Smart cities stand as pivotal components in the ongoing pursuit of elevating urban living standards, facilitating rapid expansion areas while efficiently managing resources through sustainable and scalable innovations. In this regard, emerging technologies like Artificial Intelligence (AI), Internet Things (IoT), big data analytics, fog edge computing have become increasingly prevalent, smart city applications grapple with various challenges, including potential for unauthorized disclosure...

Abstract Left ventricular thrombus (LVT) is associated with a significant risk of ischemic stroke (IS) and peripheral embolization. Societal guidelines recommend the use warfarin, direct oral anticoagulants (DOACs) only for patients unable to tolerate warfarin. We studied natural history LVT anticoagulation (AC) emphasis on comparing warfarin DOAC use. In this single center study, we identified confirmed LVT. Type duration anticoagulation, INR levels clinical outcomes (bleeding, or...

Background The risk of ischemic stroke hospitalization in patients with end‐stage kidney disease has declined over time, but data are limited, especially for hemorrhagic trends. Race‐ and sex‐based differences have not been well studied. METHODS AND RESULTS We conducted a retrospective cohort study using the US Renal Data System to examine incidence among incident undergoing hemodialysis from 2006 2016. identified 391 195 new (mean age, 70.1 years; 44.8% women) between any per 100 000...

OBJECTIVE: To compare the method of surface anatomical landmark with pre-procedural ultrasonography assisted midline approach for identification inter-spinous lumber level spinal anesthesia in elective cesarean section cases. STUDY DESIGN: Randomized Control Trial SETTING: Obstetric floor, department anesthesia, Hayatabad Medical Complex Peshawar DURATION OF STUDY: 6 months SUBJECT AND METHODS: All patients due C-sections under were enrolled study keeping view inclusion/ exclusion criteria....

Introduction . Nonalcoholic fatty liver disease (NAFLD) is an important cause of in adults and the most common children (Lavine Schwimmer 2004). The abnormalities include increased fat without inflammation (steatosis) nonalcoholic steatohepatitis (NASH). NASH may lead to fibrosis, cirrhosis, ultimately failure if it not treated (Matteoni et al. 1999). objective study estimate magnitude problem which will help us formulate strategies managing potentially difficult problem. Materials Methods...

Treatment of chronic myeloid leukemia (CML) is challenging in patients who want to conceive. We followed 809 with CML treated imatinib mesylate (IM). observed outcomes 90 pregnancies from 61 (21 females, 40 males) conceived while on IM. Information was obtained duration exposure IM, pregnancy termination and congenital abnormalities. Hematologic cytogenetic responses were also recorded. Twenty-eight occurred among 62 reported male patients. Among female patients, 19 (67.9%) uneventful six...

We continue to learn about cardiac involvement in patients with COVID-19. These can develop acute coronary syndrome and severe myocarditis a reduced ejection fraction. describe two critically ill COVID-19 who developed ST elevation that resolved on repeat ECG without any intervention.

Objective: To make a comparison between standard doses of theophylline and caffeine for the treatment apnea prematurity.
 Methods: A randomised control trail was conducted in Department Pediatrics Medicine Govt. Khawaja Muhammad Safdar Medical College Allama Iqbal Memorial Teaching Hospital, Sialkot over duration one year from August 2017 to 2018 after approval hospital ethics committee. An informed consent form written document also taken parents each infant participating study. Data...

Synovial sarcoma (SS) accounts for 10-15 percent of adult soft tissue sarcomas. Transducin-like enhancer split 1 (TLE1), a transcriptional repressor, is essential in hematopoiesis, neuronal differentiation, and terminal epithelial differentiation. TLE1 proteins inhibit Wnt signaling other cell fate determination signals, so have an established role repressing has recently been shown to be highly sensitive relatively specific marker SS.Study design retrospective, descriptive. A total 25 cases...

Adrenal endothelial cyst is a rare entity which has female predilection and usually presents with abdominal pain. Smaller cysts are mostly asymptomatic detected as incidental finding during surgery. Without biopsy, it almost impossible to depict the nature of larger benign or malignant. Herein, we report two such cases. The first case was 24-year who presented large in abdomen. second 35-year female, cystic lesion right adrenal gland. clinical, radiological histopathological findings...

The intestinal intussusception as a cause of bowel obstruction in adult is rare finding and heralder for an underlying lesion. This stark contrast to pediatric population where the etiology always primary or benign condition thus bears different outcomes. We hereby present case young female adult, without presence any significant comorbidity. She presented with non-specific symptoms small intussusception. was diagnosed abdominal ultrasonography. patient underwent complete resection tumor,...

Primary renal angiosarcoma is a rare tumor. Epithelioid variant of primary extremely and aggressive entity described in literature as few case reports. It presents solid looking mass other cell carcinomas. Management not well due to scarcity cases aggressiveness disease. We hereby report epithelioid 62-year female who presented with features infected perinephric collection. Histopathological immunohistochemical examinations the specimen revealed lower polar tumor atypical cells having...

Soft tissue angiofibroma is a relatively recent addition to the ever growing list of benign soft tumors. It usually presents as mass in lower extremities relation joints and tendons. The tumor composed spindle-shaped fibroblastic cells with arborizing capillaries. We report case 55-year-old female lump at dorsum left foot. Grossly was well circumscribed yellow white cut surface. Microscopically showed typical features myxoid areas near periphery lesion. Prominent vasculature integral part...