Pakistan Journal of Medical & Health Sciences最新文献_第8页

Compare the Effectiveness of Mulligan (Nags & Snags) and McKenzie (Self-Stretching) On Improving the Pain and Functional Ability in Patient with Chronic Neck Pain Mulligan (Nags) &;(Snags)和McKenzie(自我伸展)关于改善慢性颈部疼痛患者的疼痛和功能能力

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.501

Sania Naz, Nargis Jamali, Arooj Iftikhar, Hira Nawaz, Touseef Iqbal, Faisal Ghafoor

{"title":"Compare the Effectiveness of Mulligan (Nags & Snags) and McKenzie (Self-Stretching) On Improving the Pain and Functional Ability in Patient with Chronic Neck Pain","authors":"Sania Naz, Nargis Jamali, Arooj Iftikhar, Hira Nawaz, Touseef Iqbal, Faisal Ghafoor","doi":"10.54393/pjhs.v4i08.501","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.501","url":null,"abstract":"Neck pain is Consider the major problems and the prevalence of this musculoskeletal disorders are very common in people. Objective: To compare the effectiveness of mulligan and McKenzie on improving pain and functional ability in chronic neck patient. Methods: This trial was registered with Iranian trail registry with reference no: IRCT20220414054537N4. It’s a Double-Blind Randomized Clinical Trial that was conducted in DHQ Hospital Shadrah a affiliated teaching hospital attached with Afro-Asia University Lahore from 1 May 2022 to 30 June 2022.The sample size was calculated and total 26 patients were divided into two groups. The ages of the patients were around 20-55 years old. The entire patient having the mechanical neck pain was included in this study. Patients were selected from DHQ hospital in May to June 2022 duration. In group A we applied the mulligan technique of manual therapy treatment that included the Natural apophyseal glides, sustained natural apophyseal glides and Self SNAGs in sitting position of the patient. The second group of 13 patients had applied the Mackenzie exercises in seven motions like 4 movement of neck extension,2 movements in lateral flexion and rotation and one movement in flexion direction. Results: Overall the post Numeric pain rating scale and Neck Disability index was significantly improved in group A which received the NAGs & SNAGs Mobilization technique. Conclusion: Mulligan (NAGs SNAGS) is effective than Mackenzie (self-stretching) treatment technique to improve the functional ability and reducing pain in chronic neck patient.","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135987947","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 and Safety Profile of Lenalidomide vs Lenalidomide + R-CHOP in patients with Diffuse Large B Cell Lymphoma: A Systematic Review 来那度胺与来那度胺+ R-CHOP治疗弥漫性大B细胞淋巴瘤的疗效和安全性:一项系统综述

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.947

Muhammad Sajjad Ali, Shahzaib Maqbool, Azeen Razzaq, Abdur Rehman, Salman Yousaf, Muhammad Farhan, Maryam Farhan Baloch, Muhammad Abdul Khaliq Khan

{"title":"Efficacy and Safety Profile of Lenalidomide vs Lenalidomide + R-CHOP in patients with Diffuse Large B Cell Lymphoma: A Systematic Review","authors":"Muhammad Sajjad Ali, Shahzaib Maqbool, Azeen Razzaq, Abdur Rehman, Salman Yousaf, Muhammad Farhan, Maryam Farhan Baloch, Muhammad Abdul Khaliq Khan","doi":"10.54393/pjhs.v4i08.947","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.947","url":null,"abstract":"The most frequent cause of non-Hodgkin lymphoma, which accounts for around one-third of cases, is diffuse large B cell lymphoma (DLBCL). Immune chemotherapy combined with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) is the standard therapy for DLBCL. Objective: To analysing the utilization of Lenalidomide versus Lenalidomide R-CHOP regimen in treatment of DLBCL in terms of treatment efficacy and safety. Methods: PRISMA guidelines were followed for conducting this study. A thorough literature search was done from November 15 to November 25, 2022. A variety of databases, including PubMed, Google Scholar, and other, were used to conduct the literature search. Finally, for this systematic review, 10 studies were chosen. Results: In our study the monotherapy with Lenalidomide was found less significant in terms of improvement in Overall response rate, complete response among patients with DLBCL. However; Lenalidomide + R-CHOP was more effective in improving overall response rate (ORR) with ORR of 92.89% vs 30.58% and complete response rate (CRR) of 80.20% vs 12.53%. The partial response rate (PR) was comparable between two therapies. similarly, the Progression free survival was also better in combination therapy. Haematological and Non-Hematological adverse effects of grade >3 were found higher among patients with combination therapy and Neutropenia was commonly observed adverse effect. Conclusions: Combination therapy was associated with significant improvement in disease outcome, however; the adverse effects were reported high in combination therapy vs monotherapy.\u0000 ","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"138 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86280268","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 Diet Consumption with Gallbladder Changes in Females After Birth of Child 饮食消费与产后女性胆囊变化的关系

