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Volume 34, 12 Issues, 2024

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 34 | Issue 2 | February 2024
Integration of Next Generation Sequencing, Artificial Intelligence and Machine Learning in Cancer Diagnostics: A Major Leap Forward

By Muhammad Asif Qureshi


Analgaesic Effect of Erector Spinae Plane Block in Coronary Surgery: A Randomised Controlled Trial

By Akin Disikirik, Murat Bilgi, Mustafa Turkoglu, Erhan Renan Ucaroglu

ABSTRACT Objective: To investigate the effect of preemptive erector spinae plane (ESP) block application on postoperative pain scores and opioid demand in off-pump coronary artery bypass graft (CABG) surgery. Study Design: Randomised-controlled trial. Place and Duration of the Study: Department of A...

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Exploring the Role of Adult Wrist Circumference as a Potential Indicator of Obesity

By Mozaffer Rahim Hingorjo, Anisun Nisa

ABSTRACT Objective: To explore the correlation of wrist circumference (WrC) with various obesity indices and to determine gender-specific optimal cut-off points of WrC for obesity. Study Design: Cross-sectional study. Place and Duration of the Study: Dow University of Health Sciences, Karachi, Pakis...

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Expression of Serum Anti-BP180/230 Antibodies in Bullous Pemphigoid Patients Combined with Nervous System Diseases and Relevant Factor Analysis

By Guili Liu, Bingnan Li, Zishen Zhao, Lanying Qin, Yuanying Zhao, Shuo Fang

ABSTRACT Objective: To explore the anti-BP230/180 and anti-BP180 antibodies in patients with bullous pemphigoid (BP) combined with neurological diseases, and to analyse the relevant factors. Study Design: Analytical study. Place and Duration of the Study: Neurology Department, Cangzhou People&rsquo...

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Predictive Factors of Intestinal Ischaemia in Adhesive Small Bowel Obstruction

By Xiangmin Li, Min Tian, Yulin Liu, Yongbo Zhang, Jingbo Chen

ABSTRACT Objective: To identify the predictive factors of intestinal ischaemia in adhesive small bowel obstruction (ASBO) and develop an intestinal ischaemia risk score. Study Design: Observational study. Place and Duration of the Study: Department of General Surgery, Shandong Provincial Qianfoshan...


Acyclovir-Induced Nephrotoxicity in Adults with Viral Encephalitis

By Rida Batool, Syeda Nosheen Zehra

ABSTRACT Objective: To determine the frequency of parenteral Acyclovir-induced Acute Kidney Injury (AKI) in patients with viral encephalitis. Study Design: Descriptive study. Place and Duration of the Study: Department of Neurology, Liaquat National Hospital, Karachi, from January to December 2021. ...

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Patient Experiences after Intracorporeal Right Hemicolectomy: Evaluating Patient Reported Outcome Measures via Short Form-36

By Zainab Naseem, Abid Feroz Khan, Kah Ann Ho

ABSTRACT Objective: To identify the patient-reported outcome measures (PROMs) after intracorporal anastomosis (ICA) during laparoscopic right hemicolectomy. Study Design: An observational study. Place and Duration of the Study: Department of General Surgery, Griffith Base Hospital, New South Wales, ...

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Dexketoprofen versus Tenoxicam in Acute Severe Pain Due to Primary Dysmenorrhea

By Deniz Aka Satar, Salim Satar, Muge Gulen, Selen Acehan, Nefise Tanridan Okcu, Gonca Koksaldi Sahin

ABSTRACT Objective: To evaluate the analgaesic efficacy of tenoxicam and dexketoprofen in patients admitted to the Emergency Medicine (EM) Clinic with severe acute pain due to primary dysmenorrhea (PD). Study Design: Randomised-controlled trial. Place and Duration of the Study: Emergency Medicine C...

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Comparison of Early Warning Scores in Determining the Prognosis of COVID-19 Patients

By Mustafa Akarca, Tuba Cimilli Ozturk, Tevfik Patan, Fatma Sari Dogan, Ebru Unal Akoglu

ABSTRACT Objective: To compare the effectiveness of early warning score systems in predicting 30-day poor outcomes in Coronavirus Disease (COVID-19) patients admitted to the emergency department. Study Design: Descriptive study. Place and and Duration of the Study: Fatih Sultan Mehmet...


