Journal of Islamabad Medical & Dental College
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Parotidectomy and Facial Paralysis, A Retrospective Review at A Tertiary Care Hospital
Get PDFBackground: Facial Nerve is in close proximity with parotid gland and encountered during parotid surgery. Facial nerve paralysis has 15 to 66% occurrence rate after parotidectomies. The objective of this study was to find out the frequency of facial paralysis resulting from superficial or total parotidectomies done for various parotid tumors.
Material and Methods: This retrospective study was conducted at the Department of ENT, Khyber Teaching Hospital, Peshawar from January 2018 to May 2020. A total of 203 patients were reviewed for data on demographics, parotidectomies, histopathology and facial paralysis. The information on facial paralysis was compared against various parameters.
Results: The mean age of the participants was 46.12 ± 11.11 years. The most common parotid tumor was pleomorphic adenoma (68.9%) followed by mucoepidermoid carcinoma. 57 (28.07%) patients showed facial paralysis with a higher rate of occurrence in total parotidectomy (40.90%). Among 57 patients with facial paralysis, 6 (10.53%) showed permanent facial paralysis.
Conclusion: Tendency of permanent facial paralysis is high with total parotidectomies. Female population and elderly have a slightly higher rate of facial paralysis. The duration of procedure has no effect on the occurrence of facial paralysis
Adenosquamous Carcinoma of Gallbladder – A Case Report
Get PDFGallbladder cancer is an uncommon malignancy and majority of these carcinomas are adenocarcinomas. Adenosquamous carcinoma of gallbladder is a rare histopathological subtype of gallbladder carcinoma. It usually presents with symptoms of cholelithiasis like epigastric pain, nausea and bloating. On clinical examination, tenderness is usually present. Radiologically in most of the cases, gallstones are found leading to the diagnosis of cholelithiasis for which cholecystectomy is done. Gallbladder carcinomas are found mostly as an incidental finding on microscopic examination of cholecystectomy specimen. This disease is curable if diagnosed earlier but in most of the cases they present at advanced stages when resection is not possible and prognosis is poor. As this disease is extremely rare so published information is largely based on the case reports and case series. This is a case of 60 years old female patient who underwent cholecystectomy for cholelithiasis with incidental finding of Adenosquamous carcinoma on histopathology report
Internet Use and Its Addiction Among Medical Students in Hyderabad, Pakistan
Get PDFBackground: With the advances in information and technology, internet addiction appears as a serious obsessive condition that has numerous dreadful effects on human physical and mental health. The objective of the study was to determine the level of internet addiction among medical undergraduate students of Isra University, Hyderabad.
Methods: A cross-sectional survey was conducted at the Isra University, Hyderabad from August to December 2019. All medical (MBBS) undergraduate students of either sex were included. A stratified sampling technique was used for the selection of participants. A structured 5-point Likert scale questionnaire for the internet addiction test was adopted from Dr. Kimberly Young and used for the collection of participant’s information and measurement of their level of addiction.
Results: A total of 263 undergraduate medical students participated in the study. The majority (56.65%) were males while 51.71% were from the age group 21-22 years. Over two-thirds (85.17%) of participants were found to be internet addicts. Of these internet addicts, 63.84% were mild or minimal internet addicts while 12.05% were severely addicted participants. A statistically significant difference (p<0.05) was observed between gender, age groups, year of study, and current residential status of participants.
Conclusion: Internet addiction was highly prevalent among undergraduate medical students, specially in the age group (19-20) years, hostlers, 2nd year of study and male
Assessment of Agility in Elderly Population of Islamabad
Get PDFBackground: Agility is considered as one of the important components of physical fitness. In older adults, it is of utmost importance in response to any stimulus. The objective of this study was to determine normative values of agility in elderly population of Islamabad.
Methods: A Cross-Sectional Survey was conducted in community settings of Islamabad from February–July 2019 after approval by the Ethical Review Committee of Foundation University Islamabad. The calculated sample size was found to be 267, but due to missing data, analysis was done on 250(100 females and 150 males). Participants were selected by convenient sampling. Physically independent participants were included and diseased population (severe musculoskeletal, neurological, and cardiopulmonary disorders), decreased functional status affecting hearing, vision, memory recall was excluded from the study. PAR-Q was utilized in uncovering any possible health risks linked to exercise. For evaluation of agility, the American Alliance for Health, Physical Education, Recreation, and Dance (AAHPERD) Agility Test was performed. Agility scoring is based on time in seconds, with higher score representing less agility, and agility score of less than 62 represents good agility. Data were analyzed through SPSS version 21.
Results: The mean age, BMI and agility score of participants were 60.7±5.81 years, 26±4.30 kg/m² and 22.42±5.2 respectively. There was significant difference (P<0.001) in agility between males and females, with the mean agility score higher in females as compared to males. Similarly, Agility score was significantly high in females as compared to males in BMI range of 18.5 to >30 and all age categories.
