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Article: Improving the Knowledge and Competency of UK Foundation Doctors in Nasogastric Tube Placement: A National Study.

Cai, Wenyi / Probert, Spencer / Pendyala, Sai Y / Lipsos, Constantinos / Wadey, Freya / Iqbal, Muhammad Rafaih

2024 Volume 16, Issue 2, Page(s) e54434

Abstract: Objective This study aims to improve foundation doctors' knowledge of guidelines for confirming nasogastric (NG) tube position and to enhance their confidence and competency in NG tube placement. Methods A three-part educational approach was designed, ... ...

Abstract	Objective This study aims to improve foundation doctors' knowledge of guidelines for confirming nasogastric (NG) tube position and to enhance their confidence and competency in NG tube placement. Methods A three-part educational approach was designed, which included an educational leaflet and allowed the assessment of a participant's knowledge of guidelines pertaining to NG tube positioning before and after education. This educational leaflet and accompanying pre- and post-learning assessments were distributed among NHS Foundation Trusts in the UK between January 2022 and June 2022. All participants were foundation doctors in the UK. Those who had entered further training after the completion of their foundation training, at the time of assessment distribution, were excluded. Results A total of 173 participants completed this assessment. We found a significant increase in confidence among participants following the education (p<0.05). There was also a significant improvement in objective knowledge of guidelines on NG tube position confirmation following education (p<0.05). Conclusions Current knowledge on NG tube positioning is lacking among foundation doctors, but this can be significantly improved with simple educational leaflets. Furthermore, many participants felt that more training is needed, and this topic should be included in an essential teaching program.
Language	English
Publishing date	2024-02-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.54434
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: COVID-19 Pandemic

Iqbal, Muhammad Rafaih

Pakistan Journal of Surgery and Medicine 1(2) 127-132

How, When and Where?

2020

Abstract: No abstract A timeline of COVID 19 ... Iqbal MR. COVID-19 Pandemic: How, When and Where? Pak J Surg ...

Abstract	No abstract A timeline of COVID 19 Iqbal MR. COVID-19 Pandemic: How, When and Where? Pak J Surg Med. 2020;1(2):127-132. doi:10.37978/pjsm.v1i2.173
Keywords	Coronavirus ; COVID-19 ; Novel Coronavirus ; WHO ; covid19
Language	English
Publishing date	2020-05-11
Publishing country	eu
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Acute mesenteric ischaemia due to superior mesenteric vein (SMV) thrombosis.

Ahmad, Muhammad Salah Muhammad / Iqbal, Muhammad Rafaih / Refson, Jonathan Simon

BMJ case reports

2021 Volume 14, Issue 4

Abstract: A 77-year-old male patient presented with a 5-day history of abdominal pain, coffee ground vomiting and blood-stained diarrhoea. CT scan of the abdomen and pelvis demonstrated a long segment thrombotic occlusion of the superior mesenteric vein (SMV) ... ...

