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Taher KW, Yaseen R, Alnan M, Aburas W, Khalil H, Alabdulsalam M. Efficacy and safety of empiric treatment with omeprazole continuous infusion in critically ill children with gastrointestinal bleeding. Front Pediatr 2024; 12:1270911. [PMID: 38650990 PMCID: PMC11033492 DOI: 10.3389/fped.2024.1270911] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 03/27/2024] [Indexed: 04/25/2024] Open
Abstract
Introduction Gastrointestinal bleeding (GI) is a prevalent condition among pediatric patients, with a reported incidence of 6.4%, often severe enough to require admission to the pediatric intensive care unit (PICU). There are multiple therapies utilized in the management of GI bleeding in pediatrics, among which continuous intravenous (IV) infusion of omeprazole is used off-label without standard pediatric dosing recommendations. Reviewing the current literature reveals a lack of studies assessing the efficacy, safety, and appropriate dosing regimen of continuous omeprazole infusion in children with GI bleeding. This study aimed to evaluate the efficacy and safety of continuous IV omeprazole infusion in comparison to other therapeutic modalities in children. Methods This study is a single-center, retrospective chart review of children admitted to the PICU at King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. The treatment group included pediatric patients with GI bleeding and receiving omeprazole IV continuous infusion over ≥24 h while the control group included pediatric patients with GI bleeding managed using other therapies. Primary outcomes were the efficacy of omeprazole continuous infusion in stopping GI bleeding, and PICU length of stay (LOS). Secondary outcomes included instances of rebleeding post- therapy discontinuation, transfusion requirements, and the safety of omeprazole continuous infusion. Results The study included 81 critically ill pediatric patients, 22 of whom received continuous infusion omeprazole while 59 received other therapies. The results indicated that patients in the control group had a significantly shorter PICU LOS (8 vs. 18.5 days, p < 0.001) and bleeding episode (4 vs. 10.5 days, p < 0.001) than those in the treatment group. However, no significant differences were observed between the two groups regarding secondary outcomes. The treatment group had a significantly lower all-cause mortality rate during hospitalization compared to the control group (16 patients [72.7%] vs. 56 patients [94.9%], respectively, p = 0.005). Conclusion Empirical use of omeprazole continuous intravenous infusion in children with GI bleeding was not favorable in terms of shortening PICU LOS and duration of GI bleeding. Our study results provide evidence supporting the safety and tolerability of omeprazole continuous infusion. Additional larger studies are necessary to determine the implication of such results.
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Affiliation(s)
- Khalid W. Taher
- Pharmaceutical Care Division, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
| | - Rahaf Yaseen
- College of Pharmacy, Alfaisal University, Riyadh, Saudi Arabia
| | - Mayas Alnan
- College of Pharmacy, Alfaisal University, Riyadh, Saudi Arabia
| | - Wejdan Aburas
- PGY1 Pharmacy Residency Program, Pharmaceutical Care Division, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
- Therapeutic Affairs Deputyship, Ministry of Health, Riyadh, Saudi Arabia
| | - Hala Khalil
- Department of Biostatistics, Epidemiology and Scientific Computing, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
| | - Moath Alabdulsalam
- Department of Pediatrics, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
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Çakıcı T, Özdal ÖG, Almousa N, Yıldız F, Perişanoğlu EK, Khalil H, Ene A, Zakaly HM. Bacterial MgSe complex nanoparticle synthesis and electrical characterization of fabricated Ag/MgSe/p-Si hetero-structure under dark and illumination. Heliyon 2023; 9:e21678. [PMID: 38027855 PMCID: PMC10654244 DOI: 10.1016/j.heliyon.2023.e21678] [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: 04/07/2023] [Revised: 10/21/2023] [Accepted: 10/25/2023] [Indexed: 12/01/2023] Open
Abstract
The Pseudomonas aeruginosa OG1 strain was used in the bacterial synthesis of MgSe compound nanoparticles. The obtained samples were subsequently shaped into nanocrystalline MgSe films, and their optical, structural, morphological, and electrical properties were assessed on glass and p-Si substrates. Structural and morphological characterizations showed that the fabricated thin film samples have a polycrystalline structure with high quality and uniform grain sizes. The MgSe films produced on glass substrates exhibit a direct spectral band gap of 2.53 eV, according to optical measurements. The Ag/MgSe/p-Si layered diode structure was fabricated using the produced MgSe nanoparticles and then characterized by electrical properties. Electrical measurements were carried out under these two conditions to assess the effects of dark and illumination conditions on the band dynamics of the heterostructure devices. Under illumination, the barrier height decreased while the interface density states distribution increased. These measurements showed that using bacterial-assisted grown MgSe nanocrystalline films, the developed Ag/MgSe/p-Si device structure exhibited a remarkable photoresponse and stable rectifying property. Green synthesis methods for the production of these nanocrystalline materials have the potential to offer low-cost alternatives for photosensitive applications.
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Affiliation(s)
- T. Çakıcı
- Department of Electrical and Energy, Ispir Hamza Polat Vocational School of Higher Education, Ataturk University, Erzurum, Turkey
| | - Ö. Gür Özdal
- Department of Biology, Science Faculty Ataturk University, Erzurum, Turkey
| | - N. Almousa
- Department of Physics, College of Science, Princess Nourah bint Abdulrahman University.P.O.Box 84428, Riyadh, 11671, Saudi Arabia
| | - F. Yıldız
- Department of Physics, Science Faculty Ataturk University, Erzurum, Turkey
| | | | - H. Khalil
- City of Scientific Research and Technological Application (SRTA-City), Alexandria, 21934, Egypt
| | - Antoaneta Ene
- INPOLDE Research Center, Department of Chemistry, Physics and Environment, Faculty of Sciences and Environment, Dunarea de Jos University of Galati, 47 Domneasca Street, 800008, Galati, Romania
| | - Hesham M.H. Zakaly
- Istinye University, Faculty of Engineering and Natural Sciences, Computer Engineering Department, Istanbul, 34396, Turkey
- Institute of Physics and Technology, Ural Federal University, 620002, Yekaterinburg, Russia
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AlShail E, Alahmari AN, Dababo AAM, Alsagob M, Al-Hindi H, Khalil H, Al Masseri Z, AlSalamah R, Almohseny E, Alduhaish A, Colak D, Kaya N. A molecular study of pediatric pilomyxoid and pilocytic astrocytomas: Genome-wide copy number screening, retrospective analysis of clinicopathological features and long-term clinical outcome. Front Oncol 2023; 13:1034292. [PMID: 36860324 PMCID: PMC9968872 DOI: 10.3389/fonc.2023.1034292] [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: 09/01/2022] [Accepted: 01/13/2023] [Indexed: 02/17/2023] Open
Abstract
Background Pilocytic Astrocytoma (PA) is the most common pediatric brain tumors. PAs are slow-growing tumors with high survival rates. However, a distinct subgroup of tumors defined as pilomyxoid astrocytoma (PMA) presents unique histological characteristics and have more aggressive clinical course. The studies on genetics of PMA are scarce. Methods In this study, we report one of the largest cohort of pediatric patients with pilomyxoid (PMA) and pilocytic astrocytomas (PA) in Saudi population providing a comprehensive clinical picture, retrospective analysis with long-term follow-up, genome-wide copy number changes, and clinical outcome of these pediatric tumors. We examined and compared genome-wide copy number aberrations (CNAs) and the clinical outcome of the patients with PA and PMA. Results The median progression free survival for the whole cohort was 156 months and it was 111 months for the PMA, however, not statistically significantly different between the groups (log-rank test, P = 0.726). We have identified 41 CNAs (34 gains and 7 losses) in all tested patients. Our study yielded the previously reported KIAA1549-BRAF Fusion gene in over 88% of the tested patients (89% and 80% in PMA and PA, respectively). Besides the fusion gene, twelve patients had additional genomic CNAs. Furthermore, pathway and gene network analyses of genes in the fusion region revealed alterations in retinoic acid mediated apoptosis and MAPK signaling pathways and key hub genes that may potentially be involved in tumor growth and progression, including BRAF, LUC7L2, MKRN1, RICTOR, TP53, HIPK2, HNF4A, POU5F, and SOX4. Conclusion Our study is the first report of a large cohort of patients with PMA and PA in the Saudi population that provides detailed clinical features, genomic copy number changes, and outcome of these pediatric tumors and may help better diagnosis and characterization of PMA.
