In the United States of America, we are in the midst of a social pandemic, referred to as “The Opioid Epidemic.” This is a problem not unique to America, but because it plagues America it illustrates ... Read More
With an emerging transformation in global health from ‘diseases’ to ‘Health Systems’, there is increased recognition that Health Systems need to be resilient and receptive to the accelerated demograph ... Read More
Dear Editor, Recently many cities of Pakistan have been struck by the havoc of smog. Smog is formed when pollutants like nitrogen oxide, carbon monoxide and volatile organic compounds that are rele ... Read More
No live organism can continue for long to exist sanely under conditions of absolute reality’ Shirley Jackson "The Haunting of Hill House" ‘Toba Tek Singh’ ‘Toba Tek Singh’1 is a t ... Read More
In 2009 the Unites States Public Health Service (US-PHS) changed its recommendations for diagnostic testing of HIV exposed infants. However, barriers for compliance to testing remain. We evaluated the ... Read More
Background: Childhood burns are the leading cause of unintentional injuries, with more incidences in Asian than in European countries. This systematic review aims to compare the differences in extent ... Read More
Objectives: Current study aimed to explore the perceptions and practices about weaning among mothers of children from 6 months to 2 years of age. Method: An exploratory qualitative research using ... Read More
Adequate training of Lady Health Visitors is foundational for the prosperity of community health worker scheme in Pakistan. Objective: To determine the deficiencies in the training Lady Health Vis ... Read More
Renal complications develop in about 40% of all type II diabetic patients, characterized by persistent albuminuria, leading towards end stage renal disease. N-acetyl-β-D-Glucosaminidase (NAG) a large ... Read More
Objective: To evaluate the maternal and foetal outcome in cases of placenta previa, placenta accrete and placenta increta. Methods: Medical records of patients from 1 Feb 2014 to 28 Feb 2015 were ... Read More
Objectives: Anemia is a frequent disorder in patients with end stage renal disease. Erythropoietin is advised in these patients; however, this therapy is not effective in patients who are iron defici ... Read More
Objective: The objective was to compare the effectiveness of vaginal versus intramuscular progesterone to prevent preterm delivery in patients with history of preterm labor in previous pregnancy. ... Read More
Objectives: The present study is to see the effects of human exposure to selected pesticides on their liver and kidney function as well as variations in butyrylcholinesterase (BChE) were studied. ... Read More
Objective: The objective of the study is to calculate the frequency of portal vein thrombosis in pediatric patients presenting with hematemesis and to estimate the frequency of acute and chronic port ... Read More
Objective: Decline in bedside teaching is one of the problems that medical education is facing today. It has always been the best modality for effectively imparting clinical skills. It has declined f ... Read More
Objective: To determine the frequency of positive results of Bacille Calmette Gurein and Mantoux skin tests in suspected cases of childhood pulmonary tuberculosis. Patients and Methods: This pros ... Read More
Abstract Objective: To determine the clinical characteristics of newly diagnosed type 1 diabetes mellitus (T1DM) in children under15 years of age. Cross sectional study conducted at Aseer Central ... Read More
(Authors' Note: Alphonse Daudet (1840-1897) was a nineteenth century French novelist. A contemporary of Gustave Flaubert, Edmond de Goncourt and Emile Zola, among others, he achieved much fame and ren ... Read More
The study was aimed at documenting the relationship between Glasgow coma score with imaging findings on computed tomography in children with traumatic brain injury. Un-necessary radiation exposure can ... Read More
Objective:Â Â To determine the effect of phototherapy on platelet count in neonates having unconjugated hyperbilirubinemia. Patients and Methods:Â Â This cross sectional study was conducted in the ... Read More
Polycystic ovarian syndrome (PCOS) is the universal endocrine disarray in premenopausal women, These women are prone to insulin resistance as well as altered beta cell function. Study was designed to ... Read More
Objective:  To document association of hyper-glycemia with mortality in septicemic patients. Methods:  After approval from departmental review committee, this retrospective com ... Read More
Perforated peptic ulcer is a serious and the most frequent complication of peptic ulcer disease which demands urgent diagnostic procedure, reanimation and surgical intervention. Objective:Â Â To co ... Read More
Unexplained infertility is a major gynecological problem with complex etiolgy. Partial tubal blockage with inflammatory reaction and thick mucus plugs in fallopian tubes and cervix is one of the likel ... Read More
Long bones fractures are the main emergency procedures in most trauma centers. Tibial fractures are commonly open as described by the Gustilo classification. Grade III fractures of the tibia (diaphysi ... Read More
Objective:Â Â To determine percutaneous screw fixation (PSF) as fair treatment option for Schatzker type I, closed tibial plateau fracture in adults. Patients and Methods:Â Â 30 male and female adu ... Read More
The art of medical writing and science of scientific publishing has made tremendous progress during the last two decades. The revolution in information technology while on one hand has brought lot of ... Read More
“In times of stress and danger such as come about as the result of an epidemic, many tragic and cruel phases of human nature are brought out, as well as many brave and unselfish ones.” William Craw ... Read More
The abnormal growth of precancerous cells on the surface of the cervix is cervical intraepithelial neo-plasia (CIN). Cervical intraepithelial neoplasia is classified according to extent of the abnorma ... Read More
Background:Â Â Non-specific neck pain has potential contributing factors. One of the factors being emphasized in the modern era is the Myofascial trigger points in the upper trapezius muscle. These co ... Read More
Background:  Hand hygiene is one of the primary measures to reduce health care associated infections (HCAIs). There is a need to explore the concept of hand hygiene among ... Read More
Background:  In recent decades, use of pesticides in agricultural practices has posed threat to human popu-lation. Objectives:  Present research was designed to explore the a ... Read More
