1
|
Khalil R, Kellett S, Petrushkin H, Twomey C, Rahi J, Solebo AL. Show don't tell: assessing the impact of co-developed patient information videos in paediatric uveitis. Eye (Lond) 2024; 38:246-252. [PMID: 37460691 PMCID: PMC10810776 DOI: 10.1038/s41433-023-02659-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 06/26/2023] [Indexed: 01/27/2024] Open
Abstract
BACKGROUND/OBJECTIVES There is a paucity of online educational content targeting children and young people with uveitis. We evaluated the impact of a co-designed patient education video on subjective and objective understanding of childhood uveitis. SUBJECTS/METHODS Co-designed patient education media were produced in collaboration with the Childhood Uveitis Studies steering group and the Great Ormond Street Hospital Generation R Young People's Advisory Group and narrated by children. Patients managed within the Uveitis service at GOSH were invited to take part in a pre-post survey, undertaken immediately prior to and following viewing of a patient education video. RESULTS Forty-three patients participated. These were stratified according to age, duration of disease, and treatment type for analysis. Self-rated knowledge improved across all groups (p = 0.001), particularly in those with a new diagnosis of uveitis (Z = -8.124, p < 0.001). Objective knowledge scores improved across all questions, especially in younger children, those with new disease, and those on steroid only treatment (Z = -3.847, p < 0.001, Z = -3.975, p < 0.001, Z = -3.448, p < 0.001; respectively). Most participants reported the videos to be easy to understand and with the right amount of information. All stated that they learned something new. CONCLUSIONS Patient understanding of disease and treatment is crucial to achieving the best possible outcomes for this chronic, relapsing remitting and potentially blinding disorder. Our findings data shows the potential value of co-designed patient information videos, specifically in our study benefitting younger patients and those recently diagnosed. We suggest that other clinical teams could collaborate fruitfully with patient groups to develop similar videos to target possible misinformation and potentially improve patient outcomes.
Collapse
Affiliation(s)
- Rana Khalil
- Royal College of Surgeons, Dublin, Ireland
- Moorfields Eye Hospital NHS Trust, London, UK
- Population, Policy and Practice Programme Department of Research and Teaching, UCL GOS Institute of Child Health, London, UK
| | - Salomey Kellett
- Population, Policy and Practice Programme Department of Research and Teaching, UCL GOS Institute of Child Health, London, UK
| | - Harry Petrushkin
- Moorfields Eye Hospital NHS Trust, London, UK
- Great Ormond Street Hospital for Children NHS Trust, London, UK
- Moorfield Eye Hospital Biomedical Research Centre, London, UK
| | | | - Jugnoo Rahi
- Population, Policy and Practice Programme Department of Research and Teaching, UCL GOS Institute of Child Health, London, UK
- Great Ormond Street Hospital for Children NHS Trust, London, UK
- Moorfield Eye Hospital Biomedical Research Centre, London, UK
| | - Ameenat Lola Solebo
- Population, Policy and Practice Programme Department of Research and Teaching, UCL GOS Institute of Child Health, London, UK.
- Great Ormond Street Hospital for Children NHS Trust, London, UK.
| |
Collapse
|
2
|
Elsaigh M, Awan B, Shabana A, Sohail A, Asqalan A, Saleh O, Szul J, Khalil R, Elgohary H, Marzouk M, Alasmar M. Comparing Safety and Efficacy Outcomes of Gastric Bypass and Sleeve Gastrectomy in Patients With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis. Cureus 2024; 16:e52796. [PMID: 38389648 PMCID: PMC10883263 DOI: 10.7759/cureus.52796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2024] [Indexed: 02/24/2024] Open
Abstract
Sleeve Gastrectomy (SG) could be done by the removal of a big portion of the stomach, leading to reduced amounts of food taken as a result of the smaller stomach size. In contrast, Roux-en-Y Gastric Bypass (RYGB) can be done by creating a small stomach pouch and rerouting a part of the small intestine, employing combined mechanisms of restriction and malabsorption to limit food intake and modify nutrient absorption. Our aim is to identify the most effective and safest surgical intervention for individuals with both Type 2 Diabetes Mellitus (T2DM) and obesity, considering both short and long-term outcomes. We will assess participants undergoing either SG or RYGB to determine the optimal surgical approach. We made a thorough search of PubMed, Cochrane Library, Scopus, and Web of Science databases up to November 2023. Our focus was on randomized controlled trials (RCTs) comparing the safety and efficacy of RYGB and SG in T2DM regarding any extractable data. We excluded studies of other designs, such as cohorts, case reports, case series, reviews, in vitro studies, postmortem analyses, and conference abstracts. Utilizing Review Manager 5.4, we performed a meta-analysis, combining risk ratios (RR) with a 95% confidence interval (CI) conducted for binary outcomes, while mean with SD and 95% CI are pooled for the continuous ones. The total number of participants in our study is 4,148 patients. Our analysis indicates superior outcomes in the group undergoing RYGB surgery compared to the SG group (RR = 0.76, 95% (CI) (0.66 to 0.88), P = 0.0002). The pooled data exhibited homogeneity (P = 0.51, I2 = 0%) after employing the leave-one-out method. For the 1-3 year period, six studies involving 332 patients with T2DM yielded non-significant results (RR = 0.83, 95% CI (0.66 to 1.06), P = 0.14) with homogeneity (P = 0.24, I2 = 28%). Conversely, the 5-10 year period, with six studies comprising 728 DM patients, demonstrated significant results (RR = 0.69, 95% CI (0.56 to 0.85), P = 0.14) and homogeneity (P = 0.84, I2 = 0%). In terms of total body weight loss, our findings indicate significantly higher weight loss with RYGB (mean difference (MD) = -6.13, 95% CI (-8.65 to -3.6), P > 0.00001). However, pooled data exhibited considerable heterogeneity (P > 0.00001, I2 = 93%). Subgroup analyses for the 1-3 year period (five studies, 364 DM patients) and 5-10 year period (six studies, 985 DM patients) also revealed significant differences favoring RYGB, with heterogeneity observed in both periods (1-3 years: P > 0.00001, I2 = 95%; 5-10 years: P = 0.001, I2 = 75%). RYGB demonstrated significant long-term improvement in diabetes remission and superior total body weight loss compared to SG. While no notable differences were observed in other efficacy outcomes, safety parameters require further investigation. no significant distinctions were found in any of the safety outcomes: hypertension (HTN), high-density lipoprotein (HDL), hyperlipidemia, fasting blood glucose, vomiting, low-density lipoprotein (LDL), and total cholesterol. Further research is essential to comprehensively assess safety outcomes for both surgical approaches.
