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Dr. D.S. Merchant's Articles

  • Buy Jewelry only from respected shops
    Bonded diamonds have a breakage policy. If the stone breaks or chips, the bonded jeweler will replace it with a new one only once because bonded diamonds are natural and unprocessed.
  • California Lemon Law
    Since Lemon Laws vary from state to state so accurate information on the scope and restrictions of Lemon Laws in a particular state can be obtained from an attorney practicing in that state.

    In California, anything mechanical is covered by lemon laws as well as the federal lemon laws. The federal lemon law provides that the warranter may be obligated to pay attorney fees if he is involved in a lemon law suit.
  • Can Hoodia Gordonii Diet Pill help you lose weight?
    As with any weight loss product, your doctor should know what you are taking and how you plan to use Hoodia Gordoni in your life. Even though Gordonii Supplement is being depicted as the latest weight-loss wonder, do not let the propaganda get to you. Be realistic! And test the product to verify it's creditworthy.
  • Can Hoodia Slim You Down?
    Know The Facts About Hoodia:i) There are a variety of Hoodia plants. Only the Hoodia Gordonii class contains an active element that helps suppress your appetite. As the demand for Hoodia Gordonii is far surpassing the supply, some Hoodia sellers are using unreliable but advertising their products as Pure Hoodia even though it might have been made from a different Hoodia plant than the Hoodia Gordonii.
  • Captain Varas Amir Ali
    Period: (1910-1978)

