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Ali I, Li R, Baz K, Ali H, Khan S, Huping S, Abbas Q, E. Ragab A. Evidence from the energy-technology-growth nexus: A new study based on technology-minerals based complexity index. Heliyon 2024; 10:e23883. [PMID: 38226215 PMCID: PMC10788506 DOI: 10.1016/j.heliyon.2023.e23883] [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: 05/22/2023] [Revised: 12/12/2023] [Accepted: 12/14/2023] [Indexed: 01/17/2024] Open
Abstract
The increasing trend in sustainable economic growth over the last few decades has elevated the energy demand, technological innovation, and access to minerals resources are contributing well to economic development. This article investigates the nexus among minerals resource complexity, energy consumption, technology, and economic growth by employing autoregressive distributed lag and vector error correction techniques for Pakistan from 1995 to 2021. Following thorough research, the long-term results show that an important 9.73 points of economic growth result from every 1 % increase in the complexity of natural resources. On the other hand, technology and energy use negatively affect economic growth, causing drops of -0.03 and -12.9 points, respectively. One-way causality was noted between mineral resources' complexity and economic growth. Moreover, a one-sided causality effect was also confirmed between energy use, technology, and economic growth. Additionally, it was predicted that there is a neutral causality between mineral resources and technology. Corresponding to this, technology and energy consumption have a bidirectional causal relationship. These results imply that energy consumption, technological advancements, and mineral resources contribute as major economic growth drivers and can improve environmental quality.
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Affiliation(s)
- Imad Ali
- School of Economics and Management, Changzhou Vocational Institute of Engineering, PR China
| | - Renpu Li
- School of Economics and Management, Changzhou Vocational Institute of Engineering, PR China
| | - Khan Baz
- School of Economics and Management, Zhejiang Agriculture and Forestry University, Hangzhou, 311300, PR China
| | - Hashmat Ali
- Department of Management Sciences, Abbottabad University of Science and Technology, Pakistan
- College of Economics and Management, Yan'an University, PR China
| | - Shehryar Khan
- Department of Business Admiration, Surhad University of Information and Technology Peshawar, 25000, Pakistan
| | - Sun Huping
- School of Economics and Management, University of Science and Technology Beijing, 100083, PR China
| | - Qamar Abbas
- School of Finance and Economics, Jiangsu University, PR China
| | - Adham E. Ragab
- Department of Industrial Engineering, College of Engineering, King Saud University, P.O. Box 800, Riyadh, 11421, Saudi Arabia
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Bilal M, Ali H, Hassan HU, Khan SU, Ghafar R, Akram W, Ahmad H, Mushtaq S, Jafari H, Yaqoob H, Khan MM, Ullah R, Arai T. Cadmium (Cd) influences calcium (Ca) levels in the skeleton of a freshwater fish Channa gachua. BRAZ J BIOL 2024; 84:e264336. [DOI: 10.1590/1519-6984.264336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 08/12/2022] [Indexed: 11/22/2022] Open
Abstract
Abstract Environmental contamination with heavy metals is a threat to the organisms due to their toxicity, persistence and bioaccumulation in food chains. The study was aimed to assess cadmium (Cd) effect on calcium (Ca) level in bones of a freshwater fish Channa gachua. 42 fish individuals were kept into six (6) aquaria; labelled aq.0, 1, 2, 3,4 and 5 in the laboratory for treatment. Aq.0 was control group and aq.1, 2,3,4,5 were experimental with treatment solution of Cd 0, 0.1ppm, 0.5ppm, 1ppm, 2.5ppm and 5ppm respectively for three months. After exposure, bones tissue were examined for Cd accumulation and Ca concentration. Highest accumulation of Cd were recorded in aq.5 mean 46.86 ± 0.46 mgkg-1 .and lowest in the control group with mean 0.61 ± 0.06 mgkg-1. The order of Cd bioaccumulation in bones were aq.5 > aq.4 >aq.3 > aq.2 > aq.1 > aq.0. Highest concentration of Ca were noted in aq.0 (Control group) mean 7888.06 ± 4827.22 mgkg-1 and lowest were 1132.36 ± 203.73 mgkg-1 in aq.5 (at 5.0 ppm). Generally a pattern of decreasing Ca level were observed with each rise of Cd bioaccumulation aq.0 > aq.1 > aq.2 > aq.3 > aq.4 > aq.5. Current study indicated that Cd accumulation have substantial effect on Ca level in bones and hence on skeleton system. Strict rules must be implemented by government to control metals pollution and exploitations of biota.
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Affiliation(s)
- M. Bilal
- Government College University Lahore, Pakistan
| | - H. Ali
- University of Malakand, Pakistan
| | - H. U. Hassan
- University of Karachi, Pakistan; Ministry of National Food Security and Research, Pakistan
| | | | | | | | | | - S. Mushtaq
- Ministry of National Food Security and Research, Pakistan
| | | | | | | | - R. Ullah
- Government College University Lahore, Pakistan
| | - T. Arai
- Universiti Brunei Darussalam, Brunei
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Khan MT, Mehmood S, Arslan M, Azhar M, Asad T, Raziq F, Liaqat S, Gondal MA, Rauf M, Nazir S, Faran G, Abbasi F, Farooq Z, Iqbal ZM, Qumar M, Wadood F, Raja IH, Ali H, Abbas G, Bughio E, Magsi AS, Younas U, Arshad MA, Rehman MF. Organoleptic characteristics and compositional profile of meat of growing Japanese quail fed different levels of poultry byproducts compost. BRAZ J BIOL 2023; 83:e274040. [PMID: 37937627 DOI: 10.1590/1519-6984.274040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 07/28/2023] [Indexed: 11/09/2023] Open
Abstract
The poultry industry generates a lot of waste, including dead birds, manure, and poultry litter. Poultry waste should never be disposed of improperly because it can seriously harm the environment. The waste can be recycled as a feedstock for use in poultry feed by composting the litter and deceased birds. The compositional profile and organoleptic properties of the meat of growing Japanese quail were examined over the course of a 4-week trial to ascertain the effect of adding compost to the diet. In a completely randomized design (CRD), 1200 newly hatched quail chicks (Coturnix coturnix japonica) were divided into five treatment groups (diets with 0, 2.5, 5, 7.5, and 10% compost), each consisting of 40 birds with six replicates. The addition of compost to the diet had no noticeable effects on the organoleptic qualities of appearance, color, aroma, taste, texture, juiciness, tenderness, and acceptability (P>0.05). The compositional profile characteristics for chicks given compost at any level compared to chicks fed the control diet showed no differences (P>0.05). These findings suggest that the sensory characteristics and compositional profile of growing meat quails can be maintained when fed diets including up to 10% compost.
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Affiliation(s)
- M T Khan
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - S Mehmood
- University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Production, Lahore, Pakistan
| | - M Arslan
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - M Azhar
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - T Asad
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - F Raziq
- Livestock and Dairy Development Department (Extension), Khyber Pakhtunkhwa, Pakistan
| | - S Liaqat
- The Islamia University of Bahawalpur, Faculty of Veterinary and Animal Sciences, Bahawalpur, Pakistan
| | - M A Gondal
- Cholistan University of Veterinary and Animal Sciences, Institute of Continuing Education and Extension, Bahawalpur, Pakistan
| | - M Rauf
- Cholistan University of Veterinary and Animal Sciences, Faculty of Veterinary Science, Department of Pathology, Bahawalpur, Pakistan
| | - S Nazir
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Meat Technology, Bahawalpur, Pakistan
| | - G Faran
- The Islamia University of Bahawalpur, Institute of Biochemistry, Biotechnology and Bioinformatics, Department of Biochemistry, Bahawalpur, Pakistan
| | - F Abbasi
- The Islamia University of Bahawalpur, Department of Zoology, Faculty of Chemical and Biological Sciences, Bahawalpur, Pakistan
| | - Z Farooq
- Cholistan University of Veterinary and Animal Sciences, Department of Zoology, Faculty of Biosciences, Bahawalpur, Pakistan
| | - Z M Iqbal
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Livestock Management, Bahawalpur, Pakistan
| | - M Qumar
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Animal Nutrition, Bahawalpur, Pakistan
| | - F Wadood
- Cholistan University of Veterinary and Animal Sciences, Department of Theriogenology, Faculty of Veterinary Science, Bahawalpur, Pakistan
| | - I H Raja
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Animal Nutrition, Bahawalpur, Pakistan
| | - H Ali
- Office of Human and Animal Food Operation , Food Safety Officer, Springfield, IL, USA
| | - G Abbas
- Riphah College of Veterinary Sciences, Department of Animal Production, Lahore, Pakistan
| | - E Bughio
- Shaheed Benazir Bhutto University of Veterinary and Animal Sciences, Department of Poultry Production, Sakrand, Pakistan
| | - A S Magsi
- Shaheed Benazir Bhutto University of Veterinary and Animal Sciences, Department of Dairy Technology, Sakrand, Pakistan
| | - U Younas
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Livestock Management, Bahawalpur, Pakistan
| | - M A Arshad
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
| | - M F Rehman
- Cholistan University of Veterinary and Animal Sciences, Faculty of Animal Production and Technology, Department of Poultry Science, Bahawalpur, Pakistan
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Alfeel AH, Hussein SEO, Elsayed Yousif TY, Babker AMA, Alamin Altoum AE, Mohamed AN, Elzein HO, Ahmed T, Saboor M, Osman HA, Kumar P, Ali H, Abdalhabib EK. Association between oxidative stress, antioxidant enzymes, and homocysteine in patients with polycystic ovary syndrome. Eur Rev Med Pharmacol Sci 2023; 27:10631-10641. [PMID: 37975388 DOI: 10.26355/eurrev_202311_34343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
OBJECTIVE Polycystic ovary syndrome (PCOS) is a prevalent health condition that commonly affects adolescent girls and young women. The purpose of this study was to evaluate the correlation between levels of total glutathione (TG), reduced glutathione (GSH), superoxide dismutase (SOD), lipid peroxidation, and homocysteine with PCOS. PATIENTS AND METHODS This study employed a cross-sectional case-control design, involving a target population of 305 Sudanese females. Among them, 205 individuals were categorized as cases, and 100 served as controls. The TG, GSH, SOD, lipid peroxidation, and homocysteine levels were measured in the serum of study participants through enzyme-linked immunosorbent essay. RESULTS Total glutathione (1,174.5 ± 271.4 vs. 986.1 ± 191.5, p = 0.01), GSH (801.3 ± 132.2 vs. 748.6 ± 103.1, p = 0.007), SOD (225.2 ± 57.8 vs. 195.5 ± 49.6, p = 0.009), lipid peroxidation (3.4 ± 1.1 vs. 2.4 ± 0.7, p = 0.03), and homocysteine (14.9 ± 2.1 vs. 13.5 ± 1.6, p = 0.04), showed significant differences between the two groups (cases vs. controls). A moderate positive correlation between TG, GSH, SOD, lipid peroxidation, homocysteine, BMI, age, and duration of PCOS was observed. Furthermore, a strong positive correlation between BMI, age, and duration of PCOS was noted within the patient group. CONCLUSIONS In conclusion, this study demonstrates that patients with PCOS have elevated levels of TG, GSH, SOD, lipid peroxidation, and homocysteine compared to the control group. These findings suggest a potential association between PCOS and oxidative stress, lipid metabolism, and homocysteine pathways. Moreover, the observed positive correlation with BMI, age, and duration of PCOS indicates the importance of these factors in disease progression.
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Affiliation(s)
- A H Alfeel
- Department of Medical Laboratory Sciences, College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
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Bibi F, Ali H, Azhar E, Jamal M, Ahmed I, Ragab AE. Propagation and reflection of thermoelastic wave in a rotating nonlocal fractional order porous medium under Hall current influence. Sci Rep 2023; 13:17703. [PMID: 37848607 PMCID: PMC10582068 DOI: 10.1038/s41598-023-44712-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 10/11/2023] [Indexed: 10/19/2023] Open
Abstract
This investigation relates to the research on Hall current on propagation and reflection of elastic waves through non-local fractional-order thermoelastic rotating medium with voids. The system is split up into longitudinal and transverse components using the Helmholtz vector rule. It is observed that, through the frequency dispersion relation four coupled quasi-waves exist in the medium. The rotating solid modifies the nature of purely longitudinal and transverse waves toward the quasi-type waves. All the propagating waves are dispersive as they depend upon angular frequency. The quasi-longitudinal wave qP and quasi-transverse wave qSV faces cut-off frequencies. The nonlocal parameter affect all the waves except the quasi void wave. Analytically, the reflection coefficients of the wave are computed using suitable boundary conditions. MATLAB software is used to perform numerical computations for a chosen solid material. The amplitude ratios and the speed of propagation of the wave are plotted graphically for rotational frequency, nonlocal, fractional order, and Hall current parameter. The significant effect of the physical parameters on the computed results has been observed. The cut-off frequency of the waves is also presented graphically. The energy conservation law is proved in the form of energy ratios. The earlier findings in the literature are obtained as special case in the absence of rotation, Hall current parameter and porous voids.
