Pub Date : 2023-11-08DOI: 10.22442/jlumhs.2023.01071
Saima Khattak
OBJECTIVE: The study aimed to determine the mode of delivery and fetal outcome among women with postdated pregnancies. METHODOLOGY: This cross-sectional study was conducted from July to December 2020 in the Department of Gynecology, Hayatabad Medical Complex, Peshawar. A total of 287 women with postdated pregnancies (beyond 41 weeks) were selected through a convenient sampling technique for the study and followed to detect expected fetal outcomes. All women of age 20-45 with no signs of labor onset and cepahlic presentation of singleton pregnancy were included, while women with retained placenta detected by ultrasound, women with a medical disorder like coagulopathies (Haemophilia, Von Willebrand disease, Thrombocytopenia, DIC, Protein S deficiency, Protein C deficiency) detected by the specific investigation were excluded from the study. Data was analyzed using SPSS version 20. RESULTS: The mean age of the sample was 30.5 years, with a standard deviation of 6.1 years. The mean parity of the sample was 2.1±1.5. The mean BMI of the sample was 26.1±3.8kg/m2. On follow-up, fetal distress in 16%, macrosomia in 18.5%, birth asphyxia in 18.1%, meconium aspiration in 8.4% and NICU admission in 9.1%. None of the neonates died in this study. CONCLUSION: Postdated pregnancy carries a high risk of fetal distress, macrosomia and birth asphyxia. We recommend more large-scale surveys as well as trials to determine the efficacy of induction before pregnancy enters the postdate period and reduce the morbidity and mortality due to postdate pregnancies. KEYWORDS: Postdate Pregnancy, Meconium Aspiration, Birth Asphyxia, Fetal Distress, Intrauterine Growth Restriction, Macrosomia
目的:本研究旨在确定延迟妊娠妇女的分娩方式和胎儿结局。方法:本横断面研究于2020年7月至12月在白沙瓦Hayatabad医疗中心妇科进行。通过方便的抽样技术，共选择了287名延期妊娠(超过41周)的妇女进行研究，并跟踪检测预期的胎儿结局。所有年龄在20-45岁，没有分娩迹象和单胎妊娠的头显症状的女性被纳入研究，而通过超声检测到胎盘保留的女性，以及通过具体调查检测到凝血疾病(血友病、血管性血友病、血小板减少症、DIC、蛋白S缺乏症、蛋白C缺乏症)的女性被排除在研究之外。数据分析采用SPSS version 20。结果:样本平均年龄为30.5岁，标准差为6.1岁。样品的平均宇称为2.1±1.5。样本的平均BMI为26.1±3.8kg/m2。随访中，胎儿窘迫占16%，巨大儿占18.5%，出生窒息占18.1%，胎便误吸占8.4%，入住新生儿重症监护病房占9.1%。在这项研究中没有新生儿死亡。结论:超期妊娠是发生胎儿窘迫、巨大儿和新生儿窒息的高危因素。我们建议进行更大规模的调查和试验，以确定在妊娠进入后期之前引产的效果，并减少因后期妊娠引起的发病率和死亡率。关键词:晚期妊娠，胎粪抽吸，出生窒息，胎儿窘迫，宫内生长受限，巨大儿
{"title":"Fetal Outcome among Women with Postdate Pregnancy","authors":"Saima Khattak","doi":"10.22442/jlumhs.2023.01071","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.01071","url":null,"abstract":"OBJECTIVE: The study aimed to determine the mode of delivery and fetal outcome among women with postdated pregnancies. METHODOLOGY: This cross-sectional study was conducted from July to December 2020 in the Department of Gynecology, Hayatabad Medical Complex, Peshawar. A total of 287 women with postdated pregnancies (beyond 41 weeks) were selected through a convenient sampling technique for the study and followed to detect expected fetal outcomes. All women of age 20-45 with no signs of labor onset and cepahlic presentation of singleton pregnancy were included, while women with retained placenta detected by ultrasound, women with a medical disorder like coagulopathies (Haemophilia, Von Willebrand disease, Thrombocytopenia, DIC, Protein S deficiency, Protein C deficiency) detected by the specific investigation were excluded from the study. Data was analyzed using SPSS version 20. RESULTS: The mean age of the sample was 30.5 years, with a standard deviation of 6.1 years. The mean parity of the sample was 2.1±1.5. The mean BMI of the sample was 26.1±3.8kg/m2. On follow-up, fetal distress in 16%, macrosomia in 18.5%, birth asphyxia in 18.1%, meconium aspiration in 8.4% and NICU admission in 9.1%. None of the neonates died in this study. CONCLUSION: Postdated pregnancy carries a high risk of fetal distress, macrosomia and birth asphyxia. We recommend more large-scale surveys as well as trials to determine the efficacy of induction before pregnancy enters the postdate period and reduce the morbidity and mortality due to postdate pregnancies. KEYWORDS: Postdate Pregnancy, Meconium Aspiration, Birth Asphyxia, Fetal Distress, Intrauterine Growth Restriction, Macrosomia","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135432000","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 : 2023-11-08DOI: 10.22442/jlumhs.2023.01008
Gul Anum
