Pub Date : 2023-09-30DOI: 10.35845/kmuj.2023.22017
OBJECTIVE: To identify the mediating role of emotional disclosure between emotion regulation and apprehension in health care professionals during Coronavirus Disease 2019 (Covid-19). METHODS: This correlational study, spanning three months, involved seventy-six healthcare workers. These individuals, encompassing both paid and unpaid personnel serving in healthcare facilities, were selected through purposive sampling. They operated in various health-care settings across public and private sectors in Lahore, Pakistan, and had the potential for direct or indirect exposure to patients or their infectious secretions and materials. Three self-reported measures emotion regulation questionnaire, psychosocial reaction scale, and emotional self-disclosure scale were used along with one demographic sheet to collect data. Descriptive statistics, correlation method and mediation analysis were used to test the hypothesis. RESULTS: Out of 76 participants, 41 (54%) were males. Mean age of participants was 29.68±8.14 years. Majority (n=58/76;76%) of participants were doctors; 26 (34%) had prior exposure to Covid virus. Correlation analysis revealed that cognitive reappraisal is positively associated with positive emotional disclosure (r=.35; p<.001), and expressive suppression is positively associated with negative emotional disclosure (r=.23; p<.05) and apprehension (r=.43; p<.001) in healthcare workers. Furthermore, negatively emotional disclosure is positively associated with apprehension. Mediation analysis showed that negative emotional disclosure partially mediates the association between expressive suppression and apprehension (β=0.33, SE=0.11, p < .001). CONCLUSION: Findings suggest healthcare workers to be at greater risk of developing mental health conditions and they need to practice adaptive emotion regulation strategies such as acceptance, reappraisal, and problem solving especially during emergency situations like Covid.
目的:探讨情绪披露在2019冠状病毒病(Covid-19)期间医护人员情绪调节与恐惧之间的中介作用。方法:对76名医护人员进行为期3个月的相关研究。这些个人，包括在医疗机构服务的有偿和无偿人员，是通过有目的的抽样选择的。它们在巴基斯坦拉合尔的公共和私营部门的各种卫生保健机构开展工作，有可能直接或间接接触患者或其传染性分泌物和物质。采用情绪调节问卷、心理社会反应量表和情绪自我表露量表三种自我报告量表，并采用人口统计表收集数据。采用描述性统计、相关分析和中介分析对假设进行检验。结果:76名参与者中，41名(54%)为男性。参与者平均年龄29.68±8.14岁。大多数(n=58/76;76%)参与者是医生;26人(34%)曾接触过新冠病毒。相关分析显示，认知重评价与积极情绪表露呈正相关(r= 0.35;表达抑制与负性情绪表露呈正相关(r=.23;p < 0.05)和恐惧(r= 0.43;P<.001)。此外，负性情绪表露与忧虑呈正相关。中介分析显示，负性情绪表露在表达抑制与恐惧之间具有部分中介作用(β=0.33, SE=0.11, p <措施)。结论:研究结果表明，医护人员发生心理健康状况的风险更大，特别是在Covid等紧急情况下，他们需要实践适应性情绪调节策略，如接受、重新评估和解决问题。
{"title":"Mediating role of emotion disclosure between emotion regulation and apprehension in healthcare professionals during COVID-19","authors":"","doi":"10.35845/kmuj.2023.22017","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22017","url":null,"abstract":"OBJECTIVE: To identify the mediating role of emotional disclosure between emotion regulation and apprehension in health care professionals during Coronavirus Disease 2019 (Covid-19). METHODS: This correlational study, spanning three months, involved seventy-six healthcare workers. These individuals, encompassing both paid and unpaid personnel serving in healthcare facilities, were selected through purposive sampling. They operated in various health-care settings across public and private sectors in Lahore, Pakistan, and had the potential for direct or indirect exposure to patients or their infectious secretions and materials. Three self-reported measures emotion regulation questionnaire, psychosocial reaction scale, and emotional self-disclosure scale were used along with one demographic sheet to collect data. Descriptive statistics, correlation method and mediation analysis were used to test the hypothesis. RESULTS: Out of 76 participants, 41 (54%) were males. Mean age of participants was 29.68±8.14 years. Majority (n=58/76;76%) of participants were doctors; 26 (34%) had prior exposure to Covid virus. Correlation analysis revealed that cognitive reappraisal is positively associated with positive emotional disclosure (r=.35; p<.001), and expressive suppression is positively associated with negative emotional disclosure (r=.23; p<.05) and apprehension (r=.43; p<.001) in healthcare workers. Furthermore, negatively emotional disclosure is positively associated with apprehension. Mediation analysis showed that negative emotional disclosure partially mediates the association between expressive suppression and apprehension (β=0.33, SE=0.11, p < .001). CONCLUSION: Findings suggest healthcare workers to be at greater risk of developing mental health conditions and they need to practice adaptive emotion regulation strategies such as acceptance, reappraisal, and problem solving especially during emergency situations like Covid.","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135084410","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 : 2023-09-30DOI: 10.35845/kmuj.2023.23034