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Affiliation(s)
- Farhat Bibi
- Department of Mathematics, PMAS Arid Agriculture University, Rawalpindi, Pakistan
| | - Hashmat Ali
- Department of Mathematics, COMSATS University Islamabad (CUI), Park Road, Tarlai Kalan, Islamabad, 45550, Pakistan
| | - Ehtsham Azhar
- Department of Mathematics, PMAS Arid Agriculture University, Rawalpindi, Pakistan.
| | - Muhammad Jamal
- Department of Mathematics, PMAS Arid Agriculture University, Rawalpindi, Pakistan
| | - Iftikhar Ahmed
- Department of Mathematics, COMSATS University Islamabad (CUI), Park Road, Tarlai Kalan, Islamabad, 45550, Pakistan
- University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA
| | - Adham E Ragab
- Industrial Engineering Department, College of Engineering, King Saud University, PO Box 800, Riyadh, 11421, Saudi Arabia
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Ghanem AI, Gilbert M, Lin CH, Khalil-Moawad R, Momin S, Chang S, Ali H, Siddiqui F. Treatment Tolerance and Toxicity in Elderly Oropharyngeal Cancer Patients and Implication on Outcomes. Int J Radiat Oncol Biol Phys 2023; 117:e584. [PMID: 37785770 DOI: 10.1016/j.ijrobp.2023.06.1926] [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: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) To investigate the tolerance level and toxicity for standard of care treatment for oropharyngeal cancer (OP) in elderly patients and their impact on outcomes. MATERIALS/METHODS Using our in-house head and neck cancer database, we looked for non-metastatic OP cases that received definitive treatment between 1/2009-6/2020. All patients received either definitive radiation therapy (RT) +/- concomitant systemic therapy (ST), or surgery followed by adjuvant RT or RT-ST. For the elderly (age at diagnosis ≥65 years) and young (<65 years) patients, we compared treatment package time (TPT) (time from surgery to RT conclusion) for adjuvant RT, total RT duration and unplanned RT interruptions. ST details and dose/protocol modifications were also compared. We evaluated worst grade of pain and mucositis, hospitalization for non-hydration causes and febrile neutropenia (FN) during RT. Feeding tube (FT) use and weight loss were compared. The independent effect of these indicators on locoregional (LRFS), distant (DRFS) recurrence free and overall (OS) survival was assessed using multivariate analyses (MVA). RESULTS A cohort of 326 patients was included: 36% elderly (n = 118) and 64% young (n = 208), with no differences in AJCC stage distribution (8th), treatment received and HPV status (HPV+ve: 73% vs 74.6%; p = 0.86). In 23.6 % who received adjuvant RT, median TPT was 86 (range 72-128) and 81 (65-137) days for elderly vs young (p = 0.27); whereas in the definitive RT cases 76.4%, total RT duration was 49 days for both age groups. Overall, prescribed RT course was not completed in 4% and unplanned RT interruptions occurred in 22.8% and both were non-significant between age groups. Among the 261 patients that received ST, elderly utilized more cetuximab (26 vs 12%; p = 0.007). For those who received cisplatin, 20% of elderly had cumulative dose <200 mg/m2 compared to 6% among the younger age group (p = 0.006); and cisplatin was changed to carboplatin or cetuximab in 18% vs 8% (p = 0.019). Delayed/cancelled cycles and dose reductions were similar. There were more hospitalizations (47% vs 27%; p<0.001) and a trend for more FN (9% vs 3%; p = 0.09) with older age, while worst pain and mucositis was similar. FTs were used more in elderly patients (64% vs 50%; p = 0.02), for a median of 97 vs 64 days (p = 0.31); of which 19.5% vs 11% (p = 0.28) were inserted before RT start. However, % weight loss was non-significant. On MVA, longer RT duration, FT use and hospitalizations predicted worse LRFS and DRFS; and they were prognostic for OS in addition to TPT >90 days (p<0.05 for all). Nevertheless, elderly vs young had non-significant 3-year LRFS (91% vs 90% and 67% vs 69%), DRFS (86% vs 90% and 79% vs 81%) & OS (85% vs 81% and 39% vs 52%) for HPV+ve and HPV-ve respectively (p>0.05). CONCLUSION Elderly patients with OP need more multi-disciplinary supportive care when receiving RT and concurrent ST. However, survival outcomes are equivalent to younger patients. Ongoing studies should enroll more elderly candidates and stratify endpoints with age.
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Affiliation(s)
- A I Ghanem
- Department of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI; Alexandria Clinical Oncology Department, Alexandria University, Alexandria, Egypt
| | - M Gilbert
- Department of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI
| | - C H Lin
- Department of Public Health Sciences, Henry Ford Cancer Institute, Detroit, MI
| | - R Khalil-Moawad
- Department of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI
| | - S Momin
- Department of Otolaryngology, Henry Ford Cancer Institute, Detroit, MI
| | - S Chang
- Department of Otolaryngology, Henry Ford Cancer Institute, Detroit, MI
| | - H Ali
- Department of Medical Oncology, Henry Ford Cancer Institute, Detroit, MI
| | - F Siddiqui
- Department of Radiation Oncology, Henry Ford Cancer Institute, Detroit, MI
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Ali H, Ali I, Baz K. Do industrialization and nonrenewable energy affect environmental quality? Evidence from top fossil fuel-consuming countries. Environ Sci Pollut Res Int 2023; 30:109800-109809. [PMID: 37776427 DOI: 10.1007/s11356-023-30038-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 09/18/2023] [Indexed: 10/02/2023]
Abstract
The global warming phenomenon has been an issue of considerable discussion and debate among academics and decision-makers over the past few decades. Therefore, a deeper comprehension of the relationships between environmental deterioration and its causes is necessary in nations that rely on fossil fuels. This study examines the relationship between per capita carbon dioxide emissions and total natural resources, nonrenewable energy, industrialization, and ecological footprint from 2001 to 2020 in the case of major fossil fuel-consuming countries. The most recent panel Granger causality and panel-corrected standard error (PCSE) simulation models are used in this study. The findings indicate that natural resources, ecological footprint, and registered companies impede environmental quality. Similarly, the same results were noted by employing the generalized least square method. A feedback effect was noted between carbon dioxide emission and ecological footprint, while unidirectional causality between coal consumption and carbon emission. In light of these findings, it is advised that instead of pursuing policies that encourage the use of coal and petroleum, new energy policies enhance the share of nonfossil fuels in the energy mix for controlling rapid industrialization, extraction of natural resources, and environmental and economic issues.
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Affiliation(s)
- Hashmat Ali
- College of Economics and Management, Yan'an University, Shaanxi, 716000, China
| | - Imad Ali
- College of Economics and Management, Yan'an University, Shaanxi, 716000, China
- School of Finance and Economics, Jiangsu University, Zhenjiang, China
| | - Khan Baz
- School of Economics and Management, Zhejiang Agriculture and Forestry University, Hangzhou, 311300, China.
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Wong JYC, Monzr AM, Sahebi F, Dandapani SV, Yamauchi DM, Salhotra A, Adhikarla V, Ali H, Poku E, Yang D, Han C, Liu A, Mokhtari S, Wu A, Yazaki P, Shively JE, Hui SK, Smith E, Stein A. First-in-Human Phase I Trial Combining Biologically Guided Radioimmunotherapy (RIT) Using a 90Y-Anti-CD25 Monoclonal Antibody (Mab) with CT-guided Total Marrow and Lymphoid Irradiation (TMLI) in Relapsed and Refractory (R/R) Acute Leukemia. Int J Radiat Oncol Biol Phys 2023; 117:S162. [PMID: 37784406 DOI: 10.1016/j.ijrobp.2023.06.256] [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: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Patients with R/R acute leukemia after allogeneic hematopoietic cell transplant (alloHCT) have a dismal prognosis with 3-year survival rates of < 20%. To improve outcomes, innovative targeted forms of organ sparing radiotherapy, such as tumor-specific RIT and TMLI, are needed to dose escalate with acceptable toxicities, especially in patients ≥ age 60 years who cannot tolerate total body irradiation (TBI) / myeloablative regimens and who have a poor prognosis. CD25 is an ideal RIT target given its expression in acute leukemias, association with poor prognosis, and expression by leukemia stem cells. In this phase I trial (NCT05139004) we hypothesized that combining dose escalated 90Y-anti-CD25 RIT with fixed dose TMLI 12 Gy, fludarabine (flu), and melphalan (mel) in patients with R/R disease is safe and associated with acceptable toxicities. MATERIALS/METHODS The primary objective of this trial is to determine the maximum tolerated dose and recommended phase 2 dose of 90Y-anti-CD25 Mab (Day -15) with 12 Gy TMLI (1.5 Gy twice a day, days -8 to -5), flu (30 mg/m2/d days -5 to -2), and mel (100 mg/m2, day -2) in patients ≥ 60 years old or with a HCT-comorbidity index ≥ 2 and with R/R AML, ALL or myelodysplastic syndrome (MDS) scheduled to undergo alloHCT from a matched donor. TMLI mean organ dose constraints for kidney, lung and liver were 4 Gy. Planned dose levels of 90Y-anti-CD25 were 0.3, 0.4, and 0.5 mCi/kg. 111In-anti-CD25 (5 mCi) was co-infused followed by serial nuclear scans to assess dosimetry and biodistribution. RESULTS To date 5 patients (ages 31-74) with R/R AML have been treated. Marrow and circulating blasts ranged from 10-36% and 9-44%, respectively. For the 3 patients at 0.3 mCi/kg, follow-up ranged from 89-191+ days. 90Y/111In-anti-CD25 nuclear scans demonstrated persistent uptake in bone out to 144 hours, which was associated with a decline in circulating blasts. After combined RIT and TMLI, mean doses (Gy) to lungs ranged from 5.7-6.5, to kidneys from 7.5-8.2 and to liver from 7.2-11.6. No dose-limiting toxicities (DLT) were observed. All 3 patients achieved CR on day +30 bone marrow biopsies and 2 remained in CR on day +90 biopsies. Two patients have recently been treated at the 0.4 mCi/kg dose level. The results of patients treated at the higher dose levels will be provided. CONCLUSION Dose escalation by adding 90Y-anti-CD25 RIT at 0.3 mCi/kg to 12 Gy TMLI was safe, including in older patients, with no dose-limiting toxicities, mean critical organ doses lower than conventional myeloablative TBI, and encouraging response rates. The toxicity profile and dose estimates at 0.3 mCi/kg predict that the planned higher dose levels will also be feasible with acceptable toxicities. RIT and TMLI are complementary and when combined address the limitations of each modality. Combining these targeted therapies may be a superior strategy to intensify dose to leukemia compared to dose escalation of either modality alone.
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Affiliation(s)
- J Y C Wong
- Department of Radiation Oncology, City of Hope National Medical Center, Duarte, CA
| | - A M Monzr
- Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA
| | - F Sahebi
- Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA
| | - S V Dandapani
- Department of Radiation Oncology, City of Hope National Medical Center, Duarte, CA
| | - D M Yamauchi
- Department of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA
| | - A Salhotra
- Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA
| | - V Adhikarla
- Division of Mathematical Oncology, City of Hope National Medical Center, Duarte, CA
| | - H Ali
- Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA
| | | | - D Yang
- Department of Biostatistics, City of Hope National Medical Center, Duarte, CA
| | - C Han
- Department of Radiation Oncology, City of Hope National Medical Center, Duarte, CA
| | - A Liu
- Department of Radiation Oncology, City of Hope National Medical Center, Duarte, CA
| | | | - A Wu
- Department of Immunology and Theranostics, Beckman Research Institute, City of Hope, Duarte, CA
| | - P Yazaki
- Department of Immunology and Theranostics, Beckman Research Institute, City of Hope, Duarte, CA
| | - J E Shively
- Department of Immunology and Theranostics, Beckman Research Institute, City of Hope, Duarte, CA
| | - S K Hui
- Department of Radiation Oncology, City of Hope National Medical Center, Duarte, CA
| | - E Smith
- Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA
| | - A Stein
- Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA
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Marques JF, Ali H, Varbanov BM, Finkel M, Veen HM, van der Meer SLM, Valles-Sanclemente S, Muthusubramanian N, Beekman M, Haider N, Terhal BM, DiCarlo L. All-Microwave Leakage Reduction Units for Quantum Error Correction with Superconducting Transmon Qubits. Phys Rev Lett 2023; 130:250602. [PMID: 37418741 DOI: 10.1103/physrevlett.130.250602] [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] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 05/24/2023] [Indexed: 07/09/2023]
Abstract
Minimizing leakage from computational states is a challenge when using many-level systems like superconducting quantum circuits as qubits. We realize and extend the quantum-hardware-efficient, all-microwave leakage reduction unit (LRU) for transmons in a circuit QED architecture proposed by Battistel et al. This LRU effectively reduces leakage in the second- and third-excited transmon states with up to 99% efficacy in 220 ns, with minimum impact on the qubit subspace. As a first application in the context of quantum error correction, we show how multiple simultaneous LRUs can reduce the error detection rate and suppress leakage buildup within 1% in data and ancilla qubits over 50 cycles of a weight-2 stabilizer measurement.
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Affiliation(s)
- J F Marques
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - H Ali
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - B M Varbanov
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - M Finkel
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - H M Veen
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - S L M van der Meer
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - S Valles-Sanclemente
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - N Muthusubramanian
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - M Beekman
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Netherlands Organisation for Applied Scientific Research (TNO), P.O. Box 96864, 2509 JG The Hague, Netherlands
| | - N Haider
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Netherlands Organisation for Applied Scientific Research (TNO), P.O. Box 96864, 2509 JG The Hague, Netherlands
| | - B M Terhal
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- EEMCS Department, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - L DiCarlo
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
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10
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Lamba H, Ali H, Delgado M, Walther C, Nordick K, Shafii A, Chatterjee S, Nair A, Simpson L, Liao K, Civitello A. Extended Impella 5.0 and 5.5 Microaxillary Left Ventricular Mechanical Circulatory Support for Cardiogenic Shock. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1050] [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: 04/05/2023] Open
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11
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Lamba H, Ali H, Delgado M, Shafii A, Chatterjee S, Walther C, Nair A, Simpson L, Liao K, Civitello A. Impact of Impella 5.0 and 5.5 Microaxillary Left Ventricular Mechanical Circulatory Support on Right Ventricular Hemodynamics. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1052] [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: 04/05/2023] Open
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12
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Menachem B, Ali H. Outcomes of Flow Cytometry Crossmatch Positive Lung Transplant Recipients. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1454] [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: 04/05/2023] Open
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13
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Ali H, Bhatt J, Graviss E, Nguyen D, Nagueh S, Guha A, Sahay S. The Combination of the Ratio of Tricuspid Annular Plane Systolic Excursion to Systolic Pulmonary Arterial Pressure and Reveal Lite 2.0 in Early Prediction of Disease Progression of Pulmonary Arterial Hypertension. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.866] [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: 04/05/2023] Open
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14
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Menachem B, Schneider J, Ali H. Rhodococcus Equi Infection in Lung Transplant: Two Cases. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.703] [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: 04/05/2023] Open
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15
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Ali H. An upregulation of scube 2 expression in type 2 diabetes mellitus with dyslipidemia. Atherosclerosis 2022. [DOI: 10.1016/j.atherosclerosis.2022.06.693] [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: 11/27/2022]
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16
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Mroue J, Saouma S, Lafferty J, Ali H, Mehta V, El-Khoury M, Weinberg M, Kowalski M, Epstein L, Akhrass P, Parikh V, Shah R, Yacoub H. 472 Proximity Of Coronary Arteries To Tricuspid Annulus As Determined By Computed Tomography. J Cardiovasc Comput Tomogr 2022. [DOI: 10.1016/j.jcct.2022.06.083] [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: 11/30/2022]
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17
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Mansour Z, Ali H, Anis S, Orief Y. P-572 Hormonal Monitoring and Progesterone Adjustment in Frozen Embryo Transfer Cycles. Hum Reprod 2022. [DOI: 10.1093/humrep/deac107.528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Study question
We investigated the effect of monitoring and follow-up of serum progesterone, estradiol & luteinizing hormone levels and progesterone supplement adjustments on pregnancy outcomes for FET in programmed HRT cycles.
