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Rahim Yar Khan, Pakistan

Ali Khan M.W.,Sheikh Zayed Medical College Hospital
Pakistan Journal of Medical and Health Sciences | Year: 2015

Background: Stroke is the 2nd most common cause of death worldwide and the third most common cause of death in the developed world. Among the stroke subtypes, ischemic stroke is more common. Aim: to determine the neurologic impairment after anterior circulation acute ischemic stroke at the time of admission and to determine the functional outcome on 7th day. Methods: This descriptive cross sectional study was conducted in Department of Neurology, Sheikh Zayed Medical College, Rahim Yar Khan over a period of twenty months. Two hundred sixty patients of both sexes with acute ischemic stroke and fulfilling the selection criteria were included. Various known risk factors were noted. NIHSS score was measured at the time of admission and on the seventh day Barthel Index was calculated for functional recovery. Results: Of the 260 patients enrolled in the study, 163(62.7%) were males and 97 (37.3%) were females, with age ranging from 20 years to 80 years and a mean age of 58.13±10.16 years. Neurological impairment at presentation was assessed by NIHSS. The score ranged between 3-26. The functional outcome was evaluated on the 7th day using Barthel index (BI), which ranged from 0 to 80. NIHSS score was found to be a good predictor of functional outcome in pts with ischemic stroke. Conclusion: The NIHSS score is a good predictor of pt's recovery after stroke. Knowing the pt's neurological impairment & predicted outcome can guide physician regarding the prognosis and management plan.

Niaz A.,Sheikh Zayed Medical College Hospital
Journal of Ayub Medical College, Abbottabad : JAMC | Year: 2011

Long QT syndrome is considered a fatal disease because of its association with ventricular arrhythmias and sudden cardiac death. Objectives of study were to determine the prevalence of long QT syndrome and other heart diseases, in deaf-mute children. A Cross-sectional descriptive study was conducted at Cholistan special education centre and Cardiology department, Sheikh Zayed hospital Rahim Yar Khan, Pakistan in September 2006. A total of 104 congenitally deaf-mute children were assessed. Height, weight and blood pressure measured, 12-lead electrocardiogram done and QTc calculated using Bazette's formula. Children with prolonged QTc underwent 24-hour ambulatory ECG recording. All were auscultated following complete protocol. A child with murmur was further evaluated with colour Doppler echocardiography. Audiometry was performed on all the children and the result interpreted according to WHO recommendations. Diagnosis of LQTS was based on Revised Schwartz criteria. Out of 104 children, 62 were male with mean age 11.89 yrs. The average systolic and diastolic BP was 97/67 mmHg. Average height was 126 Cm. All children had moderate to severe bilateral sensorineural hearing loss (40-80 dB). One child had associated Patent Ductus Arteriosis. Fifteen had an innocent murmur. Prevalence of congenital heart disease was found to be 0.1/1000. Four children had QT interval more than 440 mSec, (range 0.46-0.47 mSec.). Both genders were equally affected. Three children had high probability of LQTS and one had intermediate probability. Screening of family of these 4 patients showed prolonged QT interval in the sibling of one patient. Our study highlights the significant prevalence of Jervell Lange-Nielsen Syndrome in Pakistani deaf-mute children, which may be associated to the high level of consanguinity in this region. Awareness of this syndrome among health care providers is needed as timely diagnosis and subsequent treatment may prevent fatal complications.

Rafique M.,Liaquat University of Medical & Health Sciences | Udaipurwala I.H.,Bahria University | Ehsan-ul-Haq,Sheikh Zayed Medical College Hospital
Journal of the Liaquat University of Medical and Health Sciences | Year: 2014

OBJECTIVE: This study was conducted with the objective to find out whether suction cleaning of the external auditory canal in cases of otomycosisis helpful or not. STUDY DESIGN: Prospective, randomized comparative study PLACE AND DURATION OF STUDY: This multi-center study conducted at the departments of ENT, head & neck surgery of Liaquat University Hospital, Hyderabad, Sheikh Zayed Hospital, Rahim Yar Khan and Zubaida Medical Centre, Karachi. The study was conducted from March 2013 to February 2014 for a period of one year. PATIENT AND METHODS: A total of 200 patients were included in this study. These patients were serially divided into two groups A and B. Both groups received topical antifungal solution of 1% clotrimazole, 3 to 4 drops three time per day..In group A at the time of first consultation suction cleaning of the fungal debris was also done while in group B only above mentioned treatment was given without suction cleaning of the external auditory canal. All these patients were followed up regularly till the complete resolution of the disease. RESULTS: The minimum time duration for group A was 5 days and for group B was 9 days. The maximum time duration for group A was 18 days while for group B was 23 days. The mean time duration for complete resolution in group A was 9.6 days while in group B was 15.2 days (p<0.05). CONCLUSION: Suction cleaning of the external auditory canal for removal of fungal debris is very helpful and it reduces the time duration for complete resolution. So it should be performed in every patient of otomycosis to remove fungal debris. © 2014, Liaquat University of Medical and Health Sciences. All rights reserved.

Malik M.A.,Nishter Hospital | Khurram Salam Sehgal Sh.,Sheikh Zayed Medical College Hospital | Siddiquei M.A.,B.V. Hospital
Pakistan Journal of Medical and Health Sciences | Year: 2016

Aim: To find out the frequency of stress hyperglycemia in patients of acute coronary syndrome and its association with in-hospital mortality. Methods: This study was conducted at Department of Cardiology Nishter Hospital Multan from March 2015 to August 2015. Total 100 patient of acute coronary syndrome either male or female with age from 40-70 years were selected. Serum glucose level at the time of admission and in-hospital mortality rate was recorded in pre-designed proforma. Results: Mean age of the patients was 59±8 years. Total 39(39%) patients were found with stress hyperglycemia at the time of admission and in-hospital mortality rate was 12(12%). Statistically significant (P = 0.056) association of in-hospital mortality with stress hyperglycemia was found Conclusion: Findings of this study revealed that marked number of patients of ACS found with stress hyperglycemia and in-hospital mortality was significantly associated with stress hyperglycemia.

Hassain S.,Quaid e Azam Medical College | Waheed F.,Quaid e Azam Medical College | Saqib M.A.,Sheikh Zayed Medical College Hospital
Pakistan Journal of Medical and Health Sciences | Year: 2016

Aim: To determine the association of family environment risk factors with childhood obesity. Method: It was a case control study (analytical) and was conducted in Public and Private schools of Bahawalpur City and was analyzed in Department of Community Medicine, Quaid-e-Azam Medical College, Bahawalpur. Students of age 8-10 years studying in grade 4 and 5 of private and public schools of Bahawalpur was included in the study. A predesigned and pretested questionnaire was used after thorough introduction and explanation of study. Questionnaire was designed to assess the different aspects of childhood obesity. It comprised of questions about demographic information which includes name, age, height, weight, gender, class and evaluation of dietary intake and parents BMI. Questions about the assessment of physical activity, hours spend in watching television, participation in sports activities and number of daily meals were also included. Results: My study showed that childhood obesity was associated with parental BMI, eating between regular meals, TV viewing >4hours/day and physical activity <20min/day. Conclusion: My study concluded that childhood obesity is associated with risk factors of family environment (parental BMI, eating between regular meals, TV viewing >4hours/day and physical activity <20min/day).

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