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O'Connor U, Walsh C, Gorman D, O'Reilly G, Martin Z, Madhavan P, Murphy RT, Szirt R, Almén A, Andersson M, Camp A, Garcia V, Duch MA, Ginjaume M, Abdelrahman M, Lombardo P, Vanhavere F. Feasibility study of computational occupational dosimetry: evaluating a proof-of-concept in an endovascular and interventional cardiology setting. J Radiol Prot 2022; 42:041501. [PMID: 36130583 DOI: 10.1088/1361-6498/ac9394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 09/21/2022] [Indexed: 06/15/2023]
Abstract
Individual monitoring of radiation workers is essential to ensure compliance with legal dose limits and to ensure that doses are As Low As Reasonably Achievable. However, large uncertainties still exist in personal dosimetry and there are issues with compliance and incorrect wearing of dosimeters. The objective of the PODIUM (Personal Online Dosimetry Using Computational Methods) project was to improve personal dosimetry by an innovative approach: the development of an online dosimetry application based on computer simulations without the use of physical dosimeters. Occupational doses were calculated based on the use of camera tracking devices, flexible individualised phantoms and data from the radiation source. When combined with fast Monte Carlo simulation codes, the aim was to perform personal dosimetry in real-time. A key component of the PODIUM project was to assess and validate the methodology in interventional radiology workplaces where improvements in dosimetry are needed. This paper describes the feasibility of implementing the PODIUM approach in a clinical setting. Validation was carried out using dosimeters worn by Vascular Surgeons and Interventional Cardiologists during patient procedures at a hospital in Ireland. Our preliminary results from this feasibility study show acceptable differences of the order of 40% between calculated and measured staff doses, in terms of the personal dose equivalent quantity Hp(10), however there is a greater deviation for more complex cases and improvements are needed. The challenges of using the system in busy interventional rooms have informed the future needs and applicability of PODIUM. The availability of an online personal dosimetry application has the potential to overcome problems that arise from the use of current dosimeters. In addition, it should increase awareness of radiation protection among staff. Some limitations remain and a second phase of development would be required to bring the PODIUM method into operation in a hospital setting. However, an early prototype system has been tested in a clinical setting and the results from this two-year proof-of-concept PODIUM project are very promising for future development.
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Affiliation(s)
- U O'Connor
- Medical Physics and Bioengineering Department, St James's Hospital, Dublin, Ireland
- School of Medicine, Trinity College, Dublin, Ireland
| | - C Walsh
- Medical Physics and Bioengineering Department, St James's Hospital, Dublin, Ireland
| | - D Gorman
- Medical Physics and Bioengineering Department, St James's Hospital, Dublin, Ireland
| | - G O'Reilly
- Medical Physics and Bioengineering Department, St James's Hospital, Dublin, Ireland
| | - Z Martin
- Department of Vascular Surgery, St James's Hospital, Dublin, Ireland
| | - P Madhavan
- Department of Vascular Surgery, St James's Hospital, Dublin, Ireland
| | - R T Murphy
- Department of Cardiology, St James's Hospital, Dublin, Ireland
| | - R Szirt
- Department of Cardiology, St James's Hospital, Dublin, Ireland
| | - A Almén
- Medical Radiation Physics, Department of Translational Medicine, Lund University, Malmö, Sweden
| | - M Andersson
- Medical Radiation Physics, Department of Translational Medicine, Lund University, Malmö, Sweden
| | - A Camp
- Institut de Tècniques Energètiques, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain
| | - V Garcia
- Institut de Tècniques Energètiques, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain
| | - M A Duch
- Institut de Tècniques Energètiques, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain
| | - M Ginjaume
- Institut de Tècniques Energètiques, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain
| | - M Abdelrahman
- Belgian Nuclear Research Center, Boeretang, Mol, Belgium
| | - P Lombardo
- Belgian Nuclear Research Center, Boeretang, Mol, Belgium
| | - F Vanhavere
- Belgian Nuclear Research Center, Boeretang, Mol, Belgium
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Zeid M, Keenan R, Sachdeva M, Nabi N, Jacob P, Abdelrahman M, Giri S. Robot-assisted right radical nephrectomy with en-block extended retro-peritoneal lymphadenectomy: operative technique with a dual-console Xi da Vinci surgical system. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)00924-7] [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: 10/14/2022] Open
