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Background: Distal radius fractures are the most frequent fractures, with a common cause being low-energy falls. Treatment is focused on restoring anatomical alignment, stability, and functional resul
Distal radius fractureK-wireORIF platingFracture fixationComparative study
Objective: To compare the efficacy, induction–abortion interval, and safety of ethacridine lactate, Foley catheter with misoprostol, and mifepristone–misoprostol for second-trimester termination in wo
AbortionInduced Cervix Uteri Ethacridine Mifepristone Misoprostol Pregnancy TrimesterSecond Urinary Catheters
Original Article
Introduction: Renal calculi present a substantial healthcare burden globally, necessitating effective management strategies. Percutaneous Nephrolithotomy (PCNL) stands as a cornerstone for addressing
Kidney stonesRenal stonesPCNLLeft KidneyRight kidneystone prevalence
Original Article
Background: Ultrasound-guided central venous catheterization has become the preferred technique for obtaining central venous access due to improved success rates and reduced complications. The Interna
Internal Jugular VeinPirogoff’s ConfluenceUltrasound GuidanceCentral Venous Catheterization.
Original Article
Background: Clinical competence is a core outcome of medical education and requires assessment methods that are fair, valid, and reliable. While the Traditional Clinical Examination (TCE) has long bee
Objective Structured Clinical Examination (OSCE)Traditional Clinical Examination (TCE)Clinical competenceClinical assessmentStudent preferenceCompetency-based medical education (CBME).
Original Article
Objective: To compare maternal and neonatal outcomes in low-risk primigravid women who received epidural labour analgesia with those who laboured without epidural analgesia at a tertiary care teaching
epidural analgesialabour painprimigravidamode of deliveryneonatal outcomesVisual Analogue Scale
Original Article
Background: Timely liberation from invasive mechanical ventilation remains a major challenge in critically ill patients. Although the Rapid Shallow Breathing Index (RSBI) is widely used to assess extu
Mechanical VentilationVentilator WeaningExtubationDiaphragmUltrasonographyIntensive Care Units
Original Article
Background: Sepsis is a leading cause of ICU mortality worldwide, with higher burden in low- and middle-income countries. Comparative data between resource-rich and resource-limited settings remain li
SepsisIntensive Care UnitICU mortalityResource-limited settingsqSOFAOrgan dysfunction
Original Article
Introduction: Assessment of the level of consciousness is essential for prognostic stratification in comatose patients. The Glasgow Coma Scale (GCS) is widely used but has recognized limitations. The
Glasgow Coma ScaleFOUR scorecomain-hospital mortalityprognostic stratification.
Original Article
Background: The comparative effectiveness of Catheter Flow Control Valves (CFCV) versus Conventional Continuous Flow Catheters (CFC) remains understudied in outpatient settings. This research evaluate
Catheter Flow Control ValveContinuous Flow Catheterurinary catheterpatient satisfactionoutpatient careurinary tract infections
Original Article
Background: Thyroid dysfunction plays a pivotal role in female reproductive health. It can significantly influence menstrual cycles and fertility through its effects on the hypothalamic-pituitary-ovar
Thyroid dysfunctionmenstrual irregularitiesinfertilitysubclinical hypothyroidismamenorrhea
Original Article
Background: Anesthesiologists frequently utilize various local anesthetics for intrathecal administration, including isobaric or hyperbaric formulations of ropivacaine, levobupivacaine, and bupivacain
RopivacaineHyperbaric BupivacaineLower Limb SurgerySpinal Anesthesia
Original Article
Aims: Current screening paradigms for RA-associated lung disease lack validated serologic thresholds, while treatment remains guideline-agnostic with limited comparative effectiveness data. This prosp
Rheumatoid arthritisInterstitial lung diseaseUsual interstitial pneumoniaMycophenolate mofetilDisease Activity Score
Original Article
Objective: This study evaluates intraoperative closure parameters and short-term postoperative outcomes comparing continuous intermittent crossed suturing to continuous suturing techniques for linea a
Midline laparotomyLinea albaintermittent crossed suturingcontinuous suturingwound dehiscence
Original Article
Introduction: Melasma is an irregular brown or greyish-brown symmetric facial hyper melanosis, causing significant cosmetic concern and psychological morbidity with loss of self-esteem. Objectives: In
Melasmahydroquinoneazelaic acidMASIDermatoscope