Jinnah Medical College Peshawar

Peshāwar, Pakistan

Jinnah Medical College Peshawar

Peshāwar, Pakistan
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Khan A.A.,Jinnah Medical College Peshawar | Asghar A.S.,Jinnah Medical College Peshawar | Ishaq M.,Jinnah Medical College Peshawar
Medical Forum Monthly | Year: 2016

Objective: The purpose of this study is, firstly, to find the pattern of ear diseases in the community, as no such pattern study is currently available. Secondly, to impart awareness regarding microscopic appearances of the common ear diseases encountered in this pattern study. Study Design: Observational/descriptive study. Place and Duration of Study: This study was conducted at the Surgical Pathology archives of the Laboratory of Charsada Teaching Hospital affiliated with Jinnah Medical College Peshawar from 2010 to 2015. Materials and Methods: In this study, all the cases of ear diseases from surgical pathology archives of the laboratory of Charsada Teaching Hospital were retrieved. All the slides and the diagnoses for the retrieved cases were reviewed by the histopathologist and the final diagnoses were recorded; the disease pattern was determined, keeping in view the number of cases for each diagnostic category and the patient's age. Results: The review of these cases between 2010 and 2015 showed that most of the biopsy specimens were from external ear while few were from the middle ear. The first five commonest conditions constituted almost two thirds of the total number of cases. The congenital anomalies and juvenile xanthogranulomas were most common in the first decade of life. Benign and malignant tumors were uncommon and seen mostly after the third decade of life. Conclusions: Congenital anomalies and inflammation associated diseases are common in the first three decades of life, whereas benign and malignant neoplasms are more common after the third decade of life.


Dilawar S.,Sudan University of Science and Technology | Burki M.F.K.,Jinnah Medical College Peshawar | Jabeen F.,Jinnah Medical College Peshawar | Shah A.,Sudan University of Science and Technology
Medical Forum Monthly | Year: 2017

Objective: The compelling evidence shows that proper Zinc (Zn) nutrition is important for human health. Hence an attempt was made to evaluate the serum Zn levels in different clinical types of psoriatics patients. Study Design: Case-control study. Place and duration of Study: This study was conducted at Bannu University of science and technology with the collaboration of Govt. Sifwat Ghayur Shaheed Memorial Children Hospital Peshawar and National Physical Standard Laboratory PCSIR Islamabad from April 2013 to April 2015. Materials and Methods: 500 psoriatics and 100 normal controls of both genders with an age range 18-60 years were selected for this study. Serum zinc levels were measured with atomic absorption spectrophotometer (AAS). Results: The serum zinc concentration was found to be low in 80% patients. Mean ±SD of serum zinc were 585.50 ±1.70μg/L in psoriatic patients and 770.15±3.32 μg/L in controls respectively. In psoriatic patients serum zinc concentration was significantly lower than that of healthy controls (P<0.001). Conclusion: We may conclude that Zinc deficiency may play a role in the pathogenesis of psoriasis since most patients have low serum Zn level.


Ahmad A.,Jinnah Medical College Peshawar | Samina,Jinnah Medical College Peshawar | Fida R.,Jinnah Medical College Peshawar
Medical Forum Monthly | Year: 2017

Objective: To find the accuracy of ultrasound in the predication of birth weight. Study Design: Cross sectional study. Place and Duration of Study: This study was conducted at the Obstetrics, and Gynecology Department, the Lady Reading Hospital Peshawar and Jinnah Medical College Peshawar from 1.7.2012 to 31.12.2012. Materials and Methods: All singleton pregnancies at term (37-42 weeks) with age group 15 to 45 years, attended OPD were enrolled in the study. Informed consent was taken from those participants who meets the inclusion criteria. After detailed history and clinical examination of all pregnant patients were subjected to standard obstetric ultrasound to predict fetal weight. Ultrasound EFW was obtained of all registered pregnant women's. Had lock reference tables was used for calculating diameter, abdominal circumference and femur length. Birth weight of the neonate was measured with a standard weighing machine to confirm the accuracy of the ultrasound findings. Accuracy of Ultrasound (US) was determined in terms of birth weight of the neonate. The US was considered accurate if the birth weight of the baby lies within ± 200 grams of the estimated fetal weight on US. Results: A total of 159 of women with singleton pregnancies at term (diagnosed by Ultrasound), participated in this study. Mean age of patients was 29.70±5.680 SD years. Mean period of gestation at the presentation was 38 weeks with ±0.887 SD. Fetal weight calculated by ultrasound ranged from 2.50 to 4.30 gram while mean fetal weight was 3.40 gram ±0.401 SD. Actual birth weight ranged from 2.20 to 4.50 gram with mean birth weight of 3.21 ± 0.427 SD. In the study Ultrasound EFW was accurate only in 59 (37.1%) cases i.e. only in 59 cases (37.1%) The estimate weight was ± 200gram of actual weight. while 100 out of 159 estimates (62.9%) were more than ± 200 gram from the actual weight. The over-estimated birth weight was found in 44% (70) by 307grams. Fetal ultrasound underestimated the birth weight in 18.9% (30) of the cases. Fetal ultrasound underestimated the birth weight by 195 grams. The mean error in the estimation of birth weight was 251 grams. Conclusion: A significant error in EFW was found that is 250 grams of actual weight. Therefore depending on only ultrasound for EFW may lead obstetrical interventions.


