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Khanna NR, Rathod Y, Manjali J, Ramadwar M, Panjwani P, Qureshi S, Parambil B, Prasad M, Chinnaswamy G, Baheti A, Patil V, Gala K, Shetye N, Laskar S. Outcomes of Children Diagnosed with Unilateral Retinoblastoma: Retrospective Audit. Int J Radiat Oncol Biol Phys 2023; 117:e522. [PMID: 37785628 DOI: 10.1016/j.ijrobp.2023.06.1792] [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 evaluate treatment outcomes of children diagnosed with unilateral retinoblastoma. MATERIALS/METHODS Retrospective study of children diagnosed with unilateral retinoblastoma registered at the Tata Memorial Hospital (TMH), Mumbai from January 2013 to December 2018 and completed the planned curative treatment protocol. RESULTS For the 98 cases that were analyzed, the median age of presentation was 24 months. The majority of patients had the intraocular disease (n = 72), whereas orbital retinoblastoma was in 26 patients. At the time of presentation, on imaging extra scleral spread was observed in 16 patients whereas 18 patients had optic nerve involvement, 11 patients had both extra scleral invasion and optic nerve involvement. We used the International Classification of Retinoblastoma for grouping. Out of 98 patients, 71 patients were in Group E, 21 were in Group D and 4 were in Group B and 2 were in Group C. For Staging of Retinoblastoma, we used International Retinoblastoma Staging System (IRSS) in our study and 14 patients had Stage 0 disease, 52 patients had Stage I disease, 10 patients had Stage II, 21 patients had Stage III A and 1 patient had Stage III B disease. High-risk features on surgical specimen histopathology were optic nerve cut margin positive in 6 patients, optic nerve involvement in 21 patients, extra scleral spread in 3 patients, Choroidal invasion in 38 and Iris involvement in 10 patients. Primary enucleation was offered in 52 patients whereas 26 patients underwent secondary enucleation. Systemic chemotherapy was received by the patient in the neoadjuvant setting in 17 patients as a form of chemo-reduction and 51 patients received systemic chemotherapy in the adjuvant setting. Intra-arterial chemotherapy was offered to 27 patients as a primary treatment or in conjugation with focal therapy (n = 11). Definitive radiotherapy was offered to only 2 patients and 22 patients received adjuvant radiotherapy. At a median follow-up of 62 months, 2patients had local relapse, which was salvaged by focal therapy in one and enucleation in the other. Ten patients who had leptomeningeal relapse had died. The 5-year local control (LC) is 97.6%, event-free survival (EFS) is 88% and overall survival (OS) is 89.5%. Globe was salvaged in only 16 cases. On univariate analysis, we observed a significant association between overall survival and extraocular and intraocular disease (p-value 0.0), Extra scleral spread (p-value 0.0), optic Nerve involvement (imaging), and an optic nerve cut margin positive (p-value 0.045), ICRB Groups (p-value 0.0) and IRSS stage (p- value 0.024). CONCLUSION Retinoblastoma is curable if detected early. Extra ocular disease and high-risk features are associated with inferior outcomes and poor globe salvage rates.
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Affiliation(s)
- N R Khanna
- Homi Bhabha National University HBNI, Mumbai, India; Tata Memorial Center, Mumbai, India
| | - Y Rathod
- Tata Memorial Hospital, Mumbai, India
| | - J Manjali
- Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
| | | | | | - S Qureshi
- Tata Memorial Hospital, Mumbai, India
| | | | - M Prasad
- Tata Memorial Centre, Mumbai, India
| | | | - A Baheti
- Department of Radiodiagnosis, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
| | - V Patil
- Tata Memorial Hospital, Mumbai, India
| | - K Gala
- Tata Memorial Hospital, Mumbai, India
| | - N Shetye
- Tata Memorial Hospital, Mumbai, India
| | - S Laskar
- Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
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Rasool A, Farooq S, Kumar S, Kashoo ZA, Dar PA, Bhat MA, Qureshi S, Hussain I, Shah RA, Taku A, Khan I, Hassan MN. Evidence of novel Treponema phylotypes implicated in contagious ovine digital dermatitis and association of treponemes with major lameness causing foot pathogens. Microb Pathog 2023; 182:106214. [PMID: 37423496 DOI: 10.1016/j.micpath.2023.106214] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Revised: 06/24/2023] [Accepted: 06/25/2023] [Indexed: 07/11/2023]
Abstract
In this study 269 swabs collected from 254 ovine foot lesions and 15 apparently healthy ovine feet were screened by PCR for the presence of major lameness causing foot pathogens viz. Treponema species, D. nodosus, F. necrophorum and T. pyogenes with the presumption that ovine foot lesion positive for Treponema species alone or in association with other three pathogens were categorized as contagious ovine digital dermatitis (CODD). While samples positive for D. nodosus alone or its combination with F. necrophorum and T. pyogenes were considered as footrot (FR) and samples in which F. necrophorum or T. pyogenes was found either alone or in combination were considered as interdigital dermatitis (ID). The overall occurrence of Treponema sp. in ovine foot lesions was 48.0%, and ranged from 33 to 58%. In Treponema positive samples D. nodosus, F. necrophorum and T. pyogenes were present in 34 (27.4%), 66 (54.4%) and 84 (68.5%) in contrast to Treponema negative samples in which these were present in 15 (11.1%), 20 (14.12%) and 17 (12.6%) samples, respectively. The data signifies that Treponema sp. are significantly associated with these foot pathogens and their different combinations with Treponema sp. influence the severity of CODD lesion. The identification of Treponema phylotypes was done by sequencing the 16S rRNA gene fragment of ten representative samples. Out of ten sequences, four (Trep-2, Trep-4, Trep-7 and Trep-10) were identical to Treponema sp. phylotype 1 (PT1) that belongs to phylogroup T. refringens-like, one sequence (Trep-1) was genetically close (90% sequence homology) to Treponema brennaborense while five sequences (Trep-3, Trep-5, Trep-6, Trep-8 and Trep-9) matched with uncultured bacterium clones of treponemes forming separate monophyletic group in phylogenetic tree and could represent new digital dermatitis phylogroup presently containing five ovine specific phylotypes. This is the first report on the presence of Treponema phylotypes other than three digital dermatitis (DD) Treponema phylogroups viz. T. phagedenis-like, T. medium/T. vincentii-like, and T. pedis-like that are frequently detected in CODD lesions. Metagenomic analysis of two representative samples revealed the abundance of genus Treponema in CODD lesion while this genus was absent in swab collected from clinically healthy foot suggesting that it might play primary role in producing CODD. These findings may further aid in understanding the etiopathogenesis of CODD and could help to develop appropriate treatment and mitigation strategies to combat the disease.
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Affiliation(s)
- A Rasool
- Anaerobic Bacteriology Laboratory, Division of Veterinary Microbiology and Immunology, SKUAST-K, Shuhama (Alusteng), Srinagar, Jammu and Kashmir 190006, India
| | - S Farooq
- Anaerobic Bacteriology Laboratory, Division of Veterinary Microbiology and Immunology, SKUAST-K, Shuhama (Alusteng), Srinagar, Jammu and Kashmir 190006, India.
| | - S Kumar
- Anaerobic Bacteriology Laboratory, Division of Veterinary Microbiology and Immunology, SKUAST-K, Shuhama (Alusteng), Srinagar, Jammu and Kashmir 190006, India
| | - Z A Kashoo
- Anaerobic Bacteriology Laboratory, Division of Veterinary Microbiology and Immunology, SKUAST-K, Shuhama (Alusteng), Srinagar, Jammu and Kashmir 190006, India
| | - P A Dar
- Anaerobic Bacteriology Laboratory, Division of Veterinary Microbiology and Immunology, SKUAST-K, Shuhama (Alusteng), Srinagar, Jammu and Kashmir 190006, India
| | - M A Bhat
- Anaerobic Bacteriology Laboratory, Division of Veterinary Microbiology and Immunology, SKUAST-K, Shuhama (Alusteng), Srinagar, Jammu and Kashmir 190006, India
| | - S Qureshi
- Anaerobic Bacteriology Laboratory, Division of Veterinary Microbiology and Immunology, SKUAST-K, Shuhama (Alusteng), Srinagar, Jammu and Kashmir 190006, India
| | - I Hussain
- Anaerobic Bacteriology Laboratory, Division of Veterinary Microbiology and Immunology, SKUAST-K, Shuhama (Alusteng), Srinagar, Jammu and Kashmir 190006, India
| | - R A Shah
- Division of Animal Biotechnology, SKUAST-K, Shuhama (Alusteng), Srinagar, India
| | - A Taku
- Division of Veterinary Microbiology, Faculty of Veterinary Sciences and Animal Husbandry,R.S. Pura, SKUAST-Jammu, 181102, India
| | - I Khan
- Division of Agri. Statistics, SKUAST-K, Shalimar, Srinagar, 190025, India
| | - M N Hassan
- Animal Science, KVK-Budgam, SKUAST-K, India
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Lone MA, Qureshi S. A novel and efficacious use of three-dimensional intertwining logistic map for the security of greyscale images. The Imaging Science Journal 2023. [DOI: 10.1080/13682199.2022.2159303] [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: 02/07/2023]
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Showkat S, Qureshi S. Securing the Internet of Things Through Blockchain Approach:Security Architectures, Consensus Algorithms, Enabling Technologies, Open Issues, and Research Directions. IJCDS 2023. [DOI: 10.12785/ijcds/130109] [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: 02/13/2023] Open
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Habib G, Qureshi S. GAPCNN with HyPar: Global Average Pooling convolutional neural network with novel NNLU activation function and HYBRID parallelism. Front Comput Neurosci 2022; 16:1004988. [PMID: 36457992 PMCID: PMC9705740 DOI: 10.3389/fncom.2022.1004988] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 09/28/2022] [Indexed: 11/01/2023] Open
Abstract
With the increasing demand for deep learning in the last few years, CNNs have been widely used in many applications and have gained interest in classification, regression, and image recognition tasks. The training of these deep neural networks is compute-intensive and takes days or even weeks to train the model from scratch. The compute-intensive nature of these deep neural networks sometimes limits the practical implementation of CNNs in real-time applications. Therefore, the computational speedup in these networks is of utmost importance, which generates interest in CNN training acceleration. Much research is going on to meet the computational requirement and make it feasible for real-time applications. Because of its simplicity, data parallelism is used primarily, but it performs badly sometimes. In most cases, researchers prefer model parallelism to data parallelism, but it is not always the best choice. Therefore, in this study, we implement a hybrid of both data and model parallelism to improve the computational speed without compromising accuracy. There is only a 1.5% accuracy drop in our proposed study with an increased speed up of 3.62X. Also, a novel activation function Normalized Non-linear Activation Unit NNLU is proposed to introduce non-linearity in the model. The activation unit is non-saturated and helps avoid the model's over-fitting. The activation unit is free from the vanishing gradient problem. Also, the fully connected layer in the proposed CNN model is replaced by the Global Average Pooling layers (GAP) to enhance the model's accuracy and computational performance. When tested on a bio-medical image dataset, the model achieves an accuracy of 98.89% and requires a training time of only 1 s. The model categorizes medical images into different categories of glioma, meningioma, and pituitary tumor. The model is compared with existing state-of-art techniques, and it is observed that the proposed model outperforms others in classification accuracy and computational speed. Also, results are observed for different optimizers', different learning rates, and various epoch numbers.
