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Saeed M, Shoaib A, Kandimalla R, Javed S, Almatroudi A, Gupta R, Aqil F. Corrigendum to "Microbe-based therapies for colorectal cancer: Advantages and limitations" [Semin. Cancer Biol. 86 (2022) 652-665]. Semin Cancer Biol 2024; 98:66. [PMID: 38233281 DOI: 10.1016/j.semcancer.2023.12.003] [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: 01/19/2024]
Affiliation(s)
- M Saeed
- Department of Biology, College of Sciences, University of Hail, Hail, Saudi Arabia
| | - A Shoaib
- Department of Clinical Pharmacy, College of Pharmacy, Jazan University, Jazan, Saudi Arabia
| | - R Kandimalla
- James Graham Brown Cancer Center, University of Louisville, Louisville, KY 40202, USA; Department of Pharmacology and Toxicology, University of Louisville, Louisville, KY 40202, USA
| | - S Javed
- Department of Pharmaceutics, College of Pharmacy, Jazan University, Jazan, Saudi Arabia
| | - A Almatroudi
- Department of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Qassim 51431, Saudi Arabia
| | - R Gupta
- James Graham Brown Cancer Center, University of Louisville, Louisville, KY 40202, USA; Department of Pharmacology and Toxicology, University of Louisville, Louisville, KY 40202, USA
| | - F Aqil
- James Graham Brown Cancer Center, University of Louisville, Louisville, KY 40202, USA; Department of Medicine, University of Louisville, Louisville, KY 40202, USA.
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Javed S, Usman M, Sandin F, Liwicki M, Mokayed H. Deep Ontology Alignment Using a Natural Language Processing Approach for Automatic M2M Translation in IIoT. Sensors (Basel) 2023; 23:8427. [PMID: 37896522 PMCID: PMC10610665 DOI: 10.3390/s23208427] [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] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 09/28/2023] [Accepted: 10/02/2023] [Indexed: 10/29/2023]
Abstract
The technical capabilities of modern Industry 4.0 and Industry 5.0 are vast and growing exponentially daily. The present-day Industrial Internet of Things (IIoT) combines manifold underlying technologies that require real-time interconnection and communication among heterogeneous devices. Smart cities are established with sophisticated designs and control of seamless machine-to-machine (M2M) communication, to optimize resources, costs, performance, and energy distributions. All the sensory devices within a building interact to maintain a sustainable climate for residents and intuitively optimize the energy distribution to optimize energy production. However, this encompasses quite a few challenges for devices that lack a compatible and interoperable design. The conventional solutions are restricted to limited domains or rely on engineers designing and deploying translators for each pair of ontologies. This is a costly process in terms of engineering effort and computational resources. An issue persists that a new device with a different ontology must be integrated into an existing IoT network. We propose a self-learning model that can determine the taxonomy of devices given their ontological meta-data and structural information. The model finds matches between two distinct ontologies using a natural language processing (NLP) approach to learn linguistic contexts. Then, by visualizing the ontological network as a knowledge graph, it is possible to learn the structure of the meta-data and understand the device's message formulation. Finally, the model can align entities of ontological graphs that are similar in context and structure.Furthermore, the model performs dynamic M2M translation without requiring extra engineering or hardware resources.
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Affiliation(s)
- Saleha Javed
- Machine Learning, Department of Computer Science, Electrical and Space Engineering, Lulea University of Technology, 97187 Lulea, Sweden (M.L.)
| | - Muhammad Usman
- Department of Computer Science, National University of Computer and Emerging Sciences, Chiniot-Faisalabad Campus, Chiniot 35400, Pakistan
| | - Fredrik Sandin
- Machine Learning, Department of Computer Science, Electrical and Space Engineering, Lulea University of Technology, 97187 Lulea, Sweden (M.L.)
| | - Marcus Liwicki
- Machine Learning, Department of Computer Science, Electrical and Space Engineering, Lulea University of Technology, 97187 Lulea, Sweden (M.L.)
| | - Hamam Mokayed
- Machine Learning, Department of Computer Science, Electrical and Space Engineering, Lulea University of Technology, 97187 Lulea, Sweden (M.L.)
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Kumari K, Saleh I, Taslim S, Ahmad S, Hussain I, Munir Z, Javed T, Virk MFI, Javed S, Bisharat P, Ur Rehman U. Unraveling the Complexity of Apert Syndrome: Genetics, Clinical Insights, and Future Frontiers. Cureus 2023; 15:e47281. [PMID: 38021759 PMCID: PMC10656109 DOI: 10.7759/cureus.47281] [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: 10/18/2023] [Indexed: 12/01/2023] Open
Abstract
Apert syndrome (AS), also known as type I acrocephalosyndactyly, is a rare congenital condition characterized by craniosynostosis resulting from missense mutations in the fibroblast growth factor receptor 2 (FGFR2) gene. This comprehensive review delves into AS, covering its clinical manifestations, genetics, diagnosis, medical management, psychosocial considerations, and future research directions. AS presents with distinct features, including a brachycephalic skull, midface hypoplasia, and limb anomalies such as syndactyly. It follows an autosomal dominant inheritance pattern with mutations in the FGFR2 gene. Prenatal diagnosis is possible through advanced imaging techniques and molecular testing. The multidisciplinary approach to AS management involves surgical interventions, orthodontics, and psychological support. Although no curative treatment exists, early interventions can significantly improve function and aesthetics. The quality of life for AS patients is influenced by psychosocial factors, necessitating comprehensive support for both patients and their families. Future research directions include gene therapy, understanding cellular responses to FGFR2 mutations, and addressing genetic heterogeneity. Collaborative efforts are vital to advancing knowledge about AS and its genetic underpinnings. Overall, this review serves as a valuable resource for healthcare professionals, educators, and researchers, contributing to a deeper understanding of AS and facilitating advancements in diagnosis and treatment.
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Affiliation(s)
- Kajol Kumari
- Dentistry, Jinnah Sindh Medical University, Karachi, PAK
| | - Inam Saleh
- Paediatrics, University of Kentucky College of Medicine, Lexington, USA
| | - Sanzida Taslim
- Psychiatry, Ross University School of Medicine, Bridgetown, BRB
| | - Sana Ahmad
- Psychiatry, TIME Organization, Inc., Baltimore, USA
| | - Iqbal Hussain
- Internal Medicine, Khyber Medical University, Peshawar, PAK
- Internal Medicine, Lady Reading Hospital, Peshawar, PAK
| | - Zainab Munir
- Emergency Department, Imran Idrees Teaching Hospital, Sialkot, PAK
| | - Tamleel Javed
- Emergency Department, Imran Idrees Teaching Hospital, Sialkot, PAK
| | | | - Saleha Javed
- Emergency Department, Sheikh Zayed Hospital, Rahim Yar Khan, PAK
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Dagar M, Kumari P, Mirza AMW, Singh S, Ain NU, Munir Z, Javed T, Virk MFI, Javed S, Qizilbash FH, Kc A, Ekhator C, Bellegarde SB. The Hidden Threat: Endocrine Disruptors and Their Impact on Insulin Resistance. Cureus 2023; 15:e47282. [PMID: 38021644 PMCID: PMC10656111 DOI: 10.7759/cureus.47282] [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: 10/17/2023] [Indexed: 12/01/2023] Open
Abstract
The association between Insulin resistance, a global health issue, and endocrine disruptors (EDCs), chemicals interfering with the endocrine system, has sparked concern in the scientific community. This article provides a comprehensive review of the existing literature regarding the intricate relationship between EDCs and insulin resistance. Phthalates, commonly found in consumer products, are well-established EDCs with documented effects on insulin-signaling pathways and metabolic processes. Epidemiological studies have connected phthalate exposure to an increased risk of type 2 diabetes mellitus (T2DM). Perfluoroalkyl substances (PFAS), persistent synthetic compounds, have shown inconsistent associations with T2DM in epidemiological research. However, studies suggest that PFAS may influence insulin resistance and overall metabolic health, with varying effects depending on specific PFAS molecules and study populations. Bisphenol A (BPA), found in plastics and resins, has emerged as a concern for glucose regulation and insulin resistance. Research has linked BPA exposure to T2DM, altered insulin release, obesity, and changes in the mass and function of insulin-secreting β-cells. Triclosan, an antibacterial agent in personal care products, exhibits gender-specific associations with T2DM risk. It may impact gut microbiota, thyroid hormones, obesity, and inflammation, raising concerns about its effects on metabolic health. Furthermore, environmental EDCs like polycyclic aromatic hydrocarbons, pesticides, and heavy metals have demonstrated associations with T2DM, insulin resistance, hypertension, and obesity. Occupational exposure to specific pesticides and heavy metals has been linked to metabolic abnormalities.
