The goal of this RCT is to assess the frequency of visual impairment among school children using mHealth based vision screening to assess the effectiveness of mHealth on uptake of referral services among identified visually impaired school children.
It aimed to answer, does mobile health (mHealth) referral reminder Vs no mobile health reminder affect the uptake of referral services in identified visually impaired school children? The study will be performed in Rawalpindi district of Punjab province. Within this city, there are 22 FG schools. The selection of Federal Government schools was made owing to the fact that children studying in FG school belong to low to middle income communities. The study is done in order to provide access to screening services to low income communities and raise awareness for uptake of referral system.
The Primary outcome will be proportion of referred children who will attend the hospital within 8 weeks of referral while the secondary outcome will be the frequency of visual impairment among school children.
Children who tested positive for vision impairment will be handed referral forms, the parents or guardians of the children in the intervention group also received a text message reminder. The participant will get messages on Sundays, Tuesdays, and Thursdays until they visit the hospital for a maximum duration of eight weeks.
The outcome of intervention group will be compared with the control group. To determine the percentage of referred children who visit the hospital, a telephone follow-up will be conducted and the filled in referral form will be returned to the teacher.

开始日期2024-10-01

申办/合作机构

Rawalpindi Medical College

NCT06544759 / CompletedN/AIIT

Confirmatory Factor Analysis (CFA) of a Questionnaire Used to Assess the Knowledge and Attitude of Medical Students Toward Organ Donation and Their Relationship With the Intent to Donate

Purpose of the Study The study aims to understand how different messages can influence people's decisions to become organ donors. Researchers want to find out which types of messages are most effective in encouraging organ donation registration.
Who Can Take Part? Adults aged 18 and older who are eligible to register as organ donors can participate in this study.
How the Research Will Happen Participants will be shown different types of messages about organ donation. They will then be asked questions to see how the messages affect their willingness to register as organ donors. The study will compare the responses to determine which messages work best.
Benefits of the Study By identifying the most effective messages, this study aims to increase the number of registered organ donors. This can help save lives by making more organs available for transplantation.

开始日期2023-09-15

申办/合作机构

Rawalpindi Medical College

NCT06343493 / CompletedN/AIIT

Effect of Hot Saline Irrigation on the Operative Field During Endoscopic Sinus Surgery: A Randomized Controlled Trial

Control of bleeding is very important during endoscopic sinus surgery. Saline heated up to 50°C causes dilatation of vessels and edema without nasal mucosa necrosis. It also promotes the clotting cascade so helps in having a bloodless procedure.
This randomized controlled trial was conducted on 60 patients divided into two groups (30 each). Group A was the interventional group in which patients were irrigated with saline of 50°C during surgery. Group B was the control group where room temperature saline was used. Operative field was assessed using the Boezaart score, duration of surgery and bleeding in ml.
KEY WORDS:
Chronic rhinosinusitis (CRS)
Endoscopic sinus surgery
Boezaart score

开始日期2023-06-16

申办/合作机构

Rawalpindi Medical College

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项与 Rawalpindi Medical College 相关的文献（医药）

2024-01-01·Diagnostic Microbiology and Infectious Disease

Diagnosis of ‘‘Helicobacter pylori infection of the gastric biopsy’’ by rapid urease test, histopathology and Raman spectroscopy

Article

作者: Saleem, Muhammad ; Ahmed, Sheraz ; Ul Haq, Faiz ; Akhtar, Naeem ; Haider, Syed Iqbal ; Amjad, Maham ; Nadeem, Shiza

This study aim to investigate the diagnostic potential of Raman spectroscopy in comparison with rapid urease test and histopathology in diagnosis of H. pylori infection. A comparative study was conducted at Pathology Laboratory and a total of 94 samples were collected from patients based on Rome IV criteria. Sensitivity, specificity and accuracy of histopathology, rapid urease test and for Raman spectroscopy were investigated. Rapid urease test showed 23 false negative results of H. pylori as compared to Raman spectroscopy and histopathology. We concluded that Raman spectroscopy showed sensitivity (94.5%), accuracy (94.0%) and specificity of (87.5%) in the diagnosis of H. pylori infection. However rapid urease test showed specificity of 92.5% while low sensitivity 75%, and 78% accuracy as compared to Raman spectroscopy and histopathology . This study illustrates the applicability of Raman spectroscopy as a potent innovative detection tool for the molecular detection of H. pylori infection in gastritis.

