Pakistan Journal of Health Sciences最新文献_第4页

Change in Corneal Astigmatism After Phacoemulsification with Rigid Intraocular Lens Implantation 植入硬性眼内透镜的超声乳化术后角膜散光的变化

Pakistan Journal of Health Sciences Pub Date : 2024-01-31 DOI: 10.54393/pjhs.v5i01.1279

S. Jahangir, Muhammad Hassaan Ali, Uzma Hamza

{"title":"Change in Corneal Astigmatism After Phacoemulsification with Rigid Intraocular Lens Implantation","authors":"S. Jahangir, Muhammad Hassaan Ali, Uzma Hamza","doi":"10.54393/pjhs.v5i01.1279","DOIUrl":"https://doi.org/10.54393/pjhs.v5i01.1279","url":null,"abstract":"Phacoemulsification with lens implant is the preferred method of cataract extraction nowadays. In resource-deficient settings, rigid polymethyl methacrylate (PMMA) lenses are implanted which require enlargement of corneal incision to 5.5mm. Objectives: We conducted this study to evaluate the effect of corneal incisions secured with a single suture on corneal astigmatism after routine cataract surgery. Methods: It was a quasi-experimental study conducted at tertiary care hospitals. Sixty patients were studied and preoperative visual acuity and keratometry readings were noted. After standard phacoemulsification, a 5.5mm rigid PMMA lens was implanted in the bag, and the corneal incision was sutured using a single central 10/0 nylon suture. Visual acuity and keratometry readings were noted on 1st postoperative day, 1-week postoperatively, and 6-weeks postoperatively and compared with pre-operative values. Results: The mean age was 59.27 ± 10.72 (range: 46 – 78) years. There were 32 (53.3%) males and 28(46.7%) females in the study. The mean preoperative keratometry reading was 0.89 ± 0.70 D, and the mean first-day postoperative cylinder was 1.94 ± 0.98 D (p < 0.05). The mean astigmatism at the 6th week postoperatively was 0.96 ± 0.65 D, and its comparison with the pre-operative astigmatism was statistically not significant (p > 0.05). Surgically induced astigmatism was found to be 0.07 diopters. Almost 60% of the patients achieved uncorrected 6/7.5 or better visual acuity, and more than one-third of patients achieved 6/6 best corrected visual acuity six weeks after the cataract surgery using the described technique. Conclusions: Phacoemulsification with 5.5mm PMMA IOL with a central single suture is an effective procedure for postoperative astigmatism and visual outcome. ","PeriodicalId":515760,"journal":{"name":"Pakistan Journal of Health Sciences","volume":"179 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140475493","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

Comparison of Vicryl Rapide Versus Chromic Catgut for Episiotomy Repair Vicryl Rapide 与 Chromic Catgut 外阴切开修复术的比较

Pakistan Journal of Health Sciences Pub Date : 2024-01-31 DOI: 10.54393/pjhs.v5i01.1003

S. Syed, Mafia Akbar, Naheed Akhtar, N. Ashraf, A. Ashraf, Sofia Manzoor

{"title":"Comparison of Vicryl Rapide Versus Chromic Catgut for Episiotomy Repair","authors":"S. Syed, Mafia Akbar, Naheed Akhtar, N. Ashraf, A. Ashraf, Sofia Manzoor","doi":"10.54393/pjhs.v5i01.1003","DOIUrl":"https://doi.org/10.54393/pjhs.v5i01.1003","url":null,"abstract":"A significant proportion of women benefit from episiotomy, but it’s also associated with short and long-term postpartum morbidities like perineal pain due to lacerations and scar formation after repair. The current study was designed to rule out the variations regarding pain and analgesia requirement. Objective: To evaluate outcome of vicryl rapide sutures versus chromic catgut sutures for episiotomy repair in terms of pain and analgesia requirement. Methods: In this randomized control trial from March to September 2021, a total of 206 females (103 in each group) were enrolled and the data was collected after taking informed consent. Episiotomy in all females was done by a single senior consultant. Subjects were randomly assigned one of two sutures. In Group-A females were managed by vicryl rapide 2-0 (36mm, 1/2circle double reverse cutting and round bodied needle) females. in group-B were managed by chromic catgut 1.0 (30 mm, 0.5 circle round bodied needle). Both groups were compared in terms of pain and analgesic requirement. Results: Comparison of pain in vicryl rapide sutures versus chromic catgut after repair of episiotomy showed that 32.0% (n=33) in Group-A and 49.5% (n=51) in Group-B had pain after 48 hours (p value = 0.01). Analgesia requirement at day 7 was recorded in 20.4% (n=21) in Group-A and 66.0%(n=68) in Group-B (p = <0.000). Conclusions: We concluded that vicryl rapide has a better outcome as compared with chromic catgut in repair of episiotomy in terms of pain and analgesic requirements. ","PeriodicalId":515760,"journal":{"name":"Pakistan Journal of Health Sciences","volume":"245 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140474950","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

Role of Color Doppler Ultrasound to Evaluate the Lower Limb Deep Venous Thrombosis in Diabetic Patients 彩色多普勒超声在评估糖尿病患者下肢深静脉血栓中的作用

Pakistan Journal of Health Sciences Pub Date : 2024-01-31 DOI: 10.54393/pjhs.v5i01.1229

Muhammad Ahmad Raza, Abdul Rauf, Bushra Akmal Khan, Muhammad Asad Alam, Laamia Altuf, Aftab Alloudin, Saman Fatima

引用次数: 0

Common Complications in Infants Born to Diabetic Mothers 糖尿病母亲所生婴儿的常见并发症

Pakistan Journal of Health Sciences Pub Date : 2024-01-31 DOI: 10.54393/pjhs.v5i01.1261

Syed Bawar Shah, Shandana Bawar, .. Wajeeha, Nazish Farooq

{"title":"Common Complications in Infants Born to Diabetic Mothers","authors":"Syed Bawar Shah, Shandana Bawar, .. Wajeeha, Nazish Farooq","doi":"10.54393/pjhs.v5i01.1261","DOIUrl":"https://doi.org/10.54393/pjhs.v5i01.1261","url":null,"abstract":"Infants of diabetic mothers are at increased risk of complications. There is always a need for more research on this topic to look for complications and make strategies for prevention and management. Objectives: To determine the frequency of complications in infants born to diabetic mothers. Methods: This descriptive study was done at the Department of Pediatrics, Molvi Ameer Shah Memorial Hospital, Peshawar from 1st January 2022 to 31st December 2022. A total of 150 infants born to diabetic mothers were enrolled after written informed consent and frequencies of complications were noted. Data were analyzed using SPSS 24.0. Results: The mean age of the patients was 3.08 ± 1.7 days. The minimum age was 1 day, and the maximum was 7 days. The mean age of the mother was 26.9 ± 4.07 years. The mean gestational age was 36.9 ± 1.4 weeks. The mean duration of diabetes was 7.6 ± 1.14 years. The mean HbA1c level was 7.27 ± 2.41. There were 38% males and 62% female. Adequate diabetic control was present in 24.7% of patients while 75.3% had poor diabetic control. The most common complication was hypoglycemia in 24.7% followed by Macrosomia in 22.7%, prematurity in 20%, hyperbilirubinemia 11.3%, hypocalcemia in 10.7% and polycythemia in 10.7% patients. Conclusions: Most common complication was hypoglycemia followed by macrosomia, prematurity, hyperbilirubinemia, hypocalcemia, and polycythemia. However, due to its limited sample size, the results may not be generalizable. ","PeriodicalId":515760,"journal":{"name":"Pakistan Journal of Health Sciences","volume":"479 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140474570","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