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Madni WA, Mohsin M, Nawaz Z, Muzammil S, Zahoor MA, Asif R. Molecular mechanism of antimicrobial co-resistance Colistin (mcr-1) and ESBLs genes among Escherichia coli isolates from commercial chickens in Pakistan. BRAZ J BIOL 2023; 84:e267494. [PMID: 36722678 DOI: 10.1590/1519-6984.267494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 11/30/2022] [Indexed: 02/02/2023] Open
Abstract
Emergence of plasmid mediated colistin and extended spectrum β-lactamases (ESBL) resistant genes has been impacted the efficacy of colistin and β-lactams drugs like 3rd, 4th generation cephalosporin. Current study was aimed to investigate antimicrobial resistance genes (ARGs) among Escherichia coli isolates from meat producing commercial broilers in Pakistan. Two hundred (n=200) fecal samples were collected during January-2018 to August-2019. For isolation of E. coli, pink colonies on MacConkey agar were transferred to EMB agar. Metallic sheen color colonies were tested biochemically using API-20E kit. The molecular identification of E. coli (n=153) was targeted by amplification of uid gene through polymerase chain reaction (PCR) and different ARGs i.e. gentamicin, streptomycin, tetracycline, colistin, β-lactams drugs, quinolone and ampicillin followed by sequence analysis. Genotypically, followed by phenotypically of resistant ARGs of isolated PCR-confirmed E. coli (153) shoed resistant against gentamicin (aac(3)-IV), streptomycin (aadA1), tetracycline (tetA), colistine (mcr-1), ampicillin (bla-TEM) and bla-CTX-M were 86%, 88%, 86%, 88%, 83% & 77% respectively. 33/38 (86%) of the isolate was positive for quinolone resistance. Colistine (mcr-1), ESBLs (bla-TEM) and (bla-CTX-M) resistance genes were 88%, 83% and 77% respectively. About 33 isolated E. coli harbored the both mcr-1 and ESBLs genes. All of E. coli isolates were found sensitive to ceftriaxone (CTX-30) and imipenem (IMP-10). The Isolated E. coli showed single or multi clade decadency. The E. coli and ARGs sequences showed single or multi clade decadency. This is first comprehensive study from Pakistan that described the molecular evidences of ARGs and their co-existence in single isolates originated from commercial poultry. Commercial chicken (Broilers) can act as melting pot of antibiotic resistance genes for human being. It is alarming situation for surveillance of antibiotic resistance program because of more regulated prescription of antimicrobial agents in Pakistan.
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Affiliation(s)
- W A Madni
- Government College University, Department of Microbiology, Faisalabad, Pakistan
| | - M Mohsin
- University of Agriculture, Institute of Microbiology, Faisalabad, Pakistan
| | - Z Nawaz
- Government College University, Department of Microbiology, Faisalabad, Pakistan
| | - S Muzammil
- Government College University, Department of Microbiology, Faisalabad, Pakistan
| | - M A Zahoor
- Government College University, Department of Microbiology, Faisalabad, Pakistan
| | - R Asif
- Qarshi University Lahore, Department of Eastern Medicine, Lahore, Pakistan
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2
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Khan W, Khan MI, Hussain S, Masood Z, Shadman M, Baset A, Rahman A, Mohsin M, Alfarraj S. Comparative analysis of brain in relation to the body length and weight of common carp (Cyprinus carpio) in captive (hatchery) and wild (river system) populations. BRAZ J BIOL 2021; 82:e242897. [PMID: 34816975 DOI: 10.1590/1519-6984.242897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 10/30/2020] [Indexed: 11/22/2022] Open
Abstract
Cyprinus carpio is the member of family cyprinidae commonly called common carp. This study was aimed to find out the comparison of brain of wild (river system) and captive (hatchery reared) population of common carp. A total of thirty samples (15 from hatchery and 15 from river Swat) were collected. All the specimens were examined in Laboratory of Parasitoloy, Zoology Department, University of Malakand. Findings indicated that wild population were greater in brain size and weight as compared to hatchery reared population. The fish samples collected from captive environment (hatchery) were showing more weight and length as compared to wild population of common carps. The mean value of total weight of hatchery fishes 345±48.68 and the mean value of brain weight of hatchery reared fishes 0.28±0.047. The mean value of wild fish's total body weight 195.16±52.58 and the mean value of brain weight of wild fishes are 0.45±0.14. Present research calls for the fact that fish in dependent environmental conditions possess brain larger in size as compared to its captive population, it is due to use and disuse of brain in their environmental requirements.
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Affiliation(s)
- W Khan
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - M I Khan
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - S Hussain
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - Z Masood
- Sardar Bahadur Khan Women University, Department of Zoology, Quetta, Pakistan
| | - M Shadman
- University of Malakand, Department of Zoology, Lower Dir, Pakistan
| | - A Baset
- Bacha Khan University, Department of Zoology, Charsadda, Pakistan
| | - A Rahman
- Friedrich-Alexander-University - FAU, Institute of Geography, Department of Geography and Geosciences, Erlangen- Nuremberg Germany.,University of Malakand, Department of Botany, Chakdara, Dir Lower, Pakistan
| | - M Mohsin
- Islamia College University, Department of Zoology, Peshawar, Pakistan
| | - S Alfarraj
- King Saud University, College of Science, Zoology Department, Riyadh, Saudi Arabia
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3
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Gala T, Venkatesan G, Mohsin M, Abdelkarim M, Murali S, Shahzad N, Morgan R. 397 Seasonal Variation in Acute Cholecystitis; An Analysis to Predict Resources Allocation. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Background
Acute cholecystitis accounts for 20% of Emergency General Surgical admissions. The concept of seasonal variation is still a developing concept in surgical literature. Whether acute cholecystitis also follows a seasonal trend remains to be established.
Aim
Given the struggle healthcare system has been facing towards resource and staff allocation to deliver best possible patient care, we thought this may be a step forward to predict North Wales demand of resources seasonally and make appropriate arrangements ahead of time.
Method
We performed a retrospective analysis of patients across North Wales who had a discharging diagnosis of acute cholecystitis from January 2010 to December 2019. Chi-square goodness-of-fit test was used to analyse seasonality of acute cholecystitis adjusting for variation in number of days between seasons. The number of days for seasons were taken as 92, 92, 91, and 90.25 for spring, summer, fall, and winter, respectively.
