Poor sleep quality: A wake-up call for the elderly at a tertiary care centre in Islamabad, Pakistan.

Objective: To assess the burden of sleep disorders in the elderly, and the effects of various co-morbidities linked with sleep disorders.

Methods: The longitudinal cross-sectional study was conducted in different outpatient departments at a tertiary care centre in Islamabad, Pakistan, from June 2014 to June 2015, and comprised patients of either gender aged 60 years or above. Pittsburgh sleep quality index and Epworth sleepiness scale were used to measure the quality and patterns of sleep and daytime sleepiness in the elderly.

Predicting Quality of Life Changes in Hemodialysis Patients Using Machine Learning: Generation of an Early Warning System.

Objective To predict changes in the quality of life scores of hemodialysis patients for the coming month and the development of an early warning system using machine learning Methods It was a prospective cohort study (one-month duration) at the dialysis center of a tertiary care hospital in Pakistan. The study started on 1 October 2016. About 78 patients have been enrolled till now.

Prevalence of Obesity in Carpal Tunnel Syndrome Patients: A Cross-Sectional Survey.

Carpal tunnel syndrome (CTS) is the most common compressive entrapment neuropathy caused by the compression of the median nerve at the wrist space known as the carpal tunnel. The epidemiologic factors related to CTS include genetic, medical, social, vocational, and demographic factors. The common symptoms experienced include pain, paresthesia, and numbness in the median nerve distribution.

Spinal Schwannoma with Intradural Intramedullary Hemorrhage.

Patients with spinal abnormalities infrequently present with intradural intramedullary bleeding. The more common causes include spinal trauma, arteriovenous malformations and saccular aneurysms of spinal arteries. On occasion, spinal cord tumors either primary or metastatic may cause intramedullary bleed with ependymoma of the conus medullaris.

Renal Infiltration by Diffuse Large B-Cell Lymphoma as a Rare Cause of Fanconi's Syndrome: A Case Report.

We report the case of a 16-year-old female patient with a known history of coeliac disease, who presented with the complaints of diarrhea, vomiting and generalized body weakness. On examination, she was found to have dehydration, decreased power in all her limbs, cervical lymphadenopathy and hepatosplenomegaly. Investigations showed severe hypokalemia, hyponatremia, hypomagnesemia, hypoglycemia and mildly enlarged kidneys on ultrasonography.

Predicting Central Venous Pressure by Measuring Femoral Venous Diameter Using Ultrasonography.

Objectives: The objective of this exploratory study was to find out the correlation of femoral vein diameter (FVD) to central venous pressure (CVP) measurements and to derive a prediction equation to help ascertain the fluid volume status in a critical patient.

Patients And Methods: This was a single-centered prospective cohort study designed and conducted by the critical care department of Shifa International hospital in Islamabad, Pakistan. Patients were enrolled from the medical and surgical intensive care units.

Antibiogram of Medical Intensive Care Unit at Tertiary Care Hospital Setting of Pakistan.

Objective:  To determine the frequency of micro-organisms causing sepsis as well as to determine the antibiotic susceptibility and resistance of microorganisms isolated in a medical intensive care unit.

Materials And Methods:  This is a cross-sectional analysis of 802 patients from a medical intensive care unit (ICU) of Shifa International Hospital, Islamabad, Pakistan over a one-year period from August 2015 to August 2016. Specimens collected were from blood, urine, endotracheal secretions, catheter tips, tissue, pus swabs, cerebrospinal fluid, ascites, bronchoalveolar lavage (BAL), and pleural fluid.

Predictors of Prolonged Hospitalization in Patients with Fever.

Objective:  The study was conducted to analyze the predictors of prolonged hospitalization in patients with fever.

Patients And Methods:  This was a prospective cohort study conducted from July - December 2015 at Ayub Teaching Hospital, Pakistan. Convenience sampling was used to enroll the patients who visited the hospital during the study duration.