Pub Date : 2022-09-28DOI: 10.35787/jimdc.v11i3.891
M. Ullah
Endometriosis is a gynaecological pathology that manifests as pelvic pain, infertility and cyclical issues. The presence of endometriotic tissue outside the uterus is the hallmark of endometriosis and commonest sites are ovaries, fallopian tubes, uterosacral ligaments and lateral pelvic peritoneum. Ovarian endometriotic cyst (EC) is typically a chocolate cyst that is often diagnosed by a combination of clinical history examination and radiological imaging. However, the definitive diagnosis requires histopathological confirmation. The management is complex and requires long term suppression of menstrual cycle and ovarian cystectomy. We hereby illustrate a case of a young female who presented with EC. During a routine daycare laparoscopic cystectomy, a rare finding of endometriotic stones was ascertained per-operatively. It has not been reported previously as per our knowledge. Patient remained well post operatively and was discharged in evening.
{"title":"Endometriotic Stones; Can they exist? A case report","authors":"M. Ullah","doi":"10.35787/jimdc.v11i3.891","DOIUrl":"https://doi.org/10.35787/jimdc.v11i3.891","url":null,"abstract":"Endometriosis is a gynaecological pathology that manifests as pelvic pain, infertility and cyclical issues. The presence of endometriotic tissue outside the uterus is the hallmark of endometriosis and commonest sites are ovaries, fallopian tubes, uterosacral ligaments and lateral pelvic peritoneum. Ovarian endometriotic cyst (EC) is typically a chocolate cyst that is often diagnosed by a combination of clinical history examination and radiological imaging. However, the definitive diagnosis requires histopathological confirmation. The management is complex and requires long term suppression of menstrual cycle and ovarian cystectomy. We hereby illustrate a case of a young female who presented with EC. During a routine daycare laparoscopic cystectomy, a rare finding of endometriotic stones was ascertained per-operatively. It has not been reported previously as per our knowledge. Patient remained well post operatively and was discharged in evening.","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"69 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76495421","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 : 2022-09-28DOI: 10.35787/jimdc.v11i3.742
Syeda Zakia, Sara Shahid, Syed Murtaza Hussain, Hadia Hina, Hyder Wajid Abbasi, Haseeb Noor
Background: Ultrasound guided sampling techniques are frequently used in the tissue diagnosis of various tumours. Female patients commonly present with adnexal masses and require tissue diagnosis by trucut biopsy for initiation of the treatment. This study was done to determine the outcome of ultrasound guided trucut biopsy in patients presenting with suspected adnexal malignancy. Methodology: This cross sectional study was done at the Department of Radiology, MCH Centre, PIMS hospital, Islamabad from October 2018 to September 2020. In this study, all female patients aged 18 years and above with suspected adnexal malignancy were included. Trucut biopsy was performed under ultrasound guidance, sample sent for histopathology and various histopathological outcomes were assessed. Patients were kept under observation for 2 hours following biopsy. The data was entered and assessed by using SPSS version 24.0. Frequencies and percentages were calculated for nominal data and mean and standard deviation for numerical data. Results: Mean age of the subjects was 50.24±10.52 years and mean duration of symptoms was 2.97±1.23 months. Definitive diagnosis made in 59 (95.1%) out of 62 cases and only 3 (0.04%) cases were inconclusive; among which two showed inadequate sample and one showed normal tubo-ovarian tissue. 90% histopathological findings were conclusive and no complication was reported. Conclusion: Trucut biopsy has high diagnostic yield with no complications and most common malignancy detected was serous cystadenocarcinoma followed by mucinous carcinoma. Key words: Biopsy, Malignancy, Ultrasound
