Ongoing projects

19 studies in progress, 4 of them randomised trials and 4 led as first author. The main ones are laid out like a trial registry record: the question first, then design, setting and my role.

  1. Randomised trials

    National Science Bowl Pakistan trial

    Does competing in a science competition change a low-income student’s engagement, performance and career aspirations, or does it only reward students who were already going to succeed?

    Full title
    Evaluating the impact of the National Science Bowl Pakistan (NSB-P) programme on high school students’ STEM engagement, performance and career aspirations: a randomised controlled trial
    Design
    Randomised controlled trial, randomised at school level
    Status
    Implementation and data collection, phased rollout through 2026
    Setting
    185 schools of The Citizens Foundation, Pakistan; with the Centre for Economic Research in Pakistan (CERP)
    Team
    Salar H, Salar M, Asim M, Kumari V, Khwaja A, Khwaja AI (principal investigator, Harvard Kennedy School), Syed M
    My role
    First author and research team member. Co-wrote the funded proposal and co-authored the product requirements for the trial’s competition app with CERP Labs.
    Funding
    The Agency Fund, Global Math Talent Grant (US$183,796, April 2023)

    More on this project

  2. Randomised trials

    Neonatal trial: oscillatory versus nasal ventilation as first support for preterm infants

    Can a less invasive form of oscillatory support keep preterm infants with respiratory distress syndrome off the ventilator as well as standard nasal ventilation?

    Full title
    Non-invasive high-frequency oscillatory ventilation versus nasal intermittent mandatory ventilation as primary respiratory support in preterm neonates with respiratory distress syndrome: a non-inferiority randomised controlled trial
    Design
    Non-inferiority randomised controlled trial in preterm neonates
    Status
    In progress
    Setting
    Neonatal intensive care unit, Aga Khan University Hospital, Karachi
    Team
    Naz H, Rizvi A, Ul Ain N, Hussain M, Salar H, Salar M. Principal investigator: Dr Ali Shabbir Hussain
    My role
    Co-author
  3. Randomised trials

    Neonatal trial (NOV-A): oscillatory versus nasal ventilation after extubation

    After extubation, which non-invasive mode better prevents re-intubation in infants born at 26 weeks or later?

    Full title
    Effectiveness of non-invasive high-frequency oscillatory ventilation versus nasal intermittent mandatory ventilation as post-extubation respiratory support in neonates born at ≥26 weeks’ gestation: a randomised clinical trial (NOV-A)
    Design
    Randomised clinical trial in neonates born at 26 weeks or later
    Status
    In progress
    Setting
    Neonatal intensive care unit, Aga Khan University Hospital, Karachi
    Team
    Naz H, Kumar V, Rizvi A, Ul Ain N, Shaikh IR, Salar H, Salar M. Principal investigator: Dr Ali Shabbir Hussain
    My role
    Co-author
  4. Randomised trials

    TANS: topical tranexamic acid in children’s heart surgery

    Does tranexamic acid applied directly to the surgical field reduce bleeding after open-heart surgery in children, compared with saline?

    Full title
    Effect of topical tranexamic acid vs. normal saline on post-operative bleeding in pediatric open-heart surgery: a double-blinded randomized controlled trial (TANS trial)
    Design
    Double-blind randomised controlled trial
    Status
    Ongoing
    Team
    Salar H, Salar M, Shahabuddin S
    My role
    First author
  5. Computational medicine

    Opportunistic CT screening in COPD

    Can chest CTs that patients with COPD already have be read automatically for bone density and muscle loss, to find people at risk of fracture who never get a DXA scan?

    Full title
    Automated assessment of vertebral bone mineral density, spinal sarcopenia and fracture risk from chest CT in chronic obstructive pulmonary disease
    Design
    Multi-cohort imaging study using deep learning segmentation (NIH grant proposal in development)
    Status
    Grant proposal in development, 2026
    Setting
    MESA, COPDGene, CARDIA and RURAL cohorts
    Team
    Demehri Lab, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine (Dr Shadpour Demehri)
    My role
    Contributed to the research strategy and methods of the NIH proposal, and to the segmentation and machine learning work: 3D thoracic vertebral segmentation (T1 to T10) with modified TotalSegmentator and nnU-Net, HU calibration, volumetric BMD and paraspinal muscle features.
  6. Observational and clinical studies

    A scoring tool for conference abstracts

    Can a structured checklist give reliable scores when most of a conference’s abstract reviewers are students, and how many reviewers does each abstract need?

    Full title
    Development and evaluation of a structured conference abstract scoring tool for capacity development in peer review
    Design
    Instrument development and psychometric evaluation (content validity, inter-rater and test–retest reliability)
    Status
    Manuscript under revision
    Setting
    International Student Research Conference 2024, Aga Khan University, Karachi
    Team
    Student Research Forum, the Aga Khan University
    My role
    Developed the abstract scoring criteria and led the validation study
  7. Computational medicine

    COVID-19 host transcriptomics

    Which host immune pathways separate COVID-19 patients from healthy controls once viral and microbial reads are removed?

