scholarly journals Accuracy of BISAP score in prediction of severe acute pancreatitis

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Anum Arif ◽  
Farhat Jaleel ◽  
Khalid Rashid
Keyword(s):  
Acute Pancreatitis ◽  
Severe Acute Pancreatitis ◽  
Epigastric Pain ◽  
Scoring Systems ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Creative Commons ◽  
Surgery Department ◽  
Open Access Article

Objective: To determine the accuracy of BISAP score in comparison with Ranson’s score in detection of severe acute pancreatitis. Methods: This cross sectional study was performed in Emergency department and Surgery department of Dow university hospital from January 2015 to December 2015. A total of 206 patients were included. Those diagnosed with acute pancreatitis on the basis of epigastric pain, serum amylase levels more than 300 (more than 3 times normal) and meeting the inclusion criteria were subjected to investigations for Ranson’s and BISAP scoring. BISAP score was calculated at 24 hours and Ranson’s score both at 24 and 48 hours. A score of > 3 was used to label severe acute pancreatitis according to both scoring systems. Results: In our study accuracy to predict SAP by BISAP score was 76.2 % and Ranson’s score was 82.2%. On the basis of sensitivity, Ranson’s scores predicted SAP more accurately than BISAP scores (97.4% vs. 69.2%). Regarding specificity, both scores predicted SAP almost equally (78.4% vs. 77.8%). Conclusion: BISAP score is a valuable tool in predicting severe Acute Pancreatitis in early hours. doi: https://doi.org/10.12669/pjms.35.4.1286 How to cite this:Arif A, Jaleel F, Rashid K. Accuracy of BISAP score in prediction of severe acute pancreatitis. Pak J Med Sci. 2019;35(4):---------.  doi: https://doi.org/10.12669/pjms.35.4.1286 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Risk factors for mortality among inpatients with smear positive pulmonary tuberculosis

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Sidra Hameed ◽  
Faisal Faiyaz Zuberi ◽  
Sagheer Hussain ◽  
Syed Khalid Ali
Keyword(s):  
Risk Factors ◽  
Pulmonary Tuberculosis ◽  
Demographic Data ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Smoking History ◽  
Cross Sectional ◽  
Creative Commons ◽  
Smear Positive Pulmonary Tuberculosis

Objective: To evaluate risk factors having significant effect on mortality of smear positive Pulmonary Tuberculosis (PTB) inpatients. Methods: A descriptive cross-sectional study was conducted at Ojha Institute of Chest Diseases, Dow University Hospital Ojha Campus, Karachi. One hundred and seventy (170) inpatients of smear positive PTB confirmed by Acid Fast Bacilli (AFB) smear, aged between 13-80 years were enrolled by using consecutive sampling technique while patients with drug resistant Tuberculosis (TB) and extra pulmonary TB were excluded from the study. Selected patients were interviewed for collecting demographic data and risk factor data by using a standard questionnaire. Results: Out of 170 PTB inpatients, mortality was observed in 23 (13.5%) patients among which male patients were 12 (52.2%), and female were 11 (47.8%). Mortality was significantly associated with increasing age (p=0.003), socioeconomic status (p=0.019), anemia (p=0.03), Chronic Liver Disease (CLD) (p=0.005), Diabetes Mellitus (DM) (p=0.001), Human Immunodeficiency Virus (HIV) (p=0.007), Hypertension (HTN) (p=0.006), recurrent TB (p=0.001), and smoking (p=0.001). Conclusion: Increasing age, poverty, smoking history, and presence of comorbidities like DM, CLD, HIV, hypertension, and anemia are associated with higher mortality in smear positive PTB cases. doi: https://doi.org/10.12669/pjms.35.5.919 How to cite this:Hameed S, Zuberi FF, Hussain S, Ali SK. Risk factors for mortality among inpatients with smear positive pulmonary tuberculosis. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.919 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Knowledge and perception of Sepsis among Doctors in Karachi Pakistan

2021 ◽  
Vol 38 (ICON-2022) ◽  
Author(s):  
Faiza Ahmed ◽  
Lubna Abbasi ◽  
Fivzia Herekar ◽  
Ahsun Jiwani ◽  
Muhammad Junaid Patel
Keyword(s):  
Critical Care ◽  
Work Experience ◽  
Cross Sectional Study ◽  
P Value ◽  
Common Belief ◽  
Cross Sectional ◽  
Health Networks ◽  
Creative Commons ◽  
Adequate Knowledge ◽  
Open Access Article

