A 28-year old male residing in the Mediterranean region who had chronic pancreatitis and diabetes is presented. This is a case of chronic calcific non-alcoholic pancreatitis with characteristic intrad ... Read More
Tuberculosis (TB) is major health problem in worldwide. TB is mainly causes by Mycobacterium tuberculosis and its transmitted via airborne particles. TB most commonly involves the lung. The infections ... Read More
Villous adenomas are commonly mentioned as gastrointestinal tract pathological lesions but they are rarely presented as urinary bladder tumors. Scattered cases were published in the literature as case ... Read More
The Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH) is a rare cause of primary amenorrhea due to uterovaginal agenesis. Vaginoplasty using sigmoid graft for neovaginal is an option which offers adequat ... Read More
We present two cases of endocarditis where intervention are critical for better outcome of surgical intervention was deemed necessary to endocarditis cases complicated by heart failure correct worse ... Read More
We describe the unusual case of an arrow of 17cm length foreign body, penetrating the parotid gland to maxillary bone reaching the tip of nose and avoided all potential complications. The fibre glass ... Read More
Objective: To assess whether the use of pre- Results: Post Test Assessment score was 20- course formative assessment materials leads to 25% higher in group A as compared to group B. an improvement i ... Read More
Objectives: To determine knowledge, attitude and practice of medical students and interns towards research, to identify factors affecting research knowledge and to improve research knowledge among a g ... Read More
Objective:To compare long and short corners in were direct goals. Except side of poll, goals field hockey and to investigate the successful and scored, positions, shots, ball travel, number of unsuc ... Read More
Objective: To assess sanitation practices among 20% feared loss of job, 6.7% were not allowed by food handlers working in street restaurants of employer. Only 78% of the food handlers had Satellite ... Read More
Objective: To determine the knowledge and analyze the data. perception of parents/guardians about BCG Results: 98% children were BCG vaccinated and vaccination of children and to find the status of ... Read More
Objective:To determine theimmunization (29%) at Divisional Headquarters Hospital, coverage of individual vaccine according to WHO Faisalabad, Pakistan. Fifty eight percent were expanded programme on ... Read More
Objective: To determine the safety of vaginal delivery in cardiac pregnant women as compared to lower segment cesarean section. Methods: A case-control study was conducted in Departments of Obstetric ... Read More
Objective: to assess maternal and fetal outcomes in Jordanian women with known Diabetes Mellitus or Gestational Diabetes. Methods: retrospective medical record conducted on 234 pregnant women who w ... Read More
Objective: To determine the efficacy of B-lynch above 80% in booked and unbooked cases, suture in the management of massive PPH. respectively while in referral cases this was 50%. Methodology: This ... Read More
Objective: To determine the clinical significance noted during surgery. Outcome variables included of uterine scar tenderness in predicting strength of thinned out lower segment, scar dehiscence and ... Read More
Objective:To evaluate the cause of chronic pelvic years. Most of these women were married pain in women with diagnostic laparoscopy. (90.47%) and nulliparous (50.79%).On Methodology:This Prospective ... Read More
Objective: Objective of the study was to age, age of menopause, years since menopause, determine association of lactation done during parity, body mass index and socioeconomic reproductive years of ... Read More
Objective: To notify the causes of cancellations of daily elective listed operations of thoracic division at our medical institute. Methods: This is a retrospective study included 491 patients, of bo ... Read More
Objective: To determine the prevalence of the flat Prevalence of flexible flat foot was ten times more foot in 6-10 years old school going children. than rigid flat foot having a ratio of 9:1. All ri ... Read More
Objective: To evaluate and compare the dressing. We compared the site of wound on tibia, effectiveness of Vacuum Assisted Wound Closure and the rate of wound healing. Data analysis was (VAC) as agai ... Read More
Objective: Comparison was done between the post operative analgesia provided by caudal Ketorolac versus Caudal Lignocaine after perineal surgeries like haemorrhoidectomy, anal fissurectomy, anal fistu ... Read More
OBJECTIVE: To compare the effectiveness of topical versus oral Diclofenac in treatment of cyclical and non-cyclical mastalgia. DESIGN: A prospective, parallel group, double blind, randomized clinical ... Read More
Objectives:To evaluate the demographic, became voluntarily continent for bowel and neurological and functional characteristics and bladder at discharge and the other four were course of recovery of ... Read More
Objective: To investigate the epidemiologic risk with gallstones. A significant inverse (p<0.05) factors and role of diet as a risk factor for gallstone association with vegetables, meat, and pulses ... Read More
