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  1. Article ; Online: Neutrophils and Platelets

    Junaid Ansari / Felicity N. E. Gavins

    Biomedicines, Vol 9, Iss 1945, p

    Immune Soldiers Fighting Together in Stroke Pathophysiology

    2021  Volume 1945

    Abstract: Neutrophils and platelets exhibit a diverse repertoire of functions in thromboinflammatory conditions such as stroke. Most cerebral ischemic events result from longstanding chronic inflammation secondary to underlying pathogenic conditions, e.g., ... ...

    Abstract Neutrophils and platelets exhibit a diverse repertoire of functions in thromboinflammatory conditions such as stroke. Most cerebral ischemic events result from longstanding chronic inflammation secondary to underlying pathogenic conditions, e.g., hypertension, diabetes mellitus, obstructive sleep apnea, coronary artery disease, atrial fibrillation, morbid obesity, dyslipidemia, and sickle cell disease. Neutrophils can enable, as well as resolve, cerebrovascular inflammation via many effector functions including neutrophil extracellular traps, serine proteases and reactive oxygen species, and pro-resolving endogenous molecules such as Annexin A1. Like neutrophils, platelets also engage in pro- as well as anti-inflammatory roles in regulating cerebrovascular inflammation. These anucleated cells are at the core of stroke pathogenesis and can trigger an ischemic event via adherence to the hypoxic cerebral endothelial cells culminating in aggregation and clot formation. In this article, we review and highlight the evolving role of neutrophils and platelets in ischemic stroke and discuss ongoing preclinical and clinical strategies that may produce viable therapeutics for prevention and management of stroke.
    Keywords neutrophils ; platelets ; stroke ; annexin A1 ; resolution ; thromboinflammation ; Biology (General) ; QH301-705.5
    Subject code 610
    Language English
    Publishing date 2021-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Leader’s Toxicity at Workplace

    Muhammad Azeem Qureshi / Muhammad Sufyan Ramish / Junaid Ansari / Muhammad Adnan Bashir

    SAGE Open, Vol

    How Leader’s Decadence Affect Employees? A Pakistani Perspective

    2022  Volume 12

    Abstract: Several studies have found adverse effects of abusive leadership on employees and organizations in the recent past. However, the cultural norms in Pakistan demand an abusive leadership approach. Pakistani culture is high in power distance, abuse of power ...

    Abstract Several studies have found adverse effects of abusive leadership on employees and organizations in the recent past. However, the cultural norms in Pakistan demand an abusive leadership approach. Pakistani culture is high in power distance, abuse of power is a norm, and people are accustomed to autocracy. Since most of the studies addressing the negative effects of abusive leadership were conducted in the west, it is necessary to examine whether abusive leadership is an effective leadership approach in the cultures that experience high power distance. There is a paucity of literature addressing the issue in question. In addition, existing literature does not explain how abusive leaders affect employees’ attitudes and behaviors with clarity. This research makes an ontological contribution and discusses the philosophical origins of abusive leadership theory. Furthermore, this research draws the inference using the groundings of conservation of resource theory, leader-member exchange theory, and aggression displaced theory to propose that abusive leaders deteriorate employees’ quality of working life experience. Employees with poor working-life experience are more likely to be involved in counterproductive work behavior, planning to leave the organization, and are less likely to show organizational citizenship behavior. Dyadic data were collected from 474 respondents based on purposive sampling technique from private sector organizations in Pakistan. Results of structural equation modeling using AMOS v23 supported all the proposed hypotheses. Results imply that the moral content of leadership requires special attention, and abusive leadership is not an appropriate leadership approach because of its adverse effects on employees’ attitudes and behaviors.
    Keywords History of scholarship and learning. The humanities ; AZ20-999 ; Social Sciences ; H
    Subject code 650
    Language English
    Publishing date 2022-05-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Endovascular Management of Hemorrhagic Stroke

    Basel Musmar / Nimer Adeeb / Junaid Ansari / Pankaj Sharma / Hugo H. Cuellar

    Biomedicines, Vol 10, Iss 100, p

    2022  Volume 100

    Abstract: Significant advances in endovascular neurosurgery tools, devices, and techniques are changing the approach to the management of acute hemorrhagic stroke. The endovascular treatment of intracranial aneurysms emerged in the early 1990s with Guglielmi ... ...

