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Khan W, Kushwaha AK, Al-Amer R, Alanazi N, Alqahtani HR, Al-Qaisi S, Faizan M, Haq BU, Laref A, Alghamdi EA, Nya FT, Amine Monir ME, Chowdhury S. Electronic, optical, and thermoelectric characteristics of (Ae) xFBiS 2 (Ae=Sr, Ba, and x=1.7) layered materials useful in optical modulator devices. J Mol Graph Model 2024; 129:108729. [PMID: 38479238 DOI: 10.1016/j.jmgm.2024.108729] [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: 11/17/2023] [Revised: 02/04/2024] [Accepted: 02/14/2024] [Indexed: 04/15/2024]
Abstract
The recent discovery of superconductivity behavior in the mother BiS2-layered compounds has captivated the attention of several physicists. The crystal structure of superconductors with alternate layers of BiS2 is homologous to that of cuprates and Fe-based superconductors. The full-potential linearized augmented plane-wave (FP-LAPW) technique was utilized to investigate the electronic structures and density of states in the vicinity of the Fermi energy of SrFBiS2 and BaFBiS2 compounds under the electron carriers doping. The introduction of electron doping (carries doping) reveals that the host compounds SrFBiS2 and BaFBiS2 exhibit features indicative of superconductivity. This carrier doping of SrFBiS2 and BaFBiS2 compounds (electron-doped) has a significant impact on the lowest conduction states near the Fermi level for the emergence of the superconducting aspect. The electron doping modifies and induces changes in the electronic structures with superconducting behavior in (Ae)1.7FBiS2(Ae=Sr,Ba) compounds. A Fermi surface nesting occurred under the modification of electrons (carriers) doping in the host compounds SrFBiS2 and BaFBiS2. Furthermore, the optical characteristics of the carrier-doped SrFBiS2 and BaFBiS2 compounds are simulated. Due to the anisotropic behavior, the optical properties of these materials based on BiS2 demonstrate a pronounced polarization dependency. The starting point at zero photon energy in the infrared region is elucidated by considering the Drude features in the optical conductivity spectra of SrFBiS2 and BaFBiS2 compounds, when the electron carriers doping is applied. It was clearly noticed that the spin-orbit coupling (SOC) influences the electronic band structures, density of states, Femi surface, and optical features because of the heavy Bismuth atom, which may disclose fascinating aspects. Further, we conducted simulations to assess the thermoelectric properties of these mother compounds. The two BiS2-layered compounds could be suitable for practical thermoelectric purposes and are highlighted through assessment of electrical conductivity, thermal conductivity, Seebeck coefficient, and power factor. As a result, we propose that the mechanisms of superconducting behavior in BiS2 family may pave new avenues for investigating the field of unconventional superconductivity. It may also provide new insights into the origin of high-Tc superconductivity nature.
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Affiliation(s)
- W Khan
- Department of Physics, Bacha Khan University, Charsada, Pakistan.
| | - A K Kushwaha
- Department of Physics, S.I.G. Govt. P.G. College, Lalganj, Mirzapur, U.P., India; Department of Physics, K.N. Govt. P.G. College, Gyanpur, Bhadohi, 221304, U.P., India
| | - R Al-Amer
- Department of Physics and Astronomy, College of Science, King Saud University, Riyadh, 11451, Kingdom of Saudi Arabia
| | - Nadyah Alanazi
- Department of Physics and Astronomy, College of Science, King Saud University, Riyadh, 11451, Kingdom of Saudi Arabia
| | - H R Alqahtani
- Department of Physics and Astronomy, College of Science, King Saud University, Riyadh, 11451, Kingdom of Saudi Arabia
| | - Samah Al-Qaisi
- Palestinian Ministry of Education and Higher Education, Nablus, Palestine
| | - Muhammad Faizan
- College of Materials Science and Engineering Jilin University, Changchun, China
| | - Bakhtiar Ul Haq
- Faculty of Science Education, Jeju National University, Jeju, 63243, Republic of Korea; Advanced Functional Materials & Optoelectronics Laboratory (AFMOL), Department of Physics, Faculty of Science, King Khalid University, P.O. Box 9004, Abha, Kingdom of Saudi Arabia
| | - A Laref
- Department of Physics and Astronomy, College of Science, King Saud University, Riyadh, 11451, Kingdom of Saudi Arabia.
| | - Eman A Alghamdi
- Department of Physics and Astronomy, College of Science, King Saud University, Riyadh, 11451, Kingdom of Saudi Arabia
| | - Fridolin Tchangnwa Nya
- University of Maroua, High National College of Technology, Department of Energy and Environment, Cameroon; University of Maroua, Faculty of Science, Department of Physics, Materials Science Laboratory, P.O. Box 814, Maroua, Cameroon
| | - Mohammed El Amine Monir
- Faculty of the Exact Sciences, Mustapha Stambouli University of Mascara, B.P. 305, 29000, Mascara, Algeria
| | - Shahariar Chowdhury
- Faculty of Environmental Management, Prince of Songkla University, Songkhla, 90110, Thailand; Environmental Assessment and Technology for Hazardous Waste Management Research Centre, Faculty of Environmental Management, Prince of Songkla University, Songkhla, 90110, Thailand
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Khan W, Zhu Y, Khan A, Zhao L, Yang YM, Wang N, Hao M, Ma Y, Nepal J, Ullah F, Rehman MMU, Abrar M, Xiong YC. Above-and below-ground feedback loop of maize is jointly enhanced by plant growth-promoting rhizobacteria and arbuscular mycorrhizal fungi in drier soil. Sci Total Environ 2024; 917:170417. [PMID: 38280611 DOI: 10.1016/j.scitotenv.2024.170417] [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] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 12/23/2023] [Accepted: 01/22/2024] [Indexed: 01/29/2024]
Abstract
Drought is a potent abiotic stressor that arrests crop growth, significantly affecting crop health and yields. The arbuscular mycorrhizal fungi (AMF), and plant growth-promoting rhizobacteria (PGPR) can offer to protect plants from stressful environments through improving water, and nutrient use efficiency by strengthening plant root structure and harnessing favorable rhizosphere environments. When Acaulospora laevis (AMF) and Bacillus subtilus (PGPR) are introduced in combination, enhanced root growth and beneficial microbial colonization can mitigate drought stress. To assess this potential, a pot experiment was done with maize (Zea mays L.) to explore the effects of A. laevis and B. subtilus under different water levels (well-watered = 80 %; moderate water stress = 55 %; and severe water stress = 35 %) on maize yield, soil microbial activities, nutrients contents, root, and leaf functioning. Plants exposed to severe drought stress hampered their root and leaf functioning, and reduced grain yield compared with control plants. Combined use of AMF and PGPR increased root colonization (104.6 %-113.2 %) and microbial biomass carbon (36.38 %-40.23 %) under moderate to severe drought conditions over control. Higher root colonization was strongly linked with elevated ACC (aminocyclopropane-1-carboxylic acid) production, subsequently enhancing water use efficiency (21.62 %-12.77 %), root hydraulic conductivity (1.9 %-1.4 %) and root nutrient uptake under moderate to severe drought conditions. Enhanced nutrient uptake further promoted leaf photosynthetic rate by 27.3 %-29.8 % under moderate and severe drought stress. Improving leaf and root physiological functioning enhanced maize grain yield under stressful environments. Furthermore, co-inoculation with AMF-PGPR reduced cellular damage by lowering oxidative enzyme levels and increasing antioxidative enzyme activities, improving plant performance and grain yield under stressful environments. Conclusively, the synergistic interaction of AMF with PGPR ensured plant stress tolerance by reducing cellular injury, facilitating root-leaf functioning, enhancing nutrient-water-use-efficiencies, and increasing yield under drought stress.
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Affiliation(s)
- Wasim Khan
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Ying Zhu
- Key Laboratory of Microbial Resources Exploitation and Application, Institute of Biology, Gansu Academy of Sciences, Lanzhou, Gansu 730000, China.
| | - Aziz Khan
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Ling Zhao
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Yu-Miao Yang
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Ning Wang
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Meng Hao
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Yue Ma
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Jaya Nepal
- Department of Soil, Water & Ecosystem Sciences, Indian River Research Center, University of Florida, Fort Pierce, FL, USA
| | - Fazal Ullah
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Muhammad Maqsood Ur Rehman
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Muhammad Abrar
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China
| | - You-Cai Xiong
- State Key Laboratory of Herbage Improvement and Grassland Agroecosystems, School of Life Sciences/College of Ecology, Lanzhou University, Lanzhou, Gansu 730000, China.
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Badji A, Cedres N, Muehlboeck JS, Khan W, Dhollander T, Barroso J, Ferreira D, Westman E. In vivo microstructural heterogeneity of white matter and cognitive correlates in aging using tissue compositional analysis of diffusion magnetic resonance imaging. Hum Brain Mapp 2024; 45:e26618. [PMID: 38414286 PMCID: PMC10899800 DOI: 10.1002/hbm.26618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Revised: 12/03/2023] [Accepted: 12/24/2023] [Indexed: 02/29/2024] Open
Abstract
BACKGROUND Age-related cognitive decline is linked to changes in the brain, particularly the deterioration of white matter (WM) microstructure that accelerates after the age of 60. WM deterioration is associated with mild cognitive impairment and dementia, but the origin and role of white matter signal abnormalities (WMSA) seen in standard MRI remain debated due to their heterogeneity. This study explores the potential of single-shell 3-tissue constrained spherical deconvolution (SS3T-CSD), a novel technique that models diffusion data in terms of gray matter (TG ), white matter (Tw ), and cerebrospinal fluid (TC ), to differentiate WMSA from normal-appearing white matter and better understand the interplay between changes in WM microstructure and decline in cognition. METHODS A total of 189 individuals from the GENIC cohort were included. MRI data, including T1-weighted and diffusion images, were obtained. Preprocessing steps were performed on the diffusion MRI data, followed by the SS3T-CSD. WMSA were segmented using FreeSurfer. Statistical analyses were conducted to assess the association between age, WMSA volume, 3-tissue signal fractions (Tw , TG , and TC ), and neuropsychological variables. RESULTS Participants above 60 years old showed worse cognitive performance and processing speed compared to those below 60 (p < .001). Age was negatively associated with Tw in normal-appearing white matter (p < .001) and positively associated with TG in both WMSA (p < .01) and normal-appearing white matter (p < .001). Age was also significantly associated with WMSA volume (p < .001). Higher processing speed was associated with lower Tw and higher TG , in normal-appearing white matter (p < .01 and p < .001, respectively), as well as increased WMSA volume (p < .001). Similarly, lower MMSE scores correlated with lower Tw and higher TG in normal-appearing white matter (p < .05). High cholesterol and hypertension were associated with higher WMSA volume (p < .05). CONCLUSION The microstructural heterogeneity within normal-appearing white matter and WMSA is associated with increasing age and cognitive variation, in cognitively unimpaired individuals. Furthermore, the 3-tissue signal fractions are more specific to potential white matter alterations than conventional MRI measures such as WMSA volume. These findings also support the view that the WMSA volumes may be more influenced by vascular risk factors than the 3-tissue metrics. Finally, the 3-tissue metrics were able to capture associations with cognitive tests and therefore capable of capturing subtle pathological changes in the brain in individuals who are still within the normal range of cognitive performance.
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Affiliation(s)
- Atef Badji
- Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
- Theme Inflammation and Aging, Karolinska University Hospital, Stockholm, Sweden
| | - Nira Cedres
- Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
- Facultad de Ciencias de la Salud, Universidad Fernando Pessoa Canarias, Las Palmas de Gran Canaria, España
| | - J-Sebastian Muehlboeck
- Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
| | - Wasim Khan
- Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
| | - Thijs Dhollander
- Murdoch Children's Research Institute, Melbourne, Victoria, Australia
| | - Jose Barroso
- Facultad de Ciencias de la Salud, Universidad Fernando Pessoa Canarias, Las Palmas de Gran Canaria, España
| | - Daniel Ferreira
- Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
- Facultad de Ciencias de la Salud, Universidad Fernando Pessoa Canarias, Las Palmas de Gran Canaria, España
| | - Eric Westman
- Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
- Department of Neuroimaging, Centre for Neuroimaging Sciences, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK
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Khan W, Gul B, Uddin MN, Khan BM, Attacha S, Zaman N. Physalis ixocarpa: new species of genus physalis to the flora of Pakistan from mountainous region of district Shangla, Khyber Pakhtunkhwa Pakistan. BRAZ J BIOL 2024; 84:e258128. [DOI: 10.1590/1519-6984.258128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 01/10/2022] [Indexed: 11/22/2022] Open
Abstract
Abstract In the western mountainous region of Khyber Pakhtunkhwa Pakistan at the Shangla district, we found Physalis ixocarpa for the first time, not yet reported from Pakistan. Physalis ixocarpa was unidentified and has no ethnobotanical record in the flora of Pakistan. It is a member of family Solanaceae and having a close relation with Solanum tuberosum and Lycopersicon esculentum. The stem is prostrate with a dichotomous pattern of branches having leaves flower and fruits. Leaves are smooth, ovate and the margins of leaf blade dentation are poorly developed. The average length and width of the leaves are 6.50 and 3.61 cm respectively. P. ixocarpa grows to the length of 4-5 feet and an annual herb. The flowers of the plants are yellow in color and having purple color spots on the petals which are star-shaped. The round berry fruits are surrounded by persistent calyx and purple in color. The fruits are the 3-6cm in diameter. The plants are found in the different localities of district Shangla especially in Bar and Koz Kana. The life cycle of reporting plant is started in May and completed in November.
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Affiliation(s)
- W. Khan
- University of Swat, Pakistan
| | - B. Gul
- The University of Agriculture, Pakistan
| | | | - B. M. Khan
- PMAS Arid Agriculture University, Pakistan
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Christodoulou N, Asimakopoulos D, Kapetanos K, Seah M, Khan W. Principles of management of hand fractures. J Perioper Pract 2023; 33:342-349. [PMID: 36408867 PMCID: PMC10623595 DOI: 10.1177/17504589221119739] [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] [Indexed: 06/16/2023]
Abstract
The optimal management of hand fractures requires a multidisciplinary approach. Initial assessment should include a thorough medical history and clinical examination, followed by appropriate radiological imaging. These are crucial in determining the appropriate management. Following joint stabilisation to allow fractures to unite, early mobilisation is needed to maximise the functional restoration of the hand. In this review, the principles of operative and non-operative management of these injuries are discussed.
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Affiliation(s)
| | | | | | - Matthew Seah
- Division of Trauma and Orthopaedic Surgery, University of Cambridge, Cambridge, UK
| | - Wasim Khan
- Division of Trauma and Orthopaedic Surgery, University of Cambridge, Cambridge, UK
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Vogt A, Kapetanos K, Christodoulou N, Asimakopoulos D, Birch MA, McCaskie AW, Khan W. The Effects of Chronological Age on the Chondrogenic Potential of Mesenchymal Stromal Cells: A Systematic Review. Int J Mol Sci 2023; 24:15494. [PMID: 37895174 PMCID: PMC10607563 DOI: 10.3390/ijms242015494] [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: 08/31/2023] [Revised: 10/10/2023] [Accepted: 10/19/2023] [Indexed: 10/29/2023] Open
Abstract
Tissue engineering and cell therapy for regenerative medicine have great potential to treat chronic disorders. In musculoskeletal disorders, mesenchymal stromal cells (MSCs) have been identified as a relevant cell type in cell and regenerative strategies due to their multi-lineage potential, although this is likely to be a result of their trophic and immunomodulatory effects on other cells. This PRISMA systematic review aims to assess whether the age of the patient influences the chondrogenic potential of MSCs in regenerative therapy. We identified a total of 3027 studies after performing a search of four databases, including Cochrane, Web of Science, Medline, and PubMed. After applying inclusion and exclusion criteria, a total of 14 papers were identified that were reviewed, assessed, and reported. Cell surface characterization and proliferation, as well as the osteogenic, adipogenic, and chondrogenic differentiation, were investigated as part of the analysis of these studies. Most included studies suggest a clear link between aged donor MSCs and diminished clonogenic and proliferative potential. Our study reveals a heterogeneous and conflicting range of outcomes concerning the chondrogenic, osteogenic, and adipogenic potential of MSCs in relation to age. Further investigations on the in vitro effects of chronological age on the chondrogenic potential of MSCs should follow the outcomes of this systematic review, shedding more light on this complex relationship.
