Bolan Medical College Quetta

Bolan, Pakistan

Bolan Medical College Quetta

Bolan, Pakistan
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Rehman M.U.,Bolan Medical College Quetta | Jaffer M.A.,Bolan Medical College Quetta
Pakistan Journal of Medical and Health Sciences | Year: 2016

Aim: To determine the various clinical conditions presenting with bleeding per rectum. Methods: This was a cross section analytical study conducted at Sandeman Provincial Hospital Quetta Pediatric surgical ward from February 2015 to November 2015. A total of 45 patients of either sex from ages of 0ne day to 14 year who presented with bleeding per rectum were included with non-probability convenient sampling technique. Patients were admitted via OPD and emergency. Detailed history and physical examination encompassing the duration and comorbid conditions, per rectal and abdominal examination was performed. Results: 45 patients with bleeding per rectum were evaluated, out of which 2(4.4%) were dysentery, 12 (26%) anal fissure, 10(22%) rectal polyp, 8(17%) intussusception, 5(11%) rectal prolapse,2(4.4%) abdominal lymphoma, 3(6.6%) meconium ileus, 2(4.4%) necrotizing enterocollitis,1(2.2%) rectal mass. Conclusion: Bleeding per rectum is the presenting complaint of a myriad clinical conditions, which should be sought and investigated. © 2016, Lahore Medical And Dental College. All rights reserved.


Shahwani M.B.,Bolan Medical College Quetta | Ahmad M.A.,Sahiwal Medical College | Khan Kakar L.M.,Bolan Medical College Quetta | Khan N.M.,King Edward Medical University
Pakistan Journal of Medical and Health Sciences | Year: 2017

Success of microvascular bone graft is related to proper endo-periosteal blood flow depends upon exact understanding of surgical anatomy of diaphyseal nutrient foramen. Diaphyseal nutrient artery is main supply to the femur. Diaphyseal nutrient foramen provides entry channel for this vessel. Bone ossification, growth and healing is dependent on intactness of this vessel. Orthopaedic operative procedures of bone defect repair such as microvascular bone graft, depends mainly on the vascularity of the femur for survival of donor and recipient bones. This study was conducted on 100 dried adult Pakistani femurs (46 rights, 54 lefts) of unknown sexes. We investigated the topography and morphometry of diaphyseal nutrient foramen in these femurs. Direction of the nutrient foramen related to the growing end and the foramen Index (FI) were also calculated.83.98% of the bones forming majority had single diaphyseal nutrient foramen while only 16.02% had double nutrient foramen. The single diaphyseal nutrient foramen was located on the Linea aspera in 51.91%, on the medial lip of Linea aspera in 16.91%, on the lateral lip of Linea aspera in 15.85%, on the medial surface in 12.01% and on the lateral surface in 3.32%. Medial surface and Linea aspera was the most common site of occurrence of double diaphyseal nutrient foramen.


Shah A.,Bolan Medical College Quetta
Pakistan Journal of Medical and Health Sciences | Year: 2017

Aim: To determine the efficacy of the needle puncture technique in paraphimosis in children. Methods: This Descriptive study carried out at Sandemen Provincial Teaching Hospital Quetta from February 2016 to October 2016. In this study, 45 patients of pediatric age group (1 day to 13 years) with grade I and grade II paraphimosis were included. Children with balanoposthitis, skin excoriation with cheesy tear over the shaft (grade III), gangrenous glans, haemangioma and other cancerous conditions were excluded. The oedematous prepuce was cleaned local an aesthesia without adrenaline applied and prepuce pierced with a hypodermic needle from one place to upto 15 different places. The edematous prepuce was gently squeezed and pulled to bring it to its normal position. Patients were followed-up for outcome to look for any skin infection, recurrence after one week and six weeks after the procedure. Results: Out of 45 patients 2(4.4%) had recurrence.7 patients (15.5%) developed skin infection, and two patients (4.4%) had to undergo a dorsal slit. Conclusion: Multiple puncture technique is by far the best in the treatment of paraphimosis.


Achakzai M.S.,Bolan Medical College Quetta | Munir O.,Sheikh Zayed Hospital Rahim Yar Khan
Pakistan Journal of Medical and Health Sciences | Year: 2017

Aim: To know the underlying processes by this causative organism inflicts damage to the mucosa of the stomach. Methods: This descriptive cross sectional reseach work was conducted on three hundred individuals with clinical presentation of gastropathy who report in OPDs of Quetta, Rahim Yar Khan and Sahiwal from March 2014 to July 2016. From eighteen patients we got gastric biopsy specimens with chronic gastropathy resulting from Helicobacter pylori infection. Results: The analysis of gastric biopsy depicted elevated protein complex that controls transcription of DNA, cytokines production and cell survival (NF-kB) with superoxide dismutase activities enhanced display of Poly ADP Ribose Polymerase-1 (PARP-1) and a marker for DNA damage or DNA damage response (H2AX). After recommended regime of drugs to eradicate Helicobacter pylori, analysis of gastric biopsy showed standard parameters of NF-kB with superoxide dismutase activities enhanced display of PARP-1 and gH2AX. That proved possible cause of gastropathy may be oxidative DNA insult and elevated parameters of poly ADP ribosepolymerase-1 (PARP-1). Conclusion: This current research work recommend that in a situation where there is insult to lining epithelium of stomach, underlying cause is non-homologous end joining (NHEJ) and (ROS) Reactive oxygen species which inflicts unusual telomere end joining resulting to telomere shortening treatment.


