First, we appreciate the interest of Dr. Bukhvostov et al. 2020 in our article detailing the protocol of cytotoxic activity and chemical analysis of Ducrosiaanethifolia extracts against HLA60 and the suggested comments. Our primary goal, however, was to reveal the cytotoxic activity of D. anethifolia leave and its major chemical constituents. Continue Reading

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Ever since Coronavirus disease 2019 (COVID-19) has been declared a pandemic by World Health Organization (WHO) it has gradually become top cause of morbidity. Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2) possesses the tendency to cause severe symptoms in patients with a weakened immune system. In the setting where a mother develops mild COVID-19 infection yet remains stable, responds to medical treatment and there is no fetal compromise; the pregnancy may be continued to term with close surveillance. What is important in the current scenario is that the patients of COVID-19 along with any other comorbidities or medical conditions are at more risk of having fatal disease then the ones with COVID-19 alone. The pregnancy is one physiological condition in which a patient can face drastic pathological complications with COVID-19 if not given the due care. Continue Reading

Granulomas that consist of focal accumulations of macrophages are commonly found in the liver due to stimulation of the immune system by a number of pathophysiologic agents. Manifestations are variable depending on whether the underlying cause is a systemic disease or a primary hepatic granulomatous reaction. Here we report a case of a 30-year old female who presented with complaint of fever and vomiting. Liver biopsy from focal lesion was suggestive of granulomatous inflammation. Continue Reading

Breast cancer is the second most common cancer in the world according to World Health Organization statistics. Among Asian countries, Pakistan has the highest incidence of breast cancer. The normal breast development is interplay between various hormones and transcription factors. Estrogen receptor, progesterone receptor and human epidermal growth factor are being utilized for the targeted therapy of breast cancers. However, there is further need of research to improve the treatment strategies in this regard. Secreted Protein Acidic and Rich in Cysteine (SPARC) is a new biomarker and therapeutic target in breast cancer as well as other tumor types. It’s a matricellular protein whose main function is to mediate interactions between cells and their extracellular surrounding during morphogenesis, tissue remodeling and angiogenesis. Therefore, SPARC enables tumor cells to interact with stromal cells and the extracellular matrix. Regarding breast carcinoma, SPARC has been identified as an important negative regulator of tumor characteristics... Continue Reading

Background and Objective: Human gut harbors a diverse community of more than 100 trillion microbial cells that play an important role in human metabolism, physiology, immune function, and nutrition. Similarly, disruptions to the composition of this population can be linked with gastrointestinal conditions,such as obesity and inflammatory bowel disease. The aim of the present study was to compare the microbial community characteristics among obese, normal-weight and post-gastric bariatric surgerypatients.Methods: Fifteen healthy adults, who were classified into (1) normal-weight (n=5) (2) obese (n=5) according to their Body mass index (BMI) and (3) post-bariatric surgery (n=5) groups. Gut microbiota from fecal samples were profiled by the streak plate method and theconstituent populationswere identified by biochemical analysis (Vitek2). Finally, specific bacterial strains were identified via molecular techniques, such as Polymerase chain reaction (PCR). Moreover, the antimicrobial sensitivity of E. coli strains isolated from healthy adults was evaluated to determine the pathogenic strains.Results: The... Continue Reading

Background and Objectives: Ketogenic diet has gained lotre cognition nowadays through its various health implications; it is extensively used for weight reduction besides its therapeutic use in other diseases.The diet constitutes high-fat, low-carbohydrates that utilize fats for metabolism. The objective of the study was to determine the Knowledge and Perception about ketogenic diet, its therapeutic uses, side effects and benefits among medical students of Fatima Memorial College.Methods: This was a cross sectional study conducted at Fatima Memorial Hospital, College of Medicine and Dentistry, Lahore. The duration of study was 6 months from July 2019 to December 2019. A total of 250 students of MBBS were interviewed after taking informed consent through a structured questionnaire and data was analyzed statistically.Results: A total of 250 participants were interviewed. Among all 183 (73.2%) of the participants heard about ketogenic diet, and 52 (20.8%) knew the difference between could differentiate ketogenic diet and fasting.... Continue Reading

Background and Objective: Post-operative pain and complications are common after open haemorrhoidectomy. Addition of internal sphincterotomy has shown to improve the post-operative outcomes. This study is conducted to compare the outcomes of open haemorrhoidectomy with and without internal sphincterotomy.Methods: A prospective randomized controlled trial was conducted in the Department of Surgery at Sargodha Medical College/District Headquarter Hospital, Sargodha from February 2016 to December 2017. One hundred and twenty-two patients presenting with third and fourth degree haemorrhoids were divided in two equal groups. In group “A”, haemorrhoidectomy with internal sphincterotomy and in group “B”, haemorrhoidectomy alone was performed. Outcome variables such as pain scores based on Verbal Rating Scales (VRS), hospital stay, complications and wound healing were compared in both groups.Results: The mean pain scores were less in the internal sphincterotomy group A i.e., 3.3 ± 0.3 while it was 3.6 ± 0.4 in group B at 1st post-op day. The... Continue Reading

