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Hosen MA, Faysal MM, Khanam J, Khan B, Ahamed F, Khan MEH. Clinical Profile and Outcome of Organophosphorus Poisoning in a Tertiary Hospital. Mymensingh Med J 2024; 33:509-515. [PMID: 38557534] [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: 04/04/2024]
Abstract
Organophosphorus compound (OPC) poisoning is common in Bangladesh. The toxicity of the agent and paucity of appropriate medical services has resulted in high mortality rates. To find out the clinical profile and outcome of OPC poisoning patients is the main aim of my study. This descriptive cross-sectional study was conducted in the Department of Medicine, Mymensingh Medical College Hospital, Bangladesh from September 2016 to November 2018. In this study, mean age of the study subjects was 25.90±11.24 years. Males (70.8%) were predominant than female (29.2%). In this study, most of the poisoning was done by ingestion (98.3%) and only two (1.7%) by inhalation. Regarding features, most muscarinic effect was constricted pupil and bronchospasm (65.0%). Common nicotinic effect was fasciculation (25.0%) and central effect was headache (61.67%). Mean amount of OPC ingestion was 26.30±17.24 ml in this study. Regarding circumstances of poisoning, familial disharmony (38.3%) and quarrel with other family members (37.5%) were the major reason followed by failure of personal affairs (15.0%) and other reasons (9.2%). Regarding complications, aspiration pneumonia was found in 6.7% cases, cardiac arrhythmia was in 6.7% cases and intermediate syndrome was in 1.7% cases. Most of the study subjects (95.0%) recovered fully. Most of the patients were from rural area. Suicidal was the common motive and familial disharmony and quarrel with other family members are the common circumstances of poisoning. Mortality rate was 5.0%.
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Affiliation(s)
- M A Hosen
- Dr Muhammad Ashraf Hosen, Junior Consultant (Medicine), 100 Beded Upazila Health Complex, Modhupur Tangail, Bangladesh; E-mail:
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Mohan S, Gnanaraj R, Khan B, Sugathan G. Paracentral acute middle maculopathy as an isolated ocular manifestation of Behçet's disease: A case report. J Fr Ophtalmol 2024; 47:104052. [PMID: 38233263 DOI: 10.1016/j.jfo.2023.104052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 10/13/2023] [Accepted: 10/22/2023] [Indexed: 01/19/2024]
Affiliation(s)
- S Mohan
- Medcare Eye Centre, Al Safa, Matloob Building F, Sheikh Zayed Road, Dubai, United Arab Emirates; Rajan Eye Care, No 5, Vidyodaya East 2nd Street, T Nagar 600017, Chennai, India.
| | - R Gnanaraj
- University of Colorado, Colorado, CO, United States
| | - B Khan
- King's College Hospital London, Dubai Hills, Dubai, United Arab Emirates
| | - G Sugathan
- Medcare Eye Centre, Al Safa, Matloob Building F, Sheikh Zayed Road, Dubai, United Arab Emirates
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Negi R, Srivastava A, Srivastava AK, Vatsa P, Ansari UA, Khan B, Singh H, Pandeya A, Pant AB. Proteomic-miRNA Biomics Profile Reveals 2D Cultures of Human iPSC-Derived Neural Progenitor Cells More Sensitive than 3D Spheroid System Against the Experimental Exposure to Arsenic. Mol Neurobiol 2024:10.1007/s12035-024-03924-z. [PMID: 38228842 DOI: 10.1007/s12035-024-03924-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 01/02/2024] [Indexed: 01/18/2024]
Abstract
The iPSC-derived 3D models are considered to be a connective link between 2D culture and in vivo studies. However, the sensitivity of such 3D models is yet to be established. We assessed the sensitivity of the hiPSC-derived 3D spheroids against 2D cultures of neural progenitor cells. The sub-toxic dose of Sodium Arsenite (SA) was used to investigate the alterations in miRNA-proteins in both systems. Though SA exposure induced significant alterations in the proteins in both 2D and 3D systems, these proteins were uncommon except for 20 proteins. The number and magnitude of altered proteins were higher in the 2D system compared to 3D. The association of dysregulated miRNAs with the target proteins showed their involvement primarily in mitochondrial bioenergetics, oxidative and ER stress, transcription and translation mechanism, cytostructure, etc., in both culture systems. Further, the impact of dysregulated miRNAs and associated proteins on these functions and ultrastructural changes was compared in both culture systems. The ultrastructural studies revealed a similar pattern of mitochondrial damage, while the cellular bioenergetics studies confirm a significantly higher energy failure in the 2D system than to 3D. Such a higher magnitude of changes could be correlated with a higher amount of internalization of SA in 2D cultures than in 3D spheroids. Our findings demonstrate that a 2D culture system seems better responsive than a 3D spheroid system against SA exposure.
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Affiliation(s)
- R Negi
- Systems Toxicology Group, CSIR-Indian Institute of Toxicology Research Vishvigyan Bhavan, 31, Mahatma Gandhi Marg, P.O. Box No. 80, Lucknow, 226 001, Uttar Pradesh, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201002, India
| | - A Srivastava
- Department of Biochemistry, University of Lucknow, Lucknow, Uttar Pradesh, 226007, India
| | - A K Srivastava
- Systems Toxicology Group, CSIR-Indian Institute of Toxicology Research Vishvigyan Bhavan, 31, Mahatma Gandhi Marg, P.O. Box No. 80, Lucknow, 226 001, Uttar Pradesh, India
| | - P Vatsa
- Systems Toxicology Group, CSIR-Indian Institute of Toxicology Research Vishvigyan Bhavan, 31, Mahatma Gandhi Marg, P.O. Box No. 80, Lucknow, 226 001, Uttar Pradesh, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201002, India
| | - U A Ansari
- Systems Toxicology Group, CSIR-Indian Institute of Toxicology Research Vishvigyan Bhavan, 31, Mahatma Gandhi Marg, P.O. Box No. 80, Lucknow, 226 001, Uttar Pradesh, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201002, India
| | - B Khan
- Systems Toxicology Group, CSIR-Indian Institute of Toxicology Research Vishvigyan Bhavan, 31, Mahatma Gandhi Marg, P.O. Box No. 80, Lucknow, 226 001, Uttar Pradesh, India
| | - H Singh
- Systems Toxicology Group, CSIR-Indian Institute of Toxicology Research Vishvigyan Bhavan, 31, Mahatma Gandhi Marg, P.O. Box No. 80, Lucknow, 226 001, Uttar Pradesh, India
| | - A Pandeya
- Systems Toxicology Group, CSIR-Indian Institute of Toxicology Research Vishvigyan Bhavan, 31, Mahatma Gandhi Marg, P.O. Box No. 80, Lucknow, 226 001, Uttar Pradesh, India
| | - A B Pant
- Systems Toxicology Group, CSIR-Indian Institute of Toxicology Research Vishvigyan Bhavan, 31, Mahatma Gandhi Marg, P.O. Box No. 80, Lucknow, 226 001, Uttar Pradesh, India.
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201002, India.
