The professional medical journal最新文献_第7页

Confirmation of correct placement of nasogastric / orogastric tube on Point of Care Ultrasound (POCUS) in pediatric critical care unit patients. 确认儿科重症监护室患者在护理点超声（POCUS）上正确放置鼻胃管/口胃管。

The professional medical journal Pub Date : 2024-04-01 DOI: 10.29309/tpmj/2024.31.04.7995

Said Jamal, Shah, Rukhsar Hussain, Fatima Hemani, Sadiq Mirza, Abdul Rahim, Humaira Jurair

{"title":"Confirmation of correct placement of nasogastric / orogastric tube on Point of Care Ultrasound (POCUS) in pediatric critical care unit patients.","authors":"Said Jamal, Shah, Rukhsar Hussain, Fatima Hemani, Sadiq Mirza, Abdul Rahim, Humaira Jurair","doi":"10.29309/tpmj/2024.31.04.7995","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.04.7995","url":null,"abstract":"Objective: To determine frequency of correct placement of nasogastric /orogastric tube on POCUS in pediatric critical care unit patients. Study Design: Descriptive cross-sectional. Setting: High Dependency Unit and Pediatric Intensive Care Unit, Indus Hospital Health Network, Karachi, Pakistan. Period: November 2022 to April 2023. Methods: Patients of age 1 months to 15 years of age requiring NGT placement were enrolled into the study. Patients with nasal surgery, fracture of skull base/ face, bleeding, coagulopathy, esophageal varices, stricture, upper gastrointestinal surgery were excluded from this study. NG tube was passed by principal investigator after evaluating correct size and length measurement. After passing the NG tube, gastric aspiration and gastric auscultation were also performed by principal investigator. Results: In this study we enrolled 147children with median age of patient was 3 (IQR=0.75-07) years. Majority of patient in our study were male (63.9%). Gastric aspiration and gastric auscultation was seen in all of the study patients. Based on POCUS, frequency of correct placement of nasogastric tube in children admitted in PICU was 83%. Sensitivity of POCUS against gastric aspiration and gastric auscultation was 82.5% with 100% positive predictive value (PPV). Specificity was unable compute as there was no negative finding in reference standard and hence there was also no false positive case. Conclusion: POCUS seems to be helpful and could help with the placement of NGT in paediatric clinical settings. Nevertheless, NGT envision in the stomach was difficult, and if the operator is not skilled or there is abdominal distention, it may go unnoticed.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"989 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774494","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}

引用次数: 0

Frequency of major congenital malformations in neonates born in three tertiary care hospitals of Pakistan. 巴基斯坦三家三级医院新生儿主要先天畸形的发生率。

The professional medical journal Pub Date : 2024-04-01 DOI: 10.29309/tpmj/2024.31.04.8063

Zartasha Sial, Madiha Fayyaz, Somayya Siddiqa, Amna Siddique, N. Malik, Haroon Rashid

{"title":"Frequency of major congenital malformations in neonates born in three tertiary care hospitals of Pakistan.","authors":"Zartasha Sial, Madiha Fayyaz, Somayya Siddiqa, Amna Siddique, N. Malik, Haroon Rashid","doi":"10.29309/tpmj/2024.31.04.8063","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.04.8063","url":null,"abstract":"Objective: To assess the frequency of major congenital anomalies in newborns delivered in three different hospitals of Pakistan. Study Design: Cross Sectional study. Setting: Department of Pediatrics Hameed Latif Teaching Hospital, Lahore, Ittefaq Hospital Lahore and HITEC-IMS Taxilla. Period: Jan 2023 to November 2023. Methods: 205 neonates who met the inclusion criteria were included in the study from labour room of Hameed Latif Teaching Hospital Lahore, Ittefaq Hospital Lahore and HITEC-IMS Taxilla. Informed consent was obtained from parents. Demographic variables (name of mother, gender, birthweight and gestational age at birth) were recorded. Then neonates were admitted in NICU and evaluated for presence of congenital malformations including cardiovascular system defects, limbs anomalies, genitourinary system, central nervous system and chromosomal anomalies. All data was entered in specially designed performa. Results: We found that overall gestational age was greater than 32 weeks with mean age of 37.190±2.00 weeks. Mean birth weight was 2.938±0.31 Kg. Frequency and %age of patients according to gender was 60% males and 40% females. Major congenital malformation was seen in 2.9% patients. Among infants with major congenital malformations, cardiovascular system defects were seen in 33.3% infants, limb anomalies 16.7%, genitourinary system 16.7% and central nervous system defects were 33.3%. Parents of 67.7% of cases were cousins. It was observed that only 32.3% of the mothers had taken the recommended daily dose of folic acid in antenatal period. Conclusion: Central nervous system and cardiovascular system defects were the most prominent anomalies detected. Prenatal diagnosis may be helpful in decreasing mortality by offering early termination.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"132 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140793304","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}