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Affiliation(s)
- Essam AlShail
- Department of Neurosciences, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia
| | - Ahmed Nasser Alahmari
- Department of Neurosciences, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia
| | - Anas A. M. Dababo
- Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia
| | - Maysoon Alsagob
- Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia,Applied Genomics Technologies Institute, King Abdulaziz City for Science and Technology, Riyadh, Saudi Arabia
| | - Hindi Al-Hindi
- Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia
| | - Hala Khalil
- Department of Biostatistics, Epidemiology and Scientific Computing, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia
| | - Zainab Al Masseri
- Medical Genetics Department, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia
| | - Razan AlSalamah
- Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia
| | - Ethar Almohseny
- Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia
| | - Amjad Alduhaish
- Neuroscience Department, King Abdullah Medical City, Mecca, Saudi Arabia
| | - Dilek Colak
- Department of Molecular Oncology, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia,*Correspondence: Namik Kaya, ; ; Dilek Colak,
| | - Namik Kaya
- Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Centre (KFSHRC), Riyadh, Saudi Arabia,*Correspondence: Namik Kaya, ; ; Dilek Colak,
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Cope LM, Gheidi A, Martz ME, Duval ER, Khalil H, Allerton T, Morrow JD. A mechanical task for measuring sign- and goal-tracking in humans: A proof-of-concept study. Behav Brain Res 2023; 436:114112. [PMID: 36115435 PMCID: PMC10153473 DOI: 10.1016/j.bbr.2022.114112] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 09/07/2022] [Accepted: 09/08/2022] [Indexed: 11/16/2022]
Abstract
Cue-based associative learning (i.e., Pavlovian conditioning) is a foundational component of behavior in almost all forms of animal life and may provide insight into individual differences in addiction liability. Cues can take on incentive-motivational properties (i.e., incentive salience) through Pavlovian learning. Extensive testing with non-human animals (primarily rats) has demonstrated significant variation among individuals in the behaviors this type of learning evokes. So-named "sign-trackers" and "goal-trackers" have been examined in many studies of non-human animals, but this work in humans is still a nascent area of research. In the present proof-of-concept study, we used a Pavlovian conditioned approach task to investigate human sign- and goal-tracking in emerging adults. Conditioned behaviors that developed over the course of the task were directed toward the reward-cue and toward the reward location. Participants' eye-gaze and behavior during the task were submitted to a latent profile analysis, which revealed three groups defined as sign-trackers (n = 10), goal-trackers (n = 4), and intermediate responders (n = 36). Impulsivity was a significant predictor of the sign-tracking group relative to the goal-tracking group. The present study provides preliminary evidence that a simple procedure can produce learned Pavlovian conditioned approach behavior in humans. Though further investigation is required, findings provide a promising step toward the long-term goal of translating important insights gleaned from basic research into treatment strategies that can be applied to clinical populations.
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Affiliation(s)
- L M Cope
- Department of Psychiatry and Addiction Center, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109, USA.
| | - A Gheidi
- Biomedical Science Research Building, University of Michigan, 109 Zina Pitcher Place, Ann Arbor, MI 48109, USA.
| | - M E Martz
- Department of Psychiatry and Addiction Center, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109, USA.
| | - E R Duval
- Department of Psychiatry, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109, USA.
| | - H Khalil
- Michigan Neuroscience Institute, University of Michigan, 205 Zina Pitcher Place, Ann Arbor, MI 48109, USA.
| | - T Allerton
- Biomedical Science Research Building, University of Michigan, 109 Zina Pitcher Place, Ann Arbor, MI 48109, USA.
| | - J D Morrow
- Department of Psychiatry and Addiction Center, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109, USA; Biomedical Science Research Building, University of Michigan, 109 Zina Pitcher Place, Ann Arbor, MI 48109, USA.
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Saleh RA, Alsaleh M, Khalil H. Blood Donations by Doctors: Donation Practices May Vary by Specialty. Indian J Hematol Blood Transfus 2023; 39:156-158. [PMID: 36699424 PMCID: PMC9868019 DOI: 10.1007/s12288-022-01551-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Accepted: 06/14/2022] [Indexed: 01/28/2023] Open
Affiliation(s)
- Rana Ahmed Saleh
- Department of Medicine, King Abdulaziz Medical City- National Guard Health Affairs, Riyadh, Saudi Arabia
| | - Mahasen Alsaleh
- Pediatric Hematology/Oncology Department, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
| | - Hala Khalil
- Department of Biostatistics- Epidemiology and Scientific Computing, King Faisal Specialist Hospital & Research Centre, P.O. Box 3354, Riyadh, 11211 Saudi Arabia
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Khalil H, Tricco AC. Differentiating between Evidence/gap maps and scoping reviews in the evidence synthesis ecosystem. J Clin Epidemiol 2022; 149:175-182. [PMID: 35636593 DOI: 10.1016/j.jclinepi.2022.05.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [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: 09/23/2021] [Revised: 05/11/2022] [Accepted: 05/23/2022] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Scoping reviews and evidence map methodologies are increasingly used by researchers. The objective of this article is to outline the main differences between both types of evidence synthesis to improve their conduct. STUDY DESIGN AND SETTING This article summarizes the key issues facing reviewers who conduct scoping reviews and evidence maps and those who use the results and may engage in consultations during their development. RESULTS Several differences exist between the methodologies, and these are in their protocol development, scope, inclusion criteria, data extraction, reporting, and use. Evidence maps are mainly driven by questions of effectiveness of a particular intervention and hence they use the PICOS format similar to systematic reviews of effectiveness. Scoping reviews mostly use the PCC format where they map a concept of interest relevant to a particular population in a specific setting and context. Data extraction is limited by only coding of studies and intervention characteristics in evidence maps. The results of the evidence maps can be used inform research priorities and research funding, whereas scoping reviews results may be used to inform policy development by clarifying key concepts and methods, and further research. CONCLUSION We recommend authors who are planning to undertake scoping reviews confirm that their research question can be appropriately answered using a scoping review methodology, however, for broader research questions without the need for an in-depth analysis of the information, we recommend authors to consider mapping reviews.
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Affiliation(s)
- H Khalil
- La Trobe University, School of Psychology and Public Health, Department of Public Health, Melbourne, Victoria 3000, Australia.
| | - A C Tricco
- Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario; Epidemiology Division and Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario; Queen's Collaboration for Health Care Quality Joanna Briggs Institute Centre of Excellence, Queen's University, Kingston, Canada
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Saleh RA, Khalil H, Alsaleh M, Almeharish A, Mohammed V, Alhumaidan H, Saleh R. Voluntary and non-voluntary blood donations among doctors. Health Sci Rep 2021; 4:e377. [PMID: 34632094 PMCID: PMC8493240 DOI: 10.1002/hsr2.377] [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: 03/09/2021] [Revised: 07/24/2021] [Accepted: 08/09/2021] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Physicians may be an important source of blood donations as they are more likely to be familiar with the importance of donating and the donation process. The aim of this study is to report physicians' knowledge, attitudes, and practices towards voluntary and non-voluntary blood donations. STUDY DESIGN AND METHODS This was a cross-sectional study conducted at King Faisal Specialist Hospital and Research Centre (KFSH&RC), Saudi Arabia. One-hundred-and-sixteen physicians and dentists responded to an online structured questionnaire sent to their institutional emails. RESULTS Sixty-eight percent of participants (79% of males and 43% of females) reported previously having donated blood. Eighty-six percent of donors had previously donated on a voluntary basis, whereas 31% of donors had previously donated for a specific person. A recent donation within 5 years was associated with the younger age group and knowledge of the minimum interval between donations. Fifty-six percent of participants agreed with using replacement donations. Compared to participants in the youngest age group (25-35 years), older participants in the age groups (46-55 years) and (>55 years) were less likely to express intention to donate in the next 6 months (OR 0.289, P = .022 and OR 0.083, P = .004, respectively). Participants reporting poor nutritional status or other medical reasons as a barrier to donating blood were less likely to intend to donate (OR 0.146, P < .001). Among previous donors, intention to donate was associated with a recent donation within 1 year (OR 27.13, P = .002) and having had a pleasant donation experience (OR 14.98, P < .001). CONCLUSION Blood donation practices are strongly tied to physicians' gender and age and their knowledge of the donation process. The most significant barrier to blood donation was found to be nutritional and medical status.