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Friebel TR, Quake S, Abdelrahman M. A handy test to objectify post-operative free gracilis muscle flap texture. Int J Surg 2022; 98:106246. [PMID: 35121165 DOI: 10.1016/j.ijsu.2022.106246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 01/25/2022] [Indexed: 11/29/2022]
Affiliation(s)
- T R Friebel
- Plastic and Reconstructive Surgery Department, James Cook University Hospital, Middlesbrough, United Kingdom
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Almén A, Andersson M, O’Connor U, Abdelrahman M, Camp A, García V, Duch MA, Ginjaume M, Vanhavere F. PERSONAL DOSIMETRY USING MONTE-CARLO SIMULATIONS FOR OCCUPATIONAL DOSE MONITORING IN INTERVENTIONAL RADIOLOGY: THE RESULTS OF A PROOF OF CONCEPT IN A CLINICAL SETTING. Radiat Prot Dosimetry 2021; 195:391-398. [PMID: 33823548 PMCID: PMC8507461 DOI: 10.1093/rpd/ncab045] [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] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 02/09/2021] [Accepted: 03/05/2021] [Indexed: 06/12/2023]
Abstract
Exposure levels to staff in interventional radiology (IR) may be significant and appropriate assessment of radiation doses is needed. Issues regarding measurements using physical dosemeters in the clinical environment still exist. The objective of this work was to explore the prerequisites for assessing staff radiation dose, based on simulations only. Personal dose equivalent, Hp(10), was assessed using simulations based on Monte Carlo methods. The position of the operator was defined using a 3D motion tracking system. X-ray system exposure parameters were extracted from the x-ray equipment. The methodology was investigated and the simulations compared to measurements during IR procedures. The results indicate that the differences between simulated and measured staff radiation doses, in terms of the personal dose equivalent quantity Hp(10), are in the order of 30-70 %. The results are promising but some issues remain to be solved, e.g. an automated tracking of movable parts such as the ceiling-mounted protection shield.
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Affiliation(s)
- A Almén
- Medical Radiation Physics, Department of Translational Medicine, Lund University, Malmö, Sweden
- Department of Radiation Protection, Swedish Radiation Safety Authority, Stockholm, Sweden
| | - M Andersson
- Medical Radiation Physics, Department of Translational Medicine, Lund University, Malmö, Sweden
| | - U O’Connor
- Department of Medical Physics and Bioengineering, St James’s Hospital, Dublin, Ireland
| | - M Abdelrahman
- The Belgian Nuclear Research Center, Boeretang, Belgium
| | - A Camp
- Institut de Tècniques Energètiques, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain
| | - V García
- Institut de Tècniques Energètiques, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain
| | - M A Duch
- Institut de Tècniques Energètiques, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain
| | - M Ginjaume
- Institut de Tècniques Energètiques, Universitat Politècnica de Catalunya (UPC), Barcelona, Spain
| | - F Vanhavere
- The Belgian Nuclear Research Center, Boeretang, Belgium
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Eakins J, Abdelrahman M, Hager L, Jansen JTM, Kouroukla E, Lombardo P, Tanner R, Vanhavere F, Van Hoey O. Virtual estimation of effective dose in neutron fields. J Radiol Prot 2021; 41:360-383. [PMID: 33784644 DOI: 10.1088/1361-6498/abf3b0] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Accepted: 03/30/2021] [Indexed: 06/12/2023]
Abstract
The PODIUM project aims to provide real-time assessments of occupationally exposed workers by tracking their motion and combining this with a simulation of the radiation field. The present work describes the approach that would be taken in mixed neutron-gamma fields, and details the methods for generating and applying an effective dose rate map; the required fluence to effective dose conversion coefficients at intercardinal angles are also presented. A proof-of-concept of the approach is demonstrated using a simple simulated workplace field within a calibration laboratory, with corroborative comparisons made against survey instrument measurements generally confirming good agreement. Simulated tracking of an individual within the facility was performed, recording a 1.25μSv total effective dose and accounting for dose rates as low as 0.5 nSv h-1, which is much lower than anything that could be accurately measured by physical neutron dosemeters in such a field.
