Khyber Medical University Journal-KMUJ最新文献

{"title":"Reducing the risks of nuclear war—the role of health professionals","authors":"Abbasi Kamran, Ali Parveen, Barbour Virginia, Bibbins-Domingo Kirsten, Olde Rikker Marcel Gm, Gong Peng, Haines Andy, Helfand Ira, Horton Richard, Mash Robert, Mitra Arun, Monteiro Carlos, Naumova Elena N, Rubin Eric J, Ruff Tilman, Sahni Peush, Tumwine James, Yonga Paul, Zielinski Chris","doi":"10.35845/kmuj.2023.23435","DOIUrl":"https://doi.org/10.35845/kmuj.2023.23435","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135083992","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":"Impact of socio-economic status on Diabetes Mellitus knowledge and hemoglobin A1c control","authors":"","doi":"10.35845/kmuj.2023.22983","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22983","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127491","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":"Serum E-Cadherin level in various clinical variants of oral potentially pre-malignant disorders","authors":"","doi":"10.35845/kmuj.2023.22823","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22823","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135127504","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":"Unpredictable future of medical teaching institution reforms amid political transitions in Pakistan","authors":"","doi":"10.35845/kmuj.2023.23427","DOIUrl":"https://doi.org/10.35845/kmuj.2023.23427","url":null,"abstract":"When implementing governance reforms, it is essential to understand the political economy, especially in the healthcare sector, where shifts in political power often have a significant impact.1 Like in several other countries, changes in political power influence the policies and priorities of previous governments, particularly affecting healthcare, which relies heavily on government funding and support. The medical teaching institution (MTI) reforms were designed to strengthen the provision of high-quality healthcare services and urgently improve medical teaching institutions across the country. These institutions serve as custodians for developing competent healthcare professionals, conducting innovative studies, and providing good-quality patient care. However, they faced challenges, including a shortage of faculty, outdated facilities, and tight budgets. MTI reforms were promulgated, and the institutions were provided with the necessary resources.2 The objective of the reforms was to grant MTIs autonomy, giving them more control over fund allocation, faculty hiring, and facility development. The goal was to create a healthcare system that is both more effective and efficient, meeting the demands of the general population.3 Despite the admirable concept, implementing reforms posed a significant challenge. The transition of power and changes in political leadership hindered reform efforts. Challenges arising from meeting competing demands from various stakeholders and the influence of political economy on the decision-making process might be attributed to the delay in implementing these reforms. The lack of continuity and consistency in the reform implementation process has presented challenges for MTIs, their employees, students, and the healthcare sector as a whole. MTIs require strong governance frameworks and a defined set of rules to operate effectively. The autonomy granted by the MTI Act fosters timely decision-making, flexibility in responding to changing needs, and effective resource management. However, when reforms are put on hold, administrative procedures become cumbersome and delayed, making it difficult to reach decisions and efficiently administer the institution. This disruption upsets institutions and academia, and as a result, students are confused navigating two very different systems with distinct requirements and expectations. Such disruption could have a profound impact on educational standards. To ensure the identification and rectification of potential inadequacies in the implementation and to suggest improvements, it is crucial to conduct continuous evaluations throughout the extended duration of the process. Political support is also vital for the success of reform initiatives.1 The backing of political figures and parties provides the essential energy and resources for effective execution. Understanding how political developments could impact reform efforts is important. Political or ideological concerns may cause re","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135084624","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":"Association of asthenopia with refractive errors in madrassa students","authors":"","doi":"10.35845/kmuj.2023.23247","DOIUrl":"https://doi.org/10.35845/kmuj.2023.23247","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46624220","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":"Combatting the escalating threat of antimicrobial resistance in Pakistan: urgent call for prioritization and commitment in decision-making","authors":"","doi":"10.35845/kmuj.2023.23381","DOIUrl":"https://doi.org/10.35845/kmuj.2023.23381","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44494592","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":"Addictive social media usage during covid-19 pandemic: a case study of southern Punjab, Pakistan","authors":"","doi":"10.35845/kmuj.2023.22843","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22843","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70050358","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":"Restoration of subtotal bilateral maxillectomy defect following mucormycosis with zygomatic implant-retained obturator: a case report","authors":"","doi":"10.35845/kmuj.2023.22928","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22928","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42694408","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":"Gender differences in plasma levels of cardiovascular risk markers and severity indices in Saudi patients with angiographic evidence of coronary artery disease","authors":"Syed Shahid, Habib Thamir, Abdulrahman Al-khlaiwi, Alhowikan Zohair, Al Aseri, Syed Mohammad, Huthayfah Habib, Ahmad Al-khliwi, Omair","doi":"10.35845/kmuj.2023.22728","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22728","url":null,"abstract":"OBJECTIVE: To evaluate gender difference in non-traditional cardiovascular risk factors among Saudi patients with angiographically defined coronary artery disease (CAD). METHODS: We recruited 144 (male=105, female=39) patients with CAD who underwent coronary angiography. Laboratory analysis of total cholesterol (TC), triglycerides (TG), low density lipoprotein (LDL), high density lipoprotein (HDL), lipoprotein(a) [Lp(a)], and high sensitivity C-reactive protein (hs-CRP) were performed along with echocardiographic evaluation. RESULTS: Systolic blood pressure (SBP) was significantly higher in females (138.65±18.67 vs 129.59±21.03 mmHg; p=0.0363). Although no significant difference was observed in TC (4.30±1.36 vs 4.67±1.07 mmol/L), however significantly higher levels of both HDL and LDL were seen in females (0.86±0.17 vs 0.70±0.23 mmol/L; p=0.0592 and 3.50±0.67 vs 2.72±1.13; p=0.0466 respectively). There were no significant differences in TG, Lp(a) and hs-CRP, however females had comparatively higher Lp(a) (30.43±28.89 vs 24.02±23.42 mg/dl) and hs-CRP (1.14±1.46 vs 0.95±1.25 mg/L). On angiography, greater extent of stenosis was observed in left anterior descending and right coronary arteries among males, while the left circumflex artery was affected more in the female patients without statistical significance (p=0.0797; 0.3890 and 0.5032 respectively). Gensini Score in males & females was 60.46±46.17 and 74.39±39.52 respectively (p=0.3013). Significantly narrower aortic root diameter (ARD) was observed among females (27.30±6.66 vs 29.73±3.40 mm; p=0.0293). CONCLUSION: Female patients have greater risk of cardiovascular diseases due to higher SBP and LDL levels which could lead to a greater Gensini score when compared to male patients. In addition, narrow ARD among females could also be a contributing factor to CAD.","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43160922","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":"Clinical profile and association of Celiac Disease in children with type-1 Diabetes Mellitus","authors":"","doi":"10.35845/kmuj.2023.22750","DOIUrl":"https://doi.org/10.35845/kmuj.2023.22750","url":null,"abstract":"","PeriodicalId":42581,"journal":{"name":"Khyber Medical University Journal-KMUJ","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49392665","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}