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.962

Asma Abdul Razzak, Sara Shafi Rahu, Javeria Usmani

{"title":"Association of Diet Consumption with Gallbladder Changes in Females After Birth of Child","authors":"Asma Abdul Razzak, Sara Shafi Rahu, Javeria Usmani","doi":"10.54393/pjhs.v4i08.962","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.962","url":null,"abstract":"The postpartum period is characterized by remarkable physiological adaptations to accommodate the demands of childbirth and lactation. These physiological changes, coupled with the unique nutritional needs of both the mother and newborn, can lead to gallbladder stasis and increased cholesterol absorption in the gallbladder. Objective: To assess the correlation between diet consumption and gallbladder changes in females after childbirth. Methods: This observational study was conducted at the department of Gastroenterology, Jinnah Medical and Dental College, Sohail University, Karachi, Pakistan from December 2022 to June 2022. Females of reproductive age who had normal child delivery were evaluated after 6 weeks of delivery. The medical examination, anthropometric measures, nutritional assessment, and laboratory testing were performed in all eligible females. An ultrasonographic was done after a typical fatty food in order to assess gallbladder changes. SPSS version 21.0 was used to do statistically analysis. Results: The mean age was 28.89 ± 4.73 and mean BMI was 22.78 ± 4.09 kg/m2. Of 100 females, 17% had gallbladder stasis, 26% had gallstones, and 17% had sludge. The females with low protein consumption had significantly higher proportion of gallbladder stasis as compared to females with high protein consumption in diet (76.5% vs 23.5%, p=0.001). Furthermore, females with high carbohydrate (61.5% vs 38.5%, p=0.011) and fructose (53.8% vs 46.2%, p=0.037) consumption had significantly higher proportion of gallstones as compared to females with low consumption. Conclusions: High protein consumption was linked to gallbladder stasis, while high carbohydrate and fructose intake were associated with an increased proportion of gallstones.","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91302904","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

Sonographic Changes in Endometrium after Use of Tamoxifen in Breast Cancer 乳腺癌患者使用他莫昔芬后子宫内膜的超声改变

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.913

Khadijah Abid, Aakash Ramchand, Ghulam Haider, Abdul Rehman, .` Muneeza, Damisha Jabeen, N. Abro

{"title":"Sonographic Changes in Endometrium after Use of Tamoxifen in Breast Cancer","authors":"Khadijah Abid, Aakash Ramchand, Ghulam Haider, Abdul Rehman, .` Muneeza, Damisha Jabeen, N. Abro","doi":"10.54393/pjhs.v4i08.913","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.913","url":null,"abstract":"Breast cancer poses a significant global health concern affecting a large number of women. Treatment strategies for breast cancer often involve the use of hormonal therapy, such as tamoxifen. However, the use of tamoxifen is associated with potential side effects, particularly in the endometrium. Objective: To evaluate the sonographic changes in the endometrium following the use of tamoxifen therapy in breast cancer patients. Methods: It was a quasi-experimental trial conducted at the Department of medical oncology, Jinnah Postgraduate Medical Center, Karachi, Pakistan from Jan 2023 to Jun 2023. Patients aged 18 years or older, histologically confirmed hormone receptor-positive breast cancer, and having tamoxifen treatment with a dose of 20mg/day for at least six months were included. Endometrial evaluation using transvaginal ultrasonography performed by experienced sonographer and sonographic parameters were assessed. Endometrial evaluation was conducted at baseline and 6 months after start of tamoxifen at regular interval as determined by the treating physician. Results: The median duration of tamoxifen therapy was 24 months with IQR as 10 to 36 months. There was statistically significant difference in pre-treatment and post-treatment endometrial thickness with p-value=0.0001. About 80.5% of the females had endometrial thickness difference of less and equal to 5mm and polyps were observed in 5 cases. Conclusions: Tamoxifen increases the risk of endometrial abnormality; this study highlights the need for monitoring endometrial changes before and after starting tamoxifen therapy in breast cancer patients to detect early suspected neoplastic changes in endometrium.","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83423554","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 between Socio-demographics of Nurses and their Knowledge about Hospital Waste Management in Tertiary Care Hospital Lahore 拉合尔三级护理医院护士社会人口统计学与医院废物管理知识的关系

