Notes

Mandibular Diversion from unwanted feelings Osteogenesis pertaining to Tongue-Based Throat Impediment Without Micrognathia.
8%), had higher post catheterization N/L ratios at 48 hours (median 5.23 vs. 3.00, p=0.05) and 96 hours (median 4.67 vs. 3.56, p=0.03), with no differences in the immediate pre and post procedural measurements, <6 hours pre catheterization (median 2.49 vs. 2.82, p=0.467) and <12 hours post catheterization (median 5.93 vs. 5.03, p=0.741) respectively.

In conclusion, these findings support an inflammatory aetiology contributing to new onset AF following percutaneous coronary intervention for acute STEMI. Further studies are warranted to elucidate these findings.
In conclusion, these findings support an inflammatory aetiology contributing to new onset AF following percutaneous coronary intervention for acute STEMI. Further studies are warranted to elucidate these findings.
The purpose of this study was to compare lung function of textile workers with healthy Pakistani population, compare predicted values based on the European Respiratory Society (ERS) equations with those based on the Pakistani equations, and to develop predictor equations for textile workers in Pakistan.

This was a secondary analysis of data from two previous surveys where lung function of textile workers was compared with healthy Pakistani men. Spirometry was performed according to the American Thoracic Society guidelines. Independent sample t-test was used to compare the lung function parameters and multivariate linear regression was used to develop predictor equations.

There were significant differences in lung function of textile workers (FVC 4.1 L, FEV1 3.3 L and FEV1/FVC 0.8) compared to healthy Pakistani men (FVC 3.9 L, FEV1 4.1 L and FEV1/FVC 1.04). ERS reference equations tended to under-diagnose abnormal lung function, 16.9% versus 25.3% (p<0.01). Predictor equations for Pakistani textile workers were also developed.

Lung function of textile workers was significantly reduced compared to healthy population. Use of ERS reference equations for Pakistani textile workers may not provide appropriate interpretation.
Lung function of textile workers was significantly reduced compared to healthy population. Use of ERS reference equations for Pakistani textile workers may not provide appropriate interpretation.
Needle stick injury (NSI) became a major issue and most of the research focuses on Nurses, Doctors and other health care workers, but at the same time nursing students in clinical duties are at high risk. Studies are available which examined NSI only in Medical students and health care workers. The present study is aimed to measure the occurrence of needle stick injury along with post exposure measures and evaluation of the knowledge regarding needle stick injury among nursing student.

A cross-sectional study was conducted in North-East India in 2013. The study participants comprised of 83 nursing students studying in 4th year B.Sc. (N) and 3rd year General Nursing and Midwifery (GNM). Students were questioned regarding their occurrence to Needle Stick Injury throughout their clinical training and measures taken following the exposure. They were also asked to complete the Knowledge questionnaire on NSI.

The study among 83 nursing students included 43 (51.81%) GNM 3rd year and 40 (48.19%) B.Sc. Nursing Sal to deal above problems by regular training on real-life procedure at the entry level and reporting system should be more user-friendly platform.
The topic of debriefing has been receiving some attention in the simulation literature. Because of the significance of debriefing on learning, evaluation of the debriefer is done to ensure optimal performance. Structured debriefing as a learning tool was evaluated at the end of modular teaching of first year MBBS. This study is a descriptive cross sectional study to analyze the usefulness of debriefing as an instructional strategy during observed structured clinical examination conducted at the end of two consecutive modules of first year MBBS students.

Performance of 150 students of first year MBBS was evaluated at the end of modules called Foundation module and skin and musculoskeletal module. Debriefing was structured and conducted after training of six staff members who conducted and supervised Objectively Structured Clinical Examination.

Apart from description of results of Objectively Structured Clinical Examination that were generally good, students praised the debriefing session. Ninety percent students thought the timing of debriefing to be perfect. Only 2% percent students complained about negative debriefing. Ten percent students wanted the debriefing session to be conducted in camera so that they could evaluate their own performance.

Debriefing session at the end of modular teaching Objectively Structured Clinical Examination is a useful learning tool as not only it provides immediate feedback about the performance but gives students opportunity to discuss own performance with the instructor in order to develop habit of lifelong self-directed adult learner.
Debriefing session at the end of modular teaching Objectively Structured Clinical Examination is a useful learning tool as not only it provides immediate feedback about the performance but gives students opportunity to discuss own performance with the instructor in order to develop habit of lifelong self-directed adult learner.
Renal biopsy is gold standard in diagnosis of various renal diseases. Though it is safe yet it requires adequate patient evaluation, preparation and monitoring after the procedure.

