Pub Date : 2022-10-31DOI: 10.29052/ijehsr.v10.i4.2022.368-372
Zeeshan Ahsan, S. Z. A. Kazmi, Faizan Ahmed Siddiqui, Summaiya Abdul Rehman, Ahsan Inayat
Background: Pre-emptive analgesia improves patients' quality of life after treatment by reducing post-operative complications and a more rapid return to their daily activities. The current study aims to evaluate knowledge, awareness, and practice on using pre-emptive analgesia during surgical procedures among private dental practitioners in Karachi, Pakistan. Methodology: This survey-based descriptive study was conducted among private dental practitioners working in Karachi, Pakistan. The questionnaire has been designed to assess knowledge, awareness, and practice regarding the usage of pre-emptive analgesia. Part one focused on the socio-demographic characteristics of the participants, including age, gender, and level of experience. While Part two comprises ten multiple-choice questions regarding the knowledge, awareness, and practice of pre-emptive analgesia among private dental practitioners. The survey instrument was a self-administered questionnaire in the English language, and the questionnaire form was sent electronically to the study participants. Results: About 98(74.2%) of participants are aware of pre-emptive analgesia usage during surgical procedures, but only 78(59.1%) practitioners know the mechanism of action of pre-emptive analgesia. While. Diclofenac sodium 35(26.5%) is most commonly used by private dental practitioners as pre-emptive analgesia. Conclusion: The knowledge of oral pre-emptive analgesia was limited among dental practitioners. Most of them know that pre-emptive analgesics are used during oral surgical procedures, but many practitioners don't know their mechanism of action and method of administration.
{"title":"Knowledge, awareness, and practice on the usage of pre-emptive analgesia during oral surgical procedures.","authors":"Zeeshan Ahsan, S. Z. A. Kazmi, Faizan Ahmed Siddiqui, Summaiya Abdul Rehman, Ahsan Inayat","doi":"10.29052/ijehsr.v10.i4.2022.368-372","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i4.2022.368-372","url":null,"abstract":"Background: Pre-emptive analgesia improves patients' quality of life after treatment by reducing post-operative complications and a more rapid return to their daily activities. The current study aims to evaluate knowledge, awareness, and practice on using pre-emptive analgesia during surgical procedures among private dental practitioners in Karachi, Pakistan. \u0000Methodology: This survey-based descriptive study was conducted among private dental practitioners working in Karachi, Pakistan. The questionnaire has been designed to assess knowledge, awareness, and practice regarding the usage of pre-emptive analgesia. Part one focused on the socio-demographic characteristics of the participants, including age, gender, and level of experience. While Part two comprises ten multiple-choice questions regarding the knowledge, awareness, and practice of pre-emptive analgesia among private dental practitioners. The survey instrument was a self-administered questionnaire in the English language, and the questionnaire form was sent electronically to the study participants. \u0000Results: About 98(74.2%) of participants are aware of pre-emptive analgesia usage during surgical procedures, but only 78(59.1%) practitioners know the mechanism of action of pre-emptive analgesia. While. Diclofenac sodium 35(26.5%) is most commonly used by private dental practitioners as pre-emptive analgesia. \u0000Conclusion: The knowledge of oral pre-emptive analgesia was limited among dental practitioners. Most of them know that pre-emptive analgesics are used during oral surgical procedures, but many practitioners don't know their mechanism of action and method of administration.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47765344","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 : 2022-10-26DOI: 10.29052/ijehsr.v10.i4.2022.422-432
Shadab Kazi, Abdul Azeem Khan, A. Memon
Cardiovascular diseases are among the top leading causes of death worldwide. Most of the time, the patients present with no symptoms, or some symptoms resemble other diseases. This makes most cases challenging for physicians and healthcare workers to diagnose. Besides this, most of the time, not diagnosing the patient on time or delay in the start of intervention is the main cause of death in cardiovascular diseases. Proper history and examination can play a crucial role in this part. History taken in properly can help in reaching the diagnosis. Apart from this, it also helps in the start of empirical therapy. This is where most clinicians are lacking. Waiting for the labs is still time-wasting in other health issues, but it can be killing in cardiac patients. Thus the cardiologist needs to start with a good history and then go on with examinations. Then confirm their findings with the proper labs. This narrows down the diagnosis and saves a lot of time. History-taking is the most important clinical step in the management of patients. But most of the time, it is underrated, and most clinicians rely on labs rather than these basic skills. This article thus reviews the importance of history-taking in diagnosing patients with cardiovascular diseases. Besides this, it also addresses how a good history should be taken to narrow down the diagnosis and reach the proper diagnosis within time to save a patient's life.
