Pub Date : 2022-12-28DOI: 10.52206/jsmc.2022.12.4.635
Tahmasab Faraz Tayyab, Muhammad Jamal, Zahid Qayyum, Salman Amin, Sana Riaz, Aqeela Perveen
Background: Mandibular angle fractures are treated by many open reduction and fixation techniques. Each technique has several advantages and disadvantages. The external oblique ridge fixation via introral approach versus transbuccal fixation and intraoral approach together were compared in this study. Objective: To compare the clinical outcomes of intraoral external oblique ridge fixation vs an intraoral transbuccal technique. A single miniplate fixation for the therapy of mandibular angle fractures.Material and Methods: A total of 180 angle fracture patients were randomly assigned to one of two experimental groups in this randomized control trial. Each group had 80 patients: group A and group B. On the first week, first month, and third month, all of the patients were followed up on to assess infection and malocclusion.Results: With an age range of 16 to 60 years, the average age of the 160 patients was 24.79 years (SD 6.855). At the end of three months, 12 (15%) of patients in group A and 7 (8.75%) of patients in group B had infection. At the last follow-up appointment, 2 (2.5%) patients in group A and 1 (1.25%) patients in group B both had malocclusion (03 months post-op). At the third month after using the Chi square test, the P-value for infection and malocclusion was negligible.Conclusion: The present study concluded that combination method (introral with transbuccal) can effectively treat mandibular angle fractures because it allows for easier plate adaption and placement of the plate in the mid neutral area, which reduces the risk of infection and malocclusion.
{"title":"Comparison of Single Plate Transbuccal Fixation with Intraoral External Oblique Ridge Fixation in Mandibular Angle Fractures","authors":"Tahmasab Faraz Tayyab, Muhammad Jamal, Zahid Qayyum, Salman Amin, Sana Riaz, Aqeela Perveen","doi":"10.52206/jsmc.2022.12.4.635","DOIUrl":"https://doi.org/10.52206/jsmc.2022.12.4.635","url":null,"abstract":"Background: Mandibular angle fractures are treated by many open reduction and fixation techniques. Each technique has several advantages and disadvantages. The external oblique ridge fixation via introral approach versus transbuccal fixation and intraoral approach together were compared in this study. Objective: To compare the clinical outcomes of intraoral external oblique ridge fixation vs an intraoral transbuccal technique. A single miniplate fixation for the therapy of mandibular angle fractures.Material and Methods: A total of 180 angle fracture patients were randomly assigned to one of two experimental groups in this randomized control trial. Each group had 80 patients: group A and group B. On the first week, first month, and third month, all of the patients were followed up on to assess infection and malocclusion.Results: With an age range of 16 to 60 years, the average age of the 160 patients was 24.79 years (SD 6.855). At the end of three months, 12 (15%) of patients in group A and 7 (8.75%) of patients in group B had infection. At the last follow-up appointment, 2 (2.5%) patients in group A and 1 (1.25%) patients in group B both had malocclusion (03 months post-op). At the third month after using the Chi square test, the P-value for infection and malocclusion was negligible.Conclusion: The present study concluded that combination method (introral with transbuccal) can effectively treat mandibular angle fractures because it allows for easier plate adaption and placement of the plate in the mid neutral area, which reduces the risk of infection and malocclusion.","PeriodicalId":326561,"journal":{"name":"Journal of Saidu Medical College, Swat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129734361","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 : 2022-12-28DOI: 10.52206/jsmc.2022.12.4.741
Sidra Farishta, Hassan Sajjad, Ahmad Zeb, Akash Kumar, Zara Nisar, Amer Azhar
Background: Kidney transplantation is the treatment of choice for end stage renal disease (ESRD) patients. It increases life expectancy, improves quality of life, achieves greater physical and occupational rehabilitation compared with maintenance haemodialysis. The rationale of this study is to determine reasons for preference of lifelong haemodialysis over kidney transplantation. This study may give us an insight to how this important and life altering decision is made by the patients. Objective: To determine the reasons for preference of kidney transplantation over lifelong hemodialysis.Material and Methods: A descriptive cross-sectional study on 329 ESRD patients was conducted in Nephrology Department, Khyber Teaching Hospital, Peshawar. During a period of 8 months, from September 2021 till April 2022. Data was collected by non-Probability consecutive sampling technique. Subjects who were willing to participate were included in the study after taking written informed consent.Results: A total of 329 patients were observed with mean age of 51 years with SD ± 10.21. Male patients were 204 (62%), and 125(38%) patients were female. In our study 227(69%) patients agreed for kidney transplant while 102(31%) patients refused kidney transplantation. Main reason for acceptance was freedom from haemodialysis 122(37%), on the other hand, 10(3%) patients refused because of surgical complications of transplant surgery & 33(10%) patients refused because of financial constraints.Conclusion: Our study concludes that 69% of ESRD patients were willing for kidney transplantation, main reasons being freedom from haemodialysis, fluid constraints, diet restrictions.Keywords: Kidney transplant, End stage renal disease (ESRD), Hemodialysis.
