Abstract: Background: Blood group and intelligence are both highly heritable traits unique to each individual. For the past several years, a possible correlation between these two traits has been suggested but existing studies report contrasting results in different geographical populations. Objective: To investigate a potential relationship between blood group and intelligence among consenting medical and dental students of Dow University of Health Sciences, Karachi. Materials & Methods: This study is a cross-sectional study involving the MBBS and BDS students of Dow University of Health Sciences within age group of 18-21 years. The study was conducted in the department of Physiology, Dow Medical College (DUHS) from 15th February 2021 to 1st July 2021. After the Institutional Review Board’s approval, we determined the ABO and Rh blood group of the participants through test tube method (forward grouping) during the physiology practical sessions. Intelligence levels were assessed using the Stanford Binet IQ Test. SPSS 21 was used to analyze the data collected. Results: Out of 353 participants, 67 (18.98%) were male and 286 (81.01%) were female with a mean age of 20 years. We found highest IQ scores in blood group A negative (25.80±8.25) with no statistical significance (p=0.162). Moreover, there was no statistically significant difference between the intelligence of male and female participants (p=0.257). Conclusion: Blood group and intelligence of an individual are two heritable traits that are not linked with each other. There is no difference in the IQ of males and females. This finding has important implications in the educational field as it shows that male and female students of different blood groups have similar cognitive capabilities and consequently, similar educational needs.
{"title":"Correlation of Blood Groups and Intelligence Quotient Levels among Medical Students","authors":"","doi":"10.21089/njhs.81.0007","DOIUrl":"https://doi.org/10.21089/njhs.81.0007","url":null,"abstract":"Abstract: Background: Blood group and intelligence are both highly heritable traits unique to each individual. For the past several years, a possible correlation between these two traits has been suggested but existing studies report contrasting results in different geographical populations. Objective: To investigate a potential relationship between blood group and intelligence among consenting medical and dental students of Dow University of Health Sciences, Karachi. Materials & Methods: This study is a cross-sectional study involving the MBBS and BDS students of Dow University of Health Sciences within age group of 18-21 years. The study was conducted in the department of Physiology, Dow Medical College (DUHS) from 15th February 2021 to 1st July 2021. After the Institutional Review Board’s approval, we determined the ABO and Rh blood group of the participants through test tube method (forward grouping) during the physiology practical sessions. Intelligence levels were assessed using the Stanford Binet IQ Test. SPSS 21 was used to analyze the data collected. Results: Out of 353 participants, 67 (18.98%) were male and 286 (81.01%) were female with a mean age of 20 years. We found highest IQ scores in blood group A negative (25.80±8.25) with no statistical significance (p=0.162). Moreover, there was no statistically significant difference between the intelligence of male and female participants (p=0.257). Conclusion: Blood group and intelligence of an individual are two heritable traits that are not linked with each other. There is no difference in the IQ of males and females. This finding has important implications in the educational field as it shows that male and female students of different blood groups have similar cognitive capabilities and consequently, similar educational needs.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"103 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123167927","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}
Burcin Meryem Atak Tel, T. Duman, G. Aktas, S. Bilgin, Mustafa Ramiz Tel
Abstract: Celiac disease is an immune-mediated chronic intestinal disease that causes atrophy of the intestinal mucosa by ingestion of gluten and related proteins in genetically susceptible individuals. Presentation of the illness can differ from a severe malabsorption to mild symptomatic and even asymptomatic. The only treatment for celiac disease is to follow a strict gluten-free diet for life and it is not a cure. A 37-year-old female patient was followed up with the diagnoses of irritable bowel syndrome and dyspepsia applied to our outpatient clinic with severe malabsorption symptoms. She was diagnosed as celiac disease. Celiac disease should be questioned in all patients presenting with dyspeptic complaints. With a simple treatment, the quality of life increases significantly.
