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  1. Article: Task Challenge and Employee Performance: A Moderated Mediation Model of Resilience and Digitalization.

    Saleem, Irfan / Qureshi, Tahir Masood / Verma, Amitabh

    Behavioral sciences (Basel, Switzerland)

    2023  Volume 13, Issue 2

    Abstract: Lately, organizations are giving attention to enhancing employee resilience due to turbulent economic times caused by lockdowns in the last couple of years. This explanatory research proposes and tests the mediating role of employee resilience to link ... ...

    Abstract Lately, organizations are giving attention to enhancing employee resilience due to turbulent economic times caused by lockdowns in the last couple of years. This explanatory research proposes and tests the mediating role of employee resilience to link task challenge and employee performance during the COVID-19 pandemic in government schools of Oman using the broaden-and-build theory. An explanatory research design was used for this empirical study. An Arabic-translated questionnaire version was designed to collect primary data online during the lockdown using simple random sampling. We used the Preacher and Hayes macro to analyze moderated mediation using cross-sectional data and analyzed 441 responses. The findings confirm the mediation roles of employee resilience and moderating roles of digitalization during unusual circumstances. The study has implications for the school administrators, Omani policymakers and schooling staff of the Middle Eastern educational industry.
    Language English
    Publishing date 2023-01-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2651997-5
    ISSN 2076-328X
    ISSN 2076-328X
    DOI 10.3390/bs13020119
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Long-term Outcome of Simultaneous Transcatheter Pulmonary and Tricuspid Valve-in-Valve Implantation in Ebstein Malformation With Pulmonary Insufficiency.

    Al Nasef, Mohamed / Saleem, Irfan / Salim, Ahmad / Atiyah, Merna / Al Najashi, Khalid S

    CJC pediatric and congenital heart disease

    2023  Volume 2, Issue 4, Page(s) 206–209

    Language English
    Publishing date 2023-03-14
    Publishing country United States
    Document type Case Reports
    ISSN 2772-8129
    ISSN (online) 2772-8129
    DOI 10.1016/j.cjcpc.2023.03.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Left ventricular strain in neonates using 2-dimensional speckle tracking: Normal range and relation with bi-plan ejection fraction.

    Nahili, Khaled Al / Saleem, Irfan / Ahmad, Salim / Ahmed, El Tayeb / Rajaa, Najlaa Al

    Echocardiography (Mount Kisco, N.Y.)

    2022  Volume 39, Issue 8, Page(s) 1074–1081

    Abstract: Objectives: Echocardiographic assessment of Left ventricular systolic function is traditionally being performed by estimation of fractional shortening (FS) and ejection fraction (EF). Speckle tracking echocardiography (STE) is a promising tool for ... ...

    Abstract Objectives: Echocardiographic assessment of Left ventricular systolic function is traditionally being performed by estimation of fractional shortening (FS) and ejection fraction (EF). Speckle tracking echocardiography (STE) is a promising tool for assessment of myocardial function. The aim of this study is to evaluate the global longitudinal strain (GLS) using 2D-STE in healthy neonates to establish normal reference ranges.
    Method: It is a retrospective study through an analysis of transthoracic echocardiogram of normal healthy neonates. We enrolled all neonates in our institution from January 1st, 2021 to February 28th, 2021. 2-D STE was used to assess left ventricular GLS from the apical views.
    Results: 185 neonates were enrolled. Mean value for left ventricle GLS (%) was -19.9 ± 1.2, GLS-derived EF (%) was 60.0 ± 2.7; while the left ventricle EF by biplane Simpson's method (%) was 61.0 ± 3. There is a good positive correlation between the Left Ventricle EF by biplane Simpson's method and EF by 2-D STE, which was statistically significant (r = .294, n = 102, p = .003). Apical 4-chamber longitudinal strain and strain-derived EF is significantly correlated with GLS and bi-plan EF respectively.
    Conclusion: 2-STE is feasible technique for analyzing newborn myocardial systolic function. The normal range of GLS in neonates is not much different than reported for the pediatric. There is a good positive correlation between the Left Ventricle EF by 2-D STE and EF by biplane method.
    MeSH term(s) Child ; Heart Ventricles ; Humans ; Infant, Newborn ; Reference Values ; Reproducibility of Results ; Retrospective Studies ; Stroke Volume ; Ventricular Dysfunction, Left ; Ventricular Function, Left
    Language English
    Publishing date 2022-07-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 843645-9
    ISSN 1540-8175 ; 0742-2822
    ISSN (online) 1540-8175
    ISSN 0742-2822
    DOI 10.1111/echo.15414
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Evaluating the Safety and Quality of Diagnostic Colonoscopies Performed by General Surgeons: A Retrospective Study.

