Journal of Fatima Jinnah Medical University最新文献

{"title":"Evaluation of right liver lobe size to serum albumin concentration ratio in predicting the presence of esophageal varices in cirrhotic patients taking endoscopy as gold standard","authors":"H. M. Jehangir, M. A. Rao, Sarmad Zahoor, H. Raza, W. Ali, Maryam Ijaz","doi":"10.37018/dggr3020","DOIUrl":"https://doi.org/10.37018/dggr3020","url":null,"abstract":"Background: Cirrhosis with its complication is a major health concern in Pakistan. Endoscopy is an invasive and expensive modality for screening for esophageal varices which is one of the most common complication of liver cirrhosis. Research is being conducted to explore non-invasive markers that can replace this invasive technique. We aimed to evaluate the predictive value of the ratio of the size of the right lobe of liver to serum albumin concentration in prediction of the presence of esophageal varices. \u0000Methods: It was a cross-sectional study conducted at the Medicine Department, Ghurki Trust Teaching Hospital, Lahore from January 4 till July 31. The study included 297 patients of all the genders, aged 20-70 years, diagnosed cases of liver cirrhosis for at least 6 months and having suspected esophageal varices on right liver lobe size to serum albumin ratio >4.1. All the patients were subjected to upper GI endoscopy to confirm predicted varices. Data was analyzed using SPSS 23.0. PPV of the ratio was calculated. Post-stratification chi square was used to find association (p value <0.05 as significant). \u0000Results: The patients had a mean age of 51.5 ± 9.2 years with 180 (60.6%) male and 117 (39.4%) female patients. Diagnosis of esophageal varices was confirmed in 225 (75.8%) patients on endoscopy. There were 225 true positive and 72 false positive cases. Positive predictive value was 75.8%. \u0000Conclusion: The positive predictive value of the ratio of the size of the right liver lobe to serum albumin was statistically significant in predicting the presence of esophageal varices on upper GI endoscopy. These findings were not dependent on the patient's age, BMI, gender, duration of disease or serum bilirubin level. \u0000  \u0000Cirrhosis, Esophageal Varices, Right Liver Lobe Diameter to Serum Albumin Ratio","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116688386","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":"Letter to Editor \"Barret’s Esophagus Screening: An Inevitable Urge For Gastroenterologists\"","authors":"J. Khan, Azhar Zahir Shah, Ayesha Qaisar, Ayesha Gul","doi":"10.37018/xnfq2305","DOIUrl":"https://doi.org/10.37018/xnfq2305","url":null,"abstract":"The presence of benign esophageal diseases including gastroesophageal reflux disease, barrets esophagus,hiatal hernia and achalasia have been arousing the curiosity of young clinicians , scientists and researchers for decades and years to   follow.1 Dyspepsia is one of the most common symptoms experienced by the patients and witnessed by the doctors during routine clinical consultations. This does accompany regurgitation of food, bad taste in mouth early morning, chest pain and sometimes alarm symptoms including hematemesis, malena,  unintentional weight loss and dysphagia.That is the point where one has to rethink  and diagnosis treatment strategies and review patients accordingly.2 \u0000          Barrett’s oesophagus is defined as ‘an oesophagus in which any portion of the normal squamous lining has been replaced by metaplastic columnar epithelium. Barrets esophagus is a benign condition with a potential to transform to oesophageal carcinoma.3 There is a long history gastroesopheal reflux disease symptoms. In our country  there is a trend of self medicating oneself before coming to any physician in the general practice who also treats the patients for years before referral to gastroenterologist who can think out of the box and do invasive investigations  like endoscopy, CT chest and non invasive one like barium swallow. Most of the people ponder over when is right moment for screening the patients for Barrets esophagus and Esophageal Cancer Screening. A lot depends on the biopsy report and its findings in terms of having low grade, indefinite for dysplasia and high grade dysplasia.4 \u0000          Low grade dysplasia in terms of surveillance carries less significance in which the guidelines suggest the time interval can be enhanced to 2-3 years in case of permanent regression with proton pump inhibitors given for 8 weeks The high grade dysplasia is an alarm finding for any gastroenterologist requirement more aggressive screening and management as there is a 30-40% risk of oesophageal carcinoma.5 This will need discussion by multidisciplinary teams including gastroenterologists, oncologists and pathologists as well.5 \u0000          There is usage of proton pump inhibitors for years by the patients that is