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Editorial |
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Medical Ethics: A slow but sustained revolution in Pakistan’s healthcare
Muhammad Shahid Shamim,
Muhammad Shahzad Shamim,
"Change is the Measure of Time"
A few decades ago, it was considered unthinkable to accept a physician's deliberate action to hasten his/her patient's demise. Today, it is not only legal in parts of the world, but also considered a morally and ethically sound method of e....
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Original Articles |
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Maternal and perinatal outcome in nulliparious women complicated with pregnancy hypertension
Tavassoli Fatemeh,
Ghasemi Marziyeh,
Ghomian Nayereh,
Ghorbani Anahita,
Tavassoli Samira,
Objective: To evaluate maternal and perinatal outcome in nulliparious women complicated with pregnancy hypertension.
Methods: This descriptive-analytic and case-control study was performed on 100 hypertensive and 100 normotensive nulliparious women who were referred to Imam R....
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Neonatal outcome in meconium stained amniotic fluid-one year experience
Erum Majid Shaikh,
Sadaf Mehmood,
Majid Ahmed Shaikh,
Objectives: To determine the effect of clear liquor and meconium stained liquor on mode of delivery, and to evaluate neonatal outcome.
Methods: It was a Cross sectional analytical study, conducted in the department of Obstetrics and Gynaecology, Shaikh Zyed Federal Postgradua....
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Preferred postpartum contraception methods and their practice among married women in Zanjan, Iran
Haleh Rahmanpour,
Seyed Nouraddin Mousavinasab,
Seyed Nejat Hosseini,
Alireza Shoghli,
Objectives: To explore the preferences of women; once at the time of delivery and then three months later, in using contraceptive methods during post partum period.
Methods: A sample of 575 women who gave birth during July 2007 and February 2008 in Vali-Asre teaching hospital....
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Pattern of presentation and management of Ca breast in developing countries. There is a lot to do
Arshad Mehmood Malik,
Rafique Pathan,
Noshad Ahmed Shaikh,
Jawaid Naeem Qureshi,
Khamiso Altaf Hussain Talpur,
Objective: To investigate the pattern of presentation, severity, factors responsible for delayed presentation and outcome of breast cancer in patients presenting to a teaching hospital of Jamshoro.
Methods: It's a prospective descriptive study of 103 malignant breast lumps t....
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Survival of women with locally advanced breast cancer at a teaching hospital in Lahore
Javaid Iqbal,
Kausar Bano,
Asif Saeed,
Muhammad Akram,
Zeba Aziz,
Objectives: To correlate the clinical features of women presenting with locally advanced breast cancer with event-free survival (EFS) and overall survival (OS) and to evaluate the patterns of relapse.
Methods: A total of 200 patients presenting consecutively over 9 years with....
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Frequency, clinical characteristics and outcome of diabetic ketoacidosis in children with type-1 diabetes at a tertiary care hospital
Saira Waqar Lone,
Emad Uddin Siddiqui,
Fareeduddin Muhammed,
Irum Atta,
Mohsina Noor Ibrahim,
Jamal Raza,
Objective: To observe the frequency, demographic data and outcome of diabetic ketoacidosis (DKA) in children with established type 1 diabetes and newly diagnosed diabetes at a tertiary care hospital.
Methods: The case record review was done of children admitted with the diagn....
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Frequency of nutritional rickets in children admitted with severe pneumonia
Nighat Haider,
Abdul Ghaffar Nagi,
Khalid Mehmood A Khan,
Objective: To determine the frequency of nutritional rickets in children hospitalized with severe pneumonia.
Method: This study was carried out at the department of paediatric medicine at National Institute of Child Health Karachi. It is a case series done over a period of si....
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Frequency of patients with diabetes taking proper foot care according to international guidelines and its impact on their foot health
Nadia Saeed,
Objective: To determine the frequency of people with diabetes, practicing proper foot care according to International Guidelines and its impact on their foot health.
Methods: This cross sectional study was conducted on 100 people with diabetes in General Medicine Out Patients....
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The predictors of difficult tracheal intubations in patients undergoing thyroid surgery for euthyroid goitre
Mohammad Nasir Ayub Khan,
Mohammad Zafar Rabbani,
Rashid Qureshi,
Muhammad Zubair,
Muhammad Jawad Zafar,
Objective: To evaluate the influence of goitre on anatomic features and the correlation of these changes with difficulty in intubation.
