Bidi smoking is injurious to health: a prospective study

Objective: To assess the extent of bidi smoking injurious effects in patients attending the department of community dentistry at the Institute of Dentistry LUMHS, Jamshoro , Civil hospital Hyderabad jointly with department of NeuroSurgery in SIMS/Services Hospital Lahore

Methods: The study was mainly carried out in dept of community dentistry civil hospital Hyderabad and SIMS/Services Hospital Lahore. The side effects of bidi smoking were recorded in both urban and rural population using data analysis and Non probability convenience for analysis

Results: A total 300 patients age 25 to 50 years include urban and ruler population visited in civil hospital Hyderabad were surveyed out of 300 patients male were 72.3%a and female was 27.3% Graph 1 show percentage of gender distribution. Injurious effects of bidi smoking like oral cancers, lung cancers, brain cancers, myocardial infarction, atherosclerosis, COPD and Cardiac failure were most commonly seen in bidi consumers as compare to non-consumers

Conclusion: Bidi smoking is mostly used in people in rural population and males are seen more widely a consumers of bidi smoking as proved by this study so, why it is known as poor man cigarette. Health education programs on smoking cessation should be arrange in this area, use of tobacco products in indoor location should be properly banned. It can be concluded that bidi smoking is cause of oral cancer, and bronchogenic carcinoma etc. Bidi smoking is mostly used in people rural population and males are seen more widely a consumer of bidi smoking as proved by this study. High taxes on tobacco products should be implanted. Television media and radio stations can also participate to stop advertising tobacco products

Tuberculosis spondylitis: PIMS experience

From January 1991 to August 1991, 17 cases of suspected tuberculous spondylitis underwent surgery in PIMS. The diagnostic methods are evaluated and the difficulties encountered in diagnosis are emphasized. All the patients were skeletally mature. The mean duration of symptoms before admission to the hospital was eight months. Backache was the commonest symptom. Raised ESR was highly reliable while the tuberculin test was positive in only approximately half the cases. The sputum examination for tubercle bacilli was uniformly negative. Relavant plain x-rays of the spine were suggestive of the lesion in all the cases. Paravertebral cold abscess was found at surgery in a higher proportion than was actually suspected on radiological assessment. Histopathological diagnosis for tuberculosis was positive in approximately 60% of the cases. The commonest site of the lesion was 8th thoracic vertebra followed by T7

Perioperative antibiotic reduces the incidence of infection in clean laminectomy patients

During the years 1991-92, one hundred patients who were operated upon for lumbar disc disease or spinal stenosis were evaluated for the possible role of prophylactic antibiotics. The patients were randomly divided in three groups namely A, B and C. Group A was not administered any antibiotic during or after surgery. In Group B, each patient was injected 500 mg of AMIKIN [Amikacin] locally in the wound after closing the incision. Group C patients were administered 500 mg of AMIKIN [amikacin] intravenously after induction of anaesthesia at the time of incision. Patients suffering from diabetes, inflammatory disease or neoplasia were excluded from this study. Postoperative results were evaluated for wound sepsis. The overall incidence of wound sepsis was found to be 3% and all these cases belonged to group A [no antibiotic group]. Mild post operative pyrexia was least common among the patients in group B [local antibiotic group]. Staphylococcus aureus was the offending organism cultured from the septic wounds