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  1. Article ; Online: Ultrasound-guided thrombin injections for arterial pseudoaneurysms: a 14-year study conducted at King Khalid University Hospital Vascular Lab.

    Altoijry, Abdulmajeed / Alghofili, Hesham / Al-Salman, Mussaad / Alsheikh, Sultan / Aljabri, Badr / Iqbal, Kaisor / Altuwaijri, Talal

    Minerva cardioangiologica

    2020  Volume 68, Issue 3, Page(s) 271–276

    Abstract: ... to evaluate the safety and efficacy of UGTI for the treatment of arterial pseudoaneurysms at the King Khalid ...

    Abstract Background: Arterial pseudoaneurysms are a well-known complication resulting from procedures requiring arterial wall puncture. Previously, surgical repair was the definitive treatment option for arterial pseudoaneurysms despite being relatively invasive and time-consuming. Ultrasound-guided thrombin injection (UGTI) has become the standard of care since its initial description back in 1997. We aimed to evaluate the safety and efficacy of UGTI for the treatment of arterial pseudoaneurysms at the King Khalid University Hospital Vascular Lab.
    Methods: A retrospective analysis of prospectively maintained data was conducted on all patients diagnosed with arterial pseudoaneurysms by Doppler ultrasound between 2006 and 2019. Patients with large arterial pseudoaneurysms (>1.5 cm) qualified for thrombin injections. Individuals with a known hypersensitive to thrombin were excluded. All included patients were treated with UGTI until resolution and were followed at postoperative days 7 and 30.
    Results: In all, 35 patients qualified for thrombin injections. The mean age of the included patient population was 56.5 (range, 24-81) years. The majority of them were hypertensive (N.=26, 74.3%), and a quarter of them were on anticoagulant treatment (N.=9, 25%). The mean thrombin injection dose was 1000 U (range, 500-1500 U). In 34 of 35 (97.1%) patients, a thrombin injection resulted in complete thrombosis of the pseudoaneurysm lumen within a few seconds. There were no complications or recurrence of pseudoaneurysm after UGTI during the follow-up period.
    Conclusions: Throughout the study period of 14 years, we did not encounter any procedural complications or arterial pseudoaneurysm recurrence. This is attributed to a safe procedural technique and proper patient selection. UGTI for arterial pseudoaneurysms is a safe, successful, and convenient treatment for both patients and surgeons.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Aneurysm, False/diagnostic imaging ; Aneurysm, False/drug therapy ; Dose-Response Relationship, Drug ; Female ; Follow-Up Studies ; Hemostatics/administration & dosage ; Hemostatics/adverse effects ; Hospitals, University ; Humans ; Injections, Intra-Arterial ; Male ; Middle Aged ; Patient Selection ; Retrospective Studies ; Saudi Arabia ; Thrombin/administration & dosage ; Thrombin/adverse effects ; Ultrasonography, Doppler ; Ultrasonography, Interventional ; Young Adult
    Chemical Substances Hemostatics ; Thrombin (EC 3.4.21.5)
    Language English
    Publishing date 2020-02-26
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 123583-7
    ISSN 1827-1618 ; 0026-4725
    ISSN (online) 1827-1618
    ISSN 0026-4725
    DOI 10.23736/S0026-4725.20.05112-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Comparison of metabolite networks from four German population-based studies

    Iqbal, Khalid

    International journal of epidemiology, 47(6):2070-2081

    2018  

    Abstract: BACKGROUND: Metabolite networks are suggested to reflect biological pathways in health and disease. However, it is unknown whether such metabolite networks are reproducible across different populations. Therefore, the current study aimed to investigate ... ...

