Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jun 2021
Observational StudyRelationship between Pleth Variability Index and the Occurrence of Hypotension during Epidural Anesthesia for Cesarean Section.
To determine the predictive effect of pleth variability index（PVI）before anesthesia on hypotension after epidural anesthesia in cesarean section parturient women. ⋯ The PVI and HR values before anesthesia have certain value in predicting hypotension after epidural anesthesia in cesarean section. PVI value before epidural anesthesia has more clinical significance than the HR. Key Words: Pleth variability index (PVI, Heart rate (HR), Epidural anesthesia, Cesarean, Hypotension.
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J Coll Physicians Surg Pak · Jun 2021
Problem-based Learning and Team-based Learning as a Novel Package Approach.
To identify the insights of dentistry students towards a new 3/1 problem-based learning (PBL) and team-based learning (TBL) blended package approach. ⋯ Students valued the novel PBL-TBL package as an optimum learning approach. They predominantly voted in favour of TBL. Students further identified the sequence and format of the current approach conducive to learning, feedback and assessment. Key Words: Hybrid curriculum, Team-based learning, Problem-based learning, Blended learning, Innovative instructional strategy.
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J Coll Physicians Surg Pak · Jun 2021
Comparison of Balloon Trocar versus Telescopic Dissection Method for TEP Inguinal Hernia Repair.
To compare the outcomes between two methods of dissection (balloon trocar vs. telescopic dissection) used in total extra-peritoneal (TEP) inguinal hernia repair. ⋯ Telescopic dissection was cheaper than balloon dissection. The bleeding values and operating time were similar between the two methods, but telescopic dissection caused more postoperative pain. Key Words: Inguinal hernia, Telescopic dissection, Balloon dissection, Total extra-peritoneal (TEP) surgery.
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J Coll Physicians Surg Pak · Jun 2021
Case ReportsTopiramate-induced Acute Transient Myopia and Angle Narrowing.
Sulphamate drugs, widely prescribed for various systemic conditions, are reported to have rare ocular adverse-effects, usually within weeks of initiation of treatment. Medical and drug history in such cases are of pivotal importance in reaching a proper diagnosis. This study reports three cases, which developed topiramate-induced ocular side effects. ⋯ Also, in the third case, there were no macular striae. Topiramate was immediately withheld and all cases were improved without any permanent ocular damage. Key Words: Sulphamate, Topiramate, Angle closure glaucoma, Myopia.
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J Coll Physicians Surg Pak · Jun 2021
Flap Monitoring using Thermal Imaging Camera: A Contactless Method.
To determine the accuracy of the thermal imaging camera for the detection of vascular insult before the onset of permanent tissue damage. ⋯ Thermal imaging camera is an effective and useful adjunct for clinical assessment, as it is an easy and contactless technique. Key Words: Flir one, Flap monitoring, Thermal imaging camera.