Pakistan Journal of Medical Sciences最新文献

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Barriers of conducting and completing research in Pakistan among doctors: A cross-sectional survey.
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.10424
Zainab Aqeel Khan, Umaimah Muzzamil, Khubab Ahsan, Aiman Khan, Masood Jawaid
{"title":"Barriers of conducting and completing research in Pakistan among doctors: A cross-sectional survey.","authors":"Zainab Aqeel Khan, Umaimah Muzzamil, Khubab Ahsan, Aiman Khan, Masood Jawaid","doi":"10.12669/pjms.41.3.10424","DOIUrl":"10.12669/pjms.41.3.10424","url":null,"abstract":"<p><strong>Objectives: </strong>To identify the barriers encountered while conducting and completing research among doctors in Pakistan.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from November 2023 to March 2024 to identify research barriers among medical doctors working in different hospitals of Pakistan. All graduated doctors who at least had six months of postgraduate clinical experience were included. Participants who provided incomplete response or refused to participate were excluded. The data was collected on pre-designed questionnaire. The survey consisted of demographics, information about research experience and publications and perception about research barriers. P-value <0.05 was considered significant.</p><p><strong>Results: </strong>Out of 1,000 doctors included for study, only 380 of them responded to the survey with a response rate of 38%. The mean age of all participants was 29.3 ± 7.3. Almost 58% of the participants were female. Almost 62.6% of the participants considered lack of training as the main barrier in conducting research, followed by inadequate financial support (53.1%), inadequate support from institute (53.1%), inadequate support from mentors (48.1%), lack of statistical work support (47.3%), insufficient time (45.5%) and difficulty in obtaining ethical approval (30.7%). There was statistically significant association found for inadequate financial support barrier between participants who had research publication and who did not (P < 0.001).</p><p><strong>Conclusion: </strong>The lack of training and inadequate financial and institutional support is identified as main barriers for conduction and completion of research in Pakistan among doctors.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"886-890"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of severe acute kidney injury requiring renal replacement therapy in renal transplant patients: A single center experience.
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.10371
Abdul Rauf Hafeez, Ranjeet Kumar, Nazarul Hassan Jafry, Muniba Rehman
{"title":"Outcomes of severe acute kidney injury requiring renal replacement therapy in renal transplant patients: A single center experience.","authors":"Abdul Rauf Hafeez, Ranjeet Kumar, Nazarul Hassan Jafry, Muniba Rehman","doi":"10.12669/pjms.41.3.10371","DOIUrl":"10.12669/pjms.41.3.10371","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to assess the renal allograft and patient survival following acute kidney injury requiring dialysis therapy.</p><p><strong>Methods: </strong>We analyzed the medical record of 3000 first living donor kidney transplant performed between 2008 to 2017 for AKI requiring dialysis at Sindh Institute of Urology and Transplantation, Karachi, Pakistan. Patients less than 15 years of age and those AKI events that happened less than three months post renal transplant were excluded. Renal allograft and patient survival were recorded at discharge and one-year post AKI. Recovery of renal functions was assessed at three-month.</p><p><strong>Results: </strong>AKI requiring dialysis therapy was identified in 154 (5.1%) patients. At discharge, 115 (74.7%) were alive and 71 (61.7%) of them were dialysis free. At three-month, out of 71 dialysis free patients, 11 (15.5%) had complete recovery, 54 (76%) had partial recovery and six (8.5%) required dialysis again. At one-year, 98 (63.6%) patients were alive and 42 (42.9%) of them were dialysis free. Infectious etiology of AKI (<i>P</i>= 0.000; 0R 6.00; CI, 2.3-15.08) and more than two non-dialysis -requiring AKI in the past (<i>P=</i> 0.017; OR 3.04; CI, 1.2-7.5) were the risk factors of in-hospital mortality. Non-infectious cause of AKI (<i>P</i>=0.000; OR 45.5; CI, 9.9-206) and being off calcineurin inhibitors (<i>P</i>=0.014; OR 4.4; CI, 1.3-14.8) were the risk factors of dialysis dependency at hospital discharge.</p><p><strong>Conclusions: </strong>Dialysis-requiring AKI secondary to infectious etiology has both high mortality and chances of recovery in survivors. They need prompt diagnosis and treatment. Non-infectious etiology and being off CNI are the risk factors of graft loss in dialysis-requiring AKI.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"763-768"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association between Type-D personality and in vitro fertilization success among women with unexplained infertility. D型人格与不明原因不孕妇女体外受精成功率之间的关系。
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.9966
Esra Nur Tola, Umran Kilıncdemir Turgut
{"title":"The association between Type-D personality and in vitro fertilization success among women with unexplained infertility.","authors":"Esra Nur Tola, Umran Kilıncdemir Turgut","doi":"10.12669/pjms.41.3.9966","DOIUrl":"10.12669/pjms.41.3.9966","url":null,"abstract":"<p><strong>Objective: </strong>To evalute the association between Type-D personality and in vitro fertilization (IVF) success in unexplained infertile women.</p><p><strong>Methods: </strong>This was a cross-sectional study conducted at the IVF unit of a tertiary center between September 2017 - December 2019. The 21 items Beck Depression Inventory (BDI-21) and 14 items Type-D Scale (DS14) were noted from 256 unexplained infertile women undergoing an IVF cycle.</p><p><strong>Results: </strong>Paternal educational level and clinical pregnancy were lower and depression was more prevalent in Type-Ds than non-Type-Ds. There was a positive correlation between BDI-21 scores and duration of infertility and cycle count. Age, paternal educational level, anti-mullerian hormone and metaphaseII number were lower and Type-D personality was more prevalent in women who failed to become pregnant than women who achieved pregnancy. After adjustment of factors affect the IVF success, clinical pregnancy was negatively associated with Type-D personality, age and low paternal educational level, whereas it was positively associated with infertility duration and single embryo transfer.</p><p><strong>Conclusion: </strong>It seems that having a Type-D personality may negatively affect clinical pregnancy after IVF treatment in couples with unexplained infertility.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"730-735"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical analysis of maternal healthcare delivery systems and mortality patterns: A commentary on research from a tertiary care center in Pakistan.
