Journal of the College of Physicians and Surgeons Pakistan
ISSN: 1022-386X (PRINT)
ISSN: 1681-7168 (ONLINE)
Electrical Impedance Tomography-Guided Positive End-Expiratory Pressure Titration in Acute Respiratory Distress Syndrome: A Meta-AnalysisBy Mumu Fan, Yunnan Hu, Peirong Zhang, This study explored the effectiveness of an electrical impedance tomography (EIT)-based positive end-expiratory pressure (PEEP) titration strategy com... |
Clinical Utility of Ultrasound-Guided Midline Catheters in Cardiovascular Intensive Care UnitBy Fen Xu, Tao Xiang, Liang Hui Zhang, Ling Liang, Feng Liu, Xiongfei Xu, This observational study evaluated the clinical utility of ultrasound-guided midline catheters (MCs) for cardiovascular medicine delivery in a cardiov... |
Simulation based training for Limberg Flap Technique for Pilonidal Sinus through task trainer: Strategy to enhance surgical skills.By Dr. Rubab Nafees, Dr Rabia Aftab, Dr. Komal Faheem, Dr. Madeeha Shahid, Dr Aun Ali, Intergluteal pilonidal sinus is a common disease of adults especially males and is related with high morbidity. The rhomboid flap reconstruction for p... |
Ventilator Associated Pneumonia as Biggest Challenge: Incidence, Risk Factors, Prevention and Mortality RateBy Sami Ur Rehman, Unaiza Saeed, This cross-sectional study was done in Surgical ICU of Doctors Hospital and Medical Centre, Lahore, Pakistan from 1st January to 31st December 2023, t... |
Empowering health care professionals with the innovative ‘five tips’ approach.By Dr Sara Shakil, Dr. Rabia Aftab, Dr. Azam Afzal, Dr. Shazia Babar, Muhammad Tariq, In the era of information bombardment, it is mandatory to adopt the ability to receive new information and apply it in respective context. Healthcare ... |
Bleomycin-lipiodol emulsion combined with polyvinyl alcohol particles in the treatment of focal nodular hyperplasia of the liver: initial experience and literature reviewBy Yan Wang, Wei-hao Zhang, Yong-fei Guo, Zhi-gang Tian, Mao Yang, Tong-guo Si, The purpose of this study was to explore the feasibility, effectiveness and safety of bleomycin-lipiodol emulsion combined with polyvinyl alcohol part... |
Palliative care in the Emergency Department: A step in the right directionBy Sarah Afzal Kothari, Muhammad Atif Waqar, Shahan Waheed, Palliative care, as defined by the World Health Organization (WHO), focuses on improving the quality of life for patients facing life-limiting illness... |
Symptoms, Triggers and Prodromes of Hereditary Angioedema in Pakistani PopulationBy Muhammad Hussain, Muhammad Omair Riaz, Mustajab Alam, Hamid Nawaz Tipu, Muhammad Aftab Hassan, This cross-sectional observational study, conducted from September 2021 to December 2024 at the Department of Immunology, Armed Forces Institute of Pa... |
Development of the Kyphosis Cardiopulmonary Resuscitation (K-CPR) Technique in Patients with Spinal Mobility Restriction Due to Ankylosing SpondylitisBy Hasan Sultanoğlu, Tuba Erdem Sultanoğlu, Patients with ankylosing spondylitis (AS) often present with spinal rigidity and kyphotic deformity, which may hinder conventional cardiopulmonary res... |
Gamifying Neurology: Lessons from The NExCARD Experience in Emergency Medicine TrainingBy Shahan Waheed, Rida Jawed, Neurological emergencies are among the most time-sensitive and high-stakes presentations in emergency department yet they often remain underrepresente... |
The Urgent Need for AI- guidelines and framework for Medical Education and Research in PakistanBy Dr Fareeha Farooq, Dr Farooq Azam Rathore, The public release of ChatGPT in November 2022 and the rapid adoption of artificial intelligence (AI) tools have significantly influenced medical educ... |
