Proportion of urinary symptoms in pre and post-menopausal women with uterovaginal prolapse

To compare the proportion of urinary symptoms in pre and postmenopausal women with Uterovaginal prolapse. Comparative Study. The study was carried out at the Department of Obstetrics and Gynecology Unit II, Dow University of Health Sciences and Civil Hospital Karachi from July 2005 to January 2006. Sixty consecutive patients [30 premenopausal and 30 postmenopausal] were included in the study through structured Proforma from the out patient ward or emergency. Informed consent was obtained. A detailed history and related examinations and investigations were done. These include urine DR, Urine C/S and Urodynamic like Cystometry in selected patients. In this study the difference of urinary symptoms in pre and postmenopausal women of Uterovaginal prolapse were statistically found insignificant like frequency of urine [26.7% versus 33.3%], Urgency [20% vs 26.7%], Nocturia [26.7% vs 13.3%], Dysuria [40% vs 26.7%], Voiding problems [40% vs 46.7%] Urge incontinence [40%vs 20%]. Stress incontinence was slightly higher in postmenopausal group than premenopausal [53.3%vs 46.7%] but this difference was found insignificant, while parity status between these two groups had significant difference like parity 2-5 was higher in pre-menopause group than postmenopause [66.7% vs 36.7%] and parity 6-10 was higher in postmenopause group than pre-menopause [63.3% vs 26.7%]. Significant difference in parity was found between pre and post-menopausal women with Uterovaginal prolapse but the difference of urinary symptoms in pre and postmenopausal group was found significant. Uterovaginal prolapse associated with different urinary symptoms especially incontinence and voiding problems. These urinary symptoms effect over quality of life of women. This warrants greater attention for Gynecological health needs in our country by safe family planning practices

role of fiberoptic bronchoscopy in the diagnosis of unsuspected pulmonary disease presenting with hemoptysis

To find out the usefulness of Bronchoscopy Tehcnique in the diagnosis of unsuspected pulmonary disease presenting with Hamoptysis. Case serious study. This study was carried out at the pulmonology Unit of Postgraduate Medical institute Lady Reading Hospital, Peshawar, Khyber Pakhtunkhwa from 15-04-2011 to 15-04-2012. Two hundred and fifty male smoker patients with age limit of 40-70 years presenting with hemoptysis having clinical suspension of unsuspected pulmonary disease and fulfilling the inclusion criteria underwent bronchoscopy. The bronchoscopic finding and demographic information were determined regarding their frequencies and percentage. Frequency distribution of pulmonary Tuberculosis 94.59% in age range 40-50 years and 5.4% in 51-60 years. bronchietasis 88.3% 50-60 years and 11.6% in 61-70 years. Chronic Bronchitis with respect to age range of 27.58% in the age range 40-50 years 72.43% in age 51-60 years. Branchoscopy Techniques is a very useful for the determination of unsuspected cases of pulmonary diseases

Significance of hypercholesterolemia in hypthyroid patients

Lipid and lipoprotein is influenced by thyroid hormone. Global distribution thyroid disease is very common in Indo- Pak. Hypercholesterolemia is common finding in hypothyroid patients. This study was conducted to know the prevalence of thyroid dysfunction and its relationship with dyslipidemia. Cross Sectional Study. The study was conducted at the Department of Pathology Jinnah Medical College Warsak Road Peshawar for the period from December 2012 to May 2013. 300 patients suspicious of thyroid element were included in study group. 100 healthy control subjects with no history of any thyroid and other chronic illness were included in control group, serum FT4, TSH and total cholesterol was estimated by Elisa and colorimetric method respectively and Results were analyzed by applying "student T test" and Chi-square". Out of 300 sera tested 78 [260] had thyroid dysfunction Hypothyroid patients serum showed significantly raised cholesterol level, however no significant association between total cholesterol and raised thyroxin level observed. Hypercholesterolemia was noted significantly in hypothyroid patients indicating need for monitoring the cholesterol level in thyroid dysfunction to avoid the risk of development of cardiovascular disease