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Journal of the College of Physicians and Surgeons—Pakistan: JCPSP

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https://www.readbyqxmd.com/read/30369392/simultaneous-multiple-locations-of-hydatid-cyst-extrapleural-intrapulmonary-and-subcutaneous
#1
Mehmet Akif Tezcan, Ibrahim Ethem Ozsoy
No abstract text is available yet for this article.
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369391/hydralazine-induced-mpo-anca-renal-limited-vasculitis-masquerading-as-lupus-nephritis
#2
Noor Ul-Ain Baloch, Adaeze N Ibeabuchi
No abstract text is available yet for this article.
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369390/implementation-of-problem-based-learning-method-of-medical-education-to-improve-trends-in-undergraduate-medical-research-in-pakistan
#3
Maha Jahangir, Faisal Inayat
No abstract text is available yet for this article.
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369389/new-evidence-showing-yet-another-link-between-sight-threatening-diabetic-retinopathy-and-obstructive-sleep-apnea-how-relevant-is-this-to-my-general-practice
#4
Ramasamy Chidambaram
No abstract text is available yet for this article.
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369388/prolonged-disease-control-with-nivolumab-in-metastatic-lung-adenocarcinoma-during-immunotherapy-era
#5
Murat Sari, Pinar Saip
Immune checkpoint inhibitors have taken an important place in the field of oncologic immunotherapy, especially for patients in whom conventional treatment regimens have failed. Nivolumab prevents programmed cell death 1 (PD-1) and programmed cell death ligand-1 (PD-L1) binding, resulting in blockage of the inhibitory signal and thus facilitating an immunologic antitumor response. Nivolumab has been shown to be effective in thoracic malignancies, including non-small cell lung cancer (NSCLC). Here is a case of 52-year male patient with metastatic lung adenocarcinoma progressing after 4 cycles of chemotherapy...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369387/van-der-knaap-disease
#6
Maria R Bokhari, Faisal Inayat, Javeria Sardar, Syed Rizwan A Bokhari
Van der Knaap disease or megalencephalic leukoencephalopathy with subcortical cysts (MLC) is a rare, inherited, autosomal recessive disorder. It is characterised by macrocephaly and slowly progressive ataxia, spasticity, and cognitive decline. The usual age of onset is described from birth to infancy. MLC predominantly occurs in some ethnicities where consanguinity is common. This disease is caused by mutations in the gene, which encodes a novel protein, MLC1. The characteristic MRI findings include leukodystrophy and subcortical cysts that yield diagnostic clue in most of the cases...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369386/granulomatous-interstitial-nephritis-a-rare-cause-of-acute-kidney-injury
#7
Sajad Ahmad, Muhammad Anees, Hina Akbar, Noreen Akhtar
Acute granulomatous interstitial nephritis (GIN) is a rare cause of acute kidney injury (AKI) but treatable. It is present in 0.5 to 0.9% of native renal biopsies. Treatment with moderate dosage of steroids is associated with good prognosis. We herein review a case of a 48-year lady having AKI following drug-induced damage [non-steroidal anti-inflammatory drugs (NSAIDs) and antibiotics]. Her renal functions did not improve after one month of drug withdrawal, so renal biopsy was done that showed acute GIN. She was treated with intravenous then oral steroids that completely resolved AKI...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369385/emergency-tracheal-surgery-for-adenoid-cystic-carcinoma-a-rare-entity
#8
Farhan Ahmed Majeed, Usama Zafar, Ahmad Ali, Umer Mehmood, Mohammad Rashid Husnain
Primary tumours of the trachea are rare. Adenoid cystic carcinoma (ACC) constitutes less than 1% of these tumours. They occasionally masquerade as asthma. We are presenting a case of a young female, who had been treated for 3 years as asthma. She presented in emergency with severe respiratory difficulty, stridor and decreasing saturation of 85% on room air. Two weeks back, she had a CT scan in a local hospital, but they did not notify the tracheal mass. Her clinical picture and CT scan helped us diagnose the case...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369384/resection-and-reconstruction-of-the-trachea-for-the-treatment-of-upper-tracheal-stenosis-tracheal-versus-non-tracheal-intubation
#9
Feng Li, Jing Liang, Xiaogang Li
