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Harnessing Artificial Intelligence to Restore Standards in Medical and Dental Education in Pakistan.

The month of March is dedicated to Colon Cancer Awareness. Worldwide, colorectal cancer (CRC) incidence has been on the rise. It is currently the third most common cancer in men (746,000 cases, 10.0% of the total) and the second in women (614,000 cases, 9.2% of the total).1 Arecent meta-analysis reported a 61% risk reduction in CRC incidence with colonoscopy.2 Unlike screening programs for breast and prostate cancers, not only has CRC screening reduced mortality from colon cancer and detected early CRC, it has also decreased the incidence of CRC through detection and removal of pre-cancerous l

Different doses, durations and modes of delivery of nicotine replacement therapy for smoking cessation.

BACKGROUND: Nicotine replacement therapy (NRT) aims to replace nicotine from cigarettes. This helps to reduce cravings and withdrawal symptoms, and ease the transition from cigarette smoking to complete abstinence. Although there is high-certainty evidence that NRT is effective for achieving long-term smoking abstinence, it is unclear whether different forms, doses, durations of treatment or timing of use impacts its effects. OBJECTIVES: To determine the effectiveness and safety of different forms, deliveries, doses, durations and schedules of NRT, for achieving long-term smoking cessation.

Mindfulness-based interventions for substance use disorders.

BACKGROUND: Substance use disorders (SUDs) are highly prevalent and associated with a substantial public health burden. Although evidence-based interventions exist for treating SUDs, many individuals remain symptomatic despite treatment, and relapse is common.Mindfulness-based interventions (MBIs) have been examined for the treatment of SUDs, but available evidence is mixed. OBJECTIVES: To determine the effects of MBIs for SUDs in terms of substance use outcomes, craving and adverse events compared to standard care, further psychotherapeutic, psychosocial or pharmacological interventions, or

Substance use during the COVID-19 pandemic: What is really happening?

The COVID-19 pandemic is associated with increased levels of anxiety, fear, sadness, difficulty adjusting, symptoms of post-traumatic stress disorder and suicidality, both in the general population and specific subgroups. The presence of this type of psychopathology increases the risk of involvement with or worsens the use of addictive substances and alcohol as a maladaptive coping strategy.1 According to these data, people with substance use disorders are a population at high risk for COVID-19 infection and serious illness. Α large controlled retrospective case study in the US found that peop

NTP technical report on the toxicity studies of 2- and 4-Methylimidazole (CAS No. 693-98-1 and 822-36-6) administered in feed to F344/N rats and B6C3F1 mice.

[Structure-see text] 2-Methylimidazole and 4-methylimidazole are intermediate/starting materials or components in the manufacture of pharmaceuticals, photographic and photothermographic chemicals, dyes and pigments, agricultural chemicals, and rubber; these chemicals have been identified as undesirable by-products in several foods and have been detected in mainstream and sidestream tobacco smoke. The National Cancer Institute nominated 2- and 4-methylimidazole as candidates for toxicity and carcinogenicity studies. Toxicity studies were carried out in male and female F344/N rats and B6C3F1 mic

"Just Another Statistic".

On returning from a medical meeting, we learned that sadly a patient, "Mr. B.," had passed away. His death was a completely unexpected surprise. He had been doing well nine months after a course of intensive radiotherapy for a locally advanced head and neck cancer; in his most recent follow-up notes, he was described as a "complete remission." Nonetheless, he apparently died peacefully in his sleep from a cardiac arrest one night and was found the next day by a concerned neighbor. In our absence, after Mr. B. expired, his death certificate was filled out by a physician who didn't know him in d

Wheels of Strain? Lifestyle Habits, Stress Perception and Quality of Life among Long Distance Bus Drivers in Nigeria.

BACKGROUND: The transport sector is a male-dominated, sedentary, accident-prone occupation with limited opportunities for healthy meals and exercise breaks. Since stress is a recognized risk factor in the development of addiction and addiction relapse susceptibility, we explored relationship between stress perception and self-reported lifestyles with Health-related Quality of Life (HRQOL) among long distance Bus Drivers in Lagos State. METHODS: 200 randomly enlisted commercial drivers from bus terminals in Lagos State were interviewed face-to-face using a validated structured questionnaire. P

Psychosocial interventions for supporting women to stop smoking in pregnancy.

BACKGROUND: Tobacco smoking remains one of the few preventable factors associated with complications in pregnancy, and has serious long-term implications for women and babies. Smoking in pregnancy is decreasing in high-income countries, but is strongly associated with poverty and is increasing in low- to middle-income countries. OBJECTIVES: To assess the effects of smoking cessation interventions during pregnancy on smoking behaviour and perinatal health outcomes. SEARCH METHODS: In this sixth update, we searched the Cochrane Pregnancy and Childbirth Group's Trials Register (13 November 2015

Psychosocial interventions for supporting women to stop smoking in pregnancy.

