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1.
Chinese Medical Journal ; (24): 2730-2737, 2021.
Article in English | WPRIM | ID: wpr-921205

ABSTRACT

BACKGROUND@#Shenque (CV8) acupoint is located on the navel and has been therapeutically used for more than 2000 years in Traditional Chinese Medicine (TCM). However, clinical research on the underlying therapeutic molecular mechanisms of the CV8 acupoint lags far behind. This study aimed to study the mechanisms of umbilical acupoint therapy by using stem cells.@*METHODS@#The morphological characteristics of CV8 acupoint were detected under a stereomicroscope using hematoxylin and eosin (H&E) staining. Oil Red, Masson, and immunohistochemical staining on multi-layered slices were used to identify the type of cells at the CV8 acupoint. Cell proliferation was measured by a cell counting kit-8 (CCK-8) method. Flow cytometry and immunohistochemistry were used for cell identification. Induced differentiation was used to compare the differentiation of cells derived from CV8 acupoint and non-acupoint somatic stem cells into other cell types, such as osteogenic, adipogenic, and neural stem cell-like cells.@*RESULTS@#Morphological observations showed that adipose tissues at the linea alba of the CV8 acupoint in mice had a mass-like distribution. Immunohistochemical staining confirmed the distribution of stem cell antigen-1 (Sca-1) positive cells in the multi-layered slices of CV8 acupoint tissues. Cells isolated from adipose tissues at the CV8 acupoint exhibited high expression of Sca-1 and CD44 and low expression of CD31 and CD34, and these cells possessed osteogenic, adipogenic, and neurogenic stem cell-like cell differentiation ability. The cell proliferation (day 4: 0.5138 ± 0.0111 vs. 0.4107 ± 0.0180, t = 8.447, P = 0.0011; day 5: 0.6890 ± 0.0070 vs. 0.5520 ± 0.0118, t = 17.310, P 100 μm: 2.6000 ± 0.5477 vs. 0.8000 ± 0.8367, t = 4.025, P = 0.0038) were significantly enhanced in somatic stem cells derived from the CV8 acupoint compared to somatic stem cells from the groin non-acupoint. However, cells possessed significantly weaker osteogenicity ([2.697 ± 0.627]% vs. [7.254 ± 0.958]%, t = 6.893, P = 0.0023) in the CV8 acupoint group.@*CONCLUSIONS@#Our study showed that CV8 acupoint was rich with adipose tissues that contained abundant somatic stem cells. The biological examination of somatic stem cells derived from the CV8 acupoint provided novel insights for future research on the mechanisms of umbilical therapy.


Subject(s)
Animals , Mice , Acupuncture Points , Adipose Tissue , Adult Stem Cells , Cell Differentiation , Cells, Cultured , Osteogenesis
2.
JPMI-Journal of Postgraduate Medical Institute. 2016; 30 (2): 181-183
in English | IMEMR | ID: emr-182403

ABSTRACT

Objective: To determine the frequency of atrial fibrillation after mitral valve replacement surgery


Methodology: This study was performed in cardiac surgery ward of Lady reading Hospital [LRH] Peshawar. It was a descriptive cross sectional study. Data was collected from 1.3.2014 to 28.02.2015. Statistical analyses were performed using SPPS version 14. Mean +/- SD were used for quantitative and Frequencies and percentages were used for categorical variables


Results: Total 120 patients undergone through mitral valve replacement. Male patients were 48 [40%], Mean age of the study population was 46.20 years +/- 9.14SD. Atrial fibrillation [AF] was observed in 45 [37.5%] patients. Post operative AF was similar between both gender and all ages


Conclusion: Atrial fibrillation is common finding in patients undergoing Mitral valve replacement surgery and is not affected by age and sex

3.
JPMI-Journal of Postgraduate Medical Institute. 2016; 30 (1): 30-34
in English | IMEMR | ID: emr-178992

ABSTRACT

Objective: To find the frequency of acute kidney injury in patients undergoing coronary artery bypass grafting


