Pub Date : 2022-04-30DOI: 10.21649/akemu.v28i1.5001
Attia Nasim, M. Ghani, Samina Kausar, K. Khatoon
Background: Problem based learning (PBL) is an innovative and learner-centered teaching approach that improves nurses' theoretical knowledge, trains them practically, develops their critical and problem-solving skills to be used for overcoming environmental constraints during clinical practice. Objectives: The aim of this study was to determine the effectiveness of PBL in developing knowledge of undergraduate nursing students. Methods: This study conducted a pretest–posttest experimental design among B.Sc. Nursing students of Saida Waheed FMH College of Nursing Lahore. Lottery method of random sampling was used to recruit the participants for experiment group and control group. A PBL-based treatment for the experimental group and a series of lectures was traditionally delivered to the control group on the topic of Diabetes Mellitus. Data was collected using MCQs-based questionnaire during pre-test-post-test processes. Results: This study identified the problem-based learning as more effective teaching method than lecture method after observing a significant difference between the scores of post-tests of lecture method (LM) and problem-based learning. The participants of the experimental group significantly gained more knowledge scores than the members of LM. Conclusion: The intervention of PBL method has significantly improved more knowledge of the participants of experimental group than the members of LBL. It reflects that PBL is a more important and effective teaching method in developing knowledge of nursing students than lecture method.
{"title":"Effectiveness of Problem Based Learning in Developing Knowledge of Undergraduate Nursing Students","authors":"Attia Nasim, M. Ghani, Samina Kausar, K. Khatoon","doi":"10.21649/akemu.v28i1.5001","DOIUrl":"https://doi.org/10.21649/akemu.v28i1.5001","url":null,"abstract":"Background: Problem based learning (PBL) is an innovative and learner-centered teaching approach that improves nurses' theoretical knowledge, trains them practically, develops their critical and problem-solving skills to be used for overcoming environmental constraints during clinical practice. Objectives: The aim of this study was to determine the effectiveness of PBL in developing knowledge of undergraduate nursing students. Methods: This study conducted a pretest–posttest experimental design among B.Sc. Nursing students of Saida Waheed FMH College of Nursing Lahore. Lottery method of random sampling was used to recruit the participants for experiment group and control group. A PBL-based treatment for the experimental group and a series of lectures was traditionally delivered to the control group on the topic of Diabetes Mellitus. Data was collected using MCQs-based questionnaire during pre-test-post-test processes. Results: This study identified the problem-based learning as more effective teaching method than lecture method after observing a significant difference between the scores of post-tests of lecture method (LM) and problem-based learning. The participants of the experimental group significantly gained more knowledge scores than the members of LM. Conclusion: The intervention of PBL method has significantly improved more knowledge of the participants of experimental group than the members of LBL. It reflects that PBL is a more important and effective teaching method in developing knowledge of nursing students than lecture method. ","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85222467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-30DOI: 10.21649/akemu.v28i1.4990
Sarwat Hussain, D. Bhatti
Artificial Intelligence (AI) is a branch of computer sciences that uses learning algorithms to calculate probability of outcome by using Bayes theorem and other statistical methods for a given certain input (Fig.1). When the chance of an event occurring is calculated over and over again after adding new data or evidence at each step, the probability can reach the level of near certainty for given inputs. Thousands, even millions of data points are incorporated in calculating posterior probability for predictive analytics. The analytics are input neutral as programs predict the future events irrespective of the type of the data. AI has, thus, blurred the boundaries between the physical, digital, and biological worlds. The initial learning process is considered training where inputs are given to the program already marked for the expected outcome. This training information can either be highly precise or very vague allowing different degrees of freedom to the program but also increasing the burden of training. Once trained an AI algorithm is able to predict or analyze given input to suggest the required outcome with some certainty. This improves with continued training through feedback.
