Abstract Objective: To assess whether intra-articular administration of warm lignocaine would enhance intraoperative analgesic quality. Material and methods: Our prospective, randomized and double b ... Read More

Abstract OBJECTIVE: To analyze variables of patients with bomb blast head injuries in a tertiary care civilian hospital of Khyber pukhtoon khwa. MATERIAL AND METHODS: This observational study was co ... Read More

Abstract Objective: To compare day case versus inpatient surgery in Gaza Jordanian Military Field Hospital. Methods: We conducted nearly a twenty two month retrospective study at Jordanian Military ... Read More

Abstract Objectives: to review the formal consultations received by the thoracic surgery team for the purpose of pleural catheter insertion to drain different cases of pleural effusion from different ... Read More

Abstract Objective To find out the significance of urinary zinc as a marker of bone loss and to find out its association with bone mineral density (BMD) in postmenopausal women. Methods Ninety (90 ... Read More

Abstract Objective. Anatomy is a study of structure of the body which is helpful for the diagnosis and treatment of the diseases. The objectives of the study were, to identify the importance and clin ... Read More

Abstract We present a rare case of an infratemporal fossa mucocele in a 55 year old man with history of previous midfacial fracture. Patient presented with history of right infraorbital swelling and ... Read More

Abstract We present a 46 year old man with a history of left shoulder pain following a fall onto his left shoulder. Task specific mobilizations were applied to improve functional status and home plan ... Read More

Abstract Venous air embolism (VAE) can be a lethal complication of surgical procedures. Though classically associated with neurosurgery, VAE is also a potential complication of pelvic procedures. Thi ... Read More

Abstract Necrotising Fasciitis is a fatal skin infection often underdiagnosed , usually affecting the limbs and trunk.Periorbital involvement is exceedingly rare.We report a case of NF of the eyelids ... Read More

Abstract Idiopathic tumoral calcinosis is a rare disease with unknown etiology. We report a case of a 40 year old male patient referred from Gazza Stripto King Hussein Medical Center as a case of pos ... Read More

Abstract A 10 year old boy presented with acute blurring of vision and pain of the left eye following a close range injury with gun pellet. Visual acuity was counting finger, with total hyphaema and ... Read More

Abstract A rare case of thoracic myelopathy due to posterior osteophytes of vertebral body without disc degeneration in a young adult male is described. A 25-year-old male presented with a worsening ... Read More

The Editorial Board of Rawal Medical Journal would like to thank the following individuals who have reviewed articles for volume 37, 2012. ... Read More

Abstract Chronic hepatitis C is a common disease all over the world including Pakistan. Non alcoholic fatty liver disease also is a very common disease worldwide,1 as well as in Pakistan.2 Previous s ... Read More

Abstract Objective- 1-To correlate age with fasting plasma glucose, triglycerides and total cholesterol 2-To compare fasting blood glucose levels among different quartiles of age 3-To compare the ... Read More

Abstract OBJECTIVE: was to assess the effectiveness of COPD awareness campaign on the total number of pulmonary function tests (PFTs). METHODS: This interventional study was conducted in OPD of Pulm ... Read More

Abstract Background: Neuropathy is the most common complication of diabetes – especially autonomic neuropathy – which is not investigated so frequently. One the earliest manifestation of diabeti ... Read More

Abstract Objective To correlate sciatica with patients’ height. Patients and Methods This descriptive cross sectional study was conducted at Military Hospital Rawalpindi from October 2005 to Apr ... Read More

Abstract Objective: To determine the incidence and risk factors for macular amyloidosis. Methods: 24,000 patients were assessed for the presence of macular amyloidosis. 120 patients were found ... Read More

Abstract Objectives: To find the frequency of metabolic syndrome among patients with chronic kidney disease secondary to type 2 diabetes mellitus, attending Bahawal Victoria Hospital, Bahawalpur, Pak ... Read More

Abstract Objectives: To determine the causes of pancytopenia, in patients presenting to a tertiary care hospital of Peshawar. Subject and methods: This cross sectional study was conducted in the dep ... Read More

Abstract Objective: To study the prevalence of common skin conditions in Jordanian children who presented to the Dermatology and Pediatrics clinics at King Hussein Medical Centre ( KHMC, Amman- Jorda ... Read More