Objective: The randomized controlled trial was conducted to compare the effectiveness of Spinal manual Therapy (SMT) with general spinal exercises (GSE) in patients with non specific Acute Low Back Pa ... Read More
Objective: To assess the accuracy of Results:Results of 182 males and 62 females Accutrend GCT meter in determining blood with mean age of 38.54±15.25 years were cholesterol levels in our setup. ana ... Read More
Objective: To evaluate the endoscopic findings in associated active chronic gastritis was the children to help identify the diverse causes of commonest histopathological finding seen in 10 chronic a ... Read More
Background and Purpose: Dyslipidemia is established risk factor for stroke. Previously published data suggests that higher cholesterol levels and lower HDL levels are associated with poor outcomes. Th ... Read More
Background: Squamous cell carcinoma is the commonest head and neck malignancy which accounts for approximately 20% of the cancer burden in Asian countries. Major risk factors include tobacco smoking t ... Read More
OBJECTIVE: To evaluate the level of understanding about the easy availability of spirogram in the outpatient department (OPD) of tertiary level hospital Peshawar and the growing awareness of spirogram ... Read More
Objective: To assess the role of computerized were done for evaluation of headache. Six tomography scanning of the brain in evaluation of hundred ninety two (48.9%) patients had CT scan patients wit ... Read More
Objective: To observe the response of the final Results: Mean personal score ATDP-A was year physiotherapy students in Rawalpindi and 15.45±10.29. Analysis of professional ATDP-B Islamabad regarding ... Read More
Objectives: To determine the frequency of hepatitis C virus infection in children with β- thalassemia major at Military Hospital Rawalpindi. Study design: Descriptive – cross sectional study Place ... Read More
Pakistan has a population of 180 million and around 30% of the population has no access to medical facilities.1 Negligible proportion (~2%) of Gross Domestic Product (GDP) is allocated to health.2 The ... Read More
A patient of silver Russell syndrome with age of 4 year was treated with combination of motor learning (included performance, retention, generalizability, resistance to contextual changes and feedback ... Read More
Wandering spleen is a rare clinical entity characterized by abnormal spleen position due to its long vascular pedicle. Congenital maldevelopment and acquired laxity of the splenic’s ligaments due to ... Read More
Traumatic Knee dislocation is very uncommon in children and mostly seen in adults after skeletal maturity. The incidence of knee dislocations is probably underreported because 20% patient knee disloca ... Read More
primary sigmoid tumor with distant We are reporting a case of a 65 year old male who nasopharyngeal metastasis. (Rawal Med J was being treated as a case of primary 2013;38: 317-318). nasopharyngea ... Read More
The most common cause of primary hyperparathyroidism is parathyroid adenoma. Up to 20% of parathyroid ademomas has been reported to be in ectopic localization. Ectopic parathyroid glands can also bec ... Read More
Oncocytic carcinoma is a rare proliferation of cytomorphologically malignant oncocytes mainly found in the glandular tissue. Only a few cases of oncocytic carcinoma of the salivary gland origin have b ... Read More
Congenital vallecular cyst is a rare cause of congenital stridor. It is benign and usually present at the lingual surface of the epiglottis. Early and timely intervention could prevent fatal complicat ... Read More
Radiotherapy remains as the mainstay treatment of head and neck carcinoma, including nasopharyngeal carcinoma (NPC). However, despite being the organ preservation treatment, it still carries a lot of ... Read More
Objective: To categorize the trends of carrier choice for both men and women. The clinical choice in physical therapy students and to preferences Musculoskeletal / Manual Therapy determine the clini ... Read More
Objective: To explore the clinical practice pattern students expressed an interest in morning in final year Physical Therapy Students of practice. Of the total, 32.5% of respondents rated Pakistan i ... Read More
Objective: To determine patient satisfaction with and 118 (57%) females were included in this the Surgical and Orthopedic Outpatient study. Consultation time scored maximum with a Department of Dow ... Read More
Objective: To report our experience with recurrent hernias. In 20% of the patients, the laparoscopic total extra-peritoneal (TEP) inguinal procedure was performed as a day case surgery. herniorrhaph ... Read More
Objective: To determine the sensitivity and was 0.69 (range 0.54-0.75, SD ± 0.104). RAS had specificity of clinical and radiological assessment shown specificity and sensitivity of 89.4% and of aden ... Read More
Objective: To show the effectiveness of the case, no intra or post-operative complications or endoscopic cauterization of the sphenopalatine sequel were recorded in intracranial, intraorbital, arter ... Read More
Objective: To evaluate the affect of raised BMI on section was done in 31.25% cases, whereas pregnancy outcome in terms of prolonged among non-obese ladies, these percentages pregnancy, need for ind ... Read More
