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Majumdar D, Mohammed SS, Naseer MA, Jacob J, Mohan R, Ebenezer SB, Al Najar B, Al-Janahi S, Ramanathan V, Sabt SA, Patnaik RS, Hassan A. Respiratory gated simultaneous integrated boost-intensity modulated radiotherapy (SIB-IMRT) after breast conservative surgery for carcinoma of the breast: The Salmaniya Medical complex experience. Gulf J Oncolog 2011:53-59. [PMID: 21724530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2011] [Indexed: 05/31/2023]
Abstract
PURPOSE To present our clinical experience using SIB-IMRT Technique for Intact Breast cancer. MATERIALS AND METHODS A retrospective review of 45 cases of Stage I-IV breast cancer patients treated with SIB-IMRT with respiratory gating after Conservative treatments from 25th November 2008 to 16th February 2010. The most common fractionation was 1.8 Gy to Ipsilateral Breast tissue and 2.2 Gy to the lumpectomy cavity giving whole breast dose as 50.4 Gy and Lumpectomy cavity dose as 61.6 Gy over 28 fractions concomitantly. Respiratory gating was done and CT-images were taken in inspiratory breath hold position. RESULTS A total of 45 patients with breast cancer - stage I (17.7%), II (71%), III (8.9%), IV (2.2%) were treated with SIB- IMRT with respiratory gated radiotherapy. Out of 45 patients, 24 are of left sided breast cancer and 21 are of right sided breast cancer patients. The median, Dose maximum (D-max) in SIB-IMRT is 106.2% of prescribed lumpectomy site dose. The median isodose line prescribed to PTV-2 is 100%. The Conformity index (CI) is 0.9688 (median value) and Homogeneity index (HI) 1.06 (median). The median ipsilateral lung, mean dose is 21.66 Gy and V-20 is 37.4%. For left sided cases the median value of mean heart dose, V-30 and V-40 are 22.98 Gy, 23.45% and 9.45 % respectively. Acute skin toxicity was of Grade-I in 2.2 %, Grade-II in 64.4 %, Grade-III in 31.1 %, and Grade-IV in 2.2 %. The global Breast cosmoses were seen excellent in majority (93%) of case at median follow up of 8 months duration. CONCLUSIONS Breast SIB-IMRT Technique is feasible and comparable with other treatment techniques with reduced treatment duration by six fractions. At median follow up of 8 months the skin toxicity and cosmoses are excellent in high percentage of cases.
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Mohmad AH, Hassan A. Correlation between Retinopathy, Nephropathy and Peripheral Neuropathy among Adult Sudanese Diabetic Patients. SUDAN JOURNAL OF MEDICAL SCIENCES 2011. [DOI: 10.4314/sjms.v6i1.67273] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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278
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Abbasi S, Imtiaz A, Usman J, Kaleem F, Hassan A. Evaluation of the current trend of nalidixic acid susceptibility in typhoidal Salmonellae; a marker of therapeutic failure for the fluoroquinolones. IRANIAN JOURNAL OF MICROBIOLOGY 2011; 3:80-3. [PMID: 22347587 PMCID: PMC3279808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
BACKGROUND AND OBJECTIVES Typhoid is a major health problem faced by the developing countries like Pakistan. More than 20 million cases are reported annually worldwide. Currently fluoroquinolones are the drugs of choice to treat typhoid fever. In vivo resistance to fluoroquinolones leading to therapeutic failure is developing rapidly and is becoming a major concern for the clinicians. The objective of this study was to determine the sensitivity pattern of Nalidixic acid over the last four years MATERIAL AND METHODS A descriptive cross sectional study was carried out at the Microbiology Department of the Army Medical College, National University of Sciences and Technology, Rawalpindi from January 2006 to December 2009. All the isolates were dealt with standard microbiological procedures. The antimicrobial sensitivity of Nalidixic acid and Ciprofloxacin was determined using Kirby-Bauer disc diffusion method as per the guidelines of Clinical and Laboratory Standard Institute (CLSI). RESULTS Out of 240 isolates, 111 were Salmonella typhi and 129 were Salmonella paratyphi A. The resistance of the typhoidal Salmonella to Nalidixic acid has reached significant levels and it seems only a matter of time when hundred percent resistance will be encountered. All isolates were sensitive to Ciprofloxacin on disc diffusion method. CONCLUSION Resistance to Nalidixic acid predicting therapeutic failure with fluoroquinolones is on a steady rise.