    Institution Leibniz-Institut für Präventionsforschung und Epidemiologie
    Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke
    Abstract BACKGROUND: Metabolite networks are suggested to reflect biological pathways in health and disease. However, it is unknown whether such metabolite networks are reproducible across different populations. Therefore, the current study aimed to investigate similarity of metabolite networks in four German population-based studies. METHODS: One hundred serum metabolites were quantified in European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam (n = 2458), EPIC-Heidelberg (n = 812), KORA (Cooperative Health Research in the Augsburg Region) (n = 3029) and CARLA (Cardiovascular Disease, Living and Ageing in Halle) (n = 1427) with targeted metabolomics. In a cross-sectional analysis, Gaussian graphical models were used to construct similar networks of 100 edges each, based on partial correlations of these metabolites. The four metabolite networks of the top 100 edges were compared based on (i) common features, i.e. number of common edges, Pearson correlation (r) and hamming distance (h); and (ii) meta-analysis of the four networks. RESULTS: Among the four networks, 57 common edges and 66 common nodes (metabolites) were identified. Pairwise network comparisons showed moderate to high similarity (r = 63–0.96, h = 7–72), among the networks. Meta-analysis of the networks showed that, among the 100 edges and 89 nodes of the meta-analytic network, 57 edges and 66 metabolites were present in all the four networks, 58–76 edges and 75–89 nodes were present in at least three networks, and 63–84 edges and 76–87 edges were present in at least two networks. The meta-analytic network showed clear grouping of 10 sphingolipids, 8 lyso-phosphatidylcholines, 31 acyl-alkyl-phosphatidylcholines, 30 diacyl-phosphatidylcholines, 8 amino acids and 2 acylcarnitines. CONCLUSIONS: We found structural similarity in metabolite networks from four large studies. Using a meta-analytic network, as a new approach for combining metabolite data from different studies, closely related metabolites could be identified, for some of which the biological relationships in metabolic pathways have been previously described. They are candidates for further investigation to explore their potential role in biological processes.
    Keywords Biological pathways ; Gaussian graphical models ; Meta-analysis ; Metabolomics ; Network analysis ; Reproducibility
    Language English
    Document type Article
    Database Repository for Life Sciences

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  3. Book ; Online ; E-Book: Oral health and herbal medicine

    Hakeem, Khalid Rehman / Abdul, Waseem Mohammed / Hussain, Mohd Muzzammil / Razvi, Syed Shoeb Iqbal

    (SpringerBriefs in public health)

    2019  

    Author's details Khalid Rehman Hakeem, Waseem Mohammed Abdul, Mohd Muzzammil Hussain, Syed Shoeb Iqbal Razvi
    Series title SpringerBriefs in public health
    Language English
    Size 1 Online-Ressource (x, 46 Seiten), Illustrationen
    Publisher Springer
    Publishing place Cham
    Publishing country Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT019930228
    ISBN 978-3-030-04336-0 ; 9783030043353 ; 3-030-04336-3 ; 3030043355
    DOI 10.1007/978-3-030-04336-0
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  4. Article ; Online: Tau and Alzheimer's disease: Past, present and future.

    Iqbal, Khalid

    Cytoskeleton (Hoboken, N.J.)

    2023  Volume 81, Issue 1, Page(s) 116–121

    Abstract: My journey with tau started when in 1974 for the first time I isolated neurofibrillary tangles of paired helical filaments (PHFs) from autopsied Alzheimer's disease (AD) brains and discovered that they were made up of a ~50-70 KDa protein on SDS- ... ...

    Abstract My journey with tau started when in 1974 for the first time I isolated neurofibrillary tangles of paired helical filaments (PHFs) from autopsied Alzheimer's disease (AD) brains and discovered that they were made up of a ~50-70 KDa protein on SDS-polyacrylamide gels. Subsequently my team discovered that this PHF protein and the microtubule-associated factor called tau were one and the same protein. However, we found that tau in neurofibrillary tangles/PHFs in AD brain was abnormally hyperphosphorylated, and unlike normal tau, which promoted the assembly of tubulin into microtubules, the AD-hyperphosphorylated tau inhibited microtubule assembly. These discoveries of tau pathology in AD opened a new and a major area of research on tau and on the molecular pathology of this major cause of dementia in middle- and old-age individuals. Tau pathology, which without fail is made up of the aggregated hyperphosphorylated state of the protein, is also the hallmark lesion of a family of around 20 related neurodegenerative diseases, called tauopathies. Currently, tau pathology is a major drug target for the treatment of AD and related tauopathies. Both active and passive tau immunization human clinical trials at various stages are underway. Initial results range from negative to partially promising. Future studies will reveal whether tau therapy alone or in combination with drugs targeting Aβ and/or neurodegeneration will be required to achieve the most effective treatment for AD and related disorders.
    MeSH term(s) Humans ; Alzheimer Disease/metabolism ; Alzheimer Disease/pathology ; tau Proteins ; Neurofibrillary Tangles/metabolism ; Neurofibrillary Tangles/pathology ; Tauopathies/metabolism ; Tauopathies/pathology ; Microtubules/metabolism
    Chemical Substances tau Proteins
    Language English
    Publishing date 2023-12-21
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2534372-5
    ISSN 1949-3592 ; 1949-3584
    ISSN (online) 1949-3592
    ISSN 1949-3584
    DOI 10.1002/cm.21822
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Thinking beyond the Aducanumab Controversy.

