scholarly journals AFI IN PREGNANT PATIENTS;

2017 ◽  
Vol 24 (01) ◽  
pp. 102-105
Author(s):  
Farkhunda Akhtar ◽  
Arooj Aziz ◽  
Arfa Hamid ◽  
Tooba Hamid
Keyword(s):  
Amniotic Fluid ◽  
Fluid Intake ◽  
Cross Sectional Study ◽  
Cold Weather ◽  
Military Hospital ◽  
Sectional Study ◽  
Amniotic Fluid Index ◽  
Cross Sectional ◽  
Hydration Therapy ◽  
Patient Department

Background: Amniotic fluid plays major role in fetal growth & development.Abnormalities of fluid volume can affect fetal development causing many structural anomalies.Maternal dehydration leads to changes in amniotic fluid index by changing net movement of fluidinto or from the fetus. Study Design: Cross sectional study was carried out to asses increaseincidence of reduced amniotic fluid index in Quetta due to dehydration. Period: Year of 2015.Method: The study was a cross sectional study for this purpose 50 pregnant patients referringto obstetric Out Patient Department of Combined Military Hospital Quetta were investigatedfor changes (improvement, or no change) in amniotic fluid index after hydration therapy. Theunder studied population was pregnant women between 20th_ 38th week of gestation referringto obstetric Out Patient Department of Combined Military Hospital Quetta with amniotic indexless than 10.The study was conducted after approval of ethical committee. Result: Patientsshowed significant improvement in AFI after hydration therapy. Conclusion: QUETTA region,a combination of dry and cold weather leads to decrease fluid intake and greater insensiblelosses that results in reduced AFI. Increased incidence of reduced AFI is highly due to maternaldehydration that can be improved with maternal hydration.

scholarly journals Frequency of Caesarean Section in Pregnancies with Borderline Amniotic Fluid Index at Term

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Natasha Bushra ◽  
Khaula Zeeshan ◽  
Sara Ejaz ◽  
Javeria Mushtaq ◽  
Khadija Waheed ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Amniotic Fluid ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Induction Of Labour ◽  
Amniotic Fluid Index ◽  
Cross Sectional ◽  
Increased Risk ◽  
Failed Induction ◽  
One Year

AbstractThe increased risk of caesarean section after induced labour is well documented. Rate of induction of labour has doubled in the past decade from 10 to 20%. Low Amniotic Fluid Index (AFI) as an isolated finding leads to increased obstetrical interventions but without any improvement in outcome.Objectives:  To determine the frequency of caesarean section due to failed induction in pregnancies at term with borderline AFI.Patients and Methods:  This cross-sectional study was conducted at Department of Obstetrics and Gynaecology, Unit-III, SIMS/Services Hospital, Lahore. The duration of study was one year from January, 2015 to December, 2015. A total of 150 patients were included in this study. AFI was measured by recent obstetric ultrasound. All patients with borderline AFI (5 – 8 cm) were included in the study. They were induced by glandin E2 gel. If induction of patients failed with two doses of glandin E2 gel, given vaginally 6 hours apart, patients were considered for cesarean section. The outcome measure was rate of caesarean section due to failed induction. All data were analyzed by SPSS version 20.Results:  Mean age of the patients was 30.34 ± 6.68 years. Mean gestational age was noted 38.34 ± 1.05 weeks. Out of 150 patients, 103 (68.7%) were para 1 – 3 and 47 patients (31.3%) were para 4 – 6. Caesarean section due to failed induction with borderline AFI was performed in 27 patients (18.0%). Stratification with regard to age, gestational age and parity was carried out and was found significant only for gestational age being > 39 weeks.Conclusion:  It is concluded that failed induction of labour at term in women with borderline AFI is not associated with increased risk of caesarean delivery.

scholarly journals Trends of Self-Medication Amongst the Patients Visiting the Out-Patient Department of Combined Military Hospital, Lahore

Esculapio ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 30-33
Author(s):  
Bushra Asif Ali Khan ◽  
Faiza Muzahir ◽  
Sahar Abdul Rauf ◽  
Syeda Rubab Fatima ◽  
Abida Pervaiz ◽  
...  
Keyword(s):  
Public Awareness ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Self Medication ◽  
Related Factors ◽  
Cross Sectional ◽  
High Prevalence ◽  
To Receive ◽  
Previous Prescription ◽  
Patient Department

