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Raman S, Pless M, Cubillo A, Calvo A, Hecht R, Liu C, Chan E, Chesney J, Prat A. 3:36 PM Abstract No. 375 Early safety from a phase 1, multicenter, open-label clinical trial of talimogene laherparepvec (T-VEC) injected into liver tumors. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.416] [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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Tong MJ, Pan CQ, Han SB, Lu DS, Raman S, Hu K, Lim JK, Hann HW, Min AD. An expert consensus for the management of chronic hepatitis B in Asian Americans. Aliment Pharmacol Ther 2018; 47:1181-1200. [PMID: 29479728 PMCID: PMC5900913 DOI: 10.1111/apt.14577] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Revised: 10/10/2017] [Accepted: 01/27/2018] [Indexed: 12/18/2022]
Abstract
BACKGROUND Hepatitis B virus (HBV) infection is common with major clinical consequences. In Asian Americans, the HBsAg carrier rate ranges from 2% to 16% which approximates the rates from their countries of origin. Similarly, HBV is the most important cause of cirrhosis, hepatocellular carcinoma (HCC) and liver related deaths in HBsAg positive Asians worldwide. AIM To generate recommendations for the management of Asian Americans infected with HBV. METHODS These guidelines are based on relevant data derived from medical reports on HBV from Asian countries as well as from studies in the HBsAg positive Asian Americans. The guidelines herein differ from other recommendations in the treatment of both HBeAg positive and negative chronic hepatitis B (CHB), in the approach to HCC surveillance, and in the management of HBV in pregnant women. RESULTS Asian American patients, HBeAg positive or negative, with HBV DNA levels >2000 IU/mL (>104 copies/mL) and ALT values above normal are candidates for anti-viral therapy. HBeAg negative patients with HBV DNA >2000 IU/mL and normal ALT levels but who have either serum albumin <3.5 g/dL or platelet count <130 000 mm3 , basal core promoter (BCP) mutations, or who have first-degree relatives with HCC should be offered treatment. Patients with cirrhosis and detectable HBV DNA must receive life-long anti-viral therapy. Indications for treatment include pregnant women with high viraemia, coinfected patients, and those requiring immunosuppressive therapy. In HBsAg positive patients with risk factors, life-long surveillance for HCC with alpha-fetoprotein (AFP) testing and abdominal ultrasound examination at 6-month intervals is required. In CHB patients receiving HCC treatments, repeat imaging with contrast CT scan or MRI at 3-month intervals is strongly recommended. These guidelines have been assigned to a Class (reflecting benefit vs. risk) and a Level (assessing strength or certainty) of evidence. CONCLUSIONS Application of the recommendations made based on a review of the relevant literature and the opinion of a panel of Asian American physicians with expertise in HBV treatment will inform physicians and improve patient outcomes.
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Chun WC, Raman S. Pharmacist-managed Therapeutic Drug Monitoring Service for Antiepileptic Drugs and Improved Seizure Control. MALAYSIAN JOURNAL OF PHARMACEUTICAL SCIENCES 2018. [DOI: 10.21315/mjps2018.16.1.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Raman S, Ruston S, Irwin S, Tran P, Hotton P, Thorne S. Taking culture seriously: Can we improve the developmental health and well-being of Australian Aboriginal children in out-of-home care? Child Care Health Dev 2017; 43:899-905. [PMID: 28736897 DOI: 10.1111/cch.12488] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 06/19/2017] [Accepted: 06/22/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND Children in out-of-home care have well-documented health and developmental needs. Research suggests that Aboriginal children in care have unmet health and intervention needs. In metropolitan Sydney, Kari Aboriginal Resources Inc. (KARI), an Aboriginal organization, provides support to indigenous children in care, including clinical assessment and intervention. We wanted to determine the health and developmental needs of a subset of children in out-of-home care with KARI, who had been in stable care for at least a year. We wanted to identify child, carer, and intervention characteristics that contributed to children doing well. We also wanted to identify enablers and barriers to providing culturally competent intervention. METHODS We used mixed methods. From the KARI clinic database over the past 3 years, we identified children who had been in stable care with KARI for >12 months. We compared clinical measures and outcomes for these children with results from previous audits. We carried out a group discussion and key informant interviews with therapists and caseworkers to identify risk and resilience factors for each child, as well as enablers and barriers to culturally competent intervention. RESULTS The health and developmental profile of the 26 children identified as being in stable care was similar to that of previous audits. Most (88%) were getting speech pathology intervention; one third were getting occupational therapy and psychological intervention; most children and their carers attended cultural programmes. The majority of children (25/26) improved in their developmental health. Caseworkers and therapists identified risk and resilience factors related to child, carer, and home characteristics. They also identified elements of good practice; systemic issues prevented some interventions from being carried out. CONCLUSIONS There are challenges delivering a trauma-informed, culturally respectful service to Aboriginal children in out-of-home care in an urban setting, but it can be done if attention is paid to culture and the enablers and barriers are identified.