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Affiliation(s)
- Mehak Dagar
- Internal Medicine, Himalayan Institute of Medical Sciences, New Delhi, IND
| | - Priya Kumari
- Medicine, Jinnah Postgraduate Medical Centre, Karachi, PAK
| | | | - Shivani Singh
- Medicine, MediCiti Institute of Medical Sciences, Hyderabad, IND
| | - Noor U Ain
- Medicine, Mayo Hospital, Lahore, PAK
- Medicine, King Edward Medical University, Lahore, PAK
| | - Zainab Munir
- Emergency Department, Imran Idrees Teaching Hospital, Sialkot, PAK
| | - Tamleel Javed
- Emergency Department, Imran Idrees Teaching Hospital, Sialkot, PAK
| | | | - Saleha Javed
- Emergency Department, Sheikh Zayed Hospital, Rahim Yar Khan, PAK
| | | | - Anil Kc
- Medicine and Surgery, Patan Academy of Health Sciences, Kathmandu, NPL
- Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA
| | - Chukwuyem Ekhator
- Neuro-Oncology, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, USA
| | - Sophia B Bellegarde
- Pathology and Laboratory Medicine, American University of Antigua, Coolidge, ATG
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Usman M, Sarfraz MS, Habib U, Aftab MU, Javed S. Automatic Hybrid Access Control in SCADA-Enabled IIoT Networks Using Machine Learning. Sensors (Basel) 2023; 23:3931. [PMID: 37112271 PMCID: PMC10146338 DOI: 10.3390/s23083931] [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] [Figures] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 03/27/2023] [Accepted: 04/11/2023] [Indexed: 06/19/2023]
Abstract
The recent advancements in the Internet of Things have made it converge towards critical infrastructure automation, opening a new paradigm referred to as the Industrial Internet of Things (IIoT). In the IIoT, different connected devices can send huge amounts of data to other devices back and forth for a better decision-making process. In such use cases, the role of supervisory control and data acquisition (SCADA) has been studied by many researchers in recent years for robust supervisory control management. Nevertheless, for better sustainability of these applications, reliable data exchange is crucial in this domain. To ensure the privacy and integrity of the data shared between the connected devices, access control can be used as the front-line security mechanism for these systems. However, the role engineering and assignment propagation in access control is still a tedious process as its manually performed by network administrators. In this study, we explored the potential of supervised machine learning to automate role engineering for fine-grained access control in Industrial Internet of Things (IIoT) settings. We propose a mapping framework to employ a fine-tuned multilayer feedforward artificial neural network (ANN) and extreme learning machine (ELM) for role engineering in the SCADA-enabled IIoT environment to ensure privacy and user access rights to resources. For the application of machine learning, a thorough comparison between these two algorithms is also presented in terms of their effectiveness and performance. Extensive experiments demonstrated the significant performance of the proposed scheme, which is promising for future research to automate the role assignment in the IIoT domain.
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Affiliation(s)
- Muhammad Usman
- Department of Computer Science, National University of Computer and Emerging Sciences, Islamabad, Chiniot-Faisalabad Campus, Chiniot 35400, Pakistan
| | - Muhammad Shahzad Sarfraz
- Department of Computer Science, National University of Computer and Emerging Sciences, Islamabad, Chiniot-Faisalabad Campus, Chiniot 35400, Pakistan
| | - Usman Habib
- AI and Data Science Department, FAST School of Computing, National University of Computer and Emerging Sciences, Islamabad, Islamabad Campus, Islamabad 44000, Pakistan
| | - Muhammad Umar Aftab
- Department of Computer Science, National University of Computer and Emerging Sciences, Islamabad, Chiniot-Faisalabad Campus, Chiniot 35400, Pakistan
| | - Saleha Javed
- Machine Learning Group, SRT, Lulea Technical University, 97187 Lulea, Sweden
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Shoib S, Khan MA, Javed S, Das S, Chandradasa M, Soron TR, Saeed F. A possible link between air pollution and suicide? Encephale 2023; 49:94-95. [PMID: 34916076 DOI: 10.1016/j.encep.2021.08.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 07/06/2021] [Accepted: 08/20/2021] [Indexed: 01/21/2023]
Affiliation(s)
- S Shoib
- Department of Psychiatry, Jawahar-Lal-Nehru Memorial Hospital, 190003 Srinagar, Kashmir, India.
| | - M A Khan
- Larkin community hospital, 7031 SW 62nd Avenue, 33143 South Miami, FL, USA
| | - S Javed
- Nishtar Medical University, Nishtar Road, Gillani Colony, 66000 Multan, Punjab, Pakistan
| | - S Das
- Consultant Psychiatrist Emergency Mental Health Sunshine Hospital, NWMH, 300, Grattan Street, 3050 Parkville VIC, Melbourne, Australia.
| | - M Chandradasa
- Department of Psychiatry, University of Kelaniya, Ragama, Sri Lanka
| | - T R Soron
- Telepsychiatry Research and Innovation Network, 1215 Dhaka, Bangladesh (TRS)
| | - F Saeed
- Department of Psychiatry, Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Khan AA, Javed S, Yaqoob E, Wellington J. 163 Anterior Sacral Meningocystocele Manifesting as Vague Gastrointestinal and Urinary Syndromes – Two Case Reports. Br J Surg 2022. [DOI: 10.1093/bjs/znac269.120] [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: 11/06/2022]
Abstract
Abstract
Aim
Anterior Sacral Meningocystocele (ASM) carries a unique place in the current literature regarding its rarity. The condition arises in association with a congenital defect of the sacrum and coccyx through which the caudal part of the meninges may herniate to form a cyst-like structure. The disorder derives from a genetic defect of the coccyx and sacrum of which some meningeal segments protrude or herniate, forming a cyst-like entity.
Method
We report two cases of ASM. The first is a 65-year-old male with active complaints of urinary retention and hesitancy for two weeks and chronic constipation associated with lower back pain. The second, a 17-year-old girl, was presenting with abdominal bloating, pain, and backache. Magnetic resonance imaging (MRI) of the pelvis and lumbosacral spine was conducted for both patients, respectively, each scan exhibiting evidence of ASM development. Surgical correction and closure of the ASM's were performed via a posterior midline approach, which successfully alleviated the symptoms presented clinically by both patients.
Conclusions
ASM may develop asymptomatically, often with incidental discovery. Although ASM is well-regarded as a rare anomaly, diagnosis of such a defect must always be kept pertinent when a cystic structure in the pelvis is unveiled on ultrasound or during surgery. Puncture or aspiration of the cyst should be avoided if the diagnosis is in doubt. A posterior midline approach with careful obliteration of the meningocele sac opening may be curative.
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Affiliation(s)
- AA Khan
- Department of Neurosurgery, Holy Family Hospital , Rawalpindi , Pakistan
| | - S Javed
- Department of Neurosurgery, Holy Family Hospital, Rawalpindi Medical University , Rawalpindi , Pakistan
| | - E Yaqoob
- Department of Neurosurgery, Fauji Foundation Hospital , Rawalpindi , Pakistan
| | - J Wellington
- Cardiff University School of Medicine , Cardiff , United Kingdom
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Haroon M, Asif S, Ullah S, Hashmi F, Javed S. POS0208 STRESS AT HOME IS COMMON AND HAS SIGNIFICANT ASSOCIATION WITH MARITAL STATUS, HIGHER DISEASE ACTIVITY, COMORBIDITIES, AND WORSE QUALITY OF LIFE AMONG PATIENTS WITH RHEUMATOID ARTHRITIS: SINGLE CENTRE RESULTS FROM THE PRIME REGISTRY COHORT. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.4234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BackgroundIn chronic inflammatory diseases like rheumatoid arthritis (RA), psychological stress is widely recognised as an important risk factor to negatively affect the disease course. Perceived stress can potentially induce the disease exacerbation, but on the other hand, the disease itself might produce significant stress to patients thus the vicious circle is formed and maintained.ObjectivesWe aimed to examine the prevalence of mental/emotional stress at home and its associations among patients with Rheumatoid arthritis. We addressed this question using real-world data from the PRIME registry.MethodsThis was a cross-sectional study conducted using data collected at the time of patient enrolment in the PRIME registry. The PRIME Registry is a large, independent, prospective, observational cohort initiated in October 2019 that comprises patients diagnosed with RA, SLE, PsA or AS by a rheumatologist, and is being actively followed up. IRB approval and informed consent was obtained. We assessed the data for RA patients. The clinical variables studied were gender, age, smoking habits, body mass index, education status, marital status, disease duration, comorbidities (using Charlson Comorbidity Index). Education status was stratified by whether participants completed secondary (high) school education. The SF-12 Physical Component Score (PCS-12) and Mental Component Score (MCS-12) was also measured. Evaluation of disease activity and severity was made as per internationally agreed definitions, such as: swollen joint counts, tender joint counts, deformed joint counts, and DAS-28. All participants were directly inquired at the interview during the time of patient enrolment about the presence or otherwise of mental/emotional stress at home, and to rate it from 1-3 (mild, moderate, severe). For better understanding and ease of statistical analysis, dichotomous variable was made with moderate-to-severe stress patients were categorised into one group and none-to-mild stress patients into second group.ResultsThe data from consecutive 1016 RA patients (mean age 40.8±13 years, 78.6% female, disease duration of 65±67 months) was reviewed. Forty-nine percent of patients accepted to have moderate-severe stress at home. Female gender (p=0.003), low education status (p=0.050), being unmarried (p=0.051), and MCS, PCS, CCI (p<0.001) were associated with moderate-severe stress. However, no statistical association of age and disease duration was noted. On univariate analysis, significant association of moderate-severe stress at home was noted with deformed joint counts (p=0.003), higher DAS-28 scores (p<0.001), low education status (p=0.02) and being married (p<0.001). Weak statistical association of age (p=0.30), disease duration (p=0.12), low education status (p=0.14), female gender (p=0.24) was noted. On multiple logistic regression analysis, a significant association of moderate-severe stress at home was observed with higher DAS-28 scores (OR 2.38, CI 2.00-2.84, p<0.001), MCS-12 (OR 0.65, CI 0.61-0.69, p<0.001), comorbidities-CCI (OR 1.41, CI 1.15-1.74, p=0.001) and being unmarried (OR 0.55, CI 0.36-0.83, p=0.005). The final regression model resulted in a statistically significant improved association/prediction of worse moderate-severe stress at home (R square=71%). Following variables were included in multiple stepwise regression analysis: age, disease duration, gender, education status, marital status, comorbidities index, major trauma/stress in last one year, DAS-28, MCS-12 and PCS-12 scores.ConclusionNearly half of the cohort was noted to have moderate-severe level of stress at home, and is associated with important adverse clinical outcomes. These findings demonstrate an important need for integration of rheumatologic, social workers and mental health servicesDisclosure of InterestsMuhammad Haroon Speakers bureau: Novartis, Abbvie, Pfizer, Roche, Grant/research support from: Abbvie, Sadia Asif: None declared, Saadat Ullah: None declared, Farzana Hashmi: None declared, Saba Javed: None declared
