ABSTRACT
To Compare the Specific Lumber Mobilization [SLM] techniques and Core-Stability [CS] Exercises with Core-Stability Exercises Alone in Mechanical low back pain [MLP] A 6 month pretest-posttest design, quasi experimental study was conducted at department of physiotherapy Khyber Teaching Hospital [KTH] Peshawar, Pakistan. We conveniently selected a sample 40 patients and placed into two groups. The SLM techniques with CS exercises was applied in group A and CS exercises alone in group B for 6 weeks. The Oswestry Disability Index [ODI] and Visual analog scale [VAS] for mechanical low back pain were assessment tools assessed for all patients before and after 6 weeks of physical therapy intervention. Data was analyzed by SPSS and statistical test were applied at 95% level of significance determine the efficacy of both the treatments regimes and compared with each other. After comparison between two groups, the group A treated with specific lumber mobilization techniques shows better results in improving pain [p=0.008] and reducing physical disability [p=0.004] as compared to the group B treated with specific lumber mobilization techniques alone [pain intensity: p= 0.172 and physical disability: p=0.201]. It is concluded that patients with mechanical low back pain will show more improvement in pain and function while treated by specific lumber mobilization and core stability exercises as compared to those patients who will be treated by specific joint mobilization techniques
ABSTRACT
Background: Chronic obstructive pulmonary disease [COPD] has boon one of the main causes of mortality worldwide. The impact of COPD has been increasing socio-economically over time to make COPD an alarming condition for health associated professionals due to the severity of prevalence and its expensive treatment. Due to COPD, patients not only suffer from the illness as the financial costs associated with it
Objective: To determine the prevalence and the medication of COPD
Methods: The medical records of patients suffering from COPD were collected from different tertiary care hospitals in Karachi from June 2011 to May 2012 comprising of middle adulthood to mature aged patients
Results: Out of 1260 patients 174 [13.60 %] were suffered from COPD. Nearly all the patients of COPD were associated with co-morbidity like diabetes mellitus, hypertension, urinary tract infections, renal failure, pneumonia, cardiovascular diseases, and other diseases. Ant-allergy, oxygen supply, intravenous and oral montilukast, atrovent and other nebulizers, cough syrups, inhalers, antibiotics, and other treatment were used for the treatment of COPD as directed by the world renowned guidelines for COPD
Conclusion: The prevalence of COPD is high and is detected through a standalone pulmonary function test [PFT] e.g Spirometry, or in conjugation with a clinical examination. In most oases the guidelines provide by the British Thoracic Society, Americans Thoracic Society, and European Respiratory Society are used to treat COPD
ABSTRACT
To compare closed and open haemorrhoidectomy by terms of post-operative pain and bleeding. Comparative study. Department of Surgery Peoples University of Medical and Health Sciences, Nawabshah from May 2011 to October 2011. All the patents with established diagnosis of haemorrhoids were divided equally into two groups. The group I was treated with open haemorrhoidectomy while closed haemorrhoidectomy was done in group II. Post-operative pain and bleeding scores were recorded for 3-days in immediate post-operative period and at first and 2[nd] week followups. Pain scores 0-3 [0=none,1=mild, 2=moderate, 3=severe] and bleeding scores 0-2 [0=none, 1=slight, 2=severe] were documented for each patient. Total of 60 patients were recruited. Thirt underwent open and same number had closed haemorrhoidectomy. There were 45 [75%] males and 15 [25%] females. The mean age was 45 year with a male to female ratio of 3:1. Mean pain score for the open haemorrhoidectomy was 1.73 +/- 0.09 [p< 0.0001], while for closed haemorrhoidectomy 0.96 + 0.64 [p< 0.0001]. The mean bleeding score in open group was 1.03 +/- 0.427 [range 0.6 - 1.8] and in closed group 0.52 +/- 0.388 [range 0.2 - 1.6]. Closed haemorhoidectomy was associated with significantly less pain and bleeding than open haemorrhoidecctomy.
ABSTRACT
To investigate the effects of different incision lengths following elective Cholecystectomy Prospective cross sectional, comparative study. This study was conducted at Surgical Unit II Peoples Medical University of Health Sciences Nawabshah from January 2009 to December 2010. In this study, 100 patients were taken as a sample size. In this study, sampling technique was Purposive, non probability. Main Outcome Measures were postoperative pain, Length of hospital stay, Cost of treatment, Time until return to work, Complications. Most surgeons still prefer the open approach when dealing with common bile duct stone. The technique of open Cholecystectomy might compete with laparoscopic Cholecystectomy in avoiding prolonged operating time and major expenses. Mini-Cholecystectomy requires less operating time, less postoperative pain, and early return to work than standard conventional open Cholecystectorny. There were 37 female and 13 male in MC group, and 42 female and 8 male in CC group. Median age was 55 [range 20-80 years] median BMI was 23 [range 17-30]. 15 patients in MC and 18 patients in CC group were with acutely inflamed gall bladder and remaining were with chronic gall stone disease. In MC group of 50 patients the mean hospital stay was 2.5 days with shortest 1 day and longest 5 days. 35 [70%] patients were discharged within 2 days 10[20%] on 3[rd] and 5 patients remained for 5 days. Minicholecystectomy offers less pain, earlier recovery and better cosmetic results than conventional open Cholecystectomy