HCV Seropositivity Versus Care Non-compliance in Shenzhen Blood DonorsBy Yizhong Liu, Chenghui Huang, Yingkun Wang, Caiyue Fang, Jie Zhao, Sheng Zhang, This retrospective cross-sectional analysis assessed hepatitis C virus (HCV) prevalence, demographics, and post-diagnosis management among 220,990 vol... |
Effects of Ulinastatin and Tranexamic Acid in Cardiac Surgery: A Systematic Review and Meta-AnalysisBy Xinyu Zhang, Hongqi Lin, Hongdang Xu, Yuntai Yao, Evidence suggests that both tranexamic acid (TXA) and ulinastatin (ULI) possess anti-inflammatory and blood-conserving properties. This study aimed to... |
Factors Predicting Cognitive Dysfunction End Stage Renal DiseaseBy Saman Shuja Khan, Abdul Rehman Arshad, Muhammad Iqbal, Nushra Maqsood, This observational study probed into different factors potentially associated with cognitive impairment in patients aged 40 to 80 years on maintenance... |
A Comprehensive Assessment of Acute Stroke Care: Delays, Treatment Patterns, and Barriers to Timely InterventionBy Saba Zaidi, Moomal Zoya, Mahzareen Ishrat, Sidra Jabeen, Ayesha Abdul Samad, The aim of the study was to evaluate the delays in emergency department arrivals of stroke patients and understand the demographics and factors leadin... |
A Systematic Reviews and Meta Analyses of Liquid Biopsy Based Multimodal Approach for the Diagnosis of Pulmonary NodulesBy Cao Ren Shuang, Tian JIAO Huang, Zhi Heng Lin, Fan Yang, Fei Liu, Feng Gao, Liquid biopsies demonstrate clinical utility as a non-invasive tool for discriminating malignant tumours from benign pulmonary nodules, as evidenced b... |
The Paradox of a Pandemic Stalled by an Empty StingBy Moiz Ahmed Khan, This opinion piece provides a critical examination of the new rhetoric surrounding arboviruses as potential drivers of future pandemics, particularly ... |
A Meta-Analysis of HIV Drug Resistance in PakistanBy Shafee Ur Rehman, HIV drug resistance (HIVDR) creates a threat to the extended success of antiretroviral therapy (ART) while making it harder to control the HIV epidemi... |
Quantitative Prediction of Visceral Pleural Invasion in Non-Small Cell Lung Cancer Based on Preoperative Contrast-Enhanced CTBy Junjun Liang, Haotian Zhu, Yunjin Long, Longhuan Lu, Xin Yang, Huanwen Ding, Objective: To investigate the value of combining contrast-enhanced CT radiomic features, CT subjective features, and clinical information in the preop... |
Intrathecal Dexmedetomidine Versus Fentanyl in Improving the Quality of Spinal Block in Lower Section Caesarean Section – A Meta-AnalysisBy ANWAR UL Ul HUDA, Mohammad Raheel Minhas, Opioids are the most used intrathecal adjuvants in lower section caesarean section (LSCS) but with associated side effects for both mothers and neonat... |
Efficacy of Intradiscal Gentamicin in Preventing Disc Space Infection Following Lumbar DiscectomyBy Bilal Khan, Hubab Ali, Syed Mansoor Shah, Mukhtiar Ali Khan, Abdur Raheem, Noor Ullah, Background: To determine the efficacy of intra-discal gentamicin in preventing postoperative discitis in lumbar spine surgery. Study design: Observa... |
Efficacy and Safety of Pemafibrate in the Treatment of Dyslipidaemia: A Meta-AnalysisBy Weimin Huo, Hongbin Wang, Ran Wang, Yanting Wei, Jiajia Li, Fanfan Zhao, High plasma triglyceride (TG) is recognised as a significant risk factor for cardiovascular disease. Pemafibrate, a novel selective peroxisome prolife... |
Age-stratified Association between Health Literacy and Unmet Medical Needs among Korean AdultsBy Ki Dong Ko, In Cheol Hwang, Hong Yup Ahn, Identifying the factors associated with unmet medical need (UMN) is critical for designing interventional strategies. This nationwide cross-sectional ... |
