Vol. 10, Issue 1. January to March 2016

Glycemic States of Patients Presenting with Acute Ischemic Stroke in Tertiary Care Settings

FAHEEM SAEED1, MUHAMMAD MOEEN AHMAD2, SARDAR FAKHAR IMAM3

1Assistant Professor Neurology F.J.M.U./S.G.R.H.2Assistant Professor Neurology & HOD of Neurology F.J.M.U./S.G.R.H.3Professor of Medicine & Vice Chancellor F.J.M.U./S.G.R.H.

Corresponding Author: Dr. Faheem Saeed, Department of Neurology Fatima Jinnah Medical University/Sir Ganga Ram Hospital , Lahore. Email: faheemsaeed_ke@yahoo.com, Cell: 0322-4663309

ABSTRACT

Objective: To determine the glycemic states of patients presenting with acute ischemic stroke.

Methods: 50 patients of acute ischemic stroke presenting to Mayo Hospital within 24 hours of symptom onset were taken. Data about any previous diagnosed diabetes was recorded. Blood glucose levels (BSL) at the time of presentation were measured. The patients who were previously known diabetics and those whose presenting BSL was > 200mg/dl were excluded from the glucose tolerance test (GTT). Rest of the patients were subjected to GTT at day 7.

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To Determine the Frequency of Indication of Emergency Peripartum Hysterectomy

 SANA MARYAM, ASIA PARVEEN, NUZHAT MALIK, ZOHRA KHANUM

1Post Graduate Resident Department of Gynecology  SGRH, 2Assistant Professor Department of Gynecology FJMU/SGRH, 3Assistant Professor Department of Gynecology FJMU/SGRH, 4Professor of Gynecology FJMU/SGHR, Lahore.

 ABSTRACT

Introduction: Peripartum or Emergency obstetric hysterectomy is defined as hysterectomy performed within 24 hours of a delivery. It includes both postpartum and cesarean hysterectomy. It is a life saving procedure although it is opted as a desperate attempt when all measures fail to control catastrophic hemorrhage from placental bed in placenta previa or morbid adherence of placenta or due to uterine atony. Common indications for emergency peripartum hysterectomy include uterine rupture and uterine atony.

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A Comparative Study of Hospital Waste Management in Eight Hospitals with Respect to Rules 2005

M.IJAZ NASIR,1 ASIF HANIF,2 USMAN JAVED IQBAL,3 TAHIRA ASHRAF4

1Head Chest Unit, Gulab Devi Chest Hospital Lahore. 2Assistant Prof. and HOD Biostatistics Gulab Devi PGMI – Lahore. 3Demonstrator Gulab Devi PGMI, M.phil Public Health*. 4Assistant Director: Statistical consultancy and Training center.

Corresponding author: Dr. M. Ijaz Nasir: pakheim@yahoo.com

 ABSTRACT

Background: Hospital waste management is an important issue when taken in relevance of overall environmental and public health. In Pakistan, not much attention has yet been focused to assessment of waste management in public or private sector hospitals. Hence we aimed to focus on this problem.

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Endoscopic Findings Among Patients Presenting with Dyspepsia in Tertiary Care Hospital

 MUHAMMAD KASHIF, IMRAN FAROOKA, TASHIA MALIK, ANIQA ANSER, ARIF MAHMOOD SIDDIQUI

1Assistant Professor of Medicine, CMH Lahore Medical College Lahore2-5Department Medical Unit II, Jinnah Hospital Lahore

Correspondence: Dr. Muhammad Kashif, Email: calmkashif@gmail.com Mobile No: 03334227290

 ABSTRACT

Objective: The objective of this study was to determine the frequency of various endoscopic findings among patients presenting with dyspepsia in tertiary care hospital.

Study Design: Cross sectional study

Results: In our study, out of 240 cases of dyspeptic symptoms diagnosed clinically by a consultant, 28.33%(n=68) were between 20-40 years of age, 49.59%(n=119) were between 41-60 years and 22.08%(n=53) were between 61-80 years of age, mean ± sd was calculated as 50.30±12.96 years. 49.58%(n=119) were male and 50.42%(n=121) were females. Mean duration of symptoms was calculated as 8.71±2.34 months. Frequency of endoscopic findings among patients presenting with dyspepsia was recorded as 7.92%(n=19) had esophagitis, 5.42%(n=13) had gastritis, 4.58%(n=11) had gastric ulcer, 7.08%(n=17) had Duodenal ulcer while 75%(n=180) had functional dyspepsia.

Conclusion: We concluded that on assessment of endoscopic findings among patients presenting with dyspepsia in tertiary care hospital, functional dyspepsia was found to be more frequent following by esophagitis and duodenal ulcer. The use of endoscopy may help the physicians in making guidelines to manage dyspepsia.