Objective: To determine efficacy of Kegel and postural correction exercises and 40% to the exercises on control of lower back pain in patients back strengthening and postural exercises. of Cystocele ... Read More
Objective: evaluation of direct and indirect causes of maternal deaths in a tertiary care hospital. Materials and methods: All maternal deaths of woman aged 15-45 that occurred during a one year peri ... Read More
Objectives: To determine the accuracy of "Risk of gold standard. Malignancy Index" (RMI) in pre-operative Results: RMI was found to be have sensitivity of diagnosis of ovarian malignancy in post- 91 ... Read More
Objective: To determine the effectiveness of interviews before the implementation of home home modification on quality of life on spinal cord modifications and after two months. injury in wheel chai ... Read More
Objective: To find out effectiveness of segmental traction as compared to mechanical traction. Methodology: This randomized control trial (RCT) was completed at the Department of Physiotherapy Sheikh ... Read More
Objective: To determine effectiveness of postural given two sessions per day. Follow up sessions for correction along with core stabilization exercises 40% were conducted in a hospital on the other ... Read More
Objective: To determine the frequency of low pain. 122 out of 173 (70.5%) patients belonged to back pain in forward bend sitting posture, forward bending posture. The working hour during association ... Read More
Objectives/Aims: To determine the challenges General Practitioners (GPs) face in management of patients with Tuberculosis (TB) Method: Focus group discussions with 12 GPs Setting: The study was carr ... Read More
OBJECTIVE: This study was conducted to determine the sensitivity pattern of P. aeroginosa against floroquinolones antibiotics. MATERIAL AND METHODS: This descriptive study was carried out at Microbio ... Read More
Objective: To compare APACHE IV and APACHE mortality rate sensitivity and specificity were II scoring methods for patients admitted in an ICU 94.73% and 93.74% respectively, SMR of 0.94 with ALI and ... Read More
Objective: To assess the prevalence of and breathlessness 46%, tightness of chest 22% byssinosis in Karachi cotton mills. and chest pain 10%. Methodology: One hundred and thirty workers Prevalence o ... Read More
Objective: To determine the frequency of Needle venipuncture. For discard of used needles, 49.7% Stick Injury (NSI) among doctors working at a recapped and threw, 41.3% bend and threw and tertiary c ... Read More
Objective: To determine the effects of version 12.1. Plasmodium vivax infection on blood counts and Results: Anemia was seen in 22.15%, the impact of splenomegaly on these results. neutropenia in 23 ... Read More
Objective: To study the etiology, outcome and Encephalopathy grade 3 was most common in 30 risk factors for Fulminant Hepatic Failure (FHF) in (37.50%), and grade 2 in 25 (31.25%). Forty five childr ... Read More
Background: Coagulation abnormalities in patients with liver cirrhosis were occurred from impairments in the clotting and fibrinolytic systems, as well as from reduced number and function of platelets ... Read More
Objectives: To observe the change in peak the protocol of the investigation. st expiratory flow rate in 1 year to final year medical Results: The PEFR values in male students was students. found to ... Read More
With modernization of medical sciences, a concept of minimal access surgery was conceived. After very acceptable results of gallbladder surgery, the technique was extended to other organs and surgerie ... Read More
This case report highlight an incidence where a 3 year old child presented with post extubation stridor due to a piece of fractured suction tube in tracheobronchial tree which was totally missed from ... Read More
Fungal infections of the paranasal sinus are increasingly recognized entity both in normal and immunocompromised individuals. Aspergillosis and Mucormycosis being the commonest of all the fungal infec ... Read More
A 46 year old gentleman had involved in a motor vehicle accident and sustained intracranial bleeding with multiple facial bone and cervical spine fracture. Tracheostomy was done due to poor GCS improv ... Read More
Subdural empyema is a life-threatening complication of paranasal sinusitis, otitis media, or mastoiditis . It usually happens in children and young adult but rare in older persons. Typicallly they wil ... Read More
We present a case of a 34-years old man with underlying mental retardation who presented with incarcerated esophageal foreign body. The patient was referred to a tertiary center in which rigid esophag ... Read More
Teratomas are commonly seen in the Ovary, Testes and Sacrococcygeal area. Gastric teratoma is an extremely rare tumor in paediatric age group. We report a case of gastric teratoma in six years old fem ... Read More
Horner syndrome is characterized by ptosis ,miosis and anhidrosis.We describe a case of Horner Syndrome as a possible but rare complication of internal jugular vein catheterization. ... Read More