Background and Objectives: Toxicity is fast becoming a major cause of infertility in this century unknowingly and researchers can no longer be mute over this situation. In this work, we aimed at exploring the potency of the bark of Ficus vogelii as an herbal product in protecting against female toxicity.Methods: The twenty 25 female Wistar rats used weighed between 140 – 180g and were randomly assigned into five groups of five rats per group with group A servicing as control which received normal saline. Groups B and C received 3.5 mg/kg of Lead acetate 14 days and later received low and high dose of extract respectively. Group D served as lead acetate group while group E received extract only.Results: There were changes in body, uterine and ovarian weight (P > 0.01). Superoxide Dismutase (SOD) enzyme levels were reduced significantly in B and C (P > 0.01) group animals while there... Continue Reading

Background and Objective: One of the major requisites of an ideal restorative material is excellent marginal seal. Microleakage has been identified as a significant clinical problem with filling materials. The objective of the study was to evaluate and compare the degree of microleakage of amalgam, high viscosity glass ionomer and resin-modified glass ionomer in primary molars.Methods: A total of 99 human non-carious primary molars that were liable to exfoliate within the next six months were selected. Standardized Class I cavities were prepared on occlusal surfaces of molars and randomly filled with either Amalgam (Aristaloy 21), High Viscosity Glass Ionomer (Ketac Molar) or ResinModified Glass Ionomer (GC Fuji II LC). The teeth were divided into nine groups (n=11 each) on the basis of filling material used and time of restored tooth extraction viz. one week, six weeks and twelve weeks. After immersion in a 2% methylene blue dye solution for 24... Continue Reading

Background and Objective: Hypertension is a major health concern worldwide and is showing an alarming increase in prevalence. In Pakistan, there is limited community-based research on its prevalence and control. The objective of the study is to determine the prevalence of hypertension and assess the relationship between hypertension and life style of people in the defined population of village of Nain Sukh, Punjab-Pakistan.Methods: This descriptive cross-sectional study was carried out in the Department of Community Health Sciences, FMH College of Medicine & Dentistry, after an ethical approval. In this study, 190 individuals of both genders, aged 40 and above were examined. The weights and heights of the patients and two readings of blood pressure at 15 minutes interval were recorded in relevant proformas. Information regarding their socioeconomic profile and lifestyle was also obtained through a structured questionnaire.Statistical Package for the Social Sciences (SPSS) version 21 was used to analyze data... Continue Reading

Background and Objective: Comparative efficacy of medical termination has always remained debatable as compared to surgical techniques. The study was designed to assess the safety, acceptability and success of oral Misoprostol as an agent of medical termination as compared to surgical evacuation in cases of early pregnancy loss.Methods: This was a quasi-experimental study conducted in Department of Obstetrics and Gynaecology at Sughra Shafi Medical Complex, affiliated with Sahara Medical College Narowal from August 2017 to February 2019. Diagnosed cases of missed miscarriage before 13 weeks (n = 150) were allocated either for surgical evacuation (n = 50) or medical termination by oral Misoprostol (n = 100) on patients’ own choice after counselling. Effective dosage schedule of Misoprostol, its adverse effects, number of days taken for complete expulsion and duration of hospital stay were recorded. Main outcome measure was successful termination.Results: Patients enrolled for surgical evacuation had 100% success rate while... Continue Reading

Background and Objective: The congenital absence of one or more deciduous or permanent teeth is called  hypodontia. It is the most common congenital dental anomaly. Hypodontia could be caused by a number of genetic and environmental factors. The aim of the current study was to find out the impact of hypodontia on the social well-being and quality of life of children.Methods: A cross sectional comparative study was carried out on 40 patients suffering from hypodontia and 40 healthy controls in the outpatient Department at Nishtar Institute of Dentistry, Multan. Patients and healthy controls were selected by non-probability convenient sampling technique without any gender discrimination. Age of the selected patients and controls was 11 – 14 years. Urdu proformas were used for better understanding of children.Results: Mean age of the patients suffering from hypodontia was 11.8 (± 0.90) years and mean age of healthy controls was 11.9 (± 0.98). Most common... Continue Reading