itself a risk factor for complications such as atrophic gastritis, pernicious anaemia, osteoporosis and even cancer.6 The resistance of symptoms to standard and even high doses of proton pump inhibitors is an indication for endoscopy as well. The role of PPI in asymptomatic patients is not substantiated by enough evidence in the literature However, in clinical practice, most patients are advised long term PPI based on the premise that chronic acid exposure may contribute towards Barrett’s Esophagus.6 So the bottom line is that there should be no hesitation in expediting the referral of such patients for urgent gastroenterology consultation who may do subsequent endoscopy after thorough examination of the patients. \u0000                American Gastroenterologi","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126791230","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":"Effect of physical activity level on orthodontic pain perception after separator placement in adult patients managed at a tertiary care teaching public sector hospital in Lahore","authors":"Zainab Fatima, Asmi Shaheen, Waqar Ahsan, Muhammad Illyas","doi":"10.37018/ciai8143","DOIUrl":"https://doi.org/10.37018/ciai8143","url":null,"abstract":"Background: Different behavioral therapies are used to reduce pain severity in patients undergoing separator placement apart from pharmacological treatments. However, there is limited local data.This study aimed to determine the frequency of high and low levels of activity in adult patients who needed separator placement and compared the mean pain scores with respect to baseline physical activity level following the intervention. \u0000Subjects and methods: It was a descriptive case series carried out at the Orthodontics Department, De’Montmorency College of Dentistry, Lahore, for a period of 3 months from 15.7. 2022 to 15.9.2022. Total 120 patients aged 18 to 40 years of both genders, who needed separator placement were included in the study. Patients were excluded if they had medical conditions or systemic diseases that was a contraindication for usage of fixed orthodontic appliances, had chronic pain or pain in the orofacial or dental region, had maxillary or mandibular fracture and who had previous history of mandibular or maxillary surgery. Baseline physical activity level was noted down as per clinical history. Patients then underwent separator placement. \u0000Results: Mean age of the patients was 28.67±6.312 years. There were 62 (51.7%) males and 58 (48.3%) females. Baseline low physical activity was found in 77 (64.2%) patients while high activity was found in 43 (35.8%) patients. Mean pain scores in the low physical activity group were 3.9±2.056 and in the high physical activity group were 2.26±2.094 and the difference was statistically significant i.e. p=0.001 as assessed by independent t-test. \u0000Conclusion: Frequency of low physical activity level was higher in patients and it was found to be associated with higher mean pain scores compared to patients who had high baseline level of physical activity. \u0000 ","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"111 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114098885","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":"Frequency of the multi and extensively drug-resistant Salmonella Typhi in a health care facility","authors":"Tehreem Shabbir, Muhammad Mujtaba Madni, Qurrat-ul-Ann Malik, Serwan Muttayab Mufti, Isra Umbreen Mufti, Sabahat Khan","doi":"10.37018/yvqh7295","DOIUrl":"https://doi.org/10.37018/yvqh7295","url":null,"abstract":"Background: Antibiotic resistance is increasing against Salmonella Typhi (S. Typhi), causative agent of enteric fever, at a very high pace in Pakistan. The objective of this study was to evaluate the emergence of multi and extensively drug resistant Salmonella Typhi among suspected patients in a public health care facility in Lahore. \u0000Patients and methods: 5cc blood samples from the patients with high grade fever (>38°C), vomiting and bradycardia (heart rate 84 bpm) were collected from laboratory of Arif Memorial Teaching Hospital, Lahore over six months (August 2020-January 2021), After informed consent, questionnaire were filled and total 97 samples were taken from suspected patients and screened for Salmonella Typhi by using Typhidot IgG/IgM by ELISA kit (one step typhoid fever) for S. Typhi. Gram staining, culture and biochemical testing was performed for confirmation. Antibiotic susceptibility testing was used to evaluate the emergence of antibiotic resistance. Statistical analysis was performed by using SPSS 20.0, software. Chi square test was used, \u0000Results: Total 55 (56.7%) samples out of 97 (100%) were reported positive for Salmonella Typhi. Antimicrobial susceptibility testing results indicated that 6 samples were resistant to more than one antibiotic