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Shah B, Hassan MA, Xie B, Wu K, Naveed H, Yan M, Dietrich CH, Duan Y. Mitogenomic Analysis and Phylogenetic Implications for the Deltocephaline Tribe Chiasmini (Hemiptera: Cicadellidae: Deltocephalinae). Insects 2024; 15:253. [PMID: 38667383 PMCID: PMC11050438 DOI: 10.3390/insects15040253] [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] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Revised: 03/26/2024] [Accepted: 04/02/2024] [Indexed: 04/28/2024]
Abstract
The grassland leafhopper tribe Chiasmini (Cicadellidae: Deltocephalinae) presently comprises 324 described species worldwide, with the highest species diversity occurring in the Nearctic region but a greater diversity of genera occurring in the Old World. In China, this tribe comprises 39 described species in 11 genera, but the fauna remains understudied. The complete mitogenomes of three species of this tribe have been sequenced previously. In order to better understand the phylogenetic position of Chiasmini within the subfamily Deltocephalinae and to investigate relationships among Chiasmini genera and species, we sequenced and analyzed the complete mitogenomes of 13 species belonging to seven genera from China. Comparison of the newly sequenced mitogenomes reveals a closed circular double-stranded structure containing 37 genes with a total length of 14,805 to 16,269 bp and a variable number of non-coding A + T-rich regions. The gene size, gene order, gene arrangement, base composition, codon usage, and secondary structure of tRNAs of the newly sequenced mitogenomes of these 13 species are highly conserved in Chiasmini. The ATN codon is commonly used as the start codon in protein-coding genes (PCGs), except for ND5 in Doratura sp. and ATP6 in Nephotettix nigropictus, which use the rare GTG start codon. Most protein-coding genes have TAA or TAG as the stop codon, but some genes have an incomplete T stop codon. Except for the tRNA for serine (trnS1(AGN)), the secondary structure of the other 21 tRNAs is a typical cloverleaf structure. In addition to the primary type of G-U mismatch, five other types of tRNA mismatches were observed: A-A, A-C, A-G, U-C, and U-U. Chiasmini mitochondrial genomes exhibit gene overlaps with three relatively stable regions: the overlapping sequence between trnW and trnC is AAGTCTTA, the overlapping sequence between ATP8 and ATP6 is generally ATGATTA, and the overlapping sequence between ND4 and ND4L is generally TTATCAT. The largest non-coding region is the control region, which exhibits significant length and compositional variation among species. Some Chiasmini have tandem repeat structures within their control regions. Unlike some other deltocephaline leafhoppers, the sequenced Chiasmini lack mitochondrial gene rearrangements. Phylogenetic analyses of different combinations of protein-coding and ribosomal genes using maximum likelihood and Bayesian methods under different models, using either amino acid or nucleotide sequences, are generally consistent and also agree with results of prior analyses of nuclear and partial mitochondrial gene sequence data, indicating that complete mitochondrial genomes are phylogenetically informative at different levels of divergence within Chiasmini and among leafhoppers in general. Apart from Athysanini and Opsiini, most of the deltocephaline tribes are recovered as monophyletic. The results of ML and BI analyses show that Chiasmini is a monophyletic group with seven monophyletic genera arranged as follows: ((Zahniserius + (Gurawa + (Doratura + Aconurella))) + (Leofa + (Exitianus + Nephotettix))).
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Affiliation(s)
- Bismillah Shah
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei 230036, China; (B.S.); (B.X.); (K.W.); (M.Y.)
- Department of Forestry Protection, School of Forestry and Biotechnology, Zhejiang A&F University, 666 Wusu Street, Linan, Hangzhou 311300, China
| | - Muhammad Asghar Hassan
- The Provincial Special Key Laboratory for Development and Utilization of Insect Resources, Institute of Entomology, Guizhou University, Guiyang 550025, China;
| | - Bingqing Xie
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei 230036, China; (B.S.); (B.X.); (K.W.); (M.Y.)
| | - Kaiqi Wu
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei 230036, China; (B.S.); (B.X.); (K.W.); (M.Y.)
| | - Hassan Naveed
- School of Life Sciences, Jiangsu University, Zhenjiang 212013, China;
| | - Minhui Yan
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei 230036, China; (B.S.); (B.X.); (K.W.); (M.Y.)
| | - Christopher H. Dietrich
- Illinois Natural History Survey, Prairie Research Institute, University of Illinois, Champaign, IL 61820, USA;
| | - Yani Duan
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei 230036, China; (B.S.); (B.X.); (K.W.); (M.Y.)
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Shah B, Kajal S, Bhalla AS, Madan K, Viswanathan GK, Thakar A, Sikka K, Bairwa M, Verma H. Prolonged Itraconazole Therapy as Sole Treatment for Patients with Allergic Fungal Rhinosinusitis. Laryngoscope 2024; 134:545-551. [PMID: 37377280 DOI: 10.1002/lary.30841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/31/2023] [Accepted: 06/09/2023] [Indexed: 06/29/2023]
Abstract
BACKGROUND Currently, the mainstay of treatment for allergic fungal rhinosinusitis (AFRS) is surgical debridement along with topical or systemic steroids. However, prolonged systemic steroid therapy comes with side effects and is also sometimes contraindicated. Systemic antifungals have been used earlier as an adjunct to steroids or in refractory cases, but they have not been used as the sole primary treatment. OBJECTIVE To study the effectiveness of sole Itraconazole therapy in patients with AFRS by comparison of clinical, radiological, and biochemical parameters before and after treatment. METHODS Thirty-four patients diagnosed with localized sino-nasal AFRS were recruited and started on the tablet Itraconazole 200 mg orally twice daily for 3 months with q2weekly monitoring of liver function tests. The baseline clinical, radiological, and biochemical parameters were then compared with those after completion of 3 months of Itraconazole therapy. RESULTS There was significant difference between all the parameters-clinical: SNOT-22 score (p < 0.001) and Meltzer endoscopy score (p < 0.001), radiological: Lund-Mackay score (p = 0.004) and 20-point CT score (p = 0.002), and biochemical: serum total IgE (p < 0.001), Aspergillus-specific IgE (p < 0.001), and absolute eosinophil count (p < 0.001). The clearance of the disease was more in anterior sinuses than the posterior ones. CONCLUSION Prolonged Itraconazole can be given as sole therapy in AFRS, especially in patients for whom steroids are contraindicated or in those who are awaiting surgery. It can result in symptomatic and radiological improvement, but surgery still remains the definitive treatment option for AFRS for complete clearance of disease. LEVEL OF EVIDENCE 3 Laryngoscope, 134:545-551, 2024.
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Affiliation(s)
- B Shah
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - S Kajal
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - A S Bhalla
- Department of Radiodiagnosis, AIIMS, New Delhi, India
| | - K Madan
- Department of Pulmonary Medicine, AIIMS, New Delhi, India
| | - G K Viswanathan
- Department of Haematology and Oncology, AIIMS, New Delhi, India
| | - A Thakar
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - K Sikka
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - M Bairwa
- Department of Community Medicine, AIIMS, New Delhi, India
| | - H Verma
- Department of Otorhinolaryngology and Head-Neck Surgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India
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Naveed H, Shah B, Sohail K, Zhang Y, Chen K. Review of the leafhopper tribe Deltocephalini Dallas, 1870 (Hemiptera, Cicadellidae, Deltocephalinae) in Pakistan with description of a new species of Paramesodes. Zookeys 2023; 1186:207-219. [PMID: 38312857 PMCID: PMC10836649 DOI: 10.3897/zookeys.1186.110266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Accepted: 11/16/2023] [Indexed: 02/06/2024] Open
Abstract
A review of the leafhopper tribe Deltocephalini in Pakistan is provided, including comprehensive illustrated keys to all genera and species, along with their diagnosis and distribution. A new species of Paramesodes is described, P.dirensissp. nov., which was discovered in the Upper Dir District of Khyber Pakhtunkhwa, Pakistan. A detailed description of this new species is provided together with photographs for visual reference. This tribe now has three genera and 13 species from Pakistan. The genus Deltocephalus Burmeister includes two species, and Maiestas Distant has nine species; Paramesodes Ishihara is now represented with two species.
