RESUMEN
Objective: To evaluate utility of gray scale abdominal ultrasound and liver function tests in the prevalence of Nonalcoholic Fatty Liver Disease in non-working / dependent class of Faisalabad
Study Design: Screening study
Setting: Department of Radiology Allied Hospital, Faisalabad
Duration of Study: 6 months, from December 1 2012 to July 2013
Sample Size: 300. Study Participants -Demographics
Material and Methods: Patients, who denied regular alcohol drinking, were included in the study. A pre-designed study pro forma was filled with relevant parameters i.e. body mass index [BMI], ultrasound, and LFT, s, WHR, lipid profile, clinical assessments were carried out in all cases along with real-time gray scale abdominal ultrasonography as established diagnostic tool. We compared the results of LFT, s and hepatic ultrasound of suspected and non-suspected and are statistically analyzed by SPSS 12
Results: Out of three hundred patients, 200 [67%] female and 100 [33%] were male suspected. Mean age of the patients was 38.93 +/- 8.57 years. The prevalence of fatty liver in males younger than 35 years old was significantly higher [71.7%] where as it markedly increased in females younger than 48 years [65.25%]. Multiple factors analysis reveals that the prevalence of fatty liver was positively correlated to several risk factors, including female, age [>50yr], hyperlipidemia, impaired glucose tolerance/diabetes mellitus, hypertension and overweight/obesity. Fifty one [54%] patients with symptoms like obesiy, fatigue, generalized, weakness, and pain RUQ had fatty liver where as 23.2% had raised Liver enzymes, 20.0% with cholelithiasis and 16.92% with D.M
Conclusions: Routine hepatic ultrasonography and LFT in every suspected patient with symptoms of fatigue, generalized weakness, and pain in RUQ, is able to detect NAFLD as it is cheap and easily available facility in our country
RESUMEN
To study the risk factors of cerebral infarction in stroke patients. It is a descriptive hospital based study conducted at the Department of Medicine, Naseer Teaching Hospital, Peshawar from January 2005 to December 2005. One hundred patients of stroke with cerebral infarction confirmed on C.T. scan brain and more than twenty years of age were included. Risk factors for cerebral infarction were defined in terms of hypertension, diabetes mellitus, ischemic heart disease, smoking, dyslipidaemia, tias [transient ischemic attacks], carotid artery stenosis and family history of stroke. Data of 100 cases with cerebral infarction was recorded. Most of the patients had more than one risk factors for cerebral infarction. hypertension was commonest risk factor [55%], smoking [30%], ischemic heart disease [34%], diabetes mellitus] [26%], hyperlipedaemia [30%], atrial fibrillation [25%], carotid artery stenosis [27%], obesity [15%] and family history of stroke [12%]. 39% of patients had physical inactivity. Males were slightly predominant than females [51% vs 49%] and mean age was 50 years. females were rather older with mean age of 53 years. Cerebral infarction accounts for 80 to 85% of cases of stroke, which is a common neurological disorder. It increases a burden of disability and misery for patients and their families. Most of the risk factors of cerebral infarction are modifiable, its prevention should be the main cause of concern for the community