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Affiliation(s)
- Rana Ahmed Saleh
- Department of MedicineKing Abdulaziz Medical City‐ National Guard Health AffairsRiyadhSaudi Arabia
| | - Hala Khalil
- Department of Biostatistics‐ Epidemiology and Scientific ComputingKing Faisal Specialist Hospital & Research CentreRiyadhSaudi Arabia
| | - Mahasen Alsaleh
- Pediatric Hematology/Oncology DepartmentKing Faisal Specialist Hospital & Research CentreRiyadhSaudi Arabia
| | - Amani Almeharish
- Department of Biostatistics‐ Epidemiology and Scientific ComputingKing Faisal Specialist Hospital & Research CentreRiyadhSaudi Arabia
| | - Viqaruddin Mohammed
- Pediatric Hematology/Oncology DepartmentKing Faisal Specialist Hospital & Research CentreRiyadhSaudi Arabia
| | - Hind Alhumaidan
- Pathology And Laboratory Medicine DepartmentKing Faisal Specialist Hospital & Research Centre
| | - Renad Saleh
- School of MedicineUniversity College DublinDublinIreland
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Shi W, Khalil H, Swanson S, Sholl L. P56.01 Semiquantitative Assessment of Tumor Spread Through Air Spaces in a Historic Cohort of Lung Adenocarcinomas Following Open Surgical Resection. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.08.567] [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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Saleh RA, Aleid M, Saleh R, Al Semari A, Alrushud N, BinJaber R, Alammar G, Aldoss A, Abujaber A, Khalil H. Employment and occupational safety among patients with seizure disorders - findings from a tertiary hospital in Saudi Arabia. Epilepsy Behav 2021; 122:108208. [PMID: 34352669 DOI: 10.1016/j.yebeh.2021.108208] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 06/27/2021] [Accepted: 06/29/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE Observational studies suggest that persons with seizure disorders are socially disadvantaged compared to the general population. There are scarce reports in the literature on the prevalence of employment and occupational safety among patients with seizure disorders in Saudi Arabia. We aimed to describe the occupational statuses of patients with seizure disorders and determine factors associated with unemployment. METHODS This was a cross-sectional study conducted at King Faisal Specialist Hospital and Research Center in Riyadh, Saudi Arabia. Five-hundred-and-forty patients with known seizure disorders or epilepsy who attended neurology and neurosurgery outpatient clinics between January and November 2018 completed a semi-structured questionnaire delivered by interview. RESULTS Forty-four percent of participants were unemployed (27% of males and 64% of females). Fifteen percent of currently or previously employed participants reported that they had formerly resigned from their job due to their seizure disorder, most commonly as a result of their own fears or concerns. Almost half of the participants reported that their employer made arrangements in the workplace for their seizure disorder, while 18% reported that they did not disclose their diagnosis. Gender, age, and highest educational level were associated with employment status and reason for unemployment. Patients with seizures secondary to trauma were less than half as likely to be employed compared to other participants (aOR = 0.45 95%CI 0.21-0.97, p = 0.042). Holding a driving license increased the odds of being employed (aOR = 2.68 95%CI 1.32-5.46, p = 0.007). Participants on 4 or more antiepileptic medications were more likely to report not being well enough to work. SIGNIFICANCE Patients with seizure disorders are at increased risk of unemployment, even though many desire work. Unemployment is linked to social factors rather than disease-specific characteristics. Employers in Saudi Arabia generally accommodate patients in the workplace; however, individuals should further be empowered with information on safety in the workplace and their rights to employment.
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Affiliation(s)
- Rana A Saleh
- King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Saudi Arabia
| | - Maha Aleid
- King Faisal Specialist Hospital & Research Centre, Department of Biostatistics- Epidemiology and Scientific Computing, Riyadh, Saudi Arabia
| | - Raneem Saleh
- University College Dublin, School of Medicine, Dublin, Ireland
| | - Abdulaziz Al Semari
- King Faisal Specialist Hospital & Research Centre, Neuroscience Department, Riyadh, Saudi Arabia
| | - Nujud Alrushud
- King Faisal Specialist Hospital & Research Centre, Department of Biostatistics- Epidemiology and Scientific Computing, Riyadh, Saudi Arabia
| | - Reem BinJaber
- King Faisal Specialist Hospital & Research Centre, Department of Biostatistics- Epidemiology and Scientific Computing, Riyadh, Saudi Arabia
| | - Ghada Alammar
- King Faisal Specialist Hospital & Research Centre, Department of Biostatistics- Epidemiology and Scientific Computing, Riyadh, Saudi Arabia
| | - Atheer Aldoss
- King Faisal Specialist Hospital & Research Centre, Department of Biostatistics- Epidemiology and Scientific Computing, Riyadh, Saudi Arabia
| | - Amal Abujaber
- King Faisal Specialist Hospital & Research Centre, Neuroscience Department, Riyadh, Saudi Arabia
| | - Hala Khalil
- King Faisal Specialist Hospital & Research Centre, Department of Biostatistics- Epidemiology and Scientific Computing, Riyadh, Saudi Arabia.
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Maarouf F, Saoiabi S, Azzaoui K, Chrika C, Khalil H, Elkaouni S, Lhimr S, Boubker O, Hammouti B, Jodeh S. Statistical optimization of amorphous iron phosphate: inorganic sol-gel synthesis-sodium potential insertion. BMC Chem 2021; 15:48. [PMID: 34404455 PMCID: PMC8371788 DOI: 10.1186/s13065-021-00774-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 08/02/2021] [Indexed: 12/03/2022] Open
Abstract
Iron phosphate, Fe2 (HPO4)3*4H2O, is synthesized at ambient temperature, using the inorganic sol–gel method coupled to the microwave route. The experimental conditions for the gelling of Fe (III)-H3PO4 system are previously defined. Potentiometric Time Titration (PTT) and Potentiometric Mass Titration (PMT) investigate the acid–base surface chemistry of obtained phosphate. Variations of surface charge with the contact time, Q a function of T, are examined for time contact varying in the range 0–72 h. The mass suspensions used for this purpose are 0.75, 1.25 and 2.5 g L−1. The point of zero charge (PZC) and isoelectric point (IEP) are defined using the derivative method examining the variations \documentclass[12pt]{minimal}
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\begin{document}$$\frac{{{\text{dpH}}}}{{{\text{d}}t}} = f\left( {{\text{pH}}} \right)$$\end{document}dpHdt=fpH, at lower contact time. A shift is observed for PZC and IEP towards low values that are found to be 2.2 ± 0.2 and 1.8 ± 0.1, respectively. In acidic conditions, the surface charge behavior of synthesized phosphate is dominated by \documentclass[12pt]{minimal}
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\begin{document}$$\overline{{ > {\text{POH}}}}$$\end{document}>POH¯ group which pKa = 2.45 ± 0.15. Q against T titration method is performed for synthesized Fe2 (HPO4)3*4H2O in NaCl electrolytes. The maximal surface charge (Q) is achieved at the low solid suspension. Hence, for m = 0.75 g L−1, Q value of 50 coulombs is carried at μ = 0.1 and pH around 12, while charge value around 22 coulombs is reached in the pH range: 3–10. The effect of activation time, Q and pH on sodium insertion in iron phosphate, were fully evaluated. To determine the optimal conditions of the studied process, mathematical models are used develop response surfaces in order to characterize the most significant sodium interactions according to the variation of the pH, Q, the contact time and the contents of the synthesized material. ![]()
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Affiliation(s)
- Fz Maarouf
- Laboratoire de Chimie Appliquée Des Matériaux (LCAM), Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - S Saoiabi
- Laboratoire de Chimie Appliquée Des Matériaux (LCAM), Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - K Azzaoui
- LCAE-URAC18, COST, Department of Chemistry, Faculty of Sciences, Mohamed 1st University, P.O. Box 717, 60000, Oujda, Morocco.
| | - C Chrika
- Laboratoire de Chimie Appliquée Des Matériaux (LCAM), Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - H Khalil
- Laboratoire de Chimie Appliquée Des Matériaux (LCAM), Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - S Elkaouni
- Laboratoire de Chimie Appliquée Des Matériaux (LCAM), Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - S Lhimr
- Laboratoire de Chimie Appliquée Des Matériaux (LCAM), Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - O Boubker
- Management and IS Research Group - National School of Business & Management, Abdelmalek Essaadi University, Tangier, Morocco.,Department of Management, Laayoune Higher School of Technology, Ibn Zohr University, Agadir, Morocco
| | - B Hammouti
- LCAE-URAC18, COST, Department of Chemistry, Faculty of Sciences, Mohamed 1st University, P.O. Box 717, 60000, Oujda, Morocco
| | - S Jodeh
- Department of Chemistry, College of Science, An-Najah National University, Nablus, Palestine.
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Abdrabou AK, Sharif FA, Fakih RE, Hashmi S, Khafaga YM, Alhayli S, Zahrani HA, Ahmed S, Fraih FA, Shaheen M, Rasheed W, Chaudhri NA, Mohareb FA, Khalil H, Aljurf M, Hanbali A. Outcomes of autologous stem cell transplantation for multiple myeloma in Saudi Arabia. Ann Saudi Med 2021; 41:198-205. [PMID: 34420396 PMCID: PMC8380276 DOI: 10.5144/0256-4947.2021.198] [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] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND In 2015, multiple myeloma (MM) represented 1% of all cancers and about 5% of hematologic malignancies in Saudi cancer registry. We conducted this large study because only small pilot studies have examined MM outcomes after autologous stem-cell transplantation (ASCT). The standard therapy for eligible patients is induction chemotherapy followed by ASCT. OBJECTIVES Determine the demographic characteristics of MM patients and the outcomes of ASCT. DESIGN Retrospective. SETTING Tumor registry database of major tertiary cancer care center in Riyadh. PATIENTS AND METHODS We identified patients with newly diagnosed MM who underwent ASCT from October 1997 to March 2015. MAIN OUTCOME MEASURES The demographic characteristics of MM patients and the outcomes of ASCT in the form of response evaluation, progression-free survival (PFS) and overall survival (OS). SAMPLE SIZE 169 patients with newly diagnosed MM. RESULTS The median age at diagnosis was 51 years (range 23-69) and 100 (59.2%) were male. The most common immunoglobulin (Ig) subtype was IgG-kappa (80 patients; 47.6%). Most patients presented with advanced ISS stage III (75 patients; 47.5%). The cytogenetic analysis was documented in only 87 patients (51.4%); about half (48.3%) had normal cytogenetics by fluorescence in situ hybridization. Deletion 13 was present in 18.4% of patients. In post-induction therapy, 84 patients (50%) achieved a complete response, which increased to 78.1% (132 patients) after ASCT. The median PFS and OS post-transplantation were 30 and 202 months, respectively. Only one patient (<1%) died in the first 100 days after transplantation. CONCLUSIONS Our transplant eligible MM patients tend to be younger with a higher OS and a low ASCT-related mortality (<1%) than is reported internationally. LIMITATIONS Usual limitations of a retrospective analysis using registry-level data; no data on quality of life. CONFLICTS OF INTEREST None.