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Hashmi F, Haroon M, Asif S, Ullah S, Javed S. POS0574 FEMALE GENDER AND STRESS ARE MAIN DETERMINANTS OF NON-ADHERENCE AND NEGATIVE ILLNESS PERCEPTION AMONG PATIENTS WITH RHEUMATOID ARTHRITIS: SINGLE CENTRE RESULTS FROM THE PRIME REGISTRY COHORT. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.4943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundAdherence to medications among patients with RA is traditionally considered to be low. Little is known about the indicators and the outcomes of patients having good adherence to medications among Pakistani RA patients.ObjectivesWe aimed to assess the level of non-adherence and its associations with clinical indicators and outcomes using validated measures in a large consecutive Pakistani RA population. Moreover, we measured illness perception using additional validated tools to help us better understand this concept.MethodsThis was a cross-sectional study conducted using data collected at the time of patient enrolment in the PRIME registry. IRB approval and informed consent was obtained. The clinical variables studied were gender, age, smoking habits, body mass index, education status, marital status, disease duration, Charlson Comorbidity Index. Education status was stratified by whether participants completed secondary (high) school education. Evaluation of disease activity and severity was made as per internationally agreed definitions. To measure adherence, the instrument used in the study was the Urdu version of the General Medication Adherence Scale (GMAS), which has been validated for RA patients. Brief Illness Perception Questionnaire (BIPQ) is the simplified version of the Illness Perception Questionnaire (IPQ). BIPQ is a nine-item scale designed to rapidly assess the cognitive and emotional representations of illness. To facilitate interpretation of results in daily clinical practice and to identify patients with the most negative illness perception, we dichotomized the BIPQ scores using the 75th interquartile range score as cutoff, as previously done.ResultsThe data of consecutive 320 RA patients enrolled in PRIME registry (mean age 37.4±13.4 years, 74% female, disease duration of 73±68 months, 30% rural residents, 32.5% had low education status of ≤primary school, and 35% of the cohort was employed) was reviewed. Thirty six percent of the cohort (n=116) was noted to have non adherence. On multiple logistic regression analysis, a significant association of moderate-severe stress (OR 1.85, CI 1.04-3.2, p=0.03), DAS-28 scores (OR 1.83, CI 1.52-2.21, p<0.001), HAQ scores (OR 1.77, CI 1.07-2.92, p=0.02), deformed joint counts (OR 1.30, CI 1.15-1.46, p<0.001). We further examined the concept of non-adherence among our cohort across three domains or components of GMAS questionnaire individually. Firstly, on multivariate regression analysis showed that non-adherence due to patient behavior had significant association with male gender (OR 0.48, p=0.01), unemployment (OR 1.82, p=0.02), stress (OR 2.17, p=0.001), DAS-28 (OR 1.15, p=0.050), worse HAQ scores (OR 1.83, p=0.005). Secondly, multivariate regression analysis showed that non-adherence due to comorbidity and pill burden was associated with age of onset of arthritis (OR 1.02, p=0.006), DAS-28 (OR 1.18, p=0.03), and HAQ (OR 1.81, p=0.008). Thirdly, multivariate regression analysis showed that cost-related non-adherence had no significant association with patient related demographics and traits, but was noted to have significant association with worse DAS-28 and HAQ scores. The mean total BIPQ score of the cohort was 62±8.8. Twenty six percent of the cohort (n=86) was noted to have the most negative illness perception (BIPQ score of >68). On multiple logistic regression analysis, a significant protective association of male gender (OR 0.24, CI 0.11-0.53, p<0.001) and age of onset of arthritis (OR 0.96, CI 0.94-0.99, p=0.01), along with significant association of worse HAQ scores (OR 3.7, CI 2.2-6.1, p<0.001) was noted with the most negative illness perception.ConclusionNon-adherence is common and its main determinants were female gender and stress, along with associated adverse clinical outcomes. Gender-based discrimination in low socioeconomic states along with associated stress is a plausible explanation.Disclosure of InterestsFarzana Hashmi: None declared, Muhammad Haroon Speakers bureau: Novartis, Roche, Abbvie, Pfizer, Grant/research support from: Abbvie, Pfizer, Sadia Asif: None declared, Saadat Ullah: None declared, Saba Javed: None declared.
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Penson P, Javed S, Banach M, Lip GYH. Associations between serum triglycerides and abdominal aortic calcification in a cross-sectional study from the United States of America. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2419] [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: 11/13/2022] Open
Abstract
Abstract
Background
Abdominal aortic calcification (AAC) has recently been recognised as a risk factor for cardiovascular disease, as it shares pathophysiological mechanisms with coronary artery disease.
Purpose
We investigated relationships between AAC and traditional cardiovascular risk factors in a cross-sectional epidemiological cohort from the USA
Methods
We used data from the National Health and Nutrition Evaluation Survey (NHANES) from the years 2103–2014. Dual-energy X-ray absorptiometry (DXA scans) were performed for a subset of 3140 NHANES participants over the age of 40. The images were scored according to ACC-24, a 24-point scale.
We performed binary logistic regression to investigate relationships between demographic variables (age, sex, poverty income ratio, & educational status) CV risk factors (triglycerides (fasting, and non-fasting) LDL-C, HDL-C systolic blood pressure, body mass index, smoking status & diabetes) medicine use (statins, antihypertensives and antiplatelets) and AAC status (patients with a score ≥2 on the 24-point scale were considered AAC positive). Non normally-distributed variables were categorised for the purposes of analysis.
Results
Participants with AAC were older (mean 65.5 years ± SD 11.7) than unaffected individuals (56.1±11.1) AAC was also associated with higher BMI (28.7±5.8 v. 27.6±4.8 kg/m2), and higher systolic blood pressure (131.3±19.5 v 125.8±18.4 mmHg).
We found a strong relationship between plasma triglyceride concentrations and AAC. In univariate analysis, fasting triglycerides above the first quartile were associated with approximately double the risk of AAC, compared to those in the first quartile (see table). This relationship persisted when the analysis was adjusted for demographics, risk factors and medicine use. A similar pattern was seen with non-fasting triglycerides (see table).
Conclusions
We found a strong relationship between triglycerides and AAC. Further work is required to determine whether this observation can be validated in other cohorts, and whether interventions to reduce triglyceides can alter the progression of AAC.
Funding Acknowledgement
Type of funding sources: None. Odds ratios (95% CI) for AAC
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Affiliation(s)
- P Penson
- Liverpool John Moores University, Liverpool, United Kingdom
| | - S Javed
- University of Liverpool, Liverpool Centre for Cardiovascular Science, Liverpool, United Kingdom
| | - M Banach
- University of Liverpool, Liverpool Centre for Cardiovascular Science, Liverpool, United Kingdom
| | - G Y H Lip
- University of Liverpool, Liverpool Centre for Cardiovascular Science, Liverpool, United Kingdom
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Le Blevec L, Daga K, Sara X, Singh A, Javed S, Odak S, Charalambous N. 191 Improving Consent and Legibility in Orthopaedic Surgery Through Introducing Pre-Populated Stickers. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.738] [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
Aim
Incomplete informed consent can lead to patient dissatisfaction and litigation.1 Time constraints, legibility, human error, limit completion of consent forms, putting surgeons and trusts at risk of litigation.2 The aim of this project was to assess legibility and completeness of handwritten consent forms, with the objective to improve legibility to 100% and risks listed to 100% of those endorsed by the British Orthopaedic Association (BOA).3
Method
An initial baseline study in multiple hospitals across the UK identified 113 patients who underwent hemiarthroplasties. The consent forms were assessed for legibility and risks included, compared to those listed by the BOA. Pre-populated risks stickers were introduced in 1 district general hospital (DGH) and 2 cycles repeated again (62 patients identified).
Results
Overall, 35% of consent forms 1 were illegible; 100% of the time in the risks section. Mean number of risks missing was 2.34 and most frequently missed risk was ‘death’ (missing on 35.5% of consent forms). In the DGH that introduced stickers, consent forms were 100% legible and 100% compliant to the standards set by the BOA when the stickers were used. However, sticker use remained low; only used 20% of the time in the second cycle, marginally increased from the previous cycle (18%).
Conclusions
A high proportion of consent forms are not completed to BOA standards and are illegible. Pre-populated stickers could aid in achieving 100% legibility and 100% risk inclusion. The stickers will be implemented in other trusts and methods to increase compliance with sticker use will be trialled.
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Affiliation(s)
- L Le Blevec
- Royal Lancaster Infirmary, Lancaster, United Kingdom
| | - K Daga
- University of Manchester, Manchester, United Kingdom
| | - X Sara
- University of Manchester, Manchester, United Kingdom
| | - A Singh
- Royal Lancaster Infirmary, Lancaster, United Kingdom
| | - S Javed
- North Manchester General Hospital, Manchester, United Kingdom
| | - S Odak
- Royal Lancaster Infirmary, Lancaster, United Kingdom
| | - N Charalambous
- North Manchester General Hospital, Manchester, United Kingdom
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12
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Halim UA, Elbayouk A, Ali AM, Cullen CM, Javed S. O44 Gender bias and sexual discrimination in orthopaedics: time for change. Br J Surg 2021. [DOI: 10.1093/bjs/znab282.049] [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: 11/14/2022]
Abstract
Abstract
Introduction
Gender bias and sexual discrimination (GBSD) have been widely recognized across a range of fields and are now part of the wider social consciousness. Such conduct can occur in the medical workplace, with detrimental effects on recipients. The aim of this review was to identify the prevalence and impact of GBSD in orthopaedic surgery, as well as mitigating strategies.
