Pakistan Journal of Neurological Surgery

Dear ReadersI am glad to announce that Pakistan Journal of Neurological Surgery has been upgraded in Y category from Z category in the list of HEC recognized journals. Moreover, it has been included in the list of HJRS (HEC Journal Recognized System) after an evaluation. I am extremely thankful to my editorial team for theirefforts and cooperation. We have been indexed in multiple International agencies like ICI (Index Copernicus), ISSN France, BASE Germany, Cross Ref, Eurasian Index, Asian Digital, PASTIC and PakMediNet. Each article has its DOI Number as well via Cross Ref

Pakistan Journal of Neurological Surgery

Our Journal had complete 21 years of Publications.Pakistan Journal of Neurological Surgery achieved multiple miles stones for its up-gradation. Currently, it is recognized by The Higher Education Commission (HEC), Islamabad and Pakistan Medical & Dental Council (PMDC) Islamabad. I am extremely thankful to my editorial team for their efforts and cooperation. We have been indexed in multiple International agencies like ICI (Index Copernicus) Master List, ISSN France, BASE Germany, Asian Digital, www:citifactor.org, PASTIC and PakMediNet

Management of Calcium, Vitamin D, and Uric-Acid Levels for Spinal Pain

Low back pain is incredibly painful and demoralizing due to the physical restrictions it causes as well as the psychological ramifications it brings. The calcium and alkaline phosphatase were favorably connected with vitamin D. The issue of low back discomfort presents a difficulty to healthcare practitioners. In developing nations, the problem is exacerbated by a failure to report for early treatment, vocational compulsions in rural regions, and sedentary lifestyles among urban youngsters 1. In Pakistan, there was a significant incidence of vitamin D insufficiency, with 53.5 percent of residents studied being vitamin D deficient, 31.2 percent being inadequate vitamin D, and just 15.3 percent having normal vitamin D (25-hydroxyvitamin D) levels. High levels of Vitamin D insufficiency were also seen, regardless of the various quantities of sunlight in the five city sites 2. In observational studies, consumption of carbonated beverages has been linked to an increased risk of fracture. The most common reason is that one or more of the beverage ingredients raise urine calcium. 3 There is a role of optimized levels of calcium, vitamin D & uric Acid in order to treat patients with low backaches. 1,4 The over intake of carbonated caffeine drinks and artificial fruit juices adversely impacts the proper absorption of vitamin D and calcium. Hence, good doses of supplements of Vitamin D and Calcium should be optimized for patients reporting muscles and joint pains.  Severe back pain and lower extremities weaknesses have been reported in altered levels of vitamin D and uric acid. 5 We strongly recommend early and regular screening for vitamin D, Calcium, and uric acid as part of a comprehensive health assessment for low back pain

Neurosurgery with Artificial Intelligence

The safety and efficacy of surgery are the surgeon’s priority. With the help of artificial intelligence (AI) tools, with learning algorithms based on millions of patients’ records, the outcomes can be predicted following different types of surgeries. 1 According to the Journal of the American Medical Association by the Neurosurgical Simulation and Artificial Intelligence Learning Centre at The Neuro, McGill University, AI can enhance technical performance and learning outcomes during simulated brain tumor removal. 2 According to a study published in Nature partner journal Digital Medicine, an open-source smartphone app for meningioma has allowed surgeons and physicians to interactively with patients. The app helps doctors and brain tumor patients predict survival and help make better treatment decisions. Researchers have also created a machine-learning system to categorize tissue using a deep convolutional neural network (CNN).3 New research also showed that machine learning can diagnose brain tumors at a fraction of the time it takes human pathologists. The new method streamlined the practice of analyzing tissue samples while the patient is still on the operating table. As per new findings in Nature Medicine, the new AI system can accurately diagnose a brain tumor in two minutes4. We should place a high value on research based on anticipating neuropathologies, surgical outcomes, and choosing neurosurgical techniques in advance

COVID-19 Vaccination in Neurosurgeons

In 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