commonly called as multidrug resistant, 44 samples were extensively drug resistant and 5 samples were nonresistant/sensitive to selected antibiotics. Highest resistance was reported against Ampicillin (51 samples (92.7%) and Co-trimoxazole (50 samples (90%)). Resistance against Moxifloxacin and Tobramycin, Ciprofloxacin, Ceftriaxone Cefuroxime and Cefotoxime, Cefxime, Levofloxacin, Salbactum, Imepenum and Amikain was 47 (85.4%), 46 (83.6%), 45 (81.81%), 44 (80%), 37 (67.2%), 32 (58.18%), 14 (45%) and 9 (16.3%) respectively. Lowest resistance was reported against Meropenum 5 (9%) and Azithromycin 1 (1%). \u0000Conclusion: It is concluded that the monitoring of MDR and XDR must be performed by all clinical microbiology/pathology laboratories to implement effective measures to reduce the emergence of antimicrobial resistance.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"221 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113992287","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":"Role of neutrophils to lymphocytes ratio in identification of bacterial infection in adult population","authors":"Ayesha Kashmala Ghouri, S. Khurshid, Rabbia Tariq, A. Qadir, M. Butt, Arif Memon","doi":"10.37018/yvms5820","DOIUrl":"https://doi.org/10.37018/yvms5820","url":null,"abstract":"Background: Bacterial infection are difficult to distinguish from viral infection. Neutrophils are the first cells mobilize to infectious site caused by bacteria and also apoptosis of lymphocytes in response to cell mediated immunity hence raised in neutrophils and decrease in lymphocyte count. The goal of this study is to determine the neutrophil to lymphocyte ratio in patient with positive blood culture for bacteria in patients admitted in hospital. \u0000Patients and methods: This cross-sectional study was conducted at Department of Pathology, Hamdard University Karachi, Pakistan from 1st January to 31st June 2022. Total 123 adult patients with positive blood cultures admitted in ward or ICU were enrolled in the study. CBC Samples were collected from patients admitted in ward or ICU and blood culture were already sent due to clinical condition, the organism isolated in blood culture were recorded As blood culture is a gold standard investigation to detect bacterial infection .In this study we will record neutrophil to lymphocyte ratio in patients admitted with positive blood culture for bacteria. Age less than 15 years, pregnant female, OPD patients, negative blood cultures and patients on antibiotic therapy were excluded. Complete blood count (CBC) was performed in Beckman coulter model DxH 520 made by Germany. Age and ward of patient, organism isolated from blood culture, CRP. \u0000Results: A total of 123 patients with positive blood culture were enrolled in the study. Out of 123 patients 61.8% (n=76) were male and 38.2% (n=47) were female. Mean NLR was 5.9± 13.1. Total 45.5% patients presented with high NLR. Mean CRP was 58.5± 68.7.  \u0000Conclusion: High NLR was seen in 45.5% which shows NLR is an important indicator of bacterial infection. More studies are needed to define true significance of NLR in all ages and negative blood cultures.  \u0000 ","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123508660","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":"Effect of caffeine consumption on sleep quality of undergraduate medical students of Multan","authors":"G. Nasir, Jawad Ahmad, Arooma Aziz, Hamza Hussain, Rehab Zafar, Arfa Iqbal","doi":"10.37018/zlax7580","DOIUrl":"https://doi.org/10.37018/zlax7580","url":null,"abstract":"Background: Caffeine is extensively utilized as a stimulant of the central nervous system by more than 80% of the world’s population. About 94% of medical students are reported using caffeine which is likely to have a detrimental impact on sleep quality. The purpose of the study was to evaluate the relationship between caffeine consumption and sleep quality among non-obese. undergraduate medical students \u0000Subjects and methods: An Observational cross-sectional comparative study was carried out at Nishtar Medical University, Multan during the months of November and December 2022.Total 83, both male and female, non-obese undergraduate medical students (18-23 years old, BMI=18.5-24.9) selected by simple random sampling were included in this study, and they were divided into 3 groups on the basis of low (58 ± 29 mg/day), moderate (143±25 mg/day) or high (351±139 mg/day) caffeine consumption daily. Caffeine Consumption Questionnaire (CCQ) and Pittsburgh Sleep Quality Index Scale (PSQI) were used to assess the daily caffeine consumption (mg/day) and sleep quality, respectively. IBM SPSS-26 was used for data analysis. Mann-Whitney U test and Spearsman’s rho correlation were applied. \u0000Results: PSQI scores were high [11(8─16)] in highly caffeinated participants, moderate [7(5─9)] in moderately caffeinated participants, and low [3(1─6)] in low caffeinated [3(1─6)] participants (p=0.000). Low-caffeinated subjects had lower PSQI scores compared to moderately and highly caffeinated subjects (p=0.000 and p=0.000, respectively). PSQI scores in moderately caffeinated were also less as compared to highly caffeinated (p=0.000). Within the low caffeinated, moderately caffeinated, and highly caffeinated subjects caffeine consumption was positively correlated to PSQI scores (r=0.529, p=0.004), (r=0.579, p=0.002), (r=0.592, p=0.001) respectively. \u0000Conclusion: Increase in Caffeine consumption reduces sleep quality, implying that caffeine consumption and sleep quality are inversely related to each other.