Zainab Manan - Academia.edu (original) (raw)
Papers by Zainab Manan
Cureus, Nov 18, 2022
Objective: This comparative cross-sectional study was conducted in the Departments of Trauma and ... more Objective: This comparative cross-sectional study was conducted in the Departments of Trauma and Neurosurgery, Ayub Teaching Hospital, Abbottabad, Pakistan from September 2021 to February 2022 to study predictive factors of outcomes in acute subdural hematoma evacuation. Methodology: A total of 101 patients with confirmed diagnosis of acute subdural hematoma (ASDH) who underwent surgical evacuation by consultant neurosurgeon were included in the study. A detailed clinical proforma was designed to document all the clinical and demographic details of these patients at the time of admission. Glasgow Coma Scale outcome score (GOS) was used to assess the outcome of patients after the surgery. Sociodemographic and clinical parameters were associated with outcome of surgery in our study participants. Results: Out of 101 patients, 55 (54.5%) were males and 46 (45.5%) were females. Mean age was 43.66±19.66 years with 7.39 as mean Glasgow Coma Scale (GCS) at presentation. Road traffic accident (RTA) 62 (61.4%) was most frequent mechanism of injury followed by fall from height (19.8%) and history of assault (13.9%). In our study, 59 patients had poor outcomes while 42 had good outcomes. Elder age, low GCS at presentation, and use of oral anticoagulant were associated with poor outcomes while pupillary reaction had no effect on the outcome after application of test of significance. Conclusion: More than half of the patients managed with surgical evacuation for acute subdural hematoma as per guidelines at our neurosurgical unit had poor outcomes according to Glasgow Coma Scale. In this study, advancing age (>60 years), low GCS score at presentation, and use of oral anticoagulation therapy emerged as significant risk factors for poor outcomes in participants. Pupillary reaction had no effect on outcomes as per this study but this needs further evaluation in future studies.
Assessment of Hospital Waste Management in Ayub Teaching Hospital, Abbottabad
Student Journal of Ayub Medical College, Sep 15, 2015
Tuberculosis (TB) is a leading cause of mortality worldwide, with a growing mortality rate. We pr... more Tuberculosis (TB) is a leading cause of mortality worldwide, with a growing mortality rate. We present a rare case of atypical presentation of pulmonary TB in a 26 years old male patient, who presented to outpatient department with complaints of fever and generalized weakness for last 5days. Fever which was high grade intermittent, more at evening time with no other associated symptoms and treated with Levofloxacin and Moxifloxacin. Patient was vaccinated with BCG at birth. Socioeconomic history was satisfactory. On examination patient had only pleural rub at left lower lung zone with no other significant positive sign. Routine baseline investigations were normal with normal ESR value. However, patient's X-ray chest showed left sided pleural effusion. Ultrasound guided diagnostic pleural tap was done which showed total proteins of 5g/dl, LDH 1920U/L, glucose 57mg/dl, ADA of 25IU, no AFB seen, along with negative culture and gene expert. ICT-TB showed negative IgG and IgM antibodies. Patient was treated empirically with Anti Tuberculosis drugs(ATT) and 30mg steroids (prednisolone for 20days). Clinically patient responded to ATT with regression of symptoms and after 20days of therapy patient was fully normal on examination as well as x-ray showed no pleural fluid and ATT was then continued for 6months with full recovery of patient. 13 As evidenced by this case in which all serological tests recommended for tuberculosis were normal and patient presented with a short history and then responded very well to the empirical treatment of ATT.
Frequency and determinants of malpresentation in singleton pregnancy in Ayub Teaching Hospital, Abbottabad, Pakistan
Rawal Medical Journal, 2017
Objective: To review the frequency and determinants of malpresentation in singleton pregnancy at ... more Objective: To review the frequency and determinants of malpresentation in singleton pregnancy at out institution. Methodology: This retrospective cross-sectional study was conducted based on hospital records of the patients admitted and delivered at Gynecology and Obstetrics Department, Ayub Teaching Hospital (ATH) Abbottabad, Pakistan in a specific time period. Data was collected on a specifically designed pro forma and was analyzed with SPSS version 16. Results: The commonest malpresentation was breech (85.8%) followed by transeverse (8.7%), brow (2.4%), compound (2%) and face presentation (1.2%). Highest frequency (93) of all types of malpresentation was observed in primigravida; breech being the highest (82). Conclusion: The changing trends in the abnormal presentation need further study. Awareness programs regarding maternal and child health in periphery and effective antenatal medical services should be provided for early detection and timely management of malpresentation.