BACKGROUND: Tobacco smoking in pregnancy remains one of the few preventable factors associated with complications in pregnancy, stillbirth, low birthweight and preterm birth and has serious long-term implications for women and babies. Smoking in pregnancy is decreasing in high-income countries, but is strongly associated with poverty and increasing in low- to middle-income countries. OBJECTIVES: To assess the effects of smoking cessation interventions during pregnancy on smoking behaviour and perinatal health outcomes. SEARCH METHODS: In this fifth update, we searched the Cochrane Pregnancy

Atezolizumab alleviates the immunosuppression induced by PD‑L1‑positive neutrophils and improves the survival of mice during sepsis.

BACKGROUND: Until recently, tumors of the clivus and the anterior region of the posterior cranial fossa were considered extremely difficult to access and often inoperable using standard transcranial approaches. With the introduction into the neurosurgical practice of minimally invasive methods utilizing endoscopic techniques, it became possible to effectively remove hard-to-reach tumors, including central tumors of the anterior region of the posterior cranial fossa. METHODS: From 2008 to the present time, the inpatient institution has operated on 140 patients with various tumors of the base o

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… To establish future maternal tobacco control frameworks to facilitate cross-national learning, this scoping review and analysis aims to comprehend the fundamental components of such frameworks. … Additional search The results list is complemented by an expert survey among members of the WFPHA Oral Health, Tobacco Control, and Women, Adolescent, and Children’s Workgroup to identify any significant maternal oral health and tobacco control frameworks, guidelines, recommendations, or strategies. …

Crohn's Disease after Proctocolectomy and IPAA for Ulcerative Colitis.

BACKGROUND: Proctocolectomy with IPAA is considered curative for ulcerative colitis. However, signs of Crohn's disease can develop postoperatively in some cases. OBJECTIVE: Our aim was to document the postoperative diagnosis of Crohn's disease, to identify potential preoperative predictive factors, and to review the evolution of patients on treatment. DESIGN: This is a retrospective cohort study. SETTINGS: This study was conducted at a tertiary care center in Montreal, Canada. PATIENTS: A total of 301 patients underwent an IPAA for ulcerative colitis between 1985 and 2014. MAIN OUTCOME ME

Глобальное, региональное и национальное бремя связанных с табаком неврологических расстройств 1990 в адрес 2021Тенденции и прогнозы на будущее.

ВВЕДЕНИЕ: Потребление табака является одной из основных проблем здравоохранения во всем мире, отрицательно сказывающейся на качестве жизни. Цель нашего исследования состоит в том, чтобы проанализировать тенденции изменения бремени связанных с табаком неврологических расстройств на глобальном, региональном и национальном уровнях. 1990 в адрес 2021, а также потенциальные будущие тенденции. МЕТОДЫ: Мы провели вторичный анализ наборов данных для оценки смертности и лет жизни с поправкой на инвалидность (DALYs) с использованием данных, полученных в рамках исследования глобального бремени болезней,

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… South Africa achieved notable success by implementing strict tobacco control measures 26 . Population growth and aging could increase the burden of ND 27 , 28 , with aging being the most critical factor. …

Временная тенденция изменения национального и субнационального бремени раковых заболеваний, обусловленная факторами риска в Иране 1990 в адрес 2021:: Результаты глобального исследования бремени болезней 2021.

Рак является одной из главных причин смерти в мире и в Иране. Однако исследований, посвященных изучению тенденций, связанных с факторами риска возникновения раковых заболеваний в Иране, недостаточно. В этом исследовании мы представляем оценки возможного воздействия раковых заболеваний на национальном и субнациональном уровнях в Иране. 1990 в адрес 2021. МЕТОДЫ: В рамках данного исследования использовались данные, полученные от Глобального центра по проблемам заболеваемости (ГБЗ) 2021 Исследование, проведенное для оценки потерянных лет жизни, связанных с раком, лет жизни с инвалидностью, лет жи

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… A decade of tobacco control efforts: Implications for tobacco smoking prevalence in Eastern Mediterranean countries. PLoS One. 2024;19(2):e0297045. doi: 10.1371/journal.pone.0297045 52. Organization WH. MPOWER. 2023. https://www.who.int/initiatives/mpower 53. Organization GWH. … Tobacco Control Policies in Brazil: a 30-year assessment. Cien Saude Colet. 2018;23(6):1837–48. doi: 10.1590/1413-81232018236.05202018 56. Ghasemi S, Dreassi E, Khosravi A, Mahaki B. …

Accuracy of self-reported tobacco use status among hematopoietic SCT patients.

Tobacco use is a risk factor for adverse outcomes among hematopoietic SCT (HSCT) patients. Accurate identification of tobacco use offers a vital opportunity to treat this risk factor. The current study compared self-reported tobacco use status with serum cotinine levels among HSCT patients at the time of pre-transplant evaluation. A total of 444 participants completed both assessments; 44 participants (9.9%) were classified as tobacco users with serum cotinine concentrations >2 ng/mL vs 29 with self-reporting. Sensitivity and specificity of self-reporting were 65.9% and 100%, respectively. Pos

Epidemiological profile of patients with malignant neoplasm admitted to a tertiary care center in India: a retrospective cross-sectional study.

