11 research outputs found
Intraoperative crush cytology in the diagnosis of neurosurgical cases
- Publication venue
- Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia
- Publication date
- 01/01/2005
- Field of study
Get PDFIntraoperative cytologic smears in neurosurgery are easy to perform and inexpensive and permit
reasonably high diagnostic accuracy.
Even very tiny specimens, especially of soft consistency are suitable for this technique, which is
extremely important in operation of tumours localized in functionally important brain areas.
The cytologic diagnosis could be made based on the presence of characteristic
cytomorphological features. Very high accuracy can be archived in certain tumours like nerve
sheath tumour, germinoma, meningioma, metastasis, grade II astrocytoma, pituitary adenoma
and oligidendroglioma. However, the accuracy is low in high grade glioma, medulloblastoma and
ependymoma. In the absence of their diagnostic cytomorphological features, the correlation with
clinicoradiological features might help in arriving at the correct diagnostic and increase their
diagnostic accuracy.
Further studies involving more number of cases is needed to find out the value of crush cytology
in diagnosing the rare tumours and inflammatory lesions.
In cytology examination, presence of pure normal glial tissue has high negative predictive value.
This helps in guidance during targeting the lesions including steriotactic biopsy and also during
the resection of infiltrative lesions for definition of tumour margins
Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial
- Author
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- Abdul Rasheed A.
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- Publication venue
- Springer Science and Business Media LLC
- Publication date
- 31/01/2024
- Field of study
Get PDFDimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome
Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial
- Author
- Abbas M.
- Abdul Rasheed A.
- Abdul A.
- Abdul-Kadir R.
- Abdusamad K.
- Abernethy K.
- Aboelela H.
- Abouzaid M.
- Abraham M.
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- Abrams J.
- Abu H.
- Abu-Arafeh A.
- Acton C.
- Adam F.
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- Addo A.
- Adedeji O.
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- Adewunmi E.
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- Al-Saadi Z.
- Al-Shahi Salman R.
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- Albert P.
- Alegria A.
- Alexander A.
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- Byrne J.
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- Caws C.
- Central Coordinating Office (for the RECOVERY Collaborative Group)
- Century H.
- Chadwick J.
- Chakkarapani E.
- Chakraborty A.
- Chamberlain S.
- Chambers E.
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- Charles B.
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- Chatterton D.
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- Chauhan R.
- Chawla V.
- Chen F.
- Cheng F.
- Cherrie M.
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- Chilvers A.
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- Chineka R.
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- Chisnall B.
- Chiswick C.
- Chivima B.
- Chmiel C.
- Chrisopoulou A.
- Christian P.
- Christides A.
- Christmas D.
- Church E.
- Cianci N.
- Cicconi P.
- Clare E.
- Clark E.
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- Clayton-Smith J.
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- Clemente de la Torre C.
- Clifford S.
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- Coe A.
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- Cohen D.
- Coker O.
- Cole J.
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- Collier D.
- Collini Paul
- Collins J.
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- Colton H.
- Condliffe R.
- Connell E.
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- Connor E.
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- Conteh V.
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- Cooke G.
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- Corbett C.
- Corbishley A.
- Cornwell J.
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- Darbyshire Janet
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- Data Monitoring Committee of the RECOVERY Collaborative Group
- Daunt A.
- Dave V.
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- De Soyza A.
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- Desai A.
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- Dhani S.
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- Dimitri P.
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- Dobbie L.
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- Dolan D.
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- Duggan A.
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- Dunn A.
- Duran B.
- Durrans L.
- Durrington H.
- Duru I.
- Dymond H.
- D’Costa J.
- D’Mello A.
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- Early J.
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- Elgohary A.
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- Emberson Jonathan R.
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- Essa F.
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- Everden C.
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- Evison L.
- Ezenduka C.
- Fairbairn I.
- Fairclough A.
- Falconer E.
- Faluyi D.
- Fancois V.
- Farmery T.
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- Farrell B.
- Farzana S.
- Fatemi A.
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- Fenton C.
- Ferenando G.
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- Health records (for the RECOVERY Collaborative Group)
- Hector G.
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- Local Clinical Centre staff (for the RECOVERY Collaborative Group)
- Lock S.