Methodology: The study was conducted in cardiovascular unit Lady Read-ing Hospital Peshawar. It was cross sectional study. Sampling technique was non probability convenient sampling. Data was collected from 20.2.2013 to 20.8.2013. Total 179 patients included in the study. All patients with known coronary artery disease were included in the study whom were planned for revascularization in the form of coronary artery bypass grafting [CABG]. Post-operatively all patients' serum creatinine till 48th post op hour was observed to detect acute kidney injury. Acute Kidney Injury [AKI] was defined as more than 50% or elevation of 0.3 mg/dl of creatinine level from base line


Results: A total of 179 patients undergoing coronary artery bypass grafting were included in the study. Average age of the patients was 46.88 years +/- 9.91 with range 20-60 years. Patients were divided into four groups according to age. The acute kidney injury after coronary artery bypass grafting was observed in 14 [7.82%] patients. Acute kidney injury was more common in old age and it was non significantly more common in male gender


Conclusion: In spite of current highly advance cardiac surgery techniques and post operative care still there is high incidence of acute kidney injury following revascularization and subsequent worst outcomes


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Coronary Artery Bypass , Cross-Sectional Studies , Coronary Artery Disease , Risk
4.
Pakistan Heart Journal. 2012; 45 (1): 11-16
in English | IMEMR | ID: emr-132320

ABSTRACT

To assess early and midterm outcome of De Vega's Repair of Tricuspid Valve in Severe Tricuspid Regurgitation [TR]. This was a prospective observational study conducted from January 2007 to June 2011, at Cardiovascular department PGMI, Lady Reading Hospital Peshawar. De Vega's surgical repair of tricuspid valve was done in severe tricuspid regurgitation patients with mitral valve replacement [MVR] or with double valve replacement [DVR=MVR+ AVR [Aortic valve replacement]]. Pre operative and post operative early [with in 1month] and midterm [at 6 month] follow up data was collected and analyzed on the basis of New York Heart Association [NYHA] functional status and echocardiographic finding. The outcome of De Vega's repair was assessed. Total study population was 160, with age ranging from 14-52 years [mean age 21 years]. Out of these 160 patients 89 [55.60%] patients were female and 71 [44.40%] were male. Preoperative diagnosis of 118 patients was related to pure mitral valve disease, and 42 cases were having aortic valve disease along with mitral disease. All patients had severe TR. Patients who were free from TR in MVR group were 81.3% and 75.0% patient were TR free in DVR group at 6 months follow up and the repair was intact on echocardiography. De Vega's repair in Severe TR is a safe and economical procedure in our setup

5.
Professional Medical Journal-Quarterly [The]. 2011; 18 (1): 18-23
in English | IMEMR | ID: emr-109831

ABSTRACT

To study the causative factors responsible for avoidance of Breast Feeding in post-partum women attending the post-natal OPD in MH Rawalpindi. Comparative cross sectional study. Dept of Gynae and Obstetrics, Military Hospital, Rawalpindi. Tertiary care centre from all the Pakistan dealing with other ranks of Pak Army. Nine months [From 01.01.2007 to 1.10.2007]. Study was done on 1000 patients at post-natal Gynae OPD. Patients were divided into two groups of 500 each. Those patients who were exclusively breast feeding their babies were included in group-II while group-I included those patients who were not breast feeding their babies at all. Patients demographic data was entered on questionnaire and factors involved were interpreted. The most important causative factor responsible for avoidance of breast feeding in group-I were noted down. The mothers in group-II were enquired about that problem. Data was analyzed by using computer software programme SPSS version 11. Chi square test was used to see the significance of difference between group-I and group-II and results were considered significant if P value is less than 0.05. The study showed that as compared to group-II causative factors involved in avoidance of breast feeding in group-I were pain at operated site 148, working women 38, Sick baby 26,Cracked nipples and mastitis 59, Breast abscess 4, Social Myths 58, Multiple Births 2, Inverted Nipples 5 and failure of proper counseling 160. Most of the factors responsible for avoidance of breast feeding are preventable and treatable. General population should be educated regarding the benefits of breast feeding in the mother and baby. Thus reducing mortality rate in woman and infants