{"title":"A Case of Celiac Disease Admitted to Our Clinic with Symptoms of Malabsorption","authors":"Burcin Meryem Atak Tel, T. Duman, G. Aktas, S. Bilgin, Mustafa Ramiz Tel","doi":"10.21089/njhs.81.0040","DOIUrl":"https://doi.org/10.21089/njhs.81.0040","url":null,"abstract":"Abstract: Celiac disease is an immune-mediated chronic intestinal disease that causes atrophy of the intestinal mucosa by ingestion of gluten and related proteins in genetically susceptible individuals. Presentation of the illness can differ from a severe malabsorption to mild symptomatic and even asymptomatic. The only treatment for celiac disease is to follow a strict gluten-free diet for life and it is not a cure. A 37-year-old female patient was followed up with the diagnoses of irritable bowel syndrome and dyspepsia applied to our outpatient clinic with severe malabsorption symptoms. She was diagnosed as celiac disease. Celiac disease should be questioned in all patients presenting with dyspeptic complaints. With a simple treatment, the quality of life increases significantly.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117107924","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}
Abstract: Objective: The objective of this article was to do a review of the available literature on Malignancy associated Superior Vena Cava Syndrome (SVCS), and provide a quick effective guide on the latest approaches on management of patients presenting in the Emergency Room with SVCS. Methods: Multiple documents were identified which were published with regards to SVCS, Emergency Management of SCVS and case reports. All the papers were studied and latest diagnostic methods and management protocols were identified and extrapolated from the literature. Results: Of approximately 30 papers shortlisted that were written on SVCS, newer ways of identifying and managing SVCS is the ER (specifically) were collected and presented. Newer therapies i.e. External Beam Radiation Therapy via Photons in the Emergency setting, Multidisciplinary approach to Malignancy associated SVCS were discussed along with traditional symptoms relief measures. Conclusion: Both adults and children who present with the signs and symptoms of SVCS in the emergency room require extra care and multidisciplinary management.
{"title":"Management of Malignancy Associated Superior Vena Cava Syndrome in the Emergency Department","authors":"Muhammad Muaz Abbasi, M. Tunio, Farrukh Irshad","doi":"10.21089/njhs.81.0037","DOIUrl":"https://doi.org/10.21089/njhs.81.0037","url":null,"abstract":"Abstract: Objective: The objective of this article was to do a review of the available literature on Malignancy associated Superior Vena Cava Syndrome (SVCS), and provide a quick effective guide on the latest approaches on management of patients presenting in the Emergency Room with SVCS. Methods: Multiple documents were identified which were published with regards to SVCS, Emergency Management of SCVS and case reports. All the papers were studied and latest diagnostic methods and management protocols were identified and extrapolated from the literature. Results: Of approximately 30 papers shortlisted that were written on SVCS, newer ways of identifying and managing SVCS is the ER (specifically) were collected and presented. Newer therapies i.e. External Beam Radiation Therapy via Photons in the Emergency setting, Multidisciplinary approach to Malignancy associated SVCS were discussed along with traditional symptoms relief measures. Conclusion: Both adults and children who present with the signs and symptoms of SVCS in the emergency room require extra care and multidisciplinary management.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121544986","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}
Umaima Waris, N. I. Butt, Tehreem Shafqat, S. Hameed, Mohammad Sohail Ajmal Ghouri, A. Anser
Abstract: Objective: To determine the diagnostic accuracy of NIHSS score for predicting in-hospital mortality among patients of ischemic stroke taking in-hospital mortality as gold standard. Material & Methods: The present cross-sectional study was carried out from May 2020 to November 2020 at Medicine Department, Services Institute of Medical Sciences Lahore. A total of 142 patients aged 30-70 years of both sex with ischemic stroke patients as per-operational definition of duration ?24 hours were enrolled. Patients of hemorrhagic stroke, cardiac disease and CRF were excluded. After taking informed consent, NIHSS score was evaluated in each patient and in hospital mortality will be noted. All patients were followed by the researcher herself and in hospital mortality was noted. Results: Mean age was 53.5+9.2 years with74 (52.11%) females. Mean disease duration was 6.8+1.7 hours and mean NIHSS score was 24.3+7.1. NIHSS score was evaluated in each patient and found 75 True Positive while 06 False Positive. In the 61 NIHSS score negative patients, in-hospital mortality was seen in 06 (False Negative) while 55 (True Negative) did not have in-hospital mortality (p-value <0.001). The Specificity, Sensitivity, Negative Predictive Value (NPV), Positive Predictive Value (PPV) and diagnostic accuracy of NIHSS score to predict in-hospital mortality among patients of ischemic stroke taking in-hospital mortality as gold standard was 92.59%, 90.16%, 92.59%, 90.16% and 91.55% respectively. Conclusion: Diagnostic accuracy of NIHSS score in predicting in-hospital mortality in ischemic stroke patients is quite high.
