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post guide - Australia Post



The following items are prohibited from importation , meaning they won't be
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download our dangerous goods guide 1.


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If an item is subject to import restrictions, it means that provisions must be
met before it will be released from customs in the destination country,
territory or region. Pakistan requires an import permit for many goods. Before
posting any item, senders should confirm that the addressee has any necessary
permit. Senders should determine import restrictions from Pakistan authorities
before posting:. As the sender, it's your responsibility to make sure your items
don't break any laws or rules — both within Australia and in the destination
country. Restrictions and conditions can change at short notice so the
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you're unsure, please contact the consulate office of the destination country.
In addition to our customs forms , authorities in the destination country,
territory or region require further documentation for some items.

Australia Post acknowledges the Traditional Custodians of the land on which we
operate, live and gather as employees, and recognise their continuing connection
to land, water and community. Retrieved 1 April Web Journal on Cultural
Patrimony. University of Naples.


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Immune thrombocytopenic purpura ITP is an autoimmune clinical syndrome in which
decreased number of circulating platelets leads to epistaxis, bruises and
bleeding. Know thy neighbors: the status of cardiac surgery in the South Asian
countries around India. Okay to send? Subscribe by Email. Incidence of APH,
Pre-eclampsia, private dating services in Tando Muhammad Khan Pakistan, diabetes
and congenital anomalies showed lack of antenatal care Antenatal care with high
risk patients and serial sonography at primary health care referral for Doppler,
anomaly scan, nuchal translucency measurement by far the most important step in
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branded with a Scarlett letter.

Archived from the original on 4 July Retrieved 16 November Sterling Publishers
Pvt. Retrieved 13 December Imperial Gazetteer of India. Retrieved 3 April
Explorations in History and Globalization.

Heritage of Sindh. The Sindh Story. Sindhi Academy, Delhi. Mohajir's Pakistan.
APH Publishing. Retrieved 15 December Pakistan: Eye of the Storm. Princeton
University Press. South Asia Terrorism Portal.

Retrieved 14 April Archived from the original PDF on 22 December Retrieved 12
September Ved Prakash Encyclopaedia of Terrorism in the World, Volume 1. Kalpaz
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Chronologies of Modern Terrorism. ME Sharpe. Pakistan Statistical Pocket Book
Retrieved 29 March Pakistan Bureau of Statistics. Retrieved 24 November Times of
Islamabad.

World Scientific. United States Institute of Peace. Archived from the original
on 9 November Retrieved 20 November Archived from the original on 18 May OPCAB
myocardial protection was performed using intracoronary shunts size ranging from
1. ONCAB and valvular procedures were performed through median sternotomy with
target activated clotting time above seconds and myocardial protection using St.

After discharge, all the patients were scheduled for routine follow-up visits at
the cardiac surgical clinic of NICVD Sukkur at least four times, i. Early
post-operative echocardiography was performed on the first post-operative day
and before discharge, whereas follow-up echocardiography was performed in all
patients after six months of the procedure.

All patients were referred to the rehabilitation center for early recovery.
Patients requiring emergent medical attention were asked to report to the NICVD
emergency room or clinic at any time. At one-year follow-up, survival status,
complaints, infection superficial or deep , function class, echocardiographic
assessment, and recurrence of disease were assessed.

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Mean ejection fraction EF was A majority of the smokers, Mean HbA1c of diabetic
patients was 9. Perioperative dose calculated insulin infusion was used in these
patients during the course of surgery with guideline-directed target blood
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   A total of 70 coronary artery bypass grafting CABG surgeries were performed
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   through the outpatient department. Nineteen Our primary goal remained
   completely revascularization, with the LIMA as a preferred conduit for the
   LAD to improve survival benefit for the patient.

   We achieved a mean number of distal grafts as 3. MVR surgeries were performed
   in 16 patients, AVR in 3, adult congenital heart surgery in 11, out of which
   2 patients were offered minimally invasive right anterior mini-thoracotomy
   ASD closure. In-hospital stay remained 5. Three patients underwent immediate
   reoperation. Two patients had perioperative massive bleeding, which were
   managed in the operating room.

   The patient who developed LCOS underwent re-intubation as well because of
   secondary respiratory failure as well. Along with that, another patient was
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Shahzeb Khan – Symbol of Hope Against Pakistan’s Powerful Feudals · Global
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Mills 'Missed son' Karachi murder: Shahzeb Khan's killer gets death sentence




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ladies. Researchers and the institutes have equal responsibility to create a
culture where attributes of professionalism in research are maintained and If
research is a professional activity, then more effort is needed to describe and
establish clear standards for all that this professionalism implies. Medical
education encompasses education in the healthcare professions across the
continuum of undergraduate, postgraduate and continuing education.

It could be argued the Flexner Report of transformed both the nature and the
process of medical education in America, establishing the biomedical model as
the gold standard of medical training Duffy We see inequities in health care
both within and between countries, health systems struggling to keep up with
changes in demographics and epidemiological transitions, overflowing curricula
for students and trainees, and overworked health professionals.

