Background/Aim:To compare outcomes of light and heavy weight mesh for repair of inguinal hernia.Materials and Methods:This study was conducted at the Department of Surgery; Lady Reading Hospital, Peshawar from January 1, 2007 to December 31, 2008. Patients were divided into two groups based on the type of mesh implanted for inguinal hernia repair. Group 1 included patients in whom light weight composite (VyproII®) mesh is implanted: Group 2 included patients in whom polypropylene (ProleneR) mesh is implanted. Data concerning the complications and post operative pain in the perioperative and postoperative period were collected and analyzed. Categorical data were presented as percentages with 95% confidence intervals and compared using a χ2test and P<0.05 were considered significant.Results:Following allocation and exclusion of violating cases, 111 patients in group 1 and 138 patients in group 2 were analyzed. The mean age in group 1 was 38.20 ± 13.34 years and in group 2 was 39.55 ± 13.70 (P = 0.434). In group 1, hematoma formation was observed in four cases (3.6%), while it was observed in six cases (4.2%) in group 2 (P = 0.766). During the entire study, ten patients in all developed urinary retention, three of which required transient catheterization. One year post operation, there was a recurrence in only five cases overall, while only two patients complained of pain (P = 0.826).Conclusion:The frequency of postoperative pain and complications in patients was similar in both groups.
There are various safe non-pharmacologic methods for labor pain management, which mostly decrees suffering of mother and some of them significantly decrease pain too.AimTo assess effect of pelvic tilt by birth ball, sacrum-perinea heat therapy and combination use of them on active phase of physiologic labor.MethodIn this randomized control trial, 120 primiparous volunteer with age 18-35 years, gestational age of 38–40 weeks, in one of hospitals of Iran university of medical sciences were randomly selected and divided in four groups: Pelvic tilt by using birth ball, sacrum perinea heat therapy, combined use of two mentioned methods and control group. Tools had 3 main parts of personal characteristic, client examination form and pain visual analogue scale (VAS). All ethical points were considered.ResultsEquality of four groups had been checked before intervention. Lowest pain score first belong to pelvic tilt by birth ball then combined group and finally in heat therapy, which all were significantly less than control group. Significant decrease of pain had been seen in birth ball group and combined group during after 30 minutes intervention, but in the heat therapy group, it was seen after 60 minutes intervention (P-value < 0.05).ConclusionAll three interventions of this study had significant effect and decreased labor pain during active phase, but highest decrease was in pelvic tilt by birth ball group and its effect started after 30 minutes intervention. It is suggested that that Obstetrics and Midwives consider these safe methods for labor pain management.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Background: Males often suffer from the genitourinary disorder known as benign prostatic hyperplasia (BPH) also known as benign prostate enlargement (BPE). Various studies observed association between cardiac problems and benign prostate enlargement. Objective: To find out frequency of cardiovascular problems in patients with benign prostate enlargement Methodology: The current study was cross sectional carried out at the Urology Department, Fauji Foundation Hospital Peshawar Cantt. The study duration was twelve months from January 2021 to January 2022. All the collection of data was done by using pre-designed Performa. A consultant cardiologist assessed all the enrolled patients for the cardiovascular problems. All the data analysis was done by SPSS version 23. Results: In the current study, the frequency of hypertension was 28 (23.33%) patients. Out of 28 hypertensive patients, cardiovascular problems were observed in 13 (46.43%) patients. Decreased ejection fraction was observed in 4 (30.77%) patients, left ventricular hypertrophy in 3 (23.08%), left ventricular failure in 2 (15.38%), ischemic heart disease in 3 (23.08%) and non- significant ECG change was observed in only 1 (7.69%) patient. Conclusion: Our study concludes that the frequency of hypertension and cardiovascular problems are high in patients with benign prostate enlargement. To avoid unintended cardiovascular events, such individuals should be thoroughly evaluated. Keywords: Cardiovascular problems; Benign prostate enlargement; Morbidity
Background: Around 4–15% of people worldwide have urolithiasis, and ureteric stones account for around 20% of this condition. One of the most frequent situations a urologist has to deal with is acute renal colic caused by urolithiasis. Objective: To determine the spontaneous expulsion of lower ureteric stones in patients with elevated level of c-reactive protein Methodology: This descriptive cross sectional study was performed at the urology department Khalifa Gul Nawaz Teaching Hospital, Bannu Medical College Bannu for a period of six months from January 2022 to June 2022. A total of 210 patients were included in the study using non probability consecutive sampling. All patients had lower ureteric stone and raised CRP. Patients were followed till spontaneous expulsion or stone clearance. Data was analyzed using IBM SPSS version 23. Results: A total of 210 patients were enrolled in this study. There were 112(53.33%) were female and 98(46.67%) were male. Patients included in the study had age range from 18- 60yr,mean age was 34.32±7.92 SD. Patients selected in the study had lower ureteric stones ranging from 5-9mm. mean stone size was 6.990 mm ±0.92 SD. Mean CRP was 3.36 mg/dl ±1.99 SD. 50 (31.25%) patients with CRP 0.5-4.9mg/dl passed stones spontaneously while 45 (90%) patients with CRP 5-9.9 mg/dl passed stone spontaneously. Conclusion: Serum CRP is a relatively newer marker now increasingly being used for the purpose of predicting spontaneous stone expulsion of small lower ureteric stones. However current evidence still does not support CRP levels alone to be recommended for this purpose. Clinical assessment of every individual patient is still the mainstay of decision for intervention. Keywords: Spontaneous expulsion; lower ureteric stones; c-reactive protein
Introduction: During the Coronavirus Disease 2019 (COVID19) pandemic, there was a global need for online learning. Numerous publications were observed both in favour of and against online platforms, but most of them were qualitative. Now that the pandemic is over, we aimed to explore the effectiveness of online teaching compared to offline teaching. Aim: This study aimed to descriptively compare the performance of medical students in online versus offline class teaching of the Obstetrics and Gynaecology course. Materials and Methods: This quantitative retrospective casecontrol study was conducted in the Department of Obstetrics and Gynaecology at College of Medicine, Qassim University, from July 2022 to January 2023. The academic year 2018/2019 was considered the control group (August 2018 to June 2019, offline teaching), and the year 2020/2021 was considered the case group (online teaching, August 2020 to June 2021). A total of 123 students had the Obstetrics and Gynaecology course delivered online, compared to a control group of 115 students who had the same course offline. Chi-square test was applied to analyse categorical variables, considering a p-value <0.05 as significant. Results: The measured outcomes included overall students’ performance in terms of marks and grades, as well as performance in relation to gender and attendance rates. Overall, students’ grades and attendance were higher in the online group (p=0.004 and p=0.03, respectively), which was more evident among male students (p=0.009). Conclusion: The findings suggest that medical students’ performance in online learning is comparable to or better than face-to-face teaching. Further research is needed to explore the performance of male students compared to female students.
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