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

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https://www.readbyqxmd.com/read/27806826/retro-aortic-left-renal-vein-in-open-abdominal-aortic-aneurysm-surgery
#1
Zubair Khanzada, Greta Saggu, Simon Whitaker, Ganesh Kuhan
No abstract text is available yet for this article.
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806825/optic-disc-drusen-in-a-pediatric-patient-diagnosis-and-counselling-of-family
#2
Royala Zaka, Alyscia Cheema
No abstract text is available yet for this article.
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806824/papillon-lefevre-syndrome-prosthodontic-rehabilitation-of-oral-function
#3
Ayesha Aslam, Nida Ovais, Muhammad Uzair Riaz, Bilal Ahmed
No abstract text is available yet for this article.
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806823/a-rare-cause-of-gastrointestinal-bleeding-jejunal-diverticulosis
#4
Alper Parlakgumus, Ali Ezer, Akin Tarim
No abstract text is available yet for this article.
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806822/hypertension-in-a-rural-community-in-south-south-nigeria
#5
Ekpe Lawson Ekpe, Iwasam Agbor Elemi
Hypertension is a major cause of cardiovascular mortality and morbidity in both urban and rural areas. This cross-sectional study was done in Adim, a rural village in Nigeria, to determine the prevalence of hypertension. All participants for the study were aged 20 - 65 years. Pretested structured questionnaires were administered to assess and obtain demographic data. Blood pressure and anthropometric indices were measured from participants. Atotal of 824 participants enrolled for the study. About 500 (60.2%) were females and 324 (39...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806821/double-hit-lymphoma-arare-subset-of-diffuse-large-b-cell-lymphoma-with-poor-outcome
#6
Sajid Zaman, Jawad A Gillani, Rashid Rasheed
Double-hit lymphoma (DHL) has been identified as a subset of diffuse large B-cell lymphoma with poor clinical outcomes. It is because of genetic translocation of C-myc and Bcl2 gene that make it more aggressive and un-responsive to conventional and salvage treatments. DHLis an extremely rare entity of non-Hodgkin's lymphoma (NHL) having no established incidence data so far. In literature very limited data is available to guide therapeutic decisions and despite aggressive chemotherapy followed by autologus hematopoietic cell transplantation, outcomes still remain poor...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806820/purple-urine-bag-syndrome
#7
Luma Khalid, Iftikhar Ali, Khatira Wahid, Aziz Ullah Khan, Saima Fawad
Purple Urine Bag Syndrome (PUBS) refers to the purple discoloration of urine and is commonly observed in bed ridden patients with long-term urinary catheters. Although typically benign, the purple discoloration is alarming to both the patients and their attendants. This case report presents an uncommon case of PUBS in a 60-year-old lady with hypertension, type II diabetes, and chronic kidney disease stage 5, who presented to the emergency room with bilateral diabetic foot ulcers of 3 months duration, dry gangrene of ring finger and infected middle and little fingers with abscess over the palmar aspect of right hand of 20 days duration...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806819/secondary-infertility-due-to-retained-fetal-bones-diagnosed-via-saline-sonography
#8
Rubina Izhar, Samia Husain, Suhaima Tahir, Sonia Husain
Prolonged intrauterine retention of any fetal bones can lead to secondary infertility. The exact incidence remains unclear. This case report describes a 36-year woman with secondary infertility of eight years. Workup revealed echogenic foci partially embedded in endometrium on saline sonography. After ultrasound guided dilation and curettage, fetal bones were retrieved. Unexplained infertility can often be explained if before applying this label, uterine factor is also taken into account. When common causes like tubal blockage, male factor, and ovulatory dysfunction have been excluded, infrequent causes like polyps, adhesions, and in rare instances foreign bodies also should be looked for...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806818/delayed-presentation-of-forgotten-thyroid-goiter-25-years-after-thyroidectomy
#9
