Issue# 188 1st April 2010
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Exclusive Recipe

BEEF KARAHI

- 1 kg beef cubes  (preferably undercut)
- ½ kg tomatoes (chopped)
- 1 Ts garlic paste
- 2 tea spoon ginger thin sliced strips.
- 2 Ts red Chile powder
- 4 large green chilies (cut lengthwise)
-3 table spoon oil 1 tea spoon salt
- 1 Ts garam masala
- 2 Ts fresh coriander leaves

Apply the garlic paste and salt to the beef cubes and leave aside.
Heat oil in a karahi, add the ground red chilies and fry to a brown in color. Then add the chopped tomatoes and cook it for a while.
Add the beef cubes and cook till the cubes are tender. When water dries up, fry the fillets for a few minutes and remove from fire. Sprinkle garam masala.
Heat one tablespoon oil and fry green chilies into it. Garnish with chilies and coriander leaves and serve hot with naan.


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X-rays 'can miss many fractures', warn doctors
Hip fracture

X-rays fail to spot up to nearly a third of fractures in the bones of the hip and pelvis, research suggests.

US doctors from Duke University warn that relying on standard X-rays alone to give a clean bill of health could lead to wrong diagnoses and law suits.

When they re-checked the X-ray results of 92 patients using a more detailed scanner, called MRI, they found 35 fractures that had been missed.

The findings are published in the American Journal of Roentgenology.

Dr Charles Spritzer, who led the research, said: "The diagnosis of traumatic fracture most often begins and ends with X-rays of the hip, pelvis, or both.

"In some cases though, the exclusion of a traumatic fracture is difficult."

Delayed diagnosis

In the study of patients complaining of pain after an injury to the hip or pelvis, 13 with normal X-ray findings were found to have a collective total of 23 fractures seen on MRI (magnetic resonance imaging).

Another 15 patients with abnormal X-rays had 12 additional pelvic fractures seen on MRI that otherwise would not have been identified.

And in 11 patients, MRI showed no fracture after X-rays had suggested there might be one.

The researchers say it is worth using MRI as well as an X-ray if doctors are in any doubt, particularly since hip patients tend to be frail and elderly with a higher than average risk of complications and death.

Dr Spritzer said: "Accurate diagnosis of hip and pelvic fractures in the emergency department can speed patients to surgical management, if needed, and reduce the rate of hospital admissions among patients who do not have fractures.
"Use of MRI in patients with a strong clinical suspicion of traumatic injury but unimpressive X-rays has a substantial advantage in the detection of pelvic and hip fractures."
Dr Tony Nicholson, from the Royal College of Radiologists, said the findings quantified something already known or suspected.
But he did not think it would be feasible or sensible to give every patient an MRI scan.
"Ultimately, it comes down to clinical acumen. If an elderly patient has persistent pain even though their X-ray shows only minor arthritis, an MRI would be a very reasonable request to check that there is not a fracture. "It is always worrying when something is not diagnosed immediately, but I think most clinicians are first class and would follow up a patient appropriately."
Credit www.bbcnews.com



 

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RULES REGARDING IMPORTING VEHICLES AND ASSESSMENT OF DUTY

The import of cars into Pakistan by individuals is rare as such cars are usually imported by automobile dealers. However, if you want to import a car, be ready to go through a cumbersome procedure and willing to pay a heavy price.

Under the Import Trade and Procedure Order 2000, the criteria for all legal imports of cars are as follows:
1. Only Pakistani nationals can import new and/ or second hand car once every two years.
2. You may gift an imported car only to immediate family members (siblings, parents, spouse and children) and to do so you must have resided abroad for at least 780 days.
3. To import a car as part of your personal baggage allowance, you must have resided abroad for at least 180 days.
The Government of Pakistan levies two different tax regimes with respect to the import of cars.

1. Special regime taxes. These are levied only on specified second hand cars, depending on engine capacity, the duty ranges from US$ 4,000 (for an 800cc Asian car) to US$ 21,000 (for 1,600 and 1,800cc).
2. Normal regime taxes. These are applied on new and those second hand cars that are not part of the special regime. The taxes take into account the engine capacity and the value of the car. Commonly imposed taxes under this banner include custom duty, sales tax, income tax on sales tax and a special federal excise duty.
At the end of it all, be ready to pay approximately 100% more than the original price of the car. You will also have to pay additional taxes on any car accessories, freight, landing charges and insurance charges and local agent commissions.     
The documentation required includes the purchase receipt of the car, original passport and a photocopy attested by the Pakistani Embassy of the country from where you are importing the car, bill of lading and in the case of a second hand car, registration documents. These documents must be attached to an import authorisation form and sent to the Deputy Collector In-charge for approval. Once you have paid the necessary taxes and your documents are cleared, you will then be given an import clearance.

Abdul Saeed Khan Ghori
Specialist in Law consultancy and litigation and research.
B. A. (Hons) Class I, Political Science with Economics M. A. LL.B
Senior Advocate at Supreme Court of Pakistan. Karachi

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 Relax...  
Assalam-O-Alaikum!
Hope all is well with every one.
Times are such that every one has some or the other worry clogging his/her mind. These stresses are wearing our health down.  I came across a very good story about a professor illustrating to his students the effect the worries make on us and how important it is to give ourselves rest. Here I am sharing that with you.
The Professor began his class by holding up a glass with some water in it. Holding it up for all to see he questioned the students, “ How much do you think this glass weighs?”  Different answers came from the students. The professor said, “I really don't know unless I weigh it but, my question is: What would happen if I held it up like this for a few minutes?”  The students replied, “‘nothing”.
The professor continued, 'Ok what would happen if I held it up like this for an hour?’.’Your arm would begin to ache’, said one of the students.
The professor replied, “Right, and what would happen if I held it for a day?”
“Your arm could go numb, you might have severe muscle stress, paralysis and have to go to hospital for sure!” said a student while the rest laughed.
“Very good. But during all this, did the weight of the glass change?” asked the professor. 'No’ came the answer.
“Then what caused the arm ache and the muscle stress?” The students were puzzled. “What should I do now to come out of pain?” asked professor again. “Put the glass down!” said one of the students
“Exactly!” said the professor.
Life's problems are something like this. They seem OK if held up for a few minutes in your head. Think of them for a long time, they begin to ache. Hold it even longer and they begin to paralyze you.
So folks,  while it is important to think of the challenges in your life, it is also important to ‘PUT THEM DOWN' at the end of every day before retiring to bed. That way, you are not stressed, you wake up every day fresh with strength to be able to handle any issue, any challenge that comes your way!
Till next time,

Wa-alikum-us- salam

Ms. Amna Tariq Holy City of Makkah-Ul-Mukarrama

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