Welcome to Journal Of Pakistan Medical Association
   Issue Vol:66, No:2 February, 2016
Editorial >>

Children in emergency situation - a red alert for Pakistan

Aisha Mehnaz.

Emergency or disaster as defined by the center for Research on the Epidemiology is a "situation or event, which overwhelms local capacity, necessitating a request to national or international level for external assistance".1 Of all the three types of Emergency sit

Original Articles >>

Issues affecting health professionals during and after catastrophic earthquakes in Van-Turkey

Sukran Sevimli, Sevdegul Karadas, Ahmet Cumhur Dulger.

Objective: To assess physical and psycho-social problems faced by health professionals, and to analyse the ethical, legal and triage dimensions of disaster medical services.
Methods: The descriptive study was conducted from November 2011 to March 2012 and comprised health pro

Effects of osteoformin in the rapid distraction osteogenesis of rabbit mandibles

Ezher Hamza Dayisoylu, Alper Pampu, Figen Cizmeci Senel, Ercument Onder, Dogan Dolanmaz, Nuray Yilmaz Altintas, Mustafa Cihat Avunduk.

Objective: To evaluate the effects of osteoformin on mineralisation and quality of the new bone formation during rapid distraction osteogenesis.
Methods: This multi-centre study was conducted at the Karadeniz Technical University, Middle East Technical University and Selcuk U

Effect of HCV on fasting glucose, fasting insulin and peripheral insulin resistance in first 5 years of infection

Naeema Ahmed, Amir Rashid, Abdul Khaliq Naveed, Qudsia Bashir.

Objective: To assess the effects of hepatitis C virus infection in the first 5 years on fasting glucose, fasting insulin and peripheral insulin resistance.
Methods: The case-control study was conducted at the Army Medical College, Rawalpindi, from December 2011 to November 20

Accuracy of intra-operative frozen section in the diagnosis of female genital tract neoplasms

Asna Haroon Khan, Nadira Mamoon, Mariam Usman, Umme Salma Laleka, Bilal Malik.

Objective: To evaluate the accuracy of intra-operative frozen section in the diagnosis of various pelvic neoplasms, including ovarian tumours.
Methods: The retrospective study was conducted at Shifa International Hospital and comprised records of all patients with lesions of

Biomechanical evaluation of oversized drilling on implant stability - an experimental study in sheep

Mehmet Emre Yurttutan, Recep Kestane, Ahmet Keskin, Omur Dereci.

Objective: To evaluate the effect of oversized drilling on implant success and secondary stability.
Methods: The experimental study was conducted in Turkey from January to July 2013, after approval by the ethics committee of the University of Ankara, and comprised 2 female sh

Importance of red blood cell distribution width (RDW) in patients with upper gastrointestinal haemorrhage

Bahattin Isik, Muhittin Serkan Yilmaz, Cihat Yel, Cemil Kavalci, Gorkem Alper Solakoglu, Metin Ozdemir, Murat Ongar, Burak Demirci.

Objective: To explore the effect of red blood cell distribution width levels on the diagnosis and management of upper gastrointestinal haemorrhage.
Methods: The retrospective study was conducted at Ankara Numune Education and Research Hospital, Turkey, and comprised record of

Squamous cell carcinoma of oral tongue in young patients - A 10 years tertiary care experience

Shakeel Uz Zaman, Mohammad Adeel, Anwar Suhail.

Objective: To evaluate the clinical and pathological profile of young patients with squamous cell carcinoma of tongue.
Methods: The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised record of patients <35 years presenting with squamo

Frequency, character and predisposing factor of headache among students of medical college of Karachi

Tooba Noor, Ali Sajjad, Anoosha Asma.

Objective: To evaluate the frequency, predisposing factors and symptomatology of headache among medical students.
Methods: The cross-sectional study was conducted from September to December 2013 and comprised students of two medical colleges of Karachi. International Classif

Perceptions and attitudes towards research amongst medical students at Shifa College of Medicine

Lubna Meraj, Naheed Gul, Zubaidazain, Ijaz Akhter, Farreeha Iram, Abdus Salam Khan.

