Publication on research gate

‫سبحانك لا عل ام لنا‬ ‫قالو ُ‬ ‫الا ما علامتنا انك انت العلي ُم الحكيم‬ ‫‪Surah Al Baqarah verse 32‬‬

Thank you for giving me permission to express my views.

MY JOURNEY IN THE FIELD OF RESEARCH

• Life events.

• I completed my graduation in 2004 • I commenced my clinic in my village in 2004 • I started duty in government hospital

from January 2007 • Came to Lahore in November 2011 • Started my journey in the field of research in January 2013

• ‫ڈاکٹر رحم با چا‬ ‫الٹراساونڈسپيشلسٹ‬ •

08-Jan-18

•

4

How, I started research? •I want to bring your thinking towards some basic facts.

•It is a natural tendency of some peoples to be researcher minded. But it is also a fact that some trigger is needed to utilize it accurately ‫ڈاکٹر رحم با چا الٹراساونڈسپيشلسٹ‬ 08-Jan-18

5

What and Who is the trigger? •Triggering person will help you in the form of a mentor. •Who accurately identify the researcher mind

•And engage it in research for accurate utilization.

‫ڈاکٹر رحم با چا الٹراساونڈسپيشلسٹ‬ 08-Jan-18

6

Professor Dr. Syed Amir Gilani •I got my mentor in the form of Professor Dr. Syed Amir Gilani


7

Research as a challenge. •Research starts from a problem (challenge). •A researcher solve problems through scientific

tools and methods. •A good researcher has courage to accept every challenge with worm welcome. ‫ڈاکٹر رحم با چا الٹراساونڈسپيشلسٹ‬ 08-Jan-18

8

RESEARCH AS IBADAH (WORSHIP) ‫عبادت کو عبادت سمجھ کے کی جايے‬ •Serve humanity by adding experience to the medical

sciences. •Building up portfolio. (kill two birds with one stone)

•‫عصفوران بحجر واحد‬ ‫ڈاکٹر رحم با چا الٹراساونڈسپيشلسٹ‬ 08-Jan-18

9

Research with scientific perspective •Developing

medicines

new

or

medical

procedures or improving the application of those

already available.

Research with Islamic perspective • ‫ار َ ٰۡل ٰيت ِاۡلُو ِلى‬ ِ ‫ق السمٰ ٰو‬ ِ ‫ض َواخ ِت ََل‬ ِ ‫ت َواۡلَر‬ ِ ‫ف الي ِل َوالن َھ‬ ِ ‫اِن ِفى خَل‬ ‫ب‬ ِ ‫اۡلَلبَا‬

•“Indeed! In the creation Of the heavens and the earth, and in the alternation of Night and Day – There are Signs For those of understanding.” [AlQuran 3:190]

Research with Islamic perspective

•According to the famous physicist and Nobel Prize winner, Albert Einstein, “Science without

religion is lame. Religion without science is blind.”

Research with Islamic perspective

•The Quran is not a book of science but a book of ‘signs’, i.e. ayats. There are more than six

thousand ‘signs’ in the Quran of which many deal with science. Given are 2 major examples:

Research with Islamic perspective Example 1;

ُ ‫ط ۡو ِن ا ُ َّم ٰهتِ ُك ۡم خ َۡلقا ِ نم ۡن بَۡۡ ِِ خ َۡلٍ فِ ۡى‬ ُ ُ‫يَ ۡخلُقُ ُك ۡم فِ ۡى ب‬ ‫ُلُ ٰمت ث َ ٰلث‬ “He creates you in your mothers' wombs, giving you one form after another in threefold depths of

darkness.” [Surah 39 Az-Zumar, Ayat 6-6] Now we know in the era of ultrasound fetus in enclosed in abdominal wall, uterine wall and amniotic membrane

Research with Islamic perspective Example 2; The first sense to develop in a developing human embryo is hearing

‫ص َر َو ْاْل َ ْفئِ َِة َ ۚ قَ ِل ا‬ ‫ون‬ َ ‫َو ُه َو الَّ ِذي أ َ ْن‬ َ ‫يًل َم ت َ ْش ُك ُر‬ َّ ‫شأ َ لَ ُك ُم ال‬ َ ‫س ْم َع َو ْاْل َ ْب‬ “And He is who created For you; hearing, and sight, and minds: [yet] how seldom are you grateful” [Al-Quran 23:78] Now we are able to know with the help of modern equipments that sense of hearing develops first than eyes.

SYNOPSIS •I started my research in 2013 by making my synopsis for the fulfilment of my degree.

