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Awan UA, Khattak AA, Haq M, Saadia Z, Marwat M, Khalid S, Kamran S, Haseeb A, Ahmed B, Irfani MA, Nadeem MF, Javed F. Frequency, distribution and determinants of Helicobacter pylori infection in adults and adolescents with gastric symptoms: cross-sectional epidemiological inquiry in district Haripur, Pakistan. BRAZ J BIOL 2024; 84:e248913. [DOI: 10.1590/1519-6984.248913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 11/13/2021] [Indexed: 12/25/2022] Open
Abstract
Abstract Helicobacter pylori (HP) is a vital element in the etiology of peptic ulcers and gastric cancer. This research aimed to determine the frequency, distribution, and determinants of HP infection in adults and adolescents with gastric symptoms in district Haripur, Khyber Pakhtunkhwa, Pakistan. This cross-sectional study was performed from June 2018 to June 2020 at the Medical Laboratory Technology Department, The University of Haripur, Pakistan. Presence of HP was a research variable, while sex, age groups, education status, overcrowding, dining habits, milk intake, drinking water source and animal contact were grouping variables. Immuno-chromatographic technique (ICT) was used to for serological detection of HP antibodies. All variables were represented by frequency and percentage with 95%CI. Prevalence of HP and its distribution by eight socio-demographic variables was testified by the chi-square goodness-of-fit test while association was testified by chi-square test of association. Out of total 1160 cases, 557 (48%) were positive for HP. Population prevalence was higher in men, in the age group 20-40 years, illiterate, family size ≤ 10 persons, taking restaurant food, using tetra pack, using municipal water, and having animal contact. The observed prevalence of HP was similar to its expected prevalence in the population. The observed distribution of HP in the sample was different from its expected distribution in population by eight socio-demographic variables. Presence of HP was associated with all eight socio-demographic variables besides age groups.
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Affiliation(s)
| | | | - M. Haq
- Riphah International University, Pakistan
| | - Z. Saadia
- Qassim University College of Medicine, Kingdom of Saudi Arabia
| | | | - S. Khalid
- Riphah International University, Pakistan
| | - S. Kamran
- University of Management and Technology - UMT, Pakistan
| | - A. Haseeb
- Abbottabad University of Science and Technology, Pakistan
| | - B. Ahmed
- Abbottabad University of Science and Technology, Pakistan
| | | | | | - F. Javed
- Pak-Austria Fachhochschule: Institute of Applied Sciences & Technology, Pakistan
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Alhamoudi N, Abduljabbar T, Vohra F, Javed F. Influence of mechanical debridement with adjunct probiotic therapy on clinical status and salivary cortisol levels in patients with periodontal inflammation. Eur Rev Med Pharmacol Sci 2023; 27:8360-8370. [PMID: 37782153 DOI: 10.26355/eurrev_202309_33758] [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: 10/03/2023]
Abstract
OBJECTIVE The null hypothesis is that there is no difference in periodontal parameters and salivary cortisol levels (CL) among patients with periodontal inflammatory conditions (PIC) who receive non-surgical mechanical debridement (NSMD) with or without adjunct probiotic therapy (PT). The aim of this study was to assess the influence of NSMD with and without adjunct PT on clinical status and whole salivary CL in patients with PIC. PATIENTS AND METHODS Participants were randomly divided into four groups: Group-1: NSMD alone (n=19); Group-2: NSMD + PT (n=18); Group-3: PT + oral hygiene instructions (OHI) (n=17); and Group-4: PT alone (n=18). Lactobacillus rhamnosus SP1 (2×107 colony-forming units/day) was used for PT. Plaque and gingival indices (PI and GI), probing depth (PD) and clinical attachment loss (AL) were assessed, and whole salivary CL was assessed at baseline and at 6-week follow-up. Marginal bone levels were assessed at baseline and demographic data was collected using a questionnaire. Sample-size estimation was performed, and statistical significance was determined at p<0.05. RESULTS At follow-up, PI (p<0.01), GI (p<0.01), and PD (p<0.01) were significantly higher in PT + OHI and PT alone groups compared with individuals who underwent NSMD + PT and NSMD alone. At baseline and follow-up, there was no significant difference in CL in all groups. There was no statistically significant correlation between age, gender, PI, PD, GI, clinical AL, salivary flow rate, education status and salivary CL in all groups at baseline and follow-up. CONCLUSIONS NSMD continues to be the "gold standard" and most reliable treatment strategy for managing PIC. It is imperative to reach a consensus regarding the duration, dosage, and frequency of PT that would yield optimal results for managing PIC.
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Affiliation(s)
- N Alhamoudi
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
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Alhumaidan AA, Alrabiah M, Al-Aali KA, Javed F, Vohra F, Abduljabbar T. Efficacy of adjunct subgingival minocycline delivery for treatment of peri-implantitis in moderate cigarette smokers. Eur Rev Med Pharmacol Sci 2022; 26:5698-5705. [PMID: 36066142 DOI: 10.26355/eurrev_202208_29504] [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: 06/15/2023]
Abstract
OBJECTIVE Localized subgingival minocycline hydrochloride (MH) delivery as an adjuvant to with non-surgical mechanical debridement (NSMD) is useful for the treatment of periodontitis; however, there are no trials that have assessed the efficacy of subgingival MH delivery with NSMD for the treatment of peri-implantitis in cigarette-smokers and non-smokers. This randomized controlled trial assessed the efficacy of subgingival MH delivery with NSMD for the treatment of peri-implantitis in cigarette-smokers. PATIENTS AND METHODS Self-reported current cigarette-smokers and non-smokers with peri-implantitis were encompassed. These individuals were subdivided into 2-subgroups. Patients in test- and control groups received NSMD with and without a single delivery of subgingival MH. Modified-gingival-index (mGI), modified-plaque-index (mPI), probing-depth (PD) and crestal-bone-loss (CBL) were measured at baseline and at 6-months' follow-up. Demographic-data was also collected. Level of significance was set at p<0.01. RESULTS Twenty-four cigarette-smokers and 24 non-smokers with peri-implantitis were included. There was a significant reduction in mPI (p<0.01), mGI (p<0.01), PD (p<0.01) at 6-months among patients with and without type-2 DM in test- and control-groups. There was no significant difference in peri-implant mPI, PD and mGI, patients with and without type-2 diabetes in test- and control-groups at 6-months of follow-up. There was no significant difference in CBL in all patients at 6-months of follow-up. CONCLUSIONS A single application of subgingival MH delivery is as effective as NSMD alone for the treatment of peri-implantitis in cigarette-smokers and non-smokers.
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Affiliation(s)
- A A Alhumaidan
- Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman Bin Faisal University Dammam, Saudi Arabia.
