Mahmood Jamal - Academia.edu (original) (raw)
Papers by Mahmood Jamal
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2010
OBJECTIVE To measure the frequency of ophthalmia neonatorum among all babies born in MCH Center, ... more OBJECTIVE To measure the frequency of ophthalmia neonatorum among all babies born in MCH Center, PIMS (Pakistan Institute of Medical Sciences), Islamabad, in one month's time and to determine their causative organisms. STUDY DESIGN An observational study. PLACE AND DURATION OF STUDY The MCH Center, PIMS, during the month of November 2008. METHODOLOGY All babies born from 1st to 30th November, 2008 in the MCH Center, PIMS, Islamabad, Pakistan were included in the study. All babies were examined for signs of conjunctivitis on days 1, 3, 7, 14, 21 and 28 of life. Conjunctival swabs were taken for gram staining and culture from those with clinical diagnosis of conjunctivitis. Frequency of known maternal and neonatal risk factors for the disease were assessed. Proportions were compared using chi-square test with significance at p < 0.05. RESULTS Seventeen percent of the 1010 babies developed conjunctivitis. Staphylococcus aureus (65% of all positive cultures) was the most common c...
JCPSP. Journal of the College of Physicians & Surgeons Pakistan, Sep 1, 2010
Objective: Screening programs for Congenital Hypothyroidism were established more than 30 years a... more Objective: Screening programs for Congenital Hypothyroidism were established more than 30 years ago, the optimal screening strategy and particularly TSH threshold have not yet been satisfactorily defined. This was obvious in a survey, which outlined the status of neonatal screening in Europe in 2004.
Objective: To assess the hepatitis B vaccination status among medical students at Islamabad Medic... more Objective: To assess the hepatitis B vaccination status among medical students at Islamabad Medical and Dental College. Materials and Methods: In August 2015, a crosssectional survey was carried out at Pediatric Department, Islamabad Medical and Dental College, Islamabad using a pretested self-administered questionnaire among 315 medical students of clinical years (3rd, 4th and 5th years) after taking informed consent. In questionnaire the status of hepatitis B vaccination of medical students and the reasons for not getting vaccinations were assessed. Results: Total 315 students were approached for survey; out of which 269 responded. Total response rate was 85%. Among 269 students who responded, 150 (56%) were female and 119 (44%) were male. 107 (40%) students were unvaccinated, while 73 (27%) were partially vaccinated and 89 (33%) were fully vaccinated. The most common reason of not receiving vaccination is laziness (53%) followed by lack of awareness (23%) and no knowledge about w...
Journal of Tropical Pediatrics, 1989
A prospective study was done to determine the clinical profile of acute rheumatic fever in the fi... more A prospective study was done to determine the clinical profile of acute rheumatic fever in the first attacks and in recurrences separately. The data were compared with those from other countries. Eighty children were in their first attack while 46 had recurrences. Arthritis, the most common manifestations, was seen in 61 per cent of patients with first attack followed by carditis in 41 per cent, chorea in 28 per cent and subcutaneous nodules in 3 per cent. However, in the recurrences, arthritis was present in 52 per cent, carditis in 81 per cent, chorea in 11 per cent, and nodules in 4 per cent of cases. In both the groups, no case with erythema marginatum was seen. The results show that in the first attack the clinical picture broadly resembles that in European and North American countries. The presenting symptoms and signs are different during recurrence.
Objective: Screening programs for Congenital Hypothyroidism were established more than 30 years a... more Objective: Screening programs for Congenital Hypothyroidism were established more than 30 years ago, the optimal screening strategy and particularly TSH threshold have not yet been satisfactorily defined. This was obvious in a survey, which outlined the status of neonatal screening in Europe in 2004. Study Design: Prospective Study Patients and Methods: Screening of Congenital Hypothyroidism was performed in newborns delivered in Maternal and Child Health center of Pakistan Institute of Medical sciences, Islamabad. This center has more than 1000 deliveries per month. Thyroid Stimulating Hormone (TSH) and T4 levels were done after 8th day of birth. Results: During 03 years of study period, 1337 newborns were screened. 993 babies reported back with results in OPD. 962 babies HAD level of TSH≤ 10 mU/ml. Border line levels were found in 31 babies, but on repeat test revealed only 03 babies with persistent high levels of TSH. Conclusions: Screening for hypothyroidism must be offered to e...
