ABSTRACT
Objective: To determine the frequency of metabolic syndrome and its components in patients with carpal tunnel syndrome
Study Design: Case-series
Place and Duration of Study: Department of Neurology, Mayo Hospital, Lahore, from January to June 2012
Methodology: Seventy-five [64 females and 11 males] patients with clinically diagnosed and electrodiagnostically confirmed carpal tunnel syndrome were inducted. Their waist circumference, blood pressure, fasting blood glucose, fasting triglycerides and high density lipoprotein cholesterol levels were recorded. Patients were categorized having metabolic syndrome according to Adult Treatment Panel III criteria, if any 3 were present out of hypertension, elevated fasting triglycerides, reduced high density lipoprotein cholesterol, elevated fasting blood glucose, and elevated waist circumference
Results: Mean age of the patients was 42.04 +/- 9.31 years, mean waist circumference was 95.32 +/- 9.03 cm, mean systolic blood pressure was 134.13 +/- 13.72 mmHg, mean diastolic blood pressure was 89.13 +/- 8.83 mmHg, mean fasting blood glucose was 94.35 +/- 21.81 mg/dl, mean fasting triglycerides was 177.48 +/- 48.69 mg/dl, and mean high density lipoprotein cholesterol was 41.95 +/- 11.17 mg/dl. Metabolic syndrome was found in 54 [72%] patients including 9 [16.7%] males and 45 [83.3%] females. Out of 75 patients, 54 [72%] had elevated waist circumference, 52 [69.3%] had elevated blood pressure, 19 [25.3%] had elevated fasting blood glucose, 53 [70.6%] had elevated fasting triglycerides and 54 [72%] had reduced high density lipoprotein cholesterol. Highest frequency of metabolic syndrome was found in age range of 40 - 49 years in both genders
Conclusion: Metabolic syndrome is frequently found in the patients with carpal tunnel syndrome
ABSTRACT
To compare the maternal and neonatal outcome in multiparas and grand multiparas. Study. This prospective study was carried out in outpatient Department of Obstetrics and Gynaecology, Quaid-e-Azam Medical College, Bahawal Victoria Hospital, Bahawalpur from January 2009 to June 2009, A total of 380 deliveries were recorded in this study and divided into equal two groups A and B. The mean ages among the groups were not significantly different. Majority of the patients belong to the age groups of 31-35 years, With regards to gestational age, majority of the patients were found between 37-40 weeks of gestation in both groups [A and B]. We found 70.52% [n=134] with vaginal delivery in Group-B and 44.74% [n=85] in Group-A; abdominal delivery in 29.48% [n=56] in Group-B and 55.26% [n=105] in Group-A. Maternal morbidity regarding Anemia, APH, Stillbirth, PIH, Preterm delivery was analyzed and found a significant higher rate. Neonatal outcome with regards to Apgar score <6 at 1 minute, it was found present in 11.05% [n=21] in Group-A and 4.73% [n=9] in Group-B, while rest of patients i.e. 88.94% [n=169] in Group-A and 95.27% [n=181] in Group-B were found to have neonatal Apgar score of >6 at 1 minute. Grand multiparity is still a major obstetrics hazard in our set up with higher incidence of complications