Abstract	A 77-year-old male patient presented with a 5-day history of abdominal pain, coffee ground vomiting and blood-stained diarrhoea. CT scan of the abdomen and pelvis demonstrated a long segment thrombotic occlusion of the superior mesenteric vein (SMV) extending up to the proximal portion of the portal vein causing significant acute small bowel ischaemia. Patient's deteriorating clinical condition warranted surgical management. Successful surgical management required multidisciplinary teamwork between emergency, vascular surgeons, anaesthetists and intensivists. Emergency laparotomy revealed gangrene of an estimated 120 cm of small bowel segment starting from duodenojejunal junction and a long segment thrombotic occlusion of the SMV extending up to the portal confluence. Resection of gangrenous small bowel without anastomosis and thrombo-embolectomy of SMV along with laparostomy was done at the initial operation. Patient was admitted in the intensive care unit on systemic heparinisation through intravenous administration of unfractionated heparin. Second relook exploration was done after 48 hours followed by anastomosis of the small bowel and closure of the abdomen. Patient made a good recovery following anticoagulation therapy and was discharged on postoperative day 10.
MeSH term(s)	Aged ; Heparin/therapeutic use ; Humans ; Male ; Mesenteric Ischemia/diagnostic imaging ; Mesenteric Ischemia/etiology ; Mesenteric Ischemia/surgery ; Mesenteric Vascular Occlusion/diagnostic imaging ; Mesenteric Vascular Occlusion/etiology ; Mesenteric Vascular Occlusion/surgery ; Mesenteric Veins/diagnostic imaging ; Mesenteric Veins/surgery ; Portal Vein/diagnostic imaging ; Portal Vein/surgery ; Thrombosis/complications ; Thrombosis/diagnostic imaging
Chemical Substances	Heparin (9005-49-6)
Language	English
Publishing date	2021-04-01
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2020-239110
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: COVID-19: Results of a national survey of United Kingdom healthcare professionals' perceptions of current management strategy - A cross-sectional questionnaire study.

Iqbal, Muhammad Rafaih / Chaudhuri, Arindam

International journal of surgery (London, England)

2020 Volume 79, Page(s) 156–161

Abstract: Objective: COVID-19 has caused a global healthcare crisis with increasing number of people getting infected and dying each day. Different countries have tried to control its spread by applying the basic principles of social distancing and testing. ... ...

Abstract	Objective: COVID-19 has caused a global healthcare crisis with increasing number of people getting infected and dying each day. Different countries have tried to control its spread by applying the basic principles of social distancing and testing. Healthcare professionals have been the frontline workers globally with different opinions regarding the preparation and management of this pandemic. We aim to get the opinion of healthcare professionals in United Kingdom regarding their perceptions of preparedness in their workplace and general views of current pandemic management strategy. Method: A questionnaire survey, drafted using Google Forms, was distributed among healthcare professionals working in the National Health Service (NHS) across the United Kingdom. The study was kept open for the first 2 weeks of April 2020. Results: A total of 1007 responses were obtained with majority of the responses from England (n = 850, 84.40%). There were 670 (66.53%) responses from doctors and 204 (20.26%) from nurses. Most of the respondents (95.23%) had direct patient contact in day to day activity. Only one third of the respondents agreed that they felt supported at their trust and half of the respondents reported that adequate training was provided to the frontline staff. Two-thirds of the respondents were of the view that there was not enough Personal Protective Equipment available while 80% thought that this pandemic has improved their hand washing practice. Most of the respondents were in the favour of an earlier lockdown (90%) and testing all the NHS frontline staff (94%). Conclusion: Despite current efforts, it would seem this is not translating to a sense of security amongst the UK NHS workforce in terms of how they feel trained and protected. It is vital that healthcare professionals have adequate support and protection at their workplace and that these aspects be actively monitored.
MeSH term(s)	Adult ; Attitude of Health Personnel ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/therapy ; Cross-Sectional Studies ; Female ; Health Care Surveys ; Health Personnel/psychology ; Humans ; Pandemics/prevention & control ; Personal Protective Equipment/supply & distribution ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/therapy ; SARS-CoV-2 ; State Medicine ; United Kingdom/epidemiology
Keywords	covid19
Language	English
Publishing date	2020-05-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1016/j.ijsu.2020.05.042
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Article ; Online: COVID-19

Iqbal, Muhammad Rafaih / Chaudhuri, Arindam

International Journal of Surgery

Results of a national survey of United Kingdom healthcare professionals’ perceptions of current management strategy – A cross-sectional questionnaire study

2020 Volume 79, Page(s) 156–161

Keywords	Surgery ; General Medicine ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
ZDB-ID	2212038-5
ISSN	1743-9191
ISSN	1743-9191
DOI	10.1016/j.ijsu.2020.05.042
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: International guidelines on management of general surgical emergencies in the pregnant or breastfeeding woman.