{"title":"Artificial Intelligence and Medical Education","authors":"Sarwat Hussain, D. Bhatti","doi":"10.21649/akemu.v28i1.4990","DOIUrl":"https://doi.org/10.21649/akemu.v28i1.4990","url":null,"abstract":"Artificial Intelligence (AI) is a branch of computer sciences that uses learning algorithms to calculate probability of outcome by using Bayes theorem and other statistical methods for a given certain input (Fig.1). When the chance of an event occurring is calculated over and over again after adding new data or evidence at each step, the probability can reach the level of near certainty for given inputs. Thousands, even millions of data points are incorporated in calculating posterior probability for predictive analytics. The analytics are input neutral as programs predict the future events irrespective of the type of the data. AI has, thus, blurred the boundaries between the physical, digital, and biological worlds. The initial learning process is considered training where inputs are given to the program already marked for the expected outcome. This training information can either be highly precise or very vague allowing different degrees of freedom to the program but also increasing the burden of training. Once trained an AI algorithm is able to predict or analyze given input to suggest the required outcome with some certainty. This improves with continued training through feedback.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"5 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89115601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-30DOI: 10.21649/akemu.v28i1.5017
Afzaal Bashir, S. Afzaal, M. M. Bashir, Muhammad R. Sohail
Background: Congenital and acquired lesions both cause marked elevation in anxiety due to decreased self-esteem and confidence. Plastic surgery can address and markedly improve the anxiety level by addressing such lesions. Medical and surgical concerns related to body may elevate baseline anxiety. Although females are more concerned and fretful about such lesions, we observed that males are also prone to similar levels of anxiety. Objective: The objective of the study is to find out effect of plastic surgery on anxiety level of males having facial lesions. Methods: This prospective study was conducted in Plastic Surgery Department of King Edward Medical University, Lahore, Pakistan from Feb 2018 to Jan 2019 and 100 male patients with either congenital or acquired lesions of face were enrolled and operated. Anxiety level was rated by applying Hamilton anxiety scale immediate preoperatively and satisfaction along with quality of scar was noted after 2 months. Results: 53% of enrolled patients were having educational status above secondary school, 63% patients were from urban, 56% patients were below 27 years of age, 44% were above 27 years of age and 33% were married. Trauma was the cause of lesion in 61% while 13% were with Rhomberg disease and 26% with congenital lesions disorder. Majority of patients had lesion involving forehead. On Hamilton anxiety scale, pre-operative anxiety score was high (21.76±5.846) as compared to postoperative score (10.04±4.537). Scar scoring with Vancouver Scar Scale was 4.36±1.798 post operatively. Majority of patients showed significant improvement in anxiety scores post operatively. Conclusion: Irrespective of age, socioeconomic status and education level, lesions involving face elevated baseline anxiety in males. Plastic surgery addresses these concerns permanently resulting in marked improvement in anxiety level.
