Pub Date : 2023-05-01DOI: 10.4103/jmedsci.jmedsci_82_22
Shi-ting Huang, Yi-Jen Peng, Mugang Yu
Huge or enlarged solid ovarian tumor, elevated serum CA-125 levels, massive ascites, and even pleural effusions are common features of ovarian cancer which have the worst outcome of gynecological malignancy. Here, we report a 53-year-old woman with fibrothecoma-associated Meigs syndrome mimicking ovarian malignancy, whose symptoms resolved gradually, and subsequently, serum CA-125 level declined to normal range after surgical intervention. The pathological diagnosis revealed fibrothecoma of the ovary compatible with Meigs syndrome containing the triad of benign ovarian tumor, ascites, and pleural effusion. Therefore, Meigs syndrome should be considered one of the clinical differential diagnoses for a large ovarian tumor with ascites, pleural effusion, and elevated CA-125.
{"title":"Meigs syndrome caused by fibrothecoma of the ovary","authors":"Shi-ting Huang, Yi-Jen Peng, Mugang Yu","doi":"10.4103/jmedsci.jmedsci_82_22","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_82_22","url":null,"abstract":"Huge or enlarged solid ovarian tumor, elevated serum CA-125 levels, massive ascites, and even pleural effusions are common features of ovarian cancer which have the worst outcome of gynecological malignancy. Here, we report a 53-year-old woman with fibrothecoma-associated Meigs syndrome mimicking ovarian malignancy, whose symptoms resolved gradually, and subsequently, serum CA-125 level declined to normal range after surgical intervention. The pathological diagnosis revealed fibrothecoma of the ovary compatible with Meigs syndrome containing the triad of benign ovarian tumor, ascites, and pleural effusion. Therefore, Meigs syndrome should be considered one of the clinical differential diagnoses for a large ovarian tumor with ascites, pleural effusion, and elevated CA-125.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":"43 1","pages":"136 - 139"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44997114","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}
Humera Bukhari, Ikram Muhammad, Shad Muhammad, N. Muhammad, Muhammad Iqbal, Reman J. Ahmed, Sajid Ullah
Objective: To determine the frequency of neglected renal calculi in patients with acute kidney injury. Material and Methods: This was a descriptive study conducted at the division of nephrology, Lady Reading Hospital Peshawar, from 26/09/2021- 26/03/2022. Data was collected from 214 patients with acute kidney injury (AKI). Detailed clinical history was taken to confirm the patient did not know about the presence of previous stone disease. After confirming the acute kidney injury, bio-chemical investigations including serum urea, serum creatinine, serum calcium, urine analysis, and radiological investigation i.e. ultrasound KUB, X-ray KUB. When needed IUV and CT scan KUB was also done for the confirmation of the renal stones. Results: In this study, the mean age was 52 years ± 13.81. Sixty-seven percent of patients were male, while 33% were female. Twelve percent of patients had neglected renal calculi, while 88% of patients didn’t have neglected renal calculi. Conclusion: Our study concluded that 12% of patients presented with Acute Kidney Injury at a tertiary care hospital had neglected renal stones. Keywords: Neglected renal calculi, Acute Kidney Injury.
