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Naeem T, Ghayas S, Haider Khan A. Construction and Validation of the Belief in Divine Retribution Scale for Pakistani Muslims. J Relig Health 2024:10.1007/s10943-023-01997-z. [PMID: 38581542 DOI: 10.1007/s10943-023-01997-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/28/2023] [Indexed: 04/08/2024]
Abstract
The purpose of the study was to construct and validate a Belief in Divine Retribution Scale for the Pakistani Muslim population. The process of construction and validation was completed by following standardized guidelines for scale construction (Boateng et al., 2018). The present study was carried out in four phases. In phase I, the task of item generation was completed through literature review and interviews (inductive and deductive approaches). Phase II aimed at exploration of factor structure. Exploratory factor analysis was carried out on a sample of seven hundred Muslim participants. Data for EFA were collected through a purposive sampling technique, which comprised both men (n = 339) and women (n = 361) with an age range of 18 to 69 years. Results of EFA revealed a two-factor structure with a cumulative variance of 42.59 and with a Cronbach alpha reliability of .83. To confirm the obtained factor structure, Phase III was carried out on a sample of three hundred Muslim participants. The results of CFA confirmed the two-dimensional factor structure with a good model fit to the data. Phase IV provided evidence of convergent and discriminant validity of the scale. Moreover, data for validation were collected from an independent sample (N = 204). Finally, the results of validation revealed that there exists a significant positive correlation of Belief in Divine Retribution Scale with Belief in Just World Scale, which provided evidence of convergent validity. However, there exists a non-significant correlation of Belief in Divine Retribution Scale with Religious Practice Subscale of Short Muslim Practice and Belief Scale, and it provided evidence of discriminant validity. Implications along with limitations and suggestions for future research have also been mentioned.
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Affiliation(s)
- Taram Naeem
- Department of Psychology, University of Sargodha, Sargodha, Pakistan
| | - Saba Ghayas
- Department of Psychology, University of Sargodha, Sargodha, Pakistan.
| | - Ali Haider Khan
- Department of Psychology, University of Sargodha, Sargodha, Pakistan
- Directorate of Education, Sargodha Division, Sargodha, Pakistan
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Shabbir F, Mujeeb AA, Jawed SF, Khan AH, Shakeel CS. Simulation of transvascular transport of nanoparticles in tumor microenvironments for drug delivery applications. Sci Rep 2024; 14:1764. [PMID: 38242952 PMCID: PMC10798967 DOI: 10.1038/s41598-024-52292-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 01/16/2024] [Indexed: 01/21/2024] Open
Abstract
Nanomedicine is a promising approach for tumor therapy but penetration is challenged by complex tumor microenvironments. The purpose of this study is to design nanoparticles and analyze their transport in two abnormal microenvironments through a 2-D simulation. Employing a Computational Fluid Dynamics (CFD) approach, tumor vascular-interstitial models were initially simulated, and the impact of nanoparticles on the velocity profile and pressure gradient within the tumor microenvironment was observed. Through meticulous mesh analysis, it was determined that optimal outcomes were achieved using a quadrilateral meshing method for pancreatic tumor and a quad/tri meshing method for hepatic tumor. Results showed an increase in vessel diameter correlated with elevated blood flow velocity, reaching a maximum of 1.40 × 10^-3 m/s with an expanding cell gap. The simulation results for pressure distribution show that as vessel diameter increases, the velocity of nanoparticles in blood increases and decreases the pressure of blood. Intriguingly, distinct fluid flow patterns in pancreatic and hepatic tumors, emphasize how microenvironmental differences, specifically cell pore size, profoundly impact therapeutic agent transport, with implications for drug delivery strategies in cancer therapy. These simulation-based insights enable researchers to anticipate nanofluid behavior in realistic settings. Future work, incorporating immune cells, will enhance the understanding of nanoparticle efficiency in cancer therapy.
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Affiliation(s)
- Fariha Shabbir
- Department of Biomedical Engineering, Faculty of Engineering, Science, Technology and Management (ZUFESTM), Ziauddin University, Karachi, Pakistan.
| | - Amenah Abdul Mujeeb
- Department of Biomedical Engineering, Faculty of Engineering, Science, Technology and Management (ZUFESTM), Ziauddin University, Karachi, Pakistan
| | - Syed Faraz Jawed
- Department of Biomedical Engineering, NED University of Engineering and Technology, Karachi, Pakistan.
| | - Ali Haider Khan
- Department of Biomedical Engineering, Faculty of Engineering, Science, Technology and Management (ZUFESTM), Ziauddin University, Karachi, Pakistan
| | - Choudhary Sobhan Shakeel
- Department of Biomedical Engineering, Faculty of Engineering, Science, Technology and Management (ZUFESTM), Ziauddin University, Karachi, Pakistan
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Lee SE, Amin N, Mannent LP, Bachert C, Gross G, Cho SH, Praestgaard A, Siddiqui S, Nash S, Kamat S, Khan AH, Jacob Nara JA. The relationship of sinus opacification, olfaction and dupilumab efficacy in patients with CRSwNP. Rhinology 2023; 61:531-540. [PMID: 37453138 DOI: 10.4193/rhin22.220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/18/2023]
Abstract
BACKGROUND Loss of sense of smell is one of the most burdensome symptoms of chronic rhinosinusitis with nasal polyps (CRSwNP) but its relationship to sinus disease on imaging is unclear. Dupilumab improves sense of smell and radiographic severity of sinus disease in patients with CRSwNP. We investigated the relationship of sinus opacification severity and loci to olfactory impairment and dupilumab efficacy in patients with CRSwNP from the SINUS-24/SINUS-52 (NCT02912468/NCT02898454) studies. METHODS Sinus opacification was evaluated using the Lund-Mackay computed tomography (LMK-CT) score and sense of smell using patient-reported loss of smell (LoS) score, University of Pennsylvania Smell Identification Test (UPSIT) score and the 22-item Sino-Nasal Outcome Test (SNOT-22) smell/taste item. RESULTS At baseline, 95% of patients (688/724) had impaired sense of smell and opacification was extensive across all sinuses. Greater olfactory impairment was associated with greater opacification, especially in the ethmoid, sphenoid and frontal sinuses. At Week 24, reductions in LMK-CT total score and ethmoid and sphenoid sinus scores with dupilumab were weakly correlated with improvements in sense of smell assessed by LoS, UPSIT and SNOT-22 smell/taste item. More dupilumab than placebo patients achieved clinically meaningful improvement in LMK-CT total score at Week 24 and Week 52. CONCLUSION Radiographic disease severity on imaging was associated with smell outcomes in this cohort. Opacification of the ethmoid, sphenoid and frontal sinuses was associated with severe smell loss. These data suggest that dupilumab effects on smell may be partly mediated through reduced sinus inflammation.
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Affiliation(s)
- S E Lee
- Division of Otolaryngology - Head and Neck Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
| | - N Amin
- Clinical Sciences Global Development, Regeneron Pharmaceuticals, Inc., Tarrytown, NY, USA
| | - L P Mannent
- Global Clinical Development, Sanofi, Chilly-Mazarin, France
| | - C Bachert
- Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Münster, Münster, Germany, and International Airway Research Center, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China, and Upper Airways Research Laboratory and Department of Otorhinolaryngology, Ghent University, Ghent, Belgium
| | - G Gross
- Department of Internal Medicine, University of Texas Southwestern Medical School, Dallas, TX, USA
| | - S H Cho
- Division of Allergy-Immunology, Morsani College of Medicine, University of South Florida, Tampa, FL, USA
| | - A Praestgaard
- Department of Biostatistics, Sanofi, Cambridge, MA, USA
| | - S Siddiqui
- Medical Affairs, Regeneron Pharmaceuticals, Inc., Tarrytown, NY, USA
| | - S Nash
- Medical Affairs, Regeneron Pharmaceuticals, Inc., Tarrytown, NY, USA
| | - S Kamat
- Medical Affairs, Regeneron Pharmaceuticals, Inc., Tarrytown, NY, USA
| | - A H Khan
- Global Medical Affairs, Sanofi, Chilly-Mazarin, France
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Mustafa ZU, Khan AH, Salman M, Harun SN, Meyer JC, Godman B, Seaton RA. Healthcare-associated infections among neonates and children in Pakistan: findings and the implications from a point prevalence survey. J Hosp Infect 2023; 141:142-151. [PMID: 37774930 DOI: 10.1016/j.jhin.2023.09.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 09/17/2023] [Accepted: 09/18/2023] [Indexed: 10/01/2023]
Abstract
BACKGROUND Healthcare-associated infections (HAIs) increase morbidity, mortality and costs. The overall prevalence of HAIs is greater in low- and middle-income countries due to poor resources and infrastructure, with the incidence of HAIs greater among neonates and children. There is a need to understand the current situation in Pakistan including key drivers to improve future care. METHODS Point prevalence survey (PPS) of HAIs in the children's wards of 19 public sector secondary- and tertiary-care hospitals of Pakistan and associated key drivers. RESULTS A total of 1147 children were included in the PPS. 35.7% were neonates with 32.8% aged >1-5 years. 35.2% were admitted to the intensive care units (ICUs). Peripheral, central venous and urinary catheters were present in 48%, 2.9% and 5.6% of the patients, respectively. A total of 161 HAIs from various pathogens were observed in 153 cases, giving a prevalence of 13.3%. The majority of HAIs were caused by Staphylococcus aureus (31.7%) followed by Klebsiella pneumoniae (22.9%) and Escherichia coli (17.4%). Bloodstream infections were identified in 42 cases followed by lower-respiratory-tract infections in 35. Increased length of hospital stays and being admitted to the ICU, 'rapidly fatal' patients under the McCabe and Jackson criteria, central and peripheral catheterization, and invasive mechanical ventilation were, associated with higher HAIs (P<0.001). 99.7% of HAI patients fully recovered and were discharged from the hospital. CONCLUSION There is a high prevalence of HAIs among neonates and children admitted to health facilities in Pakistan. Infection prevention and control measures should be implemented to help prevent future HAIs.
