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JPMA. the Journal of the Pakistan Medical Association

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https://www.readbyqxmd.com/read/29256559/prophylactic-platelet-transfusion-in-dengue-a-dilemma
#1
Marium Rehman, Muhammad Armughan Ali, Muhammad Adil Siddiqui
No abstract text is available yet for this article.
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256558/chickungunya-is-it-more-common-than-we-thought
#2
Muhammad Omer Arif
No abstract text is available yet for this article.
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256557/chikungunya-virus-underestimating-its-burden
#3
Aiman Rehan, Manahil Akmal, Mashal Binte Ali
No abstract text is available yet for this article.
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256556/pathological-bone-fractures-in-a-patient-with-parathyroid-carcinoma-a-case-report
#4
Azib Shahid, Fatima Iftikhar
Parathyroid carcinoma is a rare malignant neoplasm of the parathyroid glands which results in enlargement and excessive production of parathyroid hormone (PTH) responsible for pathologically raising calcium levels in the blood resulting in bone pain/fractures, renal stones and other signs of hypercalcaemia. A 37 year old woman presented with sudden, spontaneous bone pain and fracture of the right femoral shaft. This unusual presentation was explained by extremely high PTH levels and hypercalcaemia in the blood and a hard, solitary mass palpable in the neck...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256555/use-of-nile-tilapia-oreochromisniloticus-skin-in-the-management-of-skin-burns
#5
Muhammad Osama
No abstract text is available yet for this article.
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256554/role-of-ajwa-in-the-treatment-and-prevention-of-ischaemic-heart-disease
#6
Muniba Khan, Nadir Siddiqui
No abstract text is available yet for this article.
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256553/survival-benefit-of-surgery-in-recurrent-glioblastoma-multiforme
#7
Usama Khalid Choudry, Saad Akhtar Khan, Muhammad Shahzad Shamim
There is an ongoing debate regarding role of surgery for recurrent glioblastoma multiforme (GBM). Older literature hinted at only modest survival benefits with surgery and a high rate of morbidity. However, more recent literature suggests better survival that may be attributed to better surgical techniques and better options in adjuvant treatment. Herein the authors review recent literature with regards to the possible role of surgery in recurrent GBM and also look into the key factors impacting second surgery...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256552/the-berlin-declaration-inspiration-for-primary-care
#8
Sanjay Kalra, Ashok Kumar Das, Cecilia JImeno, Wannee Nitiyanant, Goh Su-Yen, Truong Le
This paper describes the seminal Berlin Declaration, released in December 2016, and draws inspiration from it to ensure early prevention, early detection, and early control of diabetes, and provide early access to the right interventions for diabetes care. Discussion focuses on actions which primary care physicians can take in their individual practices to help achieve the goals laid down in Berlin Declaration. Collective efforts, involving simple, achievable and measurable interventions, will facilitate fulfillment of the Berlin Declaration's aims and objectives...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256551/communication-in-diabetes-care
#9
Sanjay Kalra, Bharti Kalra
No abstract text is available yet for this article.
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256550/central-venoplasty-in-av-arteriovenous-fistula-dysfunction-a-palliative-endovascular-approach
#10
Tariq Ashraf, Naeem Mengal, Naveed Ullah Khan, Parveen Akhtar
The ultimate treatment of chronic kidney disease is renal transplant. Patients with CKD who need temporary haemodialysis have to have indwelling catheters. The catheters used are either temporary or permacath (A permacath is a piece of plastic tubing very similar to jugular catheter used for haemodialysis). The issues with these catheters are stenosis of central vein especially subclavian. Central venous stenosis leads to impairment in optimal dialysis. We report two cases of central venous stenosis in which patients presented with pain and oedema of the arm...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256549/transcranial-approach-to-craniopharyngiomas-review-of-management-and-outcomes
#11
Muhammad Junaid, Syed Sarmad Bukhari, Muhammad Azmat Khan
Craniopharyngiomas are rare tumours of the central nervous system. Their successful treatment is marred by a high rate of recurrence and postoperative complications. Their occurrence is sufficiently rare to merit treatment at specialized high volume centers. We have described our experience with these tumours because we feel that published literature is rare from our region.We treated 7 patients during this period. Their complete history was taken and full neurological examination was performed. Scans included a plain head CT and an MRI scan with contrast...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256548/phosphine-induced-acute-cardiotoxicity-in-children-a-need-for-health-awareness
#12
Mehnaz Atiq, Abdul Sattar Shaikh
Aluminum Phosphate (AP) is a cheap and highly effective pesticide. Phosphine is the active pesticidal component which is highly toxic. Mortality is high and ranges between 40-70%. There is a desperate need for creating awareness. We report a case series with a mortality of 40% and emphasize the need for public awareness.
