Pakistan Journal of Medical Sciences

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2023-01-30

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Current Issue

Vol. 42 No. 10 (2026): October 2026

View Vol. 42 No. 10 (2026): October 2026

Pak J Med Sci Vol.42, No.10 2026

Published: 2026-09-24

Content

Content

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Leading Article

Patient Refusal of LLM-Assisted Care: Autonomy in an AI-Enabled Health System

Mohamad-Hani Temsah , Ruaim Muaygil, Kamran Sattar, Shaukat Ali Jawaid

2603-2607
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DOI: https://doi.org/10.12669/pjms.42.10.20929

Original Articles

Preoperative Indication Meetings Optimise Outcomes in Elective Urological Surgery

Muhammad Hummam Siddique, Syed Muhammad Nazim, Ramna Nadeem, Hammad Ather

2608-2614
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DOI: https://doi.org/10.12669/pjms.42.10.20062
Observation of the safety and efficacy of alfentanil and sufentanil in anesthesia for elderly patients undergoing colorectal surgery: A prospective randomized controlled study

Qing Wan, Ying Xu, Ai Wang

2615-2620
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DOI: https://doi.org/10.12669/pjms.42.10.14319
Mortality trends and disparities in older U.S. adults with coexisting chronic obstructive pulmonary disease and Alzheimer’s disease, 1999—2023

Yu Shu, Feng Yang

2621-2628
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DOI: https://doi.org/10.12669/pjms.42.10.14808
Healthcare system resilience and risk communication strategies during the COVID-19 pandemic in Madinah, KSA: A mixed-method study

Farah Asad Mansuri, Marwa Mohamed Zalat, Hanan Mosleh Ibrahim , Amal Mohamed Qasem Surrati, Abdulhameed Abdulrahman Alharbi

2629-2636
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DOI: https://doi.org/10.12669/pjms.42.10.10816
Comparison of short-term myocardial perfusion and clinical outcomes between balloon stent kissing technique and junctional wire technique strategies in true bifurcation lesions of the left anterior descending artery and diagonal branch

Kai Ren, Hongyu Wang, Ximing Li

2637-2649
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DOI: https://doi.org/10.12669/pjms.42.10.20360
Glycemic control modifies the association between systemic inflammatory indices and diabetic neuropathy: Evidence from NHANES

Yian Lu, Xiaoyan Wu, Haijun Xiao

2650-2656
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DOI: https://doi.org/10.12669/pjms.42.10.19711
Drug-resistant epilepsy: A retrospective observational study at a tertiary care hospital

Saba Zaidi, Umer Barry, Malaika Ali

2657-2665
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DOI: https://doi.org/10.12669/pjms.42.10.15465
Efficacy of transabdominal magnetic field therapy on constipation severity in chronic functional constipation: A randomized controlled trial

Gizem Boztaş Elverişli, Dilanur Kutlu Ozkaraoglu, Busra Ince, Amine Atac, Esra Atilgan

2666-2673
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DOI: https://doi.org/10.12669/pjms.42.10.19535
Technical innovation and clinical effects of single-port laparoscopy for pediatric indirect inguinal hernia using needle graspers

Hanliang Jiao, Baorui Wang, Ruohan Wang, Zheng Dong, Shipeng Zhao

2674-2678
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DOI: https://doi.org/10.12669/pjms.42.10.15979
Prediction model for sentinel lymph node metastasis in patients with clinical node–negative invasive breast cancer

Lei Xu, Rongxi Liang, Yicai Cheng, Wenjin Lin

2679-2689
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DOI: https://doi.org/10.12669/pjms.42.10.15924
Structured sterile pathway and reduced hospital-acquired infections in resource-constrained oncology care: A pre-post study

Zeeshan Ali, Sehrish Zeeshan, Rabia Hayee, Habibullah Joiya

2690-2697
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DOI: https://doi.org/10.12669/pjms.42.10.19906
Quantitative analysis of venous wall elasticity in arm arteriovenous fistulas using shear wave elastography: A prospective cross-sectional study

Mohammed J. Alsaadi

2698-2704
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DOI: https://doi.org/10.12669/pjms.42.10.14499
Effects of adjunctive fusidic acid cream in the intra-incisional dressing on surgical outcomes and satisfaction in children after concealed penis surgery

Sushun Zhao, Haoxuan Yang, Limin Li, Jingjing He, Lei Wang, Jian Li, Wenyong Xue, Jin-Chun Qi

2705-2709
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DOI: https://doi.org/10.12669/pjms.42.10.14476
Analysis of clinical characteristics of diabetic retinopathy: A retrospective, single-centre clinical study

