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Journals JPMA. the Journal of the Pakis...

JPMA. the Journal of the Pakistan Medical Association

https://read.qxmd.com/read/38591301/caudal-duplication-syndrome-a-rare-entity
#21
Saadia Kanwal, Shamoona Naqvi, Naila Israr, Samina Akhtar, Saadia Zia, Ashok Kumar
The rare caudal duplication syn drome is a spectrum of anomalie s primarily involving par tial or compl ete dupl ication of organ s comp risin g the gastro intest ina l, genitourinary and distal neu ral tube system s. These findings are considered to be a result of aberrant embryogenesis. We hereby report a case of an adult female with comple te duplicat ion o f the genital and ur inary systems (ureth ra and bladder), hindgut a nd lower end of vertebral col umn with no functional impairment. She presented in her first pregnancy at 36 weeks gestation, in labo ur...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591300/paraganglioma-of-the-urinary-bladder-a-case-report
#22
Muzammil Hassan, Abdul Hafeez Quereshi
It is very un comm on to discover Paraga ngliomas in the uri nar y bladder. Thes e tu mo ur s origina te from the sympathetic nerves which supp ly chromaffin cells in the bladde r wall. They can be classified as functional or nonfunctional. If functional, the most common presentations are with hypertensive crisis or post-micturition syncope. A si lent pa raganglioma of th e bl adder ca n be easily m isdiagnosed w hich can resu lt in severe pe ri- oper ative morbidity. We pre sent a ca se of a male pati ent who was being m a naged fo r hype rt ension for 2-3 ye ars...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591299/resilience-and-academic-performance-exploring-the-link-in-dental-students
#23
JOURNAL ARTICLE
Fizzah Ali, Rehan Ahmed Khan, Mahwish Arooj
This study aims to assess the correl ation between t he resilience level of dental students (preclinical and clinical years) and its effects on their academic performance. It is a correlational research study that was carried out on second, third, and final-yea r denta l students at Lahore Medical & Dental College, Lahore. Academic resilience was judged by using the academic resilience scale (ARS-30). The correlation between resilience and academic performance was e s tablished by appl ying the bivar iate Pea rso n correlation...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591298/aetiology-presentation-and-outcomes-of-patients-presenting-with-acute-pancreatitis-in-a-tertiary-care-hospital
#24
JOURNAL ARTICLE
Zahabia Sohail, Hafsa Shaikh, Nimra Iqbal, Hassan Masood, Om Parkash
Acute pancreatitis (AP) is a multi-causal disease with a high rate of hospita lisation. Only a few cl inical stud ies have i nvestig ated the aetiologic al backgroun d, sever it y, and outcome of AP in Pakistan. Hence, this study was carried out to determine the aforementioned factors and correlate them w ith outcomes in a tert iary care set ting. This was a cros s -sec tional, retrospective study conducted at the Department of Gast roe nterolo gy, Aga Khan University Hospita l, Karachi, from Januar y 1, 2022, to December 31, 2022...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591297/assessment-of-tear-film-parameters-in-females-with-refractive-errors-using-a-single-device-an-observational-study
#25
JOURNAL ARTICLE
Mana Alafri Alanazi, Shahad Abdulrazzaq Alanazi, Mashaaer Abdulwahhab Baashen, Meznah Saud Almutairi, Gamal Abdel-Rehman El-Hiti
This observational study aimed to evaluate the use of a single portable device to assess the non-invasive tear break-up time (NITBUT), tear meniscus height (TMH), and lipid layer patterns (LLP) in young females with refractive errors (REs). The study was conducted at the College of Applied Medical Science (Female campus), Riyadh, Saudi Arabia between January 5, 2021 to May 15, 2021. Forty young females, with mean age of 23.0± 4.3 years with REs (-2.53 ± 2.05 D) and 40 females, mean age 23.8± 4...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591296/cytogenetic-abnormalities-associated-with-reproductive-failure-in-pakistani-population-experience-of-a-tertiary-care-hospital
#26
JOURNAL ARTICLE
Faiza Naz, Nazneen Perveen, Syed Zulfiqar Ali Naqvi, Sobia Rafiq
Constitutional chromosomal abnormalities play a significant role in causing reproductive anomalies in individuals of reproductive age. With the rapid advancement of genome engineering techniques, it has now become possible to cure different genetic disorders. However, very limited data is available regarding the prevalence of such aberrations in the Pakistani population. Considering this factor, this retrospective analysis was undertaken to elucidate the type and prevalence rate of such abnormalities in our population...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591295/risk-perception-about-communicable-and-vector-borne-diseases-among-international-travellers-to-pakistan-a-cross-sectional-study
#27
JOURNAL ARTICLE
Sara Saeed, Qandeel Tahir, Ayesha Babar Kawish
