Pakistan Armed Forces Medical Journal最新文献_第2页

Dyslipidaemia In Acute Non-Cardioembolic Ischemic Stroke Patients At A Tertiary Care Center 三级医疗中心急性非心肌梗塞缺血性脑卒中患者的血脂异常

Pakistan Armed Forces Medical Journal Pub Date : 2024-02-28 DOI: 10.51253/pafmj.v74i1.10337

Muhammad Umair, Asad Zaman Khan, Asad Bilal Mir, Muhammad Farrukh Habib, Iqra Iqbal, Jamshaid Iqbal

引用次数: 0

Analgesic efficacy of Ultrasound-Guided Caudal Block versus Pudendal Nerve Block in BRAKA - I Repair for Paediatric Hypospadias 在 BRAKA - I 小儿尿道下裂修补术中，超声引导的尾状神经阻滞与阴茎神经阻滞的镇痛效果比较

Pakistan Armed Forces Medical Journal Pub Date : 2024-02-28 DOI: 10.51253/pafmj.v74i1.9445

Abrar Ahmed, Syed Qasim Rizvi, Muhammad Saad Sikander, Khalid Buland, Muhammad Huzaifa Shareef, Muhammad Saad Farooq

{"title":"Analgesic efficacy of Ultrasound-Guided Caudal Block versus Pudendal Nerve Block in BRAKA - I Repair for Paediatric Hypospadias","authors":"Abrar Ahmed, Syed Qasim Rizvi, Muhammad Saad Sikander, Khalid Buland, Muhammad Huzaifa Shareef, Muhammad Saad Farooq","doi":"10.51253/pafmj.v74i1.9445","DOIUrl":"https://doi.org/10.51253/pafmj.v74i1.9445","url":null,"abstract":"Objective: To compare the efficacy of ultrasound-guided caudal versus pudendal nerve block analgesia in paediatric patients undergoing hypospadias.\u0000Study Design: Quasi-experimental study.\u0000Place and Duration of Study: Combined Military Hospital Rawalpindi, Pakistan from Mar to Sep 2022.\u0000Methodology: Paediatric patients with ages ranging from 4-12 years with ASA Grade I/II planned for hypospadias repair were included. Sixty-eight patients were divided into Group-C (caudal block) and Group-P (pudendal nerve block), after randomization. Group-C patients received ultrasound-guided caudal block while pudendal nerve blockade was performed under ultrasound guidance in Group- P. Demographic variables, requirement of rescue analgesics, CHEOPS scoring at 0, 1, 2,6 and 12 hours, and complications in the intraoperative period were recorded.\u0000Results: Pain scores at the 6th and 12th hour were significantly reduced in Group-P compared to Group-C. Requirement of analgesia was lesser in Group P 01(2.9%) compared to 11(32.3%) in Group C with a p-value of 0.006. Out of 34 patients in Group-C 07(20.6%), patients encountered complications compared to Group-P, which had no complications.\u0000Conclusion: Ultrasound-guided pudendal nerve block is superior to caudal block in providing adequate perioperative analgesia with fewer complications and decreased requirement of additional analgesic supplements.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419897","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

Association of Socio-demographic factors with Polycystic Ovarian Syndrome; A Comparative Study 社会人口因素与多囊卵巢综合症的关系；一项比较研究

Pakistan Armed Forces Medical Journal Pub Date : 2024-02-28 DOI: 10.51253/pafmj.v74i1.11187

Mahreen Bhatti, Nabila Amin, I. Satti, Hammad Gul Khan, Abdur Rauf, Radia Tul Zahra

{"title":"Association of Socio-demographic factors with Polycystic Ovarian Syndrome; A Comparative Study","authors":"Mahreen Bhatti, Nabila Amin, I. Satti, Hammad Gul Khan, Abdur Rauf, Radia Tul Zahra","doi":"10.51253/pafmj.v74i1.11187","DOIUrl":"https://doi.org/10.51253/pafmj.v74i1.11187","url":null,"abstract":"Objective: To compare the association of Socio-demographic factors in Polycystic Ovarian Syndrome (PCOS) patients with healthy controls.\u0000Study Design: Comparative cross-sectional study.\u0000Place and Duration of Study: Department of Biochemistry and Molecular Biology, Army Medical College, Rawalpindi, Pakistan, in collaboration with Department of Gynecology and Obstetrics PEMH, Rawalpindi, Pakistan from Apr to Aug 2023.\u0000Methodology: The study comprised 300 females within reproductive age groups. Participants were separated into two groups. Group-I included 150 diagnosed PCOS patients, and Group-II had 150 healthy females selected by non-probability purposive sampling.\u0000Results: The PCOS patients exhibit a higher mean weight than the control Group (p-value; 0.017). The comparison of PCOS patients and controls showed significant association with physical activity (p-value: 0.038), hirsutism (p-value: 0.010) and Ferriman-Gallwey score (p-value: 0.001) and consanguineous marriages (p-value: 0.076).\u0000Conclusion: This study underscores the significance of socio-demographic factors in the manifestation of PCOS in Pakistan, emphasizing the need for early diagnosis, intervention, and tailored healthcare strategies, particularly among young women.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"262 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140420795","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