OBJECTIVE: To assess eosinopenia and neutrophil to lymphocyte ratio in patients admitted with COVID-19 infection and correlate with pneumonia severity. METHODOLOGY: This prospective observational study was conducted at Covid HDU of Dr.Ruth KM Pfau Civil Hospital, Karachi, from October - December 2021. Data was collected using convenience sampling. The inclusion criteria were patients between 18-70 years with symptoms suggestive of COVID-19 and positive RT-PCR. Patients with negative RT-PCR with alternate diagnosis, history of using a corticosteroid, pancreatic or esophageal malignancy, and recent burn were excluded. Data analysis was done using SPSS version 23. RESULTS: Out of 141 patients, 66(46%) were classified as non-severe covid and 75(53.9%) as severe covid pneumonia. A significant association between eosinopenia and COVID severity was observed. The NLR was significantly increased in severe COVID patients compared to non- severe patients. Similarly, eosinophil was decreased considerably in severe covid compared to non-severe patients (p-value<0.05). The area under the eosinopenia ROC curve is 0.71 and 0.69 on days 7 and 3, respectively. Thus, eosinopenia on day 7 was fair in predicting severe COVID- 19 pneumonia compared with increased NLR, which was poor in predicting severe COVID-19. Using the area under the ROC curve, an eosinophil count cutoff of < 100 cells/mm3 produced a sensitivity of 75% for severe COVID-19 pneumonia. CONCLUSION: Eosinopenia and elevated NLR were found with increased frequency in patients with severe COVID-19 pneumonia; however, persistent eosinopenia was a better marker than NLR in predicting COVID-19 infection severity. KEYWORDS: Eosinopenia, Neutrophil to lymphocyte ratio, Covid-19, Pneumonia
目的:探讨新冠肺炎(COVID-19)感染患者红细胞减少和中性粒细胞/淋巴细胞比值与肺炎严重程度的相关性。方法:这项前瞻性观察性研究于2021年10月至12月在卡拉奇ruth KM Pfau民用医院的新冠HDU进行。采用方便抽样法收集数据。纳入标准为年龄在18-70岁之间，伴有COVID-19症状且RT-PCR阳性的患者。排除有其他诊断、使用皮质类固醇史、胰腺或食管恶性肿瘤以及近期烧伤的RT-PCR阴性患者。数据分析使用SPSS version 23。结果:141例患者中，66例(46%)为非重症肺炎，75例(53.9%)为重症肺炎。观察到红细胞减少与COVID严重程度之间存在显著关联。重症患者的NLR明显高于非重症患者。同样，与非重症患者相比，重症患者的嗜酸性粒细胞明显减少(p值<0.05)。第7天和第3天，红细胞减少ROC曲线下面积分别为0.71和0.69。因此，与NLR升高相比，第7天的红细胞减少在预测严重的COVID-19肺炎方面是公平的，而NLR升高在预测严重的COVID-19肺炎方面较差。利用ROC曲线下的面积，嗜酸性粒细胞计数的临界值<100个细胞/mm3对严重COVID-19肺炎的敏感性为75%。结论:COVID-19重症肺炎患者红细胞减少、NLR升高发生率增高;然而，在预测COVID-19感染严重程度方面，持续红细胞减少比NLR更好。关键词:嗜酸性粒细胞减少，中性粒细胞与淋巴细胞比值，Covid-19，肺炎
{"title":"Eosinopenia and Neutrophil to Lymphocyte Ratio in COVID-19 Infection, a Prospective Study from Tertiary Care Hospital in Pakistan","authors":"Gul Anum","doi":"10.22442/jlumhs.2023.01008","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.01008","url":null,"abstract":"OBJECTIVE: To assess eosinopenia and neutrophil to lymphocyte ratio in patients admitted with COVID-19 infection and correlate with pneumonia severity. METHODOLOGY: This prospective observational study was conducted at Covid HDU of Dr.Ruth KM Pfau Civil Hospital, Karachi, from October - December 2021. Data was collected using convenience sampling. The inclusion criteria were patients between 18-70 years with symptoms suggestive of COVID-19 and positive RT-PCR. Patients with negative RT-PCR with alternate diagnosis, history of using a corticosteroid, pancreatic or esophageal malignancy, and recent burn were excluded. Data analysis was done using SPSS version 23. RESULTS: Out of 141 patients, 66(46%) were classified as non-severe covid and 75(53.9%) as severe covid pneumonia. A significant association between eosinopenia and COVID severity was observed. The NLR was significantly increased in severe COVID patients compared to non- severe patients. Similarly, eosinophil was decreased considerably in severe covid compared to non-severe patients (p-value<0.05). The area under the eosinopenia ROC curve is 0.71 and 0.69 on days 7 and 3, respectively. Thus, eosinopenia on day 7 was fair in predicting severe COVID- 19 pneumonia compared with increased NLR, which was poor in predicting severe COVID-19. Using the area under the ROC curve, an eosinophil count cutoff of < 100 cells/mm3 produced a sensitivity of 75% for severe COVID-19 pneumonia. CONCLUSION: Eosinopenia and elevated NLR were found with increased frequency in patients with severe COVID-19 pneumonia; however, persistent eosinopenia was a better marker than NLR in predicting COVID-19 infection severity. KEYWORDS: Eosinopenia, Neutrophil to lymphocyte ratio, Covid-19, Pneumonia","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431988","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 : 2023-10-26DOI: 10.22442/jlumhs.2023.01072
Kousar Robeen
