Isra Medical Journal最新文献

{"title":"Ureteral Injury during Lumbar Laminectomy: A rare occurrence","authors":"Khalid Farouk","doi":"10.55282/imj.cr92","DOIUrl":"https://doi.org/10.55282/imj.cr92","url":null,"abstract":"During spinal surgery injury to ureters is a rare complication with only few cases has been reported in literature. We come across a case of un-recognized iatrogenic during lumbar laminectomy. The injury went unrecognized initially and was discovered fifteen days later when the patient presented in surgery ER with atypical symptoms of severe right iliac fossa and flank pain. The symptoms were not attributable to any disease pertaining to the respective specialty. In this case report we have highlighted a rare complication which encountered during lumber spine laminectomy, with literature review to give comprehensive information’s to the surgeons and patients regarding this complication and its management approaches. Keywords: Ureter, Injury, Lumber laminectomy, Clinical presentation, Diagnosis, Management","PeriodicalId":253275,"journal":{"name":"Isra Medical Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128044960","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":"Prevalence of Benign Anorectal Diseases: A huge burden on society","authors":"S. Perveen","doi":"10.55282/imj.oa1288","DOIUrl":"https://doi.org/10.55282/imj.oa1288","url":null,"abstract":"Objective: To assess the frequency of Benign anorectal diseases and its impact on the society. Study Design: Observational descriptive study. Place and Duration: Colorectal Clinic, Surgical Unit 1 Jinnah Postgraduate Medical Center from 1st Jan, 2016 to 31st Dec, 2018. Methodology: All patients with benign anorectal diseases presenting to colorectal clinic more than 12 years of age, both genders were included. The patients with biopsy proven anorectal malignancies were excluded. The frequency of all types of benign anorectal diseases with their and possible causes of adverse outcome were recorded. Results: A total of 2825 patients with anorectal diseases were assessed during study period and among them 76.84% patients were diagnosed with benign anorectal diseases, 1.9% had malignancy and 21.2% patients presented with non-significant symptoms. Female dominance has been seen and out of 2171 patients with benign diseases, 42% had hemorrhoids which is showing the major burden among benign anorectal diseases. Conclusion: The benign anorectal diseases are more prevalent in our population with detrimental social impact on society. Keywords: Anorectal Diseases, Benign, Prevalence, Social impact, Morbidity, Disease Burden.","PeriodicalId":253275,"journal":{"name":"Isra Medical Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133555060","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":"Necessity of Framing Virtuous Journal Policies for Attaining High Impact Citations","authors":"U. Khan","doi":"10.55282/imj.ed59","DOIUrl":"https://doi.org/10.55282/imj.ed59","url":null,"abstract":"In the era of modern science and technology research has been given great significance. This will be only possible in light of accurate results extracted from good quality published researches in reputed journals. To ensure quality standard maintenance of medical journals, recommended international guidelines by International Committee for Medical Journal Editors (ICMJE), World Association of Medical Editors (WAME), and Committee of Publication Ethics (COPE) must be followed. All these will be emphasize various steps for publications i.e. pre submission phase, submission phase, publication proceedings and post publication phase. The ICMJE and WAME is comprised of a group of medical journal editors and the legislatures of associated organizations. They focus to refine the recommendations for the conduct, reporting, editing and publication of scholarly work in medical journals.1,2 While aim of COPE is to focus on publication ensuring maintenance of all ethical rights of subjects and patients especially in line with Helsinki declaration.3-5 Following and strict adherence to all these will be helpful to achieve good Global ranking of a journal. This will be done by SC Imago Journal Rank (SJR) which is an internationally recognized standard for recognizing the quartile (Q) of a journal. All the mile stones for this ranking and quartile demarcation, includes the overall number of published manuscripts, total number of citations, and average citations per week. Regarding quartiles, they helps in journal’s ranking for impact factor or impact index. Q1 comprises of upper 25% of journals in the gradient, Q2 involves journals in next 25 to 50% group, Q3 includes journals between 50 to 75% groups. While Q4 is occupied by group of journals between 75 to 100%. The esteemed journals of specific discipline are usually the ones which can occupy first quartile, Q1.6 In light of ICMJE, WAME and COPE guidelines, following can be the plan to uplift a medical journal in view to make it a Q1 journal;1-3 There must be clarity for each an ever policy to run a medical journal in successful way. Highlighted amongst those policies includes finalization of journal’s name reflecting the content to be