Issue Vol:64, No:12 December, 2014


Enormity of Urolithiasis in Sindh province
Manzoor Hussain,

Historical study on epidemiological aspects of Urolithiasis reveals Sindh to have the highest prevalence of stone disease in the sub continent.1 Recent data from SIUT Karachi, a tertiary care hospital in the province shows that stone disease constitutes 50-60% of Urologic w....

Original Articles

Medical students' perspective about factors motivating participation in small group discussions
Aneeq Ullah Baig Mirza, Rehan Ahmed Khan, Sohail Zia, Yasir Iqbal,

Objective: To assess perceptions of medical students about the factors that may enhance motivation for learning through small group discussions.
Methods: The qualitative descriptive study was conducted in May, 2013, at Riphah International University, Islamabad, and comprised....

Role of intraoperative ultrasound in achieving complete resection of intra-axial solid brain tumours
Abdul Razaque Mari, Irfanullah Shah, Muhammed Imran, Junaid Ashraf,

Objectives: To determine the frequency of completeness of resection for intra-axial solid brain tumours with the help of intra-operative ultrasound to detect residual brain tumour.
Methods: The cross-sectional study was conducted at the Department of Neurosurgery, Dow Univers....

Arthroplasty versus fusion for single-level cervical disc disease
Hamza Karabag, Erkan Cakmak, Bahattin Celik, Ahmet Celal Iplikcioglu, Ahmet Faruk Soran,

Objective: To evaluate the effectiveness and safety of cervical arthroplasty and anterior cervical discectomy fusion methods.
Methods: The randomised clinical trial was conducted at the neurosurgical clinic of University of Harran, Turkey, between February 2009 and January 20....

"Mentorship" a stride towards maintenance of medical student's well being
Rehana Rehman, Ambreen Usmani, Quratulain Omaeer, Hina Gul,

Objective: To evaluate the effectiveness of mentorship programme with respect to emotional wellness of medical students.
Methods: The cross-sectional questionnaire-based survey was carried out from March 2009 to February 2013 comprising first year medical students of five con....

Idiopathic thrombocytopenic purpura in children: A 10 years experience at tertiary care hospital
Muhammad Matloob Alam,

Objective: To evaluate presenting features, treatment modalities and response to therapy in children with idiopathic thrombocytopenic purpura.
Methods: The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised clinical data, presenting ....

The use of Omega 3 on pregnancy outcomes: A single-center study
Bita Fereidooni, Ensiyeh Jenabi,

Objective: To investigate the rate of Omega 3 use in pregnant women and its effect on pregnancy outcome.
Methods: The study was conducted from January to April 2010 at Tamin Ejtemaee Hospital, Hamedan, Iran, and comprised women who were carrying 16 weeks of pregnancy and were....

Mesterolone treatment of aging male syndrome improves lower urinary tract symptoms
Harun Dugeroglu, Mustafa Ozturk, Murat Atmaca, Ismet Seven,

Objective: To investigate the effects of mesterolone on prostate in patients treated for aging male syndrome.
Methods: The cross-sectional study was conducted from June to September, 2009, at endocrinology and metabolism department of Yuzuncu Yil University, Van, Turkey, and....

Use of bispectral index monitoring for determination of sedation depth in 50 patients undergoing cardioversion
Hanife Karakaya Kabukcu, Mustafa Serkan Karakas, Atakan Yanikoglu, Nursel Sahin, Mehmet Kabukcu,

Objectives: To investigate the contribution of Bispectralindex monitoring on the amount of used anaesthetic substance and the quality of anaesthesia in patients with persistent atrial fibrillation who would undergo cardioversion.
Methods: The prospective, randomised, controll....

Prevalence of albicans and non-albicans candiduria in a Malaysian medical centre
Chuan Hun Ding, Asrul Abdul Wahab, Najihan Abdul Samat Muttaqillah, Mohd Nizam Tzar,

Objective: To determine the proportion of albicans and non-albicans candiduria in a hospital setting and to ascertain if fluconazole is still suitable as empirical antifungal therapy based on antifungal susceptibility patterns of Candida species.
Methods: The cross-sectional ....

