1
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Janjua NB, Aslam A, Azhar A, Cosine V, Mantas A, Ismail K. Medical Termination of Pregnancy - An Emerging Risk for Maternal Mortality. Ir Med J 2024; 117:937. [PMID: 38526350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/26/2024]
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2
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Mubarak A, Tipu MY, Aslam A, Yaqub T, Ali M. Molecular characterization and pathology of field isolates of foot-and-mouth virus in Swiss albino mice. BRAZ J BIOL 2024; 84:e263385. [DOI: 10.1590/1519-6984.263385] [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: 04/24/2022] [Accepted: 06/15/2022] [Indexed: 11/22/2022] Open
Abstract
Abstract Foot-and-mouth disease is responsible for severe economic losses to the livestock industry of Pakistan. This study aimed to use Swiss albino mice as a cost-effective experimental animal model to study different immunological and histopathological aspects of FMDV instead of natural targeted species like cattle. After isolation of field isolates FMDV on BHK-21 cell line, biological titer of the virus and mice infectious dose50 was calculated. Virus was injected in 45 Swiss albino mice (group A) through intraperitoneal route. The gross, histopathological and immunopathological lesions in heart, trachea and lungs were recorded at different day’s intervals. Histopathologically, the heart showed congestion, hemorrhages and necrosis of cardiac muscles. Trachea showed deciliated epithelium and lungs showed hemorrhages, bronchial edema and alveolar emphysema. Immunohistochemical studies revealed the presence of virus in cardiac muscles, tracheal and bronchial epithelium and alveolar lumen. The findings evoked a thought that laboratory animals could be an alternative to large animals to meet budget limitations for further research on foot-and-mouth-disease.
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Affiliation(s)
- A. Mubarak
- Foot and Mouth Disease Research Center, Pakistan; University of Veterinary and Animal Science, Pakistan
| | - M. Y. Tipu
- University of Veterinary and Animal Science, Pakistan
| | - A. Aslam
- University of Veterinary and Animal Science, Pakistan
| | - T. Yaqub
- University of Veterinary and Animal Science, Pakistan
| | - M. Ali
- Bahauddin Zakariya University, Pakistan
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3
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Waheed SF, Aslam A, Khan MR, Ashraf K, Anjum A. A perspective of the prevalent H9N2 virus with a special focus on molecular and pathological aspects in commercial broiler chicken in Punjab, Pakistan. BRAZ J BIOL 2024; 84:e261849. [DOI: 10.1590/1519-6984.261849] [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: 03/08/2022] [Accepted: 04/01/2022] [Indexed: 12/24/2022] Open
Abstract
Abstract Frequent outbreaks of avian influenza H9N2 virus in Pakistan revealed that this subtype has become endemic in the poultry industry and, besides economic losses, poses a threat to public health. The present study describes the molecular characterization and pathological alterations in naturally infected broiler chickens with the current H9N2 field strain and their phylogenomic dynamics. In this study, tissue samples (trachea, lung, kidney and intestine) from 100 commercial chicken flocks were collected from July 2018 to August 2019. Samples were subjected to molecular detection, phylogeny and subsequent pathological examination. The complete length of the HA gene was successfully amplified in five samples. Nucleotide sequencing revealed positive samples placed in a clade belonging to the B2 sub-lineage of the G1 genotype and categorized as LPAIV based on the amino acid sequence of the HA gene at the cleavage site (PAKSSR/G). Genetic analysis of the haemagglutinin (HA) gene revealed nt: 80.5%-99.5%; aa: 83.8%-98.9% homology to H9N2 strains reported previously from Pakistan, neighbouring countries, and (A/Quail/Hong Kong/G1/97). Gross lesions include a slight airsacculitis, mild hemorrhages, diffuse congestion and purulent exudate in tracheal mucosa, fibrinonecrotic cast in the trachea lumen and mild pulmonary congestion. Histopathological alterations include sloughing of epithelial cells and infiltration of inflammatory cells in the trachea, mononuclear cells (MNCs) infiltration, pulmonary congestion and exudate in the lumen of parabronchi, peritubular congestion in the kidneys with degeneration of tubular epithelial cells and degenerative changes in the intestinal villi epithelial cells and goblet cell hyperplasia. Immunohistochemistry analysis confirmed the presence of AIVH9N2 antigen in the trachea, lungs, kidney and intestine. Electron microscopy revealed ultrastructural changes in the trachea, including degenerated cilia, mitochondrial swelling and enlarged endoplasmic reticulum. Based on all essential analysis, the present study revealed the distribution of the H9N2 virus of G1 genotype in Punjab, Pakistan, with mild to moderate pathogenicity.
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Affiliation(s)
- S. F. Waheed
- University of Veterinary and Animal Sciences, Pakistan
| | - A. Aslam
- University of Veterinary and Animal Sciences, Pakistan
| | - M. R. Khan
- University of Veterinary and Animal Sciences, Pakistan
| | - K. Ashraf
- University of Veterinary and Animal Sciences, Pakistan
| | - A. Anjum
- Muhammad Nawaz Shareef University of Agriculture, Pakistan
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4
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Aslam A, Berger MR, Ullah I, Hameed A, Masood F. Preparation and evaluation of cytotoxic potential of paclitaxel containing poly-3-hydroxybutyrate-co-3-hydroxyvalarate (PTX/PHBV) nanoparticles. BRAZ J BIOL 2023; 83:e275688. [PMID: 37970904 DOI: 10.1590/1519-6984.275688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Accepted: 08/18/2023] [Indexed: 11/19/2023] Open
Abstract
Paclitaxel (PTX) is a potent anticancer drug. In the present study, PTX was loaded in poly-3-hydroxybutyrate-co-3-hydroxyvalarate (PHBV) to fabricate the PTX/PHBV (drug-loaded) nanoparticles via the nanoprecipitation method. Blank PHBV nanoparticles were also prepared. The drug-encapsulation efficiency of PTX/PHBV nanoparticles was 45±0.4%. The PTX/PHBV nanoparticles exhibited a pH-sensitive release profile and followed a quasi-Fickian diffusion mechanism. Cytotoxic properties of PHBV and PTX/PHBV nanoparticles were checked against the MCF-7 and Caco-2 cell lines. The PHBV nanoparticle did not inhibit the proliferation of MCF-7 and Caco-2 cell lines, thus depicting their non-toxic and biocompatible nature. On the other hand, the PTX/PHBV nanoparticles demonstrated 1.03-fold higher cytotoxicity and 1.61-fold enhanced apoptosis after treatment with the PTX/PHBV nanoparticles versus free PTX. In summary, the PHBV nanoparticles could be a potential candidate for the delivery of PTX for cancer treatment.
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Affiliation(s)
- A Aslam
- International Islamic University, SA Centre for Interdisciplinary Research in Basic Sciences, Islamabad, Pakistan
| | - M R Berger
- German Cancer Research Center (DKFZ), Toxicology and Chemotherapy Unit, Heidelberg, Germany
| | - I Ullah
- International Islamic University, SA Centre for Interdisciplinary Research in Basic Sciences, Islamabad, Pakistan
| | - A Hameed
- International Islamic University, SA Centre for Interdisciplinary Research in Basic Sciences, Islamabad, Pakistan
| | - F Masood
- COMSATS University, Germany Department of Biosciences, Islamabad, Pakistan
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5
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Rojas-Marte G, Khalid M, Mukhtar O, Hashmi AT, Waheed MA, Ehrlich S, Aslam A, Siddiqui S, Agarwal C, Malyshev Y, Henriquez-Felipe C, Sharma D, Sharma S, Chukwuka N, Rodriguez DC, Alliu S, Le J, Shani J. Corrigendum to: Outcomes in patients with severe COVID-19 disease treated with tocilizumab: a case-controlled study. QJM 2023; 116:733. [PMID: 33447849 PMCID: PMC8108631 DOI: 10.1093/qjmed/hcaa266] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G Rojas-Marte
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
- Department of Cardiology, Staten Island University
Hospital-Northwell Health, 475 Seaview Avenue, Staten Island, NY
10305, USA
| | - M Khalid
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - O Mukhtar
- Department of Pulmonology, Interfaith Medical
Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USA and
| | - A T Hashmi
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - M A Waheed
- Department of Internal Medicine, Maimonides Medical
Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - S Ehrlich
- Department of Internal Medicine, Maimonides Medical
Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - A Aslam
- Department of Internal Medicine, Maimonides Medical
Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - S Siddiqui
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - C Agarwal
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - Y Malyshev
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - C Henriquez-Felipe
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - D Sharma
- Department of Internal Medicine, Maimonides Medical
Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - S Sharma
- Department of Internal Medicine, Maimonides Medical
Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - N Chukwuka
- Department of Internal Medicine, Maimonides Medical
Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - D C Rodriguez
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - S Alliu
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - J Le
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - J Shani
- From the Department of Cardiology, Maimonides
Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
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Sabiha-Javied, Siddque N, Waheed S, uz Zaman Q, Aslam A, Tufail M, Nasir R. Uptake of heavy metal in wheat from application of different phosphorus fertilizers. J Food Compost Anal 2023. [DOI: 10.1016/j.jfca.2022.104958] [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: 11/07/2022]
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7
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Aslam A, Arshad Z, Ahmed A, Kazzazi F, Benson JR, Forouhi P, Agrawal A, Benyon SL, Irwin M, Malata CM. O050 A ten-year review of methodological trends and outcomes in riskreducing mastectomy and associated reconstruction at a tertiary referral centre. Br J Surg 2022. [DOI: 10.1093/bjs/znac242.050] [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] [Indexed: 11/06/2022]
Abstract
Abstract
Introduction
Risk-reducing mastectomy (RRM) is the removal of breast tissue to substantially decrease the risk of developing breast cancer in individuals with higher breast cancer susceptibility due to strong family history or genetic mutations. This retrospective study evaluates cases of RRM, and subsequent reconstruction performed at a tertiary referral centre over the last decade, with emphasis on mastectomy and reconstructive trends.
Methods
A retrospective review of all cases of RRM performed between January 2010 and January 2020, divided into two groups corresponding to the first half (group 1) and second half (group 2) of the decade was conducted. Data collected included demographics, genetic test results, family and personal history of breast cancer, co-morbidities, mastectomy type, reconstruction type, surgical histopathology findings and complications.
Results
A total of 167 patients (group 1=76, group 2=91) underwent RRM, with a significant increase in cases of RRM despite negative genetic test results (p=0.047). The proportion of nipple sparing techniques for RRM compared to more traditional skin-sparing techniques. Concomitantly, post-RRM reconstruction has progressively become solely implant-based, to coincide with a rise in ADM usage. This is consistent with national trends towards fewer complex autologous procedures.
Take-home message
Emergent trends in risk-reducing mastectomy and reconstructive techniques are occurring against a background of broadened indications for RRM and more frequent patient requests for RRM in the absence of any documented pathogenic gene mutation. As breast surgery continues to evolve, it is important to evaluate specific trends such as more conservative forms of mastectomy and novel techniques/devices for breast reconstruction to ensure optimal patient care and levels of satisfaction.