Comparison Between Uses Of Contraceptive Methods In LHW Covered And LHW Uncovered Areas
Journal of Ayub Medical College, Abbottabad : JAMC, 2019
BACKGROUND Family planning is of great importance in population dynamics as unregulated fertility... more BACKGROUND Family planning is of great importance in population dynamics as unregulated fertility negatively affects the economic stabilization of the country. Family planning is considered an effective way for the improvement of child and maternal health and reduces the maternal and perinatal morality. Total contraceptive prevalence rate (CPR) in Pakistan is 29% even of the fact that 97% Pakistani women know only one method of contraception. This study compares the contraceptive usage among LHW covered and LHW uncovered areas. METHODS This was a comparative cross-sectional study, which was conducted in LHW covered, and un covered areas in tehsil Takht Bai of district Mardan from August to December 2016. Samples of 102 families were selected randomly. All those females who were married, in reproductive ages (15-49 years) and were not pregnant were included in the study. RESULTS Out of total 102 females 44 (43.1%) were from LHW covered areas while 58 (56.9%) were from LHW uncovered a...
Journal of Ayub Medical College, Abbottabad : JAMC
Over past few decades, the expectations of medical students about their academics, extracurricula... more Over past few decades, the expectations of medical students about their academics, extracurricular support from college and about their social life at campus have all been changed greatly. The relative scarcity of data about the expectations of Pakistani medical students has merited this study. A cross-sectional survey was undertaken at Ayub Medical College, Abbottabad at the in December, 2012 based on random sampling technique. Expectation questionnaire of University of Northumbria for Survey of Student Attitudes, Experiences and Expectations was used. One hundred and sixty-two students responded to the questionnaire with 93 (58.1%) males. Students had a fairly realistic picture of academic demands and college environment. There was major difference in the opinions of male and female students about physical environment of college with female having prior misconception about it. Forty-eight percent student found medical education challenging. About 63.3% students had realistic pictu...
Journal of Ayub Medical College, Abbottabad : JAMC
Background: 'Cancer' is on rise globally. Cancer registry is vital for policy making, resource al... more Background: 'Cancer' is on rise globally. Cancer registry is vital for policy making, resource allocation, progress tracking and overall cancer control. In Pakistan, cancer prevention, screening and standardised clinical trials, as well as quality assurance through surveillance are badly hampered due to the lack of a National Cancer Registry. For Pakistan a well-integrated system of Cancer Registry is need of the day. Methods: This retrospective study was conducted on the hospital records at the Oncology Department of Ayub Teaching Hospital, Abbottabad from year 2007-12. Data were collected through a standard data capture form with a final figure of 555 patients. The malignancies were diagnosed clinically and histopathologically at different laboratories of Pakistan. Results: Among these cases, 54.08% were male and 45.92% female. Incidence of cancer in patients below 14 years age was 8.47% and 91.53% above 14 years. Majority (31.95%) cases were from Mansehra followed by Abbottabad with 27.08% and Haripur 14.26% cases. Leukaemias were at top with 15.14% cases followed by breast carcinoma (13.69%), Lymphomas (12.07%), ovarian carcinomas (8.65%), and gastric carcinoma and skin cancers with 2.70% each. Among men, the highest incidence was of Hodgkin's lymphoma (14.9%) followed by lymphocytic leukaemia (14.3%). Prostate cancer was seen in 8.3% male patients. Another 5.7% patients had lung cancer. In women, the highest incidence was carcinoma breast (19.7%) followed by ovarian carcinoma (13.4%), leukaemia (9.7%), and Hodgkin's lymphoma (4.3%). Conclusion: A variety of cancers are prevalent in the indigent population. Record-keeping in wards is sub-optimal. Commonest cancers in the area have slight differences with rest of the country.