引用次数: 0

Effect of treating Mid-Face fracture on nutritional status. 治疗中面部骨折对营养状况的影响

The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7928

Bisma Iftikhar, Gulraiz Zulfiqar, Maham Azam, Moiz Ahmad

{"title":"Effect of treating Mid-Face fracture on nutritional status.","authors":"Bisma Iftikhar, Gulraiz Zulfiqar, Maham Azam, Moiz Ahmad","doi":"10.29309/tpmj/2024.31.03.7928","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7928","url":null,"abstract":"Objective: To determine the effect of treating the midface fracture on nutrition status, assessed via serum albumin and weight loss. Study Design: Prospective Observational Cohort Research. Setting: Department of Oral and Maxillofacial Surgery, Allama Iqbal Medical College/Jinnah Hospital Lahore. Period: September 2022 to Feb 2023. Material & Methods: The research comprised patients receiving open reduction and internal fixation for mid-face fractures. Preliminary weight and next weight measurement taken were recorded three weeks later, and two months afterward for each subject throughout treatment. Initial weight and subsequent weight measurement taken were recorded during treatment for each study subject. Serum albumin was sampled during their first appointment and 1 month later. A final evaluation was conducted six weeks following the surgery. Results: A total of 60 patients undergoing open treatment for mid-face fractures aged over 12 years. The mean age of 28.47±9.520 years. There were 56(93.33%) males and 4(6.67%) female. Diagnosis of patients showed that there was a maximum of 30(50%) patients with fractures of both maxilla and zygomatic bone. The results of the study showed that the mean weight of the patients was 64.05±14.21 preoperatively with minimum weight. At 3 weeks mean weight was 61.44±13.76 while at 2 months mean weight was 62.31±13.99 kg. These results are following other studies. The results of the study showed that the mean albumin of the patients was 3.81±0.710 preoperatively with a minimum albumin level of 2.50 and a maximum of 5.50. At 1-month albumin level was 3.76±0.70, with a minimum level of 2.60 and a maximum of 5.50. Conclusion: Mid face fracture caused mild to moderate malnutrition in some cases so a protein diet was recommended to such patients post-treatment. Weight loss in the treatment of mandibular fractures is anticipated to be higher than in the treatment of midface fractures.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"56 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266110","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}

引用次数: 0

To access the prevalence of undiagnosed type 2 diabetes mellitus in patients with acute coronary syndrome. 了解急性冠状动脉综合征患者中未确诊的 2 型糖尿病的患病率。

The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7941

Quaiynat Amin Khan, Abdul Hameed Kiani, Nisar Ahmed, Tahir Ahamd Munir, Nasim Ilyas, Miss Abeer Tahir

{"title":"To access the prevalence of undiagnosed type 2 diabetes mellitus in patients with acute coronary syndrome.","authors":"Quaiynat Amin Khan, Abdul Hameed Kiani, Nisar Ahmed, Tahir Ahamd Munir, Nasim Ilyas, Miss Abeer Tahir","doi":"10.29309/tpmj/2024.31.03.7941","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7941","url":null,"abstract":"Objective: To access the prevalence of undiagnosed type 2 Diabetes Mellitus in patients with Acute Coronary Syndrome. Study Design: Cross-sectional study. Setting: Department of Medicine, of Tertiary Care Hospital of Islamabad. Period: 17th July 2023 to 17th October 2023. Material & Methods: WHO calculator was used to calculate the sample size and 100 subjects were selected fulfilling the inclusion criteria (Both male and female of age 18 to 65 years retained in ER or admitted with the diagnosis of ACS). Blood samples were obtained for baseline investigations including blood sugar and HBA1C. Results were entered on EXCEL Sheets and analyzed using SPSS V.20. Results: The data showed 47% males, 70% of the participants belonging to the age group 41-65 years ACS presenting with STEMI in 37%, 40% patients with NSTEMI and unstable angina was found in 23%. The Mean BMI was 27±3.2SD mean HBA1C level was 4.3±1.7SD and the mean FBG was 129±17.9SD. Among all the male patients, there were (27.65%) patients with undiagnosed T2DM while among all the female patients, (18.8%) were reported with undiagnosed T2DM. Conclusion: A high prevalence of undiagnosed DM was observed in ACS patients admitted to tertiary care hospital. Research work done in developing countries showed data which was consistent with our study, however, research data from developed world was in contrast to our study.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266809","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}

