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 9 | September 2020
Severity of Disease from COVID-19 in Patients with Obesity and MAFLD: Is there an association?

By Muhammad Kamran, Wasim Jafri

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Percutaneous Coronary Intervention for Left Main Coronary Artery Bifurcation Lesions: Two-stent versus one-stent Strategy for Comparison of 6-month MACE

By Mubarra Nasir, Hafiz Muhammad Shafique, Sajjad Hussain, Farhan Tuyyab, Sohail Aziz, Rehana Khadim

ABSTRACT Objective: To assess the short term clinical outcomes for a single-stent (SS) strategy versus a double-stent (DS) strategy in percutaneous coronary intervention (PCI) of distal unprotected left main coronary artery (ULMCA) lesions. Study Design: Descriptive comparative study. Place and Dura...

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Safety of Early Discharge after Primary Angioplasty

By Samra Rehmat, Sajjad Hussain

ABSTRACT Objective: To assess the safety of early discharge (less than 48 hours) in ST-segment elevation myocardial infarction (STEMI) patients treated with primary angioplasty (PA). Study Design: Observational study. Place and Duration of Study: Armed Forces Institute of Cardiology & National...

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Diagnostic Performance of One-hour Delta High Sensitive Troponin in Acute Coronary Syndrome

By Bahadir Caglar, Suha Serin

ABSTRACT Objective: To determine the impact of an increase in the level of high sensitivite (HS) troponin-I between the time of Emergency Department (ED) arrival and one-hour after arrival (0h-1h), and between the time of ED arrival and three hours after arrival (0h-3h), upon the diagnostic performa...

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Impact of Nasal Trauma on Olfactory Function

By Süleyman Emre Karakurt, Zekiye Orhan, Mehmet Fatih Karakus, Mehmet Ali Cetin, Aykut Ikinciogullari, Huseyin Dere

ABSTRACT Objective: To determine the impact of nasal trauma with and without the potential to produce nasal fracture on the olfactory function. Study Design: A descriptive analytical study. Place and Duration of Study: Ear, Nose, Throat Clinic, Ankara Numune Training and Research Hospital, Ankara fr...

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Neurectomy versus Nerve Sparing in Open Inguinal Hernia Repair: A Randomised Controlled Trial

By Shabbar Hussain Changazi, Nafeesah Fatimah, Asif Naseer, Abdul Wadood, Qamar Ashfaq Ahmad, Mahmood Ayyaz

ABSTRACT Objective: To determine the effect of neurectomy in reducing the frequency of chronic inguinodynia after mesh hernioplasty in open inguinal hernia repair. Study Design: Single blind randomised controlled-trial. Place and duration of study: Surgical Unit-I, Department of General Surgery...

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Preoperative Inflammation Markers in Predicting Biochemical Recurrence after Robot-assisted Radical Prostatectomy

By Mahmut Taha Olcucu, Kaan Karamik, Kayhan Yilmaz, Cagatay Ozsoy, Yasin Aktas, Mutlu Ates

ABSTRACT Objective: To evaluate the importance of preoperative neutrophil-to-lymphocyte ratio (NLR),  lymphocyte-to-monocyte ratio (LMR), platelet-to-lymphocyte ratio (PLR), and neutrophil-to-monocyte ratio (NMR) in prostate cancer patients, who underwent robot-assisted radical prostatectomy (R...

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Can COVID-19 Mortality be Predicted in the Emergency Room?

By Fatih Güneysu, Necip Gokhan Guner, Ali Fuat Erdem, Ensar Durmus, Yesim Durgun, Yusuf Yurumez

ABSTRACT Objective: To investigate the association ​of white blood cell (WBC) counts, neutrophil, platelets, lymphocyte counts, C-reactive protein (CRP), neutrophil / lymphocyte ratio (NLR), derived NLR ratio (d-NLR), and platelet / lymphocyte ratio (PLR) at the time of first admission for mortali...

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Systemic Immune-inflammation Index is the Best Prognostic Factor in Patients with Advanced Stage Adenocarcinoma of the Lung Treated with Pemetrexed

By Irem Bilgetekin, Fatma Bugdayci Basal

ABSTRACT Objective: To evaluate the prognostic role of systemic immune-inflammation index (SII), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) in patients who received platin-pemetrexed combination therapy and/or maintenance pemetrexed therapy. Study Design: Observati...