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Get PDFDimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome
THE LOW FREQUENCY NOISE-SPECTRUM OF A PROBE IN A HOT-CATHODE DISCHARGE IN MERCURY VAPOUR AT LOW PRESSURE
- Author
- Publication venue
- Publication date
- 01/07/1957
- Field of study
No full textMaster'sMASTER OF SCIENC
Design and development for amelioration of primary water flow standard and calibration systems
- Publication venue
- Publication date
- 22/06/2022
- Field of study
No full textCrop Production and Carbon Sequestration Potential of <i>Grewia oppositifolia</i>-Based Traditional Agroforestry Systems in Indian Himalayan Region
- Author
- Publication venue
- MDPI AG
- Publication date
- 01/06/2022
- Field of study
No full textBhimal (Grewia oppositifolia) is the most important agroforestry tree species used for fodder, fuel and fiber in the Himalayan region. In the present study, G. oppositifolia-based traditional agroforestry systems were selected for the estimation of carbon stock and the production potential of barnyard millet (Echinochloa frumentacea) and finger millet (Eleusine coracana), with two elevational ranges, i.e., 1000–1400 and 1400–1800 m amsl, in Garhwal Himalaya, India. The results of the investigation showed a decline in the growth and yield attributes of both the millet crops under the G. oppositifolia-based agroforestry system at both elevations as compared to their respective control sites (sole crops). Among the elevations, the total number of tillers per plant (2.70 and 2.48), the number of active tillers per plant (2.18 and 2.25), panicle length (17.63 cm and 6.95 cm), 1000-seed weight (5.49 g and 4.33 g), grain yield (10.77 q ha−1 and 11.35 q ha−1), straw yield (37.43 q ha−1 and 30.15 q ha−1), biological yield (48.21 q ha−1 and 41.51 q ha−1) and the harvest index (22.53% and 27.78%) were recorded as higher in the lower elevation in both E. frumentacea and E. coracana, respectively, while plant population per m2 (18.64 and 25.26, respectively) was recorded as higher in the upper elevation. Plant height for E. frumentacea (180.40 cm) was also observed to be higher in the upper elevation, while for E. coracana (98.04 cm), it was recorded as higher in the lower elevation. Tree carbon stock was reported negatively with an increase in altitude. The maximum amount of sequestered carbon in the tree biomass for G. oppositifolia was 23.29 Mg ha−1 at the lower elevation and 18.09 Mg ha−1 at the upper elevation. Total carbon stock in the tree biomass was reported to be the highest (15.15 Mg ha−1) in the 10–20 cm diameter class, followed by 20–30 cm (6.99 Mg ha−1), >30 cm (2.75 Mg ha−1) and the lowest (2.32 Mg ha−1) in the E. frumentacea and E. coracana was not reduced so severely under the G. oppositifolia system; however, keeping in mind the other benefits of this multipurpose tree, i.e., carbon sequestration and socioecological relevance, farmers can get benefit from adopting these crops under G. oppositifolia-based agroforestry systems
Microstructures using RF sputtered PSG film as a sacrificial layer in surface micromachining
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- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
No full textGlutathione S tranferase PI, MI and TI genotypes and risk for colorectal cancer development in Malaysian population
- Author
- Publication venue
- Japan International Cultural Exchange Foundation & Japan Health Sciences University
- Publication date
- 01/12/2011
- Field of study
No full textBackground: Colorectal cancer (CRC) is a multifactorial disease with factors including dietary and lifestyle habits and genetic predisposition contributing to its etiopathogenesis. Even though the genetic predisposing factors are still unclear, genetic polymorphisms of genes encoding enzymes involved in xenobiotic metabolic pathways that activate or inactivate dietary carcinogens have been proposed as candidate genes. Three members of the Gluthathione S-Transferase (GSTs) family GSTPI, GSTT1 and GSTM1 have been analyzed in Malaysian population for polymorphic variants, and to elucidate their role in colorectal carcinogenesis. Objective: To determine the frequencies of GSTPI, GSTTI and GSTMI genotypes in 111 histopathologically confirmed CRC patients and 128 healthy controls and to evaluate the association risk of GSTPI, GSTTI and GSTMI genotypes on CRC predisposition. Material and Methods: Peripheral blood from the study subjects were collected in EDTA tubes and genomic DNA extracted using QIAGEN kit. The GSTPI IlelO5Val polymorphism was analyzed by PCR-RFLP technique using BsmAl restriction