Subject(s)
Humans , Female , Adult , Lactation , Cross-Sectional Studies , Health Education
6.
Hamdard Medicus. 2010; 53 (3): 45-51
in English | IMEMR | ID: emr-146350

ABSTRACT

The paper enumerates the traditional uses of 54 plant species belonging to 34 families, which are used by the village communities of Dir Kohistan Valley [Khyber Pukhtunkhwa, Pakistan] for the treatment of jaundice. Some of these useful species are under serious threat due to unsustainable activities. Hence, a proper documentation of useful plants with their present status and local traditional knowledge as well as practices is urgently needed. Efforts should also be made to implement appropriate conservation measures for preservation and sustainable use of useful medicinal plant species


Subject(s)
Medicine, Traditional , Jaundice
7.
Hamdard Medicus. 2010; 53 (4): 36-51
in English | IMEMR | ID: emr-131124

ABSTRACT

The present paper is based on an ethnobotanical research project conducted in Lora Valley and its allied areas. District Abbottabad [Khyber Pakhtunkhwa] Pakistan. The inhabitants of the area used plant species for various purposes such as health care, food, fodder, fuel and shelter. A total of 57 plant species belonging to 35 families were recorded for their ehtnobotanical uses. The ethnomedicinal inventory was developed by botanical name, family name, local name, flowering period, conservation status, part used, and ethnobotanical uses. Plant specimens were collected, identified, preserved, mounted and vouchers were deposited in the Department of Plant Sciences, Quaid-i-Azam University Islamabad, for future reference


Subject(s)
Plants, Medicinal/classification , Herbal Medicine/trends , Medicine, Traditional , Plant Extracts
8.
Hamdard Medicus. 2010; 53 (1): 60-69
in English | IMEMR | ID: emr-104056

ABSTRACT

Field studies were carried out on the shrubs of Dir Kohistan valley, NWFP, Pakistan. Local medicinal uses of shrubs in this valley have helped people prevent and treat various diseases such as to purify blood, jaundice, internal wounds, and as diaphoretic, purgative, poisonous and cardiac, circulatory stimulant, febrifuge and for fuel wood, fodder, ornamental, agricultural tools, thatching, fencing, naming [folk lore] and fruit yielding purposes. In the present paper 41 shrubby plant species are reported on the basis of information gathered from local peoples of Kohistan Valley. Several species like Berberis iycium, Indigofera heterantha, Skimmia laureola, and Daphne oleoides are under severe pressure from local population and require protection, conservation strategies

9.
Professional Medical Journal-Quarterly [The]. 2010; 17 (3): 498-504
in English | IMEMR | ID: emr-145108

ABSTRACT

To study the effects of raised BMI on maternal and fetal well being. Randomized Control Trial prospective study. Gynae/Obs department Military Hospital Rawalpindi. January 2006 to June 2007. 200 primiparas with raised BMI [25 or more] were booked in first trimester. Patients were followed up with regular antenatal check-up and routine investigations of pregnancy. Patients found to be anaemic were further investigated and anaemia corrected. Another group of 200 primiparas was also booked with normal BMI [18.5 TO 24.9] in first trimester. Complications encountered during pregnancy were recorded in both groups. Mode of delivery and fetal outcome were also recorded. The relative frequency of pregnancy induced hypertension, gestational diabetes, sleep apnoea, urinary infection, preterm labour and intrauterine deaths were compared in both groups. Obstetric complications were also recorded. The frequency of asymptomatic bacteriuria, sleep apnoea, pregnancy induced hypertension, induction of labour, instrumental delivery, caesarean section and post partum hemorrhage was found to be significantly increased in group-I [raised BMI]. Pregnancies in obese women are considerably at higher risk for pregnancy and labour complications, It is advisable to achieve normal BMI before conception


