Dr.Berkheez Shabir - Academia.edu (original) (raw)
Papers by Dr.Berkheez Shabir
World Journal of Current Medical and Pharmaceutical Research, 2020
In 2019, an outbreak of hand, foot and mouth disease (HFMD)occurred in Maldives and many patients... more In 2019, an outbreak of hand, foot and mouth disease (HFMD)occurred in Maldives and many patients presented with onychomadesis following HFMD. Here we present a study of 33 cases out of which a total of 06 cases developed onychomadesis. Patients varied in clinical presentations ranging from mild to severe form of HFMD and during follow up 06 cases presented with peroidic shedding of nails involving both fingernails and toenails. All the patients were observed 4 to 6 weeks after diagnosis of HMFD was made. It was observed that onychomadesis developed was not related to the severity of disease. Patients required only symptomatic treatmentfor HFMD and observation with assurance for onychomadesis as course was self limited. Nailchanges were temporary in nature and spontaneous regrowth occurred after shedding of the nails. Parental counselling played a cruicial role in management.
World Journal of Current Medical and Pharmaceutical Research, Jul 2, 2020
We report a case of recurrent mucinous carcinoma of the breast in a 60 year old female who presen... more We report a case of recurrent mucinous carcinoma of the breast in a 60 year old female who presented with two separate lumps on the left chest wall for 1 year. She gave the history of left sided mastectomy 15 years ago and hysterectomy 10 years ago. The patient did not seek any medical attention for the lumps since she noticed them a year ago. On examination, there were two lumps larger one measuring 7.5 x 5 cm and other smaller one measuring 3 x 2.5 cm. Core needle biopsy showed ductal carcinoma. CT scan was done which showed post-operative status of left side breast cancer with left chest wall mass and metastatic left axillary mass. Ultrasonography of whole abdomen and bony scan was done and no metastasis was seen. She underwent en-bloc excision of the tumor with involved muscle. Histopathology was done from two different centers both revealed Mucinous carcinoma of the breast. She was advised to take adjuvant chemotherapy.
World Journal of Current Medical and Pharmaceutical Research, 2020
The incidence of placenta accreta spectrum (PAS) disorders has increased over the last decades du... more The incidence of placenta accreta spectrum (PAS) disorders has increased over the last decades due to increase in cesarean deliveries, resulting in increase in Cesarean hysterectomies,maternal mortality and morbidity but since last few years there has been a gradual shift towards the idea of conservative management. Conservative management of PAS is known to reduce major obstetric hemorrhage and salvage hysterectomy.We present a case of placenta accreta diagnosed by ultrasound where management of post-partum hemorrhage was accomplished by conservative surgery. The concise steps taken in management of placenta accreta before and during cesarean section were: Availability of 4 donors with cross match; Stark cesarean section; atraumatic clamps around uterine arteries; ureterotonic drugs; external (B-Lynch suture); and application of diathermy where required. This experience indicates that few selected cases of PAS could be managed conservatively who are at risk of intra-partum hemorrhage and post-partum hemorrhage.
World Journal of Current Medical and Pharmaceutical Research, Jul 31, 2021
A 3-year-old boy presented to our atoll hospital in H.A Alif Dhidhoo, with severe pallor, jaundic... more A 3-year-old boy presented to our atoll hospital in H.A Alif Dhidhoo, with severe pallor, jaundice, easy fatigability and recurrent episodes of passage of dark-colored urine for past 3 days. He was born mature at 39 weeks of gestation with no past significant medical history. Recent history revealed the consumption of 2 cans of fava beans and application of some medicinal herbs. On admission, physical examination revealed fever of 101 degree Fahrenheit, severe pallor, jaundice, cervical lymphadenopathy and mild hepatomegaly. Laboratory investigation results showed a hemoglobin level of 5.4 g/dl with a hemolytic blood picture and serum Bilirubin of 6mg/dl. The patient's G6PD level was measured which showed marked deficiency. Other causes of hemolytic anemia were excluded. Patient required urge nt packed RBC transfusion and antibiotics for infection. He responded well to the treatment and was discharged in a stable condition. Parents were appropriately advised on the condition and the importance of avoiding certain foods and medication. Folic acid was prescribed for maintaining normal hemoglobin concentration. This is a first case report in North Maldives of G6PD presenting with severe hem olytic anemia requiring blood transfusion.
