Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jan 2020
Comparative StudyGraft Success and Hearing Results between Cartilage Island Graft and Temporal Muscle Fascia Graft Myringoplasty.
To compare the graft success and hearing results in patients who underwent cartilage island graft (CIG) myringoplasty and temporal muscle fascia graft (TFG) myringoplasty. ⋯ Cartilage island grafts can be preferable for myringoplasty operations.
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J Coll Physicians Surg Pak · Jan 2020
Comparative StudySignificance of Serum NT-proBNP and Endogenous H₂S for Predicting Coronary Artery Lesions in Pediatric Kawasaki Disease.
To determine the expression levels and clinical significance of serum N-terminal pro-brain natriuretic peptide (NT-proBNP), hydrogen sulfide (H₂S) and interleukin-6 (IL-6) in children with Kawasaki disease (KD). ⋯ NT-proBNP and IL-6 levels rise and the H2S level decreases in the blood of KD children, indicating that these indicators may participate in the pathogenesis of KD and that their levels are related to CAL occurrence and the vascular inflammatory response.
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J Coll Physicians Surg Pak · Jan 2020
Stricture of Urethra: Patterns and Outcomes of Management from a Single Centre in Pakistan Over 7 Years.
To determine the outcomes of urethroplasty and its complications from a large cohort of patients managed in a single centre. ⋯ Anastomotic urethroplasty yielded best outcomes followed by OMG urethroplasty. In the long-term follow-up, erectile dysfunction (ED), infertility and recurrence of stricture are the main complications which need individualised management.
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J Coll Physicians Surg Pak · Jan 2020
Comparison of Mortality in Fournier's Gangrene with the Two Scoring Systems.
To determine the factors associated with mortality in Fournier's gangrene (FG) toward informing the development of effective treatment strategies. ⋯ Based on the findings described in this study, age and dissemination scores from the UFGSI can be used to predict patient outcome. Patients with a UFGSI score greater than 10 have a higher mortality rate.
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J Coll Physicians Surg Pak · Jan 2020
Case ReportsPerioperative Nursing of Diffuse Pulmonary Ossification.
This study aims to describe the clinical manifestations of diffuse pulmonary ossification, explore the diagnostic methods to reduce the misdiagnosis rate, and discuss its nursing treatment in the perioperative period. In The Fifth Central Hospital of Tianjin, one patient with diffuse pulmonary ossification, confirmed by surgical lung biopsy, was reported; and the clinical features and effective nursing methods are analysed. The patient was a 16-year teenager, who developed sudden convulsions without obvious cause with limited respiration. ⋯ Therefore, it is easily misdiagnosed as other interstitial lung diseases. Lung biopsy can be used to confirm this disease. Sequential acupoint stimulation by tapping the back can relieve cough and help patients recover quickly.