Objectives: To assess knowledge and perception among Pakistani physicians towards sepsis. Methods: This cross-sectional study was conducted in Indus Hospital and Health Networks from September 2020 to March 2021. The International Sepsis Survey questionnaire was adapted, and its link was sent to trainee physicians as well as specialists, and consultants practicing in various hospitals via social media. Knowledge and perception were scored and 50% was considered the cut-off score for adequacy. Data was analyzed using SPSS version 26. Results: Analysis was done on 222 respondents who completed the survey. 37.9% of the participants had adequate knowledge. Knowledge regarding sepsis was significantly associated with specialty, ICU/CCU/HDU, and work experience (P-value <0.0001). More recent trainee physicians and those with more experience in critical care areas demonstrated better knowledge. Over 2/3rd of the respondents strongly agreed that sepsis remains one of the unmet needs in critical care today. Conclusion: A common belief exists that sepsis remains a challenge to treat among doctors. Moreover, there is consensus that it is the most frequently miss diagnosed condition in critical care and a dire need exists for its early diagnosis. Additionally, prompt management of presumed sepsis is imperative to improve outcomes. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5775 How to cite this:Ahmed F, Abbasi L, Herekar F, Jiwani A, Patel MJ. Knowledge and perception of Sepsis among Doctors in Karachi Pakistan. Pak J Med Sci. 2022;38(2):380-386. doi: https://doi.org/10.12669/pjms.38.ICON-2022.5775 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Effect of COVİD-19 Pandemic on General Surgery Practice and Resident Education

2021 ◽  
Author(s):  
Timuçin Erol ◽  
Kamran Mahmudzada ◽  
Busenur Kırımtay ◽  
Doğukan Doğu ◽  
Mustafa Oruç ◽  
...  
Keyword(s):  
General Surgery ◽  
Sudden Change ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Case Volume ◽  
Cross Sectional ◽  
Residency Programs ◽  
Surgical Residency ◽  
Surgery Department ◽  
Hospital General

Abstract Background Sudden change in general surgery practice during pandemic caused a detrimental effect on residency training. The main objective of this study is to reveal the effect of Covid-19 pandemic on general surgery practice and surgical residency education. Methods This retrospective cross sectional study included all patients operated at a tertiary university hospital, general surgery department between 11-March 2019/ 11- January-2019 (Pre-Covid 19 Period) and 11-march 2020- 11- January − 2020 (Covid 19 period). Two period compared in terms of case volume, complexity difference and effect of this difference on residents training. Results Overall 2740 cases included to study. Elective case volume significantly decreased during pandemic (p = 0.001). This decrease is much more obvious for B-C category operations. Intermediate seniority resident’s case volumes and complexity of the cases they performed decreased during pandemic. Conclusion Surgical residency programs must be revised urgently in order to provide adequte training which altered due to Covid-19 pandemic.

scholarly journals Frequency of Cryptosporidiosis in Children having Persistent Diarrhea

2020 ◽  
Vol 37 (1) ◽  
Author(s):  
Mariam Danish Iqbal ◽  
Tahir Naeem ◽  
Umar Khurshid ◽  
Fatima Hameed
Keyword(s):  
Intestinal Parasites ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Persistent Diarrhea ◽  
Cross Sectional ◽  
Creative Commons ◽  
Stool Samples ◽  
Stool Specimens ◽  
Study Participants ◽  
Open Access Article

Objective: Globally childhood diarrheal diseases continue to be the second leading cause of death. Cryptosporidium spp are important intestinal parasites that cause diarrhea in humans and animals particularly in developing countries. This investigation was carried out to find out the frequency of cryptosporidiosis in children presenting with persistent diarrhea. Methods: Two hundred stool samples were collected in this descriptive cross-sectional study conducted at Microbiology Department, Combined Military Hospital, Lahore Pakistan between the months of July to Dec 2014. Children aged five years to 12 years who presented with persistent diarrhea were included in the study. Stool specimens were processed using the modified acid-fast staining method, and microscopically examined for Cryptosporidium infection. Results: The average age of study participants was 7.95 with a standard deviation of 2.21 years. Among the participants 66% were males whereas 34% were females. Twenty eight percent had presence of oocysts in stool samples. Conclusions: The frequency of Cryptosporidiosis among children with persistent diarrhea was 28%. This high frequency indicates that this population is uniquely susceptible to infection. It also highlights the need for education about hygiene, accurate diagnosis, and treatment of Cryptosporidiosis. There is also a need for additional studies regarding the occurrence of this pathogen. doi: https://doi.org/10.12669/pjms.37.1.2700 How to cite this:Iqbal MD, Naeem T, Khurshid U, Hameed F. Frequency of Cryptosporidiosis in Children having Persistent Diarrhea. Pak J Med Sci. 2021;37(1):121-124. doi: https://doi.org/10.12669/pjms.37.1.2700 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Perceptions of plagiarism among undergraduate medical students in Rawalpindi, Pakistan

