Publications by authors named "Uzair Yaqoob"

19 Publications

  • Page 1 of 1

Frequency of Subclinical Hypothyroidism in Old-age Population.

J Coll Physicians Surg Pak 2021 Aug;31(8):995-997

Department of Medicine, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.

This study was conducted to determine the frequency of subclinical hypothyroidism (SCH) in the old age population (>60 years). A cross-sectional study was conducted from July 2019 to January 2020 at Jinnah Postgraduate Medical Centre, Karachi, Pakistan. Healthy subjects (having no active complaint) of either sex aged 60-80 years were included. Those already on thyroid replacement, preexisting thyroid diseases, prior radiation therapy, or having chronic kidney disease were excluded. A total of 133 participants, 79 males and 54 females, were selected with a mean age of 69.5 ± 6.4 years. There were 29 diabetics, 30 hypertensives, and 10 smokers. A total of 17 (12.8%) were found to have SCH. On stratification, gender, diabetes mellitus, and hypertension had a significant association with the presence of SCH. SCH is a modifiable risk factor, more in females, diabetics, hypertensives, and the old age population. These results highlight the need for screening for SCH in primary care settings, especially in old age. Key Words: Subclinical hypothyroidism, Old age, Gender, Diabetes, Hypertension.
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http://dx.doi.org/10.29271/jcpsp.2021.08.995DOI Listing
August 2021

Treatment of high-energy intra-articular fractures of tibia with Ilizarov external fixator in adults: A tertiary centre experience.

Int J Clin Pract 2021 Sep 21;75(9):e14488. Epub 2021 Jun 21.

Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.

Objective: To evaluate the clinical and radiological outcomes of the Ilizarov fixator in the proximal and distal fractures of the tibia.

Materials And Methodology: This retrospective study reviewed 59 patients having high-energy intra-articular proximal and distal tibia fractures associated with severe soft-tissue injury, who were managed surgically with an Ilizarov fixator. The functional outcome was evaluated by using the American Orthopaedic Foot and Ankle Society scoring system (AOFAS) and the Association for the Study and Application of the Method of Ilizarov (ASAMI) Italy scoring system for tibial plateau and plafond fractures respectively.

Results: The most common mode of injury was road traffic accidents. According to the Gustilo open fracture classification, there were 16 patients with grade-I and nine with grade II open fractures. The remaining had closed fractures. According to the Schatzker classification of plateau fractures, 20 were graded as type V and 15 as type VI. According to the AO classification of plafond fractures, 12 fractures were graded as Type-43C1, 5 as Type-43C2, and 7 as Type-43C3. There was delayed union in 11 proximal and four distal fractures, all of which achieved union without additional bone grafting. In proximal fractures, according to AOFAS, out of 35, 26 had an acceptable while nine had a fair result. In distal fractures, according to ASAMI, out of 24, 16 had an acceptable while five had fair results. There were 192/448 wires in 58 patients with pin site infection; all were superficial and settled. Posttraumatic joint arthrosis was noted in nineteen.

Conclusions: The postoperative clinical and radiological outcome indicated that primary Ilizarov external fixator is a reliable minimal invasive surgery and definitive fixation method for high-energy intra-articular proximal and distal tibial fractures with compromised soft-tissue. It also offers early stabilisation and painless joint motion without a high rate of complications.
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http://dx.doi.org/10.1111/ijcp.14488DOI Listing
September 2021

The height as an independent risk factor of atrial fibrillation: A review.

Indian Heart J 2021 Jan-Feb;73(1):22-25. Epub 2020 Nov 12.

Lady Reading Hospital, Peshawar, Pakistan. Electronic address:

Atrial fibrillation (AF) is characterized by abnormal heart rhythm. Among other well-known associations, recent studies suggest an association of AF with height. Height is related to 50 diseases spanning different body systems, AF is one of them. Since AF, a heterogeneous disease process, is influenced by structural, neural, electrical, and hemodynamic factors, height alters this process through its contribution to increasing atrial and ventricular size, leading to altered conduction patterns, autonomic dysregulation, and development of AF. Multiple underlying mechanisms associate height with AF. Apart from these indirect mechanisms, genome-wide association studies suggest the involvement of the same genes in AF and growth pathways. Tall stature is independently associated with a higher risk of AF development in healthy individuals. Since adult height is achieved much earlier than the onset of AF, protective measures can be taken in individuals with increased height to monitor, manage, and prevent the progression of AF.
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http://dx.doi.org/10.1016/j.ihj.2020.11.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7961249PMC
July 2021

Prevalence of vitamin D deficiency in children presenting with supracondylar fractures of humerus.