{"title":"Outcome of Ultrasound Guided Trucut Biopsy of Adnexal Masses with Suspected Malignancy","authors":"Syeda Zakia, Sara Shahid, Syed Murtaza Hussain, Hadia Hina, Hyder Wajid Abbasi, Haseeb Noor","doi":"10.35787/jimdc.v11i3.742","DOIUrl":"https://doi.org/10.35787/jimdc.v11i3.742","url":null,"abstract":"Background: Ultrasound guided sampling techniques are frequently used in the tissue diagnosis of various tumours. Female patients commonly present with adnexal masses and require tissue diagnosis by trucut biopsy for initiation of the treatment. This study was done to determine the outcome of ultrasound guided trucut biopsy in patients presenting with suspected adnexal malignancy. \u0000Methodology: This cross sectional study was done at the Department of Radiology, MCH Centre, PIMS hospital, Islamabad from October 2018 to September 2020. In this study, all female patients aged 18 years and above with suspected adnexal malignancy were included. Trucut biopsy was performed under ultrasound guidance, sample sent for histopathology and various histopathological outcomes were assessed. Patients were kept under observation for 2 hours following biopsy. The data was entered and assessed by using SPSS version 24.0. Frequencies and percentages were calculated for nominal data and mean and standard deviation for numerical data. \u0000Results: Mean age of the subjects was 50.24±10.52 years and mean duration of symptoms was 2.97±1.23 months. Definitive diagnosis made in 59 (95.1%) out of 62 cases and only 3 (0.04%) cases were inconclusive; among which two showed inadequate sample and one showed normal tubo-ovarian tissue. 90% histopathological findings were conclusive and no complication was reported. \u0000Conclusion: Trucut biopsy has high diagnostic yield with no complications and most common malignancy detected was serous cystadenocarcinoma followed by mucinous carcinoma. \u0000Key words: Biopsy, Malignancy, Ultrasound \u0000 ","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88800806","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 : 2022-09-28DOI: 10.35787/jimdc.v11i3.789
Rabia Shahid, Muhammad Saleem Akhter, Muhammad Waseem, M. Rafiq
Background: HRCT chest has proven to be a helpful radiological modality to assess the course of disease. The main objective of the study was to analyze the pattern of lung involvement on HRCT chest among post-Covid patients. Methodology: This cross-sectional study was carried out in the post Covid patients (30 days after discharge) from Nov 2020 to July 2021 in Sahiwal Teaching Hospital, Pakistan. Total 180 patients were selected through non probability consecutive sampling technique. Whole body Multi Slice CT scan 128 Slices by GE discovery was used to get HRCT of chest and to document various patterns and stages of pulmonary fibrosis in the post-COVID patients. The data was analyzed using the IBM SPSS 28.0.0 2021. Various radiological findings were expressed in percentages. Results: A total of 77.8% patients had bilateral lung involvement, while 22.2% had unilateral lung involvement after one month of disease. Ground Glass Haze was the commonest radiological pattern, found in 140 (77.8%) cases. Other radiological patterns were Air Space Opacification (47.2%), Septal Thickening (20%) and Fibrotic Bands (26.1%). Traction Bronchiectasis (10%) and Honey Combing (7.8%) were among the lesser ones reported. About 62% patients had mixed findings on HRCT Chest. Diagnosis of Organizing Pneumonia was made in 166 (92.22%) patients while 14 (7.78%) patients were labelled as UIP (Usual Interstitial Pneumonia) with honey-combing in HRCT chest. The involvement of Right Lower Lobe was in 165 (91.7%) of cases. Right Middle Lobe remained fairly spared and was seen in 120 (66.7%) cases. Conclusion: Patchy ground glass haze seen bilaterally in lower lung lobes are the commonest abnormalities in HRCT chest of post-COVID patients. Keywords: Covid-19, Pneumonia, Radiology
{"title":"High Resolution Computed Tomography Chest Findings Among Post-COVID Patients","authors":"Rabia Shahid, Muhammad Saleem Akhter, Muhammad Waseem, M. Rafiq","doi":"10.35787/jimdc.v11i3.789","DOIUrl":"https://doi.org/10.35787/jimdc.v11i3.789","url":null,"abstract":" \u0000Background: HRCT chest has proven to be a helpful radiological modality to assess the course of disease. The main objective of the study was to analyze the pattern of lung involvement on HRCT chest among post-Covid patients. \u0000Methodology: This cross-sectional study was carried out in the post Covid patients (30 days after discharge) from Nov 2020 to July 2021 in Sahiwal Teaching Hospital, Pakistan. Total 180 patients were selected through non probability consecutive sampling technique. Whole body Multi Slice CT scan 128 Slices by GE discovery was used to get HRCT of chest and to document various patterns and stages of pulmonary fibrosis in the post-COVID patients. The data was analyzed using the IBM SPSS 28.0.0 2021. Various radiological findings were expressed in percentages. \u0000Results: A total of 77.8% patients had bilateral lung involvement, while 22.2% had unilateral lung involvement after one month of disease. \u0000Ground Glass Haze was the commonest radiological pattern, found in 140 (77.8%) cases. Other radiological patterns were Air Space Opacification (47.2%), Septal Thickening (20%) and Fibrotic Bands (26.1%). Traction Bronchiectasis (10%) and Honey Combing (7.8%) were among the lesser ones reported. About 62% patients had mixed findings on HRCT Chest. Diagnosis of Organizing Pneumonia was made in 166 (92.22%) patients while 14 (7.78%) patients were labelled as UIP (Usual Interstitial Pneumonia) with honey-combing in HRCT chest. The involvement of Right Lower Lobe was in 165 (91.7%) of cases. Right Middle Lobe remained fairly spared and was seen in 120 (66.7%) cases. \u0000Conclusion: Patchy ground glass haze seen bilaterally in lower lung lobes are the commonest abnormalities in HRCT chest of post-COVID patients. \u0000Keywords: Covid-19, Pneumonia, Radiology","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80749071","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 : 2022-06-30DOI: 10.35787/jimdc.v11i2.734
Ahmed Bin Khalid Khan, Seeme Nigar, Naseer Ahmed, Anum Tanwir, Chander Kumar, Sara Altamash
Background: Dental problems are common in autistic children due to poor oral hygiene. During the dental treatment, main challenge is reduced ability of autistic kids to communicate. The objective of this study was to investigate about the oral health status of autistic children and to compare the risk of dental caries and periodontal disease between children with autism and healthy controls. Methodology: This case-control study was conducted at the Milestone Charitable Trust and Defense Housing Authority (DHA), Sheikh Khalifa Bin Zayed School, for the duration of 04 months (1st Dec 2019 – 30th March 2020). Among cases, 67 autistic children and among controls,67 healthy children, of age 7 to 17 years, of either gender, were included. All the participants were examined and assessed for presence or absence of any carious lesions, and periodontal health. Data analysis was done using SPSS version 23. Results: The overall mean age of included children was 12.51±2.99 years. Of 134 children, 53.7% were males and 46.3% females. The odds of periodontal disease were 5.52 times higher in autistic children as compared to healthy children (p < .001). The odds of dental caries were 3.43 times higher in autistic children as compared to healthy children (p < .001). In both age groups (<=10 years and >10 years), the risk of periodontal disease and dental caries was higher among autistic children as compared to normal children. While, according to gender, the risk of dental caries was higher among male autistic children as compared to normal children. Conclusion: The odds of dental caries and periodontal disease were higher among autistic children as compared to healthy controls. Keywords: Autism Spectrum Disorder, Dental caries, Periodontitis
背景:由于口腔卫生不良，自闭症儿童的牙齿问题很常见。在牙科治疗过程中，自闭症儿童面临的主要挑战是沟通能力下降。本研究旨在了解自闭症儿童的口腔健康状况，并比较自闭症儿童与健康儿童患龋齿和牙周病的风险。方法:本病例对照研究在谢赫哈利法·本·扎耶德学校里程碑慈善信托和国防住房管理局(DHA)进行，为期04个月(2019年12月1日至2020年3月30日)。在病例中，包括67名自闭症儿童，在对照组中，包括67名年龄在7至17岁之间的健康儿童，不分性别。所有的参与者都被检查和评估是否有任何龋齿损害和牙周健康。数据分析使用SPSS version 23。结果:患儿总体平均年龄为12.51±2.99岁。134名儿童中，男占53.7%，女占46.3%。自闭症儿童患牙周病的几率是健康儿童的5.52倍(p < 0.001)。自闭症儿童患龋齿的几率是健康儿童的3.43倍(p < 0.001)。在这两个年龄组(10岁)中，自闭症儿童患牙周病和龋齿的风险高于正常儿童。然而，从性别上看，男性自闭症儿童患龋齿的风险比正常儿童高。结论:与健康儿童相比，自闭症儿童患龋齿和牙周病的几率更高。关键词:自闭症谱系障碍，龋齿，牙周炎
{"title":"Evaluation of Dental Caries and Periodontal Health Status in Children with Autism: a Case Control Study","authors":"Ahmed Bin Khalid Khan, Seeme Nigar, Naseer Ahmed, Anum Tanwir, Chander Kumar, Sara Altamash","doi":"10.35787/jimdc.v11i2.734","DOIUrl":"https://doi.org/10.35787/jimdc.v11i2.734","url":null,"abstract":"Background: Dental problems are common in autistic children due to poor oral hygiene. During the dental treatment, main challenge is reduced ability of autistic kids to communicate. The objective of this study was to investigate about the oral health status of autistic children and to compare the risk of dental caries and periodontal disease between children with autism and healthy controls. \u0000Methodology: This case-control study was conducted at the Milestone Charitable Trust and Defense Housing Authority (DHA), Sheikh Khalifa Bin Zayed School, for the duration of 04 months (1st Dec 2019 – 30th March 2020). Among cases, 67 autistic children and among controls,67 healthy children, of age 7 to 17 years, of either gender, were included. All the participants were examined and assessed for presence or absence of any carious lesions, and periodontal health. Data analysis was done using SPSS version 23. \u0000Results: The overall mean age of included children was 12.51±2.99 years. Of 134 children, 53.7% were males and 46.3% females. The odds of periodontal disease were 5.52 times higher in autistic children as compared to healthy children (p < .001). The odds of dental caries were 3.43 times higher in autistic children as compared to healthy children (p < .001). In both age groups (<=10 years and >10 years), the risk of periodontal disease and dental caries was higher among autistic children as compared to normal children. While, according to gender, the risk of dental caries was higher among male autistic children as compared to normal children. \u0000Conclusion: The odds of dental caries and periodontal disease were higher among autistic children as compared to healthy controls. \u0000Keywords: Autism Spectrum Disorder, Dental caries, Periodontitis","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77525451","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}
