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Khan S, Dani SS, Hermann J, Neilan TG, Lenihan DJ, Fradley M, Parikh R, Khan S, Deswal A, Liu J, Barac A, Labib S, Majithia A, Nohria A, Baron SJ, Ganatra S. Safety and efficacy of transcatheter edge-to-edge repair (TEER) in patients with history of cancer. Int J Cardiol Heart Vasc 2023; 44:101165. [PMID: 36820391 PMCID: PMC9938448 DOI: 10.1016/j.ijcha.2022.101165] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 12/11/2022] [Accepted: 12/15/2022] [Indexed: 01/02/2023]
Abstract
Background Surgical therapy has been a long-standing option for valvular heart disease, in patients with history of cancer, it carries an increased risk of complications. Objectives Transcatheter edge-to-edge repair (TEER) for mitral regurgitation, represents a less invasive option. However, patients with history of cancer have generally been excluded from trials. Methods A retrospective cohort analysis was performed on de-identified, aggregate patient data from the TriNetX research network. Patients 18 ≥ years of age, who had undergone TEER between January 1, 2013 and May 19, 2021, were identified using the CPT codes and divided into two cohorts based on a history of cancer. Subgroup analysis was performed based on history of systemic antineoplastic therapy. Odds ratio and log-rank test were used to compare the outcomes over 1 and 12-months. Results In matched cohorts (503 patients in each, mean age 77.7 years, men 55 vs 58 %, white 84 vs 87 % in non-cancer and cancer cohorts respectively), the risk of heart failure exacerbation, all-cause mortality and all-cause hospitalizations were similar at 1 and 12 months among patients undergoing TEER. Risk of major complications (ischemic stroke, blood product transfusion and cardiac tamponade) were also similar. In the cancer cohort, hematologic/lymphoid malignancies were the most common (28.0 %) and 12.5 % patients had a history of metastatic cancer. There was no significant difference in heart failure exacerbation or all-cause mortality based on history of systemic antineoplastic therapy. Conclusions Overall outcomes following TEER are similar in patients with a history of cancer and should be considered in selected patients in this population.
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Affiliation(s)
- Sahoor Khan
- Interventional Cardiology Program, Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Beth Israel Lahey Health, Burlington, MA, USA
| | - Sourbha S Dani
- Cardio-Oncology Program, Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Beth Israel Lahey Health, Burlington, MA, USA
| | - Joerg Hermann
- Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA
| | - Tomas G Neilan
- Cardiovascular Imaging Research Center (CIRC) and Cardio-Oncology Program, Massachusetts General Hospital, Boston, MA, USA
| | - Daniel J Lenihan
- International Cardio-Oncology Society, Tampa, FL, USA
- St Francis Healthcare, Cape Girardeau, MO, USA
| | - Michael Fradley
- Cardio-Oncology Program, Division of Cardiology, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
| | - Rohan Parikh
- Interventional Cardiology Program, Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Beth Israel Lahey Health, Burlington, MA, USA
| | - Saafi Khan
- Department of Cardiovascular Medicine, Houston Methodist, Houston, TX, USA
| | - Anita Deswal
- Department of Cardiology, University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Jennifer Liu
- Cardiology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Ana Barac
- Medstar Heart and Vascular Institute, Georgetown University, Washington, DC, USA
- Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA
| | - Sherif Labib
- Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Beth Israel Lahey Health, Burlington, MA, USA
| | - Arjun Majithia
- Interventional Cardiology Program, Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Beth Israel Lahey Health, Burlington, MA, USA
| | - Anju Nohria
- Cardio-Oncology Program, Department of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA, USA
- Cardio-Oncology Program, Dana Farber Cancer Institute, Boston, MA, USA
| | - Suzanne J Baron
- Interventional Cardiology Program, Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Beth Israel Lahey Health, Burlington, MA, USA
| | - Sarju Ganatra
- Cardio-Oncology Program, Division of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Beth Israel Lahey Health, Burlington, MA, USA
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M A, Loubaris A, Y M, Es-Saad O, Labib S, Sbai H. Communication during covid area: The impact of creating a new communication center. Ann Med Surg (Lond) 2022; 78:103866. [PMID: 35637886 PMCID: PMC9131702 DOI: 10.1016/j.amsu.2022.103866] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 05/20/2022] [Accepted: 05/22/2022] [Indexed: 11/28/2022] Open
Abstract
Background Since the breakout of COVID-19 pandemic, many ways have been proposed to improve the quality of communication between the medical staff patient and their families In our department of intensive care unit in tanger Morocco and due to the lack of resources we proposed to create a communication center near the hospital to keep the families updated. Objectives Explore the outcomes and the satisfaction of family members and intensive care unit physicians about the quality of communication through reception center during the restrictive measures imposed by COVID-19. Methods we have conducted a satisfaction survey with sample of 100 families and 35 members of ICU physician during the period between August and December 2021. Results We found that communications allowed families a better understanding of the clinical state of their patient, However it was inferior to the visit near bed visits, they also thought that it helps reduce the stress due to the lack of information. Physicians believed that the communication center improved the quality of care given to the patient and helped to reduce the tension with family and increased the trust link between then and family members. Conclusion The creation of reception center improved the relation between physicians and families and improved the quality care however it remains insufficient and other strategies should be considered including telecommunication and near bed visits specially in seriouslyç ill patients Since the breakout of COVID-19 pandemic, many ways have been proposed to improve the quality of communication between the medical stuff patient and their families. In our department of intensive care unit in tanger Morocco and due to the lack of resources we proposed to create a communication center neat to the hospital to keep the families updated. Our objective was to Explore the outcomes and the satisfaction of family members and IIntensive care unit physicians about the quality of communication through reception center during the restriction measures imposed by COVID-19.
