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MacGowan GA, Parry G, Hasan A, Schueler S. Editorial Comment: Ventricular assist devices for advanced heart failure: evidence that cannot be ignored. Eur J Cardiothorac Surg 2013; 43:1242-3. [DOI: 10.1093/ejcts/ezs636] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
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Pilurzi G, Hasan A, Saifee TA, Tolu E, Rothwell JC, Deriu F. Intracortical circuits, sensorimotor integration and plasticity in human motor cortical projections to muscles of the lower face. J Physiol 2013; 591:1889-906. [PMID: 23297305 DOI: 10.1113/jphysiol.2012.245746] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Previous studies of the cortical control of human facial muscles documented the distribution of corticobulbar projections and the presence of intracortical inhibitory and facilitatory mechanisms. Yet surprisingly, given the importance and precision in control of facial expression, there have been no studies of the afferent modulation of corticobulbar excitability or of the plasticity of synaptic connections in the facial primary motor cortex (face M1). In 25 healthy volunteers, we used standard single- and paired-pulse transcranial magnetic stimulation (TMS) methods to probe motor-evoked potentials (MEPs), short-intracortical inhibition, intracortical facilitation, short-afferent and long-afferent inhibition and paired associative stimulation in relaxed and active depressor anguli oris muscles. Single-pulse TMS evoked bilateral MEPs at rest and during activity that were larger in contralateral muscles, confirming that corticobulbar projection to lower facial muscles is bilateral and asymmetric, with contralateral predominance. Both short-intracortical inhibition and intracortical facilitation were present bilaterally in resting and active conditions. Electrical stimulation of the facial nerve paired with a TMS pulse 5-200 ms later showed no short-afferent inhibition, but long-afferent inhibition was present. Paired associative stimulation tested with an electrical stimulation-TMS interval of 20 ms significantly facilitated MEPs for up to 30 min. The long-term potentiation, evoked for the first time in face M1, demonstrates that excitability of the facial motor cortex is prone to plastic changes after paired associative stimulation. Evaluation of intracortical circuits in both relaxed and active lower facial muscles as well as of plasticity in the facial motor cortex may provide further physiological insight into pathologies affecting the facial motor system.
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Hasan A, Falkai P, Wobrock T. Transcranial Brain Stimulation in Schizophrenia: Targeting Cortical Excitability, Connectivity and Plasticity. Curr Med Chem 2013. [DOI: 10.2174/092986713804870738] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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104
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Wobrock T, Hasan A, Falkai P. Innovative treatment approaches in schizophrenia enhancing neuroplasticity: aerobic exercise, erythropoetin and repetitive transcranial magnetic stimulation. Curr Pharm Biotechnol 2012; 13:1595-605. [PMID: 22283764 DOI: 10.2174/138920112800784763] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2010] [Revised: 11/12/2010] [Accepted: 11/15/2010] [Indexed: 11/22/2022]
Abstract
Schizophrenia is a brain disorder associated with subtle, but replicable cerebral volume loss mostly prevalent in frontal and temporal brain regions. Post-mortem studies of the hippocampus point to a reduction of the neuropil constituting mainly of synapses associated with changes of molecules mediating plastic responses of neurons during development and learning. Derived from animal studies interventions to enhance neuroplasticity by inducing adult neurogenesis, synaptogenesis, angiogenesis and long-term potentiation (LTP) were developed and the results translated into clinical studies in schizophrenia. Out of these interventions aerobic exercise has been shown to increase hippocampal volume, elevate N-acetyl-aspartate in the hippocampus as neuronal marker, and improve short-term memory in schizophrenia. The hematopoietic growth factor erythropoetin (EPO) is involved in brain development and associated with the production and differentiation of neuronal precursor cells. A first study demonstrated a positive effect of EPO application on cognition in schizophrenia patients. In randomised controlled studies with small sample size, the efficacy of repetitive transcranial magnetic stimulation (rTMS), a biological intervention focussing on the enhancement of LTP, has been shown for the improvement of positive and negative symptoms in schizophrenia,. The putative underlying neurobiological mechanisms of these interventions including the role of neurotrophic factors are outlined and implications for future research regarding neuroprotection strategies to improve schizophrenia are discussed.
