American Journal of Health, Medicine and Nursing Practice最新文献

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Association of Chronic Hepatitis C in Type 2 Diabetes Mellitus Patients in HMC Hospital Peshawar 白沙瓦HMC医院慢性丙型肝炎与2型糖尿病患者的关系
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-04-30 DOI: 10.47672/ajhmn.1010
Muhammad Hussain Afridi, Muhamamd Naeem Khan, A. Khan, M. Abbass, Muhammad Khalid Khan, Wali Gul, Shah Zaib
{"title":"Association of Chronic Hepatitis C in Type 2 Diabetes Mellitus Patients in HMC Hospital Peshawar","authors":"Muhammad Hussain Afridi, Muhamamd Naeem Khan, A. Khan, M. Abbass, Muhammad Khalid Khan, Wali Gul, Shah Zaib","doi":"10.47672/ajhmn.1010","DOIUrl":"https://doi.org/10.47672/ajhmn.1010","url":null,"abstract":"Background: Hepatitis C virus is a blood-borne virus, and the vast majority of infections are the result of blood exposure from unsafe injection practices, poor health care, unscreened blood transfusions, injection drug use, and sexual practices that result in blood exposure. Chronic (CHC) infection is caused by the hepatitis C virus, and affected nearly 198 million people worldwide. \u0000Objective:  To determine whether there was a link between hepatitis C virus infection and Diabetes Mellitus. \u0000Methodology: After receiving approval from the Hospital's Ethical Committee, this study was conducted over a one-year period (15-01-2018 to 16-01-2019) to investigate the relationship between HCV infection and D.M patient reports at the Diabetic Department of Diabetes and Endocrinology HMC Hospital in Peshawar. An enzyme-linked immunosorbent assay (ELISA) was used to measure anti-HCV antibody, as well as glycosylated hemoglobin (HbA1c) and fasting and random blood sugar levels. SPSS version 2.1 was used to analyses the data. \u0000Results: average of all patients ages (n=238) was 51.3811.35 years. Patients were split evenly between males and females, with 128 (52%) males and 110 (48%) females. In the group of type 2 D.M patients who tested positive for hepatitis C by ELISA, 44 (18.8%) had diabetes and 194 (82.2%) did not. \u0000Conclusion: Type 2 diabetes mellitus is more common Chronic Hepatitis C infection, increasing age, and a positive family history of Diabetes Mellitus according to the findings.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79686252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcome of Malleable Penile Implant and End Stage of Erectile Dysfunction Single Centre Experience 可塑阴茎植入物与勃起功能障碍终末期单中心体验的结果
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-04-30 DOI: 10.47672/ajhmn.1011
M. A. Jan, Ishan Khan, K. Tariq, S. Opal, Naveed Naveed, Ikram Samiullah
{"title":"Outcome of Malleable Penile Implant and End Stage of Erectile Dysfunction Single Centre Experience","authors":"M. A. Jan, Ishan Khan, K. Tariq, S. Opal, Naveed Naveed, Ikram Samiullah","doi":"10.47672/ajhmn.1011","DOIUrl":"https://doi.org/10.47672/ajhmn.1011","url":null,"abstract":"Background: The inflatable penile prosthesis (IPP) is typically the preferred implant for Peronei’s disease (PD) and malleable penile prostheses (MPPs) have been discouraged. \u0000Objective: To share experience of malleable penile implant in younger patients at institute of kidney disease Peshawar in a developing country. \u0000Materials and Methods: Total of 24 Patients were included in this study who underwent malleable penile prosthesis surgery from July 2017 till June 2020 were included. They all counseled thoroughly regarding procedure, success statistics, possible complications and post-operative follow up. During follow up any problem if occurred and satisfaction documented. Data analysis done with SPSS version 22. \u0000Results: mean age of 31.7 (27-65) years were included. The most common etiology of ED was vasculogenic (n=10, 41.7%). The comorbidities found were diabetes mellitus and hypertension in 12.5% each (n=3), these patients had no comorbidities (n=18, 75%). The mean size of penile prosthesis was 11.79mm (ranged from 9.5-13mm). We had four patients (16.7%) with unconsummated marriage due to ED. The post-operative problems noted were penile numbness (n=4, 16.7%), retarded ejaculation (n=4, 16.7%), penile pain (n=3, 12.55), hematoma (n=1, 4.2%) and lower urinary tract symptoms (n=1, 4.2%). Most of these patients were fully satisfied (n=15, 62.5%), some were partially satisfied (n=7, 29.2%), only two patients were not satisfied (8.3%) while all patients had their partner satisfaction with malleable penile prosthesis. Inappropriately, patients had presented initially to urologist, rest of all 24 patients were initially treated by quacks, general practitioners, homeopaths, spiritual healers, dermatologists, gynecologists and psychiatrists. All patients had no sense about erectile dysfunction. Patients have idea about discussion of specific field consultant. Their doctor only deal with urology, kidney and bladder pathologies. \u0000Conclusion: Malleable penile prosthesis has great success rate in end point erectile dysfunction with acceptable complication rate. E.D is a global problem. There has been an incredible ignorance in the public about proper referral and management of Sexual dysfunction. Herbal medications are marginally effective and management of erectile dysfunction.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"242 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80234153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urinary Tract Infection and Its Risk Factors in a Tertiary Care Hospital 某三级医院尿路感染及其危险因素分析
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-04-28 DOI: 10.47672/ajhmn.1008
Jehanzeb Akram, Muhammad Hammad Ur Rehman Aslam, Q. Ain, T. Khan, Madeeha Mumtaz, Somia Bibi
{"title":"Urinary Tract Infection and Its Risk Factors in a Tertiary Care Hospital","authors":"Jehanzeb Akram, Muhammad Hammad Ur Rehman Aslam, Q. Ain, T. Khan, Madeeha Mumtaz, Somia Bibi","doi":"10.47672/ajhmn.1008","DOIUrl":"https://doi.org/10.47672/ajhmn.1008","url":null,"abstract":"Background: Urinary tract infection (UTI) is common health issue all over the world and several factors predispose the people to urinary tract infection. \u0000Objective: The study aimed at determining the incidence of Urinary tract infection and factors associated with it. \u0000Material and Methods: This cross-sectional study was performed among 205 patients in a tertiary care hospital of Rawalpindi, Pakistan. Simple convenient sampling and an established inclusion and exclusion criteria was applied to select the participants. After obtaining the informed consent from all participants, data was acquired via a self-designed proforma. Data analysis was carried out through SPSS version 25. Chi square test was applied to check the association between urinary tract infection and predisposing factors. The p-value less than 0.05 was taken as statistically significant. \u0000Results: The incidence of urinary tract infection was 12.68%. Urinary tract infection was significantly associated age group (p=0.003), gender (p=0.001), marital status (p=0.004), educational status (p=0.0001), socioeconomic status (p=0.005), previous history of UTI (p=0.0002), family history of UTI (p=0.0004), history of stone in urinary tract (p=0.003), history of recent use of antibiotics (p=0.04), history of catheterization (p=0.001), hygienic condition of external genitalia (p=0.0005), frequency of intercourse (p=0.04),  history of diabetes mellitus (p=0.002), and hydration status (p=0.0007), whereas, association of urinary tract infection with holding urine was insignificant (p=0.05). \u0000Conclusion: The incidence of urinary tract infection was high among research population. Risk factors that could lead to UTI were young age, female gender, married marital status, lower educational status, lower socioeconomic status, previous history of UTI, family history of UTI, history of stone in urinary tract, history of recent use of antibiotics, history of catheterization, poor hygienic condition of external genitalia, high frequency of intercourse, history of diabetes mellitus, and dehydration. \u0000Recommendations: People should be educated about the UTI and its causes and prevention. People should also take special care when they are on antibiotics or when they are diabetics, to prevent UTI. People should maintain hygiene when they are catheterized and during intercourse. People should stay hydrated.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88305317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE ROLE OF DYNAMIC LUMBAR SPINE X-RAY IN THE DIAGNOSIS OF TYPE 1 SPONDYLOLISTHESIS IN PATIENTS WHO HAVE PREVIOUSLY DONE LUMBAR SPINAL SURGERY. 动态腰椎x线检查在诊断曾做过腰椎手术的1型腰椎滑脱中的作用。
