Journal of College of Physicians and Surgeons Pakistan (JCPSP), is an open access, peer reviewed monthly biomedical journal of the country published regularly since 1991. College of Physicians and Surgeons Pakistan is the parent body of this Journal.

The College of Physicians and Surgeons of Pakistan (CPSP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide credits to educational activities.

CPSP designates '3 AMA PRA Category 1 Credits' for review of the manuscript of an original study.

Latest Articles

Volume 36 | Issue 7 | July 2026

The Rise of the BARR Body

By Saeeda Baig
Page # 839-840

Stature Estimation from Foot Anthropometry in a Pakistani Cohort

By Raheela Irshad, Ramsha Urooj Baig, Ramlah Naz, Mehreen Fatima
Page # 841-845

ABSTRACT Objective: To investigate the relationships between an individual's height and various foot dimensions and to assess the statistical differences between right and left foot measurements. Study Design: A cross-sectional study. Place and Duration of the Study: Department of Forensic Medic...

Utilisation of the Lactate/Albumin Ratio as a Mortality Predictor in Patients with Acute Heart Failure in the Emergency Department

By Onur Kocaman, Mehmet Unaldi, Basak Bayram, Huseyin Cahit Halhalli, Emre Sanci, Asim Enes Ozbek
Page # 846-852

ABSTRACT Objective: To evaluate the effectiveness of the lactate/serum albumin (L/A) ratio in predicting 30- and 90-day all-cause mortality and 30-day all-cause readmissions in patients presenting to the emergency department (ED) with acute heart failure (AHF). Study Design: An observational study. ...

Age Estimation Using CBCT and OPG: Evaluation of Root Pulp, Periodontal Ligament Space, and Coronal Index in Mandibular Third Molars: A Cross-Sectional Radiographic Study

By Mahwish Sami, Sarwat Memon
Page # 853-858

ABSTRACT Objective: To compare cone-beam computed tomography (CBCT) and orthopantomography (OPG) for the radiographic assessment of root pulp visibility (RPV), periodontal ligament visibility (PLV), and the tooth coronal index (TCI) of mandibular third molars in a subset of the Karachi population. S...

Comparison of Telomere Length Differences before and after Bariatric Surgery

By Ozan Korkmaz, Ismail Ertugrul
Page # 859-863

ABSTRACT Objective: To evaluate whether relative telomere length changes one year after bariatric surgery in patients with morbid obesity. Study Design: A descriptive cohort study. Place and Duration of the Study: Department of General Surgery, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkiy...

Evaluating Patient Safety and Efficacy of Robot-Assisted Adrenalectomy: 90-Day Outcomes

By Muhammad Nauman, Haris Jameel, Rehan Mohsin, Riaz Hussain Laghari, Harris Hassan Qureshi, Muhammed Mubarak
Page # 864-870

ABSTRACT Objective: To evaluate the 90-day safety and efficacy of robot-assisted adrenalectomy (RAA) at a tertiary care centre in a low- and middle-income country, with a focus on the correlation between tumour histopathology and perioperative outcomes, learning curve, and technical aspects. Study D...

Effectiveness of Foley Catheter Thermal Balloon Endometrial Ablation for the Treatment of Heavy Menstrual Bleeding

By Shamila Ijaz Munir, Sana Saeed, Sodat Alqai, Rodaba Khan, Sajida Parveen
Page # 871-875

ABSTRACT Objective: To determine the effectiveness of Foley catheter thermal balloon endometrial ablation in patients complaining of heavy menstrual bleeding (HMB). Study Design: A single-arm experimental study. Place and Duration of the Study: Department of Obstetrics and Gynaecology, Fatima Jinnah...

Susceptibility Profiles of Anaerobes Isolated from Deep-Seated and Sterile Site Clinical Samples: Implications for Therapy

By Abdul Rehman, Irim Iftikhar
Page # 876-881

ABSTRACT Objective: To determine the resistance rates of anaerobic bacteria to metronidazole and amoxicillin/clavulanate and to assess the susceptibility of metronidazole-resistant isolates to meropenem. Study Design: A laboratory-based observational study. Place and Duration of the Study: Departmen...

