presented to us with incontinence and poor urinary stream and was found to have a urethral leiomyoma. The lesion was enucleated and dead space closed. Patients made a smooth postoperative recovery. Conclusion: Urethral leiomyoma is a rare benign tumor affecting females of reproductive years of life. The clinical diagnosis can be aided by endoscopic or radiological investigation. Surgical excision is the preferred treatment with a low Risk of recurrence.
背景:尿道内发现一良性平滑肌肌瘤。该肿瘤见于育龄女性,41岁为发病率高峰。文献中报道的这种罕见病例不到100例。病例介绍:本病例报告一名48岁女性,因尿失禁和尿流不畅而就诊,并被发现患有尿道平滑肌瘤。病灶去核并闭合死腔。患者术后恢复顺利。结论:尿道平滑肌瘤是一种影响生殖期女性的罕见良性肿瘤。临床诊断可通过内镜或放射检查辅助。手术切除是复发风险低的首选治疗方法。
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引用次数: 0
Control of Type II Diabetes, Its Relationship with Obesity and Basal Metabolic Rate 2型糖尿病的控制及其与肥胖和基础代谢率的关系
Pub Date : 2019-07-22 DOI: 10.53685/jshmdc.v1i1.32
F. Kamal, Rozina Arshad, Bilal Bin Younis, RA Ahmed, zakia noureen, Muhammad Ahmad
Background: The prevalence of T2DM is around 7-10%. Control of diabetes and factors influencing it in thirdworld countries need to be clearly defined as most of the people have poor glycemic control.Methods: A cross sectional study was conducted and purposive sampling was done to collect data for 5 months. Atotal of 766 type 2 diabetic patients were enrolled who visited SiDER (Sakina Institute of Diabetes and EndocrineResearch Center) at Shalamar Hospital, Lahore, Pakistan. Only pre-diagnosed diabetic subjects with a random bloodglucose of more than 200mg/dl at two occasions and fasting blood glucose levels more than 126mg/dl were includedin the study. Variables like Body Mass Index (BMI), Glycated Hemoglobin (HbA1c) and Basal Metabolic Rate(BMR) were recorded. The data was analyzed by SPSS 22 version.Results: A total of 766 diabetics were recruited in the study out of which 40.3% were male and 59.7% werefemales. The mean age was 48.72±10.43 years. Out of these 53.39% were obese, 32.64% were overweight and only13.97% had a normal body mass index BMI). HbA1c levels in the sample population showed that only 13.05% hadvery healthy control i.e. 7% or less. There was a positive co-relation between Body Mass Indexand glycemiccontrol. However there was no statistically significant relation between Basal Metabolic Rateand glycemic control.Conclusion: People with high Body Mass Index were found to have suboptimal glycemic control. It was alsoobserved that higher percentage of diabetic patients fall in age group of 41-55 years. More powerful studies areneeded to establish a relation between glycated hemoglobin and Basal Metabolic Rate.
背景:T2DM患病率约为7-10%。第三世界国家的糖尿病控制和影响因素需要明确界定,因为大多数人血糖控制不佳。方法:采用横断面研究,目的抽样,收集资料5个月。在巴基斯坦拉合尔Shalamar医院的SiDER (Sakina糖尿病和内分泌研究中心),共有766名2型糖尿病患者入组。只有两次随机血糖超过200mg/dl且空腹血糖水平超过126mg/dl的预诊断糖尿病受试者被纳入研究。记录身体质量指数(BMI)、糖化血红蛋白(HbA1c)和基础代谢率(BMR)等变量。采用SPSS 22软件对数据进行分析。结果:共纳入糖尿病患者766例,其中男性40.3%,女性59.7%。平均年龄48.72±10.43岁。其中53.39%的人肥胖,32.64%的人超重,只有13.97%的人体重指数(BMI)正常。样本人群中的HbA1c水平显示,只有13.05%的人有非常健康的控制,即7%或更低。体重指数与血糖控制呈正相关。然而,基础代谢率与血糖控制之间没有统计学意义的关系。结论:身体质量指数高的人血糖控制欠佳。研究还发现,41-55岁年龄组的糖尿病患者比例较高。需要更有力的研究来建立糖化血红蛋白和基础代谢率之间的关系。
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引用次数: 0
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Journal of Shalamar Medical & Dental College - JSHMDC
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