Azra Naheed Medical College

Lahore, Pakistan

Azra Naheed Medical College

Lahore, Pakistan
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Raza S.M.A.,Lahore Medical and Dental College | Jabeen R.,Sahara Medical College | Nisa F.U.,Azra Naheed Medical College
Pakistan Journal of Medical and Health Sciences | Year: 2016

In this study the risk factors like lipoproteins including HDL, LDL, VLDL and cholesterol have to be determined in diabetic and non-diabetics. In this the ratio of cholesterol to HDL and ratio of LDL to HDL has to be determined in diabetic and non-diabetic patients to know the risk of heart diseases. If ratios of these factors increased beyond the normal extent then the risk of heart disease also increases. A lipid profile test level taken from 300 patients reports to check the effect of them on diabetic and non-diabetic patients. And risk of heart diseases occurrence in them. © 2016, Lahore Medical And Dental College. All rights reserved.


Afridi N.,Islam Medical College | Shah A.H.,Azra Naheed Medical College | Ejaz A.,Azra Naheed Medical College
Medical Forum Monthly | Year: 2016

Objective: Objective of this study is to assess the correlation of imaging studies X-ray and CT-Scan of Para nasal sinuses in clinically selected sinusitis patients from outpatient department of ENT at Civil Hospital Karachi. Study Design: Observational study Place and Duration of Study: This study was conducted in the department of ENT at Civil Hospital Karachi from 01 Aug 2009 to 31 July 2010. Materials and Methods: After taking a inform consent sinusitis patients initially thoroughly clinically examined in ENT out patients department than referred to radiology department for imaging evaluation at Civil Hospital Karachi. This study comprises of 95 patients of both sexes who presented with acute and chronic sinusitis. Results: In our study we assessed 95 patients of both sex with acute and chronic sinusitis, selected on clinical basis and finally correlated by radiologically. Out of 95 patients 43 patients who clinically suspected of having acute sinusitis sent to radiology department to correlate our finding both by X-ray PNS and CT-Scan. X-ray PNS showed imaging findings of acute sinusitis in 26(60%) patients while 17 patients were having normal X-ray PNS. When CTScan was performed to correlate the findings, it showed 30(69%) patients were having acute sinusitis while 13 patients had no imaging findings of acute sinusitis. When clinically suspected of chronic sinusitis of 52 patients were radiologically investigated, out of those, in whom X-ray PNS shows chronic sinusitis in 26(54%) patients and 22 patients are having normal X-ray PNS. But when CT-Scan performed in these patients it depicted 33(68%) patients were having chronic sinusitis and 15 patients were having normal imaging. Out of these 52 patients, 4 patients refused for any radiological investigation. Conclusion: Previously X-ray of nose and Para nasal sinuses was considered mainstay to rule out of various pathologies but now have been replaced by high-resolution CT scan and MRI. Plain radiographs of various angles can be used as a useful tool for diagnosis of acute and chronic sinusitis patients which are difficult to rule out clinically where the CT-scan facility is not available whereas CT-Scan is the only modality of choice and considered as a "gold standard" imaging of nose and Para nasal sinuses in acute and chronic sinusitis and guides the surgeon with important information of the osteomeatal complex, sphenoid, ethmoid sinuses status and other normal anatomical landmark or any variations, preoperatively.


Jaffary M.,Continental Medical College | Samo J.A.,Khairpur Medical College | Mujtaba S.W.A.,Azra Naheed Medical College
Pakistan Journal of Medical and Health Sciences | Year: 2016

Aim: To determine the rate of anxiety and depression in cases of bronchial asthma. Methods: This cross-sectional and observational study conducted at Department of Medicines, Ch. Rehmat Ali Memorial Teaching Hospital, Lahore and Khairpur Medical College Hospital, Khairpur from 1st January 2016 to 30th June 2016. Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety and depression. Results: Mean age of the patients was 45.6±7.4 years. Anxiety was noted in 155 (77.5%) patients and depression was noted in 126(63%) patients. Insignificant (P = 0.4159, 0.6292) association of anxiety and depression with gender was noted. Association of anxiety with area of residence was significant (P=0.001). Highly significant (P=0.001, 0.001) association of education status with anxiety and depression was found. Conclusion: Results of this study showed high rates of anxiety and depression in asthmatics. Male or female asthmatics can equally be a victim of anxiety and depression. Rural residents and un-educated asthmatics had higher rate of anxiety and depression as compare to urban residents and educated asthmatics.


