Practice-updates

Global Journal of Reproductive Medicine: Endometriosis is a common disease in up to 10% of women of reproductive age. It often causes symptoms such as dysmenorrhea, chronic pelvic pain, dyspareunia and dyschezia. It is also associated with ovarian endometrioma which requires surgery for both diagnosis and treatment. However, recurrence r...
Threatened miscarriage is the most common complication in the first half of pregnancy affecting 20-25% of women. Diagnosis of threatened miscarriage is established when there is a viable pregnancy with vaginal bleeding and a closed cervix. Any woman who presents with threatened miscarriage; ultrasound imaging is performed to ascertain th...
ADA Diabetes Care Journal: Metformin is the recommended first-line pharmacotherapy for patients with type 2 diabetes, but most patients will ultimately require additional therapies to maintain glycemic control. Maintaining intensive glucose control early in the disease process may lead to legacy benefits that persist beyond the per...
PubMed Central: Published: July, 2021 Urticaria is a frequent, mast cell–driven disease that presents with wheals, angioedema, or both. The lifetime prevalence for acute urticaria is approximately 20%. Chronic idiopathic urticaria (CIU) is a common skin condition characterized by the appearance of recurrent wheals and/or angioede...
Treatment guidelines for type 2 diabetes mellitus (T2DM) recommend initiating pharmacotherapy with an oral antidiabetic drug (OAD) to reduce hyperglycaemia when diet and exercise are inadequate. International guidelines recommend metformin as the first OAD, whereas Japanese guidelines recognize that other OADs may be more appropriate i...
The management of gastroesophageal reflux disease (GERD) has been revolutionized with the development of proton pump inhibitors (PPIs). Unfortunately, due to the inherent pharmacokinetic and pharmacodynamic profiles of conventional PPIs, many patients continue to suffer from symptoms related to GERD despite appropriate use of PPIs. Curr...
JAMA: The Journal of the American Medical Association: Published on April 5, 2022 Epilepsy affects approximately 65 million people worldwide. Persistent seizures are associated with a 20% to 40% risk of bodily injuries (eg, fractures, burns, concussions) over 12-month follow-up. The primary goal of epilepsy treatment is to eliminate seiz...
American Diabetes Association (ADA) Professional Practice Committee: Recommendations Treatment Strategies Lifestyle Intervention: Recommendation For patients with blood pressure >120/80 mmHg, lifestyle intervention consists of weight loss when indicated, a Dietary Approaches to Stop Hypertension (DASH)-style eating pattern inclu...
Diabetes Care: American Diabetes Association Journal The standard pharmacotherapy for management of type 2 diabetes mellitus (T2DM) involves initiation with monotherapy (usually metformin) unless there are contraindications or intolerance, followed by sequential addition of other single agents, when target glycaemic control is not achieved o...
The New England Journal of Medicine (NEJM): Published on July 15, 2021 The incidence rate of a single unprovoked seizure among adults is 23 to 61 cases per 100,000 person-years. After a first unprovoked seizure, the overall risk of recurrence may be as high as 60%, and this risk is highest within the first 2 years. Epilepsy is...
American Journal of Dermatology and Venereology: Published: Feb. 26, 2021 Dermatophytic infections are the most common fungal infections affecting 20%–25% population globally. The hot and humid climate in the tropical and subtropical countries like Bangladesh makes Dermatophytosis is very common fungal infection. Terbinafine is considered...
The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Atherosclerotic cardiovascular disease (ASCVD)—defined as...