{"title":"THE PREVALENCE OF NEGLECTED RENAL STONE AMONG PATIENTS PRESENTED WITH ACUTE KIDNEY INJURY TO A TERTIARY CARE HOSPITAL","authors":"Humera Bukhari, Ikram Muhammad, Shad Muhammad, N. Muhammad, Muhammad Iqbal, Reman J. Ahmed, Sajid Ullah","doi":"10.52764/jms.23.31.1.3","DOIUrl":"https://doi.org/10.52764/jms.23.31.1.3","url":null,"abstract":"Objective:\u0000To determine the frequency of neglected renal calculi in patients with acute kidney injury.\u0000Material and Methods:\u0000This was a descriptive study conducted at the division of nephrology, Lady Reading Hospital Peshawar, from 26/09/2021- 26/03/2022. Data was collected from 214 patients with acute kidney injury (AKI). Detailed clinical history was taken to confirm the patient did not know about the presence of previous stone disease. After confirming the acute kidney injury, bio-chemical investigations including serum urea, serum creatinine, serum calcium, urine analysis, and radiological investigation i.e. ultrasound KUB, X-ray KUB. When needed IUV and CT scan KUB was also done for the confirmation of the renal stones. \u0000Results: \u0000In this study, the mean age was 52 years ± 13.81. Sixty-seven percent of patients were male, while 33% were female. Twelve percent of patients had neglected renal calculi, while 88% of patients didn’t have neglected renal calculi. \u0000 \u0000Conclusion:\u0000Our study concluded that 12% of patients presented with Acute Kidney Injury at a tertiary care hospital had neglected renal stones. \u0000Keywords: Neglected renal calculi, Acute Kidney Injury.\u0000 ","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43513914","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}
Z. Khan, Farman Ullah, Hameed Ullah, S. Ahmad, Yasir Hakeem
OBJECTIVES:To determine the frequency of hypomagnesaemia in patients presenting with Acute CoronarySyndrome.Methodology: It was Descriptive Cross Sectional study conducted in Department of Cardiology, MTI-HMC, Peshawarfrom 07 Mar, 2021 to 20 Sept 2021 after approval from Institutional ethical board.About185 patients were enrolled in the study. All patients presenting with Acute coronary syndrome to CCU and admitted were enrolled in study .After informed consent ,using aseptic3cc BD syringe5ml of blood was drawn and was sent in the vial for assessment ofmagnesium level. Hypomagnesaemia was labelled as per operational definition. All the data wasnoted and recorded into the attached proforma along with demographic details of the patient. RESULTS:. Maximun number of patients were in age group 51-70 years ie 77.83% (144)patients .About 22.16%(41)patients were recorded in 35-50 years age group. Mean and SDs for age was 62+7.11years and BMI was 27.2+1.56 kg/m2. Mean and SDs formagnesium level was 0.79+0.04 mmoles 44 (23.78%) patients had unstable angina, 124(67.02%) patients had NSTEMI, 17 (9.18%) patients had STEMI. 15 (8.10%) patients wererecorded with hypomagnesaemia. CONCLUSION:Our results show variations in the occurrence of hypomagnesaemia in acute coronary syndromeand that is the reason we recommend early assessment of serum magnesium concentration in acutecoronary syndrome so as to follow and implement proper magnesium supplementations well intime as hypomagnesaemia is preventable and therefore identifying it at early stage may be ofsignificant help to the patients.
{"title":"FREQUENCY OF HYPOMAGNESAEMIA IN PATIENTSPRESENTING WITH ACUTE CORONARY SYNDROME","authors":"Z. Khan, Farman Ullah, Hameed Ullah, S. Ahmad, Yasir Hakeem","doi":"10.52764/jms.23.32.1.10","DOIUrl":"https://doi.org/10.52764/jms.23.32.1.10","url":null,"abstract":"OBJECTIVES:To determine the frequency of hypomagnesaemia in patients presenting with Acute CoronarySyndrome.Methodology: \u0000It was Descriptive Cross Sectional study conducted in Department of Cardiology, MTI-HMC, Peshawarfrom 07 Mar, 2021 to 20 Sept 2021 after approval from Institutional ethical board.About185 patients were enrolled in the study. All patients presenting with Acute coronary syndrome to CCU and admitted were enrolled in study .After informed consent ,using aseptic3cc BD syringe5ml of blood was drawn and was sent in the vial for assessment ofmagnesium level. Hypomagnesaemia was labelled as per operational definition. All the data wasnoted and recorded into the attached proforma along with