Fazal Wahab Khan, Ayesha Muhammad, Mohsin Abbas, Syed Usman Bin Mahmood, Benish Fatima, Saulat H Fatimi
Forgotten goiter is a rare occurrence (2 - 16% of retrosternal thyroid cases) that depicts recurrence of retrosternal thyroid mass due to growth of remnant thyroid tissue overlooked during an initial thyroidectomy. The patient is a 59-year female who presented with dyspnea and stridor 25 years after total thyroidectomy. She was diagnosed as having a mediastinal mass on radiographic imaging. There were only localized pressure symptoms due to mass effect. The mass was excised employing an extra-cervical approach and using a partial sternotomy...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806817/total-cavopulmonary-connection-for-functionally-single-ventricle-without-cardiopulmonary-bypass-support
#10
Sohail Khan Bangash, Iqbal Hussain Pathan, Saad Bader Zaki
A heart with two atriums but one ventricle, an anatomy with a unique physiology, is responsible for many creative surgical and interventional approaches in history. Different surgical techniques have been used to address this strange physiology of parallel circulation. All these attempts met with failure till the concept of Fontan circulation was described. Currently, controversy exists between multistage vs. single stage total cavopulmonary connections. Total cavopulmonary connection is the only definitive procedure performed to provide palliation for patients with complex congenital heart defects which cannot support a biventricular circulation...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806816/health-related-quality-of-life-in-patients-with-single-lower-limb-amputation
#11
Aliya Hisam, Fatimah Ashraf, Mariam Nadeem Rana, Yumna Waqar, Sumaiyya Karim, Fatima Irfan
OBJECTIVE: To determine the effects of age, cause of amputation, and anatomic level of amputation on the health related quality of life (HRQOL) in individuals with unilateral lower limb amputation. STUDY DESIGN: Across-sectional survey. PLACE AND DURATION OF STUDY: The Armed Forces Institute of Rehabilitation Medicine, from August 2014 to February 2015. METHODOLOGY: Short Form-36 (SF-36) health related quality of life (HRQOL)...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806815/new-direct-acting-antiviral-agents-for-the-treatment-of-hepatitis-c-2016-and-beyond
#12
Muhammad Umar, Tayyab Saeed Akhter
Hepatitis C is one of the commonest public health problems with 130 million people infected worldwide and the burden is increasing. Previously, Interferon along with Ribavirin was the mainstay of treatment but it was associated with toxic side effects. An all-oral regimen with higher rates of sustained viral response (SVR), minimal side effects and no restriction for liver fibrosis staging, was long awaited. Several all-oral interferon-free direct acting antiviral agents (DAAs) have now been approved by FDAfor different genotypes of HCV...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806814/visual-outcomes-of-macular-hole-surgery
#13
Hussain Ahmad Khaqan, Lubna, Farrukh Jameel, Muhammad
OBJECTIVE: To determine the mean visual improvement after internal limiting membrane (ILM) peeling assisted with brilliant blue staining of ILM in macular hole, and stratify the mean visual improvement in different stages of macular hole. STUDY DESIGN: Quasi-experimental study. PLACE AND DURATION OF STUDY: Eye outpatient department (OPD), Lahore General Hospital, Lahore from October 2013 to December 2014. METHODOLOGY: Patients with macular hole underwent measurement of best corrected visual acuity (BCVA) and fundus examination with indirect slit lamp biomicroscopy before surgery...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806813/anisometropia-and-ptosis-in-patients-with-monocular-elevation-deficiency
#14
Saemah Nuzhat Zafar, Farrah Islam, Abdul Moqeet Khan
OBJECTIVE: To determine the effect of ptosis on the refractive error in eyes having monocular elevation deficiency. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Al-Shifa Trust Eye Hospital, Rawalpindi, from January 2011 to January 2014. METHODOLOGY: Visual acuity, refraction, orthoptic assessment and ptosis evaluation of all patients having monocular elevation deficiency (MED) were recorded. Shapiro-Wilk test was used for tests of normality...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806812/frequency-of-thyroid-peroxidase-antibody-and-its-association-with-miscarriages-among-pregnant-women
