Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · May 2020
Randomized Controlled TrialInfluence of Preemptive Analgesia with Oxycodone Hydrochloride on Stress Hormone Level of Geriatric Patients undergoing Gastrointestinal Surgery.
To determine the influence of preemptive analgesia with oxycodone hydrochloride on stress hormone level of geriatric patients undergoing gastrointestinal surgery, and evaluate the analgesic effect. ⋯ Giving oxycodone hydrochloride to geriatric patients receiving gastrointestinal surgery can reduce stress hormone release in the postoperative period, and can facilitate postoperative recovery. Key Words: Sold, Gastrointestinal surgery, Oxycodone hydrochloride, Preemptive analgesia, Stress response.
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J Coll Physicians Surg Pak · May 2020
Case ReportsHyperargininemic Encephalopathy with Unique Clinical Presentation and Novel Genetic Mutations.
Hyperargininemia is a urea cycle disorder that has rarely been reported in adults. We present a case of arginase deficiency disorder in a 32-year man with metabolic encephalopathy. He presented with progressive limb spasticity, changes in personality, cognitive decline (impaired judgement, executive and language dysfunction) and pseudo-bulbar affect. ⋯ Hyperargininemic encephalopathy may present in adults and with atypical features. It should be kept in the differential diagnosis of metabolic encephalopathy in adults. Key Words: Metabolic encephalopathy, Pseudobulbar affect, Arginase deficiency, Hyperammonemia, Urea cycle.
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J Coll Physicians Surg Pak · May 2020
Observational StudyAssociation of Dry Eye Disease with Diabetic Retinopathy.
To find out the relationship of dry eye disease with diabetic retinopathy, duration of diabetes and blood sugar levels in patients of type 2 diabetes using ocular surface disease index (OSDI). ⋯ Diabetic retinopathy and older age is significantly associated with dry eye disease. Diabetic patients who complain of dry eye should be referred to the ophthalmologists for fundoscopy to find out diabetic retinopathy. Key Words: Dry eye disease, Ocular surface diseast index (OSDI), Diabetic retinopathy, Meibomian gland dysfunction, DEWS II.
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J Coll Physicians Surg Pak · May 2020
Observational StudyEfficiency and Safety of The Retrograde Intrarenal Surgery in Younger Compared to Elderly Patients.
To determine the outcomes of retrograde ıntrarenal surgery (RIRS) and its complications in both young and elderly patients. ⋯ RIRS is a safe and effective method for treating kidney stones up to 3 centimeter diameter in all age groups. Although hemorrhagic events are mostly clinically unremarkable, there is a risk of renal function impairment in older (≥60 years) patients. Preoperative hydration and postoperative close follow-up is important. Key Words: Retrograde ıntrarenal surgery, Elderly, Effectiveness, Safety.