1
|
Aziz A, Shah M, Siraj S, Iqbal W, Jan A, Khan I, Ahmed S, Vitale SG, Angioni S. Association of vitamin D deficiency and vitamin D receptor (VDR) gene single-nucleotide polymorphism (rs7975232) with risk of preeclampsia. Gynecol Endocrinol 2023; 39:2146089. [PMID: 36395814 DOI: 10.1080/09513590.2022.2146089] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Preeclampsia has a multifactorial-yet-elusive etiology. Recent reports suggest a link between preeclampsia and vitamin D (VD) metabolic axis. Genetic variations like single-nucleotide polymorphisms (SNPs) of vitamin D receptor (VDR) gene can alter the metabolic role of VD, which have been shown by several genetic association studies. However, there is discordance among these studies. OBJECTIVE The current study aimed to investigate the association of VDR gene polymorphism (ApaI) and VD deficiency with risk of developing preeclampsia. PATIENTS AND METHOD In this case-control study, 40 preeclamptic and 40 normotensive pregnant women were compared for VD status and VDR gene polymorphism. Serum 25-hydroxyvitamin-D [25(OH) D] level was determined by enzyme-linked immunosorbent assay (ELISA) and VDR gene polymorphism Apa1 was analyzed by Allele specific polymerase chain reaction (AS-PCR) using sequence specific primers. RESULTS Serum levels of 25(OH) D were very low but comparable in both preeclamptic and normotensive pregnant women. The difference between the two groups were not statistically significant (p = .423). VDR gene polymorphism ApaI (rs7975232) was found not to have significant association with the risk of developing preeclampsia. The frequencies of wild genotype (GG) in preeclamptic and normotensive women were 27.5% and 22.5% respectively. A total of 25% of preeclamptic women had mutant homozygous genotype (TT) and 17.5% of normotensive women had mutant homozygous genotype. The frequency of mutant heterozygous genotype (GT) in preeclamptic patients was 47.5% and in normotensive women was 60%. The variation of wild and mutant genotypes between the two groups was not statistically significant (p > .05). CONCLUSION This study showed that VDR gene polymorphism (ApaI) and VD deficiency are not associated with the risk of preeclampsia.
Collapse
Affiliation(s)
- Asma Aziz
- Department of Physiology, Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Mohsin Shah
- Department of Physiology, Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Sami Siraj
- Department of Pharmacology, Institute of Pharmaceutical Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Waheed Iqbal
- Department of Pharmacology, Institute of Pharmaceutical Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Amin Jan
- Department of Physiology, Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Imran Khan
- Department of Pharmacology, Institute of Pharmaceutical Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Sajjad Ahmed
- Department of Physiology, Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan
- Department of Pharmacology, Institute of Pharmaceutical Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Salvatore Giovanni Vitale
- Division of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
| | - Stefano Angioni
- Division of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
| |
Collapse
|
2
|
Mohamed Rouse MH, Aziz A, Abdullah B, Abdul Kadir A, Wan Mohammad WMZ, Abd Mutalib NS. Development, validation, and evaluation of allergic rhinitis symptoms and impact assessment (ARSIA) questionnaire. Med J Malaysia 2023; 78:857-864. [PMID: 38159918] [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: 01/03/2024]
Abstract
INTRODUCTION Allergic rhinitis (AR) is an inflammatory disease of the nasal mucosa. It is among the most common diseases globally and usually persists throughout life. Allergic Rhinitis and Its Impact on Asthma (ARIA) is a wellestablished guideline applicable to AR and was updated regularly since 2001, aiming to improve the care for AR patients. We proposed a new questionnaire that addresses the severity of allergic rhinitis symptoms, specifically nasal symptoms, and its impact on quality of life in terms of specific vital activities such as sleeping, working, school performance, leisure, or sport, based on the ARIA guideline. The objective was to develop, validate and evaluate Allergic Rhinitis Symptoms and Impact Assessment (ARSIA) questionnaire among allergic rhinitis patients in Hospital Sultan Abdul Halim, Sungai Petani (HSAH), and Hospital Universiti Sains Malaysia (HUSM). MATERIALS AND METHODS This is a prospective observational study to develop, validate and evaluate the ARSIA questionnaire based on ARIA guidelines. The sample will be obtained from the list of patients under follow-up in the ORL clinic HSAH and HUSM with ages of 18 to 60 years, patients clinically diagnosed with allergic rhinitis, and with positive skin prick test. RESULTS A total of 150 patients with a positive skin prick test participated in this study. In the 'nasal symptom' and 'impact on daily activities' domains, calculated Cronbach's alpha shows a value of 0.878 and 0.811 respectively. The inter-item correlation was calculated to analyse internal consistency reliability. Items B3 and B4 were dropped from the questionnaire as both showed a low correlation with other items. New Cronbach's alpha for the daily activities domain was 0.830, which showed better internal consistency reliability. All of the items were analysed for sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Clinician diagnosis from the proforma was used as a comparison to the participant's responses. In the analysis, a cut-off points of 12 was used to classify the patient's nasal symptoms into intermittent or persistent, with a sensitivity of 75%, specificity of 86%, PPV of 95%, and NPV of 51%. Whereas, a cut-off point of 15 was used to classify the rhinitis impact on daily activities into mild or moderate/severe, with a sensitivity of 58%, specificity of 100%, PPV of 100%, and NPV of 42%. The only item in the 'control' domain has been dropped out following a consensus of experts and judgement as it has not been used in the clinician diagnosis and thus, is unable to test for sensitivity, specificity, PPV, and NPV. CONCLUSION This newly developed, validated, and evaluated questionnaire is a good tool for the evaluation of allergic rhinitis symptoms and their impact on daily activities. It is important to understand that AR symptoms could have a significant impact on daily activities. Although further study and testing are needed, it provides an initial means for evaluating the patient condition and control level, as well as patients' perception of their rhinitis control.
Collapse
Affiliation(s)
- M H Mohamed Rouse
- Hospital Sultan Abdul Halim, Department of Otorhinolaryngology-Head & Neck Surgery, Sungai Petani, Kedah, Malaysia
| | - A Aziz
- Universiti Sains Malaysia Health Campus, School of Medical Sciences, Department of Otorhinolaryngology-Head & Neck Surgery, Kubang Kerian, Kelantan, Malaysia.
| | - B Abdullah
- Universiti Sains Malaysia Health Campus, School of Medical Sciences, Department of Otorhinolaryngology-Head & Neck Surgery, Kubang Kerian, Kelantan, Malaysia
| | - A Abdul Kadir
- Universiti Sains Malaysia Health Campus, School of Medical Sciences, Department of Family Medicine, Kubang Kerian, Kelantan, Malaysia
| | - W M Z Wan Mohammad
- Universiti Sains Malaysia Health Campus, School of Medical Sciences, Department of Community Medicine, Kubang Kerian, Kelantan, Malaysia
| | - N S Abd Mutalib
- Hospital Sultan Abdul Halim, Department of Otorhinolaryngology-Head & Neck Surgery, Sungai Petani, Kedah, Malaysia
| |
Collapse
|
3
|
Milelli R, Aziz A, Denis D, David T. [A severe unilateral corneal ectasia in children]. J Fr Ophtalmol 2023; 46:1244-1246. [PMID: 37978029 DOI: 10.1016/j.jfo.2023.05.033] [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: 03/08/2023] [Revised: 05/12/2023] [Accepted: 05/18/2023] [Indexed: 11/19/2023]
Abstract
PURPOSE We report a case of unilateral Terrien's marginal degeneration in a 14-year-old girl. CLINICAL CASE Slit-lamp examination of the affected eye revealed 360° circumferential lipid deposits with 6mm of superior limbal distension, superficial neovascularization, a zone of corneal thinning from 3:00 to 9:00 with a zone of corneomalacia at 11:00. The remainder of the cornea was clear, without fluorescein staining or anterior chamber reaction. DISCUSSION Terrien's marginal degeneration (TMD) is typically known to occur bilaterally in men over the age of 40. Terrien's degeneration must be differentiated from other causes of peripheral corneal thinning; the primary differential diagnosis is Fuchs' marginal keratitis. Other causes of corneal thinning must be ruled out, including Mooren's ulcer. In Terrien's degeneration, there is no central mined edge in the thinning sulcus, the epithelium remains intact, and affected patients do not present with pain. Other differential diagnoses include pellucid marginal degeneration and sulcus degeneration, which are characterized by the absence of lipid infiltrates associated with the central region of the thinning zone, thus distinguishing them from TMD. CONCLUSION It is important to keep in mind that Terrien's marginal degeneration can occur in children.
Collapse
Affiliation(s)
| | - A Aziz
- CHU du Nord, Marseille, France
| | - D Denis
- CHU du Nord, Marseille, France
| | - T David
- CHU du Nord, Marseille, France
| |
Collapse
|
4
|
Desira M, Gabison E, Jacomet PV, Denis D, Dalmas F, David T, Aziz A. A new treatment changes the game: An innovative management of a child suffering from severe ligneous conjunctivitis with type 1 plasminogen deficiency. Ocul Surf 2023; 30:320-321. [PMID: 37992996 DOI: 10.1016/j.jtos.2023.11.001] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 11/06/2023] [Indexed: 11/24/2023]
Affiliation(s)
- M Desira
- Hôpital Nord, Ophthalmology Department, Aix Marseille Université, France.
| | | | | | - D Denis
- Hôpital Nord, Ophthalmology Department, Aix Marseille Université, France
| | - F Dalmas
- Hôpital Nord, Ophthalmology Department, Aix Marseille Université, France
| | - T David
- Hôpital Nord, Ophthalmology Department, Aix Marseille Université, France
| | - A Aziz
- Hôpital Nord, Ophthalmology Department, Aix Marseille Université, France
| |
Collapse
|
5
|
Mhatli A, Denis D, Lesueur A, Hugo J, David T, Aziz A. [Painful anisocoria in a five-year-old child: A rare diagnosis which must not be missed]. J Fr Ophtalmol 2023:S0181-5512(23)00226-7. [PMID: 37121825 DOI: 10.1016/j.jfo.2023.01.029] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 01/30/2023] [Accepted: 01/30/2023] [Indexed: 05/02/2023]
Abstract
Congenital ectropion uveae (CEU) is a rare anomaly of the embryonic development of the anterior segment of the eye. We report the case of a 5-year-old child with an undiagnosed CEU who was treated urgently for an acute angle closure attack. CASE DESCRIPTION A 5-year-old child was referred urgently for evaluation of anisocoria with mydriasis of the right eye and severe headache. Brain imaging with contrast injection was initially performed in the pediatric emergency department and ruled out central nervous system pathology. The initial examination of the right eye revealed an intraocular pressure (IOP) of 37mmHg, corneal edema, congenital ectropion uveae, mydriasis with pupillary block, a closed angle on gonioscopy, and a clear lens. The examination of the left eye was unremarkable, with no visible CEU. The initial management consisted of medical treatment with topical glaucoma drops and miotics and acetazolamide at 10mg/kg/d. Re-evaluation under general anesthesia showed persistent mydriasis and no resolution of the pupillary block. Filtering surgery was performed in the absence of a complete response to medical treatment, allowing control of IOP without drops and complete regression of the corneal edema. DISCUSSION CEU is a rare malformation, and pressure complications represent an insignificant proportion of pediatric glaucoma cases. The acute presentation of acute angle closure in this potentially blinding short-term setting, however, makes detection and management difficult in very young children in a great deal of pain. Only one similar case has been reported in the pediatric literature. CONCLUSION Acute angle closure complicating CEU is exceptional and difficult to diagnose in a pediatric context. Parents of children with this predisposing condition should be informed of the need to consult urgently when clinical signs of elevated intraocular pressure appear.