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Correlation of Cardiovascular Risk Factors and Severity of Coronary Artery Disease in Acute Myocardial Infarction

LIAQAT ALI, AKMAL FAIZ, AMIR BUTT, AYESHA LIAQAT

Consultant Cardiologist Wapda Hospital, Consultant Physician Wapda Hospital, Senior Registrar Cardiology Wapda Hospital, 1st year Student FMH, Department of Cardiology Wapda Hospital Lahore.

Correspondence Author:- Dr. Liaqat Ali, Consultant Cardiologist, Wapda Hospital, Lahore.

Email:- liaqatdr57@yahoo.com

ABSTRACT

Background: Coronary artery disease is the major cause of death world over. There are different risk factors which are important for the development and progression of coronary artery disease. In this study I tried to established the correlation of cardiovascular risk factors in acute myocardial infarction and their relation with severity of coronary artery disease.

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Management of Fracture Mandible among Patients Attending Dental OPD Bahawal Victoria Hospital and Quid-e-Azam Medical College, Bahawalpur

MUHAMMAD SAFDAR BAIG1, MUHAMMAD NASIR ALI2, MUHAMMAD AMJAD BARI3

1Assistant Professor of Oral & Dental Surgery, 2Associate Professor Orthopedic Surgery, Quaid-e-Azam Medical College and Bahawal Victoria Hospital Bahawalpur, 3Assistant Professor Nishtar Institute of Dentistry Multan, Correspondence: Dr Muhammad Safdar Baig e-mail: safdarbeg@gmail.com

ABSTRACT

Objective: To determine fracture mandible presentation and its reduction along with outcome under local anesthesia treated by eyelet dental wiring as intermaxillary fixation (IMF)

Patients & Methods: This descriptive hospital patient’s records base study was carried out among outdoor patients with clinical history of fracture mandible and confirmed through panoramic or plain X-rays mandible AP view at Department of Oral and Dental Surgery BVH/QMC, Bahwalpur in one year from January 2015 to December 2015. A total 140 patients treated under local anesthesia regardless of age and gender either directly approaching Dental OPD or through our Hospital Department of Accident & Emergency and admitted cases within various wards of our institution with proper referral. The patients with history of any medical compromised condition were excluded from our study until they were fit for oral and dental surgery. The patients data was recorded for analysis on the important variables like age, area of residence, gender, socioeconomic status, nature of oral & dental trauma, site of mandible fracture, any other associated injury, radiological evidence of fracture mandible and the its management outcome through intermaxillary fixation.

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Frequency and Factors Contributing to Respiratory Failure in Childhood Guillain–Barre Syndrome

 IFTIKHAR IJAZ¹, ATIA BANO², ASIF MANZOOR BASRA³, AFSHEEN BATOOL4

Professor Department of Pediatrics1, Post Graduate Resident2, Assistant Professor of Pediatrics3, Assistant Professor of Pediatrics4, Department of Pediatrics Children Hospital, Lahore.

Correspondence: Prof. Dr. IftikharIjaz, 47-B DHA Phase VIII (Ex-Park View) New airport road, Lahore

Email: driftikharijaz777@gmail.com

 ABSTRAC

Introduction: Guillain-Barre Syndrome (GBS) is a common cause of acute flaccid paralysis (AFP) in children globally, and in the advanced world it has emerged as the commonest cause of AFP after eradication of poliomyelitis

Objectives: Objective of the study was to find out frequency of respiratory failure and factors contributing to respiratory failure in cases of GB syndrome.

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Spectrum of Clinical Features of Myasthenia Gravis at The Time of presentation

MUHAMMAD MOEEN AHMAD1, NAHEED HUSHMAT2, FAHEEM SAEED3

1Assistant Professor Neurology & Head of Department of Neurology Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore. 2Associate Professor of Medicine Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore. 3Assistant Professor Neurology Fatima Jinnah Medical University/Sir Ganga Ram Hospital, Lahore

Corresponding Author: Dr. Muhammad Moeen Ahmad, Department of Neurology Fatima Jinnah Medical University/Sir Ganga Ram Hospital ,Lahore. Email: moeen8@yahoo.com, Cell: 0300-9426032

ABSTRACT

Objective: To determine the spectrum of clinical features of myasthenia gravis at the time of presentation

Methods: Forty cases of myasthenia gravis presenting to the Neurology Outpatient Department, Mayo Hospital Lahore were registered. After recording demographic data, their clinical features and functional status were noted and recorded on a specified proforma.

Results: Myasthenia gravis, seen roughly equally in both sexes, has a wide range of presentation with various clinical features. The most common initial involvement was ofocular muscles among all followed by bulbar and upper limbs. However facial, lower limb and respiratory muscle involvement was also seen.

Conclusion: Myasthenia gravis has a wide spectrum of clinical features. Clinicians ought to be aware of all these features as well as their relative frequencies in order to be able to aptly recognize and diagnose myasthenia gravis early.