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Affiliation(s)
- Aabdi M
- Intensive Care Unit, Tanger Tetouan Al Hoceima University Hospital Center, Faculty of Medicine and Pharmacy, Abdelmalek Essaâdi University, Tangier, Morocco
- Corresponding author. Anesthesiology and Intensive Care Unit Department, Tanger Tetouan Al hoceima University Hospital Center, Faculty of Medicine and Pharmacy, Abdelmalek Essaâdi University, Tangier, Morocco.
| | - A. Loubaris
- Intensive Care Unit, Tanger Tetouan Al Hoceima University Hospital Center, Faculty of Medicine and Pharmacy, Abdelmalek Essaâdi University, Tangier, Morocco
| | - Motiaa Y
- Intensive Care Unit, Tanger Tetouan Al Hoceima University Hospital Center, Faculty of Medicine and Pharmacy, Abdelmalek Essaâdi University, Tangier, Morocco
| | - O. Es-Saad
- Intensive Care Unit, Tanger Tetouan Al Hoceima University Hospital Center, Faculty of Medicine and Pharmacy, Abdelmalek Essaâdi University, Tangier, Morocco
| | - S. Labib
- Intensive Care Unit, Tanger Tetouan Al Hoceima University Hospital Center, Faculty of Medicine and Pharmacy, Abdelmalek Essaâdi University, Tangier, Morocco
| | - H. Sbai
- Intensive Care Unit, Tanger Tetouan Al Hoceima University Hospital Center, Faculty of Medicine and Pharmacy, Abdelmalek Essaâdi University, Tangier, Morocco
- Simulation Center for Medical Formation, Faculty of Medicine and Pharmacy, Abdelmalek Essaâdi University, Tangier, Morocco
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Kherlopian A, Sharma S, Labib S. PSEUDOANEURYSM IDENTIFICATION USING CONTRAST ECHOCARDIOGRAPHY. J Am Coll Cardiol 2020. [DOI: 10.1016/s0735-1097(20)33774-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Saleh A, Ganatra S, Labib S. Abstract 174: Healthcare Provider Compliance with the 2013 ACC/AHA Blood Cholesterol Guidelines for Statin Therapy for Diabetic Patients of Ages 40 to 75. Circ Cardiovasc Qual Outcomes 2019. [DOI: 10.1161/hcq.12.suppl_1.174] [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: 11/16/2022]
Abstract
Introduction:
On the basis of documented outcome benefit in randomized clinical trials, 2013 ACC/AHA blood cholesterol guidelines advocate use of moderate to high intensity statin therapy in all diabetic patients ages 40 -75. Recent published observations suggest variable provider compliance with this recommendation. This study investigates provider adherence to this recommendation and the predictors of such decision-making at a single academic tertiary care center.
Methods:
We retrospectively reviewed all diabetic patients, ages of 40-75, who were evaluated at our institution in the outpatient setting in 2015. Patient characteristics including demographics, cardiovascular co-morbidities and statin use were obtained from the electronic medical records. Statin prescribing frequency was analyzed by age group, gender and indication, whether primary or secondary prevention. Correlation and regression analyses were done to determine the effect of patient characteristics on statin prescription and the predictors of prescribing statins, respectively.