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Affiliation(s)
- J Eakins
- Public Health England (PHE) CRCE, Didcot, Oxfordshire, United Kingdom
| | - M Abdelrahman
- Belgian Nuclear Research Centre (SCK CEN), Mol, Belgium
| | - L Hager
- Public Health England (PHE) CRCE, Didcot, Oxfordshire, United Kingdom
| | - J T M Jansen
- Public Health England (PHE) CRCE, Didcot, Oxfordshire, United Kingdom
| | - E Kouroukla
- Public Health England (PHE) CRCE, Didcot, Oxfordshire, United Kingdom
| | - P Lombardo
- Belgian Nuclear Research Centre (SCK CEN), Mol, Belgium
| | - R Tanner
- Public Health England (PHE) CRCE, Didcot, Oxfordshire, United Kingdom
| | - F Vanhavere
- Belgian Nuclear Research Centre (SCK CEN), Mol, Belgium
| | - O Van Hoey
- Belgian Nuclear Research Centre (SCK CEN), Mol, Belgium
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Abdelrahman M, Geary M, Eogan M. Obstetric Anal Sphincter Injuries: A Survey of Clinical Practice and Education among Obstetricians and Gynaecologists in Ireland. Ir Med J 2019; 112:852. [PMID: 30719893] [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: 06/09/2023]
Abstract
This paper summarises results of a survey of obstetricians in Ireland regarding their technique, management, and education on episiotomy and Obstetric Anal Sphincter Injury (OASIS). An anonymous survey was emailed to all obstetricians and gynaecologists in Ireland, including trainees between January and September 2017. The response rate was 45% (155/343) with 111 out of 144 (77%) reported clinical experience as part of their training and 92 (64%) attended an OASIS workshop or classroom teaching. The majority prescribe antibiotics and laxatives post-op, request physiotherapy review and follow-up patients in outpatient settings. We identified that most specialists and trainees practice within guidelines, but some recognise a need for further teaching and exposure to these types of injuries. These results will direct future curriculum and optimise ongoing training for trainees, unify service provision and contribute to patient safety.
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Affiliation(s)
- M Abdelrahman
- Rotunda Hospital, Dept. of Obstetrics and Gynaecology, Parnell Square, Dublin 1
| | - M Geary
- Rotunda Hospital, Dept. of Obstetrics and Gynaecology, Parnell Square, Dublin 1
| | - M Eogan
- Rotunda Hospital, Dept. of Obstetrics and Gynaecology, Parnell Square, Dublin 1
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Dubrovsky B, Weingarten JA, Cunningham J, Abdelrahman M, DeMilt N, Ferreira A, Inamac A. 0578 Self-reported Sleep Quality And Daytime Sleepiness In Obstructive Sleep Apnea Patients: The Role Of Depressive Symptoms. Sleep 2018. [DOI: 10.1093/sleep/zsy061.577] [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: 11/12/2022] Open
Affiliation(s)
- B Dubrovsky
- NewYork-Presbyterian Brooklyn Methodist Hospital, Department of Medicine, Division of Pulmonary and Critical Care, Center for Sleep Disorders, Brooklyn, NY
| | - J A Weingarten
- NewYork-Presbyterian Brooklyn Methodist Hospital, Department of Medicine, Division of Pulmonary and Critical Care, Center for Sleep Disorders, Brooklyn, NY
| | - J Cunningham
- NewYork-Presbyterian Brooklyn Methodist Hospital, Department of Medicine, Division of Pulmonary and Critical Care, Center for Sleep Disorders, Brooklyn, NY
| | - M Abdelrahman
- Hunter College of the City University of New York, Psychology Department, New York, NY
| | - N DeMilt
- Hunter College of the City University of New York, Psychology Department, New York, NY
| | - A Ferreira
- Hunter College of the City University of New York, Psychology Department, New York, NY
| | - A Inamac
- Hunter College of the City University of New York, Psychology Department, New York, NY
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Dubrovsky B, Weingarten JA, Cunningham J, Inamac A, Ferreira A, DeMilt N, Abdelrahman M. 0576 Self-reported Pain Experience In Obstructive Sleep Apnea Patients: The Role Of Depressive Symptoms. Sleep 2018. [DOI: 10.1093/sleep/zsy061.575] [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)
- B Dubrovsky
- NewYork-Presbyterian Brooklyn Methodist Hospital, Department of Medicine, Division of Pulmonary and Critical Care, Center for Sleep Disorders, Brooklyn, NY