Collapse
Affiliation(s)
- Mohamed Elsaigh
- General and Emergency Surgery, Northwick Park Hospital, London North West University, London, GBR
| | - Bakhtawar Awan
- General and Emergency Surgery, Northwick Park Hospital, London North West University, London, GBR
| | - Ahmed Shabana
- Bariatric and General Surgery, Shifa Hospital, Cairo, EGY
| | - Azka Sohail
- General and Emergency Surgery, Northwick Park Hospital, London North West University, London, GBR
| | - Ahmad Asqalan
- Thoracic Surgery, Norfolk and Norwich University Hospital, Norwich, GBR
| | - Omnia Saleh
- Surgery, Brigham and Women's Hospital, Boston, USA
| | - Justyna Szul
- General and Emergency Surgery, Northwick Park Hospital, London North West University, London, GBR
| | - Rana Khalil
- General and Emergency Surgery, Newcastle University Hospitals and Kasralainy Medical School, Cairo University, Cairo, EGY
| | - Hatem Elgohary
- General and Emergency Surgery, Helwan University, Cairo, EGY
| | - Mohamed Marzouk
- General and Emergency Surgery, Northwick Park Hospital, London North West University, London, GBR
| | - Mohamed Alasmar
- General and Emergency Surgery, Salford Royal Hospital, University of Manchester, Manchester, GBR
| |
Collapse
|
3
|
Khalil R, Mossa H, Jwad M. MITOFUSIN 1 AS A MARKER FOR EMBRYO QUALITY AND DEVELOPMENT IN RELEVANCE TO ICSI OUTCOME IN INFERTILE FEMALES. Georgian Med News 2023:58-61. [PMID: 38325299] [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: 02/09/2024]
Abstract
Mitofusin-1 is one of the membrane profusion proteins that is present in the mitochondria wall. It has a role in mitochondrial fusion. Deletion of mitochondrial fusion proteins in oocytes leads to dynamic defects in mitochondria. Growth of implanted and after implantation embryo is an ATP-demanding step that involves a range of ATP-consuming events that require a small amount of ATP. The study aims to evaluate the mitofusin-1 in the serum and follicular fluid as a marker for the evaluation of embryo quality, in addition to the pregnancy rate in infertile females undergoing ICSI cycles. The cross-section study included 50 infertile couples who were prospectively recruited according to specific criteria at the" High Institute for Infertility Diagnosis and Assisted Reproductive Technologies" at AL-Nahrain University for one year. all participants have undergone oocyte pickup, ICSI, and embryo transfer. Mitofusin-1 levels were measured in serum on day 2 of the cycle and in follicular fluid on the day of ova pick-up. Showed important positive relations between follicular fluids mitofusin-1 with a total number of embryos (r=0.428 & p=0.002), GI embryos (r=0.335 & p=0.017) and GII embryos (r=0.295 & p=0.038). Out of 50 females, 14 (28.0 %) females became pregnant according to the results there were significantly higher follicular fluids mitofusin-1 levels in pregnant females (3.88±1.41 vs. 2.73±1.24 & p=0.007) compared to non-pregnant group. Also, the follicular fluids mitofusin-1 cut-off value was ≥2.89 ng/ml with sensitivity=71.4%, specificity=66.7%, positive predictive value 47.8%, negative predictive value 88.9%. Elevated MEN1 levels in the follicular fluid may affect positively IVF/ICSI outcomes (embryo quality, and pregnancy rate).
Collapse
Affiliation(s)
- R Khalil
- High Institute for Infertility Diagnosis and Assisted Reproductive Technology, Al-Nahrain University, Baghdad, Iraq
| | - H Mossa
- High Institute for Infertility Diagnosis and Assisted Reproductive Technology, Al-Nahrain University, Baghdad, Iraq
| | - M Jwad
- High Institute for Infertility Diagnosis and Assisted Reproductive Technology, Al-Nahrain University, Baghdad, Iraq
| |
Collapse
|
4
|
Khalil R, Petrushkin H, Rees A, Westcott M. The incidence, presenting clinical findings and treatment patterns of Birdshot Retinochoroiditis in a high-prevalence region: findings from Northern Ireland, England and Wales. Eye (Lond) 2023; 37:2817-2825. [PMID: 36765269 PMCID: PMC10482920 DOI: 10.1038/s41433-023-02425-y] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 01/10/2023] [Accepted: 01/23/2023] [Indexed: 02/12/2023] Open
Abstract
BACKGROUND Birdshot Retinochoroiditis (BSRC) is a rare, chronic posterior uveitis that is strongly associated with HLA-A*29.2 positivity. To date, no robust incidence studies of BSRC have been undertaken. We present the first epidemiological study of BSRC in a high-prevalence region. METHODS In collaboration with the British Ophthalmological Surveillance Unit, all new cases of BSRC between May 2017 and June 2019 were prospectively collected. Presenting demographics, symptoms, signs and treatment modalities were collected. A follow-up questionnaire twelve months later was also sent. RESULTS Thirty-seven confirmed cases meeting the reporting criteria were identified. Twenty-three cases had both baseline and follow-up data. The total population incidence of BSRC was 0.035 cases per 100,000 person-years [95% CI 0.025-0.048 cases per 100 000 people]. 97.3% were HLA-A*29 positive. The median age was 46 years, with females making up 78% of patients. There were no significant differences in the latitudinal incidence of BSRC. At presentation, floaters were the most common symptom. Optic disc swelling was the most common sign. Mean presenting visual acuity was independent of symptom duration. Combined systemic corticosteroids and immunomodulatory therapy were the most common treatments at baseline and follow-up. Intravitreal steroids were equally popular at follow-up. CONCLUSIONS This study provides the first nationwide estimate of the incidence of BSRC in a high-prevalence region. Cases were more common in females, with a broad range of presentation ages. No significant latitudinal effect of incidence was identified. Systemic therapy with steroids and IMT remain the most common treatments.
