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  1. Article ; Online: Impact of Intragastric Balloon: A Rare Complication.

    Mujtaba, Ghulam / Zehra, Rida / Balkhi, Fizra / Shaikh, Numra

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

    2022  Volume 32, Issue 8, Page(s) S89–S91

    Abstract: Non-surgical interventions for weight loss are being used more commonly and one of the emerging endoscopic bariatric therapies is the insertion of Intragastric Balloons (IGBs). A 58-year Pakistani female, presented with vomiting and abdominal bloating ... ...

    Abstract Non-surgical interventions for weight loss are being used more commonly and one of the emerging endoscopic bariatric therapies is the insertion of Intragastric Balloons (IGBs). A 58-year Pakistani female, presented with vomiting and abdominal bloating for 2 weeks. The balloon was impacted at the antrum and pylorus while the external pigtail catheter and blue clasp for retrieval were extending into D1/D2. This is a very rare complication of IGB. We report a rare case of antral impaction, followed by safe removal of the impacted Spatz IGB. Regular follow-ups are necessary to avoid serious complications of IGB insertion. Key Words: Intragastric balloon, Impaction, Obesity, Safe retrieval, Weight-loss.
    MeSH term(s) Female ; Gastric Balloon/adverse effects ; Humans ; Obesity/surgery ; Obesity, Morbid/surgery ; Vomiting ; Weight Loss
    Language English
    Publishing date 2022-06-07
    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.Supp2.S89
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Psychological and Behavioral Response to the Coronavirus (COVID-19) Pandemic.

    Balkhi, Fizra / Nasir, Aamna / Zehra, Arhama / Riaz, Ramsha

    Cureus

    2020  Volume 12, Issue 5, Page(s) e7923

    Abstract: Background The outbreak of Coronavirus (COVID-19) in Wuhan, China, which began in December 2019, evolved to become a global pandemic. The pandemic, along with the obvious health-related impact, also poses a serious threat to the psychological well-being ... ...

    Abstract Background The outbreak of Coronavirus (COVID-19) in Wuhan, China, which began in December 2019, evolved to become a global pandemic. The pandemic, along with the obvious health-related impact, also poses a serious threat to the psychological well-being of individuals and has resulted in significant behavioral changes. We aimed to describe the psycho-behavioral response to this crisis among the population of Karachi, Pakistan, in the month of March 2020. Methods A structured, self-administered questionnaire was constructed, based on previously conducted surveys, assessing the psychological impact and behavioral changes pertaining to COVID-19. Questionnaires were made available online, and were administered to any individual who was a resident of Karachi, during March 2020. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 21.0 (IBM Corp., Armonk, NY) to identify possible risk factors for psychological and behavioral changes. The responses were compared based on gender, age, and level of education, to find possible statistical correlations using chi-square test. Results This research studied data from 400 participants residing in Karachi, Pakistan. The spread of the virus had resulted in subsequent development of fears in the target population, with the majority of the respondents feeling anxious on a daily basis (62.5%). The participants feared going to marketplaces (88.8%), were concerned for the health of their family members (94.5%), and felt under-confident with the current infection control measures (71%). Significantly elevated levels of fear were noted among people >35 years of age. They were more likely to fear for the safety of their health even at home (p=0.06). Meanwhile, increased levels of anxiety due to use of social media among people below 35 years had resulted in avoidance behaviors (p=0.04). There was a higher tendency for graduates to fear for the safety of their health, even at home (p<0.01). In addition, more than three-fourths of our participants had incorporated changes in their behavior to ensure their safety i.e. reduced physical contact (86.5%) and visits to healthcare facilities (74.5%), canceled plans (84.5%), and washing hands more often (87%). Conclusion  Our study highlighted the increased anxiety levels that an individual experienced on a regular basis regarding their health, the health of their peers, certain avoidance behaviors as a result of the disease, and behavioral changes of the concerned population. Besides calling attention to this worrisome situation, we also tried to list possible solutions to avert any future distress that may ensue as a result. Hopefully, our study will help the concerned authorities to take measures in order to alleviate the psychological and behavioral impact of COVID-19.
    Keywords covid19
    Language English
    Publishing date 2020-05-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.7923
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Knowledge and awareness regarding spread and prevention of COVID-19 among the young adults of Karachi.

    Mubeen, Syed Muhammad / Kamal, Shaheera / Kamal, Sufiyan / Balkhi, Fizra

    JPMA. The Journal of the Pakistan Medical Association

    2020  Volume 70Suppl 3, Issue 5, Page(s) S169–S174

    Abstract: Objective: To measure the awareness of COVID-19 infection among the general population following the outbreak in China.: Methods: This descriptive cross-sectional study was carried out during January and February 2020 amongst the general population ... ...