Cureus, Nov 18, 2022
Objective: This comparative cross-sectional study was conducted in the Departments of Trauma and ... more Objective: This comparative cross-sectional study was conducted in the Departments of Trauma and Neurosurgery, Ayub Teaching Hospital, Abbottabad, Pakistan from September 2021 to February 2022 to study predictive factors of outcomes in acute subdural hematoma evacuation. Methodology: A total of 101 patients with confirmed diagnosis of acute subdural hematoma (ASDH) who underwent surgical evacuation by consultant neurosurgeon were included in the study. A detailed clinical proforma was designed to document all the clinical and demographic details of these patients at the time of admission. Glasgow Coma Scale outcome score (GOS) was used to assess the outcome of patients after the surgery. Sociodemographic and clinical parameters were associated with outcome of surgery in our study participants. Results: Out of 101 patients, 55 (54.5%) were males and 46 (45.5%) were females. Mean age was 43.66±19.66 years with 7.39 as mean Glasgow Coma Scale (GCS) at presentation. Road traffic accident (RTA) 62 (61.4%) was most frequent mechanism of injury followed by fall from height (19.8%) and history of assault (13.9%). In our study, 59 patients had poor outcomes while 42 had good outcomes. Elder age, low GCS at presentation, and use of oral anticoagulant were associated with poor outcomes while pupillary reaction had no effect on the outcome after application of test of significance. Conclusion: More than half of the patients managed with surgical evacuation for acute subdural hematoma as per guidelines at our neurosurgical unit had poor outcomes according to Glasgow Coma Scale. In this study, advancing age (>60 years), low GCS score at presentation, and use of oral anticoagulation therapy emerged as significant risk factors for poor outcomes in participants. Pupillary reaction had no effect on outcomes as per this study but this needs further evaluation in future studies.
Assessment of Hospital Waste Management in Ayub Teaching Hospital, Abbottabad
Student Journal of Ayub Medical College, Sep 15, 2015
Tuberculosis (TB) is a leading cause of mortality worldwide, with a growing mortality rate. We pr... more Tuberculosis (TB) is a leading cause of mortality worldwide, with a growing mortality rate. We present a rare case of atypical presentation of pulmonary TB in a 26 years old male patient, who presented to outpatient department with complaints of fever and generalized weakness for last 5days. Fever which was high grade intermittent, more at evening time with no other associated symptoms and treated with Levofloxacin and Moxifloxacin. Patient was vaccinated with BCG at birth. Socioeconomic history was satisfactory. On examination patient had only pleural rub at left lower lung zone with no other significant positive sign. Routine baseline investigations were normal with normal ESR value. However, patient's X-ray chest showed left sided pleural effusion. Ultrasound guided diagnostic pleural tap was done which showed total proteins of 5g/dl, LDH 1920U/L, glucose 57mg/dl, ADA of 25IU, no AFB seen, along with negative culture and gene expert. ICT-TB showed negative IgG and IgM antibodies. Patient was treated empirically with Anti Tuberculosis drugs(ATT) and 30mg steroids (prednisolone for 20days). Clinically patient responded to ATT with regression of symptoms and after 20days of therapy patient was fully normal on examination as well as x-ray showed no pleural fluid and ATT was then continued for 6months with full recovery of patient. 13 As evidenced by this case in which all serological tests recommended for tuberculosis were normal and patient presented with a short history and then responded very well to the empirical treatment of ATT.
Frequency and determinants of malpresentation in singleton pregnancy in Ayub Teaching Hospital, Abbottabad, Pakistan
Rawal Medical Journal, 2017
Objective: To review the frequency and determinants of malpresentation in singleton pregnancy at ... more Objective: To review the frequency and determinants of malpresentation in singleton pregnancy at out institution. Methodology: This retrospective cross-sectional study was conducted based on hospital records of the patients admitted and delivered at Gynecology and Obstetrics Department, Ayub Teaching Hospital (ATH) Abbottabad, Pakistan in a specific time period. Data was collected on a specifically designed pro forma and was analyzed with SPSS version 16. Results: The commonest malpresentation was breech (85.8%) followed by transeverse (8.7%), brow (2.4%), compound (2%) and face presentation (1.2%). Highest frequency (93) of all types of malpresentation was observed in primigravida; breech being the highest (82). Conclusion: The changing trends in the abnormal presentation need further study. Awareness programs regarding maternal and child health in periphery and effective antenatal medical services should be provided for early detection and timely management of malpresentation.
