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  1. Article ; Online: In-vitro external fixation pin-site model proof of concept: A novel approach to studying wound healing in transcutaneous implants.

    McCall, Blake / Rana, Karan / Sugden, Kate / Junaid, Sarah

    Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine

    2024  Volume 238, Issue 4, Page(s) 403–411

    Abstract: ... and skin and an increase in the patient's risk of infection, however, currently no studies have ...

    Abstract External fixation is an essential surgical technique for treating trauma, limb lengthening and deformity correction, however infection is common, with infection rates ranging from 4.5 to 100% of cases. Throughout the literature researchers and clinicians have highlighted a relationship between excessive movement of the pin and skin and an increase in the patient's risk of infection, however, currently no studies have addressed this role of pin-movement on pin-site wounds. This preliminary study describes a novel in vitro pin-site model, developed using a full-thickness human skin equivalent (HSE) model in conjunction with a bespoke mechanical system which simulates pin-movement. The effect of pin-movement on the wound healing response of the skin equivalents was assessed by measuring the expression of pro-inflammatory cytokines. Six human skin equivalent models were divided into three test groups: no pin as the control, static pin-site wound and dynamic pin-site wound (
    MeSH term(s) Humans ; External Fixators ; Fracture Fixation/methods ; Surgical Wound Infection/therapy ; Interleukin-8 ; Bone Nails ; Wound Healing/physiology
    Chemical Substances Interleukin-8
    Language English
    Publishing date 2024-03-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 1065942-0
    ISSN 2041-3033 ; 0046-2039 ; 0954-4119
    ISSN (online) 2041-3033
    ISSN 0046-2039 ; 0954-4119
    DOI 10.1177/09544119241234154
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Berberine Represses

    Vishnoi, Kanchan / Ke, Rong / Saini, Karan S / Viswakarma, Navin / Nair, Rakesh Sathish / Das, Subhasis / Chen, Zhengjia / Rana, Ajay / Rana, Basabi

    Molecular pharmacology

    2020  Volume 99, Issue 1, Page(s) 1–16

    Abstract: Aberrant activation of Wnt/ ...

    Abstract Aberrant activation of Wnt/
    MeSH term(s) Adaptor Proteins, Signal Transducing/antagonists & inhibitors ; Adaptor Proteins, Signal Transducing/genetics ; Adaptor Proteins, Signal Transducing/metabolism ; Berberine/pharmacology ; Carcinoma, Hepatocellular/genetics ; Carcinoma, Hepatocellular/metabolism ; Cell Cycle Proteins/antagonists & inhibitors ; Cell Cycle Proteins/genetics ; Cell Cycle Proteins/metabolism ; Eukaryotic Initiation Factors/antagonists & inhibitors ; Eukaryotic Initiation Factors/genetics ; Eukaryotic Initiation Factors/metabolism ; HEK293 Cells ; Hep G2 Cells ; Humans ; Liver Neoplasms/genetics ; Liver Neoplasms/metabolism ; Protein Biosynthesis/drug effects ; Protein Biosynthesis/physiology ; beta Catenin/antagonists & inhibitors ; beta Catenin/genetics ; beta Catenin/metabolism
    Chemical Substances Adaptor Proteins, Signal Transducing ; Cell Cycle Proteins ; EIF4EBP1 protein, human ; EIF4EBP2 protein, human ; Eukaryotic Initiation Factors ; beta Catenin ; Berberine (0I8Y3P32UF)
    Language English
    Publishing date 2020-10-31
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 124034-1
    ISSN 1521-0111 ; 0026-895X
    ISSN (online) 1521-0111
    ISSN 0026-895X
    DOI 10.1124/molpharm.120.000029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A Cytomegalovirus (CMV) Case Study to Promote Interprofessional Learning (IPL) Between Audiology and Biomedical Science Students in Higher Education.

