Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jan 2017
Comparative Study Observational StudyNeutrophil Lymphocyte Ratio: APrognostic Marker in Acute ST Elevation Myocardial Infarction.
To investigate if neutrophil lymphocyte ratio (NLR) predicts in-hospital adverse events and mortality, and shortterm (30-day) mortality in ST-elevated myocardial infarction (STEMI) patients thrombolysed with streptokinase (SK). ⋯ Ahigh NLR predicted increased in hospital complication rate, and in-hospital as well as 30-day mortality in STEMI patients thrombolysed with streptokinase.
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J Coll Physicians Surg Pak · Nov 2016
Anthropometrical Measurements of Healthy Newborn Babies in Karachi, and the Factors Affecting these Parameters.
The present cross-sectional study was undertaken with the aim of establishing norms for birth weight, crown heel length, and head circumference of the newborns in the population of Karachi. It was conducted in four public and private hospitals of Karachi, covering middle to low-income areas during a period of 2 years. There were 404 mothers and their babies included in this study that fulfilled the inclusion and exclusion criteria of the study. ⋯ The mean birth weights of the babies were found to be 3.03 ±0.39 kg, crown heel length were 49.2 ±2.4 cm, and OFC were 34 ±1.5 cm. A statistically significant difference was found between the gender of the babies (male=3.07 ±0.4 kg versus female=3.0 ±0.4 kg) for birth weight (p=0.02). This study provides the mean values of anthropometric measurements of the newborns in low-income areas of Karachi.
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J Coll Physicians Surg Pak · Nov 2016
Case ReportsSpontaneous Uterine Rupture Due to Placenta Percreta in a 17-Week Twin Pregnancy.
Spontaneous rupture of previous uterine scar due to placenta percreta in early second trimester is a very rare and serious complication. A27-year fourth gravida, second para with previous two lower segment caesarean sections, presented at 17-week of twin pregnancy with acute abdominal pain. Ultrasonograghy revealed 17-week diamniotic-dichorionic twin pregnancy with alive fetuses. ⋯ Atransverse fundal incision was given to deliver the twins and total abdominal hysterectomy with preservation of both ovaries was performed. The patient was discharged on fourth postoperative day without any complication. Histopathology of specimen of the uterus confirmed placenta percreta to be the cause of uterine rupture.
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J Coll Physicians Surg Pak · Nov 2016
Case ReportsDisseminated Kaposi's Sarcoma in an Immunosuppressed Patient after Long-Term Inhaled and Systemic Steroid Therapy.
Kaposi's sarcoma is associated with immunosuppressant treatment administered to patients with organ transplant and other immune related disorders. Several case reports have reported association of Kaposi's sarcoma and steroids. Almost all patients in those case reports had localised disease to skin and they responded to tapering doses or discontinuation of steroids. ⋯ He had low lymphocytes and CD4 counts. He also had steroid-induced hypoadrenalism. Patient was treated with systemic chemotherapy due to visceral metastases to which he responded well and is in stable remission.
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J Coll Physicians Surg Pak · Oct 2016
Childhood Acute Bacterial Meningitis: Clinical Spectrum, Bacteriological Profile and Outcome.
To determine the disease pattern, etiological agents and outcome of childhood acute bacterial meningitis. ⋯ Acute bacterial meningitis mostly affected children under the age of 1 year. CSF culture revealed both Grampositive and Gram-negative bacteria. The most common pathogen in children who died was streptococcus pneumoniae.