Collapse
Affiliation(s)
- Rana Khalil
- Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin, D02 YN77, Republic of Ireland.
| | - Harry Petrushkin
- Moorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, United Kingdom
- Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1N 3JH, United Kingdom
- UCL Institute of Ophthalmology, 11-43 Bath St, London, EC1V 9EL, United Kingdom
| | - Angela Rees
- Moorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, United Kingdom
| | - Mark Westcott
- Moorfields Eye Hospital NHS Foundation Trust, 162 City Road, London, EC1V 2PD, United Kingdom
- Queen Mary University of London, Mile End Rd, Bethnal Green, London, E1 4NS, United Kingdom
| |
Collapse
|
5
|
Baffoun A, Abdelhedi L, Beji M, Bouguedima A, Khalil R, Yousfi M. Préparation et contrôle des flacons de citrate trisodique indiqué comme anticoagulant régional dans le circuit extracorporel au cours d’une séance de dialyse chez les patients intolérants à l’héparine. Nephrol Ther 2022. [DOI: 10.1016/j.nephro.2022.07.154] [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]
|
6
|
Jones P, Ho J, Burbridge H, Hill D, Khalil R, Raumati I. Accuracy of real-time SNOMED-CT coding by clinicians in an urban tertiary emergency department: a retrospective cohort study. Int J Med Inform 2022; 165:104813. [DOI: 10.1016/j.ijmedinf.2022.104813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 03/15/2022] [Accepted: 06/05/2022] [Indexed: 10/18/2022]
|
7
|
Ho J, Burbridge H, Raumati I, Khalil R, Hill D, Jones P. Disposition disparities in an urban tertiary emergency department. Emerg Med Australas 2022; 34:626-628. [PMID: 35584905 PMCID: PMC9545171 DOI: 10.1111/1742-6723.13996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 04/11/2022] [Indexed: 11/26/2022]
Abstract
Objective To explore disparities between Māori and non‐Māori patients with respect to triage acuity and disposition based on presenting complaint. Methods This was a retrospective review of 5788 (n = 594 Māori, n = 5194 non‐Māori) ED visits in February 2021, extracted from the hospital data warehouse. Results Māori were triaged similarly to non‐Māori but were less likely to be admitted compared to non‐Māori: relative risk 0.87 (0.78, 0.97), P = 0.008. Conclusion Māori were less likely to be admitted for similar presenting complaints, despite similar triage acuity. Further research is required to determine the reasons for this apparent inequity.
Collapse
Affiliation(s)
- Jess Ho
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Hayley Burbridge
- Emergency Department, Auckland City Hospital, Auckland, New Zealand
| | - Inia Raumati
- Emergency Department, Auckland City Hospital, Auckland, New Zealand
| | - Rana Khalil
- Emergency Department, Auckland City Hospital, Auckland, New Zealand
| | - Dane Hill
- Emergency Department, Auckland City Hospital, Auckland, New Zealand
| | - Peter Jones
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.,Emergency Department, Auckland City Hospital, Auckland, New Zealand
| |
Collapse
|
8
|
Osman M, Doukas G, Namjoshi G, Khalil R, Ali J, Bhusari S. Spilled gallstone mimicking right middle lobe pulmonary nodule. Ann R Coll Surg Engl 2022; 104:29-31. [PMID: 35100861 DOI: 10.1308/rcsann.2021.0747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023] Open
Abstract
Laparoscopic cholecystectomy is the standard of care for the surgical management of symptomatic gallstone disease. Gallstone spillage at laparoscopic cholecystectomy is common, with a reported incidence of 0.2-20%. In the majority of cases there are no complications associated with this spillage, but a series of studies report patients with complications of free peritoneal gallstones. We present a case of migration of gallstone to the lung resulting in an inflammatory mass in the right middle lobe as a complication of spillage at laparoscopic cholecystectomy.
Collapse
Affiliation(s)
- M Osman
- Basildon and Thurrock University Hospitals NHS Foundation Trust, UK
| | - G Doukas
- Basildon and Thurrock University Hospitals NHS Foundation Trust, UK
| | - G Namjoshi
- Basildon and Thurrock University Hospitals NHS Foundation Trust, UK
| | - R Khalil
- Ain Shams University, Cairo, Egypt
| | - J Ali
- Royal Papworth Hospital NHS Foundation Trust, UK
| | - S Bhusari
- Basildon and Thurrock University Hospitals NHS Foundation Trust, UK
| |
Collapse
|
9
|
Osman M, Doukas G, Namjoshi G, Khalil R, Ali J, Bhusari S. Spilled gallstone mimicking right middle lobe pulmonary nodule. Ann R Coll Surg Engl 2021; 104:e29-e31. [PMID: 34807771 DOI: 10.1308/rcsann.2021.0023] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Laparoscopic cholecystectomy is the standard of care for the surgical management of symptomatic gallstone disease. Gallstone spillage at laparoscopic cholecystectomy is common, with a reported incidence of 0.2-20%. In the majority of cases there are no complications associated with this spillage, but a series of studies report patients with complications of free peritoneal gallstones. We present a case of migration of gallstone to the lung resulting in an inflammatory mass in the right middle lobe as a complication of spillage at laparoscopic cholecystectomy.
Collapse
Affiliation(s)
- M Osman
- Basildon and Thurrock University Hospitals NHS Foundation Trust, UK
| | - G Doukas
- Basildon and Thurrock University Hospitals NHS Foundation Trust, UK
| | - G Namjoshi
- Basildon and Thurrock University Hospitals NHS Foundation Trust, UK
| | - R Khalil
- Ain Shams University, Cairo, Egypt
| | - J Ali
- Royal Papworth Hospital NHS Foundation Trust, UK
| | - S Bhusari
- Basildon and Thurrock University Hospitals NHS Foundation Trust, UK
| |
Collapse
|
10
|
Greenan E, Gallagher S, Khalil R, Murphy CC, Ní Gabhann-Dromgoole J. Advancing Our Understanding of Corneal Herpes Simplex Virus-1 Immune Evasion Mechanisms and Future Therapeutics. Viruses 2021; 13:v13091856. [PMID: 34578437 PMCID: PMC8473450 DOI: 10.3390/v13091856] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 09/10/2021] [Accepted: 09/12/2021] [Indexed: 12/24/2022] Open
Abstract
Herpes stromal keratitis (HSK) is a disease that commonly affects the cornea and external eye and is caused by Herpes Simplex Virus type 1 (HSV-1). This virus infects approximately 66% of people worldwide; however, only a small portion of these people will develop symptoms in their lifetime. There is no cure or vaccine available for HSV-1; however, there are treatments available that aim to control the inflammation caused by the virus and prevent its recurrence. While these treatments are beneficial to those suffering with HSK, there is a need for more effective treatments to minimise the need for topical steroids, which can have harmful effects, and to prevent bouts of disease reactivation, which can lead to progressive corneal scarring and visual impairment. This review details the current understanding of HSV-1 infection and discusses potential novel treatment options including microRNAs, TLRs, mAbs, and aptamers.
