1
|
Mushtaq S, Abro MT, Hussain HU. Dengue Cases Presenting to the Emergency Department of a Tertiary Care Hospital in Late 2021: A Cross-Sectional Study in Karachi. Int J Public Health 2024; 69:1606753. [PMID: 38426186 PMCID: PMC10902108 DOI: 10.3389/ijph.2024.1606753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 02/07/2024] [Indexed: 03/02/2024] Open
Abstract
Objectives: Dengue Fever (DF) is an arboviral disease caused by the Dengue virus (DENV). This study aims to assess the association of dengue prevalence with patients' residential areas and hematological laboratory findings (Total platelet count, immunoglobulins, and dengue antigens) during COVID-19 pandemic. Methods: A retrospective study was conducted at the Emergency department of Jinnah Postgraduate Medical Center, Karachi from October to December 2021. All the patients irrespective of their ages presenting to the ED with either of the following complaints: fever; GIT problems; vomiting; body ache; bleeding were included in our study. Results: Our study comprised 189 patients in total in which the females (n = 172) outnumbered the males (n = 17). Out of all, 84.7% of the patients were febrile having a low-grade fever on average. Korangi district had the most dengue cases, while Keamari had the fewest. There was no significant association reported between mean platelet count, mean TLC, and mean hemoglobin levels with dengue positivity. Conclusion: There is a concerning rise in DF cases in Karachi, particularly in the Korangi district. Despite the COVID-19 pandemic, DF demands urgent attention.
Collapse
Affiliation(s)
- Saima Mushtaq
- Jinnah Post Graduate Medical Centre, Karachi, Pakistan
| | | | - Hassan ul Hussain
- Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| |
Collapse
|
2
|
Rehan ST, Hussain HU, Ali E, Kumar KA, Tabassum S, Hasanain M, Shaikh A, Ali G, Yousaf Z, Asghar MS. Role of soluble urokinase type plasminogen activator receptor (suPAR) in predicting mortality, readmission, length of stay and discharge in emergency patients: A systematic review and meta analysis. Medicine (Baltimore) 2023; 102:e35718. [PMID: 37960735 PMCID: PMC10637562 DOI: 10.1097/md.0000000000035718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 09/28/2023] [Indexed: 11/15/2023] Open
Abstract
BACKGROUND Soluble urokinase plasminogen activator receptor (suPAR) is an inflammatory biomarker that is used to predict mortality, readmission, early discharge, and LOS, thus, serves as a useful tool for ED physicians. Our study aims to analyze the efficacy of suPAR in predicting these prognostic markers in ED. METHODS We performed a comprehensive search on 6 databases from the inception to 30th November 2022, to select the following eligibility criteria; a) observation or triage trial studies investigating the role of suPAR levels in predicting: 30 day and 90-day mortality, 30-day readmission, early discharge (within 24hr), and LOS in patients coming to AMU. RESULTS A total of 13 studies were included, with a population size of 35,178, of which 52.9% were female with a mean age of 62.93 years. Increased risk of 30-day mortality (RR = 10.52; 95% CI = 4.82-22.95; I2 = 38%; P < .00001), and risk of 90-day mortality (RR = 5.76; 95% CI = 3.35-9.91; I2 = 36%; P < .00001) was observed in high suPAR patients. However, a slightly increased risk was observed for 30-day readmission (RR = 1.50; 95% CI = 1.16-1.94; I2 = 54%; P = .002). More people were discharged within 24hr in the low suPAR level group compared to high suPAR group (RR = 0.46; 95% CI = 0.40-0.53; I2 = 41%; P < .00001). LOS was thrice as long in high suPAR level patients than in patients with low suPAR (WMD = 3.20; 95% CI = 1.84-4.56; I2 = 99%; P < .00001). CONCLUSION suPAR is proven to be a significant marker in predicting 30-day and 90-day mortality in ED patients.
