Publications by authors named "Khalil I"

Translational research serves as the bridge between basic research and practical applications in clinical settings. The journey from "bench to bedside" is fraught with challenges and complexities such as the often-observed disparity between how compounds behave in a laboratory setting versus in the complex systems of living organisms. The challenge is further compounded by the limited ability of in vitro models to mimic the specific biochemical environment of human tissues.

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Introduction: Low-grade tumors account for approximately 50% of non-muscle invasive bladder cancer (NMIBC) with recurrence rates between 46% and 62%. Management of NMIBC recurrence typically involves transurethral resection of bladder tumor (TURBT) under general or regional anesthesia, which carries perioperative risks and considerable healthcare costs due to repeated procedures. Therefore, less invasive treatments such as office-based laser ablation, which aim to manage recurrences and reduce inpatient procedures without compromising oncological control, are needed.

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Despite the significant growth in Sonali chicken production across Bangladesh, inadequate disease surveillance and control measures along with indiscriminate antimicrobial use remain major challenges to the sector. In this study, we evaluated the disease burden and antimicrobial prescription patterns of Sonali chickens in Bangladesh using a web-based data recording system from 2020 to 2021 and analyzed 1690 cases. The diagnoses recorded in the system were presumptive, as they were based on clinico-epidemiological history, clinical signs, and gross necropsy findings noted by registered veterinarians.

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Estuarine fronts are formed due to sharp density discontinuities resulting from the convergence of different water masses. This study, conducted in May and August of 2022 during the southwest monsoon season, focuses on assessing the role of estuarine fronts at Kuala Terengganu estuary in the accumulation of microplastics in surface seawater. The Terengganu River basin area covers approximately 4600 km and consists of two main tributaries that drain into the Kuala Terengganu estuary.

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Purpose: In kidney transplantation (KT), delayed graft function (DGF) is associated with worse outcomes. However, it is unclear what effect DGF plays in long-term survival compared to the impact of the various transplant, donor, and recipient risk factors associated with DGF. This study aims to determine the effect of DGF alone on long-term survival in pediatric deceased donor kidney transplant recipients (DDKTRs).

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Accurate analysis of sperm cell flagellar dynamics plays a crucial role in understanding sperm motility as flagella parameters determine cell behavior in the spatiotemporal domain. In this study, we introduce a novel approach by harnessing Genetic Algorithms (GA) to analyze sperm flagellar motion characteristics and compare the results with the traditional decomposition method based on Fourier analysis. Our analysis focuses on extracting key parameters of the equation approximating flagellar shape, including beating period time, bending amplitude, mean curvature, and wavelength.

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Magnetically actuated soft microrobots hold promise for biomedical applications that necessitate precise control and adaptability in complex environments. These microrobots can be accurately steered below their step-out frequencies where they exhibit synchronized motion with external magnetic fields. However, the step-out frequencies of soft microrobots have not been investigated yet, as opposed to their rigid counterparts.

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Background: Guillain-Barre Syndrome (GBS) is a severe autoimmune neuropathy that has to be treated quickly and efficiently in emergency situations, when both cost and effectiveness are vital.

Objective: To compare the clinical outcomes and cost-effectiveness of plasmapheresis and intravenous immunoglobulin (IVIG) in managing acute GBS in emergency departments.

Methodology: A prospective observational study conducted from January to December 2023 evaluated the treatment of adults with acute GBS using IVIG or plasmapheresis.

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Purpose: This study aims to prepare Loratadine-loaded chitosan/tannic acid nanoparticles (LOR-CS/TAN NPs) through ionic gelation to be used as an anti-proliferative agent to aid in overcoming breast cancer propagation.

Methods: First, in-silico virtual screening was carried out to select the most appropriate anti-histaminic drug based on its inhibitory effect on the H1-histamine receptor, resulting in the selection of Loratadine (LOR). Molecular interaction between LOR with chitosan (CS), a positively charged polymer, and hyaluronan, a negatively charged polymer, was investigated separately through molecular docking, leading to the selection of CS.

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  • Percutaneous cholecystostomy (PC) is effective for controlling sepsis in patients with severe acute calculous cholecystitis, but long-term treatment outcomes remain uncertain.
  • A study analyzed 102 patients who underwent PC, comparing those who had laparoscopic cholecystectomy (LC) later with those who received conservative management, showing no significant difference in readmission rates for biliary issues.
  • Results indicated that interval LC led to significantly lower rates of late mortality (13.3% vs. 61.9%) and higher survival rates after three years (75% for LC vs. 38% for conservative management).
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  • In Canada, racialized and immigrant women face barriers to cancer screening due to a lack of awareness, language issues, and socio-economic factors, which has led to under-screening for breast and cervical cancer.
  • To combat these challenges, a team implemented virtual educational and screening events specifically for Black women, partnering with community organizations and creating a resource hub for breast cancer awareness.
  • The events were well-attended, with over 450 participants per session and high satisfaction rates, leading to increased screening intentions among attendees, suggesting that culturally tailored initiatives may help reduce stigma and improve cancer knowledge in these communities.
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ConspectusCovalent organic frameworks (COFs) are a rapidly emerging class of crystalline porous polymers, characterized by their highly defined, predictable, and tunable structure, porosity, and properties. COFs can form both two-dimensional (2D) and three-dimensional (3D) architectures, each with unique characteristics and potential applications. 2D COFs have attracted particular interest due to their favorable structural and optoelectronic properties.

