12 results on '"Raja, Khalid Mehmood"'
Search Results
2. Comparison of Streptokinase and Urokinase for Thrombolysis in Blocked Tunnel Cuffed Catheter Among the Patients of Chronic Renal Failure Undergoing Hemodialysis
- Author
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Tahir, Taleah, primary, Raja, Khalid Mehmood, primary, Azam, Malik Nadeem, primary, Arshad, Abdul Rehman, primary, Mir, Abdul Wahab, primary, and ., Salahuddin, primary
- Published
- 2022
- Full Text
- View/download PDF
3. Comparison of Creatinine, Cystatin C and Combined Creatinine-Cystatin C for Renal Function Assessment in Patients with Diabetes
- Author
-
Umar, Saba, primary, Sabir, Sohail, primary, Azam, Nadeem Malik, primary, Aamir, Muhaamad, primary, Bibi, Afshan, primary, Altaf, Ashfaq, primary, Siddiqui, Faud Ahmed, primary, Sabir, Haroon, primary, Raja, Khalid Mehmood, primary, and Butt, Batool, primary
- Published
- 2022
- Full Text
- View/download PDF
4. Vitamin D Status in Acute Ischemic Stroke: Relation To Initial Severity and Short-Term Outcome
- Author
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Sarwar, Natasha, primary, Raja, Khalid Mehmood, primary, Uruj, Sana, primary, Khan, Sarah, primary, and Hussain, Amina, primary
- Published
- 2022
- Full Text
- View/download PDF
5. Cost effectiveness of tunneled double lumen to non-tunnel double lumen dialysis catheters.
- Author
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Tahir, Taleah, primary, Afzal, Muhammad, additional, Azam Khan, Malik Nadeem, additional, Raja, Khalid Mehmood, additional, -, Wahaj, additional, and -, Batool, additional
- Published
- 2019
- Full Text
- View/download PDF
6. COMPARISON OF VASCULAR CALCIFICATION AND MINERAL BONE DISEASE IN NON-DIALYSIS (CKD4/5ND) VS DIALYSIS DEPENDENT (CKD5D) PATIENTS.
- Author
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Salahuddin, Azam, Malik Nadeem, Raja, Khalid Mehmood, Mir, Abdul Wahab, Tahir, Taleah, Khan, Faryal Riaz, Arshad, Abdul Rehman, Butt, Batool, Wahaj, and Ahsan
- Subjects
CALCIFICATION ,HEMOSTASIS ,EPIDEMIOLOGY ,BONE diseases ,PARATHYROID hormone - Abstract
Background: Chronic kidney disease (CKD) has been a highly prevalent medical condition in all parts of the world affecting the haemostasis of the body in number of ways. Epidemiological data suggest that no region of the world has been spared from this condition and both developing and developed countries equally share the burden of this disease. Objective was to compare the vascular calcification and mineral bone disease in non-dialysis vs dialysis patients suffering from chronic kidney disease at a tertiary care hospital of Pakistan. It is a Comparative study, conducted at the Department of nephrology Pak Emirates Military Hospital Rawalpindi. Four months from November 2020 to February 2021. Methods: A total of 310 cases were included in the study, which were diagnosed as chronic kidney disease in nephrology department by a consultant nephrologist on basis of National Kidney Foundation/Kidney Disease Outcome Quality Initiative (NKF/KDOQI) 2002. They were divided into two equal groups by block randomization. Group I had the patients who were not dependent on dialysis (CKD4/5ND) while group II had dialysis dependent patients. Abdominal aorta, mitral and tricuspid valves were assessed to look for vascular calcification. Calcium, phosphate and parathyroid hormone levels were done to assess the mineral bone profile. Results: Out of 310 patients, 192 (61.9%) patients were males and 118 (38.1%) were females. Ninty-eight (31.6%) had evidence of vascular calcification while 212 (68.4%) did not have vascular calcification. 147 (47.4%) had hypocalcaemia, 167 (53.8%) had hyperphosphatemia while 98 (31.6%) patients had raised Parathyroid hormone levels. Regression analysis revealed that vascular calcification and abnormal mineral bone profile was significantly present more among patients who were dependent on dialysis (p-value<0.05). Conclusion: Bone mineral disease and vascular calcification were consistent findings among patients suffering from chronic kidney disease. Patients who were dependent on dialysis were more prone to develop these complications as compared to those who were not dependent on dialysis. [ABSTRACT FROM AUTHOR]