Abstract OBJECTIVE: To compare the serological, radiological and biochemical profile of cirrhotic patients with and without varices. DESIGN AND DURATION: Two year cross sectional study started on 1s ... Read More

Abstract OBJECTIVES: was to determine the frequency of fatty liver with CHC and to evaluate the effect of fatty liver on the end treatment virologic response of combined antiviral therapy of CHC. ME ... Read More

Abstract Background and Aims: Lipid abnormalities are commonly observed in cirrhosis liver. This study was conducted to determine lipid profile in cirrhotic patients and to assess its relationship wi ... Read More

Abstract Objective: To determine the changes brought about by Interferon-Ribavirin combination therapy in the portal blood flow velocity determined by Duplex ultrasound in patients of chronic hepatit ... Read More

Abstract Objective: The objective of this study is to assess the clinical symptoms in the patients of multiple sclerosis which are exhibited by periventricular lesions using magnetic resonance imagin ... Read More

Abstract Objective: This study was carried out to see the incidence of various complications of laparoscopic cholecystectomy. Study design: It was an observational case series study. Place and dura ... Read More

Abstract Objective: To calculate the frequency of non-biliary complications encountered during laparoscopic cholecystectomy. Material & Methods: This prospective study conducted our the period of 05 ... Read More

Abstract Objective: To find out the frequency of carcinoma gall bladder in patients of cholelithiasis undergoing cholecystectomy at Combined Military Hospital Rawalpindi. Study Design: Case series ... Read More

Abstract Objectives: To compare the importance of fistulectomy against fistulotomy regarding preventing recurrence of fistula in ano. Patients and Methods: The study is based on a sample of 272patie ... Read More

Abstract Objective: Our aim is to study the efficiency of using flexible cystoscope to retrieve JJ catheter and compare it to rigid cystoscope. Materials and methods: Between period of January 2007 ... Read More

Abstract Background: Degenerative disc disease and spondylolisthesis of lumber spine is a common disease which present with low back pain and radiculopathy. This study was conducted to assess the fun ... Read More

Abstract Background: Degenerative disc disease and spondylolisthesis of lumber spine is a common disease which present with low back pain and radiculopathy. This study was conducted to assess the fun ... Read More

Abstract Objective: To determine the frequency of hypo pharyngeal carcinoma in patients presenting with dysphagia. Material and Methods: This descriptive study was conducted at the department of Ear ... Read More

Abstract Objective: To determine the frequency of hypo pharyngeal carcinoma in patients presenting with dysphagia. Material and Methods: This descriptive study was conducted at the department of Ear ... Read More

Abstract Objective: To identify the factors responsible for delay in diagnosis of breast carcinoma in our society and quantify their magnitude. Study Design: Case series Place and duration of study ... Read More

Abstract Objective: To identify the factors responsible for delay in diagnosis of breast carcinoma in our society and quantify their magnitude. Study Design: Case series Place and duration of study ... Read More

Abstract Objective To determine the outcome of conservative management of diabetic foot as limb salvage. Patients and Methods This descriptive prospective study was conducted in the department of ... Read More

Abstract Objective To determine the outcome of conservative management of diabetic foot as limb salvage. Patients and Methods This descriptive prospective study was conducted in the department of ... Read More

Abstract OBJECTIVE: To Compare the frequency of adverse maternal and fetal outcomes in women assigned to the high risk category to those with a low risk pregnancy in the tertiary care settings. S ... Read More

Abstract OBJECTIVE: To Compare the frequency of adverse maternal and fetal outcomes in women assigned to the high risk category to those with a low risk pregnancy in the tertiary care settings. S ... Read More

Abstract OBJECTIVE: To Compare the medical and surgical treatments for early bilateral ethmoidal nasal polyps. SUBJECTS AND METHOD: sixty patients of grade I and II ethmoidal nasal polyps were selec ... Read More

Abstract OBJECTIVE: To Compare the medical and surgical treatments for early bilateral ethmoidal nasal polyps. SUBJECTS AND METHOD: sixty patients of grade I and II ethmoidal nasal polyps were selec ... Read More

Abstract Objectives The aim of this study was to identify the efficacy of the colloids administration in different volumes in prevention of postoperative nausea and vomiting after laparoscopic cho ... Read More