Comparison of the Distribution of Healthcare-Associated Infections and Causative Agents Between Intensive Care Units and Other Clinics

By Tulay Unver Ulusoy, Can Huseyin Hekimoglu, Hanife Nur Karakoc Parlayan, Nilgun Altin, Gonul Cicek Senturk, Irfan Sencan

ABSTRACT Objective: To compare the trends in the distribution of healthcare associated infectious (HAIs) and causative agents in intensive care units (ICUs) and other clinics. Study Design: Descriptive study. Place and Duration of the Study: Department of Infectious Diseases and Clinical Microbiolog...

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Percutaneous Image-Guided Microwave Ablation for Treating Postsurgical Intrapulmonary Oligometastases or Oligorecurrence

By Qi-Ming Zheng, Yuan-Yuan Li, Tai-Yang Zuo, Chun-Hai Li, Zhi-Gang Sun

ABSTRACT Objective: To assess the clinical efficacy of microwave ablation (MWA) in treating tumour patients with postsurgical intrapulmonary oligometastases or oligorecurrence (PIORO). Study Design: Descriptive study. Place and Duration of the Study: Departments of Thoracic Surgery and Oncology, Jin...

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Determination of Inducible Clindamycin Resistance and Correlation with Vitek2 Inducible Clindamycin Resistance Test in Staphylococcus aureus Isolated from Clinical Samples

By Adeel Zafar, Nazia Khursheed, Fareeha Adnan, Qurat ul Ain Zahid

ABSTRACT Objective: To compare the performance of Vitek2 with the gold standard D test in terms of inducible clindamycin resistance (ICR) detection. Study Design: Descriptive study. Place and Duration of the Study: Indus Hospital and Health Network Karachi, Pakistan, from November 2021 to April 2022...

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Correlation of Cerebrospinal Fluid Total Protein and Serum Neutrophil-to-Lymphocyte Ratio with Clinical Outcomes of Guillain-Barre Syndrome Variants

By Safia Bano, Ahmad Nawaz, Aqsa Nasim, Ahsan Numan, Muhammad Zahid

ABSTRACT Objective: To evaluate the correlation of cerebrospinal fluid total protein and serum neutrophil-to-lymphocyte ratio with the clinical outcomes and the various clinical and electrophysiological variants of Guillain-Barre syndrome. Study Design: Cross-sectional study. Place and Duration of t...

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Treg-Related Genes Representing a Potential Shared Biological Mechanism Between Clear Cell Renal Carcinoma and Obesity

By Xiaoqing Zhou, Peng Li, Qiangqiang Xu, Junjie Ye

ABSTRACT Objective: To determine the potential shared biological mechanism between obesity and clear cell renal carcinoma (ccRCC). Study Design: Observational study. Place and Duration of the Study: Department of Urology, Lishui People’s Hospital, Lishui City, China, from December 2022 to Marc...

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Salivary Galectin 3 Levels in Schizophrenia Patients

By Saba Shoukat, Humaira Fayyaz Khan, Muhammad Kashif, Shazia Ali, Syeda Nayab Qamar, Madeeha Maqsood

ABSTRACT Objective: To compare the levels of galectin 3 in the serum and saliva of patients with schizophrenia and normal subjects. Study Design: Cross-sectional analytical study. Place and Duration of the Study: Physiology Department and Multifunctional Research Lab of Islamic International Medical...

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Association Between Klotho Gene Polymorphisms and Urolithiasis: A Meta-Analysis

By Jiaxuan Qin, Bo Duan, Bowen Chen, Jinchun Xing, Tao Wang

ABSTRACT Former studies have suggested that urolithiasis is related to Klotho gene polymorphisms. The aim of this meta-analysis was to investigate this relationship. Studies on the association between urolithiasis susceptibility and Klotho gene polymorphisms were systematically searched for in datab...

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Health Sciences Faculty Attitude and Readiness Towards Simulation-Based Inter-Professional Education

By Khadija Farrukh, Fatima Zehra, Fareeha Shahid, Yasmeen Mehr

ABSTRACT Objective: To explore attitude and readiness of health sciences faculty towards simulation-based inter-professional education (IPE). Study Design: Qualitative case-study; critical realist paradigm as used. Place and Duration of the Study: Bahria University Health Sciences Campus from Dece...


