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 35 | Issue 1 | January 2025

Embracing New Horizons in Medical Research

By Muhammad Shoaib Shafi

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Ethics in Surgical Practice and Research

By Tanwir Khaliq

Lumbar Erector Spinae Plane Block Provides Effective Postoperative Analgesia in Hip Fracture Surgery

By Onur Balaban, Ali Eman, Onur Palabiyik, Alauddin Kochai

ABSTRACT Objective: To compare the postoperative analgesic effectiveness of ultrasound-guided lumbar erector spinae plane (LESP) block with lumbar plexus block (LPB) in patients operated for proximal femur fractures. Study Design: A randomised controlled trial. Place and Duration of the Study: Saka...

Effect of Intravenous Paracetamol on Postoperative Recovery in Children Undergoing Hypospadias Repair under General Anaesthesia with Caudal Block: A Randomised Controlled Trial

By Muhammad Saad Yousuf, Ayesha Saleem, Abdul Monem, Zafar Nazir, Fauzia Anis Khan

ABSTRACT Objective: To explore the impact of perioperative intravenous (IV) paracetamol, administered with caudal ropivacaine on the quality of postoperative recovery in children undergoing hypospadias repair. Study Design: Double-blinded randomised controlled trial. Place and Duration of the Study:...

Evaluation of Carbohydrate-Containing Fluid Preloading in Pregnant Women Using the Obstetric Quality of Recovery Scale after Caesarean Section

By Ozlem Dulger, Betul Basaran

ABSTRACT Objective: To test the short and long-term effects of consuming carbohydrate-rich beverages on patient-centred outcomes after caesarean delivery under spinal anaesthesia. Study Design: A prospective randomised controlled study. Place and Duration of the Study: Department of Obstetrics and G...

Association Between Serum Levels of Sestrin-2 and Galectin-3 and Atrial Remodelling in Patients with Atrial Fibrillation

By Dinghong Liu, Li Rong, Yanlin Gao, Wei Cheng, Sheng Zhao

ABSTRACT Objective: To explore the prognostic significance of Sestrin-2 and Galectin-3 levels in atrial fibrillation complicated by left atrial remodelling, aiming to offer novel insights for prevention, treatment, and follow-up strategies. Study Design: Analytical study. Place and Duration of the ...

Albumin Levels as Prognostic Markers in ICU Mortality

By Yakup Ozgungor, Hicret Yeniay, Kazim Rollas

ABSTRACT Objective: To evaluate the association of serum albumin levels with short-term mortality in ICU patients, including ICU and 28-day mortality. Study Design: Observational study. Place and Duration of the Study: Intensive Care Unit, Izmir Tepecik Training and Research Hospital, Izmir, Turkiye...

Influence of the Type of Bulk-Fill, Resin-Based Composite on Internal Adaptation in Class V Restorations

By Qianqian Gao, Tao Huang, Anna Wang, Qiong Sun, Fuhua Zhang, Lei Zhang

ABSTRACT Objective: To investigate the effects of bulk-fill, resin-based composite types (high or low viscosity) on the internal adaptation of Class V restorations. Study Design: Experimental study. Place and Duration of the Study: Hefei Stomatological Hospital, Hefei, China, from October 2022...

Serum Thyroglobulin as a Marker for Differential Diagnosis of Hyperthyroidism

By Fatimah Javaid Qureshi, Muhammad Anwar, Muhammad Qaiser Alam Khan, Muhammad Younas, Zaigham Salim Dar, Sajida Shaheen

ABSTRACT Objective: To evaluate the role of serum thyroglobulin (TG) as a biochemical marker for differential diagnosis of common aetiologies of hyperthyroidism. Study Design: Comparative cross-sectional study. Place and Duration of the Study: Department of Chemical Pathology and Endocrinology, Arme...

Chicago Sky Blue Stain, Calcofluor White Stain, and Potassium Hydroxide Mount for Diagnosis of Dermatomycosis

By Aleena Khalid, Maria Mushtaq Gill, Mahvish Aftab Khan, Sakeenah Hussain Naqvi, Muhammad Roshan, Anam Imtiaz

ABSTRACT Objective: To evaluate Chicago Sky Blue (CSB) stain, Calcofluor white (CW) stain, and Potassium Hydroxide (KOH) mount for rapid diagnosis of dermatomycosis, using fungal culture as the gold standard. Study Design: Cross-sectional analytical study. Place and Duration of the Study: This study...

