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Volume 33, 12 Issues, 2023

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.


Important Announcement for Authors

"A companion journal of JCPSP (the official journal of CPSP) has been launched by the name of JCPSP Case Reports. Submission of Case Reports is now open."
Please visit https://jcpspcr.pk/.

Latest Articles
Volume 33 | Issue 10 | October 2023
AI at Doorstep: ChatGPT and Academia

By Sikandar Hayat Khan


Clinical Study of Artificial Intelligence in Imaging Diagnosis of False Positive Lesions of Pulmonary Nodules

By He Sun, Jiaheng Wei, Junfu Wang, Zhanyue Pang, Liangming Zhu

ABSTRACT Objective: To determine the accuracy of diagnosis of pulmonary nodules using artificial intelligence method. Study Design: Observational study. Place and Duration of the Study: Department of Thoracic Surgery, Jinan Central Hospital, Jinan, China, from January 2020 to May 2021. Methodology:...

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Bioinformatics Approaches to Identify the Comorbidity Complexities of SARS-CoV-2 Infection with Crohn's Disease

By Yue Li, Xiao Han

ABSTRACT Objective: To analyse potential molecular mechanisms and identify potential therapeutic regimens and drugs to treat severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and Crohn’s disease (CD) through bioinformatics and systems biology. Study Design: Bioinformatics Study. Pla...

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Predictive Value of Carotid Plaque Contrast-Enhanced Ultrasound Score and Homocysteine in Senile Metabolic Syndrome Complicated by Cerebral Infarction

By Zhengqin Zuo, Zhigang Xu, Chunxia Cheng, Shiyan Yang, Mingxing Li

ABSTRACT Objective: To investigate the predictive value of the carotid plaque contrast-enhanced ultrasound (CEUS) score and blood homocysteine (HCY) in senile metabolic syndrome (MetS) complicated by cerebral infarction. Study Design: Observational study. Place and Duration of the Study: Department ...

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The Effect of Urea/Albumin Ratio on Mortality in the Geriatric Patients Admitted in the Intensive Care Unit

By Dilber Ucoz Kocasaban, Hayri Ramadan, Sertac Guler, Yahya Kemal Gunaydin

ABSTRACT Objective: To analyse the effect of urea albumin ratio on mortality in intensive care patients aged over 65 years. Study Design: An observational study. Place and Duration of the Study: Health Sciences University, Ankara Training and Research Hospital, Emergency Critical Intensive Care Uni...


Changes in Bone Mineral Density and Related Influencing Factors Assessed by Quantitative Computed Tomography in Maintenance Dialysis Patients

By Hao Zhan, Qi-Chun Chen, Han-Qiu Wu, Tian-Tian Liu, Li-Wei Zou, Long-Sheng Wang

ABSTRACT Objective: To investigate the changes in volumetric bone mineral density (vBMD) assessed by quantitative computed tomography (QCT) in chronic kidney disease (CKD) patients on maintenance dialysis. Study Design: Descriptive study. Place and Duration of the Study: Department of Radiology, The...

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Diagnostic Accuracy of Transvaginal Ultrasound in Adenomyosis Taking MRI as a Gold Standard

By Afshan Shaikh, Imrana Masroor, Aysha Masood, Shaista Afzal Saeed

ABSTRACT Objective: To evaluate the accuracy of transvaginal ultrasound in the diagnosis of adenomyosis using MRI as the gold standard, and to characterise the most commonly seen and accurate ultrasonographic features and their combination. Study Design: Cross-sectional, descriptive study. Place an...

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Hearing Loss and the Affecting Factors in Patients with Fibromyalgia

By Hanife Caglar Yagci, Osman Ilkay Ozdamar, Ozlem Ertugrul, Cansu Tosyali Salman, Ilker Yagci

ABSTRACT Objective: To find the frequency of hearing loss in newly diagnosed patients with fibromyalgia (FM), and the factors affecting it. Study Design: Descriptive study. Place and Duration of the Study: Department of Physical Medicine and Rehabilitation and Department of Otorhinolaryngology Head...


