Shazia Afzal
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View article: (ID: 18) What is the pharmacist acceptability of embedding a respiratory pathogen point-of-care test into a community pharmacy sore throat service?
(ID: 18) What is the pharmacist acceptability of embedding a respiratory pathogen point-of-care test into a community pharmacy sore throat service? Open
Introduction In Wales, a community pharmacy-based Sore Throat Test and Treat (STTT) service includes a lateral flow point-of-care test (POCT) for Group A Streptococcus, offered to patients who meet threshold clinical criteria [1]. BioMérie…
View article: Beyond the Obvious: Evaluating Incidence and Causes of False Positive Patent Foramen Ovale Diagnoses in Cryptogenic Ischemic Stroke—A Retrospective Analysis
Beyond the Obvious: Evaluating Incidence and Causes of False Positive Patent Foramen Ovale Diagnoses in Cryptogenic Ischemic Stroke—A Retrospective Analysis Open
(1) Background: Transesophageal echocardiography (TEE) is the gold standard for diagnosing patent foramen ovale (PFO) in cryptogenic ischemic stroke. However, false-positive diagnoses remain clinically relevant, exposing patients to unnece…
View article: Evaluating the Role of Sleep Duration in Managing Glycemic Control in Type 2 Diabetes: A Systematic Review and Meta-Analysis
Evaluating the Role of Sleep Duration in Managing Glycemic Control in Type 2 Diabetes: A Systematic Review and Meta-Analysis Open
Background: Type 2 diabetes mellitus (T2DM) is one of the most common metabolic disorders that produces a persistent hyperglycemic state due to insulin resistance and β-cell dysfunction. The lifestyle, especially sleep duration, has also b…
View article: Beyond the Obvious: Evaluating Incidence and Causes of False Positive Patent Foramen Ovale Diagnoses in Cryptogenic Ischemic Stroke—A Retrospective Analysis
Beyond the Obvious: Evaluating Incidence and Causes of False Positive Patent Foramen Ovale Diagnoses in Cryptogenic Ischemic Stroke—A Retrospective Analysis Open
Background: Transesophageal echocardiography (TEE) is regarded as the gold standard for diagnosing patent foramen ovale (PFO). However, the occurrence of false positive PFO diagnoses is common in clinical practice, which may lead to unnece…
View article: Comparative Study of Automated Real-Time Left Atrial Appendage Sizing Using Patient-Specific 3D Heart Models Versus Transesophageal Echocardiography and Multidetector Computed Tomography in Patients with Nonvalvular Atrial Fibrillation: Implications for Device Selection
Comparative Study of Automated Real-Time Left Atrial Appendage Sizing Using Patient-Specific 3D Heart Models Versus Transesophageal Echocardiography and Multidetector Computed Tomography in Patients with Nonvalvular Atrial Fibrillation: Implications for Device Selection Open
Background: An accurate device sizing for percutaneous left atrial appendage closure (LAAC) can be challenging. Intraprocedural automated LAA evaluation by transoesophageal echocardiography (TEE) based on an artificial intelligence-assiste…
View article: 433 A Data-Driven Approach to Reducing 30-Day Mortality in Hip Fracture Patients
433 A Data-Driven Approach to Reducing 30-Day Mortality in Hip Fracture Patients Open
Aim The case-mix adjusted 30-day mortality rate (annualised) after sustaining a hip fracture was 12.6% at our institution, compared to a national average of 7.3%, according to the National Hip Fracture Database (NHFD) in 2021-Q4. The aims …
View article: Cadmium and lead retention efficiency in the leaves of ten local tree species in Faisalabad
Cadmium and lead retention efficiency in the leaves of ten local tree species in Faisalabad Open
Pollution has major negative impact on human health. The discharge of gaseous volatile organic and inorganic contaminants from industries, factories, motor cars, aero planes, and ships causes a persistent decline in air quality, accomplish…
View article: Virtual reality for pre-procedural planning of valve-in-valve transcatheter aortic valve implantation
Virtual reality for pre-procedural planning of valve-in-valve transcatheter aortic valve implantation Open
Aims Valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) has proven to be an effective treatment option for high-risk patients with degenerated surgical bioprosthetic aortic valves. Multislice computed tomography (MSCT) analy…
View article: CART-ANOVA-Based Transfer Learning Approach for Seven Distinct Tumor Classification Schemes with Generalization Capability
CART-ANOVA-Based Transfer Learning Approach for Seven Distinct Tumor Classification Schemes with Generalization Capability Open
Background/Objectives: Deep transfer learning, leveraging convolutional neural networks (CNNs), has become a pivotal tool for brain tumor detection. However, key challenges include optimizing hyperparameter selection and enhancing the gene…
View article: Dalbergia sissoo is sensitive to waterlogging as compared to Bombax ceiba: A case study under controlled conditions
Dalbergia sissoo is sensitive to waterlogging as compared to Bombax ceiba: A case study under controlled conditions Open
The total cultivated land area of Pakistan is about 57.99 million hectares (mha). Waterlogging is a major issue that affected almost 16% (more than 1mha) of agriculture soil in Pakistan. Waterlogging is a condition in which the underground…
View article: Comparison of patients undergoing protected high risk percutaneous coronary intervention using either intravascular lithotripsy or rotational atherectomy
