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Jamshoro, Pakistan

Ali Memon M.,University of Sindh | Jaffery M.H.,LUMHS
Journal of the Liaquat University of Medical and Health Sciences | Year: 2015

OBJECTIVE: To determine the frequency of complications in Oral Submucus Fibrosis and to evaluate the major risk factors involved in OSF. STUDY TYPE: Observational Descriptive study. SETTING AND DURATION: Dr. Moula Bux Jaffery Memorial Hospital Badin, Sindh from January 2010 to September 2011. METHODOLOGY: Two hundred and eighty cases of OSF diagnosed on clinical base, detailed history and proper clinical examination of all the patients was conducted in ENT clinic and functional fibrosis grading system had applied in study, all the related information was documented on prescribed proforma. RESULTS: Majority of patients was related with more youthful age bunch with male prevalence. Most of the patients found 2nd and 3rd stage fibrosis. 99% patients had a history of taking Paan, CHHALIA and Gutka, 29% patients had developed recurrent mouth ulcers and 2% patient had developed neoplasia while 85% patients have history of recurrent throat infections. CONCLUSION: Major cause of OSF is use of Pan CHHALIA and Guttka. Young age group is more vulnerable. Recurrent throat infection is another burden over society. © 2015, Liaquat University of Medical and Health Sciences. All rights reserved. Source

Qadeer-Ul-Hassan Prof.,LUMHS
Medical Forum Monthly | Year: 2014

Objective: To find out frequency and clinical presentation of dry socket in Department of Oral and Maxillofacial Surgery Liaquat University of Medical & Health Sciences, Jamshoro. Study Design: Obseervational study. Place and Duration of Study: This study was carried out at Department of Oral & Maxillofacial Surgery, Liaquat University of Medical & Health Sciences, Jamshoro from Jan 2011 to June 2012. Materials and Methods: Age from 11 to 70 years with both gender groups was included in the study. They were observed for the presence of dry socket. Patients with previous history of two or more days of extraction, pam. sensitivity on gentle probing of the extraction socket and empty/ partially empty socket were included m the study. Data was analyzed using SPSS version-13. Results: Total 2300 extractions were included in study; dry socket was recorded in 66 (3.3%) routine dental extraction except 3rd molars and 598 (26%) surgical& non-surgical extraction of 3rd molar respectively. Majority of the patients belong to 3rd decade of life Conclusion: In oral Surgery practice dry socket is unavoidable, but oral surgeons must identify additional risk factors in patients with particular medical conditions and include this information as a part of the informed consent. Source

Khan A.H.,University of Sindh | Hayat A.S.,University of Sindh | Masood N.,LUMHS | Solangi N.M.,University of Sindh | Shaikh T.Z.,University of Sindh
Journal of the Liaquat University of Medical and Health Sciences | Year: 2010

OBJECTIVES: The aim of this study is to observe the clinical presentation and frequency of dengue as a cause of fever in our setup. METHODS: This retrospective study comprising of clinically suspected dengue infection, admitted to Liaquat University Hospital Hyderabad, during an epidemic from August 2006 to August 2007. Only adults with acute febrile illness were evaluated for clinical features of dengue fever, dengue hemorrhagic fever and dengue shock syndrome. RESULTS: Patients with acute febrile illness were evaluated during this study. Fifty (5%) patients presented with typical features of dengue fever. Age of the patients ranged between 13 and 70 years. All patients were males with mean age of 35 years. Only 20/50 (40%) were dengue proven while 30/50 (60%) were dengue suspected. Out of dengue proven, 18 patients had dengue fever and 2 had dengue hemorrhagic fever. Typical clinical features included chills and rigors in 16 (80%), myalgia in 14 (70%), vomiting in 12 (60%), headache in 10 (50%), rash in 5 (25%). Unusual clinical features were pharygitis in 7 (35%) and bleeding manifestations in 5% of patients. Laboratory investigations showed leucopenia (<4.0x109/L) in 80%, thrombocytopenia (<150x109/L) in 90%, and serum ALT was elevated (>40 U/L) in 40% cases. CONCLUSIONS: Fever associated with chills and rigors, bodyaches, bone pain, headache, myalgia, rash, low platelet count, decreased total leukocyte count, raised serum ALT, and hemorrhagic manifestations are satisfactory and important parameters to screen the cases of suspected dengue virus infection; however the diagnosis cannot be confirmed unless supported by molecular studies or dengue specific IgM. Source

Punjabi S.K.,LUMHS | Habib-ur-Rehman,Abbasi Shaheed Hospital | Ali Z.,Abbasi Shaheed Hospital | Ahmed S.,Abbasi Shaheed Hospital
Journal of the Pakistan Medical Association | Year: 2011

Objectives: To assess the causes and management of Zygomatic bone fractures at Abbasi Shaheed Hospital, Karachi. Methods: This study was carried out at Department of Oral & Maxillofacial surgery Abbasi Shaheed Hospital, Karachi. A total of 82 cases were studied. A detailed history was taken, clinical examination was performed and fractures were confirmed by radiography. Management of fractures was done by using different proposed modalities,suitable for every case. A number of factors, like age of patients, causes of trauma and gender were assessed. Results: The commonest cause of Zygomatic bone fracture was found to be road traffic accident (RTA) 50% (n=41), followed by assault 23.17% (n=19), fall 20.73% (n=17), sports injuries 3.65% (n=3), and others 2.43% (n=2) respectively. Right side (55%) was involved a little more than the left side (45%). Zygomatic bone fracture was more prevalent in age group between 21-30 years, while male to female ratio was 5.30:1. Remote reduction using Gillie's Temporal Approach with and without fixation using bone plates were the commonest management modalities used in this center. Conclusion: The commonest cause of Zygomatic bone fracture was found to be road traffic accident, with the right side fractures being more common. It reveals poor road traffic sense in road users, lack of road safety measures and legislation in our population. Source

Memon S.,University of Sindh | Goswami P.,LUMHS | Lata H.,Muhammad Medical College Mirpurkhas
Journal of the Liaquat University of Medical and Health Sciences | Year: 2015

OBJECTIVE: This descriptive study aimed to observe the anatomical including both and microscopic changes in diabetic placenta to increase our knowledge as very few studies are done on anatomy of placenta. INTRODUCTION: The placenta is a dynamic organ of unique function with short life-span. It is physiological site of exchange between maternal-fetal circulation. It is responsible for respiratory, nutritional, excretory, endocrine, and immunological functions. MATERIALS AND METHODS: Macroscopic and microscopic examination was carried out on total of 50 freshly delivered placentae from diabetic’s mothers. Variables used for macroscopic examination are weight, diameter, number of cotyledons. On histology degenerative changes, fibrinoid necrosis, vessel thrombosis and infarction were examined. RESULTS: Morphological examination of placentae of diabetic mothers showed larger, heavier and more cotyledons. Similarly microscopic examination revealed dilated blood vessels, necrotic and degenerative foci, thrombosis and infarction in placentae of diabetic mothers. CONCLUSION: An adequate knowledge of the placental changes can prove to be valuable in the understanding the complications to fetus caused by diabetes. This study shows significant changes in placentae on gross as well as on microscopy. Out of many abnormal changes infarction is single most important change. Infarction lead to fibrin deposition in villi and leading to avascularity hence uteroplacental insufficiency which is important factor for fetal development. © 2015, Liaquat University of Medical and Health Sciences. All rights reserved. Source

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