{"title":"History Taking, Assessment, and Diagnosis of Patients with Cardiovascular Diseases-Re-defining the Clinical Skills.","authors":"Shadab Kazi, Abdul Azeem Khan, A. Memon","doi":"10.29052/ijehsr.v10.i4.2022.422-432","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i4.2022.422-432","url":null,"abstract":"Cardiovascular diseases are among the top leading causes of death worldwide. Most of the time, the patients present with no symptoms, or some symptoms resemble other diseases. This makes most cases challenging for physicians and healthcare workers to diagnose. Besides this, most of the time, not diagnosing the patient on time or delay in the start of intervention is the main cause of death in cardiovascular diseases. Proper history and examination can play a crucial role in this part. History taken in properly can help in reaching the diagnosis. Apart from this, it also helps in the start of empirical therapy. This is where most clinicians are lacking. Waiting for the labs is still time-wasting in other health issues, but it can be killing in cardiac patients. Thus the cardiologist needs to start with a good history and then go on with examinations. Then confirm their findings with the proper labs. This narrows down the diagnosis and saves a lot of time. History-taking is the most important clinical step in the management of patients. But most of the time, it is underrated, and most clinicians rely on labs rather than these basic skills. This article thus reviews the importance of history-taking in diagnosing patients with cardiovascular diseases. Besides this, it also addresses how a good history should be taken to narrow down the diagnosis and reach the proper diagnosis within time to save a patient's life.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46256386","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 : 2022-10-22DOI: 10.29052/ijehsr.v10.i4.2022.398-403
Bushra Alizah Khan, Muhammad Arif, A. Memon, Atif Sharjeel
Background: This study is based on management issues within the healthcare sector in Karachi. Specifically, it is focused on managing conflicts in the operation rooms, whereby team performance of Operation Theatre staff directly impacts patients' speedy recovery. Methodology: A quantitative survey was conducted involving the surgeons and Operation Theatre staff in Karachi's community hospitals. A closed-ended questionnaire was used in this study, and the questions mainly focused on the conflicts and management of doctors and staff in the operation theatre. Only those doctors and staff members included in the study who is currently working in the operation theatre division of the hospital. a Pearson correlation analysis was performed to assess the relationships between the factors affecting conflicts in the hospital's operating room. Results: The results indicated that the extent of conflict management is high. Factors include communication, leadership, training, adequate compensation, and role identification as perceived by employees. After performing OLS regression tests, the study found that the variable of miscommunication, the communication gap, plays a crucial role in accelerating disagreements of conflicts in Operation Theatre. Conclusion: A significant positive association between the factors and conflict management is observed. It suggests that operation theatre-related factors are improving with better conflict management practices.
