Objective: To determine frequency and severity of hepatic dysfunction in adult chickenpox patients admitted in our hospital. Material and Methods: This was a hospital based descriptive study conducte ... Read More
Objective: To determine frequency of Barrett’s esophagus in patients with symptoms of gastroesophageal reflux disease (GERD). Patients and Methods: The Prospective, observational study was conducte ... Read More
Objective: To observe the association of blood transfusion and clinical outcome in cardiac surgery patients. Material and Methods: Forty patients underwent cardiac surgery during a period of two mont ... Read More
Objective: To find the drug dependence distribution in patients of different segments of community and their level of knowledge and health awareness. Patients and Methods: This cross sectional study ... Read More
Objective: To assess the level of parenting stress and associating factors of stress in parents rearing children with autism. Materials and Methods: The sample included 60 parents (30 fathers, 30 mot ... Read More
Objective: To examine the relationship between temperament, parenting style and behavior problems in preschool children. Method: Data was gathered from mothers of 600 preschoolers using the Child Beh ... Read More
Objective: To evaluate the cytological accuracy of fine needle aspiration (FNA) of solitary thyroid nodules in correlation with post-surgical histological findings. Patients and Methods: A total of 1 ... Read More
Objective: To evaluate the outcome and complications of Percutaneous Retrogasserian Glycerol Rhizolysis (PRGR) in intractable trigeminal neuralgia. Patients and Methods: The patients who were poor ri ... Read More
Objective: To determine the correlation of skull fracture with extradural hematoma in head injury patients presenting to a tertiary care hospital in Pakistan. Patients and Methods: This descriptive s ... Read More
Objective: To determine the awareness and use of Complementary and Alternative Medicine (CAM) among General Practitioners (GP’s) and Medical students in Islamabad/ Rawalpindi area. Subjects and Met ... Read More
Objective: We aimed to assess the efficacy, safety and longevity of the effect of supratarsal injection of intermediate acting steroid triamcinolone acetonide in the management of recalcitrant vernal ... Read More
Objectives: To determine the learning styles of medical students in a medical college in Pakistan and to match the learning styles of students with the instructional strategies in clinical classes. M ... Read More
Death and Dying are an important part of the development process and especially death is an event that occurs at the end of the dying process. But the management of death is a controversial topic beca ... Read More
Shifa College of Medicine, Islamabad, Pakistan in its quest for excellence in medical education has adopted an integrated medical curriculum approach where basic and clinical science subjects have bee ... Read More
Objective: To determine the effect of training on medical students’ capabilities in performing cutdown and inserting chest tube in clinical skill department. Material and Methods: A questionnaire ... Read More
Objective: To analyze the citation pattern adopted by the Rawal Medical Journal (RMJ) for the year 2006. Methods: Citations of articles published in the RMJ during the year 2006 were collected and an ... Read More
The patient is a 19-year-old man, brought to the emergency department with loss of consciousness. Apparently the patient was a homeless found on the street. Vital signs at the first visit were Blood P ... Read More
We report a case of extensive myocardial calcification in a 19 years old male. This rare condition is associated with metastatic deposition, infarction or other endocrine disorders and in this patient ... Read More
We treated a 37 years old female who has essential thrombocytosis and developed NSTEMI with GPIIb IIIa inhibitors in addition to standard treatment with dual anti platelet therapy, low molecular hepar ... Read More
Congenital nephrotic syndrome is a rare disease in Iran but co morbidity with cardiac malformation in two consecutive male siblings with pulmonic stenosis, closed VSD, severe PS with small ASD and sev ... Read More
Progeria is characterized by premature aging and the clinical manifestations part of the well known Hutchinson-Gilford syndrome. We present the first known case of Progeria in Pakistan. (Rawal Med J 2 ... Read More
Minimally invasive surgery (MIS) has revolutionized the management of surgical disorders in a very short period of time. It has moved the focus of surgery towards reducing the morbidity without compro ... Read More
Objective: We studied factors responsible for compliance of medical treatment among compliant and non-compliant Tuberculosis (TB) patients referred to Urmia health centers in West Azarbaijan, Iran. M ... Read More
Objective: To compare the smear stained by Ziehl-Neilsen (ZN) and Lowenstein–Jensen (LJ) medium for the detection of Mycobacterium tuberculosis in clinical samples from different categories. Materi ... Read More
Purpose: To assess the results of surgical therapy of esophageal carcinoma and it’s differences between young and old patients Methods: For a 16 year period from February 1989 to January 2005, 335 ... Read More
Objective: To describe possible complications of thoracostomy tube insertion and common pitfalls regarding the management of the under water seal system. Methods: This descriptive study was conducted ... Read More
Objective: To determine the incidence, risk factors, mortality, and causative organisms of Nosocomial Pneumonia (NP) in patients with endotracheal (ET) tube, with or without mechanical ventilation. M ... Read More