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-04-06 DOI: 10.47672/ajhmn.979
Syed Nasir Shah, Walayat Shah, Saad Ali, Sajid Khan, Bakth Jamal, Imran Ullah, Zia Ullah Qazi, N. ul Haq
{"title":"THE ROLE OF DYNAMIC LUMBAR SPINE X-RAY IN THE DIAGNOSIS OF TYPE 1 SPONDYLOLISTHESIS IN PATIENTS WHO HAVE PREVIOUSLY DONE LUMBAR SPINAL SURGERY.","authors":"Syed Nasir Shah, Walayat Shah, Saad Ali, Sajid Khan, Bakth Jamal, Imran Ullah, Zia Ullah Qazi, N. ul Haq","doi":"10.47672/ajhmn.979","DOIUrl":"https://doi.org/10.47672/ajhmn.979","url":null,"abstract":"Objective: To determine the role of dynamic lumbar spine x-ray in the diagnosis of type 1 spondylolisthesis in patients who have previously done lumbar spinal surgery. \u0000Materials and Methods: The study was carried out at neurosurgery department, Lady Reading Hospital Peshawar, KPK from July 2015 to June 2017. He study employed prospective observational) study and a total of 1440 patients were studied. \u0000Results: A total of 1440 patients were studied in which 974 (67.7%) were females and the remaining 464 (33.3%) were males. Mean age of the patients was between 20 to 50 years. These patients had underwent lumbar spinal surgery about 1 year ago for PIVD and Stenosis. Proper history was taken and relevant examination was done. These patients were suggested dynamic lumbar spinal x-ray .After dynamic lumbar spinal x-ray (flexion extension view) was done, it was revealed that around 672 (46.6 %) of the total 1440 patients had type 1 spondylolisthesis. This percentage of patients with type 1 spondylolisthesis is prove of how dynamic lumbar spinal x-ray plays a role in the diagnosis of type 1 spondylolisthesis in patients who have had underwent lumbar spinal surgery. \u0000Recommendation: Dynamic lumbar spinal x-ray is recommended as a standard technique in the diagnosis of type 1 spondylolisthesis in patients who had previously underwent lumbar spinal surgery.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74331357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
FERTILITY OUTCOME IN PATIENTS WITH PREVIOUS ECTOPIC PREGNANCY 既往异位妊娠患者的生育结局
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-04-02 DOI: 10.47672/ajhmn.975
Sumaira Yasmin, Laila Zeb, Sumbal Mehmood, Uzma Shaheen
{"title":"FERTILITY OUTCOME IN PATIENTS WITH PREVIOUS ECTOPIC PREGNANCY","authors":"Sumaira Yasmin, Laila Zeb, Sumbal Mehmood, Uzma Shaheen","doi":"10.47672/ajhmn.975","DOIUrl":"https://doi.org/10.47672/ajhmn.975","url":null,"abstract":"Introduction: Ectopic pregnancy is the commonest gynecological emergencies. If not treated timely, it places major morbidity upon future fertility and family. Ectopic pregnancy presents a major health problem for women of childbearing age. The increased incidence of ectopic pregnancy has been partially attributed to improved ability in making an earlier diagnosis. Anything that hampers the migration of the embryo to the endometrial cavity could predispose women to ectopic gestation. The most logical explanation for the increasing frequency of EPs is previous pelvic infection; however, most patients presenting with an EP have no identifiable risk factor. \u0000Objective: To determine the frequency of fertility outcome (intrauterine pregnancy and extrauterine pregnancy) in patients having history of ectopic pregnancy. \u0000Materials and Methods: A total of 92 patients having history of ectopic pregnancy were included in the study in a consecutive manner and assessed for fertility outcome in terms of extrauterine or intrauterine pregnancy. The study utilized descriptive cross sectional study design. The study settings was department of gynecology, Lady Reading Hospital, Peshawar. The study duration was from 1st January 2019 to 31st December 2020. \u0000Results: The mean age of the sample was 30.3 + 6.1 years. The mean parity of the sample was 2.1 + 1.5, mean BMI was 26.4 + 3.5kg/m2 and mean gestational age at presentation was 6.7 + 2.1 weeks. With regards to fertility outcome, 39.1% women had extrauterine pregnancy and 60.9% had intrauterine pregnancy. Extrauterine pregnancy though less than intrauterine is still a significant problem in the study’s population with previous history of ectopic pregnancy. \u0000Recommendation: The study recommend more research projects particularly interventional studies for proper management of ectopic pregnancy and reduce the burden of extrauterine pregnancies so that even with history of ectopic pregnancy, term delivery can be assured.