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Shardha HK, Kumar G, Sagar, Kumar R, Qazi MA, Munir S, Tariq W, Maheshwari P, Kumar B, Tahir MJ, Shrateh ON, Ahmed A. Perceptions of telemedicine among healthcare professionals in rural tertiary care hospitals of rural Sindh, Pakistan: a qualitative study. Ann Med Surg (Lond) 2024; 86:726-733. [PMID: 38333274 PMCID: PMC10849444 DOI: 10.1097/ms9.0000000000001688] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 12/27/2023] [Indexed: 02/10/2024] Open
Abstract
Background Telemedicine has proven to be a boon in the field of medical sciences, as it provides a platform for all health-care personnel to assist patients remotely through digital technology advancements. It brings hope to the lower middle-income regions of the world. Thus, the study was conducted to explore the perceptions regarding telemedicine among healthcare professionals (HCP) in rural Sindh, Pakistan. Methodology Overall, 19 in-depth interviews were conducted and this comprised of HCP working in the Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences (PAQSJIMS) and Peoples University of Medical and Health Sciences for Women (PUMHSW) being involved in providing online consultations and practicing telemedicine. The interviews were conducted and audio recorded in Sindhi and Urdu and were later transcribed in to English, coded for themes and sub-themes, and were analyzed using content analysis. Results The opportunities perceived with the use of telemedicine services were reducing nosocomial infections, facilitating the healthcare in remote areas, handling telemedicine tools, application of telemedicine services on the ground and reducing stress. However, inadequate awareness regarding telemedicine, difficulty in physical examination, the need for training, lack of compliance, and concerns regarding accuracy in diagnosis and treatment were identified as the perceived barriers to the use of telemedicine services. Conclusion HCP had perception toward telemedicine as have numerous opportunities favoring implementation as well as various barriers are needed to overcome to promote the usage of telemedicine. Increased awareness, training programs, and technological advancements are key to overcome these challenges.
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Affiliation(s)
| | - Grouve Kumar
- Gambat Medical College, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, Gambat
| | - Sagar
- Pakistan Institute of Medical Sciences
| | - Rajesh Kumar
- Shaheed Mohtarma Benazir Bhutto Institute of Trauma, Karachi
| | - Mansoor A. Qazi
- Gambat Medical College, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, Gambat
| | - Saqib Munir
- Khwaja Muhammad Safdar Medical college, Sialkot, Pakistan
| | | | | | | | | | - Oadi N. Shrateh
- Faculty of Medicine, Al-Quds University, Jerusalem, Palestine
| | - Ali Ahmed
- Riphah Institute of Pharmaceutical Sciences, Riphah International University, Islamabad
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Chattha M, Tahir MJ, Zia A, Chattha M, Tariq W, Masood MF, Sani S, Yousaf Z, Eljack MMF, Asghar MS. Exposure to, understanding of and interest in interventional radiology among Pakistani medical students: a cross-sectional study. Front Med (Lausanne) 2023; 10:1226294. [PMID: 37908856 PMCID: PMC10615072 DOI: 10.3389/fmed.2023.1226294] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 09/27/2023] [Indexed: 11/02/2023] Open
Abstract
Background Medical students need more awareness regarding minimally invasive image-guided procedures carried out by interventional radiological approach. This study analyzed the knowledge and attitudes of medical students regarding interventional radiology (IR) and the factors influencing their decision to choose IR as a specialty in the future. Methods A cross-sectional, web-based study was conducted among medical students across Pakistan. The data were collected from October 14, 2021, to November 14, 2021. The questionnaire included demographic variables, exposure, interest, and self-reported knowledge of IR, interventions, instruments utilized in IR, and the responsibilities of the interventional radiologist. Variables affecting the possible choice of IR as a future career were analyzed using logistic regression analysis. Results The median age was 22 years, with a male predominance. 65.5% exhibited an interest in radiology, and 20.2% in IR. The majority, 83.5%, perceived IR. As having good to adequate prospects. Male participants preferred IR more as compared to females. Participants willing to attend IR rotation and had an excellent view of IR as a specialty had higher propensity towards IR as a future career than their counterparts. The majority opted for IR as a better-paying job with lots of intellectual stimulation and career flexibility. Conclusion IR is a demanding specialty with rigorous routines but reasonable monetary compensation. Lack of infrastructure and low numbers of trained specialists limit medical students' exposure to IR in developing health economies like Pakistan. Clinical rotations in IR departments would help raise awareness about the field and bridging this gap.