{"title":"Diagnostic Accuracy of NIHSS Score in Predicting in-Hospital Mortality in Patients of Ischemic Stroke taking Actual in-Hospital Mortality as Gold Standard","authors":"Umaima Waris, N. I. Butt, Tehreem Shafqat, S. Hameed, Mohammad Sohail Ajmal Ghouri, A. Anser","doi":"10.21089/njhs.81.0023","DOIUrl":"https://doi.org/10.21089/njhs.81.0023","url":null,"abstract":"Abstract: Objective: To determine the diagnostic accuracy of NIHSS score for predicting in-hospital mortality among patients of ischemic stroke taking in-hospital mortality as gold standard. Material & Methods: The present cross-sectional study was carried out from May 2020 to November 2020 at Medicine Department, Services Institute of Medical Sciences Lahore. A total of 142 patients aged 30-70 years of both sex with ischemic stroke patients as per-operational definition of duration ?24 hours were enrolled. Patients of hemorrhagic stroke, cardiac disease and CRF were excluded. After taking informed consent, NIHSS score was evaluated in each patient and in hospital mortality will be noted. All patients were followed by the researcher herself and in hospital mortality was noted. Results: Mean age was 53.5+9.2 years with74 (52.11%) females. Mean disease duration was 6.8+1.7 hours and mean NIHSS score was 24.3+7.1. NIHSS score was evaluated in each patient and found 75 True Positive while 06 False Positive. In the 61 NIHSS score negative patients, in-hospital mortality was seen in 06 (False Negative) while 55 (True Negative) did not have in-hospital mortality (p-value <0.001). The Specificity, Sensitivity, Negative Predictive Value (NPV), Positive Predictive Value (PPV) and diagnostic accuracy of NIHSS score to predict in-hospital mortality among patients of ischemic stroke taking in-hospital mortality as gold standard was 92.59%, 90.16%, 92.59%, 90.16% and 91.55% respectively. Conclusion: Diagnostic accuracy of NIHSS score in predicting in-hospital mortality in ischemic stroke patients is quite high.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127663191","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}
Abstract: Background: The term emotional intelligence is being used more often in the medical field and different healthcare-related fields. The evaluation of emotional intelligence is crucial in assessing how well students adjust and perform academically. Neglecting this stage of life can result in psychiatric issues or make them worse, as well as failure in social and academic situations. Objectives: To evaluate first-year medical students' emotional intelligence (EI) and determine how it relates to their social and personal characteristics. Materials and Methods: This cross-sectional study included 166 first-year medical students and took place at University College of Medicine and Dentistry between September and December 2022. Ethical approval was obtained from the ERB committee before the study was conducted. A proforma was used to collect social and demographic information, while an emotional quotient self-assessment checklist was used to assess participants' emotional intelligence, rated on a five-point Likert scale. The collected data was then subjected to statistical analysis. Results: Out of 166 students approached in the first year class, 149 (79 females and 70 males) participated in the study with an average age of 19.12 ± 0.69 years. Results showed that 33.6% of the first-year medical students scored below the 20 cutoff in all emotional intelligence domains. Those who reported making a conscious career choice, getting adequate sleep, and engaging in more social and physical activity than average had higher emotional intelligence scores (p=0.05). Additionally, females had significantly higher emotional intelligence scores compared to males (p=0.02). A positive correlation was observed among the various emotional intelligence domains. Conclusion: Good emotional intelligence comprises the capacity to comprehend and regulate emotions, to be empathic, to be emotionally aware, and so on. These traits enhance general communication abilities, which enhance performance in the medical training.
