Showing papers by "Chandka Medical College published in 2009"

Hepatitis C: frequency and risk factors associated with sero-positivity among adults in Larkana City.

Abstract: Background: Viral hepatitis is a major public health problem. Infection with Hepatitis C virus (HCV) leads to chronicity and there are about 170 million people infected with HCV. Up to 70% of chronically infected individuals develop active liver disease. The Objective of the study was to find out the frequency of Anti-HCV seropositivity and risk factors of Hepatitis C Virus (HCV) transmission in people of Larkana city. Method: The study was conducted at Larkana from April 2006 to April 2007. Camps were established in the main general practitioners’ clinics. A questionnaire about knowledge of HCV and risk factors of its transmission was administered to subjects. Descriptive statistics were done by SPSS-10. Result: Total 450 cases were enrolled into this study. They were divided into 3 age groups. Eighty-nine (19.8%) cases were in age group 40 years. There were 353 (78.4%) male and 97 (21.6%) female subjects, out of these 450 cases 30 (6.6%) were positive for Anti-HCV. A number of risk factors of HCV transmission were present in these cases. History of therapeutic injections was present in 72 cases and 35 cases used public barber services. Conclusion: History of therapeutic injections and use of barber services for shave were the most frequent risk factors in our study. Keywords: Risk factors, HCV, Sero-positivity, Hepatitis, Cirrhosis, Hepatocellular Carcinoma

Changing pattern of fabricated injuries in Larkana region.

Abstract: Background: Man has been egotist by nature and from Ancient time man has been endeavouring to bring under power other human beings. With the passage of time and growth of civilization this trend has been increased. Now there are more dangerous ways of violence and torture in use for twisting and turning people around. Inflection of fabricated injuries is one of the ways for fulfilment of his lust. Incidence of fabricated injuries is related with crime rate in any society, and this practice is carried out through out the world. Fabricated Injury is a major problem which forensic expert/causality medical officer face during their duty. Very little literature is available regarding study of fabricated injuries and no authentic criteria has so for been developed for labelling an injury as fabricated one. Methodology: The present study is about 130 challenged medico-legal cases in Larkana Division which were studied in special medical board held in the Department of Urology Chandka Medical College Larkana. Out of 130 cases 50 were proved to be fabricated. Results: The total number of challenged cases was 130, out of these 50 (38.46%) cases were of fabricated injuries. Out of 50 fabricated cases, 46 (92%) were males and 4 (8%) were female, thus the male to female ratio was approximately 11:1. Maximum cases (25) were from Larkana District, 15 cases were from Shikarpur and 10 cases from Jacobabad. The majority of fabricated injuries from Larkana District were nose injuries as o ut of 25 fabricated injuries from Larkana district 10 were nasal injuries, while from district Jacobabad and Shikarpur there was no nasal fabricated injury. Conclusion: Most of the fabricated injuries are caused on accessible part of the body like arms, legs, abdomen, chest etc. The pattern of fabricated injuries is changing in Larkana District as out of 25 fabricated injuries in this district 10 were nasal injuries while in District Jacobabad and Shikarpur there was no nasal fabricated injury. Keywords : Ancient, Fabricated, Injuries, Torture, Endeavouring, Authentic, Egotist