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Affiliation(s)
- Hassan Naveed
- School of Food and Biological Engineering, Jiangsu University, Zhenjiang 212013, China
| | - Bismillah Shah
- School of Life Sciences, Jiangsu University, Zhenjiang 212013, China
| | - Kamran Sohail
- Department of Forestry Protection, School of Forestry and Biotechnology, Zhejiang A&F University, 666 Wusu Street, Linan, Hangzhou, Zhejiang 311300, China
| | - Yalin Zhang
- Department of Entomology, The University of Agriculture, Peshawar 25100, Pakistan
| | - Keping Chen
- School of Food and Biological Engineering, Jiangsu University, Zhenjiang 212013, China
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Shah B, Hallinan B, Kramer A, Caccamese JF. Predictability of the virtual surgical plan for orthognathic surgery with the mandible surgery first sequence. Int J Oral Maxillofac Surg 2023; 52:1179-1187. [PMID: 37087313 DOI: 10.1016/j.ijom.2023.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 04/04/2023] [Accepted: 04/05/2023] [Indexed: 04/24/2023]
Abstract
The aim of this study was to compare the virtually planned position to the postoperative position of the maxilla, having performed the maxilla-first sequence or mandible-first sequence orthognathic surgery. An audit of 64 patients who underwent bimaxillary surgery between 2017 and 2020 was performed. Thirty patients had maxilla-first surgery and 34 had mandible-first surgery. The planned and post-surgical positions were analyzed using specific skeletal landmarks. Differences were calculated and the two-sample t-test was used to compare the groups. Measured differences between the planned and postoperative results differed significantly between the mandible-first and maxillary-first surgery groups (P < 0.001). The maxillary central incisors were under-advanced in the anterior-posterior direction in both groups. Most data points showed deviation from the surgical plan ≤ 2 mm and ≤ 4°. Secondarily, maxillary under-advancement in the mandible-first cohort was evaluated; these patients were subdivided into rigid and non-rigid fixation groups. The non-rigid fixation group showed less accuracy compared to the rigid fixation group, which was statistically significant (P = 0.014). The findings of this study demonstrate that virtual surgical planning can be less accurate in predicting the maxillary incisor position when performing mandible-first surgery, but this inaccuracy is within the acceptable range and can be mitigated by rigid fixation of the mandible.
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Affiliation(s)
- B Shah
- Clinic D, Oral and Maxillofacial Surgery, John H. Stroger Jr. Hospital of Cook County, Chicago, Illinois, USA.
| | - B Hallinan
- Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Maryland, University of Maryland Medical Center, Baltimore, Maryland, USA
| | - A Kramer
- Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Maryland, University of Maryland Medical Center, Baltimore, Maryland, USA
| | - J F Caccamese
- Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Maryland, University of Maryland Medical Center, Baltimore, Maryland, USA
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Al-Qudsi A, Mittal D, Mercuri L, Shah B, Emmerling M, Murphy J. Utilization of extended temporomandibular joint replacements in patients with hemifacial microsomia. Int J Oral Maxillofac Surg 2023; 52:1216-1220. [PMID: 37268548 DOI: 10.1016/j.ijom.2023.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 05/16/2023] [Accepted: 05/18/2023] [Indexed: 06/04/2023]
Abstract
Hemifacial microsomia (HFM) patients may benefit from extended temporomandibular joint replacements (eTMJR) to improve function and quality of life. A cross-sectional survey was sent to surgeons who place alloplastic temporomandibular joints regarding their experience with and complications encountered when placing eTMJR in patients with HFM. Fifty-nine responded to the survey. Thirty-six (61.0%) reported treating patients with HFM and 30 (50.8%) of those reported placing an alloplastic temporomandibular joint (TMJ) prosthesis for patients with HFM. Twenty-three of the 30 surgeons (76.7%) placing alloplastic TMJ prostheses reported using an eTMJR in patients with HFM. The average maximum inter-incisal opening (MIO) after an eTMJR in HFM patients was repor ted as> 25 mm by 82.6% of the participants, and between 16 mm and 25 mm by 17.4%. No participants reported MIO < 15 mm. To avoid condylar sag and open bite changes postoperatively, over 70% reported using some form of modification to stabilize the occlusion. Respondents reported good functional outcomes for eTMJR in patients with HFM with relatively few complications. Therefore, eTMJR could be considered a viable option in the management of this patient population.
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Affiliation(s)
- A Al-Qudsi
- Oral and Maxillofacial Surgery, Cook County Health, Chicago, IL, USA.
| | - D Mittal
- College of Psychology, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - L Mercuri
- Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA
| | - B Shah
- Oral and Maxillofacial Surgery, Cook County Health, Chicago, IL, USA
| | - M Emmerling
- Oral and Maxillofacial Surgery, Cook County Health, Chicago, IL, USA
| | - J Murphy
- Oral and Maxillofacial Surgery, Cook County Health, Chicago, IL, USA; Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL, USA
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Chen J, Zhang J, Liu W, Shah B, Dietrich CH, Duan Y. Morphological and ultrastructural studies of the internal reproductive systems of two deltocephaline leafhoppers, Nephotettixcincticeps and Deltocephalusvulgaris (Hemiptera, Cicadellidae, Deltocephalinae). Zookeys 2023; 1182:339-359. [PMID: 37900703 PMCID: PMC10612119 DOI: 10.3897/zookeys.1182.111297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 10/02/2023] [Indexed: 10/31/2023] Open
Abstract
Insects have highly variable reproductive systems, reflecting a diversity of reproductive strategies and adaptations. Such variation has been widely used to classify and estimate phylogenetic relationships. Here, the morphology and ultrastructure of the internal reproductive systems of two leafhopper species are described and illustrated, using both light and transmission electron microscopy, and representing two tribes of Deltocephalinae: in Chiasmini, Nephotettixcincticeps (Uhler, 1896), and in Deltocephalini, Deltocephalusvulgaris (Dash & Viraktamath, 1998). Tables comparing the morphology of male and female internal reproductive structures of these studied species are provided and indicate that the main differences are in the relative shapes, sizes, and colors of these structures. The overall structure and organization, including details of the ultrastructure, of these two leafhopper species' male and female internal reproductive systems are very similar to those of previously studied leafhoppers. The main differences observed among species include the number of testicular follicles, the relative position of seminal vesicles and the degree of development of the accessory glands in the male, the number of ovaries, and the shape and color of the vagina and spermatheca in the female.
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Affiliation(s)
- Jiarui Chen
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei, Anhui 230036, ChinaAnhui Agricultural UniversityHefeiChina
| | - Jing Zhang
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei, Anhui 230036, ChinaAnhui Agricultural UniversityHefeiChina
| | - Wei Liu
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei, Anhui 230036, ChinaAnhui Agricultural UniversityHefeiChina
- Jingxian Agricultural and Rural Bureau, Xuancheng, Anhui 242500, ChinaJingxian Agricultural and Rural BureauXuanchengChina
| | - Bismillah Shah
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei, Anhui 230036, ChinaAnhui Agricultural UniversityHefeiChina
- Department of Forestry Protection, School of Forestry and Biotechnology, Zhejiang A&F University, 666 Wusu Street, Linan, Hangzhou, Zhejiang 311300, ChinaZhejiang A&F UniversityHangzhouChina
| | - Christopher H. Dietrich
- Illinois Natural History Survey, Prairie Research Institute, University of Illinois, Champaign, IL 61820, USAUniversity of IllinoiChampaignUnited States of America
| | - Yani Duan
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei, Anhui 230036, ChinaAnhui Agricultural UniversityHefeiChina
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Zhang X, Xu J, Shah B, Duan Y. New taxa in the leafhopper tribe Deltocephalini (Hemiptera: Cicadellidae: Deltocephalinae) from China. Zootaxa 2023; 5271:525-537. [PMID: 37518113 DOI: 10.11646/zootaxa.5271.3.5] [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: 04/26/2023] [Indexed: 08/01/2023]
Abstract
Pseudomaiestas gen. nov. with Pseudomaiestas dietrichi sp. nov. (type species, China: Yunnan Prov.), and Maiestas anhuiensis sp. nov. (China: Anhui Prov.) are described and illustrated. A checklist to the known genera and species of Deltocephalini from China is given together with a generic key. The tribe now holds 14 genera and 59 species in total from China. The genera Alobaldia Emeljanov, Amblysellus Sleesman, Ctenurella Vilbaste, Graminella DeLong, Matsumuratettix Metcalf, Peitouellus Vilbaste, Polyamia DeLong, Recilia Edwards, Wyushinamia Zhang & Duan, and Pseudomaiestas Xu, Shah & Duan gen. nov. contain 1 species. Similarly, Yuanamia Zhang & Duan includes 2 species, Paramesodes Ishihara contains 6 species, Deltocephalus Burmeister has 7 species, and Maiestas Distant is recorded with 34 species respectively. A separate key for the Chinese Maiestas species is also given.
