Objective:Although many studies worldwide explained the risk factors for developing Diabetic Foot Ulceration (DFU), little has been done to assess medical factors in DFU formation and link them in patients of Pakistan. This study aimed to link the DFU with different risk factors.Methods:This descriptive cross-sectional retrospective study was conducted in Diabetes Endocrine and Metabolic Centre / Post Graduate Medical Institute / Lahore General Hospital. Data of all patients presenting between July 2017 to June 2018 were analyzed for risk factors. Analysis was done on SPSS version 21.Results:Total of 3301 patient were seen during this period, out of which 2052 patient data was picked up as it was complete in respect to the information needed. Middle age, Male gender, Type 2 diabetes, and Hypertension, were insignificantly co-related. High waist circumference, Comorbidity like Neuropathy, Dyslipidemia, Greater body mass index, Poor compliance with Medication and type of medication used (combination of oral and injectable) were found statistically significant predictor for DFU. However retinopathy was not found to be a risk factor of DFU. This result was statistically significant.Conclusion:Factors like obesity, waist circumference, combination of oral along with injectable therapies, neuropathy, dyslipidemia, retinopathy and poor compliance with medication were statistically significant and can be strongly linked with diabetic foot ulcer. Middle age, Male gender, Type 2 diabetes, and Hypertension were insignificantly co-related. However, further studies are needed in larger population to support these findings.

The study was performed to estimate the association of hypertension and dyslipidaemia with increasing body weight and obesity in Type II diabetics of Lahore, Pakistan. An observational study was conducted by enrolling 2708 obese diabetics from four diabetes care centres of Lahore, Pakistan. Data was collected for a period of 7 months. Associations were estimated using chi-square, binary and multinomial logistic regression. Data suggested that blood pressure, systolic and diastolic, exhibited continual increase with increasing body weight and obesity class in diabetes patients with 41.8% increase in the prevalence of hypertension in obesity class III subjects (OR; 1.91, p=0.02). Likewise, triglycerides and total cholesterol exhibited continual increase in their mean values with increasing obesity, i-e., an overall increase in the prevalence of dyslipidaemia of 27.2% in obesity class 3 subjects (OR; 1.94, p=0.29). Taken together, this data suggested that hypertension is potentially associated with increasing obesity in diabetics, while dyslipidaemia demonstrated plausible association only with obesity class 3.

Introduction: Coronavirus has spread rapidly in Pakistan. These patients were kept at quarantine facilities on suspicion, even before RT-PCR was done. We were able to collect clinical, laboratory, and management features from them.  Objective: To assess the features of Corona confirmed and unconfirmed patients, and compare them. It could help in deciding if confirmed and unconfirmed patients were correctly identified and managed appropriately. Material and Methods: Retrospective, Descriptive, Crossectional study between 8th April to 30th April 2020. Patient data was collected from different sites retrospectively, on a Performa. Clinical, Laboratory, and Management data as collected. It was analyzed on SPSS 23. All patients in quarantines and ICU were included, irrespective of their corona PCR status, if the treating physicians had a strong suspicion. Home quarantine and less than 15-year old patients were excluded. Results: Clinical features showed more preponderance for males and smokers. Chronic disease patients were also significantly involved. Fatigue, nasal congestion, runny nose, sickness, and vomiting were more common in confirmed patients. CURB 65 scores 3 and 4 were more in unconfirmed patients. CT involvement was more common in unconfirmed patients as was high white cells and neutrophils. More patients had mechanical ventilation in the unconfirmed group, and they also had more secondary infections and shock. Antibiotic use was more common in the confirmed group. Conclusion: Corona was more common in males and smokers. Though fever and cough were common, the presence of fatigue, runny nose, nasal congestion sickness, and vomiting discriminated confirmed patients. Antibiotics should be used irrespective of RT-PCR results, especially if CT showed an abnormality.

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in the world. The aim of this study was to analyze different characteristics instroke patients in Medical Unit 1 of Lahore General Hospital, which is biggest referral hospital forNeurology patients in Punjab, to identify the risk factors and help in targeting prevention in ourpatients. Study Design: Descriptive study. Setting: Lahore General Hospital, Lahore. Period:January 2016, including data from January to November 2015. Methods: The demographicdata, clinical manifestations, risk factors, side of weakness, cranial nerves involved, neurologicalweakness and Glasgow Coma Scale, duration of stay in hospital and outcome were includedin the data. For the comparison between categorical variables Chi-square test was used. Forother variables, t-test was used. Results: A total of 235 patients with stroke, age 20 to 105(mean ±SD= 58±14.6) were included. 127 (54%) had Ischemic stroke (IS) and 100 (42.6%)had hemorrhagic stroke (HS). 127 (54%) were men and 108 (46%) were women. 17.9% of thepatients with IS and 21.7% of the patients with HS died (OR 0.65 95% CI 0.48-0.89). Hypertension,diabetes and dyslipidemia were the most common risk factors. Conclusion: Burden of stroke ishigh in Pakistan. Mean age of patients with stroke is less. Hypertension, diabetes, dyslipidemiaand smoking are highly prevalent and hypertension is the most common. Ischemic strokes aremore common, mortality of intra-cerebral hemorrhage is higher.