A Descriptive Study on Patterns of Traumatic Spinal Injuries in a Tertiary Care Hospital Rawalpindi

Introduction: Spinal injuries are one of the most debilitating injuries if not fatal and affect every dimension of patients' lives i.e. early mortality and late complications. Lifelong disability due to spinal cord injury is very common even if the patient survives early death. The current study was aimed to investigate the frequency, management, mortality, the pattern of spinal injuries and to recommend plans for better patient management based on assessment.Material and Methods: The study was descriptive, cross-sectional, and was conducted at the Neurosurgery Department of Rawalpindi Medical University and Allied Hospitals for the duration of October 2018 to January 2019. All cases of traumatic spinal injuries were included and variables noted were gender, age, mode of Injury, presenting motor power in limbs, ASIA score, diagnosis, management, outcome, and deaths.Results: In the sample size of 84 patients, the mean age was 37.1 years, the mechanism of injury due to falls was most common at 73%, the lumbar region was found to be the most common area involved. Male patients outnumbered females in the study. 14% of the patients could not survive due to the injury, 15% received cervical traction, 4% received cervical traction and anterior cervical plating, and 43% of patients underwent Transpedicular Screw Fixation, the total number of patients who expired was 25%.Conclusion: Patterns of traumatic spinal injuries are changing, shifting from road traffic accidents to falls being the primary cause nowadays, with prolonged hospital stay periods, disability for life, and high-cost treatments putting a huge burden on our already exhausted health resources. Efforts should be made to make a national registry for traumatic spinal injuries presented to the emergency department and guidelines should be established regarding occupational hazards. Awareness should be given to the general population regarding hazards at home regarding falls

Frequency of Chemotherapy-Induced Myalgia in Cancer Patients using The Visual Analogue Scale

AbstractObjective: The aim of the study was to find the frequency of chemotherapy-induced myalgia inpatients with cancer in Lahore.Methodology: This cross-sectional study was conducted over a period of six months after ethicalapproval from February to July 2021. Using a non-probability convenient sampling technique,seventy eligible patients between 45-55 years of age with cancer were included in this study fromboth public and private hospital settings on the basis of predefined eligibility criteria. A self-structured questionnaire including a visual analogue pain scale was used for data collection. Datawas analyzed using SPSS version 21. The qualitative variables were presented with pie charts andquantitative variables are tabulated with frequencies and percentages.Results: Mean age±SD of participants was 53±6.9 years. Out of 70 participants, 90% were females. Thesignificant outcome variables included the presence of myalgia, painful girdle, intensity of pain(visual analogue scale), duration of treatment with the chemotherapy drug, dose of chemotherapydrug and chemotherapy sessions. Chemotherapy-induced myalgia was 94.3% among target cancerpatients in Lahore.Conclusion: In our study, chemotherapy-induced myalgia is alarmingly high in patients withcancers. The pain is mostly moderate in nature and affects the shoulder region. Measures should beadopted to mitigate the chemotherapy-induced myalgia as it adversely affects the patient's alreadydeteriorating quality of life.Keywords: Myalgia, Cancer, Cancer Pain, Palliative care, Chemotherapy

Ewing\u27s sarcoma/PNET of kidney in 13-year-old girl

Ewing\u27s sarcoma is the second most common primary tumour of bone in childhood. Less frequently it occurs in soft tissues. Ewing\u27s sarcoma/primitive neuroectodermal tumour (ES/PNET) is an extra ordinarily rare primary tumour in the kidney. Only very few cases of primary renal Ewing\u27s sarcoma have been reported in the literature to date. We present a case of primary right renal Ewing\u27s sarcoma in a 13-year-old girl who was diagnosed as a case of stage IV ES/PNET of kidney with metastases to lung and liver. Right nephrectomy was done followed by adjuvant radiotherapy and chemotherapy with complete response to local and distant area

Outcome of Kangaroo Mother Care in Preterm, Low Birth Weight Neonates; A Randomized Control Trial