Collapse
Affiliation(s)
| | | | - Eman Ali
- Dow University of Health Sciences, Karachi, Pakistan
| | | | | | | | - Asim Shaikh
- Department of Medicine, The Aga Khan University, Karachi, Pakistan
| | - Gibran Ali
- Division of Pulmonary and Critical Care Medicine, Mayo Clinic - Rochester, NY, USA
| | - Zohaib Yousaf
- Department of Internal Medicine, Tower Health - Reading Hospital, PA, USA
| | | |
Collapse
|
3
|
Hussain HU, Kumar KA, Rehan ST, Khan Z, Hashmi MR, Khabir Y, Fatir CA, Tahir MJ, Ahmed A, Shrateh ON, Huda MN. Odds of HIV among incarcerated drug users: a systematic review and meta-analysis of Asian countries. Ann Med Surg (Lond) 2023; 85:5584-5592. [PMID: 37915701 PMCID: PMC10617921 DOI: 10.1097/ms9.0000000000001242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 08/16/2023] [Indexed: 11/03/2023] Open
Abstract
Background HIV makes up a large portion of infectious diseases globally. People injecting drugs in prisons are at high risk for contracting HIV infection. Prisons house ~10.2 million people globally, making them a high-risk setting for HIV transmission. This systematic review summarizes the available data on the odds of developing HIV infection among imprisoned people who inject drugs (PWIDs) in Asian regions. Methods The authors electronically assessed published studies from January, 2000 to December, 2022, including studies that investigated the odds of HIV in imprisoned PWIDs. We extensively searched PubMed, ERIC, and Cochrane Central and Google Scholar with no constraints in language or time. All the observational studies evaluating the chances of HIV in Asian prisoners with an exposure group of PWIDs and a control group of non-injecting-drug users were included in our analysis. Results The databases search yielded 254 potential studies, 10 observational studies of which having a total of 17 333 participants were included. A low or moderate risk of bias was reported in all the studies except one case-control. The pooled analysis showed a significant association between PWIDs and the chances of contracting HIV infection (Odds ratio=6.40; 95% CI=3.89-10.52; P<0.00001; I2=53%). Conclusion This study found a vital correlation between injecting-drug usage during imprisonment and HIV transmission speed. The results of this meta-analysis support the need to prevent HIV and conducting treatment programs in high-risk settings like prisons.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | - Ali Ahmed
- School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, Selangor, Malaysia
| | - Oadi N. Shrateh
- Faculty of Medicine, Al-Quds University, Jerusalem, Palestine
| | - Md. Nazmul Huda
- School of Medicine
- Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown, Australia
| |
Collapse
|
4
|
Abdul Wahid M, Hussain HU, Ghouri H, Khan T, Rehan ST, Mumtaz H. Programmed death ligand 1, poly adenosine diphosphate ribose polymerase, and vascular endothelial growth factor receptor inhibition: a potential combination regimen for targeting triple-negative breast cancer? Int J Surg 2023; 109:3230-3233. [PMID: 37352527 PMCID: PMC10583937 DOI: 10.1097/js9.0000000000000550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 06/03/2023] [Indexed: 06/25/2023]
Affiliation(s)
| | | | | | | | | | - Hassan Mumtaz
- Maroof International Hospital. Public Health Scholar, Health Services Academy, Islamabad, Pakistan
| |
Collapse
|
5
|
Abdul Ghani S, Burney S, ul Hussain H, Abdul Wahid M, Mumtaz H. Can velmanase alfa be the next widespread potential therapy for alpha-mannosidosis? Int J Surg 2023; 109:2882-2885. [PMID: 37352513 PMCID: PMC10498836 DOI: 10.1097/js9.0000000000000528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 05/25/2023] [Indexed: 06/25/2023]
Abstract
Alpha-mannosidosis (AM) is an autosomal recessive lysosomal storage disorder caused by reduced activity of the enzyme alpha-mannosidase. The disease is characterized by immunodeficiency, facial and skeletal abnormalities, impaired hearing, and intellectual disability. The clinical subtype of AM shows considerable variability in an individual, and at present, at least three clinical subtypes are suggested. Diagnosis is made by identification of deficiency of α-mannosidase activity in nucleated cells, like fibroblasts. The children are often born apparently normal as the disease is insidiously progressive, hence making early diagnosis essential. Along with supportive care, long-term therapeutic options include hematopoietic stem cell transplant, bone marrow transplantation, and enzyme replacement therapy. The possible benefits of these procedures must be weighed against the overall risk of procedure-related morbidity and mortality. Velmanase alfa is the first human recombinant form of alpha-mannosidase licensed and available for long-term enzyme replacement therapy. It is approved for treating non-neurologic manifestations of mild to moderate AM. The results obtained from different clinical trials provide evidence of the positive clinical effect of the recombinant enzyme on patients with AM. Different routes of diagnosis and unspecific initial symptoms of the disease lead to a delay in the initiation of treatment, resulting in accumulative morbidity. Thus, there is a dire necessity to create more awareness. Furthermore, additional multiple large-scale trials are needed to evaluate the long-term safety and efficacy of velmanase alfa.