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Affiliation(s)
- Gousia Habib
- Department of Computer Science and Technology, National Institute of Technology Srinagar, Srinagar, India
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Khatun A, Fazili M, Malik A, Naikoo M, Choudhury A, Shah S, Lone F, Qureshi S, Hussain I. Can Honey Improve the Quality of Cryopreserved Cross Bred Ram Semen Added to Tris Egg Yolk Extender? cryo letters 2022. [DOI: 10.54680/fr22610110212] [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] [Indexed: 11/15/2022]
Abstract
BACKGROUND: Honey can improve the quality of cryopreserved ram semen because of its multinutrient and cryoprotective nature added to standard tris egg yolk extender. OBJECTIVE: Different concentrations of honey were added to the standard tris egg yolk extender to improve
the post-thaw quality of crossbred ram semen. METHOD: Thirty six (36) ejaculates from eight healthy cross bred rams were pooled and divided into four aliquots. Standard tris egg yolk extender without any alteration acted as Control (C) and was supplemented with different concentrations
of honey, viz. T1 (honey 1.5%), T2 (2.5%), and T3 (3.5%). RESULTS: The percent (mean ± S. E. M) sperm motility at pre-freeze was significantly (P<;0.05) higher in Group T2 and at post-thaw in Group T3 in comparison to T1 and C treatment groups. The percent (mean ±
S. E. M) HOST reacted spermatozoa at post-thaw was significantly (P< 0.05) higher in Group C and at pre-freeze the value was significantly (P< 0.05) higher in the same treatment group than Group T1. The mean MDA level (mean ± S. E. M) at post thaw was significantly (P<0.05)
low er in Group T3 than the treatment groups C and Group T1. CONCLUSION: From this study it is concluded that the addition of 3.5% honey to the standard tris egg yolk extender provides better protection to ram semen than the addition of 1.5% honey (i. e., Control).
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Affiliation(s)
- Arjuma Khatun
- Division of Animal Reproduction, Gynaecology and Obstetrics
| | | | - A.A. Malik
- Division of Animal Reproduction, Gynaecology and Obstetrics
| | - M. Naikoo
- Division of Animal Reproduction, Gynaecology and Obstetrics
| | | | | | - F.A. Lone
- Division of Animal Reproduction, Gynaecology and Obstetrics
| | - S. Qureshi
- Division of Veterinary Microbiology and Immunology, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J & K, India
| | - I. Hussain
- Division of Veterinary Microbiology and Immunology, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J & K, India
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Sarin A, Agarwal A, Dodagoudar C, Baghmar S, Qureshi S, Raj A, Kailey N, Hasthavaram N, Kumar R, Potsangbam L, Bansal R, Bhardwaj S, Rajpurohit S, Vaibhav V, Handoo A, Dadu T, Mittal A, Gupta N, Aggarwal S. 285P Reticulocyte hemoglobin equivalent as an early predictor of iron deficiency anemia in cancer patients. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.10.311] [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: 12/05/2022] Open
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Khatun A, Fazili MR, Malik AA, Naikoo M, Choudhury AR, Shah S, Lone FA, Qureshi S, Hussain I. Can honey improve the quality of cryopreserved cross bred ram semen added to tris egg yolk extender? Cryo Letters 2022; 43:334-340. [PMID: 36629828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
BACKGROUND Honey can improve the quality of cryopreserved ram semen because of its multinutrient and cryoprotective nature added to standard tris egg yolk extender. OBJECTIVE Different concentrations of honey were added to the standard tris egg yolk extender to improve the post-thaw quality of crossbred ram semen. METHOD Thirty six (36) ejaculates from eight healthy cross bred rams were pooled and divided into four aliquots. Standard tris egg yolk extender without any alteration acted as Control (C) and was supplemented with different concentrations of honey, viz. T1 (honey 1.5%), T2 (2.5%), and T3 (3.5%). RESULTS The percent (mean ± S.E.M) sperm motility at pre-freeze was significantly (P < 0.05) higher in Group T2 and at post-thaw in Group T3 in comparison to T1 and C treatment groups. The percent (mean ± S.E.M) HOST reacted spermatozoa at post-thaw was significantly (P < 0.05) higher in Group C and at pre-freeze the value was significantly (P < 0.05) higher in the same treatment group than Group T1. The mean MDA level (mean ± S.E.M) at post thaw was significantly (P < 0.05) lower in Group T3 than the treatment groups C and Group T1. CONCLUSION From this study it is concluded that the addition of 3.5% honey to the standard tris egg yolk extender provides better protection to ram semen than the addition of 1.5% honey (i.e., Control). doi.org/10.54680/fr22610110212.
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Affiliation(s)
- A Khatun
- Division of Animal Reproduction, Gynaecology and Obstetrics, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J and K, India.
| | - M R Fazili
- Division of Veterinary Anatomy and Histology; Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J and K, India
| | - A A Malik
- Division of Animal Reproduction, Gynaecology and Obstetrics, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J and K, India
| | - M Naikoo
- Division of Animal Reproduction, Gynaecology and Obstetrics, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J and K, India
| | - A R Choudhury
- Division of Veterinary Anatomy and Histology, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J and K, India
| | - S Shah
- Frozen Semen Station, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J and K, India
| | - F A Lone
- Division of Animal Reproduction, Gynaecology and Obstetrics, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J and K, India
| | - S Qureshi
- Division of Veterinary Microbiology and Immunology, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J and K, India
| | - I Hussain
- Division of Veterinary Microbiology and Immunology, Faculty of Veterinary Sciences and Animal Husbandry, Sher-e-Kashmir, University of Agricultural Sciences and Technology of Kashmir, Shuhama, Alusteng, Srinagar - 190006, J and K, India
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Iqba T, Qureshi S. Deep Learning based analysis of Covid-19 mortality risk. IJCDS 2022. [DOI: 10.12785/ijcds/120101] [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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Showkat S, Qureshi S. Efficacy of Transfer Learning-based ResNet models in Chest X-ray image classification for detecting COVID-19 Pneumonia. Chemometr Intell Lab Syst 2022; 224:104534. [PMID: 35291673 PMCID: PMC8913041 DOI: 10.1016/j.chemolab.2022.104534] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Revised: 02/09/2022] [Accepted: 03/03/2022] [Indexed: 05/27/2023]
Abstract
Because of COVID-19's effect on pulmonary tissues, Chest X-ray(CXR) and Computed Tomography (CT) images have become the preferred imaging modality for detecting COVID-19 infections at the early diagnosis stages, particularly when the symptoms are not specific. A significant fraction of individuals with COVID-19 have negative polymerase chain reaction (PCR) test results; therefore, imaging studies coupled with epidemiological, clinical, and laboratory data assist in the decision making. With the newer variants of COVID-19 emerging, the burden on diagnostic laboratories has increased manifold. Therefore, it is important to employ beyond laboratory measures to solve complex CXR image classification problems. One such tool is Convolutional Neural Network (CNN), one of the most dominant Deep Learning (DL) architectures. DL entails training a CNN for a task such as classification using extensive datasets. However, the labelled data for COVID-19 is scarce, proving to be a prime impediment to applying DL-assisted analysis. The available datasets are either scarce or too diversified to learn effective feature representations; therefore Transfer Learning (TL) approach is utilized. TL-based ResNet architecture has a powerful representational ability, making it popular in Computer Vision. The aim of this study is two-fold- firstly, to assess the performance of ResNet models for classifying Pneumonia cases from CXR images and secondly, to build a customized ResNet model and evaluate its contribution to the performance improvement. The global accuracies achieved by the five models i.e., ResNet18_v1, ResNet34_v1, ResNet50_v1, ResNet101_v1, ResNet152_v1 are 91.35%, 90.87%, 92.63%, 92.95%, and 92.95% respectively. ResNet50_v1 displayed the highest sensitivity of 97.18%, ResNet101_v1 showed the specificity of 94.02%, and ResNet18_v1 had the highest precision of 93.53%. The findings are encouraging, demonstrating the effectiveness of ResNet in the automatic detection of Pneumonia for COVID-19 diagnosis. The customized ResNet model presented in this study achieved 95% global accuracy, 95.65% precision, 92.74% specificity, and 95.9% sensitivity, thereby allowing a reliable analysis of CXR images to facilitate the clinical decision-making process. All simulations were carried in PyTorch utilizing Quadro 4000 GPU with Intel(R) Xeon(R) CPU E5-1650 v4 @ 3.60 GHz processor and 63.9 GB useable RAM.
