Pakistan Journal of Chest Medicine 2021-12-10T07:02:09-05:00 Arshad Javaid Open Journal Systems <blockquote id="yui_3_16_0_1_1432718173461_3154"> <div id="yiv2612723415yui_3_16_0_1_1432320294730_24183" dir="ltr"><strong>ISSN:2224-9710 (Print)</strong> <strong>ISSN: 2309-9844 (Online)</strong></div> <div dir="ltr"> </div> <div id="yui_3_16_0_1_1432718173461_3153"> <div dir="ltr">The "Pakistan Journal of Chest Medicine" (PJCM) is the official journal of Pakistan Chest Society. The PJCM publishes original articles, reviews and case reports on the clinical aspects of pulmonology, and on community aspects, with its emphasis on lung heath in Pakistan and other developing countries. The PJCM encourages submissions that programmes for tuberculosis control and the promotion of lung health.</div> <div id="yiv2612723415yui_3_16_0_1_1432320294730_24183" dir="ltr">The PJCM welcomes articles on all aspects of lungs health, including public helath related issues such as epidemiology and intervention studies. This site contains the full text of all articles published in the PJCM. <p>Pakistan Journal of Chest Medicine is</p> <ul> <li><strong>Approved &amp; Recommended by</strong> Pakistan Medical Commission (PMC), Pakmedinet, Open Access</li> <li><strong>Indexed &amp; abstracted in</strong> Directory of Research Journal Indexation (DRJI), Google Scholar, EBSCO, Crossref, EuroPub, Reviewer Credits, Advanced Sciences Index (ASI), Asian Research Index (ARI), IPIndexing </li> </ul> </div> </div> </blockquote> Frequency of Eosinophilia in Patients with Bronchial Asthma in Khyber Pakhtunkhwa 2021-11-09T11:06:02-05:00 Mohammad Yasin Muhammad Adeel Mumtaz Muhammad Samrina Sadaf Sanaullah Tareen Faheem Jan <p><strong>Background:</strong></p> <p>Asthma is a very common disease throughout the world. Among various types of asthma eosinophilia is one of the important factor to be considered in deciding management protocols. Different types of asthmatic patients can have varying level of eosinophilia. We wanted to see if age can have any effect on the prevalence and level of eosinophlia in asthmatic patients.<sup> </sup>The present study was conducted to determine the frequency of eosinophilia in bronchial asthma patients of different age groups.</p> <p><strong>Methodology:</strong></p> <p>This cross-sectional study was performed at Pulmonology Department of Ayub Teaching Hospital Abbottabad Pakistan from February 2019 to July 2019 on 116 patients. All new cases presented with bronchial asthma of age 20-70 years were enrolled. Detailed history and clinical examination followed by spirometry was done. Each patient’s blood eosinophils count was performed at hospital laboratory and values were recorded. Data was analyzed with SPSS version 24.</p> <p><strong>Results:</strong></p> <p>Mean age of the patients was 41 years ±11.02. Patients of age 20-40 years were 56 (48%) and of age 41-70 years were 60 (52%). Males were 79 (68%) and females were 37 (32%). Mean weight was 65Kgs ± 12.73. Family history of asthma was positive in 77 (66%) patients and was negative in 39 (34%) patients. Seventy one (61%) patients had eosinophilia while 45 (39%) patieints didn’t have eosinophilia. We found no significant differences regarding eosinophilia among different age and gender groups.</p> <p><strong>Conclusion: </strong></p> <p>Eosinophilia is prevalent in a majority of bronchial asthma patients. There is no significant difference in eosinophilia among different adult age groups.</p> <p><strong>Key Words: </strong>Eosinophilia; Bronchial asthma; Pulmonology</p> 2021-09-02T00:00:00-04:00 Copyright (c) 2022 Six Minute Walk Distance and Forced Expiratory Volume in First Second on Spirometry in Chronic Obstructive Pulmonary Disease 2021-06-28T12:58:44-04:00 Muhammad Zubair Ashraf Waqas Aslam Fariha Salman Syed Mazhar Ali Naqvi Muhammad Saqib Saeed <p><strong>Background: </strong>Chronic Obstructive Pulmonary Disease (COPD) is a prevalent respiratory disease characterized by persistent progressive airflow limitation. Diagnosis Requires Forced expiratory Volume in the first second (FEV1) measurement by spirometry which is not available easily and was available in underused.