Background The musculoskeletal complaints of the arm, neck and/or shoulder (CANS) affect the work-related tasks of workers who are sitting in front of the computer for an extended period of time and therefore lead to a reduction in productivity. The purpose of this study was to determine the prevalence of CANS and associated risk factors among computer office worker. Methodology A cross-sectional study was conducted among 773 computer workers working in different work settings located in Faisalabad Pakistan from January to August 2019. The questionnaires adopted in this survey study were previously used and consist of 2 parts; the first section for demographic information and the second part consists of the the Masstricht Upper Extremity Questionnaire (MUEQ) that was used to determine the prevalence of CANS. Results Of the 773 participants, 327 (42%) had shoulder pain, followed by neck pain 270 (35%), and the prevalence of pain in the upper arm and lower arm was 129 (17%) and 80 (10%), respectively. Those absent due to musculoskeletal problems were only 80 (10%). Females have reported overall more complaints 65% in upper extremity during the past years than male i. e. 56%. The study showed that there was a significant relationship between pain and age (years) (P=0.024), pain and work posture (P<0.001), and pain and work setting (P=0.009). Conclusion The study concluded that CANs are prevalent in office workers, predominantly among women, and that risk factors closely related to CANS are age, work setting and sitting posture.

Objective: To assess the impact of dialysis on periodontal and general oral health of chronic kidney disease patients. Methodology: A Cross sectional comparative study was conducted in the department of Nephrology and Urology, Sharif Medical and Dental College, Lahore on 32 patients with chronic kidney disease in the time duration of one year. Chronic kidney disease stage 3, 4 and 5 patients with age above 18 years, belonging to both the genders and same socioeconomic status were a part of the study. Data collection was based on the following parameters: Community Periodontal Index of Treatment Needs (CPITN). Results: There was a statistically non-significant association between stage of chronic kidney disease and periodontal health of patients undergoing dialysis (p=0.185) and general oral health (p=0.120). Practical Implication: This study will help dental practitioners understand the impact of renal dialysis on general oral and periodontal health of patients with chronic kidney disease and in turn help them provide effective health care to these patients who have specialized treatment needs. Conclusion: It was seen that stage 3 patients had the highest percentage of bleeding gums while none had periodontal pockets nor calculus deposition. Stage 4 patients had an equal percentage of calculus deposition and periodontal pocket depth of 4-5 mm. Stage 5 patients had a high percentage of Periodontal pocket depths of 4-5mm followed by calculus and then bleeding gums. A higher percentage of stage 3 and 5 patients undergoing dialysis had a high DMFT whereas the percentage of stage 4 patients with high and low DMFT scores was equal. Keywords: Dialysis, Chronic kidney disease, periodontal health, Community periodontal index for treatment needs (CPITN)

OBJECTIVE Efficacy of using an Alternate and Augmentative Communication (AAC) method as a language facilitation technique with a child who presents with flaccid dysarthria due to paraplegic cerebral palsy (CP). STUDY DESIGN The study design is a Single Subject Case Study. METHODOLOGY A 6 year old boy with CP coming for speech-language therapy since September, 2016. Communications board (a low-tech AAC); along with MAKATON Pakistan (an unaided AAC) were the AAC systems used with the child. The child was taught to use it by way of modeling, and through motor and speech imitation. The clinicians and the supervisor ensured that the caregiver was taught how to use the communication board, for its generalization at home. RESULTS Using AAC systems with children diagnosed as having age appropriate or near age appropriate cognitive abilities with cerebral palsy manifesting flaccid dysarthria of speech; is an effective and efficient method of developing successful communicative behaviors.