demographic details of the patient. \u0000RESULTS:. \u0000Maximun number of patients were in age group 51-70 years ie 77.83% (144)patients .About 22.16%(41)patients were recorded in 35-50 years age group. Mean and SDs for age was 62+7.11years and BMI was 27.2+1.56 kg/m2. Mean and SDs formagnesium level was 0.79+0.04 mmoles \u000044 (23.78%) patients had unstable angina, 124(67.02%) patients had NSTEMI, 17 (9.18%) patients had STEMI. \u000015 (8.10%) patients wererecorded with hypomagnesaemia. \u0000CONCLUSION:Our results show variations in the occurrence of hypomagnesaemia in acute coronary syndromeand that is the reason we recommend early assessment of serum magnesium concentration in acutecoronary syndrome so as to follow and implement proper magnesium supplementations well intime as hypomagnesaemia is preventable and therefore identifying it at early stage may be ofsignificant help to the patients.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49616340","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}
Anam Rehman, Benash Altaf, H. Zahid, S. Tariq, S. Jawed, Sundus Tariq
Objectives: To find an association between circulating oestradiol and thyroid autoimmunity in females with polycystic ovarian syndrome (PCOS) and its impact on their health. Materials and Methods: This study was conducted at Aziz Fatimah Medical and Dental College, after obtaining ethical approval from Institutional Ethical Committee (letter No. DME/568-19) from April to September 2017. Hundred PCOS females enrolled in the age range 17-35 years were taken who fulfilled inclusion and exclusion criteria. Blood samples were drawn and stored at Aziz Fatima Hospital, Faisalabad. All blood samples were analyzed for the levels of Oestradiol, thyroid stimulating hormone (TSH), free triiodothyronine (FT3), free tetra-iodothyronine (FT4), and thyroid peroxidase antibody (TPO-Ab). The data was analyzed using SPSS 23. Results: Of the total population, TPO-Ab was positive in 26% of study participants. It was observed that 64% and 40% of TPO-Ab positive subjects were in the oestradiol quartiles E3 and E4 respectively and none of them were found to be in E1 and E2 quartiles. We have found a significant association of the E2 with TSH, FT4, and TPO-Ab, however, no significant correlation was found between TSH and TPO-Ab. Beta coefficient (?) of 1.006 shows that higher E2 was significantly related to higher TPO-Ab titer with p-value = 0.002. Similarly, a significant but weak positive association was found between E2 and TSH. E2 was significantly negatively associated with FT4. Conclusion: Oestradiol is positively associated with TPO antibodies and TSH and negatively associated with FT4 in PCOS patients. Our findings suggest that thyroid autoimmunity is commonly found in PCOS females. Keywords: Oestradiol, Polycystic ovarian syndrome, Thyroid peroxidase antibody
{"title":"AN EMERGING RELATIONSHIP BETWEEN CIRCULATING ESTRADIOL AND THYROID AUTOIMMUNITY IN POLYCYSTIC OVARIAN SYNDROME","authors":"Anam Rehman, Benash Altaf, H. Zahid, S. Tariq, S. Jawed, Sundus Tariq","doi":"10.52764/jms.23.31.1.13","DOIUrl":"https://doi.org/10.52764/jms.23.31.1.13","url":null,"abstract":" \u0000Objectives: To find an association between circulating oestradiol and thyroid autoimmunity in females with polycystic ovarian syndrome (PCOS) and its impact on their health.\u0000Materials and Methods: This study was conducted at Aziz Fatimah Medical and Dental College, after obtaining ethical approval from Institutional Ethical Committee (letter No. DME/568-19) from April to September 2017. Hundred PCOS females enrolled in the age range 17-35 years were taken who fulfilled inclusion and exclusion criteria. Blood samples were drawn and stored at Aziz Fatima Hospital, Faisalabad. All blood samples were analyzed for the levels of Oestradiol, thyroid stimulating hormone (TSH), free triiodothyronine (FT3), free tetra-iodothyronine (FT4), and thyroid peroxidase antibody (TPO-Ab). The data was analyzed using SPSS 23.