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.966

Tuba Waheed, Aqsa Aslam, Maryam Islam, Saima Kousar, Nargis Rehman

{"title":"Association between Socio-demographics of Nurses and their Knowledge about Hospital Waste Management in Tertiary Care Hospital Lahore","authors":"Tuba Waheed, Aqsa Aslam, Maryam Islam, Saima Kousar, Nargis Rehman","doi":"10.54393/pjhs.v4i08.966","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.966","url":null,"abstract":"The management of healthcare waste is very important due to the possible environmental dangers and threats to public health. Additionally, the direct exposure and handling of waste can results in disastrous events. Therefore, health care professionals should handle it carefully because majority of professionals does not give it importance to follow all the steps of waste management. Objective: To assess association between socio- demographics of nurses and knowledge about hospital waste management in Tertiary Care Hospital Lahore. Methods: A quantitative correlational study design was used for this study. The setting of study was Mayo Hospital Lahore. The study was completed in 3-month after approval of Ethical Research Committee. Sample size of 110 cases was calculated with 95% confidence interval. Data were collected by using Self developed demographic form and Knowledge Scale. Data were analyzed using SPSS version 24.0. Results: The result showed that among 110, the most of the participants are the age group of 31-40 years. Out of 110, majority of the participants (93.6%) are married. The study findings revealed that about 80(86.5%) participants had poor knowledge about hospital waste management and only 30(13.5%) nurses had good knowledge. Additionally, there was a statistically significant relationship between nurses’ knowledge and their age, marital status, and qualification. Conclusions: It was concluded that majority of participants had poor knowledge regarding waste management. The knowledge of participants about waste management had statistically significant relationship with age, marital status, and qualification.","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77840673","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

Level of Knowledge of Bedside Nursing Staff Regarding Phlebitis of a Tertiary Care Hospital, Karachi 卡拉奇一家三级护理医院床边护理人员关于静脉炎的知识水平

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.969

Muhammad Hasnain Shaikh, Rizwan Ali, Tufail Ahmad, Ahsan Manan, Ismail Khan, Muhammad Jehangeer Khan, Afsha Bibi

{"title":"Level of Knowledge of Bedside Nursing Staff Regarding Phlebitis of a Tertiary Care Hospital, Karachi","authors":"Muhammad Hasnain Shaikh, Rizwan Ali, Tufail Ahmad, Ahsan Manan, Ismail Khan, Muhammad Jehangeer Khan, Afsha Bibi","doi":"10.54393/pjhs.v4i08.969","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.969","url":null,"abstract":"Phlebitis is the inflammation of the vein's inner layer, venous tunica intima called phlebitis. The complications that commonly occur due to phlebitis are erythema, pain, swelling, and palpable thrombosis of the cannulated vein. Objective: To identify the current knowledge of bedside nursing staff regarding phlebitis. Methods: A cross-sectional study was carried out to find knowledge regarding phlebitis among nurses through self-administered questionnaires with 100 bedside nurses working in different wards of a Private Tertiary Hospital in Karachi, Pakistan, by a convenient sampling technique. Data were collected and analyzed by the SPSS software version-22. Results: The result of this study showed that among 100 participants, 50% participants have inadequate knowledge regarding phlebitis, 44% had average, and 6% had good knowledge regarding phlebitis. Conclusions: This study concluded that bedside staff nurses have insufficient knowledge regarding phlebitis. This poor knowledge can reduce the effectiveness of nursing care provided to the patient. Therefore, educational sessions and interventional study needed to enhance their knowledge regarding phlebitis.","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135987869","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