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Evaluation of Thrombocytopenia In Malarial Infections

IFTIKHAR ALI, SHAMIM AKRAM, MUHAMMAD MUSTANSAR

1Associate Professor of Pathology, Independent Medical College, Faisalabad. 2Assistant Professor of Biochemistry Amina Inyat Medical College Sheikhupura. 3Assistant Professor of Biochemistry, Fatima Jinnah Medical University, Lahore.

ABSTRACT

Malaria is a protozoal disease of worldwide importance. The causative agent, Plasmodium , is transmitted from one human being to another by the bite of Anopheline mosquito. World Health Organization (WHO) has reported the occurrence of 214 million new cases during the year 2015. Malaria is commonly associated with hematological changes; anemia and thrombocytopenia being the most common. In present study the occurrence and severity of thrombocytopenia was documented in patients with malaria. 29 patients diagnosed as suffering from malaria, were registered and platelet count was determined, along with routine investigations. Out of these 29 patients, 28 (96.5 %) were suffering from P. vivaxinfection and one (3.5%) was positive for P. falciparum. No patient showed the infection with both P. vivax and falciparum. No patient was positive for Dangue antibodies. Although presence of thrombocytopenia in febrile patients also raises suspicion of Dengue fever, in our environment it is the malaria about which we should think first. Thrombocytopenia in these patients was tolerated well and only one patient needed platelet transfusion.

Key Words: Malaria Thrombocytopenia.

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Diagnostic Accuracy of Magnetic Resonance Imaging in Detection of Paediatric Cerebellar Astrocytoma

NIGHAT HAROON, WAJEEHA AKBAR, SAIMA AMEER, ALEENA KHAN

Assistant Professor of Radiology PGMI/LGH, Post Graduate Resident PGMI/LGH, Professor of Radiology PGMI/LGH, 1ST Year Student CMH, Lahore.

Correspondence Author: Dr. Nighat Haroon, Assistant Professor of Radiology PGMI/LGH, Lahore.

ABSTRACT

Objective: To determine the diagnostic accuracy of Magnetic Resonance imaging in the detection of paediatric cerebellar astrocytoma taking histopathology as gold standard.

Study Design: Cross-sectional survey

Place and Duration of Study: Department of Diagnostic Radiology, Lahore General Hospital, Lahore from 23-11-2014 to 22-05-2015.

Methodology: In this cross sectional study all 210 patients presenting with clinical suspicion of posterior fossa tumor meeting the inclusion criteria were taken. All the patients were recorded for their demographic features i.e. age, gender and address. Magnetic resonance imaging on a 1.5-T Philips whole body MR system using standard imaging coil were then be carried out. T2-weighted and both unenhanced and contrast-enhanced T1-weighted images in the axial, sagittal and coronal projections were obtained. Magnetic resonance imaging diagnosis i.e. presence or absence of cerebellar astrocytoma were recorded by same observer. The cases (with posterior fossa tumor) were operated and histopathological results were recorded. The results of magnetic resonance imaging and histopathology were compared taking histopathology as gold standard.

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Significance of Meconium Stained Amniotic Fluid in Relation To Fetal Outcome

 KANWAL NOSHEEN

Department of Obstetrics and Gynaecology, Unit-II, Sir Ganga Ram Hospital, Lahore

Correspondence: Kanwal Nosheen Assistant Professor Gynaecology, Email:- kavleenzz@gmail.com

ABSTRACT

Introduction: The presence of meconium stained amniotic fluid is a matter of great concern for both Obstetricians and Neonatologists due to increased perinatal morbidity and mortality associated with meconium staining and aspiration. The normal amniotic fluid is clear and staining of amniotic fluid is of prognostic value in the process of labour. Meconium staining has to be dealt with great caution with continuous fetomaternal monitoring and timely intervention, but still with all measures we are not sure of a healthy outcome.

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Relation of Various Anthropometric Measures and Nerve Conduction Velocity in Median Nerve

*REEMA IRAM, 1SHIREEN KHAWAR,2MAHAM ZAHEER, 3BILAL

*Associate Professor, Physiology Deptt. FJMU, 1Professor, Physiology Deptt. FJMU, 2 3rd Year Student MBBS FMH, 3Assistant Professor, Deptt of Statistics University of Veterinary and animal Sciences

ABSTRACT

Background: Nerve conduction studies help to assess the different abnormalities of peripheral nervous system. It aids clinicians to distinguish the two main sets of peripheral diseases:  axonal degeneration and demyelination Nerve conduction studies (NCS) which evaluate peripheral nerve functions and their parameters are known to differ with anthropometric measurements.

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Comparison of Panretinal Photocoagulation alone With Panretinal Photocoagulation plus Intravitreal Bevacizumab in Treatment of High Risk Proliferative Diabetic Retinopathy

BUSHRA AKBAR1, RANA INTISAR UL HAQ, AHSAN MUKHTAR, MAZHAR ISHAQ, MUHAMMAD SAIM KHAN

1Department of Ophthalmology, Armed Forces Institute of Ophthalmology, Rawalpindi

Correspondence to: Dr. Bushra Akbar, Post-Graduate Resident, Department of Ophthalmology, Armed Forces Institute of Ophthalmology, Rawalpindi. Email: dr.bushra.akbar@gmail.com

 ABSTRACT

Objective: To compare the panretinal photocoagulation (PRP) with PRP plus intravitreal Bevacizumab in treatment of high risk proliferative diabetic retinopathy in terms of mean change of neovascularization on disc (NVD).

