Issue Vol:63, No:5 May, 2013

Editorial

Collapsing glomerulopathy: a lesion under-recognised in Pakistan
Javed Iqbal Kazi, Muhammed Mubarak,

Collapsing glomerulopathy (CG) is a distinctive but non-specific pattern of proliferative renal parenchymal injury characterised morphologically by an implosive, global and/or segmental collapse and wrinkling of the glomerular capillary walls. This is associated with a near-complete occlusion of ....

Original Articles

Anaesthesia in various anterior segment complications of sub-Tenon surgeries
Erum Shahid, Uzma Taqi Juzar, Adnan Afaq, Bushra Sherwani, Khwaja Sharif-ul-Hasan,

Objective: The sub-Tenon\'s space is a potential space between the capsule and the sclera. This study evaluated complications from sub-Tenon\'s anaesthesia in different corneal and anterior chamber ophthalmic surgical procedures.
Methods: The prospective cross-sectional s....

Comparison of pre-medical academic achievement, entrance test and aptitude test scores in admission selection process
Junaid Sarfraz Khan, Saima Tabasum, Osama Mukhtar,

Objective: To compare the awards of various pre-medical academic achievements with aptitude test scores obtained by candidates taking the Entrance Test 2011, and to identify demographic differences in the trend, if any.
Methods: The cross-sectional study involved a 22-item ap....

Semen analysis parameters: Experiences and insight into male infertility at a tertiary care hospital in Punjab
Fauzia Butt, Nishat Akram,

Objective: To determine the prevalence of low sperm count including oligospermia and azoospermia in male infertile population, and to assess the pattern and distribution of abnormal semen parameters in infertile men.
Methods: The descriptive cross-sectional survey was carried....

Clinical course, complications and predictors of mortality in patients with tuberculous meningitis — an experience of fifty two cases at Civil Hospital Karachi, Pakistan
Sirajus Salekeen, Khalid Mahmood, Iftikhar Haider Naqvi, Mirza Yousuf Baig, Syed Tehssen Akhter, Amanullah Abbasi,

Objective: To assess the clinical course, complications and predictors of mortality in reducing the consequent morbidity and mortality in patients with tuberculous meningitis.
Methods: A prospective study was carried out at Civil Hospital Karachi from January 2009 to January ....

Medical students’ endeavour to make use of their mental capabilities
Ayesha Saba Naz, Rehana Rehman, Mehwish Hussain,

Objective: To identify and compare awareness of intellectual wellness in male and female medical students of Karachi.
Methods: The cross-sectional questionnaire-based survey comprised randomly selected 800 medical students of both gender. It was conducted from January to Dece....

Frequency of nasal helicobacter pylori carriage among cooks
Oguz Karabay, Ertugrul Guclu, Esra Kocoglu, Davut Ozdemir, Meltem Karabay, Irfan Sencan, Hasan Tahsin Gozdas,

Objective: To investigate the frequency of nasal helicobacter pylori carriage among cooks living in Bolu, Ardahan and Sakarya province of Turkey.
Methods: A total of 54 cooks (10 from Bolu, 29 from Ardahan and 15 from Sakarya) were enrolled. Nasal helicobacter was....

The effect of sleep duration and quality on academical success of the elementary school children in Kayseri Turkey
Demet Unalan, Ahmet Ozturk, Sevda Ismailogullari, Nilgun Akgul, Murat Aksu,

Objective: To assess the sleeping habits of primary school children and establish link between sleeping hours and academic achievement.
Methods: The cross-sectional study was conducted between April and June 2007, involving 2422 students of 6-8th grades in 12 primary schools ....

Mean platelet volume as a risk stratification tool in the Emergency Department for evaluating patients with ischaemic stroke and TIA
Nurettin Ozgur Dogan, Ayfer Keles, Gokhan Aksel, Sertac Guler, Ahmet Demircan, Fikret Bildik, Isa Kilicaslan, Kanber Karakurt, Mustafa Ilhan,

Objective: To investigate the variations of mean platelet volume in patients with ischaemic cerebrovascular complaints, and to find out its diagnostic utility in an acute setting to help risk stratification in patients with ischaemic stroke and transient ischaemic attacks.
Method....

Hygiene behaviour in university students in Turkey
Insaf Altun, Nursan Dede Cinar, Cemile Dede,

Objective: To identify university students\' hygiene behaviour using a hygiene behaviour inventory in a Turkish sample.
Methods: The cross-sectional study was conducted with 353 randomly selected university students aged 17-24 years in Kocaeli, Turkey. Data were collected i....

Evaluation of serum oxidant/antioxidant balance in patients with acute stroke
Acar Abdullah, Varol Ssefer, Uzar Ertugrul, Evliyaoglu Osman, Akil Esref, Cevik Mehmet.Ugur, Arikanoglu Adalet, Yucel Yavuz, Tasdemir Nebahat, Ekici Faysal,

Objectives: To investigate the alterations in the oxidant-antioxidant balance in patients with acute ischaemic stroke, and to locate any correlation between oxidant/antioxidant parameters and the National Institute of Health Stroke Scale.
Methods: The case-control study was c....

