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  1. Article: Sarcoidosis presenting as a loss of weight with preserved appetite.

    Goonetilleke, Asitha / Matthias, Anne Thushara

    SAGE open medical case reports

    2023  Volume 11, Page(s) 2050313X231195248

    Abstract: Sarcoidosis is a multisystem inflammatory disorder of unknown aetiology affecting a wide range of organs and is characterised by the presence of noncaseating granulomas. It has rarely been reported in Sri Lanka. This case describes a 36-year-old male ... ...

    Abstract Sarcoidosis is a multisystem inflammatory disorder of unknown aetiology affecting a wide range of organs and is characterised by the presence of noncaseating granulomas. It has rarely been reported in Sri Lanka. This case describes a 36-year-old male presenting with a loss of weight despite a preserved appetite. He had evidence of sarcoidosis with pulmonary, lymph node, eye, hepatosplenomegaly, thyroid and parotid gland involvement with hypercalcaemia. He was successfully treated with glucocorticoids.
    Language English
    Publishing date 2023-08-21
    Publishing country England
    Document type Case Reports
    ZDB-ID 2736953-5
    ISSN 2050-313X
    ISSN 2050-313X
    DOI 10.1177/2050313X231195248
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Case report of scrub typhus with bilateral acute sensorineural hearing loss and cerebral salt-wasting disease.

    Goonetilleke, Asitha / Silva, Shehan

    Tropical doctor

    2023  Volume 54, Issue 1, Page(s) 69–71

    Abstract: Scrub typhus is a re-emerging and endemic disease in the Asia Pacific region caused ... ...

    Abstract Scrub typhus is a re-emerging and endemic disease in the Asia Pacific region caused by
    MeSH term(s) Male ; Humans ; Aged ; Scrub Typhus/complications ; Scrub Typhus/diagnosis ; Scrub Typhus/drug therapy ; Hyponatremia ; Typhus, Epidemic Louse-Borne ; Orientia tsutsugamushi ; Neuromuscular Diseases ; Hearing Loss, Sensorineural/diagnosis ; Hearing Loss, Sensorineural/drug therapy ; Hearing Loss, Sensorineural/etiology ; Wasting Syndrome
    Language English
    Publishing date 2023-09-06
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 193169-6
    ISSN 1758-1133 ; 0049-4755
    ISSN (online) 1758-1133
    ISSN 0049-4755
    DOI 10.1177/00494755231195933
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Colchicine in atherosclerotic cardiovascular disease.

    Tucker, Bradley / Goonetilleke, Neil / Patel, Sanjay / Keech, Anthony

    Heart (British Cardiac Society)

    2024  Volume 110, Issue 9, Page(s) 618–625

    Abstract: Inflammation has a direct role in the development of atherosclerotic vascular disease, and oral colchicine displays broad anti-inflammatory properties. Several large, randomised controlled trials (RCTs) have evaluated colchicine's impact on ... ...

    Abstract Inflammation has a direct role in the development of atherosclerotic vascular disease, and oral colchicine displays broad anti-inflammatory properties. Several large, randomised controlled trials (RCTs) have evaluated colchicine's impact on cardiovascular outcomes. Results from a meta-analysis of these trials demonstrate that colchicine reduces the risk of recurrent major adverse cardiovascular events (MACEs) by 25%, leading to its recent approval by the Food and Drug Administration for the treatment and prevention of cardiovascular disease. Despite this, colchicine has not been shown to confer any survival benefit in these trials. The non-significant reduction in cardiovascular death of 18% (95% CI: 45% decrease to 23% increase) is outweighed by a more prominent, borderline non-significant increase in the risk of non-cardiovascular death by 38% (95% CI: 1% decrease to 92% increase). Key populations including those with heart failure, those undergoing surgical revascularisation, women, elderly individuals and non-Caucasians are under-represented in completed trials, which limits generalisability. C reactive protein has been proposed as a biomarker for colchicine response and shows promise for identifying a high-risk population where the benefit on MACE reduction and specifically reduced cardiovascular death might outweigh any real increased risk of non-cardiovascular death; however, this approach is still to be validated in ongoing RCTs. In conclusion, while colchicine shows promise in reducing MACE, its net risk-benefit profile requires further elucidation before its widespread adoption into clinical practice for the secondary prevention of atherosclerotic cardiovascular disease. Much more large-scale, long-term trial data are still needed in this space.
    MeSH term(s) Aged ; Female ; Humans ; Anti-Inflammatory Agents/therapeutic use ; Atherosclerosis/drug therapy ; Atherosclerosis/prevention & control ; Cardiovascular Diseases/drug therapy ; Cardiovascular Diseases/prevention & control ; Colchicine/therapeutic use ; Inflammation/drug therapy ; Male
    Chemical Substances Anti-Inflammatory Agents ; Colchicine (SML2Y3J35T)
    Language English
    Publishing date 2024-04-15
    Publishing country England
    Document type Meta-Analysis ; Journal Article ; Review
    ZDB-ID 1303417-0
    ISSN 1468-201X ; 1355-6037
    ISSN (online) 1468-201X
    ISSN 1355-6037
    DOI 10.1136/heartjnl-2023-323177
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Coeliac lymph node abscess: A case report of a rare manifestation of extrapulmonary tuberculosis.

