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Lau W, Chisholm K, Gallagher M, Felmingham K, Murray K, Pearce A, Doyle N, Alexander S, O'Brien H, Putica A, Khatri J, Bockelmann P, Hosseiny F, Librado A, Notarianni M, O'Donnell M. Comparing the unified protocol for transdiagnostic treatment of emotional disorders to prolonged exposure for the treatment of PTSD: Design of a non-inferiority randomized controlled trial. Contemp Clin Trials Commun 2023; 33:101134. [PMID: 37228903 PMCID: PMC10205430 DOI: 10.1016/j.conctc.2023.101134] [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: 01/19/2023] [Revised: 03/21/2023] [Accepted: 04/10/2023] [Indexed: 05/27/2023] Open
Abstract
Background Prolonged Exposure (PE), a trauma-focused therapy, is one of the most efficacious treatments available for PTSD. However, many people with PTSD do not lose their diagnosis following delivery of PE. The Unified Protocol (UP) for Transdiagnostic Treatment of Emotional Disorders is a non-trauma focused treatment that may offer an alternative treatment for PTSD. Methods This paper describes the study protocol for IMPACT, an assessor-blinded randomized controlled trial that examines the non-inferiority of UP relative to PE for participants who meet DSM-5 criteria for current PTSD. One hundred and twenty adult participants with PTSD will be randomized to receive either 10 × 90-min sessions of UP or PE with a trained provider. The primary outcome is severity of PTSD symptoms assessed by the Clinician Administered PTSD Scale for DSM-5 (CAPS-5) at post-treatment. Discussion While evidence-based treatments are available for PTSD, high levels of treatment dropout and non-response require new approaches to be tested. The UP is based on emotion regulation theory and is effective in treating anxiety and depressive disorders, however, there has been limited application to PTSD. This is the first rigorous study comparing UP to PE in a non-inferiority randomized controlled trial and may help improve clinical outcomes for those with PTSD. Trial registration This trial was prospectively registered with the Australian New Zealand Clinical Trials Registry, Trial ID (ACTRN12619000543189).
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Affiliation(s)
- W. Lau
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - K. Chisholm
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - M.W. Gallagher
- Department of Psychology, The University of Houston, TX, USA
| | - K. Felmingham
- Melbourne School of Psychological Sciences, The University of Melbourne, Victoria, Australia
| | - K. Murray
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - A. Pearce
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - N. Doyle
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - S. Alexander
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - H. O'Brien
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - A. Putica
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - J. Khatri
- Canberra Health Services, Australian Capital Territory Government, Canberra, Australia
| | - P. Bockelmann
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - F. Hosseiny
- Atlas Institute for Veterans and Families, Ottawa, Canada
- University of Ottawa Institute of Mental Health Research at The Royal, Canada
| | - A. Librado
- Atlas Institute for Veterans and Families, Ottawa, Canada
| | - M. Notarianni
- Atlas Institute for Veterans and Families, Ottawa, Canada
- University of Ottawa Institute of Mental Health Research at The Royal, Canada
| | - M.L. O'Donnell
- Phoenix Australia – Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Victoria, Australia
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Patounas M, Lau ET, Chan V, Rigby D, Kyle GJ, Khatri J, Poudel A, Nissen LM. Home medicines reviews: a national survey of Australian accredited pharmacists' health service time investment. Pharm Pract (Granada) 2021; 19:2376. [PMID: 34457093 PMCID: PMC8370188 DOI: 10.18549/pharmpract.2021.3.2376] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 07/25/2021] [Indexed: 11/14/2022] Open
