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Nomier Y, Khuwaja G, Penakalapati SR, Alshahrani S, Rehman Z, Khawaji R, Alhazmi W, Mubarak A, Alam MF, Anwer T, Rashid H, Shaheen E, Alkashef K. Ethnopharmacological evaluation of Poppy seed oil in combination with Tramadol on behavioral paradigm and on dopamine, and cytokines levels. Eur Rev Med Pharmacol Sci 2023; 27:2077-2090. [PMID: 36930507 DOI: 10.26355/eurrev_202303_31579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
OBJECTIVE The present study was taken up to evaluate the combination of two drugs in the management of behavioral disorders such as locomotor activity, muscle relaxation, analgesic, and anxiolytic activity. MATERIALS AND METHODS In the methodology, Wistar rats weighing (150-180 g) were divided into six groups of 6 each (n=6). All the animals (groups II to VI) were subjected to stress and analyzed for anxiolytic activity using an elevated plus maze. The animals were treated for 28 days with poppy seed oil in lower and higher doses (1,000 and 2,000 mg/kg), tramadol in lower and higher doses (1.5 and 3 mg/kg) as individual groups, and one group with a combination of both drugs in lower doses. RESULTS The results depicted showed that the combined treatment had significantly (**p <0.001) improvised behavior deficits, extemporized, and diminished anxiety-like attitude in rats, and showed the analgesic property in a significant manner. The pro-inflammatory cytokines TNF-α and IL-1β were evaluated in the serum and were observed to be lessened the values of both in a significant manner with the co-administration of both the test drugs. The dopamine concentrations were also determined in the serum, which disclosed a decline (**p <0.001) significantly. CONCLUSIONS It was concluded from the results that a combined effect of drugs might be beneficial in the management of behavioral disorders and pain management.
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Affiliation(s)
- Y Nomier
- Department of Pharmacology and Toxicology, Pharmacy College, Jazan University, Saudi Arabia.
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Kirk S, Rashid H, Demisse E, Wilson T, Heath M, De-Kam P. NON-CLINICAL SAFETY EVALUATION OF A NOVEL THERAPEUTIC VACCINE FOR PEANUT ALLERGY. Ann Allergy Asthma Immunol 2022. [DOI: 10.1016/j.anai.2022.08.673] [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: 11/11/2022]
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3
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Sherwani M, Rashid H, Kwon Y, Athar M, Yusuf N, Elmets C. 619 CP31398, which reverses UV-induced p53 mutations, does not undo ultraviolet radiation-induced immune suppression. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.629] [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: 10/17/2022]
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4
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Khalid L, Khalid A, Rashid H. 298 Need for intrapartum antibiotics prophylaxis in women with prior history of gbs carriage. Eur J Obstet Gynecol Reprod Biol 2022. [DOI: 10.1016/j.ejogrb.2021.11.282] [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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5
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KASHEM T, Begum N, Nobi F, Nomani S, Arefin S, Rashid H. POS-251 Chronic Kidney Disease progression during Ramadan in hot and humid country like Bangladesh. Kidney Int Rep 2022. [DOI: 10.1016/j.ekir.2022.01.270] [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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Dang D, Kuhn L, Fooladi E, Ky V, Cheung K, Rashid H, Zaman S. Predictors of Radial to Femoral Artery Access Crossover During Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.613] [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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7
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Rashid H, Meijer JM, Bolling MC, Horváth B. Clinical response to rituximab and improvement in quality of life in patients with bullous pemphigoid and mucous membrane pemphigoid. Br J Dermatol 2021; 186:721-723. [PMID: 34747507 PMCID: PMC9302996 DOI: 10.1111/bjd.20881] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 11/01/2021] [Accepted: 11/07/2021] [Indexed: 11/28/2022]
Affiliation(s)
- H Rashid
- Department of Dermatology, Center of Blistering Diseases, European Reference Network-Skin Member, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
| | - J M Meijer
- Department of Dermatology, Center of Blistering Diseases, European Reference Network-Skin Member, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
| | - M C Bolling
- Department of Dermatology, Center of Blistering Diseases, European Reference Network-Skin Member, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
| | - B Horváth
- Department of Dermatology, Center of Blistering Diseases, European Reference Network-Skin Member, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
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Rashid H, Ramnarain J, Nasis A, Nicholls SJ, Cameron JD, Gooley RP. Hypo-attenuated leaflet thickening is associated with structural valve deterioration following transcatheter aortic valve replacement. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1598] [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
While hypo-attenuated leaflet thickening (HALT) has been extensively described following transcatheter aortic valve replacement (TAVR), it remains unclear if HALT impacts long-term prosthetic haemodynamics or predicts structural valve deterioration (SVD).
Purpose
To determine the role of HALT and its characteristics of depth and thickness in predicting SVD.
Methods
We prospectively evaluated 186 patients who had undergone TAVR with 320-slice CT imaging for the presence of HALT, defined as hypo-attenuation of bioprosthetic leaflets in diastole. All assessments were performed by two blinded operators on the 3Mensio workstation. HALT depth (thickness) was the greatest depth in the sagittal view and HALT area was the greatest area in the axial view. SVD was defined as at least one of mean gradient ≥20 mmHg, increase in gradient ≥10 mmHg from baseline and at least moderate valvular regurgitation. Echocardiograms at discharge, one month and annually were assessed by cardiologists blinded to HALT status.
Results
LT prevalence was 17.7% at a median CT scan of 6 weeks. SVD occurred in 8.6% at a median follow-up of 2 years (IQR 1–3); two required valve re-intervention, five required anticoagulation that reversed moderate-severe gradient and nine had mild-moderate gradients that were closely monitored. Patients with HALT were more likely to develop SVD (39.3% vs 1.9%, p<0.01) and higher trans-valvular gradients throughout follow-up at up to 3-year follow-up. HALT affected one leaflet in 17 cases, two leaflets in 13 cases and three leaflets in 3 cases. Patients with HALT had a median cumulative thickness of 2.9 mm (IQR 1.9–4.7) and a median area of 64.2 mm2 (IQR 40.9–91.6). Threshold for the occurrence of SVD with HALT characteristics were cumulative depth of 2.4 mm (Specificity 94.1%, Sensitivity 75.0%, AUC=0.87) and cumulative area of 28 mm2 (Specificity 92.2%, Sensitivity 81.3%, AUC=0.86).
Conclusion
HALT was associated with SVD and higher trans-valvular gradients following TAVR. HALT depth and area were strong predictors of SVD. CT following TAVR may determine patients at-risk of SVD.
