Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Feb 2020
Rapamycin-eluting Single and Double Stenting on Serum Markers in Coronary Bifurcation Lesions.
The objective of study was to compare effects of rapamycin-eluting single and double stenting on serum markers like high sensitivity C-reactive protein (hs-CRP), tumor necrosis factor alpha (TNF-α), interleukin 6 (IL-6), interleukin 8 (IL-8) and monocyte chemoattractant protein-1 (MCP-1) in patients with coronary bifurcation lesions. It was an experimental study carried out from April 2016 to July 2017. One hundred and twenty-six patients were divided into two equal groups according to different treatment regimens. ⋯ Three months after operation, hs-CRP, TNF-α, IL-6, IL-8 and MCP-1 levels in group B were lower than those in group A (p=0.010, p <0.001, p <0.001, p <0.001 and p <0.001, respectively). After one year of follow-up, rate of intrasegmental restenosis of branch vessels was higher in group A than in group B (p=0.011). Compared with rapamycin-eluting single stenting, rapamycin-eluting double stenting may regulate more effectively the above serum markers levels, reduce the incidence of intrasegmental restenosis of branch vessels.
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J Coll Physicians Surg Pak · Feb 2020
Childbirth and Postpartum Period Fear and the Related Factors in Pregnancy.
This study was carried out to determine the factors affecting pregnant women's anxiety levels during delivery and the postpartum period. ⋯ It was determined that pregnant women's anxieties about delivery and babycare increased, especially in the last trimester.
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J Coll Physicians Surg Pak · Feb 2020
Case ReportsIsolated Superficial Dorsal Penile Vein Thrombosis due to Scabies Infestation.
Thrombosis or thrombophlebitis of the superficial dorsal vein of the penis is called penile Mondor's disease. Although many factors are suggested as the etiology, but it has not been clarified yet. ⋯ Herein, we present a case of isolated superficial dorsal penile vein thrombosis developing due to scabies infestation without any additional thrombogenic factors. Conservative approach and medical treatment were sufficient in the successful treatment of scabietic penile Mondor's disease.
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J Coll Physicians Surg Pak · Feb 2020
Assessment of Age and Duration of Symptoms on Outcomes of Emergency Scrotal Exploration for Acute Scrotal Pain.
To study the effects of age and duration of symptoms on the outcomes of scrotal explorations for acute scrotal pain at our institution. ⋯ The most commonest diagnosis for patients presenting with acute scrotal pain was torsion of the testis followed by torsion of appendix testis. Testicular salvage was inversely related to the duration of symptoms. Patient's age did not predict the need for orchidectomy. This data supports the practice of urgent scrotal exploration for acute scrotal pain with a clinical suspicion of torsion regardless of age and duration of symptoms.