{"title":"Plastic Surgery Improves Baseline Anxiety in Males Having Lesions on Face","authors":"Afzaal Bashir, S. Afzaal, M. M. Bashir, Muhammad R. Sohail","doi":"10.21649/akemu.v28i1.5017","DOIUrl":"https://doi.org/10.21649/akemu.v28i1.5017","url":null,"abstract":"Background: Congenital and acquired lesions both cause marked elevation in anxiety due to decreased self-esteem and confidence. Plastic surgery can address and markedly improve the anxiety level by addressing such lesions. Medical and surgical concerns related to body may elevate baseline anxiety. Although females are more concerned and fretful about such lesions, we observed that males are also prone to similar levels of anxiety. Objective: The objective of the study is to find out effect of plastic surgery on anxiety level of males having facial lesions. Methods: This prospective study was conducted in Plastic Surgery Department of King Edward Medical University, Lahore, Pakistan from Feb 2018 to Jan 2019 and 100 male patients with either congenital or acquired lesions of face were enrolled and operated. Anxiety level was rated by applying Hamilton anxiety scale immediate preoperatively and satisfaction along with quality of scar was noted after 2 months. Results: 53% of enrolled patients were having educational status above secondary school, 63% patients were from urban, 56% patients were below 27 years of age, 44% were above 27 years of age and 33% were married. Trauma was the cause of lesion in 61% while 13% were with Rhomberg disease and 26% with congenital lesions disorder. Majority of patients had lesion involving forehead. On Hamilton anxiety scale, pre-operative anxiety score was high (21.76±5.846) as compared to \u0000postoperative score (10.04±4.537). Scar scoring with Vancouver Scar Scale was 4.36±1.798 post operatively. Majority of patients showed significant improvement in anxiety scores post operatively. Conclusion: Irrespective of age, socioeconomic status and education level, lesions involving face elevated baseline anxiety \u0000in males. Plastic surgery addresses these concerns permanently resulting in marked improvement in anxiety level.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83355882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-17DOI: 10.21649/akemu.v9i2.4948
F. Bashir
This prospective study serves to document clinical picture of 82-hospitalized spinally injured patients in order to highlight their main and basic management strategies via literature review to ensure their timely and precise therapy which serves to reduce mortality rate and complications at chronic stage of illness.
{"title":"Evaluation of Motor System in Sci and Updates","authors":"F. Bashir","doi":"10.21649/akemu.v9i2.4948","DOIUrl":"https://doi.org/10.21649/akemu.v9i2.4948","url":null,"abstract":"This prospective study serves to document clinical picture of 82-hospitalized spinally injured patients in order to highlight their main and basic management strategies via literature review to ensure their timely and precise therapy which serves to reduce mortality rate and complications at chronic stage of illness.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"10 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83356917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-17DOI: 10.21649/akemu.v9i2.4949
M. S. Ali, N. Izhar, M. R. Bhatti
Schizophrenia is considered to be the heartland of psychiatry and core of its clinical practice. There have been disagreements regarding its diagnostic criteria. Schneiderian first rank symptoms have been given much importance ill international classification systems. Prevalence of first rank symptoms has been reported to be from 28% to 73%. This study was done to estimate the prevalence of first rank symptoms in schizophrenia in patients presenting in outpatients departments of Mayo hospital Lahore and Institute of mental health Lahore. 168 patients were studied. Fifty patients were suffering from schizophrenia. Twenty-live patients each were suffering from mania and psychotic depression. Fifty patients had neurotic (disorders and 18 patients were suffering from drug-induced psychosis. ICD-10 was used as diagnostic criteria and Mellor’s definitions of first rank symptoms were used. Prevalence of first rank symptoms in schizophrenia was found to be 56%. Very few patients from other diagnostic categories had first rank symptoms. Prevalence of first rank symptoms in schizophrenia is lower than reported from studies done in the West. Local criteria and instruments should be developed for use in our own population.