Spontaneous platelet recovery time in primary and secondary dengue infection in a tertiary care hospital
Aneela Altaf Kidwai, Syeda Urooj Riaz, Sabeen Aatif, Saleemullah Paracha,

Objective: To determine the spontaneous platelet recovery time in primary and secondary dengue infection in a tertiary care hospital.
Method: The cross-sectional observational study was conducted at Abbasi Shaheed Hospital, Karachi, from July 2010 to January 2011, and compris....

Determination of bacterial etiological agents, sensitivity pattern and clinical outcome of patients with bacterial endocarditis at Punjab Institute of Cardiology, Lahore
Iqra Fayyaz, Muhammad Adil Rasheed, Muhammad Ashraf, Allah Bukhsh, Abdul Wadood,

Objective: To determine the type of pathogens causing bacterial endocarditis, their in vitro drug susceptibility profile and the effect of empirical antibiotic therapy in endocarditis patients.
Methods: The prospective study was conducted at the Punjab Institute of Cardiology....

Elevated levels of Ferritin and hs-CRP in type 2 diabetes
Faiza Alam, Fasiha Fatima, Shehryar Orakzai, NajeehaTalat Iqbal, Syeda Sadia Fatima,

Objectives: To measure the levels of high-sensitivity C-reactive protein and ferritin in blood and to assess their association with inflammation in people with Type 2 diabetes.
Method: The case-control study was conducted between November 2012 to November 2013 at the Basic Me....

Inpatient satisfaction at tertiary care public hospitals of a metropolitan city of Pakistan
Mehwish Hussain, Anum Wasim, Muhammad Shahzeb Khan, Sidra Sabih, Sana Saleem, Ammara Mushtaq,

Objective: To determine the satisfaction of in-patients towards quality of service provision and environment of public-sector hospitals.
Methods: The cross-sectional study was conducted in four major public-sector hospitals of Karachi from December 2010 to February 2012. The ....

Low-cost thermotherapy for cutaneous leishmaniasis in Sindh, Pakistan
Sharaf Ali Shah, Abdul Aziz Memon, Auwj-e-Shamim, Shehla Baqi, Richard Witzig,

Objective: To study the efficacy of a low-cost heating pack device used for thermotherapy in the treatment of cutaneous leishmaniasis.
Methods: The study was conducted at the Department of Dermatology, Civil Hospital Sukkur, Pakistan, from April 20, 2012, to January 3, 2013. ....

Review Articles

Community acquired pneumonia in Pakistan: An analysis on the literature published between 2003 and 2013
Mosavir Ansarie, Aneeka Kasmani,

This article reviews literature pertaining to community acquired pneumonia (CAP) in adults published over the last decade (2003-2013) and includes ten studies and one guideline document. The review was done to identify the trend in etiologies and antimicrobial susceptibilities in order to recogni....

Short Communication

Number of Pakistani physicians working abroad; Do we really need to know?
Ahmad Zaheer Qureshi, Farooq Azam Rathore,

There are around 175,600 registered doctors in Pakistan, but limited data is available about Pakistani physicians pursuing medical careers abroad. Additionally, no data is reported about Pakistani physicians who leave the country to pursue medical career overseas, but end up in non-medical profes....

Case Reports

Huge congenital haemangioma of the tongue
Ulku Kucuk, Emel Ebru Pala, Umit Bayol, Ebru Cakir, Ibrahim Cukurova, Murat Gumussoy,

Haemangiomas, the most common type of benign vascular tumours, are rare in the oral cavity. Some of these lesions are congenital and show symptoms in late childhood or early adult life. A 32-years-old woman presented with a huge lesion on her tongue which caused dysphagia and dysphasia. She had f....

Pulmonary thromboembolism in a patient with active ulcerative colitis and lung abscess secondary to pulmonary infarction
Selvi Asker, Hulya Gunbatar, Selami Ekin, Bunyamin Sertogullarindan, Aysel Sunnetcioglu,

Crohn’s disease and ulcerative colitis are inflammatory bowel diseases and they primarily involve intestines. Herein we report the case of a young man who, during a clinical recurrence of ulcerative colitis, presented with symptoms suggestive of a lung abscess. When the patient was re-evalu....

Microtubule inhibition therapy by colchicine in severe myocarditis especially caused by epstein-barr and cytomegalovirus co-infection during a two-year period: A novel therapeutic approach
Nazmi Gultekin, Emine Kucukates,

The co-infection of Epstein-Barr virus and Cytomegalovirus rarely gains multi-pathogenicity and leads to viral myocarditis. Also, it may lead to progressive heart failure or sudden death. We present a case series of five patients who were monitored for the impact of low-dose colchicine therapy as....

