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 29 | Issue 9 | September 2019
Peripheral Vascular Injuries – Not to Miss or Mess Them!

By Zia Ur Rehman

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Effects of Commercially Available Whitening Creams on the Epidermal Thickness of Guinea Pig Skin

By Sadia Saqib, Rafeea Tafweez, Nadia Haq, Mah-Jabeen Muneera

Objective: To determine the effects of commonly used commercial skin lightening creams on the thickness of epidermis of guinea pig skin. Study Design: Animal experimental study. Place and Duration of Study: Department of Anatomy, King Edward Medical University, Lahore, from March to May 2015. Me...

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Effectiveness of Cardiac Rehabilitation on Health-related Quality of Life in Patients with Myocardial Infarction in Pakistan

By Zia Ul-Haq, Daud Khan, Aliya Hisam, Yasar Mehmood Yousafzai, Shazia Hafeez, Fatima Zulfiqar, Adnan Mahmood Gul, Mohammad Hafizullah, Jill Pell

Objective: To find out the effectiveness of cardiac rehabilitation in patients with myocardial infarction in Pakistan. Study Design: Randomised controlled trial. Place and Duration of Study: Cardiac Rehabilitation Unit, Lady Reading Hospital, Peshawar, Pakistan, from July to December 2016. Metho...

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Factors Affecting the Participants' Skills Test Performance in a Basic Life Support Course

By Saerah Iffat Zafar, Alina Shahiryar

Objective: To determine the effect of age, gender, varying specialties and year of residency on the practical skills of cardiopulmonary resuscitation in participants of basic life support (BLS) courses run at College of Physicians and Surgeons Pakistan (CPSP), Islamabad – Regional Centre of ...

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Oral Rivaroxaban in Symptomatic Deep Vein Thrombosis

By Ahmed Farhan, Maliha Bukhari, Junaid Umar, Mudassar Ali Raza

Objective: To evaluate the efficacy of oral rivaroxaban compared to warfarin in patients with deep vein thrombosis (DVT). Study Design: Open label randomized controlled study. Place and Duration of Study: Department of General Medicine, Pakistan Institute of Medical Sciences (PIMS), Islamabad fro...

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Comparisons of Onlay versus Sublay Mesh Fixation Technique in Ventral Abdominal Wall Incisional Hernia Repair

By Manzoor Ahmed, Mukhtar Mehboob

Objective: To compare the results of onlay with sublay mesh repair technique for ventral incisional hernia. Study Design: Comparative study. Place and Duration of Study: Surgical Unit IV, Sandeman (Provincial) Hospital, Quetta and Mohtarma Shaheed Benazir Bhutto Hospital, Quetta, from July 2016 t...

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Relationship between Postmenopausal Vitamin D Level, Menopausal Symptoms and Sexual Functions

By Meryem Askin, Esra Meltem Koc, Mustafa Soyoz, Saliha Aksun, Serpil Aydogmus, Kaan Sozmen

Objective: To determine whether vitamin D levels correlate with menopausal symptoms and female sexual functions. Study Design: A cross-sectional study. Place and Duration of Study: Izmir Katip Celebi University Hospital, Izmir, Turkey, between February and October 2017. Methodology: Menopausal an...

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Growth of Microorganisms in Propofol and Mixture of Propofol, Lidocaine and Fentanyl

By Hatice Aysel Altan, Esat Bonabi, Sevgi Kesici, Hafize Sezer, Veli Bulent Ucar

Objective: To determine the growth of microorganisms in propofol when combined with fentanyl and lidocaine in different temperatures and times in order to find out whether there is any improvement in antimicrobial effect to lengthen the safe duration of time for application of propofol. Study Des...

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Multiplex PCR for Rapid Diagnosis of Drug Resistant Mycobacterium Tuberculosis

By Saira Salim, Gohar Zaman, Sidra Younis, Wajid Hussain, Umar Khurshid, Muhammad Tahir Khadim

Objective: To evaluate a multiplex PCR for rapid diagnosis of drug resistant mycobacterium tuberculosis (MTB) strain. Study Design: Cross-sectional observational study. Place and Duration of Study: Department of Microbiology, Armed Forces Institute of Pathology (AFIP), Rawalpindi, from January to...