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85549171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bed Sores and Associated Risk Factors among Hospital Admitted Patients: A Comparative Cross-sectional Study. 住院病人褥疮及相关危险因素:一项比较横断面研究
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-03-28 DOI: 10.47672/ajhmn.967
Jehanzeb Akram, Khubaib Samdani, Arooj Afzal, T. Khan, Wardah Umar, Somia Bibi, Madeeha Mumtaz, Hannia Zehra, F. Rasool, Khunsha Javed
{"title":"Bed Sores and Associated Risk Factors among Hospital Admitted Patients: A Comparative Cross-sectional Study.","authors":"Jehanzeb Akram, Khubaib Samdani, Arooj Afzal, T. Khan, Wardah Umar, Somia Bibi, Madeeha Mumtaz, Hannia Zehra, F. Rasool, Khunsha Javed","doi":"10.47672/ajhmn.967","DOIUrl":"https://doi.org/10.47672/ajhmn.967","url":null,"abstract":"Background: Bed sore (BS) is very common among hospital admitted patients. Bed sore is a localized injury to skin and underlying tissues due to pressure or friction and its incidence is affected by multiple factors. \u0000Objective: This study was aimed to determine the incidence of bed sore and its potential risk factors among hospital admitted patients. \u0000Material and Methods: This cross-sectional study was conducted among 108 hospital admitted patients in a tertiary care hospital of Lahore, Pakistan. Simple convenient sampling was used to enroll patients. After taking the informed consent from all patients, data was collected through a self-structured proforma. Data analysis was done via SPSS version 25. Chi square test was utilized to assess the association between bed sores and potential risk factors. \u0000Results: The incidence of bed sore among study population was 14 (12.96%). Bed sores incidence was significantly associated with age group (p=0.002), educational status (p=0.03), socioeconomic status (p=0.002), awareness about bed sores (p=0.001), hospital stay length (p=0.002), limitation in movement (p=0.0001), diabetes mellitus (p=0.03), chronic kidney disease (p=0.04), obesity (p=0.001), history of hypertension (p=0.002), history of stroke (p=0.02), and history of heart disease (p=0.04), whereas, bed sores were not associated with gender significantly (p=0.40). \u0000Conclusion: In a nutshell, the incidence of bed sores was significantly high among study population. Predisposing factors to the bed sores were advanced age, lower educational status, lower socioeconomic status, lower awareness about bed sores, longer hospital stay, limitation in movement, diabetes mellitus, obesity, history of hypertension, history of stroke, and history of heart disease. \u0000Recommendations: This research recommends that people should make aware about the predisposing factors of bed sores and how to avoid these factors at every level and especially in hospitalized patients. Patients should change their position periodically. Obese patients should reduce weight. All patients, especially diabetic patients, should take care of skin.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79537724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Nurse-led Intervention to Improve Quality of life for Family Caregivers of Children with Leukemia: A Quasi-Experimental Study from Karachi Pakistan 护士主导干预改善白血病儿童家庭照顾者生活质量的有效性:来自巴基斯坦卡拉奇的一项准实验研究
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-03-22 DOI: 10.47672/ajhmn.963
Noor-e-Marfa Amin, Y. Amarsi, R. Raja, A. Aslam, Andaleeb Abbasi