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Can Next-generation Sequencing Replace Fecal Immunochemical Tests or CT in the Screening of Colorectal Cancer and Advanced Adenoma?

By Xiaoling Ye, Hong Chai, Chunyan Huang, Miao Liu, Tao Deng

ABSTRACT Objective: To explore the feasibility of next-generation sequencing (NGS) for the screening of colorectal cancer (CRC) and advanced adenoma (AA). Study Design: Observational study. Place and Duration of the Study: Renmin Hospital of Wuhan University, Wuhan, China, from June 2019 to Februa...

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PET-CT and MR Imaging in the Management of Axillary Nodes in Early Stage Breast Cancer

By Mehmet Tarık Baran, Hasan Gundogdu, Gokhan Demiral, Osman Kupik, Medeni Arpa, Ahmet Pergel

ABSTRACT Objective: To discriminate between malignant or benign axillary lymph nodes in breast cancer using MRI, PET-CT, and sentinel lymph node biopsy. Study Design: Observational study. Place and Duration of Study: Department of General Surgery, Recep Tayyip Erdogan University School of Medicine...

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Screening Thresholds for the Corneal Tomography in Hyperopic Pakistani Population

By Sadia Humayun, Aisha Fawad, Mazhar Ishaq, Quratulain Humayun, Sabahat Arzoo, Syed Fawad Mashhadi

ABSTRACT Objective: To evaluate key corneal tomography parameters for screening mixed astigmatism and hyperopic males and females for refractive surgery and to compare the data to a previously studied myopic group in Pakistani population. Study Design: Cross-sectional, observational study. Place and...

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Efficacy and Safety of Early Tracheotomy in Acute Cervical Spinal Cord Injury

By Yan Wang, Haijiang Lu, Haijun Teng, Guanxing Cui, Dehong Fan, Min Li

ABSTRACT Objective: To evaluate the clinical efficacy and safety of early tracheotomy versus delayed tracheotomy for patients with cervical spinal cord injury. Study Design: A descriptive study. Place and Duration of Study: Department of Orthopedic Surgery, The 80th Army Hospital of PLA, Weifang, Sh...

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Coronary Artery Bypass Grafting in Patients with Systemic Lupus Erythematosus

By Shi-Min Yuan

ABSTRACT Surgical treatment of coronary artery disease in the systemic lupus erythematosus (SLE) patients has not been comprehensively addressed. The present review aimed to give an overview of coronary artery disease in the SLE patients receiving coronary artery bypass grafting (CABG). The study ma...

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Frequency of Panel Reactive Antibodies (PRA) among Renal Transplant Recipients and its Effect Modifiers

By Muhammad Hussain, Muhammad Mukarram Bashir, Hamid Nawaz Tipu, Muhammad Dawood, Mustajab Alam

ABSTRACT Objective: To determine frequency of panel reactive antibodies among renal transplant recipients and its effect modifiers. Study Design:  A cross-sectional study. Place and duration of study: Department of Immunology, Armed Forces Institute of Pathology from October 2016 to October 201...

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Ocular Surface Squamous Neoplasia: Clinicopathological Analysis and Treatment Outcome of 65 Cases

By Ibrar Hussain, Bakht Samar Khan

ABSTRACT Objectives: To find out the demography, clinical behaviour and outcome of ocular surface squamous neoplasia (OSSN) in North-west Pakistan. Study Design: Case series. Place and Duration of Study: Department of Ophthalmology, Khyber Teaching Hospital, Peshawar, Pakistan, from March 2011 to De...

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Acute Toxicity and Local Response using Three Fractions of High Dose Rate (HDR) Brachytherapy for Curative Treatment of Carcinoma Cervix

By Nasir Ali, Bilal Mazhar Qureshi, Ahmed Nadeem Abbasi, Asim Hafiz, Benazir Mir Khan, Abdul Qadir Jangda

ABSTRACT To determine the acute vaginal mucosal toxicity and clinical response of cervical cancer after definitive treatment with external beam radiotherapy (EBRT) and three fractions each of 8 Fray (Gy) high dose rate intracavitary brachytherapy (HDR-BT). Study Design: Descriptive study. Place and ...