    Vali, the son of Rehmu Bhagat was a devoted person in Bhuj, Kutchh. He left Kutchh for Sind, and ultimately settled in Karachi. Soon after the retirement of Mukhi Alidina Asani (1793-1881) from the post of the Estate Agent in 1873, Imam Hasan Ali Shah appointed him the second Estate Agent for Karachi and Sind. The Imam also bestowed upon him the title of Varas. His descendant became known as the Valliani family in Karachi and Sind. Varas Vali rendered his services with devotion and died in 1878. The third Estate Agent after him was Varas Basaria, who died in 1918. Imam Sultan Muhammad Shah then appointed Varas Ibrahim, the son of Varas Vali as the fourth Estate Agent. Varas Ibrahim (d. 1924) retired in 1920 and he was followed by Wazir Rahim Basaria (d. 1927) as the next Estate Agent. The sixth Estate Agent was Varas Ghulam Hussain (1938), the son of Varas Ibrahim and he was followed by Karim (1881-1968), the son of Varas Ibrahim as the seventh Estate Agent for Karachi and Sind. In sum, the office of the Estate Agent remained in Asani, Valliani and Basaria families.
  • Carb Blockers
    Dietrine Carb Blocker uses Phase 2 (extracted from the white kidney bean) to prevent your body from breaking carbs into fat and glucose. By restricting alpha amylase, the agent that breaks down carbs, carbohydrate calories move through your system smoothly.
  • Cause of irritable bowel syndrome
    There has been a great deal of controversy over the role that poor digestion and/or absorption of dietary sugars may play in aggravating the symptoms of IBS. Poor digestion of lactose, the sugar in milk, is very common as is poor absorption of fructose, a sweetener found in many processed foods. Poor digestion or absorption of these sugars could aggravate the symptoms of IBS since unabsorbed sugars often cause increased formation of gas.
  • Chand Bibi
    Lack of material does not enable to give a detailed account of the Ismaili influence after the death of Shah Tahir Hussain Dakkani on 956/1549 in Ahmadnagar, India. We do not have explicit details, whether his descendants continued the Ismaili mission in the cloak of Shi'ism or not. There are however certain strong indications that a lady ruler, named Chand Bibi was secretly an Ismaili, but her faith is shrouded in her political activities.
  • Chhanta
    The word chhanta is an Indian word, means an act of sprinkling (the water). Its synonymous in Arabic is rashash means to sprinkle, and rashash'tun (pl. rashashat) means an act of sprinkle (of water). Its proper word in Persian is pashidan. It is a sin that defiles man and renders him impure. The chhanta is a symbolic rite in Ismaili tariqah to dissipate the sins or forgiveness. It is also an act of the purity of body, soul and intellect, thus the sanctified water is sprinkled three times on the face of the believers in its rite.
  • Chiragh I Rawshan – An Ismaili Tradition In Central Asia
    The word chiragh is derived from the Syriac shrag or shragh, meaning lamp, and Chiragh-i Rawshan means shining or luminous lamp, which is one of the oldest surviving Ismaili traditions in the regions of the Central Asia. It is an assembly (majalis) of the believers, where a lamp is illumined, which is its hallmark, and the Koranic verses are chanted for the eternal peace of the departed soul, or for the prosperity of one who is alive.
  • Christmas Dinner
    As in most Christian cultures, celebrating Christmas dinner with friends and family is the second priority after attending church. Since Christmas is a public holiday in most countries people take the opportunity to visit friends and family. In East Africa goats are sold out at a blink of an eye at the local markets and roasted on Christmas day. In South Africa the sun is hot and the beaches are full of families enjoying braais (barbeques) or traditional Christmas dinners with paper hats, mince pies, turkey and plum pudding (a vestige of the British colonial legacy.) In Ghana Christmas dinner is not complete without fufu and okra soup and in Liberia rice, beef and biscuits are the order of the day. Zimbabweans make sure there are plenty of bread, jam and tea to eat along with their goat meat.
  • Christmas in Africa
    Christmas is celebrated throughout the African continent by Christian communities both large and small. There are roughly 350 million Christians in Africa. Christmas Carols are sung from the Congo to South Africa. On Christmas day, meats are roasted, gifts are exchanged and family visits made. The Coptic Christians in Ethiopia and Egypt celebrate Christmas on the 7th of January (rather than the 25th of December) because they follow a different calendar.
  • Christmas in Africa, Asia & North America
    In the United States and Canada, many elements of modern Christmas celebrations did not emerge until the 19th century. Before then Christmas had been an ordinary workday in many communities, particularly in New England, where early Puritan objections to Christmas celebrations remained highly influential. Among some groups, Christmas was an especially animated event, characterized by huge feasts, drunkenness, and raucous public partying. In an English tradition that survived in some parts of North America, Christmas revelers would dress in costume and progress from door to door to receive gifts of food and drink. Most holiday gifts were limited to small amounts of money and modest presents passed from the wealthy to the poor and from masters to their servants. Families almost never exchanged Christmas gifts among themselves.
  • Chronic Gastric Diseases
    Overview:
    Gastric Causes of Chronic Vomiting
    - Chronic gastritis
    – Lymphocytic/plasmacytic
    – Eosinophilic
    – Associated with GHLOs
    – Parasitic
    – Reflux gastritis
    - Gastric foreign body
    - Gastric ulceration
    - Gastric motility disorders
    - Gastric neoplasia
  • Chronic Obstructive Pulmonary Disease - COPD
    GOLD Staging Criteria:
    GOLD Staging Criteria
    Stage O: Normal spirometry; chronic sx
    Stage 1 (Mild):
    FEV1> 80%
    Stage 2 (Moderate):
    2A: FEV1 50-80% predicted
    2B: FEV1 30-50% predicted
    Stage 3 (severe):
    FEV1/FVC < 70% AND:
    FEV1 < 30% predicted and clinical evidence of R heart failure
  • Chronic Obstructive Pulmonary Disease. COPD
    A disease state characterized by airflow limitation that is not fully reversible. Airflow limitation is usually both progressive and associated with an abnormal inflammatory response of the lungs to noxious particles or gases. Symptoms, functional abnormalities, and complications of COPD can all be explained on the basis of this underlying inflammation and the resulting pathology.
  • Chronic Snoring Cures
    Sleep apnea is diagnosed by a sleep study. During a sleep study, the patient's breathing patterns, heart rhythim and brain waves are monitored.
  • Cigratte Smoking Resposible for 1 of 5 Deaths
    Centers for Disease Control and Prevention. Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses * U.S., 1997-2001. Morbidity and Mortality Weekly Report (MMWR) 2005; 54(25); 625-628.
  • Clinical Medicine Cases
    Case 1:
    • 50 year old man presented with generalized weakness, dizziness, lethargy for 10 days. He was also having loose stools for the past 15 days. On examination was pale and thin lean emaciated man. His blood pressure was 70/40 mm of mercury, with pulse of 130 beats / minute. He had bilateral decrease air entry on chest, epigastric tenderness and pedal edema on examination. Neurological exam was non focal. He had some history of undocumented weight loss, but no history of fever. His past history was significant for episodes of loose stools, which would resolve on taking antibiotics