A novel method for repair of testis rupture after gunshot trauma: Repair with Tutoplast processed pericardium
Seyfettin Ciftci, Bahattin Ozkul, Murat Ustuner, NagihanInan, Mustafa Melih Culha,

Gunshot wound injury to the external genitalia is relatively uncommon. However, if a testis is affected in such a case, early surgical exploration should be carried out. A 16-year-old boy presented with right testicular rupture. Tunica albugineal defect could not be closed primarily. We used a Tu....

Student's Corner

Rheumatoid arthritis clinical features and management strategies at an urban tertiary facility in Pakistan
Rehan Rais, Mohammad Saeed, Rimsha Haider, Zahra Jassani, Amir Riaz, Tahira Perveen,

Objective: To determine the presentation patterns, biologically vulnerable patient groups and treatment strategies of rheumatoid arthritis.
Methods: The retrospective study was conducted at the Rheumatology Clinic of Liaquat National Hospital and Medical College, Karachi, and....

Colonoscopic diagnosis of trichuris trichiura in a patient with pulmonary tuberculosis; there is more than what meets the eye
Huzaifah Salat, Mohammad Sohail Salat, Muhammad Asim Beg,

Madam, Trichuriasis is among the global neglected tropical diseases, with an estimate of 795 million people infected worldwide. The prevalence of trichuriasis in Pakistan is estimated at 1.5 million.1 We present the case of a patient in Pakistan with pulmonary tuberculosis ....

Personality changes in medical students: causes, consequences and proposed solutions
Saad Saleem Khan,

Madam, globally, the aim of medical education is to produce knowledgeable,1 competitive, and professional brains implemented to cushion the ill individuals, advance the field of medicine and to boost the quality of life.
Medical students who are trained and groomed t....

Letter to the Editor

Mast cell density, microvessel density and their role in renal cell carcinoma Oner Ozdemir
Oner Ozdemir,

Madam, I read the article by Guldur et al. entitled "The relationship of mast cells and angiogenesis with prognosis in renal cell carcinoma (J Pak Med Assoc. 2014; 64(3): 300-3)" with great interest. However; we have worries about the role of the Mast cell (MC) in neoplastic angiogenesi....

Subjective well-being of nurses
Insaf Altun, Emine Goksel, Hakan Kitapci,

Madam, subjective well-being concerns peoples' self-reported assessment of their own wellbeing.1 Having a good subjective well-being has always been desirable for humans, and the concept of a good life and the ways of achieving it have become important over the years.


Importance of research and services among people who inject drugs in Pakistan
Arshad Altaf, Sharaf Ali Shah, Sten Vermund,

People who inject drugs (PWID) are driving the HIV epidemic in Pakistan. The national study conducted in 2011 found an overall weighted prevalence of 37.8% (95% CI: 37.3%, 38.3%) in this vulnerable group. Five cities of the country including Karachi, Faisalabad, Sargodha, DG Khan and Gujrat had &....

Evidence Based Medicine

My patient has had an intracerebral haemorrhage - How do I best control his blood pressure?
Hasan Rehman, Ayeesha Kamran Kamal,

Why is this study important and noteworthy?
Acute intracerebral haemorrhage is the least treatable form of stroke, with the prognosis highly dependent on the volume and growth of the underlying haematoma. Blood pressure often reaches high levels after an intracerebral haemorrhage an....

Recent Advances In Endocrinology

Insulin initiation: The triage system
Sanjay Kalra, Yashdeep Gupta,

Insulin is an effective glucose lowering agent and key component of effective diabetes management. However, prescription of insulin is faced with inertia as well as resistance. The barriers exists both at level of provider as well as patient. Here, we discuss a model, to overcome these barriers i....

News & Events


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

The Sixth Regional Conference on Medical Journals in the Eastern Mediterranean Region(EMMJ6) will take place from February 18-20,2015 in Shiraz,Islamic Republic of Iran.
Important dates:
Abstract Submission Deadline: January 15,2015
Abstract Acceptance Notification: January 22,2015
Registration (Conference and Workshops) Deadline: January 30,2015




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