Health Sciences

Objective: To investigate traditional and alternative health seeking behavior for mental illnesses, among patients before visiting psychiatry department of Ch Rahmat Memorial Trust and Jinnah Hospital Lahore. Methods, Patients and setting: This cross-sectional multi-method study was conducted from May2017 to Sep. 2017 at two tertiary care and teaching hospitals in Lahore, and comprised patients with sample size 80 presenting with different mental illnesses at psychiatry OPD.

Presentation of the case. The case of a 25 year old woman diagnosed with osteosarcoma of the left proximal tibia is described, which was treated with en bloc resection with a non-conventional prosthesis operated at 8 years old at the Children's Hospital of Mexico; It first required replacement prosthesis at the age of 12 years, the second at 15 years old. At 17 years of age presents new material failure remaining 2 years without support.

The management of Le Fort-type fractures, their surgical repair and the management of the airway are a challenge for the surgeon and the anesthesiologist. Although orotracheal intubation is the most frequently used route in securing airway, it interferes with the surgical field, as an alternative nasotracheal intubation is commonly used. However, nasotracheal intubation is contraindicated in cases of skull-base trauma, therefore the tracheostomy is a good route for securing the airway, nevertheless, this procedure is associated with various complications.

Background: Diabetic nephropathy is one of the major microvascular complications of diabetes which eventually manifests into end-stage renal disease. One-third of the diabetic population is prone to develop nephropathy and it represents the major cause of morbidity and mortality. Objective: The purpose of this study was to find out the effect aerobic training on urinary albumin excretion protein in type 2 diabetes mellitus. Methods: the study was conducted on twenty patients, their age ranged from 45 to 55 years.

The fundamental question in forensic science is identification of a person for legal and ethical issues and declaration of death reports. Even estimation of age in living persons for clarification of criminal and civil liability and social issues is on high pace. Teeth being the hardest part of the body and remains preserved without gross changes for longer period of time after death, it is one of the most reliable method for age estimation.

Background: Splenectomy is a surgical intervention commonly performed at hospitals as a cause of splenic trauma. Aerobic exercise increases blood flow to contracting muscles, causes hypercoagulability and vasoconstriction in the splenic area, hence the portal vein diameter and blood flow velocity decrease. Aim: to study the effect of aerobic exercise on portal venous system in splenectomized patients.

Purpose of the study: To investigate the effect of mirror therapy on Complex Regional Pain Syndrome (CRPS) post wrist burn. Methods: Thirty patients were randomly divided into two equal groups; Group A (study group) and Group B (control group). Group (A) received conventional hand progressive exercise program (active, and active resisted hand exercises)in addition, the same exercises were done by the sound hand in front of mirror for 15 min in the first 2 weeks and 30 min in the last 2 weeks. Group (B) received only conventional hand progressive exercise program.

Malignant hyperthermia (MH) is a severe and sudden increase in metabolism, the common clinical manifestations are: High central temperature, increase in ETCO2, hyperkalemia, acidosis, muscle rigidity and cardiovascular instability, after exposure to certain anesthetic drugs. Malignant hyperthermia occurs in persons who have a genetic alteration in the sarcoplasmic reticulum of striated.

Background: Chronic low back pain (CLBP) is a debilitating condition that persists despite the lack of tissue damage and an effective management is still lacking. CLBP is a multifactorial disorder comprising psychosocial factors like pain catastrophization, fear avoidance and central sensitization. Objectives: to investigate the effect of Cognitive Behavioural Therapy on CLBP patients with Central sensitization.

Background: Although not well known, post-laminectomy syndrome (PLS) is an important cause of chronic back pain, which may lead to decreased quality of life, disability and psychological disorders. The purpose: This study was conducted to determine and compare between the effectiveness of lumbar stabilization and McKenzie exercises on intensity of pain and disability in patients with PLS.