Results
Overall, 4100 patients presented to the three hospitals across North Wales with acute cholecystitis during the study period. The frequency of hospital admissions varied between months (minimum February n = 302, maximum July n = 373) and seasons (minimum winter n = 971, maximum spring n = 1067). After applying chi-square goodness-of-fit test to check significant seasonality, we did not find any significant seasonal variation in acute cholecystitis (p-value = 0.262).
Conclusions
Our data failed to show any significant seasonal variation in patients presenting with acute cholecystitis in North Wales. We recommend prospective collection of data at national level to validate our results.
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Affiliation(s)
- T Gala
- Glan Clwyd Hospital, Rhyl, United Kingdom
| | | | - M Mohsin
- Glan Clwyd Hospital, Rhyl, United Kingdom
| | | | - S Murali
- Glan Clwyd Hospital, Rhyl, United Kingdom
| | - N Shahzad
- Yorkshire and Humber Deanery, Doncaster, United Kingdom
| | - R Morgan
- Glan Clwyd Hospital, Rhyl, United Kingdom
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4
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Gill E, Quested S, Lim J, Mohsin M. 299 Implementing A Formal Surgical Handover Tool for Junior Doctors – A QI Approach. Br J Surg 2021. [DOI: 10.1093/bjs/znab134.399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Introduction
An informative medical handover facilitates safe patient care. It was recognized that insufficient clinical information at handover resulted in unsafe communication in the general surgical department at Pinderfields General Hospital (PGH). We aim to utilise the Royal College of Surgeons’ (RCS) and British Medical Association’s (BMA) guidelines to improve the existing handover system, facilitate an efficient and relevant handover, and furthermore improve patient safety.
Method
General surgical foundation doctors (FDs) (n = 15) at PGH were surveyed to establish their perspectives of existing handover documentation. Subsequently a handover tool was iteratively designed, using tests of change, combining RCS and BMA guidelines with FDs’ suggestions of patient information required for safe handover. At two time points, FDs in the department were re-surveyed to measure improvement.
Results
Prior to implementation of a formal document, only 20% of FDs reported sufficient patient identifiers of the handover. This improved to 67% post intervention. Pre-intervention, 0% perceived the handover as ‘Excellent’, 20% as ‘good’. Post-intervention, these improved to 34% and 60% respectively.
Conclusions
Over six months, we improved the FD’s handover document, resulting in positive feedback of perceived safety of surgical patient handovers. However, recognised time constraints have highlighted the need for more efficient handover documentation.
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Affiliation(s)
- E Gill
- Mid Yorkshire Hospitals Trust, Wakefield, United Kingdom
| | - S Quested
- Mid Yorkshire Hospitals Trust, Wakefield, United Kingdom
| | - J Lim
- Mid Yorkshire Hospitals Trust, Wakefield, United Kingdom
| | - M Mohsin
- Mid Yorkshire Hospitals Trust, Wakefield, United Kingdom
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6
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Chen H, Huang C, Chen Y, Mohsin M, Li L, Lin X, Huang Z, Yin G. Efficacy of recombinant N- and C-terminal derivative of EmIMP1 against E. maxima infection in chickens. Br Poult Sci 2020; 61:518-522. [PMID: 32347110 DOI: 10.1080/00071668.2020.1759787] [Citation(s) in RCA: 2] [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: 10/24/2022]
Abstract
1. Immune mapped protein-1 (IMP1) of E. maxima has been identified as a vaccine antigen candidate for E. maxima infection. 2. In the current study, the N- and C-terminal derivative of EmIMP1 were expressed in E. coli and administered to chickens. The antibody response, cell-mediated immune (CMI) response and the protective efficacy of the protein vaccines against E. maxima challenge were evaluated. 3. The results showed that C-terminal derivative of EmIMP1 vaccination could increase weight gain, reduce enteric lesions, and decrease faecal oocysts shedding. Moreover, the C-terminal derivative of EmIMP1 caused reasonable improvement in serum antibodies and the numbers of IFN-γ producing peripheral blood mononuclear cells (PBMC), as compared to the control group. 4. This study demonstrated that the C-terminal derivative of EmIMP1 could be used as a potent immunogenic candidate in the development of subunit vaccines against E. maxima infection.
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Affiliation(s)
- H Chen
- Engineering Laboratory of Animal Pharmaceuticals and College of Animal Science (College of Bee Science), Fujian Agriculture and Forestry University , Fuzhou, Fujian Province, China
| | - C Huang
- Engineering Laboratory of Animal Pharmaceuticals and College of Animal Science (College of Bee Science), Fujian Agriculture and Forestry University , Fuzhou, Fujian Province, China
| | - Y Chen
- Engineering Laboratory of Animal Pharmaceuticals and College of Animal Science (College of Bee Science), Fujian Agriculture and Forestry University , Fuzhou, Fujian Province, China
| | - M Mohsin
- College of Life Sciences, Fujian Agriculture and Forestry University , Fuzhou, Fujian Province, China
| | - L Li
- Engineering Laboratory of Animal Pharmaceuticals and College of Animal Science (College of Bee Science), Fujian Agriculture and Forestry University , Fuzhou, Fujian Province, China
| | - X Lin
- Engineering Laboratory of Animal Pharmaceuticals and College of Animal Science (College of Bee Science), Fujian Agriculture and Forestry University , Fuzhou, Fujian Province, China
| | - Z Huang
- Engineering Laboratory of Animal Pharmaceuticals and College of Animal Science (College of Bee Science), Fujian Agriculture and Forestry University , Fuzhou, Fujian Province, China
| | - G Yin
- Engineering Laboratory of Animal Pharmaceuticals and College of Animal Science (College of Bee Science), Fujian Agriculture and Forestry University , Fuzhou, Fujian Province, China
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Aslam N, Rashid Z, Mohsin M, Chowdhury D, Sultan Hasan B. P1727 Large coronary artery to pulmonary artery fistula as primary source of pulmonary blood supply in tetralogy of fallot with pulmonary atresia. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.1195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Not Applicable
OnBehalf
Not Applicable
Introduction
Pulmonary blood supply in patients of Tetralogy of Fallot with pulmonary atresia is usually from patent arterial duct or major aortopulmonary collaterals (MAPCAs) arising from descending thoracic aorta. We describe a case in which large coronary to pulmonary artery fistula was the primary source of pulmonary blood supply.