Kenington, Cleo / Javanmard-Emamghissi, Hannah / Iqbal, Muhammad Rafaih / Ahmed, Nauman / Halahakoon, Chandima / Bashir, Gareth / Lockwood, Sonia / Dent, Kara / Elton, Chris / Mischra, Salaish / Mahawar, Kamal

The British journal of surgery

2023 Volume 110, Issue 4, Page(s) 439–440

MeSH term(s)	Female ; Pregnancy ; Humans ; Breast Feeding ; Emergencies
Language	English
Publishing date	2023-02-03
Publishing country	England
Document type	Journal Article
ZDB-ID	2985-3
ISSN	1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
ISSN (online)	1365-2168
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1093/bjs/znac450
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Article: An unexpected surprise: rare association of neuroendocrine tumours in inflammatory bowel disease.

Pat, Jackson J / Iqbal, Muhammad Rafaih / Wright, Christopher

Journal of surgical case reports

2020 Volume 2020, Issue 9, Page(s) rjaa306

Abstract: Neuroendocrine neoplasms are rare malignancies, more so when cancerous metastasis occurs without a known primary source. Here we discuss a case of an ulcerative colitis sufferer, 43-year-old lady presented with what was thought to be a flare up. ... ...

Abstract	Neuroendocrine neoplasms are rare malignancies, more so when cancerous metastasis occurs without a known primary source. Here we discuss a case of an ulcerative colitis sufferer, 43-year-old lady presented with what was thought to be a flare up. Situation deteriorated and was taken to theatre to find a significantly ischaemic colon, secondary to extensive venous thrombosis. The ischaemic bowel was resected alongside with what was thought to be a large, reactive lymph node. To our surprise, the resected lymph node returned with evidence of neuroendocrine neoplastic metastasis. Multiple laboratory and imaging investigations were performed in hope to identify the primary source. A second metastatic lymph node was identified and subsequently resected but the primary remains elusive. Currently, there are no visible evidences of active disease.
Language	English
Publishing date	2020-09-19
Publishing country	England
Document type	Case Reports
ISSN	2042-8812
ISSN	2042-8812
DOI	10.1093/jscr/rjaa306
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Article: Chronic Pain as a Complication in Open Inguinal Hernia Repair: A Retrospective Study of Consenting Practice in a Single Centre.

Probert, Spencer / Cai, Wenyi / Iqbal, Muhammad Rafaih / Lesi, Omotara Kafayat / Haque, Samer-Ul / Lovett, Bryony / Walton, Sarah-Jane

Cureus

2022 Volume 14, Issue 4, Page(s) e23957

Abstract: Introduction Inguinal hernia repair is one of the most commonly performed procedures in general surgery in the United Kingdom. Chronic pain as a long-term postoperative complication of this procedure has been extensively documented in the literature. ... ...

Abstract	Introduction Inguinal hernia repair is one of the most commonly performed procedures in general surgery in the United Kingdom. Chronic pain as a long-term postoperative complication of this procedure has been extensively documented in the literature. However, this complication is often undisclosed during the consenting process. This omission impairs the patients' informed decision-making process. The Montgomery
Language	English
Publishing date	2022-04-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.23957
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Article: Agile Application of Video Telemedicine During the COVID-19 Pandemic.

Dhahri, Adeel Abbas / Iqbal, Muhammad Rafaih / Pardoe, Helen

Cureus

2020 Volume 12, Issue 11, Page(s) e11320

Abstract: Background The coronavirus disease 2019 (COVID-19) pandemic led to a need to introduce video telemedicine for outpatients as an emergency measure without widespread stakeholder consultation. The patient and clinician experience of video outpatient ... ...