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Affiliation(s)
- Antonia Vogt
- Division of Trauma & Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK; (A.V.)
| | | | | | | | - Mark A. Birch
- Division of Trauma & Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK; (A.V.)
| | - Andrew W. McCaskie
- Division of Trauma & Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK; (A.V.)
| | - Wasim Khan
- Division of Trauma & Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK; (A.V.)
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Williams W, Theron E, Khan W, Stassen W. Developing a South African curriculum for education in neonatal critical care retrieval: An initial exploration. PLoS One 2023; 18:e0290972. [PMID: 37651420 PMCID: PMC10470938 DOI: 10.1371/journal.pone.0290972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 08/19/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND Owing to limited or centralised neonatal critical care resources, the interfacility transfer of neonates is inevitable. In many high-income settings, dedicated Critical Care Retrieval Services (CCRS) with additional education and training undertake neonatal critical care retrieval (CCR). In South Africa, however, these transfers are mostly conducted by advanced paramedics with limited education in neonatal care, and this may lead to high adverse event rates. In SA, a shortage of skilled neonatal interfacility transport services has been identified as one of the top ten avoidable causes of under-5 mortality. In order to address this gap in neonatal transfer education for paramedics in South Africa, the aim of this study is to develop a curriculum for neonatal critical care retrieval in South Africa. METHODS Using Kern's approach to curriculum development, a general and targeted needs assessment was conducted through semi-structured interviews with experts in the field and a focus group discussion with a prospective student group. Interviews were preceded and informed by a literature review and retrospective chart review of neonates who underwent CCR in SA over a one-year period. Audio recordings of interviews were transcribed verbatim and subjected to inductive-dominant content analysis. Finally, qualitative codes were expanded into course outcome and a curriculum map was developed. RESULTS Six experts in neonatal critical care and retrieval participated in semi-structured interviews with a mean duration of 59 minutes. Following transcription and analysis, 372 codes were developed. Seven prehospital providers (prospective students) who are involved in neonatal transfers in South Africa participated in a focus group discussion with a duration of 91 minutes. The audio recording was transcribed and analysed with 97 codes extracted. The main categories were: Current status of neonatal CCR in South Africa; learning and education in neonatal CCR; and proposed curriculum structure. The proposed curriculum structure described 13 broad course outcomes to be delivered as a blended postgraduate programme. Participants noted that funding, employer buy-in and internet resources would be required. The targeted prospective student group should be all Advanced Life Support (ALS) providers with a change in their scope of practice on completion. CONCLUSION This study described the need for additional education in neonatal critical care retrieval due to the limitations in the current and past education systems. This study provides a curriculum structure with course outcomes that can be used as a basis for the development of a complete curriculum for education in neonatal CCR, with the potential to greatly reduce adverse event rates.
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Affiliation(s)
- W. Williams
- Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa
| | - E Theron
- Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa
| | - W Khan
- Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa
| | - W Stassen
- Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa
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Saleem A, Basit A, Munir MF, Waseem A, Khan W, Malik AN, AlQahtani SA, Daraz A, Pathak P. Alternating Direction Method of Multipliers-Based Constant Modulus Waveform Design for Dual-Function Radar-Communication Systems. Entropy (Basel) 2023; 25:1027. [PMID: 37509974 PMCID: PMC10377771 DOI: 10.3390/e25071027] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Revised: 06/21/2023] [Accepted: 06/29/2023] [Indexed: 07/30/2023]
Abstract
In this paper, we design constant modulus waveforms for dual-function radar-communication (DFRC) systems based on a multi-input multi-output (MIMO) configuration of sensors for a far-field scenario. At first, we formulate a non-convex optimization problem subject to waveform synthesis for minimizing the interference power while maintaining a constant modulus constraint. Next, we solve this non-convex problem, iteratively, using the alternating direction method of multipliers (ADMM) algorithm. Importantly, the designed waveforms approximate a desired beampattern in terms of a high-gain radar beam and a slightly high gain communication beam while maintaining a desired low sidelobe level. The designed waveforms ensure an improved detection probability and an improved bit error rate (BER) for radar and communications parts, respectively. Finally, we demonstrate the effectiveness of the proposed method through simulation results.
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Affiliation(s)
- Ahmed Saleem
- Department of Electrical & Computer Engineering, Faculty of Engineering & Technology, International Islamic University, Islamabad 44100, Pakistan
| | - Abdul Basit
- Department of Electrical & Computer Engineering, Faculty of Engineering & Technology, International Islamic University, Islamabad 44100, Pakistan
| | - Muhammad Fahad Munir
- Department of Electrical & Computer Engineering, Faculty of Engineering & Technology, International Islamic University, Islamabad 44100, Pakistan
| | - Athar Waseem
- Department of Electrical & Computer Engineering, Faculty of Engineering & Technology, International Islamic University, Islamabad 44100, Pakistan
| | - Wasim Khan
- Department of Electrical & Computer Engineering, Faculty of Engineering & Technology, International Islamic University, Islamabad 44100, Pakistan
| | - Aqdas Naveed Malik
- Department of Electrical & Computer Engineering, Faculty of Engineering & Technology, International Islamic University, Islamabad 44100, Pakistan
| | - Salman A AlQahtani
- Department of Computer Engineering, College of Computer and Information Sciences, King Saud University, P.O. Box 51178, Riyadh 11543, Saudi Arabia
| | - Amil Daraz
- School of Information Science and Engineering, NingboTech University, Ningbo 315100, China
| | - Pranavkumar Pathak
- School of Continuing Studies, McGill University, Montreal, QC H3A 0G4, Canada
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Munir MF, Basit A, Khan W, Wasim A, Khan MM, Saleem A, AlQahtani SA, Daraz A, Pathak P. Hybrid FSK-FDM Scheme for Data Rate Enhancement in Dual-Function Radar and Communication. Sensors (Basel) 2023; 23:5440. [PMID: 37420607 DOI: 10.3390/s23125440] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Revised: 05/30/2023] [Accepted: 06/06/2023] [Indexed: 07/09/2023]
Abstract
In this paper, we present a hybrid frequency shift keying and frequency division multiplexing (i.e., FSK-FDM) approach for information embedding in dual-function radar and communication (DFRC) design to achieve an improved communication data rate. Since most of the existing works focus on merely two-bit transmission in each pulse repetition interval (PRI) using different amplitude modulation (AM)- and phased modulation (PM)-based techniques, this paper proposes a new technique that doubles the data rate by using a hybrid FSK-FDM technique. Note that the AM-based techniques are used when the communication receiver resides in the side lobe region of the radar. In contrast, the PM-based techniques perform better if the communication receiver is in the main lobe region. However, the proposed design facilitates the delivery of information bits to the communication receivers with an improved bit rate (BR) and bit error rate (BER) regardless of their locations in the radar's main lobe or side lobe regions. That is, the proposed scheme enables information encoding according to the transmitted waveforms and frequencies using FSK modulation. Next, the modulated symbols are added together to achieve a double data rate using the FDM technique. Finally, each transmitted composite symbol contains multiple FSK-modulated symbols, resulting in an increased data rate for the communication receiver. Numerous simulation results are presented to validate the effectiveness of the proposed technique.
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Affiliation(s)
- Muhammad Fahad Munir
- Department of Electrical & Computer Engineering, International Islamic University, Islamabad 44000, Pakistan
| | - Abdul Basit
- Department of Electrical & Computer Engineering, International Islamic University, Islamabad 44000, Pakistan
| | - Wasim Khan
- Department of Electrical & Computer Engineering, International Islamic University, Islamabad 44000, Pakistan
| | - Athar Wasim
- Department of Electrical & Computer Engineering, International Islamic University, Islamabad 44000, Pakistan
| | | | - Ahmed Saleem
- Department of Electrical & Computer Engineering, International Islamic University, Islamabad 44000, Pakistan
| | - Salman A AlQahtani
- Department of Computer Engineering, College of Computer and Information Sciences, King Saud University, P.O. Box 51178, Riyadh 11543, Saudi Arabia
| | - Amil Daraz
- School of Information Science and Engineering, NingboTech University, Ningbo 315100, China
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Egorova-Brumley N, Dhollander T, Khan W, Khlif MS, Ebaid D, Brodtmann A. Changes in White Matter Microstructure Over 3 Years in People With and Without Stroke. Neurology 2023; 100:e1664-e1672. [PMID: 36792378 PMCID: PMC10115498 DOI: 10.1212/wnl.0000000000207065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 01/03/2023] [Indexed: 02/17/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Cerebral white matter health can be estimated by MRI-derived indices of microstructure. White matter dysfunction is increasingly recognized as a contributor to neurodegenerative disorders affecting cognition and to functional outcomes after stroke. Reduced indices of white matter microstructure have been demonstrated cross-sectionally in stroke survivors compared with stroke-free participants, but longitudinal changes in the structure of white matter after stroke remain largely unexplored. We aimed to characterize white matter micro- and macrostructure over 3 years after stroke and study associations with white matter metrics and cognitive functions. METHODS Patients with first-ever or recurrent ischemic stroke of any etiology in any vascular territory were compared with stroke-free age- and sex-matched controls. Those diagnosed with hemorrhagic stroke, TIA, venous infarction, or significant medical comorbidities, psychiatric and neurodegenerative disorders, substance abuse, or history of dementia were excluded. Diffusion-weighted MRI data at 3, 12, and 36 months were analyzed using a longitudinal fixel-based analysis, sensitive to fiber tract-specific differences within a voxel. It was used to examine whole-brain white matter degeneration in stroke compared with control participants. We studied microstructural differences in fiber density and macrostructural changes in fiber-bundle cross-section, in relation to cognitive performance. Analyses were performed controlling for age, intracranial volume, and education (family-wise error-corrected p < 0.05, nonparametric testing over 5,000 permutations). RESULTS We included 71 participants with stroke (age 66 ± 12 years, 22 women) and 36 controls (age 69 ± 5 years, 13 women). We observed extensive white matter structural degeneration across the whole brain, particularly affecting the thalamic, cerebellar, striatal, and superior longitudinal tracts and corpus callosum. Importantly, follow-up regression analyses in 72 predefined tracts showed that the decline in fiber density and cross-section from 3 months to 3 years was associated with worse cognitive performance at 3 years after stroke, especially affecting visuospatial processing, processing speed, language, and recognition memory. DISCUSSION We conclude that white matter neurodegeneration in ipsi- and contralesional thalamic, striatal, and cerebellar tracts continues to be greater in stroke survivors compared with stroke-free controls. White matter degeneration persists even years after stroke and is associated with poststroke cognitive impairment. TRIAL REGISTRATION INFORMATION ClinicalTrails.gov NCT02205424.
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Affiliation(s)
- Natalia Egorova-Brumley
- From the Melbourne School of Psychological Sciences (N.E.-B.), University of Melbourne; Dementia Theme (N.E.-B., W.K., M.S.K., D.E., A.B.), The Florey Institute of Neuroscience and Mental Health; Developmental Imaging (T.D.), Murdoch Children's Research Institute; and Cognitive Health Initiative (M.S.K., A.B.), Central Clinical School (CCS), Monash University, Melbourne, Australia.
