JPMA. The Journal of the Pakistan Medical Association
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To confirm the safety of the advanced trauma life support algorithm by comparing the incidence of pelvic fractures diagnosed by pelvic X-ray and computed tomography and to evaluate the need of pelvic X-ray in the management of haemodynamically stable polytrauma patients in whom computed tomography is deemed necessary. ⋯ Computed tomography scan was found to be superior in detecting pelvic, femoral and lumbar fractures.
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Clinical Trial
The effects of implementing a nutritional support algorithm in critically ill medical patients.
To determine the effect of the enteral nutrition algorithm on nutritional support in critically ill medical patients. ⋯ The use of standard algorithms for enteral nutrition may be an effective way to meet the nutritional requirements of patients.
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Case Reports
Huge carcinoid tumour causing complete obstruction of the left main bronchus and destruction of left lung.
Carcinoid tumours arise from the neuroendocrine cells of the bronchial epithelium known as Kulchitsky cells and comprise 4% of all lung malignancies. We report a case of a 16- year-old male who presented with a 1-month history of fever, cough, left-side chest pain and shortness of breath. Chest X -ray showed loss of lung volume on the left side with cystic spaces and air fluid levels. ⋯ Bronchoscopy and bronchial biopsy confirmed the diagnosis of typical carcinoid tumour. A pneumonectomy was performed. This case is unusual due to the large size of the tumour, its location and associated destruction of the entire left lung.
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To explore the correlation of stress and coping strategies among gynaecologists. ⋯ The findings will contribute to knowledge about coping strategies employed by gynaecologists and variables that predict stress among gynaecologists.