Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Mar 2022
Assessment of Refractive Outcome of Photo Refractive Keratectomy in Myopia and Myopic Astigmatism.
To determine the refractive outcomes of wavefront optimized photo refractive keratectomy (PRK) in patients having myopia and myopic astigmatism in terms of efficacy, safety, accuracy, stability and predictability of the procedure. ⋯ PRK is an effective, predictable, and safe treatment procedure for correcting myopia and myopic astigmatism. Key Words: Photorefractive keratectomy, Myopia, Refractive surgery, Myopic astigmatism, Uncorrected distance visual acuity.
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J Coll Physicians Surg Pak · Mar 2022
Need for Clinical Guidelines for Management of Osteoporosis: Do Not Forget Role of Rehabilitation Interventions.
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J Coll Physicians Surg Pak · Mar 2022
The Efficacy of an Initial Prednisone Monotherapy Regimen on PLA2R-associated Idiopathic Membranous Nephropathy.
The aim of this study was to evaluate the efficacy and safety of prednisone monotherapy for phospholipase A2 receptor (PLA2R)-associated idiopathic membranous nephropathy (IMN). This was a retrospective cohort study involving 32 patients enrolled between January 2017 and June 2019 at Beijing Friendship Hospital, Capital Medical University, Beijing, China. Seventeen patients received prednisone monotherapy, and 15 received the Ponticelli regimen. ⋯ Four and three patients relapsed in the prednisone monotherapy and Ponticelli regimen groups, respectively (p = 0.99). Initial prednisone monotherapy had similar efficacy and safety compared with the Ponticelli regimen for PLA2R-associated IMN. Key Words: PLA2R-associated idiopathic membranous nephropathy, Ponticelli regimen, Prednisone monotherapy.
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J Coll Physicians Surg Pak · Mar 2022
Case ReportsMyomectomy for a Large Submucosal Fibroid at the Time of Caesarean Section.
Submucosal uterine fibroids are usually associated with infertility and miscarriage. Hence, term pregnancies with large submucosal fibroids are rare in clinical practice. The management of fibroids during pregnancy remains controversial. ⋯ The patient achieved a satisfactory recovery and was discharged on day-4 after surgery. This case indicates that myomectomy during caesarean section may be a safe and feasible intervention in carefully selected cases of submucosal fibroids. Key Words: Myomectomy, Submucosal fibroid, Pregnancy, Caesarean section.
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J Coll Physicians Surg Pak · Mar 2022
Comparison of Assessment Tools in Online and On-Campus Undergraduate Medical Examinations amidst COVID-19 Pandemic.
To compare the discriminating ability of online assessment tools in the module examinations during the COVID-19 pandemic. ⋯ Viva-voce had a significantly higher discriminating index than MCQs and SAQs in online examinations. On-campus, SAQs had the highest discriminatory index. Using this statistical approach, the effectiveness of different components of the online examinations can be monitored to improve the quality of online examinations amidst the COVID-19 crisis. Key Words: COVID-19, Distance learning, Online education, Discrimination index, ROC curve, Pakistan, Assessment.