Pub Date : 2024-03-04DOI: 10.29309/tpmj/2024.31.03.7860
M. Iqbal, Minahil Shafique, Aqsa Afzal, Fizza Noor, Muhammad Waseem, Unsa Marrium
Objective: To assess the effect of smartphone usage on the academic performance of the students of Sahiwal Medical College. Study Design: Cross-sectional study. Setting: Department of Physiology, Sahiwal Medical College, Sahiwal. Period: 24th May to 25th July 2022. Material & Methods: and a validated questionnaire was shared among the 114 undergraduate students of 1st and 2nd year MBBS of Sahiwal Medical College. Results: Our study involved 114 participants of age between 18-20 years. The majority of the participants were females (78.4%) and the duration of smartphone usage of most students was between two to six hours per day (66.7%). No statistical significance was found between the usage of smartphones and the academic performance of students. Conclusion: There is no association between smartphone usage and the academic performance of undergraduate medical students.
{"title":"Impact of smartphone usage on academic performance of undergraduate medical college.","authors":"M. Iqbal, Minahil Shafique, Aqsa Afzal, Fizza Noor, Muhammad Waseem, Unsa Marrium","doi":"10.29309/tpmj/2024.31.03.7860","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7860","url":null,"abstract":"Objective: To assess the effect of smartphone usage on the academic performance of the students of Sahiwal Medical College. Study Design: Cross-sectional study. Setting: Department of Physiology, Sahiwal Medical College, Sahiwal. Period: 24th May to 25th July 2022. Material & Methods: and a validated questionnaire was shared among the 114 undergraduate students of 1st and 2nd year MBBS of Sahiwal Medical College. Results: Our study involved 114 participants of age between 18-20 years. The majority of the participants were females (78.4%) and the duration of smartphone usage of most students was between two to six hours per day (66.7%). No statistical significance was found between the usage of smartphones and the academic performance of students. Conclusion: There is no association between smartphone usage and the academic performance of undergraduate medical students.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"98 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079735","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 : 2024-03-04DOI: 10.29309/tpmj/2024.31.03.7965
Fariha Nasreen, Attika Khalid, M. Rehan, Asma Shaikh, Humaira Rehman
Objective: The aim of this research is the early detection of dengue infection on the basis of presence of high fluorescent lymphocyte (HFL) which enables the clinicians to tailor further investigations and early commencement of treatment to prevent complications and thus can reduce mortality and morbidity in dengue patients. Study Design: Prospective Research. Setting: Fauji Foundation Hospital in Rawalpindi. Period: February 2022 to July 2022. Material & Methods: Samples of Full blood counts (FBC) received in Pathology laboratory were processed on automated Hematology analyzer Sysmex XN-series (XN-1000). All the FBCs that were of known dengue patients were excluded from the study. The FBCs with High Fluorescent Lymphocytes on White blood cell differential fluorescence (WDF) scattergram were selected and evaluated. Detection of dengue infection was done by using Dengue Virus ELISA (IgM and IgG) test. Results: Among one hundred samples with High Fluorescence Lymphocyte there were 77% were Dengue Positive. Binomial test did give a significant association of Dengue with High Fluorescence Lymphocyte (p<0.01). Conclusion: We draw the conclusion that presence of high fluorescent lymphocytes helps in the early detection of dengue positive cases.
