Journal of the Pakistan Medical Association最新文献_第4页

Asthenia in primary care; The 3me mnemonic. 初级保健中的虚弱；3me助记符。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.25-28

Atul Dhingra, Nishant Raizada, Sanjay Kalra

引用次数: 0

Drawbacks of sunscreens on the cutaneous synthesis of Vitamin D. 防晒霜对皮肤合成维生素D的影响。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.21965

Hammad Khan, Zain Ul Abideen, Muhmmad Hamza Shafqat, Muhmmad Adeel Ashraf

引用次数: 0

Comparative effectiveness of silodosin vs. tamsulosin in treating acute urinary retention in benign prostatic hyperplasia patients. 西洛多辛与坦索罗辛治疗前列腺增生患者急性尿潴留的疗效比较。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.20668

Hassaan Ul Hassan, Tanzeel-Ur-Rahman Al Gazder, Nawaz Khan, Abbas Jafri, Asad Shahzad Hassan, Altaf Hashmi

{"title":"Comparative effectiveness of silodosin vs. tamsulosin in treating acute urinary retention in benign prostatic hyperplasia patients.","authors":"Hassaan Ul Hassan, Tanzeel-Ur-Rahman Al Gazder, Nawaz Khan, Abbas Jafri, Asad Shahzad Hassan, Altaf Hashmi","doi":"10.47391/JPMA.20668","DOIUrl":"https://doi.org/10.47391/JPMA.20668","url":null,"abstract":"Objective: To evaluate the effectiveness of silodosin and tamsulosin in patients with acute urine retention caused by benign prostatic hyperplasia.Methods: The prospective cohort study was conducted at the Sindh Institute of Urology and Transplantation, Karachi, from July to December 2022, and comprised male benign prostatic hyperplasia patients with acute urine retention. The patients were divided into group A receiving 0.4mg tamsulosin and group B receiving 8mg silodosin. The catheter was withdrawn after seven days. Trial without catheterisation success was measured by patients' postvoid residue. All patients were reassessed for post-void residue at 4 weeks after a successful trial without catheterisation. Data was analysed using SPSS 21.Results: Of the 130 male subjects with mean age 64.79±9.71 years, mean prostate volume 46.22±6.82ml and mean post-void residual 96±13ml on day 7 and 89.73±14.38ml on day 28, 65(50%) were in each of the two groups. Intergroup difference with respect to efficacy at four weeks was not significant (p=0.584).Conclusions: The efficacy of tamsulosin and silodosin in individuals with benign prostatic hyperplasia was comparable.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 4","pages":"592-595"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046158","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

Analysis of COVID-19 patients in emergency intensive care unit: Retrospective study. 急诊重症监护室COVID-19患者分析：回顾性研究

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.20144

Harun Yildirim, Murtaza Kaya

{"title":"Analysis of COVID-19 patients in emergency intensive care unit: Retrospective study.","authors":"Harun Yildirim, Murtaza Kaya","doi":"10.47391/JPMA.20144","DOIUrl":"https://doi.org/10.47391/JPMA.20144","url":null,"abstract":"Objectives: To investigate the role of various parameters in predicting mortality among coronavirus disease-2019 patients.Methods: The retrospective study was conducted at the Emergency Department of Evliya Çelebi Training and Research Hospital, Turkiye, and comprised medical records from November 1, 2020, to April 30, 2021, of patients aged 18 and above who were admitted to the pandemic intensive care unit. Demographic information, comorbid conditions, selected haemogram parameters and ratios, acute-phase reactants, and biochemical markers were recorded along with outcomes. Data was analysed using SPSS 20.Results: Of the 164 patients, 91(55.5%) were males and 73(44.5%) were females. Of them 101(61.6%) died; 52(71.2%) females and 49(53.8%) males with mean age 73.98+/-11.73 years. The remaining 63(38.4%) were discharged; 42(46.2%) males and 21(28.8%) females with mean age 67.69+/-13.05 years (p<0.05). Lymphocyte count, C-reactive protein, ferritin, D-dimer, neutrophil-lymphocyte ratio, lymphocyte-C-reactive protein ratio, urea, sodium and potassium levels were significantly different between the groups (p<0.05).Conclusions: In the monitoring of coronavirus disease-2019 patients in critical care settings, age, gender and laboratory values are the parameters that can be used for predicting mortality.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 4","pages":"578-582"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049929","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

Increased risk of childhood cancers in children with epileptic mothers taking high dosage of folic acid during pregnancy. 患有癫痫的母亲在怀孕期间服用高剂量叶酸会增加儿童癌症的风险。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.21399

Muhammad Waleed Imran, Sanwal Sardar Nawaz, Muhammad Moaz

引用次数: 0

Anaesthetic management of spinal muscular atrophy in a patient with pneumothorax: a case report. 气胸患者脊髓性肌萎缩的麻醉治疗：1例报告。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.20736

Madeeha Rasheed, Khalid Ahsan

引用次数: 0

Graph Network Analysis for Predicting Cognitive and Survival Outcomes in Glioma Patients. 预测神经胶质瘤患者认知和生存结果的图网络分析。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.25-31