{"title":"KIDNEY TRANSPLANT: Reasons for Preference of Kidney Transplantation Versus Hemodialysis by End Stage Kidney Disease Patients","authors":"Sidra Farishta, Hassan Sajjad, Ahmad Zeb, Akash Kumar, Zara Nisar, Amer Azhar","doi":"10.52206/jsmc.2022.12.4.741","DOIUrl":"https://doi.org/10.52206/jsmc.2022.12.4.741","url":null,"abstract":"Background: Kidney transplantation is the treatment of choice for end stage renal disease (ESRD) patients. It increases life expectancy, improves quality of life, achieves greater physical and occupational rehabilitation compared with maintenance haemodialysis. The rationale of this study is to determine reasons for preference of lifelong haemodialysis over kidney transplantation. This study may give us an insight to how this important and life altering decision is made by the patients. Objective: To determine the reasons for preference of kidney transplantation over lifelong hemodialysis.Material and Methods: A descriptive cross-sectional study on 329 ESRD patients was conducted in Nephrology Department, Khyber Teaching Hospital, Peshawar. During a period of 8 months, from September 2021 till April 2022. Data was collected by non-Probability consecutive sampling technique. Subjects who were willing to participate were included in the study after taking written informed consent.Results: A total of 329 patients were observed with mean age of 51 years with SD ± 10.21. Male patients were 204 (62%), and 125(38%) patients were female. In our study 227(69%) patients agreed for kidney transplant while 102(31%) patients refused kidney transplantation. Main reason for acceptance was freedom from haemodialysis 122(37%), on the other hand, 10(3%) patients refused because of surgical complications of transplant surgery & 33(10%) patients refused because of financial constraints.Conclusion: Our study concludes that 69% of ESRD patients were willing for kidney transplantation, main reasons being freedom from haemodialysis, fluid constraints, diet restrictions.Keywords: Kidney transplant, End stage renal disease (ESRD), Hemodialysis.","PeriodicalId":326561,"journal":{"name":"Journal of Saidu Medical College, Swat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133795707","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 : 2022-12-28DOI: 10.52206/jsmc.2022.12.4.695
Aisha Abdul Haq, Sadia Afzal, Rabia Rehan, Maria Khan, Hira Ahmed, Sadia Iqbal
Background: Taking into account, the adverse effects of chemotherapy on male fertility, Chemotherapy has been a major area ofconcern for physicians. Chemotherapeutic agent Doxorubicin (DOX) profoundly affect the morphometric of testes that is indicativeof damage to this important reproductive organ. Antioxidants being free radical scavenger could be used in order to ameliorate theUndesirable effect of anti-cancer agentsObjective: To demonstrate change in weight of testes and thickness of germinal epithelium after consumption of Doxorubicin andto observe the effect of ascorbic acid on these changesMaterial and Methods: Experimental study was conducted on mice which were divided in 3 groups A, B and C. They receivedsaline intraperitoneally (IP), DOX IP and DOX + Ascorbic acid per oral respectively. On completion sacrificed animals weredissected and testes were weighed and later sections were selected for morphometric measurement of germinal epithelium andwere observed in H&E stained slides under 40x objective and 10x ocular lenses of light microscopeResult: Ascorbic acid seems to be significantly affecting the declined weight of the organ and on disturbed morphometry ofgerminal epithelium in mice induced with chemotherapeutic agent DOXConclusion: Ascorbic acid seems to be significantly affecting the declined weight of the organ and on disturbed morphometry ofgerminal epithelium in mice induced with chemotherapeutic agent DOXKeyword: Chemotherapy, antioxidant, weight, germinal epithelium, mice.
