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Srinivasan A, Akolkar D, Patil D, Limaye S, Page R, Ranade A, Patil R, Patil S, Mhase V, Datta V, Apurwa S, Pawar S, Datar R. Real-time non-invasive chemoresistance profiling of circulating tumor associated cells in breast cancers to determine resistance towards mitotic inhibitors. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30733-4] [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: 10/23/2022]
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Srinivasan A, Akolkar D, Patil D, Limaye S, Page R, Ranade A, Patil R, Datta V, Patil S, Mhase V, Apurwa S, Pawar S, Datar R. Circulating tumor associated cells in breast cancers are resistance educated towards prior anthracycline treatments. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30732-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Fulmali P, Akolkar D, Patil D, Crook T, Limaye S, Page R, Ranade A, Sims C, Datta V, Patil R, Fulmali P, Ainwale A, Srinivasan A, Datar R. Viable Circulating Ensembles of Tumor Associated Cells Persist in Patients with No Radiologically Detectable Disease after Treatment in Head and Neck Cancer. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2019.11.364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Vaid A, Crook T, Ranade A, Limaye S, Patil D, Akolkar D, Datta V, Page R, Schuster S, Sims C, Patil R, Srinivasan A, Apurwa S, Datar R. Encyclopedic tumour analysis (ETA) guided combination regimens of hormone receptor antagonists with other systemic agents for treatment of refractory cancers. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz413.106] [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: 11/12/2022] Open
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Limaye S, Crook T, Ranade A, Patil D, Akolkar D, Datta V, Schuster S, Page R, Sims C, Patil R, Srinivasan A, Khan S, Patil S, Mhase V, Apurwa S, Datar R. Circulating tumour associated cells in esophageal cancers are resistance educated per previous chemo treatments. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz413.050] [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: 11/14/2022] Open
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Crook T, Akolkar D, Patil D, Bhatt A, Ranade A, Datta V, Schuster S, Srinivasan A, Datar R. Encyclopedic tumor analysis for organ agnostic treatment with axitinib in combination regimens for advanced cancers. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz268.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Bhattacharyya G, Malhotra H, Babu K, Ranade A, Vora A, Biswas G, Basu S. Prostatic cancer androgen deprivation therapy and bone health in carcinoma prostate. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz265.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Khalid SI, Kelly R, Carlton A, Adogwa O, Kim P, Ranade A, Moreno J, Maasarani S, Wu R, Melville P, Citow J. Outpatient and inpatient readmission rates of 3- and 4-level anterior cervical discectomy and fusion surgeries. J Neurosurg Spine 2019; 31:70-75. [PMID: 30925482 DOI: 10.3171/2019.1.spine181019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2018] [Accepted: 01/16/2019] [Indexed: 11/06/2022]
Abstract
OBJECTIVE With the costs related to the United States medical system constantly rising, efforts are being made to turn traditional inpatient procedures into outpatient same-day surgeries. In this study the authors looked at the various comorbidities and perioperative complications and their impact on readmission rates of patients undergoing outpatient versus inpatient 3- and 4-level anterior cervical discectomy and fusion (ACDF). METHODS This was a retrospective study of 337 3- and 4- level ACDF procedures in 332 patients (5 patients had both primary and revision surgeries that were included in this total of 337 procedures) between May 2012 and June 2017. In total, 331 procedures were analyzed, as 6 patients were lost to follow-up. Outpatient surgery was performed for 299 procedures (102 4-level procedures and 197 3-level procedures), and inpatient surgery was performed for 32 procedures (11 4-level procedures and 21 3-level procedures). Age, sex, comorbidities, number of fusion levels, pain level, and perioperative complications were compared between both cohorts. RESULTS Analysis was performed for 331 3- and 4-level ACDF procedures done at 6 different hospitals. The overall 30-day readmission rate was 1.2% (outpatient 3 [1.0%] vs inpatient 1 [3.1%], p = 0.847). Outpatients had increased readmission risk, with comorbidities of coronary artery disease (OR 1.058, p = 0.039), autoimmune disease (OR 1.142, p = 0.006), diabetes (OR 1.056, p = 0.001), and chronic kidney disease (OR 0.933, p = 0.035). Perioperative complications of delirium (OR 2.709, p < 0.001) and surgical site infection (OR 2.709, p < 0.001) were associated with increased risk of 30-day hospital readmission in outpatients compared to inpatients. CONCLUSIONS This study demonstrates the safety and effectiveness of 3- and 4-level ACDF surgery, although various comorbidities and perioperative complications may lead to higher readmission rates. Patient selection for outpatient 3- and 4-level ACDF cases might play a role in the safety of performing these procedures in the ambulatory setting, but further studies are needed to accurately identify which factors are most pertinent for appropriate selection.