Shah A.H.,Azra Naheed Medical College | Hafeez A.,CHK DUHS | Ejaz A.,Azra Naheed Medical College | Marfani S.,DUHS
Medical Forum Monthly | Year: 2015

Objective: To assess the accuracy of fine needle aspiration cytology (FNAC) for the diagnosis of malignancy in solitary thyroid nodule. Study Design: Observational/Descriptive study Place and Duration of Study: This study was conducted in the department of otolaryngology and Head and Neck Surgery at Civil Hospital Karachi from January 2007 to July 2008. Materials and Methods: This study comprises of 70 cases in one and half years. We have included all cases of solitary nodule of either sex more than 10 years and excluded those patients who were exposed to radiation or underwent any sort of neck surgery previously. All Patients with solitary thyroid nodule were investigated with routine hematological and biochemical tests, thyroid profile, thyroid Scan, ultra sound neck and FNAC in outpatient department. At admission all risks/benefits of surgical procedures were explained to patients. Postoperative histopathological report of specimen was compared with preoperative fine needle aspiration cytology. Results: In our 70 cases study 59 patients were diagnosed with benign and 11 with malignant disease. Sensitivity, specificity, accuracy was also recorded which were 72.72%, 99.20% and 94.20% respectively. Papillary carcinoma was found most common tumor in 63.63%. Conclusion: FNAC is valuable investigation for the preoperative assessment of solitary thyroid nodule and also has high diagnostic accuracy in its evaluation.


PubMed | Shaikh Zayed PGMI, Khawaja Muhammad Safdar Medical College, Azra Naheed Medical College and Lahore Medical and Dental College
Type: Journal Article | Journal: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP | Year: 2016

To evaluate the plasma interleukin-10 (IL-10) levels in patients suffering from dengue hemorrhagic fever between 4 to 7 days of onset of disease and 24 hours after the first sample, to find out the association of plasma IL-10 levels with the outcome.Analytical study.All major hospitals of Lahore, Pakistan, from August to November 2012.Participants included 50 registered patients of dengue hemorrhagic fever (DHF) aged between 15 - 50 years. Plasma IL-10 concentrations were measured on above stated day. Outcome was described as recovery and shock. Platelet count and hematocrit percentages were also recorded. Statistical analyses were done using SPSS version 19. Ap-value 0.05 was considered significant.Plasma IL-10 levels were found to be raised in DHF patients and were associated with fatal outcome (p=0.004). In recovered DHF patients, plasma IL-10 levels decreased after 24 hours (mean 26.54 16.03 pg/ml) as compared to admission time (mean 74.39 61.69 pg/ml) but in case of DHF patients suffering from shock, plasma IL-10 was found to be higher after 24 hours (mean 87.69 7.77 pg/ml) as compared to levels at admission time (mean 42.56 28.09 pg/ml). ROC curve analysis revealed a change (30 units pg/ml) of plasma IL-10 concentration, within 24 hours of admission, raised from the base line to be 105 times more critical for shock in DHF patients (100% sensitivity and 71.4% specificity, p < 0.001).Elevated plasma IL-10 is a potential predictor of disease severity and fatal outcome in DHF patients.


Shaikh S.,Avicena Medical College | Noor F.,Surriiya Azeem Waqf Teaching Hospital | Ali S.,Kh M Safdar Medical College | Sajjad S.,Azra Naheed Medical College
Pakistan Journal of Medical and Health Sciences | Year: 2017

Background: It is probable that almost one in eight women will have some form of thyroid disorder during her lifetime. About 0.3% of the overall American population has overt hypothyroidism, and 4.3% have subclinical hypothyroidism. Subclinical hypothyroidism may be approximately found among 3-8% females, increasing with age; the median age of someone with hypothyroidism is 58 years. The symptoms of thyroid disease can be alike to postmenopausal symptoms and are clinically challenging to discriminate. Currently, there are no proper guidelines about screening of menopausal females for their thyroid function. The purpose of this study was to determine the frequency of hypothyroidism in menopausal women. Methods: A total of 100 patients were included in this study. The patients were stratified earlier age wise and later BMI wise. Through standard procedure TSH, T3 & T4 were estimated from the blood. Menopausal status, hypothyroidism, and possible risk factors were assessed and recorded for each patient. Results: We observed 17% of the female patients with hypothyroidism. The hypothyroidism is highly associated with menopausal female age, BMI, TSH, T3& T4, fatigue, muscle cramp, depression, weight gain, cold intolerance and sleeping problems (p-value < 0.05) Conclusion: Our study had attained significant number of abnormal thyroid function tests which leads to hypothyroidism and cause severe symptoms which is comparable to other reported literature.