The oxidative and antioxidative status of simple febrile seizure patients
Mahmut Abuhandan, Mustafa Calik, Abdullah Taskin, Ilhan Yetkin, Sahabettin Selek, Akin Iscan,

Objective: To evaluate the oxidative status following a seizure in children experiencing a simple febrile seizure.
Methods: The cross-sectional study was conducted at Harran University, Turkey, between January and September 2011. It comprised 32 paediatric patients who, withi....

Socio-demographic and consanguinity risk factors associated with low birthweight
Abdulbari Bener, Najah Mohammed Saleh, Khalil Mohd Khalil Salameh, Basma Basha, Sharen Joseph, Rama Al Buz,

Objective: To examine socio-demographic and biological risk factors associated with mothers giving birth to a low birthweight newborn among Arab women in Qatar.
Methods: The case-control study was conducted at two main tertiary hospitals in Qatar in which participants were pr....

Estimating effect of terlipressin on portal pressure in cirrhosis by observing hepatic vein doppler waveform
Qurban Hussain, Shahbaz Haider, Noor Muhammad Solangi, Liaquat Ali, Hammad Liaquat, Fayyaz Ahmed, Sumera Shahbaz,

Objective: To observe the changes in doppler waveform of hepatic vein after the administration of terlipressin, and to assess indirectly the efficacy of the drug to reduce the Hepatic Vein Pressure Gradient and portal pressure.
Methods: The quasi-experimental study was conduc....

Prediction of success in intracytoplasmic sperm injection (ICSI) by estimation of serum Estradiol/Progesterone ratio on the day of embryo transfer
Rehana Rehman, Zahir Hussain, Nudrat Anwar Zuberi,

Objective: To compare estradiol-to-progesterone ratio with pregnancy outcome in patients of intracytoplasmic sperm injection.
Methods: The quasi-experimental study was conducted on 106 couples at an assisted reproductive clinic in Islamabad from June 2010 to August 2011. Down....

Dental anxiety among adult patients and its correlation with self-assessed dental status and treatment needs
Shahbano Syed, Sobia Bilal, Narendar Dawani, Kulsoom Rizvi,

Objective: To evaluate the dental anxiety levels and to assess its correlation with self-assessed dental status and treatment needs of patients.
Methods: The study was conducted at the Out Patient Department of Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Karach....

Mentoring programme for faculty in medical education: South-Asian perspective
Muhammad Shahid Shamim,

History of \'mentoring\' is almost as old as the man himself. However, the word \'mentor\' has its origin from the Greek mythology where Odysseus (Ulysses in Latin), entrusted his friend named Mentor with the care and education of his son Telemachus, before setting off to a journey to Tro....

Review Articles

Polypharmacy in elderly: A cautious trail to tread
Saniya Raghib Sabzwari, Waris Qidwai, Seema Bhanji,

Polypharmacy has now increasingly come into focus as the recipient of healthcare in old age worldwide. In elderly it is associated with frequent adverse drug reactions (ADRs) and drug-drug interactions resulting in significant morbidity. Geriatrics is still an emerging specialty in South Asia, es....

Short Reports

Internet usage among dental students in north India
Charu Mohan Marya, Kirti Mohan Marya, Vandana Dahiya, Vishal Juneja, Puneet Gupta,

The study was conducted to investigate the extent to which students of two dental schools in northern India make use of internet during their undergraduate course and to assess their attitude towards the internet in general. All undergraduate students were assessed using a specially designed, sel....

Case Reports

Successful intravaginal culture of human embryos for the first time in Pakistan — An experience at the Sindh Institute of Reproductive Medicine, Karachi
Majida Khan, Shaheen Zafar, Serajuddaula Syed,

Approximately 10-15% of the married couples remain childless. Conventional in vitro fertilisation (IVF) has been the treatment option for most of these cases. However, it is expensive and only available to a small fraction of the infertile population. The Sindh Institute of Reproductive Medicine ....

Oesophageal duplication cyst presenting as haemoptysis
Noureen Afzal, Syeda Ezz-e-Rukhshan Adil, Ammara Mushtaq, Muneer Amanullah, Arshalooz Rahman,

Duplications of the alimentary tract include a variety of cysts, diverticula, and tubular malformations, all believed to have embryological origin. The cysts are most commonly found in children,  and the diagnosis is made in infancy in the majority of patients. We report a case of a two-and-....

Rhodococcus equi pneumonia in a live related renal transplant recipient
Mohammed Yasin Khan, Sajjad Ali, Shehla Baqi,

Rhodococcus equi has emerged as a serious pathogen in immunocompromised patients, including solid organ transplant recipients. Primary pulmonary involvement is the most common presentation. However, this opportunistic pathogen is often not considered in the differential diagnosis of pneumonia in ....

Heavily thickened pericardium with constrictive pericarditis Abid Hussain Laghari, Javed Majid Tai
Abid Hussain Laghari, Javed Majid Tai,

A middle-aged male presented with symptoms of exertional shortness of breath and leg swelling for the past six months. Examination revealed raised jugular venous pressure (JVP), pitting pedal oedema, muffled heart sounds, bilateral pleural effusion and hepatomegaly. Echocardiogram showed features....

