Journal of Ayub Medical College

J Ayub Med Coll Abbottabad (JAMC)

ISSN 1025-9589 (Print), ISSN 1819-2718 (Online)

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Guidelines for Authors

JAMC 27(1): January-March 2015


        CONTENTS

EDITORIAL

 

Why aren’t we conducting cohort studies?

Fatima Mukhtar

1

ORIGINAL ARTICLES

 

Outcomes following “Double Knot” suspension arthroplasty for basal joint arthritis of the thumb

Mustafa Javed, Tarek Nazar, Andrew M Collier

3

Prevalence of uncorrected refractive errors in adults aged 30 years and above in a rural population in Pakistan

Ayesha S Abdullah, Muhammad Zahid Jadoon, Mohammad Akram, Zahid Hussain Awan, Mohammad Azam, Mohammad Safdar, Mohammad Nigar

8

XmnI Polymorphism and disease severity in patients with beta thalassemia from northern Pakistan

Tamoor Bin Hanif, Suhaib Ahmed, Jaleel Anwar, Syed Kazim Abbas Kazmi

13

Childhood bladder stones-endemic disease of developing countries

Bhamar Lal, Jai Pal Paryani, Shafique-ur-Rehman Memon

17

Cryopreservation of oocytes

Shandana Jadoon, Muhammad Adeel

22

Total lymphocyte count as a substitute to CD4 count in management of HIV infected individuals in resource limited society

Muhammad Yousuf Daud, Rizwan Aziz Qazi, Naila Bashir

29

Relationship of adiponectin level with lipid profile in type-2 diabetic men with coronary heart disease

Sadaf Durrani, Jasmin Shah, Mudassir Ahmad Khan, Muhammad Rasul Jan

32

A survey of death adjustment in the Indian subcontinent

Mohammad Samir Hossain, Muhammad Irfan, Yatan Pal Singh Balhara, Noor Ahmed Giasuddin, Syeda Naheed Sultana

36

 

Intra operative frozen examination of sentinel lymph node in breast cancer

Lubna Mushtaque Vohra, Rubina Gulzar, Omema Saleem

40

Pain associated with liver biopsies through percutaneous approach under sono-graphic guidance-A cross sectional pilot study in a tertiary care hospital

Muhammad Akbar Baig, Wajiha Javed

45

Medical expulsive treatment of distal ureteral stone using Tamsulosin

Hussain Ahmad, Waqar Azim, Muhammad Akmal, Badar Murtaza, Arshad Mahmood, Amir Nadim, Khubaib Shahzad

48

Emergency contraception: An overview among users

Shazia Amir Khan, Humaira Hafeez, Rabiya Akbar

51

Comparison of peak expiratory flow rate and lipid profile in asymptomatic smokers and non-smokers

Fozia Fatima, Sadia Fatima, Muhammad Munir Noor, Munir Ahmad Abbasi, Raheel Jadoon, Muhammad Sohail, Muhammad Junaid Shah, Sana Ullah

55

Severity of thrombocytopenia in patients with Plasmodium vivax malaria; A single center study

Muhammad Hafeez, Faisal Rashid Lodhi, Zaheer Akhtar, M Zafar Ali, Anjum Aijaz

61

Morbidity and mortality assessment in acute hepatitis-E

Lubna Kamani, Saeed Sadiq Hamid, Faisal Wasim Ismail, Syed Waqas Haider, Safia Awan, Ashfaq Ahmed,Wasim Jafri

64

Factors associated with increased red blood cells transfusion requirements in patients with Hodgkin and Non-Hodgkin lymphoma

Sheeraz Ali, Mussadique Ali, Farhana Badar, Abdul Basit, Abdul Hameed

70

Audit of surgical emergency at Lahore General Hospital

Sadaf Khalid, Afsar Ali Bhatti, Burhanulhuq

74

Comparison of peritoneal closure Vs non-closure during Caesarean section

Amera Takreem

78

Spectrum of central nervous system tumours–A single center histopathological review of 761 cases over 5 years

Javaria Ahsan, Shohaib Naiyar Hashmi, Iqbal Muhammad, Hafeez Ud Din, Ahsan Masood Butt, Sajid Nazir, Muhammad Azhar

