ABSTRACT
Objectives: Cardiovascular disease (CVD) remains the leading cause of morbidity and mortality. The American College of Cardiology/American Heart Association (ACC/AHA) atherosclerotic cardiovascular disease (ASCVD) risk estimator is a recently developed online calculator tool for primary prevention. Family physicians, as first-line soldiers, have close contact with local community patients making preventive care management an integral part of their routine work. Therefore, we would like to assess primary health care providers’ knowledge, attitude and barriers for using ASCVD risk estimator in a family health care facility. Methods: This was a quantitative, cross-sectional, single-center study which took place at a tertiary health care facility between December 2018 and January 2019. An English-paper-based self-administered questionnaire was distributed to all primary health care physicians (n=172). Results: Most of the participants were using a different type of cardiovascular risk score calculator 128 (97.7%). Among these scores, ASCVD risk assessment calculator was the highest frequently used calculator 67 (51.1%) and Framingham risk score 43 (32.8%). Study participant preferred to use mobile application 102 (77.9%) as a technical method of risk score calculation. ASCVD knowledge was significantly related to participants’ clinical attitude (r=0.3, p-value=0.003) however, they have moderate knowledge about ASCVD risk calculator (61.7%), and only 37.3% have a positive attitude towards it. Conclusion: Health promotion implementation needs using powerful primary prevention of cardiovascular risk calculators. Therefore, enhancing family physician knowledge and eliminate obstacles will gradually improve their attitude towards disease prediction and prevention.
ABSTRACT
Objective: To assess the mean change in interpalpebral fissure height and marginal reflex distance after brow suspension with autogenous fascia lata sling in patients of ptosis
Methods: This was a Quasi experimental study conducted at Department of Ophthalmology, Mayo Hospital, King Edwards Medical University Lahore, from Jan 2013 to June 2016. Included were the patients who had unilateral or bilateral ptosis with poor levator function [< 5 mm]. Informed consent was obtained from all patients after explaining about the research project. Patients were admitted in ward and all of them underwent surgery by a single surgical team. The surgical procedure was performed in supine position under general anesthesia in children and uncooperative patients. Patients were followed at week 4, 8, 12 and 24 to observe vertical interpalpebral fissure height and marginal reflex distance
Results: The mean age of the patients was 9.03 +/- 5.26 years. The mean Inter palpebral fissure height [IPFH] was 4.40+/-0.91 mm and mean MRD was 0.50 +/- 1.00 mm before surgery while after surgery it was 7.41+/-0.76 mm and 3.10 +/- 1.50 mm respectively at 04 weeks. The mean IPFH and MRD at 24 weeks postoperatively were 8.43+/-0.98 mm and 3.60 + 1.50 mm respectively. The mean change in IPFH and MRD at 24th week, were 3.90 +/- 0.34 mm and 3.50 +/- 1.00 mm
Conclusion: Brow suspension with fascia lata sling is safe and effective technique for correction of ptosis with poor levator function
ABSTRACT
Objective: The objective of this study was to assess the knowledge on symptoms, risk factors, preventive measures and treatment options for regarding osteoporosis in healthy women of child bearing age [15-49 years] accompanying patients, in Fauji Foundation Hospital [FFH] Rawalpindi
Study Design: Cross sectional survey
Place and Duration of Study: The study was conducted in FFH Rawalpindi from February 2015 to October 2015
Material and Methods: A cross sectional survey was conducted using a validated questionnaire i.e. OKAT [Osteoporosis Knowledge Assessment Tool] from 385 women attending OPDs of Fauji Foundation Hospital Rawalpindi, for a period of Feb-August 2015. The data was analyzed using SPSS [version 21]
Mean knowledge scores were calculated and compared with socio demographic variables
Results: Total knowledge score mean was 8 [total max score achieved 14]. Mean scores were found for knowledge regarding symptoms 0.85 [total score 2], and treatment options were 0.82 [total score 2] for the disease. Comparison of knowledge scores between respondents of different age, residential status [p<0.009], and educational status [p<0.056] was found statistically significant
Conclusion: Women lacked knowledge regarding osteoporosis, especially older uneducated ones, belonging to lower socioeconomic class residing in villages. Community based educational interventional programs targeting this population can help reduce the knowledge gap and contribute towards disease prevention
ABSTRACT
Objectives: To evaluate the frequency of early remodeling in patients of severe aortic regurgitation after aortic valve replacement and to see the incidence of early remodeling in patients with stroke volume >97 ml versus < 97 ml before aortic valve replacement
Method: This was a prospective comparative study conducted from August 2013 to December 2014 in a tertiary care hospital. Fifty seven [57] patients of isolated chronic aortic regurgitation were included in this study. SPSS v23 was used for data analysis. Independent sample t-test was used for analysis of continuous variables and chi-square test for qualitative variables
Results: Out of fifty seven patients, early remodeling occurred in 34 [59.64%] patients after surgery. The mean pre-operative stroke volume of patient in whom remodeling occurred was 110.3 +/- 9.66 ml while mean pre-operative stroke volume of patients who did not undergo remodeling was 86.65 +/- 7.63 ml. There were 28 [82.4%] patients with stroke volume >97 ml in whom Remodeling occurred where as in patients with stroke volume <97 ml remodeling occurred only in 6 [17.6%] patients [p value 0.004]. There was no inhospital mortality
Conclusion: There is an association between stroke volume and early LV remodeling after Aortic valve replacement. Stroke volume >97 ml is a good predictor of early LV remodeling