Vesicovaginal fistula; depression among women

To screen the women suffering from vesico-vaginal fistulae for depression prior to surgery and different potential precipitating factors that may be involved. Descriptive cross-sectional study conducted on 22 women diagnosed with vesico-vaginal fistula admitted. 15 April 2014 to 15 October 2014. Welfare ward of Obstetrics and Gynaecology Unit at Isra University Hospital Hyderabad, Sindh-Pakistan, waiting for surgery were included in the study. Women with other causes of urinary incontinence, any co-morbidity and pregnant women were excluded. All data collected on a preformed proforma including the demographic data, profile of fistula and attitude of the husbands, family and neighbors towards them and Hamilton rating scale for depression [HAM-D] was used for screening the patients for depression, after the verbal consent of individuals and was analyzed on SPSS version 16.0. The mean age of 22 study participants was 36.36[ +/- 9.204] years ranging from 22-55.Majority 81.8% patients were suffering from different severity of depression. Many patients wished they were dead, felt life is not worth living, had suicidal ideas, and even one attempted to commit suicide. Majority of patient's husbands and family were sympathetic and encouraging but many were maltreated by their neighbors [p=0.04]. These patients are living with more than just a physical defect which needs to be considered as part of their treatment

Frequency and impact of premenstrual syndrome on quality of life

This study was conducted to determine the frequency and impact of premenstrual syndrome [PMS] on quality of life in women of reproductive age [15-49 years], and to determine if frequency estimates varied with menstrual flow. This cross-sectional study was carried out on 500 women of reproductive age currently menstruating, non-pregnant including women attending gynaecology outpatient department and female students of Isra University Hyderabad, from 1 -July-09 to 31 -December-09. Demographic data, and premenstrual Symptoms were recorded through interview and filling of predesigned questionnaire after taking verbal informed consent, and later analyzed on SPSS 11 for descriptive statistics and comparison of proportions using chi-squire test of Independence. This study shows very high frequency 81.25% of Premenstrual syndrome among women of reproductive age. The most frequent symptoms were reported Backache 446[89.2%] and fatigue in 446[89.2%] out of 500 women. Significant difference of weight gain, lower work or college performance, cramps, skin disorders, fatigue, mood swings, depression and tension were found in premenstrual and menstrual phases among study participants. Premenstrual syndrome is a common problem, have an adverse impact on a woman's quality of life and productivity

Road traffic accidents fatality and disability in D.I. Khan N.W.F.P

Road traffic accidents are important cause of death and disability in the world. More than 3000 people die on road everyday and 10 million are disabled or injured every year. The present study is an attempt to visualize the menace in D.I. Khan. The study is based upon the data of autopsies and medico legal cases examined at DHQ Hospital, D.I. Khan and Forensic Medicine Department of Gomal Medical College, D.I. Khan during year 2007 and 2008. The data was analysed for assessment of traffic accident victims. During period of study 341 cases of unnatural deaths were subjected to autopsy examination. Out of these 59 cases [22.7%] were of accidental deaths and all were male. A total of 225 injuries were recorded. The head and face sustained the highest number of injuries [42.6%] followed by the lower extremities [21.8%]. The total no. of Medico legal cases was 2153 and out of which 495 [23%] were injured due to accidents. Majority were males [99.4]. A total of 1208 injuries were found in various body areas. The maximum number of injuries [39.4%] was on head and face and next were lower extremities sustaining 28.4% injuries. The situation is alarming one and it requires immediate measures to be taken for ensuring safe traveling. Accidental death and disability can be minimized by improving roads condition, making separate pathways for cyclists and motor cyclists and adopting precautionary measures during driving