enzyme. The presence or absence of GSTM1 and GSTT1, genes were determined using a multiplex PCR protocol with albumin as the housekeeping gene. The resulting PCR fragments were separated on 2.0% agarose gel for GSTPI and 3.0% agarose gel electrophoresis for the GSTT1 and GSTM1. Results and Conclusion: On evaluating the CRC risk association with variant genotypes singly, GSTTI null genotype was associated significantly with an elevated risk (OR 1.804, 95%CI: 1.065-3.361, p=0027). When the polymorphic genotypes were analyzed in combination, the combination genotypes of GSTPI Val/Val/GSTM+/GSTTI÷ (OR 4.000), Val/Val/GSTMI-/GSTTI- (OR 3.000), and GSTPI Ile/Ile/GSTMI+/GSTTI- (OR 2.833) showed higher associated risk for CRC susceptibility, however the risk values were not statistically significant. Further studies involving larger sample size may help to identify the more specific risk groups and to determine factors of importance in CRC development
Thigh-length compression stockings and DVT after stroke
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- Publication venue
- 'Elsevier BV'
- Publication date
- 01/07/1994
- Field of study
Get PDFControversy exists as to whether neoadjuvant chemotherapy improves survival in patients with invasive bladder cancer, despite randomised controlled trials of more than 3000 patients. We undertook a systematic review and meta-analysis to assess the effect of such treatment on survival in patients with this disease
Azithromycin in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial
- Author
- Abbas M
- Abbasi S
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- Abdelaziz A
- Abdelfattah M
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- Abdusamad K
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- Publication venue
- 'Elsevier BV'
- Publication date
- 01/02/2021
- Field of study
Get PDFBackground Azithromycin has been proposed as a treatment for COVID-19 on the basis of its immunomodulatory actions. We aimed to evaluate the safety and efficacy of azithromycin in patients admitted to hospital with COVID-19. Methods In this randomised, controlled, open-label, adaptive platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), several possible treatments were compared with usual care in patients admitted to hospital with COVID-19 in the UK. The trial is underway at 176 hospitals in the UK. Eligible and consenting patients were randomly allocated to either usual standard of care alone or usual standard of care plus azithromycin 500 mg once per day by mouth or intravenously for 10 days or until discharge (or allocation to one of the other RECOVERY treatment groups). Patients were assigned via web-based simple (unstratified) randomisation with allocation concealment and were twice as likely to be randomly assigned to usual care than to any of the active treatment groups. Participants and local study staff were not masked to the allocated treatment, but all others involved in the trial were masked to the outcome data during the trial. The primary outcome was 28-day all-cause mortality, assessed in the intention-to-treat population. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936. Findings Between April 7 and Nov 27, 2020, of 16 442 patients enrolled in the RECOVERY trial, 9433 (57%) were eligible and 7763 were included in the assessment of azithromycin. The mean age of these study participants was 65·3 years (SD 15·7) and approximately a third were women (2944 [38%] of 7763). 2582 patients were randomly allocated to receive azithromycin and 5181 patients were randomly allocated to usual care alone. Overall, 561 (22%) patients allocated to azithromycin and 1162 (22%) patients allocated to usual care died within 28 days (rate ratio 0·97, 95% CI 0·87–1·07; p=0·50). No significant difference was seen in duration of hospital stay (median 10 days [IQR 5 to >28] vs 11 days [5 to >28]) or the proportion of patients discharged from hospital alive within 28 days (rate ratio 1·04, 95% CI 0·98–1·10; p=0·19). Among those not on invasive mechanical ventilation at baseline, no significant difference was seen in the proportion meeting the composite endpoint of invasive mechanical ventilation or death (risk ratio 0·95, 95% CI 0·87–1·03; p=0·24). Interpretation In patients admitted to hospital with COVID-19, azithromycin did not improve survival or other prespecified clinical outcomes. Azithromycin use in patients admitted to hospital with COVID-19 should be restricted to patients in whom there is a clear antimicrobial indication. Funding UK Research and Innovation (Medical Research Council) and National Institute of Health Research