\u0000Results: Of the total population, TPO-Ab was positive in 26% of study participants. It was observed that 64% and 40% of TPO-Ab positive subjects were in the oestradiol quartiles E3 and E4 respectively and none of them were found to be in E1 and E2 quartiles. We have found a significant association of the E2 with TSH, FT4, and TPO-Ab, however, no significant correlation was found between TSH and TPO-Ab. Beta coefficient (?) of 1.006 shows that higher E2 was significantly related to higher TPO-Ab titer with p-value = 0.002. Similarly, a significant but weak positive association was found between E2 and TSH. E2 was significantly negatively associated with FT4.\u0000Conclusion: Oestradiol is positively associated with TPO antibodies and TSH and negatively associated with FT4 in PCOS patients. Our findings suggest that thyroid autoimmunity is commonly found in PCOS females.\u0000 \u0000Keywords: Oestradiol, Polycystic ovarian syndrome, Thyroid peroxidase antibody","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43588548","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}
Tehmina Naushin, Abbas Saleem Khan, Muhammad Ishfaq, Nasiha Bashir, Fatima Iqbal, M. Hassan
Objectives: To assess histopathological characteristics of oral leukoplakia among snuff users and non-users. Material and methods: The descriptive cross-sectional study was conducted at different hospitals in Khyber Pakhtunkhwa. The study consisted of 60 cases of oral leukoplakia of which 30 were snuff users and 30 were non-users and histopathological features were assessed in both groups. SPSS 20 was used for the evaluation and analysis of the data. Results: The observed mean age of the cases was 50.3 years. In snuff users, the mean age was 56.97 (SD+14.71) while in non-users the mean age was 47.43 (SD+13.44). In snuff users, dysplasia 9/30 (30%) was the most common histopathological feature. The relationship between dysplasia in snuff users and non-users was found to be statistically significant with a p-value of 0.04. Conclusion: It is concluded from the present study that oral leukoplakia showed a wide range of histopathological features and these variants exist even among snuff users however the cases of dysplasia are high in snuff users than non-users which shows a greater potential for conversion of oral leukoplakia into malignancy in snuff users. Keywords: Oral leukoplakia, Dysplasia, Hyperplasia, Hyperkeratosis
{"title":"HISTOPATHOLOGICAL ASSESSMENT OF ORAL LEUKOPLAKIA AMONG SNUFF USERS AND NON-USERS","authors":"Tehmina Naushin, Abbas Saleem Khan, Muhammad Ishfaq, Nasiha Bashir, Fatima Iqbal, M. Hassan","doi":"10.52764/jms.23.31.1.14","DOIUrl":"https://doi.org/10.52764/jms.23.31.1.14","url":null,"abstract":"Objectives: To assess histopathological characteristics of oral leukoplakia among snuff users and non-users.\u0000Material and methods: The descriptive cross-sectional study was conducted at different hospitals in Khyber Pakhtunkhwa. The study consisted of 60 cases of oral leukoplakia of which 30 were snuff users and 30 were non-users and histopathological features were assessed in both groups. SPSS 20 was used for the evaluation and analysis of the data.\u0000Results: The observed mean age of the cases was 50.3 years. In snuff users, the mean age was 56.97 (SD+14.71) while in non-users the mean age was 47.43 (SD+13.44). In snuff users, dysplasia 9/30 (30%) was the most common histopathological feature. The relationship between dysplasia in snuff users and non-users was found to be statistically significant with a p-value of 0.04.\u0000Conclusion: It is concluded from the present study that oral leukoplakia showed a wide range of histopathological features and these variants exist even among snuff users however the cases of dysplasia are high in snuff users than non-users which shows a greater potential for conversion of oral leukoplakia into malignancy in snuff users.\u0000Keywords: Oral leukoplakia, Dysplasia, Hyperplasia, Hyperkeratosis","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43085270","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}
S. Khan, I. Moheet, F. Farooqi, Nazeer H. Khan, Sara Wahab, Iqbal Haider, Noorah Al-Shayea, Saqib Ali