{"title":"Chemotherapy: Affected Morphological and Morphometry of Testes and Improvement by Antioxidants","authors":"Aisha Abdul Haq, Sadia Afzal, Rabia Rehan, Maria Khan, Hira Ahmed, Sadia Iqbal","doi":"10.52206/jsmc.2022.12.4.695","DOIUrl":"https://doi.org/10.52206/jsmc.2022.12.4.695","url":null,"abstract":" Background: Taking into account, the adverse effects of chemotherapy on male fertility, Chemotherapy has been a major area ofconcern for physicians. Chemotherapeutic agent Doxorubicin (DOX) profoundly affect the morphometric of testes that is indicativeof damage to this important reproductive organ. Antioxidants being free radical scavenger could be used in order to ameliorate theUndesirable effect of anti-cancer agentsObjective: To demonstrate change in weight of testes and thickness of germinal epithelium after consumption of Doxorubicin andto observe the effect of ascorbic acid on these changesMaterial and Methods: Experimental study was conducted on mice which were divided in 3 groups A, B and C. They receivedsaline intraperitoneally (IP), DOX IP and DOX + Ascorbic acid per oral respectively. On completion sacrificed animals weredissected and testes were weighed and later sections were selected for morphometric measurement of germinal epithelium andwere observed in H&E stained slides under 40x objective and 10x ocular lenses of light microscopeResult: Ascorbic acid seems to be significantly affecting the declined weight of the organ and on disturbed morphometry ofgerminal epithelium in mice induced with chemotherapeutic agent DOXConclusion: Ascorbic acid seems to be significantly affecting the declined weight of the organ and on disturbed morphometry ofgerminal epithelium in mice induced with chemotherapeutic agent DOXKeyword: Chemotherapy, antioxidant, weight, germinal epithelium, mice.","PeriodicalId":326561,"journal":{"name":"Journal of Saidu Medical College, Swat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133194461","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 : 2022-12-28DOI: 10.52206/jsmc.2022.12.4.737
Ijaz khan, Hafiz Muhammad Jahan Zaib, Amina Khalid, Mariam Noor, Nida Armoghan, Humaira Khadija, Fahmina Nazir
Background: Intravitreal injection is most popular universal intraocular procedure. it is important to consider the discomfort related with this procedure in order to ensure patient compliance and safety.Objective: To compare the pain in different quadrants correlated to intrvitreal bevacizumab injection. Material and Methods: Randomized controlled trial of four months was done In-patient Ophthalmology department, Pakistan Institute of Medical Sciences (PIMS) Islamabad between May-2020 to Sep-2020.In this study 120 patients were included (30 patients in each group) to measure the extent of pain while receiving an intravitreal bevacizumab injection. Sample size was calculated by WHO sample size calculator with 5% Level of significance, 80% Power of test.The data analyzed by using SPSS 23. Results: The results of pain score in our study showed that the mean pain score of the patients in Group A Superonasal Quadrant was 1.50 ± 0.51, in Group B Superotemporal Quadrant was 4.00 ± 0.91, in Group C Inferonasal Quadrant was 2.70 ± 0.84 and in Group D Inferotemporal Quadrant was 2.87 ± 0.78. The results of p value showed significant difference in pain score in groups. The Pain score is less in Group A Superonasal Quadrant as 1.50 ± 0.51 and more in Group B Superotemporal Quadrant as 4.00 ± 0.91. Conclusion: Superonasal Quadrant (SN Quadrant) was the less pain site as compared to others site i.e. Superotemporal Quadrant (ST quadrant), Inferonasal Quadrant (IN Quadrant) and Inferotemporal Quadrant (IT Quadrant). The most pain full site was Superotemporal Quadrant (ST quadrant).
