Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
-
J Coll Physicians Surg Pak · Feb 2020
Supervisor's Feedback on Progress of E-Logbook System of CPSP: A Cross-sectional Survey.
To determine the feedback of supervisors regarding role of e-logbook in monitoring of training, strengthening supervisor-supervisee relationship and improving overall environment of postgraduate training at College of Physicians and Surgeons Pakistan (CPSP). ⋯ Supervisors perceive electronic logbooks as a useful medium for training monitoring and improvement of the relationship between supervisors and their residents. They have shown wide acceptability to the e-log system. E-log should continue as the primary monitoring system of the training programmes of CPSP.
-
J Coll Physicians Surg Pak · Feb 2020
Inadvertent Perioperative Hypothermia and Important Risk Factors during Major Abdominal Surgeries.
A relation between inadvertent perioperative hypothermia and possible important risk factors during major abdominal surgeries was investigated. ⋯ In this study, important risk factors for inadvertent hypothermia were found as; male gender, advanced age, high ASA scores, smoking, prolonged duration of operation, transfusion of fluids and/or PRBCs.
-
J Coll Physicians Surg Pak · Feb 2020
Prevalence and Determinants of Anemia among Women of Reproductive Age in Developing Countries.
Anemia is one of the major causes of maternal mortality and morbidity across the globe, affecting around two-thirds of pregnant women in developing countries. The objective of this study was to synthesise study findings regarding the prevalence and determinants of anemia among women of reproductive age in developing countries. A total of 28 articles were reviewed by two authors for preliminary screening after removing overlapping information. ⋯ The average prevalence of anemia was found to be 46.5% with a range of 18.1% to 75% in different studies. Factors such as increased maternal age, low education, high parity, poor socio-economic status, poor nutritional status, and certain diseases have been found as important determinants of anemia. There is a need to improve the socio-economic status, literacy, diet and general health of poor women in developing countries.
-
J Coll Physicians Surg Pak · Feb 2020
Pediculated Intercostal Muscle Flaps in Bronchiactasis Resectional Surgery for Bronchial Stump Reinforcement.
To determine the outcome of muscle flap to cover the bronchial stump in the resectional surgery for bronchiectasis for prevention of bronchopleural fistula. ⋯ Application of muscle flap over bronchial stump after resection surgery for bronchiectasis, is simple, safe and effective surgical option to avoid complication of bronchopleural fistula.
-
J Coll Physicians Surg Pak · Feb 2020
Case ReportsSubacute Bowel Obstruction Secondary to an Obturator Hernia.
Obturator hernia is a rare abdominal wall hernia and is one of the rare causes of intestinal obstruction. Due to lack of specific clinical symptoms in the early stage, and the deep position of hernia absence of surface swelling, few cases are diagnosed definitively before surgery. Therefore, obturator hernia is still a serious disease in clinical practice, with high mortality and morbidity. ⋯ Preoperative computed tomography scan was performed, which revealed an incarcerated obturator hernia preoperatively; and it was treated successfully. This report reviews the diagnosis and treatment of obturator hernia by describing its anatomy, clinical manifestations and clinical signs. Increased awareness and proper management of the disease will lead to a decline in mortality and morbidity.