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Ibnerasa S.N.,Lahore Medical and Dental College
Pakistan Journal of Medical and Health Sciences | Year: 2011

Design: Cross sectional study / Retrospective study Setting: Lahore Medical and Dental College, Lahore, Pakistan Duration of study: 4 years. From cases received in Pathology Department from 2004 - 2008 Main outcome: Morphological spectrum of dental biopsy specimens Results: During the study period, 127 biopsies were performed by Dental Department, and were sent to the Histopathology Departmrnt. The age range of the samples were from 5 - 80 yrs. The mean age of the group was 32.16 yrs. Out of 123 cases, there were 62 (50%) males and 61 (49.6%) females in the study. Maximum number of dental lesions that required biopsy was seen in the second decade 33 (26.8%) followed by third decade 28 (22.8%). Chronic Inflammation was the most common non-neoplastic oral mucosa lesion (38.46%). Hemangioma constituted 46.7% of the benign neoplastic lesion. Squamous cell carcinoma was the most common lesion (94.73%) in malignant group. Amongst cystic lesions, Radicular cyst was seen in 7 out of 18 patients (38.8%) with an age range between 12 - 30 yrs and a mean of 20.85 + 5.58 yrs. Conclusion: This study has provided information about the epidemiologic aspects of oral mucosal lesions that may prove valuable in planning of future oral health studies. Source

Mumtaz Z.,University of Alberta | Salway S.,University of Sheffield | Bhatti A.,Foundation Medicine | Shanner L.,University of Alberta | And 3 more authors.
American Journal of Public Health | Year: 2014

Evidence suggests national- and community-level interventions are not reaching women living at the economic and social margins of society in Pakistan. We conducted a 10-month qualitative study (May 2010-February 2011) in a village in Punjab, Pakistan. Data were collected using 94 in-depth interviews, 11 focus group discussions, 134 observational sessions, and 5 maternal death case studies. Despite awareness of birth complications and treatment options, poverty and dependence on richer, higher-caste people for cash transfers or loans prevented women from accessing required care. There is a need to end the invisibility of low-caste groups in Pakistani health care policy. Technical improvements in maternal health care services should be supported to counter social and economic marginalization so progress can be made toward Millennium Development Goal 5 in Pakistan. Source

Manzoor I.,Lahore Medical and Dental College
Journal of Ayub Medical College, Abbottabad : JAMC | Year: 2010

Needle-stick injury (NSI) is a major occupational health and safety issue faced by healthcare professionals globally. This study was aimed to assess the frequency and factors associated with NSIs in nurses of a tertiary health care facility in Lahore, Pakistan. It also focuses on safety measures adopted by these nurses after a needle stick injury. This cross-sectional descriptive study was conducted in Ghurki Trust Teaching Hospital, Lahore from October 2009 to January 2010. All nurses have participated in the study with a response rate of 99%. These responses were obtained via a pretested self-administered questionnaire. The data was analysed using SPSS-16. Percentages of the categorical variables were computed and represented in various statistical data presentation forms, for analysis and comparison. Chi-square test was applied as a test of significance with fixing the p-value of 0.05 as significant. Out of 77 nurses who participated in our study, only 33 (42%) nurses were aware of the occupational hazards of their profession when they joined nursing. Needle stick injury was reported by 40 (71.9%) of the nurses in last one year. About 17 (31.5%) were injured at the time of recapping the syringe. The availability of needle cutters in the hospital was reported by 75 (97.4%) nurses while only 46 (60%) of them had undertaken a sharp management training course. Approximately 50 (64.9%) nurses failed to use gloves while administering injections. After getting stuck by a contaminated needle 71 (92%) of the nurses cleaned the wound with a spirit swab, 67 (87%) washed the area with soap and water and 58 (75%) applied a readily available bandage. Only 38 (49%) went on to inform the higher officials about a needle stick injury. Fifty-seven (74%) of the nurses were vaccinated against HBV, and 56 (72.2%) of needle stick injured nurses proceeded for HBV screening, while 53 (68.6%) for HCV and 37(48.5%) for HIV. Needle stick injury is the most important occupational health hazard in nurses with alarmingly high rates. Reporting to the concerned authorities, screening of nurses after needle stick injury and promotion of safety measures against it should be greatly encouraged. Source

Asghar J.,Lahore Medical and Dental College | Farooq K.,Lahore Medical and Dental College
Pakistan Journal of Medical and Health Sciences | Year: 2011

Aims & Objectives: To demonstrate various imaging features of DHF and their significance for the early recognition of moderate to severe forms of disease before they become clinically apparent. Methodology: we have included 76 patients out of 500 admitted patients who were known cases of dengue fever and were sent for different radiological investigations including abdominal ultrasound and CT scan abdomen, x-ray chest, CT chest, MRI brain. Study was conducted October 2011 in Doctor Hospital and ghurki trust teaching hospital Lahore. Results: out of 76 patients, 33 were female (43.4%) and 43 were male (56.6%). age range was 14 years to 80 years, mean age was 39 years). Regarding pleural effusion, we have seen that left sided pleural effusion (1.3%) while right sided pleural effusion was seen in (17.1%). Similarly bilateral pleural effusion was noted in (13.2%). Right sided pneumonia was appreciated in (1.3%) while bilateral pneumonia was noted in (3.9%). Ascites was noted in (51.3 %). Gallbladder wall thickness was seen in (36.8%). Hepatomegaly was noted in (35.5%). Splenomegaly in (28.9%). Non-specific gut wall thickening was noted in the small bowel only in one patient (1.3%). Brain hemorrhage was identified in (1.3%). Encephalitis was noted (1.3%), one patient (1.3%) showed diffuse inflammatory changes in the muscles of the neck on MRI. Conclusion: dengue fever management is very critical especially when leaking process start in potential spaces, this stage requires early diagnosis with the help of different imaging modalities. Source

Sadiq F.,Lahore Medical and Dental College | Bhatti S.,Lahore Medical and Dental College
Pakistan Journal of Medical and Health Sciences | Year: 2015

Increased abdominal fat may lead to the development of metabolic syndrome in children and has been strongly associated with insulin resistance. Ghrelin hormone plays an important role in the regulation of food intake and body weight. Ghrelin levels are influenced by body fat and possibly insulin resistance (IR). The aims of this study were to determine fasting ghrelin levels of obese children and to investigate possible correlations between ghrelin hormones with waist circumference and insulin levels. This was a cross sectional study. Eighty obese children ranging from 5 to 18 years of age were recruited from the Pediatric Clinic of Shalamar Hospital, Lahore. Fasting ghrelin levels were negatively correlated with waist circumference, insulin, homeostatic model assessment-insulin resistance (HOMA-IR), and BMI. The results suggest that negative correlation of ghrelin secretion with waist circumference may lead to higher insulin resistance in these children associated with increased abdominal fat accumulation. Source

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