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Journal J Pak Med Assoc

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Role of Preoperative Embolization in Management of Central Nervous System Tumours.

Ummey Hani, Ahmer Nasir Baig, Muhammad Shahzad Shamim, Basit Salam,

Preoperative embolization plays a significant role as an adjunct to surgical intervention in the cases of certain vascular tumours of the brain. While the procedure has resulted in facilitated resection of the tumour, and has reduced morbidity and mortality, its application remains debatable within the neurosurgical community, owing to rare, ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):172-174]

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Neural tube defects, their implications and solutions in Muslim society.

Muhammad Fayyaz, Arshad Khushdil, Shehla Baqai,

Neural Tube Defects (NTDs) are serious congenital abnormalities and most of them are incompatible with life. The extremely debilitating quality of life, if one survives, calls for actions to prevent such sufferings. Experts agree on the role of Folic Acid in primary prevention of NTDs, yet, despite best efforts, the ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):156-158]

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Progressive resistance training improving gait performance and mobility in acute and chronic stroke patients.

Qurat Ul Ain, Muhammad Imran, Ayesha Bashir, Arshad Nawaz Malik,

Stroke, a neurological disorder, leads to long-term disability thereby greatly affecting gait and mobility. The purpose of the current study was to investigate the effects of progressive resistance training in both acute and chronic stroke patients. A quasi interventional study was designed and 46 stroke patients were recruited through convenience ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):140-142]

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Development and validation of a psychometric scale to assess attitude towards safe abortions in Pakistan.

Xaher Gul, Junaid-Ur-Rehman Siddiqui, Miraal Mavalvala, Waqas Hameed, Muhammad Ishaque,

Despite severe health and economic consequences that women face because of the negative attitude of healthcare providers towards safe abortion and post-abortion care (SA/PAC), no psychometric tool has yet been validated for assessing the attitude towards SA/PAC. Only a handful of studies have attempted to assess healthcare providers' attitude towards ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):124-126]

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Knowledge and practices regarding hand-washing among mothers of children less than five years of age in rural areas of District Sialkot.

Sonia Almas, Ayesha Babar Kawish, Tahir Mehmood Butt, Subhana Akber,

<h4>Objective</h4>To assess knowledge and practices regarding hand-washing among mothers of children aged ≤5 years.<h4>Methods</h4>The cross-sectional study was conducted from March to July 2015 in rural areas of Union Council Charwa, Tehsil Pasrur in District Sialkot, Pakistan, and comprised mothers of children aged ≤5 years. Data was collected using a pre-tested ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):105-109]

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Ivabradine effects on heart rate and quality of life among chronic heart failure patients.

Fawad Farooq, Nida Imran, Mahwish Abbas,

<h4>Objective</h4>To determine the effect of Ivabradine in lowering heart rate and quality of life in chronic heart failure patients.<h4>Methods</h4>The observational study was conducted in the out-patient department of the National Institute of Cardiovascular Disease, Karachi, from December 2016 to June 2017, and comprised chronic heart failure patients aged 30-70 years ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):86-89]

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Safety of balanced propofol and midazolam in upper gastrointestinal endoscopy for sedation in cirrhotic patients.

Laima Alam, Mohammad Asif Khattak, Mafaza Alam,

<h4>Objective</h4>Sedation for upper gastrointestinal endoscopy (UGIE) in patients with cirrhosis is theoretically associated with high incidence of adverse events due to low levels of binding proteins and decreased hepatic clearance of drugs. The objective of the study was to assess the safety of combined propofol and midazolam sedation in cirrhotic ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):64-68]

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Asthma severity identification from pulmonary acoustic signal for computerized decision support system.

Fizza Ghulam Nabi, Kenneth Sundaraj, Chee Kiang Lam,

<h4>Objective</h4>Breath sound has information about underlying pathology and condition of subjects. The purpose of this study was to examine asthmatic acuteness levels (Mild, Moderate, Severe) using frequency features extracted from wheeze sounds. Further, analysis was extended to observe behaviour of wheeze sounds in different datasets.<h4>Methods</h4>Segmented and validated wheeze sounds was ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):41-46]

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Stress and coping among surgery residents in a developing country.

