JAIMC Journal of Allama Iqbal Medical College最新文献

{"title":"Bacterial Profile and their Antimicrobial Susceptibility Pattern in Pediatric Septicemia patients from Tertiary Care Hospital.","authors":"Farhan Rasheed, Iqra Jamil, Tahira Tehseen, Abeera Sikandar, Saba Anwar, Sajjad Rafique","doi":"10.59058/jaimc.v21i2.83","DOIUrl":"https://doi.org/10.59058/jaimc.v21i2.83","url":null,"abstract":"Background:
 Blood stream infection is a life-threatening infection, leading to increased morbidity and mortality in pediatric population. Antimicrobial drug resistance is a major therapeutic challenge and may result in treatment failure. Thus, this study aimed to assess the bacterial profile causing septicemia and their antimicrobial resistance pattern among pediatric population.
 Methods: 
 This reterospective study was conducted in pathology department of Hameed Latif Hospital, Lahore, over a period of two years, from 1st January 2021 to 31 December 2022. Blood samples were aseptically collected and were transferred into Bact/Alert blood culture bottle. After the detection of microbial growth by Bact/Alert 3D system, bacterial isolates were identified by standard microbiological procedures. Antimicrobial sensitivity pattern was determined by Modified Kirby-Bauer disc diffusion method on Mueller Hinton agar. Data was entered and analyzed by using Microsoft Excel 2010.
 Results:
 In our study, out of 1306 blood culture samples, 217(16.6%) were positive for bacterial growth. Among positive cases, Gram negative organisms were predominant isolates 181(83.4%), while Gram positive organisms were isolated in 36(16.6%) samples. Most common bacterial isolates were S. typhi (24%), A.baumanii (19%), P.aeruginosa (9%), while S.aureus and MRSA were 8% each. Highly resistant class of drugs for Gram-positive bacteria were found to be Aminopenicillin (69.1%) and Macrolides (68.6%), while Gram-negative organisms showed maximum resistance against Tetracycline (72.9%), Fluoroquinolones (62.1%) and Cephalosporins (61%).
 Conclusion:
 Bacterial isolates clinically suspected cases of septicemia were high. Majority of bacterial isolates showed maximum drug resistance against different classes of antibiotics. To prevent antibiotic resistance, strict regulation of antibiotic utilization and infection control programs should be implemented.","PeriodicalId":492993,"journal":{"name":"JAIMC Journal of Allama Iqbal Medical College","volume":"175 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059987","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":"FEEDING PRACTICES IN CHILDREN LESS THAN 3YRS AGE AND ITS RELEVANT KNOWLEDGE AMONG YOUNG MOTHERS.","authors":"Samina Waseem, Rozina Shahadat Khan, Saba Sharif","doi":"10.59058/jaimc.v21i2.130","DOIUrl":"https://doi.org/10.59058/jaimc.v21i2.130","url":null,"abstract":"ABSTRACT
 Background: It is necessary that parents are aware of the proper feeding practices for the benefit of their child’s heath status and immunity. Thus, time to time assessment should be done to find out the awareness of the parents at the given time and scenario so that necessary interventions can be carried out to educate the parents regarding healthy feeding practices. Objective: To gain information about the feeding practices currently undertaken by the mothers of children (aged less than three years) in some rural and urban localities of Rahim Yar Khan. Methodology: I Cross Sectional survey of 213 young mothers less than 35 years of age having at least one child of age below 3 years, who presented at Pediatrics outdoor indoor, Gynecology outdoor indoor and Vaccination center of Sheikh Zayed Hospital Rahim yar Khan Were selected through Convenient Sampling Data Collection & Analysis: Data was collected through a self-administered questionnaire & analyzed through a software SPSS. It contains statistical as well as graphical explanations. Results: This Cross Sectional survey was conducted amongst 213 female’s, Mothers Knowledge related to feeding practices of their children of less than 3 years of age has shown that 140(65.7%) mothers were Exclusive Breast Feeding their children and 130(61.0%) considered using Cow’s milk instead of formula Milk. 102 (47.9 %) introduced Solid food to their child at 6 months. Majority 119 (55.87%) were not aware of any food allergies or intolerances in their children and majority 91 (42.7%) believes in normal ways followed by 63 (29.6%) who use rewards to ensure their child takes meal. Another important finding is that 180 (84.5%) were allowing their child consume processed or fast food while 22 (10.3 %) were consuming it on daily basis while 114 (53.5 %) were not aware of the appropriate portion sizes for your child’s age and 158 (74.2%) were offering sugary snacks or desserts to your child. Conclusion: Initiation of breast feeding within one hour has shown improvement but still 40 % not knowing this basic knowledge. Moreover on one hand 80% were practicing addition of variety of protein sources and almost 100% believed in fruit consumption but at the same time more than 50% were not having idea of the portion size and almost 100% were allowing Processed or fast food consumption. These statistics emphasize comprehensive educational programs for the mothers. Future research can be focused on impact of educational programs on Nutritional practices:","PeriodicalId":492993,"journal":{"name":"JAIMC Journal of Allama Iqbal Medical College","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059144","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 obesity and in pregnancy and fetal outcome in normal weight, over weight and obese pregnant females","authors":"Rabia Wajid, Saira Fayyaz, Amna Ahsan, Hina Masood","doi":"10.59058/jaimc.v21i2.107","DOIUrl":"https://doi.org/10.59058/jaimc.v21i2.107","url":null,"abstract":"ABSTRACT
