Browsing by Author "Qureshi, Waseem"
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Item Angioedema : Current Concepts(2005-07) Hassan, G; Khan, G Q; Qureshi, Waseem; Ibrahim, MItem Cardiovascular Consequences of Fiberoptic Bronchoscopy(2005-01) Hassan, Ghulam; Qureshi, Waseem; Khan, GQ; Asmi, RoufItem Congenital Tuberculosis(2006-10) Hassan, G; Qureshi, Waseem; Kadri, S MItem A Five Year Retrospective Study of Bed Utilization Trends in a Tertiary Care Teaching Institution.(2014-07) Qureshi, Waseem; Hassan, GhulamHealthcare resources need to maintain pace with the increasing population and expectations. A hospital bed is a very important but limited healthcare resource. This 5 year study analyses the trends in the various bed utilization indices, bed utilization being an objective measure of the efficiency of any hospital management system. The study indicates that although the various indices fall within the described optimal, there is yet a lot of reserve on the available resources particularly so far as a hospital bed is concerned. The study emphasizes the role of analysis and assessment of bed utilization indices with a view to improving utilization of this scarce resource.Item Neutrophil-lymphocyte ratio as inflammatory marker for clinical prediction and disease severity evaluation of preeclampsia(Medip Academy, 2023-02) Khan, Javid Ahmed; Ashraf, Aadil; Qureshi, Waseem; Fayaz, FaizanaBackground: Pre-eclampsia (PE) is a multisystem disorder that complicates 4-6% of pregnancies and constitutes a major source of morbidity and mortality worldwide. About 10-15% of maternal deaths are directly associated with PE and eclampsia. The aim of this study is to compare the neutrophil-lymphocyte ratio (NLR) values of mild and severe PE with the healthy normotensive pregnant women, in order to study the predictive role of NLR for PE and whether the NLR value has significant difference between normotensive pregnancy, severe and mild PE.Method: A cross-sectional study conducted from January to July 2022 after proper informed consent and ethical clearance. The study population included 194 pregnant women divided into three groups (97 normotensive, 55 mild PE, 42 with severe PE). All the study participants were statistically compared in respect to NLR and the baseline data including age, parity and gestational age.Results: Maternal NLR in mild PE group was statistically increased when compared to normotensive healthy women (p<0.05). Similarly, NLR was significantly higher in severe PE group when compared with normotensive pregnancy group (p=0.00). A statistically significant positive correlation was also seen between SBP (systolic blood pressure) and NLR in PE group (p<0.05).Conclusions: NLR can be used as an inflammatory marker for clinical prediction and disease severity evaluation of PE but further cohort studies are required to determine and establish its role.Item Outcome of Adjuvant Concurrent Chemo-Radiation in Operated Locally Advanced Rectal Cancer.(2015-09) Mustafa, Syed Arshad; Ismail, M; Zaffar, Saquib; Hassan, Ghulam; Qureshi, Waseem; Kadri, S MBackground: Rectal cancer is one of the most common cancers in Kashmir, India. The clinical course of patients treated with surgery alone has been characterized by a high death rate and also by the pain and disability associated with pelvic recurrence of the tumor. Adjuvant radiation combined with chemotherapy has been studied for prevention of such recurrences. We treat more than 200 rectal cancer patients annually at our center. Most of the patients registered at our center are those who have been already subjected to surgery at the peripheral hospitals. We studied role of 5-fluorouracil (5-FU) and calcium leucovorin concurrently with radiotherapy in Dukes’ stage B2 and C and toxicities thereof in the adjuvant setting. Objective: To assess the outcome of concurrent chemoradiation in operated locally advanced treated cancer patients. Materials and Methods: In operated Dukes’ B2 and C rectal cancer patients, we conducted a prospective non-randomized study comprising of 40 patients between 2012 and 2014. Patients were treated with two hours protracted infusion of calcium leucovorin 500 mg/m2 on day 1 followed by 5-fluorouracil 500 mg/m2 on days 1 to 5 and repeated four weekly for total of six cycles. Radiotherapy of 45 Gray in 20 fractions was delivered concurrently with chemotherapy for first two cycles. Results: Combination of chemotherapy and radiotherapy in a concurrent setting appears to be more efficient in reducing local recurrence rates and improving survival than either modality alone. Toxicities with this schedule were mostly gastrointestinal mucositis, but no treatment interruption was needed. Conclusion: A combination of 5-fluorouracil and radiotherapy can be administered in operated locally advanced rectal cancer patients.