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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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Khan MT, Mehmood S, Asad T, Azhar M, Arslan M, Raziq F, Liaqat S, Raja IH, Gondal MA, Rauf M, Nazir S, Faran G, Nisa Q, Abbasi F, Farooq Z, Iqbal ZM, Qumar M, Wadood F, Abbas G, Bughio E, Magsi AS, Younas U, Arshad MA. Assessing effect of feeding poultry byproducts compost on organoleptic characteristics and compositional profile of meat of broiler chickens. BRAZ J BIOL 2023; 83:e275633. [PMID: 37937630 DOI: 10.1590/1519-6984.275633] [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: 06/16/2023] [Accepted: 08/07/2023] [Indexed: 11/09/2023] Open
Abstract
Large amounts of waste, including dead birds, manure, and poultry litter, are produced by the poultry industry. Poultry waste should be disposed of properly to avoid major pollution and health risks. Composting litter and dead birds could be an option to recycle the waste and use in poultry feed. A study was conducted to investigate the effects of feeding composted poultry waste on the organoleptic qualities and compositional profile of the meat of broiler chickens. A total of 300 day-old broiler chicks (500-Cobb) were randomly allocated to five treatment groups replicated six times with 10 birds each, under a completely randomized design (CRD). Five iso-caloric and iso-nitrogenous diets including composted poultry byproducts at concentrations of 0, 2.5, 5, 7.5, and 10% were fed ad libitum to the birds from day 0 to day 35. The sensory grading and meat composition profile of 500 Cobb broiler chickens were tested at 35 days of age. The findings showed that there were no variations in the sensory profiles of the meat from birds given various diets (P>0.05). Although the results were somewhat lower for the chicks fed compost-containing diets than for the control group, this difference was deemed to be insignificant (P>0.05). Similarly, there were no variations in the compositional profile values of the meat between meat from birds fed various diets (P>0.05). These findings imply that broiler chickens may be raised on diets containing up to 10% poultry byproduct compost without any negative impacts on the meat's sensory quality or composition. Additionally, using compost into broiler diets may help to lower the cost of feed.
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Affiliation(s)
- M T Khan
- Cholistan University of Veterinary and Animal Sciences, Department of Poultry Science, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - S Mehmood
- University of Veterinary and Animal Sciences, Department of Poultry Production, Faculty of Animal Production and Technology, Lahore, Pakistan
| | - T Asad
- Cholistan University of Veterinary and Animal Sciences, Department of Poultry Science, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - M Azhar
- Cholistan University of Veterinary and Animal Sciences, Department of Poultry Science, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - M Arslan
- Cholistan University of Veterinary and Animal Sciences, Department of Poultry Science, Faculty of Animal Production and Technology, 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
| | - I H Raja
- Cholistan University of Veterinary and Animal Sciences, Department of Animal Nutrition, Faculty of Animal Production and Technology, 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, Department of Biochemistry, Institute of Biochemistry, Biotechnology and Bioinformatics, Bahawalpur, Pakistan
| | - Q Nisa
- University of Veterinary and Animal Sciences, Department of Pathology, Lahore, Pakistan
| | - F Abbasi
- The Islamia University of Bahawalpur, Faculty of Chemical and Biological Sciences, Department of Zoology, Bahawalpur, Pakistan
| | - Z Farooq
- Cholistan University of Veterinary and Animal Sciences, Faculty of Biosciences, Department of Zoology, 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, Department of Animal Nutrition, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
| | - F Wadood
- Cholistan University of Veterinary and Animal Sciences, Faculty of Veterinary Science, Department of Theriogenology, Bahawalpur, Pakistan
| | - 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, Department of Poultry Science, Faculty of Animal Production and Technology, Bahawalpur, Pakistan
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Albayat SS, Arshad S, Arshad MA, Jabbar A, Ullah I. Precautionary measures for more transmissible C.1.2 COVID-19 variant: A caution for Qatar and the rest of the world. J Med Virol 2021; 94:842-843. [PMID: 34750819 PMCID: PMC8661716 DOI: 10.1002/jmv.27438] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Revised: 11/04/2021] [Accepted: 11/05/2021] [Indexed: 11/17/2022]
Affiliation(s)
- Soha S Albayat
- Public Health Department, Ministry of Public Health, Doha, Qatar
| | - Sohaib Arshad
- Periodontics Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
| | | | - Abdul Jabbar
- Department of Clinical Medicine, Faculty of Veterinary Science, University of Veterinary and Animal Sciences, Lahore, Punjab, Pakistan
| | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Pakistan