Background: Amniotic fluid index (AFI) is a key element in fetal biophysical profile that predicts pregnancy outcome especially near term in primigravidae. The objective of the study was to determine a reference range of AFI in primigravidae of a local population having gestational age from 37 to 42 weeks. Methodology: This study was carried out from January 2019 to December 2019 after approval from Institutional Review Board and Ethical Committee at Shifa International hospital, Islamabad, Pakistan. Applying inclusion and exclusion criteria, a sample of 272 was selected. AFI was calculated for each subject using ultrasound and recorded on a data collection sheet. For the sake of simplicity and clinical relevance, the population was further stratified as term pregnancy (gestational age 37-39 weeks) and postdates pregnancy (40-42 weeks). The reference range of AFI was then calculated using mean ±two standard deviations. Results: The reference range of AFI for gestational age of 37-42 weeks (population as a whole) was 6.8- 17.2 cm. For term pregnancy, it was 7.5- 17.5 cm, and for postdate pregnancy, it was 5.8 to 15.4 cm. Conclusion: The reference range of AFI for gestational age of 37 to 42 weeks in Primigravida women was 6.8 to 17.2 cm. There is a decreasing trend in AFI as pregnancy advances from term to postdate. Keywords: Amniotic Fluid Index, Gestational age, Primigravida, Reference Range.
{"title":"Reference range of Amniotic Fluid Index (AFI) in primigravidae with gestational age from 37 to 42 weeks in a local (Pakistani) population.","authors":"Khurram Khaliq Bhinder, Abdur Raheem, Rayyan Pervez, Raheela Aqeel, Sanam Soomro, Aisha Jang","doi":"10.35787/jimdc.v11i2.686","DOIUrl":"https://doi.org/10.35787/jimdc.v11i2.686","url":null,"abstract":"Background: Amniotic fluid index (AFI) is a key element in fetal biophysical profile that predicts pregnancy outcome especially near term in primigravidae. The objective of the study was to determine a reference range of AFI in primigravidae of a local population having gestational age from 37 to 42 weeks. \u0000Methodology: This study was carried out from January 2019 to December 2019 after approval from Institutional Review Board and Ethical Committee at Shifa International hospital, Islamabad, Pakistan. Applying inclusion and exclusion criteria, a sample of 272 was selected. AFI was calculated for each subject using ultrasound and recorded on a data collection sheet. For the sake of simplicity and clinical relevance, the population was further stratified as term pregnancy (gestational age 37-39 weeks) and postdates pregnancy (40-42 weeks). The reference range of AFI was then calculated using mean ±two standard deviations. \u0000Results: The reference range of AFI for gestational age of 37-42 weeks (population as a whole) was 6.8- 17.2 cm. For term pregnancy, it was 7.5- 17.5 cm, and for postdate pregnancy, it was 5.8 to 15.4 cm. \u0000Conclusion: The reference range of AFI for gestational age of 37 to 42 weeks in Primigravida women was 6.8 to 17.2 cm. There is a decreasing trend in AFI as pregnancy advances from term to postdate. \u0000Keywords: Amniotic Fluid Index, Gestational age, Primigravida, Reference Range.","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84377873","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 : 2022-06-30DOI: 10.35787/jimdc.v11i2.800
Waleed Ishaq, Hira Riaz, M. Chaudhary, Rida Anjum, Salman Ahmad, Sara Bano