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Affiliation(s)
- Muneeb Chattha
- Department of Medicine, Foundation University Medical College, Rawalpindi, Pakistan
| | - Muhammad Junaid Tahir
- Department of Radiology, Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan
| | - Ahmad Zia
- Department of Radiology, Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan
| | - Maha Chattha
- Department of Radiology, Army Medical College, Rawalpindi, Pakistan
| | - Waleed Tariq
- Department of Medicine, Mayo Hospital, Lahore, Pakistan
| | | | - Salman Sani
- Department of Medicine, Jinnah Hospital, Lahore, Pakistan
| | - Zohaib Yousaf
- Department of Medicine, Tower Health, Reading, PA, United States
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Jamil H, Idrees M, Idrees K, Tariq W, Sayyeda Q, Asghar MS, Tahir MJ, Akram S, Ullah K, Ahmed A, Mohanty A, Padhi BK, Sah R. Socio-demographic determinants of Monkeypox virus preventive behavior: A cross-sectional study in Pakistan. PLoS One 2023; 18:e0279952. [PMID: 37561764 PMCID: PMC10414588 DOI: 10.1371/journal.pone.0279952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 03/29/2023] [Indexed: 08/12/2023] Open
Abstract
BACKGROUND Monkeypox (mpox), re-emerging zoonotic infectious disease, is striking the world with serious public health concerns, especially in non-endemic countries. The public's knowledge and attitude towards the monkeypox virus (MPXV) influence their adherence to preventive strategies. Therefore, we aimed to assess the public's knowledge, attitudes, and perceptions (KAP) of MPXV in Pakistan. METHODS We collected data for this cross-sectional study from 1040 participants via online self-reported questionnaire from July 5th, 2022, to August 1st, 2022. The questionnaire consisted of a total of 29 items in four sections, assessing socio-demographics, knowledge, attitudes, and practices regarding MPXV. The data were analyzed using IBM SPSS V.25, and factors associated with MPXV knowledge, attitude, and practices were identified by using logistic regression analyses. RESULTS A total of 1040 participants were included. 61.4% were male, and 57.2% had graduation level education. Only 34.4% had good knowledge about MPXV, and 30% knew the effectiveness of the smallpox vaccine against MPXV. 41.7% had a positive attitude, 48.6% agreed that it is a fatal disease, and 44.6% were in favour of banning travel from endemic to non-endemic regions. 57.7% had good practices, and 69.9% would use protective measures if MPXV became an epidemic. Binary logistic regression analysis revealed that gender and education significantly impacted knowledge (p<0.05). While monthly income status had a significant impact on attitudes (p<0.05). The practices were positively correlated with gender and education (p<0.05). CONCLUSION The majority of study participants had inadequate levels of knowledge, and attitudes regarding MPXV. To prevent the emergence and spread of MPXV in Pakistan, a comprehensive strategic framework for public health education must be established and implemented.
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Affiliation(s)
| | | | | | | | - Qudsia Sayyeda
- Red Crescent of Tampa Bay, Tampa, FL, United States of America
| | | | | | | | - Kaleem Ullah
- Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, Gambat, Pakistan
| | - Ali Ahmed
- School of Pharmacy, Monash University, Subang Jaya, Selangor, Malaysia
| | - Aroop Mohanty
- Department of Microbiology, All India Institute of Medical Sciences, Gorakhpur, India
| | - Bijaya Kumar Padhi
- Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Ranjit Sah
- Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
- Department of Microbiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
- Harvard Medical School, Boston, MA, United States of America
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Tahir MJ, Ashraf S, Tariq W, Cheema MS, Asghar MS, Yousaf Z. The future role of forensic radiology - scope and challenges. Radiologia (Engl Ed) 2023; 65:385-386. [PMID: 37516491 DOI: 10.1016/j.rxeng.2023.02.003] [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: 01/26/2023] [Accepted: 02/01/2023] [Indexed: 07/31/2023]
Affiliation(s)
- M J Tahir
- Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahor, Pakistan.