Anatomically corrected malposition of the great arteries
Kalimuddin Aziz, Najma Patel,

A rare case of anatomically corrected malposition of the great arteries with bilaterally absent conus and ventricular septal defect is presented. Embryogenic mechanism responsible for the malformation, diagnostic problems of imaging and the increased risk posed for intraventricular surgical repai....

Malignant vascular tumours associated with the breast: a study of 7 cases
Azizun-Nisa, Zeeshanuddin, Naila Kayani,

Angiosarcomas account for less than 0.05% of the malignant neoplasms of the breast. We present here 7 cases of malignant vascular neoplasms of the breast, including 2 cases of post-mastectomy Stewart-Treves syndrome. In this case series, most of the patients were young. Tumour was bilateral at pr....

Student's Corner

Clinical outcomes of surgically corrected atrial septal defects
Waleed Tariq Siddiqui, Shazia Parveen, Maria Tariq Siddiqui, Muhammad Muneer Amanullah,

Objective: To examine the outcomes of surgical repair of atrial septal defects in paediatric and adult patients.
Methods: The retrospective study comprised data of 84 patients who had undergone surgical correction of atrial septal defect at the Aga Khan University Hospital, K....

Need for a proper BLS curriculum: medical students and beyond
Dilshad Hunain Al Arabia, Muhammad Danish Saleem,

Madam, first aid and basic life support (BLS) as the name implies refers to the immediate life-saving protocols designed to minimise the complications of injury until advance treatment is available. Due to unavailability of urgent medical aid to the victims,  thousands of lives are lost ever....

The paradox of primary amoebic meningoencephalitis — a rare disease, but commonly misdiagnosed
Kanwal, Marium Farooqi, Sajid Ali, Syed Salman Ahmed,

Madam, the colossal expansion of the world\'s population in recent times has observed a proportional increase in the incidence of rare parasitic diseases such as primary amoebic meningoencephalitis (PAM). The paucity of available data on the disease can be judged by the fact that there have bee....

Letter to the Editor

Food label reading by consumers who buy foodstuff from the market
Nida Zahid,

Madam, the regulation of food labelling started with the Pure Food Ordinance  of 1960. The primary purpose of this regulation was to eradicate the doctoring of food. All the rules of this ordinance were found in sections 13 and 14 of the Pure Food Rules of 1965.1
....

Developmental milestones: Even the Physicians don’t know enough and what we need to do?
Ahmad Zaheer Qureshi,

Madam, in a correspondence to a previously published article titled "Developmental milestones: Do the parents know enough?", Rathore and Mansoor have attempted to reflect physician`s awareness over the subject.1,2 Conventionally, in scientific journals, comments t....

Developmental milestones: Even the Physicians don’t know enough and what we need to do?
Farooq Azam Rathore, Sahibzada N. Mansoor,

Madam, we thank Dr Ahmad Zaheer Qureshi for his comments on our letter to editor. While we agree with his recommendation of "Opinion based articles and observations may be narrated with great caution", we would like to emphasize that our correspondence should have been read in the conte....

Evidence Based Medicine

My patient has intracranial stenosis, does he need an intracerebral stent? Results of the SAMMPRIS study
Muhammad Faisal Wadiwala, Ayeesha Kamran Kamal,

Why is this study important?
Atherosclerotic stenosis of the major intracranial arteries is one of the most common causes of stroke worldwide. It causes 30% to 50% of strokes in Asians and 8% to 10% of strokes in North American Caucasians. Intracranial atherosclerosis preferentially....

Learning Research

Science behind reviewing
Ana Marusic,

The science behind the reviewing is actually the science that has been presented over more than 20 years at the International Congresses on Peer Review and Biomedical Publication.1 From its inception in 1989, these scientific meetings stimulated research into peer review an....

Recent Advances In Endocrinology

Intravenous insulin use: technical aspects and caveats
Sanjay Kalra, Sukhminder Jit Singh Bajwa,

Insulin has been in use for nearly a century, but its real clinical worth has been utilized only in the last one and half decade after the landmark study on tight glycaemic control by van Den Berghe. Intravenous (IV) insulin is the mainstay of treatment for hyperglycaemia in many acute settings a....

News & Events

Shahid beheshti University of Medical sciences, Tehran-Iran Otology/Neurotology Fellowship Program

The Division of Otology/Neurotology is currently seeking candidates for the one-year clinical fellowship position in Otology/Neurotology/Skull Base Surgery.

Requirements for Appointment:

  • Board eligible/Board certified Otolaryngologist, International applicants will be considered
  • Ability to begin October 1, 2013
Benefits:
  • Position of Clinical Fellow
  • 4 weeks of vacation
  • Availability and support to present research at national meetings
Application:
  • A letter of interest, curriculum vitae, and two letters of recommendation should be sent to:
Ali Eftekharian, MD
Director, Neurotology Fellowship Program
Shahid beheshti University of Medical sciences, Department of Otolaryngology / Head and Neck Surgery Tehran, Iran
Phone: 0098-21-55405315 Fax: 0098-21-55416170
Email: alishko@gmail.com



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