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.


Latest Articles
Volume 30 | Issue 3 | March 2020
Digital Innovation: Telepsychiatry for Measuring Psychiatric Disorders

By Naureen Akber Ali, Adeel Khoja

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Correlation Between the Severity of Coronary Artery Ectasia and Monocyte/Lymphocyte, Platelet/Lymphocyte, and HDL/LDL Ratios

By Emre Ozdemir, Ozgen Safak, Mert Pehlivan AltIn, Didar Elif Akgun, SadIk Volkan Emren, Eyup AvcI, Mehmet Tokac, Filiz Akcay AkyIldIz

Objective: To evaluate the efficacy of the monocyte/lymphocyte, platelet/lymphocyte, and HDL/LDL ratios as markers of the severity of coronary artery ectasia(CE). Study Design: Cross-sectional study. Place and Duration of Study: Department of Cardiology, Izmir Katip Celebi University and Balikesi...

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Doppler Ultrasound Evaluation of the Efficacy of High Intensity Focused Ultrasound in Treatment of Cesarean Section Scar Pregnancy

By Xiaokai Huo, Yaozeng Xie, Lei Yang, Kun Deng, Yingying Liu

Objective: To investigate the value of Doppler ultrasound in evaluating the efficacy of high intensity focused ultrasound (HIFU) in treatment of cesarean section scar pregnancy. Study Design: Observational study. Place and Duration of Study: Department of Ultrasonography, The Second people's...

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Relationship between Small Intestinal Bacterial Overgrowth and Peripheral Blood ET, TLR2 and TLR4 in Ulcerative Colitis

By Chunchun Yang, Xiaohui Guo, Jing Wang, Hongyun Fan, Xiaohui Huo, Liang Dong, Zhiying Duan

Objective: To investigate the relationship between small intestinal bacterial overgrowth (SIBO) and Endotoxin (ET) concentration in peripheral blood, and levels of toll-like receptors (TLR) 2 and TLR4 expression on surface of peripheral blood mononuclear cells (PBMCs) in patients with ulcerative c...

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Prediction of Lymph Node Metastasis in Colon Cancer via Platelet to Lymphocyte Ratio and Platelet Count

By Oguz Catal, Bahri Ozer, Mustafa Sit

Objective: To investigate the value of preoperative blood tests in predicting lymph node metastasis in colon cancer patients undergoing surgery. Study Design: Obervational study. Place and Duration of Study: General Surgery Department, Bolu Abant Izzet Baysal University Medicine School, Turkey, ...

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Outcomes of Robot-assisted Laparoscopic Gynecological Surgery

By Munazzah Rafique, Tehmina Aziz, Sahar Al-Suwailem

Objective: To compare the outcomes of robot-assisted (RA) and standard laparoscopic gynecological surgery (S-LGS) in a tertiary care hospital, and evaluate the factors affecting the outcomes of RA-LGS to identify areas of improvement. Study Design: A descriptive study. Place and Duration of Study...

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Transcatheter Arterial Chemoembolisation Combined with Radiofrequency Ablation on Hepatocellular Carcinoma and Levels of Relevant Markers

By Jia Feng, Ji-hong Yang, Jing-hua Li, Xiao-shi Jin, Qian Sun

Objective: To investigate the ablative effect and safety of trans-catheter arterial chemoembolisation (TACE) combined with radiofrequency ablation (RFA), and TACE alone for the treatment of hepatocellular carcinoma and compare the changes in the level of relevant serum inflammatory and tumor marke...

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Diagnostic Value of Serum Biomarkers in Combined Hepatocelluar-Cholangiocarcinoma

By Jiu Chen, Youdi Li, Guoyou Yu

Objective: To explore the value of des-gamma-carboxyprothrombin (DCP), alpha-fetoprotein (AFP) and carbohydrate antigen-199 (CA-199) for diagnosis of combined hepatocellular-cholangiocarcinoma (cHCC-CC). Study Design: Observational correlational study design. Place and Duration of Study: The Firs...

