Psychiatric disorders; pattern and trends of patients attending out patient department at govt. Sarhad Hospital for Psychiatric Illnesses, Peshawar

The study was conducted to examine the pattern/trend of psychiatric disorders in a hospital based setting. Conducted at Govt. Sarhad Hospital for Psychiatric Diseases, Peshawar in March-April, 2010. Simple Observational. A Retrospective record review was done to determine the disease pattern for patients examined in the OPD [out patient deptt.]. All the patients who attended OPD in year 2010 and 2004 were included.The diseases were coded and classified according to ICD- 9 and 10. Comparison and Statistical analysis of both years was done. The findings of the study suggested that disease pattern seen at hospital, represents mental diseases prevalent in Distt. Peshawar. It showed the predominance of schizophrenic group and neurotic [31 -35%], stress related disorders [30-31%] group over other diseases. Next were the mode effective disorders [12- 16%] and episodal and paroxysmal disorders group [16-17%]. Drug dependence and mental retardation showed low percentage of 2%. Rest of diseases also showed low percentage. Although similar patterns were observed for both years but there were statistically significant difference between the two years. Hospital utilization pattern is a useful guide to the prevalence of mental diseases in general community.The chronic illnesses consisted of major burden of disease. Major groups were Schizophrenic and Neurotic, and Stress related disorders group. Pattern of psychiatric illness have not changed much from 2004 to 2010. Although the hospital is catering a large number of patients, yet there is a dire need of organizing mental health services at community level to reach undiagnosed patients

Prevalence of hepatitis C virus and its serotypes in Bahawalpur divison

To find the prevalence of hepatitis C virus serotypes in Bahawalpur division Design: It was a prospective study to asses the frequency of HCV serotyping Settings All the patients coming for the treatment of liver disease from Jan 2000-Dec 2002 in the departments of medicine and consultants in BVH Bahawalpur Subjects and Methods 125 patients of chronic liver disease, with persistently raised SGPT and positive anti HCV and HCV RNA, were included in this study. All these sera were serotyped using Murex Serotyping 1-6 assay system. Of 125 patients sera 105 [84%] were typable and 20 were [16%] untypable, no multiple serotypes were seen. Serotype 3 were 69.6% and serotype 1 [6%]. Serotype 2,4,6 were also detected 4.8%, 2.4% and 0.8 respectively, No serotype 6 was seen. The disease state was compared to different HCV serotypes by and more cirrhosis was observed in serotype 1 as compared to serotype 3. Cirrhosis was also observed in non-typable cases. Risk factors identified from data were transfusions [29%], parentral therapy [20%], Health workers 25[20%], sharing blades, Homosexuality 10 patients [08%], Intravenous drug abusers [04%], previous surgery [6.8%], dentists [7.2%]. No vertical group was seen in this study. Few other miscellaneous risk factors were pricking for ears and noses tattooing [in female groups]. One patient returned from USA, developed cirrhosis due to serotype 1 gave the history of out of family sex contact. No significant difference was noted in different groups of serotypes for HCV. HCV serotypes 3 were more common and serotype 1 was related to more sever disease. Risk factors are more important to control the spread of HCV