Summary answer
Monitoring and follow-up of different hormones in patient’s serum in programmed frozen embryo transfer cycles didn’t have an impact on overall pregnancy rate.
What is known already
Frozen Embryo transfer treatment rapidly expanded in recent years. FET can effectively prevent IVF associated complications, such as ovarian hyperstimulation syndrome and multiple pregnancy. In addition, FET serves as a safe & cost-effective way to increase cumulative pregnancy rate.
Though progesterone levels on the day of transfer have not yet been studied extensively in humans, tailoring the time of transferring a frozen embryo based on serial P4 values rather than cycle day number alone results in higher pregnancy rates.The value of measuring the serum E2 levels on the day of embryo transfer as an indicator for clinical pregnancy is still doubtful.
Study design, size, duration
Six Hundred FETs were performed in a randomized prospective manner in an infertility center in Alexandria starting from 2019 till 2021.These were further subdivided based on computer randomization into Group I (Non-intervention) including300 patients with only ultrasound monitoring & Group II (intervention) including 300 patients with monitoring of serum level of progesterone, estrogen & luteinizing hormone as well as progesterone supplement adjustments.
Participants/materials, setting, methods
Group I (Non-intervention) including300 patients with only ultrasound monitoring & Group II (intervention) including 300 patients with monitoring of serum level of progesterone, estrogen & luteinizing hormone as well as progesterone supplement adjustments which are further subdivided into three groups depending on progesterone level in patient’s serum early in the morning prior to embryo transfer. Group II A: P4 levels < 5ng/dl, Group II B: P4 levels 5-10ng/dl, Group II C: P4 levels >10ng
Main results and the role of chance
Live birth and overall pregnancy rate showed no significant difference among group monitored with ultrasound only compared to the hormonal monitored group. However, on the day of embryo transfer, serum P4 > 11.83 ng/ml represented a cut-off value above which there is marked increase in OPR/LBR and a sensitivity of 53.7% & specificity of 51.2% in predicting pregnancy. Also, serum E2 value more than 292 pg/ml at day 18 demonstrated an increase in OPR/LBR.In our study, the cut off value of LH level less than of 10.8 IU/L at day13 had a sensitivity of 58.3% & specificity of 50.4% in predicting pregnancy. Regarding pregnancy outcome, monitoring of LH levels didn’t generate useful data with no added prognostic value.Conclusion: Monitoring and follow-up of different hormones in patient’s serum in programmed frozen embryo transfer cycles didn’t have an impact on live birth, overall pregnancy & abortion rate when compared to ultrasound only in non-intervention group.
Limitations, reasons for caution
Patients in non-intervention group didn’t have a hormonal pre-transfer assessment so it’s not possible to determine if the progesterone levels are suboptimal or not when compared to intervention group.
Also, we didn’t have a post transfer hormonal assessment in case group to determine whether the progesterone dose reached desired levels.
Wider implications of the findings
Kofinas et al. proposed in his study that in order to optimize pregnancy and rate, P4 levels in FET cycles should be sustained between 10 and 20 ng/ml.
This was in accordance to our study where the cut off value of P4 on day of 11.83 ng/ml optimized pregnancy rates.
Trial registration number
NCT05189145
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Affiliation(s)
- Z Mansour
- Faculty of Medicine-University of Alexandria, Obstetrics & Gynecology , Alexandria, Egypt
| | - H Ali
- Faculty of Medicine-University of Alexandria, Obstetrics & Gynecology , Alexandria, Egypt
| | - S Anis
- Faculty of Medicine-University of Alexandria, Obstetrics & Gynecology , Alexandria, Egypt
| | - Y Orief
- Faculty of Medicine-University of Alexandria, Obstetrics & Gynecology , Alexandria, Egypt
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Ali I, Salah KBH, Sher H, Ali H, Ullah Z, Ali A, Alam N, Shah SA, Iqbal J, Ilyas M, Al-Quwaie DAH, Khan AA, Mahmood T. Drought stress enhances the efficiency of floral dip method of Agrobacterium-mediated transformation in Arabidopsis thaliana. BRAZ J BIOL 2022; 84:e259326. [PMID: 35703626 DOI: 10.1590/1519-6984.259326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 04/30/2022] [Indexed: 11/22/2022] Open
Abstract
The Agrobacterium-mediated floral dip protocol is the most extensively used transformation method for a model plant Arabidopsis thaliana. Several useful methods for Agrobacterium tumefaciens-mediated transformations of Arabidopsis are existing, but they are time consuming and with low transformation efficiency. Here, we developed a transgenic Arabidopsis lines TET12p::TET12-RFP in a short period of time and enhanced transformation efficiency by using a modified transformation method by applying drought stress after floral dip. In this protocol, Agrobacterium cells carrying TET12p::TET12-RFP recombinant vectors were resuspended in a solution of 5% sucrose, 0.05% (v/v) silwet L-77 to transform female gametes of developing Arabidopsis inflorescences. Treated Arabidopsis were then applied with different levels of drought stresses to stimulate plants for the utilization of maximum plant energy in seed maturation process. The applied stresses achieved the fast maturation of already treated inflorescences while stopped the growing of newly arising untreated inflorescence, thus decreased the chances of wrong collection of untransformed seeds. Consequently, the collected seeds were mostly transgenic with a transformation frequency of at least 10%, thus the screening for positive transformants selection was more advantageous on a selective medium as compared to a classical floral dip method. Within 2-3 months, two hundred of individual transgenic plants were produced from just 10 infiltrated plants. This study concludes that application of drought stresses in a specific stage of plant is a beneficial strategy for achieving the transgenic Arabidopsis in a short period of time with high transformation efficiency.
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Affiliation(s)
- I Ali
- University of Swat, Centre for Plant Science and Biodiversity, Charbagh, Pakistan.,Chinese Academy of Sciences, Institute of Genetics and Developmental Biology, State Key Laboratory of Molecular Developmental Biology, Beijing, China
| | - K B H Salah
- King Abdulaziz University, College of Science & Arts, Biological Sciences Department, Rabigh, Saudi Arabia.,University of Monastir, Faculty of Pharmacy, Laboratory of Transmissible Diseases and Biologically Active Substances, Monastir, Tunisia
| | - H Sher
- University of Swat, Centre for Plant Science and Biodiversity, Charbagh, Pakistan
| | - H Ali
- University of Swat, Centre for Plant Science and Biodiversity, Charbagh, Pakistan
| | - Z Ullah
- University of Swat, Centre for Plant Science and Biodiversity, Charbagh, Pakistan
| | - A Ali
- University of Swat, Centre for Plant Science and Biodiversity, Charbagh, Pakistan
| | - N Alam
- University of Swat, Centre for Agricultural Sciences and Forestry, Charbagh, Pakistan
| | - S A Shah
- National University of Medical Sciences, Department of Biological Sciences, Rawalpindi, Pakistan
| | - J Iqbal
- Bacha Khan University, Department of Botany, Charsadda, Khyber Pakhtunkhwa, Pakistan
| | - M Ilyas
- Kohsar University Murree, Department of Botany, Murree, Pakistan
| | - D A H Al-Quwaie
- King Abdulaziz University, College of Science & Arts, Biological Sciences Department, Rabigh, Saudi Arabia
| | - A A Khan
- Nankai University, College of Life Sciences, Department of Plant Biology and Ecology, Tianjin, China
| | - T Mahmood
- Quaid-i-Azam University, Department of Plant Sciences, Islamabad, Pakistan
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19
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Aboul Ela M. Nabil W, Morsi S, Nasser I, Salah Abdelazim M, Ali H. Efficacy of mirabegron as medical expulsive therapy for distal ureteral stones: A prospective randomized, double blind, controlled study. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00339-6] [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: 11/25/2022]
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20
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de la Fuente A, Scoggin C, Bradecamp E, Ali H, Troedsson M, Meyers S, Dini P. 146 Transcriptome characterisation of equine oocyte maturation. Reprod Fertil Dev 2021; 34:311. [PMID: 35231353 DOI: 10.1071/rdv34n2ab146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- A de la Fuente
- Department of Anatomy, Physiology and Cell Biology, School of Veterinary Medicine, University of California, Davis, CA, USA
| | - C Scoggin
- LeBlanc Reproduction Center, Rood and Riddle Equine Hospital, Lexington, KY, USA
| | - E Bradecamp
- LeBlanc Reproduction Center, Rood and Riddle Equine Hospital, Lexington, KY, USA
| | - H Ali
- Gluck Equine Research Center, University of Kentucky, Lexington, KY, USA
| | - M Troedsson
- Gluck Equine Research Center, University of Kentucky, Lexington, KY, USA
| | - S Meyers
- Department of Anatomy, Physiology and Cell Biology, School of Veterinary Medicine, University of California, Davis, CA, USA
| | - P Dini
- Department of Population Health and Reproduction, University of California, Davis, CA, USA
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21
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Ali H, Mai B, Wahed A, Nguyen A, Liu J, Zhu H. A Diagnostic Pitfall in the Evaluation of CD138-Positive Plasmacytoid Cells in a Fine Needle Aspiration Biopsy. Am J Clin Pathol 2021. [DOI: 10.1093/ajcp/aqab191.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction/Objective
The identification of plasmacytoid cells on rapid assessment leads to a wide range of differential diagnoses.
Methods/Case Report
We present a 51-year-old female with a parotid mass and cervical lymphadenopathy. The fine needle aspiration biopsy of the lymph node showed clusters of plasmacytoid cells. Flow cytometric studies showed cells positive for CD19, CD45, CD138 and kappa, but negative for CD38 and lambda. The kappa to lambda ratio was greater than 100. Histological sections showed plasmacytoid cells that were positive for AE1/AE3, S100, and SOX10, weakly positive for CK7 and GATA3, but negative for CD79a, CD45, EMA, p40, p63, and pan-melanoma markers. Kappa and lambda had a 1:1 ratio. Due to the discrepancy between the flow cytometric results and the immunohistochemistry, excision was recommended. The subsequent excision specimen showed classic morphology for myoepithelial carcinoma, plasmacytoid variant.
Results (if a Case Study enter NA)
NA
Conclusion
Myoepithelial carcinomas of the salivary glands are rare neoplasms, and they have various morphologies. The plasmacytoid variant can pose as a diagnostic pitfall. In fine needle aspiration biopsies, carcinoma cells with plasmacytoid morphology can be confused with a plasma cell neoplasm. CD138 is nonspecific marker, and it can be expressed in plasma cells as well as carcinomas. To further complicate matters, pancytokeratin and SOX10 can aberrantly expressed in some plasma cell myelomas. Flow cytometry studies is a valuable tool to define various cell types. However, it can be misleading if it is used as a sole source for interpreting plasmacytoid cells. Epithelial and myoepithelial neoplasms should be considered as differential diagnoses when CD138-positive plasmacytoid cells are encountered. Extended immunohistochemistry panel including multiple epithelial and myoepithelial markers play pivotal role in settling the diagnosis.
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Affiliation(s)
- H Ali
- Department of Pathology and Laboratory Medicine, UT Health Science Center at Houston, Houston, Texas, UNITED STATES
| | - B Mai
- Department of Pathology and Laboratory Medicine, UT Health Science Center at Houston, Houston, Texas, UNITED STATES
| | - A Wahed
- Department of Pathology and Laboratory Medicine, UT Health Science Center at Houston, Houston, Texas, UNITED STATES
| | - A Nguyen
- Department of Pathology and Laboratory Medicine, UT Health Science Center at Houston, Houston, Texas, UNITED STATES
| | - J Liu
- Department of Pathology and Laboratory Medicine, UT Health Science Center at Houston, Houston, Texas, UNITED STATES
| | - H Zhu
- Department of Pathology and Laboratory Medicine, UT Health Science Center at Houston, Houston, Texas, UNITED STATES
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22
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Attaullah M, Nawaz MA, Ilahi I, Ali H, Jan T, Khwaja S, Hazrat A, Ullah I, Ullah Z, Ullah S, Ahmad B, Ullah R. Honey as a bioindicator of environmental organochlorine insecticides contamination. BRAZ J BIOL 2021; 83:e250373. [PMID: 34550295 DOI: 10.1590/1519-6984.250373] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Accepted: 05/25/2021] [Indexed: 11/22/2022] Open
Abstract
Honey is a suitable matrix for the evaluation of environmental contaminants including organochlorine insecticides. The present study was conducted to evaluate residues of fifteen organochlorine insecticides in honey samples of unifloral and multifloral origins from Dir, Pakistan. Honey samples (5 g each) were extracted with GC grade organic solvents and then subjected to Rotary Evaporator till dryness. The extracts were then mixed with n-Hexane (5 ml) and purified through Column Chromatography. Purified extracts (1μl each) were processed through Gas Chromatograph coupled with Electron Capture Detector (GC-ECD) for identification and quantification of the insecticides. Of the 15 insecticides tested, 46.7% were detected while 53.3% were not detected in the honey samples. Heptachlor was the most prevalent insecticide with a mean level of 0.0018 mg/kg detected in 80% of the samples followed by β-HCH with a mean level of 0.0016 mg/kg detected in 71.4% of the honey samples. Honey samples from Acacia modesta Wall. were 100% positive for Heptachlor with a mean level of 0.0048 mg/kg followed by β-HCH with a mean level of 0.003 mg/kg and frequency of 83.3%. Minimum levels of the tested insecticides were detected in the unifloral honey from Ziziphus jujuba Mill. Methoxychlor, Endosulfan, Endrin and metabolites of DDT were not detected in the studied honey samples. Some of the tested insecticides are banned in Pakistan but are still detected in honey samples indicating their use in the study area. The detected levels of all insecticides were below the Maximum Residue Levels (MRLs) and safe for consumers. However, the levels detected can cause mortality in insect fauna. The use of banned insecticides is one of the main factors responsible for the declining populations of important insect pollinators including honeybees.
