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JPMA. the Journal of the Pakistan Medical Association

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https://www.readbyqxmd.com/read/30410169/the-typhoid-epidemic-where-are-we-heading
#1
Fariha Hasan, Sayed Mustafa Mahmood Shah, Choudhary Ahmed Hasan
No abstract text is available yet for this article.
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410168/association-of-vaspin-levels-and-its-snp-rs2236242-with-gestational-diabetes-at-a-tertiary-care-setting-research-article
#2
Karishma Kanhya Lal, Rabail Jarwar, Sabah Farhat, Seyda Sadia Fatima
OBJECTIVE: To evaluate and correlate vaspin levels and genotype frequency in gestational diabetes mellitus. METHODS: The case-control study was conducted at Aga Khan University, Karachi, from November 2015 to December 2016, and comprised pregnant women in their second trimester with gestational diabetes mellitus. Healthy pregnant women with similar characteristics were enrolled as the control group. Tetra arms amplification system for vaspin gene was performed. SPSS 21 was used for data analysis...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410167/response-to-comments-on-umer-draz-et-al-j-pak-med-assoc-2018-68-939-41-presence-of-pre-diabetes-in-helicobacter-pylori-positive-versus-helicobacter-pylori-negative-patients-having-dyspepsia
#3
Nasir Farooq Butt
No abstract text is available yet for this article.
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410166/comments-on-umer-draz-et-al-j-pak-med-assoc-2018-68-939-41-presence-of-pre-diabetes-in-helicobacter-pylori-positive-versus-helicobacter-pylori-negative-patients-having-dyspepsia
#4
Davide Giuseppe Ribaldone, Sharmila Fagoonee
We have read with great interest the article by Draz et al, reporting the prevalence of Helicobacter pylori (H. pylori) infection, in patients with dyspepsia and pre-diabetic status. The authors found that 58.5% of patients with H. pylori infection versus 45.9% (p=0.03) of patients without H. pylori had pre-diabetes. The method used to diagnose H. pylori infection was the histology based on bioptic samples taken in antrum during gastroscopy.1 This latter point raises a crucial criticism. When a patient needs a gastroscopy, due to alarming symptoms or older age (generally >45 years, but age should be determined locally according to gastric cancer risk), H...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410165/internal-jugular-phlebectasia-in-an-adult-rare-cause-of-neck-swelling
#5
Saima Ahmad
No abstract text is available yet for this article.
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410164/extracranial-and-intracranial-stenting-and-angioplasty
#6
Qasim Bashir, Aamna Hassan
No abstract text is available yet for this article.
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410163/tumour-treating-fields-ttfs-for-paediatric-brain-tumours-brain-metastases-and-other-novel-applications
#7
Farhan Arshad Mirza, Muhammad Shahzad Shamim
Tumour treating fields (TTFs) are now FDA approved for high grade glioma treatment. Novel application of this treatment modality is being assessed for paediatric brain tumours and intracranial metastatic disease. Clinical trials are being conducted to test the efficacy of this treatment modality as adjuvant therapy to current standard of care. Here we will discuss the existing literature on TTF its role in pathologies other than GBM. In addition, aspects of safety, compliance and cost are also discussed.
