1,136 results match your criteria: "Allama Iqbal Medical college[Affiliation]"

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  • * A review of various studies found that gabapentinoids (like gabapentin and pregabalin) and tricyclic antidepressants (like amitriptyline) are effective for managing neuropathic pain by targeting neurotransmitters.
  • * While selective serotonin reuptake inhibitors (SSRIs) are less effective for this type of pain, cannabinoids showed promise with mild side effects; opioids are generally a last resort due to their risks.
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  • Post-traumatic stress disorder (PTSD) is a challenging mental health condition often inadequately addressed by existing treatments, leading to interest in MDMA-assisted psychotherapy (MDMA-AT) as a potential solution.
  • A comprehensive analysis of nine studies involving 297 PTSD patients revealed that MDMA-AT significantly reduced PTSD severity scores and increased rates of patient response and remission compared to control groups receiving placebo or inactive doses of MDMA.
  • The findings suggest that MDMA-AT is an effective treatment option for chronic, treatment-resistant PTSD patients while showing no significant increase in adverse effects compared to traditional treatment methods.
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Cardiovascular disease (CVD) remains one of the major causes of sickness and death in the world. However, lifestyle modifications, such as exercise, can significantly reduce the risk of this disease. This study aimed to assess the effectiveness of various forms of physical activity in reducing CVD risk factors among adults.

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  • Pregnancy luteoma (PL) is a rare ovarian lesion that can be mistaken for cancer, making it tough to diagnose.
  • It often appears as asymptomatic masses in the ovaries during pregnancy, influenced by hormonal changes like increased hCG.
  • A case of a 23-year-old pregnant woman with abdominal pain led to surgery, where PL was confirmed after further testing, despite initial concerns of malignancy.
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Entangled: Rapunzel syndrome with postoperative intussusception.

J Surg Case Rep

October 2024

Nursing and Midwifery Research Department (NMRD), Hamad Medical Corporation, PO Box 3050, Doha, Baladiyat ad Dawhah, Qatar.

Article Synopsis
  • - The case discusses a 7-year-old girl diagnosed with Rapunzel syndrome, a rare condition related to hair ingestion, leading to a gastrointestinal blockage called trichobezoar, which was initially difficult to diagnose.
  • - Successful surgery was performed to remove the blockage, but the patient experienced complications like jejunojejunal intussusception after the procedure, underscoring the importance of ongoing medical attention and mental health evaluations.
  • - The case highlights the link between psychiatric disorders, specifically trichotillomania and trichophagia, and the formation of trichobezoars, suggesting that both immediate post-surgical care and long-term psychiatric support are crucial for improving outcomes and preventing further gastrointestinal issues. *
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Background Ischemic stroke (IS) is a fatal complication of acute coronary syndrome (ACS). Factors that speed up IS development after ACS are understudied, especially in developing countries like Pakistan. Thus, this study was designed to identify the potential risk factors of IS in patients with a preceding episode of ACS.

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Acute coronary syndrome (ACS) remains a leading cause of morbidity and mortality worldwide. Statins, particularly atorvastatin, and rosuvastatin, are crucial in managing cholesterol levels and reducing cardiovascular risk in ACS patients. However, direct comparative studies between these two statins are limited.

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Introduction And Importance: Rasmussen encephalitis (RE) is a rare autoimmune disorder that causes unilateral inflammation of the cerebral cortex and can lead to drug-resistant epilepsy and progressive neurological decline. Although the emergence of RE following COVID-19 has not been well documented, it emphasizes the need to understand the impact of COVID-19 on neurological health. This case emphasizes the importance of early recognition and intervention to prevent adverse outcomes related to post-COVID-19 neurological complications.

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  • - Resmetirom, a selective thyroid hormone receptor-β agonist, shows potential in treating non-alcoholic steatohepatitis (NASH), a major cause of liver-related health issues globally.
  • - A systematic review and meta-analysis indicated that Resmetirom significantly reduced low-density lipoprotein cholesterol (LDL-C) and alanine aminotransferase (ALT) levels compared to a placebo, although it also increased the risk of side effects like diarrhea and nausea.
  • - Overall, Resmetirom appears to be a promising option for improving liver health in NASH patients, potentially filling a gap in current treatment strategies.
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  • This systematic review examines various studies on genetic markers linked to the risk of developing gastric cancer, focusing on specific genetic polymorphisms.
  • Significant markers identified include MUC1, PSCA, TNF-α, DNMTs, MMP-7, and IL-8, with their impact varying across different ethnic groups.
  • The review calls for more research into how these genetic factors influence cancer development and emphasizes the potential for personalized treatment strategies in gastric cancer management.
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Drug-resistant epilepsy remains a substantial challenge in neurology, affecting patients who do not respond to conventional antiepileptic drugs. Responsive neurostimulation (RNS) has emerged as a promising therapeutic approach, yet comprehensive reviews synthesizing its clinical outcomes are sparse. This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and involved a comprehensive database search through PubMed, Medline, Embase, the Cochrane Library, and Scopus, covering literature up to April 2024.

