Issue Vol:65, No:3 March, 2015


Ebola Virus Disease: Readiness for the looming threat
Ahmed Badar,

The world is witnessing the largest outbreak of Ebola in history with several thousand deaths reported from West African countries.1,2 The threat is knocking at the door of every country in the shrunken 'global village' by virtue of international travel or trade.

Original Articles

Evaluation of oxidative stress tests in patients diagnosed with renal colic in the emergency department of Ankara Ataturk Training and Research Hospital, Turkey
Sinan Becel, Havva Sahin Kavakli, Ferhat Icme, Gulhan Kurtoglu Celik, Gul Pamukcu Gunaydin, Gullu Ercan Haydar, Ilyas Ertok, Yilmaz Sezgin,

Objective: To investigated oxidative stress changes in renal colic patients, and to determine its role in differential diagnosis of renal colic.
Methods: The cross-sectional study was conducted at Ankara Atatürk Training and Research Hospital, Turkey, from June 2012 to D....

Who presents to our electroneurophysiology laboratory?
Abdurrahman Sonmezler, Tahir Kurtulus Yoldas,

Objective: To determine the distribution rate of Electroneuromyography diagnosis and correspondence between the preliminary diagnosis and final outcome.
Methods: The retrospective study was conducted at the Department of Neurology, Harran University, Sanliurfa, Turkey, and co....

Postpartum sexual function in women and infant feeding methods
Zahra Khosravi Anbaran, Nasrin Baghdari, Maryam Pourshirazi, Fatemeh Zahra Karimi, Malihe Rezvanifard, Seyed Reza Mazlom,

Objective: To assess postpartum sexual function in mothers using different infant feeding methods.
Methods: The comparative cross-sectional study comprising women referred to health centres in Mashhad, Iran, was conducted from July 7 to December 11, 2011. Sexual function and ....

Flexible cystoscopy a valuable diagnostic tool for lower urinary tract pathology
Muhammad Ali Sajid, Hana Khurshid, Mobasher Saeed, Omer Salahuddin,

Objective: To assess the role of flexible cystoscopy in the diagnosis of lower urinary tract pathologies and its suitability as a routine diagnostic protocol in outdoor patients.
Methods: The quasi-experimental study was conducted at the Urology Department, Pakistan Ordinance....

Economic burden of dengue in four major cities of Pakistan during 2011
Ibrar Rafique, Muhammad Arif Nadeem Saqib, Muhammad Arif Munir, Shajee Siddiqui, Huma Qureshi, Sultana Habibullah, Saira Bashir, Sana Rehman, Sajjad Ashraf,

Objectives: To assess the economic burden of dengue infection by calculating cost per patient and disability adjusted life years lost.
Methods: The cross-sectional study was conducted in Islamabad, Lahore, Faisalabad and Karachi from July 2012 to March 2013. Residential addre....

Impact of facebook addiction on narcissistic behavior and self-esteem among students
Sadia Malik, Maheen Khan,

Objective: To investigate the relationship between Facebook addiction, narcissism and self-esteem and to see if gender played any role in this equation.
Methods: The correlational study was conducted from February to March 2013 at the Department of Psychology, University of S....

Sleep quality and depression in hospitalized congestive heart failure patients
Usamabin Nasir, Hania Shahid, Muhammad Omar Shabbir,

Objective: To assess the sleep pattern and depression in patients hospitalised with congestive heart failure, and to study the correlation of poor-quality sleep and depression.
Methods: The cross-sectional, descriptive, co-relational study was conducted from October 2011 to M....

Mesh fixation vs. non-fixation in total extra peritoneal mesh hernioplasty
Mahmood Ayyaz, Muhammad Waris Farooka, Asad Ali Toor, Awais Amjad Malik, Haseeb Anwar Khokhar, Ahsan Khan, Rashid Mansoor,

Objective: To compare mesh fixation with non-fixation and its effect on outcome.
Methods: The interventional prospective study was conducted at the National Hospital & Medical Centre, Lahore from January 2007 to December 2008. After the two-year intervention period, the p....

Clinical and laboratory features of adult measles cases detected in Van, Turkey
Mahmut Sunnetcioglu, Aysel Sunnetcioglu, Osman Mentes, Ali Irfan Baran, Sevdegul Karadas, Adalet Aypak,

Objective: To evaluate adult measles patients with respect to their clinical and laboratory findings as well as complications.
Methods: The retrospective study was conducted at YuzuncuYil University, Van, Turkey, between December 2012 and June 2013, and comprised cases diagno....