Results:
Of the 18,389 patients with diabetes, 10,338 (56.2%) were on statin therapy of any dose. Of those treated, 94.9% were on appropriate statin intensity. In the multivariate model, independent predictors of failure to prescribe statins were: Absence of diagnosis of hyperlipidemia (OR 3.60, 95% CI 3.31-3.92, p<0.0005), absence of hypertension (OR 1.42, 95% CI 1.30-1.56, p<0.0005), absence of atherosclerotic cardiovascular disease (coronary, cerebral or peripheral arterial disease) (OR1.41, 95% CI 1.16-1.70, p=0.001), age less than 60 (OR 1.35, 95% CI 1.24-1.46, p<0.0005), and female gender (OR 1.27, 95% CI 1.17-1.38, p=0.037). Absence of coronary artery disease (46.7% vs 29.9%, p<0.0005), absence of stroke history (44.0% vs 36.9%, p=0.003), BMI less than 30 (45.3% vs 43.3%, p=0.027) and lack of a cardiologist provider (44.3% vs 41.9%, p=0.009) were associated with failure to prescribe statins, but were not independent predictors.
Conclusions:
Only 56.2% of patients in an outpatient setting in our study who have an indication for statin use on the basis of diabetes received a prescription for statin therapy. Independent predictors of failure to prescribe statins were: absence of hyperlipidemia, absence of hypertension, absence of ischemic vascular disease, age less than 60, and female gender. Future educational interventions should focus on these predictors in order to improve provider compliance with initiation of statin therapy in eligible diabetic patients.
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Lakhdar K, Berdai MA, Benlamkadem S, Labib S, Harandou M. Cade oil poisoning: about a case. Med Sante Trop 2019; 29:110-111. [PMID: 31031235 DOI: 10.1684/mst.2018.0843] [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] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Throughout Morocco, cade oil is used in folk medicine for many purposes, in particular for atopic dermatosis. It is also used as a wormer. Cade oil poisoning of newborns and infants thus often has an iatrogenic origin, resulting especially from the ingestion of a significant amount or from a prolonged and extensive cutaneous application. Thus, this oil, used for therapeutic purposes, is responsible for a non-negligible number of cases of poisoning, some fatal. We report a case of poisoning after cutaneous application of cade oil in a 2-month-old infant. The outcome was fatal. This report calls attention to the real possibility of this event and emphasizes the interest of preventing it by promoting information to families in Morocco.
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Affiliation(s)
- K Lakhdar
- Service de réanimation mère-enfant, CHU Hassan II, Fès, Maroc
| | - M A Berdai
- Service de réanimation mère-enfant, CHU Hassan II, Fès, Maroc
| | - S Benlamkadem
- Service de réanimation mère-enfant, CHU Hassan II, Fès, Maroc
| | - S Labib
- Service de réanimation mère-enfant, CHU Hassan II, Fès, Maroc
| | - M Harandou
- Service de réanimation mère-enfant, CHU Hassan II, Fès, Maroc
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Sharma S, Patel M, Dinwoodey D, Pyne C, Chaudhry GM, Labib S. CONGENITAL DOUBLE-CHAMBERED LEFT VENTRICLE PRESENTING AS MONOMORPHIC VENTRICULAR TACHYCARDIA. J Am Coll Cardiol 2017. [DOI: 10.1016/s0735-1097(17)35639-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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7
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Labib S, Williams A, Guo CH, Leingartner K, Arlt VM, Schmeiser HH, Yauk CL, White PA, Halappanavar S. Comparative transcriptomic analyses to scrutinize the assumption that genotoxic PAHs exert effects via a common mode of action. Arch Toxicol 2016; 90:2461-80. [PMID: 26377693 PMCID: PMC5043007 DOI: 10.1007/s00204-015-1595-5] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2015] [Accepted: 09/02/2015] [Indexed: 01/04/2023]
Abstract
In this study, the accuracy of the assumption that genotoxic, carcinogenic polycyclic aromatic hydrocarbons (PAHs) act via similar mechanisms of action as benzo(a)pyrene (BaP), the reference PAH used in the human health risk assessment of PAH-containing complex mixtures, was investigated. Adult male Muta™Mouse were gavaged for 28 days with seven individual, genotoxic PAHs. Global gene expression profiles in forestomach, liver, and lung (target tissues of exposure) were determined at 3 days post-exposure. The results are compared with our previously published results from mice exposed to BaP via the same exposure regimen. Although all PAHs showed enhanced ethoxyresorufin-O-deethylase activity, DNA adduct formation, and lacZ mutant frequency in the lungs, the unsupervised cluster analysis of differentially expressed genes revealed that the transcriptional changes are both PAH- and tissue-specific, with lung showing the most response. Further bioinformatics-/pathway-based analysis revealed that all PAHs induce expression of genes associated with carcinogenic processes, including DNA damage response, immune/inflammatory response, or cell signaling processes; however, the type of pathways and the magnitude of change varied for each PAH and were not the same as those observed for BaP. Benchmark dose modeling showed transcriptomic data closely reflected the known tumor incidence for the individual PAHs in each tissue. Collectively, the results suggest that the underlying mechanisms of PAH-induced toxicity leading to tumorigenesis are tissue-specific and not the same for all PAHs; based on the tissue type considered, use of BaP as a reference chemical may overestimate or underestimate the carcinogenic potential of PAHs.
