No abstract

No abstract

Pelvic inflammatory disease (Waram al-Rahim)is one of the most serious gynaecological infections of the upper female genital tract with the worldwide annual rate of 10-20/1000 women of reproductive age.  The objective planned for the study was to evaluate the effect of Sharbat-e-Deenar in uncomplicated Pelvic Inflammatory Disease (uPID).  A pre and post observational single group clinical study was carried out in the Department of IlmulQabalatwaAmrazeNiswan, National Institute of Unani Medicine, Hospital, Bengaluru. Diagnosed cases (n=30) of uPID were included in the study. Patients with complicated PID, history of antibiotic therapy within seven days of recruitment; delivery, abortion or gynecologic surgery within the last 30 days,  systemic diseases, malignancies, pregnancy & lactation were excluded. Sharbat-e-Deenarconsists of Poste baikhekasniandTukhmekasni(Cichorium intybus  Linn.), Gulesurkh (Rosa damascene mill.), Tukhmekasoos(CuscutareflexaRoxb.)  and Rewandchini (Rheum emodiWall. ex Meissn) were administered orally in a dose of 20 ml twice daily for 14 days. Outcome measures were 30-70% clinical improvement in Visual Analogue Scale (VAS) score for lower abdominal pain and McCormack Pain Scale (McPS) score for abdominopelvic tenderness and White Blood Cells (WBCs) count <10 on saline microscopy of discharge. Data were analyzed using paired Student ‘t’ test, Wilcoxon Signed rank test and Paired Proportion test.Clinical improvement of 30-70% in McPS and VAS score was achieved in 96.7% (p<0.001**) and 93.3% (p<0.001**) patients respectively. WBCs count <10 on saline microscopy of discharge was achieved in 70% patients (p<0.001**).Sharbat-e-Deenarwas effective in improving the sign & symptoms of PID due to its anti-microbial, anti-inflammatory, anti-spasmodic and anti-oxidant properties. No adverse effect of the research drug was encountered during the study. Hence, Sharbat-e-Deenar serves as an effective alternative in patients with PID, proving the research hypothesis.

Objectives: To determine the frequency of vitamin D deficiency in children under12 years of age in the absence of significant clinical signs and symptoms in an ambulatory caresettings. Study Design: Descriptive study. Settings and duration: This study was conductedin Pediatric Out Patient Department of KAUH from June 2013 to June 2014. Materials andmethods: Patients attending the pediatric clinic in KAUH Riyadh, KSA, from June2013 to June2014, in which 287 healthy children under 12 years were enrolled. Serum calcium, phosphorus,alkaline phosphatase and 25-hydroxyvitamin D [25(OH) D] were measured .X ray wrists weretaken for radiological evidence of rickets. 25(OH) D levels <50 ng/mL and <25 ng/mL weredefined as insufficiency and severe vitamin D deficiency, respectively. Results: A high prevalenceof vitamin D deficiency is observed in healthy children even in absence of clinical signs andsymptoms. The problem should be highlighted and there is a need to create awareness amongpeople about the etiology of vitamin D deficiency and its prevention.There is a strong need forlong term planning including populationscreening, dietary supplementation with vitamin D andfood fortification.

To determine the frequency of vitamin D deficiency in children under 12 years of age in the absence of significant clinical signs and symptoms in an ambulatory care settings. Study Design: Descriptive study. Settings and duration: This study was conducted in Pediatric Out Patient Department of KAUH from June 2013 to June 2014. Materials and methods: Patients attending the pediatric clinic in KAUH Riyadh, KSA, from June2013 to June 2014, in which 287 healthy children under 12 years were enrolled. Serum calcium, phosphorus, alkaline phosphatase and 25-hydroxyvitamin D [25(OH) D] were measured .X ray wrists were taken for radiological evidence of rickets. 25(OH) D levels <50 ng/mL and <25 ng/mL were defined as insufficiency and severe vitamin D deficiency, respectively. Results: A high prevalence of vitamin D deficiency is observed in healthy children even in absence of clinical signs and symptoms. The problem should be highlighted and there is a need to create awareness among people about the etiology of vitamin D deficiency and its prevention.There is a strong need for long term planning including populationscreening, dietary supplementation with vitamin D and food fortification.