Objective: The current study was conducted to determine whether people will keep practicing physical distancing behavior as part of their daily lives after the end of the COVID-19 pandemic. Materials and Methods: A structured questionnaire was prepared online using "QuestionPro" software for surveys, and the study was conducted electronically. The questionnaire for the study had two components, the first was related to the participant's demographics, and the other was about physical distancing questions. There were 16 questions in total. Results: Women were more fearful/careful and would want to limit socializing than men. The religious aspect is one primary reason people will be willing to avoid physical distancing. Physical distancing was more acceptable to people with higher education levels. This physical distancing trend might affect the public transportation and tourism industry. Conclusion: This study showed that the female gender and population with higher education are willing to follow better adherence to SOPs of the COVID-19 pandemic. Keywords: Post-pandemic, physical distancing, lifestyle, behavior, Pakistan
{"title":"WILL PHYSICAL DISTANCING BE THE NEW PERCEIVED WAY OF LIFE IN THE POST-COVID-19 PANDEMIC ERA?","authors":"S. Khan, I. Moheet, F. Farooqi, Nazeer H. Khan, Sara Wahab, Iqbal Haider, Noorah Al-Shayea, Saqib Ali","doi":"10.52764/jms.23.31.1.11","DOIUrl":"https://doi.org/10.52764/jms.23.31.1.11","url":null,"abstract":"Objective: The current study was conducted to determine whether people will keep practicing physical distancing behavior as part of their daily lives after the end of the COVID-19 pandemic.\u0000Materials and Methods: A structured questionnaire was prepared online using \"QuestionPro\" software for surveys, and the study was conducted electronically. The questionnaire for the study had two components, the first was related to the participant's demographics, and the other was about physical distancing questions. There were 16 questions in total.\u0000Results: Women were more fearful/careful and would want to limit socializing than men. The religious aspect is one primary reason people will be willing to avoid physical distancing. Physical distancing was more acceptable to people with higher education levels. This physical distancing trend might affect the public transportation and tourism industry.\u0000Conclusion: This study showed that the female gender and population with higher education are willing to follow better adherence to SOPs of the COVID-19 pandemic.\u0000Keywords: Post-pandemic, physical distancing, lifestyle, behavior, Pakistan","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42662542","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}
Mariam Seedat Khan, B. Jamil, F. Muhammad, Nazish Bilal, Bilqis Hassan
Objective: This study aimed to determine medical students’ perceptions of their clinical teachers as role models during the clinical years of a medical program. Materials and Methods: In this cross-sectional study, a pre-validated questionnaire, Role Modeling Apperception Tool was used and completed by Final year medical students selected from affiliated medical institutions of Khyber Medical University, Peshawar i.e. four graduating cohorts, comprising about 600 students. Participants were selected following universal sampling and data was analyzed for descriptive and inferential statistics. Results: The response rate to Role Modeling Apperception Tool was 75.1% n=451. The total number of students participating in this study from Private sector medical colleges was 157 34.8% and Public Government was 294 65.2%. The mean age of the students was 23.71 years SD=0.77, Range=22-26. Male respondents comprised 42.4% n=191 and females were n=260 57.6% of the study sample. Altogether, 92.9% of students experienced positive role models while 72% had negative role models among academic staff in their medical colleges. Mostly, medical students perceived male clinical teachers as their role models in comparison to their female counterparts. Moreover, clinical teachers were more considered positive role models than basic sciences teachers. Private-sector medical college students rated their clinical teachers higher among all domains Clinical, Personal, and Teaching in comparison to Public sector medical college students. A strong positive correlation was noted among domains tested on Role Modeling Apperception Tool. Conclusion: Clinical instructors are inveterately considered by students as their role models in medical colleges and significance are conferred on their position. Altogether, doctors with teaching roles must be cognizant of their responsibilities and their influence on the professional growth and performance of students. Eventually, components related to Personal, Clinical, and Teaching attributes were suggested as major traits perceived in role models. Keywords: Clinical Teacher, Role model, Medical Student, Medical College
