ABSTRACT
This descriptive case series study evaluates the frequency of hypomagnesemia in patients with acute myocardial infarction. This multidisciplinary conducted at Liaquat University Hospital Hyderabad and a private hospital Hyderabad from May 2010 to October 2010. All patients diagnosed as acute myocardial infarction were further evaluated for type of myocardial infarction and serum magnesium level. Out of 100 diabetic patients, 77 were males and 23 patients were females. The mean age and standard deviation of patients of male and female was 54.78 +/- 8.82 [SD] and 53.64 +/- 10.82 [SD], respectively. The mean +/- SD for serum magnesium in overall subjects was 1.24 +/- 0.48. Regarding the type of AMI inferior wall in 22 [29%], lateral wall in 17 [22%], anteroseptal in 12 [16%], anterolateral -V1 in 07[09%], right ventricular in 10 [13%] and posterior wall in 07 [09%]. The mean duration of acute MI in male and female population was 8.71 +/- 6.73 hours and 17.70 +/- 14.57 hours [p<0.01] where as the mean duration of acute MI in hypomagnesemic and normomagnesemic patient was 5.16 +/- 2.49 hours and 26.60 +/- 8.27 [p = 0.02] respectively. The mean serum magnesium level in male as well as female population was 1.32 +/- 0.21 mg/dl and 1.46 +/- 0.53 mg/dl p = 0.05, respectively. Regarding the hypomagnesemia in male and female population was 34[75.6%] and 16[53.3%] p=0.04, respectively. The hypomagnesemia was more predominant in inferior 18[36.0%] and lateral 16 [32.0%] wall MI. The hypomagnesemia was observed in patients with acute myocardial infarction with statistical significance
ABSTRACT
Background: Dengue fever and its complications have become a nightmare for common people in Asian countries including Pakistan. Besides environmental factors responsible for its transmission, there are many host factors too involved in its rapid spread
Objective: To assess risk factors for dengue fever among patients reporting at Liaquat University Hospital [LUH] Hyderabad. Study Design, Setting and Study duration: Descriptive cross sectional study was conducted at LUH, Hyderabad for six months i.e. from 15[th] May 2013 to 15[th] November 2013
Methods: 481 patients were registered through convenient sampling after informed verbal consent. Patients' demographic features, clinical presentations and laboratory reports were collected on a preformed proforma
Results: The reporting rate for dengue fever was 18.5% and the mean age of presentation was 28.5 +/- 3.5 years. Males were in majority [72.55%] 3 and the average days of admission were 4.5 days; low platelets count [< 50,000/mm[3]] was recorded in 72% of cases; however 11.64% patients presented with hemorrhagic tendency. Age was strongly associated with thrombocytopenia [p=0.04] and with occurrence of hemorrhage [p=0.03] in both genders; this association was more evident among males [p=0.01]. However among uncomplicated cases no association was evident between gender and length of stay in [p=0.35]
Conclusions: The alarmingly higher reporting rate of dengue fever necessitates contextual preventive interventions. As younger age and male gender are the major risk factors for this disease; therefore age-specific and gender-specific preventive strategies against this disease are recommended
ABSTRACT
BACKGROUND: A large number of children suffering from pneumonia fail to reach health facilities well in time because their mothers fail to recognize seriousness of their illness. Early recognition of symptoms of pneumonia by mothers and their participation in effective case management of pneumonia may reduce childhood mortality in our population
METHODOLOGY OBJECTIVES: To determine the mothers' perceptions regarding pneumonia in children and the home remedies used by them to treat pneumonia in children
STUDY DESIGN: A descriptive cross sectional study conducted on four hundred and eighty eight mothers taking care of their children of age less than three years. It was conducted among houses of Union Council Jhudo
RESULTS: Fast breathing and chest indrawing were most commonly reported symptoms for pneumonia [59.4%]. The study revealed statistically significant association of symptoms identification by mothers with higher educational status [p=0.04], living in joint families [p=0.05] and higher parity [p= 0.02]. Majority of the mothers [94.4%] were using two or more home remedies for their children. Honey was the most commonly utilized remedy for pneumonia [82.4%], followed by green tea [44.7%] and Vicks massage [43.2%]
CONCLUSIONS: The study concluded with the recommendations that IMNCI community component may be strengthened and better education to the care takers should be given, especially to mothers to enable them to recognize signs of pneumonia in order to improve the case detection of pneumonia, its early referral and in reducing mortality due to pneumonia
ABSTRACT
Self medication is the practice of treating ailments with medicines which are available without prescription. There is a lot of public and professional concern about the irrational use of drugs. To assess self medication practices among residents of urban slum areas of Taluka Qasimabad, District Hyderabad and to determine the underlying factors for it. A community based descriptive cross sectional study. This study was carried out among residents of peri-urban areas of Taluka Qasimabad, District Hyderabad from 15[th] October 2012 to 15[th] December 2012. Study tools, sample size and sampling technique: Data was collected through questionnaire based interviews from responders. Three hundred and eighty five responders were selected by convenience sampling. The prevalence of self medication was calculated in percentage. The qualitative and quantitative variables were analyzed in SPSS version 16 by applying various tests of significance. Total three hundred and eighty five respondents participated in the study; among them 207 were practicing self medication. 57% of the subjects were in age group 18-30 years [p=0.04]. There was male preponderance [90.3%] showing significant association with self medication practice [p=0.01]. Easy availability of medicines was the main reason for self practice [62.8%]; various analgesics were the most commonly used drugs [58.5%]. Self medication is the common practice among peri-urban residents; availability of low cost drugs is one of the most important determinants for this practice
ABSTRACT
The occupational dust leads to various respiratory diseases. It is a major health problem among factory workers and is under reported in everyday scene of medical practice. To assess the frequency of occupation related lung diseases among study population. To seek association of socio-demographic characteristics with occurrence of lung diseases among study population. Descriptive cross sectional study. This study was conducted in the Zeal Pak Cement factory, site area, Hyderabad for a period of one year. Data was collected by filling a questionnaire; subjects were selected by convenience sampling. Frequencies were computed, chi-square test was applied to see any statistical analysis of various categorical variables. Among 100 subjects examined, the frequency of respiratory diseases was found among 83% workers. 70% subjects belonged to labour class who were closely exposed to occupational dusts. 58% of the subjects were earning < rs:4000 /month; however no association of socio-economic status was seen with occurrence of respiratory diseases [p=0.06]. 63% workers belonged to age group 31-40 years. Chronic bronchitis was the most commonly presenting respiratory disease i.e. 37%, while cor pulmonale reported in 4% of the workers. Silicosis along with tuberculosis was reported among workers of age group 40-50 [p=0.01]. The high frequency of occupation dust related respiratory diseases warrants further research in order to design preventive strategies against them