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Affiliation(s)
- M Attaullah
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, Pakistan
| | - M A Nawaz
- Shaheed Benazir Bhutto University, Department of Biotechnology, Dir Upper, Pakistan
| | - I Ilahi
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, Pakistan
| | - H Ali
- University of Malakand, Department of Chemistry, Chakdara, Dir Lower, Pakistan
| | - T Jan
- University of Malakand, Department of Botany, Chakdara, Dir Lower, Pakistan
| | - S Khwaja
- Federal Urdu University of Arts, Science and Technology, Department of Zoology, Karachi, Pakistan
| | - A Hazrat
- University of Malakand, Department of Botany, Chakdara, Dir Lower, Pakistan
| | - I Ullah
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, Pakistan
| | - Z Ullah
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, Pakistan
| | - S Ullah
- University of Malakand, Department of Botany, Chakdara, Dir Lower, Pakistan
| | - B Ahmad
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, Pakistan
| | - R Ullah
- Shaheed Benazir Bhutto University, Department of Zoology, Dir Upper, Pakistan
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23
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Magnus F, Arnalds UB, Palonen H, Pálsson GK, Ali H, Leifer K, Hjörvarsson B. Tuneable exchange-spring stiffness in amorphous magnetic trilayer structures. J Phys Condens Matter 2021; 33:445803. [PMID: 34375952 DOI: 10.1088/1361-648x/ac1c2c] [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] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 08/10/2021] [Indexed: 06/13/2023]
Abstract
We investigate the magnetic properties of amorphous Sm10Co90/Co60(Al70Zr30)40/Co85(Al70Zr30)15exchange-spring magnet trilayers. The magnetically soft Co85(Al70Zr30)15layer is coupled to the magnetically hard Sm10Co90layer through the weakly magnetic low-TcCo60(Al70Zr30)40spacer layer. The strength of the coupling can be controlled with temperature and the coupling persists above the intrinsicTcof the spacer layer due to a long-range magnetic proximity effect. Polarized neutron reflectivity is used to examine the magnetic profile of the trilayers during magnetization reversal. A two-step switching occurs, with the switching angle of the soft layer strongly dependent on the strength of the coupling. In the strong coupling regime a magnetic state can be achieved where the soft layer magnetization is perpendicular to the hard layer whereas in the weak coupling regime the soft layer reverses fully.
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Affiliation(s)
- F Magnus
- Science Institute, University of Iceland, Dunhaga 3, IS-107 Reykjavik, Iceland
- Department of Physics and Astronomy, Uppsala University, Box 516, SE-75121 Uppsala, Sweden
| | - U B Arnalds
- Science Institute, University of Iceland, Dunhaga 3, IS-107 Reykjavik, Iceland
| | - H Palonen
- Department of Physics and Astronomy, Uppsala University, Box 516, SE-75121 Uppsala, Sweden
| | - G K Pálsson
- Department of Physics and Astronomy, Uppsala University, Box 516, SE-75121 Uppsala, Sweden
| | - H Ali
- Department of Materials Science and Engineering, Uppsala University, Box 534, SE-75121 Uppsala, Sweden
| | - K Leifer
- Department of Materials Science and Engineering, Uppsala University, Box 534, SE-75121 Uppsala, Sweden
| | - B Hjörvarsson
- Department of Physics and Astronomy, Uppsala University, Box 516, SE-75121 Uppsala, Sweden
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24
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Ali H, Hyder S, Pervez M, Sami W, Ahmed E, Naresh K, Hussain T, Ali A. Shoulder Function Assessment After Head And Neck Reconstruction With Pedicled Supraclavicular Flap. Ann Burns Fire Disasters 2021; 34:180-186. [PMID: 34584508 PMCID: PMC8396156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 10/14/2020] [Indexed: 06/13/2023]
Abstract
The supraclavicular artery flap is used for reconstruction of defects of the head and neck. One of the major implications of this procedure is injury to the nerve roots of C3 and C4 of the superficial cervical plexus, which provides sensation over the clavicle, shoulder and proximal chest, thereby causing problems in overall shoulder function. The objective of this study was to assess shoulder function, range of motion, pain, daily activities and overall satisfaction of the patient after using this flap. This study was conducted at the Department of Plastic & Reconstructive Surgery, Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan, from May 2015 to November 2018. Supraclavicular flap was used in 35 patients who underwent soft tissue reconstruction of defect of the neck after release of post burn contracture. Penn Shoulder Score and Constant Murley Score were used as assessment tools. Assessment by Penn Shoulder Score resulted in 25 (71.4%) patients within the upper quartile and 10 (18.6%) patients within the lower quartile. Constant Murley Score showed 19 (54.2%) of patients had 161°-180° shoulder abduction and lateral elevation. Forward flexion of 161°-180° was seen in 17 (48.5%) patients, 17 (48.5%) had internal rotation till the inter scapular region, 15 (42.8%) had no impairment of external rotation, 19 (54.2%) patients had no impairment of work/recreation, 25 (71.4%) had felt no change in their sleep and 22 (62.8%) were able to position their arm above their head. Overall parameters indicate better function, good range of motion, less pain, resumption of daily activities, and overall satisfaction.
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Affiliation(s)
- H. Ali
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - S. Hyder
- Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - M. Pervez
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - W. Sami
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - E. Ahmed
- Dow University Hospital Karachi, Pakistan
| | - K. Naresh
- Civil Hospital, Mirpurkhas, Pakistan
| | | | - A. Ali
- Mayo Clinic, Minnesota, USA
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Negîrneac V, Ali H, Muthusubramanian N, Battistel F, Sagastizabal R, Moreira MS, Marques JF, Vlothuizen WJ, Beekman M, Zachariadis C, Haider N, Bruno A, DiCarlo L. High-Fidelity Controlled-Z Gate with Maximal Intermediate Leakage Operating at the Speed Limit in a Superconducting Quantum Processor. Phys Rev Lett 2021; 126:220502. [PMID: 34152182 DOI: 10.1103/physrevlett.126.220502] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Accepted: 04/06/2021] [Indexed: 06/13/2023]
Abstract
Simple tuneup of fast two-qubit gates is essential for the scaling of quantum processors. We introduce the sudden variant (SNZ) of the net zero scheme realizing controlled-Z (CZ) gates by flux control of transmon frequency. SNZ CZ gates realized in a multitransmon processor operate at the speed limit of transverse coupling between computational and noncomputational states by maximizing intermediate leakage. Beyond speed, the key advantage of SNZ is tuneup simplicity, owing to the regular structure of conditional phase and leakage as a function of two control parameters. SNZ is compatible with scalable schemes for quantum error correction and adaptable to generalized conditional-phase gates useful in intermediate-scale applications.
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Affiliation(s)
- V Negîrneac
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - H Ali
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - N Muthusubramanian
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - F Battistel
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - R Sagastizabal
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - M S Moreira
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - J F Marques
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - W J Vlothuizen
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Netherlands Organisation for Applied Scientific Research (TNO), P.O. Box 96864, 2509 JG The Hague, Netherlands
| | - M Beekman
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Netherlands Organisation for Applied Scientific Research (TNO), P.O. Box 96864, 2509 JG The Hague, Netherlands
| | - C Zachariadis
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - N Haider
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Netherlands Organisation for Applied Scientific Research (TNO), P.O. Box 96864, 2509 JG The Hague, Netherlands
| | - A Bruno
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
| | - L DiCarlo
- QuTech, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
- Kavli Institute of Nanoscience, Delft University of Technology, P.O. Box 5046, 2600 GA Delft, Netherlands
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26
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Bhandari M, Ali H, Desai M, Mallikarjuna C, Srivastava A, Dubey D, Tyagi V, Ahlawat R, Pratt C, Choudhary G, Trevor T, Reddiboina M. Complexities in annotating surgical videos for building supervised deep learning models for critical steps of laparoscopic live donor nephrectomy. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00717-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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27
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Mason KJ, Burden AD, Barker JNWN, Lunt M, Ali H, Kleyn CE, McElhone K, Soliman MM, Green AC, Griffiths CEM, Reynolds NJ, Ormerod AD. Risks of basal cell and squamous cell carcinoma in psoriasis patients after treatment with biologic vs non-biologic systemic therapies. J Eur Acad Dermatol Venereol 2021; 35:e496-e498. [PMID: 33866626 DOI: 10.1111/jdv.17282] [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] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 03/18/2021] [Accepted: 04/09/2021] [Indexed: 11/28/2022]
Affiliation(s)
- K J Mason
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK.,School of Medicine, Keele University, Staffordshire, UK
| | - A D Burden
- Institute of Infection, Immunity and Inflammation, University of Glasgow, UK
| | - J N W N Barker
- St John's Institute of Dermatology, Faculty of Life Sciences and Medicine, King's College London, UK
| | - M Lunt
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK
| | - H Ali
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK
| | - C E Kleyn
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK.,The Dermatology Centre, Salford Royal NHS Foundation Trust, Salford, UK
| | - K McElhone
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK
| | - M M Soliman
- Department of Pharmacy Practice, Faculty of Pharmacy, Mansoura University, Mansoura, Egypt
| | - A C Green
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK.,QIMR Berghofer Medical Research Institute, Brisbane, Qld, Australia.,Molecular Oncology Group, CRUK Manchester Institute, University of Manchester, Manchester, UK
| | - C E M Griffiths
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK.,The Dermatology Centre, Salford Royal NHS Foundation Trust, Salford, UK
| | - N J Reynolds
- Institute of Translation and Clinical Medicine, Newcastle University, Newcastle upon Tyne, UK.,Newcastle Dermatology, Newcastle Hospitals NHS Trust, Newcastle upon Tyne, UK
| | - A D Ormerod
- Division of Applied Medicine, Aberdeen University, Aberdeen, UK
| | -
- British Association of Dermatologists, London, UK
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Young K, Beermann K, Hulbert A, Berry H, Ali H, Reynolds J. A Novel Post-Transplant Multimodal Antibody Management Protocol for Highly Sensitized Lung Transplant Recipients. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1056] [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: 11/30/2022] Open
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Young K, Neely M, Reynolds J, Mahmood K, Pavlisko E, Ali H. Acute Cellular Rejection in Lung Transplant: Can the Bronchoscopist Assess Transbronchial Biopsy Sample Adequacy? J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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30
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Mason KJ, Burden AD, Barker JNWN, Lunt M, Ali H, Kleyn CE, McElhone K, Soliman MM, Green AC, Griffiths CEM, Reynolds NJ, Ormerod AD. Characteristics and skin cancer risk of psoriasis patients with a history of skin cancer in BADBIR. J Eur Acad Dermatol Venereol 2021; 35:e498-e501. [PMID: 33725378 DOI: 10.1111/jdv.17230] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 03/08/2021] [Indexed: 11/26/2022]
Affiliation(s)
- K J Mason
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK.,School of Medicine, Keele University, Staffordshire, UK
| | - A D Burden
- Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, UK
| | - J N W N Barker
- St John's Institute of Dermatology, Faculty of Life Sciences and Medicine, King's College London, London, UK
| | - M Lunt
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK
| | - H Ali
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK
| | - C E Kleyn
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK.,The Dermatology Centre, Salford Royal NHS Foundation Trust, Salford, UK
| | - K McElhone
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK
| | - M M Soliman
- Department of Pharmacy Practice, Faculty of Pharmacy, Mansoura University, Mansoura, Egypt
| | - A C Green
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK.,QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.,Molecular Oncology Group, CRUK Manchester Institute, University of Manchester, Manchester, UK
| | - C E M Griffiths
- Division of Musculoskeletal and Dermatological Sciences, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK.,The Dermatology Centre, Salford Royal NHS Foundation Trust, Salford, UK
| | - N J Reynolds
- Institute of Translation and Clinical Medicine, Newcastle University, Newcastle upon Tyne, UK.,Newcastle Dermatology, Newcastle Hospitals NHS Trust, Newcastle upon Tyne, UK
| | - A D Ormerod
- Division of Applied Medicine, Aberdeen University, Aberdeen, UK
| | -
- British Association of Dermatologists, London, UK
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Khan N, Saleem M, Sarwar M, Khan I, Khan M, Ali A, Ali H, Rashid G, Shafee M, Ali M, Khan A, Prince K, Shakirullah, Ullah A, Khan I, Ahmad W, Sohail M. Alterations in host biomarkers in Cryptosporidium infected goats. Small Rumin Res 2020. [DOI: 10.1016/j.smallrumres.2020.106255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Ali H, Tahir M, Rai D, Tahir Z, Dawdy J, Kabashneh S, Lieberman R. Is implantable loop recorder the answer to reduce the increased risk of stroke in cancer patients? Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Recent epidemiologic data suggests increased risk of ischaemic stroke in cancer patients. The etiology of increased ischaemic stroke is unknown. Atrial fibrillation (AF) is among the potential etiologies. The risk of AF has not been studied among cancer patients in the United States.
