Journal of College of Physicians and Surgeons Pakistan (JCPSP), is the prestigious, 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

"As a large number of case reports are awaiting publication, JCPSP has decided to stop acknowledging Case Reports for a certain period of time until the backlog is cleared. Therefore, case reports are regretted from processing".

Latest Articles
Volume 31 | Issue 6 | June 2021
The Necessity of Human Factors Training in Emergency Medicine Residency: A Road Less Travelled

By Abdul Ahad Chhotani, Shahan Waheed

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Relationship between Pleth Variability Index and the Occurrence of Hypotension during Epidural Anesthesia for Cesarean Section

By Honggang Zang, Lei Zhu, Wenjun Yan

ABSTRACT Objective: To determine the predictive effect of pleth variability index(PVI)before anesthesia on hypotension after epidural anesthesia in cesarean section parturient women. Study Design: Observational study. Place and Duration of Study: Gansu Province People's Hospit...

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Comparison of Balloon Trocar versus Telescopic Dissection Method for TEP Inguinal Hernia Repair

By Emrah Akin, Enes Bas, Necattin Firat, Kayhan Ozdemir, Recayi Capoglu, Fatih Altintoprak

ABSTRACT Objective: To compare the outcomes between two methods of dissection (balloon trocar vs. telescopic dissection) used in total extra-peritoneal (TEP) inguinal hernia repair. Study Design: Comparative study. Place and Duration of Study: Department of General Surgery, Faculty of Medicine, Saka...

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Resuscitative Thoracotomy as a Life-saving Intervention in the Emergency Department

By Fatih Doğanay, Feride Güneç

ABSTRACT Objective: To investigate the survival rate and the return of spontaneous circulation (ROSC) in patients who underwent the resuscitative thoracotomy in the emergency department (EDRT), and determine the difference in survival rate of the patients who underwent EDRT with and without out of h...

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Analysis of Risk Factors for Rectus Sheath Hematoma

By Murathan Erkent, Ramazan Topcu, Murat Bulut Ozkan, Murat Baki Yildirim, Orhan Aslan, Ismail Sezikli

ABSTRACT Objective: To evaluate the risk factors for developing rectus sheath hematoma (RSH). Study Design: An observational study. Place and Duration of Study: Department of General Surgery, Hitit University School of Medicine, Erol Olcok Training and Research Hospital, Turkey; from January 2018 to...

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Predictors of Disease Severity in Adult Covid-19 Patients Admitted in Mayo Hospital, Lahore, Pakistan

By Tazeen Nazar, Bilal Aziz, Bilquis Shabbir, Furqan Saeed, Kashif Nawaz, Muhammad Nabeel

ABSTRACT Objective: To assess disease severity, based on clinical presentation and laboratory investigations. Study Design:  Observational study. Place and Duration of Study: COVID-19 Isolation Unit of Mayo Hospital, Lahore from 15th March to 31st May, 2020. Methodology: Four hundred and forty-...

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Relationship between Vitamin D Deficiency, Albuminuria, Peripheral Artery Disease and 5-year Mortality in Chronic Kidney Disease

By Yasemin Özgür

ABSTRACT Objective: To investigate the effects of vitamin D deficiency, albuminuria and peripheral artery disease (PAD) relationships, on 5-year mortality in patients with chronic kidney disease (CKD) . Methodology: Observational study. Place and Duration of Study: Department of Internal Medicine, K...

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Initial Ca 125 Value as a Predictive Marker for High-grade Serous Ovarian Cancer

By Seval Ay, Deniz Tataroglu Ozyukseler, Ozgecan Dulgar, Mustafa Basak, Mahmut Emre Yildirim, Mahmut Gumus

ABSTRACT Objective: To determine the relevance between the cut-off level of cancer antigen 125 (CA 125) level and long-term prognosis in high-grade serous ovarian cancer (HGSCs). Study Design: Observational study. Place and Duration of Study: Departments of Oncology, Medeniyet University Goztepe Edu...

