background and aim: the aim of this study was to determine the effect of legume intake in therapeutic lifestyle change (tlc) on fasting insulin, fasting blood glucose, hba1c and homeostasis model assessment insulin resistance (homa-ir) in patients with type 2 diabetes. materials and methods: in this randomized crossover trial, 31 subjects with type 2 diabetes in the age range of 50 to 80 years ...

context functional humeral bracing remains the gold standard for treatment of humeral shaft fractures. there is an increasing trend in the literature to perform operative fixation of these fractures. evidence acquisition the aim of this systematic review was to compare the level one evidence for the outcome of non-operative with operative management of humeral shaft fractures in adults. a compr...

Objective: To compare the outcome of clipped laparoscopic cholecystectomy and clipless in context biliary leakage. Study Design: Cross-sectional analytical study Place Duration Study: Department Surgery Unit-II, Benazir Bhutto Hospital Rawalpindi from 1st September 2021 to 31st August 2022. Methodology: One hundred twenty patients were included divided into two major groups. The biochemical ana...

This article has been developed to address the impact of intermittent fasting on body composition obese individuals. Presently there are about 650 million obesity-affected individuals worldwide. Intermittent is primarily implemented and practised contribute better health conditions weight loss. The prevalence measured by a BMI above 25, identified as overweight 30, obese. paper systematic liter...

fasting, that is usually described as abstinence from all food and drink for a period of time, has been experienced for ages. health, protest, religious expressions of devotion and purification are the most important reasons for fasting. many changes occur in the body during fasting including metabolic, mineral, hormonal, immunological and psychological. its use as one of the oldest therapies a...

evidences acquisitions reports over the last decade show that any change in the lifestyle of patient can accelerate the treatment progress. results although islamic fasting is not in available in all religions, the principle of fasting exists in all religions which represents the domination of documented procedures on the human nature. results of the current study showed that islamic fast can b...

background there has been no data on population based dietary patterns during the ramadan fasting month. objectives the purpose of this study was to detect ramadan major dietary patterns among those who fast in tehran. materials and methods this cross-sectional study included 600 subjects, aged 18-65 with body mass index (bmi) of 18.5-40, who had decided to fast during ramadan. anthropometric m...

patients with valvular heart disease suffer from atrial fibrillation for more than 12 months after valve surgery and have a low probability of remaining in sinus rhythm. we performed an intra-operative procedure similar to surgical maze ііі procedure for conversion of this arrhythmia to sinus rhythm. we did this study to evaluate the efficacy of this procedure to restore the sinus rhythm in pat...

a 54-year-old man referred to our center with barlow’s disease and severe mitral regurgitation. he had atrial fibrillation (af) rhythm, with a mildly enlarged left atrium (la). transesophageal echocardiography (tee) showed no clot in the la and la appendage; there was only mild spontaneous echo contrast in the la appendage. the patient underwent mitral valve repair and the maze operation, durin...

surgery to remove some part of the inner ear is an effective intervention to relieve of symptoms. an informed care can decline the patient's fears, and also a pre-operating patient education can facilitate the patient’s recovery. patients, who are in a labyrinthectomy waiting list, feel a combination of anxiety and release. they have spent lots of time to find a treatment for their severe ...