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Changes and Significance of Serum sB7-H3 and Cytokines in Children with Mycoplasma pneumonae Pneumonia

By Peng Wu, Jian Wang

Objective: To explore the relationship between serum sB7-H3 and cytokines (TNF-α, IL-1β and IL-6) and to evaluate the development of Mycoplasma pneumonae pneumonia (MPP) through analysis of the expression levels of above indices in serum of children with MPP. Study Design: An experimen...

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Are Lipoprotein Levels and Ratios Able to Predict Mortality due to Sepsis?

By Irfan Karahan, Aydin Cifci

Objective: To compare lipoprotein levels, and non-HDL to high-density lipoprotein (HDL) ratios of survivors and nonsurvivors of sepsis, and to determine the predictivity levels of specified parameters in mortality. Study Design: Descriptive study. Place and Duration of Study: Department of Intern...

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Blood Coagulation Indices in Twin Pregnancy Complicated with Preeclampsia

By Zhaodong Liu, Huale Zhang, Lichun Chen, Lin Lin, Jianying Yan

Objective: To determine the regular changes of blood coagulation indices in twin pregnancy complicated with preeclampsia (PE). Study Design: Descriptive study. Place and Duration of Study: Fujian Provincial Maternity and Children Hospital from January 2014 to December 2017. Methodology: A total ...

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Effectiveness of Two Types of Fixed Lingual Retainers in Preventing Mandibular Incisor Relapse

By Nasreen Iqbal Nagani, Imtiaz Ahmed

Objective: To compare and evaluate the relapse tendency of two types of fixed lingual retainers using Little's irregularity index for a follow-up of one year. Study Design: Randomised clinical trial. Place and Duration of Study: Department of Orthodontics, Dr. Ishrat Ul Ebad Khan Institute o...

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Is Nasal Septum Deviation Severity a Significant Factor on Voice in Patients Undergoing Septoplasty?

By Suleyman Emre, Kurşat Murat Ozcan, Aykut İkinciogullar, Mehmet Ali Cetin, Muge Ozcan, HacI Huseyin Dere

Objective: To determine whether septoplasty is an effective factor on the voice in patients with varying degrees of nasal septum deviation. Study Design: Descriptive study. Place and Duration of Study: Ankara Numune Training and Research Hospital, Ear Nose Throat Clinic, Ankara, Turkey, from Nov...

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Effect of Erythropoiesis Stimulating Agents on Clinical Outcomes in Breast Cancer Patients: A Systematic Review of Randomised Controlled Trials

By Saeeda Sabir, Yusra Habib Khan, Maryam Khatoon, Rabia Noreen, Tauqeer Hussain Mallhi, Nayyab Jabeen

The impact of erythropoiesis stimulating agents (ESAs) on clinical outcomes among breast cancer patients is debatable. Current review is aimed to ascertain the efficacy of ESAs among breast cancer patients. Randomised controlled trials (RCTs) were electronically searched. Primary outcomes were mor...

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Educational Approach of Blended Learning in Teaching Benign Paroxysmal Positional Vertigo in an Emergency Department

By Khalid Bashir, Stephan Thomas

Objective: To investigate the efficacy of blended learning (BL) in emergency medical resident education related to the diagnosis and treatment of benign paroxysmal positional vertigo. Study Design: A mixed-method study. Place and Duration of Study: Emergency Department of Hamad General Hospital, ...

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Prophylactic Antibiotics for Reducing Central Line-associated Blood Stream Infection in Children with Totally Implantable Venous Access Devices

By Sana Amir Akbar, Zoona Feroza Qudsia, Muhammad Nabeel Ashraf, Mansoor Ahmad Tarar, Abid Quddus Qazi

Objective: To analyse the need of prophylactic antibiotic before the insertion of totally implantable venous access devices (TIVADs) in terms of preventing central line-associated blood stream infection (CLABSI) in early postoperative period in pediatric oncology patients. Study Design: A cohort ...