{"title":"High fluorescent lymphocytes in dengue infection; A navigator for hematopathologists.","authors":"Fariha Nasreen, Attika Khalid, M. Rehan, Asma Shaikh, Humaira Rehman","doi":"10.29309/tpmj/2024.31.03.7965","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7965","url":null,"abstract":"Objective: The aim of this research is the early detection of dengue infection on the basis of presence of high fluorescent lymphocyte (HFL) which enables the clinicians to tailor further investigations and early commencement of treatment to prevent complications and thus can reduce mortality and morbidity in dengue patients. Study Design: Prospective Research. Setting: Fauji Foundation Hospital in Rawalpindi. Period: February 2022 to July 2022. Material & Methods: Samples of Full blood counts (FBC) received in Pathology laboratory were processed on automated Hematology analyzer Sysmex XN-series (XN-1000). All the FBCs that were of known dengue patients were excluded from the study. The FBCs with High Fluorescent Lymphocytes on White blood cell differential fluorescence (WDF) scattergram were selected and evaluated. Detection of dengue infection was done by using Dengue Virus ELISA (IgM and IgG) test. Results: Among one hundred samples with High Fluorescence Lymphocyte there were 77% were Dengue Positive. Binomial test did give a significant association of Dengue with High Fluorescence Lymphocyte (p<0.01). Conclusion: We draw the conclusion that presence of high fluorescent lymphocytes helps in the early detection of dengue positive cases.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"163 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265377","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 : 2024-03-04DOI: 10.29309/tpmj/2024.31.03.7953
Maryam Latif, Salahuddin Balooch, Zeeshan Ali, Umar Amin, Kiran Zafar, Muhammad Usman Khan
Objective: To assess the diagnostic accuracy of diffusion weighted imaging on MRI in patients of ovarian cancer with histopathology considered as gold standard. Study Design: Cross-sectional study. Setting: Department of Radiology, Tertiary Care Hospital Kharian. Period: February 2022 to August 2022. Material & Methods: Non-probability, consecutive sampling was performed from 60 patients. After receiving informed consents, the suspected female patients with age 15 to 65 years went under MRI. The results were compared with histopathological findings and diagnostic potential of MRI was calculated by 2x2 table. The findings of both the modalities were compared by correlation analysis with p<0.05 considered as significant. Results: The sensitivity and specificity of MRI were estimated to be 92.68% and 73.68%. The positive predictive value and negative predictive value were estimated to be 88.37% and 82.35%. The diagnostic accuracy was found to be 86.66%. The findings of MRI and histopathology were significantly (p<0.05) correlated with a value of 0.685. Conclusion: The use of MRI is highly recommended in diagnosis of ovarian cancer.
{"title":"Diagnostic accuracy of diffusion weighted imaging on MRI in suspected cases of ovarian cancer, keeping histopathology as gold standard.","authors":"Maryam Latif, Salahuddin Balooch, Zeeshan Ali, Umar Amin, Kiran Zafar, Muhammad Usman Khan","doi":"10.29309/tpmj/2024.31.03.7953","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7953","url":null,"abstract":"Objective: To assess the diagnostic accuracy of diffusion weighted imaging on MRI in patients of ovarian cancer with histopathology considered as gold standard. Study Design: Cross-sectional study. Setting: Department of Radiology, Tertiary Care Hospital Kharian. Period: February 2022 to August 2022. Material & Methods: Non-probability, consecutive sampling was performed from 60 patients. After receiving informed consents, the suspected female patients with age 15 to 65 years went under MRI. The results were compared with histopathological findings and diagnostic potential of MRI was calculated by 2x2 table. The findings of both the modalities were compared by correlation analysis with p<0.05 considered as significant. Results: The sensitivity and specificity of MRI were estimated to be 92.68% and 73.68%. The positive predictive value and negative predictive value were estimated to be 88.37% and 82.35%. The diagnostic accuracy was found to be 86.66%. The findings of MRI and histopathology were significantly (p<0.05) correlated with a value of 0.685. Conclusion: The use of MRI is highly recommended in diagnosis of ovarian cancer.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"77 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080309","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 : 2024-03-04DOI: 10.29309/tpmj/2024.31.03.7957
Bushra Ujala, Nosheen Ahmad, Arwa Naeem
Objectives: To determine the diagnostic accuracy of computed tomography brain perfusion to predict acute ischemic stroke taking the findings of MRI as gold standard. Study Design: Cross-sectional Validation study. Setting: Department of Radiology Allied Hospital Faisalabad. Period: 20th May 2022 to 19th November 2022. Material & Methods: A total of 215 individuals, aged between 30 and 70, of both sexes, and exhibiting ischemic stroke symptoms lasting no more than 12 hours, were included. Patients with abnormal renal function tests having renal disease were excluded. The conventional non-contrast CT used in the CT stroke protocol had basal sections that were either 3 mm or 4 mm in thickness and supra tentorial sections that were either 3 mm or 4 mm in thickness. The acquisition parameters were 80kVp and 120mAs. Dynamic CT perfusion was carried out with 4 cm plane coverage. At the seventh day, all patients underwent a follow-up MRI using a 1.5 Tesla Philips MRI scanner. A radiologist examined CTP to look for signs of early ischemic changes. For CT perfusion (CTP), measurements were taken for time to peak (TTP), cerebral blood flow (CBF), and cerebral blood volume (CBV). Results: Overall sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of computed tomography brain perfusion in the prediction of acute ischemic stroke taking the findings of MRI as gold standard was 85.37%, 76.09%, 82.68%, 79.55% and 81.40% respectively. Conclusion: This study led to the conclusion that diagnostic accuracy of computed tomography brain perfusion to predict acute ischemic stroke is quite high.
