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  1. Article ; Online: Wearable technology to leverage home-Based cardiac rehabilitation: A step forward in cardiovascular disease management.

    Zil-E-Ali, Ahsan / Tsagkaris, Christos

    The International journal of health planning and management

    2023  Volume 39, Issue 2, Page(s) 602–604

    MeSH term(s) Humans ; Cardiac Rehabilitation ; Cardiovascular Diseases/therapy ; Wearable Electronic Devices
    Language English
    Publishing date 2023-11-15
    Publishing country England
    Document type Letter
    ZDB-ID 632786-2
    ISSN 1099-1751 ; 0749-6753
    ISSN (online) 1099-1751
    ISSN 0749-6753
    DOI 10.1002/hpm.3740
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    Zs.B 2897: Show issues Location:
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  2. Article ; Online: Race-Based Variation in the Utilization of Epidural Analgesia in Addition to General Anesthesia for Open Abdominal Aortic Aneurysm Repair in the United States.

    Ali, Tarik Z / Zil-E-Ali, Ahsan / Lavanga, Elizabeth / Aziz, Faisal

    Annals of vascular surgery

    2024  Volume 102, Page(s) 101–109

    Abstract: Background: Epidural analgesia (EA) is recommended along with general anesthesia (GA) for patients undergoing open abdominal aortic aneurysm repair (AAA) and is known to be associated with improved postoperative outcomes. This study evaluates inequities ...

    Abstract Background: Epidural analgesia (EA) is recommended along with general anesthesia (GA) for patients undergoing open abdominal aortic aneurysm repair (AAA) and is known to be associated with improved postoperative outcomes. This study evaluates inequities in using this superior analgesic approach and further assesses the disparities at patient and hospital levels.
    Methods: A retrospective analysis was performed using the Vascular Quality Initiative database of adult patients undergoing elective open AAA repair between 2003 and 2022. Patients were grouped and analyzed based on anesthesia utilization, that is, EA + GA (Group I) and GA only (Group II). Study groups were further stratified by race, and outcomes were studied. Univariate and multivariate analyses were performed to study the impact of race on the utilization of EA with GA. A subgroup analysis was also carried out to learn the EA analgesia utilization in hospitals performing open AAA with the least to most non-White patients.
    Results: A total of 8,940 patients were included in the study, of which EA + GA (Group I) comprised n = 4,247 (47.5%) patients, and GA (Group II) had n = 4,693 (52.5%) patients. Based on multivariate regression analysis, the odds ratio of non-White patients receiving both EA and GA for open AAA repair compared to White patients was 0.76 (95% confidence interval: 0.53-0.72, P < 0.001). Of the patients who received both EA + GA, non-White race was associated with increased length of intensive care unit stay and a longer total length of hospital stay compared to White patients. Hospitals with the lowest quintile of minorities had the highest utilization of EA + GA for all patients compared to the highest quintile.
    Conclusions: Non-White patients are less likely to receive the EA + GA than White patients while undergoing elective open AAA repair, demonstrating a potential disparity. Also, this disparity persists at the hospital level, with hospitals with most non-White patients having the least EA utilization, pointing toward system-wide disparities.
    MeSH term(s) Humans ; United States ; Analgesia, Epidural/adverse effects ; Retrospective Studies ; Treatment Outcome ; Endovascular Procedures ; Anesthesia, General/adverse effects ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Risk Factors ; Anesthesia, Epidural
    Language English
    Publishing date 2024-02-01
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2023.11.046
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    Zs.A 2882: Show issues Location:
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  3. Article ; Online: Leveraging mHealth Structure to Improve Care Delivery in the Remote Regions of Pakistan: Call to Action.

    Zil-E-Ali, Ahsan / Haque, Waqas Zia

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

    2022  Volume 32, Issue 7, Page(s) 960

    Abstract: Null. ...

    Abstract Null.
    MeSH term(s) Delivery of Health Care ; Humans ; Pakistan ; Telemedicine
    Language English
    Publishing date 2022-05-24
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 2276646-7
    ISSN 1681-7168 ; 1022-386X
    ISSN (online) 1681-7168
    ISSN 1022-386X
    DOI 10.29271/jcpsp.2022.07.960
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  4. Article: Is surgery on the right track? The burden of wrong-site surgery.

    Zil-E-Ali, Ahsan / Laubscher, Lily / Kourampi, Islam / Tsagkaris, Christos

    Proceedings (Baylor University. Medical Center)

    2023  Volume 36, Issue 5, Page(s) 657–660

    Abstract: Surgery is a cornerstone of modern health care. Medical errors resulting from the clinical treatment of patients are a problem with global relevance. Among "never events," wrong-site surgery accounts for preventable mistakes with a big impact on patients ...