Int J Clin Pract 2021 May 10;75(5):e14056. Epub 2021 Feb 10.

Dow University of Health Sciences, Karachi, Pakistan.

Objective: The purpose of the current analysis is to evaluate the predominance of vitamin D inadequacy in children with supracondylar fracture of the humerus.

Methods: This is a cross-sectional study conducted at Dr Ruth K. M. Pfau Civil, Hospital, Karachi, Pakistan, from December 2019 to July 2020. Patients aged 18 months-18 years presenting with supracondylar fractures were included in the study. Patients were divided into four groups based on their age as toddlers (18 months to 3 years), pre-school age (3-5 years), school-age (6 to 11 years) and adolescents (11-18 years).

Results: A total of 227 children presented with upper limb fractures of which 72 (31.7%) were supracondylar. The mean vitamin D level was found to be 32.5 ± 9.1 ng/mL. Of the study subjects, low vitamin D levels were found in 34.7% (n = 25), adequate in 59.7% (n = 43) and ideal in 5.5% (n = 4) of patients. The mean vitamin D levels for toddlers were 33.5 ng/mL, for preschool children was 27.66 ng/mL, for school-age children was 30.4 ng/mL and for adolescents was 37 ng/mL.

Conclusion: Vitamin D deficiency is not only restricted to Pakistan but also other parts of the world, although the reasons may vary in each of those regions. However, vitamin D supplementation in all parts of the globe can prevent a significant number of fractures. This prevalence study showed vitamin D deficiency in 35% of children with supracondylar fractures, with the lowest mean values in the preschool age group.
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http://dx.doi.org/10.1111/ijcp.14056DOI Listing
May 2021

Disease Spectrum and Frequency of Illness in Pediatric Emergency: A Retrospective Analysis From Karachi, Pakistan.

Ochsner J 2019 ;19(4):340-346

Department of Pediatrics, National Institute of Child Health, Karachi, Pakistan.

The National Institute of Child Health (NICH) is the largest tertiary care pediatric hospital operating in Karachi, Pakistan. Its emergency department (ED) is always occupied. However, the spectrum of illness in patients presenting to this ED has not been investigated in depth to identify the most common presentations and to develop effective management for treating patients. This retrospective study included all children visiting the pediatric ED of the NICH from January 2017 through December 2017. Newborns to children 14 years of age were included, for a total cohort of 188,803 patients. Sociodemographic data and clinical information were extracted from the medical record. Univariate analysis was performed to determine the frequency and percentage for all the variables. The cohort consisted of 9% (n=16,952) neonates (0 to 1 month) and 91% (n=171,351) older children (>1 month to 14 years). Among the neonates, 36.6% presented as triage level 1. Sepsis was diagnosed in 23.8% of neonates, low birth weight/preterm in 18.4%, and respiratory distress/pneumonia in 15.2%. In infants and older children, diagnoses related to the respiratory system (37.3%), gastrointestinal system (16.4%), and multisystem involvement (15.9%) were the most common. During the evening shifts, 38.1% of patients were seen, and on weekends, 51.6% of patients were seen. Sunday was the busiest day in the ED. The tertiary care pediatric EDs in Pakistan have witnessed an increasing number of critical emergencies over time. Respiratory and gastrointestinal emergencies form the majority of the ED burden. A surge of patients is seen on the weekends and during the evening shifts. The spectrum of illnesses should be investigated via prospective, longitudinal studies in other pediatric EDs in Pakistan to understand the trends and to provide the foundation for developing nationwide recommendations for improving pediatric emergency care.
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http://dx.doi.org/10.31486/toj.18.0134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928663PMC
January 2019

Case Report: Rare comorbidity of celiac disease and Evans syndrome: The rare correlation of Celiac and Evans syndrome.

F1000Res 2019 14;8:181. Epub 2019 Feb 14.

