EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.2519116
Dr Muhammad Asif M Asif, Saima Manzoor, Usman Butt, Aftab Alam Tanoli, Anwar Khan, Muhammad Adil
{"title":"Correlation Between Hand Length And Stature","authors":"Dr Muhammad Asif M Asif, Saima Manzoor, Usman Butt, Aftab Alam Tanoli, Anwar Khan, Muhammad Adil","doi":"10.51273/esc23.2519116","DOIUrl":"https://doi.org/10.51273/esc23.2519116","url":null,"abstract":"Objective: The main objective is to know the correlation between hand length and height so that a regression equation could be obtained to use for personal identification. Method: A correlational study conducted at Sialkot medical college between April, 2022 to June, 2022. Only female students of Sialkot medical college were selected by non-probability purposive sampling technique. Sample size was 141. Those having any deformity of vertebral column and hand deformity were not selected. After taking informed consent measurements were taken. Stadiometer was used to measure the height and vernier caliber was used to measure hand length. The measurements were taken in inches. Descriptive data was calculated by using SPSS 25. Correlation was found and regression equation was obtained. Regression curve was also obtained. Graphs and table were formed. Results: Value of pearson coefficient between right hand length and height was 0.780 and between left hand length and height was 0.752. Conclusion: Hand length can be used to estimate height of the person helping to short list the persons to be identified.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.2519110
Muhammad Bilal Arshad, Muhammad Usman Sheikh, Muhammad Afzal, Yusra Leghari, Ayesha Riaz, Shahzeb Patoli
{"title":"A Cohort Analysis between Artificially Sweetened Beverages’ consumption and Weight Gain Risk among UK Children: A prospective Study","authors":"Muhammad Bilal Arshad, Muhammad Usman Sheikh, Muhammad Afzal, Yusra Leghari, Ayesha Riaz, Shahzeb Patoli","doi":"10.51273/esc23.2519110","DOIUrl":"https://doi.org/10.51273/esc23.2519110","url":null,"abstract":"Objective: Background & Goals: The modern lifestyle raises serious concerns about the quality and variety of food available, and it has been suggested that increased intake of sweetened and artificially sweetened beverages may be a contributing cause to obesity. The goal of this study was to look into the contentious claim that children in the UK who consume artificially sweetened drinks (ASB) had higher BMIs. Methodology: Data were gathered from the Millennium Cohort Study (MCS), and secondary analysis was carried out, including bivariate analysis on 12,871 kids and multinomial regression for obesity on 8,838 kids. The consumption of ASBs was recorded as exposure, and overweight or obesity was chosen as the outcome variable. Children who were already overweight or obese at the beginning of data collection were not included in the regression analysis. This group of children was followed up prospectively for 5 years, ending with the MCS wave. Results: Children who consumed ASB more than once a day had a 39% greater risk of being overweight compared to non-consumers (RRR=1.45; CI: 1.16-1.80), and an almost 4 times higher risk of being obese compared to children who did not drink ASB more than once per day (RRR=3.96; CI: 1.50-10.47). Conclusion: This study concluded that there is significant relationship in ASB consumption and risk of getting overweight/obese when observed prospectively.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.2519112
zulfiqar ali khosa, Mukhtar Mehboob, Mohammad Zubair, Sajida Jabeen, Abdullah Zulfiqar Khosa, Abdul Rehman Zulfiqar Khosa
{"title":"Approach and view of Medical Students towards Basic Medical Science Subjects: A Study at Bolan Medical College Quetta Pakistan","authors":"zulfiqar ali khosa, Mukhtar Mehboob, Mohammad Zubair, Sajida Jabeen, Abdullah Zulfiqar Khosa, Abdul Rehman Zulfiqar Khosa","doi":"10.51273/esc23.2519112","DOIUrl":"https://doi.org/10.51273/esc23.2519112","url":null,"abstract":"Introduction: The diagnosis of a disease and the mechanism of disease process can better understand if using the basic medical science subjects with clinical sciences. Objective: To assess the view and approach of medical students towards basic medical science subjects beside its clinical relevance in Bolan Medical College Quetta Pakistan. Method: This was a cross sectional study designed in an institute in Bolan Medical College Quetta Pakistan, from March-2021to May 2021. For collection of data pre tested questionnaire was used. All options were rated by using likert scale, ranges from strongly disagree to agree. The data were analyzed by using SPSS-27. Result: A total of 200 students participated in this study. Among them 40 (20%), 55 (27.5%), 35 (17.5%), 35 (17.5%), and 35 (17.5%) were of 1st, 2nd, 3rd, 4th, and final year students respectively. 