BackgroundPatients with obesity, diabetes, and chronic kidney disease (CKD) are generally physically inactive, have a high mortality rate, and may benefit from an exercise program.MethodsWe performed a 24-week randomized controlled feasibility study comparing aerobic exercise plus optimal medical management to medical management alone in patients with type 2 diabetes, obesity (body mass index [BMI] > 30 kg/m2), and stage 2-4 CKD (estimated glomerular filtration rate [eGFR] 15-90 mL/min/1.73 m2 with persistent proteinuria). Subjects randomized to exercise underwent thrice weekly aerobic training for 6 followed by 18 weeks of supervised home exercise. The primary outcome variable was change in proteinuria.ResultsSeven subjects randomized to exercise and 4 control subjects completed the study. Exercise training resulted in an increase in exercise duration during treadmill testing, which was accompanied by slight but insignificant decreases in resting systolic blood pressure and 24-hour proteinuria. Exercise did not alter GFR, hemoglobin, glycated hemoglobin, serum lipids, or C-reactive protein (CRP). Caloric intake and body weight and composition also did not change with exercise training.ConclusionExercise training in obese diabetic patients with CKD is feasible and may have clinical benefits. A large-scale randomized controlled trial to determine the effects of exercise on renal functions, cardiovascular fitness, inflammation, and oxidative stress in diabetic patients with CKD is planned.

Objective: This study aimed to report the incidence of dental caries among deaf students of primary school in Lahore Method: This descriptive crossectional study was conducted at 2 private primary schools for deaf students in Lahore. Sample of the study was 150 students who were completely deaf. Data was collected by screening of oral health maintenance of students by two dentists. Chi Square test was used to explore the age wise difference in occurrence of dental caries among deaf students of primary school in Lahore Results: Overall incidence of dental caries is quite high among deaf students of primary school in Lahore (112(74.67%). Results of chi square test revealed no significant difference of incidence of dental caries in terms of age (X2=4.597, P=.204). Conclusion: In Lahore, incidence of dental caries among primary school deaf students is quite high which need to be address. Moreover, age has no significant effect on the incidence of dental caries among primary school deaf students. Keywords: Dental caries, Deaf students, Primary school, Oral health maintenance

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Aim: To explore the relationship between oral health status of mothers and caries prevalence of caries among their children in rural areas of Pakistan. Methodology: This crossectional study was conducted in 9 rural health centers of Punjab, Pakistan. Purposive convenient sampling was used to collect data. Sample size was 500 mothers with their children. Results: Socioeconomic status of family as well as the purpose for the last visit at dental hospital for the treatment of child were found positively linked with the dmfs of child. Sample of children at very low socioeconomic status (OR: 2.16; 95%CI: 1.36-2.98). Children who visited dental hospital with the reason of having dental problems (OR: 1.89; 95%CI: 1.25-2.59). Greater dmfs score was found among children with poor oral hygiene (OR: 1.98; 95%CI: 1.27-3.25). The education of mother was found to be negatively linked with dmfs score of child. Conclusion: The relationship between maternal and dental caries in children was clearly explained by socioeconomic status or dental behaviors of mother and child in terms of intake of sugar, oral hygiene and reason for last dental visit for child. Keywords: Maternal oral health, dmfs, childhood carries

Aim: To assess the parental self-management of epileptic pediatric in terms of adherence of antiepileptic drugs Methodology: A descriptive cross-sectional study was conducted in Children Complex Hospital of Multan. Convenient sampling technique was used to collect the data from included population, care giver of epilepticus children. Reliability checked by Cronbach alpha which was 0.71. Data was analyzed in SPSS 25, to get percentage and frequency. Results: The majority of the responses were agree 86(81.9%) on the doctors/nurses fully explained seizures/epilepsy (diagnosis). 10(9.5%) were strongly agree that doctors and nurses fully explained seizures to them. What side effects they have to look for while they are in treatment, was reported in positive by 73(69.5%) participants. 63(60%) were agree about whom to contact for questions or problems. The results show that the 71(67.6%) were agree about the confidence with which they can in partnership with the health care team can manage side effects if occur. Conclusion: Parental self-management was found higher in epileptic pediatrics in Multan Keywords: Epileptic drugs, Pediatrics, self-management, nurses