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Khan B, Moniruzzaman M, Karim MR, Ahamed F, Pervin R, Rahman MA, Hosen MA. Serum Electrolyte Status of Patients with Acute Stroke Admitted in a Tertiary Care Hospital. Mymensingh Med J 2023; 32:403-411. [PMID: 37002751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2023]
Abstract
Stroke, usually a focal rather than global neurological deficit resulting from vascular origin with sudden onset, may be with cerebral infarction or intracerebral haemorrhage. It results in brain oedema following vascular injury and electrolyte imbalance. A descriptive cross sectional study was carried out in the Department of Medicine, Mymensingh Medical College Hospital, Mymensingh, Bangladesh during March 2016 to May 2018 to assess the electrolyte levels among 220 purposively selected patients with stroke confirmed by CT scan. Data were collected by the principal investigator himself by using interview schedule and case record form after attaining consent. Blood samples were collected from the patients to carry out biochemical and haematological tests and to assess serum electrolyte levels. Data were cross-checked for completeness, consistency and relevancy, and were analyzed by computer software SPSS 20.0. Age was significantly higher in haemorrhagic stroke (64.88±13.00 years) than ischaemic stroke (60.92±13.96 years). Male (55.91%) were predominant than female (44.09%). One hundred nineteen (54.09%) patients had ischaemic stroke and 101(45.91%) patients had haemorrhagic stroke. The serum concentration of Na+, K+, Cl- and HCO₃- were measured during acute period of stroke. Imbalance in serum Sodium, Chloride, Potassium and Bicarbonate level were observed in 37.27%, 29.55%, 23.18% and 6.36% patients respectively. Hyponatremia, hypokalemia, hypochloremia and acidosis were most common electrolyte imbalance in both ischaemic and haemorrhagic strokes. In ischaemic stroke hyponatremia was 35.29%, hypernatremia was 3.36%, hypokalemia 19.33%, hyperkalemia 0.84%, hypochloraemia 30.25%, hyperchloraemia 3.36%, acidosis was in 6.72% and alkalosdis in 1.68% patients while in haemorrhagic stroke hyponatremia 33.66%, hypernatremia 1.98%, hypokalaemia 22.77% hyperkalemia 3.96%, hypochloremia 19.80%, hyperchloraemia 4.95%, acidosis 2.97% and alkalosis was in 0.99% of patients. Mortality was more in hyponatremic, hypokalemic and in hypochloremic patients.
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Affiliation(s)
- B Khan
- Dr Badruzzaman Khan, Junior Consultant (Medicine), Sadar Hospital, Madaripur, Bangladesh
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Namas R, Elarabi M, Khan S, Mubashir A, Memisoglu E, El-Kaissi M, Joshi A, Chapman J, Jassim I, Khogali H, Hassan N, Sabbour H, Saleh K, Alnaqbi KA, Zayat AS, Diab S, Awir Z, Abu Taha N, Ginawi A, Al Ansari A, Rifaai H, Alrawi Z, Al Dhaheri A, Ibrahim G, Abogamal A, Al Shehhi W, Teir J, Khan T, Musgrave M, Hameed B, Khan B, Mosallam N, Hussien N, Hussein I, Abdulelhamid A, Ali A, Hannawi S, Al Izzi M, Badsha H, Al Saleh J. Comprehensive description of the prevalence, serological and clinical characteristics, and visceral involvement of systemic sclerosis (scleroderma) in a large cohort from the United Arab Emirates Systemic Sclerosis Registry. Journal of Scleroderma and Related Disorders 2023. [DOI: 10.1177/23971983221145788] [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: 01/09/2023]
Abstract
Systemic sclerosis is an autoimmune condition characterized by a wide range of clinical presentations. Registries may serve to expand understanding about systemic sclerosis and aid in patient care and follow-up. The objective of this study was to analyze the prevalence of systemic sclerosis in a large cohort from the United Arab Emirates Systemic Sclerosis Registry and find the significant similarities and differences between the different subsets. All scleroderma patients in the United Arab Emirates were included in this multicenter national retrospective analysis. Data on demographics, comorbidities, serological characteristics, clinical aspects, and treatment were collected and analyzed, highlighting the most common traits identified. A total of 167 systemic scleroderma patients from diverse ethnic backgrounds were enrolled. Overall, 54.5% (91/167) of the patients were diagnosed with diffuse cutaneous systemic sclerosis, and 45.5% (76/167) with limited cutaneous systemic sclerosis. The prevalence of systemic sclerosis was 1.66 per 100,000 for the total registry and 7.78 per 100,000 for United Arab Emirates patients. Almost all patients in the diffuse cutaneous systemic sclerosis and limited cutaneous systemic sclerosis groups tested positive for the immunofluorescence antinuclear antibody. Antibodies against Scl-70 were significantly more associated with diffuse cutaneous systemic sclerosis, whereas anticentromere antibodies were significantly more associated with the limited cutaneous systemic sclerosis group ( p < 0.001). Sclerodactyly, shortness of breath, and digital ulcers were more common in diffuse cutaneous systemic sclerosis patients compared with the limited cutaneous systemic sclerosis subtype in terms of clinical symptoms and organ involvement. Telangiectasia was much more common in the limited cutaneous systemic sclerosis group. Furthermore, diffuse cutaneous systemic sclerosis patients had more lung fibrosis (interstitial lung disease) than limited cutaneous systemic sclerosis patients (70.5% vs 45.7%), and pulmonary arterial hypertension was twice as common in limited cutaneous systemic sclerosis patients as it was in diffuse cutaneous systemic sclerosis patients. Local registries are paramount to understanding the clinical/serological characteristics of scleroderma. This study emphasizes the importance of raising disease awareness and distinguishing between the various systemic sclerosis subsets to implement patient-tailored strategies for early detection, better management, and higher quality of care.
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Affiliation(s)
- Rajaie Namas
- Division of Rheumatology, Department of Internal Medicine, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE
| | - Mohamed Elarabi
- Division of Rheumatology, Department of Internal Medicine, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE
| | - Saniya Khan
- Respiratory Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE
| | - Asia Mubashir
- Division of Rheumatology, Department of Internal Medicine, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE
| | - Esat Memisoglu
- Imaging Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE
| | | | - Abhay Joshi
- Division of Rheumatology, Burjeel Day Surgery Center, Abu Dhabi, UAE
| | - Jeffrey Chapman
- Respiratory Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE
| | - Imad Jassim
- Department of Rheumatology, Tawam Hospital, Al Ain, UAE
| | - Hiba Khogali
- Department of Rheumatology, Tawam Hospital, Al Ain, UAE
| | - Nada Hassan
- Department of Rheumatology, Mediclinic Parkview Hospital, Dubai, UAE
| | - Hani Sabbour
- Heart and Vascular Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE
| | - Khaled Saleh
- Respiratory Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE
| | | | - Ahmed S Zayat
- Division of Rheumatology, University Hospital Sharjah, Sharjah, UAE
| | - Sehriban Diab
- Division of Rheumatology, Sheikh Shakhbout Medical City, Abu Dhabi, UAE
| | - Zyiad Awir
- Department of Rheumatology, Yas Healthcare, Abu Dhabi, UAE
| | - Nehad Abu Taha
- Department of Rheumatology, Sheikh Shakhbout Medical City, Abu Dhabi, UAE
| | - Amel Ginawi
- Division of Rheumatology, Mediclinic City Hospital, Dubai, UAE
| | - Atheer Al Ansari
- Division of Rheumatology, Mediclinic Airport Road Hospital, Abu Dhabi, UAE
| | - Hazem Rifaai
- Department of Rheumatology, Mediclinic Al Noor Hospital, Abu Dhabi, UAE
| | - Zaid Alrawi
- Department of Rheumatology, Clemenceau Medical Center Hospital, Dubai, UAE
| | | | - Gamal Ibrahim
- Department of Rheumatology, Dr. Sulaiman Al Habib Hospital, Dubai, UAE
| | - Ahmed Abogamal
- Department of Rheumatology, Dr. Sulaiman Al Habib Hospital, Dubai, UAE
| | | | - Jamal Teir
- Department of Rheumatology, Sheikh Khalifa Medical City, Abu Dhabi, UAE
| | - Tahir Khan
- Department of Rheumatology,Yas Clinic Khalifa City, Abu Dhabi, UAE