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Kerensky T, Hasan A, Schain D, Trikha G, Liu C, Rand K, Soldevila-Pico C, Gupte A. Histopathologic resolution of adult liver transplantation adenovirus hepatitis with cidofovir and intravenous immunoglobulin: a case report. Transplant Proc 2012; 45:293-6. [PMID: 23267812 DOI: 10.1016/j.transproceed.2012.06.059] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2012] [Accepted: 06/19/2012] [Indexed: 11/19/2022]
Abstract
Adenovirus (ADV) infections in adult solid organ transplant recipients, although rare, are associated with high mortality. There are no randomized controlled trials establishing the efficacy of specific treatment modalities. To our knowledge apparent response to treatment with combination therapy with intravenous cidofovir (CDV) and immunoglobulin (IVIG) has only been demonstrated in 2 adult renal transplant recipients in whom ADV was documented in body fluids only. We describe an adult liver transplant recipient diagnosed with ADV hepatitis based on positive immunohistochemical staining of a liver biopsy specimen, positive blood ADV DNA polymerase chain reaction (PCR), and treated with the combination of CDV and IVIG. We demonstrated both clearance of viremia and histopathologic resolution of the hepatitis despite the patient's fatal outcome. To our knowledge this is the only case documenting eradication of tissue-invasive ADV disease in any solid organ transplant recipient using CDV and IVIG. This case provides evidence to support the use of this drug combination, which has many potential toxicities that might discourage its use otherwise.
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Hamada M, Murase N, Hasan A, Balaratnam M, Rothwell JC. The Role of Interneuron Networks in Driving Human Motor Cortical Plasticity. Cereb Cortex 2012; 23:1593-605. [DOI: 10.1093/cercor/bhs147] [Citation(s) in RCA: 540] [Impact Index Per Article: 45.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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107
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Hasan A, Khan H, Sheikh Z, Souayah N. Trends in Outcome and Cost of Hospitalization of Elderly Myasthenia Gravis Patients Treated with Intravenous Immunoglobulin from 1992 to 2009 (P04.098). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p04.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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108
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Cassidy J, Wagh A, Haynes S, Kirk R, Ferguson L, Smith J, Guillen M, Thiru Y, Griselli M, Hasan A. 337 Mechanical Circulatory Support (MCS) as a Bridge to Paediatric Heart Transplant: Does the End Justify the Means? J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.346] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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109
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Cassidy J, Ferguson L, Guillen M, Haynes S, Smith J, Thiru Y, Kirk R, Kesteven P, Griselli M, Hasan A. 821 Heparin Free VADs: Can It Be Done? J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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110
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Perri G, Hasan A, Cassidy J, Kirk R, Haynes S, Smith J, Crossland D, Griselli M. Mechanical circulatory support after paediatric heart transplantation. Eur J Cardiothorac Surg 2012; 42:696-701. [DOI: 10.1093/ejcts/ezs115] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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111
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Brierley J, Hasan A. Aspects of deceased organ donation in paediatrics. Br J Anaesth 2012; 108 Suppl 1:i92-5. [PMID: 22194438 DOI: 10.1093/bja/aer405] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Organ transplantation offers children in acute or chronic severe organ failure similar opportunities to adults. However, while the number who might benefit is relatively low, significantly fewer cadaveric donors exist for any given child compared with an adult. Incompatible organ size and relatively low donation rates mean that despite living parental donation and innovations to reduce donated organ size, children die before organs become available. The severity of the UK situation is compounded by restrictions on paediatric living donation, uncertainties over the application of brain death criteria, and ethical concerns about the use of donation after circulatory death. The UK Department of Health's Organ Donation Task Force suggested the means by which the adult donor pool might be increased, recommending that outstanding ethical and legal issues be resolved, but made no specific recommendations about children.