Abstract
Background In Australia, polypharmacy and medication-related problems are prevalent in the community. Therefore, medicines safety initiatives such as the Home Medicines Review (HMR) service are critical to health care provision. While the evidence continues to expand around HMR service, little is known of accredited pharmacists' experiences of HMR time investment. Objective This study aimed to explore accredited pharmacists' experiences of HMR practice regarding time investment in the study's defined HMR Stages: 1 (initial paper-based assessment and review), 2 (in-home patient-accredited pharmacist consultation), and 3 (HMR report collation, generation, completion, and provision to the patient's General Practitioner, including any liaison time). Methods An electronic survey was developed and piloted by a panel of reviewers. Convenience sampling was used to distribute the final anonymous survey nationally via professional pharmacy organisations. Data were analyzed for frequency distributions and a chi-square test of independence was performed to evaluate any association between demographic variables relating to HMR time investment. Results There was a total of 255 survey respondents, representing approximately 10% of national accredited pharmacist membership. The majority were experienced accredited pharmacists who had completed >100 HMRs (73%), were female (71%), and aged >40 years (60%). Regarding time investment for a typical instance of HMR, most spent: <30 minutes performing Stage 1 (46.7%), and 30-60 minutes performing Stage 2 (70.2%). In Stage 3, 40.0% invested 1-2 hours, and 27.1% invested 2-3 hours in HMR report collation and completion. Quantitative analysis revealed statistically significant (p=0.03) gender findings where females performed longer patient consultations than males (Stage 2). More HMR career experience resulted in statistically significant (p=0.01) less time performing Stage 1 (initial paper-based assessment and review); with a trend to less time performing Stage 3 (HMR report writing). Conclusions Accredited pharmacists invest significant time in performing comprehensive HMRs, especially during in-home patient consultations and during HMR report collation and completion. Their significant HMR time investment as medicines experts provides insight for program and workforce considerations and warrants further research to better understand their work processes for optimizing medicines use and improving health.
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Affiliation(s)
- Marea Patounas
- PhD, BPharm, MPS, AACPA, SFHEA. Lecturer, Faculty of Health, School of Clinical Sciences, Queensland University of Technology (QUT). Brisbane (Australia).
| | - Esther T Lau
- PhD, BPharm, MPS, GCResComm, GradCertAcadPrac, SFHEA. Senior Lecturer. Faculty of Health, School of Clinical Sciences, Queensland University of Technology (QUT). Brisbane (Australia).
| | - Vincent Chan
- PhD, BPharm, MPH, MPS. Senior Lecturer. School of Health and Biomedical Sciences, RMIT University. Melbourne (Australia).
| | - Deborah Rigby
- BPharm, GradDipClinPharm, AdvPracPharm, FPS, FSHP, FACP, FASCP, FAICD. Clinical Associate Professor. Faculty of Health, School of Clinical Sciences, Queensland University of Technology (QUT). Brisbane (Australia).
| | - Gregory J Kyle
- PhD, BPharm, MClinPharm, MPS. Faculty of Health, School of Clinical Sciences , Queensland University of Technology (QUT). Brisbane (Australia).
| | - Jyoti Khatri
- MPH, BPharm. Faculty of Health, School of Clinical Sciences, Queensland University of Technology (QUT). Brisbane (Australia).
| | - Arjun Poudel
- PhD, BPharm, MSPharm. Faculty of Health, School of Clinical Sciences , Queensland University of Technology (QUT). Brisbane (Australia).
| | - Lisa M Nissen
- PhD, BPharm, AdvPracPharm, FPS, FHKAPh, FSHP. Professor and Head of School, Faculty of Health, School of Clinical Sciences, Queensland University of Technology (QUT). Brisbane (Australia).