{"title":"Operation room conflicts and management.","authors":"Bushra Alizah Khan, Muhammad Arif, A. Memon, Atif Sharjeel","doi":"10.29052/ijehsr.v10.i4.2022.398-403","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i4.2022.398-403","url":null,"abstract":"Background: This study is based on management issues within the healthcare sector in Karachi. Specifically, it is focused on managing conflicts in the operation rooms, whereby team performance of Operation Theatre staff directly impacts patients' speedy recovery. \u0000Methodology: A quantitative survey was conducted involving the surgeons and Operation Theatre staff in Karachi's community hospitals. A closed-ended questionnaire was used in this study, and the questions mainly focused on the conflicts and management of doctors and staff in the operation theatre. Only those doctors and staff members included in the study who is currently working in the operation theatre division of the hospital. a Pearson correlation analysis was performed to assess the relationships between the factors affecting conflicts in the hospital's operating room. \u0000Results: The results indicated that the extent of conflict management is high. Factors include communication, leadership, training, adequate compensation, and role identification as perceived by employees. After performing OLS regression tests, the study found that the variable of miscommunication, the communication gap, plays a crucial role in accelerating disagreements of conflicts in Operation Theatre. \u0000Conclusion: A significant positive association between the factors and conflict management is observed. It suggests that operation theatre-related factors are improving with better conflict management practices.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47984875","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 : 2022-09-01DOI: 10.29052/ijehsr.v10.i3.2022.296-303
Awal Khan, Dildar Muhammad, Afsha Khan, R. S. Dewey
Background: The significance of self-care in heart failure is yet to be demonstrated empirically; however, it's commonly believed that effective self-care delays the development of heart failure. This study aimed to assess the level of self-care among patients with heart failure attending a cardiac hospice center in Peshawar, Pakistan. Methodology: A cross-sectional study design was used to examine self-care maintenance, self-care management, and self-care confidence in heart failure patients at Heart Hospice Center, Hayat Abad Medical Complex. A total of 195 heart failure patients were recruited using a convenient sampling method. Data were collected using the Self Care Heart Failure Index (SCHFI) version 6.2. Results: The mean SCHFI score (comprising 22 items) across n=195 participants was 50 ± 28.9. A very low percentage (31.28%, n=61) scored an accepted level (≥70) of self-care. On the subscales of self-management, self-confidence, and self-maintenance, the mean scores were 50.0 ± 28.8, 46±26.6, and 50.0 ± 28.7, respectively. One hundred eighty symptomatic patients completed the self-care management subscale who was experiencing shortness of breath and ankle swelling. Conclusion: Heart failure patients attending the Heart Hospice Center in Peshawar, Pakistan, did not portray a satisfactory level of self-care behavior. More effective nursing interventions are needed to manage heart failure patients in this center.
{"title":"Assessment of self-care in heart failure patients at a cardiac hospice in Peshawar, Pakistan.","authors":"Awal Khan, Dildar Muhammad, Afsha Khan, R. S. Dewey","doi":"10.29052/ijehsr.v10.i3.2022.296-303","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i3.2022.296-303","url":null,"abstract":"Background: The significance of self-care in heart failure is yet to be demonstrated empirically; however, it's commonly believed that effective self-care delays the development of heart failure. This study aimed to assess the level of self-care among patients with heart failure attending a cardiac hospice center in Peshawar, Pakistan. Methodology: A cross-sectional study design was used to examine self-care maintenance, self-care management, and self-care confidence in heart failure patients at Heart Hospice Center, Hayat Abad Medical Complex. A total of 195 heart failure patients were recruited using a convenient sampling method. Data were collected using the Self Care Heart Failure Index (SCHFI) version 6.2. Results: The mean SCHFI score (comprising 22 items) across n=195 participants was 50 ± 28.9. A very low percentage (31.28%, n=61) scored an accepted level (≥70) of self-care. On the subscales of self-management, self-confidence, and self-maintenance, the mean scores were 50.0 ± 28.8, 46±26.6, and 50.0 ± 28.7, respectively. One hundred eighty symptomatic patients completed the self-care management subscale who was experiencing shortness of breath and ankle swelling. Conclusion: Heart failure patients attending the Heart Hospice Center in Peshawar, Pakistan, did not portray a satisfactory level of self-care behavior. More effective nursing interventions are needed to manage heart failure patients in this center.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46474860","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 : 2022-09-01DOI: 10.29052/ijehsr.v10.i3.2022.319-327