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Hasan A. Syed Hasan. West J Med 2012. [DOI: 10.1136/bmj.e1051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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113
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Pilurzi G, Hasan A, Tolu E, Deriu F, Rothwell J. 10. Sensorimotor interaction and motor learning in facial muscles. Clin Neurophysiol 2012. [DOI: 10.1016/j.clinph.2011.07.015] [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]
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Emin O, Hasan A, Aysegul D, Rusen D. Total antioxidant status and oxidative stress and their relationship to total IgE levels and eosinophil counts in children with allergic rhinitis. J Investig Allergol Clin Immunol 2012; 22:188-192. [PMID: 22697008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Abstract
BACKGROUND Oxidative stress may play a role in the pathophysiology of several diseases including allergic rhinitis. OBJECTIVES To evaluate whether plasma total oxidant status (TOS) in the form of plasma reactive oxidants differs between children with allergic rhinitis and healthy controls and to investigate associations between plasma antioxidants and other allergic rhinitis-related immunological markers. MATERIALS AND METHODS Plasma total antioxidant status (TAS), TOS, total eosinophil count, and total serum immunoglobulin (Ig) E levels were measured in 106 children newly diagnosed with allergic rhinitis and 70 nonallergic children (7-12 years of age). Plasma TAS and TOS were measured using novel automated measurement methods. Blood eosinophils (absolute counts and percentage of total white blood cells) and total IgE were elevated in children with allergic rhinitis after adjusting for age and sex. RESULTS TAS and TOS were higher in the patient group than in the control group (P<.001 and P<.002, respectively). The association between plasma TAS and TOS and allergic rhinitis status was similar when eosinophils, total IgE, and allergic sensitization were included as possible confounders in logistic regression models. Multivariate logistic regression identified allergic rhinitis as the only independent factor contributing to TOS. CONCLUSION Plasma TAS and TOS levels are elevated in children with allergic rhinitis. Moreover, the high level of TOS indicates that these patients are exposed to severe oxidative stress. This stress factor may have a role in the pathogenesis of allergic rhinitis.
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Hester TO, Hasan A, McDonnell F, Valentino J, Jones R. Facial Nerve Monitoring under Neuromuscular Blockade. Skull Base Surg 2011; 5:69-72. [PMID: 17171179 PMCID: PMC1661820 DOI: 10.1055/s-2008-1058936] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The characteristics of facial nerve electromyography at various levels of neuromuscular blockade are unclear. Partial blockade is well known to facilitate anesthetic safety and management. However, the use of neuromuscular blockage in many skull base procedures is avoided to allow intraoperative facial nerve monitoring.We studied the influence of various levels of neuromuscular blockade on facial nerve stimulation in the New Zealand white rabbit. The facial nerve was exposed in the middle ear of six rabbits. Using electromyographic-type facial nerve monitor, we recorded the facial electromyography signals in these rabbits at increasing levels of vecuronium-induced neuromuscular blockade. All animals demonstrated reliable facial electromyography response at all levels of partial neuromuscular blockade (P < .02). Five of the six animals could be monitored throughout complete blockade. These results clearly demonstrate that rabbit facial electromyography monitoring is possible under neuromuscular blockade. The effect of neuromuscular blockers on facial electromyography monitoring deserves further study, as partial blockade would greatly facilitate the management of anesthesia in otologic, neurotologic, and skull base surgery.
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Pilurzi G, Hasan A, Van den Bos M, Tolu E, Deriu F, Rothwell J. PTMS23 Intracortical circuits and cortical plasticity in facial muscles. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60676-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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117
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Hasan A, Hamada M, Rothwell J. W15.3 Modulation of the efficacy of theta-burst stimulation by simultaneous direct current stimulation. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60167-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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118
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Hamada M, Murase N, Hasan A, Balaratnam M, Rothwell J. P14.6 Intracortical paired associative stimulation in the human motor cortex. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60434-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Egodapitiya KN, Sharma S, Hasan A, Laforge AC, Madison DH, Moshammer R, Schulz M. Manipulating atomic fragmentation processes by controlling the projectile coherence. PHYSICAL REVIEW LETTERS 2011; 106:153202. [PMID: 21568555 DOI: 10.1103/physrevlett.106.153202] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2010] [Indexed: 05/30/2023]
Abstract
We have measured the scattering angle dependence of cross sections for ionization in p+H2 collisions for a fixed projectile energy loss. Depending on the projectile coherence, interference due to indistinguishable diffraction of the projectile from the two atomic centers was either present or absent in the data. This shows that, due to the fundamentals of quantum mechanics, the preparation of the beam must be included in theoretical calculations. The results have far-reaching implications on formal atomic scattering theory because this critical aspect has been overlooked for several decades.