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Affiliation(s)
- Xinyi Zhang
- Anhui Province Key Laboratory of Integrated Pest Management on Crops; Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes; School of Plant Protection; Anhui Agricultural University; Hefei; Anhui 230036; China..
| | - Jing Xu
- Anhui Province Key Laboratory of Integrated Pest Management on Crops; Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes; School of Plant Protection; Anhui Agricultural University; Hefei; Anhui 230036; China..
| | - Bismillah Shah
- Anhui Province Key Laboratory of Integrated Pest Management on Crops; Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes; School of Plant Protection; Anhui Agricultural University; Hefei; Anhui 230036; China.; Department of Forestry Protection; School of Forestry and Biotechnology; Zhejiang A & F University; 666 Wusu street; Linan; Hangzhou; Zhejiang 311300; China..
| | - Yani Duan
- Anhui Province Key Laboratory of Integrated Pest Management on Crops; Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes; School of Plant Protection; Anhui Agricultural University; Hefei; Anhui 230036; China..
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SCHMOUDER R, Shah B, Hackling M, James A, Nidamarthy P, Kulmatycki K. WCN23-0371 ABSORPTION AND DISPOSITION OF A FIRST-IN-CLASS ALTERNATIVE COMPLEMENT PATHWAY FACTOR B INHIBITOR: IPTACOPAN. Kidney Int Rep 2023. [DOI: 10.1016/j.ekir.2023.02.605] [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: 03/22/2023] Open
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Virani Z, dadwe M, chauhan V, Vishnoi S, vadlapatla K, parekh I, Tapiawala S, Gawde C, saldanha N, Vora H, rajput P, Shah B. POS-048 A PETRI DISH OF INFECTIONS POST KIDNEY TRANSPLANT. Kidney Int Rep 2022. [DOI: 10.1016/j.ekir.2022.07.065] [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: 10/14/2022] Open
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Virani Z, Saldanha N, Chauhan V, Dadwe M, Vishnoi S, Parekh I, Vora H, Rajput P, Tapiawala S, Shah B. POS-088 SIMULTANEOUS CYTOMEGALOVIRUS COLITIS AND ABDOMINAL TUBERCULOSIS POST KIDNEY TRANSPLANT. Kidney Int Rep 2022. [DOI: 10.1016/j.ekir.2022.07.106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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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Shah B, Yang K, Klink A, Liu T, Zimmerman T, Gajra A, Tang B. P1157: REAL-WORLD TREATMENT PATTERNS AND COMPARATIVE EFFECTIVENESS OF BRUTON TYROSINE KINASE INHIBITORS IN PATIENTS WITH MANTLE CELL LYMPHOMA. Hemasphere 2022. [PMCID: PMC9431325 DOI: 10.1097/01.hs9.0000847496.16686.fc] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Melendez YP, Mahmoud A, Caddell R, Nelson R, Sokol L, Shah B, Saeed H. CLO22-066: Toxicity of a Modified PEG-Asparaginase Based SMILE Regimen is Comparable to L-Asparaginase Based SMILE in a non-Asian Population. J Natl Compr Canc Netw 2022. [DOI: 10.6004/jnccn.2021.7185] [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: 11/17/2022]
Affiliation(s)
| | | | | | - R Nelson
- 1 Moffitt Cancer Center, Tampa, FL
| | - L Sokol
- 1 Moffitt Cancer Center, Tampa, FL
| | - B Shah
- 1 Moffitt Cancer Center, Tampa, FL
| | - H Saeed
- 1 Moffitt Cancer Center, Tampa, FL
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Kunal S, Gupta M, Shah B, Palleda G, Bansal A, Batra V, Yusuf J, Mukhopadhyay S, Tyagi S. Subclinical left and right ventricular dysfunction in COVID-19 recovered patients using speckle tracking echocardiography. Eur Heart J Cardiovasc Imaging 2022. [PMCID: PMC9383410 DOI: 10.1093/ehjci/jeab289.073] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Funding Acknowledgements Type of funding sources: None. Introduction Myocardial injury during acute COVID-19 infection is well characterised however, its persistence during recovery is unclear. Purpose We assessed left ventricle (LV) global longitudinal strain (GLS) and right ventricular (RV) free wall longitudinal strain and RV global longitudinal strain (RV-GLS) using speckle tracking echocardiography (STE) in COVID-19 recovered patients (30-45 days post recovery) and studied its correlation with various parameters. Methods Of the 245 subjects screened, a total of 53 subjects recovered from COVID-19 infection and normal LV ejection fraction were enrolled. Routine blood investigations, inflammatory markers (on admission) and comprehensive echocardiography including STE were done for all. Results All the 53 subjects were symptomatic during COVID-19 illness and were categorized as mild: 27 (50.9%), moderate: 20 (37.7%) and severe: 6 (11.4%) COVID-19 illness. Reduced LV GLS was reported in 22 (41.5%), reduced RV-GLS in 23 (43.4%) and reduced RVFWS in 22 (41.5%) patients respectively. LVGLS was significantly lower in patients recovered from severe illness (mild: -20.3 ± 1.7%; moderate: -15.3 ± 3.4%; severe: -10.7 ± 5.1%; P < 0.0001). Similarly, RVGLS (mild: -21.8 ± 2.8%; moderate: -16.8 ± 4.8%; severe: -9.7 ± 4.6%; P < 0.0001) and RVFWS (mild: -23.0 ± 4.1%; moderate: -18.1 ± 5.5%; severe: -9.3 ± 4.4%; P < 0.0001) were significantly lower in subjects with severe COVID-19. Subjects with reduced LVGLS as well as RVGLS and RVFWS had significantly higher interleukin-6, C-reactive protein, lactate dehydrogenase and serum ferritin levels during index admission. Conclusions Subclinical LV and RV dysfunction was seen in majority of COVID-19 recovered patients. Patients with severe disease during index admission had far lower LV and RVGLS as compared to mild and moderate cases. Our study highlights the need for close follow-up of COVID-19 recovered subjects in order to determine the long-term cardiovascular outcomes.
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Affiliation(s)
- S Kunal
- G B PANT HOSPITAL, Delhi, India
| | - M Gupta
- G B PANT HOSPITAL, Delhi, India
| | - B Shah
- G B PANT HOSPITAL, Delhi, India
| | | | | | - V Batra
- G B PANT HOSPITAL, Delhi, India
| | - J Yusuf
- G B PANT HOSPITAL, Delhi, India
| | | | - S Tyagi
- G B PANT HOSPITAL, Delhi, India
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Veeranki SP, Xiao Z, Levorsen A, Sinha M, Shah B. A Real-World Comparative Effectiveness Analysis of Thromboprophylactic Use of Enoxaparin Versus Unfractionated Heparin in Abdominal Surgery Patients in a Large U.S. Hospital Database. Hosp Pharm 2022; 57:121-129. [PMID: 35521006 PMCID: PMC9065531 DOI: 10.1177/0018578720987141] [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: 02/03/2023]
Abstract
Introduction: Little is known about outcomes associated with enoxaparin versus unfractionated heparin (UFH) for venous thromboembolism (VTE) prophylaxis in abdominal surgery patients in U.S. clinical practice. The purpose of this study was to compare VTE, all-cause mortality, PE-related in-hospital mortality, and hospital costs during abdominal surgery hospitalization and the 90 days post-discharge between patients who received enoxaparin versus UFH prophylaxis. Materials and Methods: Using the Premier Healthcare Database, abdominal surgery patients who received at least 1 day of VTE prophylaxis with enoxaparin or UFH were identified between January 1, 2010 and September 30, 2016. Clinical outcomes were assessed using multivariable logistic regression models and cost outcomes were assessed using generalized linear models. Results: Of 363,669 patients identified, 59% received enoxaparin and 41% UFH. In adjusted analyses, there were statistically significant lower odds of VTE (OR 0.80; 95% CI 0.65-0.97), all-cause mortality (OR 0.67; 95% CI 0.60-0.75), and major bleeding (OR 0.88; 95% CI 0.82-0.94) during the hospitalization for enoxaparin versus UFH, but no differences during the 90-days post-discharge or for PE-related mortality. There was a statistically significant lower total hospital cost with enoxaparin versus UFH during index hospitalization ($8,913 vs $9,017, P < .0001), but not post-discharge ($3,342 vs $3,368, P = .42). Unadjusted rates of heparin-induced thrombocytopenia (index:0.1% vs 0.3%; post-discharge: 0.02% vs 0.06%) were reported for enoxaparin and UFH, respectively. Conclusion: In contemporary U.S. hospital practice, statistically significant lower odds of VTE, all-cause mortality and major bleeding with enoxaparin versus UFH prophylaxis were found during abdominal surgery hospitalizations.
