8,431 results match your criteria JPMA. The Journal of the Pakistan Medical Association[Journal]


Developing a low budget trauma registry.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S112-S115

Department of Surgery, Aga Khan University, Karachi; Pakistan.

Trauma registry plays an essential role in collecting epidemiological injury data which is used in quality care improvement and research. This paper was planned toshare our experience of having developed a low-budget user-friendly trauma registry with the help of Microsoft Access. This was used because of its ease of use, quickdevelopment style, and support for relational database d esign. Read More

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February 2019

Global perspective of paediatric surgery in low and middle income countries.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S108-S111

Department of Surgery, Aga Khan University, Karachi, Pakistan.

There is huge burden of paediatric surgical diseases in low and middle income countries. Issues behind such a scenario include lack of trained paediatric surgeons, higher mortality due to infections, and poor postoperative care. The possible solution is improvement in the existing structure, which is government hospitals, because they are the most prevalent form of healthcare delivery in such countries. Read More

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February 2019
0.403 Impact Factor

Inflammatory arthritis and Mycobacterium Tuberculosis infection: a diagnostic and management challenge for Knee arthroplasty in endemic areas.

J Pak Med Assoc 2019 02;69(Suppl 1)(1):S101-S107

Department of Surgery, Section of Orthopaedics, The Aga Khan University, Karachi Pakistan.

Tuberculosis continues to be one of the most challenging health problems more prevalent in developing countries. Pakistan ranks 5th in tuberculosis prevalence among the high-burden countries. Prosthetic joint infection of the knee by acid fast bacilli is a rare and distressing complication, occurring in nearly 1% of primary joint arthroplasties requiring prolonged medical treatment and multiple surgeries. Read More

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Download full-text PDF

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February 2019
1 Read
0.403 Impact Factor

A Case for Global Surgery in Pakistan: Implementation Through Multi-Disciplinary Engagement.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S98-S100

Department of Emergency Medicine, CCIT forum, Aga Khan University, Karachi, Pakistan.

The increasing disparity in healthcare access in Pakistan requires immediate intervention in the form of informed policy and appropriate implementation of such a policy. The implementation of a global surgery framework in Pakistan has the potential to improve healthcare access and parity in rural areas. Benefitting from the lessons learned through previous attempts at implementing centrally planned health programmes, This paper makes the case for a decentralised approach in facilitating the implementation of a Global Surgery framework in Pakistan. Read More

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February 2019

Surgery's role in addressing population health needs.

Authors:
Charles Mock

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S95-S97

University of Washington, WA, USA.

There is a large and unacceptable burden of death and disability from conditions that are treatable by surgery. Several global efforts to address this burden have included the World Health Assembly resolution (WHA68.15) on emergency and essential surgical care, the Lancet Commission on Global Surgery, and the Disease Control Priorities project. Read More

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February 2019

Global Surgery: Building Healthy Surgical Systems.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S90-S94

Surgery and Global Health, Duke University School of Medicine, Durham, NC.

Global Surgery (GS) is a movement that advocates access of every individual to safe and affordable surgery despite geographic location or socioeconomic status. It has recently received increased attention within the global health arena, but many patients are still without access to care because of geographical, social and economic disparities. Due to the multi-disciplinary nature of surgical services, GS requires that a worldwide network of healthy surgical systems be developed and sustained. Read More

View Article

Download full-text PDF

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February 2019

Global Surgery: Could systems thinking be the key to success?

Authors:
Amber Mehmood

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S86-S89

Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, USA.

Surgery and anaesthesia care is progressively making its way into the Global Public Health arena, which was d omi na ted by ma ter nal an d c hild h e al th an d communicable diseases in low-and middle-income countries (LMICs). Global Surgery (GS) could potentially make an impact on survival and quality of life in all age groups for a variety of disease conditions. After success in highlighting knowledge, policy and advocacy gaps, Global Surgery is transitioning from problem identification to designing and implementing solutions. Read More

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February 2019
1 Read

Primary Trauma Care: A Training Course for Healthcare Providers in Developing Countries.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S82-S85

Section of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.