Preserving the Recurrent Laryngeal Nerve Invaded by Thyroid CancerBy Hasan Calis, Kamil Ozturk, Nusret Yilmaz, Ramazan Sari, Cumhur Arici, Objective: To assess surgical management strategies for RLN (recurrent laryngeal nerve) invasion in patients with locally advanced thyroid cancer, w... |
Exploring Body Dysmorphic Disorder: A Cross-Sectional SurveyBy Saadiya Siddiqui, Faria A, Wajeiha Saeed, Ashba Nasir Cheema, Rashid Ali, Bushra Bashir, The aim of this descriptive, quantitative cross-sectional survey was to find the prevalence and explore different demographic characteristics of body ... |
Outcome of Focussed Parathyroidectomy in HyperparathyroidismBy Farhan Ahmed Majeed, Sohail Saqib Chatha, Mubashara Badar, Ahmad Raza, Bilal Umair, Nabeela Farhan, OBJECTIVES: To evaluate the surgical outcome of focused parathyroidectomy in the management of hyperparathyroidism STUDY DESIGN: Case Series PLACE A... |
Mind-Motor Mat Training as an Early Adjunct to Anti-Hypertensive Therapy for Cognitive PreservationBy Sana BASHIR, Arzoo Bashir, Mehreen Baig, Hypertension affects over 1.28 billion adults globally and remains a critical contributor to cardiovascular complications, mortality, and cognitive de... |
Renal Sympathetic Denervation Plus Pulmonary Vein Isolation for Atrial Fibrillation with Hypertension: A Meta-Analysis of RCTsBy Kun Wang, Na Yi, Yong Cai Liang, Jie Xiong, Ting Wan, Background: This study aimed to assess the efficacy and safety of adding adjuvant renal sympathetic denervation (RSDN) to pulmonary vein isolation (PV... |
Factors Associated with The Survival of Head and Neck Cancer Patients: A Single Institution Experience from Karachi, PakistanBy UZMA SHAMSI, Namra Usman, Zeerak Jarrar, Romana Idress, Iqbal Azam, The objective of the study was to examine the clinicopathological features and survival rates of head and neck cancer (HNC) patients, from the Aga Kha... |
Clinical Characteristics, Treatment Response, and Prognosis between Saddle and Non-Saddle Pulmonary Embolism in Intermediate- to High-Risk Acute Pulmonary EmbolismBy Qihong Chen, Jinqi Huang, Objective: To investigate the clinical characteristics of patients with saddle pulmonary embolism (SPE) among those with intermediate- to high-risk ac... |
Relationship Between Sleep Duration and Development of Hypertension in Women: A Meta-AnalysisBy Yan Bai, Deying Kong, Jie Hou, Li Bai, This study examined the association between sleep duration of females and the development of hypertension. Searches were conducted from Embase, PubMed... |
Psychological Care in Heart Failure Rehabilitation: A Systematic Review and Meta-AnalysisBy Ruigui Zheng, Zhe Xue, Yijian YU, This meta-analysis aimed to evaluate the efficacy of psychological therapy versus conventional therapy within cardiac rehabilitation programs for indi... |
A Novel Metric to Guide Cancer Priorities in PakistanBy Aashir Aslam, Syed Nabeel Zafar, Pakistan faces an escalating cancer burden, with approximately 185,748 new cases and 118,631 deaths annually. According to GLOBOCAN data, breast cance... |
The Predictive Role Of Triglyceride To High-Density Lipoprotein-Cholesterol Ratio And Triglyceride-Glucose Index In Glycemic Regulation Among Type 2 Diabetes Mellitus (T2DM) Patients With Chronic Kidney Disease (CKD)By Ayesha Iftikhar, Adnan Mustafa Zubairi, Fatima Kanani, Nadia Yaqub, This study explores the potential of the triglyceride to high-density lipoprotein-cholesterol (TG/HDL-C) ratio and the triglyceride glucose (TyG) inde... |
Predictive Value of D-Dimer Combined with Injury Severity Score for In-Hospital Mortality in TraumaBy Peng Jiajian, Minhua Kuang, Zhangrong Liang, Qixin Yu, Objective: To evaluate the predictive performance of combining serum D-Dimer levels with Injury Severity Score (ISS) for forecasting in-hospital morta... |