A retrospective analysis of the treatment results of 1557 patients with acute cholecystitis
Cuneyt Kirkil, Nurullah Bulbuller, Yavuz Selim Ilhan, Baris Gulturk, Erhan Aygen, Serdar Coskun,

Objective: To analyse outcomes of variable management strategies for the treatment of Acute Cholecystitis in relation to morbidity, mortality and conversion to open surgery.
Methods: The retrospective study was conducted at Firat University Hospital, Turkey and comprised reco....

Coagulase negative staphylococci - a fast emerging threat
Mahwish Latif, Javaid Usman, Mehreen Gilani, Tehmina Munir, Maria Mushtaq, Rabia Anjum,

Objective: To determine the frequency of isolation of coagulase-negative staphylococci and their resistance to methicillin over a period of time.
Methods: The descriptive cross-sectional study was carried out at Army Medical College, Rawalpindi, from June 2009 to May 2012, an....

Vulnerable road users are at greater risk during Ramadan - results from road traffic surveillance data
Amber Mehmood, Anoosh Moin, Irum Qamar Khan, Mohammad Umer Mir, Rashid Jooma,

Objective: To assess how the frequency, nature and outcome of road traffic crashes differ during the fasting month of Ramadan.
Methods: The retrospective study was conducted in Karachi and comprised data from the Road Traffic Injury Surveillance Project which entailed informa....

Major depression in Jalal Pur Jattan, district Gujrat, Pakistan: Prevalence and gender differences
Noureena Kausar, Saima Dawood Khan, Bushra Akram,

Objectives: To assess the prevalence of depression along gender lines in the general population.
Methods: Using multistage stratified proportionate sampling, the cross-sectional study was conducted in four Union Councils of Jalal Pur Jattan in Gujrat, Pakistan from November 2....

Atrial and ventricular septal changes in ethanol vapour exposed chick embryos
Kiran Kamran, Muhammad Yunus Khan, Liaqat Ali Minhas,

Objective: To study the effects of ethanol vapour exposure on development of atrial and ventricular septa of chick embryo.
Methods: The experimental study was conducted at the College of Physicians and Surgeons, Islamabad, from 2006 to 2007. The experimental and control group....

Effects of testosterone treatment on recovery of rat spermatogenesis after irradiation
Aslan Demir, Yiloren Tanidir, Mert Ali Karadag, Beste Melek Atasoy, Suheyla Bozkurt, Kursat Cecen, Levent Turkeri,

Objective: To determine the effects of two different radiation doses on sperm parameters and the role of testosterone treatment on rat spermatogenesis.
Methods: The experimental animal study was conducted at Marmara University, Istanbul, Turkey, from September 2012 to January....

Primary debulking surgery versus neo-adjuvant chemotherapy in stage III/IV ovarian cancer: Comparison of perioperative morbidity and survival data in Pakistani women
Uzma Chishti, Aliya Begum Aziz,

Objective: To compare the peri-operative morbidity and survival rates between ovarian cancer patients treated with two different approaches.
Methods: The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised data related to patients with ad....

Short Communication

The emerging threat of MERS
Sabeena Jalal,

Middle East Respiratory Syndrome (MERS) is a viral respiratory illness caused by a Middle East Respiratory Syndrome Coronavirus (MERS-CoV). It is a specie of the genus Beta coronavirus, originally termed novel coronavirus.1 As of June 2014, MERS-CoV cases have been reported....

Opinions on age of marriage - perspective from university students in Islamabad and Rawalpindi
Anila Kamal, Masood Ali Shaikh, Irum Naqvi,

Child marriages are more common in developing countries, including Pakistan. This study was conducted to determine the perspective of university students on marriageable age in Islamabad and Rawalpindi. Cumulatively, 1039 students participated in this cross-sectional survey based on convenience s....

Case Reports

Nail as a foreign body in a neonate, an unusual presentation at an unusual age
Sayyeda Ghazala Irfan Kazi, Muhammad Irfan Habib, Badar Afzal, Irum Qamar Khan, Emaduddin Siddiqui, Maryam Aftab,

Children are prone to ingest substances due to their exploratory nature and tendency to put everything in the mouth. Commonly ingested foreign bodies are coins, batteries and buttons. Foreign body ingestion in neonates is a very rare presentation and always needs important consideration as it can....

