A5042267443- Respiratory viral infections research
- Pneumonia and Respiratory Infections
- Impact of Technology on Adolescents
- Migration, Health and Trauma
- Healthcare professionals’ stress and burnout
- Child Development and Digital Technology
- Health and Well-being Studies
- Posttraumatic Stress Disorder Research
- Youth Development and Social Support
- Trauma and Emergency Care Studies
- Disaster Response and Management
- Child and Adolescent Psychosocial and Emotional Development
- Cardiac Arrest and Resuscitation
- Health and Conflict Studies
- Airway Management and Intubation Techniques
- Foreign Body Medical Cases
- Child Nutrition and Water Access
- Community Health and Development
- Meta-analysis and systematic reviews
- Climate Change and Health Impacts
- Early Childhood Education and Development
- Congenital Diaphragmatic Hernia Studies
- Streptococcal Infections and Treatments
- Global Public Health Policies and Epidemiology
- Tracheal and airway disorders
Aga Khan University
2015-2024
University of British Columbia
2020-2024
Learning Partnership
2020-2024
Aga Khan University Hospital
2015-2023
Abstract Background Research has shown that longer hours of screen time are negatively associated with children’s healthy development. Whereas most research focused on school-age children, less is known about this association in early childhood. To fill gap, we examined the between and developmental health preschool-aged children. Methods This study draws from a data linkage children ( N = 2983; Mean age 5.2, SD 0.3 years, 51% male) British Columbia (BC), Canada, who entered Kindergarten...
Emergency medical service (EMS) personnel who work to provide emergency care at the scene and during transportation are exposed various kinds of stressors particularly susceptible developing stress-reactions. This study assesses symptoms post-traumatic stress disorder its predictors among a selected EMS in Karachi, Pakistan. Data were gathered from 518 working an setting February May 2014. Participants screened for using Impact Event Scale-Revised (IES-R). Demographic work-related...
The World Health Organization (WHO) recommends oral amoxicillin for patients who have pneumonia with tachypnea, yet trial data indicate that not using to treat this condition may be noninferior amoxicillin.We conducted a double-blind, randomized, placebo-controlled noninferiority involving children at primary health care centers in low-income communities Karachi, Pakistan. Children were 2 59 months of age and met WHO criteria nonsevere tachypnea randomly assigned 3-day course suspension (the...
Abstract Background The incidence of heat emergencies, including stroke and exhaustion, have increased recently due to climate change. This has affected global health become an issue consideration for human well-being. Due overlapping clinical manifestations with other diseases, most these emergencies occurring in elderly patient, patients a comorbid condition, or on poly medicine, diagnosing managing them the emergency department can be challenging. study assessed whether educational...
Abstract The current study addresses the lack of out‐of‐school time (OST) research in low‐ and middle‐income countries by exploring OST use context Pakistan incorporating youth's voices. Using a qualitative descriptive design with focus‐group discussions, we conducted three middle schools set to neighborhoods urban rural areas Karachi, Pakistan. We engaged 86 youth (50% girls; aged 10–15 years) that were purposefully selected from grade six (31.4%), seven (44.2%) eight (24.4%) classrooms,...
Abstract Introduction This study examined profiles of social connectedness among early adolescents in grade 7 before the COVID‐19 pandemic was declared (Winter 2020), and 8 during second Wave 2021). Method Linked data from 1753 (49% female) British Columbia, Canada who completed Middle Years Development Instrument survey grades were used. Participants reported on life satisfaction, depressive symptoms, with peers adults at home, school community. We used Latent Profile Analysis to identify...
ABSTRACT Background Pneumonia is a leading cause of morbidity and mortality in children < 5 years. We describe nasopharyngeal carriage respiratory syncytial virus (RSV), human metapneumovirus (hMPV), influenza among with fast‐breathing pneumonia Karachi, Pakistan. Methods performed cross‐sectional analysis swabs from aged 2–59 months pneumonia, enrolled the randomized trial amoxicillin versus placebo for (RETAPP) (NCT02372461) 2014 to 2016. Swabs were collected using WHO standardized...
Fast breathing pneumonia is characterized by tachypnoea in the absence of danger signs and mostly viral etiology. Current guidelines recommend antibiotic therapy for all children with fast resource limited settings, presuming that most bacterial. High quality clinical trial evidence to challenge or support continued use antibiotics, as recommended World Health Organization lacking. This a randomized double blinded placebo-controlled non-inferiority using parallel assignment 1:1 allocation...