Asian Journal of Pharmaceutical and Clinical Research, Jan 7, 2022
Objective: The goal of our study was to determine the magnitude, prevalence and severity of iron ... more Objective: The goal of our study was to determine the magnitude, prevalence and severity of iron deficiency anemia among children in Doda (J&K) India. Methods: It was a prospective, cross-sectional, multistage hospital-based and outpatient department (OPD) study of apparently healthy children who visited our Hospital/OPD clinic for follow-up from different regions of district Doda from February 1, 2021, to February 28, 2022. Five hundred children aged 6 months-12 years were included in our study. The sociodemographic data of subjects were collected using a structured questionnaire. 5 mL of venous blood sample was collected for complete blood count. Hemoglobin level was estimated, along with indices. Anemia was classified into mild (≤12 g/dl->10 g/dl), moderate (≤10 g/dl->7 g/dl), and severe (≤7 g/dl), respectively. Microcytic hypochromic picture using indices was considered for labeling iron deficiency. The dietary pattern of children was assessed using questionnaire and anthropometric measurements were done. Data were analyzed using SPSS software version 20. Results: Overall, the prevalence of anemia was 77.6%. Out of the total vegetarians, 60.1% were anemic. Poor family status particularly families with low income <5000 Rs. per month and less education were more prone to develop anemia. Another important predictor of IDA was no anti-parasitic medications in 60.4%. Conclusion: Iron deficiency anemia in children seems less severe public health problem; however, its consequences are disastrous and a huge burden on health, wealth and workforce. Parents need special counseling sessions for understanding its magnitude. Recommendations to put preventive strategies in place and mass awareness of people about the consequences of iron deficiency anemia should be made.
International Journal of Science and Healthcare Research, 2022
WHO defines health inequities as avoidable inequalities between groups of people within countries... more WHO defines health inequities as avoidable inequalities between groups of people within countries and between the countries: Similarly, various global health agencies have provided an extract where Inequity and inequality is clearly defined. These two terms are confusing at times however they are not interchangeable. Health inequity is a situation where differences can be avoided but due to mass corruption, poor governance and in some instances cultural compulsion and exclusion leads to inequity. Health inequity is socially produced therefore it is unfair and avoidable. Example of health inequity between countries are, the infant mortality rate in Iceland is 2 per 1000 live births while it is 120 per 1000 live births in Mozambique. On the other hand health inequality is an unavoidable condition that results due to uneven distribution of health or resources or biological variations of genetic or other factors e.g. Elderly people, who are more likely to die than young adults and child...
International Journal of Science and Healthcare Research, 2021
Canavan disease is a rare autosomal recessive disorder characterized by progressive leukodystroph... more Canavan disease is a rare autosomal recessive disorder characterized by progressive leukodystrophy involving white matter of the brain. Disease leads to severe psychomotor retardation, seizures and premature death. More prevalent among Jewish population. Among non-Jewish population incidence is approximately 1:100000. Prognosis is guarded with current management only symptomatic and supportive. There is no effective treatment, however early gene therapy has improved the quality of life of patients. Furthermore, Lithium citrate has also shown certain positive results in experimental models using rats. Even few human studies have also been done, however promising results require larger controlled trials. Keywords: MRI: Magnetic Resonance and Imaging, EEG: Electro Encephalogram, CD: Canavan Disease, ASPA: acetyl aspartate, LUCS: Lower Uterine Cesarean Section, OFC: Occipito Frontal Circumference, NAA: N-acetyl aspartate
World Journal of Current Medical and Pharmaceutical Research, 2020
We report a case of recurrent mucinous carcinoma of the breast in a 60 year old female who presen... more We report a case of recurrent mucinous carcinoma of the breast in a 60 year old female who presented with two separate lumps on the left chest wall for 1 year. She gave the history of left sided mastectomy 15 years ago and hysterectomy 10 years ago. The patient did not seek any medical attention for the lumps since she noticed them a year ago. On examination, there were two lumps larger one measuring 7.5 x 5 cm and other smaller one measuring 3 x 2.5 cm. Core needle biopsy showed ductal carcinoma. CT scan was done which showed post-operative status of left side breast cancer with left chest wall mass and metastatic left axillary mass. Ultrasonography of whole abdomen and bony scan was done and no metastasis was seen. She underwent en-bloc excision of the tumor with involved muscle. Histopathology was done from two different centers both revealed Mucinous carcinoma of the breast. She was advised to take adjuvant chemotherapy.
