Pak J Med Sci
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We aimed to determine frequency, clinical presentation, etiology and management in patients presenting with primary amenorrhea in tertiary care setting. ⋯ Primary amenorrhea is a significant problem in adolescent girls. We found Mayer Rokitansky- Kuster- Hauser syndrome (MRKH) syndrome as the commonest cause in our series. There is need to promptly identify the patients who need medical, surgical or psychological management. It is also required to make local strategies and guidelines for evaluation, management and long term follow up.
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Controlled ovarian stimulation (COS) and embryo culture may affect the development and maturation of oocytes obtained by assisted reproduction technologies (ART). This study used the concept of available oocytes rate (AOR) to evaluate the effect of COS and to identify factors that influence oocyte development and clinical pregnancy (CP). ⋯ The AOR is an important indicator of oocyte function and is correlated with clinical pregnancy outcomes of fresh cycles. The AOR could objectively predict HMG as a clinically related factor that affected the number and maturation of oocytes for insemination.
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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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Although differentiated thyroid cancers have a good prognosis overall, their incidence is on the rise with extremely limited data available in our region. The objective was to describe the outcomes of differentiated thyroid carcinoma in a tertiary care hospital. ⋯ This study highlights the low cure rate while describing the high rate of disease persistence and recurrence. This can be due to delays related to the diagnosis and scarcity of proper treatment. Recognition of this emergent disease is vital so that curative methods prescribed at proper time can diminish the morbidity and mortality linked with this treatable cancer.
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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.