Background and Objective: COVID-19 can cause severe acute respiratory distress syndrome. With deteriorating disease, most of the patients may require intensive care admission. This study was carried out to determine and evaluate the response of Tocilizumab with special reference to C-reactive protein (CRP) in critically ill patients presented to Farooq Hospital, West Wood Lahore.Methods: This retrospective study included the data of 55 critically ill COVID-19 patients (respiratory rate ≥30, SpO2<93%, oxygen requirement ≥5L/min, PaO2/FiO2 ≤300 mmHg) admitted in Corona unit of Farooq Hospital West Wood Lahore, who were being treated with Tocilizumab alongwith standard treatment protocol between April 27 and June 21, 2020. The data has been retrieved from hospital records after taking appropriate permission and consent. Demographic, clinical features and serum CRP were recorded for each of them, before and after administration of Tocilizumab. Data analysis was done by Statistical Package for the Social Sciences (SPSS) version 22.0 and... Continue Reading

Background and Objective: Cancer is a leading cause of death worldwide and is initiating an overburden in developing countries. A grave illness, such as cancer, not only affects lives of patients, but also the lives of their caregivers. A caregiver nurtures continuous support, responsibility, concern and care hence,undergoes immense psychological distress because of the fear of losing their loved one, thus affecting their own quality of life (QOL). The study aims to assess the QOL of caregivers of cancer patients by using the World Health Organization Quality of Life Instrument (WHOQOL BREF) Questionnaire.Methods: This cross-sectional study of caregivers of cancer patient’s was carried out at INMOL, MayoHospital, Jinnah Hospital and Children Hospital Lahore within 6 months in 2017. Interviews of 267 caregivers of diagnosed cancer patients were taken using WHOQOL BREF Questionnaire. Information was collected regarding QOL of caregivers and socio-demographic variables. Statistical Package for the Social Sciences (SPSS) software... Continue Reading

Background and Objective: Mental health has proved to affect the physical and emotional aspects of one’s life. Appreciation of its influence on the physical functionality and efficacy of an individual may provide better treatment plans and coping strategies. This study was designed to find out the frequency of depression, anxiety, and stress among medical students at different levels of education, taking gender differences into account and its relation to chronic fatigue syndrome.Methods: This cross-sectional descriptive study was carried out from October 2017 – March 2018. Standardized questionnaire was given to 270 MBBS students of Combined Military Hospital (CMH) Medical College, Lahore. The sampling method was non probability convenience sampling. The participants gave free consent. The data was analyzed using SPSS version 23.Results: Out of the 270 candidates, 246 had fatigue. Females scored higher on both questionnaires and showed greater frequency of fatigue and mental health problems like stress [P =... Continue Reading

Background and Objective: The volatile organic compounds (VOCs) including formaldehyde (HCHO) are widely concerned due to their harmful impact on human health by productionof photochemical smog and ozone and have great impacton air quality. High air pollution level in urban areas is one of the major concerns therefore, there is need to develop cost-effective devices for measurement of VOCs in the environment. The objective of the study was to quantify the levels of these hazardous chemicals in air in major areas of Lahore.Methods: This study was a cross-sectional descriptive study. A new multi-item pollution monitoring device (Life Basis DM 106 A) was used to carry out the readings. The areas targeted were busy areas of Lahore including Jail Road, Ferozepur Road, Lytton Road, MAO College, Kacheri, Data Darbar, Bhati Gate, Shahalmi, Davis Road and G.O.R 1.Results: The highest VOC obtained was in the most crowded area of Lahore-the Data Darbar... Continue Reading

Background and Objective: Assessment of learning plays a vital role in curriculum allowing faculty to evaluate the achievement of student and educational process. Quality assurance of the assessments is done to assess the quality of teaching and learning. A study is therefore conducted to find the discriminant validity and reliability of scores of Multiple Choices and Short Answer Questions.Methods: A correlation study was conducted on 272 second year MBBS students of Fatima Memorial College of Medicine and Dentistry, Lahore from 2016 – 2017. Students were assessed in end of year examination with multiple choice questions (MCQs) and short essay questions and (SEQs) in the subjects of Physiology and Biochemistry. A total of 149 second-year MBBS students took thePhysiologyand143 studentstook the end of year Biochemistry examination with 50% minimum passing level. The mean and standard deviation of the scores were calculated and the scores of MCQs and SEQs were correlated by... Continue Reading

Background and Objective: In 2002 Multiple Mini Interview (MMI) was introduced to assess the noncognitive and/or high cognitive traits. Shalamar Medical and Dental College (SMDC), Lahore encouraged the process of MMI resulting in implementing and piloting the process from 2015. Acceptability is considered as the important aspect to support the validity evidence and since MMI was conducting the very first time in Pakistan for undergraduate admission, it was important to address its acceptability. The objective of this study is to assess the stake holder’s acceptability for Multiple Mini Interviews (MMI) for the selection of medical students.Methods: This was a cross-sectional study and data was collected at SMDC Lahore, in years 2015 and 2016.  The research sample included candidates who applied for the admission in SMDC and examiners, trained faculty of SMDC involved in process MMI for 2015 and 2016. Acceptability of MMI was determined using post-MMI survey through questionnaire with... Continue Reading