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Affiliation(s)
- S Labib
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1A 0K9, Canada
| | - A Williams
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1A 0K9, Canada
| | - C H Guo
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1A 0K9, Canada
| | - K Leingartner
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1A 0K9, Canada
| | - V M Arlt
- Analytical and Environmental Sciences Division, MRC-PHE Centre for Environment and Health, King's College London, London, SE1 9NH, UK
| | - H H Schmeiser
- Division of Radiopharmaceutical Chemistry, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany
| | - C L Yauk
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1A 0K9, Canada
| | - P A White
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1A 0K9, Canada
| | - S Halappanavar
- Environmental Health Science and Research Bureau, Health Canada, Ottawa, ON, K1A 0K9, Canada.
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El Awa F, Fouad H, El Naga R, Emam A, Labib S. Prevalence of tobacco use among adult and adolescent females in Egypt. East Mediterr Health J 2013. [DOI: 10.26719/2013.19.8.749] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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El Awa F, Fouad H, El Naga RA, Emam AH, Labib S. Prevalence of tobacco use among adult and adolescent females in Egypt. East Mediterr Health J 2013; 19:749-754. [PMID: 24975361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/14/2012] [Accepted: 12/06/2012] [Indexed: 06/03/2023]
Abstract
Egypt assessed tobacco use among young people and adults through implementation in 2009 of the Global Youth Tobacco Survey (GYTS) among school students aged 13-15 years and the nationally representative Global Adult Tobacco Survey (GATS) among adults aged 15+ years. Both surveys employed cluster sampling to produce nationally representative samples and used standard core questionnaires with optional, country-specific questions. The results indicated that a higher percentage of adolescent girls in Egypt used tobacco than did adult females. Overall, 3.8% of girls aged 13-15 years used some form of tobacco compared with 0.6% of women aged 15+ years. Adolescents were over 14 times more likely than adult women to currently smoke cigarettes and 11 times more likely to smoke waterpipes. Moreover, the prevalence of cigarette smoking among adolescent girls had increased from 1.4% in the 2005 GYTS to 2.8% in 2009, indicating that social and cultural norms may be changing.
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El Kouache M, Babakhoya A, Labib S, El Madi A, Atmani S, Harandou M, Abouabdilah Y, Hida M. Repair of isolated double-chambered right ventricle. Afr J Paediatr Surg 2013; 10:199-200. [PMID: 23860078 DOI: 10.4103/0189-6725.115057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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: 11/04/2022] Open
Abstract
The finding of a double-chambered right ventricle (DCRV) is exceptionally rare as an isolated anomaly. It is a congenital cardiac anomaly in which the right ventricle is separated into two chambers, a proximal high-pressure chamber and a distal low-pressure chamber, by anomalous muscles or fibrous tissues in the right ventricular cavity. We report the case of a 6-year-old infant who was admitted for growth retardation. The patient was diagnosed with an isolated DCRV without any other associated congenital anomalies. The patient underwent a successful cardiac surgical procedure of enlargement repair; he was discharged in good clinical condition with a normal cardiac function.
