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Peshāwar, Pakistan

Shahab F.,Lady Reading Hospital | Ali M.A.,Khyber Medical College | Hussain H.,Khyber Medical College
Journal of Postgraduate Medical Institute | Year: 2013

Objectives: To find the involvement in research amongst students of Khyber Medical College and to identify reasons for not doing research. Methodology: A cross-sectional study was performed in which medical students (n=160) from different years of study were asked to fill a questionnaire. Stratified random sampling was done as 20 male students and 20 female students from each year answered the 10-question. Total positive score was calculated. Results: One-hundred and sixty students completed the survey. There were equal male and female respondents (80 each). The students were from 2nd, 3rd, 4th and final year. Among the respondents, only fifteen (9%) were involved in a research project; one hundred and thirty students (81.2%) believed that research is easy if proper guidance is given. One hundred and one students (63%) thought that research could enhance understanding of the subject. Most students disagreed with the idea that research could only be done by intelligent students (139, 86.8%). One hundred and forty students (87.5%) replied that they are interested in doing research, provided proper guidance is given. Conclusion: In this study, we found out that very few students of Khyber Medical College are involved in research. Lack of awareness regarding importance of research and lack of guidance for undertaking research were identified as main barriers for doing research. The concerned authorities need to take steps to encourage students and should involve teachers to streamline the process. Source

Malik N.N.,Lady Reading Hospital
Journal of Postgraduate Medical Institute | Year: 2014

Objective: To determine the frequency of common maternal complications in third trimester of twin pregnancy.Methodology: It was hospital based Cross-Sectional study, descriptive study conducted at the department of Obstetrics & Gynaecology, Postgraduate Medical Institute, Lady Reading Hospital Peshawar from October 2010 to April 2011.Data was collected by non-probability convenience sampling technique.A total of 106 admitted patients with twin pregnancies (confirmed by ultrasonography) were enrolled in the study. Demographic data collected and patients were followed up till delivery to determine complications of twin pregnancies.Results: Mean age of the sample was 28.76+4.616 years. Mean period of gestation at the presentation was 35 + 2.86. Most patients presented with gravida 2 and para 1. Of the 106 patients with twin pregnancy 21 (19.8%) had no complications.60 patients (56.6%) presented with anemia, 34 patients (32.1%) had preterm labour and 21 (19.8%) patients suffered from pregnancy induced hypertension. The least common maternal complication was premature rupture of membranes (PROM) which occurred in 12 patients making11.3% of the study population.Conclusion: Twin pregnancy carries high risk of maternal complications like anemia, preterm labour and pregnancy induced hypertension and highlights the need for early recognition and interventions by experienced health professionals. © 2014, Postgraduate Medical Institute. All rights reserved. Source

Hussain S.S.,Lady Reading Hospital
Journal of Postgraduate Medical Institute | Year: 2014

A 26 years old unbooked lady, G6P5, presented to labour room of Department of Obstetrics and Gynaecology, Lady Reading Hospital Peshawar with 31 weeks pregnancy and preterm labor. Patient was pale looking with BMI of 20kg/m2. Her blood pressure, pulse rate, temperature and respiratory rate were normal, systemic examination revealed normal findings, Symphysiofundal height was 36cm, baby was lying longitudinally, cephalic, liquor was increased and fetal heart were not audible. She had not done any blood or urine investigations throughout her pregnancy, the only time she visited a doctor was for an ultrasound which showed that baby is having meningocele. She delivered a dead baby of 2kg with meningocele, Delivery of baby was followed by delivery of a large, ovoid firm mass with lobulated smooth surface, the time interval between delivery of baby and mass was 4 minutes, five minutes later placenta was delivered. On examination placenta was complete. The other mass was grayish brown, nodular measuring 16×12×10cm. Its cut surfaces showed grayish white and grayish brown multiloculated areas. Microscopic examination showed multiple fragments of necrotic poorly fixed tumor having morphology of an immature (malignant) Teratoma. Prominent immature neoplastic neuroepithelial elements with true and pseudorossette formation were seen mixed with other mature and immature ectodermal and mesodermal origin tissue. No placental tissue was seen. It was grade III immature malignant placental teratoma. The major differential diagnosis is fetus acardius amorphus. This reported case is first of its kind, till date all previously reported cases were of benign mature placental teratoma. Source

Qazi G.,Lady Reading Hospital
Journal of Postgraduate Medical Institute | Year: 2011

Objective: To determine the obstetric characteristics and complications of teenage pregnancy. Methodology: This cross-sectional comparative study was conducted at Gynae 'A' unit, Lady Reading Hospital Peshawar from January to December 2009. The analysis included data on 61 singleton adolescent women with ≥ 24 completed weeks gestation and were compared with 367 women in their twenties, after taking informed consent. The data was retrieved after interviewing the women and also from the hospitalbased maternal health medical records including demographic details, complications of pregnancy, and maternal and neonatal outcomes. Information was recorded for all the cases on structured proforma. Results: This data showed that adolescent pregnancies were at increased risk of operative vaginal delivery (14.7% vs 20% [p <0.05]) and perinatal mortality of 18%(5 stillbirths and 6 early neonatal deaths) particularly hypertensive diseases of pregnancy (31.2 vs 8.1% [p<0.05]), placental abnormalities(13.1 vs 6.8 [p<0.05]) and anaemia (41 vs 15 [p<0.05]). On the other hand it was observed that adolescent pregnancy was associated with lower risks of cesarean delivery and macrosomia and preterm delivery ([p>0.05]). Further adjustment for weight gain during pregnancy and Apgar score at 5 min did not change the observed association. Conclusions: These results suggest that teenage pregnancies were at increased risks for adverse pregnancy outcomes particularly hypertensive diseases of pregnancy, placental abnormalities and anaemia compared to adult pregnancy. Source

Iqbal A.,Science and Advice for Scottish Agriculture SASA | Ateeq N.,Lady Reading Hospital
Food Chemistry | Year: 2013

Chicken IgY was used for the detection and quantification of peanut proteins by indirect competitive ELISA. The method was optimized by using a checker board approach to determine the optimal concentration of coating antigen, primary antibody and secondary antibody. Peanut protein could be detected in foods down to levels of 10 ppm. The effect of physical (heat treatment at 80 °C and 100 °C) and chemical (acid, alkali and reducing sugar) treatments on the IgY binding of peanut proteins was investigated. The optimized assay was relatively sensitive for the roasted peanut proteins. However, the binding ability of chicken IgYs to peanut proteins was found to be significantly altered by denaturation and hydrolysis of proteins. It was also observed that the effect of Millard chemistry on the detectability of peanut protein was less pronounced at high temperatures than at low temperatures. © 2013 Elsevier Ltd. All rights reserved. Source

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