Objective: To find the workload of radiology department consisting of chest x-ray, clinical notes writing trends, and, percentage of radiographs showing abnormalities, Material and Methods: One Thous ... Read More
Objectives: To evaluate the diagnostic value of ultrasound in detecting intraabdominal injuries in patients with blunt abdominal trauma. Patients and Methods: The study was conducted in the departmen ... Read More
Objective: To determine the conversion rate of laparoscopic cholecystectomy (LC) and its causes at Isra University Hospital, Hyderabad, Pakistan. Methods: This was a retrospective study carried out a ... Read More
Objective: To evaluate the feasibility, safety and efficacy of laparoscopic repair of inguinal hernia in pediatric age group. Patients and Methods: A total of 401 laparoscopic inguinal herniorrhaphie ... Read More
Objective: To compare the out come of laparoscopic and open appendicectomies in terms of operative time, analgesic requirement, postoperative complications, hospital stay, return to normal activity an ... Read More
Objective: To describe our experience of Lichtenstein repair in a community based teaching hospital. Patients and Methods: This prospective study included patients presenting to the surgical outpatie ... Read More
Objective: To study success rate and long term efficacy and complications of the transscleral diode laser Cyclophotocoagulation in refractory glaucoma. Patients and Methods: In a noncomparative inter ... Read More
Objective: To evaluate a technique for Closure of large Septal Perforation (SP) by Split-Thickness Skin Graft and Cartilage. Methods: In this prospective study carried out from March 2000 to March 20 ... Read More
Objective: To study the presence and possible quantitative differences of matrix metalloproteinase-2 (MMP2) and its endogenous inhibitor, tissue inhibitor metalloproteinase-2 (TIMP2) and connective ti ... Read More
Objectives: To evaluate the effects of malaria on Platelet count. Patients and Methods: This observational Study was carried out at the private clinic of author from January 2006 to December 2006. Tw ... Read More
Objective: To determine the efficacy of methotrexate in medical treatment of the ectopic pregnancy. Methods: This cross sectional study was conducted at Royal Medical Services Hospitals (RMS, Jordan) ... Read More
Objectives: To study the outcome of pregnancy related acute renal failure. Patients and Methods: This observational interventional study was conducted in Nephrology unit, DHQ Hospital, Gomal Medical ... Read More
Objective: To examine the determinants of choice of treatment outlets for infertility among infertile patients in Osun State, Nigeria Methods: A Cross-sectional survey was carried out from August 200 ... Read More
Objective: To determine incidence of different types of urogenital fistulae, their frequency and success rate of different methods of repair. Patients and Methods: This descriptive study was conducte ... Read More
Objective: The aim of this study was to determine the hemoglobin value of Jordanian subjects over 40 years who live in Amman and its surrounding areas. Methods: A prospective survey of the level of ... Read More
Objective: We studied finder needle use in Internal Jugular Vein (IJV) catheterization and complications rate in adult cardiac surgery. Methods: A prospective study was carried out for 3 month perio ... Read More
Objective: To investigate whether ‘theory of mind’ is impaired in autistic children. Materials and Methods: This is a cross sectional double blind study performed during years 2006 and 2007 in N ... Read More
Objective: To observe the response of General and colorectal surgeons of Ireland regarding fast track surgery. Methods: A questionnaire was mailed to general and colorectal consultant surgeons in al ... Read More
Objective: To study the prevalence of refractive errors in school children (12-17 years) of Tafila city. Methods: This cross-sectional study was conducted in schools of Tafila city from September 2 ... Read More
Objective: To ascertain the prevalence of Helicobacter pylori infection in gastroduodenal diseases in Pakistan. Methods: It was a prospective study carried out in a tertiary care referral centre for ... Read More
Objective: To evaluate the liver biopsies of patients with chronic viral hepatitis and autoimmune hepatitis based on age, gender, clinical features with staging and grading of disease. Material and ... Read More
Objective: To determine the common visual field defects in open angle glaucoma patients (POAG). Patients and Methods: A descriptive and cross-sectional study design compared the distribution of vis ... Read More
Objective: The purpose of this study was to assess teachers who are teaching in clinical skills department regarding different aspects from medical students’ perspectives. Material and Methods: Th ... Read More
Objective: The aim of this study was an assessment of clinical skills department regarding different aspects, from medical student’s perspectives in 2006. Material and Methods: A questionnaire whi ... Read More
CASE SCENARIO A 5-year-old child presented to the clinic with the complaints of abdominal pain for 4 days. The pain has been griping, intermittent, mostly central and has increased over last 48 hours ... Read More
We report a 19 years old patient, at 32 weeks of gestation, with severe peripartum cardiomyopathy, in heart failure and pulmonary edema. General anesthesia was induced with etomidate and maintained ... Read More
We report a 13-year-old girl with acute pulmonary edema due to severe acute Mitral regurgitation because of rupture of Mitral valve´s posteromedial papillary muscle. She had normal mitral valve with ... Read More
