Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Mar 2021
Use of Shock Index and Lactate to Predict Mortality in Acute Heart Failure Patients in Emergency Department.
To compare the usefulness of shock index (SI) and lactate for prediction of 24-hour and 28-day mortality in acute heart failure (AHF) patients. ⋯ Lactate level and SI of AHF patients calculated in ED triage may be used to predict mortality, and simultaneous use of both parameters may be more helpful. Key Words: Acute heart failure, Emergency department, Lactate, Mortality, Shock index.
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J Coll Physicians Surg Pak · Mar 2021
CROSS or FLOT in Distal Esophageal and Gastroesophageal Cancer.
To compare the chemoradiotherapy for esophageal cancer followed by surgery study (CROSS) and continuous infusion 5-FU, leucovorin, oxaliplatin, and docetaxel (FLOT) protocols administered in distal esophageal and gastroesophageal junction (GEJ) tumors in terms of effectiveness and toxicity. ⋯ A total of 25 patients (44.6%) were treated with CROSS protocol (15 distal esophageal and 10 GEJ tumor), 31 patients (55.4%) with GEJ tumors were treated with the FLOT regimen. Eight of the patients who were administered the CROSS protocol before the operation demonstrated complete pathologicial response, no patients in the FLOT group had complete response to the treatment. In patients with GEJ tumors and ADC histopathology, CROSS and FLOT group had similar second years survival (60% and 59.3%, respectively) (p = 0.803). The frequency of neutropenia was significantly higher in the CROSS group compared to the FLOT group (p = 0.004.) Conclusion: Postoperative pathological response rate in the CROSS group was significantly higher compared to the FLOT group. CROSS and FLOT protocols contributed to survival similarly in patients with GEJ ADC, hematological side effects were more pronounced in patients receiving CRT. Key Words: GEJ cancer, Esophageal cancer, Cross, Flot.
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J Coll Physicians Surg Pak · Mar 2021
Observational StudyEffect of Differences in Thorax Volume and Dimensions on CPR-related Injuries.
To investigate the relationship between the prevalence of cardiopulmonary resuscitation (CPR) related thoracic injury and patients' thoracic volume and dimensions. ⋯ Lower thorax volume and sagittal dimensions were associated with an increased prevalence of traumatic findings. Key Words: Cardiopulmonary resuscitation, Thoracic injuries, Pneumothorax, Rib fracture.
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J Coll Physicians Surg Pak · Mar 2021
Short-term Prognostic Value of Tumor Diameter in Stage 2 and 3 Gastric Cancer.
To investigate the prognostic value of tumor diameter in the short term of 3 and 5 years in patients operated for gastric cancer. ⋯ The tumor size did not have a direct effect on prognosis. It did not provide reliable data about short-term prognosis such as 3 and 5 years in stage 2 and 3 gastric cancer cases. Key Words: Gastric cancer, Stage 2, Stage 3, Tumor size, Prognosis.
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J Coll Physicians Surg Pak · Mar 2021
Case ReportsIsolated Asymptomatic Pulmonary Artery Sling in a Preterm Neonate.
Pulmonary artery sling is an uncommon entity in the neonatal period. It is defined as an abnormally originated left pulmonary artery arising from the posterior aspect of right pulmonary artery. Because of the associated structures in this region, mostly originating from sixth aortic arch, tracheobronchial anomalies and congenital heart defects, it frequently accompanies the pulmonary artery sling. ⋯ Antenatal history was positive for maternal hypothyroidism, for which she was taking L-thyroxine. To the best of our knowledge, this is the first pulmonary artery sling case accompanied by maternal hypothyroidism. Key Words: Pulmonary artery sling, Neonate, Hypothyroidism.