Annals of Punjab Medical College最新文献_第4页

The Accuracy of Clinical Risk Index for Babies (CRIB-II) for Predicting Mortality of Severely-ill Preterm Neonates 婴儿临床风险指数(CRIB-II)预测重症早产儿死亡率的准确性

Annals of Punjab Medical College Pub Date : 2020-03-31 DOI: 10.29054/APMC/2020.833

N. Akbar, Sana Sarwar, M. Sajid, M. Hayat, A. Hassan, A. Wasim

{"title":"The Accuracy of Clinical Risk Index for Babies (CRIB-II) for Predicting Mortality of Severely-ill Preterm Neonates","authors":"N. Akbar, Sana Sarwar, M. Sajid, M. Hayat, A. Hassan, A. Wasim","doi":"10.29054/APMC/2020.833","DOIUrl":"https://doi.org/10.29054/APMC/2020.833","url":null,"abstract":"Background: In Pakistan neonatal mortality rate is 47.3 among 1000 live births. Predictors of neonatal mortality risk can be used to prioritize the care for neonates and to improve the outcome. Objective: To determine the accuracy of clinical risk index for babies (CRIB-II) for predicting mortality of severely ill preterm neonates. Study Design: A Cross Sectional Study. Settings: NICU, Department of Pediatrics Unit I and Unit II, Mayo Hospital, Lahore Pakistan. Duration: From January 22, 2016 to July 30, 2016. Methodology: 200 cases fulfilling the selection criteria (Gestational age 2634 weeks, Preterm admitted in NICU within 12 hours of birth), were included in the study by nonprobability, Consecutive Sampling. Babies with lethal malformations were excluded. Data required for CRIB II score was collected and analyzed by SPSS. Results: Out of the 200 cases, 102 patients were male (51 %). Age varies from 1 hour to 9 hours of life with mean of 5.8. Gestational age ranges from 28 weeks to 33 weeks with mean age is 30 weeks. Patients had following diagnosis with number of cases: Respiratory distress syndrome 54; Early onset sepsis 30; PT, JNN, EOS 22; Mild Asphyxia 18; Prematurity 14; RDS, EOS 14; Moderate Asphyxia 10; prematurity, Jaundice neonatorum 8; IUGR 8; Early onset sepsis, DIC 4; PT, NEC, EOS 4. CRIB score has sensitivity of 77.7 %, specificity of 65.4 %. It has positive predictive value of 64.8 %, negative predictive value of 78.2 % & clinical accuracy of 71%. Conclusion: CRIB II score has clinical accuracy of 71 % determining prognosis of severely ill preterm neonates in term of mortality.","PeriodicalId":319424,"journal":{"name":"Annals of Punjab Medical College","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130601607","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

Knowledge, Attitude and Practices regarding Obesity Among Medical Students in Faisalabad, Pakistan 巴基斯坦费萨拉巴德医科学生关于肥胖的知识、态度和做法

Annals of Punjab Medical College Pub Date : 2020-03-31 DOI: 10.29054/APMC/2020.560

Rameen Shahid, Areeba Naeem, M. Riaz, S. Ehsan

引用次数: 3

Diagnostic Accuracy of MR-Spectroscopy in Diagnosis of Focal Liver Malignant Lesions Taking Histopathology as Gold Standard 以组织病理学为金标准的mri诊断肝局灶性恶性病变的准确性

Annals of Punjab Medical College Pub Date : 2020-03-31 DOI: 10.29054/apmc/2020.840