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Affiliation(s)
- A Aslam
- University of Cambridge School of Clinical Medicine , Cambridge
| | - Z Arshad
- University of Cambridge School of Clinical Medicine , Cambridge
| | - A Ahmed
- University of Cambridge School of Clinical Medicine , Cambridge
| | - F Kazzazi
- Imperial Healthcare NHS Trust , London
| | - JR Benson
- Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Foundation Trust
| | - P Forouhi
- Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Foundation Trust
| | - A Agrawal
- Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Foundation Trust
| | - SL Benyon
- Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Foundation Trust
| | - M Irwin
- Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Foundation Trust
| | - CM Malata
- Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Foundation Trust
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8
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Wittfeld K, Raman MR, Conner SC, Aslam A, Teumer A, Nauck M, Hosten N, Habes M, DeCarli C, Vasan RS, Beiser AS, Himali JJ, Seshadri S, Grabe HJ, Satizabal CL. Insulin-Like Growth Factor, Inflammation, and MRI Markers of Alzheimer's Disease in Predominantly Middle-Aged Adults. J Alzheimers Dis 2022; 88:311-322. [PMID: 35599493 PMCID: PMC9472289 DOI: 10.3233/jad-220356] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Insulin-like growth factor 1 (IGF-1) signaling has been implicated in Alzheimer's disease pathogenesis, and further evidence suggests inflammation can be a moderator of this association. However, most research to date has been conducted on older adults. OBJECTIVE To investigate the association of serum IGF-1 and IGF binding protein 3 (IGFBP-3) concentrations with MRI markers of Alzheimer's disease in predominantly middle-aged adults, and further assess moderation by chronic inflammation. METHODS We included participants from the Framingham Heart Study (n = 1,852, mean age 46±8, 46% men) and the Study of Health in Pomerania (n = 674, mean age 50±13, 42% men) with available serum IGF-1, IFGBP-3, as well as brain MRI. IGF-1 and IFGBP-3 were related to MRI outcomes (i.e., total brain, cortical gray matter, white matter, white matter hyperintensities (WMH), and hippocampal volumes) using multivariable regression models adjusting for potential confounders. Subgroup analyses by C-reactive protein (CRP) concentrations were also performed. Cohort-specific summary statistics were meta-analyzed using random-effects models and corrected for multiple comparisons. RESULTS Meta-analysis results revealed that higher IGF-1 concentrations were associated with lower WMH (estimate [β] [95% CI], -0.05 [-0.09, -0.02], p = 0.006) and larger hippocampal volumes (0.07 [0.02, 0.12], p = 0.01), independent of vascular risk factors. These associations occurred predominantly in individuals with CRP concentrations < 75th percentile. We did not observe associations between IGFBP-3 and MRI outcomes. CONCLUSION Our findings suggest that IGF-1-related signaling may be implicated in brain health as early as midlife.
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Affiliation(s)
- Katharina Wittfeld
- German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Germany
- Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
| | - Mekala R Raman
- Department of Neurology, Boston University School of Medicine, Boston, MA, USA
- Framingham Heart Study, Framingham, MA, USA
| | - Sarah C Conner
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA
| | - Asra Aslam
- Long School of Medicine, UT Health San Antonio, San Antonio, TX, USA
| | - Alexander Teumer
- Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
- DZHK (German Center for Cardiovascular Research), Partner Site Greifswald, Greifswald, Germany
- Department of Population Medicine and Lifestyle Diseases Prevention, Medical University of Bialystok, Bialystok, Poland
| | - Matthias Nauck
- DZHK (German Center for Cardiovascular Research), Partner Site Greifswald, Greifswald, Germany
- Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany
| | - Norbert Hosten
- Institute of Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Greifswald, Germany
| | - Mohamad Habes
- Glenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, UT Health San Antonio, San Antonio, TX, USA
- Department of Radiology, Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA, USA
- Department of Neurology, Penn Memory Center, University of Pennsylvania, Philadelphia, PA, USA
| | - Charles DeCarli
- Department of Neurology, University of California, Davis School of Medicine, Sacramento, CA, USA
| | - Ramachandran S Vasan
- Framingham Heart Study, Framingham, MA, USA
- Department of Medicine, Boston University School of Medicine, Boston, MA, USA
- Department of Epidemiology, Boston University School of Public Health, Boston MA, USA
| | - Alexa S Beiser
- Department of Neurology, Boston University School of Medicine, Boston, MA, USA
- Framingham Heart Study, Framingham, MA, USA
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA
| | - Jayandra J Himali
- Department of Neurology, Boston University School of Medicine, Boston, MA, USA
- Framingham Heart Study, Framingham, MA, USA
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA
- Glenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, UT Health San Antonio, San Antonio, TX, USA
| | - Sudha Seshadri
- Department of Neurology, Boston University School of Medicine, Boston, MA, USA
- Framingham Heart Study, Framingham, MA, USA
- Glenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, UT Health San Antonio, San Antonio, TX, USA
| | - Hans J Grabe
- German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Germany
- Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
| | - Claudia L Satizabal
- Department of Neurology, Boston University School of Medicine, Boston, MA, USA
- Framingham Heart Study, Framingham, MA, USA
- Glenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, UT Health San Antonio, San Antonio, TX, USA
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Khayyat A, Asad M, Aslam A, Rabbani R, Fabara S, Chandramohan S, Unachukwu N, Nasyrlaeva B, Chowdary S, Hammoud G, Jaiswal R. Neuroendocrine tumors and Survival- a meta-analysis. Am J Clin Pathol 2021. [DOI: 10.1093/ajcp/aqab191.117] [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] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction/Objective
Neuroendocrine tumors (NET) are a rare group of epithelial neoplasm present in gastrointestinal tract (GI) (67.5%), bronchopulmonary tree (25.3-30%) and in 15% cases primary sites cannot be identified. Although endoscopic screening, improvement in pathological techniques and early detection have shown improvement in NET survival rates, the prognosis is very poor. In this study we aimed to evaluate the effect of Gastrointestinal pancreatic NETs (GEP NETs) grade on overall survival.
Methods/Case Report
We searched observational studies describing the overall survival or prognostic factors of primary GEP NETs from May 2011 -May 2021 following PRISMA guidelines. Studies describing the effect of primary grade 3 GEP NETs on overall survival were included. Meta-analysis was performed and pooled hazard ratio and their 95% confidence interval (95%CI) were obtained. The forest plots were created using random effects models and sensitivity analysis was performed to account for the heterogeneity.
Results (if a Case Study enter NA)
Seven studies with 7692 confirmed patients were included. In our meta-analysis grade 3 GEP NET were associated with higher odds of poor survival (pooled HR: 2.73; 95% CI: 1.36–5.47; p = 0.005), with 92% heterogeneity between studies (p < 0.0001). To account for heterogeneity, sensitivity analysis was performed by removing two outlying studies (Fathi et al. and Foubert et al.) on funnel plots. The results after sensitivity analysis did not change and still showed significant association of grade 3 with poor survival (pooled HR: 4.53; 95% CI: 3.54–5.78; p < 0.00001), with no heterogeneity between studies (p = 0.72; I2 = 0%).
Conclusion
Our meta-analysis found that grade 3 GEP NETs is associated with poor survival and additional future studies are needed to identify other risk factors associated with poor survival in GEP NETs to improve the mortality.
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Affiliation(s)
- A Khayyat
- Department of Pathology, Brown University, Providence, Rhode Island, UNITED STATES
| | - M Asad
- Department of Pathology & Laboratory Medicine, Weill Cornell Medical Center, New York, New York, UNITED STATES
| | - A Aslam
- Department of Internal Medicine, Stanford University, Redwood City, California, UNITED STATES
| | - R Rabbani
- Department of Internal Medicine, Temple University Hospital, Philadelphia, Pennsylvania, UNITED STATES
| | - S Fabara
- Department of Internal Medicine, Universidad Catolica de Santiago de Guayaquil, Guayaquil, ECUADOR
| | - S Chandramohan
- Department of Internal Medicine, Icahn School Of Medicine at Mount Sinai, New York, New York, UNITED STATES
| | - N Unachukwu
- Department of Internal Medicine, Interfaith Medical Center, New York, New York, UNITED STATES
| | - B Nasyrlaeva
- Department of Pathology, SiParadigm Diagnostic Informatics, Pine Brook, New Jersey, UNITED STATES
| | - S Chowdary
- Hospital Medicine, Geisinger Community Medical Center, Scranton, Pennsylvania, UNITED STATES
| | - G Hammoud
- Department of Internal Medicine, MU Health Care, University of Missouri, Columbia, Missouri, UNITED STATES
| | - R Jaiswal
- Department of Pathology, Medical University of South Carolina, Charleston, South Carolina, UNITED STATES
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Lau E, Arshad Z, Aslam A, Thahir A, Krkovic M. 142 Surgical Treatment of Chronic Femoral and Tibial Osteomyelitis: A Scoping Review. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.970] [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] [Indexed: 11/13/2022]
Abstract
Abstract
Aim
The management of osteomyelitis, an inflammatory process of the bone that causes destruction and necrosis, is complex, and many authors report different techniques. This scoping review aims to identify and summarise literature on the management of chronic femoral and tibial osteomyelitis to further the reader’s understanding of potential management strategies and thereby explore areas for further research.
Method
The Joanna Briggs Institute methodological framework was used. PubMed, EMBASE, MEDLINE, Emcare and CINAHL searches were conducted for articles reporting the management of chronic osteomyelitis of the femur and tibia. Two reviewers independently screened the title/abstract and full text against the pre-defined criteria.
Results
Altogether, 1223 articles were identified and 52 were finally included. Various management strategies were reported, and the main principles shared across these strategies included antibiotic therapy, removal of infected tissue and management of dead-space. 75.45% of patients presented with stage III or IV disease, using the Cierny-Mader classification. The most commonly isolated organism was Staphylococcus aureus. The proportion of patients who achieved remission without recurrences during follow-up period ranged between 59.3% - 100.0%.
Conclusions
Excellent outcomes, in terms of remission and lack of recurrence, were reported in the majority of studies. It is clear that specific patient and treatment-related factors may affect outcomes but further high-level research such as randomized control trials are required to investigate this further.
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Affiliation(s)
- E Lau
- Cambridge University School of Clinical Medicine, Cambridge, United Kingdom
| | - Z Arshad
- Cambridge University School of Clinical Medicine, Cambridge, United Kingdom
| | - A Aslam
- Cambridge University School of Clinical Medicine, Cambridge, United Kingdom
| | - A Thahir
- Addenbrookes Hospital, Cambridge, United Kingdom
| | - M Krkovic
- Addenbrookes Hospital, Cambridge, United Kingdom
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11
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Arshad Z, Lau EJS, Aslam A, Thahir A, Krkovic M. 1238 Surgical Management of Chronic Osteomyelitis of the Femur and Tibia: A Scoping Review. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.1035] [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] [Indexed: 11/14/2022]
Abstract
Abstract
Aim
This scoping review aims to map and summarise the literature on treatment of chronic femoral and tibial osteomyelitis, in order to enhance the reader’s understanding of potential treatment options, whilst also identifying areas of future research
Method
This scoping review was guided by the methodological framework of the Joanna Briggs institute. A computer-based search was conducted in PubMed, EMBASE, MEDLINE, Emcare and CINAHL, for articles reporting treatment of chronic tibial/femoral osteomyelitis. Title/abstract and full text screening was performed independently by two reviewers according to pre-defined criteria.
Results
A total of 1223 articles were identified, with 40 studies, involving 2,489 patients being finally included. A range of treatments are reported, with the key reported principles being removal of infected tissue, dead-space management and antibiotic therapy. The majority (76.2%) of patients presented with stage III or IV disease according to the Cierny-Mader classification and the most commonly cultured pathogen was Staphylococcus aureus. The proportion of patients achieving remission with no recurrence during follow up varies from 72.0% - 100.0%.