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Arshad MA, Hassan FU, Rehman MS, Huws SA, Cheng Y, Din AU. Gut microbiome colonization and development in neonatal ruminants: Strategies, prospects, and opportunities. Anim Nutr 2021; 7:883-895. [PMID: 34632119 PMCID: PMC8484983 DOI: 10.1016/j.aninu.2021.03.004] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Revised: 01/23/2021] [Accepted: 03/23/2021] [Indexed: 02/08/2023]
Abstract
Colonization and development of the gut microbiome is a crucial consideration for optimizing the health and performance of livestock animals. This is mainly attributed to the fact that dietary and management practices greatly influence the gut microbiota, subsequently leading to changes in nutrient utilization and immune response. A favorable microbiome can be implanted through dietary or management interventions of livestock animals, especially during early life. In this review, we explore all the possible factors (for example gestation, colostrum, and milk feeding, drinking water, starter feed, inoculation from healthy animals, prebiotics/probiotics, weaning time, essential oil and transgenesis), which can influence rumen microbiome colonization and development. We discuss the advantages and disadvantages of potential strategies used to manipulate gut development and microbial colonization to improve the production and health of newborn calves at an early age when they are most susceptible to enteric disease. Moreover, we provide insights into possible interventions and their potential effects on rumen development and microbiota establishment. Prospects of latest techniques like transgenesis and host genetics have also been discussed regarding their potential role in modulation of rumen microbiome and subsequent effects on gut development and performance in neonatal ruminants.
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Affiliation(s)
- Muhammad A Arshad
- Institute of Animal and Dairy Sciences, Faculty of Animal Husbandry, University of Agriculture, Faisalabad, 38040, Pakistan
- Laboratory of Gastrointestinal Microbiology, National Center for International Research on Animal Gut Nutrition, Nanjing Agricultural University, Nanjing, 210095, China
| | - Faiz-Ul Hassan
- Institute of Animal and Dairy Sciences, Faculty of Animal Husbandry, University of Agriculture, Faisalabad, 38040, Pakistan
- Key Laboratory of Buffalo Genetics, Breeding and Reproduction Technology, Ministry of Agriculture and Guangxi Buffalo Research Institute, Chinese Academy of Agricultural Sciences, Nanning, 530001, China
| | - Muhammad S Rehman
- Institute of Animal and Dairy Sciences, Faculty of Animal Husbandry, University of Agriculture, Faisalabad, 38040, Pakistan
| | - Sharon A Huws
- School of Biological Sciences, Institute for Global Food Security, Queen's University of Belfast, Belfast, BT9 5DL, GB-NIR, UK
| | - Yanfen Cheng
- Laboratory of Gastrointestinal Microbiology, National Center for International Research on Animal Gut Nutrition, Nanjing Agricultural University, Nanjing, 210095, China
| | - Ahmad U Din
- Drug Discovery Research Center, Southwest Medical University, Luzhou, 646000, China
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Shiwani HA, Bilal M, Shahzad MU, Rodrigues A, Suliman JA, Soban M, Mirza S, Lotca N, Ruslan MR, Memon D, Arshad MA, Fatima K, Kamran A, Egom EE, Aziz A. A comparison of characteristics and outcomes of patients with community-acquired and hospital-acquired COVID-19 in the United Kingdom: An observational study. Respir Med 2021; 178:106314. [PMID: 33550150 PMCID: PMC7843030 DOI: 10.1016/j.rmed.2021.106314] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2020] [Revised: 01/10/2021] [Accepted: 01/24/2021] [Indexed: 01/10/2023]
Abstract
BACKGROUND AND OBJECTIVES Reports comparing the characteristics of patients and their clinical outcomes between community-acquired (CA) and hospital-acquired (HA) COVID-19 have not yet been reported in the literature. We aimed to characterise and compare clinical, biochemical and haematological features, in addition to clinical outcomes, between these patients. METHODS This multi-centre, retrospective, observational study enrolled 488 SARS-CoV-2 positive patients - 339 with CA infection and 149 with HA infection. All patients were admitted to a hospital within the University Hospitals of Morecambe Bay NHS Foundation Trust between March 7th and May 18th, 2020. RESULTS The CA cohort comprised of a significantly younger population, median age 75 years, versus 80 years in the HA cohort (P = 0·0002). Significantly less patients in the HA group experienced fever (P = 0·03) and breathlessness (P < 0·0001). Furthermore, significantly more patients had anaemia and hypoalbuminaemia in the HA group, compared to the CA group (P < 0·0001 for both). Hypertension and a lower median BMI were also significantly more pronounced in the HA cohort (P = 0·03 and P = 0·0001, respectively). The mortality rate was not significantly different between the two cohorts (34% in the CA group and 32% in the HA group, P = 0·64). However, the CA group required significantly greater ICU care (10% versus 3% in the HA group, P = 0·009). CONCLUSION Hospital-acquired and community-acquired COVID-19 display similar rates of mortality despite significant differences in baseline characteristics of the respective patient populations. Delineation of community- and hospital-acquired COVID-19 in future studies on COVID-19 may allow for more accurate interpretation of results.