Journal of the College of Physicians and Surgeons Pakistan Jcpsp, 2003
Objective: To determine the association of socio-demographic, maternal, medical and obstetric ris... more Objective: To determine the association of socio-demographic, maternal, medical and obstetric risk factors with low birth weight. Design: A case-control study. Place and duration of study: This study was carried out in the department of Neonatology, Children Hospital and Mother & Child Health Care Centre, Pakistan Institute of Medical Sciences, Islamabad during August-September 2001. Subjects and methods: One hundred and ninety consecutive low birth weight ( <2.5 kg) live born babies were enrolled cases against 760 consecutive normal birth weight ( >2.5 kg) babies as controls. Informations regarding maternal, biosocial, medical and obstetric complications during pregnancy were recorded on a pre-tested proforma. Data analysis was done through logistic regression model in SPSS10 and results were interpreted in terms of odds ratio and p-values. Results: The mean weight of cases was 2.08 kg as compared to 3.1 in controls. Forty-six percent of cases were preterm. The factors like maternal malnutrition, young age of the mothers, poverty, close birth spacing, hypertension and antenatal per vaginum (p/v) bleeding during pregnancy have independent effect in causing low birth weight (LBW). Conclusion: Maternal biosocial, medical and obstetric factors have strong association with LBW. To overcome this problem, special attention is required to strengthen the mother and child health care services in the community.
Journal of the College of Physicians and Surgeons--Pakistan: JCPSP
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2011
To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of i... more To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of infants. A randomized controlled trial. The study was conducted in the Department of Obstetrics of Pakistan Institute of Medical Sciences, Islamabad, from November to December 2009. Eligible mothers were assessed for the successful breastfeeding by using IBFAT tool. The time to initiate the first feed, time to effective breastfeeding, maternal satisfaction with the care provided, preference for the same care in future and level of exclusive breastfeeding at the age of one month were also noted. The data was compared by using X2 and t-test. Significant p-value was taken as < 0.05. A total of 183 mother-infant pairs (92 in skin-to-skin care [SSC] group and 91 in conventional care [CC] group) were analyzed for breastfeeding behavior of the infants. The first breastfeed was 26.25% more successful in SSC group (58.8% in SSC group as compared to 32.5% in CC group with p-value of 0.001). In S...
The Indian Journal of Pediatrics, 1993
Maternal factors comprising of social, obstetric and anthropometric are fund to influence LBW. Th... more Maternal factors comprising of social, obstetric and anthropometric are fund to influence LBW. The present study had found association between obstetric risk factors like age of the mother, parity and gravida with LBW. Similar association was also observed between maternal height, and maternal weight with LBW. However, social factors were not found to be associated with LBW. This could probably be due to RUHSA's intervention which requires a further inquiry.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2011
To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of i... more To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of infants. A randomized controlled trial. The study was conducted in the Department of Obstetrics of Pakistan Institute of Medical Sciences, Islamabad, from November to December 2009. Eligible mothers were assessed for the successful breastfeeding by using IBFAT tool. The time to initiate the first feed, time to effective breastfeeding, maternal satisfaction with the care provided, preference for the same care in future and level of exclusive breastfeeding at the age of one month were also noted. The data was compared by using X2 and t-test. Significant p-value was taken as < 0.05. A total of 183 mother-infant pairs (92 in skin-to-skin care [SSC] group and 91 in conventional care [CC] group) were analyzed for breastfeeding behavior of the infants. The first breastfeed was 26.25% more successful in SSC group (58.8% in SSC group as compared to 32.5% in CC group with p-value of 0.001). In S...
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2011
To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of i... more To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of infants. A randomized controlled trial. The study was conducted in the Department of Obstetrics of Pakistan Institute of Medical Sciences, Islamabad, from November to December 2009. Eligible mothers were assessed for the successful breastfeeding by using IBFAT tool. The time to initiate the first feed, time to effective breastfeeding, maternal satisfaction with the care provided, preference for the same care in future and level of exclusive breastfeeding at the age of one month were also noted. The data was compared by using X2 and t-test. Significant p-value was taken as < 0.05. A total of 183 mother-infant pairs (92 in skin-to-skin care [SSC] group and 91 in conventional care [CC] group) were analyzed for breastfeeding behavior of the infants. The first breastfeed was 26.25% more successful in SSC group (58.8% in SSC group as compared to 32.5% in CC group with p-value of 0.001). In S...
