Objective: To compare the efficacy of chlorhexidine alcohol versus povidone iodine for pre-operative skin preparation in cesarean section to lower rate surgical site infection (SSI). Study Design: Randomized Controlled Trial. Setting: Gynaecology and Obstetrics Department Pakistan Institute Medical Sciences, Islamabad. Period: July 2022 December 2022. Methods: The study was conducted on a total 360 patients booked presenting & outpatient department PIMS who fulfilled inclusion criteria....

In a nation like Pakistan, where the security of one's food supply is critical for those living in poverty, it imperative to take on issue increasing production. According estimates, production must increase by at least 40% until 2025 order meet long-term demands 33% predicted population. Pakistan's agriculture faces significant difficulties meeting nation's needs as result population's growth, irregular climate, and low crop The management presents many challenges Pakistani farmers,...

The new disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was dubbed 2019 (COVID-19) the World Health Organization and declared a pandemic. Initially thought to be pathogen that primarily attacks lungs, SARS-CoV-2 has turned out much more formidable foe impacting almost every organ system aggressively. I report case of 60-year-old man who came ED due symptoms high fever, headache, mild confusion, dry cough exacerbated dyspnea since last 24 hours. He had history...

In this case, a young male patient with past medical history of adequately treated pulmonary tuberculosis (TB), presented pedal edema, proteinuria, and evidence bilaterally enlarged kidneys on renal ultrasound, raising suspicion amyloidosis. Cough, expectoration, severe dyspnea, high-resolution computed tomographic changes dilated bronchi paralleled bronchiectasis exacerbated by perpetual bacterial infection. view the laboratory findings imaging studies, biopsy was done, it supported...

Objectives: To compare oral maternal hydration and intravenous infusion in women with third trimester isolated oligohydramnios terms of mean change amniotic fluid. Study Design: This is a Comparative Study. Setting: The study was conducted Department Gynecology, Pakistan Institute Medical Sciences, Islamabad. Period: Between 1st May, 2015 to 31st July, 2016. Material & Methods: One hundred fourteen pregnant females singleton pregnancy, beyond 28 weeks gestation AFI < 5cm were...

Notalgia paresthetica (NP) is a dermatologic condition with predominant, primarily left unilateral pruritus and hyperpigmentation that typically occurs on the upper middle back. The etiology remains largely elusive. A 57-year-old female history of neck pain presented refractory NP since six months. Through diagnostic x-ray, cervical degenerative changes were discovered at C5-C6 level, she was prescribed course traction. theory supported x-ray findings in this case.

Introduction: Self-medication during pregnancy is of special concern as it can lead to serious maternal and fetal adverse effects. By controlling the factors responsible for this practice, we promote safer health practices critical period a woman’s life. Aims & Objectives: Comparison prevalence self-medication among pregnant women presenting in secondary tertiary care hospitals our country. Exploring that contribute practice women. Place Duration Study: A multi-centric cross-sectional...

Introduction. Fannyhessea vaginae (formerly Atopobium vaginae) is an anaerobic organism commonly associated with female genital flora, rare cases of invasive disease reported in females. Case report. We discuss the case 81-year-old male who presented acute history back pain and signs urinary tract infection context intermittent self-urinary catheterisation. Multiple blood cultures grew a later finding lumbar vertebral osteomyelitis as cause pain. Treatment was commenced ampicillin, switched...

Objective: To evaluate the resist of minimally invasive surgery i.e. laparoscopic cholecystectomy versus open in cases with complex gallstone diseases. Study Design: Prospective study. Setting: North Surgical Ward, Mayo Hospital Lahore. Period: 11th July 2020 till 10th January 2021. Material & Methods: A total 372 patient’s fulfilling criterion was included for study group-A Laparoscopic done. In group B done which includes 86 patients. The entire patient received injection Ketorolac 30...

Introduction. Fannyhessea vaginae (formerly Atopobium vaginae) is an anaerobic organism commonly associated with female genital flora, rare cases of invasive disease reported in females. Case report. We discuss the case 81-year-old male who presented acute history back pain and signs urinary tract infection context intermittent self-urinary catheterisation. Multiple blood cultures grew a later finding lumbar vertebral osteomyelitis as cause pain. Treatment was commenced ampicillin, switched...

Introduction. Fannyhessea vaginae (formerly Atopobium ) is an anaerobic organism commonly associated with female genital flora, rare cases of invasive disease reported in females. Case report. We discuss the case 81-year-old male who presented acute history back pain and signs urinary tract infection context intermittent self-urinary catheterisation. Multiple blood cultures grew a later finding lumbar vertebral osteomyelitis as cause pain. Treatment was commenced ampicillin, switched to...

The present study examined the relationship between motivation, sport anxiety, big five personality traits and athlete burnout, making use of a cross section research design. A total 200 university athletes ages 18-26 years participated in study, completing battery scales measuring traits. Pearson product moment correlation, multiple hierarchical regression analyses mediations were conducted to evaluate results. findings show that motivation (intrinsic regulation, introjected regulation...

Historically, males have dominated the policy domain, and women held more direct practice roles; therefore, male analysts do not use a gender lens in formulating or strategy paper. Similarly, Bangladesh government, with working group predominantly composed of men, created National Menstrual Hygiene Management Strategy 2021 for first time to ensure that "no girl woman is left behind" exercising their fundamental rights. This study's goal, from feminist perspective, was evaluate extent which...

Prescottella (Rhodococcus) soli is a soil-dwelling organism not previously thought to be pathogenic in humans. We discuss the case of 78-year-old male renal transplant recipient presenting with respiratory symptoms and multiple pulmonary nodules, found malakoplakia secondary infection soli. Treatment was commenced vancomycin, meropenem azithromycin for an induction period two weeks continued indefinite oral moxifloxacin significant clinical improvement. Although rare, species, including...

Background Laparoscopic surgery is becoming the gold standard for most abdominal surgeries in recent times. repair of perforated duodenal ulcer (PDU), however, still an area debate. The purpose this study was to evaluate safety and efficacy laparoscopic PDU versus open repair. Methods In cross-sectional study, patients were consecutively sampled. Out 101 with clinically diagnosed PDU, 36 underwent Graham patch 65 a tertiary care academic hospital. Open via upper midline incision, by...