| | - Maisam Musgrave
- Dubai, UAE Department of Rheumatology, Mediclinic City Hospital, Dubai, UAE
| | - Beena Hameed
- Department of Rheumatology, King’s College Hospital, Dubai, UAE
| | - Bhavna Khan
- Division of Rheumatology, King’s College Hospital, Dubai, UAE
| | - Nagwa Mosallam
- Department of Rheumatology, Burjeel Hospital, Abu Dhabi, UAE
| | - Nahla Hussien
- Department of Rheumatology, Medeor Hospital, Abu Dhabi, UAE
| | - Iman Hussein
- Department of Rheumatology,Yas Clinic Khalifa City, Abu Dhabi, UAE
| | | | - Ahmed Ali
- Department of Rheumatology, Ibrahim Bin Hamad Obaidullah Hospital, Ras Al Khaima, UAE
| | - Suad Hannawi
- Department of Rheumatology, Ministry of Health and Prevention Ibrahim Bin Hamad Obaidullah, Dubai, UAE
| | - Mustafa Al Izzi
- Department of Rheumatology, Mediclinic Welcare Hospital, Dubai, UAE
| | - Humeira Badsha
- Department of Rheumatology, Dr. Humeira Badsha Medical Center, Dubai, UAE
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Mariathas M, Khan B, Skiadas V, Purohit N. Imaging findings in a Cohort of Dancers Presenting with Knee Pain. Semin Musculoskelet Radiol 2022. [DOI: 10.1055/s-0042-1750654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Zayat A, Namas R, AlOkaily F, Maghazachi A, Elemam N, Diab S, Khan B, Fazal F, Mersahly M, Hannawi S. HIGHLIGHTS FROM MIDDLE EAST RHEUMATOLOGY CONFERENCE: Middle East Rheumatology Conference of the Gulf Cooperation Council Association of Immunology and Rheumatology, November 25- 27, 2021 Dubai, United Arab Emirates. Saudi Med J 2022; 43:637-655. [PMID: 35675928 PMCID: PMC9389899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Affiliation(s)
- Ahmed Zayat
- University Hospital Sharjah, Sharjah, United Arab Emirates
| | - Rajaie Namas
- Cleveland Clinic, Abu Dhabi, United Arab Emirates
| | - Fahdah AlOkaily
- Prince Sultan Riyadh Military Medical City, Riyadh, Kingdom of Saudi Arabia
| | | | - Noha Elemam
- University Hospital Sharjah, Sharjah, United Arab Emirates
| | - Sehriban Diab
- Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
| | - Bhavna Khan
- Mediclinic City Hospital, Dubai, United Arab Emirates
| | | | - Mira Mersahly
- Mediclinic City Hospital, Dubai, United Arab Emirates
| | - Suad Hannawi
- Emirates Health Services, Ministry of Health and Prevention(MHAP) of UAE
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Khan B, Mariathas M, Jarvis P, Hughes R, Purohit N. SPECT-CT to Investigate Pain Post Total Hip Arthroplasty: Unexpected Findings That Affect Patient Management. Semin Musculoskelet Radiol 2022. [DOI: 10.1055/s-0042-1750675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Rafiq H, Ayaz M, Khan HA, Iqbal M, Quraish S, Afridi SG, Khan A, Khan B, Sher A, Siraj F, Shams S. Therapeutic potential of stem cell and melatonin on the reduction of CCl4-induced liver fibrosis in experimental mice model. BRAZ J BIOL 2022; 84:e253061. [PMID: 35293541 DOI: 10.1590/1519-6984.253061] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 12/23/2021] [Indexed: 11/21/2022] Open
Abstract
Liver fibrosis is initial stage of any chronic liver disease and its end stage is develops into cirrhosis. Chronic liver diseases are a crucial global health issue and the cause of approximately 2 million deaths per year worldwide. Cirrhosis is currently the 11th most common cause of death globally. Mesenchymal stem cell (MSCs) treatment is the best way to treat acute and chronic liver disease. The aim of this study is to improve the therapeutic potential of MSCs combined with melatonin (MLT) to overcome CCl4-induced liver fibrosis and also investigate the individual impact of melatonin and MSCs against CCl4-induced liver impairment in animal model. Female BALB/c mice were used as CCL4-induced liver fibrotic animal model. Five groups of animal model were made; negative control, Positive control, CCl4+MSCs treated group, CCl4+MLT treated group and CCl4+MSCs+MLT treated group. Cultured MSCs from mice bone marrow were transplanted to CCl4-induced liver injured mice model, individually as well as together with melatonin. Two weeks after MSCs and MLT administration, all groups of mice were sacrificed for examination. Morphological and Histopathological results showed that combined therapy of MSCs+MLT showed substantial beneficial impact on CCl4-induced liver injured model, compared with MSCs and MLT individually. Biochemically, considerable reduction was observed in serum bilirubin and ALT levels of MLT+MSC treated mice, compared to other groups. PCR results shown down-regulation of Bax and up-regulation of Bcl-xl and Albumin, confirm a significant therapeutic effect of MSCs+MLT on CCI4-induced liver fibrosis. From the results, it is concluded that combined therapy of MSCs and MLT show strong therapeutic effect on CCL4-induced liver fibrosis, compared with MSCs and MLT individually.
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Affiliation(s)
- H Rafiq
- Abdul Wali Khan University Mardan, Department of Biochemistry, Stem Cell Regenerative Medicine Lab, Khyber Pakhtunkhwa, Pakistan
| | - M Ayaz
- Abdul Wali Khan University Mardan, Department of Biochemistry, Stem Cell Regenerative Medicine Lab, Khyber Pakhtunkhwa, Pakistan
| | - H A Khan
- Abdul Wali Khan University Mardan, Department of Biochemistry, Stem Cell Regenerative Medicine Lab, Khyber Pakhtunkhwa, Pakistan
| | - M Iqbal
- Abdul Wali Khan University Mardan, Department of Biochemistry, Stem Cell Regenerative Medicine Lab, Khyber Pakhtunkhwa, Pakistan
| | - S Quraish
- Abdul Wali Khan University Mardan, Department of Biochemistry, Stem Cell Regenerative Medicine Lab, Khyber Pakhtunkhwa, Pakistan
| | - S G Afridi
- Abdul Wali Khan University Mardan, Department of Biochemistry, Stem Cell Regenerative Medicine Lab, Khyber Pakhtunkhwa, Pakistan
| | - A Khan
- Abdul Wali Khan University Mardan, Department of Biochemistry, Stem Cell Regenerative Medicine Lab, Khyber Pakhtunkhwa, Pakistan
| | - B Khan
- Abdul Wali Khan University Mardan, Department of Biochemistry, Stem Cell Regenerative Medicine Lab, Khyber Pakhtunkhwa, Pakistan
| | - A Sher
- Bacha Khan University Charsadda, Department of Agriculture, Khyber Pakhtunkhwa, Pakistan
| | - F Siraj
- Isamia College University Peshawar, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - S Shams
- Abdul Wali Khan University Mardan, Department of Biochemistry, Stem Cell Regenerative Medicine Lab, Khyber Pakhtunkhwa, Pakistan
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Khan B, Ullah A, Khan MA, Amin A, Iqbal M, Khan S, Ateeq M, Aman K, Aziz A, Khattak MNK, Nadeem T, Munir N, Khan S, Ali Q. Anti-hyperglycemic and anti-hyperlipidemic effects of a methanolic extract of Debregeasia salicifolia in Alloxan-induced diabetic albino mice. BRAZ J BIOL 2021; 84:e251046. [PMID: 34932675 DOI: 10.1590/1519-6984.251046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 08/20/2021] [Indexed: 11/21/2022] Open
Abstract
Diabetes mellitus (DM), an endocrine syndrome characterized by high blood glucose levels due to abrogated insulin activity. The existing treatments for DM have side effects and varying degrees of efficacy. Therefore, it is paramount that novel approaches be developed to enhance the management of DM. Therapeutic plants have been accredited as having comparatively high efficacy with fewer adverse effects. The current study aims to elucidate the phytochemical profile, anti-hyperlipidemic, and anti-diabetic effects of methanolic extract D. salicifolia (leaves) in Alloxan-induced diabetic mice. Alloxan was injected intraperitoneally (150 mg kg-1, b.w), to induced diabetes in mice. The mice were divided into three groups (n=10). Group 1 (normal control) received normal food and purified water, Group II (diabetic control) received regular feed and clean water and group III (diabetic treated) received a methanolic extract of the plant (300 mg kg-1) for 28 days with a typical diet and clean water throughout the experiment. Blood samples were collected to checked serum glucose and concentration of LDL, TC, TG. The extract demonstrated significant antihyperglycemic activity (P<0.05), whereas improvements in mice's body weight and lipid profiles were observed after treatment with the extract. This study establishes that the extract has high efficacy with comparatively less toxicity that can be used for DM management.
