Disease pattern and outcome among Afghan patients: our experience in tertiary care hospital in Quetta

There is paucity of studies focused on Afghan resident patients who come to Pakistan. These patients are either referred or come here due to lack of facilities in their home country. This study was done to show the spectrum of illness brought to Pakistan and if they were different from illnesses in their parent country. Descriptive Cross-Sectional Study. This study was conducted at Paediatric Unit-I, Bolan Medical College Hospital, Quetta from June 2006 to May 2011. All admitted patients who were bonafide citizens of Afghanistan were included in this study. The patients were divided into three groups to determine the frequencies of illness in each group. Percentages were calculated for various ages and diseases. A total of 4416 patients were admitted from June 2006 to May 2011, out of these 110 were Afghan patients and the rest were Pakistanis. 58.18% patients were in group I, 29% were in group II while 14.5% were in group III. The 34.5% were suffering from tuberculosis, 13.6% patients were malnourished, 9% had nephrotic syndrome, 10% had various malignancies, 6.6% had infectious diseases, 4.54% had haematological causes, 3.6% had celiac disease, and 4.54% had liver disorders, while 14% had miscellaneous disorders. Tuberculosis, malnutrition and infectious diseases are most common in afghan patients

Menstrual abnormalities after tubal sterilization

To ascertain the menstrual abnormalities after tubal sterilization. Prospective cross-sectional study. All women aged 30 to 40 were selected from low income urban population at Quetta, with a body wt between 50 to 90 kg, who have undergone tubal ligation at Gynea unit III Sandeman Provincial Hospital, Quetta. This cross sectional prospective study has been carried out on 200 women at unit III Department of Obstetric and Gynecology, Sandman Provincial Hospital, Quetta during 1[st] June 2006 - 31 July 2007, to assess the effect of tubal ligation [sterilization] on the menstrual cycle. Two hundred healthy women under the coverage of the hospital family planning centre were selected randomly and all were assessed for the menstrual irregularities after tubal ligation. The menstrual abnormalities were significantly different between two age groups [35-36 and 38-40]. Tubal sterilization does cause menstrual irregularities

Frequency of risk factors for hepatitis-B surface antigen positive patients in a hospital setting

Identification and relative significance of various risk factors for hepatitis-B infection. This prospective study was carried out in District Head Quarter Hospital Mastung, Periphery of Balochistan, from May 2004 to September 2005. Hundred patients were included in the study. They were screened for hepatitis-B surface antigen. A proforma along with its questionnaire was filled in for every patient who was found to be HBsAg Positive and at the end we came to conclusion regarding the modes of transmission of hepatitis-B. In these patients 78 were male and 22 were female, ranging from 14 to 70 years of age group. The pattern of various risk factors for hepatitis-B surface antigen was and; follows. Repeated use of un-sterilized razors and blades 62%, repeated use of disposable syringes 60%, blood transfusion 11%, sexual transmission 18%, Hemodialysis 5%, tattooing 3% surgical procedures 2%, accidental needle prick 2%. We concluded that there are; some additional risk factors for transmission of hepatitis B in this part of World. These include un-sterilized syringes and surgical instruments used by unskilled health workers and quacks in periphery, repeated use of un-sterilized razors and blades and Tattooing with contaminated needles

Frequency of risk factors for hepatitis-B surface antigen positive patients in a hospital setting

Identification and relative significance of various risk factors for hepatitis-B infection. This prospective study was carried out in District Head Quarter Hospital Mastung, Periphery of Balochistan, from May 2004 to September 2005. Hundred patients were included in the study. They were screened for hepatitis-B surface antigen. A proforma along with its questionnaire was filled in for every patient who was found to be HBsAg Positive and at the end we came to conclusion regarding the modes of transmission of hepatitis-B. In these patients 78 were male and 22 were female, ranging from 14 to 70 years of age group. The pattern of various risk factors for hepatitis-B surface antigen was a follows. Repeated use of un-sterilized razors and blades 62%, repeated use of disposable syringes 60%, blood transfusion 11%, sexual transmission 18%, Hemodialysis 5%, tattooing 3%, surgical procedures 2%, accidental needle prick 2%. We concluded that there are some additional risk factors for transmission of hepatitis-B in this part of World. These include un-sterilized syringes and surgical instruments used by unskilled health workers and quacks in periphery, repeated use of un-sterilized razors and blades and Tattooing with contaminated needles

Magnesium sulphate as an anticonvulsant in management of eclampsia: a hospital based study

To ascertain the efficacy of Magnesium Sulphate [mgso4] in cases of eclampsia with recurrent convulsions and establish the poor prognostic factors in cases that are unresponsive to mgso4 therapy. Prospective cross-sectional study. Simple convenient sampling. Obstetrical population of 3050 deliveries, both referred and non-booked cases. Unit-III, Department of Obstetrics and Gynaecology, Sandeman [Provincial] Hospital, Quetta. One year [1st January to 31st December 2006]. A proforma was filled for all women [booked or un booked] who came with eclampsia. Pritchard regimen of mgso4 therapy was used, in which 4gm intravenous [I/V] loading dose of 20% solution was infused over 10-15 minutes followed by 5gm of 50% solution in each buttock [I/M] and maintained by 5gm I/M every 4 hourly till 24hrs of last fit or delivery whichever occurred lasclinical monitoring of patients was done during treatment due to non-availability of serum Magnesium [Mg++] levels.. Statistical analysis was done by Chi-square test [P