OBJECTIVE: To evaluate the frequency of gestational diabetes among women who experience premature rupture of membranes METHODOLOGY: This descriptive cross-sectional study was conducted at the Department of Obstetrics & Gynecology, Mohammad Teaching Hospital Peshawar, from October 2021 to February 2022. One hundred fifty-five patients were selected from the Obstetrics and Gynaecology outpatient department. Women presenting with premature membrane rupture, within the reproductive age of 15-45 years, and with a gestational period beyond 37 weeks were included. Women with a history of failed inductions and those with twin pregnancies confirmed by ultrasound were excluded. A consecutive sampling of 155 females with premature rupture of membranes and screening them for gestational diabetes mellitus. The SPSS (version 22.0) was used for statistical analysis. Categorical variables, including gestational diabetes, parity, and gravidity, were summarized using frequencies and percentages. We conducted post-stratification analysis using the chi-square test, with a significance level set at p < 0.05. RESULTS: The average age of the patients was 27.2±5.7 years, with the majority (49.7%) falling within the age range of up to 25 years. The mean parity was 2.49±1.84. Overall, we diagnosed gestational diabetes mellitus in 24.5% of the patients. CONCLUSION: The presence of gestational diabetes mellitus in cases of premature rupture of membranes is familiar in our population. We recommend conducting further studies to identify risk factors and develop preventive strategies before formulating recommendations for its prevention. KEYWORDS: Diabetes Mellitus, Frequency, Gestational age, Premature birth, Premature Rupture of Membranes, Women
{"title":"Frequency of Gestational Diabetes among Women presenting with Premature Rupture of Membranes","authors":"Kousar Robeen","doi":"10.22442/jlumhs.2023.01072","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.01072","url":null,"abstract":"OBJECTIVE: To evaluate the frequency of gestational diabetes among women who experience premature rupture of membranes METHODOLOGY: This descriptive cross-sectional study was conducted at the Department of Obstetrics & Gynecology, Mohammad Teaching Hospital Peshawar, from October 2021 to February 2022. One hundred fifty-five patients were selected from the Obstetrics and Gynaecology outpatient department. Women presenting with premature membrane rupture, within the reproductive age of 15-45 years, and with a gestational period beyond 37 weeks were included. Women with a history of failed inductions and those with twin pregnancies confirmed by ultrasound were excluded. A consecutive sampling of 155 females with premature rupture of membranes and screening them for gestational diabetes mellitus. The SPSS (version 22.0) was used for statistical analysis. Categorical variables, including gestational diabetes, parity, and gravidity, were summarized using frequencies and percentages. We conducted post-stratification analysis using the chi-square test, with a significance level set at p < 0.05. RESULTS: The average age of the patients was 27.2±5.7 years, with the majority (49.7%) falling within the age range of up to 25 years. The mean parity was 2.49±1.84. Overall, we diagnosed gestational diabetes mellitus in 24.5% of the patients. CONCLUSION: The presence of gestational diabetes mellitus in cases of premature rupture of membranes is familiar in our population. We recommend conducting further studies to identify risk factors and develop preventive strategies before formulating recommendations for its prevention. KEYWORDS: Diabetes Mellitus, Frequency, Gestational age, Premature birth, Premature Rupture of Membranes, Women","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134971585","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 : 2023-10-24DOI: 10.22442/jlumhs.2023.01039
Zainab Mohammad Anjarwala
OBJECTIVE: To estimate the proportion of electronic media usage among teenagers and identify the association between behavior and the use of electronic media. METHODOLOGY: An analytical cross-sectional study conducted from December 2021 to February 2022. A sample of teenagers (n=340) were selected from primary care clinics of Chanesar Goth and Hijrat Colony, Karachi. Participants were questioned regarding their daily usage of media. Strengths and Difficulties Questionnaire was administered to assess the behavior. Data was analyzed using SPSS 23. RESULTS: A total of 350 teenagers were enrolled in the study, and the distribution of gender was almost equal. Daily usage of media included Television(88.9%), videogames(47.4%), computer/laptop(79%), mobile phone(90.3%) and tablet(20.9%). The content viewed were movies (68.9%), Facebook (72%) and Chats/WhatsApp (76.6%). The mean of total difficulty score in our study population was 19.1 (SD: 4.8). On multivariate analysis, higher difficulty score was positively associated with increasing age (Beta: 0.428, 95% Cis: 0.070 -0.785, p-value:0.019) and total screen time (Beta: 0.003, 95% Cis: 0.001 -0.005, p-value: 0.036) while difficulty score was negatively associated with male gender (Beta: -1.223, 95% Cis: -2.441 -- -0.005, p-value: 0.049). CONCLUSION: Our population's media exposure and difficulty scores are higher than other populations. Media exposure needs to be reduced to control psychosocial problems. KEYWORDS: Electronic media, Behavior, Teenagers, Association, Adolescents, Media usage.