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Javed F, Bello-Correa FO, Nikolaidou A, Rossouw PE, Michelogiannakis D. Anti-nociceptive efficacy of essential oil-based extracts for the management of orofacial pain: a systematic review of available evidence. Eur Rev Med Pharmacol Sci 2021; 25:7323-7332. [PMID: 34919232 DOI: 10.26355/eurrev_202112_27426] [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: 11/12/2022]
Abstract
OBJECTIVE Experimental studies have shown that essential oil (EO)-based extracts derived from medicinal plants exhibit antinociceptive activity. The aim of the present systematic review was to assess the anti-nociceptive efficacy of EO-based extracts for the management of orofacial pain (OFP). MATERIALS AND METHODS To address the focused question "Are EO-based formulations effective for the management of OFP disorders?", indexed databases were searched without time and language restrictions using the preferred reporting items for systematic reviews and meta-analysis guidelines. Risk of bias (ROB) was assessed. RESULTS Eight studies were included and processed for data extraction. Two studies were clinical (one in adults and one in children) and 6 were performed in rodents. Results from one clinical study showed that inhalation of EO-extracts does not affect subjective toothache scores; and results from the study on children reported that inhalation of lavender oil reduces anxiety and pain during and after tooth extraction. Results from all experimental studies showed that administration of EO-extracts reduces orofacial nociceptive behavior. The ROB was high in 50% and 83.3% of the clinical and experimental studies, respectively. CONCLUSIONS The anti-nociceptive efficacy of EO-extracts for the management of OFP remains debatable. Further well-designed and power-adjusted randomized clinical trials are needed in this regard.
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Affiliation(s)
- F Javed
- Division of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA.
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Javed F, Chung C, Fayyaz H, Jeffery R. AB0853 IGG4-RELATED DISEASE CAUSING OCULAR NERVE PALSIES AND ORBITAL APEX SYNDROME: CASE REPORT AND LITERATURE REVIEW. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.939] [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: 11/03/2022]
Abstract
Background:IgG4-Related Disease (IgG4-RD) is a systemic immune-mediated fibroinflammatory condition. The epidemiology is not well defined: it usually affects adults from middle-age onwards, predominantly male. Both B and T-cells are central in IgG4-RD pathogenesis, as demonstrated by the efficacy of B-cell depletion therapy.IgG4-RD can affect multiple organs including the central and peripheral nervous system, producing a constellation of clinical symptoms and signs, depending on the organ structures involved.IgG4-related orbital disease is relatively rare can implicate all extra-ocular muscles, structures emerging from the Orbital apex, optic canal, or superior and inferior orbital fissure. Depending on the structures involved, it can produce different or sometimes subtle clinical presentations, posing diagnostic challenge. There were case reports of IgG4-related ophthalmic disease misdiagnosed as intraocular tumour.Objectives:IgG4-RD is increasingly recognised as an entity affecting the head and neck region. However, it rarely involves skull base and presents with orbital apex syndrome. In this current case report, we describe an interesting case of IgG-related orbital disease presenting with ocular nerve palsies and orbital apex syndrome.Methods:Case report.Results:A 36-year-old gentleman with cocaine and alcohol misuse presented with a 2-month history of left sided headache, diplopia, recurrent ear infections, otalgia and hearing loss. Initial imaging suggested left otomastoiditis and intravenous antibiotics were commenced. Contralateral partial third nerve palsy with pupil sparing was elicited. 2 months later, there was worsening right eye ptosis, proptosis, right relative afferent pupillary defect, reduced visual acuity and colour vision as well as a near-complete ophthalmoplegia. Subsequent imaging showed worsening soft tissue swelling centred on the upper left parapharyngeal and masticator space, with multiple perineural enhancement and lateral extension to right orbital apex and orbital fissures. Blood tests only revealed raised IgG4 subclass. Infectious aetiology was excluded. Left nasal mass biopsy performed showed no fungal organism or malignancy. There were lymphoplasmacytic proliferation but no storiform fibrosis or obliterative phlebitis. IgG4 immunostaining on two assessable fields revealed 22 and 17 positive plasma cells respectively, and an IgG4: IgG ratio of <10%, and 50% in the other. Significant improvement was seen clinically and radiologically with antibiotics and a tapering regime of oral Prednisolone. Patient was commenced on Azathioprine as long term immunosuppression.Conclusion:A high degree of clinical suspicion is necessary to diagnose IgG4-RD when presenting with orbital apex syndrome and ocular nerve palsies,IgG4-RD can mimic mastoiditis of infectious aetiology. Other differentials may include cocaine-induced midline destructive lesions and granulomatosis with polyangiitis. The diagnosis can be supported by elevated serum IgG, elevated IgG index and pathognomonic histopathological findings. . The diagnosis of IgG4-related orbital disease should be deliberated on by a multidisciplinary group, with every effort being made to exclude an infectious aetiology, before embarking on immunosuppressive therapy.Primary treatment is with steroids. However, immunotherapy using azathioprine can be utilised in recurrent disease or patients with steroid intolerance.References:[1]Goto H, Ueda S. Immunoglobulin G4-related ophthalmic disease involving the sclera misdiagnosed as intraocular tumor: report of one case. OculOncolPathol. 2016;2(4):285–8.[2]Ohyama K, Koike H, Iijima M, et al. IgG4-related neuropathy: a case report. JAMA Neurol. 2013;70(4):502–5.[3]AbdelRazek MA, Venna N, Stone JH. IgG4-related disease of the central and peripheral nervous systems. Lancet Neurol. 2018;17(2):183–92.[4]Kamekura R, Takahashi H, Ichimiya S. New insights into IgG4-related disease: emerging new CD4+ T-cell subsets. Curr Opin Rheumatol. 2019;31(1):9–15.Disclosure of Interests:None declared
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Obiechina N, Michael A, Nandi A, Jameel I, Javed F. 152 The Relationship Between 25(OH) Vitamin D and Bone Mineral Density (BMD) in Patients 65 Years and Older with Prior Fragility Fractures. Age Ageing 2021. [DOI: 10.1093/ageing/afab030.113] [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: 11/12/2022] Open
Abstract
Abstract
Introduction
25(OH) vitamin D [25(OH) D] levels are known to influence skeletal health as well as muscle function. Some studies suggest a positive association between 25(OH) D levels and BMD at various skeletal sites in men but not in women. These findings were mostly observed in younger (less than 50 year old) cohorts. Evidence for this association in older patients with prior fragility fractures is lacking. Aim: To assess the correlation of 25(OH) D levels with T-scores at the neck of femur, hip and spine in patients 65 years and older with prior fragility fractures and the effect of gender on the correlation.
Methods
A retrospective, cross-sectional analysis of patients 65 and older with previous fragility fractures in patients attending a fracture prevention service. Data was extracted from the electronic records. SPSS 26 statistical software was used for statistical analysis. Pearson correlation coefficient was used to calculate correlation and regression coefficient for gender.
Results
151 patients were included; 26 males and 126 females. Mean age was 76.2 and 74.1 years respectively. In the males there was good positive, statistically significant correlation between the 25(OH) D and T-scores at the neck of femur (r = 0.415; p < 0.05) and hip (r = 0.413; p < 0.05), but correlation with T-score of the spine was not statistically significant (r = 0.349; p = 0.103). In the females there was no statistically significant correlation between 25(OH) D and T-scores at the neck of femur, hip or spine (r = 0.163; p = 0.077), (r = 0.096; p = 0.299) and (r = 0.114; p = 0.217) respectively.
Conclusion
In males, 65 years and older, with prior fragility fracture, there is a positive significant correlation between 25(OH) D and BMD at the neck of femur and hip whereas there is no significant correlation in females.
