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Journal of the Pakistan Medical Association最新文献

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Enablers& barriers to online and e-learning for health professionals in Pakistan: a formative research. 巴基斯坦卫生专业人员在线和电子学习的促进因素与障碍：一项形成性研究。
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.20453
Zahra Saleem Ladhani, Amira Mushtaq Khan, Zulfiqar Ahmed Bhutta
{"title":"Enablers& barriers to online and e-learning for health professionals in Pakistan: a formative research.","authors":"Zahra Saleem Ladhani, Amira Mushtaq Khan, Zulfiqar Ahmed Bhutta","doi":"10.47391/JPMA.20453","DOIUrl":"https://doi.org/10.47391/JPMA.20453","url":null,"abstract":"<p><strong>Objective: </strong>To design a continuous professional development programme pertaining to integrated nutrition, health, and Water, Sanitation and Hygiene interventions for health professionals (HP).</p><p><strong>Methods: </strong>The cross-sectional study was conducted from January 1 to April 30, 2024, in Lahore, Pakistan, after approval from the ethics review committee of the Institute of Clinical Psychology, University of Management and Technology, Lahore. The sample was raised from among students of either gender aged 18-26 years studying at various public and private universities in Lahore. Data was collected using the Attachment Styles Scale, Dating Violence Scale, Self-Criticism Scale and the Psychosocial and Emotional Reactions Scale. Data was analysed using SPSS 25.</p><p><strong>Results: </strong>Of the 1,768 publications identified, 41(2.3%) were analysed in detail. Of the 15 key informants interviewed, 7(46.6%) were HPs, while 4(26.7%) each were police-makers and facilitators or designers of online modules. Under the two broad categories of \"enablers\" and \"barriers\", five subthemes emerged for each. The subthemes related to enablers included personal, content and design, quality of facilitators, peer connectivity, and social networking. The subthemes related to barriers were structural, cultural, curricular and content, human resources, and financial.</p><p><strong>Conclusion: </strong>In Pakistan, the corona virus disease-2019 pandemic brought about a forced digital transformation for health professions students. Blended learning emerged as an effective e-learning model. To inform the development, implementation and sustainability of online continuous professional development of health professionals, a guiding framework comprising various elements, like financing mechanism, appropriate materials and activities, communication strategy, and an evaluation process, incorporating regulatory perspective, contextual factors and clear objectives is essential.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1247-1261"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978821","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
Acute effects of caffeine on intraocular pressure. 咖啡因对眼压的急性影响。
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.20294
Irum Riaz, Muhammad Fayaz, Fatima Zahid, Sadia Noureen, Hakim Anjum Nadeem
{"title":"Acute effects of caffeine on intraocular pressure.","authors":"Irum Riaz, Muhammad Fayaz, Fatima Zahid, Sadia Noureen, Hakim Anjum Nadeem","doi":"10.47391/JPMA.20294","DOIUrl":"https://doi.org/10.47391/JPMA.20294","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the acute effects of caffeine on the intraocular pressure among healthy young individuals.</p><p><strong>Methods: </strong>The quasi-experimental study was conducted from January to May 2023 at the Superior University, Lahore, Pakistan, while data was collected from Al-Khair Trust Eye Hospital, Lahore. The sample comprised subjects aged 18- 27 years who had healthy eyes and were non-habitual consumers of coffee. Blood pressure and intraocular pressure were measured at baseline and then again at 30, 60 and 90 minutes after coffee ingestion. Individuals were given freshly produced instant coffee with caffeine. After an interval of two days, the same group was given instant decaffeinated coffee. Data was analysed using SPSS 25.</p><p><strong>Results: </strong>Of the 73 subjects, 46(63%) were males and 27(37%) were females. The overall mean age was 22.52±2.08 years (range: 19-27 years). Caffeine consumption raised intraocular pressure (p<0.001) and blood pressure (p=0.007) significantly compared to the baseline. Group B show no significant change (p>0.05).</p><p><strong>Conclusions: </strong>There was a significant increase in intraocular pressure and blood pressure after coffee ingestion in the caffeinated group, while there was no significant change in the decaffeinated group.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1204-1208"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978835","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
Audiology and speech pathology as emerging medical health fields. 听力学和言语病理学作为新兴的医学健康领域。
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.23014
Dania Zeb, Ayesha Zeb, Zoya Tariq