| | - Thijs Dhollander
- From the Melbourne School of Psychological Sciences (N.E.-B.), University of Melbourne; Dementia Theme (N.E.-B., W.K., M.S.K., D.E., A.B.), The Florey Institute of Neuroscience and Mental Health; Developmental Imaging (T.D.), Murdoch Children's Research Institute; and Cognitive Health Initiative (M.S.K., A.B.), Central Clinical School (CCS), Monash University, Melbourne, Australia
| | - Wasim Khan
- From the Melbourne School of Psychological Sciences (N.E.-B.), University of Melbourne; Dementia Theme (N.E.-B., W.K., M.S.K., D.E., A.B.), The Florey Institute of Neuroscience and Mental Health; Developmental Imaging (T.D.), Murdoch Children's Research Institute; and Cognitive Health Initiative (M.S.K., A.B.), Central Clinical School (CCS), Monash University, Melbourne, Australia
| | - Mohamed Salah Khlif
- From the Melbourne School of Psychological Sciences (N.E.-B.), University of Melbourne; Dementia Theme (N.E.-B., W.K., M.S.K., D.E., A.B.), The Florey Institute of Neuroscience and Mental Health; Developmental Imaging (T.D.), Murdoch Children's Research Institute; and Cognitive Health Initiative (M.S.K., A.B.), Central Clinical School (CCS), Monash University, Melbourne, Australia
| | - Deena Ebaid
- From the Melbourne School of Psychological Sciences (N.E.-B.), University of Melbourne; Dementia Theme (N.E.-B., W.K., M.S.K., D.E., A.B.), The Florey Institute of Neuroscience and Mental Health; Developmental Imaging (T.D.), Murdoch Children's Research Institute; and Cognitive Health Initiative (M.S.K., A.B.), Central Clinical School (CCS), Monash University, Melbourne, Australia
| | - Amy Brodtmann
- From the Melbourne School of Psychological Sciences (N.E.-B.), University of Melbourne; Dementia Theme (N.E.-B., W.K., M.S.K., D.E., A.B.), The Florey Institute of Neuroscience and Mental Health; Developmental Imaging (T.D.), Murdoch Children's Research Institute; and Cognitive Health Initiative (M.S.K., A.B.), Central Clinical School (CCS), Monash University, Melbourne, Australia
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Taleb Z, Haireek M, Stokes K, Wang H, Collins S, Khan W, Karpowicz P. A30 EPITHELIAL FUNCTION OF THE CIRCADIAN CLOCK GENE, BMAL1, IS NECESSARY FOR COLONIC REGENERATION. J Can Assoc Gastroenterol 2023. [PMCID: PMC9991247 DOI: 10.1093/jcag/gwac036.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2023] Open
Abstract
Background The circadian clock is a self-sustained molecular oscillator which drives 24-hour physiological rhythms. It consists of the genes Bmal1 and Clock that positively regulate Cry and Per, their negative regulators, resulting in a 24-hour transcription/translation feedback loop. Shift work, which causes disruptions to 24-hour physiological rhythms, has been shown to lead to an increased incidence of inflammatory bowel disease (IBD). We have previously established that mice lacking the non-redundant circadian regulator, Bmal1, exhibit more severe colitis compared to controls. Purpose This study aims to investigate the epithelial function of Bmal1 in colonic regeneration during colitis. Method In order to assess the cell-specific role of the clock, we tested the regenerative effects of Bmal1 in intestinal epithelial tissue using Vil+/+;Bmal1flox/flox (control) and VilCre/+;Bmal1flox/flox (conditional mutant) mice. Dextran Sulfate Sodium (DSS) was applied to induce acute colitis. Disease progression was evaluated during colitis and during recovery upon removal of DSS treatment. We hypothesized that the absence of a functional circadian clock disrupts effective proliferation and regeneration of intestinal epithelial cells during colitis remission. Result(s) Vil+/+;Bmal1flox/flox control and VilCre/+;Bmal1flox/flox conditional mutant mice exhibit no significant differences in disease severity or tissue histopathology during colitis. However, after the removal of DSS, VilCre/+;Bmal1flox/flox conditional mutants show increased total lesions and overall inflammation, decreased crypt density as well as a higher propensity of hyperplastic crypts in the tissue. Regenerative ability of the colon is decreased in conditional mutants: phosphorylated-histone H3 and Ki67 show persistent increases in mitosis and overall proliferation near ulcerated lesions. This suggests that, while controls complete the regenerative response, conditional mutants fail to recover from colitis and show inefficient regeneration when Bmal1 is disrupted in intestinal epithelial cells. Conclusion(s) Our results support a critical role for Bmal1 in intestinal epithelial cells during post-colitis regeneration and recovery. Please acknowledge all funding agencies by checking the applicable boxes below CIHR, Other Please indicate your source of funding; OGS, Crohn's & Colitis Canada Disclosure of Interest None Declared
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Affiliation(s)
- Z Taleb
- University of Windsor, Windsor
| | | | | | | | - S Collins
- McMaster University,Farncombe Institute, Hamilton, Canada
| | - W Khan
- McMaster University,Farncombe Institute, Hamilton, Canada
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Grondin J, Wang H, Haq S, Kwon YH, MacNeil L, Surette M, Khan W. A33 EFFECTS OF THE NEXT GENERATION PROBIOTIC, AKKERMANSIA MUCINIPHILA, ON INTESTINAL INFLAMMATION AND BARRIER FUNCTION. J Can Assoc Gastroenterol 2023. [PMCID: PMC9991313 DOI: 10.1093/jcag/gwac036.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2023] Open
Abstract
Background Inflammatory bowel disease (IBD), characterised by chronic intestinal inflammation, is hypothesised to arise from the interplay between susceptibility genes, the immune system, environmental factors, and gut microbiota. Akkermansia muciniphila is a symbiotic bacterium that accounts for 1-5% of the human fecal microbiota. This microbe has been hailed as a next-generation probiotic, principally with regard to its plethora of beneficial host interactions, including the ability to influence mucin secretion and strengthen the intestinal barrier. Purpose Though a clear-cut role and mechanism by which A. muciniphila influences inflammatory conditions is unknown, evidence indicates this microbe is depleted in IBD, suggesting it may have protective effects that are lost in these conditions. Here, we investigate the role and mechanism of A. muciniphila in intestinal inflammation and its influence on intestinal barrier function by utilizing barrier-disrupting models of colitis. Method Across several experimental models of intestinal inflammation including the chemically-induced dextran sulphate sodium (DSS) model, the parasitic-based model of Trichuris muris infection, and the spontaneous Muc2-/- model, A.muciniphila was administered by oral gavage. Disease activity index, macroscopic scoring and histological scoring were all performed to assess the severity of intestinal inflammation. Various pro- and anti-inflammatory cytokines were assessed within colonic tissue using commercially available ELISA kits.To investigate the effects that A. muciniphila has on barrier function in the context of colitis, reverse transcriptase qPCR was used to explore several factors, including several TJPs, AMPs, and mucins. To analyse the composition of the microbiota and changes in diversity with A. muciniphila supplementation, 16S rRNA sequencing of fecal samples was performed. Result(s) Though only minor benefits were derived from this microbe in germ-free mice, in specific pathogen-free (SPF) mice, administration of pasteurized A. muciniphila in a DSS recovery model ameliorated inflammation severity and promoted recovery compared to controls. When gavaged prior to DSS administration, both live and pasteurized A. muciniphila failed to diminish inflammatory markers indicating minimal preventative effects. T. muris-infected SPF mice treated with live A. muciniphila showed increased levels of Th2 and anti-inflammatory cytokines, decreased worm burden, and enhanced levels of the mucin, Muc5ac, compared with those receiving control broth or pasteurized bacteria. Further, both live and pasteurized A. muciniphila ameliorated the severity of inflammation in a mucin 2 deficient (Muc2-/-) mouse model of spontaneous colitis, indicating that these protective effects are Muc2-independent. Conclusion(s) These observations provide us not only with an enhanced understanding of the role A. muciniphila plays in the pathogenesis of intestinal inflammatory conditions but also may fuel novel avenues of treatment for those with IBD. Please acknowledge all funding agencies by checking the applicable boxes below CIHR Disclosure of Interest None Declared
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Affiliation(s)
- J Grondin
- Farncombe Family Digestive Health Research Institute,Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada
| | - H Wang
- Farncombe Family Digestive Health Research Institute,Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada
| | - S Haq
- Farncombe Family Digestive Health Research Institute,Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada
| | - Y H Kwon
- Farncombe Family Digestive Health Research Institute,Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada,Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States
| | - L MacNeil
- Farncombe Family Digestive Health Research Institute,Department of Biochemistry and Biomedical Sciences,Michael G. DeGroote Institute for Infectious Disease Research
| | - M Surette
- Farncombe Family Digestive Health Research Institute,Department of Medicine, McMaster University, Hamilton, Canada
| | - W Khan
- Farncombe Family Digestive Health Research Institute,Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada
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Waseem S, Fong DTP, Onsa M, Khan W, Singh S. Dual Mobility Total Hip Replacements in Young Patients- A Systematic Review. Indian J Orthop 2023; 57:203-210. [PMID: 36777127 PMCID: PMC9880113 DOI: 10.1007/s43465-022-00787-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 11/27/2022] [Indexed: 01/04/2023]
Abstract
Background There is little consensus on outcomes of dual Mobility total hip replacement (DM-THR) in younger patients. We performed a systematic review to examine this. Methods A systematic review of all observational studies and randomised controlled trials of patients under 70 with primary DM-THR in MEDLINE, EMBASE, Pubmed, Cochrane was performed according to PRISMA guidelines. Collected data included demographics, revision, dislocation and infection rates and functional scores. Results Twelve papers studying 738 DM-THR in 664 patients were included. The mean patient age was 46.9 years (13.5-69.0), with 319 (48.0%) being female and 419 (52.0%) being male. After an average follow-up of 90.0 months (1-371 months), the revision rate was 12.7% (84 hips), 0 dislocations were reported but 2.5% (15 hips) underwent intra-prosthetic dislocation. 32.1% hip revisions were due to aseptic loosening. Conclusion Limited literature surrounding the use of DM-THR suggests favourable stability but higher revision rates than conventional THR.
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Affiliation(s)
- Saima Waseem
- Department of Trauma and Orthopaedics, North West Anglia NHS Foundation Trust, Cambridgeshire, UK
| | - Daniel T. P. Fong
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Mohammed Onsa
- Department of Trauma and Orthopaedics, North West Anglia NHS Foundation Trust, Cambridgeshire, UK
| | - Wasim Khan
- Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK
| | - Sarvpreet Singh
- Department of Trauma and Orthopaedics, North West Anglia NHS Foundation Trust, Cambridgeshire, UK
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Khan W, Gul B, Din H, Azam S, Asghar H, Aftab S, Ali HE. First principle study of strain tunable electronic and optical properties of half-Heusler alloys XCoGe (X=V, Nb, Ta). J SOLID STATE CHEM 2023. [DOI: 10.1016/j.jssc.2022.123827] [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: 01/03/2023]
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Masood Z, Hasan Z, Gul H, Zahid H, Hassan HU, Sultan R, Khan W, Safia, Titus K, Ullah A. Monitoring pond water quality to improve the production of Labeo rohita (Hamilton, 1822) in Bannu Fish Hatchery of Bannu district, Khyber Pakhtunkhwa province; An Implications for artificial fish culture. BRAZ J BIOL 2023; 83:e245197. [DOI: 10.1590/1519-6984.245197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Accepted: 01/06/2021] [Indexed: 11/21/2022] Open
Abstract
Abstract The water quality parameters of a fish pond are essential to be managing properly under control for successful operations of fish culture. Improper management of pond water quality during the juvenile stages can create stressful conditions to produce various harmful diseases, which may decrease the fish quality and results in low profits. The present study was aimed to monitored important water quality parameters of nursery ponds of Labeo rohita culturing in Bannu fish hatchery. The study duration was 75 days extends from 10th June to 24th August 2019 for the successful culture of this specie which can play a significant role in breeding season. Furthermore, the concentration of some heavy metals like copper (Cu), nickel (Ni), manganese (Mn), iron (Fe), cadmium (Cd), and zinc (Zn) in pond water and fry stages of this species was also determined. The data obtained from all water quality parameters were analyzed expressed as range, mean and standard deviation using MS Excel 2013. The obtained results of 75 days study revealed that the water pH & temperature, electric conductivity, total dissolved solids (TDS), and total dissolved oxygen (DO) of pond water samples were found within a tolerable limit except salinity and dissolved ammonia concentration were not permissible for fish growth. The average concentration of heavy metals in pond water exhibited descending order Fe>Ni>Mn>Zn>Cd>Ni, which was found in acceptable ranges. Whereas, the average values of heavy metals in fry stages were in the order of Zn>Fe>Ni>Cu>Cd>Mn, and found within the recommended values of WHO/FAO. Thus, it was concluded from this study that good water quality is a precondition, maintaining balanced levels of water quality parameters is fundamental for both the health and growth of fish culture which is quite necessary for assuring increased fish productivity. It is recommended to monitor and assess water quality parameters on a routine basis for promoting healthy fish culture.
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Affiliation(s)
- Z. Masood
- Sardar Bahadur Khan Women’s University, Pakistan
| | - Z. Hasan
- University of Peshawar, Pakistan
| | - H. Gul
- Sardar Bahadur Khan Women’s University, Pakistan
| | - H. Zahid
- University of Balochistan, Pakistan
| | | | - R. Sultan
- Islamia College University, Pakistan
| | - W. Khan
- University of Malakand, Pakistan
| | - Safia
- Hazara University, Pakistan
| | - K. Titus
- Sardar Bahadur Khan Women’s University, Pakistan
| | - A. Ullah
- University of Veterinary and Animal Sciences, Pakistan
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Masood Z, Gul Y, Gul H, Zahid H, Safia, Khan M, Hassan HU, Khan W, Gul N, Ullah A. Assessments of some trace metals in water samples of nursery pond of Grass Carp (Ctenopharyngodon idella, Valenciennes, 1844) in Bannu Fish Hatchery of Khyber Pakhtunkhwa, Pakistan. BRAZ J BIOL 2023; 83:e245199. [DOI: 10.1590/1519-6984.245199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Accepted: 01/08/2021] [Indexed: 11/22/2022] Open
Abstract
Abstract The present investigation was aimed to examine the concentrations of trace metals including e.g copper (Cu), manganese (Mn), nickel (Ni), and zinc (Zn) in water samples collected from nursery pond of grass carp (Ctenopharyngodon idella) in Bannu Hatchery of Khyber Pakhtunkhwa during the period from April 2018 to January 2019. The temperature and pH of each water sample were measured for the whole study duration. The concentration of Copper (Cu), Manganese (Mn), Nickel (Ni), and Zinc (Zn) in collected water samples were measured in mg/liter by using Atomic Absorption Spectrophotometer. The blank and standard solutions for device calibration Standard solutions i.e., 2.0 mg, 4.0 mg, and 6.0 were used to measure the concentration of these metals in water samples to verify the measurements. The data was statistically analyzed on descriptive statistics (estimation of proportions and standard deviation) used to summarize mean concentration. The results obtained of both temperature and pH of water samples were found in ranged 10 to 36 0C and 7.0 to 8.44; whereas the size of fry stages was ranged from 4.0 to 56.0 mm in total length. The results of investigated metals found in pond water samples are in order of Zn>Mn>Ni>Cu, respectively. As optimum temperature and pH for grass carp were mostly between 15 0C and 30 0C and pH 6.5 to 8.0. It was concluded from obtained results that temperature, pH, and trace metals were found appropriate for the growth of Ctenopharyngodon idella from fry to fingerling stages, but the highest amount of zinc can cause its mortality. It is a preliminary study on grass carp culturing in Bannu fish hatchery so, it would provide useful information for model fish seed production unit in a hatchery.
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Affiliation(s)
- Z. Masood
- Sardar Bahadur Khan Women’s University, Pakistan
| | - Y. Gul
- Government College Women University, Pakistan
| | - H. Gul
- Sardar Bahadur Khan Women’s University, Pakistan
| | - H. Zahid
- University of Balochistan, Pakistan
| | - Safia
- Hazara University, Pakistan
| | - M.A. Khan
- The University of Agriculture, Pakistan
| | | | - W. Khan
- University of Malakand, Pakistan
| | - N. Gul
- Sardar Bahadur Khan Women’s University, Pakistan
| | - A. Ullah
- University of Veterinary and Animal Sciences, Lahore
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Khan W, Rahman A, Zaman S, Kabir M, Khan R, Ali W, Ahmad S, Shabir S, Jamil S, Ríos-Escalante PDL. Knowledge, attitude and practices regarding dengue and its vector among medical practitioners in Malakand region, Pakistan. BRAZ J BIOL 2023; 83:e244966. [DOI: 10.1590/1519-6984.244966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 01/05/2021] [Indexed: 11/21/2022] Open
Abstract
Abstract Dengue fever (DF) is increasingly recognized as one of the world’s major mosquito borne diseases and causes significant morbidity and mortality in tropical and subtropical countries. Dengue fever is endemic in most part of Pakistan and continues to be a public health concern. Knowledge, attitude and practices can play an important role in management of the disease. Current study was aimed to determine the level of knowledge, attitude and practices regarding dengue fever among health practitioners, to study the level of knowledge and attitude with preventive practices for dengue fever. A cross sectional study was carried out in medical practitioners of the four districts of Malakand region during October to November 2019. A pre-structured questionnaire was used to collect data from medical practitioners. Data was analyzed using Graph Pad version 5. Significant value was considered when less than 0.05 (at 95% confidence of interval). The results revealed that most of participants have seen dengue vector (62%), the media being the most quoted source of information. Nearly 81.2% participants were aware from transmission of dengue fever is by mosquito bite. Practices based upon preventive measures were found to be predominantly focused towards prevention of mosquito bites rather than elimination of breeding places. Although the knowledge regarding DF and mosquito control measure was quite high among the medical practitioners but this knowledge was not put into practice. Further studies are required to aware the people about dengue and its vector in order to get prevention and control.
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Affiliation(s)
- W. Khan
- University of Malakand, Pakistan
| | | | - S. Zaman
- University of Malakand, Pakistan
| | - M. Kabir
- University of Sargodha, Pakistan
| | - R. Khan
- University of Malakand, Pakistan
| | - W. Ali
- University of Malakand, Pakistan
| | - S. Ahmad
- University of Malakand, Pakistan
| | - S. Shabir
- Agriculture University Faisalabad, Pakistan
| | - S. Jamil
- Rawalpindi Women University, Pakistan
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Sabir SS, Din HU, Alam Q, Idrees M, Amin B, Khan W, Farooq M, Nguyen CQ, Nguyen CV. Correction: First principles study of electronic properties and optoelectronic performance of type-II SiS/BSe heterostructure. NEW J CHEM 2023. [DOI: 10.1039/d3nj90048g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
Abstract
Correction for ‘First principles study of electronic properties and optoelectronic performance of type-II SiS/BSe heterostructure’ by Shah Saleemullah Sabir et al., New J. Chem., 2023, 47, 4537–4542, https://doi.org/10.1039/D2NJ06198H.