81

Frequency and outcome of necrotizing enterocolitis in preterm neonates

Syed Sajid Hussain Shah, Munazza Saleem, Tahir Mehmood, Tausif Ahmed

85

Cost of primary health care in Pakistan

Muhammad Ashar Malik, Wahid Gul, Saleem Perwaiz Iqbal, Farina Abrejo

88

Early experience of endovascular treatment of peripheral vascular disease

Tariq Ashraf, Kamal Yousuf, Muhammad Tariq Karim

93

Students’ perception about the clinico-anatomical conferences as a teaching methodology

Kanwal Saeed, Marina Baptist, Fatima Mukhtar

96

Prevalence of co-morbid depression in diabetic population

Khizran Mir, Kinza Mir, Irsa Malik, Quratulain, Anum Shehzadi

99

Comparison of operative time and length of hospital stay in laparoscopic cholecystectomy in acute verses chronic cholecystitis

Shireen A.A Ramzanali Damani, Sadiqa Haider, Hazrat Bilal, Sughra Perveen

102

Frequency and severity of steatosis in patients with chronic hepatitis-C

Adil Naseer Khan, Khalid Said, Kishwar Ali, Humera Latif, Rahid Gul

105

Trends in complete denture impressions in Pakistan

Fahim Vohra, Haroon Rashid, Ayesha Hanif, Siti Mariam Ab Ghani, Shariq Najeeb

108

Acinetobacter infections as an emerging threat in intensive care units

Uzma Tahseen, Muhammad Tahseen Talib

113

Microbiological pattern of ventilator associated pneumonia

Shamshad Ali, Khalid Waheed, Zafar H Iqbal

117

Dry tap: A diagnostic alert for underlying bone marrow pathology

Saqib Qayyum Ahmad, Rizwan Yusuf, Nadeem Zafar, Nadir Ali

120

Prevalence of congenital heart disease in rural communities of Pakistan

Syed Faiz-ul-Hassan Rizvi, Ghulam Mustafa, Asadullaha Kundi, Mushtaq Ahmed Khan

124

Frequency of different valvular lesions of rheumatic heart disease presenting to a tertiary care hospital

Javaid ur Rehman, Zahid Irfan Marwat, Zahoor Ahmad, Islam Shah, Asifullah Khattak, Sheikh Fahad Falah

128

Clinico-pathological pattern, classification and staging of urinary bladder carcinomas - A five years experience at a tertiary care hospital in central Punjab

Amjad Naeem, Nadia Naseem, Sadia Anwar, Seema Butt, Abdul Hanan Nagi

131

Postoperative complications with glycine and sterile distilled water after transurethral resection of prostate

Muhammad Tousif  Pasha, Musharraf Ali Khan, Yasir Jamal, Fazle Wahab, Hamza Ashraf, Naeemullah

135

Treatment of distal ureteric stones-Comparative efficacy of transureteral pneumatic lithotripsy and extracorporeal shock wave lithotripsy

Bakhtawar Gul Wazir, Akhtar Nawaz Orakzai, Ahmad Nawaz

140

Emergency peri partum hysterectomy-A life saving procedure

Anisa Fawad, Ansa Islam, Humaira Naz, Talat Nelofar, Aziz-un-Nisa Abbasi

143

Effect of epidural analgesia on labor and its outcomes

Sadia Anwar, Muhammad Waseem Anwar, Attiya Ayaz, Nargis Danish, Sajjad Ahmad

146

Rate and indications of elective and emergency caesarean section; A study in a tertiary care hospital of Peshawar

Mohammad Naeem, Muhammad Zia Ul Islam Khan, Syed Hussain Abbas, Ayasha Khan, Muhammad Adil, Muhammad Usman Khan

151

The emergent concern of seropositive status of hepatitis-B virus and hepatitis-C virus in the pregnant females attending a tertiary care hospital

Kaweeta Kumari, Naresh Kumar Seetlani, Rehana Akhter

155

Non-compliance to anti-hypertensive medication and its associated factors among hypertensives

