Esculapio最新文献

{"title":"Comparative evaluation of high versus low pressure pneumoperitoneum in causing acute kidney injury during laparoscopic cholecystectomy","authors":"Dr Junaid, Asim Malik, Saba Tahir Bukhari, Saima Amjad, Tasadduq Hussain, Ossama Ather","doi":"10.51273/esc23.251912","DOIUrl":"https://doi.org/10.51273/esc23.251912","url":null,"abstract":"Objective: Aim of our study is to monitor low- and high-pressure pneumoperitoneum effects and find optimum intra-abdominal pressure that is safe to avoid or minimise acute kidney injury. Material & Methods: This study was conducted at Fatima Memorial hospital from May 2022 to November 2022. A total of 80 patients were segregated into two groups of 40 each. Group A had laparoscopic cholecystectomy with 15 mmHg pneumoperitoneum pressure while Group B had 20 mmHg pneumoperitoneum pressure. Patients were monitored postoperatively for creatinine and urine output changes at 8 hours, 24 hours and 72 hours interval. Results: Post operative creatinine rise and fall in urine output was statistically significant between both group indicating 15 mmHg pneumoperitoneum is safer for laparoscopic cholecystectomy to avoid AKI. Operation time, inflation time and blood loss were statistically significant and remain the key factors in predicting AKI after laparoscopic cholecystectomy. Conclusion: AKI is a common but transient condition that can arise after laparoscopic cholecystectomy. It can be minimized by keeping intra-abdominal pressure ≤15mmHg. Operation time, inflation time and perioperative blood loss can predict AKI perioperatively.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"6 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":"135288120","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":"Comparison of efficacy of Methoterexate versus Acitretin in the treatment of chronic plaque psoriasis","authors":"Dr Saadiya Siddiqui Saadiya, Shanze Shafiq, Amna Arif, Shahbaz Aman","doi":"10.51273/esc23.251914","DOIUrl":"https://doi.org/10.51273/esc23.251914","url":null,"abstract":"Objective: To compare the efficacy of methotrexate versus acitretin in the treatment of chronic plaque psoriasis Method: Randomized controlled Trial conducted in Dermatology Department, Services Hospital Lahore, on 60 patients after informed consent, divided into two groups. Group A given methotrexate 0.30.5mg/kg orally and group B given acitretin 0.4mg/kg orally. Efficacy was ascertained by reduction in PASI score, calculated at baseline and at the 12 weeks. Results:Patients of Group A achieved a reduction in PASI score from baseline 13.13±2.047 to 6.20±2.024 (efficacy 76.7%) while in Group B, PASI score dropped from 13.53±2.047 to 7.00±1.857 (efficacy 56.7%). Adverse effects for both groups were minimal and as expected. Conclusion: Both methotrexate and acitretin are highly effective drugs in treating chronic plaque psoriasis. However, methotrexate shows greater efficacy and faster reduction in PASI as compared to acitretin.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"4 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":"135288119","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":"Assessment of Learning Styles in Final Year Medical Students: Comparison of Private and Government Medical College","authors":"Prof Naila Asad Naila, Nighat Nadeem","doi":"10.51273/esc23.2519114","DOIUrl":"https://doi.org/10.51273/esc23.2519114","url":null,"abstract":"Objective: to make a comparison of preferred learning style of final year MBBS medical students of a private medical college with that of Government sector institution. Method: Participants of this observational study were final year students of Services Institute of Medical Sciences Lahore (SIMS) and Lahore Medical and Dental College (LMDC) Pakistan. Fifty Final year students from each college filled the Vark Questionnaire. They were assessed according to their favorite method of learning and were classified as kinesthetic, visual, auditory, or read/write. Comparison of VARK scores between colleges was done by Independent Sample T-Test. Results: There was no significant difference in preference of learning styles among students of both medical colleges. Majority students of both colleges preferred Unimodal style (LMDC-78% vs SIMS-74%). Multimodal style was seen in the rest of students. Read/writing was common among the students of both colleges (20%). Kinesthetic style was preferred by 34% of students of private vs 20% from Government institution. Conclusion: Teaching should involve all sensory modality so that all types of students can actively participate in learning session.","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":"135288128","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":"A Review of Ocular Surgeries Performed in 2020 and 2021 at Tertiary