Extensive work has been done to analyze the safety of various modern glucose-lowering drugs during Ramadan fasting. This editorial suggests the use of validated scales of religiosity/spirituality as an adjunct to pre-Ramadan counselling and risk stratification. The editors also propose a holistic
Acute poisoning and chemical exposure is a worrisome problem globally especially because of rapid industrialization and rapid increase in number and types of chemicals.1 According to the Chemical Abstracts Service (CAS) Registry, more than 83 million chemical substances are
Objective: To investigate the impact of emotional maltreatment on self-esteem among adolescents, and to see if gender makes a difference in this context.
Methods: The cross-sectional study was conducted from January to April 2014, and comprised adolescents in the age range of
Objective: To study QT parameters in Thalassaemia Major patients and their association with serum ferritin levels.
Methods: This cross-sectional study was conducted at Ziauddin University, Karachi, from February 2013 to September 2014, and comprised patients of Thalassaemia M
Objective: To examine the effects of airborne endotoxin on lung function impairment in exposure-response relationships among the workers of textile industry.
Methods: The cross-sectional study was conducted at Lahore College for Women University, Lahore, Pakistan, from Januar
Objective: To evaluate the kinetics of cardiomyocyte apoptosis in patients undergoing primary percutaneous coronary intervention and thrombolytic therapy in order to elucidate the dark side of reperfusion injury.
Methods: The prospective descriptive study was conducted at Ist
Objective: To compare the frequency of infection in protocol-based and random ventriculo-peritoneal shunt placement in patients with hydrocephalus.
Methods: The prospective, observational study was conducted at Civil Hospital, Karachi, from October 2014 to March 2015, and com
Objective: To check the incidence of environmental and genetic factors causing congenital cataract in infants.
Methods: The descriptive study was conducted at Layton Rahmatullah Benevolent Trust, Lahore, Pakistan, from October 2013 to April 2014, and comprised children under
Objective: To determine the level of death anxiety among inpatients in Medical and Surgery clinics.
Methods: The cross-sectional study was conducted at the Medical and Surgery clinics of the University Hospital of Trabzon, Turkey, from June 15 to October 15, 2014. Data was ga
Objective: To compare the risk factors and outcomes of vancomycin-resistant enterococcus with vancomycin-sensitive enterococcus bacteraemia among hospitalised cancer patients.
Methods: The retrospective, case-control study was conducted at Shaukat Khanum Memorial Cancer Hosp
Objective: To assess the change in systolic and diastolic blood pressure in post-interventional phase through \\dietary approaches to stop hypertension/salt-restricted diet.
Methods: This randomised co
Objective: To understand early dental erosion induced by different beverages and the equipment for its detection.
Methods: The study was conducted at the University Malaya Medical Centre, Kuala Lumpur, M
Objective: To determine the characteristics of firearm injuries on head and neck in patients presenting to the Ear Nose and Throat Department of a tertiary care hospital.
Methods: This prospective, cross
Objectives: To evaluate the efficacy of an Urdu translation of Self Care Inventory for measuring adherence to diabetes treatment.
Method: The correlational cross-sectional study was conducted in October
Objective: To observe the ameliorating effect by methanolic extract of pomegranate peel in acetaminophen-induced hepatotoxicity.
Methods: The randomised controlled study was conducted from July 2013 to J
Objective: To determine the causes, epidemiological characteristics and clinical outcomes related to cases of head trauma.
Methods: The retrospective study was conducted at Combined Military Hospital, Qu
Objective: To investigate the effects of ballet training on foot structure and the formation of the medial longitudinal arc in childhood, and the association of body mass index with structural change secondary to ballet training.
Infections due to Dengue virus are widespread throughout the world. Disease starts with mild flu like sickness to a severe intricate condition which results in the death of the patient. Dengue illness has high morbidity and mortality in Pakistan as well as in other Asian countries. The Review art
Optimal utilization of specialized curative healthcare services is contingent on spatial access to tertiary-care hospitals by the targeted population. The objectives of this study were to determine the spatial distribution of public sector tertiary-care teaching hospitals in Karachi, and to use G
Helicobacter Pylori was previously demonstrated at gastric patch after gastrocystoplasty and a possible relationship with acid-haematuria syndrome was established after symptomatic relief by medical treatment. We present the long term outcome of a male bladder exstrophy patient a
Hair-thread tourniquet syndrome is an emergency condition rarely encountered since its first description, and it may be potentially dangerous unless treated. The potential hazard of the condition stems from hair strands wrapping around and strangulating various body processes such as fingers, pen
Spontaneous Uterine rupture is associated with massive intra-peritoneal bleed which can be fatal if not recognized. We report a case of 32 year old multigravida at 28 weeks of gestation with history of liver cysts, previous caesarean and uterine curettage, who presented with acute abdominal pain
This is a case of a 30 year old female who presented in February 2012 with a large painless left neck swelling since 5 months. Her biopsy was done but the result was inconclusive. Later on after proper staging workup it was found to be bony metastatic disease. Her repeated biopsy showed spindle c
Primary renal aspergillosis, though a rare entity, is still seen in immune compromised individuals. Renal aspergillosis may lead to formation of focal abscesses, fungal bezoars and may cause ureteric obstruction. Treatment involves stabilization of patient and removal of fungal bezoars along with
T-cell/histiocyte-rich large B-cell lymphoma is an unusually encountered lymphoid neoplasm of stomach with aggressive course, and is an uncommon morphologic variant of diffuse large B-cell lymphoma. An ulcerated mass, 7x5x1 cm in size was observed within the gastrectomy specimen of a 76-year-old
Madam, as the world moves towards modernisation, the preference forcanned foods is increasing day-by-day especially during pregnancy when a woman wants to nurture her foetus with the best quality of food available in the market. Such food include salad toppings with frozen vegetables, sauces and
Madam, I want to draw your attention to a notable addition in the field of medical literature; Pub-med Commons. This is an innovative project by Pub-med which provides an interface to the consumers of research to comment on any pub-med indexed article and receive feedback from the authors instant
This clinical decision making hypothesis utilizes the metabolic fulcrum based approach to classify persons with diabetes into three categories: predominantly catabolic, eubolic, and predominantly [maladaptive] anabolic. This systematic arrangement helps define choice of injectable therapy in type
Objectives: In order to limit the high prevalence of tobacco use in Pakistan various tobacco control laws have been implemented. The objective of this study is to serve as a pilot study to assess the implementation of these laws in the largest city of Pa
Objective: To evaluate the oncologists thoughts about the positive and adverse effects of bisphosphonates, drug holiday and the awareness about BRONJ.
Methods: A written questionnaire was sent to 7 hospi
Lipohypertrophy is an important insulin injection site reaction, which has clinically significant sequelae, including a greater risk of glycaemic variability and higher insulin dose requirement. This article describes the prevention of lipohypertrophy, using the concept of levels of prevention. I
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