Design: It was a randomized controlled trial.

Place and Duration of Study: This study was conducted at the Department of Ophthalmology, Armed Forces institute of Ophthalmology, Rawalpindi over 6 months period from November 2014 through April 2015.

Patients and Methods: This study involved 60 consecutive patients of both genders aged between 20-65 years known to be diabetic for at least 10 years with HbA1C ≤7% presenting at Ophthalmology outdoor having high risk PDR. These patients were randomly allocated into two treatment groups. Patients allocated to Group-A received panretinal photocoagulation (PRP) in two sessions 2 weeks apart while patients in Group-B received single injection of intravitreal Bevacizumab (IVB) prior to 2 sessions of PRP as in Group-A. Outcome variable was mean clinical change of NVD described as percentage area of disc diameter affected by neovascularization on disc (NVD) regressed at 6 weeks follow-up.

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Coagulopathy in Patients of Chronic Liver Disease Admitted in Sir Ganga Ram Hospital (SGRH)

  1.  S. BUKHARI, N. M. ANWAR, F. M. CHEEMA, S. WASEEM, H. M. CHEEMA, T. M. CHEEMA

1PGR FJMU/SGRH, 2Observer FJMU/SGRH, 3Observer FJMU, 4HO SGRH, 5Observer FJMU, 6HOD Medicine, SGRH, Lahore.

ABSTRACT

Background: In patients of chronic liver disease, the blood profile may derange due to abnormal functioning of liver. But the evidence was missing from local population.

Objective: To determine the coagulation abnormality of patients presenting with chronic liver disease and its relation with outcome of patient.

Material & Methods: This cross sectional study was conducted on 50 patients, previously diagnosed cases of CLD. All patients underwent laboratory examination by taking venous blood sample. Patients blood samples were tested for coagulation abnormalities including prothrombin time (PT), activated partial thromboplastin time (aPTT) and platelet count.

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Comparison of Transverses Abdominis Plane (Tap) Block with Ilioinguinal and Iliohypogastric Nerve Block As A Part of Multimodal Analgesia During Inguinal Hernia Repair

TAHIR MAHMOOD CHAUDHRY, LEENA AZIZ , UMAR FAROOQ, MUHAMMAD ARSHAD, WAQAR AZEEM, ALI REHMAN, WASEEM YOUNIS

Department of Anesthesia FJMU/SGRH Lahore

Correspondence to: Dr. Tahir Mahmood Chaudhary, Assistant Professor, Email: tahirch59@hotmail.com, tahirchfjmc2011@gmail.com

 ABSTRACT

The objective of the study is to compare the efficacy of two nerve blocks during general anaesthesia in patients undergoing elective inguinal hernia repair.

Methods: In this experimental study 120 patient of ASAP1 and P2 status aged 18-60 years of both sex, undergoing elective inguinal hernia repair were selected and divided in two groups of 60 each. The nerve blocks were given after general anaesthesia. Surgery was started after the block and changes in heart rate and blood pressure were noted. At recovery the pain was assessed by VAS scale.

Conclusion: Both blocks were found effective in reliving the pain in inguinal hernia repair and no statistically significant difference was noted.

 Keywords : Analgesia , TAP block, Inguinal hernia, Pain, Inguinal block,

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Role of Nottingham Prognostic Index Scoring in Determining Prognosis of Breast Carcinoma in Different Age Groups

1FARRUKH KAMAL, 2SHAHIDA NIAZI, 3RABIA BASHARAT, 4ABDULLAH AKRAM

1Professor Department of Pathology FJMU, 2Associate Professor Department of Pathology KEMU, 3Assistant Professor Department of Pathology FJMU, 4Post Graduate Resident FJMU, Lahore.

Correspondence Author:-Farrukh Kamal, Professor Department of Pathology Fatima Jinnah Medical University, Lahore. 

ABSTRACT

The commonest malignancy among women is breast carcinoma world widely. It is the leading cause of death due to cancer among females in developing world but it remain second to lung carcinoma in developed world .The aim of this study is to determine the extent and spread of invasive breast carcinoma by applying Nottingham Prognostic Index (NPI) in patients of three different age groups for categorization into their respective prognostic groups thereby determining their morbidity and mortality.Out of total 140 mastectomy cases, 14 patients (10%) were under 35 years of age whereas 88 patients (62.85% ) were in age group between 35 to 50 years. 38 patients were over 50 years of age (27.14%).The tumor size ranged from 1cm to 10cm in largest dimension with average size of 5 cm.