    Abstract Surgery is a cornerstone of modern health care. Medical errors resulting from the clinical treatment of patients are a problem with global relevance. Among "never events," wrong-site surgery accounts for preventable mistakes with a big impact on patients as well as the economy. Wrong-site surgery has many contributing factors, whose identification is challenging. Nevertheless, it remains indisputable that wrong-site surgery affects patients' lives on many levels, ranging from physical disability to mental health. In addition, it aggravates the economic integrity of healthcare systems, healthcare workers' professional standards, and the public's trust in surgical services. Possible solutions for wrong-site surgery include perioperative protocols, surgical checklists, effective communication, education, continuous evaluation of existing procedures, and the implementation of new technology.
    Language English
    Publishing date 2023-07-05
    Publishing country United States
    Document type Editorial
    ZDB-ID 2703932-8
    ISSN 1525-3252 ; 0899-8280
    ISSN (online) 1525-3252
    ISSN 0899-8280
    DOI 10.1080/08998280.2023.2231714
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  5. Article ; Online: Climate Crisis as an Opportunity for Socially and Environmentally Sensitive Surgical Preparedness: The Major Needs of Minors in Greece.

    Tsagkaris, Christos / Bartkova, Julia / Saridi, Maria / Panagopoulos, Periklis / Zil-E-Ali, Ahsan

    Journal of pediatric surgery

    2023  Volume 59, Issue 2, Page(s) 350–351

    MeSH term(s) Humans ; Greece ; Climate Change ; Minors ; Surgical Procedures, Operative
    Language English
    Publishing date 2023-10-12
    Publishing country United States
    Document type Letter
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2023.10.002
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    Zs.A 607: Show issues Location:
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  6. Article: Comments on Waseem N et al. (J Pak Med Assoc. Vol 71, No-4, April 2021) Medical students' attitudes towards the clinical importance of embryology.

    Hammad Ali, Syed Muhammad / Zil-E-Ali, Ahsan

    JPMA. The Journal of the Pakistan Medical Association

    2021  Volume 71, Issue 9, Page(s) 2289

    MeSH term(s) Attitude ; Humans ; Students, Medical
    Language English
    Publishing date 2021-09-27
    Publishing country Pakistan
    Document type Journal Article ; Comment
    ZDB-ID 603873-6
    ISSN 0030-9982
    ISSN 0030-9982
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    Zs.B 845: Show issues Location:
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  7. Article: Big data analytics: A promising healthcare solution.

    Saeed, Hamayle / Zil-E-Ali, Ahsan

    JPMA. The Journal of the Pakistan Medical Association

    2021  Volume 71, Issue 8, Page(s) 2108

    MeSH term(s) Data Mining ; Data Science ; Delivery of Health Care ; Health Facilities ; Humans
    Language English
    Publishing date 2021-08-21
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 603873-6
    ISSN 0030-9982
    ISSN 0030-9982
    DOI 10.47391/JPMA.2255
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  8. Article: Climate change and mental health: a call to action to include mental health and psychosocial support services (MHPSS) in the Pakistan flood crisis.

    Riaz, Mehr Muhammad Adeel / Nayyer, Bismah / Lal, Arush / Nawaz, Faisal A / Zil-E-Ali, Ahsan

    BJPsych international

    2023  Volume 20, Issue 3, Page(s) 56–58

    Abstract: The recent flood crisis in Pakistan has had significant impacts on the physical, mental and socioeconomic fabric of almost 33 million people. Floods in Pakistan are leading to a range of negative impacts on health and major disruptions to healthcare ... ...

    Abstract The recent flood crisis in Pakistan has had significant impacts on the physical, mental and socioeconomic fabric of almost 33 million people. Floods in Pakistan are leading to a range of negative impacts on health and major disruptions to healthcare services. The lack of mental health and psychosocial support services (MHPSS) is a significant concern in rural areas of Pakistan in providing support to communities affected by floods. It is important for the government and mental health policymakers to work with academic coalitions and non-governmental organisations to replicate low-resource MHPSS models that will develop and advocate for effective, gender-sensitive mental healthcare throughout the country.
    Language English
    Publishing date 2023-08-02
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2905058-3
    ISSN 2058-6264 ; 2056-4740
    ISSN (online) 2058-6264
    ISSN 2056-4740
    DOI 10.1192/bji.2023.13
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  9. Article: A triangulation model for assessment of change in classroom behavior of medical teachers participating in faculty development program on lecturing skills.

