A5071792011- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
- Renal function and acid-base balance
- Neonatal Respiratory Health Research
- Intensive Care Unit Cognitive Disorders
- Airway Management and Intubation Techniques
- Acute Kidney Injury Research
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Neonatal Health and Biochemistry
- Cardiac, Anesthesia and Surgical Outcomes
- Global Maternal and Child Health
- Poisoning and overdose treatments
- Methemoglobinemia and Tumor Lysis Syndrome
- Trauma and Emergency Care Studies
- Muscle and Compartmental Disorders
- Acute Lymphoblastic Leukemia research
- Diabetes and associated disorders
- Child and Adolescent Health
- Glioma Diagnosis and Treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Diet and metabolism studies
- Child Nutrition and Water Access
- Pharmaceutical studies and practices
- Metabolism and Genetic Disorders
Liaquat National Hospital
2020-2024
Aga Khan University Hospital
1969-2023
Aga Khan University
2014-2023
Indus Hospital
2018-2023
National Institute of Child Health
2023
Dow University of Health Sciences
2020
United Medical Center
2020
Aga Khan University Hospital Nairobi
2015-2020
Aga Khan University
2019-2020
Weatherford College
2019
Tuberculous Lymphadenitis (TBLA) poses a significant public health burden globally, particularly in Somalia due to high tuberculosis prevalence. It often faces diagnostic challenges its nonspecific symptoms; making early treatment critical. Additionally, HIV and MDR-TB can also exacerbate the scenario. Hence, this study aims determine rate of TBLA Somali population using GeneXpert PCR assay. This retrospective observational was conducted at NOVA Diagnostic Research, leading center Mogadishu,...
Background: The COVID-19 pandemic worsened diabetes management, increasing the risk of complications like DKA and HHS, requiring close blood glucose monitoring. Objective: objective this study was to examine relationship between serum IL-6 levels glycemic control in COVID-19-exposed diabetic patients Bangladesh. Methodology: This cross-sectional conducted at Ahad Diabetic Health Complex, Jessore, from October 2022 May 2023, involving 85 aged 18 above, exposed COVID-19. Data on...
Pneumocystis carinii is an opportunistic unicellular organism that can cause serious pulmonary infection in immunosuppressed patients. The taxonomy and classification of P. has not yet been settled. authors present transmission scanning electron microscopic (TEM SEM) observations tissue from two patients with infections. infectious organisms display marked variability shape size. They appear to divide by binary fission lack motility organelles, Golgi apparatus, phagosomes, lysosomes....
Back ground and Objective: Mechanical Ventilation (MV) is frequently used as one of the most frequent life-supportive technology in Pediatric Intensive Care Units (PICUs). Very little data available from Asian countries like Pakistan regarding use MV PICUs. Our objective was to assess frequency, indications immediate-outcomes mechanically ventilated pediatric patients tertiary-care center developing country.Retrospective cohort study critically ill admitted PICU Aga Khan University Hospital,...
Background: The phenomenon of breakthrough infection during the COVID-19 pandemic has raised concerns regarding efficacy vaccinations and healthcare providers are exposed to instances on a regular basis for professional reasons, putting them at risk. This study was aimed look into SARS-CoV-2 IgG status among providers, reported with infections. Methods: involved 78 (e.g., doctors, nurses, Lab personnel, support staffs) from tertiary care hospital in Dhaka city. Blood samples were collected...
To describe the spectrum of complications Diabetic Ketoacidosis (DKA) observed in children admitted with severe DKA.Retrospective review medical records all diagnosis DKA Pediatric Intensive Care Unit (PICU) Aga Khan University Hospital, from January 2010 to December 2015 was done. Data collected on a structured proforma and descriptive statistics were applied.Total 37 complicated (1.9% total PICU admission 1.8% 3.4% 2015). Mean age study population 8.1±4.6 years 70% females (26/37). Prism...
To evaluate nationwide pediatric critical care facilities and resources in Pakistan.Cross-sectional observational study.Accredited training Pakistan.None.None.A survey was conducted using the Partners Health 4S (space, staff, stuff, systems) framework, via email or telephone correspondence. We used a scoring system which each item our checklist given score of 1, if available. Total scores were added up for component. Additionally, we stratified analyzed data between public private healthcare...
Abstract Background Evidence-based interventions may reduce mortality in surgical patients. This study documented the prevalence of sepsis, adherence to guidelines its management, and timing source control general patients presenting as an emergency. Methods Patients aged 16 years or more with emergency surgery problems were identified over a 7-day period then screened for sepsis compliance (using Sepsis Six standards, devised severe sepsis) (whether radiological surgical). Exploratory...
