Journal of College of Physicians and Surgeons Pakistan (JCPSP), is an open access, peer reviewed monthly biomedical journal of the country published regularly since 1991. College of Physicians and Surgeons Pakistan is the parent body of this Journal.

The College of Physicians and Surgeons of Pakistan (CPSP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide credits to educational activities.

CPSP designates '3 AMA PRA Category 1 Credits' for review of the manuscript of an original study.

Latest Articles

Volume 36 | Issue 8 | August 2026

Challenges to Adequate Analgesia in Emergency Surgical Patients: Are We Still Falling Short?

By Mostafa Ahmed Abdellah Ahmed, Maryum Sana, Amna Batool
Page # 967-968

Determination of Gender from Human Cranial Measurements Using Computed Tomography Scans

By Nuzhat Aisha Akram, Qudsia Hassan
Page # 969-976

ABSTRACT Objective: To determine gender using cranial measurements from CT scans and to evaluate their predictive accuracy for gender classification. Study Design: A cross-sectional study. Place and Duration of the Study: Department of Forensic Medicine and Toxicology, Ziauddin University, Karachi,...

Prospective Validation of EDACS-ADP for 30-Day MACE in Patients with Chest Pain

By Kursat Kaan Kerimoglu, Burcu Tanay Demirdoven, Mehmet Karaman
Page # 977-984

ABSTRACT Objective: To validate the Emergency Department Assessment of Chest Pain Score–Accelerated Diagnostic Pathway (EDACS-ADP) for predicting 30-day major adverse cardiac events (MACE) in patients with chest pain. Study Design: An observational study. Place and Duration of the Study: Depar...

Comparing Trypsin-Chymotrypsin and Naproxen Sodium for Post-Endodontic Treatment Pain: A Randomised Controlled Trial

By Hafsa Zaki, Shahbaz Ahmed Jat, Fazal-Ur-Rehman Qazi, Mahrukh Samee
Page # 985-989

ABSTRACT  Objective: To compare the efficacy and mean pain scores of trypsin-chymotrypsin and naproxen sodium for post-endodontic treatment pain. Study Design: A randomised controlled trial. Place and Duration of the Study: Department of Operative Dentistry and Endodontics, Dr Ishrat-ul-Ibad Kh...

2D versus 3D Laparoscopic Adrenalectomy: A Single-Centre Experience

By Cemil Yuksel, Huseyin Pulat, Cuneyt Akyuz, Serdar Gumus, Deniz Oztasan, Emel Senol
Page # 990-995

ABSTRACT Objective: To compare operative performance and perioperative outcomes between two-dimensional (2D) and three-dimensional (3D) laparoscopic systems in minimally invasive adrenalectomy. Study Design: An observational study. Place and Duration of the Study: Department of Surgical Oncology, Me...

Ultrasound-Guided, Indocyanine Green-Directed Robot-Assisted Breast Surgery for Benign Tumours

By Nanqiu Liu, Guochun Zhang, Chongyang Ren, Jiyuan Cao, Ning Liao
Page # 996-1003

ABSTRACT Objective: To compare the feasibility, safety, and cosmetic satisfaction of ultrasound-guided, indocyanine green (ICG)-assisted robotic lumpectomy with open lumpectomy for benign breast tumours. Study Design: A retrospective cohort study. Place and Duration of the Study: Department of Brea...

Unveiling Ferroptosis-Driven Mechanisms in Liver Fibrosis: A Bioinformatics Approach to Identify Novel Therapeutic Targets

By Chao Wang
Page # 1004-1010

ABSTRACT Objective: To explore the potential biological significance and diagnostic value of ferroptosis-related differentially expressed genes (DEGs) in liver fibrosis (LF). Study Design: Bioinformatic analysis of a publicly available microarray dataset. Place and Duration of the Study: Department ...

Haemostatic Efficacy and Safety of Suturing, Ligaclips, and Hem-o-Lok Clips in Laparoscopic Nephrectomy

By Akhtar Nawaz, Asif Khan, Muhammad Waqas, Muhammad Saad Hamid, Anwar Ul Haque
Page # 1011-1017

ABSTRACT Objective: To compare the haemostatic efficacy and safety of suturing, Ligaclips, and Hem-o-Lok clips in laparoscopic nephrectomy. Study Design: A descriptive study. Place and Duration of the Study: Department of Urology, Institute of Kidney Disease, Peshawar, Pakistan, from January 2020 to...