F. Mirza, A. Fazal, Sadaf Ahmed
Background Skin, the most visible human entity, quickly displays emotional, physical, and psychological well-being. Research has shown a linear correlation between both types of skin aging within 30–69 years. Thus, the current research study aimed to highlight the use of SCINEXA, the novel skin aging score, in predicting accelerated biological aging. Methodology This cross-sectional study was conducted in Karachi, Pakistan, from 8th October 2021 to 4th December 2021. Both male and female subjects of age groups from 19 to 69 years were included. A novel skin aging score, 'SCINEXA' (Score of Intrinsic and Extrinsic Skin Aging), was used to assess skin aging. Both extrinsic and intrinsic signs were analyzed in terms of pigmented spots, coarse wrinkles, solar elastosis, telangiectasia, and laxity & seborrheic keratosis, respectively. Results The SCINEXA score indicated that 91.3% of participants had low aging signs and decreased pigmentation, while 2.9% had relatively high pigmentation on the forehead, cheek, forearm, and back of the hand. Coarse Wrinkles of grade 5 on the forehead were present among 19.7% of individuals, and 20.6% showed the same in the crow feet area. The skin aging symptoms are most significantly associated with age (p<0.05). Conclusion Accelerated biological aging is not found in the studied population using the SCINEXA tool; therefore, the studied population's skin has been found resilient to photo-aging.
{"title":"Non-invasive indicators of skin aging; A study on the population of Karachi using SCINEXA","authors":"F. Mirza, A. Fazal, Sadaf Ahmed","doi":"10.29052/ijehsr.v10.i3.2022.319-327","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i3.2022.319-327","url":null,"abstract":"Background Skin, the most visible human entity, quickly displays emotional, physical, and psychological well-being. Research has shown a linear correlation between both types of skin aging within 30–69 years. Thus, the current research study aimed to highlight the use of SCINEXA, the novel skin aging score, in predicting accelerated biological aging. Methodology This cross-sectional study was conducted in Karachi, Pakistan, from 8th October 2021 to 4th December 2021. Both male and female subjects of age groups from 19 to 69 years were included. A novel skin aging score, 'SCINEXA' (Score of Intrinsic and Extrinsic Skin Aging), was used to assess skin aging. Both extrinsic and intrinsic signs were analyzed in terms of pigmented spots, coarse wrinkles, solar elastosis, telangiectasia, and laxity & seborrheic keratosis, respectively. Results The SCINEXA score indicated that 91.3% of participants had low aging signs and decreased pigmentation, while 2.9% had relatively high pigmentation on the forehead, cheek, forearm, and back of the hand. Coarse Wrinkles of grade 5 on the forehead were present among 19.7% of individuals, and 20.6% showed the same in the crow feet area. The skin aging symptoms are most significantly associated with age (p<0.05). Conclusion Accelerated biological aging is not found in the studied population using the SCINEXA tool; therefore, the studied population's skin has been found resilient to photo-aging.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44950858","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 : 2022-09-01DOI: 10.29052/ijehsr.v10.i3.2022.290-295
F. Shah, Awais Naeem, Fahad Naim, Wasim Ahmad
Background: Background: There is a lack of information regarding serum uric acid (SUA) and magnesium levels among the pre-diabetics population. This study aimed to assess the biochemical assessment of both uric acid and magnesium in prediabetics of the Peshawar-KP region. Methodology: In this case-control study, patients having normal glucose levels were considered as control, and prediabetics were cases. Fasting blood glucose (FPG) levels between 100-125 mg/dl or HbA1c levels between 5.7 to 6.4% were considered pre-diabetic. SUA was assessed by the Uricase method, serum Mg+ by the Calmagite calorimetric method, and fasting glucose was assessed by the GOD-POD enzymatic method. Results: According to our findings, mean values of serum magnesium were 2.12 ± 0.60 mg/dl (p=0.026) and 1.10 ± 0.82 mg/dl (p=0.001) in male and female of control group whereas, 1.60 ± 0.44 mg/dl (p=0.004) and 0.90 ± 0.22 mg/dl (p=0.002) in male and female of cases group respectively. Correspondingly, mean value of SUA was recorded as 4.14 ± 0.66 mg/dl (p=0.008) and 3.12 ± 0.38 mg/dl (p=0.004) in male and female of control group whereas 8.10 ± 1.00 mg/dl (p=0.002) and 6.22 ± 0.44 mg/dl (p=0.003) in male and female of cases and subjects group respectively. It is noticeable that mean serum magnesium and SUA values were higher in the male of both groups compared to females. Conclusion: The study concluded that lower serum magnesium levels in prediabetics might result from the closure of K+ channels, defective phosphorylation of insulin receptors, or diminished glucokinase activity. Higher uric acid levels in prediabetics might result from inflammation, oxidative stress, and hypertrophy of the tubules.