This descriptive case series was conducted in the Paediatric Nephrology Department, The Children's Hospital Lahore over a period of one year. Children aged less than 16 years were included who were suffering from renal diseases requiring renal biopsy for diagnosis. After renal biopsy patients were monitored for complications and were discharged after short stay of eight hours who got no complication during the observation period.

Out of total 145 patients, 97 (66.1%) were males and 48 (33.9%) were females. selleck inhibitor The age range was from 0.7 years to 16 years. The duration of stay after renal biopsy was up to eight hours in 131 (90.34%) patients, while 14 (9.66%) stayed longer. Post-biopsy stay of 24 hours was observed in 8 patients and 48 hours in 5 patients. Only 1 patient stayed for 96 hours. Patients with gross haernaturia were 6 (4.1%) who were checked for perinephric hematoma formation by ultrasonography. Only one patient required blood transfusion along with fresh frozen plasma. The most common histopathological diagnosis was Mesangioproliferative with 67 (46.2%) cases, followed by Glomerulonephritis in 35 (24.1%) patients having Membranoproliferative Glomerulonephritis (MPGN) while Systemic Lupus Erythematous (SLE) nephritis was reported in 15 (10.35%) patients.

Patients can be discharged after short stay post renal biopsy procedure provided done after proper screening of patients. As it not only reduces patient stay but also is cost effective.
Patients can be discharged after short stay post renal biopsy procedure provided done after proper screening of patients. As it not only reduces patient stay but also is cost effective.
Abdominal hysterectomy is one of the most common major operations in gynaecology. However, it is associated with considerable morbidity and relatively slow recovery. The superiority of hysterectomy by the vaginal route is not denied. It is associated with a significant fewer complications than abdominal hysterectomy. This study was done with the aim to determine what proportion of hysterectomies performed via abdominal route could have been performed vaginally or with laparoscopic assistance.

Case notes of one hundred consecutive patients who had an abdominal hysterectomy were obtained from the records department. Out of 100 cases only 85 case notes were made available for analysis.

A total of 74 cases for benign disorder were studied; 50% of the cases were over the age of 40 years and 82% of the patients were multiparous. The uterine size was less than 12 weeks in 67 cases. About 44.6% of cases were found to have menorrhagia without any organic pathology. For the majority of cases it was not apparent fl hysterectomy, every patient who need hysterectomy should be assessed for vaginal hysterectomy, provided there is no contraindication for it. Preoperative assessment under anaesthesia should be an integral part of management of a patient needing hysterectomy.
Ethics means custom, character, habit or disposition and as a discipline is frequently called Moral Philosophy. Ethics cannot be regulated until it is incorporated in Law. With the advent of research in life sciences, the need of ethical review boards was felt to protect individual and public interests. The objective of this study was to know the status of ethical review boards at all medical colleges of Khyber Pakhtunkhwa in terms of its existence, membership and activities.

This province wise cross-sectional survey was conducted over a period of three months. All the sixteen medical colleges of the province registered with Pakistan Medical and Dental Council Islamabad were included. A structured questionnaire was used as data collection tool. Single respondent from each medical college was identified by the respective chief executive officer or principal. Data was analysed through SPSS V-20 and MS Excel 2007. Descriptive statistics were calculated for quantitative data.

Out of sixteen medical colleges, one had no ethical review board and another neither refused nor returned filled questionnaire. Eleven medical colleges reported combined boards with their teaching hospitals, while 3 had separate boards. Highest number of members noted was 14 and lowest being 4. Mode was 8. None of the boards had a medical doctor with degree or diploma in bioethics, as its member. Six medical colleges had medical doctors who had attended workshops on bioethics. Majority of medical colleges had no track of record about its review boards.

Overall situation of ethical review boards at the medical colleges of Khyber Pakhtunkhwa is not satisfactory and needs proper regulatory measures.
Overall situation of ethical review boards at the medical colleges of Khyber Pakhtunkhwa is not satisfactory and needs proper regulatory measures.
Laparoscopic cholecystectomy needs lot of training and experience in developing countries like Pakistan. After the introduction of laparoscopic cholecystectomy several studies have been conducted to evaluate the complications of laparoscopic cholecystectomy and to establish the efficacy and safety of the procedure. The aim of this study was to determine the complications of laparoscopic-cholecystectomy in a teaching hospital during the learning process.

This descriptive case series was conducted in the department of General Surgery at Social Security Teaching Hospital, Islamabad, from October 2012 to February 2015. Patients of more than 15 years of age having symptomatic gallstones were included. Patients with dilated common bile duct (>8 mm in diameter), jaundice, acute cholecystitis, mass at porta hepatis and positive hepatitis B or C virology were excluded.

A sample of 247 consecutive patients was studied. Of them, 218 (88.26%) were females and 29 (11.74%) were males. Their age ranged from 15 to 73 years (mean 45.
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