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Affiliation(s)
- Sadia Showkat
- Department of Computer Science and Engineering, National Institute of Technology Srinagar, Jammu and Kashmir, 190006, India
| | - Shaima Qureshi
- Department of Computer Science and Engineering, National Institute of Technology Srinagar, Jammu and Kashmir, 190006, India
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Habib G, Qureshi S. Comparative Analysis of LBP Variants with the Introduction of New Radial and Circumferential Derivatives. IJCDS 2022. [DOI: 10.12785/ijcds/110197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Shivakumar J, Parambil B, Prasad M, Gollamudi V, Ramadwar M, Qureshi S, Laskar S, Khanna N, Baheti A, Patil V, Shah S, Chinnasamy G. Clinical profile and outcome of adrenocortical in children: A single center retrospective study from India. Pediatric Hematology Oncology Journal 2022. [DOI: 10.1016/j.phoj.2022.10.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Habib G, Qureshi S. Biomedical Image Classification using CNN by Exploiting Deep Domain Transfer Learning. IJCDS 2021. [DOI: 10.12785/ijcds/100197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Rahmouni K, Shahinian J, Qureshi S, Elmistekawy E, Glineur D, Ruel M, Mesana T, Chan V. LONG-TERM DURABILITY OF SURGICAL MITRAL VALVE REPAIR FOR DEGENERATIVE DISEASE ACCORDING TO AGE AT SURGERY: INSIGHTS FROM > 1000 SURGICAL PROCEDURES. Can J Cardiol 2021. [DOI: 10.1016/j.cjca.2021.07.205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Hickmott L, Jeyarajah C, Logarajah S, Webber A, Epstein D, Qureshi S, Penge J. 133 Incidence of Imaging Confirmed Stroke and Thrombotic Events in Older Adults with Severe COVID-19 Infection. Age Ageing 2021. [PMCID: PMC7989647 DOI: 10.1093/ageing/afab030.94] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
During the initial phase of the response to COVID-19, concern was raised regarding a potential link with increased risk of stroke. We aimed to explore the incidence of stroke and thrombotic events within our local population with COVID-19 infection who required admission to the Intensive Care Unit (ICU). Methods Retrospective analysis of 57 consecutive patients with a diagnosis of COVID-19 infection admitted to Barnet General Hospital ICU between 6th March and 26th April 2020. Cases were reviewed to establish whether there had been imaging (CT or MRI) confirmed ischaemic stroke, intra-cerebral haemorrhage (ICH), venous sinus thrombosis (VST) or other thrombotic event, including pulmonary embolism (PE). Data was collected on baseline characteristics and blood tests including D-Dimer levels. Statistical analysis was performed using two-tailed t-test and Fischer’s exact test (FET). Findings: Nineteen patients (33%) were age 65 years or older (mean age 69, range 65 to 74 years) and of these 2 patients (10.5%) had imaging confirmed acute ischaemic stroke. In those under 65 (mean age 54, range 29–64 years) there was one confirmed ICH and one VST. The incidence of PE was 21% in both groups. Survival was significantly lower in the age 65 or older group (26.3% versus 63.2%, p = 0.0119 (FET)). Peak recorded D-Dimer levels also appeared to be significantly higher in the age 65 or older group (p = 0.0003, 95% CI 13068.89 to 39858.68). Conclusions and limitations These findings highlight the importance of awareness of risk of thrombotic events, including acute stroke, in older adults with severe Covid-19 infection. It is possible that the incidence of stroke was underestimated, including due to challenges identifying clinical signs of acute stroke and safely obtaining imaging in this population. Further, ideally prospective, studies are required to more clearly elucidate the degree of association between COVID-19 infection and stroke and VST.
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Aleinik AY, Mlyavykh SG, Qureshi S. Lumbar Spinal Fusion Using Lateral Oblique (Pre-psoas) Approach (Review). Sovrem Tekhnologii Med 2021; 13:70-81. [PMID: 35265352 PMCID: PMC8858408 DOI: 10.17691/stm2021.13.5.09] [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: 09/21/2021] [Indexed: 11/14/2022] Open
Abstract
Lumbar spinal fusion is one of the most common operations in spinal surgery. For its implementation, anterolateral (pre-psoas) approach (oblique lumbar interbody fusion, OLIF) is now increasingly used due to its high efficacy and safety. However, there is still little information on the clinical and radiological results of using this technique. The aim of the study was to analyze the safety and efficacy of OLIF in the treatment of lumbar spine disorders as presented in the literature.
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Affiliation(s)
- A Ya Aleinik
- Neurosurgeon, Institute of Traumatology and Orthopedics Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia
| | - S G Mlyavykh
- Director of the Institute of Traumatology and Orthopedics Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia
| | - S Qureshi
- Associate Attending Orthopedic Surgeon Hospital for Special Surgery, 535 East 70 St., New York, NY, 10021, USA;; Associate Professor of Orthopedic Surgery Weill Cornell Medical College, 1300 York Avenue, New York, NY, 10065, USA
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Ishtifaq A, Qureshi S, Farooq S, Kashoo ZA, Malik MZ, Alam MR, Wani SA, Bhat MA, Hussain MI, Dar RA, Shah SM. Genotyping and antibiotic resistance patterns of Campylobacter fetus subsp.venerealis from cattle farms in India. Lett Appl Microbiol 2020; 71:627-636. [PMID: 32867004 DOI: 10.1111/lam.13378] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 08/14/2020] [Accepted: 08/15/2020] [Indexed: 11/27/2022]
Abstract
Bovine genital campylobacteriosis caused by Campylobacter fetus subsp. venerealis (Cfv) is of considerable economic importance to the cattle industry worldwide. Cfv causes syndrome of temporary infertility in female cattle, early embryonic mortality, aberrant oestrus cycles, delayed conception, abortions and poor calving rates. In the present study, a total of 200 samples obtained from vaginal swabs, cervicovaginal mucous (CVM), preputial washes and semen straws were investigated that were obtained from organized cattle farm of MLRI, Manasbal and unorganized sectors. Out of a total of 200 samples, 49 (47·57%) vaginal swabs, 1 (3·33%) preputial wash and 8 (25%) carried out CVM samples were positive for Cfv, whereas none of the semen straws were positive for Cfv. A total of eleven isolates of Cfv were recovered. PFGE (Pulse field gel electrophoresis) analysis revealed four different pulsotypes (I-IV) circulating in the screened farms. A common pulsotype circulating among farms could not be established. Insertion element (ISCfe1), a 233 bp amplicon of Cfv, was sequenced and the sequence was deposited in GenBank (accession no: MK475662).
