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Usmani D, Ganapathy K, Patel D, Saini A, Gupta J, Dixit S. THE ROLE OF EXERCISE IN PREVENTING CHRONIC DISEASES: CURRENT EVIDENCE AND RECOMMENDATIONS. Georgian Med News 2023:137-142. [PMID: 37522789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 08/01/2023]
Abstract
Regular exercise helps to enhance health outcomes and lower risk factors, making it a crucial element in the prevention of chronic diseases. By being physically active, people can improve their general health and delay the onset of a number of chronic illnesses. For understanding the relationship between increased physical activity or decreased physical inactivity and favorable health outcomes, observational studies are the main source of information. We will look for systematic analyses of randomized controlled trials with a main emphasis on outcomes linked to diseases in the Cochrane Database of systematic studies. Evaluation will be limited to those in a few key chronic conditions. Preventing chronic illness and achieving better results in the management or treatment of chronic illness are the main outcomes of interest. For each chronic condition (such as the control of glucose in diabetes or any change in hypertension blood pressure), these results will be summarized and displayed. The design and implementation of chronic conditions, physical exercise illness conditions, and adverse physical activity-related events are of secondary interest. Our findings should help decision-makers, guideline organizations, and academics identify the most effective physical activity programs for major chronic disease management and prevention. Exercise and physical activity (PA) offers a non-invasive approach to the management of chronic disorders. More physiological, biochemical, and molecular data on the positive effects of PA and exercise on health should constitute a primary focus of future studies.
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Affiliation(s)
- D Usmani
- 1Department of Anatomy, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India
| | - K Ganapathy
- 2Department of Biotechnology, School of Sciences, JAIN (Deemed-to-be University), Karnataka, India
| | - D Patel
- 3Department of Pharmacology, Parul University, PO Limda, Tal. Waghodia, District Vadodara, Gujarat, India
| | - A Saini
- 4Department of Allied Health Science, IIMT University, Meerut, Uttar Pradesh, India
| | - J Gupta
- 5Department of Ayurveda, Sanskriti University, Mathura, Uttar Pradesh, India
| | - Sh Dixit
- 6Department of Allied Healthcare & Sciences, Vivekananda Global University, Jaipur, India
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Singh H, Tanwar V, Kalra A, Saini A, Arora S, Govil N. Implication and utility of DAS-28 squeeze in rheumatoid arthritis: an Indian experience. Reumatismo 2022; 74. [PMID: 36101988 DOI: 10.4081/reumatismo.2022.1501] [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] [Received: 05/03/2022] [Accepted: 08/10/2022] [Indexed: 11/22/2022] Open
Abstract
The purpose of this study was to compare and correlate disease activity score including 28 joints counts (DAS-28) Squeeze with DAS-28 and clinical disease activity index (CDAI) to assess disease activity (DA) in rheumatoid arthritis (RA) patients. A total of 100 RA patients were included in the study. All subjects were evaluated for disease activity using the DAS-28 Squeeze, DAS-28, and CDAI. Spearman’s rho (ρ) was calculated to determine the correlation between DAS-28 Squeeze, DAS-28, and CDAI. Cross-tabulation was performed to compare and calculate the kappa coefficient for the link between two indices. For each scale, Cronbach’s alpha was also calculated to test dependability. The average age of the study group was 43.9±11.3. The mean scores on the DAS-28 Squeeze, DAS-28, and CDAI were, respectively, 3.58±1.06, 5.06±1.56, and 22.81±14.92. p=0.001 indicated a significant correlation between DAS-28 Squeeze and DAS-28 (ρ=0.986) and CDAI (ρ=0.939) for DAS-28 Squeeze. There was a considerable correlation between all three measures at various DA levels. Cronbach’s alpha for DAS-28 Squeeze, DAS-28, and CDAI were respectively 0.716, 0.663, and 0.734. DAS-28 Squeeze exhibited a substantial positive association with DAS-28 and CDAI for assessing disease activity and appears to be a more useful and reliable method than DAS-28 and CDAI for monitoring disease activity in RA patients.
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Saini A, Kurup AR, Nair N. Erythrocyte Morphology, Osmotic Fragility and Hematological Studies after Short Term Dietary Copper Deficiency in Male Wistar Rats. Indian J Pharm Sci 2022. [DOI: 10.36468/pharmaceutical-sciences.891] [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: 11/22/2022] Open
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Philp L, Alimena S, Ferris W, Saini A, Bregar AJ, Del Carmen MG, Eisenhauer EL, Growdon WB, Goodman A, Dorney K, Mazina V, Sisodia RC. Patient reported outcomes after risk-reducing surgery in patients at increased risk of ovarian cancer. Gynecol Oncol 2021; 164:421-427. [PMID: 34953629 DOI: 10.1016/j.ygyno.2021.12.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 11/12/2021] [Accepted: 12/12/2021] [Indexed: 12/29/2022]
Abstract
OBJECTIVE To describe the quality of life of women at an increased risk of ovarian cancer undergoing risk-reducing bilateral salpingo-oophorectomy (RRBSO). METHODS Patients evaluated in our gynecologic oncology ambulatory practice between January 2018-December 2019 for an increased risk of ovarian cancer were included. Patients received the EORTC QLQ-C30 and PROMIS emotional and instrumental support questionnaires along with a disease-specific measure (PROM). First and last and pre- and post-surgical PROM responses in each group were compared as were PROMs between at-risk patients and patients with other ovarian diseases. RESULTS 195 patients with an increased risk of ovarian cancer were identified, 155 completed PROMs (79.5%). BRCA1 or BRCA2 mutations were noted in 52.8%. Also included were 469 patients with benign ovarian disease and 455 with ovarian neoplasms. Seventy-two at-risk patients (46.5%) had surgery and 36 had both pre- and post-operative PROMs. Post-operatively, these patients reported significantly less tension (p = 0.011) and health-related worry (p = 0.021) but also decreased levels of health (p = 0.018) and quality of life <7d (0.001), less interest in sex (p = 0.014) and feeling less physically attractive (p = 0.046). No differences in body image or physical/sexual health were noted in at-risk patients who did not have surgery. When compared to patients with ovarian neoplasms, at-risk patients reported lower levels of disease-related life interference and treatment burden, less worry, and better overall health. CONCLUSIONS In patients with an increased risk of ovarian cancer, RRBSO is associated with decreased health-related worry and tension, increased sexual dysfunction and poorer short-term quality of life. Patients with ovarian neoplasms suffer to a greater extent than at-risk patients and report higher levels of treatment burden and disease-related anxiety.
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Affiliation(s)
- L Philp
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, USA.
| | - S Alimena
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Brigham and Women's Hospital, Boston, USA
| | - W Ferris
- Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, USA
| | - A Saini
- University of Massachusetts School of Medicine, Worcester, USA
| | - A J Bregar
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, USA
| | - M G Del Carmen
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, USA
| | - E L Eisenhauer
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, USA
| | - W B Growdon
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, USA
| | - A Goodman
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, USA
| | - K Dorney
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, USA
| | - V Mazina
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, USA
| | - R C Sisodia
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, USA
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Halappanavar S, Wu D, Boyadzhiev A, Solorio-Rodriguez A, Williams A, Jariyasopit N, Saini A, Harner T. Toxicity screening of air extracts representing different source sectors in the Greater Toronto and Hamilton areas: In vitro oxidative stress, pro-inflammatory response, and toxicogenomic analysis. Mutat Res Genet Toxicol Environ Mutagen 2021; 872:503415. [PMID: 34798935 DOI: 10.1016/j.mrgentox.2021.503415] [Citation(s) in RCA: 3] [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] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 09/17/2021] [Accepted: 10/01/2021] [Indexed: 01/07/2023]
Abstract
In the present study, the suitability and sensitivity of different in vitro toxicity endpoints were determined to evaluate and distinguish the specific contributions of polycyclic aromatic carbon (PAC) mixtures from various sites in Toronto (Canada), to pulmonary toxicity. Air samples were collected for two-month periods from April 2014 to March 2015 from one location, and from August 2016 to August 2017 from multiple locations reflecting different geographical areas in Toronto, and the Greater Toronto Area, with varying source emissions including background, traffic, urban, industrial and residential sites. Relative concentrations of PACs and their derivatives in these air samples were characterised. In vitro cytotoxicity, pro-inflammatory, and oxidative stress assays were employed to assess the acute pulmonary effects of urban-air-derived air pollutants. In addition, global transcriptional profiling was utilized to understand how these chemical mixtures exert their harmful effects. Lastly, the transcriptomic data and the chemical profiles for each site and season were used to relate the biological response back to individual constituents. Site-specific responses could not be derived; however, the Spring season was identified as the most responsive through benchmark concentration analysis. A combination of correlational analysis and principal component analysis revealed that nitrated and oxygenated polycyclic aromatic hydrocarbons (PAHs) drive the response at lower concentrations while specific PAHs drive the response at the highest concentration tested. Unsubstituted PAHs are the current targets for analysis as priority pollutants. The present study highlights the importance of by-products of PAH degradation in the assessment of risk. The study also demonstrates the usefulness of in vitro toxicity assays to derive meaningful data in support of risk assessment.
