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  1. Article ; Online: Evaluation of antibiotic prescription patterns using WHO AWaRe classification.

    Sajjad, Urooj / Afzal, Nauman / Asif, Manahil / Rehman, Muhammad Bilal / Afridi, Arshad Ullah / Kazmi, Tahseen

    Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit

    2024  Volume 30, Issue 2, Page(s) 156–162

    Abstract: Background: Antimicrobial resistance is a rising problem worldwide and it poses a serious risk to public health. In Pakistan, about 70.0% of the Acinetobacter group of bacteria were resistant to all antibiotics and were responsible for high mortality ... ...

    Abstract Background: Antimicrobial resistance is a rising problem worldwide and it poses a serious risk to public health. In Pakistan, about 70.0% of the Acinetobacter group of bacteria were resistant to all antibiotics and were responsible for high mortality among neonates within the first week of life.
    Aim: To evaluate the pattern of antibiotic prescription in the Ear, Nose and Throat (ENT) Department of Shalamar Hospital, Lahore, Pakistan, using the WHO AWaRe 2021 classification.
    Methods: We collected prescription data from the ENT outpatient department of Shalamar Hospital from October to December 2021. We compared the quantitative analysis of antibiotics with the WHO AWaRe classification. We analysed the data using SPSS version 26 and discussed the results with the ENT Department for possible improvements.
    Results: Some 862 (12.1%) of the total 7126 entries were assessed. Others were excluded because they had some missing data or had no antibiotic prescription. Of all the antibiotics prescribed, around 54.9% belonged to the access category. The WHO 13th General Programme of Work 2019-2023 recommends a country-level target of at least 60% of the total antibiotic consumption in the access group antibiotics.
    Conclusion: The outpatient department of the ENT did not prescribe any reserve or not recommended antibiotics. The use of watch antibiotics was higher than recommended by the WHO AWaRe classification. More efforts should be made to increase prescriptions from the AWaRe access group to achieve the 60% minimum target recommended by WHO for the country.
    MeSH term(s) Infant, Newborn ; Humans ; Anti-Bacterial Agents/therapeutic use ; Drug Prescriptions ; Outpatients ; Hospitals ; World Health Organization
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2024-02-25
    Publishing country Egypt
    Document type Journal Article
    ZDB-ID 1291071-5
    ISSN 1687-1634 ; 1020-3397
    ISSN (online) 1687-1634
    ISSN 1020-3397
    DOI 10.26719/emhj.24.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4388: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Unusual nasopharyngeal foreign body in a four-year-old child.

    Afridi, Arshad Ullah / Gohar, Muhammad Saeed / Imtiaz, Iqra / Bhatti, Hassan Majid

    JPMA. The Journal of the Pakistan Medical Association

    2023  Volume 73, Issue 6, Page(s) 1294–1296

    Abstract: Foreign bodies are amongst the commonest emergencies presenting to the otorhinolaryngologists. They can be remarkably difficult to see and remove. However, nasopharyngeal foreign bodies are exceedingly rare. Foreign bodies can have disastrous ... ...

    Abstract Foreign bodies are amongst the commonest emergencies presenting to the otorhinolaryngologists. They can be remarkably difficult to see and remove. However, nasopharyngeal foreign bodies are exceedingly rare. Foreign bodies can have disastrous complications, such as rhinolith formation, septal perforation, erosion into the surrounding structures, and infections including sinusitis, otitis media, periorbital cellulitis, diphtheria, meningitis, and tetanus. Imaging investigations, such as X-ray, CT scan and MRI, can be of great help in diagnosing and planning treatment in clinically equivocal cases, although they are rarely needed. Complete removal of the foreign body is of paramount importance in treating this entity. This unique case demonstrates the importance of a thorough clinical examination and history in patients presenting with vague complaints, especially in the paediatric population due to their usually non-specific symptoms and insufficient history.
    MeSH term(s) Humans ; Child ; Child, Preschool ; Foreign Bodies/diagnostic imaging ; Foreign Bodies/surgery ; Foreign Bodies/complications ; Sinusitis ; Tetanus ; Tomography, X-Ray Computed ; Magnetic Resonance Imaging
    Language English
    Publishing date 2023-07-10
    Publishing country Pakistan
    Document type Case Reports
    ZDB-ID 603873-6
    ISSN 0030-9982
    ISSN 0030-9982
    DOI 10.47391/JPMA.5676
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Frequency of primary headache disorders and association with body mass index; an ambispective study.

    Iqbal, Sarwat / Butt, Mujeeb-Ur-Rehaman Abid / Sarwar, Uzma / Afridi, Arshad Ullah

    JPMA. The Journal of the Pakistan Medical Association

    2023  Volume 72, Issue 10, Page(s) 1968–1970

    Abstract: Objective: To determine the association of body mass index with various primary headache disorders.: Methods: The ambispective study was conducted at the Department of Medicine, Shalamar Institute of Health Sciences, Lahore, Pakistan, from January ... ...

    Abstract Objective: To determine the association of body mass index with various primary headache disorders.
    Methods: The ambispective study was conducted at the Department of Medicine, Shalamar Institute of Health Sciences, Lahore, Pakistan, from January 2020 to March 2021, and comprised data of patients who presented to outpatient departments of Neurology and Medicine with complaint of recurrent or persistent headaches. Body mass index of each subject at the time of latest headache visit was recorded. A control group of 200 individuals was also raised and the body mass index of its subjects was measured. Headache disorders were classified as per International Classification of Headache Disorders-3 beta criteria. Correlation of frequency of different types of primary headaches with body mass index was explored. Data was analysed using SPSS 20.
    Results: Of the 400 subjects, 200(50%) each were cases and controls. There were 132(33%) males and 268(67%) females. The overall mean age was 37.4 ±14.7 years and mean body mass index was 27.3 ±5.87kg/m2. Migraine was found in 183(46%) subjects compared to tension-type headache 96(24%). Migraine was more common in subjects with high body mass index (p<0.05).
    Conclusions: Primary headaches constitute a significant health problem. Among various risk factors weight-gain is one that can predispose an individual to increased frequency of migraine.
    MeSH term(s) Male ; Female ; Humans ; Young Adult ; Adult ; Middle Aged ; Body Mass Index ; Headache/epidemiology ; Headache/complications ; Migraine Disorders/epidemiology ; Migraine Disorders/complications ; Tension-Type Headache/epidemiology ; Tension-Type Headache/complications ; Headache Disorders/complications
    Language English
    Publishing date 2023-01-24
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 603873-6
    ISSN 0030-9982
    ISSN 0030-9982
    DOI 10.47391/JPMA.3548
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 845: Show issues Location:
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