Background: Severe acute malnutrition (SAM) remains a critical public health issue, particularly in resource-limited settings, significantly impacting child morbidity and mortality. Malnutrition adversely affects hematopoiesis, leading to anemia, leukocyte abnormalities, thrombocytopenia, which further compromise immune function increase susceptibility infections. Understanding the hematological alterations children with SAM is essential for early detection, appropriate management, improved...

Globally, 19 million children under five suffer from severe acute malnutrition, causing 400,000 deaths annually. Early detection is crucial for treatment and reducing consequences in community healthcare settings. Objectives: To assess weight gain malnutrition (SAM) two months after discharge Children's Hospital. Methods: A prospective cohort study was conducted on with SAM, receiving at the oral therapy program (OTP) clinic Chandka Medical College, Children Hospital, Larkana. Through...

Asthma is the most prevalent pediatric chronic condition and leading cause of preventable hospitalization. Despite its prevalence, asthma a poorly managed condition. Effective therapies to enhance sustain control are required. Objective: To determine frequency patterns among asthmatic patients presenting at tertiary care hospital, Larkana. Methods: Cross-sectional research was conducted Children's Hospital in Larkana between January 21 June 23. Quantitative qualitative data were gathered,...

Design Non-randomised non-blinded school-based intervention study. Setting Two schools in the cities of Pune and Nasik, India. Participants The group comprised children attending a school from 7–10 years until 12–15 age. control groups same age similar but aged at start Intervention A 5-year multi-intervention programme, covering three domains: physical activity, diet general health, including increased extracurricular intracurricular activity sessions; daily yoga-based breathing exercises;...

An 82-year-old female presented with multiple oral ulcers and malena for 1 week. Her laboratory tests revealed pancytopenia acute renal failure. She had history of rheumatoid arthritis which she was taking 7.5 mg methotrexate weekly stage 4 chronic kidney disease from diabetic nephropathy. During the hospital stay, developed pneumonia septic shock requiring norepinephrine vasopressin. underwent continuous venovenous hemodiafiltration. Leucovorin, filgrastim, packed red blood cell platelet...

Takotsubo cardiomyopathy (TTC) is a transient systolic dysfunction of the left ventricle which usually seen in elderly women, often following physical or emotional stressful event. Little known about prognostic factors affecting recovery function. Thirty-six patients diagnosed with TTC from January 2006 to 2017 at our hospital were included. Median time ejection fraction (EF) was calculated be 25 days. Early defined as less than equal days (group 1) and late more 2). Demographic clinical...

Clinical manifestations of acute myocardial infarction can be more than just chest pain. Patients present with dyspnea, fatigue, heart burn, diaphoresis, syncope, and abdominal pain to name a few. Our patient was 74-year-old male past medical history type 2 diabetes mellitus, hypertension, hyperlipidemia, COPD due chronic tobacco use, who presented persistent hiccups for 4 days no other complaints. Coincidently, he found have diabetic foot ulcer sepsis kidney injury hence admitted the...

Background Patient satisfaction is one of the key indicators health care quality. We aim to identify patient's needs and expectations in a breast cancer clinic provide patient-centered better overall satisfaction. Methods A 17-item survey was administered 110 patients at clinic. The designed after thorough literature review approved by an oncologist palliative physician. Results Self-reported knowledge about disease reported adequate 90.9% our yet only 55.45% could stage their cancer. More...

A 59-year-old male with a medical history of abdominal aortic dissection underwent follow-up computed tomography (CT) scan abdomen, which showed an incidental pleural-based mass in the left lung base. The patient ultrasound (US)-guided biopsy and histology was consistent spindle cell carcinoma (SpCC). Staging workup concerning for metastatic lesion on adrenal gland. refused surgery subsequently started chemotherapy. SpCC is rare histological variant sarcomatoid carcinoma. prognosis generally...

A 47-year-old woman with a medical history of Raynaud's phenomenon presented fever, cough and shortness breath. She was found to have left lower lobe consolidation pleural effusion treated as case pneumonia. During the hospital course, her respiratory status worsened, she intubated on third day. To investigate high A–a gradient, Computerized Tomographic Pulmonary Embolism (CTPE) study done which identified large pulmonary artery embolism. also new murmur, an echocardiogram demonstrated...

Background: Despite cancer being the second most common cause of death in United States, more people are living longer after diagnosis than before. Healthcare workers will be treating an increasing number patients with cancer. Various studies have identified predictors cardiac arrest general population, however, none been done to identify such factors who form a vulnerable group lower survival rate following arrest. Methods: We retrospectively analysed charts all active experienced...

The storage lesion is defined as the set of changes that occur in red blood cells (RBCs) during storage. Studies have shown a prolonged period RBCs associated with increased destruction after transfusion. aim this study to determine impact on efficacy RBC transfusions by comparing mean rise hemoglobin patients who received new vs old blood.We did retrospective chart review all single unit pure cell (PRBC) transfusion three-month period. Patients hemolytic anemia and active bleeding were...

This is a case of an 80-year-old Caucasian male with no personal or family history coagulopathy, who was admitted for new onset painless hematuria followed by skin and significant deep soft tissue hemorrhage, resultant anemia requiring blood transfusions. The started 1 week after he received initial dose subcutaneous injection dupilumab the treatment refractory eczema. Few days later, had spontaneous bruising on tongue, anterior neck, right arm entire left lower extremity in absence trauma...

An 88-year-old woman presented to our emergency room with complaints of fever, coryza, barking cough and generalised fatigue for 2 days. Physical examination showed stridor, tachypnoea use accessory muscles respiration on admission. Laboratory tests were unremarkable except monocytosis a normal total white cell count. Rapid influenza diagnostic test was positive A. Chest X-ray subglottic narrowing the trachea suggestive steeple sign. A diagnosis A-induced croup made. She given humidified...

This is a case of an 80-year-old Caucasian male with no personal or family history coagulopathy, who was admitted for new onset painless hematuria followed by skin and significant deep soft tissue hemorrhage, resultant anemia requiring blood transfusions. The started 1 week after he received initial dose subcutaneous injection dupilumab the treatment refractory eczema. Few days later, had spontaneous bruising on tongue, anterior neck, right arm entire left lower extremity in absence trauma...

A 70 year old diabetic male presented with fever, urgency of micturition, oliguria, swelling over both legs. His midstream urine sample was sent for microbiological examination and it revealed Shewanella algae. Patient treated antibiotics he recovered completely after treatment. DOI: http://dx.doi.org/10.3126/ajms.v6i4.11503 Asian Journal Medical Sciences Vol.6(4) 2015 92-95

WPW pattern can be asymptomatic, whereas the syndrome is characterized by symptomatic arrhythmias.