{"title":"CLINICAL TEACHERS AS ROLE MODELS: PERCEPTION OF UNDERGRADUATE MEDICAL STUDENTS IN MEDICAL COLLEGES OF PAKISTAN USING ROLE MODEL APPERCEPTION TOOL","authors":"Mariam Seedat Khan, B. Jamil, F. Muhammad, Nazish Bilal, Bilqis Hassan","doi":"10.52764/jms.23.31.1.2","DOIUrl":"https://doi.org/10.52764/jms.23.31.1.2","url":null,"abstract":"Objective: This study aimed to determine medical students’ perceptions of their clinical teachers as role models during the clinical years of a medical program.\u0000Materials and Methods: In this cross-sectional study, a pre-validated questionnaire, Role Modeling Apperception Tool was used and completed by Final year medical students selected from affiliated medical institutions of Khyber Medical University, Peshawar i.e. four graduating cohorts, comprising about 600 students. Participants were selected following universal sampling and data was analyzed for descriptive and inferential statistics.\u0000Results: The response rate to Role Modeling Apperception Tool was 75.1% n=451. The total number of students participating in this study from Private sector medical colleges was 157 34.8% and Public Government was 294 65.2%. The mean age of the students was 23.71 years SD=0.77, Range=22-26. Male respondents comprised 42.4% n=191 and females were n=260 57.6% of the study sample. Altogether, 92.9% of students experienced positive role models while 72% had negative role models among academic staff in their medical colleges. Mostly, medical students perceived male clinical teachers as their role models in comparison to their female counterparts. Moreover, clinical teachers were more considered positive role models than basic sciences teachers. Private-sector medical college students rated their clinical teachers higher among all domains Clinical, Personal, and Teaching in comparison to Public sector medical college students. A strong positive correlation was noted among domains tested on Role Modeling Apperception Tool.\u0000Conclusion: Clinical instructors are inveterately considered by students as their role models in medical colleges and significance are conferred on their position. Altogether, doctors with teaching roles must be cognizant of their responsibilities and their influence on the professional growth and performance of students. Eventually, components related to Personal, Clinical, and Teaching attributes were suggested as major traits perceived in role models.\u0000Keywords: Clinical Teacher, Role model, Medical Student, Medical College","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44270709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To determine the frequency of five commonest dermatoses among patients presenting to the Dermatology outpatient department (OPD) of a tertiary care hospital. Meterials and Methods: This cross-sectional study was conducted in the department of Dermatology Hayatabad Medical Complex (HMC), Peshawar, KP, from January 1st, 2021 to 31st December 2021. Non-probability consecutive sampling technique was used. Ethical approval was taken from the hospital’s ethical committee. Patients of either gender or age were included in this study. The diagnosis was classified according to the International Classification of Diseases (ICD-10). Statistical analysis was performed using SPSS version 22.0. Results: A total of 4807 patients were registered for this study. Male patients outnumbered females. The maximum number of patients was 20 to 29 years old. Eczema was the commonest disease, followed by acne. Three hundred eighteen patients, whose diagnosis could not be ascertained in out-patient department, were admitted for establishing a diagnosis or further investigations. Conclusion: An outpatient department of a tertiary care hospital can provide first-hand insight into the prevalence of various dermatological conditions. Keywords: Outpatient department, Skin diseases, Tertiary care hospital