Bell's palsy is a common, idiopathic, lower motor neuron paralysis of the facial nerve. Multiple recurrent episodes, however, are rare. Most recurrent facial palsies are usually attributable to specif ... Read More
This perspective article highlights the importance and relevance of Matzinger’s danger model in understanding, investigating and designing new therapies for autoimmune disorders. The take home messa ... Read More
Objective: There is different learning style of students which represents the common method used for learning. The purpose of the study was to find out the frequency of different learning style in stu ... Read More
Background: Lead is the most common heavy metal toxin which induces oxidative stress by generating reactive oxygen species (ROS). Red blood cells and hepatocytes are more vulnerable to this oxidative ... Read More
Objective: Tracheal stenosis is a common complication following intubation and tracheostomy. The objective of this series was to evaluate the aetiology, perioperative management and outcome of surgery ... Read More
Chronic suppurative otitis media (CSOM) is a long standing infection of the middle ear cleft, characterized by discharging ear and permanent perforation. CSOM is one of the most common disease in our ... Read More
This prospective descriptive study was carried out to assess the success rate of trans-abdominal repair of vesico-Vaginal fistula.This study was conducted in the department of surgery, gynaecology and ... Read More
Background: The risk of gestational diabetes mellitus is said to be higher if the expecting mother is overweight. We conducted this study to compare the frequency of gestational diabetes mellitus in s ... Read More
Introduction: Fournier’s gangrene (FG) is the necrotizing fasciitis of the perineum and genital area with high mortality. This condition is more commonly seen in patients with uncontrolled diabetes ... Read More
Objective: To evaluate functional and radiological outcome of close reduction and Percutaneous pinning and plaster for fractures of distal radius. Study design: Descriptive case series Place &Durati ... Read More
Background: A large number of patients with pancreatic cancer present late in the course of their disease when it is already beyond surgical cure. Palliation of the distressing symptoms like obstructi ... Read More
Background: Multiple scoring systems have been developed in order to identify patients who need emergency appendicectomy and those who are unlikely to have acute appendicitis.RIPASA and Alvarado scori ... Read More
Objective: To study the clinical indication and had the gynecological problems, of these 2280 common pathologies identified on specimen, and patients, 820 (35.96%) required surgery. Two complication ... Read More
Objective: To evaluate the effect of type of anesthesia for cesarean section on postoperative cesarean section pain in Tawam Hospital. Methodology A retrospective study of 100 consecutive women unde ... Read More
Objective: To assess the quality of life and its applying WHO QOL BREF (Quality of life WHO relationship with sociodemographic variables Scale) Urdu version. The data were analyzed among physically ... Read More
Objective: To compare the efficacy of three rate we followed these patients up to two and four different treatments for pediculosis capitis. weeks after completing their treatment. Absence Methodolo ... Read More
Objective: Objective: Objective: Objective: To evaluate oral Ivermectin as a therapeutic agent to ordinary scabies. Methodology: Methodology: Methodology: Methodology: Random sample of 50 cases of ... Read More
Objective: to compare the efficacy of three different modalities treatments for scabies. Methods: a prospective study was carried out at Dermatology clinic at Jordanian military field hospital in Gaz ... Read More
Objective: To investigate and compare the efficacy of thioridazine with clonidine acting through different mechanisms in patients with Acute opioid Abstinence Syndrome. Methodology: Single blind comp ... Read More
Background: The cardiac related signs and symptoms like chest pain, arrhythmias originate diagnostic uncertainty which can lead to many unnecessary admissions. Screenings of people who are at high ri ... Read More
Objectives: To perform an audit of quality of referrals for Electrodiagnosis (EDX)/Nerve conduction studies and Electromyography (NCS/EMG) to a tertiary care rehabilitation center. Methods: A detaile ... Read More
Objective: To find the reasons for delay in seeking medical-care among patients with Myocardial Infarction symptoms. Method: Participants of this cross-sectional descriptive study consisted of 150 pa ... Read More
Objectives: The aim of the present study was to investigate the effects of captopril vs amlodipine on blood pressure, BMI, serum glucose concentration and lipid profile in a number of overweight and o ... Read More
Objective: To study the association of selected established anthropometric indices of obesity viz body mass index (BMI), Waist circumference (WC) and waist-hip ratio (WHR) with diabetes, Hypertension ... Read More
Objective: To determine the frequency of microalbuminuria in patients with ischemic stroke. Study Design: Cross-sectional study. Study Duration: Six months, from 1st April 2009 to 30th September 200 ... Read More