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Hassan A, Gad HM, Mostafa T. Radiologically assessed testicular changes in infertile males with varicocele. Andrologia 2011; 43:307-11. [PMID: 21615451 DOI: 10.1111/j.1439-0272.2010.01073.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
The aim of this study was to assess vascular disturbances in the testis of infertile males associated with varicocele. In total, 124 consecutive male subjects were divided into the following groups: healthy fertile controls (n = 10), Gp1 (n = 28); infertile males with subclinical varicocele, Gp2 (n = 26); infertile males with grade I left varicocele, Gp3 (n = 28); infertile males with grade II left varicocele and Gp4 (n = 32); infertile males with grade III left varicocele. They were subjected to colour duplex for pampiniform plexus and scrotal scintigraphy. There was significant decrease in arterial blood velocity, testicular arterial diameters and testicular perfusion especially in high grade varicocele compared with healthy controls. The mean vein diameter demonstrated significant negative correlation with arterial diameter, arterial blood velocity, perfusion index, testicular size and significant positive correlation with perfusion index. The mean testicular size demonstrated significant positive correlation with arterial blood velocity, perfusion index and nonsignificant correlation with arterial diameter. It is concluded that there are significant decreases in testicular volume, testicular perfusion, blood velocity and testicular artery diameter in infertile males with varicocele.
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Hassan A, Bower J, Kumar N, Matsumoto J, Fealey R, Josephs K, Ahlskog J. Dopamine agonist-triggered pathological behaviors: Surveillance in the PD clinic reveals high frequencies. Parkinsonism Relat Disord 2011; 17:260-4. [DOI: 10.1016/j.parkreldis.2011.01.009] [Citation(s) in RCA: 72] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2010] [Revised: 01/12/2011] [Accepted: 01/14/2011] [Indexed: 11/17/2022]
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Yassin A, Al-asad S, Abdulmonim A, Hashim A, Hassan A. Sudanese infant with Fraser syndrome. SUDAN JOURNAL OF MEDICAL SCIENCES 2011. [DOI: 10.4314/sjms.v5i4.64502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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282
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Hassan A. Wound healing potential of the ethanolic extracts of Bidens pilosa and Ocimum suave. ACTA ACUST UNITED AC 2011. [DOI: 10.5897/ajpp10.266] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Ibrahim SS, El-Shaaer HM, Hassan A. Synthesis and Reactions of Some 2-Methyl-4-oxo-4 H -1-benzopyrans and 2-Methyl-4-oxo-4 H -1-benzo[ b ]-thiopheno[3,2- b ]pyrans. PHOSPHORUS SULFUR 2010. [DOI: 10.1080/10426500210228] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Kaleem F, Abbasi S, Usman J, Hassan A. P04.03 A case of isolation of an unusual pathogen from ascitic fluid. J Hosp Infect 2010. [DOI: 10.1016/s0195-6701(10)60051-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kaleem F, Usman J, Roz Uddin K, Omair M, Khalid A, Hassan A. P04.02 A case of Mycobacterium fortuitum causing surgical site wound infection. J Hosp Infect 2010. [DOI: 10.1016/s0195-6701(10)60050-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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286
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Flatt J, Musa R, Ayob Y, Hassan A, Asidin N, Yahya N, Mathlouthi R, Anstee D, Bruce L. A new case of -D-: Mutation in RHCE and its effect on the Rh protein macrocomplex. Transfus Clin Biol 2010. [DOI: 10.1016/j.tracli.2010.06.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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287
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Al Dossary S, Sarkis P, Hassan A, Ezz El Regal M, Fouda A. Obesity in Saudi children: a dangerous reality. EASTERN MEDITERRANEAN HEALTH JOURNAL 2010. [DOI: 10.26719/2010.16.9.1003] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Al-Dossary SS, Sarkis PE, Hassan A, Ezz El Regal M, Fouda AE. Obesity in Saudi children: a dangerous reality. EASTERN MEDITERRANEAN HEALTH JOURNAL = LA REVUE DE SANTE DE LA MEDITERRANEE ORIENTALE = AL-MAJALLAH AL-SIHHIYAH LI-SHARQ AL-MUTAWASSIT 2010; 16:1003-1008. [PMID: 21218729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Obesity among children is an increasing concern. This cross-sectional study in 2006 determined the prevalence and demographic characteristics of overweight and obesity in children in the Eastern province of Saudi Arabia. A total of 7056 children (aged 2-18 years) were selected from schools and the outpatient department of a hospital. The overall prevalence of overweight was 19.0% and of obesity was 23.3%. More than 50% of children between 14 and 18 years had weight above the 85th percentile. More males than females were obese by ages 14-18 years (35.6% versus 19.2%). Saudi and non-Saudi nationalities had the same distribution of body mass index. Interventions to encourage healthier lifestyles for children are needed at the national level.