引用次数: 0

Blood Urea Nitrogen (BUN) levels in renal failure: Unraveling the complex interplay of protein metabolism and kidney health. 肾衰竭患者的血尿素氮 (BUN) 水平：揭示蛋白质代谢与肾脏健康之间复杂的相互作用。

The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7908

Rashad Mahmood, Misbah Batool, Najma Majeed, Zara Shoukat, Ahmad Munir Qureshi, Muhammad Shoaib

{"title":"Blood Urea Nitrogen (BUN) levels in renal failure: Unraveling the complex interplay of protein metabolism and kidney health.","authors":"Rashad Mahmood, Misbah Batool, Najma Majeed, Zara Shoukat, Ahmad Munir Qureshi, Muhammad Shoaib","doi":"10.29309/tpmj/2024.31.03.7908","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7908","url":null,"abstract":"Objectives: To evaluate serum calcium, assess creatinine's muscle function marker, and analyze BUN as a protein metabolism indicator in renal failure. Study Design: Cross-sectional study. Setting: Tehsil Samahni District Bhimber Kashmir. Period: April 2020 to July 2020. Material & Methods: A total of 90 subjects, including 60 with renal failure and 30 healthy individuals from Tehsil Samahni District Bhimber Kashmir registered with THQ hospital for dialysis, were categorized by age and gender. Blood samples were collected after the written consent of each patient and analyzed for serum calcium, serum creatinine, and BUN using an automated analyzer. Ninety subjects were divided into groups based on age and gender. Blood samples were collected and subjected to serum calcium, serum creatinine, and BUN assays using an automated analyzer to evaluate renal function and calcium homeostasis. Results: Serum creatinine levels were significantly elevated in all renal failure groups compared to the healthy group, indicating impaired renal function. However, serum calcium levels remained relatively stable across all groups. Notably, BUN levels were significantly higher in all renal failure groups except for females aged 1-40 years. Conclusion: Renal failure is indicated by elevated serum creatinine, highlighting kidney dysfunction, while serum calcium stability may not be indicative of renal failure. Elevated BUN levels imply disrupted protein metabolism, underlining the complex role of these biomarkers in renal health, and necessitating refinement of diagnostic and therapeutic strategies for renal diseases.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"43 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080784","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}

引用次数: 0

Effect of pre-morbid frailty status on in hospital mortality in critically ill patients. 病前虚弱状态对重症患者住院死亡率的影响。

The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7988

Ravi Kumar, Fakhir Raza, Haidri, Nazia Arain, Adnan Abbas Rizvi, Heeralal, Ramesh Kumar, Dr. Ravi Kumar

{"title":"Effect of pre-morbid frailty status on in hospital mortality in critically ill patients.","authors":"Ravi Kumar, Fakhir Raza, Haidri, Nazia Arain, Adnan Abbas Rizvi, Heeralal, Ramesh Kumar, Dr. Ravi Kumar","doi":"10.29309/tpmj/2024.31.03.7988","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7988","url":null,"abstract":"Objective: To determine the pre-morbid frailty and its association with in-hospital mortality among critically ill patients admitted in intensive care unit (ICU) of a tertiary care hospital. Study Design: Cross-sectional study. Setting: ICU of Sindh Institute of Urology and Transplantation, Karachi, Pakistan. Period: December 2022 to July 2023. Material & Methods: Patients of age 18 years or older, admitted to the ICU were included. Frailty was defined as per Clinical Frailty Scale (CFS). Detailed history was taken to assess frailty status two weeks prior to hospital admission. Patients were classified as pre-morbid frail if their score was higher than 4. Results: Total 151 patients were analyzed with median age of 47 (IQR= 33-59) years. There were 106 (70.2%) male patients, whereas and 92 (60.9%) were having comorbidities. Median CFS score was 4 (IQR=3-5). Out of 151 patients admitted to ICU, 56 (37.1%) had frail. Odds of frailty were increasing with increasing age and among those who had comorbidity. Mechanical ventilation (MV) days (p=0.234), hemodynamic support days (p=0.216) and LOS (p=0.903) were not significantly different among frail and non-frail patients. Nearly half of the patients had died (49%). Mortality was noted in 74 (49.0%) patients. Need of MV, hemodynamic support, APACHEII and SOFA score were associated with mortality (p<0.05). Conclusion: There was considerable burden of frailty among critically ill patients admitted in ICU. However, in-hospital outcomes including mechanical ventilation, hemodynamic support and mortality were not associated with frailty status.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"65 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265876","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}

