{"title":"The e ffec t of the nose fo rm o n lin ear and a ngular lip po sitio n in C l as s II patients.","authors":"Tania Arshad Siddiqui, Rashna Hoshang Sukhia, Ahmad Hasan, Ruhamaa Arshad, Hassam Anjum Mir, Saad Mansoor","doi":"10.47391/JPMA.21759","DOIUrl":"https://doi.org/10.47391/JPMA.21759","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effect of nose form on linear and angular lip position on pre -treatment cephalometric soft tissue analysis.</p><p><strong>Methods: </strong>The retrospective, cross-sectional, analytical study was conducted at the orthodontic department of Foundation University College of Dentistry and Hospital in Islamabad, and comprised data from October to December 2023 of patients aged 18-25 years presenting with no prior history of orthodontic treatment and craniofacial anomalies and syndromes. Pre-treatment lateral cephalograms were manually traced by a single experienced investigator. The sample was divided into two horizontal groups, using point A-nasion-point B angle. Comparisons were made based on gender and sagittal groups, and the effect of nasal profiles was assessed. Data was analysed using SPSS 23.</p><p><strong>Results: </strong>Of the 131 patients, 96(73.2%) were females with mean age 22.70±3.97 years, and 35(26.7%) were males with mean age 20.97±3.21 years. There were 65(49.6%) subjects in sagittal Class I group, and 66(50.4%) in sagittal Class II group. A significant and inverse relationship was noted for columellar length with linear position of the upper and lower lips to E and S lines (p<0.05). Inclination of the nasal base had the most effect on the naso-labial angle (p<0.05).</p><p><strong>Conclusion: </strong>Skeletal Class II had a prominent nose which created a relatively retrusive appearance of the upper and lower lips.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 2","pages":"220-225"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461267","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}
{"title":"Health education on HPV vaccination and cervical cancer prevention: A randomised controlled trial on knowledge, attitudes, beliefs, and behaviours.","authors":"Serpil Ozdemir, Rabia Caglayan","doi":"10.47391/JPMA.22482","DOIUrl":"https://doi.org/10.47391/JPMA.22482","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of a health education programme on changes in human papillomavirus knowledge, attitudes and intention to vaccinate among adolescent girls and their mothers.</p><p><strong>Methods: </strong>The randomised controlled trial was conducted at two adolescent outpatient clinics from January to June 2019 after approval from the Medical Specialist Education Board, Ankara, Turkiye, and comprised girls aged 9-18 years and their mothers. The two clinics were randomised using the lottery method into intervention group A and control group B. The subjects in group A received two health education sessions in addition to standard care: the first session in the first week, and the second session in the fifth week after the first. The follow-up period lasted 12 weeks. Those in group B received standard care. Data was collected using the Human Papillomavirus Knowledge Scale and the Health Belief Model Scale. Data was analysed using SPSS 23.</p><p><strong>Results: </strong>Of the 216 subjects, 108(50%) each were in groups A and B; 54(50%) mothers and as many daughters. There were significant post-intervention differences between the groups (p<0.05). Among group A mothers, the intention to vaccinate their daughters was higher compared to those in group B (p=0.001).</p><p><strong>Conclusions: </strong>Health education regarding human papillomavirus infection and cervical cancer prevention was found to be effective in increasing knowledge and promoting positive health beliefs, attitudes and behaviours.</p><p><strong>Rct registration: </strong>The study was registered at ClinicalTrials.gov (Trial #: NCT04113902 Date of Approval: April 15, 2019). Link: https://www.clinicaltrials.gov/study/NCT04113902.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 2","pages":"140-150"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461272","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}
{"title":"Axial length, anterior chamber parameters, and white-to-white corneal diameter: Their inter-correlations with intraocular pressure among young Saudis.","authors":"Wafa Alotaibi, Saif Alrasheed","doi":"10.47391/JPMA.20964","DOIUrl":"https://doi.org/10.47391/JPMA.20964","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate axial length, anterior chamber angle, anterior chamber depth, refractive errors and white-to-white corneal diameter, and to assess their inter-correlations with intraocular pressure among young individuals.</p><p><strong>Methods: </strong>The prospective, cross-sectional study was conducted at the optometry clinics of King Saud University, Riyadh, Saudi Arabia, between January and April 2022, and comprised healthy subjects of either gender aged 8-37 years. Ocular parameters were noted, and the subjects were screened for ocular disorders with a slit lamp. The refractive error was assessed using an auto-refractometer. Data was analysed using SPSS 25.</p><p><strong>Results: </strong>Of the 108 subjects, 61(56.5%) were females and 47(43.5%) were males. The overall mean age was 20.87±6.23 years. The mean anterior chamber angle was 39.26±5.04 degrees, mean anterior chamber depth was 3.06±0.30mm, mean white-to-white corneal diameter was 11.97±0.40mm, and mean intraocular pressure was 18.75±1.68mmHg. Intraocular pressure had a positive but non-significant correlation with myopia, anterior chamber angle, anterior chamber depth and axial length (p>0.05). Conversely, intraocular pressure had inverse but non-significant correlation with age, hyperopia and white-to-white corneal diameter (p>0.05).</p><p><strong>Conclusions: </strong>Ocular biometric dimensions could be considered while assessing the risk factors for ocular hypertension.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 1","pages":"8-12"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286245","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}
Elisa Calisgan, Bayram Ozturk, Betul Akyol, Kemal Gocer