With the rise in air travel, the risk of diseases travelling from one geographical area to another has also increased. Relatively little is known about how travellers know and perceive the health risks associated with travel and how they adopt preventive measures before and while travelling abroad. The objective of this study is to determine the risk perception about communicable and vector-borne diseases among international travellers arriving from different countries and to find any association between the level of risk perception and independent variables...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591294/pathways-to-prevention-insights-on-stemming-hiv-outbreaks-in-larkana-pakistan
#28
REVIEW
Hussain Ahmed Raza, Mohummad Hassan Raza Raja, Muhammad Mussab Khakwani, Minahil Khakwani, Bushra Jamil
In the past two decades, Pakistan has faced multiple human immunodeficiency virus outbreaks, with Larkana appearing to be the hub of such outbreaks. While the previous Larkana outbreaks happened in high-risk populations, the alarming outbreak in 2019 occurred in a low-risk paediatric population, raising several concerning questions. Human immunodeficiency virus infections spilling into the general population is indicative of a steady increase in the number of cases, and the failure of control strategies to stem the concentrated epidemic from evolving...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591293/surfactant-protein-d-diabetes-mellitus-oxidative-stress-infections-and-inflammation-on-the-crossroad-a-systematic-review
#29
Shireen Javed, Mahaneem Mohamed, Benash Altaf, Wan Syaheedah Wan Ghazali
OBJECTIVE: To review the association of surfactant protein-D with type 2 diabetes mellitus, infections, oxidative stress and inflammation, and the changes in oxidative stress markers in type 2 diabetes mellitus. METHODS: The systematic review was conducted from April to September 2022, and comprised search on PubMed, Web of Sciences, Scopus, Science Direct and Google Scholar databases for relevant studies published in English language between January 1, 2000, and June 30, 2022...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591292/effects-of-interval-training-on-haemodynamic-variables-after-coronary-artery-bypass-graft-a-meta-analysis
#30
JOURNAL ARTICLE
Fatima Zehra, Sehrish Aslam, Mehjabeen Saeed
OBJECTIVE: To assess the combined impact of interval training programme on haemodynamic variables, specifically blood pressure and heart rate, in patients having undergone coronary artery bypass graft surgery. METHODS: The meta-analysis was conducted from October to December 2022, and comprised search on PubMed, MEDLINE, Web of Science, PeDro, EMBASE, Science Direct, Cochrane Central Register of Controlled Clinical Trials, Google Scholar and Scopus electronic databases by two researchers independently for literature published between 2009 and 2020 related to the effects of interval training on coronary artery bypass graft patients...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591291/clinicopathological-features-and-outcome-of-secondary-steroid-resistant-nephrotic-syndrome-a-retrospective-analysis
#31
JOURNAL ARTICLE
Habib Qaiser, Irshad Bajeer, Sabeeta Khatri, Seema Hashmi, Ali Asghar Lanewala
OBJECTIVE: To determine the clinico-pathological features and long-term outcome of secondary steroid-resistant nephrotic syndrome treated with steroids and calcineurin inhibitors. METHODS: The retrospective cohort study was conducted at the Sindh Institute of Urology and Transplant, Karachi, in June and July 2023, and comprised data from January 1, 2008, to December 31, 2020, of children aged 1-18 years who developed steroid resistance after initial sensitivity to steroids with at least 1-year of follow-up...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591290/perceived-usefulness-of-medical-teachers-towards-online-learning-using-technology-acceptance-model
#32
JOURNAL ARTICLE
Irfan Qayyum Malik, Usama Iqbal, Muhammad Moin, Saima Chaudhry
OBJECTIVE: To determine medical teachers' acceptance of and attitude towards online learning, and to gather their recommendations about how it can be incorporated in the educational system. METHODS: The mixed method study was conducted at Gujranwala Medical College, Gujranwala, Pakistan, from August 2021 to January 2022, and comprised medical teachers involved in online teaching during the coronavirus disease-2019 pandemic. Quantitative data was gathered using an online questionnaire based on the technology acceptance model...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591289/challenges-and-technical-aspects-in-the-management-of-muscle-invasive-bladder-cancer-as-retrograde-radical-cystectomy-with-ileal-conduit
#33
JOURNAL ARTICLE
Nadeem Bin Nusrat, Assad Ur Rehman, Nauman Zafar, Shujah Muhammad, Sarmad Imtiaz Bajwa, Saira Imtiaz
OBJECTIVE: To evaluate long-term outcomes in patients homogenously treated with radical cystectomy and ileal conduit for muscle invasive bladder cancer. METHODS: The retrospective study was conducted at the Urology Department of Pakistan Kidney and Liver Institute and Research Centre, Lahore, Pakistan, and comprised data from December 25, 2017, to January 16, 2023, related to patients who underwent radical cystectomy with ileal conduit with or without neo-adjuvant and adjuvant radiation, chemotherapy, or immunotherapy for papillary urothelial carcinom of the bladder...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591288/concordance-of-clinical-histopathologic-and-direct-immunofluorescence-findings-in-patients-with-intraepidermal-immunobullous-disorders
#34
JOURNAL ARTICLE
Erum Ashraf, Faryal Shareef
