Association Between Vasoactive-Inotropic Score and Mortality in Pediatric Septic Shock.

Objective: To assess the association between Vasoactive Inotrope Score (VIS) and mortality in children with fluid-refractory septic shock. Methods: A retrospective chart review of 71 children (age 1 mo-16y) admitted with fluid-refractory septic shock in pediatric intensive care unit during a two year period was done. We divided our cohort into two groups viz Highvasoactive inotrope score (Group-H) and ‘Low-vasoactive inotrope score’ (Group-L) based on a cut-off value of 20. Results: 73% of the children were in Group-L. The mortality rate was 44% and 100% in Group L and Group H, respectively. Conclusion: High inotropic score in children with septic shock is associated with high mortality rate.

incidence of weapons used in autopsy cases

The different types of weapons are used in Autopsy cases. To determine the weapon pattern in Autopsy cases. DHQ Hospital Rawalpindi. From January 2007 to December 2007. 170 cases were taken from the record of autopsy cases conducted at DHQ Hospital Rawalpindi. The 170 cases were taken from DHQ Hospital Rawalpindi. The weapons used is significant in Autopsy cases

Role of CO2 laser in the management of recurrent respiratory papillomatosis [RRP], A2 Yr experience at combined military hospital, rawalpindi

The Papilloma is one of the most common benign neoplasms of the Larynx. Laryngeal Papillomatosis is a disease of widespread papilloma formation that most commonly affects the larynx but may involve multiple areas of the aero-digestive tract. Typically, the onset of disease during childhood is associated with more aggressive disease. The etiology of this disease is the human papillomavirus [HPV] especially types 6 and 11. Diagnosis is often delayed because the symptoms mimic a variety of other diseases. This article reviews the statistical analysis about age, sex and site of the tumour and analyses the role of carbon dioxide laser as a modality of treatment, in a series of eleven patients with respiratory papillomatosis

Clinical presentation and diagnosis of colorectal cancer

Fifty-six patients with colorectal carcinoma were managed during the period January 1995 to July 1996 at Hayat Shaheed Teaching Hospital, Peshawar. The male to female ratio was 1.24:1 with a mean age of 45.64 years. A Large number of patients [28.57%] were in the younger age group i.e.