Objective:Â Â To know the awareness of emergency contraception (EC) among our population. Patients and Methods:Â Â Women were asked about their age, education, socioeconomic condition and parity. ... Read More
Anton Pavlovich Chekov (1860 – 1904) the Russian playwright and short story writer is considered one of the greatest fiction writers in history. He was a physician and practiced medicine his whole l ... Read More
Grave’s disease is the most common cause of hyperthyroidism. Antithyroid drugs are usually well tolerated in majority of patients but serious side effects in the form of allergy, agranulocytosis, ap ... مزید پڑھیں
Objectives:  The aim of this study was to determine the frequency of restrictive pulmonary dysfunction in type 2 diabetic patients. Study Design:  Cross – sectional Study. Setting:  Outpa ... Read More
Background:Â Â Sub-acromial impingement syndrome (SAIS) is the most common disorder of shoulder. Conservative treatment is the first choice, often with corticosteroid injection or different physiother ... Read More
According to our observation, prevalence of metabolic syndrome is rising in urban populations as well as rural communities. However, this rising problem is largely being ignored and according to preli ... Read More
Burns are a global public health problem. They account for an estimated 265,000 deaths annually1. An accurate and objective tool for prognosis in patients with severe burns would be extremely valuable ... Read More
It gives me immense pleasure and pride to write the editorial for the annals of my beloved alma mater. Within the realms of this great institution, I spent the best years of my youth burning the midni ... Read More
“Anything that’s human is mentionable, and anything that is mentionable can be more manageable. The people around can help us know that we are not alone.† Fred Rogers      In spite of ... مزید پڑھیں
Objective:Â Â The present research was conducted to assess whether doctors of private and public sector hospitals would differ in organizational conflict types after controlling gender. Material an ... Read More
Objective:Â Â The objective of this study is to determine the role of colour flow Doppler ultrasound examination for detection of change in liver hemodynamic in hepatitis C positive chronic liver dise ... Read More
Objectives:  To investigate the relationship of personal belief in just world self – compassion with body appreciation in individuals with amputation who use prosthesis and in those who do not use ... Read More
Background:  Radicular pains are very common in cervical region due to C6 – C7 nerve root involvement which results discomfort and restriction of mobility of upper and lower segments of cervical a ... Read More
Introduction:  Gallstones are the hard deposits in the gallbladder, which is a sac – like organ lying on the inferior surface of liver in the right upper quadrant of abdomen. Cholecystectomy is th ... Read More
Background:Â Â School prepare students for successful professional careers. Evidence indicates that the quality of science education in schools is deteriorating andstudents may not bedeveloping the co ... Read More
Cervical ectopic pregnancy is a rare condition with implantation in the endocervical canal below the closed internal os. It accounts for less than 1% of all ectopic pregnancies. It is associated with ... Read More
Learning style is the composite of cognitive, affective, and physiological characteristics that serve as relatively stable indicators of how a learner perceives, interacts and responds to the learning ... Read More
Background: Tuberculous pleurisy is a common extrapulmonary manifestation and is second to tuberculous lymphadenitis. Due to its paucibacillary in origin, its diagnosis is a challenge. Furthermore, i ... Read More
Purpose: To determine the pattern of antibiotic resistance in clinical isolates of Acinetobacter baumannii from ICU’s of tertiary care hospital in Karachi. Study Design: A case control study. ... Read More
Introduction: Contrast – induced nephropathy (CIN), is an acute kidney injury state, which has managed to catch the attention of cardiologists, as a result of increasing cardiac invasive intervention ... Read More
Introduction: Aloe vera has been reported to have effects upon skin, joint pains and diabetes but without scientific evidence. It has never been studied in isolation as a single drug. Our study was a ... Read More
Aims and Objectives: determine the frequency of successful vaginal birth after cesarean section VBAC in low risk pregnant women. Study Design: It was a descriptive study. Duration: From 2010 ... Read More
Introduction: In Anesthesia practice neuromuscular blocking agents (muscle relaxants) are used for intubation and surgical muscle relaxation. The use of modern inhalational anesthetics like sevoflura ... Read More
Introduction: Medical Education has recently taken its position in Health professional education, however still it is not very popular in Dentistry, though professional are working hard to apply its p ... Read More
Background: Femur fractures are among the commonest pediatric injuries. Until recent past, traction and hip spica were the standard treatment for all femoral shaft fractures which required long durat ... Read More
Introduction: Renal transplantation is the treatment of choice for patients with end stage renal disease. It offers marked improvement in the quality of life of patients who undergo this form of trea ... Read More
Challenges bring an opportunity for success and each success is followed by a new challenge. Challenges and successes witnessed in the discipline of medicine are numerous. When world was preparing to ... Read More
Background: Ever since inception, allopathic medicine has increasingly been practiced all over the world including Pakistan. However, a significant proportion of practitioners are unqualified quacks. ... Read More
ABSTRACT Background and Introduction: Mechanical malfunction of elbow joint is the usual cause of lateral elbow pain. Even though varied procedures have suggested for maximizing elbow movements and ... Read More
Abstract Background and Introduction: Mechanical mal-function of cervical spine is the usual cause of neck pain. Even though varied procedures have been suggested for maximizing neck movements and ... Read More
Abstract Objective: The present study investigated the relationship between academic performance, self efficacy and perceived social support of visually impaired students. Sample: A purposive ... Read More