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Can Lymphovascular and Perineural Invasion be Additional Staging Criteria in Colorectal Cancer?

By Tayfun Kaya, Ayberk Dursun

ABSTRACT Objective: To identify additional staging information, venous, lymphatic, and neural invasion  as potential prognostic factors in colorectal cancer (CRC). Study Design: A descriptive study. Place and Duration of the Study: University of Health Sciences, Tepecik Training and Resear...

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Oxidative Stress in Intoxıcation Type Inborn Errors of Metabolism using Thiol-Disulfide Ratio

By Veysel Cam, Asburce Olgac, Mustafa Kilic, Ozcan Erel, Salim Neselioglu, Cigdem Seher Kasapkara

ABSTRACT Objective: To determine the relationship of oxidative stress status with follow-up parameters, metabolic control status, and treatment compliance evaluation in patients diagnosed within toxication type inherited metabolic disease (IMDs). Study Design: Descriptive, analytical study. Place a...

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ECG Intervals on Acute Carbon Monoxide Poisoning

By Gokhan Yilmaz

ABSTRACT Objective: To evaluate the usability of electrocardiography (ECG) intervals in the diagnosis and treatment monitoring of acute carbon monoxide (CO) poisoning. Study Design: An observational study. Place and Duration of Study: Department of Emergency Medicine, Kayseri City Hospital, Turkey, ...

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Role of PSA Kinetics in Hormone-refractory Prostate Cancer

By Volkan Sabur, Ibrahim Untan, Atila Tatlisen

ABSTRACT Objective: To demonstrate the predictive effect of PSA derivatives and time markers that is prostate-specific antigen (PSA) doubling time (PSADT) and PSA velocity (PSAV) on survival in men with hormone-refractory prostate cancer (HRPCa). Study Design: Descriptive, analytical study. Place an...

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Safety and Efficacy of Flexible Ureterorenoscopy Surgery in Different Age Groups

By Omer Koras, Ibrahim Halil Bozkurt, Ahmet Nihat Karakoyunlu, Salih Polat, Serkan Yarimoglu, Tansu Degirmenci

ABSTRACT Objective: To comparatively investigate the efficacy, safety and complications of flexible ureterorenoscopy (f-URS) in the treatment of patients of different age groups (<60, 60-74 and ≥75 years) with proximal ureteral and kidney stones. Study Design: Descriptive study. Place and Dura...

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Is there a Predictive Value of Hemoglobin A1C for Complications of Cardiac Surgery?

By Selen Ozturk, Ilyas Kayacoglu, Yavuz Sensoz, Safa Ozcelik, Yucesin Arslan, Ibrahim Oztürk

ABSTRACT Objective: To investigate the effect of preoperative hemoglobin A1c levels for the complications of cardiac surgery. Study Design:  Meta-analysis. Place of Study: Siyami Ersek Chest and Cardiovascular Surgery Education and Research Hospital, Istanbul, Turkey. Methodology: PubMed, Scop...

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Comparing Oral Health-related Quality of Life (OHIP-14) and Masticatory Efficiency with Complete Denture Treatment

By Kiran Fatima Mehboob Ali Bana, Sumaira Shadab, Saman Hakeem, Farnaz Ilyas

ABSTRACT Objective: To measure impact of oral health in complete denture wearers and its effects on masticatory efficiency with new complete dentures over the period of three months. Study Design: Experimental study design. Place and Duration of study: Department of Prosthodontics, Bahria University...

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Comparison of Therapeutic Effects and Olfactory Function of Oral Glucocorticoid and Intranasal Glucocorticoid on Chronic Rhinosinusitis Patients with Nasal Polyps

By Quan Yang, Min Li

ABSTRACT Objective: To compare the therapeutic effects and olfactory function of oral glucocorticoid and intranasal glucocorticoid in patients with chronic rhinosinusitis (CRS) with nasal polyps. Study Design: Experimental study. Place and Duration of Study: Suzhou Hospital of Integrated Traditional...

