Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Apr 2022
Case ReportsImprovement of Three Duodenal Re-leaks: Two-way Vacuum-assisted Closure.
We share our experience of a two-way vacuum-assisted closure (VAC) technique that allows patients to heal when generalised peritonitis develops because of a recurrent duodenal leak. Two patients underwent omentoplasty for duodenal ulcer perforation and one patient underwent antrectomy, gastrojejunostomy, and tube duodenostomy. Two-way VAC was performed by taking an abdominal fluid culture and washing the abdomen with 6-12 litres of warm saline. ⋯ The patients were subsequently discharged. Controlling the primary source is often difficult when treating duodenal re-leaks, and two-way VAC can localise the source of the peritonitis and remove toxic peritoneal material. Key Words: Open abdomen, Vacuum-assisted closure, Severe peritonitis, Duodenal leak.
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J Coll Physicians Surg Pak · Apr 2022
ReviewVirtual Skills Teaching of Nursing Students during COVID-19: A Problem-Solving Approach.
The COVID-19 pandemic radically affected the whole education system including nursing education. Nursing is a practice-based profession; therefore, it is necessary to transform acquired knowledge into practice. ⋯ Alternatives like virtual skills teaching along with sign-off were sought by using problem-solving approaches to facilitate students' learning and help them to acquire necessary skills timely. Key Words: Virtual skills teaching, Nursing students, Problem-solving approach, COVID-19.
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J Coll Physicians Surg Pak · Apr 2022
Validation of a Public Health Tool used for the Assessment of Violence against Healthcare Providers in the Rural Areas of Sindh.
To validate a public health tool for assessing violence and its effects against healthcare providers (HCPs). ⋯ Construct validity, Factor analysis, Healthcare providers, Validation, Violence.
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J Coll Physicians Surg Pak · Apr 2022
Normative Measurements and Apparent Diffusion Coefficient Values of Parotid Lymph Nodes on Magnetic Resonance Imaging.
To determine the morphological features and apparent diffusion coefficient (ADC) values of normal intraparotid lymph nodes (IPLNs) obtained from the MRI examination. ⋯ Parotid glands, Lymph nodes, Magnetic resonance imaging, Apparent diffusion coefficient.