Screening of Predictive Variables for Severe Hyperlipidemic Acute PancreatitisBy Gongchao Yu, Zhenxing Li, Kunfeng Yan, Xiaorong Dai, Qingyu Zhang, This retrospective observational study aimed to identify risk factors and screen predictive variables for severe hyperlipidemic acute pancreatitis (HL... |
Appropriateness of Antibiotic Dosing in Patients with Augmented Renal Clearance in Cardiovascular Surgery and Coronary Intensive Care UnitsBy Ayşe Gül KoÇoĞlu Kinal, Yunus Emre AYHAN, Objective: To evaluate the appropriateness of antibiotic dosing in patients with augmented renal clearance (ARC) admitted to cardiovascular surgery (C... |
Patterns of Vascular Calcification and Stenosis in Peripheral Artery Disease: A CTA-Based Study of Disease Severity and Treatment DecisionsBy Dr Athar Badshah, Dr Muhammad Ismail, Brig Dr Nauman Imtiaz, Brig Dr Ahsin Manzoor Bhatti, Dr Anas Bin Saif, Dr Mustansar Hussain Haidri, Peripheral artery disease (PAD), a systemic form of atherosclerosis, causes limb ischemia, with disease severity critically determined by vascular cal... |
Is Staple Line Reinforcement Necessary in Sleeve Gastrectomy? A Retrospective Cohort Study Highlighting the Role of Surgical TechniqueBy Surrender Dawani, Syeda Zarreen Raza, Rashid Ali, Madiha Masood Khan, Moosa Ashfaq, Tashaba Qaiser Faizi, Objective: To compare the frequency of postoperative complications, specifically staple line bleeding and leakage, in patients undergoing laparoscop... |
Prevalence of Cancer in Pakistan: A Meta-AnalysisBy Shafee Ur Rehman, Cancer continues to grow as a major public health issue in Pakistan because its occurrence and death rates keep increasing. The development of cancer ... |
Prediction of Post-Covid-19 Pulmonary Fibrosis: An Integrated Approach Combining CT Radiomics and Clinical CharacteristicsBy Mujuan Wang, Pei Huang, Min Jiang, Bing Fan, Objective: To develop and validate a predictive model for post-COVID-19 pulmonary fibrosis (PCPF) using a combination of CT radiomics features and cli... |
A Comparative Evaluation of the Predictive Accuracy, Clinical Utility, And Application Efficiency of Four Nephrolithometric Nomograms for Percutaneous Nephrolithotomy OutcomesBy Cagatay Ozsoy, Erhan Ateş, Goksel Tuzcu, Arif Kol, Objective: This study aimed to evaluate the predictive roles of four commonly used nephrolithometric nomograms - GSS, S.T.O.N.E., CROES and S-ReSC - i... |
Study on Endoscopic Spine Surgery in The Treatment of Degenerative Lumbar Spondylolisthesis With Spinal Stenosis in the ElderlyBy Chongchao Yan, Genwei Liu, Na Zhong, Zhongxu Bai, Jianpeng Zhang, Wenkui Zhao, Objective: To analyze the clinical outcomes of endoscopic lumbar interbody fusion for the treatment of degenerative lumbar spondylolisthesis with spin... |
Dimensions of Anterior Cruciate Ligament (ACL) in Young AdultsBy Musharraf Jamil, Muhammad Arslan, Atif Ali, Fahad Iqbal, Akbar Abbas, Rizwan Akram, Objective: To measure the dimensions of the anterior cruciate ligament (ACL) in young adults and assess variations based on the demographic profile ... |
Imaging Appropriateness, Clinical Data and Feedback: The healthcare challenges in Pakistan!By Nida Rafiq, MAHNOOR HAFEEZ, Diagnostic radiology is a unique specialty focused primarily on diagnosis, rather than treatment. It represents a partnership between clinical and rad... |
The Clinical Efficacy of Local versus Intramuscular Injection of Methotrexate in the Treatment of Cesarean Scar Pregnancy: A Meta-AnalysisBy Peipei Zhou, Huihui Sun, Jingjie Song, Yunxia Ke, This meta-analysis were designed to compare of the clinical efficacy of local injection and systemic intramuscular injection of methotrexate in the tr... |