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Surgical Management of Paediatric Empyema: Open Thoracotomy versus Video-assisted Thoracic Surgery

By Farhan Ahmad Majeed, Sohail Saqib Chatha, Usama Zafar, Umar Farooq Chatha, Abdullah Zakaullah Chatha, Zain Farooq2

Objective: To compare the effectiveness of open thoracotomy and video assisted thoracic surgery (VATS) for empyema thoracis in paediatric population. Study Design: Observational study. Place and duration of study: This observational study was conducted at Department of Thoracic Surgery, CMH, Laho...

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Decortication as an Option for Empyema Thoracis

By Farhan Ahmed Majeed, Usama Zafar, Sohail Saqib Chatha, Ahmad Ali, Ahmed Raza

Objective: To analyse the outcome and morbidity associated with decortication in empyema thoracis. Study Design: A case series. Place and Duration of Study: Departments of Surgery, Combined Military Hospitals (CMH) of Rawalpindi, Quetta and Lahore, from January 2006 to March 2018. Methodology: T...

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Pain Management for Traumatic Rib Fractures with ESP Block in ICU

By Canan Gursoy, Yagmur Kuscu, Semra Gumus Demirbilek

Rib fractures are common injuries in blunt chest trauma, that cause severe thoracic pain, which limits patients' ability to cough and breathe deeply, which can lead to atelectasis and pneumonia. Various treatments for pain management of rib fractures have been described such as analgesics and...

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Neuromyelitis Optica as an Initial Presentation of Systemic Lupus Erythematosus in a Young Male

By Sadaf Iftikhar, Adnan Mahmood, Masooma Hashmat

Aquaporin-4 antibodies are hallmark of neuromyelitis optica (NMO) and neuromyelitis optica spectrum disorders (NMOSD) that are distinct disease entities. We report a 24-year male with NMO, who presented with Brown-Sequard syndrome. Clinical and laboratory parameters confirmed the diagnosis of syst...

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Urosepsis caused by Kluyvera Ascorbata in a Pregnant Woman

By Akif Erbin, Hasan Tahsin Gozdas, Yavuz Guler, Halil Lutfi Canat

Among the Kluyvera species, K. ascorbata has been isolated from only a few adult cases. Furthermore, there is little or no information in the literature as to whether the species of Kluyvera can cause a clinically significant infection in pregnant women. We report a case of urosepsis caused by K. ...

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Angiography and Therapeutic Embolisation of Bleeding Aberrant Iliac Artery Branches

By Muhammad Azeemuddin, Misha Khalid khan, Muhammad Danish Barakzai, Muhammad Ghazi Asad khan, Raza Sayani, Dawar Burhan Ahmed Khan

A 78-year female presented with the complain of per rectal fresh bleeding for 4 days. She was known to have diabetes and hypertension, 3 weeks back. She had an episode of left middle cerebral artery (MCA) stroke. After stroke, she suffered from upper limb weakness and aphasia. At the time of prese...

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Presentations and Outcomes of Thyroid Storm

By Muhammad Shahid, Zareen Kiran, Aqiba Sarfraz, Syed Muhammad Hasan, Syed Muhammad Adnan, Akhtar Ali Baloch

The aim of this study is to describe the characteristics and outcome of thyroid storm patients presenting at two tertiary care centres of Karachi, i.e. at Dow University of Health Sciences; and Liaquat National Hospital, Karachi, from December 2018 to May 2019. All patients between 18-70 years of ...

