Pak J Med Sci
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Knowledge of the C-reactive protein trend and deviation from the expected value may give an early indication of a possible postoperative infection. According to previous studies, CRP appears to be a more sensitive and specific marker of postoperative infections than ESR and white cell count. This study was conducted to determine the diagnostic accuracy of C-reactive protein to rule out surgical site infection in patients undergoing hip fracture surgery. ⋯ CRP level at post-operative day three is a sensitive indicator of infection after hip fracture surgery.
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Emergency medicine has transitioned from developing to a developed specialty in Pakistan. It is gaining recognition in the national and international arena. Residency in emergency medicine is a tough pathway in which a resident learns and is assessed at multiple levels. ⋯ The selection process was traditionally based on seniority and academic achievements with no consideration for soft skills. In the current write-up, we are proposing an evidence-base sequential chief resident selection process called Chief Resident Election of Emergency Department (CREED). The program was developed keeping in consideration the traditional method of election and interviews with the incorporation of reflexive, leadership, communication, and collaboration skills.
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To investigate the prevalence of additional canals and the occurrence of oval canals in apical third area of mandibular permanent incisors of Saudi sub-population. ⋯ In this study, multiple canals were prominently recognized with Type-III mandibular incisors dominating this feature. Oval canals were predominantly found in single canal especially Type-III. This research suggests variability in canal morphology among different populations. Knowledge of these aberrant canal anatomies is useful for the clinician to achieve a favorable endodontic outcome.
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To compare the efficiency of U100 laser and pneumatic ballistics combined with percutaneous transhepatic cholangioscopic lithotripsy (PTCSL) in the treatment of intra-and extrahepatic bile duct stones and their effects on liver function. ⋯ Compared with pneumatic ballistics, U100 laser lithotripsy combined with PTCSL in the treatment of intra and extrahepatic bile duct stones has the advantages of less postoperative pain, shorter hospital stay, less biliary bleeding and stone residue, and less damage to liver function.
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To compare the outcomes of Ponseti treatment with the traditional treatment method for clubfoot. ⋯ Ponseti treatment is better than earlier treatment in terms of lesser need of surgeries, higher flexibility of ankle or foot, and lower presence of X-ray guided talar flattening.