| | - J A Weingarten
- NewYork-Presbyterian Brooklyn Methodist Hospital, Department of Medicine, Division of Pulmonary and Critical Care, Center for Sleep Disorders, Brooklyn, NY
| | - J Cunningham
- NewYork-Presbyterian Brooklyn Methodist Hospital, Department of Medicine, Division of Pulmonary and Critical Care, Center for Sleep Disorders, Brooklyn, NY
| | - A Inamac
- Hunter College of the City University of New York, Psychology Department, New York, NY
| | - A Ferreira
- Hunter College of the City University of New York, Psychology Department, New York, NY
| | - N DeMilt
- Hunter College of the City University of New York, Psychology Department, New York, NY
| | - M Abdelrahman
- Hunter College of the City University of New York, Psychology Department, New York, NY
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Abdelrahman M, Belramman A, Salem R, Patel B. Acquiring basic and advanced laparoscopic skills in novices using two-dimensional (2D), three-dimensional (3D) and ultra-high definition (4K) vision systems: A randomized control study. Int J Surg 2018; 53:333-338. [PMID: 29656132 DOI: 10.1016/j.ijsu.2018.03.080] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [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: 06/08/2017] [Revised: 03/08/2018] [Accepted: 03/31/2018] [Indexed: 11/29/2022]
Abstract
AIMS To compare the performance of novices in laparoscopic peg transfer and intra-corporeal suturing tasks in two-dimensional (2D), three-dimensional (3D) and ultra-high definition (4K) vision systems. METHODS Twenty-four novices were randomly assigned to 2D, 3D and 4K groups, eight in each group. All participants performed the two tasks on a box trainer until reaching proficiency. Their performance was assessed based on completion time, number of errors and number of repetitions using the validated FLS proficiency criteria. RESULTS Eight candidates in each group completed the training curriculum. The mean performance time (in minutes) for the 2D group was 558.3, which was more than that of the 3D and 4K groups of 316.7 and 310.4 min respectively (P < 0.0001). The mean number of repetitions was lower for the 3D and 4K groups versus the 2D group: 125.9 and 127.4 respectively versus 152.1 (P < 0.0001). The mean number of errors was lower for the 4K group versus the 3D and 2D groups: 1.2 versus 26.1 and 50.2 respectively (P < 0.0001). CONCLUSION The 4K vision system improved accuracy in acquiring laparoscopic skills for novices in complex tasks, which was shown in significant reduction in number of errors compared to the 3D and the 2D vision systems. The 3D and the 4K vision systems significantly improved speed and accuracy when compared to the 2D vision system based on shorter performance time, fewer errors and lesser number of repetitions.
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Affiliation(s)
- M Abdelrahman
- Barts Cancer Institute, Queen Mary University of London, UK.
| | - A Belramman
- Barts Cancer Institute, Queen Mary University of London, UK.
| | - R Salem
- Barts Cancer Institute, Queen Mary University of London, UK.
| | - B Patel
- Barts Cancer Institute, Queen Mary University of London, UK; St Bartholomews and the Royal London Hospital, UK.
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Nash J, Abdelrahman M, Cunningham L, Paterson D, Clarke M. Management of Gallstone Pancreatitis Audit (Radiological Diagnosis and Timing of Cholecystectomy). Int J Surg 2017. [DOI: 10.1016/j.ijsu.2017.08.464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Dubrovsky B, Weingarten J, Cunningham J, DeMilt N, Bartalis R, Abdelrahman M, Wasylenko J. 0610 SUBJECTIVE SLEEP QUALITY RELATES TO DEPRESSIVE SYMPTOMATOLOGY IN OBSTRUCTIVE SLEEP APNEA PATIENTS. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.609] [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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Abudlah A, Hamra M, Burke D, Ahern C, Cahill C, Abdelrahman M, Meany B, Kiernan TJ. 41 Screening for diabetes and pre-diabetes in patients admitted with acute coronary syndrome to the university hospital limerick. Heart 2015. [DOI: 10.1136/heartjnl-2015-308621.41] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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El-Mesidy S, Hassan A, Abdelrahman M, Lasheen S, Hammam W, Kamal El-din M. EP-1191: Concomitant boost versus sequential boost in breast conservative therapy for early stage breast cancer. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)31309-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Steckiph D, Calabrese G, Bertucci A, Mazzotta A, Vagelli G, Gonella M, Stamopoulos D, Manios E, Papachristos N, Grapsa E, Papageorgiou G, Gogola V, So B, Dey V, Spalding EM, Libetta C, Esposito P, Margiotta E, Maffioli P, Bonaventura A, Bianchi L, Romano D, Rampino T, De Rosa G, Mauric A, Haug U, Enzinger G, Kern-Derstvenscheg E, Sluga A, Ausserwinkler C, Beck W, Rosenkranz AR, Maheshwari V, Haroon S, Loy Y, Samavedham L, Rangaiah GP, Lau T, Stamopoulos D, Mpakirtzi N, Panagiotou M, Barbarousi D, Matsouka C, Grapsa E, Bunani AD, Kowalczyk M, Bartnicki P, Banach M, Rysz J, Lentini P, Zanoli L, Granata A, Contestabile A, Basso A, Berlingo G, Pellanda V, de Cal M, Grazia V, Clementi A, Insalaco M, Dell'Aquila R, Karkar A, Abdelrahman M, Martins AR, Parreira L, Duque AS, Rodrigues I, Baffoun AB, Youssfi MA, Sayeh A, Beji M, Ben Khadra R, Hmida J, Akazawa M, Horiuchi H, Hori Y, Yamada A, Satou H, Odamaki S, Nakai S, Satou K, Aoki K, Saito I, Kamijo Y, Ogata S, Ishibashi Y, Basso F, Wojewodzka-Zelezniakowicz M, Cruz D, Giuliani A, Blanca Martos L, Piccinni P, Ronco C, Potier J, Queffeulou G, Bouet J, Nilsson A, Sternby J, Grundstrom G, Alquist M, Ferraresi M, Di Vico MC, Vigotti FN, Deagostini M, Scognamiglio S, Consiglio V, Clari R, Moro I, Mongilardi E, Piccoli GB, Hancock V, Huang S, Nilsson A, Grundstrom G, Nilsson Ekdahl K, Calabrese G, Steckiph D, Bertucci A, Baldin C, Petrarulo M, Mancuso D, Vagelli G, Gonella M, Inguaggiato P, Canepari G, Gigliola G, Ferrando C, Meinero S, Sicuso C, Pacitti A, Stamopoulos D, Mpakirtzi N, Manios E, Afentakis N, Grapsa E, Tomo T, Matsuyama K, Nakata T, Ishida K, Takeno T, Kadota JI, Minakuchi J, Kastl J, Merello M, Boccato C, Giordana G, Mazzone S, Moscardo V, Kastl J, Giordana G, Reinhardt B, Knaup R, Kruger W, Tovbin D, Kim S, Avnon L, Zlotnik M, Storch S, Umimoto K, Shimamoto Y, Suyama M, Miyata M, Bosch Benitez-Parodi E, Baamonde Laborda EE, Perez G, Ramirez JI, Ramirez Puga A, Guerra R, Garcia Canton C, Lago Alonso MM, Toledo A, Checa Andres MD, Latif FE, Mochida Y, Matsumoto K, Morita K, Tsutsumi D, Ishioka K, Maesato K, Oka M, Moriya H, Hidaka S, Ohtake T, Kobayashi S, Ficheux A, Gayrard N, Duranton F, Guzman C, Szwarc I, Bismuth-Mondolfo J, Brunet P, Servel MF, Argiles A, Tsikliras N, Mademtzoglou S, Balaskas E, Zeid M, Mostafa A, Mowafy MN, Abdo EI, Al Amin OM, Ksiazek A, Zaluska W, Waniewski J, Debowska M, Wojcik-Zaluska A, Elias M, Francois H, Obada E, Lorenzo HK, Charpentier B, Durrbach A, Beaudreuil S, Imamovic G, Marcelli D, Bayh I, Hrvacevic R, Kapun S, Grassmann A, Scatizzi L, Maslovaric J, Daelemans R, Mesens S, Mohamed EA, Wafae A, Kawtar H, Mohamed Amine H, Driss K, Mohammed B. Extracorporeal dialysis: techniques and adequacy - A. Nephrol Dial Transplant 2013. [DOI: 10.1093/ndt/gft116] [Citation(s) in RCA: 2] [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: 11/13/2022] Open
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Mostafa M, Abdelrahman M, Elshrief W, L. A, S. S, Awadey H. Low Power Laser Therapy (Lplt) in the Treatment of Radiation Therapy (Rt) Induced Oral Mucositis (Om). Kasr-Al-Aini J of Clin Onc and Nuc Med 2012. [DOI: 10.21608/resoncol.2012.448] [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] Open
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Abstract
Malignant mesothelioma of the tunica vaginalis is a rare but potentially fatal disease. Lack of characteristic clinical features and tumour markers makes the pre-operative diagnosis very difficult. A 54 year-old man with no history of exposure to asbestos presented with a short history of scrotal swelling and pain. Ultrasound revealed a suspicious nodularity involving his tunica vaginalis, suggestive of mesothelioma. Excisional biopsy revealed a malignant mesothelioma; hence the patient was treated with radical inguinal orchidectomy and hemiscrotectomy. We present a case of this rare tumour, its management and a review of the literature.
