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Abdulla E, Das K, Sridharan K, Waheed M, Abdulla F, Ravindra J, Luther H, Wireko AA. Prognostic variables predict clinical outcome after decompressive craniectomy: A single institute experience; A retrospective study. Medicine (Baltimore) 2024; 103:e36876. [PMID: 38181236 PMCID: PMC10766213 DOI: 10.1097/md.0000000000036876] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 12/15/2023] [Indexed: 01/07/2024] Open
Abstract
Decompressive craniectomy (DC) is a well-established neurosurgical intervention in patients with high intracranial pressure who fail to respond to medical treatment. Data on predictive factors for functional outcomes in patients with DC who have malignant middle cerebral artery (MCA) infarction as opposed to intracranial hemorrhage (ICH) are scarce. Eighty-four patients who underwent DC treatment for ICH and malignant MCA infarction were examined. All patients underwent surgery in the Bahrain Salmaniya Medical Complex Neurosurgery Unit between January 2017 and June 2021. To determine whether any of these demonstrated a link to the functional outcome, radiographic factors were compared with clinical data. The postsurgical midline shift (MLS) (ICH group) showed the strongest correlation (ρ = 0.434; P = .006), as in the MCA infarction group as well (ρ = 0.46; P = .005). Further analyses using binary logistic regression with postsurgical basal cistern status and ∆ MLS, and it was observed to be statistically significant (odds ratios: 0.067, 95% CI: 0.007, 0.67; P = .021). The initial Glasgow coma scale, postsurgical MLS, basal cistern status, and ∆ are Measurable variables that can be used to predict outcomes in the groups with ICH and MCA infarction.
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Affiliation(s)
- Ebtesam Abdulla
- Department of Neurosurgery, Salmaniya Medical Complex, Manama, Bahrain
| | - Krishna Das
- Department of Neurosurgery, Salmaniya Medical Complex, Manama, Bahrain
| | - Kannan Sridharan
- Department of Pharmacology and Therapeutics, Arabian Gulf University, Manama, Bahrain
| | - Mohammed Waheed
- Department of Neurosurgery, Salmaniya Medical Complex, Manama, Bahrain
| | - Fatima Abdulla
- Department of Neurology, Salmaniya Medical Complex, Manama, Bahrain
| | - Joseph Ravindra
- Department of Neurosurgery, Salmaniya Medical Complex, Manama, Bahrain
| | - Harleen Luther
- Department of Neurosurgery, Salmaniya Medical Complex, Manama, Bahrain
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Abdulla F, Hossain MM, Rahman A. Determinants of early sexual initiation among female adolescents in Bangladesh: evidence from a countrywide cross-sectional survey. Public Health 2023; 223:102-109. [PMID: 37633091 DOI: 10.1016/j.puhe.2023.07.019] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 06/07/2023] [Accepted: 07/14/2023] [Indexed: 08/28/2023]
Abstract
OBJECTIVES Early sexual initiation (ESI), defined as sexual activity that begins before 15 or 18 years of age, is one of the risky sexual behaviours that has been linked to increased likelihood of adverse consequences, such as sexually transmitted diseases, unintended pregnancies and unsafe abortions. However, to date, there are no studies investigating the prevalence and factors influencing ESI among adolescent females (aged 10-19 years) in Bangladesh. Thus, this study aimed to identify the potential determinants of ESI among adolescent females in Bangladesh based on data that are representative of the country. STUDY DESIGN This was a cross-sectional study. METHODS Based on the availability of the data, the analysis included a weighted sample of 2051 adolescent females aged 15-19 years from the Bangladesh Demographic and Health Survey 2017/18. Initial selection of predictor variables was based on the bivariate analysis using the Chi-squared test. Univariate and multivariable logistic regression modelling were performed to measure the crude and adjusted effect of the selected predictor variables on ESI using the odds ratio (OR). The elasticity of the effects was calculated by their 95% confidence intervals (CIs). RESULTS Approximately 22% and 85% of female adolescents experienced ESI before the age of 15 and 18 years, respectively. Findings revealed that illiteracy (adjusted OR [AOR]: 3.61, 95% CI: 1.82-7.18), primary education (AOR: 2.08, 95% CI: 1.60-2.69), working status (AOR: 1.25, 95% CI: 0.98-1.60), living in Chittagong (AOR: 0.46, 95% CI: 0.27-0.79), living in Sylhet (AOR: 0.21, 95% CI: 0.08-0.56), reading newspapers (AOR: 0.63, 95% CI: 0.40-1.01), earlier marriage preference (AOR: 3.30, 95% CI: 2.31-4.71) and later marriage preference (AOR: 