JPMA. The Journal of the Pakistan Medical Association
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Treatment of traumatic unstable thoracolumbar junction fractures with transpedicular screw fixation.
To assess the effectiveness of transpedicular screw fixation in neurological recovery and pain control in thoracolumbar junction injuries. ⋯ Thoracolumbar junction injuries are common in young male patients. Transpedicular screw fixation is useful choice for achieving better neurological recovery and good pain control in traumatic thoracolumbar fractures.
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To observe the effect of Pulsed radiofrequency on patients presenting with complaints of chronic pain. ⋯ P Pulsed Radiofrequency implementation was found to be an effective and safe method for chronic pain treatment in our centre.
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To explore the perceptions and the effects on mentors regarding mentoring medical students at Bahria University Medical and Dental College, Karachi, Pakistan. ⋯ The perception of mentors about the structured mentoring programme subjectively appears to be a promising strategy for young medical students. Objective assessment of these mentors is needed.
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To evaluate paediatric regional anaesthesia applications in 2200 children at Diyarbakir Children's Hosptial, Turkey. ⋯ In paediatric anaesthetic practice, caudal epidural block is used widely. However, paediatric regional anaesthesia should be supported and developed further by obtaining essential materials and devices. Variety of both neuraxial blocks and peripheral nerve blocks under sedation/general anaesthesia should also be increased.
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Glycated haemoglobin is formed by simple chemical reaction between haemoglobin and blood glucose. It represents a reliable and moving average of blood glucose over preceding three months. In 2009 the International Expert Committee recommended the use of HbA1c to diagnose diabetes with a cut-off of 6.5%. ⋯ The DCCT reported significant reduction in retinopathy and nephropathy in T1DM, the follow up trial EDIC demonstrated 42% reduction in CVD with intensive reduction of HbAlc. This review is written to remind ourselves of the importance of this simple test which can predict early CV mortality in patients without prior CVD and poor prognosis in established cardiovascular disease. In a country like ours, Pakistan; where diabetes is prevalent with poor health awareness and limited resources, a test like HbA1c which costs Rs, 500.00 twice a year should be considered a cost effective way to avoid the long term diabetes complications, which once start unfolding put enormous burden on already stretched healthcare resources which could easily be avoided by intensive control of diabetes.