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121043194","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":"Comparison of dermatosis acne vulgaris in obese and non-obese patients","authors":"M. Qasim, Muhammad Sikander Ghsyas Khan, Qasima Agha, Madiha Sikander, F. Agha, Azima Sultana","doi":"10.37018/mmqm.4814","DOIUrl":"https://doi.org/10.37018/mmqm.4814","url":null,"abstract":"Background: Obesity is a disorder characterized by increase fat deposition in human body. Acne vulgaris is a common skin disease, affecting approximately 9.4% of the world’s population, with considerable effect on the quality of life. According to a previously conducted study, the prevalence rate of acne in Pakistan was found to be 5%. Obesity is increasing rapidly in developed and developing world. Acne vulgaris is commonly associated with obesity. The objective of this study is to compare the acne vulgaris in obese and non-obese patients. \u0000Patients and methods: It was a cross-sectional descriptive survey in which 300 obese and 300 non-obese patients were included respectively. Dermatosis, acne vulgaris was observed in the patients selected through inclusion criteria. This study was conducted in The University of Lahore Pakistan. Data was collected from outdoor Patients of skin Department of The University of Lahore Hospital during April 2020 to October 2020, by using questionnaire. Consent was taken before data collection. Data was analyzed through SPSS version 20. \u0000Results: Mean age of obese group was 37.4±13.0 years and non obese group was 30.9±15.6 years. In obese group 161(53.7%) were females, while 139(46.3%) were males respectively. In non-obese patients 193(64.3%) were males and 107(35.7%) were females respectively. In obese group, 115 (38.3%) had acne vulgaris, while in non-obese group 41 (13.7%) were affected with acne (P value ˂ 0.05). \u0000Conclusion: It is concluded that dermatosis acne vulgaris is significantly greater in obese patients as compared to non-obese patients. Obese persons should be given special consideration in terms of proper referral and management. \u0000 ","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125478369","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":"Knowledge, attitude and issues in practicing kangaroo mother care at home after discharge from a kangaroo mother care ward of a tertiary care hospital in central Lahore","authors":"H. Khan, N. Masood, A. Hanif, Muhammad Khalid Masood, R. Omer, Fatima Tahira","doi":"10.37018/mhow2843","DOIUrl":"https://doi.org/10.37018/mhow2843","url":null,"abstract":"Background: Kangaroo mother care (KMC) is well known intervention in preterm care. Mothers gets training from health professionals to provide skin to skin care, breast feeding which helps in infections prevention and early discharge. It is required to inquire the mothers experience during home environment to promote this technique after discharge from hospital. This study focused on gaining the knowledge, attitude of unsupervised mothers practicing KMC at home and determine the most common issues faced by them. \u0000Subjects and methods: A cross-sectional study, conducted at KMC ward of the Department of Pediatrics, Unit-1, Services Institute of Medical Sciences (SIMS), Lahore from March 2020 to April 2021 after ethical approval. Hospitalized mothers of stable pre-term infants were taught KMC techniques by trained health care provider. After two weeks of discharge from hospital mothers were interviewed according to structured questionnaire by the trained doctor about their KMC knowledge, experience and issues faced at home.   \u0000Results: Out of 156 mothers 145 (92.9%) conducted KMC at home and 93 (59.6%) performed intermittent KMC during nighttime (p=0.001). 152 (97.4%) mothers felt good, 133 ( 85.3%) were comfortable and 122 (78.2% ) deemed the process safe for their babies. 82 (52.6%) felt ease with provided kits (p=0.032).120 (76,9%) husbands felt KMC was essential for their babies. 102 (65.4%) mothers were allowed by their husbands to do KMC at home (p=0.000) and 68 (43.6%) fathers sometimes performed KMC themselves (p=0.001). Family and friends were also supportive in 104 (66.7%) cases while 112 (71.8%) mothers felt the positive attitude of the community (p=0.000). 