Frequency of Crescentic Glomerulonephritis in Adults Presenting with Acute Kidney Injury

By Bushra Sikandar, Mubarak Mohammad, Aiyesha Humaira
Page # 1018-1022

ABSTRACT Objective: To determine the frequency of crescentic glomerulonephritis (CRGN) in adults presenting with acute kidney injury (AKI), defined according to the latest Kidney Disease: Improving Global Outcomes (KDIGO) guidelines. Study Design: A cross-sectional observational design. Place and Du...

Effect of On-Axis Incision on Surgically Induced Astigmatism Following Phacoemulsification Cataract Surgery

By Sadia Humayun, Amna Tariq, Samar Fatima, Muhammad Shahid
Page # 1023-1027

ABSTRACT Objective: To estimate surgically induced astigmatism (SIA) and the flattening effect produced by an on-axis incision in patients undergoing phacoemulsification cataract surgery. Study Design: A quasi-experimental study. Place and Duration of the Study: Department of Eye, Combined Military...

Prevalence of Overweight and Obesity in Infants and Their Association with Breastfeeding Practices

By Ariba Siddiqui, Rozina Muhammad Iqbal, Anosha Muhammad Aslam, Arshalooz Jamila Rahman
Page # 1028-1033

ABSTRACT Objective: To find out the prevalence of overweight and obesity and to examine their association with breastfeeding practices among infants aged 9-12 months. Study Design: A prospective cross-sectional study. Place and Duration of the Study: Department of Paediatrics and Child Health, Aga K...

Role of Citicoline in Neonates with Hypoxic-Ischaemic Encephalopathy

By Saqib Nawaz, Arshad Khushdil, Sajid Ali Shah, Bilal Ahmed Malik, Fiza Wali
Page # 1034-1038

ABSTRACT Objective: To evaluate the short-term neurological outcomes in neonates with moderate-to-severe hypoxic-ischaemic encephalopathy (HIE) treated with citicoline. Study Design: A randomised controlled trial. Place and Duration of the Study: Department of Paediatrics, Pak Emirates Military Hosp...

Detection of the VanA and VanB Gene in Clinical Isolates of Vancomycin-Resistant Enterococci

By Qanita Fahim, Luqman Satti, Rafia Irfan, Uzma Naeem, Warda Furqan
Page # 1039-1044

ABSTRACT Objective: To determine the prevalence of vancomycin-resistant enterococci (VRE) among clinical isolates and to detect the presence of the vanA and vanB genes through polymerase chain reaction (PCR). Study Design: A descriptive cross-sectional study. Place and Duration of the Study: Depart...

Association Between Sleep Duration and Hypertension Development in Women: A Meta-Analysis

By Yan Bai, Deying Kong, Jie Hou, Li Bai
Page # 1045-1053

ABSTRACT This study examined the association between females' sleep duration and the development of hypertension (HTN). Searches were conducted in Embase, PubMed, Cochrane Library, Web of Science, CNKI, VIP, and Wanfang databases up to March 15, 2024. Using RR as the effect measure, the combined...

A Systematic Review and Meta-Analysis of a Liquid Biopsy-Based Multimodal Approach for the Diagnosis of Pulmonary Nodules

By Ren Shuang Cao, Tian Jiao Huang, Zhi Heng Lin, Fan Yang, Fei Liu, Feng Gao
Page # 1054-1062

ABSTRACT Liquid biopsy demonstrates clinical utility as a non-invasive tool for discriminating malignant tumours from benign pulmonary nodules, as evidenced by recent research. This systematic review compared the diagnostic performance of current clinical modalities for pulmonary nodules, aiming to...

Clinical Characteristics, Treatment Response, and Prognosis Between Saddle and Non-Saddle Pulmonary Embolism in Intermediate- to High-Risk Acute Pulmonary Embolism

By Qihong Chen, Jinqi Huang
Page # 1063-1068

Abstract Objective: To investigate the clinical characteristics of patients with saddle pulmonary embolism (SPE) among those with intermediate- to high-risk acute pulmonary embolism (APE). Study Design: A comparative study. Place and Duration of the Study: Department of Interventional Vascula...

