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  • 1
    Online Resource
    Online Resource
    Comparative analysis of serum calcium and magnesium as a better predictor in cases of mild and severe pre-eclampsia.
    Independent Medical Trust ; 2020
    In:  The Professional Medical Journal Vol. 27, No. 08 ( 2020-08-10), p. 1722-1727
    Details
    In: The Professional Medical Journal, Independent Medical Trust, Vol. 27, No. 08 ( 2020-08-10), p. 1722-1727
    Abstract: Objectives: The hypertensive disorders of pregnancy (HDP), especially severe preeclampsia are most common cause of neonatal and maternal mortality and morbidity. Alteration in metabolism of calcium and magnesium during pregnancy is considered to be one of etiological factor for pre-elampsia. Study Design: Case-control study. Settings: Departments of Pathology and Gynecology and Obstetrics, Bahawal Victoria Hospital. Period: September 2018 to June 2019. Material & Methods: To compare whether serum levels of calcium or magnesium showed significant change in mild and severe preeclamptic patients as compared to control group. Research population consisted of pregnant females that were divided into three groups. The mild and severe preeclamptic groups comprised of 55 and 26 participants respectively and 45 were included in control group. The serum calcium and magnesium levels were measured in these groups. Results: Maximum numbers of preeclamptic cases were presented at 28-32 week of gestation while severe pre-eclamptic group showed most cases in 33-36 weeks. In both groups, most of cases occurred in multiparous women as compared to nulliparous women. The normotensive group showed serum calcium and magnesium levels of 9.08±0.63 and2.12±0.22mg/dl while mild preeclamptic (mPE) had mean value of 7.91±0.64 and 1.58±0.42mg/dl and measurement were 7.67±0.48 and 1.26±0.44 in cases of severe pre eclampsia (sPE). Serum magnesium levels were significantly lower in sPE as compared to mPE ( 〈 0.0001) while difference was not statistically significant for serum calcium level (0.14). Conclusion: Both decrease level of serum calcium and magnesium might be risk factor in development of preeclampsia with more emphasis on role of low magnesium as a prognostic marker in severe preeclamptic cases.
    Type of Medium: Online Resource
    ISSN: 2071-7733 , 1024-8919
    URL: Article
    DOI: 10.29309/TPMJ/2020.27.08.4228
    Language: Unknown
    Publisher: Independent Medical Trust
    Publication Date: 2020
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  • 2
    Online Resource
    Online Resource
    Frequency of asymptomatic hypocalcaemia in post-thyroidectomy patients: An experience in tertiary care hospital.
    Independent Medical Trust ; 2023
    In:  The Professional Medical Journal Vol. 30, No. 01 ( 2023-01-01), p. 102-106
    Details
    In: The Professional Medical Journal, Independent Medical Trust, Vol. 30, No. 01 ( 2023-01-01), p. 102-106
    Abstract: Objective: To determine the frequency of post-operative asymptomatic hypocalcaemia in patients with total and subtotal thyroidectomy. Study Design: Cross-sectional study. Setting: Department of Surgery, Sheikh Zayed Hospital, Rahim Yar Khan. Period: 1st July 2021 to 30th April 2022. Material & Methods: One hundred and Sixteen post thyroidectomy male and female patients of age 18-50 years were included in the study using consecutive sampling technique and two groups were formed. Group-A included those patients who underwent total thyroidectomy and in Group-B patients underwent sub-total thyroidectomy. Samples for serum calcium levels were collected in gel tube before and 24 hours after surgery. Post-operative Hypocalcemia was defined by serum total calcium 〈  8.5 mg/dL 24 hours after surgery. Patients with symptomatic post-operative hypocalcemia following total or subtotal thyroidectomy or hypocalcemia due to any other reason or systemic disease e.g. renal disease and pregnant females were excluded by history and medical record. Data was analyzed using SPSS 20. Results: In Group A the Mean age was 30.94 ±9.6 years, while those in Group B were 31.59± 11.03 years. In Group A 62 (35.63%) and in 30 (17.245%) of Group B patients respectively were identified with asymptomatic hypocalcemia. A statistically significant difference was seen in both groups. 0.00 is the probability value. Conclusion: When compared to sub-total thyroidectomy, the frequency of asymptomatic hypocalcaemia was substantially higher following total thyroidectomy. Asymptomatic hypocalcaemia after complete or partial thyroidectomy might affect both men and women equally. After subtotal or total thyroidectomy, both younger and older age groups had an equal likelihood of developing asymptomatic hypocalcaemia.
    Type of Medium: Online Resource
    ISSN: 2071-7733 , 1024-8919
    URL: Article
    DOI: 10.29309/TPMJ/2023.30.01.7223
    Language: Unknown
    Publisher: Independent Medical Trust
    Publication Date: 2023
    Location Call Number Limitation Availability
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  • 3
    Online Resource
    Online Resource
    Outcome Comparison of Stapled Versus Hand-Sewn Anastomosis in Elective Gastrointestinal Surgeries : Stapled Versus Hand-Sewn Anastomosis in Elective Gastrointestinal Surgeries
    CrossLinks International Publishers ; 2022
    In:  Pakistan Journal of Health Sciences ( 2022-09-30), p. 165-170
    Details
    In: Pakistan Journal of Health Sciences, CrossLinks International Publishers, ( 2022-09-30), p. 165-170
    Abstract: Bowel loop anastomosis is considered as major part of elective gastrointestinal surgeries. The anastomotic procedures being used now a days include hand sewn and stapled anastomosis. For appropriate gastrointestinal anastomosis, many factors should be considered such as intraoperative duration, restoration of blood supply, restoration of normal function of gastrointestinal tract and decrease tissue damage. Objective: The objective of the study was to compare the outcome of stapler and hand sewn anastomosis in elective gastrointestinal surgeries. Methods: Cross-sectional observational study conducted in department of surgery, Sheikh Zayed Hospital, Rahim Yar Khan from May 1, 2021 to August 31, 2022. Total 60 patients included in study and outcome variables such as anastomotic integrity, duration of procedure, post-operative hospital stay and return of bowel activity compared in hand sewn and stapled anastomosis. Results: The study included total 60 patients out of which 38 (63.33%) underwent stapled anastomosis and 22 (36.66%) underwent hand sewn anastomosis. Age (P value: 0.373), gender (p value: 0.372), anastomotic site (p value: 0.284) and return of bowel activity (p value: 0.331) did not show statistically significant difference between two groups. Anastomotic integrity (p value: 0.025), duration of procedure (p value: 0.002), post-operative hospital stay (p value: 0.037) show statistically significant difference between hand sewn and stapled anastomosis. Conclusions: Stapled anastomosis has better anastomotic integrity, reduced duration of procedure and decreased post-operative hospital stay as compared to hand sewn anastomosis with statistically significant difference between two groups.
    Type of Medium: Online Resource
    ISSN: 2790-9352 , 2790-9344
    URL: Issue
    URL: Article
    DOI: 10.54393/pjhs.v3i04
    DOI: 10.54393/pjhs.v3i04.154
    Language: Unknown
    Publisher: CrossLinks International Publishers
    Publication Date: 2022
    Location Call Number Limitation Availability
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