Issue · 2018
Vol.24, Iss. 1
27 articles · pp. 1-153 · All issues →
Research ArticleAssessing the Antecedents of Work Performance among Health Care Practitioners: Testing a Partial Least Squares Structural Equation Modeling Sequential Model
Fouzia Hadi Ali, Farhat Naz, Aban Abid Qazi
Abstract | Work performance (WP) in the healthcare sector has hither to remained an underexplored area of research. Despite the fact that the implications of WP in the healthcare sector context are far more expensive for both doctors and hospitals, the predict…
22 Aug 2018DOI 10.21649/akemu.v24i1.2332
Research ArticleEffects of Obesity on Lung Functions in Young Adults
Muhammad Younus, Sabah Usman, Samia Jawed
Abstract | Obesity is a global health problem and its prevalence is increasing continuously. It is the fifth leading cause of death worldwide and is associated with decreased lung functions. Objective: This study was designed to compare the pulmonary functions…
23 Aug 2018DOI 10.21649/akemu.v24i1.2363
Research ArticleRelationship between Arterial and Venous Blood Gases in Patients Presenting with Chronic Obstructive Pulmonary Disease
Muhammad Nusrullah, Muhammad Younus, Yasir Nasir
Abstract | Arterial blood gas analysis is an important test for determining acid base balance of the body. Chronic obstructive pulmonary disease is characterized by chronic airflow limitation which is not fully reversible and it can lead to respiratory failure…
23 Aug 2018DOI 10.21649/akemu.v24i1.2343- Editorial
Innovative Ways to Promote Children's Mental Health: Developing Accessible and Sustainable School Mental Health Services in Pakistan
Nazish Imran
According to World Health Organization (WHO), approximately 10-15% of children and adolescents worldwide suffer from mental health problems.(1) The WHO also highlights that “Lack of attention to mental health of children & adolescents may lead to men…
7 May 2018DOI 10.21649/akemu.v24i1.2345 
Research ArticleDemographic Characteristics of Tuberculosis Patients at Public Sector Health Facilities in Lahore, Pakistan
Masood Nizam Tabassum, Muhammad Ather Khan, Saira Afzal, Amir Gilani, Abdul Wahab Gureja, ShafaqTabassum
Abstract | Tuberculosis (TB) is an infectious chronic bacterial disease caused by Mycobacterium tuberculosis (MTB). More than 95% of cases and deaths are reported in developing countries. Tuberculosis affects all age groups but adults are mostly affected in th…
16 Aug 2018DOI 10.21649/akemu.v24i1.2309
Research ArticleCorrelation Between Articulation Disorders and Oral Motor Mechanism
Sadaf Noveen, Shaista Habib Ullah, Babar Alam
Abstract | Function of oral cavity is to produce speech sounds for verbal communication along with performance of its primary functions. Its defects can decrease intelligibility of speech while affecting production of phonemes. Description of this relationship…
13 Aug 2018DOI 10.21649/akemu.v24i1.2366
Research ArticleFrequency of Postpartum Haemorrhage after Administration of Per-Rectal Misoprostol in Females Undergoing Vaginal Delivery
Mumtaz Akhtar, Iffat Naheed, Khadija Waheed, Amna Khanum
Abstract | This study was designed to determine the frequency of postpartum hemorrhage after administration of per rectal misoprostol in females undergoing normal vaginal delivery. The study was conducted at the Department of Obstetrics and Gynaecology, Teachi…
23 Aug 2018DOI 10.21649/akemu.v24i1.2367- Research Article
Correlation of Obesity with Hypertension in Medical Students
Rana Khurram Aftab, Farhat Ijaz, Samia Jawed
Abstract | The relationship between obesity and hypertension has long been recognized. Overweight and obesity are disorders of balance of energy affecting people of various ethnic groups, age and socio–economic statuses. It has been found that obesity is…
22 Aug 2018DOI 10.21649/akemu.v24i1.2334 - Research Article
Comparison of Tumor Necrosis Factor Alpha and Insulin Resistance in Obeseversus Non-obese Type 2 Diabetic Patients
Farhat Ijaz, Rana Khurram Aftab, Samia Jawed
Abstract | Type 2 diabetes mellitus (T2DM) and insulin resistance (IR) are linked to each other. Obesity and T2DM are states of low-grade chronic inflammation, which result in increased levels of inflammatory markers such as C-reactive protein (CRP), interleuk…
22 Aug 2018DOI 10.21649/akemu.v24i1.2333 - Editorial
