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Home > A Comparison of Clinical Risk Factors and Bone Mineral Density Bmd in the Assessment of Osteoporosis in Patients Admitted With Hip Fractures Aged Fifty Years and Above at Aga Khan Hospital Dar-Es-Salaam, 2009

A Comparison of Clinical Risk Factors and Bone Mineral Density Bmd in the Assessment of Osteoporosis in Patients Admitted With Hip Fractures Aged Fifty Years and Above at Aga Khan Hospital Dar-Es-Salaam, 2009

Thesis Info

Author

Shabani, Jacob

Department

Family Medicine (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2010

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728031756

Similar


Objective: To compare World Health Organisation (WHO) osteoporosis clinical risk factors with BMD in assessing osteoporosis amongst patients over 50 years of age admitted with hip fractures at Aga Khan Hospital, Dar es Salaam Methods: Study Design: Cross-sectional hospital based study. Study Site: Aga Khan Hospital Dar es Salaam. Sample Size: 31 patients. Results: Of the 31 patients with hip fractures studied, 18 (58%) had osteoporosis, 5 (16%) were osteopaenic and 8 (26%) had normal BMD. Odds Ratios for clinical risk factors were non-significant owing to the small sample size and were considered as hypothesis generating rather than confirming or refuting associations. FRAX™ 10 year Major Osteoporotic Fracture Probability > 20% (Model 1) had a sensitivity of 44.44%; specificity of 92.31%; positive LR of 5.78 and negative LR of 0.60. FRAX™ 10 Year Hip Fracture Probability > 3% (Model 2) had a sensitivity of 33.33%; specificity of 92.31%; positive LR of 4.33 and negative LR of 0.72. Test characteristics did not significantly alter when FRAX™ was used with osteoporosis alone in comparison with osteoporosis and osteopaenia combined. Majority of the patients in the study were Asian - Indian. In Black patients with hip fractures 8 out of 12 [66.67%] had osteoporosis. Low energy trauma was the most common cause of fracture proving that fragility fractures were common. Conclusions and Recommendation: Our study has shown that the prevalence of osteoporosis amongst patients with hip fractures is noteworthy. The FRAX™ tool for osteoporotic fracture determination had appreciable high negative likelihood ratios and specificity. This might enable this tool to be used locally to ‘rule out’ osteoporosis without using BMD. The author recommends further studies that would either determine the incidence of osteoporotic hip fracture in Dar es Salaam hospitals or conduct a community based survey to assess the prevalence of osteoporosis. This study it is hoped would encourage proposals for the development of regional screening protocols for osteoporosis and the development of a region specific FRAX™ model.
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شہیدعلی محمد ہنگورو

شہید ابن شہید علی محمد ہنگورو

لیاری کی تنگ و تاریک گلیوں میں جنم لینے والا علی محمد ہنگورو بالمعروف ’’علی ہنگورو ‘‘نسل در نسل باوقار جد وجہد سے جام شہادت تک ثابت قدم ،شہید علی ہنگورو کے والد شہید یعقوب ایک مزدور لیڈر تھے ۔

وہ مچھی میانی میں مزدور کاز کا دفاع کرتے ہوئے اپنی جان کی بازی ہار گئے ۔باپ کی شہادت نے کم سن علی ہنگورو پر گہرے نقش چھوڑے غربت پروری اور وفاداری والد سے حصے میں ملی

شہید علی محمد ہنگورو کی زندگی مزدوری سے سندھ اسمبلی نشست تک ان تھک جدو جہد سے پُر ہے اپنی جد وجہد کا آغاز پیپلز اسٹوڈنٹس فیڈریشن اور بعد ازاں سندھ پیپلز یوتھ سے کیا ،وہ جد وجہد پر یقین رکھتا تھا ۔

اپنی اسی روشن خیالی کی بدولت سازشوں ،بہروپیوں اور بھٹو دشمن عناصر قوتوں کو کھٹکتا تھا ،اس نے اپنے وقت کے آمر جام صادق کو للکارا اور اسمبلی کے فلور پر نعرہ حق بلند کیا ۔

یا الہی کسی کم ظرف کو طاقت نہ ملے

کسی ظالم کو زمانے کی قیادت نہ ملے

فکر منفی کو کبھی علم و فراست نہ ملے

اور جب سازشیں حد سے بڑھیں زرداروں کا عمل دخل اور غریب ورکروں کے ساتھ زیادتیاں بڑھنے لگیں علی سید مظفر حسین شاہ کے دور میں آزاد سیٹ پر بیٹھ کر اپنی جدوجہد جاری رکھی ۔

1993ء میں جب میر مرتضی بھٹو کے وطن واپسی پر اعلان کے ساتھ علی شہید نے شہید بھٹو کمیٹی بنا کر میر مرتضی بھٹو کا استقبال کیا پھر نہ رات دیکھی نہ دن لیاری کا یہ کمانڈر استقبال تیاریوں میں مصروف ہو گیا وہ تاریخ...

الكهنة والمبشرون بقدوم الرسول الكريم محمد (ص) قبل البعثة

الملخص: بعث الله سبحانه وتعالى سيدنا محمداً (ص) رحمة للناس؛ وليرشدهم إلى طريق الهدى، وإلى تصحيح أمور حياتهم، فهو (ص) خير من أُرسلَ لإتمام هذه الرسالة، ونشر دين الإسلام إلى البشرية؛ إذ وكان الإنسان الوحيد في التاريخ الذي نجح نجاحاً مطلقاً على كلا المستويين الديني والدنيوي، فهو من دعا إلى الاسلام ونشره كواحد من أعظم الديانات، وبعد (14) قرناً من وفاته، فأثره مازال باقياً متجدداً لما له الأثر الأعظم في التاريخ، والعالم. وهدفت الدراسة لاظهار مدى معرفة التنبؤات التي جاءت من خلال الكهنة والمبشرين والذي عرفت من خلال الكتب السماوية التي سبقت مجيء الحبيب المصطفى (ص) واستخدم الباحث المنهج الموضوعي في تسلسل الاحداث التاريخية، وقد توصلت الدراسة الى مجموعة من النتائج اهمها: اكدت الدراسة ان تنبئ العديد من الكهنة والعرافين بقدوم محمد (ص) ولكن كان العالم بانتظاره على مدى طويل فنلاحظ ان الكهنة في العصر الجاهلي قد تحدثوا عن نبي يأتي في المستقبل الا انهم كانت رؤيتهم الى النبيالاكرم القادم رؤي واضحة الى اولى الالباب وهذا مااصبح جليأ في ولادة نبي محمد (ص) والاحداث التي رافقته الى بعثتة فكانت مصداقا لاقوالهم انذاك. الكلمات المفتاحية: الكهنة، البشارة، الرسول، محمد (ص)، البيعثة

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