It was the time, when I was searching for the meaning of “synopsis” in dictionary. The dilemma remains dilemma


16

What is Synopsis? (Meaning and definition) When is synopsis? (at start or end of research) (if it is merely summery of something)

What is the difference between synopsis and Abstract? Why is synopsis? (purpose of synopsis)

How is Synopsis? (Format, but this question was solved)

Thesis work

•My first work was started from the ultrasound clinic of UOL old campus. •On the topic “DOPPLER ULTRASOUND IN

THE

ASSESSMENT

OF

LOWER

LIMB

PERIPHERAL VEINS” (under process with IMJ)

Thesis Defense

•At 10/10/2013 our thesis defense was conducted at UOL old campus. Among other students I was also succeeded.

•Any by the grace of Almighty Allah I was awarded with Gold Medal in Medical Ultrasound.

Job at Gilani Ultrasound Center and UOL

•Clinical exposure •Academic exposure •Started collection of data

and soon become rich in terms of data.

I had no Idea of publication

Publication on research gate

Publication on research gate

HOD: Do you have any publication? Me: Yes, I have. HOD: Which journal? Me: Research gate. HOD: No. tell me the name of journal volume & issue ?????????????? I don’t know the journal. What is volume? What is Issue? How to publish?

Guiding regarding publication

•I was guided through

the

process

of

publication at a glance. •But all in vain!!!!!!!!!!!

Effort to publish in the journal of AIUM

I sent my thesis to the editor in chief to publish it. It was comprising about 127 pages. The Editor sent me the journal guidelines and advised me to prepare it according the journal format.


It was difficult for me to even read the journal guidelines. I merely eliminated extra litters and sent again.


This time the journal editor advised me to take advantage from any researcher in my country. Because I don’t know even the A, B, C or research and publication.

Disheartened

• ‫پبليکيشن ميرے بس کا کام نہيں‬

‫ہے‬ •It is too difficult job to publish.

Hope •I was collecting data from patient history in the note

book and sonographic data i.e. findings in the machine. •With a hope that one day I’ll got free and learn to publish.

Biostatistics •It is that subject which involve plenty

of mathematics, that’s why I like it. •I learn a lot from Madam. Mehreen

Fatima. •I learn plenty of stuff from and educational group, “youtube”.

Khan

academy

Lecture of biostatistics •I delivered my first official lecture on biostatistics to the students of MS-Ultrasound.

Hope is near to be proved true •Once again I prepared my article on the first thesis, when publication became hurdle in the way of my promotion. •This time Dr. Murtaza MLT Department helped me too much.

Patience at the time of publication •I prepared my article according to

ICMJE

(international

committee of medical journal editors) guideline

•Then sent to IMJ (Isra Medical Journal). Because all the medical journals should obey the ICMJE rules

IMJ return my article for gross changes

•Those gross changes were; to make the article according to the journal style which is given in the journal guidelines.

•Now I realized that I have wasted my time in hurry (Hurry makes worry).

Spontaneous nephrocutanous fistula •I searched for that case in my record book but too difficult. •I got help of my ARDMS student (Iqra Manzoor) and finally find it. •I made this case report according to AIUM guidelines. It was totally new and interesting case for me and I was sure that AIUM will publish it.

Replay from AIUM journal •Decision Letter (JUM-2017-02-0136) •From: [email protected] •To: [email protected] •Subject: Journal of Ultrasound in Medicine - Decision on Manuscript ID JUM-2017-020136 •Dear Dr. Bacha, •I have reviewed your Clinical Letter, and unfortunately, I cannot accept it. The case is well presented, but the ultrasound imaging findings are not unique enough to warrant publication in our journal. •Because of intense competition for space in the journal, only 1 out of 4 submissions can be accepted. •Although I cannot accept your Clinical Letter, I hope that you will submit future work to the Journal of Ultrasound in Medicine. •Sincerely, •Dr. Levon Nazarian, Editor-in-Chief •Journal of Ultrasound in Medicine •[email protected] •Date Sent: 23-Feb-2017

In other journals. • I have tried my this work in other journals as well some of the journals names are listed below: • Journal of Ultrasound in Medicine • New England medical journal • Journal of Ultrasound • Journal of Clinical Ultrasound • Journal of Therapeutic Ultrasound • Journal of Medical Ultrasound •

Journal of Ultrasound Clinics

•

Journal of diagnostic medical sonography

•

Ultrasound quarterly

•

British medical journal

•

Journal of radiology Pakistan

Rejection, rejection and rejection •Disappointed. •On one hand promotion is halted due to non

availability of publication and •On the other hand our work is not challenging

enough to compete the world.

Letter to the editor of JMU • To the editor in chief Journal of medical ultrasound(JMU)

• R/Sir/ Madam, • hope you are fine. • I want to submit a case report with title “Ultrasound finding of Spontaneous Nephrocutaneous fistula”. • It is rejected by multiple journals while having no novelty. Although it is too interesting and novel case in my experience. If you kindly accepting it, I’ll send it to you. • With thanks.