Demographics, Daily Sleep Hours, Body Mass Index, and Comorbidities in Overweight People 超重人群的人口统计学特征、每日睡眠时间、体重指数和并发症

Pakistan Armed Forces Medical Journal Pub Date : 2024-02-28 DOI: 10.51253/pafmj.v74i1.6967

Ayesha Amjad, S. B. Ayaz, Fawad Rahman, Ahmad Jamal, Naureen Tassadaq, Sonia Iqbal

{"title":"Demographics, Daily Sleep Hours, Body Mass Index, and Comorbidities in Overweight People","authors":"Ayesha Amjad, S. B. Ayaz, Fawad Rahman, Ahmad Jamal, Naureen Tassadaq, Sonia Iqbal","doi":"10.51253/pafmj.v74i1.6967","DOIUrl":"https://doi.org/10.51253/pafmj.v74i1.6967","url":null,"abstract":"Objective: To explore the association of knee pain intensity with demographics, body mass index, daily sleep hours and comorbidities in overweight people.\u0000Study Design: Cross-sectional study.\u0000Place and Duration of Study: Different Clinics of Wazirabad City, Pakistan, from Oct 2020 to May 2021.\u0000Methodology: People with knee pain for >1 month and a body mass index of ≥25 kg/m2 were included and questioned regarding variables of interest. The pain was graded according to the Numerical Rating Scale.\u0000Results: Of 335 individuals (mean age: 31±7 years), 189(56.4%) were males, and 199(59.4%) were married. The mean systolicand diastolic blood pressures were 124.4±7.9 mmHg and 85.3±7.2 mmHg, respectively. The mean sleep hours were 7±0.8 hours,while the mean body mass index was 30.1±2 kg/m2. The mean pain score was 2.8±1. Pain intensity had a significant positive correlation with age (p<0.001), body mass index (p=0.041), systolic and diastolic blood pressures (p<0.001 each). Similarly, pain intensity was significantly higher in people who were married (p<0.001) or had diabetes mellitus or hypertension (p<0.001 each).\u0000Conclusion: Knee pain intensity increases with age, body mass index, and systolic and diastolic blood pressure, and it decreases with increasing sleep hours.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"18 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140423223","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

Role of Calcium Levels in Pregnant Women with Pre-Eclampsia and Severe Pre-Eclampsia 钙水平在子痫前期和重度子痫前期孕妇中的作用

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-31 DOI: 10.51253/pafmj.v73i6.7466

Sara Khan, Uzma Urooj, Rabiya Khan, Nusrat Noor, Sadaf Zohra, Tooba Khan

{"title":"Role of Calcium Levels in Pregnant Women with Pre-Eclampsia and Severe Pre-Eclampsia","authors":"Sara Khan, Uzma Urooj, Rabiya Khan, Nusrat Noor, Sadaf Zohra, Tooba Khan","doi":"10.51253/pafmj.v73i6.7466","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.7466","url":null,"abstract":"Objective: To determine the association between hypocalcemia and pre-eclampsia. Study Design: Case-control study. Place and Duration of Study: Department of Obstetrics Gynaecology, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jan to Jul 2019. Methodology: A total of 90 women, (45 with pre-eclampsia and 45 with normotensive) aged 18-40 years, were included. In all patients, 5ml of venous blood was collected and sent to an institutional pathology laboratory for serum calcium level measurement. Hypocalcemia was noted in the patients. Results: The mean gestational age in the Case-Group was 31.40±1.64 weeks, and in the Control-Group was 31.51±1.69 weeks. The mean BMI in the Case-Group was 24.94±4.39 kg/m2, and in the Control-Group was 24.24±4.61 kg/m2. The mean serum calcium levels in the Case-Group were 5328.73±2638.70 ng/ml, and in the Control-Group were 8630.03±1099.26 ng/ml. In our study, the frequency of hypocalcemia in women with pre-eclampsia (Case Group) was found to be 16(36.56%) compared to only 04(8.89%) in normotensive (Control Group) women with a p-value of 005 and Odds ratio of 5.66 which shows a positive association of hypocalcemia with pre-eclampsia. Conclusion: This study concluded that the frequency of hypocalcemia in pre-eclampsia women is very high, which shows a positive association between hypocalcemia and pre-eclampsia.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":"87 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139132214","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