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Foster A, Holding E, Lumley E, Roxby S, Portman D, Holliday J, Peace A, Del Rosario I, Khan W, Brenman A, Gillett M, Goyder E. Learning from the challenges of undertaking an evaluation of a multi-partner housing support initiative delivered within a hospital setting. Public Health in Practice 2022; 4:100333. [PMID: 36345288 PMCID: PMC9636567 DOI: 10.1016/j.puhip.2022.100333] [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] [Received: 05/20/2022] [Revised: 10/05/2022] [Accepted: 10/21/2022] [Indexed: 11/06/2022] Open
Abstract
Objectives We present learning from a mixed-methods evaluation of a housing support initiative for hospital inpatients. Study design A mixed-methods process evaluation. Methods A social housing provider delivered a housing support service in two hospitals (mental health unit and general hospital). Healthcare providers, the social housing provider and academic researchers designed and undertook a co-produced, mixed-methods process evaluation of the intervention. The evaluation included questionnaires, semi-structured interviews, analysis of routinely collected data and economic analysis. Despite commitment from the partners, the evaluation faced challenges. We reflect on the lessons learnt within our discussion paper. Results Despite the commitment of the partners, we faced several challenges. We took an iterative approach to the design and processes of the evaluation to respond to arising challenges. Recruitment of service-users was more difficult than anticipated, requiring additional staff resources. Given the small-scale nature of the intervention, and the quality of data recorded in hospital records, the planned economic analysis was not feasible. Positive factors facilitating evaluation included involvement of staff delivering the intervention, as well as managers. Being able to offer payment to partner organisations for staff time also facilitated ongoing engagement. Conclusions Multi-partner evaluations are useful, however, researchers and partners need to be prepared to take an iterative, resource intensive approach. Both availability and quality of routine data, and the resources required to support data collection, may limit feasibility of specific methods when evaluating small-scale cross-sector initiatives. Thus, this necessitates a flexible approach to design and analysis.
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Affiliation(s)
- A. Foster
- School of Health and Related Research, University of Sheffield, Sheffield, UK,Corresponding author. University of Sheffield, Regents Court, Regent Street, Sheffield, S1 4DA, UK.
| | - E. Holding
- School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - E. Lumley
- School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - S. Roxby
- Wakefield District Housing, Wakefield, UK
| | - D. Portman
- Wakefield District Housing, Wakefield, UK
| | | | - A. Peace
- School of Health and Related Research, University of Sheffield (Formerly at South West Yorkshire Partnership NHS Foundation Trust), Yorkshire, UK
| | | | - W. Khan
- South West Yorkshire Partnership NHS Foundation Trust, Yorkshire, UK
| | - A. Brenman
- School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - M. Gillett
- School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - E. Goyder
- School of Health and Related Research, University of Sheffield, Sheffield, UK
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Rondovic G, Djordjevic D, Udovicic I, Stanojevic I, Zeba S, Abazovic T, Vojvodic D, Abazovic D, Khan W, Surbatovic M. From Cytokine Storm to Cytokine Breeze: Did Lessons Learned from Immunopathogenesis Improve Immunomodulatory Treatment of Moderate-to-Severe COVID-19? Biomedicines 2022; 10:biomedicines10102620. [PMID: 36289881 PMCID: PMC9599155 DOI: 10.3390/biomedicines10102620] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 09/30/2022] [Indexed: 11/16/2022] Open
Abstract
Complex immune response to infection has been highlighted, more than ever, during the COVID-19 pandemic. This review explores the immunomodulatory treatment of moderate-to-severe forms of this viral sepsis in the context of specific immunopathogenesis. Our objective is to analyze in detail the existing strategies for the use of immunomodulators in COVID-19. Immunomodulating therapy is very challenging; there are still underpowered or, in other ways, insufficient studies with inconclusive or conflicting results regarding a rationale for adding a second immunomodulatory drug to dexamethasone. Bearing in mind that a “cytokine storm” is not present in the majority of COVID-19 patients, it is to be expected that the path to the adequate choice of a second immunomodulatory drug is paved with uncertainty. Anakinra, a recombinant human IL-1 receptor antagonist, is a good choice in this setting. Yet, the latest update of the COVID-19 Treatment Guidelines Panel (31 May 2022) claims that there is insufficient evidence to recommend either for or against the use of anakinra for the treatment of COVID-19. EMA’s human medicines committee recommended extending the indication of anakinra to include treatment of COVID-19 in adult patients only recently (17 December 2021). It is obvious that this is still a work in progress, with few ongoing clinical trials. With over 6 million deaths from COVID-19, this is the right time to speed up this process. Our conclusion is that, during the course of COVID-19, the immune response is changing from the early phase to the late phase in individual patients, so immunomodulating therapy should be guided by individual responses at different time points.
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Affiliation(s)
- Goran Rondovic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia
| | - Dragan Djordjevic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia
| | - Ivo Udovicic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia
| | - Ivan Stanojevic
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia
- Institute for Medical Research, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
| | - Snjezana Zeba
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia
| | - Tanja Abazovic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
| | - Danilo Vojvodic
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia
- Institute for Medical Research, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
| | - Dzihan Abazovic
- Biocell Hospital, Omladinskih Brigada 86a, 11000 Belgrade, Serbia
| | - Wasim Khan
- Division of Trauma & Orthopaedic Surgery, University of Cambridge, Addenbrooke’s Hospital, Cambridge CB2 2QQ, UK
| | - Maja Surbatovic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia
- Correspondence: ; Tel.: +381-11-665-125
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Ho J, Mak CCH, Sharma V, To K, Khan W. Mendelian Randomization Studies of Lifestyle-Related Risk Factors for Osteoarthritis: A PRISMA Review and Meta-Analysis. Int J Mol Sci 2022; 23:ijms231911906. [PMID: 36233208 PMCID: PMC9570129 DOI: 10.3390/ijms231911906] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 10/04/2022] [Accepted: 10/06/2022] [Indexed: 11/22/2022] Open
Abstract
Risk factors for osteoarthritis (OA) often exert effects over protracted time-courses. Mendelian randomization (MR) studies therefore have an advantage over conventional observational studies when studying the causal effect of long-term lifestyle-related risk factors on OA. However, given the heterogeneous design of existing MR studies on OA, the reported causal estimates of these effects remain inconsistent, thus obscuring the true extent of the biological effects of OA lifestyle-risk factors. We conducted a PRISMA systematic review and specifically included MR studies that investigated the causal effect between lifestyle-related risk factors and OA, where causal estimates for various lifestyle factors were pooled for meta-analysis. Quality of studies was assessed according to STROBE-MR guidelines. A total of 1576 studies were evaluated and 23 were included. Overall, the studies included were of high quality and had a low risk of bias. Our meta-analysis demonstrates the positive causal effect of BMI (ORIVW-random effects 1.49 [1.23–1.80]) and negative causal effects of serum calcium (ORIVW-random effects 0.69 [0.57–0.83]) and LDL levels (ORIVW-random effects 0.93 [0.90–0.96]) on OA. Despite the heterogeneous designs and estimates of causal effects provided by various MR studies, our meta-analysis suggests that lifestyle-related risk factors in the form of BMI, serum calcium, and LDL have true biological effects on the development of OA.
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Affiliation(s)
| | | | | | | | - Wasim Khan
- Correspondence: ; Tel.: +44-(0)7-791025554
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22
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Saraglis G, Prinja A, To K, Khan W, Singh J. Surgical treatments for acute unstable acromioclavicular joint dislocations. SICOT J 2022; 8:38. [PMID: 36069502 PMCID: PMC9450493 DOI: 10.1051/sicotj/2022038] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 08/21/2022] [Indexed: 11/14/2022] Open
Abstract
INTRODUCTION Surgical treatment is usually recommended for acute, high-grade acromioclavicular joint (ACJ) injuries. A wide variety of surgical techniques exist, and the literature does not strongly support one over the other. In this literature review, we describe and compare the results of different surgical treatments for the management of acute unstable ACJ dislocation and aim to guide surgeons on optimal treatment. MATERIALS AND METHODS A literature review was performed by searching PubMed, Medline, Cochrane, and Embase databases. Seventeen studies met the inclusion criteria and were analyzed. Only studies with comparative data were included. The clinical and radiological outcomes of these studies were reviewed. RESULTS Seventeen studies were included in this literature review. We found no difference in outcomes between open and arthroscopic procedures. Coracoclavicular ligament (CCL) reconstruction techniques provide better results than the more rigid hook plate fixation. There is no evidence that biologic repair with tendon graft is superior to synthetic grafts. Furthermore, an autograft is not shown to be better than an allograft. Rigid fixation between the clavicle and coracoid and the non-anatomic Weaver-Dunn technique appears less popular in recent literature. The hook plate is associated with subacromial osteolysis, acromial erosion, and the morbidity of a secondary procedure. DISCUSSION There is a recent increase in publications on the reconstruction of the ACJ after injury, with new techniques focusing on the anatomic reconstruction of the CCLs aiming to restore both vertical and horizontal plane stability of the ACJ using synthetic/biological grafts. Despite the plethora of new techniques introduced, meaningful comparisons are difficult to draw due to the heterogeneity of the treatments used and the outcome measure used to assess the results.
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Affiliation(s)
- Georgios Saraglis
- Department of Trauma and Orthopaedics, Lewisham and Greenwich NHS Trust, London SE13 6LH, UK
| | - Aditya Prinja
- Upper Limb Unit, Wrightington Hospital, Lancashire, UK
| | - Kendrick To
- Division of Trauma and Orthopaedic Surgery, Department of Surgery, University of Cambridge, Cambridge CB2 0QQ, UK
| | - Wasim Khan
- Division of Trauma and Orthopaedic Surgery, Department of Surgery, University of Cambridge, Cambridge CB2 0QQ, UK
| | - Jagwant Singh
- Department of Trauma and Orthopaedics, Lewisham and Greenwich NHS Trust, London SE13 6LH, UK
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23
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Meng H, Lu V, Khan W. 111 Adipose Tissue-Derived Mesenchymal Stem Cells as a Potential Restorative Treatment for Cartilage Defects: A PRISMA Review and Meta-Analysis. Br J Surg 2022. [DOI: 10.1093/bjs/znac269.419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Abstract
Aim
Joint damage through trauma or degeneration causes cartilage defects, leading to osteoarthritis (OA). Current therapies relieve symptoms or replaces damaged joint, which is costly and fraught with complications. Mesenchymal stem cells (MSCs) have immunomodulatory properties and low immunogenicity, making them a novel avenue for research for OA treatment. This systematic review investigates whether adipose derived MSC (AMSCs) can treat cartilage defects.
Method
A systematic search was performed on MEDLINE, EMBASE, Cochrane Library, Scopus, Web of Science. Clinical, imaging, functional outcomes were extracted from nineteen included studies. Inclusion criteria was studies conducted on human populations that compared effects of AMSCs on cartilage regeneration to non-exposed controls. Studies conducted on animals, ex vivo studies, in vitro studies were excluded.
Results
Nine studies reported improved Visual Analogue Scale (VAS) scores (mean difference -3.30; 95% CI:-3.72,-2.89; p<0.001). Eight studies reported improved Knee injury and Osteoarthritis Outcome Score (KOOS) in five subscales. Pooled analysis of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores in seven studies revealed an improvement (mean difference -25.52; 95% CI:-30.93,-20.10; p<0.001). Cartilage regeneration was assessed using Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) score. All studies reported improved regeneration, with a pooled end-point score of 68.12 (95% CI:62.18–74.05; p<0.001).
Conclusions
AMSCs are effective therapeutic agents for cartilage defects. We recommend researchers to determine roles of biochemical components that facilitate AMSC-mediated cartilage repair. Establishing the most efficient methods for MSC extraction, culture, delivery, and performing studies with long follow-up times enable future research to provide evidence needed to bring AMSC-based therapies into the market.
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Affiliation(s)
- H Meng
- Chinese University of Hong Kong , Hong Kong , Hong Kong
| | - V Lu
- University of Cambridge , Cambridge , United Kingdom
| | - W Khan
- Addenbrooke's Hospital , Cambridge , United Kingdom
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24
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Abu El Afieh J, Gray M, Seah M, Khan W. Endoprosthetic Reconstruction in Ewing's Sarcoma Patients: A Systematic Review of Postoperative Complications and Functional Outcomes. J Clin Med 2022; 11:jcm11154612. [PMID: 35956228 PMCID: PMC9370018 DOI: 10.3390/jcm11154612] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 08/05/2022] [Accepted: 08/05/2022] [Indexed: 11/16/2022] Open
Abstract
Ewing's sarcoma (ES) is a rare primary bone cancer managed by radiotherapy, chemotherapy and surgical resection. The existing literature on limb salvage surgery with endoprostheses combines data for ES patients with osteosarcoma. This review aimed to evaluate surgical and functional outcomes of endoprosthetic reconstruction in exclusively Ewing's patients. We believe that this is the first comprehensive review to evaluate the outcomes of limb salvage surgery with endoprostheses exclusively in Ewing's sarcoma patients. Clinical data and outcomes were collected from PubMed, Embase, Medline and Scopus. The inclusion criteria were studies on limb salvage surgery in ES patients, where individual patient data was available. Seventeen studies with a total of 57 Ewing's patients were included in this review. Fifty-three of the ES patients preserved the limb after limb salvage with endoprostheses. The average five-year implant survivorship was 85.9% based on four studies in this review. Postoperative complications were categorised by Henderson's failure modes. Soft tissue failure was the most common, occurring in 35.1% of patients, followed by deep infection in 15.7% of patients. There was a suggestion of 'good' functional outcomes with limb salvage surgery. The salient limitation of this review is the variability and rarity of the patient population. Homogenous data in a larger population is necessary to provide more insight into outcomes of limb reconstruction in ES.
