RESUMO
To determine the mode of presentation of dissociative disorders presenting at Armed Forces Institute of Mental Health. Cross sectional study. The study was conducted at the Armed Forces Institute of Mental Health [AFIMH] Rawalpindi from 1[st] June 2013 to 31[st] August 2013. Fifty four patients of dissociative disorders were included in the study by using consecutive non-probability sampling. Category of presentation of dissociative disorders in the participants was determined by the primary mode of presentation and by using international classification of diseases [ICD]-10 diagnostic guidelines. The commonest type of presentation of dissociative disorders was mutism [40.7%], possession state [18.5%], pseudo fits [12.9%] followed by paraparesis [9.2%]. Predominantly the patients presented with mutism [dissociative motor disorder]
RESUMO
The objective of this study was to evaluate the safety of single stage resection and anastosis for acute left sided colonic obstruction due to sigmoid volvulus. This study was conducted in the department of surgery Hayatabad Medical Complex and Lady Reading Hospital Peshawar Pakistan from January 2002 to Jun 2007. It included cases who presented with sigmoid vulvolus in emergency. All cases were operated by surgeons at senior registrar or above level. Resection of the sigmoid colon followed by primary anastomosis after simple manual decompression with out ontable colonic lavage or diverting stoma were carried out. Total number of patients who underwent bowel decompression, resection and primary anastosis was 80. Superficial wound infections occurred in 20% [n=16]. No death or clinical anastomotic failure was recorded. Hospital stay was 11.4 + 4.3[SD] days. Resection of acute sigmoid volvolus and primary anastomosis after decompression alone can be carried out safely in reasonably fit patients