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Ansari S, Nepal HP, Gautam R, Shrestha S, Chhetri MR, Chapagain ML. Staphylococcus Aureus: Methicillin Resistance and Small Colony Variants from Pyogenic Infections of Skin, Soft Tissue and Bone. JOURNAL OF NEPAL HEALTH RESEARCH COUNCIL 2015; 13:126-132. [PMID: 26744197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
BACKGROUND Staphylococcus aureus (S. aureus) colonizing the nares, is the leading cause of hospital as well as community acquired infections. The aim of this study was to identify the S. aureus from skin, soft tissue and bone related infections and typing them on the basis of antimicrobial susceptibility profile. METHODS Clinical samples were collected from patients with skin, soft tissue and bone related infections from January to October 2013 at Chitwan Medical College Teaching Hospital, Bharatpur. The S. aureus, small colony variants and methicillin resistant strains were identified by standard microbiological methods recommended by American Society for Microbiology. Antimicrobial susceptibility testing was performed by modified Kirby-Bauer disk diffusion method. RESULTS Among 333 samples processed, there was positive growth of S. aureus in 66 (19.8%) samples. Among the isolated S. aureus, 10 isolates were small colony variants of S. aureus and all the strains recovered were thymidine independent in this study. Amikacin, vancomycin and teicoplanin were found to be the most effective antibiotics. Methicillin resistance was found in 34.8% isolates of S. aureus. CONCLUSIONS It can be concluded that, S. aureus is one of the causative agent of pyogenic infections and the trend of antibiotic resistant is alarmingly high and also the rate of methicillin resistant S. aureus is comparably high in this study.
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Zaidi U, Borhany M, Ansari S, Parveen S, Boota S, Shamim I, Zahid D, Shamsi T. Red cell alloimmunisation in regularly transfused beta thalassemia patients in Pakistan. Transfus Med 2015; 25:106-10. [PMID: 25870030 DOI: 10.1111/tme.12196] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2014] [Revised: 02/18/2015] [Accepted: 03/20/2015] [Indexed: 11/26/2022]
Abstract
BACKGROUND In Pakistan routine blood group typing of thalassemia patients identifies ABO and Rh(D) antigens only. Therefore, other antigen incompatibilities between blood donor and blood recipient may cause alloimmunisation. OBJECTIVE The aim of this study was to estimate the frequency of alloimmunisation and to evaluate the risk factors associated with its development in beta (β)-thalassemia patients receiving regular blood transfusions. MATERIALS AND METHODS In total 162 β thalassemia patients were included in this study. An extended red cell antigen panel was performed to detect antibodies. Patients received red cell concentrates, which were matched for ABO and Rh(D) antigens. Clinical and laboratory data were collected and analysed to estimate the frequency of alloantibodies and the factors influencing immunisation in patients on regular blood transfusion. RESULTS The median age of patients was 6·7 (range: 0·5-25) years. A total of 14 (8·6%) patients developed alloantibodies against red cell antigens. The most frequently occurring alloantibodies was anti-E (2·5%), anti-K (1·8%), anti-e (1·2%) and anti-D (0·6%). Five (3·1%) patients developed more than one red blood cell (RBC) alloantibody. Age at first transfusion in alloimmunised patients was 1·22 ± 0·87 years. The frequency of blood transfusion in alloimmunised patients was 23 ± 8·81 days and in those without alloimmunisation was 31·8 ± 16 days (p = 0·02). Logistic regression analysis showed no independent risk factor associated with alloimmunisation. CONCLUSION The frequency of transfusion was increased in patients who developed alloantibodies. Typing patients and donors to match for Rh and Kell antigens would prevent more than 90% of RBC alloantibodies and reduce the frequency of transfusion in thalassemia patients.