At the same time there has been an increase in both international and
transnational medicine, giving added challenges and opportunities. Within
medical education there has been increased interest in the development of
medical educators and educational methods employed. This has been driven by
three interlinked themes: the professionalisation of medical education,
increased accountability, and not only an increasing awareness of educational
excellence but a need for research to provide best evidence for choices made
Harden et al. This keynote explores how we can encourage and support research
collaborations between different institutions, nationally and internationally.

How can we use those to drive forward collaborations? What theoretical models
can we utilize?


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Patients online dating sites men near Jatoi Pakistan ventral hernia operated in
emergency condition or in which mesh was not implanted due to any reason were
excluded. The present study found that the CRP was raised in 91 If the victims
are allowed to pardon the culprits then they should be allowed to set a trial
and announce their verdict. Carcinoma of cheek was the most common site in both
sexes Read more Shahzeb murder case: witness identifies four accused. The
patients with recurrence of viral hepatitis had higher chances of presenting
with high liver fibrosis and develop cirrhosis. Anemia leads to fatigue,
dyspnea, and cardiac symptoms; thrombocytopenia to bruising and mucosal
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one, we as a nation had the opportunity to atleast fix one thing

What are the barriers and how can we change these to challenges that can be
solved? The talk will explore several important issues that should be addressed
at an early stage of any collaborative research, ensuring good foundations on
which to base current research and further collaborations. Throughout I will
present a number of case studies, both from with the University of Dundee and
from the literature. I finish by challenging the audience to think: what next?
What part can each person at this conference play in this fascinating and
rewarding area? Birth defects induced by maternal exposure to exogenous agents
during pregnancy are preventable, if the agents themselves can be identified and
avoided.

The number of candidate chemicals or drugs for registration and authorization is
increasing at a fast rate and only few of the existing substances have been
tested for teratogenicity to date. Whole rat embryo culture WEC as a screening
system for safety evaluation procedures was considered as promising alternative
test for developmental toxicity and teratogenicity assays. The culture medium is
supplemented with serum and specific percentages of oxygen over the culture
period. Test compounds are added into the culture medium. At the end of the
culture, embryos are examined and evaluated for abnormalities of developmental
morphology and overall embryonic growth.

To quantitate embryonic growth and development, six developmental stages of
series of structures are defined and scored from 0 to 5. The total morphological
score in combination with the other measurable evaluation parameters such as
somite number, crown-rump length, yolk sac diameter and protein content reflects
the degree of growth and differentiation of the embryo. Furthermore, teratologic
doses of the test compounds can be evaluated.

The WEC system is considered a well established in vitro model for identifying
and characterizing teratogenic properties of test compounds.

Single incision laparoscopic Surgery is now rapidly emerging approach to gall
bladder disease. To observe the cosmetic results and cost effect of single
incision laparoscopic cholecystectomy in selected cases. From January to
December —40 80 female and 13 26 male patients submitted for elective single
incision cholecystectomy with conventional instruments.

Instrument clashes are avoided by chop stick technique of crossing them at a
proximal point so that ends are away from each other the procedure was
accomplished. Mean operating time was Out of patients, six 5. Single incision
laparoscopic cholecystectomy can be safely performed with conventional
instruments with minimal cost and better cosmetic results.

The ideal candidates for the procedure are younger ones with lower BMI without
the signs of acute inflammations. Community based programs are considered as
cost effective ways to reduce disease burdens, however most of programs end up
in development of new challenges. Rationale of this study was to explore the
reasons for failure of such type of programs. Two different programs with same
goals and objectives with Lack of; commitment, linkages, ownership, quality
trainings and performance indicators were observed.

Nevertheless, developing a good policy is an important pillar to raise a strong
building, whereas, making policies without good strategic plans can land up in
wastage of many resources and creating new challenges to face. Implementation of
strategic communication of all stakeholders within the program, in between
programs and with the community is the key to success CBPs.

The objective of this study was to observe the effect of age and gender on the
clinic pathological features of bladder tumors in patients admitted at Liquate
University Hospital Hyderabad, Sindh, Pakistan. A total of 95 patients with
bladder tumor were enrolled in this study.

The bladder specimens of all the patients were sent for histopathological
examination to find out the nature and grade of the tumour.

A total of 95 cases were enrolled in this study. Out of 95 patients male to
female ratio was 5. The average age of the patients was Painless macroscopic
hematuria was found in 61 males and in 8 females.


PAKISTAN STEEL MILLS

Dysuria was found in 31 males and in 5 females. Urine urgency was present in 19
males and in 2 females. In this study painless macroscopic hematuria and
histological sub-type transitional-cell carcinoma was dominant with significant
male preponderance among patients. Adult aged patients have low-grade disease.
Polio is still crippling disease in Pakistan therefore we have need of
strengthening of routine immunization as well as eradication of polio, it must
be our first priority, by engage the community as well as school children by
innovative activities to aware them about the importance of immunizations and
eradication of polio.