    • Hemoglobin: 8 mg/dl Abumin: 1.5
    • MCV: 68 Total Bilirubin: 8.1
    • WBC: 14 cmm Direct Bilurubin: 5.5
    • Platelet: 176 GGT: 304
    • SGPT:71
    • RBS: 106 AP: 359
    • BUN: 15
    • Cr.:1 mg/dl ESR: 53
    • Na: 126 meq Stool DR: Normal
    • K: 4.6 meq Calcium: 7.3
    • Cl: 111 Phos:1.6
    • HCO: 18
  • Clinical Presentation, Demographic And Pathological Pattern Of Primary Thyroid Carcinoma Discussion
    Thyroid carcinoma was more common in females. Papillary carcinoma was the most common histological type of thyroid carcinoma in females as well as in males. Thyroid carcinoma was more prevalent in third and fourth decades of life and it is more common in urdu speaking followed by sindhi, Punjabi and balochi and pushto speaking (Pathan) population. The most common presentation was the mass in anterior neck and weight loss and cervical lymphadenopathy,
  • Common Bleeding Disorders
    Hemophilia in Pakistan:
    • A relatively young country, with an ancient past, Pakistan achieved independence from Britain on August 14, 1947, after its bloody partition from India.
    • Pakistan's health care system has crumbled: public hospitals are in appalling condition, even basic treatment unavailable for many common disorders.
    • Private hospitals-modern and fully equipped-foster the only available research, and provide the most advanced and comprehensive care for people with hemophilia, but are extremely expensive and beyond the reach of most.
    • No infrastructure currently exists to provide public and free care to people with this lifelong bleeding disorder.
    • Of the estimated 12,000 people with hemophilia in Pakistan, only 3,100 have been identified.
    • Until early 1980, hemophilia was not even known to exist within the country, and only a few patients were alive. In 1982 the first blood bank was formed.
    • Currently only five major cities-Karachi, Lahore, Rawalpindi-Islamabad, Peshawar Multan, Faisalabad and Quetta-now have facilities to provide plasma or cryo.
    • And treatment at its best in Pakistan is still primitive by Western standards. Virally inactivated high or intermediate purity factor concentrates are available only to the minority elite, who are wealthy enough to pay out of pocket. But the majority of patients, the poor, receive plasma or cryo. They most often receive inferior plasma, which is not always screened for HBV, HCV and HIV.
  • Conciliation And Arbitration Board (CAB)
    With the imposition of the New Constitution of the Shi'a Ismaili Muslims in 1986, the Conciliation and Arbitration Board (CAB) came into existence for the first time in the Ismaili world. Previously, the Ismaili Councils executed the judicial activities in the community. The judicial activities of the Council thenceforward consigned to the newly formed Conciliation and Arbitration Board.
  • COPD - Chronic Obstructive Pulmonary Disease
    History:
    SOB
    Productive cough
    Recurrent acute chest illnesses
    Exerbation – cold air, foggy weather, atmospheric pollution etc

    Smoking:
    Previous episodes
    Details of previous admissions
    Current treatment
  • Creating Investment Opportunities for Small Investors
    The Stock Exchange provides opportunity for small investors like the big investors to own shares of the same or different companies.
  • Current Money Trends
    World Trade Organization negotiations aims to lower barriers to trade around the world, focusing on making trade fairer for developing countries. Talks have been hung over a divide between the rich, developed countries, and the major developing countries. Agricultural subsidies are the most significant issue upon which agreement has been hardest to negotiate. By contrast, there was much agreement on trade facilitation and capacity building.

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