JPMA. The Journal of the Pakistan Medical Association
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Comparative Study
A comparison of severe pre-eclampsia/eclampsia in patients with and without HELLP syndrome.
The relationship of Haemolysis, Elevated Liver Enzymes and Low Platelets (HELLP) syndrome with maternal and perinatal health and its presentation in Pakistani population is not known. ⋯ Women with severe hypertension in pregnancy manifesting with HELLP syndrome show a significantly greater frequency of developing DIC, seizures and acute renal failure. Therefore, their care necessitates intensive monitoring to preclude development of these complications.
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Clinical Trial
Diagnostic evaluation of fine needle aspiration cytology in the management of palpable breast lesions.
A total of 113 fine needle aspirates of the breast masses were evaluated in which the subsequent biopsy or mastectomy specimen were also available for histological examination. The age ranged from 16 to 80 years with a mean of 42 years. ⋯ The cytological diagnoses were compared with the histological results which revealed that the specificity and sensitivity of fine needle aspiration cytology in the palpable breast lesions was 86.1% and 89.2% respectively with a positive predictive value of 93% and efficiency of 88.2%. Similar statistics from other series in which the cytological results of breast lesions were compared with histological results, revealed almost same results which suggest that fine needle aspiration cytology is an effective and accurate technique for the diagnosis and management of palpable breast lumps.
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Inspite of being the products of present system of medical education in Pakistan, the faculty members of Baqai University are generally dissatisfied with it. They have raised their concern on present medical education at various forums. This paper discusses the problems of medical education in Pakistan as elicited by the faculty members of Baqai Medical University. The importance of this study lies in the growing concern over deteriorating standards of our medical education and the strengthening belief that a change in the system of medical education is inevitable.
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The role of supervisors in diarrhoea case management at the Oral Rehydration Therapy (ORT) corners of Sindh was assessed by a random sample of 62 ORT corners in rural and urban areas of Sindh. The supervisors at each facility included, Medical Superintendents, District Health Officers, Senior Medical Officers, Civil Surgeons and Medical Officers. In 65% cases the supervisors were working at the same facility and in 35% the supervisors were based elsewhere. ⋯ In majority of the cases the supervisors did not do anything related to improvement of diarrhoea case management. Supervisors had given some importance to case management in the urban areas and the Diarrhoea Training Units (DTU). The supervision at ORT facilities was found to be at a rudimentary level and it is suspected that this might be adversely affecting the quality of diarrhoea case management.