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Affiliation(s)
- Ahmed Kotb Abdrabou
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.,From the Department of Medicine, Hematology Unit, Zagazig University, Zagazig, Egypt
| | - Fahad Al Sharif
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Riad El Fakih
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Shahrukh Hashmi
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Yasser Mohamed Khafaga
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Saud Alhayli
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Hazaa Al Zahrani
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Syed Ahmed
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Feras Al Fraih
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Marwan Shaheen
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Walid Rasheed
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Naeem Arshad Chaudhri
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Fahad Al Mohareb
- From the King Faisal Cancer Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Hala Khalil
- From the Department of Biostatistics, Epidemiology and Scientific Computing, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Mahmoud Aljurf
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Amr Hanbali
- From the Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
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12
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Edathodu J, Alamri M, Alshangiti KA, Alfagyh NS, Alnaghmush AS, Albaiz F, Alothman B, Khalil H, Edathodu Z, Alrajhi AA. Clinical manifestations and treatment outcomes of human brucellosis at a tertiary care center in Saudi Arabia. Ann Saudi Med 2021; 41:109-114. [PMID: 33818142 PMCID: PMC8020648 DOI: 10.5144/0256-4947.2021.109] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 11/06/2020] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Brucellosis, which has profound public health and economic consequences, is endemic to Saudi Arabia. Brucella is transmitted to humans by direct contact with infected animals or by consumption of unpasteurized dairy products. Manifestations of brucellosis are protean and require a combination of drugs to prevent the emergence of resistance. The WHO recommends the use of doxycycline with rifampicin or an aminoglycoside for brucellosis, but experts in Saudi Arabia prefer to avoid the use of rifampicin and aminoglycosides to lessen the possibility of emergence of drug-resistant tuberculosis. OBJECTIVES Compare rifampicin and doxycycline in the treatment of human brucellosis versus various combinations of doxycycline, with either trimethoprim-sulfamethoxazole (co-trimoxazole), quinolones or aminoglycosides, and describe the clinical manifestations of brucellosis. DESIGN Retrospective medical record review. SETTING Single tertiary care center. PATIENTS AND METHODS Diagnosis of brucellosis was based on positive serology by standard agglutination test (SAT), or isolation by culture of Brucella species from blood, body fluid or tissue. MAIN OUTCOME MEASURES Cure rate with the use of doxycycline in combination with either co-trimoxazole, quinolone or aminoglyco-sides in comparison to doxycycline/rifampicin and the clinical features of brucellosis. SAMPLE SIZE 123. RESULTS In 118 (96%) patients, the median IgG/IgM antibody titers at diagnosis and at 6 and 12 months were 1:1280/1:1280, 1:640/1:640, and 1:320/1:160, respectively. There were no differences in outcome between treatment regimens, as evidenced by a significant decrease in SAT titers and symptom resolution within six months. Five (4%) patients relapsed from non-adherence to treatment, but responded well to a second course of treatment. Blood cultures were positive in 50 patients (41%) patients. Fever, arthralgia and back pain were the most common symptoms. Good serological and clinical responses were achieved in 96% of patients. Relapse in 4% (n=5) was due to self-reported non-adherence. LIMITATIONS Retrospective, relatively small sample size. CONCLUSIONS Doxycycline with co-trimoxazole is as efficacious as doxycycline/rifampicin in non-focal brucellosis and is preferred in countries with a high prevalence of tuberculosis. CONFLICT OF INTEREST None.
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Affiliation(s)
- Jameela Edathodu
- From the Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Maha Alamri
- From the Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Khadijah Ahmed Alshangiti
- From the Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Noura S. Alfagyh
- From the Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Ahmed S. Alnaghmush
- From the Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Faisal Albaiz
- From the Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Bader Alothman
- From the Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Hala Khalil
- From the Department of Biostatistics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Zenusha Edathodu
- From the Research Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Abdulrahman A. Alrajhi
- From the Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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13
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Othman M, Alshaalan M, Khawaji A, Benkuddah R, Khalil H, Alismail K, Althobaity W, Alreshoodi S. Vertebroplasty Increases the Incidence Of New Vertebral Compression Fractures Compared To Conservative Management. The Arab Journal of Interventional Radiology 2021. [DOI: 10.1055/s-0041-1731603] [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: 10/21/2022] Open
Abstract
Abstract
Background Vertebral osteoporotic fractures are a major cause of morbidity and disability among the elderly population.This study sought to compare the incidence of new vertebral fractures in patients treated by vertebroplasty with that of those managed conservatively, while also assessing the potential risk factors contributing to the occurrence of these fractures.
Materials and Methods The details of a total of 121 eligible subjects with radiologically proven osteoporotic vertebral fractures were retrieved from our archive between January 2010 and September 2019 and divided, based on the treatment method, into percutaneous vertebroplasty (PVP) (n = 60) and nonsurgical treatment (n = 61). The included subjects’ clinical data, demographic profiles, and imaging findings on plain radiography, CT, and MRI scans performed at baseline and within 24 months following treatment were reviewed and documented.
Results The difference in the incidence of new fractures was statistically significant (p = 0.001), with rates of 70% (n = 32) in the vertebroplasty group and 30% (n = 14) in the conservatively treated cases reported at a median follow-up time point of approximately 4 months. The presence of liver disease (p = 0.037), a history of transplantation (p = 0.003), the use of steroids (p = 0.023), a low-bone mineral density (BMD) score (p = 0.023), and a higher number of fractures on baseline imaging (p = 0.013) were associated with a greater risk of subsequent vertebral fractures.
Conclusions The incidence of acute fractures after PVP is higher than that among patients treated conservatively. Decision-making regarding the adoption of this intervention should take into consideration the risk factors leading to a greater risk of subsequent vertebral fractures, such as a higher number of fractures at baseline imaging, low-BMD score, patient comorbidities, and steroid use.
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Affiliation(s)
- Maram Othman
- Medical Imaging Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
| | - Meshal Alshaalan
- Medical Imaging Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
| | - Abdulrahman Khawaji
- Medical Imaging Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
| | - Rawan Benkuddah
- Medical Imaging Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
| | - Hala Khalil
- Department of Biostatistics, Epidemiology and Scientific Computing, King Faisal Specialist Hospital & Research Centre, Riyadh, Kingdom of Saudi Arabia
| | - Khalid Alismail
- Medical Imaging Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
| | - Waleed Althobaity
- Medical Imaging Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
| | - Saleh Alreshoodi
- Medical Imaging Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia
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14
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Pimentel Sobrinho C, Lima Godoi J, Neves Souza F, Graco Zeppelini C, Espirito Santo V, Carvalho Santiago D, Sady Alves R, Khalil H, Carvalho Pereira T, Hanzen Pinna M, Begon M, Machado Cordeiro S, Neves Reis J, Costa F. Prevalence of Diarrheagenic Escherichia coli (DEC) and Salmonella spp. with zoonotic potential in urban rats in Salvador, Brazil. Epidemiol Infect 2020; 149:e128. [PMID: 33213546 PMCID: PMC8167902 DOI: 10.1017/s095026882000285x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 07/15/2020] [Accepted: 09/16/2020] [Indexed: 11/29/2022] Open
Abstract
Studies evaluating the occurrence of enteropathogenic bacteria in urban rats (Rattus spp.) are scarce worldwide, specifically in the urban environments of tropical countries. This study aims to estimate the prevalence of diarrhoeagenic Escherichia coli (DEC) and Salmonella spp. with zoonotic potential in urban slum environments. We trapped rats between April and June 2018 in Salvador, Brazil. We collected rectal swabs from Rattus spp., and cultured for E. coli and Salmonella spp., and screened E. coli isolates by polymerase chain reaction to identify pathotypes. E. coli were found in 70% of Rattus norvegicus and were found in four Rattus rattus. DEC were isolated in 31.3% of the 67 brown rats (R. norvegicus). The pathotypes detected more frequently were shiga toxin E. coli in 11.9%, followed by atypical enteropathogenic E. coli in 10.4% and enteroinvasive E. coli in 4.5%. From the five black rats (R. rattus), two presented DEC. Salmonella enterica was found in only one (1.4%) of 67 R. norvegicus. Our findings indicate that both R. norvegicus and R. rattus are host of DEC and, at lower prevalence, S. enterica, highlighting the importance of rodents as potential sources of pathogenic agents for humans.