Purpose
Ascertain the association of AF in cancer patients in the USA by using the largest database i.e. National Inpatient Sample (NIS).
Methods
Patients ≥18 years old were selected in the NIS database for years 2010 to 2014 and stratified based on presence or absence of any of four cancers (lung, colon, breast and prostate; 4CA) using ICD 9 codes. Atrial fibrillation and stroke/TIA were also identified using ICD 9 codes. Components of CHADS2 score (CHF, hypertension, Age>75, diabetes and stroke/TIA) were identified using ICD 9 codes. χ2 tests performed for prevalence of AF in patients with or without these cancers stratified by CHADS2 score. Binary logistic regression was used to analyze individual components of CHADS2 score.
Results
AF and stroke/TIA were significantly higher among 4CA than non-4CA group (18.7% vs 12.0%, P<0.001 and 5.4% vs 4.8%, P<0.001 respectively). AF prevalence increased with CHADS2 and was significantly higher in 4CA group with CHADS2 score 0 to 4 (Table 1 and Figure 1). Logistic regression for the outcome of AF showed “Age >75” OR (3.0), CHF (2.8), CVA (1.2), HTN (1.3) and DM (1.1).
Conclusion
This is the first study using a national database of USA patients to estimate prevalence of AF in cancer patients compared to non-cancer patients and reaffirms the higher burden of AF in cancer patients. Prevalence of both AF and stroke were greater in cancer patients when stratified by CHADS2 score. This may indicate not just an increased risk of AF but an increased risk of stroke/TIA for the same CHADS2 score. Stroke incidence was also higher in the 4CA group (5.4% vs. 4.8% P<0.001). Cancer patients with CHADS2 score >1 may benefit from screening with loop recorder to identify previously undetected AF and initiate anticoagulation therapy. Prospective longitudinal studies are needed to validate this retrospective study.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- H Ali
- Wayne State University/Detroit Medical Center, Internal Medicine, Detroit, United States of America
| | - M.W Tahir
- Rochester General Hospital, Internal Medicine, Rochester, United States of America
| | - D Rai
- Rochester General Hospital, Internal Medicine, Rochester, United States of America
| | - Z Tahir
- Sharif Medical and Dental College, Lahore, Pakistan
| | - J Dawdy
- Wayne State University/Detroit Medical Center, Internal Medicine, Detroit, United States of America
| | - S Kabashneh
- Wayne State University/Detroit Medical Center, Internal Medicine, Detroit, United States of America
| | - R Lieberman
- Wayne State University, Detroit, United States of America
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Ali H, Ahmad MI. Agronomic efficiency and profitability of cotton on integrated use of phosphorus and plant microbes. BRAZ J BIOL 2020; 81:484-494. [PMID: 32578692 DOI: 10.1590/1519-6984.232940] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 04/21/2020] [Indexed: 11/22/2022] Open
Abstract
Cotton crop, plays a significant role in Pakistan's economy by ruling a prominent place in edible oil and local textile industry. Phosphorus (P) inaccessibility and deficiency of soil organic matter are the key restraints for low crop productivity in cotton. Therefore, a two years field study was designed during 2014-15, to explore the influence of phosphate solubilizing bacteria (PSB), farmyard manure (FYM), poultry manure (PM) and inanimate sources of P on various physiological, growth, yield and quality parameters of cotton crop at CCRI Multan. Field responses of seeds inoculated with two distinctive phosphate solubilizing bacteria (PSB) strains viz. S0 = control, S1 =strain-1, S2 = strain-2 and eight organic, inorganic P sources viz., P0= control, P1 = 80 kg ha-1 P from inorganic source, P2 = 80 kg ha-1 P from FYM, P3 = 80 kg ha-1 P from PM, P4 = 40 kg ha-1 P from FYM + 40 kg ha-1 P from inorganic source, P5 = 40 kg ha-1 P from PM + 40 kg ha-1 P from inorganic source, P6 = 80 kg ha-1 P from FYM + 40 kg ha-1 P from inorganic source, P7 = 80 kg ha-1 P from PM + 40 kg ha-1 P from inorganic source and P8 = 40 kg ha-1 P from FYM + 40 kg ha-1 P from PM were evaluated. Results revealed that inoculation of seeds with PSB and collective use of inorganic and organic sources of P had considerably increased the yield contributing attributes in cotton. However, the treatment P7 (80 kg P ha-1 from PM + 40 kg P ha-1 from inorganic source) in coincidence with seeds inoculated with PSB (S1) produced taller plant, maximum boll weight, significantly higher LAI and CGR. Significantly higher seed cotton yield, lint yield, fiber length and maximum BCR of 1.95 and 1.81 was also obtained from the P7 treatment during both crop-growing seasons. In conclusion, combined use of 80 kg P ha-1 from PM + 40 kg P ha-1 from inorganic source and cotton seeds inoculated with strain-1 improved phosphorus uptake ensuing in greater consumption of photo-assimilates for maximum growth and yield.
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Affiliation(s)
- H Ali
- Department of Agronomy, Bahauddin Zakariya University, Multan, Pakistan
| | - M I Ahmad
- Department of Agronomy, Bahauddin Zakariya University, Multan, Pakistan
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Quinet R, Zhang X, Meng J, Shi X, Ali H, Kumar N, Hellmers L, Washington T, Davis W, Zakem J, You Z. AB0139 T FOLLICULAR HELPER CELLS MAY BE INVOLVED IN THE LUPUS DEVELOPMENT IN HIGH FAT DIET-INDUCED OBESITY MICE. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.6496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:System lupus erythematosus (SLE) is an autoimmune disease that is associated with skin rash and multiple organs lesion. It is known that obesity is a major factor contributing to the onset and progression of autoimmune diseases including SLE. Our previous study showed that circulating T follicular helper (Tfh) cells played an important role in autoantibody production in SLE patients. A recent study showed that Tfh cells promote B cell production of IgA antibodies, which help shape the composition of the gut microbiota and may modulate obesity.Objectives:By establishing an obesity-associated lupus mouse model, we investigated the pathophysiologic link of obesity, SLE and Tfh cells using MRL/lpr lupus prone mice.Methods:Twenty MRL/lpr mice (10 male and 10 female) were randomized equally fed with a regular diet (RD) or high fat diet (HFD, 60% calories comprised of fat). Their body weights were recorded weekly as an indicator of obesity achievement. SLE progression was monitored weekly by development of skin lesion and urine protein levels assessed by Bradford assay. Blood was collected for IgG, anti-dsDNA and anti-nuclear antibody (ANA) detection. At the endpoint of week 14, spleen was measured and weighted. Spleen, kidney, and dorsum of neck skin were collected and embedded for H&E, PAS, Masson’s staining, and immune complex staining to detect active histopathological lupus lesions and be quantified as histological skin score and kidney index. Tfh cells in spleen was identified by immunohistochemistry (IHC) staining glomerulus of kidney.Results:Obesity was achieved with a significant difference of mouse body weight between the RD and HFD groups by week 3 and continued until week 14 (p<0.05 top<0.01). Evidence of SLE development, such as skin rash on the dorsal neck and back in HFD group showed up as earlier as week 6 and occurred in 55.6% of the HFD group vs 11.1% of the RD group (p<0.05), with a higher histological score of skin in HFD group (p<0.05). Proteinuria was increased from 11 to 14 week in male HFD group with an elevated kidney index and immune-complex deposits in their glomerulus of kidney. There was an increase trend of anti-dsDNA and IgG titer in HFD group, but no difference of ANA was observed between these two groups. Splenomegaly was observed in the HFD mice (p<0.05). The Tfh cells in the spleen of HFD group were higher than RD group.Conclusion:Our results show accelerated and greater severity of lupus development in MRL/lpr mice with HFD compared to mice on RD, indicating HFD-induced obesity exacerbates lupus development in mice. Tfh cells may be involved in the relation of SLE and obesity. This model could be used to investigate the mechanism underlying the link between obesity and SLE development. Interventions to reduce body weight or target Tfh cells may improve both lupus symptoms and outcomes in genetically predisposed SLE patients.References:[1]Tedeschi S, et al. Obesity and the risk of systemic lupus erythematosus among woman in the Nurses’ Health Studies. Semi in Arth and Rheu. 2017, 47:376-383[2]Cozier YC, et al. A prospective study of obesity and risk of systemic lupus erythematosus (SLE) among Black woman. Semi in Arth and Rheu. 2019, 48:1030-1034[3]Wang G, et al. Differential oxidative modification of proteins in MRL+/+and MRL/lpr mice: Increased formation of lipid peroxidation-derived aldehyde-protein adducts may contribute to accelerated onset of autoimmune response. Free Radic Res. 2012, 46(12):1472-1481[4]Seth A, et al. Spatial and functional heterogeneity of follicular helper T cells in autoimmunity. Current Opinion in Immunology. 2019, 61:1-95.Petersen C, et al. T cell–mediated regulation of the microbiota protects against obesity. Science. 2019, 365 (6451): eaat9351Disclosure of Interests:None declared
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Baz K, Xu D, Ali H, Ali I, Khan I, Khan MM, Cheng J. Asymmetric impact of energy consumption and economic growth on ecological footprint: Using asymmetric and nonlinear approach. Sci Total Environ 2020; 718:137364. [PMID: 32325627 DOI: 10.1016/j.scitotenv.2020.137364] [Citation(s) in RCA: 60] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Revised: 02/14/2020] [Accepted: 02/15/2020] [Indexed: 05/24/2023]
Abstract
The main objective of this article is to examine the impacts of energy consumption and economic growth on environmental quality in Pakistan. We use the ecological footprint (environmental quality) as a target variable, the control variables of gross domestic products are a proxy of economic growth, and energy consumption and gross fixed capital formation are proxies of capital from 1971 to 2014. For this purpose, a unit root test with break dates is employed for a stationary check, and a BDS test is used for nonlinearity. The nonlinear autoregressive distributed lag approach is employed to assess the asymmetric co-integration among the variables. These results confirm the asymmetric co-integration among the variables. The asymmetric causality technique is also applied to scrutinize the causal link between the variables. The asymmetric feedback effect is observed between positive shocks to environmental quality and energy consumption, and symmetrically, environmental quality causes energy consumption. By contrast, the neutral effect is observed among environmental quality, economic growth, and capital. Based on these findings, current energy portfolios should be diversified by either enhancing or incorporating renewable energy technologies, and this is indispensable to support the existing successful strides of environmental policies. Thus, policymakers must buttress their commitments to reduce emissions by sustaining and decarbonizing the trajectory of economic growth.
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Affiliation(s)
- Khan Baz
- School of Economics and Management, China University of Geosciences, Wuhan, China
| | - Deyi Xu
- School of Economics and Management, China University of Geosciences, Wuhan, China.
| | - Hashmat Ali
- Department of Management Sciences, Abbottabad University of Science and Technology, Pakistan
| | - Imad Ali
- College of Economics and Management, Northwest A&F University, China
| | - Imran Khan
- College of Economics and Management, Northwest A&F University, China
| | - Muhammad Muddassar Khan
- Department of Management Sciences, Abbottabad University of Science and Technology, Pakistan
| | - Jinhua Cheng
- School of Economics and Management, China University of Geosciences, Wuhan, China
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Chompunud Na Ayudhya C, Roy S, Thapaliya M, Ali H. Roles of a Mast Cell-Specific Receptor MRGPRX2 in Host Defense and Inflammation. J Dent Res 2020; 99:882-890. [PMID: 32392433 DOI: 10.1177/0022034520919107] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Mast cells are multifunctional immune cells that are found most abundantly at host-environment interfaces, such as the skin, respiratory tract, and oral/gastrointestinal mucosa. Not surprisingly, mast cells act as sentinel cells that sense microbial attacks and initiate a protective immune response and promote healing. Although mast cells share many features with other innate immune effector cells, such as neutrophils and macrophages, they uniquely interact closely with blood vessels and release an extensive set of mediators for the recruitment of innate and adaptive immune cells. A novel human G protein-coupled receptor (GPCR), known as Mas-related GPCR-X2 (MRGPRX2, mouse ortholog, MrgprB2), has recently been identified, which is expressed on mast cells but not neutrophils and macrophages. Interestingly, activation of MrgprB2 by bacteria-derived quorum-sensing peptides inhibits bacterial growth, prevents biofilm formation, and leads to the recruitment of neutrophils to effectively clear bacteria. Furthermore, host defense antimicrobial peptides and small-molecule peptide mimetics also activate mast cells via MRGPRX2/B2. MrgprB2-mediated activation of local mast cells also clears cutaneous bacterial infection, promotes healing, and protects against reinfection. In addition to their role in host defense, mast cells contribute to a number of chronic inflammatory diseases such as periodontitis, neurogenic inflammation, and inflammatory pain likely via the activation of MRGPRX2. In this review, we discuss the roles of MRGPRX2/B2 in the clearance of bacterial infection, wound healing, periodontal disease, neurogenic inflammation, and inflammatory pain. We propose that harnessing mast cells' host defense and immunomodulatory properties via the activation of MRGPRX2 may lead to novel approaches for the treatment of drug-resistant bacterial infections. On the other hand, increased MRGPRX2 expression on mast cells and their inappropriate activation may contribute to periodontitis, neurogenic inflammation, and inflammatory pain. Thus, targeting MRGPRX2 could provide novel approaches to modulate these conditions.
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Affiliation(s)
- C Chompunud Na Ayudhya
- Department of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - S Roy
- Department of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - M Thapaliya
- Department of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - H Ali
- Department of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA
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Ali H, Abu Bakar M, Majid M, Muhammad N, Lim S. In vitro anti-diabetic activity of stingless bee honey from different botanical origins. Food Res 2020. [DOI: 10.26656/fr.2017.4(5).411] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The number of patients with diabetes mellitus is increasing at an alarming rate and this
situation has triggered the interest of searching natural product as an alternative treatment.
