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Search Results: 1 - 10 of 8436 matches for " Peer Hilal Ahmad Makhdoomi "
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An Analysis of War Weaponry Trauma Victims from a Medical College Setting in Kashmir Valley  [PDF]
Mumtazdin Wani, Mushtaq Chalkoo, Peer Hilal Ahmad Makhdoomi, Ankush Banotra, Awhad Mueed, Yassar Arafat, Syed Shakeeb
Surgical Science (SS) , 2017, DOI: 10.4236/ss.2017.81002
Abstract: Background: Kashmir valley, being a known conflict zone keeps on receiving war victims due to scuffles between civilians and the government forces. Such upsurges have been noted in the recent past in 2008 and 2010; however, a new face of upheaval took place in the month of July 2016. Herein, we present an analysis of 500 abdominal trauma victims reported to our department at Government Medical College Srinagar, Kashmir, India. Methods: Government Medical College Srinagar Kashmir is a tertiary care teaching hospital situated in the heart of Kashmir valley. Being one of the referral hospitals, for trauma, we received a total figure of 6149 trauma victims out of which 500 were purely of abdominal in nature managed by the department of surgery. The study conducted was a short analysis of these abdominal trauma patients that reported from 8th July to 8th November 2016. Results: The result of analysis of 500 abdominal trauma patients is reported herein. The male female ratio of patients was 19.8:1 (male = 95.2%, female = 4.8%). The age range was from 5 years to 65 years with majority reported in the age range of 15 - 30 years. The number of bullet injuries was =85 and the pellet injuries were =349. The commonest organs involved were small intestines, spleen, large bowel and liver in descending order. Penetrating injuries were seen in =60.4%, non-penetrating were seen in =39.6%. The patients were grouped into conservative, non operative and operative group. The commonest morbidity observed was wound sepsis and a total mortality reached to a figure of 2%. Conclusion: This short study of analysis of trauma victims has explored the newer horizons of trauma management and we believe and conclude that specialized trauma hospitals with skilled manpower and modern gadgets of handling trauma is need of an hour especially in developing countries like ours.
Laparoscopic Transabdominal Preperitoneal Mesh Hernioplasty: A Medical College Experience  [PDF]
Mushtaq Chalkoo, Mujahid Ahmad Mir, Hilal Makhdoomi
Surgical Science (SS) , 2016, DOI: 10.4236/ss.2016.72015
Abstract: Objectives: To determine the feasibility and patient’s outcome of laparoscopic transabdominal preperitoneal mesh hernioplasty for inguinal hernias. Patients and Methods: This study was carried out from March 2011 to April 2014. A total of 130 patients underwent laparoscopic transabdominal preperitoneal mesh hernioplasty (TAPP) for uncomplicated inguinal hernia. Of this, 10 patients presenting with bilateral inguinal hernias were operated in the single sitting. A 15 cm × 12 cm polypropylene mesh was used in all cases. Operative morbidity, postoperative pain, seroma formation, evidence of superficial infection, chronic groin pain and hernia recurrence were noted. The majority of the patients were discharged within 24 hours and follow-up was done at 1 week, 1 month, and 6 months. Results: 130 patients presenting with uncomplicated inguinal hernias were operated over a period of three years in the department of surgery, Govt. Medical College Srinagar. The mean age of the patients was 39.18 years (range: 18 - 70 years). The median duration of operation was 48.5 minutes (range: 18 - 120 minutes). None of the procedure was converted to open inguinal hernia repair. Postoperative pain was observed in 9.23% of the cases and was easily controlled by oral analgesics. Six patients (4.62%) developed seroma, out of which one required aspiration while others settled conservatively. Two patients (1.54%) developed wound infection and one patient (0.77%) had recurrence. None of the patients developed scrotal hematoma or neuralgia. Return to normal activity after TAPP repair was found to be after a median of 16.1 days. Conclusion: Transabdominal preperitoneal repair for inguinal hernia using proline mesh may be a safe and effective procedure with low morbidity, early return to normal activity and with a very low recurrence after six months follow-up.
An Early Experience of Stapled Hemorrhoidectomy in a Medical College Setting  [PDF]
Mushtaq Chalkoo, Shahnawaz Ahangar, Naseer Awan, Varun Dogra, Umer Mushtaq, Hilal Makhdoomi
Surgical Science (SS) , 2015, DOI: 10.4236/ss.2015.65033
Abstract:

Background: Stapled hemorrhoidectomy, popularly known as Longo technique is in use for the treatment of hemorrhoids since its first description to surgical fraternity in the world congress of endoscopic surgeons in 1998. Objectives: To evaluate the feasibility, patient acceptance, recurrence and results of stapled haemorrhoidectomy in our early experience. Methods: Between Jan 2012 and Dec 2013, 42 patients with symptomatic GRADE III and IV hemorrhoids were operated by stapled hemorrhoidectomy by a single surgeon at our surgery department. The evaluation of this technique was done by assessing the feasibility of the surgery; and recording operative time, postoperative pain, complications, hospital stay, return to work and recurrence. Results: All the procedures were completed successfully. The mean (range) operative time was 30 (20 - 45) min. The blood loss was minimal. Mean (range) length of hospitalization for the entire group was 1 (1 - 3) days. Only 3 patients required more than 1 injection of diclofenac (75 mg) while as rest of the patients were quite happy switching over to oral diclofenac (50 mg) just after a single parenteral dose. All the patients returned to their routine work in less than a week’s time. The mean (range) follow-up was 6 (4 - 12) months. There were no major intraoperative or postoperative complications except for retention of urine in 8 patients. The patients are still on regular follow-up and have not had recurrence as yet. Conclusion: Stapled hemorrhoidectomy technique is a safe alternative to the traditional Milligan-Morgan technique. It can be performed as an office procedure, is well tolerated by patients and is cost effective than conventional surgical therapy.