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Affiliation(s)
- S. P. Veeranki
- Premier Applied Sciences, Premier Inc., Charlotte, NC, USA,University of Texas Medical Branch, Galveston, TX, USA,Precision HEOR, Los Angeles, CA, USA
| | | | - A. Levorsen
- Sanofi, Oslo, Norway,A. Levorsen, Global Health Economics and Value Assessment HTA Strategy, SANOFI, Professor Kohtsvei 5-17, Lysaker 1366, Norway.
| | - M. Sinha
- Premier Applied Sciences, Premier Inc., Charlotte, NC, USA
| | - B. Shah
- Livongo Health, Mountain View, CA, USA,Duke University, Durham, NC, USA
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Naveed H, Shah B, Khan BS, Cao C, Webb M, Zhang Y. Checklist and keys to Deltocephalinae leafhoppers (Hemiptera, Cicadellidae) from Pakistan. Zookeys 2021; 1078:135-188. [PMID: 35068956 PMCID: PMC8714801 DOI: 10.3897/zookeys.1078.47616] [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: 10/25/2019] [Accepted: 10/14/2021] [Indexed: 12/04/2022] Open
Abstract
Keys to all levels of the subfamily Deltocephalinae (Hemiptera: Cicadellidae) of Pakistan are provided based on published records and original data from recent research. Checklists to the genera and species of Deltocephalinae are also given. A total of 49 genera with more than 100 species are now known from Pakistan. Two new synonyms are proposed, i.e., Cicadulinastriata Ahmed, 1986 a junior synonym of Cicadulinachinai Ghauri, 1965, syn. nov. and Macrostelesparafalcatus Naveed & Zhang, 2018 a new junior synonym of Macrostelesindrina (Pruthi, 1930), syn. nov.
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Affiliation(s)
- Hassan Naveed
- College of Life Science, Leshan Normal University, Leshan, Sichuan 614004, ChinaLeshan Normal UniversityLeshanChina
- Key Laboratory of Plant Protection Resources and Pest Management of the Ministry of Education, Entomological Museum, Northwest A&F University, Yangling, Shaanxi Province 712100, ChinaNorthwest A&F UniversityYanglingChina
| | - Bismillah Shah
- School of Plant Protection, Anhui Agricultural University, Changjiang West Road 130, Hefei, 230036 Anhui, ChinaAnhui Agricultural UniversityHefeiChina
| | - Bilal Saeed Khan
- Department of Entomology, Faculty of Agriculture, University of Faisalabad, Punjab 38040, PakistanUniversity of FaisalabadFaisalabadPakistan
| | - Chengquan Cao
- College of Life Science, Leshan Normal University, Leshan, Sichuan 614004, ChinaLeshan Normal UniversityLeshanChina
| | - Mick Webb
- Department of Life Sciences, Natural History Museum, Cromwell Road, London SW7 5BD, UKNatural History MuseumLondonUnited Kingdom
| | - Yalin Zhang
- Key Laboratory of Plant Protection Resources and Pest Management of the Ministry of Education, Entomological Museum, Northwest A&F University, Yangling, Shaanxi Province 712100, ChinaNorthwest A&F UniversityYanglingChina
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Arora S, Shah B, Kiran S, Kumar N. SPIS-F score:a score based on screen time, physical activity, sleep hours, energy intake and family history of obesity in children aged 5-12 year and its correlation with bmi and childhood obesity in indian children. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.668] [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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17
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Shah B, Naveed H, Webb MD, Duan Y. Taxonomic review of the grassland leafhopper genus Maiestas Distant (Hemiptera: Cicadellidae: Deltocephalinae: Deltocephalini) from Pakistan with description of a new species and two new records. Zootaxa 2021; 5060:401-416. [PMID: 34810658 DOI: 10.11646/zootaxa.5060.3.6] [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: 10/29/2021] [Indexed: 11/04/2022]
Abstract
The grassland leafhopper genus Maiestas Distant is reviewed from Pakistan with the description and illustrations of one new species, Maiestas sinuata Shah Duan sp. n., and two new records, i.e., Maiestas maculata n. rec. and Maiestas trispinosa n. rec. A checklist of the known species of Maiestas from Pakistan is also given together with a key for their separation (males).
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Affiliation(s)
- Bismillah Shah
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei, Anhui 230036, China..
| | - Hassan Naveed
- College of Life Sciences, Leshan Normal University, Leshan, Sichuan 614004, China..
| | - Michael D Webb
- Department of Life Sciences, Insects, the Natural History Museum, South Kensington, London, SW7 5BD, UK .
| | - Yani Duan
- Anhui Province Key Laboratory of Integrated Pest Management on Crops, Key Laboratory of Biology and Sustainable Management of Plant Diseases and Pests of Anhui Higher Education Institutes, School of Plant Protection, Anhui Agricultural University, Hefei, Anhui 230036, China..
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Abstract
Abstract
The coronavirus pandemic has overwhelmed healthcare systems worldwide, with more than 40 million affected and 1 million deaths. In addition to the typical symptoms, less clinically obvious was the underlying hypercoagulable state, termed COVID-19 associated coagulopathy (CAC). The exact mechanism of CAC is unknown, but it is suspected to involve all three aspects of Virchow’s Triad: endothelial injury, stasis, and a hypercoagulable state. Here we report the case of a woman in her 60’s who was admitted with COVID-19 and developed CAC with subsequent complications. She presented with a 3-day history of fevers, severe shortness of breath, and cough. Past medical history was significant for hypertension, poorly controlled insulin dependant diabetes, and obesity. She was admitted with COVID induced type 2 respiratory failure (pO2 of 5.5 on 15L), DKA (ketones 2.1), AKI (Cr 163), and a hypercoagulable state (D-dimer >20 000). She was intubated and commenced on an insulin sliding scale, therapeutic anticoagulation, and antibiotics. On day 2 she became anuric, with CT-angio demonstrating thrombus extending from renal arteries down to the right popliteal artery. She underwent an embolectomy and 4 compartment fasciotomy and was started on renal replacement therapy. Unfortunately, her leg was not deemed viable, and due to persistent hyperkalaemia required amputation 2 days later. She continued to deteriorate despite maximal multiple organ support and was palliated 15 days later. CAC can have life-threatening sequelae, and patients with COVID-19 infection should be commenced on anticoagulation upon diagnosis.
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Affiliation(s)
- B Shah
- Cambridge University, London, United Kingdom
| | - M Kedrzycki
- Imperial College London, London, United Kingdom
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19
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Hallinan B, Shah B, Caccamese J, Kramer A. Accuracy of Virtual Surgical Planning with Mandible-first Surgery and Factors that may Affect It. J Oral Maxillofac Surg 2021. [DOI: 10.1016/j.joms.2021.08.061] [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] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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20
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Rawoot S, Punatar C, Singh V, Anand A, Shah B, Nagaonkar S, Joshi V. Neutrophil to lymphocyte ratio as a prognostic marker for non-metastatic renal cell carcinoma - does it add to what we already know? Exp Oncol 2021; 43:247-251. [PMID: 34591425 DOI: 10.32471/exp-oncology.2312-8852.vol-43-no-3.16543] [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: 11/18/2022]
Abstract
AIM To study the correlation of pre-operative neutrophil to lymphocyte ratio (NLR) with pathological stage, Fuhrman grade, sarcomatoid differentiation, tumor necrosis and lymph node positivity and its prognostic role in non-metastatic renal cell carcinoma (non-mRCC). MATERIALS AND METHODS This retro-prospective, observational study was done at a tertiary care center in Mumbai, India. All patients with non-mRCC from July 2015 to April 2018 were included. Patients with co-existing systemic infection, prior immunotherapy, and long-term steroids were excluded. NLR closest to surgery, but within one month prior to surgery was used. Patients were stratified as NLR ≥ 3.0 or < 3. NLR was correlated with known prognostic factors by Pearson's correlation. RESULTS 113 patients, aged 18-81 years (83 males and 30 females) were included. 75% had clear cell RCC. 62% had stage 1 disease. 58% patients had Fuhrman Grade 2. 10 patients had lymph node metastasis, 6 had sarcomatoid differentiation, 40 had tumor necrosis. The NLR was < 3 in 72 patients. Statistically significant correlation between NLR and tumor stage (p = 0.0054) as well as NLR and tumor necrosis (p = 0.0128) was shown. CONCLUSIONS NLR correlates significantly with higher T stage and tumor necrosis. NLR may be integrated with well-established prognostic markers to improve the accuracy of prognostic scores.