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Affiliation(s)
- S Halappanavar
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1Y 0M1, Canada.
| | - D Wu
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1Y 0M1, Canada
| | - A Boyadzhiev
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1Y 0M1, Canada
| | - A Solorio-Rodriguez
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1Y 0M1, Canada
| | - A Williams
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1Y 0M1, Canada
| | - N Jariyasopit
- Air Quality Processes Research Section, Environment and Climate Change Canada, Toronto, ON, M3H 5T4, Canada; Siriraj Metabolomics and Phenomics Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand
| | - A Saini
- Air Quality Processes Research Section, Environment and Climate Change Canada, Toronto, ON, M3H 5T4, Canada
| | - T Harner
- Air Quality Processes Research Section, Environment and Climate Change Canada, Toronto, ON, M3H 5T4, Canada
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Saini A, Ramanathan K. FMS (Federated Model as a service) for healthcare: an automated secure-framework for personalized recommendation system. CM 2021. [DOI: 10.18137/cardiometry.2021.20.7078] [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: 11/08/2022] Open
Abstract
The Healthcare sector has been emerging on the platform ofdata science. And data scientists are often using machine learningtechniques based on historical data to create models, makepredictions or recommendations. This paper aims to providebackground and information for the community on the benefitsand variants of Federated Learning (F.L.) with other technologiesfor medical applications and highlight key considerationsand challenges of F.L. implementation in the digital health background.With this FMaaS, we envisage a future for digital federatedhealth. We hope to empower and raise awareness aboutthe environment and fog computing to provide a more secureand better-analyzing environment. The AutoML framework isused to generate and optimize machine learning models usingautomatic engineering tools, model selection, and hyperparameteroptimization on fog nodes. Thus, making the systemmore reliable and secure for each individual by preserving privacyat their end devices. And this will lead to a personalizedrecommendation system for each individual associated withthis framework by deploying the Model to their devices foron-device inferences through the concept of differential privateModel averaging. With this framework, users don’t haveto compromise with privacy, and all their sensitive data will besecure on their end devices.
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Dana R, Farid M, Gupta PK, Hamrah P, Karpecki P, McCabe CM, Nijm L, Pepose JS, Pflugfelder S, Rapuano CJ, Saini A, Gibbs SN, Broder MS. Expert consensus on the identification, diagnosis, and treatment of neurotrophic keratopathy. BMC Ophthalmol 2021; 21:327. [PMID: 34493256 PMCID: PMC8425140 DOI: 10.1186/s12886-021-02092-1] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 08/27/2021] [Indexed: 11/30/2022] Open
Abstract
Background Neurotrophic keratopathy (NK) is a relatively uncommon, underdiagnosed degenerative corneal disease that is caused by damage to the ophthalmic branch of the trigeminal nerve by conditions such as herpes simplex or zoster keratitis, intracranial space-occupying lesions, diabetes, or neurosurgical procedures. Over time, epithelial breakdown, corneal ulceration, corneal melting (thinning), perforation, and loss of vision may occur. The best opportunity to reverse ocular surface damage is in the earliest stage of NK. However, patients typically experience few symptoms and diagnosis is often delayed. Increased awareness of the causes of NK, consensus on when and how to screen for NK, and recommendations for how to treat NK are needed. Methods An 11-member expert panel used a validated methodology (a RAND/UCLA modified Delphi panel) to develop consensus on when to screen for and how best to diagnose and treat NK. Clinicians reviewed literature on the diagnosis and management of NK then rated a detailed set of 735 scenarios. In 646 scenarios, panelists rated whether a test of corneal sensitivity was warranted; in 20 scenarios, they considered the adequacy of specific tests and examinations to diagnose and stage NK; and in 69 scenarios, they rated the appropriateness of treatments for NK. Panelist ratings were used to develop clinical recommendations. Results There was agreement on 94% of scenarios. Based on this consensus, we present distinct circumstances when we strongly recommend or may consider a test for corneal sensitivity. We also present recommendations on the diagnostic tests to be performed in patients in whom NK is suspected and treatment options for NK. Conclusions These expert recommendations should be validated with clinical data. The recommendations represent the consensus of experts, are informed by published literature and experience, and may improve outcomes by helping improve diagnosis and treatment of patients with NK.
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Affiliation(s)
- Reza Dana
- Massachusetts Eye and Ear, Harvard Medical School Department of Ophthalmology, Boston, MA, 02114, USA
| | - Marjan Farid
- University of California, Irvine School of Medicine, 850 Health Sciences Rd, Irvine, CA, 92697, USA
| | - Preeya K Gupta
- Duke University Eye Center, 4709 Creekstone Drive, Suite 100, Durham, NC, 27703, USA
| | - Pedram Hamrah
- Tufts Medical Center, Tufts University School of Medicine, 800 Washington St, Boston, MA, 02111, USA
| | - Paul Karpecki
- UPike College of Optometry/Kentucky Eye Institute, 147 Sycamore Street, Pikeville, KY, 41501, USA
| | | | - Lisa Nijm
- Warrenville EyeCare and LASIK, 2S631 Illinois Route 59, Suite A, Warrenville, IL, 60555, USA.,University of Illinois Eye and Ear Infirmary, 1855 W Taylor St, Chicago, IL, 60612, USA
| | - Jay S Pepose
- Pepose Vision Institute, 1815 Clarkson Rd, Chesterfield, MO, 63017, USA.,Washington University School of Medicine, Department of Ophthalmology and Visual Science, 660 Euclid Avenue, St. Louis, MO, 63110, USA
| | - Stephen Pflugfelder
- Cullen Eye Institute, Baylor College of Medicine, 6565 Fannin St, NC-505, Houston, TX, 77030, USA
| | | | - Arvind Saini
- Integrity Eye, 1955 Citracado Parkway, Escondido, CA, 92029, USA
| | - Sarah N Gibbs
- Partnership for Health Analytic Research (PHAR), LLC, 280 S Beverly Dr Suite 404, Beverly Hills, CA, 90212, USA
| | - Michael S Broder
- Partnership for Health Analytic Research (PHAR), LLC, 280 S Beverly Dr Suite 404, Beverly Hills, CA, 90212, USA.
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Saini A, Gupta P, Bansal P, Sharma RP, Krishan B, Kaur P, Ferretti V. SYNTHESES, CHARACTERIZATION, X-RAY STRUCTURAL DETERMINATION, AND PACKING ANALYSES OF TERNARY COPPER(II) COMPLEXES: [Cu(2-PHENOXYACETATE/4-CHLOROBENZOATE)2(TEMED)]. J STRUCT CHEM+ 2021. [DOI: 10.1134/s0022476621090080] [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: 11/23/2022]
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Khan W, Khan Z, Lane J, Saini A. Functional Cardiac Ct In Pediatric And Adult Patients With Congenital And Acquired Heart Diseases. J Cardiovasc Comput Tomogr 2021. [DOI: 10.1016/j.jcct.2021.06.186] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Rogers JP, Chesney E, Oliver D, Begum N, Saini A, Wang S, McGuire P, Fusar-Poli P, Lewis G, David AS. Suicide, self-harm and thoughts of suicide or self-harm in infectious disease epidemics: a systematic review and meta-analysis. Epidemiol Psychiatr Sci 2021; 30:e32. [PMID: 33902775 PMCID: PMC7610720 DOI: 10.1017/s2045796021000214] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 03/11/2021] [Accepted: 03/16/2021] [Indexed: 12/22/2022] Open
Abstract
AIMS Suicide accounts for 2.2% of all years of life lost worldwide. We aimed to establish whether infectious epidemics are associated with any changes in the incidence of suicide or the period prevalence of self-harm, or thoughts of suicide or self-harm, with a secondary objective of establishing the frequency of these outcomes. METHODS In this systematic review and meta-analysis, MEDLINE, Embase, PsycINFO and AMED were searched from inception to 9 September 2020. Studies of infectious epidemics reporting outcomes of (a) death by suicide, (b) self-harm or (c) thoughts of suicide or self-harm were identified. A random-effects model meta-analysis for the period prevalence of thoughts of suicide or self-harm was conducted. RESULTS In total, 1354 studies were screened with 57 meeting eligibility criteria, of which 7 described death by suicide, 9 by self-harm, and 45 thoughts of suicide or self-harm. The observation period ranged from 1910 to 2020 and included epidemics of Spanish Flu, severe acute respiratory syndrome, human monkeypox, Ebola virus disease and coronavirus disease 2019 (COVID-19). Regarding death by suicide, data with a clear longitudinal comparison group were available for only two epidemics: SARS in Hong Kong, finding an increase in suicides among the elderly, and COVID-19 in Japan, finding no change in suicides among children and adolescents. In terms of self-harm, five studies examined emergency department attendances in epidemic and non-epidemic periods, of which four found no difference and one showed a reduction during the epidemic. In studies of thoughts of suicide or self-harm, one large survey showed a substantial increase in period prevalence compared to non-epidemic periods, but smaller studies showed no difference. As a secondary objective, a meta-analysis of thoughts of suicide and self-harm found that the pooled prevalence was 8.0% overall (95% confidence interval (CI) 5.2-12.0%; 14 820 of 99 238 cases in 24 studies) over a time period of between seven days and six months. The quality assessment found 42 studies were of high quality, nine of moderate quality and six of high quality. CONCLUSIONS There is little robust evidence on the association of infectious epidemics with suicide, self-harm and thoughts of suicide or self-harm. There was an increase in suicides among the elderly in Hong Kong during SARS and no change in suicides among young people in Japan during COVID-19, but it is unclear how far these findings may be generalised. The development of up-to-date self-harm and suicide statistics to monitor the effect of the current pandemic is an urgent priority.
