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  1. Article: Correlation of intra operative specimen imaging with final histopathology in breast conserving surgery for breast cancer.

    Javed, Nida / Afzal, Sidra / Parvaiz, Muhammad Asad / Rehman, Parvaiz / Khalid, Ibtissam Bin

    JPMA. The Journal of the Pakistan Medical Association

    2024  Volume 74, Issue 2, Page(s) 252–263

    Abstract: Objectives: To determine the effectiveness of specimen mammography in breast conserving surgery cases with respect to reduction in margin positivity rate, and to see whether the rate of secondary surgeries is decreased by intra-operative excision based ... ...

    Abstract Objectives: To determine the effectiveness of specimen mammography in breast conserving surgery cases with respect to reduction in margin positivity rate, and to see whether the rate of secondary surgeries is decreased by intra-operative excision based on specimen mammography evaluation.
    Methods: The retrospective study was conducted at the Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan, and comprised data from January 2018 to December 2019 related to all female breast cancer patients who underwent mastectomy or breast conserving surgery with the involvement of specimen mammography. Sensitivity, specificity, positive predictive value and negative predictive value of specimen mammography were calculated. Data was analysed using SPSS 20.
    Results: Of the 226 patients initially assessed, 65(28.7%) were excluded, and the final sample comprised 161(71.2%) women with mean age 46.71±10.47 years. The sensitivity, specificity, positive predictive value and negative predictive value of specimen mammography for the sample were 65.8%, 80.8%, 54% and 87.3%, respectively. Performing specimen mammography for intra-operative margin assessment in 12 patients was likely to spare one patient from re-excision.
    Conclusions: Intra-operative specimen mammography was found to be a reliable tool for assessing margin status.
    MeSH term(s) Female ; Humans ; Adult ; Middle Aged ; Male ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/surgery ; Breast Neoplasms/pathology ; Mastectomy, Segmental/methods ; Retrospective Studies ; Mastectomy ; Breast/pathology ; Mammography/methods
    Language English
    Publishing date 2024-02-29
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 603873-6
    ISSN 0030-9982
    ISSN 0030-9982
    DOI 10.47391/JPMA.8397
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Consanguinity in northwest Pakistan: evidence of temporal decline.

    Malik, Sajid / Bibi, Anisa / Farid, Rubbiya / Khan, Sidra / Awan, Javaid / Rehman, Atta Ur

    Journal of biosocial science

    2024  Volume 56, Issue 3, Page(s) 445–458

    Abstract: Pakistan has a high burden of hereditary and congenital anomalies and their incidence rate almost doubles against the background of parental consanguinity. Consanguineous unions (CU) are customary in Pakistan and deeply rooted socio-cultural norms favour ...

    Abstract Pakistan has a high burden of hereditary and congenital anomalies and their incidence rate almost doubles against the background of parental consanguinity. Consanguineous unions (CU) are customary in Pakistan and deeply rooted socio-cultural norms favour CU. This study aimed to elucidate the determinants and temporal change in CU in four northwestern populations of Pakistan. In a cross-sectional study, data on marital union types, bio-demographic factors, and paternal consanguinity were collected from 6,323 ever-married individuals in four districts of northwest Pakistan: Haripur, Muzaffarabad, Mansehra, and Shangla. We used descriptive statistics and multivariable logistic regression analysis. The CU were calculated to be 55%, and inbreeding coefficient F (ICF) was estimated to be 0.029. Eight factors, including district, rural origin, age of husband, occupational group of husband, literacy of husband, parental consanguinity, exchange marriage, and extended family type, were found to be significant predictors of consanguinity in the multivariable logistic regression analysis. The rate of consanguinity decreased significantly in the younger age categories of individuals. The rate of CU was seen to be declining over time and in marriages that started 'before 1980' and 'after 2010', respectively, and there was a decline in ICF from 0.030 to 0.027. These analyses also showed that the literacy rate improved, the average age at marriage increased, and the frequency of exchange marriages decreased over time. This study employs a sizable first-hand dataset to demonstrate a lowering CU rate in northwest Pakistan. It is anticipated that the burden of inherited and congenital anomalies may likely to diminish in the study populations along with the fall in ICF.
    MeSH term(s) Male ; Humans ; Consanguinity ; Pakistan/epidemiology ; Cross-Sectional Studies ; Marriage ; Fathers
    Language English
    Publishing date 2024-02-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 390961-x
    ISSN 1469-7599 ; 0021-9320
    ISSN (online) 1469-7599
    ISSN 0021-9320
    DOI 10.1017/S0021932024000026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Efficacy and safety of intravitreal injection of triamcinolone-moxifloxacin after cataract surgery in a low to middle income country - a one-year audit.