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Affiliation(s)
- Haaris A Shiwani
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom; Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, PR2 9HT, United Kingdom.
| | - Muhammad Bilal
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom
| | - Muhammad U Shahzad
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom
| | - Alson Rodrigues
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom
| | - Jehad A Suliman
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom
| | - Muhammad Soban
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom
| | - Shahzeb Mirza
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom
| | - Nicoleta Lotca
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom
| | - Mohammed R Ruslan
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom
| | - Danyal Memon
- Our Lady of Lourdes Hospital, Drogheda, Louth, Ireland
| | | | - Kiran Fatima
- Khawaja Muhammad Safdar Medical College, Sialkot, Pakistan
| | - Asma Kamran
- Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, LA1 4RP, United Kingdom
| | - Emmanuel E Egom
- Egom Clinical & Translational Research Services Ltd., Dartmouth, Canada; Jewish General Hospital and Lady Davis Research Institute, Montreal, Quebec, Canada
| | - Abdul Aziz
- Royal Liverpool University Hospital, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, L7 8XP, United Kingdom
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Arshad MA, Majzoub A, Esteves SC. Predictors of surgical sperm retrieval in non-obstructive azoospermia: summary of current literature. Int Urol Nephrol 2020; 52:2015-2038. [PMID: 32519242 DOI: 10.1007/s11255-020-02529-4] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 05/29/2020] [Indexed: 12/20/2022]
Abstract
Intracytoplasmic sperm injection (ICSI), combined with surgical sperm retrieval (SR) techniques, is the sole option for patients with non-obstructive azoospermia to achieve fertility; however, with suboptimal results. Given the variability in clinical presentation, the potential role of factors that can predict the likelihood of successful testicular SR needs to be clarified. This article summarizes the current evidence concerning the variables predicting SR success in non-obstructive azoospermic patients with spermatogenic failure. For this, we used 60 articles, including 46 original papers and six meta-analyses. Clinical and laboratory factors, as well as adjuvant therapies and surgical retrieval methods, were the factors most commonly investigated. We found that Klinefelter syndrome, Y chromosome microdeletions in regions AZFa/b, and Sertoli cell-only histopathology were associated with reduced SR success. By contrast, testis volume > 12.5 ml, history of cryptorchidism, use of micro-TESE as the sperm retrieval method, and adjuvant therapy were associated with improved SR success. None of the predictors, alone or combined, provide definitive information about the chances of harvesting sperm in men with non-obstructive azoospermia, except for Y chromosome microdeletions in regions AZFa/b. In the latter, SR success is virtually nil. We conclude that SR outcomes in men with non-obstructive azoospermia are difficult to predict based on the existing variables. Although several predictors can be used for patient counseling, their clinical value is limited to either ensure SR success or discourage reproductive urologists from recommending SR to men with non-obstructive azoospermia seeking fertility. A notable exception includes the deletions involving the regions AZFa and/or AZFb of the Y chromosome; the affected patients should be counseled against undergoing SR.
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Affiliation(s)
- Muhammad A Arshad
- Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, Pakistan
- Nishter Hospital, Multan, Pakistan
| | - Ahmad Majzoub
- Department of Urology, Hamad Medical Corporation, Doha, Qatar
- Weill Cornell Medicine- Qatar, Doha, Qatar
| | - Sandro C Esteves
- ANDROFERT, Andrology and Human Reproduction Clinic, Av. Dr. Heitor Penteado, 1464, Campinas, São Paulo, 13075-460, Brazil.