Ehsan S.,Azra Naheed Medical College | Butt M.S.,Riphah International University | Umar B.,Riphah International University
Biomedical Research (India) | Year: 2017

Clinical instructors play an important role in the clinical education of physical therapy students. A good clinical instructor ensures that the students get maximum benefit out of the clinical experience. The feedback of students about their clinical instructors is very important in designing strategies that can improve the clinical learning of students. Objective of this study was to find the perception of undergraduate physical therapy students regarding the clinical teaching attributes of their clinical instructors. This observational cross sectional study was done at departments of physical therapy of four institutes of Lahore. Study was completed in 4 months. Non-probability, purposive sampling was used to select a sample of 202 students. The Response rate was 92%. Self-administered questionnaires consisting of validated 25-point McGill Clinical Teacher Evaluation Tool (CTE) were used to find out the perception of students about their clinical teachers. The total agreement score of McGill’s CTE rating was high i.e. Mean ± SD=97.35 ± 15.478. The attribute of clinical teacher “is interested in helping students to learn” was rated the highest (Mean ± SD=4.41 ± 0.786) and “Occasionally challenges points presented in texts and journals” was rated the lowest (Mean ± SD=3.38 ± 1.109). The undergraduate physical therapy students rated their clinical instructors higher. Clinical instructors were helping for the students however more focus should be placed on the evidence based practice and instructors should regularly incorporate evidence from literature in their teaching practices. © 2017, Scientific Publishers of India. All rights reserved.


Shah A.H.,Azra Naheed Medical College | Marfani S.,Qaseem University | Ejaz A.,Azra Naheed Medical College
Medical Forum Monthly | Year: 2016

Objective: To determine the frequency of malignancy in solitary nodule of thyroid. Study Design: Observational/Descriptive study. Place and Duration of Study: This study was conducted in the Department of Otolaryngology and Head and Neck Surgery at Civil Hospital Karachi from January 2007 to July 2008. Materials and Methods: This study comprises of 70 cases, in one and half years. We have included all cases of solitary nodule of either sex more than 10 years and excluded those patients who were exposed to radiation or underwent any sort of neck surgery previously. All Patients with solitary thyroid nodule were investigated with routine hematological and biochemical tests, thyroid profile, thyroid Scan, ultra sound neck and FNAC in outpatient department. At admission all risks/benefits of surgical procedures were explained to patients. Post-operative histopathological report of specimen was compared with preoperative fine needle aspiration cytology. Results: In our 70 cases study 59 patients were diagnosed with benign and 11 with malignant disease. Papillary carcinoma was found the most common tumor in 63.63%. Conclusion: Papillary carcinoma is the most common tumor in solitary thyroid nodule in our study followed by follicular carcinoma.


Fahim A.,Post Graduate Medical Institute | Ilyas M.S.,Post Graduate Medical Institute | Jafari F.H.,Azra Naheed Medical College | Farzana F.,Post Graduate Medical Institute
Journal of Oral Biology and Craniofacial Research | Year: 2016

Background: Carbonated drinks are the second most consumed non-alcoholic beverages in the world after tea. The effects of these drinks on hard tissues and vital organs of the body have been proved beyond doubt. This study, however, explains the effect of these drinks on wound healing of oral epithelium. Methods: Thirty-six male Wistar rats were considered for the study. A circular wound of 3.0 mm was created on the buccal mucosa of all animals and they were divided into two groups. Animals in group 1 were fed with chow pellet and water, while those in group 2 were fed with a commercially available carbonated drink instead of water. Six animals from each group were euthanized at 0, 7, and 21 days. Wound site was histologically assessed for differences in thickness and characteristics of the regenerating epithelium between two groups. Results: There was a marked difference in the healing pattern between the two groups. Animals in group 1 showed a normal healing pattern at the end of day 21. In the group 2, the regenerated epithelium showed hyperplasia and hyperkeratosis along with acanthosis at the end of the experiment with a subsequent delayed inflammatory reaction at day 21. Conclusion: Consumption of carbonated drinks can disrupt oral wound healing. The contents in carbonated drinks have a proinflammatory action on the soft tissue. Results suggest that epithelial changes seen in experimental group 2 could be a result of constant irritation by the acidic and fizzy nature of carbonated drinks. © 2015 Craniofacial Research Foundation.


Bashir T.,Azra Naheed Medical College | Sharif M.,KFH | Ahmad M.,Azra Naheed Medical College
Medical Forum Monthly | Year: 2015

Objectives: To study the pattern and severity of abdominal injuries due to road traffic accidents (RTA) in KSA. Study Design: Retrospective descriptive. Place and Duration of Study: This study was conducted in the Department of Surgery, King Fahad Hospital Albaha, Kingdom of Saudi Arabia during one year from 2012 to 2013. Materials and Methods: This is retrospective study of all patients admitted with torso-trauma in Department of Surgery KFH Al-Baha from the period of Aug. 2012 to Aug. 2013. Results: In the 01 year period, 2520 patients were admitted following an RTA. Out of these, 537 were admitted due to torso trauma. 120 patients were admitted in SICU, 280 in intermediate dependency unit while remaining 137 admitted in surgical ward. 27 patient died due to torso trauma with multiple injuries. 3 patients died of pure liver trauma while 2 patients died of splenic injury. Conclusion: Lot of burden over the hospital because of RTA related injuries. There was very severe and fatal injuries faced because of accidents happened in youth and male preponderance.

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