    Ali, Syed Muhammad Hammad / Ahsen, Noor Fatima / Zil-E-Ali, Ahsan

    Scottish medical journal

    2022  Volume 68, Issue 1, Page(s) 32–36

    Abstract: Background & aims: We utilized a triangulation method of a faculty development program's (FDP) evaluation comprising short-course workshops on classroom behaviors and lecturing skills of basic sciences faculty in a medical school.: Methods & results: ...

    Abstract Background & aims: We utilized a triangulation method of a faculty development program's (FDP) evaluation comprising short-course workshops on classroom behaviors and lecturing skills of basic sciences faculty in a medical school.
    Methods & results: This study utilized data from the pre and post evaluation of classroom lectures by an expert observer. Course participants were observed before the inception of a 4-month FDP and after 6-months of program completion. Findings at 6-month post-FDP interval were supplemented with students' and participant's self-evaluation. Expert evaluation of 15 participants showed that more participants were summarizing lectures at the end of their class (p = 0.021), utilizing more than one teaching tool (p  =  0.008) and showing a well-structured flow of information (p = 0.013). Among the students, majority (95.5%, n  =  728) agreed on "teachers were well-prepared for the lecture", however, a low number (66.1%, n  =  504) agreed on "teachers were able to make the lecture interesting". On self-evaluation (n =  12), majority of the participants (91.7%, n  =  11) thought these FDP workshops had a positive impact on their role as a teacher.
    Conclusions: Gathering feedback from multiple sources can provide a more holistic insight into the impact of an FDP and can provide a robust framework for setting up future FDP targets.
    MeSH term(s) Humans ; Faculty ; Education, Medical, Undergraduate/methods ; Students, Medical ; Teaching ; Faculty, Medical
    Language English
    Publishing date 2022-10-06
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 414085-0
    ISSN 2045-6441 ; 0036-9330
    ISSN (online) 2045-6441
    ISSN 0036-9330
    DOI 10.1177/00369330221130766
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  10. Article ; Online: Association of Preoperative Frailty with Inferior Outcomes for Patients Undergoing Lower Extremity Bypass for Chronic Limb Threatening Ischemia: A Systematic Review.

    Alamarie, Billal / Paracha, Abdul Wasay / Zil-E-Ali, Ahsan / Krause, Kayla / Aziz, Faisal

    Annals of vascular surgery

    2023  Volume 97, Page(s) 320–328

    Abstract: Background: Frailty is a risk factor associated with adverse postoperative outcomes following lower extremity bypass (LEB) surgery in patients with peripheral arterial disease (PAD). Chronic limb threatening ischemia (CLTI) represents the worst form of ... ...

    Abstract Background: Frailty is a risk factor associated with adverse postoperative outcomes following lower extremity bypass (LEB) surgery in patients with peripheral arterial disease (PAD). Chronic limb threatening ischemia (CLTI) represents the worst form of PAD, and frailty is common among patients presenting with CLTI. Multiple frailty assessment scores have been developed for the past 2 decades; however, a universal clinical assessment tool for measuring frailty has not yet been established due to the complexity of the concept. This systematic review aimed to evaluate the use of a frailty index as a predictor of postoperative outcomes in patients undergoing LEB.
    Methods: The review protocol was registered in the international prospective register of systematic reviews (PROSPERO) database (CRD42022358888). A systematic literature search was conducted using the PubMed and Scopus databases. The review followed the preferred reporting items for systematic reviews and metaanalyses (PRISMA) guidelines. The risk of bias was evaluated using the Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) tool. A total of 3,929 studies were initially selected originally and were eventually left with 6 studies that met the inclusion criteria of this systematic review.
    Results: Six studies were examined that assessed the relationship between frailty index and long-term mortality following LEB for CLTI were screened. All analyses were published between 2017 and 2020 and included a broad spectrum of patients who underwent LEB. The results of these studies showed inconsistencies in the reporting of postoperative outcomes and the time endpoint of these events. However, all correlated with higher frailty index and increased mortality rate.
    Conclusions: Higher frailty index preoperatively is associated with an increased likelihood of postoperative comorbidities after undergoing LEB. Identifying and addressing the preoperative frailty index of these patients may be a practical approach to reducing postoperative adverse outcomes. A thorough review of the frailty spectrum and standardized reporting of outcomes in the context of frailty could be helpful to have a more comprehensive understanding of this subject.
    MeSH term(s) Humans ; Chronic Limb-Threatening Ischemia ; Frailty/complications ; Frailty/diagnosis ; Endovascular Procedures/adverse effects ; Treatment Outcome ; Ischemia/diagnosis ; Ischemia/surgery ; Risk Factors ; Peripheral Arterial Disease/diagnosis ; Peripheral Arterial Disease/surgery ; Lower Extremity ; Retrospective Studies
    Language English
    Publishing date 2023-06-24
    Publishing country Netherlands
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2023.05.044
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