| | - S Ashraf
- Dow University of Health Sciences, Karachi, Pakistan
| | - W Tariq
- Hospital General de Lahore, Lahore, Pakistan
| | - M S Cheema
- CMH Lahore Medical College, Lahore, Pakistan
| | - M S Asghar
- Mayo Clinic, Rochester, MN, United States
| | - Z Yousaf
- Tower Health, Reading, PA, United States
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Tahir MJ, Zaman M, Saffi J, Asghar MS, Tariq W, Ahmed F, Islam R, Farooqui US, Ullah I, Saqlain M, Ullah K, Ahmed A. Knowledge, attitudes, and practices of the general population of Pakistan regarding typhoid conjugate vaccine: findings of a cross-sectional study. Front Public Health 2023; 11:1151936. [PMID: 37333546 PMCID: PMC10272827 DOI: 10.3389/fpubh.2023.1151936] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Accepted: 04/28/2023] [Indexed: 06/20/2023] Open
Abstract
Typhoid fever, a common enteric disease in Pakistan, caused by Salmonella typhi, is becoming an extended drug-resistant organism and is preventable through the typhoid conjugate vaccine (TCV). Public adherence to preventive measures is influenced by knowledge and attitude toward the vaccine. This study investigates the knowledge, attitudes, and practices of the general population of Pakistan toward TCV. The differences in mean scores and factors associated with typhoid conjugate vaccine knowledge, attitudes, and practices were investigated. A total of 918 responses were received with a mean age of 25.9 ± 9.6, 51% were women, and 59.6% had graduation-level education. The majority of them responded that vaccines prevent illness (85.3%) and decrease mortality and disability (92.6%), and typhoid could be prevented by vaccination (86.7%). In total, 77.7 and 80.8% considered TCV safe and effective, respectively. Of 389 participants with children, 53.47% had vaccinated children, according to the extended program on immunization (EPI). Higher family income has a higher odds ratio (OR) for willingness toward booster dose of TCV [crude odds ratio (COR) = 4.920, p-value <0.01; adjusted odds ratio (aOR) = 2.853, value of p <0.001], and negative attitude regarding the protective effect of TCV has less willingness toward the booster dose with statistical significance (COR = 0.388, value of p = 0.017; aOR = 0.198, value of p = 0.011). The general population of Pakistan had a good level of knowledge about the benefits of TCV, and attitude and practices are in favor of the usage of TCV. However, a few religious misconceptions are prevalent in public requiring the efforts to overcome them to promote the usage of vaccines to prevent the disease and antibiotic resistance.
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Affiliation(s)
| | - Musharaf Zaman
- Department of Anesthesia, Pakistan Red Crescent Teaching Hospital, Lahore, Pakistan
| | - Junaid Saffi
- Department of Medicine, Lahore General Hospital, Lahore, Pakistan
| | - Muhammad Sohaib Asghar
- Department of Internal Medicine, Dow University of Health Sciences-Ojha Campus, Karachi, Pakistan
| | - Waleed Tariq
- Department of Medicine, Lahore General Hospital, Lahore, Pakistan
| | - Faizan Ahmed
- Department of Medicine, Lahore General Hospital, Lahore, Pakistan
| | - Rabia Islam
- Department of Medicine, Punjab Medical College, Faisalabad, Pakistan
| | | | - Irfan Ullah
- Department of Medicine, Kabir Medical College, Gandhara University, Peshawar, Pakistan
| | - Muhammad Saqlain
- Department of Pharmacy, Quaid-I-Azam University, Islamabad, Pakistan
| | - Kaleem Ullah
- Department of Hepatobiliary Surgery and Transplant, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, Gambat, Pakistan
| | - Ali Ahmed
- Department of Pharmacy, School of Pharmacy, Monash University, Subang Jaya, Selangor, Malaysia
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Jabeen K, Saleem S, Nizamuddin S, Arshad F, Jahan S, Hasnain F, Tariq W, Tahir MJ, Yousaf Z, Asghar MS. Reporting of Azithromycin Activity against Clinical Isolates of Extensively Drug-Resistant Salmonella enterica Serovar Typhi. Am J Trop Med Hyg 2023; 108:942-947. [PMID: 36940665 PMCID: PMC10160884 DOI: 10.4269/ajtmh.22-0557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 12/19/2022] [Indexed: 03/22/2023] Open
Abstract