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Kaleem F, Usman J, Hassan A, Omair M, Khalid A, Uddin R. Sensitivity pattern of methicillin resistant Staphylococcus aureus isolated from patients admitted in a tertiary care hospital of Pakistan. IRANIAN JOURNAL OF MICROBIOLOGY 2010; 2:143-6. [PMID: 22347563 PMCID: PMC3279784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND AND OBJECTIVES Methicillin resistant Staphylococcus aureus (MRSA) is a major nosocomial pathogen causing significant morbidity and mortality. The aim of this study was to evaluate in vitro activities of different antibiotics against methicillin resistant Staphylococcus aureus. MATERIALS AND METHOD The study was conducted over a period of one year (January 2009 - December 2009) in the Department of Microbiology, Army Medical College, the National University of Sciences and Technology, Pakistan. One hundred and thirty-nine Methicillin resistant Staphylococcus aureus isolated from the clinical specimens at Rawalpindi Military Hospital were subjected to in vitro susceptibility against various antimicrobials using Kirby Bauer disc diffusion technique. RESULTS All the isolated MRSA organisms were uniformly susceptible to vancomycin, linezolid and tigecycline. Other drugs which were found to be effective were chloramphenicol, and rifampacin. Most of the MRSA were isolated from pus samples. CONCLUSION Vancomycin, tigecycline and linezolid were effective against methicillin resistant strains of S.aureus. This study suggests that chloramphenicol and rifampacin also have good in vitro efficacy for methicillin resistant S. aureus infections. Oral dosing option for linezolid, chloramphenicol and rifampacin can allow earlier discharge of hospitalized patients and thus reduce health care expenses as well as help reduce the chances of vancomycin resistant strains emergence.
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Kaleem F, Usman J, Hassan A, Khalid A, Omair M, Uddin R. PP-029 Efficacy of linezolid against multidrug resistant Gram-positive bacteria. Int J Infect Dis 2010. [DOI: 10.1016/s1201-9712(10)60097-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Kaleem F, Usman J, Hassan A. PP-210 Comparison of minimum inhibitory concentrations of different fluoroquinolones against respiratory pathogens. Int J Infect Dis 2010. [DOI: 10.1016/s1201-9712(10)60278-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Hassan A, Usman J, Kaleem F. PP-014 Antibiogram of carbapenem resistant Acinetobacter (CRA) isolated from a tertiary care hospital. Int J Infect Dis 2010. [DOI: 10.1016/s1201-9712(10)60082-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Kaleem F, Usman J, Hassan A. PP-016 Is tigecycline a solution for metallo-β-lactamase producing carbapenem resistant organisms? Int J Infect Dis 2010. [DOI: 10.1016/s1201-9712(10)60084-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Kaleem F, Usman J, Hassan A. PP-003 Determination of vancomycin minimum inhibitory concentrations against methicillin resistant Staphylococcus aureus to find out its efficacy in our set up. Int J Infect Dis 2010. [DOI: 10.1016/s1201-9712(10)60071-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Hassan A, Usman J, Kaleem F. PP-042 Comparison of three methods for the detection of biofilm forming microorganisms isolated from a tertiary care hospital in Pakistan. Int J Infect Dis 2010. [DOI: 10.1016/s1201-9712(10)60110-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Kaleem F, Usman J, Hassan A, Khalid A. PP-004 Comparison of in vitro efficacy of linezolid, tigecycline and chloramphenicol against methicillin resistant Staphylococcus aureus (MRSA) isolated from tertiary care hospital of Pakistan. Int J Infect Dis 2010. [DOI: 10.1016/s1201-9712(10)60072-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Kaleem