INTRODUCTION The Aim of this clinical review essay is to highlight various surgical modalities em... more INTRODUCTION The Aim of this clinical review essay is to highlight various surgical modalities employed in the treatment of vitiligo and concisely explain the procedure of each of them along with the merits and demerits. Further, an attempt has been made to briefly compare the different procedures. Hence a literature search was done, primarily with the aid of electronic resources. Multiple databases, such as systematic reviews, PubMed, Medline as well as online journals from reputed publications were adopted for stating the facts and bibliography. Online search engine, Google Scholar, was periodically used to trace the original source of a citation. Pictures have primarily been adapted from the internet. Constant critiquing of the data, to examine and point out any bias has been endeavoured. *Corresponding Author: Dr. Waleed Tariq Karra
World Journal of Current Medical and Pharmaceutical Research, 2021
A 3-year-old boy presented to our atoll hospital in H.A Alif Dhidhoo, with severe pallor, jaundic... more A 3-year-old boy presented to our atoll hospital in H.A Alif Dhidhoo, with severe pallor, jaundice, easy fatigability and recurrent episodes of passage of dark-colored urine for past 3 days. He was born mature at 39 weeks of gestation with no past significant medical history. Recent history revealed the consumption of 2 cans of fava beans and application of some medicinal herbs. On admission, physical examination revealed fever of 101 degree Fahrenheit, severe pallor, jaundice, cervical lymphadenopathy and mild hepatomegaly. Laboratory investigation results showed a hemoglobin level of 5.4 g/dl with a hemolytic blood picture and serum Bilirubin of 6mg/dl. The patient's G6PD level was measured which showed marked deficiency. Other causes of hemolytic anemia were excluded. Patient required urgent packed RBC transfusion and antibiotics for infection. He responded well to the treatment and was discharged in a stable condition. Parents were appropriately advised on the condition and ...
World Journal of Current Medical and Pharmaceutical Research, 2020
In 2019, an outbreak of hand, foot and mouth disease (HFMD)occurred in Maldives and many patients... more In 2019, an outbreak of hand, foot and mouth disease (HFMD)occurred in Maldives and many patients presented with onychomadesis following HFMD. Here we present a study of 33 cases out of which a total of 06 cases developed onychomadesis. Patients varied in clinical presentations ranging from mild to severe form of HFMD and during follow up 06 cases presented with peroidic shedding of nails involving both fingernails and toenails. All the patients were observed 4 to 6 weeks after diagnosis of HMFD was made. It was observed that onychomadesis developed was not related to the severity of disease. Patients required only symptomatic treatmentfor HFMD and observation with assurance for onychomadesis as course was self limited. Nailchanges were temporary in nature and spontaneous regrowth occurred after shedding of the nails. Parental counselling played a cruicial role in management.
World Journal of Current Medical and Pharmaceutical Research, 2020
The incidence of placenta accreta spectrum (PAS) disorders has increased over the last decades du... more The incidence of placenta accreta spectrum (PAS) disorders has increased over the last decades due to increase in cesarean deliveries, resulting in increase in Cesarean hysterectomies,maternal mortality and morbidity but since last few years there has been a gradual shift towards the idea of conservative management. Conservative management of PAS is known to reduce major obstetric hemorrhage and salvage hysterectomy.We present a case of placenta accreta diagnosed by ultrasound where management of post-partum hemorrhage was accomplished by conservative surgery. The concise steps taken in management of placenta accreta before and during cesarean section were: Availability of 4 donors with cross match; Stark cesarean section; atraumatic clamps around uterine arteries; ureterotonic drugs; external (B-Lynch suture); and application of diathermy where required. This experience indicates that few selected cases of PAS could be managed conservatively who are at risk of intra-partum hemorrhage and post-partum hemorrhage.