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Affiliation(s)
- A Ishtifaq
- Infectious Disease Laboratory, Division of Veterinary Microbiology & Immunology, Faculty of Veterinary Microbiology & Immunology, SKUAST-K, Srinagar, J&K, India
| | - S Qureshi
- Infectious Disease Laboratory, Division of Veterinary Microbiology & Immunology, Faculty of Veterinary Microbiology & Immunology, SKUAST-K, Srinagar, J&K, India
| | - S Farooq
- Infectious Disease Laboratory, Division of Veterinary Microbiology & Immunology, Faculty of Veterinary Microbiology & Immunology, SKUAST-K, Srinagar, J&K, India
| | - Z A Kashoo
- Infectious Disease Laboratory, Division of Veterinary Microbiology & Immunology, Faculty of Veterinary Microbiology & Immunology, SKUAST-K, Srinagar, J&K, India
| | - Md Z Malik
- School of Computational and Integrative Sciences, Jawaharlal Nehru University, New Delhi, India
| | - M R Alam
- Department of Medical Genetics, School of Medicine, Keimyung University, Daegu, Republic of Korea
| | - S A Wani
- Infectious Disease Laboratory, Division of Veterinary Microbiology & Immunology, Faculty of Veterinary Microbiology & Immunology, SKUAST-K, Srinagar, J&K, India
| | - M A Bhat
- Infectious Disease Laboratory, Division of Veterinary Microbiology & Immunology, Faculty of Veterinary Microbiology & Immunology, SKUAST-K, Srinagar, J&K, India
| | - M I Hussain
- Infectious Disease Laboratory, Division of Veterinary Microbiology & Immunology, Faculty of Veterinary Microbiology & Immunology, SKUAST-K, Srinagar, J&K, India
| | - R A Dar
- Mountain Livestock Research Institute (MLRI) Manasbal, Faculty of Veterinary Microbiology & Immunology, SKUAST-K, Srinagar, J&K, India
| | - S M Shah
- SMS, KVK, SKUAST-K, Srinagar, J&K, India
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Qureshi S, Moss K, Ezeonyeji A, Sandhu V. FRI0448 FOUR CASES OF SYPHILIS MIMICKING RHEUMATOLOGICAL CONDITIONS PRESENTING TO THE GENERAL RHEUMATOLOGY SERVICE AT ST GEORGES HOSPITAL, LONDON, UK IN 2018-2019. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.4270] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Sir William Osler once wrote: “He, who knows syphilis, knows medicine”.Whilst the Tuskegee Syphilis trials live in infamy, the advent of succesful penicillin treatment and sexual health education resulted in the lowest recorded incidence ever in 20011.Unfortunately, cases of syphilis have nearly tripled in the past decade (from 2,847 in 2009 to 7,541 in 2018 in the UK)1. WHO now estimates the global median prevalence of Syphilis, among men who have sex with men, is 6%2The current cohort of clinicians will therefore have limited clinical experience of Syphilis, which can often mimic rheumatic conditions. We present the clinical experience of a tertiary teaching centre hospital.Objectives:To identify the scope of clinical cases, with a diagnosis of Syphilis, during 2018-2019 at St Georges University Hospital, London, UK.Methods:Clinical cases were identified by health professionals and a retrospective review of medical records was undertaken.Results:There were 4 cases identified during 2018-19.PatientAgeSexPast Medical HistorySymptomatologyRisk FactorsPresumed DiagnosisSerology169MaleHypertensionGCABilateral visual loss, rashMSMPrednisoloneTocilizumabGCA-related visual lossRPR 1:64TPPA 1: 10248246FemaleNilJoint pain and swelling, rashHepatitis B Core Antibody positiveUndifferentiatedInflammatory ArthritisRPR 1: 16340MaleNilJoint pain, alopecia, uveitis and rash, weight lossMSMPrimary SyphilisRPR 1: 16TPPA 1: 10248486FemalePulmonary Sarcoidosis, Squamous cell carcinoma of left maxillary sinusLower motor neuron facial nerve palsyPrednisoloneSarcoidosisRPR 1:4TPPA 1:80GCA: Giant cell arteritis, MSM: Men who have sex with men, RPR: rapid plasma regain, TPPA: Treponema pallidum particle agglutination assayCase 1:The patient was diagnosed with bilateral uveitis secondary to primary syphilis, and immunosuppression may have contributed to this.Case 2:The rash developed after the initial presentation and an extended infection screen was performed.Case 3:The patient had a 6 month duration of symptoms and had had a negative sexual health screen 1 year prior to presentation.Case 4:The patient had no features of extra pulmonary sarcoidosis and an infectious screen was undertaken.All 4 cases were referred to the Infectious Disease Unit for treatment. 3 patients received standard treatment with Penicillin, and 1 patient received an oral course of Doxycycline, due to a penicillin allergy.2 of the 4 cases had complete resolution of symptoms, and 2 of the cases had only partial resolution of symptoms at the time of publication.Conclusion:Syphilis can present with an inflammatory arthritis, PMR and GCA –type symptoms, ocular inflammation, neurological disturbance and rashes that can mimic autoimmune conditions.Our cases highlight the increasing incidence, as well as the risk of reactivation following immunosuppression. Current practice does not advise routine testing for syphilis prior to initiation of immunosuppressive therapy. However the rising incidence should prompt careful evaluation, and detailed sexual history, particularly in high risk groups. The diagnostic test interpretation and treatment requires close collaboration with Infectious Diseases Specialists.References:[1]https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/805903/2018_Table_1_STI_diagnoses_and_rates_in_England_by_gender.ods[2]Report on global sexually transmitted infection surveillance 2018, WHO, ISBN: 978-92-4-156569-1Disclosure of Interests:None declared
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Datta GD, Mayrand MH, Qureshi S, Ferre N, Gauvin L. HPV sampling options for cervical cancer screening: preferences of urban-dwelling Canadians in a changing paradigm. ACTA ACUST UNITED AC 2020; 27:e171-e181. [PMID: 32489266 DOI: 10.3747/co.27.5089] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Introduction Of women in Canada diagnosed with invasive cervical cancer, 50% have not been screened according to guidelines. Interventions involving self-collected samples for human papillomavirus (hpv) screening could be an avenue to increase uptake. To guide the development of cervical cancer screening interventions, we assessed ■ preferred sample collection options,■ sampling preferences according to previous screening behaviours, and■ preference for self-sampling among women not screened according to guidelines, as a function of their reasons for not being screened. Methods Data were collected in an online survey (Montreal, Quebec; 2016) and included information from female participants between the ages of 21 and 65 years who had not undergone hysterectomy and who had provided answers to survey questions about screening history, screening interval, and screening preferences (n = 526, weighted n = 574,392). Results In weighted analyses, 68% of all women surveyed and 82% of women not recently screened preferred screening by self-sampling. Among women born outside of Canada, the United States, or Europe, preference ranged from 47% to 60%. Nearly all women (95%-100%) who reported fear or embarrassment, dislike of undergoing a Pap test, or lack of time or geography-related availability of screening as one of their reasons for not being screened stated a preference for undergoing screening by self-sampling. Conclusions The results demonstrate a strong preference for self-sampling among never-screened and not-recently-screened women, and provides initial evidence for policymakers and researchers to address how best to integrate self-sampling hpv screening into both organized and opportunistic screening contexts.
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Affiliation(s)
- G D Datta
- Research Centre of the Centre hospitalier de l'Université de Montréal, Université de Montréal, Montreal, QC
| | - M H Mayrand
- Research Centre of the Centre hospitalier de l'Université de Montréal, Université de Montréal, Montreal, QC
| | - S Qureshi
- Research Centre of the Centre hospitalier de l'Université de Montréal, Université de Montréal, Montreal, QC
| | - N Ferre
- Research Centre of the Centre hospitalier de l'Université de Montréal, Université de Montréal, Montreal, QC
| | - L Gauvin
- Research Centre of the Centre hospitalier de l'Université de Montréal, Université de Montréal, Montreal, QC
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AlJumah M, Bunyan R, Al Otaibi H, Al Towaijri G, Karim A, Al Malik Y, Kalakatawi M, Alrajeh S, Al Mejally M, Algahtani H, Almubarak A, Cupler E, Alawi S, Qureshi S, Nahrir S, Almalki A, Alhazzani A, Althubaiti I, Alzahrani N, Mohamednour E, Saeedi J, Ishak S, Almudaiheem H, El-Metwally A, Al-Jedai A. Rising prevalence of multiple sclerosis in Saudi Arabia, a descriptive study. BMC Neurol 2020; 20:49. [PMID: 32035478 PMCID: PMC7007659 DOI: 10.1186/s12883-020-1629-3] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [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: 10/27/2019] [Accepted: 01/24/2020] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND In 2015, the first nationwide, multicenter Multiple Sclerosis (MS) registry was initiated in the Kingdom of Saudi Arabia (KSA) mainly with an objective to describe current epidemiology, disease patterns, and clinical characteristics of MS in Saudi Arabia. This article aimed to report initial findings of the registry and regional prevalence of MS. METHOD In 2015, a national MS registry was launched in KSA to register all MS patient with confirmed diagnosis according to the 2010 McDonald Criteria. The registry aimed to identify and recruit all healthcare facilities treating MS patients in the Kingdom, and collect data such as demographics, clinical characteristics (disease onset, diagnosis, presentation of symptoms at onset, disease course, relapse rate, and disability measures), family history, and treatments. All the included sites have obtained IRB/EC approvals for participating in the registry. Currently, the registry includes 20 hospitals from different regions across the Kingdom. The Projected prevalence was calculated based on the assumption that the number of diagnosed MS cases in participating hospitals (in each region) is similar to the number of cases in remaining nonparticipant hospitals in the same region. RESULTS As of September 2018, the registry has included 20 hospitals from the different regions across the Kingdom and has collected comprehensive data on 2516 patients from those hospitals, with median age 32 (Range: 11-63) and 66.5% being females. The reported prevalence of MS for those hospitals was estimated to be 7.70/100,000 population and 11.80/100,000 Saudi nationals. Based on the assumption made earlier, we projected the prevalence for each region and for the country as a whole. The overall prevalence of MS at the country level was reported to be 40.40/100,000 total population and 61.95/100,000 Saudi nationals. Around 3 out of every 4 patients (77.5%) were 40 years of age or younger. Female to male ratio was 2:1. The prevalence was higher among females, young and educated individuals across all five regions of Saudi Arabia. CONCLUSION The prevalence of MS has significantly increased in Saudi Arabia but is still much lower than that in the western and other neighboring countries like Kuwait, Qatar, and the UAE. However, compared to the past rates, Saudi Arabia's projected prevalence of MS through this national study is 40.40/100,000 population, putting the Kingdom above the low risk zone as per Kurtzke classification. The projected prevalence was estimated to be much higher among Saudi nationals (61.95/100,000 Saudi-nationals). The prevalence was higher among female, younger and educated individuals. Further studies are needed to assess the risk factors associated with increased prevalence in Saudi Arabia.