Objective: The purpose of our study was to assess the trends of self-medication practices and to determine the prevalence, characteristics, related factors, and effects of self-medication among the patients conducted. Methods: This descriptive cross-sectional study was on patients of Combined Military Hospital Lahore on a sample size of 365. The data was collected and entered in a predesigned questionnaire about self-medication later analyzed using SPSS version 17.0. Results: The prevalence of self-medication was 95.3% and effectiveness was 87.7%. The common reasons for self-medication were prior knowledge of usefulness of remedy (63.3%), non-affordability of consultant charges (18.4%), and lack of time (21.9%). Frequently used medicines included antibiotics (30.1%), analgesics (69.6%), antipyretics (51.0%), and antihistamines (23.6%). Respondents claimed to receive information about these drugs from various sources including doctor (38.6%), previous prescription (31.8%), retailer seller (13.4%), family/friends (43.6%), media (7.9%) and other sources (1.6%). Conclusion: It had been concluded that there is a high prevalence of self-medication. There is a need to raise public awareness about the appropriate use in order to prevent potential hazards of self-medication. Key Words: trends, self-medication, out-patient department How to cite: Khan B.A.A, Muzahir F, Rauf S.A, Fatima S.R, Pervaiz A, Jamil S. Trends of self- medication amongst the patients visiting the out-patient department of Combined Military Hospital, Lahore. Esculapio.2021. 30-33

scholarly journals An Evaluation of Pediatric Out Patient Department (POPD) of a Private Dental College Hospital by Accompanying Parents of Child Patients

2018 ◽  
Vol 8 (1) ◽  
pp. 5-10
Author(s):  
Md Asif Iqbal Khan ◽  
S Parvin ◽  
J Aman ◽  
G Mahmud ◽  
N Anber ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Level Of Satisfaction ◽  
Child Patients ◽  
Dental Hospital ◽  
Child Patient ◽  
Patient Department

Purpose:The Pediatric Out-patient-department (POPD) of a dental hospital deals with children with different tooth related complaints. Dental treatment of a child patient requires three way interactions between the child, the parent and the dental surgeon. Though health of the patient remains the top priority for caregivers, satisfaction with the delivery system is vital for long lasting doctor-patient relationship. Thepurpose of the study was to evaluate the performance of Pediatric OPD by the accompanying parents of children receiving treatment at the OPD of a private dental college hospital.Methods: A cross sectional study was carried out at the POPD of Sapporo Dental College Hospital, Uttara Model Town of Dhaka city during May-July 2017. Sampling was done by simple random sam- pling method .Data were collected from the parents of 122 children aged between 1-12 years by using a self-administrated questionnaire.Results: Majority of the participating parents were residents of Uttara Model Town or areas in the vicinity and were employed, educated and are middle are middle socioeconomic class. More than sixty percent (62.3 %) of the respondents were parents of children between 4-7 years of age. More than 90% of the patients had waiting time at the department between 0-30 minutes. Treatment cost was described as ‘low or ‘reasonable’ by 87% of the parents. Only 8.2% mentioned ‘unsatisfactory’ regarding the cleanliness of Pediatric OPD. More than 95% of the respond- ents expressed ‘Satisfactory’ and ‘good’ level of satisfaction with general performance of OPD and the treatment provided by the dental team.Conclusion: Parents expressed general satisfaction with the performance of Pediatric Department of Sapporo Dental College Hospital.Update Dent. Coll. j: 2018; 8 (1): 05-10

scholarly journals MILK AGGRAVATES ASTHMA – THE TRUTH OR THE PERCEPTION

2020 ◽  
Vol 70 (6) ◽  
pp. 1691-95
Author(s):  
Muhammad Khalid Azam Khan ◽  
Shazia Naz ◽  
Abdul Latif Khattak ◽  
Nauman Kashif ◽  
Syed Karamat Hussain Shah Bukhari ◽  
...  
Keyword(s):  
Positive Response ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medicine Department ◽  
Milk Substitute ◽  
Dyspnea Score ◽  
Drinking Milk

Objective: To assess the notion that milk can cause or aggravate asthma and break this myth. Study Design: A cross sectional study. Place and Duration of Study: Medicine department, Combined Military Hospital Lahore, from Jan 2019 to Dec2020. Methodology: A survey was conducted whereby known asthmatics were questioned about their opinion weather milk aggravates their asthma. Those who confirmed their positive response were exposed to milk and some liquid resembling milk, and their Lung functions were tested after each drink. The 42 patients who considered milk as the primary aggravator were called for the study for spirometry Results: A total of 600 people from the general population were surveyed. Two hundred and six (34.3%) of them were illiterate, 394 (65.6%) were educated from middle to graduates. In the first milk/milk encounter, the combined dyspnea scale showed increase of 50.3% and improvement of 0.008% in FEVI/FVC. In the second substitute/milk encounter, the dyspnea score showed an increase of 61.8% and an increase of 0.90% in FEVI/FVC. In the third milk/substitute encounter the dyspnea score showed a decrease of 22.9% and the FEVI/FVC decreases by 5.5%. In the 4th substitute/substitute encounter, dyspnea scores decreased by 8.4% while the pre and postencounter FEVI/ FVC scores were 2726 and 2711 with 0.55% decrease with insignificant p-value >0.05. Conclusion: Drinking milk or milk substitute has negligible effect on the spirometric parameters.