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Affiliation(s)
- Syed I Khalid
- 1Department of Neurosurgery, Rush University Medical Center, Chicago
- 2Chicago Medical School, North Chicago, Illinois
| | - Ryan Kelly
- 3Georgetown University School of Medicine, Washington, DC; and
| | - Adam Carlton
- 2Chicago Medical School, North Chicago, Illinois
| | - Owoicho Adogwa
- 1Department of Neurosurgery, Rush University Medical Center, Chicago
| | - Patrick Kim
- 2Chicago Medical School, North Chicago, Illinois
| | - Arjun Ranade
- 2Chicago Medical School, North Chicago, Illinois
| | | | | | - Rita Wu
- 2Chicago Medical School, North Chicago, Illinois
| | | | - Jonathan Citow
- 2Chicago Medical School, North Chicago, Illinois
- 4Department of Neurosurgery, Condell Medical Center, Libertyville, Illinois
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Ranade A, Cedillo M, Nowakowski F, Bishay V, Moriarty J, Kim E, Fischman A, Lookstein R, Ranade M, Patel R. Abstract No. 597 Endovascular retrieval of Greenfield vena cava filters: a multicenter 5-year experience. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Ranade A, Marinelli B, Kwon Y, Patel R, Fischman A, Nowakowski F, Lookstein R, Bishay V, Kim E, Ranade M. Abstract No. 586 Transplenic access for transjugular intrahepatic portosystemic shunting: safety and feasibility. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Rosenthal BD, Jenkins TJ, Ranade A, Bhatt S, Hsu WK, Patel AA. The use of a novel tablet application to quantify dysfunction in cervical spondylotic myelopathy patients. Spine J 2019; 19:157-162. [PMID: 30144533 DOI: 10.1016/j.spinee.2018.05.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Revised: 04/27/2018] [Accepted: 05/24/2018] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT Despite the prevalence and importance of myelopathy, there is a paucity of objective and quantitative clinical measures. The most commonly used diagnostic tools available are nonquantitative physical exam findings (eg, pathologic reflexes, and gait disturbance) and subjective scoring systems (eg, modified Japanese Orthopaedic Association [mJOA]). A decline in fine motor coordination is a hallmark of early myelopathy, which may be useful for quantitative testing. PURPOSE To identify if a novel tablet application could provide a quantitative measure of upper extremity dysfunction in cervical spondylotic myelopathy. STUDY DESIGN/SETTING Prospective cohort study Patient Sample: Adult patients with a diagnosis of cervical spondylotic myelopathy from a board-certified, spine surgeon were compared with age-matched, healthy, and adult control patients. OUTCOME MEASURES Self-reported function was assessed via the mJOA. Upper extremity function was measured via the fine motor skills (FiMS) tablet test. METHODS Subjects and controls prospectively completed the mJOA paper survey and the FiMS tablet testing, which consisted of four challenges. RESULTS After age-matching, 65 controls and 28 myelopathic patients were available for comparison. The mean mJOA was 13.5 ± 2.9 in the myelopathic cohort and 17.3 ± 1.1 in the control cohort (p < .0001). The average scores for challenges 1-4 in control patients were 24.4, 16.3, 3.2, and 6.6, respectively, whereas the average scores for the myelopathic patients were 16.6, 10.5, 1.4, and 1.8, respectively (p values for all four challenges <.001). Based upon the 15 control subjects who repeated FiMS testing four sequential times, intrarater reliability was excellent, yielding an interclass correlation coefficient of 0.88 CONCLUSIONS: The FiMS tablet application produced significantly lower scores in a myelopathic cohort when compared with an age-matched control cohort. This is true for all four challenges in the FiMS tablet application. The test can be completed in 1.5 minutes, producing a reliable, quantitative measure of cervical myelopathy upper extremity function. In summary, the FiMS tablet application is a novel, easily administered, objectively quantifiable test for analyzing cervical spondylotic myelopathy.