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Comparison of Single Photon Emission Computerised Tomography (SPECT) with Planar Wholebody Bone Scan (WBBS) in Diagnosis of Solitary Vertebral Lesion in Non-Skeletal Malignancies in Terms of Diagnostic Accuracy

By Zaigham Salim Dar, Umer-i -Farooq, Fida Hussain, Mehdi Raza, Ali Jamal, Khurram Hayat Mir

Objective: To compare single photon emission computed tomography (SPECT) with planar whole body bone scan (WBBS) in diagnosis of solitary vertebral lesion in non-skeletal malignancies in terms of diagnostic accuracy. Study Design: Cross-sectional study. Place and Duration of Study: Nuclear Medica...

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The Effects of Bilirubin and Phototherapy on Neonatal Thiol-Disulfide Homeostasis

By Sara Erol, Zehra Arslan, Dilek Ulubas Isik, Ahmet Yagmur Bas, Nihal Demirel, Ozcan Erel

Objective: To determinate the effects of bilirubin and phototherapy on oxidative stress in newborns. Study Design: A case-control study. Place and Duration of Study: Third level Newborn Intensive Care Unit, Ankara Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital, Turkey, fro...

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Aspartame and Sucralose-induced Fatty Changes in Rat Liver

By Nadia Haq, Raafea Tafweez, Sadia Saqib, Zahra Haider Bokhari, Irfan Ali, Ahmed Fawad Syami

Objective: To determine the cytoplasmic fatty change of rat liver due to artificial sweeteners – aspartame and sucralose. Study Design: Experimental study. Place and Duration of Study: Department of Anatomy, King Edward Medical University, Lahore, in collaboration with the University of Vet...

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Effect of RNA Interference on the Hepatitis C Virus Core Expression in HepG2/C3A Cells Using Genotype 4 Isolates from Saudi Patients

By Medhat K. Shier, Hebatallah H. Ali, Mohammad S. El-Wetidy, Mohammad M. Al-Qattan, Mohamed B. Al-Fageeh

Objective: To explore the effects of two different methodologies of RNA interference, namely small interfering RNA, and vector-based short hairpin RNA, on the expression levels of hepatitis C virus core RNA and protein of Saudi genotype 4 isolates. Study Design: An experimental study. Place and ...

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Effect of Team-based Learning on Second Year Students’ Academic Performance

By Memoona Mansoor, Syed Moyn Aly, Arshad Javaid

Objective: To determine if there was any significant difference in scores of students who acquired knowledge through team-based learning (TBL) versus those who learned through small group discussion (SGD). Study Design: Quasi-experimental cross-over study. Place and Duration of Study: Shifa Colle...

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Distal Revascularization and Interval Ligation as a Useful Option for Steal Syndrome

By Zia Ur Rehman, M. Younus Durrani, Hassan Ishaq, Ziad Sophie

Distal revascularization and interval ligation (DRIL) is considered a useful option to relieve haemodialysis access-related steal syndrome. The results of this procedure are not known in the local setup. This is a case series of patients who underwent DRIL between January 2005 and December 2015. A...

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Effects of Preoperative Anxiety on Intraoperative Hemodynamics and Postoperative Pain

By Aysegul Bayrak, Gonul Sagiroglu, Elif Copuroglu

Objective: To determine the effects of the level of the anxiety of the patients on the intraoperative hemodynamic parameters and postoperative pain, patient satisfaction and the stay period at the hospital. Study Design: A descriptive study. Place and Duration of Study: General Surgery, Faculty o...

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Outcomes after Surgical Resection of Hilar Cholangiocarcinoma

By Faisal Saud Dar, Muhammad Atiq, Neelam Shahzadi, Seemab Khalid Ainy, Atif Rana, Abu Bakar Hafeez Bhatti

Objective: To report long term outcomes after surgical resection of hilar cholangiocarcinoma (hCCA). Study Design: Cohort study. Place and Duration of Study: Department of Liver Transplant and Hepatopancreaticobiliary Surgery, Shifa International Hospital, Islamabad, Pakistan, from October 2011 t...

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Molecular Characterisation of Carbapenem-Resistant Enterobacteriaceae from Intensive Care Units

By Azka Fatima, Rubina Kamran, Haniya Rashid, Muhammad Shafique

Objective: To determine the molecular characterisation of carbapenem-resistant enterobacteriaceae (CRE) from patients admitted in intensive care units (ICUs) of a tertiary care hospital. Study Design: Descriptive study. Place and Duration of Study: Department of Pathology and Microbiology, Pakist...

