Dr. Salman Assad, M.D. - Marshall University School of Medicine

Dr. Salman Assad

M.D.

Marshall University School of Medicine

United States, West Virginia | United States

Main Specialties: Critical Care Medicine, Neurology, Neuromuscular Medicine, Neuroradiology, Radiology-Diagnostic, Vascular & Interventional Radiology

Additional Specialties: Neurocritical care & Interventional Neurology

ORCID logohttps://orcid.org/0000-0002-5830-9997

Dr. Salman Assad, M.D. - Marshall University School of Medicine

Dr. Salman Assad

M.D.

Introduction

Graduated Med School : December 2015

Primary Affiliation: Marshall University School of Medicine - United States, West Virginia , United States

Specialties:

Additional Specialties:

Research Interests:

Education

Dec 2010 - Dec 2015
Shifa College of Medicine
M.D, M.B.B.S

Experience

Jan 2018
Marshall University School of Medicine
Resident Physician
Department of Neurology and Neurosciences

Publications

30Publications

409Reads

154Profile Views

5PubMed Central Citations

Abdominal Epilepsy Masked with Hiccups in a Patient with Intracranial Malignant Glioma.

Cureus 2019 Dec 10;11(12):e6338. Epub 2019 Dec 10.

Internal Medicine, Nawaz Sharif Medical College, University of Gujrat, Gujrat, PAK.

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http://dx.doi.org/10.7759/cureus.6338DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952048PMC
December 2019

Toxic Encephalopathy After Relapsed Indolent Non-Hodgkin's Lymphoma Following Abrupt Discontinuation of Idelalisib (ZYDELIG®).

Cureus 2019 Feb 11;11(2):e4043. Epub 2019 Feb 11.

Oncology, Marshall University School of Medicine, Huntington, USA.

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http://dx.doi.org/10.7759/cureus.4043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464486PMC
February 2019
2 Reads

Frequency of Ischemic Stroke Subtypes Based on Toast Classification at a Tertiary Care Center in Pakistan.

Asian J Neurosurg 2018 Oct-Dec;13(4):984-989

Department of Neurology, Shifa International Hospital, Islamabad, Pakistan.

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http://dx.doi.org/10.4103/ajns.AJNS_365_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208235PMC
November 2018
26 Reads

Novel and Conservative Approaches Towards Effective Management of Plantar Fasciitis.

Cureus 2016 Dec 5;8(12):e913. Epub 2016 Dec 5.

Surgery, ARH Regional Healthcare Center/University of Kentucky College of Medicine.

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http://dx.doi.org/10.7759/cureus.913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5215813PMC
December 2016
25 Reads
1 Citation

A Non-invasive 24 Hours Stabilization of Duodenal Ulcer Perforation by a Combination Regimen.

Cureus 2016 Dec 1;8(12):e908. Epub 2016 Dec 1.

Department of Medicine, Shifa International Hospital, Islamabad, Pakistan.

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http://dx.doi.org/10.7759/cureus.908DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5208553PMC
December 2016
6 Reads

Importance of Mean Red Cell Distribution Width in Hypertensive Patients.

Cureus 2016 Nov 29;8(11):e902. Epub 2016 Nov 29.

Department of Internal Medicine, Military Hospital, Rawalpindi, Pakistan.

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http://dx.doi.org/10.7759/cureus.902DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5208582PMC
November 2016
33 Reads

Refractory Case of Takayasu Arteritis in a Young Woman: A Clinical Challenge.

Cureus 2016 Nov 9;8(11):e872. Epub 2016 Nov 9.

Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan.

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http://dx.doi.org/10.7759/cureus.872DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154399PMC
November 2016
20 Reads

Role of Intraoperative Nerve Monitoring During Parathyroidectomy to Prevent Recurrent Laryngeal Nerve Injury.

Cureus 2016 Nov 15;8(11):e880. Epub 2016 Nov 15.

Department of Urology, Nawaz Sharif Medical College, University of Gujrat.

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http://dx.doi.org/10.7759/cureus.880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5161260PMC
November 2016
26 Reads

Transitional Vertebra and Spina Bifida Occulta Related with Chronic Low Back Pain in a Young Patient.

Cureus 2016 Oct 19;8(10):e837. Epub 2016 Oct 19.

Department of Internal Medicine, Carthage Area Hospital, New York, USA.

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http://dx.doi.org/10.7759/cureus.837DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5117708PMC
October 2016
27 Reads
1 Citation

Comparison Between Closed Suction Drainage and No Drainage Following Total Knee Arthroplasty in a Tertiary Care Setting in Pakistan.

Cureus 2016 Oct 24;8(10):e842. Epub 2016 Oct 24.

