Welcome to Journal Of Pakistan Medical Association
   Issue Vol:65, No:5 May, 2015
Editorial >>

ABCDEFG of postpartum care after GDM (gestational diabetes mellitus)

Yashdeep Gupta, Bharti Kalra,

The prevalence of diabetes in adults in Middle-East and North Africa Region is 9.2%, of which half are undiagnosed, and at considerable risk of complications.1 Though ideally, universal screening should be carried out to detect these cases, we may need to target high risk g....

Original Articles >>

Effect of endometrial thickness on pregnancy outcome after intracytoplasmic sperm injection

Rehana Rehman, Syeda Sadia Fatima, Mehwish Hussain, Rakhshaan Khan, Taseer Ahmed Khan,

Objective: To identify cut-off value of endometrial thickness required for implantation of embryo after intracytoplasmic sperm injection.
Methods: The auasi-experimental study was conducted from July 2011 to June 2012 at an assisted reproductive clinic in Islamabad. Down-regu....

Unwanted pregnancy and traditional self-induced abortion methods known among women aged 15 to 49

Nazli Sensoy, Nurhan Dogan, Kubra Sen, Halit Aslan, Ayca Tore Baser,

Objective: To determine the traditional methods known and used to terminate an unwanted pregnancy and the fertility characteristics of married women.
Methods: The descriptive cross-sectional study was conducted in Turkey at Afyonkarahisar Zübeyde Hanim Child and Maternit....

Nursing students' medication errors and their opinions on the reasons of errors: A cross-sectional survey

Fatma Cebeci, Ebru Karazeybek, Gulten Sucu, Rabia Kahveci,

Objective: To determine number and type of medication administration errors made by nursing students, and to explore the rate of reportings, emotions after the errors and the causes of errors.
Methods: The cross-sectional study was conducted at the two schools of nursing, Akd....

Iatrogenic Cushing's syndrome in children presenting at Children's Hospital Lahore using nappy rash ointments

Hina Sattar, Jaida Manzoor, Liaqat Mirza, Abdul Malik Sheikh, Taeed Ahmad Butt,

Objectives: To study the characteristics of infants and children presenting with iatrogenic Cushing's Syndrome due to nappy rash ointments.
Methods: The descriptive study was conducted at the Children's Hospital, Lahore, from April to September 2013, and comprised patients pr....

Tetralogy of Fallot with absent pulmonary valve syndrome; appropriate surgical strategies

Fatima Shahid, Maria Tariq Siddiqui, Muhammad Muneer Amanullah,

Objective: To evaluate patients presenting with Tetralogy of Fallot with absent pulmonary valve syndrome to a tertiary care hospital and their surgical management.
Methods: The retrospective study was conducted at Congenital Cardiac Services, Aga Khan University Hospital, Kar....

Determinants of depression and somatisation symptoms in low back pain patients and its treatment: global burden of diseases

Abdulbari Bener, Elnour Elnaem Dafeeah, Mohamad Omar Salem,

Objective: To determine the prevalence of Low Back Pain in primary care setting population and to examine its association with symptoms of depression and somatisation.
Methods: The cross-sectional study was conducted at 13 Primary Healthcare Centres (throughout Qatar from Mar....

Status of emergency obstetric care in four districts of Punjab, Pakistan - results of a baseline assessment

Bettina Utz, Shamsa Zafar, Noreen Arshad, Terry Kana, Somla Gopalakrishnan, Nynke van den Broek,

Objective: To assess the availability and quality of Emergency Obstetric and Newborn Care in four districts of Punjab.
Methods: The cross-sectional descriptive study was conducted in Attock, Gujranwala, Rahim Yar Khan and Khanewal districts of Pakistan's Punjab province. Dat....

Surfactant use in premature neonates <37 weeks gestation: Experience and outcome at a tertiary care hospital

Ejaz Ahmed Khan, Ibrar Hashmey,

Objectives: To assess a single-centre experience and outcome of premature neonates who received surfactant therapy.
Methods: The prospective cohort study was done at Shifa International Hospital, Islamabad, from December 2005 to May 2007 and comprised premature neonates (<....

Histological changes induced by tamoxifen versus tamoxifen plus 13-cis-retinoic acid on rabbit uterine glands

Shabnam Hamid, Atika Khurshid, Shadab Ahmed Butt,

Objective: To study the effects of tamoxifen versus tamoxifen plus 13-cis-retinoic acid on the histology of uterine glands in rabbits
Methods: The experimental, randomised, controlled trial was conducted at the Army Medical College, Rawalpindi, from March 2009 to June 2009 an....

Frequency and risk of metabolic syndrome in prediabetics versus normal glucose tolerant subjects - a comparative study

Shahid Ahsan, Syed Danish Haseen Ahmed, Shah Nawaz Jamali, Muhammad Imran, Muhammad Saiful Haque, Rashida Qasim,

Objective: To compare the frequency and risk of metabolic syndrome in pre-diabetics against normal glucose-tolerant subjects attending diabetes screening camps in an urban centre.
Methods: The cross-sectional study was carried out at the Jinnah Postgraduate Medical Centre, Ka....