2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Arslaan Javaeed ◽  
Abdus Salam Khan ◽  
Shafqat Husnain Khan ◽  
Sanniya Khan Ghauri
Keyword(s):  
Medical Students ◽  
Research Society ◽  
Cross Sectional Study ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Academic Field ◽  
Creative Commons ◽  
Senior Students ◽  
Open Access Article

Objectives: With the rise in the number of published papers in the biomedical field, plagiarism has become a major ethical concern as it has a direct effect on the quality of these papers. The objective of this research was to determine the perceptions of medical students towards plagiarism, the reasons students engage in plagiarism, the types of plagiarism, the consequences of plagiarism, and solutions to the problem of plagiarism. Methods: This is a cross-sectional study conducted in two medical colleges in Rawalpindi, Pakistan from June to September, 2018, using self-administered structured questionnaires. Results: Of the 1100 participants, up to 86.91% (n=956) were not aware of the existence of plagiarism, but the majority, i.e. 71.18% (n=783) have plagiarised the work of others before. Copying from colleagues or senior students is the most common type of plagiarism that medical students engage in owing to the ease with which fellow students’ work can be shared and copied. However, a lack of institutional awareness of the extent to which plagiarism exists, poor vigilance in detecting it, and the absence of clear policies to deal with plagiarism are mostly to blame. Conclusion: Plagiarism is common among medical students in developing countries, and it is necessary to create awareness about the consequences of engaging in this unethical practice both in the academic field and in the larger medical research society, in order to reduce its prevalence. How to cite this:Javaeed A, Khan AS, Khan SH, Ghauri SK. Perceptions of plagiarism among undergraduate medical students in Rawalpindi, Pakistan. Pak J Med Sci. 2019;35(2):---------. doi: https://doi.org/10.12669/pjms.35.2.33 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Accuracy of Bisap Score to Predict Severe Acute Pancreatitis Keeping Ranson Score as Gold Standard

2021 ◽  
Vol 15 (10) ◽  
pp. 3426-3428
Author(s):  
Muhammad Rehan Khan ◽  
Tayyaba Mushtaq Khan ◽  
Syed Munim Hussain ◽  
Syed Mukarram Hussain
Keyword(s):  
Acute Pancreatitis ◽  
Diagnostic Accuracy ◽  
Severe Acute Pancreatitis ◽  
Gold Standard ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Cross Sectional ◽  
Serum Lipase ◽  
Surgical Department ◽  
Ranson Score

Objective: To ascertain the diagnostic accuracy of BISAP score to predict severe acute pancreatitis keeping Ranson score as gold standard Study design: Descriptive Cross Sectional study Place and duration of study: Surgical Department, Combined Military Hospital Rawalpindi from January 2017 to July 2017. Methodology: 65 patients having history indicative of acute pancreatitis, serum lipase and serum amylase were measured. Patients with confirmed diagnosis of acute pancreatitis who consented for taking part in the research and achieving the inclusion and exclusion criteria were enrolled for study. Patients were evaluated by adequate history and thorough examination. All patients are investigated for Ranson score and BISAP score and divided into mild and severe pancreatitis on the basis of BISAPS and Ranson scoring. Results: In our study, mean+sd age was 44.92+8.92 years. Frequency of severe acute pancreatitis was 32.3%. Diagnostic accuracy of BISAP score to predict severe acute pancreatitis keeping Ranson score as gold standard had 80.9% of sensitivity, 81% of specificity, 68% of PPV and 90% of NPV. Conclusion: BISAP score have an excellent accuracy for prediction of severe acute pancreatitis as Ranson score. BISAP score can be used as tool for recognition of severe acute pancreatitis within 24 hours in simple and precise manner. Keywords: Severe acute pancreatitis, Prediction, BISAP score, Ranson score, Accuracy

scholarly journals Medication Errors in a Swiss Cardiovascular Surgery Department: A Cross-Sectional Study Based on a Novel Medication Error Report Method

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Kaspar Küng ◽  
Thierry Carrel ◽  
Brigitte Wittwer ◽  
Sandra Engberg ◽  
Natalie Zimmermann ◽  
...  
Keyword(s):  
Registered Nurses ◽  
Medication Error ◽  
Medication Errors ◽  
Cardiovascular Surgery ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reporting Tool ◽  
Surgery Department