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Affiliation(s)
| | - J. Lima Godoi
- Biology Institute, Federal University of Bahia, UFBA, Salvador, Brazil
| | - F. Neves Souza
- Biology Institute, Federal University of Bahia, UFBA, Salvador, Brazil
| | | | - V. Espirito Santo
- Collective Health Institute, Federal University of Bahia, UFBA, Salvador, Brazil
| | - D. Carvalho Santiago
- Collective Health Institute, Federal University of Bahia, UFBA, Salvador, Brazil
| | - R. Sady Alves
- School of Veterinary Medicine, Federal University of Bahia, UFBA, Salvador, Brazil
| | - H. Khalil
- Collective Health Institute, Federal University of Bahia, UFBA, Salvador, Brazil
- Department of Wildlife, Fish, and Environmental Studies, Swedish University of Agricultural Sciences, Umeå, Sweden
| | - T. Carvalho Pereira
- Collective Health Institute, Federal University of Bahia, UFBA, Salvador, Brazil
| | - M. Hanzen Pinna
- School of Veterinary Medicine, Federal University of Bahia, UFBA, Salvador, Brazil
| | - M. Begon
- Institute of Integrative Biology, University of Liverpool, Liverpool, UK
| | | | - J. Neves Reis
- School of Pharmacy, Federal University of Bahia, UFBA, Salvador, Brazil
| | - F. Costa
- Collective Health Institute, Federal University of Bahia, UFBA, Salvador, Brazil
- Institute of Integrative Biology, University of Liverpool, Liverpool, UK
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15
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Stamatiou D, Dakin A, Khalil H, Raju T, Fernandes R, Bowley D, Karandikar S. Perineal hernia repair using a bone fixation anchoring system for the mesh - a video vignette. Colorectal Dis 2020; 22:1806-1807. [PMID: 32644253 DOI: 10.1111/codi.15243] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Accepted: 06/14/2020] [Indexed: 02/08/2023]
Affiliation(s)
- D Stamatiou
- Colorectal Surgery, University Hospitals Birmingham, Birmingham, UK
| | - A Dakin
- Medical Illustration, University Hospitals Birmingham, Birmingham, UK
| | - H Khalil
- Plastic and Reconstructive Surgery, University Hospitals Birmingham, Birmingham, UK
| | - T Raju
- Colorectal Surgery, University Hospitals Birmingham, Birmingham, UK
| | - R Fernandes
- T&O Surgery, University Hospitals Birmingham, Birmingham, UK
| | - D Bowley
- Colorectal Surgery, University Hospitals Birmingham, Birmingham, UK
| | - S Karandikar
- Colorectal Surgery, University Hospitals Birmingham, Birmingham, UK
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16
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Alomari M, Khalil H, Khabour O, Alzoubi K. The importance of brain-derived neutrophic factor for lipid profile among Parkinson's patients. Parkinsonism Relat Disord 2020. [DOI: 10.1016/j.parkreldis.2020.06.297] [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: 10/22/2022]
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17
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Aghagolzadeh P, Bernasconi R, Nemir M, Khalil H, Pulido C, Chouvardas P, Johnson R, Pedrazzini T. Single-cell analysis of the long noncoding RNA transcriptome identifies novel therapeutic targets for cardiac fibrosis. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2020.03.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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18
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Alomari M, Khalil H, Khabour O. Altered cardiovascular function and muscular strength in Parkinson's Disease. Parkinsonism Relat Disord 2020. [DOI: 10.1016/j.parkreldis.2020.06.456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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19
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Plaisance I, Nemir M, Silakhor PA, Chouvardas P, de los Reyes S, Khalil H, Johnson R, Pedrazzini T. CARMEN-201, a specific isoform of an enhancer-associated long noncoding RNA controls smooth-muscle lineage specification in human cardiac precursor. Cytotherapy 2020. [DOI: 10.1016/j.jcyt.2020.03.095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
BACKGROUND Medication-related adverse events, or adverse drug reactions (ADRs) are harmful events caused by medication. ADRs could have profound effects on the patients' quality of life, as well as creating an increased burden on the healthcare system. ADRs are one of the rising causes of morbidity and mortality internationally, and will continue to be a significant public health issue with the increased complexity in medication, to treat various diseases in an aging society. This scoping review aims to provide a detailed map of the most common adverse drug reactions experienced in primary healthcare setting, the drug classes that are most commonly associated with different levels/types of adverse drug reactions, causes of ADRs, their prevalence and consequences of experiencing ADRs. METHODS We systematically reviewed electronic databases Ovid MEDLINE, Embase, CINAHL Plus, Cochrane Central Register of Controlled Trials, PsycINFO and Scopus. In addition, the National Patient Safety Foundation Bibliography and the Agency for Health Care Research and Quality and Patient Safety Net Bibliography were searched. Studies published from 1990 onwards until December 7, 2018 were included as the incidence of reporting drug reactions were not prevalent before 1990. We only include studies published in English. RESULTS The final search yielded a total of 19 citations for inclusion published over a 15-year period that primarily focused on investigating the different types of adverse drug reactions in primary healthcare. The most causes of adverse events were related to drug related and allergies. Idiosyncratic adverse reactions were not very commonly reported. The most common adverse drug reactions reported in the studies included in this review were those that are associated with the central nervous system, gastrointestinal system and cardiovascular system. Several classes of medications were reported to be associated with adverse events. CONCLUSION This scoping review identified that the most causes of ADRs were drug related and due to allergies. Idiosyncratic adverse reactions were not very commonly reported in the literature. This is mainly because it is hard to predict and these reactions are not associated with drug doses or routes of administration. The most common ADRs reported in the studies included in this review were those that are associated with the central nervous system, gastrointestinal system and cardiovascular system. Several classes of medications were reported to be associated with ADRs.
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Affiliation(s)
- H Khalil
- School of Psychology and Public Health, Department of Public Health, Latrobe University, Collins Street., Melbourne, Vic, 3000, Australia. .,Monash University, Clayton, Vic, 3825, Australia.
| | - C Huang
- Monash University, Clayton, Vic, 3825, Australia
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21
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Hadoush H, Nazzal M, Almasri N, Khalil H, Alafeef M. A new developed non-invasive cortical stimulation on mirror neurons in children with autism spectrum disorders. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.394] [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: 10/25/2022]
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22
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Alsaleh M, Owaidah T, Khalil H, Alzahrani H, Aljefri A, Safi B, Mohammed V. Extended half-life product (rFVIIIFC) for treatment of children with hemophilia A: preliminary post-switch experience from a tertiary care center. Leuk Res 2019. [DOI: 10.1016/s0145-2126(19)30412-6] [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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23
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Aleid M, Altaweel W, Alhamlan F, Khalil H, Alhathal N, Seyam R, Almutawa R, Alsugair R, Khuthaila A. PO-02-001 Translation and validation of the Female Sexual Function Index (FSFI) in the Saudi population. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.03.247] [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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24
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Gillion JF, Lepere M, Barrat C, Cas O, Dabrowski A, Jurczak F, Khalil H, Zaranis C. Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study. Hernia 2019; 23:767-781. [PMID: 30887379 PMCID: PMC6661060 DOI: 10.1007/s10029-019-01924-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [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: 10/02/2018] [Accepted: 03/02/2019] [Indexed: 01/05/2023]
Abstract
Purpose This study examined patient-related outcome measures (PROMs) after repair of ventral primary or incisional hernias using Symbotex™ composite mesh (SCM), a novel three-dimensional collagen-coated monofilament polyester textile. Methods Pre-operative, peri-operative, and post-operative data were obtained from the French “Club Hernie” registry with 12- and 24-month follow-up. Results One-hundred consecutive patients (mean age 62.0 ± 13.7; 51% female) underwent repair of 105 hernias: primary (39/105, 37.1%, defect area 5.2 ± 5.6 cm2) and incisional (66/105, 62.9%, 31.9 ± 38.7.8 cm2). The mean BMI was 29.7 (± 5.6 kg/m2). American Society of Anesthesiologists classifications were I 39.4%, II 37.4% and III 23.2%. 75% had risk factors for healing and/or dissection. Of 38 primary repairs, 37 were completed laparoscopically (combined approach n = 1), and of 62 incisional hernia repairs, 40 were completed laparoscopically, and 20 by open repair (combined approach n = 2). Laparoscopic was quicker than open repair (36.2 ± 23.5 min vs. 67.4 ± 25.8, p < 0001). Before surgery, 86.3% of hernias were reported to cause discomfort/pain or dysesthesia. At 24 months (93 of 100 patients), 91 (97.8%) reported no lump and 81 (87.1%) no pain or discomfort. Of 91 patients, 86 (94.5%) rated their repair “good” or “excellent.” There were nine non-serious, surgeon-detected adverse events (ileus, n = 3; seroma, n = 6) and one hernia recurrence (6–12 months). Conclusions Compared to baseline, open and laparoscopic surgery improved PROMs 24 months after primary and incisional hernia repair. Minimal complications and recurrence support the long-term efficacy of SCM.