{"title":"Comparison of Pain in Different Quadrants while giving Intravitreal Injection","authors":"Ijaz khan, Hafiz Muhammad Jahan Zaib, Amina Khalid, Mariam Noor, Nida Armoghan, Humaira Khadija, Fahmina Nazir","doi":"10.52206/jsmc.2022.12.4.737","DOIUrl":"https://doi.org/10.52206/jsmc.2022.12.4.737","url":null,"abstract":"Background: Intravitreal injection is most popular universal intraocular procedure. it is important to consider the discomfort related with this procedure in order to ensure patient compliance and safety.Objective: To compare the pain in different quadrants correlated to intrvitreal bevacizumab injection. Material and Methods: Randomized controlled trial of four months was done In-patient Ophthalmology department, Pakistan Institute of Medical Sciences (PIMS) Islamabad between May-2020 to Sep-2020.In this study 120 patients were included (30 patients in each group) to measure the extent of pain while receiving an intravitreal bevacizumab injection. Sample size was calculated by WHO sample size calculator with 5% Level of significance, 80% Power of test.The data analyzed by using SPSS 23. Results: The results of pain score in our study showed that the mean pain score of the patients in Group A Superonasal Quadrant was 1.50 ± 0.51, in Group B Superotemporal Quadrant was 4.00 ± 0.91, in Group C Inferonasal Quadrant was 2.70 ± 0.84 and in Group D Inferotemporal Quadrant was 2.87 ± 0.78. The results of p value showed significant difference in pain score in groups. The Pain score is less in Group A Superonasal Quadrant as 1.50 ± 0.51 and more in Group B Superotemporal Quadrant as 4.00 ± 0.91. Conclusion: Superonasal Quadrant (SN Quadrant) was the less pain site as compared to others site i.e. Superotemporal Quadrant (ST quadrant), Inferonasal Quadrant (IN Quadrant) and Inferotemporal Quadrant (IT Quadrant). The most pain full site was Superotemporal Quadrant (ST quadrant).","PeriodicalId":326561,"journal":{"name":"Journal of Saidu Medical College, Swat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121825772","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 : 2022-12-28DOI: 10.52206/jsmc.2022.12.4.608
Saeed Khan, Adnan, Khurshid Anwar, Allah Noor, Muhammad Arif, Saira Nizam
Background: In developing nations, otitis media is widespread among people of low socioeconomic backgrounds. Chronic otitis media is a potentially fatal condition due to its consequences. Gradualbone erosion in chronic otitis media leads to serious intracranial complication.Objective: The objective of this study was to determine the frequency of intracranial complications of otitis media in children.Material and Methods: This was a prospective, descriptive & cross-sectional study conducted at the Department of ENT -----from 1st October 2018 to 30th September 2019 on 120 patients to determine the frequency of intracranial complications of otitis media in children. Children with ages ranging from 1 to 14 years were included in the study. Patients with suspicion of intracranial complications were admitted to ward for management and investigated. The types of complications occurring were noted to determine their frequencies.Results: A total of 120 children were included in the study. The male to female ratio was 3:2. Patients with age range of 3 and 5 years was the commonest group presenting with intracranial complications constituting 30.8% of all. Brain abscess was the commonest complication observed in 13(10.8%) of patients. Conclusion: Intracranial complication of chronic otitis media is common clinical problem faced by ENT surgeon affecting children of 3 to 5 years age, predominantly brain abscess.Keywords: Frequency, Intracranial Complications, Otitis Media, Children, Brain Abscess.