Case Report
A 17 years old female was referred to our hospital for diagnostic workup of suspected congenital heart disease. She was previously undiagnosed and now complains of progressive shortness of breath for last few months.
On physical examination she was non-dysmorphic with oxygen saturation of ∼ 77 % in room air, blood pressure of ∼ 117/72 mmHg, pulse rate of ∼ 89 beats per minute and respiratory rate of ∼ 24 breaths per minute. She was clinically cyanosed with grade 3 clubbing and polycythemic. Cardiovascular examination revealed quiet precordium with normally placed apex beat, grade 2 parasternal heave with single second heart sound and grade 3/6 continuous murmur along left mid sternal border.
Twelve lead electrocardiogram (ECG) showed normal sinus rhythm, right axis deviation and right ventricular hypertrophy. There was no evidence of ischemia. Chest X-ray revealed "boat shaped heart" with oligaemic lung fields. Transthoracic echocardiography showed large conoventricular ventricular septal defect with bidirectional flow. There was aortic over-ride with dilated left main coronary artery. No forward flow was seen across right ventricular outflow tract. Considering hugely dilated left main coronary artery, suspicion of coronary to pulmonary artery fistula was made and cardiac computed tomography followed by conventional angiography was done, both confirmed the diagnosis of Tetralogy of Fallot with pulmonary atresia and large coronary artery to main pulmonary artery fistula as a primary pulmonary blood supply. Two small collaterals (MAPCAs) were also identified supplying small part of right and left lungs.
Conclusion
This case highlights unusual source of pulmonary blood supply in Tetralogy of Fallot with pulmonary atresia. Correct pre-operative diagnosis is essential for appropriate surgical planning and better outcome.
Abstract P1727 Figure. TOF-PA with CA to PA Fistula
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Affiliation(s)
- N Aslam
- Aga Khan University, Karachi, Pakistan
| | - Z Rashid
- Aga Khan University, Karachi, Pakistan
| | - M Mohsin
- Aga Khan University, Karachi, Pakistan
| | - D Chowdhury
- Cardiology Care for Children, Lancaster, United States of America
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8
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Beniken M, Driouch M, Sfaira M, Hammouti B, Ebn Touhami M, Mohsin M. Kinetic–Thermodynamic Properties of a Polyacrylamide on Corrosion Inhibition for C-Steel in 1.0 M HCl Medium: Part 2. ACTA ACUST UNITED AC 2018. [DOI: 10.1007/s40735-018-0152-1] [Citation(s) in RCA: 12] [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: 11/24/2022]
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9
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Islam MS, Uddin MJ, Bhattacharjee M, Farzana MN, Talukder RK, Rahman MA, Mohsin M, Rouf MA, Pandit H, Karim MR, Ara R, Akhter S, Saha G, Oliullah M, Ali MS, Parveen R. Association between Serum Apolipoprotein-B and Acute Ischaemic Stroke. Mymensingh Med J 2018; 27:229-236. [PMID: 29769483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Stroke is one of the leading causes of death and disability in developed as well as developing countries like Bangladesh. There is a crucial need to identify additional risk factors that are easily measurable and treatable in general population. Role of serum lipids, lipoproteins and lipoprotein related variables in the prediction of stroke is less clear. Abnormalities in plasma lipoproteins are the most firmly established and best understood risk factors for atherosclerosis and they are probable risk factors for ischaemic stroke, largely by their link to atherosclerosis. High serum apolipoprotein-B (Apo-B) levels may predict an increased risk for ischaemic stroke. Aim of the study was to evaluate the association between serum Apo-B level and acute ischaemic stroke and to measure and compare serum Apo-B level in ischaemic stroke and normal subjects. A cross-sectional comparative study was carried out in the department of Neurology, Mymensingh Medical College Hospital, Mymensingh, Bangladesh from July 2013 to June 2015. A total number of 100 subjects within 18-70 years were considered for the study. Fifty (50) subjects with stroke (both clinically as well as CT scan of head or MRI of brain proven) were taken as the cases and 50 age and sex matched nearly healthy individuals without stroke were taken as the controls by using non-probability sampling procedure. Total cholesterol, HDL cholesterol and triglycerides were estimated by enzymatic method using Semiautoanalyser. LDL cholesterol was estimated by Friedewald formula. Apo-B was estimated by immunoturbidimetric method using Semiautoanalyser. Finally collected data were analyzed by using SPSS software Version 20. Student 't' test was used to compare the data between cases and controls. P value was set <0.05. Diagnostic validity tests were conducted to assess the diagnostic efficiency of Apo-B. Total cholesterol, LDL cholesterol and triglycerides are significantly increased in cases compared to controls. HDL-cholesterol was significantly decreased in cases compared to controls. Apo-B was significantly increased in cases compared to controls. The result was statistically significant. Apo-B may be used as predictors of ischaemic stroke components.
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Affiliation(s)
- M S Islam
- Dr Mohammad Shafiqul Islam, Registrar, Department of Neurology, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh
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10
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Affiliation(s)
- C. Duhovic
- Department of Dermatology; East Kent Hospitals University NHS Foundation Trust; Canterbury U.K
| | - M. Mohsin
- Department of Dermatology; East Kent Hospitals University NHS Foundation Trust; Canterbury U.K
| | - E. Duarte-Williamson
- Department of Dermatology; East Kent Hospitals University NHS Foundation Trust; Canterbury U.K
| | - S. Baron
- Department of Dermatology; East Kent Hospitals University NHS Foundation Trust; Canterbury U.K
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11
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Akanda M, Ali M, Choudhury K, Debnath L, Mohsin M, Hossain S. PT301 Serum Uric Acid and Its Association With Coronary Artery Disease: A Cohort Study Patients Attending in Urban Tertiary Care Hospital in Bangladesh. Glob Heart 2016. [DOI: 10.1016/j.gheart.2016.03.625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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12
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Sarkar SK, Tarafder AJ, Chowdhury M, Alam MS, Mohsin M. Does Education Have Any Influence on Symptom Score of IBS Patients: A Randomized Controlled Study. Mymensingh Med J 2016; 25:334-339. [PMID: 27277368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Despite much research, the pathophysiology of IBS remains poorly understood. So it is very difficult to treat. There is no standard treatment for IBS. Because IBS symptoms can be elicited or exacerbated by diet and stress, this suggests that patient education regarding his or her illness might be beneficial to patients in managing their symptoms. This study was done to see the short term effects of outpatient education in relation to change of symptom score in IBS patients. This is a prospective randomized comparative study. In this study a total of 80 patients were included. Forty patients were given only pharmacological management with Mebevarine hydrochloride 135mg thrice daily half an hour before meal and Amitryptline 10mg at night for six months and another forty were given education in addition to the same pharmacological treatment. In both the study group [medical management only versus medical management with education] changes of symptoms and quality of life of patients of IBS were assessed by using previously used, specially designed symptoms scoring system and a validated IBS-QOL instrument. There was no significant difference in severity of symptoms between only drug treatment group (118.973) and education plus drug treatment group (119.57) before treatment. The difference of improvement between the education group and without education group was not statistically significant (P>0.05), though the subsidence of pain in both the group before and after treatment was statistically significant (P<0.01).
