RESUMO
Background: This study [Prevalence of Depression in Diabetics attending Diabetic Clinic, Jinnah Hospital] was conducted to find out frequency of Depression in Diabetics attending Diabetic Clinic, Jinnah Hospital
Objectives: To assess prevalence of depression in diabetics attending Diabetic Clinic, Jinnah Hospital
Study design: Cross-sectional study
Setting: Diabetic Clinic, Jinnah Hospital, Lahore Pakistan
Duration: 5 Months from 16-04-2016 to 20-09-2016
Results: The research showed that there was a prevalence of a state of mild depression among diabetics. There was no significant association of depression with gender and age of patients
Conclusion: From this study we concluded that there is a prevalence of depression among diabetics. Though the depression was of varying degree, on average there is a mild state of depression among diabetics. That being said, diabetics should be regularly screened for depression and do timely intervention, if needed
RESUMO
Objective: To review the results of surgical correction of partial atrioventricular septal defect and associated cardiac comorbidities
Methods: Retrospective case analysis of electronic database of department of paediatrics cardiac surgery, CPEIC, Multan was done. Forty consecutive patients operated for partial atrioventricular septal defect repair from September 2011 to October 2016 were included. Mean age was 14.67+/-7.96 years. 60% [24] patients were male. Regarding echocardiographic findings, pre-operatively 40% [n=16] had mild, 47.5% [19] had moderate and 12.5% [n=5] had severe mitral valve regurgitation. There were 25% [n=10] patients having moderate tricuspid valve regurgitation. Pulmonary hypertension was moderate in 57.5% [n=23] cases and severe in 7.5% [n=3] cases. Among other associated lesions 10% [n=4] patients had secundum ASD, pulmonary artery stenosis was seen in 5% [n=2] patients. Another 5.0% [n=2] patients had bilateral SVCS. While one patient had PDA and one patient had associated common atrium
Results: Post-operatively there were 19 cases [47.5%] having no mitral valve regurgitation while 18 [45%] patients showed mild and 7.5% [n=3] had moderate mitral valve regurgitation. Only one case had moderate tricuspid valve regurgitation post-operatively, while 22.5% [n=9] cases had mild tricuspid regurgitation. Complete heart block and left sided brain infarct developed in one case. There was no mortality, reoperation, residual atrial shunt or left ventricular outflow tract obstruction
Conclusion: Repair of partial AV canal carries good overall results with minimal mortality however earlier repair is suggested to reduce post- operative morbidity further
RESUMO
To report on six independent and isolated cases demonstrating thumb aplasia as an essentially limb-specific phenotype. The subjects were ascertained during Z01 1 -201 3 from six different geographic regions of Pakistan, and underwent detailed clinical and phenotypic examination. The affected arms of patients had complete absence of first digital rays, medial inclinations of second and fifth fingers, narrowing of palms, missing carpals, and shortening of zeugopod. All the subjects were presented with isolated and sporadic limb deficiencies, and five had no family history of limb or any other malformation. Parental consanguinity was denied in majority of the cases. We present detailed phenotypic manifestation of thumb apalsia in these subjects. Thumb aplasia markedly impairs the normal function of affected hand. Surgical procedures like pollicisation of the index finger should be employed to improve the quality of life of these subjects. There is so far no specific genetic factor known for isolated thumb aplasia, compromising an accurate genetic counseling. Collection of patients with similar phenotypic presentations could be useful in further molecular genetic investigations