Objective: To understand medical students\' perceptions and attitudes towards research to help facilitators design specific courses according to their needs.
Methods: The cross-sectional study was conducted at Shifa College of Medicine, Islamabad, Pakistan, from May to Nove

Prevalence and epidemiology of blood borne pathogens in health care workers of Rawalpindi/Islamabad

Shahab Saqib, Muhammad Zuhaib Khan, Sayed Irtiza Hussain Shah Gardyzi, Javaria Qazi.

Objective: To attempt to trace the molecular epidemiology of blood-borne diseases in the hospital community of Pakistan.
Methods: The cross-sectional study was conducted at three major hospitals of Rawalpindi and Islamabad from January to May, 2014.The prevalence of three blo

Effect of continued professional development on clinical performance in a public sector health care setting

Naila Azam, Uzma Hassan, Ayesha Farooq.

Objective: To determine the effectiveness of intervention by education of doctors in improving the referral rate and quality in a public-sector healthcare setting.
Methods: The quasi-experimental study was conducted from March to September 2012 at PNS Rahat Hospital in naval

Women with pregnancy induced hypertension have a higher risk of developing essential hypertension - a case control study from a tertiary care center in Pakistan

Amna Qasim, Ahmad Bashir, Sara Sajid, Muhammad Mehmood Riaz, Aysha Almas.

Objectives: To determine the association of essential hypertension with pregnancy-induced hypertension in women.
Methods: The case-control study was conducted at Aga Khan University Hospital, Karachi, from January 2012 to March 2013, and comprised on hypertensive female patie

Awareness of academic use of smartphones and medical apps among medical students in a private medical college?

Jehanzaib Shah, Usman Haq, Ali Bashir, Syed Aslam Shah.

Objective: To assess the awareness of medical apps and academic use of smartphones among medical students.
Methods: The questionnaire-based descriptive cross-sectional study was conducted in January 2015 and comprised medical students of the Rawal Institute of Health Sciences

Long term survival and impact of various prognostic factors in T1, T2 oral tongue cancer in Pakistan

Raza Hussain, Arif Jamshed, Hassan Iqbal, Sadaf Usman, Muhammad Irfan, Abu Bakar Hafeez Bhatti.

Objective: To determine the outcome in patients with early squamous cell carcinoma of oral tongue, and the impact of various prognostic factors on survival.
Methods: The retrospective study was conducted at Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore,

To asses inter- and intra-observer variability for breast density and BIRADS assessment categories in mammographic reporting

Imrana Masroor, Mahreen Rasool, Shaista Afzal Saeed, Saba Sohail.

Objective: To evaluate the inter- and intra-observer variability among radiologists in the characterisation of mammograms according to Breast Imaging Reporting and Data System assessment and breast density categories.
Methods: The descriptive cross-sectional study was conduct

Learning approaches and performance of medical students

Rehana Rehman, Khalid Ahmed, Rabiya Rehan, Farheen Hassan, Fatima Syed.

Objective: To identify the best assessment method for medical students with different learning approaches.
Methods: The cross-sectional questionnaire-based study was conducted at Bahria University Medical and Dental College, Karachi, from March 2010 to April 2011, and compris

Frequency of intrahepatic cholestasis of pregnancy in Punjab Pakistan: A single centre study

Muhammad Hafeez, Asma Ansari, Saima Parveen, Amjad Salamat, Anjum Aijaz.

Objective: To find out the frequency of intrahepatic cholestasis of pregnancy and its identification parameters.
Methods: The cross-sectional observational study was conducted in the Department of Medicine and the Department of Obstetrics, Combined Military Hospital, Kharian,

Case Reports >>

Congenital lobar emphysema

Irum Latif, Samina Shamim, Shah Ali.

Congenital lobar emphysema is a rare variety of congenital malformation of lung characterized by over distension of a lobe of the lung due to partial obstruction of the bronchus. It is one of the rare causes of infantile respiratory distress requiring surgical resection of affected lobe. We are r

Fluorosis... causing paraplegia... mutilating life...

Tasnim Ahsan, Rakhshanda Jabeen, Saba Hashim, Zeenat Bano, Subheen Ghafoor.

Fluorosis is thought to be rare in Pakistan but endemic in various parts of the world, especially in India and China. In Pakistan only a few cases have been reported from Thar, Sibbi and Manga Mandi, with probability of fluorosis on MRI findings, supported by high drinking waterfluoride content.