Asnad,Jinnah Medical College Peshawar | Nasir N.,Jinnah Medical College Peshawar | Ali R.,Jinnah Medical College Peshawar | Ishaq M.,Jinnah Medical College Peshawar
Medical Forum Monthly | Year: 2013

Introduction: The reduction of blood pressure lower than 130/85 mmHg provides additional benefits regarding both protection of organs and cardiovascular mortality. Amlodipine is a calcium channel-blocking agent with vasodilator activity and Ramipril is ACE inhibitor. Objective: the objective of this double-blind, comparative study evaluating the efficacy of Amlodpine 5mg and Ramipril 1.25mg in combination and as monotherapy in adult patient with essential hypertension. Study design. Double-blind, comparative study Place and Duration of Study: This study was conducted in the department of Biochemistry, University of Karachi from February 2011 to July 2011. Materials and Methods: This was multicenter randomized, double-blind, comparative study. Patients were selected from different hospitals of Orangi Town Karachi from February 2011 to July 2011 and study was conducted in the department of Biochemistry, University of Karachi. Patients were randomized to receive Amlodopine (5mg) once daily Ramipril (1.25 mg) once daily for 8 weeks. The analysis of antihypertensive efficacy and biochemical effects of a therapeutic regimen in the long term becomes important. In study patents were randomized to receive amlodipine 5mg once daily, Ramipril 1.25 mg once daily, the combination of amlodipine 5mg with Ramipril 1.25 mg once daily. Results: In the patients treated with combination of Amlodipine 5mg and Ramipril 1.25mg tablets blood pressure reduction was significantly lower, reaching values of 130.4 ± 10.2 / 84.1 ± 7.4 mmHg by the end of eight weeks of treatment Conclusion: The results of this study demonstrated that the combination of amlodipine 5mg with Ramipril 1.25 mg once daily has a high antihypertensive efficacy and showed synergetic effect.


Karim F.,Jinnah Medical College Peshawar | Mehsar A.L.,Jinnah Medical College Peshawar | Bux M.,Jinnah Medical College Peshawar | Ishaq M.,Jinnah Medical College Peshawar | Ahmed I.,Jinnah Medical College Peshawar
Medical Forum Monthly | Year: 2014

Objective: The present study was design to know the biochemical Risk Factors of the upper urinary Tract Stone Disease in the Peoples of Peshawar and Charsadda District. Study Design: Observational Study Place and Duration of Study: This study was carried out at District Head Quarter Teaching Hospital Charsadda & Naseerullah Khan Babar Memorial Teaching Hospital Kohat Road Peshawar from 12th August 2012 to 11th August 2013. Materials and Methods: One hundred subjects who were suffering from upper urinary tract stone disease were included in the study. The evidence of stone in the renal and history of spontaneous passage of stones in the urine were determined regarding Microscopic Examination. Results: The age range of our subject was between 01-60 years. The mean age ± S.D of age of stone former for men was 34.6 ± 8.6 years and for female 30.8 ± 6.7 in N.S.F. Family history of stone disease was found in (16%) of patients. 4% in maternal side and 12% paternal. Conclusion: The Serum Phosphate level was higher in S.F than N.S.F and is a risk factor for Upper Urinary Tract Stone Disease in Peshawar and Charsadda.


Ahmad M.,Jinnah Medical College Peshawar | Fida R.,Jinnah Medical College Peshawar | Khattak N.N.,Jinnah Medical College Peshawar | Akhund I.A.,Jinnah Medical College Peshawar
Medical Forum Monthly | Year: 2013

Study design: Retrospective as well as prospective study. Place and Duration of Study: This study was carried out in the out patients department of DHQ teaching hospital charsadda for the period of nine months between 2010 and 2011. Patients and Methods: Total number of children/infants was fifty. All suspected patients were carefully examined and divided into two groups. Statistically analysis was done by student's "t" table. Results: When results were summed up and test parameters were separated it was seen that the success rate with sample massaging and use of topical antibiotic was 90% at the end of nine months. Five infants improved with single probing. Conclusion: Infantile epiphora due to nasolacrimal duct obstruction generally cured with auto canalization/massaging with topical antibiotics at the age of 5 months. The 2nd thing in this study that we can use topical anesthetic agent instead of exposing the infant to the hazard and the complication of general anesthesia.

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