{"title":"Effects of proprioceptive neuromuscular facilitation in addition to routine physical therapy on pain range of motion and postural alignment in patients with temporomandibular joint disorders: a randomized controlled trial protocol","authors":"","doi":"10.35845/kmuj.2023.23034","DOIUrl":"https://doi.org/10.35845/kmuj.2023.23034","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127178","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 : 2023-09-30DOI: 10.35845/kmuj.2023.22212
{"title":"Potential efficacy of Turmeric as an anti-inflammatory agent and antioxidant in the treatment of Osteoarthritis","authors":"","doi":"10.35845/kmuj.2023.22212","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22212","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127319","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 : 2023-09-30DOI: 10.35845/kmuj.2023.23457
{"title":"Promotion of one health approach in Pakistan: Immediate need for the curtailment of emerging infectious diseases and future pandemics","authors":"","doi":"10.35845/kmuj.2023.23457","DOIUrl":"https://doi.org/10.35845/kmuj.2023.23457","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127330","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 : 2023-09-30DOI: 10.35845/kmuj.2023.22520
{"title":"Predictor index for anatomic leg length discrepancy as a screening tool for referral to tertiary care center of India","authors":"","doi":"10.35845/kmuj.2023.22520","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22520","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127310","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 : 2023-09-30DOI: 10.35845/kmuj.2023.22653
{"title":"Anxiety, depression and low self-esteem among people with alopecia","authors":"","doi":"10.35845/kmuj.2023.22653","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22653","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127316","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 : 2023-09-30DOI: 10.35845/kmuj.2023.23302
OBJECTIVES: To evaluate the prevalence of Methicillin-resistant Staphylococcus aureus (MRSA) and its antibiotic susceptibility at Rashid hospital in Dubai, United Arab Emirates (U.A.E). METHODS: This retrospective cohort study was conducted among patients at Rashid hospital in Dubai, U.A.E. from January-December 2021. Isolates were put in blood and McConckey agars and gram- positive cocci in clusters were identified then incubated in a highly automated system called VITEK®2 to identify Staphylococcus aureus and its antibiotic susceptibility. RESULTS: Out of 665 samples of S. aureus isolates, MRSA were 236 (35.5%) while 429 (64.5%) were Methicillin Sensitive Staphylococcus Aureus (MSSA). Among male patients, the highest frequency MSSA & MRSA isolation was observed in the age bracket of 40-49 years (n=64/285; 22.4%) and 50-59 years (n=31/160; 19.4%) respectively. Smilarly, in females the highest frequency MSSA & MRSA isolation was observed in the age range of 20-29 years (n=24/144; 16.7%) and 60-69 years (n=13/76; 17.1%) respectively. MSSA was most commonly isolated from 269 (62.7%) wound sites. The MRSA demonstrated resistance to most of the antibiotics with highest resistance towards Ciprofloxacin 103 (44%) and Fusidic acid 100 (42%). Among different antibiotics, the isolates remained highly susceptible to linezolid, tigecycline, teicoplanin, rifampicin and vancomycin. CONCLUSION: the retrospective study at Rashid Hospital in Dubai identified a notable prevalence of MRSA (35.5%) and MSSA (64.5%), predominant in male patients. Age-specific patterns revealed higher frequencies of MSSA and MRSA isolations in distinct age brackets. MRSA displayed resistance to several antibiotics, emphasizing the need for judicious antimicrobial management in this healthcare setting.