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Ahmad S, Shahid I, Shehzad N, Khan W, Din HU, Idrees M, Amin B, Laref A. First principles study of optoelectronic and photocatalytic performance of novel transition metal dipnictide XP 2 (X = Ti, Zr, Hf) monolayers. RSC Adv 2022; 12:11202-11206. [PMID: 35425062 PMCID: PMC8996753 DOI: 10.1039/d2ra01851a] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 04/01/2022] [Indexed: 11/21/2022] Open
Abstract
Low cost and highly efficient two dimensional materials as photocatalysts are gaining much attention to utilize solar energy for water splitting and produce hydrogen fuel as an alternative to deal with the energy crisis and reduce environmental hazards. First principles calculations are performed to investigate the electronic, optical and photocatalytic properties of novel two dimensional transition metal dipnictide XP2 (X = Ti, Zr, Hf) monolayers. The studied single layer XP2 is found to be dynamically and thermally stable. TiP2, ZrP2 and HfP2 systems exhibit semiconducting nature with moderate indirect band gap values of 1.72 eV, 1.43 eV and 2.02 eV, respectively. The solar light absorption is found to be in energy range of 1.65–3.3 eV. All three XP2 systems (at pH = 7) and the HfP2 monolayer (at pH = 0) that straddle the redox potentials, are promising candidates for the water splitting reaction. These findings enrich the two dimensional family and provide a platform to design novel devices for emerging optoelectronic and photovoltaic applications. Low cost and highly efficient two dimensional materials as photocatalysts are gaining much attention to utilize solar energy for water splitting and produce hydrogen fuel as an alternative to deal with the energy crisis and reduce environmental hazards.![]()
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Affiliation(s)
- Sheraz Ahmad
- School of Materials Science and Engineering, Computational Centre for Molecular Science, Institute of New Energy Material Chemistry, Nankai University Tianjin 300350 P. R. China
| | - Ismail Shahid
- School of Materials Science and Engineering, Computational Centre for Molecular Science, Institute of New Energy Material Chemistry, Nankai University Tianjin 300350 P. R. China
| | - Nasir Shehzad
- School of Physics, Nankai University Tianjin 300071 P. R. China
| | - W Khan
- Department of Physics, Bacha Khan University Charsadda KP Pakistan
| | - H U Din
- Department of Physics, Bacha Khan University Charsadda KP Pakistan
| | - M Idrees
- Department of Physics, Abbottabad University of Science & Technology Havelian Abbottabad KP Pakistan
| | - B Amin
- Department of Physics, Abbottabad University of Science & Technology Havelian Abbottabad KP Pakistan
| | - A Laref
- Department of Physics and Astronomy, College of Science, King Saud University Riyadh 11451 Saudi Arabia
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Epanomeritakis IE, Lee E, Lu V, Khan W. The Use of Autologous Chondrocyte and Mesenchymal Stem Cell Implants for the Treatment of Focal Chondral Defects in Human Knee Joints-A Systematic Review and Meta-Analysis. Int J Mol Sci 2022; 23:ijms23074065. [PMID: 35409424 PMCID: PMC8999850 DOI: 10.3390/ijms23074065] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 04/02/2022] [Accepted: 04/03/2022] [Indexed: 12/16/2022] Open
Abstract
Focal chondral defects of the knee occur commonly in the young, active population due to trauma. Damage can insidiously spread and lead to osteoarthritis with significant functional and socioeconomic consequences. Implants consisting of autologous chondrocytes or mesenchymal stem cells (MSC) seeded onto scaffolds have been suggested as promising therapies to restore these defects. However, the degree of integration between the implant and native cartilage still requires optimization. A PRISMA systematic review and meta-analysis was conducted using five databases (PubMed, MEDLINE, EMBASE, Web of Science, CINAHL) to identify studies that used autologous chondrocyte implants (ACI) or MSC implant therapies to repair chondral defects of the tibiofemoral joint. Data on the integration of the implant-cartilage interface, as well as outcomes of clinical scoring systems, were extracted. Most eligible studies investigated the use of ACI only. Our meta-analysis showed that, across a total of 200 patients, 64% (95% CI (51%, 75%)) achieved complete integration with native cartilage. In addition, a pooled improvement in the mean MOCART integration score was observed during post-operative follow-up (standardized mean difference: 1.16; 95% CI (0.07, 2.24), p = 0.04). All studies showed an improvement in the clinical scores. The use of a collagen-based scaffold was associated with better integration and clinical outcomes. This review demonstrated that cell-seeded scaffolds can achieve good quality integration in most patients, which improves over time and is associated with clinical improvements. A greater number of studies comparing these techniques to traditional cartilage repair methods, with more inclusion of MSC-seeded scaffolds, should allow for a standardized approach to cartilage regeneration to develop.
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Affiliation(s)
| | - Ernest Lee
- School of Clinical Medicine, University of Cambridge, Cambridge CB2 0SP, UK; (I.E.E.); (E.L.); (V.L.)
| | - Victor Lu
- School of Clinical Medicine, University of Cambridge, Cambridge CB2 0SP, UK; (I.E.E.); (E.L.); (V.L.)
| | - Wasim Khan
- Department of Trauma and Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK
- Correspondence: ; Tel.: +44-(0)-7791-025554
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Kelly C, Dhollander T, Harding IH, Khan W, Beare R, Cheong JL, Doyle LW, Seal M, Thompson DK, Inder TE, Anderson PJ. Brain tissue microstructural and free-water composition 13 years after very preterm birth. Neuroimage 2022; 254:119168. [PMID: 35367651 DOI: 10.1016/j.neuroimage.2022.119168] [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: 11/19/2021] [Revised: 02/27/2022] [Accepted: 03/30/2022] [Indexed: 12/20/2022] Open
Abstract
There have been many studies demonstrating children born very preterm exhibit brain white matter microstructural alterations, which have been related to neurodevelopmental difficulties. These prior studies have often been based on diffusion MRI modelling and analysis techniques, which commonly focussed on white matter microstructural properties in very preterm-born children. However, there have been relatively fewer studies investigating the free-water content of the white matter, and also the microstructure and free-water content of the cortical grey matter, in very preterm-born children. These biophysical properties of the brain change rapidly during fetal and neonatal brain development, and therefore such properties are likely also adversely affected by very preterm birth. In this study, we investigated the relationship of very preterm birth (<30 weeks' gestation) to both white matter and cortical grey matter microstructure and free-water content in childhood using advanced diffusion MRI analyses. A total of 130 very preterm participants and 45 full-term control participants underwent diffusion MRI at age 13 years. Diffusion tissue signal fractions derived by Single-Shell 3-Tissue Constrained Spherical Deconvolution were used to investigate brain tissue microstructural and free-water composition. The tissue microstructural and free-water composition metrics were analysed using a bespoke voxel-based analysis and cortical region-of-interest analysis approach. Very preterm 13-year-olds exhibited reduced white matter microstructural density and increased free-water content across widespread regions of the white matter compared with controls. Additionally, very preterm 13-year-olds exhibited reduced microstructural density and increased free-water content in specific temporal, sensorimotor, occipital and cingulate cortical regions. These brain tissue composition alterations were strongly associated with cerebral white matter abnormalities identified in the neonatal period, and concurrent adverse cognitive and motor outcomes in very preterm children. The findings demonstrate brain microstructural and free-water alterations up to thirteen years from neonatal brain abnormalities in very preterm children that relate to adverse neurodevelopmental outcomes.
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Affiliation(s)
- Claire Kelly
- Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia; Victorian Infant Brain Studies (VIBeS), Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Developmental Imaging, Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia.
| | - Thijs Dhollander
- Developmental Imaging, Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia
| | - Ian H Harding
- Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia; Monash Biomedical Imaging, Monash University, Melbourne, Australia
| | - Wasim Khan
- Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia
| | - Richard Beare
- Developmental Imaging, Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia
| | - Jeanie Ly Cheong
- Victorian Infant Brain Studies (VIBeS), Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; The Royal Women's Hospital, Melbourne, Australia; Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Australia
| | - Lex W Doyle
- Victorian Infant Brain Studies (VIBeS), Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; The Royal Women's Hospital, Melbourne, Australia; Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Australia; Department of Paediatrics, The University of Melbourne, Melbourne, Australia
| | - Marc Seal
- Developmental Imaging, Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, The University of Melbourne, Melbourne, Australia
| | - Deanne K Thompson
- Victorian Infant Brain Studies (VIBeS), Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Developmental Imaging, Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, The University of Melbourne, Melbourne, Australia
| | - Terrie E Inder
- Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Peter J Anderson
- Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia; Victorian Infant Brain Studies (VIBeS), Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia
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28
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Khan W, Hassan HU, Gabol K, Khan S, Gul Y, Ahmed AE, Swelum AA, Khooharo AR, Ahmad J, Shafeeq P, Ullah RQ. Biodiversity, distributions and isolation of microplastics pollution in finfish species in the Panjkora River at Lower and Upper Dir districts of Khyber Pakhtunkhwa province of Pakistan. BRAZ J BIOL 2022; 84:e256817. [PMID: 35293545 DOI: 10.1590/1519-6984.256817] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 12/07/2021] [Indexed: 07/26/2023] Open
Abstract
The basic aim of this study was aimed to determine the ichthyofaunal diversity of River Panjkora in both upper and lower Dir districts in Khyber Pakhtunkhwa province of Pakistan.Fish samples were collected by using fishnets from March to September 2020. A total of 724 specimens were collected and classified into 5 families, 14 genera, and 18 species. The overall results revealed that most fish fauna of river Panjkora contains 8 species of family Cyprinidae (56.49%) followed by 4 species of Nemacheilidae (24.44%), 2 species of Channidae (10.63%), and Sisoridae (7.04%), and 1 species of Mastacembelidae (1.38%), respectively. Among all kinds of fish species, Schizothorax plagiostomus (16.57%) was highly dominated and followed by Carassius auratus (11.87%) and Racoma labiata (9.66%) and were reported as highly abundant, especially during April, May, and June. The least abundant species were Glyptothorax punjabensis, Glyptothorax sufii, and Mastacembelus armatus, that constituting 2.48%, 2.20%, and 1.38% of the total fish samples. The Overall Simpson's diversity (1-D= 0.919) and Simpson's Reciprocal index values (1/D= 12.3876), and Shannon's index (H= 2.68) were indicating that river Panjkora contains a quite rich and diverse group of fish species. The highest microplastics observed in site 7 compared to other study area. Conservation steps should be taken as a top priority to protect and conserve the marine environment and natural heritage from further loss, extinction and stop or minimize losses incurred through irresponsible fishery practices.
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Affiliation(s)
- W Khan
- University of Malakand, Department of Zoology, KPK, Pakistan
| | - H U Hassan
- University of Karachi, Department of Zoology, Karachi, Pakistan.,Ministry of National Food Security and Research, Fisheries Development Board,Islamabad, Pakistan
| | - K Gabol
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - S Khan
- University of Malakand, Department of Zoology, KPK, Pakistan
| | - Y Gul
- Department of Zoology, Government College Women University, Faisalabad, Pakistan
| | - A E Ahmed
- King Khalid University, College of Science, Biology Department, Abha, Saudi Arabia.,South Valley University, Faculty of Veterinary Medicine, Department of Theriogenology, Qena, Egypt
| | - A A Swelum
- Zagazig University, Faculty of Veterinary Medicine, Department of Theriogenology, Sharkia 44519, Egypt
| | - A R Khooharo
- Centre of Excellence in Marine Biology, University of Karachi, Karachi 75270, Pakistan
| | - J Ahmad
- University of Malakand, Department of Zoology, KPK, Pakistan
| | - P Shafeeq
- University of Veterinary and Animal Sciences, Department of Fisheries and Aquaculture, Lahore, Pakistan
| | - R Q Ullah
- University of Veterinary and Animal Sciences, Department of Fisheries and Aquaculture, Lahore, Pakistan
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29
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Ahmad B, Khan W, Haq TU, Ahmad S, Zahoor M, Alotaibi A, Ullah R. Beneficial effects of coconut oil (Cocos nucifera) on hematobiochemicl and histopathological markers in CCL4-intoxicated rabbits. BRAZ J BIOL 2022; 84:e252555. [PMID: 35293540 DOI: 10.1590/1519-6984.252555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 12/23/2021] [Indexed: 11/22/2022] Open
Abstract
The study was designed to investigate the effect of Coconut Oil on the levels of some liver and hematological parameters in carbon tetrachloride intoxicated rabbits. Also the antioxidant capacity of Coconut Oil for various concentrations was assessed on the basis of percent scavenging of (DPPH) free radical. Experimental animals were divided into five groups, eight rabbits in each group. These were: group A (Normal control), group B (Toxic control), group C (Standard control), group D (Treated with Coconut Oil 50 mL/kg body weight after CCl4 intoxication), group E (Treated with Coconut Oil 200 mL/kg body weight after CCl4 intoxication). The effects observed were compared with a standard hepatoprotective drug silymarine (50 mL/kg body weight). The Coconut Oil (200 mL/kg body weight) significantly (P<0.05) reduced the elevated serum levels of alanine transaminase (ALT), aspartate transaminase (AST) and alkaline phosphatase (ALP) when compared to a toxic control rabbits. The results of extract treated rabbits were similar to silymarine administered rabbits group. Treatment with Coconut Oil root and silymarine caused no significant changes in RBC, Platelets, (Hb), (MCH) concentration and (HCT) values. However, significant (P<0.05) increase was observed in the total WBC count. The present study suggested that Coconut Oil can be used as an herbal alternative (need further exploration i.e to detect its bioactive compound and its efficacy) for hepatoprotective activity.
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Affiliation(s)
- B Ahmad
- University of Malakand, Department of Zoology, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - W Khan
- University of Malakand, Department of Zoology, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - T U Haq
- University of Malakand, Department of Biotechnology, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - S Ahmad
- Islamia College Peshawar, Department of Zoology, Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - M Zahoor
- University of Malakand, Department of Biochemistry, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - A Alotaibi
- Princess Nourah bint Abdulrahman University, College Of Medicine, Department of Basic Science, Riyadh, Saudi Arabia
| | - R Ullah
- King Saud University, College of Pharmacy, Department of Pharmacognosy, Medicinal Aromatic and Poisonous Plant Research Center, Riyadh, Saudi Arabia
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30
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Chen XK, Shi HY, Huang X, Zhao W, Zhao H, Khan W, Zheng Y, Hao GX, Kou C, Li LW. A Suitable Therapeutic Drug Monitoring Method for Amoxicillin in Plasma by High Performance Liquid Chromatography–UV (HPLC–UV) in Neonates. LCGC N Am 2022. [DOI: 10.56530/lcgc.na.tx2790t9] [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: 11/24/2022]
Abstract
Amoxicillin, a broad-spectrum β-lactam antibiotic, is widely used for treatment of neonatal infections. Despite the unmet need in neonates, an adapted analytical method is still missing in clinical practice. The purpose of this study was to develop and test an easy and credible high performance liquid chromatography–UV (HPLC–UV) method to determine amoxicillin in small volumes of human plasma and use it in routine therapeutic drug monitoring (TDM) of neonates. After a protein precipitation, amoxicillin for standards, quality control samples, and patient samples were separated by LC and measured by UV detection, and tinidazole was used as the internal standard. The calibration range was 0.50–20.0 μg/mL. Intra- and inter-day precisions were less than 4.7%. The acceptance criteria of accuracy (between 85–115%) were met in all cases. A plasma volume of 50 μL was required to achieve the limit of quantification of 0.50 μg/mL. Thus, a simple, rapid, and accurate HPLC–UV method has been developed to detect the concentration of amoxicillin in human plasma. This method was adapted to do TDM of amoxicillin in neonates.
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Affiliation(s)
| | | | - Xin Huang
- First Affiliated Hospital of Shandong
| | - Wei Zhao
- First Affiliated Hospital of Shandong
| | | | | | | | | | - Chen Kou
- Beijing Obstetrics and Gynecology Hospital
| | - Li-Wen Li
- First Affiliated Hospital of Shandong
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Khan T, Khan W, Iqbal R, Maqbool A, Fadladdin YAJ, Sabtain T. Prevalence of gastrointestinal parasitic infection in cows and buffaloes in Lower Dir, Khyber Pakhtunkhwa, Pakistan. BRAZ J BIOL 2022; 83:e242677. [PMID: 35137844 DOI: 10.1590/1519-6984.242677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 01/05/2021] [Indexed: 11/21/2022] Open
Abstract
Gastrointestinal (GI) Parasitic infection is a hot issue for cattle management. There is variation of GI parasites effects in sex, age of cattle, drinking water condition, nutrition, and severity of infection. Studies on prevalence of GI parasites among cattle population in Dir Lower are lacking. A total of 40 farms were selected randomly in six tehsil namely Tehsil Adenzai, Tehsil Timergara, Tehsil Balambat, Tehsil Munda ,Tehsil Lalqala, Tehsil Khall. Freshly cattle fecal samples were collected randomly from the selected farms during March 2018 till December 2018. Out of 314 buffaloes and cattle examined 58.59% (184/314) were positive for eggs, cyst/oocyst of one or more species of GI Parasites. The prevalence of parasitic infection was higher in Buffaloes 63.55% (75/118) as compared to Cow 55.61% (109/196) but the difference was not significant (p>0.05) Entamoeba,spp, Moniezia spp, Haemonchus spp and Coccidian spp were found in this study. The non-treated animals indicated the highest percentage of infection in cow 57.71% (101/175) and buffalo 68.13% (62/91).GI parasite prevalence in female animal were higher female cow 62.58% (87/139) and female buffalo 77.33% (58/75) as compared to male. But the difference is non-significant (p> 0.05) Yearling calves had the lower rate of GI parasitic infection than adults. Future investigations are necessary to evaluate the economic loss due to GI parasites in cattle's.