Intraoperative Colonoscopy-Guided Localisation of Proximal Resection Margin in Sphincter-Preserving Surgery for Rectal Cancer After Neoadjuvant ChemoradiotherapyBy Qiao Zhang, Shenghui Wang, Xianda Qiu, Xingrong Lu, Pan Chi, Zhifen Chen, The study was conducted to evaluate the feasibility and efficacy of intraoperative colonoscopy-guided proximal resection margin (PRM) localisation in ... |
Serum Retinol Binding Protein 4 Levels Among Hypertensive and Normotensive IndividualsBy Kiran Iftikhar, Muhammad Husnain, Noor Sehar, Muhammad Ahmad Malik, Saqib Sohail, The aim of this cross-sectional study was to compare serum Retinol Binding Protein 4 (RBP4) levels in hypertensive and normotensive non-obese individu... |
Mini-Mental State Examination Changes and Prediction of Cognitive Recovery after Stroke Following Cognitive-Motor InterventionBy Hu Chen, Jingyuan Lin, Objective: To evaluate the impact of cognitive-motor intervention on cognitive function in stroke patients and to explore predictive factors for meani... |
The Effect of Skin Tag Presence on Medical Treatment Success in Chronic Anal Fissure PatientsBy Fikret Calikoglu, Zeliha Aydn Kasap, Tugba Koc Calikoglu, Kubra Isik, Ahmet Akbas, To determine whether skin tag is important in the success of treatment in patients with chronic anal fissure who received conservative treatment with ... |
Evaluating CKD-EPI Pakistan Against Standard Equations Using DTPA-Measured GFRBy Muhammad Shahzil, Nayyar Saleem, Muhammad Rashid Asghar, Aimon Riaz, Noor Ul Ain, Ahmed Sheraz, Objective: To evaluate and compare the accuracy of creatinine-based equations (CKD-EPI Pakistan, CKD-EPI 2021, MDRD) against the gold-standard DTPA c... |
Effects of Probiotics on Oral Microbiological Environment, Gingival Health, and Dental Plaque- A Meta-AnalysisBy MEHWASH KASHIF, Mahmooda Kazmi, Asfahan Shah, Syeda Nimra Qadri, This meta-analysis was conducted to assess the effects of probiotics on dental plaque and gingival health and oral microbiological environment. The Pu... |
New Insights into Controlled Intracranial Decompression for Preventing Traumatic Acute Brain BulgeBy Liang Xian, Shilong Fu, Ye Dan, Long Lin, Shousen Wang, Traumatic acute brain bulge is a life-threatening phenomenon. Traumatic acute brain bulge is usually classified into primary brain bulge and secondary... |
The Clinical Value of Neuropsychiatric Scales in The Preliminary Identification of Frontotemporal Dementia from Alzheimer's DiseaseBy Lingfeng Zhang, Pengxing Lin, Yipan Zhang, Zhijian Lin, Objective: To provide reference for the clinical differentiation of behavioral variant of Frontotemporal dementia(bvFTD) and Alzheimer’s disease(AD)... |
Development of a Machine Learning Model for Predicting Postoperative Pain after Root Canal TreatmentBy Zhijun Wei, Sheng Feng, Han Zheng, Qiong Sun, Fuhua Zhang, Lei Zhang, Objective: To develop and validate a machine learning (ML) model to predict postoperative pain following root canal treatment (RCT). Study Design: Ob... |
Identification and Clinical Consensus Evaluation of Drug-Drug Interactions in Cardiac Intensive Care UnitsBy Ayşe Gül Kocolu Kinal, Yunus Emre AYHAN, Objective: To evaluate the frequency characteristics, and clinical relevance of potential drug-drug interactions (pDDIs) in Cardiovascular Surgery Int... |
Ireland’s ADM (Capacity) Act 2015: Essential insights for International Medical PractitionersBy Shankar Lal, Ehtesham Khan, Assisted decision-making (ADM) frameworks signify a revolutionary change in healthcare law and ethics, incorporating autonomy, dignity, and participat... |
