Pub Date : 2023-06-30DOI: 10.53350/pjmhs2023176356
Allah Noor, Muhammad Mudassir, Saadat Ullah Khan, Shahibzada Fakhar Alam
Background: One of the most frequent ENT surgical procedures is the tonsillectomy. Comparing electrocautery to the conventional cold-steel dissection technique, it has been indicated that the latter will cause fewer post-tonsillectomy problems. However, there needs to be more randomized controlled studies to compare the two methods. Objectives: This Study's primary goal is to compare the post-tonsillectomy problems caused by the electrocautery technique versus the conventional cold-steel dissection approach. Methods: Between January 2022 and January 2023, this Study was carried out by the department of Ent hmc Peshawar. A prospective randomized controlled trial will include 125 participants in total. Patients will get a tonsillectomy and be randomly allocated to either the electrocautery technique or the conventional cold-steel dissection approach. Pain, bleeding, and infection related to post-tonsillectomy sequelae will be assessed and compared between the two groups. Results: The Study's findings will be utilized to compare the effectiveness and safety of the electrocautery approach versus the conventional cold-steel dissection method for tonsillectomy. Conclusion: This Study will provide otolaryngologists with evidence-based advice on a tonsillectomy procedure. Keywords: tonsillectomy, electrocautery, cold-steel, post-tonsillectomy complications, randomized controlled trial
{"title":"Evaluation of Post-Tonsillectomy Complications between the Traditional Cold-Steel Dissection and Electrocautery Methods. A Controlled Randomized Trial","authors":"Allah Noor, Muhammad Mudassir, Saadat Ullah Khan, Shahibzada Fakhar Alam","doi":"10.53350/pjmhs2023176356","DOIUrl":"https://doi.org/10.53350/pjmhs2023176356","url":null,"abstract":"Background: One of the most frequent ENT surgical procedures is the tonsillectomy. Comparing electrocautery to the conventional cold-steel dissection technique, it has been indicated that the latter will cause fewer post-tonsillectomy problems. However, there needs to be more randomized controlled studies to compare the two methods. Objectives: This Study's primary goal is to compare the post-tonsillectomy problems caused by the electrocautery technique versus the conventional cold-steel dissection approach. Methods: Between January 2022 and January 2023, this Study was carried out by the department of Ent hmc Peshawar. A prospective randomized controlled trial will include 125 participants in total. Patients will get a tonsillectomy and be randomly allocated to either the electrocautery technique or the conventional cold-steel dissection approach. Pain, bleeding, and infection related to post-tonsillectomy sequelae will be assessed and compared between the two groups. Results: The Study's findings will be utilized to compare the effectiveness and safety of the electrocautery approach versus the conventional cold-steel dissection method for tonsillectomy. Conclusion: This Study will provide otolaryngologists with evidence-based advice on a tonsillectomy procedure. Keywords: tonsillectomy, electrocautery, cold-steel, post-tonsillectomy complications, randomized controlled trial","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139366852","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}
Pub Date : 2023-06-30DOI: 10.53350/pjmhs2023176346
Asma Ameer, Huma Waqar, Shanza Ayub, Aqsa Ilyas, Bilal Umar, Sara Khan
Background: Diastasis recti is the divarication of rectus abdominal muscles due to the splitting of the mid-line collagen structure called the linea alba. It results in poor body biomechanics and alteration in the center of gravity of the body. It occurs mostly in multiparous females and in those who have poorly toned abdominal musculature. Physical activity and maternal care are significant to resolve this condition. Objective: The purpose of the study is to substantiate the prevalence of diastasis recti in a sample of immediate post-partum females attended by the Allied Hospital of Faisalabad. The aim is to create awareness of DRAM in clinical settings and the general population. Study design: This is a cross-sectional study that included 90 samples of females in the immediate postpartum period. Methodology: Specific assessment was done by finger-width method manually and confirmed the presence of DRAM. The umbilical region was the set point from which measurements were taken. Results and Conclusions: The separation was present and mostly affected the multiparous females. The study showed 63.3% prevalence and normal rectus abdominis is 36.7%. It also verified that 42.2% of females suffered from DRAM above the navel out of 63.3% and the rest are below the umbilicus. DRAM was prevalent to be in the majority of post-partum females. It was more present in the supra-umbilical region. Keywords: Pregnancy, rectus abdominis, multiparous, primiparous, physiotherapy.
