4,172 results match your criteria: "Dow Medical College & Civil Hospital[Affiliation]"

Objective: To evaluate the relationship between volume and pneumatization pattern of sphenoid sinus using computed tomography images.

Methods: The prospective, cross-sectional study was conducted at the Radiology Department of Dow University of Health Sciences, Karachi, from October 2020 to February 2021, and comprised patients of either gender aged 20-70 years who were subjected to computed tomography of paranasal sinuses. The scans were analysed for sphenoid volume and four pneumatization types of sphenoid sinus, including Type-I conchal, Type-II presellar, Type-III sellar and Type-IV postsellar.

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  • Monkeypox is a rare viral disease that is spreading in Pakistan, creating significant public health concerns.
  • The disease can spread quickly in regions with weak healthcare systems, highlighting the urgency of addressing its rise.
  • The communication focuses on the current situation of monkeypox in Pakistan, stressing the need for better surveillance, diagnostics, and public health strategies to control outbreaks and protect public health.
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Sarcoidosis is a multi-system disorder characterized by the formation of non-caseating granulomas. It is a disorder of unknown etiology. Interferon-induced sarcoidosis is a well-known phenomenon.

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Gliomas are tumors arising in the central nervous system, frequently associated with Class I mutations and BRAF fusions. These mutations are adverse prognostic factors in juvenile gliomas, leading to high rates of recurrence and poor response to current treatments. The blood-brain barrier and the heterogeneity of gliomas complicate the development of a single treatment strategy for all cases.

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  • Uterine leiomyomas can sometimes lead to serious conditions like deep vein thrombosis (DVT) and pulmonary embolism (PE), even in patients with no known risk factors.
  • A 38-year-old woman experienced leg swelling, pain, and breathing difficulties and was diagnosed with DVT and PE, which were confirmed through imaging.
  • The treatment involved mechanical thrombectomy and hysterectomy, resulting in a full recovery with no recurrence of thromboembolic events after 11 months.
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Chimeric antigen receptor T cell (CAR-T) therapy has revolutionized the treatment of blood cancer. By improving survival outcomes for patients with B-cell malignancies, which hitherto have been unparalleled by conventional chemotherapy, CAR-T therapy is a beacon of hope for many patients with cancer. However, harvesting, modifying, and reintroducing T cells is costly, which means that not every patient with cancer who needs CAR-T therapy has the financial capacity to receive it.

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Objective: The main objective was to assess the therapeutic efficacy of selenium alone versus a combination of myo-inositol and selenium (MI + Se) in treating patients with autoimmune thyroiditis (AIT). The study aims to determine which treatment option is more effective in restoring euthyroid state, as indicated by changes in thyroid-stimulating hormone (TSH), T3, T4, thyroid peroxidase antibodies (TPOAb), and thyroglobulin antibodies (TgAb).

Methods: Google Scholar and PubMed databases were searched for randomized controlled trials (RCTs) and observational studies that reported outcomes of combined treatment (MI + Se) in restoring a euthyroid state, specifically comparing it with selenium-only (Se-only) treatment.

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Diabetes mellitus (DM) is a long-term metabolic disorder caused by inadequate production and resistance to insulin. The prevalence of DM is rapidly increasing, with type 2 diabetes (T2D) accounting for more than 90% of cases. Despite new treatments, many patients with T2D do not meet their glycemic targets due to clinical inertia.

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Background: Fulminant myocarditis (FM) is a potentially life-threatening disease that requires emergency care. The authors' study aims to explore clinical outcomes and predictors of survival when using veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support for the treatment of FM in adult and pediatric patients to analyze differences between both populations.

Methods: PubMed, Scopus, Web of Science, and Cochrane databases were searched for studies reporting the effect of VA-ECMO on patients diagnosed with fulminant myocarditis.