Comparison Between Uses Of Contraceptive Methods In LHW Covered And LHW Uncovered Areas
Journal of Ayub Medical College, Abbottabad : JAMC, 2019
BACKGROUND Family planning is of great importance in population dynamics as unregulated fertility... more BACKGROUND Family planning is of great importance in population dynamics as unregulated fertility negatively affects the economic stabilization of the country. Family planning is considered an effective way for the improvement of child and maternal health and reduces the maternal and perinatal morality. Total contraceptive prevalence rate (CPR) in Pakistan is 29% even of the fact that 97% Pakistani women know only one method of contraception. This study compares the contraceptive usage among LHW covered and LHW uncovered areas. METHODS This was a comparative cross-sectional study, which was conducted in LHW covered, and un covered areas in tehsil Takht Bai of district Mardan from August to December 2016. Samples of 102 families were selected randomly. All those females who were married, in reproductive ages (15-49 years) and were not pregnant were included in the study. RESULTS Out of total 102 females 44 (43.1%) were from LHW covered areas while 58 (56.9%) were from LHW uncovered a...
Journal of Ayub Medical College, Abbottabad : JAMC
Over past few decades, the expectations of medical students about their academics, extracurricula... more Over past few decades, the expectations of medical students about their academics, extracurricular support from college and about their social life at campus have all been changed greatly. The relative scarcity of data about the expectations of Pakistani medical students has merited this study. A cross-sectional survey was undertaken at Ayub Medical College, Abbottabad at the in December, 2012 based on random sampling technique. Expectation questionnaire of University of Northumbria for Survey of Student Attitudes, Experiences and Expectations was used. One hundred and sixty-two students responded to the questionnaire with 93 (58.1%) males. Students had a fairly realistic picture of academic demands and college environment. There was major difference in the opinions of male and female students about physical environment of college with female having prior misconception about it. Forty-eight percent student found medical education challenging. About 63.3% students had realistic pictu...
Journal of Ayub Medical College, Abbottabad : JAMC
Background: 'Cancer' is on rise globally. Cancer registry is vital for policy making, resource al... more Background: 'Cancer' is on rise globally. Cancer registry is vital for policy making, resource allocation, progress tracking and overall cancer control. In Pakistan, cancer prevention, screening and standardised clinical trials, as well as quality assurance through surveillance are badly hampered due to the lack of a National Cancer Registry. For Pakistan a well-integrated system of Cancer Registry is need of the day. Methods: This retrospective study was conducted on the hospital records at the Oncology Department of Ayub Teaching Hospital, Abbottabad from year 2007-12. Data were collected through a standard data capture form with a final figure of 555 patients. The malignancies were diagnosed clinically and histopathologically at different laboratories of Pakistan. Results: Among these cases, 54.08% were male and 45.92% female. Incidence of cancer in patients below 14 years age was 8.47% and 91.53% above 14 years. Majority (31.95%) cases were from Mansehra followed by Abbottabad with 27.08% and Haripur 14.26% cases. Leukaemias were at top with 15.14% cases followed by breast carcinoma (13.69%), Lymphomas (12.07%), ovarian carcinomas (8.65%), and gastric carcinoma and skin cancers with 2.70% each. Among men, the highest incidence was of Hodgkin's lymphoma (14.9%) followed by lymphocytic leukaemia (14.3%). Prostate cancer was seen in 8.3% male patients. Another 5.7% patients had lung cancer. In women, the highest incidence was carcinoma breast (19.7%) followed by ovarian carcinoma (13.4%), leukaemia (9.7%), and Hodgkin's lymphoma (4.3%). Conclusion: A variety of cancers are prevalent in the indigent population. Record-keeping in wards is sub-optimal. Commonest cancers in the area have slight differences with rest of the country.