Endovascular treatment of a post catheterization pseudoaneurysm: A stitch in time saves nine
Mazhar Mahmood, Tariq Ashraf, Kamal Muhammad Yousuf, Parveen Akhtar,

External iliac artery (EIA) pseudoaneurysms are a well-known complication after arterial catheterization procedures. Most develop as a result of high femoral puncture. Small asymptomatic pseudoaneurysms are usually of no consequence but large symptomatic pseudoaneurysm carries a significant risk ....

A case of nicotine withdrawal delirium
Ram Jeevan Bishnoi, Muhammad Rais Baig, Frederick William Brown,

Nicotine withdrawal is not a well recognized cause of delirium. A few published cases are on post-operative, terminally ill cancer or neuro-intensive care unit patients. Because of the high incidence of morbidity and mortality of delirium it is important to identify and treat delirium promptly an....

Intra-intestinal mesh migration presenting with faecal fistula after incisional hernia repair
Arshad Mehmood Malik,

Ventral hernias are a frequent problem in our society. Incisional hernia is not an infrequent sequel of ventral abdominal hernia repair. Incisional hernias are characterized by breakdown of the scar in the abdominal wall from an incision for any previous operation. This differentiates them from r....

Re-recurrent Dermatofibrosarcomaprotuberans of the chest wall
Niaz Hussain, Mujtaba Zaki Naveed, Ghulam Haider,

Dermatofibrosarcomaprotuberans is a rare, soft tissue tumour with high rate of recurrence. It is locally aggressive, with a low rate of metastasis. We describe the case of a 42 year old man who presented with a re-recurrent, large tumour situated on the anterior chest wall in the sternal region. ....

Post poliomyelitis syndrome: A rare sequel of acute poliomyelitis
Anam Abrar, Arsalan Ahmad,

Post poliomyelitis syndrome (PPS) is a rare sequel of acute poliomyelitis, usually seen 30-40 years after an acute episode. It is characterized by new muscle weakness seen in survivors of acute poliomyelitis. We describe a rare case of a 50 year old man; with a previous history of poliomyelitis i....

Student's Corner

An Early Tracheo-Innominate Fistula: Lessons Learnt from a Clinical Encounter
Dania Aijaz Shah, Adil Aijaz Shah, Amarah Shakoor, Saulat Hasnain Fatimi,

Madam, a tracheo-innominate fistula is an infrequent yet life threatening complication which can approach rates of 0.1-1% after a tracheostomy. The incidence peaks1-2 weeks after the procedure.1 Despite immediate surgical intervention, the prognosis r....

Letter to the Editor

Instant gas geyser induced irreversible hypoxic ischaemic brain injury
Arsalan Ahmad, Qamar Zaman, Azhar Saeed,

Madam, we wish to notify the readers on the hazards caused by instant gas geysers. Two such cases presented to us last winter. Two young patients a 19 years old female admitted on 6th of February 2014, and 21 years old male admitted on 19th January, 2014 while taking a bath were found unconscious....

Learning Research

Consenting process in clinical trials
Safia Bibi,

Informed consent is a basic ethical requirement in biomedical research involving human subjects. It drives its value from the basic principle of ethics that human beings are autonomous agents and we ought to respect their autonomy i.e. self-ownership.1 Informed consent in h....

Recent Advances In Endocrinology

Sanjay Kalra, Yashdeep Gupta,

Pioglitazone is the only freely available member of the thiazolidinedione (TZD) or glitazone group of oral anti-diabetic drugs (OADs). Other drugs in the class: troglitazone, englitazone and darglitazone have been withdrawn from the market, or discontinued from clinical development Rosiglitazone,....

Primary Care Diabetology

Diagnosis of diabetes
Sanjay Kalra, Yashdeep Gupta,

The diagnosis of diabetes is not as straightforward as it may seem. This brief communication describes how to diagnose [and not to diagnose] diabetes in a simple manner. This information will be of use to general practitioners as well as students of diabetology.



Mamun-TKC parathyroid retractor: Parathyroid glands squashed or scooped!
Syed Mamun Mahmud,

Parathyroid gland by its physiologic and anatomic diversity has interestingly been dealt by multiple specialties, including Urology. Besides primary hyperparathyroidism, urologists in close working relationship with nephrologists, tend to get referrals for tertiary hyperparathyroidism. Data from ....

News & Events

The DIABETES AND RAMADAN International Alliance 3rd Forum will be held in Dubai on 17th April, 2015. Important topics as Education, acute emergencies, CREED Study, Insulin in Ramadan, Incretins in Ramadan,and many more will be discussed. The Forum will provide intense learning opportunity to all participants. The International Faculty will include President, IDF and many others.

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


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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