BACKGROUND The value of drain amylase on the first postoperative day after pancreatic resections has been described as an efficient predictor of pancreatic fistula. In spite of this, the cut-off point below which the drains can be removed early remains controversial. AIM Validate the use of the amylase on the 1st postoperative day in the correlation with pancreatic fistula and define the valu...

A 41-year-old man, who received preoperative concurrent chemoradiotherapy (totally 3,200cGy was administered) from one month previously due to lower third esophageal cancer, presented to the emergency department with chest pain, diaphoresis, and fever for 1 day. Physical examination revealed fever (38.4°C), tachycardia (120 bpm), hypotension (90/52 mmHg), and engorged jugular vein but normal ch...

Objective: To compare the results of pancreaticogastrostomy (PJ) with pancreaticojejunostomy (PG) in preventing fistula formation after pancreaticoduonectomy (PD). Study design: Quasi-experimental study. Place and Duration of Study: The study was carried out in Military and Combined Military Hospital Rawalpindi from August 2008 to March 2015 Material and methods: Patients of both gender aged 45...

A 57 year-old man, obese, with history of hypertension, dyslipidemia, smoking and two previous ischemic strokes, was admitted with a six month history of chest pain associated with dyspnea on moderate and large efforts. He was hemodynamically stable and making use of captopril, aspirin, hydrochlorothiazide and metroprolol. There was no mention of chest murmur in the hospital admission record. A...

background: we aimed to analyze the effect of nursing strategies on patients with chronic renal failure (crf) undergoing maintenance hemodialysis (mhd) treatment by puncturing on arteriovenous fistula (avf). methods: ninety-two patients with chronic renal failure undergoing maintenance hemodialysis (mhd) between jan 2014 and jan 2015 were included in the study (all undergoing avf, dialysis for ...

Studies of Indigofera tinctoria Linn has shows that it possesses low toxicity. Phytochemical evaluation of leaf extract of Indigofera tinctoria Linn has been carried out to characterize some constituents present therein. Qualitative analysis of the extracts showed the presence of flavonoids, alkaloids, glycosides, terpenoids. Five compounds have been isolated from petroleum ether extract and me...

We report, for the first time, the remarkable efficacy of uttroside B, a potent saponin from Solanum nigrum Linn, against liver cancer. The compound has been isolated and characterized from the leaves of Solanum nigrum Linn, a plant widely used in traditional medicine and is a rich resource of several anticancer molecules. Uttroside B, that comprises of β-D-glucopyranosyl unit at C-26 of the fu...

purpose: to describe a complicated case of traumatic carotid-cavernous fistula (ccf) and our management strategy. case report: a 13-year-old patient was referred one month following a car accident and facial trauma with severe proptosis, chemosis and limitation of ocular movement. presence of murmur and an enlarged superior ophthalmic vein on orbital imaging suggested an arteriovenous fistula. ...

The antidiabetic effect of seeds of Strychnos potatorum Linn. was evaluated in a model of diabetes mellitus using streptozotocin (40 mg/kg b.w., i.p.). Changes in fasting blood sugar were estimated periodically for 12 weeks along with weekly measurement of body weight, food and water intake for 4 weeks. The antidiabetic effects were compared with glipizide as the reference hypoglycemic drug. St...