4.10, 95% CI: 3.01-5.59) were significantly linked with ESI before the age of 15 years. ESI before the age of 18 years was significantly association with primary education (AOR: 1.47, 95% CI: 1.01-2.13), religion (AOR: 0.55, 95% CI: 0.32-0.94), female household head (AOR: 1.93, 95% CI: 1.17-3.19), living in Rajshahi (AOR: 1.97, 95% CI: 0.95-4.08), being in the 'poorest' wealth category (AOR: 2.43, 95% CI: 1.45-4.07), being in the 'poorer' wealth category (AOR: 1.70, 95% CI: 1.06-2.72), being in the 'middle' wealth category (AOR: 1.76, 95% CI: 1.12-2.77), being in the 'richer' wealth category (AOR: 1.58, 95% CI: 1.02-2.44), earlier marriage preference (AOR: 15.71, 95% CI: 9.09-27.14), later marriage preference (AOR: 12.62, 95% CI: 8.82-18.06) and heard about family planning (AOR: 0.70, 95% CI: 0.47-1.04). CONCLUSIONS In Bangladesh, the prevalence of ESI among female adolescents is a public health concern. Due to the detrimental impact of ESI on the well-being of adolescents, it is crucial that policymakers consider the factors influencing ESI that have been identified in this study when designing health strategies. The findings from this study will help the development of evidence-based effective initiatives by policymakers in collaboration with governmental and non-governmental organisations.
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Affiliation(s)
- F Abdulla
- Cancer Care and Research Trust Bangladesh (CCRTB), Dhaka, 1204, Bangladesh.
| | - M M Hossain
- Department of Statistics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh; School of Mathematics, Statistics and Physics, Newcastle University, Newcastle Upon Tyne, UK.
| | - A Rahman
- School of Computing, Mathematics and Engineering, Charles Sturt University, Wagga Wagga, NSW, 2678, Australia.
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Memon H, Abdulla F, Reljic T, Alnuaimi S, Serdarevic F, Asimi ZV, Kumar A, Semiz S. Effects of combined treatment of probiotics and metformin in management of Type 2 diabetes: A systematic review and meta-analysis. Diabetes Res Clin Pract 2023:110806. [PMID: 37369280 DOI: 10.1016/j.diabres.2023.110806] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 06/22/2023] [Indexed: 06/29/2023]
Abstract
BACKGROUND Lifestyle changes and dietary intervention, including the use of probiotics, can modulate dysbiosis of gut microbiome and contribute to the management of type 2 diabetes mellitus (T2DM). This systematic review and meta-analysis aim to assess the efficacy of metformin plus probiotics versus metformin alone on outcomes in patients with T2DM. METHODS We searched MEDLINE and EMBASE from inception to February 2023 to identify all randomized controlled trials (RCTs), which compared the use of metformin plus probiotics versus metformin alone in adult patients with T2DM. Data were summarized as mean differences (MD) with 95% confidence interval (CI) and pooled under the random effects model. Findings Fourteen RCTs (17 comparisons, 1009 patients) were included in this systematic review. Pooled results show a significant decrease in fasting glucose (FG) (MD=-0.64, 95% CI=-1.06, -0.22) and HbA1c (MD=-0.29, 95% CI=-0.47, -0.10) levels in patients with T2DM treated with metformin plus probiotics versus metformin alone. The addition of probiotics to metformin resulted in lower odds of gastrointestinal adverse events (Odds ratio=0.18, 95% CI=0.09, 0.3.8; I2=0%). CONCLUSIONS The addition of probiotics to metformin therapy is associated with improvement in T2DM outcomes. However, high-quality and adequately reported RCTs are needed in the future to confirm our findings.
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Affiliation(s)
- Hamda Memon
- College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, United Arab Emirates
| | - Fatima Abdulla
- College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, United Arab Emirates
| | - Tea Reljic
- Research Methodology and Biostatistics Core, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA
| | - Saif Alnuaimi
- College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, United Arab Emirates
| | - Fadila Serdarevic
- Sarajevo Medical School, University Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina; Department of Child and Adolescent Psychiatry, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Zelija Velija Asimi
- Sarajevo Medical School, University Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina
| | - Ambuj Kumar
- Research Methodology and Biostatistics Core, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA
| | - Sabina Semiz
- College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, United Arab Emirates.