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Factors Influencing Quality of Life in Patients with Gastroesophageal Reflux Disease in a Tertiary Care Hospital in Pakistan

By Ghulamullah Lail, Farina Muhammad Hanif, Amanullah Lail, Muhammad Manzoor ul Haque, Abbas Ali Tasneem, Nasir Hassan Luck

Objective: To assess the impact of gastroesophageal reflux disease (GERD) on quality of life (QOL) in local population. Study Design: Cross-sectional, descriptive study. Place and Duration of Study: Hepatogastroenterology Department, Sindh Institute of Urology and Transplantation, Karachi, from J...

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Wolff-Parkinson-White Syndrome after Fontan-Bjork operation and its Successful Ablation from Coronary Sinus

By Mustafa Yolcu

Wolff-Parkinson-White (WPW) syndrome causes paroxysmal supraventricular tachycardia in which short PR intervals and delta waves are seen in electrocardiography, which may cause sudden cardiac death. A 19-year female presented with increasing episodes of wide and narrow QRS complex tachycardia for ...

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Malignant Acanthosis Nigricans: An Indicator of Internal Malignancy

By Muhammad Rizwan, Nadia Iftikhar, Tariq Sarfraz, Obed Ullah

Acanthosis nigricans is a skin disease characterised by symmetric velvety hyperpigmented, verrucous plaques of the intertriginous surfaces of the axilla, neck, inframammary, and mucocutaneous regions. Malignant acanthosis nigricans is a paraneoplastic phenomenon most commonly associated with gastr...

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Primary Hyperparathyroidism Masquerading as Rickets

By Kamran Amir Khan, Sameed Ullah Qureshi

Primary hyperparathyroidism (PHPT) is common among adults. However, its incidence is rare among children associated invariably with delay in diagnosis. In children, it is caused by hyperplasia, adenoma or related hereditary disorders. Herein, a 17-year male with PHPT presented with rare skeletal m...

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An Iatrogenic Femoral Artery Pseudoaneurysm Caused by Endovascular Stenting for the Treatment of Anastomotic Stenosis: An Unusual Complication and its Successful Surgical Management

By Yusuf Velioglu, Ahmet Yuksel

The incidence of iatrogenic femoral artery pseudoaneurysm (FAP) has dramatically increased due to marked increase of endovascular procedures in recent years. Once diagnosed, a prompt and optimal treatment should be done as soon as possible to avoid potential complications like thromboembolism, isc...

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Analysis of CT and MRI Combined Examination for the Diagnosis of Acute Cerebral Infarction

By Wenbo Zhang, Jingliang Cheng, Yong Zhang, Keyan Wang, Hongrui Jin

The aim of this study was to analyse the application value of CT and MRI combined examination for the diagnosis of acute cerebral infarction. It was an observational study carried out from March 2017 to April 2018. All the patients of acute cerebral infarction, diagnosed on the basis of clinical a...

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Comparison of Erythropoietin, Semaphorins 3A and Pigment Epithelium Derived Factor Levels in Serum and Aqueous Humor of Patients with Neovascular Glaucoma and Cataract

By Yi Sun, Haixia Zhao, Ying Shen, Wenying Guan

The aim of this study was to compare the levels of erythropoietin (Epo), semaphorins 3A (Sema 3A) and pigment epithelium derived factors (PEDF) in serum and aqueous humor of those with neovascular glaucoma (NVG) and patients with cataract. It was an experimental study carried out from January 2016...

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Leiomyosarcoma of Renal Vein with Bone Metastasis: The Radiological Findings

By Mahnoor Hafeez

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Anti-coagulation in Atrial Fibrillation: Warfarin Vs NOACs

By Bilal Haider Malik

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A Giant Ossified Chronic Subdural Hematoma

By Wei Tian, Xin Meng, Jidian Zou

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Secondary Aneurysmal Bone Cyst of Base of Skull Associated with Chondroblastoma

By Shams Raza Brohi, Muzamil Dilber, Fahmida Arab Mallah

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Special Issue

Special Supplement 1 | Volume 29 | June 2019
Case Reports – Special Supplement

By Editor JCPSP

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Growth Hormone and ACTH Deficiency in a Diabetic Adult

By Asif Ali Memon, Mehwish Gilani, Naveed Asif, Nida Basharat

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A Case of Dynamic Evolution of Thyrotoxicosis on Follow-up

By Cong Qing Miao, De Chuan Lu, Jing Jing Liu, Hui Xu, Xin Long Meng

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Coexistence of Papillary Thyroid Cancer and Primary Hyperparathyroidism: Report of Five Cases