{"title":"Measuring Emotional Intelligence in First Year Medical Students","authors":"Kainat Javed, Umair Bin Nasir, Arooj Javed","doi":"10.21089/njhs.81.0018","DOIUrl":"https://doi.org/10.21089/njhs.81.0018","url":null,"abstract":"Abstract: Background: The term emotional intelligence is being used more often in the medical field and different healthcare-related fields. The evaluation of emotional intelligence is crucial in assessing how well students adjust and perform academically. Neglecting this stage of life can result in psychiatric issues or make them worse, as well as failure in social and academic situations. Objectives: To evaluate first-year medical students' emotional intelligence (EI) and determine how it relates to their social and personal characteristics. Materials and Methods: This cross-sectional study included 166 first-year medical students and took place at University College of Medicine and Dentistry between September and December 2022. Ethical approval was obtained from the ERB committee before the study was conducted. A proforma was used to collect social and demographic information, while an emotional quotient self-assessment checklist was used to assess participants' emotional intelligence, rated on a five-point Likert scale. The collected data was then subjected to statistical analysis. Results: Out of 166 students approached in the first year class, 149 (79 females and 70 males) participated in the study with an average age of 19.12 ± 0.69 years. Results showed that 33.6% of the first-year medical students scored below the 20 cutoff in all emotional intelligence domains. Those who reported making a conscious career choice, getting adequate sleep, and engaging in more social and physical activity than average had higher emotional intelligence scores (p=0.05). Additionally, females had significantly higher emotional intelligence scores compared to males (p=0.02). A positive correlation was observed among the various emotional intelligence domains. Conclusion: Good emotional intelligence comprises the capacity to comprehend and regulate emotions, to be empathic, to be emotionally aware, and so on. These traits enhance general communication abilities, which enhance performance in the medical training.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129610295","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}
Abstract: Background: Breast cancer remains the second most common cancer in the world after lung cancer. Breast cancer rate in Turkey was 40-50 / 100.000 in the west, and was 20 / 100.000 in the east. Objective: In our study, we aimed to investigate the prediction of hemogram parameters in showing sentinel lymph node metastasis. Materials & Methods: Patients undergoing sentinel lymph node biopsy (SLNB) with the diagnosis of breast cancer between January 2015 and August 2019 in General Surgery Department of Abant Izzet Baysal University were retrospectively analyzed in present descriptive study. The patients were divided into two groups, SLNB positive and negative. The measured hemogram parameters were compared between these two groups. Analysis of the data was held with a statistical software (SPSS 18.0 for Windows, IBM Inc., Chicago, IL, USA). Results: A total of 93 patients were included in the study. The average age of SLNB positive and negative patients were 55 (30-81) years 59 (35-88) years respectively. In detecting SLNB positivity, sensitivities and specificities of Tumor diameter> 0.9 cm were 72% sensitivity, 56% specificity, of CRP> 0.65 mg/dL were 76% sensitivity, 51% specificity, of RMR> 1.85 were 72% sensitivity, 46% specificity, of RDW> 15.45% were 75% sensitivity,% 42 specificity, of PLR> 106.5 were 72% sensitivity, 56% specificity. Conclusion: Since auxiliary metastasis is one of the most important points for the prognosis of breast cancer, we suggest PLR, RDW, RMR could serve as prognostic factors in determining lymph node metastasis along with CRP and tumor size in breast cancer.
摘要:背景:乳腺癌仍然是世界上仅次于肺癌的第二大常见癌症。土耳其西部的乳腺癌发病率为40-50 / 10万，东部为20 / 10万。目的:探讨血象图参数对前哨淋巴结转移的预测作用。材料与方法:本描述性研究回顾性分析2015年1月至2019年8月在Abant Izzet Baysal大学普外科接受前哨淋巴结活检(SLNB)诊断为乳腺癌的患者。将患者分为SLNB阳性组和SLNB阴性组。比较两组血象测量参数。使用SPSS 18.0 for Windows, IBM Inc.， Chicago, IL, USA统计软件对数据进行分析。结果:共纳入93例患者。SLNB阳性和阴性患者的平均年龄分别为55(30-81)岁和59(35-88)岁。检测SLNB阳性时，肿瘤直径> 0.9 cm的敏感性和特异性为72%，特异性为56%，CRP> 0.65 mg/dL的敏感性和特异性为76%，特异性为51%，RMR> 1.85的敏感性和特异性为72%，特异性为46%，RDW> 15.45%的敏感性和特异性为75%，特异性为% 42,PLR> 106.5的敏感性和特异性为72%，特异性为56%。结论:由于辅助转移是乳腺癌预后的重要指标之一，我们建议PLR、RDW、RMR与CRP、肿瘤大小可作为判断乳腺癌淋巴结转移的预后因素。