{"title":"Diagnostic Significance of Schneiderian First Rank Symptoms","authors":"M. S. Ali, N. Izhar, M. R. Bhatti","doi":"10.21649/akemu.v9i2.4949","DOIUrl":"https://doi.org/10.21649/akemu.v9i2.4949","url":null,"abstract":"Schizophrenia is considered to be the heartland of psychiatry and core of its clinical practice. There have been disagreements regarding its diagnostic criteria. Schneiderian first rank symptoms have been given much importance ill international classification systems. Prevalence of first rank symptoms has been reported to be from 28% to 73%. This study was done to estimate the prevalence of first rank symptoms in schizophrenia in patients presenting in outpatients departments of Mayo hospital Lahore and Institute of mental health Lahore. 168 patients were studied. Fifty patients were suffering from schizophrenia. Twenty-live patients each were suffering from mania and psychotic depression. Fifty patients had neurotic (disorders and 18 patients were suffering from drug-induced psychosis. ICD-10 was used as diagnostic criteria and Mellor’s definitions of first rank symptoms were used. Prevalence of first rank symptoms in schizophrenia was found to be 56%. Very few patients from other diagnostic categories had first rank symptoms. Prevalence of first rank symptoms in schizophrenia is lower than reported from studies done in the West. Local criteria and instruments should be developed for use in our own population. \u0000","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"66 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74425602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-07DOI: 10.21649/akemu.v27i4.4888
Sabar Butt, S. Amir Gilani, A. Hanif, Syeda Khadija, R. Bacha
Objective: Comparison of Placental Elasticity and different spectral Doppler indices in normal and intrauterine growth restricted fetuses to establish efficacy of shear wave elastography in early detection of Intrauterine Growth Restricted (IUGR). Design: Cross sectional comparative. 290 pregnant women previously diagnosed by ultrasound as normal and intrauterine growth restriction fetuses which were included in this study, placental elasicity in both groups was evalauted by SWE (shearwave elastography) and compared. Methods: Primarily both groups were scanned for grayscale and Color Doppler ultrasonography in which we took the measurements of resistivity and pulsatility indices of umbilical artery (UA), uterine artery and MCA (middle cerebral artery). In these groups placental elasticity was evaluated by SWE .The ratios of strain were compared between both groups. Statistical study was carried out by using Mann-Whitney test. Cut-off values for elasticity were analyzed by plotting receiver operative characteristic curve (ROC), sensitivity. Specificity and DA (diagnostic accuracy) for IUGR were designed established on Shear wave elastography measurements. Results: The mean placental elasticity in intrauterine growth restriction (IUGR) and in normal groups was 28.71+7.28 and 5.64+1.53, respectively while in the IUGR group median placental elasticity was 27+7 and 5.50+2 with statistically elevated median among patients in the IUGR group (P
{"title":"Comparison of Placental Elasticity and Different Spectral Doppler Indices in Normal and Intrauterine Growth Restricted Fetuses","authors":"Sabar Butt, S. Amir Gilani, A. Hanif, Syeda Khadija, R. Bacha","doi":"10.21649/akemu.v27i4.4888","DOIUrl":"https://doi.org/10.21649/akemu.v27i4.4888","url":null,"abstract":"Objective: Comparison of Placental Elasticity and different spectral Doppler indices in normal and intrauterine growth restricted fetuses to establish efficacy of shear wave elastography in early detection of Intrauterine Growth Restricted (IUGR). Design: Cross sectional comparative. 