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Affiliation(s)
- T Khan
- Virtual University of Pakistan, Faculty of Science and Technology, Department of Biology, Islamabad, Pakistan.,University of Malakand, Department of Zoology, Laboratory of Parasitology, Lower Dir, Pakistan
| | - W Khan
- University of Malakand, Department of Zoology, Laboratory of Parasitology, Lower Dir, Pakistan
| | - Roohullah Iqbal
- Virtual University of Pakistan, Faculty of Science and Technology, Department of Biology, Islamabad, Pakistan.,University of Malakand, Department of Zoology, Laboratory of Parasitology, Lower Dir, Pakistan
| | - A Maqbool
- Virtual University of Pakistan, Faculty of Science and Technology, Department of Biology, Islamabad, Pakistan
| | - Y A J Fadladdin
- Department of Biological Sciences, Faculty of Sciences, King Abdul Aziz University Jeddah, Kingdom of Saudi Arabia
| | - T Sabtain
- University of Agriculture, Department of Zoology, Wild Life and Fisheries, Faisalabad, Pakistan
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Khan W, Chandra AK, Sachan S, Alam MS. Effects of channel hydraulic diameters and flow ratios of two‐phase flow in Y‐junction microchannels. Chem Eng Technol 2022. [DOI: 10.1002/ceat.202100461] [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: 11/10/2022]
Affiliation(s)
- Wasim Khan
- Department of Petroleum Engineering Glocal University Saharanpur 247121 India
| | - Abhishek K. Chandra
- Department of Chemical Engineering, School of Engineering & Technology CSJM University Kalyanpur Kanpur 208024 India
| | - Sadhana Sachan
- Department of Chemical Engineering MNNIT Allahabad Teliarganj Prayagraj 211004 India
| | - Mohammad Siraj Alam
- Department of Chemical Engineering MNNIT Allahabad Teliarganj Prayagraj 211004 India
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Rahman HU, Khatoon N, Arshad S, Masood Z, Ahmad B, Khan W, Rafiq N, Khan MI, Kabir M, Haq ZU, Kamal I, Khan E, Rashid M, Haq AU, Garedaghi Y. Prevalence of intestinal nematodes infection in school children of urban areas of district Lower Dir, Pakistan. BRAZ J BIOL 2022; 82:e244158. [DOI: 10.1590/1519-6984.244158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 02/21/2021] [Indexed: 12/23/2022] Open
Abstract
Abstract Intestinal parasitism is the main cause of disease all over the world and described as a significant community health problem. The current study intended to find out the occurrence and identification of hazard factors linked with IPIs among 4-12 years aged shool-age children residing in Lower Dir district, Pakistan during 2019 - 2020. A cross-sectional school-based study was conducted using a pre-arranged pre-tested survey. Anthropometric data and stool collection were done to obtain the findings. The direct wet mount preparation in saline/iodine/methods was used for stool examination. Data were investigated using the GraphPad Prism 5. A total of 400 children studied (mean age of 8.6±3.6 years) the total incidence rate for the intestinal parasitic disease was established to be 71.75%. Of the 400 children studied, the overall prevalence rate for intestinal parasitic infections was found to 71.75% Ascaris lumbricoides (33.1%), Trichuris trichiura (1.04%), E. vermicularis (1.39%), Hookworm (19.86%) were identified in children living in the study area. We concluded that there is a mass scale campaigns were required to generate alertness about health and sanitation in children and the need for the development of effective poverty control programs because deworming (killing of worm with drugs) alone is not adequate to control parasitic infections.
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Affiliation(s)
| | | | | | - Z. Masood
- Sardar Bahadur Khan women University, Pakistan
| | - B. Ahmad
- University of Malakand, Pakistan
| | - W. Khan
- University of Malakand, Pakistan
| | - N. Rafiq
- Abdul Wali Khan University Mardan, Pakistan
| | - M. I. Khan
- Abdul Wali Khan University Mardan, Pakistan
| | - M. Kabir
- University of Sargodha, Pakistan
| | - Z. Ul Haq
- Hazara University Mansehra, Pakistan
| | - I. Kamal
- Hazara University Mansehra, Pakistan
| | - E. Khan
- Government Degree College, Pakistan
| | | | - A. ul Haq
- Shaheed Benazir Bhutto University, Pakistan
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Khan W, Seah M. Clinical Examination. Current Orthopaedic Practice 2022. [DOI: 10.1007/978-3-030-78529-1_17] [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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Udovicic I, Stanojevic I, Djordjevic D, Zeba S, Rondovic G, Abazovic T, Lazic S, Vojvodic D, To K, Abazovic D, Khan W, Surbatovic M. Immunomonitoring of Monocyte and Neutrophil Function in Critically Ill Patients: From Sepsis and/or Trauma to COVID-19. J Clin Med 2021; 10:jcm10245815. [PMID: 34945111 PMCID: PMC8706110 DOI: 10.3390/jcm10245815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Revised: 11/27/2021] [Accepted: 12/01/2021] [Indexed: 12/15/2022] Open
Abstract
Immune cells and mediators play a crucial role in the critical care setting but are understudied. This review explores the concept of sepsis and/or injury-induced immunosuppression and immuno-inflammatory response in COVID-19 and reiterates the need for more accurate functional immunomonitoring of monocyte and neutrophil function in these critically ill patients. in addition, the feasibility of circulating and cell-surface immune biomarkers as predictors of infection and/or outcome in critically ill patients is explored. It is clear that, for critically ill, one size does not fit all and that immune phenotyping of critically ill patients may allow the development of a more personalized approach with tailored immunotherapy for the specific patient. In addition, at this point in time, caution is advised regarding the quality of evidence of some COVID-19 studies in the literature.
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Affiliation(s)
- Ivo Udovicic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia; (I.U.); (D.D.); (S.Z.); (G.R.); (T.A.)
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia; (I.S.); (S.L.); (D.V.)
| | - Ivan Stanojevic
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia; (I.S.); (S.L.); (D.V.)
- Institute for Medical Research, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
| | - Dragan Djordjevic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia; (I.U.); (D.D.); (S.Z.); (G.R.); (T.A.)
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia; (I.S.); (S.L.); (D.V.)
| | - Snjezana Zeba
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia; (I.U.); (D.D.); (S.Z.); (G.R.); (T.A.)
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia; (I.S.); (S.L.); (D.V.)
| | - Goran Rondovic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia; (I.U.); (D.D.); (S.Z.); (G.R.); (T.A.)
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia; (I.S.); (S.L.); (D.V.)
| | - Tanja Abazovic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia; (I.U.); (D.D.); (S.Z.); (G.R.); (T.A.)
| | - Srdjan Lazic
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia; (I.S.); (S.L.); (D.V.)
- Institute of Epidemiology, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
| | - Danilo Vojvodic
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia; (I.S.); (S.L.); (D.V.)
- Institute for Medical Research, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia
| | - Kendrick To
- Division of Trauma & Orthopaedic Surgery, University of Cambridge, Addenbrooke’s Hospital, Cambridge CB2 2QQ, UK; (K.T.); (W.K.)
| | - Dzihan Abazovic
- Emergency Medical Centar of Montenegro, Vaka Djurovica bb, 81000 Podgorica, Montenegro;
| | - Wasim Khan
- Division of Trauma & Orthopaedic Surgery, University of Cambridge, Addenbrooke’s Hospital, Cambridge CB2 2QQ, UK; (K.T.); (W.K.)
| | - Maja Surbatovic
- Clinic of Anesthesiology and Intensive Therapy, Military Medical Academy, Crnotravska 17, 11000 Belgrade, Serbia; (I.U.); (D.D.); (S.Z.); (G.R.); (T.A.)
- Faculty of Medicine of the Military Medical Academy, University of Defence, Crnotravska 17, 11000 Belgrade, Serbia; (I.S.); (S.L.); (D.V.)
- Correspondence: ; Tel.: +381-11-2665-125
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Khan W, Khan AA, Khan J, Khatoon N, Arshad S, Los Ríos Escalante PD. Death caused by covid-19 in top ten countries in Asia affected by covid-19 pandemic with special reference to Pakistan. BRAZ J BIOL 2021; 83:e248281. [PMID: 34852158 DOI: 10.1590/1519-6984.248281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 04/14/2021] [Indexed: 12/15/2022] Open
Abstract
The COVID-19 is a contagious viral disease, was first emerged in Wuhan, China in December 2019 and became the whole world on alert. The mortality rate in top most countries in Asia with special reference to Pakistan has been focused. Since February 26 to September 2020 the total confirmed cases and mortality rate was measured through Wikipedia and the notable journals. Iran is the only country having highest number of deaths (5.73%) followed by Indonesia (3.77%) while Saudi Arabia shows the lowest number of deaths as 1.39%. In Pakistan the first case was confirmed in 26th February, 2020. The nCov-19 has closely related to severe acute respiratory syndrome (SARS) hence SARS COV-2 was named. This virus is responsible for more than 33.9 million deaths in over all the world as of 20th September, 2020. The number of new cases is increasing time to time. Sindh province of Pakistan has reported the highest number of cases till September, 20, 2020 as compared to other parts of the country and has the highest number of death followed by Khyber Pakhtunkhwa. Because of the person to person contact the disease is spreading rapidly. The individuals who has already infected with other diseases like cancer or diabetic etc. are vulnerable. The nCOV-19 is the most contagious due to its mode of transmission. There is still no vaccine is available for the treatment of disease caused by nCoV-2019. It is therefore the only option to control this pandemic is to adopt effective preventive measures.
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Affiliation(s)
- W Khan
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - A A Khan
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - J Khan
- University of Malakand, Department of Pharmacy, Lower Dir, Pakistan
| | - N Khatoon
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - S Arshad
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - P De Los Ríos Escalante
- Universidad Católica de Temuco, Facultad de Recursos Naturales, Departamento de Ciencias Biológicas y Químicas, Temuco, Chile.,Núcleo de Estudios Ambientales UC Temuco, Casilla, Temuco, Chile
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Khan W, Naqvi SMHM, Ul Hassan H, Khan S, Ullah U, De Los Ríos Escalante P. Length-weight relationship: eight species of Cyprinidae from river Panjkora, Khyber Pakhtunkhwa, Pakistan. BRAZ J BIOL 2021; 83:e242922. [PMID: 34817020 DOI: 10.1590/1519-6984.242922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Accepted: 02/17/2021] [Indexed: 11/22/2022] Open
Abstract
Seven hundred and twenty four fish specimens were captured from March to September 2016. The materials used in the current study were cast nets, hand nets. Eight cyprinid fish species were studied for their length-weight relationships. Parameter b in the LWR was 3.03, 3.06, 3.02, 2.29, 2.82, 3.43, 2.73 and 2.47 for Schizothorax plagiostomus, Schizothorax esocinus, Racoma labiata, Tor putitora, Barilius vagra, Garra gotyla, Puntius ticto and Arassius auratus respectively. Current study is the first attempt on the LWRs of cyprinid species, provide a baseline approach for conservation and /management of local fish fauna of economic importance.
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Affiliation(s)
- W Khan
- University of Malakand, Department of Zoology, Laboratory of Parasitology, Lower Dir, Pakistan
| | - S M H M Naqvi
- Pakistan Agricultural Research Council - PARC, Southern Zone Agricultural Research Center - SARC, Outreach Research Activity Unit - ORAU, Karachi, Pakistan
| | - H Ul Hassan
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - S Khan
- Quaid-i-Azam University, Department of Animal Sciences, Islamabad, Pakistan
| | - U Ullah
- University of Malakand, Department of Zoology, Laboratory of Parasitology, Lower Dir, Pakistan
| | - P De Los Ríos Escalante
- Universidad Católica de Temuco, Facultad de Recursos Naturales, Departamento de Ciencias Biológicas y Químicas, Temuco, Chile.,Núcleo de Estudios Ambientales UC Temuco, Casilla, Temuco, Chile
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Khan W, Rafiq N, Nawaz MA, Kabir M, Farooqi ZUR, Romman M, Parvez R, Alfarraj S, Noor A, Ujjan AA. Parasitic contamination of fresh vegetables sold in open markets: a public health threat. BRAZ J BIOL 2021; 82:e242614. [PMID: 34816974 DOI: 10.1590/1519-6984.242614] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2020] [Accepted: 10/16/2020] [Indexed: 11/21/2022] Open
Abstract
Vegetables eating raw are a leading source of transmission of infective forms of pathogenic internal parasites among human beings. This research was conducted from April to October, 2017 to assess the parasitic contamination of vegetables sold at main vegetable markets in districts Lower Dir and Peshawar, Pakistan. Eight hundred specimens of different vegetables were purchased and soaked in physiological saline solution, shaken with a mechanical shaker for 20 minutes and processed by sedimentation concentration method. Results revealed that only 19.7% (n=158/800) of the vegetables were found to be contaminated with single or multiple parasite species. Ascaris lumbricoides (the large round worm) 12.3% (n=99/800) was the most commonly detected pathogen and Taenia saginata (the beef tapeworm) 1.62% (n=13/800) was the least frequently detected one. Interestingly, significant p value (p>0.05 at 95%CI) between the number of examined and contaminated for all the variables studied including education status of the vendors, markets location, type of vegetables, means of display, washed before display, washing source of water and market type. The findings of this study evidenced that consumption of raw vegetables possesses great risk of getting parasitic infections in Lower Dir and Peshawar districts, Pakistan. Instructing the sellers and the public about parasitic disease transfer and their hygiene can reduce the infection rate of parasites of human origin.