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Affiliation(s)
- Z U Mustafa
- Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia; Department of Pharmacy Services, District Headquarter (DHQ) Hospital, Pakpattan, Pakistan.
| | - A H Khan
- Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia
| | - M Salman
- Institute of Pharmacy, Faculty of Pharmaceutical and Allied Health Sciences, Lahore College for Women University, Lahore, Pakistan
| | - S N Harun
- Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia
| | - J C Meyer
- Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University, Pretoria 0208, South Africa
| | - B Godman
- Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University, Pretoria 0208, South Africa; Strathclyde Institute of Pharmacy and Biomedical Science (SIPBS), University of Strathclyde, Glasgow, UK
| | - R A Seaton
- Queen Elizabeth University Hospital, Glasgow, UK; Scottish Antimicrobial Prescribing Group, Healthcare Improvement Scotland, Glasgow, UK
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Zahid H, Rashid M, Syed SA, Ullah R, Asif M, Khan M, Abdul Mujeeb A, Haider Khan A. A computer vision-based system for recognition and classification of Urdu sign language dataset. PeerJ Comput Sci 2022; 8:e1174. [PMID: 37346313 PMCID: PMC10281630 DOI: 10.7717/peerj-cs.1174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 11/09/2022] [Indexed: 06/23/2023]
Abstract
Human beings rely heavily on social communication as one of the major aspects of communication. Language is the most effective means of verbal and nonverbal communication and association. To bridge the communication gap between deaf people communities, and non-deaf people, sign language is widely used. According to the World Federation of the Deaf, there are about 70 million deaf people present around the globe and about 300 sign languages being used. Hence, the structural form of the hand gestures involving visual motions and signs is used as a communication system to help the deaf and speech-impaired community for daily interaction. The aim is to collect a dataset of Urdu sign language (USL) and test it through a machine learning classifier. The overview of the proposed system is divided into four main stages i.e., data collection, data acquisition, training model ad testing model. The USL dataset which is comprised of 1,560 images was created by photographing various hand positions using a camera. This work provides a strategy for automated identification of USL numbers based on a bag-of-words (BoW) paradigm. For classification purposes, support vector machine (SVM), Random Forest, and K-nearest neighbor (K-NN) are used with the BoW histogram bin frequencies as characteristics. The proposed technique outperforms others in number classification, attaining the accuracies of 88%, 90%, and 84% for the random forest, SVM, and K-NN respectively.
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Affiliation(s)
- Hira Zahid
- Biomedical Engineering Department and Electrical Engineering Department, Ziauddin University, Karachi, Pakistan
| | - Munaf Rashid
- Electrical Engineering Department and Software Engineering Department, Ziauddin University, Karachi, Pakistan
| | - Sidra Abid Syed
- Biomedical Engineering Department, Sir Syed University of Engineering and Technology, Karachi, Pakistan
| | | | - Muhammad Asif
- Electrical Engineering Department, Ziauddin University, Karachi, Pakistan
| | - Muzammil Khan
- Biomedical Engineering Department, Sir Syed University of Engineering and Technology, Karachi, Pakistan
| | | | - Ali Haider Khan
- Biomedical Engineering Department, Ziauddin University, Karachi, Pakistan
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Ghobain MA, Rebh F, Saad A, Khan AH, Mehyar N, Mashhour A, Islam I, Alobaida Y, Alaskar AS, Boudjelal M, Jeraisy MA. The efficacy of Zafirlukast as a SARS-CoV-2 helicase inhibitor in adult patients with moderate COVID-19 Pneumonia (pilot randomized clinical trial). J Infect Public Health 2022; 15:1546-1550. [PMID: 36436481 PMCID: PMC9673052 DOI: 10.1016/j.jiph.2022.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Revised: 11/07/2022] [Accepted: 11/13/2022] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To assess the efficacy of Zafirlukast as a SARS-CoV-2 Helicase Inhibitor in adult patients with moderate COVID-19 symptoms (hospitalized patients with COVID-19 pneumonia who were not admitted to an intensive care unit). METHODS We conducted a randomized, double blind, placebo-controlled, pilot trial with adult patients with moderate COVID-19 pneumonia. The sample was randomized to Zafirlukast 10 mg BD for 10 days plus standard care vs placebo plus standard care. The primary outcome was the complete resolution of all symptoms. The secondary outcomes were the duration of oxygen therapy, and length of hospital stay (LOS). RESULTS In total, 40 patients were randomized (20 to Zafirlukast and 20 to the control). The time to the resolution of clinical symptoms in both groups was not significantly different. Regarding the fever, 0.3 days [95 % CI, - 1.19, 0.69], p = 0.76, for shortness of breath, the difference was 0.4 days [95 % CI, - 2.67, 3.46], p = 0.68, for cough the difference was 0.2 days [95 % CI, - 1.45, 1.95], p = 0.98, for sputum the difference was 0.5 days [95 % CI, - 0.75, 1.85], p = 0.09, for vomiting the difference was 0.1 days [95 % CI, - 0.50, 0.30], p = 0.93, for fatigue the difference was 0.3 days [95 % CI, - 4.32, 3.62], p = 0.64. The LOS per day for the two groups was not significantly different, 1.1 days [95 % CI,- 2.03, 4.28], p = 0.94, nor was the duration of oxygen therapy per days, 1.3 days [95 % CI, - 1.79, 4.49], p = 0.49. Regarding the 7 category ordinary scale, there was no significant difference between the two groups at day 7 (p-value = 0.62), day 14 (p-value = 0.60) and day 28 (p-value = 0.48). CONCLUSION Among adult patients hospitalized with COVID-19 pneumonia, the treatment with Zafirlukast, compared to placebo, did not significantly improve symptoms resolution.
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Affiliation(s)
- M Al Ghobain
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.
| | - F Rebh
- Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia
| | - A Saad
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
| | - A H Khan
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
| | - N Mehyar
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
| | - A Mashhour
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
| | - I Islam
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
| | - Y Alobaida
- Sudair Pharmaceutical Co, Riyadh, Saudi Arabia
| | - A S Alaskar
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
| | - M Boudjelal
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
| | - M Al Jeraisy
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
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Hassan SN, Tilottoma B, Begum S, Kabir S, Khan AH, Rahman RN, Ahmed MS, Chowdhury FQ, Islam MR. Ocular Manifestation and Correlation with CD4+ T Cell Count among Adult HIV/AIDS Patients in Bangladesh. Mymensingh Med J 2022; 31:779-789. [PMID: 35780364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Patients with HIV or AIDS suffer from wide varieties of complications that are related to infection. The eye as an organ is not spared from HIV-related manifestations. The ocular manifestations can be the presenting sign of a systemic infection in an otherwise asymptomatic HIV-positive person. The disease can have adnexal, anterior segment, posterior segment, orbital and neuro-ophthalmic manifestations. The objective of the study was to evaluate the ophthalmological manifestations among adult HIV infected patients of Bangladesh and co-relate the findings with CD-4+ T cell count. This cross sectional study was conducted in the department of Community Ophthalmology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January 2013 to September 2015. Purposive sampling technique was applied to enroll the patients. Total 110 patients were enrolled regardless of their immunological status by inclusion and exclusion criteria. Relevant clinical evaluation including history & physical examinations, laboratory investigations and some ocular examinations like- visual acuity, slit lamp biomicroscopy, IOP, indirect ophthalmoscopy with +90D (diopter) and +20D were done. The age of the study population ranged from 20-58 years with mean±SD 37.63±8.16 years. Among the study population 67(60.9%) were male and 43(39.1%) were female. According to ART status, 58(52.7%) were on ART and 52(47.3%) were ART naive. The mean CD4+ T- cells count was 410±281.65 with minimum to maximum was 6-1266 cells/μl. Among them 53(48.2%) had HIV related ocular findings and 57(51.8%) had no HIV related ocular manifestation. In relation with CD+ T- cells count, highly significant relation was found with lower CD4+ T- cells count and ocular manifestation (p=0.001).
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Affiliation(s)
- S N Hassan
- Dr Shah-Noor Hassan, Associate Professor, Department of Ophthalmology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail:
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Johansson H, Naureen G, Iqbal R, Jafri L, Khan AH, Umer M, Liu E, Vandenput L, Lorentzon M, McCloskey EV, Kanis JA, Harvey NC. FRAX-based intervention thresholds for Pakistan. Osteoporos Int 2022; 33:105-112. [PMID: 34414463 DOI: 10.1007/s00198-021-06087-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 07/26/2021] [Indexed: 10/20/2022]
Abstract
We compared, for women in Pakistan, the utility of intervention thresholds either at a T-score ≤ - 2.5 or based on a FRAX probability equivalent to women of average body mass index (BMI) with a prior fragility fracture. Whereas the FRAX-based intervention threshold identified women at high fracture probability, the T-score threshold was less sensitive, and the associated fracture risk decreased markedly with age. PURPOSE The fracture risk assessment algorithm FRAX® has been recently calibrated for Pakistan, but guidance is needed on how to apply fracture probabilities to clinical practice. METHODS The age-specific 10-year probabilities of a major osteoporotic fracture were calculated in women with average BMI to determine fracture probabilities at two potential intervention thresholds. The first comprised the age-specific fracture probabilities associated with a femoral neck T-score of - 2.5. The second approach determined age-specific fracture probabilities that were equivalent to a woman with a prior fragility fracture, without bone mineral density (BMD). The parsimonious use of BMD was additionally explored by the computation of upper and lower assessment thresholds for BMD testing. RESULTS When a BMD T-score ≤ - 2.5 was used as an intervention threshold, FRAX probabilities in women aged 50 years were approximately two-fold higher than in women of the same age but with no risk factors and average BMD. The relative increase in risk associated with the BMD threshold decreased progressively with age such that, at the age of 80 years or more, a T-score of - 2.5 was actually protective. The 10-year probability of a major osteoporotic fracture by age, equivalent to women with a previous fracture, rose with age from 2.1% at the age of 40 years to 17%, at the age of 90 years, and identified women at increased risk at all ages. CONCLUSION Intervention thresholds based on BMD alone do not effectively target women at high fracture risk, particularly in the elderly. In contrast, intervention thresholds based on fracture probabilities equivalent to a 'fracture threshold' target women at high fracture risk.