{"title":"The Role of Hemogram Parameters in Predicting Sentinel Lymph Node Metastasis in Breast Cancer","authors":"B. Ozer, A. Koyuncu, S. Ozer","doi":"10.21089/njhs.81.0003","DOIUrl":"https://doi.org/10.21089/njhs.81.0003","url":null,"abstract":"Abstract: Background: Breast cancer remains the second most common cancer in the world after lung cancer. Breast cancer rate in Turkey was 40-50 / 100.000 in the west, and was 20 / 100.000 in the east. Objective: In our study, we aimed to investigate the prediction of hemogram parameters in showing sentinel lymph node metastasis. Materials & Methods: Patients undergoing sentinel lymph node biopsy (SLNB) with the diagnosis of breast cancer between January 2015 and August 2019 in General Surgery Department of Abant Izzet Baysal University were retrospectively analyzed in present descriptive study. The patients were divided into two groups, SLNB positive and negative. The measured hemogram parameters were compared between these two groups. Analysis of the data was held with a statistical software (SPSS 18.0 for Windows, IBM Inc., Chicago, IL, USA). Results: A total of 93 patients were included in the study. The average age of SLNB positive and negative patients were 55 (30-81) years 59 (35-88) years respectively. In detecting SLNB positivity, sensitivities and specificities of Tumor diameter> 0.9 cm were 72% sensitivity, 56% specificity, of CRP> 0.65 mg/dL were 76% sensitivity, 51% specificity, of RMR> 1.85 were 72% sensitivity, 46% specificity, of RDW> 15.45% were 75% sensitivity,% 42 specificity, of PLR> 106.5 were 72% sensitivity, 56% specificity. Conclusion: Since auxiliary metastasis is one of the most important points for the prognosis of breast cancer, we suggest PLR, RDW, RMR could serve as prognostic factors in determining lymph node metastasis along with CRP and tumor size in breast cancer.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121381897","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}
Ahad Yousaf Molvi, Qandila Ali, Ayesha Pervaiz, Muhammad Paras Naseem, M. Ikram, R. Dhanani
Abstract: Among differentiated thyroid cancer (DTC), papillary thyroid cancer (PTC) is the most commonly encountered histological type. Patients with papillary thyroid carcinoma (PTC) show an excellent prognosis. Infiltration of PTC into the larynx is very rare and can worsen the disease prognosis. We are reporting one such rare case in which PTC showed invasion in the larynx causing narrowing of the airway. We performed total thyroidectomy with total laryngectomy and neck dissection.
{"title":"Total Laryngectomy in Advanced Papillary Thyroid Cancer Infiltrating into Larynx: A Case Report & review of Literature","authors":"Ahad Yousaf Molvi, Qandila Ali, Ayesha Pervaiz, Muhammad Paras Naseem, M. Ikram, R. Dhanani","doi":"10.21089/njhs.74.0196","DOIUrl":"https://doi.org/10.21089/njhs.74.0196","url":null,"abstract":"Abstract: Among differentiated thyroid cancer (DTC), papillary thyroid cancer (PTC) is the most commonly encountered histological type. Patients with papillary thyroid carcinoma (PTC) show an excellent prognosis. Infiltration of PTC into the larynx is very rare and can worsen the disease prognosis. We are reporting one such rare case in which PTC showed invasion in the larynx causing narrowing of the airway. We performed total thyroidectomy with total laryngectomy and neck dissection.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131176165","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}
Abstract: Background: To determine magnitude of congenital or acquired hydrocephalus and its possible management and complications. Materials and Methods: This Hospital based Retrospective observational study was conducted in department of pediatric surgery King Edward medical university / Mayo hospital Lahore from January 2021 to March 2022. All patients presented from neonatal life till 3 months of age with hydrocephalus due to congenital or acquired reasons were included in this study. There were 55 male and 28 female patients with male predominance. A detailed Proforma was made giving patients information, associated congenital or acquired anomaly and surgical management of hydrocephalus. All patients were operated on elective operation theatre list. Post-operative complications were noticed on admission files and addressed. Results: During the study period, 83(n=1) patients with hydrocephalus were admitted in department of pediatric surgery Mayo hospital Lahore. Among these patients, 56(67.5%) patients have hydrocephalus associated with myelomeningocele while 10(12%) patients with encephalocele. 11(13.3%) patients showed hydrocephalus due to post tuberculosis meningitis while 3(3.6%) patients with Arnold chiari 2 malformation. 1(1.2%) patients presented with hydrocephalus due to Congenital obstruction of cerebral aqueduct while 2(2.4%) with Intracranial hemorrhage ventriculoperitoneal shunting was performed in 55(66.3%) patients to treat hydrocephalus. Conservative management of hydrocephalus was done in 24(28.9%) patients while in 4(4.8%) patients ventricular taping was done. Wound infection was major post-operative complication and was noted in in 13 (15.7%) patients. Conclusion: Ventriculo peritoneal shunting is main treatment modality for obstructed hydrocephalus. Major complication of ventriculo pertoneal shunting is infection which can be prevented by proper prophylactic antibiotics as well as sterile environment of operation theatre.