Outcomes of injury in low and middle income countries may be compromised by skill deficiencies of healthcare providers. Short subspecialty training courses can be a useful solution to skill-deficits. We report on the Primary Trauma Care programme, a 2-day course designed to train frontline health workers in resuscitation and early management of the injured with limited resources and equipment. Read More

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February 2019

When surgeons are rarer than resources - our experience with improving access to thoracic surgery in an urban setting: A special report.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S77-S81

Section of Cardiothoracic Surgery, Aga Khan University Hospital, Karachi, Pakistan.

With progressive globalisation enabled by technology, there is an increased interest in finding viable solutions to the myriad health problems faced by developing countries. In countries like Pakistan, occasionally the challenge is not a dearth of material resources but rather unavailability of expertise. The current paper was planned to share a model that was successfully implemented in the urban setting of Karachi, Pakistan, from 2012 onwards which significantly improved access to thoracic surgery for underprivileged individuals. Read More

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Download full-text PDF

Source
February 2019

Low cost reconstructive options after musculoskeletal tumour resection in developing countries. Affordable, effective and durable alternatives.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S72-S76

Department of Surgery, Aga Khan University, Karachi, Pakistan.

Over the last two, three decades, the overall survival rates for non-metastatic malignant tumours of the bone have dramatically improved. This has become possible due to the recent advances and multidisciplinary approach towards these diseases, specifically the advent of multi-agent chemotherapy and radiotherapy. Limb salvage has now become the norm in the treatment of musculoskeletal tumours without compromising on the overall survival and recurrence of the disease. Read More

View Article

Download full-text PDF

Source
February 2019
0.403 Impact Factor

Telesurgery prospects in delivering healthcare in remote areas.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S69-S71

General Surgery, Royal Free Hospital NHS Foundation Trust London, UK.

Feasibility and safety of performing remote surgery was first established by performing surgeries on pigs in later part of the 20th century. The first tele-robotic remote surgical system was set up in Canada in 2003 between two hospitals 400 kilometres away. The current review was planned to have a look at the current state of robotic surgery and its use in telesurgery. Read More

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Download full-text PDF

Source
February 2019

The need for simulation in surgical education in developing countries. The wind of change. Review article.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S62-S68

Aga Khan University, Karachi, Pakistan.

Operative skills are the heart and soul of surgical practice. An extensive amount of literature has been devoted to the art and science of acquiring these skills which start by mastering basic skills until automaticity has been achieved. The current model of surgical education is purely based on sheer volume of patients, restrictions in the maximum number of working hours for trainees and increased pressures of operating room efficiency. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read
0.403 Impact Factor

Cost effectiveness of Glove Endobag in Laparoscopic Cholecystectomy: Review of the available literature.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S58-S61

Trauma Surgery, Aga Khan University and Hospital Karachi, Pakistan.

Laparoscopic cholecystectomy is the most common procedure performed worldwide and remains the gold standard for symptomatic gallstones. The most common complication obser ved during this procedure is gallbladder perforation resulting in spillage of stones and bile into peritoneal cavity. In order to avoid such complications, gallbladder is commonly extracted in an endobag. Read More

View Article

Download full-text PDF

Source
February 2019

Affecting the Global Burden of Surgical Disease: Incorporating Surgical Training into International Missions: A Systematic Review.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S51-S57

Department of Surgery, Medical City Arlington, Arlington, Texas, USA.

The global burden of surgical disease is immense. Increasingly in the past several decades, international humanitarian medical missions have become more popular as a method of managing the sheer volume of patients requiring medical care worldwide. Medical education programmes have also had an increase in interest amongst medical students and surgical residents to participate in missions during training. Read More

View Article

Download full-text PDF

Source
February 2019

Application of 3D printing in orthopaedic surgery. A new affordable horizon for cost-conscious care.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S46-S50

Aga Khan University, Karachi, Pakistan.

