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  1. Article ; Online: Renal Cell Carcinoma of Pelvic Kidney with Atypical Nodal Metastasis: A Diagnostic Challenge.

    Rana, Roshan-E-Shahid / Ather, Muhammad Hammad

    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

    2022  Volume 32, Issue 7, Page(s) 938–940

    Abstract: Ectopic pelvic kidney is a known congenital anomaly; however, the presence of renal cell carcinoma (RCC) in an ectopic kidney is rare with the evidence available in the form of a few case reports only. In this case report, we present a case of metastatic ...

    Abstract Ectopic pelvic kidney is a known congenital anomaly; however, the presence of renal cell carcinoma (RCC) in an ectopic kidney is rare with the evidence available in the form of a few case reports only. In this case report, we present a case of metastatic RCC in the pelvic kidney which became a diagnostic challenge because of atypical contrast-enhanced computed tomographic (CT) characteristics and unusual pattern of lymph node involvement including cervical lymph node in the absence of visceral metastasis. Because of its unusual location and uncertain vascular anatomy, ectopic kidney poses a surgical challenge. Owing to the rarity of this condition, optimal surgical approach, metastatic potential, routes of metastasis, and effectiveness of systemic agents in pelvic RCC compared to RCC in a normally located kidney, are largely unknown. Key Words: Renal cell carcinoma, Pelvic kidney, Lymph node metastasis.
    MeSH term(s) Carcinoma, Renal Cell/surgery ; Humans ; Kidney/diagnostic imaging ; Kidney Neoplasms/surgery ; Lymph Node Excision/methods ; Lymphatic Metastasis
    Language English
    Publishing date 2022-05-24
    Publishing country Pakistan
    Document type Case Reports
    ZDB-ID 2276646-7
    ISSN 1681-7168 ; 1022-386X
    ISSN (online) 1681-7168
    ISSN 1022-386X
    DOI 10.29271/jcpsp.2022.07.938
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  2. Article: Change in surgical practice amidst COVID 19; example from a tertiary care centre in Pakistan.

    Rana, Roshan-E-Shahid / Ather, Muhammad Hammad / Enam, Syed Ather

    Annals of medicine and surgery (2012)

    2020  Volume 54, Page(s) 79–81

    Keywords covid19
    Language English
    Publishing date 2020-05-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2020.04.035
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  3. Book ; Online: Change in surgical practice amidst COVID 19; example from a tertiary care centre in Pakistan

    Rana, Roshan-E-Shahid / Ather, Hammad

    Section of Urology

    2020  

    Keywords COVID-19 ; Surgical practice ; Surgery ; Urology ; covid19
    Publishing date 2020-05-01T07:00:00Z
    Publisher eCommons@AKU
    Publishing country pk
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Change in surgical practice amidst COVID 19; example from a tertiary care centre in Pakistan

    Rana, Roshan-e-Shahid / Ather, Muhammad Hammad / Enam, Syed Ather

    Annals of Medicine and Surgery

    2020  Volume 54, Page(s) 79–81

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2020.04.035
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  6. Article ; Online: Letter to editor "A redeployment model of surgery residents to COVID-19 diagnostic and treatment zone (CDTZ). A safe and cost-effective strategy in a middle income country".

    Rana, Roshan-E-Shahid / Khan, Muhammad Rizwan / Lakhani, Gulzar S / Enam, Syed Ather

    International journal of surgery (London, England)

    2020  Volume 84, Page(s) 118–119

    Keywords covid19
    Language English
    Publishing date 2020-10-31
    Publishing country England
    Document type Letter
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2020.10.023
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  7. Article: Letter to editor "A redeployment model of surgery residents to COVID-19 diagnostic and treatment zone (CDTZ). A safe and cost-effective strategy in a middle income country"

    Rana, Roshan-E-Shahid / Khan, Muhammad Rizwan / Lakhani, Gulzar S / Enam, Syed Ather

    Int J Surg

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #893962
    Database COVID19

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  8. Article ; Online: Letter to editor “A redeployment model of surgery residents to COVID-19 diagnostic and treatment zone (CDTZ). A safe and cost-effective strategy in a middle income country”

    Rana, Roshan-e-Shahid / Khan, Muhammad Rizwan / Lakhani, Gulzar S. / Enam, Syed Ather

    International Journal of Surgery

    2020  Volume 84, Page(s) 118–119

    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.2020.10.023
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Validation of a Bench-Top Training Model for Retrograde Intrarenal Surgery.

    Hussain, Sana / Rana, Roshan-E Shahid / Ather, M Hammad

    Urologia internationalis

    2021  Volume 105, Issue 7-8, Page(s) 605–610

    Abstract: Objective: To validate the in-house built Styrofoam box bench-top training model for retrograde intrarenal surgery (RIRS).: Materials and methods: This study was performed in the setting of a half-day RIRS course. During the course, participants ... ...