Methods: A questionnaire was employed to assess 139 patients scheduled for elective surgery of euthyroid goitre to predict the potential of ....
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Is it necessary to remove Foleys catheter late after Transurethral Prostatectomy in patients who presented with Acute Urinary Retention secondary to Benign Prostatic Hyperplasia?
Sonmukh Das Bhagia,
Syed Mamun Mahmud,
Salman El Khalid,
Objective: To assess the influence of early versus late removal of catheter after Transurethral Prostatectomy (TURP) in patients who presented with Acute Urinary Retention (AUR), at our centre.
Methods: The records were reviewed of patients presenting to the Emergency Room (E....
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Hyperhomocysteinaemia, vascular related pregnancy complications and the response to vitamin supplementation in pregnant women of Pakistan
Seema Bibi Qureshi,
Mukhtar Ahmad,
Pir Mohammad Ali Qureshi,
Amna Memon,
Roshan Ara Qazi,
Objectives: To elaborate the relationship between serum homocysteine (hcy) levels and vascular related pregnancy complications in pregnant women as well as to assess the homocysteine lowering effects of folate, vitamin B12 and B6. The secondary objectives were to establish a link between s....
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Comparison of statistical methods, type of articles and study design used in selected Pakistani medical journals in 1998 and 2007
Masood Hussain Rao,
Nazeer Khan,
Objectives: To compare the statistical methods, types of article and design of studies used in 1998 and 2007 articles of leading indexed and non-indexed medical journals of Pakistan.
Methods: Six leading medical journals of Pakistan: (1) JCPSP, (2) JPMA, (3) JAMC, (4) PJMS, (....
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Inducible clindamycin resistance due to expression of erm genes in Staphylococcus aureus: Report from a Tertiary Care Hospital Karachi, Pakistan
Naima Fasih,
Seema Irfan,
Afia Zafar,
Erum Khan,
Rumina Hasan,
Objective: To assess the frequency of phenotypic expression of inducible resistance of clindamycin due to expression of erm genes, in clinical isolates of Staphylococcus aureus (S. aureus), by double disk diffusion test (D-test).
Method: This was a cross sectional study condu....
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Outcome of scleral buckling procedures for primary rhegmatogenous retinal detachment
Muhammad Tariq Khan,
Sanaullah Jan,
Samina Karim,
Sophia Iqbal,
Nasir Saeed,
Objective: To study the outcome of conventional scleral buckling procedures performed for primary rhegmatogenous retinal detachment.
Methods: This prospective study was conducted at Khyber Institute of Ophthalmic Medical Sciences, Hayatabad Medical Complex, Peshawar, Pakistan....
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Predictors of obesity among post graduate trainee doctors working in a tertiary care hospital of public sector in Karachi, Pakistan
Sajid Mahmood,
Muhammad Kazim Rahim Najjad,
Nasir Ali,
Naeem Yousuf,
Yasir Hamid,
Objectives: To identify the predictors of obesity among post graduate trainee doctors working in a tertiary care hospital of public sector at Karachi, Pakistan.
Methods: A cross sectional analytical study was conducted at one of the tertiary care hospitals of public sector in....
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Diagnostic accuracy of “pallor” for detecting mild and severe anaemia in hospitalized patients
Zeeshan Butt,
Umair Ashfaq,
Syed Furqan Haider Sherazi,
Naveed Ullah Jan,
Umer Shahbaz,
Objective: To determine the accuracy of pallor of conjunctiva, nailbed, and palm in detecting mild and severe anaemia.
Methods: Three hundred and five consecutive patients admitted in the medical and surgical wards of Mayo Hospital, Lahore were enrolled in the study. Conjunc....
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Review Articles |
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Bidirectional relationship between diabetes and periodontal disease: Review of Evidence
Bilal Abdul Qayum Mirza,
Ayma Syed,
Faisal Izhar,
Ayyaz Ali Khan,
Presently there are 170 million diabetic patients worldwide. Pakistan ranks sixth in the world with approximately 6.2 million in the 20-79 year age affected by the diabetes. 6-10% of the 35-44year old diabetic patients have been reported to be affected by moderate form of periodontal disease in P....