{"title":"Intracranial Complications of Otitis Media - The Menace of Discharging Ears in Children.","authors":"Saeed Khan, Adnan, Khurshid Anwar, Allah Noor, Muhammad Arif, Saira Nizam","doi":"10.52206/jsmc.2022.12.4.608","DOIUrl":"https://doi.org/10.52206/jsmc.2022.12.4.608","url":null,"abstract":"Background: In developing nations, otitis media is widespread among people of low socioeconomic backgrounds. Chronic otitis media is a potentially fatal condition due to its consequences. Gradualbone erosion in chronic otitis media leads to serious intracranial complication.Objective: The objective of this study was to determine the frequency of intracranial complications of otitis media in children.Material and Methods: This was a prospective, descriptive & cross-sectional study conducted at the Department of ENT -----from 1st October 2018 to 30th September 2019 on 120 patients to determine the frequency of intracranial complications of otitis media in children. Children with ages ranging from 1 to 14 years were included in the study. Patients with suspicion of intracranial complications were admitted to ward for management and investigated. The types of complications occurring were noted to determine their frequencies.Results: A total of 120 children were included in the study. The male to female ratio was 3:2. Patients with age range of 3 and 5 years was the commonest group presenting with intracranial complications constituting 30.8% of all. Brain abscess was the commonest complication observed in 13(10.8%) of patients. Conclusion: Intracranial complication of chronic otitis media is common clinical problem faced by ENT surgeon affecting children of 3 to 5 years age, predominantly brain abscess.Keywords: Frequency, Intracranial Complications, Otitis Media, Children, Brain Abscess.","PeriodicalId":326561,"journal":{"name":"Journal of Saidu Medical College, Swat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131643147","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 : 2022-12-28DOI: 10.52206/jsmc.2022.12.4.757
Jibran Umar Ayub, Ayesha Qaisar, Azhar Zahir Shah
{"title":"Fighting Hepatitis: Are We Doing Enough","authors":"Jibran Umar Ayub, Ayesha Qaisar, Azhar Zahir Shah","doi":"10.52206/jsmc.2022.12.4.757","DOIUrl":"https://doi.org/10.52206/jsmc.2022.12.4.757","url":null,"abstract":"","PeriodicalId":326561,"journal":{"name":"Journal of Saidu Medical College, Swat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130743501","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 : 2022-12-28DOI: 10.52206/jsmc.2022.12.4.727
Asif khan, Aya Khan Afridi, Riaz Ahmad Khan, Noorshad Khan, Nizamudin, Muhammad Rashidullah
Background: Urolithiasis is the frequent condition in school age children. The treatment modalities for renal stone can be just observation to allow to eliminate spontaneously, expulsive medical treatment, ureterolithotomy and ureteroscopy.Objective: To determine the effect of preoperative tamsulosin on success of ureteroscopicaccesin below 16 years children.Materials and Methods: This case control study was conducted on records of 110 patients at department of Urology, Saidu Teaching Hospital, Swat. Half cases recieved preoperative tamsulosin and half not. The children below 16 years who received ureteroscopy, Pakistani national and both gender were included. Children who undergone the ureteroscopy or stent placement in last 12 months, those who received preoperative tamsulosin for less than a week (cases only) and with abnormal genitourinary systems were excluded. Chi-square test and student t test was used for comparison of data. Logistic regression was run for controlling confounders.Results: The mean age was 12.91±2.73 years. The females were 61 (55.45%) and the males were 49 (44.55%). The procedure of ureteroscopic access was successful in 40 (72.73%) in cases who received tamsolusin and 29 (52.73%) those who did not. The difference was statistically significant (p=0.03). The only significant predictors for success of ureteroscopic access were type of treatment received and BMI. The success was more in cases who received preoperative tamsulosin (40, 72.7%) than control group (29, 52.7%) statistically (p=0.01). Conclusion: One week preoperative use of tamsulosin can increase the success rate of ureteroscopic access in below 16 years old children.