Funding Acknowledgement
Type of funding sources: Foundation. Main funding source(s): National Heart Foundation AustraliaNational Health and Medical Research Council Australia
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Affiliation(s)
- H Rashid
- Monash Health, Monash Heart, Melbourne, Australia
| | - J Ramnarain
- Monash Health, Monash Heart, Melbourne, Australia
| | - A Nasis
- Monash Health, Monash Heart, Melbourne, Australia
| | - S J Nicholls
- Monash Health, Monash Heart, Melbourne, Australia
| | - J D Cameron
- Monash Health, Monash Heart, Melbourne, Australia
| | - R P Gooley
- Monash Health, Monash Heart, Melbourne, Australia
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Rashid H, Gala T, Ain Q, Ashraf H, Vesamia S, Vig S. 1358 Does A COVID Protected Hospital Within A COVID Hospital Enable Elective Care and Training Opportunities? Br J Surg 2021. [PMCID: PMC8524575 DOI: 10.1093/bjs/znab259.502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Introduction Elective care in the UK came to a standstill with the advent of the COVID-19 pandemic. A restart could only be enabled with ‘green site’ separation and a ‘covid protected’ zone. A ‘hospital within the hospital’ concept was developed including 9 elective theatres, 28 ring fenced elective beds, a surgical enhanced care unit, a canteen, and a separated entrance. This model was underpinned with PPE, enhanced infection control and guidance for staff. The study documented the ability to recover elective activity and therefore provide a training environment for surgical trainees. Method Data was collected weekly (7/20 to 1/21) through the business informatics system with regard to theatres cases completed compared to the activity achieved in the 11-theatre elective estate pre COVID-19. Results Pre COVID-19, an average of 263 cases were completed per week. In the first week of operation, 31% of theatre capacity was achieved. By week 7, 106% of pre COVID was recorded and 130% by week 11. This was maintained until the impact of the second wave where activity has reduced to 50% but is not anticipated to reduce further as local anaesthetic and blocks maybe utilised. Conclusions This ‘hospital within the hospital’ has enabled elective care to return to above normal levels, with increased efficiencies. This has enabled a rapid return to a training environment for trainees disheartened with deployment to critical care in the first wave.
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Affiliation(s)
- H Rashid
- Croydon University Hospital, London, United Kingdom
| | - T Gala
- Croydon University Hospital, London, United Kingdom
| | - Q Ain
- Croydon University Hospital, London, United Kingdom
| | - H Ashraf
- Croydon University Hospital, London, United Kingdom
| | - S Vesamia
- Croydon University Hospital, London, United Kingdom
| | - S Vig
- Croydon University Hospital, London, United Kingdom
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10
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Schmidt E, Rashid H, Marzano A, Lamberts A, Di Zenzo G, Diercks G, Alberti‐Violetti S, Barry R, Borradori L, Caproni M, Carey B, Carrozzo M, Cianchini G, Corrà A, Dikkers F, Feliciani C, Geerling G, Genovese G, Hertl M, Joly P, Meijer J, Mercadante V, Murrell D, Ormond M, Pas H, Patsatsi A, Rauz S, van Rhijn B, Roth M, Setterfield J, Zillikens D, C.Prost, Zambruno G, Horváth B, Caux F. European Guidelines (S3) on diagnosis and management of mucous membrane pemphigoid, initiated by the European Academy of Dermatology and Venereology - Part II. J Eur Acad Dermatol Venereol 2021; 35:1926-1948. [PMID: 34309078 PMCID: PMC8518905 DOI: 10.1111/jdv.17395] [Citation(s) in RCA: 71] [Impact Index Per Article: 23.7] [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: 02/11/2021] [Accepted: 03/24/2021] [Indexed: 01/21/2023]
Abstract
This guideline has been initiated by the task force Autoimmune Blistering Diseases of the European Academy of Dermatology and Venereology, including physicians from all relevant disciplines and patient organizations. It is a S3 consensus-based guideline that systematically reviewed the literature on mucous membrane pemphigoid (MMP) in the MEDLINE and EMBASE databases until June 2019, with no limitations on language. While the first part of this guideline addressed methodology, as well as epidemiology, terminology, aetiology, clinical presentation and outcome measures in MMP, the second part presents the diagnostics and management of MMP. MMP should be suspected in cases with predominant mucosal lesions. Direct immunofluorescence microscopy to detect tissue-bound IgG, IgA and/or complement C3, combined with serological testing for circulating autoantibodies are recommended. In most patients, serum autoantibodies are present only in low levels and in variable proportions, depending on the clinical sites involved. Circulating autoantibodies are determined by indirect IF assays using tissue substrates, or ELISA using different recombinant forms of the target antigens or immunoblotting using different substrates. The major target antigen in MMP is type XVII collagen (BP180), although in 10-25% of patients laminin 332 is recognized. In 25-30% of MMP patients with anti-laminin 332 reactivity, malignancies have been associated. As first-line treatment of mild/moderate MMP, dapsone, methotrexate or tetracyclines and/or topical corticosteroids are recommended. For severe MMP, dapsone and oral or intravenous cyclophosphamide and/or oral corticosteroids are recommended as first-line regimens. Additional recommendations are given, tailored to treatment of single-site MMP such as oral, ocular, laryngeal, oesophageal and genital MMP, as well as the diagnosis of ocular MMP. Treatment recommendations are limited by the complete lack of high-quality randomized controlled trials.
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Shahzad MM, Butt W, Hussain Z, Rehman RA, Khan MKA, Hussain M, Noureen A, Bashir S, Tariq M, Rafique MT, Khalid F, Rashid H, Akhtar K, Tahir L. Use of multi-strain probiotics in linseed meal based diet for Labeo rohita fingerlings. BRAZ J BIOL 2021; 83:e246727. [PMID: 34468521 DOI: 10.1590/1519-6984.246727] [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: 12/17/2020] [Accepted: 03/01/2021] [Indexed: 11/22/2022] Open
Abstract
Unavailability of probiotics in fish digestive system fingerlings is unable to digest and absorb their food properly. The current research was conducted to investigate the influence of probiotics added Linseed meal based (LMB) diet on hematology and carcass composition of Labeo rohita juveniles. Hematological parameters are essential diagnostics used to estimate the health status of fish. The usage of probiotics for fish health improvement is becoming common due to the higher demand for environment-friendly culture system in water. Linseed meal was used as a test ingredient to prepare six experimental test diets by adding probiotics (0, 1, 2, 3, 4 and 5 g/kg) and 1% indigestible chromic oxide for seventy days. According to their live wet weight, five percent feed was given to fingerlings twice a day. Fish blood and carcass samples (Whole body) were taken for hematological and carcass analysis at the end of the experiment. The highest carcass composition (crude protein; 18.72%, crude fat; 8.80% and gross energy; 2.31 kcal/g) was observed in fish fed with test diet II supplemented with probiotics (2 g/kg). Moreover, maximum RBCs number (2.62× 106mm-3), WBCs (7.84×103mm-3), PCV (24.61), platelets (63.85) and hemoglobin (7.87) had also been reported in the fish fingerlings fed on 2 g/kg of probiotics supplemented diet. Results indicated that probiotics supplementation has a critical role in improvement of fingerlings' body composition and hematological indices. Present findings showed that probiotics supplementation at 2 g/kg level in linseed by-product-based diet was very useful for enhancing the overall performance of L. rohita fingerlings.