Assessment of Test Anxiety and its Correlation with Academic Performance among Undergraduate Students 大学生考试焦虑的评估及其与学业成绩的关系

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.970

Khalid Hussain Hameed, Tanseer Ahmed Channa, Amjad Ali Khan, Sahil Khan, Misbah Sarwar Rana, Gayantri Gayantri, Treeza Arif, Imbreena Timmer

{"title":"Assessment of Test Anxiety and its Correlation with Academic Performance among Undergraduate Students","authors":"Khalid Hussain Hameed, Tanseer Ahmed Channa, Amjad Ali Khan, Sahil Khan, Misbah Sarwar Rana, Gayantri Gayantri, Treeza Arif, Imbreena Timmer","doi":"10.54393/pjhs.v4i08.970","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.970","url":null,"abstract":"Globally, around one in every three medical students suffer from anxiety. Test anxiety is a physical, mental and emotional reaction to threat of failure in exams and consists of worry and perception as components and it may lead to poor academic performance. Objective: To assess the level of test anxiety and its correlation with academic performance among undergraduate students. Methods: This cross-sectional analytical study was conducted from 1st September to 15th December, 2022 with purposive sampling technique to collect the data from the undergraduate students at Sohail University, Karachi. Westside Test Anxiety Scale questionnaire was used. Data were analyzed by using SPSS version 22.0. Descriptive statistics, Mann Whitney and Spearman’s correlation were measured. Results: 44% of the participants were male, 94% were single, 50% were nursing students and 57.5% were 1st and 2nd year undergraduate students. Majority of the respondents (70.5%) were suffering from high to extremely high-test anxiety whereas (17.5 %) participants had mild to moderate level of anxiety. The significant association was found between test anxiety and study program (p-value 0.021). The weak reciprocal correlation coefficient was found between academic performance and test anxiety (r = -.473). Conclusions: Findings of this study suggest that 88% of undergraduates had high to extremely high-test anxiety. A significant link between the study program and level of anxiety and a significant correlation were also found between academic performance and test anxiety. The causes and contributing elements of anxiety must be addressed. The test anxiety puts the undergraduates on high risk for learning deficits and unhealthy consequences.","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135989884","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

Novel Approaches for Treatment of Epilepsy 治疗癫痫的新方法

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.971

M. Waqar, Mehak Saleem, T. Mehboob, N. Tabassam, Dawood Ilyas, Muhammad Sajid Nawaz, Mahnoor Foaad, Maria Riaz, Aimon Qureshi, Muhammad Waqas

{"title":"Novel Approaches for Treatment of Epilepsy","authors":"M. Waqar, Mehak Saleem, T. Mehboob, N. Tabassam, Dawood Ilyas, Muhammad Sajid Nawaz, Mahnoor Foaad, Maria Riaz, Aimon Qureshi, Muhammad Waqas","doi":"10.54393/pjhs.v4i08.971","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.971","url":null,"abstract":"Epilepsy is a serious neurological disorder on the juncture of psychiatry and neurology. It is characterized by recurrent and episodic seizures which are due to excessive discharge by the brain neurons. The therapeutic response failure of more than one or two antiepileptic drugs (AEDs) is the benchmark of refractory or intractable epilepsy. The aim of the study was to determine new approaches which lead towards the treatment of epilepsy. In order to treat focal mesial temporal lobe epilepsy or neocortical epilepsy in adults and any malformation of cortical development such as focal dysplasia surgical resection remains the gold standard treatment. Disconnection procedures such as corpus callosotomy and multiple subpial transections are the best alternative treatment for that patient whose seizure origin is in eloquent cortex or having generalized epilepsy syndromes. Palliative neuromodulation procedures such as Vagus nerve stimulation (VNS), Responsive neurostimulation (RNS) and Deep brain stimulation (DBS) are best approach to treat intractable epileptic patients who are not suitable candidates of surgery. As the search of better management of epilepsy continues gene therapy and optogenetics gain a momentum in neuroscience.","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88433196","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