Conclusions
The majority of studies report excellent outcomes in terms of infection remission and lack of recurrence. However, using the current literature to identify specific patient and treatment related factors which may affect treatment results is challenging due to a number of potential confounding factors. Further high-level research such as randomized control trials and comparative studies are required to achieve this.
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Affiliation(s)
- Z Arshad
- University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom
| | - E J S Lau
- University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom
| | - A Aslam
- University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom
| | - A Thahir
- Department of Trauma and Orthopaedic Surgery, Cambridge university Hospitals NHS foundation, Cambridge, United Kingdom
| | - M Krkovic
- Department of Trauma and Orthopaedic Surgery, Cambridge university Hospitals NHS foundation, Cambridge, United Kingdom
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12
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Luo W, Limb R, Aslam A, Kattimani R, Karthikappallil D, Paramasivan A, Waseem M. 266 The Effect of the COVID-19 Pandemic on Emergency Theatre Mortality, Time to Intervention and Length of Stay in the First Phase of National Lockdown at a District General Hospital. Br J Surg 2021. [PMCID: PMC8524475 DOI: 10.1093/bjs/znab259.448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Aim This study aimed to investigate the patient population requiring emergency surgery during the first phase of lockdown due to COVID-19 in the United Kingdom and compare it to the equivalent population in the same calendar period for 2019. Thus, we aimed to evaluate the impact of the pandemic on emergency operations. Method We retrospectively reviewed patients undergoing surgery in emergency theatres at our district general hospital between March 23rd and May 11th in 2019 and 2020. Data collected included demographics (age/gender), National Confidential Enquiry into Patient Outcome and Death (NCEPOD) category and operation. The primary outcome was 90-day post-operative mortality; secondary outcomes included time to intervention and length of inpatient stay. Results 132 (2020) versus 141 (2019) patients were included with no significant difference in age (p = 0.676) nor sex (p = 0.230). There was no difference in overall 90-day postoperative mortality (p = 0.196). Notably, time to intervention was faster for NCEPOD code 3 patients in 2020 than in 2019 (p = 0.027). Time to intervention in 2020 was longer for those dying within 90 days post-operatively compared to survivors (p = 0.02). There was no difference in length of stay between the years, both overall and when conducting subgroup analyses by NCEPOD category or procedures (fractured neck of femur (p = 0.776), laparoscopies (p = 0.866), laparotomies (p = 0.252)), except for upper limb trauma (p = 0.007). Conclusions Patients were appropriately prioritised with no overall change in mortality or length of stay. A national validation audit assessing outcomes of emergency operations during these challenging times would further elucidate risks posed to surgical patients requiring urgent care.
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Affiliation(s)
- W Luo
- Macclesfield District General Hospital, Macclesfield, United Kingdom
| | - R Limb
- Macclesfield District General Hospital, Macclesfield, United Kingdom
| | - A Aslam
- University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom
| | - R Kattimani
- Macclesfield District General Hospital, Macclesfield, United Kingdom
| | - D Karthikappallil
- Macclesfield District General Hospital, Macclesfield, United Kingdom
| | - A Paramasivan
- Countess of Chester Hospital NHS Foundation Trust, Chester, United Kingdom
| | - M Waseem
- Macclesfield District General Hospital, Macclesfield, United Kingdom
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Aslam A, Pearson K, Waseem M. 169 Clinical Outcomes of Radial Head Arthroplasty as Primary Treatment for Post-traumatic Mason Type 3 and 4 Fractures: A Long-term Follow-up. Br J Surg 2021. [DOI: 10.1093/bjs/znab258.054] [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] [Indexed: 11/14/2022]
Abstract
Abstract
Aim
Radial head arthroplasty (RHA) is the favoured treatment for complex radial head fractures, enabling functional restoration of elbow kinematics. However, study of long-term outcomes associated with RHA is largely neglected. This study aimed to fill the gap in the literature by firstly, assessing functional outcomes, and secondly, determining complications and rates of revision and/or removal of prosthesis associated with RHA, at our district general hospital.
Method
We retrospectively reviewed a consecutive single-surgeon series of patients receiving RHA as primary treatment for radial head fractures graded either 3 or 4 according to the Mason-Johnston classification between 2004 and 2009. Function at final follow-up was assessed using Quick Disabilities of the Arm, Shoulder and Hand (q-DASH) score and Mayo Elbow Performance Score (MEPS).
Results
16 patients identified; 12 available for final follow-up. Mean follow-up time of 12.60 years (range: 10.67-16.08). Mean q-DASH score of 8.2 (range: 0-34.1). Mean MEPS of 85.83 (range: 50-100) with 11 (91.67%) reporting excellent/good results. All complications occurred within the first year post-operatively. Stiffness was the most common (50%) complication, but additional procedures improved objective range of movement in affected patients. Only one patient required implant revision throughout follow-up, which was due to prosthesis subluxation in the first month.
Conclusions
This study is amongst the first to examine clinical outcomes associated with RHA with an average follow-up >12 years. Our results emphasise good functional restoration and low implant failure rate. Regular follow-up particularly in the early post-operative period is essential in detecting and resolving complications.
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Affiliation(s)
- A Aslam
- University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom
| | - K Pearson
- Macclesfield District General Hospital, Macclesfield, United Kingdom
| | - M Waseem
- Macclesfield District General Hospital, Macclesfield, United Kingdom
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Shah SIA, Tipu MY, Aslam A, Khan AU, Shafee M, Khan SA, Khan NU, Akbar A. Elucidating antiviral activity of Curcuma longa against H9 N2 influenza virus using embryonated chicken egg model. Trop Biomed 2021; 38:353-359. [PMID: 34508343 DOI: 10.47665/tb.38.3.078] [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] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Curcumin is a potent antimicrobial herb used traditionally as a spice in culinary. This study was designed to evaluate the antiviral effects of curcuma longa extract against H9 influenza virus. A total of 60 embryonated eggs were equally divided into 5 groups with 12 eggs in each group. Group 1 (G1) served as uninfected negative control. Whereas Group 2 (G2) was kept as positive control infected with known virus @ 0.2 ml with 10-9.3 EID50. Group 3 (G3) was offered Curcuma longa @ 0.2 mg/0.2 ml and H9N2 virus (@ 0.2 ml with 10-9.3 EID50. Similarly, Group 4 (G4) was inoculated with extract of Curcuma longa @ 0.2 mg/0.2 ml per egg, whereas Group 5 (G5) was given Ribazole @ 0.2 ml/ egg. The crude extract and virus were administered on the 15th day of incubation and were checked after every 24 hours up to 96th hour post inoculation by random selection of 3 eggs. Death and survival rate were noted in all groups. Gross and histopathological lesions were also observed. Results revealed that Curcuma longa extract had significantly (p<0.05) reduced the mortality rate of embryos infected with H9N2 virus. In G3, increased lymphocytes and mild fatty changes were seen in liver. Whereas, mature RBCs, plasma cells and some lymphoblast's were observed in Spleen. Similarly, the bursa follicles were with lymphocytic aggregation. The G4 (Curcuma longa) and G5 (Ribazole) were with maximum embryo survival after 48 and 72 h post inoculation. This study revealed potential antiviral activity of Curcuma longa against H9N2 influenza viruses and can be opted as alternative to antibiotics and antiviral drugs to minimize the antimicrobial resistance in human and animal population.
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Affiliation(s)
- S I A Shah
- Department of Pathology, University of Veterinary & Animal Sciences, Lahore, Pakistan
| | - M Y Tipu
- Department of Pathology, University of Veterinary & Animal Sciences, Lahore, Pakistan
| | - A Aslam
- Department of Pathology, University of Veterinary & Animal Sciences, Lahore, Pakistan
| | - A U Khan
- Department of Pathology, University of Veterinary & Animal Sciences, Lahore, Pakistan
| | - M Shafee
- Center for Advanced Studies in Vaccinology & Biotechnology (CASVAB) University of Balochistan, Quetta, Pakistan
| | - S A Khan
- Center for Advanced Studies in Vaccinology & Biotechnology (CASVAB) University of Balochistan, Quetta, Pakistan
| | - N U Khan
- Abdul Wali Khan University, Mardan Khyber Pakhtunkhwa, Pakistan
| | - A Akbar
- Department of Microbiology, University of Balochistan, Quetta 87300 Balochistan, Pakistan
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15
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Aslam R, Mobin M, Aslam J, Aslam A, Zehra S, Masroor S. Application of surfactants as anticorrosive materials: A comprehensive review. Adv Colloid Interface Sci 2021; 295:102481. [PMID: 34390883 DOI: 10.1016/j.cis.2021.102481] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [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: 12/17/2020] [Revised: 06/30/2021] [Accepted: 07/02/2021] [Indexed: 01/05/2023]
Abstract
Corrosion is the degradation of a metal due to its reaction with the environment. One of the most efficient ways of securing metal surfaces from corrosion is the use of corrosion inhibitors. Their efficacy is connected to their chemical composition, their molecular structures, and their adsorption affinities on the metal surface. This review article focuses on the prospects of different types of monomeric and gemini surfactants, mixed surfactants systems, surfactants- additives mixed systems, inhibitors-surfactants (as additives) mixed systems, and ionic liquid based surfactants as promising corrosion-inhibiting formulations in the aqueous phase and the role of surfactants in developing protective coatings. The analysis starts with an accurate overview of the characteristics, types, and structure-property-performance relationship of anti-corrosion formulations of such inhibitors.
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Affiliation(s)
- R Aslam
- Corrosion Research Laboratory, Department of Applied Chemistry, Faculty of Engineering and Technology, Aligarh Muslim University, Aligarh 202002, India
| | - M Mobin
- Corrosion Research Laboratory, Department of Applied Chemistry, Faculty of Engineering and Technology, Aligarh Muslim University, Aligarh 202002, India.
| | - J Aslam
- Department of Chemistry, College of Science, Taibah University, Yanbu 30799, Al-Madina, Saudi Arabia
| | - A Aslam
- Department of Chemistry, Faculty of Science, Aligarh Muslim University, Aligarh 202002, India
| | - S Zehra
- Corrosion Research Laboratory, Department of Applied Chemistry, Faculty of Engineering and Technology, Aligarh Muslim University, Aligarh 202002, India
| | - S Masroor
- Department of Chemistry, A.N. College, Patliputra University, Patna 800013, Bihar, India
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Mahmood MS, Ashraf A, Ali S, Siddique AB, Asad F, Abbas RZ, Siddique F, Aslam A, Aslam R, Rafique A. Portrayal of Punica granatum L. peel extract through High Performance Liquid Chromatography and antimicrobial activity evaluation. BRAZ J BIOL 2021; 83:e244435. [PMID: 34431906 DOI: 10.1590/1519-6984.244435] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Accepted: 02/07/2021] [Indexed: 11/22/2022] Open
Abstract
Increasing trend in antimicrobial resistance and failure of chemically synthesized antibiotics lead to discover alternative methods for the treatment of bacterial infections. Various medicinal plants are in use traditionally and their active compounds can be further applied for treatment of bacterial diseases. This study was designed to determine the antibacterial activity of Punica granatum (P. granatum L.) (pomegranate) peel extract against Enterobacteriaceae [Escherichia coli (E. coli), Salmonella Typhimurium (S. Typhimurium) and Shigella Dysenteriae (S. Dysenteriae)] and gram-positive bacterium [Staphylococcus aureus (Staph aureus)]. Methanolic extract of P. granatum L. peel was prepared by Soxhlet apparatus method. Total flavonoid and phenolic contents from the extract were determined by High Performance Liquid Chromatography (HPLC). The antibacterial activity of P. granatum L. peel extract was evaluated through agar well diffusion method. HPLC showed the range of phenolics (gallic acid, caffeic acid, benzoic acid, cinnamic acid) and flavonoid compounds. The chemical structures of flavonoid and phenolics found in the methanolic extract of P. granatum L. peel have been reported for the first time. The methanolic peel extract (50 ul) of yellow P. granatum L. showed 26, 10, 10 and 9mm zones of inhibition (ZOI) against S. aureus, S. Typhimurium, S. Dysenteriae and E. coli, respectively. The methanolic extract of red P. granatum L. (100 ul) showed 27, 8, 12 and 15 mm ZOI against Staph. aureus, S. Typhimurium, S. Dysenteriae and E. coli, respectively. Highest ZOI was observed against Staph. aureus. Many of the bacteria studied in the present work may cause serious gastrointestinal infections, which can lead to hemorrhagic diarrhea in children. These infections can be life-threatening to young children and the elderly. There is an incentive to find alternative control measures, such as plant and herbal extracts, especially in lesser-developed countries where traditional antibiotics may not be readily available.