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Affiliation(s)
- M M Shahzad
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
| | - W Butt
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
| | - Z Hussain
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
| | - R A Rehman
- University of Health Sciences Lahore, Department of Forensic Sciences, Lahore, Pakistan
| | - M K A Khan
- University of Okara, Department of Zoology, Okara, Pakistan
| | - M Hussain
- University of Lahore, Institute of Molecular Biology and Biotechnology, Lahore, Pakistan
| | - A Noureen
- University of Lahore, Institute of Molecular Biology and Biotechnology, Lahore, Pakistan
| | - S Bashir
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
| | - M Tariq
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
| | - M T Rafique
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
| | - F Khalid
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
| | - H Rashid
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
| | - K Akhtar
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
| | - L Tahir
- University of Education, Division of Science and Technology, Department of Zoology, Lahore, Pakistan
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Rashid H, Lamberts A, Borradori L, Alberti‐Violetti S, Barry R, Caproni M, Carey B, Carrozzo M, Caux F, Cianchini G, Corrà A, Diercks G, Dikkers F, Di Zenzo G, Feliciani C, Geerling G, Genovese G, Hertl M, Joly P, Marzano A, Meijer J, Mercadante V, Murrell D, Ormond M, Pas H, Patsatsi A, Prost C, Rauz S, van Rhijn B, Roth M, Schmidt E, Setterfield J, Zambruno G, Zillikens D, Horváth B. European guidelines (S3) on diagnosis and management of mucous membrane pemphigoid, initiated by the European Academy of Dermatology and Venereology - Part I. J Eur Acad Dermatol Venereol 2021; 35:1750-1764. [PMID: 34245180 PMCID: PMC8457055 DOI: 10.1111/jdv.17397] [Citation(s) in RCA: 54] [Impact Index Per Article: 18.0] [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: 02/11/2021] [Accepted: 05/17/2021] [Indexed: 12/15/2022]
Abstract
This guideline on mucous membrane pemphigoid (MMP) has been elaborated by the Task Force for Autoimmune Blistering Diseases of the European Academy of Dermatology and Venereology (EADV) with a contribution of physicians from all relevant disciplines and patient organizations. It is a S3 consensus-based guideline encompassing a systematic review of the literature until June 2019 in the MEDLINE and EMBASE databases. This first part covers methodology, the clinical definition of MMP, epidemiology, MMP subtypes, immunopathological characteristics, disease assessment and outcome scores. MMP describes a group of autoimmune skin and mucous membrane blistering diseases, characterized by a chronic course and by predominant involvement of the mucous membranes, such as the oral, ocular, nasal, nasopharyngeal, anogenital, laryngeal and oesophageal mucosa. MMP patients may present with mono- or multisite involvement. Patients' autoantibodies have been shown to be predominantly directed against BP180 (also called BPAG2, type XVII collagen), BP230, laminin 332 and type VII collagen, components of junctional adhesion complexes promoting epithelial stromal attachment in stratified epithelia. Various disease assessment scores are available, including the Mucous Membrane Pemphigoid Disease Area Index (MMPDAI), the Autoimmune Bullous Skin disorder Intensity Score (ABSIS), the 'Cicatrising Conjunctivitis Assessment Tool' and the Oral Disease Severity Score (ODSS). Patient-reported outcome measurements (PROMs), including DLQI, ABQOL and TABQOL, can be used for assessment of quality of life to evaluate the effectiveness of therapeutic interventions and monitor disease course.
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Rashid H, Ramnarain J, Nicholls S, Nasis A, Cameron J, Gooley R. Ct-defined Leaflet Thrombosis (LT) Predicts Structural Valve Deterioration (SVD) Following TAVR. J Cardiovasc Comput Tomogr 2021. [DOI: 10.1016/j.jcct.2021.06.286] [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: 10/20/2022]
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Vermeer HAB, Rashid H, Esajas MD, Oldhoff JM, Horváth B. The use of hydroxychloroquine as a systemic treatment in erosive lichen planus of the vulva and vagina. Br J Dermatol 2021; 185:201-203. [PMID: 33548058 PMCID: PMC8360049 DOI: 10.1111/bjd.19870] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Revised: 02/03/2021] [Accepted: 02/04/2021] [Indexed: 11/30/2022]
Affiliation(s)
- H A B Vermeer
- Department of Dermatology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands
| | - H Rashid
- Department of Dermatology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands
| | - M D Esajas
- Department of Obstetrics and Gynaecology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands
| | - J M Oldhoff
- Department of Dermatology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands
| | - B Horváth
- Department of Dermatology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands
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Ramnarain J, Rashid H, Dowling C, Ramzy J, Gooley R. Determinants of Abnormal Activated Clotting Time in Cardiac Catheterisation. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.275] [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: 11/16/2022]
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Rashid H, Ramnarain J, Nicholls S, Nasis A, Cameron J, Gooley R. Hypo-Attenuated Leaflet Thickening (HALT) is Associated With Structural Valve Deterioration (SVD) Following Transcatheter Aortic Valve Replacement (TAVR). Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.481] [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: 11/24/2022]
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Rashid H, Michail M, Khav N, Tan S, Nasis A, Cameron J, Nicholls S, Gooley R. Association between prosthesis geometry and leaflet thrombosis following transcatheter aortic valve replacement. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1929] [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
Introduction
Leaflet thrombosis (LT) following transcatheter aortic valve replacement (TAVR) is a recognised condition. The association between prosthesis geometry [expansion, implant depth and commissural alignment (CA)] and LT is unclear.
Methods
Patients that received intra-annular TAVR prosthesis and post-procedure computed tomography (CT) with a 320-slice scanner were included. LT, defined as at least 50% restricted leaflet motion, was assessed with a dedicated 3Mensio workstation by two experienced CT readers. Prosthesis expansion was defined as actual divided by expected prosthesis area as a percentage of expected area whilst eccentricity was [(maximum diameter − minimum diameter) / maximum diameter) × 100%], both measured at prosthesis inflow, annulus and outflow. Implant depth was the average distance between prosthesis inflow and nadir of each cusp. CA was the average angle between each native and prosthesis leaflet coaptations. Significant commissural misalignment (CMA) was defined as CA greater than 30 degrees. To exclude anticoagulation bias, similar analysis was also performed in the cohort of non-anticoagulated patients.