SAPHO (Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis); A Case of Backache in an Adolescent in Pakistan SAPHO（滑膜炎、痤疮、脓疱病、骨质增生、骨膜炎滑膜炎、痤疮、脓疱病、骨质增生、骨膜炎）；巴基斯坦青少年背痛病例

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-30 DOI: 10.51253/pafmj.v73i6.9130

Abdul Rehman Azeem Dar, Maira Aleem, Ali Akhtar, Muhammad Zahid Hussain

{"title":"SAPHO (Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis); A Case of Backache in an Adolescent in Pakistan","authors":"Abdul Rehman Azeem Dar, Maira Aleem, Ali Akhtar, Muhammad Zahid Hussain","doi":"10.51253/pafmj.v73i6.9130","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.9130","url":null,"abstract":"SAPHO (Synovitis, Acne, Pustulosis, Hyperostosis, Osteitis) syndrome is a group of rare auto-inflammatory disorders with a wide range of dermatological and osteoarticular manifestations. Different nomenclatures, like Chronic Recurrent Multifocal Osteoarthritis (CRMO) and Chronic Non-Bacterial Osteomyelitis (CNO), have been used in the past for the same disease, but SAPHO Syndrome has been the accepted terminology since 1990. An adolescent, 17 years of age, with a six-month history of inflammatory backache and fatigue, reported to a rheumatology clinic. His health assessment questionnaire- disability indexcame out to be two. Acne on physical examination raised inflammatory markers, and characteristic findings of SAPHO syndrome on bone scan suggest the disease. The patient was treated with an excellent response to bisphosphonates. The report highlights the importance of the evaluation of inflammatory backache in adolescents. SAPHO syndrome is an underdiagnosed disease. Therefore, more awareness of this disease among healthcare physicians is required.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139137872","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

Comparison of the Mean Post-Operative Pain Score with Ultrasound Guided Transversus Abdominis Plane (TAP) Block and Wound Infiltration with Local an Aesthetic Agent in Abdominal Surgeries 腹部手术中超声引导下腹横肌平面 (TAP) 阻滞与使用局部麻醉剂进行伤口浸润的术后平均疼痛评分比较

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-30 DOI: 10.51253/pafmj.v73i6.4525

A. Sadique, Asjad Sharif, A. Gulrez

{"title":"Comparison of the Mean Post-Operative Pain Score with Ultrasound Guided Transversus Abdominis Plane (TAP) Block and Wound Infiltration with Local an Aesthetic Agent in Abdominal Surgeries","authors":"A. Sadique, Asjad Sharif, A. Gulrez","doi":"10.51253/pafmj.v73i6.4525","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.4525","url":null,"abstract":"Objectives: To compare the mean post-operative pain score with ultrasound-guided transversus abdominis plane block and wound infiltration with local anaesthetic agents in abdominal surgeries. Study design: Comparative prospective study Place and Duration of Study: Department of Anaesthesia, Intensive Care and Pain Management, Combined Military Hospital, Bahawalpur Pakistan, from Oct 2018 to Apr 2019. Methodology: Sixty patients undergoing abdominal surgery aged 18-60 years were included. The patients in Group-A received transverses abdominis plane block with 20 ml of 0.25% Bupivacaine bilaterally, while those in Group-B received 20 ml of 0.25% Bupivacaine as local wound infiltration. Each patient was followed till 6 hours post-operatively. Results: Out of 60 patients, 35(58.33%) were male, and 25(41.67%) were females. In our study, the Visual analogue score was 1.63±0.85 in Group-A (ultrasound-guided TAP block) compared with 4.47±1.07 in patients with Group-B (wound infiltration with a local anaesthetic agent) with a p-value of 0.001, which was statistically significant. Conclusion: The study concluded that the mean pain score in patients with ultrasound-guided Transversus abdominis plane block is less compared to wound infiltration with local anaesthetic agents in abdominal surgeries.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":" 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139139325","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

Autoimmune Polyglandular Syndrome Type-2 A Case Report on a Rare Disease 自身免疫性多腺体综合征 2 型一种罕见疾病的病例报告

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-30 DOI: 10.51253/pafmj.v73i6.8277

Wahaj Ul Hassan, U. Z. Farid, Kamran Ali, Umer Naseer

引用次数: 0

Role of Inflammatory Markers in Early Diagnosis of Neonatal Sepsis; C-Reactive Protein or Procalcitonin or Red Cell Distribution Width; A Hospital-Based Study 炎症标志物在新生儿败血症早期诊断中的作用；C-反应蛋白或降钙素原或红细胞分布宽度；一项基于医院的研究