Collapse
Affiliation(s)
- A Mhatli
- Centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France.
| | - D Denis
- Centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - A Lesueur
- Centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - J Hugo
- Centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - T David
- Centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - A Aziz
- Centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| |
Collapse
|
6
|
Ninet L, Denis D, Aziz A. Axenfeld anomaly with persistent pupillary membrane. J Fr Ophtalmol 2023; 46:424-425. [PMID: 36863901 DOI: 10.1016/j.jfo.2022.09.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Revised: 09/04/2022] [Accepted: 09/12/2022] [Indexed: 03/04/2023]
Affiliation(s)
- L Ninet
- Service d'ophtalmologie, université Aix-Marseille, hôpital Nord, chemin des Bourrely, 13015 Marseille, France.
| | - D Denis
- Service d'ophtalmologie, université Aix-Marseille, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - A Aziz
- Service d'ophtalmologie, université Aix-Marseille, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| |
Collapse
|
7
|
Øverbø J, Aziz A, Zaman K, Clemens J, Halle Julin C, Qadri F, Stene-Johansen K, Biswas R, Islam S, Rahman Bhuiyan T, Haque W, Sandbu S, Elahee ME, Ali M, Dembinski JL, Dudman S. Immunogenicity and safety of a two-dose regimen with hepatitis E virus vaccine in healthy adults in rural Bangladesh: A randomized, double-blind, controlled, phase 2/pilot trial. Vaccine 2023; 41:1059-1066. [PMID: 36599736 DOI: 10.1016/j.vaccine.2022.12.064] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 12/27/2022] [Accepted: 12/28/2022] [Indexed: 01/03/2023]
Abstract
BACKGROUND Hepatitis E virus (HEV) is a major cause of acute viral hepatitis worldwide and it contributes to considerable maternal and neonatal mortality and morbidity in many low-income countries like Bangladesh. A three-dose regimen of a vaccine against HEV (HEV 239) has shown promising results in China. The effects and safety of this vaccine in other populations and with different dosing regimens remains uncertain. OBJECTIVES Investigate the immune response and safety of a two-dose regimen with the HEV 239 vaccine among healthy adults. Examine the feasibility of conducting a larger HEV 239 vaccine trial in rural Bangladesh. METHODS One-hundred healthy men and non-pregnant women 16-39 years old were randomized in a 1:1 ratio to receive two doses of either the study (HEV) or control (Hepatitis B virus, HBV) vaccine (at 0, 1 month). Blood samples were collected at day 0, day 60 and 2 years after vaccination. The primary endpoints were the proportion and severity of adverse events up to 2 months after dose one and the longitudinal shift in anti-HEV IgG levels from day 0 to day 60 and 2 years after vaccination. RESULTS Adverse events to HEV 239 were comparable to the control vaccine, mild in severity and resolved within one to nine days. All participants in the study group seroconverted and achieved high levels of HEV IgG antibodies that remained positive for two years in all but one. A T-cell response was detected one month after HEV 239 vaccination. CONCLUSION Our results show that two doses of the HEV 239 vaccine produces broad and likely functional immune responses against HEV that remain for at least two years. The safety profile was acceptable and a phase four study of HEV 239 in rural Bangladesh is feasible. CLINICALTRIALS gov Identifier: NCT02759991.
Collapse
Affiliation(s)
- Joakim Øverbø
- Norwegian Institute of Public Health, Oslo, Norway; University of Oslo, Oslo, Norway.
| | - Asma Aziz
- University of Oslo, Oslo, Norway; International Centre for Diarrheal Diseases Research (icddr,b), Dhaka, Bangladesh; International Vaccine Institute, Seoul, Republic of Korea
| | - K Zaman
- International Centre for Diarrheal Diseases Research (icddr,b), Dhaka, Bangladesh
| | - John Clemens
- International Centre for Diarrheal Diseases Research (icddr,b), Dhaka, Bangladesh; International Vaccine Institute, Seoul, Republic of Korea; UCLA Fielding School of Public Health, Los Angeles, CA, USA
| | | | - Firdausi Qadri
- International Centre for Diarrheal Diseases Research (icddr,b), Dhaka, Bangladesh
| | | | - Rajib Biswas
- International Centre for Diarrheal Diseases Research (icddr,b), Dhaka, Bangladesh
| | - Shaumik Islam
- International Centre for Diarrheal Diseases Research (icddr,b), Dhaka, Bangladesh
| | | | - Warda Haque
- International Centre for Diarrheal Diseases Research (icddr,b), Dhaka, Bangladesh
| | - Synne Sandbu
- Norwegian Institute of Public Health, Oslo, Norway
| | - Manzoor E Elahee
- International Centre for Diarrheal Diseases Research (icddr,b), Dhaka, Bangladesh
| | | | | | - Susanne Dudman
- University of Oslo, Oslo, Norway; Oslo University Hospital, Oslo, Norway
| |
Collapse
|
8
|
Øverbø J, Aziz A, Zaman K, Julin CH, Qadri F, Stene-Johansen K, Biswas R, Islam S, Bhuiyan TR, Haque W, Sandbu S, Dembinski JL, Dudman S. Stability and Feasibility of Dried Blood Spots for Hepatitis E Virus Serology in a Rural Setting. Viruses 2022; 14:v14112525. [PMID: 36423134 PMCID: PMC9692628 DOI: 10.3390/v14112525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 11/11/2022] [Accepted: 11/13/2022] [Indexed: 11/16/2022] Open
Abstract
Hepatitis E virus (HEV) is the most common cause of acute viral hepatitis worldwide. In many low-income countries it causes large outbreaks and disproportionally affects pregnant women and their offspring. Surveillance studies to find effective preventive interventions are needed but are hampered by the lack of funding and infrastructure. Dried blood spots (DBS) offer an easier and more robust way to collect, transport, and store blood samples compared to plasma/serum samples, and could ease some of the barriers for such studies. In this study we optimize an HEV IgG ELISA for DBS samples and validate it on 300 paired DBS and plasma samples collected in rural areas of Bangladesh from participants in a HEV vaccine study. We demonstrate that HEV IgG in blood stored as DBS is stable for two months at up to 40 °C, and for five freeze-thaw cycles. The specificity was 97% and the overall sensitivity of the DBS assay was 81%. The sensitivity was higher in samples from vaccinated participants (100%) compared to previously infected participants (59%), reflecting a positive correlation between IgG titer and sensitivity. We found a strong correlation between DBS and plasma samples with an r2 of 0.90, but with a higher degree of difference between individual paired samples. Our study shows that DBS offers a stable alternative to plasma/serum for HEV IgG measurements and can facilitate serological studies, particularly in resource limited areas.
Collapse
Affiliation(s)
- Joakim Øverbø
- Norwegian Institute of Public Health, NO-0213 Oslo, Norway
- Department of Microbiology, Institute of Clinical Medicine, University of Oslo, NO-0424 Oslo, Norway
- Correspondence: (J.Ø.); (S.D.)
| | - Asma Aziz
- Department of Microbiology, Institute of Clinical Medicine, University of Oslo, NO-0424 Oslo, Norway
- International Centre for Diarrheal Diseases Research, Dhaka 1212, Bangladesh
- International Vaccine Institute, Seoul 08826, Republic of Korea
| | - K. Zaman
- International Centre for Diarrheal Diseases Research, Dhaka 1212, Bangladesh
| | | | - Firdausi Qadri
- International Centre for Diarrheal Diseases Research, Dhaka 1212, Bangladesh
| | | | - Rajib Biswas
- International Centre for Diarrheal Diseases Research, Dhaka 1212, Bangladesh
| | - Shaumik Islam
- International Centre for Diarrheal Diseases Research, Dhaka 1212, Bangladesh
| | | | - Warda Haque
- International Centre for Diarrheal Diseases Research, Dhaka 1212, Bangladesh
| | - Synne Sandbu
- Norwegian Institute of Public Health, NO-0213 Oslo, Norway
| | | | - Susanne Dudman
- Department of Microbiology, Institute of Clinical Medicine, University of Oslo, NO-0424 Oslo, Norway
- Oslo University Hospital, NO-0424 Oslo, Norway
- Correspondence: (J.Ø.); (S.D.)
| |
Collapse
|
9
|
Soria F, Pradere B, Hurle R, D'Andrea D, Albisinni S, Diamand R, Laukhtina E, Di Trapani E, Aziz A, Krajewski W, Teoh J, Mari A, Moschini M, Chiancone F, Autorino R, Porreca A, Marchioni M, Liguori G, Lucarelli G, Busetto G, Foschi N, Antonelli A, Bove P, Russo G, Crisan N, Borghesi M, Boeri L, Veccia A, Greco F, Longo N, De Cobelli O, Shariat S, Gontero P, Ferro M. Radical Nephroureterectomy Tetrafecta: A Proposal Reporting Surgical Strategy Quality at Surgery. EUR UROL SUPPL 2022; 42:1-8. [PMID: 35911084 PMCID: PMC9334825 DOI: 10.1016/j.euros.2022.05.010] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/27/2022] [Indexed: 11/22/2022] Open
Abstract
Background Standardized methods for reporting surgical quality have been described for all the major urological procedures apart from radical nephroureterectomy (RNU). Objective To propose a tetrafecta criterion for assessing the quality of RNU based on a consensus panel within the Young Association of Urology (YAU) Urothelial Group, and to test the impact of this tetrafecta in a multicenter, large contemporary cohort of patients treated with RNU for upper tract urothelial carcinoma (UTUC). Design, setting, and participants This was a retrospective analysis of 1765 patients with UTUC treated between 2000 and 2021. Outcome measurements and statistical analysis We interviewed the YAU Urothelial Group to propose and score a list of items to be included in the “RNU-fecta.” A ranking was generated for the criteria with the highest sum score. These criteria were applied to a large multicenter cohort of patients. Kaplan-Meier curves were built to evaluate differences in overall survival (OS) rates between groups, and a multivariable logistic regression model was used to find the predictors of achieving the RNU tetrafecta. Results and limitations The criteria with the highest score included three surgical items such as negative soft tissue surgical margins, bladder cuff excision, lymph node dissection according to guideline recommendations, and one oncological item defined by the absence of any recurrence in ≤12 mo. These items formed the RNU tetrafecta. Within a median follow-up of 30 mo, 52.6% of patients achieved the RNU tetrafecta. The 5-yr OS rates were significantly higher for patients achieving tetrafecta than for their counterparts (76% vs 51%). Younger age, lower body mass index, and robotic approach were found to be independent predictors of tetrafecta achievement. Conversely, a higher Eastern Cooperative Oncology Group score, higher clinical stage, and bladder cancer history were inversely associated with tetrafecta. Conclusions Herein, we present a “tetrafecta” composite endpoint that may serve as a potential tool to assess the overall quality of the RNU procedure. Pending external validation, this tool could allow a comparison between surgical series and may be useful for assessing the learning curve of the procedure as well as for evaluating the impact of new technologies in the field. Patient summary In this study, a tetrafecta criterion was developed for assessing the surgical quality of radical nephroureterectomy in patients with upper tract urothelial carcinoma. Patients who achieved tetrafecta had higher 5-yr overall survival rates than those who did not.
Collapse
|
10
|
Auta HS, Abioye OP, Aransiola SA, Bala JD, Chukwuemeka VI, Hassan A, Aziz A, Fauziah SH. Enhanced microbial degradation of PET and PS microplastics under natural conditions in mangrove environment. J Environ Manage 2022; 304:114273. [PMID: 34902688 DOI: 10.1016/j.jenvman.2021.114273] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [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: 07/01/2021] [Revised: 12/05/2021] [Accepted: 12/08/2021] [Indexed: 06/14/2023]
Abstract
In-situ bioremediation of mangrove soil contaminated with polyethylene terephthalate (PET) and polystyrene (PS) microplastics was investigated using indigenous microbial consortium with adequate capacity to degrade the plastics. Eight (8) bacteria were isolated from plastic/microplastic-inundated mangrove soil and screened for the ability to degrade PET and PS microplastics. Optical density at 600 nm and colony forming unit counts were measured to evaluate the growth response of the microbes in the presence of PS and PET microplastics at different times of exposure. Structural and surface changes that occurred post biodegradation on the microplastics were determined through EDS and SEM analysis. The obtained results demonstrated the elongation and disappearance of peaks, suggesting that the microbial consortium could modify both types of microplastics. The overall results of the microplastic degradation showed varied degrees of weight loss after 90 experimental days, with the treated plot recorded 18% weight loss. The augmented soil was increased in the concentrations of Si S, and Fe and decreased in the concentrations of C, O, Na, Mg, Al, Cl, and K after bioremediation.