Collapse
Affiliation(s)
- Emily Greenan
- Department of Ophthalmology, Royal College of Surgeons in Ireland, D02 XK51 Dublin, Ireland; (E.G.); (C.C.M.)
- School of Pharmacy and Biomolecular Sciences (PBS), RSCI Research Institute, Royal College of Surgeons in Ireland, D02 XK51 Dublin, Ireland;
| | - Sophie Gallagher
- School of Biological and Health Sciences, Technological University (TU) Dublin, Kevin Street, D02 XK51 Dublin, Ireland;
| | - Rana Khalil
- School of Pharmacy and Biomolecular Sciences (PBS), RSCI Research Institute, Royal College of Surgeons in Ireland, D02 XK51 Dublin, Ireland;
| | - Conor C. Murphy
- Department of Ophthalmology, Royal College of Surgeons in Ireland, D02 XK51 Dublin, Ireland; (E.G.); (C.C.M.)
- Department of Ophthalmology, Royal Victoria Eye and Ear Hospital, D02 XK51 Dublin, Ireland
| | - Joan Ní Gabhann-Dromgoole
- Department of Ophthalmology, Royal College of Surgeons in Ireland, D02 XK51 Dublin, Ireland; (E.G.); (C.C.M.)
- School of Pharmacy and Biomolecular Sciences (PBS), RSCI Research Institute, Royal College of Surgeons in Ireland, D02 XK51 Dublin, Ireland;
- Correspondence:
| |
Collapse
|
11
|
Abd-Elghany R, Khoder H, Khalil R, El-Mansy M. Study on nonlinear conduction of PEDOT:PSS conducting polymer. Benha Journal of Applied Sciences 2021; 6:47-56. [DOI: 10.21608/bjas.2021.167860] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
|
12
|
Wren G, Chokkarapu SP, Khalil R, Rodway A, Modi A, Lewis M, Yusuf S. P-078 Risk of Distal False Lumen Rupture Post-Open Surgical Repair of Acute Type 1 Debakey Dissection. EJVES Vasc Forum 2021. [DOI: 10.1016/j.ejvsvf.2021.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
|
13
|
Zhu S, Khalil R, Altairy O, Burmeister C, Dimitrova I, Elshaikh M. The Prognostic Impact of Time Interval Between Hysterectomy and Initiation of Adjuvant Radiation Treatment in Women With Early-Stage Endometrial Carcinoma. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.2606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
14
|
Ghanem A, Aref I, Khalil R, Burmeister C, Hanna R, Elshaikh M. Does the Time to Adjuvant Radiotherapy Impact Outcomes in Women With Stage III Uterine Cancer? Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.2619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
15
|
David K, Khalil R, Hannon H, Evenepoel P, Decallonne B. Therapy-Resistant Hypercalcemia in a Patient with Inactivating CYP24A1 Mutation and Recurrent Nephrolithiasis: Beware of Concomitant Hyperparathyroidism. Calcif Tissue Int 2020; 107:524-528. [PMID: 32743688 DOI: 10.1007/s00223-020-00738-8] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 07/23/2020] [Indexed: 12/30/2022]
Abstract
We describe a case harboring a homozygous CYP24A1 mutation with mild loss of function, first presenting with recurrent nephrolithiasis from the age of 22 onward, initially associated with hypercalcemia and low PTH concentrations. Over the years, hyperparathyroidism developed, resulting in more severe hypercalcemia. Also, kidney function deteriorated, most probably as a consequence of biopsy-proven nephrocalcinosis. Conventional treatment options for CYP24A1 mutation were not effective and/or tolerated (avoidance of sun exposure, diet, pamidronate, itraconazole). A total parathyroidectomy was performed resulting in a normocalcemic hypoparathyroidism without need for treatment with vitamin D analogs, a positive bone mineral balance and an improved kidney function.
Collapse
Affiliation(s)
- K David
- Department of Chronic Diseases and Metabolism, Laboratory of Clinical and Experimental Endocrinology, KU Leuven, Herestraat 49, ON1 box 902, 3000, Leuven, Belgium.
- Department of Endocrinology, University Hospitals Leuven, Leuven, Belgium.
| | - R Khalil
- Department of Chronic Diseases and Metabolism, Laboratory of Clinical and Experimental Endocrinology, KU Leuven, Herestraat 49, ON1 box 902, 3000, Leuven, Belgium
- Department of Endocrinology, University Hospitals Leuven, Leuven, Belgium
| | - H Hannon
- Department of Nephrology, Maria Middelares Hospital Ghent, Ghent, Belgium
| | - P Evenepoel
- Department of Immunology and Microbiology, Laboratory of Nephrology, KU Leuven, Leuven, Belgium
- Department of Nephrology and Renal Transplantation, University Hospitals Leuven, Leuven, Belgium
| | - B Decallonne
- Department of Chronic Diseases and Metabolism, Laboratory of Clinical and Experimental Endocrinology, KU Leuven, Herestraat 49, ON1 box 902, 3000, Leuven, Belgium
- Department of Endocrinology, University Hospitals Leuven, Leuven, Belgium
| |
Collapse
|
16
|
Cook A, Khalil R, Burmeister C, Dimitrova I, Elshaikh M. The Impact of Different Adjuvant Management Strategies on Survival Endpoints in Women with Early Stage Uterine Serous Carcinoma. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.1531] [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: 11/25/2022]
|
17
|
Ghanem A, Schymick M, Bachiri S, Khalil R, Burmeister C, Sheqwara J, Chang S, Ghanem T, Siddiqui F. Does Age Impact Outcomes of Oropharyngeal squamous cell carcinoma? Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2019.11.204] [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: 10/24/2022]
|
18
|
Nunan J, Clarke D, Malakouti A, Tannetta D, Calthrop A, Xu XH, Chan NB, Khalil R, Li W, Walden A. Triage Into the Community for COVID-19 (TICC-19) Patients Pathway - Service evaluation of the virtual monitoring of patients with COVID pneumonia. Acute Med 2020; 19:183-191. [PMID: 33215171] [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: 06/11/2023]
Abstract
INTRODUCTION COVID-19 pneumonia presented a unique problem for healthcare systems with the potential to overwhelm hospitals and lead to unnecessary morbidity and mortality. Safe triage and follow up systems are required to manage this unprecedented demand. METHODS We designed a pathway for the triage and assessment of patients based on their resting oxygen saturations and response to a 30 metre rapid walking test. We admitted patients to a 'Virtual Ward' for remote oximetry monitoring from the Emergency Department, step down from inpatient wards and from the local Primary Care 'Hot Hub'. This allowed the safe and managed readmission of those patients who deteriorated at home. RESULTS During the first wave of COVID-19 we entered 273 onto the pathway for Virtual Ward follow up. Of these, 31 patients were readmitted to hospital, two were admitted to Intensive Care and one patient died. Median oxygen saturation at presentation was 97 % (IQR 96-98%) and following a 30 metre walk test 96% (IQR 94-97%). Median NEWS-2 score was 2 (IQR 1-3). On feedback 99.5% of patients were likely or extremely likely to recommend the service to their family and friends. There was a cost avoidance of £107,600 per month. CONCLUSION It is safe, feasible and cost effective to set up a triage system with remote oximetry monitoring for patients with COVID-19 and overwhelmingly patients find it a positive experience.