    Bashir, Amreen / Pallett, Ross / Rana, Karan Singh / Hussain, Saira

    British journal of biomedical science

    2023  Volume 80, Page(s) 11680

    Abstract: Modern and effective patient care requires specialist healthcare professionals working together. Interprofessional learning (IPL) seeks to provide opportunities for different healthcare disciplines to learn with, from and about each other. This study ... ...

    Abstract Modern and effective patient care requires specialist healthcare professionals working together. Interprofessional learning (IPL) seeks to provide opportunities for different healthcare disciplines to learn with, from and about each other. This study focused on the delivery and evaluation of a cytomegalovirus (CMV) case study workshop to facilitate IPL between two Health and Care Professions Council (HCPC) regulated courses: Biomedical Science and Audiology. The 2 h online workshop consisted of 1) defining the roles, responsibilities and skills of the two healthcare professions, 2) the structure of the Biomedical Science and Audiology departments, 3) routes to HCPC registration, 4) core curriculum of both degree programmes and 5) interpreting interdisciplinary data related to a CMV patient case. The workshop was interactive, with the virtual learning environment promoting peer discussions and the use of online polling. Student responses were collected through an online questionnaire. A total of 108 respondents completed a post-event survey and Mann-Whitney
    MeSH term(s) Humans ; Cytomegalovirus ; Audiology ; Interprofessional Relations ; Students ; Cytomegalovirus Infections/diagnosis
    Language English
    Publishing date 2023-11-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1152119-3
    ISSN 2474-0896 ; 0967-4845
    ISSN (online) 2474-0896
    ISSN 0967-4845
    DOI 10.3389/bjbs.2023.11680
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The antimicrobial efficacy of zinc doped phosphate-based glass for treating catheter associated urinary tract infections.

    Raja, Farah N S / Worthington, T / Isaacs, Mark A / Rana, Karan S / Martin, Richard A

    Materials science & engineering. C, Materials for biological applications

    2019  Volume 103, Page(s) 109868

    Abstract: In this study, a series of phosphate-based glasses; ( ... ...

    Abstract In this study, a series of phosphate-based glasses; (P
    MeSH term(s) Anti-Bacterial Agents/chemistry ; Catheters ; Cell Line ; Escherichia coli/growth & development ; Escherichia coli Infections/prevention & control ; Glass/chemistry ; Humans ; Phosphates/chemistry ; Staphylococcal Infections/prevention & control ; Staphylococcus aureus/growth & development ; Urinary Tract Infections/etiology ; Urinary Tract Infections/prevention & control ; Zinc/chemistry
    Chemical Substances Anti-Bacterial Agents ; Phosphates ; Zinc (J41CSQ7QDS)
    Language English
    Publishing date 2019-06-06
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2012160-X
    ISSN 1873-0191 ; 0928-4931
    ISSN (online) 1873-0191
    ISSN 0928-4931
    DOI 10.1016/j.msec.2019.109868
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Core decompression combined with intralesional autologous bone marrow derived cell therapies for osteonecrosis of the femoral head in adults: A systematic review and meta-analysis.

    Saini, Uttam / Jindal, Karan / Rana, Anurag / Aggarwal, Sameer / Kumar, Prasoon / Sharma, Siddhartha

    The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

    2022  Volume 21, Issue 3, Page(s) e104–e117

    Abstract: Background: Core decompression (CD) is beneficial in the early stage of osteonecrosis of the femoral head (ONFH). Adjunctive bone marrow derived cell therapies (BMDCT) have been advocated which potentially aid the regenerative process.: Question/ ... ...