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256547/anaesthetic-management-for-pheochromocytoma-resection-in-a-5-year-old-boy-with-cerebral-haemorrhage-and-intestinal-obstruction
#13
Peipei Sun, Xinjiang Guan, Wei Li, Peng Li, Siyuan Li, Pengbo Zhang
Pheochromocytoma is rarely seen under the age of 8 years and the anaesthesia for pheochromocytoma surgery is challenging. We present the perioperative management of a 5-year-old boy with intestinal obstruction and two episodes of cerebral haemorrhage who presented for pheochromocytoma resection and enterolysis. Important issues in the management of this patient included choice of vasoactive agents and anaesthetics, control of blood pressure and intracranial pressure, preioperative fluid management, and monitoring technique...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256546/hypermucoviscous-klebsiella-syndrome-it-s-in-the-community
#14
Muneeba Ahsan Sayeed, Nida Latif, Syed Faisal Mahmood
Hypermucoviscous Klebsiella syndrome is a unique syndrome caused by a new variant of Klebsiella pneumoniae (KP), characterized by abscess formation at distant body sites. This emerging KP strain is different from the usual classic strains in having the rmp gene which increases capsule formation making this strain resistant to phagocytosis and helping in its dissemination to distant organs. A 50 years old diabetic man presented with facial swelling after dental procedure which progressively increased despite being on antibiotics...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256545/caught-in-the-act-migration-of-a-large-right-atrial-thrombus-to-pulmonary-artery-during-transthoracic-echocardiography-a-case-report
#15
Bilal Hussain, Fateh Ali Tipoo Sultan, Talha Shahzad, Sumaira Punjani
In cases of pulmonary embolism, the visualization of a free-floating right heart thrombus on conventional transthoracic echocardiography is extremely rare. Even rarer is an echocardiographic recording of migration of a free-floating clot from the right heart into the pulmonary vasculature leading to pulmonary embolism. We present a unique case of an elderly man who presented with dyspnoea, in whom a routine 2-D bed side transthoracic echo recorded the live transit of a free floating thrombus from the right heart into the pulmonary artery resulting in pulmonary embolism...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256544/follicular-dendritic-cell-sarcoma-presenting-as-colonic-intussusception
#16
Masroor Hassan, Asim Qureshi, Nadira Mamoon, Zafar Ali
Follicular dendritic cell sarcoma (FDCS) is a rare intermediate grade sarcoma involving a variety of nodal and extra nodal sites. It has two histological subtypes, conventional and inflammatory pseudotumour like variant. We report this interesting case of FDCS presenting colonic intussusception at Shifa International Hospital, Islamabad, Pakistan. Conventional FDCS presenting as a colocolic intussusception is an unusual presentation, and to our knowledge, has never been reported previously. It has wide morphological spectrum on light microscopy and has characteristic immune-reactivity for dendritic cell markers (CD21, CD23, and CD35)...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256543/correlates-of-myopia-in-students-of-bahauddin-zakariya-university-multan
#17
Mushtaq Hussain Lashari, Ruby Ayub, Muhammad Saleem Akhtar, Mazhar Ayaz, Zahida Tasawar
The present study was conducted to determine the prevalence of myopia in young students of Bahaudin Zakariya University, Multan. A total sample of 620 students of both gender (male=295; female=325) was collected during 2014. The data was divided in two breeding pattern groups, five groups on account of age at myopia onset and different family size. Out of 620 subjects, 150 had myopia (male=85; female=65). The overall prevalence of myopia was 24.19%. The myopia prevalence was apparently higher in males 28.8% as compared to females 20%...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256542/incidence-of-acute-endophthalmitis-after-office-based-intravitreal-bevacizumab-injection
#18
Muhammad Ali Haider, Usman Imtiaz, Farwah Javed, Zahra Haider
The burden of intravitreal injections has increased tremendously over the past few years. Since traditionally the operation theatre setup is currently used for this procedure, it is increasingly becoming difficult to manage such a patient load in the theatres. To overcome this challenge, office-based setup for intravitreal injection was started. This study was planned to determine the incidence of endophthalmitis after office-based intravitreal bevacizumab injection and to compare it with previously reported incidence of endophthalmitis after operation theatre-based intravitreal injections...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256541/self-esteem-in-severely-burned-adults
#19
Syed Muhammad Imran Haider Zaidi, Nazia Yaqoob, Sidra Noreen
A cross-sectional study was conducted to investigate the level of and gender difference in self-esteem among adult victims of severe burn injuries. Severely burned adults aged 20 to 40 years participated in this investigation from March 2015 to April 2016 in five hospitals of Faisalabad and Lahore. Purposive sampling technique was used and a self-esteem scale was used to assess different dimensions of self-esteem. Out of 40 patients, there were 25 men (62.5%) and 15 women (37.5%) with mean age of 28.28±4.60 years (range: 20-40 years)...
December 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29256540/respiratory-and-physical-ailments-correlated-with-occupational-exposure-among-welders-in-pakistan
#20
Nadia Ghani, Foqia Tariq, Sahar Hassan
Disruption of normal respiratory function is associated with occupational disorders. Exposure to welding fumes on long term basis affects the lung function of the workers and prompts allergic responses. Therefore, the aim of the study was to manifest the association of exposure to welding fumes and respiratory complications with reference to the undermining of normal lung function and respiratory symptoms. A cross sectional study was conducted in different areas of Lahore in 2016. A comparison was made among welders on the basis of lung function and other physical ailments...
December 2017: JPMA. the Journal of the Pakistan Medical Association
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