{"title":"The Effect of Preoperative Tamsulosin on Ureteroscopic Access in Below 16 Years Children","authors":"Asif khan, Aya Khan Afridi, Riaz Ahmad Khan, Noorshad Khan, Nizamudin, Muhammad Rashidullah","doi":"10.52206/jsmc.2022.12.4.727","DOIUrl":"https://doi.org/10.52206/jsmc.2022.12.4.727","url":null,"abstract":"Background: Urolithiasis is the frequent condition in school age children. The treatment modalities for renal stone can be just observation to allow to eliminate spontaneously, expulsive medical treatment, ureterolithotomy and ureteroscopy.Objective: To determine the effect of preoperative tamsulosin on success of ureteroscopicaccesin below 16 years children.Materials and Methods: This case control study was conducted on records of 110 patients at department of Urology, Saidu Teaching Hospital, Swat. Half cases recieved preoperative tamsulosin and half not. The children below 16 years who received ureteroscopy, Pakistani national and both gender were included. Children who undergone the ureteroscopy or stent placement in last 12 months, those who received preoperative tamsulosin for less than a week (cases only) and with abnormal genitourinary systems were excluded. Chi-square test and student t test was used for comparison of data. Logistic regression was run for controlling confounders.Results: The mean age was 12.91±2.73 years. The females were 61 (55.45%) and the males were 49 (44.55%). The procedure of ureteroscopic access was successful in 40 (72.73%) in cases who received tamsolusin and 29 (52.73%) those who did not. The difference was statistically significant (p=0.03). The only significant predictors for success of ureteroscopic access were type of treatment received and BMI. The success was more in cases who received preoperative tamsulosin (40, 72.7%) than control group (29, 52.7%) statistically (p=0.01). Conclusion: One week preoperative use of tamsulosin can increase the success rate of ureteroscopic access in below 16 years old children.","PeriodicalId":326561,"journal":{"name":"Journal of Saidu Medical College, Swat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115941669","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 : 2022-09-26DOI: 10.52206/jsmc.2022.12.3.692
Mudassar Saeed Pansota, Mumtaz Rasool, Hafiz Muhammad Tariq, Muhammad Ajmal Malik, Muhammad Shahzad Saleem
Background: The most effective treatment for symptomatic benign prostatic hyperplasia is surgery. When a patient is diagnosed with BPH and surgery is scheduled, the urologist will usually do transurethral resection of the prostate (TURP) to alleviate symptoms due to its positive results. The effect of TURP on sexual function, on the other hand, is yet unknown and debated.Objective: The purpose of this study was to determine the incidence of ED in sexually active adult males.Materials and Methods: The following are the materials and procedures that were used to complete this project. A total of 165 individuals between the ages of 40 and 65 years old with LUTS symptoms were included in the study. Patients with uncontrolled diabetes, a big prostate, bladder stones, or complicated urethral illness, such as corrected hypospadia or repaired urethral stricture disease, were excluded from the study. Every patient had TURP surgery and was cared for according to our ward routine until he was discharged. Results: The study's participants ranged in age from 40 to 65, with a mean age of 57.50 3.10 years. The majority of the 114 patients (69.09%) were between the ages of 56 and 65. Pre-operative IIEF-5 scores were 18.53 5.24, while post-operative IIEF-5 scores were 15.06 2.50. Patients with ED following TURP were observed in 29 (17.58%) of sexually active adult males, with mild ED in 13 (44.83%), moderate ED in 09 (31.03%), and severe ED in 07 (24.14%).Keywords: benign prostatic hyperplasia, transurethral resection of prostate, erectile dysfunction.