Collapse
Affiliation(s)
- H S Auta
- Institute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia; Centre for Research in Waste Management, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia; Department of Microbiology, Federal University of Technology, Minna, Nigeria
| | - O P Abioye
- Department of Microbiology, Federal University of Technology, Minna, Nigeria
| | - S A Aransiola
- Bioresources Development Centre, National Biotechnology Development Agency, Ogbomoso, Nigeria.
| | - J D Bala
- Department of Microbiology, Federal University of Technology, Minna, Nigeria
| | - V I Chukwuemeka
- Department of Animal Biology, Federal University of Technology, Minna, Nigeria
| | - A Hassan
- Institute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia; Centre for Research in Waste Management, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia; Department of Biological Sciences, Federal University, Kashere, Gombe, Nigeria
| | - A Aziz
- Faculty of Marine Sciences, Lasbela University of Agriculture, Water & Marine Sciences, Uthal, Balochistan, Pakistan
| | - S H Fauziah
- Institute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia; Centre for Research in Waste Management, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia
| |
Collapse
|
11
|
Ullah H, Khan F, Taha M, Rahim F, Sarfraz M, Aziz A, Ullah S, Khan MU, Ullah M. New Thiazole-Bearing Oxadiazole Derivatives: Synthesis, Thymidine Phosphorylase Inhibitory Potential, and Molecular Docking Study. Russ J Org Chem 2022. [DOI: 10.1134/s1070428021120150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
12
|
Ling OP, Ardani MR, Baharun N, Aziz A, Rezan SA. Synthesis of multi-hollow flake like ZnO nanostructures via facile hydrothermal technique. INORG NANO-MET CHEM 2022. [DOI: 10.1080/24701556.2021.2025083] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- O. P. Ling
- School of Materials and Mineral Resources Engineering, Universiti Sains Malaysia, Nibong Tebal, Malaysia
| | - M. R. Ardani
- School of Materials and Mineral Resources Engineering, Universiti Sains Malaysia, Nibong Tebal, Malaysia
| | - N. Baharun
- School of Materials and Mineral Resources Engineering, Universiti Sains Malaysia, Nibong Tebal, Malaysia
| | - A. Aziz
- School of Materials and Mineral Resources Engineering, Universiti Sains Malaysia, Nibong Tebal, Malaysia
| | - S. A. Rezan
- School of Materials and Mineral Resources Engineering, Universiti Sains Malaysia, Nibong Tebal, Malaysia
| |
Collapse
|
13
|
Khan B, Ullah A, Khan MA, Amin A, Iqbal M, Khan S, Ateeq M, Aman K, Aziz A, Khattak MNK, Nadeem T, Munir N, Khan S, Ali Q. Anti-hyperglycemic and anti-hyperlipidemic effects of a methanolic extract of Debregeasia salicifolia in Alloxan-induced diabetic albino mice. BRAZ J BIOL 2021; 84:e251046. [PMID: 34932675 DOI: 10.1590/1519-6984.251046] [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] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 08/20/2021] [Indexed: 11/21/2022] Open
Abstract
Diabetes mellitus (DM), an endocrine syndrome characterized by high blood glucose levels due to abrogated insulin activity. The existing treatments for DM have side effects and varying degrees of efficacy. Therefore, it is paramount that novel approaches be developed to enhance the management of DM. Therapeutic plants have been accredited as having comparatively high efficacy with fewer adverse effects. The current study aims to elucidate the phytochemical profile, anti-hyperlipidemic, and anti-diabetic effects of methanolic extract D. salicifolia (leaves) in Alloxan-induced diabetic mice. Alloxan was injected intraperitoneally (150 mg kg-1, b.w), to induced diabetes in mice. The mice were divided into three groups (n=10). Group 1 (normal control) received normal food and purified water, Group II (diabetic control) received regular feed and clean water and group III (diabetic treated) received a methanolic extract of the plant (300 mg kg-1) for 28 days with a typical diet and clean water throughout the experiment. Blood samples were collected to checked serum glucose and concentration of LDL, TC, TG. The extract demonstrated significant antihyperglycemic activity (P<0.05), whereas improvements in mice's body weight and lipid profiles were observed after treatment with the extract. This study establishes that the extract has high efficacy with comparatively less toxicity that can be used for DM management.
Collapse
Affiliation(s)
- B Khan
- Dalian Medical University Liaoning, Department of Physiology, Dalian, China
| | - A Ullah
- Department of Health and Biological Sciences, Abasyn University Peshawar, Khyber Pakhtunkhwa Pakistan
| | - M A Khan
- Hong Kong University of Science and Technology, Division of Life Science, Center for Cancer Research and State Key Lab for Molecular Neuroscience, Clear Water Bay, China
| | - A Amin
- Hong Kong Baptist University, School of Chinese Medicine and Department of Biology, Hong Kong, China
| | - M Iqbal
- Department of Botany, Shaheed Benazir Bhutto Women university Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - S Khan
- Institute of microbiology and biotechnology, Bacha Khan University Charsada
| | - M Ateeq
- Institute of biological sciences, Sarhad university of science and information technology Peshawar, Khyber Pakhtunkhwa Pakistan
| | - K Aman
- Department of Health and Biological Sciences, Abasyn University Peshawar, Khyber Pakhtunkhwa Pakistan
| | - A Aziz
- Institute of biological sciences, Sarhad university of science and information technology Peshawar, Khyber Pakhtunkhwa Pakistan
| | - M N K Khattak
- University of Sharjah, Department of Applied Biology, College of Sciences, Sharjah, United Arab Emirates
| | - T Nadeem
- University of the Punjab, Centre of Excellence in Molecular Biology, Lahore, Punjab, Pakistan
| | - N Munir
- Center of biotechnology and microbiology, University of Peshawar, Khyber Pakhtunkhwa Pakistan
| | - S Khan
- Department of biotechnology, university of swabi, Khyber Pakhtunkhwa Pakistan
| | - Q Ali
- The University of Lahore, Institute of Molecular Biology and Biotechnology, Lahore, Punjab, Pakistan
| |
Collapse
|
14
|
Kandiah R, Aziz A, Nik Min NFA, Rahim MR, Zawawi N, Sayuti KA, Nadarajah S, Mohamad I. Lichenoid uvula mass as a rare cause of hot potato voice and progressive dysphagia. Malays J Pathol 2021; 43:457-461. [PMID: 34958068] [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: 06/14/2023]
Abstract
Lichenoid uvula mass is an unusual entity and the clinicopathologic entities are important for the diagnosis. In this case report, we report an elderly lady presented with dysphagia and "hot potato voice" due to a lichenoid uvula mass. Apart from muffled voice, the other associated symptoms are dysphagia, sore throat, globus pharyngeus and snoring. She was a non-smoker, and not on any medications except for hypertension and dyslipidaemia. Apart from the enlarged uvula, other parts of the oral cavity, oropharynx and larynx were normal. She has no other signs such as cutaneous lesions. The mass was excised under general anaesthesia followed by resolution of symptoms. Awareness of this entity, the clinical and histopathological features should be highlighted to differentiate it from other diagnosis.
Collapse
Affiliation(s)
- R Kandiah
- Universiti Sains Malaysia, School of Medical Sciences, Department of Otorhinolaryngology-Head & Neck Surgery, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - A Aziz
- Universiti Sains Malaysia, School of Medical Sciences, Department of Otorhinolaryngology-Head & Neck Surgery, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - N F A Nik Min
- Universiti Sains Malaysia, School of Medical Sciences, Department of Pathology, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - M R Rahim
- Universiti Sains Malaysia, School of Medical Sciences, Department of Radiology, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - N Zawawi
- Universiti Sains Malaysia, School of Medical Sciences, Department of Pathology, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - K A Sayuti
- Universiti Sains Malaysia, School of Medical Sciences, Department of Radiology, Health Campus, Kota Bharu, Kelantan, Malaysia
| | - S Nadarajah
- Trafalgar Memorial Hospital, Department of Otorhinolaryngology, Oakville, Ontario Canada
| | - I Mohamad
- Universiti Sains Malaysia, School of Medical Sciences, Department of Otorhinolaryngology-Head & Neck Surgery, Health Campus, Kota Bharu, Kelantan, Malaysia.
| |
Collapse
|
15
|
Ejupi A, Aziz A, Ong P, Shafi BH, Lange T, Sechtem U, Prescott E. Proteomic biomarker profiles and vascular dysfunction in angina with no obstructive coronary artery disease. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1081] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Coronary vascular dysfunction is a common cause of symptoms in patients with angina and no obstructed coronary arteries (ANOCA). Several endotypes have been defined but there are big gaps in our understanding of the underlying pathophysiology. Proteomic analyses may improve the understanding of the pathophysiology.
Purpose
Exploratory approach to 1) compare the proteomic biomarker profile across different types of vascular dysfunction in ANOCA and 2) assess the value of prediction models with protein biomarkers for vascular dysfunction in ANOCA.
Methods
We included 107 angina patients without previous coronary artery disease, left ventricular ejection fraction >45% and no obstructive coronary artery disease (CAD) (<50% stenosis of epicardial vessels) on coronary angiography. Three types of vascular dysfunction were assessed: 1) Vasomotor dysfunction (VMD) defined as epicardial or microvascular vasospasm on acetylcholine provocation, 2) Coronary microvascular dysfunction (CMD) defined as coronary flow velocity reserve (CFVR) ≤2.5 on echocardiography of the LAD on adenosine stimulation and 3) Reactive Hyperaemia Index (RHI) ≤1.67 as a measure of peripheral endothelial dysfunction. Blood samples were analysed for 184 protein biomarkers related to cardiovascular disease. Correlations between biomarkers and results of vascular function assessments were analysed with Pearson's correlation coefficient and visualized with volcano plots. Significantly correlated biomarkers (p<0.05) were tested in prediction models for their incremental value over age and gender with C-statistics.
Results
CFVR was correlated to 24 biomarkers before (figure 1a) and 2 biomarkers after adjustment for age and gender. The basic prediction model had AUC of 0.68 and was not significantly improved by adding biomarkers (figure 2a). RHI was correlated to 27 biomarkers before (figure 1b) and 10 biomarkers after adjustment for age and gender. The clinical prediction model was significantly improved (p=0.037) by adding TRAIL R2 and IL-18, in addition to age and gender, with an AUC of 84.4 (figure 2b). VMD was correlated to 14 biomarkers before (figure 1c) and 6 biomarkers after adjustment for age and gender. The prediction model was significantly improved (p=0.011) by adding HSP-27, RARRES-2 and SERPINA-12 in addition to age and gender in prediction of VMD with an AUC of 85.4 (figure 2c).
Conclusion
Several biomarkers were associated with vascular dysfunction in ANOCA patients with little overlap between different endotypes. We identified biomarkers that may contribute to the understanding of the underlying pathophysiology and have applications for screening. Results need to be confirmed in larger studies.
Funding Acknowledgement
Type of funding sources: Public hospital(s). Main funding source(s): Department of Cardiology, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Denmark.Department of Cardiology and Angiology, Robert Bosch Krankenhaus, Stuttgart, Germany
Collapse
Affiliation(s)
- A Ejupi
- Bispebjerg University Hospital, Department of Cardiology, Copenhagen, Denmark
| | - A Aziz
- Odense University Hospital, Department of Cardiology, Odense, Denmark
| | - P Ong
- Robert Bosch Hospital, Department of Cardiology and Angiology, Stuttgart, Germany
| | - B H Shafi
- Bispebjerg University Hospital, Department of Cardiology, Copenhagen, Denmark
| | - T Lange
- University of Copenhagen, Department of Public Health, Copenhagen, Denmark
| | - U Sechtem
- Robert Bosch Hospital, Department of Cardiology and Angiology, Stuttgart, Germany
| | - E Prescott
- Bispebjerg University Hospital, Department of Cardiology, Copenhagen, Denmark
| |
Collapse
|
16
|
Hashim H, Aziz A, Tyrrell B, Leung R, Brass N, Dorsch M. INITIAL EXPERIENCE WITH THE USE OF INTRAVASCULAR LITHOTRIPSY FOR CORONARY CALCIUM MODIFICATION. Can J Cardiol 2021. [DOI: 10.1016/j.cjca.2021.07.076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
17
|
Zaman K, Kovacs SD, Vanderende K, Aziz A, Yunus M, Khan S, Snider CJ, An Q, Estivariz CF, Oberste MS, Pallansch MA, Anand A. Assessing the immunogenicity of three different inactivated polio vaccine schedules for use after oral polio vaccine cessation, an open label, phase IV, randomized controlled trial. Vaccine 2021; 39:5814-5821. [PMID: 34481702 DOI: 10.1016/j.vaccine.2021.08.065] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 08/13/2021] [Accepted: 08/17/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND After global oral poliovirus vaccine (OPV) cessation, the Strategic Advisory Group of Experts on Immunization (SAGE) currently recommends a two-dose schedule of inactivated poliovirus vaccine (IPV) beginning ≥14-weeks of age to achieve at least 90% immune response. We aimed to compare the immunogenicity of three different two-dose IPV schedules started before or at 14-weeks of age. METHODS We conducted a randomized, controlled, open-label, inequality trial at two sites in Dhaka, Bangladesh. Healthy infants at 6-weeks of age were randomized into one of five arms to receive two-dose IPV schedules at different ages with and without OPV. The three IPV-only arms are presented: Arm C received IPV at 14-weeks and 9-months; Arm D received IPV at 6-weeks and 9-months; and Arm E received IPV at 6 and 14-weeks. The primary outcome was immune response defined as seroconversion from seronegative (<1:8) to seropositive (≥1:8) after vaccination, or a four-fold rise in antibody titers and median reciprocal antibody titers to all three poliovirus types measured at 10-months of age. FINDINGS Of the 987 children randomized to Arms C, D, and E, 936 were included in the intention-to-treat analysis. At 10-months, participants in Arm C (IPV at 14-weeks and 9-months) had ≥99% cumulative immune response to all three poliovirus types which was significantly higher than the 77-81% observed in Arm E (IPV at 6 and 14-weeks). Participants in Arm D (IPV at 6-weeks and 9-months) had cumulative immune responses of 98-99% which was significantly higher than that of Arm E (p value < 0.0001) but not different from Arm C. INTERPRETATION Results support current SAGE recommendations for IPV following OPV cessation and provide evidence that the schedule of two full IPV doses could begin as early as 6-weeks.
