Major adverse cardiovascular events in patients undergoing percutaneous coronary intervention or coronary artery bypass graft with underlying chronic kidney disease.

Objective: To assess early and late outcome in severe chronic kidney disease patients undergoing revascularisation.

Methods: The retrospective ambi-directional cohort study was conducted at Tabba Heart Institute, Karachi, and comprised data from May, 2012, to July,2016, related to severe chronic kidney disease patients with creatinine clearance <30ml/min or end-stage renal disease on haemodialysis who had undergone coronary artery bypass graft / percutaneous coronary intervention. Early outcome was in-hospital major adverse cardiac event, like mortality, stroke and new haemodialysis.

Intelligent Machine Learning Approach for Effective Recognition of Diabetes in E-Healthcare Using Clinical Data.

Significant attention has been paid to the accurate detection of diabetes. It is a big challenge for the research community to develop a diagnosis system to detect diabetes in a successful way in the e-healthcare environment. Machine learning techniques have an emerging role in healthcare services by delivering a system to analyze the medical data for diagnosis of diseases.

Brand versus generic dispensing trend for ciprofloxacin 500 mg, levofloxacin 500 mg, and moxifloxacin 400 mg (oral dosage forms) among pharmacies of Karachi, Pakistan.

Introduction: Pakistan spends 0.7% of its gross domestic product on health. The public sector health-care system provides services to 22% of population thus paving the way for a dominant private sector.

Pleuro pericardial cyst.

A 68-year-old male, presented with exertional dyspnoea and chest pain in his anterior chest wall for 3 months. He had no previous history of cardiac disease. Clinical examination failed to show anything significant.

Isolated tuberculous thyroiditis as solitary thyroid nodule.

Isolated involvement of the thyroid by tuberculosis is very rare as reported in literature. We are presenting a case of isolated tuberculous thyroiditis presented as a solitary thyroid nodule. The patient was treated with anti-tuberculous regimen and he responded well with disappearance of the nodule and normalization of the thyroid scan.