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Affiliation(s)
- S K Sarkar
- Dr Sawpon Kumar Sarker, Associate Professor, Department of Gastroenterology, Sher-e-Bangla Medical College, Barishal, Bangladesh
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13
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Mohsin M, Das SN, Haque MF, Shikha SS, Bhuiyan AS, Saha PL, Das BR, Chowdhury M, Jahan MK, Rahman MM. Serum Uric Acid Level among Acute Stroke Patients. Mymensingh Med J 2016; 25:215-220. [PMID: 27277350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Stroke is one of the leading causes of death and disability in developed as well as developing countries like Bangladesh. Elevated serum uric acid levels may predict an increased risk for cerebro-vascular (CV) events including stroke. Aim of the study was to measure the serum uric acid level among stroke patients and determine the relationship between serum uric acid level and stroke. This descriptive, cross-sectional study was carried out in Department of Medicine, Mymensingh Medical College Hospital, Mymensingh, Bangladesh to measure serum uric acid level among 102 stroke patients in a period of one year by using non-probability sampling procedure. Finally, collected data were analyzed using SPSS software Version 17.0. It was observed that the mean age of patients was 60.87±8.05 years, of them 80(78.43%) patients were male and the rest 22(21.57%) were female. About 66(64.70%) of respondents were in age group 60 years and above, while 36(35.30%) were in age group 59 years and below. At least 23(22.55%) of stroke patients had elevated serum uric acid with a mean serum uric acid level of 5.18mg/dl and standard deviation 1.26mg/dl. About 23(27.38%) patients in ischemic stroke had elevated serum uric acid whereas 18(100%) patients in hemorrhagic stroke had normal uric acid level. Uric acid level was elevated in ischemic stroke than haemorrhagic stroke patients (p<0.001). High uric acid level may be considered as a risk factor in patients with acute ischemic stroke.
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Affiliation(s)
- M Mohsin
- Dr Muhammad Mohsin, Registrar (Medicine), Medicine Unit 1, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail:
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14
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Jahan MK, Nahar K, Islam M, Shafiquzzaman M, Nahar S, Easmin S, Mohsin M, Sarkar SK, Hossain MA. Estimation of Thyroid Hormone in Early Pregnancy and it's Clinical Correlation. Mymensingh Med J 2016; 25:205-210. [PMID: 27277348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This descriptive cross sectional study was done for the estimation of thyroid hormone in early pregnancy and it's clinical correlation. It was conducted at the Antenatal Clinic of Mymensingh Medical College Hospital, Mymensingh from December 2010 to November 2011. Total 185 cases in early pregnancy were taken purposively and randomly. Among the pregnant women, age ranged from 18-42 years with the Mean±SD age 25.77±4.96 years, the gestational weeks ranged 6±1 to 13±1weeks having Mean±SD 9.06± 2.49 weeks. The gravida ranged from primi to 8th gravida Mean±SD 1.89±1.10. Haemoglobin level ranged from 9.0 to 13.2gm/dl; Mean±SD 10.90±0.99gm/dl. Mean±SD of serum FT4 was 17.77±7.25 and Mean±SD of TSH was 3.95±2.94mIU/L. In present study, 5.40% (n=10) of the respondents had hypothyroidism and 0.54% (n=1) showed hyperthyroidism. The present study showed that, the incidence of hypothyroidism had relatively increased then the reference ranges but not statistically significant. But hyperthyroidism was within the reference range. This study showed slightly higher percentage of hypothyroidism in both ≤30 (4.52%) and ≥30 (10%) years of age groups especially a bit higher percentage in the elderly group. In present study, hypothyroidism was common among women of lower income group. Present study showed a higher percentage of stillbirth &miscarriage among study population. This study showed a relatively higher prevalence of abnormal thyroid function (especially hypothyroidism) in the study population and suggests the routine screening of thyroid hormone in early pregnancy in addition to routine antenatal care.
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Affiliation(s)
- M K Jahan
- Dr Mst Khurshida Jahan, Junior Consultant (Gynae), Mymensingh Medical College Hospital, Mymensingh, Bangladesh
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Mohsin M, Kaushal DR. A 2D-CFD (VOF model) analysis of invert trap for bed load removal in an open rectangular sewer drain. Particulate Science and Technology 2015. [DOI: 10.1080/02726351.2015.1131786] [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] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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16
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A S, Rahim S, Bhatti KH, Khan A, Din N, Imran M, Mohsin M, Ishtiaq M, Nabila A, Ansari A, Hussain S, Zafar M, Mushtaq M, Mumtaz E, Iqbal J. Ethnobotanical study and conservation status of trees in the district Sargodha, Punjab, Pakistan. ACTA ACUST UNITED AC 2015. [DOI: 10.32604/phyton.2015.84.034] [Citation(s) in RCA: 5] [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: 11/15/2022]
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17
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Mohsin M, Winter P, Murdock J, McNulty O, Benson G. Detection of haemophilia A during quality assurance of fresh frozen plasma. Transfus Med 2013; 23:206. [DOI: 10.1111/tme.12019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2012] [Revised: 10/17/2012] [Accepted: 01/30/2013] [Indexed: 11/30/2022]
Affiliation(s)
| | | | | | - O. McNulty
- Haemophilia Centre; Belfast City Hospital; Belfast; UK
| | - G. Benson
- Haemophilia Centre; Belfast City Hospital; Belfast; UK
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18
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Farooq U, Mohsin M, Liu X, Zhang H. Enhancement of Short Chain Fatty Acid Production from Millet Fibres by Pure Cultures of Probiotic Fermentation. TROP J PHARM RES 2013. [DOI: 10.4314/tjpr.v12i2.9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Mahreen R, Mohsin M, Nasreen Z, Siraj M, Ishaq M. Significantly increased levels of serum malonaldehyde in type 2 diabetics with myocardial infarction. Int J Diabetes Dev Ctries 2011; 30:49-51. [PMID: 20431807 PMCID: PMC2859285 DOI: 10.4103/0973-3930.60006] [Citation(s) in RCA: 218] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2008] [Accepted: 01/04/2010] [Indexed: 11/15/2022] Open
Abstract
Aim/Objective: To see the levels of serum MDA in type 2 DM with MI. As Serum malonaldeyhde (MDA), a stable end product of lipid per oxidation produced by interaction of free radicals with membrane phospholipids, was estimated.