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Affiliation(s)
- Brett D Rosenthal
- Northwestern University, Department of Orthopaedic Surgery, 676 N. Saint Clair, Suite 1350, Chicago, IL 60611, USA.
| | - Tyler J Jenkins
- Northwestern University, Department of Orthopaedic Surgery, 676 N. Saint Clair, Suite 1350, Chicago, IL 60611, USA.
| | - Arjun Ranade
- Rosalind Franklin University of Medicine and Science, 3333 Green Bay Rd., North Chicago, IL 60064, USA.
| | - Surabhi Bhatt
- Northwestern University, Department of Orthopaedic Surgery, 676 N. Saint Clair, Suite 1350, Chicago, IL 60611, USA.
| | - Wellington K Hsu
- Northwestern University, Department of Orthopaedic Surgery, 676 N. Saint Clair, Suite 1350, Chicago, IL 60611, USA.
| | - Alpesh A Patel
- Northwestern University, Department of Orthopaedic Surgery, 676 N. Saint Clair, Suite 1350, Chicago, IL 60611, USA.
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Giever TA, Ranade A, Thomas JP, Ritch PS, Haasler G, Gasparri M, Johnstone D, Gore E, Johnstone CA, Dua K, Khan A, Oh Y, George B. Utility of invasive staging procedures in patients (pts) with localized esophageal cancer (EC). J Clin Oncol 2015. [DOI: 10.1200/jco.2015.33.3_suppl.54] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
54 Background: Definitive treatment for localized EC involves surgery alone or tri-modality therapy (TMT-chemotherapy, radiation, and surgery). TMT is administered to pts with clinical T2 or higher and lymph node (LN) positive ECs. Standard staging includes Computerized Tomography (CT)/Positron Emission Tomography (PET) imaging and Endoscopic Ultrasound (EUS). We investigated whether performing an EUS altered treatment decision in localized EC pts where a combination of imaging and clinical symptoms suggested the need for TMT. Methods: We performed a retrospective review to identify pts with localized EC who had their staging work up and treatment at the Medical College of Wisconsin between 2003 and 2012. Relevant clinical information was collected through review of the electronic medical record. Results: We identified 65 pts; median age at diagnosis was 62 years, 49 (75%) were male, and 56 (86%) were Caucasian. Histology was adenocarcinoma in 48 (74%) pts with 21 (44%) having background Barrett’s esophagus. Common presenting symptoms included dysphagia (83%), weight loss (73%), and odynophagia (25%). Staging evaluation included CT, PET, and EUS in 100%, 98%, and 89% of pts respectively. EUS staging results are in the table below. Dysphagia was reported by 67% of T1, 80% of T2, 84% of T3, 50% of T4, and 100% of Tx pts; 70% of pts with dysphagia were node positive by EUS. PET positive primary tumors/LNs were found in 89%/29% of all pts and 89%/33% of pts with dysphagia. Of the pts with PET positive LNs, 68% had node positive disease on EUS. Eighteen (28%) pts had both dysphagia and PET positive LNs, none with T1-2N0 staging by EUS; 36 pts had dysphagia and PET negative LNs, 7 (19%) with T1-2N0 staging by EUS. Among those 7 pts, 4 underwent surgery (1 pt-pT3N1aMx; 3pts-pT1bN0Mx). Conclusions: Localized EC pts with both dysphagia and PET positive LNs are candidates for TMT even in the absence of EUS staging. The role of EUS in this population may be limited to investigating adjacent organ invasion or confirmation of LN involvement. With improving PET capabilities, the role of EUS in this pt population needs to be studied prospectively. [Table: see text]
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Affiliation(s)
| | - Arjun Ranade
- Rosiland Franklin University of Medicine and Science, North Chicago, IL
| | | | | | | | | | | | | | | | | | - Abdul Khan
- Medical College of Wisconsin, Milwaukee, WI
| | - Young Oh
- Medical College of Wisconsin, Milwaukee, WI
| | - Ben George
- Medical College of Wisconsin, Milwaukee, WI
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Affiliation(s)
- G Sandhu
