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Deivasigamani S, Adams ES, Kotamarti S, Mottaghi M, Taha T, Aminsharifi A, Michael Z, Seguier D, Polascik TJ. Comparison of procedural anxiety and pain associated with conventional transrectal ultrasound prostate biopsy to magnetic resonance imaging-ultrasound fusion-guided biopsy: a prospective cohort trial. Prostate Cancer Prostatic Dis 2024; 27:294-299. [PMID: 38001362 DOI: 10.1038/s41391-023-00760-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 10/07/2023] [Accepted: 11/14/2023] [Indexed: 11/26/2023]
Abstract
BACKGROUND Prostate cancer (PCa) diagnosis relies on biopsies, with transrectal ultrasound (TRUS) biopsies being common. Fusion biopsy (FB) offers improved diagnostic accuracy, but the pain and anxiety experienced by patients during biopsies is often overlooked. This study aims to compare pain and anxiety levels between standard TRUS-guided biopsy (STB) and systematic plus MRI/US fusion biopsy (STB + FB). MATERIALS AND METHODS The study involved adult men undergoing biopsies, receiving identical peri-procedural care, including 2% lidocaine jelly in the rectum and subsequent 1% lidocaine injections (10cc per side) into the prostate-seminal vesicle junction and prostatic apical areas bilaterally. The biopsy technique was chosen based on clinical and imaging findings. Pre- and post-biopsy anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI) questionnaire, categorized as mild (20-37), moderate (38-44), or severe (45-80). Post-biopsy pain was evaluated on a numerical rating scale, ranging from 0 to 10. RESULTS Of the 165 patients, 99 underwent STB, and 66 underwent STB + FB. No significant differences were observed in age, race, prostate-specific antigen, prostate volume, or prior biopsies between the groups. The STB + FB group had more biopsy cores taken (16.2 vs. 12, p = 0.001) and a longer procedure time (23 vs. 10 min, p = 0.001). STB biopsy patients experienced lower post-procedural anxiety compared to STB + FB, with a mean difference of -7 (p = 0.001, d = 0.92). In the STB + FB group, 89% experienced severe post-procedural anxiety compared to 59% in STB (p = 0.002). There was no significant difference in post-procedural pain (p = 0.7). Patients with prior biopsies had significantly higher STAI(S) anxiety scores (p = 0.005), and the number of prior biopsies correlated with anxiety severity (p = 0.04) in STB + FB group. CONCLUSION In summary, STB + FB group demonstrated higher post-procedural anxiety levels than the STB group, with no difference in pain levels. Additionally, patients with a history of repeat biopsies were more likely to exhibit higher STAI(S) anxiety scores.
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Affiliation(s)
| | - Eric S Adams
- Department of Urology, Duke University Medical Center, Durham, NC, 27710, USA
| | - Srinath Kotamarti
- Department of Urology, Duke University Medical Center, Durham, NC, 27710, USA
| | - Mahdi Mottaghi
- Section of Urology, Department of Surgery, Durham Veterans Affairs Medical Center, Durham, NC, 27710, USA
| | - Terek Taha
- Department of Urology, Duke University Medical Center, Durham, NC, 27710, USA
- Ziv Medical Center, Safed, Israel
| | - Ali Aminsharifi
- Department of Urology, Duke University Medical Center, Durham, NC, 27710, USA
- Department of Urology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA
| | - Zoe Michael
- Department of Urology, Duke University Medical Center, Durham, NC, 27710, USA
- Section of Urology, Department of Surgery, Durham Veterans Affairs Medical Center, Durham, NC, 27710, USA
| | - Denis Seguier
- Department of Urology, Lille University, Lille, France
| | - Thomas J Polascik
- Department of Urology, Duke University Medical Center, Durham, NC, 27710, USA
- Section of Urology, Department of Surgery, Durham Veterans Affairs Medical Center, Durham, NC, 27710, USA
