Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jul 2013
Case ReportsBursa formation with scapular osteochondroma in hereditary multiple exostosis.
Osteochondroma is the most common benign bone tumour present multiple hereditary exostosis (HME). Scapular osteochondroma associated with pain and bursitis is rarely reported in literature. Here, we describe a 49-year-old male with the diagnosis of HME who was admitted to the Department of Thoracic Surgery with a painful and rapidly enlarging mass behind the left scapula. ⋯ Pathological findings confirmed that mass was a large bursa formation due to scapular osteochondroma without any evidence of malignancy. Osteochondroma should be considered in differential diagnosis of chest wall tumours located at this specific site. We discuss this rare complication of HME and emphasize the importance of early diagnosis and differentiation from malignant transformation of osteochondroma.
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J Coll Physicians Surg Pak · Jul 2013
Perceived self-efficacy and academic performance of medical students at Ataturk University, Turkey.
To determine the association of perceived self-efficacy with academic performance of pre-clinical medical students. ⋯ The results illustrate in pre-clinical years at medical schools the general self-efficacy does not play any role in their performance.
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J Coll Physicians Surg Pak · Jul 2013
Effectiveness of reflective exercises for obstetrics and gynaecological residents.
To evaluate the effectiveness of reflective exercises in obstetrics and gynaecology (OB/GY) residents for the improvement in certain identified skills. ⋯ Regular engagement of postgraduate trainees in reflective exercises in a purposeful manner has encouraging results in terms of improvement in surgical, communication, critical appraisal skills and has a role in boosting professionalism among residents. However, a longitudinal multicentre study can give better insight regarding the effectiveness of this practice.
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J Coll Physicians Surg Pak · May 2013
Comparative StudyComparison between transcerebellar diameter with biparietal diameter of ultrasound for gestational age measurement in third trimester of pregnancy.
To determine the frequency of correct assessment by transcerebeller diameter (TCD) versus biparietal diameter (BPD) for gestational age measurement at 36 weeks of pregnancy using first day of last menstrual period (LMP) for actual period of gestation. ⋯ Although both BPD and TCD are accurate biometric parameters at 36 weeks of gestation, transcerebellar diameter is more reliable method of gestational age determination in third trimester of pregnancy than biparietal diameter. TCD can be used as a tool to assist in the assessment of gestational age in third trimester.
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J Coll Physicians Surg Pak · May 2013
Patients leaving against medical advice: an inpatient psychiatric hospital-based study.
To determine the frequency of patients leaving against medical advice (LAMA) in an inpatient psychiatric facility in Rawalpindi, Pakistan. ⋯ Leaving against medical advice is a frequent problem in psychiatric inpatients and is a matter of great concern for the treating doctors.