Psychosocial determinants of nutritional neglect in a developing country.

Objective: To determine the demographic features and psycho-social and economic determinants of nutritional neglect in order to suggest interventional strategies.

Study Design: Cross-sectional, observational study.

Place And Duration Of Study: Department of Paediatrics, Dow University of Health Sciences (DUHS) and Civil Hospital Karachi (CHK), from January 2009 to December 2010.

Multiple autoimmune syndrome: Hashimoto's thyroiditis, coeliac disease and systemic lupus erythematosus (SLE).

Various autoimmune diseases have association with each other but it is very rare to see multiple autoimmune diseases in one patient. Presence of more than two autoimmune diseases in one patient is known as multiple autoimmune syndrome (MAS). We report the case of an 11 years old girl who presented with history of swelling in front of the neck along with constipation, anorexia, weight gain and increasing pallor over a period of six months.

Palliative management of irresectable carcinoma esophagus using self expandable metallic stent (SEMS).

Objective: To evaluate the symptomatic relief of dysphagia after stenting in patients with carcinoma esophagus

Methods: A prospective non randomized descriptive study was conducted at Surgical Unit 4, Civil Hospital Karachi, Pakistan over a period of 1 year, from August 2006 to July 2007. A total of 41 patients with biopsy proven carcinoma esophagus having irresectable disease on the basis of CT scan or poor risk for major surgery were included in the study. Self expandable metallic stents were placed under fluoroscopic guidance in all the patients.