ABSTRACT
Objective: To determine the frequency of Post Endoscopic Retrograde Cholangiopancreatography Pancreatitis [PEP] in patients who underwent prophylactic pancreatic duct stenting
Study Design: Descriptive case series
Place and Duration of Study: This descriptive case series was conducted at the department of Gastroenterology, Pak Emirates Military Hospital Rawalpindi, from Jul 2017 to Feb 2018
Material and Methods: One hundred and twenty consecutive patients were enrolled after they met inclusion and exclusion criteria. Endoscopic Retrograde Cholangiopancreatography Pancreatitis [ERCP] was performed by Olympus duodeno scope [TJF Q180V] by an endoscopist having at least 3 years experience of performingindependent ERCPs. An additional 4, 6, or 7cm long 5FrGeenen[registration sign] pancreatic plastic stent [Cook Medical] was placed in all cases where pancreatic duct was accidentally cannulated. Primary outcome variable was post ERCP pancreatitis. Data was recorded on a pre-designed proforma and analyzed by SPSS version 21.0
Results: Out of total 120 cases, PEP was found in 4 [3.3 percent] patients. All the 4 patients had mild pancreatitis
Conclusion: PEP is not an uncommon complication following ERCP. The rate of PEP appears to be lower with prophylactic pancreatic duct stenting
ABSTRACT
Objective: The objective of the study is to find out, the levels of thyroid hormones in serum of the patients having decompensate cirrhosis and to determine the frequency of signs and symptoms of thyroid dysfunctions in such patients. Study design: Prospective descriptive study. Setting: All medical wards of Civil Hospital and Ojha campus, Dow University of Health Sciences, Karachi, Pakistan. Period: May 2013 to January 2015
Methodology: 76 patients having decompensated liver cirrhosis with various presentations, which were fulfilling the inclusion and exclusion criteria and were admitted in medical wards during the study period, were included in this study. Detailed history and examination of each case was performed. Thyroid hormone levels were performed along with other relative laboratory investigations and the results were obtained
Results: Out of 76 patients 58 patients had low serum T3 levels, whereas 18 had normal T3 levels. 65 patients had normal T4 levels and 11 had low serum T4 levels. The TSH levels were found normal in 74 patients and two patients had raised TSH levels
Conclusion: It is concluded that T3 levels is low in cirrhotic patients but at the same time T4 and TSH levels remains normal in majority of cases and the patients remain euthyroid. As far as the clinical scenario is concern, no significance was found in the frequency of sign and symptoms of thyroid dysfunction. Most of the patients did not show signs and symptoms of hyper and hypothyroids
Subject(s)
Humans , Male , Middle Aged , Female , Adult , Aged , Thyroid Hormones/blood , Prospective StudiesABSTRACT
Objective: To determine the prevalence of health issues among hajj pilgrims and the factors associated with them
Method: An observational study conducted during hajj [Year 2011] using a questionnaire which was filled by pilgrims on their visit to the health clinics conducted by the Imamia Medics International
Results: During the period, pilgrims presented complaints related to the respiratory system 52.5% [n=394] followed by musculoskeletal system 29.6% [n=222], gastrointestinal system 15.5%[n=116], skin problems 5.9%[n=44], central nervous system 3.1%[n=23], cardiovascular system 2.9%[n=22], reproductive system 2.7%[n=20], urinary tract problems 2.3%[n=17] were dealt with. Out of 750, 17.9% [n=134] were diabetic and 26.4% [n=198] were hypertensive. Amongst the total, 24.8% [n=186] were vaccinated against hepatitis while 35.7% [n=268] were vaccinated against pneumonia. An astonishingly high percentage of the pilgrims had no prior immunization to both hepatitis and pneumonia
Conclusion: This data tries to emphasize awareness regarding the importance of vaccination and the potential problems which are faced by diabetic, hypertensive and older population which can help to improve the health condition of hajj pilgrims and can lessen the burden faced by concerned authorities
ABSTRACT
Neonatal tetanus is vaccine preventable infection and a cause of neonatal mortality in our country. TT- vaccination of women at child bearing age can safeguard women and reduce neonatal mortality. To assess the TT-2 coverage among women at reproductive age in Hyderabad urban and slum areas. To determine the socio-demographic risk factors influencing the TT-vaccination coverage. A community based cross sectional study. This study was conducted in Hyderabad city areas [Gari Khata, Noorani Basti], Latifabad Unit No: 5, 11, 12 and Qasimabad [Phase I, Sehrish Nagar, Nasim Nagar] from 15[th] June-15[th] August 2014. 220 women of child bearing age were approached through convenience sampling. Questionnaire based interviews and examining the vaccination cards were study tools. Data comprised of categorical and continuous variables and was analyzed by SPSS Version 16. Categorical variables were analyzed by chi-square test; mean and standard deviation was calculated for continuous variables and were analyzed by applying student t-test. The p-value
ABSTRACT
To determine the effectiveness of core stabilization and McKenzie's exercises on intensity of pain, disability and lumbo-pelvic stability was compared in non-specific chronic low back pain [CLBP] patients. Randomized controlled trial study. This study was conducted at Departments of Physical Therapy, Institute of Physical Medicine and Rehabilitation, Dow University of Health Sciences Karachi and Peoples University of Medical and Health Sciences, Nawabshah during 2012-13. Thirty patients with non-specific CLBP were enrolled through convenience sampling and were randomly assigned core stabilization and McKenzie exercises. Intensity of pain, disability, and lumbo-pelvic stability were evaluated by Visual Analouge Scale, The Oswestry disability Questionnaire, and Stibilizer Pressure Biofeedback Unit, respectively. Eighteen sessions were done for both groups. T-tests and ANCOVA test were used for statistical analysis [p<0.05]. Although the score of pain decreased in both groups [p<0.05], the decrease of intensity of pain was more than in Core Stabilization Exercises Group [p<0.05]. The score of disability questionnaire decreased in stabilization exercise group [p<0.05]. During Knee Lift Abdominal and Bent Knee Fall Out maneouvres, pressure of biofeedback unit did not significantly differ before and after interventions, in both groups [p>0.05]. The stabilization exercises can reduce pain and disability in nonspecific CLBP patients
ABSTRACT
Pancytopenia is a condition with decreased numbers of all cell lines. Aplastic anemia is a common cause although malarial infection causing lysis of RBCs may also partly mimic this condition. The infection may also damage the patient's bone marrow resulting in pancytopenia as well. We present the case of a post-partum female patient who reported with fever, body aches and shortness of breath one month after the delivery of her baby. All blood cell counts were decreased and peripheral blood smear showed malarial parasites. Anti-malarial treatment was initiated following which the fever subsided but, despite regular transfusions, the blood counts remained low. Bone marrow biopsy report revealed P. falciparum pigments along with hypocellularity characteristic of severe aplastic anemia. Consequently, bone marrow transplantation was advised as a therapeutic measure. This case report highlights the increased susceptibility of pregnant women to malaria in endemic areas and subsequent aplastic anemia.