Jinnah Postgraduate Medical Centre, Karachi, Sindh, Pakistan.

Celiac disease is an immune-mediated enteropathy due to permanent sensitivity to gluten in genetically predisposed individuals. Evans syndrome is an autoimmune disorder designated with simultaneous or successive development of autoimmune hemolytic anemia and immune thrombocytopenia and/or immune neutropenia in the absence of any cause. We report a rare case of Celiac disease and Evans syndrome in a 20-year-old female who presented to us with generalized weakness and shortness of breath. Her examination finding included anemia, jaundice, and raised jugular venous pulse. Her abdominal exam revealed hepatosplenomegaly. Her laboratory values showed microcytic anemia, leukocytosis and thrombocytopenia. To rule out secondary causes of idiopathic thrombocytopenia purpura, we tested viral markers for Human immunodeficiency virus, Epstein bar virus, Cytomegalovirus and performed a test, all of which were negative. We also ruled out idiopathic thrombocytopenia purpura associated with any thyroid disorder.  For celiac disease, we took anti-tissue transgulataminase titers of IgA and IgG which confirmed the diagnosis of celiac disease. For the diagnosis of Evans syndrome, despite a negative serum coombs test initially, her bone marrow sample showed a positive Coombs test along with immune mediated hemolytic anemia and immune mediated thrombocytopenia. The patient was treated with prednisone which was tapered off and counseling was provided regarding a gluten free diet. Although rare, tests for Evans syndrome (and other coexisting autoimmune problems) should be performed in patients with celiac disease.
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http://dx.doi.org/10.12688/f1000research.18182.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6613476PMC
June 2020

Effect of Migraine Headache on Productivity of Patients According to Migraine Disability Assessment Score: A Cross-Sectional Study.

Pain Ther 2019 Dec 9;8(2):233-238. Epub 2019 Jul 9.

Dow University of Health Sciences, Karachi, Pakistan.

Introduction: Migraine, a primary headache disorder, is usually recurrent with moderate to severe intensity. Migraine is the third most common cause of disability under the age of 50. There are various scoring systems for assessing this disability, one of which is MIDAS; the Migraine Disability Assessment Score. The objective of our study was to determine the extent of disability among migraine patients, patterns of prophylaxis, and their healthcare-seeking behaviors.

Methods: This survey was done in 50 migraine patients at Jinnah postgraduate medical Centre from April to May 2018. The questionnaire inquired about the demographic information, management of migraine, and effect of this condition on their sleep, and the last part had assessment to know about their functional disability.

Results: The majority of the patients were females with a mean age of 31 ± 10 years. Acetaminophen was the most common medication used during a migraine attack, followed by nonsteroidal anti-inflammatory drugs. Only 54% of subjects admitted using prophylaxis, out of which 94% had stopped taking it after some time, with the most common reason being their side effects. β-blockers were the most common prophylaxis used. Only 32% had a regular follow-up visit with their doctors. Patients were graded according to the MIDAS score as: little or no disability, 22%; mild disability, 14%; moderate disability, 24%; and severe disability, 40%.

Conclusions: The majority of migraine patients were found to have severe disability, which affected their daily work and social activities. Despite an increase in disability rate due to migraine, people do not seek regular medical care for this type of headache in Pakistan.
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http://dx.doi.org/10.1007/s40122-019-0130-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857116PMC
December 2019

The Clinicopathological Profile of Eosinophilic Myocarditis.

Cureus 2018 Dec 3;10(12):e3677. Epub 2018 Dec 3.

Internal Medicine, National Institute of Child Health, Karachi, PAK.

Eosinophilic myocarditis (EM) is a rare form of myocarditis. As there is extreme diversity in its manifestations, the true incidence is difficult to assess and no proper epidemiological criteria are present. It generally presents with a wide array of clinical manifestations. Clinical presentation tends to differ in cases and not all the patients show the same signs and symptoms. The etiology of EM often remains obscure but potential causes have been identified which may include hypersensitivity to drugs, exposure to certain viruses and parasites, and hyper-eosinophilic syndromes. Endomyocardial biopsy is considered to be a gold standard for the diagnosis of EM. Echocardiography, cardiac magnetic resonance, and bio markers particularly serum eosinophilic cationic protein concentrations are also known to aid in diagnosis. EM may lead to progressive, irreversible, and fatal myocardial damage if prompt diagnosis is not made and therapy is not initiated. The current treatment regimens include corticosteroids, cytotoxic agents, and immunosuppressive therapy. However, a proper treatment criterion is yet to be established.
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http://dx.doi.org/10.7759/cureus.3677DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367107PMC
December 2018

Burnout Among Orthopedic Surgeons and Residents in Pakistan.