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Affiliation(s)
- H Johansson
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Centre for Metabolic Bone Diseases, University of Sheffield, Beech Hill Road, Sheffield, S10 2RX, UK
- Sahlgrenska Osteoporosis Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden
| | - G Naureen
- Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia
- Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, Melbourne, Australia
| | - R Iqbal
- Departments of Community Health Sciences and Medicine, Aga Khan University, Karachi, Pakistan
| | - L Jafri
- Department of Pathology & Laboratory Medicine, Aga Khan University, Karachi, Pakistan
| | - A H Khan
- Department of Pathology & Laboratory Medicine, Aga Khan University, Karachi, Pakistan
| | - M Umer
- Department of Orthopaedics, Aga Khan University, Karachi, Pakistan
| | - E Liu
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
| | - L Vandenput
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - M Lorentzon
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
- Sahlgrenska Osteoporosis Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden
| | - E V McCloskey
- Centre for Metabolic Bone Diseases, University of Sheffield, Beech Hill Road, Sheffield, S10 2RX, UK
- Department of Oncology and Metabolism, Mellanby Centre for Musculoskeletal Research, University of Sheffield, Sheffield, UK
| | - J A Kanis
- Mary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
- Centre for Metabolic Bone Diseases, University of Sheffield, Beech Hill Road, Sheffield, S10 2RX, UK.
| | - N C Harvey
- MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
- NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK
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Desrosiers M, Mannent LP, Amin N, Canonica GW, Hellings PW, Gevaert P, Mullol J, Lee SE, Fujieda S, Han JK, Hopkins C, Fokkens W, Jankowski R, Cho SH, Mao X, Zhang M, Rice MS, Khan AH, Kamat S, Patel N, Graham NMH, Ruddy M, Bachert C. Dupilumab reduces systemic corticosteroid use and sinonasal surgery rate in CRSwNP. Rhinology 2021; 59:301-311. [PMID: 33847325 DOI: 10.4193/rhin20.415] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Chronic rhinosinusitis with nasal polyps (CRSwNP) is a type 2 inflammatory disease with a high symptom burden and poor quality of life. Treatment options include recurrent surgeries and/or frequent systemic corticosteroids (SCS). Dupilumab, a fully human monoclonal antibody, blocks the shared receptor component for interleukin-4 and interleukin-13, key drivers of type 2-mediated inflammation. We report results of pooled analyses from 2 randomised, double-blind, placebo-controlled phase 3 studies (SINUS 24 [NCT02912468]; SINUS-52 [NCT02898454]) to evaluate dupilumab effect versus placebo in adults with CRSwNP with/without SCS use and sinonasal surgery. METHODOLOGY SINUS-24 patients were randomised 1:1 to subcutaneous dupilumab 300 mg (n=143) or placebo (n=133) every 2 weeks (q2w) for 24 weeks. SINUS-52 patients were randomised 1:1:1 to 52 weeks of subcutaneous dupilumab 300 mg q2w (n=150), 24 weeks q2w followed by 28 weeks of dupilumab 300 mg every 4 weeks (n=145) or 52 weeks of placebo q2w (n=153). RESULTS Dupilumab reduced the number of patients undergoing sinonasal surgery (82.6%), the need for in-study SCS use (73.9%), and SCS courses (75.3%). Significant improvements were observed with dupilumab vs placebo regardless of prior sinonasal surgery or SCS use in nasal polyp, nasal congestion, Lund-MacKay, and Sinonasal Outcome Test (22-items) scores, and the University of Pennsylvania Smell Identification Test. CONCLUSIONS Dupilumab demonstrated significant improvements in disease signs and symptoms and reduced the need for sino-nasal surgery and SCS use versus placebo in patients with severe CRSwNP, regardless of SCS use in the previous 2 years, or prior sinonasal surgery.
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Affiliation(s)
- M Desrosiers
- Centre de recherche du Centre hospitalier de l’Universite de Montreal (CRCHUM), Montreal, QC, Canada
| | | | - N Amin
- Regeneron Pharmaceuticals, Inc. Tarrytown, NY, USA
| | - G W Canonica
- Regeneron Pharmaceuticals, Inc. Tarrytown, NY, USA
| | | | | | - J Mullol
- Hospital Clinic, IDIBAPS, Universitat de Barcelona, CIBERES, Barcelona, Catalonia, Spain
| | - S E Lee
- University of Pittsburgh Medical Center, Pittsburgh, PA, USA
| | | | - J K Han
- Eastern Virginia Medical School, Norfolk, VA, USA
| | - C Hopkins
- Guy's and St Thomas' Hospitals, London, UK
| | - W Fokkens
- Academic Medical Center, Amsterdam, Netherlands
| | - R Jankowski
- University Hospital of Nancy, University of Lorraine, Nancy, France
| | - S H Cho
- University of South Florida, Tampa, FL, USA
| | - X Mao
- Sanofi, Bridgewater, NJ, USA
| | - M Zhang
- Sanofi, Bridgewater, NJ, USA
| | | | | | - S Kamat
- Regeneron Pharmaceuticals, Inc. Tarrytown, NY, USA
| | - N Patel
- Sanofi, Bridgewater, NJ, USA
| | - N M H Graham
- Regeneron Pharmaceuticals, Inc. Tarrytown, NY, USA
| | - M Ruddy
- Regeneron Pharmaceuticals, Inc. Tarrytown, NY, USA
| | - C Bachert
- Ghent University, Ghent, Belgium; Karolinska Institutet, Stockholm, Sweden; Sun Yat-sen University, First Affiliated Hospital, Guangzhou, China
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10
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Abstract
The study contains the dataset of ECG images of Cardiac and COVID-19 patients. This rare dataset contains 1937 distinct patient records, data is collected using ECG Device 'EDAN SERIES-3' installed in Cardiac Care and Isolation Units of different health care institutes across Pakistan. The collected ECG images data were manually reviewed by medical professors using Telehealth ECG diagnostic system, under the supervision of senior medical professionals with experience in ECG interpretation. The manual reviewing process of ECG images took several months to review the five distinct categories (COVID-19, Abnormal Heartbeat, Myocardial Infarction (MI), Previous History of MI, and Normal Person). The collected data contains 12 leads-based ECG images dataset can be used by Data Scientist, IT Professional and Medical Research Institutes to design, compare, fine-tune classical techniques and Deep learning methods in studies focused on COVID-19, Arrhythmia, and other cardiovascular conditions. The dataset contains rare categories of patients that may be used for the development of automatic diagnosis tool for healthcare institutes.
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Affiliation(s)
- Ali Haider Khan
- Department of Computer Science, School of System & Technology, University of Management and Technology Lahore, Pakistan
| | - Muzammil Hussain
- Department of Computer Science, School of System & Technology, University of Management and Technology Lahore, Pakistan
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11
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Khan AH, Hussain M, Malik MK. ECG Images dataset of Cardiac and COVID-19 Patients. Data Brief 2021; 34:106762. [PMID: 33521183 DOI: 10.17632/gwbz3fsgp8.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 01/03/2021] [Accepted: 01/14/2021] [Indexed: 05/28/2023] Open
Abstract
The study contains the dataset of ECG images of Cardiac and COVID-19 patients. This rare dataset contains 1937 distinct patient records, data is collected using ECG Device 'EDAN SERIES-3' installed in Cardiac Care and Isolation Units of different health care institutes across Pakistan. The collected ECG images data were manually reviewed by medical professors using Telehealth ECG diagnostic system, under the supervision of senior medical professionals with experience in ECG interpretation. The manual reviewing process of ECG images took several months to review the five distinct categories (COVID-19, Abnormal Heartbeat, Myocardial Infarction (MI), Previous History of MI, and Normal Person). The collected data contains 12 leads-based ECG images dataset can be used by Data Scientist, IT Professional and Medical Research Institutes to design, compare, fine-tune classical techniques and Deep learning methods in studies focused on COVID-19, Arrhythmia, and other cardiovascular conditions. The dataset contains rare categories of patients that may be used for the development of automatic diagnosis tool for healthcare institutes.
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Affiliation(s)
- Ali Haider Khan
- Department of Computer Science, School of System & Technology, University of Management and Technology Lahore, Pakistan
| | - Muzammil Hussain
- Department of Computer Science, School of System & Technology, University of Management and Technology Lahore, Pakistan
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12
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Khan AH, Hussain M, Malik MK. ECG Images dataset of Cardiac and COVID-19 Patients. Data Brief 2021; 34:106762. [PMID: 33521183 DOI: 10.17632/gwbz3fsgp8.2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 01/03/2021] [Accepted: 01/14/2021] [Indexed: 05/28/2023] Open
Abstract
The study contains the dataset of ECG images of Cardiac and COVID-19 patients. This rare dataset contains 1937 distinct patient records, data is collected using ECG Device 'EDAN SERIES-3' installed in Cardiac Care and Isolation Units of different health care institutes across Pakistan. The collected ECG images data were manually reviewed by medical professors using Telehealth ECG diagnostic system, under the supervision of senior medical professionals with experience in ECG interpretation. The manual reviewing process of ECG images took several months to review the five distinct categories (COVID-19, Abnormal Heartbeat, Myocardial Infarction (MI), Previous History of MI, and Normal Person). The collected data contains 12 leads-based ECG images dataset can be used by Data Scientist, IT Professional and Medical Research Institutes to design, compare, fine-tune classical techniques and Deep learning methods in studies focused on COVID-19, Arrhythmia, and other cardiovascular conditions. The dataset contains rare categories of patients that may be used for the development of automatic diagnosis tool for healthcare institutes.
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Affiliation(s)
- Ali Haider Khan
- Department of Computer Science, School of System & Technology, University of Management and Technology Lahore, Pakistan
| | - Muzammil Hussain
- Department of Computer Science, School of System & Technology, University of Management and Technology Lahore, Pakistan
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13
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Chandran M, Bhadada SK, Ebeling PR, Gilchrist NL, Khan AH, Halbout P, Lekamwasam S, Lyubomirsky G, Mitchell PJ, Nguyen TV, Tiu KL. IQ driving QI: the Asia Pacific Consortium on Osteoporosis (APCO): an innovative and collaborative initiative to improve osteoporosis care in the Asia Pacific. Osteoporos Int 2020; 31:2077-2081. [PMID: 32561953 PMCID: PMC7560927 DOI: 10.1007/s00198-020-05495-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 06/04/2020] [Indexed: 01/30/2023]
Abstract
Asia Pacific Consortium on Osteoporosis (APCO) comprises of clinical experts from across the Asia Pacific region, uniting to develop solutions to problems facing osteoporosis management and care. The vision of APCO is to reduce the burden of osteoporosis and fragility fractures in the Asia Pacific region. INTRODUCTION The Asia Pacific (AP) region comprises 71 countries with vastly different healthcare systems. It is predicted that by 2050, more than half the world's hip fractures will occur in this region. The Asia Pacific Consortium on Osteoporosis (APCO) was set up in May 2019 with the vision of reducing the burden of osteoporosis and fragility fractures in the AP region. METHODS APCO has so far brought together 39 clinical experts from countries and regions across the AP to develop solutions to challenges facing osteoporosis management and fracture prevention in this highly populous region of the world. APCO aims to achieve its vision by engaging with relevant stakeholders including healthcare providers, policy makers and the public. The initial APCO project is to develop and implement a Framework of pan-AP minimum clinical standards for the screening, diagnosis and management of osteoporosis. RESULTS AND CONCLUSIONS The Framework will serve as a platform upon which new national clinical guidelines can be developed or existing guidelines be revised, in a standardised fashion. The Framework will also facilitate benchmarking for provision of quality of care. It is hoped that the principles underlying the formation and functioning of APCO can be adopted by other regions and that every health care facility and progressively every country in the world can follow our aspirational path and progress towards best practice.