By Hasan Calis, Nuraydin Ozlem, Serif Melih Karabeyoglu

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Primary Supraclavicular Cystic Lymphangioma in an Adult: A Rare Presentation

By Mansoor Tariq Azim, Syed Mukarram Hussain, Mohammad Awais Mughal

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An Adult Case of Thiamine-Sensitive Megaloblastic Anemia Syndrome Accidentally Diagnosed Myelodysplastic Syndrome

By Ali Kutlucan

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Endothelial Cysts of Adrenal Gland

By Zafar Ali, Hina Tariq, Usama Rehman

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JC Virus Infection: A Clinical Conundrum

By Hajra Farooq, Saifullah Khan Niazi, Misbah Noor, Eijaz Ghani

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Gastric Tuberculosis

By Naresh Kumar Seetlani, Khalid Imran, Qurat ul Ain Hafeez, Asif Ali, Pyar Ali Fazil, Bareeha Shaukat Sultan, Sulhera Khan

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Congenital Erythropoietic Porphyria: A Rare Case of Photosensitivity with Hemolytic Anaemia and Mental Retardation

By Nadia Shirazi, Payal Chauhan, Rashmi Jindal, Sohaib Ahmad

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Ischemic Skin Necrosis in Hepatorenal Syndrome Patient Secondary to Terlipressin

By Raheel Ahmed, Abdul Haseeb

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Adult-Onset Subacute Sclerosing Panencephalitis Presented with Neuropsychiatric Symptoms

By Abdulkerim Gokoglu, Hasan Tahsin Gozdas

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Primary Extra-renal Wilms' Tumor in Urinary Bladder: Rare Presentation of a Common Pediatric Malignancy

By Irfana Ishaq Sindhu, Haleema Saeed, Rabia Wali, Asma Mehreen

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Ocular Cicatricial Pemphigoid: Camouflaged as Persistent Conjunctivitis

By Jamal-uddin Mughal, Asif Jan Muhammad, Uzma Erum

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Traboulsi Syndrome in Pakistan

By Tehmina Awais, Mehmood Ali, Saad Alam Khan

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Shprintzen-Goldberg Syndrome: A Rare Disorder

By Attia Bari, Nadia Sadaqat, Nadia Nawaz, Iqbal Bano

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Primary Pulmonary Hypertension Associated with Asymptomatic Methylmalonic Aciduria in a Child

By Fatma Zohra Chioukh, Kamel Monastiri

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Primary Iliopsoas Abscess in a Neonate

By Muhammad Umar Nisar, Samer Sikander, Zenab Noorain, Mehr-un-Nisa Shahid Baig, Nadeem Akhtar

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A Rare Cause of Intractable Diarrhea of Infancy

By Salman Ali, Aroma Tariq, Maryam Ghuncha

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A Neonate with Upper GI Bleeding

By Suneeta Khemani, Huma Ghulam Qadir, Mumtaz Malik, Faiqa Hassan

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A Child with Weight Loss and Alacrimation: Triple A Syndrome

By Qurat ul Ain, Naveed Asif, Noreen Shahzad, Waqas Hanif Sheikh

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A Child with Ambiguous Genitalia: An Atypical Presentation

By Waqas Hanif Sheikh, Naveed Asif, Muhammad Younas, Nida Basharat, Qurat-ul-Ain , Noreen

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Erotomania in Depressive Psychosis: Mood Incongruent Delusion in a Depressive Young Woman

By Usama Bin Zubair, Sawera Mansoor

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Polyarthritis as the Initial Presentation of Hyper Eosinophilic Syndrome

By Lubna Nazir, Amir Riaz, Hamza Alam

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Bladder Hernia, Bladder Stone and Contralateral Bowel Hernia: An Usual Combination

By Akif Erbin, Halil Lutfi Canat, Burak Ucpinar, Hayati Malcik

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Adrenal Myelolipoma with Adrenocortical Adenoma Presenting with Hypertension Only

By Fan Yang, Chenyu Sun, Shiyu Pang, Juanjuan Cai, Hao Lin, Wanlong Tan

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Neoaorta Reconstruction Using Both Femoral Veins in a Patient with Secondary Aortoenteric Fistula

By Zia-ur Rehman

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Detection and Management of Pregnancy in Rudimentary Horn of Uterus

By Rizwana Parveen

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