The purpose of this study was (1) to determine frequency and type of medication errors (MEs), (2) to assess the number of MEs prevented by registered nurses, (3) to assess the consequences of ME for patients, and (4) to compare the number of MEs reported by a newly developed medication error self-reporting tool to the number reported by the traditional incident reporting system. We conducted a cross-sectional study on ME in the Cardiovascular Surgery Department of Bern University Hospital in Switzerland. Eligible registered nurses () involving in the medication process were included. Data on ME were collected using an investigator-developed medication error self reporting tool (MESRT) that asked about the occurrence and characteristics of ME. Registered nurses were instructed to complete a MESRT at the end of each shift even if there was no ME. All MESRTs were completed anonymously. During the one-month study period, a total of 987 MESRTs were returned. Of the 987 completed MESRTs, 288 (29%) indicated that there had been an ME. Registered nurses reported preventing 49 (5%) MEs. Overall, eight (2.8%) MEs had patient consequences. The high response rate suggests that this new method may be a very effective approach to detect, report, and describe ME in hospitals.

scholarly journals Correlation of ultrasound placental diameter & thickness with gestational age

2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Ngozi R. Njeze ◽  
Joseph O. Ogbochukwu ◽  
Josephat M. Chinawa
Keyword(s):  
Gestational Age ◽  
Cross Sectional Study ◽  
Linear Increase ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Creative Commons ◽  
Fetal Maturity ◽  
Placental Thickness ◽  
Open Access Article

Background & Objectives: Estimation of fetal maturity is common in obstetric practice especially when the women do not keep accurate menstrual records. An accurate establishment of expected date of delivery is fundamental to the management of both high risk and normal pregnancies. The objective of this study was to determine the placental diameter (PD), placental thickness (PT) and to establish a correlation between PD, PT and gestational age. Methods: This is an observational cross-sectional study that examines by means of ultrasonography the correlation between placental diameter and thickness with gestational age in Enugu, South East, Nigeria. Results: A total of 400 healthy subjects were recruited in 3rd trimester of pregnancy having fulfilled the inclusion criteria. PD and PT in this study did not correlate with parity. There is a linear increase of gestational age and placental thickness and diameter. These increases heighten between 38th week gestation and 40 weeks’ gestation. 205.0±1.4, 43.00±0.0 to 215.0±1.4, 46.00±2.8 respectively. Conclusion: Placental thickness and Placental diameter can be used to predict gestational age. It is therefore advised to use PT & PD in ultrasound obstetric assessment especially when Last menstrual period (LMP) is not clear. doi: https://doi.org/10.12669/pjms.36.5.1938 How to cite this:Njeze NR, Ogbochukwu JO, Chinawa JM. Correlation of ultrasound placental diameter & thickness with gestational age. Pak J Med Sci. 2020;36(5):---------. doi: https://doi.org/10.12669/pjms.36.5.1938 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Surgical Treatment of Skin Substances Loss: Study of 40 Cases Followed Up at University Hospital of Bangassou in Central African Republic

2020 ◽  
Vol 7 ◽  
Author(s):  
Antoine Doui-Doumgba ◽  
Davy Steve Nzoulouto ◽  
Emmanuel Nouganga Diberbekoy ◽  
Moïse Service Yanguedet ◽  
Annicette Petula Ngboko-Mirotiga ◽  
...  
Keyword(s):  
Central African Republic ◽  
Average Length ◽  
Healing Process ◽  
Age Groups ◽  
Length Of Hospital Stay ◽  
Skin Grafting ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Surgery Department

Introduction: The aims of this study was to describe the results of the treatment of skin substance loss in a rural area  hospital in  Central African Republic and draw the resulting conclusions.Patients and Methods: This is a cross-sectional study carry out from January 2017 to December 2018 including patients of both sexes, regardless of age, treated for a loss of skin substance without tendency to scarring at the General Surgery Department of the Regional and University Hospital of Bangassou.Results: During the period 2500 patients were followed in the service.  The frequency of patients with a loss cutaneous substances was 1.6%. Male subjects made up 65% of the workforce. All age groups were represented. The average age was 35.5 years (Extremes: 8 months and 77 years). In 60% of cases, the patients came from remote areas of the urban center and most of them lived in precarious conditions (71.8%). The primary lesions were 2nd degree burns (22.5%) and 3rd degree (2.5%), open limb fractures (10%); ulcers (32.5%) and necrotizing fasciitis (32.5%). These lesions were found much more in the limbs (67.5%). In half of the cases, the lesions were in the budding phase. After a preparation phase, the procedures performed were mesh grafting (87.5%), lozenge grafting (10%) and the flap (2.5%). According to the evolution, scarring was obtained in 67.5% of cases 14 days after surgery. The average length of hospital stay was 14 days with extremes of 8 and 58 days.Conclusion: This study shows the advantage of using methods for recovering losses of skin substances to speed up the healing process of lesions. We recommend emphasizing the initial treatment of lesions which must be adapted to the stages of healing as well as the management of risk factors. In areas where there is a shortage of specialists, general practitioners must be trained in skin grafting techniques which are easy to perform.

Sign in / Sign up

Export Citation Format

Share Document