{"title":"Biochemical assessment of uric acid and magnesium in prediabetic patients in Peshawar-KP: A case-control study.","authors":"F. Shah, Awais Naeem, Fahad Naim, Wasim Ahmad","doi":"10.29052/ijehsr.v10.i3.2022.290-295","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i3.2022.290-295","url":null,"abstract":"Background: Background: There is a lack of information regarding serum uric acid (SUA) and magnesium levels among the pre-diabetics population. This study aimed to assess the biochemical assessment of both uric acid and magnesium in prediabetics of the Peshawar-KP region. Methodology: In this case-control study, patients having normal glucose levels were considered as control, and prediabetics were cases. Fasting blood glucose (FPG) levels between 100-125 mg/dl or HbA1c levels between 5.7 to 6.4% were considered pre-diabetic. SUA was assessed by the Uricase method, serum Mg+ by the Calmagite calorimetric method, and fasting glucose was assessed by the GOD-POD enzymatic method. Results: According to our findings, mean values of serum magnesium were 2.12 ± 0.60 mg/dl (p=0.026) and 1.10 ± 0.82 mg/dl (p=0.001) in male and female of control group whereas, 1.60 ± 0.44 mg/dl (p=0.004) and 0.90 ± 0.22 mg/dl (p=0.002) in male and female of cases group respectively. Correspondingly, mean value of SUA was recorded as 4.14 ± 0.66 mg/dl (p=0.008) and 3.12 ± 0.38 mg/dl (p=0.004) in male and female of control group whereas 8.10 ± 1.00 mg/dl (p=0.002) and 6.22 ± 0.44 mg/dl (p=0.003) in male and female of cases and subjects group respectively. It is noticeable that mean serum magnesium and SUA values were higher in the male of both groups compared to females. Conclusion: The study concluded that lower serum magnesium levels in prediabetics might result from the closure of K+ channels, defective phosphorylation of insulin receptors, or diminished glucokinase activity. Higher uric acid levels in prediabetics might result from inflammation, oxidative stress, and hypertrophy of the tubules.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48192196","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 : 2022-08-19DOI: 10.29052/ijehsr.v10.i3.2022.313-318
Asad Ullah Jan Hafiz, W. Syed, Sana Khalid
Background: Lithotripsy procedures, especially, Ureterorenoscopy is considered instrumental in treating ureteral stones effectively. In endourological surgery, a pigtail ureteric stent is a widely used method to resolve or prevent ureteral obstruction, promote healing, and reduce the incidence of ureteral strictures. The current study aimed to compare the efficacy of Tamsulosin with Solifenacin and Tamsulosin alone in double-J stents associated with lower urinary tract symptoms using IPS-Score. Methodology: This study was conducted at the Urology Department, Institute of Kidney Diseases (IKD) Peshawar, Pakistan, from Aug 30, 2018, to Feb 28, 2019. Patients with DJ stents were randomly assigned to two groups (Group A & Group B). Group A received Tab Tamsulosin and Solifenacin, while Group B received Tab Tamsulosin alone; the IPS score was calculated at baseline and after 14 days. Results: A total of 100 subjects undergoing unilateral DJ ureteral stenting participated in this study. The post-treatment IPSS Irritative score suggested that Group A has an average IPS score of 4.38+1.77, while in Group B, 6.4+1.55, which was significant with a p-value of 0.000. Conclusion: Post-treatment average IPSS Irritative score of Tamsulosin and Solifenacin combination was less than Tamsulosin alone in patients with unilateral DJ stent.