World Journal of Current Medical and Pharmaceutical Research, 2020
In 2019, an outbreak of hand, foot and mouth disease (HFMD)occurred in Maldives and many patients... more In 2019, an outbreak of hand, foot and mouth disease (HFMD)occurred in Maldives and many patients presented with onychomadesis following HFMD. Here we present a study of 33 cases out of which a total of 06 cases developed onychomadesis. Patients varied in clinical presentations ranging from mild to severe form of HFMD and during follow up 06 cases presented with peroidic shedding of nails involving both fingernails and toenails. All the patients were observed 4 to 6 weeks after diagnosis of HMFD was made. It was observed that onychomadesis developed was not related to the severity of disease. Patients required only symptomatic treatmentfor HFMD and observation with assurance for onychomadesis as course was self limited. Nailchanges were temporary in nature and spontaneous regrowth occurred after shedding of the nails. Parental counselling played a cruicial role in management.
World Journal of Current Medical and Pharmaceutical Research, Jul 2, 2020
We report a case of recurrent mucinous carcinoma of the breast in a 60 year old female who presen... more We report a case of recurrent mucinous carcinoma of the breast in a 60 year old female who presented with two separate lumps on the left chest wall for 1 year. She gave the history of left sided mastectomy 15 years ago and hysterectomy 10 years ago. The patient did not seek any medical attention for the lumps since she noticed them a year ago. On examination, there were two lumps larger one measuring 7.5 x 5 cm and other smaller one measuring 3 x 2.5 cm. Core needle biopsy showed ductal carcinoma. CT scan was done which showed post-operative status of left side breast cancer with left chest wall mass and metastatic left axillary mass. Ultrasonography of whole abdomen and bony scan was done and no metastasis was seen. She underwent en-bloc excision of the tumor with involved muscle. Histopathology was done from two different centers both revealed Mucinous carcinoma of the breast. She was advised to take adjuvant chemotherapy.
World Journal of Current Medical and Pharmaceutical Research, 2020
The incidence of placenta accreta spectrum (PAS) disorders has increased over the last decades du... more The incidence of placenta accreta spectrum (PAS) disorders has increased over the last decades due to increase in cesarean deliveries, resulting in increase in Cesarean hysterectomies,maternal mortality and morbidity but since last few years there has been a gradual shift towards the idea of conservative management. Conservative management of PAS is known to reduce major obstetric hemorrhage and salvage hysterectomy.We present a case of placenta accreta diagnosed by ultrasound where management of post-partum hemorrhage was accomplished by conservative surgery. The concise steps taken in management of placenta accreta before and during cesarean section were: Availability of 4 donors with cross match; Stark cesarean section; atraumatic clamps around uterine arteries; ureterotonic drugs; external (B-Lynch suture); and application of diathermy where required. This experience indicates that few selected cases of PAS could be managed conservatively who are at risk of intra-partum hemorrhage and post-partum hemorrhage.
World Journal of Current Medical and Pharmaceutical Research, Jul 31, 2021
A 3-year-old boy presented to our atoll hospital in H.A Alif Dhidhoo, with severe pallor, jaundic... more A 3-year-old boy presented to our atoll hospital in H.A Alif Dhidhoo, with severe pallor, jaundice, easy fatigability and recurrent episodes of passage of dark-colored urine for past 3 days. He was born mature at 39 weeks of gestation with no past significant medical history. Recent history revealed the consumption of 2 cans of fava beans and application of some medicinal herbs. On admission, physical examination revealed fever of 101 degree Fahrenheit, severe pallor, jaundice, cervical lymphadenopathy and mild hepatomegaly. Laboratory investigation results showed a hemoglobin level of 5.4 g/dl with a hemolytic blood picture and serum Bilirubin of 6mg/dl. The patient's G6PD level was measured which showed marked deficiency. Other causes of hemolytic anemia were excluded. Patient required urge nt packed RBC transfusion and antibiotics for infection. He responded well to the treatment and was discharged in a stable condition. Parents were appropriately advised on the condition and the importance of avoiding certain foods and medication. Folic acid was prescribed for maintaining normal hemoglobin concentration. This is a first case report in North Maldives of G6PD presenting with severe hem olytic anemia requiring blood transfusion.