{"title":"Magnitude of Hydrocephalus in Neonates: Its Surgical Management and Complications","authors":"M. Bashir, Aisha Ishtiaq, S. Bashir","doi":"10.21089/njhs.74.0156","DOIUrl":"https://doi.org/10.21089/njhs.74.0156","url":null,"abstract":"Abstract: Background: To determine magnitude of congenital or acquired hydrocephalus and its possible management and complications. Materials and Methods: This Hospital based Retrospective observational study was conducted in department of pediatric surgery King Edward medical university / Mayo hospital Lahore from January 2021 to March 2022. All patients presented from neonatal life till 3 months of age with hydrocephalus due to congenital or acquired reasons were included in this study. There were 55 male and 28 female patients with male predominance. A detailed Proforma was made giving patients information, associated congenital or acquired anomaly and surgical management of hydrocephalus. All patients were operated on elective operation theatre list. Post-operative complications were noticed on admission files and addressed. Results: During the study period, 83(n=1) patients with hydrocephalus were admitted in department of pediatric surgery Mayo hospital Lahore. Among these patients, 56(67.5%) patients have hydrocephalus associated with myelomeningocele while 10(12%) patients with encephalocele. 11(13.3%) patients showed hydrocephalus due to post tuberculosis meningitis while 3(3.6%) patients with Arnold chiari 2 malformation. 1(1.2%) patients presented with hydrocephalus due to Congenital obstruction of cerebral aqueduct while 2(2.4%) with Intracranial hemorrhage ventriculoperitoneal shunting was performed in 55(66.3%) patients to treat hydrocephalus. Conservative management of hydrocephalus was done in 24(28.9%) patients while in 4(4.8%) patients ventricular taping was done. Wound infection was major post-operative complication and was noted in in 13 (15.7%) patients. Conclusion: Ventriculo peritoneal shunting is main treatment modality for obstructed hydrocephalus. Major complication of ventriculo pertoneal shunting is infection which can be prevented by proper prophylactic antibiotics as well as sterile environment of operation theatre.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131894998","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}
Sana Khan, Arghadip Das, Khalid Mahmood Uddin, Shamail Zia, Areij Khan, M. S. Memon, D. Hassan, Sharmeen Naz, S. Khalid
Abstract: Background: Psoriasis is a chronic, immune-mediated, inflammatory illness of the skin which is quite common. The typical lesions are well demarcated, flaky and erythematous plaques that are frequently observed on the extensor regions. Psoriasis causes vasodilatation and hyper proliferation of keratinocytes expressed as thickened and erythematous skin, generally covered with silver gray scales. Although the etiology of this disease is not very clear, yet there may be genetic and environmental implications. There are a number of variants of psoriasis which include palm plantar, pustular, erythrodermic, and guttate types. Psoriasis is related to several systemic impediments and coexisting illnesses rendering a great effect on patients. Psoriasis displays coexistence of both autoimmune and auto inflammatory reactions and the stability between the two is important for clinical and histopathological demonstration. Chronic plaque psoriasis shows adaptive immune responses whereas pustular psoriasis displays innate a auto inflammatory responses. Histopathological analysis is the main diagnostic tool for atypical and controversial situations which aids in discerning psoriasis from other dermatoses; biopsy is seldom required for typical psoriasis.