Cureus 2018 Aug 4;10(8):e3096. Epub 2018 Aug 4.

Dow Medical College, Dow University of Health Sciences, Karachi, PAK.

Objective Burnout is exceptionally pervasive among medical professionals, especially surgeons, and is considered the main indicator of surgeons' fulfillment with career choice. Our objectives are to discover the extent of orthopedic specialist burnout in Pakistan and to explore the clinical impact of burnout. The efficacy of surgeons may be enhanced by implementing burnout prevention and treatment plans. Data collection This observational study was conducted from April 2018 to May 2018 in various tertiary care hospitals in Pakistan and includes post-graduate trainees and consultants. Those who agreed to be part of this study were asked to complete a self-structured questionnaire about demographics and burnout. The questionnaire had 28 questions based on a standard questionnaire from the American Public Welfare Association. Results In our study, 15% (n=15) of respondents had advance burnout, 22% (n=22) had early burnout, and 43% (n=49) had a fair chance of burnout. All 15 participants suffering from advance burnout were consultants. Of participants suffering from early burnout, 36.3% (n=8) were consultants, and 63.7% (n=14) were post-graduate trainees. Conclusion Compared to other countries, the burnout rate is higher among Pakistani orthopedic surgeons. Special care and attention should be paid towards the stress and workload of surgeons.
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http://dx.doi.org/10.7759/cureus.3096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173275PMC
August 2018

Wernicke Encephalopathy Due to Hyperemesis Gravidarum in Pregnancy: A Case Report.

Cureus 2018 Jul 17;10(7):e2991. Epub 2018 Jul 17.

Surgery, Jinnah Postgraduate Medical Centre, Karachi, PAK.

Wernicke's encephalopathy (WE) is a life-threatening acute or sub-acute neurological emergency characterized by ataxia, confusion, nystagmus, and ophthalmoparesis caused by thiamine deficiency. It was first described in 1881 by Carl Wernicke with alcohol being the most common cause. We present a rare case of a 35-year-old pregnant female who presented to our emergency department with a history of vomiting and loose motions for two weeks. She later developed fever, confusion, slurred speech and blurring of vision. Magnetic resonance imaging (MRI) of the brain revealed typical lesions of WE. She was immediately treated with thiamine and her symptoms improved in a few days.
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http://dx.doi.org/10.7759/cureus.2991DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6141217PMC
July 2018

Post-football Gonathrosis: Injuries and Surgeries are A Risk.

Cureus 2018 Jul 10;10(7):e2953. Epub 2018 Jul 10.

Sindh Medical College, Dow University of Health Sciences, Karachi, PAK.

Football is one of the most popular sports in the world. Many studies have shown there is a high incidence of gonarthrosis in football players. The reason for this increase is said to be injuries to the meniscus, the anterior cruciate ligament (ACL) and the resulting surgeries. The incidence is significantly increased in players with knee injuries. The knee is also the most commonly injured site in football and the most common cause of surgery in football players. Together these injuries, particularly of the ACL or meniscus and the resulting surgeries, increase the risk of developing gonarthrosis in post-football years.
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http://dx.doi.org/10.7759/cureus.2953DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132680PMC
July 2018

Our pulse - Best in-build fitness monitor.

Indian Heart J 2018 Jul - Aug;70(4):584. Epub 2018 Feb 19.

Sindh Medical College, Dow University of Health Sciences, Karachi, Pakistan. Electronic address:

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http://dx.doi.org/10.1016/j.ihj.2018.02.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116778PMC
September 2019

Pattern of Infecting Microorganisms and Their Susceptibility to Antimicrobial Drugs in Patients with Diabetic Foot Infections in a Tertiary Care Hospital in Karachi, Pakistan.

Cureus 2018 Jun 25;10(6):e2872. Epub 2018 Jun 25.