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Savin Z, Taha T, Marom R, Ben-David R, Yossepowitch O, Sofer M. Simultaneous bilateral flexible ureteroscopy step by step. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01384-2] [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: 02/12/2023]
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Taha T, Taha B, Ben Zvi M, Ben Zvi A, Ben Zvi A. A comparative study of perioperative outcomes and pain management after laparoscopic vs. vaginal approach for genital prolapse repair. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00765-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Moustafa M, Taha T, Elnouby M, Abu-Saied Aied M, Shati A, Al-Kahtani M, Alrummani. S. Feasible design for electricity generation from Chlorella vulgaris using convenient photosynthetic conditions. BIOCELL 2018. [DOI: 10.32604/biocell.2018.07002] [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: 11/15/2022]
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Taha T, Talhamy S, Wollner M, Peer A, Bar-Sela G. The effect of cannabis use on tumor response to nivolumab in patients with advanced malignancies. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx388.005] [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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Taha T. 48. Can early 24 hours Holter monitoring predict obstructive coronary artery lesions in patients with low risk acute coronary syndrome? J Saudi Heart Assoc 2016. [DOI: 10.1016/j.jsha.2016.04.049] [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: 11/17/2022] Open
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Reed N, Taha T, Monette G, Keightley M. A Preliminary Exploration of Concussion and Strength Performance in Youth Ice Hockey Players. Int J Sports Med 2016; 37:708-13. [DOI: 10.1055/s-0042-104199] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- N. Reed
- Holland Bloorview Kids Rehabilitation Hospital, Bloorview Research Institute, Toronto, Canada
| | - T. Taha
- Faculty of Physical Education and Health, University of Toronto, Toronto, Canada
| | - G. Monette
- Department of Mathematics and Statistics, York University, Toronto, Canada
| | - M. Keightley
- Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
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Demerdash Z, El Baz H, Mahmoud F, Mohamed S, Maher K, Gaafar T, Shawky S, Hassan M, Abdelhady D, Taha T. Enhancing ex vivo expansion of cord blood-derived unrestricted somatic stem cells for clinical applications. Cell Prolif 2014; 46:628-36. [PMID: 24460716 DOI: 10.1111/cpr.12070] [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] [Received: 06/15/2013] [Accepted: 08/12/2013] [Indexed: 12/19/2022] Open
Abstract
OBJECTIVES To study effects of serum-containing medium (SCM) versus serum-free medium (SFM) and influence of seeding density, on rate of expansion of cord blood (CB) unrestricted somatic stem cells (USSCs), as a prerequisite for evaluating their therapeutic potential in ongoing clinical trials. MATERIAL AND METHODS Isolation, propagation and characterization of USSCs from CB samples were performed and followed by their passage 3 culture in SCM and SFM, at cell densities of 5, 50, 500 and 5000 cells/cm(2) . RESULTS The cells were CD44(+) , CD90(+) , CD73(+) , CD105(+) , CD34(-) , CD45(-) , and HLA-DR, with Oct4 & Sox2 gene expression; they were differentiated into osteoblasts and adipocytes. USSCs cultured in SCM had significantly higher population doubling levels (P < 0.01) than those cultured in SFM. Those cultured in SCM at 5 cells/cm(2) and those cultured in SFM at 50 cells/cm(2) had significantly higher population doubling (P < 0.01) levels than those cultured at higher cell densities. CONCLUSIONS For scaling up of USSCs from 106 (?) to 1012 (?) in 6 weeks, culturing of CB-derived cells of early passage (≤P3) in SCM at low cell seeding density (5 cells/cm(2) ) is suggested for increasing cell count with lower passaging frequency, followed by culture of expanded USSCs at 50 cells/cm(2) in SFM, to avoid undesirable effects of bovine serum in clinical applications.
