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Search Results: 1 - 10 of 8970 matches for " MUHAMMAD AKRAM MALIK "
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CYSTECTOMY AND URTEROSIGMOIDOSTOMY
MUHAMMAD AKRAM MALIK
The Professional Medical Journal , 2004,
Abstract: Objectives: (1) To audit experience of cystectomy andureterosigmoidostomy as treatment of carcinoma bladder. (2) To assess the complications ofureterosigmoidostomy. (3) To assess the quality of life after the procedure. Design: Prospective. Setting:Department of Urology Allied Hospital Faisalabad. Period: December 2000 to January 2004. Material& Methods: Twenty two cases were included in the study. All patients had muscle invasive transitionalcell carcinoma, demonstrated histopathologically by TUR biopsies. CT abdomen & pelvis and sphincterassessment was performed besides other routine investigations. All patents were treated by cystectomyand ureterosigmoidostomy Prophylactic alkalinization of urine was done by Na citrate tablets. Results:All patients presented with total painless haematuria. 19 patients were male and 03 females. Age rangedfrom 38-75 years. 18 (82%) had T2 and 04 (18%) had T3, transitional cell carcinoma. Two patients hadrectal injury. One repaired Primarily and 2 patient was nd managed by colostomy and delayed repair.Immediate post-operative complications were urine leak wound (13.6%), wound infections in 8 patients(36%), pyelonephritis in 04 patients (18%). No patients suffered metabolic acidosis. 03(13%) patientsexpired. Conclusion: We consider that cystectomy & ureterosigmoidostomy is the right option forpatients with localized carcinoma urinary bladder.
POLYCYSTIC KIDNEY DISEASE
MUHAMMAD AKRAM MALIK
The Professional Medical Journal , 2006,
Abstract: Objectives: (1) To document various clinical presentation of disease. (2) To assess family members.(3) To audit our experience of management of this disease. Study Design: Prospective study. Period: 01-01-2001to 31-12-2004. Material & Methods: All patients presented with ADPKD were included in the study. Detailed history,clinical examination was performed in each case. Pain was managed by NSAIDS and USG was done in each case.Urinary tract infection was treated with antibiotics according to culture sensitivity. Blood pressure was managed by ACEinhibitors. Stones were treated with URS, ±DJ stents and ESWL. Patients with ESRD were offered renal replacementtherapy in the form of haemodialysis and renal transplant. Results: Total number of patients was 19. Male 10 and 9Female. Age ranges from 32-65 years. Pain abdomen and flank was main presenting complaint in 95% patients. Fever& renal stones were present in 10(53%) and 08(42%) of patients respectively. Extra renal manifestations were presentin 02(11%) of patients. 06 patients progressed to ESRD. 03 patients died due to ESRD. Parents of 04 patients hadADPKD. Majority 10(52%) could not be evaluated. 06 Patients (21%) had their sisters and brothers involved withADPKD. DJ Stenting and ESWL was the only surgical management done. Conclusion: ADPKD is hereditary disorder.No cure is possible. Management of this disease by medication and surgery only slows the progress of renal failure.Counseling should be done to avoid cousin marriage in affected families. Chromosome analysis facilities should beavailable to affected families free of cost for early detection of disease.
Fetal bone as a foreign body in the urinary bladder: a case report
Muhammad Akram Malik, Abdul Ghaffar Rehan, Iftikhar Ahmad, Tanveer Ahmad
Journal of Medical Case Reports , 2009, DOI: 10.4076/1752-1947-3-8994
Abstract: Our case is an unusual one since fetal bone as a foreign body in the urinary bladder has not been reported in the literature. During dilatation and curettage, fetal bone migrated into the bladder wall of a 37-year-old woman and was endoscopically removed 7 years later.A foreign body in the urinary bladder is rare and in most cases are self-inserted. Iatrogenic insertion is relatively rare especially during gynecological intervention. The presence of a foreign body in the bladder should be kept in mind when dealing with unusual cases of lower urinary tract symptoms.Foreign bodies are common in the upper gastrointestinal and respiratory tract. However, foreign bodies in the urinary bladder are relatively rare. The variety of foreign bodies found inserted into or externally attached to the genitourinary tract is extremely varied and has included fish hooks, metal rods, hair pins, screws, pellets, wires, wooden sticks, pieces of fish and telephone cables [1]-[3]. Most cases are associated with psychiatric disorders, senility, intoxication or autoerotic stimulation [4]. Such cases are important additions to the medical conditions of the genitourinary system [5]. Most patients are usually too ashamed to admit to the introduction of a foreign body and usually present with dysuria, urinary frequency, hematuria, suprapubic pain, swelling of the penis and external genitalia, extravasations or abscess formation [6]. Diagnosis is based largely on history and clinical examination. However, radiological and cystoscopic studies are often required to confirm the diagnosis and to plan management [7]. The management includes extraction of the foreign body and prevention of long-term complications in addition to assessment of patient motivation. In this case report, we present a rare and probably the first report of this type of foreign body in the urinary bladder.A 37-year-old woman presented to our outpatient department with hematuria, increased urinary frequency and suprapubic pain
On -Fuzzy Ideals in Nearrings
Muhammad Akram
International Journal of Mathematics and Mathematical Sciences , 2007, DOI: 10.1155/2007/73514
Abstract: We introduce the notion of fuzzy ideals in nearrings with respect to a t-norm T and investigate some of their properties. Using T-fuzzy ideals, characterizations of Artinian and Noetherian nearrings are established. Some properties of T-fuzzy ideals of the quotient nearrings are also considered.