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Irving C, Parry G, Crossland D, Cassidy J, Ferguson L, Guillen M, Thiru Y, Hasan A, Griselli M, Kirk R. 262 Experience with ABO-Incompatible Cardiac Transplantation in Sensitised Patients. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.269] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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121
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Cassidy J, Hoskote A, Haynes S, Fenton M, Smith J, Burch M, Kirk R, Hsia T, Hasan A, Karimova A. 327 The UK Berlin Heart Journey. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.334] [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] Open
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122
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Irving C, Parry G, Kirk R, Griselli M, Hasan A. 520 Improving Results of Adult Congenital Cardiac Transplantation in the Current Era. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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123
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Cassidy J, Kirk R, Haynes S, Ferguson L, Guillen M, Thiru Y, Hayden-Smith J, Chaudhari M, Griselli M, Hasan A. 329 Mechanical Circulatory Support (MCS) as a Bridge To Transplant in Children with Univentricular Physiology: What Have We Learned? J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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124
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Lang N, Rothkegel H, Reiber H, Hasan A, Sueske E, Tergau F, Ehrenreich H, Wuttke W, Paulus W. Circadian Modulation of GABA-Mediated Cortical Inhibition. Cereb Cortex 2011; 21:2299-306. [DOI: 10.1093/cercor/bhr003] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
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126
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Doubrovina E, Pankov D, Doubrovin M, Hasan A, O'Reilly R. Dose-Dependent and Epitope-Specific in Vivo Irradication of the Human Ovarian Carcinoma Cells Expressing the Willms Tumor Protein, WT1, in NOD/SCID Mice, by WT1 Specific T Cells Monitored by Bioluminescent Imaging. Biol Blood Marrow Transplant 2011. [DOI: 10.1016/j.bbmt.2010.12.352] [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]
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Hasan A, Palumbo M, Atkinson J, Carret AS, Farmer JP, Montes J, Albrecht S, Saint-Martin C, Freeman CR. Treatment-related morbidity in atypical teratoid/rhabdoid tumor: multifocal necrotizing leukoencephalopathy. Pediatr Neurosurg 2011; 47:7-14. [PMID: 21613772 DOI: 10.1159/000323412] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2010] [Accepted: 12/03/2010] [Indexed: 11/19/2022]
Abstract
BACKGROUND Atypical teratoid/rhabdoid tumor (AT/RT) is an aggressive malignant brain tumor that, since it was first identified, has been treated with aggressive treatment regimens, e.g. high-dose chemotherapy with stem cell rescue and early radiotherapy. We reviewed our experience because of concerns with respect to treatment-related toxicity in our patients. METHODS Seven patients with a median age at presentation of 18 months were diagnosed with AT/RT between 1996 and 2006. Tumor location was supratentorial in 2 patients, in the posterior fossa in 4 and spinal in 1. Gross total resection was performed in 1 patient, subtotal resection in 5 and biopsy only in 1. Adjuvant treatment consisted of chemotherapy and radiotherapy in 5 patients. RESULTS Median progression-free survival was 4 months, and median overall survival was 7 months. Two children are alive at 44 and 102 months. Significant surgical and chemotherapy-related morbidity was seen. Biopsy-proven multifocal necrotizing leukoencephalopathy (MNL) was seen in one patient who is alive 44 months after diagnosis. Another patient who was thought to have recurrent tumor in the brainstem 9 months after diagnosis had imaging findings compatible with MNL. CONCLUSION Although improving results are reported for AT/RT using intensive treatment regimens, treatment-related morbidity is considerable in this young patient population.