Collapse
Affiliation(s)
| | | | | | | | - Hassan Mumtaz
- Maroof International Hospital. Public Health Scholar, Health Services Academy, Islamabad, Pakistan
| |
Collapse
|
6
|
Rehan ST, Khan Z, Shuja SH, Salman A, Hussain HU, Abbasi MS, Razak S, Cheema HA, Swed S, Surani S. Association of adverse childhood experiences with adulthood multiple sclerosis: A systematic review of observational studies. Brain Behav 2023; 13:e3024. [PMID: 37128143 PMCID: PMC10275535 DOI: 10.1002/brb3.3024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 03/12/2023] [Accepted: 04/10/2023] [Indexed: 05/03/2023] Open
Abstract
INTRODUCTION Adverse childhood experiences (ACEs) are proposed to increase the risk of developing multiple sclerosis (MS) later in life. This systematic review aimed to explore the correlation between ACEs and MS development, age of onset, quality of life in MS patients and MS relapse rates. METHODS We searched a total of six databases in June 2022 and retrieved the relevant studies. The population included adult (18+) individuals who either had been diagnosed or were at risk for developing MS and also had exposure to ACEs. Our primary outcomes include the risks of MS development, age of MS onset, and MS relapse rate in patients who were exposed to different types of ACEs. RESULTS A total of 11 studies were included in our review. A study reported that among 300 women diagnosed with MS, 71 (24%) reported a history of childhood abuse; moreover, with further research, it was concluded that ACEs were associated with the development of MS. Abuse that occurred 2-3 times per week was associated with an 18.81-fold increased risk of having MS when compared to the unexposed sample. The relapse rate of MS was found to be substantially greater in severe cases of ACEs compared to individuals who did not report any ACEs. CONCLUSIONS Results support a significant association between ACEs and the development of MS; individuals with a positive history of ACEs develop MS symptoms earlier. Moreover, the severity of ACEs is also linked with increased relapse rates of MS.