290 pregnant women previously diagnosed by ultrasound as normal and intrauterine growth restriction fetuses which were included in this study, placental elasicity in both groups was evalauted by SWE (shearwave elastography) and compared. Methods: Primarily both groups were scanned for grayscale and Color Doppler ultrasonography in which we took the measurements of resistivity and pulsatility indices of umbilical artery (UA), uterine artery and MCA (middle cerebral artery). In these groups placental elasticity was evaluated by SWE .The ratios of strain were compared between both groups. Statistical study was carried out by using Mann-Whitney test. Cut-off values for elasticity were analyzed by plotting receiver operative characteristic curve (ROC), sensitivity. Specificity and DA \u0000(diagnostic accuracy) for IUGR were designed established on Shear wave elastography measurements. Results: The mean placental elasticity in intrauterine growth restriction (IUGR) and in normal groups was 28.71+7.28 and 5.64+1.53, respectively while in the IUGR group median placental elasticity was 27+7 and 5.50+2 with statistically elevated median among patients in the IUGR group (P","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"41 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79701621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-02DOI: 10.21649/akemu.v27i4.4885
Hamide Zengin, N. Çınar, E. Erbay, Sumeyra Topal, F. Akduran
Background: Internet gaming disorder is significantly highlighted to have become a serious public health problem in the world. Objective: It was aimed to determine the prevalence of "Internet Gaming Disorder" in high-school adolescents, and the related factors. Methods: 1484 high school students constituted the sample. Data were collected with the questionnaire form containing socio-demographic characteristics using the "Internet Gaming Disorder Scale" (IGDS Short Form 9). Results: 67.3% of the participants were normal gamers, 24.5% and 8.3% of them were irregular gamers and IGD positive, respectively. IGD positivity was significantly high in males and those who reported a poor school success (p
背景:网络游戏障碍在世界范围内已成为一个严重的公共卫生问题。目的:了解高中青少年“网络游戏障碍”的患病率及其相关因素。方法:以1484名高中生为样本。采用“网络游戏障碍量表”(IGDS Short form 9)的社会人口学特征问卷形式收集数据。结果:67.3%的参与者为正常玩家，24.5%的参与者为不正常玩家，8.3%的参与者为IGD阳性。IGD阳性在男性和学业成绩较差的人群中显著较高
{"title":"Internet Gaming Disorder in High-School Adolescents and Related Factors","authors":"Hamide Zengin, N. Çınar, E. Erbay, Sumeyra Topal, F. Akduran","doi":"10.21649/akemu.v27i4.4885","DOIUrl":"https://doi.org/10.21649/akemu.v27i4.4885","url":null,"abstract":"Background: Internet gaming disorder is significantly highlighted to have become a serious public health problem in the world. Objective: It was aimed to determine the prevalence of \"Internet Gaming Disorder\" in high-school adolescents, and the related factors. Methods: 1484 high school students constituted the sample. Data were collected with the questionnaire form containing socio-demographic characteristics using the \"Internet Gaming Disorder Scale\" (IGDS Short Form 9). Results: 67.3% of the participants were normal gamers, 24.5% and 8.3% of them were irregular gamers and IGD positive, respectively. IGD positivity was significantly high in males and those who reported a poor school success (p","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"47 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79697385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-02DOI: 10.21649/akemu.v27i4.4825
S. Afzal
A unprecedented global public health and economic disaster have emerged from the spread of SARS-CoV-2, the COVID-19 causal agent. The World Health Organization (WHO) has labeled the outbreak a pandemic on March 11, 2020. The spread of this infectious disease has created a humanitarian and economic crisis throughout the world. Vaccination has been shown to be effective in preventing such pandemics 1. To prevent the spread of COVID-19, researchers developed COVID-19 vaccines in record time with the assistance of pharmaceutical industries. By December 2020, many candidate vaccines had demonstrated safety and efficacy in phase III trials, with efficacy rates as high as 95%. The public's acceptance of vaccination is critical to the success of any immunization program2. Public suspicion about vaccines reduces their acceptance rate. It is well known that conspiracy theories and religious beliefs are linked to vaccine hesitation. During the 2009 pandemic, studies revealed low vaccine acceptance rates (17–67%)2,3,4. Contrary to developed countries, developing countries' vaccination refusal and hesitancy is more common, as preventable diseases like polio persist5. Vaccine hesitancy is one of the top ten global health threats in 2019, according to the World Health Organization (WHO)6,7.
