Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
-
J Coll Physicians Surg Pak · Feb 2023
Engagement of Lady Health Workers for COVID-19 Home-based Care in Pakistan: An Example of Task Shifting.
In April 2021, following the Federal government's decision, an intervention was designed to execute COVID-19 home-based care training program for the LHWs in all provinces to avoid overcrowding in large hospitals so that critically ill patients can get due attention and treatment. The training curriculum was developed in local languages following guidance from NIH and WHO. Basic health units were used as the venue for training and the doctors delivered the sessions as master trainers. ⋯ Training of these LHWs enhanced their skills for dealing with COVID-19 patients and helped ease the pressure on a stressed and over-burdened hospitals. This intervention exemplifies task shifting to LHWs, hence addressing the issue of insufficient health workforce in the hospitals and extending public healthcare to rural communities. Key Words: COVID-19, Home-based care, Health system, Lady health workers, Pakistan.
-
J Coll Physicians Surg Pak · Feb 2023
Efficacy of Autoinoculation in Treatment of Multiple Viral Warts - A Single Arm Study.
To test the effectiveness of autoinoculation of a wart in patients with multiple viral warts. ⋯ Viral warts, Multiple viral warts, Autoinoculation, Delayed hypersensitivity, Human papilloma virus (HPV), Palmoplantar warts, Immunity.
-
J Coll Physicians Surg Pak · Feb 2023
Observational StudyRelationship Between Atrial Fibrillation and Controlling Nutritional Status Score in Acute Ischemic Stroke Patients.
To determine the relationship between nutritional status evaluated via the COntrolling NUTritional Status (CONUT) score and in-hospital mortality in acute ischemic stroke (AIS) patients. ⋯ Malnutrition, Atrial fibrillation, Stroke.
-
J Coll Physicians Surg Pak · Feb 2023
Observational StudyThe Role of YAP-JNK in the Mitophagy, Migration, and Invasion of Gastric Cancer.
To determine the function of the YAP-JNK-mitophagy signalling pathway in gastric cancer (GC). ⋯ Gastric cancer, YAP, JNK, Autophagy.
-
J Coll Physicians Surg Pak · Feb 2023
Randomized Controlled TrialClinical Efficacy of Early Administration of Human Immunoglobulin on Children with Severe Hand-foot-mouth Disease.
The objective of this study was to investigate the clinical effect of early administration of human immunoglobulin in children with severe hand, foot and mouth disease (HFMD) and its influence on serum c-reactive protein (CRP), creatine kinase (CK), and creatine kinase isoenzyme (CK-MB). One hundred and forty children with severe HFMD were randomly divided into Group A (n=70) and Group B (n=70) according to the random number table method. Group A was treated with routine treatment. ⋯ The total clinical effective rate of Group B was 92.9%, which was higher than that of Group A (80.0%, p=0.026). Early administration of human immunoglobulin may reduce the levels of serum markers CRP, CK, and CK-MB in children with severe HFMD. Key Words: Human immunoglobulin, Children, HFMD (Hand, foot and mouth disease).