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  1. AU="Khan, Qaisar Imran"
  2. AU="Alberton, Michele D"
  3. AU="Chou, Tsung-Ching"
  4. AU="Mehdizadeh, Rana"
  5. AU="Sue Chen"
  6. AU=Smrcka A V
  7. AU="Costache, Oana"
  8. AU="Jungilligens, Johannes"
  9. AU="Kegel, S"
  10. AU="Frances P. Rodriguez-Rivera"
  11. AU="Viennet, Hervé"
  12. AU="Martínez-Silva, María G"
  13. AU="Christino, Melissa A"
  14. AU="Silva, Larissa L"
  15. AU="Tonks, Michael R."
  16. AU="Korhonen, H"
  17. AU="Mukendi, John T"
  18. AU="Athira S. Raj"
  19. AU="Corbacho, Belen"
  20. AU="Andrei, Adin Cristian" AU="Andrei, Adin Cristian"
  21. AU="Erminia Donnarumma"
  22. AU="Albores-Figueroa, Rosenberg"
  23. AU="Squillace, Lino"
  24. AU="Laufs, Sebastian"
  25. AU="McCanny, Suzette"
  26. AU="McHardy, John Alexander"
  27. AU="Erdal, Ranya"
  28. AU="Li, Long-Xia"
  29. AU="Esapa, Benjamina"

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  1. Artikel ; Online: Progressive multifocal leukoencephalopathy associated with carbamazepine-induced immune dysfunction and recovery after carbamazepine cessation.

    Perrott, Sarah / Khan, Qaisar Imran / Counsell, Carl E / Macleod, Angus D

    BMJ case reports

    2023  Band 16, Heft 7

    Abstract: A patient with epilepsy on carbamazepine developed a rapidly progressive cerebellar syndrome. Serial MRI showed progressive posterior fossa T2/fluid attenuated inversion recovery hyperintensity with gadolinium enhancement. Standard cerebrospinal fluid ( ... ...

    Abstract A patient with epilepsy on carbamazepine developed a rapidly progressive cerebellar syndrome. Serial MRI showed progressive posterior fossa T2/fluid attenuated inversion recovery hyperintensity with gadolinium enhancement. Standard cerebrospinal fluid (CSF) analysis was normal. Detection of John Cunningham virus DNA in the CSF confirmed progressive multifocal leukoencephalopathy (PML). The only evidence of immune disfunction was hypogammaglobulinaemia and longstanding lymphopenia. After cessation of carbamazepine, the lymphocyte count and immunoglobulin levels returned to normal and the PML resolved, with good clinical recovery. No specific treatments for PML were given. We hypothesise that PML in this case was due to carbamazepine-induced prolonged mild immunosuppression with reconstitution of the immune system after carbamazepine cessation, resulting in recovery from PML. Effects of anticonvulsants on immune function and infection risk may contribute to epilepsy-related morbidity and mortality. Further investigation is needed to determine the frequency of immune dysfunction and infections in patients treated with anticonvulsants such as carbamazepine and whether interventions could reduce infection risk.
    Mesh-Begriff(e) Humans ; Leukoencephalopathy, Progressive Multifocal/diagnosis ; JC Virus ; Anticonvulsants/adverse effects ; Contrast Media/adverse effects ; Gadolinium/adverse effects ; Immune System Diseases ; Carbamazepine/adverse effects ; Epilepsy/drug therapy
    Chemische Substanzen Anticonvulsants ; Contrast Media ; Gadolinium (AU0V1LM3JT) ; Carbamazepine (33CM23913M)
    Sprache Englisch
    Erscheinungsdatum 2023-07-06
    Erscheinungsland England
    Dokumenttyp Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2023-255119
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: The incidence, baseline predictors, and outcomes of dementia in an incident cohort of Parkinson's disease and controls.

    Counsell, Carl / Giuntoli, Cinzia / Khan, Qaisar Imran / Maple-Grødem, Jodi / Macleod, Angus D

    Journal of neurology

    2022  Band 269, Heft 8, Seite(n) 4288–4298

    Abstract: Background: There are few long-term data on the incidence, baseline predictors, and outcomes of dementia in Parkinson's disease (PD) from prospective community-based incident cohorts.: Methods: The PINE study prospectively identified all incident PD ... ...