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.11949
Abdullah Saad, Dua Fatima Sherwani
{"title":"Critical analysis of maternal healthcare delivery systems and mortality patterns: A commentary on research from a tertiary care center in Pakistan.","authors":"Abdullah Saad, Dua Fatima Sherwani","doi":"10.12669/pjms.41.3.11949","DOIUrl":"10.12669/pjms.41.3.11949","url":null,"abstract":"","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"939"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Same-Level or Near Peer Assisted Learning Program (NPAP) on Academic Performance of Students in CMH Lahore, Pakistan.
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.10968
Ayub Ahmad Khan, Shazia Tufail, Mustafa Ayub Khan, Asim Raza
{"title":"The Impact of Same-Level or Near Peer Assisted Learning Program (NPAP) on Academic Performance of Students in CMH Lahore, Pakistan.","authors":"Ayub Ahmad Khan, Shazia Tufail, Mustafa Ayub Khan, Asim Raza","doi":"10.12669/pjms.41.3.10968","DOIUrl":"10.12669/pjms.41.3.10968","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the improvement in academic performance of undergraduate medical students by comparing pre- and post- Near Peer Assisted Learning programs (NPAP) academic scores in the subject of Otorhinolaryngology.</p><p><strong>Methods: </strong>Our study was a quasi-experimental pretest-posttest study and it was carried out at CMH Lahore Medical College, Lahore during the 2022-2023 academic year. We worked with 72 fourth-year MBBS students, 24 students took on the role of NPAL tutors, while 48 were tutees. The NPAP included regular sessions that emphasized crucial Otorhinolaryngology topics. We gauged academic performance by comparing pretest scores from the 2nd Module Examination with posttest scores from the Send Up and Annual Examinations. Our data analysis, done through IBM SPSS Statistics, focused on both overall and gender-based performance improvements.</p><p><strong>Results: </strong>Our study demonstrated that NPAP significantly improved academic scores in Otorhinolaryngology, with NPAL tutors showing higher overall improvements in scores. Gender based comparison showed that in both groups of NPAL Tutors and NPAL Tutees, female students scored slightly better than males. The P-value less than 0.001 validated the improvement in academic scores of both NPAP groups of Tutors and Tutees displaying the effectiveness of NPAP as an educational intervention at undergraduate level in the subject of Otorhinolaryngology.</p><p><strong>Conclusions: </strong>NPAP has shown significant impact on improvement of Academic Performance in undergraduate medical students in the subject of Otorhinolatngology at CMH Lahore Medical College.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"740-746"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unlocking the Power of AI: Healthcare Workforce Perception and Its Impact on their Work Performance in Saudi Arabia.
