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  • 1
    Online Resource
    Online Resource
    Impact of COVID-19 Pandemic on the Medical Oncology Department of a Tertiary Care Hospital
    Army Medical College ; 2023
    In:  Pakistan Armed Forces Medical Journal Vol. 73, No. 3 ( 2023-06-26), p. 925-28
    Details
    In: Pakistan Armed Forces Medical Journal, Army Medical College, Vol. 73, No. 3 ( 2023-06-26), p. 925-28
    Abstract: Objective: To assess the degree of impact the pandemic had on the Oncology Department regarding patient visits and elective procedures. Study Design: Comparative pre-post analysis study. Place and Duration of Study: Medical Oncology Department of Combined Military Hospital, Lahore Pakistan, from Oct to Dec 2019 before the pandemic, and then 2020 during the pandemic. Methodology: Data was collected from the Department regarding the number of outpatient visits, indoor admissions, new cases diagnosed, chemotherapies administered, blood transfusions, and various procedures like lumbar puncture, ascitic fluid paracentesis, pleural fluid drainage, etc. Results: Our study showed an overall decrease in all the study parameters. The average monthly Outpatient visits fell by 395 patients (55.6%). The new cases decreased by 25 patients (36.2%). The indoor admissions also came down by 17 patients (42.5%). Furthermore, the procedures performed in the Oncology department were also observed to have decreased. Conclusion: Oncology has suffered dramatically in the face of the COVID-19 pandemic, with fewer patients visiting the hospital for their consultations, follow-ups, as well as treatments. This has resulted in a delay in diagnosis and treatment and has had a severe adverse psychological impact on the patients.Keywords: COVID-19, Elective procedures, Pandemic, Oncology.
    Type of Medium: Online Resource
    ISSN: 2411-8842 , 0030-9648
    URL: Article
    DOI: 10.51253/pafmj.v73i3.8466
    Language: Unknown
    Publisher: Army Medical College
    Publication Date: 2023
    detail.hit.zdb_id: 2923742-7
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  • 2
    Online Resource
    Online Resource
    Thoracic Splenosis - A necessary differential diagnosis for pleural based nodules with history of thoracoabdominal trauma
    Pakistan Journal of Medical Sciences ; 2022
    In:  Pakistan Journal of Medical Sciences Vol. 38, No. 3 ( 2022-01-15)
    Details
    In: Pakistan Journal of Medical Sciences, Pakistan Journal of Medical Sciences, Vol. 38, No. 3 ( 2022-01-15)
    Abstract: Thoracic Splenosis (TS) is a rare medical condition, where there is auto-transplantation of the splenic tissue in the thoracic cavity, often leading to pleural based nodules. Our patient is the first ever case of this condition in Pakistan, and underwent extensive diagnostic procedures as well as medical treatments, before receiving the diagnosis of TS. He underwent HRCT for chronic cough that revealed pleural and mediastinal nodules. This coupled with a vague mass in the testes led to the provisional diagnosis of metastasized testicular tumour, and later a diagnosis of pulmonary tuberculosis was made. However, eventually a 99mTc denatured red blood cell scan confirmed the diagnosis of TS. TS is a benign condition, whereas other causes of pleural nodules are relatively malignant, hence its diagnosis is essential in ruling out malignancies. Among the multiple invasive and non-invasive diagnostic modalities, the gold standard remains 99mTc denatured red blood cell scan, which is a sensitive test that provides an accurate diagnosis and bars the need of multiple invasive procedures. doi: https://doi.org/10.12669/pjms.38.3.4563 How to cite this:Mehmood F, Murtaza MM, Ali S, Ashraf A. Thoracic Splenosis - A necessary differential diagnosis for pleural based nodules with history of thoracoabdominal trauma. Pak J Med Sci. 2022;38(3):---------.  doi: https://doi.org/10.12669/pjms.38.3.4563 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Type of Medium: Online Resource