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Affiliation(s)
| | - Cm Dowling
- Cork University Hospital, Wilton, Cork, Ireland
| | - K O'Connor
- Cork University Hospital, Wilton, Cork, Ireland
| | - N Mayer
- Cork University Hospital, Wilton, Cork, Ireland
| | - E Kiely
- Cork University Hospital, Wilton, Cork, Ireland
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Abdelrahman M, Negm H, Saleh A, Rozza A, kholief H, Karawya S, Luo XH, Li ZJ, Yang Y, Li ZA, Zhu QR, Guo ZR, Hu XS, Wu M, Luo WS, Liu JC, Ding Y, Gu SJ, Liu MM. P055 * Tissue doppler imaging provides a new access for detection of early cardiac insult in diabetic patients. Eur Heart J Suppl 2012. [DOI: 10.1093/eurheartj/sur026] [Citation(s) in RCA: 1] [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: 11/13/2022]
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Khalaf I, Aboelenin H, El-Akkad M, Rashwan H, Shoukry I, Zaaza M, Abofarha O, Elkassaby A, Massoud A, Abdelrahman M. MP-4.08: Value of DRE and PSA for Early Detection of Prostate Cancer During Prostate Awareness Campaign: Nationwide Study in Egypt. Urology 2008. [DOI: 10.1016/j.urology.2008.08.250] [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: 10/21/2022]
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Cuzzocrea S, Genovese T, Mazzon E, Esposito E, Muià C, Abdelrahman M, Di Paola R, Bramanti P, Thiemermann C. Glycogen synthase kinase-3beta inhibition attenuates the development of bleomycin-induced lung injury. Int J Immunopathol Pharmacol 2007; 20:619-30. [PMID: 17880775 DOI: 10.1177/039463200702000320] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Glycogen synthase kinase-3 (GSK-3) is an ubiquitous serine-threonine protein kinase that participates in a multitude of cellular processes and has recently been implicated in the pathophysiology of a number of diseases. The aim of this study is to investigate the effects of TDZD-8, a potent and selective GSK-3beta inhibitor, on the development of lung injury caused by administration of bleomycin (BLM). Mice subjected to intra-tracheal administration of BLM developed significant lung injury characterized by marked neutrophil infiltration and tissue edema. An increase in immunoreactivity to nitrotyrosine, iNOS, TNF-alpha and IL-1beta was also observed in the lungs of BLM-treated mice. In contrast, administration of BLM-treated mice with TDZD-8 (1 mg/kg daily) significantly reduced (I) the degree of lung injury, (II) the increase in staining (immunohistochemistry) for myeloperoxidase (MPO), nitrotyrosine, iNOS, TNF-alpha and IL-1beta and (III) the degree of apoptosis, as evaluated by Bax and Bcl-2 immunoreactivity and TUNEL staining. Taken together, these results clearly demonstrate treatment with the GSK-3beta inhibitor TDZD-8 reduces the development of lung injury and inflammation induced by BLM in mice.
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Affiliation(s)
- S Cuzzocrea
- Department of Clinical and Experimental Medicine and Pharmacology, School of Medicine, University of Messina, Italy.