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Affiliation(s)
- M S Mahmood
- Institute of Microbiology, University of Agriculture, Institute of Microbiology, Faisalabad, Pakistan
| | - A Ashraf
- Department of Zoology, Government College University, Faisalabad, Pakistan
| | - S Ali
- Institute of Microbiology, University of Agriculture, Institute of Microbiology, Faisalabad, Pakistan
| | - A B Siddique
- Department of Microbiology, GC University, Faisalabad, Pakistan
| | - F Asad
- Department of Zoology, Government College University, Faisalabad, Pakistan
| | - R Z Abbas
- Department of Parasitology, University of Agriculture, Faisalabad, Pakistan
| | - F Siddique
- Department of Microbiology, Cholistan University of Veterinary and Animal Sciences, Bahawalpur, Pakistan
| | - A Aslam
- Department of Microbiology, The Islamia University of Bahawalpur, Bahawalpur, Pakistan
| | - R Aslam
- Institute of Microbiology, University of Agriculture, Institute of Microbiology, Faisalabad, Pakistan
| | - A Rafique
- Department of Zoology, Government College University, Faisalabad, Pakistan
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17
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Luo W, Limb R, Aslam A, Kattimani R, Karthikappallil D, Paramasivan A, Waseem M. O33 Outcomes of patients undergoing emergency surgery during the first phase of national lockdown in the United Kingdom due to COVID-19 pandemic: experience at a district general hospital. Br J Surg 2021. [DOI: 10.1093/bjs/znab282.038] [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] [Indexed: 11/13/2022]
Abstract
Abstract
Introduction
This study aimed to assess the impact of the COVID-19 pandemic on emergency operations during the first phase of lockdown in the United Kingdom, compared to the equivalent population in the same calendar period in 2019.
Method
We retrospectively reviewed patients undergoing surgery in emergency theatres at our district general hospital between March 23rd and May 11th in 2019 and 2020. Data collected included demographics, National Confidential Enquiry into Patient Outcome and Death (NCEPOD) category and procedure. The primary outcome was 90-day post-operative mortality; secondary outcomes included time to intervention and length of inpatient stay.
Result
132 patients (2020) versus 141 (2019) patients were included with no significant difference in age (P = 0.676), sex (P = 0.230), or overall 90-day postoperative mortality (P = 0.196). Notably, time to intervention was faster for NCEPOD code 3 patients in 2020 than 2019 (P = 0.027). Time to intervention in 2020 was longer for those dying within 90 days post-operatively compared to survivors (P = 0.02). There was no difference in length of stay between years, both overall and when comparing subgroups by NCEPOD category or procedures (fractured neck of femur (P = 0.776), laparoscopies (P = 0.866), laparotomies (P = 0.252)), except for upper limb trauma (P = 0.007).
Conclusion
This study is amongst the first describing the general case mix in emergency theatres in the UK. Patient pre-operative characteristics and demographics did not change. Our data confirms patient prioritisation according to NCEPOD recommendations and streamlining of surgical services, with no difference in overall mortality, time to intervention or length of stay compared to 2019.
Take-home Message
At this district general hospital, patients were appropriately prioritised, and our results show adaptation of hospital practice to emerging national guidelines during the first phase of lockdown. A national validation audit assessing morbidity and mortality outcomes for all NCEPOD patients may be facilitate further understanding of risks posed to patients requiring urgent surgery during these unprecedented times.
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Affiliation(s)
- W Luo
- Macclesfield District General Hospital, Macclesfield
| | - R Limb
- Macclesfield District General Hospital, Macclesfield
| | - A Aslam
- University of Cambridge School of Clinical Medicine, Cambridge
| | - R Kattimani
- Macclesfield District General Hospital, Macclesfield
| | | | | | - M Waseem
- Macclesfield District General Hospital, Macclesfield
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Arnold J, Vital E, Dass S, Aslam A, Rawstron A, Savic S, Emery P, MD Yusof MY. OP0057 A PERSONALISED RITUXIMAB RETREATMENT APPROACH BASED ON CLINICAL AND B-CELL BIOMARKERS IN ANCA-ASSOCIATED VASCULITIS. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.2193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Time-to-relapse after rituximab for ANCA-associated vasculitis (AAV) is variable and optimal retreatment strategy has been unclear. We previously showed that repopulation of naïve B-cells at 6 months predicts sustained response [1].Objectives:In AAV following rituximab induction, to evaluate clinical and B-cell predictors of relapse in order to develop a retreatment algorithm.Methods:An observational study was conducted in 60 rituximab-treated AAV patients followed for over 10 years. Complete response (CR) was defined as Birmingham Vasculitis Activity Score v3.0 = 0. Retreatment was given on clinical relapse, defined as new features or worsening of persistent disease (not by biomarker status). Peripheral B-cell subsets were measured using highly sensitive flow cytometry. Predictors were tested using multivariable Cox-Regression.Results:Median times-to-retreatment for rituximab cycles 1-5 were 87, 71, 65, 59 and 86 weeks. Over 417 patient-years follow-up, 137 relapses occurred in 50 patients; 16 (in 14 patients) were major (renal=7, neurological=4, ENT=3 and respiratory=2). The major-relapse rate was 3.8/100 patient-years. In multivariable analysis, concomitant immunosuppressant [HR 0.48 (95% CI 0.24–0.94)], achieving CR [0.24 (0.12–0.50)] and naïve B-cell repopulation at 6 months [0.43 (0.22–0.84)] were associated with longer time-to-relapse. Higher baseline memory B-cells [1.01 (1.00–1.02)] were associated with a shorter time-to-relapse. AUROC for prediction of time-to-relapse was greater if guided by naïve B-cell repopulation than if ANCA and/or CD19+ return at 6 months had been used, 0.82 and 0.52 respectively.Conclusion:These data suggest that all patients should receive concomitant oral immunosuppressant. Those with incomplete response or with absent naïve B-cells should be retreated at 6 months. Patients with complete response and naïve repopulation at 6 months should not receive fixed retreatment. This algorithm could reduce hypogammaglobulinaemia due to unnecessary retreatment.Figure 1.A personalised retreatment algorithm for rituximab in ANCA-associated vasculitisReferences:[1]Md Yusof et al. Annals of rheumatic diseases (2015) PMID: 25854586.Disclosure of Interests:Jack Arnold: None declared, Edward Vital Speakers bureau: Roche, GSK and AstraZeneca, Consultant of: Roche, GSK and AstraZeneca, Grant/research support from: Roche, GSK and AstraZeneca, Shouvik Dass Speakers bureau: Roche and GSK, Aamir Aslam: None declared, Andrew Rawstron: None declared, Sinisa Savic: None declared, Paul Emery Speakers bureau: BMS, Abbott, Pfizer, MSD, Novartis, Roche and UCB, Consultant of: BMS, Abbott, Pfizer, MSD, Novartis, Roche and UCB, Grant/research support from: Abbott, BMS, Pfizer, MSD and Roche., Md Yuzaiful Md Yusof: None declared
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Raheja H, Chukwuka N, Agarwal C, Sharma D, Munoz-Martinez A, Fogel J, Khalid M, Hashmi AT, Ehrlich S, Waheed MA, Siddiqui S, de Brito Gomes BA, Aslam A, Merino Gualan CJ, Aftab I, Tiwari A, Singh S, Pouching K, Somal N, Shani J, Rojas-Marte G. Should COVID-19 patients >75 years be Ventilated? An Outcome Study. QJM 2021; 114:182-189. [PMID: 33580251 PMCID: PMC7928642 DOI: 10.1093/qjmed/hcab029] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 02/02/2021] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Elderly patients with COVID-19 disease are at increased risk for adverse outcomes. Current data regarding disease characteristics and outcomes in this population are limited. AIM To delineate the adverse factors associated with outcomes of COVID-19 patients ≥75 years of age. DESIGN Retrospective cohort study. METHODS Patients were classified into mild/moderate, severe/very severe and critical disease (intubated) based on oxygen requirements. The primary outcome was in-hospital mortality. RESULTS A total of 355 patients aged ≥75 years hospitalized with COVID-19 between 19 March and 25 April 2020 were included.Mean age was 84.3 years. One-third of the patients developed critical disease. Mean length of stay was 7.10 days. Vasopressors were required in 27%, with the highest frequency in the critical disease group (74.1%). Overall mortality was 57.2%, with a significant difference between severity groups (mild/moderate disease: 17.4%, severe/very severe disease: 71.3%, critical disease: 94.9%, P < 0.001).Increased age, dementia, and severe/very severe and critical disease groups were independently associated with increased odds for mortality while diarrhea was associated with decreased odds for mortality (OR: 0.12, 95% CI: 0.02-0.60, P < 0.05). None of the cardiovascular comorbidities were significantly associated with mortality. CONCLUSION Age and dementia are associated with increased odds for mortality in patients ≥75 years of age hospitalized with COVID-19. Those who require intubation have the greatest odds for mortality. Diarrhea as a presenting symptom was associated with lower odds for mortality.
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Affiliation(s)
- H Raheja
- Department of Cardiology, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, USA
| | - N Chukwuka
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - C Agarwal
- Department of Cardiology, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, USA
| | - D Sharma
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - A Munoz-Martinez
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - J Fogel
- Department of Business Management, Brooklyn College, Brooklyn, NY, USA
| | - M Khalid
- Department of Cardiology, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, USA
| | - A T Hashmi
- Department of Cardiology, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, USA
| | - S Ehrlich
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - M A Waheed
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - S Siddiqui
- Department of Cardiology, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, USA
| | - B A de Brito Gomes
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - A Aslam
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - C J Merino Gualan
- Department of Volunteer and Student Services, Maimonides Medical Center, Brooklyn, NY, USA
| | - I Aftab
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - A Tiwari
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - S Singh
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - K Pouching
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - N Somal
- Department of Internal Medicine, Maimonides Medical Center, 475 Seaview Avenue, Staten Island NY 10305, USA
| | - J Shani
- Department of Cardiology, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, USA
| | - G Rojas-Marte
- Department of Cardiology, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, USA
- Department of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Staten Island, NY, USA
- Address correspondence to Geurys R Rojas-Marte, M.D., Department of Cardiology, Maimonides Medical Center, Assistant Professor of Cardiology, Zucker School of Medicine at Hosftra/Northwell, 4802 10th Ave, Brooklyn, NY, USA.