Subject(s)
Humans , Female , Body Mass Index , Obesity/complications , Prospective Studies , Risk Assessment
10.
PJMR-Pakistan Journal of Medical Research. 2009; 48 (4): 79-82
in English | IMEMR | ID: emr-134022

ABSTRACT

Pollen allergies affect a significant proportion of Islamabad residents. Many patients with pollen allergy are hospitalised in Islamabad in spring [February to April], fall seasons [July to September], and after monsoons. To determine the type and concentration of airborne pollens causing allergic diseases in the susceptible patients in Islamabad. The study was conducted from January 2005 to December 2006 and 'Burkard Volumetric Spore Trap' provided by the World Allergy Organization was used. This spore trap was placed in the F-10 area of Islamabad and samples were collected on weekly basis during the whole study period. To obtain the sample, the spore trap drum was loaded with a strip of sticky tape every week. The sampled sticky tape was then collected each week at a specified time and replaced with a fresh strip of, sticky tape, which was then collected next week. This cycle continued for whole study period. From each sample seven permanent slides were made and mounted with gelevitol mounting media. The slides were then examined microscopically, A total of 702 individuals irrespective of age or gender were included in the study. Skin prick tests were performed for pollens using allergen extracts of Hollister-Steir, USA and the results were recorded. The two flowering seasons in Islamabad i.e., spring and fall caused maximum pollen allergies. The Broussonetia papyrifera [paper mulberry] tree in spring, and the Cannabis saliva [bhang] weed in the fall season, produced the highest seasonal pollen counts. In the spring season of 2005, Broussonetia papyrifera produced the highest pollen count, [73%] of the total pollen count, with a maximum count of 1390 pollen/cu meter of air/hour on 20th of March, while in 2006, it accounted for 75% of the total pollen count, with a maximum count of 1430 pollen/cu meter of air/hour on 10th of March. In fall season of 2005, Cannabis saliva produced maximum pollen counts of 85 pollens/cu meter of air/hr on 18th of August, while in 2006, it achieved maximum counts of only 40 pollens/cu meter of air/hr on 27th of August. Skin prick tests demonstrated that out of 702 individuals selected irrespectivc of age or gender, 338 [48%] exhibited positive results in response to Broussonetia papyrifera pollen extracts, 207 [29%] were positive to grass pollen extracts, and 137 [20%] were positive to Cannabis sativa pollen extracts. The Broussonetia papyrifera has the highest pollen count in the spring, [February to April], and is the main cause of allergic diseases like allergic rhinitis and asthma among the residents of Islamabad, while the Cannabis sativa pollen count peaks in the fall season, causing allergic symptoms from July to September. Skin prick tests confirmed the findings. Regular awareness campaigns for seasonal pollen allergy should be launched before the beginning of the seasons


Subject(s)
Pollen , Air , Dust , Broussonetia , Cannabis
11.
Hamdard Medicus. 2008; 51 (1): 119-124
in English | IMEMR | ID: emr-86528

ABSTRACT

The present research work is confined to the palynological studies of some selected medicinal plants of Margallah hills Islamabad, Research work was conducted in Plant Taxonomy Lab of Quaid-i-Azam University during the year 2004 to 2005. Frequent trips were arranged to collect fresh plant specimens from different locallties of lower Margallah hills. 17 plant species belonging to 7 genera and 15 families were studied. Pollen fertility of 17 plants from Margallah hills ranges from 2-100%. Higher pollen fertility [100%] is of Erigeron conyzanthus, Indigofera iinifolia and Verbena officinale, Partiulaca grandiflora and Digera muricata [4%, 2%] have lowest percentage of pollen fertility. Pollen size of selected plants ranges from 20-90 micro m in size. All pollen is monad, and pollen shape ranges from obovate spheroidal to prolate spheroidal. Exine surface is smooth except Ipomoea carnea, Boerhaavia procumbens, Portulaca grandiflora which have echinulate exine surface. It is concluded from: the study carried out that these information about pollen characteristics in relative taxa were found to be useful or correct identification and future research in respective lipids