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Affiliation(s)
- S Rawoot
- P.D. Hinduja National Hospital and Medical Research Centre, Mumbai 400016, India
| | - C Punatar
- P.D. Hinduja National Hospital and Medical Research Centre, Mumbai 400016, India
| | - V Singh
- P.D. Hinduja National Hospital and Medical Research Centre, Mumbai 400016, India
| | - A Anand
- P.D. Hinduja National Hospital and Medical Research Centre, Mumbai 400016, India
| | - B Shah
- P.D. Hinduja National Hospital and Medical Research Centre, Mumbai 400016, India
| | - S Nagaonkar
- P.D. Hinduja National Hospital and Medical Research Centre, Mumbai 400016, India
| | - V Joshi
- P.D. Hinduja National Hospital and Medical Research Centre, Mumbai 400016, India
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21
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Herbert S, Ganguzza L, Shah B, Newman J, Gianos E, Heffron S, Woolf K. Dietary Inflammatory Index and Cardiometabolic Risk in Individuals with Coronary Artery Disease. J Acad Nutr Diet 2021. [DOI: 10.1016/j.jand.2021.06.045] [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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22
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Ashurst J, Santarelli A, Huynh M, Smith V, Krzeczowski R, Shah B, Hammode E, Ihms B, Potter P. 102 A Comparison of Presenting Characteristics, Comorbidities, and Outcomes of Those Admitted to the Intensive Care Unit Between Community and Urban Emergency Departments in Arizona. Ann Emerg Med 2021. [PMCID: PMC8335477 DOI: 10.1016/j.annemergmed.2021.07.104] [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: 11/15/2022]
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23
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Figura N, Sim A, Dahiya S, Lutfi F, Rapoport A, Mohindra P, Dohm A, Chavez J, Shah B, Khimani F, Lazaryan A, Davila M, Bachmeier C, Nishihori T, Liu H, Kim S, Locke F, Jain M, Robinson T. PO-1075 Bridging Radiotherapy prior to Brexucabtagene Autoleucel CAR T-Cell Therapy in Mantle Cell Lymphoma. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07526-5] [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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24
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Ashurst J, Santarelli A, Huynh M, Smith V, Krzeczowski R, Shah B, Hammode E, Ihms B, Potter P. 96 A Comparison of Presenting Characteristics, Comorbidities, and Outcomes of Those With COVID-19 Who Present to Either a Rural or Urban Emergency Department in Arizona. Ann Emerg Med 2021. [PMCID: PMC8335530 DOI: 10.1016/j.annemergmed.2021.07.098] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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25
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Abramson JS, Bengston EM, Redd R, Barnes JA, Takvorian T, Sokol L, Lansigan F, Armand P, Shah B, Jacobsen E, Martignetti R, Turba E, Metzler SR, Patterson V, LaCasce AS, Bello CM. MATURE RESULTS FROM A PHASE II TRIAL OF BRENTUXIMAB VEDOTIN PLUS ADRIAMYCIN AND DACARBAZINE WITHOUT RADIATION IN NON‐BULKY LIMITED STAGE CLASSICAL HODGKIN LYMPHOMA. Hematol Oncol 2021. [DOI: 10.1002/hon.110_2880] [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: 11/07/2022]
Affiliation(s)
- J. S. Abramson
- Massachusetts General Hospital Center for Lymphoma Boston Massachusetts USA
| | - E. M. Bengston
- Dartmouth‐Hitchcock Medical Center Hematology/Oncology Lebanon New Hampshire USA
| | - R. Redd
- Dana‐Farber Cancer Institute Biostatistics Boston Massachusetts USA
| | - J. A. Barnes
- Massachusetts General Hospital Center for Lymphoma Boston Massachusetts USA
| | - T. Takvorian
- Massachusetts General Hospital Center for Lymphoma Boston Massachusetts USA
| | - L. Sokol
- Moffitt Cancer Center Hematology/Oncology Tampa USA
| | - F. Lansigan
- Dartmouth‐Hitchcock Medical Center Hematology/Oncology Lebanon New Hampshire USA
| | - P. Armand
- Dana‐Farber Cancer Institute Medical Oncology Boston USA
| | - B. Shah
- Moffitt Cancer Center Hematology/Oncology Tampa USA
| | - E. Jacobsen
- Dana‐Farber Cancer Institute Medical Oncology Boston USA
| | - R. Martignetti
- Massachusetts General Hospital Center for Lymphoma Boston Massachusetts USA
| | - E. Turba
- Moffitt Cancer Center Hematology/Oncology Tampa USA
| | - S. R. Metzler
- Dartmouth‐Hitchcock Medical Center Hematology/Oncology Lebanon New Hampshire USA
| | - V. Patterson
- Dana‐Farber Cancer Institute Medical Oncology Boston USA
| | - A. S. LaCasce
- Dana‐Farber Cancer Institute Medical Oncology Boston USA
| | - C. M. Bello
- Moffitt Cancer Center Hematology/Oncology Tampa USA
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26
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Karmali R, Donovan A, Wagner‐Johntson N, Messmer M, Mehta A, Anderson JK, Reddy N, Kovach AE, Landsburg DJ, Glenn M, Inwards DJ, Ristow K, Lansigan F, Kaplan JB, Caimi PB, Rajguru S, Evens A, Klein A, Umyarova E, Amengual JE, Lue JK, Diefenbach C, Epperla N, Barta SK, Hernandez‐Ilizaliturri FJ, Handorf E, Villa D, Gerrie AS, Li S, Mederios J, Wang M, Cohen J, Calzada O, Churnetski M, Hill B, Sawalha Y, Gerson JN, Kothari S, Vose JM, Bast M, Fenske TS, Narayana Rao Gari S, Maddocks KJ, Bond D, Bachanova V, Kolla B, Chavez J, Shah B. SURVIVAL FOLLOWING FIRST RELAPSE IN YOUNGER PATIENTS WITH MANTLE CELL LYMPHOMA. Hematol Oncol 2021. [DOI: 10.1002/hon.60_2880] [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: 11/12/2022]
Affiliation(s)
| | - A. Donovan
- Dartmouth Hitchcock, Hem Onc Lebanon USA
| | | | - M. Messmer
- Johns Hopkins University, Hem Onc Baltimore USA
| | - A. Mehta
- University of Alabama Cancer Center, Hem Onc Birmingham USA
| | - J. K. Anderson
- University of Alabama Cancer Center, Hem Onc Birmingham USA
| | - N. Reddy
- Vanderbilt Ingram Cancer Center, Hem Onc Nashville USA
| | - A. E. Kovach
- Vanderbilt Ingram Cancer Center, Hem Onc Nashville USA
| | - D. J. Landsburg
- University of Pennsylvania, Hematology Oncology Philadelphia Pennsylvania USA
| | - M. Glenn
- Huntsman Cancer Institute, Hem Onc Salt Lake City USA
| | | | | | | | | | - P. B. Caimi
- Case Western Reserve University, Hem Onc Cleveland USA
| | - S. Rajguru
- University of Wisconsin, Hem Onc Madison USA
| | - A. Evens
- Rutgers, Hem Onc New Brunswick USA
| | | | - E. Umyarova
- University of Vermont, Hem Onc Burlington USA
| | | | | | | | - N. Epperla
- Ohio State University, Hem Onc Columbus USA
| | - S. K. Barta
- University of Pennsylvania, Hematology Oncology Philadelphia Pennsylvania USA
| | | | - E. Handorf
- Fox Chase Cancer Center, Hematology Oncology Philadelphia USA
| | - D. Villa
- BC Cancer, Hem Onc Vancouver Canada
| | | | - S. Li
- MD Anderson, Hem Onc Houstin USA
| | | | - M. Wang
- MD Anderson, Hem Onc Houstin USA
| | | | | | | | | | | | - J. N. Gerson
- University of Pennsylvania, Hematology Oncology Philadelphia Pennsylvania USA
| | | | - J. M. Vose
- University of Nebraska Cancer Center, Hem Onc Omaha USA
| | - M. Bast
- University of Nebraska Cancer Center, Hem Onc Omaha USA
| | - T. S. Fenske
- Medical College of Wisconsin, Hem Onc Milwaukee USA
| | | | | | - D. Bond
- Ohio State University, Hem Onc Columbus USA
| | - V. Bachanova
- University of Minnesota , Hem Onc Minneapolis USA
| | - B. Kolla
- University of Minnesota , Hem Onc Minneapolis USA
| | - J. Chavez
- Moffitt Cancer Center, Hem Onc Tampa USA
| | - B. Shah
- Moffitt Cancer Center, Hem Onc Tampa USA
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Wang M, Rule S, Zinzani PL, Goy A, Casasnovas O, Smith SD, Damaj G, Doorduijn JK, Lamy T, Morschhauser F, Panizo C, Shah B, Davies A, Eek R, Dupuis J, Jacobsen E, Kater AP, Gouill S, Oberic L, Robak T, Jain P, Calvo R, Tao L, Dlugosz‐Danecka M. ACALABRUTINIB MONOTHERAPY IN PATIENTS WITH RELAPSED/REFRACTORY MANTLE CELL LYMPHOMA: FINAL RESULTS FROM A PHASE 2 STUDY. Hematol Oncol 2021. [DOI: 10.1002/hon.58_2880] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- M. Wang