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20
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Luo W, Limb R, Aslam A, Kattimani R, Karthikappallil D, Paramasivan A, Waseem M. COVID-19 pandemic did not affect emergency theatre patient demographic and length of stay in the first phase of UK countrywide lockdown in a district general hospital. Ann R Coll Surg Engl 2021; 103:404-411. [PMID: 33955242 DOI: 10.1308/rcsann.2021.0043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION We aim to identify any changes in outcome for patients undergoing nonelective surgery at the start of the UK pandemic in our district general hospital. This was a single-centre retrospective cohort review of a UK district general hospital serving a population of over 250,000 people. METHODS Participants were all patients undergoing a surgical procedure in the acute theatre list between 23 March to 11 May in both 2019 and 2020. Primary outcome was 90-day postoperative mortality. Secondary outcomes include time to surgical intervention and length of inpatient stay. RESULTS A total of 132 patients (2020) versus 141 (2019) patients were included. Although overall 90-day postoperative mortality was higher in 2020 (9.8%) compared with 2019 (5.7%), this difference was not statistically significant (p=0.196). In 2020, eight patients tested positive for COVID-19 either as an inpatient or within 2 weeks of discharge, of whom five patients died. Time to surgical intervention was significantly faster for NCEPOD (National Confidential Enquiry into Patient Outcome and Death) code 3 patients in 2020 than in 2019 (p=0.027). There were no significant differences in mean length of inpatient stay. CONCLUSIONS We found that patients were appropriately prioritised using NCEPOD classification, with no statistically significant differences in 90-day postoperative mortality and length of inpatient stay compared with the 2019 period. A study on a larger scale would further elucidate the profile and outcomes of patients requiring acute surgery to generate statistical significance.
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Affiliation(s)
- W Luo
- Macclesfield District General Hospital, UK
| | - R Limb
- Macclesfield District General Hospital, UK
| | - A Aslam
- University of Cambridge School of Clinical Medicine, UK
| | | | | | - A Paramasivan
- Countess of Chester Hospital NHS Foundation Trust, UK
| | - M Waseem
- Macclesfield District General Hospital, UK
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21
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Lau E, Arshad Z, Aslam A, Thahir A, Krkovic M. 63 Chronic Femoral Osteomyelitis Case Series: Outcomes and Economic Impact at A United Kingdom Based Tertiary Centre. Br J Surg 2021. [DOI: 10.1093/bjs/znab134.222] [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] [Indexed: 11/14/2022]
Abstract
Abstract
Introduction
Osteomyelitis refers to an inflammatory process affecting bone and bone marrow. This study reviews chronic femoral osteomyelitis treatment and outcomes, including economic impact.
Method
We retrospectively collected data from a consecutive series of 14 chronic femoral osteomyelitis patients treated between January 2013 and January 2020. Data collected include patient demographics, comorbidities, pathogens, complications, treatment protocol and costs. Functional outcome was assessed using EuroQOL five-dimensional interview administration questionnaire (EQ-5D-5L™) and EuroQOL Visual Analogue Scale (EQ-VAS™).
Results
Of these, 92.9% had one or more osteomyelitis risk factor, including smoking and diabetes. Samples from 78.6% grew at least one pathogen. Only 42.9% achieved remission after initial treatment, but 85.7% were in remission at final follow-up, with no signs of recurrence throughout the follow-up period (mean: 21.4 months). The average treatment cost was £39,249.50 with a net mean loss of £19,080.10 when funding was considered. The mean-derived EQ-5D score was 0.360 and the mean EQ-VAS score was 61.7, lower than their values for United Kingdom’s general population, p = 0.0018 and p = 0.013 respectively.
Conclusions
Chronic femoral osteomyelitis treatment is difficult, resulting in significant economic burden. With previous studies showing cheaper osteomyelitis treatment at specialist centres, our net financial loss incurred suggests the need for management at specialised centres.
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Affiliation(s)
- E Lau
- University of Cambridge, School of Clinical Medicine, Cambridge, United Kingdom
| | - Z Arshad
- University of Cambridge, School of Clinical Medicine, Cambridge, United Kingdom
| | - A Aslam
- University of Cambridge, School of Clinical Medicine, Cambridge, United Kingdom
| | - A Thahir
- Addenbrookes Hospital, Cambridge, United Kingdom
| | - M Krkovic
- Addenbrookes Hospital, Cambridge, United Kingdom
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22
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Dattani A, Aslam A, McMillan K. 125 The Fate of The Third Molar in The Line of a Mandibular Angle Fracture: A Retrospective Study at A Tertiary Centre. Br J Surg 2021. [DOI: 10.1093/bjs/znab134.533] [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] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Aim: To evaluate the risk of complications associated with retaining or extracting an asymptomatic third molar in the line of an angle fracture. Aiming to seek a consensus whether third molars should be extracted or retained during surgical repair of mandibular angle fractures.
Method
A retrospective study was undertaken at the Queen Elizabeth Hospital, Birmingham. 150 patients across a span of three years underwent open reduction and internal fixation of mandibular angle fractures with third molar involvement. Patients were classified into two groups, tooth retention during angle fracture and tooth removal during angle fracture repair. Hospital records were evaluated to seek the rate of post-operative complications at follow-up
Results
162 angle fractures were identified with ipsilateral wisdom teeth present. In 37 cases the wisdom tooth was removed during surgery. 6 complications (16.2%) occurred in this group necessitating a return to theatre. In 125 cases the wisdom tooth was left in-situ. Complications necessitating a return to theatre occurred in 14 cases (11.1%).
Conclusions
This study indicates that retention of wisdom tooth overall did not significantly increase the risk of complications associated with angle fractures (p = 0.42). Where wisdom tooth pathology was noted its retention was associated with complications requiring a return to theatre (X2=4.40, p = 0.036).
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Affiliation(s)
- A Dattani
- University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
| | - A Aslam
- University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
| | - K McMillan
- University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
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23
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Azam M, Qadri R, Aslam A, Khan MI, Khan AS, Anwar R, Ghani MA, Ejaz S, Hussain Z, Iqbal MA, Chen J. Effects of different combinations of N, P and K at different time interval on vegetative, reproductive, yield and quality traits of mango (Mangifera Indica. L) cv. Dusehri. BRAZ J BIOL 2021; 82:e235612. [PMID: 33681899 DOI: 10.1590/1519-6984.235612] [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] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 07/07/2020] [Indexed: 11/22/2022] Open
Abstract
The experiment was carried out on mango cv. Dusehri to investigate the effect of N, P and K fertilizers on vegetative, reproductive growth, yield and fruit quality. Eight different fertilizer combinations such as T1 (control), T2 (N), T3 (P), T4 (K), T5 (NP), T6 (NK), T7 (PK) and T8 (NPK) were used. Individual or combine fertilizer application of N (1000 g), P (750 g) and K (750 g) were applied during growing season in February and August. All the treatments significantly influenced on vegetative growth, flowering, fruiting, yield and other physiochemical attributes of mango as compared to control. Least effect was observed with individual fertilizer application while combine fertilizer treatments enhanced most of the investigated parameters. Especially, qualitative traits showed non-significant differences between treated and untreated mango trees. However, among the different treatments T8 (NPK) showed significance for fruiting aspects such as maximum size of growth flushes (177.51 mm), total number of panicles/tree (845), total number of flowers/panicle (974), sex ratio (69.18%), fruit retention (13.85%), total number of fruits/tree (379), yield (82 kg/tree), fruit weight (197.5 g), pulp weight (135.5 g) and physiochemical parameters namely TSS (24.53), Vit. C (57.63 mg/100 mL) and total sugar (20.84%). In general, combine application of NPK (T8) were the most effective in enhancing fruiting aspects, yield, physiochemical characteristics as well as improved fruit quality of mango trees.
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Affiliation(s)
- M Azam
- University of Agriculture, Institute of Horticultural Sciences, Faisalabad, Pakistan
| | - R Qadri
- University of Agriculture, Institute of Horticultural Sciences, Faisalabad, Pakistan
| | - A Aslam
- Chinese Academy of Agricultural Sciences, Zhengzhou Fruit Research Institute, Zhengzhou, Henan, China
| | - M I Khan
- University of Agriculture, Institute of Soil and Environmental Sciences, Faisalabad, Pakistan
| | - A S Khan
- University of Agriculture, Institute of Horticultural Sciences, Faisalabad, Pakistan
| | - R Anwar
- University of Agriculture, Institute of Horticultural Sciences, Faisalabad, Pakistan
| | - M A Ghani
- University of Agriculture, Institute of Horticultural Sciences, Faisalabad, Pakistan
| | - S Ejaz
- Bahauddin Zakariya University, Department of Horticulture, Multan, Pakistan
| | - Z Hussain
- University of Sargodha, College of Agriculture, Sargodha, Pakistan
| | - M A Iqbal
- Barani Agricultural Research Institute, Chakwal, Pakistan
| | - J Chen
- Chinese Academy of Tropical Agricultural Sciences, Haikou Experimental Station, Hainan Key Laboratory of Banana Genetic Improvement, Haikou, China
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24
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Aslam A, Shengjie Z, Xuqiang L, Nan H, Wenge L. Rootstock mediates transcriptional regulation of citrulline metabolism in grafted watermelon. BRAZ J BIOL 2021; 81:125-136. [PMID: 32321067 DOI: 10.1590/1519-6984.223633] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Accepted: 10/17/2019] [Indexed: 11/21/2022] Open
Abstract
Citrulline is a non-essential amino acid, involved in key biological functions in plants and humans. Rootstocks have a major impact on citrulline accumulation in grafted watermelon. Information regarding rootstock induced changes in citrulline metabolism is elusive. To understand the regulatory mechanism, parallel changes in the expression profiles of citrulline metabolic genes and citrulline content of watermelon were monitored during the development of self-rooted watermelon and watermelon grafted onto pumpkin, wild and bottle gourd rootstocks. Results demonstrated that rootstocks regulated the expression profiles in different ways to influence the citrulline content. GAT, NAGPR, ASS3 ASS2 and Asl2 showed the negative correlation with citrulline content in pumpkin grafted watermelon. Pumpkin rootstock promoted the citrulline content by high down-regulation and synergistic effect of ASS2, ASS3, ASL1 and ASl2 genes. In wild grafted watermelon, citrulline was accumulated as a result of down regulation of GAT, NAGS and ASL2 genes, which showed an inverse correlation with citrulline. In gourd grafted watermelon, changes in citrulline content were observed to be linked with lower expressions of GAT, NAGK, ASS2, ASS3, ASL1 and ARG which were negatively correlated with citrulline content. Our study will provide the basis to understand the molecular mechanism of citrulline accumulation in various rootstocks.