Orthostatic Hypotension: A Risk Factor for Mortality in Patients with End-Stage Kidney Disease on Maintenance Haemodialysis

By Noman Butt, Hassan Nawaz, Muhammad Anees, Javeria Aslam
Page # 882-887

ABSTRACT Objective: To determine the effect of pre- and post-dialysis orthostatic hypotension (OH) on mortality among patients with end-stage kidney disease (ESKD) undergoing maintenance haemodialysis (MHD). Study Design: A prospective comparative study. Place and Duration of the Study: Department ...

Serum Alanine Aminotransferase and Alkaline Phosphatase in Late Pregnancy as Predictors of Intrahepatic Cholestasis

By Maryam Khizar Hayat Khan, Shazia Ali, Ghazala Jawwad, Sana Nawab, Shagufta Feroz
Page # 888-892

ABSTRACT Objective: To compare serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (ALP) between women with intrahepatic cholestasis of pregnancy (ICP) and those without, to assess trimester-related changes, and to identify the strongest liver enzyme pred...

Dry Eye Disease among Young Pakistanis: Association with Digital Screen Use

By Nadia Akhtar, Ayisha Kausar, Hurmat Fatima Azeem, Aleena Shah, Rida Inam, Asim Mehmood
Page # 893-897

ABSTRACT Objective: To evaluate the influence of digital screen use on dry eye disease (DED) and ocular health in the young Pakistani population. Study Design: A cross-sectional study. Place and Duration of the Study: Department of Ophthalmology, Federal General Hospital and Shifa Foundation Commun...

Comparable Efficacy of Two Anticoagulant Strategies Following Total Hip Replacement in Elderly Patients: A Prospective Randomised Controlled Trial

By Li Zhou, Xiaoxiao Ma, Zhenhong Wang, Jihua Xin, Haiping Dong, Wei Zhou
Page # 898-902

ABSTRACT Objective: To compare the safety and efficacy of two different anticoagulation strategies of aspirin and low-molecular-weight heparin (LMWH) for the prevention of postoperative venous thromboembolism (VTE) in elderly patients undergoing total hip replacement (THR). Study Design: A randomise...

A Comparative Study Assessing the Effect of Balance Training with and without Taping on Mobility in Stroke Patients

By Fouzia Batool, Amina Farid Khan, Saima Gul
Page # 903-907

ABSTRACT Objective: To evaluate the effect of balance training, with taping and without taping, on mobility in patients with sub-acute or chronic stroke. Study Design: A randomised controlled trial. Place and Duration of the Study: Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from Ma...

Effect of Two Retrieval Practices on Anatomy Scores among MBBS Students

By Amber Ilyas, Syed Moin Ali, Urooj Fatima, Fouzia Kirmani, Sadia Iqbal
Page # 908-911

ABSTRACT Objective: To compare anatomy scores following retrieval practice (RP) using multiple-choice questions (MCQs) and short-answer questions (SAQs) in the head and neck and endocrinology modules. Study Design: A quasi-experimental study. Place and Duration of the Study: Department of Anatomy, ...

Efficacy and Safety of Pemafibrate for the Treatment of Dyslipidaemia: A Meta-Analysis

By Weimin Huo, Ran Wang, Hongbin Wang, Yanting Wei, Jiajia Li, Fanfan Zhao
Page # 912-919

ABSTRACT Elevated plasma triglyceride (TG) levels are recognised as a significant risk factor for cardiovascular disease. Pemafibrate, a novel selective peroxisome proliferator–activated receptor alpha (PPAR-α) agonist, offers potential therapeutic benefits. This systematic review and me...

Pros and Cons of Positive End-Expiratory Pressure Titration Guided by Electrical Impedance Tomography in Patients with Acute Respiratory Distress Syndrome: A Meta-Analysis

By Yunnan Hu, Mumu Fan, Peirong Zhang
Page # 920-928

ABSTRACT This study explored the effectiveness of an electrical impedance tomography (EIT)-based positive end-expiratory pressure (PEEP) titration strategy compared with traditional methods in patients with acute respiratory distress syndrome (ARDS). A systematic search of the literature was conduct...

Outcomes of Focused Parathyroidectomy in Hyperparathyroidism

By Farhan Ahmed Majeed, Sohail Saqib Chatha, Mubashara Badar, Ahmed Raza, Bilal Umair, Nabeela Farhan
Page # 929-932

ABSTRACT Objective: To evaluate the surgical outcome of focused parathyroidectomy (FP) in the management of hyperparathyroidism. Study Design: A case series. Place and Duration of the Study: Department of Thoracic Surgery, Combined Military Hospital, Rawalpindi, Pakistan, from September 2018 to Dece...

