Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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The aim of this study is to describe the characteristics and outcome of thyroid storm patients presenting at two tertiary care centres of Karachi, i.e. at Dow University of Health Sciences; and Liaquat National Hospital, Karachi, from December 2018 to May 2019. All patients between 18-70 years of age, who were admitted with thyroid storm and fulfilled the Burch- Wartofsky criteria, were inducted. Demographics including age, gender, clinical presentations, systemic symptoms, clinical examination of the thyroid and laboratory findings were reviewed from the file records to identify factors associated with mortality using the available data. ⋯ The mean age was 43 ±1.67 years. Infections were the most common comorbid condition followed by cardiovascular and gastrointestinal diseases. The in-hospital mortality rate was 87.5% (n=07).
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J Coll Physicians Surg Pak · Mar 2020
Observational StudyDoppler Ultrasound Evaluation of the Efficacy of High Intensity Focused Ultrasound in Treatment of Cesarean Section Scar Pregnancy.
To investigate the value of Doppler ultrasound in evaluating the efficacy of high intensity focused ultrasound (HIFU) in treatment of cesarean section scar pregnancy. ⋯ Doppler ultrasound can provide accurate qualitative diagnosis of cesarean section scar pregnancy, and possess higher clinical value in evaluating the treatment efficacy of cesarean section scar pregnancy with HIFU.
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J Coll Physicians Surg Pak · Mar 2020
Correlation Between the Severity of Coronary Artery Ectasia and Monocyte/Lymphocyte, Platelet/Lymphocyte, and HDL/LDL Ratios.
To evaluate the efficacy of the monocyte/lymphocyte, platelet/lymphocyte, and HDL/LDL ratios as markers of the severity of coronary artery ectasia(CE). ⋯ Although there should be awareness of CE, many clinicians do not pay as much attention to CE as to coronary stenosis. The results of this study showed that the monocyte/lymphocyte ratio and platelet/lymphocyte ratio are consistent with the ectasia severity. This correlation will be useful for the evaluation of follow-up and treatment success in patients with CE.
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To analyse the outcome and morbidity associated with decortication in empyema thoracis. ⋯ Open decortication is still one of the preferred procedures in developing countries. VATD is also increasingly utilised for empyema.
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J Coll Physicians Surg Pak · Mar 2020
Observational StudyDiagnostic Value of Serum Biomarkers in Combined Hepatocelluar-Cholangiocarcinoma.
To explore the value of des-gamma-carboxyprothrombin (DCP), alpha-fetoprotein (AFP) and carbohydrate antigen-199 (CA-199) for diagnosis of combined hepatocellular-cholangiocarcinoma (cHCC-CC). ⋯ DCP, AFP and CA-199 have diagnostic value for cHCC-CC, and the combination of DCP, AFP and CA-199 is useful for assisting diagnosis before histological examination. Clinicians should be alert for cHCC-CC when DCP, AFP, or CA-199 levels are abnormal.