33 (16.5%) students were interested to join as career, 107(53.5%) were never join the basic side while maybe remained 60 (30%). Less financial attractions are in basic side by 130 (65%) that’s why not interested. If modular system apply this may attract the students to join as career, the reply was in 65% (130) don’t know. The clinical relevancy was 53.5% (107) anatomy, 47.5% (95) biochemistry while 41.5% (83) physiology. Conclusion: This study concluded that students have very low attraction for basic medical science subjects but this can elevated with way of teaching methodology and using clinical aspect. Students are very much reluctant to join basic side as their career due to less financial attractions.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.2519113
DR SHAHEEN KHAN BAHADAR, Muhammad Ayub, Naveed Iqbal, Azfar Ali
{"title":"Comparison of early re-resection versus standard surgical method for transurethral resection of urinary bladder tumor : A Randomized controlled trial","authors":"DR SHAHEEN KHAN BAHADAR, Muhammad Ayub, Naveed Iqbal, Azfar Ali","doi":"10.51273/esc23.2519113","DOIUrl":"https://doi.org/10.51273/esc23.2519113","url":null,"abstract":"Incidence of bladder carcinoma is growing all over the world. Transurethral resection of the bladder tumor (TURBT) is gold standard in the managemnet of non muscle invasive bladder cancer, followed by surveillance cystoscopy. But bladder cancer is notorious for recurrance and progression. but it is newly understood that re-resection within 2-6 weeks may be helpful in reducing recurrance and tumor proression.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.251911
A. Rafique, F. Hameed, Muhammad Khurram Jameel, H. Alam, Hafiza Shehla Arshad, Ahmed Z. Kaleem, M. Qazi
{"title":"Ligasure Vessel Sealing Versus Conventional Suture Ligation in Thyroidectomy","authors":"A. Rafique, F. Hameed, Muhammad Khurram Jameel, H. Alam, Hafiza Shehla Arshad, Ahmed Z. Kaleem, M. Qazi","doi":"10.51273/esc23.251911","DOIUrl":"https://doi.org/10.51273/esc23.251911","url":null,"abstract":"Objective: To evaluate the efficacy of ligature sealing versus standard suture sealing for multinodular goiter patients after thyroidectomy. Method: The aim of our study is to evaluate the efficacy of ligature sealing versus standard suture sealing for multinodular goiter patients after thyroidectomy. The research was done in the Mayo Hospital in Lahore, Pakistan, specifically in the General Surgery Division. Ligasure-sealed patients made up Group A, while those in Group B were treated with traditional suture-ligation. The average duration of surgery, the average amount of discomfort felt by the patient afterward, and the average amount of drain fluid collected aftersurgery were all recorded. Results: Eighty people in total participated in the study. Patients in Group-Ahad an average operation time of 67.3±6.9 minutes, while those in Group-B averaged 85.6±8.3 minutes; this difference was statistically significant (p0.000001). Patients in group Areported an average of 2.6±1.3 units of pain, while those in group B reported 1.7±0.7 units of pain; this difference was statistically significant (p 0.001). Patients in Group-A had a mean drain output of 53.5±4.9 ml following surgery, while those in Group-B had an output of 68.2±7.3 ml; this difference was statistically significant (p = 0.0001). Conclusion: Thyroid surgery using ligature sealing is an effective and safe alternative to the standard approach, resulting in significantly less downtime, less discomfort, and less drainage after the procedure.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46884863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.251917
Sajid Mahmood, Faiza Nazir, Sami Ullah Mumtaz, Ali Asad Khan, Somia Iqtadar, Sajid Abaidullah
