Issue Vol:65, No:4 April, 2015


Hospital vision and mission strategic planning and departmental performance
Ali Yawar Alam, Mohammad Khalid Alabdulaali,

The vision statement of a health care organization in United States 'is to be the best healthcare system in the Universe.' Another health care organization in the States has the vision statement, "to be the world's leading consumer health care company," "create leading brands,&q....

Original Articles

Haematological causes of thrombocytopenia in children at Aga Khan University Hospital, Karachi
Amna Jawaid,

Objectives: To identify the haematological causes of thrombocytopenia in children admitted at a tertiary care hospital.
Methods: The prospective, descriptive study was carried out at the Aga Khan University Hospital, Karachi, from September 3, 2009 to March 3, 2010, and compr....

The antibacterial effect of four mouthwashes against streptococcus mutans and escherichia coli
Janan Ghapanchi, Afagh Moattari, Fatemeh Lavaee, Mahmood Shakib,

Objective: To evaluate the antimicrobial properties of several mouthwash concentrations on oral Streptococcus mutans and Escherichia coli.
Methods: The study was conducted at Shiraz Medicine School in 2011. Serial dilutions of Chlorohexidin, Oral B and Persica and Irsha (2,4,....

Association between hepcidin, haemoglobin level and iron status in stage 4 chronic kidney disease patients with anaemia
Reza Alipanah Mogadam, Amir Ghorbanihaghjo, Hassan Argani, Ali Nemati, Firouz Amani, Bahman Bashardoust,

Objectives: To explore the probable association of serum hepcidin and haemoglobin levels with iron and inflammation statuses in patients of chronic kidney disease stage 4 with anaemia.
Methods: The cross-sectional study was conducted at Tabriz University of Medical Sciences, ....

Postoperative pain management in the surgical wards of a tertiary care hospital in Peshawar
Haseebullah Awan, Zubair Durrani,

Objective: To assess levels of postoperative pain with reference to internationally validated protocols.
Methods: The hospital-based survey of postoperative patients was conducted from February 2012 to April 2012 in the surgical wards of Rehman Medical Institute, Peshawar. A ....

Effects of line type blood-liquid warmer on two different infusion sets
Aydin Tasdogen, Yuksel Erkin, Edip Gonullu, LeylaSeden Duru,

Objective: To investigate the source of 'bubbles' in infusion sets which were caused by the 'line type' blood-liquid warmers used in operation rooms to prevent hypothermia.
Methods: The experimental study was conducted from August to September 2012 at the Thoracic Surgery....

Burden of chronic kidney disease in an urban city of Pakistan, a cross-sectional study
Sehyr Imran, Adil Sheikh, ZebIjaz Saeed, Sarosh Ahmed Khan, Ali Osama Malik, Junaid Patel, Waqar Kashif, Ather Hussain,

Objectives: To estimate the prevalence of Chronic Kidney Disease in an urban city and to assess the risk factors associated with the condition.
Methods: The cross-sectional study was carried out from June to December 2012 by arranging health camps for asymptomatic population ....

A cross sectional study on juvenile idiopathic arthritis in paediatric population
Murtaza Ali Gowa, Bilquis Naeem Memon, Mohsina Noor Ibrahim, Syed Jamal Raza,

Objective: To determine the frequency of common subtypes of juvenile idiopathic arthritis among paediatric population.
Methods: The cross-sectional study was conducted at the National Institute of Child Health, Karachi, from January to June, 2010, and comprised children below....

Experience of CyberKnife Robotic Radiosurgery in treating intra and extra-cranial tumours: A review of outcomes
Sadaf Nausheen, Naveed Ahmed, Arifuzzaman, Aneeta Ghulam Muhammad, Kamran Saeed, Tariq Mahmood,

Objective: To determine the success rate and complication of CyberKnife Robotic Radiosurgery for treating intracranial and extra cranial tumours.
Methods: The cross-sectional observational study was carried out at the Department of CyberKnife Robotic Radiosurgery at the Jinna....