- MD Anderson Cancer Center, University of Texas Lymphoma ‐ Myeloma, Division of Cancer Medicine Houston Texas USA
| | - S. Rule
- Plymouth University Medical School Hematology Plymouth UK
| | - P. L. Zinzani
- Institute of Hematology “Seràgnoli” University of Bologna Experimental, Diagnostic and Specialty Medicine ‐ DIMES Bologna Italy
| | - A. Goy
- John Theurer Cancer Center, Hackensack University Medical Center Oncology Hackensack New Jersey USA
| | - O. Casasnovas
- CHU Dijon ‐ Hôpital d’Enfants Hematology Dijon France
| | - S. D. Smith
- Fred Hutchinson Cancer Research Center, University of Washington Medical Oncology Seattle Washington USA
| | - G. Damaj
- Institut d’Hématologie de Basse‐Normandie Hematology Caen France
| | - J. K. Doorduijn
- Erasmus MC, HOVON Lunenburg Lymphoma Phase I/II Consortium Hematology Rotterdam Netherlands
| | - T. Lamy
- CHU de Rennes Hematology Rennes France
| | - F. Morschhauser
- CHU Lille, ULR 7365 ‐ GRITA ‐ Groupe de Recherche sur les formes Injectables et les Technologies Associées Hematology Lille France
| | - C. Panizo
- Clínica Universidad de Navarra Hematology Pamplona Spain
| | - B. Shah
- Moffitt Cancer Center Malignant Hematology Tampa Florida USA
| | - A. Davies
- Cancer Research UK Experimental Cancer Medicines Centre, University of Southampton Faculty of Medicine Medical Oncology Southampton UK
| | - R. Eek
- Border Medical Oncology Medical Oncology Albury Australia
| | - J. Dupuis
- Unité Hémopathies Lymphoïdes AP‐HP Hôpital Henri Mondor, Hematology Créteil France
| | - E. Jacobsen
- Dana Farber Cancer Institute Harvard Medical School, Medical Oncology Boston Massachusetts USA
| | - A. P. Kater
- Amsterdam University Medical Center Amsterdam, on behalf of Hovon, Hematology, Lymphoma and Myeloma Research Amsterdam Netherlands
| | - S. Gouill
- CHU de Nantes—Hotel Dieu Hematology Nantes France
| | - L. Oberic
- Institut Universitaire du Cancer—Oncopole Toulouse (IUCT‐O) Hematology Toulouse France
| | - T. Robak
- Copernicus Memorial Hospital, Medical University of Lodz Hematology Lodz Poland
| | - P. Jain
- MD Anderson Cancer Center, University of Texas Leukemia Houston Texas USA
| | - R. Calvo
- AstraZeneca, Clinical Development Hematology R&D Oncology Gaithersburg Maryland USA
| | - L. Tao
- AstraZeneca Biostatistics South San Francisco California USA
| | - M. Dlugosz‐Danecka
- Maria Sklodowska‐Curie National Research Institute of Oncology Hematology Krakow Poland
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Varma S, Alston D, Shah B, Long S. 115 Multi-Disciplinary Simulation Training on Delirium. Age Ageing 2021. [DOI: 10.1093/ageing/afab030.76] [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] Open
Abstract
Abstract
Introduction
Delirium is still perceived as a “geriatric medicine competency”, despite its high prevalence across most specialties. Collective multi-disciplinary team performance in implementation of multi-component interventions is key. Simulation training incorporates the complex interplay of non-technical factors, specifically, role recognition and empowerment, inter-personal skills and teamwork that are pivotal in delivering effective delirium care.
Methods
Funding was approved by Health Education England. 2 pilot teaching sessions were arranged in the simulation ward. 3 scenarios were developed, each requiring a facilitator, an actor and three participants- a foundation-year doctor, a nurse/healthcare assistant and a therapist. Scenario 1 dealt with a patient with hypoactive delirium with focus on identification and multidisciplinary optimisation. Scenario 2 challenged participants with management of an agitated patient. Scenario 3 involved discharging a patient with resolving delirium and a reluctant relative, with emphasis on mental capacity assessment. Communication, patient risk assessment and challenging perceived role barriers were global themes. Participant feedback was captured using unstructured interviews and pre- and post-session 5-point Likert confidence scale in various learning outcomes.
Results
16 participants were included- 4 foundation year doctors, 3 therapists, 2 healthcare assistants and 7 nurses. There was an average improvement in Likert confidence scales in all measured learning outcomes. All participants would recommend the course to their colleagues (average Likert scale 4.9). Qualitative feedback appraised the course for demonstration of de-escalation communication strategies, the application of mental capacity and recognition of early discharge planning.
Conclusion
Simulation training targeted at multi-disciplinary groups is an effective way to deliver teaching on delirium. It contextualises synergistic operation of different skills and personal accountability in influencing patient management. The challenge to its potential remains its adoption as mandatory training for various disciplines involved in care of older adults and its implementation at a wider-scale, to assure cost effectiveness.
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Affiliation(s)
- S Varma
- St. Mary's Hospital, Imperial College Healthcare NHS Trust
| | - D Alston
- St. Mary's Hospital, Imperial College Healthcare NHS Trust
| | - B Shah
- St. Mary's Hospital, Imperial College Healthcare NHS Trust
| | - S Long
- St. Mary's Hospital, Imperial College Healthcare NHS Trust
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29
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Lodha P, Shah B, Karia S, De Sousa A. Post-Traumatic Stress Disorder (Ptsd) Following Burn Injuries: A Comprehensive Clinical Review. Ann Burns Fire Disasters 2020; 33:276-287. [PMID: 33708016 PMCID: PMC7894845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 07/13/2020] [Indexed: 06/12/2023]
Abstract
Burns are a global public health problem with a large number of psychosocial and psychological problems that may ensue after burn injuries. One of the commonest psychological problems seen after burn injuries is depression, anxiety and post-traumatic stress disorder (PTSD). The following paper reviews the existing literature on PTSD following burn injuries. The concept of PTSD is explained for the non-psychiatrist involved in burn rehabilitation. The various psychosocial factors that determine the causation and course of PTSD following burn injuries are discussed. PTSD following burn injuries in special populations like women, children and adolescents, intentional burns and self immolation are also discussed. The role of cultural factors in the development of PTSD are elucidated and future research needs are laid out. PTSD is a very common occurrence after burn injuries and needs a multidisciplinary team evaluation for its management.
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Affiliation(s)
- P. Lodha
- Desousa Foundation, Mumbai, India
| | - B. Shah
- Desousa Foundation, Mumbai, India
| | - S. Karia
- Department of Psychiatry, Lokmanya Tilak Municipal Medical College, Mumbai, India
| | - A. De Sousa
- Lokmanya Tilak Municipal Medical College and Founder Trustee, Desousa Foundation Mumbai, India
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Andreae MH, Dudak A, Cherian V, Dhar P, Dalal PG, Po W, Pilipovic M, Shah B, Hazard W, Dl R, Eh S. Healthcare simulation to prepare for the COVID-19 pandemic. J Clin Anesth 2020; 66:109928. [PMID: 32485542 PMCID: PMC7250760 DOI: 10.1016/j.jclinane.2020.109928] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [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: 04/13/2020] [Revised: 05/21/2020] [Accepted: 05/24/2020] [Indexed: 01/08/2023]
Abstract
COVID-19 challenged providers and organization with unfamiliar and unprecedented scenarios. We simulated anticipated airborne contagion scenarios to familiarize providers with safe practices. COVID-19 procedures were safely examined in realistic situations and modified based on participant debriefings. Simulation promoted interdisciplinary integration of our organizational response to COVID-19.