Effect of Ultrasonic Irrigation Combined with Epoxy Resin Paste in Single Visit Root Canal Treatment in Chronic Pulpitis

By Cheng-Feng Zhang, Jing Wang, Xin-Yi Zhu, Nan Wang

ABSTRACT Objective: To determine the clinical efficacy of ultrasonic irrigation combined with epoxy resin-based sealer in single visit root canal treatment of chronic pulpitis. Study Design: Randomised controlled trial. Place and Duration of the Study: Department of Stomatology, Hefei BOE Hospital, ...

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Effectiveness of Lactate Clearance to Predict In-Hospital Mortality in Patients with Upper Gastrointestinal Bleeding

By Yunus Emre Arik, Salih Kocaoglu

ABSTRACT Objective: To determine the performance of lactate clearance to predict prognosis in patients with upper gastrointestinal bleeding (UGIB). Study Design: Observational study. Place and Duration of the Study: Department of Emergency Medicine, Sisli Hamidiye Etfal Training and Research Hospit...

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Comparison of the Efficiency of Induction and Adjuvant Chemotherapy in Patients with Locally Advanced Nasopharyngeal Cancer

By Mustafa Buyukkor, Fatih Tay, Aziz Kurtulus, Ozturk Ates

ABSTRACT Objective: To make a comparative evaluation of induction chemotherapy (ICT) or adjuvant chemotherapy (ACT) added to standard concurrent chemoradiotherapy in patients diagnosed with locally advanced nasopharyngeal cancer (LANPC) (Stage 3-4a patients, except T3N0). Study Design: Observationa...

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Intraocular Pressure Changes in Myopic Patients Undergoing Laser In-Situ Keratomileusis and Photorefractive Keratectomy

By Sadia Humayun, Yumna Waheed Bangash, Mazhar Ishaq, Aizaz Ali Shah

ABSTRACT Objective: To assess the variation in intraocular pressure measurements between Ocular Response Analyzer (ORA) and Goldmann Applanation Tonometer (GAT) in myopic patients undergoing laser assisted in-situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). Study Design: Quasi-expe...

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Effect of Preventive Nursing on Male Children with Hypospadias in Preventing Postoperative Complications

By Xiao-Qing Shi, Shi-Lei Guo, Wei Zheng, Bo-Song Zhang, Jie Wang, Bin Yang

ABSTRACT Objective: To determine the clinical impact of preventive nursing on children with hypospadias and the intervention effect on postoperative complications. Study Design: Comparative study. Place and Duration of the Study: Department of Urology Surgery, Beijing Children's Hospital Affil...

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Evaluation of Radial Extracorporeal Shock Wave Therapy on Treatment-Resistant Trigger Points Using Sonographic Shear Wave Elastography

By Isil Fazilet Kartaloglu, Aylin Altan Kus

ABSTRACT Objective: To assess the effectiveness of radial extracorporeal shock wave therapy (rESWT) on treatment-resistant myofascial trigger points (MTrPs) in the upper trapezius and evaluation of treatment efficacy by Sonographic Shear Wave Elastography (SWE) objectively. Study Design: An experime...

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Validation of Thoracic Surgery Scoring System (Thoracoscore) in Turkish Population

By Hale Kefeli Celik, Burcin Celik

ABSTRACT Objective: To validate the Thoracoscore, a scoring system designed to predict 30-day mortality in patients undergoing thoracic surgery in the Turkish population. Study Design: Observational study. Place and Duration of the Study: Department of Thoracic Surgery, Ondokuz Mayıs University, Me...

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Workplace Based Learning (WBL): An Effective Learning Modality during Orthopaedics Surgical Clerkship: Students' Perspective

By Sumair Naseem Qureshi, Fareeha Farooqui, Rimal Ilyas, Muhammad Iqbal Khan

ABSTRACT Objective: To evaluate the student’s perspective about educational and training efficacy of workplace based learning (WBL) during surgical clerkship in Orthopaedics amongst 4th and 5th year medical students. Study Design: Cross-sectional study. Place and Duration of the Study: Depart...