Results
117 patients were included; the prevalence of LT was 13.7% [13/93 cases (14.0%) of Lotus valves and 3/24 cases (12.5%) of Sapien 3 valves]. Baseline demographics (age, STS score, cardiac risk factors) and procedural characteristics (access site, post-dilation, repositioning) were similar in both groups. None of the patients with LT were discharged on anticoagulation therapy (0.0% vs 22.8%, p<0.01). There were no differences in actual prosthesis area, perimeter or eccentricity at the three prosthesis levels. Patients with LT had reduced annulus expansion (89.3±9.8% vs 94.6±8.3%, p=0.02), lower implant depth (6.9±1.5mm vs 4.9±1.5mm, p<0.01) and more significant CMA (81.3% vs 48.5%, p=0.02). These findings were similar in patients that were not anticoagulated (94/117 patients).
Conclusion
Patients with LT had reduced annulus expansion, lower implant depth and greater CMA. These findings were not affected by presence or absence of anticoagulation. These factors may be important considerations during procedural planning for TAVR.
Graphical abstract
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): National Health and Medical Research Council (NHMRC). National Heart Foundation (NHF) Australia.
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Affiliation(s)
- H Rashid
- Monash Health, Monash Heart, Melbourne, Australia
| | - M Michail
- Monash Health, Monash Heart, Melbourne, Australia
| | - N Khav
- Monash Health, Monash Heart, Melbourne, Australia
| | - S Tan
- Monash Health, Monash Heart, Melbourne, Australia
| | - A Nasis
- Monash Health, Monash Heart, Melbourne, Australia
| | - J Cameron
- Monash Health, Monash Heart, Melbourne, Australia
| | - S Nicholls
- Monash Health, Monash Heart, Melbourne, Australia
| | - R Gooley
- Monash Health, Monash Heart, Melbourne, Australia
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Rashid H, Samadfam R. 580 Validation of an atopic dermatitis model in mice by repeated intra-dermal challenges with ovalbumin. J Invest Dermatol 2020. [DOI: 10.1016/j.jid.2020.03.590] [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: 11/27/2022]
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Rashid H, Michail M, Khav N, Tan S, Tan S, Nasis A, Cameron J, Nicholls S, Gooley R. Association Between Prosthesis Geometry And Leaflet Thrombosis Following Transcatheter Aortic Valve Replacement On Assessment With 320-slice Scanner Ct. [for Consideration Of Soar Award]. J Cardiovasc Comput Tomogr 2020. [DOI: 10.1016/j.jcct.2020.06.188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Thakur U, Michail M, Comella A, Tan S, Lim R, Gupta V, Rashid H, Brown A. 831 Functionally Significant Coronary Artery Disease in Patients Undergoing Transcatheter Aortic Valve Implantation is Associated With Increased Mortality. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.838] [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: 11/27/2022]
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Rashid H, Michail M, Khav N, Tan S, Amiruddin A, Nasis A, Cameron J, Nicholls S, Gooley R. 427 Utilisation of 320-slice Computed Tomography (CT) to Determine Association Between Prosthesis Geometry and Leaflet Thrombosis (LT) following Transcatheter Aortic Valve Replacement (TAVR). Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.434] [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: 11/27/2022]
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22
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Rashid H, Michail M, Ihdayhid A, Khav N, Tan S, Nasis A, Nicholls S, Cameron J, Gooley R. 012 Clinical Predictors and Sequalae of Computed Tomography (CT) Defined Leaflet Thrombosis (LT) Following Transcatheter Aortic Valve Replacement (TAVR) at Medium-Term Follow-Up. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.019] [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: 11/27/2022]
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Groschel K, Richards T, Weimar C, Neugebauer R, Poli S, Weissenborn K, Imray C, Michalski D, Rashid H, Loftus I, Ritter M, Hauser TK, Muench G, Poppert H. 251Revacept, an inhibitor of platelet adhesion in symptomatic carotid stenosis: Results from a phase II study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Revacept is a novel lesion-specific inhibitor for platelet adhesion and thrombus formation. The biological drug is based on the platelet GPVI receptor and prevents collagen-mediated platelet activation from the atherosclerotic plaque. The unique characteristic of Revacept is the specific inhibition of plaque-mediated thrombus formation without alteration of hemostasis.
To test this concept in patients with plaque-mediated thrombosis we investigated patients with symptomatic carotid artery stenosis (at least 50% cf. ECST) with a recent ischemic cerebral stroke or transient ischemic attack (TIA). 150 patients were evenly randomized in blinded fashion to receive placebo, 40mg or 120 mg Revacept by IV infusion. To investigate anti-thrombotic efficacy, we assessed microemboli in the middle cerebral artery by transcranial Doppler (MES) and micro-infarctions in the brain by diffusion-weighted nuclear magnetic resonance (DWI-NMR) imaging. Ischemic complications such as myocardial infarctions and ischemic stroke were clinically followed up to 3 and 12 months. Bleeding complications were thoroughly monitored according to the RE-LY study group criteria. All patients were on standard anti-platelet therapy and underwent guideline conform treatment with carotid endarterectomy (CEA),carotid artery stent implantation or intensified conservative treatment.
The study was conducted in 16 centers in Germany and the UK from May 2013 to September 2018. Due to lost to follow-up investigations the planned patient numbers were slightly exceeded to 158 patients, who were finally included in the study according to intention to treat. Currently data clearance and detailed analysis of unblinded data is going on. 7.6% of patients underwent carotid artery stenting, 11.4% were under intensified conservative treatment and 81.0% were surgically treated with CEA. The safety data of the overall 158 patients which was closely monitored by an independent data safety board are available. In the overall study population (before unblinding for treatment) ischemic strokes and myocardial infarctions were numerically lower compared to previous studies with symptomatic carotid stenosis patients undergoing CEA or stenting (meta analysis from the EVA-3S, SPACE and ICSS study). Despite comparable basal anti-thrombotic therapy addition of Revacept did not increase bleeding complications in the overall study population.
The Revacept CS02 study has successfully achieved the aimed patient recruitment. Safety analysis shows a favorable profile. Bleeding complications in these high-risk patients with recent ischemic stroke were not increased compared to historic data from similar control patients. There is a trend for increased anti-thrombotic and anti-ischemic potency with regard to clinical events. Final data will be presented at the congress.
