Pak J Med Sci
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Nutritional problems are one of the most common disorders encountered in aging, and malnutrition, secondary to insufficient food consumption. Failure to diagnose malnutrition can increase the risk of illnesses and death. Our objective was to evaluate the nutritional status of elderly patients aged 65 years and older through a Mini Nutritional Assessment (MNA) scale and to determine its relationship with laboratory parameters. ⋯ The findings suggest evaluating nutritional status in individuals aged 65 years and older in the population on a regular basis to reduce disease risk and mortality.
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To determine the frequency of intraventricular dyssynchrony among patients with left bundle branch block. ⋯ The incidence of Intraventricular dyssynchrony is high among patients with heart failure and left bundle branch block.
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The purpose of the study was to access the efficacy and response of the endoscopic transsphenoidal surgery in pituitary adenomas. ⋯ The endoscopic transsphenoidal approach for pituitary adenoma is the safest procedure with marked improvement in complications and reduction in patient's hospital stay.
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Lipoprotein-A has been recognized as a risk factor for ischemic heart diseases. Myocardial infarction (MI) is common complication of ischemic heart disease. Diabetes play an incremental role in the development of coronary artery disease (CAD), however still there are conflicting data regarding the relationship of Lipoprotein-B and MI. We therefore wanted to evaluate the relationship of Lipo-B, MI and diabetes mellitus. Our objective was to determine the non-fasting Apo-lipoprotein B and triglycerides level among type II diabetic patients with ischemic heart disease and to compare with type II diabetic without ischemic heart disease. ⋯ Based on the study result it was concluded that Apo-lipoprotein and triglycerides in diabetic patients with myocardial infarction, had higher levels compared to diabetic patients without Myocardial infarction and this could be a consequence of increase in age, insulin resistance and deficiency of insulin in the body. We also found positive correlation between Apo-lipoprotein and Triglycerides.
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To explore undergraduate medical students' perception of variation in teaching and supervision at different clinical teaching sites. ⋯ This study tool highlights variation in clinical teaching and supervision at four clinical teaching sites. It provides specific, actionable information which can be utilized to deliver equitable learning experiences across clinical clerkships and teaching sites. It places emphasis on the fact that lack of physical facilities hampers clinical teaching and supervision, hence, on call rooms, lockers and separate rooms for independent student interaction with patients should be provided at all clinical teaching sites.