{"title":"Audiology and speech pathology as emerging medical health fields.","authors":"Dania Zeb, Ayesha Zeb, Zoya Tariq","doi":"10.47391/JPMA.23014","DOIUrl":"https://doi.org/10.47391/JPMA.23014","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1330"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978820","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
Network analysis of beta gene (HBB) haplotypes related to Hb S (β6 Glu → Val) in Denizli, Turkiye. 土耳其Denizli地区β基因（HBB）与Hb S （β6 Glu→Val）相关单倍型的网络分析
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.21639
Onur Ozturk
{"title":"Network analysis of beta gene (HBB) haplotypes related to Hb S (β6 Glu → Val) in Denizli, Turkiye.","authors":"Onur Ozturk","doi":"10.47391/JPMA.21639","DOIUrl":"https://doi.org/10.47391/JPMA.21639","url":null,"abstract":"<p><p>Numerous haplotypes related to the haemoglobin S mutation have been diagnosed worldwide and in the Denizli region of Türkiye. These subgroup haplotypes include Benin, Arab-Indian, Senegal, Bantu, Algeria, Cameroon, Central African Republic, Saudi and various other varieties. The current study was planned to determine the formation periods and network linkage relationships of genetic variations linked to haemoglobin S in the Denizli area and other geographical regions. The haplotype data was processed using Network software to calculate possible links between haplotypes and their formation dates. The results uphold the possibility that the haemoglobin S mutation may have come to the area through migratory pathways. According to analysis, the Benin haplotype historically formed first, followed by the Senegal and Arab-Indian haplotypes. These findings indicate that the haemoglobin S mutation might have reached the Mediterranean area long before the Silk Route migrations ≈ 2,000 years ago.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1262-1266"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978750","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
Sequelae of obstructive Nephropathy due to urolithiasis: a retrospective study at a tertiary care hospital of Lahore. 尿石症引起的梗阻性肾病的后遗症：拉合尔一家三级医院的回顾性研究。
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.20788
Usama Muhammad Kathia, Azfar Ali, Muhammad Sheraz, Haseeb Mehmood Qadri, Ali Imran Butt, Khizar Hayat Gondal
{"title":"Sequelae of obstructive Nephropathy due to urolithiasis: a retrospective study at a tertiary care hospital of Lahore.","authors":"Usama Muhammad Kathia, Azfar Ali, Muhammad Sheraz, Haseeb Mehmood Qadri, Ali Imran Butt, Khizar Hayat Gondal","doi":"10.47391/JPMA.20788","DOIUrl":"https://doi.org/10.47391/JPMA.20788","url":null,"abstract":"<p><p>The retrospective, observational study was planned to present the clinical manifestations of obstructive nephropathy secondary to urolithiasis, and its effect on long-term renal function. The sample comprised patients diagnosed with obstructive nephropathy secondary to stones admitted to the Department of Urology and Renal Transplant, Lahore General Hospital, Lahore, Pakistan, between January 1, 2018, and December 31, 2021. Data was analysed using SPSS 20. Of the 76 patients with a mean age of 50.06±13.42 years, 56(73.7%) were males and 20(26.3%) were females. The most frequent clinical cause was bilateral ureteric obstruction in 39 (51.3%) patients. The most common emergency procedure performed was unilateral percutaneous nephrostomy. It took an average of 10.8±2.3 days for patients to have a nadir value of creatinine. On follow-up, diabetes, presence of lower urinary tract symptoms and a higher value of creatinine at admission were significantly related to poorer outcomes (p<0.05).</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1267-1270"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978775","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
Beyond the house job: Time to rethink medical training? 家务活之外：是时候重新考虑医疗培训了？
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.30335
Zoreiz Zahid Cheema, Nadia Siddiq
{"title":"Beyond the house job: Time to rethink medical training?","authors":"Zoreiz Zahid Cheema, Nadia Siddiq","doi":"10.47391/JPMA.30335","DOIUrl":"https://doi.org/10.47391/JPMA.30335","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1316"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978797","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
Clinical profile, management, and outcome of electric burn injuries at a tertiary care hospital. 三级护理医院电烧伤的临床概况、管理和结局。
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.11447
Bushra Akram, Farrukh Aslam Khalid, Usman Ishaq, Sidra Shumshir Ali, Muhammad Younas Mehrose, Yawar Sajjad