Materials and Methods: 30 type 2 diabetes mellitus cases with myocardial infarction and equal members of Type 2 diabetics without complications are enrolled. Thirty healthy subjects served as controls. Quantitative estimation of serum MDA levels were carried out in all the three groups, along with fasting blood glucose and total serum cholesterol. Results: It was found that serum MDA levels were significantly higher in both diabetic groups compare to the controls (P<0.01). Within the diabetic group, the serum MDA levels were significantly high in patients with myocardial infarction (P<0.01). Conclusion: The possible reason for significantly high serum MDA levels in cases of diabetic with myocardial infarction is due to tissue damage caused by myocardial infarction resulting in increased rate of production of free radicals as assessed by lipid per oxidation.
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Affiliation(s)
- Rashida Mahreen
- Bio Chemistry Department, Deccan Medical College, Hyderabad, India
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Mohsin M, Bauman AE, Forero R. Socioeconomic correlates and trends in smoking in pregnancy in New South Wales, Australia. J Epidemiol Community Health 2010; 65:727-32. [DOI: 10.1136/jech.2009.104232] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Ohta A, Kjaergaard J, Sharma S, Mohsin M, Goel N, Madasu M, Fradkov E, Ohta A, Sitkovsky M. In vitro induction of T cells that are resistant to A2 adenosine receptor-mediated immunosuppression. Br J Pharmacol 2008; 156:297-306. [PMID: 19076726 DOI: 10.1111/j.1476-5381.2008.00019.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND AND PURPOSE The increased levels of extracellular adenosine in inflamed tissues down-regulate activated immune cells via the A(2A) adenosine receptor. This A(2A) adenosine receptor-mediated immunosuppression is a disqualifying obstacle in cancer immunotherapy as it protects cancerous tissues from adoptively transferred anti-tumour T cells. The aim of this study was to test whether the negative selection of T cells will produce T cells that are resistant to inhibition by extracellular adenosine. EXPERIMENTAL APPROACH Cytotoxic T lymphocytes (CTL) were developed by mixed lymphocyte culture in the presence or absence of the adenosine receptor agonist 5'-N-ethylcarboxamidoadenosine (NECA). The sensitivity of CTL to adenosine analogues was characterized by cAMP induction, interferon-gamma production and cytotoxicity. KEY RESULTS CTL that could proliferate even in the presence of NECA were less susceptible to inhibition by A(2A) adenosine receptor agonists, as shown by a much smaller accumulation of cAMP and less inhibition of interferon-gamma production compared with control CTL. The successful protocol to produce CTL that are both resistant to adenosine-mediated immunosuppression and maintain strong cytotoxicity and interferon-gamma secretion required NECA to be added only during the expansion stage after the establishment of CTL. In contrast, the priming of resting T cells in the presence of NECA resulted in T cells with impaired effector functions. CONCLUSIONS AND IMPLICATIONS Adenosine-resistant effector T cells were successfully obtained by exposure of activated T cells to NECA. These in vitro studies form the basis for future attempts to produce anti-tumour T cells that are more effective in adoptive immunotherapy.
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Affiliation(s)
- Akio Ohta
- New England Inflammation and Tissue Protection Institute, Northeastern University, 360 Huntington Avenue, Boston, MA 02115, USA.
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Iqbal MM, Rashid HU, Banerjee SK, Rahman MH, Mohsin M. Changes in cardiac parameters of renal allograft recipients: a compilation of clinical, laboratory, and echocardiographic observations. Transplant Proc 2008; 40:2327-9. [PMID: 18790225 DOI: 10.1016/j.transproceed.2008.07.099] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
INTRODUCTION This study was undertaken to observe changes in cardiac parameters along with clinical and laboratory changes after renal transplantation. PATIENTS AND METHODS Cardiac parameters were evaluated by M-mode 2-dimensional echocardiography before transplantation and at monthly intervals. All subjects had functioning grafts at the time of the evaluations. RESULTS Fifty-two allograft recipients underwent pretransplant parameters for comparison to those at posttransplant months 1, 3, 6, and 12. When changes at month 1 and 3 were observed among 22 patients, improvements were evident at month 3. Comparisons of pretransplant versus month 3 showed systolic blood pressure (SBP), 161 +/- 16 to 133 +/- 26 mmHg (P < .002); diastolic BP (DBP), 101 +/- 9 to 86 +/- 11 mmHg, (P < .006); hemoglobin (Hgb), 7.3 +/- 1.6 to 11.2 +/- 3.9 g/dL (P < .006); left atrial diameter (LAD), 41 +/- 5 to 35 +/- 3 mm (P < .001); left ventricular muscle mass index (LVMI), 379 +/- 114 to 248 +/- 58 g/m2 (P < .001); and left ventricular end diastolic volume index (LVEDVI), 96 +/- 28 to 64 +/- 17 mL/m2 (P < .002). When changes at months 3, 6, and 12 were observed among 30 patients, improvements evident at month 3 were maintained. Comparisons of pretransplant and 3 and 12 months observations showed SBP, 157 +/- 17, 131 +/- 14, to 126 +/- 10 mm Hg (P < .001); DBP, 97 +/- 10, 83 +/- 16, to 85 +/- 6 mmHg (P < .001); Hgb, 7 +/- 1, 13 +/- 2, to 13 +/- 2 g/dL (P < .001); LAD, 39 +/- 7, 35 +/- 3, to 34 +/- 4 mm (P < .05); LVMI, 275 +/- 91, 191 +/- 38, to 159 +/- 26 g/m2 (P < .001); and LVEDVI, 87 +/- 29, 56 +/- 34, to 49 +/- 24 mL/m2 (P < .001). CONCLUSION Significant improvements in cardiac parameters were evident by the third month post-renal transplantation; the changes were maintained over a longer period among patients with functional grafts.