- Department of Surgery (Division of Urology), University of Campinas (UNICAMP), Campinas, Brazil.
- Faculty of Health, Department of Clinical Sciences, Aarhus University, Aarhus, Denmark.
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Arshad MA, Bhatti SA, Hassan I, Rahman MA, Rehman MS. Effects of Bile Acids and Lipase Supplementation in Low-Energy Diets on Growth Performance, Fat Digestibility and Meat Quality in Broiler Chickens. Braz J Poult Sci 2020. [DOI: 10.1590/1806-9061-2020-1258] [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] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
| | | | - I Hassan
- Sharif Feed Mills (Pvt.) Ltd, Pakistan
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Chidambaram V, Tun NL, Haque WZ, Majella MG, Sivakumar RK, Kumar A, Hsu ATW, Ishak IA, Nur AA, Ayeh SK, Salia EL, Zil-E-Ali A, Saeed MA, Sarena APB, Seth B, Ahmadzada M, Haque EF, Neupane P, Wang KH, Pu TM, Ali SMH, Arshad MA, Wang L, Baksh S, Karakousis PC, Galiatsatos P. Factors associated with disease severity and mortality among patients with COVID-19: A systematic review and meta-analysis. PLoS One 2020; 15:e0241541. [PMID: 33206661 PMCID: PMC7673562 DOI: 10.1371/journal.pone.0241541] [Citation(s) in RCA: 102] [Impact Index Per Article: 25.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 10/17/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Understanding the factors associated with disease severity and mortality in Coronavirus disease (COVID-19) is imperative to effectively triage patients. We performed a systematic review to determine the demographic, clinical, laboratory and radiological factors associated with severity and mortality in COVID-19. METHODS We searched PubMed, Embase and WHO database for English language articles from inception until May 8, 2020. We included Observational studies with direct comparison of clinical characteristics between a) patients who died and those who survived or b) patients with severe disease and those without severe disease. Data extraction and quality assessment were performed by two authors independently. RESULTS Among 15680 articles from the literature search, 109 articles were included in the analysis. The risk of mortality was higher in patients with increasing age, male gender (RR 1.45, 95%CI 1.23-1.71), dyspnea (RR 2.55, 95%CI 1.88-2.46), diabetes (RR 1.59, 95%CI 1.41-1.78), hypertension (RR 1.90, 95%CI 1.69-2.15). Congestive heart failure (OR 4.76, 95%CI 1.34-16.97), hilar lymphadenopathy (OR 8.34, 95%CI 2.57-27.08), bilateral lung involvement (OR 4.86, 95%CI 3.19-7.39) and reticular pattern (OR 5.54, 95%CI 1.24-24.67) were associated with severe disease. Clinically relevant cut-offs for leukocytosis(>10.0 x109/L), lymphopenia(< 1.1 x109/L), elevated C-reactive protein(>100mg/L), LDH(>250U/L) and D-dimer(>1mg/L) had higher odds of severe disease and greater risk of mortality. CONCLUSION Knowledge of the factors associated of disease severity and mortality identified in our study may assist in clinical decision-making and critical-care resource allocation for patients with COVID-19.