{"title":"Prevalence of Diastasis Recti Abdominis in a Gynecological Population: A Cross-Sectional Study","authors":"Asma Ameer, Huma Waqar, Shanza Ayub, Aqsa Ilyas, Bilal Umar, Sara Khan","doi":"10.53350/pjmhs2023176346","DOIUrl":"https://doi.org/10.53350/pjmhs2023176346","url":null,"abstract":"Background: Diastasis recti is the divarication of rectus abdominal muscles due to the splitting of the mid-line collagen structure called the linea alba. It results in poor body biomechanics and alteration in the center of gravity of the body. It occurs mostly in multiparous females and in those who have poorly toned abdominal musculature. Physical activity and maternal care are significant to resolve this condition. Objective: The purpose of the study is to substantiate the prevalence of diastasis recti in a sample of immediate post-partum females attended by the Allied Hospital of Faisalabad. The aim is to create awareness of DRAM in clinical settings and the general population. Study design: This is a cross-sectional study that included 90 samples of females in the immediate postpartum period. Methodology: Specific assessment was done by finger-width method manually and confirmed the presence of DRAM. The umbilical region was the set point from which measurements were taken. Results and Conclusions: The separation was present and mostly affected the multiparous females. The study showed 63.3% prevalence and normal rectus abdominis is 36.7%. It also verified that 42.2% of females suffered from DRAM above the navel out of 63.3% and the rest are below the umbilicus. DRAM was prevalent to be in the majority of post-partum females. It was more present in the supra-umbilical region. Keywords: Pregnancy, rectus abdominis, multiparous, primiparous, physiotherapy.","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139367631","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}
Pub Date : 2023-06-30DOI: 10.53350/pjmhs2023176365
Naeem Ullah, Hina Shaukat, Syed Abdullah, Nisar Ahmed Khan, Akhtar Zada, Fida Muhammad Khan, Muhammad Younas, Subhan Iqbal
Introduction: Chronic liver disease is characterized by multi-nutrient deficiency. The propensity for individuals to have vitamin D insufficiency is greater in comparison to other essential minerals. Fibrosis results in a decline in the liver's ability to perform synthetic functions ultimately leading to lack of vitamin D due to poor activation caused by drop in proteins binding the vitamin. The situation is exacerbated by the decrease in productivity and the presence of nutritional deficiencies. Materials and Methods: The present descriptive research was carried out in the Department of Medicine at DHQ Teaching Hospital Haripur spanning from 1st January 2022 to 31st December 2022. The study population consisted of individuals between the ages of 40 and 70 years who were diagnosed with chronic liver disease. The concentration of vitamin D was assessed in blood samples obtained from patients at the hospital laboratory. The established threshold for identifying vitamin D insufficiency is a blood vitamin D level below 30 nmol/L. Data analysis was performed using statistical software SPSS version 24. Results: The age of the patients ranged from 40 to 70 years. The mean age of the patients was 53.40 years with standard deviation 12.194. Age wise distribution revealed 60.1% patients (n = 89) in the age group 40-55 years and 39.9% participants (n = 59) had age 56-70 years. The number of male participants were 94 (63.5%). Vitamin deficiency was observed in 64.9% patients (n = 96). The association of vitamin D deficiency with disease duration, child class and gender were statistically significant (p < 0.05). Conclusion: The potential association between vitamin D insufficiency and the extent of liver function impairment, degree of fibrosis, and susceptibility to infection consequences suggests that it may serve as a valuable prognostic indicator and diagnostic tool. Additional research is required to thoroughly assess and substantiate the significance of vitamin D in the context of liver cirrhosis. This necessitates the undertaking of extensive prospective cohort studies and randomized trials. Keywords: Vitamin D deficiency, Chronic Liver Disease (CLD)
导言慢性肝病的特点是多种营养素缺乏。与其他必需矿物质相比，维生素 D 缺乏的可能性更大。肝纤维化导致肝脏合成功能下降，最终导致维生素 D 缺乏，因为结合维生素的蛋白质减少导致活化不良。生产率的下降和营养缺乏症的存在加剧了这种情况。材料和方法：本描述性研究于 2022 年 1 月 1 日至 2022 年 12 月 31 日在哈里普尔 DHQ 教学医院医学系进行。研究对象包括年龄在 40 岁至 70 岁之间的慢性肝病患者。医院实验室对患者血液样本中的维生素 D 浓度进行了评估。确定维生素 D 不足的阈值是血液中维生素 D 含量低于 30 nmol/L。数据分析采用 SPSS 24 版统计软件进行。结果患者年龄从 40 岁到 70 岁不等。患者的平均年龄为 53.40 岁，标准偏差为 12.194。年龄分布显示，60.1%的患者（89 人）年龄在 40-55 岁之间，39.9%的患者（59 人）年龄在 56-70 岁之间。男性患者人数为 94 人（63.5%）。64.9%的患者（96 人）存在维生素缺乏症。维生素 D 缺乏与病程、儿童等级和性别的关系具有统计学意义（P < 0.05）。结论维生素 D 缺乏与肝功能损害程度、肝纤维化程度和感染后果易感性之间的潜在关联表明，维生素 D 可作为一种有价值的预后指标和诊断工具。要彻底评估和证实维生素 D 在肝硬化中的重要性，还需要进行更多的研究。这就需要开展广泛的前瞻性队列研究和随机试验。关键词维生素 D 缺乏 慢性肝病（CLD）