    Abstract Background: There are few long-term data on the incidence, baseline predictors, and outcomes of dementia in Parkinson's disease (PD) from prospective community-based incident cohorts.
    Methods: The PINE study prospectively identified all incident PD patients in Aberdeen along with age-sex-matched, community-based controls who consented to standardized annual life-long follow-up. Each year, a clinical expert reviewed the diagnosis of PD and the presence of dementia according to DSM-IV-based criteria. Age-sex stratified incidence rates for dementia in PD and controls were calculated and compared with hazard ratios (HR) adjusted for age, sex, education, and socioeconomic status. Cox proportional-hazard modelling was used to assess baseline predictors for PD dementia and the influence of dementia on survival and institutionalization.
    Results: 201 patients (mean age 72.6yrs) and 260 controls (mean age 75.4yrs) were followed for median 9.5 years. The incidence of dementia was 7.4 (PD) versus 2.1 (controls) per 100 person-years (adjusted HR 6.0, 95%CI 4.1-8.7), with a sixfold increase from under 60 to over 80 years in PD but no sex difference. Independent baseline predictors of PD dementia were older age at diagnosis, self-reported cognitive symptoms, dream enactment, lower MMSE scores, worse motor UPDRS scores, and the ApoE genotype. PD dementia increased the rates of subsequent death and institutionalization (32.0 and 26.9 per 100 person-years, respectively).
    Conclusion: The incidence of dementia in PD is high, increases markedly with age, is increased in those with baseline subjective cognitive symptoms as well as other established risk factors, and is associated with high rates of death and institutionalization.
    Mesh-Begriff(e) Aged ; Cohort Studies ; Dementia/diagnosis ; Humans ; Incidence ; Parkinson Disease/complications ; Parkinson Disease/diagnosis ; Parkinson Disease/epidemiology ; Prospective Studies
    Sprache Englisch
    Erscheinungsdatum 2022-03-21
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 187050-6
    ISSN 1432-1459 ; 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    ISSN (online) 1432-1459
    ISSN 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    DOI 10.1007/s00415-022-11058-2
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: Multicentric analysis of the perceptions and knowledge of digital health amongst undergraduate medical students.

    Nazeer, Mohamed Nauzan Mohamed / Baig, Hassan / Subeh, Ahmed / Khan, Qaisar Imran / Majeed, Saad Atif / Ashraf, Mohammad Adil

    Scottish medical journal

    2022  Band 67, Heft 2, Seite(n) 56–63

    Abstract: Introduction: Digital health (DH) is continuously evolving by use of information and communications technology to improve healthcare provision, thereby reshaping systems and clinical practices. Recent studies identified an overwhelming lack of awareness ...

    Abstract Introduction: Digital health (DH) is continuously evolving by use of information and communications technology to improve healthcare provision, thereby reshaping systems and clinical practices. Recent studies identified an overwhelming lack of awareness of DH within the profession. This study aimed to analyse student perceptions and knowledge of DH to assess confidence in its use to develop greater DH awareness and literacy.
    Methods: Students enrolled in undergraduate medical degrees were invited to take part in an online survey assessing aspects of DH including demography, familiarity, attitudes, level of knowledge and confidence. Anonymised data was collated and subsequently analysed to review DH awareness.
    Results: A total of 143 students participated from nine British universities with 28.7% of respondents admitting low levels of familiarity of DH concepts. Students anticipated negative repercussions of DH including reduced data security (42.7%) and deterioration in doctor-patient relationship (30%); while improvements in healthcare access and health-outcomes are expected by 89.5% and 68.5%, respectively. 71.4% of participants believed they had minimal experience of exposure to DH and 76% believed they did not possess the necessary skills to utilise DH. Only 3.5% of students had some exposure to DH teaching during their course.
    Conclusion: There is an important requirement to address the lack of knowledge and exposure of students to DH, particularly as the world targets the COVID-19 pandemic. DH is forming the basis of the 'new normal' in healthcare, however the full potential of DH cannot be achieved unless there is an increase in its teaching incorporated into medical school curricula.
    Mesh-Begriff(e) COVID-19 ; Curriculum ; Education, Medical, Undergraduate ; Humans ; Pandemics ; Physician-Patient Relations ; Students, Medical ; Surveys and Questionnaires
    Sprache Englisch
    Erscheinungsdatum 2022-03-03
    Erscheinungsland Scotland
    Dokumenttyp Journal Article ; Multicenter Study
    ZDB-ID 414085-0
    ISSN 2045-6441 ; 0036-9330
    ISSN (online) 2045-6441
    ISSN 0036-9330
    DOI 10.1177/00369330221080749
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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