    Abstract Background: Core decompression (CD) is beneficial in the early stage of osteonecrosis of the femoral head (ONFH). Adjunctive bone marrow derived cell therapies (BMDCT) have been advocated which potentially aid the regenerative process.
    Question/purpose: This study was conducted to determine potential benefit of CD + BMDCT in ONFH, in terms of disease progression, conversion to arthroplasty (primary outcomes), and functional outcomes and complication rates (secondary outcomes).
    Methods: A systematic review of literature was performed on 3 databases. Studies reporting CD + BMDCT (intralesional instillation) in ONFH, with a minimum follow up of 1 year and reporting the pre-defined outcome measures were included in the review. Meta-analysis consisted of two different arms: a comparative arm, to compare CD + BMDCT to CD alone, and a non-comparative meta-analysis arm, to determine pooled rates of disease progression, conversion to arthroplasty and complication rates.
    Results: A total of 18 studies were included in the systematic review. CD + BMDCT had lower rates of disease progression (OR 0.19 [95% CI, 0.09, 0.40]) and conversion to arthroplasty (OR 0.20 [95% CI, 0.11, 0.40]) as compared to CD alone. Functional score (MD = -7.07 [95% CI, -12.28, -1.86]) and visual analog scale also showed better improvement with the use of CD + BMAC (MD = -10.39 [95% CI, -12.87, -7.90]). Increasing age and post-collapse stage at presentation were noted to have an adverse effect on the outcomes.
    Conclusion: CD + BMDCT was found to decrease disease progression and conversion to arthroplasty, and was noted to have better functional outcome scores as compared to CD alone.
    MeSH term(s) Humans ; Adult ; Treatment Outcome ; Arthroplasty, Replacement, Hip ; Femur Head/surgery ; Bone Marrow/surgery ; Femur Head Necrosis/surgery ; Femur Head Necrosis/etiology ; Disease Progression ; Decompression, Surgical/adverse effects
    Language English
    Publishing date 2022-05-31
    Publishing country Scotland
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 2102927-1
    ISSN 1479-666X
    ISSN 1479-666X
    DOI 10.1016/j.surge.2022.04.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Development and Characterization of Gallium-Doped Bioactive Glasses for Potential Bone Cancer Applications.

    Rana, Karan S / Souza, Lucas Pereira de / Isaacs, Mark A / Raja, Farah N S / Morrell, Alexander P / Martin, Richard A

    ACS biomaterials science & engineering

    2017  Volume 3, Issue 12, Page(s) 3425–3432

    Abstract: In this study, we have developed a series of novel gallium oxide doped bioactive glasses to specifically target osteosarcoma cells while aiding new bone formation. The results show that osteosarcoma (Saos-2) cell death is induced through the addition of ... ...

    Abstract In this study, we have developed a series of novel gallium oxide doped bioactive glasses to specifically target osteosarcoma cells while aiding new bone formation. The results show that osteosarcoma (Saos-2) cell death is induced through the addition of gallium oxide. Relative to the gallium-free control glass (0% Ga) glasses containing 1, 2, and 3% Ga decreased Saos-2 cell viability in a dose dependent manner. After 72 h in media preconditioned with 3% Ga Saos-2 cell viability was reduced by over 50%. Corresponding studies undertaken on primary normal human osteoblast cells (NHOst) demonstrated no adverse effects to the gallium containing glasses. Hydroxyapatite formation was observed for all glasses when exposed to simulated body fluid.
    Language English
    Publishing date 2017-10-11
    Publishing country United States
    Document type Journal Article
    ISSN 2373-9878
    ISSN (online) 2373-9878
    DOI 10.1021/acsbiomaterials.7b00283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Hydrogen Bond Patterns of Dipyridone and Bis(Hydroxypyridinium) Cations.

    Mohan, Midhun / Essalhi, Mohamed / Zaye, Sarah / Rana, Love Karan / Maris, Thierry / Duong, Adam

    ACS omega

    2021  Volume 6, Issue 51, Page(s) 35649–35656

    Abstract: Dipyridonyl-substituted ... ...

    Abstract Dipyridonyl-substituted derivatives
    Language English
    Publishing date 2021-12-14
    Publishing country United States
    Document type Journal Article
    ISSN 2470-1343
    ISSN (online) 2470-1343
    DOI 10.1021/acsomega.1c05561
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Role of supplemental teriparatide therapy in management of osteoporotic intertrochanteric femur fractures.