Optimum Working Hours for College of Physicians and Surgeons Pakistan Fellowship Residents of General Medicine and General Surgery Disciplines

By Syed Khalid Ahmed Ashrafi, Siraj-ul-Haque Shaikh, Sahar Zubair Abbasi

ABSTRACT Objective: To determine the optimum working hours per week for CPSP trainees of Fellowship Programmes in the disciplines of General Surgery and General Medicine. Study Design: Mixed-methods, explanatory study. Place and Duration of the Study: Department of General Medicine and Department of...


Association Between Timing of Percutaneous Dilatational Tracheotomyand Clinical Outcomes of Critically-ill Elderly Patients

By Chen Li, Ting Wang, Donglai Sheng, Min Zhang, Min Zheng, Xiuhua Li

ABSTRACT Objective: To determine the effect of timing of tracheotomy on the outcome of critically-ill elderly patients. Study Design: Descriptive study. Place and Duration of the Study: Intensive Care Unit, Jingxian Hospital, Anhui, China, from January 2017 to December 2021. Methodology: Two hundred...

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A New Method in Transcanal Medial Grafting Type-I Cartilage Tympanoplasty

By Harun Kucuk

ABSTRACT Objective: To determine the surgical results of a modified technique for the tympanic membrane (TM) perforation repair and to compare this new technique with the traditional methods. Study Design: An interventional study. Place and Duration of the Study: Department of Otolaryngology, Medica...

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Comparison of Monopolar Versus Bipolar Repeat Transurethral Resection of Bladder Tumours

By Taha Cetin, Deniz Bolat, Gurkan Cesur, Onur Erdemoglu, Muhammet Bilal Nart

ABSTRACT Objective: To compare the effects of monopolar and bipolar energy sources on efficacy of both techniques and possible complications in bladder cancer patients undergoing repeat Transurethral resection of bladder tumour (re-TURBT). Study Design: Descriptive study. Place and Duration of the S...

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Adopting the New Norms of Monitoring Postoperative Patients with Wearable Devices in Ireland - Advantages and Challenges

By Shankar Lal, Shakeel Ahmed Memon, Ehtesham Khan

ABSTRACT There has been a growing interest in wearable devices to monitor postoperative patients, providing the healthcare professionals with real-time information on vital signs to detect potential complications and hence, take timely actions to prevent them. Several studies and pilot programme in ...


Evaluation of the Blood Urea Nitrogen-to-Left Ventricular Ejection Fraction Ratio in Predicting Mortality in Patients Presenting to the Emergency Department with Heart Failure Symptoms

By Abuzer Ozkan, Hatice Seyma Akca, Serdar Ozdemir, Serkan Emre Eroglu

ABSTRACT Heart failure is a clinical syndrome. In this study, the significance of the blood urea nitrogen-to-left ventricular ejection fraction (BUNLVEF) ratio in predicting short-term mortality in patients with heart failure symptoms was evaluated. This retrospectively designed study was conducted ...


Spectrum of Liver Injury in Dengue Fever: Cause or Effect of Severe Dengue?

By Muhammad Irfan Khattak, Samina Naseem Khattak, Muhammad Numan Khattak, Shumaila Numan Hadi, Muhammad Rafique, Sherbano Baloch

ABSTRACT The study aimed to determine if deranged liver function tests (LFTs) can predict severe dengue or mortality. It included 135 dengue patients, with a mean age of 30.9 ± 12.09 years. Among the patients, 82 (60.7%) were under 30 years of age. Nearly half of the patients (64, 47. 4%) had...


ChatGPT and the Future of Medical Education: Correspondence

By Hinpetch Daungsupawong, Viroj Wiwanitkit


Unravelling the Diagnostic Potential of MR Imaging in Dengue Encephalitis: A Call for Further Exploration in Pakistan

By Marya Hameed, Samahir Tariq Khan, Shazia Kulsoom


Purple Urine Bag Syndrome Amelioration without Antibiotic Therapy

By Xiao-qing Ye, Wei-hong Bi, Ting Wang


Palbociclib: Safe and Effective in an 85-Year-Old Female with Metastatic Bilateral Breast Cancer

By Asif Husain Osmani


Response to Referral Profile of Developmental Disabilities at a Tertiary Care Hospital in a Resource-limited Country

By Sarah Razaq, Fahim Anwar