{"title":"CAN OUT-PATIENT DEPARTMENT OF A TERTIARY CARE HOSPITAL PROVIDE AN INSIGHT INTO THE PREVALENCE OF COMMONEST DERMATOSES?","authors":"Abdul Raheem, S. Khan, D. Jalal, Fahad Faizullah","doi":"10.52764/jms.23.31.1.7","DOIUrl":"https://doi.org/10.52764/jms.23.31.1.7","url":null,"abstract":"Objective: To determine the frequency of five commonest dermatoses among patients presenting to the Dermatology outpatient department (OPD) of a tertiary care hospital.\u0000Meterials and Methods: This cross-sectional study was conducted in the department of Dermatology Hayatabad Medical Complex (HMC), Peshawar, KP, from January 1st, 2021 to 31st December 2021. Non-probability consecutive sampling technique was used. Ethical approval was taken from the hospital’s ethical committee. Patients of either gender or age were included in this study. The diagnosis was classified according to the International Classification of Diseases (ICD-10). Statistical analysis was performed using SPSS version 22.0.\u0000Results: A total of 4807 patients were registered for this study. Male patients outnumbered females. The maximum number of patients was 20 to 29 years old. Eczema was the commonest disease, followed by acne. Three hundred eighteen patients, whose diagnosis could not be ascertained in out-patient department, were admitted for establishing a diagnosis or further investigations.\u0000Conclusion: An outpatient department of a tertiary care hospital can provide first-hand insight into the prevalence of various dermatological conditions.\u0000Keywords: Outpatient department, Skin diseases, Tertiary care hospital","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48627253","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}
Humaira Taj Niazi, Zahish Safiullah Jan, Nayab Safiullah Jan, Laila Bahadur, Khizar Abdullah Khan, Mohsin Ali
Objective: To determine the frequency of pancytopenia among patients with vitamin B12 deficiency in a tertiary-care hospital, in Peshawar. Materials and Methods: A descriptive cross-sectional study was carried out at the Department of Hematology, Hayatabad Medical Complex, Peshawar from 18/4/2021 to 18/10/2021. In this study, a total of 252 patients were observed. From all patients, a sample of venous blood was obtained and sent to the hospital laboratory for the peripheral smear examination. Pancytopenia was diagnosed based on a peripheral smear showing Hemoglobin below 10g/dL, Total leukocyte counts less than 4,000 cells per mL, platelets count less than150,000 cells per mL, and reticulocyte count <2%. All the peripheral smears were done by an expert hematologist. Strictly exclusion criteria were followed to avoid cofounders and make the study results clear of any bias. Results: In this study mean age was 42 years with a standard deviation of ± 15.84. Thirty-eight percent of patients were males and 62% of patients were females. Moreover, 5% of patients had pancytopenia and 95% of patients didn’t have pancytopenia. Conclusion: The frequency of pancytopenia was 5% among the local patients with vitamin B12 deficiency. Keywords: pancytopenia, B12 deficiency, Peshawar, Pakistan.
{"title":"FREQUENCY OF PANCYTOPENIA AMONG PATIENTS WITH VITAMIN B12 DEFICIENCY","authors":"Humaira Taj Niazi, Zahish Safiullah Jan, Nayab Safiullah Jan, Laila Bahadur, Khizar Abdullah Khan, Mohsin Ali","doi":"10.52764/jms.23.31.1.12","DOIUrl":"https://doi.org/10.52764/jms.23.31.1.12","url":null,"abstract":"Objective: To determine the frequency of pancytopenia among patients with vitamin B12 deficiency in a tertiary-care hospital, in Peshawar.\u0000Materials and Methods: A descriptive cross-sectional study was carried out at the Department of Hematology, Hayatabad Medical Complex, Peshawar from 18/4/2021 to 18/10/2021. In this study, a total of 252 patients were observed. From all patients, a sample of venous blood was obtained and sent to the hospital laboratory for the peripheral smear examination. Pancytopenia was diagnosed based on a peripheral smear showing Hemoglobin below 10g/dL, Total leukocyte counts less than 4,000 cells per mL, platelets count less than150,000 cells per mL, and reticulocyte count <2%. All the peripheral smears were done by an expert hematologist. Strictly exclusion criteria were followed to avoid cofounders and make the study results clear of any bias.\u0000Results: In this study mean age was 42 years with a standard deviation of ± 15.84. Thirty-eight percent of patients were males and 62% of patients were females. Moreover, 5% of patients had pancytopenia and 95% of patients didn’t have pancytopenia.\u0000Conclusion: The frequency of pancytopenia was 5% among the local patients with vitamin B12 deficiency.\u0000Keywords: pancytopenia, B12 deficiency, Peshawar, Pakistan.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47611933","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}
