ZU Journal System (Ziauddin University)
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Effects Of High Body Mass Index On Fetomaternal Outcome
No full textABSTRACTBackground: In our country increasing prevalence of obesity among fertile women is growing public health concern,womenwith BMI more than 30 are at greater risk adverse reproductive health outcome,this study will provide over view ofcomplications related to high BMI.Objective: To identify the effects of high body mass index (BMI) on feto-maternal outcomeMaterial and Methods: 100 patients were selected randomly from OPD who matchedinclusion criteria, their BMIchecked at booking and at term, Study design was Case series conducted at Ziauddin University and hospitals Karachi, in9 month of time duration. Then patients were followed for any complicationsResults: in our study, results showed PIH developed to 38% of patients, gestational diabetes mellitus to 15%, preeclampsia to 15%, PPH to 13%, Threatened miscarriage occurred to 5 %, woundinfection developed to 5%, and 37%babies admitted to NCU of patients who followed for complication with high BMI. According to calculations 55% patientswith high BMI delivered spontaneously,28% ended up in emergency LSCS, 11% were elective LSCS and 1 delivered byinstrumentaldelivery .Conclusion: High BMI has adverse effect on PIH,GDM, pre eclampsia, mode of delivery, and threatened miscarriage,whereas, there is no effect of high BMI on woundinfection, elective LSCS, instrumental delivery and congenital anomalywhich maybe due to other factors . More work is required.
Key Words: BMI, PIH, GDM, WoundInfection
THE FREQUENCY OF ADHESIVE CAPSULITIS IN DIABETES MELLITUS PATIENTS
No full textOBJECTIVETo find out adhesive capsulitis patients in diabetes mellitus patients.STUDY DESIGNCross-sectional study.STUDY SETTINGS & PARTICIPANTSPatients with diabetes mellitus from Ziauddin university hospital Clifton Karachi were included. 325 diabetic patients in which 81 patients were diagnosed with adhesive capsulitis.SAMPLE SIZEA Sample size of 325 patients was selected. SUBJECTS170 men and 155 women aged between 40 to 79 years were selected. RESULTFrequency of shoulder adhesive capsulitis was 24.9% among diabetic subjects.CONCLUSIONAdhesive capsulitis are under recognized in adult diabetic patients occurring in 18% of the cases. Physicians should consider examining the periarticular region of the joints in the hands and shoulders whenever a diabetic patient presents with musculoskeletal symptoms
THE EFFECT OF CRANIO-CERVICAL EXERCISE INTERVENTION AND STRENGTH ENDURANCE TRAINING IN NECK PAIN
No full textProlong computer work without proper ergonomics can lead to neck painwhich ultimately causes serious problems like muscle imbalance, headache,poor work performance. The purpose of this study is not only to promote awarenessof correct exercise regime and to compare two exercise interventions inimprovement of neck pain, also effect of these regimes on nine differentcomponents of daily living activities like headache, work performance,concentration.Experimental, Randomized control trail (RCT)68 participants took part in the study and were divided randomly into twogroups. Group one received cranio- cervical (CC) regime of 06 weeks andsecond group was given treatment in 2 stages. First stage comprise of minimumrepetition exercise which was upgraded to three set with weight in secondstage. The chief impact was seen as the reduction of pain intensity in bothinterventions.Subjects with neck pain of both groups proven a change in neck pain pre NeckDisability Index (NDI) mean of CC, group01 (mean 19.18, std 5.2, p<0.05), andpost NDI score of CC group 01 (mean=6.18,std=6, p<0.05) while in strengthendurance (SE) group pre-score (mean=18.6, std=6.3, p<0.05) And post NDIscore (mean=7,std=6, p<0.05) . Both groups proved significant reduction in neckpain.This study showed that participant who had received cranio-cervical regimeand strength endurance training significantly improves their work performanceas well as neck pain. However, CC group showed improvement regarding workperformance and headache while SE group demonstrated significant improvementin weight lifting than second group
EFFECTIVENESS OF LUMBAR MANIPULATION (HIGH VELOCITY LOW AMPLITUDE) FOR THE TREATMENT OF LOW BACK PAIN IN COMPARISON TO BACK STRETCHING EXERCISES
No full textOBJECTIVESTo assess the effectiveness of lumbar manipulation (high velocity low amplitude)for the treatment of low back pain in comparison to back stretching exercises.Randomized Control Trial (Experimental Study)The study was conducted on 200 patients at the Physiotherapy Department ofZiauddin Hospital among patients with history of low back pain of acute, subacute or chronic origin. In this study, patients were divided into two groups,group A and group B equally. Group A of 100 patients received Lumbar Manipulation(High Velocity Low Amplitude) and at the same time Group B of 100patients were treated by back stretching exercises. A pre tested and structuredquestionnaire was used to collect data. Data was entered and analyzed byusing SPSS.Pain was measured on Visual Analogue Scale before and after the giventreatment.The study showed significant results for both the interventions in the treatment oflow back pain but Lumbar Manipulation has been more effective in differenttypes of low back pain while stretching exercises are less effective.On the basis of this study, we are very confident that lumbar manipulation ismore effective for the treatment of low back pain compared to back stretchin
THE ASSOCIATION OF SITTING POSTURE AND CERVICOGENIC PAIN AMONG THE STUDENTS OF PHYSICAL THERAPY