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Cuzzocrea S, Crisafulli C, Mazzon E, Esposito E, Muià C, Abdelrahman M, Di Paola R, Thiemermann C. Inhibition of glycogen synthase kinase-3beta attenuates the development of carrageenan-induced lung injury in mice. Br J Pharmacol 2006; 149:687-702. [PMID: 17016509 PMCID: PMC2014652 DOI: 10.1038/sj.bjp.0706902] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.5] [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: 12/13/2022] Open
Abstract
BACKGROUND AND PURPOSE Glycogen synthase kinase-3 (GSK-3) is a ubiquitous serine-threonine protein kinase that participates in a multitude of cellular processes and has recently been implicated in the pathophysiology of a number of diseases. The aim of this study was to investigate the effects of GSK-3beta inhibition in a model of acute inflammation. Here, we have investigated the effects of TDZD-8, a potent and selective GSK-3beta inhibitor, in a mouse model of carrageenan-induced pleurisy. EXPERIMENTAL APPROACH Injection of carrageenan into the pleural cavity of mice elicited an acute inflammatory response characterized by: accumulation of fluid containing a large number of neutrophils (PMNs) in the pleural cavity, infiltration of PMNs in lung tissues and subsequent lipid peroxidation, and increased production of nitrite/nitrate (NOx), prostaglandin E2 (PGE2), tumour necrosis factor-alpha, (TNF-alpha) and interleukin-1beta (IL-1beta). Furthermore, carrageenan induced an upregulation of the adhesion molecules ICAM-1 and P-selectin, iNOS, COX-2 as well as nitrotyrosine as determined by immunohistochemical analysis of lung tissues. KEY RESULTS Administration of TDZD-8 (1, 3 or 10 mg kg(-1), i.p.), 30 min prior to injection of carrageenan, caused a dose-dependent reduction in all the parameters of inflammation measured. CONCLUSIONS AND IMPLICATIONS Thus, based on these findings we propose that inhibitors of the activity of GSK-3beta, such as TDZD-8, may be useful in the treatment of various inflammatory diseases.
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Affiliation(s)
- S Cuzzocrea
- Department of Clinical and Experimental Medicine and Pharmacology, School of Medicine, University of Messina, Messina, Italy.
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Malik TQ, Youmbissi TJ, Gacha R, Abdelrahman M, Al-Khursany AI, Karkar A. Atypical presentation of Churg-Strauss syndrome: another "forme fruste" of the disease? Am J Med Sci 2002; 324:276-8. [PMID: 12449449 DOI: 10.1097/00000441-200211000-00007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [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: 10/26/2022]
Abstract
Vasculitis is a clinicopathologic process characterized by inflammation and damage to blood vessels. A broad and heterogenous group of syndromes may result from this process, because any type, size, and location of blood vessel may be involved. The cause of these conditions remains unclear, but an autoimmune inflammatory process, characterized by involvement of both neutrophils and endothelial cells, seems to play an important role. In 1951, Churg and Strauss described a clinical syndrome of severe asthma, hypereosinophilia with eosinophilic infiltrates, eosinophilic vasculitis, and granulomata in various organs. Asthma may precede this vasculitis by many years. We report a case of anti-neutrophil cytoplasmic antibody-positive, pauci-immune, crescentic, necrotizing glomerulonephritis with peripheral and interstitial eosinophilia but without asthma. This is very unusual in Churg-Strauss syndrome.
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Affiliation(s)
- T Q Malik
- Department of Nephrology, Dammam Central Hospital, Kingdom of Saudi Arabia.
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23
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Abdelrahman M, Rafi A, Ghacha R, Kumar SA, Karkar A. Recurrent acute renal failure in a patient with minimal change disease. Saudi J Kidney Dis Transpl 2001; 12:530-533. [PMID: 18209398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Abstract
We report on a 16-year old female patient with biopsy proved minimal change disease and steroid state. She was subsequentlygiven cyclosporin for varying periods of time with inadequate response. She developed four episodes of acute renal failure in the background of severe nephrotic state, 10 years after the onset of her illness. Three of these episodes could be reversed with albumin infusion and judicious use of diuretics while the fourth necessitated six sessions of ultrafiltration. In none of the episodes of ARF could we find any cause other than the nephrotic state itself.
