Journal of the Pakistan Medical Association最新文献

Management of pemphigus during COVID-19 pandemic era: An experience of single centre.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.10935

Sahibzada Mahmood Noor, Farah Sagheer, Adan Sardar

引用次数: 0

Over the counter naloxone nasal spray: A new hope for opioid crisis management in Pakistan.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.21348

Zmarak Ahmed Khan, Zainab Anfaal, Muhammad Shaheer

引用次数: 0

A case of Kasabach-Merritt Syndrome in a nine-month-old: A rare complication of haemangioma in the young.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.11607

Hafiz Khalid Pervaiz, Usman Jamil Mughal, Izza Ali Rai, Mumtaz Touseef, Aliezeh Fatima Rai

引用次数: 0

Digital dilemma: Navigating the nexus of nomophobia, phantom vibration syndrome and psychological disorders.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.21182

Safia Kundi, Parah Gul

引用次数: 0

Long-term antibody response after COVID-19 vaccination in health care workers: A single centre study from Pakistan.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.20351

Fatima Kanani, Javeria Ejaz, Sabiha Anis, Mamoona Mushtaq

{"title":"Long-term antibody response after COVID-19 vaccination in health care workers: A single centre study from Pakistan.","authors":"Fatima Kanani, Javeria Ejaz, Sabiha Anis, Mamoona Mushtaq","doi":"10.47391/JPMA.20351","DOIUrl":"https://doi.org/10.47391/JPMA.20351","url":null,"abstract":"The retrospective cohort study was planned to determine long-term anti-spike immunoglobulin G levels after receiving coronavirus disease-2019 vaccination by healthcare workers. The study took place between June and July 2022 at the Indus hospital in Karachi. Healthcare workers who had previously screened negative to prevaccination Severe Acute Respiratory Syndrome Coronavirus 2 nucleocapsid antibodies were tested for post-vaccination Severe Acute Respiratory Syndrome Coronavirus 2 anti-spike immunoglobulin G levels using a quantitative assay. The test was also performed on the stored pre-vaccination samples of the subjects collected up to 18 months previously. Antibody levels in subjects without infection, with infection and with booster administration were compared. The median postvaccination anti-spike immunoglobulin G in infected only, infected with routine vaccination and infected with booster values were 1,725.6 IU/mL (interquartile range: 684.80- 4,708.9 IU/mL), 2,067.15 IU/mL (interquartile range: 705.33-4,670.4 IU/mL) and 6,139.15 IU/mL (interquartile range: 2,426.05-10,623.40 IU/mL). There was a doubling of antibody titers, from 1,744 IU/mL to 3,829 IU/mL, in those who received a booster versus routine vaccination (p>0.05). The antibodies remained positive more than a year following vaccination.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"472-475"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A comparative analysis of the efficacy of intrauterine misoprostol in conjunction with oxytocin versus oxytocin monotherapy for the prophylaxis of primary postpartum haemorrhage.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.11080

Afnan Rizwan, Muhammad Hassaan Farooq, Uzma Nayyer, Asma Irfan, Mahwish Farooq, Maryam Siddique

{"title":"A comparative analysis of the efficacy of intrauterine misoprostol in conjunction with oxytocin versus oxytocin monotherapy for the prophylaxis of primary postpartum haemorrhage.","authors":"Afnan Rizwan, Muhammad Hassaan Farooq, Uzma Nayyer, Asma Irfan, Mahwish Farooq, Maryam Siddique","doi":"10.47391/JPMA.11080","DOIUrl":"https://doi.org/10.47391/JPMA.11080","url":null,"abstract":"Objectives: To determine the effectiveness of intrauterine misoprostol along with oxytocin versus oxytocin monotherapy for the prevention of primary postpartum haemorrhage.Methods: The quasi-randomised controlled trial took place at the Akbar Niazi Teaching Hospital, Islamabad, Pakistan, from February to August 2021, and comprised women who underwent lower segment caesarean section and at fullterm pregnancy who had risk factors for experiencing postpartum haemorrhage. The subjects were randomised into experimental group A and control group B. Group A subjects received both misoprostol and oxytocin, while those in group B received oxytocin only. Data was analysed using SPSS 26.Results: Of the 120 subjects, 60(50%) were in group A with mean age 28.72±5.82 years and mean gestational age 38.02±1.1 weeks. The remaining 60(50%) subjects were in group B with mean age 29.47±4.72 years and mean gestational age 37.50±1.5 weeks. Group A subjects had fewer changes in haemoglobin levels post-operation than those in group B (p<0.05). The number of operative towels used, contractility time of the uterus, and need for other drugs to control haemorrhage were significantly different in group A compared to group B.Conclusion: Misoprostol along with oxytocin was found to be more effective in reducing blood loss in patients with postpartum haemorrhage.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"405-408"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Visual impairment and blindness in Alkharj, Saudi Arabia.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.20043

Nasraddin Othman Bahakim, Ayman Ibrahim Geddawy, Abdulrahman Ibrahim Aldarrab, Mansour Mohammad Alajmi, Mohammed Saoud Alsaidan, Maher Faleh Aljuhani, Abdulqayyum Hussain, Abdulhakim Saeed Alqahtani, Abdulmajeed Mohammed Alshaikhi, Sameer Hamed Al-Ghamdi