Acknowledgement/Funding
None
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Affiliation(s)
- K Groschel
- University Medicine, Neurology, Mainz, Germany
| | - T Richards
- The University of Western Australia, Vascular Surgery, Perth, Australia
| | - C Weimar
- University of Duisburg-Essen Medical School, Neurology, Essen, Germany
| | | | - S Poli
- University Hospital Tübingen, Neurology and Hertie Institute for Clinical Brain Reserarch, Tübingen, Germany
| | | | - C Imray
- University Hospitals of Coventry and Warwickshire NHS Trust, Vascular Surgery, Coventry, United Kingdom
| | - D Michalski
- Leipzig University Hospital, Neurology, Leipzig, Germany
| | - H Rashid
- Kings College Hospital, Vascular Surgery, London, United Kingdom
| | - I Loftus
- St George's Healthcare NHS Trust, Vascular Surgery, London, United Kingdom
| | - M Ritter
- University Medical Center, Neurology, Münster, Germany
| | - T.-K Hauser
- University Hospital Tübingen, Neuroradiology, Tübingen, Germany
| | - G Muench
- advanceCOR, Martinsried, Germany
| | - H Poppert
- Technical University of Munich, Neurology, Munich, Germany
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Rashid H, Lamberts A, van Maanen D, Pas H, Jonkman M, Horvath B. 095 Daily practice of rituximab treatment for pemphigus: a retrospective study of 65 patients. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.07.099] [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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Lamberts A, Rashid H, Pas HH, Diercks GFH, Meijer JM, Horváth B. Pemphigoid variants affecting the skin. Clin Exp Dermatol 2019; 44:721-727. [PMID: 31099084 DOI: 10.1111/ced.13984] [Citation(s) in RCA: 2] [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] [Accepted: 03/19/2019] [Indexed: 11/29/2022]
Abstract
Pemphigoid diseases are autoimmune subepidermal blistering diseases affecting the skin and mucous membranes, which are caused by autoantibodies targeting structural hemidesmosomal proteins or hemidesmosome-associated proteins. Variants of pemphigoid can be differentiated based on targeted antigens and clinical aspects. In this review, we will discuss pemphigoid variants that predominantly affect the skin, and provide clinicians with clues to diagnosis.
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Affiliation(s)
- A Lamberts
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - H Rashid
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - H H Pas
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - G F H Diercks
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.,Department of Pathology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - J M Meijer
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - B Horváth
- Department of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
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Yuvaraj J, Lin A, Rashid H, Nerlekar N, Cameron J, Seneviratne S, Nicholls S, Psaltis P, Wong D. Is Spontaneous Coronary Artery Dissection (SCAD) Related to Vascular Inflammation and Epicardial Fat? Insights from Novel Markers of Computed Tomography Coronary Angiography. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.285] [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]
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27
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Hasan O, Fahad S, Sattar S, Umer M, Rashid H. Ankle Arthrodesis using Ilizarov Ring Fixator: A Primary or Salvage Procedure? An Analysis of Twenty Cases. Malays Orthop J 2018; 12:24-30. [PMID: 30555643 PMCID: PMC6287131 DOI: 10.5704/moj.1811.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Introduction: Ankle arthrodesis using the Ilizarov technique provides high union rate with the added benefits of early weight-bearing, and the unique advantage of its ability to promote regeneration of soft tissue around the bone, including skin, muscle and neuro-vascular structures, and its versatility to allow correction of the position of the foot by adjusting the frame post-operatively as needed. We describe our experience with this technique and the functional outcomes in our patients. Materials and Methods: This retrospective study was conducted in 20 ankle fusion cases using the Ilizarov method between the years 2007 and 2017. We defined success in treatment by loss of preoperative symptoms and radiological union on plain radiographs of the ankle. Results: Fusion was achieved in all patients (100%). Immediate post-operative ambulation was with full weight bearing (FWB) in 16 (83%) of the participants and non-weight bearing (NWB) in 3 patients (17%). Post-procedure 11 patients (67%) of the participants who were full weight bearing required some form of support for walking for 2-3 weeks. Post-operatively three patients had pin tract infection requiring intravenous antibiotics. Radiological union took range of 6-12 weeks, mean union time was 8 weeks. Only one patient required bone grafting due to bone loss. Average follow-up period was 10-45 months. Conclusion: The Ilizarov technique has a high union rate and leads to general favourable clinical outcome and may be considered for any ankle arthrodesis but is especially useful in complex cases such as for revisions, soft-tissue compromise, infection and in patients with risk for non-union. Early weight bearing is an extra benefit.
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Affiliation(s)
- O Hasan
- Section of Orthopaedics, Aga Khan University Hospital, Karachi, Pakistan
| | - S Fahad
- Section of Orthopaedics, Aga Khan University Hospital, Karachi, Pakistan
| | - S Sattar
- Section of Orthopaedics, Aga Khan University Hospital, Karachi, Pakistan
| | - M Umer
- Section of Orthopaedics, Aga Khan University Hospital, Karachi, Pakistan
| | - H Rashid
- Section of Orthopaedics, Aga Khan University Hospital, Karachi, Pakistan
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28
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Alshehari AA, Park S, Rashid H. Strategies to improve hand hygiene compliance among healthcare workers in adult intensive care units: a mini systematic review. J Hosp Infect 2018; 100:152-158. [PMID: 29559231 DOI: 10.1016/j.jhin.2018.03.013] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Accepted: 03/13/2018] [Indexed: 11/19/2022]
Abstract
BACKGROUND Hand hygiene compliance among healthcare workers (HCWs) in intensive care units (ICUs) is disconcertingly low. AIM To identify the effective intervention(s) for increasing HH compliance among HCWs in adult ICUs. METHODS Two major electronic databases, OVID Medline and CINAHL, were searched by using a combination of MeSH terms and text words (e.g. hand hygiene, hand washing, compliance, adher*, improve*, develop* and intensive care unit) for relevant articles. This was supplemented by Google Scholar and hand searching of included bibliographies. Data from identified articles were then abstracted, quality-assessed, and combined into a summary effect. FINDINGS Of 89 titles and abstracts that were identified, 14 articles were finally included. Overall study quality was good. However, variations in design, setting, sample size, and intervention(s) tested precluded a meta-analysis; hence a narrative synthesis was conducted. The interventions included education, observation, provision of supplies, improving access and directive support; tested singly or in combination; resulted in positive outcomes in all but one study. A combination of administrative support, 'supplies', education and training, reminders, surveillance, and performance feedback raised the compliance from a baseline of 51.5% to a record 80.1%; but no set of intervention(s) could improve the compliance to the desired near-100% level. CONCLUSION Available data suggest that multi-modal interventions are effective in raising the compliance to a 'plateau' level but not up to the desired standard. Methodologically appropriate trials of combined interventions could enhance the evidence about interventions to improve hand hygiene compliance among ICU staff.