Method
A systematic review was conducted by searching Medline, EMCARE, CINAHL, PsycINFO, and the Cochrane Library Database. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Original research papers pertaining to the prevalence and impact of GBSD, or mitigating strategies, within orthopaedics were reviewed.
Result
Of 570 papers, 27 were eligible for inclusion. These were published between 1998 and 2020. 13 papers discussed the prevalence of GBSD, 13 related to the impact of these behaviours, and six discussed mitigating strategies. GBSD was found to be common in the orthopaedic workplace, with all sources showing women to be the subjects. Effects include poor workforce representation, lower salaries, and less career success for women in orthopaedics. Mitigating strategies in the literature are focused on providing female role models, mentors, and educational interventions.
Conclusion
GBSD is common in orthopaedic surgery, with a substantial impact on sufferers. A small number of mitigating strategies have been tested but these are limited in their scope. As such, the orthopaedic community is obliged to participate in more thoughtful and proactive strategies that mitigate against GBSD, by improving female recruitment and retention within the specialty.
Take-home Message
Gender bias and sexual discrimination remain common within orthopaedics. The international orthopaedic community is obliged to do more to tackle this problem.
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Affiliation(s)
| | | | - A M Ali
- London North West University Healthcare NHS Trust
| | | | - S Javed
- North Manchester General Hospital
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13
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Mateos-Molina D, Ben Lamine E, Antonopoulou M, Burt JA, Das HS, Javed S, Judas J, Khan SB, Muzaffar SB, Pilcher N, Rodriguez-Zarate CJ, Taylor OJS, Giakoumi S. Synthesis and evaluation of coastal and marine biodiversity spatial information in the United Arab Emirates for ecosystem-based management. Mar Pollut Bull 2021; 167:112319. [PMID: 33845352 DOI: 10.1016/j.marpolbul.2021.112319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Revised: 03/23/2021] [Accepted: 03/25/2021] [Indexed: 06/12/2023]
Abstract
The United Arab Emirates (UAE) host valuable coastal and marine biodiversity that is subjected to multiple pressures under extreme conditions. To mitigate impacts on marine ecosystems, the UAE protects almost 12% of its Exclusive Economic Zone. This study mapped and validated the distribution of key coastal and marine habitats, species and critical areas for their life cycle in the Gulf area of the UAE. We identified gaps in the current protection of these ecological features and assessed the quality of the data used. The overall dataset showed good data quality, but deficiencies in information for the coastline of the north-western emirates. The existing protected areas are inadequate to safeguard key ecological features such as mangroves and coastal lagoons. This study offers a solid basis to understand the spatial distribution and protection of marine biodiversity in the UAE. This information should be considered for implementing effective conservation planning and ecosystem-based management.
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Affiliation(s)
- D Mateos-Molina
- Emirates Nature in association with World Wide Fund for Nature (Emirates Nature-WWF), The Sustainable City (main entrance), P.O. Box 454891, Dubai, United Arab Emirates; Departamento de Ecología e Hidrología, Universidad de Murcia, Campus de Espinardo, 30100 Murcia, Spain.
| | - E Ben Lamine
- Université Côte d'Azur, CNRS, UMR 7035 ECOSEAS, 28 Avenue Valrose, 06108 Nice, France
| | - M Antonopoulou
- Emirates Nature in association with World Wide Fund for Nature (Emirates Nature-WWF), The Sustainable City (main entrance), P.O. Box 454891, Dubai, United Arab Emirates
| | - J A Burt
- Water Research Center & Center for Genomics and Systems Biology, New York University Abu Dhabi, PO Box 129188, Abu Dhabi, United Arab Emirates
| | - H S Das
- Environment Agency-Abu Dhabi, Po Box:45553, Abu Dhabi, United Arab Emirates
| | - S Javed
- Environment Agency-Abu Dhabi, Po Box:45553, Abu Dhabi, United Arab Emirates
| | - J Judas
- Emirates Nature in association with World Wide Fund for Nature (Emirates Nature-WWF), The Sustainable City (main entrance), P.O. Box 454891, Dubai, United Arab Emirates
| | - S B Khan
- Environment Agency-Abu Dhabi, Po Box:45553, Abu Dhabi, United Arab Emirates
| | - S B Muzaffar
- Department of Biology, United Arab Emirates University, Al Ain, P.O. Box 15551, Abu Dhabi, United Arab Emirates
| | - N Pilcher
- Marine Research Foundation, 136 Lorong Pokok Seraya 2, Kota Kinabalu, Sabah, Malaysia
| | - C J Rodriguez-Zarate
- Scientific Research Department, Environment and Protected Areas Authority, Sharjah, United Arab Emirates
| | - O J S Taylor
- Five Oceans Environmental Services LLC, P.O. Box 660, 131 Muscat, Oman
| | - S Giakoumi
- Université Côte d'Azur, CNRS, UMR 7035 ECOSEAS, 28 Avenue Valrose, 06108 Nice, France; Centre for Biodiversity and Conservation Science, School of Biological Sciences, The University of Queensland, Brisbane, QLD, Australia
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14
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Elbayouk A, Halim U, Ali A, Javed S, Cullen C. 988 The Prevalence and Incidence of Gender Bias and Sexual Discrimination in Orthopaedics, and Mitigating Strategies: A Systematic Review. Br J Surg 2021. [DOI: 10.1093/bjs/znab135.016] [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
The aim of this systematic review was to outline the prevalence and impact of Gender bias and sexual discrimination (GBSD) in orthopaedics, and to investigate interventions countering such behaviours.
Method
Original research papers pertaining to the prevalence and impact of gender bias or sexual discrimination, or mitigating strategies in orthopaedics, were suitable for inclusion. PRISMA guidelines were adhered to in this review.
Results
Of 570 papers, 27 were eligible for inclusion. A total of 13 papers discussed the prevalence of GBSD, whilst 13 related to the impact of these behaviours, and 6 discussed mitigating strategies. GBSD were found to be prevalent in the orthopaedic workplace, with all sources showing females to be the victims. The impact of GBSD includes poor workforce representation, lower salaries, barriers to career progression, and reduced academic output for females in orthopaedics. Mitigating strategies in the literature are focussed on encouraging females to apply for orthopaedic training programmes, by providing female role models, mentors, and educational interventions.
Conclusions
GBSD are highly prevalent in orthopaedic surgery, impacting females at all stages of their careers. Mitigating strategies have been tested but are limited in their scope. As such, the orthopaedic community as a whole is obliged to do more to tackle GBSD.
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Affiliation(s)
- A Elbayouk
- North Manchester General Hospital, Manchester, United Kingdom
| | - U Halim
- North Manchester General Hospital, Manchester, United Kingdom
| | - A Ali
- London North West University Healthcare NHS Trust, London, United Kingdom
| | - S Javed
- North Manchester General Hospital, Manchester, United Kingdom
| | - C Cullen
- Royal Blackburn Hospital, Blackburn, United Kingdom
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Abstract
Diabetic peripheral neuropathy in people with type 2 diabetes is poorly managed because of its insidious onset, delayed diagnosis and more complex aetiology resulting from the contribution of not only hyperglycaemia, but also ageing, hyperlipidaemia, hypertension and obesity. Because there is no US Food and Drug Adminstration-approved disease-modifying therapy for diabetic peripheral neuropathy, the key to ameliorating it in type 2 diabetes has to be through earlier diagnosis and timely multi-factorial risk factor reduction. The management of painful diabetic peripheral neuropathy also requires a detailed appraisal of the choice of therapy, taking into account efficacy, patient wishes, comorbidities, side effect profile and potential for abuse.
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Affiliation(s)
- S Javed
- Division of Cardiovascular Sciences, School of Medical Sciences, University of Manchester, Manchester, UK
| | - T Hayat
- Primary Health Care Corporation, Doha, Qatar
| | - L Menon
- Department of Medicine, Weill-Cornell Medicine-Qatar, Doha, Qatar
| | - U Alam
- Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK
| | - R A Malik
- Division of Cardiovascular Sciences, School of Medical Sciences, University of Manchester, Manchester, UK
- Department of Medicine, Weill-Cornell Medicine-Qatar, Doha, Qatar
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17
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Javed S, Mustehsan M, Weiner A, Zhang L, Ayala R, Taub C. 4119Predictors of progression of preclinical left ventricular diastolic dysfunction to clinical heart failure in patients with malignancy. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0122] [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: 11/15/2022] Open
Abstract
Abstract
Background
Preclinical diastolic dysfunction PDD is a well-known but poorly understood risk factor for clinical heart failure CHF. Preclinical diastolic dysfunction and predictors of progression of PDD to CHF in patients with malignancy has never been studied.
Purpose
The purpose of our study was to determine the incidence of CHF in cancer patients who have preexisting preclinical diastolic dysfunction, with a particular focus on identifying the risk factors contributing to progression of PDD to CHF.
Study design
We retrospectively sought all the patients who underwent echocardiography from 2003 to 2008 and were found to have preclinical diastolic dysfunction at our institution. PDD was defined as presence of grade I diastolic dysfunction, LVEF ≥50%, and free of clinical diagnosis of heart failure. Of these, only the patients who had a confirmed histopathological diagnosis of malignancy were included in the study. The end point was incidence of clinical heart failure, HFrEF and HFpEF. Multivariable adjusted Cox proportional hazards regression were performed to study the predictors of CHF.