Stingless bee honey containing a diverse array of bioactive compounds is commonly
utilized as a functional food and also found to possess various therapeutic effects
including anti-diabetic through α-amylase and α-glucosidase inhibition. However, the
composition level of bioactive compounds varying of geographical origins and botanical
sources of honey leads to different enzyme inhibition abilities. Therefore, this study
explored the total phenolic, total flavonoid, α-amylase and α-glucosidase inhibition
activities of stingless bee honey from various botanical origins. In this study, stingless bee
honey was collected from 6 different botanical origins namely, acacia, coconut, mangrove,
starfruit, multifruit and multiflower plant. Honey from tualang tree was used as a positive
control. Phenolic and flavonoid contents as well as α-amylase and α-glucosidase inhibition
activities of honey were studied spectrophotometrically. Stingless bee honey from
mangrove was found to have the highest phenolic content (141.74±0.03 mg GAE/100 g).
The honey collected from coconut origin showed the highest flavonoid content with the
value of 51.33±0.02 mg RE/100 g and also achieved the highest percentage inhibition
against α-glucosidase (68.33% at 100 µg/mL). Furthermore, tualang honey and honey
samples from mangrove, coconut and Acacia tree were found to have strong α-amylase
inhibition abilities as their inhibition percentages were more than 70.00% at 100 µg/mL.
This study showed that the presence of flavonoid and phenolic compounds in honey from
different botanical origins yielded different degree of α-amylase and α-glucosidase
inhibition and also recommended the uses of stingless bee honey in diabetes treatment.
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Al Sahow A, Nawar H, Ali H, AlHelal B, AlYousef A, AlQallaf A, ElSharkawi Y. SAT-097 SAFETY OF IV IRON IN CHRONIC KIDNEY DISEASE PATIENTS (STAGES 3-5 ND) IN KUWAIT. Kidney Int Rep 2020. [DOI: 10.1016/j.ekir.2020.02.105] [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: 11/30/2022] Open
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Ali H, Pervez M, Khyani I, Sami W, Muneeb D. Post-burn neck contracture: effectively managed with supraclavicular artery flap. Ann Burns Fire Disasters 2019; 32:301-307. [PMID: 32431581 PMCID: PMC7197911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 08/03/2019] [Accepted: 10/21/2019] [Indexed: 06/11/2023]
Abstract
Post-burn neck contracture is one of the most common burn sequels. These contractures affect the patient significantly causing both functional limitations and esthetic disfigurements, which lead to cosmetic, functional and social problems. Our objective was to determine the role of supraclavicular artery island (SAI) flap as an option for the reconstruction of soft tissue defect of the neck after release of post-burn contracture. The study was conducted at the Department of Plastic & Reconstructive Surgery, Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan, from February 2015 to April 2018. Patients of both genders in any age group who required reconstruction of soft tissue defects after release of post-burn neck contracture were included. Patients with neck irradiation, trauma, failure of previous surgery, bleeding diathesis, or severe scarring at the supraclavicular region were excluded. A total of 31 supraclavicular flaps were performed in 28 cases for reconstruction of soft tissue neck defect. Mean age was 29.8 years. Patients were followed for 3 months postoperatively. Complete flap necrosis was observed in 1 (3.2%), distal necrosis in 2 (6.4%) cases, postoperative hematoma of the neck was found in 1 (3.2%) and wound dehiscence was reported in 2 (6.4%) cases. Donor site was closed primarily in 25 (81%) cases while the rest were skin grafted. Supraclavicular artery flap is an effective choice with impressive recovery, acceptable skin color match and restoration of anatomic function at the recipient site without any major complications.
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Affiliation(s)
- H. Ali
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - M. Pervez
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - I. Khyani
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - W. Sami
- Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital Karachi, Pakistan
| | - D. Muneeb
- Baqai Medical University Karachi, Pakistan
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Yardley DA, Coleman R, Conte P, Cortes J, Brufsky A, Shtivelband M, Young R, Bengala C, Ali H, Eakel J, Schneeweiss A, de la Cruz-Merino L, Wilks S, O'Shaughnessy J, Glück S, Li H, Miller J, Barton D, Harbeck N. nab-Paclitaxel plus carboplatin or gemcitabine versus gemcitabine plus carboplatin as first-line treatment of patients with triple-negative metastatic breast cancer: results from the tnAcity trial. Ann Oncol 2019; 29:1763-1770. [PMID: 29878040 PMCID: PMC6096741 DOI: 10.1093/annonc/mdy201] [Citation(s) in RCA: 78] [Impact Index Per Article: 15.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Background Metastatic triple-negative breast cancer (mTNBC) has a poor prognosis and aggressive clinical course. tnAcity evaluated the efficacy and safety of first-line nab-paclitaxel plus carboplatin (nab-P/C), nab-paclitaxel plus gemcitabine (nab-P/G), and gemcitabine plus carboplatin (G/C) in patients with mTNBC. Patients and methods Patients with pathologically confirmed mTNBC and no prior chemotherapy for metastatic BC received (1 : 1 : 1) nab-P 125 mg/m2 plus C AUC 2, nab-P 125 mg/m2 plus G 1000 mg/m2, or G 1000 mg/m2 plus C AUC 2, all on days 1, 8 q3w. Phase II primary end point: investigator-assessed progression-free survival (PFS); secondary end points included overall response rate (ORR), overall survival (OS), percentage of patients initiating cycle 6 with doublet therapy, and safety. Results In total, 191 patients were enrolled (nab-P/C, n = 64; nab-P/G, n = 61; G/C, n = 66). PFS was significantly longer with nab-P/C versus nab-P/G [median, 8.3 versus 5.5 months; hazard ratio (HR), 0.59 [95% CI, 0.38-0.92]; P = 0.02] or G/C (median, 8.3 versus 6.0 months; HR, 0.58 [95% CI, 0.37-0.90]; P = 0.02). OS was numerically longer with nab-P/C versus nab-P/G (median, 16.8 versus 12.1 months; HR, 0.73 [95% CI, 0.47-1.13]; P = 0.16) or G/C (median, 16.8 versus 12.6 months; HR, 0.80 [95% CI, 0.52-1.22]; P = 0.29). ORR was 73%, 39%, and 44%, respectively. In the nab-P/C, nab-P/G, and G/C groups, 64%, 56%, and 50% of patients initiated cycle 6 with a doublet. Grade ≥3 adverse events were mainly hematologic. Conclusions First-line nab-P/C was active in mTNBC and resulted in a significantly longer PFS and improved risk/benefit profile versus nab-P/G or G/C.
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Affiliation(s)
- D A Yardley
- Sarah Cannon Research Institute and Tennessee Oncology PLLC, Medical Oncology, Nashville, USA.
| | - R Coleman
- Department of Oncology and Metabolism, Weston Park Hospital, University of Sheffield, Sheffield, UK
| | - P Conte
- Department of Surgery, Oncology and Gastroenterology, University of Padova and Medical Oncology 2, Istituto Oncologico Veneto, Padova, Italy
| | - J Cortes
- Medical Oncology, Ramon y Cajal University Hospital, Madrid; Vall d'Hebron Institute of Oncology, Barcelona, Spain
| | - A Brufsky
- Hematology/Oncology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA
| | - M Shtivelband
- Medical Oncology, Ironwood Physicians, PC, Chandler, USA
| | - R Young
- Medical Oncology, The Center for Cancer and Blood Disorders, Fort Worth, USA
| | - C Bengala
- Medical Oncology, Misericordia General Hospital, Grosseto, Italy
| | - H Ali
- Medical Oncology, Henry Ford Health System, Detroit, USA
| | - J Eakel
- Hematology and Oncology, Florida Cancer Specialists, Sarasota, USA
| | - A Schneeweiss
- Gynecology and Medical Oncology, Heidelberg University Hospital, Heidelberg, Germany
| | | | - S Wilks
- Hematology and Medical Oncology, Texas Oncology, San Antonio, USA
| | - J O'Shaughnessy
- Hematology, Medical Oncology, Baylor Sammons Cancer Center, Texas Oncology, US Oncology, Dallas, USA
| | - S Glück
- GMA Early Assets, Celgene Corporation, Summit, USA
| | - H Li
- Department of Biostatistics, Celgene Corporation, Summit, USA
| | - J Miller
- Clinical Research and Development, Hematology/Oncology, Celgene Corporation, Summit, USA
| | - D Barton
- Clinical Research and Development, Hematology/Oncology, Celgene Corporation, Summit, USA
| | - N Harbeck
- Breast Cancer Center, University of Munich, Munich, Germany
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Ali H, Gul A, Yousaf M, Changezi R, Naz A. Slim Physique Image for Female: Discovering its Socio-psychological Outcomes. cswhi 2019. [DOI: 10.22359/cswhi_10_3_01] [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: 11/23/2022]
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Kunadian V, Wilson N, Stocken D, Ali H, McColl E, Burns G, Howe N, Fisher A, De Soyza A. P666Anti-platelet therapy in the primary prevention of cardiovascular disease in patients with chronic obstructive pulmonary disease: randomised controlled proof of concept trial (APPLE COPD-ICON 2). Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
The APPLE COPD-ICON2 trial is a prospective 2x2 factorial, double blinded proof of concept randomised controlled trial targeting patients with chronic obstructive pulmonary disease (COPD) at high risk of cardiovascular disease. The primary goal was to investigate if antiplatelet therapy (APT) will produce the predefined cut-off of platelet inhibition measured using the Multiplate test. We also assessed inflammatory biomarkers in serum.
Patients were randomised to Aspirin plus placebo, ticagrelor plus placebo, Aspirin plus ticagrelor or placebo only for 6 months. The primary outcome is inhibition of arachidonic acid (ASPI-test, cut-off <40) and adenosine diphosphate (ADP-test, cut-off <46) induced platelet aggregation at 6 months based on intention to treat (ITT) and sensitivity per protocol (PP) analyses. Safety outcomes included rates of major/minor bleeding.
Of 543 patients screened, 120 were recruited (mean age of 67.5 years). The ITT response rate to Aspirin was 48.3% (95% confidence interval [CI] 35.8–61.0%) according to ASPI-test and the response rate to ticagrelor was 41.4% (95% CI 29.3–54.6%) according to ADP-test. The PP ASPI-test response rate to Aspirin was 68.3% (95% CI 52.3–80.9%) and the PP ADP-test response rate to ticagrelor was 68.8% (95% CI 50.4–82.6%). There were no differences between the groups in the changes in Quality of Life using questionnaires (EQ5D 5L, St. George's COPD-C), inflammatory markers, carotid intima media thickness and vascular stiffness from baseline to 6-months. There were 5 type 1 bleeds according to the BARC criteria recorded in this study; 2 in the placebo arm, 2 in the Aspirin arm, and 1 in the ticagrelor arm. The MRC Dyspnoea score, FEV1 and FVC was similar across the groups.
Primary outcome measures Aspirin No Aspirin Ticagrelor No Ticagrelor ITT analysis set* n 60 60 58 62 Baseline No. of responders 1 6 4 1 % (95% CI) 1.7 (0.2, 11.3) 10 (4.5, 20.8) 6.9 (2.6, 17.3) 1.6 (0.2, 10.9) 6 months No. of responders 29 7 24 2 % (95% CI) 48.3 (35.8, 61) 11.7 (5.6, 22.8) 41.4 (29.3, 54.6) 3.2 (0.8, 12.3) PP analysis set** n 41 45 32 54 6 months No. of responders 28 7 22 2 % (95% CI) 68.3 (52.3, 80.9) 15.6 (7.5, 29.6) 68.8 (50.4, 82.6) 3.7 (0.9, 14.0) *Descriptive statistics for the primary outcome of response for the comparative groups at baseline and 6 months for the ITT analysis set and **PP analysis set. Note that response is ASPI response in the Aspirin and No Aspirin columns and ADP response in the ticagrelor and No ticagrelor columns.
Primary outcome measure
Nearly one third of COPD patients did not have a platelet response to antiplatelet therapy with Aspirin and ticagrelor. These findings support the high pro-thrombotic milieu and the need for further research in COPD patients.
Acknowledgement/Funding
Astra Zeneca (Funder reference number ISSBRIL0303)
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Affiliation(s)
- V Kunadian
- Newcastle University, Newcastle upon Tyne, United Kingdom
| | - N Wilson
- Newcastle University, Newcastle upon Tyne, United Kingdom
| | - D Stocken
- Newcastle University, Newcastle upon Tyne, United Kingdom
| | - H Ali
- Newcastle University, Newcastle upon Tyne, United Kingdom
| | - E McColl
- Newcastle University, Newcastle upon Tyne, United Kingdom
| | - G Burns
- Newcastle University, Newcastle upon Tyne, United Kingdom
| | - N Howe
- Newcastle University, Newcastle upon Tyne, United Kingdom
| | - A Fisher
- Newcastle University, Newcastle upon Tyne, United Kingdom
| | - A De Soyza
- Newcastle University, Newcastle upon Tyne, United Kingdom
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Ali H, Al-khalifa A, Aboelsood W, Bareh G, Farouk A. Influence of spray-drying on improving the quality of dried carob juice. Quality Assurance and Safety of Crops & Foods 2019. [DOI: 10.3920/qas2018.1524] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- H. Ali
- Food Science and Nutrition Dept, College of Food Science and Agriculture, King Saud University, Riyadh, Saudi Arabia
- Food Science and Technology Department, National Research Centre, Dokki, Giza, Egypt
| | - A.R. Al-khalifa
- Food Science and Nutrition Dept, College of Food Science and Agriculture, King Saud University, Riyadh, Saudi Arabia
| | - W. Aboelsood
- Food Science and Technology Department, National Research Centre, Dokki, Giza, Egypt
| | - G. Bareh
- Food Science and Technology Department, National Research Centre, Dokki, Giza, Egypt
| | - A. Farouk
- Flavor and Aromatic Chemistry Department, National Research Center, Dokki, Giza, Egypt
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Ali H, Pervaiz M. Depression in adults post burn injury: a descriptive study conducted in the burn centre of a tertiary care hospital in Karachi. Ann Burns Fire Disasters 2019; 32:33-36. [PMID: 31285732 PMCID: PMC6588335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Accepted: 04/03/2019] [Indexed: 06/09/2023]
Abstract
Burns are a major cause of psychological disability in this modern era. Psychological aspects of burn have been studied throughout the world with vast differences in results. Depression is one of the psychological illnesses that affect the individual post burn injury. Our objective was to determine frequency of depression in burn patients, burn-related factors that may contribute to the development of depression and to assess demographic distribution. Ninety-four patients from the Burns Centre, Dow University of Health Sciences & Dr. Ruth KM Pfau Civil Hospital in Karachi were selected according to specific criteria. Duration of study was from September 2017 to February 2018, with 1-40% of burns patients included through non-probability purposive sampling. Data were collected through a questionnaire consisting of consent form, demographic details and burn details. Beck Depression Inventory II was used as a scoring instrument for depression. Standard statistical measures were calculated using SPSS version 22. Out of 94 patients, 58 were male (61.7%) and 36 (38.3%) female. The most common type of burn was thermal, seen in 58 (61.7%) patients. Thirty (31.9%) patients had depression: 15 (16%) had a mild form, eight (8.5%) a moderate form and seven (7.4%) had severe symptoms of depression. Depression in 32% of cases indicates the need for diagnosis in burn-injured patients. Therefore psychiatric rehabilitation is necessary for all cases of burn in order to manage depressive symptoms, whether these symptoms are mild or severe.