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Ansari S, MacKenzie K. Voice outcomes following endolaryngeal surgery; are we achieving our aims? Clin Otolaryngol 2015; 40:580-6. [PMID: 25810211 DOI: 10.1111/coa.12419] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/17/2015] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To determine voice outcomes in endolaryngeal surgery. METHODS Prospective assessment of patients undergoing endolaryngeal surgery in one head and neck team in North Glasgow from 2007 to 2014. Each patient completed a VoiSS (the Voice Symptom Scale) questionnaire at pre-assessment and post-endolaryngeal surgery. Per-operatively, the aim of the procedure was recorded from a choice of seven options in addition to the clinical conditions and the procedure. RESULTS One thousand and sixty-six patient episodes were recorded. Thirty-two had incomplete data at pre-assessment and were excluded. Of the remainder, 703 (68%) had complete paired data sets. 'To improve voice' (n = 169, 24%) and 'to achieve a biopsy with no deterioration in voice' (n = 185, 26%) categories had significant outcomes in keeping with the operative aims. CONCLUSION This study demonstrated that it is possible to assess patient reported voice outcomes in universal heterogeneous endolaryngeal surgery cohort over a prolonged period. The voice outcomes were in keeping with the stated aims of the endolaryngeal surgical procedures.
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McCaffer C, Douglas C, Kasbaker A, Crosbie R, Ansari S, Bleaco D, Kang S. 3 Year experience of day case hemithyroidectomy – Patient reported outcomes. Int J Surg 2014. [DOI: 10.1016/j.ijsu.2014.07.194] [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]
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de Havenon A, Joos Z, Longenecker L, Shah L, Ansari S, Digre K. Posterior reversible encephalopathy syndrome with spinal cord involvement. Neurology 2014; 83:2002-6. [DOI: 10.1212/wnl.0000000000001026] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Honarmand A, Shaibani A, Hurley M, Patel B, Daruwalla V, Ansari S. O-014 Significant Acquisition Dose Reduction Maintains Diagnostic Quality of Biplane Cerebral Digital Subtraction Angiography. J Neurointerv Surg 2014. [DOI: 10.1136/neurintsurg-2014-011343.14] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Honarmand A, Beck R, Soltanolkotabi M, Ansari S, Shaibani A, Daruwalla V, Hurley M. E-005 Short-term Outcomes of Acute Ischemic Stroke Patients with MCA/ICA Occlusion Excluded for Intra-arterial Reperfusion Therapy. J Neurointerv Surg 2014. [DOI: 10.1136/neurintsurg-2014-011343.72] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Honarmand A, Pasternak-Wise O, Alden T, Bowman R, Hurley M, Ansari S, Shaibani A. E-004 Vascular Causes of Pediatric Intracranial Hypertension. J Neurointerv Surg 2014. [DOI: 10.1136/neurintsurg-2014-011343.71] [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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Honarmand A, Hurley M, Daruwalla V, Ansari S, Shaibani A. E-006 Familial Incidence of the Congenital Torcular Dural Arteriovenous Shunt. J Neurointerv Surg 2014. [DOI: 10.1136/neurintsurg-2014-011343.73] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Daruwalla V, Patel B, Honarmand A, Sherazi S, Ansari S, Shaibani A, Bendock B, Hurley M. E-043 High-Grade Dural Arteriovenous Fistula Causing Subarachnoid Haemorrhage with Direct Visualization of the Rupture Site on CT Angiography. J Neurointerv Surg 2014. [DOI: 10.1136/neurintsurg-2014-011343.110] [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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Ansari S, Grobe J. Notizen: Neue CF3E-Derivate (E=P, As) des Germaniums und Zinns / New CF3E Derivatives (E = P, As) of Germanium and Tin. ACTA ACUST UNITED AC 2014. [DOI: 10.1515/znb-1972-1128] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Sivangala R, Ponnana M, Thada S, Joshi L, Ansari S, Hussain H, Valluri V, Gaddam S. Association of Cytokine Gene Polymorphisms in Patients with Tuberculosis and Their Household Contacts. Scand J Immunol 2014; 79:197-205. [DOI: 10.1111/sji.12136] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2013] [Accepted: 11/18/2013] [Indexed: 01/30/2023]
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Dhungel K, Gupta MK, Ahmad K, Ansari S, Rauniyar RK. Antenatal diagnosis of achondroplasia. BANGLADESH JOURNAL OF MEDICAL SCIENCE 2013. [DOI: 10.3329/bjms.v13i1.17443] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
We report a interesting case of antenatal diagnosis of achondrpoplasia in a young multigravida who presented with term pregnancy for routine ultrasound assessment which revealed a single, live intrauterine fetus with a discrepancy between femur length (FL) and biparietal diameter (BPD), narrowing of the interpeduncular distance. The diagnosis of achondroplasia was made with a sonological skeletal survey and findings were correlated with radiological skeletal survey after the baby was delivered. DOI: http://dx.doi.org/10.3329/bjms.v13i1.17443 Bangladesh Journal of Medical Science Vol. 13 No. 01 January2014: 84-87
