Pak J Med Sci
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Patient risk stratification is the cornerstone of COVID-19 disease management; that has impacted health systems globally. We evaluated the performance of the Brescia-COVID Respiratory Severity Scale (BCRSS), CALL (Co-morbid, age, Lymphocyte and Lactate dehydrogenase) Score, and World Health Organization (WHO) guidelines in Emergency department (ED) on arrival, as predictors of outcomes; Intensive care unit (ICU) admission and in-hospital mortality. ⋯ BCRSS depicted better prediction of in-hospital mortality and ICU admission. Prospective studies using this tool are needed to assess its utility in predicting high-risk patients and guide treatment escalation in LMIC's.
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To assess the knowledge of medical doctors about osteonecrosis who prescribe radiotherapy and bisphosphonates and dentists who receive these patients with such risk factors. ⋯ The inadequate awareness of dentists and physicians about the prevention and management of osteonecrosis of jaw is alarming. Efforts should be undertaken to raise the knowledge of dentists and physicians in this regard.
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To present and validate psychometric properties of Urdu version CLDQ, yet another objective was to do exploratory factorial analysis (EFA) of CLDQ Urdu version. ⋯ Urdu CLDQ version is validated in our settings. EFA resulted in reductions in number of domains and items. CLDQ Urdu showed that quality of life decreases significantly with Child Class.
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The ABO gene locus has been identified to be associated with myocardial infarction in patients with coronary heart disease. The primary focus of this hospital-based study was to explore the relationship of ABO blood groups and ABO genotypes with acute myocardial infarction (AMI) in Karachi, Pakistan. ⋯ Our hospital-based study indicates that ABO genotype BB was significantly associated with the risk of AMI. This harmful effect of the BB genotype could have a possible relationship with AMI's development in the Pakistani population.
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COVID-19 has been negatively affecting the world for a long time. This situation can trigger mental problems such as uncertainty, anxiety, stress and depression throughout the society. The aim of our study was to search the effect of the psychological distresses caused by the COVID-19 pandemic on healthcare workers (HCWs) on happiness. ⋯ In the HCWs, it was found that CORPD was related with the variables of gender and get vaccinated, CAS was related with the variables of economic status, profession and get COVID-19, and OHQ-SF was related with economic and marital status. It was found that anxiety and psychological distress did not affect the level of happiness. It is recommended to follow up the negative effects of the pandemic, such as anxiety, fear on the future lives, professional functions, and family life of the HCW.