- From the Division of Nephrology, Department of Medicine and Department of Pathology, St Luke's - Roosevelt Hospital Center, Columbia University College of Physicians & Surgeons, New York, NY, USA
| | - A Bansal
- From the Division of Nephrology, Department of Medicine and Department of Pathology, St Luke's - Roosevelt Hospital Center, Columbia University College of Physicians & Surgeons, New York, NY, USA
| | - A Ranade
- From the Division of Nephrology, Department of Medicine and Department of Pathology, St Luke's - Roosevelt Hospital Center, Columbia University College of Physicians & Surgeons, New York, NY, USA
| | - J Jones
- From the Division of Nephrology, Department of Medicine and Department of Pathology, St Luke's - Roosevelt Hospital Center, Columbia University College of Physicians & Surgeons, New York, NY, USA
| | - S Cortell
- From the Division of Nephrology, Department of Medicine and Department of Pathology, St Luke's - Roosevelt Hospital Center, Columbia University College of Physicians & Surgeons, New York, NY, USA
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Bhattacharyya G, Ranade A, Malhotra H, Govindbabu K, Parikh P, Shahid T, Basu S, Bascomb N. Metronomic chemotherapy in geriatric triple negative breast cancer patients with or without VT-122. J Geriatr Oncol 2013. [DOI: 10.1016/j.jgo.2013.09.012] [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: 11/24/2022]
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Bhattacharyya G, Malhotra H, Ranade A, Bondarde S, Biswas G, Shahid T, Basu S, Bascomb N. Phase II study evaluating safety and efficacy of co-administering propranolol and etodolac for treating cancer cachexia in geriatric patients. J Geriatr Oncol 2013. [DOI: 10.1016/j.jgo.2013.09.035] [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: 10/26/2022]
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Parikh PM, Ranade A, Vaid AK, Advani SH, Bapna A, Zhu J, Wang Y, Ismail PM, Malik RK. The effect of talactoferrin on overall survival in prognostically important NSCLC subsets in a randomized, placebo-controlled phase II trial. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.7569] [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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Sandhu G, Ranade A, Mankal P, Herlitz LC, Jones J, Cortell S. Acute kidney injury in the setting of AIDS, bland urine sediment, minimal proteinuria and normal-sized kidneys: a presentation of renal lymphoma. Nephrol Dial Transplant 2010; 26:747-51. [DOI: 10.1093/ndt/gfq666] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Ranade A, Batra R, Sandhu G, Chitale RA, Balderacchi J. Clinicopathological evaluation of 100 cases of mucinous carcinoma of breast with emphasis on axillary staging and special reference to a micropapillary pattern. J Clin Pathol 2010; 63:1043-7. [DOI: 10.1136/jcp.2010.082495] [Citation(s) in RCA: 66] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Sandhu G, Dasgupta R, Ranade A, Baskin M. Pneumocystis pneumonia in an HIV-negative patient with no overt risk factors on presentation. Eur Respir J 2010; 35:927-9. [PMID: 20356991 DOI: 10.1183/09031936.00180509] [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: 11/05/2022]
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Bhattacharyya GS, Julka PK, Bondarde S, Naik R, Ranade A, Bascomb N, Rao N. Phase II study evaluating safety and efficacy of coadministering propranolol and etodolac for treating cancer cachexia. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e18059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Sandhu G, Ranade A, Narayanswami G. Fatal massive cerebral infarctions in a young patient with diabetic ketoacidosis--a rare case of atherosclerotic moyamoya disease. QJM 2010; 103:267-9. [PMID: 19917648 DOI: 10.1093/qjmed/hcp161] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- G Sandhu
- Department of Internal Medicine, St Luke's-Roosevelt Hospital Center, Columbia University College of Physicians & Surgeons, NY 10025, USA.