Abstract	Background The coronavirus disease 2019 (COVID-19) pandemic led to a need to introduce video telemedicine for outpatients as an emergency measure without widespread stakeholder consultation. The patient and clinician experience of video outpatient consultation during the peak of the pandemic was studied for acceptability and to gather recommendations to improve the service during continuing infection control measures. Methods Outpatient video telemedicine was introduced over a 14-day period including the provision of equipment, systems integration and stakeholder communication. Patient and clinician experience were measured between 15 April 2020 and 5 May 2020. Results A total of 43 patients and 79 clinicians provided feedback. Of the patients, 86% were above the age of 30 years, with the largest patient group aged 51-70 years. Patient experience was positive. All (100%) patients found joining the video consultation easy; 93% of them recommended to use it for future consultations. Clinician satisfaction was >90% with sound and video quality. Patients were less satisfied than clinicians in that they had communicated everything they wanted to (86% versus 95%). All (100%) patients thought that the video telemedicine solution met their needs, but 25% of clinicians believed that the patient experience of a video consultation was worse than a face-to-face clinic appointment. The three significant factors identified for introducing video consultations were successful IT, improved patient experience and digital healthcare records. Conclusions In the COVID-19 crisis, video telemedicine played a central role in outpatient consultations with excellent levels of success. With some differences in satisfaction level, clinicians significantly underestimate the level of patient satisfaction with outpatient video consultation.
Language	English
Publishing date	2020-11-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.11320
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Article: Relationship between the m-FI 11 score and 2-year survival in octogenarians undergoing colorectal cancer resection.

Ari, Kaso / Iqbal, Muhammad Rafaih / Crane, Jasmine / Borucki, Joseph / Nunney, Ian / Hernon, James / Stearns, Adam

Annals of medicine and surgery (2012)

2023 Volume 86, Issue 1, Page(s) 62–68

Abstract: Introduction: The modified Frailty Index (m-FI) offers a simple scoring tool, predicting short-term outcomes in elderly colorectal cancer (CRC) patients. However, links between m-FI scores and 2-year postoperative mortality in octogenarian CRC resection ...

Abstract	Introduction: The modified Frailty Index (m-FI) offers a simple scoring tool, predicting short-term outcomes in elderly colorectal cancer (CRC) patients. However, links between m-FI scores and 2-year postoperative mortality in octogenarian CRC resection patients remain underexplored. A streamlined frailty index can aid in preoperative assessments to identify elderly patients who are likely to live longer after curative resection surgery to then tailor postoperative care. Our study aims to assess the association between m-FI scores and 2-year postoperative mortality in elderly CRC surgery patients. Methods: A retrospective analysis was conducted on a cohort of consecutive patients aged older than or equal to 80 years who underwent colorectal cancer resection at a tertiary referral centre between 2010 and 2017. The m-FI-11 scores less than or equal to two denoted the non-frail category, whereas m-FI scores equal to or exceeding 3 were categorised as frail. The primary outcome measure was defined as 2-year all-cause mortality. Results: A total of 337 patients were studied. The 2-year overall survival rate was 83% with an overall median survival time of 84 months (95% CI: 74-94 months). Patients with m-FI scores less than or equal to 2 had a 2-year survival rate of 85% and a median survival time of 94 months (95% CI: 84-104 months). Conversely, patients with m-FI scores greater than or equal to 3 had a 2-year survival rate of 72% and a median survival time of 69 months (95% CI: 59-79 months). An m-FI score greater than or equal to 3 showed a hazard ratio of 1.73 (95% CI: 0.92-3.26, Conclusion: Higher m-FI scores significantly correlate with an increased 2-year mortality risk among octogenarian CRC resection patients. This highlights the potential of the m-FI as a preoperative tool for identifying patients likely to survive longer post-surgery. Its integration aids in tailored postoperative care strategies, ensuring efficient recovery to functional baselines in this cohort.
Language	English
Publishing date	2023-11-16
Publishing country	England
Document type	Journal Article
ZDB-ID	2745440-X
ISSN	2049-0801
ISSN	2049-0801
DOI	10.1097/MS9.0000000000001453
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