RELATIONSHIP BETWEEN BMI AND BLOOD PRESSURE AMONG STUDENTS OF 3RD YEAR AT INSTITUTE OF MEDICAL TECHNOLOGY (DUHS)

SUMMAYA SAEED . AUN ALI . RABEL KHAWAJA . IRFAN ALI SHAIKH . IRFANULLAH SHAH . MOHAMMAD WAJEEH MUSTAFA . MUNAZZA MUSTAFA

ABSTRACT | Full Text Pdf

Introduction: Hypertension, an illness that develops as a result of high blood pressure, is intensely related with body mass index (BMI). Obesity has been distinguished to be single best predictor and major controllable contributor of incidence of hypertension.

Objective: To evaluate relationship between BMI and Blood Pressure among students of 3rd year at (IMT) Institute of Medical Technology (DUHS)

Design: Cross sectional study.

Methodology: A total of 320 students, 163 males and 157 females participated in the study conducted between December 2011 and May 2012 at (IMT) DUHS. All students were divided into underweight, normal, over weight and obese category according to World Health Organization (WHO) BMI classification. Hypertension was determined from the measure of Blood pressure (BP). Comparison of blood pressure among different groups was made by ANOVA.

Results: Among students 10.6 % were overweight (BMI: 24.9 to 29.9) and 2.2 % were obese (BMI of >30) while rest had a normal BMI. Their mean age was calculated to be 21.4 years and height 1.68 meters. A consistent increase was seen in the prevalence of hypertension in: normal, over weight and obese category i.e. 3%, 47% and 85% respectively. Mean values of systolic BP (104.66, 136.47, 150 mmHg) and diastolic BP (69.93, 92.94, 100 mmHg) also increased with increasing BMI. The prevalence of cardiovascular symptoms was higher at BMI levels above 24.9 but did not increase consistently with increasing BMI.

Conclusion: The prevalence of high blood pressure was observed with increasing BMI among students.

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THARPARKAR: A FAMINE OF FACTS

JAVED JABBAR

Abstract | Full Text Pdf

REPORTS in the media during the past few days about a virtual famine in Tharparkar, about a sharp increase in deaths, especially of children due to malnutrition or negligence, and about desperate outward migration of residents have caused justified widespread concern and prompted governmental, judicial, civil and military responses. While conditions certainly deserve alleviation, the doom-like scenario misrepresents a substantial part of reality. First: severe adversity affects parts of the population and the region, not the entire area and all residents. Tharparkar is spread over 22,000 square kilometres with apopulation of about 1.5 million residing in 2,300 villages and urban settlements. Divided into six talukas Mithi, Islamkot, Chachro, Dihly, Diplo and Nagarparkar the area often receives varying levels of rainfall or none at all. Last year, Nagarparkar taluka received plentiful rain. Crops have been cultivated in over 336,000 acres and are adequate to sustain an average tehsil population of about 212,000. Agricultural productivity in places like Kasbo can be so high that, currently, after meeting local needs, onions from Tharparkar are being trucked all the way to Gujranwala, Punjab. No case of starvation or even of severe malnutrition has been reported in the whole taluka, and even in some others. There was scattered, uneven rainfall in the other five talukas. Several tens of thousands are definitely affected by farming water scarcity. But this is a recurrent, periodic feature of life. People residing in small villages in the rural

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INJURIES IN STUDENTS OF SCHOOLS

SYED ABDUL MAJID ALI . MUHAMMAD SABIR MEMON . SYED SHAHID NOOR . YUNIS H. SOOMRO . AYESHA ASIF

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Objective: To find out frequencies and types of injuries occurring in students of schools in three different Towns of Karachi and to know about the availability of medical facilities within the school premises and to give emphasizes on management and preventive measures of injuries.

Design: Prospective study.

Place and Duration of Study: This study is carried out in 50 schools of three different Towns of Karachi. 25 were private schools and 25 were government schools. 19 schools were co-educational schools. Schools upto higher secondary levels were chosen in this study. Minimum 750 students irrespective of sex were included in the study from each school. This study is carried out during 1st January 2010 to 31st May 2011.

Patients & Methods: This study is carried out in 50 schools of three different Towns of Karachi. 25 were private schools and 25 were government schools. 19 schools were co-educational schools. Schools upto higher secondary levels were chosen in this study. Each school consists of 750 students irrespective of sex. The student

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STRENGTH TRAINING RESTORES MORPHOLOGICAL CHANGES OCCUR DURING AGING

MUHAMMAD MUSTAFA QAMAR . MUHAMMAD FAIAZ QAMAR

ABSTRACT | Full Text Pdf

Human skeletal muscle mass constitutes the major body proportion and essential for their functional independence. Aging is the strange phenomenon which is the main rationale for decreasing the skeletal muscle mass by causing a variety of morphological changes in the form of declining of myofiber cross sectional area and satellite cells content during the years. Satellite cells are known as the stem cells of skeletal muscles which play a very important role in skeletal muscle growth. They give rise new myonuclei in response of any stimulus, which provides genetic material for the purpose of protein synthesis. Though in aging process, number of myonuclei is not decreased but still they need any threshold or stimulus that is required for their functionality. Currently, strength training is considered as one of the best available valid and reliable methods for countering aging process. Strength training provides the certain threshold which is necessary for satellite cell activation and proliferation and for the restoration of functional capability of myonuclei. Strength training has the ability to restore morphological changes occur during the aging process. It is equally effective in elderly is as well as in young adults. In this review, we will elaborate how strength training is effective for restoration of the morphological changes occur during aging process.

