1
|
Ali H, Hyder S, Pervez M, Sami W, Ahmed E, Naresh K, Hussain T, Ali A. Shoulder Function Assessment After Head And Neck Reconstruction With Pedicled Supraclavicular Flap. Ann Burns Fire Disasters 2021; 34:180-186. [PMID: 34584508 PMCID: PMC8396156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 10/14/2020] [Indexed: 06/13/2023]
Abstract
The supraclavicular artery flap is used for reconstruction of defects of the head and neck. One of the major implications of this procedure is injury to the nerve roots of C3 and C4 of the superficial cervical plexus, which provides sensation over the clavicle, shoulder and proximal chest, thereby causing problems in overall shoulder function. The objective of this study was to assess shoulder function, range of motion, pain, daily activities and overall satisfaction of the patient after using this flap. This study was conducted at the Department of Plastic & Reconstructive Surgery, Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan, from May 2015 to November 2018. Supraclavicular flap was used in 35 patients who underwent soft tissue reconstruction of defect of the neck after release of post burn contracture. Penn Shoulder Score and Constant Murley Score were used as assessment tools. Assessment by Penn Shoulder Score resulted in 25 (71.4%) patients within the upper quartile and 10 (18.6%) patients within the lower quartile. Constant Murley Score showed 19 (54.2%) of patients had 161°-180° shoulder abduction and lateral elevation. Forward flexion of 161°-180° was seen in 17 (48.5%) patients, 17 (48.5%) had internal rotation till the inter scapular region, 15 (42.8%) had no impairment of external rotation, 19 (54.2%) patients had no impairment of work/recreation, 25 (71.4%) had felt no change in their sleep and 22 (62.8%) were able to position their arm above their head. Overall parameters indicate better function, good range of motion, less pain, resumption of daily activities, and overall satisfaction.
Collapse
Affiliation(s)
- H. Ali
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - S. Hyder
- Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - M. Pervez
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - W. Sami
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - E. Ahmed
- Dow University Hospital Karachi, Pakistan
| | - K. Naresh
- Civil Hospital, Mirpurkhas, Pakistan
| | | | - A. Ali
- Mayo Clinic, Minnesota, USA
| |
Collapse
|
2
|
Baloch R, Pervez M. CO levels in waterpipe cafes of Karachi, Pakistan. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The dangers of water-pipe smoking have been documented, but data from water-pipe (WP) cafés is lacking. Assessing carbon monoxide (CO) levels in the air inside WP cafés may aid the understanding of the toxins and exposure of the employees. The results can provide novel information regarding WP's effect on air quality which may help generate regulatory efforts to protect the café employees against WP smoke. We wanted determine the air quality through measurement of CO levels in closed room cafés and restaurants of Karachi, Pakistan.
Methods
It was a cross sectional study design. 3 WP cafes in the city of Karachi, Pakistan were surveyed during June 2015. All cafés were indoors and air-conditioned. Carbon Monoxide (CO) air samples were collected from the included cafés using CO USB Data logger. The Sampling device was left with café admin managers and was left for 30 hours at venue #1, for almost 7 hours at venue #2, and for 70 hours at venue #3 to measure the CO levels in cafés. The average sampling duration was around 36 hours. The graphs were automatically generated by the device.
Results
Overall, readings of the CO monitoring samples from all included venues were within / lower than threshold limit value (TLV) of 25 ppm, and MAK maximum workplace value of 30 ppm.
Conclusions
The findings of this study provide evidence that the air quality in water-pipe cafes is potentially hazardous to the health of its employees, which is critical to inform tobacco control policies and regulations for such venues. The study findings indicate a clear need to extend research to not only focus on the indoor air quality of water-pipe cafes, but also the biological monitoring of employees in water-pipe cafes.
Key messages
Employees working in waterpipe cafes are exposed to toxic substances that can potentially manifest adverse health effects. Air quality of indoor waterpipe cafes should be assessed to protect employees.