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Early Pneumopericardium after Endoscopic Thoracic Sympathectomy

By Mehmet Mutlu

ABSTRACT Pneumopericardium is a condition characterised by the presence of air within the pericardium. We hereby present a case of a rare potentially life-threatening complication, which is, to our knowledge, the first report of the pneumopericardium after single port endoscopic thoracic sympathecto...

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Tuberculous Spondylodiscitis after Lumbar Microdiscectomy

By Ozkan Ozger, Necati Kaplan

ABSTRACT Postoperative spondylodiscitis (PSD) and postoperative osteomyelitis (POM) are known complications of lumbar disc surgery. Many infectious agents play a role in its etiology and it is mostly bacterial. A 55-year male patient underwent lumbar microdiscectomy (LMD) for left L4-5 disc hernia....

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Kikuchi-Fujimoto Diseasae: An Important Differential of Tuberculous Lymphadenitis

By Shaheen Sultan, Hina Mushtaq, Abdul Manan

ABSTRACT Kikuchi-Fujimoto disease, also called necrotising histiocytic lymphadenitis, is a rare disease of usually benign outcome. A case of a 21-year female is reported here. She presented with high grade fever and cervical lymphadenopathy. She was started on anti-tubercular treatment (ATT) with su...

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Chylous Ascites: A Rare Initial Presentation of Pancreatic Carcinoma

By Ammarah Ghafoor, Junaid Zia Hashmi, Abdul Mateen, Qurat ul Ain Hashmi

ABSTRACT Chylous ascites as first manifestation of pancreatic carcinoma is very rare. Usual presentations of pancreatic malignancy are abdominal discomfort, back pain, obstructive jaundice and duodenal obstruction. Development of chylous ascites during the course of the disease signifies poor progno...

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Value of Heart Rate Deceleration Capacity in Evaluation of Autonomic Nervous Functions in Type 2 Diabetes

By Xisong Wang, Chunlai Zhang, Jiabing Zhang, Qing Song

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Introduction of Human Leukocyte Antigen Typing by Next Generation Sequencing in Pakistan

By Hamid Nawaz Tipu, Muhammad Noman

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Transumbilical Single-hole Gasless Ventral Laparoscopic Appendectomy on Elderly Patients with Acute Appendicitis

By Zhigang Qiu, Xichun Liu

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Successful Treatment of Congo-Crimean Hemorrhagic Fever Virus Infection with Ribavirin

By Farrukh Islam, Irfan Najm Sheen, Muhammad Yasir Rafiq

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Virtual Reality: A Source to Improve Physical and Mental Wellbeing

By Kiran Khushnood, Nasir Sultan, Malik Muhammad Ali Awan

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Comparison of Irbesartan and Benazepril Hydrochloride on Urine Protein Reduction in Chronic Glomerulonephritis

By Zhanying Liu, Lin Zhang, Ruijie Zhai, Jiarong Lan

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Vitamin D Usage among Pakistani Population – Too Much of a Good Thing

By Bhagwan Das, Sarah Nadeem

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Special Issue

Special Supplement 1 on COVID-19 | Volume 30 | Year 2020
Tumor Boards during COVID-19 Pandemic

By Ahmed Nadeem Abbasi

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COVID-19 and Kidney Disease: Update on Epidemiology, Clinical Manifestations, Pathophysiology and Management

By Masoumeh Asgharpour, Elham Zare, Muhammed Mubarak, Amirhesam Alirezaei

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Psychological Status of Healthcare Workers during the Covid-19 Pandemic

By Tuba Talo Yildirim, Osman Atas, Azad Asafov, Kadir Yildirim, Hakan Balibey

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Pakistan’s Health System Against COVID-19: Where Do Things Stand?