- Published
- 2022
7. THE COMPARISON OF EFFICACY BETWEEN LOSARTAN AND DILTIAZEM AS ANTIPROTEINURIC AGENT IN NON-DIABETIC RENAL DISEASES.
- Author
-
Salahuddin, Azam, Malik Nadeem, Raja, Khalid Mehmood, Arshad, Abdur Rehman, Khan, Faryal Riaz, Mir, Abdul Wahab, Tahir, Taleah, Butt, Batool, Wahaj, and Khan, Anum
- Subjects
LOSARTAN ,DILTIAZEM ,KIDNEY diseases ,PROTEINS ,THERAPEUTICS - Abstract
Background: Multiple options have been tried to counter the proteinuria secondary to renal diseases. Clinicians and researchers are trying to find the best option for this purpose. Objective: To compare efficacy of Losartan and Diltiazem in management of proteinuria in nondiabetic renal diseases at a tertiary care hospital of Pakistan. It was a Quasi-experimental study, conducted at the Department of nephrology Pak Emirates Military Hospital Rawalpindi. Five months, November 2020 to March 2021. Methods: A total of 122 patients of non-diabetic renal diseases with significant proteinuria were included in the study. They were randomly divided into two groups via lottery method. Group I received losartan while group II received Diltiazem in standard dose for three months. After three months they underwent 24 hours’ urinary protein levels and divided into complete, partial and non-responders to treatment. Age, gender, duration of illness and type of antiproteinuric treatment was correlated with response to treatment among the study population. Results: Out of 122 patients, 80 (65.6%) were males while 42 (34.4%) were females. Membranous nephropathy 20 (16.4%) was the commonest non-diabetic renal disease seen in our study participants. Thirty (24.5%) had complete remission after three months of treatment, 60 (49.2%) had partial response while 32 (26.3%) had no response to treatment. Chisquare test revealed that use of losartan had statistically significant relationship (p-value<0.001) with good response among the study participants. Conclusion: Membranous nephropathy leading to proteinuria was the commonest non-diabetic renal disease encountered in our setup. Around 2/3rd of our patients showed either complete or partial response to treatment and Losartan was superior to Diltiazem in achieving response in our study participants. [ABSTRACT FROM AUTHOR]
- Published
- 2021
8. ULTRASOUND GUIDED TUNNELLED CUFFED CATHETER PLACEMENT WITHOUT FLUOROSCOPIC GUIDANCE BY ANATOMICAL LANDMARKS; ACCURACY AND SAFETY.
- Author
-
Wahaj, Azam, Malik Nadeem, Butt, Batool, Salahuddin, Tahir, Taleah, Khan, Nudrat Jehangir, Rahman, Muhammad Khalid, Raja, Khalid Mehmood, Arshad, Abdul Rehman, and Mir, Abdul Wahab
- Subjects
ULTRASONIC imaging ,ARTERIAL catheterization ,FLUOROSCOPY ,HEMODIALYSIS ,CHEST X rays - Abstract
Background: Chronic kidney disease is a growing disease with high morbidity and mortality. Haemodialysis remains the most common option available for all those not planning for renal transplantation. Vascular access is the most important aspect of haemodialysis. Though not recommended but central venous catheters remain the most common vascular access in starters on haemodialysis. There is a growing trend towards placement of tunnelled cuffed catheters (TCC). TCC placement requires fluoroscopic guidance which is not available in all centres. The rationale of this study was to describe safety and accuracy of a catheter placement technique not dependent on fluoroscopic guidance for resource limited settings. Methods: Dialysis dependent patients of a single hospital without long term vascular access were selected over a period of 15 months after getting informed written consent. A new technique was described in which depth of catheter was estimated by superficial anatomical and ultrasound guided measurements for TCC placement which were checked by conventional chest radiography post procedure. Results: A total of 209 catheters were placed over a period of 15 months, 189 males and 30 females. Various sites were used predominantly right Internal jugular vein (IJV) (85.6%). Overall success rate was 97.1% (98.3% males, 90% females, p=0.08). Right IJV was successful 98.9%, left IJV 87.5% (p<0.001). Multiple thrombosed/stenosed veins were associated with higher failure rate (p<0.001). Conclusion: TCC can be placed successfully and safely in right IJV under ultrasound guidance using anatomical landmark measurement technique without fluoroscopic guidance. [ABSTRACT FROM AUTHOR]
- Published
- 2019
9. Comparison Of Vascular Calcification And Mineral Bone Disease In Non-Dialysis (CKD4/5ND) Vs Dialysis Dependent (CKD5D) Patients.