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Affiliation(s)
- Vignesh Chidambaram
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Nyan Lynn Tun
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Waqas Z. Haque
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Marie Gilbert Majella
- Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Ranjith Kumar Sivakumar
- Department of Anaesthesia and Intensive Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China
| | - Amudha Kumar
- Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
| | - Angela Ting-Wei Hsu
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Izza A. Ishak
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Aqsha A. Nur
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Samuel K. Ayeh
- Division of Infectious Diseases, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
| | - Emmanuella L. Salia
- Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
| | - Ahsan Zil-E-Ali
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Muhammad A. Saeed
- Johns Hopkins University, Baltimore, Maryland, United States of America
| | | | - Bhavna Seth
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
| | | | - Eman F. Haque
- Southern Methodist University, Dallas, Texas, United States of America
| | - Pranita Neupane
- Division of Infectious Diseases, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
| | - Kuang-Heng Wang
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Tzu-Miao Pu
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | | | | | - Lin Wang
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Sheriza Baksh
- Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America
| | - Petros C. Karakousis
- Division of Infectious Diseases, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
| | - Panagis Galiatsatos
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States of America
- * E-mail:
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Boon KJ, Arshad MA, Singh H, Lainchbury JG, Blake JWH. Saphenous vein graft aneurysm fistula formation causing right heart failure: an unusual presentation. Intern Med J 2015; 45:1185-9. [PMID: 26361745 DOI: 10.1111/imj.12900] [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: 02/12/2015] [Revised: 04/10/2015] [Indexed: 11/30/2022]
Abstract
Saphenous vein graft aneurysm (SVG) formation after coronary artery bypass grafting is a rare complication of the surgery. We present a case of a 68-year-old man with an unusual presentation of such an aneurysm. Thirty-four years after his initial bypass surgery, the patient presented with a fistula formation into his right atrium from a vein graft aneurysm. Late aneurysm formation is thought to occur secondary to atherosclerotic degeneration of the SVG with background hypertension and dyslipidaemia accelerating the process. Diagnostic modalities used to investigate SVG aneurysms include computed tomography, transthoracic echocardiogram, magnetic resonance imaging and cardiac catheterisation. Aneurysms with fistula formation historically require aggressive surgical intervention. Resection of the aneurysm with subsequent revascularisation if required is the surgical norm. SVG aneurysm with fistula formation into a cardiac chamber is a rare complication of coronary artery bypass grafting (CABG), which can occur with atypical presenting symptoms. Physicians should keep in mind the possibility of this occurring in post-CABG patients presenting with heart failure and a new murmur.
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Affiliation(s)
- K J Boon
- Cardiology Department, Christchurch Hospital, Christchurch, New Zealand
| | - M A Arshad
- Cardiology Department, Christchurch Hospital, Christchurch, New Zealand
| | - H Singh
- Cardiothoracic Surgery Department, Christchurch Hospital, Christchurch, New Zealand
| | - J G Lainchbury
- Cardiology Department, Christchurch Hospital, Christchurch, New Zealand
| | - J W H Blake
- Cardiology Department, Christchurch Hospital, Christchurch, New Zealand
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Arshad MA, Visscher DW, Hoskin TL, Brahmbhatt RD, Pena Jimenez A, Stallings Mann ML, Miller EE, Murphy LM, Carter JM, Winham SJ, Knutson KL, Radisky DC, Degnim AC. Abstract 2364: CD68+ immune cells show different infiltration patterns in tissue samples from women with no clinical breast disease and those who have benign breast disease. Tumour Biol 2015. [DOI: 10.1158/1538-7445.am2015-2364] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Arshad MA, Visscher DW, Hoskin TL, Brahmbhatt RD, Pena Jimenez A, Frost MH, Miller EE, Stallings-Mann M, Murphy L, Winham SJ, Carter JM, Radisky DC, Knutson KL, Degnim AC. Quantitation of CD11c+ dendritic cells normal breast tissue and benign breast disease. J Clin Oncol 2015. [DOI: 10.1200/jco.2015.33.15_suppl.e22115] [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: 11/20/2022] Open
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Ahsan A, Aziz A, Arshad MA, Ali O, Nauman M, Ahmad NM, Elaissari A. Smart Magnetically Engineering Colloids and Biothin Films for Diagnostics Applications. ACTA ACUST UNITED AC 2013. [DOI: 10.1166/jcsb.2013.1031] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [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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Abstract
Stable carbon isotope techniques were employed to study the food habits of the termite Macrotermes michaelseni (Isoptera: Termitidae) in a semiarid savanna habitat in Kenya. At Kajiado this species utilized approximately 70% herbaceous vegetation (mostly grass) and 30% woody vegetation, while at Ruiru approximately 64% of the vegetation utilized was woody and 36% herbaceous. Stabel carbon isotope ratios varied between castes within sites, but were consistent with the manner in which carbon flows through termite colonies. δ(13)C values increased in the sequence: diet→fungus comb→nonreproductive castes→reproductive castes. These results are in agreement with the idea that organic carbon becomes enriched in (13)C as it passes through a food chain.