This study aimed to evaluate the minimum inhibitory concentration (MIC) of azithromycin (AZM) in clinical isolates of extensively drug-resistant (XDR) Salmonella Typhi (i.e., resistant to chloramphenicol, ampicillin, trimethoprim-sulfamethoxazole, fluoroquinolones, and third-generation cephalosporin) using the E-test versus the broth microdilution method (BMD). From January to June 2021, a retrospective cross-sectional study was carried out in Lahore, Pakistan. Antimicrobial susceptibility was performed initially by the Kirby-Bauer disk diffusion method for 150 XDR Salmonella enterica serovar Typhi isolates, and MICs of all the recommended antibiotics were determined by the VITEK 2 (BioMérieux) fully automated system using Clinical Laboratory Standard Institute (CLSI) 2021 guidelines. The E-test method was used to determine AZM MICs. These MICs were compared with the BMD, which is the method recommended by the CLSI but not adopted in routine laboratory reporting. Of 150 isolates, 10 (6.6%) were resistant by disk diffusion. Eight (5.3%) of these had high MICs against AZM by the E-test. Only three isolates (2%) were resistant by E-test, having an MIC of 32 μg/mL. All eight isolates had a high MIC by BMD with different MIC distributions, but only one was resistant, having an MIC of 32 μg/mL by BMD. The sensitivity, specificity, negative predictive value, positive predictive value, and diagnostic accuracy of the E-test method versus BMD were 98.65%,100%, 99.3%, 33.3%, and 98.6%, respectively. Similarly, the concordance rate was 98.6%, negative percent agreement was 100%, and positive percent agreement was 33%. The BMD is the most reliable approach for reporting AZM sensitivity in XDR S. Typhi compared with the E-test and disk diffusion methods. Potentially, AZM resistance in XDR S. Typhi is around the corner. Sensitivity patterns should be reported with MIC values, and if possible, higher values should be screened for the presence of any potential resistance genes. Antibiotic stewardship should be strictly implemented.
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Affiliation(s)
| | | | | | | | - Shah Jahan
- University of Health Sciences, Lahore, Pakistan
| | | | | | - Muhammad Junaid Tahir
- Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan
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Tariq W, Asar MAT, Tahir MJ, Ullah I, Ahmad Q, Raza A, Qureshi MK, Ahmed A, Sarwar MZ, Ameer MA, Ullah K, Siddiqi H, Asghar MS. Impact of the COVID-19 pandemic on knowledge, perceptions, and effects of telemedicine among the general population of Pakistan: A national survey. Front Public Health 2023; 10:1036800. [PMID: 36684982 PMCID: PMC9849806 DOI: 10.3389/fpubh.2022.1036800] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 09/05/2022] [Accepted: 12/05/2022] [Indexed: 01/07/2023] Open
Abstract
Background Telemedicine is the provision of healthcare services through information and communication technology with the potential to mobilize all facets of the health sector to prevent the spread of COVID-19, provide quality healthcare, protect patients, doctors, and the public from exposure to disease, and reduce the burden on the healthcare system. This study aims to identify knowledge, perceptions, willingness to use, and the impact of the COVID-19 pandemic on telemedicine awareness. Methods A cross-sectional study was conducted from 27 May 2020 to 17 June 2020 using the convenient sampling technique in the general population of Pakistan. Data were collected by designing an online questionnaire consisting of demographic information, knowledge, attitude perceptions, barriers, utilization, and the impact of the COVID-19 pandemic on telemedicine. Results Of the 602 participants included in the study, 70.1% had heard about telemedicine, 54.3% had a good understanding of the definition of "telemedicine," 81.4% had not used telemedicine in the past, 29.9% did not know that telemedicine was available before the COVID-19 pandemic, and 70.4% responded that the COVID-19 pandemic had changed their attitudes toward telemedicine. Gender (p = 0.017) and family income (p = 0.027) had a significant association with the perception of the benefits of telemedicine. Conclusion The knowledge and usage of telemedicine are lacking due to inadequate awareness and technology. The need of the hour is to maximize the application of telemedicine to overcome the deficiencies of the healthcare system. Hence, it is essential to increase awareness through various means and develop an appropriate infrastructure to attain maximum benefits from telehealth services.