Abstract Objectives The aim of this study was to identify the efficacy of the colloids administration in different volumes in prevention of postoperative nausea and vomiting after laparoscopic cho ... Read More

Abstract Objective: To observe the results and complications of operated cases of perforated gastric and dudodenal ulcer disease. Study design: Observational study. Place & duration: Department of ... Read More

Abstract Objective: To observe the results and complications of operated cases of perforated gastric and dudodenal ulcer disease. Study design: Observational study. Place & duration: Department of ... Read More

Abstract Objectives: To review surgical cases of pulmonary hydatid cyst disease that had been treated at the King Hussein Medical Center over a period of three years from January 2007 and December 20 ... Read More

Abstract Objectives: To review surgical cases of pulmonary hydatid cyst disease that had been treated at the King Hussein Medical Center over a period of three years from January 2007 and December 20 ... Read More

Abstract Background: Distal radius fracture is day to day occurrence in daily life of old age people. This fracture is also called fragility fracture and most common occur in osteoporotic bones. The ... Read More

Abstract Background: Distal radius fracture is day to day occurrence in daily life of old age people. This fracture is also called fragility fracture and most common occur in osteoporotic bones. The ... Read More

Abstract Objective To determine the outcome of septic non-union of tibia using compression and distraction technique with Ilizarov circular fixator in terms of infection free solid union. Patients ... Read More

Abstract Objectives: To assess knowledge, attitude and practice of medical teachers regarding medical ethics, and to provide a baseline to prepare bioethics curricula and training modules for the tea ... Read More

Abstract Objective To determine the outcome of septic non-union of tibia using compression and distraction technique with Ilizarov circular fixator in terms of infection free solid union. Patients ... Read More

Abstract Objectives: To assess knowledge, attitude and practice of medical teachers regarding medical ethics, and to provide a baseline to prepare bioethics curricula and training modules for the tea ... Read More

Abstract Holoprosencephaly is a complex developmental abnormality of the forebrain occurring in early embryonic life; incidence is 1: 16,000 births. This anomaly results from failure of cleavage of p ... Read More

Abstract Holoprosencephaly is a complex developmental abnormality of the forebrain occurring in early embryonic life; incidence is 1: 16,000 births. This anomaly results from failure of cleavage of p ... Read More

Abstract South Asians have ethnic roots from the Indian subcontinent, and this area includes India, Pakistan, Sri Lanka, Nepal, and Bangladesh. “South Asian” refers to a heterogeneous population, ... Read More

Objective: to determine the clinical presentation of celiac disease and its crisis in Children. prospective descriptive study. Department of Paediatrics Shaheed Mohtrama Benazir Bhutto Medical Univer ... Read More

Objective: To asses Anxiety and Depression in hospitalized patients of Dengue Fever. Study design: Cross-sectional descriptive study. Place and duration of study: This study was conducted in the esp ... Read More

Abstract Objectives To observe the changes in PEFR with advancing pregnancy and to obtain set of normal values for healthy Pakistani woman. Subjects and Methods This study was conducted in departm ... Read More

Abstract Study Objective: To compare the relief of pain obtained in patients with neurogenic low back pain with specific piriformis stretch and with global stretching. Study Design: Randomized Contr ... Read More

Abstract Background: A high prevalence of newly detected impaired glucose tolerance (IGT) and diabetes mellitus (DM) with acute myocardial infarction (AMI) has been reported. Therefore, the study was ... Read More

Abstract OBJECTIVES: To determine the frequency and severity of erectile dysfunction (ED) in Child Turcot Pugh (CTP) classes of liver cirrhosis using international index for erectile function -5 (IIE ... Read More

Abstract Objective: The aim of the present study was to assess the prevalence of hypertension in adult patients presenting with headache. Place and duration of study: Private clinic of the author fr ... Read More

Abstract Objective: To assess the efficacy, cytopathologic diagnostic criteria, and clinical importance of our smear results. Methods: The conventional smear reports of 7167 patients whose smear spe ... Read More

Abstract Study Objectives: To compare the indoor stay of patients with pneumonia, with and without postural drainage physical therapy technique. To measure the amount of sputum produced before and af ... Read More