{"title":"Can malnutrition predict mortality in heart failure with low ejection fraction? Implications for multidisciplinary care.","authors":"Elisa Calisgan, Bayram Ozturk, Betul Akyol, Kemal Gocer","doi":"10.47391/JPMA.21138","DOIUrl":"https://doi.org/10.47391/JPMA.21138","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate malnutrition's predictive potential and significance with respect to overall mortality related to heart failure with low ejection fraction.</p><p><strong>Methods: </strong>The cross-sectional, prospective study was conducted from June to August 2022 at the Kahramanmaras Sutcu Imam University and the Osmaniye Duzici State Hospital, Turkiye, and comprised heart failure patients with low ejection fraction. Malnutrition status was evaluated using the Global Leadership Initiative on Malnutrition criteria. The patients were divided into malnutrition group A and healthy group B. Prognostic nutritional index and contro ling nutritional status scores were calculated and compared. All the patients were followed up either through telephone or clinic visits for up to one year. The number of hospitalisations and length of hospital stay within a year were recorded and compared. Data was analysed using SPSS 22.</p><p><strong>Results: </strong>Of the 216 patients with mean age 67.10±5.59 years, 110(50.9%) were males and 106(49.1%) were females. There were 57(26.4%) subjects in group A and 159(73.6%) in group B. Malnutrition, length of hospital stay and increased neutrophils were independent predictors of death (p<0.05).</p><p><strong>Conclusion: </strong>Malnutrition was found to be common among heart failure outpatients, and could significantly help identify those at increased mortality risk.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 1","pages":"65-70"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286258","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}
{"title":"Misuse of antibiotics in paediatric infections: A call for parental awareness.","authors":"Hiba Ikram, Anfaal Faheem","doi":"10.47391/JPMA.30799","DOIUrl":"https://doi.org/10.47391/JPMA.30799","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 1","pages":"135"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286036","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}
{"title":"Post-imaging arrow markers on x-rays: A simple tool to enhance fracture localization.","authors":"Hammad Khan, Mir Abdul Basit, Syed Darian Kashani","doi":"10.47391/JPMA.31050","DOIUrl":"https://doi.org/10.47391/JPMA.31050","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 1","pages":"124"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286113","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}
{"title":"The evolving role of liver transplantation in managing polycystic liver disease.","authors":"Aqsa Afzal","doi":"10.47391/JPMA.22943","DOIUrl":"https://doi.org/10.47391/JPMA.22943","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 1","pages":"131-132"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286129","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}
Naheed Habibullah, Syed Hassan, Badar Afzal Khan, Najm Us Sahar
{"title":"Abdominal cocoon: A rare presentation of abdominal distension in a young adult male-A case report.","authors":"Naheed Habibullah, Syed Hassan, Badar Afzal Khan, Najm Us Sahar","doi":"10.47391/JPMA.22928","DOIUrl":"https://doi.org/10.47391/JPMA.22928","url":null,"abstract":"<p><p>This case report outlines the presentation, evaluation, and management of a 35-year-old male patient with a history of subacute intestinal obstruction, who presented with generalised abdominal pain and distension. Clinical evaluation revealed a tender supraumbilical mass, and imaging confirmed abdominal cocoon-a rare condition where small bowel loops are encapsulated by a thin peritoneal layer. Initially managed conservatively, the patient's condition improved and he was discharged from the hospital but later returned with recurrent intestinal obstruction. Subsequently, he underwent exploratory laparotomy with open adhesiolysis, which was successful without any post-operative complications. The patient has since been stable during the follow-up period, showing good tolerance to treatment.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 1","pages":"94-96"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286281","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}
Saira Furqan, Sarah Saba Yasin, Muhammad Saad, Muhammad Salik
{"title":"Female infertility - risk factors.","authors":"Saira Furqan, Sarah Saba Yasin, Muhammad Saad, Muhammad Salik","doi":"10.47391/JPMA.21620","DOIUrl":"https://doi.org/10.47391/JPMA.21620","url":null,"abstract":"<p><p>Female infertility is a complex health concern with a multitude of risk factors and aetiologies. This current narrative review was planned to highlight the various significant contributors to female infertility, including age related decline in fertility, ovulatory dysfunctions, endometriosis, uterine abnormalities, pelvic and tubal adhesions, and lifestyle factors, such as smoking, alcohol consumption, caffeine intake, exercise, psychological stress and drug abuse. While advanced age and some medical conditions undeniably lower reproductive potential, modifiable lifestyle choices also play a vital role. Early diagnosis, prompt and appropriate management, and awareness of these factors are imperative for optimising fertility outcomes. Public health strategies should emphasise education and awareness of lifestyle choices that impact fertility, alongside advocating timely interventions for those at risk. There is a critical need for robust research to augment the present understanding of female infertility and its complex interplay with these factors.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 1","pages":"76-82"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285864","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}
{"title":"Magic mushrooms and mood: Exploring psilocybin as a depression treatment.","authors":"Maria Rasool, Taha Muhammad Hannan, Muhammad Imam","doi":"10.47391/JPMA.30858","DOIUrl":"https://doi.org/10.47391/JPMA.30858","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"76 1","pages":"122-123"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285941","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}