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Background: NEI VFQ-25 questionnaire is widely used to determine different health benefits to patient’s daily activities, social and mental health. The objective of this study was to determine satisfaction of patients undergoing cataract surgery.Methods: After ethical approval, a cross-sectional study using non-probability convenient sampling technique was done. Post-operative cataract patients between 18-75 years of both gender were included and patients reluctant to participate, <18 years of age or above 75 were excluded. SPSS version 20 was used for data analysis. Scoring of NEI VFQ-25 questionnaire was done. Chi-square test was applied between groups of patients with or without glasses using distant and near visual acuities keeping p-value of ≤0.05 as significant.Results: Mean age of 100 patients was 58.56±9.63 years, 78 patients were female housewives. Significant improvements in visual acuities was reported with distant or near vision with or without glasses after cataract surgery (p-value <0.01). Patient’s difficulties in worrying with eye sight, reading newspapers, reading stuff well up close, reading street signs, having issue in visiting others, going out to movies/plays, feeling of accomplishing less, having limited endurance and need for help from others in order to perform visual tasks were associated independently with reduced visual acuity and visual impairment.Conclusions: Cataract surgery significantly improved patients’ visual acuities, daily activities, mental and social health issues. Most patients were satisfied with cataract surgery and had fulfilling improvements to post-operative quality of life.
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Background: Breast milk is an ideal feed for infants, and it is effective in ensuring child health and survival. The study was done to assess the perception regarding breastfeeding among medical students of basic and clinical sciences and to compare knowledge regarding feeding among basic sciences with clinical sciences students.Methods: This cross-sectional survey was done at Al-Tibri Medical College and Hospital over a period of 6 months from February 2019 till July 2109. A self-generated Questionnaire was used to assess the perception of 367 medical students regarding breast feeding from basic and clinical sciences of medical students. Result was statistically analyzed using SPSS version 22. Chi-square test was used to compare qualitative data, p-value <0.05 was considered significant.Results: A total of 367 students participated in the study with 159(43.3%) from basic medical sciences and 208(56.7%) from clinical sciences. Out of respondents, 54.5% were females. Internet was the main source of knowledge (47.3%) as shown in the graph, 74.1% were native. Generally, the majority of students from clinical group had a better perception regarding breastfeeding initiation and continuation along with infant and maternal benefit. Clinical science group had an edge on the basic science group with reference to their perception of breastfeeding in special circumstances.Conclusions: Medical universities are the main platform for future physicians, so knowledge regarding breast feeding promotion and practices should be given from this stage.
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Background: Nasolacrimal duct obstruction is listed under the heading of congenital diseases; on other hand it is also commonly present in adult age group. In population of Sindh we found these patients frequently. Through this study we revealed the surgical options for the treatment of Nasolacrimal duct obstruction in population of Sindh provenience of Pakistan. The objective of the study was to compare the outcomes of two different intubation techniques in treatment of Nasolacrimal duct obstruction between two age groups. Comparative study was conducted in the Department of Ophthalmology Al-Ibrahim Eye Hospital Karachi from May 2018 to June 2019.Methods: Total 136 numbers of patients were included on the bases of history, clinical examination and pre-operative syringing test. Non- probability convenient sampling was applied for data collection. Total 136 numbers of patients were divided into two groups on the bases of treatment and further subgroup on the bases of age ranges. Data were analyzed by SPSS version 20.0.Results: Frequency and percentage of recovery in six months in each subgroup with application of chi-square test. Frequency and percentage of post-operative complications prolong treatment and regurgitation and patency of tube in each group and subgroups.Conclusions: The results showed significant difference between the groups. Group A showed higher success rate with minimal percentage of complications and post-operative measurements in both age ranges as compare to Group B.
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Background: Diabetic wound is a major socioeconomic debilitating problem in this society. Various treatment options are available but still it requires better treatment option. In diabetes mellitus the oxygenation to the tissues is reduced. In this study effects of low level laser therapy were compared with topical application of Streptococcus thermophilus on diabetic wounds that induces formation of new blood vessel and free radical scavenging system, a comparative study to get better treatment option for diabetic wounds.Methods: 18 male rats were selected and divided randomly into three groups. Diabetes was induced in all the rats by using the Alloxan monohydrate at a dose of 120mg/kg of the body weight. Group A was treated with normal saline, group B was treated with low level laser therapy and group C was treated with Streptococcus thermophilus topically. Skin tissues were collected on day three and seven, slides were prepared for microscopic examination to observe the new blood vessels formation.Results: Mean number of new blood vessel formation was observed in group B compared with group A and C. Significant vasculogenesis was seen in group B when treated with Low level laser therapy.Conclusions: In the group of low level laser therapy new blood vessel formation was seen with better wound healing. It means LLLT provides better oxygenation to the tissues by generation of new blood vessels compared with Streptococcus thermophilus and normal saline.
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Background: In pediatrics, the season is one of the elements contributing to the etiological factors of community based diseases. Awareness of this variation can help the physicians for prevention and counseling of the patients. A cross-sectional observational study was designed with non-probability convenient sampling technique to determine the frequency of patients admitted to the paediatric ward of the hospital in a whole calendar year and to ascertain which disease presentation is most common. Methods: Study conducted at paediatric ward of Al-Tibri Medical College and Hospital Karachi, Pakistan having patients admitted during May 2018 to April 2019. After ethical approval and informed consent from their parents/ guardian, a total of 734 paediatric patients that were admitted from paediatric OPD/ emergency were selected for the study. Paediatric patients that were referred, in emergency/ ICU and surgical paediatric patients were excluded from the study. Chi-square test was applied to evaluate the statistical variation among the patients.Results: From the 734 patients, 357 (48.6%) patients were of acute gastroenteritis, 104 (14.2%) of respiratory illness, 86 (11.7%) of viral fever, 67 (9.1%) of urinary tract infection, 36 (4.9%) of neurological illness, 29 (4.0%) of protein calorie malnutrition, 25 (3.4%) of enteric fever, 20 (2.7%) of haematological illness and 10 (1.4%) patients were admitted due to sepsis.Conclusion: Our study concluded that majority of the patients admitted were of acute gastroenteritis / admitted due to gastric issues, therefore further studies in the vicinity would help to better understand the issues and help plan a strategy to combat the diseases.
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Background: Wound treatment still a task for medical professionals, according to the time advancement. We need to elaborate further new interventions to cope up this common factor of community. The objective of the study was to assess the anti-inflammatory topical role of Lactobacillus acidophilus with antibiotic in wound repair of rats based on of microscopic parameters. This comparative study was conducted in the Department of Anatomy Al-Tibri Medical Collage and Hospital Isra University Karachi Campus from December 2018 to April 2019.Methods: Total 18 male of wistar rats were randomly selected for this study. The study comprised of three topical groups Control, Antibiotic and Lactobacillus acidophilus groups respectively.Results: The samples were taken from the wound site for the preparation of microscopic slides, to count the numbers of neutrophils, lymphocytes and macrophages for the evaluation of anti-inflammatory process in both groups on day 3 and 7. Data obtained were analyzed by SPSS version 20 by applying One Way ANOVA and post hoc Tukey’s test.Conclusions: The results were shown potent anti-inflammatory effects of Lactobacillus acidophilus group in comparison with other conventional therapy. The study concludes that the topical application of Lactobacillus acidophilus had remarkable anti-inflammatory effects in wound management.