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  • The study evaluates research participation among Palestinian medical students, highlighting the significance of research for assessing scientific development in nations.
  • An online survey conducted from March to May 2022 revealed that only 4.9% of the 425 participants published research articles, with clinical students showing higher publishing rates than preclinical students.
  • Despite a strong awareness and positive attitudes toward research, barriers like lack of opportunities and mentorship persist; the authors recommend investing in research training, creating research clubs, and providing coaching to enhance participation.
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  • Thawing permafrost releases pathogens and antibiotic-resistant genes (ARGs), which can lead to bacterial epidemics in circumpolar regions.
  • Researchers studied the link between climate change, permafrost thawing, and the potential global healthcare impacts of these antibiotic-resistant pathogens.
  • Their analysis of 13 studies identified diverse bacterial genera with over 1,000 ARGs, highlighting the need for increased awareness and action regarding this emerging healthcare challenge.
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  • * Atrial fibrillation is marked by irregular heart activity that leads to changes in the atrial structure and function, while celiac disease results from an immune response causing intestinal damage linked to specific genetic mutations.
  • * The findings suggest a potential association between AF and CD due to inflammation and fibrosis, highlighting the need for awareness of AF risks in CD patients and the importance of integrated patient care, with more research needed to clarify their relationship and discover treatment options.
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Introduction And Importance: This case report is a clinical diagnosis walk through of a rare subtype of multiple sclerosis (MS). It gives an overview of how tumefactive multiple sclerosis (TMS) is systematically narrowed down as the definitive diagnosis.

Case Presentation: This 29-year-old male patient presented to the emergency department.

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Cognitive clarity in colon surgery: The dexmedetomidine advantage.

World J Gastrointest Surg

November 2024

Department of Nursing and Midwifery Research, Hamad Medical Corporation, Doha 3050, Qatar.

Colon cancer is one of the most prevalent cancers globally, especially in the older age group. A large number of older patients undergoing surgery for colon cancer suffer from postoperative cognitive dysfunction (POCD). The trial by Bu demonstrated that dexmedetomidine (Dex) significantly reduced the incidence of POCD compared to placebo in individuals undergoing colon cancer surgery.

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Background: Post-Stroke Dysphagia (PSD) is a common complication that significantly affects the quality of life and health outcomes of stroke survivors. Traditional treatments often have limitations, necessitating the exploration of new therapeutic approaches. This systematic review and meta-analysis aimed to evaluate the efficacy of intermittent Theta Burst Stimulation (iTBS) as an innovative treatment for PSD.

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Background: Early coronary angiography (CAG) in post-cardiac arrest patients without ST-segment elevation is a topic of debate. This meta-analysis aimed to assess its impact on outcomes.

Methods: A search of Medline and Cochrane up to February 2023 was conducted to identify randomized controlled trials and observational studies comparing patients undergoing early CAG vs.

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Consensus Guidelines on Constipation in Adults in Pakistan.

Pak J Med Sci

December 2024

Prof. Dr. Zahid Azam, MBBS, FCPS (Gastro), FCPS (Med), FACG, M.Sc (Clinical Research) Professor of Medicine, Dow University of Health Sciences, Karachi, Pakistan.

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  • The study explores optimal reimplantation strategies after the removal of infected cardiovascular implantable electronic devices (CIEDs), highlighting the potential advantages of leadless pacemakers (LPs) due to their lower infection risk.
  • A literature review included 22 relevant studies, covering 657 patients who had lead removal followed by LP implantation, with 44.9% receiving LPs concurrently during the procedure and minimal complications reported.
  • The findings suggest that both concurrent and delayed LP implantation is safe, with low rates of reinfection and complications, positioning LPs as a viable option for patients needing temporary pacing before further treatments.
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  • * A study involved analyzing 74 cerebrospinal fluid (CSF) samples from meningitis patients in Karachi using various testing methods, including biochemical and microbial analyses.
  • * While traditional analyses didn't provide a clear diagnosis, specific testing techniques like PCR revealed the presence of the amoeba in one of the CSF samples, confirming its role in PAM.
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