Comparison of semont maneuver and vestibular sedative in benign paroxysmal positional vertigo [BPPB]

Objective: To see and compare the effectiveness of Semont maneuver and vestibular sedative in the management of patients diagnosed as Benign Paroxysmal Positional Vertigo

Study Design: A quasi experimental study

Place and duration: ENT Department PAF Hospital Mushaf Base Sargodha from 1[st] February 2012 till 30[th] July 2012

Methodology: A total of sixty patients of Benign Paroxysmal Positional Vertigo having age range of 30 to 75 years, were divided in two equal groups by random sampling. All patients were diagnosed by detail history and examination. Group A patients were treated by vestibular sedatives and group B with Semont maneuver and results were compared over the criteria of freedom from vertigo on Dix Hallpike Test

Results: A total of sixty cases were included in the study. 30 cases were treated by Semont maneuver and in this group 83.33 %[n=25] cases showed complete recovery after 30 days. The other 30 cases were managed by vestibular sedative and 26.66 % [n=8] cases were free from symptoms after 30 days in this group. All the patients were followed on day 3, 7 and 30 and were asked about the subjective improvement of vertigo, followed by confirmation with the objective test that is Dix Hallpike

Conclusion: Semont maneuver has more efficacy as compared to vestibular sedative in the management of BPPV

Vitamin A status in measles patients of district abbottabad

Objective: This study was carried out to assess the vitamin A supplementation status inpediatric measles patients

Study DesignrAnalytical study

Place andDuration of Study: This study was conducted at Pediatric Department of Women and Children Hospital, Abboatabd from January 2014 to December 2014

Materials and Methods: Detailed history and physical examination of 200 patients was recorded in a pro forma

Vitamin A supplementation and vaccination status were recorded along with demographic profile

Results: 103 [51.5%] were males and 97 [48.5%] were females- Majority of these patients [55.5%] were residents of rural area of Abbottabad district. 77% of the children were low weight. The mean age of the children was 37 +/- 9 months. Out of 173 patients who were eligible for vaccination, only 34.5 % of the patients were vaccinated for measles, and 47% of the eligible patients did not receive measles booster dose. 79% of the patients did not receive vitamin A supplementation in the last 6 months. Conjunctivitis [86%] and oral ulcers [73.5%] were the most common complications

Other complications included pneumonia [25.5%], diarrhea [19.5%], congestive cardiac failure [1%], epistaxis [1%], otitis media [0.5]

Conclusion: Majority of the patients did not receive vitamin A supplementation. The most common complication were conjunctivitis and oral ulcers, which can be associated with vitamin A deficiency during measles

Anemia in children of hazara division Anemia in Children

Objectives: To determine the frequency of anemia in children of Hazara Division

Study Design: Cross-sectional / observational study

Place and Duration of Study: This study was carried out at thePediatric Outpatient of Ayub Teaching Hospital Abbottabad from 1[st] January,2015 to 30[th]June,2015

Materials and Methods: Three hundred and seventy five children were selected randomly using random number tables from Hazara Division coming to Pediatric Outpatient of Ayub Teaching Hospital Abbottabad. Their age range was 0-18 years.Their diagnoses were ascertained, recorded and analysed

Results: Majority of the patients were male and were in the age-range of 2-10 years.Anemia was present in 3.9999 % of children.Iron deficiency anemia was the most common cause of anemia in these children

Conclusions: Majority of the children were male and were in the age range of 2-10 years.Anemia was present in 3.9999% of these children and iron deficiency was the most common cause of it

Outcome and cost comparison of laparoscopic transabdominal preperitoneal hernia repair versus open Lichtenstein technique

To compare the outcome and cost of laparoscopic inguinal hernia repair versus open repair. This was a randomized controlled study conducted on 100 patients from January 2011 till April 2012, in Surgical 'A' unit, Lady Reading Hospital, Peshawar. A total of 100 patients were randomized and were allocated into two groups i.e. open repair [Lichenstein procedure] and laparoscopic repair [Trans-abdominal pre-peritoneal mesh repair, TAPP] group using lottery method. Type of hernia, type of procedure done, total cost of surgery, duration of hospital stay, post operative pain rating by visual analogue score and post operative complications were assessed. Significant difference was observed between the two groups in relation to the perioperative complications. Mean operative time was short in open repair 55.40 +/- 10.73 minutes compared to TAPP 87.10 +/- 11.60 minutes but the mean length of hospital stay was less in TAPP [2.78 +/- 0.64 days] compared to open [3.5 +/- 0.67 days]. Regarding postoperative complication urinary retention was 22% and 10%, wound discharge was 20% and 08%, recurrence was observed in 12% and 06% in open repair and TAPP respectively. The difference was statistically insignificant. Laparoscopic repair showed significantly less post operative surgical pain compared to open repair. This trial showed no statistical difference between the open and laparoscopic procedures regarding post operative complications but laparoscopic repair showed statistically lower post surgical operative pain and hospital stay with greater operative time and cost. This study supports the use of the laparoscopic repair techniques for the treatment of inguinal hernia

Benign paroxysmal positional vertigo; efficacy of vestibular sedative versus Epley manoeuvre

To compare the efficacy of Vestibular sedative versus Epley manoeuvre in the management of benign paroxysmal positional vertigo. Interventional Quasi experimental study. This study was conducted in ENT OPD Combined Military Hospital Rawalpindi from 1st January 2008 till 30th June 2008. In this study out of 30 cases managed by vestibular sedative, 10 cases showed complete relief of symptoms after 01 month. Out of 30 cases managed by Epley manoeuvre, 28 cases showed complete recovery after 01 month. The results were compared by Chi square test, as the data was mainly qualitative in nature. The results of both the groups were compared on day 3, day 7 and day 30, which revealed that Epley manoeuvre, is more effective than vestibular sedative in treatment of BPPV. Epley manoeuvre is more effective than vestibular sedative for treating the patients of benign paroxysmal positional vertigo