A5040550782- Acute Ischemic Stroke Management
- Burn Injury Management and Outcomes
- Stroke Rehabilitation and Recovery
- Gastrointestinal disorders and treatments
- Innovations in Medical Education
- Fungal Infections and Studies
- Cardiovascular Disease and Adiposity
- Liver Disease and Transplantation
- Vascular Anomalies and Treatments
- Kidney Stones and Urolithiasis Treatments
- Health Sciences Research and Education
- Diabetes Treatment and Management
- Cardiac Imaging and Diagnostics
- Health and Medical Research Impacts
- Tracheal and airway disorders
- Histiocytic Disorders and Treatments
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Injury Epidemiology and Prevention
- Lymphatic Disorders and Treatments
- Adolescent Health and Behaviors
- Telemedicine and Telehealth Implementation
- Cardiovascular and Diving-Related Complications
- Intracerebral and Subarachnoid Hemorrhage Research
- Parasitic Infections and Diagnostics
- Transplantation: Methods and Outcomes
Nishtar Medical College and Hospital
2021-2024
Harvard University
2024
Beth Israel Deaconess Medical Center
2024
Hasanuddin University
2024
Russells Hall Hospital
2021
Charleston Area Medical Center
2017-2020
West Virginia University
2017-2020
Jinnah Sindh Medical University
2020
Dow University of Health Sciences
2012-2017
Hamdard University
2017
Objectives To study the treatment of ureteric stones by laser lithotripsy (LL) and pneumatic (PL), to evaluate results two modalities assess effectiveness, complications cost benefits. Patients methods Between January 1993 February 1994 200 in 194 patients were fragmented intracorporeally, 48 LL 152 PL. The ages ranged from 31 40 years with a male female ration 2:1. All procedures performed under general/regional anaesthetic day‐care set‐up. followed at weekly intervals. Re‐treatment was...
To determine the behavior of physicians regarding medical literature reading and participation in research activities at one largest teaching hospitals Pakistan.This descriptive, cross-sectional study was conducted by interviewing house officers, residents fellows six major specialties (Medicine, Surgery, Pediatrics, Psychology, Obstetrics & Gynecology Anesthesia) Civil Hospital, Karachi between August December, 2011. The questionnaire elicited responses habits physicians, preferred sources...
Background and objective Hepatic cirrhosis is one of the leading causes morbidity mortality worldwide. Patients with frequently develop complications such as ascites, variceal bleeding, hepatic encephalopathy (HE). The clinical manifestations HE range from mildly altered level sensorium to severely consciousness levels, difficulty in judgment, day-night reversal sleep, flapping tremor hands, irrelevant talking or speech. hyponatremia are at a higher risk developing electroencephalographic...
Endometriosis is a common condition in which endometrial cells and stroma are deposited extrauterine sites. Its prevalence has been estimated to be 10% of reproductive age females. It commonly found the pelvis; however, it may abdomen, thorax, brain, or skin. Thoracic involvement relatively rare presentation this disease. endometriosis presents as pneumothorax 73% patients. A rarer thoracic hemothorax (<14%) hemoptysis (7%). an uncommon cause pleural effusion. We present case 28-year-old...
Varicella virus is a neurotropic that can reactivate later in life to cause zoster or shingles. Typically, it affects elderly, immunocompromised population. We report an unusual case of immunocompetent young adult presenting with occipital headache and rash, without preherpetic postherpetic neuralgia, who was diagnosed varicella meningitis on Polymerase chain reaction (PCR). He treated intravenous acyclovir discharged famciclovir. Diagnosis difficult the absence typical features rash...
Strongyloides stercoralis is an endemic parasitic infection that can remain asymptomatic for years, but it cause death in immunosuppressed individuals. Here, we present a case of hyperinfection 75-year-old male secondary to sepsis and chronic immunosuppression due TNF- α inhibitors. Despite aggressive treatment including broad-spectrum antibiotics antihelminths, his respiratory failure worsened he died after palliative extubation. S. remains diagnostic challenge. Presentation with often...
Cladophialophora bantiana, a melanized neurotropic fungus, is the most commonly reported agent of cerebral phaeohyphomycosis. We present case phaeohyphomycosis due to C. bantiana with concomitant Nocardia infection in lung. The patient was 64-year-old male who presented one-week history productive cough, confusion, and staggering gait. Brain MRI showed multiple enhancing masses, chest CT demonstrated multifocal consolidation. To confirm diagnosis, brain biopsy performed that bantiana....