Collapse
Affiliation(s)
- Khalequ Zaman
- International Centre for Diarrheal Disease, Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh
| | - Stephanie D Kovacs
- Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA.
| | - Kristin Vanderende
- Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA
| | - Asma Aziz
- International Centre for Diarrheal Disease, Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh
| | - Mohammed Yunus
- International Centre for Diarrheal Disease, Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh
| | - Sara Khan
- Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA
| | - Cynthia J Snider
- Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA
| | - Qian An
- Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA
| | - Concepcion F Estivariz
- Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA
| | - M Steven Oberste
- Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA
| | - Mark A Pallansch
- Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA
| | - Abhijeet Anand
- Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, USA
| |
Collapse
|
18
|
Ullah H, Ullah H, Taha M, Khan F, Rahim F, Uddin I, Sarfraz M, Shah SAA, Aziz A, Mubeen S. Synthesis, In Vitro α-Amylase Activity, and Molecular Docking
Study of New Benzimidazole Derivatives. Russ J Org Chem 2021. [DOI: 10.1134/s1070428021060130] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
19
|
Soria F, Hurle R, D’Andrea D, Albisinni S, Laukhtina E, Pradere B, Di Trapani E, Aziz A, Krajewski W, Teoh J, Mari A, Moschini M, Autorino R, Porreca A, Marchioni M, Liguori G, Lucarelli G, Busetto G, Antonelli A, Russo G, Crisan N, Veccia A, De Cobelli O, Gontero P, Ferro M. Radical nephroureterectomy pentafecta: A proposal for standardisation of oncologic outcomes reporting following open, laparoscopic or robot-assisted radical nephroureterectomy. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01168-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
20
|
Anwar MM, Fayyaz F, Aziz A, Mahmood MR. Socio-Ecological and Ethical Economic Demand of Urban Parks in Gujrat City, Punjab, Pakistan. Arid Ecosyst 2021. [DOI: 10.1134/s2079096121020037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
21
|
Chen G, Aziz A, Sharova T, Rozhkova E, Yang L, Lau N, Botchkarev V, Muegge K, Sharov A. 139 Heterochromatin maintenance is crucial for terminal keratinocyte differentiation and inhibition of inflammatory responses in the epidermis. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.02.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
22
|
Saad-Ilyas M, Zehra U, Khan UU, Mohammad I, Muhammad R, Aziz A. Orthopaedic Practices and Surgeries during COVID-19 in Pakistan - A Survey Based Study. Malays Orthop J 2021; 15:72-78. [PMID: 33880151 PMCID: PMC8043628 DOI: 10.5704/moj.2103.011] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introduction: The study aimed to target the current practices of the orthopaedic community in outpatient (OPD), emergency (ER) and surgical services (OT) during COVID-19. Material and method: This study surveyed 303 orthopaedic surgeons from all over Pakistan. The survey had 30 questions targeting the setup of outpatient, emergency and operation services in orthopaedic departments of different hospitals in Pakistan. Result: A total of 302 surgeons were included from 53 cities all over Pakistan. Between 35-48% of the respondents reported lack of availability of standard operating procedures in OPD, ER and in OT. Majority of the respondents noted that their OPD and surgical practice had been affected to some degree and 69% of the surgeons were only doing trauma surgery. This trend was higher in younger consultants of less than 45 years of age (p<0.001). Almost two-third of the surgeons, mostly senior (p=0.03) were using surgical masks as the only protective measure during various practices of OPD, ER and OT, while most of the setups were not assessing patients even for signs and symptoms of COVID. Almost 89% of the orthopaedic community is facing definite to mild stress during this pandemic and this has significantly affected the senior surgeons (p=0.01). Conclusion: Our study highlighted that COVID-19 has resulted in marked changes to the practices of the majority of Pakistani orthopaedic surgeons. Despite a sharp upsurge in the number of cases and mortality due to COVID-19, guidelines were still lacking at most of the settings and a substantial percentage of the orthopaedic community were not following adequate safety measures while attending to patients.
Collapse
Affiliation(s)
- M Saad-Ilyas
- Department of Orthopaedics & Spine Surgery, Ghurki Trust Teaching Hospital, Lahore, Pakistan
| | - U Zehra
- Department of Anatomy, University of Health Sciences, Lahore, Pakistan
| | - U U Khan
- Department of Orthopaedic, Kabir Medical College, Peshawar, Pakistan
| | - I Mohammad
- Trauma Centre, Makhdoom Aali, Tehsil Dunyapur, Pakistan
| | - R Muhammad
- Department of Orthopaedics, Chandka Medical College, Larkana, Pakistan
| | - A Aziz
- Department of Orthopaedics & Spine Surgery, Ghurki Trust Teaching Hospital, Lahore, Pakistan
| |
Collapse
|
23
|
Chieng CY, Davies A, Aziz A, Lowe D, Rogers SN. Health related quality of life and patient concerns in patients with osteoradionecrosis. Br J Oral Maxillofac Surg 2021; 59:1061-1066. [PMID: 34325946 DOI: 10.1016/j.bjoms.2021.02.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 02/18/2021] [Indexed: 11/25/2022]
Abstract
The number of patients presenting with osteoradionecrosis (ORN) is likely to increase in future and health related quality of life (HRQOL) is a key outcome. This study aimed to report patient concerns and HRQOL in an osteoradionecrosis cohort over 12 years. Patients attended routine follow-up clinics between 2008 to 2020, where patient reported outcome (PRO) assessment was used before consultations as standard practice. The two PROs were the Patient Concerns Inventory (PCI) and the University of Washington quality of life questionnaire (UW-QOL v4). The study sample comprised 109 patients with ORN seen in 445 clinics when PCI and UW-QOL were used. At clinic, patients were in one of six ORN states: before ORN (26 with data), at diagnosis (12), and following treatment either improved (27), progressed (46), stable (63) or resolved (37). Worst HRQOL outcomes were reported in the progressive group with 50% reporting overall QOL as less than good. Pain was a major dysfunction (63%) as was physical and social-emotional functioning and this group reported many PCI issues, median (IQR) 7 (4-11). Kaplan-Meier estimates of survival with 95% CI after diagnosis with ORN were 96% (90-99%) at 12 months, 89% (81-94%) at 24 months and 73% (61-82%) at 60 months. This study indicates that ORN is a chronic condition with long-term survivorship consequences. More data through cohort studies and trials are needed to assist in decision making for individual patients.
Collapse
Affiliation(s)
- C Y Chieng
- Regional Maxillofacial Unit, Aintree University Hospital, Lower Lane, Liverpool, UK.
| | - A Davies
- Regional Maxillofacial Unit, Aintree University Hospital, Lower Lane, Liverpool, UK.
| | - A Aziz
- Regional Maxillofacial Unit, Aintree University Hospital, Lower Lane, Liverpool, UK.
| | - D Lowe
- Astraglobe Ltd, Congleton, Cheshire, UK.
| | - S N Rogers
- Faculty of Health and Social Care, Edge Hill University, Ormskirk, L39 4QP, UK; Liverpool Head and Neck Centre, Liverpool University Hospital Aintree, Liverpool, UK.
| |
Collapse
|
24
|
Deaton C, Forsyth F, Mant J, Edwards D, Hobbs R, Taylor C, Aziz A, Schiff R, Odone J, Zaman J. Characteristics and health status of patients with and without confirmed HFpEF. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3139] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Aims
Patients with heart failure with preserved ejection fraction (HFpEF) are usually older and multi-morbid and diagnosis can be challenging. The aims of this cohort study were to confirm diagnosis of HFpEF in patients with possible HFpEF recruited from primary care, to compare characteristics and health status between those with and without HFpEF, and to determine factors associated with health status in patients with HFpEF.
Methods
Patients with presumed HFpEF were recruited from primary care practices and underwent clinical assessment and diagnostic evaluation as part of a longitudinal cohort study. Health status was measured by Montreal Cognitive Assessment (MOCA), 6-minute walk test, symptoms, and the Kansas City Cardiomyopathy Questionnaire (KCCQ), and quality of life (QoL) by EQ-5D-5L visual analogue scale (VAS).
Results
151 patients (mean age 78.5±8.6 years, 40% women, mean EF 56% + 9.4) were recruited and 93 (61.6%) were confirmed HFpEF (those without HFpEF had other HF and cardiac diagnoses). Patients with and without HFpEF did not differ by age, MOCA, blood pressure, heart rate, NYHA class, proportion with atrial fibrillation, Charlson Comorbidity Index, or NT-ProBNP levels. Patients with HFpEF were more likely to be women, overweight or obese, frail, and to be more functionally impaired by 6 minute walk distance and gait speed than those without. Although not statistically significant, patients with HFpEF had clinically significant differences (>5 points) on the physical limitations, symptom burden and clinical summary subscales of the KCCQ, but did not differ by other subscales or by EQ-5D-5L VAS (70±17 vs 73±19, p=0.385). More patients with HFpEF reported daytime dyspnoea (63% vs 46%, p=0.035) and fatigue (81% vs 61%, p=0.008), but not other symptoms compared to those without HFpEF. For both groups BMI was moderately negatively correlated with KCCQ subscale scores, and 6 minute walk distance was positively correlated with KCCQ subscales.
Conclusions
Nearly 40% were not confirmed as HFpEF indicating the challenges of diagnosis. Patients with confirmed HFpEF differed by sex, overweight/obesity, frailty, functional impairment, and symptoms but not by age or comorbidities from those without HFpEF. These differences were reflected in some subscale scores of the KCCQ, but not how patients reported their quality of life on the KCCQ QoL subscale and EQ-5D-5L VAS. Older patients with HFpEF reported relatively high QoL despite poor health status by functional impairment, frailty and symptoms.
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): National Institute of Health Research School of Primary Care Research
Collapse
Affiliation(s)
- C Deaton
- University of Cambridge, Public Health and Primary Care, Cambridge, United Kingdom
| | - F Forsyth
- University of Cambridge, Public Health and Primary Care, Cambridge, United Kingdom
| | - J Mant
- University of Cambridge, Public Health and Primary Care, Cambridge, United Kingdom
| | - D Edwards
- University of Cambridge, Public Health and Primary Care, Cambridge, United Kingdom
| | - R Hobbs
- University of Oxford, Nuffield Department of Primary Care Health Sciences, Oxford, United Kingdom
| | - C Taylor
- University of Oxford, Nuffield Department of Primary Care Health Sciences, Oxford, United Kingdom
| | - A Aziz
- University of Oxford, Nuffield Department of Primary Care Health Sciences, Oxford, United Kingdom
| | - R Schiff
- Guys and St Thomas Hospital, London, United Kingdom
| | - J Odone
- Guys and St Thomas Hospital, London, United Kingdom
| | - J Zaman
- James Paget University Hospital, Great Yarmouth, United Kingdom
| |
Collapse
|
25
|
Schroder J, Michelsen M, Mygind N, Frestad D, Suhrs H, Bove K, Aziz A, Hansen H, Hansen P, Gustafsson I, Kastrup J, Prescott E. Coronary flow velocity reserve predicts adverse outcome in patients with angina and no obstructive coronary artery disease. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1287] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Many patients with angina do not have obstructive coronary artery disease (CAD) when evaluated with coronary angiography. It is unknown whether echocardiographic coronary flow velocity reserve (CFVR) predicts an adverse outcome in these subjects. Previous CFVR studies have included heterogeneous patient subtypes both with and without CAD.