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2010
OBJECTIVE To measure the frequency of ophthalmia neonatorum among all babies born in MCH Center, ... more OBJECTIVE To measure the frequency of ophthalmia neonatorum among all babies born in MCH Center, PIMS (Pakistan Institute of Medical Sciences), Islamabad, in one month's time and to determine their causative organisms. STUDY DESIGN An observational study. PLACE AND DURATION OF STUDY The MCH Center, PIMS, during the month of November 2008. METHODOLOGY All babies born from 1st to 30th November, 2008 in the MCH Center, PIMS, Islamabad, Pakistan were included in the study. All babies were examined for signs of conjunctivitis on days 1, 3, 7, 14, 21 and 28 of life. Conjunctival swabs were taken for gram staining and culture from those with clinical diagnosis of conjunctivitis. Frequency of known maternal and neonatal risk factors for the disease were assessed. Proportions were compared using chi-square test with significance at p < 0.05. RESULTS Seventeen percent of the 1010 babies developed conjunctivitis. Staphylococcus aureus (65% of all positive cultures) was the most common c...
JCPSP. Journal of the College of Physicians & Surgeons Pakistan, Sep 1, 2010
Objective: Screening programs for Congenital Hypothyroidism were established more than 30 years a... more Objective: Screening programs for Congenital Hypothyroidism were established more than 30 years ago, the optimal screening strategy and particularly TSH threshold have not yet been satisfactorily defined. This was obvious in a survey, which outlined the status of neonatal screening in Europe in 2004.
Objective: To assess the hepatitis B vaccination status among medical students at Islamabad Medic... more Objective: To assess the hepatitis B vaccination status among medical students at Islamabad Medical and Dental College. Materials and Methods: In August 2015, a crosssectional survey was carried out at Pediatric Department, Islamabad Medical and Dental College, Islamabad using a pretested self-administered questionnaire among 315 medical students of clinical years (3rd, 4th and 5th years) after taking informed consent. In questionnaire the status of hepatitis B vaccination of medical students and the reasons for not getting vaccinations were assessed. Results: Total 315 students were approached for survey; out of which 269 responded. Total response rate was 85%. Among 269 students who responded, 150 (56%) were female and 119 (44%) were male. 107 (40%) students were unvaccinated, while 73 (27%) were partially vaccinated and 89 (33%) were fully vaccinated. The most common reason of not receiving vaccination is laziness (53%) followed by lack of awareness (23%) and no knowledge about w...
Journal of Tropical Pediatrics, 1989
A prospective study was done to determine the clinical profile of acute rheumatic fever in the fi... more A prospective study was done to determine the clinical profile of acute rheumatic fever in the first attacks and in recurrences separately. The data were compared with those from other countries. Eighty children were in their first attack while 46 had recurrences. Arthritis, the most common manifestations, was seen in 61 per cent of patients with first attack followed by carditis in 41 per cent, chorea in 28 per cent and subcutaneous nodules in 3 per cent. However, in the recurrences, arthritis was present in 52 per cent, carditis in 81 per cent, chorea in 11 per cent, and nodules in 4 per cent of cases. In both the groups, no case with erythema marginatum was seen. The results show that in the first attack the clinical picture broadly resembles that in European and North American countries. The presenting symptoms and signs are different during recurrence.
Objective: Screening programs for Congenital Hypothyroidism were established more than 30 years a... more Objective: Screening programs for Congenital Hypothyroidism were established more than 30 years ago, the optimal screening strategy and particularly TSH threshold have not yet been satisfactorily defined. This was obvious in a survey, which outlined the status of neonatal screening in Europe in 2004. Study Design: Prospective Study Patients and Methods: Screening of Congenital Hypothyroidism was performed in newborns delivered in Maternal and Child Health center of Pakistan Institute of Medical sciences, Islamabad. This center has more than 1000 deliveries per month. Thyroid Stimulating Hormone (TSH) and T4 levels were done after 8th day of birth. Results: During 03 years of study period, 1337 newborns were screened. 993 babies reported back with results in OPD. 962 babies HAD level of TSH≤ 10 mU/ml. Border line levels were found in 31 babies, but on repeat test revealed only 03 babies with persistent high levels of TSH. Conclusions: Screening for hypothyroidism must be offered to e...