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Affiliation(s)
- J. P. Rogers
- Division of Psychiatry, University College London, London, UK
- South London and Maudsley NHS Foundation Trust, London, UK
| | - E. Chesney
- South London and Maudsley NHS Foundation Trust, London, UK
- Department of Psychosis Studies, King's College London, London, UK
| | - D. Oliver
- Department of Psychosis Studies, King's College London, London, UK
| | - N. Begum
- GKT School of Medical Education, King's College London, London, UK
| | - A. Saini
- Medical School, University College London, London, UK
| | - S. Wang
- Department of Psychology, King's College London, London, UK
| | - P. McGuire
- Department of Psychosis Studies, King's College London, London, UK
| | - P. Fusar-Poli
- Department of Psychosis Studies, King's College London, London, UK
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - G. Lewis
- Division of Psychiatry, University College London, London, UK
| | - A. S. David
- UCL Institute of Mental Health, University College London, London, UK
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Philp L, Tannenbaum S, Haber H, Saini A, Laurent JS, James K, Feltmate CM, Russo AL, Growdon WB. Effect of surgical approach on risk of recurrence after vaginal brachytherapy in early-stage high-intermediate risk endometrial cancer. Gynecol Oncol 2020; 160:389-395. [PMID: 33358198 DOI: 10.1016/j.ygyno.2020.12.003] [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] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 12/04/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The objective was to determine if surgical approach affects time to recurrence in early-stage high-intermediate risk endometrial cancer (HIR-EC) treated with adjuvant vaginal brachytherapy (VBT). METHODS In this retrospective cohort study, HIR-EC patients treated with VBT between 2005 and 2017 were identified and those who received open or minimally invasive hysterectomies (MIS) were included. Clinical and surgical variables were analyzed and time to recurrence was compared between surgical groups. RESULTS We identified 494 patients, of which 363 had MIS hysterectomies, 92.5% had endometrioid histology, 45.7% were stage IA and 48.0% stage IB. Open hysterectomy patients had higher BMIs (p = 0.007), lower rates of lymph node sampling (p < 0.001) and lymphovascular space invasion (LVSI) (p = 0.036), however in patients who recurred, no differences were noted between groups. Overall, 65 patients (13.2%) recurred, 14 in the open group (10.7%) and 51 in the MIS group (14.0%) (p = 0.58), while vaginal recurrences were noted in 4.6% and 6.1% respectively. When compared to the open group, the MIS group had a significantly shorter time to any recurrence (p = 0.022), to pelvic (p = 0.05) and locoregional recurrence (p = 0.021) and to death from any cause (p = 0.039). After adjusting for age, BMI, grade, LVSI and surgery date, the MIS group had a higher risk of any recurrence (HR 2.29 (1.07-4.92), p = 0.034) and locoregional recurrence (HR 4.18 (1.44-12.1), p = 0.008). CONCLUSIONS Patients with HIR-EC treated with VBT after MIS hysterectomy have a shorter time to recurrence and higher risk of recurrence when compared to open hysterectomy patients. Further studies into the safety of MIS in high-intermediate risk patients are required.
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Affiliation(s)
- L Philp
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, MA, United States of America
| | - S Tannenbaum
- Department of Obstetrics and Gynecology, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, MA, United States of America
| | - H Haber
- Department of Obstetrics and Gynecology, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, MA, United States of America
| | - A Saini
- Tufts University School of Medicine, Boston, MA, United States of America
| | - J St Laurent
- Department of Obstetrics and Gynecology, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, MA, United States of America
| | - K James
- Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, United States of America
| | - C M Feltmate
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Brigham and Women's Hospital, Boston, MA, United States of America
| | - A L Russo
- Department of Radiation Oncology, Massachusetts General Hospital, Boston, MA, United States of America
| | - W B Growdon
- Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, MA, United States of America.
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Hunt D, Latifi K, Saini A, Naghavi A, Pow-Sang J, Dhillon J, Torres-Roca J, Grass D, Johnstone P, Fernandez D, Yamoah K. Implementation of a Fiducial-guided Targeted Biopsy Scheme During Prostate Brachytherapy for Radio-genomic Analysis. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.626] [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: 11/15/2022]
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Li K, Saini A. Temporal-Spatial Dose Pattern in Vaginal Cylinder Applicator for High Dose Rate (HDR) Brachytherapy. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.2376] [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: 11/29/2022]
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Richard C, Alvarez M, Carneiro JP, Hanna B, Prost L, Saini A, Scarpine V, Shemyakin A. Measurements of a 2.1 MeV H - beam with an Allison scanner. Rev Sci Instrum 2020; 91:073301. [PMID: 32752855 DOI: 10.1063/5.0004502] [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] [Received: 02/13/2020] [Accepted: 06/10/2020] [Indexed: 06/11/2023]
Abstract
Transverse 2D phase space distributions of a 2.1 MeV, 5 mA H- beam are measured at the Proton Improvement Plan II Injector Test accelerator at Fermilab with an Allison scanner. This paper describes the design, calibration, and performance of the scanner along with the main results from beam measurements. Analyses of the recorded phase portraits are performed primarily in action-phase coordinates. The stability of the action under linear optics makes it easier to compare measurements taken under different beamline conditions. The amplitude of a single measured point ("pixel") is proportional to the phase density in the corresponding portion of the beam. When the Twiss parameters are calculated using only the high-phase density part of the beam, the pixel amplitude in the beam core is found to be decreasing approximately exponentially with action and to be phase-independent. Outside of the core, the amplitudes decrease with action at a slower rate than in the core. This "tail" comprises 10%-30% of the beam, with 0.1% of the total measured intensity extending beyond action 10-20 times larger than the rms emittance. The transition from the core to the tail is accompanied by the appearance of two "branches" that are separated in phase and extend beyond the core. A set of selected measurements shows that there is no measurable emittance dilution along the beamline; the beam parameters are practically constant over a 0.5 ms pulse; and scraping in various parts of the beamline is an effective way to decrease the transverse tails by removing the branches.
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Affiliation(s)
- C Richard
- Physics and Astronomy Department, Michigan State University, East Lansing, Michigan 48824, USA
| | - M Alvarez
- Accelerator Division, Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - J P Carneiro
- Accelerator Division, Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - B Hanna
- Accelerator Division, Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - L Prost
- Accelerator Division, Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Saini
- Accelerator Division, Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - V Scarpine
- Accelerator Division, Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Shemyakin
- Accelerator Division, Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
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15
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McLennan HJ, Saini A, Dunning KR, Thompson JG. Oocyte and embryo evaluation by AI and multi-spectral auto-fluorescence imaging: Livestock embryology needs to catch-up to clinical practice. Theriogenology 2020; 150:255-262. [PMID: 32088032 DOI: 10.1016/j.theriogenology.2020.01.061] [Citation(s) in RCA: 6] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Accepted: 01/28/2020] [Indexed: 02/08/2023]
Abstract
A highly accurate 'non-invasive quantitative embryo assessment for pregnancy' (NQEAP) technique that determines embryo quality has been an elusive goal. If developed, NQEAP would transform the selection of embryos from both Multiple Ovulation and Embryo Transfer (MOET), and even more so, in vitro produced (IVP) embryos for livestock breeding. The area where this concept is already having impact is in the field of clinical embryology, where great strides have been taken in the application of morphokinetics and artificial intelligence (AI); while both are already in practice, rigorous and robust evidence of efficacy is still required. Even the translation of advances in the qualitative scoring of human IVF embryos have yet to be translated to the livestock IVP industry, which remains dependent on the MOET-standardised 3-point scoring system. Furthermore, there are new ways to interrogate the biochemistry of individual embryonic cells by using new, light-based methodologies, such as FLIM and hyperspectral microscopy. Combinations of these technologies, in particular combining new imaging systems with AI, will lead to very accurate NQEAP predictive tools, improving embryo selection and recipient pregnancy success.
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Affiliation(s)
- H J McLennan
- Robinson Research Institute, Adelaide Medical School, The University of Adelaide, Adelaide, SA, 5005, Australia; ARC Centre of Excellence for Nanoscale BioPhotonics & Institute for Photonics and Advanced Sensing, The University of Adelaide, Adelaide, SA, 5005, Australia
| | - A Saini
- Robinson Research Institute, Adelaide Medical School, The University of Adelaide, Adelaide, SA, 5005, Australia; ARC Centre of Excellence for Nanoscale BioPhotonics & Institute for Photonics and Advanced Sensing, The University of Adelaide, Adelaide, SA, 5005, Australia
| | - K R Dunning
- Robinson Research Institute, Adelaide Medical School, The University of Adelaide, Adelaide, SA, 5005, Australia; ARC Centre of Excellence for Nanoscale BioPhotonics & Institute for Photonics and Advanced Sensing, The University of Adelaide, Adelaide, SA, 5005, Australia
| | - J G Thompson
- Robinson Research Institute, Adelaide Medical School, The University of Adelaide, Adelaide, SA, 5005, Australia; ARC Centre of Excellence for Nanoscale BioPhotonics & Institute for Photonics and Advanced Sensing, The University of Adelaide, Adelaide, SA, 5005, Australia.
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16
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Abstract
Objectives: Tissue diagnosis prior to thoracic surgery with curative intent is vital in thoracic lesions concerning for lung cancer. Methods of obtaining tissue diagnosis are variable within the United Kingdom.Methods: We performed a model-based analysis to identify the most efficient method of diagnosis using both a health care perspective. Our analysis concerns adults in the UK presenting with a solitary pulmonary nodule suspicious for a primary lung malignancy, patients with more advanced disease (for example lymph node spread) were not considered. Model assumptions were derived from published sources and expert reviews, cost data were obtained from healthcare research group cost estimates (2016-17). Outcomes were measured in terms of costs experienced to healthcare trusts.Results: Our results show that CT guided percutaneous lung biopsy using an ambulatory approach, is the most cost-effective method of diagnosis. Indeed, using this approach, trust experience approximately half of the cost of an approach of surgical lung biopsy performed at the time of potential resection ('frozen section').Limitations and conclusions: Whilst this analysis is limited to the specific scenario of a solitary pulmonary nodule, these findings have implications for the implementation of lung cancer screening in the UK, which is likely to result in increased numbers of patients with such early disease.
