Sheikh Zayed Medical College Hospital

Dera Ghazi Khan, Pakistan

Sheikh Zayed Medical College Hospital

Dera Ghazi Khan, Pakistan
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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).


Malik M.A.,Nishter Hospital | Khurram Salam Sehgal Sh.,Sheikh Zayed Medical College Hospital | Siddiquei M.A.,Bv 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.


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.


Hanif M.M.,Sheikh Zayed Medical College Hospital | Akram K.,Sheikh Zayed Medical College Hospital | Mustafa G.,Sheikh Zayed Medical College Hospital
Journal of the College of Physicians and Surgeons Pakistan | Year: 2016

Objective: To compare intralesional versus oral chloroquine in cutaneous leishmaniasis and determine the cure rate, duration of treatment, and total dose of drug. Study Design: Randomized controlled study. Place and Duration of Study: Department of Dermatology, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, from November 2013 to June 2014. Methodology: Consecutive 86 patients of cutaneous leishmaniasis, with single to multiple lesions of various sizes were enrolled and divided randomly into group A and B for the purpose of intralesional and oral chloroquine administration, respectively to compare the effect of the two routes on duration of treatment and total dose of the drug. SPSS version 16 was used for data analysis after data entry into it. Quantitative variables like, duration, cost and total dose of treatment were calculated as mean and standard deviation and compared by using T-test. P-value of less than 0.05 was taken as significant. Results: Cure rate was 100% in both groups towards the end of treatment. Mean duration of treatment was 9.17 ±3 weeks in intralesional (A) group as against 11.37 ±3 weeks in oral (B) group (p = 0.0028). Mean total dose of the drug given to each patient in group A was 5.8 ±0.5 gm and in group B, it was 19.2 ±1.5 gm, which is significantly higher (p < 0.001). The total cost of treatment in group A was Rs. 90 ±8 and in group B it was Rs. 91 ±1 (p=0.446). Conclusion: Duration of treatment is significantly shorter and total dose is lesser with intralesional compared to oral chloroquine in treatment of cutaneous leishmaniasis.


Ali K.,Sheikh Zayed Medical College Hospital | Tayyaba F.,Bhahawal Victoria Hospital Bahawalpur | Tabassum H.M.,ShikhZayed Hospital Rahim Yar Khan
Pakistan Journal of Medical and Health Sciences | Year: 2016

Aim: To compare the efficacy of intra-lesionaltriamcenolone combined with 5-fluorouracil versus triamcenolone alone in the treatment of keloids and hypertrophic scars Methods: This randomized controlled trial was conducted at Department of Plastic Surgery & Burn Unit, Sheikh Zaid Hospital Rahim Yar Khan from May 2015 to November 2015. Total 62 patients with keloid or hypertrophic scar measuring >1 cm in size, either male or female having age 15-60 years were selected for the study. Results: The mean age of patients in group A was 31.71±8.13years and in group B was 32.01±7.87years. Out of 62 patients, 61.29% were females and 38.71% were males with male to female ratio of 1.58:1. Efficacy of Group A (intra-lesionaltriamcenolone combined with 5-fluorouracil) was 64.52% while in Group B (intra-lesionaltriamcenolone alone) was 29.03% with p-value = 0.005 which is statistically significant. Conclusion: This studyconcluded that intra-lesionaltriamcenolone combined with 5-fluorouracil is better and more efficacious than intra-lesionaltriamcenolone alone in the treatment of keloids and hypertrophic scars.


PubMed | Sheikh Zayed Medical College Hospital
Type: Journal Article | Journal: Pakistan journal of medical sciences | Year: 2017

To see the role of Vitamin D supplementation on physical status of patients suffering from Congestive Heart Failure (dilated cardiomyopathy).In this nonrandomized clinical trial, Forty three Patients with dilated cardiomyopathy who were not showing any significant improvements in physical performance on optimal treatment of heart failure were included. Vitamin D (200,000 IU) supplementation on weekly basis for a period of 12 weeks was added to heart failure treatment. And its effect was seen on 6 minutes walk distance and Pro-BNP levels. SPSS version 19 was used for data analysis. Dependent sample t-test was used to see the significant effect of vitamin D supplementation on pre- intervention vitamin D levels, 6MWD and Pro-BNP. Taking p-value <0.05 as significant.On clinical assessment most of the patients were in NYHA class II (65%), the percentages of NYHA Class I, III and IV was 19%, 9% and 7% respectively. The baseline mean vitamin D level of the study group was 16.593.54ng/ml and it raised to 31.973.64ng/ml after 12 weeks of supplementation with vitamin D, Vitamin D supplementation decreases the severity of HF as reflected by reduction in serum pro-BNP levels and significant increase in six minutes walk distance.