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Affiliation(s)
| | | | - A Nandi
- Queen's Hospital, Burton on Trent, UK
| | - I Jameel
- Queen's Hospital, Burton on Trent, UK
| | - F Javed
- Queen's Hospital, Burton on Trent, UK
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St Martin JG, Javed F, Rossouw PE, Michelogiannakis D. Influence of mini-screw implant-assisted intrusion on orthodontically induced inflammatory root resorption: a systematic review. Eur Arch Paediatr Dent 2021; 22:341-349. [PMID: 33423207 DOI: 10.1007/s40368-020-00588-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Accepted: 11/17/2020] [Indexed: 12/09/2022]
Abstract
AIM To systematically review indexed literature related to the influence of mini-screw implant (MSI)-assisted intrusion on orthodontically induced inflammatory root resorption (OIIRR). METHODS Indexed databases were searched without time and language restrictions using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The inclusion criteria were: (a) original studies; (b) patients/subjects undergoing MSI-assisted intrusion; and (c) tomographic and/or histological assessment of OIIRR. Letters to the Editor, commentaries, case reports/series, reviews, and studies based on two-dimensional radiographic assessment of OIIRR were excluded. For experimental and clinical studies, the risk of bias assessment was performed using the Systematic Review Centre for Laboratory animal Experimentation risk of bias tool and the Risk of Bias in Non-randomized Studies of Interventions guidelines, respectively. RESULTS The initial search yielded 453 studies, out of which 6 (3 clinical and 3 on animal-models) were included. The clinical studies were performed on males and females with a mean age ranging between 16.07 and 25.5 years. Duration of the clinical studies ranged from 3.8 to 9 months. The animal studies were performed on mini-pigs, rats, and dogs. The mean age in the studies on rats and mini-pigs was 2.76 and 18 months, respectively. In the study on canine models, mean age was not reported. In all studies, MSI-assisted intrusion was shown to cause OIIRR. Power analysis was performed in one study. All studies had a moderate risk of bias. CONCLUSIONS MSI-assisted intrusion is a risk factor for OIIRR; however, from a clinical perspective, further well-designed and power-adjusted studies are needed.
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Affiliation(s)
- J G St Martin
- Department of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, 625 Elmwood Ave, Rochester, NY, 14620, USA
| | - F Javed
- Department of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, 625 Elmwood Ave, Rochester, NY, 14620, USA
| | - P E Rossouw
- Department of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, 625 Elmwood Ave, Rochester, NY, 14620, USA
| | - D Michelogiannakis
- Department of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, 625 Elmwood Ave, Rochester, NY, 14620, USA.
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Javed F, Shahid A, Renton B. The patient who looked better than her chest X-ray. Br J Hosp Med (Lond) 2020; 81:134. [DOI: 10.12968/hmed.2018.0271] [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: 11/11/2022]
Affiliation(s)
- F Javed
- Department of Medicine, Mayo University Hospital, Castlebar, Co. Mayo, Ireland
| | - A Shahid
- Department of Medicine, Mayo University Hospital, Castlebar, Co. Mayo, Ireland
| | - B Renton
- Department of Medicine, Mayo University Hospital, Castlebar, Co. Mayo, Ireland
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Michelogiannakis D, Javed F, Vastardis H. Mini-screw implant-supported pontics for the transitional management of missing permanent maxillary lateral incisors in children and adolescents: a review of currently available evidence. Eur Arch Paediatr Dent 2020; 21:285-293. [DOI: 10.1007/s40368-020-00521-1] [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] [Received: 01/29/2020] [Accepted: 03/24/2020] [Indexed: 10/24/2022]
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Shahid A, Javed F, Renton B. A simple case of heart failure? Isolated cardiac amyloidosis. Br J Hosp Med (Lond) 2019; 80:735. [PMID: 31822183 DOI: 10.12968/hmed.2019.80.12.735] [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: 11/11/2022]
Affiliation(s)
- A Shahid
- Senior House Officer, Department of Medicine, Mayo University Hospital, Castlebar, Co. Mayo, Ireland
| | - F Javed
- Medical Registrar, Department of Medicine, Mayo University Hospital, Castlebar, Co. Mayo, Ireland
| | - B Renton
- Consultant Physician in General Internal Medicine, Department of Medicine, Mayo University Hospital, Castlebar, Co. Mayo, Ireland
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Abdul Jamil MM, Milad Zaltum MA, Abd Rahman NA, Ambar R, Denyer MCT, Javed F, Sefat F, Mozafari M, Youseffi M. Investigation of Pulse electric field effect on HeLa cells alignment properties on extracellular matrix protein patterned surface. ACTA ACUST UNITED AC 2018. [DOI: 10.1088/1742-6596/1019/1/012018] [Citation(s) in RCA: 2] [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: 01/16/2023]
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Akram Z, Vohra F, Javed F. Locally delivered metformin as adjunct to scaling and root planing in the treatment of periodontal defects: A systematic review and meta-analysis. J Periodontal Res 2018; 53:941-949. [DOI: 10.1111/jre.12573] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/20/2018] [Indexed: 01/01/2023]
Affiliation(s)
- Z. Akram
- Department of Periodontology; Faculty of Dentistry; Ziauddin University; Karachi Pakistan
| | - F. Vohra
- Department of Prosthetic Dental Sciences; College of Dentistry; King Saud University; Riyadh Saudi Arabia
| | - F. Javed
- Department of General Dentistry; Eastman Institute for Oral Health; University of Rochester; Rochester NY USA
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Javed F, Armitstead J, Benjafield A, Blase A, O’Connor C, Aurora R, Punjabi N. 0468 Does Circulation Time and Time-to-Peak Flow in Patients with Cheyne-Stoke Respiration and Heart Failure Correlate with Adverse Health Outcomes? Sleep 2018. [DOI: 10.1093/sleep/zsy061.467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- F Javed
- ResMed Ltd, Bella Vista, AUSTRALIA
| | | | | | | | - C O’Connor
- Inova Heart and Vascular Institute, Falls Church, VA
| | - R Aurora
- John Hopkins University, Baltimore, MD
| | - N Punjabi
- John Hopkins University, Baltimore, MD
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Javed F, Akram Z, Barillas AP, Kellesarian SV, Ahmed HB, Khan J, Almas K. Outcome of orthodontic palatal plate therapy for orofacial dysfunction in children with Down syndrome: A systematic review. Orthod Craniofac Res 2017; 21:20-26. [DOI: 10.1111/ocr.12211] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2017] [Indexed: 12/18/2022]
Affiliation(s)
- F. Javed
- Department of General Dentistry; Eastman Institute for Oral Health; University of Rochester; Rochester NY USA
| | - Z. Akram
- Faculty of Dentistry; Department of Periodontology; Ziauddin University; Karachi Pakistan
| | - A. P. Barillas
- Department of General Dentistry; Eastman Institute for Oral Health; University of Rochester; Rochester NY USA
| | - S. V. Kellesarian
- Department of General Dentistry; Eastman Institute for Oral Health; University of Rochester; Rochester NY USA
| | | | - J. Khan
- Department of Orofacial Pain and Temporomandibular Joint Disorders; Eastman Institute for Oral Health; University of Rochester; Rochester NY USA
| | - K. Almas
- Department of Preventive Dental Sciences; College of Dentistry; Imam Abdulrahman Bin Faisal University; Dammam Kingdom of Saudi Arabia
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Javed F, Kellesarian SV, Abduljabbar T, Abduljabbar AT, Akram Z, Vohra F, Rahman I, Romanos GE. Influence of involuntary cigarette smoke inhalation on osseointegration: a systematic review and meta-analysis of preclinical studies. Int J Oral Maxillofac Surg 2017; 47:764-772. [PMID: 29233582 DOI: 10.1016/j.ijom.2017.11.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 11/01/2017] [Accepted: 11/15/2017] [Indexed: 02/08/2023]
Abstract
There are no studies that have systematically reviewed the influence of involuntary cigarette smoke inhalation (ICSI) on the stability of implants. The aim of the present study was to perform a systematic review and meta-analysis of preclinical studies that assessed the influence of involuntary cigarette smoke inhalation ICSI on osseointegration. Indexed databases (PubMed, Google-Scholar, Scopus, EMBASE, and Web of Knowledge) were searched till September 2017. Titles and abstracts of studies identified using the above-described protocol were independently screened by 2 authors. Full-texts of studies judged by title and abstract to be relevant were independently evaluated for the stated eligibility criteria. Nine studies were included. Six studies showed that ICSI compromised bone area contact around implants. In 4 studies, peri-implant bone mineral density was significantly higher in the control group than among subjects exposed to ICSI. For the effects of ICSI on the osseointegration of dental implants, significant differences could be observed for bone-to-implant contact for test subjects in cancellous (Z=-4.08, p<0.001) and cortical bone (Z=-4.31, p<0.001) respectively. ICSI may negatively influence osseointegration of dental implants. It is imperative to educate patients about the negative effects of passive smoking on dental and systemic health.