    Goonetilleke, Asitha / Nandasena, Malith / Fernandopulle, Nilesh / Matthias, Anne Thushara

    SAGE open medical case reports

    2024  Volume 12, Page(s) 2050313X241229640

    Abstract: Tuberculosis is a leading cause of death worldwide, especially in developing countries. It can affect any site in the body and have a myriad of presentations making diagnosis challenging. Tuberculous lymphadenitis in the abdomen is rare. We present a ... ...

    Abstract Tuberculosis is a leading cause of death worldwide, especially in developing countries. It can affect any site in the body and have a myriad of presentations making diagnosis challenging. Tuberculous lymphadenitis in the abdomen is rare. We present a case of a 42-year-old man who presented with non-specific abdominal symptoms and was found to have an intraabdominal abscess on computed tomography scan of the abdomen. Endoscopic ultrasound-guided aspiration was performed, and tuberculosis was confirmed. This case highlights the importance of having a high clinical suspicion of tuberculosis even with vague symptoms in tuberculosis endemic countries. This would prevent unnecessary surgery as tuberculosis is responsive to anti-tuberculosis drugs.
    Language English
    Publishing date 2024-02-06
    Publishing country England
    Document type Case Reports
    ZDB-ID 2736953-5
    ISSN 2050-313X
    ISSN 2050-313X
    DOI 10.1177/2050313X241229640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Immunomodulation with IL-7 and IL-15 in HIV-1 infection.

    Gunst, Jesper D / Goonetilleke, Nilu / Rasmussen, Thomas A / Søgaard, Ole S

    Journal of virus eradication

    2023  Volume 9, Issue 3, Page(s) 100347

    Abstract: Immunomodulating agents are substances that modify the host immune responses in diseases such as infections, autoimmune conditions and cancers. Immunomodulators can be divided into two main groups: 1) immunostimulators that activate the immune system ... ...

    Abstract Immunomodulating agents are substances that modify the host immune responses in diseases such as infections, autoimmune conditions and cancers. Immunomodulators can be divided into two main groups: 1) immunostimulators that activate the immune system such as cytokines, toll-like receptor agonists and immune checkpoint blockers; and 2) immunosuppressors that dampen an overactive immune system such as corticosteroids and cytokine-blocking antibodies. In this review, we have focussed on the two primarily T and natural killer (NK) cell homeostatic cytokines: interleukin-7 (IL-7) and -15 (IL-15). These cytokines are immunostimulators which act on immune cells independently of the presence or absence of antigen.
    Language English
    Publishing date 2023-09-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2868549-0
    ISSN 2055-6659 ; 2055-6640
    ISSN (online) 2055-6659
    ISSN 2055-6640
    DOI 10.1016/j.jve.2023.100347
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Determinants of self-efficacy of driving behavior among young adults in the UAE: Impact of gender, culture, and varying environmental conditions in a simulated environment.

    Maghelal, Praveen Kumar / Lara, Juan Carlos Flores / Goonetilleke, Ravindra S / Luximon, Ameersing

    Heliyon

    2023  Volume 9, Issue 3, Page(s) e13993

    Abstract: Research on traffic accidents have acknowledged that human error is the leading cause of road accidents around the world. In the UAE, those aged between 18 and 30 years are involved in the most accidents. As a result, this study examines the perception, ... ...

