Comparison of efficacy of ciprofloxacin versus gentamicin ear drops in chronic suppurative otitis media [tubo-tympanic type]

To compare the efficacy of ciprofloxacin versus gentamicin ear drops in the treatment of chronic suppurative otitis media [tubo-tympanic type]. Quasi experimental study. This study was conducted in ENT department of Combined Military Hospital Quetta, from 17[th] March 2007 to 16[th] September 2007. Total number of 80 patients were included and divided into two groups of 40 each. Group A received ciprofloxacin ear drops [5 drops, two times in a day] while group B received gentamicin ear drops [5 drops, two times in a day] after aural toilet and than patient called on 3[rd] and 10[th] day of starting treatment for examination and response to treatment observed and documented. Control of ear discharge was significantly better in group A as compared to group B. Efficacy was measured in terms of control of ear discharge and achieving dry ear by comparing both groups on 3[rd], 6[th] and 10 day of starting of treatment. Ciprofloxacin ear drops are significantly better than gentamicin ear drops in controlling ear discharge in chronic suppurative otitis media [CSOM] [tubo-tympanic type]

Validity of Siriraj stroke score in patients of CVA

To determine the validity of Siriraj Stroke Score in differentiation between intracerebral and cerebral infarction. Hundred patients of stroke admitted in Medical Unit-Il Sheikh Zayed Hospital, Rahim Yar Khan were selected. CT scan brain was done in all patients with clinical application of siriraj score and results were compared. Duration was one year from January 2008 to December 2008. The brain CT scans of 100 patients referred with clinical diagnosis of stroke were reviewed. Of the 100 patients with stroke and complete clinical records, 67 were males and 33 were females. The age of the patients ranged from 21 to .9 years with a mean of 60 +/- 4.3 years. Twenty six [26%] patients were comatose, on presentation and history from the relations was relied upon. Fifty-six [56%] patients had CT scan features of cerebral infarction, whilst 44 [44%] patients had features consistent with the diagnosis of intracerebral hemorrhage. Using the Siriraj stroke score, 92 [92%] patients were classified, 52 [52%] as cerebral infarction and 40 [40%] as intracerebral hemorrhage. Eight [8%] patients had indeterminate scores. It is unlikely that any score will replace brain imaging. So, until unless result of such a study is available, we contend that computed tomography scan should remain the only reliable investigation for distinguishing between intracerebral hemorrhage and cerebral infarction among Pakistanis and it should be made available and affordable

Frequency of hypoglycemia in non-diabetic patients undergoing hemodialysis

To determine frequency of hypoglycemia in non-diabetic patients undergoing hemodialysis. Fifty non-diabetic patients were studied during hemodialysis for hypoglycemia for period of six months from January 2009 to June 2006 in the Department of Medicine, Sheikh Zayed Hospital, Rahim Yar Khan. Out of 50 non-diabetic patients, 9 patients developed hypoglycemia dueing hemodialysis in the study mostly were in old age above 55 years and were on maintenance dialysis. hypoglycemia should be considered as a complication during hemodialysis and blood sugar should be checked, if any sudden change in patient is observed during hemolysis

Prevalence of hepatitis B and C among patients of chronic renal failure on hemodialysis, and role of appropriate screening test, in Sheikh Zayed Medical College/Hospital, Rahim Yar Khan

To determine prevalence of hepatitis-B and C among patients of CKD on hemodialysis in Sheikh Zayed hospital Rahim Yar khan and assess screening methodology for hepatitis-B and C before hemodialysis in this tertiary care hospital. This descriptive study conducted at the hemodialysis section of Sheikh Zayed Hospital, Rahim Yar Khan from January 2008 to December 2008. All the patients of chronic renal failure who were admitted in medical ward either from OPD, Emergency or from private clinic of consultants they were all screened for hepatitis-B and C by kit method using technique after getting consent for testing during 2008. A total of 190 patients were screened, all patients were re-evaluated for hepatitis-B and C detection on three months basis along with liver enzymes. Among 190 patients 82.6% belongs to RYK while only 17.4% are from other areas. Out of 190 patients 127 were males and 63 were females. And 45% were between the age of 30 to 50 years. 25% were above 50 years of age while 27% were below 30 years. Only one patient was above 80 year. Out of 190 patients 74.7% [142] were BC-ye. 18.9% [36] were c+ve. 5.8% [11] were B+ve. And only 0.5% [01] patient was BC+ve. Hepatitis-B and C detection should be repeated on six month interval along with liver enzyme as CRF patients are more exposed to Hepatitis-B and C. This study gives good idea about proper prevention in these patients where prognosis become more poor when CRF is superadded with B and C infections