Objectives pneumonia (9.5%), Enterobacter aeruginosa To identify common bacterial etiologic agents (4.8%), Staphylococcus aureus (3.9%) and causing urinary tract infection (UTI) among Pseudomonas ae ... Read More

Objective were admitted to cardiac care unit and 924 were To determine the frequency of modifiable risk diagnosed as ACS. Out of these 924 patients, 382 factors in patients with acute coronary syndr ... Read More

Objective hypertension 12 (27.27%), diabetes mellitus 11 To report the outcome of Continuous ambulatory (22.72%), calculus disease 5 (4. 55%), idiopathic peritoneal dialysis (CAPD) in End Stage Rena ... Read More

Objective cases which were apparent by one and three To present our experience with buccal mucosa on- months postoperatively. The first one had severe lay graft for the treatment of anterior urethra ... Read More

Objective squamous intra-epithelial lesion (LSIL) were To assess the efficacy, cytopathologic diagnostic detected in 98 (1.4%), 25 (0.3%), 12 (0.2%) and criteria, and clinical importance of our smea ... Read More

Abstract Objective: to investigate the effects of hormonal contraceptives on the prevalence of metabolic syndrome in women. Methods: The study was conducted on 94 women who used hormonal contracepti ... Read More

Abstract Objectives: To increase the awareness amongst clinicians the possibility of spontaneous extradural Haemorrhage in patients with Hemophilia presenting with the various degree of Neurological ... Read More

Abstract Objective: To assess perception and performance of students in order to evaluate outcome of Neuro Physiology lab course in learning of Physiology. Materials & Methods: The cross sectional ... Read More

Abstract Acute injury to the thoracic aorta is a life-threatening and devastating complication following blunt chest trauma. The injury can lead to various types of aortic injury including the format ... Read More

Abstract Congenital cholesteatoma is a disease of young. However, it also been reported in adult and also elderly. The theory of cholesteatoma formation is still debatable. Could the late presentatio ... Read More

Abstract We report a case of a 65 year old male patient referred from Prince Haya Military Hospital to King Husain Medical Center as a case of right sided lung abscess. The preoperative diagnosis o ... Read More

Abstract We report a case of a L.E.D bulb with two limbs in the trachea and bronchus of an 8 months old baby girl. She presented with a history of alleged foreign body ingestion. The patient remained ... Read More

Abstract Objective: The purpose of this study was to increase the awareness of physical therapy in management of Carpal Tunnel Syndrome amongst the clients and clinicians. Methods: A case was selecte ... Read More

Abstract Multiple Small bowel diverticula is an uncommon entity , the disease is usually asymptomatic and often dignosed when complicated, a triad of epigastric pain, abdominal discomfort, and flatul ... Read More

Abstract Appendicitis is the commonest abdominal surgical emergency. It is caused usually by obstructing fecaliths which might drop in the peritoneal cavity due to perforation or during laparoscopic ... Read More

Abstract Rawal Medical Journal An official publication of Pakistan Medical Association Rawalpindi Islamabad branch Established 1975 Volume 37 Number 2 April – June 2012 ABSTRACTS 6th Annua ... Read More

Abstract Delta hepatitis has been known worldwide and prevalence is decreasing in European and more advance countries while in the Asia Pacific region, the prevalence is staying the same or increased ... Read More

Abstract Delta hepatitis has been known worldwide and prevalence is decreasing in European and more advance countries while in the Asia Pacific region, the prevalence is staying the same or increased ... Read More

Abstract OBJECTIVES: To determine the frequency of triple hepatitis in HBsAg positive patients and observe the effect of triple hepatitis infection on liver function test and radiological parameters. ... Read More

Abstract OBJECTIVES: To determine the frequency of triple hepatitis in HBsAg positive patients and observe the effect of triple hepatitis infection on liver function test and radiological parameters. ... Read More

Abstract Introduction: Poor sleep quality is reported to be associated with cardiovascular events, road traffic accident, poor academic performance and psychological distress. Objectives: The study w ... Read More

Abstract Introduction: Poor sleep quality is reported to be associated with cardiovascular events, road traffic accident, poor academic performance and psychological distress. Objectives: The study w ... Read More

