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 33 | Issue 1 | January 2023

JCPSP—A Successful Journey of Over 3 Decades; 1991-2022

By Mohammad Shoaib Shafi

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Prevention is better than Cure - Healthcare Systems in United Kingdom and Pakistan

By Irshad Nabi Soomro

Perioperative Intravenous Lidocaine Infusion for Postlaparoscopic Cholecystectomy Pain

By Fatima Tuz Zahra Shakir, Rizwan Sultan, Riaz Siddiqui, M. Zubair Shah, Ayesha Javed, Ayesha Jamal

ABSTRACT Objective: To compare intravenous lidocaine infusion adjunct to NSAID and Acetaminophen with regular analgesics for postoperative mean pain score and mean ambulation time after laparoscopic cholecystectomy. Study Design: Randomised controlled trial. Place and Duration of Study: Department ...

Clinical Prognostic Factors During the Last One Month of Life in Terminally Ill Cancer Patients: A Retrospective Observational Study

By Hongmei Sun, Hongxia Li, Zongkai Zhang, Lixiang Yan

ABSTRACT Objective: To explore the trajectory of clinical symptoms and biomarkers in the last four weeks of life in terminally ill cancer patients. Study Design: Observational study. Place and Duration of Study: Department of Oncology, Shijingshan hospital, Shijingshan Teaching Hospital of Capital ...

Relationship between Chronological Age and Dental Age Using Third Molar Calcification in the Pakistani Population

By Muhammad Bilal Bashir, Syed Jaffar Abbas Zaidi, Madiha Anwar, Rafia Ruaaz, Haifa S. Baqai, Qaiser Ali Baig

ABSTRACT Objective: To ascertain the relationship between dental age and chronological age in patients attending dental OPDs using third molar calcification stages. Study Design: A cross-sectional analytical study. Place and Duration of Study: Dental OPDs of Dow University of Health Sciences, Karach...

Effectiveness of Autoinoculation in Patients with Multiple Warts Presenting at a Tertiary Care Hospital

By Ushna Ashraf, Najia Ahmed, Moizza Tahir, Fatima Hasan, Abid Hussain Shah, Omer Farooq

ABSTRACT Objective: To determine the effectiveness of autoinoculation in patients with multiple skin warts. Study Design: A Quasi-experimental study. Place and Duration of study: Dermatology department of PNS Shifa Hospital, from April to October 2021. Methodology: Ninety-six patients with multiple ...

Quantitative Evaluation of late Gadolinium Enhancement to the Differential Diagnosis of Prostate Cancer and Prostatitis in mpMRI

By Huseyin Aydin, Kahraman Topsakal, Veysel Atilla Ayyildiz, Hasan Aydin, Adnan Karaibrahimoglu

ABSTRACT Objective: To evaluate the late gadolinium enhancement ratio (LGER) quantitatively in late post-contrast images in multiparametric prostate MRI (mpMRI) for the differential diagnosis of chronic prostatitis and prostate cancer (PCa). Study Design: Descriptive study. Place and Duration of St...

Total Lesion Glycolysis Obtained by FDG PET/CT in Diagnosing Solitary Pulmonary Nodules

By Serkan Gungor, Ulug Mutlu Gunaydin, Halil Ibrahim Yakar, Eda Tanrikulu Simsek, Ayten Guner Akbiyik, Havva Keskin

ABSTRACT Objective: To evaluate the diagnostic performance of total lesion glycolysis (TLG) obtained by 18F-FDG PET/ CT to differentiate malignant solitary pulmonary nodules (SPNs) from benign ones. Study Design: Observational study. Place and Duration of Study: Department of Nuclear Medicine, Istan...

Prognostic Markers after Hepatic Function Impairment in Patients with Pancreatic Adenocarcinoma

By Mustafa Buyukkor, Fatih Tay, Cengiz Karacin, Ayse Ocak Duran

ABSTRACT Objective: To determine the factors affecting survival after hepatic failure in patients with pancreatic adenocarcinoma (PAC) who developed hepatic dysfunction accompanied by hyperbilirubinemia. Study Design: Observational Study. Place and Duration of Study: Department of Medical Oncology,...