Comparison of patients undergoing protected high risk percutaneous coronary intervention using either intravascular lithotripsy or rotational atherectomy Open
Background Treating heavily calcified vessels is a challenging task in patients with an impaired left ventricular ejection fraction. Percutaneous mechanical circulatory support (pMCS) is increasingly used in patients in high-risk percutane…
View article: Feasibility, Accuracy, and Reproducibility of Aortic Valve Sizing for Transcatheter Aortic Valve Implantation Using Virtual Reality
Feasibility, Accuracy, and Reproducibility of Aortic Valve Sizing for Transcatheter Aortic Valve Implantation Using Virtual Reality Open
Background Detailed visualization and precise measurements of aortic valve dimensions are critical for the success of transcatheter aortic valve implantation and for the prevention of complications. Currently, multislice computed tomograph…
View article: Impact of gender in patients with device‐related thrombosis after left atrial appendage closure – A sub‐analysis from the multicenter EUROC‐DRT‐registry
Impact of gender in patients with device‐related thrombosis after left atrial appendage closure – A sub‐analysis from the multicenter EUROC‐DRT‐registry Open
Background Device‐related thrombosis (DRT) is a common finding after left atrial appendage closure (LAAC) and is associated with worse outcomes. As women are underrepresented in clinical studies, further understanding of sex differences in…
View article: Impact of gender in patients with device-related thrombosis after left atrial appendage closure -- a sub-analysis from the multicenter EUROC-DRT-registry
Impact of gender in patients with device-related thrombosis after left atrial appendage closure -- a sub-analysis from the multicenter EUROC-DRT-registry Open
Background Device-related thrombosis (DRT) is a common finding after left atrial appendage closure (LAAC) and is associated with worse outcomes. As women are underrepresented in clinical studies, further understanding of sex differences in…
View article: A comparison of conventional and advanced 3D imaging techniques for percutaneous left atrial appendage closure
A comparison of conventional and advanced 3D imaging techniques for percutaneous left atrial appendage closure Open
Background Understanding complex cardiac anatomy is essential for percutaneous left atrial appendage (LAA) closure. Conventional multi-slice computed tomography (MSCT) and transesophageal echocardiography (TEE) are now supported by advance…
View article: Echocardiographic-Fluoroscopic Fusion Imaging Improves Interventionalists’ Learning Curve for Percutaneous Left Atrial Appendage Closure—Initial, Single-Center, Retrospective Observations
Echocardiographic-Fluoroscopic Fusion Imaging Improves Interventionalists’ Learning Curve for Percutaneous Left Atrial Appendage Closure—Initial, Single-Center, Retrospective Observations Open
Due to the complex and variable anatomy of the left atrial appendage, percutaneous left atrial appendage closure (LAAC) can be challenging. In this study, we investigated the impact of fusion imaging (FI) on the LAAC learning curve of two …
View article: Morphometric study of sacral hiatus in adult Indian human dry sacra and its significance in caudal anesthesia
Morphometric study of sacral hiatus in adult Indian human dry sacra and its significance in caudal anesthesia Open
Introduction: Caudal epidural block (CEB) not achieving the desired outcome or causing complications can occur, even when administered by experienced anesthesiologists. These occurrences are typically attributed to Sacral hiatus (SH) anato…
View article: Conversion of land utilization, Chickpea to Eucalyptus on marginal lands for the betterment of countryside
Conversion of land utilization, Chickpea to Eucalyptus on marginal lands for the betterment of countryside Open
Sustainable food production under climate change and reduced water resources is a real challenge, especially when considering the marginal lands of dryland systems. Marginal land is defined as land with little or no agricultural or industr…
View article: Left atrial appendage sizing for percutaneous closure in virtual reality—a feasibility study
Left atrial appendage sizing for percutaneous closure in virtual reality—a feasibility study Open
Background and aims The complex and highly variable three-dimensional anatomy of the left atrial appendage (LAA) makes planning and device sizing for interventional occlusion procedures (LAAC) challenging. Several imaging modalities [e.g. …
View article: Echocardiographic-Fluoroscopic Fusion Imaging Improves Interventionalists´ Learning Curve for Percutaneous Left Atrial Appendage Closure
Echocardiographic-Fluoroscopic Fusion Imaging Improves Interventionalists´ Learning Curve for Percutaneous Left Atrial Appendage Closure Open
Due to the complex and variable anatomy of the left atrial appendage, percutaneous left atrial appendage closure (LAAC) can be challenging. In this study, we investigated the impact of fusion imaging (FI) on the LAAC learning curve of 2 in…
View article: Symptomatic vs. non-symptomatic device-related thrombus after LAAC: a sub-analysis from the multicenter EUROC-DRT registry
Symptomatic vs. non-symptomatic device-related thrombus after LAAC: a sub-analysis from the multicenter EUROC-DRT registry Open
View article: Frequency of Multiple Gestations in Kohat
Frequency of Multiple Gestations in Kohat Open
Objectives: To determine the frequency of multiple gestations in Kohat City.