Purpose
To assess whether reduced CFVR predicts adverse outcome in women with angina and no CAD.
Methods
We evaluated 1853 women with angina and a coronary angiogram without stenosis. Exclusion criteria were previous myocardial infarction, coronary revascularisation, heart failure or valvular disease. Coronary microvascular function was assessed by echocardiographic CFVR. All patients were followed up for major adverse cardiovascular events.
Results
CFVR was obtained in 1681 patients (91%), median CFVR was 2.33 (IQR 2.00–2.74). During a median follow-up of 4.48 years, 96 adverse events occurred (acute myocardial infarction: 25; heart failure: 21; revascularisation: 8; stroke: 32; cardiovascular death: 10). In univariate Cox regression, CFVR (hazard ratio [HR] 2.04 [95% CI 1.39–2.94] per unit decrease in CFVR; p<0.001), hypertension (HR 2.29 [95% CI 1.46–3.59]; p<0.001) and diabetes (HR 2.13 [95% CI 1.31–3.45]; p=0.002) were associated with adverse outcome. These associations remained in age-adjusted multivariable regression. Exploratory analyses identified CFVR=2.24 as the optimal discriminating threshold. Stratification according to reduced CFVR and hypertension identified subgroups with better, intermediate and worse outcome (Figure 1). Outcome analyses excluding stroke yielded similar results.
Conclusion
Impaired CFVR predicts adverse outcome in women with angina and no CAD. Integrating CFVR and hypertension identifies high-risk patients.
Funding Acknowledgement
Type of funding source: Foundation. Main funding source(s): The Danish Heart Foundation
Collapse
Affiliation(s)
- J Schroder
- Bispebjerg University Hospital, Cardiology, Copenhagen, Denmark
| | - M.M Michelsen
- Bispebjerg University Hospital, Cardiology, Copenhagen, Denmark
| | - N.D Mygind
- Bispebjerg University Hospital, Cardiology, Copenhagen, Denmark
| | - D Frestad
- Hvidorve Hospital, Cardiology, Copenhagen, Denmark
| | - H.E Suhrs
- Bispebjerg University Hospital, Cardiology, Copenhagen, Denmark
| | - K.B Bove
- Bispebjerg University Hospital, Cardiology, Copenhagen, Denmark
| | - A Aziz
- Odense University Hospital, Cardiology, Odense, Denmark
| | - H.S Hansen
- Odense University Hospital, Cardiology, Odense, Denmark
| | - P.R Hansen
- Gentofte University Hospital, Cardiology, Copenhagen, Denmark
| | - I Gustafsson
- Bispebjerg University Hospital, Cardiology, Copenhagen, Denmark
| | - J Kastrup
- Rigshospitalet - Copenhagen University Hospital, Copenhagen, Denmark
| | - E Prescott
- Bispebjerg University Hospital, Cardiology, Copenhagen, Denmark
| |
Collapse
|
26
|
Abstract
The world will never be the same after the current COVID-19 pandemic. We may have to live with the coronavirus for a long time. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has resulted in a major burden on the global health system and economy. This report describes the current COVID-19 landscape and its socioeconomic implications. Despite the concerns for second waves of infection, gradual lifting of lockdown restrictions has occurred worldwide to relieve economic pressures and likely contributes towards possibly surging of outbreak although region wise variation exists due to several other biological factors, such as testing capacity and basic healthcare facilities among susceptible population within that region. Different prediction models have been put forth to forecast the spread of the current outbreak. However, it is challenging to perceive the precise changes happening in the real world as every time dynamics differ same as other epidemics cannot possibly be exactly superimposed to COVID-19. Currently, to decrypt the conundrum for effective antiviral drug against SARS-CoV-2 is in full swing. Due to high rate of mortality and it expeditiously spread is it decisive to understand the biological properties, clinical characteristics, epidemiology, evolution, pathogenesis for vaccine development and pathogenicity studies against the viral curb. Instant diagnostic and adequate therapeutics serve as a major intervention for the management of pandemic containment. Our study aims to analyze the impact of current measures and to suggest appropriate administrative strategic planning rather than to make somewhat authentic prediction in relation to the current scenario. Our predictive analysis study should be helpful against prevention, cure and control of the current outbreak of COVID-19 till the availability of cure or vaccine.
Collapse
Affiliation(s)
- A Khurshid
- DOW Research Institute of Biotechnology and Biomedical Sciences, DOW College of Biotechnology, DOW University of Health Sciences, Karachi, Pakistan.
| | | | | | | |
Collapse
|
27
|
Dobé T, Ouzaid I, Califano G, Von Rundstedt F, Albisinni S, Aziz A, Di Trapani E, Hendricksen K, Krajewski W, Mari A, Moschini M, Necchi A, Moon A, Poyet C, Pradère B, Rink M, Roghmann F, Sargos P, Seiler R, Xylinas E. Défaut d’adoption de l’instillation intravésicale postopératoire précoce de chimiothérapie après néphro-urétérectomie totale. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
28
|
Zamboni S, Baumeister P, Aziz A, Poyet C, Simeone C, Antonelli A, Roghmann F, Meraney A, Konety B, Montorsi F, Gallina A, Briganti A, Gandaglia G, Zaffuto E, Simone G, Karnes R, Hendricksen K, Voskuilen C, Mattei A, Afferi L, Rink M, Necchi A, Shariat S, Xylinas E, Moschini M. Adjuvant chemotherapy is ineffective in patients with bladder cancer and variant histology treated with radical cystectomy. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33657-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
|
29
|
Carando R, Pradere B, Afferi L, Marra G, Aziz A, Roghmann F, Krajewski W, Di Bona C, Alvarez-Maestro M, Pagliarulo V, Xylinas E, Moschini M. The role of device-assisted therapies in the management of non-muscle invasive bladder cancer: A systematic review. Prog Urol 2020; 30:322-331. [PMID: 32279953 DOI: 10.1016/j.purol.2020.03.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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: 01/05/2020] [Revised: 02/15/2020] [Accepted: 03/12/2020] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Despite optimal treatment, patients affected by non-muscle invasive bladder cancer (NMIBC) suffer from high risk of recurrence and progression. Intravescical device assisted therapies such as radiofrequency induced thermochemotherapeutic effect (RITE) and electromotive drug administration (EMDA) have shown promising effect in enhancing the effect of intravescical chemotherapies. The aim of the study was to assess clinical outcomes of these two devices in non-muscle invasive bladder cancer. METHODS A systematic literature review was performed in December 2019 using the Medline, Embase, and Web of Science databases. Only articles published in the last 10 years were considered (2009-2019). The articles were selected using the following keywords association: "bladder cancer" AND "EMDA' AND "synergo" AND "hyperchemotherapy" AND "electromotive drug administration", AND "radiofrequency induced thermochemotherapeutic" AND "RITE". RESULTS We found 16 studies published in the last ten years regarding the efficacy of RITE (12 studies) and EMDA (4 studies) in the treatment of NMIBC. Both RITE and EMDA showed promising results in the treatment of intermediate and high risk NMIBC as well as in patients affected by recurrent BCa after BCG failure. In high-risk BCG naïve NMIBC patients treated with EMDA recurrence and progression rates were 68% and 95%, respectively. Considering RITE, recurrence and progression range rates were 43%-88% and 62%-97%, respectively. Discordance results were reported regarding its effect on patients with carcinoma in situ. However, only few studies could be compared since differences exist regarding inclusion criteria with high patients' heterogeneity. Considering recurrence after BCG, recurrence and progression range rates were 29%-29.2% and 62%-83% for RITE and 25% and 75% for EMDA, respectively. CONCLUSION Delivery of intravescical hyperthermia seems to enhance the normal effect of intravescical chemotherapy instillation. Although prospective trials supported its effect on both BCG naïve and BCG failure patients, data are urgently required to validate these findings and to understand its effect on patients with carcinoma in situ. LEVEL OF PROOF 3.
Collapse
Affiliation(s)
- R Carando
- Clinica Luganese Moncucco, Lugano, Switzerland; Clinica S. Anna, Swiss Medical Group, Sorengo, Switzerland; Clinica Santa Chiara, Locarno, Switzerland; Department of Urology, Luzerner Kantonsspital, Spitalstrasse, 6000 Luzern, Switzerland.
| | - B Pradere
- Department of Urology, Centre Hospitalier Universitaire Tours, Tours, France; Department of Urology, Vienna General Hospital, Medical University of Vienna, Vienna, Austria
| | - L Afferi
- Department of Urology, Luzerner Kantonsspital, Spitalstrasse, 6000 Luzern, Switzerland
| | - G Marra
- Division of Urology, Department of Surgical Sciences, University of Studies of Torino, Turin, Italy
| | - A Aziz
- Department of Urology, University Medical Center Rostock, Rostock, Germany
| | - F Roghmann
- Department of Urology, Marien Hospital Herne, Ruhr-University Bochum, Herne, Germany
| | - W Krajewski
- Department of Urology and Oncologic Urology, Wrocław Medical University, Wroclaw, Poland
| | - C Di Bona
- Department of Urology, Luzerner Kantonsspital, Spitalstrasse, 6000 Luzern, Switzerland
| | - M Alvarez-Maestro
- Instituto de Investigación Hospital Universitario La Paz (IdiPAZ), Madrid, Spain
| | - V Pagliarulo
- Department of Urology, University "Aldo Moro", Bari, Italy
| | - E Xylinas
- Department of Urology Bichat Hospital, Paris Descartes University, Paris, France
| | - M Moschini
- Department of Urology, Luzerner Kantonsspital, Spitalstrasse, 6000 Luzern, Switzerland
| |
Collapse
|
30
|
Aziz A, Md Daud MK. Primary middle ear tuberculosis mimicking cholesteatoma. Malays Fam Physician 2020; 15:44-46. [PMID: 32284804 PMCID: PMC7136677] [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] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Tuberculous granuloma in the middle ear is an unusual entity. Herein, we report a case with short presentation of otitis media with mastoid abscess but with a CT scan showing widespread bone destruction. The cause was determined to be middle ear tuberculosis. Awareness of this entity is important, as it may cause a delay in referral to an otorhinolaryngology specialist and, subsequently, a delay in initiating treatment. Therefore, it should be considered in the differential diagnosis, especially when the usual treatment fails to produce the desired result.
Collapse
Affiliation(s)
- A Aziz
- Department of Otorhinolaryngology School of Medical Sciences Universiti Sains Malaysia Malaysia
| | - M K Md Daud
- Department of Otorhinolaryngology School of Medical Sciences Universiti Sains Malaysia Malaysia
| |
Collapse
|
31
|
Zaman K, Dudman S, Stene-Johansen K, Qadri F, Yunus M, Sandbu S, Gurley ES, Overbo J, Julin CH, Dembinski JL, Nahar Q, Rahman A, Bhuiyan TR, Rahman M, Haque W, Khan J, Aziz A, Khanam M, Streatfield PK, Clemens JD. HEV study protocol : design of a cluster-randomised, blinded trial to assess the safety, immunogenicity and effectiveness of the hepatitis E vaccine HEV 239 (Hecolin) in women of childbearing age in rural Bangladesh. BMJ Open 2020; 10:e033702. [PMID: 31959609 PMCID: PMC7044974 DOI: 10.1136/bmjopen-2019-033702] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
INTRODUCTION Hepatitis E virus (HEV) is a leading cause of acute viral hepatitis in the developing world and is a public health problem, in particular among pregnant women, where it may lead to severe or fatal complications. A recombinant HEV vaccine, 239 (Hecolin; Xiamen Innovax Biotech, Xiamen, China), is licensed in China, but WHO calls for further studies to evaluate the safety and immunogenicity of this vaccine in vulnerable populations, and to evaluate protection in pregnancy. We are therefore conducting a phase IV trial to assess the effectiveness, safety and immunogenicity of the HEV 239 vaccine when given in women of childbearing age in rural Bangladesh, where HEV infection is endemic. METHODS AND ANALYSIS Enrolment of a target of approximately 20 000 non-pregnant women, aged 16-39 years, started on 2 October 2017 in Matlab, Bangladesh. Sixty-seven villages were randomised by village at a 1:1 ratio to receive either the HEV vaccine or the control vaccine (hepatitis B vaccine). A 3-dose vaccination series at 0, 1 and 6 months is ongoing, and women are followed up for 24 months. The primary outcome is confirmed HEV disease among pregnant women. After vaccination, participants are requested to report information about clinical hepatitis symptoms. Participants who become pregnant are visited at their homes every 2 weeks to collect information about pregnancy outcome and to screen for clinical hepatitis. All suspected hepatitis cases undergo laboratory testing for diagnostic evaluation. The incidence of confirmed HEV disease among pregnant and non-pregnant women will be compared between the HEV vaccinated and control groups, safety and immunogenicity of the vaccine will also be evaluated. ETHICS AND DISSEMINATION The protocol was reviewed and approved by the International Centre for Diarrhoeal Disease Research, Bangladesh Research Review Committee and Ethical Review Committee, and the Directorate General of Drug Administration in Bangladesh, and by the Regional Ethics Committee in Norway. This article is based on the protocol version 2.2 dated 29 June 2017. We will present the results through peer-reviewed publications and at international conferences. TRIAL REGISTRATION NUMBER The trial is registered at clinicaltrials.gov with the registry name "Effectiveness Trial to Evaluate Protection of Pregnant Women by Hepatitis E Vaccine in Bangladesh" and the identifier NCT02759991.
