Patients with seizure should be referred to epileptologists to make final diagnosis

KARACHI: All patients who suffer from seizures should be referred to epileptologists to make correct diagnosis because misdiagnosed epilepsy costs millions. Detailed history is the cornerstone in making correct diagnosis of epilepsy. This was stated by Dr. Athanasios Kovanis President of International Bureau of Epilepsy (IBE) who is also President of the Greek ILAE and IBE chapters. He was making a presentation at a series of symposia held in Pakistan last month. The topic of his presentation was “Diagnosis and Treatment of Epilepsy: Its Global Perspective”. 

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Pouch operations are now increasingly being done laparoscopically in specialized centers-Robin Phillips

KARACHI: On Second Day of the Surgical Week for Colorectal Diseases at JPMC on September 20th, Prof. Robin KS Phillips the visiting Master Trainer from UK made a presentation on Surgical Management of Ulcerative Colitis. He pointed out that those patients who fail to respond to medical therapy or have cancer are referred for surgery. In case of emergency surgery for ulcerative colitis, the surgeon should operate the patient along with Gastroenterologist. Exclude infections by doing stool cultures, start with steroids and antibiotics. TPN is a myth and it is not true. Plain abdomen X-ray was also suggested in these cases.

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Pharmacists should collaborate with Regulatory Agencies to improve pharmacy services and regulatory compliance

KARACHI: In the recent issue of our sister publication Pakistan Journal of Medical Sciences Vol. 32 No.5 September-October 2016 issue we published a study by Dr. Shaukat Muttaqi and colleagues on Quality of Pharmacy Services and Regulatory Compliance which was supplemented with an Editorial on the same subject. This was picked up by the Print and electronic media which has tried to highlight some of the negative issues from this report. The media in general always prefers to pick up negative issues but the objective of publishing this excellent study was to highlight the poor quality of pharmacy service in Pakistan and the need to take effective measures for its improvement. 

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Primary prevention is the basic requirement for control of Heart Diseases

KARACHI: World Heart Day is being observed every year in the month of September since 1999 to create awareness regarding heart ailments which is considered number one cause of deaths annually. This year World Heart day was observed on 29th September all over the World. Pakistan Cardiac Society also observed this Day by arranging a seminar at a local hotel here on September 29th which was very well attended. Dr. Usman Chachar, Secretary Health Government of Sindh was the chief guest at the occasion. It was sponsored by M/s OBS Pakistan.

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Previous diagnosis of GDM, IGT and history of PCO are risk factors for Gestational Diabetes Mellitus-Carolina Ursing

KARACHI: Previous diagnosis of Gestational Diabetes Mellitus, Impaired Glucose Tolerance and history of polycystic ovary syndrome are some of the risk factors for development of GDM. This was stated by Dr. Carolina Ursing a noted endocrinologist from Karolinska Institute, Stockholm Sweden. She was speaking on Gestational Diabetes Mellitus: Increasing awareness among Obstetricians and Family Physicians, Diagnosis and Monitoring at the formal launch meeting of a special issue of Journal of Pakistan Medical Association on Pregnancy and Diabetes at PMA House on September 24th 2016.

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Maj. Gen. Dr. Muhammad Zulfiqar Ali Khan

Maj. Gen.  Dr. Muhammad Zulfiqar Ali Khan, an eminent cardiologist of the Armed Forces and Pakistan, a versatile physician, teacher, mentor medical educationist, an excellent medical administrator and creator of institutions was born on 22nd August 1932 and passed away on 6th July 2016. The cause of death was complications of cerebral stroke which he suffered in 1998.

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Survey report shows that half of Physicians are Demoralized and Dissatisfied

Half of physicians are disengaged, burned out, and demoralized and plan to either retire, cut back on work hours, or seek non-clinical roles, according to a new nationwide survey commissioned by The Physicians Foundation. "Many physicians are dissatisfied with the current state of the medical practice environment and they are opting out of traditional patient care roles," said Walker Ray, MD, president of The Physicians Foundation, in remarks accompanying the survey. 

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Rapid blood test can rule out serious infections in children

Using a simple decision rule and a finger prick to test blood, general practitioners can now detect serious infections in children very quickly. This ensures that seriously ill children don’t have to wait for a diagnosis until they’re hospitalized – a delay that may have fatal consequences. The procedure also prevents unnecessary hospital referrals for less serious cases. 

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Mortality due to chronic kidney disease increasing worldwide

The results from a Global Burden of Disease study published in The Lancet indicate that across the world deaths from chronic kidney disease (CKD) are increasing among both women and men. In Mexico, CKD is now the second cause of ‘years of life lost’ after ischemic heart disease, and the third cause is diabetes. The International Society of Nephrology’s (ISN) World Congress in Mexico City in April 2017 will focus on diabetes and kidney disease, and be a unique and timely platform to discuss these alarming findings. 

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