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Affiliation(s)
- J Barnett
- Department of Radiology, Royal Brompton Hospital, London, UK
| | | | - A N Tavare
- Department of Radiology, Royal Free NHS Foundation Trust, London, UK
| | - A Saini
- Department of Radiology, Royal Free NHS Foundation Trust, London, UK
| | - A Patel
- Department of Respiratory Medicine, Royal Free NHS Foundation Trust, London, UK
| | - M Hayward
- Department of Surgery, University College Hospital NHS Foundation Trust, London, UK
| | - S S Hare
- Department of Radiology, Royal Free NHS Foundation Trust, London, UK
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17
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Lazzaro A, Saini A, Elton C, Atkin GK, Mitchell IC, Lotzof K, Marcus A, Mathur P, Boyle DJ. Secondary colonic stent insertion in acute large bowel obstruction following primary stent failure. Ann R Coll Surg Engl 2019; 102:141-143. [PMID: 31660754 DOI: 10.1308/rcsann.2019.0136] [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] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Colonic stent insertion has been shown to be an effective treatment for patients with acute large bowel obstruction, either as a bridge to surgery or as definitive treatment. However, little is known of the role of secondary stent insertion following primary stent failure in patients considered inappropriate or high risk for emergency surgery. METHODS Fourteen patients presenting with acute large bowel obstruction who had previously been treated with colonic stent insertion were studied. All underwent attempted placement of a secondary stent. RESULTS Technical deployment of the stent was accomplished in 12 patients (86%) but only 9 (64%) achieved clinical decompression. Successful deployment and clinical decompression of a secondary stent was associated with older age (p=0.038). Sex, pathology, site of obstruction, duration of efficacy of initial stent and cause of primary failure were unrelated to outcome. No procedure related morbidity or mortality was noted following repeated intervention. CONCLUSIONS Secondary colonic stent insertion appears an effective, safe treatment in the majority of patients presenting with acute large bowel obstruction following failure of a primary stent.
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Affiliation(s)
- A Lazzaro
- Royal Free London NHS Foundation Trust, UK
| | - A Saini
- Royal Free London NHS Foundation Trust, UK
| | - C Elton
- Royal Free London NHS Foundation Trust, UK
| | - G K Atkin
- Royal Free London NHS Foundation Trust, UK
| | | | - K Lotzof
- Royal Free London NHS Foundation Trust, UK
| | - A Marcus
- Royal Free London NHS Foundation Trust, UK
| | - P Mathur
- Royal Free London NHS Foundation Trust, UK
| | - D J Boyle
- Royal Free London NHS Foundation Trust, UK
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18
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Alugubelli N, Kanwal A, Allamneni R, Schamp DJ, Meininger GR, Saini A. P696Incidence of sinus node dysfunction with cancer chemotherapy: a systematic review of literature. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0301] [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: 11/13/2022] Open
Abstract
Abstract
Background
Introduction of newer classes of chemotherapeutic agents has led to improved survival in many cancers, often at the cost of increased side effects. With the advent of cardio-oncology, there has been growing focus on cardiac side effects of chemotherapy like cardiomyopathy, QT prolongation, VT and AF. However, data on cancer chemotherapy related sinus node dysfunction (SND) is limited.
Objective
To assess the incidence of chemotherapy related SND through a systematic review of available literature.
Methods
We performed a systematic review of PUBMED database for studies reporting SND (including sinus bradycardia, sinus pauses, sinoatrial exit blocks or asystole) with use of chemotherapeutic agents. Weighted average incidence of SND was calculated from studies. Case reports were reported independently.
Results
2012 articles were reviewed of which 38 were eligible for data extraction. Incidence of SND varied significantly between drug classes. However, specific drugs were associated with increased incidence of SND like anthracyclines (Epirubicin 8.3%), antimetabolites (5 Fluorouracil 20%), tyrosine kinase inhibitors (crizotinib 43%), antimicrotubule agents (paclitaxel 29%) and angiogenesis inhibitors (Thalidomide 22%). The weighted average incidence is shown in table.
Drug type Drug Type of cancers No. of studies Total No. Weighted average of incidence of sinus arrhythmias No. of case reports Anthracyclines Epirubicin Breast, Hodgkin's disease 1 24 8.3% 1 Idarubicin CML – – – 1 Unclassified anthracyclines Ewing sarcoma 2 370 4.31% – Antimetabolites 5 Fluorouracil Esophageal, gastric, colon, rectal 1 5 20% 1 Capecitabine Rectal cancer – – – 1 Methotrexate Osteosarcoma – – – 1 Cytarabine AML – – – 1 Antimicrotubule agent Paclitaxel Ovarian cancer 2 4505 29.36% – Kinase inhibitors Crizotinib Lung 2 1095 43% 4 Alectinib Lung 1 225 5% – Ibrutinib Mantle cell lymphoma – – – 1 Monoclonal antibodies Infliximab Ulcerative colitis – – – 1 Angiogenesis inhibitors Thalidomide Multiple myeloma 4 83 21.62% 2 Endostar Metastatic colorectal and gastric 1 23 13% – Selective estrogen modulators Tamoxifene Extracranial meningioma – – – 1 Antiandrogen Abiraterone Prostate cancer 1 17 6% – Other drugs Crisnatol mesylate Advanced solid tumors 1 43 2.3% – Mitoxantrone AML – – – 1 Combination drugs Bevacizumab +Vorinostat Malignant Glioma 1 40 3% – All-trans-retinoic acid+idarubicin AML – – – 2 Tivantinib+Erlotinib Advanced solid malignancies 1 32 23.1% – Paclitaxel+Carboplatin+Bevacizumab Lung – – – 1 Paclitaxel+Carboplatin Ovarian 1 79 2.9% – Daunorubicin+Amsacrine AML – – – 1 CHOP Diffuse large B cell lymphoma – – – 1
Conclusion
There is cumulative evidence of increased incidence of SND with certain chemotherapeutics. In pre-existing SND, certain drugs and combinations must be avoided and alternative agents, should be considered. Future studies are needed to evaluate the role of remote cardiac monitoring and permanent pacing in specific situations where no safer alternatives exist.
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Affiliation(s)
- N Alugubelli
- Medstar Union Memorial Hospital, Division of Internal Medicine, Baltimore, United States of America
| | - A Kanwal
- Medstar Union Memorial Hospital, Division of Internal Medicine, Baltimore, United States of America
| | - R Allamneni
- Medstar Union Memorial Hospital, Division of Internal Medicine, Baltimore, United States of America
| | - D J Schamp
- MedStar Heart & Vascular Institute, Baltimore MD- Washington DC, Division of Cardiac Electrophysiology, Baltimore, United States of America
| | - G R Meininger
- MedStar Heart & Vascular Institute, Baltimore MD- Washington DC, Division of Cardiac Electrophysiology, Baltimore, United States of America
| | - A Saini
- MedStar Heart & Vascular Institute, Baltimore MD- Washington DC, Division of Cardiac Electrophysiology, Baltimore, United States of America
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19
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Lim MC, Boland MV, McCannel CA, Saini A, Chiang MF, Epley KD, Lum F. Adoption of Electronic Health Records and Perceptions of Financial and Clinical Outcomes Among Ophthalmologists in the United States. JAMA Ophthalmol 2019; 136:164-170. [PMID: 29285542 DOI: 10.1001/jamaophthalmol.2017.5978] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Importance Assessing the rate of electronic health record (EHR) adoption and ophthalmologists' perceptions on financial and clinical productivity is important in understanding how to direct future design and health care policy. Objective To assess adoption rate and perceptions of financial and clinical outcomes of EHRs among ophthalmologists in the United States. Design, Setting, and Participants Population-based, cross-sectional study. A random sample of 2000 ophthalmologists was generated on the basis of mailing address zip codes from the 2015 American Academy of Ophthalmology US active membership database, which included more than 18 000 ophthalmologists. A survey was sent by email to assess adoption rate of EHRs, perceptions of financial and clinical productivity, and engagement with Medicare and Medicaid programs that incentivize the use of EHRs. The survey was conducted between 2015 and 2016. Main Outcomes and Measures Adoption rate of EHRs and perceptions of financial and clinical productivity. Results The adoption rate of EHRs among surveyed ophthalmologists (348 respondents) was 72.1%. The responding ophthalmologists perceived that their net revenues and productivity have declined and that practice costs are higher with EHR use. Of those who attested for stage 1 of the EHR incentive program, 83% had already or were planning to attest to stage 2, but 9% had no plans. Conclusions and Relevance The adoption of EHRs by ophthalmologists has more than doubled since a 2011 survey and is similar to that of primary care physicians (79%). In comparison with 2 previous surveys of ophthalmologists, respondents had more negative perceptions of EHR productivity outcomes and effect on practice costs, although financial data were not collected in this survey to support these opinions. These negative perceptions suggest that more attention should be placed on improving the efficiency and usability of EHR systems.