Staple-Line Reinforcement in Sleeve Gastrectomy

By Surrendar Dawani, Syeda Zarreen Raza, Rashid Ali, Madiha Masood Khan, Moosa Ashfaq, Tashaba Qaiser Faizi
Page # 933-937

ABSTRACT Objective: To compare the frequency of postoperative complications, specifically staple-line bleeding and leakage, in patients undergoing laparoscopic sleeve gastrectomy (LSG) with and without staple-line reinforcement. Study Design: A descriptive, analytical study. Place and Duration of ...

A Comparative Evaluation of the Predictive Accuracy, Clinical Utility, and Application Efficiency of Four Nephrolithometric Nomograms for Percutaneous Nephrolithotomy Outcomes

By Cagatay Ozsoy, Erhan Ates, Goksel Tuzcu, Arif Kol
Page # 938-944

ABSTRACT Objective: To evaluate the predictive roles of four commonly used nephrolithometric nomograms—Guy's Stone Score (GSS), Stone size, Tract length (skin-to-stone distance), degree of Obstruction, Number of involved calyces, and Essence (stone density) (S.T.O.N.E), Clinical Research O...

The Urgent Need for AI-Guidelines and Framework for Medical Education and Research in Pakistan

By Fareeha Farooq, Farooq Azam Rathore
Page # 945-948

ABSTRACT The public release of ChatGPT in November 2022 and the rapid adoption of artificial intelligence (AI) tools have significantly influenced medical education and research worldwide, including in Pakistan. Despite widespread use among faculty and students, Pakistan currently lacks national gui...

Imaging Appropriateness, Clinical Data, and Feedback: The Healthcare Challenges in Pakistan

By Mahnoor Hafeez, Nida Rafiq
Page # 949-950

ABSTRACT Diagnostic radiology is a unique specialty focused primarily on diagnosis rather than treatment. It represents a partnership between clinical and radiology teams. Communication barriers can result in patient harm. Appropriateness and justification of imaging studies are frequently overlooke...

Ventilator-Associated Pneumonia as the Biggest Challenge: Incidence, Risk Factors, Prevention, and Mortality Rate

By Sami Ur Rehman, Unaiza Saeed, Arshad Taqi, Maryam Inayat
Page # 951-953

ABSTRACT This cross-sectional study was conducted in the Surgical Intensive Care Unit (ICU) of Doctors Hospital and Medical Centre, Lahore, Pakistan, from January to December 2023, to observe the incidence of ventilator-associated pneumonia (VAP), predictors, mortality rate, and compliance with the ...

Empowering Educators Using the Innovative Five Tips Approach

By Sara Shakil, Rabia Aftab, Azam Afzal, Shazia Babar, Muhammad Tariq
Page # 954-956

ABSTRACT In the era of information bombardment, it is essential to adopt the ability to acquire new information and apply it in the respective context. Healthcare professionals continually face evolving challenges and advancements in their field. Traditional training methods often involve extensive ...

Indigenous Hyperangulated Videolaryngoscope: Bridging a Critical Gap in Airway Management in Pakistan

By Hassam Zulfiqar
Page # 957-958

Comment on: Comparing Michigan Neuropathy Screening Instrument Scores with Plantar Sensory Nerve Conduction Studies in Diabetic Neuropathy

By Asma Iqbal
Page # 959-960

Severe Pneumocystis Jirovecii Pneumonia in a Non-HIV Infant: The Diagnostic Value of Metagenomic Next-
Generation Sequencing

By Yao Zheng, Pelsen Ruan, Hehe Chen
Page # 961-962

Acute Pancreatitis Induced by Rhinovirus Infection

By Muhammad Mohsin Sajjad, Mohammad Yousef Ouda Abujazar, Ghazi Talq Al-Mutairi
Page # 963-964

Suggested Updates in Vascular Surgery Training in Pakistan

By Zia Ur Rehman
Page # 965-965

Hoarseness as a Manifestation of Chronic Lymphocytic Leukaemia Involving the Larynx

By Asif Husain Osmani
Page # 966-966