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Hijazi H, Salih M, Hamad M, Hassan H, Salih S, Mohamed K, Mukhtar M, Karrar Z, Ansari S, Ibrahim N, Alkuraya F. Pellagra-like condition is xeroderma pigmentosum/Cockayne syndrome complex and niacin confers clinical benefit. Clin Genet 2013; 87:56-61. [DOI: 10.1111/cge.12325] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2013] [Revised: 11/19/2013] [Accepted: 11/19/2013] [Indexed: 11/28/2022]
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Dhungel K, Ahmad K, Sah PL, Gupta MK, Rauniyar RK, Ansari S, Adhikary S. Congenital pseudoarthrosis of the clavicle: a case report. JOURNAL OF COLLEGE OF MEDICAL SCIENCES-NEPAL 2013. [DOI: 10.3126/jcmsn.v8i3.8687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
DOI: http://dx.doi.org/10.3126/jcmsn.v8i3.8687 Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-3, 43-46
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Honarmand A, Soltanolkotabi M, Prabhakaran S, Hurley M, Rahman O, Shaibani A, Ansari S. O-021 Evaluation of Baseline CT ASPECTS in Perfusion-guided Selected Patients for Intra-arterial Reperfusion Therapy. J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.21] [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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Soltanolkotabi M, Prabhakaran S, Shaibani A, Hurley M, Curran Y, Conners J, Lee V, Ansari S. O-022 Perfusion-based selection leads to improved outcomes compared with time-based selection for endovascular reperfusion therapy in acute ischaemic stroke. J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Honarmand A, Soltanolkotabi M, Ansari S, Rahman O, Hurley M, Schoeneman S, Patel B, Shaibani A. E-003 Endovascular Embolisation of Paediatric High-Flow Vertebral Arteriovenous Fistula: Association with Intracranial Steal and the Importance of Post-procedural Management. J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.61] [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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Honarmand A, Gemmete J, Soltanolkotabi M, Hurley M, Chaudhary N, Pandey A, Shaibani A, Ansari S. P-025 Qualitative Assessment of Intra-Arterial Cone Beam CT Angiography in Precise Anatomic Localisation and Treatment Planning of Intracranial and Spinal Arteriovenous Fistulas. J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.57] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Honarmand A, Soltanolkotabi M, Ansari S, Schoeneman S, Patel B, Hurley M, Tomita T, Shaibani A. E-004 Endovascular Embolisation of Spinal Perimedullary (Type IV) Fistula Using Ethylene Vinyl Alcohol Copolymer (Onyx): Is It Safe in Children? J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.62] [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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Soltanolkotabi M, Feiz F, Beck C, Rahman O, Shaibani A, Hurley M, Prabhakaran S, Ansari S. O-023 Characteristics and Outcomes of Acute Ischaemic Stroke Patients Selected and Excluded for Intra-arterial Intervention by Perfusion Imaging: Abstract O-023 Table 1. J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.23] [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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Soltanolkotabi M, Shaibani A, Hurley M, Prabhakaran S, Lee V, Conners J, Ansari S. O-026 Does Transfer Status Affect Outcomes in Acute Ischaemic Stroke Patients Treated Endovascularly? J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.26] [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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Rahman O, Honmarand A, Soltanolkotabi M, Hurley M, Shaibani A, Ansari S. P-022 Management of Long segment, Flow Limiting Internal Carotid Artery Dissections Presenting with Acute Ischaemic Stroke: A Case Series. J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.54] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Honarmand A, Patel B, Wu C, Vakil P, Bendok B, Batjer H, Carroll T, Hurley M, Shaibani A, Markl M, Ansari S. P-026 Comparative 4D Flow MR Imaging in Quantification of Vascular Haemodynamics in Different Types of Intra-cranial Arteriovenous Malformations. J Neurointerv Surg 2013. [DOI: 10.1136/neurintsurg-2013-010870.58] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Powrie DJ, Ali M, Ansari S, Lingam KG, Mulley P, Hope S, Davison AG. P85 Assessing the Patient Experience of COPD Care Using an Ipsos MORI Questionnaire as a Patient Reported Experience Measure (PREM): Abstract P85 Table 1. Thorax 2012. [DOI: 10.1136/thoraxjnl-2012-202678.327] [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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