Frequency of impaired glucose tolerance and diabetes mellitus in subjects with fasting blood glucose below 6.1 mmol/L [110 mg/dL]

The diagnosis of diabetes mellitus by the available criteria is controversial and relies heavily on fasting glucose results. This cross-sectional study in 2010-2011 aimed to measure the frequency of impaired glucose tolerance and diabetes mellitus in 127 subjects having fasting blood glucose < 7.0 mmol/L and to measure the agreement between different standard diagnostic criteria. Subjects presenting to a laboratory for analysis of fasting blood glucose for excluding diabetes meilitus underwent a 2-hour 75 g oral glucose challenge. A total of 40.6% of subjects with fasting blood glucose from 5.6-6.0 mmol/L had abnormal glucose regulation on the basis of the gold standard glucose challenge. Agreement between American Diabetes Association and World Health Organization diagnostic criteria was only fair [kappa =: 0.32]. Abnormalities of glucose metabolism including impaired glucose

Profile of medicolegal cases at Jinnah hospital, Lahore

1] To physically equip accident / emergency department of Jinnah Hospital for the management of medico legal cases on scientific grounds 2] To Study the age group and the type of weapon involved 3] To create awareness amongst the social workers, law enforcement agencies and medical personnel about the management of such cases. 4] To suggest appropriate measures to reduce the incidence of these emergencies. Two hundred and fifteen cases of medicolegal nature were collected. These cases visited the Accident /Emergency Department of Jinnah Hospital Lahore during the first six months of the year 2000 [January to June]. A specialized proforma was designed to record the age, sex, and type of weapon inflicting injuries. Out of these 213 cases 182 [85.44%] were male and 31 [14.56%] were female. Majority of the patients were within the age groups of 11-30 year of age [62.91%]. 92 [43.19%] patients were injured because of the blunt weapon, 57 [26.76%] because of the firearms, 38 [17.85%] suffered injuries in road traffic accidents, 23 [10.80%] because of sharp edged weapons and 3[1.40%] patients because of the bums

Firearm injuries - a study of 110 cases

It is a perspective study of 110 cases of firearm injuries presenting at accident and emergency department Jinnah Hospital Lahore. The medicolegal services or provided by the department of forensic Medicine and Toxicology, Allama Iqbal Medical College, Lahore. Consecutive 110 cases of firearm injuries were recruited in the study presenting in the Accident and Emergency Department of Jinnah Hospital Lahore during period October 1998 to September 2000. Out of the total of 110 cases, 100 cases were males [91%]. And 10 were female [9%]. The age ranged from 0 to above 60 years. The maximum numbers 42 [38%] were found between 21 to 30 years. Rifled weapon was used in 96 cases [87.3%] and non rifled weapon [shot gun] in 14 [12.7%] near distance fire was in 23 [21%] and for distance fire in [79%]. Body parts involved were also analyzed i.e. head face neck, chest abdomen and limbs. The gravity of situation reemphasized and suggestions made to the relevant authorities for better, healthy and peaceful society

Radiology - bone trauma - qisas and diyat law

To assess the Role of Radiology in finalizing the medicolegal certification [living] with particular emphasis to bone trauma according to law of hurt in Pakistan. Department of Radiology, Mayo Hospital, Lahore 26-03-1995 to 8-09-1996 [26th of March 1995 to 8th of September 1996]. 168 patients of medicolegal nature refered for Radialogical assessment. The Protocol for identification of the cases was strictly observed. Request for Xrays was thoroughly scrutinized by the Radiologist on duty. Relevant Xrays were conducted observed and granted opinion. The information was collected from Police Record Medicolegal certificate, Xrays, opinion of Radiologist, treatment and operation notes. Specialized Performa was designed for this Purpose and variable were noted. Total number of cases were 168. A large percentage was of males 156 [92.85%]. Mean age in the case of males was about 32 years and in females 33 years. 131 [77.97%] of the cases were positi ve for radiological assessment [like shadows of metallic densities and fractures]. There were total 132 fractures of the various bones of the cases. Fractures due to blunt weapon were in 95 cases [71.96%] and due to fire arm in 37 [22.03%]. Maximum involved area was lower limbs 73 Fractures [55.4%] and minimum involvement was of lumbo sacral region 5 fractures [3.8%]. Types of fractures [with displacement, Comminuted and without displacement] were noted. Maximum number of fractures were with displacement 73 [55.4%] and minimum were comminuted 27 [24.45%]. Radiology is the most suited specialty for medicolegal certification. Its importance is enhanced after the implementation of Qisas and Diyat Law. Radiology center with qualified and trained staff in medicolegal work must be attached to each medicolegal center. Males are the victim in very large percentage of the cases and that to in productive age group