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Affiliation(s)
- M El Kouache
- Department of Pediatric Cardiology, The University Hospital Center Hassan II of Fes, Morocco
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Hamza I, Mahmoud M, Labib S. The initial experience of safety and efficacy of argon plasma coagulation (APC) in the primary prevention of variceal bleeding. Arab J Gastroenterol 2012; 13:125-9. [PMID: 23122453 DOI: 10.1016/j.ajg.2012.08.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [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] [Received: 11/26/2011] [Accepted: 08/12/2012] [Indexed: 12/13/2022]
Abstract
BACKGROUND AND STUDY AIMS The well-known complications of variceal bleeding together with the high mortality rate mandate effective prophylaxis. Because of the intolerance, failure of response and lack of compliance related to B blockers and because of the high incidence of variceal recurrence after endoscopic variceal ligation (EVL), other alternatives should be investigated. As APC provides coagulation at a shallow depth, it has been considered an ideal procedure to promote mucosal fibrosis for oesophageal varices. This study aims to investigate the safety and effectiveness of APC application to the oesophagus post-variceal obliteration in an attempt to decrease variceal recurrence and bleeding, as compared to EVL. PATIENTS AND METHODS This study included 60 patients with chronic liver disease and portal hypertension referred to the Gastrointestinal Endoscopy Unit, Kasr Al-Aini Hospital, Cairo University, during the period from August 2008 till January 2010. Patients had to have large-sized varices (F3), without history of bleeding, portal hypotensive drugs or intervention. Patients were allocated into either group I that included 30 patients for whom EVL was performed and sequentially followed by one session of APC or group II that included 30 patients for whom EVL alone was done. Patients underwent surveillance endoscopy at 3 and 6months to evaluate variceal recurrence (F1 or more). RESULTS Both groups were comparable in terms of the demographic features, hepatic functional reserve and endoscopic findings. Post-APC, fever was reported in 6.7%, dysphagia in 3.3%, procedure-related bleeding in 0% and stricture in 3.3%. At 3 and 6months follow-up, both groups were comparable in terms of variceal recurrence and none of the patients in both groups developed variceal bleeding. CONCLUSION Although, APC application to the oesophageal mucosa is a safe technique, its additive benefit in terms of variceal recurrence and re-bleeding is comparable to EVL alone. This is encountered when only a single session of APC is applied. A more beneficial effect of multiple sessions of APC awaits further studies.
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Affiliation(s)
- I Hamza
- Tropical Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
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Houari N, Labib S, Berdai MA, Harandou M. [Postpartum pneumomediastinum associated with subcutaneous emphysema: a case report]. ACTA ACUST UNITED AC 2012; 31:728-30. [PMID: 22766467 DOI: 10.1016/j.annfar.2012.04.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2012] [Accepted: 04/19/2012] [Indexed: 11/29/2022]
Abstract
This case report refers to a 21-year-old primigravida, who complained of dyspnoea and was noticed to have unusual swelling of the face and neck after home delivery. A diagnosis of subcutaneous emphysema was made and this was confirmed with the chest X-ray. Pneumomediastinum and hydropneumothorax were also detected. Uneventful recovery over three days followed conservative management.
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Affiliation(s)
- N Houari
- Service de réanimation mère-enfant, CHU Hassan II, route Sidi Harazem, 30000 Fès, Maroc.
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Oueriagli Nabih Z, Labib S, Harrandou M. Le retard diagnostique dans la maladie hémorragique du nouveau-né : d’une simple lésion cutanée à une hémorragie cérébroméningée. Arch Pediatr 2012. [DOI: 10.1016/j.arcped.2011.10.019] [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]
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Labib S, Berdai MA, Bendadi A, Achour S, Harandou M. Intoxication mortelle à l’Indigofera. Arch Pediatr 2012; 19:59-61. [DOI: 10.1016/j.arcped.2011.10.011] [Citation(s) in RCA: 3] [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] [Received: 05/09/2011] [Revised: 06/15/2011] [Accepted: 10/11/2011] [Indexed: 10/14/2022]
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Derkaoui A, Elbouazzaoui A, Elhouari N, Achour S, Labib S, Sbai H, Harrandou M, Khatouf M, Kanjaa N. Intoxication aiguë sévère par les pesticides organophosphorés: à propos de 28 cas. Pan Afr Med J 2011. [DOI: 10.4314/pamj.v8i1.71067] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Derkaoui A, Labib S, Elbouazzaoui A, Achour S, Sbai H, Harrandou M, Khatouf M, Kanjaa N. Intoxication par la paraphényléne-diamine (takaout) au Maroc: à propos de 24 cas. Pan Afr Med J 2011. [DOI: 10.4314/pamj.v8i1.71073] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Oueriagli Nabih Z, Labib S, Harandou M. [Delayed diagnosis of newborn vitamin K deficiency bleeding: from simple cutaneous lesion to intracranial hemorrhage]. Arch Pediatr 2011; 18:914-6. [PMID: 21723100 DOI: 10.1016/j.arcped.2011.05.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2011] [Revised: 03/29/2011] [Accepted: 05/24/2011] [Indexed: 10/18/2022]