{"title":"Prevalence and Impact of Vitamin D Deficiency Among Individuals Diagnosed with Chronic Liver Disease","authors":"Naeem Ullah, Hina Shaukat, Syed Abdullah, Nisar Ahmed Khan, Akhtar Zada, Fida Muhammad Khan, Muhammad Younas, Subhan Iqbal","doi":"10.53350/pjmhs2023176365","DOIUrl":"https://doi.org/10.53350/pjmhs2023176365","url":null,"abstract":"Introduction: Chronic liver disease is characterized by multi-nutrient deficiency. The propensity for individuals to have vitamin D insufficiency is greater in comparison to other essential minerals. Fibrosis results in a decline in the liver's ability to perform synthetic functions ultimately leading to lack of vitamin D due to poor activation caused by drop in proteins binding the vitamin. The situation is exacerbated by the decrease in productivity and the presence of nutritional deficiencies. Materials and Methods: The present descriptive research was carried out in the Department of Medicine at DHQ Teaching Hospital Haripur spanning from 1st January 2022 to 31st December 2022. The study population consisted of individuals between the ages of 40 and 70 years who were diagnosed with chronic liver disease. The concentration of vitamin D was assessed in blood samples obtained from patients at the hospital laboratory. The established threshold for identifying vitamin D insufficiency is a blood vitamin D level below 30 nmol/L. Data analysis was performed using statistical software SPSS version 24. Results: The age of the patients ranged from 40 to 70 years. The mean age of the patients was 53.40 years with standard deviation 12.194. Age wise distribution revealed 60.1% patients (n = 89) in the age group 40-55 years and 39.9% participants (n = 59) had age 56-70 years. The number of male participants were 94 (63.5%). Vitamin deficiency was observed in 64.9% patients (n = 96). The association of vitamin D deficiency with disease duration, child class and gender were statistically significant (p < 0.05). Conclusion: The potential association between vitamin D insufficiency and the extent of liver function impairment, degree of fibrosis, and susceptibility to infection consequences suggests that it may serve as a valuable prognostic indicator and diagnostic tool. Additional research is required to thoroughly assess and substantiate the significance of vitamin D in the context of liver cirrhosis. This necessitates the undertaking of extensive prospective cohort studies and randomized trials. Keywords: Vitamin D deficiency, Chronic Liver Disease (CLD)","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139367673","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}
Pub Date : 2023-06-26DOI: 10.53350/pjmhs2023175303
Tehreem A. Khan, M. Shabbir
Background: The facial fractures include Condylar fractures are most common in mandibular fractures, which have the highest fracture incidence after nasal bone fractures. Three different traumatic forces can result in condylar injury: the first is energy imparted to a static person by a moving object, such as a blow to the face from a cricket bat; the second is a moving person striking a static object, such as a child falling and striking the ground; and the third is a combination of the first two forces, such as when a person is moving and an automobile is moving and is hit by an automobile. This kind of force typically has the biggest impact and causes the most severe injury patterns. Objective: To compare frequency of Complications of two procedures for the treatment of mandibular condylar fracture surgical versus conservative treatment. Methodology: This Randomized control trial was held in the Tertiary Care Hospital Karachi for 6 months from 12 Jul, 2019 to 12 Jan, 2020. ERC were taken before data collection. Patients suffering from mandibular condylar fracture and fulfilling exclusion and inclusion criteria and who were ready to give informed consent after explaining study protocol, risk benefit ratio and data usage for research were included in our study. The first group labelled as "A" was treated by closed reduction and immobilization and second group labelled as group "B" was undergone internal fixation and open reduction. Results: The mean age and standard deviation of the 72 patients was determined to be 40.85 ± 12.93 years, respectively, with the 18 years was the minimum age and the 65 years being maximum. Frequency of gender was shown in Graph 1.The minimum duration of fracture was 1 day, and maximum were 7 days. The minimum mouth opening was 15mm and maximum was 35mm (Table 1). Trismus was present in 5/72 (6.9%) patients while it was absent in 67/72 (93.1%) patients (Table 2). Malocclusion was present in 20/72 (27.8%) patients while it was absent in 52/72 (72.2%) patients. Unilateral Side of fracture was present in 40/72 (55.6%) patients while Bilateral was present in 32/72 (44.4%) patients (Table 3) Conclusions: In conclusion, closed reduction had clinically satisfactory results, although open reduction and internal fixation produced more accurate to reduce the complications. Keywords: Closed reduction, Internal fixation, Open reduction,complications
{"title":"Complications in the Treatment of Mandibular Condylar Fracture, Surgical Versus Non-Surgical Treatment","authors":"Tehreem A. Khan, M. Shabbir","doi":"10.53350/pjmhs2023175303","DOIUrl":"https://doi.org/10.53350/pjmhs2023175303","url":null,"abstract":"Background: The facial fractures include Condylar fractures are most common in mandibular fractures, which have the highest fracture incidence after nasal bone fractures. Three different traumatic forces can result in condylar injury: the first is energy imparted to a static person by a moving object, such as a blow to the face from a cricket bat; the second is a moving person striking a static object, such as a child falling and striking the ground; and the third is a combination of the first two forces, such as when a person is moving and an automobile is moving and is hit by an automobile. This kind of force typically has the biggest impact and causes the most severe injury patterns. Objective: To compare frequency of Complications of two procedures for the treatment of mandibular condylar fracture surgical versus conservative treatment. Methodology: This Randomized control trial was held in the Tertiary Care Hospital Karachi for 6 months from 12 Jul, 2019 to 12 Jan, 2020. ERC