RÉSUMÉ
OBJECTIVE: This study was designed to compare short term outcome of post operative pain in patients operated for haemorrhoidectomy alone and haemorrhoidectomy with internal sphincterotomy
METHODOLOGY: This comparative observational study conducted at Liaquat University Hospital Jamshoro during August 2012 to July 2014. One hundred and sixteen patients of 3rd or 4[th] degree hemorrhoids were enrolled in the study. Patients were divided into two comparable groups. Group A underwent open haemorrhoidectomy along with lateral sphincterotomy whereas group B was operated for open haemorrhoidectomy alone. Postoperative pain was analyzed by using visual analogue score at 24 hours, 48 hours and on 10th post operative day
RESULTS: Total 116 patients were included in the study. Fifty eight patients in each group
The mean age of the patients was 42+/- 10.2. Male were 77 [66.4%] and 39 [33.6%] were female. Male to female ration was 2:1. During follow-up periods, patient in group A experienced less postoperative pain as compared to group B [p value is
CONCLUSION: Lateral internal sphincterotomy combined with haemorrhoidectomy significantly reduces postoperative pain without increasing morbidity
RÉSUMÉ
Objective: To find out major determinants of anemia in pregnant women residing in the urban slums of Taluka Qasimabad, district Hyderabad. Study Design: Cross-sectional descriptive study. Place and Duration of Study: This study was conducted in urban slum areas of Taluka Qasimabad, District Hyderabad during six months of study period i.e. from 1" March 201 1 to 31" August 201 1. Patients and Methods: The total population residing in the study areas was twelve thousand two hundred and seven. During the study period of six months, two hundred and fifty pregnant women were enrolled for the study. Pregnant women during 2"d and 3d trimester of pregnancy were included in the study. The data was collected by conducting interviews, filling ofthe pre-tested, structured questionnaire and by assessing anemia by determining the hemoglobin level in the enrolled pregnant women. The questionnaire was a close-ended one, filled by the principle researcher herself. It comprised of demographic information about woman. Every woman's hemoglobin was determined by using Sahli's Hemoglobinometer. Anemia in pregnancy according to WHO classified into mild anemia hemoglobin level in the range of 10.0-10.9 g/dl, moderate anemia hemoglobin level in the range of 7-9.9 gldl and severe anemia hemoglobin level is <7 gldl. Results: The association of various factors [determinants] with anemia was analyzed by applying chi-squared test; the p-value of <0.05 was taken as the level of significance. Two hundred and thirty three pregnant women were anemic while only seventeen women [6.8%] were found non-anemic. Majority of the women i.e. 70% presented with moderate anemia [hemoglobin level 7.0-9.9Gm /dl] while severe anemia [hemoglobin level <7 Gmldl] was recorded in 5.2% pregnant women. There was strong statistically significant association seen between ptbity of pregnant women and the degreelseverity of anemia [p4.00]. There was strong association between socio-economic status and the severity of anemia [p=O.OO]. The family type was strongly associated with the severity of anemia [p=O.Ol]. Conclusion: Prevalence and severity of anemia in pregnant women residing in urban slum areas of Taluka Qasimabad, District Hyderabad is high. Current findings highlight the anemia in pregnancy as a priority area of concern
RÉSUMÉ
Background: Dengue fever and its complications have become a nightmare for common people in Asian countries including Pakistan. Besides environmental factors responsible for its transmission, there are many host factors too involved in its rapid spread
Objective: To assess risk factors for dengue fever among patients reporting at Liaquat University Hospital [LUH] Hyderabad. Study Design, Setting and Study duration: Descriptive cross sectional study was conducted at LUH, Hyderabad for six months i.e. from 15[th] May 2013 to 15[th] November 2013
Methods: 481 patients were registered through convenient sampling after informed verbal consent. Patients' demographic features, clinical presentations and laboratory reports were collected on a preformed proforma
Results: The reporting rate for dengue fever was 18.5% and the mean age of presentation was 28.5 +/- 3.5 years. Males were in majority [72.55%] 3 and the average days of admission were 4.5 days; low platelets count [< 50,000/mm[3]] was recorded in 72% of cases; however 11.64% patients presented with hemorrhagic tendency. Age was strongly associated with thrombocytopenia [p=0.04] and with occurrence of hemorrhage [p=0.03] in both genders; this association was more evident among males [p=0.01]. However among uncomplicated cases no association was evident between gender and length of stay in [p=0.35]
Conclusions: The alarmingly higher reporting rate of dengue fever necessitates contextual preventive interventions. As younger age and male gender are the major risk factors for this disease; therefore age-specific and gender-specific preventive strategies against this disease are recommended
RÉSUMÉ
BACKGROUND: A large number of children suffering from pneumonia fail to reach health facilities well in time because their mothers fail to recognize seriousness of their illness. Early recognition of symptoms of pneumonia by mothers and their participation in effective case management of pneumonia may reduce childhood mortality in our population
METHODOLOGY OBJECTIVES: To determine the mothers' perceptions regarding pneumonia in children and the home remedies used by them to treat pneumonia in children
STUDY DESIGN: A descriptive cross sectional study conducted on four hundred and eighty eight mothers taking care of their children of age less than three years. It was conducted among houses of Union Council Jhudo
RESULTS: Fast breathing and chest indrawing were most commonly reported symptoms for pneumonia [59.4%]. The study revealed statistically significant association of symptoms identification by mothers with higher educational status [p=0.04], living in joint families [p=0.05] and higher parity [p= 0.02]. Majority of the mothers [94.4%] were using two or more home remedies for their children. Honey was the most commonly utilized remedy for pneumonia [82.4%], followed by green tea [44.7%] and Vicks massage [43.2%]
CONCLUSIONS: The study concluded with the recommendations that IMNCI community component may be strengthened and better education to the care takers should be given, especially to mothers to enable them to recognize signs of pneumonia in order to improve the case detection of pneumonia, its early referral and in reducing mortality due to pneumonia