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Affiliation(s)
- M H Andreae
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
| | - A Dudak
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - V Cherian
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - P Dhar
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - P G Dalal
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - W Po
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - M Pilipovic
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - B Shah
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - W Hazard
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - Rodgers Dl
- Medical Simulation Center, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - Sinz Eh
- Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA; Medical Simulation Center, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
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Fowler M, Mendez L, Whitehead S, Shah B, Garel K, Saravanan N, Hendessi P, Anand M. 79: Liposomal bupivacaine in open gynecologic surgery at an urban safety-net hospital. Am J Obstet Gynecol 2020. [DOI: 10.1016/j.ajog.2019.12.119] [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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Ensanullah J, Shah B, Fertleman M. 67 Reducing Delays to Operative Management of Anti-Coagulated Patients With Hip Fractures. Age Ageing 2020. [DOI: 10.1093/ageing/afz187.08] [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] Open
Abstract
Abstract
Introduction
In the UK, the gold-standard treatment of a hip fracture is surgical fixation within 36 hours. Reduced delay to surgery has been shown to minimise the risk of complications. Locally, frequent delays to surgery were observed in patients taking long-term anticoagulation. There are no national guidelines regarding anticoagulation reversal and surgery timing in patients with hip fractures, and doctors are often unfamiliar with increasingly prevalent Direct Oral Anti-coagulants (DOACs). This quality improvement project aimed to reduce delays to surgery in anti-coagulated patients with hip fractures.
Methods
A guideline was formulated following literature review and consultation with a Consultant Ortho-geriatrician, Orthopaedic Surgeon and Haematologist. Retrospective casenote audit was conducted including 3-month period before and after implementation. The new guideline was disseminated in poster form. Due to the observation that delays in receiving INR results resulted in reversal delay, patient’s on warfarin were recommended to receive 5 mg IV Vitamin K prior to receiving INR results. The INR was rechecked after 6 hours, and if less than 1.6, surgery could proceed. Those on DOACs could undergo surgery 24 hours after the last dose providing eGFR >30, and after 48 hours if eGFR <30. Exclusions were those anti-coagulated for metallic heart valves or recent venous thromboembolism.
Results
In the 3 months prior to guideline implementation, 71 patients had a hip fracture; 15 were anti-coagulated. Of these, 8 patients were delayed due to their anticoagulation. Repeat audit after implementation, included 46 patients with a hip fracture over the 3-month period; 7 were anti-coagulated. None were delayed due to anticoagulation (p < 0.05).
Conclusions
This improvement project describes formulation of a simple protocol with evidence from the literature and local expert opinion in order to reduce unnecessary delays in anti-coagulated patients with hip fractures.
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Xiao ZM, Rosenthal N, Kartashov A, Levorsen A, Shah B. P6425Comparative effectiveness and costs of enoxaparin versus unfractionated heparin in treating acute coronary syndrome. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.1019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background/Introduction
Enoxaparin and unfractionated heparin (UFH) are guideline-recommended anticoagulants for patients with acute coronary syndrome (ACS) including unstable angina (UA) and myocardial infarction with (STEMI) or without ST-elevation (NSTEMI). Prior efficacy and safety evidence are mainly from clinical trials. Economic data is lacking.
Purpose
To examine differences in utilization, effectiveness, safety, and costs in treating ACS between enoxaparin and UFH using real-world data.
Methods
Using Premier Healthcare Database from 859 U.S. hospitals, inpatients 18 years or older with a diagnosis of initial episode of ACS between 2010–2016 were analyzed. Outcomes included 30-day risk of non-fatal myocardial infarction (MI), recurrent angina, in-hospital mortality, composite ischemic complication (having MI/recurrent angina/death), major bleeding, and costs. Multivariable regression was used to compare outcomes between enoxaparin and UFH monotherapy.
Results
Among 1,048,053 eligible patients (UA: 219,259; NSTEMI: 582,134; STEMI: 246,660), prevalence of enoxaparin monotherapy was 12.0%, 13.9%, and 5.1% and of UFH monotherapy was 45.1%, 43.1% and 59.8% for UA, NSTEMI, and STEMI patients, respectively. Compared to UFH, enoxaparin was associated with lower odds of MI (Adjusted Odds Ratio [OR]=0.95; 95% Confidence Interval (CI): 0.92, 0.99), recurrent angina (OR=0.88; 95% CI: 0.78, 0.98), in-hospital mortality (OR=0.88; 95% CI: 0.81, 0.95) and composite ischemic complications (OR=0.95; 95% CI: 0.92, 0.98) among NSTEMI patients but not in UA or STEMI patients. Enoxaparin was associated with lower odds of major bleeding in all three patients cohorts (UA: OR=0.77, 95% CI: 0.66, 0.91; NSTEMI: OR=0.68; 95% CI: 0.64, 0.72; STEMI: OR=0.72, 95% CI: 0.63, 0.83). Cost savings per patient during index admission and 30-day follow-up for enoxaparin over UFH was $2,813 for UA, $2,332 for NSTEMI and $2,928 for STEMI patients.
Conclusions
Enoxaparin was associated with lower odds of ischemic complications including death, lower costs and better safety than UFH among NSTEMI patients. Its relative effectiveness varied between patients with different ACS presentations. Improving upstream selection of appropriate anticoagulants in different type of ACS patients has the potential to optimize clinical outcomes and costs.
Acknowledgement/Funding
This study was funded by Sanofi Inc
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Affiliation(s)
- Z M Xiao
- Sanofi Inc., General Medicines Franchise North America, Cambridge, United States of America
| | - N Rosenthal
- Premier Healthcare Solutions, Inc, Charlotte, United States of America
| | - A Kartashov
- Premier Healthcare Solutions, Inc, Charlotte, United States of America
| | - A Levorsen
- Sanofi Inc., General Medicine & Emerging Markets (GEM) Business Unit, Oslu, Denmark
| | - B Shah
- Duke University Medical Center, Cardiology, Durham, United States of America
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IKIZLER T, Shah B, Kirpalani A, Sunder S, Gupta A, Khanna U, Chafekar D, Pahari D, Nath G, Aike S. SAT-270 Results from the Chronic Kidney Disease Observational Database (CKDOD), India. Kidney Int Rep 2019. [DOI: 10.1016/j.ekir.2019.05.307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Loeb A, Shah B, Baumgarten A, Parker J, Carrion R. 043 The “Carrion Cast”: Intracorporal Antimicrobial Cast Using Synthetic High Purity CaSO4 for the Treatment of Infected Penile Implant – “Updated” Surgeon Protocol. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.01.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Lewis EG, Wood G, Howorth K, Shah B, Mulligan L, Kissima J, Dotchin C, Gray W, Walker R, Urasa S. 12THE PREVALENCE OF FRAILTY IN OLDER COMMUNITY-DWELLING TANZANIANS BY COMPREHENSIVE GERIATRIC ASSESSMENT. Age Ageing 2018. [DOI: 10.1093/ageing/afy134.01] [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: 11/14/2022] Open
Affiliation(s)
- E G Lewis
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
- Northumbria Healthcare NHS Foundation Trust, United Kingdom
| | - G Wood
- The Medical School, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - K Howorth
- Northumbria Healthcare NHS Foundation Trust, United Kingdom
| | - B Shah
- Northumbria Healthcare NHS Foundation Trust, United Kingdom
| | - L Mulligan
- Northumbria Healthcare NHS Foundation Trust, United Kingdom
| | - J Kissima
- Hai District Hospital, Boma Ngâ-ombe, Hai, Kilimanjaro, Tanzania
| | - C Dotchin
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
- Northumbria Healthcare NHS Foundation Trust, United Kingdom
| | - W Gray
- Northumbria Healthcare NHS Foundation Trust, United Kingdom
| | - R Walker
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
- Northumbria Healthcare NHS Foundation Trust, United Kingdom
| | - S Urasa
- Kilimanjaro Christian Medical Centre, Moshi, Kilimanjaro, Tanzania
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Shah B, Loeb A, Beilan J, Baumgarten A, Slongo J, Parker J, Carrion R. 334 Intraoperative management algorithm for urethral injury at the time of PP placement. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.297] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Baumgarten A, Shah B, Binner M, Beilan J, Loeb A, Parker J, Carrion R, Slongo J. 070 Penile prosthesis placement in the setting of prolonged refractory ischemic priapism: a single institution experience. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.073] [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: 11/29/2022]
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Shah B, Binner M, Beilan J, Baumgarten A, Parker J, Carrion R, Slongo J. 242 Prosthetic sparing surgery: risk factors for infection and keys to success. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.207] [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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Prempunpong C, Chalak LF, Garfinkle J, Shah B, Kalra V, Rollins N, Boyle R, Nguyen KA, Mir I, Pappas A, Montaldo P, Thayyil S, Sánchez PJ, Shankaran S, Laptook AR, Sant’Anna G. Prospective research on infants with mild encephalopathy: the PRIME study. J Perinatol 2018; 38:80-85. [PMID: 29095433 PMCID: PMC8592379 DOI: 10.1038/jp.2017.164] [Citation(s) in RCA: 57] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Revised: 07/18/2017] [Accepted: 08/28/2017] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To determine short-term outcomes of infants with evidence of hypoxia-ischemia at birth and classified as mild neonatal encephalopathy (NE) at <6 h of age. STUDY DESIGN Prospective multicenter study. Mild NE was defined as ⩾1 abnormal category in modified Sarnat score. Primary outcome was any abnormality on early amplitude integrated electroencephalogram (aEEG) or seizures, abnormal brain magnetic resonance imaging (MRI) or neurological exam at discharge. RESULTS A total of 54/63 (86%) of enrolled infants had data on components of the primary outcome, which was abnormal in 28/54 (52%): discontinuous aEEG (n=4), MRI (n=9) and discharge exam (n=22). Abnormal tone and/or incomplete Moro were the most common findings. MRI abnormalities were confined to cerebral cortex but two infants had basal ganglia and/or thalamus involvement. The 18 to 24 months follow-up is ongoing. CONCLUSIONS A larger than expected proportion of mild NE infants with abnormal outcomes was observed. Future research should evaluate safety and efficacy of neuroprotection for mild NE.