{"title":"Diagnostic accuracy of computed tomography brain perfusion in the prediction of acute ischemic stroke taking the findings of MRI as gold standard.","authors":"Bushra Ujala, Nosheen Ahmad, Arwa Naeem","doi":"10.29309/tpmj/2024.31.03.7957","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7957","url":null,"abstract":"Objectives: To determine the diagnostic accuracy of computed tomography brain perfusion to predict acute ischemic stroke taking the findings of MRI as gold standard. Study Design: Cross-sectional Validation study. Setting: Department of Radiology Allied Hospital Faisalabad. Period: 20th May 2022 to 19th November 2022. Material & Methods: A total of 215 individuals, aged between 30 and 70, of both sexes, and exhibiting ischemic stroke symptoms lasting no more than 12 hours, were included. Patients with abnormal renal function tests having renal disease were excluded. The conventional non-contrast CT used in the CT stroke protocol had basal sections that were either 3 mm or 4 mm in thickness and supra tentorial sections that were either 3 mm or 4 mm in thickness. The acquisition parameters were 80kVp and 120mAs. Dynamic CT perfusion was carried out with 4 cm plane coverage. At the seventh day, all patients underwent a follow-up MRI using a 1.5 Tesla Philips MRI scanner. A radiologist examined CTP to look for signs of early ischemic changes. For CT perfusion (CTP), measurements were taken for time to peak (TTP), cerebral blood flow (CBF), and cerebral blood volume (CBV). Results: Overall sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of computed tomography brain perfusion in the prediction of acute ischemic stroke taking the findings of MRI as gold standard was 85.37%, 76.09%, 82.68%, 79.55% and 81.40% respectively. Conclusion: This study led to the conclusion that diagnostic accuracy of computed tomography brain perfusion to predict acute ischemic stroke is quite high.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"48 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080605","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 : 2024-03-04DOI: 10.29309/tpmj/2024.31.03.8016
Mashal Bai, Shahid Karim, Rajesh Kumar, Sindhu Rani, A. Faryal
Objective: To determine frequency and factors associated with prolong cecal intubation among adults undergoing colonoscopy in a tertiary care hospital. Study Design: Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: September 2022 to June 2023. Material & Methods: The study comprised patients undergoing elective colonoscopies, regardless of gender and age, who were at least eighteen years old. Cecal intubation time longer than ten minutes was regarded as a prolonged colonoscopy duration. The Aronchick scale, which is used to evaluate the quality of bowel preparation. The association between the patient's characteristics and the prolonged cecal intubation was investigated using logistic regression. P-values were considered statistically significant if they were less than or equal to 0.05. Results: Total 281 patients were enrolled into the study. Median age of patients was 40 (IQR=30-50) years and majority were males 66.5%. Median cecal intubation length and time was 90 (IQR=80-100) cm and 7 (IQR=5-10) minutes. Prolonged intubation was seen among nearly one-fifth of total patients (19.1%). Odds of prolonged cecal intubation were significantly lower patients of age <50 years, relatively higher body mass index (BMI), out-patients, patients with excellent quality of bowel preparation and among those cases in which colonoscopies were performed by consultant. Conclusion: Proportion of prolonged cecal intubation was high particularly among older age, female gender, patients with lower BMI, past surgeries and poor quality of bowel preparation.
