Radiation doses from [131]I treated hyperthyroidism patients versus life style: - a survey

Radioactive iodine is widely used for the treatment of various thyroid disorders. Safety issues are often a source of worry and anxiety for the patients, their families and comforters. The patients are advised to restrict their social and work related activities. The work presented in this study describes the results of a structured survey conducted on patients visiting our hospital. The total number of patients inducted was 419. The patients were asked about their housing conditions, family set up, number of children, travelling modes and travelling time back to home. The hospital leaving exposure rates from the patients were measured and radiation doses to others were estimated. Patients residing in joint family system were 93%. The measured dose rate at one meter were 5.7, 11.0, 15.7, 18.7, 23.0 and 28.0 micro Svh-1 for the administered [131]I activity of 185, 370, 555, 740, 925 and 1100 MBq respectively. The corresponding radiation doses to others from the patient were estimated as 0.76, 1.53, 2.29, 3.06, 3.82 and 4.58 mSv. The patients using public transport were 78.04% whereas 21.96% used private transport. There were 11.93% of the patients with no children and 88.07% of the patients had children residing with them. It was observed that 1.67% of the patients had no toilets at home and 98.33% had multiple toilets available. The radiation protection advice and regulatory requirements need to be formulated keeping in view the individual patient life styles and other living conditions

Comparison of body mass index and waist circumference in predicting incident diabetes

The objective of the present investigation is to confirm that central obesity which is measured by waist circumference [WC] is more informative than general obesity determined by body mass index [BMI] in the prediction of diabetes mellitus [DM]. The study was conducted at Khyber Medical College, Peshawar during 2008 to 2009. A total of 475 adult male and female volunteers were the subject of present research and were categorized in terms of their BMI. The BMI was determined from weight and height; the subjects were grouped as normal, overweight and obese. WC was determined by measuring the waist between the lower rib and iliac crest. The results show a consistence relation between BMI and WC with diabetes mellitus. The Chi-square test for 95% confidence interval showed 2-sided asymptomatic significance of diabetes mellitus with WC to be 0.016 and BMI 0.082. The results showed a higher trend of diabetes mellitus in males having WC greater then 40 inches [100 cm] and for female WC greater than 35 inches [87.5 cm] as compare to higher BMI

Relation of hypertension with body mass index and age in male and female population of Peshawar, Pakistan

Hypertension, a condition developed as a result of high blood pressure is strongly correlated with body mass index [BMI]. Obesity was noted to be a single best predictor of hypertension incidence, and was regarded as a major controllable contributor to hypertension. Overweight and obesity is conveniently determined from BMI. Present study was conducted in Khyber Medical College [KMC] Peshawar to investigate the relation of hypertension with BMI and age. The objective of the present investigation is to establish a relationship between hypertension and BMI in male and female population of Peshawar with consideration of age. This study was conducted at KMC, Peshawar during 2008-2009. A total of 1006 adult male and female volunteers were the subject of present research and were categorized in terms of their ages. BMI was determined from weight and height; the subjects were grouped as normal, overweight and obese. Hypertension was determined from the measure of blood pressure. The results show a consistence relation between BMI and hypertension within age groups in both male and females. The figures exhibited a relation of age with BMI and hypertension in both males and females subjects. The results showed a higher trend of hypertension with increasing BMI. In young females it was noted that with a shift from normal BMI the incidence of hypertension was very high

[Neonatal dislocation of elbow due to birth trauma]

Birth injuries are due to difficult labors. Dislocation of elbow as a consequence of birth trauma has not been reported yet. A two days newborn was referred to Imam Reza hospital because of restlessness and limitation of movement in upper arm. Double dislocation of left elbow was observed in radiographic evaluation. In any newborn with difficult labor and limitation of movement in upper arm in addition to more common conditions dislocation of elbow should be considered