Our aim to eradicate polio free world, and object is educate, aware children
about importance of polio drops. Sample size: hundred children the results were:
What do you mean by routine immunization? Answers were: Observational hospital
based study was conducted at AKMCC on patient from up to August patients were
included age 21—40 The primipara 44 multipara booked cases of 35 have singleton
pregnancy multipara taking regular visit at ANC clinics.

Patients assessed having no signs of viability at ANC visit were cases
incidentally diagnosed cases were All patients were taken verbal consent. During
study total number patients were assessed for diagnosis of different causes of
IUD with US. IUGR was the most common cause 45, oligohydramnios 26, placental
abruption in 25, congenital anomalies were in 15, placental previa in 19 due to
twin pregnancy one of fetal demise were 12 of total causes among IUD during
given period.

Advanced maternal age multigravidity was with increased risk of intra-uterine
fetal death. Incidence of APH, Pre-eclampsia, eclampsia, diabetes and congenital
anomalies showed lack of antenatal care Antenatal care with high risk patients
and serial sonography at primary health care referral for Doppler, anomaly scan,
nuchal translucency measurement by far the most important step in prevention of
IUD and early diagnosis for the causes. Determine the preventive role of
salicylic acid on renal parenchyma after given of gentamicin in young albino
rats. For this experimental study, 30 young albino rats were taken.

They were divided into three groups A, B and C. On day 15 all animals were
sacrificed with deep ether anesthesia. Representative blocks were taken and
embedded in liquid paraffin. Renal histology was done under light microscope to
see the proximal and distal tubular diameter and count.

It may be concluded that gentamicin produces changes in kidney, which may be
attributed to ischaemia resulting in tubular necrosis in young albino rats
simultaneous administration of salicylic acid partially protect the
morphological and histological changes induced by gentamicin. Keywords:
Gentamicin, Salicylic acid, Young albino rats, Kidneys. Patients with acute MI
are usually at high risk of developing complications i. Tissue Doppler imaging
much more sensitive than 2D echocardiography for detecting LV systolic and
diastolic functions abnormalities.

Echocardiography examination included both 2D as well as Doppler imaging. On the
other hand, in group II, it was found that hospital stay days was 5. Hospital
stay, heart failure including killip class II, IV were statistically significant
between the two groups but arrhythmias and mortality which were statistically
non-significant.

Above findings suggestive of that left ventricular filling pressure can be
assessed by tissue Doppler echocardiography. Upper gastrointestinal bleed is one
of the most commonly encountered life-threatening complication of
gastrointestinal disease. This study was conducted to assess the need of
endoscopic intervention in patients with acute UGIB.

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Total patients were selected 82 males and 31 females evaluated for need of
endoscopic intervention in subjects with upper GI bleeding. Seventy-five In
present study, Clinical and lab based Glasgow Blatchford score is a very useful
assessment tool for determining the need of endoscopic intervention in patients
with acute upper gastrointestinal bleeding. Keywords: Upper gastrointestinal
bleeding, Endoscopy, Glasgow-Blatchford bleeding score.


'MISSED SON'

Pakistan has poor indicators like high maternal and perinatal mortality rate,
high infant and neonatal mortality rate, high rate of infectious diseases, poor
immunization coverage, non optimum breast feeding, high ratio of malnutrition
and high rate of death and disability due to major non communicable problems
like metabolic syndromes. These problems are not adequately addressed in
standard text books.



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Evidence of general practice in Pakistan has shown that medical graduates are
ill equipped to serve the community with evidence based practices. Evidence has
shown that curriculum based on community needs if implemented result in
improvement of indicators. Unfortunately process of revisiting and implementing
the curricular changes in Pakistan are very slow.

At Indus Medical College a road map was selected by team work to start faculty
development program to assess community needs and their place in present day
curriculum. It was observed that students response to modular based curriculum
was very positive. Early exposure of students to clinical problems increased
their interest in better understanding of basic medical sciences. Faculty
motivation and faculty time were identified as two major hurdles.


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This is however is a continuation process and impact of changes needs to be
measured by an evidence based evaluation process. Revisiting MBBS curriculum and
making it meaningful to respond to the needs of community is critically
important. Implementing modular curriculum as per PMDC recommendations is need
of the hour but will require an indigenous exercise by each degree awarding
institution.

Lady health workers LHWs were trained to identify high risk potential patients
for diabetes and childhood eye conditions and undertake preliminary screening
and refer patients to basic health units BHUs , where they were further assessed
by Medical Officers MOs with the support of qualified optometrist, after which
the patients were referred to Sindh Institute of Ophthalmic and Visual Sciences
SIOVS , Eye Hospital Hyderabad, Pakistan for management.

A large number of patients benefited from this screening program. Recognition of
human rights particularly those of vulnerable and emphasis on avoidance of
exploitation of weaker by stronger, have broadened the scope of bioethics in the
field of research involving human subjects. Economic disparities between various
nations and their differential health-care services, coupled with increasing
research in medical sciences involving human subjects, particularly
collaboration with for-profit organizations have opened new avenues of ethical
debates including the issue of standard of care in research in developing
countries.

Emergence of newer infectious diseases and resurgence of older ones in recent
past has prompted developed countries to undertake studies in under-developed
areas.

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