Pub Date : 2021-08-12DOI: 10.36570/jduhs.2021.2.1075
Aurangzeb Kalhoro, A. Sattar, A. Hashim
OBJECTIVE: Evaluate of Chiari malformations outcome by the method of decompression with duraplasty. METHOD: This was a prospective descriptive study, duration: 03-03- 2013 to 3-2019 conducted at neuro spinal & cancer care institute, Karachi, the study included 91 patients of CM I, including criteria after diagnosis with the help of MRI cervical spine, a patient having a headache, neck pain, limbs numbness and syringomyelia. Patients excluded from the study are those previously operated previously, history of cervical trauma, operated for a brain tumour. RESULTS: we had 91 CM patients, 58 (63.7%) were male, and 33 (36.26%) were female patients and the means age for this surgical procedure was 32 years old. Moreover, all of the patients were gone through the Posterior Fossa Decompression, C1 Laminectomy and Duraplasty. For duraplasty, we took autologous cervical fascia, 1patient had C1 assimilation. 12 (13.1%) patients had hydrocephalus; Ventriculoperitoneal (VP) shunt was placed. Headache was in 91 patients with duration resolved in 87 (95.6%) patients, neck pain was in 82 (90.1%) patient resolved in 74 (90.2%) cases, syrinx was in 36 (39.5%) cases improved in 28 (77.8%) cases, cerebellar sign improved in 40 (83.3%) out of 48 (52.7%) patient, limb numbness resolved in 56 (71.7%) out of 78 (85.7%) cases swallowing difficulty was 31( 34.0%)cases and improved in 24 (77.4%) cases and weakness in upper limbs was relieved in 31 (34%) patients.
{"title":"Outcome of Posterior Fossa Decompression and Duroplasty in Adult Chiari Malformation","authors":"Aurangzeb Kalhoro, A. Sattar, A. Hashim","doi":"10.36570/jduhs.2021.2.1075","DOIUrl":"https://doi.org/10.36570/jduhs.2021.2.1075","url":null,"abstract":"OBJECTIVE: Evaluate of Chiari malformations outcome by the method of decompression with duraplasty. \u0000METHOD: This was a prospective descriptive study, duration: 03-03- 2013 to 3-2019 conducted at neuro spinal & cancer care institute, Karachi, the study included 91 patients of CM I, including criteria after diagnosis with the help of MRI cervical spine, a patient having a headache, neck pain, limbs numbness and syringomyelia. Patients excluded from the study are those previously operated previously, history of cervical trauma, operated for a brain tumour. \u0000RESULTS: we had 91 CM patients, 58 (63.7%) were male, and 33 (36.26%) were female patients and the means age for this surgical procedure was 32 years old. Moreover, all of the patients were gone through the Posterior Fossa Decompression, C1 Laminectomy and Duraplasty. For duraplasty, we took autologous cervical fascia, 1patient had C1 assimilation. 12 (13.1%) patients had hydrocephalus; Ventriculoperitoneal (VP) shunt was placed. Headache was in 91 patients with duration resolved in 87 (95.6%) patients, neck pain was in 82 (90.1%) patient resolved in 74 (90.2%) cases, syrinx was in 36 (39.5%) cases improved in 28 (77.8%) cases, cerebellar sign improved in 40 (83.3%) out of 48 (52.7%) patient, limb numbness resolved in 56 (71.7%) out of 78 (85.7%) cases swallowing difficulty was 31( 34.0%)cases and improved in 24 (77.4%) cases and weakness in upper limbs was relieved in 31 (34%) patients.","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44388319","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 : 2021-08-12DOI: 10.36570/jduhs.2021.2.1051
A. Qureshi, Salma Gul
ABSTRACT: There are certain lesions in the liver, where biopsy is contraindicated, for example Hemangiomas. In such scenarios, we rely on imaging to give diagnosis to clinicians and also provide a roadmap. A rare scenario like peliosis hepatis has grave prognosis. The etiology is still under consideration. Our main aim through this rare case report is to create awareness amongst clinicians and radiologists since it initially closely resembled hepatocellular carcinoma and atypical hemangiomas. It was through our close analysis and detailed literature review that we came to close diagnosis.