    Abstract Significant advances in endovascular neurosurgery tools, devices, and techniques are changing the approach to the management of acute hemorrhagic stroke. The endovascular treatment of intracranial aneurysms emerged in the early 1990s with Guglielmi detachable coils, and since then, it gained rapid popularity that surpassed open surgery. Stent-assisted coiling and balloon remodeling techniques have made the treatment of wide-necked aneurysms more durable. With the introduction of flow diverters and flow disrupters, many aneurysms with complex geometrics can now be reliably managed. Arteriovenous malformations and fistulae can also benefit from endovascular therapy by embolization using n-butyl cyanoacrylate (NBCA), Onyx, polyvinyl alcohol (PVA), and coils. In this article, we describe the role of endovascular treatment for the most common causes of intracerebral and subarachnoid hemorrhages, particularly ruptured aneurysms and vascular malformations.
    Keywords stroke ; hemorrhage ; SAH ; aneurysms ; arteriovenous ; malformation ; Biology (General) ; QH301-705.5
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Endovascular Intervention in Acute Ischemic Stroke

    Junaid Ansari / Rachel Triay / Sandeep Kandregula / Nimer Adeeb / Hugo Cuellar / Pankaj Sharma

    Biomedicines, Vol 10, Iss 418, p

    History and Evolution

    2022  Volume 418

    Abstract: Stroke is a leading cause of serious long-term disability in the US. Endovascular therapy (EVT), in the form of mechanical thrombectomy, is now a standard of care for patients with acute ischemic stroke with a large vessel occlusion. This article reviews ...

    Abstract Stroke is a leading cause of serious long-term disability in the US. Endovascular therapy (EVT), in the form of mechanical thrombectomy, is now a standard of care for patients with acute ischemic stroke with a large vessel occlusion. This article reviews the evolution of EVT in the management of acute ischemic stroke and how it has led to the concept of tissue window over the widely publicized time window.
    Keywords mechanical thrombectomy ; acute ischemic stroke ; modified Rankin scale ; stent retriever ; Biology (General) ; QH301-705.5
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Acute fulminant myocarditis in a case of dengue fever

    Shahla Abrar / Mohammed Junaid Ansari

    Asian Pacific Journal of Tropical Disease, Vol 6, Iss 4, Pp 328-

    A case report

    2016  Volume 329

    Abstract: Dengue is one of the most important mosquito-borne viral diseases in the world. Of note, a variety of cardiac complications have been reported in dengue-affected patients. We reported a 5-year-old boy who presented with fulminant viral myocarditis due to ...

    Abstract Dengue is one of the most important mosquito-borne viral diseases in the world. Of note, a variety of cardiac complications have been reported in dengue-affected patients. We reported a 5-year-old boy who presented with fulminant viral myocarditis due to dengue infection and died within 24 h. Biopsy of heart revealed lymphocytic infiltration.
    Keywords Dengue ; Myocarditis ; Biopsy ; Hypotension ; Medicine ; R ; Arctic medicine. Tropical medicine ; RC955-962
    Language English
    Publishing date 2016-04-01T00:00:00Z
    Publisher Asian Pacific Journal of Tropical Disease Editorial Office
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Therapeutic Potential of Annexin A1 in Ischemia Reperfusion Injury

    Junaid Ansari / Gaganpreet Kaur / Felicity N. E. Gavins

    International Journal of Molecular Sciences, Vol 19, Iss 4, p

    2018  Volume 1211

    Abstract: Cardiovascular disease (CVD) continues to be the leading cause of death in the world. Increased inflammation and an enhanced thrombotic milieu represent two major complications of CVD, which can culminate into an ischemic event. Treatment for these life- ... ...

    Abstract Cardiovascular disease (CVD) continues to be the leading cause of death in the world. Increased inflammation and an enhanced thrombotic milieu represent two major complications of CVD, which can culminate into an ischemic event. Treatment for these life-threatening complications remains reperfusion and restoration of blood flow. However, reperfusion strategies may result in ischemia–reperfusion injury (I/RI) secondary to various cardiovascular pathologies, including myocardial infarction and stroke, by furthering the inflammatory and thrombotic responses and delivering inflammatory mediators to the affected tissue. Annexin A1 (AnxA1) and its mimetic peptides are endogenous anti-inflammatory and pro-resolving mediators, known to have significant effects in resolving inflammation in a variety of disease models. Mounting evidence suggests that AnxA1, which interacts with the formyl peptide receptor (FPR) family, may have a significant role in mitigating I/RI associated complications. In this review article, we focus on how AnxA1 plays a protective role in the I/R based vascular pathologies.
    Keywords ischemia–reperfusion injury ; Annexin A1 ; formyl peptide receptors ; ischemic stroke ; Biology (General) ; QH301-705.5 ; Chemistry ; QD1-999
    Subject code 610 ; 616
    Language English
    Publishing date 2018-04-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Targeting AnxA1/Formyl Peptide Receptor 2 Pathway Affords Protection against Pathological Thrombo-Inflammation

    Shantel A. Vital / Elena Y. Senchenkova / Junaid Ansari / Felicity N. E. Gavins

    Cells, Vol 9, Iss 2473, p

    2020  Volume 2473

    Abstract: Stroke is a leading cause of death and disability globally and is associated with a number of co-morbidities including sepsis and sickle cell disease (SCD). Despite thrombo-inflammation underlying these co-morbidities, its pathogenesis remains ... ...