{"title":"Use of Electronic Media and its Association with Teenager's Behavior: An Analytical Cross-sectional Study in Community Clinics of Karachi","authors":"Zainab Mohammad Anjarwala","doi":"10.22442/jlumhs.2023.01039","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.01039","url":null,"abstract":"OBJECTIVE: To estimate the proportion of electronic media usage among teenagers and identify the association between behavior and the use of electronic media. METHODOLOGY: An analytical cross-sectional study conducted from December 2021 to February 2022. A sample of teenagers (n=340) were selected from primary care clinics of Chanesar Goth and Hijrat Colony, Karachi. Participants were questioned regarding their daily usage of media. Strengths and Difficulties Questionnaire was administered to assess the behavior. Data was analyzed using SPSS 23. RESULTS: A total of 350 teenagers were enrolled in the study, and the distribution of gender was almost equal. Daily usage of media included Television(88.9%), videogames(47.4%), computer/laptop(79%), mobile phone(90.3%) and tablet(20.9%). The content viewed were movies (68.9%), Facebook (72%) and Chats/WhatsApp (76.6%). The mean of total difficulty score in our study population was 19.1 (SD: 4.8). On multivariate analysis, higher difficulty score was positively associated with increasing age (Beta: 0.428, 95% Cis: 0.070 -0.785, p-value:0.019) and total screen time (Beta: 0.003, 95% Cis: 0.001 -0.005, p-value: 0.036) while difficulty score was negatively associated with male gender (Beta: -1.223, 95% Cis: -2.441 -- -0.005, p-value: 0.049). CONCLUSION: Our population's media exposure and difficulty scores are higher than other populations. Media exposure needs to be reduced to control psychosocial problems. KEYWORDS: Electronic media, Behavior, Teenagers, Association, Adolescents, Media usage.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135322032","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 clinical spectrum of metabolic storage disorders presenting to a public sector tertiary care hospital in Karachi, Pakistan. METHODOLOGY: This retrospective, cross-sectional study was conducted at the Department of Pediatrics, Dr RKMP Civil Hospital Karachi, in 2021. We reviewed the medical records of patients from January 2015 to December 2020. We included all pediatric patients admitted with suspicion of metabolic storage disorders based on two or more: visceromegaly, developmental delay, regression of milestones, fits without fever, family history of similar illness, and family history of expiry of children due to unknown reasons. Patients of malaria, enteric fever, epilepsy and cerebral palsy were excluded. We noted the demographic and clinical variables and applied descriptive statistics using SPSS version 22. RESULTS: Out of n=140 suspected children, n=40 (28.5%) patients were diagnosed with metabolic storage disorder. Among these, 26 (65%) were Lysosomal, and 14 (35%) were Glycogen storage disorders (LSDs and GSDs). The most common clinical feature of LSDs was faltering growth in 23 (88.4%), while for GSDs, it was abdominal distention and hepatomegaly in 100% of patients. Mucopolysaccharidoses were the most common type of LSD identified in 9(34.6%). Interestingly, family history of similar illness was not a standard feature (19.2% for LSDs and 7% for GSDs). CONCLUSION: Metabolic storage disorders are an emerging concern to pediatric health in our population. Physicians need to keep a high index of suspicion for patients with faltering growth and visceromegaly, with or without a significant family history. KEYWORDS: Glycogen storage diseases; Lysosomal storage diseases; Metabolic diseases; Inborn errors of metabolism; Hepatomegaly; Genetic diseases
{"title":"Metabolic Storage Disorders at a Tertiary Care Hospital, Pakistan","authors":"Sharmeen Nasir, Aisha Mehnaz, Ammarah Jamal, Muhammad Rafique, Yousuf Yahya, Amber Kamran","doi":"10.22442/jlumhs.2023.01016","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.01016","url":null,"abstract":"OBJECTIVE: To determine the clinical spectrum of metabolic storage disorders presenting to a public sector tertiary care hospital in Karachi, Pakistan. METHODOLOGY: This retrospective, cross-sectional study was conducted at the Department of Pediatrics, Dr RKMP Civil Hospital Karachi, in 2021. We reviewed the medical records of patients from January 2015 to December 2020. We included all pediatric patients admitted with suspicion of metabolic storage disorders based on two or more: visceromegaly, developmental delay, regression of milestones, fits without fever, family history of similar illness, and family history of expiry of children due to unknown reasons. Patients of malaria, enteric fever, epilepsy and cerebral palsy were excluded. We noted the demographic and clinical variables and applied descriptive statistics using SPSS version 22. RESULTS: Out of n=140 suspected children, n=40 (28.5%) patients were diagnosed with metabolic storage disorder. Among these, 26 (65%) were Lysosomal, and 14 (35%) were Glycogen storage disorders (LSDs and GSDs). The most common clinical feature of LSDs was faltering growth in 23 (88.4%), while for GSDs, it was abdominal distention and hepatomegaly in 100% of patients. Mucopolysaccharidoses were the most common type of LSD identified in 9(34.6%). Interestingly, family history of similar illness was not a standard feature (19.2% for LSDs and 7% for GSDs). CONCLUSION: Metabolic storage disorders are an emerging concern to pediatric health in our population. Physicians need to keep a high index of suspicion for patients with faltering growth and visceromegaly, with or without a significant family history. KEYWORDS: Glycogen storage diseases; Lysosomal storage diseases; Metabolic diseases; Inborn errors of metabolism; Hepatomegaly; Genetic diseases","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136034367","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 : 2023-10-10DOI: 10.22442/jlumhs.2023.00997
Subia Naz, Hakim Shah, Amin Khuwaja, Amjad Ali, Abdur Rasheed
OBJECTIVE: To determine the effectiveness of nursing educational interventions on patients with post PCI non-ischemic chest pain. METHODOLOGY: This experimental study was conducted from December 2017 to May 2018 on 100 post PCI patients. Patients who came with post PCI non-ischemic chest pain and on initial screening on the Numerical Rating Scale (NRS) patients scored 5 to 10 were included. Those who had post PCI ischemic chest pain with complications were excluded from the study. The Short McGill Pain Questionnaire (SMPQ) was used to assess the effectiveness of nursing educational interventions. Analysis of data was performed on SPSS version 21. Percentages were used for categorical variables, and inferential statistics were calculated using the Mann-Whitney Test. Mean and S.D. were calculated at baseline, week two, week four, and week six for both experimental and non-experimental groups. A P-value of 0.05 was considered significant. RESULTS: This study's findings showed that most participants (74%) were males and almost all (99%) were married. The P-value is significant at different intervals between the experimental and control groups at two, four and six weeks with P-values <0.001, <0.001, and <0.001, respectively. CONCLUSION: The findings of this study revealed that nursing interventions help reduce post PCI non-ischemic chest pain levels. This study demonstrates that after nurse-led educational interventions, there were significant differences in scores between interventional and non- interventional groups at different levels after PCI. KEYWORDS: Percutaneous Coronary Intervention, Chest Pain, Numerical Rating Scale, Short McGill Pain Questionnaire.
