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  1. Article: Anti-Inflammatory Medicinal Plants of Bangladesh-A Pharmacological Evaluation.

    Akhtar, Most Afia

    Frontiers in pharmacology

    2022  Volume 13, Page(s) 809324

    Abstract: Inflammatory diseases are considered major threats to human health worldwide. In Bangladesh, a number of medicinal plants have been used in traditional medicine from time immemorial in the treatment of diverse diseases, including inflammatory disorders. ... ...

    Abstract Inflammatory diseases are considered major threats to human health worldwide. In Bangladesh, a number of medicinal plants have been used in traditional medicine from time immemorial in the treatment of diverse diseases, including inflammatory disorders. This assignment aims at providing the status of the medicinal plants of Bangladesh which are traditionally used in the management of inflammatory disorders and are investigated for their anti-inflammatory prospects using different preclinical studies and future research directions. The information of medicinal plants assembled in this review was obtained from a literature search of electronic databases such as Google Scholar, PubMed, Scopus, Web of Science and ScienceDirect up to December, 2020 from publications on plants investigated for their anti-inflammatory activities, in which the place of plant sample collection was identified as Bangladesh. Keywords for primary searches were "anti-inflammatory," "Bangladeshi," and "medicinal plants." Criteria followed to include plant species were plants that showed significant anti-inflammatory activities in 1) two or more sets of experiments in a single report, 2) same or different sets of experiments in two or more reports, and, 3) plants which are traditionally used in the treatment of inflammation and inflammatory disorders. In this study, 48 species of medicinal plants have been reviewed which have been used in traditional healing practices to manage inflammatory disorders in Bangladesh. The mechanistic pathways of the
    Language English
    Publishing date 2022-03-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2587355-6
    ISSN 1663-9812
    ISSN 1663-9812
    DOI 10.3389/fphar.2022.809324
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Risk factors for femoral stem fracture following total hip arthroplasty: a systematic review and meta analysis.

    Turnbull, Gareth S / Soete, Sam / Akhtar, Muhammad Adeel / Ballantyne, James Anderson

    Archives of orthopaedic and trauma surgery

    2024  

    Abstract: Background: Femoral stem fracture following total hip arthroplasty (THA) is an infrequent but nevertheless devastating complication, with an increasing worldwide prevalence as demand for primary THA continues to increase. The aim of this study was to ... ...

    Abstract Background: Femoral stem fracture following total hip arthroplasty (THA) is an infrequent but nevertheless devastating complication, with an increasing worldwide prevalence as demand for primary THA continues to increase. The aim of this study was to perform a systematic review and meta-analysis of risk factors for femoral stem fracture to help identify at risk patients.
    Methods: A systematic search was conducted on EMBASE, MEDLINE and AMED to identify relevant studies. Data regarding study design, source, population, intervention, and outcomes was collated. Data extraction was performed on a custom form generated using Cochrane recommended methodology and analysis of risk factors performed including odds ratios (ORs) with 95% confidence intervals (CIs).
    Results: A total of 15 studies reporting a total of 402 stem fractures in 49 723 THAs were identified. The median time from index procedure to stem fracture was 68 months (IQR 42.5-118) whilst mean age at index surgery was 61.8 years (SD 6.9). Male gender (OR = 3.27, 95% CI = 2.59-4.13, p < 0.001), patient weight above 80 kg (OR = 3.55, 95% CI = 2.88-4.37, p < 0.001), age under 63 years (OR = 1.22, 95% CI = 1.01-1.49, p < 0.001), varus stem alignment (OR = 5.77, 95% CI = 3.83-8.7, p < 0.001), use of modular implants (OR = 1.95, 95% CI = 1.56-2.44, p < 0.01) and undergoing revision arthroplasty (OR = 3.33, 95% CI = 2.70-4.1, p < 0.001) were significant risk factors for prosthetic stem fracture. A risk window of 15 years post-surgery was identified.
    Conclusions: This review concludes that patient weight, younger age, male sex, varus stem alignment, revision arthroplasty and use of modular stems are significant risk factors for femoral stem fracture. Modifying these risk factors where possible may help reduce incidence of femoral stem fracture in at risk patients.
    Language English
    Publishing date 2024-04-12
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 80407-1
    ISSN 1434-3916 ; 0003-9330 ; 0344-8444
    ISSN (online) 1434-3916
    ISSN 0003-9330 ; 0344-8444
    DOI 10.1007/s00402-024-05281-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Transfemoral amputation versus knee arthrodesis for failed total knee replacement: A systematic review of outcomes.