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Ruffner M, Raman S, Mauer K, Muir A, Spergel J, Sullivan K. P332 Role of toll-like receptor signaling in epithelial barrier dysfunction in eosinophilic esophagitis. Ann Allergy Asthma Immunol 2017. [DOI: 10.1016/j.anai.2017.08.223] [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]
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Yau V, Raman S, Pineda S, Le L, Lau A, Bezjak A, Cho J, Sun A, Hope A, Giuliani M. MA 09.02 Ultra-Central Tumors Treated with Stereotactic Body Radiotherapy: A Single Institutional Experience. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.525] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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57
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Raman S, Ganesh V, Chan S, Chow R, Hoskin P, Lam H, Wan B, Drost L, DeAngelis C, Chow E. A Review of Practice Patterns and Clinical Guidelines in the Palliative Radiation Treatment of Uncomplicated Bone Metastases. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1862] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Raman S, Erler D, Chin L, Cheung P, Chu W, Chung H, Loblaw D, Poon I, Rubenstein J, Soliman H, Sahgal A, Tseng C. Value of MRI in Contouring Non-spine Bone Metastases for Stereotactic Body Radiation Therapy. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.2319] [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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Dabbs JWT, Bemis CE, Raman S, Dougan RJ, Hoff RW. Measurement of the 242mAm Neutron Fission Cross Section. NUCL SCI ENG 2017. [DOI: 10.13182/nse83-a17453] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Parish TA, Charlton WS, Shinohara N, Andoh M, Brady MC, Raman S. Status of Six-Group Delayed Neutron Data and Relationships Between Delayed Neutron Parameters from the Macroscopic and Microscopic Approaches. NUCL SCI ENG 2017. [DOI: 10.13182/nse99-a2029] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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61
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Saleh HH, Parish TA, Raman S, Shinohara N. Measurements of Delayed Neutron Decay Constants and Fission Yields from235U,237Np,241Am, and243Am. NUCL SCI ENG 2017. [DOI: 10.13182/nse97-a24253] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Shinohara N, Kohno N, Nakahara Y, Tsujimoto K, Sakurai T, Mukaiyama T, Raman S. Validation of Minor Actinide Cross Sections by Studying Samples Irradiated for 492 Days at the Dounreay Prototype Fast Reactor—I: Radiochemical Analysis. NUCL SCI ENG 2017. [DOI: 10.13182/nse03-a2347] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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63
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Tsujimoto K, Kohno N, Shinohara N, Sakurai T, Nakahara Y, Mukaiyama T, Raman S. Validation of Minor Actinide Cross Sections by Studying Samples Irradiated for 492 Days at the Dounreay Prototype Fast Reactor—II: Burnup Calculations. NUCL SCI ENG 2017. [DOI: 10.13182/nse03-a2348] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Cahill B, Liou T, Peterson-Short K, Maughan T, Doidge W, Sirandas B, Carlson A, Truax C, Cotiguala L, Raman S, McKellar S, Selzman C. Post-Lung Transplant Survival After Venous Thromboembolism. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1148] [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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65
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Richardson T, Hughes M, Leech K, Raman S. Letter to the Editor: Cannabis use and transition to psychosis: is interpretation of unpleasant effects a mediating variable? Psychol Med 2016; 46:2867. [PMID: 25066783 DOI: 10.1017/s0033291714001494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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66
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Li W, van der Velden J, Raman S, Popovic M, Lam H, Wong K, Ngan R, Burbach M, de Angelis C, McDonald R, Chow E. Prophylaxis of Radiation-Induced Nausea and Vomiting: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.1945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Raman S, Ding K, Chow E, Meyer R, Nabid A, Chabot P, Coulombe G, Ahmed S, Kuk J, Dar A, Mahmud A, Fairchild A, Wilson C, Wu J, Dennis K, de Angelis C, Wong R, Zhu L, Brundage M. Minimal Clinically Important Differences in the EORTC QLQ-BM22 and EORTC QLQ-C15-PAL Modules in Patients With Bone Metastases. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.1912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Raman S, Chiang CL. On a solution of the migration process and the application to a problem in epidemiology. J Appl Probab 2016. [DOI: 10.2307/3212375] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
In this paper we derive a successive method of solution to a general class of models pertaining to the investigation of the migration process. A specific application of the results to a problem arising in a study of the epidemiology of leprosy has been considered. The application to explorative studies in biological modelling using an interactive computing mode has been discussed.
