The Hayatabad Medical Complex is a large medical complex and hospital located in the Hayatabad suburb of Peshawar in Khyber Pakhtunkhwa, Pakistan. The second largest hospital in the city, it is a medical postgraduate training centre. The hospital provides medical and surgical specialties in the fields of optometry, cardiology, paediatrics, physiotherapy, plastic surgery, psychiatry, as well as dentistry and skin treatment. Apart from the western parts of Peshawar, the hospital also serves patients coming from surrounding regions and neighboring Afghanistan for treatment..
Background: Even in countries with far superior health resources, the immunization rate for vulnerable populations, such as those with chronic liver disease, is still below ideal despite the strong recommendations. Although the issue is worse in nations with fewer resources than ours, there is still a dearth of information regarding the immunization rate in our community. The study was designed as a result which aimed to determine the frequency of hepatitis A, B, pneumococcal and influenza vaccination among chronic liver disease patients. Materials and methods: This cross sectional study was conducted at the department of Medicine, Khyber Teaching Hospital, Peshawar during the period 01-08-2024 to 31-01-2025. A total of 246 male and female patients aging 20 to 60 years diagnosed with chronic liver disease were enrolled and evaluated for hepatitis A and B, pneumococcal and influenza vaccination. Vaccination status was confirmed through history taking and medical record assessment. Results: Mean age of the participants was 42.06±10.09 years, mean BMI was 24.008±2.64 kg/m2 and mean illness duration was 33.59±5.301 months. Participants aging more than 40 years were 139 (56.5%), and 157 patients (63.8%) were male. HCV and HBV constituted the most prevalent etiology of CLD recorded in 90 (36.6%), 98 (39.8%) participants. Hepatitis B vaccination was most prevalent recorded in 84 patients (34.1%) followed by hepatitis A (n = 77, 31.3%) and pneumococcal in 55 (22.4%). Influenza was least common recorded in 54 patients (22.0%). Conclusion: Comprehensive vaccination against preventable disease in chronic liver disease patients is lacking. Vaccination against hepatitis B virus was most common followed by hepatitis A.
Objective: To evaluate the clinical and functional outcomes of humeral derotation osteotomy in patients with OBPP, with emphasis on improvement in shoulder external rotation, functional scores, and postoperative complications. Methods: This retrospective cohort study included 46 children with OBPP who underwent HDO at a tertiary orthopedic center. We retrospectively assessed demographic, surgical, radiographic, functional, complication, and follow-up data. We compared shoulder range of motion and Mallet scores preoperatively and postoperatively using paired t-tests. Results: Mean external rotation improved from −25.6° ± 8.4° to 32.8° ± 10.2°, while abduction increased from 62.5° ± 14.3° to 118.7° ± 16.9% (p<0.001). Mallet scores improved from 9.2 ± 2.1 to 16.8 ± 2.4 (p<0.001). Minor complications included stiffness, implant irritation, and infection. Conclusion: Humeral derotation osteotomy is an effective surgical procedure for correcting internal rotation deformity in patients with OBPP. It provides significant functional and cosmetic improvement with a low complication rate. Early identification and appropriate surgical intervention can substantially enhance quality of life in affected children.
This meta-analysis assessed the latest clinical efficacy and safety of adjuvant chemotherapy (ACT) after concurrent chemoradiotherapy (CCRT) compared to CCRT alone for locally advanced cervical cancer. Studies were pooled via random effects model. Overall survival (OS; risk of death from any cause) and progression-free survival (PFS; risk of disease progression) were primary endpoints. Secondary outcomes included disease-free survival (DFS; absence of recurrence), local failure rate, distant metastasis rate (DMR), and toxicities. A total of 22 studies (n = 7466) were included. CCRT + ACT was associated with significant improvement in OS, PFS, and DMR compared to CCRT alone. Subgroup analyses of RCTs, studies with >3 ACT cycles, and with a follow-up of 5 years indicated no statistical difference in OS and PFS between two groups, suggesting that the clinical advantage of ACT may be limited, particularly given emerging immunotherapies. Moreover, ACT was associated with a higher rate of hematologic and gastrointestinal toxicities.
Objective: The aim of this study was to evaluate postoperative early and late complications of primary inguinal hernia repair by Lichtenstein Mesh Technique. Study Design: A Cross-Sectional Study. Place and Duration of Study: Department of General Surgery, MTI/Hayatabad Medical Complex, Peshawar, from 14 June 2024 to 14 December 2024. Materials and Methods: A total of 69 patients with primary inguinal hernia, aged 18–70 years, were enrolled via non-probability consecutive sampling. All patients underwent Lichtenstein tension-free mesh repair performed by a consultant surgeon. Early (≤30 days) complications, including hematoma and wound infection, and late (6 months) complications, including chronic groin pain and recurrence, were recorded. The clinicodemographic data were documented, and statistical analysis was performed using SPSS 23. Chi Square and Fisher's Exact test was used and the p value ≤ 0.05 was considered statistically significant. Results: Among the 69 patients, the recurrence rate was 10.1%. The significant associations were found between hernia recurrence and the following variables: hernia duration ≥5 years (p < 0.001), low socioeconomic status (p < 0.001), illiteracy (p < 0.001), and presence of comorbidities (p = 0.001), postoperative hematoma (p < 0.001), and chronic groin pain (p < 0.001). No statistically significant association was observed with age, hernia type or side, residence, or surgical site infection. Conclusion: Lichtenstein mesh repair proved safe with acceptable postoperative outcomes. The recurrence rate was 10.1%, significantly linked to prolonged hernia duration, low socioeconomic and educational status, comorbidities, hematoma, and chronic groin pain.
Artificial intelligence is a transformative tool for improving healthcare delivery and diagnostic accuracy in the medical and dental fields. This study aims to assess the readiness of future healthcare workers for artificial intelligence and address this gap by examining students’ perceptions, attitudes, and knowledge related to AI in Peshawar, Pakistan. A quantitative cross-sectional survey was conducted on 423 students from randomly chosen medical and dental colleges. The Medical AI Readiness Scale (MAIRS-MS) was used to perform a self-administered online questionnaire that was used to gather data. Using SPSS software, descriptive statistics and chi-square tests were used to evaluate the data. The level of significance was set at p ≤ 0.05. From multiple medical and dental colleges, 407 students participated in this survey. The survey showed that 29.7