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Flap Monitoring using Thermal Imaging Camera: A Contactless Method

By Muhammad Jibran Rabbani, Asif Zubair Bhatti, Ahmed Shahzad

ABSTRACT Objective: To determine the accuracy of the thermal imaging camera for the detection of vascular insult before the onset of permanent tissue damage. Study Design: Descriptive study. Place and Duration of Study: Department of Burn and Plastic Surgery, from July to December 2019. Methodology...

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Audit of Documentation of Forensic History on Admission Form in a Psychiatric Intensive Care Unit

By Usama Bin Zubair, Roy Brown

ABSTRACT Objective: To study the documentation of relevant components of forensic history on admission form for male patients admitted in psychiatric intensive care unit (PICU)/OAK ward of Phoenix Care Center. Study Design: Clinical audit. Place and Duration of Study: Psychiatric intensive care unit...

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Problem-based Learning and Team-based Learning as a Novel Package Approach

By Shazia Nawabi, Muhammad Qasim Javed, Rabia Bilal

ABSTRACT Objective: To identify the insights of dentistry students towards a new 3/1 problem-based learning (PBL) and team-based learning (TBL) blended package approach. Study Design: Mixed method triangulation design, using validating quantitative data model. Place and Duration of Study: College of...

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Novel Inflammatory Biomarkers in Patients with Mycosis Fungoides Treated with Bexarotene

By Funda Tamer, Ayla Gulekon

ABSTRACT Mycosis fungoides (MF) is a skin lymphoma characterised by atypical T lymphocyte infiltration, which may present with patches and tumors in advanced stages. Treatment options in MF aim to reduce symptoms, since patients usually do not achieve complete cure. Bexarotene is used for treatment-...

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Atypical Polypoid Adenomyoma (APAM)

By Lubna Javed, Nadia Ashraf, Mashaal Sabqat, Amtullah Zareen

ABSTRACT Atypical polypoid adenomyoma (APAM) is a rare polypoidal benign tumor of uterus, which usually presents with irregular vaginal bleeding in women of reproductive age. It has the potential of malignant transformation but does not metastasise. It may coexist with endometrial hyperplasia and a...

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Spermatocytic Tumor of Testis in a Young Male

By Madiha Bilal Qureshi, Nasir Uddin, Zubair Ahmad, Saira Fatima

ABSTRACT Spermatocytic tumor is a rare germ cell tumor not related to germ cell neoplasia in situ, and derived from postpubertal-type germ cells. It was previously called “Spermatocytic Seminoma” due to false belief of its origin from germ cell neoplasia in situ. The tumor usually occurs...

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Primary Renal Leiomyosarcoma

By Yunshen Ding, Changyi Quan

ABSTRACT To optimise the diagnosis and treatment of primary renal leiomyosarcoma, we present our experience with a similar case and review the literature. A 49-year woman was incidentally found to have a palpable mass in the right kidney. CT scan revealed an enhancing, heterogeneous, 6×7&time...

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Topiramate-induced Acute Transient Myopia and Angle Narrowing

By Summaya Khan, Ammarah Ashraf, Hassaan Javaid, Muhammad Azeem Khizer

ABSTRACT Sulphamate drugs, widely prescribed for various systemic conditions, are reported to have rare ocular adverse-effects, usually within weeks of initiation of treatment. Medical and drug history in such cases are of pivotal importance in reaching a proper diagnosis. This study reports three c...

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Streptococcal Pharyngitis: Delving Deeper than the Throat

By Sadaf Sheikh, Umair Javed, Muhammad Akbar Baig

ABSTRACT Acute rhabdomyolysis and elevated transaminases during streptococcal pharyngitis are rare presentations. The proposed pathophysiological mechanisms include direct bacterial invasion and toxin generation. Physicians should be aware of the association between these infections and the above-me...