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Affiliation(s)
- Z Demerdash
- Immunology, Theodor Bilharz Research Institute, Cairo, 12411, Egypt
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Balkus JE, Richardson BA, Rabe LK, Taha T, Mgodi N, Kasaro MP, Maslankowski LA, Ramjee G, Hoffman IF, Karim SSA. P3.090 Bacterial Vaginosis and the Risk of Trichomonas Vaginalis Acquisition Among HIV-1 Negative Women. Br J Vener Dis 2013. [DOI: 10.1136/sextrans-2013-051184.0549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abstract
The objective of this study was to describe the number, types and locations of known injuries occurring across different age categories and levels of competition in female ice hockey within the Ontario Women's Hockey Association from 2004/05 to 2007/08. We further examined under which aforementioned factors and combination of factors an unusually high or low number of injuries was recorded. Secondary analysis of anonymized injury data was conducted. The most common known injury type was strain/sprain, followed by concussion while the most frequent injury location was head/face/mouth. Analysis of deviance indicated that a significantly higher than expected number of sprain/strain, concussion and laceration injuries were recorded compared to all other injury types. In addition, there were a higher number of injuries recorded at the AA level compared to all other levels of competition. Finally, the age categories of Peewee, Midget and Intermediate within the AA level of competition, as well as Senior/Adult within the Houseleague level of competition also recorded a significantly higher number of injuries compared to other combinations of descriptive factors. Further research with female youth is needed to better understand the high number of injuries, including concussions, reported overall.
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Affiliation(s)
- M Keightley
- Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.
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Reed N, Taha T, Keightley M, Duggan C, McAuliffe J, Cubos J, Baker J, Faught B, McPherson M, Montelpare W. Measurement of Head Impacts in Youth Ice Hockey Players. Int J Sports Med 2010; 31:826-33. [DOI: 10.1055/s-0030-1263103] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Smith R, Taha T, Cui ZF. Using an improved 1D boundary layer model with CFD for flux prediction in gas-sparged tubular membrane ultrafiltration. Water Sci Technol 2005; 51:69-76. [PMID: 16003963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Tubular membrane ultrafiltration and microfiltration are important industrial separation and concentration processes. Process optimisation requires reduction of membrane build-up. Gas slug introduction has been shown to be a useful approach for flux enhancement. However, process quantification is required for design and optimisation. In this work we employ a non-porous wall CFD model to quantify hydrodynamics in the two-phase slug flow process. Mass transfer is subsequently quantified from wall shear stress, which was determined from the CFD. The mass transfer model is an improved one-dimensional boundary layer model, which empirically incorporates effects of wall suction and analytically includes edge effects for circular conduits. Predicted shear stress profiles are in agreement with experimental results and flux estimates prove more reliable than that from previous models. Previous models ignored suction effects and employed less rigorous fluid property inclusion, which ultimately led to under-predictive flux estimates. The presented model offers reliable process design and optimisation criteria for gas-sparged tubular membrane ultrafiltration.
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Affiliation(s)
- R Smith
- Department of Engineering Science, Oxford University, Parks Road, Oxford OX1 3PG, UK
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van De Wijgert J, Fullem A, Kelly C, Mehendale S, Rugpao S, Kumwenda N, Chirenje Z, Joshi S, Taha T, Padian N, Bollinger R, Nelson K. Phase 1 trial of the topical microbicide BufferGel: safety results from four international sites. J Acquir Immune Defic Syndr 2001; 26:21-7. [PMID: 11176265 DOI: 10.1097/00126334-200101010-00003] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
AIM To evaluate the safety of BufferGel (ReProtect LLC, Baltimore, MD), a spermicidal microbicide that acidifies semen and maintains the protective acidity of the vagina, in a high-dose tolerance trial. METHODS HIV/STD negative, sexually abstinent, and sexually active women in India, Thailand, Malawi, and Zimbabwe were asked to insert one applicator ( approximately 5 ml) of BufferGel vaginally twice per day for 14 days. Sexually active women agreed to have sex (while using BufferGel and nonlubricated condoms) at least twice per week. RESULTS In total, 98 women (30 sexually abstinent and 68 sexually active) were enrolled. Overall compliance with product use was 93%. Epithelial abnormalities detected by pelvic examination or colposcopy were uncommon (8 cases in 271 examinations). Irritation was reported by approximately one quarter of the women (0.58 events per woman-week) but was generally mild and of short duration. The prevalence of bacterial vaginosis (BV) fell significantly, from 30% at enrollment to 6% at one week, and 7% at two weeks of BufferGel use. Thirty-two women acquired microscopically detectable yeast during BufferGel exposure, but only 3 developed symptomatic vaginitis. CONCLUSION BufferGel appears to be safe and well tolerated by the cervicovaginal epithelium. Its effect on BV and yeasts merits further study.