{"title":"The efficacy of tamsulosin and solifenacin versus tamsulosin alone in double-J stent associated with lower urinary tract symptoms.","authors":"Asad Ullah Jan Hafiz, W. Syed, Sana Khalid","doi":"10.29052/ijehsr.v10.i3.2022.313-318","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i3.2022.313-318","url":null,"abstract":"Background: Lithotripsy procedures, especially, Ureterorenoscopy is considered instrumental in treating ureteral stones effectively. In endourological surgery, a pigtail ureteric stent is a widely used method to resolve or prevent ureteral obstruction, promote healing, and reduce the incidence of ureteral strictures. The current study aimed to compare the efficacy of Tamsulosin with Solifenacin and Tamsulosin alone in double-J stents associated with lower urinary tract symptoms using IPS-Score. Methodology: This study was conducted at the Urology Department, Institute of Kidney Diseases (IKD) Peshawar, Pakistan, from Aug 30, 2018, to Feb 28, 2019. Patients with DJ stents were randomly assigned to two groups (Group A & Group B). Group A received Tab Tamsulosin and Solifenacin, while Group B received Tab Tamsulosin alone; the IPS score was calculated at baseline and after 14 days. Results: A total of 100 subjects undergoing unilateral DJ ureteral stenting participated in this study. The post-treatment IPSS Irritative score suggested that Group A has an average IPS score of 4.38+1.77, while in Group B, 6.4+1.55, which was significant with a p-value of 0.000. Conclusion: Post-treatment average IPSS Irritative score of Tamsulosin and Solifenacin combination was less than Tamsulosin alone in patients with unilateral DJ stent.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46047484","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 : 2022-08-17DOI: 10.29052/ijehsr.v10.i3.2022.349-354
Haris Jameel, Mehnaz Jabeen, Rabeea Saleem, Pardeep Kumar, A. S. Hassan
Background: Partial nephrectomy has emerged as a standard treatment for managing small renal masses. RENAL Nephrometry score (RNS) is a widely used tool for assessing tumors, minimizing bias, and improving clinical outcomes. This study aimed to determine the frequency of various renal mass complexities based on the RENAL nephrometry score in patients undergoing partial nephrectomy and to compare the mean blood loss in these patients. Methodology: The cross-sectional study was conducted at the Department of Urology, Sindh Institute of Urology & Transplantation, Karachi- Pakistan. Perioperative blood loss after partial nephrectomy was observed in all cases, and patients had their RENAL nephrometry score determined before surgery. The patient's baseline demographic data, including age, gender, and body mass index (BMI), was recorded using a pre-designed Proforma. Results: According to the RNS, there were 33(52.4%) patients with moderate complexity, followed by 19(30.25%) and 11(17.4%) who had severe and mild complexity, respectively. Furthermore, there was a significant difference in the mean blood loss among the three groups (p=0.025). Among the cofounders, age, BMI, and male gender significantly affected mean blood loss in different RNS groups (p<0.05). Conclusion: There was a high frequency of moderate renal complexity among the studied patients based on the RNS. A significant difference in the mean blood loss was observed among the patients with mild, moderate, and severe complexity.