{"title":"Effectiveness of Nurse-led Intervention to Improve Quality of life for Family Caregivers of Children with Leukemia: A Quasi-Experimental Study from Karachi Pakistan","authors":"Noor-e-Marfa Amin, Y. Amarsi, R. Raja, A. Aslam, Andaleeb Abbasi","doi":"10.47672/ajhmn.963","DOIUrl":"https://doi.org/10.47672/ajhmn.963","url":null,"abstract":"Background: Acute lymphoblastic leukemia accounts for 25% of all cancers in children less than 15 years old. The treatment phase of leukemia is lengthy and takes 2-3 years. Due to prolonged treatment, family caregivers often become exhausted, highly distressed with low quality of life and unsatisfactory patient outcomes. Thus, caregivers need interventions such as adaptation strategies and access to support groups that enhance their wellbeing and improves their quality of life (QoL). \u0000Objectives: To determine the effectiveness of nurse-led structured educational intervention for family caregivers having a child diagnosed with leukemia and to examine the association between socio-demographic variables and quality of life of leukemia child caregiver. \u0000Methodology: A Quasi-Experimental pre-post-test design was applied at the tertiary care hospital of Karachi. A total of 74 family caregivers of leukemia children were recruited from outpatient and inpatient oncology departments using purposive sampling. The data was collected pre-intervention and post-intervention using QoL-FV. Intervention of educational session given in 30-45 minutes for 4 days and after 1month of intervention, posttest done by same questionnaire to estimate the effect of nurse-led education \u0000Results: Study findings revealed that mean score of overall QoL improved after one-month of nurse-led educational intervention 95+ 23 and had a significant difference in post-test QOL (<0.001). The sub-dimensions of QoL such as physical wellbeing, psychological wellbeing, and social concern improved significantly in posttest interventions group (P< 0.01). Whereas the spiritual wellbeing was found insignificant after interventions (p>0.080).      \u0000Conclusion: The study suggests that Nurse-Led education program is helpful to improve family caregivers' quality of life during the treatment journey of their leukemia patient. it must be considered and acknowledged with prime importance and caregivers should be supported by health care professionals. \u0000Recommendation: It should be an important aspect to include counseling sessions of families to improve their coping, problem solving and awareness.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84836551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
To compare the efficacy of timolol maleate 0.5% vs fixed combination of timolol maleate 0.5%, and brimonidine tartrate 0.2% in control of raised intra ocular pressure in patients undergone Nd-Yag laser capsulotomy. 目的比较0.5%马来酸替洛尔与0.5%马来酸替洛尔+ 0.2%酒石酸溴硝定固定联合治疗Nd-Yag激光囊膜切除术患者眼压升高的疗效。
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-02-21 DOI: 10.47672/ajhmn.933
I. Ullah, M. Israr, J. Khan, Mushtaq Khatak
{"title":"To compare the efficacy of timolol maleate 0.5% vs fixed combination of timolol maleate 0.5%, and brimonidine tartrate 0.2% in control of raised intra ocular pressure in patients undergone Nd-Yag laser capsulotomy.","authors":"I. Ullah, M. Israr, J. Khan, Mushtaq Khatak","doi":"10.47672/ajhmn.933","DOIUrl":"https://doi.org/10.47672/ajhmn.933","url":null,"abstract":"Purpose: The purpose of the study is to compare the efficacy of Timolol maleate alone vs fixed combination of Timolol maleate 0.5% with Brimonidine 0.2% in patients undergone Nd-Yag laser capsulotomy. \u0000Methodology:  100 patients with posterior capsular opacification were enrolled though OPD. They were placed in 2 groups with 50 patients each.  Group A received Timolol maleate 0.5% alone while group B received combination of timolol maleate with Brimonidine tartrate. \u0000Results: In group A 3 patients developed acute raise of intraocular pressure despite of  Timolol maleate use while goup B patients who received combination of Timolo maleate and Brimonidine had controlled intraocular pressure. \u0000Conclusion: Fixed combination of Timolo maleate 0.5% and Bremonidine tartrate 0.2 % is more effective in controlling of IOP raise in patients undergone Nd-Yag laser capsulotomy for posterior capsular opacification then Timolo maleate0.5% alone.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81351759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