Sleep quality among medical students of Karachi, Pakistan
Arif Anwer Surani, Sohaib Zahid, Asif Surani, Salman Ali, Muhammad Mubeen, Reem Halim Khan,

Objective: To characterise sleep quality and assess degree of daytime sleepiness among medical students of Karachi.
Methods: The cross-sectional study was conducted between August and December 2013 and subjects were recruited from five haphazardly selected medical colleges i....

Role of oxidative injury in affecting the foetal & placental weights on exposure to tobacco smoke
Huma Musarrat Khan, Muhammad Yunus Khan, Liaqat Ali Minhas,

Objective: To investigate the role of oxidative injury in affecting foetal and placental weights in mice by exposing them to tobacco smoke with or without supplementation with antioxidants.
Methods: The randomized control trial of pregnant mice at day one of gestation was con....

Bone mineral density comparison of total body, lumbar and thoracic: an exploratory study
Sheikh Kashif Raffat, Abdul Basit Shaikh, Muhammad Sarim, Akhter Raza Syed,

Objective: To analyse the behaviour of bone mineral density (BMD) of total body, lumbar and thoracic spine, and compare it between different age-groups, ethnicity and gender as a secondary analysis of already published data of NHANES.
Methods: The study was done and compared ....

Dengue knowledge and its management practices among physicians of major cities of Pakistan
Ibrar Rafique, Muhammad Arif Nadeem Saqib, Shajee Siddiqui, Muhammad Arif Munir, Iftikhar Ahmed Malik, Masood Hussain Rao, Jamil Ahmed, Saira Bashir, Obaidullah Khan, Rukhsana Firdous, Shafiq Ahmed,

Objectives: To assess knowledge and practices related to dengue management among physicians.
Methods: The cross-sectional study was conducted at hospitals in Islamabad, Lahore, Faisalabad, Peshawar, Quetta and Karachi between June and December 2012Physicians from public and p....

Evaluation of diploma in bioethics programme, Karachi, Pakistan: An educational research
Muhammad Shahid Shamim, Bushra Shirazi, Aamir Omair,

Objective: To perform an outcome-based evaluation of the diploma programme initiated in 2006 at the Centre of Biomedical Ethics and Culture..
Methods: The broad based evaluation was done at the Centre of Biomedical Ethics and Culture, Sindh Institute of Urology and Transplant....

Effect of coenzyme Q10 on glycaemic control, oxidative stress and adiponectin in type 2 diabetes
Mahsa Moazen, Zohreh Mazloom, Mohammad Hossein Dabbaghmanesh, Afsane Ahmadi, Sareh Roosta,

Objective: To assess the effects of Coenzyme Q10 supplementation on glycaemic control, oxidative stress and adiponectin levels in people with type 2 diabetes.
Methods: The randomised, single-blind, placebo-controlled study was conducted in the city of Shiraz, Iran, in 2012 an....

Menopausal symptoms: prevalence, severity and correlation with sociodemographic and reproductive characteristics. A cross sectional community based survey from rural Sindh Pakistan
Nusrat Nisar, Nisar Ahmed Sohoo, Raheel Sikandar,

Objective: To determine prevalence and severity of menopausal symptoms and to investigate any correlation of sociodemographic and reproductive characteristics with menopausal symptoms in rural women.
Methods: The cross-sectional study was conducted in 2007-08 in rural Sindh, ....

Short Communication

Fear of falling in elderly people living in a nursing home - perspective from Manisa
Nurgul Gungor Tavsanli, Sevgi Nehir Turkmen,

Our study aimed to determine the level of fear of falling in elderly nursing home residents. The research population consisted of all the elderly residents of Manisa Municipal Nursing Home between November 2011 and February 2012. The 76 elderly people who agreed to participate were included in th....

