Seborrheic keratosis (SK) is a common, benign tumor that can occur on everybody site and can be conservatively managed. Cosmetic concerns, especially when a lesion involves the facial area, are the most common reason for excision. SK shows male gender preponderance and increasing age is an independent association with the condition. Even though more prevalent in the elderly, it has also been reported in younger age groups like adolescents and young adults. Precise pathogenesis is still obscure, but ultra-violet exposure represents a predisposing factor to SK by altering the biochemical concentration and expression of factors like Glutamine deaminases, endothelin, and stem cell factor. Moreover, the accumulation of amyloid-associated protein has also been postulated. Involvement of genitalia has been associated with human papillomavirus infection. Recently, Merkel cell polyomavirus nucleic acid was also detected in SK. Several oncogenic mutations involving FGFR-3 and FOXN1 have been identified. SKs are usually classified clinically and histologically. Dermatoscopy is a noninvasive alternative diagnostic technique widely used in differentiating SK from other benign and malignant tumors. In terms of treatment, topical agents, shave dissection, cryosurgery, electrodesiccation, laser application and curettage under local anesthesia are safe methods for eradication of SKs, mostly for cosmetic purposes. Though generally safe, the latter techniques may occasionally cause postprocedure depigmentation, scarring, and recurrence. Nanosecond-pulsed electric field technology is a promising new technique with fewer side-effects.
Poliomyelitis, commonly known as “polio” is a paralytic and perilous disease caused by the poliovirus. Due to its highly contagious nature, the virus was a challenge to the world in the late 1980s. . Since 1988 the collective work of the Global Polio Eradication Initiative (GPEI), Centre for Disease Control and Prevention (CDC), and World Health Organization (WHO) through immunizations, communication awareness, and monitoring have helped the world exonerate polio. The mission of polio-free Pakistan was herculean and had confronted enormous challenges in different ways but came out with positive results. In 2019, with only two remaining polio-endemic countries, Pakistan and Afghanistan, GPEI launched an “Endgame strategy 2019-2023” which aims to eradicate polio globally, with a targeted focus, especially on polio-endemic countries, the plan emphasizes the early detection of polio cases for complete eradication and to restrict the spread of polio. Pakistan has achieved a milestone in combating polio despite having a web of factors that have thwarted Pakistan’s polio eradication efforts, but this is not the end, the struggle continues until we really get an internationally verified certification of Polio free nation, for this WHO has designed a multidisciplinary strategy 2022-2026 to really end this polio for once and for all.
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Anatomy is an essential and basic subject in the field of human sciences. The reforms and new teaching methodologies has been revolutionizing the world and helping the student in better understanding the anatomical landmarks and specific details in an interactive way. The present study evaluated the mode of anatomy teaching in public and private medical institutes of Karachi along with the opinion of students on the best teaching tool of anatomy. A total of 347 participants from private and public medical colleges of Karachi participated in the study. The data was collected by rotating questionnaires in the classrooms. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 20. The mean age ± SD of our sample was 19.10 ± 0.77 years. In this study, majority of students from private sector institute were satisfied (58%) with the teaching methodology implemented for teaching Anatomy whereas, about (74%) participants from public sector institutes were not satisfied with the teaching methodology of teaching Anatomy. Students recommended that the use of Anatomy models may help in their better understanding of Anatomy. The present study indicates that public and private medical institutes were still using old multimedia based teaching methods of anatomy and the students were not very satisfied with the mode of teaching in their institutes. Amendments and reforms shall be implemented and efficacious teaching techniques should be applied taking into consideration the opinion of the students to bring out the best understaning in the field of Anatomy.
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