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Hypersensitivity Pneumonitis in a Pediatric Patient

By Madiha Naz, Shazia Parveen, Afsheen Asghar Khan, Fauzia Zafar

ABSTRACT Hypersensitivity pneumonitis (HP) is a rarely diagnosed interstitial lung disease with variable manifestations. It results from repeated inhalation of certain antigens, e.g. mold, avian antigen, etc. in susceptible patients. The diagnosis is made by exposure history, relevant clinical pres...

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Topical Ocular Anesthetic Use among Welders of Rawalpindi City, Pakistan

By Ume Sughra, Wajid Ali Khan, Sultana Kausar

ABSTRACT A descriptive cross-sectional survey was done from January to June 2018 in welding shops of Rawalpindi city, Pakistan. The objectives of the study were to determine the frequency of topical ocular anesthetic use among welders and to assess the knowledge and practices of welders regarding sa...

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Multiple Small Bowel Atresia: Resection or Conservation?

By Krishna Kumar Govindarajan, Mohanaprakash Annamalai

ABSTRACT Multiple small bowel atresia is a relatively uncommon cause of intestinal obstruction in neonates.  About one-third of the neonatal intestinal obstruction is caused by intestinal atresia. As suggested by Louw and Barnard, the vascular accident in utero is the principal reason, resultin...

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Psychological Burden amongst Caregivers of Patients on Maintenance Haemodialysis

By Abdul Rehman Arshad, Taleah Tahir, Abdul Wahab Mir, Salahuddin

ABSTRACT Long-term caregiving is a difficult job, risking mental health of involved individuals. This study was planned to document magnitude of the problem at Pak Emirates Military Hospital, Rawalpindi, with an aim to improve quality of life in caregivers and patients alike. From January to June 2...

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Evolution of Urology Services in Pakistan

By Manzoor Hussain

ABSTRACT Urology has been separated from its parent generic specialty at different times during the last 150 years in different countries. In Pakistan, from 1947 to 1970s, urology was part of surgery and was done by general surgeons. There were only two urology units from late 1950s to early 1960s. ...

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A Case of False Positive Macro-prolactin

By Ahmed Imran Siddiqi

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Call to Thwart XDR Typhoid: Beyond Futile Efforts

By Ayesha Jamil, Sana Habib, Sara Habib

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Isolated Metastasis of Left Seminal Vesicle due to Colon Adenocarcinoma: An Unusual Pattern of Metastasis

By Semra Demirli Atici, Levent Ugurlu, Cengiz Aydin

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Multiple Magnet Aspiration into the Lungs in an Adolescent

By Siba Prosad Paul, Amna Ahmad, Paul Anthony Heaton

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Blood Flow Restriction Exercises: Promoting Healthy Ageing

By Saad Rauf

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Special Issue

Special Supplement 1 on COVID-19 | Volume 31 | Year 2021
Outcomes of Conservative Management of Acute Appendicitis during COVID-19 Pandemic

By Muzna Iftikhar, Sajida Shah, Inamullah Shah, Jamil Ahmad Shah, Mahvish Faisal

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Comparison of HRCT Chest and RT-PCR in Diagnosis of COVID-19

By Nadia Hanif, Ghazala Rubi, Nadia Irshad, Saima Ameer, Uzma Habib, Syed Razi Haider Zaidi

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The Effect of Tocilizumab on Inflammatory Markers in Survivors and Non-survivors of Severe COVID-19

By Said Amin, Fawad Rahim, Sher Bahadur, Mohammad Noor, Afsheen Mahmood, Huma Gul

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Has the COVID-19 Pandemic Increased Mortality Among Patients with Cancer Receiving Systemic Anticancer Treatments?