Arshia Bilal, Mehwish Riaz, Noor-ulain Shafiq, Mariam Ahmed, Sadaf Sheikh, Sobia Rasheed

158

The quantitative evidence of malarial transmission and its associates in Bahawalpur, Pakistan

Syed Arif Ahmed Zaidi, Farkhanda Kokab, Ijaz Ahmad Bukhari, Jamal Abdul Nasir

164

Causes of fever in adults in Thall and surrounding areas

Sajid Ali Shah, Javed, Altaf Hussain, Safdar Ali, Haroon-ur-Rashid, Sheraz Ahmad

168

Radiological outcome of transpedicular screws fixation in the management of thoracolumbar spine injury

Mian Iftikhar ul haq, Shahbaz Ali Khan, Ahsan Aurangzeb, Ehtisham Ahmed, Sajid Nazir, Ali Noman

171

Elective percutaneous coronary interventions-acomparision of efficacy of clopidogrel and prasugrel

Shahzeb, Nasir Ali, Abdul Hadi, Ibrahim shah, Adnan Mehmood Gul, Jabar Ali, Mohammad Hafizullah

174

Inspiration for smoking among medical students of Abbottabad, Pakistan

Fahad Saqib Lodhi, Rehan Farooqui, Muhammad Munir Noor, Saadia Irum

178

Non-ligation of indirect hernial sac in children

Kishwar Ali, Haider Kamran, Irfan Khattak, Humera Latif

180

Evaluation of toxic heavy metals in ayurvedic syrups sold in local markets of Hazara, Pakistan

Bibi Hajra, Iftikhar Qayum, Shaukat Orakzai, Fida Hussain, Uzma Faryal, Aurangzeb

183

Performance of two different clinical scoring systems in diagnosing distal sensory polyneuropathy in patients with type-2 diabetes

Fehmeda Farrukh Khan, Ahsan Numan, Khadija Irfan Khawaja, Ali Atif, Aziz Fatima, Faisal Masud

187

Early response of local steroid injection versus mini incision technique in treatment of carpal tunnel syndrome

Abdus Saboor, Alamzeb Khan, Sikandar Aziz Afridi,Inam Ullah Khan, Sajid Nazir, Ehtisham Ahmed, Gul Muhammad, Rao Suhail Khan, Shahid Sultan, Fahad Saqib Lodhi

192

Comparison of efficacy of spinal anaesthesia and sub-fascial local anaesthetic inguinal field block for open inguinal hernia repair-A single institutional experience

Natasha Shafique, Haroon Ur Rashid, Muhammad Ijaz Raja, Mohammad Saeed

197

Working environment in job satisfaction among health professional working at a tertiary care hospital of Pakistan

Imrana Aziz, Ramesh Kumar, Anita Rathore, Manohr Lal

201

Survival analysis of dialysis patients in selected hospitals of Lahore city

Zahid Ahmad, Isaac Shahzad

205

Demographic and clinical characteristics of patients referred to psychiatric unit in a tertiary care hospital

Abdul Wahab Yousafzai, Attique ur Rehman Jehangiri, Mehrunissa Kazim, Mubashir Shah

208

Comparison of single verses multiple session band ligation for the treatment of bleeding oesophageal varies

Ali Hyder, M Akif Dilshad, Shahid Sarwar, Altaf Alam, Anwaar A Khan, Arshad Kamal Butt

212

Propolis as an antibacterial agent against clinical isolates of MDR-Acinetobacter baumannii

Abdul Hannan, Alia Batool, Muhammad Usman Qamar, Fizza Khalid

216

Risk characterization of maternal and neonatal tetanus in view of tetanus vaccination campaigns in Pakistan

Ejaz A Khan, Rownak Khan, Muhammad Tariq Iqbal, Quamrul Hasan, Saadia Farrukh, Muhammad Safdar Rana, Wasiq Mehmood Khan

220

SYSTEMATIC REVIEW

 

Enhanced immunization coverage through interventions for childhood cluster diseases in developing countries

Sheh Mureed, Ratana Somronghtong, Ramesh Kumar, Abdul Ghaffar, Robert S Chapman

223

CASE REPORTS

 

