Dr.Ihtisham

27 | Resident Physician
Medicinae Baccalaureus, Baccalaureus Chirurgiae

[Dr.Ihtisham @Ali75990]

@RugwiroParfait @grok is it ai ?

[Dr.Ihtisham @Ali75990]

@zoosesports @ClashWithWolfi @STARs_coc_ @ZOOS_coc Happy birthday 🎂 stars ✨

[ZOOS @zoosesports]

HAPPY BIRTHDAY, STARs! 🎂
Wishing our Zoos Esports superstar STARs an amazing birthday! 🥳

To celebrate, we’re giving away 3 Gold Passes! 🎁

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1️⃣ Follow Zoos Esports & @STARs_coc_
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3️⃣ Wish STARs a happy birthday! ❤️

🏆 Winners will be picked on August 31st.

Happy Birthday, STARs! 🐐

[COCMAP @COCMap100]

🎉 COC SCENERY GIVEAWAY! 🎉

🏆 3 Winners • 3 Book of Clash Sceneries

How to Enter:
✅ Subscribe to COCMAP100 on YouTube.
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🍀 Good luck, Chiefs!

#Giveaway #GiftedBySupercell #ClashOfClans #ClashOn #COC

[Dr.Ihtisham @Ali75990]

@COCMap100 Done

[Wolfi‘s Home | BB @WolfisHome]

We are happy to celebrate the milestone of 4K DC Member & X Followers! 🤩🤍💛
🏆Wolfi LL Sub🏆
To participate:
▪️Like & Retweet
▪️Follow @ClashWithWolfi & us
▪️Tag 2 friends

[Dr.Ihtisham @Ali75990]

@WolfisHome @ClashWithWolfi @WolfisHome no friend 😔 to mention

[Dr.Ihtisham @Ali75990]

@war_frontlk @ClashofClans

[Dr.Ihtisham @Ali75990]

@ClashofClans Time reduction become low in dark elixir week.
It was 52% reduction with gp now its only 40% with gp for th16 n below .
Wtf @ClashofClans

[Dr.Ihtisham @Ali75990]

@TheSolarz @ClashDotNinja Thanks got it❤️

[Dr.Ihtisham @Ali75990]

@TheSolarz @ClashDotNinja Hammer jam offers 60% reduction in total with GP.
Then is summer jam worth to use cwl medals because it little low than HJ almost 50% reduction?
Or could is save it for hammer jan in November?

[Dr.Ihtisham @Ali75990]

@ClashDotNinja You means with GP it will be 60% reduction??

[Dr.Ihtisham @Ali75990]

Pakistan is currently enduring an extreme heat wave, with reported “feels-like” temperatures reaching dangerous levels:

• Sukkur: 52.7°C
• Faisalabad: 51.6°C
• Peshawar: 50.3°C

For more than a week, millions of Pakistanis have been exposed to scorching temperatures that threaten public health and safety. Heat stroke, dehydration, exhaustion, and other heat-related illnesses are becoming serious concerns, particularly for children, the elderly, outdoor workers, and vulnerable communities.

Despite these harsh conditions, many parts of the country continue to experience prolonged load shedding, with reports of power outages lasting up to 16 hours a day. During a severe heat wave, electricity is not a luxury—it is essential for survival. Access to fans, air conditioners, clean water, refrigeration of medicines, and healthcare services depends on a reliable power supply.

Pakistan has an installed electricity generation capacity of approximately 46,000–47,000 MW, while peak national demand is generally between 25,000 and 31,000 MW. Households consume nearly half of all electricity produced in the country, followed by industry, agriculture, and commercial sectors. Yet millions of citizens continue to face frequent and prolonged power outages.

This situation raises serious questions about energy management, transmission inefficiencies, distribution losses, electricity theft, circular debt, and the effectiveness of public administration. Citizens have every right to expect that essential services will function during periods of extreme weather that threaten lives.

The government and relevant authorities should treat this heat wave as a public health emergency. Immediate measures are needed, including minimizing load shedding, protecting vulnerable populations, ensuring uninterrupted power to hospitals and water supply systems, and providing public cooling and relief facilities where necessary.

At a time when ordinary Pakistanis are struggling under unbearable temperatures and extended power cuts, public officials must demonstrate urgency, accountability, and a commitment to the welfare of the people. The protection of citizens should be the highest priority of any government, especially during a crisis that places lives at risk.
@WHO @UN_PGA @UN @UNICEF @CMShehbaz

[Dr.Ihtisham @Ali75990]

The effects of Okra supplementation on blood pressure, lipid profile, and inflammation in patients with prediabetes, type 2 diabetes, and diabetic nephropathy: a meta-analysis and systematic review
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Link: https://t.co/viCbudWQgH

[Dr.Ihtisham @Ali75990]

@aestheticsguyy

[Dr.Ihtisham @Ali75990]

Malaria in Pakistan: An Endemic and Growing Public Health Challenge
1.Introduction
Malaria remains one of Pakistan’s most persistent communicable disease threats. Despite decades of control efforts, the country is classified as hyperendemic, with a pooled malaria prevalence estimated at around 23%. Pakistan, alongside Afghanistan, Somalia, Sudan, and Yemen, accounts for the vast majority of malaria cases reported in the WHO Eastern Mediterranean Region — together making up about 95% of the region’s burden. Within that region, Pakistan alone is responsible for roughly 28% of the total malaria caseload, second only to Sudan.

2.Geographic Distribution
Malaria transmission is not uniform across Pakistan. The highest burden is concentrated in:
•Khyber Pakhtunkhwa (KP) — including high-burden districts such as Bannu and Shangla
•Balochistan
•Sindh, particularly following flood events
•Parts of the former FATA regions

3.Clinical and Public Health Implications
For clinicians, particularly in endemic and flood-affected areas, key takeaways include:
•Maintain a low threshold for testing in patients with fever from endemic districts (KP, Balochistan, Sindh), especially after flooding or during monsoon season
•P. vivax dominance means relapse risk (from hypnozoites) should be considered in management and follow-up
•Rising P. falciparum proportion warrants vigilance for severe malaria presentations (cerebral malaria, severe anemia, multi-organ involvement)
•Diagnostic limitations — a negative RDT or microscopy in a high-pretest-probability patient may still warrant confirmatory testing where PCR is accessible
•Climate and disaster preparedness — health systems in flood-prone regions should anticipate post-flood malaria surges and pre-position diagnostics, antimalarials, and vector control resources.
4.Conclusion
Malaria in Pakistan sits at the intersection of entrenched endemicity, climate vulnerability, and recurrent natural disasters. While P. vivax remains the dominant parasite, the rising share of P. falciparum and the demonstrated link between extreme weather — both acute floods and chronic warming — and case surges suggest the burden could grow rather than shrink without sustained investment in vector control, diagnostics, and climate-resilient health infrastructure.
@WHO

[Dr.Ihtisham @Ali75990]

@KaynakNews Tricuspid regurgitation

[Dr.Ihtisham @Ali75990]

@hyperRoguex Bachay ka picture kyo share krto sary zamany ki samny zaleel kr diya blurr the face next time