A Multi-centre Experience of Trans-abdominal Chorionic Villus Sampling in Pakistan

By Shehla Baqai, Rabia Imran

ABSTRACT Objective: To determine the safety and outcomes of trans-abdominal chorionic villus sampling technique. Study Design: Observational study. Place and Duration of Study: Departments of Obstetrics and Gynaecology, PNS Shifa Karachi, Pak-Emirates Military Hospital Rawalpindi and CMH Lahore, fr...

Comparison of Laser Haemorrhoidoplasty and Ferguson Haemorrhoidectomy in Treating Grade III and Grade IV Haemorrhoids: A Prospective Randomised Study

By Tuba Mert

ABSTRACT Objective: To compare the efficiency and safety of laser haemorrhoidoplasty (LH) with Ferguson haemorrhoidectomy (FH) in patients with third- and fourth-grade haemorrhoids. Study Design: Randomised controlled trial. Place and Duration of Study: General Surgery Clinic, Medipol University Pen...

Predictive Value of HBsAg for Off-treatment Response in HBeAg-negative Chronic Hepatitis B Patients

By Xiaoping Fan, Tao Li, Feng Liu, Lixin Zhang, Baohua Yang, Lei Wang

ABSTRACT Objective: To investigate the virological relapse (VR) rate and prognostic value of the HBsAg level at treatment completion for predicting sustained off-treatment response in HBeAg-negative patients after neucleos(t)ide analog (NA) therapy. Study Design: Prospective observational cohort stu...

Does the CDC COVID-19 Exposure Assessment Criteria for Healthcare Personnel Work in a Healthcare Setting in Pakistan?

By Imran Hassan, Unab Inayat Khan, Shehreen Ali, Asif Hakim, Asad Ali

ABSTRACT Objective: To evaluate the real-world performance of the CDC’s “Interim US guidance for risk assessment and work restriction for healthcare personnel with exposure to COVID-19” at a private healthcare system in Pakistan. Study Design: Retrospective observational study. Pl...

Increasing Frequency of New Delhi Metallo-beta-Lactamase and Klebsiella pneumoniae Carbapenemase Resistant Genes in a Set of Population of Karachi

By Faisal Iqbal Afridi, Aliya Irshad Sani, Rizma Khan, Saeeda Baig, Syed Aqib Ali Zaidi, Qamar Jamal

ABSTRACT Objective: To determine the frequency of Klebsiella pneumoniae Carbapenemase (blaKPC) and New Delhi Metallo-Beta-Lactamase (blaNDM) resistant genes among clinical isolates of Enterobacterales in a set of Karachi population. Study Design: An observational study. Place and Duration of Study: ...

Evaluation of Serum ANGPTL8/Betatrophin and Cartonectin/CTRP3 Levels in Diabetic and Non-Diabetic Retinopathy

By Vehbi Pehlivan, Mehmet Ferit Gursu, Onur Citak, Erhan Onalan, Burkay Yakar, Emir Donder

ABSTRACT Objective: To determine serum betatrophin and cartonectin levels and their relationship with biochemical parameters in diabetic and non-diabetic retinopathy. Study Design: Descriptive study. Place and Duration of Study: Department of Internal Medicine and Ophthalmology, School of Medicine, ...

Diffusion-weighted Imaging in the Benign-malignant Differentiation of Endometrial Pathologies; Effectiveness of Visual Evaluation

By Ismail Basaran, Ferhat Cengel, Aylin Hasanefendioglu Bayrak

ABSTRACT Objective: To investigate the effectiveness of diffusion-weighted imaging (DWI) in the differentiation of benign and malignant endometrial pathologies by measuring the apparent diffusion coefficient (ADC) values and performing a visual evaluation. Study Design: Cross-sectional study. Place...

Enhancing Empathy in Medical Students by Focused Learner Centered Activities

By Nabia Tariq, Ali Tayyab, Tara Jaffery, Amena Masrur

ABSTRACT Objectives: To determine the change in empathy levels of medical students during their progress in professional years internship, and to examine change in empathy after targeted empathy enhancing activities during the course of medical school. Study Design: Longitudinal Study. Place and Du...