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Khatri J, Al-Fatesh AS, Fakeeha AH, Ibrahim AA, Abasaeed AE, Kasim SO, Osman AI, Patel R, Kumar R. Ce promoted lanthana-zirconia supported Ni catalyst system: A ternary redox system for hydrogen production. Molecular Catalysis 2021. [DOI: 10.1016/j.mcat.2021.111498] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Al-Fatesh AS, Kumar R, Fakeeha AH, Kasim SO, Khatri J, Ibrahim AA, Arasheed R, Alabdulsalam M, Lanre MS, Osman AI, Abasaeed AE, Bagabas A. Promotional effect of magnesium oxide for a stable nickel-based catalyst in dry reforming of methane. Sci Rep 2020; 10:13861. [PMID: 32807834 PMCID: PMC7431551 DOI: 10.1038/s41598-020-70930-1] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 08/04/2020] [Indexed: 11/26/2022] Open
Abstract
The generation of synthesis gas (hydrogen and carbon monoxide mixture) from two global warming gases of carbon dioxide and methane via dry reforming is environmentally crucial and for the chemical industry as well. Herein, magnesium-promoted NiO supported on mesoporous zirconia, 5Ni/xMg–ZrO2 (x = 0, 3, 5, 7 wt%) were prepared by wet impregnation method and then were tested for syngas production via dry reforming of methane. The reaction temperature at 800 °C was found more catalytically active than that at 700 °C due to the endothermic feature of reaction which promotes efficient CH4 catalytic decomposition over Ni and Ni–Zr interface as confirmed by CH4–TSPR experiment. NiO–MgO solid solution interacted with ZrO2 support was found crucial and the reason for high CH4 and CO2 conversions. The highest catalyst stability of the 5Ni/3Mg–ZrO2 catalyst was explained by the ability of CO2 to partially oxidize the carbon deposit over the surface of the catalyst. A mole ratio of hydrogen to carbon monoxide near unity (H2/CO ~ 1) was obtained over 5Ni/ZrO2 and 5Ni/5Mg–ZrO2, implying the important role of basic sites. Our approach opens doors for designing cheap and stable dry reforming catalysts from two potent greenhouse gases which could be of great interest for many industrial applications, including syngas production and other value-added chemicals.
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Affiliation(s)
- Ahmed S Al-Fatesh
- Chemical Engineering Department, College of Engineering, King Saud University, P.O. Box 800, Riyadh, 11421, Saudi Arabia.
| | - Rawesh Kumar
- Sankalchand Patel University, Visnagar, Gujarat, 384315, India
| | - Anis H Fakeeha
- Chemical Engineering Department, College of Engineering, King Saud University, P.O. Box 800, Riyadh, 11421, Saudi Arabia
| | - Samsudeen O Kasim
- Chemical Engineering Department, College of Engineering, King Saud University, P.O. Box 800, Riyadh, 11421, Saudi Arabia
| | - Jyoti Khatri
- Sankalchand Patel University, Visnagar, Gujarat, 384315, India
| | - Ahmed A Ibrahim
- Chemical Engineering Department, College of Engineering, King Saud University, P.O. Box 800, Riyadh, 11421, Saudi Arabia
| | - Rasheed Arasheed
- National Petrochemical Technology Center (NPTC), Materials Science Research Institute (MSRI), King Abdulaziz City for Science and Technology, P.O. Box 6086, Riyadh, 11442, Saudi Arabia
| | - Muhamad Alabdulsalam
- National Petrochemical Technology Center (NPTC), Materials Science Research Institute (MSRI), King Abdulaziz City for Science and Technology, P.O. Box 6086, Riyadh, 11442, Saudi Arabia
| | - Mahmud S Lanre
- Chemical Engineering Department, College of Engineering, King Saud University, P.O. Box 800, Riyadh, 11421, Saudi Arabia
| | - Ahmed I Osman
- School of Chemistry and Chemical Engineering, Queen's University Belfast, Belfast, BT9 5AG, Northern Ireland, UK.