- Author
-
Azam MN, Raja KM, Mir AW, Tahir T, Khan FR, Arshad AR, and Butt B
- Subjects
- Female, Humans, Male, Minerals, Parathyroid Hormone, Renal Dialysis, Bone Diseases complications, Renal Insufficiency, Chronic complications, Renal Insufficiency, Chronic therapy, Vascular Calcification complications, Vascular Calcification epidemiology
- Abstract
Background: Chronic kidney disease (CKD) has been a highly prevalent medical condition in all parts of the world affecting the haemostasis of the body in number of ways. Epidemiological data suggest that no region of the world has been spared from this condition and both developing and developed countries equally share the burden of this disease. Objective was to compare the vascular calcification and mineral bone disease in non-dialysis vs dialysis patients suffering from chronic kidney disease at a tertiary care hospital of Pakistan. It is a Comparative study, conducted at the Department of nephrology Pak Emirates Military Hospital Rawalpindi. Four months from November 2020 to February 2021., Methods: A total of 310 cases were included in the study, which were diagnosed as chronic kidney disease in nephrology department by a consultant nephrologist on basis of National Kidney Foundation/Kidney Disease Outcome Quality Initiative (NKF/KDOQI) 2002. They were divided into two equal groups by block randomization. Group I had the patients who were not dependent on dialysis (CKD4/5ND) while group II had dialysis dependent patients. Abdominal aorta, mitral and tricuspid valves were assessed to look for vascular calcification. Calcium, phosphate and parathyroid hormone levels were done to assess the mineral bone profile., Results: Out of 310 patients, 192 (61.9%) patients were males and 118 (38.1%) were females. Ninty-eight (31.6%) had evidence of vascular calcification while 212 (68.4%) did not have vascular calcification. 147 (47.4%) had hypocalcaemia, 167 (53.8%) had hyperphosphatemia while 98 (31.6%) patients had raised Parathyroid hormone levels. Regression analysis revealed that vascular calcification and abnormal mineral bone profile was significantly present more among patients who were dependent on dialysis (p-value<0.05)., Conclusions: Bone mineral disease and vascular calcification were consistent findings among patients suffering from chronic kidney disease. Patients who were dependent on dialysis were more prone to develop these complications as compared to those who were not dependent on dialysis.
- Published
- 2022
- Full Text
- View/download PDF
10. The Comparison Of Efficacy Between Losartan And Diltiazem As Antiproteinuric Agent In Non-Diabetic Renal Diseases.
- Author
-
Azam MN, Raja KM, Arshad AR, Khan FR, Mir AW, Tahir T, Butt B, and Khan A
- Subjects
- Antihypertensive Agents therapeutic use, Diltiazem therapeutic use, Female, Humans, Male, Pakistan, Proteinuria drug therapy, Kidney Diseases, Losartan therapeutic use
- Abstract
Background: Multiple options have been tried to counter the proteinuria secondary to renal diseases. Clinicians and researchers are trying to find the best option for this purpose., Objective: To compare efficacy of Losartan and Diltiazem in management of proteinuria in nondiabetic renal diseases at a tertiary care hospital of Pakistan. It was a Quasi-experimental study, conducted at the Department of nephrology Pak Emirates Military Hospital Rawalpindi. Five months, November 2020 to March 2021., Methods: A total of 122 patients of non-diabetic renal diseases with significant proteinuria were included in the study. They were randomly divided into two groups via lottery method. Group I received losartan while group II received Diltiazem in standard dose for three months. After three months they underwent 24 hours' urinary protein levels and divided into complete, partial and non-responders to treatment. Age, gender, duration of illness and type of antiproteinuric treatment was correlated with response to treatment among the study population., Results: Out of 122 patients, 80 (65.6%) were males while 42 (34.4%) were females. Membranous nephropathy 20 (16.4%) was the commonest non-diabetic renal disease seen in our study participants. Thirty (24.5%) had complete remission after three months of treatment, 60 (49.2%) had partial response while 32 (26.3%) had no response to treatment. Chisquare test revealed that use of losartan had statistically significant relationship (p-value<0.001) with good response among the study participants., Conclusions: Membranous nephropathy leading to proteinuria was the commonest non-diabetic renal disease encountered in our setup. Around 2/3rd of our patients showed either complete or partial response to treatment and Losartan was superior to Diltiazem in achieving response in our study participants.
