1,720,961 research outputs found
National Neurosurgical Activities
Get PDFNeurosurgery is an inherently dynamic specialty, developing at a very rapid pace, more so because of the involvement of and its dependence on advanced technology. The international neurosurgical scene is full of cutting edge research presented in dramatic meetings, conferences, workshops and courses. The local neuro-surgical landscape is no exception. Its panorama is changing as the development of neurosurgery is gaining pace in Pakistan. Prospects look good considering the fact that the activity on the academic front is also getting richer. The following compilation of the individual events gives a flavour of this richnes
SAARC Neurosurgery March 28th – April 1st 2018/Need of Neurosurgery Institutes in the Country
No full textDear ReadersForeign trans scholarshipsPJNS upgraded, now all submission of articles will be via online our email [email protected] then it is processed for plagiarism, peer review etc. it is online now. We hope our readers will benefit from its online serial website theDuring the Neurotrauma Conference at Peshawar, PSN had meeting with Mr. Franco Servadei President WFNS. He agreed to provide short term training/visits of PGRs or young Neurosurgeons to the well established centers of the world. PSN is in contact with International Societies and many short term Visits 2/3 Months are available. All young Neurosurgeons/Senior PGRs should avail these opportunities. The International Candidates should apply to PSN Executive Committee VIA Dr. Muhammad Usman Publication. Secretary PSN or President PSN Prof. Mumtaz Ali
Editor Note
No full textDear ReadersPakistan Journal of Neurological Surgery achieved multiple miles stones for its upgradation. Now all submission of articles will be via online on our email [email protected] then it is processed for plagiarism, peer review etc. last 25 Issues are available online now. We hope our readers will benefit from its online website. We had been indexed in multiple International agencies like ISSN France, BASE Germany, Asian Digital, ESJI (Eurasian Scientific Journal Index) and www:citifactor.org. Few more are a process.Foreign Training ScholarshipsDuring the Neurotrauma Conference at Peshawar, PSN had meeting with Mr. Franco Servadei President WFNS. He agreed to provide short term training/visits of PGRs or young Neurosurgeons to the well established centers of the world. PSN is in contact with International Societies and many short term Visits 2/3 Months are available. All young Neurosurgeons/Senior PGRs should avail these opportunities. The International Candidates should apply to PSN Executive Committee VIA Dr. Muhammad Usman Publication. Secretary PSN or President PSN Prof. Salman Sharif.Need of Neurosurgery Institutes of Neurosciences in the CountryWorld over there is new concept of making institutes of Neurosciences. Similarly other institutes Like PIC, FIC, MIC (of Cardiology) and Children Hospital are delivering a great service to the patients. The Pakistan Society of Neurosurgeons demands establishment of Neurosciences Institutes all over the country which should be autonomous. PSN Executive Committee had approved a resolution for such Institutes among all Province of Pakistan and one at Islamabad by Federal Govt. of Pakistan. All members of PSN are requested to struggle for multiple neurosciences institutes in the country
Pakistan Journal of Neurological Surgery achieved multiple miles stones for its up-gradation
Get PDFDear Readers
Pakistan Journal of Neurological Surgery achieved multiple miles stones for its up-gradation. Currently, it is Higher Education Commission (HEC), Islamabad and Pakistan Medical & Dental Council (PMDC) recognized. I am extremely thankful to my editorial team for their efforts and cooperation. We had been indexed in multiple International agencies like ISSN France, BASE Germany, Asian Digital, www:citifactor.org, PASTIC and PakMediNet. All submission of articles will be via online on our email [email protected] then it is processed for plagiarism, peer review etc. We hope our readers will benefit from its online website
Comparison of Surgical Outcome of Anterior Circulation Aneurysms With and Without Proximal Temporary Artery Occlusion
Get PDFObjective: To compare the outcome of the TAO vs. no TAO during aneurysm surgery in terms of clinically significant postoperative ischemic changes due to vasospasm.
Material and Methods: A quasi-experimental study was conducted at Lahore General Hospital wherein 82 patients were enrolled. This study was conducted when the first author was working as PGR at LGH Lahore during 2015 to 2017. Patients were followed from admission to three-month post-op. During the follow-up, patients with clinical substantial post-op ischemic changes were calculated on CT Angiography for the presence of vasospasm.
Results: Mean age of the patients was 45.23 years. Proximal TAO was done in 30% (n=25) patients. Clinically significant post-op ischemic changes were seen in 29.3% (n = 24) patients. Of the patients who underwent proximal TAO, longer occlusion time (> 10 mins) was significantly associated with ischemic changes (p-value 0.015). Age > 50 years also showed a statistically significant association with clinical vasospasm (p-value < 0.001).
Conclusion: Temporary proximal artery clipping when employed within a limited duration appears to be safe and has no significant impact on clinical vasospasm. Since vasospasm is multifactorial, avoiding a longer duration of proximal TAO in patients with advancing age could decrease the frequency of post-operative ischemic changes due to vasospasm in such patients
Sub arachnoid hemorrhage and vasospasm
Get PDFSpontaneous sub arachnoid hemorrhage develops vasospasm in the 3-8 days. It should be dealt with conservative symptomatic treatment in this risky phase. Commonest presentation of vasospasm is headache. Usually headache increases with the onset of vasospasm at day 3 and diminishes as the vasospasm subsides after 8-10 days. Surgical interventions like clipping and coiling should be avoided in this period and patients should be given plenty of fluids (hemodilution, hypervolemia and hypertension). This triple H therapy holds good for asymptomatic vasospasms but were found less effective in symptomatic patients of SAH. Constipation should be avoided. Grade is supported by evidence from placebo-controlled study. There are some guidelines available for the prevention and the treatment of cerebral vasospasms with Nimodipine (oral). The use of triple H treatment as a preventative measure is a grade B recommendation. The treatment of symptomatic vasospasm with therapeutic hypertensive hypervolemia hemodilution is advised, however no prospective trials are available (grade C recommendation). There is no evidence that antifibrinolytics, steroids, or anticonvulsive prophylaxis should be used routinely. Current prophylaxis and treatment of cerebral vasospasm are still insufficient, according to clinical data, and vigorous triple-H-therapy is linked to an increased risk of sequelae
COVID-19 Vaccination in Neurosurgeons
Get PDFIn a letter to President-Elect Josephs R. Biden on January 19, 2021, the American Association of Neurological Surgeons (AANS) emphasized the significance of COVID-19 immunization for neurosurgeons in order to reach the worldwide objective of vaccination. In a report, only one death is reported from 264,00,000 vaccinated people. In negative-vaccinated individuals, the death rate is 2-3% in younger adults, whereas 7-10% is reported in older people. COVID-19 was reported in less severity in those who were positive-vaccinated. According to a latest survey, 60% of Pakistani neurosurgeons were COVID-19 positive, mostly from the hospital environment. High level of acceptance and motivation is found in our neurosurgeons. 91% of our neurosurgeons have been vaccinated. Mostly received the SinoPharm and Oxford AstraZeneca
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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