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Affiliation(s)
| | - S Park
- School of Public Health, The University of Sydney, Sydney, New South Wales, Australia
| | - H Rashid
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases (NCIRS), The Children's Hospital at Westmead, New South Wales, Australia; Marie Bashir Institute for Infectious Diseases and Biosecurity, School of Biological Sciences and Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
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Gifford K, McDuffie MJ, Rashid H, Knight E, Boudreaux M. Contraceptive method choice among Medicaid-enrolled women living in the same household. Contraception 2018. [DOI: 10.1016/j.contraception.2018.07.061] [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: 11/15/2022]
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Rashid H, Amiruddin A, Be KK, Nasis A, Gooley R, Cameron J, Brown A. 5251The prevalence of leaflet thrombosis in intra- versus supra-annular transcatheter aortic valve prostheses. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.5251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- H Rashid
- Monash Health, Monash Heart, Melbourne, Australia
| | - A Amiruddin
- Monash Health, Monash Heart, Melbourne, Australia
| | - K K Be
- Monash Health, Monash Heart, Melbourne, Australia
| | - A Nasis
- Monash Health, Monash Heart, Melbourne, Australia
| | - R Gooley
- Monash Health, Monash Heart, Melbourne, Australia
| | - J Cameron
- Monash Health, Monash Heart, Melbourne, Australia
| | - A Brown
- Monash Health, Monash Heart, Melbourne, Australia
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Rashid H, Gooley R, Nerlekar N, Ihdayhid AR, McCormick L, Be KK, Amiruddin A, Nasis A, Cameron J, Brown A. P6300Transcatheter and surgical aortic bioprosthetic valve leaflet thrombosis defined by computed tomography is associated with cerebrovascular events: contemporary meta-analysis of 8 observational studies. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- H Rashid
- Monash Health, Monash Heart, Melbourne, Australia
| | - R Gooley
- Monash Health, Monash Heart, Melbourne, Australia
| | - N Nerlekar
- Monash Health, Monash Heart, Melbourne, Australia
| | - A R Ihdayhid
- Monash Health, Monash Heart, Melbourne, Australia
| | - L McCormick
- Monash Health, Monash Heart, Melbourne, Australia
| | - K K Be
- Monash Health, Monash Heart, Melbourne, Australia
| | - A Amiruddin
- Monash Health, Monash Heart, Melbourne, Australia
| | - A Nasis
- Monash Health, Monash Heart, Melbourne, Australia
| | - J Cameron
- Monash Health, Monash Heart, Melbourne, Australia
| | - A Brown
- Monash Health, Monash Heart, Melbourne, Australia
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Uddin MH, Alim MS, Islam SMM, Rashid H, Shahjahan M. Temperature changes alter the acute toxicity responses of cypermethrin in Zebrafish. ACTA ACUST UNITED AC 2018. [DOI: 10.3329/pa.v29i1.37481] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The study was carried out to determine the effect of temperature changes on acute toxicity of pyrethroid pesticide cypermethrin in zebrafish. A two-day renewal bioassay system for 96h was conducted to find out LC50 value of cypermethrin at two temperature regimes i.e. 25°C and 30°C considering as T1 and T2, respectively. During the determination of LC50 in both temperatures, blood glucose (mg/dL) levels were measured at lower concentration (0.25 µg/L) of cypermethrin. The results of acute toxicity test at 96h LC50 values were calculated through probit analysis. It was found that 96h LC50 for T1 and T2 groups were about 2.1 and 1.4 µg/L, respectively. Significantly lower LC50 of cypermethrin at T2 compared to T1 showed that higher temperature increased the toxicity of cypermethrin. There was a significant increase (P<0.05) in blood glucose level (mg/dL) in 0.25 µg/L compared to 0 µg/L concentration of cypermethrin at both treatments. Dissolved oxygen decreased and free CO2 increased significantly (P<0.05) with increasing temperature, while the pH of the water was almost unchanged throughout the study period. The present study indicated the impact of increased temperature on pesticide toxicity in the aquatic ecosystem.Progressive Agriculture 29 (1): 64-70, 2018
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Timsina J, Wolf J, Guilpart N, van Bussel L, Grassini P, van Wart J, Hossain A, Rashid H, Islam S, van Ittersum M. Can Bangladesh produce enough cereals to meet future demand? Agric Syst 2018; 163:36-44. [PMID: 29861535 PMCID: PMC5903259 DOI: 10.1016/j.agsy.2016.11.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Bangladesh faces huge challenges in achieving food security due to its high population, diet changes, and limited room for expanding cropland and cropping intensity. The objective of this study is to assess the degree to which Bangladesh can be self-sufficient in terms of domestic maize, rice and wheat production by the years 2030 and 2050 by closing the existing gap (Yg) between yield potential (Yp) and actual farm yield (Ya), accounting for possible changes in cropland area. Yield potential and yield gaps were calculated for the three crops using well-validated crop models and site-specific weather, management and soil data, and upscaled to the whole country. We assessed potential grain production in the years 2030 and 2050 for six land use change scenarios (general decrease in arable land; declining ground water tables in the north; cropping of fallow areas in the south; effect of sea level rise; increased cropping intensity; and larger share of cash crops) and three levels of Yg closure (1: no yield increase; 2: Yg closure at a level equivalent to 50% (50% Yg closure); 3: Yg closure to a level of 85% of Yp (irrigated crops) and 80% of water-limited yield potential or Yw (rainfed crops) (full Yg closure)). In addition, changes in demand with low and high population growth rates, and substitution of rice by maize in future diets were also examined. Total aggregated demand of the three cereals (in milled rice equivalents) in 2030 and 2050, based on the UN median population variant, is projected to be 21 and 24% higher than in 2010. Current Yg represent 50% (irrigated rice), 48-63% (rainfed rice), 49% (irrigated wheat), 40% (rainfed wheat), 46% (irrigated maize), and 44% (rainfed maize) of their Yp or Yw. With 50% Yg closure and for various land use changes, self-sufficiency ratio will be > 1 for rice in 2030 and about one in 2050 but well below one for maize and wheat in both 2030 and 2050. With full Yg closure, self-sufficiency ratios will be well above one for rice and all three cereals jointly but below one for maize and wheat for all scenarios, except for the scenario with drastic decrease in boro rice area to allow for area expansion for cash crops. Full Yg closure of all cereals is needed to compensate for area decreases and demand increases, and then even some maize and large amounts of wheat imports will be required to satisfy demand in future. The results of this analysis have important implications for Bangladesh and other countries with high population growth rate, shrinking arable land due to rapid urbanization, and highly vulnerable to climate change.