By Ayşe Demirci, Cemil Bilir, Emre Cakir, Burcu Gulbagci, Ilhan Hacibekiroglu, Ceyhun Varim

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Predictors of Mortality in Patients with COVID-19 Infection-associated Acute Kidney Injury

By Aysel Tocoglu, Hamad Dheir, Melike Bektas, Seyyid Bilal Acikgoz, Oguz Karabay, Savas Sipahi

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Serological Screening of Suspected COVID-19 Patients in Pakistan

By Sajid Ali, Anees Muhammad, Tariq Mehar, Najeeb ur Rehman, Nourin Mehmood, Waseem Iqbal

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Effect of Strict Lockdown on Pediatric Surgical Services and Residency Programme during COVID-19 Pandemic

By Naima Zamir, Syed Muhammad Raees Hussain Taqvi, Jamshed Akhtar, Nasir Saleem Saddal, Muhammad Anwar

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Efficacy and Safety of an Aerosol Box for Percutaneous Tracheostomy in Patients with COVID-19 in an Intensive Care Unit

By Mesut Erbas, Burhan Dost

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Clinical Characteristics and Outcomes among Patients with Covid-19 in Different Regions of the World

By Yuanlin Zhou, Huihai Fan

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Acute Morbidity and Mortality Analysis of COVID-19 in Children Receiving Cancer Treatment

By Najma Shaheen, Rabia Muhammed Wali, Haleema Saeed, Irfana Ishaq Sandhu, Maham Qaisar, Romeena Qazi

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Online Medical Education and Examinations during COVID-19: Perspectives of a Teaching Associate

By Syed Mujtaba Baqir, Fatima Mustansir

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Short-term Changes on Follow-up Chest X-rays of Familial Cluster of COVID-19 Cases

By Chun-Xue Wu, Dong-Dong Rong, Yan-Hong An, Yi Shan, Jie Lu

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COVID-19-related Posterior Reversible Encephalopathy Syndrome in an Adult ICU Patient in Ireland

By Shankar Lal, Ehtesham Khan, Dara Diviney, Jubil Thomas, Tidi Hassan, Ian Counihan

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Right to Left Intrapulmonary Shunt in a Case with COVID-19-associated Pneumonia

By Maimoona Siddique, Muhammad Khalid Nawaz, Muhammad Bin Khalid, Aitzaz Rai

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Vitamin D (Cholecalciferol) with Low Dose Vitamin C as a Safe and Effective Therapeutic Modality in an Adult with COVID-19 Pneumonia

By Shahan Waheed, Rana Osama Zahid, Summaiya Tauseeq Khan, Faysal Subhani, Emaduddin Siddiqui

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Recurrence of COVID-19 Documented with RT-PCR

By Rohat Ak, Erdal Yilmaz, Avni Uygar Seyhan, Fatih Doganay

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COVID-19 Presenting with Spontaneous Pneumothorax

By Intisar Ahmed, Hunaina Shahab, Muhammad Arslan Ahmed, Muhammad Sohaib

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Protective Modifications in Ophthalmology Practice during COVID-19 Pandemic: Challenges and Lessons Learned

By Mohammad Idris, Eemaz Nathaniel

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Airway Management for Emergent Surgeries during COVID-19 Pandemic

By Muhammad Zahoor, Ihtisham Ul Haq

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Health Systems Approach to Ensure Quality and Safety Amid COVID-19 Pandemic in Pakistan

By Nousheen Akber Pradhan, Anam Shahil Feroz, Syed Mairajuddin Shah

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A Single-centre Study of COVID-19 Antibody

By Sidra Ghazanfer, Hasan Osman Mahmood

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Association of Blood Groups with the Severity and Outcome of COVID-19 Infection in Children

By Attia Bari, Aimen Ch, Sidra Hareem, Iqbal Bano, Junaid Rashid, Masood Sadiq

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Imaging Patterns of Encephalopathy in Patients with COVID-19

By Kumail Khandwala, Fatima Mubarak, Muhammad Nadeem Ahmad

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Prospective Effects of Covid-19 on Children: Probable Complications and Interventions

By Naeem Aslam Chughtai

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New Insight for Kidney Biopsy Series in Cases with COVID-19-related Acute Kidney Injury

By İlker Kaya

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