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Irving C, Parry G, Cassidy J, Hasan A, Griselli M, Kirk R. Outcomes following infant listing for cardiac transplantation: the impact of strategies introduced to counteract limited donor availability. Arch Dis Child 2010; 95:883-7. [PMID: 20656734 DOI: 10.1136/adc.2009.171348] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Survival following cardiac transplantation in infancy has improved substantially. There is a growing shortage of donors, the impact of which may be offset by increase in ABO-incompatible transplants, size-mismatching and mechanical support. The authors reviewed their results and outcomes following infant listing for cardiac transplantation over 22 years. METHODS Children <12 months at time of listing for cardiac transplant in 1987-2008 were identified using the departmental cardiopulmonary transplant database. Details were obtained from databases and hospital medical records and subdivided into two eras, 1987-1997 and 1998-2008. RESULTS In 1987-2008, 49 infants were listed, and 28 (57%) underwent cardiac transplantation (12 in 1987-1997 and 16 in 1998-2008). 15 patients (31%) died on the waiting list, 6 patients were delisted (5 of these because of recovery of cardiac function). There was a decrease in suitable donor offers from a mean of 36 per year in 1996-2000 to 11 per year in 2001-2006 (p=0.008). In 1998-2008, nine listed infants were on mechanical support; there were seven ABO-incompatible transplants, and all transplants were size-mismatched with donors on average 2.7 times heavier than recipients. Waiting times decreased from median 83 to 47 days. Six (21%) of the transplanted patients died, the majority in 1987-1997 and perioperatively. CONCLUSIONS There has been a fall in suitable donors for infant cardiac transplants over time despite increased demand. However, the introduction of size-mismatching, ABO-incompatible transplants and mechanical support has enabled an increase in the number of transplants to be carried out despite this fall in donor numbers. Outcomes following transplantation have improved over time.
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Irving C, Parry G, O'Sullivan J, Dark JH, Kirk R, Crossland DS, Chaudhari M, Griselli M, Hamilton JRL, Hasan A. Cardiac transplantation in adults with congenital heart disease. Heart 2010; 96:1217-22. [DOI: 10.1136/hrt.2009.184713] [Citation(s) in RCA: 83] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Wolff-Menzler C, Hasan A, Malchow B, Falkai P, Wobrock T. Combination Therapy in the Treatment of Schizophrenia. PHARMACOPSYCHIATRY 2010; 43:122-9. [PMID: 20309809 DOI: 10.1055/s-0030-1249097] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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131
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Esmat G, El Akel W, Metwally M, Soliman A, Doss W, Hamid MA, Kamal M, Zalata K, Khattab H, El-Kassas M, Esmat M, Hasan A, El-Raziky M. Improvement of steatosis after interferon therapy in HCV genotype 4 is related to weight loss. Indian J Gastroenterol 2010; 28:45-8. [PMID: 19696987 DOI: 10.1007/s12664-009-0016-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2008] [Revised: 12/10/2008] [Accepted: 02/15/2009] [Indexed: 02/04/2023]
Abstract
INTRODUCTION Hepatic steatosis is common in patients with chronic hepatitis C virus (HCV) infection, and its occurrence may be related to both host and viral factors. Relationship between improvement in steatosis and response to anti-viral treatment remains unclear. This study assessed the factors associated with steatosis in patients infected with genotype 4 HCV, and to correlate degree of changes in steatosis with host factors and response to treatment. METHODS Records of 175 patients with chronic genotype 4 HCV infection, who had received interferon and ribavirin combination therapy, were reviewed retrospectively to extract data on body mass index (BMI), presence of diabetes mellitus, and liver histology findings. Paired BMI data and liver biopsies (pre- and 24-weeks post-treatment) were available in 86 patients. Baseline steatosis and its changes (before and after treatment) were the dependent variables in a univariate and multivariate analyses. RESULTS Steatosis was found in 88/175 (50.3%) of baseline biopsies. Its presence was related to baseline BMI (r=0.33, P<0.01), but not with viral load, or grade of liver inflammation or fibrosis. On follow up, improvement in steatosis was significantly associated with degree of weight loss but not with response to anti-viral treatment. CONCLUSION Steatosis is common in genotype 4 HCV infection, and its presence appears to be related to high BMI, but not to viral load or degree of liver injury.