Harnessing Artificial Intelligence to Restore Medical and Dental Education Standards in PakistanBy Orooj Bashir, Syeda Kashaf Abbas, Javed Ashraf, Pakistan’s medical and dental education has experienced declining standards, inconsistent regulation, and periodic loss of recognition of degrees. T... |
Effects of High Intensity Aerobic Interval Training Versus Continuous Aerobic Training in Heart Failure PatientsBy Hafiza Misbah Inayat, Muhammad Iqbal Tariq, Mehwish Waseem, Ayesha Khalid, Farheen Khan, Muhammad Asad, The study was conducted to determine the effects of high intensity aerobic interval training versus continuous aerobic training in heart failure patie... |
Magnifying Endoscopy Versus Endoscopic Ultrasound for Assessment of the Invasion Depth in Superficial Esophageal Squamous Cell Carcinoma: A Meta-AnalysisBy Ruihong Chen, Wei Yang, Biao Yang, Dou Fu, YuanFa Li, Both magnifying endoscopy(ME) and Endoscopic ultrasound(EUS) are applied for assessment of invasion depth in superficial esophageal squamous cell carc... |
Association Between Oral Health Status and Oral Frailty in Older InpatientsBy Qiang Ren, Weican Chen, Bingjie Zhang, Objective: This study aimed to investigate the relationship between oral health status and oral frailty in older inpatients, provide a basis for the e... |
Cardıovascular Death Risks and Cardıovascular Risk Awareness in Hypertensıve IndividualsBy Kubra Karadag, Hilal Aksoy, Izzet Fidanci, Duygu Ayhan Baser, Objective: In the study, it was aimed to determine the cardiovascular death risks of individuals and awareness about cardiovascular disease risk facto... |
Pediatric Bone Marrow Transplant OutcomesBy Dr Asghar Ali Kerio, Dr Uzair Ahmad, Dr Shahazad Sarwar, Dr Hafiz Muhammad Nadeem, Dr Muhammad Afzal, Dr Maria Riaz, Objective: To evaluate the clinical outcomes in pediatric post bone marrow transplant (BMT) patients, including overall survival, post-transplant comp... |
Sepcturm of Microorganisms Responsible for Chronic Suppurative Otitis MediaBy Fahad Hasnain, HAMAD-UR-REHMAN , Bakhteen Ullah, Aftab Ahmad, Muhammad Tariq, Halla Saboor, Chronic suppurative otitis media (CSOM) is a persistent infection of the middle ear characterized by tympanic membrane perforation and chronic ear dis... |
Implementation of Case-Based Integrated Learning (CBIL) in Undergraduate Anaesthesiology RotationBy Dr Rabia Aftab, Dr Rahila Ali, Dr Aliya Ahmed, Dr Hina Zahid, Dr Saima Rashid, Case-based integrated learning (CBIL) is an innovative pedagogical approach collaboratively designed by clinical faculty and medical educationists to ... |
Fracture-Level Screws Augment Short-Segment Fixation in Thoracolumbar Burst FracturesBy Li Bao, Baifeng Liu, Objective: To compare radiographic maintenance, disc degeneration, and functional outcomes between short-segment pedicle screw fixation (SPSF) alone a... |
Healthcare Simulation in Pakistan - The Need of the HourBy Faisal Wasim Ismail, Simulation based education is an established approach that is increasingly important in enhancing the competency of the health care workforce and impr... |
Endovascular Interventions for Chronic Limb threatening ischemia (CLTI)By Zia Ur REHMAN, Hafsa Shaikh, Asma Haque, Akhyar Nasir, Objective: To determine the indications, lesion types, technical success, complications, and limb salvage rate in patients undergoing lower limb angio... |
Iatrogenic Abdominal Vascular Injuries – A Case SeriesBy Zia Ur Rehman, Syeda Kanza Shabnum, Afsheen Ilyas, Objective: To evaluate the pattern, patient related factors, and surgical outcomes of iatrogenic abdominal vascular injuries (IAVIs) managed at a tert... |