Introduction: Blunt abdomen trauma is common in surgical emergencies. Faster detection of intra-abdominal damage BAT patients using a FAST scan and CT can lead to early treatment, reducing complications associated with late detection. This study aims evaluate the diagnostic accuracy scans compared detecting injuries. Methodology: The study, conducted at Lahore General Hospital's Emergency Department from July 3, 2024, January 2, 2025, enrolled 366 subjects meeting inclusion criteria....

<title>Abstract</title> Several methods have been reported for the individual determination of Ondansetron (OND), Famotidine (FAM), and Drotaverine (DRO); however, they are not suitable simultaneously estimating these drugs. Hence, a simple accurate high-performance liquid chromatographic (HPLC) method was developed validated simultaneous estimation three The optimized using central composite design. effect independent variables while applying design approach. quadratic significant on...

Background: Obstructive sleep apnea (OSA) is increasingly acknowledged as an independent risk factor for cardiovascular disease (CVD), mainly due to intermittent hypoxia, systemic inflammation, and sympathetic overactivity. Despite its clinical significance, there a scarcity of longitudinal data from South Asia, particularly Pakistan, assessing CVD progression about OSA severity. Objective: To investigate the relationship between severity obstructive disease. Study Design: Prospective study....

Syndrome of inappropriate antidiuretic hormone (SIADH) is the leading cause hyponatremia. We, herein, report a case patient with coronavirus disease-2019 (COVID-19) who developed sudden exertional dyspnea and hypoxia was found to be hyponatremic. A diagnosis SIADH made due COVID-19 pneumonia. The managed conservatively significant improvement during course hospitalization on follow-up.

This research scrutinizes the subject of work-related stress in teachers Pakistani private schools. Research confining data on individual schools fluctuate requisites their span, tactic and exposure. The major risk issues for comprise heavy workload, long working hours, lack control autonomy at work, poor relationships with colleagues, support work shock managerial transform. These factors can be difficult to address, especially if they have reserve suggestion. main product (individual,...

An 88-year-old bedbound woman from a nursing home with background of dementia was transferred by ambulance to accident and emergency abdominal distension, pain decreasing level consciousness. On examination the patient feverish, hypotensive tachycardic, consistent sepsis. The abdomen distended, tenderness guarding at paraumbilical area. Digital rectal showed faecal loading. She resuscitated intravenous fluids, blood results raised lactate (4.1 mmol/L), acute kidney injury inflammatory...

Catastrophic antiphospholipid syndrome (CAPS) is a rare variant of (APLS). CAPS characterized by microvascular thrombosis leading to multi-organ failure, including acute heart failure. Diagnosis challenging, and disease progression rapid. Treatment includes triple therapy with anticoagulation, glucocorticoids, plasma exchange. We present case patient who developed de novo With treatment, the patient’s failure improved, cardiac function. It our goal this in order facilitate greater diagnostic...

Malignant primary cardiac tumors are rare. The most common presenting symptom is dyspnea, which non-specific. These pose a significant diagnostic challenge, when coupled with rapid disease progression can result in morbidity and mortality. Appearance of masses on CT echocardiography be Cardiac MRI help delineate but definitive diagnosis requires mediastinal exploration biopsy. Treatment includes radical resection followed by radiotherapy chemotherapy along targeted therapy. Metastasis often...

This research paper is fundamentally builds the notion about outsourcing and benefits as a part of Human Resource Management system. These days well thought-out variable industrialized merchandise to countries provided that contemptible labor throughout Industrial insurgence. Outsourcing conventionally municipal segment services has become widespread carry out in many around globe. Most study this area concentrates on improving efficiency achieving financial savings. Here we are going...

This study is conducted to investigate the issue of readability annual report, which caused conflict between shareholders and management. Annual reports are integral source information for regarding their investment. To importance readability, we took data 21 non-financial companies in KSE-30 index Pakistan 10 years (2008-2017). The findings our results depict that those firms whose report more readable as compare other facing low problem Further this indicate under better quality measures,...

Esophageal varices (EV) are a common complication in cirrhotic patients, and early detection is crucial to prevent variceal bleeding. Traditionally, the diagnosis of EV requires invasive procedures such as endoscopy. The Platelet Spleen Index (PSI), noninvasive method, has shown promise identifying patients with EVs. Objective: To assess role detecting esophageal compare its diagnostic accuracy traditional methods. Methods: A total 1000 were included this study. Each patient underwent an...

COVID-19 in pregnancy presents unique challenges, particularly the presence of liver dysfunction, including elevated enzymes and intrahepatic cholestasis (ICP). These conditions may worsen disease course contribute to adverse maternal fetal outcomes. Objective: To evaluate impact (ICP) on clinical course, severity, outcomes pregnant women. Methods: A retrospective cohort study was conducted at Punjab Medical College Faisalabad during June 2024 October 2024. total 500 women diagnosed with...

Background: Typhoid fever remains a major public health concern in Pakistan due to poor sanitation, lack of clean drinking water, and inadequate awareness regarding its transmission prevention. Understanding knowledge, attitudes, practices related typhoid is crucial for developing effective interventions. Objective: This study aims assess the level awareness, preventive among local population Pakistan.

Drug-induced pancreatitis is a rare phenomenon. Therefore, diagnosis requires ruling out more common etiologies of acute pancreatitis. The majority research on drug-induced from case reports. Only limited number drugs have been definitively established to induce Lamotrigine used in both bipolar and epilepsy. currently weakly identified We present lamotrigine-induced Extensive workup ruled other major causes pancreatitis-including alcohol. aimed show lamotrigine can be causative drug

Road crashes are a major cause of loss human life, property and money throughout the world. One reasons behind these is interaction between drivers road alignments. The need to understand factors that affect has become obvious now being addressed by researchers. Moreover, driver workload gaining attention as measure highway-design consistency it directly reveals design features driver. This research focuses on evaluating visual demand at different speeds along with other geometric for...

The debate on the significance of social security is as old itself.The recent shrink between cost and income an alarming situation for all stakeholders.The shrinking in surplus reduces government firm's ability to rely that surplus.This shortfall will lead made up increased taxation, borrowings, or by reductions contributions combination these alternatives.We analyzed relationship contribution employment growth European banking over time span 2006 2015.We found U shaped relationship,...