Background: Oral health-related quality of life (OHRQoL) is a compound model comprising individualized evaluation of one’s emotional, functional and oral health. It is easily influenced by multiple variables including oral problems, cultural differences and personality traits. Where other personality traits negatively influence OHRQoL, extroversion exhibits a positive association. Contrarily, conflicting results have been reported in literature. The inconsistent results, insufficient local data and cultural differences make it imperative to further investigate. The objective of the study was to determine a correlation between extroversion and OHRQoL in prosthodontic patients. Methodology: This cross-sectional study was conducted in Prosthodontics Department of Islamic International Dental Hospital, Islamabad from May 2018 to April 2019. Sample size was calculated to be 270 with 5% significance level and Spearman correlation coefficient of 0.17. However, 305 patients were included in this study. After obtaining informed consent and recording demographic data, Oral Health Impact Profile-14 (OHIP-14) and Eysenck Personality Questionnaire–Revised Short-scale (EPQ-RS) were used to collect the required data and categorize patients. Results: The bivariate correlation analysis revealed extroversion to be negatively associated (r = -0.220) with OHIP score. It depicts that the more extrovert an individual, the lower the OHIP score (better OHRQoL) and vice versa. Effect modifier analysis revealed inconsistent correlation results for extroversion. Conclusion: A positive correlation has been established between Extroversion and OHRQoL, with inconsistent results after controlling effect modifiers.
{"title":"Impact of Extroversion on Oral Health-Related Quality of Life in Prosthodontic Patients","authors":"Waleed Ishaq, Hira Riaz, M. Chaudhary, Rida Anjum, Salman Ahmad, Sara Bano","doi":"10.35787/jimdc.v11i2.800","DOIUrl":"https://doi.org/10.35787/jimdc.v11i2.800","url":null,"abstract":"Background: Oral health-related quality of life (OHRQoL) is a compound model comprising individualized evaluation of one’s emotional, functional and oral health. It is easily influenced by multiple variables including oral problems, cultural differences and personality traits. Where other personality traits negatively influence OHRQoL, extroversion exhibits a positive association. Contrarily, conflicting results have been reported in literature. The inconsistent results, insufficient local data and cultural differences make it imperative to further investigate. The objective of the study was to determine a correlation between extroversion and OHRQoL in prosthodontic patients. \u0000Methodology: This cross-sectional study was conducted in Prosthodontics Department of Islamic International Dental Hospital, Islamabad from May 2018 to April 2019. Sample size was calculated to be 270 with 5% significance level and Spearman correlation coefficient of 0.17. However, 305 patients were included in this study. After obtaining informed consent and recording demographic data, Oral Health Impact Profile-14 (OHIP-14) and Eysenck Personality Questionnaire–Revised Short-scale (EPQ-RS) were used to collect the required data and categorize patients. \u0000Results: The bivariate correlation analysis revealed extroversion to be negatively associated (r = -0.220) with OHIP score. It depicts that the more extrovert an individual, the lower the OHIP score (better OHRQoL) and vice versa. Effect modifier analysis revealed inconsistent correlation results for extroversion. \u0000Conclusion: A positive correlation has been established between Extroversion and OHRQoL, with inconsistent results after controlling effect modifiers.","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"193 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88612571","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 : 2022-06-30DOI: 10.35787/jimdc.v11i2.870
Azra Azeem, Nelofar Kiran
Background: Post traumatic stress disorder in the after math of trauma is common. The objective of this study was to find correlation between Post-traumatic stress disorder and contributing factors of growth after trauma in active duty officials of police having direct exposure of trauma during war against terror in Pakistan. Methodology: The cross-sectional study was done on active-duty police officials from Federally Administered Tribal Areas (FATA) of Pakistan in three years duration from Jan, 2019 till December 2021. Non probability purposive sampling technique was used for selection of participants. Post-Traumatic Stress Diagnostic Scale (PDS-5), short form of Comprehensive trauma inventory, Adult Hope Scale and Perceived coping self-efficacy scale were used for data collection. SPSS version 21 was used for data analysis. After descriptive analysis, correlation of variables was checked by Pearson correlation and moderation analysis was done. Results: Age range of the participants was 33.6 ± 6.3 years. There was a significant strong positive correlation of Hope and Perceived self-efficacy with Post traumatic growth and negative correlation with Post Traumatic Stress Disorder. There was a significant increase in post-traumatic growth in presence of hope and perceived self-efficacy. Conclusion: Relationship between post-traumatic stress disorder and post-traumatic growth was moderated by perceived coping self-efficacy and hope.