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Affiliation(s)
- W Khan
- University of Malakand, Department of Zoology, Lower Dir, KP, Pakistan
| | - N Rafiq
- Abdul Wali Khan University, Department of Zoology, Mardan, KP, Pakistan
| | - M A Nawaz
- Shaheed Benazir Bhutto University, Department of Biotechnology, Sheringal, Dir (Upper), KPK, Pakistan
| | - M Kabir
- University of Sargodha, Department of Biological Sciences, Punjab, Pakistan
| | - Z Ur R Farooqi
- University of Karachi, Department of Botany, Karachi, Pakistan
| | - M Romman
- University of Chitral, Department of Botany, KP, Pakistan
| | - R Parvez
- Government Girls Degree College Dargai, Department of Botany, Malakand, KP, Pakistan
| | - S Alfarraj
- King Saud University, College of Science, Zoology Department, Riyadh, Saudi Arabia
| | - A Noor
- Karakoram International University Gilgit, Biological Sciences Department, Baltistan, Pakistan
| | - A A Ujjan
- University of Sindh, Institute of Plant Sciences, Jamshoro, Pakistan
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Khan W, Khan MI, Hussain S, Masood Z, Shadman M, Baset A, Rahman A, Mohsin M, Alfarraj S. Comparative analysis of brain in relation to the body length and weight of common carp (Cyprinus carpio) in captive (hatchery) and wild (river system) populations. BRAZ J BIOL 2021; 82:e242897. [PMID: 34816975 DOI: 10.1590/1519-6984.242897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 10/30/2020] [Indexed: 11/22/2022] Open
Abstract
Cyprinus carpio is the member of family cyprinidae commonly called common carp. This study was aimed to find out the comparison of brain of wild (river system) and captive (hatchery reared) population of common carp. A total of thirty samples (15 from hatchery and 15 from river Swat) were collected. All the specimens were examined in Laboratory of Parasitoloy, Zoology Department, University of Malakand. Findings indicated that wild population were greater in brain size and weight as compared to hatchery reared population. The fish samples collected from captive environment (hatchery) were showing more weight and length as compared to wild population of common carps. The mean value of total weight of hatchery fishes 345±48.68 and the mean value of brain weight of hatchery reared fishes 0.28±0.047. The mean value of wild fish's total body weight 195.16±52.58 and the mean value of brain weight of wild fishes are 0.45±0.14. Present research calls for the fact that fish in dependent environmental conditions possess brain larger in size as compared to its captive population, it is due to use and disuse of brain in their environmental requirements.
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Affiliation(s)
- W Khan
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - M I Khan
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - S Hussain
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - Z Masood
- Sardar Bahadur Khan Women University, Department of Zoology, Quetta, Pakistan
| | - M Shadman
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - A Baset
- Bacha Khan University, Department of Zoology, Charsadda, Pakistan
| | - A Rahman
- Friedrich-Alexander-University - FAU, Institute of Geography, Department of Geography and Geosciences, Erlangen- Nuremberg Germany.,University of Malakand, Department of Botany, Chakdara, Dir Lower, Pakistan
| | - M Mohsin
- Islamia College University, Department of Zoology, Peshawar, Pakistan
| | - S Alfarraj
- King Saud University, College of Science, Zoology Department, Riyadh, Saudi Arabia
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Ruhoollah, Khan W, Al-Jabr OA, Khan T, Khan A, El-Ghareeb WR, Aguilar-Marcelino L, Hussein EOS, Alhimaidi AR, Swelum AA. Prevalence of gastrointestinal parasite in small ruminants of District Dir Upper Khyber Pakhtunkhwa Province of Pakistan. BRAZ J BIOL 2021; 83:e248978. [PMID: 34669799 DOI: 10.1590/1519-6984.248978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 06/10/2021] [Indexed: 11/21/2022] Open
Abstract
The present research was planned to assess the occurrence of intestinal parasites in small ruminants of Upper Dir of Khyber Pakhtunkhwa Province of Pakistan. For this purpose, the faecal material was collected randomly with gloved fingers directly from the rectum region of sheep and goats and the faecal materials were then put in hygienic plastic bottles with 10% formalin. The overall 315 (n=184 sheep and n= 131 goats) faecal samples were collected out of 315 samples, 281 were found positive for different parasites. Patterns-wise prevalence of GI parasites of the study area was found. Overall Single parasitism 89.20% (281/315) with 94.0% (173/184) in sheep and 82.43% (108/131) in goats. Double parasitic infection in small ruminant recorded in which Fasciola+ Haemonchus. contortus in sheep were found their prevalence was 25.54% (47/184). While in goats, the double parasitic infection in which Haemonchus contortus+Trichuris spp were found and their prevalence were 23.43% (30/131). The species found in the sample of sheep were includes, i.e., Strongyloides papillosus (41.30%), Heamonchus controtus (21.73%), Trichuris ovis (17.39%), and Fasciola hepatica (13.58%), the corresponding value for goat were Strongyloides spp 33.33% (36/108), Haemonchus spp 28.70%, (27/108), Trichuris spp 25.20% (27/184) and Fasciola spp 10.68% (14/184). The sheep of the study area are more infected as compared to goats. This study suggested that gastrointestinal parasites are major health problems of small ruminants in the study area. Therefore, a comprehensive study on species of gastrointestinal parasites circulating in the area, control options, cost-effective strategies and awareness about gastrointestinal parasites among the farmers in the study area should be instituted.
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Affiliation(s)
- Ruhoollah
- Virtual University of Pakistan, Department of Molecular Biology, Lahore, Pakistan
| | - W Khan
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, KPK, Pakistan
| | - O A Al-Jabr
- King Faisal University, College of Veterinary Medicine, Department of Microbiology, Al-Ahsa, Saudi Arabia
| | - T Khan
- Virtual University of Pakistan, Department of Molecular Biology, Lahore, Pakistan
| | - A Khan
- Abdul Wali Khan University, Department of Zoology, Mardan, Pakistan
| | - W R El-Ghareeb
- King Faisal University, College of Veterinary Medicine, Department of Public Health, Al-Ahsa, Saudi Arabia.,Zagazig University, Faculty of Veterinary Medicine, Department of Food Control, Zagazig, Egypt
| | - L Aguilar-Marcelino
- Instituto Nacional de Investigaciones Forestales Agricolas y Pecuarias - INIFAP, Centro Nacional de Investigación Disciplinaria en Salud Animal e Inocuidad, Col. Progreso, Jiutepec, Morelos, México
| | - E O S Hussein
- King Saud University, College of Food and Agriculture Sciences, Department of Animal Production, Riyadh, Saudi Arabia
| | - A R Alhimaidi
- King Saud University, College of Sciences, Department of Zoology, Riyadh, Saudi Arabia
| | - A A Swelum
- King Saud University, College of Food and Agriculture Sciences, Department of Animal Production, Riyadh, Saudi Arabia.,Zagazig University, Faculty of Veterinary Medicine, Department of Theriogenology, Zagazig, Egypt
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Rahman HU, Khan W, Mehmood SA, Ahmed S, Yasmin S, Ahmad W, Haq ZU, Shah MIA, Khan R, Ahmad U, Khan AA, De Los Ríos Escalante P. Prevalence of cestodes infection among school children of urban parts of Lower Dir district, Pakistan. BRAZ J BIOL 2021; 82:e242205. [PMID: 34644726 DOI: 10.1590/1519-6984.242205] [Citation(s) in RCA: 2] [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] [Received: 08/12/2020] [Accepted: 10/07/2020] [Indexed: 11/21/2022] Open
Abstract
Tapeworms of zoonotic importance have been described as a leading public health problem. Current research was aim to assess the prevalence of tapeworms among 5-12years school children residing in district Lower Dir, Pakistan from January 2019-December 2019. The wet mount preparation in saline/iodine/methods were used for stool examination. Data was analyzed using appropriate descriptive, static methods. Of the 400 children studied 71.7% were infected with one or more species of intestinal parasites. Single infection of cestode species was found in 69 individuals with 17.2% prevalence and multiple parasitic infections were identified in 19.7% (n=79/400) individuals. The multiple infection were comprised as 10% (n=40) double, 6.75% (n=27) triple and 3% (n=12) quadruple. A total of 9 species of helminths and one species of protozoan infection. Among the helminths Ascaris lumbricoides was the most prevalent 33.1% (n=95), Taenia saginata 22.6% (n=65), hookworm 19.8% (n=57), Hymenolepis nana 18.8% (n=54), Enterobius vermicularis and Hymenolepis diminuta 1.39% (n=4each), Trichuris trichura 1.04% (n=3), Toxocara spp 0.69% (n=2) and Schistosoma japonicum 0.34% (n=1) were reported. One protozoan species was Cryptosporidium spp 0.69% (n=2) in current study. In case of A.lumbricoides, hookworm, E.vermicularis, T.trichura, T.saginata, H.nana and H.diminuta the male children of below 8 years of age were highly infected. Other infections are reported in the same prevalence with slight difference if any. We conclude that there is a need for mass scale campaigns to create awareness regarding health and hygiene in children and the need for development of effective poverty control programs because deworming alone is not adequate to control parasitic infections.
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Affiliation(s)
- H Ur Rahman
- Hazara University Mansehra, Department of Zoology, Mansehra, Pakistan
| | - W Khan
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - S A Mehmood
- Hazara University Mansehra, Department of Zoology, Mansehra, Pakistan
| | - S Ahmed
- Hazara University Mansehra, Department of Zoology, Mansehra, Pakistan
| | - S Yasmin
- Hazara University Mansehra, Department of Zoology, Mansehra, Pakistan
| | - W Ahmad
- Hazara University Mansehra, Department of Zoology, Mansehra, Pakistan
| | - Z Ul Haq
- Hazara University Mansehra, Department of Zoology, Mansehra, Pakistan
| | - M I A Shah
- Abdul Wali Khan Unuversity Mardan, Department of Chemistry, Mardan, Pakistan
| | - R Khan
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - U Ahmad
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - A A Khan
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - P De Los Ríos Escalante
- Universidad Católica de Temuco, Facultad de Recursos Naturales, Departamento de Ciencias Biológicas y Químicas, Casilla 15-D, Temuco, Chile.,Núcleo de Estudios Ambientales UC Temuco, Casilla, Temuco, Chile
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Ulhaq Z, Khan W, Khan MF, Kabir M, Ujjan AA, Ullah W, Masood Z, Khan S, De Los Ríos Escalante P. Prevalence of intestinal parasitic diseases in school children of rural areas of district Lower Dir, Pakistan. BRAZ J BIOL 2021; 82:e243150. [PMID: 34644727 DOI: 10.1590/1519-6984.243150] [Citation(s) in RCA: 2] [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] [Received: 09/03/2020] [Accepted: 11/16/2020] [Indexed: 11/21/2022] Open
Abstract
Present study was conducted among school children to recognize the prevalence of IPIs in rural communities of district Dir Lower, Pakistan. A sum of 324 samples of stool were collected (210 boys and 114 girls). Used direct smear method and formol ether sedimentation concentration technique for processing the samples. The result shows that 82% (n=266) were found infected comprised 64.8% male and 35.1% females. Children of the age group 10 to 12 years were found extremely infected 94.2% while 4-6 year age group were having minimum ratio of infection 72%. Current study shows mono parasitism in 50.6% of the students while 22.2% were infected with 2 species and 7.40% were infected with three species of parasites. Seven species of intestinal parasites were reported include Ascaris lumbricoid in male (n=122) 58.0% and in female (n=65) 57.0% followed by Hook worm (n=88) 41.9% and (n=44) 38.5%; Tania saginata (n=44) 20.9% and (n=24) 21.0%; Entrobius vermicularis (n=32) 15.2% and (n=16) 14.0%; Trichuris trichura (n=25) 11.9% and (n=22) 19.2%; Hymenolepis nana (n=24) 11.4% and (n=18) 15.7% and Entameoba histolytica (n=16) 7.61% and (n=14) 12.2% in male and females respectively. The study indicates that most occurring intestinal parasite in the current study were Ascaris lumbricoides 58.0% (n=122) followed by hookworms 41.9% (n=88). Male students were more infected than females in the present study.
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Affiliation(s)
- Z Ulhaq
- Hazara University, Department of Zoology, Mansehra, Pakistan
| | - W Khan
- University of Malakand, Department of Zoology, Malakand, Pakistan
| | - M F Khan
- Hazara University, Department of Zoology, Mansehra, Pakistan
| | - M Kabir
- University of Sargodha, Department of Biological Sciences, Sub campus Bhakkar, Bhakkar-30000, Punjab, Pakistan
| | - A A Ujjan
- University of Sindh, Institute of Plant Sciences, Jamshoro, Pakistan
| | - W Ullah
- Hazara University, Department of Zoology, Mansehra, Pakistan
| | - Z Masood
- Department of Zoology, SBK Women University Quetta, Baluchistan, Pakistan
| | - S Khan
- Hazara University, Department of Zoology, Mansehra, Pakistan
| | - P De Los Ríos Escalante
- Universidad Católica de Temuco, Facultad de Recursos Naturales, Departamento de Ciencias Biológicas y Químicas, Casilla 15-D, Temuco, Chile.,Núcleo de Estudios Ambientales UC Temuco, Casilla, Temuco, Chile
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43
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Khan W, Corben LA, Bilal H, Vivash L, Delatycki MB, Egan GF, Harding IH. Neuroinflammation in the Cerebellum and Brainstem in Friedreich Ataxia: An [ 18 F]-FEMPA PET Study. Mov Disord 2021; 37:218-224. [PMID: 34643298 DOI: 10.1002/mds.28825] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [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: 06/05/2021] [Revised: 09/08/2021] [Accepted: 09/21/2021] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND Neuroinflammation is proposed to accompany, or even contribute to, neuropathology in Friedreich ataxia (FRDA), with implications for disease treatment and tracking. OBJECTIVES To examine brain glial activation and systemic immune dysfunction in people with FRDA and quantify their relationship with symptom severity, duration, and onset age. METHODS Fifteen individuals with FRDA and 13 healthy controls underwent brain positron emission tomography using the translocator protein (TSPO) radioligand [18 F]-FEMPA, a marker of glial activation, together with the quantification of blood plasma inflammatory cytokines. RESULTS [18 F]-FEMPA binding was significantly increased in the dentate nuclei (d = 0.67), superior cerebellar peduncles (d = 0.74), and midbrain (d = 0.87), alongside increased plasma interleukin-6 (IL-6) (d = 0.73), in individuals with FRDA compared to controls. Increased [18 F]-FEMPA binding in the dentate nuclei, brainstem, and cerebellar anterior lobe correlated with earlier age of symptom onset (controlling for the genetic triplet repeat expansion length; all rpart < -0.6), and in the pons and anterior lobe with shorter disease duration (r = -0.66; -0.73). CONCLUSIONS Neuroinflammation is evident in brain regions implicated in FRDA neuropathology. Increased neuroimmune activity may be related to earlier disease onset and attenuate over the course of the illness. © 2021 International Parkinson and Movement Disorder Society.
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Affiliation(s)
- Wasim Khan
- Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Victoria, Australia
| | - Louise A Corben
- Bruce Lefroy Centre for Genetic Health Research, Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.,Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia
| | - Hiba Bilal
- Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia
| | - Lucy Vivash
- Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Victoria, Australia
| | - Martin B Delatycki
- Bruce Lefroy Centre for Genetic Health Research, Murdoch Children's Research Institute, Parkville, Victoria, Australia.,Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.,Victorian Clinical Genetics Service, Melbourne, Victoria, Australia
| | - Gary F Egan
- Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.,Monash Biomedical Imaging, Monash University, Melbourne, Victoria, Australia
| | - Ian H Harding
- Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Victoria, Australia.,Monash Biomedical Imaging, Monash University, Melbourne, Victoria, Australia
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Khan W, Baig A, Afzaal Q, Davison J, Hutchings S, Kulkarni A, Brown A, Ashford R. 854 Mortality Associated with Conversion of Total Hip Arthroplasty for Failed Fixation/Hemiarthroplasty for Neck of Femur Fractures. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.1010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Aim
To identify the mortality associated with failed internal fixation and hemiarthroplasty of neck of femur fractures.
Method
Patients undergoing conversion of internal fixation / hemi arthroplasty were identified from theatre records and surgical databases. Data was stored in Microsoft Excel spreadsheet. Clinical outcomes at 30 days, 1 year and 5 years post conversion total hip replacement.
