Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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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.
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J Coll Physicians Surg Pak · Mar 2022
Observational StudyIncidental Detection of Inguinoscrotal Bladder Hernia with Associated Factors on 18F-fluorodeoxyglucose PET/CT Scans.
To evaluate the associated factors of inguinoscrotal bladder hernia (ISBH), which was detected on 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) scans. ⋯ This study reiterated the impact of PV and the parameters representing abdominal fat distribution on ISBH development. PET/CT scan provided valuable information regarding both the hernia contents and the associated factors in which the higher PV had a significant association for the development of ISBH as well as lower SFV/VFV that was more prominent in ISH with bowel. Key Words: Inguinoscrotal bladder hernia, 18F FDG PET/CT scan, Subcutaneous fat, Prostate volume, Visceral fat.
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J Coll Physicians Surg Pak · Mar 2022
Can First-trimester AST to Platelet Ratio Index Scores Predict HELLP Syndrome?
Null.