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Affiliation(s)
- B Khan
- Dalian Medical University Liaoning, Department of Physiology, Dalian, China
| | - A Ullah
- Department of Health and Biological Sciences, Abasyn University Peshawar, Khyber Pakhtunkhwa Pakistan
| | - M A Khan
- Hong Kong University of Science and Technology, Division of Life Science, Center for Cancer Research and State Key Lab for Molecular Neuroscience, Clear Water Bay, China
| | - A Amin
- Hong Kong Baptist University, School of Chinese Medicine and Department of Biology, Hong Kong, China
| | - M Iqbal
- Department of Botany, Shaheed Benazir Bhutto Women university Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - S Khan
- Institute of microbiology and biotechnology, Bacha Khan University Charsada
| | - M Ateeq
- Institute of biological sciences, Sarhad university of science and information technology Peshawar, Khyber Pakhtunkhwa Pakistan
| | - K Aman
- Department of Health and Biological Sciences, Abasyn University Peshawar, Khyber Pakhtunkhwa Pakistan
| | - A Aziz
- Institute of biological sciences, Sarhad university of science and information technology Peshawar, Khyber Pakhtunkhwa Pakistan
| | - M N K Khattak
- University of Sharjah, Department of Applied Biology, College of Sciences, Sharjah, United Arab Emirates
| | - T Nadeem
- University of the Punjab, Centre of Excellence in Molecular Biology, Lahore, Punjab, Pakistan
| | - N Munir
- Center of biotechnology and microbiology, University of Peshawar, Khyber Pakhtunkhwa Pakistan
| | - S Khan
- Department of biotechnology, university of swabi, Khyber Pakhtunkhwa Pakistan
| | - Q Ali
- The University of Lahore, Institute of Molecular Biology and Biotechnology, Lahore, Punjab, Pakistan
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Ziade N, Arayssi T, Elzorkany B, Daher A, Karam GA, Jbara MA, Aiko A, Alam E, Emadi SA, Mashaleh MA, Badsha H, Kibbi LE, Halabi H, Harifi G, Khan B, Masri AF, Menassa J, Merashli M, Merheb G, Messaykeh J, Mroue' K, Saad S, Salloum N, Uthman I, Masri B. Development of an Educational Video for Self-Assessment of Patients with RA: Steps, Challenges, and Responses. Mediterr J Rheumatol 2021; 32:66-73. [PMID: 34386703 PMCID: PMC8314883 DOI: 10.31138/mjr.32.1.66] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Revised: 09/06/2020] [Accepted: 10/15/2020] [Indexed: 01/05/2023] Open
Abstract
Objectives: The primary objective was to develop an educational video to teach patients with rheumatoid arthritis (RA) self-assessment of their disease activity. Secondary objectives were to validate the video, identify the challenges in producing it, and the responses to these challenges. Methods: Rheumatologists from 7 Middle Eastern Arab countries (MEAC) discussed unmet needs in the education of patients with RA. They reviewed pre-existing educational audiovisual material and drafted the script for a new video in Arabic. The video was produced in collaboration with a technical team, then validated by patients using a standardized interview. At each step of production, challenges were identified. Results: Twenty-three rheumatologists from MEAC identified unmet needs in patients’ education. A video was produced, explaining the concepts of treat-to-target and showing a patient performing self-assessment using DAS-28. Sixty-two patients were interviewed for validation and found the video to be useful and easy to understand, albeit not replacing the physician’s visit. Most common challenges encountered included acceptance of patient empowerment, agreement on DAS-28 as composite measure, production of a comprehensible written Arabic text, and addressing the population cultural mix. Conclusion: Despite challenges, the video was well accepted among patients and can be used for clinical and research purposes. It is particularly useful in pandemic periods where social distancing is recommended.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | - Humeira Badsha
- Dr Humeira Badsha Medical Center, Dubai, United Arab Emirates
| | | | | | - Ghita Harifi
- Dr Humeira Badsha Medical Center, Dubai, United Arab Emirates
| | - Bhavna Khan
- Mediclinic City Hospital, Dubai, United Arab Emirates
| | | | | | | | | | | | | | - Sahar Saad
- Assiut University, Egypt & King Hamad University Hospital, Bahrain
| | | | - Imad Uthman
- American University of Beirut, Beirut, Lebanon
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Khan Z, Ghafoor D, Khan A, Ualiyeva D, Khan S, Bilal H, Khan B, Khan A, Sajjad W. Diagnostic approaches and potential therapeutic options for coronavirus disease 2019. New Microbes New Infect 2020; 38:100770. [PMID: 33014380 PMCID: PMC7525249 DOI: 10.1016/j.nmni.2020.100770] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [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: 07/28/2020] [Revised: 09/18/2020] [Accepted: 09/21/2020] [Indexed: 02/07/2023] Open
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in Wuhan city of China in late December 2019 and identified as a novel coronavirus. Due to its contagious nature, the virus spreads rapidly and causes coronavirus disease 2019 (COVID-19). The global tally of COVID-19 was 28 million in early September 2020. The fears and stress associated with SARS-CoV-2 has demolished the socio-economic status worldwide. Researchers are trying to identify treatments, especially antiviral drugs and/or vaccines, that could potentially control the viral spread and manage the ongoing unprecedented global crisis. To date, more than 300 clinical trials have been conducted on various antiviral drugs, and immunomodulators are being evaluated at various stages of COVID-19. This review aims to collect and summarize a list of drugs used to treat COVID-19, including dexamethasone, chloroquine, hydroxychloroquine, lopinavir/ritonavir, favipiravir, remdesivir, tociluzimab, nitazoxanide and ivermectin. However, some of these drugs are not effective and their use has been suspended by WHO.
