ABSTRACT
Objective: To determine frequency of cardiovascular complications in patients with thyroid disorder presenting at Divisional Head Quarters Hospital Mirpur Azad Kashmir
Study Design: A descriptive study
Place And Duration: This study was done at Kashmir Institute of Cardiology DHQ. Teaching Hospital Mirpur AJK, over 3 years from 1st January 2010 to 31st Dec 2012
Methodology: 103 consecutive patients with different Thyroid disorders were studied. Only lab confirmed patients whose Thyroid functions tests done were considered. All the values were computed using SPSS version 20. T3,T4 ,TSH were collected from each study participant
Results: Most of the patients were hyperthyroid .Tremors, palpitations, atrial fibrillation were observed as most common presenting symptoms followed by heart failure and dyspnoea. A high prevalence of Diabetes Mellitus and Ischemic heart diseases were also observed, similarly Atrial Fibrillation and heart failure were also observed particularly in admitted patients
Conclusion: Thyroid disorders are important cause of cardiovascular morbidity and mortality. General public and patients diagnosed as thyroid disorders should know about cardiovascular complications of thyroid disorder through electronic and print media. Community awareness aggressive and early identification and management is needed to reduce morbidity and mortality
ABSTRACT
To determine the sensitivity pattern of Staphylococcus au reus in surgical site infection after elective surgery. Cross sectional descriptive. January1, 2012 to May 31,2013. Patients with minor or major surgical site infection [SSI] were selected by the treating surgeons and swabs taken for culture and sensitivity testing on blood agar, chocolate agar and MacConkey's agar plates [incubated at 370C] aerobically. The suspected colonies were subjected to catalase test and later coagulase test to confirm as Staphylococcus au reus and tested for sensitivity against commonly used antibiotics. Staphylococcus au reus was isolated in 59.2% of positive cultures. The highest resistance of S.aureus was against Cefixime [95.1%] followed by Cefaclor [77.1%]. The least resistance was against Sulbactam and Cefoperazone [8.2%] followed by Sparfloxacin [11.5%] and Amikacin [16.4%]. S. au reus was variably resistant to other commonly used drugs. Staphylococcus aureus is sensitive to less commonly used drugs like combination of Sulbactan and Cefoperazone and Sparfloxacin. Resistance to commonly used drugs like Cefixime and Cefaclor exists in surgical site infection and needs appropriate measures for prevention and control