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Affiliation(s)
- M Chandran
- Osteoporosis and Bone Metabolism Unit, Department of Endocrinology, Singapore General Hospital, 20 College Road, Singapore, 169856, Singapore.
| | - S K Bhadada
- Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - P R Ebeling
- Department of Medicine, School of Clinical Sciences, Monash University, Melbourne, Australia
| | - N L Gilchrist
- Canterbury District Health Board, Christchurch, New Zealand
| | - A H Khan
- Aga Khan University, Karachi, Pakistan
| | - P Halbout
- International Osteoporosis Foundation, Nyon, Switzerland
| | | | | | - P J Mitchell
- Synthesis Medical NZ Limited, Auckland, New Zealand
| | - T V Nguyen
- The Garvan Institute of Medical Research, Sydney, Australia
- University of Technology, Sydney, Australia
| | - K L Tiu
- Queen Elizabeth Hospital, Hong Kong, Hong Kong SAR
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Ahamad A, Raju NJ, Madhav S, Khan AH. Trace elements contamination in groundwater and associated human health risk in the industrial region of southern Sonbhadra, Uttar Pradesh, India. Environ Geochem Health 2020; 42:3373-3391. [PMID: 32361866 DOI: 10.1007/s10653-020-00582-7] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2019] [Accepted: 04/17/2020] [Indexed: 06/11/2023]
Abstract
The present study assesses the pollution load of the groundwater with reference to the trace elements (i.e. As, Hg, Cd, Cr, Cu, Fe, Mn, Zn, Ni, Co and Pb) and the potential health risk by its consumption for the residents of Obra, Renukoot and Anpara industrial clusters of Southern Sonbhadra, Uttar Pradesh, India. For this, 220 groundwater samples were collected during post- and premonsoon seasons in 2015. pH varied from slightly acidic to alkaline in both the seasons. Geochemical analysis of the area showed that all the three clusters are severely contaminated with Fe, Pb, Cd, Cr, As and Hg during both the seasons. High concentration of heavy metals indicates that groundwater was contaminated with natural as well as anthropogenic sources. For all the three clusters, the mean values of heavy metal pollution index were found above the critical index in both the seasons with Anpara in lead. For the majority of groundwater samples across the clusters during both the seasons, substantial non-cancer health risk was observed due to target hazard quotient values of Cr, Cd, As, Pb and Hg higher than unity. The hazard index value for children was very high compared to adults which means that children are more susceptible to health impairment in terms of non-carcinogenic health risk. Carcinogenic risk was higher for adults than children in the entire study area.
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Affiliation(s)
- Arif Ahamad
- School of Environmental Sciences, Jawaharlal Nehru University, New Delhi, 110067, India
| | - N Janardhana Raju
- School of Environmental Sciences, Jawaharlal Nehru University, New Delhi, 110067, India.
| | - Sughosh Madhav
- School of Environmental Sciences, Jawaharlal Nehru University, New Delhi, 110067, India
| | - A H Khan
- CSIR_Indian Institute of Toxicology Research, Lucknow, Uttar Pradesh, 226001, India
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Shahab H, Khan H, Tufail M, Artani A, Almas A, Khan AH. P275 Uncontrolled post-clinic blood pressure readings can identify nocturnal non-dipping blood pressure pattern. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehz872.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Aga Khan University Faculty of Health Sciences Research Committee (#80096)
On Behalf
PC BP (Post Clinic Blood Pressure) Study Group
Background
Nocturnal non-dipping increases cardiovascular morbidity and mortality in both hypertensive and normotensive subjects. Ambulatory blood pressure monitoring(ABPM) can identify nocturnal blood pressure(BP) dipping patterns but clinic BP cannot. We previously showed that 15-minute post-clinic BP correlates well with 24- hour ABPM.
Purpose
We aimed to determine if 15-minute post-clinic BP reading helped to identify patients with nocturnal non-dipping pattern.
Methods
A cross-sectional study involving 150 participants, as part of the Post Clinic-Ambulatory Blood Pressure(PC-ABP) study, was conducted in cardiology clinics. Participants aged ≥18 years, with hypertension or those referred for its assessment, were included. Pregnant females were excluded. Post-clinic BP was taken 15 minutes after the patient-physician encounter in the clinic using an automated, validated BP device by a research assistant. All the participants were then referred for 24-hour ABPM. Patterns of nocturnal dipping were studied amongst groups of controlled(<140 mmHg) and uncontrolled(≥140mmHg) post-clinic systolic BP(SBP). Fischer exact test was used to determine the difference in dipping patterns amongst the two groups.
Results
The mean age of participants was 60.3 ± 11.9 years. Of 150 participants, 49% were male and of all, 76% were hypertensive. Mean nighttime SBP(±SD) was 121.9(±18) mmHg(p-value <0.001). Mean nighttime DBP(±SD) was 68.7(± 8.7) mmHg(p < 0.001). Patterns of nocturnal dipping amongst patients with mean post-clinic SBP <140mmHg versus ≥140mmHg has been shown in Table 1. The difference in nocturnal dipping patterns between the two groups was statistically insignificant(p-value 0.071). Pearson correlation coefficient between post-clinic SBP and nighttime SBP for patients with loss of dip was higher (0.64; p < 0.001) whereas it was 0.56(p-value <0.001) for those with preserved dip.
Conclusion
Uncontrolled post-clinic BP can help in identifying patients with nocturnal non-dipping. Larger studies can help determine the prognostic value of post-clinic BP amongst patients with nocturnal non-dipping.
Nocturnal Dipping Amongst The Two Groups Controlled PC SBP <140mmHg (n = 80) Uncontrolled PC SBP ≥140mmHg (n = 70) Preserved Nocturnal Dipping (10 to 20% nocturnal drop in SBP) 61.2% (n = 49) 47.1% (n = 33) Loss of Dip (>0% to <10% of nocturnal drop in SBP) 33.8% (n = 27) 48.6% (n = 34) Reversed Dip (≤0% drop in SBP) 5% (n = 4) 1.4%(n = 1) Excessive Dip (>20% drop in SBP) 0 2.9% (n = 2) Table 1 shows the patterns of nocturnal dipping amongst patients with controlled (<140mmHg) and uncontrolled (≥140mmHg) 15-minute post-clinic systolic blood pressure (PC SBP).
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Affiliation(s)
- H Shahab
- Aga Khan University, Karachi, Pakistan
| | - H Khan
- Aga Khan University, Karachi, Pakistan
| | - M Tufail
- Aga Khan University, Karachi, Pakistan
| | - A Artani
- Aga Khan University, Karachi, Pakistan
| | - A Almas
- Aga Khan University, Karachi, Pakistan
| | - A H Khan
- Aga Khan University, Karachi, Pakistan
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Shahab H, Khan H, Tufail M, Almas A, Khan AH. P274 Three-hour ambulatory blood pressure monitoring: a new surrogate for ambulatory blood pressure assessment in the pakistani population. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehz872.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
Aga Khan University Faculty of Health Sciences Research Committee (#80096)
On Behalf
PC BP (Post Clinic Blood Pressure) Study Group
Background
The gold standard Ambulatory Blood Pressure Monitoring (ABPM) eliminates white coat effect. However, it is expensive and 24 hours long, making it cumbersome. Prior studies in other populations have investigated the utility of shorter intervals in which ABPM can be used to get the same results as 24-hour ABPM.
Purpose
Our objective was to determine if 3-hour ABPM correlates with 24-hour ABPM in the Pakistani population.
Methods
A cross-sectional study, involving 150 participants as part of the PC ABP (post clinic ambulatory blood pressure) study, was conducted in the cardiology clinics, starting 2015. Participants ≥18years of age and were either hypertensive or referred for assessment of hypertension were included. Pregnant females were excluded. Blood pressure (BP) readings were taken with an ambulatory BP monitor over a 24 hour period, every half hour during daytime and every hour during nighttime. After excluding the first hour called the white-coat window, the mean of the first 6 systolic readings taken every half hour during the daytime was calculated and was called systolic 3-hour ABPM. Pearson correlation coefficients were calculated and Bland Altman plots were constructed to determine the correlation and limits of agreement between mean systolic 3-hour ABPM and mean daytime ABPM.
Results
Of 150 participants, 49% were male. Of all participants, 76% were hypertensive. Mean age of the participants was 60.3 ± 11.9 years. Mean systolic 3-hour ABPM was 135.0 ± 16mmHg. Mean systolic daytime ABPM was 134.7 ± 15mmHg respectively. Pearson correlation coefficient between mean systolic 3-hour ABPM and mean systolic daytime ABPM was 0.85 (p-value of <0.001). The difference between systolic 3-hour ABPM and systolic daytime ABPM was 0.3mmHg (95% Confidence Interval -1.1 to 1.7mmHg). The limits of agreement were 18mmHg to -17mmHg for systolic 3-hour ABPM and systolic daytime ABPM.
Conclusion
Three-hour ABPM correlates well with 24-hour gold standard ABPM in the Pakistani population. We suggest using this shortened study for the assessment of hypertension where a full ABPM cannot be conducted due to expense or logistic reasons, thus saving time and upfront cost.
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Affiliation(s)
- H Shahab
- Aga Khan University, Karachi, Pakistan
| | - H Khan
- Aga Khan University, Karachi, Pakistan
| | - M Tufail
- Aga Khan University, Karachi, Pakistan
| | - A Almas
- Aga Khan University, Karachi, Pakistan
| | - A H Khan
- Aga Khan University, Karachi, Pakistan
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17
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Islam KMT, Alam S, Amin R, Haque M, Nath HD, Hossain M, Khan AH, Hossain MATM, Barua KK. Incidence of central diabetes insipid us among the patients undergoing pituitary tumor surgery 06 through trans-sphenoidal approach. J Surg Sci 2019. [DOI: 10.3329/jss.v21i1.43831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background: Diabetes insipidus (DI) is a common complication following pituitary surgery. Thiscondition can be transient or permanent and the signs and symptoms of this disorder can bemimicked by the normal postoperative course.
Objective: This study was carried out to find out the incidence of central diabetes insipidus (DI)among the patients undergoing pituitary tumor surgery through trans-sphenoidal approach eitherendoscopic or microsurgical for the first time.Study Design: Cross sectional observational study
Methods: Patients with central (Neurogenic) diabetes insipidus prior to surgery, co-morbiditieslike diabetes mellitus, kidney diseases, electrolyte imbalance, recurrent cases were excludedfrom this study. Patients were followed up to 7th postoperative day by recording and analyzingfindings of postoperative serum electrolytes, urinary specific gravity, hourly urinary volume forestablishing diabetes insipid us.