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Affiliation(s)
- M M Iqbal
- Department of Nephrology, SSMC&MH, Bangladesh.
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Mohsin M, Jalaludin B. Influence of previous pregnancy outcomes and continued smoking on subsequent pregnancy outcomes: an exploratory study in Australia. BJOG 2008; 115:1428-35. [DOI: 10.1111/j.1471-0528.2008.01864.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Khoja S, Scott RE, Casebeer AL, Mohsin M, Ishaq AFM, Gilani S. e-Health readiness assessment tools for healthcare institutions in developing countries. Telemed J E Health 2007; 13:425-31. [PMID: 17848110 DOI: 10.1089/tmj.2006.0064] [Citation(s) in RCA: 92] [Impact Index Per Article: 5.4] [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: 11/12/2022] Open
Abstract
e-Health Readiness refers to the preparedness of healthcare institutions or communities for the anticipated change brought by programs related to Information and Communications Technology (ICT). This paper presents e-Health Readiness assessment tools developed for healthcare institutions in developing countries. The objectives of the overall study were to develop e-health readiness assessment tools for public and private healthcare institutions in developing countries, and to test these tools in Pakistan. Tools were developed using participatory action research to capture partners' opinions, reviewing existing tools, and developing a conceptual framework based on available literature on the determinants of access to e-health. Separate tools were developed for managers and for healthcare providers to assess e-health readiness within their institutions. The tools for managers and healthcare providers contained 54 and 50 items, respectively. Each tool contained four categories of readiness. The items in each category were distributed into sections, which either represented a determinant of access to e-health, or an important aspect of planning. The conceptual framework, and the validity and reliability testing of these tools are presented in separate papers. e-Health readiness assessment tools for healthcare providers and managers have been developed for healthcare institutions in developing countries.
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Affiliation(s)
- Shariq Khoja
- Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada.
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Abstract
This study identified the influences of maternal socio-demographic and antenatal factors on stillbirths and neonatal deaths in New South Wales, Australia. Bivariate and multivariate analyses were used to explore the association of selected antenatal and maternal characteristics with stillbirths and neonatal deaths. The findings of this study showed that stillbirths and neonatal deaths significantly varied by infant sex, maternal age, Aboriginality, maternal country of birth, socioeconomic status, parity, maternal smoking behaviour during pregnancy, maternal diabetes mellitus, maternal hypertension, antenatal care, plurality of birth, low birth weight, place of birth, delivery type, maternal deaths and small gestational age. First-born infants, twins and infants born to teenage mothers, Aboriginal mothers, those who smoked during the pregnancy and those of lower socioeconomic status were at increased risk of stillbirths and neonatal deaths. The most common causes of stillbirths were conditions originating in the perinatal period: intrauterine hypoxia and asphyxia. Congenital malformations, including deformities and chromosomal abnormalities, and disorders related to slow fetal growth, short gestation and low birth weight were the most common causes of neonatal deaths. The findings indicate that very low birth weight (less than 2,000 g) contributed 75.6% of the population-attributable risks to stillbirths and 59.4% to neonatal deaths. Low gestational age (less than 32 weeks) accounted for 77.7% of stillbirths and 87.9% of neonatal deaths. The findings of this study suggest that in order to reduce stillbirths and neonatal deaths, it is essential to include strategies to predict and prevent prematurity and low birth weight, and that there is a need to focus on anti-smoking campaigns during pregnancy, optimizing antenatal care and other healthcare programmes targeted at the socially disadvantaged populations identified in this study.
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Affiliation(s)
- M Mohsin
- Centre for Research, Evidence Management & Surveillance, Division of Population Health, South Western Sydney Area Health Service, New South Wales, Australia
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Abstract
The present study was done to explore the diagnostic yield by the non-aspiration technique as compared with fine needle aspiration cytology (FNAC) of lesions in the thyroid gland. This method of non-aspiration fine needle cytology, which utilizes no active suction or aspiration, was performed on 150 patients presenting with enlargement of the thyroid gland. Smears were then cytologically assessed as unsuitable, diagnostically adequate or diagnostically superior, without knowledge of the sampling method employed. Diagnostically superior specimens were obtained significantly more frequently by the non-aspiration technique in 136 benign lesions and 14 neoplasms. Thus, the non-aspiration technique combined with FNAC can result in obtaining good quality cellular material in thyroid lesions.
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Affiliation(s)
- S A Ali Rizvi
- Department of Surgery and Pathology JNMCH, A.M.U., Aligarh, UP, India.
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Mohsin M. Anti-smoking campaign in Multan, Pakistan. East Mediterr Health J 2005; 11:1110-4. [PMID: 16761682] [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: 05/10/2023]
Abstract
Smoking is a serious public health concern, particularly among young people. This communication describes an anti-smoking campaign targeted at the students of Nishtar Medical College and Bahauddin Zakariya University in Multan. The aim was to promote sports and discourage smoking though community participation and mobilization. A mixed media strategy was adopted and information and education materials were developed. A seminar was held giving information on smoking, its hazards, quitting strategies and experiences. This was followed by a cricket match played between the students at which further brochures were distributed and slogans displayed. The activity was very successful and succeeded in mobilizing the community and putting over the anti-smoking message. Such events could be used to promote other issues related to lifestyle.
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Affiliation(s)
- M Mohsin
- Department of Community Medicine, Nishtar Medical College, Multan, Pakistan.