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.11014
Rakesh Kumar, Ajay Singh, Ahmed Subahi Ahmed Kassar, Mohammed Ismail Humaida, Sudhanshu Joshi, Manu Sharma
{"title":"Unlocking the Power of AI: Healthcare Workforce Perception and Its Impact on their Work Performance in Saudi Arabia.","authors":"Rakesh Kumar, Ajay Singh, Ahmed Subahi Ahmed Kassar, Mohammed Ismail Humaida, Sudhanshu Joshi, Manu Sharma","doi":"10.12669/pjms.41.3.11014","DOIUrl":"10.12669/pjms.41.3.11014","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the perception of AI among the healthcare workforce and its impact on their performance, with technology readiness acting as a moderating factor.</p><p><strong>Methods: </strong>In this cross-sectional study, a close-ended, self-administered survey questionnaire was used between 02 June to 04 August, 2024 to collect responses from 434 participants working in the public hospitals in Hail health cluster in Saudi Arabia. The study employed demographic summaries, descriptive statistics, regression analysis using Hayes' Process, and regression diagnostics for data analysis. The data were analyzed using SPSS version 27.</p><p><strong>Results: </strong>The participant demographics indicated a majority of male respondents from the medical field, primarily aged between 36-45 years. Most participants had 9-10 or more years of experience in their current position and held graduate degrees in the healthcare sector of Saudi Arabia. Regression analysis using Hayes' Process showed an insignificant negative impact of AI perception on workforce performance (β_1 = -0.0062, p = .315). However, technology readiness significantly moderated this effect, turning it into a positive and significant impact (β_3 = 0.2512, p = .0209).</p><p><strong>Conclusion: </strong>The study demonstrates that while AI perception alone has a negligible effect on workforce performance, its influence becomes significant when moderated by higher levels of technology readiness. Future research should examine how factors such as organizational culture and resource availability influence AI perceptions in healthcare.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"682-686"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Online Diabetes Education Counseling on Treatment adherence and Quality of Life of Type-II Diabetics.
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.10468
Ibrar Ahmed, Adan Javed, Nazeer Ullah, Hoor Maab Kaifi
{"title":"Impact of Online Diabetes Education Counseling on Treatment adherence and Quality of Life of Type-II Diabetics.","authors":"Ibrar Ahmed, Adan Javed, Nazeer Ullah, Hoor Maab Kaifi","doi":"10.12669/pjms.41.3.10468","DOIUrl":"10.12669/pjms.41.3.10468","url":null,"abstract":"<p><strong>Objective: </strong>To determine the impact of online diabetes education counseling on treatment adherence and quality of life of Type-II diabetics in Mardan, Khyber Pakhtunkhwa, Pakistan.</p><p><strong>Method: </strong>This was a quasi-experimental study conducted in Mardan and its peripheries, Khyber Pakhtunkhwa (KPK), Pakistan. The duration of the study was from October 2022 till March 2023. A total of 196 patients with diagnosed Type-II Diabetes mellitus were enrolled in the study using non-probability consecutive sampling technique. Baseline Information was gathered regarding demographics, dietary pattern, medicine adherence, quality of life, Random blood sugar (RBS), HbA1c, Blood pressure, and BMI. Counseling regarding Diabetes treatment and lifestyle were carried out for each patient, patients were followed twice weekly for a period of six months with possible interventions if needed. RBS, HbA1c, Blood pressure, BMI, medicine adherence and quality of life were determined on last visit.</p><p><strong>Results: </strong>The study showed that out of 196 patients, 108(54.6%) were males and 88(45.4%) were females. Statistically significant difference was observed between baseline and at six months follow up with respect to RBS, HbA1c, BMI and blood pressure, (p<0.001). Drug adherence was significantly improved after intervention (p<0.05).</p><p><strong>Conclusion: </strong>Online diabetes education counseling had a significant impact on treatment adherence. Post intervention quality of life of Type-II diabetics was adequate. Moreover, online diabetes education counseling significantly reduced the blood glucose level, body mass Index and blood pressure.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"843-847"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical efficacy and safety of sintilimab injection plus chemotherapy in patients with stage IB-IIIB non-small cell lung cancer.
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.9830
Qiang Guo, Haijun Wang, Yanzhao Xu, Mingbo Wang, Ziqiang Tian
{"title":"Clinical efficacy and safety of sintilimab injection plus chemotherapy in patients with stage IB-IIIB non-small cell lung cancer.","authors":"Qiang Guo, Haijun Wang, Yanzhao Xu, Mingbo Wang, Ziqiang Tian","doi":"10.12669/pjms.41.3.9830","DOIUrl":"10.12669/pjms.41.3.9830","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical efficacy of sintilimab injection and chemotherapy as neoadjuvant therapy for stage IB-IIIB non-small cell lung cancer(NSCLC), and evaluate its clinical safety.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on the clinical data of patients with stage IB-IIIB NSCLC who underwent neoadjuvant treatment before surgery at Affiliated Hospital of Hebei University, between June 2021 to August 2023. Eighty patients were divided into an observation group(n = 40) and a control group(n = 40) according to their treatment regimens. The control group was administered albumin-bound paclitaxel plus cisplatin, while the observation group received sintilimab injection in addition to the exact treatment provided for the control group. The clinical efficacy, tumor marker levels, immune function, and quality of life were compared between the two groups.</p><p><strong>Results: </strong>After treatment, the overall response rate in the observation group was 85.00%, significantly higher than 65.00% in the control group(P< 0.05). The overall pathological response rate in the observation group was 77.5%, significantly higher than 42.5% in the control group (P< 0.05).During treatment, adverse reactions were observed in both groups. Yet, there was no statistically significant difference in the incidence of adverse drug reactions between the two groups (P > 0.05).</p><p><strong>Conclusion: </strong>The combination therapy of sintilimab injection, albumin-bound paclitaxel, and cisplatin for stage IB-IIIB NSCLC can effectively reduce tumor marker levels, improve immune function, demonstrating favorable clinical and pathological efficacy without increasing the incidence of adverse drug reactions.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"724-729"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Construction of an imaging diagnostic model based on computed tomograph signs for peripheral small cell lung cancer.