Department of Medicine, Shifa College of Medicine, Islamabad, Pakistan.

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http://dx.doi.org/10.7759/cureus.842DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120967PMC
October 2016
21 Reads

Comparison of Extracorporeal Shock Wave Lithotripsy for Urolithiasis Between Children and Adults: A Single Centre Study.

Cureus 2016 Sep 29;8(9):e810. Epub 2016 Sep 29.

Department of Urology, Shifa International Hospital, Islamabad, Pakistan.

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http://dx.doi.org/10.7759/cureus.810DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5085830PMC
September 2016
19 Reads
1 Citation

Flow Cytometric Analysis: Four-Year Experience in a Tertiary Care Centre of Pakistan.

Cureus 2016 Sep 1;8(9):e764. Epub 2016 Sep 1.

Department of Pathology, Shifa College Of Medicine, Islamabad, Pakistan.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045332PMC
http://dx.doi.org/10.7759/cureus.764DOI Listing
September 2016
29 Reads

Intrameningioma Metastasis: Clinical Manifestation of Occult Primary Lung Carcinoma.

Cureus 2016 Jul 19;8(7):e704. Epub 2016 Jul 19.

Radiology, Shaukat Khanum Memorial Cancer Hospital and Research Center.

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http://dx.doi.org/10.7759/cureus.704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999154PMC
July 2016
29 Reads
1 Citation

Role of sodium-restricted dietary approaches to control blood pressure in Pakistani hypertensive population.

J Pak Med Assoc 2016 Jul;66(7):837-42

Federal Medical and Dental College, Islamabad, Pakistan.

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July 2016
3 Reads
0.403 Impact Factor

Hospital curtains: An undermined source of nosocomial infections.

Indian J Crit Care Med 2016 Jul;20(7):432-3

Department of Critical Care Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.

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http://dx.doi.org/10.4103/0972-5229.186263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4968069PMC
July 2016
2 Reads

Assessment of knowledge of Interventional Radiology Among Medical Students at Pakistani Insitution

REHMAN, I., AHMED, M., ASSAD, S., RAHMAN, M., RAHMAN, D., JEHANGIR, M.. ASSESSMENT OF LEVEL OF AWARE

Journal of Postgraduate Medical Institute

Objectives: To evaluate the level of knowledge and interest in Interventional Radiology (IR) among medical students at a Pakistani Medical Institution. Methods: After ethical review board approval, a cross sectional study was conducted based on a survey distributed among 600 medical students at a Pakistani 5 year medical school. 288 (48 %) responses were received. Survey was based on 16 questions assessing knowledge, interest and perception of Interventional Radiology. Results: Among 288 respondents, 112 (39%) reported poor knowledge re -garding IR; 132 (45%) had never been exposed to IR. Only 46 (16%) students chose to consider a career in IR. Main reasons for not considering a career in IR were lack of knowledge (49 %) or lack of interest (34%). Hundred students (34%) could correctly identify at least one IR procedure; 192 (66%) students were unclear regarding routine duties of Interventional Radiologist as part of a multidisciplinary team; 192 (66%) students stated that a 2 week radiology rotation would be sufficient; 168 (58%) stated that a mandatory 2 week core rotation in IR should be incorporated. IR lectures were rated as the most effective means of learning. Conclusion: Although level of knowledge and exposure to IR among medical students was suboptimal, they showed interest in learning more about this specialty. This deficit needs to be addressed in the undergraduate medical curriculum, not only to attract future innovators for continued growth of this specialty, but also to increase awareness among future referring physicians.

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April 2016
18 Reads

Suture-less Thyroidectomy Using Harmonic Scalpel versus Conventional Thyroidectomy: A Randomized Controlled Trial

Journal of Pakistan Medical Students 6(2):48-51 · April 2016

JPMS

BACKGROUND: The conventional thyroidectomy using knot and tie leads to increased operative time and bleeding but with the advent of harmonic scalpel (HS), which cuts and coagulates the tissues at the same time using a mechanical energy, has significantly decreased the operative time and bleeding. This study assessed to compare the mean operative time and mean post-operative bleeding time in sutureless thyroidectomy using harmonic scalpel with conventional thyroidectomy. METHODS: We conducted a randomized controlled trial at the surgical unit of the Shifa International Hospital and Shifa College of Medicine, Islamabad. Both male and female patients with age of ≥18 years were enrolled in the study. During the period of 6 months, 160 patients were divided equally in HS group (n=80) and conventional thyroidectomy group (n=80) respectively. Patients were enrolled in the study after obtaining informed consent. Patients with re-do thyroidectomies, retrosternal goiter, concomitant neck dissections and known coagulopathies were excluded from trial. The mean operative time and mean post-operative blood loss was recorded. RESULTS: During the six months period (March to August 2014), 160 patients were randomized into two equal groups (n= 80). Of 160 patients with multinodular goiter, 134 (83.8%) were females and 22 (16.2%) were males. The age ranged from 18 to 61 years in both groups with mean age in group A of 42 years (SD=9) and group B of 43 years (SD =9.8).The mean operative time in HS thyroidectomy (Group A) was 76 minutes (SD=9) and conventional thyroidectomy was 116 minutes (SD=16); difference between two groups =40 minutes (P<0.001). The mean post-operative bleeding in HS thyroidectomy was significantly lower as compared to the conventional thyroidectomy group (18.2 ml vs.76.0 ml, P< 0.001). CONCLUSION: Mean operative time and mean post-operative bleeding in thyroidectomy with HS was less as compared to conventional thyroidectomy. Keywords: Conventional thyroidectomy; Harmonic scalpel; Knot and tie

