Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jan 2023
Observational StudyDoes the CDC COVID-19 Exposure Assessment Criteria for Healthcare Personnel Work in a Healthcare Setting in Pakistan?
To evaluate the real-world performance of the CDC's "Interim US guidance for risk assessment and work restriction for healthcare personnel with exposure to COVID-19" at a private healthcare system in Pakistan. ⋯ COVID-19, Employee health, Occupational health and safety programs, Medical surveillance/screening, Return to work.
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J Coll Physicians Surg Pak · Jan 2023
Anatomical Morphology and Related Angles of Foramen Ovale: A Three-dimensional Computed Tomography Reconstruction.
This study aimed to report the three-dimensional reconstruction of the foramen ovale (FO) based on computed tomography angiography and describe its shape and related angles. A retrospective analysis of 199 adult patients who were hospitalised at the Department of Neurosurgery, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, China, from January to December 2020 was conducted. The original DICOM files of patients' computed tomography scans were processed by 3D Slicer software to reconstruct the three-dimensional skull. ⋯ The FO is most commonly oval in shape. Clinicians may use the anatomical characteristics regarding the size and shape of the FO for diagnosis and treatment. Key Words: Foramen ovale, Computed tomographic angiography, 3-Dimensional anatomy.
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J Coll Physicians Surg Pak · Jan 2023
Observational StudyClinical Prognostic Factors During the Last One Month of Life in Terminally Ill Cancer Patients: A Retrospective Observational Study.
To explore the trajectory of clinical symptoms and biomarkers in the last four weeks of life in terminally ill cancer patients. ⋯ Cancer, Ordinal regression analysis, Death, Terminal illness, Biomarkers.
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J Coll Physicians Surg Pak · Jan 2023
Case ReportsA Rare Case of Aortoenteric Fistula: Secondary Aortoesophageal Fistula.
Although aortoenteric fistula has been recognised for more than 50 years and has been rapidly diagnosed and treated, mortality is still very high due to some serious complications such as sepsis or massive haemorrhage. It has been traditionally classified into two groups; primary (PAEF) and secondary (SAEF). ⋯ In this case report, we describe a case of SAEsF, which had an atypical presentation and fatal outcome. Key Words: Abdominal aortic aneurysm, Aortoenteric fistula, Aortoesophageal fistula.
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J Coll Physicians Surg Pak · Jan 2023
Case ReportsA Rare Cause of Gastrointestinal Bleeding: Successful Repair of a Primary Aorto-enteric Fistula.
Aorto-enteric fistula is a surgical emergency with potentially deadly results. Urgent surgical exploration and repair can lower mortality by 50%. Retroperitoneal fibrosis, mycotic aortic aneurysm, and infectious aortitis can mimic this condition on imaging and lead to unfavourable outcomes. ⋯ Here, we present a 67-year female with a primary aorto-enteric fistula. She underwent open repair of the abdominal aortic aneurysm using a prosthetic graft and primary anastomosis of the intestine. Key Words: Aorto-enteric fistula, Gastrointestinal bleeding, Aortic aneurysm.