{"title":"Frequency of prolonged colonoscopy and its associated factors among adults: An experience of A Tertiary Care Hospital in Karachi, Pakistan.","authors":"Mashal Bai, Shahid Karim, Rajesh Kumar, Sindhu Rani, A. Faryal","doi":"10.29309/tpmj/2024.31.03.8016","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.8016","url":null,"abstract":"Objective: To determine frequency and factors associated with prolong cecal intubation among adults undergoing colonoscopy in a tertiary care hospital. Study Design: Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: September 2022 to June 2023. Material & Methods: The study comprised patients undergoing elective colonoscopies, regardless of gender and age, who were at least eighteen years old. Cecal intubation time longer than ten minutes was regarded as a prolonged colonoscopy duration. The Aronchick scale, which is used to evaluate the quality of bowel preparation. The association between the patient's characteristics and the prolonged cecal intubation was investigated using logistic regression. P-values were considered statistically significant if they were less than or equal to 0.05. Results: Total 281 patients were enrolled into the study. Median age of patients was 40 (IQR=30-50) years and majority were males 66.5%. Median cecal intubation length and time was 90 (IQR=80-100) cm and 7 (IQR=5-10) minutes. Prolonged intubation was seen among nearly one-fifth of total patients (19.1%). Odds of prolonged cecal intubation were significantly lower patients of age <50 years, relatively higher body mass index (BMI), out-patients, patients with excellent quality of bowel preparation and among those cases in which colonoscopies were performed by consultant. Conclusion: Proportion of prolonged cecal intubation was high particularly among older age, female gender, patients with lower BMI, past surgeries and poor quality of bowel preparation.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"19 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266153","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 : 2024-03-04DOI: 10.29309/tpmj/2024.31.03.7571
Abdul Maajid Khokhar
Objective: To assess allergic reactions to IV non-ionic contrast media in children. Study Design: Cross-sectional study. Setting: Faisal Hospital, Faisalabad, and Children Hospital, Faisalabad. Period: June 2022 to September 2022. Material & Methods: A total of 310 patients (males and females) under the age of 14, referred for a CT scan with non-ionic contrast material were included in the study, Data were collected at the Children’s Hospital and the Faisal Hospital Faisalabad for over 4 months and statistically analyzed by SPSS V22. The Chi-square test was used to measure the association between the age of children and mild allergy reactions. Results: This study included 310 patients, 183 (59%) males, and 127 (41%) females, who received the non-ionic contrast agent. Thirteen patients (6 males and 7 females) experienced mild allergic responses including 5 cases of rash, 3 cases of itching, 2 cases of nausea, and 1 case of vomiting, flushing, and swelling. There were 10 reactions for children under five, 1 for children between five to ten years, and 2 for children older than ten years. Out of 13 reported allergic reactions, the brain region observed seven while the chest, head, and neck regions observed none. Conclusion: According to the findings of this study, imaging young children with low-osmolality non-ionic contrast material is relatively safe and has few side effects. Out of 310, only 13 children experienced mild allergic responses to non-ionic contrast material. This study found an association between the age of children (<5 years) and mild allergic reactions (skin rash and itching) which was found to be statistically significant (p=0.005).
{"title":"Non-ionic contrast material in pediatric ct scans: A statistical analysis of mild allergic reactions.","authors":"Abdul Maajid Khokhar","doi":"10.29309/tpmj/2024.31.03.7571","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7571","url":null,"abstract":"Objective: To assess allergic reactions to IV non-ionic contrast media in children. Study Design: Cross-sectional study. Setting: Faisal Hospital, Faisalabad, and Children Hospital, Faisalabad. Period: June 2022 to September 2022. Material & Methods: A total of 310 patients (males and females) under the age of 14, referred for a CT scan with non-ionic contrast material were included in the study, Data were collected at the Children’s Hospital and the Faisal Hospital Faisalabad for over 4 months and statistically analyzed by SPSS V22. The Chi-square test was used to measure the association between the age of children and mild allergy reactions. Results: This study included 310 patients, 183 (59%) males, and 127 (41%) females, who received the non-ionic contrast agent. Thirteen patients (6 males and 7 females) experienced mild allergic responses including 5 cases of rash, 3 cases of itching, 2 cases of nausea, and 1 case of vomiting, flushing, and swelling. There were 10 reactions for children under five, 1 for children between five to ten years, and 2 for children older than ten years. Out of 13 reported allergic reactions, the brain region observed seven while the chest, head, and neck regions observed none. Conclusion: According to the findings of this study, imaging young children with low-osmolality non-ionic contrast material is relatively safe and has few side effects. Out of 310, only 13 children experienced mild allergic responses to non-ionic contrast material. This study found an association between the age of children (<5 years) and mild allergic reactions (skin rash and itching) which was found to be statistically significant (p=0.005).","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"20 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266505","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 : 2024-03-04DOI: 10.29309/tpmj/2024.31.03.7757