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Affiliation(s)
- Z. Khan
- State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences, Guangzhou, China
- University of Chinese Academy of Sciences, Beijing, China
| | - D. Ghafoor
- University of Chinese Academy of Sciences, Beijing, China
- Wuhan Institute of Virology, Chinese Academy of Sciences Xiao Hong Shan No.44, Wuhan, Hubei, China
| | - A. Khan
- Department of Microbiology, School of Life Sciences, Lanzhou University, China
| | - D. Ualiyeva
- University of Chinese Academy of Sciences, Beijing, China
- Laboratory of Molecular Biology and Evolution, Chengdu Institute of Biology, Chinese Academy of Sciences, Chengdu, China
| | - S.A. Khan
- Department of Pathobiology, University of Poonch Rawalakot Azad Kashmir, Rawalakot, Azad Kashmir, Pakistan
| | - H. Bilal
- Centre for Management and Commerce, University of Swat, Mingora, Pakistan
| | - B. Khan
- Department of Optometry, Isra University Islamabad, Islamabad, Pakistan
| | - A. Khan
- Department of Computer and Software Technology, University of Swat, Mingora, Pakistan
| | - W. Sajjad
- State Key Laboratory of Cryospheric Science, Northwest Institute of Eco-Environment and Resources, Chinese Academy of Sciences, Lanzhou, China
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Aulakh GK, Kaur M, Brown V, Ekanayake S, Khan B, Fonge H. Quantification of regional murine ozone-induced lung inflammation using [ 18F]F-FDG microPET/CT imaging. Sci Rep 2020; 10:15699. [PMID: 32973318 PMCID: PMC7515916 DOI: 10.1038/s41598-020-72832-8] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 09/07/2020] [Indexed: 12/03/2022] Open
Abstract
Ozone (O3) is a highly potent and reactive air pollutant. It has been linked to acute and chronic respiratory diseases in humans by inducing inflammation. Our studies have found evidence that 0.05 ppm of O3, within the threshold of air quality standards, is capable of inducing acute lung injury. This study was undertaken to examine O3-induced lung damage using [18F]F-FDG (2-deoxy-2-[18F]fluoro-D-glucose) microPET/CT in wild-type mice. [18F]F-FDG is a known PET tracer for inflammation. Sequential [18F]F-FDG microPET/CT was performed at baseline (i.e. before O3 exposure), immediately (0 h), at 24 h and at 28 h following 2 h of 0.05 ppm O3 exposure. The images were quantified to determine O3 induced spatial standard uptake ratio of [18F]F-FDG in relation to lung tissue density and compared with baseline values. Immediately after O3 exposure, we detected a 72.21 ± 0.79% increase in lung [18F]F-FDG uptake ratio when compared to baseline measures. At 24 h post-O3 exposure, the [18F]F-FDG uptake becomes highly variable (S.D. in [18F]F-FDG = 5.174 × 10–4 units) with a 42.54 ± 0.33% increase in lung [18F]F-FDG compared to baseline. At 28 h time-point, [18F]F-FDG uptake ratio was similar to baseline values. However, the pattern of [18F]F-FDG distribution varied and was interspersed with zones of minimal uptake. Our microPET/CT imaging protocol can quantify and identify atypical regional lung uptake of [18F]F-FDG to understand the lung response to O3 exposure.
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Affiliation(s)
- G K Aulakh
- Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Canada.
| | - M Kaur
- Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Canada
| | - V Brown
- Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Canada
| | - S Ekanayake
- Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Canada
| | - B Khan
- College of Medicine, University of Saskatchewan, Saskatoon, Canada
| | - H Fonge
- College of Medicine, University of Saskatchewan, Saskatoon, Canada.,Department of Medical Imaging, RUH Saskatoon, Saskatoon, Canada
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Juman S, David T, Gray L, Hamad R, Horton S, Ibrahim M, Khan B, Khazaleh Y, Porter M, Sheikh A, Ho P, Wig S, Mercer L. FRI0649-HPR HYDROXYCHLOROQUINE PRESCRIBING AND OPHTHALMOLOGY SCREENING WITHIN RHEUMATOLOGY DEPARTMENTS IN THE NORTH-WEST OF THE UNITED KINGDOM: A PROSPECTIVE REGIONAL AUDIT. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.1704] [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: 11/04/2022]
Abstract
Background:Hydroxychloroquine (HCQ) is widely used in the management of rheumatoid arthritis and connective tissue disease. The prevalence of retinopathy in patients taking long-term HCQ is approximately 7.5%, increasing to 20-50% after 20 years of therapy. Hydroxychloroquine prescribed at ≤5 mg/kg poses a toxicity risk of <1% up to five years and <2% up to ten years, but increases sharply to almost 20% after 20 years. Risk factors for retinopathy include doses >5mg/kg/day, concomitant tamoxifen or chloroquine use and renal impairment. The UK Royal College of Ophthalmologists (RCOphth) 2018 guidelines for HCQ screening recommend optimal treatment dosage and timing for both baseline and follow-up ophthalmology review for patients on HCQ, with the aim of preventing iatrogenic visual loss. This is similar to recommendations made by the American Academy of Ophthalmology (2016).Objectives:To determine adherence to the RCOphth guidelines for HCQ screening within the Rheumatology departments in the North-West of the UK.Methods:Data for patients established on HCQ and those initiated on HCQ therapy were collected over a 7 week period from 9 Rheumatology departments.Results:473 patients were included of which 56 (12%) were new starters and 417 (88%) were already established on HCQ. 79% of the patients were female, with median ages of 60.5 and 57 years for new and established patients respectively. The median (IQR) weight for new starters was 71 (27.9) kg and for established patients, 74 (24.7) kg.20% of new starters exceeded 5mg/kg daily HCQ dose. 16% were identified as high risk (9% had previously taken chloroquine, 5% had an eGFR <60ml/min/m2and 2% had retinal co-pathology). Of the high-risk group, 44% were taking <5mg/kg. In total, 36% of new starters were referred for a formal baseline Ophthalmology review.In the established patients, 74% were taking ≤5mg/kg/day HCQ dose and 16% were categorized as high risk (10% had an eGFR less than 60ml/min/m2, 3% had previous chloroquine or tamoxifen use and 2% had retinal co-pathology). In the high-risk group, 75% were not referred for spectral domain optical coherence tomography (SD-OCT). 41% of patients established on HCQ for <5 years, and 33% of patients on HCQ for >5 years were not referred for SD-OCT. Reasons for not referring included; awaiting 5 year review, previous screening already performed and optician review advised.Since the introduction of the RCOphth guidelines, 29% patients already established on HCQ had an alteration in the dosage of HCQ in accordance with the guidelines. In the high-risk group, 16% were not on the recommended HCQ dose.Conclusion:This audit demonstrates inconsistencies in adherence to the RCOphth guidelines for HCQ prescribing and ophthalmology screening within Rheumatology departments in the North-West of the UK for both new starters and established patients. Plans to improve this include wider dissemination of the guidelines to Rheumatology departments and strict service level agreements with ophthalmology teams to help optimize HCQ prescribing and screening for retinopathy.Acknowledgments:Drs. S Jones, E MacPhie, A Madan, L Coates & Prof L Teh. Co-1st author, T David.Disclosure of Interests:None declared
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Baker J, Qureshi Z, Durrani S, Cao S, Bo N, Pai J, Ellison M, Rawlings L, Sigua N, Manchanda S, Khan B. Assessing physician-patient communication around sleep experience, habits and behaviors through a novel Sleeplife® application-a pilot, feasibility study. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.061] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Khan B, Fatima S, Khan O, Azhar A. Analysis of the major risk factors and genetic variations of bone formation signaling pathways in patients of osteoarthritis. N Biotechnol 2018. [DOI: 10.1016/j.nbt.2018.05.897] [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: 10/28/2022]
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17
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Haroon Z, Khan B, Farid U, Ali SM, Mehmood CA. Switching Control Paradigms for Adaptive Cruise Control System with Stop-and-Go Scenario. Arab J Sci Eng 2018. [DOI: 10.1007/s13369-018-3346-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Quraishi MK, Badsha H, Khan B, Shahzeb M, Hegde S, Mofti A, Ooi KK. Interethnic Variations and Clinical Features of Spondyloarthropathies in a Middle Eastern Country. Open Rheumatol J 2018. [PMCID: PMC5843964 DOI: 10.2174/1874312901812010029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Quraishi MK, Badsha H, Khan B, Shahzeb M, Hegde S, Mofti A, Ooi KK. Interethnic Variations and Clinical Features of Spondyloarthropathies in a Middle Eastern Country. Open Rheumatol J 2018; 12:10-18. [PMID: 29456775 PMCID: PMC5806196 DOI: 10.2174/1874312901812010010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Revised: 12/12/2017] [Accepted: 01/12/2018] [Indexed: 01/15/2023] Open
Abstract
Objectives The study aimed to demonstrate the interethnic differences and clinical features of Spondyloarthropathy(SpA) patients in a diverse Middle Eastern Country. Methods A retrospective review of medical records to collect the required data was conducted for SpA patients at two study institutions in the United Arab Emirates. Results Of 141 SpA patients found, 88 AS(Ankylosing Spondylitis) patients and 53 'other SpA' patients were identified. Males constituted 81% of AS and 55% of 'other SpA' patients. Patients with AS and 'other SpA' had a mean age of symptom onset of 28 and 34 years, respectively.49% and 40% of AS and 'other SpA' patients had a history of Anti-TNF therapy usage. Enthesitis and Uveitis were noted in 16% and 18% of AS patients whilst 53% and 11% in 'other SpA' patients, respectively.Caucasian, Indian Subcontinent and Arabs constituted 93% of our cohort. Mean age of onset of symptoms in the Indian Subcontinent 'other SpA' group was much greater than the other two ethnicities. Duration of symptoms to diagnosis was 3.5 and 4 years in AS and other SpA patients' respectively. HLA-B27 positivity was found in 53%, 80% and 93% of Arab, Indian Subcontinent and Caucasian AS patients, respectively, whilst seen in 50%, 25% and 33% of the same respective ethnicties in 'other SpA' patients. Conclusion This study on 141 patients is the largest to analyse inter-ethnic variations in SpA patients in the region. Our cohort shows a short delay in diagnosis with a relatively higher Anti-TNF usage.