Care Hospital","authors":"Shahid Anwar Bhatti, Tanveer Ahmed Choudry, Muhammad Asif, R. Mushtaq, Huda Asif","doi":"10.51273/esc22.2518414","DOIUrl":"https://doi.org/10.51273/esc22.2518414","url":null,"abstract":"Objective: To review the types and total number of ocular surgeries performed at Tertiary Care Hospital in two consecutive years i.e.,2020 & 2021. This study will also indicate the pattern of ophthalmic diseases in the catchment area of the hospital. Methods: It was retrospective study. Study center was Tertiary Care Hospital. Study duration was two years i.e., 1-1-2020 to 31-12-2021.Data was obtained from eye department of Tertiary Care Hospital. Collected data was analyzed by using SPSS version 25. Tables and graphs were made which presented total number and percentage of all data. Results: Only one ocular surgery i.e., enucleation was carried out in 2020 upon a female 31 years of age. In next year total number of ophthalmic surgeries performed was 60. 66.6 % surgeries were performed due to cataract. 60% of males were operated for cataract and 40% were females. 53.3 % of total surgeries were performed upon females . 10% of total surgeries were performed for squint, predominantly in females, 83.3 % of total squint surgeries. 60% of patients belonged to age group of 60-75years. Conclusion: Number of surgeries carried out in 2020 was only one. In 2021 it increased upto 60 surgeries.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41859169","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":"Comparison of Efficacy of Combination of Acitretin and Narrow Band Ultraviolet B versus Narrow Band Ultraviolet B Alone in the Treatment of Chronic Plaque Psoriasis","authors":"Faiqa Qadeer, Hira Tariq, S. Aman","doi":"10.51273/esc22.251811","DOIUrl":"https://doi.org/10.51273/esc22.251811","url":null,"abstract":"Objective: To compare the efficacy of combination of narrow band ultraviolet B (NBUVB) and Acitretin (ReUVB) versus NBUVB alone in the treatment of moderate to severe plaque psoriasis. Method: This randomized clinical trial was conducted at the Department of Dermatology Services Hospital, Lahore from October 2020 to April 2021. After getting approval from Ethical Review Committee, 100 patients of moderate to severe plaque psoriasis were enrolled. They were divided into two groups of fifty patients each. Group A patients received both acitretin and NBUVB therapy while group B received NBUVB therapy alone for 8 weeks. PASI 50 was set as the efficacy end point. PASI scores and photographs taken before and after treatment were analysed. Results: Mean age of patients was 34.99 ± 9.28 years. In group A, 46 (92%) patients achieved PASI 50 while in group B, 19 (38%) patients achieved PASI 50. Therefore, the efficacy of combination of acitretin and NBUVB was significantly higher compared to NBUVB alone. Statistically significant effect of age, gender, body mass index and duration of disease was found on efficacy. Conclusion: Narrow band Ultraviolet-B therapy is a useful treatment modality in moderate to severe psoriasis. However, combining it with acitretin can significantly enhance its efficacy. How to cite: Qadeer F, Tariq H, Aman S.. Comparison of Efficacy of Combination of Acitretin and Narrow Band Ultraviolet B versus Narrow Band Ultraviolet B Alone in the Treatment of Chronic Plaque Psoriasis. Esculapio - JSIMS 2022;18(01):6-10.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42921835","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 Probiotics on Rotavirus and Non-Rotavirus Diarrhea in Infants: Randomized Controlled Trial","authors":"Fariha Ahmad Khan, Zoobia Irum, Muhammad Zeeshan Khan, Neelofar Yousaf, Mariyam Iftikhar Piracha, Sarah Zaheer","doi":"10.51273/esc22.251831","DOIUrl":"https://doi.org/10.51273/esc22.251831","url":null,"abstract":"Objective: In this trial, we have observed efficacy of two different probiotics in Rotavirus and non-Rotavirus diarrhea in infants of 6 months to 12 months. Method: The study was done to observe efficacy of two different probiotic strains in Rotavirus and non- Rotavirus diarrhea in infants. The study included the infants suffering from acute severe diarrhea. 