Objective: The aim of the study was to explore the prevalence of peripheral neuropathy (PN) among patients with Diabetes Mellitus (DM) at King Hussein hospital. Methods: This study was done at King H ... Read More
Idiopathic granulomatous mastitis (IGM) is a relatively uncommon benign inflammatory condition of female breast mimicking other chronic inflammatory conditions and even carcinoma breast. Since its fir ... Read More
Undifferentiated carcinoma of the temporal bone is an extremely rare disease, and has always been associated with metastatic disease from other sites. This is a case report of a 70-year-old gentleman ... Read More
A 21 years old female presented to us as a solitary swelling of the thyroid gland. On history, all the symptoms of hyperthyroidism were present but clinically & biochemically she was euthyroid. After ... Read More
The author reported a nasal tuberculosis case. The literatures report that nasal tuberculosis is a rare presentation of extra pulmonary TB. The author described how nasal TB can mimic other granulomat ... Read More
Bilateral synchronous tonsillar carcinoma is very rare. There are very few cases reported in English Literature to the knowledge of the authors. A 60 year old man was diagnosed to have bilateral tonsi ... Read More
The co-existence of atherosclerotic changes in renal vasculature in patients of peripheral arterial disease in well-known. We aimed at finding out the prevalence of incidental atherosclerotic renal ar ... Read More
This paper presents the design and implementation of a prototype drug delivery device for application in endoscopic capsules. Traditional endoscopic and colonoscopic techniques are unable to access th ... Read More
OBJECTIVE: To determine the frequency of anemia and need for blood transfusion among 100 patients of placental abruption. DESIGN: Prospective and Observational case Study. SETTING & DURATION: De ... Read More
It was a cross-sectional study conducted in different public and private sector hospitals of Rawalpindi during 2008. A pre-tested structured questionnaire was used to interview the 288 mothers selecte ... Read More
Objectives: To see the diagnostic accuracy of needle localization biopsy in the management of non-palpable breast lesions. Materials & Methods: This study was conducted over period of 1 & half year a ... Read More
Objective: To evaluate the efficacy of pentaglobulin in reducing the rate of exchange transfusion among neonates with immune hemolytic anaemia. Method: An observational prospective study that was con ... Read More
Objective: To determine the frequency of secretary otitis media (OME) in the region of twin city and to determine variations related to gender, environment and socioeconomic status. Design: Compara ... Read More
Objective: To determine the frequency of causes, types, laterality, need for hospital admission and frequency and success rate of treatment modalities of epistaxis. Materials and Methods: This study ... Read More
Objective The objective of this cross-sectional study was to evaluate the usefulness and efficacy of intravenous urogram in patients with urinary tract pathology detected on ultrasound and X-ray KUB. ... Read More
Summary :This descriptive, prospective study was conducted to evaluate the role of Laparoscopy in the diagnosis and management of blunt abdominal trauma.This study was conducted in the department of s ... Read More
Objective: To determine the efficacy of rib cage mobilization on lung function in COPD patients Study Design: A randomized control trial Place and Duration of Study: Department of Physical Therapy a ... Read More
Objective: Typhoid fever, also known as enteric fever, is a potentially fatal multisystemic illness caused primarily by Salmonella typhi. Haematological parameters are significantly affected by typhoi ... Read More
Background: Fulminant variants of multiple sclerosis (MS) are usually monophasic illnesses that lead to rapid and continuous progression of disabilities. Very high mortality and morbidity has been re ... Read More
Aim: This study was aimed to assess lipid and glycemic control in Saudi diabetic patients & to compare it between male and female diabetics. Methods: This cross sectional study was conducted at depar ... Read More
Objective: The aim of the study was to evaluate the efficacy of esophageal guide wire dilatation in stricture to surgical treatment of esophageal atresia and its outcome. Patients and Methods This p ... Read More
Objective To determine the frequency of Hepatitis B & C in patients undergoing elective eye surgery. Methods This cross sectional hospital based study was conducted at Eye Department, Combined Mili ... Read More
OBJECTIVES: to study the frequency and clinical presentations of hepatitis B and C virus co-infection in tertiary care hospital. MATERIAL AND METHODS: This descriptive case series study was conducted ... Read More
Objectives: To assess awareness of high risk health care workers about being at risk for contracting hepatitis B and importance of vaccination for them and to determine frequency of effectively vaccin ... Read More
Pakistan is one of the six countries which together contribute to 50% of global maternal deaths. In Pakistan, the maternal mortality ratio was 276 per 100,000 live births in 2006-7 with annual estimat ... Read More