    Abstract Stroke is a leading cause of death and disability globally and is associated with a number of co-morbidities including sepsis and sickle cell disease (SCD). Despite thrombo-inflammation underlying these co-morbidities, its pathogenesis remains complicated and drug discovery programs aimed at reducing and resolving the detrimental effects remain a major therapeutic challenge. The objective of this study was to assess whether the anti-inflammatory pro-resolving protein Annexin A1 (AnxA1) was able to reduce inflammation-induced thrombosis and suppress platelet activation and thrombus formation in the cerebral microvasculature. Using two distinct models of pathological thrombo-inflammation (lipopolysaccharide (LPS) and sickle transgenic mice (STM)), thrombosis was induced in the murine brain using photoactivation (light/dye) coupled with intravital microscopy. The heightened inflammation-induced microvascular thrombosis present in these two distinct thrombo-inflammatory models was inhibited significantly by the administration of AnxA1 mimetic peptide AnxA1 Ac2-26 (an effect more pronounced in the SCD model vs. the endotoxin model) and mediated by the key resolution receptor, Fpr2/ALX. Furthermore, AnxA1 Ac2-26 treatment was able to hamper platelet aggregation by reducing platelet stimulation and aggregation (by moderating α IIb β 3 and P-selectin). These findings suggest that targeting the AnxA1/Fpr2/ALX pathway represents an attractive novel treatment strategy for resolving thrombo-inflammation, counteracting e.g., stroke in high-risk patient cohorts.
    Keywords thrombosis ; inflammation ; Annexin A1 ; formyl peptide receptors ; sickle cell disease ; sepsis ; Biology (General) ; QH301-705.5
    Subject code 616
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Predictors of Mortality in Paediatric Myocarditis

    Shahla Abrar / Mohammed Junaid Ansari / Mahima Mittal / K.P. Kushwaha

    Journal of Clinical and Diagnostic Research, Vol 10, Iss 6, Pp SC12-SC

    2016  Volume 16

    Abstract: Introduction: Paediatric myocarditis can present as mild flu like symptoms to fulminent form. Early identification of the severity of illness and prioritization of intensive care is helpful especially in developing countries with limited resources. Aim: ... ...

    Abstract Introduction: Paediatric myocarditis can present as mild flu like symptoms to fulminent form. Early identification of the severity of illness and prioritization of intensive care is helpful especially in developing countries with limited resources. Aim: To know the factors at admission that can predict mortality in paediatric myocarditis. Materials and Methods: This was an observational study which enrolled children who presented with fever of acute onset (less than 15 days in duration), and were diagnosed as suspected myocarditis on the basis of clinical features, Troponin I and echocardiography, according to Expanded criteria for myocarditis in Paediatric ward at our institute over a period from August 2014 to December 2015. Their clinical features, cardiac biomarkers and echocardiography findings were compared between survivors and non-survivors. Statistical Analysis: All statistical analysis was done using graphpad Prism 5 and SPSS statistical software. A Fisher exact p-value <0.05 was regarded as significant. Multivariate Logistic Regression was carried out to quantify the relationship between cardiac death and other predictor variables. The logistic coefficients for the predictor variables and their exponents, that is, log odds were calculated. Statistical significance of these predictor variables was interpreted by p-values. Results: A 17.7% (n=11/62) patients of paediatric myocarditis died in this study. New York Heart Association (NYHA) class IV dyspnea (p=0.0115) and hypotension (p=0.0174) were more in patients who did not survive. The mean value of Troponin I was more in the non-survivor group (0.958 ± 1.13ng/ml); (p=0.0074). More number of patients who died had Brain Natriuretic Peptide (BNP) levels increased in their plasma (p=0.0087) with higher mean value (p=0.0175). LV ejection fraction was decreased markedly in non survivor group with mean value of 37±8.09 % as compared to survivor group with mean value of 46.6±10.5%, (p=0.0115). On multivariate analysis, NYHA class IV dyspnea (p=0.0113), BNP ...
    Keywords brain natriuretic peptide ; cardiac markers ; ejection fraction ; troponin i ; Medicine ; R
    Subject code 310
    Language English
    Publishing date 2016-06-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Skeletonized Versus Pedicled Internal Mammary Harvest

    Ahson Memon / Ghufranullah Khan / Junaid Ansari / Khalid Rasheed / Imran Ali

    International Journal of Endorsing Health Science Research, Vol 4, Iss 3, Pp 26-

    Relationship of pain towards technique

    2016  Volume 32

    Abstract: Objective: Purpose of this study is to compare skeletonized versus pedicled internal mammary harvest. Introduction: One of the commonly used procedures for multi-vessel and left main coronary artery disease is Coronary Artery Bypass Grafting (CABG with ... ...