BackgroundCancer poses a growing public health challenge in India, with significant urban-rural disparities in diagnosis and treatment. This study aimed to evaluate the epidemiological profile and treatment patterns of cancer patients in Rajasthan, focusing on differences in disease presentation, treatment modalities, and outcomes between urban and rural populations.MethodsA retrospective observational study was conducted at the National Institute of Medical Sciences and Research, Jaipur, including 1,366 histopathologically confirmed cancer patients admitted between January 2021 and December 2

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… The public health implications are far-reaching, necessitating culturally sensitive, locally adapted tobacco control interventions that integrate behavioral change, policy enforcement, and health education. …

Projection of age-standardised mortality rates for 23 cancer types in India: a nationwide projection until 2030 using autoregressive integrated moving average (ARIMA) models.

ObjectivesTo project the future burden of cancer mortality in India by forecasting age-standardised mortality rates (ASMRs) for 23 major cancer types up to the year 2030, providing crucial evidence for long-term health planning and resource allocation.DesignA retrospective analysis and time-series forecasting study. Participants Aggregated, national-level cancer mortality data for the population of India from 2000 to 2019 were used.ParticipantsAggregated, national-level cancer mortality data for the population of India from 2000 to 2019 were used.MethodsAnnual ASMR data for 23 cancer types wer

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… control in India. 34 The high prevalence of smokeless tobacco use continues to drive the burden of oral cancers and hinder progress. 35 Tobacco cessation programmes and enforcement of control policies need to be stringent. … BMC Cancer 2025 ; 25 : 326 . 10.1186/s12885-025-13730-y 39984883 PMC11846213 34 Effect of National Tobacco Control Programme (NTCP) on the clinical presentation of oral cancer in a tertiary care center of Northern India . …

Cancer prevention programmes in Mexico: are we doing enough?

Cancer has increased in all the countries of the world and Mexico is no exception. The recognised risk factors for the main types of cancer are reviewed and searched through the Mexican government web pages and cancer prevention programmes to tackle the risk factors in the population. The Mexican government, a member of the World Health Organization, shows that the main approach is an early diagnosis rather than prevention, forgetting that an ounce of prevention is better than a pound of cure. Effective public programmes should be promoted to reduce preventable risk factors in the population (

Cancer prevalence, incidence, and mortality rates in Afghanistan in 2020: A review study.

BackgroundAfghanistan is in an epidemiological transition, as cancer is the second leading cause of mortality due to non-communicable diseases. This study is the first to provide a comprehensive perspective on the overall cancer situation in Afghanistan by discussing the top five most common cancers, their incidence variations, risk factors, and preventive measures. The limited number of cancer studies conducted in Afghanistan highlights the importance of the present review.Recent findingsThis article provides an overview of cancer burden in Afghanistan in 2020. It utilizes IARC-generated GLOB

Association of a Comprehensive Smoking Cessation Program With Smoking Abstinence Among Patients With Cancer.

ImportancePatients with cancer who smoke after diagnosis risk experiencing reductions in treatment effectiveness, survival rates, and quality of life, and increases in complications, cancer recurrence, and second primary cancers. Smoking cessation can significantly affect these outcomes, but to date comprehensive treatment is not widely implemented in the oncologic setting.ObjectivesTo describe a potential model tobacco treatment program (TTP) implemented in a cancer setting, report on its long-term outcomes, and highlight its importance to quality patient care.Design, setting, and participant

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… Although quitlines are clearly an important component of a national tobacco control strategy, given their low cost and broad reach, a more comprehensive approach may be required to maximize abstinence for patients with a life-threatening illness, such as cancer, particularly those with psychiatric comorbidities … Warren GW, Marshall JR, Cummings KM, et al. ; IASLC Tobacco Control and Smoking Cessation Committee . Practice patterns and perceptions of thoracic oncology providers on tobacco use and cessation in cancer patients. J Thorac Oncol. 2013;8(5):543-548. doi: 10.1097/JTO.0b013e318288dc96 16. …

The impact of smoking on outcomes among patients undergoing hematopoietic SCT for the treatment of acute leukemia.

A paucity of research exists examining the potential impact of tobacco use on cancer treatment outcomes, especially among patients treated with hematopoietic SCT (HSCT). A retrospective cohort study design was used to examine the impact of smoking on duration of hospitalization and overall survival among 148 consecutive patients undergoing HSCT for treatment of acute leukemia from 1999 to 2005. Of the 148 patients, 15% reported current smoking, 30% former smoking, and 55% never used tobacco. Patients were followed for a median 3.5 years (interquartile range=2.1-5.5). Compared to no history of