| | - Ahmed E Abasaeed
- Chemical Engineering Department, College of Engineering, King Saud University, P.O. Box 800, Riyadh, 11421, Saudi Arabia
| | - Abdulaziz Bagabas
- National Petrochemical Technology Center (NPTC), Materials Science Research Institute (MSRI), King Abdulaziz City for Science and Technology, P.O. Box 6086, Riyadh, 11442, Saudi Arabia
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Phulwani N, Khatri J, Ramakrishnaiah R, Shah C. Posterior reversible encephalopathy syndrome in a child with Guillian-Barré syndrome. J Pediatr Neuroradiol 2015. [DOI: 10.3233/pnr-2012-021] [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: 11/15/2022]
Affiliation(s)
- Nirmal Phulwani
- Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Jyoti Khatri
- Department of Internal Medicine, Conway Regional Medical Center, Little Rock, AR, USA
| | - Raghu Ramakrishnaiah
- Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Chetan Shah
- Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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Khatri J, Qassim S, Abed O, Abraham B, Al-Lami A, Masood S. A novel extractionless hplc fluorescence method for the determination of glyburide in the human plasma: application to a bioequivalence study. J Pharm Pharm Sci 2001; 4:201-6. [PMID: 11466177] [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: 02/20/2023]
Abstract
PURPOSE To develop a simple, sensitive and rapid HPLC fluorescence method with single step sample preparation for the determination of glyburide in the human plasma. METHODS Glyburide and ketoconazole (internal standard) were extracted from the 0.5 mL plasma by addition of 0.5 mL acetonitrile and 50 microL CuSO(4) solution (5% w/v in water). The separation was achieved on the Kingsorb 3 microm, C8 reverse phase column at ambient temperature with a mobile phase consisted of 45% buffer solution (0.05 M NH(4)H(2)P(4)), 40% acetonitrile and 15% methanol adjusted to pH 5.7 by diluted ammonia solution. A fluorescence detector was set at 235 nm excitation wavelength and 354 nm emission wavelengths to monitor eluted components. RESULTS The internal standard and glyburide eluted at about 6.7 and 9.6 min, respectively at the flow rate of 1 mL/min. The regression equation was established for every calibration curves (5 ng/mL to 400 ng/mL), which resulted in the correlation coefficient of 0.99 or greater. The absolute recovery ranged from 94.32 to 98.12% and the relative recovery ranged from 91.12 to 97.15%. The intraday coefficient of variation (CV) ranged from of 6.52 to 12.35% and interday varied from 6.21 to 16.07%. The limit of quantitation (LOQ) of glyburide was set to five ng/mL. CONCLUSION This simple, rapid and sensitive method is suitable for pharmacokinetic, bioavailability and biequivalence studies.
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Affiliation(s)
- J Khatri
- Tabuk Pharmaceutical Manufacturing Co., Tabuk, Kingdom of Saudi Arabia.
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Hutt PJ, Donaldson MH, Khatri J, Fairbanks VF, Hoyer JD, Thibodeau SN, Moxness MS, McMorrow LE, Green MM, Jones RT. Hemoglobin S/hemoglobin Osler: a case with 3 beta globin chains. DNA sequence (AAT) proves that Hb Osler is beta 145 Tyr-->Asn. Am J Hematol 1996; 52:305-9. [PMID: 8701949 DOI: 10.1002/(sici)1096-8652(199608)52:4<305::aid-ajh10>3.0.co;2-c] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
A 13-year-old African-American female with erythrocytosis and three different beta globins on electrophoresis beta A, beta S, and beta Osler, raised the possibility that one chromosome 11 might contain a duplicated beta globin gene, since there are normally only 2 beta globin genes. DNA sequence analysis showed GTG at codon 6 in exon 1, corresponding to Hb S and AAT at codon 145 in exon 3, indicating a substitution of Asn for Tyr. Thus, Hb Osler undergoes spontaneous post-translational deamidation, beta 145 Asn-->beta 145 Asp. Unmodified Hb Osler (Asn) co-migrates with Hb A on electrophoresis and co-elutes with Hb A on HPLC; therefore it has not been identified previously. All previous studies have incorrectly identified the mutation as being beta 145 (HC 2) Tyr-->Asp.
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Affiliation(s)
- P J Hutt
- Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55905, USA
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