    Jeeva, Irfan Kabiruddin / Masud, Sidra / Siddiqui, Muhammad Abdul Rehman

    JPMA. The Journal of the Pakistan Medical Association

    2023  Volume 73, Issue 1, Page(s) 92–97

    Abstract: Objective: To evaluate the safety and efficacy of intravitreal injection of triamcinolone and moxifloxacin regime administered immediately following cataract surgery.: Methods: The retrospective study was conducted from January to June 2021 at a ... ...

    Abstract Objective: To evaluate the safety and efficacy of intravitreal injection of triamcinolone and moxifloxacin regime administered immediately following cataract surgery.
    Methods: The retrospective study was conducted from January to June 2021 at a tertiary care referral centre in Karachi and comprised record of all patients who underwent dropless cataract surgery from April 2018 to June 2019. Data included slit lamp examination, dilated fundal exam, uncorrected visual acuity, best corrected visual acuity, and intraocular pressure. Cataract assessment and anterior chamber reaction were graded according to the World Health Organisation cataract grouping system. Efficacy of the regime was defined as the ability to prevent postoperative endophthalmitis. Stratification analysis was done to note if gender has any role in terms of effectiveness. Data was analysed using Microsoft Excel version 16.0 and IBM SPSS version 27.
    Results: Of 240 eyes of 161 patients analysed, 114(47.5%) were of men who had a mean age of 57.89±14.32 years, and 126(52.5%) were of females with a mean age of 58.02±10.85 years. Overall, 2(1.75%) male subjects and 1(0.8%) female subject developed breakthrough inflammation within one week of the procedure. They were treated with anti-inflammatory drops and in 1(33%) of the cases antibiotic drop for 1 week. At day 90, no patient had residual inflammation or new onset inflammation. Also, 15(6.25%) patients developed raised intraocular pressure from day 7 to day 30. Most cases 10(66.7%) resolved within 1 week of using intraocular pressure-lowering drops. No patient developed endophthalmitis postoperatively.
    Conclusions: Dropless cataract regime was found to be an effective and safe alternative that was easy to administer.
    MeSH term(s) Humans ; Male ; Female ; Adult ; Middle Aged ; Aged ; Moxifloxacin/adverse effects ; Triamcinolone ; Intravitreal Injections ; Retrospective Studies ; Developing Countries ; Cataract Extraction ; Glucocorticoids/adverse effects ; Inflammation/drug therapy ; Endophthalmitis/epidemiology ; Endophthalmitis/etiology ; Endophthalmitis/prevention & control ; Cataract ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Eye Diseases
    Chemical Substances Moxifloxacin (U188XYD42P) ; Triamcinolone (1ZK20VI6TY) ; Glucocorticoids
    Language English
    Publishing date 2023-02-25
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 603873-6
    ISSN 0030-9982
    ISSN 0030-9982
    DOI 10.47391/JPMA.5207
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Sustainable finance, natural resource abundance, and energy poverty trap: the environmental challenges in the era of COVID-19

    Baiwei, Xie / Hanif, Imran / Wasim, Sarah / Rehman, Sidra

    Environ Sci Pollut Res. 2023 Feb., v. 30, no. 10 p.26535-26544

    2023  

    Abstract: Energy poverty is a global challenge and the scarcity has been emerging as a global issue. Therefore, the relationship among energy scarcity, sustainable finance, and carbon emissions is analyzed with the help of global data from 40 developing countries ... ...

    Abstract Energy poverty is a global challenge and the scarcity has been emerging as a global issue. Therefore, the relationship among energy scarcity, sustainable finance, and carbon emissions is analyzed with the help of global data from 40 developing countries until the beginning of the COVID-19 era. For empirical results’ estimation, the study analyzed a panel data ranging from 2000 to 2019. To measure the energy poverty, some part of population that has no access to energy is considered, and empirical analysis based on augmented mean group (AMG) regression method was carried out. The findings of the study suggest the inverse relation among energy poverty and carbon emissions. Moreover, a negative relationship was also observed between sustainable finance and carbon emissions. These findings highlight that alleviation of energy poverty can intensify environmental pollution. While improvement in access to clean energy will benefit society by alleviating energy poverty and controlling carbon emissions. Moreover, improvement in the share of sustainable finance in total investment may improve the environment quality by reducing carbon emissions. Therefore, it is suggested that regional plans along with sustainable finance are required on a priority basis for the promotion of clean energy to control carbon emissions and alleviate energy poverty at the household level.
    Keywords COVID-19 infection ; carbon ; clean energy ; empirical research ; energy ; energy poverty ; finance ; pollution ; regression analysis ; society
    Language English
    Dates of publication 2023-02
    Size p. 26535-26544.
    Publishing place Springer Berlin Heidelberg
    Document type Article ; Online
    ZDB-ID 1178791-0
    ISSN 1614-7499 ; 0944-1344
    ISSN (online) 1614-7499
    ISSN 0944-1344
    DOI 10.1007/s11356-022-23986-7
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Immunoglobulin A nephropathy associated with acute hepatitis E infection: First case report.

