RESUMEN
Objective: To find out the association between iron deficiency anemia and febrile seizures in children
Study Design: Analytical: case-control study
Place and Duration of Study: The study was conducted at Paediatrics department, Pak Emirates Military Hospital Rawalpindi, from May 2013 till Oct 2013
Material and Methods: Two Hundred patients were selected through non probability consecutive sampling, one hundred in each group i.e. patients with febrile seizures and patients without febrile seizures. The blood sample of cases and controls were taken at the time of admission and was sent for assessment of hemoglobin [Hb], serum ferritin level, mean corpuscular hemoglobin concentration [MCHC] and mean corpuscular volume [MCV]. The samples were analyzed for iron deficiency anemia and compared in both groups [patients with febrile seizures and those without febrile seizures]
Results: In the febrile seizures group 58 [58 percent] were anemic with a hemoglobin level less than 10gm/dL and 59 [59 percent] had a low plasma ferritin of less than 10ng/dL. In the control group 39 [39 percent] were anemic with a hemoglobin level less than 10gm/dL and 26 [26 percent] had a plasma ferritin of less than 10ng/dL. The frequency of anemia with low MCV, MCHC and serum ferritin was more in the febrile seizure group 38 percent as compared to 20 percent in controls [p-value = 0.002]
Conclusion: The children with febrile seizures have lower hemoglobin, MCV, MCHC and serum ferritin level as compared to the control groups suggesting that iron deficiency anemia has a positive role in the pathogenesis of febrile seizures
RESUMEN
Objective: To assess the mean change in interpalpebral fissure height and marginal reflex distance after brow suspension with autogenous fascia lata sling in patients of ptosis
Methods: This was a Quasi experimental study conducted at Department of Ophthalmology, Mayo Hospital, King Edwards Medical University Lahore, from Jan 2013 to June 2016. Included were the patients who had unilateral or bilateral ptosis with poor levator function [< 5 mm]. Informed consent was obtained from all patients after explaining about the research project. Patients were admitted in ward and all of them underwent surgery by a single surgical team. The surgical procedure was performed in supine position under general anesthesia in children and uncooperative patients. Patients were followed at week 4, 8, 12 and 24 to observe vertical interpalpebral fissure height and marginal reflex distance
Results: The mean age of the patients was 9.03 +/- 5.26 years. The mean Inter palpebral fissure height [IPFH] was 4.40+/-0.91 mm and mean MRD was 0.50 +/- 1.00 mm before surgery while after surgery it was 7.41+/-0.76 mm and 3.10 +/- 1.50 mm respectively at 04 weeks. The mean IPFH and MRD at 24 weeks postoperatively were 8.43+/-0.98 mm and 3.60 + 1.50 mm respectively. The mean change in IPFH and MRD at 24th week, were 3.90 +/- 0.34 mm and 3.50 +/- 1.00 mm
Conclusion: Brow suspension with fascia lata sling is safe and effective technique for correction of ptosis with poor levator function