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Akour A, Halloush S, Nusair MB, Barakat M, Abdulla F, Al Momani M. Gaps in pharmaceutical care for patients with mental health issues: A cross-sectional study. Int J Clin Pharm 2022; 44:904-913. [PMID: 35364752 PMCID: PMC8974808 DOI: 10.1007/s11096-022-01391-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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 02/12/2022] [Accepted: 02/17/2022] [Indexed: 11/05/2022]
Abstract
Background Mental health issues such as depression and anxiety are often underdiagnosed and undertreated. Medications are a primary method of managing mental health problems, and pharmacists therefore have a vital role in supporting patients and providing them with information about the safety and efficacy of mental health medications. However, the potential role of pharmacists in managing mental health issues in Jordan has not been well established. Aim This study aimed to assess Jordanian pharmacists’ attitudes and actual practices related to the provision of mental health services. Method This was an exploratory cross-sectional study that used a self-report questionnaire among a convenience sample of 347 pharmacists in Amman, the capital of Jordan. Results The participating pharmacists had positive attitudes towards providing care for patients with mental health problems. However, their actual practices did not resonate with their enthusiasm, particularly in terms of the long-term follow-up of disease symptoms and medication side effects and adherence. The participating pharmacists showed an eagerness to collaborate with their colleagues, but their level of actual cooperation was lower than desired. The most reported barrier to providing care for patients with mental health problems was the lack of education on mental health issues (71.5%), followed by the lack of privacy in pharmacy settings (53.9%). Conclusion To be effectively involved in the provision of care to mental health patients, pharmacists should receive adequate education/training related to mental health issues, and pharmacies should be redesigned to provide private areas for patient counseling.
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Affiliation(s)
- Amal Akour
- Department of Biopharmaceutics and Clinical Pharmacy, The School of Pharmacy, The University of Jordan, Amman, Jordan. .,Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, United Arab Emirates University, Abu Dhabi, United Arab Emirates.
| | - Shiraz Halloush
- Department of Clinical Pharmacy and Therapeutics, The School of Pharmacy, Applied Science Private University, Amman, Jordan
| | - Mohmmad B Nusair
- Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Yarmouk University, Irbid, Jordan
| | - Muna Barakat
- Department of Clinical Pharmacy and Therapeutics, The School of Pharmacy, Applied Science Private University, Amman, Jordan
| | - Fatima Abdulla
- Department of Public Health, The School of Medicine, The University of Jordan, Amman, Jordan
| | - Malik Al Momani
- Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Yarmouk University, Irbid, Jordan
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Trum N, Zain J, Martinez X, Parekh V, Afkhami M, Abdulla F, Carson K, Rosen S, Bennett C, Querfeld C. Mogamulizumab efficacy is underscored by its associated rash that mimics cutaneous T-cell lymphoma: a retrospective single-centre case series. Br J Dermatol 2022; 186:153-166. [PMID: 34427917 PMCID: PMC8738116 DOI: 10.1111/bjd.20708] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/21/2021] [Indexed: 01/03/2023]
Abstract
BACKGROUND Mogamulizumab is a humanized antibody against chemokine receptor type 4. It was recently approved by the US Food and Drug Administration for relapsed or refractory mycosis fungoides (MF) and Sézary syndrome (SS). The most commonly reported adverse event in the phase III licensing trial was drug eruption (28%), now termed mogamulizumab-associated rash (MAR). Clinical recommendations about MAR and its treatment differ between the current package insert and postapproval insights reported from two single-centre studies that focused on its characterization, but less so on outcomes and clinicopathological differentiation from cutaneous T-cell lymphoma (CTCL). OBJECTIVES To describe our experience in the diagnosis of MAR and treatment of patients with CTCL with mogamulizumab. METHODS This is a single-centre retrospective case series study. RESULTS We found a higher incidence of MAR in patients with CTCL (17 of 24, 68%) than previously reported. MAR development is associated with complete (11 of 17) or partial (four of 17) responses, with an overall response rate of 88%, compared with 29% (two of seven) in patients without MAR. Diagnosis of MAR may be obscured by its ability to mimic key CTCL features both clinically and histologically, but an absence of T-cell-receptor clonality and relatively decreased CD4 : CD8 ratio compared with baseline lesions strongly favour MAR over recurrent disease. CONCLUSIONS MAR has the potential to create a significant management problem for patients on mogamulizumab. Misidentification of MAR as recurrent CTCL may detrimentally result in the premature discontinuation of mogamulizumab in patients whose disease is historically hard to treat. Thorough clinicopathological investigation of new lesions during treatment with mogamulizumab is required to inform ideal treatment decisions and achieve better outcomes.