    Cheema, Sidra Shafiq / Cheema, Manal Fatima / Gilani, Samreen / Cheema, Shafiqur Rehman

    Clinical nephrology. Case studies

    2023  Volume 11, Page(s) 95–98

    Abstract: In this case report, we describe a young male patient who presented with gross hematuria and nephrotic syndrome a few weeks after serologically positive acute hepatitis E virus (HEV) infection. Histopathological examination of renal core biopsy revealed ... ...

    Abstract In this case report, we describe a young male patient who presented with gross hematuria and nephrotic syndrome a few weeks after serologically positive acute hepatitis E virus (HEV) infection. Histopathological examination of renal core biopsy revealed that the majority of the viable glomeruli had a predominantly mesangiopathic process characterized by mild to moderate diffuse increase in mesangial matrix and cellularity with segmental variation. Immunofluorescence microscopy depicted a strong (3+) granular mesangial and capillary loop staining for IgA, consistent with IgA nephropathy (IgAN). This pattern of mesangial and glomerular capillary loop staining of IgA is suggestive of secondary IgAN. Further research is required to explore the relationship between IgAN and acute HEV infection.
    Language English
    Publishing date 2023-06-08
    Publishing country Germany
    Document type Case Reports
    ISSN 2196-5293
    ISSN (online) 2196-5293
    DOI 10.5414/CNCS111100
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Scutellaria petiolata

    Mubin, Sidra / Rehman, Najeeb Ur / Murad, Waheed / Shah, Muddaser / Al-Harrasi, Ahmed / Afza, Rabia

    Antioxidants (Basel, Switzerland)

    2022  Volume 11, Issue 8

    Abstract: The recent investigation was designed to ... ...

    Abstract The recent investigation was designed to explore
    Language English
    Publishing date 2022-07-26
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2704216-9
    ISSN 2076-3921
    ISSN 2076-3921
    DOI 10.3390/antiox11081446
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Sustainable finance, natural resource abundance, and energy poverty trap: the environmental challenges in the era of COVID-19.

    Baiwei, Xie / Hanif, Imran / Wasim, Sarah / Rehman, Sidra

    Environmental science and pollution research international

    2022  Volume 30, Issue 10, Page(s) 26535–26544

    Abstract: Energy poverty is a global challenge and the scarcity has been emerging as a global issue. Therefore, the relationship among energy scarcity, sustainable finance, and carbon emissions is analyzed with the help of global data from 40 developing countries ... ...

    Abstract Energy poverty is a global challenge and the scarcity has been emerging as a global issue. Therefore, the relationship among energy scarcity, sustainable finance, and carbon emissions is analyzed with the help of global data from 40 developing countries until the beginning of the COVID-19 era. For empirical results' estimation, the study analyzed a panel data ranging from 2000 to 2019. To measure the energy poverty, some part of population that has no access to energy is considered, and empirical analysis based on augmented mean group (AMG) regression method was carried out. The findings of the study suggest the inverse relation among energy poverty and carbon emissions. Moreover, a negative relationship was also observed between sustainable finance and carbon emissions. These findings highlight that alleviation of energy poverty can intensify environmental pollution. While improvement in access to clean energy will benefit society by alleviating energy poverty and controlling carbon emissions. Moreover, improvement in the share of sustainable finance in total investment may improve the environment quality by reducing carbon emissions. Therefore, it is suggested that regional plans along with sustainable finance are required on a priority basis for the promotion of clean energy to control carbon emissions and alleviate energy poverty at the household level.
    MeSH term(s) Humans ; Economic Development ; COVID-19 ; Poverty ; Natural Resources ; Carbon ; Carbon Dioxide/analysis ; Renewable Energy
    Chemical Substances Carbon (7440-44-0) ; Carbon Dioxide (142M471B3J)
    Language English
    Publishing date 2022-11-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1178791-0
    ISSN 1614-7499 ; 0944-1344
    ISSN (online) 1614-7499
    ISSN 0944-1344
    DOI 10.1007/s11356-022-23986-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Toxicity Profiling and Antihyperuricemic Activity of Goubion: A Polyherbal Formulation.