Fibromatosis of infratemporal space

Riaz Ahmed Warraich, Tooba Saeed, Nabila Riaz, Asma Aftab.

Fibromatosis is a rare benign mesenchymal neoplasm which primarily originates in the muscle, connective tissue, fascial sheaths, and musculoaponeurotic structures. It is commonly seen as abdominal tumour but in maxillofacial region, the occurrence of these tumours is very rare and exceedingly rar

IgG4-related retroperitoneal fibrosis: A case report and review of literature

Azra Niaz, Asad Hayat Ahmad, Khaleeq-ur-Rahman, Muhammed Ahmad Saeed, Omer Sabir, Nauman Tarif.

Idiopathic Retroperitoneal fibrosis is a rare clinical condition recently identified as an autoimmune process related to Immunoglobulin G4 (IgG4) deposition. Herein we report a case of a 46 year old male presenting with 4 months history of backache, fever, flank pain and leg swelling for 2 weeks.

Myocardial injury and acute renal failure associated with lactic acidosis due to suicide attempt with metformin

Meltem Sertbas, Yasar Sertbas, Ozgur Ordu, Enver Berber, Birgul Ozen, Ali Ozdemir.

Metformin-associated lactic acidosis (MALA) is one of the most important drug toxicities with a high morbidity and mortality rate. We report herein a case of suicide attempt with metformin presenting as MALA and acute renal failure on admission to emergency department and acute myocardial injury

Large abdominal cystic masses: Report of seven cases

Filiz Fusun Bolukbas, Cengiz Bolukbas, Yavuz Furuncuoglu, Babek Tabandeh, Filiz Yarimcam Saglam, Gokmen Iyigun, Taner Orug, Ali Ozcan, Ozlem Yapicier.

Cystic abdominal tumours are encountered quite often and are diagnosed more frequently due to the availability of better imaging possibilities. Presentation of huge cysts has become rare as most of them are diagnosed and treated early. But we still have patients with enlarged abdominal cysts; maj

Student's Corner >>

Practices of self-medication with antibiotics among nursing students of Institute of Nursing, Dow University of Health Sciences, Karachi, Pakistan

Akbar Shoukat Ali, Javed Ahmed, Gomand Beekho Sonekhi, Nargis Fayyaz, Zeeshan Zainulabdin, Rahim Jindani.

Self-medication practice among nursing students is of growing concern. Access to drugs and handling them in their future practices make nursing students susceptible to self-prescription and self-medication. This cross-sectional study assesses the prevalence and pattern of self-medication with ant

Letter to the Editor >>

Calciphylaxis, a rare disease with fatal outcome

Noman Ahmed Jang Khan, Hafiz Umair Siddiqui, Muhammad Asif, Muhammad Arslan Karim.

Madam, Calciphylaxis which is also known as calcific uraemic arteriopathy (CUA) is a poorly understood syndrome of vascular calcification and skin necrosis. Skin lesions develop suddenly and progress rapidly. Most commonly the lesions appear on the lower extremities. The lesions are typically ery

Audit >>

How to improve outcome in surgery for Proximal Hypospadias?

Abdul Hafeez Qureshi.

Objective: To evaluate the role of subdartos fascial tissue as watertight layer in improving outcome for 2-stage proximal hypospadias surgery.
Methods: The experimental study was conducted at the Department of Urology, Indus Hospital, Karachi, and comprised an audit of patien

Recent Advances In Endocrinology >>

Addressing Insulin Misperceptions (AIM) - Part 2

Sanjay Kalra, Yashdeep Gupta.

This article is the second in the series of Addressing Insulin Misperceptions (AIM). It structures perceived objections to insulin according to those prevalent at initiation and intensification, and suggests specific interventions for the commonly encountered misperceptions. The article reflects

Primary Care Diabetes >>

The A1C Prandial Product: An objective tool to decision making in diabetes

Sanjay Kalra, Yashdeep Gupta, Manash P. Baruah.

This brief article describes a numerical index designed to assess the relative contribution of fasting and postprandial glucose to hyperglycaemia. This helps plan appropriate insulin and oral glucose-lowering therapy in an objective manner. It also reviews three similar indices described earlier

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