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Affiliation(s)
| | - Humeira Badsha
- Department of Rheumatology. Dr. Humeira Badsha Medical Center, Dubai, UAE
| | - Bhavna Khan
- Department of Rheumatology, Dubai Mall Medical Center, Dubai, UAE
| | - Muhammad Shahzeb
- Department of Medicine, Jinnah Medical College Hospital, Karachi, Pakistan
| | - Srilakshmi Hegde
- Department of Rheumatology, Al Biraa Arthritis & Bone Center, Dubai, UAE
| | - Ayman Mofti
- Department of Rheumatology, Al Biraa Arthritis & Bone Center, Dubai, UAE
| | - Kong Kok Ooi
- Department of Rheumatology, Tan Tock Seng Hospital, Singapore
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Gradney S, Manchanda S, Sigua NL, Khan SH, Perkins A, Khan B. 0629 PREOPERATIVE STOP-BANG SCORES AND THEIR ASSOCIATION WITH POSTOPERATIVE DELIRIUM AMONG THORACIC SURGERY PATIENTS. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.628] [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: 11/12/2022] Open
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Khan B, Singer LG, Lilly LB, Chaparro C, Martinu T, Juvet S, Pipkin M, Waddell TK, Keshavjee S, Humar A, Cypel M. Successful Lung Transplantation From Hepatitis C Positive Donor to Seronegative Recipient. Am J Transplant 2017; 17:1129-1131. [PMID: 27873483 DOI: 10.1111/ajt.14137] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [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: 08/18/2016] [Revised: 11/16/2016] [Accepted: 11/16/2016] [Indexed: 01/25/2023]
Abstract
Lung transplantation using RNA+ hepatitis C (HCV+) donors to seronegative recipients is not currently performed due to the very high risk of transmission. Previous reports have shown poor survival when this practice was applied. The emergence of new direct-acting antiviral drugs (DAA) suggests a high chance of sustained virologic response in immunocompetent patients. We report here successful transplantation of lungs from HCV+ donor to HCV- recipient. The recipient was an HCV- patient with chronic lung allograft dysfunction. Viral transmission occurred early posttransplant but excellent clinical outcomes were observed including elimination of HCV after 12 weeks of treatment using DAAs.
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Affiliation(s)
- B Khan
- Toronto Lung Transplant Program, University Health Network, University of Toronto, Toronto, Canada
| | - L G Singer
- Toronto Lung Transplant Program, University Health Network, University of Toronto, Toronto, Canada
| | - L B Lilly
- Toronto Multi-Organ Transplant Program, University of Toronto, Toronto, Canada
| | - C Chaparro
- Toronto Lung Transplant Program, University Health Network, University of Toronto, Toronto, Canada
| | - T Martinu
- Toronto Lung Transplant Program, University Health Network, University of Toronto, Toronto, Canada
| | - S Juvet
- Toronto Lung Transplant Program, University Health Network, University of Toronto, Toronto, Canada
| | - M Pipkin
- Toronto Lung Transplant Program, University Health Network, University of Toronto, Toronto, Canada
| | - T K Waddell
- Toronto Lung Transplant Program, University Health Network, University of Toronto, Toronto, Canada
| | - S Keshavjee
- Toronto Lung Transplant Program, University Health Network, University of Toronto, Toronto, Canada
| | - A Humar
- Toronto Multi-Organ Transplant Program, University of Toronto, Toronto, Canada
| | - M Cypel
- Toronto Lung Transplant Program, University Health Network, University of Toronto, Toronto, Canada
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Khan B, Husain S, Binnie M, Chow C, Martinu T, Chaparro C, Keshavjee S, Singer L, Tikkanen J. Impact of Prolonging CMV Prophylaxis in High Risk (CMV D+/R-) Lung Transplant Recipients. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1529] [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] Open
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Shang X, Scott D, Hodge A, Khan B, Khan N, English DR, Giles GG, Ebeling PR, Sanders KM. Dietary Quality Is Associated with Abdominal Aortic Calcification: A Mean of 18-Year Longitudinal Study in Community-Dwelling Older Adults. J Nutr Health Aging 2017; 21:147-151. [PMID: 28112768 DOI: 10.1007/s12603-016-0738-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
OBJECTIVE This study aimed to examine the association between baseline and changes in dietary quality assessed by the Alternative Healthy Eating Index-2010 (AHEI-2010) and abdominal aortic calcification (AAC) among community-dwelling older adults. DESIGN Population-based longitudinal study. SETTING A subset of the Melbourne Collaborative Cohort Study (MCCS). PARTICIPANTS 262 community-dwelling adults (60% female) aged 53 ± 5 years at baseline. MEASUREMENTS Dietary intake was assessed using validated Food Frequency Questionnaires at baseline (1990-1994) and follow-up (2010-2011). AAC was evaluated by radiography and dual-energy x-ray absorptiometry (DXA) at follow-up. RESULTS Higher baseline AHEI-2010 score was associated with lower AAC severity by radiography [OR (95% CI) for Tertile 3 VS Tertile 1: 0.53 (0.29-0.99)] after adjustment for gender, age, physical activity, smoking, BMI, systolic blood pressure, plasma total cholesterol, calcium and energy intake. The association between AHEI-2010 and AAC severity by DXA was also significant in the multivariate-adjusted model [OR (95% CI) for Tertile 3 VS Tertile 1: 0.38 (0.20-0.70)]. Changes in AHEI-2010 over 18 years were not associated with AAC severity. CONCLUSION Baseline but not the changes in AHEI-2010 was inversely associated with the risk of AAC severity suggesting that a high quality diet might help prevent or delay the progression of AAC in community-dwelling older adults and the benefits might be manifested over the long-term.