Asian Journal of Pharmaceutical and Clinical Research, Jan 7, 2022
Objective: The goal of our study was to determine the magnitude, prevalence and severity of iron ... more Objective: The goal of our study was to determine the magnitude, prevalence and severity of iron deficiency anemia among children in Doda (J&K) India. Methods: It was a prospective, cross-sectional, multistage hospital-based and outpatient department (OPD) study of apparently healthy children who visited our Hospital/OPD clinic for follow-up from different regions of district Doda from February 1, 2021, to February 28, 2022. Five hundred children aged 6 months-12 years were included in our study. The sociodemographic data of subjects were collected using a structured questionnaire. 5 mL of venous blood sample was collected for complete blood count. Hemoglobin level was estimated, along with indices. Anemia was classified into mild (≤12 g/dl->10 g/dl), moderate (≤10 g/dl->7 g/dl), and severe (≤7 g/dl), respectively. Microcytic hypochromic picture using indices was considered for labeling iron deficiency. The dietary pattern of children was assessed using questionnaire and anthropometric measurements were done. Data were analyzed using SPSS software version 20. Results: Overall, the prevalence of anemia was 77.6%. Out of the total vegetarians, 60.1% were anemic. Poor family status particularly families with low income <5000 Rs. per month and less education were more prone to develop anemia. Another important predictor of IDA was no anti-parasitic medications in 60.4%. Conclusion: Iron deficiency anemia in children seems less severe public health problem; however, its consequences are disastrous and a huge burden on health, wealth and workforce. Parents need special counseling sessions for understanding its magnitude. Recommendations to put preventive strategies in place and mass awareness of people about the consequences of iron deficiency anemia should be made.
International Journal of Science and Healthcare Research, 2022
WHO defines health inequities as avoidable inequalities between groups of people within countries... more WHO defines health inequities as avoidable inequalities between groups of people within countries and between the countries: Similarly, various global health agencies have provided an extract where Inequity and inequality is clearly defined. These two terms are confusing at times however they are not interchangeable. Health inequity is a situation where differences can be avoided but due to mass corruption, poor governance and in some instances cultural compulsion and exclusion leads to inequity. Health inequity is socially produced therefore it is unfair and avoidable. Example of health inequity between countries are, the infant mortality rate in Iceland is 2 per 1000 live births while it is 120 per 1000 live births in Mozambique. On the other hand health inequality is an unavoidable condition that results due to uneven distribution of health or resources or biological variations of genetic or other factors e.g. Elderly people, who are more likely to die than young adults and child...
International Journal of Science and Healthcare Research, 2021
Canavan disease is a rare autosomal recessive disorder characterized by progressive leukodystroph... more Canavan disease is a rare autosomal recessive disorder characterized by progressive leukodystrophy involving white matter of the brain. Disease leads to severe psychomotor retardation, seizures and premature death. More prevalent among Jewish population. Among non-Jewish population incidence is approximately 1:100000. Prognosis is guarded with current management only symptomatic and supportive. There is no effective treatment, however early gene therapy has improved the quality of life of patients. Furthermore, Lithium citrate has also shown certain positive results in experimental models using rats. Even few human studies have also been done, however promising results require larger controlled trials. Keywords: MRI: Magnetic Resonance and Imaging, EEG: Electro Encephalogram, CD: Canavan Disease, ASPA: acetyl aspartate, LUCS: Lower Uterine Cesarean Section, OFC: Occipito Frontal Circumference, NAA: N-acetyl aspartate
World Journal of Current Medical and Pharmaceutical Research, 2020
We report a case of recurrent mucinous carcinoma of the breast in a 60 year old female who presen... more We report a case of recurrent mucinous carcinoma of the breast in a 60 year old female who presented with two separate lumps on the left chest wall for 1 year. She gave the history of left sided mastectomy 15 years ago and hysterectomy 10 years ago. The patient did not seek any medical attention for the lumps since she noticed them a year ago. On examination, there were two lumps larger one measuring 7.5 x 5 cm and other smaller one measuring 3 x 2.5 cm. Core needle biopsy showed ductal carcinoma. CT scan was done which showed post-operative status of left side breast cancer with left chest wall mass and metastatic left axillary mass. Ultrasonography of whole abdomen and bony scan was done and no metastasis was seen. She underwent en-bloc excision of the tumor with involved muscle. Histopathology was done from two different centers both revealed Mucinous carcinoma of the breast. She was advised to take adjuvant chemotherapy.