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Affiliation(s)
- A Aslam
- Zhengzhou Fruit Research Institute, Chinese Academy of Agricultural Sciences, Zhengzhou, Henan 450009, China
| | - Z Shengjie
- Zhengzhou Fruit Research Institute, Chinese Academy of Agricultural Sciences, Zhengzhou, Henan 450009, China
| | - L Xuqiang
- Zhengzhou Fruit Research Institute, Chinese Academy of Agricultural Sciences, Zhengzhou, Henan 450009, China
| | - H Nan
- Zhengzhou Fruit Research Institute, Chinese Academy of Agricultural Sciences, Zhengzhou, Henan 450009, China
| | - L Wenge
- Zhengzhou Fruit Research Institute, Chinese Academy of Agricultural Sciences, Zhengzhou, Henan 450009, China
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25
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Aslam A, Curry E. Investigating response time and accuracy in online classifier learning for multimedia publish-subscribe systems. Multimed Tools Appl 2021; 80:13021-13057. [PMID: 34720665 PMCID: PMC8550296 DOI: 10.1007/s11042-020-10277-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 10/17/2020] [Accepted: 11/24/2020] [Indexed: 06/13/2023]
Abstract
The enormous growth of multimedia content in the field of the Internet of Things (IoT) leads to the challenge of processing multimedia streams in real-time. Event-based systems are constructed to process event streams. They cannot natively consume multimedia event types produced by the Internet of Multimedia Things (IoMT) generated data to answer multimedia-based user subscriptions. Machine learning-based techniques have enabled rapid progress in solving real-world problems and need to be optimised for the low response time of the multimedia event processing paradigm. In this paper, we describe a classifier construction approach for the training of online classifiers, that can handle dynamic subscriptions with low response time and provide reasonable accuracy for the multimedia event processing. We find that the current object detection methods can be configured dynamically for the construction of classifiers in real-time, by tuning hyperparameters even when training from scratch. Our experiments demonstrate that deep neural network-based object detection models, with hyperparameter tuning, can improve the performance within less training time for the answering of previously unknown user subscriptions. The results from this study show that the proposed online classifier training based model can achieve accuracy of 79.00% with 15-min of training and 84.28% with 1-hour training from scratch on a single GPU for the processing of multimedia events.
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Affiliation(s)
- Asra Aslam
- Insight Centre for Data Analytics, NUI Galway, Galway, Ireland
| | - Edward Curry
- Insight Centre for Data Analytics, NUI Galway, Galway, Ireland
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26
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Bakthavatsalam D, Craft JW, Kazansky A, Nguyen N, Bae G, Caivano AR, Gundlach CW, Aslam A, Ali S, Gupta S, Lin SY, Parthiban HD, Vanderslice P, Stephan CC, Woodside DG. Identification of Inhibitors of Integrin Cytoplasmic Domain Interactions With Syk. Front Immunol 2021; 11:575085. [PMID: 33488575 PMCID: PMC7819857 DOI: 10.3389/fimmu.2020.575085] [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] [Received: 06/22/2020] [Accepted: 11/20/2020] [Indexed: 11/13/2022] Open
Abstract
Leukocyte inflammatory responses require integrin cell-adhesion molecule signaling through spleen tyrosine kinase (Syk), a non-receptor kinase that binds directly to integrin β-chain cytoplasmic domains. Here, we developed a high-throughput screen to identify small molecule inhibitors of the Syk-integrin cytoplasmic domain interactions. Screening small molecule compound libraries identified the β-lactam antibiotics cefsulodin and ceftazidime, which inhibited integrin β-subunit cytoplasmic domain binding to the tandem SH2 domains of Syk (IC50 range, 1.02–4.9 µM). Modeling suggested antagonist binding to Syk outside the pITAM binding site. Ceftazidime inhibited integrin signaling via Syk, including inhibition of adhesion-dependent upregulation of interleukin-1β and monocyte chemoattractant protein-1, but did not inhibit ITAM-dependent phosphorylation of Syk mediated by FcγRI signaling. Our results demonstrate a novel means to target Syk independent of its kinase and pITAM binding sites such that integrin signaling via this kinase is abrogated but ITAM-dependent signaling remains intact. As integrin signaling through Syk is essential for leukocyte activation, this may represent a novel approach to target inflammation.
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Affiliation(s)
| | - John W Craft
- Molecular Cardiology Research Laboratories, Texas Heart Institute, Houston, TX, United States.,Department of Biology and Chemistry, University of Houston, Houston, TX, United States
| | - Anna Kazansky
- Molecular Cardiology Research Laboratories, Texas Heart Institute, Houston, TX, United States
| | - Nghi Nguyen
- Center for Translational Cancer Research, Institute of Biosciences and Technology, Texas A&M Health Science Center, Houston, TX, United States
| | - Goeun Bae
- Center for Translational Cancer Research, Institute of Biosciences and Technology, Texas A&M Health Science Center, Houston, TX, United States
| | - Amy R Caivano
- Molecular Cardiology Research Laboratories, Texas Heart Institute, Houston, TX, United States
| | - C William Gundlach
- Molecular Cardiology Research Laboratories, Texas Heart Institute, Houston, TX, United States
| | - Asra Aslam
- Department of Biology and Chemistry, University of Houston, Houston, TX, United States
| | - Safa Ali
- Department of Biology and Chemistry, University of Houston, Houston, TX, United States
| | - Shashikant Gupta
- Molecular Cardiology Research Laboratories, Texas Heart Institute, Houston, TX, United States
| | - Sophie Y Lin
- Molecular Cardiology Research Laboratories, Texas Heart Institute, Houston, TX, United States
| | - Hema D Parthiban
- Molecular Cardiology Research Laboratories, Texas Heart Institute, Houston, TX, United States
| | - Peter Vanderslice
- Molecular Cardiology Research Laboratories, Texas Heart Institute, Houston, TX, United States
| | - Clifford C Stephan
- Center for Translational Cancer Research, Institute of Biosciences and Technology, Texas A&M Health Science Center, Houston, TX, United States
| | - Darren G Woodside
- Molecular Cardiology Research Laboratories, Texas Heart Institute, Houston, TX, United States
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27
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Murtaza G, Imdad K, Arshad M, Hamza A, Aslam A, Bashir S. Perspective of Covid-19 pandemic in South Asian countries. Eur Rev Med Pharmacol Sci 2020; 24:13098-13100. [PMID: 33378063 DOI: 10.26355/eurrev_202012_24217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
COVID-19 is rapidly spreading throughout the world since December 2019. It has hit South Asian countries with faded impact, which can be attributed to (a) availability of kits, (b) number of people tested for COVID-19, (c) immunity, (d) environmental conditions and (e) vaccination.
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Affiliation(s)
- G Murtaza
- Department of Zoology, University of Gujrat, Gujrat, Pakistan.
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28
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Mustafa G, Aslam A, Tipu MY, Masood S, Iqbal U, Mahmood A, Tayyab M, Irshad I. Efficacy evaluation of commercial vaccines against circulating filed isolates of avian influenza H9N2 and infectious bronchitis viruses in broiler chickens. J BIOL REG HOMEOS AG 2020; 34:1613-1616. [PMID: 32896117 DOI: 10.23812/19-497-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- G Mustafa
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - A Aslam
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - M Y Tipu
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - S Masood
- Department of Anatomy and Histology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - U Iqbal
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - A Mahmood
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - M Tayyab
- Department of Parasitology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - I Irshad
- Institute of Continuing Education and Extension, University of Veterinary and Animal Sciences, Lahore, Pakistan
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29
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Babady NE, Aslam A, McMillen T, Syed M, Zehir A, Kamboj M. Genotypic correlation between post discharge Clostridiodes difficle infection (CDI) and previous unit-based contacts. J Hosp Infect 2020; 109:96-100. [PMID: 33171187 DOI: 10.1016/j.jhin.2020.10.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 10/22/2020] [Accepted: 10/26/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND Cases of Clostridiodes difficile infection (CDI) diagnosed after hospital discharge account for a substantial proportion of new infections. It is unclear whether post-discharge infections originate from hospital-based transmission. METHODS This was a Retrospective cohort study at a tertiary-care cancer center (non-outbreak setting). For all laboratory-identified cases of CDI in 2015-2016, patients with post-discharge (PD) CDI within eight weeks of their hospital stay were included in the study. Isolates from PD-CDI cases and their CDI-positive unit-based contacts were first genotyped by multilocus sequence typing (MLST). Common strains were further examined by core genome sequencing (CGS) to evaluate transmission links. RESULTS Of 173 cases examined by MLST, 50% of PD cases matched previous unit contacts. Next, 34 isolates, including 16 PD cases and their 18-unit contacts were examined by CGS. None were ≤3 single-nucleotide variants apart. Seventy percent of PD cases had in-hospital antibiotic exposure before CDI onset in the community. CONCLUSION Our study results suggest that symptomatic CDI cases are not a substantial source of transmission to PD cases. Frequent antibiotic exposure in post-discharge CDI cases is an important target for surveillance and stewardship efforts.
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Affiliation(s)
- N E Babady
- Clinical Microbiology Service, Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - A Aslam
- Infection Control and Infectious Disease Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - T McMillen
- Clinical Microbiology Service, Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M Syed
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - A Zehir
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M Kamboj
- Infection Control and Infectious Disease Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
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30
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Aslam A, Arshad Z, Ahmed A. Re: UK undergraduate aspirations and attitudes survey: do we have a perception problem in clinical radiology? Clin Radiol 2020; 75:791-792. [DOI: 10.1016/j.crad.2020.05.020] [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] [Received: 05/09/2020] [Accepted: 05/20/2020] [Indexed: 11/29/2022]
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31
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Rojas-Marte G, Khalid M, Mukhtar O, Hashmi AT, Waheed MA, Ehrlich S, Aslam A, Siddiqui S, Agarwal C, Malyshev Y, Henriquez-Felipe C, Sharma D, Sharma S, Chukwuka N, Rodriguez DC, Alliu S, Le J, Shani J. Outcomes in patients with severe COVID-19 disease treated with tocilizumab: a case-controlled study. QJM 2020; 113:546-550. [PMID: 32569363 PMCID: PMC7337835 DOI: 10.1093/qjmed/hcaa206] [Citation(s) in RCA: 97] [Impact Index Per Article: 24.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 06/10/2020] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND COVID-19 is an ongoing threat to society. Patients who develop the most severe forms of the disease have high mortality. The interleukin-6 inhibitor tocilizumab has the potential to improve outcomes in these patients by preventing the development of cytokine release storm. AIMS To evaluate the outcomes of patients with severe COVID-19 disease treated with the interleukin-6 inhibitor tocilizumab. METHODS We conducted a retrospective, case-control, single-center study in patients with severe to critical COVID-19 disease treated with tocilizumab. Disease severity was defined based on the amount of oxygen supplementation required. The primary endpoint was the overall mortality. Secondary endpoints were mortality in non-intubated patients and mortality in intubated patients. RESULTS A total of 193 patients were included in the study. Ninety-six patients received tocilizumab, while 97 served as the control group. The mean age was 60 years. Patients over 65 years represented 43% of the population. More patients in the tocilizumab group reported fever, cough and shortness of breath (83%, 80% and 96% vs. 73%, 69% and 71%, respectively). There was a non-statistically significant lower mortality in the treatment group (52% vs. 62.1%, P = 0.09). When excluding intubated patients, there was statistically significant lower mortality in patients treated with tocilizumab (6% vs. 27%, P = 0.024). Bacteremia was more common in the control group (24% vs. 13%, P = 0.43), while fungemia was similar for both (3% vs. 4%, P = 0.72). CONCLUSION Our study showed a non-statistically significant lower mortality in patients with severe to critical COVID-19 disease who received tocilizumab. When intubated patients were excluded, the use of tocilizumab was associated with lower mortality.