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Case Reports |
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Klebsiella Osteomyelitis of the right humerus involving the right shoulder joint in an infant
Maqbool Qadir,
Syed Rehan Ali,
Mumtaz Lakhani,
Pervaiz Hashmii,
Ahsen Amirali,
Osteomyelitis in newborn infants is a rare infection. Lower extremity joints are commonly affected. Most of the cases have a haematogenous spread. Aerobes are the common group of organism involved, of which Staphylococcus aureus is the commonest. Klebsiella osteomyelitis has been reported as a ca....
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Central nervous system involvement in multiple myeloma
Rohana Naqi,
Muhammad Azeemuddin,
Humera Ahsan,
Involvement of the central nervous system by multiple myeloma (MM) is considered to be extremely rare. Magnetic Resonauce Imaging (MRI) is the imaging modality of choice to detect and differentiate myeloma at unusual sites. We present the case of a sixty year old man who was a known case of MM. I....
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Gliosarcoma: a rare variant of glioblastoma multiforme
Sadia Rizvi,
Asghar Hussain Asghar,
Javaid Mehboob,
Gliosarcoma is a rare variant of Glioblastoma Multiforme (GBM). It is a very aggressive tumour and usually managed like GBM. Treatment of choice is surgery with good surgical margins followed by radiotherapy (60 Gy). Median survival is seven months. Here we present a case report of 55 years old m....
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Emergency airway management of a patient with tracheal stenosis
Anwar-ul-huda,
Muhammad Qamar-ul-Hoda,
Sohail Awan,
We are presenting a case of a 26 year old healthy male, who came with gradual worsening of dyspnoea following prolonged intubation and ventilation, after a road traffic accident five months back. On arrival in ER, he was hypoxaemic with severe respiratory distress. He was transferred to the opera....
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Michelin Tire Baby Syndrome — A case report and literature review
Ghazala A Farooqi,
Shafeek A Mulla,
Mohammad Ahmad,
Michelin tire syndrome is described in a two month old infant of Filipino-Saudi parents. The infant had generalized excessive folding of skin and facial dysmorphism. The skin biopsy showed excessive adipose tissue in reticular dermis, papillary dermis and around adnexa. Spontaneous partial improv....
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Successful pregnancy outcome after fertility-sparing surgery and chemotherapy for dysgerminoma
Muhammad Shamim,
Ovarian dysgerminoma is a rare malignancy of the ovary. This is a case report of a 30-years-old female, presenting with a huge ovarian mass along with multiple gallstones; she was treated by fertility-sparing excision of the mass and cholecystectomy, followed by chemotherapy. She later had an une....
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Opinion and Debate |
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Post traumatic stress disorder: Is it under or over recognized in clinical practice?
Amin A. Muhammad Gadit,
According to observations, in the western world, Posttraumatic Stress Disorder (PTSD) is being liberally diagnosed as either Axis I diagnosis or an adjunct morbidity. Many a times, the magnitude of an event, faced by a particular patient, is much more trivial and not falling into the category as ....
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Student's Corner |
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Tobacco use among urban school boys of Paschim Midnapore, India
Ashok Kumar Biswas,
Jhuma Sarkar,
Objectives: To assess the prevalence, perception and pattern of tobacco use among 13-15 years old urban school boys along with associated factors of tobacco use.
Methods: A cross sectional, observational, study was carried out among 454 urban school boys aged 13-15years study....
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Paraganglioma: A diagnostic dilemma
Numan Jahangir,
Bushra Shirazi,
We report a case of intra abdominal paraganglioma in a 46 year old male, that measured 12.5x10x10 cm and weighed 340 grams. A CT scan was done for the evaluation of an abdominal mass. The tumour was surgically removed and followed by an uneventful post operative recovery. On follow up at one year....
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Improving childhood vaccination: roadblocks and hurdles
Madam, immunization, when administered according to specified recommendations in an age-appropriate setting, helps save millions of lives from the scourge of death and disease. The maxim that prevention is better than cure holds true hitherto and vaccination is perhaps one of the most pivotal too....
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Letter to the Editor |
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Time to banish the three evils of medical research
Madam, as medical research is thriving in Pakistan, it is also being subjected to the evils of the human mind. As physicians, we take oath to a code of conduct that we would not harm a human soul and/or body. As medical scientists, we also need to re-visit the same oath. On a simpler note there a....
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News & Events |
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Index |
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Issue Vol:75, No:9 September, 2010