Application of three-dimensional (3D) printing facilities in orthopaedic surgery is getting popular in resourceconstrained countries. It is cost- and resource-efficient to assist in planning and increasing orthopaedic procedures efficienc y. Furthermore, it improves educational training and provides cheaper prosthesis and creation of customised implants for special cases. Read More

View Article

Download full-text PDF

Source
February 2019
0.403 Impact Factor

Does pin tract infection after external fixator limits its advantage as a cost-effective solution for open fractures in low-middle income countries, a prospective cohort study.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S41-S45

Department of Surgery, Section of Orthopaedics, The Aga Khan University Hospital, Karachi Pakistan.

Objective: To determine the frequency of pin tract infection in external fixator tibia and its effects on the definite fracture fixation and bone healing.

Methods: The prospective study was conducted at Lady Reading Hospital, Peshawar, Pakistan, from August 2017 to July 2018, and comprised patients regardless of age and gender with open fracture tibia Gustillo-Anderson type II and type IIIA. Pin tract infection was assessed following the application of locally made external fixation of tibia open fractures. Read More

View Article

Download full-text PDF

Source
February 2019
0.403 Impact Factor

Geospatial mapping of patients presenting for Emergency Laparotomy to a Private Sector Tertiary Care Hospital in Pakistan.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S37-S40

Department of Surgery, Aga Khan University, Karachi, Pakistan.

Methods: The cross-sectional study was conducted at Aga Khan University Hospital, Karachi, from July 1, 2015, to June 30, 2018, and comprised patients who underwent emergency laparotomy. Demographic characteristics of all patients were recorded. Google Maps was used to measure the distance from their home locality to the hospital. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read

Is pelvis x-ray essential in stable trauma patients? Step towards lowering the treatment cost.

J Pak Med Assoc 2019 Mar;69(Suppl 1)(1):S33-S36

Department of Surgery, Aga Khan University, Karachi, Pakistan .

Objective: To determine the diagnostic accuracy of clinical examination in detecting pelvic fractures in patients with blunt trauma..

Methods: The cross-sectional prospective study was conducted at Aga Khan University Hospital, Karachi, from January to June 2015, and comprised alert, awake blunt-trauma patients. Read More

View Article

Download full-text PDF

Source

Amoebic liver abscess: Outcomes of percutaneous needle aspiration vs drain placement in paediatric population.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S29-S32

Department of Radiology, Aga Khan University, Karachi, Pakistan .

Objective: To compare the effectiveness of percutaneous catheter drain placement with percutaneous needle aspiration in terms of hospital stay, time to resolution of symptoms and cost of intervention performed.

Methods: The retrospective cohort study was conducted at Aga Khan University Hospital, Karachi, and comprised data of patients with amoebic liver abscess from, January 2006 to December 2016 which was collected using non-probability purposeful sampling. Primary outcome included length of hospital stay, time to resolution of symptoms and cost of intervention. Read More

View Article

Download full-text PDF

Source
February 2019

Experience of treating the Talipes equinovarus deformity with Ponsetti technique at district level.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S25-S28

Department of orthopaedic surgery, Dow University of Health Sciences, Karachi, Pakistan.

Objective: To assess the Ponsetti technique's effectiveness in the treatment of talipes equinovarus.

Methods: The cross-sectional study was conducted from January 2013 to March 2018in Naushehero Feroze disctrict of the province of Sindh, Pakistan, and data was assessed at the Department of Orthopaedic Surgery, Dow University of Health Sciences / Civil Hospital, Karachi. Children with talipes equinovarus were treated with Ponsetti casting. Read More

View Article

Download full-text PDF

Source
February 2019

The frequency of Deep Vein Thrombosis in patients with hip fractures.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S21-S24

Department of Orthopedics, The Indus Hospital, Karachi, Pakistan.

Objective: To find out the frequency of deep vein thrombosis in hip fracture patients.

Methods: The prospective, cross-sectional study Was conducted at Indus Hospital, Karachi, from November 2016 to September 2017, and comprised patients with hip fractures who were scanned for the presence of deep vein thrombosis on both lower limbs preoperatively at the time of presentation and postoperatively on post-op day 3 and day 28. No thrombo-prophylaxis was provided to the patients. Read More

View Article

Download full-text PDF

Source
February 2019
3 Reads

Pattern of ocular injuries in Bangladesh and its surgical management at hospital setting: A retrospective study.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S17-S20

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Objective: To determine the pattern of ocular injuries and their surgical management..