Collapse
Affiliation(s)
- K Zaman
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
| | - Susanne Dudman
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Kathrine Stene-Johansen
- Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Firdausi Qadri
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
| | - Md Yunus
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
| | - Synne Sandbu
- Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Emily S Gurley
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Joakim Overbo
- Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Cathinka Halle Julin
- Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Jennifer Lynn Dembinski
- Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Quamrun Nahar
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
| | - Anisur Rahman
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
| | | | - Mustafizur Rahman
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
| | - Warda Haque
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
| | - Jahangir Khan
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
- Health Economics, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Asma Aziz
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
| | - Mahbuba Khanam
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
| | | | - John D Clemens
- International Centre for Diarhoeal Disease Resaerch, Dhaka, Bangladesh
- University of California Los Angeles Jonathan and Karin Fielding School of Public Health, Los Angeles, California, USA
| |
Collapse
|
32
|
El Mokadem M, Abd El Hady Y, Aziz A. P2643Antiproteinuric efficacy of ACE inhibitors, selective MRAs and ACE inhibitor/selective MRA combination therapy in diabetic hypertensives with microalbuminuria. Eur Heart J 2019; 40. [DOI: 10.1093/eurheartj/ehz748.0964] [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: 09/02/2023] Open
Abstract
Abstract
Background
There is increasing evidence suggesting use of Mineralocorticoid Receptor Antagonists (MRA) in combination with Angiotensin Converting Enzyme Inhibitors (ACEI) or Angiotensin Receptor Blockers (ARB) to have a protective effect on chronic kidney disease patients.
Purpose
The aim of our study was to compare the antiproteinuric efficacy of ACEI monotherapy, Selective MRA monotherapy and their combination in mildly hypertensive patients with type 2 diabetes mellitus (DM) and microalbuminuria.
Methods
Seventy five patients with established diagnosis of type 2 DM, mild hypertension (systolic BP 140–159 mmHg and/or diastolic BP 90–99 mmHg) and microalbuminuria (30–299mg/g) were randomly assigned to one of three groups of therapy; ramipril 10 mg monotherapy (25 patients), eplerenone 50 mg monotherapy (25 patients) and eplerenone/ramipril 50/10 mg combination therapy (25 patients).The duration of the study was 24 weeks. All patients had measurement of blood pressure, urinary albumin/creatinine ratio, renal function tests and serum K level at baseline and at the end of the study after 24 weeks. All patients were followed up monthly till the end of the study for detection of side effects and/or treatment failure.
Results
Both ramipril and eplerenone monotherapy significantly reduced microalbuminuria after 24 weeks nearly to the same extent (37% and 38% respectively) without significant difference between both groups (P=0.95). There was more significant reduction of microalbuminuria in the eplerenone/ramipril combination group (60%) compared with ramipril and eplerenone monotherapy groups (P=0.0001).All groups showed significant reduction of both systolic and diastolic BP with more significant reduction of systolic BP in combination group compared with monotherapy groups (P<0.0001).There was insignificant elevation of serum potassium level among the three groups with slightly higher non significant incidence of sustained hyperkalemia in combination group (P=0.5). All groups showed insignificant changes in serum creatinine and estimated glomerular filtration rate.
Conclusion
Addition of eplerenone (selective MRA) to an ACE inhibitor may confer further antiproteinuric benefit with low risk of hyperkalemia compared with MRA or ACEI monotherapy.
Acknowledgement/Funding
None
Collapse
Affiliation(s)
- M El Mokadem
- Beni-Suef University hospital- faculty of medicine, cardiology, Beni-Suef, Egypt
| | - Y Abd El Hady
- Beni-Suef University hospital- faculty of medicine, cardiology, Beni-Suef, Egypt
| | - A Aziz
- Sohag general hospital, Cardiology, Sohag, Egypt
| |
Collapse
|
33
|
Elmekkawi A, Maulidi H, Mak W, Aziz A, Lee KS. Outcomes of upper extremity versus lower extremity placed peripherally inserted central catheters in a medical-surgical neonatal intensive care unit1. J Neonatal Perinatal Med 2019; 12:57-63. [PMID: 30149479 DOI: 10.3233/npm-1817] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To compare outcomes of peripherally inserted central catheters (PICCs) placed in the upper extremity (UE) versus the lower extremity (LE) in a quaternary medical-surgical neonatal intensive care unit (NICU). RESULTS We analyzed a total of 365 PICCs of which 250 (68%) were removed for end of therapy and 115 (32%) were removed due to complications. Patients who had UE insertions compared to LE insertions were of lower gestational age (median (IQR)), 30 (26, 35) vs. 32 (27, 37) weeks respectively (p = 0.014). UE PICCs were more likely to be removed due to complications compared to LE PICCs (39.9% vs. 26.4%, RR 1.51, 95% CI 1.12 -2.03, p = 0.007). UE PICCs were more likely than LE PICCs to be removed for the complications of malposition, dislodgement, and pleural or pericardial effusions; while LE PICCs were more likely to be removed for phlebitis. There were no differences in the rates of sepsis at 13.0% vs. 12.8% for UE vs. LE respectively, or causal organisms for sepsis. Survival analysis demonstrated that LE PICCs had a longer time to removal for a complication (p = 0.031). CONCLUSIONS LE compared with UE PICCs were not associated with worse outcomes in a medical-surgical neonatal population that included a significant proportion of full-term neonates, and provide a valuable alternate site for central venous access. Increased awareness of the types of complications for UE compared with LE PICCs may help focus preventive and surveillance efforts based on PICC location, to improve safety and minimize the complications of NICU PICCs.
Collapse
Affiliation(s)
- A Elmekkawi
- Hospital for Sick Children, Toronto, ON, Canada.,Department of Paediatrics, Queen's University, Kingston, ON, Canada
| | - H Maulidi
- Hospital for Sick Children, Toronto, ON, Canada
| | - W Mak
- Hospital for Sick Children, Toronto, ON, Canada
| | - A Aziz
- Hospital for Sick Children, Toronto, ON, Canada
| | - K-S Lee
- Hospital for Sick Children, Toronto, ON, Canada.,Department of Pediatrics, University of Toronto, Toronto, ON, Canada
| |
Collapse
|
34
|
Affiliation(s)
- G. Zaman
- Department of Animal Genetics and Breeding, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-781022, India
| | - R.N. Goswami
- Department of Animal Genetics and Breeding, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-781022, India
| | - A. Aziz
- Department of Animal Genetics and Breeding, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-781022, India
| | - N. Nahardeka
- Department of Animal Genetics and Breeding, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-781022, India
| | - T.C. Roy
- Department of Animal Genetics and Breeding, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-781022, India
| | - J.D. Mahanta
- Department of Animal Genetics and Breeding, College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-781022, India
| |
Collapse
|
35
|
Wang E, Aziz A, Danner M, Yung T, Ayoob M, Lei S, Rashid A, Dritschilo A, Lischalk J, Collins B, Lynch J, Suy S, Aghdam N, Collins S. Patterns of Recurrence Following Stereotactic Body Radiation Therapy for Localized Prostate Cancer. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.1782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
36
|
Sarma L, Nahardeka N, Goswami RN, Aziz A, Zaman G, Das A, Akhtar F. Non-genetic factors affecting pre-weaning growth and morphometric traits in Assam Hill goat. Vet World 2019; 12:1327-1331. [PMID: 31641315 PMCID: PMC6755395 DOI: 10.14202/vetworld.2019.1327-1331] [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] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Accepted: 07/09/2019] [Indexed: 11/20/2022] Open
Abstract
Aim: This study aimed to determine the genetic and non-genetic factors affecting pre-weaning body weight (BW) and morphometry in Assam Hill goat along with the genetic parameters. Materials and Methods: The detailed information in respect of BW and body measurements of 960 animals at birth and 3 months of age belonging to three different populations of Assam Hill goat maintained at field units, namely, Batabari, Nahira, and Tetelia under “All India Coordinated Research Project on Goat Improvement” were utilized in the present study. The data were analyzed using least squares technique. Results: The least squares means for BW, height at withers (HW), heart girth (HG), and body length (BL) were 1.166±0.008 kg, 26.198±0.070 cm, 26.695±0.096 cm, and 29.482±0.119 cm at birth and 4.590±0.083 kg, 36.850±0.105 cm, 40.741±0.115 cm, and 39.703±0.108 cm at 3 months of age, respectively. Location had a significant effect on BW, HW, and BL at both birth and 3 months and on HG at 3 months of age. Season of birth exerted significant effect only on BL at birth, whereas the significant effect of sex was observed on HG and BL at 3 months of age. The heritability estimates for BW and body measurements were moderate indicating the scope of selection. The phenotypic and genetic correlations among BWs and body measurements at birth and 3 months of age were positive in direction and high in magnitude. Conclusion: On the basis of the present findings, it could be concluded that the weaning weight of kids can be considered for the selection of parent stock to increase productivity and eventually the economic efficiency. Further, animals with higher body measurements at initial phases of growth will perform better with respect to even BW at later stages of growth.
Collapse
Affiliation(s)
- L Sarma
- Department of Animal Genetics and Breeding, College of Veterinary Sciences, Assam Agricultural University, Guwahati, Assam, India
| | - N Nahardeka
- Goat Research Station, Assam Agricultural University, Burnihat -793101, Assam, India
| | - R N Goswami
- Department of Animal Genetics and Breeding, College of Veterinary Sciences, Assam Agricultural University, Guwahati, Assam, India
| | - A Aziz
- Department of Animal Genetics and Breeding, College of Veterinary Sciences, Assam Agricultural University, Guwahati, Assam, India
| | - G Zaman
- Department of Animal Genetics and Breeding, College of Veterinary Sciences, Assam Agricultural University, Guwahati, Assam, India
| | - A Das
- Department of Animal Genetics and Breeding, College of Veterinary Sciences, Assam Agricultural University, Guwahati, Assam, India
| | - F Akhtar
- Goat Research Station, Assam Agricultural University, Burnihat -793101, Assam, India
| |
Collapse
|
37
|
Chen G, Aziz A, Botchkarev V, Muegge K, Sharov A. 350 Chromatin remodelling ATFase Lsh maintains DNA methylation at constitutive heterochromatin and prevents activation of silent transposable elements in epidermal keratinocytes. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.03.426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
38
|
Denis D, Hugo J, Beylerian M, Ramtohul P, Aziz A, Matonti F, Lebranchu P. [Congenital abnormalities of the optic disc]. J Fr Ophtalmol 2019; 42:778-789. [PMID: 30935696 DOI: 10.1016/j.jfo.2018.09.011] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 09/03/2018] [Accepted: 09/10/2018] [Indexed: 10/27/2022]
Abstract
Congenital abnormalities of the optic disc are not uncommon in clinical practice and should be recognized. Size abnormalities of the optic disc include optic disc aplasia, hypoplasia, megalopapilla, and optic disc cupping in prematurity. Among congenital excavations of the optic disc head, morning glory disc anomaly and optic disc pit can be complicated by serous retinal detachment; the papillorenal disc is an association of bilateral optic disc cupping and renal hypoplasia which should be ruled out; optic disc coloboma is caused by an abnormal closure of the embryonic fissure and can be complicated by choroidal neovascularization and retinal detachment. Other abnormalities that will be discussed are congenital tilted disc syndrome, duplicity of the optic disc head, congenital pigmentation of the optic disc head and myelinated retinal nerve fibers. All of these abnormalities can be associated with syndromes and neurological diseases, as well as other potentially blinding ophthalmological defects which can be secondarily complicated by amblyopia, strabismus and nystagmus. Thus, they should be recognized in order to plan for appropriate follow-up.