Online Teaching of Final-Year Medical Students during COVID-19 Pandemic: Merits and Challenges

By Muhammad Faisal Bilal Lodhi, Tanzeela Khalid

ABSTRACT Objective: To explore the fresh medical graduates’ perspectives regarding online teaching of clinical subjects in the final year MBBS program during the COVID-19 pandemic. Study Design: Qualitative research with exploratory study design. Place and Duration of the Study: Punjab Medica...


Diagnostic Performance and Accuracy of Strain Elastography for BI-RADS Category 4 Lesions among Asian Females

By Meng Dong, Boyuan Xing, Bingyi Zhang, Xingdong Xu, Quan Zhou

ABSTRACT This work aimed to assess the diagnostic performance of strain elastography (elasticity score) and its accuracy for breast BI-RADS category 4 lesions. Online databases including Cochrane Library, Embase, PubMed, and Web of Science were searched for eligible articles published prior to March...


Clinical Characteristics and Intraoperative Reduction Technique of Thoracolumbar Fractures Combined with Posterior Column Injury

By Le-Le Sun, Cheng-Min Liang, Wen Yin, Jie Cao, Kang-Kang Wang, Hai-Yang Yu

ABSTRACT Objective: To analyse the clinical characteristics of thoracolumbar fractures combined with posterior column injury, and explore its intraoperative reduction technique with clinical efficacy. Study Design: Descriptive study.           &...


Efficacy of Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnoea by Evaluating Upper Airway Space Volume Using CBCT

By Aanchal Verma, Sumeet Jain

ABSTRACT Objective: To evaluate the efficacy of mandibular advancement device as a treatment of mild to moderate obstructive sleep apnoea and to evaluate the change in upper airway space volume by using cone beam CT (CBCT). Study Design: In vivo observational study. Place and Duration of the Study: ...


ChatGPT: Transcending Language Limitations in Scientific Research Using Artificial Intelligence

By Muhammad Osama, Sabah Afridi, Muhammad Maaz

ABSTRACT Health and scientific researchers in non-English speaking countries such as Pakistan, are not proficient in English, which limits their ability to communicate their ideas and findings to the international scientific community. ChatGPT is a large language model that can help non-native Engl...


Management of Borderline Ovarian Tumours: Tertiary Centre Experience from Turkey

By Caner Kose, Busra Korpe, Tugce Kacan Tatlici, Ozgun Yildirim, Yaprak Engin Ustun, Vakkas Korkmaz

ABSTRACT This study aimed to analyse the management protocols, surgical approaches, and outcomes of the women with Borderline ovarian tumours (BOT) at Ankara Etlik Zubeyde Hanım Women's Health Training and Research Hospital, Ankara, Turkey. One hundred and seventy-seven patients diagnosed with ...


Relationship of End Expiratory Lung Volume, Compliance, and Plateau Pressure in Acute Respiratory Distress Syndrome

By Sanjith Saseedharan, Shalaka Patil, Sonal Rambhad, Vaijaynti Kadam, Ashish Yadav, Rujuta Bagade

ABSTRACT COVID-19 ARDS (acute respiratory distress syndrome), caused by SARS-CoV-2, involves a decrease in the end expiratory lung volume (EELV), compliance, and hypoxemia. The authors retrospectively analysed the relationship between the EELV, Plateau pressure (Pplat), and compliance of the re...


ChatGPT and the Future of Medical Education: Opportunities and Challenges

By Abida Shaheen, Fahad Azam, Mohammed Amir


Use of Social Media and Digital Profile of Physicians: What One Needs to Know?

By Farooq Azam Rathore, Arpit Mago, Fareeha Farooq


A Single Measurement System May Not Be Enough for Questionable High Free T4 Levels

By Guo-Ming Zhang, Qian-jin Zhang


Alarm Signals to Postpone Feeding Plate Fabrication and Nasoalveolar Molding

By Aditi Verma, Saumyendra Vikram Singh, Deeksha Arya


Ingestion of Multiple Keys in a 12-Month-Old Infant: Management of Oropharyngeal Foreign Body

By Muhammad Mohsin Sajjad, Hamid Shahzad


Transcranial Magnetic Stimulation: Is it an Answer to Difficult Questions Posed to Psychiatrists and Neurologists in Pakistan?

By Usama Bin Zubair