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  1. Book ; Online: The use of gastric lavage in reducing COVID-19 fever

    Rahim, Komal Abdul

    A narrative review

    2020  

    Abstract: Background: COVID-19 has come as an emerging disease which poses new challenge on us every single day. Fever being the most common symptom of this disease is sometimes very hard to manage. For these kind of patients, we need to think of modalities other ... ...

    Abstract Background: COVID-19 has come as an emerging disease which poses new challenge on us every single day. Fever being the most common symptom of this disease is sometimes very hard to manage. For these kind of patients, we need to think of modalities other than the pharmacological management. Gastric lavage is one the intervention which passed through by the author’s clinical area.Method: The aim of this study is to identify the use of gastric lavage in lowering core temperature in COVID and non-COVID patients. A narrative review design is used for this study.Result: There are collectively three studies in total which suggest the use of gastric lavage in hyperthermic patients. One of these articles is not peer reviewed.Conclusion: There is no absolute association between gastric lavage and hyperthermic patients. There is a dire need of more researches to confirm the effectiveness of this therapy in hyperthermic patients.
    Keywords covid19
    Publisher Center for Open Science
    Publishing country us
    Document type Book ; Online
    DOI 10.31219/osf.io/qx8r5
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Thirty-year trends of triple burden of disease in the adult population of Pakistan.

    Raheem, Ahmed / Soomar, Salman Muhammad / Issani, Ali / Rahim, Komal Abdul / Dhalla, Zeyanna / Soomar, Sarmad Muhammad / Mian, Asad Iqbal / Khan, Nadeem Ullah

    Journal of public health (Oxford, England)

    2024  

    Abstract: Background: The triple burden of disease, i.e. communicable diseases, non-communicable diseases and injuries, has significantly affected the healthcare system of Pakistan during the last three decades. Therefore, this study aims to determine and analyse ...

    Abstract Background: The triple burden of disease, i.e. communicable diseases, non-communicable diseases and injuries, has significantly affected the healthcare system of Pakistan during the last three decades. Therefore, this study aims to determine and analyse the 30-year disease burden trends through prevalence, death rates and percentages.
    Methods: The data for the last three decades, i.e. 1990 to 2019, was extracted from the Global Burden of Disease for Pakistan. Percentage change in prevalence and deaths over 30 years was calculated. Poisson regression analysis was performed to evaluate the triple disease burden trends and the incidence rate ratio.
    Results: A relative decrease of 23.4% was noted in the prevalence rate of communicable diseases except for human immunodeficiency virus and dengue fever. A relative increase of 1.4% was noted in the prevalence rate of non-communicable diseases. A relative increase of 56.1% was recorded in the prevalence rate of injuries. The prevalence rate ratios of communicable diseases significantly decreased to 0.9796 [95% CI: 0.9887-0.9905], but the prevalence rate of injury increased to 1.0094 [95% CI: 1.0073-1.01145], respectively.
    Conclusion: Pakistan must take the next steps and develop strategies to decrease this burden and mortality rates in the population to create better outcomes and therefore help the healthcare system overall.
    Language English
    Publishing date 2024-04-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2142082-8
    ISSN 1741-3850 ; 1741-3842
    ISSN (online) 1741-3850
    ISSN 1741-3842
    DOI 10.1093/pubmed/fdae054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Does Digital Literacy Empower Adolescent Girls in Low- and Middle-Income Countries: A Systematic Review.

    Meherali, Salima / Rahim, Komal Abdul / Campbell, Sandra / Lassi, Zohra S

    Frontiers in public health

    2021  Volume 9, Page(s) 761394

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Adolescent ; Developing Countries ; Female ; Health Services Accessibility ; Human Rights ; Humans ; Internet ; Literacy ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2021-12-16
    Publishing country Switzerland
    Document type Research Support, Non-U.S. Gov't ; Systematic Review
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2021.761394
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Exploring preconception health in adolescents and young adults: Identifying risk factors and interventions to prevent adverse maternal, perinatal, and child health outcomes-A scoping review.