Prediction of Post-COVID-19 Pulmonary Fibrosis: An Integrated Approach Combining CT Radiomics and Clinical Characteristics

By Mujuan Wang, Pei Huang, Min Jiang, Bing Fan
Page # 1069-1075

ABSTRACT Objective: To develop and validate a predictive model for post-COVID-19 pulmonary fibrosis (PCPF) by integrating CT radiomics features with clinical characteristics to facilitate early identification and intervention. Study Design: An observational study. Place and Duration of the Study: De...

Predictive Value of D-Dimer Combined with the Injury Severity Score for In-Hospital Mortality in Trauma Patients

By Jiajian Peng, Minhua Kuang, Qixin Yu, Zhangrong Liang
Page # 1076-1080

ABSTRACT Objective: To evaluate the predictive performance of combining serum D-Dimer levels with Injury Severity Score (ISS) for forecasting in-hospital mortality and unfavourable outcomes among trauma patients. Study Design: An analytical study. Place and Duration of the Study: Department of Eme...

Outcomes of Radical Wound Excision in Infected Pfannenstiel Wounds after Failed Debridement

By Riaz Ahmad Afridi, Zahra Tauqeer, Farnaz Zahoor
Page # 1081-1084

ABSTRACT Objective: To evaluate the outcomes of radical excision of infected Pfannenstiel (gynaecological and obstetric) surgical wounds. Study Design: A descriptive case study. Place and Duration of the Study: Department of Obstetrics and Gynaecology, Lady Reading Hospital, Peshawar, Pakistan, from...

The Paradox of an Arboviral Pandemic Stalled by an Empty Sting

By Moiz Ahmed Khan
Page # 1085-1087

ABSTRACT This opinion piece provides a critical examination of the new rhetoric surrounding arboviruses as potential drivers of future pandemics, particularly in sub-Saharan Africa and South Asia. Although dengue virus (DENV), Zika virus (ZIKV), and chikungunya virus (CHIKV) are significant public h...

Clinical Utility of Ultrasound-Guided Midline Catheters in the Cardiovascular Intensive Care Unit

By Fen Xu, Tao Xiang, Liang Hui Zhang, Ling Liang, Feng Liu, Xiongfei Xu
Page # 1088-1089

ABSTRACT This observational study evaluated the clinical utility of ultrasound-guided midline catheters (MCs) for the delivery of cardiovascular medications in the cardiovascular intensive care unit (CICU). Conducted at a tertiary hospital in China between 2020 and 2022, 387 critically ill CICU pati...

Simulation-Based Training in the Limberg Flap Technique for Pilonidal Sinus Disease

By Rubab Nafees, Rabia Aftab, Komal Faheem, Madeeha Shahid, Aun Ali
Page # 1090-1092

ABSTRACT Intergluteal pilonidal sinus is a common disease among adults, especially males and is related to high morbidity. The rhomboid flap reconstruction for pilonidal sinus is a transposition flap designed to close a 60° rhombus-shaped defect. This rhomboid flap is basically a chain of connec...

Diagnosis and Treatment of Brucella Infection of the Cervical Vertebral Bodies and Intervertebral Discs

By Junhui Liu, Wenyuan Luo, Mingjia Song
Page # 1093-1094

Application and Integration of Generative AI in Medical Education Vary Across Regions: Why Is This an Important Consideration?

By Farooq Azam Rathore, Fareeha Farooq
Page # 1095-1096

Cryosurgery: The Renaissance of Freezing Oncology

By Saeeda Baig, Saviya Kashif
Page # 1097-1098

Hip Mass: Breast Carcinoma

By Aimun Shabbir, Asif Husain Osmani
Page # 1099-1100

A Case of Desmoplastic Medulloblastoma Initially Misdiagnosed as Lymphoma in a 54-year Female Patient

By Ahmet Mesrur Halefoglu, Canan Tanik
Page # 1101-1102

Experience with Hand-Sewn, Layered Telescoping Anastomosis in Oesophageal Cancer Surgery

By Genrong Yang, Han Wang
Page # 1103-1104