ABSTRACT
Objective: To assess the 10-year risk of coronary artery disease [CAD] in subjects with impaired glucose tolerance [IGT] using Framingham risk score
Methods:Data for this study was collected from Diabetes Prevention and Awareness Program. Primary prevention team visited different primary health care centers, factories, service organizations and offices within Karachi, Pakistan. IGT was diagnosed according to World Health Organization criteria after taking informed consent. Information regarding social-demography, dietary habits and physical activities were obtained by a designed questionnaire on one-to-one based interview. Framingham risk score [FRS] was used to assess risk of developing CAD
Results:A total of 315 subjects with IGT were recruited for the study. Mean age of subjects was 44.1 +/- 9.8 years and mean BMI was 27.3 +/- 5.0 kg/m[2]. Overall, 31.4% of the participants were at risk of having CAD. Males were 6.4 times and hypertensive subjects were 2.44 times more likely to have CAD in next 10 years
Conclusion:According to the findings of the study, male and hypertensive IGT subjects were more likely to develop CAD in next 10 years. Community based awareness programs are needed to educate people regarding healthy lifestyle in order to reduce the risk of IGT and CAD
ABSTRACT
To study the time to union and complications after open reduction and internal fixation of mid-shaft clavicle fractures. Retrospective. Midlands Orthopedic/ Sports Injury Clinic, Bahawalpur. 2003 to December 2012. The medical record of the patients operated for mid-shaft clavicle fractures was searched to find out the time to union and occurrence of complications during this period. The time to union was 4.6 months and there were two complications. A prominent implant had to be removed and one non-union required additional bone grafting procedure. This small series shows that the rate of complications is low and a larger study is needed to expand the indications for operative fixation of clavicle fracture safely