{"title":"Psoriasis and its Variants","authors":"Sana Khan, Arghadip Das, Khalid Mahmood Uddin, Shamail Zia, Areij Khan, M. S. Memon, D. Hassan, Sharmeen Naz, S. Khalid","doi":"10.21089/njhs.74.0181","DOIUrl":"https://doi.org/10.21089/njhs.74.0181","url":null,"abstract":"Abstract: Background: Psoriasis is a chronic, immune-mediated, inflammatory illness of the skin which is quite common. The typical lesions are well demarcated, flaky and erythematous plaques that are frequently observed on the extensor regions. Psoriasis causes vasodilatation and hyper proliferation of keratinocytes expressed as thickened and erythematous skin, generally covered with silver gray scales. Although the etiology of this disease is not very clear, yet there may be genetic and environmental implications. There are a number of variants of psoriasis which include palm plantar, pustular, erythrodermic, and guttate types. Psoriasis is related to several systemic impediments and coexisting illnesses rendering a great effect on patients. Psoriasis displays coexistence of both autoimmune and auto inflammatory reactions and the stability between the two is important for clinical and histopathological demonstration. Chronic plaque psoriasis shows adaptive immune responses whereas pustular psoriasis displays innate a auto inflammatory responses. Histopathological analysis is the main diagnostic tool for atypical and controversial situations which aids in discerning psoriasis from other dermatoses; biopsy is seldom required for typical psoriasis.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120914583","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}
Abstract: Background: Healthcare sector of Pakistan is complex and changing rapidly. This complex and transforming phase create more hurdles for employees especially for healthcare managers. During this transition phase, healthcare managers are burdened with more ncertainties and adversities. Managing under these circumstances is not an easy task as this requires frequent adaptations. One of the most important traits that can aid in these adaptations is resilience, which is ignored in healthcare management. Objectives: The first and main objective of the study is to assess the extent to which the healthcare managers are resilient. Secondly, to compare the resilience of public and private sector healthcare managers. At last, to assess the impact of gender, income and other demographic variables like age, socioeconomic status, marital status, education, designation, and work experience etc. Materials and Methods: It was a cross sectional study conducted at 13 different leading healthcare institutes of Karachi. These hospitals and healthcare services were divided broadly according to public and private sector categories. Employees were asked to complete structured questionnaire, a 25 item Connor Davidson Resilience Scale (CD-RISC) and demographic characteristics. Data were collected from 438 healthcare managers working at tertiary care hospitals in Karachi. Results: Health managers at both sectors were found resilient, with mean score of public sector and private sector were 52.55 (SD± 15.05), and 50.74 (SD± 14.15) respectively although the relationship was found insignificant relationship. Income, experience, designation, and worksite variables were significantly associated with resilience while age, gender, working hours, marital & socioeconomic status were insignificant. Conclusion: In conclusion, the healthcare managers working in both public and private sector were found resilient. There was no significant difference found in resilience of male and female healthcare managers. In addition demographic variables like age, marital status, socioeconomic status, and working hours showed no significant relationship with resilience while designation, income, working experience, and worksite variables showed significant relationship with resilience.
{"title":"Assessing Resilience in Healthcare Setups of Karachi using Connor Davidson Resilience Scale","authors":"H. Raza, N. Shah, N. Nazir, N. Ali","doi":"10.21089/njhs.74.0160","DOIUrl":"https://doi.org/10.21089/njhs.74.0160","url":null,"abstract":"Abstract: Background: Healthcare sector of Pakistan is complex and changing rapidly. This complex and transforming phase create more hurdles for employees especially for healthcare managers. During this transition phase, healthcare managers are burdened with more ncertainties and adversities. Managing under these circumstances is not an easy task as this requires frequent adaptations. One of the most important traits that can aid in these adaptations is resilience, which is ignored in healthcare management. Objectives: The first and main objective of the study is to assess the extent to which the healthcare managers are resilient. Secondly, to compare the resilience of public and private sector healthcare managers. At last, to assess the impact of gender, income and other demographic variables like age, socioeconomic status, marital status, education, designation, and work experience etc. Materials and Methods: It was a cross sectional study conducted at 13 different leading healthcare institutes of Karachi. These hospitals and healthcare services were divided broadly according to public and private sector categories. Employees were asked to complete structured questionnaire, a 25 item Connor Davidson Resilience Scale (CD-RISC) and demographic characteristics. Data were collected from 438 healthcare managers working at tertiary care hospitals in Karachi. Results: Health managers at both sectors were found resilient, with mean score of public sector and private sector were 52.55 (SD± 15.05), and 50.74 (SD± 14.15) respectively although the relationship was found insignificant relationship. Income, experience, designation, and worksite variables were significantly associated with resilience while age, gender, working hours, marital & socioeconomic status were insignificant. Conclusion: In conclusion, the healthcare managers working in both public and private sector were found resilient. There was no significant difference found in resilience of male and female healthcare managers. In addition demographic variables like age, marital status, socioeconomic status, and working hours showed no significant relationship with resilience while designation, income, working experience, and worksite variables showed significant relationship with resilience.","PeriodicalId":441304,"journal":{"name":"National Journal of Health Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130453731","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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