引用次数: 0

TIMI score as a predictor of severity of coronary artery disease in patients with STEMI. TIMI 评分作为 STEMI 患者冠状动脉疾病严重程度的预测指标。

The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7897

Syed Kashif ur Rahman, M. A. Khan, Muzafar Ali Surhio, M. H. Kalwar, Mashooq Ali Dasti, Mahmood Ul Hassan, Dr. Muhammad Abbas Khan

{"title":"TIMI score as a predictor of severity of coronary artery disease in patients with STEMI.","authors":"Syed Kashif ur Rahman, M. A. Khan, Muzafar Ali Surhio, M. H. Kalwar, Mashooq Ali Dasti, Mahmood Ul Hassan, Dr. Muhammad Abbas Khan","doi":"10.29309/tpmj/2024.31.03.7897","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7897","url":null,"abstract":"Objective: To investigate the TIMI (Thrombolysis in Myocardial Infarction) score as a predictive tool for assessing the severity of coronary artery disease in patients presenting with ST-segment elevation myocardial infarction (STEMI). Study Design: Prospective, Observational Cohort study. Setting: Hayatabad Medical Complex Peshawar. Period: January 2021 to June 2022. Material & Methods: Consecutive patients presenting with STEMI to the emergency department of the participating hospital was considered for inclusion. Inclusion criteria were including patients aged 21 years or older, with symptoms consistent with STEMI and ST-segment elevation of at least 1 mm in two or more contiguous leads on the electrocardiogram (ECG). Patients with a known history of coronary artery disease or previous myocardial infarction were excluded from the study. Results: The age of the patients ranged widely, with a mean±SD age of 60.18±15.38 years. Gender distribution showed a predominance of males, constituting 67.79% of the sample, while females accounted for 32.20%. In terms of comorbidities, 22.03% of patients were obese, 52.54% had diabetes mellitus, 18.64% had hypertension, 25.42% had hyperlipidemia, 11.86% had a family history of myocardial infarction, and 47.45% were smokers. Moderate risk group shows a lower incidence at 71.11%, and the High risk group has the lowest incidence at 50%. The p-value for this comparison is highly significant at 0.0001, indicating that there is a substantial difference in the occurrence of LV dysfunction among these risk groups. Conclusion: Our study demonstrates a strong association between TIMI risk groups and the occurrence of post-myocardial infarction complications, including LV dysfunction, arrhythmias, cardiogenic shock, and death.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"17 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265945","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}

引用次数: 0

Neo-onset myocardial infraction in patients undergoing coronary artery bypass graft with and without long cross clamp time. 接受冠状动脉旁路移植术的患者在使用或不使用长交叉钳夹时间时新发心肌梗死。

The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7978

Muhammad Ammar, Madeeha Ghafoor, Shahbaz Hussain, Ammar Azam, Syed Muhammad Bahar, Ali Bukhari, Yumna Zaheer

{"title":"Neo-onset myocardial infraction in patients undergoing coronary artery bypass graft with and without long cross clamp time.","authors":"Muhammad Ammar, Madeeha Ghafoor, Shahbaz Hussain, Ammar Azam, Syed Muhammad Bahar, Ali Bukhari, Yumna Zaheer","doi":"10.29309/tpmj/2024.31.03.7978","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7978","url":null,"abstract":"Objective: To compare the frequency of new onset perioperative myocardial infarction in patients undergoing coronary artery bypass graft with and without long cross clamp time. Study Design: Randomized Control Trial. Setting: Department of Cardiac Surgery at the CH. Muhammad Akram Teaching and Research, Lahore. Period: 10th Feb 2023 to 10th June 2023. Material & Methods: Patients were admitted through out-patient department one week prior to the operation and randomized to Group L (longer aortic cross-clamp time) and Group S (shorter time). Preoperative electrocardiogram was recorded for every patient. After surgery patients were shifted to intensive care unit. Development of perioperative myocardial infarction was the major outcome variable. Results: In our study, frequency of perioperative myocardial infarction in both groups was 7% in Group-L and 3% in Group-S with a p value was 0.19. Conclusion: In summary, our study sheds light on the notable difference in the frequency of perioperative myocardial infarction among patients undergoing CABG, particularly in relation to cross clamp time. While our findings present valuable insights, the necessity for further validation through multicenter trials with a larger sample size is evident.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"70 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265444","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}