Results: 76.9% of patients developed diabetes insipidus and 70.0% of patients did not developdiabetes insipid us those who underwent pituitary tumour surgery by trans-sphenoidal endoscopicapproach; 23.1% of patients developed diabetes insipid us and 30.0% of patients did not developdiabetes insipid us those who underwent pituitary tumour surgery by trans-sphenoidal mlcrosurgicalapproach.
Conclusion: Prediction of DI help us in pre-operative counseling and post-operative managementof the patients as well as to reduce complications related morbidity after pituitary tumor surgery.
Journal of Surgical Sciences (2017) Vol. 21 (1) :6-10
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Salman M, Khan JH, Khan AH, Sulaiman SAS, Aslam Z, Asif N, Mustafa ZU, Hassan M, Saleem Z, Iqbal M. Prevalence and predictors of lower urinary tract symptoms in Pakistani men: A cross-sectional study. Journal of Clinical Urology 2019. [DOI: 10.1177/2051415818815371] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: The purpose of this study was to investigate the prevalence and severity of the condition of lower urinary tract symptoms in Pakistani men, determine its predictors and assess its impact on the quality of life. Methods: A cross-sectional, population-based study was conducted among men aged 30 years and over in three districts of Punjab province, Pakistan. The modified Urdu version of the International Prostate Symptom Score was used to assess the prevalence and severity of lower urinary tract symptoms. Individuals with total symptom score ⩾8 were considered as having lower urinary tract symptoms. The data were analysed using SPSS version 22. The chi-square test and Mann-Whitney U test were used to assess the difference among categorical and continuous variables, respectively. Moreover, binary logistic regressions were performed to determine the predictors of lower urinary tract symptoms. Results: The overall prevalence of lower urinary tract symptoms in our sample was 33.7%. The frequency of individuals having mild, moderate and severe lower urinary tract symptoms was 66.3, 30.3 and 3.4%, respectively. Storage symptoms were more common than voiding symptoms (35.6% vs 28.2%, respectively). Increasing age (one-decade interval age stratum), higher education levels, working status (currently not working), smoking, hypertension, diabetes and renal impairment were positive predictors of lower urinary tract symptoms. Moreover, the condition of lower urinary tract symptoms was associated with a significant reduction in an individual’s quality of life. Conclusion: Around one-third of adult Pakistani men suffer from clinically relevant urinary symptoms, with lower urinary tract symptoms sufferers having poor quality of life as compared to non-sufferers. We recommend that the aging population should be made aware of conventional measures to mitigate mild urinary symptoms affecting their routine activities. Level of evidence: 2c
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Affiliation(s)
- M Salman
- Punjab University College of Pharmacy, University of the Punjab, Pakistan
- Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia
| | - JH Khan
- National Hospital and Medical Center, Pakistan
| | - AH Khan
- Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia
| | - SAS Sulaiman
- Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia
| | - Z Aslam
- Punjab University College of Pharmacy, University of the Punjab, Pakistan
| | - N Asif
- Punjab University College of Pharmacy, University of the Punjab, Pakistan
| | - ZU Mustafa
- Punjab University College of Pharmacy, University of the Punjab, Pakistan
| | - M Hassan
- Punjab University College of Pharmacy, University of the Punjab, Pakistan
| | - Z Saleem
- Punjab University College of Pharmacy, University of the Punjab, Pakistan
| | - M Iqbal
- Punjab University College of Pharmacy, University of the Punjab, Pakistan
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19
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Khan AH, Rahman MM, Rahaman MF, Rahman M, Mondal MK, Chowdhury MA. Anti-phospholipid Antibody Syndrome Presenting as Huge Ascites: A Case Report. Mymensingh Med J 2018; 27:883-887. [PMID: 30487510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Antiphospholipid Syndrome (APS) is characterized by arterial, venous or small vessel thromboses and/or pregnancy morbidity in the presence of persistently elevated titers of antiphospholipid antibodies. Since virtually any organ can be involved, the clinical presentation of APS is very varied. Abdominal manifestations are rare but may be life-threatening, and include Budd-Chiari Syndrome. We report the case of a 26-year-old woman with primary APS, on aspirin treatment, who presented to us at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh in March 2017 with ascites for which she had been receiving treatment for abdominal tuberculosis. Following clinical and laboratory evaluation, she was diagnosed as a case of Budd-Chiari Syndrome with portal hypertension and initiated treatment with warfarin. There should be a high index of clinical suspicion for Budd-Chiari as a cause of ascites in patients with APS, since early recognition and treatment can significantly improve patients' survival.
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Affiliation(s)
- A H Khan
- Dr Abed Hussain Khan, Assistant Professor, Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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20
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Krishnamurthy SL, Sharma PC, Sharma DK, Ravikiran KT, Singh YP, Mishra VK, Burman D, Maji B, Mandal S, Sarangi SK, Gautam RK, Singh PK, Manohara KK, Marandi BC, Padmavathi G, Vanve PB, Patil KD, Thirumeni S, Verma OP, Khan AH, Tiwari S, Geetha S, Shakila M, Gill R, Yadav VK, Roy SKB, Prakash M, Bonifacio J, Ismail A, Gregorio GB, Singh RK. Identification of mega-environments and rice genotypes for general and specific adaptation to saline and alkaline stresses in India. Sci Rep 2017; 7:7968. [PMID: 28801586 PMCID: PMC5554213 DOI: 10.1038/s41598-017-08532-7] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2016] [Accepted: 07/14/2017] [Indexed: 11/13/2022] Open
Abstract
In the present study, a total of 53 promising salt-tolerant genotypes were tested across 18 salt-affected diverse locations for three years. An attempt was made to identify ideal test locations and mega-environments using GGE biplot analysis. The CSSRI sodic environment was the most discriminating location in individual years as well as over the years and could be used to screen out unstable and salt-sensitive genotypes. Genotypes CSR36, CSR-2K-219, and CSR-2K-262 were found ideal across years. Overall, Genotypes CSR-2K-219, CSR-2K-262, and CSR-2K-242 were found superior and stable among all genotypes with higher mean yields. Different sets of genotypes emerged as winners in saline soils but not in sodic soils; however, Genotype CSR-2K-262 was the only genotype that was best under both saline and alkaline environments over the years. The lack of repeatable associations among locations and repeatable mega-environment groupings indicated the complexity of soil salinity. Hence, a multi-location and multi-year evaluation is indispensable for evaluating the test sites as well as identifying genotypes with consistently specific and wider adaptation to particular agro-climatic zones. The genotypes identified in the present study could be used for commercial cultivation across edaphically challenged areas for sustainable production.
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Affiliation(s)
| | - P C Sharma
- Central Soil Salinity Research Institute, Karnal, India
| | - D K Sharma
- Central Soil Salinity Research Institute, Karnal, India
| | - K T Ravikiran
- Central Soil Salinity Research Institute, Karnal, India
| | - Y P Singh
- Central Soil Salinity Research Institute, Regional Research Station, Lucknow, India
| | - V K Mishra
- Central Soil Salinity Research Institute, Regional Research Station, Lucknow, India
| | - D Burman
- Central Soil Salinity Research Institute, Regional Research Station, Canning Town, India
| | - B Maji
- Central Soil Salinity Research Institute, Regional Research Station, Canning Town, India
| | - S Mandal
- Central Soil Salinity Research Institute, Regional Research Station, Canning Town, India
| | - S K Sarangi
- Central Soil Salinity Research Institute, Regional Research Station, Canning Town, India
| | - R K Gautam
- Central Island Agricultural Research Institute, Port Blair, A & N Islands, India
| | - P K Singh
- Central Island Agricultural Research Institute, Port Blair, A & N Islands, India
| | - K K Manohara
- Central Coastal Agricultural Research Institute (CCARI), Ela, Goa, India
| | - B C Marandi
- National Rice Research Institute (NRRI), Cuttack, Odisha, India
| | - G Padmavathi
- Indian Institute of Rice Research, Telengana, India
| | - P B Vanve
- Dr. Balasaheb Sawant Konkan KrishiVidyapeeth, Khar Land, Panvel, India
| | - K D Patil
- Dr. Balasaheb Sawant Konkan KrishiVidyapeeth, Khar Land, Panvel, India
| | - S Thirumeni
- Pandit Jawaharlal Nehru College of Agriculture and Research Institute, Karaikal, India
| | - O P Verma
- Narendra Deva University of Agriculture & Technology, Faizabad, Uttar Pradesh, India
| | - A H Khan
- Narendra Deva University of Agriculture & Technology, Faizabad, Uttar Pradesh, India
| | - S Tiwari
- Rajendra Agricultural University, Samastipur, India
| | - S Geetha
- Anbil Dharmalingam Agricultural College and Research Institute, Trichy, India
| | - M Shakila
- Anbil Dharmalingam Agricultural College and Research Institute, Trichy, India
| | - R Gill
- Punjab Agricultural University, Ludhiana, India
| | - V K Yadav
- Chandra Shekhar Azad University of Agriculture & Technology, Kanpur, Uttar Pradesh, India
| | - S K B Roy
- Centre for Strategic Studies, Salt Lake City, India
| | - M Prakash
- Annamalai University, Chidambaram, Tamil Nadu, India
| | - J Bonifacio
- Division of Plant Breeding, IRRI, Philippines
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Begum A, Baten MA, Begum Z, Ahsan MM, Rahman SF, Chowdhury F, Khan AH. Role of Serum Pepsinogen I and II Ratio in Screening of Gastric Carcinoma. Mymensingh Med J 2017; 26:628-634. [PMID: 28919620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In spite of the global decline in its incidence and mortality, gastric carcinoma still remains a major cause of death due to cancer. Early detection of gastric carcinoma is expected to reduce mortality rates. The applications of measuring of pepsinogen I and pepsinogen II are useful in screening of gastric carcinoma. This cross sectional comparative study was done to find out the correlation of histopathological pattern of gastric carcinoma with serum pepsinogen I & II ratio in the Department of Pathology, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh from January 2010 to December 2010. For these purpose 40 patients with gastric carcinoma, endoscopically visible and histopathologically proved malignant lesions were enrolled as case group. Forty subjects with normal upper GI endoscopy were taken as control. Five ml of venous blood was taken from both case and control subjects to determine serum pepsinogen I and pepsinogen II level by ELISA method, subsequently pepsinogen I and II ratio was calculated. In this study different cut off values of serum pepsinogen I and II ratio was determined and the sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 70.0%, 97.5% 96.6% 76.5% and 83.8% respectively, at cut off value of 6. Which is the most suitable cut off point of serum pepsinogen I and II ratio for gastric cancer screening.