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Affiliation(s)
- F Javed
- Department of General Dentistry, Eastman Institute for Oral Health University of Rochester, NY, USA.
| | - S V Kellesarian
- Department of General Dentistry, Eastman Institute for Oral Health University of Rochester, NY, USA
| | - T Abduljabbar
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - A T Abduljabbar
- Department of Dentistry, Riyadh Colleges of Dentistry and Pharmacy, Riyadh, Saudi Arabia
| | - Z Akram
- Department of Periodontology, Ziauddin University, Karachi, Pakistan
| | - F Vohra
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - I Rahman
- Department of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, USA
| | - G E Romanos
- Department of Oral Surgery and Implant Dent, Johann Wolfgang University, Frankfurt, Germany; Department of Periodontology, School of Dental Medicine, Stony Brook University, NY, USA
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Javed F, Ali S, Shahzadi S, Sharma SK, Qanungo K, Munawar KS, Khan I. Synthesis, characterization, and biological activity of organotin(IV) complexes with 4-oxo-4-[3-(trifluoromethyl)phenylamino]butanoic acid. RUSS J GEN CHEM+ 2017. [DOI: 10.1134/s1070363217100231] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Kellesarian SV, Malignaggi VR, Kellesarian TV, Bashir Ahmed H, Javed F. Does incorporating collagen and chondroitin sulfate matrix in implant surfaces enhance osseointegration? A systematic review and meta-analysis. Int J Oral Maxillofac Surg 2017; 47:241-251. [PMID: 29096932 DOI: 10.1016/j.ijom.2017.10.010] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Revised: 07/27/2017] [Accepted: 10/18/2017] [Indexed: 12/25/2022]
Abstract
Implant surface modification has been used to improve osseointegration. However, evidence regarding improved new bone formation (NBF) and osseointegration with the use of collagen-chondroitin sulfate (CS) matrix coated implants remains unclear. The aim of this study was to assess the efficacy of collagen-CS matrix coating on the osseointegration of implants. The focused question was "Does the incorporation of collagen-CS matrix in implant surfaces influence osseointegration?" To answer the question, indexed databases were searched up to July 2017 using various combinations of the key words "collagen", "chondroitin sulfate", "osseointegration", and "implants". The initial literature search identified 497 articles, of which 18 reporting experimental studies fulfilled the inclusion criteria. Thirteen of the studies included (72%) reported that implants coated with a collagen-CS matrix presented higher NBF, bone-to-implant contact, and/or bone volume density. The strength of this observation was supported by meta-analysis results. Nevertheless, the results should be interpreted with caution due to the lack of standardization regarding the dosage formulation of collagen-CS, short-term follow-up, and lack of assessment of confounders. On experimental grounds, the incorporation of collagen-CS matrix into implant surfaces appears to promote osseointegration. From a clinical perspective, the results from animal models support phase I studies in healthy humans.
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Affiliation(s)
- S V Kellesarian
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA.
| | - V R Malignaggi
- Department of General Dentistry, Dental School, Santa Maria University, Caracas, Venezuela
| | - T V Kellesarian
- Department of General Dentistry, Dental School, Santa Maria University, Caracas, Venezuela; College of Health Sciences, Barry University, Miami Shores, Florida, USA
| | | | - F Javed
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA
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Abduljabbar T, Javed F, Malignaggi VR, Vohra F, Kellesarian SV. Influence of implant location in patients with and without type 2 diabetes mellitus: 2-year follow-up. Int J Oral Maxillofac Surg 2017; 46:1188-1192. [PMID: 28499506 DOI: 10.1016/j.ijom.2017.04.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Revised: 02/12/2017] [Accepted: 04/18/2017] [Indexed: 11/28/2022]
Abstract
The aim of the present cross-sectional retrospective 2-year follow-up clinical study was to assess the influence of implant location on clinical and radiographic parameters around dental implants placed in patients with and without type 2 diabetes mellitus (T2DM). Twenty-seven patients with T2DM and 25 non-diabetic controls were included. Implants were classified into three zones according to their location: (1) anterior zone: implant/s replacing anterior teeth, (2) middle zone: implant/s replacing premolars, and (3) posterior zone: implant/s replacing molars. Peri-implant bleeding on probing (BOP), probing depth (PD), and crestal bone loss (CBL) were measured. P-values less than 0.05 were considered statistically significant. The mean age of patients with T2DM was 42.5 years and that of non-diabetic controls was 40.6 years. The mean fasting blood glucose levels of patients with and without T2DM were 74.5mg/dl (66-80mg/dl) and 82.5mg/dl (79-88.1mg/dl), respectively. The mean duration of T2DM was 4.3 years. There was no significant difference in BOP, PD, or CBL around implants placed in any of the zones in the jaws of patients with and without T2DM. There is no influence of implant location on clinical and radiographic parameters around dental implants placed in patients with and without T2DM.
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Affiliation(s)
- T Abduljabbar
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - F Javed
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, New York, USA
| | - V R Malignaggi
- Department of General Dentistry, Faculty of Dentistry, Universidad Santa Maria, Caracas, Venezuela
| | - F Vohra
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - S V Kellesarian
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, New York, USA.