Collapse
Affiliation(s)
- J Nunan
- Department of Acute Medicine, Royal Berkshire Hospital, Berkshire
| | - D Clarke
- Department of Emergency Medicine, Royal Berkshire Hospital, Berkshire
| | | | - D Tannetta
- University of Reading, Reading, Berkshire
| | - A Calthrop
- Department of Emergency Medicine, Royal Berkshire Hospital, Berkshire
| | - X H Xu
- Newcastle Medical School, Framlington Place, Newcastle upon Tyne
| | - N B Chan
- Informatics Research Centre, Henley Business School, University of Reading, Whiteknight Campus, United Kingdom
| | - R Khalil
- University of Reading, Reading, Berkshire
| | - W Li
- Informatics Research Centre, Henley Business School, University of Reading, Whiteknight Campus, United Kingdom
| | - A Walden
- Department of Acute Medicine, Royal Berkshire Hospital, Berkshire
| |
Collapse
|
19
|
Cook A, Khalil R, Burmeister C, Elshaikh M. Comparison of Adjuvant Radiation Treatment and Chemotherapy Sequencing in Women with Advanced Stage Endometrial Carcinoma. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.1666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
20
|
Ghanem A, Qixue W, Al Feghali K, Khalil R, Liu C, Ajlouni M, Movsas B, Chetty I. PO-0750: Association between lung density changes and radiation pneumonitis after IMRT for lung cancer. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31060-0] [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]
|
21
|
Shao X, Byers M, Shao X, Bozorgi F, Begum S, Wertheimer D, Khalil R, Poumalek P, Taheri N. Battlefield Acupuncture (BFA) For Pain Management in a VA Community Living and Rehabilitation Center. J Am Med Dir Assoc 2018. [DOI: 10.1016/j.jamda.2017.12.048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
22
|
|
23
|
Shah Muhammad A, Muhammad H, Khalil R, Ul-Haq Z, Panichayupakaranant P. Rhinacanthins-rich extract: A potent superoxide scavenger and advanced glycation end-product formation inhibitor. Am J Transl Res 2017. [DOI: 10.1055/s-0037-1608423] [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: 10/18/2022]
Affiliation(s)
- A Shah Muhammad
- Department of Pharmacognosy and Pharmaceutical Botany, Faculty of Pharmaceutical Sciences, Prince of Songkla University, Hat-Yai, Songkhla 90112, Thailand
| | - H Muhammad
- Department of Chemistry, Federal Urdu University of Arts, Science & Technology, Gulshan-e- Iqbal Campus, Karachi-75300, Pakistan
| | - R Khalil
- Dr. Panjwani Center for Molecular Medicine and Drug Research, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan
| | - Z Ul-Haq
- Dr. Panjwani Center for Molecular Medicine and Drug Research, International Center for Chemical and Biological Sciences, University of Karachi, Karachi 75270, Pakistan
| | - P Panichayupakaranant
- Department of Pharmacognosy and Pharmaceutical Botany, Faculty of Pharmaceutical Sciences, Prince of Songkla University, Hat-Yai, Songkhla 90112, Thailand
- Phytomedicine and Pharmaceutical Biotechnology Excellence Center, Faculty of Pharmaceutical Sciences, Prince of Songkla University, Hat-Yai, Songkhla 90112, Thailand
| |
Collapse
|
24
|
Khalil R, Godde B, Karim A. P093 Transcranial cortex stimulation, neuroplasticity and learning: An experimental and computational study. Clin Neurophysiol 2017. [DOI: 10.1016/j.clinph.2016.10.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
25
|
Karim A, Khalil R, Schneider M, Lotze M, Khedr E, Birbaumer N. P111 Neurobiology of deception and moral cognition. Clin Neurophysiol 2017. [DOI: 10.1016/j.clinph.2016.10.234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
26
|
Koh SCL, Khalil R, Lim FK, Ilancheran A, Choolani M. The Association between Fibrinogen, von Willebrand Factor, Antithrombin III, and D-dimer Levels and Survival Outcome by 36 Months from Ovarian Cancer. Clin Appl Thromb Hemost 2016; 12:3-8. [PMID: 16444428 DOI: 10.1177/107602960601200102] [Citation(s) in RCA: 34] [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: 11/16/2022] Open
Abstract
Thirty-five patients diagnosed to have ovarian cancer (early FIGO stage I/II n = 11, advanced FIGO stage III/IV, n = 24) were evaluated for hemostatic parameters relating to survival outcome by 36 months of disease. Systemic plasminogen activators and inhibitors were evaluated and we found no significant association with survival outcome and eventually only fibrinogen, von Willebrand Factor (vWF), antithrombin III (ATIII), and D-dimer levels were determined for their association with disease outcome by 12 months, 24 months, and 36 months. Twenty-four patients succumbed to the disease by 36 months (early n = 2, advanced n = 22). The 11 surviving patients (advanced n = 3, including one deceased at 52 months) is still living past 36 months and 82 months at the time of analysis. Elevated fibrinogen, vWF, and D-dimer together with reduced ATIII levels were found to be associated with poor survival outcome by 12 months of disease. Moreover, elevated vWF and D-dimer with reduced ATIII levels was strongly implicated with poor survival outcome by 36 months from ovarian cancer. The overall survival rate at 36 months from ovarian cancer was 31.4%. It is therefore suggested that fibrinogen, vWF, ATIII, and D-dimer levels be used together as prognostic markers for disease outcome especially in patients with advanced ovarian cancer within 36 months of disease. An expanded study is required to confirm these findings.