scholarly journals DEPRESSION AND ANXIETY AMONG PATIENTS SEEKING RHINOPLASTY

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S594-97
Author(s):  
Sikandar Ali Khan ◽  
Ghazanfar Ali ◽  
Maqbool Raza ◽  
Muhammad Tariq ◽  
Imran Adeel ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
High Frequency ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Military Hospital ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Very High Frequency ◽  
Cross Sectional ◽  
Very High

Objective: To evaluate the presence and relation of depression and anxiety among patients seeking rhinoplasty Study Design: A cross-sectional study. Place and Duration of Study: Departments of Psychiatry, department of Plastic Surgery and ENT, Combined Military Hospital Multan, from Jan 2019 to Mar 2020. Methodology: A total of 102 patients were recruited that reported to Plastic surgery and ENT unit. Patients were divided equally in two groups of 51 each. One group included patients seeking rhinoplasty while other group included those patients that reported in Plastic surgery and ENT unit for reasons other than rhinoplasty. Symptom were assessed using Beck Depressive Inventory for depression and Beck Anxiety Inventory for anxiety. Results: A total of 102 participants were included in the study, of these 51 were patients seeking rhinoplasty and 51 were controls. Significant correlation exist between anxiety and depression (p<0.00). Conclusion: There is a very high frequency of anxiety and depression among patients seeking Rhinoplasty along with significant positive correlation.

scholarly journals COMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTAN

2021 ◽  
Vol 71 (1) ◽  
pp. 249-54
Author(s):  
Rehana Feroze ◽  
Muhammad Tariq ◽  
Abdul Wasay Toor
Keyword(s):  
Work Experience ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
P Value ◽  
Sectional Study ◽  
Surviving Sepsis Campaign ◽  
Cross Sectional ◽  
Sepsis Bundles ◽  
Critical Patients ◽  
Sepsis Bundle

Objective: To determine physician’s compliance to surviving sepsis campaign updated Hour-one bundle incritically ill patients in Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital Lahore MedicalCollege, from Jun to Aug 2019. Methodology: This study was carried out among physicians managing critical patients in intensive care units.Participants were asked to fill out a 16-questions survey (work experience, qualification and individual components of surviving sepsis campaign hour-1 bundle. Data was collected using online access to survey and by sending hard copies. Results: Questionnaire was sent to 230 physicians while only 63 responses were received (response rate 27%).Only 45 (71%) respondents were aware of the updated Hour-1 bundle. There was no institutional protocolfor compliance to sepsis bundles in thirty three (55%) responses. 52% respondents used Systemic inflammatoryresponse syndrome (SIRS) criteria to diagnose sepsis while quick Sequential Organ Failure Assessment (qSOFA)was used by 36% respondents. Overall compliance to hour-1 bundle components was only 60%. Lactate levelswas not measured by 35 (55%) respondents while 24 (38%) did not obtain blood cultures before administeringantibiotics. Crystalloid and nor epinephrine was used by all respondents. Overall compliance with all the components of sepsis bundle had strong correlation with post-graduate qualification (p-value 0.001-0.049). Conclusion: Poor compliance to updated sepsis guidelines was one of the major reasons of high sepsis relatedmortality in Pakistan.

CLINICAL, SUB-CLINICAL CHARACTERISTICS AND MANAGEMENT OF ACUTE FETAL DISTRESS AT MATERNITY DEPARTMENT OF HUE CENTRAL HOSPITAL

2018 ◽  
Vol 8 (5) ◽  
pp. 20-25
Author(s):  
Giang Truong Thi Linh
Keyword(s):  
Amniotic Fluid ◽  
Apgar Score ◽  
Clinical Characteristics ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Central Hospital ◽  
Cross Sectional ◽  
Natural Childbirth ◽  
Dark Green

Objective: Examination ofclinical, sub-clinical characteristics and attitudes of management of acute fetal distress at Maternity Department, Hue Central Hospital. Methods and Material: Descriptive cross sectional study on 208 acute fetal distress patients at Maternity Department of Hue Central Hospital from 06/2016 – 03/2017. Results: DIP II: 35.6% and Apgar score after birth < 7: 4.1%, variability < 5 bpm: 7.2%, and Apgar score after birth < 7: 6.7%. Dark green amniotic fluid: 25.0% and increase after birth. Apgar score/1 minute < 7: 1.9%, Apgar/5 minutes < 7: 0.5%. Medical treatment: infusion, oxygen, lying on the left side are the most used methods. Management of obstetric use including caesarean (94.2%), Forceps (1.5%), natural childbirth (4.3%). Conclusions: Follow Monitoring changes and amniotic fluid color are very valuable in the diagnosis of acute fetal distress. Treatment of acute fetal distress is a combination of medical and obstetric treatment. Key words: Acute fetal distress, green amniotic fluid, cardiotocography

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