Pyrexia-induced Brugada phenocopy

Nauman Khalid, Lovely Chhabra, Jeffrey Kluger

228

A young girl with fits

Imran Ahmed, Ejaz Ahmed, Badshah Hussain Zaidi, Jawad Khaliq Ansari, Shazia Nisar

232

Ureteric Angiomyolipoma causing unilateral pelvi-ureteric junction obstruction

Iftikhar Ali Khan, Durre Shahab, Asad Rehman, Imran Jamil, Saeed Akhter

234

Onion peel appearance in balos concentric sclerosis-A variant of multiple sclerosis

Saeed Arif, Muhammad Waseem Wali, Atiq ur Rehman Slehria, Hina Khalid, Hamza Malik

236

Unexpected sudden death in a young man with myopericarditis

Rafaqat Hussain, Laszlo Halmai, Eduardas Subkovas

239

ALT changes and adverse events of Telbivudine in hepatitis-B patients-An experience of 11 patients

Zeeshan Ali, Neeta Maheshwary, Uffaq Zara, Siddiqi Ahson, Muhammad Athar Khan

241

Retained gauze piece resulting in right renal complex cyst diagnosed after 4 years of pyelolithotomy

Ayra Arshad, Nayyab Zehra, Ahmed Hassaan Malik

243

Community acquired methicillin sensitive Staphyloccus aureus cerebral abscess in a previously health gentleman mimicking signs of cavernous sinus thrombosis-A unique presentation

Ishma Aijazi, Fadhil M Abdulla, Ahmad Elbagir Ibrahim

245

Coexistence of Graves’ disease and toxic adenoma: A rare presentation of Marine-Lenhart syndrome

Enver Avci, Huseyin Narci

248

SPECIAL COMMUNICATION

 

Dedicated breast cancer management centres with facilities for full image-guided assessment and image-guided surgery in the developing areas of Pakistan - A long overdue necessity

Saeed Ahmad, Alaa Eldin Ginawi, Samer Sabbagh

251

PICTORIAL

 

An unusual complication of chest intubation

Munir Ahmad Abbasi

255

  Mucinous cyst adenocarcinoma

  Sadaf Khalid
256

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Current Issue

mucinous cyst adenocarcinoma


    A 16 year old young unmarried girl presented to us in the surgical outpatient department with the complains of increasing abdominal girth since last 8 weeks. Imaging studies showed a giant abdominal pelvic mass probably of ovarian origin. Cancer antigen-125 and alpha fetoprotein were raised while carcinoembryonic antigen were normal. These huge disseminated tumors (12x13 cm) displaced her uterus, compressed her abdominal contents and extended up to her diaphragm with massive ascites and peritoneal metastatic seedlings. Bilateral salpingoopherectomy and omentectomy were done. The histopathological diagnosis was a well differentiated mucinous cyst adenocarcinoma.

    Giant mucinous cyst adenocarcinomas are very rare. This type can account for 5-10% of all ovarian muncinous tumors. Mucinous cystadenoma is an epithelial tumor most often found in the ovaries. They also frequently occur in extra ovarian sites. Mucinous cystadenomas have origins from inclusions and invaginations of the ovarian celomic epithelium and persistence of Müllerian cells, or from Wolffian epithelium and teratomas. They often occur in the fourth and fifth decades, accounting for 25% of the ovarian tumors, 5% are bilateral and 15% are malignant. Mucinous (25%) and serous (75%) cystadenomas account for 8 to 15% of all ovarian tumors. The epithelium of the cysts is usually cylindrical and mono- or multi-stratified, and cuboidal epithelium is due to the pressure inside the cyst. The classical cells show clear cytoplasm and a hyperchromatic nucleus at the base. Extra-large benign and malignant cysts of the ovary are uncommon and involve diagnostic and management challenges and determinations of cancer antigen (CA)-125 can help to identify epithelial tumors of the ovary.

Dr. Sadaf Khalid

Department of General Surgery, Lahore General Hospital, Lahore-Pakistan.

Email: woven.dreamz@gmail.com

 

 

 

 

 

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