Journal of Islamic International Medical College最新文献

{"title":"Verbal Autopsy of Maternal Mortality in Rawalpindi District","authors":"Mahum Khizar, Aimen Hafeez, Ayesha Saif Khan, Kinza Awais, Komal Rashid","doi":"10.57234/1484","DOIUrl":"https://doi.org/10.57234/1484","url":null,"abstract":"Objective: To identify the causes and risk factors leading to maternal mortality through verbal autopsy in the District of Rawalpindi, Pakistan. Study Design: A retrospective, descriptive study. Place and Duration of Study: The study was carried out in Community Department of Foundation University Medical College Islamabad from January 05, 2019, to December 25, 2019. Materials and Methods: Data of 105 women died of causes related to death during pregnancy/ delivery between 01 April 2013 and 30 April 2018 was retrieved from the office of District Health Officer (DHO) Rawalpindi. A Verbal Autopsy was conducted to determine cause of death and the possible risk factors, through a structured questionnaire that was filled by close relatives of the deceased women. Analysis of data was done using SPSS version 25.0. Results: The Mean age of the patients was 31 years, and it ranged from 15 to 49 years. In 26.7% of mothers cause of death could not be determined. Overall, the major and most obvious cause of maternal death was delivery related hemorrhage in 58% cases. Out of these, antepartum hemorrhage was the commonest cause occurring in 43.8% of the total cases. Postpartum hemorrhage occurred in 11.4% cases, while fatal hemorrhage during the delivery occurred in 2.8% mothers. Eclampsia was the next common cause that occurred in 11.4% mothers. Difficult and prolonged labour was found to be cause of death in 2.8% cases, while 0.95% died of Sepsis. Among the risk factors, lack of antenatal care emerged as the leading risk factor, present in 62% mothers, followed by anemia being present in 46.6% mothers. Multi-parity was found to be the next common risk factor being present in 26.6% mothers. Reduced interval in successive pregnancies was found in 21% cases. Systemic medical disorders like hypertension, renal disorders, Diabetes Mellitus, Pneumonia, hepatic failure, were found in 6.66% mothers. History of complications in previous pregnancies was present in 3.8% cases. History of lack of proper medical services in the hospital as possible factor leading to death was present in only 5 (4.8%) cases. Conclusion: Hemorrhage related with delivery, especially the antepartum hemorrhage emerged as the commonest cause of maternal mortality, followed by eclampsia. At the same time, lack of antenatal care and anaemia emerged as the commonest risk factors in this regard.","PeriodicalId":441218,"journal":{"name":"Journal of Islamic International Medical College","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126712559","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":"Functional Outcome of Intramedullary Tibial Nail in Distal Femur Shaft Fractures","authors":"Raja Adnan Ashraf, K. Asghar, S. Sohail, Zara Sohail, Waleed Bin Waris, Qazi Muhammad Sibghatullah, M. I. Sohail","doi":"10.57234/1348","DOIUrl":"https://doi.org/10.57234/1348","url":null,"abstract":"Objective: Assessment of the functionality in patients with supracondylar fracture of femur managed with intermedullary tibial nails. Study Design: Case Series Study. Place and Duration of Study: We conducted a prospective cohort study for 6 months, from September 2021 to February 2022. Materials and Methods: 25 adult patients presented in the accidents and emergency department of Railway General Hospital, Rawalpindi. They were managed using tibial nail and their functionalities after the operations were managed using the Tegner-Lysholm Criteria measured at 2 weeks, 6 weeks, and 12 weeks till union achieved. Results: Five of our patients were females and twenty males. Average healing time was calculated at 15 weeks and 6 days approximately (2.646 SD) 24% (n=6) showed excellent healing, 48% (n=12) had good results and 28% (n=7) had fair results. We did not observe any complications. Conclusion: Tibial nails are convenient and effective to manage the patients with supracondylar fracture of ffemur and show good functional outcomes.","PeriodicalId":441218,"journal":{"name":"Journal of Islamic International Medical College","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130066913","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":"Coping with Contagious Diseases: A Global Perspective","authors":"Meh Para Siddique","doi":"10.57234/1543","DOIUrl":"https://doi.org/10.57234/1543","url":null,"abstract":"Historically, when compared to other ailments, contagious infectious have been feared greater in contrast to other diseases. A contagious disease is an infectious condition that spreads easily (i.e., is communicated) when a pathogen is exposed through direct or indirect contact with an infected person.1 This infection has peculiar properties that elucidate the exaggerated level of anxiety; it spreads quickly and covertly; generally, it has been responsible for significant sickness and mortality; old forms reappear; new forms arise; and both the media and society are frequently in awe.2 Such infection could be viral, bacterial, parasitic, fungal or any other such as, Severe Acute Respiratory Syndrome (SARS),3 Middle East respiratory syndrome (MERS),4 Ebola,5 Tuberculosis,6 COVID-19,7 Carbapenem-Resistant Enterobacter ales (CRE),8 Enterovirus D68,9 Flu,10 Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS),11 Hepatitis (A and B),12 Measles,13 Hantavirus,14 Monkeypox,15 Pertussis,16 Rabies,17 Sexually