Imran M.,Multan Medical and Dental College Multan | Ishaq M.,Nowshera Medical College | Kakar L.M.K.,Bolan Medical College Quetta
Pakistan Journal of Medical and Health Sciences | Year: 2016

Aim: To compare the outcome in terms of union between minimally invasive plate osteosynthesis (MIPO) and intramedullary nailing (IMN) technique in treating distal tibia fractures. Methods: This randomized controlled trial was conducted at Department of Orthopedic, Ibne Sina Hospital, Multan from 1st September 2015 to 29th February 2016. Total 86 patients with AO Type A distal tibial fractures of <3 days duration either male or female with age range from 20-60 years selected for this study. Results: Average age of patients in group A was 38.79±10.47 years and in group B was 39.63±11.73 years. Out of these 86 patients, 59(68.60%) were male and 27(31.40%) were females with ratio of 2.2:1. Rate of union in Group A (minimally invasive plate osteosynthesis) was 97.67% while in Group B (intramedullary nailing) was 79.07%. Conclusion: This study concluded that union is higher with minimally invasive plate osteosynthesis technique compared to intramedullary nailing technique in treating distal tibia fractures.


Saeed S.,Medical College Mirpur | Khan Z.,Medical College MIR Pur Azad Kashmir | Salam R.,Bolan Medical College Quetta | Ahmad A.,Headquarter Hospital Mirpur Azad Kashmir
Pakistan Journal of Medical and Health Sciences | Year: 2016

Background: Hypertensive disorders of pregnancy are responsible for significant maternal and perinatal morbidity and are the second leading cause of maternal mortality. Etiology of PET remain unclear despite extensive research because the disorder is heterogeneous, the pathogenesis can differ in woman with various risk factors. Aim: To compare maternal outcome in PET at altitude >5000 feet with PET at altitude <5000 feet. Methodology: This descriptive case series study was conducted in D.H.Q Hospital Bagh for two years from September 2008 to 2010. Patient with PIH with positive protein urea were included in this study. Total 200 cases were taken 100 from area >5000 feet and 100 from <5000 feet. Incidence of PET, eclampsia, intrauterine growth retardation and pre-maturity were recorded. Results: Patients came from high altitude had adverse maternal outcome when compared with low altitude group. The frequency of severe pre-eclampsia was significantly (<0.05) higher in high altitude group. In high altitude group 62% cases and in low altitude group only 29% cases presented with severe PET. In high altitude group out of these 62 cases, 15 (24%) patients developed eclampsia in contrast to 3 (10%) patients from low altitude group, abruptioplacenta was seen more frequent in high altitude group 16(26%) vs. 4(13%) in low altitude group. The frequency of ARF, 13(21%) vs. 4(13%) cases and coagulopathy 6(9.6%) vs 1(3%) cases was noted significantly (<0.05) more common in patients coming from high altitude. Only 2(3%) cases of HELLP syndrome were seen in high altitude group. The proportion of raised liver enzymes was seen significantly (<0.05) greater in high altitude group. There were 4 maternal deaths in high altitude group, 2 due to eclamptic seizure and 1 case due to coagulopathy and one case due to HELLP syndrome. Conclusion: There is strong association between adverse maternal outcome and high altitude of >5000 feet in term of pregnancy complications in patients of PET.


Saleem S.M.,Bolan Medical College Quetta | Al Naeemi A.,Sabiya General Hospital | Tareen M.K.,Bolan Medical College Quetta
Pakistan Journal of Medical and Health Sciences | Year: 2014

Background: Diabetes mellitus is a common metabolic disease all over the world and starts very innocently and progress very vigorously. It effects every part of the body, but adversely target the feet. Like the disease itself the feet problem also starts with small innocent ulcer and progress to lethal gangrene that ends either with amputation, septicemia or death. Aim: To search for avoidable factors in diabetic foot ulcer patients. Methods: This prospective observational study was conducted at Sabiya General hospital, Kingdom of Saudi Arabia, in the emergency room directly Or referred into the Diabetic Clinic, from 20112012. Patients having previous amputation, marioloine ulcer and established gangrene were excluded from the study. Results: Out of 129 patients, 119 patients had significant involvement of fore foot and mid foot was observed, in the study period. 10 Patients were excluded from the study. Patient had history of ulcer more than 4 weeks before consultation. 102 (79%) patients changed their foot wear while 17 patients not. The foot wear changed group got significant earlier healing in 48 weeks time, as compare to those patients who resist change their foot wear. Conclusion: Simple change of local customizes sandal foot wear use, expedites healing of foot ulcer, and may even avoid of recurrence of foot ulcer. Added factor in diabetic foot ulcer is locally used sandal in diabetic patients. Illiteracy adds in poor foot care and wear which is one of the most important causes of diabetic foot ulcer and requires concern for quality, type and size adjustments.