    Low, Juin / Hoellwarth, Jason Shih / Akhtar, Muhammad Adeel / Tetsworth, Kevin / Al-Muderis, Munjed

    The Knee

    2024  Volume 47, Page(s) 63–80

    Abstract: Background: The options available to salvage a failed total knee replacement (TKR) include transfemoral amputation (TFA) and knee arthrodesis (KA). This systematic review aims to evaluate outcomes following either TFA or KA, comparing ambulatory status, ...

    Abstract Background: The options available to salvage a failed total knee replacement (TKR) include transfemoral amputation (TFA) and knee arthrodesis (KA). This systematic review aims to evaluate outcomes following either TFA or KA, comparing ambulatory status, additional subsequent surgery, postoperative infection, pain, health-related quality of life (HRQoL), and mortality rate.
    Methods: A literature search was conducted in EMBASE, Ovid Medline, and PubMed. Only primary research studies were included and data were independently extracted using a standardized form. The methodological quality of the studies was evaluated using Newcastle-Ottawa Scale.
    Results: Forty-four papers were included, comprising 470 TFA and 1034 KA patients. The methodological quality of the studies was moderate. No TFA versus KA randomized controlled trials could be identified. Pooled data totals via subgroup analyses were performed, owing to inconsistent reporting methods in the included studies. Prosthesis use rate by TFA patients was 157/316 = 49.7%. Significant differences included that TFA patients had lower rates of ambulatory capacity than KA patients (139/294 = 45.6% versus 248/287 = 86.4%, p < 0.001), TFA ambulators were less likely to use an ambulatory aid (55/135 = 40.7% versus 167/232 = 72.0%, p < 0.001), and TFA was associated with a greater postoperative infection rate than KA (29/118 = 24.6% versus 129/650 = 17.2%, p = 0.054). There was a similar rate of revision surgery between TFA and KA (37/183 = 20.2% versus 145/780 = 18.6%, p = 0.612). Data on HRQoL for both TFA and KA were limited, contradictory, and heterogeneous.
    Conclusion: No randomized controlled trials comparing TFA versus KA exist;therefore, current data likely reflects substantial selection bias. The currently available evidence suggests that KA patients are significantly more likely to achieve independent bipedal ambulation than TFA patients. In both treatment cohorts, subsequent infection and revision surgery remain a relatively common occurrence.
    Language English
    Publishing date 2024-01-19
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1200476-5
    ISSN 1873-5800 ; 0968-0160
    ISSN (online) 1873-5800
    ISSN 0968-0160
    DOI 10.1016/j.knee.2023.12.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Surface Modification of 3D-Printed PCL/BG Composite Scaffolds via Mussel-Inspired Polydopamine and Effective Antibacterial Coatings for Biomedical Applications.

    Ilyas, Kanwal / Akhtar, Muhammad Asim / Ammar, Ezzeddine Ben / Boccaccini, Aldo R

    Materials (Basel, Switzerland)

    2022  Volume 15, Issue 23

    Abstract: A wide variety of composite scaffolds with unique geometry, porosity and pore size can be fabricated with versatile 3D printing techniques. In this work, we fabricated 3D-printed composite scaffolds of polycaprolactone (PCL) incorporating bioactive glass ...

    Abstract A wide variety of composite scaffolds with unique geometry, porosity and pore size can be fabricated with versatile 3D printing techniques. In this work, we fabricated 3D-printed composite scaffolds of polycaprolactone (PCL) incorporating bioactive glass (BG) particles (13-93 and 13-93B3 compositions) by using fused deposition modeling (FDM). The scaffolds were modified with a "mussel-inspired surface coating" to regulate biological properties. The chemical and surface properties of scaffolds were analyzed by Fourier transform infrared spectroscopy (FTIR), contact angle and scanning electron microscopy (SEM). Polydopamine (PDA) surface-modified composite scaffolds exhibited attractive properties. Firstly, after the surface modification, the adhesion of a composite coating based on gelatin incorporated with strontium-doped mesoporous bioactive glass (Sr-MBGNs/gelatin) was significantly improved. In addition, cell attachment and differentiation were promoted, and the antibacterial properties of the scaffolds were increased. Moreover, the bioactivity of these scaffolds was also significantly influenced: a hydroxyapatite layer formed on the scaffold surface after 3 days of immersion in SBF. Our results suggest that the promoting effect of PDA coating on PCL-BG scaffolds leads to improved scaffolds for bone tissue engineering.
    Language English
    Publishing date 2022-11-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2487261-1
    ISSN 1996-1944
    ISSN 1996-1944
    DOI 10.3390/ma15238289
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Ethnic group and reason for assisted reproductive technology failure: analysis of the Human Fertilisation and Embryology Authority registry data from 2017 to 2018.