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Loh LC, Chan LY, Tan RY, Govindaraju S, Ratnavelu K, Kumar S, Raman S, Vijayasingham P, Thayaparan T. Effect of time delay on survival in patients with non-small cell lung cancer — A Malaysian study. Asia Pac J Public Health 2016; 18:69-71. [PMID: 16629441 DOI: 10.1177/10105395060180011101] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The prognosis of lung cancer remains poor with overall five year survival figures varying between five and 10% worldwide, However, it has been shown that surgery in patients with early stage disease in non-small cell lung cancer can achieve five year survival rates up to 80%, suggesting that early or delay diagnosis can influence prognosis. Nevertheless, studies addressing this have been inconclusive and mostly derived from Western countries.
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Stephan KE, Schlagenhauf F, Huys QJM, Raman S, Aponte EA, Brodersen KH, Rigoux L, Moran RJ, Daunizeau J, Dolan RJ, Friston KJ, Heinz A. Computational neuroimaging strategies for single patient predictions. Neuroimage 2016; 145:180-199. [PMID: 27346545 DOI: 10.1016/j.neuroimage.2016.06.038] [Citation(s) in RCA: 89] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Revised: 05/21/2016] [Accepted: 06/20/2016] [Indexed: 10/21/2022] Open
Abstract
Neuroimaging increasingly exploits machine learning techniques in an attempt to achieve clinically relevant single-subject predictions. An alternative to machine learning, which tries to establish predictive links between features of the observed data and clinical variables, is the deployment of computational models for inferring on the (patho)physiological and cognitive mechanisms that generate behavioural and neuroimaging responses. This paper discusses the rationale behind a computational approach to neuroimaging-based single-subject inference, focusing on its potential for characterising disease mechanisms in individual subjects and mapping these characterisations to clinical predictions. Following an overview of two main approaches - Bayesian model selection and generative embedding - which can link computational models to individual predictions, we review how these methods accommodate heterogeneity in psychiatric and neurological spectrum disorders, help avoid erroneous interpretations of neuroimaging data, and establish a link between a mechanistic, model-based approach and the statistical perspectives afforded by machine learning.
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Wahi-Anwar M, Young S, Lo P, Raman S, Kim H, Brown M, McNitt-Gray M, Coy H, Ashen-Garry D, Pace-Soler E. SU-F-R-39: Effects of Radiation Dose Reduction On Renal Cell Carcinoma Discrimination Using Multi-Phasic CT Imaging. Med Phys 2016. [DOI: 10.1118/1.4955810] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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72
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Pollock E, Raman S, Franco V. Exercise CMR Can Evaluate RV Function and Hemodynamics in Patients with Pulmonary Arterial Hypertension: A Pilot Study. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.1021] [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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73
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Robison K, Lokich E, DiSilvestro P, Raman S, Luis C, Raker C, Clark M, Wohlrab K. Cancer of the uterus and treatment of incontinence (CUTI). Gynecol Oncol 2015. [DOI: 10.1016/j.ygyno.2015.01.392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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74
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Raman S, Rardin C. Removal of Two Midurethral Slings, Repair of Urethral Diverticulum, and Placement of a Rectus Fascia Sling. J Minim Invasive Gynecol 2015. [DOI: 10.1016/j.jmig.2014.12.134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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75
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Brosseau L, Raman S, Fourn L, Coutu-Walkulczyk G, Tremblay LE, Pham M, Beaudoin P. Recovery Time of Independent Poststroke Life Habits: Part II. Top Stroke Rehabil 2015; 8:46-55. [PMID: 14523745 DOI: 10.1310/1qh8-4rcc-me18-g6pv] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The purposes of this study were to determine the time of the recovery of poststroke life habits and to identify prognostic indicators associated with recovery time among stroke patients in a rehabilitation program. A sample of 421 stroke patients who were admitted to a rehabilitation center was recruited from medical records available from January 1987 to December 1992. The relation between the achievement of independent life habits including bed mobility, transfers and ambulation, bathing activities, dressing activities, eating activities, home activities, sphincter control, and sleep with the potential covariates associated with recovery time was assessed through the analysis of survival data using the Cox maximum-likelihood proportional hazard models. The poststroke life habits obtained generated mean recovery times ranging from 5.51 to 57.60 days from admission to rehabilitation. The survival analysis revealed that the recovery time of the selected poststroke abilities was significantly influenced (p <.05) by one or several indicators; these included physical ability and neuropsychological and life habit characteristics. With this precious information, stroke rehabilitation specialists may be able to reduce the length of time required to recover independent poststroke life habits by treating the specific neuropsychological, physical, and life habit characteristics identified in this study. A faster poststroke recovery would reduce the socioeconomic impact generated by stroke disability and would also ensure a better quality of life to the stroke survivor.
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