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Affiliation(s)
- Waleed Tariq
- Department of Medicine, Lahore General Hospital, Lahore, Pakistan
| | | | | | - Irfan Ullah
- Department of Medicine, Kabir Medical College, Gandhara University, Peshawar, Pakistan
| | - Qasid Ahmad
- Department of Medicine, Lahore General Hospital, Lahore, Pakistan
| | - Ahmad Raza
- Department of Medicine, Mayo Hospital, Lahore, Pakistan
| | - Mohsin Khalid Qureshi
- Department of Medicine, Hazrat Bari Imam Sarkar Medical and Dental College, Islamabad, Pakistan
| | - Ali Ahmed
- Department of Medicine, School of Pharmacy, Monash University, Bandar Sunway, Malaysia
| | | | - Muhammad Atif Ameer
- Department of Medicine, Suburban Community Hospital, East Norriton, PA, United States
| | - Kaleem Ullah
- Department of Medicine, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, Gambat, Pakistan
| | - Haziq Siddiqi
- Department of Medicine, University of California, San Francisco, San Francisco, CA, United States
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Kumar G, Shardha HK, Tariq W, Qazi MA, Kumar K, Maheshwari C, Hussain A, Tahir MJ, Bai J, Asghar MS. Assessment of knowledge and attitude of healthcare professionals regarding the use of telemedicine: A cross-sectional study from rural areas of Sindh, Pakistan. Front Public Health 2022; 10:967440. [PMID: 36388325 PMCID: PMC9643734 DOI: 10.3389/fpubh.2022.967440] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Accepted: 08/25/2022] [Indexed: 01/24/2023] Open
Abstract
Background Telemedicine has proved its significance in the healthcare system, especially during the coronavirus disease 2019 (COVID-19) pandemic as it assists in the provision of early and effective healthcare to those in distant areas. This study aimed to assess the knowledge and attitude of healthcare professionals toward the use of telemedicine in the rural areas of Sindh, Pakistan. Materials and methods The cross-sectional study was conducted with 212 healthcare professionals including physicians, consultants, surgeons, residents, dentists, and house officers working in public sector hospitals. The face-to-face method was used for data collection. Chi-square test and logistic regression analysis were applied to find the association between different variables and knowledge and practice of telemedicine using SPSS V 24. Results The knowledge of participants regarding the usability of telemedicine and various tools used for the provision of medical services (video consultations, conferencing, use of applications, software, and online groups) was good. A total of 52.2% of participants showed agreement when they were questioned about being aware of online healthcare service provision. In this study, 52.8% of the participants practiced telemedicine by delivering healthcare services through online consultations. The majority of the participants were surgeons (25.9%), residents (23.1%), and physicians (18.9%). The internet (42.4%) and public media (25.9%) were the major sources of information for telemedicine. A total of 70.5% of participants suggested that strategies and efforts should be directed toward the enhanced implementation of telemedicine. Training in telemedicine as a source of information [OR = 13.02 (95% CI = 3.9-43.6), p < 0.001)] and awareness regarding the effect of telemedicine in healthcare quality [OR = 10.25 (95% CI = 2.9-35.4), p < 0.001)] remained the predicting factors for the practice of telemedicine among healthcare workers using multivariate regression analysis. Conclusion Telemedicine has technologically revolutionized the medical sciences worldwide. The awareness level and usage of telemedicine were good among healthcare professionals in rural Sindh. Telemedicine should be utilized to provide quality healthcare in underprivileged areas by investing in infrastructure and education.