引用次数: 0

Surgical site wound infection rates and its risk factors following emergency caesarean sections. 紧急剖腹产术后手术部位伤口感染率及其风险因素。

The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7918

Samia Ghulam Mohammad, Tasneem Ashraf, Khadija Farrukh, Samina Rehan Khan, Amera Tariq, Ayesha Arif

{"title":"Surgical site wound infection rates and its risk factors following emergency caesarean sections.","authors":"Samia Ghulam Mohammad, Tasneem Ashraf, Khadija Farrukh, Samina Rehan Khan, Amera Tariq, Ayesha Arif","doi":"10.29309/tpmj/2024.31.03.7918","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7918","url":null,"abstract":"Objective: To determine the frequency of surgical site wound infection and factors responsible for it following emergency Caesarean section performed in, PNS SHIFA Hospital Karachi. Study Design: Cross Sectional study. Setting: Department of Obstetrics and Gynecology, PNS SHIFA Hospital Karachi. Period: 4th July 2021 to 4th January 2022. Material & Methods: Three hundred eleven women with term pregnancy undergoing emergency Caesarean section for maternal or foetal indications were included in this study. Wound inspection for signs of infection was done every day. Factors responsible of causing wound infection were noted from the discharge card. All the information was recorded on a preformed questionnaire. Results: 62(19.94%) of 311 women experienced surgical site wound infections in which prolonged duration of rupture of membranes was the commonest factors i.e. 51.6% (32/62), prolong duration of labor before operation 29%(18/62) and excessive volume of intra operative blood loss 29% (18/62). Conclusion: It is concluded there is a need to adopt specific preventative measures to decrease the frequency of identified factors so that the frequency of wound infection after the emergency caesarean section can be controlled with decreasing maternal morbidity and reduce hospital stays and thus, reducing the cost of treatment.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"101 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079937","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}

引用次数: 0

Frequency of hypomagnemsemia in neonate with hypocalcemic seizures presenting to a Tertiary Care Hospital. 在一家三级医院就诊的低钙惊厥新生儿中出现低镁血症的频率。

The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7879

Waqar Ahmed, Aisha Kiran, Fareeda, Mahesh Kumar, Moomal Imdad, Sajid Ali

{"title":"Frequency of hypomagnemsemia in neonate with hypocalcemic seizures presenting to a Tertiary Care Hospital.","authors":"Waqar Ahmed, Aisha Kiran, Fareeda, Mahesh Kumar, Moomal Imdad, Sajid Ali","doi":"10.29309/tpmj/2024.31.03.7879","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7879","url":null,"abstract":"Objective: To determine the frequency of hypomagnesemia in neonate with hypocalcemic seizures presenting to a tertiary care hospital. Study Design: Cross-sectional Descriptive Study. Setting: Ghulam Muhammad Mahar Medical College Hospital in Sukkur. Period: 1st May 2022 to 31st October 2022. Material & Methods: The research involved a group of 157 infants who had experienced seizures due to low calcium levels. A proficient phlebotomist with over two years of experience drew a 3cc venous blood sample from each participant, which was subsequently sent to the hospital laboratory for analysis. The serum magnesium levels were determined, and hypomagnesemia was defined as a magnesium level below 1.7mg/dl. These findings were meticulously documented in the attached annexure proforma. Results: A total of 157 infants presented with hypocalcemic seizures were included in this study. The average age of the infants was 6.31±4.62 days. Frequency of hypomagnesemia in neonate with hypocalcemic seizures was 28.9% (44/157) infants. The data indicates that exclusively breastfed neonates have the highest prevalence of hypomagnesaemia at 41%, while those exclusively formula fed have the lowest at 22.2%. However, the p-value of 0.110 suggests that these differences are not statistically significant, indicating that feeding status may not be a major contributor to hypomagnesaemia in neonates. The prevalence of hypomagnesaemia is higher in the 6.6-7 mg/dl range (31.7%) compared to the 5-6.5 mg/dl range (25.5%). Conclusion: In our research, the occurrence of low magnesium levels in newborns experiencing seizures due to low calcium levels is more prevalent among infants. This typically indicates the presence of both vitamin D deficiency and hypomagnesemia simultaneously, and can be effectively addressed with short-term therapy. Newborns who have seizures and are diagnosed with low calcium levels are unlikely to gain any advantages from neuroimaging assessments.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"47 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080617","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}

引用次数: 0