{"title":"Frequency of Erectile Dysfunction after Transurethral Resection of Prostate","authors":"Mudassar Saeed Pansota, Mumtaz Rasool, Hafiz Muhammad Tariq, Muhammad Ajmal Malik, Muhammad Shahzad Saleem","doi":"10.52206/jsmc.2022.12.3.692","DOIUrl":"https://doi.org/10.52206/jsmc.2022.12.3.692","url":null,"abstract":"Background: The most effective treatment for symptomatic benign prostatic hyperplasia is surgery. When a patient is diagnosed with BPH and surgery is scheduled, the urologist will usually do transurethral resection of the prostate (TURP) to alleviate symptoms due to its positive results. The effect of TURP on sexual function, on the other hand, is yet unknown and debated.Objective: The purpose of this study was to determine the incidence of ED in sexually active adult males.Materials and Methods: The following are the materials and procedures that were used to complete this project. A total of 165 individuals between the ages of 40 and 65 years old with LUTS symptoms were included in the study. Patients with uncontrolled diabetes, a big prostate, bladder stones, or complicated urethral illness, such as corrected hypospadia or repaired urethral stricture disease, were excluded from the study. Every patient had TURP surgery and was cared for according to our ward routine until he was discharged. Results: The study's participants ranged in age from 40 to 65, with a mean age of 57.50 3.10 years. The majority of the 114 patients (69.09%) were between the ages of 56 and 65. Pre-operative IIEF-5 scores were 18.53 5.24, while post-operative IIEF-5 scores were 15.06 2.50. Patients with ED following TURP were observed in 29 (17.58%) of sexually active adult males, with mild ED in 13 (44.83%), moderate ED in 09 (31.03%), and severe ED in 07 (24.14%).Keywords: benign prostatic hyperplasia, transurethral resection of prostate, erectile dysfunction.","PeriodicalId":326561,"journal":{"name":"Journal of Saidu Medical College, Swat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121456594","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 : 2022-09-26DOI: 10.52206/jsmc.2022.12.3.454
Laila Zeb, S. Khattak, Samdana Wahab
Background: Anesthesia is needed to ensure both maternal and fetal safety during cesarean sections. General anesthesia can be used for the rapid procedure in obstetric emergencies while regional anesthesia can be used for cesarean section due to its effectiveness.Objective: The objective of this study was to compare intra-operative and postoperative maternal and fetal complications with general and spinal anesthesia during cesarean section.Material and Methods: A total of 100 patients admitted for cesarean sections were included in this study and categorized into two groups (50 each) based on the anesthesia used either general or spinal anesthesia. All the demographic data, type of anesthesia, and post-anesthesia complications were determined. Results: A total of hundred patients were included and categorized into two (GA and SA) equal groups of 50 patients each. The mean age of the General anesthesia group was 29.9±3.8 while the spinal anesthesia group's mean age was 29.8±3.0. Parity was 1.6±0.7 and 1.9±0.7 in the general anesthesia and spinal anesthesia group respectively. The preoperative hemoglobin and hematocrit values were insignificant with p=0.257 and p=0.165 respectively. 24 hours after the operation were significantly lower in the general anesthesia group than in the spinal anesthesia group (P <0.001 and P=0.004, respectively). The proportion of newborns with 5th-min Apgar scores < 7 was not significantly different between the two groups, although the general anesthesia group had a significantly larger proportion of newborns with 1-min Apgar scores <7 than the spinal anesthesia group P=<0.001). Keywords: General anesthesia, Spinal anesthesia, Caesarean section, Apgar score.