{"title":"Visual impairment and blindness in Alkharj, Saudi Arabia.","authors":"Nasraddin Othman Bahakim, Ayman Ibrahim Geddawy, Abdulrahman Ibrahim Aldarrab, Mansour Mohammad Alajmi, Mohammed Saoud Alsaidan, Maher Faleh Aljuhani, Abdulqayyum Hussain, Abdulhakim Saeed Alqahtani, Abdulmajeed Mohammed Alshaikhi, Sameer Hamed Al-Ghamdi","doi":"10.47391/JPMA.20043","DOIUrl":"https://doi.org/10.47391/JPMA.20043","url":null,"abstract":"Objective: To determine the incidence and causes of visual impairment and blindness among patients attending eye clinics in a tertiary care setting.Methods: The retrospective study was conducted in Alkharj city, Saudi Arabia, from May to November 2022, and comprised records of patients who visited eye clinics of two main hospitals in the city with complaints of low vision or blindness between January 2021 and December 2021. Medical history, family history and ophthalmological examination results of each patient were reviewed, and the causes and frequency of occurrence of visual impairment and blindness were determined. Data was analysed using SPSS 21.Results: Of the 433 patients, 269(62.1%) were female and 164(37.9%) were male. The overall mean age was 38.52±21.90 years (range; 5-90 years) with a median age of 37 years (IQR: 19-58). Refractive error 271(62.6%), cataract 69(15.9%) and diabetic retinopathy 37(8.5%) were the major causes of visual impairment, followed by amblyopia 15(3.5), corneal opacity 12(2.8), and glaucoma 8(1.8). Refractive errors, amblyopia, and corneal opacity were more common among those aged 5-20 years, while visual impairment caused by cataract, diabetic retinopathy and glaucoma was more common in older age groups.Conclusions: Refractive error was found to be the major cause among the participants with mild to severe visual impairment.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"418-423"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hernia uterus inguinale in a two months old female infant.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.21264

Mahwish Noor-Ul-Haq, Muhammad Azam, Muhammad Sharif, Sadaf Zafarullah, Babar Shahzad, Muhammad Rehman Waheed

{"title":"Hernia uterus inguinale in a two months old female infant.","authors":"Mahwish Noor-Ul-Haq, Muhammad Azam, Muhammad Sharif, Sadaf Zafarullah, Babar Shahzad, Muhammad Rehman Waheed","doi":"10.47391/JPMA.21264","DOIUrl":"https://doi.org/10.47391/JPMA.21264","url":null,"abstract":"The most common age groups for indirect inguinal hernias are infants, with a low prevalence in girls. It is very uncommon for uterus, ovaries and fallopian tubes to be present in hernial sac altogether. Since strangulation and necrosis of these organs may result in serious illness and infertility, early detection and surgery are essential. The most useful technique for diagnosing and differentiating infant inguinal hernias is ultrasound. We sought to illustrate surgical features of a two months old female infant, delivered by caesarean section, presented to the Paediatric Surgery Emergency Department at Mayo Hospital Lahore on 8th March 2024 with irreducible mass in left groin. The diagnosis was made via ultrasound, which revealed an indirect incarcerated inguinal hernia containing viable uterus, ovaries and fallopian tubes. Surgery was performed through an inguinal approach, where the uterus, fallopian tubes and ovaries were found within the hernial sac. High ligation and additional repair of internal inguinal ring were done after reducing the contents in the peritoneal cavity. The postoperative course was uneventful.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"495-497"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysing Obesity Epidemicity and Endemicity: Introducing New Quantitative Indices.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.25-20

Sanjay Kalra, Madhur Verma, Nitin Kapoor

引用次数: 0

Role of different methods of contraception and time of menstrual cycle on dry socket.

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.11164

Sidra Abid, Javeria Khan, Uzma Hameed, Mohsina Marufi, Amynah Charania Sheikh

{"title":"Role of different methods of contraception and time of menstrual cycle on dry socket.","authors":"Sidra Abid, Javeria Khan, Uzma Hameed, Mohsina Marufi, Amynah Charania Sheikh","doi":"10.47391/JPMA.11164","DOIUrl":"https://doi.org/10.47391/JPMA.11164","url":null,"abstract":"Objectives: To investigate the potential association between the use of contraceptives and the occurrence of dry socket following tooth extraction.Methods: The cross-sectional study was conducted at the Dow International Dental College, Karachi, from April to October 2023, and comprised female patients aged 18-45 years who underwent posterior maxillary and mandibular tooth extractions. All the extractions were conducted under local anaesthesia by the same surgeon. After extraction, the patients were given preventive anti-inflammatories and prophylactic antibiotics. Extraction success was the dependent variable, while contraceptive use was the independent variable, and the association between the two was evaluated. Data was analysed using SPSS 21.Results: Of the 193 female subjects, female patients aged 18-45 years 68(35.2%) were in the follicular phase of their menstrual cycle, 106(54.9%) were in the luteal phase, and 19(9.8%) were in the ovulation phase. Regarding contraceptive methods, 133(68.9%) used oral contraceptive pills, followed by 28(14.5%) using combined oral contraceptive pills. The development of dry socket was observed in 61(31.6%) cases. A significant positive correlation was found between oral contraceptive use and an increased risk of dry socket (p<0.05). Women in the luteal phase had significantly higher odds of developing dry socket compared to those in the ovarian phase (p=0.029), while the odds of developing dry socket during the follicular phase were significantly lower compared to the ovarian phase (p=0.001).Conclusions: There is a need to take oral contraceptives usage into account as a possible contributory factor for socket dryness in female dental extraction patients.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"409-413"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0