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Javed F, Al-Kheraif AA, Kellesarian SV, Vohra F, Romanos GE. Oral Candida carriage and species prevalence in denture stomatitis patients with and without diabetes. J BIOL REG HOMEOS AG 2017; 31:343-346. [PMID: 28685534] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The objective of this study was to assess the oral Candida carriage and species prevalence in denture stomatitis (DS) patients with and without diabetes mellitus (DM). To address the focused question “In patients receiving dentures, how does having diabetes compared to no diabetes influences the carriage and species prevalence of oral Candida?” Indexed databases were explored without time or language restrictions up to and including February 2017. Nine studies were included. In these studies, the number of diabetics ranged between 14 patients and 405 individuals with mean ages ranging between 33 years and 66.4 years. In five studies, the percentage of hyperglycemic patients in the diabetic group ranged from 14.3% to 100%. In one study, all diabetic patients were normoglycemic. Seven studies reported Candida-associated DS to be significantly higher among diabetics than non-diabetics. Candida albicans was the most prevalent species isolated among diabetics and non-diabetics with DS. Denture-wearers with DM are more susceptible to Candida-associated DS as compared to non-diabetics.
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Affiliation(s)
- F Javed
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA
| | - A A Al-Kheraif
- Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - S V Kellesarian
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA
| | - F Vohra
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - G E Romanos
- Department of Oral Surgery and Implant Dentistry, Dental School, Johann Wolfgang Goethe, University of Frankfurt, Frankfurt, Germany
- Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA
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Ghanem A, Abduljabbar T, Akram Z, Vohra F, Kellesarian S, Javed F. A systematic review and meta-analysis of pre-clinical studies assessing the effect of nicotine on osseointegration. Int J Oral Maxillofac Surg 2017; 46:496-502. [DOI: 10.1016/j.ijom.2016.12.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2016] [Revised: 10/18/2016] [Accepted: 12/12/2016] [Indexed: 02/06/2023]
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Javed F, Kellesarian SV, Sundar IK, Romanos GE, Rahman I. Recent updates on electronic cigarette aerosol and inhaled nicotine effects on periodontal and pulmonary tissues. Oral Dis 2017; 23:1052-1057. [PMID: 28168771 DOI: 10.1111/odi.12652] [Citation(s) in RCA: 70] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2016] [Revised: 01/30/2017] [Accepted: 02/01/2017] [Indexed: 01/06/2023]
Abstract
E-cigarette-derived inhaled nicotine may contribute to the pathogenesis of periodontal and pulmonary diseases in particular via lung inflammation, injurious, and dysregulated repair responses. Nicotine is shown to have antiproliferative properties and affects fibroblasts in vitro, which may interfere in tissue myofibroblast differentiation in e-cig users. This will affect the ability to heal wounds by decreasing wound contraction. In periodontics, direct exposure to e-vapor has been shown to produce harmful effects in periodontal ligament and gingival fibroblasts in culture. This is due to the generation of reactive oxygen species/aldehydes/carbonyls from e-cig aerosol, leading to protein carbonylation of extracellular matrix and DNA adducts/damage. A limited number of studies regarding the effects of e-cig in oral and lung health are available. However, no reports are available to directly link the deleterious effects on e-cigs, inhaled nicotine, and flavorings aerosol on periodontal and pulmonary health in particular to identify the risk of oral diseases by e-cigarettes and nicotine aerosols. This mini-review summarizes the recent perspectives on e-cigarettes including inhaled nicotine effects on several pathophysiological events, such as oxidative stress, DNA damage, innate host response, inflammation, cellular senescence, profibrogenic and dysregulated repair, leading to lung remodeling, oral submucous fibrosis, and periodontal diseases.
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Affiliation(s)
- F Javed
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA
| | - S V Kellesarian
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA
| | - I K Sundar
- Department of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, USA
| | - G E Romanos
- Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA.,Department of Oral Surgery and Implant Dentistry, Johann Wolfgang Goethe University, Dental School, Frankfurt, Germany
| | - I Rahman
- Department of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, USA
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Javed F, Ali S, Shahzadi S, Tahir MN, Tabassum S, Khalid N. Organotin(IV) O-butyl carbonodithioates: Synthesis, characterization, in vitro bioactivities, and interaction with SS-DNA. RUSS J GEN CHEM+ 2017. [DOI: 10.1134/s1070363216120380] [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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Javed F, Kellesarian SV, Romanos GE. Role of diode lasers in oro-facial pain management. J BIOL REG HOMEOS AG 2017; 31:153-155. [PMID: 28337885] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
With the increasing use of low level laser therapy (LLLT) in clinical dentistry, the aim of the present study was to assess the effectiveness of diode lasers in the management of orofacial pain. Indexed databases were searched without language and time restrictions up to and including July 2016 using different combinations of the following key words: oral, low level laser therapy, dental, pain, diode lasers, discomfort and analgesia. From the literature reviewed it is evident that LLLT is effective compared to traditional procedures in the management of oro-facial pain associated to soft tissue and hard tissue conditions such as premalignant lesions, gingival conditions and dental extractions. However, it remains to be determined which particular wavelength will produce the more favorable and predictable outcome in terms of pain reduction. It is highly recommended that further randomized control trials with well-defined control groups should be performed to determine the precise wavelengths of the diode lasers for the management of oro-facial pain. Within the limits of the present review, it is concluded that diode lasers therapy is more effective in the management of oro-facial pain compared to traditional procedures.
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Affiliation(s)
- F Javed
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY., USA
| | - S V Kellesarian
- Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY., USA
| | - G E Romanos
- Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA
- Department of Oral Surgery and Implant Dentistry, Dental School, Johann Wolfgang Goethe, University of Frankfurt, Frankfurt, Germany
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Javed F, Parmar A, Hussain A, Hajioff D, Pinder D. A randomised controlled trial assessing the efficacy of co-phenylcaine nasal spray in flexible transnasal pharyngolaryngoscopy. Ann R Coll Surg Engl 2016; 99:313-318. [PMID: 27869488 DOI: 10.1308/rcsann.2016.0336] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION The aim of this study was to assess whether using co-phenylcaine nasal spray before flexible transnasal pharyngolaryngoscopy results in reduced pain and discomfort during the procedure. METHODS This was a randomised controlled trial. Eighty-four patients were randomised to receive either co-phenylcaine nasal spray or placebo nasal spray before performing transnasal flexible pharyngolaryngoscopy. Patient reported outcome measures included pain, discomfort, unpleasantness and willingness to repeat the procedure while clinician reported outcome measures comprised ease of examination and quality of view obtained during the procedure. RESULTS There was no statistically significant difference in scores for pain, discomfort, unpleasantness and willingness to repeat the procedure between the co-phenylcaine and placebo groups. On the other hand, ease of examination scores were significantly better for the co-phenylcaine group than for the placebo group. CONCLUSIONS The majority of patients do not find flexible pharyngolaryngoscopy unpleasant or painful with or without topical nasal anaesthesia. However, the spray does appear to help the examiner in completing a satisfactory assessment.