{"title":"Prevalence of methicillin resistant staphylococcus aureus in Rashid hospital, Dubai, United Arab Emirates","authors":"","doi":"10.35845/kmuj.2023.23302","DOIUrl":"https://doi.org/10.35845/kmuj.2023.23302","url":null,"abstract":"OBJECTIVES: To evaluate the prevalence of Methicillin-resistant Staphylococcus aureus (MRSA) and its antibiotic susceptibility at Rashid hospital in Dubai, United Arab Emirates (U.A.E). METHODS: This retrospective cohort study was conducted among patients at Rashid hospital in Dubai, U.A.E. from January-December 2021. Isolates were put in blood and McConckey agars and gram- positive cocci in clusters were identified then incubated in a highly automated system called VITEK®2 to identify Staphylococcus aureus and its antibiotic susceptibility. RESULTS: Out of 665 samples of S. aureus isolates, MRSA were 236 (35.5%) while 429 (64.5%) were Methicillin Sensitive Staphylococcus Aureus (MSSA). Among male patients, the highest frequency MSSA & MRSA isolation was observed in the age bracket of 40-49 years (n=64/285; 22.4%) and 50-59 years (n=31/160; 19.4%) respectively. Smilarly, in females the highest frequency MSSA & MRSA isolation was observed in the age range of 20-29 years (n=24/144; 16.7%) and 60-69 years (n=13/76; 17.1%) respectively. MSSA was most commonly isolated from 269 (62.7%) wound sites. The MRSA demonstrated resistance to most of the antibiotics with highest resistance towards Ciprofloxacin 103 (44%) and Fusidic acid 100 (42%). Among different antibiotics, the isolates remained highly susceptible to linezolid, tigecycline, teicoplanin, rifampicin and vancomycin. CONCLUSION: the retrospective study at Rashid Hospital in Dubai identified a notable prevalence of MRSA (35.5%) and MSSA (64.5%), predominant in male patients. Age-specific patterns revealed higher frequencies of MSSA and MRSA isolations in distinct age brackets. MRSA displayed resistance to several antibiotics, emphasizing the need for judicious antimicrobial management in this healthcare setting.","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135084408","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 : 2023-09-30DOI: 10.35845/kmuj.2023.22778
OBJECTIVE: To evaluate Glasgow Blatchford (GB) scores ability for risk stratification in patients presenting with upper gastrointestinal bleeding (UGIB). METHODS: The prospective cohort study was conducted in the inpatient department of medicine at Fauji Foundation Hospital Rawalpindi, Pakistan, from April to September 2021. One hundred and thirty patients with UGIB (hematemesis, melena, and blood in the nasogastric tube) were included by consecutive sampling technique. We excluded traumatic patients with UGIB, pregnant females, patients with chronic kidney disease, anorexia nervosa, bulimia nervosa, and chronic diarrhea. Laboratory and demographic data were collected. The GB score was calculated at the time of admission. Data was analyzed through SPSS version 23, and frequencies were deduced. Groups were compared using the chi-square test. RESULTS: Mean age of patients was 61.1±13.8 years. There were 56 (43.1%) males and 74 (56.9%) females in the study. The main reason for acute gastrointestinal bleeding was Hepatitis C-associated portal hypertension (n = 103; 79.2%), followed by non-steroidal anti-inflammatory drug-induced gastrointestinal bleeding (n=13; 10.0%). There were 90 (69.2%) patients in high-risk group (Group A) and 40 (30.8%) in low-risk group (Group B). The high-risk group had a significantly higher GB score than the low-risk group (11.61±3.2 vs 3.85±1.9, p<0.001). GB score of ≥4 has sensitivity of 97.7%, a specificity of 92.5%, and an area under curve of 0.967 with a p-value of<0.001. Conclusion: GB score has an excellent accuracy for risk stratification of patients with UGIB. With a cutoff of ≥4, GB score accurately identifies 97.7% of high risk patients.
目的:评价格拉斯哥布拉奇福德(GB)评分对上消化道出血(UGIB)患者进行风险分层的能力。方法:前瞻性队列研究于2021年4月至9月在巴基斯坦拉瓦尔品第福吉基金会医院住院部进行。采用连续抽样技术，纳入130例UGIB(呕血、黑黑、鼻胃管出血)患者。我们排除了创伤性UGIB患者、孕妇、慢性肾病患者、神经性厌食症、神经性贪食症和慢性腹泻患者。收集实验室和人口统计数据。在入学时计算GB分数。通过SPSS version 23对数据进行分析，并推导出频率。各组间比较采用卡方检验。结果:患者平均年龄61.1±13.8岁。男性56例(43.1%)，女性74例(56.9%)。急性消化道出血的主要原因是丙型肝炎相关性门脉高压(n = 103;79.2%)，其次是非甾体抗炎药引起的胃肠道出血(n=13;10.0%)。高危组(A组)90例(69.2%)，低危组(B组)40例(30.8%)，高危组GB评分显著高于低危组(11.61±3.2 vs 3.85±1.9,p<0.001)。GB评分≥4分的敏感性为97.7%，特异性为92.5%，曲线下面积为0.967,p值为0.001。结论:GB评分对UGIB患者的危险分层具有很好的准确性。当临界值≥4时，GB评分能准确识别97.7%的高危患者。
