RESUMO
Emphysematous cholecystitis (EC), uncommon but potentially fatal sequelae of acute cholecystitis mainly seen in old-aged patients with high mortality rate, caused by secondary infection of gall bladder with gas-forming enteric organisms. Herein, we report a case of emphysematous gangrenous cholecystitis with perforation and biliary peritonitis in a 76-years-old non-diabetic lady that was successfully managed by surgical intervention coupled with medical. The report of this case highlights the risk of missing this extremely rare but potentially fatal condition once the patient presents in late-stage with concurrent complications like perforation and peritonitis. Therefore, prompt diagnosis and early surgical intervention is imperative are imperative to avoid undesired outcomes.
RESUMO
Objective: To determine the association of family environment with childhood obesity
Methodology: This case control study was conducted in Public and Private schools of Lahore city and was analyzed in Department of Community Medicine, Allama Iqbal Medical College Lahore from November 2015 to May 2016.Students having age 8 to 10 years studying in grade 4 and 5 were selected for this study
Results: After compiling the results, it was noted that childhood obesity was associated with parental BMI, eating between regular meals, TV viewing >4hours/day and physical activity <20min/day
Conclusion: Results of this study revealed that childhood obesity is associated with risk factors of family environment [parental BMI, eating between regular meals, TV viewing >4hours/day and physical activity <20min/day]