Journal of Akhtar Saeed Medical & Dental College

IMPACT OF OVER THE COUNTER ANTIBIOTICS PURCHASE ON EMERGING ANTIBIOTIC RESISTANCE IN PAKISTAN

2025-11-21T04:03:03+00:00

COMPARISON OF POSTOPERATIVE HEMORRHAGE IN STAPLED HEMORRHOIDOPEXY VERSUS MILLIGAN MORGAN HEMORRHOIDECTOMY.

2025-11-21T04:09:17+00:00

Background: The objective of the study was to compare Milligan Morgan hemorrhidectomy with Stapled Hemorrhoidopexy in terms of frequency of moderate to severe post operative hemorrhage.

Materials and Methods: This Retrospective Comparative study was done from January 2024 to November 2024. Hospital records were checked for patients undergoing Miligan Morgan Haemorrhoidectomy (MMH) and Stapled Hemorrhoidopexy (SH) from January 2024 to November 2024. A total of 91 patients were found to undergo surgery for hemorrhoids who developed post

operative hemorrhage. They were divided in to two groups Group A had undergone standard MMH with electrocautery and consisted of 52 patients. The remaining 39 patients were found to undergo SH by using PPH03 circular stapling gun and thus were included in Group B. Both groups were compared for moderate to severe post operative bleeding.

Results: Although a higher frequency of moderate to severe post operative hemorrhage was observed in SH Group (25.6%) as compared to MMH Group (17.3%), However, the difference was not statistically significant between MMH and SH in terms of bleeding post operatively (p=0.339).

Conclusion: SH and MMH are not superior to each other in terms of moderate to severe postoperative hemorrhage. Both procedures can be performed as per the surgeon’s preference or patient’s choice.

PREVALENCE AND RISK FACTORS OF MALARIA AMONG INTERNALLY DISPLACED PERSON IN TENT CITY OF HYDERABAD, SINDH

2025-11-21T04:30:54+00:00

Background: Flooding is associated with increased malaria transmission in many regions worldwide. However, there is a lack of comprehensive studies that specifically investigate the seroprevalence and determinants of malaria subtypes among flood-affected internally displaced population (IDPs) in Sindh, Pakistan. The objectives of this study were to determine the prevalence of malarial types and risk factors associated with them.

Material and Methods: A cross-sectional study was conducted on the IDPs in Hyderabad, Sindh who were affected during August – October 2022 floods. A structured questionnaire was used to collect data about their demographic background, current signs and symptoms, and basic knowledge on malaria. Individuals with an axillary temperature > 100ºF and myalgia at the time of data

collection were included in the study and after seeking consent they were assigned to either Rapid Diagnostic Testing (RDT) or Microscopy for malaria. Data was entered, described and analyzed using Stata v. 16.0.

Results: Out of all registered IDPs [N= 4980], almost half of them [n=2640; 53%] who were found to be suffering from fever, were included in the study [age range= 1 day to 96 years]. Total prevalence of malaria patient positive was found to be 13.41%; 1.7% affected by Plasmodium Falciparum and 11.7% by Plasmodium Vivax. Gender, age and pregnancy were found significantly associated with

malaria [p ≤ 0.05].

Conclusion: This study offers a thorough analysis of the demographics, diagnosis, and prevalence of malaria in a IDPs in Sindh due to flood. The results underline the necessity of specialized healthcare interventions that take gender, age, and pregnancy status into account.

NORMATIVE REFERENCE VALUES OF HAND GRIP STRENGTH AMONG GERIATRIC POPULATION OF LAHORE

2025-11-21T04:37:04+00:00

Background: Ability to perform daily activities independently is crucial for the quality of life of the geriatric population. The objective of this study was reduced muscle strength is one of the major contributors to functional decline in geriatric population. Muscle strength is considered as an important part of examining the patient physically. The grip strength measurement through dynamometric method is highly valuable for indicating the major outcomes.

Material and Methods: A cross-sectional study was conducted at Farooq Hospital Lahore. (February 2023 to May 2023) in which the technique of non-probability convenient sampling was used, in order to collect data from 148 participants, among the geriatric population of Lahore.

Results: The average normative value of hand grip strength was determined using the upper extremity functional scale of the participants. The normative reference values for this cross-sectional study were 17.9 kg for women and 26.2 kg for men.