Lumbosacral dysraphism as cause of neurogenic bladder: Magnetic Resonance Imaging based study from SIUT Pakistan

Saima Sadiq, Syed Muhammmad Faiq, Muhammad Khalid Idrees,

Objective: To find the frequency and types of spinal dysraphism in patients presenting with neurogenic bladder dysfunction.
Methods: The cross-sectional study was conducted at the Sindh Institute of Urology and Transplantation, Karachi, from February to September 2011, and co....

The impact of self-efficacy education on self-care behaviours of low salt and weight setting diets in hypertensive women covered by health-care centers of Dehaghan in 2013

Afsane Khosravizade, Akbar Hassanzadeh, Firoozeh Mostafavi,

Objective: To examine the impact of self-efficacy-based education on promoting self-care behaviour in low-salt and weight-setting diets for hypertensive women.
Method: The quasi-experimental study was conducted in 2013 and comprised hypertensive women registered with healthca....

Choice of the pulse sequence and parameters for improved signal-to-noise ratio in T1-weighted study of MRI

Naima Amin, Muhammad Afzal, Muhammad Yousaf, Muhammad Arshad Javid,

Objective: To investigate the practical impact of alteration of imaging parameters on signal-to-noise ratio for the most commonly used T1-weighted magnetic resonance sequences.
Methods: The study was conducted in the Department of Medical Physics, Ninewells Hospital and Medic....

Anti inflammatory effect of thymoquinone in comparison with methotrexate on pristane induced arthritis in rats

Rizwan Faisal, Sadia Chiragh, Abdul Jalil Popalzai,

Objective: To determine the anti-inflammatory effects of thymoquinone on body weight, clinical score of inflammation, total leukocyte count and differential leukocyte count in arthritic rats and compare it with that of methotrexate.
Methods: The study was conducted at the Pos....

Determination of methods used by the neonatal care unit nurses for management of procedural pain in Turkey

Melahat Akgun Kostak, Sevil Inal, Emine Efe, Hatice Bal Yilmaz, Zeynep Senel,

Objective: To determine the pharmacological and non-pharmacological methods used by neonatal intensive care unit nurses to reduce procedural pain.
Methods: The cross-sectional study was conducted from September 2011 to June 2012 and comprised nurses employed in the paediatric....

Review Articles >>

Guidelines on gastroesophageal reflux disease

Saad Khalid Niaz, Muhammed Saeed Quraishy, Muhammad Ali Taj, Shahab Abid, Altaf Alam, Arif Amir Nawaz, Syed Hasnain Ali Shah, Ijaz Muhammed Khan, Abdul Rauf Memon, Bader Fiaz Zuberi, Ghayasun Nabi Tayyab, Kashif Malik, Shakeel Mirza, Zaigham Abbas,

Gastroesophageal reflux disease (GERD) is the most common acid-related disorder encountered during clinical practice in Pakistan and is associated with significant impairment of health-related quality of life. A number of guidelines and recommendations for the diagnosis and management of GERD hav....

Short Communication >>

Epidemiology of Karachi road traffic crash mortality in 2013

Rashid Jooma, Masood Ali Shaikh,

Road Traffic Crash (RTC) is the eighth leading cause of death globally. In a recent World Health Organization report, there were 5,192 RTC deaths reported from Pakistan in 2010. The Road Traffic Injury Research and Prevention Center (RTIRPC) is a unique public-private public health enterprise in ....

Prevalence, correlates, and changes in injury epidemiology between 2006 and 2010 among 13-15 year Moroccan school attending adolescents

Masood Ali Shaikh,

Injuries are the leading cause of mortality among 10-19 years old children and adolescents globally. This study reports on correlates of injuries using multivariate analysis and compares trends in injury from 2006 to 2010 in Morocco.  For the prevalence of all cause injury, there was a stati....

Case Reports >>

Osteoid Osteoma of acetabulum, a rare presentation

Irfan Ashraf, Sidra Kanwal, Pervaiz Hashmi,

The case of a relatively frequent benign osteoblastic tumour, osteoid osteoma at an atypical site is presented. It was in a 20 year old man who attended the outpatient department of Aga Khan University Hospital, Karachi with pain in left groin since last 6 months which often occurred at night and....

Hypothyroidism simulating as polymyositis

Hina Aslam, Muneeba Ahsan Sayeed, Rashid Qadeer, Salahuddin Afsar,

Polymyositis-like syndrome in hypothyroidism is a rare condition characterised by proximal muscle weakness and elevated muscle enzymes. Patients with this condition can initially be misdiagnosed as having polymyositis due to similar characteristics of both diseases; however a response to thyroxin....

