Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jan 2020
Case ReportsOptical Trocar Causing Aortic Injury: A Potentially Fatal Complication of Minimal Access Surgery.
Trocar injury to abdominal aorta is uncommon and even rare with optical trocars. Such injury, resulting from umbilical trocar insertion, is potentially fatal. ⋯ Immediate recognition of the injury, deployment of life-saving manoeuvres, timely resuscitation, followed by definitive repair of aorta by vascular surgeon was life-saving for this patient. The recovery phase was uneventful and patient had no residual clinical problems during follow-up.
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J Coll Physicians Surg Pak · Jan 2020
Multicenter Study Comparative StudySalivary Biomarker Interleukin-8 Levels in Naswar Users and Non-users.
Salivary biomarkers can be used as diagnostic and predictive aids in early detection of oral cancer or potentially malignant disorders. A cross-sectional comparative study was conducted over a period of one year from August 2016 to August 2017 in a multicentre setting in Islamabad. A total of 60 patients were recruited and divided into two equal groups of naswar users and non-users. ⋯ The results were then analysed by using independent t-test. Statistically significant difference was found regarding the levels of salivary IL-8 between the naswar users and non-users (p <0.001). The levels of salivary IL-8 in non-users were 33.39 ±22.44 pg/ml, while the increased levels of salivary IL-8 in naswar users were found to be 173.48 ±46.52 pg/ml.
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J Coll Physicians Surg Pak · Jan 2020
Randomized Controlled Trial Comparative StudyEffects of Butyphthalide Combined with Idebenone on Inflammatory Cytokines and Vascular Endothelial Functions of Patients with Vascular Dementia.
To determinate the clinical effect of butyphthalide combined with idebenone in the treatment of vascular dementia (VD) and the influence on inflammatory cytokines and vascular endothelial functions. ⋯ Butyphthalide combined with idebenone can effectively reduce serum inflammatory factor level of VD patients, regulate vascular endothelial functions, relieve dementia degree, and improve cognitive function and daily activity ability.
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J Coll Physicians Surg Pak · Jan 2020
Can Urodynamic Findings of Overactive Bladder Determine the Treatment Effect of Urotherapy in Children?
To assess the correlation between urodynamic study findings and urotherapy treatment response in children with urotherapy-resistant overactive bladder (OAB). ⋯ Urodynamic verification of DO is not a prerequisite for urotherapy treatment response. Decreased cystometry bladder capacity (DCBC) found in UDS may suggest a poorer treatment response to urotherapy than patients with normal CBC.