Journal of Ayub Medical College, Abbottabad : JAMC
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The caesarean section rate has increased to an alarming extent in the last three decades the world over and fear of rupture of uterus in subsequent pregnancy and labour has led to a high rate of repeat caesarean sections. The objective of this study was to determine the final outcome of a trial of scar and Vaginal Birth After Caesarean Section (VBAC) and develop guidelines to reduce the rate of unnecessary repeat caesarean section. ⋯ More than 75% of the patients with previous one caesarean section for non-recurrent cause can be successfully delivered vaginally. Antenatal booking and follow up, careful case selection for trial of scar and close observations during labour will achieve successful maternal and perinatal outcome. VBAC also saves any future caesarean sections, as currently previous two caesarean sections is an indication for elective caesarean section.
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This study was carried out to determine types and mechanisms of injuries encountered in Ear, Nose and Throat (ENT) regions of children at two localities of NWFP province of Pakistan. ⋯ It is concluded that injuries of ENT in children are different than in adults. The mechanism of these injuries is also different.
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J Ayub Med Coll Abbottabad · Jan 2005
An audit of patients' satisfaction after adult day-case surgery at Ayub Teaching Hospital, Abbottabad.
Day-case surgery has become an important component in the provision of surgical care in the Western countries. This study was done to introduce the concept of day-case surgery and assess the patients' satisfaction after day case general surgery in our set up with vast rural communities lacking medical facilities and no day-case surgery units in the hospitals. ⋯ Patients' satisfaction with day-case surgery in Ayub Teaching Hospital is not high. Short-stay surgery would be more appropriate in our set up.
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J Ayub Med Coll Abbottabad · Jan 2005
Lemierre's syndrome: a forgotten complication of oropharyngeal infection.
Lemierre's syndrome (postanginal sepsis) usually complicates an oropharyngeal infection as septicemia, septic thrombophlebitis of the internal jugular vein, and metastatic lesions, most frequently in the lungs. Fusobacterium necrophorum is the usual etiologic agent. Lemierre's syndrome is not widely known by clinicians. This study aims at creating awareness amongst the clinicians of existence of this potentially fatal but curable clinical entity. ⋯ Widespread use of antibiotics for pharyngeal infections has significantly reduced the incidence. Rare and a forgotten complication, Lemierre's syndrome is potentially fatal. Early diagnosis and prolonged treatment with appropriate antibiotics are usually curative. A high degree of clinical suspicion is necessary for diagnosis. Modern day clinician should be aware of this potentially life threatening clinical entity that may complicate a trivial oropharyngeal infection.