Surgery, Jinnah Postgraduate Medical Centre, Karachi, PAK.

Diabetes mellitus is a universal health problem, with its prevalence in Pakistan making it among the top 10 countries in the world. Approximately 13.9 million people in Pakistan will have developed diabetes by 2030. Diabetic foot ulcer (DFU) is one of the more serious complications of diabetes. If not treated properly, patients may develop diabetic foot osteomyelitis leading to gangrene and amputation. These infections are usually polymicrobial, with Staphylococcus aureus (S. aureus), Proteus, Pseudomonas, and Escherichia coli (E. coli) being among the more common organisms isolated from DFU. This survey of patients with DFU in a tertiary hospital in Karachi, Pakistan found 68.5% of patients had peripheral neuropathy, 57% had chronic osteomyelitis, and 37% and 49% had Wagner grades 2 and 3, respectively. Infections were polymicrobial in 83% of patients, E. coli was isolated from 63%, and S. aureus from 58%. Of the isolated organisms, 95% were sensitive to meropenem and 81% to linezolid.
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http://dx.doi.org/10.7759/cureus.2872DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110415PMC
June 2018

The H Syndrome: A Genodermatosis.

Cureus 2018 Jun 8;10(6):e2763. Epub 2018 Jun 8.

Medicine, Aga Khan University, Karachi, PAK.

H syndrome (histiocytosis lymph adenopathy plus syndrome) is an autosomal recessive disorder caused by mutations in the SLC29A3 gene, encoding the human equilibrative nucleoside transporter (hENT3), characterized by cutaneous hyperpigmentation and hypertrichosis, hepatosplenomegaly, hearing loss, heart anomalies, hypogonadism, low height, hyperglycemia/insulin-dependent diabetes mellitus, and hallux valgus/flexion contractures. Exophthalmos, malabsorption, renal anomalies, flexion contractions of interphalangeal joints and hallux valgus, and lytic bone lesions, as well as osteosclerosis, are also seen. If these are lacking, the constellation of additional findings should raise suspicion for H syndrome. As most of the patients reported to date with H syndrome are from traditional, low-income populations, where consanguinity is common, it is highly important to develop a cheap and affordable technique for a mutation analysis. Two siblings presented to us, diagnosed as having insulin-dependent diabetes mellitus (IDDM) since the age of eight years and progressive flexion contracture of the small joints for seven-eight years. On examination, both had short stature. One also had bilateral cervical lymphadenopathy. The female had the Tanner stage of B3P3A2 M0 and the male had the Tanner stage of prepuberty. Laboratory workup, including antinuclear antibodies, rheumatoid factor, erythrocyte sedimentation rate, thyroid profile, and Celiac serology were negative. Genetic studies confirmed the diagnosis of H syndrome.
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http://dx.doi.org/10.7759/cureus.2763DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082582PMC
June 2018

Complete blood picture with skeletal and visceral changes in patients with thalassemia major.

Int J Health Sci (Qassim) 2018 Jul-Aug;12(4):3-10

Department of Medicine, Sindh Medical College, Dow University of Health Sciences, Karachi, Pakistan.

Objective: The objective of this to find the prevalence of skeletal and visceral changes in thalassemics and its relationship with variation in blood components.

Methodology: This is a cross-sectional study conducted in tertiary care hospital in Karachi among patients diagnosed with thalassemia major who require regular blood transfusions.

Result: Among 200 individuals, 95 were females, whereas 105 were males. 96.5% of the study sample showed normocytic normochromic blood picture. Mean pre-transfusion hemoglobin (Hb) for 200 patients was 8.91 g/dl, while the mean post-transfusion Hb was 12.07 g/dl. Among all the variables, some strong predictors of change were age and HbA which were found associated with the development of cardiac change in transfusion-dependent thalassemia patients. Hepatomegaly was observed in 66.5% of the patients while normal liver span was observed in 33.5%. 6% of patients showed evidence of skeletal changes on X-ray. Splenomegaly was observed in 26.5%, while in 4.5% of the patients, spleen was not visualized due to splenectomy. Cardiac involvement was observed in 8% of the patients on T2*magnetic resonance imaging.