{"title":"Frequency of Reversibility of Complete Heart Block in Acute Myocardial Infarction","authors":"Sajid Mahmood, Faiza Nazir, Sami Ullah Mumtaz, Ali Asad Khan, Somia Iqtadar, Sajid Abaidullah","doi":"10.51273/esc23.251917","DOIUrl":"https://doi.org/10.51273/esc23.251917","url":null,"abstract":"Objective The aim of current study was to evaluate the frequency of reversibility of complete heart block in patients of acute myocardial infarction. Methods Total one hundred and thirty eight patients with complaint of syncope and atypical chest pain presented at emergency ward of Punjab Institute of Cardiology, Lahore. All patients underwent conventional coronary angiogram to roll out the ischemic etiology of underlying bradyarrhythmias. Among them more than 90% patients have mild coronary artery disease and they were kept on medical management. But all patients remained TPM dependant for two weeks which were then treated with permanent pacemakers. Results Results of the current study revealed that the mean age of patients was 51.48 ± 15.46 with minimum age 18 and maximum was 65 years. Out of 138 patients, 84(61%) were male while 54(39%) were female., 52(37.7%) patients diagnosed of diabetes mellitus, 75(54.3%) patients of hypertension and 58(42.03%) patients were smoker, 41(29.7%) have family history, 47(34.1%) patients have dyslipidemia and only 50(36.2%) obese patients. Patients divided into two groups; patients with complete heart block in the age grouped between 16-35 years, only 6(4.3%) as compare with age grouped 36-65 years only 10(7.2%) have complete heart block, male 8(5.8%), only 5(3.6%) hypertensive patients and 4(2.9%) diabetic patients suffering complete heart block, 2(1.4%) patients presented during 1-12 hours compare with 7(5.1%) presented between 13-24 hours, results showed statistically insignificant as p-value > 0.05. 2nd Degree AV Block and complete heart block showed significant difference between troponin level as p-value <0.05 in patients diagnosed with ACS. Conclusion Atrioventricular block is frequently reversible in people with AMI. As a result, in situations with AMI permanent pacemaker installation should be postponed.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Cassia Fistula Bark Hexane Extract on Lipid Parameters in Male Diabetic Rats","authors":"Natasha Zahid, Maryam Ejaz, Naima Khalid, Naila Ikram, Faiza Anwar, Zainab Farooq","doi":"10.51273/esc23.2519117","DOIUrl":"https://doi.org/10.51273/esc23.2519117","url":null,"abstract":"Objective: To evaluate and compare the effects of Cassia fistula bark on serum lipids in high fat diet and streptozotocin instigated diabetic albino rats. Method: Randomized controlled trial (RCT) carried out in Physiology department of Services Institute of Medical Sciences, Lahore from August 2017 to April 2018. Ninety male albino rats were randomly divided into two equal groups (n=45). Firstly, rats in both groups were fed on high fat diet. Secondly streptozotocin was injected to induce type 2 diabetes. The diabetic control group was designated as group-1 and kept on normal saline only. The Diabetic experimental group was fed on Cassia fistula bark (0.45g/kg body weight once a day) respectively for 30 days. Subsequently, blood samples (4-5ml intracardiac) were collected from each group member on the 31st day to evaluate the biochemical parameters of serum lipids. Results: The hexane-based extracts of Cassia fistula lead to highly significant (p˂0.001) reduction in lipid profile of group-2. Conclusion: Cassia fistula bark can significantly lower serum lipid parameters.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"71 25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135239156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Risk factors of diabetic neuropathy in type 2 diabetic patient in Services Hospital Lahore","authors":"Asifa Kamal, Shajia Aleem, Asma Kamal, Abeera Shakeel, Mehwish Iftikhar, Khushroo Minhas","doi":"10.51273/esc23.2519115","DOIUrl":"https://doi.org/10.51273/esc23.2519115","url":null,"abstract":"Objective: To investigate the risk factors and to study the effect of these risk factors on the diabetic neuropathy (DN). Method: th The study was a retrospective case-control, hospital-based study and was carried out from18th November 2021 to 20 December 2021 through the questionnaire. Respondents were patients of diabetes mellitus (n=277) who visited the Diabetes Management Center of Services Hospital, Lahore. Binary Logistic regression model was fitted using SPSS 20.0 Result: Sample comprised of 277 subjects and among these, 122 and 155 were cases and controls respectively. Female gender (OR=2.225), duration of diabetes (OR=1.066), blood glucose level in fasting (OR=1.006), and age (OR= 1.042) have a significant effect on the prevalence of diabetic neuropathy. Conclusion: The risk of Diabetic Neuropathy has been found higher, due to an increase in age, duration of diabetes and uncontrolled glucose level in the blood. Female patients of diabetes mellitus have higher probability of DN as compared to male patients.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.251915