    Abstract Objective: To measure the awareness of COVID-19 infection among the general population following the outbreak in China.
    Methods: This descriptive cross-sectional study was carried out during January and February 2020 amongst the general population of Karachi, Pakistan. A pre-tested, self-administered questionnaire was used among 399 young adult participants. The questionnaire was developed keeping in view of the already published study on severe acute respiratory syndrome (SARS) and the available literature on COVID-19. It included sociodemographic information, assessment of knowledge, beliefs regarding coronavirus and the perception of precautionary measures taken by an individual. Chi-square test was used for categorical variables and p<0.05 was used as statistically significant.
    Results: There were more females 299 (75%) than male participants 100 (25%). The mean age was 20.9 ±2.30 years and 232 (58%) had graduate degrees. There is lack of knowledge and awareness about coronavirus as 226 (56.6%) participants claimed that coronavirus is actually the most dangerous virus in the world, and 171 (43%) did know that the common flu virus is potentially more lethal than coronavirus. Although a large majority of participants correctly identified sources of transmission, measures and precautions to be taken for coronavirus, their knowledge for symptom identification was deficient. The most pursued platform for information for coronavirus was found to be social media, followed by television and print media.
    Conclusions: The study highlighted the level of awareness of coronavirus among young adults in Karachi, Pakistan. The study further pointed out the public knowledge gaps for the authorities concerned to help them develop more effective and successful awareness campaigns using preferred channels.
    MeSH term(s) Adolescent ; Adult ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Pakistan/epidemiology ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2020-06-09
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 603873-6
    ISSN 0030-9982
    ISSN 0030-9982
    DOI 10.5455/JPMA.40
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 845: Show issues Location:
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  4. Article: Association Between Levels of Pre-operative Glycosylated Hemoglobin and Post-operative Surgical Site Infections After Elective Surgery in a Low-Income Country.

    Maqsood, Kanza Mirza / Pahwani, Ritesh / Avinash, Fnu / Shabbir, Muhammad Raffey / Basham, Maleeha Ali / Khalid, Azeem / Balkhi, Fizra / Khalid, Dua / Jahangir, Maha

    Cureus

    2022  Volume 14, Issue 7, Page(s) e27397

    Abstract: Introduction: Diabetic patients undergoing surgery are more susceptible to hospital-acquired infection, particularly surgical site infection (SSI). Good glycemic control in preoperative patients significantly decreases the risk of SSI. There is a ... ...

    Abstract Introduction: Diabetic patients undergoing surgery are more susceptible to hospital-acquired infection, particularly surgical site infection (SSI). Good glycemic control in preoperative patients significantly decreases the risk of SSI. There is a scarcity of data from low-income countries studying the relation between perioperative glycated hemoglobin (HbA1c) levels and postoperative SSI. We aim to establish statistical relation between HbA1c and SSI which will help decrease post-operative infections and morbidity.
    Methods: This study was conducted in the surgical unit of Jinnah Sindh Medical University, Karachi, Pakistan, from August 2020 to April 2022. Patients who underwent elective surgical procedures (n= 1024) were included in the study and divided into two groups based on their HbA1c levels. Patients with HbA1c levels higher than 6.5% were classified as group A and those with HbA1c less than 6.5% belonged to group B. For statistical analysis, IBM SPSS Statistics for Windows, Version 24.0 (Released 2016; IBM Corp., Armonk, New York, United States) was used.
    Results: Group A comprised 579 (56.5%) patients. The presence of SSI in participants with HbA1c >6.5% was statistically significant (p-value: 0.011). Genderwise comparison with the presence of SSI was found to be insignificant (p-value: 0.28). Smoking was positively correlated with the absence of SSI. No significance in terms of presence or absence of SSI was found in the comparison of the type of wounds (p-value: 0.25).
    Conclusion:  There is a positive relationship between raised HbA1c levels and the development of SSI. Our study emphasizes the importance of the use of HbA1c levels as a more accurate predictor of glycemic control in pre-operative patients rather than blood glucose levels. It is imperative that surgeons must check HbA1c levels before selecting patients for elective surgeries, especially in low-income countries where the healthcare burden is already huge.
    Language English
    Publishing date 2022-07-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.27397
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Psychological and Behavioral Response to the Coronavirus (COVID-19) Pandemic

    Balkhi, Fizra / Nasir, Aamna / Zehra, Arhama / Riaz, Ramsha

    Cureus

    Abstract: Background The outbreak of Coronavirus (COVID-19) in Wuhan, China, which began in December 2019, evolved to become a global pandemic The pandemic, along with the obvious health-related impact, also poses a serious threat to the psychological well-being ... ...

