ABSTRACT
The present study intends to evaluate the current trends of acute poisoning reporting at private medical center of Rural Sindh. Descriptive/Retrospective study. This study was carried out at Murk General Hospital Tando Adam from January through December 2012. Sixty patients with a history of poisoning were studied. The diagnosis of poisoning was based on history of patients as disclosed by relatives, clinical findings, investigations and response to treatment. The age, sex, social class, cause and types of poison were noted. The data was collected on a proforma. The variables were typed on SPSS version 21 for analysis. The mean age of subjects was 33 +/- 7.5 years. The most affected age group was 20-29.9 years [n=43] [71.6%]. Of sixty subjects, 23[38.3%] were male and 27 [61.6%] female. [p=0.001]. Of sixty subjects, 75% [n=45] are farmers belonging to lower social class of rural population, suffering from organophosphate pesticide poisoning [48.3%]. Comparing rural to urban population, it shows rural population is suffering more; 88.3% [n=53] vs. 11.6% [n=7]. The frequency of organophosphate poisoning is found high 48.3% [n=29] in patients coming from rural areas usually farmers. The accidental organophosphate poisoning is found most frequent in rural population. The alcohol is the second most frequent cause of acute poisoning found in 18.3% of cases. Incidence of accidental poisoning is found very high from organophosphate pesticides. Sale of drugs, Diazepam and Alprazolam, must be prohibited without proper prescription. It is recommended that measures may be taken to make aware the farmers for using the organophosphate pesticides properly
ABSTRACT
The aim of present study was to evaluate glycemic control in type 2 diabetes mellitus [DM] subjects and its association with the duration of diabetes and glycosylated Hemoglobin A1 [HbA1c]. A descriptive study, comprising of 571 diagnosed cases of type 2 DM were studied at the Diabetic clinic of Isra University/ consultant private clinics over a year period. Diabetic subjects were divided as; controlled diabetics [Group I. HbA1c 7%]. The data was recorded on a proforma. Blood glucose was measured by glucose oxidase method and HbA1c on automated clinical chemistry analyzer. The student`s t-test and chi-square were used for the quantitative and qualitative data respectively. Spearman`s correlations was used for a linear correlation of HbA1c with the duration of DM and random blood sugar [RBS]. The data was analyzed on SPSS version 16.0 for windows. P-value at /= 7% [Group II]. The HbA1c values as high as >/= 13.1% was noted in 73 [12.7%]. A highly significant difference was observed in HbA1c [p=0.0001] between groups. Significant correlation of HbA1c was found with duration of DM [r=0.65, p=0.0001] but not with the RBS [r=0.038, p=0.36] We report poor glycemic control as indicated by glycosylated Hb A in type 2 diabetics. Public campaigns be attempted on regular basis to make diabetics aware of glycemic control