Tracheal stenosis may occur secondary to trauma, tumors, infections, and inflammatory and iatrogenic diseases. Patients with tracheal stenosis must be evaluated carefully and require comprehensive preoperative examination, including pulmonary function tests and radiographic studies. Two male patients (one 18 years of age and the other 46 years of age) with tracheal stenosis were scheduled for tracheal resection and reconstruction. They were given different modes of anesthesia (with and without intubation). Fiberoptic intubation was selected in the 18-year patient, and non-intubation was selected in 46-year patient...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369383/morbidity-and-mortality-in-appendicitis-in-the-elderly
#10
Hasan Calis
OBJECTIVE: To assess the factors affecting the morbidity and mortality in patients over 65 years of age who underwent appendectomy. STUDY DESIGN: An observational study. PLACE AND DURATION OF STUDY: Department of General Surgery, Faculty of Medicine, Ahi Evran University, Kirsehir, Turkey, from November 2014 to March 2017. METHODOLOGY: Medical records of the patients over 65 years of age with the diagnosis of acute appendicitis who underwent appendectomy during the study period were retrospectively analyzed...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369382/the-relationship-between-waist-circumference-and-cecal-intubation-time-in-women
#11
Banu Karapolat, Uzer Kucuktulu
OBJECTIVE: To investigate the relationship between waist circumference and cecal intubation time (CIT) in female subjects during colonoscopy. STUDY DESIGN: A descriptive study. PLACE AND DURATION OF STUDY: Department of General Surgery, Kanuni Training and Research Hospital, Turkey, from January to September 2016. METHODOLOGY: This study included 61 female subjects who underwent colonoscopy in our clinic. The colonoscopies were performed by a single surgeon...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369381/educational-impact-of-mini-cex-using-clinical-encounter-card-system-among-obstetrics-and-gynecology-residents-in-a-tertiary-care-hospital
#12
Amtullah Zarreen
OBJECTIVE: To assess the educational impact of implementing mini-CEX clinical encounter card system to the residents in obstetrics and gynecology. STUDY DESIGN: Quasi-experimental study. PLACE AND DURATION OF STUDY: Gynecology Unit 1, Jinnah Hospital, Allama Iqbal Medical College, Lahore, from April 2016 to March 2017. METHODOLOGY: In this prospective study, a total of 64 encounters were assessed in eight residents by three assessors using mini-CEX Clinical Encounter Card System (CEC)...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369380/use-of-imaging-for-the-diagnosis-of-idiopathic-granulomatous-mastitis-a-clinician-s-perspective
#13
Mustafa Hasbahceci, Huseyin Kadioglu
Idiopathic granulomatous mastitis (IGM) is an inflammatory breast disease with unknown etiology and nonspecific symptoms. Differentiation of breast cancer from granulomatous disease is a diagnostic and clinical challenge. Imaging features and decision of the surgeon, based on these findings, may be important steps during diagnosis and follow-up period. Articles in association with imaging of IGM were evaluated using a PubMed search in August, 2017. Hypo-echoic or heterogeneous mass/es with or without tubular extensions were the most common ultrasonographic findings...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369379/postoperative-pain-score-of-bupivacaine-versus-placebo-in-patients-undergoing-percutaneous-nephrolithotomy
#14
Shariq Anis Khan, Salman El Khalid, Fouzia Naeem Effendi, Mohammad Hammad Mithani, Adnan Siddique Awan, Tooba Mugal
OBJECTIVE: To compare postoperative mean pain score of bupivacaine versus placebo in patients undergoing percutaneous nephrolithotomy. STUDY DESIGN: An experimental study. PLACE AND DURATION OF STUDY: Department of Urology, The Kidney Centre, Postgraduate Training Institute (PGTI), Karachi, from November 2014 to December 2015. METHODOLOGY: A total of 94 patients who underwent standard percutaneous nephrolithotomy, clinically diagnosed renal stone by CT scan, KUB, X-ray or ultrasound were included in the study...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369378/a-novel-clinico-biochemical-score-for-screening-of-inherited-metabolic-diseases-in-children
#15
Oshaque Ali, Ayesha Hafeez, Aamir Ijaz, Munir Akmal Lodhi, Muhammad Asif Nawaz, Zeeshan Ahmed