Subject(s)
Pollen , Fertility
12.
Hamdard Medicus. 2007; 50 (4): 67-71
in English | IMEMR | ID: emr-128250

ABSTRACT

Medicinal plants constitute an effective source of traditional and modern medicines. The plant is a biosynthetic laboratory, not only for chemical compounds but also a multitude of bioactive constituents. The proposed research work was confined to the medico-botanical investigation of Zanthoxylum alatum Roxb. The study was carried out in Botany Laboratory of the University of Arid Agriculture, Rawalpindi. The study was confined to solubility test, colour test, leaf anatomy and powder microscopy. The medicinal importance was also considered. This species is used as [chewing stick] Miswak by local people of Pakistan in different areas. Anatomical features such as fibers, parenchyma cells, vessels and pith were identified in Z. alatum. Powdered Ai'iswak of Z. alatum was soluble in sulphuric acid only while insoluble in other solvents. Powdered drug of these species did not retain their original colour in hot and cold tests, on dry filter paper and after one hour; when mixed in various solvents. The abaxial and adaxial surface of leaf epidermis has diacytic stomata. The cells were of different shapes that is, trigonal tetragonal and pentagonal. The purpose of research was to know the morphological features, botanical identity and medicinal importance of the plant

13.
Hamdard Medicus. 2007; 50 (4): 125-129
in English | IMEMR | ID: emr-128260

ABSTRACT

Pollen fertility of nine different species, Hieracium umbellatum L., H. virosum Pall., H. vulgatum Fries., Scorzonera ummophila Bunge, S.fusca Kitam., 5. hondae Kitam., 5. laciniate L., S. picridioides Boiss. and S. virgata DC. belonging to family Asteraceae was studied from Pakistan. Morphology of pollen grains of each species is based on specimens selected at random. At species level, micro-morphological characters like pollen fertility differences, distribution of surface pattern, shape and size of pollens have been found to exist. Pollen fertility data shows that Hieraciuni vulgatum and Scorzonera ammophila have highest value i.e. 92.33% and 97.66% respectively. The least value was found in Hieracium virosum [67.66%] and Scorzonera picridioides [79%]. Further cytological studies are required in taxonomy to determine the fertility status in different species. Study f demonstrates the potential of pollen studies in distinguishing some taxonomic groups in the family Asteraceae

14.
Hamdard Medicus. 2006; 49 (3): 110-115
in English | IMEMR | ID: emr-137826

ABSTRACT

Pollen fertility of the flora of Quaid-i-Azam University, Islamabad, has been studied. Observations revealed that the highest value of pollen fertility was found in Cynoglossum lanceolatum as 99.9% and the lowest value was noted in Boerhaavia diffusa as 51.85%. Most of the flora of the area is genetically stable having the range of pollen fertility as 81 to 86%

15.
Hamdard Medicus. 2003; 46 (1): 7-9
in English | IMEMR | ID: emr-62175

ABSTRACT

Trianthema portulacastrum, Boerhaavia procumbens and Alternanthera pungens have similarity in their leaf morphology. Pollen morphology has proved useful to distinguish all the three species. The pollen of Trianthema portulacastrum is 3-colpate, Boerhaavia procumbens is 5-colpate and Alternanthera pungens is fenestrate. Pore length, polar and equatorial diameter and P/E ratio are the main characters to help in the identification of these species


Subject(s)
Plants, Medicinal/ultrastructure , /ultrastructure
16.
Hamdard Medicus. 2003; 46 (3): 5-11
in English | IMEMR | ID: emr-62200

