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Chak Āzam Saffo, Pakistan

Ramzan M.,B.V.Hospital | Sheikh A.H.,B.V.Hospital | Qureshi M.A.,B.V.Hospital | Zubair M.,B.V.Hospital | Majid F.,Quaid i Azam Medical College
Pakistan Journal of Medical Sciences

Objective: To compare the efficacy and complications of single incision trans scrotal versus standard inguinal orchidopexy in children with palpable undescended testes. Methodology: This randomized controlled trial was conducted at the Paediatric Surgery Department Bahawal Victoria Hospital Bahawalpur from April 2007 to April 2010. Children aged 9 months to 12 years, diagnosed as cases of palpable undescended testes were randomized into two groups. In group A orchidopexy was performed through single scrotal incision and in group B by standard two incision inguinal approach. The groups were compared for operative time, hospital stay, scrotal hematoma, wound infection, and secondary ascent. Results: Each group had 134 cases. Mean operative time and hospital stay in group A and B were 28.32±0.92 minutes and 47.83±0.76 minutes (p value 0.0001) and 1.027±0.205 days and 3.023±0.203 days (p value 0.0001) respectively. There was no significant difference in the formation of scrotal haematoma, wound infection and secondary ascent of testis between the two groups. The conversion rate of surgery in group A was 7.46%. Conclusion: Trans scrotal orchidopexy is the simple, effective and less invasive technique as compared to the standard two incision inguinal approach. Source

Malik A.S.,Quaid i Azam Medical College | Khan M.I.,Bahawal Victoria Hospital
Pakistan Journal of Medical Sciences

Objective: To assess the demographic profiles of community-acquired pneumonia. Methodology: A cross sectional study was carried out for one year, recruiting 160 hospitalized community-acquired pneumonia (CAP) patients, selected by non-probability convenience sampling method. Demographic variables such as age, gender, education, marital status, residential and socio-economic status were inquired into along with Haemoglobin estimation, Diabetes, Hypertension and Ischaemic heart disease by Pre-designed Questionnaire Performa. Data collected was analyzed by SPSS-14. Results: Out of 160 patients, majority respondents 88 (55%) were males (P < 0.05), while 90 (56.25%) had rural residents predominance (P < 0.05). It revealed 140 (87.5%) respondents were married (P < 0.05), while 18 (11.25%) were < 20 years, 68 (42.5%) were between 20-40 years, 58 (36.25%) from 41-60 years and 16 (10%) were > 60 years of age. There were 110 (68.75%) illiterates from lower socio-economic class. Haemoglobin level was 8-10 gm/dl among majority 80 (50%), and 34 (21.75%) were Diabetics. Conclusion: CAP is frequent among males, rural residents, illiterate, anaemic, diabetics and lower socio-economic married patients from 20-40 years of age. Source

Malik A.S.,Quaid i Azam Medical College | Shahid K.A.,Quaid i Azam Medical College | Batool S.,CMH
Pakistan Journal of Medical and Health Sciences

Objective: The objective of this study was to assess the demographic frequency distribution of bilateral female tube sterilization acceptors clients. Methodology: A cross sectional study was conducted selecting 613 married voluntary female clients from 20-45 years of age by non-probability convenience sampling technique at family planning and reproductive health centre, Bahawal Victoria Hospital Bahawalpur for the period of 1 year from July1, 2009 to June 30, 2010. Face to face interview was conducted after informed consent with the help of a pre-designed Questionnaire Performa. Variables such as residential status, current age of wife and husband, family socio-economic status, educational status of husband, duration of marriage, working status of clients and total alive children born both boys and girls separately were included. The data was collected, condensed and analysed by SPSS-16. Results: Out of 613 clients studied, 518 (84.502%) were from rural area, 95 (15.497%) from urban area, 609 (99.347%) from 21 to 40 years of age and 4 (0.652%) above 40 years of age. There were 508 (82.871%) husbands from 21 to 40 years but 105 (17.128%) more than 40 years of age. There were 568(92.659%) from lower class, 610(99.510%) were housewives and 540 (88.091%) illiterate. Education of husband revealed 454 (74.061%) illiterate. There were 316 (51.549%) clients married for <10 yeas, 290 (47.308%) from 11-20 years and 7 (1.141%) from 21- 30 years. Total full term live births revealed 298 (48.613%) clients with less than 5 while 313 (51.06%) with 6-10 and 2 (0.326%) clients with more than 10 births. Conclusion: Frequency of female tube sterilization was demographically more common among clients from educated husbands, rural area residents, poor socio-economics and illiterate housewives with high parity, from 21-40 years of age and daughters production. Source

Ahmad A.,Quaid i Azam Medical College | Qaisar I.,Quaid i Azam Medical College | Naeem M.,Quaid i Azam Medical College | Mazhar A.U.,Quaid i Azam Medical College | Ashfaq M.,National Institute of Child Health NICH
Journal of the College of Physicians and Surgeons Pakistan

Objective: To determine the outcome of tetanus in neonates treated with intrathecal tetanus immunoglobulin in terms of mortality and hospital stay. Study Design: Experimental study. Place and Duration of Study: Paediatric Unit I, Bahawal Victoria Hospital, Bahawalpur, from April 2004 to December 2007. Methodology: Seventy neonates with diagnosis of neonatal tetanus were included in the study. The neonates with fits due to causes other than tetanus were excluded. Thirty five patients received intrathecal immunoglobulin in addition to standard treatment (group A) while, the other 35 patients received only standard treatment (group B). The mortality and duration of hospital stay in 2 groups were recorded. Results: In group A, mean duration of hospital stay was 10 days while, in group B it was 13 days (p < 0.001). One patient from group A and 8 patients from group B expired (p = 0.026). The occurrence of refractory fits, repeated apnoeic episodes and high grade fever did not show any statistically significant difference in the 2 groups. Conclusion: Intrathecal anti-tetanus immunoglobulin in addition to the standard improved the outcome of neonatal tetanus in terms of mortality and hospital stay. Source

Al-Alawneh M.T.,Quaid i Azam Medical College | Khan M.A.,Quaid i Azam Medical College | Sheikh M.S.,Quaid i Azam Medical College | Madni A.B.,Ear
Journal of Taibah University Medical Sciences

Results: The average age of the patients was 10.38 years; 29 cases (85.2%) were in children under 12 years. There were 18 females (52.9%) and 16 males (47.1%). Thirty patients (88%) presented with a history of dysphagia, and 25 (73.6%) had vomiting. The site of impaction was the post-cricoid region in 22 patients (66%), the lower oesophagus in 5 (15%), the mid-oesophagus in 4 (13%), the posterior pharyngeal wall in 1 (3%) and the pyriform fossa in 1 patient (3%). Coins were the most common foreign body (61.8%). Socioeconomic analysis showed that 18 patients (52.9%) were in the low socioeconomic class, 12 (35.3%) in the middle class and 4 (11.8%) in the upper class.Methods: This cross-sectional analytical study was carried out in the Department of Ear, Nose and Throat and head and neck surgery of Bahawal Victoria Hospital affiliated with Quaid-i-Azam Medical College, Bahawalpur, Pakistan, between December 2012 and May 2013. The medical records of 34 consecutive cases of foreign body ingestion were searched, and the data were recorded on a questionnaire prepared for this purpose.Conclusion: The presence of a foreign body in the oesophagus is a serious condition, and early removal is recommended. Foreign body lodgement is commoner among poor families.Objective The aim of the study was to evaluate the management of foreign bodies in the oesophagus and to determine the association with socioeconomic status. © 2014 Taibah University. Production and hosting by Elsevier Ltd. All rights reserved. Source

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