Out of the 140 cases, only one case (0.71%) was Grade-I, 126 (90%) were Grade-II, and 13 (9.2%) were Grade-III. Out of the 140 cases, 56(40%) cases showed no metastasis in axillary lymph nodes. In 32(22.8%) patients, 1-3 lymph nodes showed metastatic deposits. In 52(37.1%) patients, more than three lymph nodes were positive for metastasis. The largest number of lymph nodes received with mastectomy specimen was 16. NPI was applied to 140 cases. Out of total 140 cases, 75 cases (53.57%) were calculated as having prognostic index value between 3.5 and 5.4 and thus having moderate prognosis. Whereas 49 patients (35%) had Prognostic Index Value > 5.4 indicating Poor Prognosis. Only 16 patients (11.42%) had Prognostic Index less than 3.4 having Good Prognosis . It is concluded that it is very important to apply Nottingham Prognostic Index Scoring on Mastectomy Specimens of our patients to assess the prognosis and manage accordingly and also develop strategies to prevent it.

Key Words: Nottingham Prognostic Index (NPI), radical mastectomy, Bloom and Richardson Grading System, Carcinoma Breast, Lymph node metastasis.

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Comparison of Short Term Outcomes Between Vaginal and Abdominal Hysterectomy

MAHPARA SHAUKAT, ALIA MASOOD, MUHAMMAD ARSHAD HUSSAIN, ZOHRA KHANUM, AMNA KHANUM, KHADIJA WAHEED

Senior Registrar Department of Gynecology Lady Atchison, Senior Registrar Department of Gynecology Lady Atchison, Associate Professor of Gynecology KEMU/Lady Atchison, Professor of Gynecology FJMU/SGRH, Assistant Professor of Gynecology KEMU/Lady Atchison, Assistant Professor of Gynecology KEMU/Lady Atchison, Lahore

Correspondence: Amna Khanum, Assistant Professor, King Edward Medical University, Lahore

Email: amnaaman@hotmail.com

 ABSTRACT

Background: Hysterectomy is the second most commonly performed major surgery on female after caesarean section.

Objective: To compare short term outcomes between abdominal and vaginal hysterectomy in terms of febrile morbidity, mean operating time and mean hospital stay duration in women with benign uterine conditions.

Subject and Methods: This trial was Randomized Controlled and was conducted at the Obstetrics and Gynaecology department Lady Aitchison Hospital, Lahore from 30-12-2014 to 29-06-2015. One hundred and twenty patients (sixty in each group) were recruited who fulfilled the inclusion and exclusion criteria. Group-A underwent abdominal hysterectomy and group-B underwent vaginal hysterectomy. The data was entered and analyzed by SPSS version 10.

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Anatomical Reconstruction of the Glenoid with an Autogenous Tricortical Iliac Crest Bone Graft in Patients with Recurrent Anterior Shoulder Dislocation

MUHAMMAD HANIF, SAIF-UR-REHMAN, MUHAMMAD USMAN KHALID, FAHAD NAZIR, ABUBAKAR, YAWAR ANIS

1Associate Professor Department of Orthopedics FJMU/SGRH, 2Post Graduate Resident Department of Orthopedics SGRH, 3Senior Registrar Department of Orthopedics Mayo Hospital, 4 Post Graduate Resident Department of Orthopedics SGRH, 5Post Graduate Resident Department of Orthopedics SGRH, 6 Professor of Orthopedics FJMU/SGHR, Lahore.

Correspondence to: Dr. Saif-ur-Rehman, Post-Graduate Resident, Department of Orthopedic, Sir Ganga Ram Hospital Lahore. Email: drsrehman@outlook.com

 ABSTRACT

Objective: To determine the role of anatomical reconstruction of the glenoid with an autogenous tricortical iliac crest bone graft in patients with recurrent anterior shoulder dislocation in terms of improvement in mean ASES, UCLA and Rowe scores.

Design: Descriptive case series.

Place and Duration of Study: This study was conducted in the Department of Orthopedics, Sir Ganga Ram Hospital, Lahore from October 2014 to September 2015.

Patients and Methods: 30 patients presenting in the orthopedic outpatient department of Sir Ganga Ram Hospital, Lahore with recurrent anterior shoulder dislocation and MRI evidence of Bankart lesion along with glenoid bone loss were included in this study. A written informed consent was taken from every patient.

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Parental Education and Academic Performance of Students

REEMA IRAM, SHIREEN KHAWAR, RUKHSHAN KHURSHID, MAHAM ZAHEER, MINAAL FATIMA

Associate professor Department of Physiology FJMU, Professor of Physiology FJMU, Sr. Biochemist  Department of Biochemistry FJMU, Student 4th year FMH, Student 3rd Year FMJU.

Correspondence Author:- REEMA IRAM, Associate professor Department of Physiology FJMU, Lahore.   

