In Pakistan, hemorrhagic diseases, including dengue and Crimean-Congo hemorrhagic fever (CCHF), are common. Therefore, an accurate diagnosis is challenging in the early stages of sickness owing to geographic overlap and early clinical similarities between the two disorders. A 35-year-old man who had previously experienced hematemesis and high-grade fever presented to our hospital. Despite receiving supportive care for a preliminary diagnosis of dengue hemorrhagic fever, the patient's condition worsened. The results of the dengue IgM antibody test were negative. On the fourth day of admission, a qualitative polymerase chain reaction test for CCHF virus RNA was performed, and the result returned positive. All medical personnel and attendants who had contact with the patient had to receive ribavirin prophylaxis, which required significant investment in resources. Because CCHF can have long-term financial and health repercussions for contacts, including healthcare personnel in developing nations, it is essential to identify and treat it as soon as possible. It is necessary to keep track of dengue and CCHF cases more closely to develop predictors of disease diagnosis that are reasonably trustworthy, affordable, and quick. These predictors can aid in directing future choices regarding the care of similar situations. Ultimately, such an approach might result in improved cost control in environments with limited resources. Consideration should also be given to patients who receive ribavirin prophylaxis.
Introduction: The coronavirus later named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), caused an illness known as COVID-19. This study was carried out to determine the KAP of medical and non-medical professionals of Peshawar towards COVID19. Objective: To assess the knowledge, attitude, and practice of selected medical and non-medical professionals about coping with the COVID-19 pandemic through an online survey. Materials & Methods: This cross-sectional online survey took place from March 1 to April 30, 2020 using purposive sampling due to COVID-19 pandemic-related constraints against a community-based survey. A questionnaire for recording knowledge, attitude and practice about COVID-19 pandemic was generated with the help of literature search and uploaded through google forms. Responses were collected in excel spreadsheets which were later converted to SPSS version 23 for descriptive statistical analysis. Chi Square test was used for comparison between medical and non-medical professionals keeping p ≤0.05 significant. Results: A total of 366 participants responded to the online survey. The ratio of medical to non-medical professionals being 1.16:1. It was observed that majority of respondents had adequate knowledge regarding the current pandemic and no significant difference was seen between the two professionals (p<0.001). Both the professionals had a positive attitude with no difference (p<0.05). In practice, visiting marketplaces (p=0.754) showed significant difference in the practice however all the other practice measures did not show significance (p<0.05) and were being practiced by both the professionals. Conclusion: There is no significant difference in the knowledge, attitude or practice of medical and non-medical professionals towards the current pandemic of COVID-19. Keywords: COVID-19; Pandemic; Coronavirus; SARS virus.
Introduction: Acute pancreatitis (AP) is an acute inflammatory disease of the pancreas. After diagnosis the initial management is preferably done in intensive care unit along with 4-6 hourly insulin sliding scale monitoring for hyperglycemia. Individuals with type II DM are more prone to develop AP. Glycosylated hemoglobin (HbA1c) reflects the blood glucose levels of over past two months and daily glucose levels do not affect its levels in the blood.Objectives: To find out the frequency of acute pancreatitis in diabetic patients both in type 1 and type 2.Study Design: Cross-sectional, comparative studyMethodology: This was a retrospective cross-sectional, comparative study based on 154 patients with acute pancreatitis in our tertiary care hospital over the duration of two years i.e. from January 2016 to December 2017. The data were entered and coded where necessary and statistically analyzed using SPSS version 20. Descriptive analysis was done to summarize data in the form of percentages and numbers for categorical data while continuous variables were shown by using mean and standard deviation.Results: The mean age was 48.6 year with a standard deviation of 16.9 years, the total cases were 154 for the duration two years from January 2016 to December 2017. Out of 147 patients, 72 (44.4%) were male and 75 (46.3%) were female. Only 13 (8.8%) out of 154 patients were diabetics. Total serum pancreatic lipase and serum pancreatic amylase levels were significantly higher in non-diabetic subjects as compared to diabetics. Also, high serum lipase levels were seen in slightly more females than males.Conclusion: The results of our study documented that the prevalence of acute pancreatitis is more common in non-diabetics as compared to diabetics, and those who were diabetic were between 41 to 60 years of age. We recommend further studies in this area to reach a general agreement on the prevalence of acute pancreatitis and factors affecting its prevalence as well as on the relation of diabetes and severity of acute pancreatitis.Citation: Khan ZA, Baig KS, Ahmad Z, Afridi M. Acute pancreatitis in diabetics: a twoyear retrospective study in a tertiary care hospital in Peshawar, Pakistan. Anaesthesia, pain & intensiv care 2019;23(2):211-216
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