A letter to Editor Biomedica has been written to congratulate and highlight the importance of programs on journalistic writing among health professional. A disconnect between public and health delivery system and healthcare providers can be avoided if medical professionals become involved in writing for community and masses.  Continue Reading

Since the COVID-19 pandemic and now since the vaccination has emerged as a success, many new signs and symptoms are being observed. Although most people with COVID-19 get better within weeks of illness, there is a wide range of new, relapsing, or ongoing health problems that many people may experience for weeks or more after being infected with the virus that causes COVID-19. Even people who did not have symptoms when they were infected can have post-COVID conditions. The most commonly reported of these symptoms are related to the neurological system, including brain fog, fatigue, anxiety, anosmia, and depression. The role of glymphatics in post-COVID brain fog is a widely studied phenomenon. This review will also explore the possible etio-pathogenesis of brain fog in post-COVID-19 patients. Continue Reading

Acute appendicitis is one of the most common surgical emergencies. The clinical diagnosis augmented with the laboratory and radiology reports qualifies the patient for appendectomy. Mistreated patients in emergency, during the acute episode, sometimes present with a mass in the right iliac fossa with adhesions of the omentum and associated peritonitis. Appendico-cutaneous fistula is an uncommon presentation of appendicitis. It may present as a sinus with discharge. We report a case of a young female who presented with appendicocutaneous fistula. Continue Reading

Background and objective: Breast cancer is the most common malignancy in females. Early diagnosis can help in reducing the morbidity and mortality associated with this disease. Sonoelastography has shown to be a valuable tool in early detection of breast cancer. The aim of the study was to evaluate the diagnostic accuracy of combining sonoelastography with mammography in diagnosing malignant solid breast lesions taking histopathology as a gold standard.Methods: A descriptive cross-sectional study was carried out at the Department of Radiology, Shaikh Zayed Medical Complex/Federal Post-Gradaute Medical Institute (FPGMI), Lahore, Pakistan during six months period from 1st September, 2018 to 31st March, 2019. Female patients > 35 years of age and presenting with suspected malignant breast masses were included. Mammography and sonoelastography of the lesions were done. Finally, the patients were referred for tru cut biopsy. Diagnostic accuracy was calculated for mammography, sonoelastography and their combination.Results: A total of 200 female... Continue Reading

Background and Objective: Odontogenic tumors are heterogenous lesions with diverse clinical manifestations and histopathological features. Ameloblastoma is a slow growing, sizeable benign tumor with an increased recurrence potential. Radiographically, ameloblastoma mimics other odontogenic tumors occurring in the same region but can be differentiated based on certain features. The objective of the study was to evaluate the radiographic features and presence of root resorption in ameloblastoma as a diagnostic feature in the local population. Methods: This retrospective hospital-based study was conducted at the Oral and Maxillofacial Surgery Department of Multan Medical and Dental College Multan, Pakistan from 1st Oct 2019 to 31st March 2020. Radiographs of 35 histopathologically confirmed cases of ameloblastoma were included in the study. These radiographs were assessed for site, locularity, and root resorption. Data were processed and analyzed by using SPSS version 23.0 Results: Mean age of the patients was 35.35±18.2 years with male predominance (66% vs.... Continue Reading

Background and Objective: The use of autologous rectus sheath as a sling to correct uterovaginal prolapse in the younger age group has promising results. As this is an infrequently performed procedure in our country, hence this study aimed to assess the effectiveness of using autologous rectus sheath in young patients presenting with uterovaginal prolapse.Methods: A prospective study was conducted at Bakhtawar Amin Trust Teaching Hospital in Multan, Pakistan in which 21 female patients who underwent uterine conservation surgery by using autologous rectus sheath during a period of 2 years were included. All these patients were followed up at 1 week and 6 months after surgery for any recurrence or other complications. Results: The mean age of the patients was 47.09 ± 10.17 years. According to the pelvic organ prolapse quantification classification, 38.1% of patients had first degree, while 61.9% of patients had second-degree prolapse. After surgical correction, only one patient... Continue Reading

Background and Objective: Teaching medical professionalism is considered important for identity formation of healthcare professionals and must be a part of the curriculum at the undergraduate as well as postgraduate levels. Undergraduate students are often ignored in our culture when the question of professionalism comes under discussion and all the importance is usually given to postgraduate students. This study was designed to compare the professionalism among undergraduate medical students of the public and private medical institutes of Faisalabad city, Pakistan.Methods: It was a cross-sectional comparative study conducted in a public and a private medical institute in Faisalabad from September 2021 to November 2021. A total of 462 undergraduate students were included from both colleges. The modified version of Penn State College of Medicine Professionalism Questionnaire for medical students was used to assess seven domains of professionalism among the students. SPSS 23.0 was used for statistical analysis. Results: Response rates of... Continue Reading

Background and Objective: The elderly face various health challenges in later life as their immune defenses deteriorate leaving them quite vulnerable and frail. The situation becomes all the more desperate when the basic health support system is compromised or simply unavailable. This study has been conducted to assess the perceived health status of residents of local old-age homes and their access to available health services.Methods: This cross-sectional study was carried out on 119 elderly subjects living in old age homes (OAHs) in Lahore city of Pakistan. Using the Short Form 36 Health Survey Questionnaire, health-related outcomes of the geriatric population were assessed under eight domains while a self-structured questionnaire was used to determine the level of available health care facilities.Results: The mean age of the study population was 69.88 ± 5.08 years The lowest mean score is observed in the pain domain i.e., 19.20 ± 12.12, whereas a little better... Continue Reading

Background and Objective: Vaginal delivery (VD) is the safest delivery option for the mother and is associated with quick recovery and minimal maternal morbidity and mortality. However, one of the commonest fears among women about VD is pain. This study aims to assess the effectiveness of diclofenac suppositories (per rectum) compared to the intramuscular diclofenac for the pain relief in females after VD.Methods: This prospective comparative was study conducted at the Emergency Section (labor room) of Obstetrics & Gynecology Department in one of the tertiary care teaching hospitals of Lahore, Pakistan. A total of 182 female patients undergoing VD were selected and further divided into group A and group B. Group A was administered rectal analgesia in the form of rectal suppositories (100 mg) immediately after perineal tear (first and second degree only) repair and repeated after 6 hours. While group B received one injection of intramuscular diclofenac, immediately after... Continue Reading

Background and Objective: Dental decays and periodontal diseases are among the most common ailments of the oral cavity. The decayed, missing, and filled teeth (DMFT) index defines the number of the decayed teeth, no of the treated teeth, and the number of teeth missing in oral cavity owing to decay. People’s monthly income and level of education influence their behavior toward oral health. The objective of this survey was to assess the impact of education and monthly income on the caries index of the community of Jahangirabad Multan, Pakistan.Methods: This 3 months survey-based study was conducted among 380 participants from the community of Jahangirabad Multan city. The oral health status of all participants was assessed by using the DMFT index. All individuals with permanent dentition were included in this study.Results: There were 209 (55%) males and 171 (45) females. Age range of the participants was from 15 to 40 years.... Continue Reading