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Affiliation(s)
- J F Gillion
- Hôpital Privé d'Antony, 1 rue Velpeau, 92160, Antony, France.
| | - M Lepere
- Clinique Saint Augustin, Nantes, France
| | - C Barrat
- Hôpital J Verdier, Bondy, France
| | - O Cas
- Centre Médico-Chirurgical, Fondation Wallerstein, Arès, France
| | | | - F Jurczak
- Clinique mutualiste de l'estuaire, Saint-Nazaire, France
| | - H Khalil
- Chu-Hôpitaux De Rouen, Rouen, France
| | - C Zaranis
- Clinique du Mail, La Rochelle, France
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Somerville R, Khalil H, Segurado R, Mehegan J, Viljoen K, Heinen M, Murrin C, Kelleher CC. Childhood central adiposity at ages 5 and 9 shows consistent relationship with that of the maternal grandmother but not other grandparents. Pediatr Obes 2018; 13:778-785. [PMID: 29745039 DOI: 10.1111/ijpo.12290] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Revised: 02/10/2018] [Accepted: 03/13/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND The importance of a life course approach to childhood obesity has been emphasized; however, few studies can prospectively investigate relationships in three-generation families. OBJECTIVE To prospectively investigate the relationship between grandparental and grandchild waist circumference (WC) at ages 5 and 9 down maternal and paternal lines. METHODS At baseline in the Lifeways Cross-Generation Cohort, 1094 children were born to 1082 mothers; 585 were examined at age 5 and 298 at age 9. Of the total 589 children with measured WC, data were also available from 745 grandparents. Child WC was standardized for age and sex, and theory-based hierarchical linear regression was used. RESULTS Maternal grandmother (MGM) WC was predictive of grandchild WC at both time points. At age 5, grandchild's standardized birth weight (B = 0.266, p = 0.001), mother's means tested eligibility for free medical care (B = 1.029, p = 0.001) and grandchild seeing maternal grandparents daily (B = 0.312, p = 0.048) were significant alongside MGM WC (B = 0.015, p = 0.019). At age 9, only MGM WC (B = 0.022, p = 0.033) and mother's WC (B = 0.032, p = 0.005) were significant. Mediation analysis with mother's WC showed significant direct relationship of MGM and grandchild WC. CONCLUSIONS This prospective cross-generational cohort shows consistent patterns of association between MGM and grandchild WC, not seen in other grandparental lineages.
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Affiliation(s)
- R Somerville
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - H Khalil
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - R Segurado
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - J Mehegan
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - K Viljoen
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - M Heinen
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - C Murrin
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - C C Kelleher
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
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Philpott C, Erskine S, Smith R, Hopkins C, Kara N, Farboud A, Salam M, Robertson A, Almeyda R, Kumar B, Anari S, Ray J, Cathcart R, Carrie S, Ahmed S, Khalil H, Clark A, Thomas M. Current use of baseline medical treatment in chronic rhinosinusitis: Data from the National Chronic Rhinosinusitis Epidemiology Study (CRES). Clin Otolaryngol 2017; 43:509-524. [DOI: 10.1111/coa.13012] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/12/2017] [Indexed: 11/29/2022]
Affiliation(s)
- C. Philpott
- James Paget University Hospital NHS Foundation Trust; Gorleston UK
- Norwich Medical School; University of East Anglia; Norfolk UK
| | - S. Erskine
- James Paget University Hospital NHS Foundation Trust; Gorleston UK
| | - R. Smith
- Norwich Medical School; University of East Anglia; Norfolk UK
| | - C. Hopkins
- Guys & St Thomas Hospital NHS Foundation Trust; London UK
| | - N. Kara
- County Durham & Darlington NHS Foundation Trust; Darlington UK
| | | | - M. Salam
- Ipswich Hospital NHS Foundation Trust; Ipswich UK
| | - A. Robertson
- Queen Elizabeth University Hospital Campus; Glasgow UK
| | - R. Almeyda
- Royal Berkshire NHS Foundation Trust; Reading UK
| | - B.N. Kumar
- Wrightington Wigan and Leigh NHS Foundation Trust; Wigan UK
| | - S. Anari
- Heart of England NHS Trust; Birmingham UK
| | - J. Ray
- Sheffield Teaching Hospitals NHSFT; Sheffield UK
| | | | | | - S. Ahmed
- University Hospitals Birmingham NHS Foundation Trust; Birmingham UK
| | | | - A. Clark
- Norwich Medical School; University of East Anglia; Norfolk UK
| | - M. Thomas
- Primary Care and population Sciences; University of Southampton; Southampton UK
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Abstract
BACKGROUND The purpose of this study is to summarise the empirical evidence addressing diabetes microvascular complications and management. The effects of diabetes mellitus include long-term damage, dysfunction and failure of various organs. Microvascular disease tends to occur predominantly in tissues where glucose uptake is independent of insulin activity because these tissues are exposed to glucose levels that correlate very closely with blood glucose levels. These metabolic injuries cause altered blood flow and changes in endothelial permeability, extravascular protein deposition and coagulation resulting in organ dysfunction which in turn lead to microvascular complications. METHOD A systematic search of the literature from 2000 to 2016 was conducted using four databases (Medline, Pubmed, Cochrane central and Google scholar) using search terms such as diabetic microvascular complications', pathogenesis, screening, risk factors, pharmacological and non-pharmacological interventions and management. RESULTS The current evidence supports a direct relationship between blood pressure (BP) and glycaemic control and progression of nephropathy and retinopathy. These are now considered as independent risk factors for microvascular disease progression. New fields of research addressing new drugs as potential therapeutic targets of the future will be presented. CONCLUSION The prevention of microvascular disease involves paying attention to aggravating risk factors and implementing screening programmes to improve early detection.
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Affiliation(s)
- H Khalil
- Monash University, Monash Rural Health, Moe, Victoria, 3825, Australia.
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Oswald N, Senanayake E, Aliverti A, Naidu B, Khalil H, Bishay E. F-053WHAT CAN TECHNOLOGY DO FOR CHEST WALL RECONSTRUCTION? A NOVEL TECHNIQUE FOR STERNAL REPLACEMENT. Interact Cardiovasc Thorac Surg 2017. [DOI: 10.1093/icvts/ivx280.053] [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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Somerville R, Khalil H, Segurado R, Mehegan J, Viljoen K, Heinen M, Murrin C, Kelleher CC. Contrasting patterns of transmission of cardiovascular risk factors down maternal and paternal lines and according to grandchild gender in the lifeways cross generation cohort study. Atherosclerosis 2017. [DOI: 10.1016/j.atherosclerosis.2017.06.260] [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: 11/28/2022]
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Johnson L, O'Donoghue J, McLean N, Turton P, Khan A, Turner S, Lennard A, Collis N, Butterworth M, Gui G, Bristol J, Hurren J, Smith S, Grover K, Spyrou G, Krupa K, Azmy I, Young I, Staiano J, Khalil H, MacNeill F. Breast implant associated anaplastic large cell lymphoma: The UK experience. Recommendations on its management and implications for informed consent. Eur J Surg Oncol 2017; 43:1393-1401. [DOI: 10.1016/j.ejso.2017.05.004] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Revised: 04/21/2017] [Accepted: 05/08/2017] [Indexed: 12/31/2022] Open
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Affiliation(s)
- W. S. Yang
- Argonne National Laboratory, Reactor Analysis Division, Argonne, Illinois 60439
| | - T. A. Taiwo
- Argonne National Laboratory, Reactor Analysis Division, Argonne, Illinois 60439
| | - H. Khalil
- Argonne National Laboratory, Reactor Analysis Division, Argonne, Illinois 60439
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Affiliation(s)
- T. J. Downar
- Purdue University, School of Nuclear Engineering, West Lafayette, Indiana 47907
| | - H. Khalil
- Argonne National Laboratory, 9700 S. Cass Avenue, Argonne, Illinois 60439
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Affiliation(s)
- W. S. Yang
- Argonne National Laboratory, 9700 S. Cass A venue, Argonne, Illinois 60439-4842
| | - P. J. Finck
- Argonne National Laboratory, 9700 S. Cass A venue, Argonne, Illinois 60439-4842
| | - H. Khalil
- Argonne National Laboratory, 9700 S. Cass A venue, Argonne, Illinois 60439-4842
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Khalil H, Murrin C, O'Reilly M, Viljoen K, Segurado R, O'Brien J, Somerville R, McGillicuddy F, Kelleher CC. Total HDL cholesterol efflux capacity in healthy children - Associations with adiposity and dietary intakes of mother and child. Nutr Metab Cardiovasc Dis 2017; 27:70-77. [PMID: 27919542 DOI: 10.1016/j.numecd.2016.10.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Revised: 09/03/2016] [Accepted: 10/03/2016] [Indexed: 01/27/2023]
Abstract
BACKGROUND AND AIMS High-density lipoprotein (HDL) cholesterol efflux capacity in adults may be a measure of the atheroprotective property of HDL. Little however, is known about HDL cholesterol efflux capacity in childhood. We aimed to investigate the relationship between HDL cholesterol efflux capacity and childhood anthropometrics in a longitudinal study. METHODS AND RESULTS Seventy-five children (mean age = 9.4 ± 0.4 years) were followed from birth until the age of 9 years. HDL cholesterol efflux capacity was determined at age 9 by incubating serum-derived HDL-supernatants with 3H-cholesterol labeled J774 macrophages and percentage efflux determined. Mothers provided dietary information by completing food frequency questionnaires in early pregnancy and then 5 years later on behalf of themselves and their children. Pearson's correlations and multiple regression analyses were conducted to confirm independent associations with HDL efflux. There was a negative correlation between HDL cholesterol efflux capacity and waist circumference at age 5 (r = -0.3, p = 0.01) and age 9 (r = -0.24, p = 0.04) and BMI at age 5 (r = -0.45, p = 0.01) and age 9 (r = -0.19, p = 0.1). Multiple regression analysis showed that BMI at age 5 remained significantly associated with reduced HDL cholesterol efflux capacity (r = -0.45, p < 0.001). HDL-C was negatively correlated with energy-adjusted fat intake (r = -0.24, p = 0.04) and positively correlated with energy-adjusted protein (r = 0.24, p = 0.04) and starch (r = 0.29, p = 0.01) intakes during pregnancy. HDL-C was not significantly correlated with children dietary intake at age 5. There were no significant correlations between maternal or children dietary intake and HDL cholesterol efflux capacity. CONCLUSIONS This novel analysis shows that efflux capacity is negatively associated with adiposity in early childhood independent of HDL-C.