Naik Muhammad, Mansoor-Ul-Haq, Adeel Rahat, Asad Abbas Jafri
Objective: To evaluate frequency of microscopic colitis in patients presenting with chronic diarrhea at a tertiary care hospital in Karachi, Pakistan. Study Design: Descriptive Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: January, 2022 to June, 2022. Material & Methods: Patients presenting in out-patient department of age >18 years of any gender with history of diarrhea >1 month, normal thyroid tests, negative serology for Celiac disease (Anti TTG IgA and IgG), and normal colonoscopy findings including terminal ileum were enrolled in the study after written informed consent. MC diagnosis was established using clinical diarrhea history and colonic biopsy findings. Results: Total 130 patients were analyzed with median age of 38 (IQR= 28-55) years. Nearly half were females (n=67, 51.5%). All patients had normal colonoscopy findings. Out of 130 patients, microscopic colitis was seen among 7(5.4%) cases out of which 5(3.8%) had lymphocytic colitis and 2(1.5%) had collagenous colitis. Patients with and without MC shared the same characteristics. Conclusion: A lower microscopic colitis frequency was found in the studied sample. Lymphocytic microscopic colitis is predominant than collagenous microscopic colitis.
{"title":"Frequency of microscopic colitis in patients presenting with chronic diarrhea.","authors":"Naik Muhammad, Mansoor-Ul-Haq, Adeel Rahat, Asad Abbas Jafri","doi":"10.29309/tpmj/2024.31.03.7757","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7757","url":null,"abstract":"Objective: To evaluate frequency of microscopic colitis in patients presenting with chronic diarrhea at a tertiary care hospital in Karachi, Pakistan. Study Design: Descriptive Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: January, 2022 to June, 2022. Material & Methods: Patients presenting in out-patient department of age >18 years of any gender with history of diarrhea >1 month, normal thyroid tests, negative serology for Celiac disease (Anti TTG IgA and IgG), and normal colonoscopy findings including terminal ileum were enrolled in the study after written informed consent. MC diagnosis was established using clinical diarrhea history and colonic biopsy findings. Results: Total 130 patients were analyzed with median age of 38 (IQR= 28-55) years. Nearly half were females (n=67, 51.5%). All patients had normal colonoscopy findings. Out of 130 patients, microscopic colitis was seen among 7(5.4%) cases out of which 5(3.8%) had lymphocytic colitis and 2(1.5%) had collagenous colitis. Patients with and without MC shared the same characteristics. Conclusion: A lower microscopic colitis frequency was found in the studied sample. Lymphocytic microscopic colitis is predominant than collagenous microscopic colitis.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266641","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 evaluate the resist of minimally invasive surgery i.e. laparoscopic cholecystectomy versus open cholecystectomy in cases with complex gallstone diseases. Study Design: Prospective study. Setting: North Surgical Ward, Mayo Hospital Lahore. Period: 11th July 2020 till 10th January 2021. Material & Methods: A total of 372 patient’s fulfilling the criterion was included for study in group-A Laparoscopic cholecystectomy was done. In group B open cholecystectomy was done which includes 86 patients. The entire patient received injection Ketorolac 30 mg i.e. 8 hourly and postoperative injection NeIbufin 6 mg i.v.12hourIy as standard in all patients and Post-operative pain was assessed Visual analogy scale after 24 hours. Results: The mean age of patients in open group was 41.28 ± 13.75 years and in Laparoscopic group was 43.46 ± 13.90 years. In Open group there were 80(43%) male and 106(57%) female cases while in Laparoscopic group there were 65(34.9%) male and 121(65.1%) female cases. The mean hospital stay was statistically shorter in Laparoscopic group (3.80 ± 1.37 days) as compared to Open group (5.12 ± 1.58 days), p-value <0.001. In open group 77(41.4%) cases had post-operative pain and in Laparoscopic group 27(14.5%) cases had post-operative pain. The post-operative pain was statistically higher in open groups, p-value < 0.001. Conclusion: Laparoscopic is an ideal treatment option in terms of less pain and shorter duration of hospital stay as compared to open cholecystectomy for patients with complicated gallstone disease.
