Pak J Med Sci
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To determine the prevalence of family planning practice among the parents of children affected with beta thalassemia major (BTM) and to determine the relationship between various factors and family planning practice in Makran division Balochistan. ⋯ The religious beliefs, economic status of the family, area of residence, and total number of children play a significant role in family planning practices among the parents of children affected with BTM.
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Infective endocarditis used to frequently cause mortality in subjects having PDA before the advent of antibiotics and surgical ligation. It has been documented that clinically silent PDAs may cause infective complications of heart valves. We present case of an 18-years-old male who presented with palpitations and fever to our emergency department. ⋯ A left thoracotomy approach was chosen for the PDA ligation that unveiled rupture of the main pulmonary artery, so the pulmonary artery repair alongside the PDA ligation was planned with median sternotomy approach and cardiopulmonary bypass immediately. The patient had a 14-days course of antibiotics during the ICU stay. In conclusion, infective endocarditis remains a rare yet life-threatening complication of PDA irrespective of the size; a timely PDA-ligation could prevent the life-threatening sequels.
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Kounis syndrome also known as allergic myocardial infarction, represents the simultaneous occurrence of acute coronary syndromes with allergic or hypersensitivity reactions. We present a case of a 58-years-old male who developed anaphylaxis following a leech bite, leading to myocardial infarction despite the absence of prior allergic history. He was entubated and cardiopulmonary resusciation had been performed for 10 minutes. ⋯ The patient was stabilized and transferred to the intensive care unit and coronary angiography was performed, which revealed a 90% stenosis in the circumflex coronary artery. A stent was successfully implanted in the affected artery. This report emphasizes the complexity of diagnosing and managing Type-II Kounis syndrome and highlights the need for increased clinical awareness.
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To explore the effect of Centratherum antheminticum seeds powder {Cap CASP 500 mg} capsule in diabetes Type-2 (T2DM) patients in Karachi. ⋯ When given standard care to T2D patients, the CASP intervention demonstrated both anti-diabetic and anti-lipidemic effects.
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To explore the effects of hybrid blood purification on nutritional status and cardiovascular events in patients with end-stage renal disease (ESRD). ⋯ Hybrid blood purification can improve nutritional status and renal function of patients with ESRD, downregulate the expression of inflammatory factors, reduce the degree of inflammatory response, and reduce the risk of cardiovascular events.