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Affiliation(s)
- Grouve Kumar
- Gambat Medical College, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences (PAQSJIMS), Gambat, Pakistan
| | - Harsha Komal Shardha
- Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan
| | | | - Mansoor Ahmed Qazi
- Gambat Medical College, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences (PAQSJIMS), Gambat, Pakistan
| | - Kantesh Kumar
- Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan
| | - Chandni Maheshwari
- Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan
| | - Atif Hussain
- Shaikh Zayed Hospital, Lahore, Pakistan,Shaikh Khalifa Bin Zayed Al Nahyan Medical and Dental College, Lahore, Pakistan
| | | | - Jharna Bai
- Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan
| | - Muhammad Sohaib Asghar
- Dow University of Health Sciences–Ojha Campus, Karachi, Pakistan,*Correspondence: Muhammad Sohaib Asghar
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Junaid Tahir M, Tariq W, Anas Tahseen Asar M, Irfan Malik M, Kamal Akhtar F, Malik M, Akhtar Q, Abbasher Hussien Mohamed Ahmed K, Talha Awan M, Ullah K, Asghar MS. Psychological Impact of COVID-19 on Doctors and Medical Students of Punjab, Pakistan: A Logistic Regression Analysis. J Multidiscip Healthc 2022; 15:1297-1308. [PMID: 35702327 PMCID: PMC9188776 DOI: 10.2147/jmdh.s369452] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 05/27/2022] [Indexed: 12/28/2022] Open
Affiliation(s)
| | | | | | - Muhammad Irfan Malik
- Lahore General Hospital, Lahore, Pakistan
- Postgraduate Medical Institute, Lahore, Pakistan
| | | | - Muna Malik
- Combined Military Hospital, Lahore, Pakistan
| | | | - Khabab Abbasher Hussien Mohamed Ahmed
- University of Khartoum, Faculty of Medicine, Khartoum, Sudan
- Correspondence: Khabab Abbasher Hussien Mohamed Ahmed, Faculty of Medicine, University of Khartoum, Khartoum, 11111, Sudan, Email
| | | | - Kaleem Ullah
- Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, Gambat, Sindh, Pakistan
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Jamil H, Tariq W, Ameer MA, Asghar MS, Mahmood H, Tahir MJ, Yousaf Z. Interventional radiology in low- and middle-income countries. Ann Med Surg (Lond) 2022; 77:103594. [PMID: 35432985 PMCID: PMC9006635 DOI: 10.1016/j.amsu.2022.103594] [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: 03/20/2022] [Revised: 04/02/2022] [Accepted: 04/02/2022] [Indexed: 11/16/2022] Open
Abstract
With advancements in imaging techniques, interventional radiology (IR) has found an increased utility in multiple diseases such as ischemic stroke, tissue biopsies, oncology, trauma, etc. The benefit has been twofold in being minimally invasive and improved outcomes. IR in low- and middle-income countries (LMICs) is still in its nascent phase. The many hurdles include poorly structured post-graduate training, cost of procedures, and lack of awareness among referring physicians. There is a significant need to increase the trained specialists' awareness among the medical community and rationalize the cost of procedures in LMICs with careful consideration, planning, and international economic and technical assistance.