{"title":"Clinical profile, management, and outcome of electric burn injuries at a tertiary care hospital.","authors":"Bushra Akram, Farrukh Aslam Khalid, Usman Ishaq, Sidra Shumshir Ali, Muhammad Younas Mehrose, Yawar Sajjad","doi":"10.47391/JPMA.11447","DOIUrl":"https://doi.org/10.47391/JPMA.11447","url":null,"abstract":"<p><strong>Objective: </strong>To determine the clinical profile, management and outcomes of electric burn injury cases in a tertiary care setting.</p><p><strong>Methods: </strong>The prospective, cross-sectional study was conducted at the Jinnah Burns and Reconstructive Surgery Centre, Lahore, Pakistan, from August 2021 to July 2022, and comprised patients admitted with electric burns. Data collected included demographic variables, total burn surface area, associated injuries, entry and exit points, areas/regions involved, number of blood transfusions, number and type of amputations, total stay in hospital, surgical procedures, and clinical outcomes. The patients were followed up for six months after discharge from hospital. Data was analysed using SPSS 21.</p><p><strong>Results: </strong>Of the 883 patients, 91(10.3%) had electric burns; 70(76.9%) males and 21(23.1%) females. There were 44(48.3%) patients aged 21-40 years and 37(40.6%) were aged >40 years. Total body surface area was >20% in 62(68.2%) patients. Amputation was required in 25(27.5%) cases. The duration of hospital stay was up to 15 days in 50(54.9%) cases. The survival rate was high 88(96.7%).</p><p><strong>Conclusions: </strong>Severe injuries, like high-voltage electrical burns, need interdisciplinary treatment available only in tertiary care settings.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1194-1198"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978747","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
Chylous mesenteric cyst-post trauma challenge: a case report. 乳糜肠系膜囊肿创伤后挑战：1例报告。
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.20968
Ayesha Ghafoor, Muhammad Nouman Rafique, Muhammad Bilal Chishti, Ayesha Rafique, Muhammad Waris Farooka
{"title":"Chylous mesenteric cyst-post trauma challenge: a case report.","authors":"Ayesha Ghafoor, Muhammad Nouman Rafique, Muhammad Bilal Chishti, Ayesha Rafique, Muhammad Waris Farooka","doi":"10.47391/JPMA.20968","DOIUrl":"https://doi.org/10.47391/JPMA.20968","url":null,"abstract":"<p><p>Mesenteric cysts are rare intra-abdominal lesions often presenting diagnostic challenges due to their nonspecific clinical manifestations. Despite its rarity, mesenteric cyst should be considered in patients with abdominal masses, especially those with a history of trauma. Diagnostic imaging, such as ultrasound and computerised tomography scan, aids in characterisation and surgical planning. Surgical excision remains the mainstay of treatment, offering favourable outcomes and reducing the risk of recurrence and malignancy. We report the case of a 15-year-old male with progressively enlarging abdominal swelling following blunt abdominal trauma, who was ultimately diagnosed with a chylous mesenteric cyst. This case underscores the importance of considering traumatic mesenteric cysts in the differential diagnosis of abdominal lesions.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1274-1276"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978838","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
Enhancing ocular health: Advocating for Vitamin D serum testing and supplementation in patients with recurrent episcleritis. 增强眼健康：提倡对复发性外巩膜炎患者进行维生素D血清检测和补充。
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.22616
Muhammad Ans, Ahmad Qaisar, Abdullah Sohail
{"title":"Enhancing ocular health: Advocating for Vitamin D serum testing and supplementation in patients with recurrent episcleritis.","authors":"Muhammad Ans, Ahmad Qaisar, Abdullah Sohail","doi":"10.47391/JPMA.22616","DOIUrl":"https://doi.org/10.47391/JPMA.22616","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1336-1337"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978756","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
Pharmacosimilars In Obesity Medicine: Informed Choice, Appropriate Choice. 肥胖药物类似物：知情选择，适当选择。
IF 0.8 4区 医学
Journal of the Pakistan Medical Association Pub Date : 2025-08-01 DOI: 10.47391/JPMA.25-61
Sanjay Kalra, Amandeep Singh, Nitin Kapoor
{"title":"Pharmacosimilars In Obesity Medicine: Informed Choice, Appropriate Choice.","authors":"Sanjay Kalra, Amandeep Singh, Nitin Kapoor","doi":"10.47391/JPMA.25-61","DOIUrl":"https://doi.org/10.47391/JPMA.25-61","url":null,"abstract":"<p><p>Newer developments in endocrine pharmacology have blurred the distinction between biosimilars and generics. The originator semaglutide, for example, is a biologically active compound, but later versions are chemically synthesized generics. Tirzepatide is a synthetic polypeptide. These molecules are marketed in different strengths and delivery devices across the world. The word 'pharmaco-similar' can be used to describe both biosimilar and generic versions of originator peptidebased medications. This communication suggests a useful framework which assists in sharing information and reaching an informed decision regarding choice of anti-obesity medication. This approval process and status, evidence and experience base, economic factors, rules related to interchange/substitution, robustness of cold chain, and availability of uninterrupted supply all influence this decision.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1293-1295"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978764","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
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