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Affiliation(s)
- N.A. Trum
- Division of Dermatology, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States,Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv 69978, Israel
| | - J. Zain
- Department of Hematology and Hematopoietic Cell Transplantation, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States
| | - X.U. Martinez
- Division of Dermatology, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States
| | - V. Parekh
- Department of Pathology, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States
| | - M. Afkhami
- Department of Pathology, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States
| | - F. Abdulla
- Division of Dermatology, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States
| | - K.R. Carson
- Division of Hematology, Oncology, and Stem Cell Transplant, Rush University, 600 S. Paulina St., Chicago, Illinois 60612, United States
| | - S.T. Rosen
- Department of Hematology and Hematopoietic Cell Transplantation, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States,Beckman Research Institute, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States
| | - C.L. Bennett
- Department of Comparative Medicine and Evidence Based Medicine, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States,Beckman Research Institute, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States,College of Pharmacy, University of South Carolina
| | - C. Querfeld
- Division of Dermatology, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States,Department of Pathology, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States,Beckman Research Institute, City of Hope Comprehensive Cancer Care Center, 1500 E Duarte Rd, Duarte, CA 91010, United States
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Querfeld CS, Tsai N, Palmer J, Martinez X, Abdulla F, Wu X, Rosen ST, Zain J. PHASE 1 RESULTS OF ANTI‐PD‐LIGAND 1 (DURVALUMAB) & LENALIDOMIDE IN PATIENTS WITH CUTANEOUS T CELL LYMPHOMA AND CORRELATION WITH GENE EXPRESSION PROFILE. Hematol Oncol 2021. [DOI: 10.1002/hon.125_2880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- C. S. Querfeld
- City of Hope Beckman Research Institute and Dept. of Pathology Duarte California USA
| | - N.‐C. Tsai
- City of Hope Division of Biostatistics Duarte California USA
| | - J. Palmer
- City of Hope Division of Biostatistics Duarte California USA
| | - X. Martinez
- City of Hope Division of Dermatology Duarte California USA
| | - F. Abdulla
- City of Hope Division of Dermatology Duarte California USA
| | - X. Wu
- City of Hope Integrative Genomics Core Duarte California USA
| | - S. T. Rosen
- City of Hope Hematology and Hematopoietic Cell Transplantation Duarte California USA
| | - J. Zain
- City of Hope Hematology and Hematopoietic Cell Transplantation Duarte California USA
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Martinez X, Zain J, Abdulla F, Rosen S, Querfeld C. 355 Significant disparities in prognosis and survival in Black cutaneous lymphoma patients emphasize the need for more focused study and care. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.02.377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Shosha E, Al Asmi A, Nasim E, Inshasi J, Abdulla F, Al Malik Y, Althobaiti A, Alzawahmah M, Alnajashi HA, Binfalah M, AlHarbi A, Thubaiti IA, Ahmed SF, Al-Hashel J, Elyas M, Nandhagopal R, Gujjar A, Harbi TA, Towaijri GA, Alsharooqi IA, AlMaawi A, Al Khathaami AM, Alotaibi N, Nahrir S, Al Rasheed AA, Al Qahtani M, Alawi S, Hundallah K, Jumah M, Alroughani R. Neuromyelitis optica spectrum disorders in Arabian Gulf (NMOAG); establishment and initial characterization of a patient registry. Mult Scler Relat Disord 2019; 38:101448. [PMID: 32164911 DOI: 10.1016/j.msard.2019.101448] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Revised: 10/01/2019] [Accepted: 10/13/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To describe the clinical and radiological characteristics of neuromyelitis optica spectrum disorders (NMOSD) patients from the Arabian Gulf relative to anti-aquaporin 4 antibody serostatus. METHODS Retrospective multicentre study of hospital records of patients diagnosed with NMOSD based on 2015 International Panel on NMOSD Diagnosis (IPND) consensus criteria. RESULTS One hundred forty four patients were evaluated, 64.3% were anti-AQP4 antibody positive. Mean age at onset and disease duration were 31±12 and 7 ± 6 years respectively. Patients were predominantly female (4.7:1). Overall; relapsing course (80%) was more common than monophasic (20%). Optic neuritis was the most frequent presentation (48.6%), regardless of serostatus. The proportion of patients (54.3%) with visual acuity of ≤ 0.1 was higher in the seropositive group (p = 0.018). Primary presenting symptoms of transverse myelitis (TM) were observed in 29% of patients, and were the most significant correlate of hospitalization (p<0.001). Relative to anti-APQ4 serostatus, there were no significant differences in terms of age of onset, course, relapse rates or efficacy outcomes except for oligoclonal bands (OCB), which were more often present in seronegative patients (40% vs.22.5%; p = 0.054). Irrespective of serostatus, several disease modifying therapies were instituted including steroids or immunosuppressives, mostly, rituximab and azathioprine in the cohort irrespective of serostatus. The use of rituximab resulted in reduction in disease activity. CONCLUSION This is the first descriptive NMOSD cohort in the Arabian Gulf region. Seropositive patients were more prevalent with female predominance. Relapsing course was more common than monophasic. However, anti-AQP4 serostatus did not impact disease duration, relapse rate or therapeutic effectiveness. These findings offer new insights into natural history of NMOSD in patients of the Arabian Gulf and allow comparison with patient populations in different World regions.
