To compare sleep quality among basic sciences and clinical post graduates trainees working at Tertiary care teaching hospitals and allied college

Objective: Evaluation of single preoperative dose of pregabalin in terms of postoperative pain after laparoscopic cholecystectomy

Study Design: Randomized controlled trial [RCT]

Place and Duration of Study: Study was conducted in Surgical Department of Military Hospital Rawalpindi over a period of one year fromJan 2013 to Dec 2013

Material and Methods: One hundred patients [50 in each group] were included in this study. They were divided into two groups. Group-A was given pregabalin and group-B was given placeboafter laparoscopic cholecystectomy

Results: Mean age was 38.2 +/- 11.0 years in group A and 36.9 +/- 11.7 years in group B. Regarding distribution of gender, 14 patients [28.0 Percent] in group-A and 17 patients [34.0 Percent] in group-B were males while 36 patients [72.0 Percent] in group-A and 33 patients [66.0 Percent] in group-B were females. Mean visual analogue score at 24 hours was 4.98 +/- 1.87 and 6.58 +/- 2.03 in group-A and B, respectively. The difference between two group was statistically significant [p<0.001]. Analgesia was required in 17 patients [34.0 Percent] in group-A and 37 patients of group-B

Conclusion: A single preoperative oral dose of pregabalin 150 mg was found very effective method for reducing postoperative pain in patients undergoing laparoscopic cholecystectomy

Association between bone mineral density and low backache in postmenopausal women

Objective: To determine association between bone mineral density [BMD] and low backache in post menopausal women in general population of Lahore. Study Design: Descriptive study. Place and Duration of Study: Gynaecological outpatint department of Punjab Rangers Hospital Lahore during the period, from Feb 2015 to Feb 2016

Material and Methods: Screening for association between BMD and low backache in 481 post menopausal women was carried out. Low back pain was considered clinically relevant if the patient complained of moderate to severe pain, or if the patient needed any medical treatment. Their BMD was measured. The measurement site for BMD was the calcaneus of patient. The diagnosis was based on T score. Data was analyzed

Result: Osteoporosis was found in 303 [88.3%] of 50-60 years age group and 40 [11.7%] of 61-plus years age group

Conclusion: Bone mineral density was significantly lower in postmenopausal women and there was a strong association between low back ache and decreased BMD value

Frequency of syphilis among antenatal clinic attendee in combined military hospital Abbottabad

Frequency of syphilis among pregnant women attending Combined Military Hospital Abbottabad Descriptive study. A screening for syphilis of 500 married pregnant women presenting to antenatal clinics was carried out using the qualitative Rapid Plasma Regent [RPR] test/ Venereal Disease Research Laboratory [VDRL] test. The Treponema Palladium Haem-Agglutination Assay [TPHA] test was used as confirmatory test for all Venereal Disease Research Laboratory [VDRL] test positive cases. A total of 8 women [1.6%] were positive for Venereal Disease Research Laboratory [VDRL] test. Out of these 4 [0.8%] were positive for Treponema Palladium Haem-Agglutination Assay [TPHA] test. All of these cases have bad obstetrical history. The sero-positivity of Venereal Disease Research Laboratory [VDRL] test is [1.6%], considered high among pregnant women reporting in obstetrics clinics of Combined Military Hospital Abbottabad. Similarly sero-positivity of Treponema Palladium Haem-Agglutination Assay [TPHA] test is [0.8%] considered high among the Venereal Disease Research Laboratory [VDRL] test population. Therefore Screening of syphilis in pregnancy especially in patients having bad obstetrical history [BOH] should be incorporated into the study

Prevalence of Chlamydia trachomatis among asymptomatic women

Chlamydia trachomatis is a ubiquitous pathogen worldwide and causes ocular, urogenital, and respiratory infections in humans. C. trachomatis infection of lower genital tract is one of the most prevalent sexually transmitted diseases [STDs] in different parts of the world. Their treatment, follow-up, and hopefulness for future is very important. Objectives of this study were to see the prevalence of Chlamydia trachomatis infection among women of child bearing age and to determine the incidence of Chlamydia infection in neonates of women infected with Chlamydia. This observational study was carried out in Department of Obstetrics and Gynaecology, CMH Abbottabad, and Department of Ophthalmology, Women Medical College Abbottabad from January 2012 to June 2012. Urine samples were collected from 200 women aged 20-39 years attending Obs/Gyn Department of CMH Abbottabad. After delivery, babies who were born to mothers with infection of their genital tracts were examined with a 2.5×binocular loupe within a week of birth to rule out eye infection [Chlamydia Ophthalmic neonatorum]. The overall prevalence of Chlamydia trachomatis was 4% in 200 eligible patients. The overall incidence of Chlamydia trachomatis in neonates was 1.66%. A significant proportion of women resident of Abbottabad District expressed evidence of exposure to Chlamydia trachomatis and significant number of neonate eyes were infected with the pathogen

Efficacy of intramyometrial prostaglandin in the management of primary postpartum hemorrhage due to uterine atony in the multipara after failure on convential therapy

To determine the success rate of postgardin [PG] F[2] alpha in a primary post partum Hemorrhage [PPH] due to uterine along in multipara. Quasi-experimental study. Department of Obstetrics and Gynecology in PNS Shifa Karachi Pakistan, from 1st June 2004 to 30th May 2005. During this one year 126 cases of multipara had primary post partum hemorrhage. Inclusion criteria was multipara who developed PPH due to uterine atony and who did not respond to any other non surgical treatment modalities. Medical diseases were not considered in exclusion criteria. Primary gravida and those with secondary PPH were excluded. Out of these 26 patients had not responded by conventional methods. 250 micro g of PG F[2] alpha was administered intra-myonemetrially. Syntocinon drip was stopped before and ergometrine was not given along this. The patients without uterine atony were managed according to the cause. In this study 26[100%] received PGF[2] alpha out of which 22 [84.6%] patients responded successfully. Two patients required second dose. It was repeated at 15-90 minute interval maximum three doses were tried. The four patients [15.38%] who failed to response, two patients had chorioamionitis, one patient had placenta praevia. One patient had no uterine response possibly due to delayed use of drug and excessive blood loss. PGF[2] alpha is a safe drug which can reduce the rate of surgical procedures in cases uterine atony