{"title":"Comparative study of morbidity of open cholecystectomy vs laparoscopic cholecystectomy in complicated gall stone disease.","authors":"Usama Shabbir, Jamal Anwar, Shahbaz Hussain, Mubashar Abrar, Ayesha Akram, Muhammad Ahsan, Ameer Afzal","doi":"10.29309/tpmj/2024.31.02.7885","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.02.7885","url":null,"abstract":"Objective: To evaluate the resist of minimally invasive surgery i.e. laparoscopic cholecystectomy versus open cholecystectomy in cases with complex gallstone diseases. Study Design: Prospective study. Setting: North Surgical Ward, Mayo Hospital Lahore. Period: 11th July 2020 till 10th January 2021. Material & Methods: A total of 372 patient’s fulfilling the criterion was included for study in group-A Laparoscopic cholecystectomy was done. In group B open cholecystectomy was done which includes 86 patients. The entire patient received injection Ketorolac 30 mg i.e. 8 hourly and postoperative injection NeIbufin 6 mg i.v.12hourIy as standard in all patients and Post-operative pain was assessed Visual analogy scale after 24 hours. Results: The mean age of patients in open group was 41.28 ± 13.75 years and in Laparoscopic group was 43.46 ± 13.90 years. In Open group there were 80(43%) male and 106(57%) female cases while in Laparoscopic group there were 65(34.9%) male and 121(65.1%) female cases. The mean hospital stay was statistically shorter in Laparoscopic group (3.80 ± 1.37 days) as compared to Open group (5.12 ± 1.58 days), p-value <0.001. In open group 77(41.4%) cases had post-operative pain and in Laparoscopic group 27(14.5%) cases had post-operative pain. The post-operative pain was statistically higher in open groups, p-value < 0.001. Conclusion: Laparoscopic is an ideal treatment option in terms of less pain and shorter duration of hospital stay as compared to open cholecystectomy for patients with complicated gallstone disease.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"115 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139855537","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 : 2024-02-07DOI: 10.29309/tpmj/2024.31.02.7787
Muhammad Ibrahim, Farid Ullah, Fawad Ahmed, Fazal ur Rehman, Sher Ullah, Muhammad Ilyas
Objective: To determine frequency and distribution of co-morbidities by type, age groups and gender in PEM children. Study Design: Cross-sectional study. Setting: Department of Pediatric (Nutrition Unit) and Community Medicine, GMC. Period: 15-8-2022, to 30-12-2022. Material & Methods: Data for diagnosed PEM cases was retrieved from Nutrition Unit DHQ Hospital DI Khan for which non-probability consecutive sampling technique was used. Research variable was type of comorbidities while demographics variables were age groups and gender. Association of gender and age groups with the presence or absence of co-morbidities in PEM children were found using Chi Square test. Results: Out of 400 participants, most frequent co-morbidity was gastroenteritis (GE) in 157(39.3%) patients in which females were 87(55.41%) and males 70(44.58%). 101(64.33%) were in 1–5-year age group and 56(35.66%) in under 1 year. Second to GE was pneumonia with 84(21%) patients in which females were 45(53.57%) and males 39(46.42%). Pneumonia in 1-5 year affected 61(72.61%) and 23(27.38%) patients were less than 1 year. Anemia affected 74(18.5%) patients in which females were 45(60.81%) and males 29(39.18%). 58(78.37%) patients were in 1-5 years and 16(21.62%) in less than 1 year. Other co-morbidities were seen in small number of patients. Difference in age groups were statistically significant at p-value of 0.005006 (<0.05) while there was no association of gender with comorbidities at p-value of 0.459344 (>0.05). Conclusion: Most common comorbidities were GE, pneumonia and anemia and their prevalence was higher in females and 1–5-year age group.