Transmitted Disease,18 Shigellosis,19 West Nile Virus,20 and Zika.21,22 The occurrence, and swift spread of such contagious diseases as a pandemic provides a challenge worldwide..................................................................................","PeriodicalId":441218,"journal":{"name":"Journal of Islamic International Medical College","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122620342","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 Mucin-4 Expression In Anneroth Grades of Oral Squamous Cell Carcinoma","authors":"Afifa Ehsan","doi":"10.57234/1362","DOIUrl":"https://doi.org/10.57234/1362","url":null,"abstract":"Objective: To evaluate the expression of Mucin-4 amongst separate histological categories of oral squamous cell carcinoma patients at a tertiary care hospital in Pakistan. Study Design: It was a cross-sectional descriptive study. Place and Duration of Study: It was carried out from July 01, 2021, to December 31, 2021, at the Department of Oral Pathology, University of Health Sciences, Lahore, Pakistan. Materials and Methods: The study comprised fifty cases of oral squamous cell carcinoma randomly taken from the archives of Sheikh Zayed Hospital and Federal Postgraduate Medical Institute, Lahore as per the selection criteria agreed upon. The association of mucin-4 expression with different histological grades (based on the Anneroth grading system) was analyzed in this study. Data were entered into SPSS 20 for statistical analysis. Age was represented as mean ± standard deviation while gender distribution and tumor grades were presented as frequencies and percentages. Results: Out of a total of fifty retrieved samples, thirty were analyzed (twenty were excluded based on the exclusion criteria). Of these thirty samples, 16 (53.3%) were male and 14 (46.6%) were female. Consistent with the Anneroth grading method, grade I comprised 11 (36%), grade II comprised 13 (43.3%), and grade III comprised six cases (20%) respectively. Overall positive expression of Mucin-4 was found to be 73% and a significant relation was found to exist between the intensity score and the total score of MUC-4 with Anneroth grades of Oral Squamous Cell Carcinoma with a decrease in expression and an intensification in tumor grade. Conclusion: A decrease in the expression of Mucin-4 was noted with an increase in the tumor grade when the expression of Mucin-4 was evaluated amongst separate histological categories of oral squamous cell carcinoma patients.","PeriodicalId":441218,"journal":{"name":"Journal of Islamic International Medical College","volume":"539 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114871338","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":"Non-Compliance with Universal Masking Policy by Patients During Covid-19 Pandemic: A Major Threat to Health Care Worker in Pakistan","authors":"Shamaila Burney","doi":"10.57234/1082","DOIUrl":"https://doi.org/10.57234/1082","url":null,"abstract":"Objective: To determine the frequency of patient compliance with universal face mask policy during COVID-19 pandemic using simple observable criteria. Study Design: Cross sectional study Place and Duration of Study: Pakistan Railway Hospital, Rawalpindi during the third wave of COVID-19 pandemic over a period of one month from 15 March 2021 to 15 April 2021. Materials and Methods: A total of 266 patients were recruited from the general population of patients visiting our hospital after undergoing screening for COVID-19 at the filter clinic. Face mask compliance was defined as the wearing of a disposable surgical mask while employing correct techniques as per the World Health Organization and National Institute of Health guidelines for hospital settings. Results: Majority of the patients (79.9%) wore a surgical face mask as recommended for hospital settings. However, only 41% employed the correct mask wearing technique. Patients under strict supervision in outdoor clinics were more likely to wear mask as compared to their indoor counterparts (76.79% vs 51.76%). Correlation was significant at a level of 0.492. One third (34.2%) of the patients did not cover their face, nose, and chin completely. An overwhelming majority (129/183 or 70.49%) admitted reusing the mask multiple times. Conclusion: The study findings indicate that while majority of the general population of patients visiting our hospital wore a face mask, compliance with correct mask wearing technique as per recommended guidelines was poor. Our results support strict implementation of universal masking policies for hospitals in Pakistan as part of a multifaceted strategy to minimize transmission of infection in health care settings.","PeriodicalId":441218,"journal":{"name":"Journal of Islamic International Medical College","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133401470","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":"Hypokalemic Periodic Paralysis","authors":"Abidullah Khan, M. Farooq","doi":"10.21649/akemu.v12i4.972","DOIUrl":"https://doi.org/10.21649/akemu.v12i4.972","url":null,"abstract":"A case of 35 years old diabetic woman who presented to us with weakness of both arms and legs for past 3 days. Laboratory investigations showed potassium of 3.1mg/dl with no other prominent positive findings. After the diagnosis of hvpokalemic periodic paralysis she was managed with potassium chloride to which she responded well.","PeriodicalId":441218,"journal":{"name":"Journal of Islamic International Medical College","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134269926","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}