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Affiliation(s)
- H Khalil
- School of Public Health, Physiotherapy and Sports Science, Woodview House, Belfield, University College Dublin, Dublin 4, Ireland.
| | - C Murrin
- School of Public Health, Physiotherapy and Sports Science, Woodview House, Belfield, University College Dublin, Dublin 4, Ireland
| | | | - K Viljoen
- School of Public Health, Physiotherapy and Sports Science, Woodview House, Belfield, University College Dublin, Dublin 4, Ireland
| | - R Segurado
- School of Public Health, Physiotherapy and Sports Science, Woodview House, Belfield, University College Dublin, Dublin 4, Ireland
| | - J O'Brien
- School of Public Health, Physiotherapy and Sports Science, Woodview House, Belfield, University College Dublin, Dublin 4, Ireland
| | - R Somerville
- School of Public Health, Physiotherapy and Sports Science, Woodview House, Belfield, University College Dublin, Dublin 4, Ireland
| | - F McGillicuddy
- Nutrigenomics Research Group, Ireland; School of Medicine, UCD Conway Institute, Belfield, University College Dublin, Dublin 4, Ireland
| | - C C Kelleher
- School of Public Health, Physiotherapy and Sports Science, Woodview House, Belfield, University College Dublin, Dublin 4, Ireland
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Khalil H, Segurado R, Mehegan J, Somerville R, Heinen M, Murrin C, Kelleher CC. P58 Trajectories of Body Mass Index By Age 9 in The Lifeways Cross Generation Cohort Study Children in The Republic Of Ireland. Br J Soc Med 2016. [DOI: 10.1136/jech-2016-208064.157] [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: 11/03/2022]
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36
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Di Chiara F, Peake D, Kalkat M, Khalil H. P-226AN INNOVATIVE APPROACH TO RADIOPROTECTION IN THE MULTIMODALITY TREATMENT OF EWING SARCOMA OF THE CHEST WALL. Interact Cardiovasc Thorac Surg 2016. [DOI: 10.1093/icvts/ivw260.224] [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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37
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Somerville R, Khalil H, Segurado R, Mehegan J, Heinen M, Murrin C, Kelleher CC. P43 The Healthy Worker Effect? Socio-economic and health status determinants of changing self-rated health in older people in the Lifeways Cross-Generation Study of a Thousand Families. Br J Soc Med 2016. [DOI: 10.1136/jech-2016-208064.142] [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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Khalil H, Leversha A, Walker J. Evaluation of pharmacy students' rural placement program: preparation for interprofessional practice. AUST HEALTH REV 2016; 39:85-88. [PMID: 25426657 DOI: 10.1071/ah14121] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2014] [Accepted: 09/15/2014] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To date, there are few data on pharmacy-specific placement programs and their impact on students' work after graduation. The present study evaluated an innovative rural pharmacy placement program targeted at influencing students to work and live in rural areas after graduation. A secondary aim of the study was to explore the students' intentions to come back and practice in rural areas as a result of their involvement in the rural pharmacy program. METHODS A questionnaire was distributed, by hand, to a total of 58 third and fourth (final) year pharmacy students undertaking their rural placement in the Gippsland region, in rural Victoria in 2011 and 2012. RESULTS Fifty-seven responses were returned (response rate = 98%). Students stated that understanding pharmacy practice from a rural perspective, visits to rural health professionals and sites and the attitude of their preceptors were essential to their satisfaction with their rural placements. A significant number of students (72%) intend to seek employment in rural areas if opportunities arise as a result of their increased rural awareness. The key components for a successful rural placement program were described by the surveyed students as social awareness, recognising job opportunities and interprofessional learning. CONCLUSION The evaluation of the rural placement program revealed that students valued their visits to rural sites and their interaction with other rural health professionals the most.
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Affiliation(s)
- H Khalil
- Monash University, Faculty of Medicine, Nursing and Health Sciences, School of Rural Health, PO Box 925, Moe, Vic. 3825, Australia. Email
| | - A Leversha
- Monash University, Faculty of Medicine, Nursing and Health Sciences, School of Rural Health, PO Box 925, Moe, Vic. 3825, Australia. Email
| | - J Walker
- Monash University, Faculty of Medicine, Nursing and Health Sciences, School of Rural Health, PO Box 925, Moe, Vic. 3825, Australia. Email
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LeBlanc K, Jensen K, Krarup PM, Jorgensen L, Mynster T, Zappa B, Begolli L, Quazi S, Bhargava A, Luque JB, Suarez Gráu JM, Menchero JG, Moreno JG, Juraro JG, Ferreras ID, Nardi M, Millo P, Usai A, Lorusso R, Grivon M, Persico F, Allieta R, Christoffersen M, Brandt E, Helgstrand F, Westen M, Rosenberg J, Kehlet H, Strandfeit P, Bisgaard T, Vanini P, Kabbara S, Elia E, Piancastelli A, Guglielminetti D, Katsumoto F, Ahlqvist S, Björk D, Jänes A, Weisby-Enbom L, Israelsson L, Cengiz Y, Ndungu B, Kiragu P, Odende K, Jovanovic S, Pejcic V, Filipovic N, Trenkic M, Pavlovic A, Jovanovc B, Tatic M, Jovanovic A, Misra MC, Bansal VK, Subodh H, Krishna A, Bansal D, Ray S, Rajeshwari S, Björklund I, Burman A, Riccio PA, Vetrone G, Linguerri R, Liotta S, Antor M, Scottá M, Khalil H, Ichihara K, Takuo H, Ogawa M, Hidaka S, Hara K, Taki T, Ohashi S, Yoshida K, Galimov O, Shkundin A, Khanov V, Sarik J, Basta M, Bauder A, Kovach S, Fischer J, Tang L, Fei X, Xu M. Incisional Hernia: Daily Cases. Hernia 2015; 19 Suppl 1:S85-92. [PMID: 26518867 DOI: 10.1007/bf03355332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- K LeBlanc
- Our Lady of the Lake Physician Group, Baton Rouge, Louisiana, USA.,Department of Surgery, Louisiana State University School of Medicine, Baton Rouge, Louisiana, USA
| | - K Jensen
- Digestive Disease Center, Bispebjerg Hospital, Copenhagen, Denmark
| | - P-M Krarup
- Digestive Disease Center, Bispebjerg Hospital, Copenhagen, Denmark.,Danish Colorectal Cancer Group, Denmark
| | - L Jorgensen
- Digestive Disease Center, Bispebjerg Hospital, Copenhagen, Denmark
| | - T Mynster
- Digestive Disease Center, Bispebjerg Hospital, Copenhagen, Denmark.,Danish Colorectal Cancer Group, Denmark
| | - B Zappa
- King George Hospital, London, UK
| | | | - S Quazi
- King George Hospital, London, UK
| | | | | | | | | | | | | | | | - M Nardi
- Division of General Surgery, USL Valle D'Aosta - Umberto Parini Regional Hospital, Aosta, Italy
| | - P Millo
- Division of General Surgery, USL Valle D'Aosta - Umberto Parini Regional Hospital, Aosta, Italy
| | - A Usai
- Division of General Surgery, USL Valle D'Aosta - Umberto Parini Regional Hospital, Aosta, Italy
| | - R Lorusso
- Division of General Surgery, USL Valle D'Aosta - Umberto Parini Regional Hospital, Aosta, Italy
| | - M Grivon
- Division of General Surgery, USL Valle D'Aosta - Umberto Parini Regional Hospital, Aosta, Italy
| | - F Persico
- Division of General Surgery, USL Valle D'Aosta - Umberto Parini Regional Hospital, Aosta, Italy
| | - R Allieta
- Division of General Surgery, USL Valle D'Aosta - Umberto Parini Regional Hospital, Aosta, Italy
| | - M Christoffersen
- Gastro Unit, Surgical Division, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark
| | - E Brandt
- Department of Gastrointestinal Surgery, Køge Hospital, University of Copenhagen, Køge, Denmark
| | - F Helgstrand
- Department of Gastrointestinal Surgery, Køge Hospital, University of Copenhagen, Køge, Denmark
| | - M Westen
- Gastro Unit, Surgical Division, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark
| | - J Rosenberg
- Gastro Unit, Surgical Division, Herlev Hospital, University of Copenhagen, Herlev, Denmark
| | - H Kehlet
- Section of Surgical Pathophysiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - P Strandfeit
- Gastro Unit, Surgical Division, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark
| | - T Bisgaard
- Gastro Unit, Surgical Division, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark
| | - P Vanini
- Casa di Cura Privata Malatesta Novello, Cesena, Italy
| | - S Kabbara
- Casa di Cura Privata Malatesta Novello, Cesena, Italy
| | - E Elia
- Casa di Cura Privata Malatesta Novello, Cesena, Italy
| | | | | | - F Katsumoto
- Katsumoto Day Surgery Clinic, Kitakyusyu, Japan
| | - S Ahlqvist
- Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden
| | - D Björk
- Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden
| | - A Jänes
- Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden
| | - L Weisby-Enbom
- Department of Radiology, Sundsvall Hospital, Sundsvall, Sweden
| | - L Israelsson
- Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden.,Department of Surgery and Perioperative, Umeå University, Umeå, Sweden
| | - Y Cengiz
- Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden.,Department of Surgery and Perioperative, Umeå University, Umeå, Sweden