Opinions of university students on honour killings: Perspective from Islamabad and Rawalpindi
Masood Ali Shaikh, Anila Kamal, Irum Naqvi,

Honour killing incidents have been reported from every province of Pakistan. In 2014 a pregnant woman was killed in front of Lahore High Court, by her family members, in the name of honour. This study was conducted to determine the perspective of university students on honour killing with specifi....

Case Reports

Hair dye poisoning and rhabdomyolysis
Munira Bokutz, Nosheen Nasir, Faisal Mahmood, Sara Sajid,

Hair dye ingestion is a rare cause of toxicity in Pakistan. We are presenting the case report of a 55 year old male who presented with accidental hair dye ingestion and developed laryngeal oedema requiring emergent tracheostomy. He had also developed aspiration pneumonitis and chemical oesophagit....

The calcium invasion: Calciphylaxis in Lupus
Lubna Nazir, Mohammad Saeed,

Calciphylaxis is a poorly understood and highly morbid syndrome of vascular calcification and skin necrosis. We describe the case of a 52-year old woman with systemic lupus erythematosus (SLE), inappropriately treated with oral steroids for 18-years who developed renal impairment followed by skin....

Otitis complicated by Jacod's syndrome with unusal facial nerve involvement: Case report and review of literature
Kocer Abdulkadir, Sanlisoy Buket, Agircan Dilek, Okay Munevver, Aralasmak Ayse,

Otitis media is a well-known condition and its infra-temporal and intracranial complications are extremely rare because of the widespread usage of antibiotic treatment. We report a case of 63-year-old female with complaints of right-sided facial pain and diplopia. She had a history of acute otiti....

An unusual location and presentation of a usual pathology-Colloid cyst of fourth ventricle presenting as spontaneous rhinorrhea
Shumaila Arooj, Samar Hamid, Tariq Mehmood,

Colloid cysts are relatively rare benign intracranial lesions preferentially located within the third ventricle. There are only a few reports in which they have been found to be ectopic, such as in the fourth ventricle. A young female presented on with spontaneous non-traumatic cerebrospinal flui....

Student's Corner

Post-operative anxiety, depression and psychiatric support in patients undergoing hysterectomy: A cross sectional survey
Nahal Raza, Ahmed Waqas, Mehak Jamal,

Hysterectomy is a frequently performed gynaecological procedure in Pakistan. This surgical procedure is a very stressful event for Pakistani women suffering from severe gynecological diseases and complications. It is also associated with a high incidence of anxiety and depression. Several studies....

Letter to the Editor

Energy drinks; a public health hazard for adolescents
Sher Afgan, Abdul Waheed,

Family & Community Medicine, Penn State Hershey College of Medicine, Milton S. Hershey Medical Center, Hershey, USA.
Correspondence: Abdul Waheed. Email:
Madam, Caffeine is widely consumed as part of many drinks all over the world. The Food and....

Recent Advances In Endocrinology

Radiology and Diabetes Mellitus
Vikas Chaudhary, Shahina Bano, Sanjay Kalra,

Diabetes mellitus (DM) is a major health concern globally, affecting almost every organ of the body. A major issue with DM is that a relatively large proportion of patients remain undiagnosed till the development of complications, many of which may cause permanent impairment. Therefore, early rec....

Primary Care Diabetology

Initiating oral anti diabetic drug: alternatives to metformin
Sanjay Kalra, Yashdeep Gupta,

While most published articles on oral anti diabetic therapy approve of metformin, few discuss what should be done if metformin is contraindicated or not tolerated. This article defines metformin intolerance, and discusses various pharmacological options available for persons with type 2 diabetes ....

Position Paper

Teaching of medical humanities in medical universities of Pakistan
Nusrat Shah, Syed Moyn Aly,

The purpose of this position paper is to start a debate on the need for including Medical Humanities (MH) in the undergraduate medical curriculum of Pakistan and to guide decision making in this regard.


Fifty years ago, C.P.Snow, a scienti....

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.


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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