Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
-
J Coll Physicians Surg Pak · May 2024
Randomized Controlled TrialEffect of Intravenous Dexmedetomidine Before Extubation on Emergence Delirium after Nasal Surgeries.
To investigate the role of single dose of dexmedetomidine (0.5 mcg/kg) in reducing the incidence and severity of postoperative emergence delirium (EmD). ⋯ Dexmedetomidine, Emergence delirium, Nasal surgery, Opioid consumption, Pain control.
-
J Coll Physicians Surg Pak · May 2024
Comparative StudyTopical Tacrolimus Ointment Alone versus in Combination with Microneedling for Refractory Stable Vitiligo.
To assess the efficacy of microneedling in combination with topical tacrolimus ointment 0.1% versus topical tacrolimus ointment 0.1% for treatment of refractory stable vitiligo. ⋯ Dermapen, Depigmentation, Microneedling, Tacrolimus ointment, Vitiligo.
-
J Coll Physicians Surg Pak · May 2024
Gender Difference of Burnout in Physicians Working in Tertiary Care Hospital: A Cross-Sectional Study.
Burnout and emotional exhaustion are becoming common among health workers in the busy teaching hospitals due to increased workload and the dearth of human resource. This study aimed to determine the causes of burnout among doctors and across gender differences. This was a descriptive cross-sectional study conducted in the Fauji Foundation Hospital, Rawalpindi, Pakistan, from 1st July to 30th September 2022. ⋯ Emotional burnout is greater in female doctors as compared to their male counterparts. This evidence not only calls for prevention and treatment but also certain service-related reforms to facilitate female physicians to balance out their work and family lives more effectively. Key Words: Physicians, Emotional exhaustion, Burnout, Gender difference, Pakistan.
-
J Coll Physicians Surg Pak · May 2024
Association Between Triglyceride-Glucose Index and Homeostasis Model Assessment for Insulin Resistance with Estimated Glucose Disposal Rate.
This cross-sectional study was aimed to compare insulin resistance, Triglyceride- Glucose (TyG) index, fatty liver index (FLI) and hepatic steatosis index (HSI), glycaemic and lipids among groups/quartiles based upon estimated Glucose Disposal Rate (eGDR) from August 2022 to December 2022 among 249 male participants. The eGDR results in (mg/kg/min) were divided into four quartiles as: Group-I: {<6.88, n = 62}, Group-II: {<6.88-9.45, n = 63}, Group-III: {9.46-10.39, n = 62}, and Group-IV: {>10.39, n = 62}. Fasting plasma glucose (FPG), HbA1c, low density lipoprotein (LDL), homeostasis model assessment for insulin-resistance (HOMAIR), and TyG index demonstrated significant worsening increase from high to low eGDR groups. ⋯ Glycaemic measures, lipid indices, insulin resistance and TyG index deteriorated with declining eGDR. Diagnostic performance as evaluated by AUC for eGDR was highest for FLI, followed by FPG, HOMAIR, HSI, TyG index, HbA1c, and triglycerides. Key Words: Triglyceride, Insulin, Glucose, Diabetes.
-
J Coll Physicians Surg Pak · May 2024
EditorialHow Can We Ensure that the Perioperative Management of Patients Undergoing Endoscopic Retrograde Cholangiopancreatography (ERCP) is Safe?
Null.