| | - B Ndungu
- The University of Nairobi, Nairobi, Kenya
| | - P Kiragu
- Maralal County Hospital, Maralal, Kenya
| | - K Odende
- Kenyatta National Hospital, Nairobi, Kenya
| | - S Jovanovic
- Center for minimally invasive surgery, Nis, Serbia
| | - V Pejcic
- Center for minimally invasive surgery, Nis, Serbia
| | - N Filipovic
- Center for minimally invasive surgery, Nis, Serbia
| | - M Trenkic
- Center for minimally invasive surgery, Nis, Serbia
| | - A Pavlovic
- Center for minimally invasive surgery, Nis, Serbia
| | - B Jovanovc
- Center for minimally invasive surgery, Nis, Serbia
| | - M Tatic
- Center for minimally invasive surgery, Nis, Serbia
| | - A Jovanovic
- Center for minimally invasive surgery, Nis, Serbia
| | - M C Misra
- All India Institute of Medical Sciences, New Delhi, India
| | - V K Bansal
- All India Institute of Medical Sciences, New Delhi, India
| | - H Subodh
- All India Institute of Medical Sciences, New Delhi, India
| | - A Krishna
- All India Institute of Medical Sciences, New Delhi, India
| | - D Bansal
- All India Institute of Medical Sciences, New Delhi, India
| | - S Ray
- All India Institute of Medical Sciences, New Delhi, India
| | - S Rajeshwari
- All India Institute of Medical Sciences, New Delhi, India
| | | | - A Burman
- Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden
| | | | | | | | | | - M Antor
- Department of Digestive Surgery, Rouen University Hospital, Rouen, France
| | | | | | | | - H Takuo
- Katsusika Medical Center, Tokyo, Japan
| | - M Ogawa
- Katsusika Medical Center, Tokyo, Japan
| | - S Hidaka
- Katsusika Medical Center, Tokyo, Japan
| | - K Hara
- Katsusika Medical Center, Tokyo, Japan
| | - T Taki
- Katsusika Medical Center, Tokyo, Japan
| | - S Ohashi
- Katsusika Medical Center, Tokyo, Japan
| | - K Yoshida
- Katsusika Medical Center, Tokyo, Japan
| | - O Galimov
- Bashkir State Medical University, Ufa, Russia
| | - A Shkundin
- Bashkir State Medical University, Ufa, Russia
| | - V Khanov
- Bashkir State Medical University, Ufa, Russia
| | - J Sarik
- Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - M Basta
- Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - A Bauder
- Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - S Kovach
- Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - J Fischer
- Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - L Tang
- Shaoxing people' hospital, Shaoxing, China
| | - X Fei
- Shaoxing people' hospital, Shaoxing, China
| | - M Xu
- Shaoxing people' hospital, Shaoxing, China
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Magnusson M, Ecke F, Khalil H, Olsson G, Evander M, Niklasson B, Hörnfeldt B. Spatial and temporal variation of hantavirus bank vole infection in managed forest landscapes. Ecosphere 2015. [DOI: 10.1890/es15-00039.1] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Abstract
BACKGROUND Hepatitis B virus (HBV) is considered the most important cross-infection hazard in developing countries. Patients infected with hepatitis virus could encounter difficulties in obtaining dental care. The aim of this study was to investigate the willingness of Saudi dental professionals to treat hepatitis B virus infected patients. MATERIALS AND METHODS This cross-sectional survey was carried out by distributing 300 questionnaires to Saudi dentists working in 40 government and private dental centers in Riyadh, Saudi Arabia. The questionnaire included questions related to age, sex, vaccination against HBV, screening for HBV antibody levels, willingness to treat hepatitis B infected patients, and the reasons behind any refusal. A t-test was used to compare the results and a P < 0.05 was considered significant. RESULTS Of the 300 distributed questionnaires, 274 were collected giving a response rate of 91%. The respondents were 212 males (77.4%) and 62 (22.6%) females. Only 10.2% of the Saudi dentists were willing to treat HB infected patients. The other dentists (89.8%) were unwilling to provide dental care for HB infected patients. Although 94.5% of the surveyed dentists were vaccinated against HBV, the main reason behind the refusal to treat HB infected patients (92.3%) was the risk of cross infection. CONCLUSION High percentages of Saudi dentists are unwilling to treat HBV-infected patients due to their apprehension about risk of cross infection. Many of the Saudi dentists do not screen for HBV antibody levels. All vaccinated dentists should carefully monitor their antibody levels to evaluate the need for booster doses. There is a need for educational programs to change the attitude of dentists toward treating HBV-infected patients. The strict adoption of cross infection preventive protocols by dentists will reduce the risk of transmitting infectious diseases in dental clinics as identification of blood-borne infections is not always possible.
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Affiliation(s)
- H Khalil
- Department of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Esmaeil M, Khalil H, Abd Elghany S. EVALUATION OF SOME ORGANIC REMEDIES EFFECTS ON SOME SOIL PROPERTIES AND CROP. Journal of Soil Sciences and Agricultural Engineering 2015; 6:945-959. [DOI: 10.21608/jssae.2015.42790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
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43
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Khalil H, Murrin C, Viljoen K, Segurado R, Somerville R, O'Brien J, Cecily C. Metabolic syndrome risk in irish children is associated with maternal diet: prospective findings from the lifeways cross-generation cohort study 2001–2014. Atherosclerosis 2015. [DOI: 10.1016/j.atherosclerosis.2015.04.872] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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44
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Khalil H, Murrin C, Viljoen K, Segurado R, Somerville R, O'Brien J, O'Reilly M, McGillicuddy F, Kelleher C. high-density lipoprotein (HDL) efflux capacity and its relation to anthropometric measurements in the lifeways cross-generation cohort study children. Atherosclerosis 2015. [DOI: 10.1016/j.atherosclerosis.2015.04.367] [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: 11/24/2022]
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45
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Khalil H, Al-Shorman A, Alomari M, Aburub A, Batayha W, Darwish M. The comparative ability of three physical function tests for predicting physical activity levels in people with parkinson's disease. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.3607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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46
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Helal MZ, Khalil H. Use of Endoscopes in Transsphenoidal Excision of Pituitary Macroadenomas. Skull Base Surg 2015. [DOI: 10.1159/000429874] [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: 11/19/2022]
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47
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Roman H, Huet E, Darai E, Khalil H, Tuech JJ. Colorectal Resection Versus Rectal Conservative Surgery in the Management of Rectal Endometriosis: Preliminary Results of ENDORE Randomized Trial. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2014.08.452] [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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Khalil H, Le Quéré F, Léonard C, Brites V. Theoretical Investigations on CaO Ions: Vibronic States and Photoelectron Spectroscopy. J Phys Chem A 2013; 117:11254-60. [DOI: 10.1021/jp407811c] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [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. Khalil
- Université Paris-Est, Laboratoire Modélisation et Simulation Multi Echelle, MSME UMR 8208 CNRS, 5
bd Descartes, 77454 Marne-la-Vallée, France
| | - F. Le Quéré
- Université Paris-Est, Laboratoire Modélisation et Simulation Multi Echelle, MSME UMR 8208 CNRS, 5
bd Descartes, 77454 Marne-la-Vallée, France
| | - C. Léonard
- Université Paris-Est, Laboratoire Modélisation et Simulation Multi Echelle, MSME UMR 8208 CNRS, 5
bd Descartes, 77454 Marne-la-Vallée, France
| | - V. Brites
- Université d’Evry Val d’Essonne, Laboratoire Analyse et Modélisation pour la Biologie et l’Environnement, LAMBE CNRS UMR 8587, Boulevard F. Mitterrand, 91025 Evry Cedex, France
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Rogers V, Eaton D, Rajesh P, Steyn R, Bishay E, Naidu B, Khalil H, Djearaman M, Kalkat M. 121 * MANAGEMENT OF MALIGNANT CHEST WALL TUMOURS: A MULTIDISCIPLINARY APPROACH IMPROVES OUTCOMES. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.121] [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: 11/14/2022] Open
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Viljoen K, Murrin C, Segurado R, O’Brien J, Somerville R, Khalil H, Kelleher CC. PP30 Primary Care Utilisation and its Socio-Economic Determinants: findings from the Lifeways Cross-Generation Cohort Study During the Recession Period in the Republic of Ireland. J Epidemiol Community Health 2013. [DOI: 10.1136/jech-2013-203126.129] [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: 11/04/2022]
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