OBJECTIVE: To determine the concordance among clinical, histopathological and immunofluorescence as diagnostic methods for intraepidermal immunobullous disorders. METHODS: The prospective cross-sectional study was conducted at the Institute of Skin Diseases, Karachi, from December 2020 to December 2022, and comprised adult patients of either gender presenting with complaints of bullae, vesicles, pustules and crusts on the skin or mucous membrane. Diagnostic findings of each patient as obtained by clinical assessment, microscopy and direct immunofluorescence were compared...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591287/factors-contributing-to-preterm-birth-in-patients-presenting-at-tertiary-care-hospitals-in-punjab
#35
JOURNAL ARTICLE
Fariha Aslam Bajwa, Nayyer Sultana, Ameelia Sadaqat, Abida Riaz, Mirza Zeeshan Sikandar
OBJECTIVE: To determine the various causes and factors leading to preterm birth in women presenting at tertiary care hospitals. METHODS: The cross-sectional, prospective study was conducted from June 19, 2021, to January 19, 2022, at the Central Park Teaching Hospital, Lahore, Pakistan, in collaboration with other tertiary care teaching hospitals in Lahore, and comprised pregnant women aged 15-45 years with preterm birth. Demographic and obstetric data was collected...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591286/perceptions-and-use-of-evidence-based-revision-methods-among-undergraduate-medical-students
#36
JOURNAL ARTICLE
Qurat-Ul-Ain Ashfaq, Taymmia Ejaz, Maria Hasan Baloch, Kamil Asghar Imam
OBJECTIVE: To assess awareness, perceptions and use related to evidence-based revision methods by undergraduate medical students. METHODS: The descriptive cross-sectional study was conducted in three medical colleges of Rawalpindi, Islamabad, Pakistan, from December 01, 2019, to January 31, 2020, after approval from the ethics review committee of Army Medical College, Rawalpindi. The sample comprised undergraduate medical students of either gender. Data was collected online using a 10-item standardised questionnaire...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591285/the-outcomes-of-nutritional-therapy-in-patients-with-non-alcoholic-fatty-liver-disease-nafld-pitfalls-in-getting-fit-from-fat
#37
JOURNAL ARTICLE
Sabhita Shabir Shaikh, Badder Hina Afnan, Sumaira Nasim, Waqas Ahmed Farooqi, Ahsan Ali Darbari, Alveena Shabbir
OBJECTIVE: To evaluate the outcomes of nutritional intervention on non-alcoholic fatty liver disease parameters, and to determine the reasons for non-compliance with nutritional therapy. METHODS: The interventional study was conducted from May 2020 to October 2022 at the National Institute of Liver and Gastrointestinal diseases, Dow University Hospital, Ojha Campus, Karachi, and comprised patients of either gender aged 18-65 years who had been diagnosed with non-alcoholic fatty liver disease based on abdominal ultrasound...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591284/impact-of-perceived-social-support-on-psychological-resilience-a-comparison-between-medical-and-surgical-postgraduate-residents
#38
JOURNAL ARTICLE
Anosha Arshad, Kanza Majid, Mishall Baig Ahmed, Sarah Misbah
OBJECTIVE: To identify the predictable relationship and differences between perceived social support and psychological resilience among medical and surgical postgraduate residents. METHODS: The analytical cross-sectional study was conducted from July to September 2021 at Dr Ruth K.M. Pfau Civil Hospital, Karachi, and comprised postgraduate medical and surgical residents of either gender. Data was collected using validated self-administered questionnaires. Data was analysed using SPSS 22...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591283/understanding-ureteroscopy-complications-according-to-modified-clavien-classification-system
#39
JOURNAL ARTICLE
Usama Bin Shaheen, Naveed Ahmed Mahar, Nazish Mughal, Harris Hassan Qureshi, Naseem Akhter, Sara Rasheed Kalwar
OBJECTIVE: To determine the complications of ureteric stone treatment with semi-rigid uretero-renoscopy in accordance with the modified Clavien classification system. METHODS: The descriptive, prospective study was conducted at the Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, from June 30, 2020, to December 29, 2021, and comprised patients of either gender aged 18-70 years having ureteric stones. All patients were subjected to ureterorenoscopy using a semi-rigid ureteroscope under general anaesthesia...
March 2024: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/38591282/orthodontic-awareness-amongst-middle-school-teacher-sand-parents-of-twin-cities
#40
JOURNAL ARTICLE
Asma Mansoor, Mishaal Arshad Kasana, Rozina Nazir, Tania Arshad Siddiqui, Saad Mansoor, Shoaib Rahim
OBJECTIVE: To compare the level of awareness towards orthodontic treatment among parents and teachers of middle school children. METHODS: The cross-sectional study was conducted from July 2021 to May 2022 in the middle schools of Rawalpindi and Islamabad, Pak istan, after approval from the ethics review committee of the Foundation University College of Dentistry and Hospital, Foundation University, Islamabad. Those included were middle school teachers and parents of students studying in middle schools...
March 2024: JPMA. the Journal of the Pakistan Medical Association
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