Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Oct 2020
Coronavirus Disease 2019 (COVID-19) Mechanical Ventilation Research Theme Analysis: Co-word Cluster Analysis.
The objective of this analysis was to explore the research hotspot of coronavirus disease 2019 (COVID-19) mechanical ventilation. The literature related to COVID-19 mechanical ventilation on PubMed and CNKI database of core journals was retrieved with the keyword of COVID-19 mechanical ventilation. The visualisation software of VOS (visualisation of similarities) viewer performed by the authors and high-frequency keywords. ⋯ The literature yeilded by PubMed paid attention to the factors affecting the poor prognosis of mechanically ventilated patients, the management and research and development of medical data during COVID-19's pandemic, the mechanical ventilation treatment of COVID-19 pregnant women, the mechanical ventilation treatment and nursing in the field of CNKI literature research, and the nutritional treatment of severe pneumonia patients with mechanical ventilation. The current COVID-19 researches, focused on the prevention of nosocomial infection and antiviral drugs in the process of mechanical ventilation, are a new hotspot in the world. Key Words: Coronavirus disease 2019 (COVID-19), Mechanical ventilation, Research hotspot, VOSviewer, Visual analysis.
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J Coll Physicians Surg Pak · Sep 2020
ReviewCoronary Artery Bypass Grafting in Patients with Systemic Lupus Erythematosus.
Surgical treatment of coronary artery disease in the systemic lupus erythematosus (SLE) patients has not been comprehensively addressed. The present review aimed to give an overview of coronary artery disease in the SLE patients receiving coronary artery bypass grafting (CABG). The study materials were based on comprehensive literature retrieval, which recruited 17 pertinent articles with 30 patients. ⋯ The lack of vasculitis and atherosclerosis in the arterial grafts encourage surgeons to prefer to use the arterial grafts in SLE patients. Less invasive surgical technique would favour the patients in terms of long-term outcomes. Key Words: Coronary artery bypass grafting, Graft occlusion, Vascular, Systemic lupus erythematosus.
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J Coll Physicians Surg Pak · Jul 2020
Review Meta AnalysisEfficiency of Thyroid Function Test in the Prediction of Atrial Fibrillation Following Open Heart Surgery.
To analyse the efficiency of thyroid function tests (thyroid stimulating hormone, thyroxine and tri-iodothyronine) on prediction of postoperative atrial fibrillation. ⋯ Preoperative levels of tri-iodothyronine was an effective parameter for predicting postoperative atrial fibrillation after cardiac surgery, but there was a need of larger trials for eliminating heterogeneity for all of the parameters of thyroid function tests. Key Words: Cardiac surgery, Atrial fibrillation, Thyroid stimulating hormone, Thyroxine, Tri-iodothyronine.
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J Coll Physicians Surg Pak · Jul 2020
Review Case ReportsSurgical Field Fire Involving a Premature Neonate.
Surgical field fire is a very rare intraoperative complication and has potentially serious consequences. Cases of surgical field fire have been reported in literature. ⋯ In this case report, we review causes and preventive measures for surgical field fire. Key Words: Surgical field, Fire, Neonate, Prevention, Operation theatre.
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J Coll Physicians Surg Pak · Jun 2020
Pakistan's Health System Against COVID-19: Where Do Things Stand?
The national response of Pakistan's health system to COVID-19 was assessed by applying a framework of three distinct tiers. The first tier assessed politico-economic ecosystems: lockdown procedures, contact-screening, monetary/organisational arrangements for economically deprived groups, and travel restrictions. The second tier assessed intervention measures according to six building blocks of WHO: strategic vision highlighted by National Action Plan COVID-19, inadequacy and urban bias of healthcare professionals, expanded bed capacity, enhanced laboratory diagnostic capacity and financial assistance. ⋯ We recommend private health sector coordination with public facilities and call for deployment of non-practising health professionals. The neighborhood-warden-system should be introduced at the union council level with the help of community level volunteers to facilitate enforcement of quarantines and responding to emerging community needs. Key Words: COVID-19, Coronavirus disease 2019, Pakistan healthcare delivery.