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Affiliation(s)
- X Shang
- Xianwen Shang, Melbourne Medical School-Western Campus, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Level 3, 176 Furlong Road, St Albans, Vic 3021, Australia. Tel: 61 (0)3 8395 8093, Fax: 61 (0)3 8395 8258, E-mail:
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Khan B. P342 Adult onset cutaneous mastocytosis, rare but real. Ann Allergy Asthma Immunol 2016. [DOI: 10.1016/j.anai.2016.09.356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Peña-Fernández A, Lobo-Bedmar M, Gould F, Khan B, Fenoy S, Izquierdo F, Magnet A, Hoosen H, Puente CDADL. Biological contamination of urban soils in Leicester, UK, with Cryptosporidium spp.: A pilot study. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.06.1764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Peña-Fernández A, Del Águila C, Fenoy S, Magnet A, Khan B, Gould F, Lobo-Bedmar M, Izquierdo F. Detection of new emerging pathogens microsporidia in recreational areas in Leicester, UK: Potential risks for human health. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.06.1677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ali SM, Mehmood CA, Khan B, Jawad M, Farid U, Jadoon JK, Ali M, Tareen NK, Usman S, Majid M, Anwar SM. Stochastic and Statistical Analysis of Utility Revenues and Weather Data Analysis for Consumer Demand Estimation in Smart Grids. PLoS One 2016; 11:e0156849. [PMID: 27314229 PMCID: PMC4912072 DOI: 10.1371/journal.pone.0156849] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2016] [Accepted: 05/22/2016] [Indexed: 11/19/2022] Open
Abstract
In smart grid paradigm, the consumer demands are random and time-dependent, owning towards stochastic probabilities. The stochastically varying consumer demands have put the policy makers and supplying agencies in a demanding position for optimal generation management. The utility revenue functions are highly dependent on the consumer deterministic stochastic demand models. The sudden drifts in weather parameters effects the living standards of the consumers that in turn influence the power demands. Considering above, we analyzed stochastically and statistically the effect of random consumer demands on the fixed and variable revenues of the electrical utilities. Our work presented the Multi-Variate Gaussian Distribution Function (MVGDF) probabilistic model of the utility revenues with time-dependent consumer random demands. Moreover, the Gaussian probabilities outcome of the utility revenues is based on the varying consumer n demands data-pattern. Furthermore, Standard Monte Carlo (SMC) simulations are performed that validated the factor of accuracy in the aforesaid probabilistic demand-revenue model. We critically analyzed the effect of weather data parameters on consumer demands using correlation and multi-linear regression schemes. The statistical analysis of consumer demands provided a relationship between dependent (demand) and independent variables (weather data) for utility load management, generation control, and network expansion.
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Affiliation(s)
- S. M. Ali
- Electrical Engineering Department, COMSATS Institute of IT, Abbottabad, KPK, Pakistan
| | - C. A Mehmood
- Electrical Engineering Department, COMSATS Institute of IT, Abbottabad, KPK, Pakistan
| | - B. Khan
- Electrical Engineering Department, COMSATS Institute of IT, Abbottabad, KPK, Pakistan
| | - M. Jawad
- Electrical Engineering Department, COMSATS Institute of IT, Lahore, Pakistan
| | - U Farid
- Electrical Engineering Department, COMSATS Institute of IT, Abbottabad, KPK, Pakistan
- * E-mail:
| | - J. K. Jadoon
- Electrical Engineering Department, COMSATS Institute of IT, Abbottabad, KPK, Pakistan
| | - M. Ali
- Computer Science Department, COMSATS Institute of IT, Abbottabad, KPK, Pakistan
| | - N. K. Tareen
- Electrical Engineering Department, COMSATS Institute of IT, Abbottabad, KPK, Pakistan
| | - S. Usman
- Electrical Engineering Department, COMSATS Institute of IT, Sahiwal, Pakistan
| | - M. Majid
- Computer Engineering Department, University of Engineering and Technology, Taxila, Pakistan
| | - S. M. Anwar
- Software Engineering Department, University of Engineering and Technology, Taxila, Pakistan
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Ashraf S, Khan B, Sinha R, Bukhari M. AB0796 The Predictors of Fracture in Patients with Hyperparathyroidism: An Observational Study: Table 1. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.4410] [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: 11/04/2022]
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Sharif S, Khan B, Şahin O, Khan IU. Lanthanide complexes with pyridine-2,6-dicarboxylic acid: synthesis, crystal structure, thermal and magnetic properties of [LnPDA)2(PDAH2)] · (DMAH2)2(DMAH0.5)2. RUSS J COORD CHEM+ 2016. [DOI: 10.1134/s1070328416010048] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Zhang J, Khan B. Pericardial effusion. Assoc Med J 2015. [DOI: 10.1136/bmj.h2893] [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: 11/04/2022]
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Khan B, Avan BI. Qualitative adaptation of child behaviour problem instruments in a developing-country setting. East Mediterr Health J 2014; 20:450-458. [PMID: 25023772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/25/2013] [Accepted: 03/23/2014] [Indexed: 06/03/2023]
Abstract
A key barrier to epidemiological research on child behaviour problems in developing countries is the lack of culturally relevant, internationally recognized psychometric instruments. This paper proposes a model for the qualitative adaptation of psychometric instruments in developing-country settings and presents a case study of the adaptation of 3 internationally recognized instruments in Pakistan: the Child Behavior Checklist, the Youth Self-Report and the Teacher's Report Form. This model encompassed a systematic procedure with 6 distinct phases to minimize bias and ensure equivalence with the original instruments: selection, deliberation, alteration, feasibility, testing and formal approval. The process was conducted in collaboration with the instruments' developer. A multidisciplinary working group of experts identified equivalence issues and suggested modifications. Focus group discussions with informants highlighted comprehension issues. Subsequently modified instruments were thoroughly tested. Finally, the instruments' developer approval further validated the qualitative adaptation. The study proposes a rigorous and systematic model to effectively achieve cultural adaptation of psychometric instruments.
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Affiliation(s)
- B Khan
- Department of Psychology, University of Karachi, Karachi, Pakistan
| | - B I Avan
- London School of Hygiene and Tropical Medicine, London, United Kingdom
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Khan B, Avan B. Qualitative adaptation of child behaviour problem instruments in a developing-country setting. East Mediterr Health J 2014. [DOI: 10.26719/2014.20.7.450] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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33
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Nizami I, Khan B. The Lung Transplant Program in Saudi Arabia. Unique Differences and Challenges. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.698] [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: 11/26/2022] Open
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Khan B, Aminy Raouf H, Mushtaq M. P220 Evolving role of the respiratory specialist: Pleural ultrasound service 4 years on. Thorax 2013. [DOI: 10.1136/thoraxjnl-2013-204457.372] [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: 11/04/2022]
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36
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Dombrowski K, Khan B, Channell E, Moses J, McLean K, Misshula E. Kinship, Family, and Exchange in a Labrador Inuit Community. Arctic Anthropology 2013. [DOI: 10.3368/aa.50.1.89] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Simpson TRG, Constantinescu G, Mellor P, Lohani S, Khan B, Mushtaq M, Abdelhadi I, Bhattacharjee B, Serafimov V. P196 Percutaneous Ultrasound-Guided Biopsy of Intrathoracic Parietal Masses – a Safe Alternative to CT-Guided Biopsy? Thorax 2012. [DOI: 10.1136/thoraxjnl-2012-202678.257] [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: 11/04/2022]
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38
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Khan B, Lee R, Raouf HA. P144 Case Series: Choosing Thrombolysis in Acute Pulmonary Embolism (PE) – Massiveness or Instability? Thorax 2012. [DOI: 10.1136/thoraxjnl-2012-202678.427] [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: 11/04/2022]
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39
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Takada L, Sha S, Rankin K, Yokoyama J, Khan B, Karydas A, Fong J, DeJesus-Hernandez M, Rutherford N, Baker M, Rademakers R, Coppola G, Seeley W, Boxer A, Miller B. Neuropsychiatric Features of C9ORF72 Mutation-Associated bvFTD and FTD-ALS (S44.004). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.s44.004] [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: 11/15/2022] Open