Results
Out of 1086 patients with PDD and a histopathological diagnosis of malignancy, 208 patients were diagnosed with new onset CHF during the 10 years follow-up. Incidence of CHF, HFpEF and HFrEF was found to be 32.1 per 1,000 person-year, 13.9 per 1,000 person-year and 2.93 per 1,000 person-year respectively. Patients who developed clinical heart failure were found to have more hypertension, diabetes, myocardial infarction, peripheral vascular disease, pulmonary disease, renal disease, hematological malignancies and metastatic disease when compared to patients who did not develop heart failure. In multivariable adjusted Cox regression analysis, age at index date (HR 1.02, 95% CI 1.01–1.04, p=0.001), diabetes (HR 1.74, 95% CI 1.28–2.35, p<0.001), myocardial infarction (HR 2.19, 95% CI 1.49–3.20, p<0.001), lung disease (HR 1.53, 95% CI 1.14–2.06, p=0.004) and renal disease (HR 2.03, 95% CI 1.45–2.84, p<0.001) were independent predictors of CHF in patients with PDD and malignancy. Among chemotherapy agents, Vincristine, Ifosfamide, transtuzumab and Bortezomib were found to be associated with CHF.
Conclusion
This is the first study ever to report the incidence of CHF, HFrEF and HFpEF and identify a distinct set of predictors of heart failure in patients with PDD and malignancy. We estimated a much higher incidence of CHF (19%) in our study population, when compared to the general population with malignancy. Our study also depicted a significantly high incidence of HFpEF compared to HFrEF (8.3% vs 1.75%). Our study shows that patients with malignancy are at a significantly higher risk of developing heart failure if they have preexisting diastolic dysfunction. This emphasizes the importance of identifying patients with diastolic dysfunction and a more rigorous cardiovascular surveillance to prevent them from potential heart failure.
Acknowledgement/Funding
None
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Affiliation(s)
- S Javed
- Albert Einstein College of Medicine, Bronx, United States of America
| | - M Mustehsan
- Albert Einstein College of Medicine, Bronx, United States of America
| | - A Weiner
- Albert Einstein College of Medicine, Bronx, United States of America
| | - L Zhang
- Albert Einstein College of Medicine, Bronx, United States of America
| | - R Ayala
- Jacobi Medical Center, Bronx, United States of America
| | - C Taub
- Albert Einstein College of Medicine, Bronx, United States of America
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18
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Javed S, Benoist S, De Fouchardiere CL, Truant S, Sefrioui D, Galais M, Hautefeuille V, Artru P, Guimbaud R, Cohen R, Lievre A, Edeline J, Bachet JB, Gelli M, Herrero A, Marchese U, Amrani ME, Devos P, Turpin A, Ploquin A. BRAF-mutated colorectal metastases: What is the benefit of liver surgery? Results from a cohort of 91 patients. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz246.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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19
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Hussain A, Van den Bossche M, Kerrigan DD, Alhamdani A, Parmar C, Javed S, Harper C, Darrien J, Singhal R, Yeluri S, Vasas P, Balchandra S, El-Hasani S. Retrospective cohort study of 925 OAGB procedures. The UK MGB/OAGB collaborative group. Int J Surg 2019; 69:13-18. [PMID: 31299430 DOI: 10.1016/j.ijsu.2019.07.003] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Revised: 06/23/2019] [Accepted: 07/04/2019] [Indexed: 01/28/2023]
Abstract
BACKGROUND Mini-One Anastomosis Gastric Bypass is a new operation that provides comparable outcomes to the common bariatric procedures. Revisional surgery is still needed after a number of MGB-OAGB procedures. The aim of this study is to report the causes and management of these revisions. METHODS From 2010 to 2018, 925 MGB-OAGB operations were performed at 7 bariatric units across the United Kingdom and included in this retrospective cohort study. The data was retrospectively collected and analysed. The primary end point was the identification of the causes and management of revisions. Follow up ranged from 6 months to 3 years. RESULTS Twenty-two patients [2.3%] required revisional surgery after MGB-OAGB. Five patients [0.5%] developed severe diarrhoea managed by shortening the bilio-pancreatic limb to 150 cm. Four patients [0.4%] developed afferent loop syndrome and bile reflux was reported in another 3 [0.3%] cases; all were managed by either conversion to Roux en Y Gastric Bypass or a Braun anastomosis. Postoperative bleeding was controlled laparoscopically in 3 patients [0.3%]. Liver decompensation that was reported in 2 patients [0.2%] was treated by shortening the BPL in one patient and a reversal to normal anatomy in another. The liver failure resolved in both patients. Other indications for revision included two gastro-jejunal stenosis [0.2%], one perforated ulcer [0.1%], one patient [0.1%] with excessive weight loss and one case [0.1%] of protein malnutrition. None of the 22 patients undergoing revisional surgery after MGB-OAGB died. Lost to follow up rate was 0.2%. CONCLUSION Complications requiring revisional surgery after MGB-OAGB are uncommon [2.3%] and the majority can be managed by bilio-pancreatic limb shortening, the addition of a Braun side-to-side anastomosis or conversion to RYGB. Bilio-pancreatic limb length of 200 cm or more resulted in serious complications of liver failure, protein malnutrition, excessive weight loss and diarrhoea.
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Affiliation(s)
- A Hussain
- Doncaster and Bassetlaw Teaching Hospitals, Doncaster, United Kingdom.
| | | | | | - A Alhamdani
- Whittington Hospital, London, United Kingdom
| | - C Parmar
- Whittington Hospital, London, United Kingdom
| | - S Javed
- Phoenix Health, Chester, United Kingdom
| | - C Harper
- Phoenix Health, Chester, United Kingdom
| | - J Darrien
- Phoenix Health, Chester, United Kingdom
| | - R Singhal
- Heart of England Hospital, Birmingham, United Kingdom
| | - S Yeluri
- Doncaster and Bassetlaw Teaching Hospitals, Doncaster, United Kingdom
| | - P Vasas
- Doncaster and Bassetlaw Teaching Hospitals, Doncaster, United Kingdom
| | - S Balchandra
- Doncaster and Bassetlaw Teaching Hospitals, Doncaster, United Kingdom
| | - S El-Hasani
- King's College Hospitals, London, United Kingdom; Chelsfield Park Hospital, United Kingdom
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20
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Javed S, Imam M, Monga P. Intraoperative stability assessment in reverse shoulder arthroplasty. J Clin Orthop Trauma 2019; 10:617-619. [PMID: 31061600 PMCID: PMC6494761 DOI: 10.1016/j.jcot.2018.11.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Accepted: 11/18/2018] [Indexed: 11/27/2022] Open
Affiliation(s)
- S. Javed
- Corresponding author. Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, WN6 9EP, UK.
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21
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Affiliation(s)
- Saleha Javed
- Department of Computer Science; Foundation of Advancement of Science and Technology-National University, Lahore Campus; Lahore Pakistan
| | - Kashif Zafar
- Department of Computer Science; Foundation of Advancement of Science and Technology-National University, Lahore Campus; Lahore Pakistan
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22
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Abstract
BACKGROUND Various surgical treatments are described in the literature for biceps pathology. METHOD The techniques currently described for subpectoral tenodesis involve the use of suture anchors, interference screws, bicortical suture buttons or unicortical suture buttons. RESULTS A review of 31 patients with a subpectoral biceps tenodesis using the anterior cortical button technique is presented. CONCLUSIONS We describe a novel technique, which provides an opportunity to obtain a robust cortical and intramedullary tenodesis, performed under direct vision without the risk of drilling the far cortex and therefore avoiding any potential for neurological injury. There is no cortical implant, which may lead to a diaphyseal stress riser and subsequent fracture risk.
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Affiliation(s)
- S Javed
- Upper Limb Unit, Wrightington Hospital, Wigan, UK,S Javed, Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan WN6 9EP, UK.
| | - D Gheorghiu
- Upper Limb Unit, St Mary’s Hospital, Newport, UK
| | - M Walton
- Upper Limb Unit, Wrightington Hospital, Wigan, UK
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23
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Makkiya M, Algodi M, Villablanca P, Javed S, Golive A, Garcia M. 2147Comparison of safety and benefits between single vs. dual antiplatelet therapy in patients undergoing transcatheter bioprosthetic aortic valve replacement: a meta-analysis. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.2147] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Makkiya
- Albert Einstein College of Medicine, Cardiology, New York, United States of America
| | - M Algodi
- St. Barnabas Hospital, New York, United States of America
| | - P Villablanca
- New York University Langone Medical Center, Interventional Cardiology, New York, United States of America
| | - S Javed
- Albert Einstein College of Medicine, Cardiology, New York, United States of America
| | - A Golive
- Montefiore Medical Center (Bronx), Cardiology, New York, United States of America
| | - M Garcia
- Albert Einstein College of Medicine, Cardiology, New York, United States of America
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Abstract
INTRODUCTION Steroid and local anaesthetic injection to the acromioclavicular joint (ACJ) is a very common diagnostic and therapeutic procedure, which is often performed in the outpatient department. However, it can be difficult to localize this joint because of its small size, presence of osteophytes and variable morphology in the population. We performed a study to determine whether the use of an image intensifier (X-ray guidance), in theatre, improves the accuracy of this injection. METHODS This was a prospective study carried out between March 2014 and March 2015. The injections were performed by two senior orthopaedic surgeons. First, we clinically palpated the ACJ and marked the area over this point as A. Then, with the use of a needle and an image intensifier in a single plane, we identified the actual location of the ACJ and marked this point as B. We measured the distance between A and B in millimetres (mm) and determined the accuracy of the injections. Further analysis taking into account the ACJ capsular attachments was also performed. RESULTS In total, 45 patients and 50 injections were included in the study; five patients had repeated injections at different times. We found that only 12 injections (24%) were palpated to be correct with no discrepancies between A and B (95% confidence interval: 14-37%). For the remaining 38 injections (76%), the use of an image intensifier had significantly improved the accuracy of ACJ location ( p < 0.05). Taking the capsular attachments of the ACJ into consideration reduced the number of inaccurate injections to 27 (54%). CONCLUSION We recommend the use of an image intensifier (or ultrasound guidance) to accurately determine the location of the ACJ for steroid and local anaesthetic injections. This prevents an injection into the wrong place, which can lead to wrong diagnosis and/or suboptimal treatment.