{"title":"Misinformation and Misconceptions About COVID-19 Vaccination in Pakistan: The Need to Control Infodemic","authors":"S. Afzal","doi":"10.21649/akemu.v27i4.4825","DOIUrl":"https://doi.org/10.21649/akemu.v27i4.4825","url":null,"abstract":"A unprecedented global public health and economic disaster have emerged from the spread of SARS-CoV-2, the COVID-19 causal agent. The World Health Organization (WHO) has labeled the outbreak a pandemic on March 11, 2020. The spread of this infectious disease has created a humanitarian and economic crisis throughout the world. Vaccination has been shown to be effective in preventing such pandemics 1. To prevent the spread of COVID-19, researchers developed COVID-19 vaccines in record time with the assistance of pharmaceutical industries. By December 2020, many candidate vaccines had demonstrated safety and efficacy in phase III trials, \u0000with efficacy rates as high as 95%. The public's acceptance of vaccination is critical to the success of any immunization program2. Public suspicion about vaccines reduces their acceptance rate. It is well known that conspiracy theories and religious beliefs are linked to vaccine hesitation. During the 2009 pandemic, studies revealed low vaccine acceptance rates (17–67%)2,3,4. Contrary to developed countries, developing countries' vaccination refusal and hesitancy is more common, as preventable diseases like polio persist5. Vaccine hesitancy is one of the top ten global health threats in 2019, according to the World Health Organization (WHO)6,7.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"8 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83605693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-02DOI: 10.21649/akemu.v27i4.4890
Tanveer Hussain, Shafqat Iqbal, Seemab Abid, M. Sattar, S. Aziz
Background: To compare the Helicobacter pylori eradication rate with and without use of Probiotic in conjunction with standard triple regimen. Methods: The patients with symptomatology of Gastritis and Dyspepsia were enrolled for the study. The presence of Helicobacter pylori was confirmed with Urea breath test. The experimental group received probiotic along with triple regimen therapy, while the control group received only triple regimen therapy. After four weeks of completion of treatment, urea breath test was repeated for confirmation of Helicobacter pylori eradication. Patients with negative urea breath test were considered as treatment success. Results: Total 160 patients with Helicobacter pylori infection were enrolled in this study. Patients were divided in two groups i.e. Group-A (Probiotic + triple regimen therapy) and Group-B (Only triple regimen therapy). The mean age of patients in group-A was 35.1±11.2 years and in group-B 37.5±12.9 years. In group-A, H. pylori eradication was seen in 71(88.8%) and 59(73.8%) in group-B with a p-value of 0.015 which is statistically significant. Conclusion: In Helicobacter pylori confirmed Gastritis or Dyspepsia patients, addition of probiotic to standard triple regimen therapy improve eradication rate of H. pylori infection.
{"title":"Role of Probiotic as an Add-on Therapy in Eradicating Helicobacter Pylori Infection","authors":"Tanveer Hussain, Shafqat Iqbal, Seemab Abid, M. Sattar, S. Aziz","doi":"10.21649/akemu.v27i4.4890","DOIUrl":"https://doi.org/10.21649/akemu.v27i4.4890","url":null,"abstract":"Background: To compare the Helicobacter pylori eradication rate with and without use of Probiotic in conjunction with standard triple regimen. Methods: The patients with symptomatology of Gastritis and Dyspepsia were enrolled for the study. The presence of Helicobacter pylori was confirmed with Urea breath test. The experimental group received probiotic along with triple regimen therapy, while the control group received only triple regimen therapy. After four weeks of completion of treatment, urea breath test was repeated for confirmation of Helicobacter pylori eradication. Patients with negative urea breath test were considered as treatment success. Results: Total 160 patients with Helicobacter pylori infection were enrolled in this study. Patients were divided in two groups i.e. Group-A (Probiotic + triple regimen therapy) and Group-B (Only triple regimen therapy). The mean age of patients in group-A was 35.1±11.2 years and in group-B 37.5±12.9 years. In group-A, H. pylori eradication was seen in 71(88.8%) and 59(73.8%) in group-B with a p-value of 0.015 which is statistically significant. Conclusion: In Helicobacter pylori confirmed Gastritis or Dyspepsia patients, addition of probiotic to standard triple regimen therapy improve eradication rate of H. pylori infection.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"38 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90111472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-02DOI: 10.21649/akemu.v27i4.4882
Qirat Qurban, Z. Kamil, Khalid Mahmood
Objective: To assess the cosmetic outcomes of fornix deepening by using Amniotic membrane transplant in anophthalmic sockets in terms of good retention of ocular prosthesis. Abstract: Methods: This interventional case series was carried out at Khalid eye clinic, Karachi during the period of March 2019 to August 2019. Twenty-five patients belonging to either gender between the ages of 20 to 50 years were included, having anophthalmic sockets with fornix deformities incapable of retaining ocular prosthesis due to variable causes such as cicatrization, symblepharon, cyst, or poor conjunctival suturing technique following evisceration or enucleation. Amniotic membrane was transplanted following the division of bands, excision of cyst and release of adhesions. Pre and post fornix measurements were done and each patient was followed for a duration of six months after the operation to observe the cosmetic appearance and retention of ocular prosthesis. Results: Good cosmetic outcome with retention of ocular prosthesis was achieved in twenty-three (92%) cases, whereas two (8%) cases ended up in failure despite multiple surgeries. The mean pre-operative lower fornix depth was 3.8 ± 1.23 mm, which improved to 8.9 ± 1.10 mm (p- value < 0.001). None of the patients developed any infection or graft rejection. Conclusion: Fornix reconstruction in an anophthalmic socket is a challenging task, but a good cosmetic outcome can be achieved using amniotic membrane transplantation together with good oculoplastic surgical expertise.