INTRODUCTION The Aim of this clinical review essay is to highlight various surgical modalities em... more INTRODUCTION The Aim of this clinical review essay is to highlight various surgical modalities employed in the treatment of vitiligo and concisely explain the procedure of each of them along with the merits and demerits. Further, an attempt has been made to briefly compare the different procedures. Hence a literature search was done, primarily with the aid of electronic resources. Multiple databases, such as systematic reviews, PubMed, Medline as well as online journals from reputed publications were adopted for stating the facts and bibliography. Online search engine, Google Scholar, was periodically used to trace the original source of a citation. Pictures have primarily been adapted from the internet. Constant critiquing of the data, to examine and point out any bias has been endeavoured. *Corresponding Author: Dr. Waleed Tariq Karra
World Journal of Current Medical and Pharmaceutical Research, 2021
A 3-year-old boy presented to our atoll hospital in H.A Alif Dhidhoo, with severe pallor, jaundic... more A 3-year-old boy presented to our atoll hospital in H.A Alif Dhidhoo, with severe pallor, jaundice, easy fatigability and recurrent episodes of passage of dark-colored urine for past 3 days. He was born mature at 39 weeks of gestation with no past significant medical history. Recent history revealed the consumption of 2 cans of fava beans and application of some medicinal herbs. On admission, physical examination revealed fever of 101 degree Fahrenheit, severe pallor, jaundice, cervical lymphadenopathy and mild hepatomegaly. Laboratory investigation results showed a hemoglobin level of 5.4 g/dl with a hemolytic blood picture and serum Bilirubin of 6mg/dl. The patient's G6PD level was measured which showed marked deficiency. Other causes of hemolytic anemia were excluded. Patient required urgent packed RBC transfusion and antibiotics for infection. He responded well to the treatment and was discharged in a stable condition. Parents were appropriately advised on the condition and ...
World Journal of Current Medical and Pharmaceutical Research, 2020
In 2019, an outbreak of hand, foot and mouth disease (HFMD)occurred in Maldives and many patients... more In 2019, an outbreak of hand, foot and mouth disease (HFMD)occurred in Maldives and many patients presented with onychomadesis following HFMD. Here we present a study of 33 cases out of which a total of 06 cases developed onychomadesis. Patients varied in clinical presentations ranging from mild to severe form of HFMD and during follow up 06 cases presented with peroidic shedding of nails involving both fingernails and toenails. All the patients were observed 4 to 6 weeks after diagnosis of HMFD was made. It was observed that onychomadesis developed was not related to the severity of disease. Patients required only symptomatic treatmentfor HFMD and observation with assurance for onychomadesis as course was self limited. Nailchanges were temporary in nature and spontaneous regrowth occurred after shedding of the nails. Parental counselling played a cruicial role in management.
World Journal of Current Medical and Pharmaceutical Research, 2020
The incidence of placenta accreta spectrum (PAS) disorders has increased over the last decades du... more The incidence of placenta accreta spectrum (PAS) disorders has increased over the last decades due to increase in cesarean deliveries, resulting in increase in Cesarean hysterectomies,maternal mortality and morbidity but since last few years there has been a gradual shift towards the idea of conservative management. Conservative management of PAS is known to reduce major obstetric hemorrhage and salvage hysterectomy.We present a case of placenta accreta diagnosed by ultrasound where management of post-partum hemorrhage was accomplished by conservative surgery. The concise steps taken in management of placenta accreta before and during cesarean section were: Availability of 4 donors with cross match; Stark cesarean section; atraumatic clamps around uterine arteries; ureterotonic drugs; external (B-Lynch suture); and application of diathermy where required. This experience indicates that few selected cases of PAS could be managed conservatively who are at risk of intra-partum hemorrhage and post-partum hemorrhage.