N/A Continue Reading

N/A Continue Reading

Cytostatic activities of water and organic extracts prepared from medicinal higher plants including Ducrosia anethifolia should be analyzed by taking into account the “hidden” magnetic isotope effects of stable metal isotopes (25Mg, 43Ca, 67Zn …) pre-(bio) fractionated in the plant tissues. A multi-collector inductively coupled plasma mass spectrometry (MC – ICPMS) might be successfully employed to reveal and detail this specific peculiarity for further pharmacological applications. Continue Reading

N/A Continue Reading

Ectopic pregnancy is a pregnancy in which blastocyst is implanted at a site other than the endometrium. When it is partially or completely implanted with in the scar it is known as caesarean scar ectopic pregnancy (CSP). It is a very rare form of the ectopic pregnancy and most of the literature available is in the form of case reports and case series. In the succeeding report of a case, a 31 years old gravida-4 para-2 with one miscarriage and one caesarean section presented in emergency department with the amenorrhea of 9 weeks and 5 days. She had moderate abdominal pain and vaginal bleeding. After in-patient evaluation she was diagnosed of having viable CSP, necessitating termination of pregnancy. The challenge after the diagnosis was to remove the CSP and retain future fertility without increasing the morbidity. Uterine artery embolization (UAE) followed by the laparotomy and excision of the ectopic pregnancy was... Continue Reading

Periodontal disease is one of the most common diseases affecting oral health causing alveolar bone loss, tooth loss and bad breath with much prevalence in the age group of 35 – 44 years. Remedies such as toothpastes and mouthwashes are available in the market for its cure however; these are associated with side effects such as tooth staining by chlorhexidine-based mouthwash and altered taste sensation. Excessive use of mouthwashes also alters the normal biological flora of the oral cavity. Therefore, herbal alternatives for the cure of periodontal disease may be of an effective therapeutic significance with less side effects on oral and systemic health. This review summarizes the effective role of herbal medicaments such as Acacia nilotica (gum Arabic), Aloe barbadensis (Aloe Vera), Salvadora persica (Miswak), Eugenia caryophyllata (Clove), Nigella sativa (Kalonji), Azadirachta indica (Neem) and Propolis resin (Bee Glue) in the treatment of periodontal disease, thus emphasizing the current... Continue Reading

ABSTRACTBackground and Objective: Consumption of Coca-cola and Pepsi-cola has harmful impact on human health. Currently, scant data is available regarding effects of carbonated beverages on female reproductive system. This study was aimed to investigate the effects of carbonated beverages on uterine development and expression of follicle stimulating hormone receptor in mice model. Methods: A total of 150 female Kunming mice weighing 20.36 ± 2.28 gm. were divided into five groups with  30 mice in each group. Groups COC-1 and COC-2 mice were given 50% and 100% Coca-cola per oral respectively for 25 days. Groups PEP-1 and PEP-2 mice were given 50% and 100% Pepsi-cola per oral respectively. Control group (CG) mice were given tap-water per oral. Western blotting was done to  ascertain the levels of Follicle Stimulating Hormone Receptor (FSHR) protein in ovaries. Follicle  Stimulating Hormone (FSH) levels were measured by ELISA kit.Results: The weight of uterus in the groups COC-2... Continue Reading

Background and Objective: Obesity is the adverse outcome of modern living which has affected both the physical and mental health. Slim Smart and Ultra Slim Plus are the most frequently purchased over the counter products by desperate obese persons in Pakistan having Garcinia cambogia (GC) as the main active ingredient. This study is conducted to determine the effect of GC containing Slim Smart and Ultra Slim Plus drugs on the morphology of hepatocytes in male albino mice. Methods: Ninety albino mice were divided into control group A, experimental groups B and C receiving Slim Smart and Ultra Slim Smart respectively. Each group was further divided into subgroup I and II and the drug was administered to experimental groups for 4 and 8 weeks respectively via oral gavage. After the completion of experiment, histological examination of liver was conducted. Results: Marked enlargement of hepatocytes was observed in experimental groups B and... Continue Reading

Background and Objectives: Breast lumps can be diagnosed in a short time by fine needle aspiration cytology (FNAC). Moreover, being cost effective, it is rendered the first choice by surgeons and patients.This study was carried out to outline the spectrum of breast lesions on FNAC in patients presenting with breast lumps in two tertiary care teaching hospitals of Punjab.Methods: A cross sectional descriptive study was conducted from January, 2018 to October, 2019.Hundred cases of lumps in breast were taken from Sahara Medical College and Sughra Shafi Medical Complex, Narowal and Lahore General Hospital, Lahore. Cytological diagnosis was made and correlated clinically and histologically. Data analysis was done by Statistical Package for the Social Sciences (SPSS) version 24.0 and expressed as frequency and percentages.Results: Majority (58%) of cases were Class-2 smears on cytology while 11% were malignant andbelonged to Class-5. Among the benign lumps, fibroadenoma was the most common (55.1%) followed... Continue Reading