    Abstract Objective: Purpose of this study is to compare skeletonized versus pedicled internal mammary harvest. Introduction: One of the commonly used procedures for multi-vessel and left main coronary artery disease is Coronary Artery Bypass Grafting (CABG with fewer and recurrent complication i.e. Post procedure pain that is an outcome of mechanical, thermal or ischemic injury to the inter-costal nerves during Internal Thoracic Artery (ITA) harvesting. Methodology: This study is being done to examine whether skeletonized or pedicle harvesting results in lesser occurrence and intensity of post-CABG pain with aim to identify which one is the better of the two techniques that can be used in future for patients planned with CABG. 63 consecutive patients were recruited at Tabba Heart Institute who underwent median sternotomy for CABG with Internal Thoracic Artery harvest were included. Group A went harvesting through skeletonization whereas patients in group B underwent harvesting by Pedicle ITA. This initial screening was done with the help of pre designed questionnaire. The data statistically analyzed by SPSS. Results: The results of study concluded that skeletonization of ITA does not reduce post coronary artery bypass graft surgery pain at the end of one month intervals. It is suggested that that skeletonized ITA is only beneficial when bilateral ITA are used. Conclusion: It was concluded that skeletonization of ITA does not reduce post coronary artery bypass graft surgery pain at the end of one month intervals. We suggest that that skeletonized ITA is only beneficial when bilateral ITA has been used.
    Keywords skeletonization ; coronary artery bypass grafting ; internal thoracic artery ; pedicled internal mammary harvest ; internal thoracic artery harvesting ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2016-09-01T00:00:00Z
    Publisher Advance Educational Institute & Research Centre
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: The Spectrum of Acute Cerebrovascular Disease in Patients with COVID-19

    Rachel Triay / Prabandh Buchhanolla / Alexas Gaudet / Victoria Winter / Alexandra Gaudet / Mehdi Faraji / Eduardo Gonzalez-Toledo / Harish Siddaiah / Hugo H. Cuellar-Saenz / Steven Bailey / Vijayakumar Javalkar / Rosario Maria S. Riel-Romero / Roger E. Kelley / Felicity N. E. Gavins / Junaid Ansari

    Biomedicines, Vol 10, Iss 435, p

    2022  Volume 435

    Abstract: 1) Background: COVID-19 infection is responsible for the ongoing pandemic and acute cerebrovascular disease (CVD) has been observed in COVID-19 patients. (2) Methods: We conducted a retrospective, observational study of hospitalized adult patients ... ...

    Abstract (1) Background: COVID-19 infection is responsible for the ongoing pandemic and acute cerebrovascular disease (CVD) has been observed in COVID-19 patients. (2) Methods: We conducted a retrospective, observational study of hospitalized adult patients admitted to our hospital with SARS-CoV-2 and acute cerebrovascular disease. All clinical data were reviewed including epidemiology, clinical features, laboratory data, neuroradiological findings, hospital management and course from 32 patients hospitalized for COVID-19 management with acute cerebrovascular disease. (3) Results: Acute CVD with COVID-19 was associated with higher NIH stroke scale on discharge compared to non-COVID-19 CVDs. Seizures complicated the hospital course in 16% of COVID-19 patients with CVD. The majority of the acute CVDs were ischemic (81%) in nature followed by hemorrhagic (22%). Acute CVD with COVID-19 resulted in average hospital stays greater than twice that of the control group (13 days in COVID-19, 5 days in control). Acute CVD with COVID-19 patients had worse clinical outcomes with 31% patient deaths and 6% discharged to hospice. In the control group, 6% of patients died. (4) Conclusions: Acute CVD associated with COVID-19 tends to be more complicated with unique and adverse clinical phenotype, longer hospital admissions, and worse clinical outcomes.
    Keywords COVID-19 ; cerebrovascular disease ; acute ischemic stroke ; seizures ; stroke ; Biology (General) ; QH301-705.5
    Subject code 610
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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