Pneumonia, as defined by WHO, is a syndromic diagnosis characterized presence of cough or difficult breathing. Presentation to health-care provider depends on timely identification signs and symptoms caretakers. We explored patterns utilization among caretakers randomly selected sample 1,152 children aged 2-59 months, residing in low-income settlements Karachi, Pakistan. Information household demographics, occurrence pneumonia-specific symptoms, care seeking, air quality, knowledge regarding...
BACKGROUND:The purpose of the study was to explore association between posttraumatic stress disorder (PTSD) and work performance emergency medical services personnel in Karachi, Pakistan.METHODS: Emergency service were screened for potential PTSD using Impact Event Scale-Revised (IES-R).Work assessed on basis fi ve variables: number late arrivals work, days absent, sick, adherence protocol, patient satisfaction over a period 3 months.In order model outcomes like absent late, negative...
Bomb blast injuries result in premature deaths and burdening of healthcare systems. The objective this study was to explore the characteristics outcome patients presenting emergency departments Pakistan with bomb injuries. Active surveillance conducted seven major from November 2010-March 2011. All sites are tertiary care urban centers. who presented hospital's department (ED) following a injury as per self-report or ambulance personnel were included study. Frequency demographics, pattern,...
BackgroundDog bite injuries are a common problem globally; however, little is known about the epidemiology of dog injury from low-and-middle-income country like Pakistan. This study aims to determine among children and adults tertiary care hospital in Karachi, Pakistan.MethodsWe conducted cross-sectional on patients visiting emergency department November 2015 August 2016 major public hospital. Data was collected using structured questionnaire demographic details, history, management victims....
Studies in low-income and middle-income countries have shown an adverse association between environmental exposures including poverty. There is little literature from South Asia. We aimed to test the associations housing, indoor air pollution children's respiratory health recurrent fast breathing pneumonia a poor urban setting Pakistan. Primary centres periurban slum Karachi, Nested matched case-control study within non-inferiority randomised controlled trial of (Randomised Trial Amoxicillin...
Abstract: Introduction: Poisoning is an important public health issue globally. There are very few poison control centers in Pakistan with a limited capacity to deal poisoning emergencies. The aim of this study was identify non-governmental organizations (NGOs) working for and prevention assess their role Pakistan. Methods: A cross-sectional conducted between October December 2017. NGOs were identified through web-based search. They contacted telephone emails. data recorded on...
Background: Viruses play an important role in causing respiratory infections children worldwide. The burden of viruses among Pakistan is unknown, largely due to absence good quality diagnostic facilities. Common associated with included syncytial virus (RSV), influenza A/B, along novel like human metapneumovirus, coronavirus NL63 and HKU1, bocavirus, which have the potential cause pandemics. Therefore, it is, delimit viral pathogens pneumonia. Advanced molecular biology techniques offer...
<h3>Background</h3> Emergency medical service (EMS) personnel are exposed to various stressors in their day functioning. They kinds of which includes but not limited handling dead children, emergencies, severe injuries, acts violence, organisational problems etc. Their daily exposure diverse critical and traumatic incidents can lead stress reactions like Post-Traumatic Stress Disorder (PTSD). Consequences PTSD terms work loss be catastrophic because its compound effect on families, affect...
Introduction Apnoeic oxygenation is a process of delivering continuous oxygen through nasal cannula during direct laryngoscopy. The that delivered these cannulas either low flow or high flow. Although the effectiveness apnoeic has been shown systematic reviews and randomised controlled trials, comparison high-flow versus low-flow delivery not tested superiority study design. In this we propose to assess giving with head side elevation against usual practice care in which no provided Methods...
Background: Fast breathing pneumonia or isolated tachypnea in children, is presumed to be mostly viral origin. WHO guidelines recommend 3 days of amoxicillin therapy for all children with fast resource limited settings. The recommendations have arisen largely out hospital studies where the spectrum disease more severe. High quality clinical trial evidence challenge support continued use antibiotics, low-resource community settings lacking. Methods & Materials: A based randomized double...
Background: The association between nasopharyngeal carriage of viruses and mild to moderate lower respiratory tract infections is poorly understood. We explore this in an ongoing trial fast breathing pneumonia with objective estimate the proportions viral children Methods & Materials: study being conducted two primary health care centers low income communities located Karachi, Pakistan. Children 2 59 months old identified have cough tachypnea defined by WHO without danger signs other illness...