    Iqbal, Khalid

    Annals of neurology

    2021  Volume 90, Issue 6, Page(s) 1003–1004

    MeSH term(s) Amyloid beta-Peptides ; Antibodies, Monoclonal, Humanized ; Humans
    Chemical Substances Amyloid beta-Peptides ; Antibodies, Monoclonal, Humanized ; aducanumab (105J35OE21)
    Language English
    Publishing date 2021-11-05
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 80362-5
    ISSN 1531-8249 ; 0364-5134
    ISSN (online) 1531-8249
    ISSN 0364-5134
    DOI 10.1002/ana.26252
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Explaining decisions of a light-weight deep neural network for real-time coronary artery disease classification in magnetic resonance imaging.

    Iqbal, Talha / Khalid, Aaleen / Ullah, Ihsan

    Journal of real-time image processing

    2024  Volume 21, Issue 2, Page(s) 31

    Abstract: In certain healthcare settings, such as emergency or critical care units, where quick and accurate real-time analysis and decision-making are required, the healthcare system can leverage the power of artificial intelligence (AI) models to support ... ...

    Abstract In certain healthcare settings, such as emergency or critical care units, where quick and accurate real-time analysis and decision-making are required, the healthcare system can leverage the power of artificial intelligence (AI) models to support decision-making and prevent complications. This paper investigates the optimization of healthcare AI models based on time complexity, hyper-parameter tuning, and XAI for a classification task. The paper highlights the significance of a lightweight convolutional neural network (CNN) for analysing and classifying Magnetic Resonance Imaging (MRI) in real-time and is compared with CNN-RandomForest (CNN-RF). The role of hyper-parameter is also examined in finding optimal configurations that enhance the model's performance while efficiently utilizing the limited computational resources. Finally, the benefits of incorporating the XAI technique (e.g. GradCAM and Layer-wise Relevance Propagation) in providing transparency and interpretable explanations of AI model predictions, fostering trust, and error/bias detection are explored. Our inference time on a MacBook laptop for 323 test images of size 100x100 is only 2.6 sec, which is merely 8 milliseconds per image while providing comparable classification accuracy with the ensemble model of CNN-RF classifiers. Using the proposed model, clinicians/cardiologists can achieve accurate and reliable results while ensuring patients' safety and answering questions imposed by the General Data Protection Regulation (GDPR). The proposed investigative study will advance the understanding and acceptance of AI systems in connected healthcare settings.
    Language English
    Publishing date 2024-02-10
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2280192-3
    ISSN 1861-8219 ; 1861-8200
    ISSN (online) 1861-8219
    ISSN 1861-8200
    DOI 10.1007/s11554-023-01411-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Book ; Conference proceedings: Alzheimer's disease

    Iqbal, Khalid

    new advances ; collection of selected articles of papers presented at the 10th International Conference on Alzheimer's Disease and Related Disorders, Madrid, Spain, July 15 - 20, 2006

    2007  

    Title variant Alzheimer's disease: new advances
    Event/congress International Conference on Alzheimer's Disease and Related Disorders (10, 2006, Madrid)
    Author's details ed. Khalid Iqbal
    Subject code 616
    Language English
    Size XXVI, 698 S. : Ill., graph. Darst.
    Publisher Medimond
    Publishing place Bologna
    Publishing country Italy
    Document type Book ; Conference proceedings
    Note Contains bibliographies, summaries and authors index. - Proceedings
    HBZ-ID HT015118704
    ISBN 978-88-7587-322-6 ; 88-7587-322-4
    Database Catalogue ZB MED Medicine, Health

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  8. Book: Thyroid disorders

    Imam, Syed Khalid / Ahmad, Shamim I.

    basic science and clinical practice

    2016  

    Author's details Syed Khalid Imam, Shamim I. Ahmad editors
    Keywords Thyroid gland/Diseases
    Subject code 616.44
    Language English
    Size xvi, 320 Seiten, Illustrationen, Diagramme, 26 cm
    Publisher Springer
    Publishing place Cham
    Publishing country Switzerland
    Document type Book
    Note Includes bibliographical references
    HBZ-ID HT018941787
    ISBN 978-3-319-25869-0 ; 978-3-319-25871-3 ; 3-319-25869-9 ; 3-319-25871-0
    Database Catalogue ZB MED Medicine, Health

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  9. Article: Quality of life, depression and dietary intake in Obstructive Sleep Apnea patients

    Boeing, Heiner / Iqbal, Khalid

    Health and quality of life outcomes, 14:111

    2016  

    Abstract: BACKGROUND The aim of this study was to analyze the association between depression, quality of life and dietary intake in newly diagnosed Obstructive Sleep Apnea (OSA) patients. METHODS From 153 eligible patients suffering from sleep disturbances, 64 met ...

