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Wardah Rafaqat,Mohammad Hamza Bajwa,Meher Angez,Syed Ather Enam 대한뇌종양학회 2022 Brain Tumor Research and Treatment Vol.10 No.4
Background : The endoscopic endonasal approach (EEA) has been gaining popularity for resection of adult craniopharyngiomas. However, the safety and effectiveness of the procedure in comparison to the traditional transcranial approach (TCA) remains unestablished as previous reviews are outdated. Methouds: A literature search without language restriction was conducted in PubMed, Cochrane database, and Web of Science from conception to July 9, 2021. Cohort studies and case series that compared EEA with TCA and assessed postoperative complications, recurrence, and 30-day mortality were included. Articles, where data for adult populations could not be extracted or calculated, were excluded. Article selection and data extraction in a predesigned data extraction form were conducted in duplicate. Pooled participant data were included in a random-effects model. Results: The search yielded 227 articles, from which eight cohort studies containing 11,395 patients were included (EEA: 6,614 patients, TCA: 4,781 patients). Six studies were good quality and two were fair quality according to the Newcastle Ottawa Scale. There were significantly higher rates of cerebrospinal fluid leak (risk ratio [RR]=0.23, 95% confidence interval [CI] 0.17–0.32, p<0.00001, I 2=0%) and lower rates of postoperative hypopituitarism (RR=1.40, 95% CI 1.30–1.51, p<0.00001, I 2=0%), hydrocephalus (RR=6.95, 95% CI 5.78–8.36, p<0.00001, I2=0%), visual impairment (RR=1.52, 95% CI 1.34–1.73, p<0.00001, I2=0%), and 30-day mortality (RR=5.63, 95% CI 3.87–8.19, p<0.00001, I 2=0%) after EEA. Non-significant lower rates of postoperative diabetes insipidus (RR=1.12, 95% CI 0.78–1.61, p=0.53, I2=85%) and recurrence of tumor (RR=2.69, 95% CI 0.35–20.81, p=0.34, I2=47%) were seen after EEA. Concliusion: EEA may be associated with reduced postoperative hypopituitarism, hydrocephalus, visual impairment, and 30-day mortality and higher rates of cerebrospinal fluid leak. These findings do not account for differences in tumor size and extension between the EEA and TCA cohorts. Further re- search on patients with comparable tumor characteristics is required to fully assess outcomes.
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Dengue Virus Serotypes Circulating in Khyber Pakhtunkhwa Province, Pakistan, 2013-2015
Muhammad Suleman,Rani Faryal,Muhammad Masroor Alam,Salmaan Sharif,Shahzad Shaukat,Uzma Bashir Aamir,Adnan Khurshid,Mehar Angez,Massab Umair,Mian Muhammad Sufian,Yasir Arshad,Syed Sohail Zahoor Zaidi 대한진단검사의학회 2017 Annals of Laboratory Medicine Vol.37 No.2
From 2013 to 2015, the National Institute of Health, Pakistan, received 1,270 blood samples of suspected dengue cases reported from inpatient and outpatient departments of various hospitals in Khyber Pakhtunkhwa (KPK) province. In this study, we determined the circulating dengue virus (DENV) serotypes using real-time reverse transcriptase (RT)-PCR to understand the serotype-based epidemiology of DENV. All four serotypes (DENV-1 [6%], DENV-2 [33%], DENV-3 [47%], and DENV-4 [0.1%]) were found circulating during the study period. Our findings suggest the need for an active surveillance system coupled with the laboratory diagnosis, especially in the chronic endemic areas of the country. Public awareness programs are needed for effective control and prevention of outbreaks in the future.
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