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Affiliation(s)
- F Javed
- University Hospitals Bristol NHS Foundation Trust , UK
| | - A Parmar
- Royal United Hospitals Bath NHS Foundation Trust , UK
| | - A Hussain
- Gloucestershire Hospitals NHS Foundation Trust , UK
| | - D Hajioff
- University Hospitals Bristol NHS Foundation Trust , UK
| | - D Pinder
- Royal United Hospitals Bath NHS Foundation Trust , UK
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Harper N, Javed F, Robinson P. A review of the management of acute mastoiditis in children. Experience from University Hospitals Bristol NHS Foundation Trust, a Tertiary Teaching Centre. Int J Surg 2016. [DOI: 10.1016/j.ijsu.2016.08.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Javed F, Alshehri FA, Al-Kheraif AA, Aldosary KM, Vohra F, Malmstrom H, Romanos GE. Self-perceived oral health and whole salivary immunoglobulin G levels in habitual gutka-chewers and nonchewers. Niger J Clin Pract 2016; 19:272-7. [DOI: 10.4103/1119-3077.164337] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Nooh N, Abdullah W, Grawish M, Ramalingam S, Hassan G, Javed F, Al-Hezaimi K. A modified bone cutting technique in distraction osteogenesis. Int J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.ijom.2015.08.421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Khan N, Hung D, Javed F, Shukla P, Detloff S, Ao M, Domingue J, Rao M, Sarathy J. Bile Acid (BA), Lithocholic Acid (LCA), Reverses Chenodeoxycholate (CDCA)‐ and Cytokine‐Induced Loss in Epithelial Barrier Function in Human Colon Carcinoma T84 Cells. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.998.1] [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: 11/11/2022]
Affiliation(s)
- N Khan
- BiologyBenedictine UnivILUnited States
| | - D Hung
- BiologyBenedictine UnivILUnited States
| | - F Javed
- BiologyBenedictine UnivILUnited States
| | - P Shukla
- BiologyBenedictine UnivILUnited States
| | - S Detloff
- BiologyBenedictine UnivILUnited States
| | - M Ao
- Physiology & BiophysicsUniv of Illinois at ChicagoUnited States
| | - J Domingue
- Physiology & BiophysicsUniv of Illinois at ChicagoUnited States
| | - M Rao
- Physiology & BiophysicsUniv of Illinois at ChicagoUnited States
| | - J Sarathy
- BiologyBenedictine UnivILUnited States
- Physiology & BiophysicsUniv of Illinois at ChicagoUnited States
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Affiliation(s)
| | - S. Nisa
- University of Haripur, Pakistan
| | - Y. Bibi
- PMAS Arid Agriculture Rawalpindi, Pakistan
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Javed F, Clark M. The non-stick triple wick; ear canal packing after middle ear surgery. Clin Otolaryngol 2014; 39:398-9. [PMID: 25418821 DOI: 10.1111/coa.12300] [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] [Accepted: 08/03/2014] [Indexed: 11/26/2022]
Affiliation(s)
- F Javed
- Department of Otolaryngology, Royal Gloucestershire Hospital, Gloucester, UK.
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Javed F, Vohra F, Al-Kheraif AA, Malmstrom H, Romanos GE. Comparison of periodontal inflammatory conditions among habitualgutkachewers and betel quid chewers. Oral Dis 2014; 21:437-42. [DOI: 10.1111/odi.12295] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Revised: 07/28/2014] [Accepted: 09/29/2014] [Indexed: 12/28/2022]
Affiliation(s)
- F Javed
- Division of General Dentistry, Eastman Institute for Oral Health; University of Rochester; Rochester NY USA
| | - F Vohra
- Department of Prosthetic Dental Sciences; College of Dentistry; King Saud University; Riyadh Saudi Arabia
- Department of Dentistry; Jinnah Hospital; Karachi Pakistan
| | - AA Al-Kheraif
- Dental Biomaterials Research Chair; Dental Health Department; College of Applied Medical Sciences; King Saud University; Riyadh Saudi Arabia
| | - H Malmstrom
- Division of General Dentistry, Eastman Institute for Oral Health; University of Rochester; Rochester NY USA
| | - G-E Romanos
- Department of Periodontology; School of Dental Medicine; Stony Brook University; Stony Brook NY USA
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Romanos GE, Javed F. Platform switching minimises crestal bone loss around dental implants: truth or myth? J Oral Rehabil 2014; 41:700-8. [DOI: 10.1111/joor.12189] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2014] [Indexed: 11/29/2022]
Affiliation(s)
- G. E. Romanos
- School of Dental Medicine; Stony Brook University; Stony Brook NY USA
| | - F. Javed
- Engineer Abdullah Bugshan Research Chair for Growth Factors and Bone Regeneration; 3D Imaging and Biomechanical Laboratory; College of Applied Medical Sciences; King Saud University; Riyadh Saudi Arabia
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Utreja A, Almas K, Javed F. Dental extraction as a risk factor for bisphosphonate related osteonecrosis of the jaw in cancer patients: an update. Odontostomatol Trop 2013; 36:38-46. [PMID: 24073539] [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: 06/02/2023]
Abstract
UNLABELLED Osteonecrosis of the jaw (ONJ) is a complication related to the use of bisphosphonates (BPs). Patients receiving BPs for the treatment of malignancies are at an increased risk of developing bisphosphonate-related ONJ (BRONJ) as compared to patients receiving BPs for the treatment of other disorders such as osteoporosis. Additionally, tooth extractions have been suggested to increase the risk of BRONJ in individuals taking BPs. OBJECTIVE To review the role of dental extraction as a risk factor for BRONJ in cancer patients. MATERIALS AND METHODS Databases were searched from January 1999 up to and including July 2012 using various combinations of the following keywords: "bisphosphonate", "osteonecrosis of the jaw", "cancer", "oral" and "dental extraction". RESULTS Twenty two studies were included. Eighteen studies assessed the relationship between BRONJ and dental extractions in cancer patients, reporting the overall prevalence of BRONJ following extraction in this group as 3.25 +/- 2.23%. Four studies did not report a correlation between BRONJ and extractions, and recommended protocols to avoid the complication. CONCLUSION There is a plausible relationship between dental extractions and the development of BRONJ in cancer patients. Written informed consent must be obtained prior to dental procedures in patients at risk for developing BRONJ.
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Affiliation(s)
- A Utreja
- Division of Orthodontics, Dpt of Craniofacial Sciences, School of Dental Medicine, Univ. of Connecticut Health Center, Farmington, USA
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Javed F, Foxton C, Daudia A. The application of modified guidelines for epistaxis management: our experience in 30 patients before and 32 patients after audit. Clin Otolaryngol 2012; 37:151-5. [PMID: 22515713 DOI: 10.1111/j.1749-4486.2012.02440.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Abstract
BACKGROUND Areca-nut (AN) chewing habit has been associated with oral diseases including oral cancer, oral submucous fibrosis and periodontal disease; however, some authors have reported that the AN-chewing abuse may also jeopardize the systemic health among its users. OBJECTIVES The objective was to review any reported association between AN-chewing and the metabolic syndrome (MetS). METHODS To address the research question "Is there an association between areca-nut chewing habit and the MetS?" the MEDLINE and PubMed databases were searched from 1991 up to and including April 2010. The search criteria included: human studies, metabolic syndrome, diabetes, areca nut (AN). Only articles published in English were included. RESULTS Eight cohort studies were included in the review. The sample size of the selected studies ranged from 210 to 56,116 individuals (age range 15-83 years). The daily frequencies of AN-chewing reported by the users ranged between once a day to 76 times daily. The duration of use ranged from 6 years to ≥ 20 years. Two studies associated AN-chewing habit with hyperglycemia and type 2 diabetes while five studies studies reported an association between AN-chewing and metabolic syndrome. Four studies related AN-chewing with obesity and an increased body mass index. Higher triacylglycerol levels were reported in one study among AN-chewers compared to non-chewers. Though the numbers of publications on this subject are limited, the available studies indicate that AN-chewing could be associated with the metabolic syndrome, and individually with two of the recognized components of the syndrome i.e. diabetes mellitus and central obesity.