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Affiliation(s)
- Eslam Shosha
- Departments of Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia; Department of Clinical Neurological Sciences, University of Western Ontario, London, Ontario, Canada.
| | - Abdulla Al Asmi
- Neurology Unit, Department of Medicine, Sultan Qaboos University and Hospital, Oman
| | - Eman Nasim
- Departments of Neurology, King Fahad Specialist Hospital, Dammam, Saudi Arabia
| | - Jihad Inshasi
- Neurology Department, Rashid Hospital and Dubai Medical College, Dubai, UAE
| | - Fatima Abdulla
- Neuroscience Department, Salmaniya Medical Complex, Manama, Bahrain
| | - Yaser Al Malik
- Neurology Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia; King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Ahmed Althobaiti
- Department of Neurology, King Saud Medical City, Riyadh, Saudi Arabia
| | - Mohamed Alzawahmah
- Departments of Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Hind A Alnajashi
- Neurology Division, Internal Medicine Department, King Abdulaziz University, Jeddah, Saudi Arabia; Neuroscience Department, International Medical Center, Jeddah, Saudi Arabia
| | | | - Awad AlHarbi
- Neurology Division, Internal Medicine Department, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia
| | - Ibtisam A Thubaiti
- Neurology Department, King Fahad Military Medical Complex, Dhahran, Saudi Arabia
| | - Samar F Ahmed
- Department of Neurology, Ibn Sina Hospital, Kuwait; Faculty of Medicine, Minia University, Egypt
| | | | - Mortada Elyas
- Neurology Unit, Department of Medicine, Sultan Qaboos University and Hospital, Oman
| | | | - Arunodaya Gujjar
- Neurology Unit, Department of Medicine, Sultan Qaboos University and Hospital, Oman
| | - Talal Al Harbi
- Departments of Neurology, King Fahad Specialist Hospital, Dammam, Saudi Arabia
| | | | - Isa A Alsharooqi
- Neuroscience Department, Salmaniya Medical Complex, Manama, Bahrain
| | - Ahmed AlMaawi
- Neuroscience Department, Salmaniya Medical Complex, Manama, Bahrain
| | - Ali M Al Khathaami
- Neurology Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia; King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Naser Alotaibi
- Neurology Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia; King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Shahpar Nahrir
- Department of Neurology, King Saud Medical City, Riyadh, Saudi Arabia
| | | | - Mohammed Al Qahtani
- Neurology Department, King Fahad Military Medical Complex, Dhahran, Saudi Arabia
| | - Sadaga Alawi
- Departments of Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Khalid Hundallah
- Departments of Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Mohammed Jumah
- Neurology Department, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Raed Alroughani
- Division of Neurology, Department of Medicine, Amiri Hospital, Kuwait
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Shosha E, Al Asmi A, Nasim E, Inshasi J, Jumah M, Abdulla F, Al Malik Y, Althobaiti A, Alzawahma M, Alnajashi H, Falah M, Al Harbi A, Althubaiti I, Alsharooqi I, Hundallah K, Al Rasheed A, AlRoughani R, Ahmed S. Neuromyelitis optica spectrum disorders in Arabian Gulf (NMOAG); first clinical and radiological delineation cohort. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Di Raimondo C, Martinez X, Abdulla F, Zain J, Rosen S, Querfeld C. Interleukin 1 beta derived abscesses in a patient with folliculotropic and granulomatous mycosis fungoides with large cell transformation. Eur J Cancer 2019. [DOI: 10.1016/s0959-8049(19)30550-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Donnellan C, Redha N, Al Banna M, Al Jishi A, Al Sharoqi I, Bakhiet M, Abdulla F. ASSOCIATIONS BETWEEN APOE GENOTYPE AND PSYCHOLOGICAL CONSEQUENCES POST STROKE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- C. Donnellan
- University of Dublin, Trinity College, Dublin, Ireland,
| | - N. Redha
- Department of Clinical Neurosciences, Salmaniya Medical Complex, Salmaniya, Bahrain,
| | - M. Al Banna
- Department of Clinical Neurosciences, Salmaniya Medical Complex, Salmaniya, Bahrain,
| | - A. Al Jishi
- Department of Clinical Neurosciences, Salmaniya Medical Complex, Salmaniya, Bahrain,
| | - I. Al Sharoqi
- Department of Molecular Medicine, Princess Al Jawhara Center for Genetics and Inherited Diseases, College of Medicine and Medical Sciences, Arabian Gulf University, Salmaniya, Bahrain
| | - M. Bakhiet
- Department of Molecular Medicine, Princess Al Jawhara Center for Genetics and Inherited Diseases, College of Medicine and Medical Sciences, Arabian Gulf University, Salmaniya, Bahrain
| | - F. Abdulla
- Department of Clinical Neurosciences, Salmaniya Medical Complex, Salmaniya, Bahrain,