Qamar Riaz, Syeda Kausar Ali, Muhammad Rizwan Khan, Abdul Rehman Alvi,

<h4>Objective</h4>Stress during residency training in surgical disciplines not only hampers professional development but can also compromise patient care and personal health. The purpose of this study was to measure the stress level among the surgical residents, identify factors within the learning and work environment that cause stress, and identify different ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):16-21]

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Research in vulnerable communities, a long journey from vulnerability to empowerment.

Farah Asif,

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):177]

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To determine the efficacy of bilateral inferior petrosal sinus sampling in differentiating Cushing disease from ectopic Cushing syndrome.

Muhammad Azeemuddin, Tanveer Ul Haq, Shahmeer Khan, Raza Sayani, Ayesha Shoukat Hussain, Rumaisa Khan,

Management of endogenous Cushing syndrome is based on its aetiology. Increased Adrenocorticotropic Hormone (ACTH) levels are the most common cause of this disorder and, therefore, it is critical to determine the source of ACTH before further management. Dynamic post contrast MRI is currently the most common investigation implied to diagnose ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):164-167]

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Successful pregnancy and delivery in a woman with achondroplasia.

Nasira Tasnim, Madeeha Ghani, Suresh Kumar, Shumaila Naeem, Sobia Luqman,

Achondroplasia is a common form of dwarfism occurring in one out of 25,000 of live births. These patients present many problems during pregnancy and at the time of the delivery. The anaesthetist may also face several difficulties for both general and regional anaesthesia. The aim of this case report is ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):146-149]

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Evaluation of practices of macular ganglion cell complex scan in early detection of glaucoma.

Syed Takmeel, Aiman Hafeez, Muhammad Amer Awan,

The purpose of this survey was to evaluate the level of awareness and practices regarding macular ganglion cell complex (GCC) scans for early detection of glaucoma. The study design was descriptive cross-sectional and the sampling technique was non-probability convenient method. Data was collected through an online survey, from 100 practicing ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):130-132]

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Effectiveness and radiation dose of computerized tomography virtual hysterosalpingography in the evaluation of female infertility: Systematic review and meta-analysis.

Haider Najim Al-Tameemi, Nada Ridha Al-Haris, Mohammed Saeed Abd-AlZahra, Israa Hadi Alhaddad,

<h4>Objective</h4>To build evidence about the effectiveness of computerized tomography virtual hysterosalpingography (CT-VHSG) in the evaluation of female infertility and to assess the estimated radiation dose imposed.<h4>Methods</h4>A systematic review method was utilized to evaluate relevant diagnostic studies. Electronic database was searched from July to October 2017. Hand search was also conducted ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):114-118]

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Endogenous methicillin resistant staphylococcus aureus as a source of post-operative surgical site infections.

Umme Farwa, Irum Aftab, Fatima Kaleem, Mehnaz Khattak, Mariam Danish Iqbal, Tariq Butt, Shahid Ahmad Abbasi,

<h4>Objective</h4>To determine frequency of Endogenous Methicillin Resistant Staphylococcus aureus (MRSA) in pre-operative patients and its frequency in Surgical Site Infections (SSIs) post operatively.<h4>Methods</h4>It was a descriptive cross sectional conducted at Department of Microbiology, Fauji Foundation Hospital Rawalpindi (FFH), Pakistan. Samples were collected from 1st November-31st May 2018. Total 75 samples ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):94-97]

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Frequency of emotional disturbances among hostelites and day scholars medical students.

Shireen Jawed, Benash Altaf, Rana Muhammad Tahir Salam, Farhat Ijaz,

<h4>Objective</h4>This study was aimed to determine and compare the frequency of the emotional disturbances, anxiety and depression among the medical students on Hospital Anxiety Depression scale (HAD) score among the hostelites and day scholars.<h4>Methods</h4>This cross sectional study was conducted at a private medical college in Faisalabad, Pakistan, from March 2019 ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):73-77]

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A cross sectional study to observe the diversity of fungal species in Onychomycosis isolated from a tertiary care hospital in Karachi.

Raziuddin Ahmed, Bahram Khan Khoso, Fakhur Uddin, Nida Rehman, Muhammad Sohail, Saleem Hafiz,

<h4>Objective</h4>To study the frequency and diversity of fungi involved in onychomycosis.<h4>Methods</h4>The cross-sectional study was conducted from February 2018 to February 2019 at the Department of Microbiology, Basic Medical Sciences Institute, Jinnah Postgraduate Medical Centre, Karachi, and the University of Karachi. Specimens were taken from patients suffering with onychomycosis attending the ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):51-54]

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A comparative follow up study of transabdominal preperitoneal mesh repair in inguinal hernias with or without mesh fixation.

