A5090163144- Chronic Disease Management Strategies
- Diabetes Management and Education
- Tuberculosis Research and Epidemiology
- COVID-19 Pandemic Impacts
- Mental Health Treatment and Access
- Physical Activity and Health
- Pneumocystis jirovecii pneumonia detection and treatment
- COVID-19 epidemiological studies
- COVID-19 and Mental Health
- Mobile Health and mHealth Applications
- Digital Mental Health Interventions
- Oral Health Pathology and Treatment
- Obesity, Physical Activity, Diet
- Cardiac Health and Mental Health
- Family Caregiving in Mental Illness
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cervical Cancer and HPV Research
- Vaccine Coverage and Hesitancy
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Oral microbiology and periodontitis research
- Infection Control and Ventilation
- Respiratory viral infections research
- Schizophrenia research and treatment
- Influenza Virus Research Studies
Imperial College London
2019-2025
Khyber Medical University
2019-2025
University of York
2022-2025
Khyber Teaching Hospital
2020
Khyber Medical College
2020
The London College
2014
ObjectiveTo determine the vaccination refusal rate, associated factors and perceptions of parents who refused routine immunization for their children using World Health Organization (WHO) SAGE Working Group on Vaccine Hesitancy Survey Tool.Materials methodsA cross-sectional survey was conducted multi-stage cluster sampling in Bannu District, Khyber Pakhtunkhwa Province, Pakistan from March 2019 to July 2019. A WHO validated questionaire used. The outcome variable parental children. Logistic...
<sec> <title>BACKGROUND</title> Type II Diabetes Mellitus (TIIDM) is a critical global health issue, especially in low-and middle-income countries (LMICs) like Afghanistan and Pakistan, where many cases remain undiagnosed specialized care costly. Community Health Participatory Research (CHPR) actively involves community members addressing issues, with Learning Action (PLA) being one such CHPR approach. The D-Magic trial Bangladesh utilized PLA through group-based approach communities...
Vaccine hesitancy is a serious public health problem globally, particularly in low- and middle-income countries like Pakistan. This study aims to determine the vaccination refusal rate, associated factors perceptions of parents who refused routine immunisation within Peshawar, Khyber Pakhtunkhwa, A cross-sectional conducted July-2024, among 340 children aged 0–59 months. Data was collected using structured vaccine Survey Tool Strategic Advisory Group Experts(SAGE). Multistage stratified...
Introduction Pakistan is facing a triple burden of diseases: communicable diseases (CDs), non-communicable (NCDs) and disabilities. There limited evidence on the patterns these in Pakistan, specifically Khyber Pakhtunkhwa. Additionally there remains study impact sex-, age setting-stratified morbidities Objectives The objective this was to present demographic characteristics locally-specific CDs (hepatitis B C, TB, AIDS), NCDs (diabetes, renal diseases, asthma, epilepsy, coronary heart...
Background: Breast cancer is the most common in women, and second overall, following lung cancer. can occur at any age, with an increased incidence women 40 years above. Worldwide around 1 million cases per year, 60% of reported from low- middle-income countries. The current study was conducted to determine knowledge, attitude, practices related breast cancer, associated risk factors, screening methods presenting a health care facility resource-poor settings Pakistan. Methods: A...
Abstract Background Diabetes Mellitus and periodontitis are chronic diseases with known reciprocal association. Studies have shown that uncontrolled diabetes increases the risk of development progression periodontal disease. This study aimed to explore association severity clinical parameters oral hygiene HbA1c levels in non-diabetics T2DM patients. Materials methods In this cross-sectional study, status 144 participants, categorized into non-diabetics, controlled T2DM, were assessed via...
In Pakistan, there is limited evidence for the levels and relationship of 25 (OH) Vitamin D (25(OH)D) status in pregnant women their newborns, while association between maternal 25(OH)D newborn anthropometric measurements remains unexplored. Sociodemographic data were collected from 213 mothers during visit to a tertiary care hospital at time childbirth. Anthropometric performed on all newborns blood samples both levels. Participants classified into two groups according status: sufficient...