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Affiliation(s)
- J van De Wijgert
- University of Zimbabwe-University of California San Francisco Women's Health Program, Harare, Zimbabwe.
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Abstract
The purpose was to examine the effectiveness of low-cost abatement on children's blood lead levels. Blood lead was analyzed before and after abatement in 37 homes of children under 7 years old with initial blood lead levels of 25-44 microgram/dL. Ninety-five percent of homes were built before 1950. Abatement methods used were wet-scraping and repainting deteriorated surfaces and wrapping window wells with aluminum or vinyl. A control group was retrospectively selected. Control children were under 7 years old, had initial blood lead levels of 25-44 microgram/dL and a follow-up level at least 28 days afterward, and did not have abatements performed in their homes between blood lead levels. After abatement, statistically significant declines occurred in the intervention children's blood lead levels. The mean decline was 22%, 1 to 6 months after treatment. After adjustment for seasonality and child's age, the mean decline was 6.0 microgram/dL, or 18%. The control children's blood levels did not decline significantly. There was a mean decline of 0.25 microgram/dL, or 0.39%. After adjustment for seasonality and age, the mean decline for control children was 1.6 microgram/dL, or 1.8%. Low-cost abatement and education are effective short-term interim controls.
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Affiliation(s)
- T Taha
- Department of Preventive Medicine, University of Wisconsin-Madison, 610 N. Walnut Street, Madison, Wisconsin, 53705-2397, USA
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Flashinski RA, Taha T, Kanarek MS. Childhood lead paint poisoning: from past to present. Wis Med J 1996; 95:583-7. [PMID: 8772420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- R A Flashinski
- Department of Preventive Medicine, University of Wisconsin-Madison 53705-2368, USA
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Yousif H, Lo E, Taha T, Stockins B, Oakley CM. The diagnostic significance of reciprocal ST segment depression in acute myocardial infarction. Q J Med 1989; 72:849-55. [PMID: 2616730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The relationship between reciprocal ST-segment depression, the result of an early submaximal exercise ECG, and the anatomy of coronary artery disease was explored in 142 patients with acute myocardial infarction. Reciprocal ST-segment depression was observed in 65 per cent of 79 patients with inferior infarction and 57 per cent of 63 with anterior infarction. Thirty-three of the 52 patients with reciprocal ST-segment depression had a significant stenosis of the coronary artery supplying the reciprocal ST-segment territory (63 per cent), and 31 of the 46 patients with a positive exercise test had a significant stenosis of the coronary artery supplying the ischaemic territory (67 per cent). Forty-one of the patients with reciprocal ST-segment depression (79 per cent) and 35 of the patients with positive exercise tests (76 per cent) were found to have multivessel coronary artery disease. The study showed that reciprocal ST-segment depression was associated with stenosis of the coronary artery supplying the territory opposite the infarct in nearly two-thirds of the patients and with multivessel coronary artery disease in almost four-fifths of them. Reciprocal ST-segment depression after infarction was as accurate as a positive submaximal exercise test at predicting the presence of multivessel coronary artery disease.
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Affiliation(s)
- H Yousif
- Department of Medicine (Clinical Cardiology), Hammersmith Hospital, London
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