Methods: The retrospective study was conducted at the Chittagong Eye Infirmary and Training Complex, Chittagong, Bangladesh, and comprised hospital data of patients with ocular injuries from October 1, 2016, to December 31, 2017. Read More

View Article

Download full-text PDF

Source
February 2019

Acute appendicitis - new diagnostic algorithm using RIPASA score and non-contrast Computeed Tomography Scan.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S12-S16

Nevill Hall Hospital, Brecon Road, Abergavenny NP7 7EG.

Objective: To compare the accuracy of Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and modified Alvarado scores with that of non-contrast computed tomography scan and ultrasound of abdomen and pelvis.

Methods: The observational correlational study was conducted at Manipal Hospital, Bengaluru, India, from April 1, 2014, to April 30, 2016, and comprised patients aged 18-60 years presenting with right lower quadrant pain to the emergency department. Modified Alvarado, RIPASA scores and ultrasound of abdomen and pelvis with optional non-contrast computed tomography scan reports were collected. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read

Analysing outcomes through orthopaedic trauma registry - A prospective cohort study.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S7-S11

Aga Khan University, Karachi, Pakistan.

Objective: To develop a registry for recording injury-specific data to identify gaps and improve care.

Methods: The prospective cohort study was conducted at Aga Khan University Hospital, Karachi, from June 2015 to July 2018 though enrollment of patients with limb trauma is continuing to date. Data on injuries and management related to Tibia shaft fractures was collected from medical records, and outcomes were assessed on follow-up visits. Read More

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February 2019
1 Read

Why do patients with limb ischaemia present late to a vascular surgeon? A prospective cohort study from the developing world.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S3-S6

Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

Objective: To look into the factors responsible for delay in presentation of Iimb ischemia patients to a vascular surgeon.

Methods: The prospective cohort study was conducted at the Aga Khan University Hospital, Karachi, from October 01, 2016, to August 10, 2018. Patients coming with delayed presentation of both acute and chronic limb ischemia were included. Read More

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February 2019

Surgical Care for all - much work to be done.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S1

Department of Surgery, Aga Khan University, Karachi, Pakistan..

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February 2019

Developing a low budget trauma registry.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S112-S115

Department of Surgery, Aga Khan University, Karachi; Pakistan.

Trauma registry plays an essential role in collecting epidemiological injury data which is used in quality care improvement and research. This paper was planned toshare our experience of having developed a low-budget user-friendly trauma registry with the help of Microsoft Access. This was used because of its ease of use, quickdevelopment style, and support for relational database d esign. Read More

View Article

Download full-text PDF

Source
February 2019

Global perspective of paediatric surgery in low and middle income countries.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S108-S111

Department of Surgery, Aga Khan University, Karachi, Pakistan.

There is huge burden of paediatric surgical diseases in low and middle income countries. Issues behind such a scenario include lack of trained paediatric surgeons, higher mortality due to infections, and poor postoperative care. The possible solution is improvement in the existing structure, which is government hospitals, because they are the most prevalent form of healthcare delivery in such countries. Read More

View Article

Download full-text PDF

Source
February 2019
0.403 Impact Factor

Inflammatory arthritis and Mycobacterium Tuberculosis infection: a diagnostic and management challenge for Knee arthroplasty in endemic areas.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S101-S107

Infectious Disease, Department of medicine, The Aga Khan University, Karachi Pakistan.

Tuberculosis continues to be one of the most challenging health problems more prevalent in developing countries. Pakistan ranks 5th in tuberculosis prevalence among the high-burden countries. Prosthetic joint infection of the knee by acid fast bacilli is a rare and distressing complication, occurring in nearly 1% of primary joint arthroplasties requiring prolonged medical treatment and multiple surgeries. Read More

View Article

Download full-text PDF

Source
February 2019
7 Reads
0.403 Impact Factor

A Case for Global Surgery in Pakistan: Implementation Through Multi-Disciplinary Engagement.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S98-S100

Department of Emergency Medicine, CCIT forum, Aga Khan University, Karachi, Pakistan.