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Affiliation(s)
- Michele C Lim
- Department of Ophthalmology and Vision Science, University of California, Davis, Sacramento
| | - Michael V Boland
- Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.,Division of Health Sciences Informatics, Johns Hopkins University, School of Medicine Baltimore, Maryland.,Web Editor
| | | | | | - Michael F Chiang
- Departments of Ophthalmology and Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland
| | | | - Flora Lum
- American Academy of Ophthalmology, San Francisco, California
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20
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Yadav R, Saini A, Kaur P, Behera D, Sethi S. Diagnostic accuracy of GenoType® MTBDRsl VER 2.0 in detecting second-line drug resistance to M. tuberculosis. Int J Tuberc Lung Dis 2018; 22:419-424. [DOI: 10.5588/ijtld.17.0663] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [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] Open
Affiliation(s)
- R. Yadav
- Department of
Medical Microbiology and
| | - A. Saini
- Department of
Medical Microbiology and
| | - P. Kaur
- Department of
Medical Microbiology and
| | - D. Behera
- Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - S. Sethi
- Department of
Medical Microbiology and
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21
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Saini A, Okeme JO, Mark Parnis J, McQueen RH, Diamond ML. From air to clothing: characterizing the accumulation of semi-volatile organic compounds to fabrics in indoor environments. Indoor Air 2017; 27:631-641. [PMID: 27555567 DOI: 10.1111/ina.12328] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [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: 03/01/2016] [Accepted: 08/20/2016] [Indexed: 05/24/2023]
Abstract
Uptake kinetics of semi-volatile organic compounds (SVOCs) present indoors, namely phthalates and halogenated flame retardants (HFRs), were characterized for cellulose-based cotton and rayon fabrics. Cotton and rayon showed similar accumulation of gas- and particle-phase SVOCs, when normalized to planar surface area. Accumulation was 3-10 times greater by rayon than cotton, when normalized to Brunauer-Emmett-Teller (BET) specific surface area which suggests that cotton could have a longer linear uptake phase than rayon. Linear uptake rates of eight consistently detected HFRs over 56 days of 0.35-0.92 m3 /day.dm2 planar surface area and mass transfer coefficients of 1.5-3.8 m/h were statistically similar for cotton and rayon and similar to those for uptake to passive air sampling media. These results suggest air-side controlled uptake and that, on average, 2 m2 of clothing typically worn by a person would sequester the equivalent of the chemical content in 100 m3 of air per day. Distribution coefficients between fabric and air (K') ranged from 6.5 to 7.7 (log K') and were within the range of partition coefficients measured for selected phthalates as reported in the literature. The distribution coefficients were similar for low molecular weight HFRs, and up to two orders of magnitude lower than the equilibrium partition coefficients estimated using the COSMO-RS model. Based on the COSMO-RS model, time to reach 95% of equilibrium for PBDEs between fabric and gas-phase compounds ranged from 0.1 to >10 years for low to high molecular weight HFRs.
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Affiliation(s)
- A Saini
- Department of Physical and Environmental Sciences, University of Toronto Scarborough, Toronto, ON, Canada
| | - J O Okeme
- Department of Physical and Environmental Sciences, University of Toronto Scarborough, Toronto, ON, Canada
| | - J Mark Parnis
- Chemical Properties Research Group, Department of Chemistry, Trent University, Peterborough, ON, Canada
| | - R H McQueen
- Department of Human Ecology, University of Alberta, Edmonton, AB, Canada
| | - M L Diamond
- Department of Physical and Environmental Sciences, University of Toronto Scarborough, Toronto, ON, Canada
- Department of Earth Sciences, University of Toronto, Toronto, ON, Canada
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22
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Verma N, Mohan B, Om P, Bagree R, Saini A, Mohan A. Assessing the proportion and clinicoradiological profile of gall bladder carcinoma diagnosed in routine histopathological examinations of post cholecystectomy gall bladder (GB) specimen operated for benign GB disease. Eur J Cancer 2017. [DOI: 10.1016/s0959-8049(17)30339-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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23
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Sakthivel P, Yogal R, Verma H, Saini A, Chandran A. Acute Retropharyngeal Abscess Masquerading as Meningitis. JNMA J Nepal Med Assoc 2017; 56:186-188. [PMID: 28598461] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023] Open
Abstract
Retropharyngeal abscess is a potentially serious deep neck space infection occurring more frequently in children than in adults. The clinical picture of RPA is highly variable with paucity of physical findings. Prompt diagnosis of RPA especially in infants is mandatory to prevent potential fatal complications including airway obstruction. The diagnosis of RPA should be based on high index of clinical suspicion with supportive imaging studies like lateral X-ray of neck and CT. We present a case of acute retropharyngeal abscess which was initially misdiagnosed as meningitis and led to airway obstruction. This case is reported to create awareness among emergency physicians, paediatricians and otolaryngologists to have high index of suspicion in diagnosing RPA especially in infants.
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Affiliation(s)
- P Sakthivel
- Department of ENT, All India Institute of Medical Sciences, New Delhi, India
| | - R Yogal
- Department of ENT, All India Institute of Medical Sciences, New Delhi, India
| | - H Verma
- Department of ENT, All India Institute of Medical Sciences, New Delhi, India
| | - A Saini
- Department of ENT, All India Institute of Medical Sciences, New Delhi, India
| | - A Chandran
- Department of ENT, All India Institute of Medical Sciences, New Delhi, India
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24
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Saini A, Hwang C, Das I. SU-F-T-418: Evaluation of Organs at Risk (OAR) Sparing in Left Breast Irradiation Techniques. Med Phys 2016. [DOI: 10.1118/1.4956603] [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: 11/07/2022] Open
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25
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Sperlinga R, Campagna S, Berruti A, Laciura P, Ginosa I, Paoletti S, Giuliano P, Tucci M, Rosato R, Scagliotti G, Saini A. Alberta Breakthrough Pain Assessment Tool: A validation multicentre study in cancer patients with breakthrough pain. Eur J Pain 2014; 19:881-8. [DOI: 10.1002/ejp.612] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/22/2014] [Indexed: 11/09/2022]
Affiliation(s)
- R. Sperlinga
- School of Nursing; Catholic University of the Sacred Heart - Little House of Divine Providence; Cottolego Hospital; Turin Italy
| | - S. Campagna
- School of Nursing; ‘San Luigi Gonzaga’; University of Torino; Italy
| | - A. Berruti
- Medical Oncology; Department of Medical and Surgical Specialties; Radiological Sciences and Public Health; ‘Spedali Civili’ Hospital; University of Brescia; Italy
| | | | - I. Ginosa
- School of Nursing; Catholic University of the Sacred Heart - Little House of Divine Providence; Cottolego Hospital; Turin Italy
| | - S. Paoletti
- School of Nursing; Catholic University of the Sacred Heart - Little House of Divine Providence; Cottolego Hospital; Turin Italy
| | - P.L. Giuliano
- Medical Oncology; Department of Oncology; ‘San Luigi Gonzaga’ Hospital; Orbassano Italy
| | - M. Tucci
- Medical Oncology; Department of Oncology; ‘San Luigi Gonzaga’ Hospital; Orbassano Italy
| | - R. Rosato
- Cancer Epidemiology Unit; ‘Città della Salute e della Scienza’ Hospital; Turin Italy
| | - G.V. Scagliotti
- Medical Oncology; Department of Oncology; ‘San Luigi Gonzaga’ Hospital; Orbassano Italy
| | - A. Saini
- Medical Oncology; Department of Oncology; ‘San Luigi Gonzaga’ Hospital; Orbassano Italy
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26
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Saini A, Faulkner SH, Moir H, Warwick P, King JA, Nimmo MA. Interleukin-6 in combination with the interleukin-6 receptor stimulates glucose uptake in resting human skeletal muscle independently of insulin action. Diabetes Obes Metab 2014; 16:931-6. [PMID: 24702712 DOI: 10.1111/dom.12299] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2013] [Revised: 02/26/2014] [Accepted: 03/31/2014] [Indexed: 11/26/2022]
Abstract
AIM To examine if the physiological concentrations of both interleukin-6 (IL-6), in combination with IL-6 receptor (IL-6R), are able to stimulate glucose uptake in human skeletal muscle and to identify the associated signalling pathways. METHODS Skeletal muscle tissue (~60 mg) obtained from healthy female volunteers via muscle biopsy was subjected to incubation in the absence or presence of insulin (60 µU/ml), recombinant human IL-6 (rhIL-6) (4 ng/ml) or a combination of rhIL-6 (4 ng/ml) and rhIL-6R (100 ng/ml) for 30 min, with glucose transport measured for each incubation. Western blot analysis was conducted on key signalling proteins, protein kinase B (PKB/Akt), adenosine monophosphate kinase (AMPK) and mammalian target of rapamycin (mTOR) to gain an early insight into any differing transport mechanisms. RESULTS Human skeletal muscle exhibited increased glucose uptake with insulin (1.85-fold; p < 0.05) and stimulated phosphorylation of PKB/Akt and AMPK (0.98 ± 0.23 and 1.49 ± 0.13, respectively, phosphorylated: total; p < 0.05). IL-6/IL-6R increased phosphorylation of mTOR (fourfold, p < 0.05) compared to insulin, IL-6 alone and basal control. IL-6 did not stimulate glucose uptake but combined with IL-6R, induced 1.5-fold increase in glucose uptake (p < 0.05) and phosphorylation of AMPK (0.95 ± 0.19; phosphorylated: total, p < 0.05). CONCLUSIONS IL-6 in combination with IL-6R and not IL-6 alone increased glucose uptake in human skeletal muscle. IL-6/IL-6R-mediated glucose uptake occurred independently of PKB/Akt phosphorylation, showing that IL-6/IL-6R-induced glucose uptake is dependent on a divergent pathway.