Baloon angioplasty for venous sinus stenosis in a idiopathic intracranial hypertension case

Arsida Bajrami, Songul Senadim, Murat Cabalar, Filiz Azman, Dilek Bozkurt, Batuhan Kara, Hakan Selcuk, Vildan Yayla,

The Idiopathic Intracranial Hypertension (IIH) is a well characterised condition with intractable headaches, visual obscurations, and papilloedema as dominant features, mainly affecting obese women. With the advent of magnetic resonance (MR) venography and increased use of cerebral angiography, t....

Student's Corner >>

A hospital-based comparative study of the knowledge, attitudes and practices of family planning among women belonging to different socio-economic status

Sahar Khalid Zuberi, Syeda Hafsah Salman, Rashna Naozer Virji, Syed Sana, Sulachhni Kumari, Nosheen Zehra,

Objective: To assess the knowledge, attitudes and practices of family planning among women belonging to different socio-economic status
Methods: A cross sectional study was conducted in the outpatient department of three hospitals of Ziauddin University based on the socioecon....

Letter to the Editor >>

Crimean-Congo Haemorrhagic Fever: Breaking the chain of transmission

Muhammad Ateeb Shaikh, Sahar Safder, Shaheen Ayoob Bhatty,

Madam, Crimean-Congo Haemorrhagic Fever (CCHF) is labeled as the highest alert infectious disease by National Institute of Health, Islamabad due to its peak incidence in summer and spring. In Pakistan, 69 cases were confirmed in last year up till November1 and there were 18....

Post poliomyelitis syndrome: A rare sequel of acute poliomyelitis

Arzu Yagiz On,

Madam, RE: Post poliomyelitis syndrome: A raresequel of acute poliomyelitis.1
In this case report, the authors referred to our article2 and stated that lamotrigine was found to be ineffective in post poliosyndrome in a case control study. ....

An early tracheo-innominate fistula: Lessons learnt from a clinical encounter

Ahmad Zaheer Qureshi,

Madam, in a recent issue of the Journal of Pakistan Medical Association, Shah DA et al have described a patient with trachea-Innominate artery fistula (TIF).1 Surgical repair of the fistula was complicated by re-bleeding. Patient's condition did not improve and ventilator ....

Special Communication >>

Conservative treatment preferences and the plausible mechanism of Neer's stage 1 of shoulder impingement in younger people

Keramat Ullah Keramat,

The interaction of various factors in the vicious cycle (VC) of subacromial impingement syndrome (SIS) is complex and there are conservative treatment preferences for speedy rehabilitation. The mechanism of SIS is not fully understood and the inappropriate treatment priorities cause delay in reha....

Case Series >>

Laparoscopic cystgastrostomy: A Pakistani perspective

Awais Amjad Malik, Hafiz Ghulam Isnain, Ahsan Khan, Asad Ali Toor, Allah Nawaz, Rashid Mansoor, Romaisa Shamim, Mahmood Ayyaz,

Laparoscopic Pancreatic Pseudocyst (PP) surgery can be performed via anterior or posterior cystogastrostomy, endoscopy-assisted surgery and cystojejunostomy. We conducted a prospective analysis of our patients undergoing laparoscopic cystogastrostomy to analyse the merits and demerits of the ....

Recent Advances In Endocrinology >>

Vitamin D deficiency: Diagnosis and patient centred management

Sanjay Kalra, Sameer Aggarwal,

This comprehensive review addresses the issue of Vitamin D deficiency and its management in adults. Briefly describing the history of Vitamin D development and its role in human physiology, it discusses D deficiency in adults. Pragmatic suggestion for diagnosis, choice of therapy, and monitoring ....

Primary Care Diabetes >>

Oral combination therapy in primary care

Sanjay Kalra, Yashdeep Gupta,

Diabetes is a multifactorial disease, with multiple pathophysiologic abnormalities. This means that a combination of drugs, acting upon as many pathologic mechanisms as possible, is necessary for optimal management of the syndrome. This article discusses how a rational combination of oral anti-di....

Author's Reply >>

Post poliomyelitis syndrome: A rare sequel of acute poliomyelitis

Anam Abrar, Arsalan Ahmad,

We thank Dr Arzu Yagis On for pointing out an inadvertent error in quoting from his study1 in the discussion part of our case report. The confusion was due to a Cochrane Review on Postpolio syndrome2 that reviewed nine pharmacological and three non-ph....



Sindh Institute of Urology and Transplantation (SIUT), Karachi will celebrate 40 years of its services by holding an International Symposium on Recent Advances in Urology, Nephrology, GI Hepatology, Paediatrics, Transplantation & Bioethics from 8th to 12th December, 2015.Social and economic aspects of health care especially in a developing country will also be included.
Important Dates: Last date for Abstract submission:31st July 2015
Last Date for early registration: 30. September, 2015





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