Collapse
Affiliation(s)
- R Baloch
- AIPH, Jinnah Sindh Medical University, Karachi, Pakistan
- CLAN, CLAN, Sydney, Australia
| | - M Pervez
- AIPH, Jinnah Sindh Medical University, Karachi, Pakistan
| |
Collapse
|
3
|
Lashari M, Farooq U, Mubeen S, Hassan W, Azhar M, Shahida S, Khan M, Aslam S, Masood S, Anam M, Wajid A, Pervez M, Akhtar M, Farooq A, Zafar S, Nawaz M, Gulshan A. Seroprevalence of Toxoplasma gondii and associated hematological alterations in small ruminants of D.G. Khan district of Southern Punjab, Pakistan. ARQ BRAS MED VET ZOO 2020. [DOI: 10.1590/1678-4162-11723] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT The present study was carried out to evaluate the prevalence and hematological effects of Toxoplasma gondii in sheep and goat in district Dera Ghazi Khan. Blood samples (n=204) were collected comprise goats (n=101) and sheep (n=103) alongwith age, gender and breeds of animals. Samples were collected randomly from 25 flocks of 7 different union council Viz. Vehova, Tibbi Qaisrani, Lakhani, Kohar, Tuman Qaisrani, Nutkani and Kot Qaisrani of Tehsil Taunsa Sharif at least 4 animals from each flock. All ruminants divide into three groups based on age, breed and gender. The prevalence was detected through two different kits Viz. LAT and ELISA kit. The overall prevalence suspected in goats through LAT and ELISA kit was (35.64%), (32.67%) and in sheep was (25.24%), (23.30%) respectively. The Toxoplasma gondii had a significant effect on goats in age groups and non-significant all other groups of goats and sheep. Toxoplasma gondii had a significant effect on all hematological parameters like Hemoglobin, total leukocyte cells, granulocytes, lymphocytes, platelets, and red blood cells, except monocytes. In conclusion of the current study, toxoplasmosis is prevalent among ruminants, reveals the possibility of transmission to humans on the use of host animals as protein source.
Collapse
Affiliation(s)
| | - U. Farooq
- The Islamia University of Bahawalpur, Pakistan
| | | | - W. Hassan
- The Women University of Multan, Pakistan
| | | | | | | | - S. Aslam
- Virtual University of Pakistan, Pakistan
| | - S. Masood
- Bahauddin Zakariya University, Pakistan
| | - M. Anam
- The Islamia University of Bahawalpur, Pakistan
| | - A. Wajid
- Virtual University of Pakistan, Pakistan
| | | | | | | | - S. Zafar
- The Government Sadiq College Women University, Pakistan
| | - M. Nawaz
- Bahauddin Zakariya University, Pakistan
| | | |
Collapse
|
4
|
Gauhar F, Sania S, Hussain M, Pervez M, Fatimi S. INTRAMYOCARDIAL HYDATID CYSTS IN INTERVENTRICULAR SEPTUM. Chest 2020. [DOI: 10.1016/j.chest.2020.05.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
|
5
|
Safdar M, Rehman A, Noorali A, Pervez M, Fatimi S. GIANT MATURE MEDIASTINAL TERATOMA IN A 10-YEAR-OLD BOY. Chest 2020. [DOI: 10.1016/j.chest.2020.05.394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
6
|
Rana M, Khan S, Pervez M, Fatimi S. GIANT PNEUMATOCELE SECONDARY TO ASPERGILLUS NIDULANS IN AUTOSOMAL DOMINANT HYPER-IGE SYNDROME CHILD. Chest 2020. [DOI: 10.1016/j.chest.2020.05.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
|
7
|
Niazi H, Abbas S, Noorali A, Pervez M, Fatimi S. OBSTRUCTION OF THE RIGHT VENTRICULAR OUTFLOW TRACT BY AN UNUSUAL MALIGNANCY. Chest 2020. [DOI: 10.1016/j.chest.2020.05.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
8
|
Ali H, Pervez M, Khyani I, Sami W, Muneeb D. Post-burn neck contracture: effectively managed with supraclavicular artery flap. Ann Burns Fire Disasters 2019; 32:301-307. [PMID: 32431581 PMCID: PMC7197911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 08/03/2019] [Accepted: 10/21/2019] [Indexed: 06/11/2023]
Abstract
Post-burn neck contracture is one of the most common burn sequels. These contractures affect the patient significantly causing both functional limitations and esthetic disfigurements, which lead to cosmetic, functional and social problems. Our objective was to determine the role of supraclavicular artery island (SAI) flap as an option for the reconstruction of soft tissue defect of the neck after release of post-burn contracture. The study was conducted at the Department of Plastic & Reconstructive Surgery, Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan, from February 2015 to April 2018. Patients of both genders in any age group who required reconstruction of soft tissue defects after release of post-burn neck contracture were included. Patients with neck irradiation, trauma, failure of previous surgery, bleeding diathesis, or severe scarring at the supraclavicular region were excluded. A total of 31 supraclavicular flaps were performed in 28 cases for reconstruction of soft tissue neck defect. Mean age was 29.8 years. Patients were followed for 3 months postoperatively. Complete flap necrosis was observed in 1 (3.2%), distal necrosis in 2 (6.4%) cases, postoperative hematoma of the neck was found in 1 (3.2%) and wound dehiscence was reported in 2 (6.4%) cases. Donor site was closed primarily in 25 (81%) cases while the rest were skin grafted. Supraclavicular artery flap is an effective choice with impressive recovery, acceptable skin color match and restoration of anatomic function at the recipient site without any major complications.
