Objectives: The aim behind this study was to scientifically determine the incidence of arrhythmias and associated patient’s outcome in hospitalized acute coronary syndrome patients. Study Design: Observational Hospital Based study. Setting: Department of Cardiology, Isra University Hospital Hyderabad. Period: One year from 26th March 2018 to 25th March 2019. Material & Methods: A total of 177 patients were included having age 20 to 70 years both male and female. Data were entered and analyzed by using Statistical Package for the Social Sciences version 20.0. Results: The mean age of patients was 48.23±12.9 years with predominantly males (58.19%). The most commonly observed risk factor in our study was cigarette smoking (N = 96, 54.23%) The overall incidence of arrhythmias irrespective of their origin within acute phase was observed 12.99% (N = 23) out of total 151 admitted patients. Among these 23 cases, the ventricular arrhythmias were more common than atrial arrhythmias, (N = 17, 73.91%) and (N = 06, 26.08%), respectively. Only 2 (8.69%) cases experienced complications related to arrhythmias. Conclusion: Ventricular origin arrhythmias are more commonly observed in our study and were also associated with fatal complications as compared to atrial arrhythmias.

Objective: To determine the frequency of acute renal failure in patients presented with Blackstone poisoning in a tertiary care Hospital. Study Design: Cross sectional study. Setting: Medical wards and ICU at Peoples Medical College Hospital, Nawabshah. Period: September 2017 to March 2018. Material & Methods: All the patients of age 20 to 50 years having Paraphenylenediamine (PPD) poisoning (kala-patthar) during ≥6 hours after ingestion and either of gender were included. AKI was labelled as positive if either of any stage was present on the basses of urine output measurement for 24 hours through urine beg r urine output (UO) criteria. All the data was documented in self-made proforma. Results: The mean age for patients was 24.9±8.9 years, 46(19.08%) subjects were male and 195(80.91%) were female. 18(7.5%) study subjects had acute renal failure, out of them 6 study subjects had ARF of stage I, 5 patients had stage II and 7 study subjects had acute renal failure stage III. Conclusion: Acute renal injury is a common complication following PPD ingestion 7.5%. Paraphenylenediamine toxicity is a threat to the region of Asia and is evolving as a substitute to the poisoning of organophosphorus due to its easy accessibility and low cost.

Objective: This study was conducted to assess the level of knowledge of Pakistani GPs regarding various aspects of H. pylori. Methodology: This cross-sectional survey was carried out all over Pakistan from July to December 2019. Close-ended questionnaires were distributed to a convenience sample of 150 GPs and were requested to answer questions on demographics, importance, diagnosis, treatment and complications of H. pylori. The analysis of the data was done by SPSS version 20.0. Results: The mean age of all GPs was 42.6±8.2 years and females were in majority 53.8%. Most of the respondents 73.1% were graduates, 56.3% worked in clinics and 43.7% in Hospitals. Regarding the knowledge of various aspects of H. pylori, 45.4% to 58% positive responses were obtained to different questions. lowest score 45.4% was obtained regarding the question of whether H. pylori constitutes an important public health problem and highest score 58% on the question regarding the infectious nature of peptic ulcer disease. There was little correlation between demographic and professional features of GPs and knowledge about H. pylori. Conclusion: It was observed that the knowledge of most Pakistani GPs is only modest about H. pylori. There is a need of increasing awareness and educating GPs about this important pathogen. Key Words: general practitioners, H. pylori, questionnaire, survey, knowledge.

ABSTRACT… Objectives:To determine the frequency of sexual dysfunction in the patients suffering from chronic liver disease. Period: 1 year from June 2013 to May 2014. Study Design: An observational study. Setting: Asian Institute of Medical Sciences. Methodology: 150 cases of chronic liver disease including patients of both genders at Asian Institute of medical sciences who had suggestive history and signs /symptoms of sexual dysfunction. Results: Study found 51.3% of total patients were suffering with sexual dysfunction. Out of all participating females, 52.2% were affected and among the total male patients 51% males were suffering from sexual dysfunction. Hepatitis C virus (HCV) and Hepatitis B virus (HBV) were positive in 76.7% and 11.3%, respectively. Conclusion: Sexual dysfunction is a common complication in the patients suffering from chronic liver disease.

Objectives: To determine the frequency of sexual dysfunction in the patientssuffering from chronic liver disease. Period: 1 year from June 2013 to May 2014. Study Design:An observational study. Setting: Asian Institute of Medical Sciences. Methodology: 150 casesof chronic liver disease including patients of both genders at Asian Institute of medical scienceswho had suggestive history and signs /symptoms of sexual dysfunction. Results: Study found51.3% of total patients were suffering with sexual dysfunction. Out of all participating females,52.2% were affected and among the total male patients 51% males were suffering from sexualdysfunction. Hepatitis C virus (HCV) and Hepatitis B virus (HBV) were positive in 76.7% and11.3%, respectively. Conclusion: Sexual dysfunction is a common complication in the patientssuffering from chronic liver disease.