Clinical-Microbial Synergy: Mapping Microbiological Profiles to Clinical Attributes in Skin and Soft Tissue Infections

By Faiza Zeeshan, Asma Naeem, Fakhar Uddin, Bahram Khan Khoso, Binish Arif Sultan

ABSTRACT Objective: To determine the clinical microbial synergy in skin and soft tissue infections (SSTIs) based on bacterial groups and explore the likelihood ratios of clinical parameters. Study Design: Descriptive cross-sectional study. Place and Duration of the Study: The study was conducted at...

The Role of Preoperative Inflammatory Markers in Cervical Cerclage Success

By Gulten Ozgen, Levent Ozgen, Burcu Dincgez, Berin Ozyamaci

ABSTRACT Objective: To compare the inflammatory markers between therapeutic and emergency cerclage and assess the predictive role of inflammatory markers for the latency period. Study Design: Descriptive study. Place and Duration of the Study: Department of Obstetrics and Gynaecology, Bursa Yuksek I...

The Role of 418 Gut Microbiota in Small Cell Lung Cancer Progression: A Mendelian Randomisation Study

By Rui Gong, Haiyang Li

ABSTRACT Objective: To investigate the causal influence of gut microbiota on small cell lung cancer (SCLC) progression using Mendelian randomisation (MR), providing insights into the gut-lung axis in lung cancer pathology. Study Design: Analytical study. Place and Duration of the Study: Depart...

Clinical Outcomes of Definitive Radiotherapy Delivered by Helical Tomotherapy

By Fatima Shaukat, Yumna Ahmed, Rabia Tahseen, Tariq Mahmood

ABSTRACT Objective: To assess the disease response and patient survival outcomes for cancer patients treated with helical tomotherapy. Study Design: Descriptive study. Place and Duration of the Study: The Tomotherapy Unit of Jinnah Postgraduate Medical Centre, Karachi, Pakistan, from October 2020 to...

Neutrophil-to-Lymphocyte Ratio and System Score Could Predict the Occurrence of Macrophage Activation Syndrome in Patients with Adult-Onset Still's Disease

By Lin Cheng, Hexiang Zong, Dongxu Li, Long Qian

ABSTRACT Objective: To investigate the characteristics of Adult-onset Still’s disease (AOSD) patients with macrophage activation syndrome (MAS) and explore the risk factors for the development of MAS. Study Design: A case-control study. Place and Duration of the Study: Department of Rheumato...

Peripheral Nerve Block Combined with Low-Dose General Anaesthesia in Elderly Patients Receiving Hip Arthroplasty

By Yulin Liu, Ying Zhu, Hong Fu

ABSTRACT The study assessed the effectiveness and safety of nerve block combined with low-dose general anaesthesia in elderly hip arthroplasty patients, conducted by a meta-analysis of RCTs. Six trials involving 403 patients were identified from databases such as Cochrane, MEDLINE, and PubMed. The r...

Quackery in Health is Still Around: Pseudoscientific Healing Practices Across the Globe

By Ghulam Yaseen Veesar, Ather Akhlaq, Ahson Qavi Siddiqi, Abdul Ghafoor Shoro

ABSTRACT Fraudulent medical practices remain prevalent globally, fueled by digital platforms spreading false claims. This study analysed 3,327 published studies and 400 grey literature sources, selecting 38 studies and 19 excerpts for detailed examination. It identified 126 distinct quackery techniq...

Assessment Implementation Measures (AIM): The Journey Towards the Tool Validity

By Amara Butt, Yawar Hayat Khan, Muhammad Zeeshan Baig

ABSTRACT Objective: To establish the construct validity of the Assessment Implementation Measures (AIM) tool to accurately assess faculty perspectives on implemented assessment systems, facilitating the alignment with set standards. Study Design: Qualitative Study. Place and Duration of the Study: ...

Prediction of In-Hospital Mortality after Emergency Laparotomy Using Glasgow Coma Scale, ASA Physical Status Classification, and P-POSSUM Score

By Muhammad Asif, Saeed Bin Ayaz, Faran Hamid, Muhammad Nabeel Imran, Adnan Mehraj, Naheed Akhtar

ABSTRACT Objective: To determine the importance of the Glasgow Coma scale (GCS), ASA physical status classification system, and P-POSSUM score in predicting mortality among patients undergoing emergency laparotomies. Study Design: An analytical study. Place and Duration of the Study: Department of G...