Li Li, Yuhua Hao

2710-2715
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DOI: https://doi.org/10.12669/pjms.42.10.15335
The Effectiveness of Oral Lactulose Versus Lactulose Enema on the Time to Recovery from Overt Hepatic Encephalopathy

Aliena Badshah, Ahmed Irtaza, Arooba Khan, Qaisar Ali Khan

2716-2721
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DOI: https://doi.org/10.12669/pjms.42.10.12587
ELISA screening results for HAV, HBV, HCV, HIV: A retrospective study

Olgun Goktas, Ismail Emre Deniz, Ilker Ercan

2722-2728
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DOI: https://doi.org/10.12669/pjms.42.10.16995
Diagnostic value of a model combining contrast-enhanced ultrasound, computed tomography, and magnetic resonance imaging parameters for microvascular invasion in renal cell carcinoma

Chunxiu Lyu, Mingzhe Chen

2729-2735
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DOI: https://doi.org/10.12669/pjms.42.10.16679
Risk of suicidal ideation and self-inflicted injury in patients living with diabetes mellitus

Nubera Ahmed, Muhammad Matee Ullah, Hafiz Zaki Naeem, Nauman Ismat Butt

2736-2743
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DOI: https://doi.org/10.12669/pjms.42.10.19488
Clinical efficacy of mirabegron in the treatment of female patients with Parkinson’s disease and overactive bladder

Lanlan Li, Huijun Yu, Changguo Zhang

2744-2750
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DOI: https://doi.org/10.12669/pjms.42.10.16763
Comprehensive etiological assessment of patients presenting with hyperprolactinemia in a tertiary care hospital

Syed Hilal Badshah, Tahir Ghaffar, Sadaqat Ali

2751-2755
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DOI: https://doi.org/10.12669/pjms.42.10.15883
Risk factors for persistent postural-perceptual dizziness after successful manual repositioning in patients with benign paroxysmal positional vertigo: A nomogram model

Lanlan Li, Huijun Yu, Changguo Zhang

2756-2763
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DOI: https://doi.org/10.12669/pjms.42.10.19461
Frequency of Non-GI Prescriptions of Proton Pump Inhibitors from Academic and Non-Academic Hospitals

Faiza Sadaqat Ali, Bader Faiyaz Zuberi, Tazeen Rasheed, Faisal Faiyaz Zuberi

2764-2769
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DOI: https://doi.org/10.12669/pjms.42.10.11820
Application of failure modes and effects analysis combined with the PDCA cycle in infection prevention and control in the operating room

Jiatang Guo, Haijing Cai, Xinying Liu, Yuehong Ren, Xiangyun Liu

2770-2775
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DOI: https://doi.org/10.12669/pjms.42.10.16401
Learning from each other: A qualitative exploration of students’ experience in peer mentoring

Ambereen Surti, Fazal Manzoor Arain, Rozmeen Akbar, Rehana Rehman

2776-2781
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DOI: https://doi.org/10.12669/pjms.42.10.14862
A clinically applicable nomogram for predicting recurrent spontaneous abortion using coagulation and autoimmune markers

Yuedan Xie, Pingping Huang, Xiaofen Gao, Xuzhen Chen, Chan Yu, Huiting Mu

2782-2789
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DOI: https://doi.org/10.12669/pjms.42.10.19458
Comparative performance of Rotterdam and Helsinki CT scores for early prognostication in traumatic brain injury

Naeem Ul Haq, Waseem Sajjad, Bahrul Amin Khan, Shehzad Sadbar

2790-2796
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DOI: https://doi.org/10.12669/pjms.42.10.15563
Intravitreal Faricimab in posterior segment pathologies: A retrospective clinical review of efficacy, durability and safety

Muhammad Amer Awan, Sahar Fatima, Marziah Shah

2797-2803
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DOI: https://doi.org/10.12669/pjms.42.10.15838
Calcaneal Morphometry in Children and Adults: Normative Values of the Bohler and Gissane Angles in a Turkish Population

Arif Keskin, Tayfun Aygün, Esra Yazgan Yiğitbaş, Kürşad Aytekin

2804-2808
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DOI: https://doi.org/10.12669/pjms.42.10.20198
Identification and validation of plasma biomarkers for predicting postpartum pain risk using machine learning–integrated proteomics

Jianfeng Zuo, Yu Du, Liang Zhang, Weifang Shao, Hongbo Su, Junshi Li

2809-2820
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DOI: https://doi.org/10.12669/pjms.42.10.20485
Clinical profile, genomic insights, and novel variants in Pakistani pediatric B-ALL patients

Osheen Sajjad, Ali Amar, Muhammad Asif Naveed, Saqib Mahmood

2821-2826
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DOI: https://doi.org/10.12669/pjms.42.10.15017
Clinical efficacy of intermittent phototherapy combined with triple therapy and pediatric Tuina massage in the treatment of neonatal jaundice