PubMed | Campus Police General Hospital and Sheikh Zayed Medical College & Hospital
Type: Journal Article | Journal: Pakistan journal of medical sciences | Year: 2017

To determine the effect of Vildagliptin in non-alcoholic, fatty liver disease patients with dyslipidemia.A randomized placebo controlled trial was conducted at outpatient clinic of Medical Unit-I of Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, in which fifty eight patients of NAFLD with dyslipidemia were divided in to two, case and control groups. The case group was given tablet Vildagliptin 50mg twice a day for twelve weeks and control group was given placebo in same way. Body weight, body mass index (BMI), lipid profile, liver enzymes and ultrasound finding of fatty liver were assayed before and after treatment.After 12 weeks treatment of vildagliptin there was significant improvement in following parameters. Body weight and BMI decreased significantly from 88 11 to79 12 kg (p0.036) and 304to 275 kg/mVildagliptin exhibited beneficial effects in non-alcoholic fatty liver disease, Non-diabetic patients with dyslipidemia.


PubMed | Sheikh Zayed Medical College Hospital
Type: Journal Article | Journal: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP | Year: 2016

To compare intralesional versus oral chloroquine in cutaneous leishmaniasis and determine the cure rate, duration of treatment, and total dose of drug.Randomized controlled study.Department of Dermatology, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan, from November 2013 to June 2014.Consecutive 86 patients of cutaneous leishmaniasis, with single to multiple lesions of various sizes were enrolled and divided randomly into group Aand B for the purpose of intralesional and oral chloroquine administration, respectively to compare the effect of the two routes on duration of treatment and total dose of the drug. SPSS version 16 was used for data analysis after data entry into it. Quantitative variables like, duration, cost and total dose of treatment were calculated as mean and standard deviation and compared by using T-test. P-value of less than 0.05 was taken as significant.Cure rate was 100% in both groups towards the end of treatment. Mean duration of treatment was 9.17 ±3 weeks in intralesional (A) group as against 11.37 ±3 weeks in oral (B) group (p = 0.0028). Mean total dose of the drug given to each patient in group Awas 5.8 ±0.5 gm and in group B, it was 19.2 ±1.5 gm, which is significantly higher (p < 0.001). The total cost of treatment in group Awas Rs. 90 ±8 and in group B it was Rs. 91 ±1 (p=0.446).Duration of treatment is significantly shorter and total dose is lesser with intralesional compared to oral chloroquine in treatment of cutaneous leishmaniasis.


PubMed | Sheikh Zayed Medical College & Hospital
Type: Journal Article | Journal: Pakistan journal of medical sciences | Year: 2016

To confirm that either Fibrinolytic therapy or open decortication which of the two is an effective First line treatment of pleural empyema.This prospective comparative study was conducted in the department of surgery Sheikh Zayed Medical College and Hospital, Rahim Yaar Khan. Seventy eight (78) patients were included in this study. There were two groups of patients; Group I (n=35) patients treated with fibrinolytic therapy, Group II (n=43) patients treated with open decortication. Data was entered and analyzed in SPSS v16. Students t-test was used for comparison of quantitative variables. Chi-square and Fishers Exact test were used for comparison of qualitative variables. P-value 0.05 was taken as significant difference.There was no significant difference in base baseline characteristics of patients of Group I and II. Incidence of comorbidities was also same between the groups. Most of the patients in Group I and II were in empyema stage III. Fluid cultures was positive in 33 (94.3%) patients in group I and 39 (90.7%) patients in group II. 30 (85.7%) was successfully treated using fibrinolytic therapy but this therapy failed in five (14.3%) patients, two of these patients expired within the hospital. There was only one (2.3%) treatment failure in open decortication Group that patient expired within the hospital (p-value 0.04). Overall duration of hospitalization was significantly high in fibrinolytic group, this was 17.6 1.95 days versus 12.09 2.18 days in open decortication group (p-value<0.0001). There was no significant difference regarding operative mortality within the two groups.Open Drainage is associated with better outcomes as compared to fibrinolytic therapy when used as a First line treatment of empyema.

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