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Tariq W, Jamil H, Tahir MJ, Yousaf Z, Asghar MS. ENDOSCOPY SERVICES FOR ACUTE GASTROINTESTINAL BLEEDING IN LOW- AND MIDDLE-INCOME COUNTRIES: CHALLENGES AND SOLUTIONS. Arq Gastroenterol 2022; 59:315-316. [PMID: 35830047 DOI: 10.1590/s0004-2803.202202000-55] [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] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Accepted: 02/21/2022] [Indexed: 06/15/2023]
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Algara M, Luna P, Harris K, Tariq W, Smolderen KG, Mena-Hurtado C. PATIENT PROFILES AND TRENDS IN PERIPHERAL ARTERY DISEASE AND MICROVASCULAR DISEASE: A RETROSPECTIVE ANALYSIS. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)02793-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Tahir MJ, Saqlain M, Tariq W, Waheed S, Tan SHS, Nasir SI, Ullah I, Ahmed A. Population preferences and attitudes towards COVID-19 vaccination: a cross-sectional study from Pakistan. BMC Public Health 2021; 21:1759. [PMID: 34565351 PMCID: PMC8474768 DOI: 10.1186/s12889-021-11814-5] [Citation(s) in RCA: 41] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 09/17/2021] [Indexed: 12/23/2022] Open
Abstract
Background While vaccine development is itself a challenge; ensuring optimal vaccine uptake at population level can present an even more significant challenge. Therefore, this study aimed to assess the Pakistani population’s attitude and preferences towards the Coronavirus disease 2019 (COVID-19) vaccine. Method A cross-sectional study was carried out through an online self-administered questionnaire from 27 September 2020 to 11 October 2020. A total of 883 people responded to the survey. The questionnaire included the participants’ socio-demographic variables, attitudes, beliefs towards the COVID-19 vaccine and acceptance and rejection of vaccination, and reasons for them. Logistic regression analysis was used to analyze the predictors for vaccine acceptance and willingness to pay for the vaccine. Results A majority (70.8%) of respondents will accept the COVID-19vaccine if available, and 66.8% showed a positive attitude towards vaccination. Monthly family income, education level, self-diagnosis of COVID-19 or a friend, family member, or colleague are significant factors influencing the acceptance of COVID-19 vaccination. The dogma of being naturally immune to COVID-19 was a key reason for the refusal of the vaccine. Less than half (48%) of those who refuse will vaccinate themselves if government officials have made it compulsory. A third (33.9%) of participants were willing to pay up to (7 USD) 1000 Pkr (Pakistani Rupees) for the vaccine. Conclusion The population’s positive attitude should be improved by increasing awareness and eradicating false myths about vaccines through large-scale campaigns. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11814-5.
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Affiliation(s)
- Muhammad Junaid Tahir
- Ameer-ud-Din Medical College Affiliated with University of Health Sciences, Lahore, 54000, Pakistan.,Lahore General Hospital, Lahore, 54000, Pakistan
| | - Muhammad Saqlain
- Department of Pharmacy, Quaid-I-Azam University, Islamabad, 45320, Pakistan
| | - Waleed Tariq
- Ameer-ud-Din Medical College Affiliated with University of Health Sciences, Lahore, 54000, Pakistan.,Lahore General Hospital, Lahore, 54000, Pakistan
| | - Summaiya Waheed
- Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
| | - Steven H S Tan
- Newcastle University Medicine Malaysia, Nusajaya, Malaysia
| | | | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Pakistan
| | - Ali Ahmed
- Department of Pharmacy, Quaid-I-Azam University, Islamabad, 45320, Pakistan. .,School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, 47500, Subang Jaya, Selangor, Malaysia.
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Sawal I, Ahmad S, Tariq W, Tahir MJ, Essar MY, Ahmed A. Unequal distribution of COVID-19 vaccine: A looming crisis. J Med Virol 2021; 93:5228-5230. [PMID: 33942326 DOI: 10.1002/jmv.27031] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 03/25/2021] [Accepted: 04/14/2021] [Indexed: 11/10/2022]
Affiliation(s)
- Imaduddin Sawal
- General Medicine and Surgery, Dow University of Health Sciences, Karachi, Pakistan
| | - Shoaib Ahmad
- General Medicine and Surgery, Punjab Medical College (Affiliated with University of Health Sciences), Faisalabad, Pakistan.,General Medicine and Surgery, Allied hospital, Faisalabad, Pakistan
| | - Waleed Tariq
- General Medicine and Surgery, Ameer-ud-Din Medical College, Affiliated with University of Health Sciences, Lahore, Pakistan.,General Medicine and Surgery, Lahore General Hospital, Lahore, Pakistan
| | - Muhammad Junaid Tahir
- General Medicine and Surgery, Ameer-ud-Din Medical College, Affiliated with University of Health Sciences, Lahore, Pakistan.,General Medicine and Surgery, Lahore General Hospital, Lahore, Pakistan
| | | | - Ali Ahmed
- School of Pharmacy, Monash University, Subang Jaya, Selangor, Malaysia
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