目的:探讨护理教育干预对PCI术后非缺血性胸痛患者的治疗效果。方法:本实验研究于2017年12月至2018年5月对100例PCI术后患者进行研究。包括PCI术后非缺血性胸痛患者和在数值评定量表(NRS)中评分为5至10分的初始筛查患者。PCI术后缺血性胸痛伴并发症的患者被排除在研究之外。采用短麦吉尔疼痛问卷(SMPQ)评估护理教育干预的有效性。数据分析采用SPSS version 21软件。分类变量采用百分比，推断统计量采用曼-惠特尼检验。计算实验组和非实验组在基线、第2周、第4周和第6周的平均值和标准差。p值为0.05被认为是显著的。结果:本研究结果显示，大多数参与者(74%)为男性，几乎所有参与者(99%)都已婚。实验组和对照组在第2周、第4周和第6周的p值在不同的间隔上显著，p值分别为<0.001、<0.001和<0.001。结论:本研究结果显示护理干预有助于降低PCI术后非缺血性胸痛水平。本研究表明，经过护士主导的教育干预后，PCI术后不同水平的介入组与非介入组的评分存在显著差异。关键词:经皮冠状动脉介入治疗，胸痛，数值评定量表，短麦吉尔疼痛问卷。
{"title":"Nursing Intervention Including Meditation and Physiotherapeutic Treatment in Post PCI Chest Pain (Non-Ischemic)","authors":"Subia Naz, Hakim Shah, Amin Khuwaja, Amjad Ali, Abdur Rasheed","doi":"10.22442/jlumhs.2023.00997","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.00997","url":null,"abstract":"OBJECTIVE: To determine the effectiveness of nursing educational interventions on patients with post PCI non-ischemic chest pain. METHODOLOGY: This experimental study was conducted from December 2017 to May 2018 on 100 post PCI patients. Patients who came with post PCI non-ischemic chest pain and on initial screening on the Numerical Rating Scale (NRS) patients scored 5 to 10 were included. Those who had post PCI ischemic chest pain with complications were excluded from the study. The Short McGill Pain Questionnaire (SMPQ) was used to assess the effectiveness of nursing educational interventions. Analysis of data was performed on SPSS version 21. Percentages were used for categorical variables, and inferential statistics were calculated using the Mann-Whitney Test. Mean and S.D. were calculated at baseline, week two, week four, and week six for both experimental and non-experimental groups. A P-value of 0.05 was considered significant. RESULTS: This study's findings showed that most participants (74%) were males and almost all (99%) were married. The P-value is significant at different intervals between the experimental and control groups at two, four and six weeks with P-values <0.001, <0.001, and <0.001, respectively. CONCLUSION: The findings of this study revealed that nursing interventions help reduce post PCI non-ischemic chest pain levels. This study demonstrates that after nurse-led educational interventions, there were significant differences in scores between interventional and non- interventional groups at different levels after PCI. KEYWORDS: Percutaneous Coronary Intervention, Chest Pain, Numerical Rating Scale, Short McGill Pain Questionnaire.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136356437","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 : 2023-10-09DOI: 10.22442/jlumhs.2023.01040
Mohamed Osman Elamin, Hatim Matooq Badri, Wahaj A. Khan
OBJECTIVE: This study aimed to identify the stigma among medical care providers towards people with Schizophrenia and Obsessive-Compulsive Disorder and the factors associated with increased stigma among them. METHODOLOGY: A cross-sectional study design was used to determine the prevalence of stigma among medical professionals toward patients with Schizophrenia and obsessive-compulsive disorders (OCD). Participants were from one of the best hospitals in Makkah, Saudi Arabia, King Abdullah Medical City (KAMC), in which 283 of their medical care providers were randomly selected using the RAOSOFT calculator technique. All medical care providers at King Abdullah Medical City were included. Medical care providers who refused to participate were excluded. Data entered, cleaned, and analyzed using the Statistical Package for Social Sciences (SPSS) Version 22. RESULTS: The study clarified that medical care providers have less stigmatization towards patients suffering from OCD (53%) than their stigma towards patients with Schizophrenia (54.4%). The study found that (26.4%), and (1.4%) of physicians felt comfortable dealing with OCD and schizophrenic patients, respectively, while (28.2%) and (11.2%) of nurses felt comfortable dealing with OCD and schizophrenic patients, respectively. CONCLUSION: The study concluded that the stigma towards patients with Schizophrenia is higher than it is towards patients with OCD; this stigma is higher among physicians than nursing staff. KEYWORDS: Cross-sectional, Stigma, Schizophrenia, Obsessive-compulsive disorder (OCD), Medical care providers, Medical City.