In a recent meta-analysis, based on 13 randomized control trials, the researchers concluded that the neonates care with KMC at least 6 hours per day got significant weight gain as compared to the Non-KMC group with a mean difference 8.99 gm per day. They also concluded that the infants received KMC for less or equal to 02 hours per day not showed a significant difference in weight gain as compared to controls.1

Biology of Spodoptera litura on natural and artificial diet under laboratory conditions

Armyworm, Spodoptera litura (Lepidoptera; Noctuidae) is one of the most economically significant insect pests in global agriculture. The current study was performed to study the biology of S. litura under laboratory conditions. In the current study, the biological parameters of pests i.e., egg, larva, pupa and adult along with the duration were determined. The mean incubation period of pests on cabbage, maize and artificial diet was 2.86±0.33, 3.09 ± 0.12 and 3.97±0.77 days, respectively. S. litura had five instars. The mean developmental period of the first, second, third, fourth, fifth and sixth larval instar on cabbage was 3.44±0.11, 2.09±0.12, 4.11±0.12, 3.00±0.20, 6.68±0.23 and 5.94±0.18 days, respectively while 2.81±0.77, 3.55±0.33, 3.64±0.45, 4.43±0.71, 6.55±0.21 and 5.98±0.19 days on the maize, respectively. The mean developmental periods were 3.85±0.54, 3.45±0.63, 3.67±0.67, 4.37±0.82, 6.55±0.23 and 5.30±0.38 days of first, second, third, fourth, fifth and sixth larval instars on artificial diet, respectively. The mean total life period of S. litura was 33.43±5.86 days on cabbage and 34.79±6.95 days on maize while 35.98±7.86 days on an artificial diet. The longest developmental period of S. litura was recorded on the artificial diet while the minimum was on cabbage. The mean developmental period of pupa was 7.50±0.71 days on cabbage, 9.87±0.94 days on maize and 11.63±0.99 days on an artificial diet. Females were short-lived as compared to males. The pre-oviposition, oviposition and post-ovipositional period of S. litura on cabbage were recorded as a minimum while maximum on an artificial diet. The maximum number of eggs laid by females with the highest hatchability on cabbage followed by maize and artificial diet. An artificial diet was not good for pest development and growth as compared to a natural diet i.e., cabbage and maize. The findings will provide basic information about food pests which help in pest management

“It’s like heaven over there”: Medicine as discipline and the production of the carceral body

A grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.Background Correctional systems in several U.S. states have entered into partnerships with Academic Medical Centers (AMCs) to provide healthcare for people who are incarcerated. This project was initiated to better understand medical trainee perspectives on training and providing healthcare services to prison populations at one AMC specializing in the care of incarcerated patients: The University of Texas Medical Branch at Galveston (UTMB). We set out to characterize the attitudes and perceptions of medical trainees from the start of their training until the final year of Internal Medicine residency. Our goal was to analyze medical trainee perspectives on caring for incarcerated patients and to determine what specialized education and training is needed, if any, for the provision of ethical and appropriate healthcare to incarcerated patients. Results We found that medical trainees grapple with being beneficiaries of a state and institutional power structure that exploits the neglected health of incarcerated patients for the benefit of medical education and research. The benefits include the training opportunities afforded by the advanced pathologies suffered by persons who are incarcerated, an institutional culture that generally allowed students more freedom to practice their skills on incarcerated patients as compared to free-world patients, and an easy compliance of incarcerated patients likely conditioned by their neglect. Most trainees failed to recognize the extreme power differential between provider and patient that facilitates such freedom. Conclusions Using a critical prison studies/Foucauldian theoretical framework, we identified how the provision/withholding of healthcare to and from persons who are incarcerated plays a major role in disciplining incarcerated bodies into becoming compliant medical patients and research subjects, complacent with and even grateful for delayed care, delivered sometimes below the standard best practices. Specialized vulnerable-population training is sorely needed for both medical trainees and attending physicians in order to not further contribute to this exploitation of incarcerated patients.The University of Kansas (KU) One University Open Access Author Fun

