Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jan 2020
Controlled Clinical TrialAudiovisual Distraction: A Pricking Pain Reduction Modality among Ladies Receiving Intraoral Injections.
To determine the effect of audiovisual distraction (AVD) using virtual reality device (bobo VRZ4-VRBOX) on intensity of pricking pain at the intraoral injection site among different age groups in ladies. ⋯ AV device is not dependent on age (21-50 years) in reducing the pricking pain. Pain is effectively reduced after the use of AV device, but this reduction is not statistically significant.
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J Coll Physicians Surg Pak · Jan 2020
Randomized Controlled TrialEffects of Propranolol in Accelerating Wound Healing and Attenuation of Hypermetabolism in Adult Burn Patients.
To compare the mean duration of wound healing and attenuation of muscle wasting in adult burn patients treated with propranolol and control group. ⋯ Propranolol administration in adult burn patients appears to be beneficial in reducing morbidity, mortality and hospital stay by enhancing earlier wound healing and attenuating the catabolic muscle wasting in response to stress caused by burn.
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J Coll Physicians Surg Pak · Jan 2020
Case ReportsOptical Trocar Causing Aortic Injury: A Potentially Fatal Complication of Minimal Access Surgery.
Trocar injury to abdominal aorta is uncommon and even rare with optical trocars. Such injury, resulting from umbilical trocar insertion, is potentially fatal. ⋯ Immediate recognition of the injury, deployment of life-saving manoeuvres, timely resuscitation, followed by definitive repair of aorta by vascular surgeon was life-saving for this patient. The recovery phase was uneventful and patient had no residual clinical problems during follow-up.
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J Coll Physicians Surg Pak · Jan 2020
Randomized Controlled Trial Comparative StudyEffects of Butyphthalide Combined with Idebenone on Inflammatory Cytokines and Vascular Endothelial Functions of Patients with Vascular Dementia.
To determinate the clinical effect of butyphthalide combined with idebenone in the treatment of vascular dementia (VD) and the influence on inflammatory cytokines and vascular endothelial functions. ⋯ Butyphthalide combined with idebenone can effectively reduce serum inflammatory factor level of VD patients, regulate vascular endothelial functions, relieve dementia degree, and improve cognitive function and daily activity ability.
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J Coll Physicians Surg Pak · Jan 2020
Multicenter Study Comparative StudySalivary Biomarker Interleukin-8 Levels in Naswar Users and Non-users.
Salivary biomarkers can be used as diagnostic and predictive aids in early detection of oral cancer or potentially malignant disorders. A cross-sectional comparative study was conducted over a period of one year from August 2016 to August 2017 in a multicentre setting in Islamabad. A total of 60 patients were recruited and divided into two equal groups of naswar users and non-users. ⋯ The results were then analysed by using independent t-test. Statistically significant difference was found regarding the levels of salivary IL-8 between the naswar users and non-users (p <0.001). The levels of salivary IL-8 in non-users were 33.39 ±22.44 pg/ml, while the increased levels of salivary IL-8 in naswar users were found to be 173.48 ±46.52 pg/ml.