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Ravi Y, Knapkie A, Wissman S, Yanssens T, Sun B, Louis L, Firstenberg M, Needleman B, Hasan A, Sai Sudhakar C. 564: Trends in Body Mass Index Following Long Term Mechanical Circulatory Support. J Heart Lung Transplant 2010. [DOI: 10.1016/j.healun.2009.11.582] [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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133
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Emani S, Louis L, Hasan A, Sai-Sudhakar C, Sun B. 56: Characteristics of Patients Receiving Ventricular Assist Devices as a Bridge to Cardiac Transplant Candidacy. J Heart Lung Transplant 2010. [DOI: 10.1016/j.healun.2009.11.064] [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] Open
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134
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Verma JS, Rawat D, Hasan A, Capoor MR, Gupta K, Deb M, Aggarwal P, Nair D. The use of E-test for the drug susceptibility testing of Mycobacterium tuberculosis - a solution or an illusion? Indian J Med Microbiol 2010; 28:30-3. [PMID: 20061760 DOI: 10.4103/0255-0857.58725] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
AIM To evaluate E-test as a tool for rapid determination of drug susceptibility against the conventional LJ method focusing on reliability, expense, ease of standardization and performance of the technique in low resource settings. MATERIALS AND METHODS A total of 74 clinical isolates (2004-2005) of Mycobacterium tuberculosis were tested using E-test for susceptibility to streptomycin (STM), isoniazid (INH), rifampicin (RIF) and ethambutol (EMB) by E-strip and LJ (LJPM) proportion methods. RESULTS The LJPM method, the gold standard, detected resistance against STM in 16.2%, INH in 40.5%, RIF in 18.9% and EMB in 27% cases. In comparison, the resistance values showed by E-test was 66.67% for STM, 57.14% for INH 71.43% for RIF and 80% for EMB. The susceptible correlation was 90.32% for STM, 73.91% for INH, 93.33% for RIF and 59.26% for EMB. E-test correctly identified only eight of the 12 (66.6%) MDR isolates and wrongly identified four isolates which were not MDR. The overall agreement between the two methods was only 48.6%. Resistant isolates showed false positive resistance observed while using E-strip towards all the drugs. CONCLUSION E-strips are not quite feasible as a replacement for LJ-proportion method on a large scale due to high risk of cross contamination, laboratory infection, expense associated with it and high false positive resistance observed to all first line drugs. However, the good correlation observed for RIF between the two methods indicates that E-test could contribute to the role in rapid screening of MDR TB isolates as rifampicin mutations are invariably observed in MDR TB isolates.
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Cordes J, Falkai P, Guse B, Hasan A, Schneider-Axmann T, Arends M, Winterer G, Wölwer W, Ben Sliman E, Ramacher M, Schmidt-Kraepelin C, Ohmann C, Langguth B, Landgrebe M, Eichhammer P, Frank E, Burger J, Hajak G, Rietschel M, Wobrock T. Repetitive transcranial magnetic stimulation for the treatment of negative symptoms in residual schizophrenia: rationale and design of a sham-controlled, randomized multicenter study. Eur Arch Psychiatry Clin Neurosci 2009; 259 Suppl 2:S189-97. [PMID: 19876678 DOI: 10.1007/s00406-009-0060-y] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Current meta-analysis revealed small, but significant effects of repetitive transcranial magnetic stimulation (rTMS) on negative symptoms in patients with schizophrenia. There is a need for further controlled, multicenter trials to assess the clinical efficacy of rTMS on negative symptoms in schizophrenia in a larger sample of patients. The objective of this multicenter, randomized, sham-controlled, rater- and patient-blind clinical trial is to investigate the efficacy of 3-week 10-Hz high frequency rTMS add on to antipsychotic therapy, 15 sessions per 3 weeks, 1,000 stimuli per session, stimulation intensity 110% of the individual motor threshold) of the left dorsolateral prefrontal cortex for treating negative symptoms in schizophrenia, and to evaluate the effect during a 12 weeks of follow-up. The primary efficacy endpoint is a reduction of negative symptoms as assessed by the negative sum score of the positive and negative symptom score (PANSS). A sample size of 63 in each group will have 80% power to detect an effect size of 0.50. Data analysis will be based on the intention to treat population. The study will be conducted at three university hospitals in Germany. This study will provide information about the efficacy of rTMS in the treatment of negative symptoms. In addition to psychopathology, other outcome measures such as neurocognition, social functioning, quality of life and neurobiological parameters will be assessed to investigate basic mechanisms of rTMS in schizophrenia. Main limitations of the trial are the potential influence of antipsychotic dosage changes and the difficulty to ensure adequate blinding.