published. Then comes establishment of editorial board i.e. editor in chief, associate editors, assistant editors, advisory board, statistician, English language expert and team for plagiarism and software handling. The editors should be highly reputed individuals who are capable of making decisions regarding the acceptance or rejection of an article. He should have the ability to work as a team, because he is the one to regular involve author’s reviewers and publishers in the process of printing the journal.","PeriodicalId":253275,"journal":{"name":"Isra Medical Journal","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122596185","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":"Analysis of C reactive protein and other inflammatory markers in the cardiovascular risk prediction in women","authors":"Muhammad Shahid","doi":"10.55282/imj.oa1320","DOIUrl":"https://doi.org/10.55282/imj.oa1320","url":null,"abstract":"Objective: To evaluate the role of C Reactive Protein and other inflammatory markers in cardiovascular risk prediction. Study Design: A prospective case-control study. Place and Duration: At Cardiology Department of Nishtar Medical University & Hospital Multan from 5th Oct 2020 to 5th Oct 2021. Methodology: A total of 150 postmenopausal women were studied and divided into CVD patients (n=50) and control patients (n=100). The analyzed markers of inflammation included Interleukin-6, high-sensitivity C-reactive Protein, Soluble ICAM-1 (slCAM-1), and Amyloid-A. The Homocysteine, Lipid Profile, and Low and High-density lipoprotein levels were also evaluated. Cardiovascular events considered in our study were death after coronary artery disease, non-fatal heart attack or stroke, or requiring coronary-revascularization methods. Results: In univariate analysis, it was observed that high-sensitivity C-reactive protein levels were the strongest risk predictor of cardiovascular diseases. Amyloid-A, High-density lipoprotein, Cholesterol, Low-density lipoprotein cholesterol, Soluble lCAM-1, Interleukin-6, Apolipoprotein B-100, Homocysteine, total cholesterol, and the ratio of total cholesterol to high-density lipoprotein cholesterol also contributed to predicting cardiovascular diseases. High-sensitivity C-reactive protein (95% Cl: 1.4(1.0-2.0)) and Amyloid-A (95% Cl: 0.9(0.7-1.5)) were also strong risk predictors in women. On the other hand, in multivariate analyses, only High-sensitivity C-reactive protein and the ratio of total cholesterol to high-density lipoprotein cholesterol were independent risk predictors. Conclusion: As high-sensitivity CRP is an independent cardiovascular risk predictor, adding it to lipid screening may be a good procedure for identifying women at risk of cardiovascular diseases. Keywords: High sensitivity C-reactive protein, Cardiovascular events, Amyloid-A, Lipids, Inflammatory markers","PeriodicalId":253275,"journal":{"name":"Isra Medical Journal","volume":"210 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122594067","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":"Analysis of Genetic predispositions for Cognitive decline after Cardiac Surgery","authors":"Shafqat Hussain","doi":"10.55282/imj.oa1273","DOIUrl":"https://doi.org/10.55282/imj.oa1273","url":null,"abstract":"Objective: To analyze the effect of Apo lipoprotein E-ε4 allele mediated genetic predispositions on cognitive impairment in patients with post-cardiac procedures. Study Design: A cohort observational study design. Place and Duration: From 1st Aug 2020 to 1st Jan 2021 at Cardiac Surgery Department of Ch. Pervaiz Elahi Institute of Cardiology, Multan. Methodology: Patients undergoing coronary bypass surgery were evaluated for Apo lipoprotein E-ε4 allele based post-operative cognitive dysfunctionality. The major outcomes of the study were analyzed on the basis of cognitive performance at two levels mainly at pre-coronary surgery and post-coronary surgery after an interval of 07 weeks. Results: The genotyping of the patients (n=45) revealed the presence of the APOE ε4 allele in 73% and absence in 27% of the total patients respectively. Results show that no statistically significant difference was observed in the mean values of the descriptive variables or the baseline psychological measurement scores (means) for both the presence and absence of Apo lipoprotein E-ε4 respectively. The multivariable logistic regression analysis revealed no significant relationship with age. However, a significant relationship was observed between the presence of APOE-ε4 allele and cognitive dysfunction in patients who underwent coronary surgery after an interval of 7 weeks. Conclusion: A significant correlation is observed between the presence of APOE-ε4 allele and cognitive dysfunction in patients who underwent coronary surgery after an interval of 7 weeks. Moreover, no significant relationship was observed with age. Keywords: Cardiac surgery, Apo lipoprotein E (APOE), E-ε4 allele, Cognitive decline, Genetic predispositions, Postoperative cognitive dysfunction (POCD)","PeriodicalId":253275,"journal":{"name":"Isra Medical Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116972905","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}