Pattern of lipid profile in type-2 diabetes mellitus patients

To know the pattern of lipid profile in obese and non-obese type-2 diabetes mellitus patients as compared to a control group One hundred [50 obese and 50 non-obese] diagnosed patients having diabetes mellitus minimum for the last three years were randomly selected from the outdoor patient department of medicine, Khyber teaching hospital, Peshawar during the year 2002. Obesity was taken as body mass index of more than 25 kg/m[2]. One hundred healthy individuals were selected from among the staff of Khyber medical college, Khyber College of Dentistry, and Khyber Teaching Hospital, Peshawar to constitute the control group. They had no history of any chronic illness. Subjects suffering from cardiovascular diseases, kidney disorder and hepatic disorders were excluded from the study. Fasting serum triglyceride, total cholesterol, HDL-C, LDL-C, and VLDL-C were determined by enzymatic calorimetric method and calculated by using Friedewald [1972] formula. The levels of serum triglycerides [170.15 +/- 10.3 mg/dl vs 159.01 +/- 10.11mg/dl], total cholesterol, [191.61 +/- 18.61 mg/dl vs 182.61 +/- 17.6 mg/dl], LDL-C [113.12 +/- 11.01mg/dl vs 102.69 +/- 11.17 mg/dl] and VLDL-C [34.03 +/- 2.03 mg/dl vs. 31.80 +/- 0.2mg/dl] were higher in diabetic patients as compared to the control group, while HDL-C [43.39 +/- 6.41 mg/dl vs. 57.69 +/- 7.06 mg/dl] was lower as compared to the control group. Dyslipidemia is a significant finding in type-2 diabetes mellitus patients

Ear nose and throat injuries in children

This study was carried out to determine types and mechanisms of injuries encountered in Ear, Nose and Throat [ENT] regions of children at two localities of NWFP province of Pakistan. This study was carried out at ENT departments of DHQ Hospital, Swab] and Khyber Teaching Hospital, Peshawar, Pakistan from June 2001 to June 2003. Children up to age 15 years presenting in emergency with ENT injuries or reporting at OPDs were included in the study. 160 children reported with injuries to ENT in this 2 years period. Most of the injuries were in the nasal region [50%] and nasal bone fracture was the commonest [26%]. Fall and trauma during playing were the mode of injuries. In children of less than 5 years, the commonest cause of injury was pointed objects in the mouth while in children between 5-10 years the cause was fall. In children of 10-15 years of age the common causes of injury were road traffic accidents [27%] and fall [23%]. It is concluded that injuries of ENT in children are different than in adults. The mechanism of these injuries is also different

Actinomycosis in neck glands

A middle aged women presented with right submandibular swelling, fever off and on and anemia. Excisional biopsy of the gland showed Actinomycosis. It is a rare disease in the neck. Patient was treated with high doses of parenteral pencillins followed by three months course of oral Doxycyclines. The patient was followed upto six months and she was symptoms free. In this case report the disease is elaborated and literature is reviewed