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Abourazzak S, Atmani S, Labib S, Achour S, Chaouki S, Harrandou M, Bouharrou A, Hida M. P505 - Le tropisme cardiovasculaire des envenimations scorpioniques chez l’enfant. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70898-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hassoba HM, Younis SE, Fahmy HA, Labib S, Abdelrazek NY, Youssef A, El-Hadidy GS, Metwally L. Impact of hepatitis C virus infection on neutrophil oxidative burst function in hemodialysis patients. Egypt J Immunol 2010; 17:1-8. [PMID: 22053604] [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: 05/31/2023]
Abstract
Polymorphonuclear leukocyte (PMN) functions have been studied extensively in hemodialysis (HD) patients; however, results are contradictory and the mechanisms that modulate phagocytosis and oxidative burst are not completely understood. Hepatitis C virus (HCV) is a frequent complication of HD that may be associated with disturbed PMN function; however, the impact of HCV infection on neutrophil oxidative burst function in HD patients is unknown. We investigated Neutrophil oxidative burst function in 24 HD patients (15 HCV-positive and, 9 HCV-negative patients) before and after dialysis. HCV-RNA was detected by RT-nested PCR while, quantitative measurement of oxidative burst function was assessed by flowcytometry. Neutrophil Oxidised burst function was significantly diminished in HD patients as comapred to controls (P = 0.001, oxidised PMN (%); P = 0.02 mean flueresnce intensity, MFI), and in pre-dialysis as compared to post-dialysis samples (oxidised PMNs (%): 60.5 +/- 3.2 vs. 72.1 +/- 3.9, P = 0.02); (MFI: 352 +/- 42 vs. 500 +/- 50, P = 0.03). Alteration in Neutrophil oxidative burst function in the pre-dialysis samples was significant in HCV-positive patients as compared to HCV-negative patients (oxidized PMNs (%): 50 +/- 2.9 vs. 63 +/- 5.1, P = 0.02); (MFI: 291 +/- 31 vs. 438 +/- 64, P = 0.006). Marked reduction in E. coli induced burst in pre-dialysis samples compared to post-dialysis was found in HCV-positive when compared to HCV-negative patients (oxidized PMNs (%): 50 +/- 2.9 vs. 74.8 +/- 4.7, P = 0.001), (MFI: 291 +/- 31 vs. 493 +/- 63, P = 0.002). In conclusion, a possible role of concomitant HCV infection in alteration of Neutrophil oxidative burst function is highly suggested.
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Affiliation(s)
- Howayda M Hassoba
- Department of Clinical Pathology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
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Sbai H, Labib S, Derkaoui A, Harrandou M, Khattouf M, Kanjaa N. L’intoxication aiguë au phosphure d’aluminium : profil épidémiologique et facteurs pronostiques. À propos de 8 cas. Rev Epidemiol Sante Publique 2009. [DOI: 10.1016/j.respe.2009.02.182] [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: 11/29/2022] Open
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Meddeb N, Bachrouch N, Elleuch M, Sahli H, Cheour E, Labib S, Sellami S. [Hydatid cyst of the adductor muscles. MRI aspect, Apropos of 1 case]. Bull Soc Pathol Exot 2001; 94:106-8. [PMID: 11475025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
Muscular involvement is rare, representing less than 1% of hydrated cyst localisation's. Clinical symptoms are insidious and non-specific causing a frequent delay in diagnosis. We report the observation of a 50 year-old woman consulting for inguinal tumefaction with radiological exploration suggestive of hydrated cyst of adductors muscles. Magnetic resonance imaging is helpful in diagnosis, since it reveals a very suggestive aspect. Treatment is based on surgery, which cures patients but incurs a low risk of local relapse.
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Affiliation(s)
- N Meddeb
- Service de rhumatologie, Hôpital la Rabta, Tunis, Tunisie
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Abstract
OBJECTIVES To determine the prevalence of iron depletion and deficiency, and iron-deficiency anaemia, along with risk factors for iron depletion, in Australian-born children aged 12-36 months of Arabic-speaking background. DESIGN Community-based survey. SETTING Central Sydney Area Health Service (CSAHS), NSW, April to August, 1997. PARTICIPANTS All children born at five Sydney hospitals between 1 May 1994 and 30 April 1996, whose mothers gave an Arabic-speaking country of birth and resided in the area served by the CSAHS. MAIN OUTCOME MEASURES Full blood count (haemoglobin, mean corpuscular haemoglobin, mean corpuscular volume), plasma ferritin concentration, haemoglobin electrophoresis, potential risk factors for iron depletion. RESULTS Families of 641 of the 1,161 eligible children were able to be contacted, and 403 agreed to testing (response rate, 62.9% among those contacted). Overall, 6% of children had iron-deficiency anaemia, another 9% were iron deficient without anaemia, and 23% were iron depleted. Multiple logistic regression analysis showed three significant independent risk factors for iron depletion: <37 weeks' gestation (odds ratio [OR], 5.88, P=0.001); mother resident in Australia for less than the median time of 8.5 years (OR, 1.96, P=0.016); and daily intake of >600 mL cows' milk (OR, 3.89, P=<0.001). CONCLUSION Impaired iron status is common among children of Arabic background, and targeted screening is recommended for this group.