{"title":"Prevalence of Stigma among medical care providers towards patients with Schizophrenia and Obsessive Compulsive Disorders","authors":"Mohamed Osman Elamin, Hatim Matooq Badri, Wahaj A. Khan","doi":"10.22442/jlumhs.2023.01040","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.01040","url":null,"abstract":"OBJECTIVE: This study aimed to identify the stigma among medical care providers towards people with Schizophrenia and Obsessive-Compulsive Disorder and the factors associated with increased stigma among them. METHODOLOGY: A cross-sectional study design was used to determine the prevalence of stigma among medical professionals toward patients with Schizophrenia and obsessive-compulsive disorders (OCD). Participants were from one of the best hospitals in Makkah, Saudi Arabia, King Abdullah Medical City (KAMC), in which 283 of their medical care providers were randomly selected using the RAOSOFT calculator technique. All medical care providers at King Abdullah Medical City were included. Medical care providers who refused to participate were excluded. Data entered, cleaned, and analyzed using the Statistical Package for Social Sciences (SPSS) Version 22. RESULTS: The study clarified that medical care providers have less stigmatization towards patients suffering from OCD (53%) than their stigma towards patients with Schizophrenia (54.4%). The study found that (26.4%), and (1.4%) of physicians felt comfortable dealing with OCD and schizophrenic patients, respectively, while (28.2%) and (11.2%) of nurses felt comfortable dealing with OCD and schizophrenic patients, respectively. CONCLUSION: The study concluded that the stigma towards patients with Schizophrenia is higher than it is towards patients with OCD; this stigma is higher among physicians than nursing staff. KEYWORDS: Cross-sectional, Stigma, Schizophrenia, Obsessive-compulsive disorder (OCD), Medical care providers, Medical City.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135095192","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: 10.22442/jlumhs.2023.01068
Sibtain Ahmed, Saher Shafiq
{"title":"Risk Management in the Clinical Laboratory - High Need of Time","authors":"Sibtain Ahmed, Saher Shafiq","doi":"10.22442/jlumhs.2023.01068","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.01068","url":null,"abstract":"","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136344224","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: 10.22442/jlumhs.2023.01029
Naveed Ali Shair, Muhammad Abubakar, Rehan Sittar, Muhammad Khalid Kazmi, Abdullah Tariq, Muhammad Hanif Mian
OBJECTIVE: To note the functional outcome of recurrent anterior shoulder dislocation with Bankart repair (BR) treated with arthroscopic stabilisation with suture anchors. METHODOLOGY: This prospective cohort study was conducted at the Department of Orthopedic Surgery, Lahore General Hospital, Lahore, from January 2021 to June 2022. Patients undergoing arthroscopic BR with anterior instability of the glenohumeral joint with at least >6 episodes of dislocation/subluxation in the last six months were analysed. Functional outcomes were assessed at one-month, three-month and six month intervals post-surgery using "Modified University of California Los Angeles (UCLA)" and "Simple Shoulder Test (SST)". RESULTS: Of 25 patients, 24 (96.0%) were male. The mean age was 27.20±4.0 years. The mean duration of symptoms was 9.1±6.2 months. In 16 (64.0%) patients, 2-suture anchors were utilised, while 3-suture anchors were used in the remaining 9 (36.0%) patients. Pre-surgery, the mean UCLA score was 16.4±5.6 and improved to 1-month, 3-month and 6-month as 16.6±5.1, 22.8±6.2 and 28.4±6.6 respectively (p<0.001). Pre-surgery, the mean SST score was 4.7±2.4 which improved to 1-month, 3-month and 6-month as 5.4±2.6, 8.1±3.3 and 11.2±3.1 respectively (p<0.001). All patients (100%) had full range of motion after six months post-surgery. CONCLUSION: Arthroscopic BR in recurrent anterior shoulder dislocation was a reliable procedure regarding functional outcomes and range of motion after six months of follow-up. KEYWORDS: Arthroscopy, Bankart repair, shoulder dislocation, suture anchors, range of motion
