ABSTRACT
Post stroke depression develops as a complication after stroke and impedes the recovery process. Different factors responsible for the development of depression include severity of paralysis, low functional and socioeconomic status and duration of stroke. Our objective was to find out the frequency and responsible factors for PSD in patients presenting to Mayo Hospital Lahore. In a descriptive design 174 patients were studied in out door clinics of Mayo Hospital Lahore. Depression was diagnosed on the basis of DSM IV and severity of stroke was evaluated on the basis of Barthel Index. Results showed that 37.9% of patients had post stroke depression and majority of patients with PSD came with in first 3 months after stroke. We also found that there is a linear relationship [R2 = 0.844] between severity of stroke and PSD. Hence we concluded that PSD developed in almost one third of patients of stroke, is associated with duration and severity of stroke, developing more commonly with in first 3 months
Subject(s)
Humans , Male , Female , Cerebrovascular Disorders/complications , Depression/etiologyABSTRACT
Diabetic ketoacidosis is a known complication of diabetes mellitus. The annual incidence of diabetic ketoacidosis [DKA] among subjects with type 1 diabetes is between 1% and 5% in European and American series respectively. This incidence appears to have remained relatively constant over the last decade in western countries whereas 20-30% of cases occur in newly diagnosed patients. Mortality rate is reported less than 5% in experienced centres whereas internationally overall mortality is 1-10 percent. The objective of this study was to find out mortality rate in patients of diabetic ketoacidosis admitted to east medical ward of Mayo Hospital, Lahore. A descriptive retrospective study was conducted on patients admitted to East medical ward with the diagnosis of DKA. There were 44 patients included in this study. Regarding outcome of patients 84.1% of patients were discharged. The mortality was found to be 15.9% that is much higher as compared to other studies where it was around 5%
Subject(s)
Humans , Male , Female , Aspirin/administration & dosage , Thrombolytic Therapy , Streptokinase , Medical Audit , Electrocardiography , Stroke , Myocardial Ischemia , Mortality , Aspirin/adverse effectsABSTRACT
To find the correlation between Fracture Index and BMD T-score so that fracture index can be used as a predictive tool for fracture risk estimation in post menopausal females. Design: A cross-sectional study was conducted on a sample of 396 women age 50 years and above. BMD T-score measurements using ultrasound and Fracture Index calculations based on the risk factor assessment were performed. Setting: North Medical Ward, Unit 4 Et Out Patient Clinics, Mayo Hospital and Akram Medical complex, Lahore. Main outcome: Use of Fracture Index as a predictive tool for the estimation of fracture risk in post menopausal females. The study results showed that when Fracture Index increases BMD T-score decreases to osteoporotic range and correlation coefficient is -0.162. When Fracture Index increases, BMD T-score decreases therefore we can use Fracture Index as an assessment tool for predicting fracture risk in postmenopausal females