Collapse
Affiliation(s)
- Stephen C L Koh
- National University of Singapore, Department of Obstetrics & Gynaecology, National University Hospital, Singapore.
| | | | | | | | | |
Collapse
|
27
|
|
28
|
Gado N, Khalil R, Amin A, Essa A, El-Kady M, Kamal M. EP-1192: Hypofractionation with concomitant boost versus conventional radiotherapy in Egyptian breast cancer patients. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)31310-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
29
|
Yousafzai MT, Nisar N, Kakakhel MF, Qadri MH, Khalil R, Hazara SM. Injection practices among practitioners in private medical clinics of Karachi, Pakistan. East Mediterr Health J 2013; 19:570-575. [PMID: 24975187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/21/2011] [Accepted: 05/06/2012] [Indexed: 06/03/2023]
Abstract
The aim of this study was to determine the frequency and determinants of sharps injuries among private health practitioners in slum areas of Karachi, Pakistan. All practitioners with at least 1 year of experience in a private medical clinic were asked to complete a self-administered, structured questionnaire (317/397 responded). Only 7.9% of practitioners were qualified from medical school, 12.3% were registered nurses and 8.8% lacked any professional qualifications. At least 1 sharps injury in the previous 12 months was reported by 26.7%, mostly due to needle recapping. Only 25.2% reported using a new syringe for each patient. In multivariate regression analysis shorter work experience, < 14 years of schooling, > 20 patients per day, administering > or = 30 injections per day, reuse of syringes and needle recapping after use were significantly associated with sharps injury in the past year. Better awareness and training on standard precautions is needed for private practitioners in slum areas of Karachi.
Collapse
|
30
|
Yousafzai M, Nisar N, Kakakhel M, Qadri M, Khalil R, Hazara S. Injection practices among practitioners in private medical clinics of Karachi, Pakistan. East Mediterr Health J 2013. [DOI: 10.26719/2013.19.6.570] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
31
|
Forette F, Hoover T, Gracon S, Rotrou J, Hervy M, Lechevalier B, Micas M, Petit H, Orgogozo J, Guard O, Saudeau D, Forette B, Michel B, Emile J, Augustin P, Wang A, Vignat J, Allain H, Cuny G, Leger JM, Collard M, Joyeux O, Khalil R. A double-blind, placebo-controlled, enriched population study of tacrine in patients with Alzheimer's disease. Eur J Neurol 2011; 2:229-38. [DOI: 10.1111/j.1468-1331.1995.tb00124.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
32
|
Hanif H, Khalil R, Malcolm G, Barton J. Predicting perceptual expertise from semantic knowledge: An indexed car test for prosopagnosic patients. J Vis 2010. [DOI: 10.1167/8.6.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
|
33
|
Khanfar M, Khalil R, AbuJafal A. Evaluation of Preserving Efficacy for Different Cough Syrups Manufactured by Different Pharmaceutical Companies. INT J PHARMACOL 2009. [DOI: 10.3923/ijp.2009.319.322] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
34
|
Khalil R, Al-Sheyab F, Khamaiseh E, Halaweh M, Abder-Rahman H. Screening of mutations in the GCK gene in Jordanian maturity-onset diabetes of the young type 2 (MODY2) patients. Genet Mol Res 2009; 8:500-6. [DOI: 10.4238/vol8-2gmr597] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
35
|
Shabsoug B, Khalil R, Abuharfeil N. Enhancement of Natural Killer Cell Activity In Vitro Against Human Tumor Cells by Some Plants From Jordan. J Immunotoxicol 2008; 5:279-85. [DOI: 10.1080/15376510802312027] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- B. Shabsoug
- Department of Chemical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - R. Khalil
- Department of Biotechnology and Genetic Engineering, Philadelphia University, Amman, Jordan
| | - N. Abuharfeil
- Department of Biotechnology, Jordan University of Science and Technology, Irbid, Jordan
| |
Collapse
|
36
|
Coppenrath E, Meindl T, Herzog P, Khalil R, Mueller-Lisse U, Krenn L, Reiser M, Mueller-Lisse UG. Dose reduction in multidetector CT of the urinary tract. Studies in a phantom model. Eur Radiol 2006; 16:1982-9. [PMID: 16568267 DOI: 10.1007/s00330-005-0138-5] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2005] [Revised: 10/16/2005] [Accepted: 12/16/2005] [Indexed: 10/24/2022]
Abstract
A novel ureter phantom was developed for investigations of image quality and dose in CT urography. The ureter phantom consisted of a water box (14 cm x 32 cm x 42 cm) with five parallel plastic tubes (diameter 2.7 mm) filled with different concentrations of contrast media (1.88-30 mg iodine/ml). CT density of the tubes and noise of the surrounding water were determined using two multidetector scanners (Philips MX8000 with four rows, Siemens Sensation 16 with 16 rows) with varying tube current-time product (15-100 mAs per slice), voltage (90 kV, 100 kV, 120 kV), pitch (0.875-1.75), and slice thickness (1 mm, 2 mm, 3.2 mm). Contrast-to-noise ratio as a parameter of image quality was correlated with dose (CTDI) and was compared with image evaluation by two radiologists. The CT densities of different concentrations of contrast media and contrast-to-noise ratio were significantly higher when low voltages (90 kV versus 120 kV, 100 kV versus 120 kV) were applied. Smaller slice thickness (1 mm versus 2 mm) did not change CT density but decreased contrast-to-noise ratio due to increased noise. Contrast phantom studies showed favourable effects of low tube voltage on image quality in the low dose range. This may facilitate substantial dose reduction in CT urography.
Collapse
Affiliation(s)
- E Coppenrath
- Clinical Radiology, Ludwig-Maximilians University of Munich, Ziemssenstrasse 1, 80336, Munich, Germany.
| | | | | | | | | | | | | | | |
Collapse
|
37
|
Mohammed H, Al Lenjawi B, Buabbas A, Al Shaar I, Ali J, Al Kozaai D, Khalil R, Almasseh F. How well do GP's and Hospital Consultants in Qatar Interacts? A Survey of the Professional Relationship. Qatar Med J 2005. [DOI: 10.5339/qmj.2005.1.7] [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: 11/03/2022] Open
Abstract
The study involved 196 participants, 83 (42.3%) of which were consultants and 113 (57.7%) were General Practitioners (GP's).