RISK FACTORS LEADING TO MAJOR LOWER LIMB AMPUTATIONS IN DIABETIC PATIENTS WITH FOOT ULCERS 糖尿病足部溃疡患者下肢截肢的危险因素
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-02-21 DOI: 10.47672/ajhmn.932
K. Khan, F. Ghani, K. Ahmad, Mudassir Shahzad
{"title":"RISK FACTORS LEADING TO MAJOR LOWER LIMB AMPUTATIONS IN DIABETIC PATIENTS WITH FOOT ULCERS","authors":"K. Khan, F. Ghani, K. Ahmad, Mudassir Shahzad","doi":"10.47672/ajhmn.932","DOIUrl":"https://doi.org/10.47672/ajhmn.932","url":null,"abstract":"Purpose: Foot ulceration in persons with diabetes is the most frequent precursor to amputation, which impairs their activities. The aim of this study was to describe factors that lead to amputation of a diabetic foot, and propose a management strategy to prevent major amputation. \u0000Methods: Cross-sectional study was conducted at the Qazi Hussain Ahmad Hosptial, Nowshera Pakistan, from Jan, 2016, July 2021, and comprised patients of either gender having type 1 or type 2 diabetes and foot ulcers. The wounds were assessed according to Wagner wound staging and wound sepsis was evaluated in terms of local infection of the wound, leukocytosis and osteomyelitis of the bone. The glycemic control of these patients was assessed on presentation by measuring glaciated hemoglobin levels. Data was analyzed using SPSS 22. \u0000Findings: Out Of the 450 patients, 263(60%) were males and 187(40%) were females. Majority patients 193(43%) were aged 40-70 years. All 450(100%) patients underwent some type of amputation. Of all the amputations, 301(67%) were done in patients with poor glycaemic control on presentation, and 187(41%) in those with stage 4 wound. Local wound infection, increased total leukocyte count and bone showing features of osteomyelitis were significantly associated with increased risk of lower extremity amputations (p<0.05). \u0000Conclusion: With the proper glycemic control and early presentation and treatment, majority of amputations could be avoided in diabetic patients with foot ulcers.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85049258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rate of Serum Electrolyte Derangement among Pakistani Children Having Acute Diarrhea and Dehydration K.P.K North Population Base Study (Pakistan) 巴基斯坦急性腹泻和脱水儿童血清电解质紊乱率研究(巴基斯坦)
American Journal of Health, Medicine and Nursing Practice Pub Date : 2022-02-18 DOI: 10.47672/ajhmn.931
Muhammad Qasim Khan, Kiramat Ullah, K. Ahmad, S. Rehman, A. Khan, I. Ullah, Q. Khan, Q. Din
{"title":"Rate of Serum Electrolyte Derangement among Pakistani Children Having Acute Diarrhea and Dehydration K.P.K North Population Base Study (Pakistan)","authors":"Muhammad Qasim Khan, Kiramat Ullah, K. Ahmad, S. Rehman, A. Khan, I. Ullah, Q. Khan, Q. Din","doi":"10.47672/ajhmn.931","DOIUrl":"https://doi.org/10.47672/ajhmn.931","url":null,"abstract":"Purpose: To study serum electrolyte derangements among children with acute diarrhea presenting with dehydration. \u0000Methodology: Cross-sectional and descriptive study in department of Pediatrics, MMC Hospital, Mardan (Pakistan) for from 01-02-2020 to 31-10-2020. A total of 390 children having acute diarrhea with dehydration were included. Five milliliters (5mls) of blood was drawn and estimation of serum Sodium and potassium levels were done. \u0000Findings: In 390 cases, 218 (55.9%) were males while 1 72 (44.1%) were females.      The mean age was 2.5±1.5 years. Out of 390 cases, 2(0.51%) had no dehydration, some dehydration was noted in 218 (55.9%) cases while 170 (43.59%) cases had severe dehydration. Hypernatremia was noted in 218 (55.9%) cases and hypokalemia was noted in 77(19.74%) cases. \u0000Conclusion: High rate of hyponatremia and hypokalemia was seen in our study in children with acute diarrhea and dehydration. Hyponatremia and hypokalemia was significantly associated with age, gender and grades of dehydration.","PeriodicalId":7672,"journal":{"name":"American Journal of Health, Medicine and Nursing Practice","volume":"195 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78995547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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