    Padhani, Zahra Ali / Rahim, Komal Abdul / Tessema, Gizachew A / Avery, Jodie C / Damabi, Negin Mirzaei / Castleton, Patience / Salam, Rehana A / Meherali, Salima / Lassi, Zohra S

    PloS one

    2024  Volume 19, Issue 4, Page(s) e0300177

    Abstract: Background: Preconception health provides an opportunity to examine a woman's health status and address modifiable risk factors that can impact both a woman's and her child's health once pregnant. In this review, we aimed to investigate the ... ...

    Abstract Background: Preconception health provides an opportunity to examine a woman's health status and address modifiable risk factors that can impact both a woman's and her child's health once pregnant. In this review, we aimed to investigate the preconception risk factors and interventions of early pregnancy and its impact on adverse maternal, perinatal and child health outcomes.
    Methods: We conducted a scoping review following the PRISMA-ScR guidelines to include relevant literature identified from electronic databases. We included reviews that studied preconception risk factors and interventions among adolescents and young adults, and their impact on maternal, perinatal, and child health outcomes. All identified studies were screened for eligibility, followed by data extraction, and descriptive and thematic analysis.
    Findings: We identified a total of 10 reviews. The findings suggest an increase in odds of maternal anaemia and maternal deaths among young mothers (up to 17 years) and low birth weight (LBW), preterm birth, stillbirths, and neonatal and perinatal mortality among babies born to mothers up to 17 years compared to those aged 19-25 years in high-income countries. It also suggested an increase in the odds of congenital anomalies among children born to mothers aged 20-24 years. Furthermore, cancer treatment during childhood or young adulthood was associated with an increased risk of preterm birth, LBW, and stillbirths. Interventions such as youth-friendly family planning services showed a significant decrease in abortion rates. Micronutrient supplementation contributed to reducing anaemia among adolescent mothers; however, human papillomavirus (HPV) and herpes simplex virus (HSV) vaccination had little to no impact on stillbirths, ectopic pregnancies, and congenital anomalies. However, one review reported an increased risk of miscarriages among young adults associated with these vaccinations.
    Conclusion: The scoping review identified a scarcity of evidence on preconception risk factors and interventions among adolescents and young adults. This underscores the crucial need for additional research on the subject.
    MeSH term(s) Humans ; Pregnancy ; Infant, Newborn ; Infant ; Adolescent ; Young Adult ; Female ; Child ; Adult ; Stillbirth ; Premature Birth ; Preconception Care ; Risk Factors ; Mothers ; Anemia ; Outcome Assessment, Health Care
    Language English
    Publishing date 2024-04-17
    Publishing country United States
    Document type Systematic Review ; Review ; Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0300177
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Use of contraceptives, empowerment and agency of adolescent girls and young women: a systematic review and meta-analysis.

    Lassi, Zohra S / Rahim, Komal Abdul / Stavropoulos, Alexandra Maria / Ryan, Lareesa Marie / Tyagi, Jyoti / Adewale, Bisi / Kurji, Jaameeta / Bhaumik, Soumyadeep / Meherali, Salima / Ali, Moazzam

    BMJ sexual & reproductive health

    2024  

    Abstract: Introduction: The evidence on adolescent empowerment, which involves access to personal and material resources for reproductive autonomy and economic equity, is limited. This systematic review assesses the use of contraceptives in empowering and ... ...

