Pub Date : 2019-04-10DOI: 10.22442/jlumhs.191810593
S. Ahmed, Imran Memon, Zakir Hussain Rajpar, M. Asim, A. Anwar, W. Elahi
OBJECTIVE: To assess the effectiveness of honey dressing in Fournier’s Gangrene against conventional Edinburgh University solution of lime (EUSOL) dressing.METHODOLOGY: This was a prospective experimental study conducted in Liaquat National Medical College and Hospital Karachi for duration of 5 and half years. Total 44 patients having gangrene and no co morbid conditions were included in this study. Patients who had co-morbid conditions like derangedcoagulation profile and CVA, who were not willing to participate or loss to follow up were excluded from the study. After getting baseline blood workup (i.e. CBC, S. Creatinine, S. Electrolytes, Urine D/R, C/S and Diabetic workup) done and taking consent, the patients were immediately shifted to operation theatre, the incision and drainage was performed, and the necrotic tissues were debrided. Pus cultures were sent, and patients were started on routine intravenous antibiotics (3rd generation Cephalosporin and metronidazole). A Dressing of wound was done randomly by honey in Group A and by Eusol inGroup B. Patients were discharged after wound was completely healed. The data were obtained and analyzed by using SPSS version 20. Mann-Whitney U-test and chi-square test was applied to find out the significance.RESUTS: The patients in Group A got slough cleared in4.82±0.96 days, on average requiring 3.22±0.75 number of debridement’s, complete wound healing and duration of hospital stay being 9.54±0.74 days. The patients in Group B got slough cleared in 8±0.87 days, requiring 5.32±0.72 number of debridement’s,complete wound healing and duration of hospital stay 13.68±1.09 days.There was a significant difference in slough clearance, number of debridement’s required, time taken for complete wound healing and hospital stay between Group A and Group B (P-value <0.001).CONCLUSION: This study predicted that honey is very valuable in the management of Fournier’s gangrene as it ensured early clearance of slough, required lesser number of debridement’s, had early wound healing and had relatively shorter duration of stay in hospital than those treated with conventional EUSOL as dressing material.
{"title":"Management of Fournier’s Gangrene; A Randomized Controlled Trial at High Volume Center Comparing the efficacy of Honey and Eusol Dressing in Wound Healing","authors":"S. Ahmed, Imran Memon, Zakir Hussain Rajpar, M. Asim, A. Anwar, W. Elahi","doi":"10.22442/jlumhs.191810593","DOIUrl":"https://doi.org/10.22442/jlumhs.191810593","url":null,"abstract":"OBJECTIVE: To assess the effectiveness of honey dressing in Fournier’s Gangrene against conventional Edinburgh University solution of lime (EUSOL) dressing.METHODOLOGY: This was a prospective experimental study conducted in Liaquat National Medical College and Hospital Karachi for duration of 5 and half years. Total 44 patients having gangrene and no co morbid conditions were included in this study. Patients who had co-morbid conditions like derangedcoagulation profile and CVA, who were not willing to participate or loss to follow up were excluded from the study. After getting baseline blood workup (i.e. CBC, S. Creatinine, S. Electrolytes, Urine D/R, C/S and Diabetic workup) done and taking consent, the patients were immediately shifted to operation theatre, the incision and drainage was performed, and the necrotic tissues were debrided. Pus cultures were sent, and patients were started on routine intravenous antibiotics (3rd generation Cephalosporin and metronidazole). A Dressing of wound was done randomly by honey in Group A and by Eusol inGroup B. Patients were discharged after wound was completely healed. The data were obtained and analyzed by using SPSS version 20. Mann-Whitney U-test and chi-square test was applied to find out the significance.RESUTS: The patients in Group A got slough cleared in4.82±0.96 days, on average requiring 3.22±0.75 number of debridement’s, complete wound healing and duration of hospital stay being 9.54±0.74 days. The patients in Group B got slough cleared in 8±0.87 days, requiring 5.32±0.72 number of debridement’s,complete wound healing and duration of hospital stay 13.68±1.09 days.There was a significant difference in slough clearance, number of debridement’s required, time taken for complete wound healing and hospital stay between Group A and Group B (P-value <0.001).CONCLUSION: This study predicted that honey is very valuable in the management of Fournier’s gangrene as it ensured early clearance of slough, required lesser number of debridement’s, had early wound healing and had relatively shorter duration of stay in hospital than those treated with conventional EUSOL as dressing material.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74772180","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 : 2019-03-30DOI: 10.22442/jlumhs.191810594
{"title":"Transurethral Resection in benign Prostatic Hyperplasia; An Observational Study Highlighting the Correlation of the Resected Tissue with Electrolytes and Hemoglobin","authors":"","doi":"10.22442/jlumhs.191810594","DOIUrl":"https://doi.org/10.22442/jlumhs.191810594","url":null,"abstract":"","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75844965","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 : 2019-03-30DOI: 10.22442/jlumhs.191810596
{"title":"Bacterial Sensitivity Pattern іn Nеоnаtаl Ѕерѕіѕ at Civil Hospital Hyderabad","authors":"","doi":"10.22442/jlumhs.191810596","DOIUrl":"https://doi.org/10.22442/jlumhs.191810596","url":null,"abstract":"","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81516005","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 : 2019-03-30DOI: 10.22442/jlumhs.191810597