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Donnellan C, Al Banna M, Redha N, Al Sharoqi I, Al-Jishi A, Bakhiet M, Taha S, Abdulla F. Association Between Metacognition and Mood Symptoms Poststroke. J Geriatr Psychiatry Neurol 2016; 29:212-20. [PMID: 27056067 DOI: 10.1177/0891988716640374] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Accepted: 02/10/2016] [Indexed: 12/20/2022]
Abstract
INTRODUCTION The link between metacognition and mood has been well established, particularly in other conditions with psychological comorbidity, however, there is no evidence regarding this association in the area of stroke. AIM The aim of this study was to examine the association between metacognition, based on the Self-Regulatory Executive Function model, and mood symptoms in the acute phase after stroke. METHODS One hundred thirty patients were recruited to a prospective stroke study in Bahrain, and n = 64 were assessed for mood and cognition. A neuropsychological battery of cognitive assessments included the following measures: the Mini-Mental State Examination, the Trail Making Test (A+B), and the Metacognition Questionnaire 30 (MCQ-30) for metacognition. The Hospital Anxiety and Depression Scale assessed mood symptoms, and stroke severity was measured using the National Institute of Health Stroke Severity Scale. RESULTS Total MCQ-30 scores were significantly associated with both anxiety (r = .47, P = .001) and depression (r = .54, P <. 0001). The MCQ-30 subscales' cognitive confidence, cognitive self-consciousness, and uncontrollability/danger were the specific factors to be associated with mood symptoms (P < .01). Global cognition (r =.32, P < .01), but not executive function, was significantly associated with depression only. Metacognition remained a statistically significant correlate with depression (β = .42, P < .0001) and anxiety (β = .51, P < .0001) after adjusting for education and global cognition. DISCUSSION Metacognition is a better determinant of mood symptoms after stroke, especially in regions where illiteracy levels are high in older populations, in comparison to executive function and global cognition.
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Affiliation(s)
- Claire Donnellan
- School of Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, Busaiteen, Kingdom of Bahrain School of Postgraduate Studies, Royal College of Surgeons in Ireland-Medical University of Bahrain, Busaiteen, Kingdom of Bahrain School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - M Al Banna
- School of Postgraduate Studies, Royal College of Surgeons in Ireland-Medical University of Bahrain, Busaiteen, Kingdom of Bahrain
| | - N Redha
- School of Postgraduate Studies, Royal College of Surgeons in Ireland-Medical University of Bahrain, Busaiteen, Kingdom of Bahrain
| | - I Al Sharoqi
- Department of Clinical Neurosciences, Salmaniya Medical Complex, Salmaniya, Kingdom of Bahrain
| | - A Al-Jishi
- Department of Clinical Neurosciences, Salmaniya Medical Complex, Salmaniya, Kingdom of Bahrain
| | - M Bakhiet
- Department of Molecular Medicine, Princess Al-Jawhara Center for Genetics and Inherited Diseases, Salmaniya Kingdom of Bahrain
| | - S Taha
- Department of Molecular Medicine, Princess Al-Jawhara Center for Genetics and Inherited Diseases, Salmaniya Kingdom of Bahrain
| | - F Abdulla
- Department of Clinical Neurosciences, Salmaniya Medical Complex, Salmaniya, Kingdom of Bahrain
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Alsharoqi I, Alsaffar M, Almukhtar B, Abdulla F, Aljishi A. Prevalence, demographics and clinical features of multiple sclerosis in Bahrain. Mult Scler Relat Disord 2014. [DOI: 10.1016/j.msard.2014.09.205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Dirani M, Nasreddine W, Abdulla F, Beydoun A. Seizure control and improvement of neurological dysfunction in Lafora disease with perampanel. Epilepsy Behav Case Rep 2014; 2:164-6. [PMID: 25667898 PMCID: PMC4307869 DOI: 10.1016/j.ebcr.2014.09.003] [Citation(s) in RCA: 54] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/18/2014] [Accepted: 09/04/2014] [Indexed: 12/31/2022]
Abstract
Lafora disease is a rare and fatal disease characterized by seizures, progressive cognitive and behavioral deterioration, as well as cerebellar dysfunction. Currently, there is no efficacious treatment that will control the seizures and improve the cognitive decline in this disease. We report a patient with Lafora disease who experienced a dramatic amelioration in her seizure frequency as well as the associated neurological and cognitive dysfunction following initiation of treatment with perampanel administered as monotherapy. Perampanel is the first potentially efficacious treatment for Lafora disease. We discuss a potential mechanism for the efficacy of perampanel in this disease.