Objectives: To assess immediate intra and postpartum perineal complications following normal vaginal delivery versus vaginal delivery with episiotomy in term pregnancy. Material and methods: This Cross-sectional study, was conducted in Peshawar, Lady Reading Hospital, Gynae ward from 1st November 2019 to 31st January 2020 after approval from Institutional Research Board. A total of 250 patients (125 in each group), 120 in group A with normal vaginal delivery, 115 in group B (vaginal delivery with an episiotomy), and 15 patients were excluded due to different modes of delivery (instrumental delivery/cesarean section). All patients with full-term pregnancies were included. Patients who refused to give consent or had bleeding disorders and indications for instrumental delivery or cesarean section were excluded. Non-probable convenience sampling technique, P-value <0.05, 95% confidence interval, and Chi-square test used for statistical analysis Results: In the group, A mean age of 22 years, primigravida (PG) 84 (70%) multigravida (MG) 36 (30%) mean period of gestation (POG) 38 weeks, 96(80%) spontaneous, 24 (20%) induced labor. In group B the mean age was 21.8 years, PG 77 (66%), MG 38(33%), mean POG 41 weeks, 97 (84%) spontaneous, and 18 (15%) induced labor. Group A vaginal tears 6 (5%), cervical tears 4 (3%), mixed tears 9 (7.5%), para-urethral tears 2 (1.6%), and perineal tears 9(7.5%). Group B vaginal tears 3 (2.6%), cervical tears 3 (2.6%), mixed tears 2 (1.7%). No significant post-natal pain difference was observed in the groups. CONCLUSION: Routine practice of episiotomy should be discouraged as no significant difference was observed in both groups. KEYWORDS: Episiotomy, Term pregnancy, Vaginal delivery.
{"title":"ASSESSMENT OF IMMEDIATE PERINEAL COMPLICATIONS OF NORMAL VAGINAL DELIVERY VERSUS VAGINAL DELIVERY WITH EPISIOTOMY IN TERM PREGNANCY IN A TERTIARY CARE HOSPITAL","authors":"Samdana Wahab","doi":"10.52764/jms.23.31.1.6","DOIUrl":"https://doi.org/10.52764/jms.23.31.1.6","url":null,"abstract":"Objectives: To assess immediate intra and postpartum perineal complications following normal vaginal delivery versus vaginal delivery with episiotomy in term pregnancy.\u0000Material and methods: This Cross-sectional study, was conducted in Peshawar, Lady Reading Hospital, Gynae ward from 1st November 2019 to 31st January 2020 after approval from Institutional Research Board. A total of 250 patients (125 in each group), 120 in group A with normal vaginal delivery, 115 in group B (vaginal delivery with an episiotomy), and 15 patients were excluded due to different modes of delivery (instrumental delivery/cesarean section). All patients with full-term pregnancies were included. Patients who refused to give consent or had bleeding disorders and indications for instrumental delivery or cesarean section were excluded. Non-probable convenience sampling technique, P-value <0.05, 95% confidence interval, and Chi-square test used for statistical analysis\u0000Results: In the group, A mean age of 22 years, primigravida (PG) 84 (70%) multigravida (MG) 36 (30%) mean period of gestation (POG) 38 weeks, 96(80%) spontaneous, 24 (20%) induced labor. In group B the mean age was 21.8 years, PG 77 (66%), MG 38(33%), mean POG 41 weeks, 97 (84%) spontaneous, and 18 (15%) induced labor. Group A vaginal tears 6 (5%), cervical tears 4 (3%), mixed tears 9 (7.5%), para-urethral tears 2 (1.6%), and perineal tears 9(7.5%). Group B vaginal tears 3 (2.6%), cervical tears 3 (2.6%), mixed tears 2 (1.7%). No significant post-natal pain difference was observed in the groups.\u0000CONCLUSION: Routine practice of episiotomy should be discouraged as no significant difference was observed in both groups.\u0000KEYWORDS: Episiotomy, Term pregnancy, Vaginal delivery.","PeriodicalId":39900,"journal":{"name":"Journal of Medical Sciences (Taiwan)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48403967","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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