Study Design: Retrospective longitudinal study.
Place and Duration of Study: Labour Room and Neonatal Intensive Care Unit (NICU), Combined Military Hospital, Ko…
View article: Case report: Transcatheter edge-to-edge repair after prior surgical tricuspid annuloplasty
Case report: Transcatheter edge-to-edge repair after prior surgical tricuspid annuloplasty Open
Residual and recurrent tricuspid regurgitation may occur frequently after surgical tricuspid valve repair. However, reoperation for tricuspid regurgitation is rare, although many patients are again highly symptomatic. Tricuspid transcathet…
View article: Virtual and augmented reality in critical care medicine: the patient’s, clinician’s, and researcher’s perspective
Virtual and augmented reality in critical care medicine: the patient’s, clinician’s, and researcher’s perspective Open
Virtual reality (VR) and augmented reality (AR) are aspiring, new technologies with increasing use in critical care medicine. While VR fully immerses the user into a virtual three-dimensional space, AR adds overlaid virtual elements into a…
View article: Real-world experience with the cusp-overlap deployment technique in transcatheter aortic valve replacement: A propensity-matched analysis
Real-world experience with the cusp-overlap deployment technique in transcatheter aortic valve replacement: A propensity-matched analysis Open
Background The implantation depth (ID) is a critical condition for optimal hemodynamic and clinical outcomes in transcatheter aortic valve replacement (TAVR). The recently recommended cusp-overlap technique (COT) offers optimized fluorosco…
View article: The Change in Growth, Osmolyte Production and Antioxidant Enzymes Activity Explains the Cadmium Tolerance in Four Tree Species at the Saplings Stage
The Change in Growth, Osmolyte Production and Antioxidant Enzymes Activity Explains the Cadmium Tolerance in Four Tree Species at the Saplings Stage Open
Phytoremediation is a green technology; however, very few species of arid environments have been identified as hyperaccumulators and fast growers. Therefore, a greenhouse experiment was performed to evidence the phytoaccumulation potential…
View article: Cerebrovascular Events after Transcatheter Aortic Valve Replacement: The Difficulty in Predicting the Unpredictable
Cerebrovascular Events after Transcatheter Aortic Valve Replacement: The Difficulty in Predicting the Unpredictable Open
Background: Cerebrovascular events (CVE) are feared complications following transcatheter aortic valve replacement (TAVR). We aimed to develop a new risk model for CVE prediction with the application of multimodal imaging. Methods: From Ma…
View article: Real-time fusion imaging for guiding transcatheter tricuspid valve repair
Real-time fusion imaging for guiding transcatheter tricuspid valve repair Open
View article: Multi-Slice Computed Tomography Analysis in Patients Undergoing Transcatheter Aortic Valve Replacement – Impact of Workflows on Measurement of Virtual Aortic Annulus and Valve Size
Multi-Slice Computed Tomography Analysis in Patients Undergoing Transcatheter Aortic Valve Replacement – Impact of Workflows on Measurement of Virtual Aortic Annulus and Valve Size Open
Exact and reliable measurements of anatomical dimensions in pre-procedural multi-slice computed tomography (MSCT) scans are crucial for optimal valve sizing and clinical results of transcatheter aortic valve replacement (TAVR). This study …
View article: Relevance of pre-existing anaemia for patients admitted for acute coronary syndrome to an intensive care unit: a retrospective cohort analysis of 7418 patients
Relevance of pre-existing anaemia for patients admitted for acute coronary syndrome to an intensive care unit: a retrospective cohort analysis of 7418 patients Open
Aims Patients with acute coronary syndrome (ACS) frequently suffer from anaemia, but its role in patients admitted to an intensive care unit (ICU) is unclear. This analysis evaluates the prognostic relevance of different degrees of anaemia…