    Full title
    Nasopharyngeal transcriptomic profiling of unvaccinated COVID-19 patients reveals translational shutdown, mucosal immune suppression, and convergence on neurodegenerative pathway gene sets
    Design
    Secondary analysis of public RNA-seq data (GSE152075)
    Status
    Manuscript in preparation
    Team
    Salar H, Salar M, Hasan Z. Hasan Lab, Department of Pathology and Laboratory Medicine, Aga Khan University
    My role
    First author. Designed the pipeline: Kraken2 and DIAMOND read filtering, STAR alignment to GRCh38, featureCounts, DESeq2 differential expression, GO and KEGG enrichment.

Also in progress

  1. Sustainability analyses in trials

    Why do so few randomised trials report their environmental footprint, and what would trialists need to start?

    Assessment of awareness, perceptions, and barriers to environmental sustainability analyses in healthcare randomized controlled trials: a global survey of corresponding authors

    Design
    Global cross-sectional survey
    My role
    First author
    Team
    Salar H, Salar M, Martins RS
  2. AI-estimated ejection fraction from ECGs

    Does an AI model that estimates ejection fraction from a 12-lead ECG hold up in a Pakistani hospital population?

    Retrospective validation of the PMCardio AI to estimate left ventricular ejection fraction from 12-lead ECG at Aga Khan University Hospital, Karachi

    Design
    Retrospective diagnostic validation study
    My role
    Co-author
    Team
    Ahmad R, Salar M, Salar H, Mahmud O, Baloch F
  3. Gender bias in clinical language models

    Do large language models used in clinical settings reproduce gender bias, and how has that been measured?

    Inequality, coded: a systematic review evaluating gender bias in large language models used in healthcare

    Design
    Systematic review
    My role
    Second author
    Team
    Salar M, Salar H, Hanif S, Samad Z (senior author)
  4. Anticoagulation after AF ablation

    What does the trial evidence actually say about stopping or continuing anticoagulation after AF ablation?

    Anticoagulation after atrial fibrillation ablation: an umbrella review with a source-verified randomized trial synthesis

    Design
    Umbrella review with randomised trial synthesis
    My role
    Co-author
    Team
    Jaffer YA, Khan MU, Durrani AD, Ahmad A, Salar M, Salar H, Salar T
  5. Disparities in cardiothoracic surgery research

    At which step of publishing do women and authors from low- and middle-income countries fall behind in cardiothoracic surgery?

    Gender and geographic disparities in cardiothoracic surgery research arise at journal placement, not at citation

    Design
    Bibliometric analysis
    My role
    Co-author
    Team
    Ahmed A, Salar M, Anees M, Ayaz I, Shamair, Khan H, Ahmed M, Salar H, Fatimi A, Fatimi S
  6. Dry eye after cataract surgery

    How often does each cataract technique leave patients with dry eye disease?

    Incidence of dry eye disease following manual small incision cataract surgery (MSICS), phacoemulsification, and femtosecond laser-assisted cataract surgery (FLACS): a systematic review and meta-analysis

    Design
    Systematic review and meta-analysis
    My role
    Second author
    Team
    Salar M, Salar H, Ahmad A, Saroya A, Mateen S, Faisal O
  7. Drug treatment for MASLD

    Which drugs now treat steatohepatitis and liver fibrosis in metabolic liver disease, and which are close?

    Emerging and established pharmacotherapies for steatohepatitis and hepatic fibrosis in MASLD: a clinical review

    Design
    Clinical review
    My role
    Co-author
    Team
    Mateen S, Khalid A, Salar H, Salar M, Mahmud O
  8. The 100 most-cited JBJS articles

    Which orthopaedic papers have shaped the field most, and what do they have in common?

    Top 100 cited articles from The Journal of Bone and Joint Surgery (JBJS): a bibliometric analysis

    Design
    Bibliometric analysis
    My role
    Co-author
    Team
    Ali U, Taufiq U, Salar M, Salar H, Masri B, Noordin S
  9. Spending and survival in sepsis

    How does what a hospital spends on a patient with sepsis relate to whether they survive?

    Non-linear association between healthcare expenditure and in-hospital mortality in sepsis: a retrospective cohort study from a Pakistani tertiary care center

    Design
    Retrospective cohort study
    My role
    Co-author
    Team
    Umer A, Salar M, Salar H, Muzammil M, Arshad A
  10. Antimicrobial use in sepsis

    Which antimicrobials are patients with sepsis given, and how closely does that follow stewardship guidance?

    Patterns of antimicrobial utilization in sepsis-coded patients

    Design
    Retrospective cohort study
    My role
    Co-author
    Team
    Umer A, Salar M, Salar H, Muzammil M, Arshad A
  11. Mask-wearing and facial skin

    Do university students keep wearing masks once they link them to skin changes?

    Knowledge, attitude, and practices towards the continuation of mask-wearing with respect to facial skin changes among university students of Pakistan: a cross-sectional study

    Design
    Nationwide cross-sectional survey
    My role
    Co-author
    Team
    Fazal ZZ, Kumari S, Fatima SK, Salar M, Salar H, Usmani BA, Rani M
  12. Mask-related skin changes and self-image

    Do skin changes from mask-wearing affect how adolescents see themselves?

    Does mask-induced facial dermopathy have an impact on the self-image of adolescents? A cross-sectional study

    Design
    Cross-sectional survey
    My role
    Co-author
    Team
    Fazal ZZ, Kumari S, Fatima SK, Salar M, Salar H, Usmani BA, Rani M