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Incidental findings on a DXA scan: the unattended innocents.

Myda Muzaffar, Aamna Hassan,

Dual energy X-ray Absorptiometry (DXA) scan is the gold standard for assessing and monitoring bone mineral density. Clear guidelines are given by ISCD and other societies as to the appropriate use of this modality. However, as with other imaging modalities, a DXA scan can reveal incidental findings that must be ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1669-1670]

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Pneumomediastinum, pneumocephalus, and bilateral pneumo-orbita in the same patient: a rare dangerous coexistence but a lucky prognosis.

Emin Uysal, Yahya Ayhan Acar,

Trauma is the leading cause of mortality and morbidity among young adults. In the emergency department, blunt and penetrating traumas must be evaluated carefully especially for life-threatening conditions. High-pressure air is a rare penetrating trauma type. Pneumomediastinum, pneumocephalus, and bilateral pneumo-orbita are all dangerous conditions and coexistence of them is ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1655-1656]

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A new complication of femur head core decompression surgery: compartment syndrome.

Sadettin Ciftci, Ali Gulec, Numan Mercan, Ahmet Yildrim,

The basic surgical treatment for avascular necrosis of the femur head is core decompression. In this report we discuss a case where the patient developed compartment syndrome after core decompression surgery with history of anticoagulant use. A 49-year-old man, who was using Coumadin 5 mg once daily due to aortic ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1642-1644]

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Prognostic factors in patients with salivary gland malignancy: a retrospective cohort study.

Moghira Iqbaluddin Siddiqui, Haissan Iftikhar, Umar Farooq Bhatti, Mubasher Ikram,

Our objective was to determine the factors affecting the prognosis in patients with major salivary gland malignancy presenting to Aga Khan University Hospital in Karachi. Retrospective cohort study was carried out at our center on patients diagnosed and treated for salivary gland cancers. Presentation and treatment offered was reviewed from ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1627-1629]

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Musculoskeletal tumours throughout history and beyond: Clinical features, imaging, staging and biopsy.

Akbar Jaleel Zubairi, Obada Hussein Ali Hasan, Mohammad Mustafa, Masood Umer,

Background:Over the last century, there has been a remarkable development in the study of bone and soft tissue sarcomas. This is primarily due to the improved knowledge of the nature of these lesions and the improved imaging technology. In literature there are many protocols that are being used and all ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1605-1610]

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Hemoglobin, Ferritin levels and RBC Indices among children entering school and study of their correlation with one another.

Mirza Sultan Ahmad, Rida Fatima, Hadia Farooq, Sumaira Noor Maham,

OBJECTIVE:To study correlation of various complete blood count variables with one another and to ascertain the values of intercept and slope among those having strong correlation. METHODS:The cross-sectional study was conducted in Marach 2017 in the Rabwah town of Punjab province in Pakistan, and comprised randomly selected one in four ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1582-1586]

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Frequency of port site wound infection after Gall Bladder removal with or without retrieval bag in Laparoscopic Cholecystectomy.

Habib Ur Rehman, Maryam Siddiqa, Attah Ul Munam, Shamin Khan,

OBJECTIVE:The rationale of the study was to depict the safest method of extracting gallbladder after laparoscopic cholecystectomy to decrease the frequency of wound infection. The objective of the study was to compare the frequency of port site wound infection after gallbladder removal with or without retrieval bag in laparoscopic cholecystectomy. ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1533-1537]

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Effect of simulation-based learning on first clinical day stress and anxiety levels of nursing students in Turkey.

Yasemin Uslu, Ela Yilmaz Coskun, Gizem Sahin, Esra Ugur, Ukke Karabacak,

Objectives:To determine the effect of simulation-oriented skills training on first clinical day stress and anxiety levels in nursing students. METHODS:The quasi-experimental study was conducted from April to June, 2016, in Istanbul, Turkey, and comprised first year nursing students who were divided into two groups. In Group 1, students measured vital ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1505-1509]

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Respiratory illness linked with the use of electronic cigarettes: An alarming situation.

Farheen Malik, Jawad Ahmed, Suha Safi Qureshi, Rohan Kumar Ochani,

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1676]

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Epidemiological transition in South -East Asia and its Public Health Implications.