Sajida Qureshi, Shahriyar Ghazanfar, Aftab Ahmed Leghari, Muhammad Zubair, Sadaf Chisti, Fahad Memon, Mohammad Saeed Quraishy,

<h4>Objective</h4>To compare the recurrence rate and chronic pain in hernia patients undergoing laparoscopic or robotic transabdominal preperitoneal fixation with and without mesh.<h4>Methods</h4>The prospective comparative study was conducted at Surgical Units 4 and 5 of the Civil Hospital, Karachi, from August 1, 2017, to July 1, 2018, and comprised hernia patients ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):28-30]

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Effect of positive and negative symptoms on schizophrenia related quality of life of hospitalized schizophrenic patients at Sargodha and Lahore: Moderating role of neuropsychiatric symptoms.

Tehmina Kousar, Muhammad Naveed Riaz,

<h4>Objective</h4>The purpose of the study was to find out the moderating effect of neuropsychiatric symptoms in the relationship between positive-negative symptoms of schizophrenia with quality of life of schizophrenic patients.<h4>Methods</h4>This cross-sectional study was conducted at Lahore and Sargodha, Pakistan. Data was collected by administering the Positive and Negative of Schizophrenia ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):4-7]

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What do we know about Foreign Accent Syndrome? - Letter to the Editor.

Javeria Saquib, Farea Ahmed, Roha Saeed Memon,

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):183]

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Barocrinology.

Sanjay Kalra, Gagan Priya, Nitin Kapoor,

The authors propose "Barocrinology", a novel terminology in medical literature, to comprehensively describe the rapidly expanding field of obesity medicine. This new term highlights the need to appreciate the role of endocrine physiology in the evolution of obesity, insights into its complications and changes in the hormonal milieu following weight ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):170-171]

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Giant lipoma of submandibular region; an unusual presentation.

Muhammad Zubair, Awais Amjad Malik, Danish Ali, Qasim Farooq, Muhammad Imran Khokhar, Muhammad Farooq Afzal,

Lipomas in the submandibular region are very uncommon. Large submandibular neck mass (greater than 10 cm) with a rapid growth rate, may raise concern about possible malignancy of salivary glands. Failure to distinguish salivary gland tumour and liposarcoma from a lipoma may represent a medico-legal pitfall. It is very important ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):153-155]

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Paediatric systemic lupus erythematosus: A single referral centre experience.

Bulent Atas, Mustafa Bulut, Fatih Sap, Abdullah Yazar, Fatih Akin, Necdet Poyraz, Huseyin Tokgoz,

In this study, the clinical and laboratory findings, management and follow-up of 32 children with paediatric systemic lupus erythematosus (pSLE) were evaluated to determine the prognostic factors in pSLE. Of the 32 patients, 25 (78.1%) were females. Age at onset of symptoms and diagnosis in the patients were 147.6 ± ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):136-139]

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Screening for malnutrition in oral cavity cancer patients prior to treatment: A cross-sectional study.

Haissan Iftikhar, Anwar Suhail, Amna Urooba, Karim Rizwan Nathani, Zeeshan Shaikh, Muhammad Wasif,

This study was conducted to assess the frequency of pre-operative malnourishment in patients being treated for oral cavity squamous cell carcinoma. A retrospective chart review was carried out at the Aga Khan University Hospital, Karachi, on 62 patients. Patients were screened pre-operatively through a standard nutritional assessment tool at the ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):122-123]

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Frequency and genotyping of alpha thalassemia in individuals undergoing premarital screening.

Muhammad Saboor, Abdullah Ahmed Mobarki, Hassan Abdu Hamali, Amr Jamal Halawani, Saleh Mohammed Abdullah, Ayman Mohsen Mashi, Yahya Hassan Hobani,

<h4>Objective</h4>To evaluate the frequency of alpha thalassemia and detect mutations in the alpha genes in individuals undergoing premarital screening.<h4>Methods</h4>The cross-sectional study was conducted at King Fahad Central Hospital, Jazan, Saudi Arabia, from January 2018 to May 2019, and comprised blood samples of individuals visiting the premarital screening clinic. The samples ... Read more >>

J Pak Med Assoc (JPMA. The Journal of the Pakistan Medical Association)
[2021, 71(1(A)):101-104]

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