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Affiliation(s)
- J. Timsina
- Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Victoria 3010, Australia
- Corresponding author at: 28 Buckley Ave, Blacktown, NSW 2148, Australia.
| | - J. Wolf
- Plant Production Systems, Wageningen University, P.O. Box 430, 6700 AK Wageningen, Netherlands
| | - N. Guilpart
- Department of Agronomy and Horticulture, University of Nebraska-Lincoln, Lincoln, NE 68583, USA
| | - L.G.J. van Bussel
- Plant Production Systems, Wageningen University, P.O. Box 430, 6700 AK Wageningen, Netherlands
| | - P. Grassini
- Department of Agronomy and Horticulture, University of Nebraska-Lincoln, Lincoln, NE 68583, USA
| | - J. van Wart
- Department of Agronomy and Horticulture, University of Nebraska-Lincoln, Lincoln, NE 68583, USA
| | - A. Hossain
- Wheat Research Centre, Bangladesh Agriculture Research Institute, Dinajpur, Bangladesh
| | - H. Rashid
- Bangladesh Rice Research Institute, Gazipur, Bangladesh
| | - S. Islam
- International Maize and Wheat Improvement Center — Bangladesh, House 10/B, Road 53, Gulshan-2, Dhaka 1213, Bangladesh
| | - M.K. van Ittersum
- Plant Production Systems, Wageningen University, P.O. Box 430, 6700 AK Wageningen, Netherlands
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Stehli J, Gupta V, Rashid H, Be K, Martin C, Gooley R, Dick R, Htun N, Stub D, Duffy S, Walton A. Long-Term Outcomes of Patients Undergoing TAVI in Australia. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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35
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Rashid H, Gooley R, Thein P, Be K, Nerlekar N, Ihdayhid A, Amiruddin A, McCormick L, Nasis A, Cameron J, Brown A. Bioprosthetic Aortic Valve Leaflet Thrombosis Detected by Multidetector Computed Tomography is Associated With Adverse Cerebrovascular Events: A Meta-Analysis of Observational Studies. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.895] [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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36
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Rashid H, Nasis A, Gooley R, Thein P, Be K, Amiruddin A, Cameron J, Brown A. The Prevalence of Leaflet Thrombosis in Intra-Annular Versus Supra-Annular Transcatheter Aortic Valve Prostheses and the Role of the Neo-Sinus: A Systematic Review. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.1000] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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37
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Rashid H, McCormick L, Talman A, Nerlekar N, Ihdayhid A, Amiruddin A, Tan S, Nasis A, Meredith I, Gooley R. P3291The impact of aorta-ventricular angulation on device success in transcatheter aortic valve replacements with the lotus valve system. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3291] [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: 11/12/2022] Open
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Rashid H, Talman A, Ihdayhid A, McCormick L, Nasis A, Meredith I, Gooley R. Determining the role of aorto-ventricular angulation on procedural success in transcatheter aortic valve replacements (TAVR) with the Lotus Valve System. Intern Med J 2017. [DOI: 10.1111/imj.13_13461] [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: 11/29/2022]
Affiliation(s)
- H Rashid
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
| | - A Talman
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
| | - A Ihdayhid
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
| | - L McCormick
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
| | - A Nasis
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
| | - I Meredith
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
| | - R Gooley
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
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Rashid H, Velusamy R, Be K, Ihdayhid A, Nerlekar N, McCormick L, Nasis A, Meredith I, Gooley R. Large single-centre outcome of next-generation transcatheter aortic valve replacement (TAVR) systems in low-intermediate surgical risk patients. Intern Med J 2017. [DOI: 10.1111/imj.12_13461] [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: 11/30/2022]
Affiliation(s)
- H Rashid
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
| | - R Velusamy
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
| | - K Be
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
| | - A Ihdayhid
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
| | - N Nerlekar
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
| | - L McCormick
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
| | - A Nasis
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
| | - I Meredith
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
| | - R Gooley
- MonashHeart, Monash Medical Centre; Melbourne Victoria Australia
- Monash University; Melbourne Victoria Australia
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Rashid H, Shafi S, Booy R, Bashir HE, Ali K, Zambon MC, Memish ZA, Ellis J, Coen PG, Haworth E. Influenza and respiratory syncytial virus infections in British Hajj pilgrims. Emerging Health Threats Journal 2017. [DOI: 10.3402/ehtj.v1i0.7072] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- H Rashid
- Academic Unit of Child Health, Queen Mary University of London, London, UK
| | - S Shafi
- HPA Collaborating Laboratory, Department of Microbiology, Northwick Park Hospital, Middlesex, UK
| | - R Booy
- Academic Unit of Child Health, Queen Mary University of London, London, UK
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Disease, The Children’s Hospital at Westmead, The University of Sydney, Sydney, New South Wales, Australia
| | - H El Bashir
- Academic Unit of Child Health, Queen Mary University of London, London, UK
| | - K Ali
- Academic Unit of Child Health, Queen Mary University of London, London, UK
| | - MC Zambon
- Respiratory Virus Unit, Centre for Infections, Health Protection Agency, London, UK
| | - ZA Memish
- Department of Medicine, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia
- Department of Infection Prevention and Control, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh; Saudi Arabia
| | - J Ellis
- Respiratory Virus Unit, Centre for Infections, Health Protection Agency, London, UK
| | - PG Coen
- Infection Control Office, Windeyer Institute of Medical Sciences, University College. London Hospitals NHS Trust, London, UK; and
| | - E Haworth
- Thames Valley Health Protection Unit, Health Protection Agency South East, Oxford, UK
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Mirzaee S, Rashid H, Ivankovic Y, Nasis A, Cameron J. A Study to Assess Knowledge and Practice Among Coronary Care Staff About Familial Hypercholesterolzemia. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.162] [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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Rashid H, Velusamy R, Be K, Talman A, Amiruddin A, Koh Y, Tan S, Ihdayhid A, Nerlekar N, McCormick L, Meredith I, Gooley R. Investigating the Impact of Aorto-Ventricular Angulation on Procedural Success in Transcatheter Aortic Valve Replacements with the Lotus Valve System. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.389] [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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Koh Y, Khaw S, Rashid H, Nasis A. Effect of Indoor Flowering Plants on Anxiety and Depressive Symptoms Post Acute Coronary Syndrome: A Randomised Controlled Trial. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Rashid H, Be K, Velusamy R, Talman A, Koh Y, Amiruddin A, Tan S, Ihdayhid A, McCormick L, Nasis A, Meredith I, Gooley R. Next-Generation Transcatheter Aortic Valve Replacement (TAVR) Clinical Outcomes in Low-Intermediate Risk Patients: Large Single-Centre Experience. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Nerlekar N, Cheshire C, Rashid H, Muthalaly R, Cameron J, Seneviratne S, Wong D, Harper R, Brown A. Computed Tomography Coronary Angiography (CTCA) Derived Plaque Morphology Predicts Major Adverse Cardiovascular Events (MACE): Insights from a 19,943 Patient Meta-Analysis. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.483] [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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Tashani M, Alfelali M, Barasheed O, Alqahtani AS, Heron L, Wong M, Rashid H, Booy R. Effect of Tdap when administered before, with or after the 13-valent pneumococcal conjugate vaccine (coadministered with the quadrivalent meningococcal conjugate vaccine) in adults: A randomised controlled trial. Vaccine 2016; 34:5929-5937. [PMID: 27780630 DOI: 10.1016/j.vaccine.2016.10.020] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2016] [Revised: 09/05/2016] [Accepted: 10/06/2016] [Indexed: 01/07/2023]
