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International Journal of Endocrinology: Published on February, 2023A recent study in the International Journal of Endocrinology (Feb 2023) found promising insights into thyroid disorder treatment, specifically evaluating Levothyroxine intake during Ramadan.Fasting during the month of Ramadan is an Islamic obligation and a great worship. Muslims...
JAMA: The Journal of the American Medical Association: Published on November, 2022American Urological Association (AUA) and American Society for Reproductive Medicine (ASRM) provide an overview of current guidelines on the evaluation and treatment of male infertility and is an important tool for providers caring for these patients.With up to 20...
Dengue is endemic in Bangladesh with recurrent outbreaks.  Health officials in Bangladesh have reported elevated dengue fever activity in Bangladesh during 2022. Dhaka and Chattogram has become a hotspot for dengue fever (DF).Why DF rising in August & September?•       The risk of dengue fever transmission in Bangladesh exists nationwide and...
The persistence, severity, and disability associated with post-COVID conditions, often referred to as "long COVID," pose significant diagnostic and management challenges. Some patients who have been infected with SARS-CoV-2, the virus that causes COVID-19, have new, recurring, or ongoing symptoms and clinical findings four or more weeks after infec...
NICE guidelines: The holistic assessment, investigation, and management approach suggested by NICE are outlined here.Pulmonary Symptoms ManagementInvestigations:Pulmonary symptoms are common during long covid. NICE recommends that breathlessness may be investigated using an exercise tolerance test suited to the person’s ability, for example the one...
The Journal of Clinical Endocrinology and Metabolism (JCEM): Published On October, 2022Nonalcoholic fatty liver disease (NAFLD) is associated with obesity and type 2 diabetes (T2D), causing substantial burden from hepatic and extrahepatic complications.TAKE-HOME MESSAGEThis review discusses practical approaches to the management of patients wit...
The American Journal of Gastroenterology GERD MEDICAL MANAGEMENT Management of GERD requires a multifaceted approach, taking into account the symptom presentation, endoscopic findings, and likely physiological abnormalities. Medical management includes lifestyle modifications and pharmacologic therapy, principally with medication...
Gastroesophageal reflux disease (GERD) continues to be among the most common diseases seen by gastroenterologists, surgeons, and primary care physicians. The American College of Gastroenterology (ACG) recently released an updated guideline on diagnosis and management of GERD which was published by the American Journal of Gastroenterology. In t...
Pathogenesis of adenomyosis involves sex steroid hormone abnormalities, inflammation, fibrosis and neuro angiogenesis, even though the proposed mechanisms are not fully understood. Nowadays, adenomyosis may also be diagnosed by non-invasive techniques, because of imaging advancements.     Adenomyosis often coexists with other gynecologic...
NICE guidelines:Take Home MessagesDo not offer an antibiotic for preventing or treating Pneumonia if SARS-CoV-2, another virus, or a fungal infection is likely to be the cause.Evidence as of March 2021 suggests that bacterial co-infection occurs in less than about 8% of people with COVID-19, and could be as low as 0.1% in people in hospital wit...
The National Institute for Health and Care Excellence (NICE) GuidanceManaging cough Recommendations·       Encourage patient with cough to avoid lying on their backs, if possible, because this may make coughing less effective.·       Be aware that older people or those with comorbidities, frailty, impaired immunity or a reduced ability to cough...
NICE guidelines:Antibiotic treatment in the communityRecommendationsDo not offer an antibiotic for preventing secondary bacterial pneumonia in people with COVID 19. If a person has suspected or confirmed secondary bacterial pneumonia, start antibiotic treatment as soon as possible. Advise people to seek medical help without delay if their sympt...