ABSTRACT

Background: Education is vital to achievement and development of every individual in this period of globalization. The impact of parent involvement on educational presentation has been noted worldwide. Therefore, it is important to examine factors that contribute to academic success of students.

Aims and Objectives: Aim of this study was to analyze the effect of parental education and occupation on academic performance of medical student and to compare this effect in hostilites and day scholars.

Material and Method: A sample of 200 first year students of Fatima Jinnah Medical University was selected for this study. Simple random sampling technique was employed in the selecting the sample from the targeted population. A questionnaire was used for gathering information about different factors related to academic performance of students. The quality of academic performance was measured by their achievement scores.

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Frequency of Eisonophilic Esophagitis Among Patients Undergoing Upper Gastroesopaghoscopy for Symptoms of Gastroesophageal Reflux Disease (GERD)

 ARSALAN JAMIL RAJA, SALMAN JAVED, ISRAR UL HAQUE, GHIAS UN NABI TAYYAB, SHAFQAT RASOOL, GHIAS UL HASSAN, ASIF GUL

Assistant Professor of Medicine PGMI/LGH, Assistant Professor of Medicine FJMU/SGRH, Associate Professor of PGMI/LGH, Professor of Medicine PGMI/LGH, Assistant Professor of Medicine PGMI/LGH, Assistant Professor of Medicine PGMI/LGH, Assistant Professor of Medicine PGMI/LGH, Lahore.

Correspondence Author:-  Dr. SALMAN JAVED, Assistant Professor of Medicine FJMU/SGRH, Lahore.

ABSTRACT

Introduction: Eosinophilic Esophagitis (EE) Is Manifested by Infiltration of The Esophageal Mucosa by Eosinophils and Culminates In Clinical Features That May Be Difficult To Distinguish From Those Of Gastroesophageal Reflux Disease (GERD).

Objectives: To Assess the Frequency of Eosinophillic Esophagitis Among Patients Undergoing Upper Gastroesophagoscopy for Symptoms of Gerd.

Study Design: Cross-Sectional Survey

Subjects and Methods: Duration of the study was six months (05-11-2012 to 04-05-2013)in gastroenterology department, medical unit 1, general hospital, lahore. A total of 125 cases were enrolled. All the patients who met the inclusion criteria underwent gastroesophagoscopy. And four biopsies, each from upper, middle and lower esophagus were taken. The biopsy specimen was preserved in 10% formalin and sent for histopathology by a single histopathologist to detect the presence of EE

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Prevalence of Non-specific Chronic Inflammatory Fibromas among Dental Patients Attending Dental OPD Bahawal Victoria Hospital and its Oral Surgery Management

MUHAMMAD SAFDAR BAIG1, JAVID IQBAL2, MUHAMMAD AMJAD BARI3, IRSHAD AHMED4

1Assist Professor Oral & Dental Surgery BVH/QMC Bahawalpur, 2Professor of Surgery and Director Department of Medical Education, Quaid-e-Azam Medical College and Bahawal Victoria Hospital Bahawalpur, 3Assistant Professor, Nishtar Institute of Dentistry Multan, 4Assistant Professor of Pathology, Dow University of Health & Sciences Karachi

Correspondence: Dr. Muhammad Safdar Baig, Email: safdarbeg@gmail.com

ABSTRACT

Background: It has been observed in routine oral & dental surgery practice the incidence of many soft tissue lesions of the oral cavity which look like a tumor growth.  Most of these lesions on surgical excision and afterwards their biopsies are basically indentified as non-specific chronic inflammatory in nature and categorized as the fibrous lesion called fibromas of oral cavity. Some of these lesions are vascular in nature and some pyogenic granulomas while few are giant cell types.

Objective: To determine hospital based prevalence of different soft tissues like growth of oral cavity among routine oral and dental surgery patients attending Dental OPD Bahawal Victoria Hospital, Bahawalpur and its oral surgery management.

Patients and Methods: This study is based upon the available hospital records of 113 dental minor oral surgery patients presenting with exophytic fibrous lesion like tumors as local irritation fibromas, fibro epithelial oral mucosal hyperplasia, gingival epulis and pyogenic granoloma presenting as non-specific chronic inflammatory fibrous gingival growth. The main variables of interests were the patient’s age, sex, location of the tumor in oral cavity and its surgical management along with patients clinical history and the risk factors identified.

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Age and Gender Pattern of Dengue Disease in Lahore Epidemic of 2011

Shahla latif1, Muhammad saeed anwar2, ghazala jaffery1, hafiz muhammad bilal saleh3

1 Associate Professor Department of Microbiology, SIMS, 2 Professor Department of Microbiology CMH, 3 Professor Department of Microbiology SIMS, Demonstrator SIMS, Lahore.

Correspondence Author:- Shahla Latif, Email:javedshahla@gmail.com

ABSTRACT

Objective: Gender and the age groups most affected by dengue fever were determined in patients coming to Services Hospital, Lahore during the 2011 epidemic for suspected dengue infection on clinical basis. This will help in the efficient allocation of health resources with reference to burden of Dengue Virus infection in local population.