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Affiliation(s)
- A Begum
- Dr Ambia Begum, Assistant Professor, Department of Pathology, Community Based Medical College Bangladesh (CBMCB), Mymensingh, Bangladesh
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Keane E, Subramaniam T, Khan AH, Patil N. Management of Epistaxis - A Single Centre Experience and Economic Considerations. Ir Med J 2016; 109:427. [PMID: 27814444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Epistaxis represents the most common ENT emergency and its management has been a focus of audit recently, with consideration given to the associated economic burden. The aim of our study is to evaluate the management of epistaxis in terms of treatments used, duration of stay, recurrence and cost. A retrospective review of hospital inpatient enquiry (HIPE) data from a single secondary referral centre was undertaken during a four year period. Four hundrefd and thirty-four patients were identified. The majority (n= 262, 60.3%) were male and the average age was 64.2 years. The vast majority (n=362, 83.4%) were managed non-operatively. Only 15 patients (3.4%) were managed surgically. The average length of stay was 2.5 days and did not vary greatly between the treatment groups. The recurrence rate was 8.2% (n=36). Approximate costs of packing vs EUA and cautery suggest that packing alone is more economical but more data is needed to fully compare the options.
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Affiliation(s)
- E Keane
- Departent of ENT Surgery, Sligo Regional Hospital, The Mall, Sligo
| | - T Subramaniam
- Departent of ENT Surgery, Sligo Regional Hospital, The Mall, Sligo
| | - A H Khan
- Departent of ENT Surgery, Sligo Regional Hospital, The Mall, Sligo
| | - N Patil
- Departent of ENT Surgery, Sligo Regional Hospital, The Mall, Sligo
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Ahmad N, Javaid A, Basit A, Afridi AK, Khan MA, Ahmad I, Sulaiman SAS, Khan AH. Management and treatment outcomes of MDR-TB: results from a setting with high rates of drug resistance. Int J Tuberc Lung Dis 2016; 19:1109-14, i-ii. [PMID: 26260834 DOI: 10.5588/ijtld.15.0167] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
SETTINGS Although Pakistan has a high burden of multidrug-resistant tuberculosis (MDR-TB), little is known about the management and treatment outcomes of MDR-TB patients in Pakistan. OBJECTIVE To evaluate management and predictors of unsuccessful treatment outcomes among MDR-TB patients. METHODS In this observational cohort study, 196 MDR-TB patients enrolled at the Programmatic Management Unit for drug-resistant TB of Lady Reading Hospital, Peshawar, Pakistan, between 1 January 2012 and 28 February 2013 were included. Patients were followed until an outcome was recorded or 31 January 2015. RESULTS Extensive concurrent resistance to ofloxacin (OFX) and pyrazinamide (54.6%) was observed. Among 181 patients for whom treatment outcome was available, 135 (74.6%) were cured, 1 (0.6%) completed treatment, 35 (19.3%) died, 8 (4.4%) failed treatment and 2 (1.1%) defaulted. In multivariate analysis, predictors of unsuccessful treatment outcome (death, failure and default) were age >40 years (OR 3.412, P = 0.009), baseline body weight <40 kg (OR 2.966, P = 0.020), concurrent comorbidity (OR 3.785, P = 0.023), resistance to OFX (OR 2.777, P = 0.023), lung cavitations at baseline chest X-ray (OR 5.253, P < 0.001) and regimen modification due to adverse events (OR 3.492, P = 0.037). CONCLUSION The treatment outcome results were encouraging. Patients with identifiable predictors of poor treatment outcome should receive enhanced clinical management. Early detection and management of mild adverse effects can help prevent regimen modification and may improve treatment outcomes.
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Affiliation(s)
- N Ahmad
- Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia
| | - A Javaid
- Department of Pulmonology, Postgraduate Medical Institute, Peshawar
| | - A Basit
- Department of Pulmonology, Postgraduate Medical Institute, Peshawar
| | - A K Afridi
- Department of Pulmonology, Postgraduate Medical Institute, Peshawar
| | - M A Khan
- Peshawar Medical College, Peshawar
| | - I Ahmad
- Department of Microbiology, Quaid-i-Azam University, Islamabad, Pakistan
| | - S A S Sulaiman
- Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia
| | - A H Khan
- Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia
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Aftab RA, Khan AH, AbdulRazzaq HA, Adnan AS. Acute Ischemic Stroke and Acute on Chronic Kidney Disease. JNMA J Nepal Med Assoc 2016; 54:85-87. [PMID: 27935930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
Ischemic stroke is due to either local thrombus formation or emboli that occlude a cerebral artery, together with chronic kidney disease represent major mortality and morbidity.Here we present a case of 53 years old Malay man, admitted to a hospital in Malaysia complaining of sudden on set of weakness on right sided upper and lower limb associated with slurred speech. Patient was also suffering from uncontrolled hypertension, hyperlipidemia, chronic kidney disease stage 4, and diabetes mellitus (uncontrolled). He was diagnosed with acute ischemic stroke with cranial nerve 7 palsy (with right hemiparesis), acute on chronic kidney disease precipitated by dehydration and ACE inhibitor, and hyperkalemia. Patients with ischemic disease and chronic kidney disaese require constant monitering and careful selected pharmacotherapy. Patient was placed under observation and was prescribed multiple pharamacotherpay to stabalise detoriating condition.
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Affiliation(s)
- R A Aftab
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia
| | - A H Khan
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia
| | - H A AbdulRazzaq
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia
| | - A S Adnan
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia
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Rahaman MF, Chowdhury MH, Khan AH, Rahman M, Barman TK, Chowdhury MJ. A Patient with Grave's Disease and Tuberculous Lymphadenitis. Mymensingh Med J 2016; 25:382-384. [PMID: 27277378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Immune reactivity between Mycobacteria and human antigens can play an important role in the pathogenesis of autoimmune disease. We report a case of Graves's disease and tuberculous lymphadenitis to explain the mechanism of correlation between immune-mediated diseases and tuberculosis and to raise awareness of the importance of screening for TB in this context, especially in endemic country. Screening for latent TB at immune mediated disease diagnosis and regular timely screening thereafter may be beneficial.
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Affiliation(s)
- M F Rahaman
- Dr Mohammad Ferdous Ur Rahaman, Associate Professor, Department of Internal Medicine, Bangbandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail:
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Abstract
BACKGROUND Gap nonunion of long bones is a challenging problem, due to the limitation of conventional reconstructive techniques more so if associated with infection and soft tissue defect. Treatment options such as autograft with non-vascularized fibula and cancellous bone graft, vascularized bone graft, and bone transportation are highly demanding on the part of surgeons and hospital setups and have many drawbacks. This study aims to analyze the outcome of patients with wide diaphyseal bone gap treated with induced-membrane technique (Masquelet technique). MATERIALS AND METHODS This study included 9 patients (7 males and 2 females), all with tibial bone-gap. Eight of the 9 patients were infected and in 3 patients there was associated large soft tissue defect requiring flap cover. This technique is two-stage procedure. Stage I surgery included debridement, fracture stabilization, application of spacer between bone ends, and soft tissue reconstruction. Stage II surgery included removal of spacer with preservation of induced membrane formed at spacer surface and filling the bone-gap with morselized iliac crest bone-graft within the membrane sleeve. Average bone-gap of 5.2 cm was treated. The spacer was always found to be encapsulated by a thick glistening membrane which did not collapse after its removal. All patients were followed up for an average period of 21.5 months. RESULTS Serial Radiographs showed regular uptake of autograft and thus consolidation within themselves in the region of bone gap and also with host bone. Bone-union was documented in all patients and all patients are walking full weight-bearing without support. CONCLUSIONS The study highlights that the technique provide effective and practical management for difficult gap nonunion. It does not require specialized equipment, investigations, and surgery. Thus, it provides a reasonable alternative to the developing infrastructures and is a reliable and reproducible technique.
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Affiliation(s)
- Gaurav Gupta
- Department of Orthopaedic Surgery, J. N. Medical College, AMU, Aligarh, Uttar Pradesh, India,Address for correspondence: Dr. Gaurav Gupta, Flat No. D6, New Rifa Complex, Medical Road, Aligarh - 202 002, Uttar Pradesh, India. E-mail:
| | - Sohail Ahmad
- Department of Orthopaedic Surgery, J. N. Medical College, AMU, Aligarh, Uttar Pradesh, India
| | - Mohd. Zahid
- Department of Orthopaedic Surgery, J. N. Medical College, AMU, Aligarh, Uttar Pradesh, India
| | - A H Khan
- Department of Plastic Surgery, J. N. Medical College, AMU, Aligarh, Uttar Pradesh, India
| | - M K A Sherwani
- Department of Orthopaedic Surgery, J. N. Medical College, AMU, Aligarh, Uttar Pradesh, India
| | - Abdul Qayyum Khan
- Department of Orthopaedic Surgery, J. N. Medical College, AMU, Aligarh, Uttar Pradesh, India
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Khan AH, Rahaman MF, Mollah RI, Alam A, Hassan SN, Chowdhury MA. Methanol Induced Toxic Amblyopia--A Case Report. Mymensingh Med J 2016; 25:176-178. [PMID: 26931271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
A 28-year-old man, smoker having history of occasional alcohol intake--was admitted in the Department of Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU) with gradual diminution of vision in both eyes 10 days after consumption of homemade alcoholic beverage in a wedding ceremony. His initial acuity of vision was limited to no perception of light in right eye and hand movement in left eye. Fundus examination revealed pale optic discs in both eyes. The patient was treated with Injection Methylprednisolone 1000 mg intravenous slowly over 1 hour for 3 consecutive days. This was followed by oral prednisolone 60 mg daily for 14 days and then gradually tapered over 4 weeks. The patient also received Injection Hydroxycobalamine and Injection Folinic Acid for 2 weeks. On the 3rd day of treatment there was perception of light in the right eye and on the 10th day the visual acuity improved to hand movement. In the left eye, the visual acuity gradually improved to 6/60 on 3rd day and on 10th day improved to 6/24. Four weeks later, the visual acuity had recovered in both eyes to 6/18. Combination of intravenous and oral steroid along with vitamin B1 and folinic acid has been found effective in treating severe methanol induced optic neuropathy.