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REVIEWING THE ROLE OF SPECIFIC CORE STABILITY EXERCISES IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN

MUHAMMAD KHAN . SYED SHAHZAD ALI . RABAIL RANI SOOMRO

ABSTRACT | Full Text Pdf

In the Western world low back pain is a major cause of disability and about 60-70% life time prevalence rate has been reported. The financial consequences of this problem are enormous. Electronic data bases were searched for this review. It seems difficult to identify the underlying cause of chronic low back pain. Different theories explained the relationship between lumber instability and chronic low back pain and Punjabi

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EMERGENCY TRACHEOSTOMY – AN ANALYSIS OF ITS INDICATIONS

ARSALAN AHMED SHAIKH . MUHAMMAD RAFIQUE . MOHAMMAD SHAUJA FARRUKH

ABSTRACT | Full Text Pdf

Objective: The objective of our study is to analyze the various indications of emergency tracheostomy at Civil Hospital Karachi and Liaquat University Hospital Hyderabad, Pakistan.

Study Design: Descriptive, Cross sectional study.

Place & Duration of Study: This study was conducted at the department of Otorhinolaryngology- Head & Neck Surgery, Dow University of Health Sciences, Civil Hospital Karachi and Liaquat University Hospital Hyderabad from May 2007 to April 2010.

Methodology: All patients admitted to emergency department, having a compromised upper airway as well as patients in the other departments of the same hospitals developing an upper respiratory tract obstruction/respiratory insufficiency were selected for this study. A quick assessment of the degree of upper airway obstruction was made from the patient

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SIMPLIFIED DACRYOCYSTORHINOSTOMY (DCR) WITH SUTURING OF ANTERIOR FLAPS ONLY

SHEHLA DARESHANI . TARIQUE SALEEM . MUHAMMAD MUNEER QURAISHY . WAHEED AHMED SHAIKH

ABSTRACT | Full Text Pdf

Objective: To determine the efficacy of external DCR, suturing of anterior flaps with excision of posterior flaps and intubation.

Design: Quasi Experimental.

Materials and Methods: This study was conducted at Department of Ophthalmology Unit-1 Dow University of Health Sciences, Civil Hospital Karachi and a private clinic. 110 patients of chronic dacryocystitis with nasolacrimal duct block (NLD) were operated over a period of 31/2 years from Feb 2009 to June 2012. All patients were operated under general anesthesia by a single surgeon. Only the anterior mucosal flap of lacrimal sac and nasal mucosa were sutured together with excision of posterior flaps and silicone intubation was done. Tube was removed after a period of 3 months. Patients were followed postoperatively every month for a period of 6 month.

Results: A success rate of 95.45% was achieved with symptomatic relief of epiphora.

Conclusion: External DCR with suturing of anterior flaps with excision of posterior flaps and intubation is a highly successful procedure with 95.45% success rate and is relatively an easy procedure as compared to suturing of both anterior and posterior flaps.

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PHYLLOIDES TUMOUR BREAST OUR EXPERIENCE AT CMCH LARKANA

AKLIMA ASAD ABRO . NADIA BHATTI . SHAHID HUSSAIN SOOMRO . RAJA SEELRO

ABSTRACT | Full Text Pdf

Objective: To determine the effective diagnostic and management modalities for phylloides breast tumor.

Methodology: This is a descriptive study, conducted at department of Surgery, Chandka Medical College Hospital Larkana from 01-09-2001 to 30-07-2012, consist of 15 cases. Sampling technique was non probability purposive. All patients with benign and malignant Phylloides tumour were included. Exclusion Criteria included: Breast lump other than Phylloides tumour, Patients not consented for study, Patients not operated due to any reason and Patients not visited for follow up.

Data Collection: Informed consent was taken from the patients who met inclusion criteria. Parameters were noted in especially designed proforma. All patients were followed for three years to observe recurrence rate.

Data Analysis: Data was entered and analyzed by SPSS version 16. Mean +/- SD was calculated for age of the patients. Frequency and percentage was calculated for age group, clinical features, investigations, surgical procedures and final outcome of the patients.

Results: 15 patients were diagnosed as a case of Phylloides tumour breast. Age ranged from 20-52 years with mean and standard deviation of 41.20 years+/-8.51. Majority of patients were in 4th and 5th decade. All patients presented with painless breast lump. Mammography suggested benign Phylloides in 9 patients (60%) while malignant in 2(13.33%). FNAC revealed benign Phylloides tumour in 12(80%) while malignancy in 3(20%) patients. Trucut biopsy suggested benign lesion in 11(73.33%) and malignancy in 4(26.66%) patients. All patients were operated. 6(40%) underwent lumpectomy, in 5(33.33%) patients wide local excision was performed while mastectomy was performed in 4(26.66%) patients. 8 patients had uneventful recovery, Seroma was observed in 4 patients and infection in 3 patients. Recurrence was observed in 4 patients during 3 years of followup.

Conclusion: Phylloides is a less common form of breast tumor having unpredictable behavior diagnosed on clinical grounds and confirmed on Trucut biopsy. Depending on the ratio of breast and tumor size, wide local excision can be effective and breast conserving procedure. Follow up is necessary to observe recurrence rate.

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