    Rana, Anurag / Aggarwal, Sameer / Bachhal, Vikas / Hooda, Aman / Jindal, Karan / Dhillon, Mandeep Singh

    International journal of burns and trauma

    2021  Volume 11, Issue 3, Page(s) 234–244

    Abstract: Background: Despite the surgical advances, obtaining the desired outcome in osteoporotic intertrochanteric femur fractures is still a tough row to hoe for the surgeons. Consequently, the interest of the researchers has shifted towards establishing a ... ...

    Abstract Background: Despite the surgical advances, obtaining the desired outcome in osteoporotic intertrochanteric femur fractures is still a tough row to hoe for the surgeons. Consequently, the interest of the researchers has shifted towards establishing a holistic approach for managing such injuries. Teriparatide, a recombinant form of human parathyroid hormone, is a novel drug that has been proved to hasten fracture healing and in both animals and humans. We attempted to evaluate the influence of Teriparatide therapy in surgically fixed osteoporotic intertrochanteric femur fractures and provide the groundwork for further research in this area.
    Methods: The results of osteoporotic patients who underwent only Proximal Femur Nailing [PFN] for intertrochanteric femur fractures were prospectively compared to the patients who received an additional Teriparatide therapy. We aimed to identify the effect of Teriparatide on the time to fracture union, bone mineral density [BMD], and other fracture related post-operative complications. The functional outcome was assessed using the Lower extremity functional scale [LEFS].
    Results: All patients were followed up for 6 months by which time all the fractures united. However, in the Teriparatide group, time to fracture union was shortened by about 2 weeks and improvement in BMD and functional outcome were significantly better. The rate of migration of the helical, varus collapse, and femoral shortening did not show any relevant difference.
    Conclusion: Our preliminary attempt shows that early union coupled with better functional improvement and a substantial increase in BMD tips the balance in favour of the Teriparatide therapy in osteoporotic patients with intertrochanteric femur fractures. Well-designed clinical trials conducted in a similar vein are further required to support our claim.
    Language English
    Publishing date 2021-06-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2664425-3
    ISSN 2160-2026
    ISSN 2160-2026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Flashes of light and floaters: an unusual presentation of urothelial carcinoma.

    Maharaj, Satish / Seegobin, Karan / Shaikh, Marwan / Rana, Fauzia

    BMJ case reports

    2018  Volume 2018

    MeSH term(s) Choroid Neoplasms/secondary ; Fatal Outcome ; Female ; Humans ; Middle Aged ; Urologic Neoplasms/pathology ; Vision Disorders/etiology
    Language English
    Publishing date 2018-08-29
    Publishing country England
    Document type Case Reports
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2018-225486
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Spontaneous mesenteric hemorrhage

    Karan V. S. Rana / Sunil V Panchabhai / Sridharan Srihari / Kundan Kharde

    Medical Journal of Dr. D.Y. Patil University, Vol 6, Iss 1, Pp 95-

    2013  Volume 97

    Abstract: Spontaneous intra-abdominal hemorrhage or abdominal apoplexy is an acute abdominal emergency which can exhibit a wide spectrum of clinical presentation. With the expanding avenues for anticoagulation therapy, this condition is becoming commoner. The ... ...

    Abstract Spontaneous intra-abdominal hemorrhage or abdominal apoplexy is an acute abdominal emergency which can exhibit a wide spectrum of clinical presentation. With the expanding avenues for anticoagulation therapy, this condition is becoming commoner. The association of this condition with antiplatelet therapy is less well established. We present a case of spontaneous mesenteric hematomas causing intestinal obstruction in a patient on antiplatelet therapy for ischemic heart disease. A review of etiology, clinical presentation and protocol of management is also presented. A high index of suspicion on the part of the clinician is essential to ensure a favorable outcome in this condition.
    Keywords Abdominal apoplexy ; antiplatelet therapy ; intestinal obstruction ; spontaneous mesenteric hemorrhage ; Medicine ; R
    Language English
    Publishing date 2013-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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