Browsing by Author "Masood, Shadab"
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Publication Gap Assessment of Calories Prescribed Versus Calories Delivered to Critically Ill Paediatric Patients(Perinatal Society of Nepal (PESON), 2024) Awan, Maheen; Zahid, Asna; Rashid, Junaid; Masood, Shadab; Latif, AnamAbstract: Introduction: In critically ill pediatric patients, determination and delivery of accurate calories is a prerequisite for positive clinical outcomes. Gap between calories prescribed and delivered are a major cause of longer hospitalization and malnutrition. Methods: 100 patients from PICU receiving feeds through naso-gastric or post-pyloric tubes were recruitted in the study. Patients were divided into three age groups. Age, gender, diagnosis, weight, height, BMI/ z-scores for age, EER, nutritional status, calories prescribed, delivered and the main barriers affecting the delivery of calories were determined. Results: Out of 100 participants, 46 were severely malnourished according to WHO z-scores and 55 were severely malnourished according to SGA score. 24% of the patients met EER whereas 39% patients met prescribed calories, as the difference was less than 15 kcal/kg/day. The major feeding barrier was fluid restriction that affected 55% of the patients. Conclusion: A large number of patients did not receive prescribed calories due to several interruptions. Protocols should be devised to address barriers in delivery of nutrition.Publication Infantile Hypertrophic Pyloric Stenosis in an Infant with Tetralogy of Fallot: Association or Coincidence? Authors(Nepal Paediatric Society (JNPS), 2023) Masood, Shadab; Shaukat, Ifrah; Ahmad, Saed Aftab; Ahmed, Tahir MasoodAbstract: Infantile hypertrophic pyloric stenosis is an important cause of vomiting in apparently healthy infants, typically between 2-8 weeks of life. It mostly occurs as an isolated abnormality but there are cases reported to be associated with congenital anomalies. We report a case in a 2-months-old infant who presented with non-bilious vomiting associated with feeding for 15 days. He was already diagnosed to have pink Tetralogy of Fallot. He was diagnosed as a case of hypertrophic pyloric stenosis on the basis of ultrasonography and barium studies, and underwent pyloromyotomy. Post-operative recovery was uneventful and he has no associated complications on follow-up.Publication Zoledronic Acid in Treatment of Calcinosis in a boy with Juvenile Dermatomyositis – A Case Report(Perinatal Society of Nepal (PESON), 2024) Jabeen, Fazaila; Masood, Shadab; Naz, SamiaAbstract: Calcinosis cutis is one of the dermatological manifestations of juvenile dermatomyositis. We present a case of an eight year old boy who presented with proximal myopathy, Gottron papules and heliotrope rash. Raised muscle enzymes and electromyography confirmed the diagnosis of juvenile dermatomyositis; and treatment started with steroids and methotrexate. Patient had poor compliance and three years later, presented with multiple calcinotic lesions over lower abdomen, buttocks and thighs. Due to lack of improvement in calcinosis after six months of treatment with steroids and methotrexate; 3-monthly zoledronic acid and fortnightly etanercept were started. After one year, patient is in remission with improved calcinosis.