Madhur Verma, Sanjay Kalra,

South Asia's rich ecological, geographic and cultural diversity make the region unique but also explains why it is volatile and vulnerable in social, economic and environmental terms. It is a high-priority region for many public health concerns. Rising population, increase in number of urban poverty, low government spending (in terms ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1661-1663]

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Haemorrhagic occlusive retinal vasculitis caused by intravitreal vancomycin.

Javeria Muid, Muhammad Amer Awan,

Intraocular Vancomycin is used as a treatment as well as prophylaxis of endophthalmitis, but in rare instances it can cause serious ischaemic vasculitis. The most salient features of the disease include painless visual loss after cataract surgery, mild to moderate inflammation in the anterior chamber and peripheral retinal involvement with ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1648-1650]

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Antimicrobial susceptibility pattern of Methicillin-resistant Staphylococcus Aureus isolates in Fauji Foundation Hospital Rawalpindi.

Asim Ali Shah, Yasir Ali, Ayesha Maqbool, Shahid Ahmad Abbasi,

The current study was conducted in the Department of Microbiology, Fauji Foundation Hospital, Rawalpindi, from July 2018 to January 2019. The main purpose of the study was to evaluate Methicillin-resistant Staphylococcus aureus antimicrobial susceptibility pattern. Clinical samples were collected and cultured according to Clinical and Laboratory Standards Institute (CLSI) guidelines. ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1633-1635]

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Obesity related lung complications and a possible phytochemical therapeutic solution.

Sundus Khawaja, Abdul Rehman Khan,

Proteases, especially neutrophil elastase (NE), enzyme provide innate immunity in the lung tissues against elastin protein disintegration by microbial attacks. Normally, an antiprotease, called alpha-1-antitrypsin (A1AT), is responsible to keep NE activity in normal range. In most of the leptin-resistant obese subjects, A1AT deficiency develops which leads to a concurrent ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1616-1619]

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Use of electronic health records among Saudi and Non - Saudi health providers - a comparative study at a secondary hospital, Saudi Arabia.

Khalid Tohami Medani, Syed Meraj Ahmed, Waqas Sami, Syed Meraj Ahmed, Elsadig Yousif Mohamed, Sawsan Mustafa Abdalla, Huda Hakim Abdelrahman,

OBJECTIVE:Electronic Health Record (EHR) system is now considered the backbone of effective storage and retrieval of patient records in a healthcare setup. This study is an attempt to assess the knowledge, attitude and practice of healthcare professionals in the use of Electronic Health Record system in patient care. METHODS:It was ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1591-1595]

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Risk factors for candidaemia in neonates with sepsis in a tertiary care hospital in Pakistan.

Muhammad Faheem Afzal, Efra Abbas, Muhammad Haroon Hamid, Hina Nasir, Akmal Laeeq, Asif Hanif,

OBJECTIVE:To determine the risk factors for candidaemia in babies admitted to a tertiary care hospital with neonatal sepsis. METHODS:This nested case control study was conducted in the Neonatal Unit of the department of Paediatrics, King Edward Medical University/Mayo Hospital, Lahore, from January 2017 to June 2018. A total of 350 ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1568-1571]

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Complementary feeding practices among mothers of children aged six months to two years at Children's hospital Lahore.

Mubeen Nazar Duggal, Attia Bari, Aisha Iftikhar,

OBJECTIVE:To analyse complimentary feeding practices among mothers of infants. METHODS:The cross-sectional study was conducted from September to December, 2015, at The Children's Hospital, Lahore, Pkistan, and comprised children aged 6-24 months. Data was collected regarding demographic profile, breast-feeding, initiation and adequacy of complementary feeding, maternal education and father's monthly income. ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1543-1546]

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Impact of humanities and social sciences curriculum in an undergraduate medical education programme.

Kulsoom Ghias, Kausar Saeed Khan, Rukhsana Ali, Shireen Azfar, Rashida Ahmed,

OBJECTIVE:To evaluate the impact of humanities and social sciences curriculum in an undergraduate medical education programme. METHODS:The qualitative study was conducted from May 2016 to May 2017 at a private medical college in Karachi where humanities and social sciences subject is an art of the undergraduate curriculum as a 6-week ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1516-1522]

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Cerebellar Mutism Syndrome after surgical resection of posterior fossa neoplastic lesions.