{"title":"Clinical and Functional Outcomes of Arthroscopic Bankart Repair among Patients with Recurrent Anterior Shoulder Dislocation","authors":"Naveed Ali Shair, Muhammad Abubakar, Rehan Sittar, Muhammad Khalid Kazmi, Abdullah Tariq, Muhammad Hanif Mian","doi":"10.22442/jlumhs.2023.01029","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.01029","url":null,"abstract":"OBJECTIVE: To note the functional outcome of recurrent anterior shoulder dislocation with Bankart repair (BR) treated with arthroscopic stabilisation with suture anchors. METHODOLOGY: This prospective cohort study was conducted at the Department of Orthopedic Surgery, Lahore General Hospital, Lahore, from January 2021 to June 2022. Patients undergoing arthroscopic BR with anterior instability of the glenohumeral joint with at least >6 episodes of dislocation/subluxation in the last six months were analysed. Functional outcomes were assessed at one-month, three-month and six month intervals post-surgery using \"Modified University of California Los Angeles (UCLA)\" and \"Simple Shoulder Test (SST)\". RESULTS: Of 25 patients, 24 (96.0%) were male. The mean age was 27.20±4.0 years. The mean duration of symptoms was 9.1±6.2 months. In 16 (64.0%) patients, 2-suture anchors were utilised, while 3-suture anchors were used in the remaining 9 (36.0%) patients. Pre-surgery, the mean UCLA score was 16.4±5.6 and improved to 1-month, 3-month and 6-month as 16.6±5.1, 22.8±6.2 and 28.4±6.6 respectively (p<0.001). Pre-surgery, the mean SST score was 4.7±2.4 which improved to 1-month, 3-month and 6-month as 5.4±2.6, 8.1±3.3 and 11.2±3.1 respectively (p<0.001). All patients (100%) had full range of motion after six months post-surgery. CONCLUSION: Arthroscopic BR in recurrent anterior shoulder dislocation was a reliable procedure regarding functional outcomes and range of motion after six months of follow-up. KEYWORDS: Arthroscopy, Bankart repair, shoulder dislocation, suture anchors, range of motion","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136344077","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: The main goal of this research study was to analyze the profile and prevalence of type 2 diabetic patients admitted to the MTI Khyber Teaching Hospital, Peshawar. METHODOLOGY: A hospital-based point prevalence cross-sectional descriptive study was carried out as a pilot project in November 2022 at MTI Khyber Teaching Hospital, Peshawar, Pakistan. Patients satisfying the inclusion and exclusion criteria enrolled in the study, and a non-probability consecutive sampling technique was used. RESULTS: A total of 850 patients were admitted during the study period; out of them, 24.7% had type II diabetes mellitus (T2DM). The mean length of hospital stay was significantly high among T2DM patients (p <0.01). Moreover, there were statistically significant differences χ2(2) = 94.67, p <0.01, in the mode of admission among the T2DM patients, with fewer cases shifted from other units compared to ER and OPD. The antidiabetic regimen prescribed during the hospitalization included an oral antidiabetic regimen (36.9%), oral plus twice-daily insulin regimen (19.63%), and basal-bolus insulin (15.07%). CCU and ophthalmology ward had the highest proportion of admissions of T2DM patients (40% each). Patients were admitted for various indications; 11.0% were admitted due to diabetic foot ulcer, 9.5% for elective surgery, 9.55% had acute coronary syndrome (ACS), and 9.0% had diabetic kidney disease. CONCLUSION: Patients admitted exhibited a high prevalence of T2DM. We highlighted some of the substantial characteristics of these patients attending various specialties. KEYWORDS: Point Prevalence, Type 2 Diabetes Mellitus, Indications, Admission Rate, Treatment Regimen.