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Affiliation(s)
| | - R Bunyan
- King Fahd Specialist Hospital (KFSH)-Dammam, Dammam, Saudi Arabia
| | - H Al Otaibi
- King Fahd General Hospital-Jeddah, Jeddah, Saudi Arabia
| | - G Al Towaijri
- King Fahd Medical City (KFMC), MOH, Riyadh, Saudi Arabia
| | - A Karim
- King Fahd General Hospital-Al-Madinah, Riyadh, Saudi Arabia
| | - Y Al Malik
- King Abdulaziz Medical City (National Guard Health Affairs)-Riyadh, Riyadh, Saudi Arabia.,King Saud bin Abdulaziz University For Health Sciences, Riyadh, Saudi Arabia
| | | | - S Alrajeh
- Dr. Sulaiman Al Habib Hospital-Olaya Branch, Riyadh, Saudi Arabia
| | | | - H Algahtani
- King Abdul-Aziz Medical City (National Guard Health Affairs), Jeddah, Saudi Arabia
| | | | - E Cupler
- King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia
| | - S Alawi
- Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - S Qureshi
- Johns Hopkins Aramco Healthcare Company (JHAH), Dhahran, Saudi Arabia
| | - S Nahrir
- King Saud Medical City, Riyadh, Saudi Arabia
| | - A Almalki
- King Abdul-Aziz Hospital and Oncology Center, Jeddah, Saudi Arabia
| | | | - I Althubaiti
- King Fahad Military Medical Complex, Dhahran, Saudi Arabia
| | - N Alzahrani
- King Fahd General Hospital, Baha, Saudi Arabia
| | - E Mohamednour
- King Fahad Specialist Hospital, Dammam, Qassim, Saudi Arabia
| | - J Saeedi
- King Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi Arabia
| | - S Ishak
- Itkan Health Consulting, Riyadh, Saudi Arabia
| | - H Almudaiheem
- Ministry of Health, Deputyship of Therapeutic Affairs, Riyadh, Saudi Arabia
| | - A El-Metwally
- King Saud bin Abdulaziz University For Health Sciences, Riyadh, Saudi Arabia
| | - A Al-Jedai
- Ministry of Health, Deputyship of Therapeutic Affairs, Riyadh, Saudi Arabia
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Mir MY, Fazili MR, Dar KH, Mir MS, Qureshi S. Evaluation of a pinhole castration technique in ponies: Comparing single with double ligation (using silk or catgut) of the spermatic cord. EQUINE VET EDUC 2020. [DOI: 10.1111/eve.12902] [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: 12/01/2022]
Affiliation(s)
- M. Y. Mir
- Division of Veterinary Surgery and Radiology Faculty of Veterinary Sciences and AH Shere Kashmir University of Agricultural Sciences and Technology of Kashmir Srinagar Kashmir India
| | - M. R. Fazili
- Veterinary Clinical Services Complex Faculty of Veterinary Sciences and AH Shere Kashmir University of Agricultural Sciences and Technology of Kashmir Srinagar Kashmir India
| | - K. H. Dar
- Division of Veterinary Surgery and Radiology Faculty of Veterinary Sciences and AH Shere Kashmir University of Agricultural Sciences and Technology of Kashmir Srinagar Kashmir India
| | - M. S. Mir
- Division of Veterinary Pathology Faculty of Veterinary Sciences and AH Shere Kashmir University of Agricultural Sciences and Technology of Kashmir Srinagar Kashmir India
| | - S. Qureshi
- Division of Veterinary Microbiology and Immunology Faculty of Veterinary Sciences and AH Shere Kashmir University of Agricultural Sciences and Technology of Kashmir Srinagar Kashmir India
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Baghmar S, Agarwal A, Gauda C, Qureshi S, Malik P, Vaibhav V. PARP inhibitor in platinum resistant ovarian cancer: Single center real world experience. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz426.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Khanna N, Bhatia J, Prasad M, Chinnaswamy G, Vora T, Ramadwar M, Rekhi B, Qureshi S, Kembhavi S, Shah S, Laskar S. Pleuropulmonary Blastoma - A retrospective single institute experience of a rare malignancy. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.07.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Biswas A, Junaid N, Kumawat M, Qureshi S, Mandal A. Influence of dietary supplementation of probiotics on intestinal histo-morphometry, blood chemistry and gut health status of broiler chickens. S AFR J ANIM SCI 2019. [DOI: 10.4314/sajas.v48i5.17] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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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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Wozniak MJ, Sullo N, Qureshi S, Dott W, Cardigan R, Wiltshire M, Morris T, Nath M, Bittar N, Bhudia SK, Kumar T, Goodall AH, Murphy GJ. Randomized trial of red cell washing for the prevention of transfusion-associated organ injury in cardiac surgery. Br J Anaesth 2018; 118:689-698. [PMID: 28475670 PMCID: PMC5430295 DOI: 10.1093/bja/aex083] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2017] [Indexed: 12/18/2022] Open
Abstract
Background. Experimental studies suggest that mechanical cell washing to remove pro-inflammatory components that accumulate in the supernatant of stored donor red blood cells (RBCs) might reduce inflammation and organ injury in transfused patients. Methods. Cardiac surgery patients at increased risk of large-volume RBC transfusion were eligible. Participants were randomized to receive either mechanically washed allogenic RBCs or standard care RBCs. The primary outcome was serum interleukin-8 measured at baseline and at four postsurgery time points. A mechanism substudy evaluated the effects of washing on stored RBCs in vitro and on markers of platelet, leucocyte, and endothelial activation in trial subjects. Results. Sixty adult cardiac surgery patients at three UK cardiac centres were enrolled between September 2013 and March 2015. Subjects received a median of 3.5 (interquartile range 2–5.5) RBC units, stored for a mean of 21 (sd 5.2) days, within 48 h of surgery. Mechanical washing reduced concentrations of RBC-derived microvesicles but increased cell-free haemoglobin concentrations in RBC supernatant relative to standard care RBC supernatant. There was no difference between groups with respect to perioperative serum interleukin-8 values [adjusted mean difference 0.239 (95% confidence intervals −0.231, 0.709), P=0.318] or concentrations of plasma RBC microvesicles, platelet and leucocyte activation, plasma cell-free haemoglobin, endothelial activation, or biomarkers of heart, lung, or kidney injury. Conclusions. These results do not support a hypothesis that allogenic red blood cell washing has clinical benefits in cardiac surgery. Clinical trial registration. ISRCTN 27076315.
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Affiliation(s)
- M J Wozniak
- Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, UK
| | - N Sullo
- Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, UK
| | - S Qureshi
- Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, UK
| | - W Dott
- Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, UK
| | - R Cardigan
- National Health Service Blood and Transplant, Cambridge CB2 0PT, UK
| | - M Wiltshire
- National Health Service Blood and Transplant, Cambridge CB2 0PT, UK
| | - T Morris
- Leicester Clinical Trials Unit, Leicester Diabetes Centre, Leicester General Hospital, Leicester LE5 4PW, UK
| | - M Nath
- Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, UK
| | - N Bittar
- Blackpool Victoria Hospital NHS Trust, Blackpool, Lancashire FY3 8NR, UK
| | - S K Bhudia
- University Hospitals Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, UK
| | - T Kumar
- Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, UK
| | - A H Goodall
- Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, UK
| | - G J Murphy
- Department of Cardiovascular Sciences and NIHR Cardiovascular Biomedical Research Unit, University of Leicester, Glenfield Hospital, Leicester LE3 9QP, UK
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Mittal A, Agarwal A, Rangaraju R, Batra S, Gouda D C, Qureshi S. Can we estimate the risk of chemotherapy toxicity in Indian geriatric patient population and utility of CRASH (chemotherapy risk assessment scale for high age patients) score? Ann Oncol 2018. [DOI: 10.1093/annonc/mdy444.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Qureshi S, Saxena HM, Imam N, Kashoo Z, Sharief Banday M, Alam A, Malik MZ, Ishrat R, Bhat B. Isolation and genome analysis of a lytic Pasteurella multocida Bacteriophage PMP-GAD-IND. Lett Appl Microbiol 2018; 67:244-253. [PMID: 29808940 DOI: 10.1111/lam.13010] [Citation(s) in RCA: 2] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2017] [Revised: 04/10/2018] [Accepted: 04/25/2018] [Indexed: 11/28/2022]
Abstract
Currently used alum precipitated and oil adjuvant vaccines against HS caused by Pasteurella multocida B:2, have side effects and short-lived immunity, leading to regular catastrophic outbreaks in bovines in Asian subcontinent. The need for the development of an improved vaccine with longer immunity and the ability to differentiate between vaccinated and infected is essential. Pasteurella phage isolated in present study belongs to family Siphoviridae. PMP-GAD-IND phage exhibited lytic activity against vaccine strain (P52) as well as several field strains of P. multocida (B:2), and fowl cholera agent (P. multocida A:1).The phage has a double stranded DNA (dsDNA) with a genome of 46 335 bp. The complete genome sequence of the Pasteurella multocida phage has been deposited in Gen Bank with accession no: KY203335. PMP-GAD-IND being a lytic phage with broad activity range has a potential to be used in therapy against multidrug resistant P. multocida infections. SIGNIFICANCE AND IMPACT OF THE STUDY The present work is a part of research for the development of an improved phage lysate marker vaccine and a companion DIVA assay against haemorhagic septicaemia. This study describes the isolation and genome analysis of PMP-GAD-IND a lytic Pasteurella multocida bacteriophage.