OBJECTIVE: To evaluate a novel clinico-biochemical score for screening of inherited metabolic diseases (IMDs) in children in our setup. STUDY DESIGN: Descriptive analytical study. PLACE AND DURATION OF STUDY: Department of Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology, Rawalpindi, from August 2016 to August 2017. METHODOLOGY: Clinical data, preliminary biochemical investigations, plasma amino acid (PAA) and organic acid profiles (where indicated) of 354 children, aged <1 year to 12 years, referred to the study place for evaluation of suspected inherited metabolic diseases, was collected and evaluated...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369377/outcomes-of-retinectomy-in-rhegmatogenous-retinal-detachment-with-proliferative-vitreoretinopathy
#16
Saliha Naz, Syed Fawad Rizvi, Faisal Murtaza, Basheeran Shehzadi
OBJECTIVE: To evaluate the anatomical and functional outcomes of retinectomy in the management of primary rhegmatogenous retinal detachments with inferior retinal breaks and advanced proliferative vitreoretinopathy (PVR C). STUDY DESIGN: Quasi-experimental study. PLACE AND DURATION OF STUDY: LRBT, Free Base Eye Hospital, Karachi, from July 2015 to June 2017. METHODOLOGY: Forty eyes of 40 patients with primary inferior retinal breaks macula off detachments and advanced proliferative vitreoretinopathy (grade C) in which retinectomy was performed were included...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369376/mean-platelet-volume-to-lymphocyte-ratio-as-a-novel-marker-for-diabetic-nephropathy
#17
Mehmet Zahid Kocak, Gulali Aktas, Edip Erkus, Tuba T Duman, Burcin M Atak, Haluk Savli
OBJECTIVE: To compare mean platelet volume to lymphocyte ratio (MPVLR) of diabetic nephropathy subjects to those diabetics without diabetic nephropathy. STUDY DESIGN: Observational, cross-sectional study. PLACE AND DURATION OF STUDY: Tertiary referral hospital, in Bolu, Turkey, from July to December 2017. METHODOLOGY: Patients with type 2 diabetes mellitus admitted to the Internal Medicine Clinic, were included. Patients were divided into two groups according to the urinary microalbumin/creatinine ratio: diabetic nephropathy and non-nephropathy group...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369375/comparison-of-classical-and-non-classical-turner-syndrome-at-nich-karachi
#18
Mohsina Noor Ibrahim, Taj Muhammad Laghari, Misbah Iqbal Hanif, Zubair Ahmed Khoso, Maira Riaz, Jamal Raza
OBJECTIVE: To analyse chromosomal abnormalities of the patients who were referred for the screening of short stature and delayed puberty and to verify the association between karyotype and phenotype in confirmed Turner Syndrome (TS) patients. STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Department of Pediatric Endocrinology and Diabetes Unit-II, National Institute of Child Health, Karachi, from January 2011 to June 2016. METHODOLOGY: Patients referred for the evaluation of short stature or delayed puberty were for the assessment of karyotype and phenotype correlations; standard karyotyping was executed and analysed on the basis of routine G-banding technique...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369374/sonographic-evaluation-of-normal-liver-spleen-and-renal-parameters-in-adult-population-a-multicenter-study
#19
Sohail Ahmed Khan, Saira Yasmeen, Hatem Adel, Syed Omair Adil, Farheen Huda, Shahmeer Khan
OBJECTIVE: To determine the normal liver, spleen, and renal parameters in adult patients with no comorbidities. STUDY DESIGN: Cross-sectional study. PLACE AND DURATION OF STUDY: Dow Institute of Radiology, Ojha Campus, LEJ Campus, and Al-Mustafa Hospital Karachi, from October 2016 to March 2017. METHODOLOGY: A total of 3,136 study participants with more than 16 years of age of either gender underwent ultrasound examination...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/30369373/diagnostic-accuracy-of-computed-tomography-in-detecting-bone-invasion-due-to-squamous-cell-carcinoma-of-buccal-mucosa
#20
Nasreen Naz, Javeriya Sattar, S Khalid Ashrafi
OBJECTIVE: To determine the diagnostic accuracy of contrast enhanced computed tomography (CECT) of head and neck in detecting adjacent bone invasion due to squamous cell carcinoma of buccal mucosa using histopathology as gold standard. STUDY DESIGN: Cross sectional / descriptive study. PLACE AND DURATION OF STUDY: Department of Radiology, Dow Medical College, Civil Hospital, Karachi, from September 2015 to October 2016. METHODOLOGY: A total of 116 patients clinically suspected of oral cavity squamous cell carcinoma (OCSCC) involving buccal mucosa was included...
November 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
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