背景:创伤后应激障碍在创伤后数学中是常见的。摘要本研究旨在探讨巴基斯坦反恐战争中直接暴露于创伤的现役警察的创伤后应激障碍与创伤后成长的相关因素。方法:横断面研究是在2019年1月至2021年12月的三年时间里对巴基斯坦联邦直辖部落地区(FATA)的现役警察官员进行的。采用非概率有目的抽样技术进行研究对象的选择。采用创伤后应激诊断量表(PDS-5)、简易创伤综合量表、成人希望量表和感知应对自我效能量表进行数据收集。使用SPSS version 21进行数据分析。描述性分析后，采用Pearson相关检验各变量的相关性，并进行适度分析。结果:年龄范围为33.6±6.3岁。希望、自我效能感与创伤后成长呈显著正相关，与创伤后应激障碍呈显著负相关。创伤后希望和自我效能感的成长显著增加。结论:创伤后应激障碍与创伤后成长的关系受应对自我效能感和希望的调节。
{"title":"Post-traumatic stress disorder and Post-traumatic Growth among Police officials; Role of Coping Self Efficacy and Hope","authors":"Azra Azeem, Nelofar Kiran","doi":"10.35787/jimdc.v11i2.870","DOIUrl":"https://doi.org/10.35787/jimdc.v11i2.870","url":null,"abstract":"Background: Post traumatic stress disorder in the after math of trauma is common. The objective of this study was to find correlation between Post-traumatic stress disorder and contributing factors of growth after trauma in active duty officials of police having direct exposure of trauma during war against terror in Pakistan. \u0000Methodology: The cross-sectional study was done on active-duty police officials from Federally Administered Tribal Areas (FATA) of Pakistan in three years duration from Jan, 2019 till December 2021. Non probability purposive sampling technique was used for selection of participants. Post-Traumatic Stress Diagnostic Scale (PDS-5), short form of Comprehensive trauma inventory, Adult Hope Scale and Perceived coping self-efficacy scale were used for data collection. SPSS version 21 was used for data analysis. After descriptive analysis, correlation of variables was checked by Pearson correlation and moderation analysis was done. \u0000Results: Age range of the participants was 33.6 ± 6.3 years. There was a significant strong positive correlation of Hope and Perceived self-efficacy with Post traumatic growth and negative correlation with Post Traumatic Stress Disorder. There was a significant increase in post-traumatic growth in presence of hope and perceived self-efficacy. \u0000Conclusion: Relationship between post-traumatic stress disorder and post-traumatic growth was moderated by perceived coping self-efficacy and hope.","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91151428","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 : 2022-06-30DOI: 10.35787/jimdc.v11i2.846
Bilal Umair, Sohail saqib, Rashid Husnain, R. Khan, F. Ullah
Inflammatory fibroblastic tumour of lung is a rare mesenchymal tumour usually affecting the children and young adults. It is usually considered as a benign entity however it has high potential for recurrence and local invasion. Exact pathogenesis of tumour is not known. Complete surgical excision is the treatment of choice. Due to high chance of recurrence, patients are usually kept on close follow up. Here we present a case of inflammatory myofibroblastic tumour of lung , who presented with history of pain and shortness of breath.She was diagnosed a case of inflammatory myofibroblastic tumour with the help of CT scan chest and CT Guided biopsy.She underwent right sided pneumonectomy and remained symptom free on follow up. Key Words. Inflammatory, Myofibroblasts, Pneumonectomy, Tumour.