Collapse
Affiliation(s)
| | - Zayeema Khan
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | - Syed Hasan Shuja
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | - Afia Salman
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | - Hassan ul Hussain
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | | | - Sufyan Razak
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | | | - Sarya Swed
- Faculty of MedicineAleppo UniversityAleppoSyria
| | - Salim Surani
- Adjunct Clinical Professor of MedicineTexas A&M UniversityCollege StationTexasUSA
| |
Collapse
|
7
|
Ghani SA, Burney S, Muzaffar F, Naseem L, ul Hussain H, Rehan ST, Mumtaz H. Lumasiran: a potential therapy for the management of primary hyperoxaluria type 1? An editorial. Int J Surg 2023; 109:83-84. [PMID: 36799810 PMCID: PMC10389315 DOI: 10.1097/js9.0000000000000143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 11/22/2022] [Indexed: 02/18/2023]
|
8
|
Rehan ST, ul Hussain H, Hasan MM. Serious absenteeism amongst Pakistani school and university girls during menstruation: Is this a neglected threat to already deteriorating girls' education in the country? Lancet Reg Health Southeast Asia 2022; 7:100072. [PMID: 37383929 PMCID: PMC10305921 DOI: 10.1016/j.lansea.2022.100072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/30/2023]
Affiliation(s)
| | | | - Mohammad Mehedi Hasan
- Department of Biochemistry and Molecular Biology, Faculty of Life Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh
| |
Collapse
|
9
|
Tayyaba Rehan S, Imran L, Mansoor H, Sayyeda Q, Hussain HU, Cheema MS, Tahir MJ, Asghar MS, Mahmmoud Fadelallah Eljack M, Islam MS. Effects of SARS-CoV-2 infection and COVID-19 pandemic on menstrual health of women: A systematic review. Health Sci Rep 2022; 5:e881. [PMID: 36248348 PMCID: PMC9547349 DOI: 10.1002/hsr2.881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 09/20/2022] [Accepted: 09/20/2022] [Indexed: 11/10/2022] Open
Abstract
Background The menstrual cycle in women is the main indicator of their reproductive health which is affected by the ongoing coronavirus disease 2019 (COVID-19) pandemic. This review aims to summarize the effects of the COVID-19 infection and the global pandemic on the menstrual health of women. Methods The literature search was conducted in PubMed, Cochrane library, and Google Scholar using keywords "COVID-19," "Menstrual Cycle," "Menstrual Cycle Irregularities," "Amenorrhea," "Polymenorrhea," and "Dysmenorrhea." The articles were selected according to the following inclusion criteria: (i) cross-sectional studies, (ii) cohort studies, (iii) surveys, and (iv) other observational studies observing the effects of SARS-CoV-2 infection or COVID-19 pandemic on menstrual health of women. Exclusion criteria included: case reports, gray literature, and website articles regarding menstrual health. Results A total of 30,510 articles were shortlisted after a comprehensive search. Sixteen articles were included out of which 13 studies investigated the effects of the COVID-19 pandemic on the menstrual cycle while 3 evaluated the possible effects of COVID-19 infection on the menstrual health of women. Menstrual disorders or irregularities were a more common finding during the pandemic as compared to before (p = 0.008). Women affected by pandemic-related stress were more prone to changes in the duration of their menses (p = 0.0008), reported heavier bleeding (p = 0.028), and increased incidence of painful periods (p < 0.0001). COVID-19 infected women also reported changes in their menstrual cycle including irregular menstruation, increased symptoms of premenstrual syndrome, and infrequent menstruation. Conclusions Women suffering from COVID-19 infection or pandemic-associated stress and anxiety were more likely to experience irregular menstruation, dysmenorrhea, amenorrhea, and other menstrual abnormalities compared to those who were less exposed.