Noaman Ishaq, Salman Ahmed Malik, Shahzad Gul, Ali Ahmad, Wajeeha Batool, Hannah Pirzada
{"title":"Comparison of Writing Patterns of Prescription in Public and Private Sector Hospitals in Multan","authors":"Noaman Ishaq, Salman Ahmed Malik, Shahzad Gul, Ali Ahmad, Wajeeha Batool, Hannah Pirzada","doi":"10.51273/esc23.251915","DOIUrl":"https://doi.org/10.51273/esc23.251915","url":null,"abstract":"Objective: To compare and evaluate handwritten prescriptions from the public and private sector hospitals/clinics and to determine whether there is any significant difference between the two. Study Design: Hospital based cross-sectional study. Place and Duration of Study: Study was conducted in the Department of Pharmacology and Therapeutics, Nishtar Medical University for a period of 3 months post-approval (June 2022-August 2022) Materials and Methods: Total 400 prescriptions were part of this study with 200 from private and 200 public hospital. They were collected and assessed under the World Health Organisation’s Guide to Good Prescribing. The prescriptions from one sector were then compared against those from the other sector to identify any significant differences. Results: All prescriptions lacked at least some of the criteria of a good prescription with prescriptions from the private sector being better than those from the public sector. Prescriptions from both sectors were almost completely deficient as regards to the use of generic drug names. There was negligible difference between both sectors in terms of legibility of written prescriptions (p=0.057). While name of patient, his/her age, address, vitals, drug strength, dosage, and total quantity of drug prescribed are were compared, there were significant differences of 0.032, 0.021, 0.039, 0.048, 0.041, 0.033, and 0.039 respectively. Conclusion: The private sector executes better than the public sector in prescription writing, but both sectors so far have fall short of the standards set by the World Health Organisation","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.2519111
Tuba Tariq, Aqsa Gul Niazi, Jazib Shahid, Munaza Javed, Atif Qureshi, Muhammad Imran
{"title":"Correlation Between Computed Tomography Severity Score and Patient Prognosis In Cases of Covid-19 Pneumonia: A Retrospective Study","authors":"Tuba Tariq, Aqsa Gul Niazi, Jazib Shahid, Munaza Javed, Atif Qureshi, Muhammad Imran","doi":"10.51273/esc23.2519111","DOIUrl":"https://doi.org/10.51273/esc23.2519111","url":null,"abstract":"Objective: To Find the association between CT severity score and patient prognosis in cases of COVID-19 pneumonia in a tertiary care hospital in Lahore. Method: It was a retrospective descriptive observational study, carried out at Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore. We enrolled 80 patients clinically suspected of having COVID-19 pneumonia and showing characteristic HRCT features of the same in our study using consecutive sampling technique. Patient prognosis was classified into patients recovered and patients expired. A CT severity score (CTSS) consisting of 25 points wasdeployed to categorize disease as mild, moderate and severe. Statistical package for social sciences (SPSS) version 20 was utilized for statistical analysis.Association between patient prognosis and CT severity scoreof COVID -19 infection was studied by applying the Pearson correlation. Results: 19 (100%) out of 19 patients with mild CTSS recovered, 32 (80%) out of 40 patients with moderate CTSS recovered while 8 (20%) expired and 11 (52.4%) out of 21 patients with severe CTSS recovered while 10 (47.6%) expired.A statistically significant positive association (p = 0.001) was observed between patient prognosis and CT severity score in COVID-19 patients. Conclusion: A positive association exists between CT severity score and patient prognosis in cases of Covid-19 pneumonia","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}