Pak J Med Sci
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To explore the clinical efficacy of the interactive humanistic nursing model in emergency rescue of epidemic outbreaks. ⋯ The interactive humanistic nursing model effectively improves the psychological status of patients and increases treatment compliance, clinical efficacy, and nursing quality, which is worthy of clinical application.
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To determine the prevalence of antimicrobial resistance (AMR) in E. coli isolated from urine cultures of patients with uncomplicated cystitis in Pakistan. Another objective was to analyze and compare the resistance rates of E. coli to specific antibiotics, conducting a year-by-year evaluation of these rates to identify trends and changes over the past seven years. ⋯ The national guidelines offer an empirical treatment regimen for patients with uncomplicated cystitis. However, regional variations in antimicrobial resistance (AMR) complicate adherence to these guidelines. Our study supports the use of fosfomycin and nitrofurantoin in management of uncomplicated cystitis, However, ongoing annual regional surveillance is essential to keep clinicians informed about the latest trends in AMR.
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To determine the frequency of undiagnosed hypertension among the diabetic patients with micro vascular complications. ⋯ In the present study, a substantial proportion of patients with diabetic micro vascular complications suffered undiagnosed hypertension which is alarming and advocates routine blood pressure monitoring of such patients so that timely identification and anticipated management of underlying hypertension may improve the outcome of such cases in future clinical practice.
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To observe the fetomaternal outcome of therapeutic versus prophylactic blood transfusions in patients with sickle cell disease (SCD) during pregnancy. ⋯ Our study demonstrates that prophylactic blood transfusion in SCD positively alters the course of pregnancy by reducing fetomaternal complications.
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Chronic suppurative otitis media is a fatal condition owing to its propensity for intracranial extension. The inadvertent use of antibiotics has led to resistance among causative organisms. The objectives of this study were to determine causative bacteria, their antibiotic resistance and susceptibility patterns, and their response to antibiotics after a one-month follow-up. ⋯ Moderate to high resistance against ciprofloxacin, third-generation cephalosporin, ampicillin, amoxicillin plus clavulanate, and clindamycin is an eye-opener. Our results underscore the critical need for judicious administration of empirical antibiotics.