Results
60 cases were collected between June 2006 and November 2016. 46 females and 14 males involved in the case. The mean age of male patients was 66.5 and for females 67.9. 32 patients had previous sliding hip screw fixation,12 had intra-medullary nails, 8 had cannulated screw fixation and 5 patients had hemiarthroplasty. The mean time to failure was 22 months (Range: 2 weeks to 60 months) and there were 6 cases of late posttraumatic arthritis (range 4 yrs to 23 yrs). Average time from documented failure to conversion THR was 2 months. There were 2 superficial wound infections which were successfully treated with antibiotics. There were 2 cases of deep infection which required multiple debridement, washout, and prolonged inpatient stay. Average duration of hospital stay was 5.7days. 18 patients died before 5 years for reasons unrelated to their hip. All had a functional prosthesis at time of last review. 42 patients alive at 5 years had a functional prosthesis at last review
Conclusions
Total Hip Arthroplasty is a successful procedure for failed fixation / hemiarthroplasty despite the technical challenges. A 3–5-year mortality rate of 33.33 % reflects well against the NHFD 1year mortality of 30 %.
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Affiliation(s)
- W Khan
- University Hospitals of Leicester, Leicester, United Kingdom
| | - A Baig
- University Hospitals of Leicester, Leicester, United Kingdom
| | - Q Afzaal
- University Hospitals of Leicester, Leicester, United Kingdom
| | - J Davison
- University Hospitals of Leicester, Leicester, United Kingdom
| | - S Hutchings
- University Hospitals of Leicester, Leicester, United Kingdom
| | - A Kulkarni
- University Hospitals of Leicester, Leicester, United Kingdom
| | - A Brown
- University Hospitals of Leicester, Leicester, United Kingdom
| | - R Ashford
- University Hospitals of Leicester, Leicester, United Kingdom
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Lu V, Tennyson M, Zhang J, Khan W. Mesenchymal Stem Cell-Derived Extracellular Vesicles in Tendon and Ligament Repair-A Systematic Review of In Vivo Studies. Cells 2021; 10:cells10102553. [PMID: 34685532 PMCID: PMC8533909 DOI: 10.3390/cells10102553] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 09/18/2021] [Accepted: 09/22/2021] [Indexed: 12/23/2022] Open
Abstract
Tendon and ligament injury poses an increasingly large burden to society. This systematic review explores whether mesenchymal stem cell-derived extracellular vesicles (MSC-EVs) can facilitate tendon/ligament repair in vivo. On 26 May 2021, a systematic search was performed on PubMed, Web of Science, Cochrane Library, Embase, to identify all studies that utilised MSC-EVs for tendon/ligament healing. Studies administering EVs isolated from human or animal-derived MSCs into in vivo models of tendon/ligament injury were included. In vitro, ex vivo, and in silico studies were excluded, and studies without a control group were excluded. Out of 383 studies identified, 11 met the inclusion criteria. Data on isolation, the characterisation of MSCs and EVs, and the in vivo findings in in vivo models were extracted. All included studies reported better tendon/ligament repair following MSC-EV treatment, but not all found improvements in every parameter measured. Biomechanics, an important index for tendon/ligament repair, was reported by only eight studies, from which evidence linking biomechanical alterations to functional improvement was weak. Nevertheless, the studies in this review showcased the safety and efficacy of MSC-EV therapy for tendon/ligament healing, by attenuating the initial inflammatory response and accelerating tendon matrix regeneration, providing a basis for potential clinical use in tendon/ligament repair.
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Affiliation(s)
- Victor Lu
- School of Clinical Medicine, University of Cambridge, Cambridge CB2 0SP, UK; (V.L.); (J.Z.)
| | - Maria Tennyson
- Department of Trauma and Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK;
| | - James Zhang
- School of Clinical Medicine, University of Cambridge, Cambridge CB2 0SP, UK; (V.L.); (J.Z.)
| | - Wasim Khan
- Department of Trauma and Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK;
- Correspondence: ; Tel.: +44-(0)-7791-025554
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46
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Ilahi I, Yousafzai AM, Attaullah M, Haq TU, Rahim A, Khan W, Khan AA, Ullah S, Jan T, Khan MM, Rahim G, Zaman N. Mosquitocidal activities of Chenopodium botrys whole plant n-hexane extract against Culex quinquefasciatus. BRAZ J BIOL 2021; 83:e240842. [PMID: 34550279 DOI: 10.1590/1519-6984.240842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 12/21/2020] [Indexed: 11/22/2022] Open
Abstract
This research aimed to investigate various mosquitocidal activities of Chenopodium botrys whole- plant n-hexane extract against Culex quinquefasciatus. The extract showed remarkable larvicidal, pupicidal, adulticidal, oviposition deterrent and adult emergence inhibitory activities against Cx. quinquefasciatus. During the larvicidal and pupicidal activities, the 24-hour lethal concentration (LC50) of extract against 2nd instar larvae, 4th instar larvae and pupae were 324.6, 495.6 and 950.8 ppm, respectively. During the CDC (Centers for Disease Control and Prevention) bottle bioassay for adulticidal activity, the median knockdown times (KDT50) at 1.25% concentration was 123.4 minutes. During the filter paper impregnation bioassay for adulticidal activity, the KDT50 value at 0.138 mg/cm2 concentration was 48.6 minutes. The extract was fractionated into 14 fractions through silica gel column chromatography which were then combined into six fractions on the basis of similar retention factor (Rf) value. These fractions were screened for adulticidal activity by applying CDC bottle bioassay. The fraction obtained through 60:40 to 50:50% n-hexanes-chloroform mobile phase with 0.5 Rf value showed 100% adulticidal activity at 0.2% concentration. During oviposition deterrent activity, the highest concentration (1000 ppm) showed 71.3 ± 4.4% effective repellence and 0.6 ± 0.1 oviposition activity index. During adult emergence inhibition activity, the median emergence inhibition (EI50) value was 312.3 ppm. From the outcome of the present investigation, it is concluded that the n-hexane extract of C. botrys whole- plant possesses strong larvicidal, pupicidal, adulticidal, oviposition deterrent and adult emergence inhibitory activities against Cx. quinquefasciatus.
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Affiliation(s)
- I Ilahi
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan.,Islamia College Peshawar, Department of Zoology, Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - A M Yousafzai
- Islamia College Peshawar, Department of Zoology, Peshawar, Khyber Pakhtunkhwa, Pakistan
| | - M Attaullah
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - T U Haq
- University of Malakand, Department of Biotechnology, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - A Rahim
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - W Khan
- University of Malakand, Department of Zoology, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - A A Khan
- University of Malakand, Department of Biotechnology, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - S Ullah
- University of Malakand, Department of Botany, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - T Jan
- University of Malakand, Department of Botany, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - M M Khan
- The University of Haripur, Department of Microbiology, Haripur, Khyber Pakhtunkhwa, Pakistan
| | - G Rahim
- University of Malakand, Department of Botany, Chakdara, Dir Lower, Khyber Pakhtunkhwa, Pakistan
| | - N Zaman
- University of Swat, Centre for Biotechnology and Microbiology, Swat, Khyber Pakhtunkhwa, Pakistan
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Hamidullah, Javid A, Rasheed SB, Ullah A, Attaullah, Ahmad QA, Khan MI, Shahbaz M, Anwar K, Khan W, Ahmad Z, Ullah I. Parasitic prevalence in bat fauna captured from selected sites in northwestern Pakistan. BRAZ J BIOL 2021; 81:776-784. [PMID: 32965336 DOI: 10.1590/1519-6984.231004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Accepted: 03/09/2020] [Indexed: 11/22/2022] Open
Abstract
Present study was conducted to record ecotoparasitic prevalence in bat fauna of the northwestern parts of Pakistan. A total of 204 bat specimens representing 14 species were captured during a two year survey, extending from June 2015 through May 2016. A species of soft ticks Argas vespertilionis was identified from 23 bat specimens. Similarly, members of the family Dermanyssoidae (dermanyssoid mites) were isolated from 10 bat specimens, that of Spinturnicidae (spinturnicid mites) from 3 and Streblidae (bat flies) from 2 bat specimens. These parasites were collected using entomological tweezers and were identified on morphological basis. Further studies on parasitic prevalence, molecular characterization of bat parasites and their control measures are recommended.
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Affiliation(s)
- Hamidullah
- University of Peshawar, Department of Zoology, Khyber-Pakhtunkhwa, Pakistan
| | - A Javid
- University of Veterinary and Animal Sciences, Department of Wildlife and Ecology, Lahore, Pakistan
| | - S B Rasheed
- University of Peshawar, Department of Zoology, Khyber-Pakhtunkhwa, Pakistan
| | - A Ullah
- University of Peshawar, Department of Zoology, Khyber-Pakhtunkhwa, Pakistan
| | - Attaullah
- Hazara University, Departmentof Human Genetic, Mansera, Khyber-Pakhtunkhwa, Pakistan
| | - Q A Ahmad
- Cholistan University of Veterinary and Animal Sciences, Department of Zoology, Bahawalpur, Pakistan
| | - M I Khan
- University of Peshawar, Department of Zoology, Khyber-Pakhtunkhwa, Pakistan
| | - M Shahbaz
- Women University of Azad Jammu & Kashmir, Department of Zoology, Bagh, Pakistan
| | - K Anwar
- Veterinary Research and Diseases Investigation Center, Department of Livestock and Dairy Development, Balogram Swat, Khyber-Pakhtunkhwa, Pakistan
| | - W Khan
- University of Malakand, Department of Zoology, Laboratory of Parasitology, Lower Dir, Pakistan
| | - Z Ahmad
- Lahore College for Women University, Department of Environmental Sciences, Lahore, Pakistan
| | - I Ullah
- University of Agriculture, Department of Veterinary and Animals Sciences, Peshawar, Pakistan
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Khan W, Nisa NN, Pervez S, Ahmed S, Ahmed MS, Alfarraj S, Ali A, Tahreem S. Occurrence of Hymenolepis diminuta: a potential helminth of zoonotic importance in murid rodents. BRAZ J BIOL 2021; 82:e242089. [PMID: 34378679 DOI: 10.1590/1519-6984.242089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 10/07/2020] [Indexed: 11/22/2022] Open
Abstract
The study reveals the prevalence of a potential rodent-borne zoonotic helminth species, Hymenolepis diminuta in commensal rodents caught from irrigated and rain-fed areas of Swat, Pakistan. Three hundred and fifty rodents (269 rats and 81 mice) trapped during vegetative, flowering/fruiting and mature/harvesting stages of crops were studied from 2011-2013. Hymenolepisdiminuta eggs were identified on the basis of their shape, size, colour and markings on the surface of the egg shell and three pairs of embryonic hook-lets. Overall prevalence of H. diminuta was 3.14% (n=11/350). The highest prevalence 3.49% (n=5/143) of H. diminuta was noted at harvesting stages of the crops whereas the lowest 2.59% (n=2/77) during vegetative stage. Infection was higher in males 3.25% (n=7/215) than females 2.96% (n=4/135). Adult rodents were highly infected while no sub-adult was found infected. Infection was higher in mice 3.70% (3/81) than rats 2.69% (8/269) while no significance (p=1.0000:0.1250 to 32.00 CI). Rats and mice appears to show the most suitable reservoirs by hosting H. diminuta a zoonotic helminth. The presence of these rodents in all possible habitats can act as a main channel of transferring parasites through various habitats and can pose a hazard to humans in the area.
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Affiliation(s)
- W Khan
- University of Malakand, Zoology Department, Dir (Lower), Pakistan
| | - N N Nisa
- Pakistan Agricultural Research Council - PARC, Southern Zone-Agricultural Research Centre - SARC, Vertebrate Pest Control Institute - VPCI, Karachi, Pakistan
| | - S Pervez
- Shaheed Benazir Bhutto Women University Peshawar, Department of Biochemistry, Khyber Pakhtunkhwa, Pakistan
| | - S Ahmed
- Hazara University, Department of Zoology, Mansehra, Pakistan
| | - M S Ahmed
- University of Swabi, Department of Zoology, Swabi, Pakistan
| | - S Alfarraj
- King Saud University, College of Science, Zoology Department, Riyadh, Saudi Arabia
| | - A Ali
- MirPur University of Science and Technology, Department of Zoology, Azad Jammu and Kashmir, Pakistan
| | - S Tahreem
- University of Agriculture, Department of Zoology, Wildlife and Fisheries, Faisalabad, Pakistan
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Kapetanos K, Asimakopoulos D, Christodoulou N, Vogt A, Khan W. Chronological Age Affects MSC Senescence In Vitro-A Systematic Review. Int J Mol Sci 2021; 22:ijms22157945. [PMID: 34360725 PMCID: PMC8348192 DOI: 10.3390/ijms22157945] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 07/21/2021] [Accepted: 07/22/2021] [Indexed: 01/10/2023] Open
Abstract
The use of mesenchymal stromal cells (MSCs) in regenerative medicine and tissue engineering is well established, given their properties of self-renewal and differentiation. However, several studies have shown that these properties diminish with age, and understanding the pathways involved are important to provide regenerative therapies in an ageing population. In this PRISMA systematic review, we investigated the effects of chronological donor ageing on the senescence of MSCs. We identified 3023 studies after searching four databases including PubMed, Web of Science, Cochrane, and Medline. Nine studies met the inclusion and exclusion criteria and were included in the final analyses. These studies showed an increase in the expression of p21, p53, p16, ROS, and NF-κB with chronological age. This implies an activated DNA damage response (DDR), as well as increased levels of stress and inflammation in the MSCs of older donors. Additionally, highlighting the effects of an activated DDR in cells from older donors, a decrease in the expression of proliferative markers including Ki67, MAPK pathway elements, and Wnt/β-catenin pathway elements was observed. Furthermore, we found an increase in the levels of SA-β-galactosidase, a specific marker of cellular senescence. Together, these findings support an association between chronological age and MSC senescence. The precise threshold for chronological age where the reported changes become significant is yet to be defined and should form the basis for further scientific investigations. The outcomes of this review should direct further investigations into reversing the biological effects of chronological age on the MSC senescence phenotype.
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Affiliation(s)
- Konstantinos Kapetanos
- School of Clinical Medicine, University of Cambridge, Cambridge CB2 2SP, UK; (D.A.); (N.C.)
- Correspondence: ; Tel.: +44-357-9664-9787
| | | | | | - Antonia Vogt
- Division of Trauma & Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK; (A.V.); (W.K.)
| | - Wasim Khan
- Division of Trauma & Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK; (A.V.); (W.K.)
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Loh B, Lim JA, Seah M, Khan W. Perioperative management of open fractures in the lower limb. J Perioper Pract 2021; 32:100-107. [PMID: 34214004 PMCID: PMC9073073 DOI: 10.1177/17504589211012150] [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] [Indexed: 11/25/2022]
Abstract
An open fracture is a fracture which communicates with the external environment through a wound in the skin. Severe open fractures are managed by both orthopaedic and plastic surgeons to address injuries in both the bone and soft tissue. This review outlines the management of open fractures in the lower limb from the initial patient presentation to operative management (including debridement, skeletal fixation, definitive soft tissue coverage) according to the standards jointly published by the British Orthopaedic Association (BOA) and the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS). Additionally, the decision-making between limb salvage or amputation will be explored. Finally, this review will discuss the patient’s postoperative care including wound care and management of potential complications that may arise such as infection, flap failure and fracture non-union.
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Affiliation(s)
- Bryan Loh
- Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, UK.,School of Clinical Medicine, University of Cambridge, Cambridge, UK
| | - Jiang An Lim
- Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, UK.,School of Clinical Medicine, University of Cambridge, Cambridge, UK
| | - Matthew Seah
- Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, UK
| | - Wasim Khan
- Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, UK
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