Collapse
Affiliation(s)
| | - Laiba Imran
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | - Hussain Mansoor
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | - Qudsia Sayyeda
- Department of MedicineRed Crescent of Tampa BayTampaFloridaUSA
| | - Hassan ul Hussain
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | | | | | - Muhammad Sohaib Asghar
- Department of Internal MedicineDow University of Health Sciences–Ojha CampusKarachiPakistan,Division of Nephrology and HypertensionMayo ClinicRochesterMinnesotaUSA
| | | | - Md. Saiful Islam
- Department of Public Health and InformaticsJahangirnagar UniversitySavarDhakaBangladesh,Centre for Advanced Research Excellence in Public HealthSavarDhakaBangladesh
| |
Collapse
|
10
|
Malik M, Rehan ST, Malik F, Ahmed J, Fatir CA, Hussain HU, Aman A, Tahir MJ. Factors associated with loss of motivation and hesitation to work amongst frontline health care providers during the COVID-19 pandemic: A cross-sectional survey from a developing country. Ann Med Surg (Lond) 2022; 83:104766. [PMID: 36281276 PMCID: PMC9582906 DOI: 10.1016/j.amsu.2022.104766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 09/16/2022] [Accepted: 09/19/2022] [Indexed: 11/27/2022] Open
Abstract
Background The COVID-19 took over the world in 2020 and a lockdown has been imposed seeing its fast spread. Frontline health care workers (HCWs) were reported frequently with a lack of motivation, hesitancy and unwillingness to perform their duties during this pandemic. This cross-sectional survey aims to evaluate the factors associated with lack of motivation and increased hesitancy among the frontline HCWs to perform their duties during COVID-19 pandemic. Materials and methods A total of 239 HCWs were included in this web-based cross-sectional study, who have worked during the COVID-19 pandemic. The anonymous online questionnaire was sent to all faculty, trainees and staff of Aga Khan University Hospital in Karachi, Pakistan. The survey was conducted from September 2020 to January 2021 during the COVID-19 pandemic. All data was exported into Statistical Package for Social Sciences Version 19 for multivariate analysis. Results The risk of getting infected was strongly reported by 180 participants, and it was associated with higher hesitation to work (aOR = 6.09 [2.55–14.59]). Fifty-one participants felt that lack of knowledge about prevention and protection was associated with lower motivation to work (aOR = 0.66 [0.35–1.25]). Participants reported higher hesitation due to the burden of changed quality of work, physical exhaustion, mental exhaustion and altered sleep patterns. Sense of feeling protected by their hospitals was a motivating factor, and participants receiving adequate support reported higher motivation to work (aOR = 2.60 [1.32–5.14]). Conclusion Fear of infection, increased working hours, and inadequate support of the workplace played a key role in escalating the hesitancy among HCWs to perform their duties. Lack of disease knowledge and paucity of personal protective equipment further lowered the motivation levels of HCWs to work effectively during the COVID-19 pandemic. The COVID-19 took over the world in 2020 and a lockdown has been imposed seeing its fast spread. Frontline health care workers (HCWs) were reported frequently with a lack of motivation, hesitancy and unwillingness to perform their duties during this pandemic. This cross-sectional survey aims to evaluate the factors associated with lack of motivation and increased hesitancy among the frontline HCWs to perform their duties during COVID-19 pandemic. Fear of infection, increased working hours, and inadequate support of the workplace played a key role in escalating the hesitancy among HCWs to perform their duties.
Collapse
Affiliation(s)
- Mehreen Malik
- Aga Khan University Hospital, 74800, Karachi, Pakistan
| | - Syeda Tayyaba Rehan
- Dow University of Health Sciences, 74200, Karachi, Pakistan
- Corresponding author.
| | - Farheen Malik
- Dow University of Health Sciences, 74200, Karachi, Pakistan
| | - Jawad Ahmed
- Dow University of Health Sciences, 74200, Karachi, Pakistan
| | | | | | - Asiyah Aman
- Aga Khan University Hospital, 74800, Karachi, Pakistan
| | | |
Collapse
|
11
|
Mumtaz H, Hussain HU, Ahmad S. In Response to Errors in Antibiotic sensitivity testing: Barking up the wrong tree. Ann Med Surg (Lond) 2022; 80:104112. [PMID: 36045819 PMCID: PMC9422070 DOI: 10.1016/j.amsu.2022.104112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 06/27/2022] [Indexed: 11/26/2022] Open
|
12
|
Hussain HU, Burney MH, Rehan ST, Hasan MM. Dostarlimab: A breakthrough in the field of oncology. Ann Med Surg (Lond) 2022; 80:104046. [PMID: 36045764 PMCID: PMC9422050 DOI: 10.1016/j.amsu.2022.104046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 06/18/2022] [Indexed: 11/17/2022] Open
Abstract
Of the 19 million cancer cases reported worldwide in 2020, colorectal cancer (CRC) has a 10% prevalence and 9.4% mortality. A critical lack of cancer treatment facilities in third-world countries like Pakistan where a significant prevalence of CRC has been detected. The five FDA-approved drugs used for CCR therapy (Durvalumab, Atezolizumab, Nivolumab, Pembrolizumab, and Avelumab) have been associated with a high occurrence of grade 3-4 adverse side effects. Dostarlimab is a new drug previously used to treat endometrial cancers and has a mechanism of action that is in accordance with other PD-1/PD-L1 inhibitors. A recent clinical trial has found Dostarlimab to cure 100% of the CRC patients who were given this drug while also showing no adverse events of grade 3 or higher in any patient. The recent clinical trial has opened up doors for future clinical trials perhaps with bigger sample sizes and ones that also include CRC patients belonging to wider geo-economic backgrounds such as those of Pakistan and other Asian countries.