A 6 year old girl is with recurrent stroke is described which was diagnosed as Moyamoya disease, emphasizing the need to recognize the condition and treat them early. (Rawal Med J 2008;33:115-117). ... Read More
We report a 19 years old woman who, in addition to a large, short, window-like Patent Ductus arteriosus (PDA), had pulmonary artery hypertension and multivalvular heart disease. After a pulmonary art ... Read More
A case of of foot wound successfully treated with vacuum assisted closure is described. (Rawal Med J 2008;33:121-122). Key words: VAC, wound reconstruction, skin grafting. ... Read More
A case of of foot wound successfully treated with vacuum assisted closure is described. (Rawal Med J 2008;33:121-122). Key words: VAC, wound reconstruction, skin grafting ... Read More
We report anesthetic management of a 34 years old, term pregnant woman, for elective cesarean section, who had congenitally corrected transposition of the great arteries (CCTGA), associated with sev ... Read More
A 7 years old child presented with gradually increasing loss of vision along with swelling and redness of his left eye for 2 years. Enucleation revealed a whitish tumor mass in the anterior chamber. ... Read More
1. Bilateral minimal infiltrates are seen in the para-cardiac region. 2. Supine and erect abdominal x-rays (Fig 2) revealed large bowel obstruction with fecal impaction in recto-sigmoid colon. Linea ... Read More
Objective: To determine neuro-vascular conflicts as causative agent in idiopathic trigeminal neuralgia. Material and Methods: This prospective observational study was conducted in department of neu ... Read More
Objectives: To study the Redo CABG (Coronary Artery Bypass Graft) in patients admitted in Shahid Rajaei Heart Hospital in Tehran, Iran. Materials and Methods: This study was carried out by reviewing ... Read More
Objective: To study management of post-sternotomy mediastinits with closed irrigation of normal saline solution. Patients and Methods: In this descriptive study, a questionnaire was used. A total of ... Read More
Objective: We sought to examine the association between preinfarction angina and a lower risk of right ventricular infarction (RVMI) in patients with first acute inferior myocardial infarction (MI). ... Read More
Objective: To evaluate seasonal variation in cardiac conductive disorders leading to permanent pacemaker (PPM) implantation. Patients and Methods: Conductive disorders of all patients who had implan ... Read More
Objective: To investigate the effects of two well known antihypertensive drugs captopril and amlodipine on serum uric acid level in type 2 diabetic hypertensive patients. Methods: One hundred hyper ... Read More
Objectives: To document the chemical composition of urinary calculi at our institution. Methods: This descriptive study was conducted at Urology Department, Rawalpindi General Hospital, and IIMC-T R ... Read More
Objective: To evaluate the results of large palatal fistula repair by anterior based tongue flap. Methods: Outcome of palatal fistula repairs by anterior based tongue flap from January 2004 through ... Read More
Objective: To investigate the relationship between atherosclerosis of carotid arteries and coronary arteries. Methods: This was a cross-sectional case control study and 100 patients took part in it. ... Read More
Objective: To describe filling patterns and associated transcriptional aspects in phlebotomy tubes received at PNS Rahat laboratory. Material and Methods: This descriptive study was carried out from ... Read More
Objective: To explore the knowledge, attitude and practices of general community regarding relationship of typhoid fever, diarrheal diseases and hepatitis with unhygienic food, water and un-hygienic ... Read More
Did the WHO slogan, “Health for All by the year 2000,â€1 proves to be true for Pakistan? At the WHO/Unicef conference in Alma-Ata in 1978 the concept of health for all was accepted as a motivatio ... Read More
Objective: To observe the level of serum total calcium, ionized calcium, protein, hemoglobin and platelet counts in breast cancer patients. Subjects and Methods: Fifty patients with breast cancer we ... Read More
Objective: To evaluate the diagnostic value of pleural fluid analysis in tubercular infection in the people with pleural effusion admitted to our hospital. Material and Methods: All patients aged 22 ... Read More
Objectives: To study the demographic details of diabetes patients and their knowledge, attitude and practices (KAP) regarding diabetes in Nepal. Methods: The KAP of the diabetes patients visiting th ... Read More
Background: To assess the effect of fasting plasma glucose (FPG) and two-hour postprandial plasma glucose (2hpp) levels on glycosylated hemoglobin (HbA1C). Methods: In this descriptive, cross-sectio ... Read More
Objective: To determine the pattern of severe intractable headache with the use of topical Glyceryl Trinitrate (GTN) cream for treatment of fissure in ano, necessitating stoppage of treatment. Met ... Read More
Objectives: To determine the knowledge and attitude of medical and non-medical students of Peshawar University regarding HIV/AIDS. Methods: This cross sectional observational study was conducted on ... Read More
Objective: To evaluate the effect of stellate ganglion block and gabapentin on post mastectomy pain. Methods: Sixty patients referred from departments of oncology and surgery to pain clinic were al ... Read More
Objective: To assess relationship of obesity with occurrence of coronary artery disease (CAD) in Iranian patients. Methods: The CAD risk associated with obesity (body mass index 25.0) was assesse ... Read More
Objective: To determine whether venous blood gas values can replace arterial gas values during cardiac surgery. We investigated the correlation of pH, Po2, Base Excess and HCO3 in arterial and venou ... Read More