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Affiliation(s)
- S Qureshi
- Division of Veterinary Microbiology & Immunology, FVSc & A.H., Shuhama (Aulesteng), SKUAST-K, Shalimar, India
| | - H M Saxena
- Department of Veterinary Microbiology, College of Veterinary Science, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, India
| | - N Imam
- Department of Mathematics, Institute of Computer Science & Information Technology, Magadh University, Bodh Gaya, Bihar, India
| | - Z Kashoo
- Division of Veterinary Microbiology & Immunology, FVSc & A.H., Shuhama (Aulesteng), SKUAST-K, Shalimar, India
| | - M Sharief Banday
- Department of Pharmacology, Government Medical College, Srinagar, Kashmir, India
| | - A Alam
- Centre for Interdisciplinary Research in Basic Sciences, Jamia Milia Islamia, Jamia Nagar, New Delhi, India
| | - Md Z Malik
- Centre for Interdisciplinary Research in Basic Sciences, Jamia Milia Islamia, Jamia Nagar, New Delhi, India
| | - R Ishrat
- Centre for Interdisciplinary Research in Basic Sciences, Jamia Milia Islamia, Jamia Nagar, New Delhi, India
| | - B Bhat
- Division of Veterinary Microbiology & Immunology, FVSc & A.H., Shuhama (Aulesteng), SKUAST-K, Shalimar, India.,Division of Animal Genetics and Breeding, FVSc& A.H., Shuhama (Aulesteng), SKUAST-K, Shalimar, India
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Terragni L, Beune E, Stronks K, Davidson E, Qureshi S, Kumar B, Diaz E. Developing culturally adapted lifestyle interventions for South Asian migrant populations: a qualitative study of the key success factors and main challenges. Public Health 2018; 161:50-58. [PMID: 29902781 DOI: 10.1016/j.puhe.2018.04.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2017] [Revised: 03/15/2018] [Accepted: 04/13/2018] [Indexed: 01/26/2023]
Abstract
OBJECTIVES South Asian migrant populations have a high risk of non-communicable diseases, such as type 2 diabetes (T2D). The aim of this study is to provide in-depth insight into key success factors and challenges in developing culturally adapted lifestyle interventions to prevent T2D within South Asian migrant populations. STUDY DESIGN The study has a qualitative research design. METHODS In-depth interviews, using a semi-structured interview guide, were conducted with eight researchers and project leaders from five studies of culturally adapted lifestyle interventions for South Asian migrant populations. Data were analysed using a grounded theory approach. RESULTS Four main themes emerged as key factors for success: 'approaching the community in the right way', 'the intervention as a space for social relations', 'support from public authorities' and 'being reflexive and flexible'. Two themes emerged as challenges: 'struggling with time' and 'overemphasising cultural differences'. CONCLUSIONS Our findings augment existing research by establishing the importance of cooperation at the organisational and institutional levels, of fostering the creation of social networks through interventions and of acknowledging the multiplicity of identities and resources among individuals of the same ethnic origin.
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Affiliation(s)
- L Terragni
- Norwegian Centre for Migration and Minority Health-The Norwegian Institute of Public Health, PO Box 222 Skøyen, N-0213, Oslo, Norway; Institute of Nursing and Health Promotion, Department of Health, OsloMet - Oslo Metropolitan University, Oslo, Norway.
| | - E Beune
- Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
| | - K Stronks
- Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
| | - E Davidson
- Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, Scotland, United Kingdom.
| | - S Qureshi
- Norwegian Centre for Migration and Minority Health-The Norwegian Institute of Public Health, PO Box 222 Skøyen, N-0213, Oslo, Norway.
| | - B Kumar
- Norwegian Centre for Migration and Minority Health-The Norwegian Institute of Public Health, PO Box 222 Skøyen, N-0213, Oslo, Norway; Department of Community Medicine, Institute of Health and Society, University of Oslo, Postboks 4959 Nydalen, 0424, Oslo, Norway.
| | - E Diaz
- Norwegian Centre for Migration and Minority Health-The Norwegian Institute of Public Health, PO Box 222 Skøyen, N-0213, Oslo, Norway; Department of Global Public Health and Primary Care, University of Bergen, PO. Box 7804 N-5020, Bergen, Norway.
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Qureshi S, Gele A, Kour P, Ainul Moen K, Kumar B, Diaz E. 3.4-O6A qualitative intervention approach to increase the participation of Pakistani and Somali women in cervical cancer screening program in Norway. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky047.106] [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: 11/14/2022] Open
Affiliation(s)
- S Qureshi
- Norwegian Center for Migrant and Minority Health Research (NAKMI), Oslo, Norway
| | - A Gele
- Norwegian Center for Migrant and Minority Health Research (NAKMI), Oslo, Norway
- Department of Health, Institute of Nursing and Health Promotion, Oslo and Akershus University College, Norway
| | - P Kour
- Norwegian Center for Migrant and Minority Health Research (NAKMI), Oslo, Norway
| | - K Ainul Moen
- Norwegian Center for Migrant and Minority Health Research (NAKMI), Oslo, Norway
- Department of Global Public Health and Primary Care, University of Bergen, Norway
| | - B Kumar
- Norwegian Center for Migrant and Minority Health Research (NAKMI), Oslo, Norway
| | - E Diaz
- Norwegian Center for Migrant and Minority Health Research (NAKMI), Oslo, Norway
- Department of Global Public Health and Primary Care, University of Bergen, Norway
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Qureshi S, Kumar B, Ursin G. 7.10-P10Incidence and associated risk factors for cancer in immigrants to Northern Europe; a review. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky048.243] [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: 11/13/2022] Open
Affiliation(s)
| | | | - G Ursin
- NAKMI, Oslo, Norway
- The Cancer Registry Norway, Norway
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El Saiedi SA, Attia WA, Abd El-Aziz OM, Lotfy WN, Abd El-Rahim AM, Hassanein H, Qureshi S. A perforation procedure for pulmonary atresia with intact ventricular septum. Herz 2017; 43:633-641. [DOI: 10.1007/s00059-017-4606-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2017] [Revised: 07/12/2017] [Accepted: 07/19/2017] [Indexed: 11/30/2022]
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Shafaq H, Qureshi S, Shakoor S. Improving Biosecurity in Pakistan: Report from an IATA Guidelines Training for Transportation of Biological Agents. Int J Infect Dis 2016. [DOI: 10.1016/j.ijid.2016.11.140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Qureshi S, Hussain R, Kalirai H, Heimann H, Coupland S. Histomorphological changes of uveal melanoma (UM) following proton beam therapy (PBR). Acta Ophthalmol 2016. [DOI: 10.1111/j.1755-3768.2016.0602] [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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Duncan MJ, Smith JT, Narbaiza J, Mueez F, Bustle LB, Qureshi S, Fieseler C, Legan SJ. Restricting feeding to the active phase in middle-aged mice attenuates adverse metabolic effects of a high-fat diet. Physiol Behav 2016; 167:1-9. [PMID: 27586251 DOI: 10.1016/j.physbeh.2016.08.027] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [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: 04/15/2016] [Revised: 08/22/2016] [Accepted: 08/26/2016] [Indexed: 12/01/2022]
Abstract
Time-restricted feeding ameliorates the deleterious effects of a high-fat diet on body weight and metabolism in young adult mice. Because obesity is highly prevalent in the middle-aged population, this study tested the hypothesis that time-restricted feeding alleviates the adverse effects of a high-fat diet in male middle-aged (12months) mice. C57BL6/J mice were fed one of three diets for 21-25weeks: 1) high-fat diet (60% total calories from fat) ad-libitum (HFD-AL), 2) HFD, time-restricted feeding (HFD-TRF), and 3) low-fat diet (10% total calories from fat) ad-libitum (LFD-AL) (n=15 each). HFD-TRF mice only had food access for 8h/day during their active period. HFD-TRF mice gained significantly less weight than HFD-AL mice (~20% vs 55% of initial weight, respectively). Caloric intake differed between these groups only during the first 8weeks and accounted for most but not all of their body weight difference during this time. TRF of a HFD lowered glucose tolerance in terms of incremental area under the curve (iAUC) (p<0.02) to that of LFD-AL mice. TRF of a HFD lowered liver weight (p<0.0001), but not retroperitoneal or epididymal fat pad weight, to that of LFD-AL mice. Neither HFD-AL nor HFD-TRF had any effect on performance in the novel object recognition or object location memory tests. Circulating corticosterone levels either before or after restraint stress were not affected by diet. In conclusion, TRF without caloric restriction is an effective strategy in middle-aged mice for alleviating the negative effects of a HFD on body weight, liver weight, and glucose tolerance.