Laparoscopic Surgery for Meckel’s Diverticulum Presenting as Small Bowel Obstruction: A Case Report  [PDF]
Mushtaq Chalkoo, Mumtaz-Din Wani, Hilal Makhdoomi, Ankush Banotra, Yassar Arafat, Awhad Mueed, Syed Shakeeb
Surgical Science (SS) , 2016, DOI: 10.4236/ss.2016.711067
Abstract: Meckel’s diverticulum is not commonly encountered surgical entity and presents unique challenges for a pediatric surgeon, as it is prone to varied complications. A 14-year-old boy was admitted with us with a 48-hour history of lower abdominal pain and multiple episodes of vomiting. Radiological imaging studies revealed a high-grade partial small bowel obstruction. A fleeting conservative management was tried. The diagnostic laparoscopy revealed a small bowel obstruction secondary to a Meckel’s diverticulum. The diverticulum was resected using an endovascular GIA stapler. The patient was discharged on postoperative day four, tolerating a regular diet. Laparoscopy is a useful diagnostic and therapeutic means for a patient with a small bowel obstruction due to an uncertain etiology.
Novel Adder Circuits Based On Quantum-Dot Cellular Automata (QCA)  [PDF]
Firdous Ahmad, Ghulam Mohiuddin Bhat, Peer Zahoor Ahmad
Circuits and Systems (CS) , 2014, DOI: 10.4236/cs.2014.56016
Abstract:

Quantum-dot cellular automaton (QCA) is a novel nanotechnology that provides a very different computation platform than traditional CMOS, in which polarization of electrons indicates the digital information. This paper demonstrates designing combinational circuits based on quantum-dot cellular automata (QCA) nanotechnology, which offers a way to implement logic and all interconnections with only one homogeneous layer of cells. In this paper, the authors have proposed a novel design of XOR gate. This model proves designing capabilities of combinational circuits that are compatible with QCA gates within nano-scale. Novel adder circuits such as half adders, full adders, which avoid the fore, mentioned noise paths, crossovers by careful clocking organization, have been proposed. Experiment results show that the performance of proposed designs is more efficient than conventional designs. The modular layouts are verified with the freely available QCA Designer tool.

Assessment of Extent and Severity of Pellet Induced Abdominal Injuries, a Rare Variant of Weapon Violence: A Prospective Study  [PDF]
Azher Mushtaq, Atif Naeem Raja, Hilal Ahmad Wani, Shaukat A. Jeelani, Nazia Hilal, Ishfaq Ahmed Gilkar
Surgical Science (SS) , 2016, DOI: 10.4236/ss.2016.710064
Abstract: Background: The use of a Pellet gun, a form of short gun used for mob control in many conflict zones, has posed a serious challenge to the surgeons in assessing the extent of trauma caused by these pellets. Objectives: To study the role of conventional available investigations for trauma like ultrasonography and computed tomography scans in assessing the severity of the injuries caused by the pellets. Methodology: 50 patients having pellet injuries predominantly in abdomen without other associated trauma were included in the study. The decision for surgery was taken on the basis of clinical and CECT (Contrast Enhanced Computed Tomography) findings and these findings were then compared with intra-operative findings. Results: 30/50 patients were decided to be operated on the basis of Clinical and CECT findings. On exploration, it was observed that 18/33 patients really needed exploration while as 15/33 patients could have been managed conservatively. This was observed in next 20/50 patients who were put on conservative management with similar CECT findings. Of these 20 patients, 17 did well while as 3 were explored later in view of developing peritonitis and were found to have small bowel perforations. Conclusion: Conventional investigations for trauma like FAST and CECT abdomen are not ideal for assessing the severity of pellet induced abdominal visceral injuries which result in high rate of unnecessary laparotomies. Also the abdominal pellet trauma patients can be well managed conservatively until hemodynamically stable even though CT scan shows pellet penetration into peritoneal cavity or bowel lumen.