Abstract C-reactive protein is an inflammatory marker that is synthesized in the liver post tissue injury or infection.it can be positive in any infection either sever or not, but we found it to be s ... Read More

Abstract C-reactive protein is an inflammatory marker that is synthesized in the liver post tissue injury or infection.it can be positive in any infection either sever or not, but we found it to be s ... Read More

Abstract Seropositivity for T. canis was detected in 21 (23.3%) of 90 patients and one subject (2.2%) of 45 healthy controls with a statistically significant difference (p = 0.0017). When the seropos ... Read More

Abstract Seropositivity for T. canis was detected in 21 (23.3%) of 90 patients and one subject (2.2%) of 45 healthy controls with a statistically significant difference (p = 0.0017). When the seropos ... Read More

Abstract OBJECTIVES: To determine the frequency of common factors leading to re-laparotomy in secondary peritonitis. PATIENTS & METHODS: This study was carried out at Department of Surgery Chandka M ... Read More

Abstract OBJECTIVES: To determine the frequency of common factors leading to re-laparotomy in secondary peritonitis. PATIENTS & METHODS: This study was carried out at Department of Surgery Chandka M ... Read More

Abstract Objective: The aim of the study was to assess the outcome after esophageal replacement using gastric pull-up performed in children with esophageal atresia (EA) and tracheoesophageal fistula. ... Read More

Abstract Objective: The aim of the study was to assess the outcome after esophageal replacement using gastric pull-up performed in children with esophageal atresia (EA) and tracheoesophageal fistula. ... Read More

Abstract OBJECTIVE: To evaluate the diagnostic accuracy of fine needle aspiration cytology in a breast lump using histopathology as gold standard. STUDY DESIGN: Cross sectional study PLACE AND DURA ... Read More

Abstract OBJECTIVE: To evaluate the diagnostic accuracy of fine needle aspiration cytology in a breast lump using histopathology as gold standard. STUDY DESIGN: Cross sectional study PLACE AND DURA ... Read More

Abstract Background: A large number of specimens are submitted to histopathology departments for microscopic examination where it is felt that this examination is inappropriately time consuming, cost ... Read More

Abstract Background: A large number of specimens are submitted to histopathology departments for microscopic examination where it is felt that this examination is inappropriately time consuming, cost ... Read More

Abstract INTRODUCTION: Long bone fractures are one of the commonest causes of mortality and morbidity in young population. Interlocking nail is the treatment of choice but requires image intensifier ... Read More

Abstract INTRODUCTION: Long bone fractures are one of the commonest causes of mortality and morbidity in young population. Interlocking nail is the treatment of choice but requires image intensifier ... Read More

Abstract Objectives: To describe the results of managing urethrocutaneous fistulae after hypospadias surgery in children highlighting the best choice of repair. Patients and methods: Retrospective ... Read More

Abstract Objectives: To describe the results of managing urethrocutaneous fistulae after hypospadias surgery in children highlighting the best choice of repair. Patients and methods: Retrospective ... Read More

Abstract Objective To compare the frequency and intensity of a presenting clinical picture between females and males through an acute airway obstruction in our emergency department. Methods Ou ... Read More

Abstract Objective To compare the frequency and intensity of a presenting clinical picture between females and males through an acute airway obstruction in our emergency department. Methods Ou ... Read More

Abstract OBJECTIVE: To compare the efficacy of quilting mucoperichondrial flaps with routine nasal packing in patients undergoing septoplasty. SUBJECTS AND METHOD: One hundred patients were selected ... Read More

Abstract OBJECTIVE: To compare the efficacy of quilting mucoperichondrial flaps with routine nasal packing in patients undergoing septoplasty. SUBJECTS AND METHOD: One hundred patients were selected ... Read More

Abstract This prospective descriptive study was conducted to determine the clinical presentation and treatment outcome of otomycosis, in the department of ENT and Paediatrics at Ghulam Muhammed Mahar ... Read More

Abstract This prospective descriptive study was conducted to determine the clinical presentation and treatment outcome of otomycosis, in the department of ENT and Paediatrics at Ghulam Muhammed Mahar ... Read More

Abstract Objective: To identify causes of embryo implantation failure after Intra cytoplasmic sperm injection (ICSI); by correlation of positive pregnancy outcome with age, number and grading of embr ... Read More