were taken before data collection. Patients suffering from mandibular condylar fracture and fulfilling exclusion and inclusion criteria and who were ready to give informed consent after explaining study protocol, risk benefit ratio and data usage for research were included in our study. The first group labelled as \"A\" was treated by closed reduction and immobilization and second group labelled as group \"B\" was undergone internal fixation and open reduction. Results: The mean age and standard deviation of the 72 patients was determined to be 40.85 ± 12.93 years, respectively, with the 18 years was the minimum age and the 65 years being maximum. Frequency of gender was shown in Graph 1.The minimum duration of fracture was 1 day, and maximum were 7 days. The minimum mouth opening was 15mm and maximum was 35mm (Table 1). Trismus was present in 5/72 (6.9%) patients while it was absent in 67/72 (93.1%) patients (Table 2). Malocclusion was present in 20/72 (27.8%) patients while it was absent in 52/72 (72.2%) patients. Unilateral Side of fracture was present in 40/72 (55.6%) patients while Bilateral was present in 32/72 (44.4%) patients (Table 3) Conclusions: In conclusion, closed reduction had clinically satisfactory results, although open reduction and internal fixation produced more accurate to reduce the complications. Keywords: Closed reduction, Internal fixation, Open reduction,complications","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"195 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79820382","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}
Pub Date : 2023-06-26DOI: 10.53350/pjmhs2023175311
A. Ameen, Muhammad Akram, S. Farooq, M. Fatima, Hassan Raza, R. Naz, Umer Aziz, Mariyam Aziz, S. Tahir, A. Hussain
Purpose: The gut microbiome, defined as the community of microorganisms residing in the digestive tract, is believed to play a crucial role in the development of neurological disorders, including schizophrenia. Design: Recent research indicates that individuals with schizophrenia have altered gut microbiomes, characterized by reduced levels of beneficial bacteria such as Bifidobacterium and Lactobacillus, and increased levels of potentially harmful bacteria, such as Proteobacteria. Findings: Furthermore, studies show that the communication between the gut and the brain, known as the gut-brain axis, is disrupted in individuals with schizophrenia. While the exact mechanisms underlying the association between the gut microbiome and schizophrenia are not yet fully understood, researchers suggest that changes in the gut microbiome may affect the immune system and neurotransmitters, which in turn contribute to the development of the disorder Practical Implication: Targeting the gut microbiome through interventions like probiotics and the Mediterranean diet may offer a promising therapeutic approach for individuals with schizophrenia. Conclusion: However, more research is needed to fully comprehend the complex interplay between the gut microbiome and schizophrenia, including the specific mechanisms by which the gut microbiome contributes to the development of the disorder. Keywords: Gut Microbiome. Microbiota, Immune cells, Schizophrenia
{"title":"Gut Microbiome and its Role in the Development of Neurological Disorder (Schizophrenia)","authors":"A. Ameen, Muhammad Akram, S. Farooq, M. Fatima, Hassan Raza, R. Naz, Umer Aziz, Mariyam Aziz, S. Tahir, A. Hussain","doi":"10.53350/pjmhs2023175311","DOIUrl":"https://doi.org/10.53350/pjmhs2023175311","url":null,"abstract":"Purpose: The gut microbiome, defined as the community of microorganisms residing in the digestive tract, is believed to play a crucial role in the development of neurological disorders, including schizophrenia. Design: Recent research indicates that individuals with schizophrenia have altered gut microbiomes, characterized by reduced levels of beneficial bacteria such as Bifidobacterium and Lactobacillus, and increased levels of potentially harmful bacteria, such as Proteobacteria. Findings: Furthermore, studies show that the communication between the gut and the brain, known as the gut-brain axis, is disrupted in individuals with schizophrenia. While the exact mechanisms underlying the association between the gut microbiome and schizophrenia are not yet fully understood, researchers suggest that changes in the gut microbiome may affect the immune system and neurotransmitters, which in turn contribute to the development of the disorder Practical Implication: Targeting the gut microbiome through interventions like probiotics and the Mediterranean diet may offer a promising therapeutic approach for individuals with schizophrenia. Conclusion: However, more research is needed to fully comprehend the complex interplay between the gut microbiome and schizophrenia, including the specific mechanisms by which the gut microbiome contributes to the development of the disorder. Keywords: Gut Microbiome. Microbiota, Immune cells, Schizophrenia","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75805878","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}
Pub Date : 2023-06-26DOI: 10.53350/pjmhs2023175300
R. Ullah, K. Raja, Y. Zaidi, Asma Abdul Razzak, Usama Butt, Kainat Kanwal