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Effectiveness of Cefoperazone-sulbactam alone and Combined with Tigecycline in the Treatment of Multi-drug Resistant Acinetobacter Baumannii Pulmonary Infection

By Qin Lv, Yanling Deng, Xiaobo Zhu, Jia Ruan, Lin Chen

The aim of this study was to compare the effectiveness of cefoperazone-sulbactam alone and combined with tigecycline in the treatment of multi-drug resistant acinetobacter baumannii pulmonary infection. It was an experimental study carried out from April 2016 to September 2018. One hundred and fou...

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An Auxiliary Subxiphoid Incision in Nuss Procedure for the Treatment of Complex Pectus Excavatum

By Xicheng Deng, Pingbo Liu, Jinghua Wang, Liwen Yi, Peng Huang

An auxiliary subxiphoid incision was utilised to facilitate pectus bar placement and minimise operative risks in complex pectus excavatum. A series of 33 patients with recurrent or severe pectus excavatum underwent Nuss procedure with this incision from March 2013 to March 2016. The median age of ...

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Letter and Author’s Reply: Safety of Percutaneous Transhepatic Biliary Stenting in Patients with Obstructive Jaundice

By Tanveer ul Haq

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Antibiotic Resistance: Recommendations for Procurement Agencies of Public Sector Hospitals in Pakistan

By Jehan Zeb Khan, Zair Hassan, Muhammad Ismail Tajik

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Assessment of Cognitive Impairment in Patients with Cerebral Infarction by MMSE and MoCA Scales

By Chunying Ou, Chuanling Li, Xiaolei An, Xiaobin Li, Jing Guo, Ke Xu

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Delayed Facial Palsy after Microvascular Decompression for Trigeminal Neuralgia

By Wei Tian, Xin Meng, Jidian Zou

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Tinnitus and Vertigo Symptoms: Precursors of Psychiatric Suffering

By Ammar Ahmed, Muhammad Aqeel, Bashir Ahmed

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A Delayed Presentation of Right Main Bronchus Disruption with Chylothorax

By Farhan Ahmed Majeed, Usama Zafar, Umer Mehmood

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Special Issue

Special Supplement 1 | Volume 29 | December 2019
Case Reports

By Editor JCPSP

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Anaesthetic Management of Cerebral Arterio-venous Malformation Excision Using Awake Craniotomy: Initial Experience of Two Cases

By Waleed Bin Ghaffar, Khalid Ahsan, Faraz Shafiq, Ather Enam2

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Accessory Cardiac Conduction Pathway with an Unusual Presentation

By Ikram Ahmed Rana, Wajeeha Afzal

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A Single Coronary Artery with an Absent Right Coronary and a Superdominant Left Circumflex Giving off a Branch Supplying the Right Coronary Artery Territory

By Imran Iftikhar, Adeel Ur Rehman, Hamid Sharif Khan

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Partial Malrotation of Bowel Loops in an Adolescent with Left Hypochondrial Pain

By Kanwal Laique, Syed Mubarak Ali

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Neurolymphomatosis of the Sciatic and Tibial Nerves

By Muhammad Talha Yaseen, Pir Abdul Ahad Aziz, Kashif Siddique, Taimoor Ali Tariq

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Self-expanding Metallic Stent Placement in Malignant Terminal Ileal Stricture

By Kailash Raj Makhejani, Muhammad Mansoor Ul Haq, Jawaid Iqbal, Naila Zahid

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Topical Sevoflurane: An Alternative Treatment for Pressure Ulcers

By Isin Gencay

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Strangulated Intrapericardial Diaphragmatic Hernia after Hybrid Maze Procedure

By Muhammad Fahim, Tim Campbell-Smith

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Improvement of Esophageal Anastomotic Leak by Vacuum-assisted Closure in Three Cases with Gastric Cancer

By Seracettin Egin, Semih Hot

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Kallmann Syndrome with Syndactyly

By Farid Kassidi, Majdouline Boujoual, Moulay El Mehdi El Hassani

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Acute Viral Hepatitis: Simultaneous Infection from Hepatitis A, B and E Viruses