PubMed | Bolan Medical College Quetta and Mahidol University
Type: Journal Article | Journal: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP | Year: 2016

To determine the prevalence of dental caries and its relationship with dental fluorosis, oral health behaviour and dietary behaviour among 12-year school children in moderate-fluoride drinking water community in Quetta, Pakistan.Cross-sectional study.Government and private schools of Quetta, from November 2012 to February 2013.Atotal of 349 children aged 12-year from 14 randomly selected schools were included. The data collection was done on questionnaire designed for children. Dental caries status was examined by using WHO criteria.Dental caries was found in 81 children (23.2%) with mean DMFT0.61. Boys had 1.6 times more chance to have dental caries than girls. Dental fluorosis was found in 63.6% of children with majority of moderate degree (50.5%). Dental fluorosis status was found significantly associated with dental caries status in children. The children who had mild, moderate and severe fluorosis, had 4 times more chances to develop caries than those who did not have fluorosis. There was no significant association between childrens caries status and use of paste, brushing habit, miswak, and visit to the dentist. The use of pastries and juices had a direct relation with the childrens dental caries status.Dental caries in children of Quetta is not so much frequent as compared to the fluoride deficient countries. However, the high prevalence of moderate dental fluorosis and consumption of pastries and juices resulted in dental caries.


Kasi M.A.,Bolan Medical College Quetta
Medical Forum Monthly | Year: 2015

Objective: To determine the accuracy of High Resolution Computed Tomography in the evaluation of Diffuse interstitial lung disease. Study Design: Descriptive study. Place and Duration of Study: This study was conducted in the Department of Diagnostic Radiology, Pakistan Institute of Medical Sciences, Islamabad during the year June 2008 to December 2008. Materials and Methods: 30 patients were selected from OPD and Emergency department with history, clinical signs and plain chest radiograph suggestive of diffuse lung disease. Multi-slice high resolution spiral CT scanner "Asteion VR" (Toshiba) was used to conduct the study with High Resolution Computed Tomography (HRCT) protocol used in the evaluation of diffuse lung disease. Results: The 30 patients included in this study comprised of 15 male and 15 females with a male to female ratio of 1:1. The mean age of patients was 50.33 years. Cough was present in 100% of patients, dyspnea (83%), hemoptysis (17%), body aches (43%), joint pains (13%), and occupational exposure (23%). Different clinical signs were wheezing (70%), coarse crepitation's (47%) and clubbing (7%). In this study of all 30 patients (n=30) sarcoidiosis was (23%), pneumoconiosis (27%), idiopatfiic pulmonary fibrosis (20%), extrinsic allergic alveolitis (7%), lymphangitic carcinomatosa (10%) and systemic sclerosis (3%). Normal or non-diagnostic chest X-rays were seen in 20% patients which were then diagnosed by HRCT. The inter observer agreement on chest X-rays was found to be around 27% and that of HRCT is 52%. Conclusion: HRCT is the diagnostic tool of choice in the diagnosis of diffuse interstitial lung disease.


Memon Q.-U.-N.,University of Hyderabad | Alizai K.A.,Bolan Medical College Quetta
Medical Forum Monthly | Year: 2013

Objectives: This was a cross sectional study aimed to assess differences in tooth size ratio between male and female patients reporting to OPD of orthodontic department L.U.M.H.SHyderabad/ Jamshoro. Study Design: Cross sectional study. Place and Duration of Study: This study was conducted at the Dental OPD of Orthodontic Department,Liaquat University of Medical & Health Sciences, Hyderabad/ Jamshoro. Materials Methods: The study was carried out on 100 (50 male, 50 female) study casts. Criteria for selection of the study casts were pretreatment orthodontic casts with neutral occlusion (Angle Class I) and fully erupted permanent teeth with no dental anomalies. The individual mesiodistal tooth size was measured with a Boley's gauge. The mean and standard deviation were calculated for the size of the teeth and the interarch tooth width ratios both anterior and overall. Results: The ratios for the tooth size were compared to the original Bolton ratio. The overall ratio was found to be 91.42 almost equivalent to the original Bolton ratio of 91.3, whereas the anterior ratio was found to be 79.02, higher than the 77.1 as calculated by Bolton. The mean values for the overall and anterior ratio for the male and female subjects determined which were not statistically significant. Standard deviations for overall & anterior ratio were larger than the Boltons' value. Conclusion: There were no significant differences between the mean overall and anterior tooth width ratio of males and females. Even though the values are not significantly high, a careful analysis of interarch tooth size relationship (Bolton's ratio) should be added along with other diagnostic considerations before initiating orthodontic treatment for better finishing and stability.

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