Publications by authors named "L A Kamal"

Background: Mild histologic lesions of tubulo-interstitial inflammation could represent a "response-to-wounding" rather than allorecognition. Tissue gene expression may complement histopathology for T-cell-mediated rejection (TCMR) diagnostics.

Methods: We report on the incorporation of tissue gene expression testing using a Molecular Microscope Diagnostic System into the management of kidney transplant biopsies with suspected TCMR.

View Article and Find Full Text PDF

Purpose: To evaluate the use, acceptability, and experience of a seven-item palliative care referral screening tool in an outpatient oncology setting.

Methods: A two-phase convergent parallel mixed-methods study. Patient participants who met any of the "Royal Marsden Triggers Tool" criteria were compared with those who did not in terms of demographic data, palliative care needs (Integrated Palliative Outcome Scale, IPOS) and quality of life indicators (EORTC-QLQ-C30).

View Article and Find Full Text PDF
Article Synopsis
  • This study explored the connection between ankle ligament injuries and osteochondral defects (OCDs) in a sample of 215 patients seeking treatment for ankle injuries in Saudi Arabia from 2017 to 2022.
  • The research categorized patients by age, sex, and type of injury, revealing that the most affected area for OCDs was the talus, with the anterior talofibular ligament (ATFL) being the most commonly injured.
  • A significant relationship was found specifically between posterior talofibular ligament (PTFL) injury and talus OCDs, emphasizing the need for careful diagnosis and treatment of these injuries in patients with ongoing ankle pain.
View Article and Find Full Text PDF

Purpose: This study aims to comprehensively delineate the phenotypic spectrum of ACTL6B-related disorders, previously associated with both autosomal recessive and autosomal dominant neurodevelopmental disorders. Molecularly, the role of the nucleolar protein ACTL6B in contributing to the disease has remained unclear.

Methods: We identified 105 affected individuals, including 39 previously reported cases, and systematically analysed detailed clinical and genetic data for all individuals.

View Article and Find Full Text PDF
Article Synopsis
  • Many kidney transplant patients are classified as having no rejection after biopsy, but some may actually have undetected rejection activities.
  • A study of over 5,000 biopsies found that more than half were marked as no rejection, yet many showed signs of subthreshold T cell-mediated rejection (TCMR) and antibody-mediated rejection (ABMR).
  • Patients with these hidden rejection activities are at increased risk of future graft issues, as higher levels of TCMR and ABMR correlate with worse kidney function and higher chances of rejection in subsequent biopsies.
View Article and Find Full Text PDF