Conclusion: Normative reference values provide crucial benchmarks for assessing overall muscle strength in geriatric population.

BRIDGING THE GAP: EXPLORING THE ACCEPTANCE OF ARTIFICIAL INTELLIGENCE PREDICTIONS IN FERTILITY TREATMENT BY PATIENTS

2025-11-21T04:44:21+00:00

Background: As Artificial Intelligence (AI) becomes increasingly integrated into healthcare, it becomes important to understand the viewpoint of the patients, as they are the main stakeholders in healthcare management. In reproductive medicine, predictive AI is demonstrating its role in the management of subfertility treatment. However, the viewpoint of the patients remains unexplored.

The Objective of this study was to explore the acceptance of using AI predictions in the treatment of subfertility among female patients seeking consultations.

Material and methods: An exploratory qualitative study was conducted with individual semistructured interviews of sixteen female patients undergoing subfertility treatment at Dr. Rehmatullah's Hospital, Gojra. After taking informed consent, data were collected upon data saturation from June 2024 to August 2024. Interview transcripts were transcribed, translated with validation, and analysed for emerging themes using Braun and Clarke’s steps of thematic analysis.

Results: Data analysis revealed 6 themes and 15 codes, including AI accuracy, need for clinician presence, transparency and clarity of process, data privacy concerns, and patient education. The study participants highlighted both hope as well as concerns for using AI for predictive analysis in subfertility treatment.

Conclusion: This study highlights that patient acceptance of Artificial Intelligence in fertility care is deeply linked to trust, transparency, clinician involvement, and ethical reassurance.

ASSESSMENT OF CARPAL TUNNEL SEVERITY IN THIRD-TRIMESTER PREGNANCY USING THE BOSTON CARPAL TUNNEL QUESTIONNAIRE (BCTQ) AT JINNAH HOSPITAL, LAHORE

2025-11-21T04:49:08+00:00

Background: Carpal Tunnel Syndrome (CTS) is the entrapment of the median nerve at the level of wrist causing symptomatic neuropathy. The most typical symptoms are numbness and tingling in the thumb, index, middle, and radial half of the ring finger. Other common manifestations include burning dysesthesia wrist pain as well as the loss of grip strength and dexterity. Objective of this study was to determine the severity of carpal tunnel syndrome in third trimester of pregnancy with using the Boston carpal tunnel syndrome questionnaire (BCTSQ) in Gynecology and Obstetrics outdoor of Jinnah Hospital Lahore.

Material and Methods: In this cross-sectional observational study,87 subjects were included in study by Non-Probability Convenience sampling technique. Boston carpal tunnel syndrome questionnaire (BCTSQ) was used to evaluate subjects to detect carpal tunnel syndrome severity. Data was analyzed using SPSS version 21.

Results: As per Boston Carpal Tunnel Symptom Severity Scale (BCTQ-SSS), from the total of 87 people who answered the survey, 18 (20.7%) reported with slight symptoms, 44 (50.6%) moderate ones, 22 (25.3%) severe ones, and 3 (3.4%) very severe ones.

According to Boston Carpal Tunnel Functional Status Scale (BCTQ-FSS), we took the same group of 87 respondents, 39 (44.8%) reported with slight functional impairment, 30 (34.5%) moderate, 14 (16.1%) severe, and 4 (4.6%) very severe.

Conclusion: This study concluded that third-trimester pregnant women generally experience mild functional impairment and moderate symptom severity of carpel tunnel syndrome.

RARE CASE OF HENOCH–SCHÖNLEIN PURPURA IN A 34-YEAR OLD MALE

2025-11-21T14:49:02+00:00

Henoch-Schönlein purpura (HSP), also known as IgA vasculitis, primarily affects children but can also occasionally present in adults. The symptoms are thought to result from the deposition of IgA in the walls of blood vessels within various organs, most commonly the skin, gastrointestinal tract, joints, and kidneys. Here, we report a case of a 34-year-old man who developed severe abdominal pain resembling acute appendicitis two weeks after a viral gastrointestinal infection and administration of cefoperazone-sulbactam antibiotic. The diagnosis of HSP was established based on a progression of symptoms, including severe abdominal pain, arthralgias, melena, and a distinctive non-blanching rash on the trunk and lower extremities. This report will detail the diagnostic workup and treatment approach that resulted in symptom resolution in this unusual adult presentation of HSP.