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Affiliation(s)
- S Javed
- Trauma and Orthopaedic Department, Royal Blackburn Hospital, Blackburn, UK
| | - Z Sadozai
- Trauma and Orthopaedic Department, Royal Blackburn Hospital, Blackburn, UK
| | - A Javed
- Trauma and Orthopaedic Department, Royal Blackburn Hospital, Blackburn, UK
| | - A Din
- Trauma and Orthopaedic Department, Royal Blackburn Hospital, Blackburn, UK
| | - G Schmitgen
- Trauma and Orthopaedic Department, Royal Blackburn Hospital, Blackburn, UK
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Ženka J, Caisová V, Uher O, Nedbalová P, Kvardová K, Masáková K, Krejčová G, Paďouková L, Jochmanová I, Wolf KI, Chmelař J, Kopecký J, Loumagne L, Mestadier J, D’agostino S, Rohaut A, Ruffin Y, Croize V, Lemaître O, Sidhu SS, Althammer S, Steele K, Rebelatto M, Tan T, Wiestler T, Spitzmueller A, Korn R, Schmidt G, Higgs B, Li X, Shi L, Jin X, Ranade K, Koeck S, Amann A, Gamerith G, Zwierzina M, Lorenz E, Zwierzina H, Kern J, Riva M, Baert T, Coosemans A, Giovannoni R, Radaelli E, Gsell W, Himmelreich U, Van Ranst M, Xing F, Qian W, Dong C, Xu X, Guo S, Shi Q, Quandt D, Seliger B, Plett C, Amberger DC, Rabe A, Deen D, Stankova Z, Hirn A, Vokac Y, Werner J, Krämer D, Rank A, Schmid C, Schmetzer H, Guerin M, Weiss JM, Regnier F, Renault G, Vimeux L, Peranzoni E, Feuillet V, Thoreau M, Guilbert T, Trautmann A, Bercovici N, Amberger DC, Doraneh-Gard F, Boeck CL, Plett C, Gunsilius C, Kugler C, Werner J, Schmohl J, Kraemer D, Ismann B, Rank A, Schmid C, Schmetzer HM, Markota A, Ochs C, May P, Gottschlich A, Gosálvez JS, Karches C, Wenk D, Endres S, Kobold S, Hilmenyuk T, Klar R, Jaschinski F, Gamerith G, Augustin F, Lorenz E, Manzl C, Hoflehner E, Moser P, Zelger B, Köck S, Amann A, Kern J, Schäfer G, Öfner D, Maier H, Zwierzina H, Sopper S, Prado-Garcia H, Romero-Garcia S, Sandoval-Martínez R, Puerto-Aquino A, Lopez-Gonzalez J, Rumbo-Nava U, Klar R, Hilmenyuk T, Jaschinski F, Coosemans A, Baert T, Van Hoylandt A, Busschaert P, Vergote I, Baert T, Van Hoylandt A, Busschaert P, Vergote I, Coosemans A, Laengle J, Pilatova K, Budinska E, Bencsikova B, Sefr R, Nenutil R, Brychtova V, Fedorova L, Hanakova B, Zdrazilova-Dubska L, Allen C, Ku YC, Tom W, Sun Y, Pankov A, Looney T, Hyland F, Au-Young J, Mongan A, Becker A, Tan JBL, Chen A, Lawson K, Lindsey E, Powers JP, Walters M, Schindler U, Young S, Jaen JC, Yin S, Chen Y, Gullo I, Gonçalves G, Pinto ML, Athelogou M, Almeida G, Huss R, Oliveira C, Carneiro F, Merz C, Sykora J, Hermann K, Hussong R, Richards DM, Fricke H, Hill O, Gieffers C, Pinho MP, Barbuto JAM, McArdle SE, Foulds G, Vadakekolathu JN, Abdel-Fatah TMA, Johnson C, Hood S, Moseley P, Rees RC, Chan SYT, Pockley AG, Rutella S, Geppert C, Hartmann A, Kumar KS, Gokilavani M, Wang S, Merz C, Richards DM, Sykora J, Redondo-Müller M, Heinonen K, Marschall V, Thiemann M, Fricke H, Gieffers C, Hill O, Zhang L, Mao B, Jin Y, Zhai G, Li Z, Wang Z, Qian W, An X, Qiao M, Zhang J, Shi Q, Weber J, Kluger H, Halaban R, Sznol M, Roder H, Roder J, Grigorieva J, Asmellash S, Oliveira C, Meyer K, Steingrimsson A, Blackmon S, Sullivan R, Boeck CL, Amberger DC, Doraneh-Gard F, Sutanto W, Guenther T, Schmohl J, Schuster F, Salih H, Babor F, Borkhardt A, Schmetzer H, Kim Y, Oh I, Park C, Ahn S, Na K, Song S, Choi Y, Fedorova L, Poprach A, Lakomy R, Selingerova I, Demlova R, Pilatova K, Kozakova S, Valik D, Petrakova K, Vyzula R, Zdrazilova-Dubska L, Aguilar-Cazares D, Galicia-Velasco M, Camacho-Mendoza C, Islas-Vazquez L, Chavez-Dominguez R, Gonzalez-Gonzalez C, Prado-Garcia H, Lopez-Gonzalez JS, Yang S, Moynihan KD, Noh M, Bekdemir A, Stellacci F, Irvine DJ, Volz B, Kapp K, Oswald D, Wittig B, Schmidt M, Chavez-Dominguez R, Aguilar-Cazares D, Prado-Garcia H, Islas-Vazquez L, Lopez-Gonzalez JS, Kleef R, Bohdjalian A, McKee D, Moss RW, Saeed M, Zalba S, Debets R, ten Hagen TLM, Javed S, Becher J, Koch-Nolte F, Haag F, Gordon EM, Sankhala KK, Stumpf N, Tseng W, Chawla SP, Suárez NG, Báez GB, Rodríguez MC, Pérez AG, García LC, Fernández DH, Pous JR, Ramírez BS, Jacoberger-Foissac C, Saliba H, Seguin C, Brion A, Frisch B, Fournel S, Heurtault B, Otterhaug T, Håkerud M, Nedberg A, Edwards V, Selbo P, Høgset A, Jaitly T, Dörrie J, Schaft N, Gross S, Schuler-Thurner B, Gupta S, Taher L, Schuler G, Vera J, Rataj F, Kraus F, Grassmann S, Chaloupka M, Lesch S, Heise C, Endres S, Kobold S, Cadilha BML, Dorman K, Heise C, Rataj F, Endres S, Kobold S. Abstracts from the 4th ImmunoTherapy of Cancer Conference. J Immunother Cancer 2017. [PMCID: PMC5374589 DOI: 10.1186/s40425-017-0219-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Angrup A, Chaudhry R, Sharma S, Valavane A, Passi K, Padmaja K, Javed S, Dey AB, Dhawan B, Kabra SK. Application of real-time quantitative polymerase chain reaction assay to detect Legionella pneumophila in patients of community-acquired pneumonia in a tertiary care hospital. Indian J Med Microbiol 2017; 34:539-543. [PMID: 27934840 DOI: 10.4103/0255-0857.195353] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Legionella pneumophila is one of the important pathogen responsible for community -acquired pneumonia attributing for 1-5% of cases. Since early and accurate therapy reduces mortality, rapid and reliable diagnostic methods are needed. A total of 134 samples of blood, urine and respiratory tract fluids were collected. Blood was tested for IgG, IgM and IgA antibodies using commercially available kits. A total of 8 (6%) samples were found to be positive for L. pneumophila by quantitative reverse transcription polymerase chain reaction (qRT-PCR), compared to conventional PCR where 6 (4.4%) samples were positive. Serology was positive in a total of 32 (23%) cases though only 3 (2.2%) of the PCR-positive cases were positive by serology as well. These results suggest that real-time PCR can detect Legionella infection early in the course of the disease before serological response develops.
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Affiliation(s)
- A Angrup
- Department of Microbiology, All Institute of Medical Sciences, New Delhi, India
| | - R Chaudhry
- Department of Microbiology, All Institute of Medical Sciences, New Delhi, India
| | - S Sharma
- Department of Microbiology, All Institute of Medical Sciences, New Delhi, India
| | - A Valavane
- Department of Microbiology, All Institute of Medical Sciences, New Delhi, India
| | - K Passi
- Department of Microbiology, All Institute of Medical Sciences, New Delhi, India
| | - K Padmaja
- Department of Microbiology, All Institute of Medical Sciences, New Delhi, India
| | - S Javed
- Department of Microbiology, All Institute of Medical Sciences, New Delhi, India
| | - A B Dey
- Department of Microbiology, All Institute of Medical Sciences, New Delhi, India
| | - B Dhawan
- Department of Medicine, All Institute of Medical Sciences, New Delhi, India
| | - S K Kabra
- Department of Pediatrics, All Institute of Medical Sciences, New Delhi, India
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Najar IA, Singh GD, Javed S, Johri RK. Effect of some phytoconstituents on Fe2+/ascorbate induced lipid peroxidation. Indian J Exp Biol 2016; 54:851-855. [PMID: 30183186] [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] [Indexed: 06/08/2023]
Abstract
Transition metals like iron and copper, present inside the body system play a key role in the production of reactive oxygen radicals. These free radicals, causative agents of lipid peroxidation, not only damage proteins and DNA but also gradually changes the cellular membrane structure and ultimately leads to the loss of function and integrity. Uncontrolled lipid peroxidation results in various age related diseases, malignancy, infective diseases and injuries. Antioxidants and other phytochemical constituents present in the various plants are known to protect cells from such reactive oxygen species (ROS)-mediated damages. Here, we evaluated the effect of certain phytoconstituents present in the well-known medicinal plants on ROS scavenging using rat liver homogenate. The basal lipid peroxidation was found to be 0.1625±0.0095 ngMDA/min/mg protein, which got induced to 0.7938±0.0478 ngMDA/min/mg protein in the presence of Fe2+/ascorbate system. In this context, acteoside, berberine, catechin, 3´5-dihydroxyflavone7-o-ß-D-galacturonide-4-o-ß-D-glucopyranoside (a flavonoid glycoside from cumin), silibin and tetrahydrocurcumin decreased both basal and Fe2+/ascorbate induced lipid peroxidation as determined by thiobarbituric acid reaction. On the other hand, agnuside, andrographolide, picroside-I, negunoside, oleanolic acid, and glycerrihizin, showed enhancement in both basal and induced lipid peroxidation. Phytoconstituents which have decreased both basal and Fe2+/ascorbate induced lipid peroxidation may act as defensive against the deadly effects of ROS, causative agents of lipid peroxidation and other diseases either alone or in combination with diet/nutritional supplements.
