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BACKGROUND Drug abuse is hazardous and known to be prevalent among young adults, warranting efforts to increase awareness about harmful effects and to change attitudes. This study was conducted to assess the perceptions of a group of medical students from Pakistan, a predominantly Muslim country, regarding four drugs namely heroin, charas, benzodiazepines… (More)
Primary cardiac lymphoma is a rare clinical entity with poor prognosis and delayed diagnosis is often due to variable and non-specific clinical presentation. The case of an elderly male is reported with multiple co-morbidities, who had undergone a spinal laminectomy two weeks prior to presentation, later presented to the emergency room (E.R.) with acute… (More)
OBJECTIVE To estimate the occurrence rate of sleep deprivation and to identify the environmental, staff-related and patient-related factors associated with SD among general ward patients of a tertiary care hospital in Pakistan. METHODS In a cross-sectional study, a pre-tested questionnaire was administered to 108 patients admitted into the general medical… (More)
OBJECTIVE To assess the general practitioners (GP) knowledge regarding the diagnosis and initial drug therapy for acute myocardial infarction (AMI). METHODS A questionnaire-based survey was conducted in randomly selected GPs of Karachi. Doctors working in community as GPs who were registered medical practitioners having a Bachelor of Medicine & Bachelor… (More)
OBJECTIVE To evaluate the immediate post procedure, thirty-days, and six-months clinical outcomes of sirolimus-eluting stents (SES) implantation in patients with single and multivessel coronary artery disease (CAD). METHODS A case series of all consecutive patients undergoing percutaneous coronary interventions (PCI) with SES implantation at Shifa… (More)
BACKGROUND The incidence of adverse events with noncardiac procedures (NCP) after the use of drug eluting stents (DES) is not well studied. We sought to determine the incidence and temporal trends of adverse events in patients undergoing NCP after coronary DES. METHODS We performed a retrospective review of patients receiving DES during percutaneous… (More)
Objective: To evaluate the immediate post procedure, thirty-days, and six-months clinical outcomes of sirolimuseluting stents (SES) implantation in patients with single and multivessel coronary artery disease (CAD). Methods: A case series of all consecutive patients undergoing percutaneous coronary interventions (PCI) with SES implantation at Shifa… (More)
Herein we report a case of gas gangrene of the neck and mediastinum in a poorly managed Type II diabetic with concomitant chronic renal failure and a recent history of mucormycosis. Despite the burden of co-morbidities and the gravity of the illness, the patient was successfully treated and remained free of complications in the long term.
We report the case of an eight-month-old boy with tracheomalacia secondary to impingement by the right pulmonary artery, together with congenital agenesis of the left lung and the left kidney. Aortopexy and right pulmonary arterypexy were successful in improving lung function by more than 100%, and the patient remained free of complications in the long term.