The objective of this study is to determine the time interval from decision seek medical help and arrival patients emergency department (ED).The duration stay in ED was also calculated.This assesses factors responsible delayed presentation hospital.This prospective conducted during day timings (9 am 3 pm) May 2012 August at Civil Hospital, Karachi.Patients older than 18 years meeting inclusion criteria were considered be eligible for study.Statistical analysis done using SPSS version 17.The...
Cerebral air embolism (CAE) is a rare, avoidable and potentially fatal iatrogenic complication. Here, we report case of CAE associated with central venous catheter in the internal jugular vein that resulted neurological deficits generalised epileptic seizures. A 64-year-old man admitted for fasciotomy compartment syndrome developed left-sided deficits. The suspected origin was retrograde flow from right catheter. spontaneously resorbed without need specific therapy, he made good recovery. an...
Eosinophilic esophagitis, once considered a rare disorder, has been increasingly recognized as leading cause of dysphagia and food impaction in children adults over the last few decades. It predominantly occurs young men with history atopy. Dysphagia are most common presentations. However, rarely, spontaneous perforation (Boerhaave's syndrome) may occur association eosinophilic esophagitis.A 40-year-old white woman known who was non-compliant treatment, presented chest pain developed acute...
Bullying is an intentional act of violence aimed at disturbing others, both physically and psychologically, has long been a part school dynamics. Throughout 2021, the Indonesian Child Protection Commission (KPAI) recorded 17 cases involving students educators, with bullying incident in 2022 resulting death junior high student victimized by nine friends. This community service activity aims to enhance students' understanding behavior, particularly those island areas. Efforts include...
Background: Intracerebral hemorrhage (ICH) has high morbidity and mortality. Traditional craniotomy causes significant trauma lacks proven benefits. Minimally invasive techniques (MIT) like CT-guided thrombolysis, endoscopic, neuronavigation surgeries show promise in reducing secondary neurotoxicity. Our meta-analysis compares MIT with standard treatments for supratentorial spontaneous intracerebral hematomas (SSICHs) to evaluate their effectiveness improving clinical outcomes. Methods: We...
Introduction: Acute ischemic stroke (AIS) represents a significant long-term complication following cardiac surgery, often linked with unfavorable outcomes. Left atrial (LA) mechanics, notably LA strain, have been identified as predictors for both and fibrillation in various populations. However, conflicting evidence exists regarding the clinical relevance of postoperative (POAF), its contribution to relationship between mechanics remains uncertain. Objective: Our study examined significance...
Introduction: The association between elevated levels of high-sensitivity cardiac troponin I (cTnI) and clinical outcomes in stroke patients has been documented. Nevertheless, the precise significance cTnI its potential as a biomarker ischemic (IS) remains unclear. Our study sought to evaluate correlation serum early neurological deterioration (END) individuals experiencing related atrial fibrillation (AF). Methods Materials: In this multicentric study, we enrolled consecutive with (AF) from...
Introduction: Approximately 20% of ischemic strokes are linked to a cardioembolic source, with 80% being attributed atrial fibrillation. This study aimed investigate the impact non-valvular fibrillation (NVAF) on mortality and recurrent stroke following minor event, considering AF as most prevalent sustained cardiac rhythm disorder associated stroke. Methods Materials: Consecutive patients experiencing acute (NIHSS<5) underwent thorough assessment, including transesophageal...
Chylothorax is an infrequent type of pleural effusion, typically exudative, caused by obstruction or laceration the thoracic duct malignancy, trauma, surgery. Transudative chylous effusions are extremely rare. We report a case 63-year-old male with recurrent transudative chylothorax secondary to cirrhosis that completely resolved transjugular intrahepatic portosystemic shunting (TIPS). effusion rare entity only few cases reported in literature date. can occur patients liver cirrhosis....
Objectives We intend to investigate the feasibility of using repaglinide as initial therapy in patients with newly diagnosed type 2 diabetes mellitus naive oral anti-hyperglycemic agents by validating effects on glycemic control (HbA1c) comparison metformin monotherapy. Methodology This parallel-controlled, randomized study was carried at outpatient department a tertiary care hospital. Two-hundred both genders were included. After taking relevant history and physical examination, we drew...
Pulmonary Langerhans cell histiocytosis (PLCH, pulmonary eosinophilic granuloma) is a rare disease of clonal dendritic cells that primarily affects adults who smoke cigarettes. PLCH association with other malignancies rarely reported. Herein, an unusual case presented synchronous lung adenocarcinoma. A 76-year-old woman and chronic smoker was admitted for persistent dyspnea productive cough, had left lower mass detected by computed tomography. She underwent bronchoscopy biopsies....