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410162/seven-sinful-sisters-seven-smart-solutions-to-stop-diabetes
#8
Sanjay Kalra, Kvs Hari Kumar
This article describes a Seven Sinful Sisters and Smart Solutions (FIVE S) concept, which lists seven contributory factors of diabetes, and seven potential solutions to help prevent its spread. The Seven Sinful Sisters include Sugar, Salt, Saturated fat, Spirits (alcohol), Sitting time (sedentary life style), Steroids (including other drugs) and Stress. Seven Smart salutogenic Solutions are use of Self-restraint, Small size portions, Spices (nutrition -based remedies, including sugar and salt substitutes), Slimnastics (a synonym for aerobic exercise), high Spirit (a positive attitude), health Sleep/Siesta, and enjoyment of Sunday (or Stress management)...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410161/the-da-vinci-diet
#9
Girish Parmar, Sana Shaikh, Ameya Joshi, Sanjay Kalra
Ample evidence implicating diet as the root cause of diseases exists in the scientific arena. It is always intruiging to know the diet pattern of our ancestors. Leonardo da Vinci was a 'universal genius' with universal appeal. This article describes the basic principles of the diet that he followed. "Dining discipline" and moderation in eating should be coupled with the aim of savouring smell, taste, and texture of food. Fresh, fibre rich, vegetarian food forms the bulk of the da Vinci diet. Saturated fat, salt and sugar use is minimal, but water and water-rich food intake is encouraged...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410160/two-neonates-with-bartter-syndrome
#10
Tehreem Afzal, Sana Fatima, Iqtada Haider Shirazi, Alia Halim
Bartter syndrome is an autosomal recessive disorder caused by gene mutations that involve hypokalaemia, hypochloraemia and metabolic alkalosis along with raised serum renin, hyperaldosteronism and normal blood pressure. We report two cases of neonatal Bartter syndrome. Case 1 was a product of non-consanguineous marriage and mother had unexplained polyhydramnios in pregnancy while case 2 was a product of consanguineous marriage. Both cases were diagnosed based on hypokalaemia, hypochloraemia and metabolic alkalosis along with elevated serum renin and aldosterone levels...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410159/extrapyramidal-symptoms-resulting-from-risperidone-use-in-a-four-year-old-child-a-case-report
#11
Ehsan Elahi, Umar Zia, Omar Akhlaq Bhutta, Sidrah Andleeb
Extrapyramidal symptoms (EPS) are the major constraint in the use of antipsychotic agents. It is usually forewarned whenever therapy with these agents is considered. In this case, we present a child diagnosed with relapsed Wilm's tumour, who developed EPS just after a short duration of initiation of risperidone prescribed as an appetite stimulant. The patient became symptom free after management and risperidone was discontinued. Although risperidone has been approved to treat different indications in adolescents and children, scarce scientific evidence and our case report, are suggestive of further studies to establish safety of risperidone use in preschool children...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410158/transmigration-of-an-intrauterine-device-into-sigmoid-colon-surgical-management-a-case-report
#12
Ahmad Kaleem, Balakh Sher Zaman, Azhar Hassan, Muneeba Nasir
We present the case of a 30 years old woman who had an Interauterine Device placed in a fragile uterus (puerperal period) 5 years ago and presented with dull abdominal pain and disturbed bowel habits. Failure to pull out IUD strings on gynecological examination made us suspicious of translocated IUD and its ectopic placement in sigmoid colon was confirmed on colonoscopy and a CT abdomen with contrast. The transmigrated IUD was removed following laparotomy.
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410157/community-acquired-sphingomonas-paucimobilis-in-a-child-a-rare-case
#13
Farheen Saboor, Faridah Amin, Sabeen Nadeem
Sphingomonas paucimobilis is a rare organism that usually infects immunocompromised patients and is known to cause nosocomial infections from mild to severe pathogenicity. Recently a few community acquired infections have been identified in relatively healthy adult patients with diabetes and alcoholics. We report a case of a 10 years old previously healthy child who presented with fever for a month and was found to have a positive blood cu lt ure for Sphi ngomon as pauc imobil is.
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410156/tracheal-injury-late-symptom-after-double-lumen-tube-intubation-a-case-report
#14
Dilek Ozdamar, Canan Turna, Alkan Kibar, Can Aksu
As a basic skill, endotracheal intubation, performed throughout the world by health care professionals is a relatively safe and effective maneuver. However, this technique is not risk free and could lead to many serious complications. We wanted to report that in a patient with double lumen tube intubation, airway trauma can cause late symptoms . We thought that such complications must be published to share experiences.
