Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Oct 2020
COVID-19 Outbreak and Dentistry: Guidelines and Recommendations for the Provision of Dental Healthcare Services.
After lockdown beginning from the third week of March 2020, face-to-face dentistry is gradually resuming with dental healthcare personnel feeling encouraged to safely provide treatment to the patients amid stringent infection control strategies. Having alerted to the associated infection threat, dentists will be better responding to the challenges of infection control in their clinics. Infection control strategies will follow the rapidly evolving guidelines of the local and international regulatory bodies that are relevant to this pandemic. ⋯ The impacts seem to have long-term effect on the pattern of dental care; and a need for significant changes in the way dentists will provide dental care from now onwards. A wider use of tele-dentistry consultation platforms will obviously reduce the need for patients 2019; visits to dentists and dental hospitals. Key Words: COVID-19, Dentistry, Guidelines, Standards, Healthcare services.
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J Coll Physicians Surg Pak · Oct 2020
Observational StudyOpportunistic Infection in Hospitalised Patients with Inflammatory Bowel Disease.
To investigate the incidence, clinical features, and risk factors of opportunistic infections in elderly patients with inflammatory bowel disease (IBD). ⋯ Hospitalised elderly IBD patients, receiving corticosteroids, immunosuppressive, and biological agents, are at higher risk for infection. The symptoms of opportunistic infections in elderly patients are atypical, but they are prone to multiple infections with poor prognosis. Key Words: Elderly patients, Inflammatory bowel disease, Opportunistic infection, Systemic inflammation reaction syndrome.
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J Coll Physicians Surg Pak · Oct 2020
Case ReportsA Case of Systemic Lupus Erythematosus with Malignant Pleural Mesothelioma in a 42-year Woman.
Systemic lupus erythematosus (SLE) is an autoimmune connective tissue disease characterised by inflammation. Malignant pleural mesothelioma (MPM) is a highly invasive malignant tumor derived from pleural mesothelial cells. Here, we report a case of SLE with MPM. ⋯ We should pay attention to pleural effusion when diagnosing SLE. If possible, a pleural biopsy should be performed to reduce misdiagnosis and missed diagnosis. Key Words: Pleural effusion, Systemic lupus erythematosus (SLE), Mesothelioma.
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J Coll Physicians Surg Pak · Oct 2020
Observational StudyThe Prognostic Effect of Metastatic Lymph Node Ratio in Operated Gastric Cancer Patients.
To assess the prognostic importance of metastatic lymph node ratio (MLNR) in operated gastric cancer patients. ⋯ The study contributed to the literature that MLNR is practical and useful as an independent prognostic factor predicting survival even better than tumor/node/metastasis (TNM) staging system. Key Words: Gastric cancer, Metastatic lymph node ratio, Prognostic factor, Surgery.
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J Coll Physicians Surg Pak · Oct 2020
Case ReportsAnaesthesia Management of a Patient with Glucose-6-Phosphate Dehydrogenase Deficiency Undergoing Total Thyroidectomy.
We present here, anaesthesia management of a patient having glucose-6-phosphate dehydrogenase (G6PD) deficiency who underwent thyroidectomy. The main concern is to avoid any precipitating factor which could lead to oxidative stress in these patients. There is very limited data available on anaesthesia management of thyroid surgery in such patients. Key Words: Glucose-6-phosphate dehydrogenase deficiency, Oxidative stress, Anaesthesia management.