HIV/AIDS threat in Pakistan: changing concerns and realities.
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Biomedical subjects
Publications and source records attributed to Imdad A Khushk.
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OBJECTIVE: To determine the level of knowledge and attitudes regarding AIDS among female commercial sex workers (FCSWs) in Hyderabad City, Sindh, Pakistan. DESIGN: A cross-sectional survey. PLACE AND DURATION OF STUDY: Red light area of Hyderabad City, Sindh, Pakistan, from March to July 2004. SUBJECTS AND METHODS: A pre-designed questionnaire was administered to see the level of knowledge and attitudes regarding AIDs among FCSWs. In this regard, a total of 61 FCSWs were interviewed after getting informed consent. RESULTS: Mean age of the FCSWs was 27 years. Majority was uneducated and unmarried. All respondents had heard the word AIDS but no one knew about the word HIV as well as its meaning. All respondents believed that AIDS is a preventable disease and they knew some method of prevention. Television was most common source of knowledge. FCSWs had inadequate knowledge in terms of signs and symptoms and the treatment of disease. CONCLUSION: FCSWs of the Hyderabad city had insufficient knowledge and various misconceptions regarding AIDS. Therefore, there is a need for their education and improvement in socioeconomic status. There is also the need of further studies with substantial statistical work to generate more accurate data in this regard.
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Meigs' syndrome is a rare clinical condition commonly considered to be associated with malignant ovarian tumour. A case of unmarried female is presented who came with a slowly increasing abdominal mass. Clinical and ultrasonic investigations revealed a mobile, solid right adenexal tumour in the lower abdomen, along with ascites and pleural effusion of the right lung. The level of CA 125 was also raised. Diagnosis of Meigs' syndrome was confirmed after surgical intervention. The tumour was successfully removed and pleural effusion disappeared 15 days after the intervention. Cytomorphologic study of both the tumour and ascitic fluid was negative for malignancy.
We report a rare case of low grade sarcoma of scrotal wall. A male child aged 2 1/2 years presented with history of scrotal lymphoedema involving the left side of scrotum, slowly progressive since birth. We planned scrotectomy but the patient was lost to follow-up. During intervening period, left inguinal omentopexy was done elsewhere. The patient again presented 3 years later with multiple swellings in scrotum. We performed almost complete scrotectomy with reconstruction of the scrotal defect using scrotal remnant as a stretchable musculocutaneous flap. A third of the residual scrotum could be expanded to resurface the entire scrotum. On histopathology, low grade malignant peripheral nerve sheath tumor of grade-I was confirmed. Post-operative follow-up showed no residual disease.
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A case of a 55 years old lady with tuberculosis of the tongue is reported. Patient presented with non-healing ulcer in dorsum of the tongue for one year. Initial biopsy and histopathological examination revealed non-specific inflammation. After surgery, biopsy report proved primary tuberculosis of tongue. Anti-tubercular therapy for nine months showed uneventful recovery of the patient.