Year 2024, Volume 40 - Issue 4

Empowering adolescents: a new dawn through the UHS “Piyari Beti Portal”
Farzana Andleeb , Zoyya Imtiaz Elahi
Year: 2024
The youth of any nation are its greatest asset, and by empowering them, especially adolescents, we lay the foundation for progress and meaningful transformation in any nation. In Pakistan, where a large segment of the population comprises of young people, investing in their health, education, and well-being is not just important, it is essential. Recognizing this, numerous universities, forums, and organizations across the country are actively working to educate and support adolescent girls in reproductive health related challenges. These initiatives address critical gaps in awareness, access, and education.     Continue Reading

Acute Conjunctivitis Through a Public Health Lens: A Review
Saadia Maqbool , Hina Shan , Seema Daud , Umbreen Navied , Humayun Mirza
Year: 2024
Worldwide, conjunctivitis (pink eye) outbreaks are common and affect people of all ages and socioeconomic backgrounds. The data available on Google Scholar, PubMed, World Health Organization (WHO)  and Centre for Disease Control (CDC) websites from the year 2014 onwards, showed that outbreaks typically have a seasonal trend in Pakistan. Pink eye outbreaks negatively impact education and productivity because of the lost time at work and school. The cases can be categorized into infectious and non-infectious conjunctivitis depending on the etiology. The most common and most contagious type of infectious conjunctivitis is viral conjunctivitis. The condition is marked by eye pain, redness or swelling of the eye, itching, discharge from the eyes, and a gritty feeling. It often has a self-limiting course. The outbreak in Pakistan which started in September 2023, has several contributing factors, including hot, humid weather, a low air quality index, little rainfall, inadequate hand hygiene practices, and... Continue Reading

Effectiveness of Creatine Supplementation among subjects with Rheumatoid Arthritis: A Randomized Controlled Trial
Aamir Usman Memon , Kumayl Abbas Meghji , Shahnaz Bano , Palwasha Abbasi , Sumayya Kazi , Muhammad Amir Memon
Year: 2024
Background and Objective: Creatine supplementation has shown potential benefits in improving muscle mass and strength; however, its effect in patients with rheumatoid arthritis is still under investigation. The current study aimed to evaluate the effectiveness of Creatine supplementation on body composition and physical function in the subjects presenting with rheumatoid arthritis in the local population.  Methods: A double-blinded trial involving 30 patients with RA were assigned randomly in two groups each. One group received Creatine (Cr) supplementation (Cr group) and the other, a plain flavored drink (Control group) for 12 weeks. There was no difference in appearance, odor, and color between treatment and control intervention. Assessments were conducted at the initial (pre-supplementation), on the 6th day (after the loading phase), and 12th week (immediately after supplementation ended). Demographic and clinical data were required through interviews and reviewers of medical records. Body composition parameters such as muscle, fat, and bone mass... Continue Reading

Amelioration of Gentamicin induced nephrotoxicity by A. cepa extract in male Wistar rats
Jahanzab Salim , Maimona Tabbsum , Sadaf Jabbar , Muhammad Jabran Javaid Sidhu , Sana Akram , Chaman Nasrullah
Year: 2024
Background and Objective: Gentamicin is a commonly used antibiotic in hospitalized patients.The nephroprotective value of AlliumAllium cepa has been recognized against various nephrotoxic agents. The aim of this study was to evaluate nephroprotective effect of AlliumAllium cepa against gentamicin induced nephrotoxicity in male Wister rats. Methods: It was an experimental study design including 90 adult healthy Wistar rats of male gender. Group A (n=30) was control group while Group B (n=30) was given intraperitoneal gentamicin at the dose of 100mg/Kg body weight/ day for 8 days. Group C was given gentamicn for 8 days followed by AlliumAllium cepa extract at dose of 1ml∕kg body weight/day for a week. Serum creatinine, urea and electrolyte levels were measured after 15 days. One way ANOVA test followed by post hock Tukey test was applied to compare the means of parameters and to determine the significance of difference between the groups. Results: A significant... Continue Reading

Radiographic Assessment of Variability in Position of Mental Foramen in Relation to Gender and Age in Local Population of Punjab
Mehtab Ahmad , Aneela Shabbir , Shanzay Ghazanfar , Haseeb Hassan , Hammad Hassan , Arooj ul Hassan
Year: 2024
Background and Objective: Accurate identification of the mental foramen position is crucial for clinicians to prevent nerve injury and improve the safety of dental procedures. The study aims to evaluate the positional variability of the mental foramen (MF) in the mandible, and its comparison with age, side of the jaw, and gender. Methods: This cross-sectional study was performed at the “Oral and Maxillofacial Surgery Department” of Combined Military Hospital (CMH) Lahore, Pakistan from October 5, 2023, to April 10, 2024. A total of 190 patients over the age of 18 with complete skeletal development were selected using purposive non-probability sampling. “Cone-Beam Computed Tomography” (CBCT) scans were utilized to measure the closeness of the MF to the alveolar-crest and the mandible’s lower edge. An independent sample t-test was employed to determine differences based on age, gender, and jaw side.Results: The study revealed significant gender differences in MF positioning. Males had larger mean... Continue Reading

