ABSTRACT
Background: Guillian Barre Syndrome is a polyradiculopathy characterized by symmetric ascending paralysis and areflexia. It affects all age groups and both sexes with an unpredictable outcome
Objectives: The aims of this study were to identify the various diseases presenting as Acute Flaccid Paralysis and notice clinical features and outcome of cases of Guillian Barre Syndrome
Materials and Methods: Retrospective analysis of 53 patients presenting as Acute Flaccid Paralysis was done. Clinical features and laboratory investigations of 39 patients of Guillian Barre syndrome were reviewed
Results: Among all cases of Acute Flaccid Paralysis, Guillian Barre syndrome formed the bulk of the cases [73.6%].It was more common in females and in age group of 10 years or below. In majority of the cases, rapid onset of weakness was the initial symptom. Mortality was 100% in patients who had respiratory muscle involvement and who required mechanical ventilation
Conclusions: In our study the main factor causing death in a case of Guillian Barre syndrome was bulbar involvement requiring mechanical ventilation. Early recognition of the prognostic factors may lead to decreased mortality in case of Guillian Barre syndrome
ABSTRACT
Determination of anthropometric measurements, especially of birth weight of newborn in first few days after birth is important for the assessment of neonatal nutritional status, gestational maturity, and prediction of early neonatal death. [1] To determine the mean birth weight, mean birth length and mean head-circumference. [2] To seek association between income of the family and mean birth weight. Analytical cross-sectional study. Setting and Period: This study was done in the pediatric department of Liaquat National Hospital from March 2003 to September 2003. One hundred full terms, normal, singleton newborn babies were included and birth weight, length and head circumference were taken within 72 hours of birth. Overall mean birth weight was 2.890 kg, mean birth length 48.245cm and mean head circumference was 34.232 cm.The% of LBW babies was 13. The mean birth weight of babies belonging to group A [born to families with income >5000 Rs/mth] was 3.044 Kg and that of group B [born to families with income <5000 Rs/mth] was 2.736 Kg. Group Ahad 8% LBW babies whereas group B had 18%. Mean birth weight, length and head circumference of boys was 2.961 Kg, 48.776 cm and 34.316 cm respectively. Mean birth weight, length and head circumference of girls was 2.788 Kg, 47.480 cm and 34.109 cm respectively. Community based studies should be conducted from time to time in order to develop our own population data
ABSTRACT
To assess the knowledge of mothers regarding commonly used Complimentary alternative medicines, their usage and various therapeutic choices for common ailments. A cross-sectional Survey on a predesigned proforma was done from July 2007- August 2007 in the out patient department of a tertiary care hospital. Consent was taken from the participants and 375 complete proformas were included in the study out of 500 interviewed. Of the 375 mothers who were interviewed, 237 [63.2%] believed in alternative medicine whereas 138 [36.8%] did not believe in it. Complimentary alternative medicines [CAM] was used most often in children with respiratory tract and gastro intestinal symptoms, the most frequently used therapy was Honey 58.9% and Joshanda 31.2%, followed by Heeng 11.3% and brandy being used in 2.8% for respiratory complaints. Gastrointestinal symptoms were treated with Saunf water 28.4%, mint 20.6% and ajwain 17.7%.Higher education level was associated with more complementary medicine use. Majority of mothers used it for gastrointestinal problems and respiratory problems 24% and 22.2% respectively. Mothers are aware of various available CAM and are using them for different ailments like honey for respiratory illnesses, Saunf and Ajwain for gastrointestinal problems as they have been found to have linctus and antispasmodic effects respectively. It has also been observed that the CAM was used in combination with other therapeutic modalities and not alone
Subject(s)
Humans , Female , Child, Preschool , Child , Adult , Mothers , Knowledge , Cross-Sectional Studies , Surveys and QuestionnairesABSTRACT
To evaluate the prevalence of hypertension and diastolic dysfunction [LVDD] with normal ejection fraction in type-2 diabetes mellitus. Two hundred twelve diabetic patients [98 females and 114 males] from January 2005 to June 2006 were enrolled in this study. Their ages ranged from 35 to 65 years with mean age of 55 years. Patients with Diabetes Mellitus Type-2, Hypertension: BP[3]140/90 [with or without medication] Body Mass Index[3]30, Waist-Hip ratio>0.90. Left Ventricular Diastolic Dysfunction [LVDD] and Serum Triglyceride and HDL Cholesterol were included. Result: Out of 212 patients, 104[49%] were found to be hypertensive [both systolic and diastolic] and 12 patients [5.6%] were found to be suffering from isolated systolic hypertension. Hence total number of hypertensive patients was 116 [54.6%]. Thirty two patients were found to be suffering from diastolic dysfunction. Hypertension and Diabetes are interlinked and show how micro and macrovascular complications of diabetes are increased when two conditions occur together. The LVDD is much more prevalent than previously suggested in patients with type-2 diabetes mellitus. Hence LVDD is an early marker of diabetic cardiomyopathy
ABSTRACT
To find out the prevalence of metabolic syndrome in type-2 Diabetes Mellitus and its cardiovascular affects using the guide lines of WHO [World Health Organization] and NCEP [National Cholesterol Education Program]. Six hundred eighty patients were selected on a random sample basis from those suffering from Diabetes Mellitus Type-2 from January 2004 to May 2005, at the Ziauddin Medical University Hospital and Consultation Clinic. Six hundred eighty patients were screened and their mean age was 58 years with 374 [55%] being males and 306 [45%] being females. Their mean duration of Diabetes Mellitus was observed to be 13 years. Three hundred twelve [46%] were found to be of Metabolic Syndrome. Out of this 143 were found to have cardiovascular events. Early diagnosis, treatment and prevention of Diabetes Mellitus Type-2 and Metabolic Syndrome present a major challenge for health care professional facing an epidemic of over-weight and sedentary life-style