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Yokoyama J, Takada L, Sha S, Karydas A, Khan B, Fong J, DeJesus-Hernandez M, Rutherford N, Baker M, Rademakers R, Coppola G, Seeley W, Boxer A, Miller B, Rankin K. Differential Effect of the C9ORF72 Hexanucleotide Repeat on Brain Morphology in bvFTD and FTD-ALS (IN9-2.005). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.in9-2.005] [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: 11/15/2022] Open
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41
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Khan B, Rankin K, Sha S, Takada L, Yokoyama J, Karydas A, Fong J, Rutherford N, Baker M, DeJesus-Hernandez M, Coppola G, Rademakers R, Rosen H, Seeley W, Boxer A, Miller B. C9ORF72 Mutations in Two Patients with Slowly Progressive bvFTD "Phenocopy" (S54.006). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.s54.006] [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: 11/15/2022] Open
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Takada L, Sha S, Rankin K, Yokoyama J, Khan B, Karydas A, Fong J, DeJesus-Hernandez M, Rutherford N, Baker M, Rademakers R, Coppola G, Seeley W, Boxer A, Miller B. Neuropsychiatric Features of C9ORF72 Mutation-Associated bvFTD and FTD-ALS (IN9-2.003). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.in9-2.003] [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: 11/15/2022] Open
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43
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Tartaglia C, Lee S, Geschwind M, Perry D, Afaisen S, Khan B, Wu T, Rodriguez H, Ketelle R, Steele J, Miller B. Neuropsychiatric Features of Parkinsonism Dementia Complex and Other Neurodegenerative Diseases on Guam (P05.040). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p05.040] [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: 11/15/2022] Open
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Lee S, Tartaglia C, Geschwind M, Perry D, Afaisen S, Wu T, Khan B, Steele J, Miller B. Hetereogeneity of Neurodegenerative Diseases on Guam (P05.037). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p05.037] [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: 11/15/2022] Open
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Sha S, Takada L, Rankin K, Yokoyama J, Khan B, Karydas A, Fong J, Rutherford N, Baker M, DeJesus-Hernandez M, Coppola G, Rademakers R, Seeley W, Miller B, Boxer A. The Phenotype of the Hexanucleotide Repeat C9FTD/ALS (C9ORF72) (P05.060). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p05.060] [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: 11/15/2022] Open
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Yokoyama J, Takada L, Sha S, Karydas A, Khan B, Fong J, DeJesus-Hernandez M, Rutherford N, Baker M, Rademakers R, Coppola G, Seeley W, Boxer A, Miller B, Rankin K. Differential Effect of the C9ORF72 Hexanucleotide Repeat on Brain Morphology in bvFTD and FTD-ALS (S34.005). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.s34.005] [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: 11/15/2022] Open
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Mushtaq A, Pervez S, Hussain S, Mirza JA, Khan MM, Asif M, Siddique MU, Khalid U, Khan B, Khalid M. Evaluation of Pakgen 99mTc generators loaded with indigenous fission 99Mo. RADIOCHIM ACTA 2012. [DOI: 10.1524/ract.2012.1945] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Abstract
Fission produced 99Mo/99mTc generators, called Pakgen, have been manufactured at the PINSTECH generator production facility since 2000 for nuclear medicine applications in Pakistan. These generators were loaded with fission 99Mo imported from NTP South Africa. Recently production of fission 99Mo has begun in the Molybdenum-99 Production Facility at PINSTECH. Prior to use in the clinic, eight sets of generators were produced, 23 GBq and 74 GBq at time of calibration, and they were subjected to various quality control procedures recommended in the pharmacopoeia to assess their performance. The elution profile, volume, activity, pH, radionuclidic, chemical, radiochemical and biological purity, and expiry time of the eluates were examined. Labeling efficiency tests were also carried out with a number of the more widely used in vivo radiopharmaceutical kits like DTPA, MDP and MIBI. Performance of 99mTc generators loaded with locally produced and imported fission 99Mo was comparable, and the users of Pakgen generators were fully satisfied. The effect of a wet vs. a dry column on 99mTc yields of generators loaded with low and high activity was also studied for the first time.
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Affiliation(s)
| | - S. Pervez
- Pakistan Institute of Nuclear Science and Technology, Isotope Production Division, Islamabad, Pakistan
| | - S. Hussain
- Pakistan Institute of Nuclear Science and Technology, Isotope Production Division, Islamabad, Pakistan
| | - J. A. Mirza
- Pakistan Institute of Nuclear Science and Technology, Isotope Production Division, Islamabad, Pakistan
| | - M. M. Khan
- Pakistan Institute of Nuclear Science and Technology, Isotope Production Division, Islamabad, Pakistan
| | - M. Asif
- Pakistan Institute of Nuclear Science and Technology, Isotope Production Division, Islamabad, Pakistan
| | - M. U. Siddique
- Pakistan Institute of Nuclear Science and Technology, Isotope Production Division, Islamabad, Pakistan
| | - U. Khalid
- Pakistan Institute of Nuclear Science and Technology, Isotope Production Division, Islamabad, Pakistan
| | - B. Khan
- Pakistan Institute of Nuclear Science and Technology, Isotope Production Division, Islamabad, Pakistan
| | - M. Khalid
- Pakistan Institute of Nuclear Science and Technology, Isotope Production Division, Islamabad, Pakistan
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Khan B, Raouf A, Mushtaq M. 49 Qualitative and quantitative experience of Medical Thoracoscopy (MT) in a DGH. Lung Cancer 2012. [DOI: 10.1016/s0169-5002(12)70050-8] [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: 11/25/2022]
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49
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Khan B, Bauman WA, Sinha AK, Kahn NN. Non-conventional hemostatic risk factors for coronary heart disease in individuals with spinal cord injury. Spinal Cord 2011; 49:858-66. [PMID: 21606930 DOI: 10.1038/sc.2011.33] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
STUDY DESIGN Review. OBJECTIVES In subjects with spinal cord injury (SCI), there is strong evidence for platelet hyperactivity, which may stimulate atherosclerosis and coronary heart disease (CHD). The literature was reviewed. BACKGROUND Individuals with SCI develop premature CHD. In addition to the conventional risk factors associated with CHD, there are pathologic hematological factors involved in atherogenesis that are similar to those that have been demonstrated in individuals with diabetes, and these hematological factors might affect individuals with SCI. One such hematological factor, platelet aggregation, is essential for the development of CHD, which results from thrombus formation in the coronary vasculature. Prostacyclin (PGI(2)) is a potent inhibitor of platelet aggregation and is thought to have a beneficial role in inhibiting atherogenesis; therefore, it is possible that individuals with SCI have impaired PGI(2) receptor function. METHODS We reviewed the literature by conducting a search using PubMed (1970-2007). RESULTS Acute thrombosis is emerging as an important factor in the etiology of CHD and therefore could mediate the risk of CHD in persons with SCI, in addition to previously known risk factors such as hyperlipidemia, hypertension, hyperlipidemia, diabetes mellitus and hyperinsulinemia. Because PGI(2) may retard atherogenesis through its inhibitory effects on platelet function, we discuss the effects of PGI(2) on platelets in persons with SCI in this review. CONCLUSIONS Subjects with chronic SCI develop abnormal platelet function, resulting in the production of atherogenic and thrombogenic factors for the following reasons: (1) the PGI(2) and insulin receptors on their platelets are impaired; (2) thrombin generation and platelet-derived growth factor release are elevated; (3) insulin-induced nitric oxide production by platelets is markedly impaired; and (4) a circulating antibody (immunoglobulin G (IgG)) blocks the antithrombotic effect of both insulin and PGI(2) receptors. Thus, this IgG molecule is thought to be one of the pathological mediators of the increased incidence of CHD in individuals with SCI.
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Affiliation(s)
- B Khan
- American University of Antigua COM, New York, NY, USA
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Khan B. Clinical biomarkers in resectable NSCLC. Thorax 2010. [DOI: 10.1136/thx.2010.145532] [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: 11/04/2022]
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