Frequency and Patterns of Multidrug-Resistant Organisms among Ventilated Patients During the Coronavirus Disease-19 Pandemic

By Faiza Rezwan, Tazeen Fatima, Farheen Ali, Muhammad Nadeem, Nawal Salahuddin

ABSTRACT Objective: To determine the frequency of multidrug-resistant (MDR) bacterial isolates in respiratory specimens obtained from ventilated patients admitted to critical care units at the National Institute of Cardiovascular Diseases (NICVD), along with COVID-19-positive cases. Study Design: An...

Management of Mandibular Condylar Fractures: A Comparison of Closed versus Open Reduction

By Syed Ammar Yasir, Ali Akhtar Khan, Sana Somair, Naseer Kakar, Hamza Asif, Bisma Naeem

ABSTRACT Objective: To compare the closed reduction approach with open reduction (transparotid approach) in the management of condylar fractures for parameters such as postoperative facial nerve injury, trismus, and malocclusion. Study Design: An analytical comparative study. Place and Duration of...

Pattern of Referral of Patients with COVID-19 for Psychiatric Consultation: Experience at a Multidisciplinary Hospital in Karachi, Pakistan

By Aisha Noorullah, Bilal Ahmed, Muhammad Yusuf Hafiz, Shahina Pirani, Murad Khan

ABSTRACT Objective: To determine referral patterns for psychiatric consultations among COVID-19 patients encompassing both the in-patient and Emergency Department of a multidisciplinary hospital in Karachi, Pakistan. Study Design: A retrospective chart review. Place and Duration of the Stu...

Assessment of Quality of Life in Mothers of Visually Impaired Children

By Zil E Rubab, Muneeba Tahir, Umaid Zafar, Noor Ur Rehman

ABSTRACT Objective: To assess the factors that affect mothers’ quality of life (QOL) and the association of various demographic variables with QOL of the respondents. Study Design: A cross-sectional survey. Place and Duration of the Study: Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan, ...

Gaps and Barriers to the Implementation of Antimicrobial Stewardship Programmes in Hospitals of Pakistan

By Maria Khan, Saba Khan, Shifa Basharat

ABSTRACT Antimicrobial-resistant bacteria are particularly prevalent in Southeast Asia, mainly due to inadequate infection prevention and control (IPC) and the widespread and uncontrolled use of antibiotics. Pakistan is the third largest low-middle-income country (LMIC) user of antibiotics. An...

Reversion of Supra-Ventricular Tachycardia Through High Positive End-Expiratory Pressure During Mechanical Ventilation in Critically Ill Patients

By Hongbo Wu, Shouyin Jiang, Shanxiang Xu, Xiao Lu

ABSTRACT The Valsalva manoeuvre is widely recognised for its effectiveness in reverting supra-ventricular tachycardia (SVT) in patients with good coordination. However, this is not applicable in sedated ventilated patients and there is a dearth of literature regarding the application of Valsalva in ...

Sweet Syndrome: A Retrospective Analysis of 21 Patients

By Yun Wang, Quansheng Lu, Pengfei Pan, Ran Fu, Guan Jiang

ABSTRACT Sweet syndrome, also known as acute febrile neutrophilic dermatosis, is a rare condition characterised by fever, leucocytosis, and painful skin lesions. This retrospective study analysed 21 patients with Sweet syndrome treated at the Affiliated Hospital of Xuzhou Medical University from Jan...

Teaching and Learning During the Time of Turbulence: Faculty and Residents Perspective

By Sadia Masood, Faisal Wasim Ismail, Saira Bukhari

Tuberculosis of the Right Pubic Bone Complicated by Abscess of the Right Thin Femoral Muscle

By Bo Liu, Wendong Xie, Guifu Ma

A Rare Encounter: Diagnosing and Managing Congenital Malaria in a Neonate

By Arshad Khushdil, Zara Irfan, Ayesha Junaid

Treatment of Intertrochanteric and Peritrochanteric Fractures: Femoral Head Replacement and Proximal Femoral Locking Plate Implantation

By Changying Li, Wendong Xie, Chao Zhang

Treating Hidden Left Supraspinatus Calcific Tendinitis with Conventional Surgery

By Guifu Ma, Wendong Xie, Ruixiong Nan, Xiufen Si