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Affiliation(s)
- A Saini
- School of Sport, Exercise & Health Sciences, Loughborough University, Loughborough, UK
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Sharma R, Kumar S, Saini A, Venugopalan P, Rodríguez-Diéguez A, Salas J. Cation–anion interactions via hydrogen bonding; synthesis, characterization and single crystal X-ray structure of [Cu(phen)3](1,3-benzenedisulphonate)⋅7H2O. J Mol Struct 2014. [DOI: 10.1016/j.molstruc.2014.04.046] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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28
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Robson-Ansley PJ, Saini A, Toms C, Ansley L, Walshe IH, Nimmo MA, Curtin JA. Dynamic changes in dna methylation status in peripheral blood Mononuclear cells following an acute bout of exercise: Potential impact of exercise-induced elevations in interleukin-6 concentration. J BIOL REG HOMEOS AG 2014; 28:407-417. [PMID: 25316129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The aim of the present study was to examine the relationship between interleukin (IL)-6 concentrations and DNA methylation in the peripheral blood mononuclear cells (PBMCs) of trained runners after a bout of prolonged, strenuous exercise. Eight healthy trained males completed a treadmill run at 60% vVO(2max) for 120 min followed by a 5-km time trial in a fasted condition. Whole blood samples were taken prior to, immediately before and 24 h following exercise. From these samples, PBMCs were isolated for analysis and plasma IL-6 concentrations were measured. The methylation status of DNA extracted from PBMCs was analysed using the Illumina 27k methylation beadchip platform. Global DNA methylation status was unaltered immediately and up to 24 hours following a bout of prolonged exercise in comparison to pre-exercise. Despite no change in global DNA methylation, plasma IL-6 concentrations were significantly related to the DNA methylation status of 11 genes. Our study demonstrates that the methylome is stable, while discovering a novel link between exercise-induced increases in circulating IL-6 and the DNA methylation status of 11 individual genes. Based on our preliminary findings, the mechanisms by which changes in plasma IL-6 concentrations and DNA methylation in response to exercise interact require further study.
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Affiliation(s)
- P J Robson-Ansley
- Faculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK
| | - A Saini
- Department of Physiology and Pharmacology, Karolinska Institutet, Sweden
| | - C Toms
- Faculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK
| | - L Ansley
- Faculty of Health and Life Sciences, Northumbria University, Newcastle-upon-Tyne, UK
| | - I H Walshe
- School of Sport, University of Stirling, Stirling, UK
| | - M A Nimmo
- School of Sport, Exercise and Health, Loughborough, UK
| | - J A Curtin
- The University of Manchester, Manchester Academic Health Science Centre, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK
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Dawe EJC, Saini A, Bradley WN. Distal femoral replacement for a periprosthetic fracture: a method for removing the distal fragment. Ann R Coll Surg Engl 2012. [PMID: 23131247 PMCID: PMC3954303 DOI: 10.1308/003588412x13373405387096n] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- E J C Dawe
- Royal Surrey County Hospital NHS Foundation Trust, UK.
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Dawe EJC, Saini A, Bradley WN. Distal femoral replacement for a periprosthetic fracture: a method for removing the distal fragment. Ann R Coll Surg Engl 2012; 94:609. [DOI: 10.1308/rcsann.2012.94.8.609] [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: 11/22/2022] Open
Affiliation(s)
- EJC Dawe
- Royal Surrey County Hospital NHS Foundation Trust, UK
| | - A Saini
- Royal Surrey County Hospital NHS Foundation Trust, UK
| | - WN Bradley
- Royal Surrey County Hospital NHS Foundation Trust, UK
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Saini A, Tucci M, Tampellini M, Maina D, Bouraouia K, Giuliano P, Termine A, Castellano M, Campagna S, Laciura P, Berruti A. Circadian variation of breakthrough pain in cancer patients. Eur J Pain 2012; 17:264-70. [DOI: 10.1002/j.1532-2149.2012.00184.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/17/2012] [Indexed: 11/12/2022]
Affiliation(s)
- A. Saini
- Medical Oncology; Department of Clinical and Biological Sciences; San Luigi Gonzaga Hospital; Orbassano; Italy
| | - M. Tucci
- Medical Oncology; Department of Clinical and Biological Sciences; San Luigi Gonzaga Hospital; Orbassano; Italy
| | - M. Tampellini
- Medical Oncology; Department of Clinical and Biological Sciences; San Luigi Gonzaga Hospital; Orbassano; Italy
| | - D. Maina
- Nurse Teaching Unit; San Luigi Gonzaga Hospital; Orbassano; Italy
| | - K. Bouraouia
- Nurse Teaching Unit; San Luigi Gonzaga Hospital; Orbassano; Italy
| | - P.L. Giuliano
- Medical Oncology; Department of Clinical and Biological Sciences; San Luigi Gonzaga Hospital; Orbassano; Italy
| | - A. Termine
- Laboratory of Internal Medicine; Department of Clinical and Biological Sciences; San Luigi Gonzaga Hospital; Orbassano; Italy
| | - M. Castellano
- Pain Management Center; San Luigi Gonzaga Hospital; Orbassano; Italy
| | - S. Campagna
- Nurse Teaching Unit; San Luigi Gonzaga Hospital; Orbassano; Italy
| | - P. Laciura
- Palliative Care Unit; Hospice; Local Health District Cuneo 1; Busca; Italy
| | - A. Berruti
- Medical Oncology; Department of Clinical and Biological Sciences; San Luigi Gonzaga Hospital; Orbassano; Italy
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Saini A, Kaur H, Purwar S, Kholkute SD, Roy S. Discrepancies in identification of Vibrio cholerae strains as members of Aeromonadaceae and Enterobacteriaceae by automated microbial identification system. Lett Appl Microbiol 2012; 55:22-6. [PMID: 22502586 DOI: 10.1111/j.1472-765x.2012.03252.x] [Citation(s) in RCA: 3] [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] [Indexed: 11/28/2022]
Abstract
AIMS Incidental observation of a discrepancy in identification of Vibrio cholerae prompted a study to understand the ability of an automated microbial identification system to identify this important pathogen. METHODS AND RESULTS Twenty clinical isolates of V. cholerae showing difference in genetic profiles by random amplified polymorphic DNA (RAPD) fingerprinting, serologically confirmed as O1, and showing presence of ctxA and tcpA genes in PCR were subjected to analysis by Vitek 2 Compact automated identification system for identification. Vitek 2 Compact detected 10 of 20 isolates correctly, whereas the remaining 10 were identified as various members of Aeromonadaceae and Enterobacteriaceae. CONCLUSIONS Our results indicate that Vitek 2 Compact automated microbial system does not always identify V. cholerae strains correctly. SIGNIFICANCE AND IMPACT OF STUDY These observations should create awareness among end users about possible misidentifications by automated systems and encourage simultaneous use of serology and/or PCR for correct identification at least for V. cholerae, which is one of the most important enteric pathogens.
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Affiliation(s)
- A Saini
- Department of Health Research, Regional Medical Research Centre, Indian Council of Medical Research, Belgaum, Karnataka, India
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Dogra P, Saini A, Javali T, Singh P, Saxena V. VID-07.06 Extraperitoneal Robot-Assisted Radical Prostatectomy Revisited. Urology 2011. [DOI: 10.1016/j.urology.2011.07.518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Seth A, Saini A, Dogra P. VID-03.07 Hybrid Minimally Invasive Oral Mucosal graft Urethroplasty for Pan-Anterior Urethral Strictures. Urology 2011. [DOI: 10.1016/j.urology.2011.07.488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Pritz J, Forster K, Saini A, Biagioli M, Zhang G. SU-E-T-653: Dosimetric Evaluation of Prostate Brachytherapy Using Single Isotope and Hybrid Seeds. Med Phys 2011. [DOI: 10.1118/1.3612616] [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: 11/07/2022] Open
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Saini A, Tucci M, Bouraouia K, Ghio P, Tampellini M, Furlan PM, Ostacoli L, Dogliotti L, Berruti A. Circadian rhythm of breakthrough cancer pain. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e19529] [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: 11/20/2022] Open
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Shah V, Saini A. Hepatitis and a rash in an immunocompromised patient. Br J Radiol 2011; 84:194-5. [DOI: 10.1259/bjr/20127924] [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: 11/05/2022] Open
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Saini A. Sports tourism and adventure sports in India. Br J Sports Med 2010. [DOI: 10.1136/bjsm.2010.078725.260] [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: 11/03/2022]
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Saini A, Dua A, Mohindra V. Genetic variability analysis of Giant river cattish (Sperata seenghala) populations from Indus river system by RAPD-PCR. RUSS J GENET+ 2010. [DOI: 10.1134/s1022795410080107] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Saini A, Dua A, Mohindra V. Genetic variability analysis of Giant river catfish (Sperata seenghala) populations from Indus river system by RAPD-PCR. Genetika 2010; 46:1102-1107. [PMID: 20873207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
The Giant river catfish, Sperata seenghala (Sykes) is commercially very important fish species of South Asia. Genetic variability between its populations collected from two rivers i.e. river Sutlej and river Beas of Indus river system in India were examined using randomly amplified polymorphic DNA analysis. Total 38 fish samples were collected from river Sutlej whereas 46 fish samples were collected from river Beas. Total 40 primers were screened, out of these 7 were selected for studying polymorphism which produced a total of 64 RAPD loci in two populations. Percentage polymorphic loci calculated following 95% criterion was 89.06% for Beas population as compared to 95.31% for Sutlej population. Moderate level of genetic divergence (genetic distance of 0.0486) between both the populations suggests distinct population substructure of giant river catfish in both the rivers.
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Affiliation(s)
- A Saini
- Aquatic Biology Laboratory, Department of Zoology, Guru Nanak Dev University, Amritsar-143005 Pb, India.