Combination Treatment with Iodine 125 Seeds Implant and Systemic Therapy vs. Systemic Therapy Alone for Non-small Cell Lung Cancer: A Systematic Review and Meta-analysis

By Huzi Li, Wentao Li, Libo Zhang, Wenyan Fang, Hong Zhang

ABSTRACT Combination treatment with iodine 125 seeds implant and systemic therapy in patients with non-small-cell lung cancer (NSCLC) is a promising treatment practice. The present study aimed to assess the relative efficacy and toxicity of combination treatment versus systemic therapy alone in pati...

An Evaluation of Cesarean Delivery Rates According to Robson Classification in the Black Sea Region of Turkey

By Seda Keskin, Deha Denizhan Keskin, Sedat Bostan

ABSTRACT Objective: To analyse cesarean deliveries (CD) using the Ten Group Classification System (TGCS) for reducing cesarean rates. Study Design: Cross-sectional study. Place and Duration of Study: Ordu University Medical Faculty Training and Research Hospital, Ordu, Turkey, from 1st January 2008 ...

The Impact of Ureteral Wall Thickness on Spontaneous Passage and Development of Long-term Ureteral Stricture in Patients with Ureteral Stone

By Ozgur Ekici, Abdullah Gul, Salim Zengin, Caglar Boyaci, Metin Kilic

ABSTRACT Objective: To evaluate the association of ureteral wall thickness (UWT) with spontaneous passage (SP) of ureteral stones and formation of ureteral stricture (US) in patients who underwent ureterorenoscopy for ureteral stones. Study Design: Cohort study. Place and Duration of Study: Departm...

Late Presentation of Acute Limb Ischemia: Causes and Outcomes

By Tahir Hussain Dilawari, Fareeha Farooqui, Sibgha Aimon, Meher Jehan, Sehrish Latif

ABSTRACT Objective: To determine the causes of interventions in patients with acute limb ischemia (ALI), the time lapse of presentation, and the outcome. Study Design: An observational study. Methodology: All delayed acute limb ischemia cases (presenting later than 6 hours after the onset of symptom...

Barcode Medication Administration Technology to Prevent Medication Errors

By Munazza Saleem

ABSTRACT Medication errors cause harm to patients at any point along the medication administration process and can be prevented. Barcoding medication administration (BCMA) is effective as a clinical decision support system (CDSS) to avoid errors. This viewpoint proposes the implementation of BCMA to...

Anatomical Morphology and Related Angles of Foramen Ovale: A Three-dimensional Computed Tomography Reconstruction

By Zhe Cheng, Yuan Liang Hu, Yu Xi Sun, Li Zhi Liang, Di Di Pan, Da Wei Wang

ABSTRACT This study aimed to report the three-dimensional reconstruction of the foramen ovale (FO) based on computed tomography angiography and describe its shape and related angles. A retrospective analysis of 199 adult patients who were hospitalised at the Department of Neurosurgery, The Second Af...

Inflammation-based Indices Predicting Mortality in COVID-19

By Gokhan Cakirca, Tuba Damar Cakirca, Ahmet Bindal, Merhamet Olcen

ABSTRACT Efficiency of various inflammation-based indices, including neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), lymphocyte/monocyte ratio (LMR), C-reactive protein/lymphocyte ratio (CLR), albumin/globulin ratio (AGR), haemoglobin, albumin, lymphocyte, and platelet (HALP), sy...

Introducing General Education in the Medical Sciences: A Call to Action

By Farhan Saeed Vakani, Faiza Khadim Arain, Sadia Awan

Robinow Syndrome: A Rare Diagnosis from Pakistan

By Marya Hameed, Syed Maaz Tariq, Hina Hanif

A Case of Unilateral Aplasia Cutis Congenita on the Hand in a Newborn Male Baby Exposed to Low Molecular Weight Heparin in Utero

By Dilek Mentesoglu, Halil Kose

Increasing Trends in Abuse of Gabapentin in Drug Addicts in Rural Population of Punjab

By Muhammad Faizan Akbar, Ahmad Ikram, Ather Naeem

Healthcare Benefits of Preoperative Tamsulosin in Patients Before Ureteroscopy

By Rahim Hirani, Ali Issani