540 results match your criteria: "Karachi Medical and Dental College[Affiliation]"

Article Synopsis
  • - The study investigates HIV-related mortality trends among young adults in the U.S. from 1999 to 2020, revealing significant demographic and regional differences in mortality rates.
  • - Findings show that while the age-adjusted mortality rates (AAMRs) declined from 1999 to 2018, there was a stabilization from 2018 to 2020, with males and non-Hispanic Blacks experiencing much higher death rates compared to females and Whites, respectively.
  • - The Southern region of the U.S. and urban areas reported notably higher mortality rates, urging the need for urgent action to address these disparities in HIV-related deaths.
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  • Gastric ulcers caused by long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) are a rising public health concern, primarily linked to their role in developing peptic ulcers.
  • The review highlights various risk factors associated with NSAID use, including anticoagulant therapy, and discusses the clinical signs, symptoms, diagnosis, prevention, and treatment of these ulcers.
  • Recommendations for prevention include using selective COX-2 inhibitors instead of traditional NSAIDs and minimizing dosages for patients with other health conditions to reduce ulcer risk.
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  • Postmenopausal women often face genitourinary issues like vaginal dryness due to lower estrogen levels, with hormone replacement therapy being an effective treatment option.
  • A comprehensive analysis of 18 randomized controlled trials (RCTs) found that intravaginal estrogen significantly increased beneficial superficial cells and reduced harmful parabasal cells, as well as improved vaginal pH and pain during intercourse (dyspareunia).
  • Although estrogen therapy showed promise for treating vaginal atrophy and vaginitis, it did not significantly improve vaginal dryness, and while some side effects were noted, they were not significantly linked to the treatment.
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Background: Heart Failure (HF) and Diabetes Mellitus (DM) often coexist, and each condition independently increases the likelihood of developing the other. While there has been concern regarding the increasing burden of disease for both conditions individually over the last decade, a comprehensive examination of mortality trends and demographic and regional disparities needs to be thoroughly explored in the United States (US).

Methods: This study analyzed death certificates from the CDC WONDER database, focusing on mortality caused by the co-occurrence of HF and DM in adults aged 75 and older from 1999 to 2020.

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Background: Obesity, a pervasive global health challenge affecting more than 2 billion people, requires comprehensive interventions. Traditional approaches, including lifestyle modification, and diverse drugs targeting a gastrointestinal hormone, including glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 (Liraglutide, Semaglutide, Exenatide, Albiglutide, Dulaglutide, Lixisenatide, Orlistat, Phentermine/Topiramate, Lorcaserin, Sibutramine, and Rimonabant) offer tailored strategies; yet their effectiveness is limited and some drugs were taken off the market. Moreover, various surgical modalities, such as Roux-en-Y Bypass surgery, sleeve gastrectomy, intragastric balloons, biliopancreatic diversion with duodenal switch, laparoscopic adjustable gastric band, and vagal nerve blockade can be considered but are associated with numerous side effects and require careful monitoring.

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  • Intravenous thrombolysis (IVT) is a standard treatment for acute ischemic stroke, but current guidelines advise against its use in patients on Direct Oral Anticoagulants (DOACs) taken within 48 hours prior due to the risk of serious bleeding.
  • A study analyzed four research articles involving over 238,000 stroke patients and found that patients who used DOACs had a lower chance of developing symptomatic intracranial hemorrhage (sICH) and a greater chance of being functionally independent after 90 days compared to those who didn’t.
  • The results suggest that IVT is a safe treatment option for acute ischemic stroke in patients who recently took DOAC
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Brain tumour diagnosis involves assessing various radiological and histopathological parameters. Imaging modalities are an excellent resource for disease monitoring. However, manual inspection of imaging is laborious, and performance varies depending on expertise.

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Background: Non-alcoholic fatty liver disease (NAFLD) is estimated to affect approximately 25% of the global population. Both, coronary artery disease and NAFLD are linked to underlying insulin resistance and inflammation as drivers of the disease. Coronary flow reserve parameters, including coronary flow reserve velocity (CFRV), baseline diastolic peak flow velocity (DPFV), and hyperemic DPFV, are noninvasive markers of coronary microvascular circulation.

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  • Neonatal encephalopathy (NE) is a serious brain condition in newborns that affects how their bodies work, especially their brain and blood sugar levels.
  • Low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) can make NE worse and are linked to serious problems like death and disabilities.
  • Doctors use cooling treatment (therapeutic hypothermia) to help protect the brain, and new methods like checking blood sugar levels often and using glucagon (a medication) can help manage blood sugar and improve health for these babies.
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The gut microbiota plays an important role in regulating the body's physiological system, and more recently its impact on bile acid metabolism and cognitive function has been investigated by many studies. In addition to their conventional function in fat digestion and absorption, bile acids are now considered crucial signaling molecules that control several metabolic processes and immunological responses. For this purpose, the authors conducted comprehensive research using relevant terms in an attempt to understand more about the gut microbiota and its impact on bile acid metabolism and cognitive health.

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We have thoroughly engaged with the article titled "Epidemiological profile of stroke in Qatar: Insights from a seven-year observational study". The author's diligent efforts regarding this critical subject matter are greatly appreciated [1], which is worthy of reader acknowledgment. We sincerely appreciate the author's ongoing efforts on this vital subject, which deserve recognition.

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Objective: Balloon catheters have shown promising results in the induction of labor (IOL); however, evidence regarding the optimal time of balloon catheter placement is still lacking. Thus, this study aims to evaluate the efficacy and safety of 6-hour placement compared to 12 hours.

Data Source: We conducted a comprehensive search through a search strategy across "Embase, SCOPUS, PubMed (via MEDLINE), and Cochrane Central Register of Controlled Trials (CENTRAL)" from inception until April 20, 2024.

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Background: Huntington's disease (HD) is an autosomal dominant, progressive neurodegenerative disorder debilitating mainly in adults.

Objective: This study aimed to assess the trends in HD-related mortality regarding various demographic factors.

Methods: Death certificates from the CDC WONDER were studied from 1999 to 2019, for HD-related mortality in adults aged 25 + years.

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  • This meta-analysis examined the effectiveness and safety of potassium-competitive acid blockers (PCABs) against proton pump inhibitors (PPIs) in treating gastroesophageal reflux disease (GERD), analyzing data from 11 randomized controlled trials.
  • Findings indicated that PCABs were significantly better than PPIs in healing erosive esophagitis, although their advantage in fully resolving heartburn symptoms wasn't statistically significant.
  • The study concluded that while PCABs showed superior efficacy and a similar safety profile to PPIs, further research is needed to explore the long-term safety of PCABs and their effectiveness in non-erosive reflux disease.
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Background Breastfeeding is recognized as a crucial determinant of child health and development, yet its multifaceted effects remain underexplored in many contexts. This cross-sectional study investigates the association between breastfeeding practices and various health and developmental outcomes in infants and young children, focusing on exclusive breastfeeding, partial breastfeeding, and formula feeding. Done at Khyber Teaching Hospital, Pakistan, the research aims to provide comprehensive insights into the nuanced impacts of breastfeeding on child well-being.

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