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Affiliation(s)
- M J Duncan
- Dept. of Anatomy and Neurobiology, University of Kentucky Medical School, 800 Rose Street, Lexington, KY 40536-0298, United States.
| | - J T Smith
- Dept. of Anatomy and Neurobiology, University of Kentucky Medical School, 800 Rose Street, Lexington, KY 40536-0298, United States
| | - J Narbaiza
- Dept. of Anatomy and Neurobiology, University of Kentucky Medical School, 800 Rose Street, Lexington, KY 40536-0298, United States
| | - F Mueez
- Dept. of Physiology, University of Kentucky Medical School, 800 Rose Street, Lexington, KY 40536-0298, United States
| | - L B Bustle
- Dept. of Physiology, University of Kentucky Medical School, 800 Rose Street, Lexington, KY 40536-0298, United States
| | - S Qureshi
- Dept. of Physiology, University of Kentucky Medical School, 800 Rose Street, Lexington, KY 40536-0298, United States
| | - C Fieseler
- Dept. of Physiology, University of Kentucky Medical School, 800 Rose Street, Lexington, KY 40536-0298, United States
| | - S J Legan
- Dept. of Physiology, University of Kentucky Medical School, 800 Rose Street, Lexington, KY 40536-0298, United States
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Zhovtis Ryerson L, Frohman TC, Foley J, Kister I, Weinstock-Guttman B, Tornatore C, Pandey K, Donnelly S, Pawate S, Bomprezzi R, Smith D, Kolb C, Qureshi S, Okuda D, Kalina J, Rimler Z, Green R, Monson N, Hoyt T, Bradshaw M, Fallon J, Chamot E, Bucello M, Beh S, Cutter G, Major E, Herbert J, Frohman EM. Extended interval dosing of natalizumab in multiple sclerosis. J Neurol Neurosurg Psychiatry 2016; 87:885-9. [PMID: 26917698 DOI: 10.1136/jnnp-2015-312940] [Citation(s) in RCA: 104] [Impact Index Per Article: 13.0] [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] [Received: 12/16/2015] [Accepted: 02/06/2016] [Indexed: 11/03/2022]
Abstract
BACKGROUND Natalizumab (NTZ), a monoclonal antibody to human α4β1/β7 integrin, is an effective therapy for multiple sclerosis (MS), albeit associated with progressive multifocal leukoencephalopathy (PML). Clinicians have been extending the dose of infusions with a hypothesis of reducing PML risk. The aim of the study is to evaluate the clinical consequences of reducing NTZ frequency of infusion up to 8 weeks 5 days. METHODS A retrospective chart review in 9 MS centres was performed in order to identify patients treated with extended interval dosing (EID) regimens of NTZ. Patients were stratified into 3 groups based on EID NTZ treatment schedule in individual centres: early extended dosing (EED; n=249) every 4 weeks 3 days to 6 weeks 6 days; late extended dosing (LED; n=274) every 7 weeks to 8 weeks 5 days; variable extended dosing (n=382) alternating between EED and LED. These groups were compared with patients on standard interval dosing (SID; n=1093) every 4 weeks. RESULTS 17% of patients on SID had new T2 lesions compared with 14% in EID (p=0.02); 7% of patients had enhancing T1 lesions in SID compared with 9% in EID (p=0.08); annualised relapse rate was 0.14 in the SID group, and 0.09 in the EID group. No evidence of clinical or radiographic disease activity was observed in 62% of SID and 61% of EID patients (p=0.83). No cases of PML were observed in EID group compared with 4 cases in SID cohort. CONCLUSIONS Dosing intervals up to 8 weeks 5 days did not diminish effectiveness of NTZ therapy. Further monitoring is ongoing to evaluate if the risk of PML is reduced in patients on EID.
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Affiliation(s)
- L Zhovtis Ryerson
- Department of Neurology, Langone Medical Center, New York University, New York, New York, USA
| | - T C Frohman
- Departments of Neurology & Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - J Foley
- Rocky Mountain MS Clinic, Salt Lake City, Utah, USA
| | - I Kister
- Department of Neurology, Langone Medical Center, New York University, New York, New York, USA
| | | | | | - K Pandey
- Barnabas Health MS Center, Livingston, New Jersey, USA
| | - S Donnelly
- CUNY Graduate Center, New York, New York, USA
| | - S Pawate
- Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - R Bomprezzi
- University of Massachusetts School of Medicine, Worcester, Massachusetts, USA
| | - D Smith
- Multiple Sclerosis Center of Connecticut, Norwich, Connecticut, USA
| | - C Kolb
- University of Buffalo, Buffalo, New York, USA
| | - S Qureshi
- Departments of Neurology & Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - D Okuda
- Departments of Neurology & Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - J Kalina
- Department of Neurology, Langone Medical Center, New York University, New York, New York, USA
| | - Z Rimler
- Department of Neurology, Langone Medical Center, New York University, New York, New York, USA
| | - R Green
- Barnabas Health MS Center, Livingston, New Jersey, USA
| | - N Monson
- Departments of Neurology & Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - T Hoyt
- Rocky Mountain MS Clinic, Salt Lake City, Utah, USA
| | - M Bradshaw
- Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - J Fallon
- Department of Neurology, Langone Medical Center, New York University, New York, New York, USA
| | - E Chamot
- University of Alabama School of Public Health, Birmingham, Alabama, USA
| | - M Bucello
- University of Buffalo, Buffalo, New York, USA
| | - S Beh
- Departments of Neurology & Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - G Cutter
- University of Alabama School of Public Health, Birmingham, Alabama, USA
| | - E Major
- National Institute of Neurological Disorders and Stroke, Bethesda, Maryland, USA
| | - J Herbert
- Department of Neurology, Langone Medical Center, New York University, New York, New York, USA
| | - E M Frohman
- Departments of Neurology & Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, USA Department of Bioengineering, University of Texas at Dallas, Dallas, Texas, USA Department of Behavioural and Brain Sciences, University of Texas at Dallas, Dallas, Texas, USA
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Lubega S, Aliku T, Daluvoy S, Sable C, Qureshi S, Kumar R, Ratnayaka K, Lwabi P. PT208 Pathway to Independent Interventional Practice: Uganda Heart Institute Pediatric Cardiac Catheterization Program. Glob Heart 2016. [DOI: 10.1016/j.gheart.2016.03.560] [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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Nisar M, Jehan F, Akhund T, kabir F, Shakoor S, Qureshi S, Zaidi A. Nasopharyngeal carriage of streptococcus pneumoniae in children under 5 years of age before introduction of pneumococcal vaccine (PCV 10) in urban and rural Sindh. Int J Infect Dis 2016. [DOI: 10.1016/j.ijid.2016.02.901] [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: 11/25/2022] Open
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Khokhar RS, Hajnour MSM, Aqil M, Al-Saeed AH, Qureshi S. Anesthetic management of a patient with Weaver syndrome undergoing emergency evacuation of extra-dural hematoma: A case report and review of the literature. Saudi J Anaesth 2016; 10:98-100. [PMID: 26955318 PMCID: PMC4760052 DOI: 10.4103/1658-354x.169485] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Weaver syndrome is a rare disorder of unknown etiology characterized by skeletal overgrowth, distinctive craniofacial and digital abnormalities and advanced bone age. In general, craniofacial abnormalities that cause difficulty with tracheal intubation may improve, worsen, or remain unchanged as craniofacial structures mature. Furthermore, there is an estimated risk in these children of ≤1.09% of rhabdomyolysis or malignant hyperpyrexia. We report a case of a boy with Weaver syndrome who underwent emergency evacuation of extra-dural hematoma under general anesthesia.
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Dar SH, Qureshi S, Palanivelu M, Muthu S, Mehrotra S, Jan MH, Chaudhary GR, Kumar H, Saravanan R, Narayanan K. Evaluating a murine model of endometritis using uterine isolates of Escherichia coli from postpartum buffalo. Iran J Vet Res 2016; 17:171-176. [PMID: 27822246 PMCID: PMC5090150] [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: 09/10/2015] [Revised: 01/23/2016] [Accepted: 02/27/2016] [Indexed: 06/06/2023]
Abstract
Ascending infection of the uterus with Gram-negative bacteria is responsible for postpartum endometritis in cattle and buffalo and can adversely affect fertility. Development of a laboratory animal model for bovine endometritis would facilitate the understanding of the pathogenesis as it is difficult to conduct controlled experimentation in the native host. In the present study, 30 virgin Swiss Albino mice (5-8 weeks old) were used to evaluate the pathogenic potential of Escherichia coli, isolated from the normally calved postpartum buffalo to induce endometritis. Mice in the diestrus phase of the estrous cycle were randomly allotted to one of the following four intravaginal inoculation (100 μL) treatments: EG (experimental group)-1: sterile normal saline; EG-2, -3 and -4: E. coli@ 1.5 × 104, 105 and 106 CFU/ml, respectively. The animals were then scarified 36 h post-inoculation to study gross and microscopical lesions. Gross changes were confined to EG-4. Acute endometritis was recorded in 50% of the EG-3 and 66.7% of the EG-4. The rate of acute endometritis development was significantly higher in EG-4 (P<0.05) as compared to the other groups. The present study demonstrated that the animal model for bubaline endometritis can be developed in mice by intravaginal inoculation of E.coli@ 1.5 × 106 CFU/ml at diestrus. Ease of intravaginal inoculation, apparent absence of systemic involvement and high infective rate are the advantages of the model over other studies.