    ISSN: 1681-715X , 1682-024X
    URL: Article
    DOI: 10.12669/pjms.38.3.4563
    Language: Unknown
    Publisher: Pakistan Journal of Medical Sciences
    Publication Date: 2022
    detail.hit.zdb_id: 2128955-4
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  • 3
    Online Resource
    Online Resource
    Impact of Comorbid Conditions on Severity of Dengue Fever: A Comparative Study
    Army Medical College ; 2023
    In:  Pakistan Armed Forces Medical Journal Vol. 73, No. 4 ( 2023-08-31), p. 1104-1107
    Details
    In: Pakistan Armed Forces Medical Journal, Army Medical College, Vol. 73, No. 4 ( 2023-08-31), p. 1104-1107
    Abstract: Objective: to identify the comorbid conditions associated with an increased risk of severe Dengue in clinically diagnosed patients with Dengue viral infections. Study Design: Comparative cross sectional study. Place and Duration of Study: Dengue ward, Department of Medicine, Combined Military Hospital Lahore, from Oct to Nov 2021. Methodology: Three hundred patients with confirmed Dengue infection were enrolled in the study. These patients were divided into two groups: 150 patients with comorbids (diabetes mellitus, hypertension, ischemic heart disease) and 150 patients without comorbids. The impact of comorbid conditions on the severity of dengue fever was studied. Results: Seventy-three out of the 300 patients had Dengue Fever without warning signs, while 79 out of the 300 patients had Severe Dengue Fever. Almost half of the patients (148) 300 had Dengue Fever with warning signs. The mean age of participants is 45.62±14.06 years. Patients with diabetes mellitus were more likely to develop Dengue without warning signs. Patients with hypertension were more likely to develop severe Dengue. Conclusion: This study showed that comorbid conditions such as Diabetes and Hypertension are important risk factors for developing severe Dengue.
    Type of Medium: Online Resource
    ISSN: 2411-8842 , 0030-9648
    URL: Article
    DOI: 10.51253/pafmj.v73i4.8237
    Language: Unknown
    Publisher: Army Medical College
    Publication Date: 2023
    detail.hit.zdb_id: 2923742-7
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  • 4
    Online Resource
    Online Resource
    Computed Tomography Severity Score in COVID-19: Association with Inflammatory Markers and Patient Outcome
    Army Medical College ; 2023
    In:  Pakistan Armed Forces Medical Journal Vol. 73, No. 2 ( 2023-04-18), p. 448-51
    Details
    In: Pakistan Armed Forces Medical Journal, Army Medical College, Vol. 73, No. 2 ( 2023-04-18), p. 448-51
    Abstract: Objective: To associate CT severity score with inflammatory markers and to determine outcomes of COVID-19 patients admitted to CMH Lahore. Study Design: Comparative cross-sectional study. Place and Duration of Study: Combined Military Hospital, Lahore Pakistan, from Mar to Jun 2021. Methodology: Patients of COVID-19 age 18 and above, with a positive RT-PCR, were included in the study Clinical and radiological data of 200 patients was retrieved and analysed from the hospital registry. Results: In the present study, we studied the role of inflammatory markers in predicting the severity of COVID-19. We have compared the levels of LDH, CRP, IL-6 and serum Ferritin between the two groups. LDH (p=0.015), IL-6 (p=0.001) and Ferritin (p=0.001) were significantly different between the two groups, but CRP was not (p=0.811) significant. Conclusion: CT severity score associates well with the COVID-19 clinical severity. Our data suggest that the chest CT scoring system can predict the severity of COVID-19 disease and significantly associates with inflammatory markers. 
    Type of Medium: Online Resource
    ISSN: 2411-8842 , 0030-9648
    URL: Article
    DOI: 10.51253/pafmj.v73i2.7875
    Language: Unknown
    Publisher: Army Medical College
    Publication Date: 2023
    detail.hit.zdb_id: 2923742-7
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