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136
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Laforge AC, Egodapitiya KN, Alexander JS, Hasan A, Ciappina MF, Khakoo MA, Schulz M. Three-body dynamics in single ionization of atomic hydrogen by 75 keV proton impact. PHYSICAL REVIEW LETTERS 2009; 103:053201. [PMID: 19792496 DOI: 10.1103/physrevlett.103.053201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2009] [Indexed: 05/28/2023]
Abstract
Doubly differential cross sections for single ionization of atomic hydrogen by 75 keV proton impact have been measured and calculated as a function of the projectile scattering angle and energy loss. This pure three-body collision system represents a fundamental test case for the study of the reaction dynamics in few-body systems. A comparison between theory and experiment reveals that three-body dynamics is important at all scattering angles and that an accurate description of the role of the projectile-target-nucleus interaction remains a major challenge to theory.
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137
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Irving C, Parry G, Hasan A, Kirk R. 679: Outcomes of 21 Years of Paediatric Cardiac Transplantation: The Freeman Experience. J Heart Lung Transplant 2009. [DOI: 10.1016/j.healun.2008.11.686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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138
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Irving C, Kirk R, Hasan A, Parry G. 366: Outcomes of Cardiac Transplantation for Adult Congenital Heart Disease. J Heart Lung Transplant 2009. [DOI: 10.1016/j.healun.2008.11.373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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139
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Irving C, Cassidy J, Kirk R, Griselli M, Hasan A, Crossland D. 605: Assessment of Recovery on Ventricular Assist Device Support. J Heart Lung Transplant 2009. [DOI: 10.1016/j.healun.2008.11.612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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140
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Firstenberg M, Blais D, Sai-Sudhakar C, Hasan A, Louis L, Talbott D, Sun B, Crestanello J, Vesco P. 603: Late Bleeding and Thrombotic Complications with Continuous Flow Ventricular Assist Devices. J Heart Lung Transplant 2009. [DOI: 10.1016/j.healun.2008.11.610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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141
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Irving C, Hasan A, Carter V, Gennery A, Parry G, Kirk R. 479: Association between Donor-Specific HLA Antibodies and Adverse Outcome Following Paediatric Cardiac Transplantation. J Heart Lung Transplant 2009. [DOI: 10.1016/j.healun.2008.11.486] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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142
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Meachery G, De Soyza A, Nicholson A, Parry G, Hasan A, Tocewicz K, Pillay T, Clark S, Lordan JL, Schueler S, Fisher AJ, Dark JH, Gould FK, Corris PA. Outcomes of lung transplantation for cystic fibrosis in a large UK cohort. Thorax 2008; 63:725-31. [DOI: 10.1136/thx.2007.092056] [Citation(s) in RCA: 98] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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143
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Botha P, Chaudhari M, Wrightson N, Parry G, Griselli M, Hamilton L, Dark J, Hasan A. 494: Cardiac Transplantation for the Failing Fontan Circulation. J Heart Lung Transplant 2008. [DOI: 10.1016/j.healun.2007.11.507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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144
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Nyawo B, Botha P, Pillay T, Clark SC, Tocewicz K, Forty J, Hamilton JR, Hill P, Hasan A. Clinical Experience with Assisted Venous Drainage Cardiopulmonary Bypass in Elective Cardiac Reoperations. Heart Surg Forum 2008; 11:E21-3. [DOI: 10.1532/hsf98.20061194] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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145
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Roche SL, Burch M, O'Sullivan J, Wallis J, Parry G, Kirk R, Elliot M, Shaw N, Flett J, Hamilton JRL, Hasan A. Multicenter experience of ABO-incompatible pediatric cardiac transplantation. Am J Transplant 2008; 8:208-15. [PMID: 18021280 DOI: 10.1111/j.1600-6143.2007.02040.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Although ABO blood group incompatible cardiac transplantation in neonates and infants reduces waiting list mortality without compromising outcome, the technique has not been adopted by all centers, and to date Toronto remains the only center to have published results from a large case series. We present a review of ABO-incompatible heart transplantation in the United Kingdom (UK) where current recipient selection criteria differ somewhat from those used in the United States (US) and Canada. Between February 2000 and November 2006, 21 ABO-incompatible cardiac transplants were performed in children aged 2-40 months (median 10.0). Immunosuppression followed standard regimens. Pretransplant donor-specific isohemagglutinins of >1:4, (the UNOS cutoff), were present in five patients and reduced by plasma exchange. After transplantation, 19/21 recipients demonstrated persisting deficiency of donor-specific isohemagglutinins. Significant donor-specific isohemagglutinins levels were detected repeatedly in 2/21 recipients who have shown no clinical or biopsy evidence of rejection. All recipients survive without retransplantation and there have been no episodes of humoral rejection. We conclude it is possible for other centers to replicate the excellent results achieved in Toronto and that ABO-incompatible transplantation may be performed successfully in some patients beyond infancy with established isohemagglutinin production providing preoperative antibody removing strategies are used.
