Journal of the Pakistan Medical Association最新文献_第7页

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

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":"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

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":"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

Analysis self-regulation model based on belief in self-care in type 2 diabetes mellitus patients. 基于自我护理信念的2型糖尿病患者自我调节模型分析。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.11076

Nilawati Uly, Marisna Eka Yulianita, Michael Batupadang

{"title":"Analysis self-regulation model based on belief in self-care in type 2 diabetes mellitus patients.","authors":"Nilawati Uly, Marisna Eka Yulianita, Michael Batupadang","doi":"10.47391/JPMA.11076","DOIUrl":"10.47391/JPMA.11076","url":null,"abstract":"Objectives: To evaluate the efficacy of the self-regulation model based on belief to enhance the ability of individuals with type 2 diabetes mellitus to take care of themselves.Methods: The survey-based study was conducted in South Sulawesi, Indonesia, from May to August 2023, and comprised type 2 diabetes mellitus patients of either gender whose blood glucose level was >200mg/dl. The survey comprised multiple questionnaires exploring the impact of exogenous variables on endogenous variables. Data was analysed using Structural Equation Modelling-Partial Least Squares method.Results: Of the 180 patients, 97(53.9%) were women and 83(41.6%) were men. The overall mean age was 55.8±6.55 years. Of the total, 110(61.1%) patients experienced complications in the form of hypertension or stroke, and 70(38.9%) were without complications. Characteristic factors influenced problem interpretation (p=0.016) and health (p=0.024). Social support factors influenced problem interpretation (p=0.018) and health (p=0.046). Health service factors influenced problem interpretation (p=0.024) and health (p=0.006). Interpretation of problems in illness had an influence on health (p=0.035) and beliefs (p=0.014). Coping had a significant influence on self-care (p=0.001).Conclusions: In order for patients to set goals and take the necessary steps to raise their awareness of performing self-care, health workers must be encouraged to increase patient confidence on solving health problems. This will have an impact on controlling blood glucose levels and preventing disease complications.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"400-404"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722597","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

Progesterone role in the development of intracranial meningioma: A new frontier. 孕激素在颅内脑膜瘤发展中的作用：一个新的前沿。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.21128

Junaid Hasan, Mariam Ali, Ahsan Shabbir

引用次数: 0

Intramedullary Spinal Cord Metastasis in Spinal Ependymomas. 脊髓室管膜瘤的髓内转移。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.25-22

Zanib Javed, Raheema Sadiq, Hania Fatima, Muhammad Shahzad Shamim

引用次数: 0

Clinico-pathological features of oral squamous cell carcinoma and oral potentially malignant disorders: A comparative study from a tertiary care hospital of Karachi. 口腔鳞状细胞癌和口腔潜在恶性疾病的临床病理特征：卡拉奇一家三级医院的比较研究。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.20599

Samreen Khan, Muhammad Mohiuddin Alamgir, Uzma Bukhari, Muhammad Shuja Farrukh, Areeba Shafiq

{"title":"Clinico-pathological features of oral squamous cell carcinoma and oral potentially malignant disorders: A comparative study from a tertiary care hospital of Karachi.","authors":"Samreen Khan, Muhammad Mohiuddin Alamgir, Uzma Bukhari, Muhammad Shuja Farrukh, Areeba Shafiq","doi":"10.47391/JPMA.20599","DOIUrl":"10.47391/JPMA.20599","url":null,"abstract":"Objective: To compare the clinicopathological features of oral squamous cell carcinoma and oral potentially malignant disorders.Methods: The analytical, cross-sectional study was conducted at the Dow University of Health Sciences, Karachi, from July 2022 to April 2023, and comprised cases of oral squamous cell carcinoma in group A and those of oral potentially malignant disorders in group B. Data, including detailed clinical history, radiological findings and histopathology reports, was collected using a predesigned questionnaire. Data was analysed using SPSS 21.Results: Of the 90 patients, 45(50%) were in group A; 34(75.6%) males and 11(24.4%) females with mean age 49.44±11.53 years. The remaining 45(50%) patients were in group B; 35(77.8%) males and 10(22.2%) females with mean age 50.82±13.34 years (p>0.05). The most common oral habit reported in both the groups was tobacco in smokeless form; 33(73.3%) in group A and 37(82.2%) in group B. The most reported site in group A was the buccal mucosa of the cheek 29(64.4%), followed by the tongue 14(31.1%). Most cases in group A were of moderately differentiated tumours 38(84%), and 21(46.7%) were in advanced stage IV at the time of presentation. Majority of the cases in group B showed mild dysplasia on histology 29(65%).Conclusions: There were no significant differences patients of oral squamous cell carcinoma and oral potentially malignant disorders except that oral cancer cases presented in the advanced stage at the time of diagnosis.","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"443-446"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722556","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

A narrative review on the role of traditional Chinese medicine (TCM) in treating coronary artery disease. 中医药在冠心病治疗中的作用述评。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.11610

Andong Zhang, Xiangpu Liu, Xuying Li, Na Duan, Bin Huang

引用次数: 0

The promise and pitfalls of AI in medicine: A balanced perspective. 人工智能在医学中的前景和陷阱：一个平衡的视角。

IF 0.8 4区医学

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI: 10.47391/JPMA.21535

Kinzah Imtiaz, Anzah Imtiaz Waggan

引用次数: 0