    Sadia, Halima / Naveed, Safila / Rehman, Hina / Usman, Rafia / Qamar, Fatima / Yasmeen, Sidra / Sana, Aisha / Mughal, Mahrukh / Asif, Saima / Razzaq, Ghulam

    Evidence-based complementary and alternative medicine : eCAM

    2023  Volume 2023, Page(s) 7088628

    Abstract: The objective of the present study was to determine the acute and subacute toxicity profile of a polyherbal formulation called "Goubion" in addition to the in vivo antihyperuricemic study using fructose-induced hyperuricemia. Goubion is a combination ... ...

    Abstract The objective of the present study was to determine the acute and subacute toxicity profile of a polyherbal formulation called "Goubion" in addition to the in vivo antihyperuricemic study using fructose-induced hyperuricemia. Goubion is a combination of
    Language English
    Publishing date 2023-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2171158-6
    ISSN 1741-4288 ; 1741-427X
    ISSN (online) 1741-4288
    ISSN 1741-427X
    DOI 10.1155/2023/7088628
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Attention-based deep learning framework to recognize diabetes disease from cellular retinal images.

    Kothadiya, Deep / Rehman, Amjad / Abbas, Sidra / Alamri, Faten S / Saba, Tanzila

    Biochemistry and cell biology = Biochimie et biologie cellulaire

    2023  Volume 101, Issue 6, Page(s) 550–561

    Abstract: A medical disorder known as diabetic retinopathy (DR) affects people who suffer from diabetes. Many people are visually impaired due to DR. Primary cause of DR in patients is high blood sugar, and it affects blood vessels available in the retinal cell. ... ...

    Abstract A medical disorder known as diabetic retinopathy (DR) affects people who suffer from diabetes. Many people are visually impaired due to DR. Primary cause of DR in patients is high blood sugar, and it affects blood vessels available in the retinal cell. The recent advancement in deep learning and computer vision methods, and their automation applications can recognize the presence of DR in retinal cells and vessel images. Authors have proposed an attention-based hybrid model to recognize diabetes in early stage to prevent harmful clauses. Proposed methodology uses DenseNet121 architecture for convolution learning and then, the feature vector will be enhanced with channel and spatial attention model. The proposed architecture also simulates binary and multiclass classification to recognize the infection and the spreading of disease. Binary classification recognizes DR images either positive or negative, while multiclass classification represents an infection on a scale of 0-4. Simulation of the proposed methodology has achieved 98.57% and 99.01% accuracy for multiclass and binary classification, respectively. Simulation of the study also explored the impact of data augmentation to make the proposed model robust and generalized. Attention-based deep learning model has achieved remarkable accuracy to detect diabetic infection from retinal cellular images.
    MeSH term(s) Humans ; Deep Learning ; Diabetic Retinopathy/diagnostic imaging ; Automation ; Hyperglycemia ; Neurons ; Diabetes Mellitus
    Language English
    Publishing date 2023-07-20
    Publishing country Canada
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 54104-7
    ISSN 1208-6002 ; 0829-8211
    ISSN (online) 1208-6002
    ISSN 0829-8211
    DOI 10.1139/bcb-2023-0151
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Residual efficiency of iron-nanoparticles and different iron sources on growth, and antioxidants in maize plants under salts stress: life cycle study.

    Alsamadany, Hameed / Anayatullah, Sidra / Zia-Ur-Rehman, Muhammad / Usman, Muhammad / Ameen, Talha / Alharby, Hesham F / Alharbi, Basmah M / Abdulmajeed, Awatif M / Yong, Jean Wan Hong / Rizwan, Muhammad

    Heliyon

    2024  Volume 10, Issue 7, Page(s) e28973

    Abstract: Exogenous application of iron (Fe) may alleviate salinity stress in plants growing in saline soils. This comparative study evaluated the comparative residual effects of iron nanoparticles (FNp) with two other Fe sources including iron-sulphate (FS) and ... ...

    Abstract Exogenous application of iron (Fe) may alleviate salinity stress in plants growing in saline soils. This comparative study evaluated the comparative residual effects of iron nanoparticles (FNp) with two other Fe sources including iron-sulphate (FS) and iron-chelate (FC) on maize (
    Language English
    Publishing date 2024-04-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2024.e28973
    Database MEDical Literature Analysis and Retrieval System OnLINE

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