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Affiliation(s)
- A H Khan
- Dr Abed Hussain Khan, Medical Officer, Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbagh, Dhaka, Bangladesh
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Khan AH, Islam KMT, Barman KK, Barua KK, Abraham M. Outcome of Surgical Treatment in Medically Refractory Epilepsy. Bangladesh Med Res Counc Bull 2015; 41:121-124. [PMID: 29870166 DOI: 10.3329/bmrcb.v41i3.29887] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The aim of epilepsy surgery is not only to control seizures but also to curtail future adverse neurological sequelae and improve quality of life. Epilepsy surgery is a viable treatment option for selected cases of medically refractory epilepsy. A study was carried out with a series of 34 cases who underwent epilepsy surgery at Sree Chitra Tirunal Institute for Medical Science & Technology, Kerala, India during July, 2010 to December, 2010. Clinical features, operative procedures and early response to treatment were cha'racterized. Among 34 cases, main clinical manifestation was recurrent seizures. All cases were evaluated by Video Electro Encephalogram (EEG) & Magnetic Resonance Imaging (MRI) of brain with epilepsy protocol. Nearly 58% cases were diagnosed as mesial temporal sclerosis who were treated by anterior temporal lobectomy (ATL) with amygdalohippocampectomy (AH). Excision of epileptogenic foci was confirmed by preoperative Electro Cardiogram. Early response to surgery was good. However, a prolonged longitudinal follow up is essential for accurate assessment of seizure outcome.
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29
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Fatema J, Khan AH, Uddin MJ, Rahman MH, Saha M, Safwath SA, Alam MJ, Mamun MA. Chronic Gastritis and its Association with H. Pylori Infection. Mymensingh Med J 2015; 24:717-722. [PMID: 26620009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This cross sectional study was designed to see association of chronic gastritis including its type with H. pylori infection. Consecutive patients undergoing endoscopic examination having histopathological evidence of chronic gastritis were enrolled in the study and was done in Sylhet MAG Osmani Medical College from July 2011 to June 2012. Biopsies were taken from antrum, body and fundus in all patients. Histopathological examinations were done using H-E stain and for detection of H. pylori, rapid urease test, anti-H.pylori antibody test and histopathological test with modified Giemsa stain were done. Patients having results positive in at least two methods were considered infected by H. pylori. Total 80 dyspeptic patients having chronic gastritis were evaluated. Out of them 67(83.8%) had H. pylori infection and 13(16.2%) were H. pylori negative. Among all patients 57(71.2%) had pangastritis and 23(28.8%) had antral gastritis with female and male predominance respectively. H. pylori infection was present in 49(86.0%) cases of pangastritis and 18(78.3%) cases of antral gastritis. H. pylori infection was a little higher among males (34, 50.7%) females (33, 49.3%). H. pylori infection is the predominant cause of chronic gastritis and pangastritis is the major type.
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Affiliation(s)
- J Fatema
- Dr Jain Fatema, Clinical Pathologist, Sylhet Osmani Medical College Hospital (SOMCH), Sylhet, Bangladesh; E-mail: jainfatema@gmail. Com
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30
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Tiwari S, Pipal AS, Hopke PK, Bisht DS, Srivastava AK, Tiwari S, Saxena PN, Khan AH, Pervez S. Study of the carbonaceous aerosol and morphological analysis of fine particles along with their mixing state in Delhi, India: a case study. Environ Sci Pollut Res Int 2015; 22:10744-10757. [PMID: 25758418 DOI: 10.1007/s11356-015-4272-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2014] [Accepted: 02/23/2015] [Indexed: 06/04/2023]
Abstract
Because of high emissions of anthropogenic as well as natural particles over the Indo-Gangetic Plains (IGP), it is important to study the characteristics of fine (PM2.5) and inhalable particles (PM10), including their morphology, physical and chemical characteristics, etc., in Delhi during winter 2013. The mean mass concentrations of fine (PM2.5) and inhalable (PM10) (continuous) was 117.6 ± 79.1 and 191.0 ± 127.6 μg m(-3), respectively, whereas the coarse mode (PM10-2.5) particle PM mass was 73.38 ± 28.5 μg m(-3). During the same period, offline gravimetric monitoring of PM2.5 was conducted for morphological analysis, and its concentration was ~37 % higher compared to the continuous measurement. Carbonaceous PM such as organic carbon (OC) and elemental carbon (EC) were analyzed on the collected filters, and their mean concentration was respectively 33.8 and 4.0 μg m(-3) during the daytime, while at night it was 41.2 and 10.1 μg m(-3), respectively. The average OC/EC ratio was 8.97 and 3.96 during the day and night, respectively, indicating the formation of secondary organic aerosols during daytime. Effective carbon ratio was studied to see the effect of aerosols on climate, and its mean value was 0.52 and 1.79 during night and day, indicating the dominance of absorbing and scattering types of aerosols respectively into the atmosphere over the study region. Elemental analysis of individual particles indicates that Si is the most abundant element (~37-90 %), followed by O (oxide) and Al. Circularity and aspect ratio was studied, which indicates that particles are not perfectly spherical and not elongated in any direction. Trajectory analysis indicated that in the months of February and March, air masses appear to be transported from the Middle Eastern part along with neighboring countries and over Thar Desert region, while in January it was from the northeast direction which resulted in high concentrations of fine particles.
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Affiliation(s)
- S Tiwari
- Indian Institute of Tropical Meteorology, New Delhi, India, 110060
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31
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Luciana T, Andrajati R, Rianti A, Khan AH. Rational Antimicrobial Use in an Intensive Care Unit in Jakarta, Indonesia: A Hospital-Based, Cross-Sectional Study. TROP J PHARM RES 2015. [DOI: 10.4314/tjpr.v14i4.21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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32
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Usman A, Sulaiman SAS, Khan AH, Adnan AS. Profiles of Diabetic Ketoacidosis in Multiethnic Diabetic Population of Malaysia. TROP J PHARM RES 2015. [DOI: 10.4314/tjpr.v14i1.25] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Ahsan MK, Khan AH, Rahman Z, Hye MA, Alam SM, Bardhan H, Chowdhury SH. Role of USG-guided fine needle aspiration cytology in the diagnosis of abdominal mass. Mymensingh Med J 2015; 24:89-93. [PMID: 25725673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The present study was carried out with the aims to diagnose abdominal masses by FNAC with the help of ultrasonography guidance and to determine the diagnostic accuracy of FNAC. One hundred consecutive patients were studied during the period from January 2005 to December 2005. Histopathological examination was done to correlate with the cytologic diagnosis. The results of comparative study of USG-guided FNAC and histopathology were significant (P value was <0.001). In USG-guided FNAC, it was found that 64 were malignant tumors, 5 were benign tumors, 28 were inflammatory and 3 were inadequate material. Histopathology of 3 inadequate materials showed 1 was adenoma and 2 were leiomyoma. As a whole test results of USG-guided FNAC were sensitivity 95.52%, specificity 100%, positive predictive value 100%, negative predictive value 91.67% and accuracy 97%. USG-guided FNAC has been proved to be a rapid, reliable and cost-effective diagnostic method.
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Affiliation(s)
- M K Ahsan
- Dr Md Kamrul Ahsan, Lecturer, Department of Pathology, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh
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34
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Rahim AAB, Khan AH, Syed Sulaiman A, Aftab RA. Awareness of Hyperlipidemia Among University Students and Staff Member. Value Health 2014; 17:A759. [PMID: 27202775 DOI: 10.1016/j.jval.2014.08.249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A A B Rahim
- universiti sains Malaysia, Kelantan Malaysia, Malaysia
| | - A H Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | | | - R A Aftab
- Universiti Sains Malaysia, Minden, Malaysia
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35
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Khan AH, Sulaiman SA, Soo CT, Akhtar A, Hamzah DABA, Khan K. Chronic Hepatitis C Prevalence and its Correlation with CD4 Cells and Liver Enzymes Among HIV Positive Patients: A Malaysian Scenario. Value Health 2014; 17:A803. [PMID: 27203023 DOI: 10.1016/j.jval.2014.08.506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A H Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | | | - C T Soo
- medical department Penang hospital , penang, Minden, Malaysia
| | - A Akhtar
- Universiti Sains Malaysia, Minden, Malaysia
| | - D A B A Hamzah
- Urology Unit, Department of Surgery, Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150, Kelantan, Malaysia, Kelantan Malaysia, Malaysia
| | - K Khan
- Universiti Sains Malaysia, Minden, Malaysia
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Iqbal MZ, Iqbal MS, Khan AH, Sulaiman SA, Iqbal MW. Guideline Adherence and Control Of Diabetes Mellitus With Co-Morbidities in a Tertiary-Care Hospital in Malaysia. Value Health 2014; 17:A353. [PMID: 27200693 DOI: 10.1016/j.jval.2014.08.744] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- M Z Iqbal
- Department of Clinical Pharmacy, Faculty of Pharmacy, AIMST University, Kedah, Malaysia
| | - M S Iqbal
- Department of Clinical Pharmacy, Faculty of Pharmacy, AIMST University, Kedah, Malaysia
| | - A H Khan
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang,,,, Malaysia
| | - S A Sulaiman
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang,,,, Malaysia
| | - M W Iqbal
- Faculty of Law, Universiti Malaya,, Kualalumpur, Malaysia
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Khan AH, Syed Sulaiman SA, Khan K, Soo CT, Akhtar A. Impact of Cigarette and Alcohol Use on Adverse Drug Reactions of Haart Therapy Among HIV/AIDS Patients. Value Health 2014; 17:A802-A803. [PMID: 27203019 DOI: 10.1016/j.jval.2014.08.503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A H Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | | | - K Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | - C T Soo
- medical department Penang hospital, penang, Minden, Malaysia
| | - A Akhtar
- Universiti Sains Malaysia, Minden, Malaysia
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Khan AH, Syed Sulaiman SA, Khan K, Aftab RA, Soo CT. Adverse Drug Reactions of Haart Therapy Among Hiv/Aids Patients Treated at Infectious Disease Clinic. Value Health 2014; 17:A803. [PMID: 27203025 DOI: 10.1016/j.jval.2014.08.504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A H Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | | | - K Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | - R A Aftab
- Universiti Sains Malaysia, Minden, Malaysia
| | - C T Soo
- medical department Penang hospital , penang, Minden, Malaysia
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Khan Y, Sarriff A, Khan AH, Adnan AS, Jummat F, Mallhi TH. Prevalence and Associated Complication of Acute Kidney Injury Among Dengue Patients. Value Health 2014; 17:A811. [PMID: 27203069 DOI: 10.1016/j.jval.2014.08.551] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- Y Khan