</p> <p><strong>Objective:</strong> The current study is an effort to determine the correlation between FEV1 and 6MW distance, so that if a correlation exists, initial screening may be done on the basis of this easy test. The objective of the present study was to determine the correlation between six-minute walk distance and FEV1 in patients with COPD</p> <p><strong>Methodology: </strong>A cross-sectional study was conducted at the Institute of Tuberculosis and Chest Diseases, Mayo Hospital Lahore. The purposive sampling technique was used to enroll 100 patients fulfilling selection criteria after taking informed consent. Demographics details were obtained, spirometry performed for assessment of FEV1 followed by a six-minute walk test. All the data was recorded on the Proforma. Pearson Correlation coefficient was calculated between 6-minute walk distance and FEV1 for the whole sample and stratified groups taking p-value≤0.05 as significant.</p> <p><strong>Results: </strong>The male to female ratio was 3:1 where the mean age of the patients was 54.87±8.65 years and the mean BMI value of the patients was 25.49±3.36 kg/m2. A positive correlation was found between FEV1 and TDW at 6 minutes’ walk with r=0.731, p=0.00.</p> <p><strong>Conclusion: </strong>There is a strong positive correlation between six-minute walk distance and FEV1 on spirometry in COPD patients. Changes in pulmonary functions may be monitored by 6MWT.</p> <p><strong>Keyword: </strong>COPD; Spirometer; FEV1; Correlation; Six Minutes Walk Distance; Exercise</p> <p> </p> 2021-09-02T00:00:00-04:00 Copyright (c) 2022 Flexible Fiberoptic Bronchoscopy: Indications, Diagnostic Yield and Complications 2021-12-10T07:02:09-05:00 Zafar Iqbal Muhammad Imran Azharuddin Shumaila Javaid <p><strong>Background:</strong> Bronchoscopy is the use of flexible or rigid endoscopes to examine the airways. The flexible bronchoscope has the advantage of being able to view the third generation bronchioles. In recent decades, bronchoscopy has evolved from a diagnostic method to interventional and endobronchial ultrasound (EBUS) bronchoscopy.</p> <p><strong>Objective:</strong> To know indications, diagnostic yield and complications of Flexible Fiberoptic Bronchoscopy.</p> <p><strong>Methodology: </strong>We looked at the medical records of 153 individuals who had a bronchoscopic surgery at the Medical Teaching Institute, Lady Reading Hospital in Peshawar between September 2020 and September 2021, using patient files, bronchoscopy suit records and hospital HMIS. Before the procedure, each patient or patient's relative signed a written informed consent form. Demographic information, co-morbidities, indications for the procedure, radiological findings, bronchoscopy findings, final diagnosis, and bronchoscopy complications were all obtained.</p> <p><strong>Results:</strong> Of 153 patients, 91 (59%) were men. Majority of the participants (52%) were above 60 years of age. Hypertension (40%) was predominant comorbidity, followed by DM-II (39%), Asthma (22%) and others. 40% patient had significant exposure to tobacco smoke.</p> <p>The primary indication for bronchoscopy was suspected pulmonary infections (27%), followed by suspected malignancy or a lung mass on CT (23%) and hemoptysis. Other indications include, bilateral hilar LN, Undiagnosed lung infiltrates in immunocomprised patients etc. Overall diagnostic yield was 51%.</p> <p>The most common finding on chest xray was air space shadowing, followed by lung mass, hilar lymphadenopathy and cavity formation. Other less common features on Xray and CT included interstial opacities and others. 13% of the xrays and 2.6% of the CTs were reported as normal.</p> <p><strong>Conclusion:</strong> Despite significant expenditure in disease prevention, chest infections, particularly smear-negative MTB, are the most common reason for bronchoscopy procedures, followed by malignancy. In detecting this illness and other respiratory disorders, Flexible Bronchoscopy has a critical importance rule. Furthermore, it is a safe method with a high diagnostic yield for a variety of patients with respiratory illnesses.</p> <p><strong>Keywords: </strong>Bronchoscopy; FFB; LRH; Peshawar</p> 2021-09-02T00:00:00-04:00 Copyright (c) 2022