{"title":"Frequency of renal mass complexities among patients undergoing partial nephrectomy associated with perioperative blood loss.","authors":"Haris Jameel, Mehnaz Jabeen, Rabeea Saleem, Pardeep Kumar, A. S. Hassan","doi":"10.29052/ijehsr.v10.i3.2022.349-354","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i3.2022.349-354","url":null,"abstract":"Background: Partial nephrectomy has emerged as a standard treatment for managing small renal masses. RENAL Nephrometry score (RNS) is a widely used tool for assessing tumors, minimizing bias, and improving clinical outcomes. This study aimed to determine the frequency of various renal mass complexities based on the RENAL nephrometry score in patients undergoing partial nephrectomy and to compare the mean blood loss in these patients. Methodology: The cross-sectional study was conducted at the Department of Urology, Sindh Institute of Urology & Transplantation, Karachi- Pakistan. Perioperative blood loss after partial nephrectomy was observed in all cases, and patients had their RENAL nephrometry score determined before surgery. The patient's baseline demographic data, including age, gender, and body mass index (BMI), was recorded using a pre-designed Proforma. Results: According to the RNS, there were 33(52.4%) patients with moderate complexity, followed by 19(30.25%) and 11(17.4%) who had severe and mild complexity, respectively. Furthermore, there was a significant difference in the mean blood loss among the three groups (p=0.025). Among the cofounders, age, BMI, and male gender significantly affected mean blood loss in different RNS groups (p<0.05). Conclusion: There was a high frequency of moderate renal complexity among the studied patients based on the RNS. A significant difference in the mean blood loss was observed among the patients with mild, moderate, and severe complexity.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43838671","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 : 2022-08-15DOI: 10.29052/ijehsr.v10.i3.2022.361-367
T. Ashraf, K. Aamir, Asif Nadeem, Shirjeel Murtaza, P. Akhtar, Samra Yasmin, Rahmat Ghaffar, M. Hassan, F. Tipoo
Background: One of the most frequently observed valvular heart lesions is Mitral stenosis (MS), characterized by left ventricular inflow tract obstruction at the mitral valve level caused by different etiologies. Early detection of symptomatic mitral stenosis with a thrombus in LAA, not responding to anticoagulation in due course of time are sent for Mitral valve replacement rather than undergoing PTMC. The current study aims to see the anticoagulation response in different types of left atrial appendages so that non-responders can be referred for surgery on the first TEE and Cardiac CT. Methodology: The current study will observe the frequency of left atrial appendage (LAA) thrombus resolution after three months of anticoagulation in patients with severe MS. It will assess the response rate in different morphologies of LAA so that non-responders can be referred for surgery on the very first TEE and Cardiac CT. Consecutive MS patients with thrombus in LAA detected via transesophageal echocardiography will be included in the study. According to the standard procedure, TEE followed by Cardiac CT will be performed after obtaining informed consent from the patients. Discussion: Detecting the anticoagulation response using follow-up TEE in different types of left atrial appendages might be helpful for the non-responders that can be referred for surgery after TEE and Cardiac CT on first examination and TEE only at the end of three months. Trial registration number: The trial was registered on ClinicalTrials.gov (NCT05186649).