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Affiliation(s)
- F Javed
- Eng. A. B. Research Chair for Growth Factors and Bone Regeneration, College of Dentistry, King Saud University, P.O.Box 60169, Riyadh 11545, Kingdom of Saudi Arabia.
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Ulfat I, Javed F, Abbasi F, Kanwal F, Usman A, Jahangir M, Ahmed F. Estimation of Solar Energy Potential for Islamabad, Pakistan. ACTA ACUST UNITED AC 2012. [DOI: 10.1016/j.egypro.2012.05.166] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [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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Shah K, Javed F, Alcock C, Shah KA, Pretorius P, Milford CA. Author's response. Ann R Coll Surg Engl 2011. [DOI: 10.1308/147870811x598533] [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)
- K Shah
- Churchill Hospital Oxford, UK
| | - F Javed
- John Radcliffe Hospital Oxford
| | | | - KA Shah
- John Radcliffe Hospital Oxford
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Kaleem ZU, Kaleem Z, Shaheen I, Javed F, Reid M, Thornton J, Allen L. Comparison of DXA Precision by One vs Two Technologists at a DXA Center. J Clin Densitom 2010. [DOI: 10.1016/j.jocd.2010.01.109] [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: 10/19/2022]
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Aleman Mateo H, Lee SY, Javed F, Thornton J, Heymsfield SB, Pierson RN, Pi Sunyer FX, Wang ZM, Wang J, Gallagher D. Elderly Mexicans have less muscle and greater total and truncal fat compared to African-Americans and Caucasians with the same BMI. J Nutr Health Aging 2009; 13:919-23. [PMID: 19924354 PMCID: PMC2819676 DOI: 10.1007/s12603-009-0252-1] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
BACKGROUND How body composition, specifically skeletal muscle mass, compares in Mexican elderly to other ethnic groups has not previously been reported. We tested the hypothesis that older adults from Northwest Mexico (Mex) would have similar total appendicular skeletal muscle (TASM) compared with New York dwelling Caucasians (Cauc) and African-Americans (AA). METHODS Two hundred and eighty nine Mex (135 males and 154 females), 166 AA (36 males and 130 females) and 229 Cauc (64 males and 165 females), aged 60-98 years were assessed. Total and regional fat and lean tissues were measured by whole-body dual energy X-ray absorptiometry where TASM is the sum of arm and leg bone-free and fat-free lean tissue. Differences in TASM were tested by ANCOVA, with age, height, and body mass index (BMI) as covariates. RESULTS TASM adjusted for ethnicity, age, height and BMI, were 22.6 +/- 0.2 kg and 17.8 +/- 0.1 kg for males and females, respectively (p < 0.001). Among males with similar age, height, and BMI, Mex had less TASM compared with AA and Cauc (p < 0.001). Total body fat and truncal fat were higher (p < 0.001) and FFM lower (p < 0.001) in Mex compared to both AA and Cauc males after adjusting for age and BMI. Among females, Mex had higher total and truncal fat (p < 0.001) after adjusting for age and BMI, and significantly lower TASM (p < 0.001) after adjusting for age, height, and BMI compared to AA and Cauc females. CONCLUSIONS Elderly Mex have a different body composition compared with AA and Cauc of a similar BMI and age. Mex have significantly less TASM with greater total and truncal fat. In the long-term, Mex elderly may be at greater risk for sarcopenic obesity compared to other ethnic groups.
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Affiliation(s)
- H Aleman Mateo
- Departamento de Nutrición y Metabolismo, Coordinación de Nutrición, Centro de Investigación en Alimentación y Desarrollo, Sonora, México
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Aleman-Mateo H, Lee SY, Javed F, Thornton J, Heymsfield SB, Pierson RN, Pi-Sunyer FX, Wang ZM, Wang J, Gallagher D. Elderly Mexicans have less muscle and greater total and truncal fat compared to African-Americans and Caucasians with the same BMI. J Nutr Health Aging 2009. [DOI: 10.1007/s12603-009-0114-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Javed F, Yu W, Thornton J, Colt E. Effect of fat on measurement of bone mineral density. Int J Body Compos Res 2009; 7:37-40. [PMID: 21318078 PMCID: PMC3035852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
OBJECTIVE: To determine if increasing fatness interferes with the measurement of fat and bone mineral density (BMD) by dual-energy X-ray absorptiometry (Lunar iDXA). METHODS: We performed measurements of BMD and fat on a section of a beef femur defatted by prolonged boiling in detergent, completely surrounded by increasing thicknesses of lard. Initially the bone was placed in the marked spine area, overlying a 6L plastic bottle which was placed in the marked trunk area of the iDXA. The plastic bottle was then removed and further measurements were carried out with increasing thicknesses of lard surrounding the bone. Measurements were repeated 4 times. RESULTS: The reported measurement of BMD progressively increased with each increased layer of lard surrounding the bone. All the iDXA BMD measurements were significantly (P<0.01) different from one another. When surrounded by 3 layers of lard the reported BMD was 20.5% greater than the reported BMD when the bone was not surrounded by any lard. The differences between the actual amount of fat measured by chemical analysis and weighing, and the reported measurement of fat by iDXA were significant with all 3 thicknesses of lard (P<0.01); the percentage difference between the fat measured by iDXA and that measured chemically decreased as the number of layers of lard increased. CONCLUSION: We found that iDXA overestimated fat by up to 11.1%. The percentage overestimation of fat diminished as the amount of fat increased. BMD was overestimated by 20.5% when surrounded by 3 layers of fat compared to when there was no surrounding fat. In contrast to fat, the percentage overestimation of BMD increased as increasing amounts of fat surrounding the bone Using earlier generation DXAs, others have reported that measurements were ± 20-50% inaccurate and differed according to the configuration of the phantoms. The measurement of BMD and fat is the main clinical purpose of iDXA; the present experiment has shown that there are substantial inaccuracies in the measurement of BMD and fat. It is not known how these inaccuracies compare with those of earlier generations of DXA machines.