Background: The way that GP's and hospital consultants or specialists interact has important implications for any health care system in which a GP is the first contact health professional person for patients and the point of access to relatively scarce and expensive hospital services, for this reason, the relationship between the two main branches of the medical profession has received a considerable amount of interest.
Objectives: To test out some professional issues on a random sample of both parties to determine their ability to work together productively.
Methods: We conducted a lickert-style survey based upon statements made in qualitative questionnaire sent to GP's and specialists working at Hamad Medical Corporation and health centers in state of Qatar. The questionnaire was modified and validated during a multistage pilot and was distributed to a stratified random sample of 196 clinicians.
Results: GP's and consultants demonstrated a good level of agreement, mutual understanding and respect (Significant difference in opinion only in four statements out of 13).
Conclusion: The ability of GP's and specialists to work together has been tested out and confirmed with acceptable significance and it may be repeated to assess the relationship which is central to an efficient and effective operation of health care delivery.
Collapse
Affiliation(s)
- H. Mohammed
- Family and Community Medicine Department Hamad Medical Corporation, Doha, Qatar
| | - B. Al Lenjawi
- Family and Community Medicine Department Hamad Medical Corporation, Doha, Qatar
| | - A. Buabbas
- Family and Community Medicine Department Hamad Medical Corporation, Doha, Qatar
| | - I. Al Shaar
- Family and Community Medicine Department Hamad Medical Corporation, Doha, Qatar
| | - J. Ali
- Family and Community Medicine Department Hamad Medical Corporation, Doha, Qatar
| | - D. Al Kozaai
- Family and Community Medicine Department Hamad Medical Corporation, Doha, Qatar
| | - R. Khalil
- Family and Community Medicine Department Hamad Medical Corporation, Doha, Qatar
| | - F. Almasseh
- Family and Community Medicine Department Hamad Medical Corporation, Doha, Qatar
| |
Collapse
|
38
|
Flüß MO, Wittsack HJ, Luckhaus C, Khalil R, Ihl R, Mödder U, Cohnen M. Änderungen des regionalen zerebralen Blutflusses (rCBF) im limbischen System bei leichter kognitiver Störung (MCI) und Demenz vom Alzheimer-Typ (AD). ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867618] [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]
|
39
|
Meindl T, Coppenrath E, Khalil R, Mueller-Lisse UL, Reiser M, Mueller-Lisse UG. Evaluation des Untersuchungsstartpunkts in der CT-Urographie. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867521] [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]
|
40
|
Coppenrath M, Meindl T, Herzog P, Khalil R, Mueller-Lisse U, Reiser M, Mueller-Lisse UG. Möglichkeiten der Dosisreduktion in der CT-Urographie - Erste Ergebnisse einer Phantomstudie. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867522] [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]
|
41
|
Mueller-Lisse UG, Meindl T, Coppenrath E, Mueller-Lisse UL, Degenhardt C, Khalil R, Reiser M. Abgrenzbarkeit der oberen Harnwege in der Multidetektor-CT-Urographie: Retrospektiver Vergleich von Standard- und Niedrigdosis-Aufnahmen. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-867519] [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]
|
42
|
|
43
|
Khalil R. [Neurophysiologie in France to the 19th century (Conference: Lyon, 8 Apr. 1997)]. Conf Hist Med 2001:195-204. [PMID: 11637052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Affiliation(s)
- R Khalil
- Clinique Neurologique CHU Timone, Marseille, France
| |
Collapse
|
44
|
Khalil R. [History of Parkinson's disease]. Hist Sci Med 2001; 30:215-20. [PMID: 11624876] [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: 02/21/2023]
Abstract
History of Parkinson's disease includes four periods: clinical, neuropathological, neurosurgical and biochemical. An "Essay on the shaking Palsy" by James Parkinson introduces the clinical period in 1817. Tretiakoff thesis defines pathology of the substantia nigra in 1919. Surgical treatment are various neurophysiological approachs, and biochemical discoveries open the way to medical treatment.
Collapse
Affiliation(s)
- R Khalil
- Clinique de Neurologie, Marseille
| |
Collapse
|
45
|
Hassan AA, Zaki M, Shoukeir M, Khalil R. T-helper subsets cytokine production in kidney transplant recipients: diverting influences and impact on graft outcome. Saudi J Kidney Dis Transpl 2000; 11:161-166. [PMID: 18209308] [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
UNLABELLED A large body of evidence suggests the existence of functionally polarized human T-helper responses based on their profile of cytokine secretion. Human T-helper cell clones can be divided into two mutually exclusive subsets, T-helper cell 1 (Th1) and T-helper cell 2 (Th2). Substantial work in several animal models has demonstrated that allograft rejection is associated with enhanced Th1 activity and tolerance with enhanced Th2. Some studies have not been consistent with this association. In this study, gamma interferon (INF-y) and interleukin 4 (IL-4) levels (as indicators of Th1 and Th2 activity, respectively) were assayed in supernatant of cultured peripheral lymphocytes. The levels of these cytokines were compared between a study group of 26 stable kidney transplant recipients immunosuppressed with cyclosporine A, corticosteroids and azathioprine or mycophenolate mofetil, and a control group of 10 healthy blood donors. The mean INF-gamma and IL-4 levels in the control group were considered as the cutoff levels for comparison. Our results showed that 25/26 of the study patients (96%) had low levels of INF-gamma compared to 4/10 of the control subjects (40%), (P< 0.05). However, the IL-4 level was high in 10/26 of the study patients (38%) and 3/10 of the control subjects (30%), not a statistically significant difference, (P>0.05). IN CONCLUSION These results suggest that well-established graft tolerance may be mediated via depressed Th1 activity rather than enhanced Th2 activity.
Collapse
Affiliation(s)
- A A Hassan
- Department of Internal Medicine and Nephrology, Zagazig University Hospital, Egypt
| | | | | | | |
Collapse
|
46
|
Hassan AA, Khalil R. Hepatitis C in dialysis patients in egypt: relationship to dialysis duration, blood transfusion, and liver disease. Saudi J Kidney Dis Transpl 2000; 11:72-73. [PMID: 18209303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Affiliation(s)
- A A Hassan
- Nephrology Department, Zagazig University Hospital, Cairo, Egypt
| | | |
Collapse
|
47
|
Habib M, Levrier O, Regis J, Salamon G, Khalil R. [Divergent asymmetries of the temporo-parietal cortical areas: anatomo-functional correlations and evolutionary and developmental implications]. Morphologie 1999; 83:31-4. [PMID: 10417991] [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: 02/13/2023]
Abstract
Human brains present a clear asymmetry of the postero-lateral cortical area, so called "planum temporale" (Geschwind and Levitsky). This asymmetry is on favour of the left brain. A similar asymmetry is observed on the parietal operculum. MRI studies of 37 healthy volunteers have shown a clear difference between individuals. Mixing the index of temporal and parietal asymmetry, the authors consider four types: the most frequent pattern concerns 90% of right handed. For the others, 10% there are left handed as right handed. On conclusion, planum as many asymmetry and opercular asymmetry can be divergent, and both canan to determines handedness.
