JPMA. The Journal of the Pakistan Medical Association
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This study aims to present an experience in the management and clinical features of 88 children presenting with diabetic ketoacidosis (DKA) from Pakistan. ⋯ Poor compliance was associated with the severity of diabetic ketoacidosis. Paediatric endocrinologists' should ensure that patients and their parents understand the importance of the need for regular insulin injections and regular monitoring of blood glucose.
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Although Emergency Medicine (EM) is an integral part of undergraduate medical curriculum in many countries, it has not been included formally in the MBBS curriculum in Pakistan. Medical graduates are supposed to be able to handle common as well as life threatening emergencies but little has been done to ensure the process to achieve this competence. ⋯ Implementation of standard curriculum will ensure that medical graduates have gained competence in assessing and managing acutely ill patients and dealing with common emergencies. This paper shares the features of an undergraduate EM clerkship which can be used as a template by other medical institutions.
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To estimate the incidence of neonatal tetanus (NT) and to study the factors associated with NT mortality in Dadu district, Pakistan. ⋯ The rate of decline of neonatal tetanus incidence and case fatality was consistent with the impact of routine and supplementary immunization activities. In addition to strengthening maternal tetanus toxoid immunization coverage and hygienic delivery practices, health education focusing on increasing awareness of NT could help reduce NT mortality.
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To investigate the frequency of irritable bowel syndrome (IBS), and symptoms compatible with this condition among male students studying in secondary schools for boys in AlJouf province of Saudi Arabia. ⋯ IBS is common health problem in apparently healthy males studying in secondary schools for boys in AIJouf province of Saudi Arabia. Symptoms suggestive of this condition leading to a negative impact on their quality of life measures, and school performance. Early diagnosis and health education of this condition are imperative.
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The aim of the study was to evaluate the impact of pregnancy-related back pain on quality of life and physical ability in the third trimester of pregnancy. One hundred women in the 28th-40th week of pregnancy were asked to fill out questionnaires including: general questions about background factors, the Katz's Activity's Daily Living Index (ADL), and Short Form of WHO Quality of Life Questionnaire (WHOQOL-BREF). ⋯ It was found that, in the third trimester, pregnant women with back pain (PBP) with low pain intensity and moderate functional limitation did not have an impact on quality of life but decreased physical ability when compared to pregnant women with no back pain (NBP). As the back pain intensity of pregnant women increases, physical ability decreases.