F, Usman J, Hassan A. OL-007 Future treatment options for multidrug resistant and nalidixic acid resistant typhoidal Salmonellae. Int J Infect Dis 2010. [DOI: 10.1016/s1201-9712(10)60011-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Hassan A, Whately C, Letts M. The orthopaedic manifestations and management of children with Stüve-Wiedemann syndrome. ACTA ACUST UNITED AC 2010; 92:880-4. [DOI: 10.1302/0301-620x.92b6.23486] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Stüve-Wiedemann syndrome is an autosomal-recessive disorder characterised by bowing of the long bones, progressive scoliosis, episodic hyperthermia and respiratory distress, usually resulting in death in infancy. We reviewed five children with the condition who had been followed since birth and who survived into childhood with a mean age at operation of 7.8 years (5 to 14). There was marked functional impairment with dysplasia of the long bones and scoliosis. Treatment of the triplanar deformities of the femora involved the use of the Ilizarov technique with the Taylor Spatial Frame. Walking was preserved and improved in three children along with considerable enhancement of the appearance. Early insertion of a growing rod to control the progressive juvenile scoliosis was beneficial. The use of the Taylor Spatial Frame is strongly recommended to address the major complex deformities of the lower limbs which are encountered in this condition and to prevent their progression.
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Zalata A, Hassan A, Christophe A, Comhaire F, Mostafa T. Cholesterol and desmosterol in two sperm populations separated on Sil-Select gradient. INTERNATIONAL JOURNAL OF ANDROLOGY 2010; 33:528-35. [PMID: 19490187 DOI: 10.1111/j.1365-2605.2009.00961.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Sperm lipids are important for sperm viability, maturity and function. This study aimed to identify cholesterol and desmosterol composition of human spermatozoa of two sperm populations separated on Sil-Select gradient. Forty-eight males were divided into four groups namely healthy men (n = 13), asthenozoospermia (n = 11), asthenoteratozoospermia (n = 10) and oligoasthenoteratozoospermia (n = 14). Sperm cholesterol and desmosterol were estimated in two human sperm population separated by centrifugation in a discontinuous Sil-Select gradient. The results showed that cholesterol and desmosterol were the major sterols in human spermatozoa. Spermatozoa recovered from upper/lower layer interface (fraction I) had low fertilization potential, while those from the base (fraction II) had high fertilization potential. Median values of cholesterol and desmosterol in fraction I were 2.55 micromol and 0.77 micromol/10(9) spermatozoa and in fraction II were 1.16 micromol and 0.27 micromol/10(9) spermatozoa. Cholesterol/desmosterol ratio was significantly higher in fraction II than I (4.8 vs. 3.2, p < 0.01). Cholesterol, desmosterol, total phospholipids and sterols/phospholipids were negatively correlated with sperm concentrations, sperm motility, linear velocity, normal sperm morphology and acrosome reaction percentage whereas cholesterol/desmosterol ratio was positively correlated with these parameters. It is concluded that the difference in sterol composition of sperm subpopulations separated on Sil-Select gradient suggests that composition of sterols is related to sperm functions.
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Zayed SMAD, Elghamry MI, Hassan A. Estrogenic Substances from Egyptian Glycyrrhiza Glabra III. Separation and Estrogenic Potency of the Phenolic Constituents. ACTA ACUST UNITED AC 2010. [DOI: 10.1111/j.1439-0442.1964.tb00206.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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