Journal of Ayub Medical College, Abbottabad : JAMC
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J Ayub Med Coll Abbottabad · Jul 2011
Randomized Controlled Trial Comparative StudyComparison of manual vacuum aspiration, and dilatation and curettage in the treatment of early pregnancy failure.
To compare the efficacy, safety and cost effectiveness of Manual Vacuum Aspiration (MVA) with dilatation and curettage (DNC) in the management of early pregnancy failure. ⋯ MVA is as effective as conventional dilatation and curettage for treatment of early pregnancy failure while it causes less blood loss, is less time consuming, requires a shorter hospital stay and thus costs less. It does not require general anaesthesia and complication rate is less than dilatation and curettage.
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J Ayub Med Coll Abbottabad · Jul 2011
Comparative StudySerum transferrin receptor, serum ferritin and serum transferrin receptor-ferritin index in adults with iron deficiency anaemia.
Serum Ferritin (SF) and iron both show acute phase responses to inflammation, so iron may fall and ferritin rise independent of the marrow iron store. Bone marrow iron store has been considered the gold standard, but is invasive, painful and expensive and not suitable for everyone. Serum transferrin receptor (sTfR) which is the concentration of the soluble fragment of transferrin receptor in serum, is an important new haematological parameter. The ratio of sTfR to log SF is known as sTfR-SF index. This study was conducted to evaluate sTfR, Ferritin and sTfR-F Index in diagnosing and differentiating iron deficiency anaemia (IDA) from anaemia of chronic disease (ACD). ⋯ sTfR-SF index is a better parameter than sTfR or ferritin alone but should only be used when the results of these parameters seem altered or a bone marrow aspiration is mandatory for diagnosis of ACD. The estimation of sTfR or index may offer a simple non invasive method that may enable more accurate assessments of iron status in such patients.
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J Ayub Med Coll Abbottabad · Apr 2011
Randomized Controlled TrialClosure of elective abdominal incisions with monofilament, non-absorbable suture material versus polyfilament absorbable suture material.
Closure of abdominal incisions with different suture materials has been a matter of great controversy. Polypropylene and Polylactide with Polyglycolide are among the commonest suture materials used for closure of abdominal incisions. Objectives of this study were to assess optimal suture material used for closure of elective abdominal incisions and to see complications associated with these suture materials. ⋯ Polylactide is an optimal suture material in closure of elective abdominal incisions.
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J Ayub Med Coll Abbottabad · Apr 2011
Health related quality of life after burns: are we really treating burns?
During the last few decades management of burns has undergone positive revolutionary change. Today, over 50% of all patients with burns involving 80% of their total body-surface area can survive. Although the objective assessment by attending physician can well define a patient's degree of health, the patient's subjective perceptions and expectations that can influence burn survivors experience of their life is much more important. ⋯ The level and quality of multidisciplinary rehabilitation that these victims needs is very low as compared to developed countries. These patients need long-term professional, psychological, and social support.
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J Ayub Med Coll Abbottabad · Apr 2011
Faculty and students' perception about aptitude of professionalism in admission process of medical college.
Historically, knowledge and skill were of prime focus in medical education, where as professionalism was perceived as an attribute to be acquired during their MBBS studies. In the past decade, trends have changed and graduating medical students are expected to competently deliver care in a professional manner. The selection of applicants with professional attributes at the time of admission is a stepping stone for the formation of a good doctor. This study was conducted to determine the students' and faculty's perception about aptitude of professionalism in the admission process in our setting. ⋯ Medical Colleges should include some form of assessment regarding aptitude of professionalism in the admission process to identify future medical students' capacity for professional behaviour. Future studies are needed to determine innovative interview strategies for this purpose.