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Affiliation(s)
- T W Boutton
- Department of Biology, Augustana College, 57197, Sioux Falls, SD, USA
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Arshad MA, Bhadra S, Cohen RM, Subbiah MT. Plasma lipoprotein peroxidation potential: a test to evaluate individual susceptibility to peroxidation. Clin Chem 1991; 37:1756-8. [PMID: 1914180] [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] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Peroxidation of lipids is believed to play a key role in various degenerative diseases. However, few simple tests are able to detect individual susceptibility or resistance to peroxidation. Measurement of the basal concentrations of lipid peroxides in plasma is not satisfactory because they are so low. Therefore, we developed a test to determine susceptibility of whole plasma to metal/H2O2-catalyzed peroxidation. Incubation of 300-500 microL of plasma with H2O2/cupric acetate resulted in the formation of products from fatty acids (malonaldehyde, measured by thiobarbituric acid assay) and cholesterol (predominantly cholest-3,5-dien-7-one, measured by gas-liquid chromatography). In the presence of Cu2+, formation of malonaldehyde and cholest-3,5-dien-7-one increased at least 10-fold over basal values. Lipid peroxide (malonaldehyde) and cholesterol oxide concentrations after peroxidation were significantly higher (P less than 0.01) in diabetic plasma than in normal plasma. Because susceptibility to plasma peroxidation represents a balance between pro-oxidant factors and antioxidant protection, this test may be useful in determining individual susceptibility to peroxidation as influenced by nutritional and clinical status.
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Affiliation(s)
- M A Arshad
- Lipid Research Laboratory, University of Cincinnati Medical Center, OH 45267
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Abstract
Abstract
Peroxidation of lipids is believed to play a key role in various degenerative diseases. However, few simple tests are able to detect individual susceptibility or resistance to peroxidation. Measurement of the basal concentrations of lipid peroxides in plasma is not satisfactory because they are so low. Therefore, we developed a test to determine susceptibility of whole plasma to metal/H2O2-catalyzed peroxidation. Incubation of 300-500 microL of plasma with H2O2/cupric acetate resulted in the formation of products from fatty acids (malonaldehyde, measured by thiobarbituric acid assay) and cholesterol (predominantly cholest-3,5-dien-7-one, measured by gas-liquid chromatography). In the presence of Cu2+, formation of malonaldehyde and cholest-3,5-dien-7-one increased at least 10-fold over basal values. Lipid peroxide (malonaldehyde) and cholesterol oxide concentrations after peroxidation were significantly higher (P less than 0.01) in diabetic plasma than in normal plasma. Because susceptibility to plasma peroxidation represents a balance between pro-oxidant factors and antioxidant protection, this test may be useful in determining individual susceptibility to peroxidation as influenced by nutritional and clinical status.
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Affiliation(s)
- M A Arshad
- Lipid Research Laboratory, University of Cincinnati Medical Center, OH 45267
| | - S Bhadra
- Lipid Research Laboratory, University of Cincinnati Medical Center, OH 45267
| | - R M Cohen
- Lipid Research Laboratory, University of Cincinnati Medical Center, OH 45267
| | - M T Subbiah
- Lipid Research Laboratory, University of Cincinnati Medical Center, OH 45267
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Bhadra S, Arshad MA, Rymaszewski Z, Norman E, Wherley R, Subbiah MT. Oxidation of cholesterol moiety of low density lipoprotein in the presence of human endothelial cells or Cu+2 ions: identification of major products and their effects. Biochem Biophys Res Commun 1991; 176:431-40. [PMID: 2018531 DOI: 10.1016/0006-291x(91)90942-z] [Citation(s) in RCA: 67] [Impact Index Per Article: 2.0] [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: 12/29/2022]
Abstract
Oxidation of lipoproteins is believed to play a key role in atherogenesis. In this study, low density lipoproteins (LDL) was subjected to oxidation in the presence of either human umbilical vein endothelial cells or with Cu+2 ions and the major oxides formed were identified. While cholesterol-alpha-epoxide (C-alpha EP) was the major product of cholesterol peroxidation in the presence of endothelial cells, cholest-3,5-dien-7-one (CD) predominated in the presence of Cu+2 ion. Both steroids were identified by gas chromatography/mass spectrometry. HDL cholesterol was resistant to oxidation. When tested on human skin fibroblasts in culture C-alpha EP (10 micrograms/ml) caused marked stimulation of 14C-oleate incorporation into cholesterol esters, while CD stimulated cholesterol esterification only mildly. These studies show that a) C-alpha EP is the major peroxidation product of LDL cholesterol moiety in the presence of endothelial cells and b) it causes marked stimulation of cholesterol esterification in cells. C-alpha EP may play a key role in increasing cholesterol esterification noted in atherogenesis.
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Affiliation(s)
- S Bhadra
- Department of Internal Medicine, University of Cincinnati Medical Center, Ohio 45267
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