    Abstract Background The outbreak of Coronavirus (COVID-19) in Wuhan, China, which began in December 2019, evolved to become a global pandemic The pandemic, along with the obvious health-related impact, also poses a serious threat to the psychological well-being of individuals and has resulted in significant behavioral changes We aimed to describe the psycho-behavioral response to this crisis among the population of Karachi, Pakistan, in the month of March 2020 Methods A structured, self-administered questionnaire was constructed, based on previously conducted surveys, assessing the psychological impact and behavioral changes pertaining to COVID-19 Questionnaires were made available online, and were administered to any individual who was a resident of Karachi, during March 2020 Data were analyzed using Statistical Package for Social Sciences (SPSS) version 21 0 (IBM Corp , Armonk, NY) to identify possible risk factors for psychological and behavioral changes The responses were compared based on gender, age, and level of education, to find possible statistical correlations using chi-square test Results This research studied data from 400 participants residing in Karachi, Pakistan The spread of the virus had resulted in subsequent development of fears in the target population, with the majority of the respondents feeling anxious on a daily basis (62 5%) The participants feared going to marketplaces (88 8%), were concerned for the health of their family members (94 5%), and felt under-confident with the current infection control measures (71%) Significantly elevated levels of fear were noted among people >35 years of age They were more likely to fear for the safety of their health even at home (p=0 06) Meanwhile, increased levels of anxiety due to use of social media among people below 35 years had resulted in avoidance behaviors (p=0 04) There was a higher tendency for graduates to fear for the safety of their health, even at home (p<0 01) In addition, more than three-fourths of our participants had incorporated changes in their behavior to ensure their safety i e reduced physical contact (86 5%) and visits to healthcare facilities (74 5%), canceled plans (84 5%), and washing hands more often (87%) Conclusion Our study highlighted the increased anxiety levels that an individual experienced on a regular basis regarding their health, the health of their peers, certain avoidance behaviors as a result of the disease, and behavioral changes of the concerned population Besides calling attention to this worrisome situation, we also tried to list possible solutions to avert any future distress that may ensue as a result Hopefully, our study will help the concerned authorities to take measures in order to alleviate the psychological and behavioral impact of COVID-19
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #532126
    Database COVID19

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  6. Article: Knowledge and awareness regarding spread and prevention of COVID-19 among the young adults of Karachi

    Mubeen, Syed Muhammad / Kamal, Shaheera / Kamal, Sufiyan / Balkhi, Fizra

    J Pak Med Assoc

    Abstract: OBJECTIVE: To measure the awareness of COVID-19 infection among the general population following the outbreak in China. METHODS: This descriptive cross-sectional study was carried out during January and February 2020 amongst the general population of ... ...

    Abstract OBJECTIVE: To measure the awareness of COVID-19 infection among the general population following the outbreak in China. METHODS: This descriptive cross-sectional study was carried out during January and February 2020 amongst the general population of Karachi, Pakistan. A pre-tested, self-administered questionnaire was used among 399 young adult participants. The questionnaire was developed keeping in view of the already published study on severe acute respiratory syndrome (SARS) and the available literature on COVID-19. It included sociodemographic information, assessment of knowledge, beliefs regarding coronavirus and the perception of precautionary measures taken by an individual. Chi-square test was used for categorical variables and p<0.05 was used as statistically significant. RESULTS: There were more females 299 (75%) than male participants 100 (25%). The mean age was 20.9 ±2.30 years and 232 (58%) had graduate degrees. There is lack of knowledge and awareness about coronavirus as 226 (56.6%) participants claimed that coronavirus is actually the most dangerous virus in the world, and 171 (43%) did know that the common flu virus is potentially more lethal than coronavirus. Although a large majority of participants correctly identified sources of transmission, measures and precautions to be taken for coronavirus, their knowledge for symptom identification was deficient. The most pursued platform for information for coronavirus was found to be social media, followed by television and print media. CONCLUSIONS: The study highlighted the level of awareness of coronavirus among young adults in Karachi, Pakistan. The study further pointed out the public knowledge gaps for the authorities concerned to help them develop more effective and successful awareness campaigns using preferred channels.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #609366
    Database COVID19

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