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  • - Syncope, a temporary loss of consciousness, can arise from various causes, with internal carotid artery (ICA) stenosis being a rare but significant one, as illustrated by the case of a 62-year-old man in Dhaka, Bangladesh, who faced recurrent syncope over six months.
  • - The patient's extensive medical evaluations were unproductive until a magnetic resonance angiography revealed severe 90% stenosis of the right ICA, which was later confirmed through another imaging technique.
  • - He received treatment including antiplatelet therapy and carotid artery stenting, leading to a smooth recovery and no further symptoms, highlighting the need to consider ICA stenosis in similar cases, especially in areas with limited medical resources. *
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  • - Cognitive impairment is a common issue in Parkinson's disease, varying from normal cognition to dementia, and is linked to brain changes and dysfunctions in the autonomic nervous system.
  • - Cardiovascular autonomic dysfunction contributes to cognitive decline, falls, and increased mortality, with symptoms like abnormal blood pressure occurring at various disease stages.
  • - The review emphasizes the need for monitoring and managing cognitive changes related to cardiovascular issues in Parkinson's, suggesting 24-hour blood pressure monitoring for those showing symptoms of dysautonomia.
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Revisiting the impact of the first and often deemed trivial postsynthetic step, i.e., a high-temperature oxidative calcination to remove organic templates, increases our understanding of thermal acid site evolution and Al distributions.

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Testicular seminomas are the most common type of testicular tumor; atypical presentations can make diagnosis more challenging, leading to delayed treatment. Here, we present a 40-year-old previously healthy male who presented to the emergency department with severe right-sided scrotal swelling and pain. He had a diagnosed but untreated inguinal hernia.

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  • The study investigates the effectiveness of robot-assisted extended total mesorectal excision (R-eTME) versus laparoscopic-assisted extended total mesorectal excision (L-eTME) in treating patients with lateral lymph node metastasis, following concurrent neoadjuvant chemo-radiation and total mesorectal excision (TME).
  • Results indicate that R-eTME has advantages over L-eTME in terms of lower overall recurrence rates and fewer urinary complications, while L-eTME was associated with longer hospital stays and slightly shorter operative times.
  • The conclusion emphasizes that, although both techniques share similar long-term outcomes, R-eTME appears to be the better option for reducing
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  • Tubulocystic renal cell carcinoma (RCC) is a rare kidney cancer recognized by the WHO in 2016, known for its slow growth and low metastasis rates.
  • A 35-year-old man was diagnosed with tubulocystic RCC after experiencing flank pain, with imaging revealing different classifications of a renal cyst.
  • This case emphasizes the need to consider tubulocystic RCC when evaluating renal cysts and solid masses in order to develop an appropriate treatment plan.
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Liver cancer is one of the aggressive primary tumors as evident by high rate of incidence and mortality. Conventional treatments (e.g.

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Management of rheumatoid arthritis (RA) requires long-term administration of different medications since there has been no cure until now. Etodolac (ETD) is a nonsteroidal anti-inflammatory drug commonly used for RA management. However, its long-term administration resulted in severe side effects.

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Poly-γ-glutamic acid (γ-PGA) is a carboxylic-acid-rich, bio-derived, water-soluble, edible, hydrating, non-immunogenic polymer produced naturally by several microorganisms. Here, we re-emphasise the ability of natto to naturally produce γ-PGA on whole seaweed, as well as for the yields and chemical properties of the material to be affected by the presence of Mn. Hyaluronic acid (HA) is an extracellular glycosaminoglycan which presents a high concentration of carboxylic acid and hydroxyl groups, being key in fulfilling numerous applications.

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Objective: To assess the correlation between the general (gender, age, and maximum tumor size) and 3D morphotopometric features of the renal tumor node, following the MSCT data post-processing, and the tumor histological structure; to propose an equation allowing for kidney malignancy assessment based on general and morphometric features.

Materials And Methods: In total, 304 patients with unilateral solitary renal neoplasms underwent laparoscopic (retroperitoneoscopic) or robotic partial or radical nephrectomy. Before the procedure, kidney contrast-enhanced MSCT followed by the tumor 3D-modeling was performed.

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Aliphatic polyesters and polythioesters are very interesting alternatives for current fossil-based and degradation-resistant plastics, due to their high (bio)degradability and (chemical) recyclability potential. Two important examples include polylactide (PLD), currently leading the synthetic bioplastics market, and its sulfur analog polythiolactide (PTLD). Both polymers can be made by ring-opening polymerization (ROP) of their corresponding (thio)dilactones, lactide (LD) and thiolactide (TLD) respectively.

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  • Robotic assisted partial nephrectomy is the preferred treatment for small kidney tumors, but it can lead to rare complications like ureteric stricture, affecting patient wellbeing.
  • Surgical options for severe stricture may not be suitable for high-risk patients, who may require alternatives like a ureteric double J stent or nephrostomy tube.
  • A case study showed that when conventional surgery isn't possible due to tumor proximity, using a metallic ureteral stent (Memokath) provides better durability and improves the quality of life compared to double stents for managing ureteric strictures.
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  • Cryptococcus neoformans is a major fungal pathogen prioritized by the WHO, prompting research into a new multi-epitope vaccine based on its mannoprotein antigen (MP88) using computational methods.
  • In the study, several promising B-cell and T-cell epitopes were identified, including specific sequences for CD8+ and CD4+ T-cells that have potential for vaccine development.
  • The vaccine candidate was further developed to be stable, non-toxic, and soluble, and its genetic material was successfully cloned into an E. coli vector for potential expression and testing.
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