Journal of the Pakistan Medical Association最新文献_第2页

Hernia uterus inguinale in a two months old female infant. 一个两个月大的女婴腹股沟子宫疝。

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

Potential for Nirsevimab use in Pakistan. 在巴基斯坦使用nirseimab的可能性。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.20282

Muhammad Moaz, Basum Hayat

引用次数: 0

Effects of chemotherapy on cognitive functioning and quality of life among cancer patients in Peshawar. 化疗对白沙瓦癌症患者认知功能和生活质量的影响。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.10319

Summaiya Arif

引用次数: 0

Adrenal Asthenia. 肾上腺衰弱。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.25-18

Sanjay Kalra, Atul Dhingra, Nitin Kapoor

引用次数: 0

Novel advances in chronic obstructive pulmonary disease treatment: Ensifentrine. 慢性阻塞性肺疾病治疗的新进展：恩西芬汀。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.21488

Aamrah Wakil, Taha Ahmad Siddiqui, Eesha Arshad

引用次数: 0

Frequency, associated factors and outcome of raised intraocular pressure in live-related renal transplant recipients: A single-centre experience. 活体肾移植受者眼压升高的频率、相关因素和结果：单中心经验

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.21710

Fatema Ali Lanewala, Akhtar Jamal Khan, Mirza Naqi Zafar, Tahir Aziz

{"title":"Frequency, associated factors and outcome of raised intraocular pressure in live-related renal transplant recipients: A single-centre experience.","authors":"Fatema Ali Lanewala, Akhtar Jamal Khan, Mirza Naqi Zafar, Tahir Aziz","doi":"10.47391/JPMA.21710","DOIUrl":"https://doi.org/10.47391/JPMA.21710","url":null,"abstract":"Objective: To investigate the frequency, associated factors and outcomes of elevated intraocular pressure in live-related renal transplant recipients.Methods: The study was conducted at the Department of Ophthalmology, Sindh Institute of Urology and Transplantation, Karachi, in 2023. The data was divided into group A cases having intraocular pressure ≥23mmHg and group B controls having intraocular pressure <23mmHg. The groups were compared for factors such as immunosuppression medications, acute rejection episodes, human leukocyte antigen match, duration of dialysis before transplant, and pre-existing microvascular diseases. Data was analysed using SPSS 22.Results: Of the 2,738 patients screened, 131(4.8%) exhibited intraocular pressure ≥23mmHg. Intergroup comparison between group A and group B showed no significant relationship of intraocular pressure increase with cyclosporine, tacrolimus and everolimus (p>0.05). Azathioprine demonstrated significant association with intraocular pressure elevation at the time of measuring intraocular pressure (p<0.05). Mycophenolate mofetil showed an association with IOP only when assessed as initial immunesuppression at the time of transplantation (p<0.05). At the time of IOP assessment, MMF was not found to be a significant factor responsible for IOP elevation (p>0.05). Patients who had received Antithymocyte globulin (ATG) were found to have remarkable association with raised IOP. No significant link was noted between hypertension, dialysis duration and human leukocyte antigen match (p>0.05). The multivariate analysis showed that Azathioprine was the only factor associated with raised IOP at the time of assessment (p<0.001).Conclusions: There was a potential risk of medication side effects, including secondary glaucoma, among renal transplant recipients.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"451-455"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721691","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

Motivational Therapeutics and Medicine. 动机疗法和医学。

IF 0.8 4区医学

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

Sanjay Kalra, Suneet Kumar Verma, Nitin Kapoor

引用次数: 0

Reason for joining the medical profession: Passion or parental pressure. 投身医疗行业的原因：激情还是来自父母的压力。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.20903

Rohma Malik, Urwa Ashfaq, Beshair Aziz, Allahdad Khan, Ayesha Zafar, Muhammad Farhan Jamil

{"title":"Reason for joining the medical profession: Passion or parental pressure.","authors":"Rohma Malik, Urwa Ashfaq, Beshair Aziz, Allahdad Khan, Ayesha Zafar, Muhammad Farhan Jamil","doi":"10.47391/JPMA.20903","DOIUrl":"https://doi.org/10.47391/JPMA.20903","url":null,"abstract":"Objective: To determine the factors that influence medical students' decision to pursue a career in medicine, and to assess their level of satisfaction with their decision.Methods: The descriptive, cross-sectional study was conducted at the Nishtar Medical University, Multan, Pakistan, from July to October 2023, and comprised first year medical students of the 2023-24 academic session. Data was collected using a questionnaire-based survey form. Data was analysed using SPSS 23.Results: Of the 174 students with mean age 20.1±1.4 years, 93(53.4%) were males with mean age 19.9±1.5 years, and 81(46.6%) were females with mean age 20.3±1.2 years (p>0.05). For 121(69.5%) students, 'parental pressure' was the primary factor, followed by 'passion' for 41(23.6%), 'inspired by others' 3(1.7%), 'noble profession' 2(1.1%), 'monetary gains' 3(1.7%) and 'just by chance' 4(2.3%). There were 26(14.9%) subjects who had conducted thorough research before deciding to pursue the profession. For 85(48.9%) students, personal interest played a minor role in career selection. Overall, 88(50.6%) students were completely satisfied with the decision, 12(6.9%) had concerns, and 74(42.5%) were dissatisfied.Conclusions: A significant number of students entered the medical profession under parental pressure. Only about half of the students were satisfied with their decision.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"525-527"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722472","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

Bacteriophage therapy: A potentially effective tool in combatting tooth decay. 噬菌体疗法：对抗蛀牙的潜在有效工具。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.25-17

Mehwash Kashif, Aman Ashar

引用次数: 0

Empowering independence: the role of occupational therapy in overcoming life challenges. 增强独立性：职业治疗在克服生活挑战中的作用。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.21022

Sadia Saleem, Khadija Saleem, Sabeen Masood, Faiza Yousaf, Laiba Saleem

引用次数: 0