{"title":"Glasgow Blatchford scoring system enables accurate risk stratification of patients with upper gastrointestinal haemorrhage","authors":"","doi":"10.35845/kmuj.2023.22778","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22778","url":null,"abstract":"OBJECTIVE: To evaluate Glasgow Blatchford (GB) scores ability for risk stratification in patients presenting with upper gastrointestinal bleeding (UGIB). METHODS: The prospective cohort study was conducted in the inpatient department of medicine at Fauji Foundation Hospital Rawalpindi, Pakistan, from April to September 2021. One hundred and thirty patients with UGIB (hematemesis, melena, and blood in the nasogastric tube) were included by consecutive sampling technique. We excluded traumatic patients with UGIB, pregnant females, patients with chronic kidney disease, anorexia nervosa, bulimia nervosa, and chronic diarrhea. Laboratory and demographic data were collected. The GB score was calculated at the time of admission. Data was analyzed through SPSS version 23, and frequencies were deduced. Groups were compared using the chi-square test. RESULTS: Mean age of patients was 61.1±13.8 years. There were 56 (43.1%) males and 74 (56.9%) females in the study. The main reason for acute gastrointestinal bleeding was Hepatitis C-associated portal hypertension (n = 103; 79.2%), followed by non-steroidal anti-inflammatory drug-induced gastrointestinal bleeding (n=13; 10.0%). There were 90 (69.2%) patients in high-risk group (Group A) and 40 (30.8%) in low-risk group (Group B). The high-risk group had a significantly higher GB score than the low-risk group (11.61±3.2 vs 3.85±1.9, p<0.001). GB score of ≥4 has sensitivity of 97.7%, a specificity of 92.5%, and an area under curve of 0.967 with a p-value of<0.001. Conclusion: GB score has an excellent accuracy for risk stratification of patients with UGIB. With a cutoff of ≥4, GB score accurately identifies 97.7% of high risk patients.","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135084407","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 : 2023-09-30DOI: 10.35845/kmuj.2023.22619
{"title":"Hyperammonemia in patients on Valproic Acid therapy in a tertiary care hospital of Karachi","authors":"","doi":"10.35845/kmuj.2023.22619","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22619","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127176","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 : 2023-09-30DOI: 10.35845/kmuj.2023.21151
INTRODUCTION: Munchausen syndrome is a rare condition where individuals intentionally simulate illness despite the absence of actual symptoms. The objective of our case series was to underscore the importance of recognizing this mental disorder, frequently overlooked in routine clinical practice. CASE PRESENTATION: This case series presents eight inmates in a central jail in Lahore, Pakistan, diagnosed with Munchausen syndrome within a period of one year (February 2019 to March 2020). Cases include a death row inmate complaining of abdominal pain, investigations revealing no pathology, and subsequent self-harm; a drug user with recurrent rectal bleeding resorting to self-inflicted injuries; prisoners intentionally causing head injuries, resulting in a fatality; a chest pain complaint used as a diversion for escape; a prisoner with a recurring leg ulcer engaging in self-mutilation; ingestion of a shaving blade; simulated sexual activity for admission; and inmates faking severe chest pain for medical attention. CONCLUSION: The study highlights diverse manifestations of Munchausen syndrome in a jail setting, emphasizing the need for psychological evaluation and management. In constructing a differential diagnosis for diverse pathologies, it's important to consider Munchausen syndrome, especially when confronted with a cluster of signs and symptoms that prove difficult to elucidate.
{"title":"Munchausen syndrome - a case series at Camp Jail Lahore, Pakistan","authors":"","doi":"10.35845/kmuj.2023.21151","DOIUrl":"https://doi.org/10.35845/kmuj.2023.21151","url":null,"abstract":"INTRODUCTION: Munchausen syndrome is a rare condition where individuals intentionally simulate illness despite the absence of actual symptoms. The objective of our case series was to underscore the importance of recognizing this mental disorder, frequently overlooked in routine clinical practice. CASE PRESENTATION: This case series presents eight inmates in a central jail in Lahore, Pakistan, diagnosed with Munchausen syndrome within a period of one year (February 2019 to March 2020). Cases include a death row inmate complaining of abdominal pain, investigations revealing no pathology, and subsequent self-harm; a drug user with recurrent rectal bleeding resorting to self-inflicted injuries; prisoners intentionally causing head injuries, resulting in a fatality; a chest pain complaint used as a diversion for escape; a prisoner with a recurring leg ulcer engaging in self-mutilation; ingestion of a shaving blade; simulated sexual activity for admission; and inmates faking severe chest pain for medical attention. CONCLUSION: The study highlights diverse manifestations of Munchausen syndrome in a jail setting, emphasizing the need for psychological evaluation and management. In constructing a differential diagnosis for diverse pathologies, it's important to consider Munchausen syndrome, especially when confronted with a cluster of signs and symptoms that prove difficult to elucidate.","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135084409","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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