- Published
- 2021
11. Ultrasound Guided Tunnelled Cuffed Catheter Placement Without Fluoroscopic Guidance By Anatomical Landmarks; Accuracy And Safety.
- Author
-
Azam MN, Butt B, Tahir T, Khan NJ, Rahman MK, Raja KM, Arshad AR, and Mir AW
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Anatomic Landmarks, Child, Female, Humans, Jugular Veins diagnostic imaging, Male, Middle Aged, Pakistan, Prospective Studies, Renal Dialysis, Ultrasonography, Interventional, Young Adult, Catheterization, Central Venous methods, Catheters, Indwelling
- Abstract
Background: Chronic kidney disease is a growing disease with high morbidity and mortality. Haemodialysis remains the most common option available for all those not planning for renal transplantation. Vascular access is the most important aspect of haemodialysis. Though not recommended but central venous catheters remain the most common vascular access in starters on haemodialysis. There is a growing trend towards placement of tunnelled cuffed catheters (TCC). Tunnelled cuffed catheters placement requires fluoroscopic guidance which is not available in all centres. The rationale of this study was to describe safety and accuracy of a catheter placement technique not dependent on fluoroscopic guidance for resource limited settings., Methods: Dialysis dependent patients of a single hospital without long term vascular access were selected over a period of 15 months after getting informed written consent. A new technique was described in which depth of catheter was estimated by superficial anatomical and ultrasound guided measurements for TCC placement which were checked by conventional chest radiography post procedure., Results: A total of 209 catheters were placed over a period of 15 months, 189 males and 30 females. Various sites were used predominantly right Internal jugular vein (IJV) (85.6%). Overall success rate was 97.1% (98.3% males, 90% females, p=0.08). Right IJV was successful 98.9%, left IJV 87.5% (p<0.001). Multiple thrombosed/stenosed veins were associated with higher failure rate (p<0.001)., Conclusions: Tunnelled cuffed catheters can be placed successfully and safely in right IJV under ultrasound guidance using anatomical landmark measurement technique without fluoroscopic guidance.
- Published
- 2019
12. Early versus late arterio-venous fistulae: impact on failure rate.
- Author
-
Farooq Z, Mehmood A, Saeed S, Raja KM, Khan MN, and Murtaza B
- Subjects
- Female, Humans, Male, Middle Aged, Pakistan, Prospective Studies, Risk Factors, Treatment Failure, Arteriovenous Shunt, Surgical, Kidney Failure, Chronic therapy, Renal Dialysis
- Abstract
Background: Haemodialysis is the primary mode of renal replacement therapy for patients of end stage renal disease. The most important determinant for effective haemodialysis is a reliable vascular access. Arterio-venous (AV) fistula is the closest to be an ideal long-term haemodialysis vascular access. The creation of fistulas or grafts is recommended before starting haemodialysis, this study was undertaken to determine the impact of timing of AV fistula creation on its failure rate., Methods: It is a descriptive study. All patients with chronic kidney disease (CKD) reporting to Armed Forces Institute of Urology (AFIU) and Military Hospital (MH) Rawalpindi from January 2008 to October 2009 in whom vascular access was created were included. The patients were followed prospectively and a complete data about their haemodialysis and vascular access was maintained., Results: A total of 168 permanent accesses were created in 112 patients in this study. The mean duration of follow-up was 14.05 +/- 4.45 months. Early access creation group included 23 patients and late access creation group included 89 patients. Out of 168 fistulas that were created, 54 fistulas failed with 45 (83.3%) of these from patients of late access creation group. Age, gender and diabetes mellitus (DM) had no significant affect on failure rate of fistulas., Conclusion: Timely referral to nephrologists and early creation of permanent vascular access by dedicated team work can improve the success rate of AV fistulae so enhancing quality of life of patients of end stage renal disease.
- Published
- 2010
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