The increasing disparity in healthcare access in Pakistan requires immediate intervention in the form of informed policy and appropriate implementation of such a policy. The implementation of a global surgery framework in Pakistan has the potential to improve healthcare access and parity in rural areas. Benefitting from the lessons learned through previous attempts at implementing centrally planned health programmes, This paper makes the case for a decentralised approach in facilitating the implementation of a Global Surgery framework in Pakistan. Read More

View Article

Download full-text PDF

Source
February 2019
4 Reads

Surgery's role in addressing population health needs.

Authors:
Charles Mock

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S95-S97

University of Washington, WA, USA.

There is a large and unacceptable burden of death and disability from conditions that are treatable by surgery. Several global efforts to address this burden have included the World Health Assembly resolution (WHA68.15) on emergency and essential surgical care, the Lancet Commission on Global Surgery, and the Disease Control Priorities project. Read More

View Article

Download full-text PDF

Source
February 2019

Global Surgery: Building Healthy Surgical Systems.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S90-S94

Surgery and Global Health, Duke University School of Medicine, Durham, NC.

Global Surgery (GS) is a movement that advocates access of every individual to safe and affordable surgery despite geographic location or socioeconomic status. It has recently received increased attention within the global health arena, but many patients are still without access to care because of geographical, social and economic disparities. Due to the multi-disciplinary nature of surgical services, GS requires that a worldwide network of healthy surgical systems be developed and sustained. Read More

View Article

Download full-text PDF

Source
February 2019

Global Surgery: Could systems thinking be the key to success?

Authors:
Amber Mehmood

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S86-S89

Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, USA.

Surgery and anaesthesia care is progressively making its way into the Global Public Health arena, which was d omi na ted by ma ter nal an d c hild h e al th an d communicable diseases in low-and middle-income countries (LMICs). Global Surgery (GS) could potentially make an impact on survival and quality of life in all age groups for a variety of disease conditions. After success in highlighting knowledge, policy and advocacy gaps, Global Surgery is transitioning from problem identification to designing and implementing solutions. Read More

View Article

Download full-text PDF

Source
February 2019

Primary Trauma Care: A Training Course for Healthcare Providers in Developing Countries.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S82-S85

Section of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.

Outcomes of injury in low and middle income countries may be compromised by skill deficiencies of healthcare providers. Short subspecialty training courses can be a useful solution to skill-deficits. We report on the Primary Trauma Care programme, a 2-day course designed to train frontline health workers in resuscitation and early management of the injured with limited resources and equipment. Read More

View Article

Download full-text PDF

Source
February 2019

When surgeons are rarer than resources - our experience with improving access to thoracic surgery in an urban setting: A special report.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S77-S81

Section of Cardiothoracic Surgery, Aga Khan University Hospital, Karachi, Pakistan.

With progressive globalisation enabled by technology, there is an increased interest in finding viable solutions to the myriad health problems faced by developing countries. In countries like Pakistan, occasionally the challenge is not a dearth of material resources but rather unavailability of expertise. The current paper was planned to share a model that was successfully implemented in the urban setting of Karachi, Pakistan, from 2012 onwards which significantly improved access to thoracic surgery for underprivileged individuals. Read More

View Article

Download full-text PDF

Source
February 2019

Low cost reconstructive options after musculoskeletal tumour resection in developing countries. Affordable, effective and durable alternatives.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S72-S76

Department of Surgery, Aga Khan University, Karachi, Pakistan.

Over the last two, three decades, the overall survival rates for non-metastatic malignant tumours of the bone have dramatically improved. This has become possible due to the recent advances and multidisciplinary approach towards these diseases, specifically the advent of multi-agent chemotherapy and radiotherapy. Limb salvage has now become the norm in the treatment of musculoskeletal tumours without compromising on the overall survival and recurrence of the disease. Read More

View Article

Download full-text PDF

Source
February 2019
0.403 Impact Factor

Telesurgery prospects in delivering healthcare in remote areas.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S69-S71

General Surgery, Royal Free Hospital NHS Foundation Trust London, UK.