    Abstract Introduction: The evidence on adolescent empowerment, which involves access to personal and material resources for reproductive autonomy and economic equity, is limited. This systematic review assesses the use of contraceptives in empowering and strengthening the agency and vice versa among adolescents and young women.
    Methods: We ran the searches in six electronic databases: Cochrane Database of Systematic Reviews (CDSR) and the Cochrane Central Register of Controlled Trials (CENTRAL), The Campbell Library, MEDLINE (PubMed), EMBASE, Cumulated Index to Nursing and Allied Health Literature (CINAHL) and Web of Science. The methodological quality of studies was assessed using ROBINS-I and ROB-II tools as appropriate. Meta-analysis was performed using Review Manager 5.4.
    Results: Forty studies that assessed the impact of empowerment on contraceptive use were included. Of these, 14 were non-randomised studies for intervention (NRSIs), and the remaining 26 were randomised controlled trials (RCTs). The results from RCTs show a significant effect of the sexual and reproductive health empowerment in increasing ever use of contraception (RR 1.22; 95% CI 1.02, 1.45; n=9; I²=77%; GRADE: Very Low), and insignificant effect on unprotected sex (RR 0.97; 95% CI 0.74, 1.26; n=5; I²=86%; GRADE: Very Low) and adolescent pregnancy (RR 1.07; 95% CI 0.61, 1.87; n=3; I²=36%; GRADE: Very Low). None of the studies assessed impact of contraceptive use on empowerment.
    Conclusions: Empowerment of adolescents and young women certainly improves contraceptive use in the immediate or short-term period. However, more robust studies with low risk of bias, longer-term outcomes, and impact of contraceptive use on empowerment and agency-strengthening are required. To increase contraceptive use uptake, tailored policies and delivery platforms are necessary for youth in low- and middle-income countries.
    Language English
    Publishing date 2024-03-13
    Publishing country England
    Document type Journal Article
    ISSN 2515-2009
    ISSN (online) 2515-2009
    DOI 10.1136/bmjsrh-2023-202151
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Leveraging the vantage point - exploring nurses' perception of residents' communication skills: a mixed-methods study.

    Rahim, Komal Abdul / Lakhdir, Maryam Pyar Ali / Afzal, Noreen / Merchant, Asma Altaf Hussain / Shaikh, Namra Qadeer / Noorali, Ali Aahil / Tariq, Umar / Ahmad, Rida / Bakhshi, Saqib Kamran / Mahmood, Saad Bin Zafar / Khan, Muhammad Rizwan / Tariq, Muhammed / Haider, Adil H

    BMC medical education

    2023  Volume 23, Issue 1, Page(s) 148

    Abstract: Introduction: Effective communication is key to a successful patient-doctor interaction and improved healthcare outcomes. However, communication skills training in residency is often subpar, leading to inadequate patient-physician communication. There ... ...

    Abstract Introduction: Effective communication is key to a successful patient-doctor interaction and improved healthcare outcomes. However, communication skills training in residency is often subpar, leading to inadequate patient-physician communication. There is a dearth of studies exploring the observations of nurses - key members of healthcare teams with a special vantage point to observe the impact of residents' communication with patients. Thus, we aimed to gauge the perceptions of nurses regarding residents' communication skills expertise.
    Methods: This study employed a sequential mixed-methods design, and was conducted at an academic medical center in South Asia. Quantitative data was collected via a REDCap survey using a structured validated questionnaire. Ordinal logistic regression was applied. For qualitative data, In-depth interviews were conducted with nurses using a semi-structured interview guide.
    Results: A total of 193 survey responses were obtained from nurses hailing from various specialties including Family Medicine (n = 16), Surgery (n = 27), Internal Medicine (n = 22), Pediatrics (n = 27), and Obstetrics/Gynecology (n = 93). Nurses rated long working hours, infrastructural deficits, and human failings as the main barriers to effective patient-resident communication. Residents working in in-patient settings were more likely to have inadequate communication skills (P-value = 0.160). Qualitative data analysis of nine in-depth interviews revealed two major themes: existing status-quo of residents' communication skills (including deficient verbal and non-verbal communication, bias in patient counselling and challenging patients) and recommendations for improving patient-resident communication.
    Conclusion: The findings from this study highlight significant gaps in patient-resident communication from the perception of nurses and identify the need for creating a holistic curriculum for residents to improve patient-physician interaction.
    MeSH term(s) Female ; Pregnancy ; Humans ; Child ; Research Design ; Communication ; Family Practice ; Perception ; Nurses
    Language English
    Publishing date 2023-03-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2044473-4
    ISSN 1472-6920 ; 1472-6920
    ISSN (online) 1472-6920
    ISSN 1472-6920
    DOI 10.1186/s12909-023-04114-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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