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March 2016
14 Reads

Comparison of extracorporeal shock wave lithotripsy for urolithiasis between children and adults: a single centre study

DOI: 10.1016/j.juro.2016.02.579

American Urological Association-Conference Paper

OBJECTIVE: To retrospectively evaluate the effectiveness of extracorporeal shock wave lithotripsy (ESWL) for urolithiasis and compare the results between children and adults. MATERIALS AND METHODS: From January 2011 to January 2015, ESWL was performed in 102 children and 605 adults for urolithiasis. We used Modulith SL X lithotripter 4th generation Storz medical equipment for ESWL.The stone free rates, number of ESWL sessions required, complication rates and auxiliary procedures used were evaluated in a comparative manner. RESULTS: Mean Stone size was 1.28±61 cm in adults while 1.08 ± 0.59cm in children. Post ESWL stone clearance was 86.60% for children and 69% for the adults. In children group second session was required in 19 (23.5%) patients and third session was required in 3 (3.7%) patients while in adult group 2 sessions in 122 (20.1%) and 3 sessions in 48(7.9%) patients. In adults complications included steinstrasse in 12 patients(1.98%), fever in 30(4.95%), hematuria in 38(6.28%) and sepsis in 12(1.98%) patients while in children steinstrausse in 2 patients(2.5%), mild fever in 2 patients(2.5%) , hematuria in 6 patients(7.4%) and sepsis was seen in 4 patients(4.9%). Complication rates were almost similar in both groups. In ancilliary procedures including DJ stent was used in 13 patients (16.04%) in children while in 29% of adults . CONCLUSION: The results of ESWL for urolithiasis in adults remains inferior to that of children. Children can achieve high stone-free rates. Complication rates were almost similar in both children and adult ESWL group in our study.

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January 2016
344 Reads

Effect of body mass index on operative time, hospital stay, stone clearance, postoperative complications, and postoperative analgesic requirement in patients undergoing percutaneous nephrolithotomy

Turk J Urol. 2015 Dec;41(4):177-80.

Turkish Journal of Urology

OBJECTIVE: To compare the effect of body mass index (BMI) on operative time, hospital stay, stone clearance, postoperative complications, and postoperative analgesic requirement in patients undergoing percutaneous nephrolithotomy (PCNL) by comparing three BMI groups. MATERIAL AND METHODS: This is a retrospective analysis of 129 patients who underwent PCNL from January 2010 to August 2013. All the patients underwent PCNL by a standard technique. The patients were divided into three groups: patients having a BMI ≤24 kg/m(2) were included in the normal group, those having a BMI of 24.1-30.0 kg/m(2) were included in the overweight group, and those having a BMI >30 kg/m(2) were included in the obese group. Three groups were compared for operative time, hospital stay, stone clearance, postoperative complications, and postoperative analgesic requirement. RESULTS: A total of 129 patients including 44 females and 85 males were included with a mean age of 45.00±1.44 years. The mean age in the normal group was 43.29±1.69 years, 47.08±1.29 years in the overweight group, and 43.61±1.25 years in the obese group. The mean stone size in the normal group was 25.46±8.92 mm, 28.01±8.40 mm in the overweight group, and 26.84±7.41 mm in the obese group. Our results showed no statistically significant difference with respect to mean operative time, mean hospital stay, and stone clearance in the normal, obese, and overweight patients undergoing PCNL. Postoperative complications and analgesia requirement were also similar in all the three groups. CONCLUSION: There was no effect of BMI on operative time, hospital stay, stone clearance, postoperative complications, and postoperative analgesic requirement in patients undergoing PCNL. PCNL is a safe and effective procedure for the removal of renal stones in obese patients. KEYWORDS: Body mass index; PCNL; hospital stay; operative time; postoperative analgesic requirement; stone clearance