Identification of asymptomatic carotid plaques in high-risk middle-aged adults at a tertiary care center in Lahore
Madiha Naseer , Mahwish Farzana , Zeeshan Ghous , Amna Nasir , Saulat Sarfraz , Waqar Ahmed
Year: 2024
Background and Objective: There are no comprehensive regional data for Pakistan regarding the frequency of carotid plaques and associated risk factors. Early detection of atherosclerotic plaques by noninvasive screening methods can help reduce the disease burden.  As asymptomatic plaques are also one of the major causes of stroke in middle-aged individuals, the present study aimed to identify the frequency and clinical presentation of asymptomatic carotid plaques in high-risk middle-aged patients in local population. Methods: This cross-sectional study was conducted at the Department of Radiology, Shaikh Zayed Hospital Lahore, Pakistan. A total of 366 subjects aged 45-81 years old were screened for any atherosclerotic plaques at the bilateral extra cranial carotid artery tree by consultant radiologists through Doppler Ultrasound (DUS). Multi variable logistic regression was applied to determine the variables having an independent association with the development of carotid plaques.  Results: Carotid artery plaques were diagnosed in 156 (42.62%) patients. Age,... Continue Reading

Does Aspirin Need to Be Discontinued Before an Elective Simple Tooth Extraction
Shah Noor , Faheem Ahmed , Sahiba Batool , Misbah Razzaq , Mor Khan Shar
Year: 2024
Background and Objective:  Aspirin, known less commonly by its generic name, Acetylsalicylic acid (ASA), increases bleeding time with a consequent risk of post-operative bleeding that places dental clinicians in a state of uncertainty as to whether or not Aspirin intake should be ceased prior to an elective dental extraction. This study was therefore designed to compare frequency of bleeding among patients of elective simple tooth extraction with or without discontinuation of Aspirin Methods: A randomized controlled study was conducted at the Department of Oral and Maxillofacial Surgery, Kahuta Research Laboratories (KRL) Hospital, Islamabad over the period of 1 year. A total of 324 patients were equally divided into two groups; Group A patients were advised to continue taking Aspirin before extraction, whereas, in Group B, the patients were advised to discontinue Aspirin 5 days before tooth extraction. In both groups, a single clinically indicated tooth was extracted under local anesthesia... Continue Reading

Comparative Evaluation of Turmeric Extract Versus Formocresol as Pulpotomy Agents In Primary Teeth
Nazia Bashir , Shazia Naz , Asdaq Hussain , Rabia Dastgir
Year: 2024
Background and Objective:  Formocresol is a commonly used pulpotomy agent for primary teeth but concerns about its safety and efficacy have prompted the exploration of alternative treatments. This study aimed to compare the efficacy of turmeric extract and Formocresol as pulpotomy agents in primary molars, with the goal of identifying a potentially more effective and safer herbal alternative. Methods: This experimental study comprised 54 asymptomatic carious primary molar teeth, divided into three groups according to time of extraction of teeth: one week, two weeks and six months. Each time-point group contained 18 teeth, which were further subdivided into two subgroups of 9 teeth each, based on the pulpotomy agent used: Formocresol or turmeric extract. Teeth were evaluated histologically post-extraction to assess the level of inflammation and dentine bridge formation. Statistical analysis was performed using Fisher's exact test in statistical software. Results: Teeth treated with Formocresol showed a higher degree of... Continue Reading

Comparison of post-operative inflammation using irrigating solution with and without heparin in patients with traumatic cataract
Mahtab Haider , Tayyaba Gul Malik
Year: 2024
Background and objective: The role of heparin in managing post-operative inflammation has been debated. Some studies suggest that heparin can reduce inflammation by inhibiting inflammatory mediators, while others argue that its anticoagulant properties could potentially worsen the inflammation. This study was designed to compare post-operative inflammation in patients undergoing traumatic cataract surgery with and without heparin added in the irrigating solution.Methods: This quasi-experimental study was conducted in the Department of Ophthalmology at Lahore General Hospital Lahore from April 2023 to April 2024. A total of 48 patients with traumatic cataract were divided by consecutive sampling into two groups (24 in each).  Group A underwent surgery using heparin in the irrigating solution, while Group B had surgery without it. All patients were followed up on Day 1, Week 1, and after one month. Post-operative intraocular reaction was documented and compared. An Independent sample t-test was used to compare the numeric data. The Chi-square... Continue Reading