Collapse
|
13
|
Tayyaba Rehan S, Hussain HU, Malik F, Usama RM, Tahir MJ, Asghar MS. Voxelotor versus other therapeutic options for sickle cell disease: Are we still lagging behind in treating the disease? Health Sci Rep 2022; 5:e713. [PMID: 35774831 PMCID: PMC9213830 DOI: 10.1002/hsr2.713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Revised: 06/01/2022] [Accepted: 06/06/2022] [Indexed: 11/07/2022] Open
Abstract
Background Objectives Discussion & Conclusion
Collapse
Affiliation(s)
| | - Hassan ul Hussain
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | - Farheen Malik
- Department of MedicineDow University of Health SciencesKarachiPakistan
| | | | | | - Muhammad Sohaib Asghar
- Department of Internal MedicineDow University of Health Sciences—Ojha CampusKarachiPakistan
| |
Collapse
|
14
|
Sharif M, Khan MS, Ahmed TK, Aziz W, Rasheed U, Zammurrad S, Iqbal A, Mumtaz H, Hussain HU, Hasan M, Erum S. Comparison of efficacy three-site versus single-site steroid injections for the treatment of adhesive capsulitis. Ann Med Surg (Lond) 2022; 79:104071. [PMID: 35860100 PMCID: PMC9289424 DOI: 10.1016/j.amsu.2022.104071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 06/18/2022] [Accepted: 06/22/2022] [Indexed: 11/16/2022] Open
Affiliation(s)
| | | | | | | | | | | | | | - Hassan Mumtaz
- Maroof International Hospital, Public Health Scholar, Health Services Academy, Islamabad, Pakistan
- Corresponding author. Maroof International Hospital. Public Health Scholar: Health Services Academy, Islamabad, Pakistan.
| | | | | | | |
Collapse
|
15
|
Bangash K, Mumtaz H, Mehmood M, Hingoro MA, Khan ZZ, Sohail A, Ullah S, Maqbool D, Umm-E-Farwa, Jamal N, Khan MS, Ahmad S, Sohail A, Hussain HU, Ullah I. Twelve-year trend of Escherichia coli antibiotic resistance in the Islamabad population. Ann Med Surg (Lond) 2022; 78:103855. [PMID: 35734722 PMCID: PMC9207067 DOI: 10.1016/j.amsu.2022.103855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 05/20/2022] [Accepted: 05/22/2022] [Indexed: 10/26/2022] Open
|
16
|
Zeeshan M, Yousaf S, Ahmed A, Bahadar H, Ali U, Jabeen S, Hussain HU, Mumtaz H, Hasan M. Co-relation of Monocyte Count in High vs. Low Thrombus Burden ST-Segment Elevated Myocardial Infarction (STEMI) Patients Undergoing Primary Percutaneous Coronary Intervention. Cureus 2022; 14:e24344. [PMID: 35607551 PMCID: PMC9123895 DOI: 10.7759/cureus.24344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/21/2022] [Indexed: 11/05/2022] Open
|