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  • Anterior mandible defects impact support for essential functions like airway, feeding, and speech, which can result in complications for patients.
  • In a study involving four patients with these deformities, reconstruction was achieved using a fibula osteocutaneous flap for the mandible and a soft tissue flap for the lip and neck, with all flaps successfully surviving.
  • Post-surgery, patients transitioned from tube feeding to oral diets, tracheostomies were removed, drooling ceased, and speech improved significantly, demonstrated by a marked increase in the functional assessment score.
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  • The study investigated the link between cancer risks and the use of SGLT2 inhibitors in patients with Type 2 diabetes by following established research guidelines and analyzing data from 19 randomized controlled trials (RCTs).
  • The findings indicated a potential increase in certain types of cancers, including reproductive and skin cancers, associated with SGLT2i use, but these results were not statistically significant.
  • The study calls for caution regarding SGLT2i prescriptions for diabetic patients and emphasizes the need for further research to better understand the cancer risk connections.
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Background: One of the most prevalent causes of morbidity and death is cerebrovascular disease in the US. The manifestations and pathophysiology of cerebrovascular disease are significantly impacted by ageing and determine the quality of one's late life. However, contemporary mortality trends in cerebrovascular disease and comparison to older adults of different gender, race, and geographic disparities have not been fully examined.

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Introduction: Colorectal cancer (CRC) is the world's third most frequent cancer, with a significant mortality rate due to late detection. There is a need to search for biomarkers that can detect colorectal cancer at an early stage. MicroRNAs (miRNAs) regulate several targets that function as oncogenes and/or tumor suppressor genes, so any change in microRNA expression level can predict abnormality.

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Electronic cigarettes: a harm reduction option for smokers?

Monaldi Arch Chest Dis

September 2024

Department of Medicine, Allama Iqbal Medical College, Lahore, Punjab.

Dear Editor, An electronic cigarette or electronic nicotine delivery system is a tobacco-free device powered by a battery. It usually contains a solution of nicotine, flavorings, and various chemicals, some of which may carry potential risks..

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One of the most prevalent childhood illnesses in the world, acute otitis media (AOM), is mainly brought on by , which has resulted in a significant increase in the use of antibiotics and the emergence of antibiotic-resistant (ABR) strains. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 criteria served as the foundation for this systematic review. We conduct a comprehensive literature search across five primary databases, including PubMed, PubMed Central, Cochrane, Science Direct, and Google Scholar, to identify eligible studies assessing the impact of pneumococcal conjugate vaccines (PCVs) on AOM incidence and ABR.

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Article Synopsis
  • Takotsubo cardiomyopathy (TTC) primarily affects postmenopausal females, but recent data show that men have worse outcomes, especially with cardiogenic shock (TTC-CS).
  • In a study analyzing hospitalizations for TTC-CS, 74.1% of cases were female, yet male patients had higher mortality rates and complications such as cardiac arrest and acute kidney injury.
  • Despite males experiencing higher hospitalization costs and longer stays, there were no significant differences in readmission rates over 30, 90, and 180 days, suggesting stable mortality with declining use of certain treatments.
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  • Despite advancements in coronary artery disease (CAD) management, major cardiovascular events continue, and the use of low-dose rivaroxaban (2.5 mg) in combination with aspirin is being analyzed for its effectiveness compared to aspirin alone.
  • A meta-analysis of five randomized controlled trials with over 41,000 participants showed that low-dose rivaroxaban significantly lowers risks of all-cause mortality, myocardial infarction, and stroke, but increases the risk of major bleeding.
  • The study concludes that while low-dose rivaroxaban offers survival benefits for CAD patients, careful consideration of bleeding risks is important, and further research is needed to evaluate its safety compared to other treatments like dual antiplatelet therapy
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Heart failure (HF) can present acutely or progress over time. It can lead to morbidity and mortality affecting 6.5 million Americans over the age of 20.

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Pediatric leukemia, encompassing acute lymphoblastic leukemia (ALL) and acute myeloid leukemia, remains a formidable challenge despite significant treatment advancements. This review examines recent developments in immunotherapy, chemotherapy, and bone marrow transplantation for pediatric leukemia through a comprehensive analysis of recent literature, focusing on critical studies and clinical trials. Immunotherapy, including monoclonal antibodies, such as blinatumomab and inotuzumab ozogamicin, and chimeric antigen receptor T-cell therapies, such as tisagenlecleucel and brexucabtagene autoleucel, have demonstrated promising results in relapsed or refractory B-cell ALL (B-ALL), achieving notable remission rates with manageable side effects.

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Article Synopsis
  • - This systematic review analyzes the effectiveness and safety of current migraine treatments by reviewing data from recent randomized controlled trials, focusing on both medication and non-medication methods.
  • - It highlights that CGRP monoclonal antibodies are promising first-line options for treating migraines, while myofascial release can significantly help with tension-type and cervicogenic headaches.
  • - The review stresses the importance of creating personalized treatment plans due to varying responses and potential side effects, advocating for the integration of new therapies in clinical practice to improve care for migraine patients.
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  • Acute necrotizing pancreatitis is a serious condition that challenges healthcare providers due to potential complications, with various necrosectomy procedures available but no clear consensus on the best timing for the operation.
  • A national study analyzed data from 2016-2019 to assess the effects of timely necrosectomy (within 48 hours) vs. delayed necrosectomy on patient outcomes, focusing on readmission rates, healthcare use, and mortality.
  • Results showed that early necrosectomy had lower readmission rates, reduced need for mechanical ventilation and septic shock, decreased in-hospital mortality, and resulted in lower healthcare costs and shorter hospital stays compared to delayed interventions.
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