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Affiliation(s)
- M Abdelrahman
- Department of Nephrology, Dammam Central Hospital, Dammam, Saudi Arabia
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McDonald MC, Mota-Filipe H, Paul A, Cuzzocrea S, Abdelrahman M, Harwood S, Plevin R, Chatterjee PK, Yaqoob MM, Thiemermann C. Calpain inhibitor I reduces the activation of nuclear factor-kappaB and organ injury/dysfunction in hemorrhagic shock. FASEB J 2001; 15:171-186. [PMID: 11149905 DOI: 10.1096/fj.99-0645com] [Citation(s) in RCA: 99] [Impact Index Per Article: 4.3] [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: 01/25/2023]
Abstract
There is limited evidence that inhibition of the activity of the cytosolic cysteine protease calpain reduces ischemia/reperfusion injury. The multiple organ injury associated with hemorrhagic shock is due at least in part to ischemia (during hemorrhage) and reperfusion (during resuscitation) of target organs. Here we investigate the effects of calpain inhibitor I on the organ injury (kidney, liver, pancreas, lung, intestine) and dysfunction (kidney) associated with hemorrhagic shock in the anesthetized rat. Hemorrhage and resuscitation with shed blood resulted in an increase in calpain activity (heart), activation of NF-kappaB (kidney), expression of iNOS and COX-2 (kidney), and the development of multiple organ injury and dysfunction, all of which were attenuated by calpain inhibitor I (10 mg/kg i.p.), administered 30 min prior to hemorrhage. Chymostatin, a serine protease inhibitor that does not prevent the activation of NF-kappaB, had no effect on the organ injury/failure caused by hemorrhagic shock. Pretreatment (for 1 h) of murine macrophages or rat aortic smooth muscle cells (activated with endotoxin) with calpain inhibitor I attenuated the binding of activated NF-kappaB to DNA and the degradation of IkappaBalpha, IkappaBbeta, and IkappaBvarepsilon. Selective inhibition of iNOS activity with L-NIL reduced the circulatory failure and liver injury, while selective inhibition of COX-2 activity with SC58635 reduced the renal dysfunction and liver injury caused by hemorrhagic shock. Thus, we provide evidence that the mechanisms by which calpain inhibitor I reduces the circulatory failure as well as the organ injury and dysfunction in hemorrhagic shock include 1) inhibition of calpain activity, 2) inhibition of the activation of NF-kappaB and thus prevention of the expression of NFkappaB-dependent genes, 3) prevention of the expression of iNOS, and 4) prevention of the expression of COX-2. Inhibition of calpain activity may represent a novel therapeutic approach for the therapy of hemorrhagic shock.
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MESH Headings
- Animals
- Blood Pressure/drug effects
- Cyclooxygenase 2
- DNA/genetics
- DNA/metabolism
- Glycoproteins/pharmacology
- Glycoproteins/therapeutic use
- Heart Rate/drug effects
- I-kappa B Proteins/metabolism
- Intestinal Mucosa/metabolism
- Intestines/pathology
- Isoenzymes/antagonists & inhibitors
- Isoenzymes/metabolism
- Kidney/enzymology
- Kidney/metabolism
- Kidney/pathology
- Lipase/blood
- Lipopolysaccharides/pharmacology
- Liver/metabolism
- Liver/pathology
- Lung/metabolism
- Lung/pathology
- Macrophages/drug effects
- Macrophages/metabolism
- Mice
- Muscle, Smooth, Vascular/drug effects
- Muscle, Smooth, Vascular/enzymology
- Muscle, Smooth, Vascular/metabolism
- Myocardium/enzymology
- NF-kappa B/metabolism
- Nitric Oxide Synthase/antagonists & inhibitors
- Nitric Oxide Synthase/metabolism
- Nitric Oxide Synthase Type II
- Pancreas/metabolism
- Pancreas/pathology
- Prostaglandin-Endoperoxide Synthases/metabolism
- Protein Binding/drug effects
- Rats
- Reperfusion Injury/enzymology
- Reperfusion Injury/metabolism
- Reperfusion Injury/pathology
- Reperfusion Injury/prevention & control
- Resuscitation
- Shock, Hemorrhagic/enzymology
- Shock, Hemorrhagic/metabolism
- Shock, Hemorrhagic/pathology
- Shock, Hemorrhagic/prevention & control
- Syndrome
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Affiliation(s)
- M C McDonald
- Department of Experimental Medicine and Nephrology, William Harvey Research Institute, St. Bartholomew's and The Royal London School of Medicine and Dentistry, London EC1M 6BQ, UK
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Abdelrahman M, Rasheed A. A methodology for development of configurable remote access measurement system. ISA Trans 2000; 39:441-458. [PMID: 11106296 DOI: 10.1016/s0019-0578(00)00025-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
A configurable remote access measurement system (CRAMS) is designed using an object oriented methodology (OOM) and implemented using the integration of an object oriented language, JAVA, a relational database management system, MS-ACCESS, and an instrumentation software package (LabVIEW). OOM is a powerful technique that is used to manage the complexity of large systems. It allows for easy maintenance and upgrading of the developed systems. The main focus of this paper is to present a detailed procedure for the analysis, design and implementation of CRAMS. The functionality of CRAMS is demonstrated by creating a remotely accessible laboratory environment using a set of programmable and virtual instruments connected to a PC server.
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Affiliation(s)
- M Abdelrahman
- Electrical and Computer Engineering Department, Tennessee Technological University, Cookeville 38505-5004, USA
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