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Iqbal M, Hossain R, Rahman H, Das S, Hossain J, Salam A, Islam M, Mohsin M. Acute complicating symptoms during hemodialysis sessions have well correlation with deranged blood pressure regulation. Hemodial Int 2005. [DOI: 10.1111/j.1492-7535.2005.1121br.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: 11/29/2022]
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Abstract
This study identified the influences of neonatal and maternal factors on premature birth and low birth weight in New South Wales, Australia. Bivariate and multivariate analyses were used to explore the association of selected neonatal and maternal characteristics with premature birth and low birth weight. The findings of this study showed that premature birth and low birth weight rate significantly varied by infant sex, maternal age, marital status, Aboriginality, parity, maternal smoking behaviour during pregnancy and maternal hypertension. First-born infants, and infants born to mothers aged less than 20 years, or who were single, separated/divorced, Aboriginal or who smoked during the pregnancy, were at increased risk of being premature or of low birth weight. This study also found that risk factors for premature births and low birth weight were similar in both singleton and multiple births. Gestational age was confirmed to be the single most important risk factor for low birth weight. The findings of this study suggest that in order to reduce the incidence of low birth weight and premature births, health improvement strategies should focus on anti-smoking campaigns during pregnancy and other healthcare programmes targeted at the socially disadvantaged populations identified in the study.
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Affiliation(s)
- M Mohsin
- Epidemiology Unit, South Western Sydney Area Health Service, NSW, Australia
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Carnegie MA, Bauman A, Marshall AL, Mohsin M, Westley-Wise V, Booth ML. Perceptions of the physical environment, stage of change for physical activity, and walking among Australian adults. Res Q Exerc Sport 2002; 73:146-155. [PMID: 12092889 DOI: 10.1080/02701367.2002.10609003] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Data for this study were from a population survey of 1,200 adults ages 40-60 years, sampled from the Illawarra region of New South Wales. Questionnaire items on perceptions of the environment were factor analyzed into: Aesthetic Environment and Practical Environment. For both factors, those in the Contemplation stage had more negative views of the environment than those in Maintenance. Those who walked for 0-20 min/week held more negative perceptions of their environment than those who walked for 21-120 min/week and those who walked for > 120 min/week. The health promotion implications of these findings are that environments perceived as attractive and as providing convenient access to services and facilities may influence motivational readiness for physical activity and time spent walking.
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Affiliation(s)
- M A Carnegie
- Department of Public Health and Community Medicine, University of Sydney, Australia
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Abstract
During the last three decades, ectopic pregnancy rates have increased considerably in different parts of the world including Australia. Recent reports, however, suggest that the incidence is decreasing or at least stabilising. An analysis of the New South Wales Inpatient Statistics Data collected during the period between 1990 and 1998 has shown a decline in the rate of ectopic pregnancy after 1993. Overall the rate decreased from 17.4 per 1,000 births in 1990-1991 to 16.2 per 1,000 births in 1997-1998. The decline was greater for women aged 35-44 years than for younger women. The findings are consistent with recent studies in other countries, which indicate slowing or the end of the previous upward trend in the incidence of ectopic pregnancy
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Affiliation(s)
- S Boufous
- Epidemiology Unit, Liverpool Hospital, South Western Sydney Area Health Service, New South Wales, Australia
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Singh RP, Goldberg I, Mohsin M. The efficacy and safety of intraoperative and/or postoperative 5-fluorouracil in trabeculectomy and phacotrabeculectomy. Clin Exp Ophthalmol 2001; 29:296-302. [PMID: 11720155 DOI: 10.1046/j.1442-9071.2001.00437.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.1] [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: 11/20/2022]
Abstract
PURPOSE First, to assess the safety and efficacy of using 5-fluorouracil (5-FU) to improve trabeculectomy and phacotrabeculectomy success rates, and second, to assess the efficacy of intraoperative and reduced postoperative 5-FU following trabeculectomy compared with a more intensive course of postoperative 5-FU alone. METHODS In a retrospective, unmatched, non-randomized consecutive series study, 186 eyes of 186 patients who had filtration surgery were followed for 2 years in four groups: 51 patients had undergone trabeculectomy surgery with postoperative 5-FU, 51 had phacotrabeculectomy with postoperative 5-FU, 56 had trabeculectomy with both intraoperative and postoperative 5-FU, and 28 patients had trabeculectomy without antifibrotics. RESULTS At all times mean intraocular pressure (IOP) was reduced n all groups (P < 0.001 for each group). Success was defined as IOP < 16 mmHg and > 30% IOP reduction at the 2-year follow up. It was achieved in 71% of the trabeculectomy patients with intraoperative and postoperative 5-FU, 76% of the trabeculectomy group with only postoperative 5-FU, 55% of the phacotrabeculectomy/5-FU group, and in 29% of the trabeculectomy-only eyes (between-group differences P < 0.01). Success rates were not significantly different for the intraoperative and postoperative 5-FU trabeculectomy versus the postoperative 5-FU-only eyes, but the former had fewer postoperative 5-FU injections and corneal ulceration (P < 0.01 for both). CONCLUSIONS 5-Fluorouracil was safe and improved trabeculectomy survival. Intraoperative 5-FU allowed fewer postoperative 5-FU injections and fewer side-effects without compromising success rates. Phacotrabeculectomy with postoperative 5-FU had a lower surgical success rate than did trabeculectomy with 5-FU and this was not statistically different from trabeculectomy without 5-FU.
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Affiliation(s)
- R P Singh
- Eye Associates, Sydney, New South Wales, Australia
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Abstract
PURPOSE To assess possible correlations between central corneal thickness, tonometry, and ocular dimensions. PATIENTS AND METHODS One hundred seventeen eyes of 117 patients who were not taking any intraocular pressure-lowering medications were studied prospectively. Forty-one patients had ocular hypertension; 13 patients had primary open-angle glaucoma; and 10 patients had normal-pressure glaucoma. Twenty-three healthy eyes were included. Thirty glaucoma suspects (10 patients monitored for possible normal-pressure glaucoma and 20 patients with intermittent ocular hypertension) were included for correlation analysis. Tonometry was performed with Goldmann applanation and pneumotonometry, and central corneal thickness, anterior chamber depth, lens thickness, and axial length were measured ultrasonically. RESULTS Central corneal thickness was lowest in eyes with normal-pressure glaucoma (538 +/- 51 microm), highest in eyes with ocular hypertension (570 +/- 32 microm), and intermediate and similar in eyes with primary open-angle glaucoma and healthy eyes (547 +/- 34 microm and 554 +/- 32 microm, respectively). These differences were significant (P = 0.028). Goldmann applanation tonometry and central corneal thickness were weakly correlated (r = 0.12, P = 0.205), with a 0.2-mm Hg change per 10-microm variation in central corneal thickness. Pneumotonometry measurements were more strongly correlated with central corneal thickness (r = 0.21, P < 0.05). Lens thickness was strongly correlated with age (r = 0.57, P < 0.001). Anterior chamber depth was negatively correlated with lens thickness and age (r = -0.29, P < 0.005 and r = -0.25, P < 0.01). Axial length was correlated with anterior chamber depth and age (r = 0.5, P < .001 and r = -0.19, P < 0.05). CONCLUSION Eyes diagnosed as having ocular hypertension have thicker corneas and eyes labeled as having normal-pressure glaucoma have thinner corneas, when compared with healthy eyes or eyes with primary open-angle glaucoma. The effect of central corneal thickness on Goldmann applanation tonometry accuracy appears to be small and usually not clinically relevant. When corneal thickness is markedly different from normal, the clinician may need to factor this into diagnosis and management.
