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Objective: To assess the association between Vasoactive Inotrope Score (VIS) and mortality in children with fluid-refractory septic shock. Methods: A retrospective chart review of 71 children (age 1 mo-16y) admitted with fluid-refractory septic shock in pediatric intensive care unit during a two year period was done. We divided our cohort into two groups viz Highvasoactive inotrope score (Group-H) and ‘Low-vasoactive inotrope score’ (Group-L) based on a cut-off value of 20. Results: 73% of the children were in Group-L. The mortality rate was 44% and 100% in Group L and Group H, respectively. Conclusion: High inotropic score in children with septic shock is associated with high mortality rate.
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The different types of weapons are used in Autopsy cases. To determine the weapon pattern in Autopsy cases. DHQ Hospital Rawalpindi. From January 2007 to December 2007. 170 cases were taken from the record of autopsy cases conducted at DHQ Hospital Rawalpindi. The 170 cases were taken from DHQ Hospital Rawalpindi. The weapons used is significant in Autopsy cases
Assuntos
Autopsia , Armas de Fogo , IncidênciaRESUMO
The Papilloma is one of the most common benign neoplasms of the Larynx. Laryngeal Papillomatosis is a disease of widespread papilloma formation that most commonly affects the larynx but may involve multiple areas of the aero-digestive tract. Typically, the onset of disease during childhood is associated with more aggressive disease. The etiology of this disease is the human papillomavirus [HPV] especially types 6 and 11. Diagnosis is often delayed because the symptoms mimic a variety of other diseases. This article reviews the statistical analysis about age, sex and site of the tumour and analyses the role of carbon dioxide laser as a modality of treatment, in a series of eleven patients with respiratory papillomatosis
Assuntos
Humanos , Masculino , Feminino , Neoplasias Laríngeas , Terapia a Laser , Hospitais MilitaresRESUMO
Fifty-six patients with colorectal carcinoma were managed during the period January 1995 to July 1996 at Hayat Shaheed Teaching Hospital, Peshawar. The male to female ratio was 1.24:1 with a mean age of 45.64 years. A Large number of patients [28.57%] were in the younger age group i.e. = 40 years. Majority [78.57%] were admitted electively and 21.43% through casualty with acute abdomen. The salient features were altered bowel habits [85.75%] loss of weight [83.93%], pain abdomen [83.93%], rectal bleeding [66.0%], tenesmus with constipation [58.92%] and a palpaple abdominal mass [33.92%]. On digital rectal examination 37.71% of the total colorectal growths were palpable. Proctosigmoidoscopy and colonoscopy picked up 65.57% and 17.8% of the tumours respectively. The tumour commonly involved the rectum [53.57%] and caecum [17.86%]. All the left sided tumours were of the annular ulceroconst rictive type while the right sided tumours were mostly fungating cauliflower like. Majority [94.43%] of the tumours were adenocarcinomas; 10% well differentiated, 60% moderately differentiated and 30% undifferentiated. Modified Dukes staging revealed tumours in stage A-3.57%, B-39.28%, C-30.0% and D-28.75%. Digital rectal rectal examination and proctosigmoidoscopy were relatively noninvasive and cost effective diagnostic techniques. Colorectal carcinoma is not rare in Pakistan and the incidence is high in the younger age group. There is a need to find out preventable aetiological factors in our own set up