    Naeem, Muhammad Saulat / Farooq, Ayesha / Sadiq, Zoya / Saleem, Irfan / Siddique, Muhammad Usman / Shirazi, Aqeela / Farooq, Shahid / Sarwar, Muhammad Z / Ali, Abrar Ashraf

    Cureus

    2023  Volume 15, Issue 5, Page(s) e38955

    Abstract: Introduction Colonoscopy, which is a challenging procedure and requires adequate time to master the skill, is the procedure of choice to visualize colonic mucosa to rule out many colonic pathologies. There is a dearth of published information from real ... ...

    Abstract Introduction Colonoscopy, which is a challenging procedure and requires adequate time to master the skill, is the procedure of choice to visualize colonic mucosa to rule out many colonic pathologies. There is a dearth of published information from real clinical experiences regarding successful procedures and limitations. The end point of colonoscopy is the visualization of the cecal pole by intubating the cecum. Many Europeans and English health organizations recommend that the procedure should have a completion rate of around or above 90%. Gut preparation is an important determinant for a successful procedure and obviates the need for further invasive and/or expensive procedures such as imaging. The majority of colonoscopies are being performed by gastroenterologists (GI) throughout the world, and the role of a surgeon as an endoscopist is in debate. Before this study, neither a retrospective nor a prospective evaluation of the general surgeon's (GS) endoscopy's quality and safety had been evaluated in our institution. Material and method This retrospective observational study was carried out from 1 January 2022 to 31 August 2022 in the Department of Surgery at Mayo Hospital, Lahore, to evaluate colonoscopy completion rates, reason for failure, and complications in terms of bleeding and perforation. All patients undergoing lower gastrointestinal endoscopy (LGiE), both elective and emergency, were included. Patients under 15 years of age and patients known to be hepatitis B-positive or hepatitis C-positive were excluded from the study. All relevant data were entered into a data sheet. Qualitative variables such as gender, cecal intubation, adjusted cecal intubation, gut preparation, reasons for failed colonoscopy, analgesia use, and complications (bleeding and perforation) were calculated as frequency and percentage. Quantitative data such as age and pain score were reported as mean and standard deviation (SD). Details obtained were tabulated and analyzed via the Statistical Package for Social Sciences (SPSS) version 29.0 (IBM SPSS Statistics, Armonk, NY). Results A total of 57 patient data were collected; 35.1% (n=20) were female, and 64.9% (n=37) were males. The cecal intubation rate (CIR) was 49.1% (n=28), and the adjusted rate was 71.9%, excluding incompleteness due to mass obstructing lumen, 8.8% (n=5); planned left colonoscopy, 7% (n=4); sigmoidoscopy, 3.5% (n=2); distal stoma scope, 1.8% (n=1); and colonic stricture, 1.8% (n=1). The prevalent reason for failed colonoscopy was inadequate gut preparation (15.8% {n=9}). Other reasons include patient discomfort, 3.5% (n=2); looping of scope, 7% (n=4); and acute colonic angulation, 1.8% (n=1). No complications were recorded. Conclusion This study shows that colonoscopy can be done by general surgeons safely and effectively with adequate training. High rates of cecal intubation emerge during colonoscopies performed under deep sedation and by skilled colonoscopists. Adequate bowel preparatory regimen is compulsory for quality procedure.
    Language English
    Publishing date 2023-05-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.38955
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Comparison Of Outcome Between Open Haemorrhoidectomy Versus Trans-Anal Doppler Guided Hemorrhoidal Artery Ligation With Recto-Anal Repair In 3rd And 4th Degree Haemorrhoids.

    Saleem, Irfan / Shirazi, Aqeela / Farooq, Shahid / Ullah, Baseer / Ghayour, Lyba / Haider, Subtain / Wahab Zia, Habib Ul / Zafar, Muhammad Sarmad

    Journal of Ayub Medical College, Abbottabad : JAMC

    2023  Volume 35, Issue 1, Page(s) 95–98

    Abstract: Background: Haemorrhoids are very common but their exact prevalence is not known as most of the people suffering from them do not seek medical or surgical advice. The literature states their prevalence to be about 39% and commonly affect people aged ... ...