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Burstein H, Sun Y, Dirix L, Jiang Z, Paridaens R, Tan A, Awada A, Ranade A, Jiao S, Schwartz G, Powell C, Turnbull K, Vermette J, Zacharchuk C, Badwe R. Gastrointestinal and Cardiovascular Safety Profiles of Neratinib Monotherapy in Patients with Advanced ErbB2-Positive Breast Cancer. Cancer Res 2009. [DOI: 10.1158/0008-5472.sabcs-09-5096] [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: 11/16/2022]
Abstract
Abstract
Background: In a phase 2 study, oral neratinib was administered to patients (pts) with advanced breast cancer in 2 cohorts, those with prior trastuzumab treatment (prior T, n=66) and those with no prior trastuzumab treatment (no prior T, n=70). Neratinib demonstrated robust antitumor activity with objective response rates of 26% and 51%, respectively, and was generally tolerable (Burstein et al. Cancer Res 2009;69:72S). Diarrhea, all grades, occurred in 89% of total pts. Characteristics of the diarrhea and left ventricular ejection fraction (LVEF) measurements are described. Methods: Pts were required to have ErbB2 gene amplification in tumor tissue as measured by fluorescence in situ hybridization by independent assessment. Serial LVEF measurements were made with a multigated acquisition scan or echocardiogram. Pts were ineligible if baseline LVEF was <50%. Adverse events were graded based on the NCI Common Terminology Criteria, v 3.0. Pts received oral neratinib 240 mg daily. Results: Data collected by 18 Mar 2009 are reported; the median (range) duration of neratinib treatment was 4.5 (0.2-23.5) months for pts with prior T and 7.8 (0.5-24.2) months for pts with no prior T. Diarrhea, all grades occurred in 93% of the total population (prior T: 97%, no prior T: 89%); grade 3-4 diarrhea occurred in 21% of the total population (prior T: 30%, no prior T: 13%). Median times of onset were 2 and 3 days after first dose of neratinib, respectively, and median durations of diarrhea were 7 and 5 days. In study week 1, 86% and 73% of pts with prior T and no prior T, respectively, had diarrhea; this decreased to 12-14% in months 3 and 4 (Table). Diarrhea was the cause of dose interruptions in 36% of pts with prior T and 11% of pts with no prior T and of dose reductions in 30% of pts with prior T and 5% of pts with no prior T; only 1 pt (prior T) discontinued treatment due to diarrhea. Pts used anti-diarrheal medications for supportive therapy (prior T: 91%, no prior T: 67%). For LVEF measurements, there was little variation from baseline in most pts during the study. Four pts had at least 1 LVEF measurement <50% (2 of these pts had measurements within the institutional range of normal). None had congestive heart failure. One of these pts had grade 3 atrioventricular block and grade 3 bradycardia, which were considered unrelated to neratinib. Discussion: Neratinib treatment was not associated with clinically significant cardiotoxicity. Pts who developed diarrhea with neratinib monotherapy had early onset, but frequency and severity decreased with time on study. Despite the high frequency of diarrhea with neratinib treatment, it was readily managed with supportive therapy and dose interruptions and/or reductions.Time Course of Diarrhea in ErbB2-Positive Breast Cancer Patients Treated With NeratinibStudy PeriodPrior T: No. on StudyPrior T: % With Diarrhea, All Grades*Prior T: % With Diarrhea, Gr 3-4*No Prior T: No. on StudyNo Prior T: % With Diarrhea, All Grades*No Prior T: % With Diarrhea, Gr 3-4*Week 166861770737Week 2-466611170436Month 260331066152Month 34713060120Month 44312058140*For pts with multiple toxicity grades in a period, the maximum grade was reported.
Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 5096.
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Affiliation(s)
| | - Y. Sun
- 2Cancer Hospital, Chinese Academy of Medical Sciences, China
| | - L. Dirix
- 3Oncology Center AZ St. Augustinus, Belgium
| | - Z. Jiang
- 4307 Hospital of Chinese People's Liberation Army, China
| | | | - A. Tan
- 6Cancer Institute of New Jersey, NJ,
| | | | - A. Ranade
- 8Deenanath Mangeshkar Hospital, India
| | - S. Jiao
- 9Chinese People's Liberation Army General Hospital, China
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Sandhu G, Ranade A, Siddiqi S, Balderacchi JL. Essential thrombocythemia transforming into acute biphenotypic leukemia in a patient on hydroxyurea monotherapy. Ann Oncol 2009; 20:1899-900. [PMID: 19752004 DOI: 10.1093/annonc/mdp422] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
MESH Headings
- Aged
- Antineoplastic Agents/adverse effects
- Cell Transformation, Neoplastic/chemically induced
- Female
- Humans
- Hydroxyurea/adverse effects
- Leukemia, Biphenotypic, Acute/chemically induced
- Leukemia, Biphenotypic, Acute/pathology
- Leukemia, Biphenotypic, Acute/physiopathology
- Stroke/complications
- Thrombocythemia, Essential/drug therapy
- Thrombocythemia, Essential/pathology
- Thrombocythemia, Essential/physiopathology
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Pai MM, Vadgaonkar R, Rai R, Nayak SR, Jiji PJ, Ranade A, Prabhu LV, Madhyastha S. A cadaveric study of the testicular artery in the South Indian population. Singapore Med J 2008; 49:551-555. [PMID: 18695863] [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: 05/26/2023]
Abstract
INTRODUCTION The male gonadal arteries, namely the testicular arteries, may vary at their origin and arise from the renal artery, suprarenal artery or lumbar artery. They may also be doubled, tripled or even quadrupled and may arise as a common trunk. With the advent of new intra-abdominal operative and laparoscopic techniques, the anatomy of the gonadal vessels has assumed much more importance. Therefore, a study was designed to assess the percentage of normal and aberrant origin and course of the testicular artery in the Indian population. METHODS The posterior abdominal walls of 34 male cadavers (68 sides) were dissected and studied for the variations in the origin and course of the testicular arteries. RESULTS In 85.3 percent of the cases, the male gonadal artery was normal in origin, number and course. However, in the remaining 14.7 percent, various anomalies in the testicular artery were noted. CONCLUSION The variations in the testicular arteries are attributed to their embryological origin. A deep knowledge of these variations and their relations to the adjacent structures is very important in avoiding the complications in operative surgery.
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Affiliation(s)
- M M Pai
- Department of Anatomy, Centre for Basic Sciences, Kasturba Medical College, Mangalore 575004, Karnataka, India.
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Khare M, Bhide M, Ranade A, Jaykar A, Panicker L, Patnekar PN. Poisoning in children--analysis of 250 cases. J Postgrad Med 1990; 36:203-6. [PMID: 2132245] [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: 12/30/2022] Open
Abstract
This study is an analysis of 250 cases over a period of 2 years, admitted to our hospital for various poisonings. The total incidence of poisoning was 11.9%, much higher as compared to the other series. Of these, 58.4% were seen in the age group of 1-4 years. Male to female ratio was 1.7:1. Incidence of food poisoning was 48.8% followed by that of kerosene (24%), pesticides (9.6%), chemicals and medicaments (8.4%), plant (3.6%) and animal bites (3.2%). Overall mortality was 0.8%.