No full textOBJECTIVETo determine the prevalence and association of cervicogenic pain and poorsitting posture among the students of Physical Therapy.A cross sectional survey was conducted among the students through convenientsampling, aged 18 – 30 years. A Structure questionnaire was used to collectthe data. Both descriptive and interference statistics were used to analyzed thedata.A cross- sectional study design was selected for this study.Students (n=100) has been selected from the different private and governmentPhysical Therapy institutes of Karachi.From the sample size (n=100) including students of Physical Therapy, hadstudying for more than 8 hours. During the analysis of data it was found that 71%of students were aware about the correct sitting posture and only in 36% ofstudents’ cervicogenic pain is the reason of decrease their activities.The result of the study shows that the prevalence of cervicogenic pain is higheramong the students but poor sitting posture is not consistent reason of painthere were other associated factors too. Maximum numbers of students wereaware about the correct posture during sitting for study and using computer.Among entire population ratio of pain was higher in female than male students
EDITORIAL
No full textthrough excellence in teaching, research, and public service. The institution focuses on developing competence, personalfulfillment and leadership in the students towards their professions. The purpose behind the establishment of this university isalso to provide Community-Based-Education (CBE) in order to enhance health education and the promotion of healthylifestyles in populations from all socio-economic stratums of Pakistan. The university encourages research based projects andpractices relevant to national and community needs. Alongside Medicine, Dentistry and others, Rehabilitation Sciences hasemerged as an essential component in the field of health sciences.Rehabilitation sciences aim to enhance and restore functional ability and quality of life of not only those with physical impairmentsor disabilities but also deals with the concepts of health and wellness. The rehabilitation team consists of number ofprofessionals including Physicians, Physical Therapist, Occupational Therapist, Speech and Language Therapist and manyothers who contribute in the preparation and implementation of treatment plan. Unfortunately, in Pakistan these professionalsare mostly working independently or the team work is in a very primitive stage. At the same time, some individuals and organizationsare trying to establish this field to improve the functionality of patients and reduce their sufferings by providing the bestpossible treatment.Physical Therapists play an essential role in virtually every condition that rehabilitation medicine addresses. The goal of physiotherapyis to improve mobility, restore functional movement, increase independence, relieve pain, and minimize limitationsdue to permanent disabilities. Speech Language Therapists/Pathologists are also significant members of the Rehabilitationteam. They are trained to investigate and treat abnormal manifestations of communication and swallowing disorders, forwhatever cause, in children and adults. Speech- Language Pathologists collaborate with other health care profes
MELIORATE CARDIO-PULMONARY REHABILITATION UP-TO THE INTERNATIONAL STANDARDS
No full textThe basic aim of cardiopulmonary rehabilitation (CPR) is to improve the cardiac fitness and enhance the quality of life. Worldwide enormous number of patients has been suffering from cardiopulmonary problem show ever, seek appropriate care. CPR is considered an important component of care for the patients suffering with cardiac problems. For past few years I have been observing the lack of awareness and unavailability of facilities creating a major obstacle in progress of CPR in the country. Pakistani researchers and professionals need to pay attention on the aspect of CPR especially in the tertiary care hospitals where the facilities can easily be provided
Recurrent Tubal Ectopic Pregnancy
No full textABSTRACTEctopic pregnancy (EP) is one of the most common gynecological emergency and carries the highest proportion of firsttrimester mortalities. Apart from fetal loss, significant maternal mortality and morbidity, recurrence of ectopic pregnancyand impairment of subsequentfertility is also of concern. Wereport a rare case of a patient without any risk factors whohad EP three times in her life. Every time our management was based on the clinical condition of the patient, site ofectopic gestation, patient’s future fertility desire and available expertise in the hospital. These factors should be thestandard managementprotocols while managing such patients.
Key Words: Pregnant Females, Ectopic Pregnancy, Emergency Therapeutic Laparoscopy
GUIDELINES FOR THE MANAGEMENT OF KNEE PAIN
No full textKnee joint is the largest synovial joint in the body, combined considerable mobilityand strength with the stability necessary to lock the knee in the uprightposition. A bicondylar hinge joint, the knee is made up of three functional units;the medial and lateral tibiofibular compartments and the patellofemoral joint.The superior tibiofibular joint is included in the knee complex, which is oftenforgotten as a source of lateral leg and knee pain. It needs to be examinedroutinely in movement disorders of both the foot and the knee1.In the musculoskeletal disorders, knee (OA) is one of the most common disorderswhich affect the patients and it exceeds prevailing articular disorder. It is alsothe major cause of disability and socioeconomic burden2.The diagnosis of the knee can be done with considerable certainty and manyconditions are easily curable. History is of critical diagnostic importance. Theknee pain is usually Well localized and many of the tissues are accessible topalpation. Pain originating from the knee is limited to the four dermatomeswhich may also be affected by pain arising from the lumbar Spine L2 (left) L3(right)3