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Cutaneous Leishmaniasis

Posted July 15, 2009

15 years back we were getting cases of Cutaneous Leishmaniasis(CL) from only Shuja abad road area in Multan Pakistan. Now after this period the cases are coming from walled city as well. It shows that this disease is spreading and involving the thickly populated ares of this city. Multan is present in the south part of Pakistan and is one of the city of Punjab province.

Cutaneous Leishmaniasis has typically un-healing ulcers on mostly exposed part of the body like arm and face.
In one our study we found this disease most common in the students of religious schools(Madrassa).

So these patients are guided to get confirm the diagnosis of this disease for the treatment. Because these ulcers are resistant to antibiotics.

Physical Activity

Posted July 15, 2009

Dietry factors and physical inactivity are the second most important contributors to preventable death. A sedantry life style has been linked to 28% of deaths from leading chronic diseases.The CDC has recommended that every adult should engage in 30 minutes or more of moderate intensity physical activity on more days of week.The new guidelines complements previous advice urging at least 20--30 minutes of more vigorous aerobic exercise three to five times a week.

Cigarrett Smoking

Posted July 15, 2009

Cigarette Smoking is the most important cause of preventable morbidity and mortality in developed world. Its main chemical ingredient is NICOTINE which is highly addictive, raises the brain level of dopamine and produces withdrawal symptoms on discontinuation; Cigarettes are responsible for one in every five deaths in USA.

Still the smoking prevalence rates have been increasing among high school and college students. Smoking has the twice the risk of heart disease, ten times the risk of lung cancer and several times the risk of cancers of mouth, throat, esophagus, pancreas, kidney, urinary bladder, and cervix.

Smoking cessation lessens the risk of death of myocardial infarction in people with coronary artery disease.

Hepatitis B carrier

Posted July 15, 2009

In Pakistan hepatitis is spreading which may be due to lak of education and awareness. The rate of carrier for hepatitis B is roughly in the range of 5 to 20 percent.Its prevalance is high in Muzafarghar and Dera Ghazi Khan areas. The carriers are HBS antigen positive and may be Liver fuction tests normal ,these are called healthy carriers.These patients need to be watched for any abnormality in the liver funtion tests.When there is increase in serum GOT or GPT levles, then this group needs treatment.

Hepatitis B carrier 4th year M.B.B.S class

Posted July 15, 2009

The fourth year calss was screened for Hepatitis B carrier.There were male and female 6.5 percent positive.These results were checked by Eliza method.All of these have normal liver funtion tests. Then another project was designed that when medical students comes in first year there HBS antigen status should be decided.Then when this class goes to final year and again after one year of house job there HBS status to be decided.Wich will tell us how much percentage is at risk in medical college to become HBS positive. This project is still underway because of funds.

HbA1c and Diabetes Mellitis

Posted July 15, 2009

Intensive insulin therapy with HbA1c 7.1% reduces micro vascular end point compared with conventional insulin therapy achieving mean of HbA1c 9.4% There is no effect on cardiovascular events in both regime. A long-term study shows that type 1 diabetic patients reported that " NEAR" normalization of blood glucose level resulted in a delay in onset and slow down progression of established micro vascular and neuropathic complications of diabetes mellitus during an up to 10 years follow up.

Diabetes Mellitis

Posted July 15, 2009

Diabetic patients need strict control on the blood glucose level to avoid the diabetic complications like diabetic nephropathy, gangrene and peripheral neuropathy. These patients can have good control by fasting and postprandial blood glucose level. Also HBA1C can also helpful to see the control.