背景:在剖宫产术中需要麻醉以确保产妇和胎儿的安全。全身麻醉可用于产科急诊的快速手术，而区域麻醉因其有效性可用于剖宫产。目的:本研究的目的是比较剖宫产术中和术后全身麻醉和脊髓麻醉的母婴并发症。材料与方法:本研究共纳入100例剖宫产手术患者，根据麻醉方式分为全身麻醉和脊髓麻醉两组，每组50例。确定了所有的人口统计学数据、麻醉类型和麻醉后并发症。结果:共纳入100例患者，分为两组(GA组和SA组)，每组各50例。全麻组平均年龄29.9±3.8岁，脊髓麻醉组平均年龄29.8±3.0岁。全麻组胎次为1.6±0.7，脊髓麻组胎次为1.9±0.7。术前血红蛋白、红细胞压积值差异无统计学意义(p=0.257、p=0.165)。全麻组术后24小时的死亡率均显著低于脊髓麻醉组(P <0.001, P=0.004)。两组间5 min Apgar评分<7的新生儿比例无显著差异，但全麻组1 min Apgar评分<7的新生儿比例明显高于脊髓麻醉组(P=<0.001)。关键词:全身麻醉，脊髓麻醉，剖宫产，Apgar评分。
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Pub Date : 2022-09-26DOI: 10.52206/jsmc.2022.12.3.707
Sarhad Khan, Romana Bibi, Abdul Ullah, Ishtiaq-ur-Rehman, Muhammad Bilal, Akbar Azam, Sijad-Ur-Rehman
Background: The ureters account for over 20% of urinary tract stones. The lifetime chance of having urinary calculi is between 5-12%, and men are more likely than women to develop them. There are a variety of minimally invasive interventional (ESWL and Ureteroscopy) and expectant options. However, the optimum therapy is mostly determined by the type and size of the stone, as well as the stone's location and the patient's demands. We do minimal invasive procedures like ureterostomy and ESWL to remove stone in ureter with some complications. Objective: To determine the efficacy of alpha blockers in expulsion of lower ureteric stones less than 1cm.Materials and Methods: Research was conducted in the Department of Urology, A total of 195 patients were included in this study. All patients were subjected to history taking and examination for suspected ureteric stone. Urine R/E and blood test was performed, which included serum urea and creatinine levels, as well as an x-ray KUB and ultrasound of the pelvis and abdomen by giving alpha blockers 0.4mg at night. Efficacy was measured after four week. Results: Our study shows that among 195 patients, 127(65%) patients were in age 15-40 years and 68(35%) patients were in age 41-60 years. 119(61%) patients were male and 76(39%) patients were female. 88(45%) patients had stone size = 10 mm and 107(55%) patients had stone size >10mm. More over alpha blocker was effective in 115(59%) patients and was not effective in 80(41%) patients. Key Words: efficacy, alpha blockers, expulsion, lowers ureteric stones.
{"title":"Lower Ureteric Stone Expulsion under the Effect of Alpha Blockers: A Clinical Trial over Alpha Blockers Efficacy","authors":"Sarhad Khan, Romana Bibi, Abdul Ullah, Ishtiaq-ur-Rehman, Muhammad Bilal, Akbar Azam, Sijad-Ur-Rehman","doi":"10.52206/jsmc.2022.12.3.707","DOIUrl":"https://doi.org/10.52206/jsmc.2022.12.3.707","url":null,"abstract":"Background: The ureters account for over 20% of urinary tract stones. The lifetime chance of having urinary calculi is between 5-12%, and men are more likely than women to develop them. There are a variety of minimally invasive interventional (ESWL and Ureteroscopy) and expectant options. However, the optimum therapy is mostly determined by the type and size of the stone, as well as the stone's location and the patient's demands. We do minimal invasive procedures like ureterostomy and ESWL to remove stone in ureter with some complications. \u0000Objective: To determine the efficacy of alpha blockers in expulsion of lower ureteric stones less than 1cm.Materials and Methods: Research was conducted in the Department of Urology, A total of 195 patients were included in this study. All patients were subjected to history taking and examination for suspected ureteric stone. Urine R/E and blood test was performed, which included serum urea and creatinine levels, as well as an x-ray KUB and ultrasound of the pelvis and abdomen by giving alpha blockers 0.4mg at night. Efficacy was measured after four week. Results: Our study shows that among 195 patients, 127(65%) patients were in age 15-40 years and 68(35%) patients were in age 41-60 years. 119(61%) patients were male and 76(39%) patients were female. 88(45%) patients had stone size = 10 mm and 107(55%) patients had stone size >10mm. More over alpha blocker was effective in 115(59%) patients and was not effective in 80(41%) patients. Key Words: efficacy, alpha blockers, expulsion, lowers ureteric stones.","PeriodicalId":326561,"journal":{"name":"Journal of Saidu Medical College, Swat","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125265617","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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