    Abstract Background: Haemorrhoids are very common but their exact prevalence is not known as most of the people suffering from them do not seek medical or surgical advice. The literature states their prevalence to be about 39% and commonly affect people aged between 45-65 years of age. Objective of the study was to compare the outcomes of open haemorrhoidectomy Vs Trans anal Doppler ultrasound guided hemorrhoidal artery ligation with recto-anal repair in 3rd and 4th degree haemorrhoids. It was a Randomized control trial, conducted at the Department of Surgery, King Edward Medical University, Lahore; from October 2019 to March 2021.
    Methods: This was a randomized control trial study where the results of 70 patients of haemorrhoids including 3rd and 4th degree disease fulfilling the selection criteria, who underwent open haemorrhoidectomy (OH) and Doppler guided haemorrhoidal artery ligation with rectoanal repair (HAL RAR) procedure on elective and emergency operating lists, were analyzed with regards to post-operative pain, bleeding and hospital stay.
    Results: From our seventy patients the minimum age was 23 and maximum age limit was 55 years (mean: 35.09±7.47). There were 49 (70%) males and 21 (30%) females. Mean post-op pain on day 7 for OH was 1.12±0.72 and for HAL RAR it was 1.06±0.52. Post-op bleeding (POB) occurred in 4 (10%) patients in OH group and 2(6.66%) patients in HAL RAR group. Mean hospital stay for OH group was 2±0.45 and for HAL RAR it was 1.20±0.40, for POB, it was 1.9±0.30 in OH group and 1.86±0.34 in HAL-RAR group.
    Conclusions: There was no significant difference in mean post-op pain on day seven, and post-op bleeding, but there was significant difference in terms of mean hospital stay between the two groups.
    MeSH term(s) Aged ; Female ; Humans ; Male ; Middle Aged ; Arteries ; Hemorrhoidectomy ; Hemorrhoids/diagnostic imaging ; Hemorrhoids/surgery ; Pain, Postoperative ; Ultrasonography, Doppler
    Language English
    Publishing date 2023-02-27
    Publishing country Pakistan
    Document type Comparative Study ; Journal Article ; Randomized Controlled Trial
    ZDB-ID 2192473-9
    ISSN 1819-2718 ; 1025-9589
    ISSN (online) 1819-2718
    ISSN 1025-9589
    DOI 0.55519/JAMC-01-10975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Mid-Term Outcome of Left Ventricle Reverse Remodeling After Atrial Septal Defect Closure: A Comparison Between Surgical and Device Groups.

    Albalawi, Muflih / Ahmad, Salim / Nasef, Mohamed Al / Alotay, Abdulmajeed / Rajaa, Najlaa Al / Alsahari, Atif / Saleem, Irfan / Abudlhamed, Jassim Mohamed

    Pediatric cardiology

    2022  Volume 43, Issue 7, Page(s) 1530–1538

    Abstract: Right ventricular (RV) volume overload occurs in patients with significant atrial septal defect (ASD II) shunts, which can impair left ventricle (LV) filling, thus decreasing LV indices. However, after ASD II closure, the left ventricle regains near ... ...

    Abstract Right ventricular (RV) volume overload occurs in patients with significant atrial septal defect (ASD II) shunts, which can impair left ventricle (LV) filling, thus decreasing LV indices. However, after ASD II closure, the left ventricle regains near normal dimensions. The purpose of this study was to compare the long-term outcomes of LV reverse remodeling between device and surgical closure. We retrospectively reviewed the echocardiographic data of 222 patients with isolated ASD II who underwent surgical (95 patients) or device closure (127 patients) between January 2012 and December 2017. The ASD II was significantly larger in the surgical closure group (p < 0.001.) leading to a higher degree of paradoxical interventricular septal (IVS) movement. In contrast, the LV volume was larger in the device closure group (p < 0.001). After a median follow-up period of 19.5 months, the maximum LV systolic and diastolic volumes were reached at 1 year in the device closure group and 2 years in the surgical closure group. IVS motion normalized in 91% of the device closure group compared to 57% of the surgical closure group (p =  < 0.001). There was significant improvement in left ventricular indices and IVS motion after ASD II closure in both groups but more favorable in patients after device closure.
    MeSH term(s) Cardiac Catheterization ; Heart Septal Defects, Atrial/diagnostic imaging ; Heart Septal Defects, Atrial/surgery ; Heart Ventricles/diagnostic imaging ; Heart Ventricles/surgery ; Humans ; Retrospective Studies ; Treatment Outcome ; Ventricular Remodeling
    Language English
    Publishing date 2022-03-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 800857-7
    ISSN 1432-1971 ; 0172-0643
    ISSN (online) 1432-1971
    ISSN 0172-0643
    DOI 10.1007/s00246-022-02879-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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