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Affiliation(s)
- H. Ali
- Dr. Hyder Ali, Assistant Professor
Department of Plastic & Reconstructive Surgery, Dow University of Health Sciences & Dr Ruth KM Pfau Civil Hospital KarachiPakistan+ 92 300 928 0190
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Yilbas B, Ali H, Al-Sharafi A, Al-Qahtani H. Laser processing of Ti6Al4V alloy: wetting state of surface and environmental dust effects. Heliyon 2019; 5:e01211. [PMID: 30839931 PMCID: PMC6365620 DOI: 10.1016/j.heliyon.2019.e01211] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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: 10/15/2018] [Revised: 12/22/2018] [Accepted: 02/01/2019] [Indexed: 11/19/2022] Open
Abstract
Laser processing of Ti6Al4V alloy surface, via repetitive pulses, is realized incorporating the nitrogen assisting gas. The texture characteristics of the surface and wetting state are analyzed. The free energy of the laser treated surface is estimated. The influence of the dust particles on the treated and untreated surfaces is examined. The solution formed due to water condensate on the dust particles is evaluated. The adhesion of the mud dried solution on the treated and untreated surfaces is assessed through determining the tangential force required for the removal of the solution from the surface. The findings demonstrate that the high power laser repetitive pulse heating results in formation of the hieratically distributed micro/nano pillars on the workpiece surface. The wetting state of the processed surface remains hydrophilic because of the large gap size between the micro/nano pillars. The free energy of the laser textured surface is similar to that obtained for the TiN coated surfaces, which is because of the nitride compounds developed during the processing. The dried liquid solution strongly adheres at the surface and the force needed for removing the dried liquid solution is almost four times of the friction force at the surface. The liquid solution gives rise to locally scattered shallow pit sites on as received surface. This phenomenon does not occur for the laser treated surface, which is related to the passive layer developed on the surface.
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Masannat Y, Husain E, Roylance R, Heys S, Carder P, Ali H, Maurice Y, Pinder S, Sawyer E, Shaaban A. Pleomorphic LCIS what do we know? A UK multicenter audit of pleomorphic lobular carcinoma in situ. Eur J Surg Oncol 2019. [DOI: 10.1016/j.ejso.2018.10.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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McLean K, Glasbey J, Borakati A, Brooks T, Chang H, Choi S, Goodson R, Nielsen M, Pronin S, Salloum N, Sewart E, Vanniasegaram D, Drake T, Gillies M, Harrison E, Chapman S, Khatri C, Kong C, Claireaux H, Bath M, Mohan M, McNamee L, Kelly M, Mitchell H, Fitzgerald J, Bhangu A, Nepogodiev D, Antoniou I, Dean R, Davies N, Trecarten S, Henderson I, Holmes C, Wylie J, Shuttleworth R, Jindal A, Hughes F, Gouda P, Fleck R, Hanrahan M, Karunakaran P, Chen J, Sykes M, Sethi R, Suresh S, Patel P, Patel M, Varma R, Mushtaq J, Gundogan B, Bolton W, Khan T, Burke J, Morley R, Favero N, Adams R, Thirumal V, Kennedy E, Ong K, Tan Y, Gabriel J, Bakhsh A, Low J, Yener A, Paraoan V, Preece R, Tilston T, Cumber E, Dean S, Ross T, McCance E, Amin H, Satterthwaite L, Clement K, Gratton R, Mills E, Chiu S, Hung G, Rafiq N, Hayes J, Robertson K, Dynes K, Huang H, Assadullah S, Duncumb J, Moon R, Poo S, Mehta J, Joshi K, Callan R, Norris J, Chilvers N, Keevil H, Jull P, Mallick S, Elf D, Carr L, Player C, Barton E, Martin A, Ratu S, Roberts E, Phan P, Dyal A, Rogers J, Henson A, Reid N, Burke D, Culleton G, Lynne S, Mansoor S, Brennan C, Blessed R, Holloway C, Hill A, Goldsmith T, Mackin S, Kim S, Woin E, Brent G, Coffin J, Ziff O, Momoh Z, Debenham R, Ahmed M, Yong C, Wan J, Copley H, Raut P, Chaudhry F, Nixon G, Dorman C, Tan R, Kanabar S, Canning N, Dolaghan M, Bell N, McMenamin M, Chhabra A, Duke K, Turner L, Patel T, Chew L, Mirza M, Lunawat S, Oremule B, Ward N, Khan M, Tan E, Maclennan D, McGregor R, Chisholm E, Griffin E, Bell L, Hughes B, Davies J, Haq H, Ahmed H, Ungcharoen N, Whacha C, Thethi R, Markham R, Lee A, Batt E, Bullock N, Francescon C, Davies J, Shafiq N, Zhao J, Vivekanantham S, Barai I, Allen J, Marshall D, McIntyre C, Wilson H, Ashton A, Lek C, Behar N, Davis-Hall M, Seneviratne N, Esteve L, Sirakaya M, Ali S, Pope S, Ahn J, Craig-McQuaide A, Gatfield W, Leong S, Demetri A, Kerr A, Rees C, Loveday J, Liu S, Wijesekera M, Maru D, Attalla M, Smith N, Brown D, Sritharan P, Shah A, Charavanamuttu V, Heppenstall-Harris G, Ng K, Raghvani T, Rajan N, Hulley K, Moody N, Williams M, Cotton A, Sharifpour M, Lwin K, Bright M, Chitnis A, Abdelhadi M, Semana A, Morgan F, Reid R, Dickson J, Anderson L, McMullan R, Ahern N, Asmadi A, Anderson L, Boon Xuan JL, Crozier L, McAleer S, Lees D, Adebayo A, Das M, Amphlett A, Al-Robeye A, Valli A, Khangura J, Winarski A, Ali A, Woodward H, Gouldthrope C, Turner M, Sasapu K, Tonkins M, Wild J, Robinson M, Hardie J, Heminway R, Narramore R, Ramjeeawon N, Hibberd A, Winslow F, Ho W, Chong B, Lim K, Ho S, Crewdson J, Singagireson S, Kalra N, Koumpa F, Jhala H, Soon W, Karia M, Rasiah M, Xylas D, Gilbert H, Sundar-Singh M, Wills J, Akhtar S, Patel S, Hu L, Brathwaite-Shirley C, Nayee H, Amin O, Rangan T, Turner E, McCrann C, Shepherd R, Patel N, Prest-Smith J, Auyoung E, Murtaza A, Coates A, Prys-Jones O, King M, Gaffney S, Dewdney C, Nehikhare I, Lavery J, Bassett J, Davies K, Ahmad K, Collins A, Acres M, Egerton C, Cheng K, Chen X, Chan N, Sheldon A, Khan S, Empey J, Ingram E, Malik A, Johnstone M, Goodier R, Shah J, Giles J, Sanders J, McLure S, Pal S, Rangedara A, Baker A, Asbjoernsen C, Girling C, Gray L, Gauntlett L, Joyner C, Qureshi S, Mogan Y, Ng J, Kumar A, Park J, Tan D, Choo K, Raman K, Buakuma P, Xiao C, Govinden S, Thompson O, Charalambos M, Brown E, Karsan R, Dogra T, Bullman L, Dawson P, Frank A, Abid H, Tung L, Qureshi U, Tahmina A, Matthews B, Harris R, O'Connor A, Mazan K, Iqbal S, Stanger S, Thompson J, Sullivan J, Uppal E, MacAskill A, Bamgbose F, Neophytou C, Carroll A, Rookes C, Datta U, Dhutia A, Rashid S, Ahmed N, Lo T, Bhanderi S, Blore C, Ahmed S, Shaheen H, Abburu S, Majid S, Abbas Z, Talukdar S, Burney L, Patel J, Al-Obaedi O, Roberts A, Mahboob S, Singh B, Sheth S, Karia P, Prabhudesai A, Kow K, Koysombat K, Wang S, Morrison P, Maheswaran Y, Keane P, Copley P, Brewster O, Xu G, Harries P, Wall C, Al-Mousawi A, Bonsu S, Cunha P, Ward T, Paul J, Nadanakumaran K, Tayeh S, Holyoak H, Remedios J, Theodoropoulou K, Luhishi A, Jacob L, Long F, Atayi A, Sarwar S, Parker O, Harvey J, Ross H, Rampal R, Thomas G, Vanmali P, McGowan C, Stein J, Robertson V, Carthew L, Teng V, Fong J, Street A, Thakker C, O'Reilly D, Bravo M, Pizzolato A, Khokhar H, Ryan M, Cheskes L, Carr R, Salih A, Bassiony S, Yuen R, Chrastek D, Rosen O'Sullivan H, Amajuoyi A, Wang A, Sitta O, Wye J, Qamar M, Major C, Kaushal A, Morgan C, Petrarca M, Allot R, Verma K, Dutt S, Chilima C, Peroos S, Kosasih S, Chin H, Ashken L, Pearse R, O'Loughlin R, Menon A, Singh K, Norton J, Sagar R, Jathanna N, Rothwell L, Watson N, Harding F, Dube P, Khalid H, Punjabi N, Sagmeister M, Gill P, Shahid S, Hudson-Phillips S, George D, Ashwood J, Lewis T, Dhar M, Sangal P, Rhema I, Kotecha D, Afzal Z, Syeed J, Prakash E, Jalota P, Herron J, Kimani L, Delport A, Shukla A, Agarwal V, Parthiban S, Thakur H, Cymes W, Rinkoff S, Turnbull J, Hayat M, Darr S, Khan U, Lim J, Higgins A, Lakshmipathy G, Forte B, Canning E, Jaitley A, Lamont J, Toner E, Ghaffar A, McDowell M, Salmon D, O'Carroll O, Khan A, Kelly M, Clesham K, Palmer C, Lyons R, Bell A, Chin R, Waldron R, Trimble A, Cox S, Ashfaq U, Campbell J, Holliday R, McCabe G, Morris F, Priestland R, Vernon O, Ledsam A, Vaughan R, Lim D, Bakewell Z, Hughes R, Koshy R, Jackson H, Narayan P, Cardwell A, Jubainville C, Arif T, Elliott L, Gupta V, Bhaskaran G, Odeleye A, Ahmed F, Shah R, Pickard J, Suleman Y, North A, McClymont L, Hussain N, Ibrahim I, Ng G, Wong V, Lim A, Harris L, Tharmachandirar T, Mittapalli D, Patel V, Lakhani M, Bazeer H, Narwani V, Sandhu K, Wingfield L, Gentry S, Adjei H, Bhatti M, Braganza L, Barnes J, Mistry S, Chillarge G, Stokes S, Cleere J, Wadanamby S, Bucko A, Meek J, Boxall N, Heywood E, Wiltshire J, Toh C, Ward A, Shurovi B, Horth D, Patel B, Ali B, Spencer T, Axelson T, Kretzmer L, Chhina C, Anandarajah C, Fautz T, Horst C, Thevathasan A, Ng J, Hirst F, Brewer C, Logan A, Lockey J, Forrest P, Keelty N, Wood A, Springford L, Avery P, Schulz T, Bemand T, Howells L, Collier H, Khajuria A, Tharakan R, Parsons S, Buchan A, McGalliard R, Mason J, Cundy O, Li N, Redgrave N, Watson R, Pezas T, Dennis Y, Segall E, Hameed M, Lynch A, Chamberlain M, Peck F, Neo Y, Russell G, Elseedawy M, Lee S, Foster N, Soo Y, Puan L, Dennis R, Goradia H, Qureshi A, Osman S, Reeves T, Dinsmore L, Marsden M, Lu Q, Pitts-Tucker T, Dunn C, Walford R, Heathcote E, Martin R, Pericleous A, Brzyska K, Reid K, Williams M, Wetherall N, McAleer E, Thomas D, Kiff R, Milne S, Holmes M, Bartlett J, Lucas de Carvalho J, Bloomfield T, Tongo F, Bremner R, Yong N, Atraszkiewicz B, Mehdi A, Tahir M, Sherliker G, Tear A, Pandey A, Broyd A, Omer H, Raphael M, Chaudhry W, Shahidi S, Jawad A, Gill C, Fisher IH, Adeleja I, Clark I, Aidoo-Micah G, Stather P, Salam G, Glover T, Deas G, Sim N, Obute R, Wynell-Mayow W, Sait M, Mitha N, de Bernier G, Siddiqui M, Shaunak R, Wali A, Cuthbert G, Bhudia R, Webb E, Shah S, Ansari N, Perera M, Kelly N, McAllister R, Stanley G, Keane C, Shatkar V, Maxwell-Armstrong C, Henderson L, Maple N, Manson R, Adams R, Semple E, Mills M, Daoub A, Marsh A, Ramnarine A, Hartley J, Malaj M, Jewell P, Whatling E, Hitchen N, Chen M, Goh B, Fern J, Rogers S, Derbyshire L, Robertson D, Abuhussein N, Deekonda P, Abid A, Harrison P, Aildasani L, Turley H, Sherif M, Pandey G, Filby J, Johnston A, Burke E, Mohamud M, Gohil K, Tsui A, Singh R, Lim S, O'Sullivan K, McKelvey L, O'Neill S, Roberts H, Brown F, Cao Y, Buckle R, Liew Y, Sii S, Ventre C, Graham C, Filipescu T, Yousif A, Dawar R, Wright A, Peters M, Varley R, Owczarek S, Hartley S, Khattak M, Iqbal A, Ali M, Durrani B, Narang Y, Bethell G, Horne L, Pinto R, Nicholls K, Kisyov I, Torrance H, English W, Lakhani S, Ashraf S, Venn M, Elangovan V, Kazmi Z, Brecher J, Sukumar S, Mastan A, Mortimer A, Parker J, Boyle J, Elkawafi M, Beckett J, Mohite A, Narain A, Mazumdar E, Sreh A, Hague A, Weinberg D, Fletcher L, Steel M, Shufflebotham H, Masood M, Sinha Y, Jenvey C, Kitt H, Slade R, Craig A, Deall C, Reakes T, Chervenkoff J, Strange E, O'Bryan M, Murkin C, Joshi D, Bergara T, Naqib S, Wylam D, Scotcher S, Hewitt C, Stoddart M, Kerai A, Trist A, Cole S, Knight C, Stevens S, Cooper G, Ingham R, Dobson J, O'Kane A, Moradzadeh J, Duffy A, Henderson C, Ashraf S, McLaughin C, Hoskins T, Reehal R, Bookless L, McLean R, Stone E, Wright E, Abdikadir H, Roberts C, Spence