{"title":"Frequency and distribution of co-morbidities in protein energy malnutrition children admitted in nutrition unit DHQ Hospital, District D.I. Khan, Pakistan.","authors":"Muhammad Ibrahim, Farid Ullah, Fawad Ahmed, Fazal ur Rehman, Sher Ullah, Muhammad Ilyas","doi":"10.29309/tpmj/2024.31.02.7787","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.02.7787","url":null,"abstract":"Objective: To determine frequency and distribution of co-morbidities by type, age groups and gender in PEM children. Study Design: Cross-sectional study. Setting: Department of Pediatric (Nutrition Unit) and Community Medicine, GMC. Period: 15-8-2022, to 30-12-2022. Material & Methods: Data for diagnosed PEM cases was retrieved from Nutrition Unit DHQ Hospital DI Khan for which non-probability consecutive sampling technique was used. Research variable was type of comorbidities while demographics variables were age groups and gender. Association of gender and age groups with the presence or absence of co-morbidities in PEM children were found using Chi Square test. Results: Out of 400 participants, most frequent co-morbidity was gastroenteritis (GE) in 157(39.3%) patients in which females were 87(55.41%) and males 70(44.58%). 101(64.33%) were in 1–5-year age group and 56(35.66%) in under 1 year. Second to GE was pneumonia with 84(21%) patients in which females were 45(53.57%) and males 39(46.42%). Pneumonia in 1-5 year affected 61(72.61%) and 23(27.38%) patients were less than 1 year. Anemia affected 74(18.5%) patients in which females were 45(60.81%) and males 29(39.18%). 58(78.37%) patients were in 1-5 years and 16(21.62%) in less than 1 year. Other co-morbidities were seen in small number of patients. Difference in age groups were statistically significant at p-value of 0.005006 (<0.05) while there was no association of gender with comorbidities at p-value of 0.459344 (>0.05). Conclusion: Most common comorbidities were GE, pneumonia and anemia and their prevalence was higher in females and 1–5-year age group.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"97 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139794692","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 determine lipid profile in patients of age-related cataract and compared them with age-matched controls. Study Design: Case Control study. Setting: Naseer Memorial Hospital, Dadyal. Period: January 2022 to December 2022. Material & Methods: A total of 300 patients were recruited using a consecutive non-probability sampling method and divided in two groups, one control and the other having cataract. The patients underwent a thorough ocular assessment and lipid profile evaluation. Inclusion criteria was age 40 years or older of any gender having senile cataracts of any morphological form. Exclusion criteria was history of ocular trauma, systemic disease, ocular surgery, oral steroids or cataract other than senile cause. The data was analyzed using SPSS version 23. The results showed that patients with senile cataracts had significantly higher levels of total cholesterol, triglycerides, and LDL cholesterol, and significantly lower levels of HDL cholesterol than the controls. The collected data was entered in the statistical package for social sciences (SPSS) version 21 for analysis. Independent t test was applied and p value ≤ 0.05 was considered as significant. Results: It was found that patients with senile cataracts had significantly higher levels of total cholesterol, triglycerides and LDL and significantly lower levels of HDL than the age-matched controls. Conclusion: The findings suggested that dyslipidemia is a modifiable risk factor for age-related cataract.
{"title":"Dyslipidemia: A risk factor for cataract.","authors":"Yasir Iqbal, Aqsa Malik, Masooma Talib, Iqra Anwar, Sohail Zia, Usman Arshad Qureshi","doi":"10.29309/tpmj/2024.31.02.7902","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.02.7902","url":null,"abstract":"Objective: To determine lipid profile in patients of age-related cataract and compared them with age-matched controls. Study Design: Case Control study. Setting: Naseer Memorial Hospital, Dadyal. Period: January 2022 to December 2022. Material & Methods: A total of 300 patients were recruited using a consecutive non-probability sampling method and divided in two groups, one control and the other having cataract. The patients underwent a thorough ocular assessment and lipid profile evaluation. Inclusion criteria was age 40 years or older of any gender having senile cataracts of any morphological form. Exclusion criteria was history of ocular trauma, systemic disease, ocular surgery, oral steroids or cataract other than senile cause. The data was analyzed using SPSS version 23. The results showed that patients with senile cataracts had significantly higher levels of total cholesterol, triglycerides, and LDL cholesterol, and significantly lower levels of HDL cholesterol than the controls. The collected data was entered in the statistical package for social sciences (SPSS) version 21 for analysis. Independent t test was applied and p value ≤ 0.05 was considered as significant. Results: It was found that patients with senile cataracts had significantly higher levels of total cholesterol, triglycerides and LDL and significantly lower levels of HDL than the age-matched controls. Conclusion: The findings suggested that dyslipidemia is a modifiable risk factor for age-related cataract.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"1 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139796322","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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