Open Underlay Mesh Reinforced Large Incisional Hernia Repair—Prospective Observational Hospital Based Study  [PDF]
Umer Mushtaq, Ishfaq Ahmad Gilkar, Javid Ahmad Peer, Shaukat Jeelani, Asgar Aziz, Farzanah Nowreen, Yaser Hussain Wani, Yaqoob Hassan, Drjavidahmad Peer
Surgical Science (SS) , 2019, DOI: 10.4236/ss.2019.103013
Abstract:
Introduction: Incisional hernias frequently complicate abdominal surgeries with a varied incidence as reported to be 2% - 20%. The risk factors of development of incisional hernias include immunocompromised state, diabetes mellitus, smoking, obesity, wound infection at the index surgery, emergency surgery. Materials and Methods: The study design was prospective and included 62 patients with incisional hernias. The patients were evaluated preoperatively on OPD basis with history, clinical examination, baseline investigation, ultrasound abdomen and computed tomogram. Results: The mean age was 48.9 years with male:female ratio of 1:1.4. Mean BMI was 30.1 kg/m2. Out of 62 patients in the study 61.2% had concomitant hypertension and were on treatment for the same. 30.6% were clinically hypothyroid, 38.7% were diabetic and 54.8% were smokers. There were multiple factors present in patients in the current study which were observed to be possible to have risked the patients to incisional hernias after an abdominal surgery. 21 patients had defect size ranging from 5 to 10 cm and 41 patients were bearing a hernia of the defect size of 10 cm or more. The mean operative time was 221.7 minutes. Conclusion: Incisional hernias are a part of surgical practice that would probably glue to it to the end of time. A progression from primitive suture repair with recurrence rates of over 65% to modern day mesh reinforced repairs with recurrences aimed at 0% is always welcome. But still then the placement of mesh in different positions or layers of abdominal wall yields different results.
Design and Pedagogy Features in Online Courses: A survey
Mohd Imran Sheikh,Hilal Ahmad,Muzamil Mushtaq
Trends in Information Management , 2012,
Abstract: Purpose: The study investigates the preferences of instructors and students for design and pedagogy features of online instruction at the post-graduate level. Design/Methodology/Approach: The study was carried out using questionnaire as a data gathering tool. Characteristics and features were identified through a comprehensive literature review combined with focus groups. Various design and pedagogy features were identified and the items were structured in a Likert Scale format. Respondents were asked to rate their preferences on a five-point scale, ranging from strongly agree to strongly disagree, for each individual feature. Participants include 7 instructors and 50 students at Indira Gandhi National Open University (IGNOU).An independent sample T-test was conducted to determine if there was a significant difference between the preferences of instructors and students on the rating of individual features. Scope: To better understand the design and pedagogy features of online instruction, India’s largest e-learning academic institution IGNOU was selected. Findings: Major findings include the high level of agreement on design and pedagogy features by instructors and students and the similarities in rank order by both students earning regular university credit and those pursuing professional development goals. When compared with the ranking of instructors and students, low preferences were being placed on social interactive features. Practical Implications: While there are many parallels between face-to-face teaching and online instruction, there are some differences also. Asynchronous online instruction must be designed in advance of being delivered. Keywords: Pedagogy; e-learning; Continuing education; Online instruction; Development expertise Paper Type: Research
De-Noising of ECG Signals by Design of an Optimized Wavelet  [PDF]
Vahid Makhdoomi Kaviri, Masoud Sabaghi, Saeid Marjani
Circuits and Systems (CS) , 2016, DOI: 10.4236/cs.2016.711314
Abstract: In this paper, a different method for de-noising of ECG signals using wavelets is presented. In this strategy, we will try to design the best wavelet for de-nosing. Genetic algorithm tests wide range of quadrature filter banks and the best of them will be chosen that minimize the Signal-to-Noise Ratio (SNR). Furthermore, the wavelet function and scaling function related to these filters are reported as the best wavelet for de-noising. Simulation results for de-noising of a noisy ECG signal show that using obtained wavelet by proposed method improves the SNR of about 2.5 dB.
Design and Demonstration of a Novel Spectral Amplitude Coding OCDMA Code for Suppression Phase Intensity Induced Noise
Hilal Adnan Fadhil,S. A. Aljunid,R. B. Ahmad
Journal of Communications , 2009, DOI: 10.4304/jcm.4.1.3-7
Abstract: A new code for spectral-amplitude coding optical code-division multiple-access system is proposed called Random diagonal (RD) code. This code is constructed using code segment and data segment. One of the important properties of this code is that the cross correlation at data segment is always zero, which means that Phase Intensity Induced Noise (PIIN) is reduced. For the performance analysis, the effects of phase-induced intensity noise, shot noise, and thermal noise are considered simultaneously. Bit-error rate (BER) performance is compared with Hadamard and Modified Frequency Hopping (MFH) codes. It is shown that the system using this new code matrices not only suppress PIIN, but also allows larger number of active users compare with other codes. Simulation results shown that using point to point transmission with three encoded channels, RD code has better BER performance than other codes, also its found that at 0 dbm PIIN noise are 10-10 and 10-11 for RD and MFH codes respectively.
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