{"title":"Hepatic Peliosis with Extra-Hepatic Manifestations","authors":"A. Qureshi, Salma Gul","doi":"10.36570/jduhs.2021.2.1051","DOIUrl":"https://doi.org/10.36570/jduhs.2021.2.1051","url":null,"abstract":"ABSTRACT: \u0000There are certain lesions in the liver, where biopsy is contraindicated, for example Hemangiomas. In such scenarios, we rely on imaging to give diagnosis to clinicians and also provide a roadmap. A rare scenario like peliosis hepatis has grave prognosis. The etiology is still under consideration. Our main aim through this rare case report is to create awareness amongst clinicians and radiologists since it initially closely resembled hepatocellular carcinoma and atypical hemangiomas. It was through our close analysis and detailed literature review that we came to close diagnosis.","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41448011","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 : 2021-04-07DOI: 10.36570/JDUHS.2021.1.1094
Ahsan Muhammad
{"title":"Hemoglobin Evaluation in Hypertensive Disorders of Pregnancy","authors":"Ahsan Muhammad","doi":"10.36570/JDUHS.2021.1.1094","DOIUrl":"https://doi.org/10.36570/JDUHS.2021.1.1094","url":null,"abstract":"","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47716990","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 : 2021-04-07DOI: 10.36570/JDUHS.2021.1.1070
A. Qureshi
{"title":"Hydatid Cyst Can Be Seen In Orbit","authors":"A. Qureshi","doi":"10.36570/JDUHS.2021.1.1070","DOIUrl":"https://doi.org/10.36570/JDUHS.2021.1.1070","url":null,"abstract":"","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43937707","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 : 2021-04-07DOI: 10.36570/JDUHS.2021.1.1015
S. Majeed
Cryptorchidism is said to be, when one or both testes are missing from the scrotum. This condition mostly affects one testicle, but in ten percent of time, both testes can be involved. Many factors contribute to this problem, including: born prematurely, low birth weight, twinning, being born as small for gestational age, cigarette smoking and alcohol consumption by 1 mother during pregnancy. Cryptorchidism might be diagnosed during a physical examination when baby is born or at any checkup after birth, by "palpation" on 2 examination by the doctor. If the normal descend of testes do not occur, many complications can occur like deficiency in sperm count and poor quality of sperm can occur due temperature rise in undescended testes. There is a lower risk of developing carcinoma as a complication, approximately one percent but still the 3 risk persists. Seminoma is the commonest malignancy in such testes, while malignancy being testicular germ 3 cell tumors. Along its pathway of formation and descent, the testes can be found anywhere along, but to be present in abdomen is most prominent. Out of malignancy forming in all undescended testes, there is a rate of occurrence as high as five times in intra4 abdominal testes. Orchiectomy, staging of the disease using radiology and tumor marker testing, and subsequent chemotherapy and/or radiotherapy leads the treatment options in such cases. Department of Surgery, Abbasi Shaheed Hospital Karachi, Pakistan. Correspondence to: Dr. Sobia Majeed, Email: ORCiD: dr.sobiamajeed@yahoo.com, 0000-0003-4552-1347 Sobia Majeed, Shameen Shoaib, Muhammad Jamaluddin, Imran Khan, Muhammad Tahir CASE REPORT JDUHS
{"title":"Ruptured Intra-Abdominal Seminoma in a Young Man: A Case Report","authors":"S. Majeed","doi":"10.36570/JDUHS.2021.1.1015","DOIUrl":"https://doi.org/10.36570/JDUHS.2021.1.1015","url":null,"abstract":"Cryptorchidism is said to be, when one or both testes are missing from the scrotum. This condition mostly affects one testicle, but in ten percent of time, both testes can be involved. Many factors contribute to this problem, including: born prematurely, low birth weight, twinning, being born as small for gestational age, cigarette smoking and alcohol consumption by 1 mother during pregnancy. Cryptorchidism might be diagnosed during a physical examination when baby is born or at any checkup after birth, by \"palpation\" on 2 examination by the doctor. If the normal descend of testes do not occur, many complications can occur like deficiency in sperm count and poor quality of sperm can occur due temperature rise in undescended testes. There is a lower risk of developing carcinoma as a complication, approximately one percent but still the 3 risk persists. Seminoma is the commonest malignancy in such testes, while malignancy being testicular germ 3 cell tumors. Along its pathway of formation and descent, the testes can be found anywhere along, but to be present in abdomen is most prominent. Out of malignancy forming in all undescended testes, there is a rate of occurrence as high as five times in intra4 abdominal testes. Orchiectomy, staging of the disease using radiology and tumor marker testing, and subsequent chemotherapy and/or radiotherapy leads the treatment options in such cases. Department of Surgery, Abbasi Shaheed Hospital Karachi, Pakistan. Correspondence to: Dr. Sobia Majeed, Email: ORCiD: dr.sobiamajeed@yahoo.com, 0000-0003-4552-1347 Sobia Majeed, Shameen Shoaib, Muhammad Jamaluddin, Imran Khan, Muhammad Tahir CASE REPORT JDUHS","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42598380","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 : 2021-04-07DOI: 10.36570/JDUHS.2021.1.1124