{"title":"Outcome of Tuberculous Meningitis in Adults","authors":"","doi":"10.22442/jlumhs.191810597","DOIUrl":"https://doi.org/10.22442/jlumhs.191810597","url":null,"abstract":"","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73421199","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 : 2019-03-30DOI: 10.22442/jlumhs.191810592
{"title":"A Meta Analysis on the Ethnic Differences in Bone Mineral Density on DEXA Scan in Pakistan","authors":"","doi":"10.22442/jlumhs.191810592","DOIUrl":"https://doi.org/10.22442/jlumhs.191810592","url":null,"abstract":"","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76896136","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 : 2019-03-30DOI: 10.22442/jlumhs.191810602
{"title":"Level of Actual Physical Fitness and its Perception among Students of Physiotherapy in Lahore","authors":"","doi":"10.22442/jlumhs.191810602","DOIUrl":"https://doi.org/10.22442/jlumhs.191810602","url":null,"abstract":"","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89692279","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 : 2019-03-30DOI: 10.22442/jlumhs.191810598
{"title":"Role of Paraoxonase-1 (Q192R) Gene Polymorphism in Coronary Artery Disease in Saudi Arabian Population","authors":"","doi":"10.22442/jlumhs.191810598","DOIUrl":"https://doi.org/10.22442/jlumhs.191810598","url":null,"abstract":"","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79457010","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 : 2019-03-30DOI: 10.22442/jlumhs.191810595
Muhammad Jamil, A. A. Siddiqui, K. M. Khan, J. Kumar, M. Katto, Malik Ahmed, M. Pirwani
OBJECTIVE: To evaluate the Ponseti treatment in neglected club foot patients. Result of this study shallhelp us to manage untreated or neglected patients with club foot in better way and this study shallprovide platform for bigger studies on clubfoot in Pakistan.METHODOLOGY: This multicentre observational cross sectional study was conducted on retrospectivedata of patients registered to Ponseti Club foot Clinic between July 2013 to Dec 2016 at Dr Ruth PfauCivil Hospital Karachi and Jinnah postgraduate Medical Center, Karachi. In this study 41 feet in 28 patientswith Neglected club foot between 3 to 11 years were treated by Ponseti guidelines for older child(already walking child). Deformity was assessed with pirani scoring. Average follow up time was 3 years.RESULTS: Painless plantigrate foot was obtained in all patients. In 3 patients equinus deformityrecurred. Two were managed with recasting while in the third one along with recasting and retenotomywas undertaken. In 2 patients mild varus was recurred, which was managed with recasting. One patientwas lost to follow-up after 2 years.CONCLUSION: This study conclude that treatment of neglected idiopathic club foot patients presentingto us after walking age with Ponseti method according to Ponseti guidelines for older children is safe,effective and low cost method. It also reduces the risk of excessive surgical procedures.
{"title":"Ponseti Technique in Neglected Club Foot Children with Age between 3 and 11 Years","authors":"Muhammad Jamil, A. A. Siddiqui, K. M. Khan, J. Kumar, M. Katto, Malik Ahmed, M. Pirwani","doi":"10.22442/jlumhs.191810595","DOIUrl":"https://doi.org/10.22442/jlumhs.191810595","url":null,"abstract":"OBJECTIVE: To evaluate the Ponseti treatment in neglected club foot patients. Result of this study shallhelp us to manage untreated or neglected patients with club foot in better way and this study shallprovide platform for bigger studies on clubfoot in Pakistan.METHODOLOGY: This multicentre observational cross sectional study was conducted on retrospectivedata of patients registered to Ponseti Club foot Clinic between July 2013 to Dec 2016 at Dr Ruth PfauCivil Hospital Karachi and Jinnah postgraduate Medical Center, Karachi. In this study 41 feet in 28 patientswith Neglected club foot between 3 to 11 years were treated by Ponseti guidelines for older child(already walking child). Deformity was assessed with pirani scoring. Average follow up time was 3 years.RESULTS: Painless plantigrate foot was obtained in all patients. In 3 patients equinus deformityrecurred. Two were managed with recasting while in the third one along with recasting and retenotomywas undertaken. In 2 patients mild varus was recurred, which was managed with recasting. One patientwas lost to follow-up after 2 years.CONCLUSION: This study conclude that treatment of neglected idiopathic club foot patients presentingto us after walking age with Ponseti method according to Ponseti guidelines for older children is safe,effective and low cost method. It also reduces the risk of excessive surgical procedures.","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87452221","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 : 2019-03-30DOI: 10.22442/jlumhs.191810601
{"title":"Frequency of Procedural Errors during Root Canal Treatment Performed by House Officers in Private Teaching Dental Hospital","authors":"","doi":"10.22442/jlumhs.191810601","DOIUrl":"https://doi.org/10.22442/jlumhs.191810601","url":null,"abstract":"","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90058406","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 : 2019-03-30DOI: 10.22442/jlumhs.191810599
{"title":"Comparative Study of Oral versus Intravenous Iron Therapy in Patients of Chronic Renal Failure Receiving Recombinant Human Erythropoietin","authors":"","doi":"10.22442/jlumhs.191810599","DOIUrl":"https://doi.org/10.22442/jlumhs.191810599","url":null,"abstract":"","PeriodicalId":43685,"journal":{"name":"Journal of the Liaquat University of Medical and Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2019-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76824273","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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