ABSTRACT
Objective: to study the knowledge, attitude and practice about hypertension in adult hypertensive patients at LUMHS
Methodology: the prospective and descriptive, study was carried out on one thousand diagnosed hypertensive patients from Jan 2010 to Sep 2010 at medical outdoor department of LUMHS. Appointed medical persons questioned the patients assessing various factors as lifestyle and risk factors. The special case sheets were prepared, containing all the information as name, age, sex, address, family history, personal history, marital status of the patients. Case sheets were containing special questionnaire to study the knowledge about hypertension, its control and complications. Results were analyzed by SPSS 10
Results: the age of patients ranged from 19 years to 95 years with mean age of 50.5 years and median age of 47.5 years. Forty eight percent patients belonged to grade 1 education grade, thirty two percent belonged to grade 2, thirteen percent belonged to grade 3, and seven percent belonged to grade 4. Ten percent patients can explain the hypertension, mostly in higher education grade. Seventy six percent patients can tell that salt is not good for hypertension. Twenty two percent patients had good compliance about the drugs. Fifty percent can say good control is advantageous for health. Six percent have knowledge about complications. The education grades and result of questionnaire is shown in Table I
Conclusion: our study concludes that a significant proportion of hypertensive patients have poor knowledge about hypertension
ABSTRACT
Objective: To determine the lipid abnormalities in type 2 diabetics
Patients and Methods: This descriptive analytical study conducted on one thousand adult patients of type 2 diabetes mellitus in medical clinic at LUMHS Hospital. The study was conducted from April 2008 to April 2010. Data was collected on special proforma
Results: Patients of diabetes mellitus type 2 had mean age of 40+10.56 yrs, range 21-80 years with median age 38 years. Among these patients median duration of diabetes was 20 years and average duration ranged from 6 months to 36 years. Further analysis of results showed that raised cholesterol was detected in 38% [n=380] patients with C.I. 28.2-42.2. Triglyceride was increased in 60% [n=600] patients with C.I. 51.0-64.7. The HDL was decreased in 20% [n=200] patients with C.I. 14.1-24.7, while LDL was raised in 29% [n=290] patients with C.I. 25.7 - 37.0 [Table I]
Conclusion: Outcome of this study showed that majority of type 2 diabetes mellitus patients had their lipid levels deranged
ABSTRACT
Objective: To determine the frequency of various risk factors for stroke and its sub-types among males and females. Design: Cross sectional /Observational study. Place and Duration of Study: The study was conducted at the Medical Department of Liaquat University Hospital Hyderabad/Jamshoro from January 2006 to March 2007
Material and Methods: Patients with features of stroke confirmed by CT scan brain were enrolled. Brain imaging showing abnormality e.g. brain tumour, meningitis, multiple sclerosis and metabolic derangements that could explain focal neurologic deficit were the exclusion parameters. The frequency of various risk factors for stroke and its types among males and females were evaluated
Results: Out of total 100 patients, 78[78%] presented with infarction stroke and 22[22%] with hemorrhagic stroke. Their mean age at presentation was 56.89 with SD=8.92 years. Hypertension 35[59.3%] and smoking 18[94.7%] were the most important risk factors among males, while the presence of diabetes mellitus 16[55.2%] and IHD 10[62.5%] were found to be more common among females. Forty-two [42%] and 11[11%] males, while 36[36.3%] and 11[11%] females suffering from cerebral infarction and cerebral hemorrhage respectively. In-hospital mortality was 09[09%]
Conclusion: Frequency of various risk factors was high in this study which is similar to that observed in developed countries. Hypertension and smoking were the major risk factors for males, while diabetes mellitus and IHD were more common in females. We did not find any significant gender difference between the two stroke types. Category: Internal Medicine
ABSTRACT
Objectives: Diabetes mellitus is a medical disorder characterized by varying or persistent hyperglycemia resulting from the defective secretion or action of the insulin. As the serious complications of diabetes mellitus are associated with control and duration of the disease, so this study was planned to observe the frequency of control of blood glucose in patients with diabetes mellitus. Design: A descriptive study Setting: This study was designed at Mohammad Medical College Mirpurkhas Sind. Patients were collected in months of Jan-Mar 2008 in a weekly blood sugar camp arranged at MMC hospital
Methods: Five hundred diagnosed patients of Type 2 diabetes mellitus were included in this study. Their parameters were recorded in detail on pre-designed proforma. Control of blood sugar was evaluated by fasting blood sugar, 2 hours postprandial blood sugar, urine detailed report and hemoglobin A1C
Results: Majority of patients had unacceptable control of diabetes mellitus. Three hundred and sixty-six [73.2%] patients had poor control of blood glucose, while only 134[26.8%] patients had acceptable control of blood glucose
Conclusion: This study proved that control of blood glucose remained poor, i.e. 73.2% patients remained uncontrolled even after attempts to treat the disease; it shows that because of this poor control of blood glucose huge number of patients in future will land up with serious complications. Huge number [93.2%] patients had no knowledge about the disease
ABSTRACT
Objective: To evaluate different sequelae in adult patients of chronic rheumatic heart disease
Design: A descriptive study
Setting: This study was conducted at Liaquat University Hospital and Isra University Hospital, Hyderabad- Sindh from January 2003 to December 2004
Methods: Patients of chronic rheumatic heart disease who presented at Liaquat University Hospital and Isra University Hospital were enrolled in the study. Demographic details of patients such as age, sex, socioeconomic status as well as their symptoms such as dysponea, palpitation and chest pain were noted on a proforma. Number of rheumatic fever attacks in the past were also noted. Patients were examined carefully for cardiac valvular lesions and for signs of acute rheumatic fever. Patients underwent different investigations such as blood complete picture, ESR, ASO titre, ECG, X-ray chest, echocardiography and Doppler. All patients had their calcium levels and collagen profile checked to exclude non rheumatic causes of valvular heart disease
Results: One hundred adult patients of chronic rheumatic heart disease were studied for various valvular sequelae. Out of 100 patients studied, 49 [49%] patients were males and 51 [51%] were females. Seventy-three [73%] patients were below 30 years of age [Group A] and 27 [27%] patients were above 30 years of age [Group B]. Patients age ranged between 12 and 60 years. Forty-eight [48%] patients had predominant mitral stenosis. Forty-two [42%] patients had predominant mitral regurgitation. Nine [9%] patients had aortic regurgitation and one [1%] had aortic stenosis along with mitral valve disease
Conclusion: From this study, it is concluded that mitral valve stenosis is frequently observed than mitral regurgitation and aortic valve is least affected, therefore, in every case of chronic rheumatic fever mitral valve should be thoroughly examined