Voluntarism: A Way Forward for Health Care Delivery in Developing World
Muhammad Zahid Latif, Rahila Nizami, Intzar Hussain
Volunteer is a term which refers to the provision of services by choice or free will of a person, organization or group of individuals with no financial gain in full awareness and appreciation (1). It is an international phenomenon in which the individuals pro…
7 May 2018DOI 10.21649/akemu.v24i1.2298 
Research ArticleDetermination of Sex by Cheiloscopy as an Aid to Establish Personal Identity
Nasreen Ishaq, Arif Rasheed Malik, Zameer Ahmad, Saad Ehsan Ullah
Abstract | Background: Establishment of individuality is the basic concept of the humanity, which formulates personal identity. Forensic medicine is basically the science of identification and during last few decades multiple research work has been conducted f…
13 Aug 2018DOI 10.21649/akemu.v24i1.2305- Research Article
Comparison of Retinal Nerve Fiber Layer Thickness Changes after Intravitreal Bevacizumab in Patients of Diabetic Macular Edema
Muhammad Shaheer, Asad Aslam Khan, Nasir Ahmed, Tehseen Mahmood Mahju, Ummarah Rasheed
Abstract | Diabetic macular edema is one of the leading causes of visual loss in diabetic patients. However, the impact of medicinal treatment on the occurrence of macular edema remained elusive. Objectives: This study was designed to determine the effect of i…
22 Aug 2018DOI 10.21649/akemu.v24i1.2320 
Research ArticleEffectiveness of Maitland Grade I and II Spinal Mobilization for Chronic Low Back Pain
Komal Mushtaq, Shoaib Waqas, Hafiz Muhammad Asim
Abstract | Background: Chronic low back pain (CLBP) can be managed by multidisciplinary team approach especially physiotherapy and rehabilitation. In this study, effectiveness of spinal manual therapy (maitland grade I and II mobilization) for CLBP management…
16 Aug 2018DOI 10.21649/akemu.v24i1.2307
Research ArticleDemographic and Disease Patterns at a Primary Healthcare Setting
Taimoor Akram Khan, Anam Farooq, Amna Farooq, Muhammad Nasir, Gohar Khan, Ali Akram Khan
Abstract | The assessment of disease pattern and burden in a defined population based on the symptomatology as well as the organic presentation is quite fruitful. Objectives:This study was designed to determine demographic characteristics and disease pat…
22 Aug 2018DOI 10.21649/akemu.v24i1.2323
Research ArticleBad Bugs and No Drugs: Activity of Colistin as Waging War against Emerging Metallo-β-Lactamases Producing Pathogens
Sahar Naz, Farhan Rasheed, Muhammad Saeed, Shagufta Iram, Ambereen Anwar Imran
Abstract | Inter-hospital and intra-hospital dissemination of metallo-β-lactamase (MβL) producing strains possess significant therapeutic challenges. Objective: This study was carried outto evaluate the efficacy of Colistin against MβL producers…
22 Aug 2018DOI 10.21649/akemu.v24i1.2339- Research Article
Prevention of Functional Dyspepsia with Carica Papaya Extract
Maaz Ahmad, Mussab Ahmad, Tehreem Munir
Abstract | Functional dyspepsia (FD) is a set of relapsing or chronic dyspeptic symptoms in the absence of structural organic lesions. Approximately 15-20% of the general population in many developed countries suffers from dyspeptic symptoms at any time in a y…
22 Aug 2018DOI 10.21649/akemu.v24i1.2322 
Research ArticleFaisal's Technique to Closely Manage Volar Barton's Fracture: A Pilot Study
Faisal Masood, Ranjit Kumar Sah, Ahmad Humayun Sarfaraz
Abstract | This study was conducted to establish the efficacy of closed reduction and percutaneous pinning (CRPCP) in management of volar Barton’s fracture by Faisal Technique. Methods: A total of 10 cases of volar Barton’s fracture fulfilling our…
23 Aug 2018DOI 10.21649/akemu.v24i1.2342- Research Article
Arteriovenous Fistula (Avf) Self-Care: A Study at a Tertiary Care Hospital in Lahore, Pakistan
Naveed Rashid, Muhammad Aamer, Uzma Malik, Nimra Arif, Muhammad Waqar Akram, Ayesha Irshad
Abstract | Most complications associated with the use of arteriovenous fistula (AVF) access site for hemodialysis can be prevented by adopting a daily self-care plan for AVF access site. Therefore, the aim of this study was set to assess the knowledge, at…
23 Aug 2018DOI 10.21649/akemu.v24i1.2363 - Research Article
Comparison of Lecture Based and Modified Team Based Learning in Achieving Cognitive Skills in Medical Education
