Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Dec 2019
Randomized Controlled TrialThe Use of Probiotic with ORS and ORS Only in Children with Acute Diarrhea.
To compare the mean number of stools per day in children treated with combination of probiotic (lactobacillus rhamnosus) with ORS and ORS only in acute diarrhea. ⋯ Probiotics are found to be significantly more effective in reducing the stool frequency in acute diarrhea.
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J Coll Physicians Surg Pak · Dec 2019
Percutaneous Venoplasty for Central Venous Stenosis: Effect on Patient's Symptoms and Patency of Arteriovenous Accesses.
To determine symptomatic relief and patency rate of arteriovenous (AV) fistulae and grafts after venoplasty in patients with central venous stenosis (CVS) on hemodialysis. ⋯ Percutaneous venoplasty provided symptomatic relief to the patients and improved the short-term patency of AV accesses.
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J Coll Physicians Surg Pak · Dec 2019
Observational StudyRelationship between Cellular Immunity Changes and Prognosis in Elderly Patients with Sepsis.
To detect relationship between cellular immunity changes and prognosis in elderly patients with sepsis. ⋯ CD3+T, CD4+T, CD8+T cells and APACHE II scores can be used as independent predictors of the 28-day re-hospitalisation rate.
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J Coll Physicians Surg Pak · Dec 2019
Case ReportsA Case of Immunoglobulin (Ig) G4-related Sclerosing Periaortitis Mimicking Mediastinal Malignant Tumor.
Sclerosing mediastinitis was first described by Oulmont in 1855. The aggressive fibro-inflammatory process that occurs in the mediastinum is the end result of a number of inflammatory processes. It is thought that hypersensitivity reactions to various antigens, autoimmune reactions, and idiopathic fibro-inflammatory responses play a role in the etiology of the disease. ⋯ The disease responded well to steroid treatment, but soon recurred following stoppage of the treatment. The treatment with deflazacort was started again; and he responded well. The lesion disappeared within six months of retreatment.
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J Coll Physicians Surg Pak · Dec 2019
Case ReportsNeurolymphomatosis of the Sciatic and Tibial Nerves.
Neurolymphomatosis (NL) is an uncommon clinical condition, characterised by lymphomatous infiltration of the central and/or peripheral nervous system. Most often it is caused by B-cell non-Hodgkin's lymphoma (NHL). Clinically, patients usually present with neuropathy involving the nerve roots, plexuses, peripheral or cranial nerves. ⋯ It is important to diagnose and start early treatment in all cases of nodal or visceral (including neural) lymphoma with chemo and/or radiation therapy. The PET-CT and MRI can help in making diagnosis. We are presenting a case of 28-year male patient, diagnosed as diffuse large B-cell lymphoma on the background of follicular lymphoma, which initially responded to treatment but then presented with NL, based on clinical history and radiological findings which were confirmed by histopathology.