Saqib Kamran Bakhshi, Rida Mitha, Naureen Mushtaq, Muhammad Shahzad Shamim,

Cerebellar Mutism Syndrome (CMS) is a well-described clinical entity that complicates surgeries for posterior fossa tumours; more so in children than adults. This review focuses on the current understanding of CMS, its incidence and risk factors. Incidence showed a variable range in retrospective studies due to variety of definitions. Risk ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1667-1668]

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Ventricular free wall rupture-a rare under-diagnosed fatal complication of myocardial infarction.

Reema Qayoom, Muhammad Adnan Amin, Junaid Akhter,

Ventricular free wall rupture is a rare complication of acute myocardial infarction (MI) i.e. <1.7% of cases, although it occurs more frequently than might be expected. Without imaging evidence or autopsy, sudden cardiac death in acute MI setting is commonly attributed to fatal dysrhythmias, high degree atrio-ventricular blocks or pulmonary ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1653-1654]

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Kimura's disease: a rare disease with cervical lymphadenopathy.

Vahide Aslihan Durak,

Kimura's disease is a very rare disorder and causes swellings and lymphadenopathy, especially in neck and axillary region. The aetiology is still unknown but allergic reactions or an alteration of immune system should be taken into consideration. Here, we report a 45-year-old Turkish male patient who presented to the Uludag ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1640-1641]

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Brucellosis in Pakistan: a neglected zoonotic disease.

Meesha Iqbal, Zafar Fatmi, Mumtaz Ali Khan,

Brucellosis is a zoonotic disease; endemic but neglected in the South Asian countries including Pakistan. It causes economic loss to the livestock sector and leads to systemic infection in humans. Brucellosis was neglected in Pakistan since long. According to the Staged Tool for the Elimination of Brucellosis (STEB), Pakistan carries ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1625-1626]

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Psychosocial risk factors of cardiovascular disease in Pakistani adolescents and young adults: A Systematic Review.

Muhammad Saleem, Areeha Khan Durrani, Muhammad Adeeb, Ali Raza Siddique,

OBJECTIVE:To systematically review the number of studies carried out to find the prevalence of various psychosocial risk factors for cardiovascular diseases in Pakistani adolescents and young adults. METHODS:The systematic review comprised key words searched through databases, such as Google Scholar, Science Direct, PubMed and Research Gate, from 2008 to 2017. ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1601-1604]

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Assessment of endotracheal intubation procedures following inadvertent esophageal intubation. A randomized crossover manikin trial.

Sedat Bilge, Yahya Ayhan Acar, Attila Aydin, Onur Tezel, Guclu Aydin,

Objective:To evaluate the success, degree of difficulty and completion time of endotracheal intubation without removing the endotracheal tube in the event of an oesophageal intubation.. METHODS:The prospective, randomised crossover study was conducted at Gulhane Training and Research Hospital, Ankara, Turkey, from July 1, 2018, to August 31, 2018, and used ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1577-1582]

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Assessment of gender differences in autonomic nervous control of the cardiovascular system.

Umema Zafar, Shafiq Ur Rahman, Naila Hamid, Henna Salman,

OBJECTIVE:To determine the differences in the control of the cardiovascular system by the autonomic nervous system between young males and females.. METHODS:The cross-sectional study was conducted at the Khyber Medical College, Peshawar, Pakistan, from June 2017 to April 2018, and comprised physically healthy medical students of both genders studying in ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1554-1558]

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Dealing with negative role modelling in shaping professional physician: an exploratory study.

Ita Armyanti, Rita Mustika, Diantha Soemantri,

OBJECTIVE:To explore negative role modelling by medical teachers in developing professionalism. METHODS:The qualitative study using a transcendental phenomenology design was conducted at at Tanjungpura University, Indonesia, from December 2017 to February 2018, and comprised of 6 medical students from academic phase, 6 medical students from clinical phase, 8 medical teachers, ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2020, 70(9):1527-1532]

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