105 infants were selected and they were divided randomly into three groups. There were 35 infants in one group. The samples of stool were sent to microbiology lab for Rotavirus testing. The treatment plan was standard treatment of diarrhea for infants in group A. The treatment plan for infants of group B and group C included same standard management of diarrhea, in addition they also received probiotics Enterococcus faecium SF68 and Saccharomyces boulardii respectively. Results: There was reduction in stool output and improvement in consistency of stool in infants of group B and C as compared to infants of group A. There was decrease in stool frequency in non-Rotavirus diarrhea in infants of group B and C while there was no significant difference between groups regarding Rotavirus diarrhea. Conclusion: Probiotics helped to decrease the stool output in non-Rotavirus diarrhea. There was not any significant difference in groups regarding Rotavirus diarrhea. How to cite: Khan FA, Irum z, Khan MZ, Yousaf N, Piracha MI, Zaheer S. Effect of Probiotics on Rotavirus and Non- Rotavirus Diarrhea in Infants: Randomized Controlled Trial. Esculapio - JSIMS 2022;18(03):248-252 Keywords: Rotavirus, Non-Rotavirus, Saccharomyces boulardii,, Enterococcus faecium Sf68","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42341922","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":"Correlation Between Arm Span Length And Height","authors":"Gul Maria, Muhammad Asif, Noreen Farid, M. Khattak, Riffat Masood, Anwaar Ahmed","doi":"10.51273/esc22.2518110","DOIUrl":"https://doi.org/10.51273/esc22.2518110","url":null,"abstract":"Objective: Aim of this study was to find out correlation between arm span length and height. The regression equation obtained will be used to estimate height from arm span length. Method: Study design: cross sectional study. Study sample: 108 male students of Sialkot medical college. Sampling Technique: Non probability purposive sampling technique was used to select the samples. Selection criteria: Male students of Sialkot medical college having no deformity of limbs and vertebral column were selected. Collection of data: Standing height was measured in inches. Arm span length was measured by extending arms. Statistical analysis: SPSS version 25 was used to perform statistical analysis. Correlation coefficient and regression equation was obtained. Tables and graphs were made. Results: The value of Pearson correlation coefficient was 0.846. A statistically positive very strong and significant correlation was found between height and arm span length. Conclusion: The results of this study indicate that arm span length can be used to estimate standing height. The regression equation can be used to predict standing height in a person who can not stand up. Keywords: Arm span length, height, Pearson correlation coefficient. How to cite: Maria G, Asif M, Farid N, Khattak A, Masood R, Ahmed A. Correlation Between Arm Span Length and Height. Esculapio - JSIMS 2022;18(01):52-55.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49546114","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":"Comparison of 21 Days Versus 10 Days Bladder Catheterization after Hypospadias Repair","authors":"M. Abdullah, Muhammad Saleem, Ghulam Mujtaba Zafar, Farrukh Mehmood Sattar, Imran Hashim, Arslan Raza Wasti","doi":"10.51273/esc21.2517216","DOIUrl":"https://doi.org/10.51273/esc21.2517216","url":null,"abstract":"Objectives: To compare 21 days versus 10 days bladder catheterization after hypospadias repair. Methods: After approval from ethical committee, Randomised controlled trial performed, in which 196 male patients were enrolled in the study that was conducted at department of pediatric surgery, Children hospital, Lahore. All patients underwent Snodgrass procedure. Group-1 patients were considered for 10 days bladder catheterization for hypospadias repair and group-2 patients were catheterized for 21 days. Complications were documented on follow-up visits in group 1 at 1 week (17 days), 3 weeks (34 days), and 6 weeks (51 days) after catheter removal. In group 2 at 1 week (day 28th), 3 weeks (day 42nd), 6 weeks (day 63rd) after catheter removal. Results: The mean age in group-1 and group-2 was 7.25 ± 3.22 years and 6.29±3.02 years. There were significantly less cases of urethrocutaneous fistula in group 2 when compared to group 1. Urethro-cutaneous fistulas (UCF) developed in 13(13.26%) ,11(11.22%) and 10 (10.2%) cases at 1, 3, and 6 weeks post catheter removal follow up in group 1. While in group 2 UCF developed in 4 (4.08%), 3(3.1%) and 2(2.04%) at 1, 3, and 6 weeks follow up. There were 5(5.2%) and 4(4.1%) cases of post-operative wound infection in groups 1 and 2 respectively (p-value = 0.500). Wound dehiscence was seen in 1 (1.02%) case in group 1 and was not seen in group 2(p value =0.500). glans dehiscence was not seen in group 1 while 1 (1.02%) case seen in group 2 (p value 0.500). Conclusion: We conclude that 21 days catheterization after hypospadias repair gives better outcome and fewer complications when compared to 10 days catheterization. Keywords: Bladder catheterization; Hypospadias repair; Fistula formation. How to cite: Abdullah M., Saleem M., Zafar M.G., Sattar M.F., Hasnain I, Wasti R.A. Comparison of 21 Days Versus 10 Days Bladder Catheterization for Hypospadias Repair. Esculapio 2021;17(02):187-190.