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Bostan N, Amen N, Safdar W, Adam T, Durrani AA, Shakoor A, Ahmed H, Siddiqui AA, Javed S, Mahmood T. Risk factors involved in spread of HCV in patients from sub urban Rawalpindi and their association with existing genotypes. Trop Biomed 2016; 33:652-662. [PMID: 33579061] [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: 06/12/2023]
Abstract
The current epidemiological study was designed to trace the involved risk factors in Hepatitis C Virus (HCV) spread and to identify any association between HCV genotypes and risk factors. Blood samples were taken from 400 participants and viral genotyping was performed in order to find any possible relationship between the risk factors and genotypes. Major genotypes included 3, 1, 4 and several untypeable ones with prevalence rates 65%, 22.5%, 2.75% and 9.75% respectively. Surgery and dental procedure were strongly related to the spread of genotype 3b, while genotype 1b was strongly related to blood transfusion and dental procedures as a single combination risk factor. On the other hand genotypes 1a, 3a, 4 and the untypeable genotypes, were equally affected by all reported risk factors. The probability of occurrence of genotype 3a with reference to dental procedures was 11%. Dental procedures, unsafe injection and surgical procedures are the main risk factors while the blood transfusion in combination with dental procedures has emerged as a potent risk factor in the transmission of HCV.
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Affiliation(s)
- N Bostan
- Department of Biosciences, COMSATS Institute of Information Technology (CIIT), Islamabad, Pakistan
| | - N Amen
- Department of Biosciences, COMSATS Institute of Information Technology (CIIT), Islamabad, Pakistan
| | - W Safdar
- Department of Biochemistry and Biotechnology, Jiangnan University,Wuxi, China
| | - T Adam
- Department of Gastroenterology, Pakistan Institute of Medical Sciences Islamabad, Pakistan
| | - A A Durrani
- Department of Gastroenterology, Fauji Foundation Hospital, Rawalpindi, Pakistan
| | - A Shakoor
- Department of Statistics, PMAS University of Arid Agriculture, Rawalpindi, Pakistan
| | - H Ahmed
- Department of Biosciences, COMSATS Institute of Information Technology (CIIT), Islamabad, Pakistan
| | - A A Siddiqui
- Department of Biological and Biomedical Science, The Aga Khan Health University, Stadium Road, Karachi, Pakistan
| | - S Javed
- Department of Biosciences, COMSATS Institute of Information Technology (CIIT), Islamabad, Pakistan
| | - T Mahmood
- Department of Plant Sciences, Faculty of Biological Sciences, Quaid-e-Azam University, Islamabad, Pakistan
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Kocialkowski C, Javed S, Rachha R, Shoaib A. Reduced length of stay with minimally invasive repair of ruptured achilles tendon. Acta Orthop Belg 2016; 82:632-636. [PMID: 29119906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Minimally invasive techniques to repair ruptured achilles tendons have been developed to enhance recovery following tendon repair and decrease wound complications associated with open repair. We investigated outcomes of minimally invasive and open repair of acutely ruptured achilles tendons at our institution. We compared all cases of achilles tendon repair at our department, using open techniques and minimally invasive techniques with the Achillon device, over a two year period. Length of stay and operating time was recorded, as were any complication rates, including tendon re-rupture. Post-operatively functional outcome questionnaires were sent to all patients. In total 39 patients underwent open repair and 26 underwent minimally invasive repair. Length of stay was significantly shorter in the minimally invasive group, with 58% of minimally invasive cases performed as a day case, compared to 31.1% of open cases (p = 0.02). There was no difference in complication rates, including re-rupture, or functional outcome scores. Minimally invasive repair of ruptured achilles tendons results in reduced length of stay, compared to open repair. There is no evidence of weaker tendon repairs with minimally invasive techniques. Overall functional outcomes between both groups appear similar. Level of Evidence : III.
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Javed S, Alam U, Malik RA. Burning through the pain: treatments for diabetic neuropathy. Diabetes Obes Metab 2015; 17:1115-25. [PMID: 26179288 DOI: 10.1111/dom.12535] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [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: 03/15/2015] [Revised: 07/02/2015] [Accepted: 07/05/2015] [Indexed: 01/17/2023]
Abstract
The rise in the global burden of diabetes is spurring an increase in the prevalence of its complications. Diabetic peripheral neuropathy (DPN) is a common and devastating complication of diabetes, with multiple clinical manifestations. The most common is a symmetrical length-dependent dysfunction and damage of peripheral nerves. The management of DPN rests on three tenets: intensive glycaemic control, even though the evidence of benefit is questionable in people with type 2 diabetes; pathogenetic therapies; and symptomatic treatment. A number of pathogenetic treatments have been evaluated in phase III clinical trials, including α-lipoic acid (stems reactive oxygen species formation), benfotiamine (prevents vascular damage) and aldose-reductase inhibitors (reduce flux through the polyol pathway), protein kinase C inhibitors (prevent hyperglycaemia-induced activation of protein kinase C), nerve growth factors (stimulate nerve regeneration) and Actovegin® (improves tissue glucose and oxygen uptake). However, none have gained US Food and Drug Administration or European Medicines Agency (EMA) approval, questioning the validity of current trial designs and the endpoints deployed to define efficacy. For painful diabetic neuropathy, clinical guidelines recommend: atypical analgesics for pain relief, including duloxetine and amitriptyline; the γ-aminobutyric acid analogues gabapentin and pregabalin; opioids, including Tapentadol; and topical agents such as lidocaine and capsaicin. No single effective treatment exists for painful DPN, highlighting a growing need for studies to evaluate more potent and targeted drugs, as well as combinations. A number of novel potential candidates, including erythropoietin analogues and angiotensin II type 2 receptor anatagonists are currently being evaluated in phase II clinical trials.
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Affiliation(s)
- S Javed
- Centre for Endocrinology and Diabetes, Institute of Human Development, University of Manchester, Manchester, UK
| | - U Alam
- Central Manchester University Hospitals, Manchester, UK
| | - R A Malik
- Centre for Endocrinology and Diabetes, Institute of Human Development, University of Manchester, Manchester, UK
- Weill-Cornell Medical College-Qatar, Doha, Qatar
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Abstract
A time-saving and cost-effective way to practise basic neurosurgical techniques.
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Affiliation(s)
- S Javed
- Nottingham University Hospitals NHS Trust
| | - M Berhanu
- Nottingham University Hospitals NHS Trust
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Edwards A, Langley S, Chadwick E, Javed S, Khaksar S, Money-Kyrle J, Laing R. A Competing Risks Analysis of Clinical Outcomes of Prostate LDR Brachytherapy at a Single Institution. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.1317] [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]
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Mishra S, Gupta A, Malhotra P, Singh P, Pathak R, Singh A, Kukreti S, Gautam H, Javed S, Kumar R. Protection Against Ionizing Radiation Induced Oxidative Damage to Structural and Functional Proteins by Semiquinone Glucoside Derivative Isolated from Radioresistant Bacterium Bacillus sp. INM-1. ACTA ACUST UNITED AC 2014. [DOI: 10.2174/22115501113026660042] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Javed S, Bhutani MS. Endoscopic ultrasound-guided radiation therapy in pancreatic cancer. MINERVA GASTROENTERO 2013; 59:377-386. [PMID: 24212355] [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: 06/02/2023]
Abstract
During the last two decades, endoscopic ultrasound has revolutionized the diagnosis and treatment of gastrointestinal (GI) malignancies. The role of EUS has expanded well beyond its role as a diagnostic modality, and has emerged as a highly sophisticated interventional modality. More recently, EUS has paved its way into radiation oncology by either facilitating highly targeted image guided radiotherapy (IGRT) by insertion of fiducial markers in tumors or by direct instillation of radioactive seeds (brachytherapy). Although the experience regarding these techniques is in a preliminary stage, if developed further, this can potentially provide a highly accurate and minimally invasive approach for implantation of fiducial and radioactive seeds. This review will discuss potential role of EUS in implantation therapy, current literature and also speculate on future prospects for these EUS-guided interventions in pancreatic cancer.
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Affiliation(s)
- S Javed
- Department of Gastroenterology Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, TX, USA -
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Tan EL, Davies E, Javed S, Sundar R, Aziz I. P19 Worrying Trend Of Labelling Ambiguous Deaths As Pneumonia And Potential Impact On Respiratory Service In A District General Hospital. Thorax 2013. [DOI: 10.1136/thoraxjnl-2013-204457.169] [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: 11/03/2022]
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Javed S, Barkatali B, Siddiqui M, Sarin R. Combined avulsion fracture of the tibial tuberosity and lateral tibial plateau in an adolescent: case report. Malays Orthop J 2013; 7:82-4. [PMID: 25722815 PMCID: PMC4341058 DOI: 10.5704/moj.1303.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Avulsion of the tibial tuberosity is uncommon. It is usually
an athletic injury, accounting for less than 3% of all
epiphyseal injuries. We report the case of an avulsion
fracture of the tibial tuberosity with unusual articular
involvement of the lateral tibial plateau treated with open
reduction and internal fixation using cancellous screws. The
result was excellent, with complete union of the fracture site,
full range of movement at three months and return to normal
athletic activity within six months with no complications.
