Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Apr 2020
Review Meta AnalysisEffects of Mode and Duration of Exercises on Fat Mass of Obese Population.
A meta-analysis was performed to determine impact of resistance and aerobic exercise on body fat of obese population. Database of Google Scholar, BioMed Central, and Medline was reconnoitered for the purpose of research article of interest. Inclusion criteria encompass all those studies in which effects of aerobic and resistance exercise were determined on body fat mass of obese participants. ⋯ Results revealed that resistance exercise had a mild pool affect in increasing weight of participants with an effect size (SMD) of 0.26 (95% of CI -0.09 to 0.63) calculated at random effect model, I2 83.80% (95% of CI 71.76 to 90.71) in comparison to aerobic exercises performed during the duration of two to eight weeks of training protocol. The meta-analysis concluded that resistance exercises had a mild pool effect in increasing the weight of the participants in comparison to aerobic exercises. Key Words: Aerobic exercises, Resistance exercises, Obesity, Fat mass, Body fat index and body fat composition.
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J Coll Physicians Surg Pak · Apr 2020
Meta AnalysisEffect of General and Non-general Anesthesia on Postoperative Cognitive Dysfunction.
ABATRACT Controversy exists in the effect of general anesthesia and non-general anesthesia on postoperative cognitive dysfunction (POCD). The authors aimed to perform this systematic review to comprehensively assess the effect of general anesthesia or non-general anesthesia on POCD. Relative studies from the online literature database were retrieved. ⋯ In conclusion, when compared with the non-general anesthesia, general anesthesia increases the incidence of POCD in patients within three days after surgery, but makes no difference after seven days. It suggests that early intervention should be conducted on patients undergoing general anesthesia. Key Words: General anesthesia, Postoperative cognitive dysfunction, Meta-analysis.
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J Coll Physicians Surg Pak · Apr 2020
Strain Elastography for Differentiation between Benign and Malignant Thyroid Nodules.
To find out the diagnostic accuracy of strain elastography in differentiating between benign and malignant thyroid nodules taking cytology as a gold standard. ⋯ Sonoelastography is the non-invasive modality of choice with high diagnostic accuracy in differentiating between malignant and benign nodules. Key Words: Sonoelastography, Strain elastography, Thyroid nodule, Benign, Malignant, Sensitivity, Specificity.
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J Coll Physicians Surg Pak · Apr 2020
Observational StudyFactors Affecting Pathological Complete Response After Neoadjuvant Chemotherapy in Operable Primary Breast Cancer.
To investigate factors influencing pathological response to neoadjuvant chemotherapy (NAC) in operable primary breast cancer. ⋯ In this study, breast cancer patients with high histological grade, negative HR status and lymph nodes, positive HER2 status, as well as taxane-based regimens were significantly associated with achieving pCR with NAC. Key Words: Breast neoplasms, Neoadjuvant therapy, Surgery, Pathology.