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-30 DOI: 10.51253/pafmj.v73i6.9349

Prinka Bai, Heena Rais, Rabia Asif, Tayyaba Anwar, Sandhiya Kumari, Masab Azeem

{"title":"Role of Inflammatory Markers in Early Diagnosis of Neonatal Sepsis; C-Reactive Protein or Procalcitonin or Red Cell Distribution Width; A Hospital-Based Study","authors":"Prinka Bai, Heena Rais, Rabia Asif, Tayyaba Anwar, Sandhiya Kumari, Masab Azeem","doi":"10.51253/pafmj.v73i6.9349","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.9349","url":null,"abstract":"Objective: To find out the utilization of C-reactive protein (CRP), Procalcitonin (PCT) and red cell distribution width (RDW) in diagnosing neonatal sepsis considering blood culture findings as gold standard. Study Design: Cross-sectional validation study. Place and Duration of Study: Neonatal Intensive Care Unit (NICU) of Dr Ziauddin Medical University, Karachi Pakistan, from Feb to Jul 2022. Methodology: A total of 42 neonates of either gender with the clinical diagnosis of neonatal sepsis were enrolled. Demographical and clinical characteristics of all neonates were noted at the time of enrollment. A blood sample of 5 ml was withdrawn for the evaluation of CRP, PCT and RDS. The association of different inflammatory markers with the outcome (neonatal sepsis) was assessed. Results: In 42 neonates, the mean age was 7.24±9.24 days, and 26 (61.9%) neonates were boys. Respiratory distress, reluctance to feed and hypoglycemia were the most frequent clinical presentations observed (19,45.2%), (14,33.3%) and (8,19.0%) neonates, respectively. Mean CRP levels among blood culture positive and negative neonates were 40.02±57.84mg/dl and 7.57±13.34 mg/dl, respectively, while the difference was statistically significant (p=0.0068). RDW (p=0.6488) and procalcitonin (0.9021) levels were not statistically significant differences among positive and negative neonates of blood culture. Conclusion: The CRP was a significant predictor of neonatal sepsis, while RDW and procalcitonin did not have a significant relationship with early prediction of neonatal sepsis.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139137238","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

Comparison of Dexmedetomidine with Tramadol for Treatment of Shivering Post Spinal Anaesthesia 右美托咪定与曲马多治疗脊髓麻醉后颤抖的比较

Pakistan Armed Forces Medical Journal Pub Date : 2023-12-30 DOI: 10.51253/pafmj.v73i6.6345

Chaudhry Raheel Ranjha, Muhammad Saeed, Basit Mehmood, Umer Hayat, Sana Abbas, Arona Terrence

{"title":"Comparison of Dexmedetomidine with Tramadol for Treatment of Shivering Post Spinal Anaesthesia","authors":"Chaudhry Raheel Ranjha, Muhammad Saeed, Basit Mehmood, Umer Hayat, Sana Abbas, Arona Terrence","doi":"10.51253/pafmj.v73i6.6345","DOIUrl":"https://doi.org/10.51253/pafmj.v73i6.6345","url":null,"abstract":"Objective: To compare the efficacy of Dexmedetomidine with Tramadol for shivering post-spinal anaesthesia. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anaesthesia, Combined Military Hospital, Rawalpindi Pakistan, from Jul to Dec 2020. Methodology: A total of 158 patients who underwent gynaecological, orthopaedic and general surgical procedures under spinal anaesthesia using 0.5% hyperbaric Bupivacaine 12-15 mg were included in the study. Out of these 158 patients, 64% (102 patients) developed shivering after spinal anaesthesia. These 102 patients were divided into two equal groups, i.e., Group-D (n=51), who received 0.5 μg/kg Dexmedetomidine and Group-T (n=51), who received 0.5 mg/kg tramadol. The response in the next 15 mins was evaluated objectively as “effective” or “non-effective” by the treating Anesthesiologist. Results: Dexmedetomidine and Tramadol were effective in treating shivering following spinal anaesthesia. Our study showed that Dexmedetomidine was more effective than Tramadol in treating shivering, with an effectiveness of 88.2 % shivering relief in Group-D and an effectiveness of 51 % shivering relief in Group-T. The effectiveness was significant in both groups, with statistical significance in Group-D compared to Group-T (p<0.05). Conclusion: Shivering relief was more responsive in patients who received Dexmedetomidine than Tramadol after spinal anaesthesia.","PeriodicalId":31059,"journal":{"name":"Pakistan Armed Forces Medical Journal","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139140093","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