{"title":"Inflammatory Myofibroblastic Tumour of Lung, A Rare Entity","authors":"Bilal Umair, Sohail saqib, Rashid Husnain, R. Khan, F. Ullah","doi":"10.35787/jimdc.v11i2.846","DOIUrl":"https://doi.org/10.35787/jimdc.v11i2.846","url":null,"abstract":"Inflammatory fibroblastic tumour of lung is a rare mesenchymal tumour usually affecting the children and young adults. It is usually considered as a benign entity however it has high potential for recurrence and local invasion. Exact pathogenesis of tumour is not known. Complete surgical excision is the treatment of choice. Due to high chance of recurrence, patients are usually kept on close follow up. Here we present a case of inflammatory myofibroblastic tumour of lung , who presented with history of pain and shortness of breath.She was diagnosed a case of inflammatory myofibroblastic tumour with the help of CT scan chest and CT Guided biopsy.She underwent right sided pneumonectomy and remained symptom free on follow up. \u0000Key Words. Inflammatory, Myofibroblasts, Pneumonectomy, Tumour. \u0000 ","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80548428","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 : 2022-06-30DOI: 10.35787/jimdc.v11i2.808
Dr Tamkeen Nishat Jaffry, Dr Hina Shan, Dr Rehma Gillani, Dr Uzma Hassan, Dr Bismillah Sehar, Rubab Zulfiqar
Background: Mass vaccination is the most effective way to fight against COVID 19 but a significant number of people are unwilling to be vaccinated, mainly due to misinformation and false beliefs, associated with this drive. The objective of this study was to identify these misconceptions and myths and associate them with sociodemographic factors. Methodology: This cross sectional survey was conducted on 562 residents of Rawalpindi and Islamabad from July 2021 to November 2021. Data was collected through structured questionnaire both in English and Urdu, analysed by SPSS version 23. χ2-test was used to check the association of categorical data with sociodemographic factors. Results: Out of all the participants, 328 (58.4%) had received COVID19 vaccination. Among these vaccinated individuals, 81.8% were graduates or above and 74.2% had family income more than Rs.50,000. Out of total, 40.7% respondents believed that, vaccine is harmful for diabetics, hypertensive and heart patients, 40.6% agreed that it is not safe for pregnant or lactating women and 40.4% assumed that they have acquired immunity through natural infection. A strong association of misconceptions and myths was found with residence (p value 0.0001), educational level (p value 0.0010) and monthly income (p value 0.0001). Conclusion: Several misconceptions and myths are related with COVID 19 vaccination, strongly influenced by various socio demographic. Hence, there is a need to launch various campaigns regarding the safety and effectiveness of vaccination. Key words: COVID-19, Misinformation, Vaccine
{"title":"COVID 19 Vaccination Related Misconceptions and Myths","authors":"Dr Tamkeen Nishat Jaffry, Dr Hina Shan, Dr Rehma Gillani, Dr Uzma Hassan, Dr Bismillah Sehar, Rubab Zulfiqar","doi":"10.35787/jimdc.v11i2.808","DOIUrl":"https://doi.org/10.35787/jimdc.v11i2.808","url":null,"abstract":"Background: Mass vaccination is the most effective way to fight against COVID 19 but a significant number of people are unwilling to be vaccinated, mainly due to misinformation and false beliefs, associated with this drive. The objective of this study was to identify these misconceptions and myths and associate them with sociodemographic factors. \u0000Methodology: This cross sectional survey was conducted on 562 residents of Rawalpindi and Islamabad from July 2021 to November 2021. Data was collected through structured questionnaire both in English and Urdu, analysed by SPSS version 23. χ2-test was used to check the association of categorical data with sociodemographic factors. \u0000Results: Out of all the participants, 328 (58.4%) had received COVID19 vaccination. Among these vaccinated individuals, 81.8% were graduates or above and 74.2% had family income more than Rs.50,000. Out of total, 40.7% respondents believed that, vaccine is harmful for diabetics, hypertensive and heart patients, 40.6% agreed that it is not safe for pregnant or lactating women and 40.4% assumed that they have acquired immunity through natural infection. A strong association of misconceptions and myths was found with residence (p value 0.0001), educational level (p value 0.0010) and monthly income (p value 0.0001). \u0000Conclusion: Several misconceptions and myths are related with COVID 19 vaccination, strongly influenced by various socio demographic. Hence, there is a need to launch various campaigns regarding the safety and effectiveness of vaccination. \u0000Key words: COVID-19, Misinformation, Vaccine","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76010509","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 : 2022-06-30DOI: 10.35787/jimdc.v11i2.694