Nosheen Ahmad, Sehrish Israr, S. Irshad, Irfan Shabbir, Amna Rehan, H. Bukhari

{"title":"Diagnostic Accuracy of MR-Spectroscopy in Diagnosis of Focal Liver Malignant Lesions Taking Histopathology as Gold Standard","authors":"Nosheen Ahmad, Sehrish Israr, S. Irshad, Irfan Shabbir, Amna Rehan, H. Bukhari","doi":"10.29054/apmc/2020.840","DOIUrl":"https://doi.org/10.29054/apmc/2020.840","url":null,"abstract":"Objective: To determine the diagnostic accuracy of MR-spectroscopy in diagnosis of focal liver malignant lesions taking histopathology as gold standard. Study Design: Cross-Sectional Validation Study. Settings: The study was conducted in Radiology Department of Allied Hospital Faisalabad. Duration: Six months from 1st October 2017 to 31st March 2018. Methodology: Permission for research was sought from hospital ethical committee. Patients were collected from OPD & indoor departments of Radiology and Medicine of Allied Hospital Faisalabad. Objective of study was explained to every subject who fulfilled the inclusion criteria and informed consent was taken. Confounding variables were controlled by restriction (by excluding subjects with history of metastatic disease and chemotherapy). MRS examination was performed with the patients in supine position using 1.5-T Philips MRI unit and a body phased array coil. This procedure was performed in Radiology Department Allied Hospital Faisalabad. Biopsy was taken from the patients and histopathology was done from histopathology lab PMC/Allied Hospital Faisalabad. Finally, the data was collected. Results: In this study, diagnostic accuracy of MR-spectroscopy in diagnosis of focal liver malignant lesions taking histopathology as gold standard was calculated as 93.75% for sensitivity, 90.20% for specificity, 92.31% for positive predictive value, 92.00% for negative predictive value and 92.17% for accuracy rate, positive likelihood ratio was 9.56 and negative likelihood ratio was 0.07. Conclusion: It is concluded that the diagnostic accuracy of MR-spectroscopy is comparable and is better as it is less invasive in diagnosing of focal liver malignant lesions taking histopathology as gold standard. However, these findings are primary and needs validation through some other local studies.","PeriodicalId":319424,"journal":{"name":"Annals of Punjab Medical College","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123003328","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

Efficacy of Early Versus Delayed Laparoscopic Cholecystectomy in Federal Government Services Hospital Islamabad 伊斯兰堡联邦政府服务医院早期与延迟腹腔镜胆囊切除术的疗效分析

Annals of Punjab Medical College Pub Date : 2020-03-31 DOI: 10.29054/APMC/2020.954

A. A. Bhurt, S. Khatoon, A. Danish, Inayatullah Baig, Z. H. Laghari

{"title":"Efficacy of Early Versus Delayed Laparoscopic Cholecystectomy in Federal Government Services Hospital Islamabad","authors":"A. A. Bhurt, S. Khatoon, A. Danish, Inayatullah Baig, Z. H. Laghari","doi":"10.29054/APMC/2020.954","DOIUrl":"https://doi.org/10.29054/APMC/2020.954","url":null,"abstract":"Background: Acute cholecystitis is a commonest surgical issue and was mostly treated via conservative management followed by the delayed laparoscopic cholecystectomy after interval of the 6 to 8 weeks. However, by the increasing experience in the laparoscopies, surgeons started to attempt early laparoscopic cholecystectomy for acute cholecystitis. Objective: To compare the efficacy of early and delayed laparoscopic cholecystectomy in the acute phase in terms of the conversion to open cholecystectomy. Study Design: Randomized Clinical Trial. Settings: General Surgery Department of Federal Govt. Services Polyclinic Hospital, Islamabad-Pakistan. Duration: Two years from June 2014 to May 2016. Methodology: Patients with established acute cholecystitis diagnosis with age 20 to 50 years and either of gender were included. In early laparoscopic cholecystectomy; removal of gall bladder was done laparoscopically within 72 hours of onset of inflammation and in delayed procedure after 6 weeks of conservative administration. Outcome was assessed via conversion to open cholecystectomy. All the data was recorded in the self-made proforma. Results: Total 196 patients were compared for efficacy of early and delayed laparoscopic cholecystectomy. 41 to 50 years was the most common age group among both groups. Conversion to open cholecystectomy was 5.1% in early group and 6.1% was in delayed group (p-0.711). Efficacy was statistically insignificant according to age and gender p-values were quite insignificant. Conclusion: Early laparoscopic cholecystectomy showed good efficacy with lower conversion rate to open cholecystectomy and additional advantages of safety form extra uses of antibiotics and painkillers of conservative treatment duration.","PeriodicalId":319424,"journal":{"name":"Annals of Punjab Medical College","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131536116","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

Diagnostic Accuracy of Contrast Enhanced Computed Tomography in Detection of Ovarian Cancer in Clinically Suspected Patients 对比增强计算机断层扫描在临床疑似卵巢癌患者中的诊断准确性