Conclusion: Elderly population of Pakistan has good agility scor
A Case of Calvarial Tuberculosis in an Elderly Male Patient
Get PDFTuberculosis (TB) is still endemic in developing countries like Pakistan. Tuberculosis affecting bones account for 1% of all TB infections. Calvarial tuberculosis, a rare manifestation of extra-pulmonary TB, accounts for 0.2%-1.3% of all cases of skeletal TB. Even in developing countries where TB is endemic, cases with this type of TB are not commonly seen. The most commonly involved sites are the frontal and parietal bones, with destruction of both the inner and outer table. Proper diagnosis and timely management help in improving prognosis. Here we describe the case of a 70-year-old male patient with pulmonary and extrapulmonary (calvarial) tuberculosis. The diagnosis was established on histopathological examination with demonstration of Acid-Fast Bacilli (AFB) and typical features seen on computed tomography (CT) scan
Transient hyperglycemia, impaired glucose tolerance and gestational diabetes mellitus (GDM) in preterm pregnant women receiving antenatal steroids
No full textOBJECTIVE:To determine the frequency of transient hyperglycemia, impaired glucose tolerance and gestational diabetes mellitus(GDM) in preterm pregnant women receiving antenatal steroids.
METHODOLOGY:This descriptive cross-sectional study was carried out in Maternal and Child Health Center unit 1 (MCH-1) at Pakistan Institute of Medical Sciences Islamabad Pakistan from January 2017 till August 2017. A total of 365 pregnant women presenting to emergency and outpatient department with preterm labor (alive morphologically normal babies), with preterm premature rupture of membranes (PPROM) and other conditions which require early delivery including preeclampsia, IUGR requiring preterm delivery, severe oligohydramnios, antepartum hemorrhage(APH), women receiving two doses dexamethasone and all those with BSR>126mg/dl were included in the study. Multiple pregnancies, advanced preterm labor (cervix > 5cm dilated), gestational diabetes mellitus (GDM) or type I/II diabetes mellitus (DM), chorioamnionitis and taking any medication that affects glucose metabolism were excluded from the study. After ethical approval, informed consent was taken from study participants. Blood sugar levels before the commencement of 1st dose of dexamethasone were noted. Blood sugar profile (fasting, 2 hours after lunch, 2 hours after dinner) were carried out. 2nd dose of dexamethasone was given after 12 hours of 1st dose. Profile was carried out till euglycemia or 5 days if sugars remain deranged. Patients having deranged levels for greater than 5 days were advised 75 g oral glucose tolerance test(OGTT) and labelled as having impaired glucose tolerance or gestational diabetes mellitus.
RESULTS: In our study, 57.57%(n=213) were between 18-30 years, 42.43%(n=157) were between 31-40 years of age, mean age was calculated as 28.92+5.54 while mean gestational age was 31.19+1.92 weeks. Frequency of transient hyperglycemia, impaired glucose tolerance and gestational diabetes mellitus(GDM) in preterm pregnant women receiving antenatal steroids revealed 62.16%(n=230) had transient hyperglycemia, 9.46%(n=35) had impaired glucose tolerance, 2.16%(n=8) had gestational diabetes and 26.22%(n=97) had no blood glucose abnormality.
CONCLUSION: We concluded that the frequency of abnormal glucose levels increases in preterm pregnant women receiving antenatal steroids. Therefore, single blood sugar level done routinely before dexamethasone therapy are insufficient to judge the glucose metabolic status and should be closely monitored during the use of antenatal corticosteroids.
KEYWORDS:
Preterm delivery, antenatal steroids, transient hyperglycemia, impaired glucose tolerance and gestational diabetes mellitus(GDM
Psychological Impact of Covid-19 on Dental Surgeons and Students
Get PDFBackground: Since the start of January 2020, COVID-19, has been a serious health risk concerning the wellbeing and welfare of people worldwide. Health care workers are prone to more psychological problems because of their direct contact with infectious patients. Owing to the disruption of educational activities worldwide, stress was common among students. The objective of this study was to determine the psychological impact of COVID-19 pandemic on dental surgeons and dental students.
Methods: The survey was conducted at Islamic International Dental Hospital form February 2021 to July 2021. A total of 400 questionnaires were sent to students and dental surgeons, however 340 completely filled questionnaires were returned. Questionnaire using the Depression Anxiety Stress Scale (DASS-21) was used to assess the psychological influence. Data was compiled and independent sample t -test and Pearson’s correlation were applied using the Statistical Package for Social Sciences SPSS version 23 to determine difference of means considering p<0.05 as cut off for significance.
Results: The means of stress score, anxiety score and depression were 2.24+0.5, 3.56 +0.06 and 2.83+0.06 respectively. Pearson’s correlation among the dimensions of DAS scale showed that Depression, Anxiety and Stress were positively and significantly correlated with each other.
Conclusion: There were high levels of Depression, Anxiety and Stress among dental students during COVID-19 Pandemic