Feasibility and safety of performing remote surgery was first established by performing surgeries on pigs in later part of the 20th century. The first tele-robotic remote surgical system was set up in Canada in 2003 between two hospitals 400 kilometres away. The current review was planned to have a look at the current state of robotic surgery and its use in telesurgery. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read

The need for simulation in surgical education in developing countries. The wind of change. Review article.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S62-S68

Aga Khan University, Karachi, Pakistan.

Operative skills are the heart and soul of surgical practice. An extensive amount of literature has been devoted to the art and science of acquiring these skills which start by mastering basic skills until automaticity has been achieved. The current model of surgical education is purely based on sheer volume of patients, restrictions in the maximum number of working hours for trainees and increased pressures of operating room efficiency. Read More

View Article

Download full-text PDF

Source
February 2019
2 Reads
0.403 Impact Factor

Cost effectiveness of Glove Endobag in Laparoscopic Cholecystectomy: Review of the available literature.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S58-S61

Trauma Surgery, Aga Khan University and Hospital Karachi, Pakistan.

Laparoscopic cholecystectomy is the most common procedure performed worldwide and remains the gold standard for symptomatic gallstones. The most common complication obser ved during this procedure is gallbladder perforation resulting in spillage of stones and bile into peritoneal cavity. In order to avoid such complications, gallbladder is commonly extracted in an endobag. Read More

View Article

Download full-text PDF

Source
February 2019
2 Reads

Affecting the Global Burden of Surgical Disease: Incorporating Surgical Training into International Missions: A Systematic Review.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S51-S57

Department of Surgery, Medical City Arlington, Arlington, Texas, USA.

The global burden of surgical disease is immense. Increasingly in the past several decades, international humanitarian medical missions have become more popular as a method of managing the sheer volume of patients requiring medical care worldwide. Medical education programmes have also had an increase in interest amongst medical students and surgical residents to participate in missions during training. Read More

View Article

Download full-text PDF

Source
February 2019

Application of 3D printing in orthopaedic surgery. A new affordable horizon for cost-conscious care.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S46-S50

Aga Khan University, Karachi, Pakistan.

Application of three-dimensional (3D) printing facilities in orthopaedic surgery is getting popular in resourceconstrained countries. It is cost- and resource-efficient to assist in planning and increasing orthopaedic procedures efficienc y. Furthermore, it improves educational training and provides cheaper prosthesis and creation of customised implants for special cases. Read More

View Article

Download full-text PDF

Source
February 2019
0.403 Impact Factor

Does pin tract infection after external fixator limits its advantage as a cost-effective solution for open fractures in low-middle income countries, a prospective cohort study.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S41-S45

Department of Surgery, Section of Orthopaedics, The Aga Khan University Hospital, Karachi Pakistan.

Objective: To determine the frequency of pin tract infection in external fixator tibia and its effects on the definite fracture fixation and bone healing.

Methods: The prospective study was conducted at Lady Reading Hospital, Peshawar, Pakistan, from August 2017 to July 2018, and comprised patients regardless of age and gender with open fracture tibia Gustillo-Anderson type II and type IIIA. Pin tract infection was assessed following the application of locally made external fixation of tibia open fractures. Read More

View Article

Download full-text PDF

Source
February 2019
0.403 Impact Factor

Geospatial mapping of patients presenting for Emergency Laparotomy to a Private Sector Tertiary Care Hospital in Pakistan.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S37-S40

Department of Surgery, Aga Khan University, Karachi, Pakistan.

Methods: The cross-sectional study was conducted at Aga Khan University Hospital, Karachi, from July 1, 2015, to June 30, 2018, and comprised patients who underwent emergency laparotomy. Demographic characteristics of all patients were recorded. Google Maps was used to measure the distance from their home locality to the hospital. Read More

View Article

Download full-text PDF

Source
February 2019

Is pelvis x-ray essential in stable trauma patients? Step towards lowering the treatment cost.

J Pak Med Assoc 2019 Mar;69(Suppl 1)(1):S33-S36

Department of Surgery, Aga Khan University, Karachi, Pakistan .