Junshan Liu, Yilong Wang, Xia Wang, Zhijuan Qin, Yinqiao Kou, Xiaozhe Shi

2827-2831
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DOI: https://doi.org/10.12669/pjms.42.10.15792
Association of Androgen Receptor (AR) and HER-2/Neu Expression in prostate adenocarcinoma using immunohistochemistry

Ghazia Fatima, Muhammad Imran, Tahira Liaqat

2832-2838
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DOI: https://doi.org/10.12669/pjms.42.10.15219
Clinical efficacy of Ruyi Zhenbao Pill combined with supine traction manipulation in the treatment of Cervical Spondylotic Radiculopathy

Youhan Huang, Cunxian Lv, Zuowan Xie, Liangshan Huang, Chuanpeng Zhuang

2839-2845
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DOI: https://doi.org/10.12669/pjms.42.10.19761
Enrollment versus employment: Investigating the workforce participation gap of female doctors in Pakistan

Lubna Ansari Baig, Mahwish Arooj, Khadija Mukhtar, Saima Chaudhry, Syeda Kauser Ali

2846-2851
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DOI: https://doi.org/10.12669/pjms.42.10.15551
Impact of immersive virtual reality combined with lifestyle modification on upper limb function, pain intensity, and range of motion in post-surgical breast cancer survivors: A randomized controlled trial

Asima Irshad, Muhammad Naveed Babur, Muhammad Umar, Bushra Sultana

2852-2857
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DOI: https://doi.org/10.12669/pjms.42.10.19569
Association between CYP2D6*10 and ADRB1 Polymorphisms on Metoprolol Efficacy in Hypertensive Patients

Yu Sun, Na Wang, Xiaojing Yan

2858-2864
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DOI: https://doi.org/10.12669/pjms.42.10.19648
Faculty voices on flipped classrooms: Analysis of faculty reflective experiences of designing and implementing flipped classroom at a private medical college in Pakistan

Mashaal Sabqat, Shabana Ali, Maqsood-ul-Hassan

2865-2872
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DOI: https://doi.org/10.12669/pjms.42.10.15434
The effects of common emergency call system applications in pre-hospital emergency medical services from a lean management perspective: The case of Ordu province, Turkiye

Erdem Gundemir, Turgut Şahinoz

2873-2877
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DOI: https://doi.org/10.12669/pjms.42.10.16649
Factors influencing prognostic outcomes in children on noninvasive continuous positive airway pressure ventilation: A retrospective study

Peiqing Huo, Minglei Liang, Yuhui Cui, Jianhua Liu, Lili Ji

2878-2884
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DOI: https://doi.org/10.12669/pjms.42.10.16283

Systematic Review

Prevalence and predictors of anxiety and depression in medical students from low- and middle-income countries

Farah Rashid, Muhammad Zuhaz Azeem, Hafiz Muhammad Ali Khan, Abid Malik

2885-2891
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DOI: https://doi.org/10.12669/pjms.42.10.15201
Efficacy of adding neoadjuvant pembrolizumab to standard chemotherapy for triple-negative breast cancer: A systematic review and meta-analysis of real-world studies

Xiaojun Qian, Liwei Ruan

2892-2903
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DOI: https://doi.org/10.12669/pjms.42.10.19889
Association between sarcopenia and mortality in older adults with pneumonia: A systematic review and meta-analysis

Hui Ma, Chaoping Liu, Huifei Zhou, Fei Fang, Xufang Wang

2904-2912
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DOI: https://doi.org/10.12669/pjms.42.10.20311

Special Communications

China-Pakistan Public Health Cooperation: Achievements, Challenges and Prospects

Dong Jiying, Zhang Tong, Qu Qiumei

2913-2916
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DOI: https://doi.org/10.12669/pjms.42.10.20639

Case Reports

A case of Atypical Occult Hepatitis B Infection (OBI) with HBsAg Negativity and High Anti-HBs Titer: Clinical implications

Lin Duan, Yiyang Li, Sining Xing, Meichen Liu, Xiaodan Liu

2917-2920
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DOI: https://doi.org/10.12669/pjms.42.10.16113

Correspondence

A Home-Assembled Suction Rectal Biopsy Device for the Diagnosis of Hirschsprung’s Disease: Design, Assembly, and Operative Technique

Mongi Mekki, Amani N. Alansari, Myriam Ben Fredj, Amine Ksia

2921-2922
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DOI: https://doi.org/10.12669/pjms.42.10.20828

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PAKISTAN JOURNAL OF MEDICAL SCIENCES is a peer reviewed journal. It is published monthly. It has controlled circulation. We accept original research, review articles, guest editorials, case reports, short communications, drug trials and letters.

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