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Affiliation(s)
- R P Singh
- Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
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Abstract
PURPOSE To compare the Swedish interactive thresholding algorithm (SITA) strategy with the full threshold strategy in routine clinical practice. METHODS Using the Humphrey visual field analyzer model 750 (Allergan Humphrey, San Leandro, CA), 108 subjects were tested with 24-2 SITA (version A9) and 24-2 full threshold strategies. Test results were compared for time taken and reliability and on the basis of seven criteria of abnormality. RESULTS The SITA required on average 48.8% less time than the full threshold strategy. Patient reliability parameters were somewhat better with SITA. There was a strong correlation between mean deviation and pattern standard deviation. Average threshold sensitivity at each point was increased by 1.31 dB with SITA, but greater differences were seen at points with lower sensitivity. Using the full threshold strategy as our standard for comparison, the sensitivity of SITA varied from 83.0% to 93.2% in detecting the variously defined abnormalities. Fields shown as normal with full threshold strategy corresponded with those found to be normal with SITA in 79.0 to 96.3% cases depending on criteria for abnormality. There were a few cases in which SITA suggested an early abnormality but results of full threshold testing remained normal. On average, the size and depth of scotomas decreased slightly with SITA, but this difference was not statistically significant. Of the 70 patients surveyed about their preference, 65 (92.9%) preferred SITA. CONCLUSION Full threshold and SITA strategies are comparable in detecting glaucomatous defects. The SITA strategy requires significantly less time to perform and is a satisfactory alternative to full threshold algorithms in clinical practice for diagnosis and management of glaucoma.
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Affiliation(s)
- A K Sharma
- Townsville Hospital, Queensland, Australia
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Mohsin M, Bauman A, Ieraci S. Is there equity in emergency medical care? Waiting times and walk-outs in South Western Sydney hospital emergency departments. AUST HEALTH REV 1997; 21:133-49. [PMID: 10185681 DOI: 10.1071/ah980133] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [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: 11/23/2022]
Abstract
This study explores the association between selected socioeconomic characteristics of emergency patients with waiting times in emergency departments and walk-outs (those who did not wait for treatment) in South Western Sydney Area Health Service hospital emergency departments. Bivariate and multivariate analyses indicated that waiting times to see a doctor and walk-out rates varied by age, sex, country of birth, insurance status, socioeconomic status, severity of patient illness and day of arrival. Patients who were female, from a non-English-speaking background, self-referred, uninsured and those from lower socioeconomic status showed significantly longer waiting times than others. Patients who left emergency departments without treatment showed higher waiting times from arrival to triage than other groups. This applied across socioeconomic categories. These findings indicate that prolonged waiting times for triage, which occur at the busiest periods, may be one of the main indicators for patients leaving emergency departments without treatment. The study also demonstrates variability in waiting times, which could possibly be partly addressed by more standardised triage policies, but may be influenced by other non-clinical factors, which require further investigation.
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Affiliation(s)
- M Mohsin
- Epidemiology Unit, South Western Sydney Area Health Service
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Nath SR, Mohsin M, Chowdhury AM. Health knowledge of children in Bangladesh: an exploratory study. Public Health 1997; 111:311-5. [PMID: 9308380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
This article explores the relationship between selected socio-economic factors and health knowledge of children in Bangladesh. Data was generated from a representative sample survey of 2520 children aged 11-12 y and resident throughout the country. A total of six health knowledge items, all of which are very relevant to Bangladesh, were assessed in this study. Both bivariate and multivariate analysis were used for this purpose. Analysis revealed that the urban/rural residence of the child, the length of the child's schooling in years, the parental level of education and the economic status of the household was associated with the level of health knowledge of the children. To achieve the required improvement in health knowledge of Bangladeshi children this study concluded that adequate schooling of all children must be ensured by removing social barriers to this. Greater educational investment as well as quality education related to everyday life should be provided in rural areas.
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Affiliation(s)
- S R Nath
- Department of Educational Studies, University of Oxford
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Abstract
The effects of selected socioeconomic factors on basic competencies of children in Bangladesh were studied using primary data on 2520 children from all over the country. The residence of the child, years of schooling, parental education and economic status of the household were found to be important determinants of basic competencies of children.
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Affiliation(s)
- M Mohsin
- Department of Population Studies, London School of Economics
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Mohsin M, Sud SC. Response of gastric motility to drugs in the unilaterally vagotomized buffalo. Indian J Exp Biol 1978; 16:937-9. [PMID: 711262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Sud SC, Mohsin M. Bulbar control of rumino-reticular motility in the buffalo, Bulbalus bubalis. Indian J Exp Biol 1977; 15:440-3. [PMID: 598874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Mohsin M, Pal AK. Phyto-estrogen in relation to physiology of birds. Effect on the development of reproductive and endocrine organs of chicken. Indian Vet J 1977; 54:25-8. [PMID: 873599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Sud SC, Mohsin M. Exaggerated response of rumino-reticular contraction to medullary stimulation in the buffalo. Indian J Exp Biol 1976; 14:19-21. [PMID: 955683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Mohsin M, Pal AK. Estrogenic and antiestrogenic activity in Indian forage plants. Indian Vet J 1975; 52:221-4. [PMID: 1232058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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