Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Dec 2020
Case ReportsSilver-Russell Syndrome: Orthodontic Perspective.
Silver-Russell syndrome (SRS) is a rare disorder characterised by prenatal and postnatal growth deficiency, a relatively large head size with triangular face, a prominent forehead, body asymmetry, feeding difficulties, clinodactyly and other features. Abnormalities of chromosome number 7 and 11 have been found in 60% of patients, but the diagnosis of the disease is mainly by ascertaining clinical features. We, herein, report a case of an 11-year boy who presented to Orthodontics Department of Armed Forces Institute of Dentistry (AFID), for treatment of craniofacial and oral problems, which included small-sized jaws and severely crowded teeth. The patient is undergoing serial extraction treatment at the moment, which will be followed by further orthodontic treatment. Key Words: Silver-Russell syndrome, Growth deficiency, Triangular face, Body asymmetry.
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J Coll Physicians Surg Pak · Dec 2020
Quality Assurance Audit of Digital Intraoral Periapical Radiographs at the Undergraduate Dental Clinics.
To assess the quality of digital intraoral periapical radiographs by investigating the percentage of radiographic images that satisfied the good quality standards. ⋯ According to the results of the quality assurance audit, the radiographs were below the standards set by the Health Protection Agency. Recommendations were made for improvement measures in the radiology department, and re-audit was planned after one year. Key Words: Quality assurance, ALARA, Radiation protection, Audit, Digital dental radiography.
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J Coll Physicians Surg Pak · Dec 2020
Case ReportsThinking of Unilateral Osteitis Condensans Ilii in the Emergency Room: Case of a Young Pregnant Female with Back Pain.
Osteitis condensans ilii (OCI) remains an orthopedic diagnostic dilemma; moreover, such presentation in the emergency room (ER) is unique. Limited awareness about this topic compels emergency and internal medicine physicians to perform extensive investigations which often leads to misdiagnosis. ⋯ The mainstay treatments are analgesics and physiotherapy. Key Words: Osteitis condensans ilii, Back pain, Pregnancy, Triangular sclerosis.
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J Coll Physicians Surg Pak · Dec 2020
Meta AnalysisMeta-analysis of the Value of Cardiac Nuclear Magnetic Resonance in the Diagnosis of Viral Myocarditis.
To evaluate the diagnostic value of cardiac magnetic resonance imaging (MRI) in viral myocarditis by meta-analysis. PubMed, EMbase, Cochrane, Web of Science, China National Knowledge Infrastructure (CNKI, China) Wanfang Databases were searched for clinical research literature on MRI diagnosis of viral myocarditis from the establishment of the database to March 1, 2020. The pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic odds ratio (DOR) and the summary receiver operating characteristic (SROC) were analysed by Stata 15.0. ⋯ Existing research have confirmed that cardiac MRI has high sensitivity (94%) and moderate specificity (75%) for viral myocarditis. The positive ratio of test in myocarditis group is 45.24 times higher than that in non-myocarditis group indicating the outstanding effect of diagnosis and discrimination. Key Words: Cardiac magnetic resonance imaging, Viral myocarditis, Systematic review, Meta-analysis.
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J Coll Physicians Surg Pak · Dec 2020
Randomized Controlled TrialEffects of Point-of-care Ultrasonography on the Diagnostic Process of Patients Admitted to the Emergency Department with Chest Pain: A Randomised Controlled Trial.
To evaluate the effect of point of care ultrasonography (POCUS) performed for heart, lung, aorta, hepatobiliary and deep veins on the diagnosis, length of stay (LOS) in emergency department (ED) and cost in patients admitted to the ED with chest pain. ⋯ POCUS is a repeatable, practical imaging method which does not require radiation, reduces LOS in the ED statistically significant. However, further studies are needed to determine its usefulness in the ED. Key Words: Chest pain, Cost, Emergency medicine, Length of stay, Point of care ultrasound.