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Affiliation(s)
- Maya Dirani
- Division of Pediatric Neurology, American University of Beirut Medical Center, Lebanon
| | - Wassim Nasreddine
- Department of Neurology, American University of Beirut Medical Center, Lebanon
| | - Fatima Abdulla
- Department of Clinical Neurosciences, Salmaniya Medical Complex, Bahrain
| | - Ahmad Beydoun
- Department of Neurology, American University of Beirut Medical Center, Lebanon
- Corresponding author at: American University of Beirut Medical Center, PO Box 11-0236, Riad El-Solh, 1107 2020 Beirut, Lebanon. Tel.: + 961 3322904; fax: + 961 1370814.
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Ejeckam G, Joseph M, Abdulla F, El Dweik N. Response of viral hepatitis B and C to interferon alpha treatment: Possible role of MGP-Positive lymphoid cells. Qatar Med J 2000. [DOI: 10.5339/qmj.2000.2.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Fifty-six needle liver biopsies from 28 patients with viral hepatitis B (15 cases) and hepatitis C (13 cases) treated with Interferon alpha for a minimum of six months were studied with the aim of determining the role of MGP-positive lymphoid cell infiltrates in the response to treatment with interferon. Besides assessing the MGP-positive cells, the following parameters were assessed and graded: (i) Inflammation in and around the portal tracts, (ii) fibrosis, nodularity and cirrhosis, (iii) piece-meal necrosis (inter-face hepatitis), (iv) lobular activity, (v) stainable iron. Sec-tions were stained with H&E, PAS, PASD, Perl, Masson Trichrome and MGP (Methyl Green Pyronin). All the parameters were graded 1 to 3 except stainable iron which was noted as present or absent.
Fourteen patients (50%) demonstrated histological evidence of a response to treatment. Seven of these showed a very pronounced response with the post treatment liver bi-opsies returning almost to normal. Five of the seven, 27.8% of all MGP stained cases and 71% of all brisk responses, contained ten or more MGP-positive lymphoid cells in the portal tracts.
In contrast, the non-responsive and worsened cases con-tained less than five MGP-positive cells as well as a pre-dominantly small mature lymphocytic infiltrate in the por-tal tracts.
Severity of piece-meal necrosis, lobular activity, portal tract inflammation, the presence or absence of stainable iron, were not of predictive value in the response of viral hepatitis to treatment with interferon alpha.
It appears that MGP-positive lymphoid cells, most prob-ably immune competent activated lymphoid cells, have a positive influence on, and are of predictive value for, the response to treatment of viral hepatitis B and C with inter-feron alpha.