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42384716","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":"Knowledge, Attitude and Practices Regarding COVID-19 among Postgraduate Trainees and House Officers","authors":"Shandana Tarique, Shahid Sarwar","doi":"10.51273/esc21.2517214","DOIUrl":"https://doi.org/10.51273/esc21.2517214","url":null,"abstract":"Objectives: To assess the knowledge, attitude and practice among house officers and post graduate trainees towards COVID-19 in tertiary care hospitals. Methods: An online questionnaire was used as research tool to collect data from 115 house officers and post graduate trainees working in tertiary care hospitals. Questionnaire was divided into three sections. Knowledge was assessed on basis of choosing the best option, attitude was evaluated with agree/disagree and practices were considered on yes/no format. Data was analyzed with SPSS 24®(Armonk NY:IBM corp). Results: 115 doctors responded to online survey. Mean age was 26.92±2.92, 62(53.9%) were female and 53(46.1%) were male. Regarding the status of participants, 46(40%) were house officers and 69(60%) were post graduate residents. Considering the domain of knowledge, maximum score was 12 and minimum was4. Mean score was 8.75. It was observed that 82(71.3%) participants agreed that COVID-19 will be successfully controlled, while 114 (99.1%) of participants counselled patients and their attendants about preventive measures. Regarding practice domain, 110(95.7%) participants replied in affirmative that they wore mask when leaving home while 19(16.5%) had undergone training for nasopharyngeal sample collection. Only 45(39.1%) had undergone training for doffing and donning. Pearson correlation was applied between the three domains and status of doctors. It was observed that postgraduate residents were significantly better in Covid-19 related knowledge (p<.05). Among the three domains, no significant relationship was observed. Conclusion: Doctors have positive attitude though factors have been identified in knowledge and practice that need improvement. Keywords: COVID-19, knowledge, attitude, practice How to cite: Tarique S., Sarwar S., Knowledge, Attitude and Practices regarding COVID-19 among Postgraduate Trainees and House Officers. Esculapio 2021;17(02):179-182.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45147682","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 Acute Aerobic Exercise on Diastolic blood Pressure in Preclinical Medical Students of Services Institute of Medical Sciences, Lahore","authors":"M. Shafiq, Miraa Qutab, S. Javaid, R. Fatima, Maha Ijaz, Abdullah Shafiq","doi":"10.51273/esc21.2517212","DOIUrl":"https://doi.org/10.51273/esc21.2517212","url":null,"abstract":"Objectives: To evaluate the response of acute bout of moderate exercise on DBP in preclinical medical students of Services Institute of Medical Sciences (SIMS), Lahore and to compare it with gender, family history, lifestyle and waist-hip-ratio of the study participants. Methods: This cross-sectional study was performed in the Department of Physiology, SIMS from May to December 2019. Ninety-three (93) healthy male and female MBBS students were recruited through nonprobability convenient sampling. Socio-demographic components were gathered using a ques-tionnaire. Anthropometric data (height, weight and waist-hip-ratio) and resting DBP was recorded before the exercise. All participants underwent exercise challenge on a treadmill. Post-exercise DBP was measured by taking serial recordings at zero minutes, 2 minutes and 5 minutes after exercise cessation. Data was analyzed using SPSSv20. Results: Within the 93 participants, 87(93.5%) were physically inactive, with only 6(6.5%) were physically active. In comparison with the baseline DBP, the DBP at zero and 2 minutes post exercise was statistically significant (p<0.001) in study participants. There was no significant correlation between DBP immediately after exercise and gender (p = 0.751); family history of hypertension and diabetes mellitus (p = 0.603); and lifestyle (p = 0.954). A non-significant (p = 0.636) yet positive correlation was observed between post exercise DBPand waist-hip-ratio among males. Conclusion: Our study revealed that an acute bout of exercise significantly raised the DBPimmediately after exercise. This rise in BP was not significantly related to gender, lifestyle and family history of diabetes mellitus and hypertension. Keywords: Diastolic blood pressure, aerobic exercise, waist-hip-ratio, medical students, treadmill How to cite: Shafiq M., Qutab M., Javaid S., Fatima R., Ijaz M., Shafiq A. Effect of acute aerobic exercise on diastolic blood pressure in preclinical medical students of Services Institute of Medical Sciences, Lahore. Esculapio 2021;17(02):170-174.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48823856","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}