Journal of the College of Physicians and Surgeons Pakistan Jcpsp, 2003
Objective: To determine the association of socio-demographic, maternal, medical and obstetric ris... more Objective: To determine the association of socio-demographic, maternal, medical and obstetric risk factors with low birth weight. Design: A case-control study. Place and duration of study: This study was carried out in the department of Neonatology, Children Hospital and Mother & Child Health Care Centre, Pakistan Institute of Medical Sciences, Islamabad during August-September 2001. Subjects and methods: One hundred and ninety consecutive low birth weight ( <2.5 kg) live born babies were enrolled cases against 760 consecutive normal birth weight ( >2.5 kg) babies as controls. Informations regarding maternal, biosocial, medical and obstetric complications during pregnancy were recorded on a pre-tested proforma. Data analysis was done through logistic regression model in SPSS10 and results were interpreted in terms of odds ratio and p-values. Results: The mean weight of cases was 2.08 kg as compared to 3.1 in controls. Forty-six percent of cases were preterm. The factors like maternal malnutrition, young age of the mothers, poverty, close birth spacing, hypertension and antenatal per vaginum (p/v) bleeding during pregnancy have independent effect in causing low birth weight (LBW). Conclusion: Maternal biosocial, medical and obstetric factors have strong association with LBW. To overcome this problem, special attention is required to strengthen the mother and child health care services in the community.
Journal of the College of Physicians and Surgeons--Pakistan: JCPSP
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2011
To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of i... more To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of infants. A randomized controlled trial. The study was conducted in the Department of Obstetrics of Pakistan Institute of Medical Sciences, Islamabad, from November to December 2009. Eligible mothers were assessed for the successful breastfeeding by using IBFAT tool. The time to initiate the first feed, time to effective breastfeeding, maternal satisfaction with the care provided, preference for the same care in future and level of exclusive breastfeeding at the age of one month were also noted. The data was compared by using X2 and t-test. Significant p-value was taken as < 0.05. A total of 183 mother-infant pairs (92 in skin-to-skin care [SSC] group and 91 in conventional care [CC] group) were analyzed for breastfeeding behavior of the infants. The first breastfeed was 26.25% more successful in SSC group (58.8% in SSC group as compared to 32.5% in CC group with p-value of 0.001). In S...
The Indian Journal of Pediatrics, 1993
Maternal factors comprising of social, obstetric and anthropometric are fund to influence LBW. Th... more Maternal factors comprising of social, obstetric and anthropometric are fund to influence LBW. The present study had found association between obstetric risk factors like age of the mother, parity and gravida with LBW. Similar association was also observed between maternal height, and maternal weight with LBW. However, social factors were not found to be associated with LBW. This could probably be due to RUHSA's intervention which requires a further inquiry.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2011
To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of i... more To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of infants. A randomized controlled trial. The study was conducted in the Department of Obstetrics of Pakistan Institute of Medical Sciences, Islamabad, from November to December 2009. Eligible mothers were assessed for the successful breastfeeding by using IBFAT tool. The time to initiate the first feed, time to effective breastfeeding, maternal satisfaction with the care provided, preference for the same care in future and level of exclusive breastfeeding at the age of one month were also noted. The data was compared by using X2 and t-test. Significant p-value was taken as < 0.05. A total of 183 mother-infant pairs (92 in skin-to-skin care [SSC] group and 91 in conventional care [CC] group) were analyzed for breastfeeding behavior of the infants. The first breastfeed was 26.25% more successful in SSC group (58.8% in SSC group as compared to 32.5% in CC group with p-value of 0.001). In S...
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2011
To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of i... more To evaluate the effect of mother-infant early skin-to-skin contact on breastfeeding behavior of infants. A randomized controlled trial. The study was conducted in the Department of Obstetrics of Pakistan Institute of Medical Sciences, Islamabad, from November to December 2009. Eligible mothers were assessed for the successful breastfeeding by using IBFAT tool. The time to initiate the first feed, time to effective breastfeeding, maternal satisfaction with the care provided, preference for the same care in future and level of exclusive breastfeeding at the age of one month were also noted. The data was compared by using X2 and t-test. Significant p-value was taken as < 0.05. A total of 183 mother-infant pairs (92 in skin-to-skin care [SSC] group and 91 in conventional care [CC] group) were analyzed for breastfeeding behavior of the infants. The first breastfeed was 26.25% more successful in SSC group (58.8% in SSC group as compared to 32.5% in CC group with p-value of 0.001). In S...