Increasing trend of homicidal drone attacks in Pakistan

To study the increasing trend of Homicidal Attacks in Pakistan. Retrospective study. This study was carried out at 1. Benazir Civil Hospital Rawalpindi, 2. Forensic Medicine Deptt. General Hospital PGMI Lahore, 3. Civil Hospital Sialkot, 4. DHQ Benazir Hospital Abbottabad 5. DHQ Hospital Gujrat from 01.01.2012 to 31.05.2013. The data of Homicidal drone attacks and mortality was collected from news papers, internet and medical journals of Forensic Medicine. The Bureau of Investigative Journalism estimates the following cumulative statistics about US drone strikes: [As of March 2013]. Total strikes: 366. Total reported killed: 2,537 - 3,581. Civilians reported killed: 2000 - 3000. Children reported killed: 368 - 997. Total reported injured: 1,174-1,465 . Strikes under the Bush Administration: 52. Strikes under the Obama Administration: 314. The trend of Homicidal drone attack was increased in Pakistan in President Pervaiz Musharaf time in favour of Americans by giving our National Airports. The people of Waziristan are also responsible for these attacks as they give information about Taliban to their centers by giving signals in a cost of dollars

Predictive value of rockall score for rebleeding and mortality in patients with variceal bleeding

To validate Rockall scoring system for in-hospital rebleeding and mortality in cirrhotic patients with variceal bleed. Cohort type of case series. It was carried out at the Department of Gastroenterology and Hepatology, Shaikh Zayed Hospital, Lahore, from March 2005 to March 2006. All cirrhotic patients presenting with upper GI bleeding and later found to have variceal source of bleeding on endoscopy were included. Clinical and endoscopic features were noted to calculate Rockall score. After giving appropriate pharmacological and endoscopic therapy, patients were followed for rebleeding or death till discharge from hospital. linear regression analysis was used to determine predictive value of score and discrimination was evaluated by calculating the area under the receiver operating characteristic [ROC] curve. A total of 402 patients were included. Mean age was 52.57 [ +/- 11.39] and male to female ratio was 2:1 [269/133]. Esophageal varices were source of bleeding in 340 [84.5%], gastric fundal varix in 44 [11%] and ectopic duodenal varix in 3 [0.9%] patients. Both esophageal and gastric varices were present in 15 [3.6%] patients. In-hospital mortality was 6.7% while 22 [5.5%] patients had rebleeding. Rockall score was found to have good predictive value for mortality [p-value <0.001 and area under curve AUC 0.834] and in-hospital rebleeding [p-value < 0.001 and AUC 0.798]. Rockall scoring system has good predictive and discriminative value for in-hospital rebleeding and mortality in patients with variceal bleeding due to cirrhosis