Background and Objective: Extrapulmonary tuberculosis occurring in breast is a rare disorder in West but is still present in developing nations where tuberculosis is endemic. Tuberculous Mastitis (TM) is difficult to diagnose as it has vague clinical symptoms and insufficient radiological findings. The objective of this study was to determine the frequency of tuberculous mastitis by accessible modalities for early diagnosis.Methods: After the Institutional Ethical Board approvals, Pathology laboratory archives and medical records of 5000 patients from Ibn-e-Sina Hospital Research Institute, Multan and Multi Test Laboratory, were retrieved from the year 2008 to 2018. A retrospective analysis of fine needle aspiration cytology (FNAC) results of patients who presented with breast lumps was carried out. The interpretation of cytological findings and Ziehl Neelsen stained smears was carried out by cytopathologists and microbiologists respectively. Mycobacterium DNA was detected using polymerase chain reaction (PCR) in selected cases.Results: Out of 5000 patients, tuberculosis was... Continue Reading

Background and Objective: Platelet transfusion is one of the most crucial therapeutic approaches in medicine. Single Donor Platelets (SDP) are being preferred because of higher platelet count per unit,leukocyte reduction during collection and fewer donor exposures thus reducing the risk of infection and alloimmunization. This study was conducted to compare Haemonetics MCS plus with Baxter CS3000 plus cell separator in terms of processing time, quality of platelet concentrates, donor experience and individual choice.Methods: Two hundred platelet pheresis procedures performed on Haemonetics MCS plus during a period from January 2018 to August 2019 were compared with the same number of procedures performed using Baxter CS3000 plus cell separator from July 2015 to April 2019.Results: The mean platelet count of the product was higher with Baxter, 1741.6 ± 347 x 103/μL ascompared to1676 ± 301 x 103/μL with Haemonetics. No significant difference between the two instruments was observed regarding processing time, product... Continue Reading

Background and Objectives: Diagnostic issues arise in everyday practice to reach a conclusive diagnosisafter cytological evaluation of smears. This study was designed to determine the diagnostic accuracy of cell block technique by comparing with conventional cytological smears in cytopathological diagnosis of serous effusions.Methods: This study of diagnostic accuracy comprising of one hundred clinically and radiologically proven cases of pleural and peritoneal effusions was conducted in the Department of Pathology, Rashid Latif Medical College Lahore over a period of one year (January 2018 to January 2019). Non-probability, purposive sampling technique was used. Diagnostic accuracy of conventional cytological smear and cell block was compared using histopathology as gold standard.Results: The sensitivity, specificity, positive predictive value and negative predictive value of conventional cytological smear and cell block method was 78.40%, 69.20, 87.90%, 52.90%, and 94.6%, 88.5%, 95.90%, 85.20% respectively. Diagnostic accuracy of cytological smears was 76% as compared to 93% of cell block... Continue Reading

Background and Objective: Autism belongs to a complex neurodevelopmental disorder. The lack of knowledge about dietary practices of autistic caregivers is perceived as the triggering factor of ‘Autistic Spectrum Disorder (ASD). In this particular ‘Knowledge, Attitude and Practice (KAP) Survey’ the knowledge (K) of nutrition, attitude (A) of children towards such nutrition and dietary practices (P) among the caregivers of autistic children. The pre-testing and post-testing for knowledge has been observed. Theknowledge questionnaire was designed to facilitate the caregivers to determine their knowledge regarding the dietary patterns of autistic children.Methods: This quasi-experimental study comprised of 50 caregivers (particularly mothers, and fathers in a few instances) of autistic children enrolled at Amin Maktab Center for Special Education Lahore. The nutrition education program was developed and participants were enrolled. Analysis of the change in knowledge, attitude and practice of autistic caregivers through pre-testing and post-testing at a gap of four months was... Continue Reading

Background and Objective: Measurement of learning environment is a big challenge in medical education due to complex nature of educational environment such as interaction between students and teachers, learning venue, use of multimedia and other modalities. Introduced in 1997, Dundee Ready Educational Environment Measure (DREEM) is claimed to be a cultural free tool to measure educational environment at undergraduate level. DREEM has been translated and validated in different languages but no study has reported DREEM translation and validation in Urdu Language. This study was carried out to determine validity of Urdu translation of DREEM inventory at an undergraduate medical college in Lahore.Methods: This cross-sectional study was carried out at University of Health Sciences Lahore and Fatima Jinnah Medical College Lahore over 2 years (2015-2016) after approval by Institutional Review Board of University of Health Sciences Lahore. Data was collected from 325 undergraduate students using survey method. Urdu translation of DREEM... Continue Reading

Background and Objectives: Treatment of early breast cancer involves surgery, chemotherapy and radiation therapy. Present study was designed to describe the cosmetic outcome, prognosis, recurrence rate and complications after breast conservative surgery in patients with early breast carcinoma.Methods: A descriptive study was carried out at Surgical Unit III of Fatima Jinnah Medical University (FJMU), Lahore, Pakistan. A total of 54 female patients diagnosed with early breast carcinoma were included from July 2015 to January 2019. All of these patients underwent breast conservative surgery with axillary level II dissection or sentinel lymph node biopsy. Frozen section technique was used to evaluate clear surgical margins per operatively. These patients were followed up for a period of 12 months.Results: Mean age of the patients was 49.6 ± 11.3 years. Stage I disease was found in n = 17 (31.5%) females while stage II in n = 37 (68.5%) patients. Most of the patients... Continue Reading