Journal of Ayub Medical College, Abbottabad : JAMC
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There is a controversy regarding the treatment of lumbar disc herniation. Most of patients with lumbar disc herniation and radiculopathy improve with rest and medicine. Lumbar disc surgery gives rapid relief to the patients with severe root pain in legs. This study was conducted to see the risks and benefits of surgery in single level symptomatic lumbar disc disease. ⋯ Proper selection of patients is necessary for excellent postoperative results in back surgery. Failed back surgery continues to rise with high rate of lumbar spine surgery as many patients are selected inappropriately.
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J Ayub Med Coll Abbottabad · Jan 2012
Frequency of conservatively managed traumatic acute subdural haematoma changing into chronic subdural haematoma.
Traumatic brain injury represents a significant cause of mortality and permanent disability in the adult population. Acute subdural haematoma is one of the conditions most strongly associated with severe brain injury. Knowledge on the natural history of the illness and the outcome of patients conservatively managed may help the neurosurgeon in the decision-making process. ⋯ Certain conscious patients with small acute subdural haematomas, without mass effect on CT, may be safely managed conservatively, but due to high risk of these acute subdural haematoma changing into chronic subdural haematoma these patients should be reinvestigated in case of neurological deterioration.
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J Ayub Med Coll Abbottabad · Oct 2011
Impact of clinical skill lab on students' learning in preclinical years.
As 1st year students have no prior training in handling and facing patients, Clinical Skill Lab (CSL) is the most suitable place to avoid direct doctor/patient interaction. The objective of this study was to evaluate the performance of recently established CSL and its impact on student learning in basic science subjects. ⋯ The performance of CSL in imparting clinical skills, communication skills, history taking and physical examination was satisfactory. The experience of integrating clinical teaching with basic sciences not only improved students' clinical experience reflected by evaluation, but was also rewarding in improving the results of various modules related to anatomy and physiology.
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J Ayub Med Coll Abbottabad · Oct 2011
Predisposing factors, clinical presentation and outcome of repeated aspiration in cerebral abscess through a drainage tube in situ.
Cerebral abscess is a serious and life threatening complication of several diseases. Aspiration of the abscess cavity versus excision of capsule are still in debate for the capsulated, large, superficially located abscesses especially in patients with poor surgical fitness. The objective of this study was to look for the clinical presentation and outcome of patients with repeated aspiration in cerebral abscess through a drainage tube in situ. ⋯ Cerebral abscess is a life threatening condition requiring aggressive management measures. Aspiration of cerebral abscess with repeated aspiration through a drainage tube is a life saving in patients with poor ASA grade with low recurrence of abscess formation and low mortality.
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J Ayub Med Coll Abbottabad · Oct 2011
Pre-hospital management of spinal injuries in a natural disaster.
Spinal injuries are one of the most devastating and crippling conditions known to mankind. Natural calamities follow no rules, and all have the potential of devastating medical and public health resources, earthquakes being the deadliest. The incidence of spinal injuries increases by leaps and bounds in such calamities. Improper pre-hospital management and inadvertent manipulation of the spine during rescue and transfer can aggravate the damage. This study was conducted in order to access the level of pre-hospital care that had been provided to the patients with spinal injuries reaching Ayub Teaching Hospital, Abbottabad after the October 2005 earthquake. ⋯ Poor pre-hospital management of spinal injured patients depicts the lack of emergency preparedness as well as the lack of basic knowledge rescue teams and health care providers about the common trauma management measures. There is a dire need of educating rescue workers and volunteers about spinal injury in order to save lives minimise the secondary damage to already affected spine.