 Background: Obesity is now a major public health PROBLEM especially among women of reproductive age. This happening has a major impact on pregnancy outcomes, according to latest reports. Especially, during pregnancy and childbirth, obese women are more at risk of fetomaternal complications than women with a normal body mass index (BMI). Objective: To determine the frequency of normal weight, over weight and obese women presenting for antenatal care and to compare the outcome in normal weight, over weight and obese pregnant females. Patients and Methods Descriptive Case series study conducted from 29th October 2022 to 29 April 2022 .200 subjects meeting the inclusion criteria were enrolled in the study after informed consent. BMI was recorded and weight category assigned. All these women were followed-up till 37 weeks of gestation and till delivery. The indications for Caesarian section in any pregnancy were post-dates pregnancy (gestational age at more than 41 weeks), reduced fetal movements, fetal growth restriction, and term pre-labour rupture of membranes more than 24 hours. Main outcome variable: Fetal outcome was accessed using C-section, macrosomia and admission of neonate to NICU. Results: Frequency of weight of the patients was classified as 34%(n=68) were normal, 40.5%(n=81) were over-weight and 25.5%(n=51) were obese, comparison of outcome in normal weight, over weight and obese pregnant females shows that of 8 cases of macrosomia, 1 in normal and overweight while 6 cases in obese, of 61 cases of C-section 13 in normal, 15 in overweight and 33 were obese, NICU admission cases were 27, out of which 7 in normal, 6 in overweight and 14 were in obese group, p value 0.80.Conclusion: We concluded that on comparison for the outcome in normal weight, over weight and obese pregnant females, obese and overweight females are higher at the risk of macrosocia, cesarean birth and NICU admission of the neonate.","PeriodicalId":492993,"journal":{"name":"JAIMC Journal of Allama Iqbal Medical College","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059636","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":"HEALTH CARE SEEKING AND INFERTILITY-A CROSS SECTIONAL COMPARATIVE STUDY AMONGST FEMALES OF DYAL VILLAGE LAHORE","authors":"Rozina Shahadat Khan, Samina Waseem, Romaisa Siddique, None Rohma Saqib, None Hafiz Umar Farooq","doi":"10.59058/jaimc.v21i2.129","DOIUrl":"https://doi.org/10.59058/jaimc.v21i2.129","url":null,"abstract":"Background: Female infertility ends up in long term health implications especially in Pakistan where combined family system and social set-up pressurizes the newly married couple for child bearing. But proper diagnosis and effective management is only possible through health care seeking.
 Objective: To assess the actual magnitude of different types of infertility and its associated health care seeking amongst females of Dyal Village Lahore. Methodology: This cross sectional comparative study was conducted in rural female population of Dyal Village Lahore. The sample size was118 and data collection was done through Simple Random Sampling. Data was gathered using Personal Self-Concept Questionnaire containing information related to socio demographic, economic, female medical, family , gynecological and Health Care seeking history. Results: Out of 118 only 42 (35.59%) had Primary infertility. only 24.58% had Menorrhagia, 40.68% had Oligomenorrhea and 22.88% experienced Dysmenorrhea. Only 7% reported male factor. Majority females had ovulatory problems 38.3 % and 11.8 % with tubal blockage 9.7 % reported uterine problems. Only 68(57.63%) visited hospitals, 67 (56.78%) seeked medical treatment and 48(40.68) had both medical and surgical interventions. Surprisingly 29(24.58%) had received Instrumentation and medication by Dai and 10 (8.47) had medication following relatives advice. Study has also shown a significant relation with higher educational and economical status. Conclusion: The higher Primary infertility levels and trends of seeking health care services other than professional experts especially from Dai is alarming. Future research study can be focused for determining the predictors of such health care services for infertility. Key Words: Infertility, Primary Infertility, Secondary infertility and Health Care Seeking,","PeriodicalId":492993,"journal":{"name":"JAIMC Journal of Allama Iqbal Medical College","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059132","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":"Measuring anti-spike IgG Antibody Response to SARS-CoV-2 vaccination in Patients Receiving Hemodialysis in Pakistan","authors":"Sidra Cheema, Numan Javed, Samreen Gilani, Manal Cheema, Zain Tariq, Zeeshan Butt, Shafiq Cheema","doi":"10.59058/jaimc.v21i2.115","DOIUrl":"https://doi.org/10.59058/jaimc.v21i2.115","url":null,"abstract":"The current state of the evidence is equivocal for IgG antibody response to SARS-CoV-2 vaccination in hemodialysis patients. Here, we assess the immune response in hemodialysis patients who have received a complete series of vaccines with or without a history of prior COVID infection irrespective of the vaccine administered. In this cross-sectional study, we obtained serum samples from Hemodialysis patients (n = 101). Our study found that nearly three-quarters of patients (72.2%) had two doses of either Sinovac or Sinopharm vaccine administered, and ninety-seven percent of participants were considered seropositive (COVID Ab titers > 7.1 BAU/ml). Mean COVID19 spike antibody titers were 1892.4 BAU/mL and median titers were 971 BAU/mL. The comparative analysis was performed between patients who completed two-doses less than 6 months ago and more than 6 months ago when their antibody levels were measured. Mean and median antibody titers were 1895.8 and 792 BAU/mL in the former group compared to 1981.1 and 1033 BAU/mL respectively (P value 0.84) in the latter group, indicating no significant difference. There were also no statistically significant differences in IgG antibodies among subgroups defined by diabetes, hypertension, CAD or gender. However, older patients (age >55 years) had significantly higher anti-spike antibody titers as compared to younger patients (2417.8 BAU/mL vs 1377.3 BAU/mL, P value 0.008). The result of this study provides important evidence, which can lead to vaccine efficacy especially in older populations. Future studies should address whether booster vaccination may play a role in providing an effective and long-lasting protection among vulnerable patients undergoing hemodialysis treatment.","PeriodicalId":492993,"journal":{"name":"JAIMC Journal of Allama Iqbal Medical College","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059137","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":"A STUDY TO ESTABLISH THE RELATIONSHIP BETWEEN DEPRESSION AND OSTEOARTHRITIS ACCORDING TO THE SEVERITY OF PAIN AND LOSS OF FUNCTION","authors":"Fatima Javed, Fatima Ibrahim, Shanzae Naeem, Omar Ahmad, Sadaf Sehar, Talha Muzamil","doi":"10.59058/jaimc.v21i2.118","DOIUrl":"https://doi.org/10.59058/jaimc.v21i2.118","url":null,"abstract":"Objective: To establish a relationship between depression and osteoarthritis according to the severity of pain and loss of function. 
 Study Design: Cross-sectional study.
 Place and Duration of study: Orthopedic and Rheumatology department of Combined Military Hospital, Lahore from October 2022 to March 2023
 Patients and Methods: All the patients reporting to the outpatient department of either gender aged more than 45 years with a diagnosis of OA based on X-ray findings and a consultant review were included in our study. Severity of OA was studied using the WOMAC (Western Ontario and McMaster Universities) Osteoarthritis Index. Depression was measured using the Personal Health Questionnaire (PHQ-9) scale in these patients simultaneously. (12) It was translated in Urdu for the ease of our participants.
 Results: Out of the 196 participants of our study, 71 (36.2%) were males while 125 (63.8%) were females. Mean age of the participants of our study was 55.49 Years + 8.98. Mean WOMAC index score was 61.02 + 19.11. 3 (1.5%) patients of OA had mild disease in our study and no depression was found in them. In the moderate disease group, 34 (17.3%) had no symptoms of depression, 62 (31.6%) had minimal depression, none had mild, moderate or severe depression while only 1 (0.5%) had moderately severe depression. Out of 96 (48.9%) of the OA patients with severe disease as per the WOMAC index, 3 (1.5%) had minimal depression, 47 (23.9%) had mild depression, 15 (7.6%) had moderate depression, 27 (13.8%) had moderately severe depression and 4 (2.0%) had severe depression.
 Conclusion: OA is a debilitating disease. Quality of life of patients is severely affected as the duration increases due to pain, stiffness and loss of function of joints. Long term disease leads to depression of variable degrees. . Thus early diagnosis and timely intervention in such patients with an individualized management plan can improve the outcome and quality of life of patients.
 
 Keywords: Osteoarthritis, Depression, Morbidity","PeriodicalId":492993,"journal":{"name":"JAIMC Journal of Allama Iqbal Medical College","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059997","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":"Comparing the Frequency of Left Main Stem Disease Among Patients with ST Elevation in AVR Lead","authors":"None Mariam Tahir Siddiqi, Kamran Dawood Ahmad, Muhammad Ijaz Bhatti, Shahid Hameed, None Rajia Liaqat, Khawaja Muhammad Usama","doi":"10.59058/jaimc.v21i2.170","DOIUrl":"https://doi.org/10.59058/jaimc.v21i2.170","url":null,"abstract":"Background: Coronary artery disease (CAD) is one of the leading causes of mortality worldwide with similar prevalence in Pakistan. The main objective of the study is to compare the frequency of left main stem disease among patients with STelevation in aVR. Methods:This cross-sectionalstudywas conducted inDepartment of cardiology,Punjab institute of cardiology,Lahore. Sample size of 151 cases is calculated with 95% confidence level,7%margin of error and taking expected percentage of LMS is 74.2%. The data was collected through non probability consecutive sampling technique. Results: Mean age of the study population was 55.54±10.1 years. Majority of the cases were male 117(77.5%)and 34(22.5%) were female which were less in quantity. Mean body mass index was 28.61±2.58. Conclusion: Majority of the cases developed left mainstem disease who have been diagnosed with STelevation in aVR. A significant difference of the diabetic versus non diabetic was observed who have been noted for LMS disease.","PeriodicalId":492993,"journal":{"name":"JAIMC Journal of Allama Iqbal Medical College","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059136","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}