F. Gillani
{"title":"HIV Disease Burden and Stigma in Pakistan: The Role of Local Institutions","authors":"F. Gillani","doi":"10.36570/JDUHS.2021.1.1124","DOIUrl":"https://doi.org/10.36570/JDUHS.2021.1.1124","url":null,"abstract":"","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41999333","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 : 2021-04-07DOI: 10.36570/JDUHS.2021.1.1112
S. Javaid
Covid-19 is a rapidly emerging viral respiratory disease The infection of corona virus disease (COVID-19) is initiated by the strains of severe acute respiratory syndrome Corona virus 2 (SARS-CoV-2), is a highly transmittable viral infection that was first emerged in the of Wuhan, a city of China and ultimately extent in whole world The World health organization (WHO) affirmed this infection as a global public health disaster Genomic analysis showing that this novel SARSCoV-2 is hereditarily linked with severe acute respiratory syndrome-like (SARS-like) bat viruses indicating that bats might be the primary source of this epidemic infection In this review we have summarized a comprehensive phylodynamic analysis of whole corona virus genome sequences in order to analyze the pathogenicity and emergence of novel COVID-19 infection and previous human coronaviruses Our main objective is to describe the genetic relationships of the 2019-nCoV with other genera of coronavirus and to find out supposed recombination contained by sarbecovirus subgenus
{"title":"Genetic Diversity and Comprehensive Phylodynamic Analysis of Whole Corona Viruses Genomes","authors":"S. Javaid","doi":"10.36570/JDUHS.2021.1.1112","DOIUrl":"https://doi.org/10.36570/JDUHS.2021.1.1112","url":null,"abstract":"Covid-19 is a rapidly emerging viral respiratory disease The infection of corona virus disease (COVID-19) is initiated by the strains of severe acute respiratory syndrome Corona virus 2 (SARS-CoV-2), is a highly transmittable viral infection that was first emerged in the of Wuhan, a city of China and ultimately extent in whole world The World health organization (WHO) affirmed this infection as a global public health disaster Genomic analysis showing that this novel SARSCoV-2 is hereditarily linked with severe acute respiratory syndrome-like (SARS-like) bat viruses indicating that bats might be the primary source of this epidemic infection In this review we have summarized a comprehensive phylodynamic analysis of whole corona virus genome sequences in order to analyze the pathogenicity and emergence of novel COVID-19 infection and previous human coronaviruses Our main objective is to describe the genetic relationships of the 2019-nCoV with other genera of coronavirus and to find out supposed recombination contained by sarbecovirus subgenus","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47657488","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 : 2021-04-07DOI: 10.36570/JDUHS.2021.1.1103
Erum Khan
{"title":"The Comparison of symphysis morphology in normodivergent patients of short and normal mandible: Comparison of symphysis morphology","authors":"Erum Khan","doi":"10.36570/JDUHS.2021.1.1103","DOIUrl":"https://doi.org/10.36570/JDUHS.2021.1.1103","url":null,"abstract":"","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49000835","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 : 2021-04-07DOI: 10.36570/JDUHS.2021.1.1072
S. Abbas
{"title":"Prediction of Difficult Airway mong Pediatric and Adult Patients Scheduled for Ophthalmological Surgeries under General Anesthesia","authors":"S. Abbas","doi":"10.36570/JDUHS.2021.1.1072","DOIUrl":"https://doi.org/10.36570/JDUHS.2021.1.1072","url":null,"abstract":"","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41366106","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 : 2021-04-07DOI: 10.36570/JDUHS.2021.1.1019
Sajid Farooq
{"title":"Role of fast tract Extubation in Enhanced Recovery after Cardiac Surgery: Associated Factors and Outcomes","authors":"Sajid Farooq","doi":"10.36570/JDUHS.2021.1.1019","DOIUrl":"https://doi.org/10.36570/JDUHS.2021.1.1019","url":null,"abstract":"","PeriodicalId":34119,"journal":{"name":"Journal of the Dow University of Health Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43923712","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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