A case of finger clubbing associated with nasopharyngeal carcinoma in a young girl, and review of pathophysiology

Hypertrophic osteoarthropathy is characterized by clubbing of the digital tips and periosteal reaction of long bones. Most of the cases are associated with malignancy or other conditions such as congenital heart disease, liver cirrhosis, pulmonary fibrosis, biliary atresia and gastrointestinal polyps. Hypertrophic osteoarthropathy associated with malignancy is rare in children. A few cases of hypertrophic osteoarthropathy in children with nasopharyngeal carcinoma have been reported. This is a case of hypertrophic osteoarthropathy associated with nasopharyngeal carcinoma with lung and bone metastasis in a 16 year old girl. In this case, lung metastases progressed after intensive chemotherapy and hypertrophic osteoarthropathy (Clubbing) persisted

Clinical evaluation of patients suffering from breast cancer and determination of evolving treatment therapies and better strategies related to breast cancer

Abstract: Breast cancer is basically the lesion of female breast that may create from the connective tissue or epithelial cells of breast.Primary objective: The objective of study was to conduct a survey about the prevailing of rate of breast cancer in community of Rawalakot, Islamabad and local community and to find out strategies used for the diagnosis, treatment and prevention of breast cancer. Methods/Design: A well structure questionnaire including 35 questions about the history, sociodemograhic characteristics, diagnostic tools, treatment plans and prevention methods has been prepared and circulated among the patients of breast cancer through survey. Setting: Study was conducted in Rawalakot and Islamabad Pakistan Participants: 50 participants were involved Intervention: The study was also conducted to communicate with larger community of breast cancer patients and to give them awareness related to initial diagnosis of this harmful disease. Primary Outcome Measures: This study was very very helpful in educated and non-educated community of the specific cities . Results: While conducting the research based on studies, it was found that about 68.84% patients has been report with the reoccurrence of breast cancer after surgery, 70% patients have been diagnosed with invasive type and 30% non-invasive type and 50% have been treated with hormonal therapy as continued treatment after surgery. Conclusion : Breast cancer variation among population or regional differences in the types have been attribute to the prevalence of major risk factors, availability and use of medical practices such as cancer screening, availability and quality of treatment, completeness of reporting and age structure.

Freely dissolved Organochlorine Pesticides (OCPs) and Polychlorinated Biphenyls (PCBs) along the Indus River Pakistan: Spatial pattern and Risk assessment

Freely dissolved OCPs and PCBs were measured by using polyethylene passive samplers at 15 sites during 2014 throughout the stretch of the Indus River to investigate the spatial pattern and risk assess. Levels (pg/L) of dissolved ∑OCPs and ∑PCBs ranged from 34 to 1600 and from 3 to 230. Among the detected OCPs, dissolved DDTs (p,p′-DDE, followed by p,p′-DDT) predominated with levels of 0.48 to 220 pg/L. The order of occurrence for other studied OCPs was as follows: HCB, endosulfans, chlordanes, and HCHs. Spatially, dissolved (pg/L) ∑OCPs varied (p \u3c 0.05) as the following: surface water of the alluvial riverine zone (ARZ) showed the highest levels (114) followed by the frozen mountain zone (FMZ) (52.9), low-lying zone (LLZ) (28.73), and wet mountain zone (WMZ) (14.43), respectively. However, our zone-wise PCB data did not exhibit significant differences (p \u3e 0.05). Principal component analysis/multilinear regression results showed pesticide usage in the crop/orchard fields and health sector, electric and electronic materials, and widespread industrial activities as the main source of OCPs and PCBs along the Indus River. Our results showed that OCPs and PCBs contaminated water intake, playing an important role towards the considerable cancer/non-cancer risk (HI and CR values) along the Indus River Flood-Plain