CIRCUMCISION
MUHAMMAD AKRAM
The Professional Medical Journal , 2007,
Abstract: Objectives: To compare the quality of postoperative analgesia with singledose Bupivacaine and that of Tramadol in caudal epidural block for circumcision in children. Study design:Interventional experimental study. Settings: This study was carried out in the department of anaesthesia and painmanagement at Combined Military Hospital Peshawar. Duration: Jun 30, 2004 to Mar 2005 & then from Dec 2006 toFeb 2007. Subjects and Methods: Sixty (60) children between the ages of 2-6 year were included in study. They weredivided into two groups by convenience non-probability technique and each group had 30 children. Group A (n=30)was given 1.25mg/kg Bupivacaine, 0.25% solution, whereas Group B (n=30) received 2mg/kg of Tramadol. The volumeof drug in each group was 0.5ml/kg. Standard monitoring was done perioperatively. The analgesic effects wereevaluated by using Hannallah pain score scale6, which had maximum score of 10 and minimum of 0 (zero). The scoreof 3 or <3 was considered as adequate analgesia. Sedation was assessed by using 5-point sedation test. 0 - Awake,1 - mild sedation, 2 - feeling sleepy, 3-sleepy but able to wake, 4 - Deep sleep difficult to wake. Results: Both thegroups were comparable with respect to age, sex and duration of surgery. Insufficient pain control was observed in 4patient’s in-group B (Tramadol group), 13% and 7 patient’s in-group A (Bupivacaine group), 23%, 30 minutes aftercaudal administration of drug. Adequate postoperative analgesia was maintained in all other patients for 12 hrs. Only6 patients in Tramadol group had light sedation (p=0.0l2). Weakness of lower limbs was found in 4 patient's in-groupA. there was no difference in vital signs and there was no complication related to technique in both groups.Conclusion: Caudal administration of Tramadol in the dose of 2mg/kg when compared with 0.25% Bupivacaine inchildren under going circumcision provided similar quality of analgesia for 12 hours with out any requirement of rescueanalgesic.
LAPAROSCOPIC CHOLECYSTECTOMY
MUHAMMAD AKRAM
The Professional Medical Journal , 2009,
Abstract: Objective: To determine the frequency of bleeding, surgical site infection and common bile duct injury after laparoscopic Cholecystectomy in patients with co-morbidity. Study design: Descriptive study. (Case series). Setting: Department of Allied & D.H.Q hospital Faisalabad. Period: July 2006 to December 2007. Patients and Methods: It comprised of 30 consecutive patients of cholelithiasis with co-morbidity presenting in surgical department. Patients having uncontrolled hypertension, chronic obstructive airway disease and malignancy were excluded. Detailed history and physical examination was carried out as per protocol. It was followed up by relevant investigations. All the cases underwent laparoscopic cholecstectomy. Results: The age of the patients ranged from 23-68 y, with mean age of 40-56 y. Among these 14 cases were having D.M (46.66 %), 06 patients were cirrhotic (20%), 06 patients had acute cholecystitis (20%), 02 patients were having H.T.N (6.6%), and 02 patients were >70 years (6.6%). All the patients were females. Out of diabetic patients undergoing laparoscopic cholecystectomy, SSI was noted in 02 ( 6.66%) patients. While mild postoperative bleeding was noted in 01 (16.6%) of cirrhotic patients after laparoscopic cholecystectomy. No untoward event was noted in patients with H.T.N ac. Cholecystitis & advanced age. Conclusion: In high risk patients undergoing laparoscopic cholecystectomy, very few complications were noted. Postoperatively. Morbidity following above procedure was quite low as compared to conventional one. Laparoscopic cholecystectomy should be the preferred option in high risk patients for better outcome.
