Pak J Med Sci
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Congenital venous anomalies are uncommon, incidental findings encountered during adult interventional electrophysiology procedures. Femoral venous access is conventionally used during cardiac electrophysiology studies to gain access to the heart. The chance finding of an inferior vena cava anomaly may preclude the performance of these procedures from the femoral approach. We describe two cases in which we were able to successfully perform different radiofrequency catheter ablation procedures in the presence of an unusual venous anomaly, the left-sided IVC.
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Endometriosis is a common gynecological disease, ectopic endometrium can invade any part of the body, usually in the ovary and uterine sacral ligament, while endometriosis invades the intestinal wall to cause intestinal obstruction is very rare, which easily leads to misdiagnosis. In this case report, we present a case of sigmoid endometriosis with bowel obstruction. Pathological examination is the main basis for the diagnosis of intestinal endometriosis, and the comprehensive treatment of surgery and hormonal therapy is an effective method for the treatment of intestinal endometriosis.
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Our study aimed at identifying the characteristics and etiology of various causes of acute undifferentiated fever in patients presenting to the emergency department of a tertiary care hospital. ⋯ Malaria was found to be the most common confirmed cause of acute undifferentiated fever followed by dengue and enteric fever. The provision of accurate epidemiological data will enable resources to be directed towards key areas and will be of practical importance to clinicians.
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The main objective of this study was to explore the impact of hearing impairment on psychological distress and subjective well-being in older adults with hearing impairment. ⋯ Early diagnosis and rehabilitation of age-related hearing loss improves the overall quality of life of older adults living with hearing impairment.
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To assess the level of anxiety among doctors during COVID-19 pandemic and the associated risk factors. ⋯ During COVID-19 pandemic, doctors exhibited different grades of anxiety. In order for healthcare workers to perform to the best of their capability, certain guidelines and interventions are needed.