Aim: The aim of this study was to determine the histological findings of H-pylori in diabetic patients. Material and methods: This observation study was conducted on 90 diabetic patients with H-pylori infection at Gastroenterology Department, Nishtar Medical University, Multan in the duration from November, 2022 to April, 2023. Endoscopic and histological findings were determined. Chi Square test was applied with P value less than 0.05. Results: The mean age was 53.73±8.66 years with majority male patients. On histological findings chronic gastritis was seen in 74.4%, gastric atrophy 18.9% and intestinal metaplasia 6.7%. Conclusion: The histological findings of H-pylori in diabetic patients were chronic gastritis 74.4%, gastric atrophy 18.9% and intestinal metaplasia 6.7%. Keywords: H-pylori, Diabetes, Histological findings, Endoscopy
{"title":"Histological Findings Of Helicobacter Pylori In Diabetic Patients","authors":"R. Ullah, K. Raja, Y. Zaidi, Asma Abdul Razzak, Usama Butt, Kainat Kanwal","doi":"10.53350/pjmhs2023175300","DOIUrl":"https://doi.org/10.53350/pjmhs2023175300","url":null,"abstract":"Aim: The aim of this study was to determine the histological findings of H-pylori in diabetic patients. Material and methods: This observation study was conducted on 90 diabetic patients with H-pylori infection at Gastroenterology Department, Nishtar Medical University, Multan in the duration from November, 2022 to April, 2023. Endoscopic and histological findings were determined. Chi Square test was applied with P value less than 0.05. Results: The mean age was 53.73±8.66 years with majority male patients. On histological findings chronic gastritis was seen in 74.4%, gastric atrophy 18.9% and intestinal metaplasia 6.7%. Conclusion: The histological findings of H-pylori in diabetic patients were chronic gastritis 74.4%, gastric atrophy 18.9% and intestinal metaplasia 6.7%. Keywords: H-pylori, Diabetes, Histological findings, Endoscopy","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74152830","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}
Pub Date : 2023-06-26DOI: 10.53350/pjmhs2023175320
N. Sultan, N. Khan, A. Aziz, Mian Shabbir Ahmed
Objective: Objective of this study was to compare the effectiveness of standard and mini-percutaneous nephrolithotomy in treating staghorn stones Methodology: From July 2017 to June 2019, In Institute Of Kidney Diseases (PGMI) Hayatabad Medical Complex Peshawar a tertiary care hospital we conducted a randomized controlled trial to determine the stone-free rate for patients with staghorn stones (Total duration of the study was 2 years). The trial included 150 patients separated into two groups: one that received standard- and mini-PCNL surgeries. Each patient was randomly assigned to undergo one of the two procedures, with 50% receiving standard PCNL and the other 50% mini-PCNL. Durations of surgical procedures, length of hospital stay, complications, and pain levels were all measured during the study. Result: 150 patients with a mean age of 51.2 years (range, 18-85 years) were included in this research. 88% of the participants were men and 16% were women. Success rates for standard PCNL and mini-PCNL were 97.3% and 90.7%, respectively (p=0.04). Additionally, compared to the standard-PCNL group (105.3 minutes and 3.3 days, respectively), the mini-PCNL group had a considerably reduced mean operation time (80.2 minutes) and a shorter mean hospital stay (2.2 days) (p 0.001). Standard PCNL also had a higher overall complication rate than mini-PCNL (26% vs. 13%, p = 0.038). In addition, the mini-PCNL group had considerably less postoperative discomfort (p 0.001). Conclusion: When controlling staghorn stones, Mini-PCNL has shown to be a reliable and safe solution that offers a number of benefits over conventional Standard-PCNL. Mini-PCNL clearly outperforms standard PCNL in terms of lowering postoperative pain, hospital stays, and operating room time. As a result, Mini-PCNL is gradually becoming into the preferred operational strategy for effectively controlling staghorn stones. Keywords: Percutaneous nephrolithotomy, staghorn stones, stone-free rate, surgical time, hospital stay, complications, postoperative discomfort.
{"title":"Standard Vs Mini-Percutaneous Nephrolithotomy for Staghorn Stones","authors":"N. Sultan, N. Khan, A. Aziz, Mian Shabbir Ahmed","doi":"10.53350/pjmhs2023175320","DOIUrl":"https://doi.org/10.53350/pjmhs2023175320","url":null,"abstract":"Objective: Objective of this study was to compare the effectiveness of standard and mini-percutaneous nephrolithotomy in treating staghorn stones Methodology: From July 2017 to June 2019, In Institute Of Kidney Diseases (PGMI) Hayatabad Medical Complex Peshawar a tertiary care hospital we conducted a randomized controlled trial to determine the stone-free rate for patients with staghorn stones (Total duration of the study was 2 years). The trial included 150 patients separated into two groups: one that received standard- and mini-PCNL surgeries. Each patient was randomly assigned to undergo one of the two procedures, with 50% receiving standard PCNL and the other 50% mini-PCNL. Durations of surgical procedures, length of hospital stay, complications, and pain levels were all measured during the study. Result: 150 patients with a mean age of 51.2 years (range, 18-85 years) were included in this research. 88% of the participants were men and 16% were women. Success rates for standard PCNL and mini-PCNL were 97.3% and 90.7%, respectively (p=0.04). Additionally, compared to the standard-PCNL group (105.3 minutes and 3.3 days, respectively), the mini-PCNL group had a considerably reduced mean operation time (80.2 minutes) and a shorter mean hospital stay (2.2 days) (p 0.001). Standard PCNL also had a higher overall complication rate than mini-PCNL (26% vs. 13%, p = 0.038). In addition, the mini-PCNL group had considerably less postoperative discomfort (p 0.001). Conclusion: When controlling staghorn stones, Mini-PCNL has shown to be a reliable and safe solution that offers a number of benefits over conventional Standard-PCNL. Mini-PCNL clearly outperforms standard PCNL in terms of lowering postoperative pain, hospital stays, and operating room time. As a result, Mini-PCNL is gradually becoming into the preferred operational strategy for effectively controlling staghorn stones. Keywords: Percutaneous nephrolithotomy, staghorn stones, stone-free rate, surgical time, hospital stay, complications, postoperative discomfort.","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85917402","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}
