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OBJECTIVE: To record the clinical and demographic characteristics of measles in patients hospitalized with measles infection in Peshawar, Pakistan. METHODS: A retrospective review of medical records from December 2017 to January 2016 was conducted at Northwest General Hospital and Research Centre, Peshawar. A total of 182 measles patients' data was retrieved and recorded in predesigned format which include information on demographics, clinical features, complications and outcome. Both descriptive and inferential statistics was used for data analysis. RESULTS: Out of 182 patients, 118(64.8%) were males. The mean age was 24.1±2.5 months. The average length of hospital stay was 3.09±2.58 days. The most common complication was pneumonia 99 (54.4%), followed by diarrhea 54 (29.7%) and encephalitis 11 (6.0%). The patients were categorized in to two age groups, pre-vaccination group (=9 months age) and post-vaccination group (>9 months age). Significant number of cases 54 (30%) were seen in age group <9 months. Only 45 (35%) cases in age group >9 months received the scheduled measles vaccination. Multivariate regression analysis revealed that Koplik spots [AOR=0.251, Cl; 0.074-0.853, p=0.027], lymphocyte count (normal/high) [AOR=0.205, Cl; 0.092-0.453, p<0.001] and vaccination in general [AOR= 2.546, Cl; 1.185-5.469, p=0.017] were found to be significantly associated with age group >9 months. CONCLUSION: Pneumonia was the commonest complication followed by diarrhea. Vaccination history was very poor and significant number of patients were seen in age group <9 months of age. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To find out the clinical characteristics, treatment offered and outcome of patients with ST elevation myocardial infarction (STEMI) admitted to cardiology unit Lady Reading Hospital (LRH), Peshawar, Pakistan. METHODS: This retrospective observational study was conducted in Cardiology Unit, LRH, Peshawar, Pakistan by analyzing record of all diagnosed STEMI patients of age >18 years, from 1st January to 31 December 2013. RESULTS: Total number of patients admitted with STEMI were 1733 (46.02% of total coronary artery disease admission). Of all these patients with STEMI, fibrinolytic therapy with streptokinase were given to 1380 (79.6%) patients, while 343 (19.8%) were late for fibrinolytic therapy or having some contraindication to fibrinolytic therapy. Ninety four (5.4%) patients received primary or rescue percutaneous coronary intervention (PCI). Out of 1733 patients, males were 1085 (62.60%), female were 648 (37.40%), mean age was 57.42±8.7 years, diabetes was found in 458 (26.39%) cases, hypertension in 679 (39.18%) cases, smokers were 183 (10.5%). Family history of coronary artery disease (CAD) was found in 205 (11.82%) cases, past history for CAD was present in 305 (17.5%) patients and anterior wall myocardial Infarction & new onset left bundle branch block was found in 790 (45%) cases. In-hospital mortality was 158 (9.1%). CONCLUSION: About 46% of patients admitted with CAD were having STEMI, of them 80% receive streptokinase while only 5.4% were subjected to primary or rescue PCI. In-hospital mortality is about 9%. Anterior wall MI was the most frequent AMI. [ABSTRACT FROM AUTHOR]