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Affiliation(s)
- G. Ejeckam
- Departments of Laboratory Medicine & Pathology and Medicine, Hamad Medical Corporation Doha, Qatar
| | - M. Joseph
- Departments of Laboratory Medicine & Pathology and Medicine, Hamad Medical Corporation Doha, Qatar
| | - F. Abdulla
- Departments of Laboratory Medicine & Pathology and Medicine, Hamad Medical Corporation Doha, Qatar
| | - N. El Dweik
- Departments of Laboratory Medicine & Pathology and Medicine, Hamad Medical Corporation Doha, Qatar
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Affiliation(s)
- L Kayler
- Maricopa Medical Center, Phoenix, AZ, USA
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Azadeh B, Abdulla F. Transepithelial elimination in cutaneous leishmaniasis. Acta Derm Venereol 1995; 75:159. [PMID: 7604653 DOI: 10.2340/0001555575159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
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Ejeckam GC, Abdulla F, el-Sakka M, Dauleh W, Haseeb F. Gynaecological malignancies in Qatar. East Afr Med J 1994; 71:777-81. [PMID: 7705247] [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: 01/26/2023]
Abstract
Gynaecological malignancies constitute 6.88% (144 of 2092) of all malignant lesions in Qatar over a 15 year period (1979-1993). Cancer of the cervix was the most common with 54.86% followed by ovarian cancer 22.91%, endometrium 15.97%, vulva and vagina 2.75% and 2.08% respectively. Malignancies of the corpus uteri were rare. No tumours of the Fallopian tubes were registered during the study period. Early marriage, frequent coitus started early in life and increasing number of pregnancies were predisposing factors for the genesis of cancer of the cervix. As in some other developing countries, cervical and ovarian neoplasms tend to occur in the younger age group. Germ cell and gonadal stromal tumours were rare in Qatar and this may suggest rarity of these tumours in women of Arab and Indian subcontinent descent. Increasing number of pregnancies seems to protect against ovarian cancer. Abortions and age at menarche do not influence the incidence of gynaecological malignancies. Our findings provide an adequate data base for planning of gynaecological cancer education, screening programmes and resource allocation in Qatar.
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Affiliation(s)
- G C Ejeckam
- Department of Laboratory Medicine and Pathology, Hamad General Hospital, Doha, Qatar
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Affiliation(s)
- J A Bakerink
- Department of Pediatrics, University of Nevada School of Medicine, Reno
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Ejeckam G, Abdulla F, Azadeh B, Burns B. Inflammatory pseudotumor of the spleen: a case report. East Afr Med J 1994; 71:273-4. [PMID: 8062780] [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: 01/28/2023]
Abstract
An inflammatory pseudotumour of the spleen mimicking a lymphoma clinically is reported. Immunohistochemical studies and the characteristic polymophous inflammatory and fibroblastic infiltrates confirm the lesion as benign.
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Affiliation(s)
- G Ejeckam
- Department of Laboratory Medicine and Pathology Hamad Medical Corporation, Doha-Qatar, Arabian Gulf
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Abdulla F, Dawe G, Scorsa AM, Rispoli V, Stephenson JD. Effects of tetrahydro-9-aminoacridine on the electrocorticogram of rats with a unilateral lesion of the nucleus basalis magnocellularis. Funct Neurol 1992; 7:141-4. [PMID: 1376709] [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: 12/26/2022]
Abstract
The effects of tetrahydro-9-aminoacridine (THA) were studied on the electrocortical activity of control rats and of rats with a unilateral lesion of the nucleus basalis magnocellularis (NBM) produced by alpha-amino-3-hydroxy-4-isoxozole propionic acid (AMPA). This lesion almost completely deprived the lesioned hemisphere of its cholinergic innervation. In control rats, THA (10 mg/kg i.p.) increased the amplitude of the slow components of the electrocorticogram (less than 9 Hz). These effects were antagonised by atropine (5 mg/kg i.p.). Lesion of the NBM alone decreased the amplitude of frequencies in the 12-16 Hz frequency band but did not significantly affect the slower frequencies. THA (10 mg/kg) restored the amplitude of the 12-16 Hz activity to the level seen in control rats before THA but did not affect activity in the other frequency bands. The results suggest that THA requires some residual cholinergic innervation in order to exert its effect.
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Affiliation(s)
- F Abdulla
- Department of Psychology, University of London, UK
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Affiliation(s)
- F Abdulla
- Department of Pediatrics, Louisiana State University Medical Center, Shreveport 71130-3932
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Abstract
Tuberculosis is becoming a more prominent pediatric disease, but there are few recent reports of endobronchial involvement. We have presented the case of a 4-month-old infant with symptomatic obstructive airway disease due to Mycobacterium tuberculosis. Endobronchial tuberculosis usually follows 2 to 3 months of antituberculous therapy. This case is especially unusual because the endobronchial disease developed before diagnosis or therapy. Endobronchial tuberculosis should be considered in any patient with symptoms or roentgenographic findings of obstructive airway disease. Bronchoscopy is the best technique for diagnosis and follow-up of endobronchial tuberculosis.
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Affiliation(s)
- F Abdulla
- Department of Pediatrics, Louisiana State University Medical Center, Shreveport 71130
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