    Abstract Research on traffic accidents have acknowledged that human error is the leading cause of road accidents around the world. In the UAE, those aged between 18 and 30 years are involved in the most accidents. As a result, this study examines the perception, attitude and driving behavior of young adults in the UAE. Virtual Reality (VR) was used to examine driving behavior because it offers alternatives to assess driving behavior with a high degree of immersive experience in a safe and replicable environment. Participants drove through a virtual environment that resembled the urban environment of Abu Dhabi in the UAE, which included six traffic events. A sample of 12 females and 27 males also completed a pre and post-simulation questionnaire to report and evaluate their personal driving experience in Abu Dhabi. The volunteer group represented young drivers with limited driving experience and diverse cultural backgrounds. Results indicated that male drivers were less adhering to safe driving behavior compared to females. Even though both males and females exceeded the designated speed limit, males traveled longer distances over the limit. Additionally, it was found that young drivers tend to overestimate their skills with factors like gender, cultural background, and driving experience being key contributors. The results indicate that traffic authorities should take into consideration different approaches in the formulation of policies related to young drivers with periodic reassessment of skills and training to enhance the safety of driving in the UAE and the region.
    Language English
    Publishing date 2023-02-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2023.e13993
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Influence of landscape patterns on nitrate and particulate organic nitrogen inputs to urban stormwater runoff.

    Hou, Yifan / Wang, Shihui / Ma, Yukun / Shen, Zhenyao / Goonetilleke, Ashantha

    Journal of environmental management

    2023  Volume 348, Page(s) 119190

    Abstract: This study investigated the effect of the landscape pattern of permeable/impermeable patches on ... ...

    Abstract This study investigated the effect of the landscape pattern of permeable/impermeable patches on NO
    MeSH term(s) Nitrates/analysis ; Nitrogen/analysis ; Environmental Monitoring/methods ; Water Movements ; Water Pollutants, Chemical/analysis ; Rain ; Organic Chemicals/analysis ; Dust
    Chemical Substances Nitrates ; Nitrogen (N762921K75) ; Water Pollutants, Chemical ; Organic Chemicals ; Dust
    Language English
    Publishing date 2023-10-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 184882-3
    ISSN 1095-8630 ; 0301-4797
    ISSN (online) 1095-8630
    ISSN 0301-4797
    DOI 10.1016/j.jenvman.2023.119190
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Efficacy of information extraction from bar, line, circular, bubble and radar graphs.

    Abeynayake, Hiddadura Isura Malinda Mendis / Goonetilleke, Ravindra S / Wijeweera, Albert / Reischl, Uwe

    Applied ergonomics

    2023  Volume 109, Page(s) 103996

    Abstract: With the emergence of enormous amounts of data, numerous ways to visualize such data have been used. Bar, circular, line, radar and bubble graphs that are ubiquitous were investigated for their effectiveness. Fourteen participants performed four types of ...

    Abstract With the emergence of enormous amounts of data, numerous ways to visualize such data have been used. Bar, circular, line, radar and bubble graphs that are ubiquitous were investigated for their effectiveness. Fourteen participants performed four types of evaluations: between categories (cities), within categories (transport modes within a city), all categories, and a direct reading within a category from a graph. The representations were presented in random order and participants were asked to respond to sixteen questions to the best of their ability after visually scanning the related graph. There were two trials on two separate days for each participant. Eye movements were recorded using an eye tracker. Bar and line graphs show superiority over circular and radial graphs in effectiveness, efficiency, and perceived ease of use primarily due to eye saccades. The radar graph had the worst performance. "Vibration-type" fill pattern could be improved by adding colors and symbolic fills. Design guidelines are proposed for the effective representation of data so that the presentation and communication of information are effective.
    MeSH term(s) Humans ; Radar ; Eye Movements ; Saccades ; Communication ; Information Storage and Retrieval
    Language English
    Publishing date 2023-02-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2003513-5
    ISSN 1872-9126 ; 0003-6870
    ISSN (online) 1872-9126
    ISSN 0003-6870
    DOI 10.1016/j.apergo.2023.103996
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Inherent and external factors influencing the distribution of PAHs, hydroxy-PAHs, carbonyl-PAHs and nitro-PAHs in urban road dust.

    Gbeddy, Gustav / Egodawatta, Prasanna / Akortia, Eric / Goonetilleke, Ashantha

    Environmental pollution (Barking, Essex : 1987)

    2022  Volume 308, Page(s) 119705

    Abstract: The distribution and fate of hazardous polycyclic aromatic hydrocarbons (PAHs) and their associated transformed PAHs products (TPPs) notably carbonyl-PAHs (CPAHs), hydroxy-PAHs (HoPAHs), and nitro-PAHs (NPAHs) on urban road surfaces are influenced by ... ...