    Henderson, Ian / Lacey, Lauren / Akhtar, Muhammad Ahsan / Quenby, Siobhan

    Fertility and sterility

    2022  Volume 119, Issue 2, Page(s) 241–249

    Abstract: Objective: To understand how the risk of different assisted reproductive technology (ART) failure types varies by ethnic group and explore the role of mediation by maternal age and suspected etiology.: Design: An observational study of 48,750 women ... ...

    Abstract Objective: To understand how the risk of different assisted reproductive technology (ART) failure types varies by ethnic group and explore the role of mediation by maternal age and suspected etiology.
    Design: An observational study of 48,750 women who undertook treatment with ART in the United Kingdom between January 2017 and December 2018.
    Setting: The Human Fertilisation and Embryology Authority national ART registry of the United Kingdom.
    Patient(s): Women who commenced a first cycle of ART for the purpose of primary fresh embryo transfer using their own oocytes were included.
    Intervention(s): Maternal ethnic group.
    Main outcome measure(s): The ART failure types were modeled on the maternal ethnic group using the Poisson regression to produce relative risks (RRs) with 95% confidence intervals. The potential indirect effects of maternal age and etiology of subfertility were estimated, and the RRs with 95% confidence intervals were produced.
    Result(s): Black women were at greater risk of treatment failure with respect to live birth than women who were white: cycle cancellation, RR of 2.15 (1.78-2.62); failed fertilization, RR of 2.36 (1.90-2.93); unintended freeze-all, RR of 1.71 (1.43-2.05); failed implantation, RR of 1.23 (1.12-1.34); and pregnancy loss, RR of 1.38 (1.15-1.64). Women who were Asian were at moderately increased risk: RRs of 1.31 (1.17-1.47), 1.60 (1.42-1.80), 1.25 (1.14-1.38), 1.11 (1.07-1.16), and 1.13 (1.03-1.23), across the same outcomes, respectively. Inequality may have been reduced had women of all ethnicities initiated treatment at the same age.
    Conclusion(s): Black women were at greatest risk of all failure types, and women who were Asian were at intermediate risk compared with women who were white. Some of the risks among women who were black may be mediated by maternal age.
    MeSH term(s) Pregnancy ; Humans ; Female ; Ethnicity ; Routinely Collected Health Data ; Reproductive Techniques, Assisted/adverse effects ; Live Birth ; Fertilization
    Language English
    Publishing date 2022-11-09
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 80133-1
    ISSN 1556-5653 ; 0015-0282
    ISSN (online) 1556-5653
    ISSN 0015-0282
    DOI 10.1016/j.fertnstert.2022.11.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Cost-effective treatment of genotype-3 chronic hepatitis C.

    Akhtar, Mahmud Ahmad

    Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

    2015  Volume 25, Issue 1, Page(s) 78

    MeSH term(s) Antiviral Agents/therapeutic use ; Female ; Hepacivirus/genetics ; Humans ; Interferons/therapeutic use ; Male ; Ribavirin/therapeutic use
    Chemical Substances Antiviral Agents ; Ribavirin (49717AWG6K) ; Interferons (9008-11-1)
    Language English
    Publishing date 2015-01
    Publishing country Pakistan
    Document type Comment ; Letter
    ZDB-ID 2276646-7
    ISSN 1681-7168 ; 1022-386X
    ISSN (online) 1681-7168
    ISSN 1022-386X
    DOI 01.2015/JCPSP.7879
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: The Clinical History and Basic Science Origins of Transcutaneous Osseointegration for Amputees.