{"title":"Left atrial appendage clot with severe mitral stenosis, responders and non-responders with anticoagulation, a prospective cohort study.","authors":"T. Ashraf, K. Aamir, Asif Nadeem, Shirjeel Murtaza, P. Akhtar, Samra Yasmin, Rahmat Ghaffar, M. Hassan, F. Tipoo","doi":"10.29052/ijehsr.v10.i3.2022.361-367","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i3.2022.361-367","url":null,"abstract":"Background: One of the most frequently observed valvular heart lesions is Mitral stenosis (MS), characterized by left ventricular inflow tract obstruction at the mitral valve level caused by different etiologies. Early detection of symptomatic mitral stenosis with a thrombus in LAA, not responding to anticoagulation in due course of time are sent for Mitral valve replacement rather than undergoing PTMC. The current study aims to see the anticoagulation response in different types of left atrial appendages so that non-responders can be referred for surgery on the first TEE and Cardiac CT. Methodology: The current study will observe the frequency of left atrial appendage (LAA) thrombus resolution after three months of anticoagulation in patients with severe MS. It will assess the response rate in different morphologies of LAA so that non-responders can be referred for surgery on the very first TEE and Cardiac CT. Consecutive MS patients with thrombus in LAA detected via transesophageal echocardiography will be included in the study. According to the standard procedure, TEE followed by Cardiac CT will be performed after obtaining informed consent from the patients. Discussion: Detecting the anticoagulation response using follow-up TEE in different types of left atrial appendages might be helpful for the non-responders that can be referred for surgery after TEE and Cardiac CT on first examination and TEE only at the end of three months. Trial registration number: The trial was registered on ClinicalTrials.gov (NCT05186649).","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46112077","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 : 2022-08-15DOI: 10.29052/ijehsr.v10.i3.2022.279-289
Amber Shahzadi, K. Khan
Background: In Pakistan, only 20% of births are attended by a competent health expert, while traditional birth attendants (TBAs) deliver 90% of births. Therefore, in Pakistan, TBAs play a dynamic role in providing maternal health. This study assessed the Knowledge and Perceptions of TBAs treating patients with HIV/AIDS and its related stigma and discrimination in district Multan, Pakistan. Methodology: A descriptive study design is used to conduct in-depth interviews and focus group discussions using a self-structured questionnaire with TBAs (FGDs = 4; n = 18) who were permanent residents. In addition, in-depth interviews (IDIs = 6) were conducted with women who had more than five years of experience and are still in practice. Participants were sampled through convenience sampling resulting in 100. Results: The results of the study indicated that TBAs have heard about HIV/AIDS, but 53.5% did not have a clear understanding of the signs and symptoms of HIV/AIDS. The knowledge of this deadly virus and disease was perceived rather vaguely by the TBAs. Most (82%) of the respondents presented a discriminatory attitude towards the people living with HIV. Conclusion: This study inferred that the targeted group was poorly informed about the actual concerns of HIV/AIDS and how to overcome stigma and discrimination. So, if we ought to cope with the hideous challenge of the pandemic and meet the 2030 goal of removing this pandemic, we are supposed to reposition and train our health care providers, especially TBAs, to meet up with the best global practices.
{"title":"Knowledge and perceptions of traditional birth attendants treating patients with HIV/AIDS and its related stigma and discrimination in District Multan, Pakistan.","authors":"Amber Shahzadi, K. Khan","doi":"10.29052/ijehsr.v10.i3.2022.279-289","DOIUrl":"https://doi.org/10.29052/ijehsr.v10.i3.2022.279-289","url":null,"abstract":"Background: In Pakistan, only 20% of births are attended by a competent health expert, while traditional birth attendants (TBAs) deliver 90% of births. Therefore, in Pakistan, TBAs play a dynamic role in providing maternal health. This study assessed the Knowledge and Perceptions of TBAs treating patients with HIV/AIDS and its related stigma and discrimination in district Multan, Pakistan. Methodology: A descriptive study design is used to conduct in-depth interviews and focus group discussions using a self-structured questionnaire with TBAs (FGDs = 4; n = 18) who were permanent residents. In addition, in-depth interviews (IDIs = 6) were conducted with women who had more than five years of experience and are still in practice. Participants were sampled through convenience sampling resulting in 100. Results: The results of the study indicated that TBAs have heard about HIV/AIDS, but 53.5% did not have a clear understanding of the signs and symptoms of HIV/AIDS. The knowledge of this deadly virus and disease was perceived rather vaguely by the TBAs. Most (82%) of the respondents presented a discriminatory attitude towards the people living with HIV. Conclusion: This study inferred that the targeted group was poorly informed about the actual concerns of HIV/AIDS and how to overcome stigma and discrimination. So, if we ought to cope with the hideous challenge of the pandemic and meet the 2030 goal of removing this pandemic, we are supposed to reposition and train our health care providers, especially TBAs, to meet up with the best global practices.","PeriodicalId":34196,"journal":{"name":"International Journal of Endorsing Health Science Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46941029","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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