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Affiliation(s)
- M A Karr
- Division of General Practice, Central Sydney Area Health Service, NSW
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Karr M, Mira M, Alperstein G, Labib S. Immunization coverage of Australian-born children of Arabic-speaking background in Central Sydney. J Paediatr Child Health 2001; 37:28-31. [PMID: 11168865 DOI: 10.1046/j.1440-1754.2001.00582.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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVES To examine the immunization coverage rates of 12-36-month-old Australian-born children from an Arabic-speaking background in Central Sydney as determined by parental report and documentary evidence. METHODOLOGY Eligible children were identified by examination of the records of five hospitals. Eligibility criteria were that the mother gave an Arabic speaking country of birth and a Central Sydney post code (as her place of residence) and the child was born between 1 May 1994 and 30 April 1996. Parents of all eligible children were invited to participate, either by a special appointment to answer a structured questionnaire, or by telephone survey. Of the 1157 eligible children identified from hospital birth records, only 641 could be contacted, of whom 584 (91.1%) agreed to participate. Full information on age appropriate immunization rates, as reported by parents and documented in records, could be assessed for 403 children. RESULTS Parents reported that 97.6% of children were fully immunized. When the child's immunization status could be verified from either the child's personal health record and/or the service provider, the rate of full, age-appropriate immunization was 94.3% (95% confidence intervals 92.0-96.6) compared to a parent-reported rate of 98.0%. General practitioners provided 76.2% of immunizations. CONCLUSION While a substantial proportion of children identified from birth records could not be contacted, comparisons with census data and other analyses indicate that this sample is likely to be representative of the general population of 12-36-month-old Australian-born children from an Arabic-speaking background. This group appeared to be highly immunized. Further studies examining why the rates for this ethnic group are high in Central Sydney may determine strategies which will enhance immunization rates in other communities.
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Affiliation(s)
- M Karr
- Division of General Practice, Central Sydney Area Health Service, Balmain, New South Wales, Australia
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Abstract
A prospective double blind randomized study was carried out using 20 healthy males with anterior cruciate ligament (ACL) insufficiency undergoing bone-patellar tendon-bone ACL reconstruction. The subjects were randomized into either water or saline irrigation and then underwent identical reconstructive procedures using an arthroscopic pump. Continuous preoperative, intraoperative, and postoperative pressures were monitored using the slit catheter technique. Blood pressure and compartment pressure measurements were continuously recorded and noted at all stages of the procedure. Mean preoperative anterior and posterior compartment pressures were similar in both groups. No significant differences were noted between the anterior and posterior compartments of each group. No difference between water and saline irrigation was identified throughout the procedure. In both groups, postoperative pressures were slightly lower in the anterior and posterior compartments compared with preoperative pressures, but not significantly.
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Affiliation(s)
- A Amendola
- Division of Orthopaedic Surgery, Fowler-Kennedy Sport Medicine Clinic, the University of Western Ontario, London, Canada
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Fiscella RG, Gieser J, Phillpotts B, Gilmartin C, Labib S, Cwik MJ, Solomon MJ, Shapiro MJ. Intraocular penetration of gentamicin after once-daily aminoglycoside dosing. Retina 1998; 18:339-42. [PMID: 9730177 DOI: 10.1097/00006982-199807000-00008] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Intraocular concentrations-particularly intravitreal concentrations-after systemic administration of gentamicin are poor. Once-daily aminoglycoside dosing of intravenous gentamicin achieves peak serum levels up to five times higher than conventional dosing. Whether these increased serum levels of gentamicin improve the aqueous or vitreous concentrations in humans has not been determined. The authors sought to determine if the intraocular penetration of gentamicin would be improved using this method. METHODS Patients undergoing vitrectomy procedures were administered intravenous gentamicin in a dose of 7 mg/kg approximately 1 hour before surgery. An adjustment in dosing was made for anyone more than 20% over his or her ideal body weight. Aqueous, vitreous, and serum samples were collected before any intraocular surgical manipulation. The samples were analyzed by fluorescence polarization immunoassay (TDx system). RESULTS The average single gentamicin dose was 498 mg (range, 360-700 mg). The aqueous, vitreous, and serum levels averaged 1.14 microg/mL, 0.41 microg/mL, and 22.07 microg/mL, respectively. No correlation between serum level concentrations and time of administration was found for the aqueous and vitreous levels in this study. CONCLUSION Although the average peak serum level of gentamicin was five times higher than previously reported, the vitreous levels averaged only 1.5 times higher. The blood-retinal barrier is difficult to penetrate even when higher serum levels are achieved. Due to its poor ocular penetration, gentamicin may not be among the best drugs for prophylaxis of penetrating eye injuries, surgical prophylaxis, or treatment of endophthalmitis.