    Abstract The distribution and fate of hazardous polycyclic aromatic hydrocarbons (PAHs) and their associated transformed PAHs products (TPPs) notably carbonyl-PAHs (CPAHs), hydroxy-PAHs (HoPAHs), and nitro-PAHs (NPAHs) on urban road surfaces are influenced by diverse factors to varying extent. The pollutants are eventually transported to urban receiving waters via stormwater runoff posing risks to human and ecosystem health. In order to formulate an effective mitigation strategy, it is essential to comprehensively examine the role of both inherent and external factors in the distribution and fate of these hazardous pollutants, and thus, the need for this study. The research study showed that commercial land use has the highest cumulative concentration of PAHs and TPPs. Antecedent dry days (ADDs) has an inverse influence on the distribution of the total concentrations of low-molecular weight PAHs (LMW-PAHs), PAHs, and (PAHs + TPPs) irrespective of the type of land use, whilst there was no major influence on the total concentrations of high molecular weight PAHs (HMW-PAHs), and TPPs. The high volatility of LMW-PAHs compared to HMW-PAHs is considered to account for the decreasing concentration of LMW-PAH with increasing ADD. Particle size range has significant inverse influence on the cumulative concentration of pollutants across all land uses, since smaller particles are characteristically associated with larger surface area leading to the higher sorption of pollutants. Multivariate analysis of the influential factors indicated that two particle size ranges (0.45-150 μm and 150-425 μm) constitute the major influential factors on the distribution and fate of PAHs and TPPs in urban road dust. Greater quantum of pollutants are sorbed to the 0.45-150 μm particles due to the relatively higher specific surface area (SSA), concentration of total organic carbon (TOC) and total suspended solids (TSS) concentration. Therefore, it is critical to effectively remove finer particles from road surfaces in order to reduce exposure to hazardous pollutants.
    MeSH term(s) Dust/analysis ; Ecosystem ; Environmental Monitoring ; Environmental Pollutants/analysis ; Humans ; Polycyclic Aromatic Hydrocarbons/analysis
    Chemical Substances Dust ; Environmental Pollutants ; Polycyclic Aromatic Hydrocarbons
    Language English
    Publishing date 2022-07-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 280652-6
    ISSN 1873-6424 ; 0013-9327 ; 0269-7491
    ISSN (online) 1873-6424
    ISSN 0013-9327 ; 0269-7491
    DOI 10.1016/j.envpol.2022.119705
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: OMIP-087: Thirty-two parameter mass cytometry panel to assess human CD4 and CD8 T cell activation, memory subsets, and helper subsets.

    Sponaugle, Alexis / Abad-Fernandez, Maria / Goonetilleke, Nilu

    Cytometry. Part A : the journal of the International Society for Analytical Cytology

    2022  Volume 103, Issue 3, Page(s) 184–188

    Abstract: We developed a highly reproducible 32-marker mass cytometry panel able to measure all canonical immune lineages and perform detailed characterization of both CD4 and CD8 T cells in human peripheral blood mononuclear cells. In this panel, we identify six ... ...

    Abstract We developed a highly reproducible 32-marker mass cytometry panel able to measure all canonical immune lineages and perform detailed characterization of both CD4 and CD8 T cells in human peripheral blood mononuclear cells. In this panel, we identify six different T cell memory subsets, as well as markers of activation, cell cycling, and survival. In addition, this panel classifies all major CD4 T cell helper subsets. This panel enables detailed monitoring of CD4 and CD8 T cells in the context of infectious disease, cancer or autoimmunity with limited patient sample use. Detailed methods for standardization and optimization of the panel can be found in Supporting Information.
    MeSH term(s) Humans ; Leukocytes, Mononuclear ; CD8-Positive T-Lymphocytes ; T-Lymphocyte Subsets ; T-Lymphocytes, Helper-Inducer ; Lymphocyte Activation ; Flow Cytometry/methods ; CD4-Positive T-Lymphocytes
    Language English
    Publishing date 2022-12-05
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2099868-5
    ISSN 1552-4930 ; 0196-4763 ; 1552-4922
    ISSN (online) 1552-4930
    ISSN 0196-4763 ; 1552-4922
    DOI 10.1002/cyto.a.24707
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