Objective: To determine the diagnostic accuracy of clinical examination in detecting pelvic fractures in patients with blunt trauma..

Methods: The cross-sectional prospective study was conducted at Aga Khan University Hospital, Karachi, from January to June 2015, and comprised alert, awake blunt-trauma patients. Read More

View Article

Download full-text PDF

Source

Amoebic liver abscess: Outcomes of percutaneous needle aspiration vs drain placement in paediatric population.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S29-S32

Department of Radiology, Aga Khan University, Karachi, Pakistan .

Objective: To compare the effectiveness of percutaneous catheter drain placement with percutaneous needle aspiration in terms of hospital stay, time to resolution of symptoms and cost of intervention performed.

Methods: The retrospective cohort study was conducted at Aga Khan University Hospital, Karachi, and comprised data of patients with amoebic liver abscess from, January 2006 to December 2016 which was collected using non-probability purposeful sampling. Primary outcome included length of hospital stay, time to resolution of symptoms and cost of intervention. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read

Experience of treating the Talipes equinovarus deformity with Ponsetti technique at district level.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S25-S28

Department of orthopaedic surgery, Dow University of Health Sciences, Karachi, Pakistan.

Objective: To assess the Ponsetti technique's effectiveness in the treatment of talipes equinovarus.

Methods: The cross-sectional study was conducted from January 2013 to March 2018in Naushehero Feroze disctrict of the province of Sindh, Pakistan, and data was assessed at the Department of Orthopaedic Surgery, Dow University of Health Sciences / Civil Hospital, Karachi. Children with talipes equinovarus were treated with Ponsetti casting. Read More

View Article

Download full-text PDF

Source
February 2019

The frequency of Deep Vein Thrombosis in patients with hip fractures.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S21-S24

Department of Orthopedics, The Indus Hospital, Karachi, Pakistan.

Objective: To find out the frequency of deep vein thrombosis in hip fracture patients.

Methods: The prospective, cross-sectional study Was conducted at Indus Hospital, Karachi, from November 2016 to September 2017, and comprised patients with hip fractures who were scanned for the presence of deep vein thrombosis on both lower limbs preoperatively at the time of presentation and postoperatively on post-op day 3 and day 28. No thrombo-prophylaxis was provided to the patients. Read More

View Article

Download full-text PDF

Source
February 2019
6 Reads

Pattern of ocular injuries in Bangladesh and its surgical management at hospital setting: A retrospective study.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S17-S20

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Objective: To determine the pattern of ocular injuries and their surgical management..

Methods: The retrospective study was conducted at the Chittagong Eye Infirmary and Training Complex, Chittagong, Bangladesh, and comprised hospital data of patients with ocular injuries from October 1, 2016, to December 31, 2017. Read More

View Article

Download full-text PDF

Source
February 2019
1 Read

Acute appendicitis - new diagnostic algorithm using RIPASA score and non-contrast Computeed Tomography Scan.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S12-S16

Nevill Hall Hospital, Brecon Road, Abergavenny NP7 7EG.

Objective: To compare the accuracy of Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and modified Alvarado scores with that of non-contrast computed tomography scan and ultrasound of abdomen and pelvis.

Methods: The observational correlational study was conducted at Manipal Hospital, Bengaluru, India, from April 1, 2014, to April 30, 2016, and comprised patients aged 18-60 years presenting with right lower quadrant pain to the emergency department. Modified Alvarado, RIPASA scores and ultrasound of abdomen and pelvis with optional non-contrast computed tomography scan reports were collected. Read More

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February 2019
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Analysing outcomes through orthopaedic trauma registry - A prospective cohort study.

J Pak Med Assoc 2019 Feb;69(Suppl 1)(1):S7-S11

Aga Khan University, Karachi, Pakistan.

Objective: To develop a registry for recording injury-specific data to identify gaps and improve care.

Methods: The prospective cohort study was conducted at Aga Khan University Hospital, Karachi, from June 2015 to July 2018 though enrollment of patients with limb trauma is continuing to date. Data on injuries and management related to Tibia shaft fractures was collected from medical records, and outcomes were assessed on follow-up visits. Read More

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February 2019