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Affiliation(s)
- S. H. Dar
- Division of Animal Reproduction, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
| | - S. Qureshi
- Division of Biological Standardization, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
| | - M. Palanivelu
- Divsion of Pathology, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
| | - S. Muthu
- Division of Temperate Animal Husbandry, Indian Veterinary Research Institute, Mukteswar, Uttarakhand, 263138, India
| | - S. Mehrotra
- Division of Livestock Production and Management, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
| | - M. H. Jan
- Division of Animal Reproduction, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
| | - G. R. Chaudhary
- Ph.D. Scholar, Division of Animal Reproduction, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
| | - H. Kumar
- Division of Animal Reproduction, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
| | - R. Saravanan
- Immunology Section, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
| | - K. Narayanan
- Division of Animal Reproduction, Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
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Qureshi S, Agrawal C, Madan M, Pandey A, Chauhan H. Superbugs causing ventilator associated pneumonia in a tertiary care hospital and the return of pre-antibiotic era! Indian J Med Microbiol 2015; 33:286-9. [PMID: 25865985 DOI: 10.4103/0255-0857.153566] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
The rise in super bugs causing Ventilator-Associated Pneumonia (VAP) is a major cause of mortality and morbidity despite recent advances in management owing to the looming 'antibiotic apocalypse'. The aetiology and susceptibility pattern of the VAP isolates varies with patient population, type of intensive care unit (ICU) and is an urgent diagnostic challenge. The present study carried out for a period of one year in a tertiary care hospital, enrolled patients on mechanical ventilation (MV) for ≥48 hrs. Endotracheal aspirates (ETA) from suspected VAP patients were processed by semi quantitative method. Staphylococus aureus, members of Enterobacteriaceae were more common in early onset VAP (EOVAP), while Nonfermenting Gram negative bacilli (NFGNB) were significantly associated with late onset VAP (LOVAP). Most of the isolates were multi drug resistant (MDR) super bugs. With limited treatment options left for this crisis situation like the pre-antibiotic era; it is an alarm for rational antibiotic therapy usage and intensive education programs.
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Affiliation(s)
| | - C Agrawal
- Department of Microbiology, Subharti Medical College, Delhi-Haridwar Bypass, Meerut - 250 005, Uttar Pradesh, India
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Schülke S, Flaczyk A, Vogel L, Gaudenzio N, Angers I, Löschner B, Wolfheimer S, Spreitzer I, Qureshi S, Tsai M, Galli S, Vieths S, Scheurer S. MPLA shows attenuated pro-inflammatory properties and diminished capacity to activate mast cells in comparison with LPS. Allergy 2015; 70:1259-68. [PMID: 26081583 DOI: 10.1111/all.12675] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/11/2015] [Indexed: 01/03/2023]
Abstract
BACKGROUND Monophosphoryl lipid A (MPLA), a nontoxic TLR4 ligand derived from lipopolysaccharide (LPS), is used clinically as an adjuvant in cancer, hepatitis, and malaria vaccines and in allergen-specific immunotherapy. Nevertheless, its cell-activating effects have not been analyzed in a comprehensive direct comparison including a wide range of different immune cells. Therefore, the objective of this study was the side-by-side comparison of the immune-modulating properties of MPLA and LPS on different immune cells. METHODS Immune-activating properties of MPLA and LPS were compared in human monocytes and mast cells (MCs), a mouse endotoxin shock model (ESM), and mouse bone marrow (BM)-derived myeloid dendritic cells (mDCs), T cells (TCs), B cells, and MCs. RESULTS In a mouse in vivo ESM and a human ex vivo monocyte activation test (MAT), MPLA induced the same cytokine secretion pattern as LPS (ESM: IL-6, IL-12, TNF-α; MAT: IL-1β, IL-6, TNF-α), albeit at lower levels. Mouse mDCs and ex vivo isolated B cells stimulated with MPLA required a higher threshold to induce TRIF-dependent cytokine secretion (IL-1β, IL-6, IL-10, and TNF-α) than did LPS-stimulated cells. In mDC:DO11.10 CD4 TC cocultures, stimulation with MPLA, but not with LPS, resulted in enhanced OVA-specific IL-4 and IL-5 secretion from DO11.10 CD4 TCs. Unexpectedly, in both human and mouse MCs, MPLA, unlike LPS, did not elicit secretion of pro-inflammatory cytokines. CONCLUSIONS Compared to LPS, MPLA induced a qualitatively similar, but less potent pro-inflammatory immune response, but was unable to activate human or mouse MCs.
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Affiliation(s)
- S. Schülke
- Vice President′s Research Group 1: Molecular Allergology; Paul-Ehrlich-Institut; Langen Germany
| | - A. Flaczyk
- Vice President′s Research Group 1: Molecular Allergology; Paul-Ehrlich-Institut; Langen Germany
| | - L. Vogel
- Division of Allergology; Paul-Ehrlich-Institut; Langen Germany
| | - N. Gaudenzio
- Department of Pathology; Stanford University School of Medicine; Stanford CA USA
| | - I. Angers
- Research Institute of the McGill University Health Center; Montréal QC Canada
| | - B. Löschner
- Division of Microbiology; Paul-Ehrlich-Institut; Langen Germany
| | - S. Wolfheimer
- Vice President′s Research Group 1: Molecular Allergology; Paul-Ehrlich-Institut; Langen Germany
| | - I. Spreitzer
- Division of Microbiology; Paul-Ehrlich-Institut; Langen Germany
| | - S. Qureshi
- Research Institute of the McGill University Health Center; Montréal QC Canada
- Department of Medicine; McGill University; Montréal QC Canada
| | - M. Tsai
- Department of Pathology; Stanford University School of Medicine; Stanford CA USA
| | - S. Galli
- Department of Pathology; Stanford University School of Medicine; Stanford CA USA
| | - S. Vieths
- Vice President′s Research Group 1: Molecular Allergology; Paul-Ehrlich-Institut; Langen Germany
| | - S. Scheurer
- Vice President′s Research Group 1: Molecular Allergology; Paul-Ehrlich-Institut; Langen Germany
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Kembhavi S, Qureshi S, Ramadwar M, Popat P, Chinnaswamy G, Laskar S. Diagnostic accuracy of staging of Wilms’ tumour in the era of multislice CT. Cancer Imaging 2014. [PMCID: PMC4242747 DOI: 10.1186/1470-7330-14-s1-p18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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44
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Kembhavi S, Qureshi S, Ramadwar M, Popat P, Chinnaswamy G, Laskar S. Diagnostic accuracy of Staging of Wilms’ Tumour in the era of multislice CT. Cancer Imaging 2014. [PMCID: PMC4242769 DOI: 10.1186/1470-7330-14-s1-s12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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45
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Goreczny S, Krasemann T, Qureshi S, Rosenthal E, Bedair R, Salih C, Austin C, Anderson D, Morgan G. Comparison of self-expandable and balloon expanding stents for hybrid ductal stenting in hypoplastic left heart syndrome. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1394085] [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: 10/24/2022]
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46
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Kembhavi S, Rangarajan V, Shah S, Qureshi S, Arora B, Juvekar S, Laskar S, Vora T, Chinnaswamy G, Ramadwar M, Kurkure P. Prospective observational study on diagnostic accuracy of whole-body MRI in solid small round cell tumours. Clin Radiol 2014; 69:900-8. [DOI: 10.1016/j.crad.2014.04.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2013] [Revised: 04/01/2014] [Accepted: 04/08/2014] [Indexed: 11/30/2022]
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Qureshi S, Pandey A, Sirohi TR, Verma SR, Sardana V, Agrawal C, Asthana AK, Madan M. Mixed pulmonary infection in an immunocompromised patient: a rare case report. Indian J Med Microbiol 2014; 32:79-81. [PMID: 24399397 DOI: 10.4103/0255-0857.124330] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Patients who are immunocompromised are predisposed to a variety of common and uncommon pulmonary infections. We report a case of mixed pulmonary infection by drug resistant tuberculosis with a nocardiosis in a 49-year-old man who was a known case of chronic obstructive pulmonary disease, on prolonged corticosteroid use with diabetes mellitus. Chronic use of corticosteroids is a predisposing factor for opportunistic infections, such as nocardiosis or tuberculosis. Since such a mixed infection is rare, maybe a combined approach to therapy early in the course of disease would be effective in such cases.
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Affiliation(s)
| | - A Pandey
- Department of Microbiology, Subharti Medical College, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India
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Shakoor S, Hotwani A, Imtiaz K, Quadri F, Muslim S, Khan A, Qureshi S, Zaidi A. High ceftriaxone MICs of enteric Shigella spp isolated from children in peri-urban Karachi, Pakistan. Int J Infect Dis 2014. [DOI: 10.1016/j.ijid.2014.03.619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Qureshi S, Patel N, Abedoye A, Nielseon P, Brithford K, Cardigan R, Verheyden V, Murphy GJ. 018 * INFLUENCE OF RED CELL REJUVENATION, BEYOND ELIMINATION OF STORAGE LESIONS WITH CELL WASHING, ON POST-RED CELL TRANSFUSION-RELATED ACUTE LUNG INJURY. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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50
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Qureshi S, Taitano A, Singh T, Binetti B, Eichhorn P, Baghai-Kermani A. Alvimopan (Entereg) Use in Laparoscopic Roux-en-Y Gastric Bypass Does Not Improve Clinical Outcomes. J Surg Res 2013. [DOI: 10.1016/j.jss.2012.10.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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