Atiya Aziz - Academia.edu (original) (raw)

Papers by Atiya Aziz

Frontiers in Cardiovascular Medicine

Optical coherence tomography (OCT) is slowly but surely gaining a foothold in the hands of interv... more Optical coherence tomography (OCT) is slowly but surely gaining a foothold in the hands of interventional cardiologists. Intraluminal and transmural contents of the coronary arteries are no longer elusive to the cardiologist's probing eye. Although the graduation of an interventionalist in imaging techniques right from naked eye angiographies to ultrasound-based coronary sonographies to the modern light-based OCT has been slow, with the increasing regularity of complex coronary cases in practice, such a transition is inevitable. Although intravascular ultrasound (IVUS) due to its robust clinical data has been the preferred imaging modality in recent years, OCT provides a distinct upgrade over it in many imaging and procedural aspects. Better image resolution, accurate estimation of the calcified lesion, and better evaluation of acute and chronic stent failure are the distinct advantages of OCT over IVUS. Despite the obvious imaging advantages of OCT, its clinical impact remains ...

International Journal of Clinical Obstetrics and Gynaecology

Background: Office Hysteroscopy is often considered the gold standard in diagnosing intrauterine ... more Background: Office Hysteroscopy is often considered the gold standard in diagnosing intrauterine pathology. Pain during the procedure usually is the cause of failure in Office Hysteroscopy. Various techniques have been developed and employed for making the patient more comfortable during the procedure. The main objective of this study was to compare pain intensity and degree of satisfaction reported by patients undergoing Office Hysteroscopy using saline solution kept at room temperature (control group) and saline solution warmed up to 41 0 C (test group). Methods: 110 patients were recruited for the study, 55 in test group and 55 in control group as per inclusion criteria. A computer generated randomization sequence was used for allocation of group. Ambient temperature was set at 26 0 C and an automated fluid warmer was used for heating the saline medium to 41 0 C for test group. Office Hysteroscopy was performed by vaginoscopic technique using a 3.2mm Compact Hysteroscope. VAS (Visual Analogue Scale) score was assessed during the procedure and 15 minutes later. Results: VAS score during the procedure was found to be significantly lower in warm saline group (2.64+1.62) as compared to placebo (4.90+1.90); p = 0.001. Moreover, the VAS score at 15 minutes postprocedure was found to be significantly lower in the warm saline group (1.82+0.39) as compared to room temperature saline (2.94+0.96); p = 0.001. Warm saline as distension medium had a significant positive effect on satisfaction level of patients; 78% (n=39) women in warm saline group expressed their willingness to undergo the procedure again, if required, versus 23.5% (n=12) in room temperature saline; p = 0.001. Also, 74% (n=37) women in warm saline group would recommend the procedure to their friends and relatives versus 31.3% (n=16) in room temperature saline; p = 0.001. Conclusions: Using warm saline (41 0 C) as distension medium for Office Hysteroscopy significantly reduces pain during and after the procedure. Moreover, patient satisfaction is better with warm saline as distension medium.

International Journal of Clinical Obstetrics and Gynaecology, 2022

Gestational Diabetes Mellitus increases the risk of unfavourable maternal, perinatal, and foetal ... more Gestational Diabetes Mellitus increases the risk of unfavourable maternal, perinatal, and foetal outcomes in females, necessitating early detection and treatment. The DIPSI, IADPSG, and GCT criteria for screening of Gestational Diabetes Mellitus in Indian patients were compared in this prospective cross-sectional study, which involved a total of 250 women with a gestational age of between 24-28 weeks. GDM screening and diagnostic procedures will be presented and contrasted, followed by an assessment of various glycemic thresholds. The comparison was made based on the specificity and sensitivity of various criteria, and it was discovered that a single-step 75-g OGTT utilizing the IADPSG criteria should be performed in the fasting state whenever possible. In resource-constrained settings, such as rural areas, a well-validated two-step approach uses a non-fasting 50 g GCT as the initial screening test, followed by a fasting OGTT for conclusive diagnosis in those who screen positive.

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2020

Background: Fetal growth restriction (FGR) is one of the major factors of perinatal morbidity and... more Background: Fetal growth restriction (FGR) is one of the major factors of perinatal morbidity and mortality. Aim was to study the maternal and fetal risk factors associated with non- detection of fetal growth restriction.Methods: A retrospective analysis was done at a tertiary care hospital. 280 term newborn cases weighing <2.5 kg were selected and they were divided into two groups, Group I- FGR detected cases by ultrasound, and group II- FGR non detected cases. Data was collected from the labour room registers.Results: Incidence of FGR found to be 6.8%.The maternal biological factors found to be significantly associated with fetal growth restriction were gestational hypertension, chronic hypertension and anemia. Fewer ANC visits was associated with non-detection of FGR cases. Detection of FGR cases were more if the birth weight found to be <2 kg when compared to non detection of FGR cases.Conclusions: Anaemia and fewer ante natal visits were associated with non detection of F...

International Journal of Clinical Obstetrics and Gynaecology, 2019

Background: The complications of abortion increase with the advancing gestational age. The search... more Background: The complications of abortion increase with the advancing gestational age. The search for the best and most reliable method for second trimester abortion is still ongoing. A prospective comparative study was conducted at a tertiary care hospital in Delhi from 01 Sep 2017 to 31 Aug 2018 with an aim to find out an effective method of second trimester abortion within reasonable time and fewer complications. Study: A total of 70 patients were studied to compare combination of Mifepristone and misoprostol Vs cerviprime and misoprostol for second trimester abortion. The end point of the study was complete abortion with expulsion of placenta. The Induction abortion interval, success rate, side effects and complications were compared between the two groups. Results: There was a significant difference in the IAI in both the groups. The mean Induction to abortion interval was 10.7 hrs in the Mifepristone + misoprostol group and 13.7 hrs in the Cerviprime + misoprostol group. The success rate was 100% in each arm, none of the patients required hysterotomy. More side effects were seen in the cerviprime + misoprostol group. Conclusions: Mifepristone followed by misoprostol and Cerviprime followed by misoprostol are effective methods for second trimester abortion, but mifepristone + misoprostol has the advantage of having lesser Induction to abortion interval and fewer side effects.

BMJ case reports, Jan 3, 2012