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Affiliation(s)
| | - LF Chalak
- University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - J Garfinkle
- McGill University Health Center, Montreal, QC, Canada
| | - B Shah
- Brown University, Rhode Island, Providence, RI, USA
| | - V Kalra
- Wayne State University, Detroit, MI, USA
| | - N Rollins
- University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - R Boyle
- McGill University Health Center, Montreal, QC, Canada
| | - K-A Nguyen
- McGill University Health Center, Montreal, QC, Canada
| | - I Mir
- University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - A Pappas
- Wayne State University, Detroit, MI, USA
| | - P Montaldo
- Imperial College, London, UK and Nationwide Children’s Hospital–The Ohio State University, Columbus, OH, USA
| | - S Thayyil
- Imperial College, London, UK and Nationwide Children’s Hospital–The Ohio State University, Columbus, OH, USA
| | - PJ Sánchez
- Center for Perinatal Research, Nationwide Children’s Hospital–The Ohio State University, Columbus, OH, USA
| | | | - AR Laptook
- Brown University, Rhode Island, Providence, RI, USA
| | - G Sant’Anna
- McGill University Health Center, Montreal, QC, Canada
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Shah B, Manchanda S, Sawhney J, Makhija A, Sharma M, Jain R, Passey R, Mantri R. Study of risk factors and assessment of thromboembolic and bleeding risk in patients with nonvalvular atrial fibrillation (AF). Indian Heart J 2017. [DOI: 10.1016/j.ihj.2017.09.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Rack S, Darlington E, Odedra S, Owens R, Sarah D, Shah B, Cook N, Thistlethwaite F, Carter L, Hughes A, Homer J, Slevin N, Krebs M, Metcalf R. Molecular profiling of recurrent and metastatic salivary gland cancer to personalise cancer therapy. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx511.024] [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: 11/13/2022] Open
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Shah B, Stock W, Wierda W, Topp M, Kersten M, Houot R, Boissel N, Holmes H, Schiller G, Mardiros A, Rossi J, Jiang Y, Shen T, Aycock J, Stout S, Wiezorek J, Jain R. Preliminary results of novel safety interventions in adult patients (pts) with relapsed/refractory acute lymphoblastic leukemia (R/R ALL) in the ZUMA-3 Trial. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx373.013] [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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Shephard T, Ganguzza L, Flink L, Ngai C, Acosta V, Burdowski J, Shah B, Woolf K. Association Between Smoking Status and Diet Quality Among Patients Referred for Coronary Angiography in New York City. J Acad Nutr Diet 2017. [DOI: 10.1016/j.jand.2017.06.039] [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]
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Bhatwadekar S, Deshpande S, Khadse S, Shah B, Desai D, Kachchhi U, Vaidya R. Excellent outcome in Hodgkin lymphoma with ABVD and CMT: A single-centre retrospective analysis. Hematol Oncol 2017. [DOI: 10.1002/hon.2439_56] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- S. Bhatwadekar
- Haematology; Haemato Oncology Care Center; Vadodara India
| | | | - S. Khadse
- Haematology; Haemato Oncology Care Center; Vadodara India
| | - B. Shah
- Pathology; Labcore Speciality Lab; Vadodara India
| | - D. Desai
- Pathology; Labcore Speciality Lab; Vadodara India
| | | | - R. Vaidya
- Pathology; Bhailal Amin General Hospital; Baroda India
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Goel A, Sanchez J, Paulino L, Feuille C, Arend J, Shah B, Dieterich D, Perumalswami PV. A systematic model improves hepatitis C virus birth cohort screening in hospital-based primary care. J Viral Hepat 2017; 24:477-485. [PMID: 28039935 DOI: 10.1111/jvh.12669] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2016] [Accepted: 12/20/2016] [Indexed: 12/12/2022]
Abstract
Despite national and local governing board recommendations in the United States of America to perform an HCV screening test in baby boomers, screening rates remain low. Our goal was to study the impact of an HCV screening and link-to-care programme with patient navigation in two New York City primary care practices. This was a 2-year prospective study of patients born between 1945-1965 ("baby boomers") with encounters at two primary care practices at the Mount Sinai Hospital between November 1, 2013 and November 30, 2015. Baseline HCV screening rates were collected for four months. A multifaceted intervention was sequentially implemented involving electronic alerts, housestaff education, data feedback and patient navigation. HCV screening rates and link to care, defined as attending an appointment with a viral hepatitis specialist, were compared before and after these interventions. There were 14 642 primary care baby boomer patients of which 4419 (30.2%) were newly screened during the study. There was a significant increase in HCV screening rates from 55% to 75% (P<.01) with an HCV seropositive rate of 3.3%. Factors associated with being HCV seropositive included older age (P<.01), male sex (P<.01), African American race (P<.01) and receiving care in the housestaff practice (P<.01). With patient navigation, 78 of 84 (93%) newly diagnosed HCV-infected persons were referred to a specialist and 60 (77%) attended their first appointment. A structured, multifaceted HCV screening programme using well-studied principles identifies a large number of undiagnosed baby boomers within hospital-based primary care and improves access to specialty providers in a timely manner.
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Affiliation(s)
- A Goel
- Division of Liver Diseases, Department of Medicine, Icahn School of Medicine Mount Sinai, New York, NY, USA
| | - J Sanchez
- Division of Liver Diseases, Department of Medicine, Icahn School of Medicine Mount Sinai, New York, NY, USA
| | - L Paulino
- Division of Liver Diseases, Department of Medicine, Icahn School of Medicine Mount Sinai, New York, NY, USA
| | - C Feuille
- Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine Mount Sinai, New York, NY, USA
| | - J Arend
- Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine Mount Sinai, New York, NY, USA
| | - B Shah
- Division of Gastroenterology, Department of Medicine, Icahn School of Medicine Mount Sinai, New York, NY, USA
| | - D Dieterich
- Division of Liver Diseases, Department of Medicine, Icahn School of Medicine Mount Sinai, New York, NY, USA
| | - P V Perumalswami
- Division of Liver Diseases, Department of Medicine, Icahn School of Medicine Mount Sinai, New York, NY, USA
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Shah B, Beilan J, Baumgarten A, Bickell M, Carrion R. 163 Subphallic Fingersweep: A Noval Improvement to the Infrapubic Placement of an Inflatable Penile Implant. J Sex Med 2017. [DOI: 10.1016/j.jsxm.2016.12.151] [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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Shah B, Tayon K, Madiraju S, Carrion R, Perito P. 232 Prostatic Urethral Lift: Does Size Matter? J Sex Med 2017. [DOI: 10.1016/j.jsxm.2016.12.220] [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: 12/01/2022]
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49
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Kate P, Shah B, Khatavkar S. Anaesthetic management of a patient with permanent pacemaker posted for frontal lobe tumor excision. Journal of Neuroanaesthesiology and Critical Care 2017. [DOI: 10.1055/s-0038-1646228] [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: 10/27/2022] Open
Affiliation(s)
- P. Kate
- Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India
| | - B. Shah
- Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India
| | - S. Khatavkar
- Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India
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Shah B, Preset I, Basnet M, Joseph L, Bishop P, Quinn A. 42: An audit of the frequency of immunochemical expression of CDX2 within lung carcinomas. Lung Cancer 2017. [DOI: 10.1016/s0169-5002(17)30092-2] [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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