目的:本研究的主要目的是分析白沙瓦MTI开伯尔教学医院收治的2型糖尿病患者的概况和患病率。方法:作为一个试点项目，于2022年11月在巴基斯坦白沙瓦的MTI开伯尔教学医院开展了一项以医院为基础的点患病率横断面描述性研究。符合纳入和排除标准的患者入组研究，采用非概率连续抽样技术。结果:研究期间共收治850例患者;其中24.7%患有2型糖尿病(T2DM)。T2DM患者的平均住院时间显著高于T2DM患者(p <0.01)。T2DM患者入院方式差异有统计学意义(χ2(2) = 94.67, p <0.01)，从其他科室转院的病例少于急诊和门诊。住院期间的降糖方案包括口服降糖方案(36.9%)、口服加每日两次胰岛素方案(19.63%)和基础注射胰岛素方案(15.07%)。2型糖尿病患者住院比例最高的科室为CCU和眼科(各占40%)。患者因各种适应症入院;11.0%因糖尿病足溃疡入院，9.5%因择期手术入院，9.55%因急性冠脉综合征(ACS)入院，9.0%因糖尿病肾病入院。结论:入院患者表现出较高的T2DM患病率。我们强调了这些患者参加不同专业的一些实质性特征。关键词:点患病率，2型糖尿病，适应症，入院率，治疗方案。
{"title":"Point prevalence of Type 2 Diabetes Mellitus patients among different specialties at MTI Khyber Teaching Hospital in Peshawar","authors":"Suleman Elahi Malik, Iqbal Haider, Romesa Akhtar Khattak, Sidra Bibi, Hammad Naeem, Marhaba Iqbal","doi":"10.22442/jlumhs.2023.01023","DOIUrl":"https://doi.org/10.22442/jlumhs.2023.01023","url":null,"abstract":"OBJECTIVE: The main goal of this research study was to analyze the profile and prevalence of type 2 diabetic patients admitted to the MTI Khyber Teaching Hospital, Peshawar. METHODOLOGY: A hospital-based point prevalence cross-sectional descriptive study was carried out as a pilot project in November 2022 at MTI Khyber Teaching Hospital, Peshawar, Pakistan. Patients satisfying the inclusion and exclusion criteria enrolled in the study, and a non-probability consecutive sampling technique was used. RESULTS: A total of 850 patients were admitted during the study period; out of them, 24.7% had type II diabetes mellitus (T2DM). The mean length of hospital stay was significantly high among T2DM patients (p <0.01). Moreover, there were statistically significant differences χ2(2) = 94.67, p <0.01, in the mode of admission among the T2DM patients, with fewer cases shifted from other units compared to ER and OPD. The antidiabetic regimen prescribed during the hospitalization included an oral antidiabetic regimen (36.9%), oral plus twice-daily insulin regimen (19.63%), and basal-bolus insulin (15.07%). CCU and ophthalmology ward had the highest proportion of admissions of T2DM patients (40% each). Patients were admitted for various indications; 11.0% were admitted due to diabetic foot ulcer, 9.5% for elective surgery, 9.55% had acute coronary syndrome (ACS), and 9.0% had diabetic kidney disease. CONCLUSION: Patients admitted exhibited a high prevalence of T2DM. We highlighted some of the substantial characteristics of these patients attending various specialties. KEYWORDS: Point Prevalence, Type 2 Diabetes Mellitus, Indications, Admission Rate, Treatment Regimen.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136277195","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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