- universiti sains malaysia, penang, Malaysia
| | - A Sarriff
- universiti sains malaysia, penang, Malaysia
| | - A H Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | - A S Adnan
- CKD resource centre, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
| | - F Jummat
- school of medical sciences, HUSM, Kota Bharu, Kelantan, Malaysia
| | - T H Mallhi
- universiti sains malaysia, penang, Malaysia
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Khan AH, Syed Sulaiman A, Hassali AA, Saleem F, Aftab RA, Ali I. Asthma Guideline Knowledge, Adherence and Cost of Treating Asthma at Emergency Department. Value Health 2014; 17:A725. [PMID: 27202576 DOI: 10.1016/j.jval.2014.08.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A H Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | | | | | - F Saleem
- Universiti Sains Malaysia, Penang, Malaysia
| | - R A Aftab
- Universiti Sains Malaysia, Minden, Malaysia
| | - I Ali
- Penang General Hospital, Penang, P.Pinang, Malaysia
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Mallhi TH, Qadir MI, Khan YH, Khan AH, Adnan AS. A Survey of Knowledge and Attitude of Menopause Among Post-Menopausal Women in Pakistan. Value Health 2014; 17:A731. [PMID: 27202612 DOI: 10.1016/j.jval.2014.08.083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- T H Mallhi
- universiti sains malaysia, penang, Malaysia
| | - M I Qadir
- GC University, Faisalabad, Pakistan, Faisalabad, Pakistan
| | - Y H Khan
- universiti sains malaysia, penang, Malaysia
| | - A H Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | - A S Adnan
- CKD resource centre, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
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42
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Iqbal MS, Iqbal MZ, Barua A, Veettil SK, Wei LY, Kit LW, Khan AH, Hussain Z, Iqbal MW. Pharmacoeconomic Evaluation and Burden of Illness of Acute Exacerbation of Copd in Patients in Malaysia. Value Health 2014; 17:A594. [PMID: 27202037 DOI: 10.1016/j.jval.2014.08.2046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- M S Iqbal
- Department of Clinical Pharmacy, Faculty of Pharmacy, AIMST University, Kedah, Malaysia
| | - M Z Iqbal
- Department of Clinical Pharmacy, Faculty of Pharmacy, AIMST University, Kedah, Malaysia
| | - A Barua
- Division of Community Medicine, School of Medicine, IMU, Bukit Jalil, Kuala Lumpur, Malaysia
| | - S K Veettil
- Department of Pharmacy Practice, School of Pharmacy, IMU, Bukit Jalil, Kuala Lumpur, Malaysia
| | - L Y Wei
- Department of Pharmacy Practice, School of Pharmacy, IMU, Bukit Jalil, Kuala Lumpur, Malaysia
| | - L W Kit
- Department of Pharmacy Practice, School of Pharmacy, IMU, Bukit Jalil, Kuala Lumpur, Malaysia
| | - A H Khan
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang,,,, Malaysia
| | - Z Hussain
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang,,,, Malaysia
| | - M W Iqbal
- Faculty of Law, Universiti Malaya,, Kualalumpur, Malaysia
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Khan AH, Syed Sulaiman SA, Akhtar A, Adnan AS, Aftab RA. Impact of Hepatitis B on Human Immunodeficiency Virus Patients in Malaysia: A Retrospective Study. Value Health 2014; 17:A803. [PMID: 27203024 DOI: 10.1016/j.jval.2014.08.505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A H Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | | | - A Akhtar
- Universiti Sains Malaysia, Minden, Malaysia
| | - A S Adnan
- CKD resource centre, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
| | - R A Aftab
- Universiti Sains Malaysia, Minden, Malaysia
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44
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Iqbal MS, Iqbal MZ, Barua A, Veettil SK, Ling TK, Yong NB, Khan AH, Hussain Z, Iqbal MW. Pharmacoeconomic Evaluation of Acute Exacerbation of Asthma in Patients in Malaysia. Value Health 2014; 17:A594. [PMID: 27202038 DOI: 10.1016/j.jval.2014.08.2045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- M S Iqbal
- Department of Clinical Pharmacy, Faculty of Pharmacy, AIMST University, Kedah, Malaysia
| | - M Z Iqbal
- Department of Clinical Pharmacy, Faculty of Pharmacy, AIMST University, Kedah, Malaysia
| | - A Barua
- Division of Community Medicine, School of Medicine, IMU, Bukit Jalil, Kuala Lumpur, Malaysia
| | - S K Veettil
- Department of Pharmacy Practice, School of Pharmacy, IMU, Bukit Jalil, Kuala Lumpur, Malaysia
| | - T K Ling
- Department of Pharmacy Practice, School of Pharmacy, IMU, Bukit Jalil, Kuala Lumpur, Malaysia
| | - N B Yong
- Department of Pharmacy Practice, School of Pharmacy, IMU, Bukit Jalil, Kuala Lumpur, Malaysia
| | - A H Khan
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang,,,, Malaysia
| | - Z Hussain
- Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang,,,, Malaysia
| | - M W Iqbal
- Faculty of Law, Universiti Malaya,, Kualalumpur, Malaysia
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Adnan AS, Salman M, Sulaiman SA, Khan AH, Hamzah DABA. Hypertension Treatment in Chronic Kidney Disease Stage 3, 4 and 5: A Hospital Based Cross-Sectional Study in Malaysia. Value Health 2014; 17:A757. [PMID: 27202763 DOI: 10.1016/j.jval.2014.08.237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A S Adnan
- CKD resource centre, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
| | - M Salman
- Universiti Sains Malaysia, Minden, Malaysia
| | | | - A H Khan
- Universiti Sains Malaysia, Minden, Malaysia
| | - D A B A Hamzah
- Urology Unit, Department of Surgery, Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150, Kelantan, Malaysia, Kelantan Malaysia, Malaysia
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Jummaat F, Adnan AS, Ghaffar NAA, Omar J, Noor SH, Ambak NJ, Khan AH. Sensitivity and Specificity of Cystatin C in Detecting Early Renal Impairment in Hypertensive Pregnancies. TROP J PHARM RES 2014. [DOI: 10.4314/tjpr.v13i5.14] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Akhtar MS, Basari R, Khan AH, Khurram MF. Complex reconstruction after wide excision of juvenile aponeurotic fibromatoses of upper one-third of leg. Strategies Trauma Limb Reconstr 2014; 9:117-20. [PMID: 25064092 PMCID: PMC4122677 DOI: 10.1007/s11751-014-0195-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2013] [Accepted: 07/17/2014] [Indexed: 11/26/2022] Open
Abstract
Juvenile musculoaponeurotic fibromatoses are benign tumors which arise from musculoaponeurotic stromal cells. They rarely occur in lower extremity and more rarely in children. They are locally invasive tumors with a high incidence of recurrence after surgery. Hence, wide local excision is the treatment of choice for such tumors. However, complex reconstruction is often required to cover the resulting soft tissue defect. This report presents a 12-year-old boy with a juvenile musculoaponeurotic fibromatosis in the anteromedial aspect of the upper third of a left leg. Following wide local excision, two local flaps, medial gastrocnemius and a distally based peroneal artery perforator flap, were used to reconstruct the soft tissue defect. Reconstruction has provided an acceptable functional and cosmetic result.
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Affiliation(s)
- Md Sohaib Akhtar
- Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, UP, India,
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Begum B, Haque MA, Ahmed MS, Islam MN, Ahsan MM, Khan AH, Hasan MM, Akhtaruzzaman M, Hossain MA, Khaleque MA, Choudhury AM, Khatun AA. Comparison between azithromycin and cefixime in the treatment of typhoid fever in children. Mymensingh Med J 2014; 23:441-448. [PMID: 25178594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
An intervention study was carried out in the department of paediatrics of Mymensingh Medical College Hospital, Mymensingh to compare the clinical efficacy of Azithromycin in the treatment of childhood typhoid fever with that of cefixime for a period of one year from January 2011 to December 2011. A total of 60 cases of typhoid fever were enrolled in to a randomized clinical trial and was divided into two groups. The inclusion criteria of the cases were: Documented fever for more than 4 days plus two or more of the following clinical features: toxic physical appearance, intestinal complaints, coated tongue, ceacal gurgling, hepatomegaly and splenomegaly, diarrhoea and constipation plus positive Widal test and/or blood culture positivity. Patients who had complication like GIT heamorrhage; intestinal perforaion and/or shock were excluded from the study. Data were collected in a structured questionnaire. Azithromycin was given at a dose of 10mg/kg/day for a period of 07 days Cefixime was given at a dose of 20mg/kg/day in two divided dose for 14 days. The mean time of defervesence was 4.05+1.14 days with azithromycin and 3.41+0.95 with cefixime respectively. The minimum defervesence time was 02 days and maximum defervesence time was 07 days. Clinical cure rate was 87% in azithromycin group and 93% in cefixime group. No serious adverse effect was noted related to azithromycin and cefixime therapy except nausea, vomiting, diarrhoea and jaundice. It was found that azithromycin is almost as effective as cefixime in the treatment of typhoid fever.
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Affiliation(s)
- B Begum
- Dr Bilkis Begum, Junior Consultant, Paediatrics, Upazila Health Complex, Fulpur, Mymensingh, Bangladesh
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Akhtaruzzaman M, Ahmed SU, Hoque MA, Choudhury AM, Hossain MA, Islam MN, Begum B, Dhar SK, Maniruzzaman M, Rashid FB, Kabir A, Hasan MM, Chowdhury B, Khan AH. Effects of nebulized budesonide as an adjunct to standard treatment of asthma exacerbations: a randomized, double-blind, placebo-controlled trial. Mymensingh Med J 2014; 23:418-425. [PMID: 25178590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This study was done to determine the effects and outcome of inhaled budesonide in addition to standard management of asthma exacerbations in pediatric age groups. A randomized, double-blind, placebo controlled trial was done in a tertiary care urban hospital. Sixty six children aged 5 to 15 years with moderate to severe asthma exacerbations were eligible. All patients received a single dose of prednisolone 1mg/kg orally as first dose of systemic corticosteroids and then salbutamol (0.15mg/kg) and ipratropium bromide (500mcg) was nebulized every 20 minutes for 3 doses and then hourly for 2 hours as a part of standard treatment of asthma exacerbations. The intervention was 2mg (4mL) of budesonide or 4mL of normal saline which was nebulized immediately after the 1st dose of nebulized salbutamol and ipratropium bromide. The baseline characteristics of the budesonide group (n=33) and placebo group (n=33) were similar, but at 1 hour, 2 hour and 3 hour PEFR, respiratory rate, pulse rate, SaO2 and asthma score were significantly improved in the budesonide group compared to placebo group (p<0.01). The positive immediate effect of nebulized budesonide added to standard treatment of asthma exacerbations is an encouraging finding for further investigations of its routine use in the treatment of asthma exacerbations in children.
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Affiliation(s)
- M Akhtaruzzaman
- Dr Muhammad Akhtaruzzaman, Medical Officer Department of Paediatrics, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh
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Khan YH, Sarriff A, Khan AH, Mallhi TH. Knowledge, Attitude and Practice (KAP) Survey of Osteoporosis among Students of a Tertiary Institution in Malaysia. TROP J PHARM RES 2014. [DOI: 10.4314/tjpr.v13i1.22] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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