    Institution Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke
    Abstract BACKGROUND The aim of this study was to analyze the association between depression, quality of life and dietary intake in newly diagnosed Obstructive Sleep Apnea (OSA) patients. METHODS From 153 eligible patients suffering from sleep disturbances, 64 met inclusion and exclusion criteria. The polysomnography was used for OSA diagnosis. The quality of life (QOL) was assessed by WHOQOL-BREF questionnaire, self-reported chronotype by morningness-eveningness questionnaire and level of depression by Beck’s Depression Inventory. Blood pressure and parameters of glucose and lipid metabolism were assessed by routine methods. The dietary intake was evaluated by 24-hr dietary recalls. RESULTS Significantly negative associations were found between depression inventory and QOL. Better QOL for physical health and social relationships was observed in the “definitely morning” chronotype. The “morning type” of patients was positively related to the intake of fat, monounsaturated fatty acids and vitamin B12. Correlations between QOL and diastolic blood pressure, HDL-cholesterol, TG, fasting glucose, as well as protein and vitamin B6 intake were found. CONCLUSIONS In conclusion, both chornotype and depression influence QOL in OSA patients where morning type is associated with better physical health and social relationships and increase in depression index deteriorate physical health, psychological and social relationship QOL domains. QOL as well as depression and chornotype are also influenced by selected cardio-metabolic factors and dietary intake.
    Keywords Chronotype ; Biomarkers ; Diet ; Sleep Apnea
    Language English
    Document type Article
    Database Repository for Life Sciences

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  10. Article: Meal analysis for understanding eating behavior: meal- and participant-specific predictors for the variance in energy and macronutrient intake

    Schwedhelm, Carolina / Iqbal, Khalid / Schwingshackl, Lukas / Boeing, Heiner / Knüppel, Sven

    Nutrition journal, 18:15

    2019  

    Abstract: BACKGROUND: Meals differ in their nutritional content. This variation has not been fully addressed despite its potential contribution in understanding eating behavior. The aim of this study was to investigate the between-meal and between-individual ... ...

    Institution Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke
    Abstract BACKGROUND: Meals differ in their nutritional content. This variation has not been fully addressed despite its potential contribution in understanding eating behavior. The aim of this study was to investigate the between-meal and between-individual variance in energy and macronutrient intake as a measure of variation in intake and the meal type-specific relative importance of predictors of these intake variations. METHODS: Energy and macronutrient intake were derived from three 24 h dietary recalls in an EPIC-Potsdam sub-cohort of 814 German adults. Intra-class correlation was calculated for participants and meal type. Predictors of intake were assessed using meal type-specific multilevel regression models in a structural equation modeling framework at intake and participant levels using the Pratt Index. The importance of the predictor energy misreporting was assessed in sensitivity analyses on 682 participants. 95% confidence intervals were calculated based on 1000 bootstrap samples. RESULTS: Differences between meal types explain a large proportion of the variation in intake (intra-class correlation: 39% for energy, 25% for carbohydrates, 47% for protein, and 33% for fat). Between-participant variation in intake was much lower, with a maximum of 3% for carbohydrate and fat. Place of meal was the most important intake-level predictor of energy and macronutrient intake (Pratt Index of up to 65%). Week/weekend day was important in the breakfast meal, and prior interval (hours passed since last meal) was important for the afternoon snack and dinner. On the participant level, sex was the most important predictor, with Pratt Index of up to 95 and 59% in the main and in the sensitivity analysis, respectively. Energy misreporting was especially important at the afternoon snack, accounting for up to 69% of the explained variance. CONCLUSIONS: The meal type explains the highest variation in energy and macronutrient intakes. We identified key predictors of variation in the intake and in the participant levels. These findings suggest that successful dietary modification efforts should focus on improving specific meals.
    Keywords Dietary intake ; EPIC Potsdam study ; Meal-based analysis ; Multilevel analysis ; Sources of variation
    Language English
    Document type Article
    Database Repository for Life Sciences

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