Study Design: An analytical study

Place and Duration of Study: Microbiology Section, Department of Pathology, SIMS/Services Hospital, Lahore from November 2011 to December 2011.

Methodology: Blood samples were received in a disposable properly labeled syringe. Sera were separated by centrifugation. Dengue NS1 antigen, Dengue IgM and Dengue IgG antibody ELISA tests were performed on these sera on the same day. Statistical evaluation of the results was performed by use of percentages and chi square test where applicable.

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Evaluation of popularity of Integrated Modular Teaching Among Medical Students

 1SHIREEN KHAWAR, 2GHAZALA NAVEED, 3NOOR SOBAN, 3DUAA FATIMA

1Professor of Physiology department, 2Assistant Professor of Physiology Department, 3Second Year students Fatima Jinnah Medical University, Lahore.

Corresponding Author: Dr. Ghazala Naveed, ghazalanaveed@outlook.com, Phone No. 03214200927

 ABSTRACT

Background: Integrated Modular Teaching is a recent progress in the field of teaching, proving beneficial for both students and teachers. It is ready to take place of the traditional lecture method in medical colleges all across the world including Pakistan. Modular Teaching makes use of modules to emphasize individual learning among its users. The use of module helps medical students grasp concepts underlying any specific topic of medicine with great apprehension.

Aims & Objectives: This is an attempt of researchers to analyse whether modular teaching will be advantageous for medical students in Pakistan. The research will signify how medical students respond to modular teaching in comparison to traditional teaching. The research will also help us learn how students feel about different tactics of modular teaching.

Subjects & Methodology: A questionnaire was circulated among medical students all over Pakistan. The questionnaire emphasized on how modular teaching is better than traditional teaching and between the two which one do students feel more comfortable with. Later responses of 169 students were analysed.

Results & Conclusions: The responses, when analysed, showed that 71% of the students chose modular teaching over traditional teaching. In order to improve the quality of teaching in medical colleges of Pakistan we need to adapt to modular teaching.

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Prevalence of Depression in Patients with Parkinson’s Disease

MUHAMMAD ADNAN ASLAM, SARDAR FAKHAR IMAM, SHIREEN KHAWAR, AHSAN NUMAN

1Assistant Professor of Neurology FJMU. 2Professor of Medicine& Vice Chancellor FJMU/SGRH. 3Professor of Physiology,FJMU, 4 Associate Profesor of Neurology SIMS.

CorrespondenceAuthor: Dr. Muhammad AdnanAslam, AssistantProfessor of Neurology FJMU, Lahore.

 Abstract

Introduction: Parkinson’s disease is among most frequently encountered neurological disorders by neurologists. It has a varied spectrum of symptoms and presenting complaints. An important part of this disease is associated depression being commonly seen in these patients.

Objectives: To Determine The Prevalence Of Depression In Patients Having Parkinson’s Disease.

Materials and Methods: This study was a cross sectional survey which was conducted at department of Neurology Services Hospital, Lahore over a period of 3 months. A total 114 cases were recruited in this study after informed consent. For evidence of depression, a questionnaire was used as a data collection tool and score was given using beck depression inventory-ii (BDI-ii) criteria. All collected data was entered into SPSS 21 version and was analyzed. In our study descriptive analysis qualitative and quantitative variables were seen.

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Comparison of Platelet Rich Plasma Concentrate and Corticosteroid in Treatment Oflateral Epicondylitis

1MUHAMMAD USMAN KHALID, 2MUHAMMAD KAMRAN KHAN, 3MUHAMMAD HANIF, 4MUHAMMAD AKHTER, 5AMNA NADEEM, 6MUHAMMAD SALEEM

1Senior Register Department of Orthopedics Mayo Hospital, 2Medical Officer Department of Orthopedics Mayo Hospital, 3Assistant Professor Department of Orthopedics FJMU/SGH, 4Assistant Professor Department of Orthopedics KEMU/LGH, 5Demonstrator PGMI, 6 Senior Registrar SGRH, Lahore

Correspondence Author:- Muhammad Usman Khalid, Senior Registrar, Department of Orthopedics Mayo Hospital, Lahore. Email:- ukkazi179@gmail.com.

ABSTRACT

Lateral epicondylitis (LE), also known as Tennis Elbow is the commonest causes of musculoskeletal pain around the elbow which involves common extensor origin of the forearm. The disorder is a result of repetitive manual work which involves overexertion of extensors of wrist and finger and causes significant disability in terms of quality of daily life activities. Corticosteroid injection has been used as the treatment of choice for LE and platelet rich plasma (PRP) is an increasingly popular treatment for LE.

Objectives: To compare the outcome of platelet rich plasma (PRP) and corticosteroid (CS) in treatment of Lateral Epicondylitis (LE).

Study design: Randomized controlled trial

Setting: Orthopaedic Department Mayo Hospital Lahore.

