{"title":"Comparison of degree of sexual dysfunction by using female sexual functional index-6 in the subfertile and other females presenting to tertiary care hospital.","authors":"Hasina Sadiq, Shafaq Fatima, Irum Sohail, Maria Aslam, Filza Habib, Falak Naz","doi":"10.47391/JPMA.20638","DOIUrl":"https://doi.org/10.47391/JPMA.20638","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the prevalence of sexual dysfunction between subfertile females and the general population, and to check the validity of the translated modified version of the Female Sexual Functional Index Score in Pakistani population.</p><p><strong>Methods: </strong>The cross-sectional, prospective, comparative, analytical study was conducted from February to July 2023 at the Shifa College of Medicine Hospital and the Kahuta Research Laboratories Hospital, Islamabad, and comprised females aged 18-40 years who had been sexually active for at least 4 preceding weeks. Subfertile women were placed in group A, while group B had normal women. Data was collected using the translated version of the Female Sexual Functional Index Score, limited to only 6 of the total 19 questions (Nos 2, 4, 7, 11, 16 and 17) to assess the female sexual dysfunction covering all the six domains of desire, arousal, lubrication, orgasm, satisfaction and pain. The total score ranged 2-30, with lower scores indicating worse sexual function. The cutoff point was 19, with <19 considered an indication of sexual dysfunction. Data was analysed using SPSS 23.</p><p><strong>Results: </strong>Of the 276 patients, 138(50%) were in each of the two groups. The overall mean age was 31.5±4.1 years. Mean score was 19±3.4. There was a significant difference in the scores between groups A 17.53±2.98 and B 20.4±3.26 (p<0.001). Patients with polycystic ovary syndrome had a higher mean score of 18.47±2.4, while those with endometriosis had mean score 15.91±3.4.</p><p><strong>Conclusions: </strong>The prevalence of sexual dysfunction in the subfertile group was noted. The translated modified version of the Female Sexual Functional Index Score was found to be a valid tool with moderate reliability for the assessment of sexual dysfunction in Pakistani women.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1077-1081"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769319","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":"Treatment non-compliance with antipsychotics in Pakistan.","authors":"Zahra Aamir Khan, Iman Ishfaq, Tooba Jabeen","doi":"10.47391/JPMA.22300","DOIUrl":"https://doi.org/10.47391/JPMA.22300","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1170"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769352","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":"Early life antibiotics exposure: exploring the fine line between treatment and neurodevelopmental risks.","authors":"Bakhtawara Alam, Haram Rehman","doi":"10.47391/JPMA.21500","DOIUrl":"https://doi.org/10.47391/JPMA.21500","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1163"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769324","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 risk of infections in stem cell therapy: A growing concern.","authors":"Rehab Bint E Tahir, Areeba Tahir Khan","doi":"10.47391/JPMA.21699","DOIUrl":"https://doi.org/10.47391/JPMA.21699","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1166"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769350","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":"Role of mean platelet volume in diagnosis of neonatal sepsis.","authors":"Awais Tahir, Rabia Aziz, Rabia Tabassum, Fasih Hashmi, Muhammad Almas Hashmi, Sayed Ibrar Hussain","doi":"10.47391/JPMA.9612","DOIUrl":"10.47391/JPMA.9612","url":null,"abstract":"<p><strong>Objective: </strong>To assess the role of mean platelet volume in the detection of neonatal sepsis, and to work out its cut-off value.</p><p><strong>Methods: </strong>The comparative, cross-sectional study was conducted from December 2020 to June 2022 at the Neonatal Department of the Fauji Foundation Hospital, Rawalpindi, Pakistan, and comprised neonates in group A who were confirmed cases of sepsis diagnosed on the basis of blood culture test, and those in control group B who were healthy neonates with respect to sepsis. Blood samples were taken for the assessment of complete blood count, including mean platelet volume, total leucocyte count, neutrophil count, haemoglobin level and blood culture. Receiver operating characteristic curve was used to determine the optimum cut-off value of mean platelet volume. Data was analysed using SPSS 22.</p><p><strong>Results: </strong>Of the 100 subjects, 50(50%) were in group A; 30(60%) boys and 20(40%) girls with mean age 1.78±1.50 days. There were 50(50%) subjects in group B; 34(68%) boys and 16(32%) girls with mean age 1.24±0.56 days. Age was significantly different between the groups (p=0.01). Mean neutrophil count was significantly different between the groups (p<0.05). Mean platelet volume in group A was 11.29±1.37fL compared to 9.69±1.11fL in group B (p<0.05). The cut-off value of the mean platelet volume was 10fL.</p><p><strong>Conclusions: </strong>The mean platelet volume was found to be a reliable marker for the diagnosis of neonatal sepsis with a cut-off value of 10.0fL.