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410155/primary-synovial-sarcoma-of-the-mediastinum-in-an-18-year-old-male-a-case-report
#15
Ansab Godil, Muhammad Saad Ali Mallick, Akash Khetpal, Faizan Jabir Godil, Arsalan Majeed Adam, Muhammad Jawaid Mallick
The study aimed to record the prevalence of Urinary Tract Infection caused by E. coli, its antibiotic sensitivity and phenotypic detection of ESBL and MBL producer E. coli. Total of 240 urine samples were collected from Bacha Khan medical complex, Swabi. Antibiotic sensitivity and production of ESBL and MBL according to CLSI guidelines 2017 were performed. Out of 75 E. coli strains, only 25 (33.3%) isolates were positive for ESBL. Similarly, 25 were resistant to Imipenem, in which 12 (16%) isolates were positive for MBL production...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410154/prevalence-antibiotic-sensitivity-and-phenotypic-screening-of-esbl-mbl-producer-e-coli-strains-isolated-from-urine-district-swabi-kp-pakistan
#16
Johar Jamil, Muhammad Haroon, Ambareen Sultan, Muhammad Atif Khan, Naima Gul
The study aimed to record the prevalence of Urinary Tract Infection caused by E. coli, its antibiotic sensitivity and phenotypic detection of ESBL and MBL producer E. coli. Total of 240 urine samples were collected from Bacha Khan medical complex, Swabi. Antibiotic sensitivity and production of ESBL and MBL according to CLSI guidelines 2017 were performed. Out of 75 E. coli strains, only 25 (33.3%) isolates were positive for ESBL. Similarly, 25 were resistant to Imipenem, in which 12 (16%) isolates were positive for MBL production...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410153/spectrum-management-and-outcomes-of-structural-and-functional-uropathies-in-children-attending-a-tertiary-care-center-in-karachi-pakistan
#17
Arshalooz Jamila Rahman, Saima Hanif, Noor Ul-Ain Baloch, Abdul Rehman, Tauqeer Sheikh, Mohammad Irfan Ladhani
Causes and outcomes of children diagnosed with hydronephrosis in resource-limited countries with a low utilization of antenatal ultrasonography remain unexplored. We performed a retrospective, crosssectional study of all paediatric patients diagnosed with hydronephrosis and managed at a tertiary care center in Karachi, Pakistan between 2005 and 2010. Data relating to demographics, clinical features, etiologies and treatment modalities were systematically collected. Of a total of 234 cases (74.4% male), 83 (35...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410152/expectations-requirements-and-problems-of-family-health-care-workers-providing-home-services-in-turkey
#18
Seyhan Hidiroglu, Hayriye Kulbay, Melda Karavus, Fatih Onsuz
Life expectancy is increasing globally with the increase of aging populations. Care-dependent elderly and those with chronic illnesses and disabilities are increasing in numbers. Hospitalization to manage these problems lead to a heavy economic burden. Thus, the demand for home health care is rising causing a heavy workload for home workers. This study was aimed to assess problems of personnel engaged in providing home care. Data was colllected from 120 family physicians and nurses/midwives from 25 clinics...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410151/predatory-conferences-addressing-researchers-from-developing-countries
#19
Aamir Raoof Memon, Muhammad Ehab Azim
Publishing a manuscript or presenting at a conference are considered valuable accomplishments in one's professional career. However, it is necessary that the outlet be a legitimate rather than a fraudulent or predatory one. Predatory journals have been explored previously to a greater extent but the conference version of predatory entities is the newest iteration. To date, very few studies have endeavored to address the nuisance of predatory conferences and to explain the full magnitude of their significance...
November 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30410150/non-pharmacological-interventions-to-combat-exercise-induced-muscle-damage-a-little-natural-tax-on-work-out
#20
Muhammad Mustafa Qamar, Muhammad Shahid Javed, Muhammad Zahoor-Ul-Hassan Dogar, Ayesha Basharat
Debilitating pain, stiffness, tenderness, fatigue, impaired muscle function, lack of strength subsequent to exercise are not welcomed by those not accustomed to it. It may discourage an individual from participating in regular exercise. Numerou s ph armacological and non - pharmacological strategies have been used to alleviate symptoms of muscle soreness, muscle pain, improving muscle function, the range of motion and recovery time. Non-steroidal anti-inflammatory drugs are suggested to have a beneficial impact on muscle soreness, but fail to rejuvenate muscle weakness and range of motion coupled with muscle soreness...
November 2018: JPMA. the Journal of the Pakistan Medical Association
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