Abstract Objective: To identify causes of embryo implantation failure after Intra cytoplasmic sperm injection (ICSI); by correlation of positive pregnancy outcome with age, number and grading of embr ... Read More

Abstract Proton Pump Inhibitors (PPIs) are among the most prescribed therapeutic agents worldwide. Their role in management of acid related disorders and in critically ill patients at risk for the de ... Read More

Objective To determine the magnitude of vitamin D deficiency in adults in the outpatient setting. Methods This observational study was conducted in the Department of Medicine, Shifa International H ... Read More

Aim: to assess the prevalence of incidental basal ganglia calcifications among patients having a brain computed tomography scan done for other non-related causes. Methods: all brain computed tomograp ... Read More

Objective: To study the prevalence of malarial infections in human population of district Jhal Magsi areas of Pakistan. Patients and Methods: Malarial parasites were identified in the blood slides of ... Read More

Objective: The general objective of this study is to evaluate high school students’ perceptions about nursing. The specific objectives are as follows: 1. To analyze the high school students’ perc ... Read More

Objective To determine the clinical manifestation of congenital cytomegalovirus (CMV) infection and the effect of gancyclovir. Methodology Twenty newborns with congenital CMV infection were admitte ... Read More

Objectives: - To study fasting blood glucose levels in relation with WHR & to compare central obesity in pre and post menopausal women for risk of development of type 2 D.M. Material and Method: Fast ... Read More

Objective: To estimate frequency of Symptomatology in patients of chronic renal failure on hemodialysis. Study design: Cross-sectional descriptive study. Place and duration of study: This study was ... Read More

Objective To determine whether local infiltration using short-acting local anesthetic lidocaine in different concentrations before the surgical incision could reduce pain postoperatively in patients ... Read More

Objectives: To report penile strangulation injuries, their management and outcome of the management. Materials and Methods: 15 consecutive cases of penile strangulation were admitted in our departmen ... Read More

Objectives: To evaluate the outcome of patients with idiopathic frozen shoulder who were treated with intra-articular injection of methylprednisolone. Patients and methods: A Descriptive case- serie ... Read More

Objectives To determine the sensitivity and specificity of clinical and sonographic estimation of fetal weight at term in pregnant ladies Method The study design was validation study and study was ... Read More

Objective To assess the use of midazolam and morphine as premedication for elective intubation in neonates, and to compare the intubation conditions with these combination versus awake intubation. M ... Read More

Abstract OBJECTIVE To compare the efficacy of topical Clotrimazole with 3 % salicylic acid in Otomycosis. SUBJECTS AND METHOD One hundred patients were selected through non-probability convenience ... Read More

Abstract Objective To determine the clinical presentation and out come of Mastoidectomy in Chronic Suppurative Otitis Media (CSOM). Patients and Methods This prospective interventional descriptiv ... Read More

Abstract Enterobius vermicularis (pin worm) is rarely found outside the gastro-intestinal tract. We describe a case of extra-intestinal pinworm in a child presented with intestinal obstruction and Me ... Read More

Abstract Joubert syndrome is a rare autosomal recessive neurological disorder.1 Patients usually present with episodic hyperpnoea, developmental delay, abnormal eye movements and gait abnormalities. ... Read More

Abstract Scar-site metastasis following radical nephrectomy is an extremely rare manifestation and sporadically reported in the world literature, but an issue of concern for the urologists and radiat ... Read More

Abstract Metastasis to the sella turcica and pituitary gland is rare and review of the literature revealed only 12 cases of metastatic thyroid carcinoma involving this site. A 49 year old woman prese ... Read More

Abstract This is a case of 55 years old lady who presented with painless, slow-growing mass over right lateral border of the tongue for eight months duration. Examination revealed 2cm x 2cm mass loca ... Read More

Abstract The environment is different at high altitude compared to that at sea level, especially in partial pressure related to brometric pressure. Therefore, the anesthesia in high altitude like Pam ... Read More

Abstract 17th Annual Cancer Conference March 9-11 Rawalpindi Pakistan ABSTRACTS Rawal Med J 2012;37:70-134 Management of Side Effects of Chemotherapy And Radiotherapy. Dr. Anjum Afshan, PAEC Ge ... Read More


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