Pak J Med Sci
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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 determine the effectiveness of Levamisole (Leva) in maintaining short-term and long-term remission in early steroid responders (ESRs) and late steroid responders (LSRs). ⋯ Levamisole was effective in maintaining short-term and long-term remission in early and late initial steroid responsive nephrotic syndrome.
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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 risk factors associated with postoperative atrial fibrillation (POAF) after off-pump coronary artery bypass grafting (OPCABG) and to construct a nomogram predictive model. ⋯ Age, diabetes, history of PCI, duration of operation, length of hospital stay and LVEF are independent risk factors for POAF after OPCABG. The constructed nomogram model has a good predictive performance for predicting POAF in patients after OPCABG.
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Poor medication adherence is an essential contributor to Pakistan's high prevalence of uncontrolled hypertension. This study will be aimed to assess the efficacy of a one-of-a-kind developed intervention in improving medication adherence and treatment outcomes in hypertension patients. ⋯ According to this study, if the multifunctional Multi-Aid-Package proves to be a useful mobile health tool for improving hypertension patients' medication adherence, it will also significantly affect systolic blood pressure. In Pakistan and other comparable low- and middle-income countries LMICs, the Multi-Aid-Package ought to be taken into consideration as a means of enhancing adherence to medications among hypertension patients.