Collapse
Affiliation(s)
- D Denis
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France.
| | - J Hugo
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - M Beylerian
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - P Ramtohul
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - A Aziz
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - F Matonti
- Service d'ophtalmologie, hôpital Nord, centre hospitalier universitaire de l'hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - P Lebranchu
- Hôtel-Dieu, 1 place Alexis-Ricordeau, 44000 Nantes, France
| |
Collapse
|
39
|
Aziz A, Agamuthu P, Fauziah SH. Effective removal of p-tert-Butylphenol and Pyridine, 3-(1-methyl-2-pyrrolidinyl)-, (S)- from landfill leachate using locust bean gum. Waste Manag Res 2018; 36:1146-1156. [PMID: 30067147 DOI: 10.1177/0734242x18789062] [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] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The widespread distribution of persistent organic pollutants (POPs) in landfill leachate is problematic due to their acute toxicity, carcinogenicity and genotoxicity effects, which could be detrimental to public health and ecological systems. The objective of this study was to evaluate the effective removal of POPs - namely, p-tert-Butylphenol and Pyridine, 3-(1-methyl-2-pyrrolidinyl)-, (S)- - from landfill leachate using locust bean gum (LBG), and in comparison with commonly used alum. The response surface methodology coupled with a Box-Behnken design was employed to optimize the operating factors for optimal POPs removal. A quadratic polynomial model was fitted into the data with the R2 values of 0.97 and 0.96 for the removal of p-tert-Butylphenol and Pyridine, 3-(1-methyl-2-pyrrolidinyl), (S)-, respectively. The physicochemical characteristics of the flocs produced by LBG and alum were evaluated with Fourier Transform Infrared (FTIR) spectroscopy and Scanning Electron Microscopy (SEM). The infrared spectra of LBG-treated floc were identical with LBG powder, but there was some variation in the peaks of the functional groups, signifying the chemical interactions between flocculants and pollutant particles resulting from POPs removal. The results showed that p-tert-Butylphenol and Pyridine, 3-(1-methyl-2-pyrrolidinyl)-, (S)- obtained 96% and 100% removal using 500 mg/L of LBG at pH 4. pH have a significant effect on POPs removal in leachate. It is estimated that treating one million gallons of leachate using alum (at 1 g/L dosage) would cost US$39, and using LBG (at 500 mg/L dosage) would cost US$2. LBG is eco-friendly, biodegradable and non-toxic and, hence, strongly recommended as an alternative to inorganic coagulants for the treatment of POPs in landfill leachate.
Collapse
Affiliation(s)
- A Aziz
- 1 Institute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia
- 2 Faculty of Marine Sciences, Lasbela University of Agriculture, Water and Marine Sciences, Uthal, Pakistan
- 3 Center for Research in Waste Management, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia
| | - P Agamuthu
- 1 Institute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia
- 3 Center for Research in Waste Management, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia
| | - S H Fauziah
- 1 Institute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia
- 3 Center for Research in Waste Management, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia
| |
Collapse
|
40
|
Aziz A, Agamuthu P, Fauziah SH. Removal of bisphenol A and 2,4-Di-tert-butylphenol from landfill leachate using plant- based coagulant. Waste Manag Res 2018; 36:975-984. [PMID: 30058954 DOI: 10.1177/0734242x18790360] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Landfill leachate contain persistent organic pollutants (POPs), namely, bisphenol A (BPA) and 2,4-Di-tert-butylphenol, which exceed the permissible limits. Thus, such landfill leachate must be treated before it is released into natural water courses. This article reports on investigations about the removal efficiency of POPs such as BPA and 2,4-Di-tert-butylphenol from leachate using locust bean gum (LBG) in comparison with alum. The vital experimental variables (pH, coagulant dosage and stirring speed) were optimised by applying response surface methodology equipped with the Box-Behnken design to reduce the POPs from leachate. An empirical quadratic polynomial model could accurately model the surface response with R2 values of 0.928 and 0.954 to reduce BPA and 2,4-Di-tert-butylphenol, respectively. Fourier transform infrared (FTIR) spectroscopy and scanning electron microscopy (SEM) were performed on treated flocs for further understanding. FTIR analysis revealed that the bridging of pollutant particles could be due to the explicit adsorption and bridging via hydrogen bonding of a coagulation mechanism. SEM micrographs indicated that the flocs produced by LBG have a rough cloudy surface and numerous micro-pores compared with alum, which enabled the capture and removal of POPs from leachate. Results showed that the reduction efficiencies for BPA and 2,4-Di-tert-butylphenol at pH 7.5 were 76% and 84% at LBG dosage of 500 mg·L-1 and 400 mg·L-1, respectively. Coagulant dosage and pH variation have a significant effect on POPs reduction in leachate. Coagulation/flocculation using LBG could be applied for POPs reduction in leachate as a pre-treatment prior to advanced treatments.
Collapse
Affiliation(s)
- A Aziz
- 1 Faculty of Marine Sciences, Lasbela University of Agriculture, Water and Marine Sciences, Uthal, Balochistan, Pakistan
- 2 Institute of Biological Sciences, Faculty of Science, University of Malaya, 50603 Kuala Lumpur, Malaysia
- 3 Center for Research in Waste Management, Faculty of Science, University of Malaya, 50603 Kuala Lumpur, Malaysia
| | - P Agamuthu
- 2 Institute of Biological Sciences, Faculty of Science, University of Malaya, 50603 Kuala Lumpur, Malaysia
- 3 Center for Research in Waste Management, Faculty of Science, University of Malaya, 50603 Kuala Lumpur, Malaysia
| | - S H Fauziah
- 2 Institute of Biological Sciences, Faculty of Science, University of Malaya, 50603 Kuala Lumpur, Malaysia
- 3 Center for Research in Waste Management, Faculty of Science, University of Malaya, 50603 Kuala Lumpur, Malaysia
| |
Collapse
|
41
|
Rashid ST, Haywood NJ, Yuldasheva NY, Smith J, Aziz A, Scott DJA, Kearney MT, Wheatcroft SB. Preservation of vascular endothelial repair in mice with diet-induced obesity. Obes Sci Pract 2018; 4:490-496. [PMID: 30338120 PMCID: PMC6180714 DOI: 10.1002/osp4.282] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Revised: 05/15/2018] [Accepted: 05/28/2018] [Indexed: 12/11/2022] Open
Abstract
INTRODUCTION Preservation of structural integrity of the endothelial monolayer and maintenance of endothelial cell function are of critical importance in preventing arterial thrombosis, restenosis and atherosclerosis. Obesity has been intimately linked with endothelial dysfunction, and reports of reduced abundance and functional impairment of circulating progenitor cells in obesity have led to the suggestion that defective endothelial repair contributes to obesity-related cardiovascular disease. METHODS C57BL/6 mice were fed a high-fat diet for either 3 or 6 months to induce obesity; metabolic phenotyping was then carried out before femoral artery wire injury was performed. Endothelial regeneration was then quantified. Mononuclear cells and myeloid angiogenic cells were cultured and characterized for pro-angiogenic properties. RESULTS No impairment of endothelial regeneration following mechanical endothelial injury in diet-induced obese mice when compared with chow-fed controls was observed, despite the induction of an adverse metabolic phenotype characterized by glucose intolerance and insulin resistance. Dietary-obese mice had increased numbers of circulating myeloid angiogenic cells, which retained normal functional properties including intact paracrine angiogenic effects. CONCLUSION Preserved endothelial regeneration despite metabolic dysregulation in dietary obese mice suggests that compensatory mechanisms mitigate the deleterious influence of insulin resistance on endothelial repair in obesity.
Collapse
Affiliation(s)
- S. T. Rashid
- Leeds Institute of Cardiovascular and Metabolic Medicine, Faculty of Medicine and HealthUniversity of LeedsLeedsUK
- Department of Vascular SurgeryManchester University NHS Foundation TrustManchesterUK
- Division of Diabetes, Endocrinology and GastroenterologyUniversity of ManchesterManchesterUK
- Manchester Academic Health Science CentreManchesterUK
| | - N. J. Haywood
- Leeds Institute of Cardiovascular and Metabolic Medicine, Faculty of Medicine and HealthUniversity of LeedsLeedsUK
| | - N. Y. Yuldasheva
- Leeds Institute of Cardiovascular and Metabolic Medicine, Faculty of Medicine and HealthUniversity of LeedsLeedsUK
| | - J. Smith
- Leeds Institute of Cardiovascular and Metabolic Medicine, Faculty of Medicine and HealthUniversity of LeedsLeedsUK
| | - A. Aziz
- Leeds Institute of Cardiovascular and Metabolic Medicine, Faculty of Medicine and HealthUniversity of LeedsLeedsUK
| | - D. J. A. Scott
- Leeds Vascular InstituteLeeds Teaching Hospitals NHS TrustLeedsUK
| | - M. T. Kearney
- Leeds Institute of Cardiovascular and Metabolic Medicine, Faculty of Medicine and HealthUniversity of LeedsLeedsUK
| | - S. B. Wheatcroft
- Leeds Institute of Cardiovascular and Metabolic Medicine, Faculty of Medicine and HealthUniversity of LeedsLeedsUK
| |
Collapse
|
42
|
Aziz A, Mohamad I, Zawawi N. Kimura Disease: A differential diagnosis in a nephrotic child. Malays Fam Physician 2018; 13:32-35. [PMID: 30302182 PMCID: PMC6173965] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Kimura disease presents as benign lesion and is commonly present among the Asian population. It is a disease with a favourable prognosis and a peak age of onset in the third decade. It is a chronic inflammatory disorder of unknown etiology that involves the lymph nodes and subcutaneous tissues of the head and neck region. We report a case of a 15-year-old boy with multiple Kimura lymphadenopathies involving the left posterior auricular region as well as the anterior and posterior triangles of the neck.
Collapse
Affiliation(s)
- A Aziz
- MB Bch BAO, Department of Otorhinolaryngology Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu Kelantan, Malaysia.