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.11354
Jia Li, Haitao Liu, Cuihong Jiang
{"title":"Construction of an imaging diagnostic model based on computed tomograph signs for peripheral small cell lung cancer.","authors":"Jia Li, Haitao Liu, Cuihong Jiang","doi":"10.12669/pjms.41.3.11354","DOIUrl":"10.12669/pjms.41.3.11354","url":null,"abstract":"<p><strong>Objective: </strong>To construct an imaging diagnostic model for peripheral small cell lung cancer (pSCLC) with a diameter of ≤ 3cm to improve differential diagnostic efficiency.</p><p><strong>Methods: </strong>As a retrospective study, patients with pathologically confirmed lung cancer with tumor diameter ≤ 3 cm who were treated at the Guang'anmen Hospital South Campus, China Academy of Chinese Medical Sciences from May 2018 to May 2024 were retrospectively selected. All patients underwent computer tomography (CT) imaging. Patients with pSCLC (n=38) were identified first and then matched them to patients with peripheral non-small cell lung cancer (pNSCLC) (n=114) during the same period in a 1:3 ratio. Predictive factors of pSCLC were identified by logistic regression analysis, and a predictive model was constructed.</p><p><strong>Results: </strong>Logistic regression analysis confirmed that male gender, smooth edges, less spiculation sign, less air bronchogram sign, and lymph node enlargement are independent predictive factors for pSCLC. A predictive model that combines the above five predictive factors has high diagnostic efficacy for pSCLC. The receiver operating characteristic (ROC) analysis results showed the area under the curve AUC of 0.842 (95% confidence interval (CI): 0.759~0.925), with a sensitivity of 84.2% and specificity of 78.1%.</p><p><strong>Conclusions: </strong>Male sex, smooth edges, less spiculation and air bronchogram signs, and lymph node enlargement identified by the CT scan were shown as independent predictive factors for pSCLC. Combining the above features has a high diagnostic efficacy for pSCLC.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"747-752"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Digital Treadmill on Lower Limb Motor Function in Patients with Ischemic Stroke.
IF 1.2 4区 医学
Pakistan Journal of Medical Sciences Pub Date : 2025-03-01 DOI: 10.12669/pjms.41.3.9572
Yuqing Huang, Ning Wang, Xincai Yang, Yun Deng, Shuai Yan
{"title":"Effect of Digital Treadmill on Lower Limb Motor Function in Patients with Ischemic Stroke.","authors":"Yuqing Huang, Ning Wang, Xincai Yang, Yun Deng, Shuai Yan","doi":"10.12669/pjms.41.3.9572","DOIUrl":"10.12669/pjms.41.3.9572","url":null,"abstract":"<p><strong>Objective: </strong>To observe the effect of digital treadmill on lower limb motor function in patients with ischemic stroke.</p><p><strong>Method: </strong>This was a clinical comparative study. A total of 60 patients with ischemic stroke at Hebei University Hospital were selected from October 2020 to September 2022 and randomly divided observation group and control group. The control group was given conventional rehabilitation therapy, with the observation group receiving digital treadmill training. Both groups were assessed using the Holden Functional Ambulation Category Scale(FAC), digital treadmill gait analysis system, and dynamic balance instrument and after four weeks, followed by a statistical analysis.</p><p><strong>Result: </strong>After four weeks of treatment, both groups showed an improved in FAC grading, gait spatiotemporal parameters (including step speed, step length, stance time and step height), gait kinematic parameters (including hip joint flexion and extension mobility, knee joint flexion and extension mobility, and active ankle dorsiflexion ability) and balance assessment parameters (including motion trajectory area and motion trajectory perimeter) compared to pre-treatment (p< 0.05). Additionally, the gait symmetry parameters, including step length deviation and step height deviation, in the observation group were significantly lower than pre-treatment (p< 0.05), while in the control group, without statistically significant differences(p>0.05). Furthermore, the inter-group comparisons showed significant improvements of all the parameters studied above in the observation group compared to the control group (p< 0.05).</p><p><strong>Conclusion: </strong>Digital treadmill training may effectively improve gait parameters, gait symmetry, walking and balance ability of patients with ischemic stroke.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 3","pages":"880-885"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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