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Capoor MR, Khanna G, Nair D, Hasan A, Deb M, Aggarwal P. Eumycetoma pedis due to Exophiala jeanselmei. Indian J Med Microbiol 2007; 25:155-7. [PMID: 17582190 DOI: 10.4103/0255-0857.32726] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
A case of eumycetoma of foot in an 8-year old male child was clinically diagnosed as chronic osteomyelitis and was microbiologically confirmed as eumycetoma. The case is being reported for its uncommon clinical presentation and etiological agent, Exophiala jeanselmei. The patient recovered completely after treatment with ketoconazole.
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Abstract
AIMS Marfan syndrome (MFS) is a dominantly inherited connective tissue disorder caused by mutations in the fibrillin-1 gene. Past research has focused on younger patients as lifespan was known to be significantly reduced. This study aims to describe the complications, including those affecting the eyes, heart and musculoskeletal system, faced by older survivors. METHODS All 2500 patient records from the National Marfan Syndrome Clinical Database were searched for suitable participants aged 50 or older. One hundred and fifty-six questionnaires were posted to patients with MFS. These patients were sent a detailed questionnaire regarding medical aspects of their disease. Those included in the study were sent questionnaires for spouses and friends (not blood relatives) to complete, to provide control data. Other age- and sex-matched controls were recruited locally. RESULTS Sixty questionnaires from patients with MFS (35%) were returned and eligible for inclusion in the study, comprising 28 female patients and 32 male patients with a median age of 57. We recruited 56 eligible controls. Our results revealed that patients over 50 years of age with MFS may be at a higher risk than previously assumed for retinal detachment (reported by 24% of our respondents) and cardiovascular abnormalities (42% have had past aortic surgery; 53% report palpitation). Lesser known complications were also reported, including cataract (reported by 27%). CONCLUSIONS Medical practitioners should be aware of the range of complications that can occur in patients with MFS in addition to the normal ageing process. Health problems in MFS patients over 50 may require investigation and specific therapy earlier than in the normal ageing population, because of the degenerative nature of this genetic condition.
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Hasan A, Sueske E, Nitsche M, Paulus W, Lang N. Chronic nicotine intake alters human motor cortex excitability. Clin Neurophysiol 2007. [DOI: 10.1016/j.clinph.2006.11.104] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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149
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Hasan A, Reiber H, Sueske E, Wuttke W, Ehrenreich H, Tergau F, Paulus W, Lang N. Hormonelle Untersuchungen zu zirkadianen Veränderungen der Exzitabilität des menschlichen Motorkortex. KLIN NEUROPHYSIOL 2007. [DOI: 10.1055/s-2007-976424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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150
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Janakiraman S, Crossland D, Hasan A, Hamilton J, Parry G, Kirk C. 522: Single institution experience of paediatric heart transplant following anthracycline cardiomyopathy including early use of mechanical support. J Heart Lung Transplant 2007. [DOI: 10.1016/j.healun.2006.11.546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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