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Affiliation(s)
- R G Fiscella
- Department of Pharmacy Practice, the University of Illinois at Chicago, 60612, USA
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Abstract
PURPOSE To determine the aqueous and vitreous fluid penetration of ofloxacin after a combined topical and single intravenous dose protocol before vitrectomy surgery. MATERIALS AND METHODS Before undergoing vitrectomy surgery, patients were given two drops of ofloxacin 0.3% topically and a single intravenous dose of ofloxacin 400 mg. Aqueous (mean, 43 minutes) and vitreous (mean, 53 minutes) fluid samples were collected at the start of the surgical procedure. The samples were analyzed for ofloxacin penetration. RESULTS The mean aqueous fluid concentration was 1.083 micrograms/mL +/- 0.406. The mean +/- SD vitreous fluid concentration in nondiabetic patients with intact vitreous was 0.352 microgram/mL +/- 0.301. Vitreous levels obtained more than 50 minutes after administration (0.414 microgram/mL +/- 0.336) were generally higher than those obtained after less than 50 minutes (P = 0.12). Eyes with prior vitrectomies achieved better ofloxacin penetration (0.984 microgram/mL +/- 0.680) than did nonvitrectomized eyes. CONCLUSION Ofloxacin achieved measurable aqueous fluid penetration after topical and intravenous administration. Aqueous levels were above the minimum inhibitory concentration for most ocular pathogens. Vitreous levels were adequate in vitrectomized eyes to achieve inhibitory concentrations against many common ocular pathogens. Combined preoperative topical and a single dose of intravenous ofloxacin may provide inhibitory aqueous and vitreous antibiotic levels in vitrectomized eyes in cases where intravitreal antibiotics are not considered and oral administration is not practical.
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Affiliation(s)
- R G Fiscella
- Department of Ophthalmology, University of Illinois at Chicago
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Abstract
We wished to determine the stability of frozen, refrigerated, and room temperature topical cyclosporine 1% in artificial tears (Tears Plus). Cyclosporine 1% eye drops were made in artificial tears prior to the manufacturers recommendations of using a lipid soluble vehicle, such as olive oil. Patients preferred the artificial tears preparation over the oil based cyclosporine product. Because of the good clinical response and the reluctance of patients to change to the oil vehicle product, we determined the stability of cyclosporine 1% in artificial tears. Cyclosporine 1% was prepared in artificial tears (polyvinyl alcohol 1.4% and povidone 0.6%) by adding 1 ml of the injectable (50 mg/ml) cyclosporine into 4 ml of the artificial tears solution. Each bottle was frozen at -20 degrees C for one month and then the cyclosporine concentration was determined after thawing and refrigeration or storage at room temperature. Refrigerated stability was determined after thawing for up to 28 days and room temperature stability was determined for up to 1 week after thawing. Cyclosporine concentration was determined by HPLC analysis. None of the samples exhibited any significant loss of cyclosporine at any time period. Frozen cyclosporine appears stable when frozen in a 1% solution for one month. Cyclosporine 1% in artificial tears is stable for up to 28 days in the refrigerator or at least 7 days at room temperature. Because of the ease of preparation, the proven clinical effectiveness of the product and better patient acceptance, we continue to make this product.
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Affiliation(s)
- R G Fiscella
- College of Pharmacy, University of Illinois at Chicago, USA
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Goadsby PJ, Labib S. Balkan ophthalmic neuralgia: an unusual war-related facial pain. Med J Aust 1993; 158:71. [PMID: 8417313 DOI: 10.5694/j.1326-5377.1993.tb121685.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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Yousef RT, el-Nakeeb MA, Labib S. Effect of magnesium trisilicate o the antibacterial activity of benzalkonium chloride. Acta Pharm Suec 1971; 8:303-10. [PMID: 4327070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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