Risk of Macular Toxicity After Intra-Cameral 1mg/0.1 ml Cefuroxime for Endophthalmitis Prophylaxis in Phacoemulsification Cataract Surgery 1mg/0.1 ml头孢呋辛用于白内障超声乳化手术预防眼内炎后黄斑毒性的风险

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.934

Muhammad Hannan Jamil, Sidra Zafar, Asmatullah Khan, Aneeb Ashraf, Muhammad Bilal Afzal, Ferheen Shahbaz

{"title":"Risk of Macular Toxicity After Intra-Cameral 1mg/0.1 ml Cefuroxime for Endophthalmitis Prophylaxis in Phacoemulsification Cataract Surgery","authors":"Muhammad Hannan Jamil, Sidra Zafar, Asmatullah Khan, Aneeb Ashraf, Muhammad Bilal Afzal, Ferheen Shahbaz","doi":"10.54393/pjhs.v4i08.934","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.934","url":null,"abstract":"The world's leading culprit of preventable blindness is cataracts. For numerous decades, postoperative endophthalmitis has instilled terror as a potential complication of cataract surgery. Objective: To determine the frequency of retinal toxicity in terms of transient macular edema following using per-operative intracameral cefuroxime 1mg/0.1ml for endophthalmitis prophylaxis. Methods: A Descriptive case series was done at LRBT Eye Hospital, Lahore, from 15th Dec 2020 to 14th Jun 2021. A total number of 118 senile cataract patients were included. After cataract surgery, an intracameral 1 mg injection of cefuroxime was given to each patient. The optimally corrected visual acuity and macular thickness at the center of the retina on OCT were assessed postoperatively at week 1. If they were found to be elevated, it was labeled as retinal toxicity. Data were collected on data collection proforma. Results: The average age of the participants was 59.68 ± 5.28 years. Mean visual acuity before and after surgery was 2.01 ± 0.74 and 1.92 ± 0.94, respectively. Mean central macular thickness before and after surgery was 241.08 ± 4.73 and 248.74 ± 5.86 µm, respectively. There were 71 (60.17%) male and 47 (39.83%) female patients. There were 42 (35.59%) farmers, 40 (33.90%) job holders, 05 (4.24%) business people, and 31 (26.27%) non-working patients. Retinal toxicity was found in 54 (45.76%) patients. Conclusions: Intracameral injection of cefuroxime sodium can result in transient macular edema and retinal toxicity. In this study, retinal toxicity occurred in 45.8% of patients undergoing phacoemulsification.","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135989875","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

College Students' Struggles with Career Decisions and Their Personality 大学生在职业决策和个性方面的挣扎

Pakistan Journal of Medical & Health Sciences Pub Date : 2023-08-31 DOI: 10.54393/pjhs.v4i08.885

Heera Akbar, Summiya Ahmad, Hayat Muhammad

{"title":"College Students' Struggles with Career Decisions and Their Personality","authors":"Heera Akbar, Summiya Ahmad, Hayat Muhammad","doi":"10.54393/pjhs.v4i08.885","DOIUrl":"https://doi.org/10.54393/pjhs.v4i08.885","url":null,"abstract":"Students face challenges while selecting a career in Pakistan is very common. 99% students lack career counselling services in schools, colleges and universities. In the current study career decision-making difficulties faced by students in Peshawar was investigated when they plan to apply in a school, college and university and to evaluate what kind of assistance they need in their career choices related to their personality. Objective: To see how personality affect the decision-making of careers in students at high schools, colleges, and universities. Methods: The influence of personality traits (Extraversion and Neuroticism) on the decision-making of career difficulties was investigated using a causal-comparative study methodology. In Pakistan, 99 percent of pupils still need career guidance. As a result, three hundred and seventy-six (N=376) students were chosen from Peshawar's various schools, colleges, and universities. Two questionnaires were used to gauge the participants' responses: The career decision-making difficulties Questionnaire and Big Five Personality Inventory. Results: Findings suggest that most students needed help with professional decision-making and that a small percentage of students were satisfied with their selected disciplines. Conclusions: Students with high neuroticism and low extroversion had difficulty making professional decisions.","PeriodicalId":45690,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135987866","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