By Nazish Butt, M. Ali Khan, Farhan Haleem

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A Case of Polyautoimmunity: Celiac Hepatitis, Grave's Disease and Autoimmune Hemolytic Anemia

By Nazish Butt, Muhammad Ali Khan, Zain Abid, Farhan Haleem

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Sigmoid Sinus Thrombosis with Cerebellar Tuberculous Abscess: A Rare Case of Chronic Headache with Vision Loss

By Ahmed Tanjimul Islam, Kafil Uddin, Ahmed Ali, Pijush Kumar Kundu, Munzur Alahi, Mukul Kumar Sarkar

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Tumour-to-tumour Metastasis: Cutaneous Melanoma Metastasizing to Leiomyoma Uteri

By Jelena Amidzic, Nenad Solajic, Aleksandra Fejsa Levakov, Matilda Djolai, Nada Vuckovic

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High Grade Encapsulated Papillary Carcinoma of Breast in a Young Female

By Madiha Bilal Qureshi, Naila Kayani

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Deep-seated Hibernoma of Thigh: A Rare Benign Adipocytic Tumor

By Muhammad Omar Afzal, Ata-ul-Haq , Sobia Mazhar, Moazzam Nazeer Tarar

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Solitary Endobronchial Papilloma: A Rare Entity

By Muhammad Soban Arif Maan, Muhammad Waleed, Amir Humza Sohail, Asna Sulaiman, Javaid Ahmed Khan

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The First Described Case of Bizarre Leiomyoma of the Portal Vein

By Murat Ferhat Ferhatoglu

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A Patient of Advanced NSCLC with a New EGFR Exon 19 Insertion Mutation and its Response to EGFR-TKIs

By Ning Zhu, Caixia Dong, Shanshan Weng, Ying Yuan, Ying Yuan

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Surgically-assisted Rapid Maxillary Expansion under Local Anesthesia

By Cansu Gul Koca, Ihsan Sami Guvenc

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Pelvic Angiosarcoma Around Total Hip Prosthesis

By Alberto Sánchez-García, Alberto Pérez García, Enrique Salmerón González

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Surgical Treatment of Ankylosing Spondylitis with Andersson Lesion

By Fengguang Yang, Liang Yang, Enhui Ren, Yong Yang, Jing Wang, Xuewen Kang

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Recurrent, Large, Extraskeletal Osteosarcoma at the Back

By Muhammad Danish Muneeb, Mirza Agha Naushad Baig

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Laparoscopic Resection of Isolated Retroperitoneal Gastric Duplication Cyst in an Infant

By Vipul Gupta, Usman Javaid, Ghadir Jaber, Diary Mohd, Mamoun AlMarzouqi

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A Case of Immunoglobulin (Ig) G4-related Sclerosing Periaortitis Mimicking Mediastinal Malignant Tumor

By Fuat Erel, Mustafa Kuzucuoglu, Nurhan Sarioglu, Eren Altun

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Benign Broncho-esophageal Fistula Presenting as Unresolved Pneumonia

By Waseem M. Hajjar, Lamyaa A. Althawadi, Nada A. Bin Semaih, Adnan W. Hajjar, Sami A. Al-Nassar

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Robot-assisted Laparoscopic Nephroureterectomy for a Nephrogenic Adenoma of Ureter

By Keiran David Clement, Catherine Thompson, Omar M. Aboumarzouk

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Bladder-sparing Approach in a Woman with Muscle-invasive Primary Bladder Melanoma

By Mehmet Necmettin Mercimek, Ender Ozden

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Unilateral Synchronous Multiple Kidney Tumors Managed by Laparoscopic Partial Nephrectomy: Five-year Follow-up

By Mehmet Necmettin Mercimek, Latif Mustafa Ozbek, Ender Ozden

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A Mature Cystic Teratoma of the Urinary Bladder

By Safdar Shah, Wajid Ali, Imran Ansari, Shams-ul -Islam

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