Characterizing T-Semigroups by Intuitionistic Fuzzy Points
Muhammad Akram
ARPN Journal of Systems and Software , 2013,
Abstract: In this paper, we consider the intuitionistic fuzzy sets in a T-semigroup and the corresponding sets of intuitionistic fuzzy points. We analyze some relations between the intuitionistic fuzzy T-ideals and the sets of intuitionistic fuzzy points of these T-ideals of a T-semigroup S.
PATTERN OF PROSTATIC DISEASE; A HISTOPATHOLOGICAL SURVEY
SADIA HAMEED,AKRAM MALIK
The Professional Medical Journal , 2010,
Abstract: Analysis of the pattern of prostatic disease in Faisalabad. Design of Study: Case series study. Setting:Department of Pathology, University Medical and Dental College (UM&DC) and Meezan Laboratory (ML). Period: Duration of the study is threeyears. Methods and Materials: All prostatic specimens presenting to the Pathology department at the UM&DC and ML for histopathology wereincluded. Results: During this period 540 prostatic biopsies were examined. The mean age of the patients was 67 years. Out of these 467(86.5%) were benign, 2 (0.3%) had prostatic intraepithelial neoplasia and 71 (13.5%) were malignant. All the cases of malignancies wereadenocarcinomas. Most of them were well differentiated (Gleason’s score 2-4). The highest incidence of hyperplasia and malignancy occurredbetween 60-70 years of age. Conclusions: The incidence of prostatic cancer is on the rise and measures should be taken for early detection.
POSTERIOR URETHRAL VALVES
MUHAMAMD AKRAM MALIK
The Professional Medical Journal , 2005,
Abstract: Posterior urethral valves are the most common cause of mechanical infravesical obstruction in children. The disorder has a broad spectrum of severity and the patients could developcomplications on the long term, even after valves ablation. Objective: To record the various clinical presentations ofPUV and audit our experience in management of PUV and its various complications. Study design: Prospective studySetting: Department of Urology Allied Hospital Faisalabad. Period: From 01-01-2001 to 31-07-2004. Material &Methods: All male patients (children, infants & neonates) presented with various symptoms and signs of PUV wereincluded in the study. Detailed history & clinical examination was performed in each case. Diagnosis was confirmedby micturating Cystourethrogram. Posterior urethral valves were ablated in all patients by electric hook. The period offollow-up was 06 months. Results: Total number of patients were 32. Age of presentation was 40 days to 27 years.Majority 14(44%) of patients presented with urinary retention.13 (41%). Patients presented with dribbling of urine andpoor stream. 07(22%) had associated vesicouretral reflux. Vesicostomy was performed in one patient and one patienthad to be dialyzed. Complications occurred in 13 (14%) patients. Most common were urinary tract infections in 10 (31%)patients. One patient went into End stage renal disease. Conclusions: Valve ablation is the mainstay of treatmentof post urethral valves. Prenatal and postnatal factors like renal dysplasia and UTI have their role in final outcome.Drainage by feeding tube and Vesicostomy improves the outcome.
Assessment of Rock Mass Quality and Deformation Modulus by Empirical Methods along Kandiah River, KPK, Pakistan  [PDF]
Mian Sohail Akram, Kamran Mirza, Muhammad Zeeshan, Muhammad Asad Jabbar
Open Journal of Geology (OJG) , 2018, DOI: 10.4236/ojg.2018.810057
Abstract: The pivotal aim of this study is to evaluate the rock mass characterization and deformation modulus. It is vital for rock mass classification to investigate important parameters of discontinuities. Therefore, Rock Mass Rating (RMR) and Tunneling quality index (Q) classification systems are applied to analyze 22 segments along proposed tunnel routes for hydropower in Kandiah valley, Khyber Pakhtunkhwa, Pakistan. RMR revealed the range of fair to good quality rocks, whereas Q yielded poor to fair quality rocks for investigated segments of the rock mass. Besides, Em values were acquired by empirical equations and computer-aided program RocLab, and both methods presented almost similar variation trend of their results. Hence, the correlations of Em with Q and RMR were carried out with higher values of the regression coefficient. This study has scientific significance to initially understand the rock mass conditions of Kandiah valley.
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