2023-12-01·Journal of Pancreatology

Pharmacological and non-pharmacological prophylaxis in the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis: a narrative review

作者: Ehsan, Amina

Endoscopic retrograde cholangiopancreatography is a diagnostic and therapeutic procedure for various gastrointestinal problems. Pancreatitis is a severe complication of the procedure. The main objective of this study was to address if post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis can be prevented and what are the various pharmacological and non-pharmacological options along with their efficacy. Keywords “post-ERCP” and “pancreatitis” were used to search articles in Pubmed. Randomized controlled trials on patients undergoing ERCP due to any disease using pharmacological or non-pharmacological intervention published in the last 7 years were included. Observational studies, descriptive studies, reviews, and studies with no full access were excluded. The primary outcome in the trials was a frequency of post-ERCP pancreatitis. Non-steroidal anti-inflammatory drugs (NSAIDs) were the most effective drugs in reducing the incidence of pancreatitis. The preferred route was rectal. After NSAIDs, intravenous hydration and sublingual nitrate showed promising outcomes, especially when combined with rectal NSAIDs. Other drugs like magnesium sulfate and nafamostat mesilate did reduce the incidence, but the results were not statistically significant. Epinephrine spray on duodenal papilla showed no benefits and instead had a risk of increasing the incidence. Stent placement also reduced the incidence of pancreatitis. In conclusion, rectal NSAIDs alone or combined with IV hydration and sublingual nitrate significantly reduced the incidence of pancreatitis, and stent placement was comparable to pharmacological interventions. Thus, regular use of pharmacological interventions before the procedure can help to reduce the incidence of this grave complication.

2023-12-01·World Neurosurgery

Ultrasound-Guided Versus Conventional Fluoroscopy-Guided Epidural Injection for Radiculopathy. A Meta-Analysis of Randomized Controlled Trials

Review

作者: Zamarud, Aroosa ; Naseer, Haseena ; Ahmad, Afnan ; Arshad, Mateen ; Ahmed, Mansoor

BACKGROUNDRadiculopathy, a painful condition due to the irritation of a spinal nerve root, is a common neurosurgical presentation. Apart from its conventional treatment with pain killers and surgical management, it can also be managed with epidural steroid injections (ESIs). The objective of this study is to compare ultrasonography (USG) guidance with conventional fluoroscopy (FL) guidance for ESIs to treat radiculopathy.METHODSPubMed, Embase, Clinicaltrials.gov, and Cochrane were systematically searched and randomized controlled trials comparing USG with conventional FL for ESIs in the case of radiculopathy were included. Web Revman was used for data analysis.RESULTSThe Literature search resulted in 640 studies, of which 7 studies were included in this meta-analysis after extensive screening. There was no statistically significant difference in pain reduction between USG and FL groups especially in the case of lumbosacral spinal level at 1 month [mean difference -0.12 (-0.47-0.23)] and at 3 months [mean difference 0.73 (-1.49, 2.96)]. Similarly, functional improvement after ESIs was comparable between the 2 groups. The Risk of inadvertent vascular puncture in USG-guided ESIs was lower as compared to conventional FL-guided ESIs [odds ratio 0.21 (0.07, 0.64)]. Furthermore, the procedure time in the USG group was also significantly lower as compared to FL group.CONCLUSIONUSG-guided ESIs are not only comparable to conventional FL-guided ESIs in terms of pain control and functional improvement, particularly evident at the lumbosacral spinal level, but also have a lower risk of inadvertent vascular puncture.

项与 Rawalpindi Medical College 相关的新闻（医药）

2022-06-28

·PRNewswire

Rizwanullah Hameed, MD is recognized by Continental Who's Who

BROOKLYN, N.Y., June 28, 2022 /PRNewswire/ -- Rizwanullah Hameed, MD, is being recognized by Continental Who's Who as a Pinnacle Healthcare Professional for his excellence in the Medical field and in acknowledgment of his private primary care practice. A board-certified physician specializing in Internal Medicine and Infectious Disease, Dr. Rizwanullah Hameed has provided high-quality medical care to patients in the New York City region for over 30 years. He specializes in preventing, diagnosing, and treating various infectious diseases. Continue Reading Rizwanullah Hameed Alongside his primary care practice, Dr. Hameed is affiliated with Kingsbrook Jewish Medical Center and New York Methodist Hospital. He has served as Chairman of the Hospital Pharmaceutical and Therapeutic Committee, Medical Staff President, Chief of Infectious Diseases, and IRB committee member at Kingsbrook Jewish Medical Center. He has also served as Vice-Chairman of Community Medicine at NY Methodist Hospital. In addition to his clinical work, Dr. Hameed has published seven clinical and epidemiology studies and has completed numerous clinical research courses. In pursuit of his medical career, Dr. Hameed studied medicine at Rawalpindi Medical University in Pakistan, where he graduated in 1984. After relocating to the US, he completed an Internal Medicine Residency at Kingsbrook Jewish Medical Center, in Brooklyn, in 1991 and a Fellowship in Infectious Diseases at Harlem Hospital and Columbia University in New York City in 1993. In accepting this honorable recognition, Dr. Hameed would like to thank his mentor, Dr. Martin Kramer. He would also like to thank his wife, Sameeram, their children, Saad and Marvi, and grandson, Saad, and give loving remembrance to his late parents. For more information, visit . Contact: Katherine Green, 516-825-5634, [email protected] SOURCE Continental Who's Who