Collapse
Affiliation(s)
- H. Ali
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - M. Pervez
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - I. Khyani
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - W. Sami
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - D. Muneeb
- Baqai Medical University Karachi, Pakistan
| |
Collapse
|
9
|
Pervez M, Hashmi S, Aahil A, Manji A, Mushtaq H, Fatimi S. REOPERATION RATES FOR OPEN AND VIDEO-ASSISTED THORACOSCOPIC DECORTICATION: ARE EMPYEMA TUBES THE ANSWER? Chest 2019. [DOI: 10.1016/j.chest.2019.02.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
|
10
|
Chen J, Pervez M, Ratcliffe E, Armstrong D, Bercik P, Huizinga JD. A296 A RHYTHMIC MOTOR PATTERN ASSOCIATED WITH HIGH AMPLITUDE PRESSURE WAVES IN HUMAN HIGH-RESOLUTION COLONIC MANOMETRY. J Can Assoc Gastroenterol 2018. [DOI: 10.1093/jcag/gwy009.296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- J Chen
- McMaster University, Hamilton, ON, Canada
| | - M Pervez
- McMaster University, Hamilton, ON, Canada
| | - E Ratcliffe
- Pediatrics, McMaster University, Hamilton, ON, Canada
| | | | - P Bercik
- Medicine, McMaster University, Hamilton, ON, Canada
| | | |
Collapse
|
11
|
Manzoor F, Pervez M. HPLC Analysis to Determine the Half-life and Bioavailability of the Termiticides Bifenthrin and Fipronil in Soil. J Econ Entomol 2017; 110:2527-2533. [PMID: 29040708 DOI: 10.1093/jee/tox249] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Indexed: 06/07/2023]
Abstract
The aim of this study was to test the bioavailability and degradation in soil of the termiticides bifenthrin and fipronil, which are used to treat subterranean termites (Heterotermes indicola, Wasmann). Soil collected from different areas of Lahore was categorized as sandy clay loam (SCL) or sandy loam (SL). Laboratory bioassays were conducted to determine the bioavailability ratio of bifenthrin and fipronil in each type of soil after different periods of time. LT50 values were determined posttreatment at different time intervals. Regarding soil type, both termiticides were more effective in SL soil, compared with SCL soil posttreatment. There were significant differences in termite mortality in treated compared with untreated control samples (P < 0.005). To test the degradation rate of soil termiticides, both qualitative and quantitative analyses were carried out by HPLC, and the effect of time on termiticide recovery rate determined. Calculated half-life values for bifenthrin (maximum, 1,002 and 1,262 d in SCL soil and SL soil, respectively) indicated that it persisted in both soil types at all concentrations. The maximum calculated half-life values of fipronil were 270 and 555 d in SCL and SL soil, respectively. At lower concentrations and over longer periods of time, fipronil completely degraded in SL soil, while a negligible amount was detected in SCL soil. Termiticide concentration decreased over time, as did the termiticide recovery rate. Overall, bifenthrin was more persistent than fipronil under all treatment conditions tested.
Collapse
Affiliation(s)
- F Manzoor
- Department of Zoology, Lahore College for Women University, Pakistan
| | - M Pervez
- Department of Zoology, Lahore College for Women University, Pakistan
| |
Collapse
|
12
|
Strickland GT, Khaliq AA, Sarwar M, Hassan H, Pervez M, Fox E. Effects of Fansidar on chloroquine-resistant Plasmodium falciparum in Pakistan. Am J Trop Med Hyg 1986; 35:61-5. [PMID: 3511752 DOI: 10.4269/ajtmh.1986.35.61] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
Fansidar (SP), a combination of sulfadoxine and pyrimethamine, was evaluated for its usefulness as a curative agent for treating individual malaria patients and for reducing the community reservoir of Plasmodium falciparum in 4 villages near Lahore, Pakistan, where resistance of 4-aminoquinolines has recently been reported. Following the end of the major malaria transmission season, we carried out a month-long mass treatment campaign during which SP was given to all available villagers who had parasitemias detected during a concurrent house-to-house malaria blood film survey. Of the 82 falciparum patients followed for 14 days after SP treatment, 80 (97.5%) had parasites sensitive to the investigated drug. Parasitemia clearance time after SP was remarkedly short (1.25 +/- 0.53 days; mean +/- SD). However, we were unable to reduce the parasite reservoir of P. falciparum and P. vivax in these villages, probably because we treated only 337, about one-third, of the parasitemic patients. We conclude that SP is an effective drug for treating individual malaria patients from areas in Pakistan where 4-aminoquinoline-resistant parasites are present, but that more research is needed for assessing its usefulness in reducing community reservoirs of malaria.
Collapse
|