By Meesha Iqbal, Aysha Zahidie

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Worsening of the COVID-19 Pandemic in New York City: Analysis of Response Gaps and Challenges at the Public Policy and Community Levels

By Aysha Zahidie, Meesha Iqbal, Syed Wasif Hussain

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A Case of 45-Year Man Who Succumbed to Coronavirus Disease 2019 (COVID-19)

By Muhammad Ahmed Khan, Muhammad Ameen Khan

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Diarrhoea: An Atypical Presentation of COVID-19

By Saad Khan, Zeeshan Ahmad, Fahad Khan, Hamza Asif, Asma Zia-ur-Rahman

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COVID-19 Pulmonary Infection with Pneumothorax in a Young Patient

By Okan Gurkan, Ayhan Yilmaz, Ferhat Cengel, Elif Sargin Altunok, Elif Evrim Ekin

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Optimising Ventilator Use during the COVID-19 Pandemic

By Sadaf Sheikh, Muhammad Akbar Baig

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CT Scan Findings of Five Mildly Symptomatic COVID Patients from India

By Sanjith Saseedharan, Vaijanti Kadam, Roopa Karanam, Paritosh Baghel

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Insight into COVID-19 Responses and Initiatives from Pakistan

By Salima Farooq, Sonia Ijaz Haider, Saima Sachwani, Yasmin Nadeem Parpio

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Chest CT Findings of Coronavirus Disease 2019 (COVID-19)

By Wu Cai, Junlin Yang, Guohua Fan, Liang Xu, Bo Zhang, Rong Liu

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The Rapid COVID Screening (RCS) Tool

By Muhammad Akbar Baig

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Mental Health Challenges and Psycho-social Interventions amid COVID-19 Pandemic: A Call to Action for Pakistan

By Salima Muhammad Farooq, Saima Abdul aziz Sachwani, Sonia Ijaz Haider, Sajid Abrar Iqbal, Yasmin Nadeem Parpio, Humera Saeed

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Dermatology Residency Training in COVID-19 Pandemic: Transition from Traditional to Online Teaching

By Arfan ul Bari

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Challenges of Online Medical Education in Pakistan During COVID-19 Pandemic

By Fareeha Farooq, Farooq Azam Rathore, Sahibzada Nasir Mansoor

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Silent Hypoxia in COVID-19: What is Old is New Again!

By Sadaf Sheikh, Muhammad Akbar Baig

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Emergency Preparedness and Response to the COVID-19 Pandemic: Our Experience from the Emergency Department of a Tertiary Care Hospital in Pakistan

By Badar Afzal, Noman Ali, Asad Mian

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COVID-19 Pandemic: Public Trust and Guiding Ethics Where Ventilators Equal Lives

By Sadaf Sheikh, Muhammad Akbar Baig

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A Rare Finding of Upper Limb Deep Venous Thrombosis in a Patient with COVID-19

By Shankar Lal, Junaid Hashmi

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Chloroquine and Hydroxychloroquine in COVID-19: Challenges and the Need for Caution in Low-Resource Settings

By Mahnoor Islam

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COVID-19 Pandemic: Are Patients with Inflammatory Bowel Disease Really at Risk?

By Syed Adeel Hassan, Jude Ezeh

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COVID19: A Matter of State and Faith

By Abuzar Siraj, Zair Hassan, Muhammad Shahbaz Khan

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Precautions in the Operating Room during COVID-19 Pandemic

By Kazim Hussain, Salman Javed, Syed Ali Anwer Jillani

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The Impact of COVID-19 on the Mental Health of Healthcare Professionals

By Muhammad Ali Awab Sarwar, Huda Sarwar

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Contributions and Challenges of Radiology in the Era of COVID‐19 Pandemic

By Mahnoor Hafeez, Amjad Sattar

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Urgent, Emergent, or Elective Surgery during the COVID-19 Pandemic

By Vasileios Karampelias, Ypatios Spanidis, Constantinos D. Zografos

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Convalescent Plasma: Promise for COVID-19 Pandemic

By Sadaf Sheikh, Muhammad Akbar Baig

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COVID-19 and Impending Shortage of Haemodialysis Facilities due to the Rising Incidence of Acute Kidney Injury Requiring Renal Replacement Therapy

By Raheel Ahmed, Abdul Haseeb

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A Systematic Analysis of Studies on Corona Virus Disease 19 (COVID-19) from Viral Emergence to Treatment

By Shahzadi Misbah, Abrar Ahmad, Muhammad Hammad Butt, Yusra Habib Khan, Nasser Hadal Alotaibi, Tauqeer Hussain Mallhi

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Impact of Urbanisation on COVID-19: Diversity in Virulence

By Muhammad Hammad Athar, Usama Bin Zubair, Ayesha Habib

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