O, Srikantharajah M, Ruiz E, Matthews J, Gardner E, Hester E, Naran P, Simpson R, Minhas M, Cornish E, Semnani S, Rojoa D, Radotra A, Eraifej J, Eparh K, Smith D, Mistry B, Hickling S, Din W, Liu C, Mithrakumar P, Mirdavoudi V, Rashid M, Mcgenity C, Hussain O, Kadicheeni M, Gardner H, Anim-Addo N, Pearce J, Aslanyan A, Ntala C, Sorah T, Parkin J, Alizadeh M, White A, Edozie F, Johnston J, Kahar A, Navayogaarajah V, Patel B, Carter D, Khonsari P, Burgess A, Kong C, Ponweera A, Cody A, Tan Y, Ng A, Croall A, Allan C, Ng S, Raghuvir V, Telfer R, Greenhalgh A, McKerr C, Edison M, Patel B, Dear K, Hardy M, Williams P, Hassan S, Sajjad U, O'Neill E, Lopes S, Healy L, Jamal N, Tan S, Lazenby D, Husnoo S, Beecroft S, Sarvanandan T, Weston C, Bassam N, Rabinthiran S, Hayat U, Ng L, Varma D, Sukkari M, Mian A, Omar A, Kim J, Sellathurai J, Mahmood J, O'Connell C, Bose R, Heneghan H, Lalor P, Matheson J, Doherty C, Cullen C, Cooper D, Angelov S, Drislane C, Smith A, Kreibich A, Palkhi E, Durr A, Lotfallah A, Gold D, Mckean E, Dhanji A, Anilkumar A, Thacoor A, Siddiqui Z, Lim S, Piquet A, Anderson S, McCormack D, Gulati J, Ibrahim A, Murray S, Walsh S, McGrath A, Ziprin P, Chua E, Lou C, Bloomer J, Paine H, Osei-Kuffour D, White C, Szczap A, Gokani S, Patel K, Malys M, Reed A, Torlot G, Cumber E, Charania A, Ahmad S, Varma N, Cheema H, Austreng L, Petra H, Chaudhary M, Zegeye M, Cheung F, Coffey D, Heer R, Singh S, Seager E, Cumming S, Suresh R, Verma S, Ptacek I, Gwozdz A, Yang T, Khetarpal A, Shumon S, Fung T, Leung W, Kwang P, Chew L, Loke W, Curran A, Chan C, McGarrigle C, Mohan K, Cullen S, Wong E, Toale C, Collins D, Keane N, Traynor B, Shanahan D, Yan A, Jafree D, Topham C, Mitrasinovic S, Omara S, Bingham G, Lykoudis P, Miranda B, Whitehurst K, Kumaran G, Devabalan Y, Aziz H, Shoa M, Dindyal S, Yates J, Bernstein I, Rattan G, Coulson R, Stezaker S, Isaac A, Salem M, McBride A, McFarlane H, Yow L, MacDonald J, Bartlett R, Turaga S, White U, Liew W, Yim N, Ang A, Simpson A, McAuley D, Craig E, Murphy L, Shepherd P, Kee J, Abdulmajid A, Chung A, Warwick H, Livesey A, Holton P, Theodoreson M, Jenkin S, Turner J, Entwisle J, Marchal S, O'Connor S, Blege H, Aithie J, Sabine L, Stewart G, Jackson S, Kishore A, Lankage C, Acquaah F, Joyce H, McKevitt K, Coffey C, Fawaz A, Dolbec K, O'Sullivan D, Geraghty J, Lim E, Bolton L, FitzPatrick D, Robinson C, Ramtoola T, Collinson S, Grundy L, McEnhill P, Harbhajan Singh G, Loughran D, Golding D, Keeling R, Williams R, Whitham R, Yoganathan S, Nachiappan R, Egan R, Owasil R, Kwan M, He A, Goh R, Bhome R, Wilson H, Teoh P, Raji K, Jayakody N, Matthams J, Chong J, Luk C, Greig R, Trail M, Charalambous G, Rocke A, Gardiner N, Bulley F, Warren N, Brennan E, Fergurson P, Wilson R, Whittingham H, Brown E, Khanijau R, Gandhi K, Morris S, Boulton A, Chandan N, Barthorpe A, Maamari R, Sandhu S, McCann M, Higgs L, Balian V, Reeder C, Diaper C, Sale T, Ali H, Archer C, Clarke A, Heskin J, Hurst P, Farmer J, O'Flynn L, Doan L, Shuker B, Stott G, Vithanage N, Hoban K, Nesargikar P, Kennedy H, Grossart C, Tan E, Roy C, Sim P, Leslie K, Sim D, Abul M, Cody N, Tay A, Woon E, Sng S, Mah J, Robson J, Shakweh E, Wing V, Mills H, Li M, Barrow T, Balaji S, Jordan H, Phillips C, Naveed H, Hirani S, Tai A, Ratnakumaran R, Sahathevan A, Shafi A, Seedat M, Weaver R, Batho A, Punj R, Selvachandran H, Bhatt N, Botchey S, Khonat Z, Brennan K, Morrison C, Devlin E, Linton A, Galloway E, McGarvie S, Ramsay N, McRobbie H, Whewell H, Dean W, Nelaj S, Eragat M, Mishra A, Kane T, Zuhair M, Wells M, Wilkinson D, Woodcock N, Sun E, Aziz N, Ghaffar MKA. Critical care usage after major gastrointestinal and liver surgery: a prospective, multicentre observational study. Br J Anaesth 2019; 122:42-50. [PMID: 30579405 DOI: 10.1016/j.bja.2018.07.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Revised: 07/19/2018] [Accepted: 07/23/2018] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Patient selection for critical care admission must balance patient safety with optimal resource allocation. This study aimed to determine the relationship between critical care admission, and postoperative mortality after abdominal surgery. METHODS This prespecified secondary analysis of a multicentre, prospective, observational study included consecutive patients enrolled in the DISCOVER study from UK and Republic of Ireland undergoing major gastrointestinal and liver surgery between October and December 2014. The primary outcome was 30-day mortality. Multivariate logistic regression was used to explore associations between critical care admission (planned and unplanned) and mortality, and inter-centre variation in critical care admission after emergency laparotomy. RESULTS Of 4529 patients included, 37.8% (n=1713) underwent planned critical care admissions from theatre. Some 3.1% (n=86/2816) admitted to ward-level care subsequently underwent unplanned critical care admission. Overall 30-day mortality was 2.9% (n=133/4519), and the risk-adjusted association between 30-day mortality and critical care admission was higher in unplanned [odds ratio (OR): 8.65, 95% confidence interval (CI): 3.51-19.97) than planned admissions (OR: 2.32, 95% CI: 1.43-3.85). Some 26.7% of patients (n=1210/4529) underwent emergency laparotomies. After adjustment, 49.3% (95% CI: 46.8-51.9%, P<0.001) were predicted to have planned critical care admissions, with 7% (n=10/145) of centres outside the 95% CI. CONCLUSIONS After risk adjustment, no 30-day survival benefit was identified for either planned or unplanned postoperative admissions to critical care within this cohort. This likely represents appropriate admission of the highest-risk patients. Planned admissions in selected, intermediate-risk patients may present a strategy to mitigate the risk of unplanned admission. Substantial inter-centre variation exists in planned critical care admissions after emergency laparotomies.
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Garcia-Doval I, Descalzo M, Mason K, Cohen A, Ormerod A, Gómez-García F, Cazzaniga S, Feldhamer I, Ali H, Herrera-Acosta E, Griffiths C, Stern R, Naldi L. Biological therapy for psoriasis and risk of cancer. Br J Dermatol 2018. [DOI: 10.1111/bjd.17166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Garcia-Doval I, Descalzo M, Mason K, Cohen A, Ormerod A, Gómez-García F, Cazzaniga S, Feldhamer I, Ali H, Herrera-Acosta E, Griffiths C, Stern R, Naldi L. 银屑病的生物治疗和癌症风险. Br J Dermatol 2018. [DOI: 10.1111/bjd.17177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Garcia-Doval I, Descalzo MA, Mason KJ, Cohen AD, Ormerod AD, Gómez-García FJ, Cazzaniga S, Feldhamer I, Ali H, Herrera-Acosta E, Griffiths CEM, Stern RS, Naldi L. Cumulative exposure to biological therapy and risk of cancer in patients with psoriasis: a meta-analysis of Psonet studies from Israel, Italy, Spain, the U.K. and Republic of Ireland. Br J Dermatol 2018; 179:863-871. [PMID: 29723914 DOI: 10.1111/bjd.16715] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2018] [Indexed: 12/15/2022]
Abstract
BACKGROUND Cancer risk following long-term exposure to systemic immunomodulatory therapies in patients with psoriasis is possible. OBJECTIVES To assess a dose-response relationship between cumulative length of exposure to biological therapy and risk of cancer. METHODS Four national studies (a healthcare database from Israel, and prospective cohorts form Italy, Spain and the U.K. and Republic of Ireland) collaborating through Psonet (European Registry of Psoriasis) participated in these nested case-control studies, including nearly 60 000 person-years of observation. 'Cases' were patients who developed an incident cancer. Patients with previous cancers and benign or in situ tumours were excluded. Four cancer-free controls were matched to each case on year of birth, sex, geographic area and registration year. Follow-up for controls was censored at the date of cancer diagnosis for the matched case. Conditional logistic regression was performed by each registry. Results were pooled using random-effects meta-analysis. RESULTS A total of 728 cases and 2671 controls were identified. After matching, differences between cases and controls were present for the Charlson Comorbidity Index in all three registries, and in the prevalence of previous exposure to psoralen-ultraviolet A and smoking (the British Association of Dermatologists Biologic Interventions Register only). The risk of first cancers was not significantly associated with cumulative exposure to biologics (adjusted odds ratio per year of exposure 1·02, 95% confidence interval 0·92-1·13). Results were similar if squamous and basal cell carcinomas were included in the outcome. CONCLUSIONS Cumulative length of exposure to biological therapies in patients with psoriasis in real-world clinical practice does not appear to be linked to a higher risk of cancer after several years of use.
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Affiliation(s)
- I Garcia-Doval
- Research Unit, Fundación Piel Sana Academia Española de Dermatología y Venereología, Madrid, Spain.,Department of Dermatology, Complexo Hospitalario Universitario de Vigo (CHUVI), Vigo, Spain
| | - M A Descalzo
- Research Unit, Fundación Piel Sana Academia Española de Dermatología y Venereología, Madrid, Spain
| | - K J Mason
- Centre for Dermatology Research, Division of Musculoskeletal and Dermatological Sciences, The University of Manchester, Manchester Academic Health Science Centre, Manchester, U.K
| | - A D Cohen
- Department of Quality Measures and Research, Chief Physician Office, Clalit Health Services, Tel Aviv, Israel.,Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - A D Ormerod
- Division of Applied Medicine, Aberdeen University, Aberdeen, U.K
| | - F J Gómez-García
- Department of Dermatology, Hospital Universitario Reina Sofía, Córdoba, Spain
| | - S Cazzaniga
- Centro Studi GISED, Fondazione per la Ricerca, Ospedale Maggiore, Bergamo, Italy
| | - I Feldhamer
- Department of Quality Measures and Research, Chief Physician Office, Clalit Health Services, Tel Aviv, Israel.,Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - H Ali
- Centre for Dermatology Research, Division of Musculoskeletal and Dermatological Sciences, The University of Manchester, Manchester Academic Health Science Centre, Manchester, U.K
| | - E Herrera-Acosta
- Department of Dermatology, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - C E M Griffiths
- Centre for Dermatology Research, Division of Musculoskeletal and Dermatological Sciences, The University of Manchester, Manchester Academic Health Science Centre, Manchester, U.K.,Dermatology Centre, Salford Royal NHS Foundation Trust, Salford, U.K
| | - R S Stern
- Department of Dermatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, U.S.A
| | - L Naldi
- Centro Studi GISED, Fondazione per la Ricerca, Ospedale Maggiore, Bergamo, Italy.,Department of Dermatology, AULSS8, Ospedale San Bortolo, Vicenza, Italy
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