Pub Date : 2023-06-26DOI: 10.53350/pjmhs2023175297
Fauzia Batool, M. Ali, T. Aslam, Razia Kousar, Ayesha Talib, H. Aslam
Roster management is seen to be an essential component of Health care settings. Rostering for hospital staff in general and nurses in particular is challenging because of variety of issues and demands in many shifts and days. Job satisfaction of nurses is an indicator of the services provided in a specific healthcare facility. Roster management and job satisfaction are very much dependent on each other although roster management is a complex task. Objectives: The study objective was to identify the impact of nurse roster management on nurses’ job satisfaction in a Tertiary Care Hospital Lahore, Pakistan. Methods: A cross-sectional study was conducted at The University of Lahore teaching Hospital, Lahore Pakistan. A non-probability convenient sampling technique was used with a sample size of 133 nurses working in the hospital were included. In this study, Mines Job Satisfaction Scale (MJSS) was used for nurses’ job satisfaction level and implementation of nurse roster management questionnaire was used for data collection. The following methods were used to analyze the data: double linear regression, one-way analysis of variance (ANOVA), Pearson correlation, and independent t test. Results: The findings showed that there was a significant association between the nurse roster management with all management functions on nurses job satisfaction level (p=.0002-.012). The two functions of management which affect the nurse job satisfaction level was organizing and controlling. Conclusions: Researchers determined that the roster management of nurses statistically correlated with the job satisfaction level of nurses. Nursing supervisors should have the competence to improve the job satisfaction level of nurses by optimizing the roster management especially on organizing and controlling aspect. Keywords: Nurses; Roaster management; Job Satisfaction; Health Care Settings; Nursing Supervisors; Turnover; Absenteeism
{"title":"Impact of Nurse Roster Management on Nurses’ Job Satisfaction in a Tertiary Care Hospital Lahore, Pakistan","authors":"Fauzia Batool, M. Ali, T. Aslam, Razia Kousar, Ayesha Talib, H. Aslam","doi":"10.53350/pjmhs2023175297","DOIUrl":"https://doi.org/10.53350/pjmhs2023175297","url":null,"abstract":"Roster management is seen to be an essential component of Health care settings. Rostering for hospital staff in general and nurses in particular is challenging because of variety of issues and demands in many shifts and days. Job satisfaction of nurses is an indicator of the services provided in a specific healthcare facility. Roster management and job satisfaction are very much dependent on each other although roster management is a complex task. Objectives: The study objective was to identify the impact of nurse roster management on nurses’ job satisfaction in a Tertiary Care Hospital Lahore, Pakistan. Methods: A cross-sectional study was conducted at The University of Lahore teaching Hospital, Lahore Pakistan. A non-probability convenient sampling technique was used with a sample size of 133 nurses working in the hospital were included. In this study, Mines Job Satisfaction Scale (MJSS) was used for nurses’ job satisfaction level and implementation of nurse roster management questionnaire was used for data collection. The following methods were used to analyze the data: double linear regression, one-way analysis of variance (ANOVA), Pearson correlation, and independent t test. Results: The findings showed that there was a significant association between the nurse roster management with all management functions on nurses job satisfaction level (p=.0002-.012). The two functions of management which affect the nurse job satisfaction level was organizing and controlling. Conclusions: Researchers determined that the roster management of nurses statistically correlated with the job satisfaction level of nurses. Nursing supervisors should have the competence to improve the job satisfaction level of nurses by optimizing the roster management especially on organizing and controlling aspect. Keywords: Nurses; Roaster management; Job Satisfaction; Health Care Settings; Nursing Supervisors; Turnover; Absenteeism","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80952496","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}
Pub Date : 2023-06-26DOI: 10.53350/pjmhs2023175308
Rahmattualh Khan, M. Haq, M. Shahid, S. Munib, F. Wahab