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Fujii R, Fujita S, Waseda T, Oka Y, Takagi H, Tomizawa H, Sasagawa T, Makinoda S, Cavagna M, Braga DPAF, Figueira RCS, Aoki T, Maldonado LGL, Iaconelli A, Borges E, Prabhakar S, Dittrich R, Beckmann MW, Hoffmann I, Mueller A, Kjotrod S, Carlsen SM, Rasmussen PE, Holst-Larsen T, Mellembakken J, Thurin-Kjellberg A, Haapaniemi Kouru K, Morin Papunen L, Humaidan P, Sunde A, von During V, Pappalardo S, Valeri C, Crescenzi F, Manna C, Sallam HN, Polec A, Raki M, Tanbo T, Abyholm T, Fedorcsak P, Tabanelli C, Ferraretti AP, Feliciani E, Magli MC, Fasolino C, Gianaroli L, Wang T, Feng C, Song Y, Dong MY, Sheng JZ, Huang HF, Sayyah Melli M, Kazemi-shishvan M, Snajderova M, Zemkova D, Pechova M, Teslik L, Lanska V, Ketel I, Serne E, Stehouwer C, Korsen T, Hompes P, Smulders Y, Voorstemans L, Homburg R, Lambalk C, Bellver J, Martinez-Conejero JA, Pellicer A, Labarta E, Alama P, Melo MAB, Horcajadas JA, Agirregoitia N, Peralta L, Mendoza R, Exposito A, Matorras R, Agirregoitia E, Ajina M, Chaouache N, Gaddas M, Souissi A, Tabka Z, Saad A, Zaouali-Ajina M, Zbidi A, Eguchi N, Jinno M, Watanabe A, Hirohama J, Hatakeyama N, Choi YM, Kim JJ, Kim DH, Yoon SH, Ku SY, Kim SH, Kim JG, Lee KS, Moon SY, Hirohama J, Jinno M, Watanabe A, Eguchi N, Hatakeyama N, Jinno M, Watanabe A, Hirohama J, Eguchi N, Hatakeyama N, Xiong Y, Liang X, Li Y, Yang X, Wei L, Makinoda S, Tomizawa H, Fujita S, Takagi H, Oka Y, Waseda T, Sasagawa T, Fujii R, Utsunomiya T, Chu S, Li P, Akarsu S, Dirican EK, Akin KO, Kormaz C, Goktolga U, Ceyhan ST, Kara C, Nadamoto K, Tarui S, Ida M, Sugihara K, Haruki A, Hukuda A, Morimoto Y, Albu A, Albu D, Sandu L, Kong G, Cheung L, Lok I, Pinto A, Teixeira L, Figueiredo H, Pires I, Silva Carvalho JL, Pereira ML, Faut M, de Zuniga I, Colaci D, Barrios E, Oubina A, Terrado Gil G, Motta A, Colaci D, de Zuniga I, Horton M, Faut M, Sobral F, Gomez Pena M, Motta A, Gleicher N, Barad DH, Li YP, Zhao HC, Spaczynski RZ, Guzik P, Banaszewska B, Krauze T, Wykretowicz A, Wysocki H, Pawelczyk L, Sarikaya E, Gulerman C, Cicek N, Mollamahmutoglu L, Venetis CA, Kolibianakis EM, Toulis K, Goulis D, Loutradi K, Chatzimeletiou K, Papadimas I, Bontis I, Tarlatzis BC, Schultze-Mosgau A, Griesinger G, Schoepper B, Cordes T, Diedrich K, Al-Hasani S, Gomez R, Jovanovic V, Sauer CM, Shawber CJ, Sauer MV, Kitajewski J, Zimmermann RC, Bungum L, Jacobsson AK, Rosen F, Becker C, Andersen CY, Guner N, Giwercman A, Kiapekou E, Zapanti E, Boukelatou D, Mavreli T, Bletsa R, Stefanidis K, Drakakis P, Mastorakos G, Loutradis D, Malhotra N, Sharma V, Kumar S, Roy KK, Sharma JB, Ferraretti A, Gianaroli L, Magli MC, Crippa A, Stanghellini I, Robles F, Serdynska-Szuster M, Spaczynski RZ, Banaszewska B, Pawelczyk L, Kristensen SL, Ernst E, Toft G, Olsen SF, Bonde JP, Vested A, Ramlau-Hansen CH, Wang FF, Qu F, Ding GL, Huang HF, Gallot V, Genro V, Roux I, Scheffer JB, Frydman R, Fanchin R, Kanta Goswami S, Banerjee S, Chakravarty BN, Kabir SN, Seeber BE, Morandell E, Kurzthaler D, Wildt L, Dieplinger H, Tutuncu L, Bodur S, Dundar O, Ron - El R, Seger R, Komarovsky D, Kasterstein E, Komsky A, Maslansky B, Strassburger D, Ben-Ami I, Zhao XM, Ni RM, Lin L, Dong M, Tu CH, He ZH, Yang DZ, Karamalegos C, Polidoropoulos N, Papanikopoulos C, Stefanis P, Argyrou M, Doriza S, Sisi V, Moschopoulou M, Karagianni T, Mentorou C, Economou K, Davies S, Mastrominas M, Gougeon A, De Los Santos MJ, Garcia-Laez V, Martinez-Conejero JA, Horcajadas JA, Esteban F, Labarta E, Crespo J, Pellicer A, Li HWR, Anderson RA, Yeung WSB, Ho PC, Ng EHY, Yang HI, Lee KE, Seo SK, Kim HY, Cho SH, Choi YS, Lee BS, Park KH, Cho DJ, Hart R, Doherty D, Mori T, Hickey M, Sloboda D, Norman R, Huang RC, Beilin L, Freiesleben N, Lossl K, Johannsen TH, Loft A, Bangsboll S, Hougaard D, Friis-Hansen L, Christiansen M, Nyboe Andersen A, Thum MY, Abdalla H, Martinez-Salazar J, De la Fuente G, Kohls G, Pellicer A, Garcia Velasco JA, Yasmin E, Kukreja S, Barth J, Balen AH, Esra T, Var T, Citil A, Dogan M, Cicek N, Messini CI, Dafopoulos K, Chalvatzas N, Georgoulias P, Anifandis G, Messinis IE, Celik O, Hascalik S, Celik N, Sahin I, Aydin S, Hanna CW, Bretherick KL, Liu CC, Stephenson MD, Robinson WP, Louwers YV, Goodarzi MO, Taylor KD, Jones MR, Cui J, Kwon S, Chen YDI, Guo X, Stolk L, Uitterlinden AG, Laven JSE, Azziz R, Navaratnarajah R, Grun B, Sinclair J, Dafou D, Gayther S, Timms JF, Hardiman PJ, Ye Y, Wu R, Ou J, Kim SD, Jee BC, Lee JY, Suh CS, Kim SH, Jung JH, Moon SY, Opmeer BC, Broeze KA, Coppus SF, Collins JA, Den Hartog JE, Land JA, Van der Linden PJ, Marianowski P, Ng E, Van der Steeg JW, Steures P, Strandell A, Mol BW, Tarlatzi TB, Kyrou D, Mertzanidou A, Fatemi HM, Tarlatzis BC, Devroey P, Batenburg TE, Konig TE, Overbeek A, Hompes P, Schats R, Lambalk CB, Carone D, Vizziello G, Vitti A, Chiappetta R, Topcu HO, Yuksel B, Islimye M, Karakaya J, ozat M, Batioglu S, Kuchenbecker WK, Groen H, Bolster JH, van Asselt S, Wolffenbuettel BH, Land JA, Hoek A, Wu Y, Pan H, Chen X, Wang T, Huang H, Zavos A, Dafopoulos K, Georgoulias P, Messini CI, Verikouki C, Messinis IE, Van Os L, Vink-Ranti CQJ, Rijnders PM, Tucker KE, Jansen CAM, Lucco F, Pozzobon C, Lara E, Galliano D, Pellicer A, Ballesteros A, Ghoshdastidar B, Maity SP, Ghoshdastidar B, Ghoshdastidar S, Luna M, Vela G, Sandler B, Barritt J, Flisser ED, Copperman AB, Nogueira D, Prat L, Degoy J, Bonald F, Montagut J, Ghoshdastidar S, Maity S, Ghoshdastidar B, Chen S, Chen X, Luo C, Zhen H, Shi X, Wu F, Ni Y, Merdassi G, Chaker A, Kacem K, Benmeftah M, Fourati S, Wahabi D, Zhioua F, Zhioua A, Saini P, Saini A, Sugiyama R, Nakagawa K, Nishi Y, Jyuen H, Kuribayashi Y, Sugiyama R, Inoue M, Jancar N, Vrtacnik Bokal E, Virant-Klun I, Lee JH, Kim SG, Cha EM, Park IH, Lee KH, Dahdouh EM, Desrosiers P, St-Michel P, Villeneuve M, Fontaine JY, Granger L, Ramon O, Matorras R, Burgos J, Abanto E, Gonzalez M, Mugica J, Corcostegui B, Exposito A, Tal J, Ziskind G, Ohel G, Paltieli Y, Paz G, Lewit N, Sendel H, Khouri S, Calderon I, van Gelder P, Al-Inany HG, Antaki R, Dean N, Lapensee L, Racicot M, Menard S, Kadoch I, Meylaerts LJ, Dreesen L, Vandersteen M, Neumann C, Zollner U, Kato K, Segawa T, Kawachiya S, Okuno T, Kobayashi T, Takehara Y, Kato O, Jayaprakasan K, Nardo L, Hopkisson J, Campbell B, Raine-Fenning N. Posters * Reproductive Endocrinology (i.e. PCOS, Menarche, Menopause etc.). Hum Reprod 2010. [DOI: 10.1093/humrep/de.25.s1.438] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Saini A, Zhang G, Finkelstein S, Biagioli M. SU-GG-T-41: Dose Reduction Study in Vaginal Balloon Packing Filled with Radio-Contrast for HDR Brachytherapy Treatment. Med Phys 2010. [DOI: 10.1118/1.3468427] [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: 11/07/2022] Open
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Seth A, Saini A, Chaudhary S, Nayak B, Saxena V, Wadhwa P. VID-03.04: Malignant Adrenal Pheochromocytoma with Atriocaval Thrombus. Urology 2009. [DOI: 10.1016/j.urology.2009.07.719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Seth A, Panda S, Shiv C, Saini A. VID-03.06: Leiomyosarcoma of Inferior Vena Cava Involving the Renal Veins: A Surgical Challenge. Urology 2009. [DOI: 10.1016/j.urology.2009.07.721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Zhang G, Saini A, Biagioli M, Forster K. SU-FF-T-290: A Practical Method of Composition Ratio QA for 103Pd and 125I Hybrid Seeds: Derivation and Monte Carlo Verification. Med Phys 2009. [DOI: 10.1118/1.3181767] [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: 11/07/2022] Open
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Saini A, Sharma S, Chhibber S. Protective efficacy of Emblica officinalis against Klebsiella pneumoniae induced pneumonia in mice. Indian J Med Res 2008; 128:188-193. [PMID: 19001683] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
BACKGROUND & OBJECTIVES Emblica officinalis (amla), which is a good source of vitamin C, has been shown to be beneficial due to its immune system enhancing property coupled with its tonifying and antiageing effect. The present study was conducted to evaluate the effect of E. officinalis feeding on the susceptibility of experimental mice to respiratory tract infection induced by Klebsiella pneumoniae. METHODS The effect of short- (15 days) and long (30 days)-term feeding of amla in mice on the course of K. pneumoniae ATCC43816 infection in lungs was studied, in terms of bacterial colonization, macrophage activity, malondialdehyde (MDA) and nitrite production in broncheoalveolar lavage fluid (BALF). Tumour necrosis factor (TNF)-alpha level in serum was also assessed. RESULTS Though there was a decrease in bacterial colonization after short-term feeding, it was not significant. On the contrary, the decrease in bacterial load was significant (P < 0.05) on long-term feeding. The operative mechanisms in terms of lipid peroxidation, phagocytosis and nitrite production were studied by estimating their levels in broncheoalveolar lavage fluid (BALF). Maximum decrease in malondialdehyde (MDA) levels and increase in phagocytic activity and nitrite levels on long-term feeding was seen. INTERPRETATION & CONCLUSION These results suggest that dietary supplementation with amla protects against bacterial colonization of lungs on long-term feeding in experimental model. Further studies need to be conducted to understand the actual mechanism.