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Affiliation(s)
- G Rojas-Marte
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
- Department of Cardiology, Staten Island University Hospital-Northwell Health, 475 Seaview Avenue, Staten Island, NY 10305, USA
| | - M Khalid
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - O Mukhtar
- Department of Pulmonology, Interfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USA
| | - A T Hashmi
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - M A Waheed
- Department of Internal Medicine, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - S Ehrlich
- Department of Internal Medicine, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - A Aslam
- Department of Internal Medicine, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - S Siddiqui
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - C Agarwal
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - Y Malyshev
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - C Henriquez-Felipe
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - D Sharma
- Department of Internal Medicine, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - S Sharma
- Department of Internal Medicine, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - N Chukwuka
- Department of Internal Medicine, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - D C Rodriguez
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - S Alliu
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - J Le
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
| | - J Shani
- Department of Cardiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA
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Ahmed A, Aslam A, Arshad Z, Lau EJS. Re: Oral and maxillofacial surgery simulation: efficacy for medical students. Br J Oral Maxillofac Surg 2020; 58:1357-1358. [PMID: 32636088 DOI: 10.1016/j.bjoms.2020.06.002] [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: 05/25/2020] [Accepted: 06/01/2020] [Indexed: 10/23/2022]
Affiliation(s)
- A Ahmed
- School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Hills Road, Cambridge, CB2 0SP, UK.
| | - A Aslam
- School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Hills Road, Cambridge, CB2 0SP, UK.
| | - Z Arshad
- School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Hills Road, Cambridge, CB2 0SP, UK.
| | - E J S Lau
- School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Hills Road, Cambridge, CB2 0SP, UK.
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Anjum A, Usman S, Aslam A, Faiz M, Usman S, Imran MS, Hussain I, Usman M, Badar S, Iqbal MZ, Dar A, Haq HMA. Prevalence and molecular detection of contagious bovine pleuropneumonia in large ruminants in Punjab, Pakistan. Trop Biomed 2020; 37:273-281. [PMID: 33612797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Contagious bovine pleuropneumonia (CBPP) is a highly contagious disease of cattle caused by Mycoplasma mycoides subsp. mycoides. It is characterized by anorexia, fever, dyspnea, polypnea, cough, and nasal discharges. Gross lesions in the lung such as marbling, sequestra, thickening of interlobular septa, and consolidation are evident. Serological tests including complement fixation test and competitive enzyme-linked immunosorbent assay and molecular tests such as polymerase chain reactions are used for diagnostic purposes. In this study, lung samples of suspected large ruminants (cattle n=560, buffalo n=293) were collected from abattoirs of three districts of Punjab namely Lahore, Kasur and Jhang. PCR was performed with specific primers, targeting the 16S ribosomal RNA gene to detect the positive cases. The results indicated that 49 samples (8.75%) of cattle were positive, with maximum prevalence was observed in Jhang with 16 positive samples (10.06%), but CBPP was not detected in any buffalo sample. High prevalence of disease was seen in cattle of more than seven years of age, in female cattle, and in cross-bred cattle. Age and gender were found significantly associated (P<0.05) with the prevalence of the disease. Gene sequencing of identified 5 isolates of Mycoplasma mycoides subsp. mycoides had more than 99% similarities with the strains isolated from China, Italy, Australia and Tanzania and were categorized into a monophyletic group but strain isolated from Portugal had more than 55% variable regions, hence clustered separately. This study confirms the presence of contagious bovine pleuropneumonia in the country which can be a threat to the livestock export market and warrants the implementation of control measures to mitigate the economic losses associated with the disease.
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Affiliation(s)
- A Anjum
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - S Usman
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - A Aslam
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - M Faiz
- King Edward Medical University, Lahore, Pakistan
| | - S Usman
- Nishtar Medical University, Multan, Pakistan
| | - M S Imran
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - I Hussain
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - M Usman
- Department of Clinical Medicine and Surgery, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - S Badar
- Livestock and Dairy Development Department Punjab, Pakistan
| | - M Z Iqbal
- Department of Clinical Medicine and Surgery, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - A Dar
- Foot and Mouth Disease Research Center, Veterinary Research Institute, Lahore, Pakistan
| | - H M A Haq
- Poultry Research Institute, Rawalpindi, Pakistan
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Perera S, Aslam A, Castles A, Beale A, Segan L, Gutman S, Leet A, Mukherjee S, Burgess S, Zaman S. 550 Sex Differences in Perception Towards Pursuing Cardiology as a Career. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.557] [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: 11/30/2022]
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Aslam A, Perera S, Beale A, Segan L, Gutman S, Leet A, Mukherjee S, Zaman S. 530 Perceptions of Cardiology as a Future Career Among Australian Medical Students. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.537] [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]
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Saleem MZ, Akhtar R, Aslam A, Rashid MI. Histopathological Investigation of Skin and Hides Damage of Small and Large Ruminants due to Naturally Infested Ticks. Trop Biomed 2019; 36:1081-1086. [PMID: 33597477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Ticks are important ectoparasites which transmit many disease pathogen to animals; these are labelled tick borne diseases (TBD). Tick induced damage to skin and hides has not received attention. Skin and hides are important for the leather product industry, particularly in Pakistan. Due to economic importance and financial loss by ticks in leather industry, the present study was designed to investigate skin and hides damage due to ticks at microscopic level. Naturally tick infested tissue samples of hides and skin were collected from slaughter houses. Primary lesions at tick feeding sites showed epidermal edema with adjacent dermal edema. Histopathological examination revealed degeneration of epidermal layer down to the basal layer. Epidermal and sub dermal layers often displayed focal necrosis infiltrated with neutrophils and mononuclear cells at tick bite sites. Hyperplasia of keratinocytes was also seen at sites of ruptured epidermis. Quality of leather depends upon the grain (Outer) surface skin/hides. Ticks infestation damages the outer surface, due to bites, inflammatory responses, and secondary bacterial infections that often become established at feeding sites. Control of ticks should be given consideration to reduce infestation induced losses in the leather industry in Pakistan.
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Affiliation(s)
- M Z Saleem
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - R Akhtar
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - A Aslam
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - M I Rashid
- Department of Parasitology, University of Veterinary and Animal Sciences, Lahore, Pakistan
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Irshad I, Aslam A, Tipu MY, Ashraf K, Irshad A, Rehmani SF, Ahmad I, Rao S, Bibi T, Mustafa G. Pathogenesis and tissue tropism of Newcastle disease virus and avian influenza virus (H9N2) in single and mixed infections. J BIOL REG HOMEOS AG 2019; 33:929-933. [PMID: 31184098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Newcastle disease (ND) and avian influenza (AI) are globally considered as a serious threat to the chicken and other avian species. The paramyxovirus type 1 and orthomyxovirus type A are RNA viruses, which cause ND and AI infection, respectively.
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Affiliation(s)
- I Irshad
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - A Aslam
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - M Y Tipu
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - K Ashraf
- Department of Parasitology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - A Irshad
- Centre of Excellence in Molecular Biology, University of the Punjab, Lahore-Pakistan
| | - S F Rehmani
- Quality Operation Laboratory, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - I Ahmad
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - S Rao
- Services Hospital Lahore-Pakistan
| | - T Bibi
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - G Mustafa
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
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Aslam A, Vincer M, Allen A, Imanullah S, O'Connell CM. Long-term outcomes of saline boluses in very preterm infants. J Neonatal Perinatal Med 2019; 11:317-321. [PMID: 30040744 DOI: 10.3233/npm-17105] [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] [Indexed: 11/15/2022]
Abstract
BACKGROUND Normal saline bolus is commonly used in clinical practice for treating hypotension in very preterm infants during resuscitation at an early age despite the paucity of high quality evidence supporting this practice. OBJECTIVES To determine the effects of early (<7 days after birth) saline boluses given to very preterm infant (VPI) from 23 to 31 weeks GA. METHOD This is a population-based cohort analysis of the use of normal saline boluses given to VPI. The outcomes were extracted from the Perinatal Follow-Up Program Database which included all VPI from Halifax County admitted to the NICU at the IWK Health Centre, Halifax, Nova Scotia, Canada between January 2006 to December 2010. We excluded infants with major congenital anomalies and those not offered resuscitation in the delivery room. Our primary outcome was the composite of death or disability by 18-36 months while secondary outcomes were neonatal death, BPD, CP, IVH, PVL, ROP, BSITD III (Bayley Scales of Infant and Toddler Development®, Third Edition) Cognitive, Motor and Language score. RESULTS Death or disability in those who received saline bolus occurred in 15 (53.6%) compared with 9 (32.1%) in non saline group. Significantly higher rates of CP (p = 0.04), lower scores on the BSITDIII for motor (p = 0.04) and language scales (p = 0.03) were noted for infants who received saline boluses. Cognitive scores approached significance (p = 0.05) with lower scores in the saline bolus group. CONCLUSION Significant differences were found between the two groups in terms of long term neurodevelopmental outcome and one of the short-term outcome (i.e. BPD). Given the limitations of this retrospective study and the small sample size, a larger cohort from Canadian Neonatal Network database is warranted to evaluate the effects of using normal saline boluses during early life on neurodevelopmental.
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Affiliation(s)
- A Aslam
- Department of Pediatrics, IWK Health Center, Halifax NS, Canada
| | - M Vincer
- Department of Pediatrics, IWK Health Center, Halifax NS, Canada
| | - A Allen
- Department of Pediatrics, IWK Health Center, Halifax NS, Canada
| | - S Imanullah
- Department of Pediatrics, IWK Health Center, Halifax NS, Canada
| | - C M O'Connell
- Department of Family Medicine, Dalhousie University, Halifax NS, Canada
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Mahmood A, Younus M, Aslam A, Anjum AA, Umar S, Mushtaq A, Sohai ML. Evidence of Biological Detoxification Potential of Saccharomyces cervisiae against Aflatoxin B1 in Quails (Coturnix japonica). PAK J ZOOL 2019. [DOI: 10.17582/journal.pjz/2019.51.3.887.893] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Aslam A, Deshmukh T, Martin C, Kovoor P, Zaman S. Gender Differences in Electrophysiology, Ventricular Tachyarrhythmia, Cardiac Arrest and Sudden Cardiac Death Following Acute Myocardial Infarction. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.188] [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: 11/30/2022]
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41
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Irshad I, Aslam A, Tipu MY, Ashraf K, Zahid B, Irshad A. Efficacy of commercial vaccines against the prevalent strains of Newcastle disease and avian influenza (h9n2) infections in broilers in Pakistan. J BIOL REG HOMEOS AG 2018; 32:1545-1549. [PMID: 30574763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
TThe efficacy of the two commonly used commercial vaccines for Newcastle disease (ND) and low path avian influenza (LPAI) H9N2 were evaluated against field virus in broiler chicks. One hundred one-dayold commercial broiler chicks were divided into four groups (A to D) with an equal number of birds per group. Group A and B were vaccinated against H9N2 and NDV, respectively, at day 7 of age while group C served as positive infected control for H9N2 and group D for NDV. Serum samples from birds in all groups were tested for presence of antibodies against H9N2 and NDV at day 21 of age. Subsequently, on day 28 of age, groups A and C were challenged with the field strain of H9N2 virus, and Group B and D with NDV. Birds were monitored for a period of 2 weeks for development of any clinical signs and mortality. The geometric mean titer were high in groups A (4.90) and B (7.3), and low in the unvaccinated groups C (0.7) and D (1.1). The highest and lowest value of H9N2 antibody titer detected through ELISA were 1.498 and 0.502, respectively. The S/P ratios greater than 0.5 were considered positive. The highest and lowest value for NDV antibody titer detected through ELISA were 783 and 882, respectively. Serum samples with titer greater than 396 were considered positive and indicated vaccination or other exposure to NDV. On histological examination severe congestion, necrosis, degeneration, hemorrhages and leukocyte infiltration were observed in intestine, lungs, trachea and bursa of Fabricius of the non-vaccinated group post-infection. Mild tissues changes were observed in the vaccinated group. It can be concluded from the findings that the commonly used commercial vaccines may provide effective protection against the circulating H9N2 and ND virus in broiler birds by producing protective antibody titer.