#15
Sahar Iqbal, Farooq Ghani, Rahat Qureshi
OBJECTIVE: To measure the frequency of thyroid peroxidase antibody (TPO Ab) among clinically euthyroid pregnant women during first trimester and determine its association with pregnancy outcome as miscarriage or live birth by estimating the relative risk. STUDY DESIGN: Cohort study. PLACE AND DURATION OF STUDY: Section of Chemical Pathology, Department of Pathology and Laboratory Medicine and the Gynaecology and Obstetric outpatient clinics of the Aga Khan University Hospital, Karachi, from July to December 2012...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806811/histopathological-and-immunohistochemical-analysis-of-small-intestinal-biopsies-in-adults-suspected-of-celiac-disease
#16
Rida Iftikhar, Shahid Jamal, Ambreen Zafar, Aiza Saadia
OBJECTIVE: To analyse histomorphological and immunohistochemical analysis of small intestinal biopsies in adults suspected of celiac disease. STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Department of Histopathology, Army Medical College, Rawalpindi, from November 2014 to December 2015. METHODOLOGY: Fifty cases of small intestinal mucosal biopsies (duodenal and jejunal) were analysed in adult patients aged above 14 years suspected of celiac disease...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806810/childhood-acute-bacterial-meningitis-clinical-spectrum-bacteriological-profile-and-outcome
#17
Attia Bari, Fatima Zeeshan, Aiza Zafar, Hassan Ejaz, Aisha Iftikhar, Ahsan Waheed Rathore
OBJECTIVE: To determine the disease pattern, etiological agents and outcome of childhood acute bacterial meningitis. STUDY DESIGN: Adescriptive study. PLACE AND DURATION OF STUDY: Department of Paediatric Medicine, The Children's Hospital, Lahore, from January to December 2012. METHODOLOGY: Atotal of 199 children between the ages of 1 month and 5 years, admitted with the diagnosis of meningitis on the basis of clinical findings and positive cerebrospinal fluid (CSF), were included...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806809/increased-level-of-morning-surge-in-blood-pressure-in-normotensives-across-sectional-study-from-pakistan
#18
Aysha Almas, Fatehali Tipoo Sultan, Khawar Kazmi
OBJECTIVE: To determine the mean morning surge (MS) in blood pressure, the frequency of increased morning surge in normotensive subjects, and to compare those with morning surge with those without MS. STUDY DESIGN: Across-sectional, comparative study. PLACE AND DURATION OF STUDY: The Department of Medicine, The Aga Khan University Hospital, Karachi, from April 2011 to March 2012. METHODOLOGY: Adult normotensive healthy volunteers aged 35 to 65 years were inducted...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806808/tetramethylpyrazine-effects-on-the-expression-of-scar-related-genes-in-rabbit-benign-biliary-stricture-fibroblasts
#19
Ke Yue Li, Cheng Xian Shi, Jian Zhao Huang, Ke Li Tang
OBJECTIVE: To investigate the effects of tetramethylpyrazine (TMP) on transforming growth factor-β1 (TGF- β1), α-smooth muscle actin (α-SMA), and neuronal regeneration related protein (P311) in benign biliary stricture fibroblasts of rabbit. STUDY DESIGN: An experimental study. PLACE AND DURATION OF STUDY: Guizhou Medical University, Guiyang, Guizhou, China, from April to December 2015. METHODOLOGY: Fibroblasts isolated from rabbits following benign biliary stricture were cultured and treated with different concentrations of TMP(0...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27806807/intraoperative-dilatation-and-air-tight-testing-of-the-hepaticojejunostomy-a-new-technique
#20
Hamad Hadi Al-Qahtani
OBJECTIVE: To evaluate the effect of creating an air-tight anastomosis and intraoperative dilatation of the hepaticojejunostomy (HJ) in reducing the early and long-term complications. STUDY DESIGN: Interventional study. PLACE AND DURATION OF STUDY: Department of Surgery, King Saud University, Riyadh, between March 2008 and January 2016. METHODOLOGY: After completion of HJ, the anastomosis was tested for air-tightness, and dilated with Kelly clamp in all patients undergoing the procedure...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
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