Conclusion: Visceral changes particularly hepatomegaly is very common among transfusion-dependent thalassemia patients. Blood studies for Hb and ferritin levels help to detect these changes when conventional investigations are not possible.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040856PMC
July 2018

Cerebral Malaria in a Patient with HIV, Hepatitis B, and Hepatitis C.

Cureus 2018 May 2;10(5):e2569. Epub 2018 May 2.

Sindh Medical College, Dow University of Health Sciences, Karachi, PAK.

Cerebral malaria is one of the most common causes of non-traumatic encephalopathy. A 25-year-old man who is a known intravenous and oral drug abuser presented to our clinic with fever and sore throat for two days prior and an altered level of consciousness for one day. On examination, the patient was icteric, and his Glasgow coma scale score on arrival was 10/15; he had dilated pupils reactive to light and a positive corneal reflex. All cranial nerves were intact; however, signs of meningeal irritation were positive. Motor examination showed an increased tone and rigidity in all limbs, patellar reflex was 3+, plantars were down-going, and clonus was negative. A fundoscopic examination was unremarkable. Additional investigations revealed he was positive for Plasmodium falciparum, HIV, hepatitis B, and hepatitis C. In addition, a test of his cerebrospinal fluid revealed evidence of cerebral malaria. We initiated artemether 120 mg, intravenous ceftriaxone 2 g, and 5% dextrose saline for the intermittent hypoglycemia. The patient's condition eventually improved drastically. This case outlines the possible exacerbating effect of HIV on malaria, and it calls for HIV screening and staging alongside suspected malaria. This case also underlines the need for further evaluation of a potential protective role of hepatitis B and C to find an alternative therapeutic cure for malaria.
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http://dx.doi.org/10.7759/cureus.2569DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029744PMC
May 2018

Diabetes Mellitus in Children and Its Effect on Caregivers' Mental Health.

Cureus 2018 Apr 2;10(4):e2409. Epub 2018 Apr 2.

Baqai Medical University.

Introduction Caring for a child with diabetes often has a negative effect on the mental health of caregivers and other family members. The goal of this study was to determine the effect of caring for children with diabetes on the mental health of caregivers. Materials and methods This case-control study was conducted in the National Institute of Child Health from October to November 2017 to compare the mental health effects associated with caring for children with diabetes as against caring for children without diabetes. The case group consisted of the caregivers of 60 children with diabetes, and the control group consisted of the caregivers of 60 children without diabetes. A validated questionnaire with two scales was used. Frequencies, percentages, confidence intervals, and p-values were reported for the categorical variables. The variables were analyzed using Patient Health Questionnaire 9 (PHQ-9) and Generalized Anxiety Disorder 7 (GAD-7) scales to determine associations. Results In the case group, most caregivers were mothers, 60% had consanguineous marriages, 21.7% were employed, and 21.7% were suffering from a long-term illness. Of those reporting a disease, 13.3% reported a change in their disease. Most caregivers (71.7%) received family support, and 78.3% of caregivers had social support. Most caregivers in the case group had mild depression, and 35% had mild anxiety. In the control group, most caregivers were mothers, 5% were employed, and 35% had disease(s). Of those reporting a disease, 15% reported a change in their health. Most of the caregivers in the control group (93.3%) had family support, and 85% had social support. Most (62%) were found to have mild depression, and more than half had no anxiety. Most children in the control group were under five years old, and most children in the case group were over 10 years old. Nearly half of the children in the case group had a positive family history of thalassemia, and 68.3% of them have insulin administered once daily. Strong variables that affect caregiver mental health were caregiver age, health changes, and consanguinity. Conclusion The caregivers of children with diabetes have a higher incidence of anxiety compared with the caregivers of children without diabetes; depression was similar for both groups. Health care providers should be aware of the differences in parenting stress related to caring for children with long-term illnesses and should consider ways to help improve the well-being of these caregivers.
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http://dx.doi.org/10.7759/cureus.2409DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984267PMC
April 2018

Post partum depression-It's time to pay attention.

Asian J Psychiatr 2018 Jan 16;31:111. Epub 2018 Feb 16.

Sindh Medical College, Dow University of Health Sciences, Karachi, Pakistan. Electronic address:

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http://dx.doi.org/10.1016/j.ajp.2018.02.010DOI Listing
January 2018
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