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Affiliation(s)
- S Javed
- Department of Trauma and Orthopaedics, Royal Blackburn Hospital, Blackburn, United Kingdom
| | - B Barkatali
- Department of Trauma and Orthopaedics, Royal Blackburn Hospital, Blackburn, United Kingdom
| | - M Siddiqui
- Department of Trauma and Orthopaedics, Royal Blackburn Hospital, Blackburn, United Kingdom
| | - R Sarin
- Department of Trauma and Orthopaedics, Royal Blackburn Hospital, Blackburn, United Kingdom
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Malizia A, Rich A, Durant C, Javed S, Patel N. 2383 – Deep brain stimulation of nucleus accumbens and posterior subgenual cingulate do not result in lasting benefits for patients with chronic and severe treatment resistant depression. Eur Psychiatry 2013. [DOI: 10.1016/s0924-9338(13)77213-4] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Langley S, Chadwick E, Javed S, Laing R. PO-222 A NEW DIMENSION TO THE TREATMENT OF LOCALIZED PROSTATE CANCER: 4D BRACHYTHERAPY. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)72188-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Javed S, Chadwick E, Michael A, Morgan R, Pandha H, Laing R, Langley S. PO-210 URINARY ENGRAILED-2: A NOVEL BIOMARKER FOR FOLLOW UP POST RADICAL TREATMENT FOR PROSTATE CANCER. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)72176-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: 10/28/2022]
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Laing R, Chadwick E, Javed S, Langley S. PO-231 LOW DOSE RATE BRACHYTHERAPY IS AN EXCELLENT TREATMENT OPTION FOR YOUNG MEN WITH LOCALISED PROSTATE CANCER. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)72197-7] [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: 11/30/2022]
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Javed S, Li J. A Novel SCN4A Mutation Associated with Distal Myotonia and Bilateral Foot Drop (P05.182). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p05.182] [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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Javed S, Shoaib A, Mahmood Z, Mushtaq S, Iftikhar S. Analysis of phytochemical constituents of Eucalyptus citriodora L. responsible for antifungal activity against post-harvest fungi. Nat Prod Res 2011; 26:1732-6. [DOI: 10.1080/14786419.2011.607451] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- S. Javed
- a Institute of Agricultural Sciences, University of the Punjab , Quaid-e-Azam Campus, Lahore – 54590 , Pakistan
| | - A. Shoaib
- b Institute of Chemistry, University of the Punjab , Quaid-e-Azam Campus, Lahore – 54590 , Pakistan
| | - Z. Mahmood
- a Institute of Agricultural Sciences, University of the Punjab , Quaid-e-Azam Campus, Lahore – 54590 , Pakistan
| | - S. Mushtaq
- b Institute of Chemistry, University of the Punjab , Quaid-e-Azam Campus, Lahore – 54590 , Pakistan
| | - S. Iftikhar
- b Institute of Chemistry, University of the Punjab , Quaid-e-Azam Campus, Lahore – 54590 , Pakistan
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Najar I, Sharma S, Singh G, Koul S, Gupta P, Javed S, Johri R. Involvement of P-glycoprotein and CYP 3A4 in the enhancement of etoposide bioavailability by a piperine analogue. Chem Biol Interact 2011; 190:84-90. [DOI: 10.1016/j.cbi.2011.02.011] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2010] [Revised: 02/07/2011] [Accepted: 02/09/2011] [Indexed: 10/18/2022]
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Affiliation(s)
- N K Patel
- Department of Neurosurgery, Institute of Neurosciences, Frenchay Hospital, Bristol, UK.
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Magee CJ, Barry J, Brocklehurst J, Javed S, Macadam R, Kerrigan DD. Outcome of laparoscopic duodenal switch for morbid obesity. Br J Surg 2010; 98:79-84. [DOI: 10.1002/bjs.7291] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/02/2010] [Indexed: 11/09/2022]
Abstract
Abstract
Background
The aim of this study was to determine the safety and efficacy of laparoscopic duodenal switch (LDS) as a treatment option in a selected group of patients with morbid obesity.
Methods
This retrospective analysis of a prospective database assessed the frequency of all complications and alterations in weight, body mass index (BMI), co-morbidity and quality of life.
Results
One hundred and twenty-one patients underwent LDS between April 2003 and March 2009. Median preoperative weight was 160 kg and median BMI 55 kg/m2. All procedures were performed laparoscopically. The in-hospital mortality rate was zero. No ileoduodenal anastomotic stenosis was encountered. There were four clinical leaks (3·3 per cent) managed by laparoscopic drainage and placement of a feeding jejunostomy. Median percentage excess weight loss was 75 per cent at 12 months and 90 per cent at 24 months. Thirty-six of 40 diabetic patients had complete resolution of diabetes within 1 year. There were significant improvements in other obesity-related co-morbidity. Only a few patients developed postoperative protein deficiency, and fat-soluble vitamin deficiencies were easily managed with oral supplementation.
Conclusion
The LDS procedure is a safe and effective treatment for morbid obesity and its associated co-morbidity in selected patients.
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Affiliation(s)
- C J Magee
- Gravitas, PO Box 3627, Bourne End SL8 5GQ, UK
| | - J Barry
- Gravitas, PO Box 3627, Bourne End SL8 5GQ, UK
| | | | - S Javed
- Gravitas, PO Box 3627, Bourne End SL8 5GQ, UK
| | - R Macadam
- Gravitas, PO Box 3627, Bourne End SL8 5GQ, UK
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Cahill K, Javed S, Landrum A, Gaffin J, Oviedo J, Bailey A, Phipatanakul W, Mozzicato S, Bedard RM, Scippa S, Bedard RM, Stutius LM, Sheehan WJ, Rangsithienchai P, Bharmanee A, Scott JE, Young MC, Schneider LC, Phipatanakul W, Nouman G, Madhok N, Rubinstein A. Research abstracts presented at the New England Society of Allergy Fall meeting, Boston, Massachusetts, October 24‐25 2009. Allergy Asthma Proc 2010. [DOI: 10.2500/108854110791063880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Viswanathan G, Javed S, Mayurathan G, Sallehuddin S, Jamieson S, Zaman AG. Guidelines to practice gap in the use of glycoprotein IIb/IIIa inhibitors: from ISAR-REACT to overreact? J Interv Cardiol 2009; 22:163-8. [PMID: 19245382 DOI: 10.1111/j.1540-8183.2009.00425.x] [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: 11/30/2022] Open
Abstract
UNLABELLED Adjunctive use of glycoprotein IIb/IIIa inhibitors (GPI) is associated with favorable outcomes following percutaneous coronary intervention (PCI). Guidelines for use of GPI have been published by various national societies including National Institute of Clinical Excellence (NICE), United Kingdom. The latter has not been updated since publication. The impact of contemporary trials such as ISAR-REACT (which showed no benefit of abciximab and 600 mg of clopidogrel compared with 600 mg of clopidogrel alone, in elective patients) on adherence to NICE guidelines is unknown. METHODS We audited use of GPI against NICE guidelines following publication in May 2002. Data were collected from 1,685 patients between September and November in years 2002, 2003, 2004, and 2007. RESULTS In 2002 and 2003, only 10.2% and 11.8%, respectively, of patients were noncompliant to NICE guidelines. Over time, there was an increase in patients not given GPI despite meeting NICE criteria. After publication of ISAR-REACT, the comparative figures for noncompliance in 2004 and 2007 were 40.0% and 44.5%. A similar pattern was seen in patients with diabetes; in 2002 and 2003 noncompliance was 16.7% and 11.1%, respectively, and in 2004 and 2007 noncompliance was 38.0% and 44.7%, respectively. Qualitatively, similar findings were recorded in patients with NSTE-ACS. The overall noncompliance to NICE guidelines increased from 11.0% to 42.1% (P < 0.0001) after the ISAR-REACT study. CONCLUSIONS We found a decline in compliance to NICE guidelines on GPI usage during PCI. This was likely influenced by contemporary trials demonstrating little or no benefit of GPI in patients undergoing elective PCI who are adequately pretreated with clopidogrel. Our findings suggest the need for a mechanism whereby regular updates to guidelines can be disseminated following new trial evidence.
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Affiliation(s)
- G Viswanathan
- Newcastle University, Newcastle upon Tyne, United Kingdom
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Mok HP, Javed S, Lever A. Stable gene expression occurs from a minority of integrated HIV-1-based vectors: transcriptional silencing is present in the majority. Gene Ther 2007; 14:741-51. [PMID: 17330088 DOI: 10.1038/sj.gt.3302923] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Human immunodeficiency virus (HIV)-based vectors are being increasingly used in vitro for gene transfer and in vivo for gene therapy. The proportion of integrated retroviral vectors that are silenced or remain transcriptionally active, and the stability of gene expression in the latter remains poorly explored. To study this, T cells were infected with an HIV-1-based vector construct containing a long terminal repeat-driven reporter gene. Only a small percentage of detectable integrated vector expressed gene product. In clones derived from cells with transcriptionally active vector, gene expression was remarkably stable with more than 80% continuing to express for greater than 18 months. Failure to continue expressing the vector was associated with epigenetic changes. Our data suggest that there are two forms of vector silencing: one occurring immediately after integration affecting the majority of the vectors, and one occurring in the much longer term affecting a small minority of vectors which had previously established expression.
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Affiliation(s)
- H P Mok
- Department of Medicine, University of Cambridge, Level 5, Addenbrooke's Hospital, Cambridge, UK
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