Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Dec 2021
Case ReportsSpinal Muscular Atrophy with Respiratory Distress
Type 1: A Novel Variant of IGHMBP2 Gene.Spinal muscular atrophy (SMA) with respiratory distress type 1 (SMARD1) is an exceptionally rare type of SMA. It results from disintegration of alpha motor neurons of the spinal cord. Clinically, children affected with this disorder present between the age of six weeks to six months with respiratory distress and hypotonia. ⋯ Despite supportive treatment, she died at the age of 5 months in hospital. To the best of our knowledge, the variant has not been described in the literature so far. Key Words: Spinal muscular atrophy with respiratory distress type-1 (SMARD1), Hypotonia, respiratory distress, infants.
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J Coll Physicians Surg Pak · Dec 2021
A Comparison of Lower Limb Peripherally Inserted Central Catheter and Deep Venous Catheterisation.
To compare the clinical application effects of peripherally inserted central catheter (PICC) and deep venous catheters placed through the lower limbs in adults with malignancy obviating the use of upper limb PICC. ⋯ The indications for PICC through the lower limbs in adults include patients with advanced malignant tumor after bilateral breast cancer lymphadenectomy or superior vena cava obstruction syndrome, and mainly bedridden patients. This technique has certain advantages over deep venous catheterisation and is an effective choice for venous access. Key Words: Lower limb PICC, Deep venous catheterisation, Advanced malignant tumor, Bedridden.
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J Coll Physicians Surg Pak · Dec 2021
Effect of Obesity on Percutaneous Thrombectomy Outcomes in the Treatment of Lower Limb Deep Vein Thrombosis.
To evaluate the effect of obesity on percutaneous thrombectomy (PT) results for the management of lower limb deep vein thrombosis (DVT). ⋯ Obesity prolonged operation time and fluoroscopy time during PT. Additionally, obesity was associated with significantly longer hospitalisation period, and ICU stay, and higher VAS score in the first hour following PT. Key Words: Complication, Deep vein thrombosis, Obesity, Percutaneous thrombectomy, Success, VAS score.
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J Coll Physicians Surg Pak · Dec 2021
Predictive Factors of Success in Sleeve Gastrectomy: One-Year Follow-up and the Significance of HALP Score.
To investigate whether HALP score [hemoglobin, albumin, lymphocyte (LY), platelet] can predict weight loss in patients undergoing sleeve gastrectomy. ⋯ In patients with high HALP scores, the rate of weight loss was higher, and most of their laboratory parameters were improved compared to those patients with low HALP scores. Key Words: Body mass index, Sleeve gastrectomy, obesity, Weight loss, HAIP score.