Quratul Ain Tahira, Sidrah Lodhi, Sajid Abaidullah
Abstract | Current study was designed to compare effectiveness of lecture-based and modified team-based learning in achieving cognitive skills in resident doctors. Methodology: This comparative cross sectional study was conducted on medical floor in Mayo Hospi…
22 Aug 2018DOI 10.21649/akemu.v24i1.2338 
Research ArticleIntravenous Magnesium Sulphate: An Effective Therapy for Acute Severe Attack of Bronchial Asthma
Muhammad Shahid Saeed, Adeela Shahid, Samia Jawed, Muhammad Akram, Irshad Hussain Qureshi
Abstract | Asthma is a global public health problem of 21st century and occurs due to complex interaction between genetic, behavioral and environmental factors. There are many drugs available for asthma and magnesium sulphate is given intravenously as an impor…
13 Aug 2018DOI 10.21649/akemu.v24i1.2364- Research Article
Eating Habits and Nutritional Status of Female Students of a Medical College of Lahore
Naveed Akhtar, Humaira Zareen, Rubina Sarmad
Abstract | Eating habits have strong relationship with nutritional status of any person. Modification of these habits in the adolescent period can prevent malnutrition resulting in prevention of many non-communicable diseases. Additionally, with best eating ha…
22 Aug 2018DOI 10.21649/akemu.v24i1.2321 - Research Article
Perception of Medical Students Regarding Educational Environment in a Public Sector Medical College: A Cross-Sectional Survey Using the Dundee Ready Education Environment Measure (DREEM) Questionnaire
Shumaila Irum, Muhammad Zafar Iqbal, Fatima Naumeri
Abstract | The primary success of educational environment heavily depends upon benefits to learners and this further facilitates the learning processing. The most commonly used tool, to measure it, is Dundee Ready Educational Environment Measure (DREEM). Objec…
23 Aug 2018DOI 10.21649/akemu.v24i1.2340 
Research ArticleExpression of HMG-Coareductase in Breast Carcinoma and its Association with Estrogen Receptor and Progesterone Receptor Status
Zartasha Anjum, Rakhshindah Bajwa, Munazza Hassan
Abstract | Statins are the drugs that target 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMG-CoAR). Several studies have reported the anti-tumoral properties of statins by exhibiting anti-proliferative properties in HMG-CoAR positive breast carcinomas. In…
23 Aug 2018DOI 10.21649/akemu.v24i1.2341- Research Article
Spectrum of Benign Breast Lesions in a Tertiary Care Hospital of Lahore
Riffat Mehboob, Shahida Perveen, Naseer Ahmed
Abstract | Women with benign breast diseases (BBD) are at a high risk of developing breast cancer. Objective: Purpose of the study was to analyze the spectrum of BBD in a tertiary care hospital of Lahore to understand the prevalence of inflammatory lesio…
13 Aug 2018DOI 10.21649/akemu.v24i1.2308 - Research Article
Comparison of Gene Xpert MTB/RIF Assays with Conventional Standard Proportion Method for Determination of Drug Susceptibility In Multidrug Resistant TB Suspects
Muhammad Kashif Munir, Sana Rehman, Rizwan Iqbal, Muhammad Saqib Saeed, Muhammad Aasim
Abstract | Background: Tuberculosis (TB) is a contagious disease and multidrug resistant tuberculosis is an emerging global issue. Rapid detection of such type of tuberculosis is necessary for timely control of the disease. GeneXpert test has already been impl…
22 Aug 2018DOI 10.21649/akemu.v24i1.2335 
Research ArticlePresence of Left Ventricular Diastolic Dysfunction in Patients of Chronic Obstructive Pulmonary Disease
Kaleem Ullah, Zafar Niaz, Sami Ullah Mumtaz, Sajid Abaidullah
Abstract | The relationship between chronic obstructive pulmonary disease (COPD) and cardiovascular diseases strongly exists as diastolic dysfunction is commonly reported in COPD patients. Objective: This study was conducted to determine the presence of left v…
13 Aug 2018DOI 10.21649/akemu.v24i1.2306
Research ArticleFrequency of TEL-AML1 Fusion Gene in Patients of Acute Lymphoblastic Leukemia
Munir Ahmad, Aisha Hameed, Saba Khaliq, Hamid Saeed Malik, Shahida Mohsin
Abstract | Acute lymphoblastic leukemia (ALL) is the most common malignant tumor in children and forms a major fraction of childhood malignancies in the developed countries. Numerous chromosomal aberrations have been observed in ALL including translocations wh…
23 Aug 2018DOI 10.21649/akemu.v24i1.2337