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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v4i4.2362</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v4i4.2362</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Association of Lumbar Spine Degeneration on Magnetic Resonance Imaging (MRI) with Occupational Activity</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Tariq</surname>
            <given-names>Zeeshan</given-names>
          </name>
          <email>jamstarz@live.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Hafeez</surname>
            <given-names>Rabia</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Waheed</surname>
            <given-names>Iqra</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Department of Radiology, Lahore General Hospital, Lahore</institution>
      </aff>
      <aff id="aff2">
        <institution>UCHS The Children’s Hospital Lahore</institution>
      </aff>
      <aff id="aff3">
        <institution>Biostatistician</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Zeeshan Tariq (jamstarz@live.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2023-11-29">
        <day>29</day>
        <month>11</month>
        <year>2023</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2023</year>
      </pub-date>
      <volume>4</volume>
      <issue>4</issue>
      <fpage>306</fpage>
      <lpage>311</lpage>
      <history>
        <date date-type="received" iso-8601-date="2023-07-21">
          <day>21</day>
          <month>07</month>
          <year>2023</year>
        </date>
        <date date-type="accepted" iso-8601-date="2023-08-21">
          <day>21</day>
          <month>08</month>
          <year>2023</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2023 The Author(s)</copyright-statement>
        <copyright-year>2023</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i4.2362" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v4i4.2362.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>The purpose of this study was to determine the association of lumbar spine degeneration on magnetic resonance imaging with occupational activity in Pakistani population.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>The current cross-sectional study was conducted in Lahore General Hospital's Diagnostic Radiology department for nine months. 146 patients underwent MRI using Siemens 1.5T scanner (Siemens Healthcare GmbH, Erlangen, Germany). If found, degenerative alterations in the spine were noticed.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>In the high occupational activity group spine degeneration was seen in 46 (95.8%) patients whereas in low and inter spine degeneration group spine degeneration was seen in 83(84.7%) patients (p-value=0.049). In high occupational activity group straightening of spine was seen in 25(52.1%) patients and in low and inter activity group it was seen in 78(79.6%) patients (p-value=0.001). In the high occupational activity group disc bulge was noted in 32(66.7%) patients and in low and inter activity group it was found in 48(49%) patients (p-value=0.044). In high occupational activity group disc protrusion was seen in 30(62.5%) patients and in low and inter activity group it was noted in 81(82.7%) patients (p-value=0.007). In high occupational activity disc extrusion was noted in 7(14.6%) patients and in low and inter activity group it was noted in 4(4.1%) patients (p-value=0.041). In high occupational activity disc desiccation was noted in 27(56.2%) patients and in low and inter activity group it was noted in 37(37.8%) patients (p-value=0.034).</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>From the findings of this study, we may conclude that lumber spine degeneration on magnetic resonance imaging is significantly higher in high occupational activity group as compared to inter and lower activity group.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Magnetic Resonance Imaging</kwd>
        <kwd>Occupational Activity</kwd>
        <kwd>Lumbar Spine Degeneration</kwd>
        <kwd>Bacillus CalmetteGuérin (BCG)</kwd>
        <kwd>Vaccination</kwd>
        <kwd>Children</kwd>
        <kwd>Tuberculous meningitis</kwd>
      </kwd-group>
    </article-meta>
  </front>
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  <back>
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</article>
