Pak J Med Sci
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Medical and health care traverse geographical boundaries in the form of "Medical Tourism" with patients travelling from low and middle-income countries to developed nations and vice versa as well. Affordable medical care is also attracting patients from developed nations to countries like India, Thailand, UAE and others with international accreditation playing a key role. This also yields economic benefits for the recipient countries. ⋯ For this, literature search was conducted using google, Bing, google scholar, PubMed, web of science to search engines and data bases. One hundred eighty articles, reports & publications were downloaded of which 25 non-English & duplicates, and 75 irrelevant records were excluded. Hence, 34 references of relevant English language articles, publications, reports and online resources were utilized for the review.
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To explore teacher's perspectives regarding co-teaching classes. ⋯ Teachers described their experience of co-teaching as productive, pleasant, and enriching. The professional growth of teachers is fostered through co-teaching. Collaborative harmony develops among co-teachers. Teacher's satisfaction also increases by comprehensive knowledge transfer. Although some challenges were faced by teachers in co-teaching classes. The most common challenge of co-teaching was time management. Dominating nature or irresponsible teachers was also a challenge to deal with.
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Case Reports
Scalp Lipofibromatosis - A case report on comprehensive management in a two-year-old child from Pakistan.
Lipofibromatosis is a rare benign soft tissue tumor that primarily affects children. There is limited cytological description and management of this rare condition in the literature which leads to misdiagnosis. The two years old patient first presented with a big, non-tender swelling on the scalp's right temporoparietal area. ⋯ The fact that this case was successfully treated shows how crucial it is to treat rare pediatric cancers with a multidisciplinary strategy that incorporates surgical precision, imaging, histopathology and aesthetic considerations. This strategy highlighted the need of preserving the patient's quality of life by cosmetic reconstruction in addition to facilitating efficient tumor removal. Emphasizing thorough diagnosis and interdisciplinary management, this case adds important context to the little existing research on lipofibromatosis.
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Current research aims to monitor the prevalence of Acinetobacter baumannii (A. baumannii) in healthcare facilities due to the development of resistance to antimicrobials. The study aimed to elucidate the interplay between antibiotic resistance and biofilm formation, two key factors contributing to virulence of bacteria. ⋯ This study concluded that A. baumannii isolated from the patients with urinary tract infections had resistance to routinely used antibiotics. The isolates have shown hemolysis pattern (α & γ) and tendency to make biofilms. Moreover, except for ceftriaxone which showed negative correlations, a positive correlation was observed between biofilm biomass and the resistance profile to the remaining three antibiotics.
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To determine the effect of Bilateral Subthalamic Nucleus (STN) Deep Brain Stimulation (DBS) on drug reduction for Parkinson's disease (PD) in a low-middle-income country. ⋯ When the disease is in its early stages and has not yet manifested advanced Parkinsons symptoms, bilateral STN DBS is an effective treatment option. It considerably reduces the need for levodopa and significantly improves the motor symptoms of rigidity, tremors, and bradykinesia.