    Abstract Objective: To validate the in-house built Styrofoam box bench-top training model for retrograde intrarenal surgery (RIRS).
    Materials and methods: This study was performed in the setting of a half-day RIRS course. During the course, participants performed RIRS on a locally built bench-top model. We recruited 26 participants, comprising 20 trainees and 6 experts. Trainees and experts were asked to fill a self-administered questionnaire assessing various components of RIRS to assess the face and content validity. For construct validity, experts using Objective Structured Assessment of Technical Skills (OSATS) rated trainees and the mean OSATS score of junior versus senior residents was compared.
    Results: As per trainees, the model was 86% (4.3/5) realistic, which was backed by experts who found this model to be 87.6% (4.38/5) realistic. The overall face validity of the model was 86.4% (4.32/5). The overall content validity of this model was 83.4% (4.17/5). Majority of the participants thought that this tool is useful for learning technique (4.38 ± 0.49) and safe-conduct (4.31 ± 0.73) of the procedure. The trainees concurred that the skills acquired are transferable to the operating room (4.23 ± 0.76). However, the construct validity by comparing mean OSATS score of junior versus senior residents was 19.5 ± 3.5 and 23 ± 4.5. A p value of 0.11 could not be established.
    Conclusion: This study has demonstrated the face, content, and construct validity of the bench-top training model for RIRS. Further evaluation is necessary to compare its effectiveness against other available models to demonstrate concurrent validity.
    MeSH term(s) Cross-Sectional Studies ; Humans ; Internship and Residency/methods ; Kidney/surgery ; Models, Anatomic ; Simulation Training ; Urologic Surgical Procedures/education ; Urologic Surgical Procedures/methods ; Urology/education
    Language English
    Publishing date 2021-01-28
    Publishing country Switzerland
    Document type Journal Article ; Validation Study
    ZDB-ID 204045-1
    ISSN 1423-0399 ; 0042-1138
    ISSN (online) 1423-0399
    ISSN 0042-1138
    DOI 10.1159/000512883
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  10. Article ; Online: Predicting emergency interventions in patients with acute ureteral colic using acute renal colic scoring system in a Pakistani cohort.

    Rana, Roshane-Shahid / Nazim, Syed M / Ather, M Hammad

    International urology and nephrology

    2020  Volume 53, Issue 1, Page(s) 21–26

    Abstract: ... months. ARC score was calculated using four parameters, i.e., serum creatinine, total white cell count ... possible outcomes, i.e., EI vs. no EI. The need of intervention was based on patient-related clinical ...

    Abstract Objective: To evaluate the acute renal colic score (ARC) in predicting the need of emergency intervention (EI) in patients with ureteric colic secondary to a ureteral stone.
    Patient and methods: In an emergency room (ER) of a university hospital, we conducted a prospective cohort study over a period of 6 months. ARC score was calculated using four parameters, i.e., serum creatinine, total white cell count (TLC), stone length and level. Primary outcome measure was EI, which was defined as the need of endourological intervention within 48 h of presentation. ARC was calculated for each patient against the two possible outcomes, i.e., EI vs. no EI. The need of intervention was based on patient-related clinical factors and the decision of the attending urologist.
    Results: The study included 132 patients. EI was performed in 85 patients (64.4%). URS was the most common intervention performed in 81 (95.3%) patients, followed by the a insertion of a double J stent in two (2.4%) patients for forniceal rupture and high TLC count and percutaneous nephrostomy in two (2.4%) patients for raised creatinine and TLC. All four variables in ARC score including serum creatinine (p < 0.001), TLC (p < 0.001), stone size (p < 0.001) and stone level (p < 0.001) were found to be significantly associated with need for EI. Using ROC the sensitivity and specificity of the score was 92.9% and 87.5%, respectively, with AUC of 0.93.
    Conclusions: ARC score is highly sensitive and specific in determining the need of EI in patients with uncomplicated ureteric colic within 48 h of initial presentation.
    MeSH term(s) Adult ; Cohort Studies ; Creatinine/blood ; Emergency Treatment ; Female ; Humans ; Leukocyte Count ; Male ; Middle Aged ; Pakistan ; Predictive Value of Tests ; Prospective Studies ; Renal Colic/blood ; Renal Colic/diagnosis ; Renal Colic/etiology ; Renal Colic/surgery ; Ureteral Calculi/complications ; Ureteral Calculi/pathology
    Chemical Substances Creatinine (AYI8EX34EU)
    Language English
    Publishing date 2020-08-19
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 204048-7
    ISSN 1573-2584 ; 0301-1623 ; 0042-1162
    ISSN (online) 1573-2584
    ISSN 0301-1623 ; 0042-1162
    DOI 10.1007/s11255-020-02607-7
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