Positive response •I was encouraged by the journal editor and replayed that we’ll guide you if there were some deficiencies. If you are thinking your work is interesting, then we have to appreciate you and your

work.

Reinforced

•Started my journey again

•Destination is not too far, if courage and determination is still remaining.

JMU required some correction •Accepted

by

Ultrasound

quarterly (UQ). •Approved

by

Candy

chin

(Journal of Medical Ultrasound JMU) •Excuse with withdrawal.

My First International publication •Weather it is published in JMU or UQ but ultimately my first work was published internationally. •At this point a question arises, and this question is from all of you. What cause hurdle in the way of our research publication? •Substandard work •Lack of research orientation

•Lack of patience •Others

Replay from AIUM journal after 9 months

•American Institute of Ultrasound in Medicine •Oct 16 •Dear Raham Bacha, •Although your Clinical Letter submission to the Journal of Ultrasound in

Medicine, “Diagnosis Of Spontaneous Nephrocutaneous Fistula With Ultrasound,” wasn’t accepted in the journal—if it hasn’t been accepted elsewhere—we encourage you to submit the case for AIUM Case Challenge.

Manuscript Title: Ultrasound Diagnosis of Spontaneous Nephrocutaneous Fistula

• Correspondence author: Dr. Raham Bacha

• Second author: Prof. Dr. Syed Amir Gilani

• MD, MS Ultrasound (Gold Medalist)

• PhD Ultrasound, DMRD (Gold Medalist)

• Senior

• Dean FAHS, The University of Lahore

Lecturer

Department

(UIRSMIT)

FAHS The University of Lahore • Sonologist Gilani Ultrasound Center

Chairman

BOG

Afro-Asian

www.afroasian.edu.pk

• Afro-Asian institute www.afroasian.edu.pk

• Contact:

• Contact: [email protected]

• Contribution: Supervisor

[email protected]

institute

Abstract •Introduction: Spontaneous nephrocutaneous fistula is a rare complication of renal diseases such as renal calculus, chronic pyelonephritis, stricture of the ureteropelvic junction, renal tuberculosis (TB) and chronic pyelonephritis. Sometimes it can also be expressed as a complication of renal rupture, surgery, renal mass or any other renal interventional procedure.

Abstract •Case report: We reported a case of 30 years old women having spontaneous nephrocutaneous fistula, with ultrasound. Patient came

with the complaint of purulent secretion from the right subcostal margins. She had no history of pain, diabetes, hypertension or any other surgical or interventional procedure. According to the patient history she got pain in right lumber region about ten years back. She underwent IVP but she was diagnosed for right renal stones and renal shout down.

Abstract •Material and method: we examined the patient with ultrasound in supine, right and left decubitus positions, for abdominal and superficial structures according to

the AIUM guidelines. Toshiba xario having Convex and linear transducers with color, power and spectral

Doppler were used for this examination.

Abstract •Case Sonographic findings: We observed multiple stones in the right kidney

with parenchymal rupture. The ruptured site of the kidney contained a stone appearing to have sharp projection and was thought to be the cause of rupture. By following the cutaneous ulcer a communication (fistula) was found with the kidney at rupture site. Now moment of the kidney was detected with respiration, seemingly to be connected with the surrounding perinephric structures. The ruptured show resistive flow but blood flow was present on Doppler examination. Adequate amount of functional renal parenchyma was present. Latter on the Labe analysis of the secretion shows urine contents (asked by Phone)

Abstract

•Conclusions: Chronic renal stones could be the cause

of

renal

rupture

and

spontaneous

nephrocutaneous fistula. Ultrasound is the first line modality to diagnose it with high accuracy.

‫صبر کا امتحان‬

Figure 1: Right renal multiple stones

Figure 2: Nephrocutaneous fistula

Figure 3: Renal segmental arterial waveform

Figure 4; Normal spleen, Urinary bladder contain suspended particles

Figure 5; Left kidney with normal size and blood flow perfusion

Figure 6: Left Renal segmental arterial normal waveform.

It is paid article and its price is $40

For ease you can access it on research gate. Don’t forget to recommend and Cite it while working with any research on ultrasound and Kidney.

Now By the Grace of Almighty Allah and with the prayers of my parents My Achievements.

My Achievements

But PROMOTION !!!!!!!! 08-Jan-18

08-Jan-18

PROMOTION Still remains a Dreadful dream which often wake me up at mid-night

08-Jan-18

‫ يہ وقت‬،‫ميری بےبسی پہ نہ مسکرا‬ ‫وقت کی بات ہے‬ ‫ کبھی‬،‫کبھی ساتھ شمس و قمر چليں‬ ‫سايہ بھی ساتھ چھوڑ دے‬

Do not smile at my helplessness, situations change from time to time. Sometimes, accompany Sun and moon, but another time, leave own shadow too.

Wife can either make you, or break you