Background: This study investigates the relationship between Diabetes and renal disease. It will review the epidemiological patterns of diabetes-related kidney disease and how various treatment choices, lifestyle changes, and expanding preventative measures might lower the risk of kidney disease in diabetics. Additionally, it will go through the symptoms and effects of kidney disease on those with Diabetes and the likelihood of effective treatment and preservation of kidney function. We'll also discuss how this study may affect patients, healthcare professionals, and decision-makers. Methodology: From January 2022 to January 2023, this research was carried out in the nephrology department of the Miangul Abdul Haq Jahanzeb renal hospital in Swat. The study identified pertinent themes on how Diabetes leads to the development of kidney disease by using several sources, including medical papers, news articles, and web resources. The Cochrane Library and PubMed, and other pertinent research sources were examined. Additionally, qualitative interviews with healthcare experts were done, including endocrinologists, nephrologists, and other medical specialists with knowledge of Diabetes and kidney disease. Results: According to the findings, Diabetes considerably raises the risk of renal disease. Glomerulonephritis, diabetic nephropathy, and hypertension-related kidney disease accounted for most kidney conditions associated with Diabetes. Options for treatment exist to lower risk factors, control kidney disease complications, and enhance general health and well-being in people with Diabetes. The most significant lifestyle changes that people with Diabetes may do to lower their risk of kidney disease include weight reduction, regular exercise, a healthy diet, quitting smoking, and consuming less salt and alcohol. A further key role in lowering the risk of kidney disease and its development is the increased accessibility of preventative methods, such as good pre-diabetes and diabetes screening, optimal diabetes treatment, and vaccination against influenza and pneumococcal illness. Conclusion: Diabetes has a significant role in the development of renal disease. The increased accessibility of preventive screening, proper diabetes management, and immunization against infectious diseases play an important role in lowering the overall risk of developing kidney disease in people with Diabetes, even though treatment options and lifestyle changes exist to reduce risk factors for the disease's progression. Keywords: Epidemiology, risk factors, therapy, lifestyle changes, preventive, healthcare providers, pre-diabetes screening, diabetes management, vaccination, renal disease
背景:本研究探讨糖尿病与肾脏疾病的关系。它将回顾糖尿病相关肾脏疾病的流行病学模式，以及各种治疗选择、生活方式改变和扩大预防措施如何降低糖尿病患者肾脏疾病的风险。此外，它还将介绍糖尿病患者肾脏疾病的症状和影响，以及有效治疗和保留肾功能的可能性。我们还将讨论这项研究如何影响患者、医疗保健专业人员和决策者。方法:从2022年1月至2023年1月，本研究在斯瓦特的Miangul Abdul Haq Jahanzeb肾脏医院的肾脏病科进行。该研究通过使用多种资源，包括医学论文、新闻文章和网络资源，确定了糖尿病如何导致肾脏疾病发展的相关主题。Cochrane图书馆和PubMed，以及其他相关的研究来源进行了检查。此外，对医疗保健专家进行了定性访谈，包括内分泌学家、肾病学家和其他具有糖尿病和肾脏疾病知识的医学专家。结果:根据研究结果，糖尿病大大增加了肾脏疾病的风险。肾小球肾炎、糖尿病肾病和高血压相关的肾脏疾病占糖尿病相关肾脏疾病的大多数。现有的治疗方案可以降低危险因素，控制肾脏疾病并发症，提高糖尿病患者的总体健康和福祉。糖尿病患者要降低患肾病的风险，最重要的生活方式改变包括减肥、定期锻炼、健康饮食、戒烟、少吃盐和酒。降低肾脏疾病及其发展风险的另一个关键作用是增加预防方法的可及性，例如良好的糖尿病前期和糖尿病筛查、最佳糖尿病治疗以及预防流感和肺炎球菌疾病的疫苗接种。结论:糖尿病在肾脏疾病的发生发展中起着重要作用。尽管现有的治疗选择和生活方式的改变可以减少疾病进展的危险因素，但预防性筛查、适当的糖尿病管理和传染病免疫的增加在降低糖尿病患者发生肾脏疾病的总体风险方面发挥着重要作用。关键词:流行病学，危险因素，治疗，生活方式改变，预防，医疗保健提供者，糖尿病前期筛查，糖尿病管理，疫苗接种，肾脏疾病
{"title":"Understand How Diabetes Contributes to the Development of Kidney Disease: A Single Center Study","authors":"Rahmattualh Khan, M. Haq, M. Shahid, S. Munib, F. Wahab","doi":"10.53350/pjmhs2023175308","DOIUrl":"https://doi.org/10.53350/pjmhs2023175308","url":null,"abstract":"Background: This study investigates the relationship between Diabetes and renal disease. It will review the epidemiological patterns of diabetes-related kidney disease and how various treatment choices, lifestyle changes, and expanding preventative measures might lower the risk of kidney disease in diabetics. Additionally, it will go through the symptoms and effects of kidney disease on those with Diabetes and the likelihood of effective treatment and preservation of kidney function. We'll also discuss how this study may affect patients, healthcare professionals, and decision-makers. Methodology: From January 2022 to January 2023, this research was carried out in the nephrology department of the Miangul Abdul Haq Jahanzeb renal hospital in Swat. The study identified pertinent themes on how Diabetes leads to the development of kidney disease by using several sources, including medical papers, news articles, and web resources. The Cochrane Library and PubMed, and other pertinent research sources were examined. Additionally, qualitative interviews with healthcare experts were done, including endocrinologists, nephrologists, and other medical specialists with knowledge of Diabetes and kidney disease. Results: According to the findings, Diabetes considerably raises the risk of renal disease. Glomerulonephritis, diabetic nephropathy, and hypertension-related kidney disease accounted for most kidney conditions associated with Diabetes. Options for treatment exist to lower risk factors, control kidney disease complications, and enhance general health and well-being in people with Diabetes. The most significant lifestyle changes that people with Diabetes may do to lower their risk of kidney disease include weight reduction, regular exercise, a healthy diet, quitting smoking, and consuming less salt and alcohol. A further key role in lowering the risk of kidney disease and its development is the increased accessibility of preventative methods, such as good pre-diabetes and diabetes screening, optimal diabetes treatment, and vaccination against influenza and pneumococcal illness. Conclusion: Diabetes has a significant role in the development of renal disease. The increased accessibility of preventive screening, proper diabetes management, and immunization against infectious diseases play an important role in lowering the overall risk of developing kidney disease in people with Diabetes, even though treatment options and lifestyle changes exist to reduce risk factors for the disease's progression. Keywords: Epidemiology, risk factors, therapy, lifestyle changes, preventive, healthcare providers, pre-diabetes screening, diabetes management, vaccination, renal disease","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89569787","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}