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Affiliation(s)
- F Javed
- Obesity Research Center, St Lukes-Roosevelt Hospital, NY, USA
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Colt E, Javed F. FRAX IS FLAWED. Int J Body Compos Res 2009; 7:79. [PMID: 21399752 PMCID: PMC3052697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- E. Colt
- Division of Endocrinology, St Lukes-Roosevelt Hospital, NY, USA
| | - F. Javed
- Division of Medicine, St Lukes-Roosevelt Hospital, NY, USA
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Abstract
The aim was to validate self-perceived oral health with salivary IgG as an inflammatory parameter in children with type 1 diabetes. Unstimulated whole saliva samples were collected from 36 children with well controlled and 12 with poorly controlled type 1 diabetes and 40 non-diabetic children (Controls). Salivary flow rate, random blood glucose level, salivary protein concentration and immunoglobulin A and G levels were recorded using standard techniques. Data concerning oral health and diabetes status were collected. Self-perceived gingival bleeding (bleeding gums), bad breath and dry mouth were higher in diabetic children when compared with those in controls (P < 0.05). Gingival bleeding was frequently perceived by children with poorly controlled compared to well-controlled type 1 diabetes (P < 0.05) and controls (P < 0.001). Bad breath was common perceived by children with poorly controlled compared to well-controlled type 1 diabetes (P < 0.05) and controls (P < 0.0001). Salivary flow rate was lower in the diabetic children compared to controls (P < 0.01) with no difference between children with poorly controlled and well-controlled type 1 diabetes. Salivary IgG per mg protein concentration was higher in the diabetics when compared with the control group (P < 0.0001). IgG per mg protein levels were also higher in children with poorly controlled when compared with well-controlled type 1 diabetes (P < 0.05). There was no difference in IgA per mg protein and total protein concentrations between children with poorly controlled and well-controlled type 1 diabetes. Self-perceived gingival bleeding and salivary IgG per mg protein concentration were increased in children with type 1 diabetes compared with controls. These variables were also increased in children with poorly controlled compared with well-controlled type 1 diabetes.
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Affiliation(s)
- F Javed
- Department of Periodontology, Institute of Odontology, Karolinska Institutet, Sweden.
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Javed F, Venkatachalam PA, Hani AFM. Knowledge based system with embedded intelligent heart sound analyser for diagnosing cardiovascular disorders. J Med Eng Technol 2007; 31:341-50. [PMID: 17701779 DOI: 10.1080/03091900600887876] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Cardiovascular disease (CVD) is the leading cause of death worldwide, and due to the lack of early detection techniques, the incidence of CVD is increasing day by day. In order to address this limitation, a knowledge based system with embedded intelligent heart sound analyser (KBHSA) has been developed to diagnose cardiovascular disorders at early stages. The system analyses digitized heart sounds that are recorded from an electronic stethoscope using advanced digital signal processing and artificial intelligence techniques. KBHSA takes into account data including the patient's personal and past medical history, clinical examination, auscultation findings, chest x-ray and echocardiogram, and provides a list of diseases that it has diagnosed. The system can assist the general physician in making more accurate and reliable diagnosis under emergency conditions where expert cardiologists and advanced equipment are not readily available. To test the validity of the system, abnormal heart sound samples and medical data from 40 patients were recorded and analysed. The diagnoses made by the system were counter checked by four senior cardiologists in Malaysia. The results show that the findings of KBHSA coincide with those of cardiologists.
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Affiliation(s)
- F Javed
- Signal & Image Processing and Tele-medicine Technology Research Group, Electrical & Electronics Engineering Programme, Universiti Teknologi PETRONAS, Tronoh, Perak, Malaysia
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Abstract
AbstractBackground:Herbal remedies and other natural supplements have become popular alternative medical therapy. Patients using these products may present to ENT surgeons with epistaxis or with unexpected, excessive peri-operative bleeding.Objective:The purpose of this review was to consolidate the available data regarding herb–drug interactions and the direct effects of herbal medicines and nutritional supplements in isolation, regarding disturbance in haemostasis, so as to emphasise their individual importance.Method:A literature review was performed using the Medline (PubMed) and UKMi databases.Results:Searches of these databases revealed 24 herbal products with documented interactions with anticoagulants and 98 herbal products with theoretical interactions with the coagulation system. Herbal products with effects on coagulation when given alone were also documented.Conclusion:When encountering patients presenting with epistaxis, or in the elective surgical setting, a thorough enquiry about the use of herbal medicines is of great importance.
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Affiliation(s)
- F Javed
- Department of Otolaryngology and Head and Neck Surgery, William Harvey Hospital, Ashford, UK.
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Javed F, Sadri M, Uddin J, Mortimore S, Parker D. A completed audit cycle on post-tonsillectomy haemorrhage rate: coblation versus standard tonsillectomy. Acta Otolaryngol 2007; 127:300-4. [PMID: 17364368 DOI: 10.1080/00016480600895052] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
CONCLUSION A significant reduction in post-tonsillectomy secondary haemorrhage rate was observed after coblation tonsillectomy was abandoned in our department. OBJECTIVE Comparison of the postoperative haemorrhage rate following coblation tonsillectomy and routine dissection tonsillectomy. PATIENTS AND METHODS This was a retrospective study. In the first audit period, 441 sequential tonsillectomies between January and September 2002 were reviewed. Coblation was compared with cold steel and diathermy dissection with either ties and/or diathermy used for haemostasis. Coblation tonsillectomy was subsequently abandoned in our unit and, in the second audit period, all tonsillectomies (n=416) between July 2003 and August 2004 were included. Statistical analysis was performed using the chi2 test. RESULTS The overall primary haemorrhage rate in the first audit cycle was 1.8% (8/441). In the second cycle with no coblation procedures, 1.4% of patients (6/416) suffered from primary haemorrhage (c.f. 8/441 (1.8%) in the first cycle, p=0.666). Secondary haemorrhage, was seen among 15.4% of patients (68/441) in the first audit cycle. In the second cycle, after coblation was discontinued, the secondary haemorrhage rate fell significantly (p<0.001) to 5.8% (24/416). A breakdown of the results of cold steel/diathermy and coblation techniques in both adults and children is also presented.
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Affiliation(s)
- F Javed
- Department of Otorhinolaryngology, Derbyshire Royal Infirmary, UK
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Ahmad MSA, Javed F, Ashraf M, Hafeez FY. Effect of fungicide seed treatments on N2-fixation and nodulation in pea, Pisum sativum L. Bull Environ Contam Toxicol 2006; 77:896-904. [PMID: 17219311 DOI: 10.1007/s00128-006-1229-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2006] [Accepted: 11/16/2006] [Indexed: 05/13/2023]
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Al-Omar BA, Al-Assaf AF, Al-Aiban KM, Kalash KK, Javed F. Factors influencing inappropriate hospitalization in Riyadh, Saudi Arabia: physicians' perspectives. East Mediterr Health J 2006; 12 Suppl 2:S195-206. [PMID: 17361691] [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: 05/14/2023]
Abstract
This study investigated factors causing inappropriate hospitalization from the physicians' perspectives at government, primary and military hospitals in Riyadh, Saudi Arabia. A self-administered questionnaire to 250 physicians showed that the majority were aware of inappropriate admissions. Problems with inappropriate admissions occurred more frequently at public hospitals (both government and military) than private hospitals. The reasons believed to contribute most to inappropriate admission and hospitalization were the inability of the patient's family to take care of the patient, to satisfy the patient's request, and the absence of someone to get the patient out of the hospital.
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Affiliation(s)
- B A Al-Omar
- Department of Health and Hospital Administration, College of Administrative Sciences, King Saud University, Riyadh, Saudi Arabia
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