Pak J Med Sci
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To determine the risk factors and outcomes of maternal sepsis. ⋯ Gestational age below 37 weeks, lack of antenatal booking, and anemia were found to be significant predictors of maternal sepsis. E. coli was the most common pathogen identified. High mortality rate in maternal sepsis highlights the need for early identification, effective management, and close monitoring to reduce maternal mortality from sepsis.
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To evaluate the clinical efficacy of bladder function training combined with pelvic floor biofeedback electrical stimulation in the treatment of neurogenic bladder and its impact on urodynamics. ⋯ The application of bladder function training combined with pelvic floor biofeedback electrical stimulation is significantly effective for treating neurogenic bladder, which can significantly improve the storage and voiding functions of patients, alleviate lower urinary tract symptoms, and improve patients' quality of life.
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In medical education, the challenging constructs of emotional intelligence and professionalism are increasingly being addressed worldwide and seem to share common characteristic components. The objective of this study was to determine the association between emotional intelligence and professionalism as perceived and self-reported by medical students and to explore the gender difference in these two variables. ⋯ Increase in emotional intelligence is associated with the increase in professionalism among medical students.
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Review
Harm reduction associated with heated tobacco products: A systematic review and meta-analysis.
We conducted a systematic review and meta-analysis of randomised studies in humans comparing the outcomes of switching to heated tobacco products (HTPs) versus continuing conventional tobacco smoking by burning. ⋯ In RCTs of moderate quality, some biomarkers show harm reduction associated with switching from burnt tobacco smoking to HTPs. The majority of the findings are imprecise due to the small sample sizes of the included studies. Sufficiently powered, robust RCTs targeting key harm reduction biomarkers within both upper and low-middle income country settings are required in the future.
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The survival benefit of venoarterial Extracorporeal Membrane Oxygenation (ECMO) for the management of acute high-risk pulmonary embolism (PE) remains unclear. This meta-analysis combines data from comparative studies to assess the risk of mortality after ECMO vs standard care in the management of acute high-risk PE. ⋯ Limited evidence derived from mostly retrospective studies riddled with selection bias suggests that ECMO may not offer additional survival benefits in high-risk PE.