Pub Date : 2023-06-26DOI: 10.53350/pjmhs2023175317
S. Fahad, M. Haq, M. Shahid, S. Munib, Fazli Wahad
Objectives: The main objective of this study is to investigate the risk factors associated with kidney stones in the Department of Nephrology, Saidu Teaching Hospital, Swat, from Jan 2021 to Jan 2022. Specific objectives of this study are to: 1. Identify and examine the demographic, medical and lifestyle factors of patients with and without kidney stones. 2. Analyze the risk factors for the different types of kidney stones. 3. Determine the relative risk of each risk factor for kidney stone formation. 4. Make suggestions for prevention and management strategies of kidney stone development. Methods: This study was a retrospective case-control study in the Department of Nephrology, Saidu Teaching Hospital, Swat, from Jan 2021 to Jan 2022. Patient records from this period were reviewed and demographic, medical, and lifestyle factors of patients with and without kidney stones were compared. Risk factors for stone formation were determined using univariate and multivariate analyses. Statistical analysis was conducted using the chi-square test, Fisher’s exact test, and logistic regression. Results: A total of 193 patients of various ages had been admitted to the nephrology department from Jan 2021 to Jan 2022; 10 of these had a kidney stone. Of the kidney stone patients, six (60%) were male and four (40%) were female. The mean age of those with kidney stones was 43.6 years. Of the risk factors analyzed, male sex, family history of stone disease, diabetes, hypertension, and certain lifestyle factors such as drinking soft drinks and eating a diet high in animal proteins were significantly associated with stone formation. Conclusion: This study identified a number of risk factors associated with the formation of kidney stones in the nephrology department of Saidu Teaching Hospital between Jan 2021 to Jan 2022. Male sex, family history of stone disease, diabetes, hypertension, and certain lifestyle factors such as drinking soft drinks and consuming a diet high in animal proteins were found to be significantly associated with stone formation. Further research is needed to gain a better understanding of these risk factors and develop prevention and treatment strategies for kidney stone formation. Keywords: Kidney Stones, Risk Factors, Department of Nephrology, Saidu Teaching Hospital
{"title":"Investigating Risk Factors for Kidney Stones in Department of Nephrology Saidu Teaching Hospital Swat","authors":"S. Fahad, M. Haq, M. Shahid, S. Munib, Fazli Wahad","doi":"10.53350/pjmhs2023175317","DOIUrl":"https://doi.org/10.53350/pjmhs2023175317","url":null,"abstract":"Objectives: The main objective of this study is to investigate the risk factors associated with kidney stones in the Department of Nephrology, Saidu Teaching Hospital, Swat, from Jan 2021 to Jan 2022. Specific objectives of this study are to: 1. Identify and examine the demographic, medical and lifestyle factors of patients with and without kidney stones. 2. Analyze the risk factors for the different types of kidney stones. 3. Determine the relative risk of each risk factor for kidney stone formation. 4. Make suggestions for prevention and management strategies of kidney stone development. Methods: This study was a retrospective case-control study in the Department of Nephrology, Saidu Teaching Hospital, Swat, from Jan 2021 to Jan 2022. Patient records from this period were reviewed and demographic, medical, and lifestyle factors of patients with and without kidney stones were compared. Risk factors for stone formation were determined using univariate and multivariate analyses. Statistical analysis was conducted using the chi-square test, Fisher’s exact test, and logistic regression. Results: A total of 193 patients of various ages had been admitted to the nephrology department from Jan 2021 to Jan 2022; 10 of these had a kidney stone. Of the kidney stone patients, six (60%) were male and four (40%) were female. The mean age of those with kidney stones was 43.6 years. Of the risk factors analyzed, male sex, family history of stone disease, diabetes, hypertension, and certain lifestyle factors such as drinking soft drinks and eating a diet high in animal proteins were significantly associated with stone formation. Conclusion: This study identified a number of risk factors associated with the formation of kidney stones in the nephrology department of Saidu Teaching Hospital between Jan 2021 to Jan 2022. Male sex, family history of stone disease, diabetes, hypertension, and certain lifestyle factors such as drinking soft drinks and consuming a diet high in animal proteins were found to be significantly associated with stone formation. Further research is needed to gain a better understanding of these risk factors and develop prevention and treatment strategies for kidney stone formation. Keywords: Kidney Stones, Risk Factors, Department of Nephrology, Saidu Teaching Hospital","PeriodicalId":19842,"journal":{"name":"Pakistan Journal of Medical and Health Sciences","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84176677","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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