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Affiliation(s)
- M Khare
- Department of Paediatrics, Dr. R. N. Cooper Hospital, Vileparle, Bombay, Maharashtra
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Ranade A, Mahadevan PR. A component of Mycobacterium leprae as a serodiagnostic tool for leprosy. Indian J Biochem Biophys 1988; 25:554-9. [PMID: 3076580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Torbati D, Simon AJ, Ranade A. Frequency analysis of EEG in rats during the preconvulsive period of O2 poisoning. Aviat Space Environ Med 1981; 52:598-603. [PMID: 7295246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
The EEG of rats exposed to hyperbaric oxygenation (HBO) displays electrical discharges prior to the onset of generalized clinical convulsions (GCC). The characteristics of preconvulsive electrocorticogram (ECoG) in awake, unrestrained rats exposed to 3, 4, and 5 ATA O2 were determined. The ECoG was continuously monitored and analyzed by a hybrid analog-digital system until GCC developed. The time integral of rectified voltage of the individual delta (0.5-4 c/s), theta (4-8 c/s), alpha (8-13 c/s) beta 1 (13-20 c/s), and beta 2 (20-30 c/s) bands were plotted vs. time. An elevation in delta and a temporary reduction in alpha activity before the onset of the first electrical discharge (FED) was observed. There was a continuous reduction in beta 1 and beta 2 frequency bands during the entire pre-electrical discharge period. The activity of theta, and alpha frequency bands was significantly elevated only about 1 min before the onset of the FED, and of beta 1 and beta 2 during appearance of the FED. The possible relationship between the occurrence of preconvulsive EEG changes and pathological effects of hyperbaric oxygenation is discussed.
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Ranade A, Peterson RE. Computation of decompression schedules for single inert gas-oxygen dives using a hand-held programmable calculator. Comput Programs Biomed 1980; 12:51-4. [PMID: 6257447 DOI: 10.1016/0010-468x(80)90111-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
An algorithm for on-site computation with a hand-held programmable calculator (TI-59, Texas Instruments) of single inert-gas decompression schedules is described. This program is based on Workman's 'M-value' method. It can compute decompression schedules with changes in the oxygen content of the breathing mixture and extension of stay at any decompression stop. The features of the program that enable calculation of atypical dive profiles, along with the portability of small calculators, would make such an algorithm suitable for on-site applications. However, since dive profiles generated by the program have not yet been tested, divers are warned not to generate schedules until their safety has been established by field tests.
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Chrisman RW, Mansy S, Peresie HJ, Ranade A, Berg TA, Tobias RS. Heavy metal-nucleotide interactions. IX. Raman difference spectroscopic studies on the binding of CH3Hg(II) to 1-methylthymine, thymidine-5'-monophosphate, DNA models and native DNA. Bioinorg Chem 1977; 7:245-66. [PMID: 18215 DOI: 10.1016/s0006-3061(00)80098-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Raman spectra have been obtained for dTMP and its complex with CH3Hg (II) in aqueous solution as a function of pH. Difference spectroscopy is employed to increase the sensitivity of the Raman technique. The binding reaction is essentially quantitative from pH 3 to 9, and the value of the equilibrium constant for CH3HgOH2+ + dThd in equilibrium CH3Hg(dThdH--1) + H30+ is estimated from intensity measurements to be 0.6 in reasonable agreement with an earlier value based upon uv spectrophotometric data. Binding is to N(3) with substitution of CH3Hg+ for the proton. A similar reaction occurs with 1-MeThy. Raman spectra for aqueous and crystalline 1-MeThy and for the complex CH3Hg(1-MeThyH--1) are reported. The spectrum of crystalline Hg(1-MeThyH--1)2, for which the crystal structure is known, also was obtained for comparison. Raman difference spectroscopy was used to confirm that CH3Hg (II) binds to N(3) of dTMP and N(1) of GMP at r = 0.2 (MeHg+: phosphate) ratios with mixtures of GMP + CMP + AMP + dTMP. In contrast, native calf thymus DNA does not appear to bind CH3Hg(II) at these sites at r = 0.15, although no significant amount of free CH3HgOH is present. With r = 0.3, extensive binding occurs both to the Thy and Gua bases. Raman difference spectroscopy is a valuable technique for studying the binding of ions and molecules to polynucleotides in moderately dilute aqueous solution.
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