Duration of study with dates: This study was conducted over a period of 12 months from 05-05-2014 to 04-05-2015.

Subjects and methods: A total of 100 patients (50 in each group) were included in this study. Group-A and Group B received PRP and corticosteroid injection respectively through a peppering needling technique.


Comparison of Platelet Rich Plasma Concentrate and Corticosteroid in Treatment Oflateral Epicondylitis

1MUHAMMAD USMAN KHALID, 2MUHAMMAD KAMRAN KHAN, 3MUHAMMAD HANIF, 4MUHAMMAD AKHTER, 5AMNA NADEEM, 6MUHAMMAD SALEEM

1Senior Register Department of Orthopedics Mayo Hospital, 2Medical Officer Department of Orthopedics Mayo Hospital, 3Assistant Professor Department of Orthopedics FJMU/SGH, 4Assistant Professor Department of Orthopedics KEMU/LGH, 5Demonstrator PGMI, 6 Senior Registrar SGRH, Lahore

Correspondence Author:- Muhammad Usman Khalid, Senior Registrar, Department of Orthopedics Mayo Hospital, Lahore. Email:- ukkazi179@gmail.com.

ABSTRACT

Lateral epicondylitis (LE), also known as Tennis Elbow is the commonest causes of musculoskeletal pain around the elbow which involves common extensor origin of the forearm. The disorder is a result of repetitive manual work which involves overexertion of extensors of wrist and finger and causes significant disability in terms of quality of daily life activities. Corticosteroid injection has been used as the treatment of choice for LE and platelet rich plasma (PRP) is an increasingly popular treatment for LE.

Objectives: To compare the outcome of platelet rich plasma (PRP) and corticosteroid (CS) in treatment of Lateral Epicondylitis (LE).

Study design: Randomized controlled trial

Setting: Orthopaedic Department Mayo Hospital Lahore.

Duration of study with dates: This study was conducted over a period of 12 months from 05-05-2014 to 04-05-2015.

Subjects and methods: A total of 100 patients (50 in each group) were included in this study. Group-A and Group B received PRP and corticosteroid injection respectively through a peppering needling technique.

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Effect of Gum Chewing on Duration of Postoperative Ileus after C-Section

RIZWANA ANJUM, ZOHRA KHANUM, SABA KHALID, MUHAMMAD ARSHAD HUSSAIN, SALMAN JAVED

1Senior Registrar, Lady Aitchison Hospital, 2Professor Gynae/Obse, Sir Ganga Ram Hospital, 3Postgraduate Trainee, Lady Aitchison Hospital, 4Associate Professor Gynae/Obse, Lady Aitchison Hospital, 5Assistant Professor, Sir Ganga Ram Hospital

Correspondence: Dr Rizwana Anjum, Email:anjulizh84@gmail.com

ABSTRACT

Summary: Postoperative ileus is very common after abdominal operations, like C-section. Pain, stress of surgery, immobilization and bowel paralysis all contribute to this delay. Prolonged delay in ileus can lead to lengthen stay in hospital, low immunity, hospital acquired infections and complications. C-section, regarded as low risk procedure, is most frequently performing major operation being highest therefore, even miner improvement in caesarean care might have important social and economical benefits.

Objective: The objective was to compare the outcome in patients with C-section with and without gum chewing in immediate postoperative period.

Study design: Randomized control trial.

Settings: This study was conducted in the Obstetrics and Gynaecology, department, Lady Aitchison Hospital, Lahore.

Method: This study was completed from 01-12-2011 to 31-05-2012, 70 cases were selected (35 in each group). Sample technique was purposive non-probability sample.

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Outcome of Minimal Invasive Lateral Buttressing in Proximal Metaphyseal-Articular Tibial Fractures

 1MUHAMMAD HANIF, 2RAZA ELAHIRANA, 3TANVIR AFZAL, 4MUHAMMAD USMAN KHALID, 5SAIF-UR-REHMAN, 6YAWARANIS

1Associate Professor Department of Orthopedics FJMU/SGRH,2 Assistant Professor Department of Orthopedics FJMU/SGHR,3Post Graduate Resident Department of Orthopedics SGRH,  4Senior Registrar Department of Orthopedics Mayo Hospital5Post Graduate Resident Department of Orthopedics SGRH6Professor of Orthopedics FJMU/SGHR, Lahore.

Correspondence to: Muhammad Hanif, Associate Professor Department of Orthopedics FJMU/SGRH, Lahore.

 ABSTRACT

Background: Management of comminuted bicondylartibial plateau fractures remains a difficult task for the surgeons and mode of treatment is controversial. Open reduction and internal fixation may result in major wound problems. Our study evaluated the functional outcome of minimally invasive plating in high energy tibial plateau fractures.

Materials and Methods: 31 patients having Schatzker type V and VI were treated with minimally invasive technique and were followed up in outpatient department. Radiographs were obtained and functional outcome was determined by the Oxford Knee Score criteria.

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