Rabeet Tariq, Muhammad Shahzad Shamim

引用次数: 0

Elucidating postural shift and gait alterations in discogenic low back pain: call for subgroup-specific research. 阐明椎间盘源性腰痛的姿势改变和步态改变：呼吁进行亚组特异性研究。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.21698

Muhammad Osama, Sabah Afridi

引用次数: 0

Premature atrial contractions and their associations with cryptogenic strokes. 心房早搏及其与隐源性中风的关系。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.11075

Muhammad Kamran Khan, Maheen Fayaz, Raja Farhat Shoaib, Waseem Tariq Malik, Laiba Fayaz, Saeedullah Shah

{"title":"Premature atrial contractions and their associations with cryptogenic strokes.","authors":"Muhammad Kamran Khan, Maheen Fayaz, Raja Farhat Shoaib, Waseem Tariq Malik, Laiba Fayaz, Saeedullah Shah","doi":"10.47391/JPMA.11075","DOIUrl":"https://doi.org/10.47391/JPMA.11075","url":null,"abstract":"Objective: To assess the association between premature atrial contractions and cryptogenic stroke while comparing the prevalence of premature atrial contractions among cryptogenic and non-cryptogenic stroke patients.Methods: The retrospective, cross-sectional study was conducted at the Shifa International Hospital, Islamabad, Pakistan, and comprised data from January 2020 to April 2021 of patients diagnosed with ischemic stroke on magnetic resonance imaging of the brain, and who underwent investigation and treatment according to the national stroke guidelines. Patients with cryptogenic stroke were placed in group A, and those with noncryptogenic stroke in group B. Data on demographic information, stroke type, risk factors, and cardiac assessment was collected from the institutional electronic medical records. Data was analysed using SPSS 25.Results: Of the 118 patients, 44(37.3%) were in group A; 35(79.5%) males and 9(20.5%) females with mean age 64.09±12.28 years. There were 74(62.7%) patients in group B; 57(77%) males and 17(23%) females with mean age 65.56±12.12 years. Premature atrial contractions were detected in 43(97.7%) group A patients compared to 1 patient (2.3%) in group B (p<0.05), and demonstrated significant association with atrial fibrillation, dyslipidaemia, mitral stenosis and left ventricular systolic dysfunction (p<0.05) in group A, and with atrial fibrillation, previous myocardial infarction, left atrium dilatation, wall akinesia, left carotid artery stenosis, and left ventricular systolic dysfunction in group B (p<0.05).Conclusions: Prolonged cardiac monitoring pf stroke patients is critical to any effort to identify occult atrial fibrillation. Besides, premature atrial contractions were significantly associated with cardiac risk factors.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 4","pages":"545-548"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063023","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

Retrospective analysis of ventilation strategies for blunt pulmonary trauma patients: comparing the effectiveness of synchronized intermittent mandatory ventilation, continuous positive airway pressure, and pressure-controlled ventilation. 钝性肺外伤患者通气策略的回顾性分析：同步间歇强制通气、持续气道正压通气和压力控制通气的有效性比较。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI: 10.47391/JPMA.21036

Lanlan Wu, Yanhua Hu, Yanwen Lu

{"title":"Retrospective analysis of ventilation strategies for blunt pulmonary trauma patients: comparing the effectiveness of synchronized intermittent mandatory ventilation, continuous positive airway pressure, and pressure-controlled ventilation.","authors":"Lanlan Wu, Yanhua Hu, Yanwen Lu","doi":"10.47391/JPMA.21036","DOIUrl":"https://doi.org/10.47391/JPMA.21036","url":null,"abstract":"Objective: To compare the efficacy of various ventilation approaches to the treatment of patient with patients with severe blunt chest trauma.Methods: The retrospective study was conducted at the Cardiorespiratory Syndrome Ward of the First People's Hospital of Linping District, Hangzhou, China, and comprised data of patients with blunt pulmonary trauma admitted from December 2019 to February 2023. The patients were divided into three groups based on the ventilation support mode. Group 1 received synchronised intermittent mandatory ventilation + positive endexpiratory pressure, Group 2 received continuous positive airway pressure + pressure support ventilation, and Group 3 recieved pressure-controlled ventilation. Clinical curative effect, respiratory mode parameters, and blood gas analysis indicators of the groups were compared before and after the treatment. Data was analysd using SPSS 20.Results: Of the 227 patients, 71(31.3%) were in Group A; 62(87.3%) males and 9(12.7%) females with mean age 69.6±5.9 years. There were 74(32.6%) patients in Group 2; 59(79.7%) males and 15(20.3%) females with mean age 71.2±6.2 years. In Group 3, there were 82(36.1%) patients; 61(74.4%) males and 21(25.6%) females with mean age 69.0±6.0 years (p>0.05). Most patients 146(64.32%) recovered with no significant differences in treatment effect across the groups (p>0.05). Group 2 showed significant differences in respiratory parameters and blood gas indicators compared to the other groups (p<0.001).Conclusion: While all the three ventilation strategies had comparable treatment effect, continuous positive airway pressure + pressure support ventilation was associated with the most favourable respiratory parameters and blood gas analysis indicators.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 4","pages":"601-606"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063178","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