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Affiliation(s)
- A Saini
- Department of Microbiology, Panjab University, Chandigarh, India
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Berruti A, Vana F, Tucci M, Mosca A, Russo L, Gorzegno G, Saini A, Perotti P, Tampellini M, Dogliotti L. Changes in body composition after androgen deprivation therapy (ADT) in prostate cancer patients. Relationship with disease outcome. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.16007] [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: 11/20/2022] Open
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Saini A, Ostacoli L, Sguazzotti E, Capogna S, Castronovo C, Dongiovanni V, Gorzegno G, Furlan PM, Dogliotti L, Berruti A. High prevalence of restless legs syndrome in cancer patients undergoing chemotherapy: Relationship with anxiety, depression and quality of life perception. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.9032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
9032 Background: The Restless Legs Syndrome (RLS) is one of the commonest neurological sensorimotor disorders consisting in periodic limbs movements during the sleeping time that lead to severe insomnia and quality of life deterioration. The prevalence of RLS in normal population is 7 and 11% in males and females respectively. RLS correlated with female sex and iron deficiency. Chronic pain, sensory polineuropathy and the use of dopamine antagonist drugs can induce or exacerbate RLS. Dopamine agonists are extremely active drugs in controlling RLS. The prevalence of RLS in cancer patients is unknown. Methods: The presence of RLS, by means of the essential diagnostic criteria provided by the International RLS Study Group (Allen RP, Sleep Med; 2003), was tested in 257 consecutive cancer patients (119 males and 138 females) with different malignancies belonging to two different Medical Oncology centres. All patients were receiving chemotherapy. Functional Assessment of Cancer Therapy General (FACT-G), Hospital Anxiety and Depression Scale (HADS) and Mini Mental Adjustment to Cancer Scale (Mini-MAC) questionnaires were administered concomitantly to assess the impact of RLS on quality of life, anxiety or depression and styles of coping, respectively. Results: RLS was present in 47 patients (18.3%), 14 males (11.8%) and 33 females (23.9%); (p=0.01). RLS directly correlated with pain (p<0.0001), nausea (p<0.001), worse physical well-being (p=0.007), emotional well- being (p=0.001) and functional well-being (p=0.02). RLS affected patients showed higher levels of anxiety (p<0.001) and depression (p=0.001). The styles of coping consisting in anxious preoccupation and hopeless were also more represented in the RLS affected patients (p=0.04 and p=0.02 respectively) than their counterparts. Conclusions: RLS is frequent and underdiagnosed in cancer patients. It may cause anxiety, depression and quality of life deterioration. Early RLS detection and prompt introduction of dopamine agonists may improve patient quality of life. No significant financial relationships to disclose.
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Affiliation(s)
- A. Saini
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
| | - L. Ostacoli
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
| | - E. Sguazzotti
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
| | - S. Capogna
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
| | - C. Castronovo
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
| | - V. Dongiovanni
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
| | - G. Gorzegno
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
| | - P. M. Furlan
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
| | - L. Dogliotti
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
| | - A. Berruti
- Oncologia Medica, Orbassano, Italy; Psichiatria e Psicologia Clinica, Orbassano, Italy; Centro Disturbi del Sonno, Milano, Italy; Oncologia Medica, Moncalieri, Italy
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Tampellini M, Saini A, Alabiso I, Bitossi R, Brizzi MP, Sculli CM, Berruti A, Gorzegno G, Magnino A, Sperti E, Miraglia S, Forti L, Alabiso O, Aglietta M, Harris A, Dogliotti L. The role of haemoglobin level in predicting the response to first-line chemotherapy in advanced colorectal cancer patients. Br J Cancer 2006; 95:13-20. [PMID: 16773070 PMCID: PMC2360490 DOI: 10.1038/sj.bjc.6603204] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.3] [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] [Indexed: 02/02/2023] Open
Abstract
The purpose of the study was to evaluate the influence of baseline haemoglobin level in predicting response to 5-fluorouracil (5FU)-based first-line chemotherapy in advanced colorectal cancer patients. Data from 631 patients were collected from three different institutions. Globally, overall response rate was 35.8% (226 out of 631). Factors influencing response rate were 5FU dose intensity (high: 43.1%, low: 34.0%, P = 0.03); oxaliplatin (yes: 45.8%, no: 22.9%, P < 0.0001), performance status (PS 0: 46.1%, 1: 28.8%, 2: 26.7%, P < 0.0001), and haemoglobin levels (> or = 12 g dl(-1): 40.4%, < 12 g dl(-1): 29.2%, P = 0.004). In subgroup analysis significant differences in response rate between anaemic and nonanaemic patients were recorded in those patients treated with infusional chemotherapies (45.7 vs 25.5%, P < 0.0001), with high 5FU dose intensity (50.3 vs 32.7%, P = 0.005), with PS = 0 (49.8 vs 37.9%, P = 0.03), and with liver metastases (44.8 vs 33.8%, P = 0.002), whereas no difference was evident in those subjects treated with bolus schedules or according to gender. Anaemia was a strong predictor for activity of first-line 5FU-based chemotherapy especially in those groups that showed the best responses, for example high performance status, infusionally treated, higher 5FU dose and those with liver secondaries. Patients with higher haemoglobin levels recorded a greater response rate and a longer time to progression and survival than anaemic subjects. Prospective evaluation of role of correcting anaemia on response to therapy is justified by these results.
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Affiliation(s)
- M Tampellini
- Department of Medical Oncology, University of Torino, San Luigi Hospital, 10043 Orbassano, Italy
| | - A Saini
- Department of Medical Oncology, University of Torino, San Luigi Hospital, 10043 Orbassano, Italy
| | - I Alabiso
- Department of Medical Oncology, University of Torino, San Luigi Hospital, 10043 Orbassano, Italy
| | - R Bitossi
- Department of Medical Oncology, University of Torino, San Luigi Hospital, 10043 Orbassano, Italy
| | - M P Brizzi
- Department of Medical Oncology, University of Torino, San Luigi Hospital, 10043 Orbassano, Italy
| | - C M Sculli
- Department of Medical Oncology, University of Torino, San Luigi Hospital, 10043 Orbassano, Italy
| | - A Berruti
- Department of Medical Oncology, University of Torino, San Luigi Hospital, 10043 Orbassano, Italy
| | - G Gorzegno
- Department of Medical Oncology, University of Torino, San Luigi Hospital, 10043 Orbassano, Italy
| | - A Magnino
- Department of Medical Oncology, University of Torino, IRCC Candiolo, Italy
| | - E Sperti
- Department of Medical Oncology, University of Torino, IRCC Candiolo, Italy
| | - S Miraglia
- Department of Medical Oncology, University of Novara, Novara, Italy
| | - L Forti
- Department of Medical Oncology, University of Novara, Novara, Italy
| | - O Alabiso
- Department of Medical Oncology, University of Novara, Novara, Italy
| | - M Aglietta
- Department of Medical Oncology, University of Torino, IRCC Candiolo, Italy
| | - A Harris
- Department of Medical Oncology, University of Oxford, Oxford, UK
| | - L Dogliotti
- Department of Medical Oncology, University of Torino, San Luigi Hospital, 10043 Orbassano, Italy
- E-mail:
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