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Affiliation(s)
- I Irshad
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - A Aslam
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - M Y Tipu
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - K Ashraf
- Department of Parasitology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - B Zahid
- Department of Pathology, University of Veterinary and Animal Sciences, Lahore-Pakistan
| | - A Irshad
- Centre of Excellence in Molecular Biology, University of the Punjab, Lahore-Pakistan
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Byrne M, Abu-Rustum N, Usiak S, Frame J, Aslam A, Ogden S, Leitao M, Sonoda Y, Zivanovic O. Risk prediction model for surgical site infections in patients undergoing open gynecologic cancer surgery following the implementation of a reduction bundle at a comprehensive cancer center. Gynecol Oncol 2018. [DOI: 10.1016/j.ygyno.2018.04.489] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Affiliation(s)
- A Ramoutar
- Department of Dermatology, Nottingham NHS Treatment Centre, Nottingham, UK
| | - S El Sheikh
- Department of Dermatology, Nottingham NHS Treatment Centre, Nottingham, UK
| | - A Aslam
- Department of Dermatology, Nottingham NHS Treatment Centre, Nottingham, UK
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Aslam A, Saleem M, Shah A. Distraction osteogenesis with a primarily vertical vector in facial deformity: a case series. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.762] [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: 10/19/2022]
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45
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Luqman U, Aslam A. Keratocystic odontogenic tumour and marsupialisation: a preliminary result of 19 cases. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.829] [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: 10/19/2022]
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46
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Mirza A, Aslam A, Shah A. Decompression of keratocystic odontogenic tumours: an effective treatment strategy based on clinical evidence! Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.830] [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: 10/19/2022]
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47
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Lin X, Qureshi MZ, Attar R, Khalid S, Tahir F, Yaqub A, Aslam A, Yaylim I, De Carlos Back LK, Farooqi AA, Ismail M. Targeting of BCR-ABL: Lessons learned from BCR-ABL inhibition. Cell Mol Biol (Noisy-le-grand) 2016; 62:129-137. [PMID: 27894413 DOI: 10.14715/cmb/2016.62.12.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Received: 11/26/2016] [Indexed: 11/18/2022]
Abstract
In 1960 researchers reported that balanced translocation between chromosomes 22 and 9 resulted in the generation of Philadelphia chromosome. This breakthrough revolutionized our knowledge related to leukemia biology and contemporary studies revealed that chromosomal translocation resulted in the fusion between the 5' segment of BCR gene and 3' segment of the ABL gene to form BCR/ABL fusion gene. Research over the years has progressively and systematically improved our understanding of the genetic and proteomic basis of Leukemia. Genome-wide profiling studies, including genome sequencing and microarray analysis, have helped us in identification of different intracellular signaling cascades that are frequently mutated in Leukemia. We partition this multi-component review into different sections related to biochemical characteristics of BCR-ABL+ cells, underlying mechanism of generation of mutations and crosstalk of BCR-ABL with various intracellular signaling cascades. We also summarize how BCR-ABL encoding mRNA is negatively regulated by different miRNAs and the strategies which are currently being used to effectively target BCR-ABL protein. We also provide an overview of the natural products which have been used for targeting of BCR-ABL protein. Better understanding of the protein network of Philadelphia positive leukemic cells will prove to be helpful in getting a step closer to personalized medicine.
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Affiliation(s)
- X Lin
- Department of Pharmacology, Southwest Medical University, Sichuan, Luzhou 646000, China
| | - M Z Qureshi
- Department of Chemistry, GC University, Lahore, Pakistan
| | - R Attar
- Yeditepe University Medical School, İnönü Mah., Kayışdağı Cad., 26 Ağustos Yerleşimi, 34755 Ataşehir/İstanbul, Turkey
| | - S Khalid
- Department of Bioinformatics and Biotechnology, International Islamic University, Islamabad, Pakistan
| | - F Tahir
- Department of Zoology, GC University, Lahore, Pakistan
| | - A Yaqub
- Department of Zoology, GC University, Lahore, Pakistan
| | - A Aslam
- Department of Microbiology, Faculty of Biological Sciences, QAU, Islamabad, Pakistan
| | - I Yaylim
- Aziz Sancar Institute of Experimental Medicine, İstanbul University, İstanbul , Turkey
| | - L K De Carlos Back
- Biogenetika, Individualized Medicine, Florianópolis, Santa Catarina, Brazil
| | - A A Farooqi
- Laboratory for Translational Oncology and Personalized Medicine, Rashid Latif Medical College, Lahore, Pakistan.
| | - M Ismail
- Institute of Biomedical and genetic Engineering (IBGE), Islamabad, Pakistan
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Jabeen S, Qureshi MZ, Attar R, Aslam A, Kanwal S, Khalid S, Qureshi JM, Aras Perk A, Farooqi AA, Ismail M. How sesquiterpenes modulate signaling cascades in cancers. Cell Mol Biol (Noisy-le-grand) 2016; 62:110-117. [PMID: 27453282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2006] [Accepted: 06/25/2016] [Indexed: 06/06/2023]
Abstract
Data obtained from high-throughput technologies has started to shed light on the interplay between signal transduction cascades and chromatin modifications thus adding another layer of complexity to the already complex regulation of the protein network. Based on the insights gleaned from almost a decade of research, it has now been convincingly revealed that sesquiterpenes effectively modulated different intracellular signaling cascades in different cancers. In this review we summarize how sesquiterpenes mediated Wnt, Shh, Notch and TRAIL induced signaling cascades.
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Affiliation(s)
- S Jabeen
- PMAS-Arid Agriculture University Department of zoology Rawalpindi Pakistan
| | | | - R Attar
- Yeditepe University Medical School Istanbul Turkey
| | - A Aslam
- QAU Department of Microbiology, Faculty of Biological Sciences Islamabad Pakistan
| | - S Kanwal
- International Islamic University Department of Bioinformatics and Biotechnology Islamabad Pakistan
| | - S Khalid
- International Islamic University Department of Bioinformatics and Biotechnology Islamabad Pakistan
| | - J M Qureshi
- Pearl Continental Chief Dietitian Lahore Pakistan
| | - A Aras Perk
- Istanbul University Faculty of Science, Botany Department Istanbul Turkey
| | - A A Farooqi
- Rashid Latif Medical College Laboratory for Translational Oncology and Personalized Medicine Lahore Pakistan
| | - M Ismail
- Institute of Biomedical and genetic Engineering (IBGE) Islamabad Pakistan
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Aslam A, Vincer M, Allen A, Imanullah S, Connell CO. Long-Term Effects of Saline Boluses in Very Preterm Infants (VPI). Paediatr Child Health 2016. [DOI: 10.1093/pch/21.supp5.e82c] [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] [Indexed: 11/13/2022] Open
Abstract
Abstract
BACKGROUND: Normal saline bolus is commonly used in clinical practice for treating hypotension in term and preterm neonates during resuscitation in early life despite the paucity of high quality evidence supporting this practice.
OBJECTIVES: To determine the effects of normal saline boluses given within seven days of birth in VPI less than 31 weeks at 18 to 36 of months corrected age.
DESIGN/METHODS: This is a retrospective population-based cohort analysis of the use of saline boluses from January 2006 to December 2010, of VPI from Halifax County. The outcomes at 18-36 months corrected age were extracted from the Perinatal Follow-Up Program (PFUP) database. This program is dedicated to the care and monitoring of infants who were VPI, very low birth weight or those who had brain injury at birth. It includes the evaluation of long-term developmental outcomes, multidisci-plinary services including rehabilitation, dietetics and social services. Primary Outcome: To assess the incidence of death, cerebral palsy, language, cognitive delay, hearing impairment requiring the amplification, or bilateral blindness at the corrected 18-36 months of VPI who did or did not receive normal saline boluses. Secondary Outcome: To assess patent ductus arteriosus(PDA), bronchopulmonary dysplasia (BPD), intraventricular hemorrhage (IVH), periventricular leucomalacia, necrotizing enterocolitis (NEC) and retinopathy of prematurity (ROP) between VPI who did or did not receive normal saline boluses. Inclusion criteria: VPI from Halifax County admitted to the NICU at the IWK Health Centre, Halifax, Nova Scotia, Canada between January 2006 to December 2010. Exclusion criteria: Infants with major congenital anomalies and who were not offered resuscitation in the delivery room and expected to die.
RESULTS: The regression analysis indicated that there was no difference in terms of death or disability between those who received saline bolus 15 (53.6%) versus those who did not receive saline boluses 45 (34.6%), [OR 2.17 (0.94, 5.05) p = 0.07]. Although univariate comparisons between the two groups showed significant differences in rates of PDA, severe IVH, NEC, cystic PVL, BPD and ROP, but after controlling for the influences of birth weight, APGAR score at 1 minute, admission BP and hemoglobin, bolus treatment was not significantly related to any of these outcomes
CONCLUSION: In the current study no significant difference was found between the two groups in terms of long term neurodevelopmental outcomes and short term outcomes were significantly different only in univari-ate comparisons. Given the limitations of this retrospective study, a randomized controlled trial to evaluate the effects of normal saline boluses use during early life on neurodevelopment outcomes is warrented.
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Qureshi MZ, Jabeen S, Butt G, Aslam A, Naqvi SK, Attar R, Tabassum S, Nasir M, Farooqi AA. Tudor tells about new twists in the story tale of SMURFs. Cell Mol Biol (Noisy-le-grand) 2016; 62:38-43. [PMID: 27188868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Accepted: 04/28/2016] [Indexed: 06/05/2023]
Abstract
Smad ubiquitin regulatory factors (SMURFS) belong to the HECT- family of E3 ubiquitin ligases. This family has two members, SMURF1 and SMURF2. SMURFs have emerged as well studied negative regulators of TGF induced intracellular signaling. However, increasingly it is being realized that SMURFs tactfully modulate an array of proteins in different cancers. This review sets spotlight on how SMURF1 and SMURF2 communicate with effectors of different signaling pathways during the multistep progression to cancer. We also summarize how microRNAs (miRNAs) effectively control SMURFs in different cancers. Role of SMURFs is context dependent in different cancers and better concepts related to miRNA regulation of SMURFs in different stages and steps of cancer will be helpful in efficient translation of laboratory findings to clinic.
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Affiliation(s)
| | - S Jabeen
- PMAS-Arid Agriculture University Department of Zoology Rawalpindi Pakistan
| | - G Butt
- GCU Department of Botany Lahore Pakistan
| | - A Aslam
- QAU Faculty of Biological Sciences, Department of Microbiology Islamabad Pakistan
| | - S K Naqvi
- COMSATS Institute of Information Technology Islamabad Pakistan
| | - R Attar
- Yeditepe University School of Medicine Department of Obstetrics and Gynecology İstanbul Turkey
| | - S Tabassum
- International Islamic University Department of Bioinformatics and Biotechnology Islamabad Pakistan
| | - M Nasir
- Fatima Memorial College of Medicine and Dentistry Lahore Pakistan
| | - A A Farooqi
- RLMC Laboratory For Translational Oncology and Personalized Medicine Lahore Pakistan
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