| | - I Mohamad
- MMed ORL-HNS Department of Pathology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu Kelantan, Malaysia
| | - N Zawawi
- MPath, School of Dental Sciences, Universiti Sains Malaysia, 16150 Kota Bharu Kelantan, Malaysia
| |
Collapse
|
43
|
Potluri R, Mathew A, Carter PR, Aziz A, Uppal H, Buch M, Sarma J. P3687The influence of age and comorbidity on STEMI outcomes: a risk/benefit paradox? Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3687] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- R Potluri
- Aston University, ACALM Study Unit in collaboration with Aston Medical School, Birmingham, United Kingdom
| | - A Mathew
- Mazankowski Alberta Heart Institute, Division of Cardiology, Edmonton, Canada
| | - P R Carter
- Aston University, ACALM Study Unit in collaboration with Aston Medical School, Birmingham, United Kingdom
| | - A Aziz
- New Cross Hospital, Wolverhampton, United Kingdom
| | - H Uppal
- Aston University, ACALM Study Unit in collaboration with Aston Medical School, Birmingham, United Kingdom
| | - M Buch
- University Hospital of South Manchester NHS Foundation Trust, Manchester, United Kingdom
| | - J Sarma
- University Hospital of South Manchester NHS Foundation Trust, Manchester, United Kingdom
| | | |
Collapse
|
44
|
Pickup LC, Aziz A, Gaffey T, Fyaaz S, Babu A, Marshall H, Hudsmith L, De Bono J. P710Catheter ablation of atrial tachyarrhythmia in the fontan circulation. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p710] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- L C Pickup
- Queen Elizabeth Hospital Birmingham, Department of Adult Congential Heart Disease, Birmingham, United Kingdom
| | - A Aziz
- Queen Elizabeth Hospital Birmingham, Department of Adult Congential Heart Disease, Birmingham, United Kingdom
| | - T Gaffey
- Queen Elizabeth Hospital Birmingham, Department of Adult Congential Heart Disease, Birmingham, United Kingdom
| | - S Fyaaz
- Queen Elizabeth Hospital Birmingham, Department of Adult Congential Heart Disease, Birmingham, United Kingdom
| | - A Babu
- Queen Elizabeth Hospital Birmingham, Department of Adult Congential Heart Disease, Birmingham, United Kingdom
| | - H Marshall
- Queen Elizabeth Hospital Birmingham, Department of Electrophysiology, Birmingham, United Kingdom
| | - L Hudsmith
- Queen Elizabeth Hospital Birmingham, Department of Adult Congential Heart Disease, Birmingham, United Kingdom
| | - J De Bono
- Queen Elizabeth Hospital Birmingham, Department of Electrophysiology, Birmingham, United Kingdom
| |
Collapse
|
45
|
Shah A, Aziz A, Ghafoor A, Zahur AB, Yousaf M, Ishaq R, Abass N, Suleman M. Molecular Analysis of Callipyge Gene Mutation (C.267A>G) in Kajli, Lohi and Thalli Sheep Breeds of Pakistan. RUSS J GENET+ 2018. [DOI: 10.1134/s1022795418070141] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
|
46
|
Salman H, Shah M, Ali A, Aziz A, Vitale SG. Assessment of Relationship of Serum Neurokinin-B Level in the Pathophysiology of Pre-eclampsia: A Case-Control Study. Adv Ther 2018; 35:1114-1121. [PMID: 29923045 DOI: 10.1007/s12325-018-0723-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Indexed: 10/28/2022]
Abstract
INTRODUCTION Pre-eclampsia is a pregnancy-induced disorder that complicates approximately 5-7% of pregnancies. It is the leading cause of maternal and foetal morbidity and mortality worldwide. AIM To determine the role of serum neurokinin-B level in the pathophysiology of pre-eclampsia. METHODS This was a case-control study. A total of 80 pregnant women in their third trimester of pregnancy were included in the study. They were divided into two groups (40 pre-eclamptic and 40 normotensive) according to the presence or absence of clinical parameters of pre-eclampsia. Serum level of neurokinin-B was measured with ELISA. RESULTS Maternal age, weight, BMI, pulse, systolic BP and diastolic BP were statistically higher in the pre-eclampsia group compared to the normotensive group (P < 0.0001). Moreover, statistically higher levels were observed for neurokinin-B in the normotensive group as compared to the pre-eclamptic group. The mean value of neurokinin-B was 83.50 ng/L in the pre-eclamptic group compared to 111.5 ng/L in the normotensive group (P = 0.006). CONCLUSION Higher levels of serum neurokinin-B were observed in the normotensive pregnant females as compared to the pre-eclamptic females. Thus, apparently, it seems that serum neurokinin-B plays no role in the pathophysiology of pre-eclampsia, and further large multicentre prospective studies may be required to ascertain its role.
Collapse
|
47
|
Ansari AR, Aziz A. Editorial: an argument for low-dose thiopurine allopurinol combination use as first-line therapy in inflammatory bowel disease. Aliment Pharmacol Ther 2018; 48:97-98. [PMID: 29882989 DOI: 10.1111/apt.14687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- A R Ansari
- Department of Gastroenterology, Surrey and Sussex Healthcare NHS Trust, Redhill, Surrey, UK
| | - A Aziz
- Department of Gastroenterology, Surrey and Sussex Healthcare NHS Trust, Redhill, Surrey, UK
| |
Collapse
|
48
|
Odokonyero D, McMillan AW, Ramagopal UA, Toro R, Truong DP, Zhu M, Lopez MS, Somiari B, Herman M, Aziz A, Bonanno JB, Hull KG, Burley SK, Romo D, Almo SC, Glasner ME. Comparison of Alicyclobacillus acidocaldarius o-Succinylbenzoate Synthase to Its Promiscuous N-Succinylamino Acid Racemase/ o-Succinylbenzoate Synthase Relatives. Biochemistry 2018; 57:3676-3689. [PMID: 29767960 DOI: 10.1021/acs.biochem.8b00088] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Studying the evolution of catalytically promiscuous enzymes like those from the N-succinylamino acid racemase/ o-succinylbenzoate synthase (NSAR/OSBS) subfamily can reveal mechanisms by which new functions evolve. Some enzymes in this subfamily have only OSBS activity, while others catalyze OSBS and NSAR reactions. We characterized several NSAR/OSBS subfamily enzymes as a step toward determining the structural basis for evolving NSAR activity. Three enzymes were promiscuous, like most other characterized NSAR/OSBS subfamily enzymes. However, Alicyclobacillus acidocaldarius OSBS (AaOSBS) efficiently catalyzes OSBS activity but lacks detectable NSAR activity. Competitive inhibition and molecular modeling show that AaOSBS binds N-succinylphenylglycine with moderate affinity in a site that overlaps its normal substrate. On the basis of possible steric conflicts identified by molecular modeling and sequence conservation within the NSAR/OSBS subfamily, we identified one mutation, Y299I, that increased NSAR activity from undetectable to 1.2 × 102 M-1 s-1 without affecting OSBS activity. This mutation does not appear to affect binding affinity but instead affects kcat, by reorienting the substrate or modifying conformational changes to allow both catalytic lysines to access the proton that is moved during the reaction. This is the first site known to affect reaction specificity in the NSAR/OSBS subfamily. However, this gain of activity was obliterated by a second mutation, M18F. Epistatic interference by M18F was unexpected because a phenylalanine at this position is important in another NSAR/OSBS enzyme. Together, modest NSAR activity of Y299I AaOSBS and epistasis between sites 18 and 299 indicate that additional sites influenced the evolution of NSAR reaction specificity in the NSAR/OSBS subfamily.
Collapse
Affiliation(s)
- Denis Odokonyero
- Department of Biochemistry and Biophysics , Texas A&M University , 2128 TAMU , College Station , Texas 77843-2128 , United States
| | - Andrew W McMillan
- Department of Biochemistry and Biophysics , Texas A&M University , 2128 TAMU , College Station , Texas 77843-2128 , United States
| | | | | | - Dat P Truong
- Department of Biochemistry and Biophysics , Texas A&M University , 2128 TAMU , College Station , Texas 77843-2128 , United States
| | - Mingzhao Zhu
- CPRIT Synthesis and Drug-Lead Discovery Lab, Department of Chemistry and Biochemistry , Baylor University , One Bear Place , Waco , Texas 76798-7348 , United States
| | - Mariana S Lopez
- Department of Biochemistry and Biophysics , Texas A&M University , 2128 TAMU , College Station , Texas 77843-2128 , United States
| | - Belema Somiari
- Department of Biochemistry and Biophysics , Texas A&M University , 2128 TAMU , College Station , Texas 77843-2128 , United States
| | - Meghann Herman
- Department of Biochemistry and Biophysics , Texas A&M University , 2128 TAMU , College Station , Texas 77843-2128 , United States
| | - Asma Aziz
- Department of Biochemistry and Biophysics , Texas A&M University , 2128 TAMU , College Station , Texas 77843-2128 , United States
| | | | - Kenneth G Hull
- CPRIT Synthesis and Drug-Lead Discovery Lab, Department of Chemistry and Biochemistry , Baylor University , One Bear Place , Waco , Texas 76798-7348 , United States
| | - Stephen K Burley
- RCSB Protein Data Bank, Institute for Quantitative Biomedicine , Rutgers, The State University of New Jersey , Piscataway , New Jersey 08854-8076 , United States.,Rutgers Cancer Institute of New Jersey , New Brunswick , New Jersey 08903-2681 , United States
| | - Daniel Romo
- CPRIT Synthesis and Drug-Lead Discovery Lab, Department of Chemistry and Biochemistry , Baylor University , One Bear Place , Waco , Texas 76798-7348 , United States
| | | | - Margaret E Glasner
- Department of Biochemistry and Biophysics , Texas A&M University , 2128 TAMU , College Station , Texas 77843-2128 , United States
| |
Collapse
|
49
|
Aziz A, Sharova T, Klimova A, Ryu B, Botchkarev V, Muegge K, Sharov A. 107 Chromatin remodeler lymphoid-specific helicase (Lsh) regulates cytosine methylation at the DNA repeat elements and prevents autoimmune inflammation in the epidermis. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
50
|
Tazi Mezalek Z, Nejjari C, Essadouni L, Samkaoui M, Serraj K, Ammouri W, Kanjaa N, Belkhadir Z, Housni B, Awab M, Faroudy M, Bono W, Kabbaj S, Akkaoui M, Barakat M, Rifai R, Charaf H, Aziz A, Elachhab Y, Azzouzi A. Evaluation and management of thromboprophylaxis in Moroccan hospitals at national level: the Avail-MoNa study. J Thromb Thrombolysis 2018; 46:113-119. [PMID: 29651665 DOI: 10.1007/s11239-018-1657-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Venous thromboembolism (VTE) is a common clinical problem that is associated with substantial morbidity and mortality. The aim of this study was to describe the clinical practices in VTE prophylaxis in university and peripheral hospitals in Morocco. This is a national, cross-sectional, multicenter, observational study assessing the management of the VTE risk in selected Moroccan hospitals (four university and three peripheral). The thromboembolic risk of the selected patients was assessed according to the American College of Chest Physicians (ACCP) guidelines (2008). We hypothesized that interventions for VTE guideline implementation in those hospitals may improve prophylaxis use for hospitalized patients. A total of 1318 patients were analyzed: 467 (35.5%) medical and 851 (64.5%) surgical. The mean age of patients was 52.6 ± 16.5 years, and 52.7% were female. A total of 51.1% patients were considered to be at risk of VTE according to ACCP guidelines and were eligible for thromboprophylaxis (TP). Medical patients were more likely to present risk factors than surgical patients (53.6 vs. 50.7%, respectively). TP was prescribed for 53.1% of these patients, 57.4% in at-risk surgical patients and 50.3% in at-risk medical patients. TP was also prescribed for 42.9% of non-at-risk patients. The concordance between the recommended and the prescribed prophylaxis was poor for the total population (kappa = 0.110). TP did not improve sufficiently in our hospitals, even after implementation of the guidelines. New strategies are required to appropriately address TP in hospitalized patients.
Collapse
Affiliation(s)
- Z Tazi Mezalek
- Department of Internal Medicine/Hematology, Ibn Sina University Hospital, Rabat, Morocco. .,Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.
| | - C Nejjari
- Laboratory of Epidemiology, Clinical Research and Community Health Faculty of Medicine and Pharmacy, Fez, Morocco
| | - L Essadouni
- Internal Medicine Department, Faculty of Medicine and Pharmacy, Mohammed VI University Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - M Samkaoui
- Department of Anesthesia, Emergency and Intensive Care Medicine, Faculty of Medicine and Pharmacy, Mohammed VI Hospital, Cadi Ayyad University, Marrakech, Morocco
| | - K Serraj
- Internal Medicine Department, Faculty of Medicine and Pharmacy, Mohammed VI University Hospital, University Mohammed VI, Oujda, Morocco
| | - W Ammouri
- Department of Internal Medicine/Hematology, Ibn Sina University Hospital, Rabat, Morocco.,Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - N Kanjaa
- Department of Anesthesia Reanimation, Faculty of Medicine and Pharmacy, Hassan II University Hospital, Fez, Morocco
| | - Z Belkhadir
- Pole of Anesthesia and Intensive Care, Palliative Care Unit, National Institute of Oncology, Rabat, Morocco
| | - B Housni
- Anesthesia Reanimation Department, Mohammed VI University Hospital, Oujda, Morocco
| | - M Awab
- Anesthesia Reanimation Department, Ibn Sina University Hospital, Rabat, Morocco
| | - M Faroudy
- Anesthesia Reanimation- Trauma Unit, Ibn Sina University Hospital, Rabat, Morocco
| | - W Bono
- Internal Medicine Department, Hassan II University Hospital, Fez, Morocco
| | - S Kabbaj
- Anesthesia Reanimation Department, Specialty Hospital, Rabat, Morocco
| | - M Akkaoui
- Anesthesia Reanimation, Mohammed V Hospital, Meknes, Morocco
| | - M Barakat
- Anesthesia Reanimation, Mohammed V Hospital, Tangier, Morocco
| | - R Rifai
- Traumatology Orthopedics, Mohammed V Hospital, Meknes, Morocco
| | - H Charaf
- Anesthesia Reanimation, Mohammed V Hospital, Casablanca, Morocco
| | - A Aziz
- Traumatology Orthopedics, Mohammed V Hospital, Casablanca, Morocco
| | - Y Elachhab
- Laboratory of Epidemiology, Clinical Research and Community Health Faculty of Medicine and Pharmacy, Fez, Morocco
| | - A Azzouzi
- Anesthesia Reanimation Department, Ibn Sina University Hospital, Rabat, Morocco
| |
Collapse
|