We evaluate the effectiveness of psychological interventions for depression in people with NCDs South Asia and explore individual, organizational, policy-level barriers facilitators implementation scaling up these interventions. Eight databases (and local web pages) were searched May 2022. conducted random effects models to pooled effect on NCDs. extracted policy level facilitators. found five randomized control trials, nine qualitative studies, 35 documents that fitted inclusion criteria....
Abstract Background The co‐occurrence of depression among tuberculosis (TB) patients is a critical issue, contributing to poor treatment outcomes, prolonged hospitalisations and increased healthcare expenses. Objective objective this study was assess the feasibility delivering co‐designed care pathway within TB services in Pakistan. Design Mixed‐method study. Setting Participants Routine screening for conducted at three facilities Peshawar, Pakistan, encompassing primary, secondary tertiary...
The health benefits of physical activity in adults with depression and type 2 diabetes mellitus (T2DM) are well established, however people T2DM do not generally reach recommended levels activity. Evidence on how to support this group is limited; particularly the case low- middle-income countries. To develop interventions promote activity, it important first understand barriers facilitators population. A qualitative study was conducted Pakistan using semi-structured individual interviews....
Abstract Objectives To determine the frequency of diabetes mellitus and diabetic ketoacidosis associated factors in COVID‐19‐positive patients. Background High mortality amongst SARS‐Cov2 patients may be attributed to ketoacidosis. Methods A total 220 COVID‐19 positive patients, hospitalized North West General Hospital & Research Center, Peshawar, KP, Pakistan, from April September 2020, were analysed using STATA 14. Patients with PCR labelled as included study. a clinical picture...
Abstract Background Chronic tobacco use, in any form, induces significant cellular alterations the oral mucosa. This study investigates four distinct cytomorphological changes mucosal cells among smokeless users, examining their association across different genders and age groups. Materials methods cross-sectional involved collecting samples from (naswar/snuff) users through consecutive sampling. The prepared smears were examined for dysplastic changes. Data analysis was performed using...
The COVID-19 pandemic has revealed vulnerabilities in healthcare systems worldwide, emphasizing the importance of worker safety through adequate utilization personal protective equipment (PPE). This study aims to assess impact pre-pandemic PPE training on practices and other associated factors among frontline workers during Pakistan provide insights into implications such programs for future initiatives.A cross-sectional from May 9th June 5th, 2020 was conducted against Pakistan, utilizing...
We recruited 62 South Asians and 40 Europeans aged 25 to 75 years, assess the potential validity of three physical activity accelerometers for use amongst Asians. Participants completed an exercise treadmill test (following Bruce protocol) while wearing 3 accelerometers: Actigraph GT3X+ [GT3X+] Geneactiv [GA] on ankle, waist wrist; Actiheart [AH] chest. compared relationships between energy expenditure (EE) measured by (Measured) actual EE (Actual) in two ethnicities tested confounding...
Background Insulin resistance and related metabolic disturbances are major risk factors for the higher T2D associated morbidity mortality amongst South Asians. The contribution of physical activity to increased prevalence insulin Asians is unknown. Methods We recruited 902 Asian European men women, aged 35–85 years from ongoing LOLIPOP study. Clinical characterisation comprised standardised questionnaire measurement height, weight, waist hip circumference blood pressure. Fasting bloods were...
In people with TB, co-existence of long-term conditions (e.g., depression, diabetes and HIV) risk factors (e.g.,alcohol misuse, malnutrition, smoking) are associated increased mortality poor treatment outcomes including delayed recovery, TB failure relapse. However, it is unclear as to what extent these comorbidities addressed in policy practice. Between August October 2021, we conducted an online cross-sectional survey high-TB burden countries. We recruited a purposive sample health...
Abstract The cultural tailoring of interventions is a cost-effective approach to reach underserved populations. There are multiple frameworks for intervention adaptation, however, information on their use in practice, and sources guide the adaptations limited. aim this paper describe our experience using adaptation illustrate process behavioural activation depression people with type 2 diabetes Bangladesh Pakistan. We were guided by mapping framework development evaluation health Bernal...
Abstract Background Depression is common among people with tuberculosis (TB). The condition typically unrecognised or untreated despite available and effective treatments in most low- middle-income countries. TB services these countries are relatively well established, offering a potential opportunity to deliver integrated depression screening care. However, there limited evidence on how such integration could be achieved. This study aimed understand the barriers facilitators integrate care...