Annals of Punjab Medical College Pub Date : 2019-10-21 DOI: 10.29054/APMC/2020.148

Abid Ali Sahito, R. Samo, Vicky Kumar, Aijaz Bhurgari, K. Hotchandani, A. Ashraf

{"title":"Diagnostic Accuracy of Contrast Enhanced Computed Tomography in Detection of Ovarian Cancer in Clinically Suspected Patients","authors":"Abid Ali Sahito, R. Samo, Vicky Kumar, Aijaz Bhurgari, K. Hotchandani, A. Ashraf","doi":"10.29054/APMC/2020.148","DOIUrl":"https://doi.org/10.29054/APMC/2020.148","url":null,"abstract":"Objective: To determine the diagnostic accuracy of contrast enhanced computed tomography (CECT) abdomen to detect the colorectal cancer in clinically suspected patients by taking histopathology as gold standard. \u0000Methodology: This was a descriptive Cross sectional study, which was carried out at radiology department of Civil Hospital, Karachi, from January 2015 to November 2015 and comprised patients referred for CECT of abdomen with clinical suspicious of colorectal carcinoma. The diagnosis of the colorectal cancer was made on the basis of radiological appearance on CT and then compared with histopathological findings. The primary performance of CECT abdomen in terms of sensitivity and specificity in the diagnosis of colorectal carcinoma was calculated. \u0000Results: Out of the 244 subjects, 154 (63.1%) were males and 90 (36.9%) were females. Mean age of the patients was 46.84±10.88 years. Colorectal carcinoma was labeled in 224 patients on CECT abdomen, out of these among 206 patients; carcinoma was proven on histological findings. Contrasted enhanced computed tomography showed diagnostic accuracy of 89.8% followed by sensitivity 92.0% and specificity 65.0%. \u0000Conclusion: Contrast enhanced CT is a non-invasive imaging technique in the diagnosis of colorectal cancer with sensitivity 92.0% and specificity 65.0%.","PeriodicalId":319424,"journal":{"name":"Annals of Punjab Medical College","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128945741","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

Nasal Adhesions – A New Perspective 鼻粘连-一个新的视角

Annals of Punjab Medical College Pub Date : 2019-06-30 DOI: 10.29054/apmc/2019.73

B. Khan

{"title":"Nasal Adhesions – A New Perspective","authors":"B. Khan","doi":"10.29054/apmc/2019.73","DOIUrl":"https://doi.org/10.29054/apmc/2019.73","url":null,"abstract":"Objective: The objective of the study is to explore various causes of adhesions or faults what different surgeons commonly do and how to combat this problem. Study design: Randomized Control Trial. Settings: ENT Unit-I, Allied Hospital, Faisalabad. Duration: July, 2016 to June, 2018. Methodology: 500 patients undergoing septoplasty and SMR, over a period of 2 years were included in this study. Those requiring combination procedures were excluded. The study involved 400 males and 100 females. The age range was 15-75 years with a mean age of 34 years. All patients had a pre-operative nasal packing by undertraining medical officers using a roll gauze soaked in 4% Xylocaine with Topical Adrenaline 1:1000 in a ratio of 50:50 half an hour before surgery. 300 cases were operated under local anesthesia with no intravenous supplement and the remaining 200 under General Anesthesia. Results: 20 patients (04%) presented with adhesions out of which 15 were operated under General Anesthesia and 5 under local anesthesia. All these patients belonged to the non-splinted group. 07 patients (1.4%) complained of slight discomfort due to splints particularly those made of the cut drips. 03 patients (0.6%) complained of the unsightly look of the anterior ends of the splints as they were secured with stitches over the columella. Crust formation was the main problem encountered during the splinting period. Conclusion: Splints have been found to be very effective in preventing adhesion formation which are sometimes very troublesome. However, because of the very low incidence, (04%) in our studies compared to (8.1%) in other series after a single procedure on the nose, one must be very cautious in placing splints and should be placed where the surgeon strongly fears the formation of adhesions, such as in difficult cases. Suggestions: Prevention from unwanted adhesions is the best strategy to avoid adhesions.","PeriodicalId":319424,"journal":{"name":"Annals of Punjab Medical College","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125110035","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