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December 2015
11 Reads

Rolipram: Eotaxin and phosphodiesterase IV inhibitor versus bronchial hyper-reactivity response

Adv Biomed Res. 2015; 4: 224

Advanced Biomedical Research

I am writing this letter to comment on several previously published articles on the use of phosphodiesterase (PDE) 3 in combination with PDE 4 in patients with bronchial hyper-reactivity.[1,2] These articles suggest the superiority of this combination over conventional treatment; however, as discussed later, rolipram, an investigational PDE 4 inhibitor, may comparatively prove to be more beneficial when used in combination with a beta-agonist and corticosteroids. Bronchial hyper-reactivity responses involve bronchial inflammation characterized by activation and accumulation of dendritic cells, eosinophils, mast cells, macrophages, T-lymphocytes, and tissue remodeling process.[3] Eotaxin, a chemo-attractant, causes up regulation of CD11b, eosinophil accumulation during an allergic response in lungs, and shedding of L-selectin in human eosinophils. Rolipram inhibits CD11b up regulations as well as eotaxin-induced trans-endothelial movement of eosinophils causing inhibition of eosinophil recruitment. In addition, rolipram also inhibit tumor necrosis factor (TNF)-alpha, at both mRNA and protein levels, thus enhancing its anti-inflammatory effects.[4] Moreover, Since PDE 4 enzymes are widely present in the respiratory tract that makes them susceptible to their inhibition by local application therefore inhaled administration of PDE 4 inhibitor has shown considerably more improvement.[5] On the other hand, beta-agonist cause bronchodilation therefore the synergistic effect of beta-agonist with PDE 4 inhibitor is indicated by inhibition of antigen-induced contraction and reduction of increase in vascular permeability which are key factors responsible for the patho-physiology of allergic diseases like asthma.[4] Furthermore, corticosteroids such as dexamethasone and fluticasone also partially reduce the release of eotaxin. The combined use of β2-agonists, rolipram, and steroids abolished TNF-α-induced eotaxin release and hence their combination has additive beneficial effects in the treatment of the eosinophilia associated with asthma and other allergic diseases. Rolipram, being an investigational drug, should be combined with salbutamol and corticosteroids for the management of asthma. In addition, specific eotaxin inhibitors need to be identified that may not only help us to rectify asthmatic problems, but also leads to avoidance of asthmatic exacerbations and most other infections leading to eosinophilia. Go to: REFERENCES 1. Milara J, Navarro A, Almudéver P, Lluch J, Morcillo EJ, Cortijo J. Oxidative stress-induced glucocorticoid resistance is prevented by dual PDE3/PDE4 inhibition in human alveolar macrophages. Clin Exp Allergy. 2011;41:535–46. [PubMed] 2. BinMahfouz H, Borthakur B, Yan D, George T, Giembycz MA, Newton R. Superiority of combined phosphodiesterase PDE3/PDE4 inhibition over PDE4 inhibition alone on glucocorticoid- and long-acting β2-adrenoceptor agonist-induced gene expression in human airway epithelial cells. Mol Pharmacol. 2015;87:64–76. [PubMed] 3. Lucarini L, Pini A, Gerace E, Pellicciari R, Masini E, Moroni F. Poly (ADP-ribose) polymerase inhibition with HYDAMTIQ reduces allergen-induced asthma-like reaction, bronchial hyper-reactivity and airway remodelling. J Cell Mol Med. 2014;18:468–79. [PMC free article] [PubMed] 4. Patel BS, Prabhala P, Oliver BG, Ammit AJ. Inhibitors of PDE4, but Not PDE3, Increase ß2-agonist-induced Expression of Anti-inflammatory MKP-1 in Airway Smooth Muscle Cells. Am J Respir Cell Mol Biol. 2014 ISN1535.4989; DOI: 10.1165. 5. Abbott-Banner KH, Page CP. Dual PDE3/4 and PDE4 inhibitors: Novel treatments for COPD and other inflammatory airway diseases. Basic Clin Pharmacol Toxicol. 2014;114:365–76. [PubMed]

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January 2015
11 Reads

Top co-authors

Usman Ghani
Usman Ghani

King Saud University

6
Shadi Yaghi
Shadi Yaghi

University of Arkansas for Medical Sciences

4
Alicia Bennett
Alicia Bennett

Yale University School of Medicine

4
Kishan Patel
Kishan Patel

Medical College of Wisconsin

4
Tapan Mehta
Tapan Mehta

Nutrition Obesity Research Center

4
Haider Ghazanfar
Haider Ghazanfar

Shifa College of Medicine

4
Pooja Khatri
Pooja Khatri

University of Cincinnati

4
Christopher Streib
Christopher Streib

University of Pittsburgh Medical Center

4