Abstract
Sequential or co-administration of vaccines has potential to alter the immune response to any of the antigens. Existing literature suggests that prior immunisation of tetanus/diphtheria-containing vaccines can either enhance or suppress immune response to conjugate pneumococcal or meningococcal vaccines. We examined this interaction among adult Australian travellers before attending the Hajj pilgrimage 2014. We also investigated tolerability of these vaccines separately and concomitantly. We randomly assigned each participant to one of three vaccination schedules. Group A received adult tetanus, diphtheria and acellular pertussis vaccine (Tdap) 3-4weeks before receiving CRM197-conjugated 13-valent pneumococcal vaccine (PCV13) and CRM197-conjugated quadrivalent meningococcal vaccine (MCV4). Group B received all three vaccines on one day. Group C received PCV13 and MCV4 3-4weeks before Tdap. Blood samples collected at baseline, each vaccination visit and 3-4weeks after vaccination were tested using the pneumococcal opsonophagocytic assay (OPA) and by ELISA for diphtheria and tetanus antibodies. Funding for meningococcal serology was not available. Participants completed symptom diaries after each vaccination. A total of 111 participants aged 18-64 (median 40) years were recruited. No statistically significant difference was detected across the three groups in achieving OPA titre ⩾1:8 post vaccination. However, compared to other groups, Group A had a statistically significant lower number of subjects achieving ⩾4-fold rise in serotype 3, and also significantly lower geometric mean titres (GMTs) to six (of 13) pneumococcal serotypes (3, 5, 18C, 4, 19A and 9V). Group C (given prior PCV13 and MVC4) had statistically significant higher pre-Tdap geometric mean concentration (GMC) of anti-diphtheria IgG; however, there was no difference across the three groups following Tdap. Anti-tetanus IgG GMCs were similar across the groups before and after Tdap. No serious adverse events were reported. In conclusion, Tdap vaccination 3-4weeks before concomitant administration of PCV13 and MCV4 significantly reduced the antibody response to six of the 13 pneumococcal serotypes in adults. The trial is registered at the Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12613000536763.
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Affiliation(s)
- M Tashani
- National Centre for Immunisation Research and Surveillance (NCIRS), The Children's Hospital at Westmead, NSW, Australia; Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, NSW, Australia; NHMRC Centre for Research Excellence - Immunisation in Understudied and Special Risk Populations: Closing the Gap in Knowledge through a Multidisciplinary Approach, School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, Australia.
| | - M Alfelali
- National Centre for Immunisation Research and Surveillance (NCIRS), The Children's Hospital at Westmead, NSW, Australia; Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, NSW, Australia; NHMRC Centre for Research Excellence - Immunisation in Understudied and Special Risk Populations: Closing the Gap in Knowledge through a Multidisciplinary Approach, School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, Australia; Department of Family and Community Medicine, Faculty of Medicine in Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia
| | - O Barasheed
- National Centre for Immunisation Research and Surveillance (NCIRS), The Children's Hospital at Westmead, NSW, Australia; Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, NSW, Australia; NHMRC Centre for Research Excellence - Immunisation in Understudied and Special Risk Populations: Closing the Gap in Knowledge through a Multidisciplinary Approach, School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, Australia; The Executive Administration of Research, King Abdullah Medical City (KAMC), Makkah, Saudi Arabia
| | - A S Alqahtani
- National Centre for Immunisation Research and Surveillance (NCIRS), The Children's Hospital at Westmead, NSW, Australia; School of Public Health, The University of Sydney, Sydney, NSW, Australia
| | - L Heron
- National Centre for Immunisation Research and Surveillance (NCIRS), The Children's Hospital at Westmead, NSW, Australia; Kids Research Institute, The Children's Hospital at Westmead, NSW, Australia
| | - M Wong
- Immunology Department, The Children's Hospital at Westmead, Westmead 2145, NSW, Australia
| | - H Rashid
- National Centre for Immunisation Research and Surveillance (NCIRS), The Children's Hospital at Westmead, NSW, Australia; Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, NSW, Australia; NHMRC Centre for Research Excellence - Immunisation in Understudied and Special Risk Populations: Closing the Gap in Knowledge through a Multidisciplinary Approach, School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, Australia; Marie Bashir Institute for Infectious Diseases and Biosecurity, School of Biological Sciences and Sydney Medical School, University of Sydney, Sydney, NSW 2145, Australia
| | - R Booy
- National Centre for Immunisation Research and Surveillance (NCIRS), The Children's Hospital at Westmead, NSW, Australia; Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, NSW, Australia; NHMRC Centre for Research Excellence - Immunisation in Understudied and Special Risk Populations: Closing the Gap in Knowledge through a Multidisciplinary Approach, School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, Australia; Marie Bashir Institute for Infectious Diseases and Biosecurity, School of Biological Sciences and Sydney Medical School, University of Sydney, Sydney, NSW 2145, Australia; WHO Collaborating Centre for Mass Gatherings and High Consequence/High Visibility Events, Flinders University, Adelaide 5001, Australia
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Ramkumar S, Rashid H, Zaman S, McCormick L, Gooley R, Jackson D, Meredith I. Comparison of Outcomes Between Nonagenarians and Younger Patients Undergoing Transcatheter Aortic Valve Replacement (TAVR) with the LOTUS Valve. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.397] [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]
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Rashid H, McCormick L, Gooley R, Ramkumar S, Meredith I. Simultaneous Transcatheter Aortic Valve Implantation and Drive-By Endovascular Aortic Aneurysm Repair with the Lotus Valve System. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.462] [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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Rashid H, Ramkumar S, Haji K, Nerlekar N, Mottram P, Moir S. Determining the Aortic Root Geometry of Congenital Bicuspid Aortic Valves Through 320-Slice Multidetector CT and its Implications for Transcatheter Aortic Valve Replacement. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.527] [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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Jackson D, Mottram P, Bowman C, Cameron J, Rashid H, Quine E, Lockwood S. Heart Failure with Reduced LV Ejection Fraction and Atrial Fibrillation/Flutter – What Predicts LV Ejection Fraction Recovery? Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.269] [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: 11/27/2022]
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