Collapse
Affiliation(s)
- M Habib
- Service de Neurologie et Laboratoire de Neuroradiologie, CHU Timone, Marseille, France
| | | | | | | | | |
Collapse
|
48
|
Major S, Badr S, Bahlawan L, Hassan G, Kojaoghlanian T, Khalil R, Melhem A, Richani R, Younes F, Yeretzian J, Khogali M, Sabra R. Drug-related hospitalization at a tertiary teaching center in Lebanon: incidence, associations, and relation to self-medicating behavior. Clin Pharmacol Ther 1998; 64:450-61. [PMID: 9797802 DOI: 10.1016/s0009-9236(98)90076-5] [Citation(s) in RCA: 25] [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: 11/25/2022]
Abstract
OBJECTIVE In Lebanon there is very limited restriction on drug use. Accordingly, self-medication is highly prevalent. This study examined the influence of these factors on the development of drug-related illnesses that lead to hospitalization. METHODS Patients admitted to the medical and pediatric wards of a tertiary teaching center in Beirut, Lebanon, over a period of 6 months were interviewed and their charts were reviewed. Admissions attributable to adverse drug reactions or therapeutic failures were identified and characterized with respect to demographic factors, medical history, drug intake, and self-medicating behavior. The influence of these variables on the development of drug-related illnesses was examined by logistic regression. RESULTS Of 1745 adults and 457 children, there were 177 (10.2%) and 36 (7.9%) drug-related illnesses, respectively. Adverse drug reactions accounted for 7.0% and 5.7% and therapeutic failures for 3.2% and 2.2% of adult and pediatric admissions, respectively. Self-medication was commonly practiced (52.6% of adults and 41.6% of children). Logistic regression analysis revealed that female sex increased the risk of adverse drug reaction in adults, whereas self-medication decreased the risk. In children, the risk of adverse drug reaction was increased in lower socioeconomic groups, whereas the risk of therapeutic failure was increased by a positive history of atopy or drug reaction. CONCLUSIONS These results provide the first detailed analysis of the problem of drug-related illnesses in a developing country and identify a number of related or risk factors. Despite the lack of regulation of drug dispensing and the unchecked access to drugs in Lebanon, the incidence of drug-related illnesses is not different from that in Western nations. This finding may have relevance to policies of drug regulation in other countries.
Collapse
Affiliation(s)
- S Major
- Department of Family Medicine, Faculty of Medicine, American University of Beirut, New York, NY 10022, USA
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
49
|
Loh FH, Chua SP, Khalil R, Ng SC. Case report of ruptured endometriotic cyst in pregnancy treated by laparoscopic ovarian cystectomy. Singapore Med J 1998; 39:368-9. [PMID: 9844499] [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: 02/09/2023]
Abstract
Pregnancy is thought to have an ameliorating effect on endometriosis, inducing a state of quiescence. We report a case of ruptured endometriotic cyst in pregnancy successfully treated by laparoscopic ovarian cystectomy. Our patient subsequently progressed uneventfully to deliver a healthy baby girl at term. Laparoscopic ovarian cystectomy in pregnancy, even with ruptured cysts, appeared to be safe in trained hands with similar benefits of reduced post-operative morbidity.
Collapse
Affiliation(s)
- F H Loh
- Department of Obstetrics and Gynaecology, National University Hospital, Singapore
| | | | | | | |
Collapse
|
50
|
Dalecky A, Pelletier J, Chérif AA, Lévrier O, Khalil R. [Acute myelopathies in young patients and multiple sclerosis. prospective study of 20 cases]. Rev Neurol (Paris) 1997; 153:569-78. [PMID: 9684021] [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: 02/08/2023]
Abstract
The risk of progression to multiple sclerosis (MS) after an episode of acute non compressive episode involving the spinal cord remains uncertain. A follow-up study was performed to determine the risk of early progression to MS in 20 patients presenting with clinically isolated lesions of the spinal cord, combined clinical evaluation, spinal and brain magnetic resonance imaging (MRI), visual, brainstem auditory and somatosensory evoked potentials (VEPs, BAEPs, SEPs), and cerebrospinal fluid (CSF) electrophoresis analysis. Spinal cord MRI demonstrated more lesions in cervical region (74 p. 100) than thoracic or lumbar regions (26 p. 100). Six patients (30 p. 100) had an initial brain MRI that was strongly suggestive of MS and 5 patients (25 p. 100) had only one MS-like abnormality. Eight patients (40 p. 100) had abnormal VEPs, 3 (15 p. 100) abnormal BAEPSs and only 44 p. 100 (8/18) abnormal SEPs. In contrast, CSF analysis showed oligoclonal bands (CSFOB) in 15/19 patients (79 p. 100). The diagnosis of MS was performed initially in 13 cases (65 p. 100) (clinically definite MS (CDMS) in 30 p. 100, laboratory-supported definite MS (LSDMS) in 61 p. 100 and clinically probable (CPMS) in one case). During the follow-up period (18 +/- 7 months), 8 patients (40 p. 100) presented one or more exacerbations and time to the first recurrence was 8 +/- 5 months. Seven of these 8 patients were initially treated by infusion of methylprednisolone. Among these patients, all of them had CSF OB and initial brain MRI was strongly suggestive of MS in 3 of them. During this follow-up period, brain MRI showed emergence of lesions in 4 cases with normal initial examination and 3 of them presented exacerbations. At the follow-up term, the diagnosis of MS was performed in 15 cases (75 p. 100) CDMs in 66 p. 100, LSDMS in 26 p. 100 and CPMS in one case). This confirms the predictive value of brain MRI and CSF OB for the diagnosis of MS in patients who present with clinically isolated acute syndrome of the spinal cord.
Collapse
Affiliation(s)
- A Dalecky
- Service de Neurologie, CHU Timone, Marseille
| | | | | | | | | |
Collapse
|