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1049-1052"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769291","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 rehabilitation management of sexuality and fertility issues in people with disabling health conditions.","authors":"Sara Laxe, Farooq Azam Rathore, Carlotte Kiekens","doi":"10.47391/JPMA.25-59","DOIUrl":"10.47391/JPMA.25-59","url":null,"abstract":"<p><p>Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality. Disabling health conditions can impact sexual function, identity, self-esteem and self-image, fertility and pregnancy. People can experience primary impairments such as a loss of sensibility or erectile dysfunction, but also consequences of secondary impairments like incontinence, pain, fatigue, or spasticity. Moreover, limitations of activities and participation restrictions can impact intimacy, sexuality and reproduction. Therefore, sexual issues should be an integral part of quality rehabilitation care. Components of a sexual rehabilitation programme are information/education of patient (and partner), practical advice, finding new positions, medication, using assistive devices and aids (like vibrator, sex toys, lubricating gel, massage oil), pelvic floor training, coping strategies and addressing self-image and self-esteem. People should be encouraged to explore their changed bodies and experiment. Sexual rehabilitation requires a personalized biopsychosocial and integrative approach by the entire multiprofessional team, including peer counsellors.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1153-1155"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769349","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 spread of suffering: Chikungunya's toll in Pakistan.","authors":"Shazia Rahim, Syed Muhammad Hassan Murshid","doi":"10.47391/JPMA.21613","DOIUrl":"https://doi.org/10.47391/JPMA.21613","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1165"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769351","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":"Validation of extended international classification of functioning, disability and health (ICF) core set for stroke in post-acute stroke rehabilitation using FIM Scoring.","authors":"Roohi Abbas, Arshad Nawaz Malik, Hina Gul","doi":"10.47391/JPMA.20659","DOIUrl":"https://doi.org/10.47391/JPMA.20659","url":null,"abstract":"<p><strong>Objective: </strong>To validate the extended International Classification of Functioning, Disability and Health core sets for stroke in the functional assessment of post-acute stroke patients.</p><p><strong>Methods: </strong>The validation, cross-sectional study was conducted from January to July 2020 in the Physiotherapy departments of selected private and public hospitals located in Lahore, Pakistan including Ghurki Trust and Teaching Hospital, Ittefaq Hospital, Shalamar Hospital and the National Hospital, Lahore. Stroke patients of either gender aged at least 18 years 3 days post-diagnosis were recruited, general information regarding patient demographics, category of stroke, and the involved side was documented, while data about function and disability was gathered using semi a structured questionnaire based on the International Classification of Functioning, Disability and Health core sets categories of \"Activity and Participation\" through interviews. The functional independence measure was administered during the interview. Data was analysed using SPSS 22.</p><p><strong>Results: </strong>Of the 82 patients with mean age 62.13±9.40 years, 60(73.2%) were males and 22(26.8%) were females. Internal consistency of International Classification of Functioning, Disability and Health core sets with total score had a Cronbach's alpha value of 0.847 for cognitive, 0.911 for motor, 0.817 for communication and 0.728 for social scores. The correlation value between International Classification of Functioning, Disability and Health core sets and functional independence measure total score was strongly negative (-0.735).</p><p><strong>Conclusions: </strong>The International Classification of Functioning, Disability and Health core sets for stroke could be used as a valid assessment tool to asses the functional status of post-acute care stroke patients.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1095-1099"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769354","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":"CNS Manifestations of Rosai-Dorfman Disease.","authors":"Zanib Javed, Moeez Tariq, Muhammad Shahzad Shamim","doi":"10.47391/JPMA.25-57","DOIUrl":"10.47391/JPMA.25-57","url":null,"abstract":"<p><p>Rosai-Dorfman disease (RDD) is an abnormal proliferation of histiocytes which manifest classically as bilateral cervical lymphadenopathy and B symptoms. Rarely, it also presents with involvement of other systems. CNS RDD is extremely rare and accounts for 5% of reported cases. The clinical picture is dependent on the area of CNS affected. It is mostly diagnosed on MRI, however, it may be confused with a meningioma, dural based metastases, lymphoma, sarcoidosis, etc. Diagnosis is based on typical histopathological features. The recommended treatment for symptomatic CNS manifestations of RDD is complete surgical resection.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1148-1150"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769317","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":"Mpox virus-The unfolding of a public health emergency of international concern (PHEIC).","authors":"Hamnah Sohail","doi":"10.47391/JPMA.21949","DOIUrl":"https://doi.org/10.47391/JPMA.21949","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 7","pages":"1180"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769334","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}