ABSTRACT

Rosa is a very important and complicated genus of the family Rosaceae. The species of this genus are very variable and hybridize easily. In this paper Rosa is reviewed on account of its classification, floristic literature, palynology, cytology, evolution and phytochemistry


Subject(s)
Plants, Medicinal , Plant Extracts , Herbal Medicine , Plants/classification
17.
Hamdard Medicus. 2003; 46 (3): 15-9
in English | IMEMR | ID: emr-62203

ABSTRACT

The paper is based on the results of an ethnobotanical research project conducted in the area of Chhuchh, district Attock [Pakistan] during March-May 2000. The region is the most fertile area of Attock district with very gentle slope. There is no mountain range in this area. The remote villages of the area have been rarely visited by the botanists, hence ethnobotanical information is quite meagre. The inhabitants of the area have always used cultivated plants for various medicinal purposes and have for a long time been dependent on the surrounding plant resources for their food, shelter, fodder, ornamental, fuel, health care etc. This study mainly focuses on the information regarding traditional uses of plants for medicinal as well as other purposes by the local inhabitants. A total number of 30 cultivated plant species belonging to 26 genera of 17 Angiospermic families are used by local inhabitants for medicinal, shelter, food, ornamental, fuel and fodder purposes


Subject(s)
Plants, Medicinal/classification , Surveys and Questionnaires , Ethnobotany , Research
18.
Hamdard Medicus. 2002; 45 (3): 75-92
in English | IMEMR | ID: emr-59390

ABSTRACT

Morphology of pollen grains of each species is based on specimens selected at random. Proposed characters i.e. grain, shape of pollen grain, equatorial view, polar view, equatorial diameter [E], polar diameter [P], P/E ratio, length of colpus, exine surface, exine thickness, number of spines between colpi in each species were recorded for comparison. At species level, micro-morphological differences and distribution of surface pattern, shape and size of pollen have been found to exist. The pollen grains are consistently echinate, trizonocolporate. This study demonstrates the potential of pollen studies in distinguishing some taxonomic groups in the Asteraceae. The present research project is confined to the palynological studies of some of the problematical medicinal plants of Pakistan. Sixteen different genera: acacia, Agrimonia, Allium, Anthemis, Asparagus, Berberis, Centella, Colchicum, Cotula, Delphinium, Gentiana, Lactuca, Matricaria, Nigella, Phyllenthus, Viola have been examined in this study. Matricaria chamomilla, Anthemis nobilis, and Cotula aurea have been differentiated with the help of palynology. The palynological studies of Lactuca dissecta [with white flowers] and Lactuca dissecta [with purple flowers] showed many characteristic differences


Subject(s)
Pollen/ultrastructure , Asteraceae/ultrastructure , Euphorbiaceae/ultrastructure
19.
Hamdard Medicus. 2000; 43 (4): 58-61
in English | IMEMR | ID: emr-53850

ABSTRACT

Potwar has long been remained a source of medicinal plants from its hills and mountains, located in different parts of this region. Trianthema portulacastrum [Itsit, Biskhapra] has a lot of confusion in its common name with superficially similar plant species such as Boerhavia procumbens [Punarnava] and Alternanthera pungens Kunth. T. portulacastrum and B. procumbens have been described as two different species with their separate identities by the users of herbal medicine. Both the species are traditionally used for the treatment of jaundice and dropsy. However, the root of T. portulacastrum is abortifacient and is used to treat amenorrhoea. B. procumbens [Punarnava] is recommended in gonorrhoea, anaemia and asthma. The vernacular names Itsit and Biskhapra for Trianthema portulacastrum and punarnava for Boerhavia procumbens have been suggested as the correct names. White flowered form of T. portulacastrum has been reported from Bhait village of Jhelum


Subject(s)
Herbal Medicine , Ethnobotany
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