To evaluate the clinical and prognostic utility of procalcitonin (PCT), C-reactive protein (CRP), lactic acid in children admitted to Pediatric Intensive Care Unit (PICU) a university teaching hospital.Medical records (1 month-16 years) tested for serum PCT at time admission PICU our hospital from July 1, 2013, January 15, 2015, were reviewed. Within 24 h admission, Risk Mortality Score, blood cultures, white cell count, neutrophil counts, CRP, plasma acid, noted. Patient outcome was...
Intracerebral hemorrhage (ICH) in children is a rare but disabling disease that accounts for almost half cases of stroke. We report our experience ICH children. Retrospective review medical records (1 month-16 years) admitted Pediatric Intensive Care Unit between January 2007 and December 2014 was done. Data collected included age, gender, presentation, examination findings, neuroimaging done (CT, MRI, angiography) management (conservative/intervention), outcome. Results are presented as...
Objective: To determine if a video used during logger training influences safety attitude, knowledge, and workplace habits. Method: From April 2002 to October 2003, loggers receiving through the West Virginia Division of Forestry were given new module. This consisted pre-training survey, viewing video, brief introduction field guide, an immediate post-training survey. Six months after training, contacted by telephone assess behavioral changes. Results: 1197 attended 80 sessions completed...
Arrhythmias are known complication after surgery for congenital heart disease (CHD). This study aimed to identify and discuss their immediate prevalence, diagnosis management at a tertiary care hospital in Pakistan.A retrospective was conducted Pakistan between January 2014 December 2018. All pediatric (<18 years old) patients admitted the intensive unit undergoing continuous electrocardiographic monitoring CHD were included this study. Data pertaining incidence, diagnosis, of postoperative...
<b>Objectives:</b> To determine the frequency and immediate outcome of acute neurologic complications (ANCs) in children undergoing congenital heart surgery (CHS). <b>Materials Methods:</b> Inthis retrospective study, all patients CHS at our hospital from January 2007 to June 2016 were included. Patients followed up for development seizures, altered level consciousness (ALOC), abnormal movements, stroke. Results are presented as mean with standard deviation percentages. <b>Results:</b> Of...
Pediatric oncology patients are at increased risk of contracting healthcare-associated infections (HAIs), which responsible for morbidity and mortality rates as well treatment costs. This study aimed to identify the frequency HAIs among pediatric their outcome.Pediatric admitted between January 2009 June 2010 in a ward Aga Khan University Hospital, Karachi, Pakistan, who developed HAIs, were analyzed.A total 90 identified 32 70 admissions. The HAI rate was 3.1/100 admission episodes....
Objective Procedural sedation and analgesia are the standard of care for painful procedures in children that require immobility. The aim is to assess safety efficacy procedural pediatric oncological patients a large tertiary hospital. Method An observational study performed review medical records who received (PSA) from July 2018 September 2018. Patients undergoing oncology (lumbar puncture, intrathecal chemotherapy, bone marrow aspiration +/- trephine) were included, non-anesthesiologist...
Abstract Background: Patients admitted to critical care need timely interventions after evaluating all clinical parameters. This study aims assess the impact of comprehensive rounding checklist on physician compliance and patient-related outcomes in a multidisciplinary pediatric intensive unit (PICU). Subjects Methods: prospective observational was conducted two phases over period 2 months at PICU from Pakistan. A structured 35 components encompassing patient introduced implemented PICU....
Objective The goal of this study was to estimate the proportion and causes potentially preventable mortality among critically ill children admitted pediatric intensive care unit (PICU). Methods medical records all patients who died in PICU (age range: one month 16 years) between January 2014 December 2015 were evaluated by two independent reviewers determine whether there had been any delayed recognition deteriorating conditions, interventions, unintentional/unanticipated harm, medication...
Objective The critical mediastinal mass syndrome (CMMS) is a life-threatening condition and challenging for physicians. We analyse the clinicopathological profile outcome of CMMS from large tertiary-care pediatric oncology center in Pakistan. Methods retrospectively reviewed medical record hospital Pakistan April 2017 to September 2019 all children (1 month-16 years) who presented with an anterior (AMM). A case defined as child AMM presenting cardiorespiratory compromise needing intensive...
Objective Tracheostomy is a commonly performed procedure amongst critically ill patients, especially in cases of prolonged mechanical ventilation (PMV). This study aimed to describe the indications, clinical characteristics, and outcomes elective pediatric tracheostomies children at our center. Methods A retrospective review medical records who underwent intensive care unit (PICU) was conducted from January 2009 June 2018. Data were extracted based on demographics, indications tracheostomy,...
The current definition of acute kidney injury (AKI) is based on serum creatinine (SrCr) and urine output, limited by delayed identification such patients. Plasma neutrophil gelatinase-associated lipocalin (NGAL) considered an early diagnostic highly predictive biomarker AKI.To determine the accuracy NGAL for AKI compared with clearance detection in children shock receiving inotropic support.Critically ill requiring support pediatric intensive care unit were enrolled prospectively. SrCr...