目的:从眼假体良好的保持性角度评价羊膜移植加深眼穹窿的美容效果。方法:于2019年3月至2019年8月在卡拉奇Khalid眼科诊所进行介入病例系列研究。本研究纳入25例年龄在20 - 50岁之间的无眼窝伴穹窿畸形的患者，这些患者由于各种原因，如瘢痕化、睑粘连、囊肿或摘除或剜出后结膜缝合技术不佳，无法保留眼假体。切开羊膜带，切除囊肿，解除粘连后移植羊膜。手术前后进行穹窿测量，随访6个月，观察眼假体的外观和保留情况。结果:23例(92%)眼假体保留获得良好的美容效果，而2例(8%)多次手术失败。术前下穹窿平均深度为3.8±1.23 mm，术后改善至8.9±1.10 mm (p值< 0.001)。没有患者出现任何感染或移植排斥反应。结论:无眼窝穹窿重建是一项具有挑战性的任务，但羊膜移植结合良好的眼整形外科技术可获得良好的美容效果。
{"title":"Fornix Deepening by Using Amniotic Membrane Transplant","authors":"Qirat Qurban, Z. Kamil, Khalid Mahmood","doi":"10.21649/akemu.v27i4.4882","DOIUrl":"https://doi.org/10.21649/akemu.v27i4.4882","url":null,"abstract":"Objective: To assess the cosmetic outcomes of fornix deepening by using Amniotic membrane transplant in anophthalmic sockets in terms of good retention of ocular prosthesis. Abstract: Methods: This interventional case series was carried out at Khalid eye clinic, Karachi during the period of March 2019 to August 2019. Twenty-five patients belonging to either gender between the ages of 20 to 50 years were included, having anophthalmic sockets with fornix deformities incapable of retaining ocular prosthesis due to variable causes such as cicatrization, symblepharon, cyst, or poor conjunctival suturing technique following evisceration or enucleation. Amniotic membrane was transplanted following the division of bands, excision of cyst and release of adhesions. Pre and post fornix measurements were done and each patient was followed for a duration of six months after the operation to observe the cosmetic appearance and retention of ocular prosthesis. Results: Good cosmetic outcome with retention of ocular prosthesis was achieved in twenty-three (92%) cases, whereas two (8%) cases ended up in failure despite multiple surgeries. The mean pre-operative lower fornix depth was 3.8 ± 1.23 mm, which improved to 8.9 ± 1.10 mm (p- value < 0.001). None of the patients developed any infection or graft rejection. Conclusion: Fornix reconstruction in an anophthalmic socket is a challenging task, but a good cosmetic outcome can be achieved using amniotic membrane transplantation together with good oculoplastic surgical expertise.","PeriodicalId":43918,"journal":{"name":"Annals of King Edward Medical University Lahore Pakistan","volume":"13 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78104839","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：