    Hoellwarth, Jason Shih / Tetsworth, Kevin / Akhtar, Muhammad Adeel / Al Muderis, Munjed

    Advances in orthopedics

    2022  Volume 2022, Page(s) 7960559

    Abstract: Transcutaneous osseointegration for amputees (TOFA) refers to an intramedullary metal endoprosthesis which passes transcutaneously to connect with a limb exoprosthesis. The first recognizably modern experiments and attempts occurred in the 1940s. ... ...

    Abstract Transcutaneous osseointegration for amputees (TOFA) refers to an intramedullary metal endoprosthesis which passes transcutaneously to connect with a limb exoprosthesis. The first recognizably modern experiments and attempts occurred in the 1940s. Multiple researchers using a plethora of materials and techniques over the following 50 years identified principles and obstacles which informed the first long-term successful surgery in 1990. Unfortunately, the current mainstream TOFA literature presents almost exclusively subsequent developments, generally omitting prior research, leading to some historical mistakes being repeated. Given the increasing interest and surgical volume of TOFA, this literature review was performed to delineate TOFA's basic science and surgical origins and to integrate these early efforts within the contemporary understanding. Studying this research could protect and benefit future patients, surgeons, and implant developers as TOFA is entering a phase of increased attention and innovation. The aim of this article is to provide a focused reference of foundational research, much of which is difficult to identify and retrieve, for clinicians and researchers.
    Language English
    Publishing date 2022-03-18
    Publishing country Egypt
    Document type Journal Article ; Review
    ZDB-ID 2621436-2
    ISSN 2090-3472 ; 2090-3464
    ISSN (online) 2090-3472
    ISSN 2090-3464
    DOI 10.1155/2022/7960559
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Isotope hydrology tools in the assessment of arsenic contamination in groundwater: An overview.

    Ansari, Md Arzoo / Saravana Kumar, U / Noble, Jacob / Akhtar, Naima / Akhtar, M Arslaan / Deodhar, Archana

    Chemosphere

    2023  Volume 340, Page(s) 139898

    Abstract: Groundwater is important for the survival of humanity and the demand for the same is drastically increasing globally. The precious water resources are under constant threat, either as a result of natural processes or due to the influence of the ... ...

    Abstract Groundwater is important for the survival of humanity and the demand for the same is drastically increasing globally. The precious water resources are under constant threat, either as a result of natural processes or due to the influence of the anthropogenic activities. Arsenic contamination of groundwater is one of those threats that have affected approximately over 500 million people in 107 countries globally. Although, many studies (
    MeSH term(s) Humans ; Arsenic ; Hydrology ; Isotopes ; Groundwater ; Water
    Chemical Substances Arsenic (N712M78A8G) ; Isotopes ; Water (059QF0KO0R)
    Language English
    Publishing date 2023-08-20
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 120089-6
    ISSN 1879-1298 ; 0045-6535 ; 0366-7111
    ISSN (online) 1879-1298
    ISSN 0045-6535 ; 0366-7111
    DOI 10.1016/j.chemosphere.2023.139898
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Bilateral Simultaneous Asymmetrical Anterior Shoulder Dislocation With a Fracture.

    Al-Khatib, Yousef / Akhtar, Muhammad Adeel / Kasis, Ata

    Cureus

    2021  Volume 13, Issue 7, Page(s) e16783

    Abstract: In this case report, we present the case of a 19-year-old male who presented to the emergency department with bilateral shoulder pain and significantly decreased range of motion. His X-rays showed a bilateral dislocation of the glenohumeral joints, along ...

    Abstract In this case report, we present the case of a 19-year-old male who presented to the emergency department with bilateral shoulder pain and significantly decreased range of motion. His X-rays showed a bilateral dislocation of the glenohumeral joints, along with a proximal humeral fracture. Shoulder dislocations were manipulated, while the proximal humeral fracture was conservatively managed. Bilateral simultaneous asymmetric anterior shoulder dislocations are uncommon in such a young age group, especially when associated with a sports injury.
    Language English
    Publishing date 2021-07-31
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.16783
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The Miraculous Journey of TAVR: Beware of Rare!

    Akhtar, Mohammed A / Argulian, Edgar

    JACC. Case reports

    2019  Volume 1, Issue 2, Page(s) 118–119

    Language English
    Publishing date 2019-08-21
    Publishing country Netherlands
    Document type Editorial
    ISSN 2666-0849
    ISSN (online) 2666-0849
    DOI 10.1016/j.jaccas.2019.06.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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