127 (81.4%) mothers were willing to recommend KMC to new mothers (p=0.019). \u0000Conclusion: Most of the mothers performed intermittent KMC at home. They were assisted by husband and family members to carryout KMC at home. They are willing to recommend it to new mothers.","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116992678","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":"Diagnostic accuracy of Non-ECG Gated Chest CT (NEGCT) for cardiac chambers’ dimensions in comparison with echocardiography","authors":"M. Hafeez, A. Sattar","doi":"10.37018/mhas.0901","DOIUrl":"https://doi.org/10.37018/mhas.0901","url":null,"abstract":"Objective: To analyze the accuracy of Non-ECG Gated Chest CT (NEGCT) for cardiac chambers’ dimensions, keeping Echocardiography as the gold standard. \u0000Methods: After IRB approval, all patients that underwent concurrent contrast chest CT/CTPA and transthoracic 2D echocardiography exam at our institute within 1 month interval comprised the study population. Data was archived from HMIS PACS Database. The sizes of right ventricle (RV), left ventricle (LV) and left atrium (LA) was recorded in shot axis at axial CT sections and at echocardiography. RV and LV-transverse diameter was measured at basal third of the heart, from the inner to inner myocardium perpendicular to the inter-ventricular septum and LA-max. Anterior-posterior dimension was measured at the level of the aortic root. \u0000Results: Total 213 subjects were studied, with average age of 52.1±15.8 years. The CT-Echocardiography measurement concordance rates were significantly high for LA, LV and RV measuring 93.8%, 96.7% and 69.01% respectively. Using CT threshold for LA, LV, RV enlargement > or equal to 45, 55, 35mm, the AUC via ROC curve analysis was estimated to be 0.912, 0.992, 0.650 respectively. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy of NEGCT was found to be 66.67%, 95.10%, 37.5%, 98.5% and 93.90% for LA; 100%, 96.67%, 30.0%, 100%, 96.7% for LV and 33.33%, 74.86%, 17.86% 87.26% and 69.01% for RV respectively. \u0000Conclusion: Overall, the accuracy of chamber dimensions at NEGCT was excellent with high CT-Echocardiography concordance, making it an alternative modality for examining chamber sizes, in the absence of cardiac MRI. Through it, a radiologist can also add more value to CT reporting. \u0000Keywords: \u0000      Echocardiography, NEGCT, Dimensional Measurement","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125165251","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":"Determinants of child health in a rural Karakoram village","authors":"Spenta Kakalia, Shaheena Bashir, Arouj Waqqas, Adnan Khan, R. Malik, Saba Saif","doi":"10.37018/sksb5522","DOIUrl":"https://doi.org/10.37018/sksb5522","url":null,"abstract":"Background: Mountain communities have unique issues, being generally geographically remote, and politically and socially neglected. The objective was to evaluate the health and healthcare access of children in Tissar, a mountain village in Gilgit-Baltistan. \u0000Subjects and methods: This was a cross-sectional study conducted in August 2021, in Tissar, Gilgit-Baltistan (GB), in Northern Pakistan. Interviews were conducted of adults over the age of 18 years, who had at least one child of age12 years and below, using a convenience sampling method. Descriptive summary statistics were computed using statistical software R version 4.1.2. Poisson regression was used to find potential risk factors associated with diarrhea and pneumonia. \u0000Results: Semi-structured interviews were conducted on 400 participants. Although 363 (90.8%) people grew their own food; 203 (50.7%) still needed to purchase food with only 213 (53.2%) receiving up to three meals a day. Access to healthcare was perceived as inadequate, with only 42 (10.5%) satisfied with the healthcare their children were receiving. Up to 268 (67%) needed to borrow money or could not afford healthcare. Annual occurrence of diarrhea and pneumonia was reported in 100% households, most reporting repeated episodes in one year per child. On Poisson Regression, number of meals per day was negatively associated with diarrhea (rate ratio=0.646, 95%CI=0.591-0.706, p<0.001), adjusted for weaning. Number of meals per day was also negatively associated with pneumonia (rate ratio 0.529, 95%CI=0.487-0.574, p<0.001), adjusting for education and number of children in the family (>6 versus <6). \u0000Conclusion: Health of Children needs to be addressed in mountain communities in Pakistan. \u0000 ","PeriodicalId":349972,"journal":{"name":"Journal of Fatima Jinnah Medical University","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116289782","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}