{"title":"Awareness of free access to radiotherapy: cyberknife stereotactic radiosurgery, in Pakistan.","authors":"Ali Nasir, Misbah Kaleem","doi":"10.47391/JPMA.21973","DOIUrl":"https://doi.org/10.47391/JPMA.21973","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 4","pages":"681"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055909","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":"Neonatal tetanus with intestinal atresia, the importance of multidisciplinary management: a case report.","authors":"GhTaimur Iftikhar Qureshi, Muhammad Arshad","doi":"10.47391/JPMA.20733","DOIUrl":"https://doi.org/10.47391/JPMA.20733","url":null,"abstract":"<p><p>Neonatal infection begins through the umbilical cord when the stump is handled with an unsterile instrument. Most cases of neonatal tetanus develop symptoms during the first eight days of life. It is rarely reported with intestinal atresia. We report the case of an eight-day-old baby boy belonging to a Pashtun family, weighing 1.9 kg, admitted with complaints of decreased activity and intolerance to feed, with resultant non-bilious vomiting. Clinical examination revealed a distended soft abdomen, generalised rigidity with opisthotonus, and lockjaw. With the clinical diagnosis of tetanus, management was started using tetanus immunoglobulin and intravenous antibiotics. X-ray of the abdomen was suggestive of jejunal atresia. Surgery was done after one week of medical management for tetanus, and on surgical exploration, proximal jejunal atresia was confirmed. Resection anastomosis was done. The post-operative period was uneventful, and the neonate was discharged on oral feed. In such cases, immediate surgical intervention is not required, and multidisciplinary team management is recommended.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 4","pages":"648-650"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058541","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":"Leveraging GIS for Empowering Health Research in Pakistan: A Path to Smarter Public Health Solutions.","authors":"Masood Ali Shaikh, Syed Muhammad Mubeen","doi":"10.47391/JPMA.25-26","DOIUrl":"https://doi.org/10.47391/JPMA.25-26","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 4","pages":"532-533"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021866","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":"Investigating fibrinogen levels as a biomarker for immune inflammation severity in COPD patients across GOLD stages.","authors":"Sajjad Ali, Ishtiaq Ahmad","doi":"10.47391/JPMA.11531","DOIUrl":"https://doi.org/10.47391/JPMA.11531","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the association between fibrinogen levels and immune inflammation severity in patients with chronic obstructive pulmonary disease at different stages of the Global Initiative for Chronic Obstructive Lung Disease classification.</p><p><strong>Methods: </strong>The descriptive, prospective, cross-sectional study was conducted from January 2022 to November 2023 at the Pulmonology Department, Mardan Medical Complex, Khyber Pakhtunkhwa, Pakistan, and comprised chronic obstructive pulmonary disease patients of either gender aged 40-85 years. Fibrinogen levels and systemic immuneinflammatory markers were measured, and disease severity was classified based on the Global Initiative for Chronic Obstructive Lung Disease classification. Independent predictors of fibrinogen levels as well as the diagnostic accuracy of biomarkers for predicting advanced chronic obstructive pulmonary disease were identified. Data was analysed using SPSS 26.</p><p><strong>Results: </strong>Of the 253 patients, 147(58.10%) were males and 106(41.89%) were females. Most of the patients were aged 40-50 years 72(28.45%), followed by 50-60 years 57(22.52%). A strong positive correlation was observed between fibrinogen levels and chronic obstructive pulmonary disease severity (r=0.815, p<0.001). The diagnostic accuracy of fibrinogen for predicting advanced disease stages was reliable, having an area under the curve of 0.910.</p><p><strong>Conclusions: </strong>Fibrinogen levels could be used as a marker for immune inflammation severity in chronic obstructive pulmonary disease patients.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 4","pages":"556-563"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043186","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}
Zmarak Ahmed Khan, Zainab Anfaal, Muhammad Shaheer
{"title":"Over the counter naloxone nasal spray: A new hope for opioid crisis management in Pakistan.","authors":"Zmarak Ahmed Khan, Zainab Anfaal, Muhammad Shaheer","doi":"10.47391/JPMA.21348","DOIUrl":"https://doi.org/10.47391/JPMA.21348","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"531"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722366","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":"Digital dilemma: Navigating the nexus of nomophobia, phantom vibration syndrome and psychological disorders.","authors":"Safia Kundi, Parah Gul","doi":"10.47391/JPMA.21182","DOIUrl":"https://doi.org/10.47391/JPMA.21182","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"529-530"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722557","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":"Management of pemphigus during COVID-19 pandemic era: An experience of single centre.","authors":"Sahibzada Mahmood Noor, Farah Sagheer, Adan Sardar","doi":"10.47391/JPMA.10935","DOIUrl":"10.47391/JPMA.10935","url":null,"abstract":"<p><p>The management of pemphigus vulgaris disease was challenging during the coronavirus diseases-2019 pandemic. The current study was planned to determine whether or not rituximab increases the risk and severity of coronavirus diseases-2019 infection in pemphigus vulgaris patients. The retrospective study was conducted at the Lady Reading Hospital, Peshawar, Pakistan, and comprised data from the dermatology unit of 34 diagnosed cases of pemphigus vulgaris who received rituximab treatment from March 2020 to March 2022. The mean age of the patients was 36.58±12.44 years. Majority of patients 28(82.3%) received rituximab as a second-line therapy, while 6(17.64%) were given it as a first-line therapy. Only 1(2.9%) patient developed mild covid pneumonia, and did not need in-patient care or faced oxygen dependence. There was a significant weak association between coronavirus diseases-2019 positivity with age (p=0.000). Rituximab therapy could be given to pemphigus patients during the pandemic, but only when necessary.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"469-471"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722192","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}
Hafiz Khalid Pervaiz, Usman Jamil Mughal, Izza Ali Rai, Mumtaz Touseef, Aliezeh Fatima Rai
{"title":"A case of Kasabach-Merritt Syndrome in a nine-month-old: A rare complication of haemangioma in the young.","authors":"Hafiz Khalid Pervaiz, Usman Jamil Mughal, Izza Ali Rai, Mumtaz Touseef, Aliezeh Fatima Rai","doi":"10.47391/JPMA.11607","DOIUrl":"10.47391/JPMA.11607","url":null,"abstract":"<p><p>Kasabach-Merritt Phenomenon (KMP) is a life-threatening consumptive coagulopathy that commonly occurs in infants and young children. It is a combination of an enlarging vascular lesion, thrombocytopenia, microangiopathic haemolytic anaemia, and hypofibrinogemia. The case of a nine-month-old child who presented with a tuft haemangioma leading to the clinical features of KMP is presented. The investigation which was performed and pharmacological treatment initiated at different stages of presentation and the characteristic response to treatment are also discussed.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"488-491"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722534","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}
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":"10.47391/JPMA.20043","url":null,"abstract":"<p><strong>Objective: </strong>To determine the incidence and causes of visual impairment and blindness among patients attending eye clinics in a tertiary care setting.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>Refractive error was found to be the major cause among the participants with mild to severe visual impairment.</p>","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}
{"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":"10.47391/JPMA.20351","url":null,"abstract":"<p><p>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.</p>","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}