Muhammad Ali, Shafique ahmed, Abdul Manan Junejo, Ayesha Ejaz, Hina Iram, Heer Gul
Background: WHO declared Covid-19 a pandemic disease; although 80% of patients with CoV-2 infection have no or mild symptoms, the remaining 20% of patients develop complications. In patients undergoing dialysis, mortality could be higher than that in the general population. This study was conducted to assess the frequency, clinical presentation, and outcome of COVID-19 infection in patients of end-stage renal disease (ESRD) on maintenance hemodialysis. Methodology: This Cross-sectional study was conducted at Department of Nephrology, Jinnah Postgraduate Medical Centre, Karachi, from April to September 2020. This study included 130 patients of either gender of End-Stage Renal Disease on maintenance hemodialysis for at least 3 months. Two Samples for COVID-19 PCR were taken through nasal swab. Blood samples were collected for hemoglobin level, total and differential leucocyte count, platelet count, intact Parathyroid hormone, vitamin D level, Urea, Creatinine, ferritin, transferrin saturation, procalcitonin, D-Dimer, C-reactive proteins, and lactate dehydrogenase. Radiological assessment was done by X-ray Chest. Urea reduction ratio and single pool Kt/V was used for assessment of adequacy of hemodialysis. Results: Out of 130 patients on hemodialysis, COVID-19 was detected in 52 patients, of which males were 69.2% and females were 30.8%. The most common presentation was shortness of breath (28.8%), followed by cough (19.2%). Home isolation was advised to 38.5% while noninvasive ventilation was given to 34.6%. Mechanically ventilated patients were 26.9%. There were 63.5% patients who recovered and were discharged from the hospital or home-isolated, while 19 patients died (36.5%). Conclusion: COVID-19 pandemic has high chances of infection with increased mortality in people with chronic diseases, especially those having ESRD on hemodialysis. This spreading of infection can be hampered with standard measures of disinfection in centers, social distancing in patients, and the use of a face mask. Keywords: Covid-19, Cough, Hemodialysis, Home isolation, Ventilation
{"title":"Clinical Presentation and Outcome of Covid-19 Infection in Patients Undergoing Maintenance Hemodialysis","authors":"Muhammad Ali, Shafique ahmed, Abdul Manan Junejo, Ayesha Ejaz, Hina Iram, Heer Gul","doi":"10.35787/jimdc.v11i2.694","DOIUrl":"https://doi.org/10.35787/jimdc.v11i2.694","url":null,"abstract":"Background: WHO declared Covid-19 a pandemic disease; although 80% of patients with CoV-2 infection have no or mild symptoms, the remaining 20% of patients develop complications. In patients undergoing dialysis, mortality could be higher than that in the general population. This study was conducted to assess the frequency, clinical presentation, and outcome of COVID-19 infection in patients of end-stage renal disease (ESRD) on maintenance hemodialysis. \u0000Methodology: This Cross-sectional study was conducted at Department of Nephrology, Jinnah Postgraduate Medical Centre, Karachi, from April to September 2020. This study included 130 patients of either gender of End-Stage Renal Disease on maintenance hemodialysis for at least 3 months. Two Samples for COVID-19 PCR were taken through nasal swab. Blood samples were collected for hemoglobin level, total and differential leucocyte count, platelet count, intact Parathyroid hormone, vitamin D level, Urea, Creatinine, ferritin, transferrin saturation, procalcitonin, D-Dimer, C-reactive proteins, and lactate dehydrogenase. Radiological assessment was done by X-ray Chest. Urea reduction ratio and single pool Kt/V was used for assessment of adequacy of hemodialysis. \u0000Results: Out of 130 patients on hemodialysis, COVID-19 was detected in 52 patients, of which males were 69.2% and females were 30.8%. The most common presentation was shortness of breath (28.8%), followed by cough (19.2%). Home isolation was advised to 38.5% while noninvasive ventilation was given to 34.6%. Mechanically ventilated patients were 26.9%. There were 63.5% patients who recovered and were discharged from the hospital or home-isolated, while 19 patients died (36.5%). \u0000Conclusion: COVID-19 pandemic has high chances of infection with increased mortality in people with chronic diseases, especially those having ESRD on hemodialysis. This spreading of infection can be hampered with standard measures of disinfection in centers, social distancing in patients, and the use of a face mask. \u0000Keywords: Covid-19, Cough, Hemodialysis, Home isolation, Ventilation \u0000 ","PeriodicalId":33701,"journal":{"name":"Journal of Islamabad Medical and Dental College","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78440841","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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