Publications by authors named "Osman N"

Background: The health and well-being of refugees are critically compromised by harsh living conditions, which foster the emergence of infectious diseases and the misuse of antimicrobial agents. This multicentre cross-sectional community-based study investigated the prevalence of urine carriage of bacteria and the associated antimicrobial resistance patterns among Syrian refugees living in makeshift camps in Lebanon, an East Mediterranean country.

Methods: We used multivariable logistic regression models to identify the risk factors associated with bacteriuria in this vulnerable population.

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Aims: Clinical high-risk for psychosis (CHR-P) states exhibit diverse clinical presentations, prompting a shift towards broader outcome assessments beyond psychosis manifestation. To elucidate more uniform clinical profiles and their trajectories, we investigated CHR-P profiles in a community sample.

Methods: Participants ( = 829; baseline age: 16-40 years) comprised individuals from a Swiss community sample who were followed up over roughly 3 years.

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Background: Childhood adversities and traumata (CAT) increase the risk for various mental disorders, including the clinical high-risk of psychosis (CHR-P) state and its main comorbidities, i.e., depression, and social phobia.

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Background: In endemic COVID-19, immunocompromised children are vulnerable until vaccinated but the optimal primary vaccination regime and need for booster doses remains uncertain.

Methods: We recruited 19 immunocompromised children (post-solid organ transplantation, have autoimmune disease or were on current or recent chemotherapy for acute lymphoblastic leukemia), and followed them from the start of primary vaccination with BNT162b2 mRNA SARS-CoV-2 until 1-year post-vaccination. We investigated the quality of vaccine immunogenicity, and longevity of hybrid immunity, in comparison to healthy children.

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Background: The neglected tropical disease leishmaniasis has significant adverse effects from current treatments and limited therapeutic options are currently available.

Objective: The aim of this study was to develop a surface-modified nano-liposomal drug delivery system, anchored with chondroitin sulfate (CS), to effectively transport Amphotericin B (AmB) to macrophages.

Methods: Conventional liposome formulations (CL-F) and CS-coated surface-modified liposome formulations (CS-SML-F) were formulated by the thin film hydration method and characterized for particle size, polydispersity index (PDI), zeta potential, and entrapment efficiency with long-term stability.

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  • Intravenous polyvalent immunoglobulins (IVIG) are vital for patients with primary immunodeficiency disorders (PIDs) but access can be limited in lower middle-income countries; the WHO suggests local production using new technologies.
  • A clinical study compared the safety and effectiveness of mini-pool IVIG (MP-IVIG) to standard IVIG (STD-IVIG) in 21 pediatric PID patients, finding that both treatments reduced severe bacterial infections and hospitalizations.
  • Results showed that MP-IVIG did not present safety issues and was as effective as STD-IVIG, although findings should be interpreted cautiously due to the small sample size.
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Background: Cholera outbreak is a significant public health threat in some parts of Sudan. In 2023, there was a large-scale outbreak in Gadarif State.

Aim: To analyse the 2023 cholera outbreak in Sudan and recommend prevention and control measures for the future.

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Background And Purpose: Size-specific dose estimates (SSDE) have been introduced into computed tomography (CT) dosimetry to tailor patients' unique sizes to facilitate accurate CT radiation dose quantification and optimization. The purpose of this study was to develop and validate an automated algorithm for the determination of patient size (effective diameter) and SSDE.

Materials And Methods: A MATLAB platform was used to develop software of algorithms based on image segmentation techniques to automate the calculation of patient size and SSDE.

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All living cells vibrate depending on metabolism. It has been hypothesized that vibrations are unique for a given phenotype and thereby suitable to diagnose cancer type and stage and to pre-assess the effectiveness of pharmaceutical treatments in real time. However, cells exhibit highly variable vibrational signals, can be subject to environmental noise, and may be challenging to differentiate, having so far limited the phenomenon's applicability.

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Aims: To assess the outcomes of robotic surgery for patients with neurogenic lower urinary tract dysfunctions (NLUTD).

Materials And Methods: Studies evaluating the outcomes (efficacy and safety) of robot-assisted ileal conduit creation or artificial urinary sphincter (R-AUS) implantation or augmentation cystoplasty or continent urinary diversion creation in patients with NLUTD were included. The search strategy and studies selection were performed on Medline, Embase and Cochrane using the PICOS method according to the PRISMA statement (PROSPERO 2022 CRD42022333157).

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  • * The study analyzed a total of 174 monomicrobial blood cultures, finding that the majority of targeted Gram-negative and all Gram-positive organisms were successfully identified, demonstrating high sensitivity and specificity for detecting specific resistance mechanisms.
  • * Overall, the QIAstat-Dx kits showed strong correlation in both pathogen identification and predicting β-lactam resistance, marking significant progress in rapid diagnostic methods for blood infections.
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  • Uveitis is a significant cause of visual impairment, often stemming from autoimmune conditions, and can occur in children either as part of other systemic diseases or on its own.
  • The study evaluated 25 pediatric patients with autoimmune uveitis and 21 healthy children using nailfold capillaroscopy to assess systemic microcirculation, focusing on capillary density and morphology.
  • Results indicated that children with autoimmune uveitis had a significantly lower capillary density compared to healthy peers, suggesting potential systemic involvement, even in isolated cases.
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  • E-cigarette use has risen notably among older individuals, raising questions about its impact on preventive health behaviors like prostate specific antigen (PSA) screening among smokers.
  • A study analyzed data from men aged 50-69 to investigate the correlation between e-cigarette use and PSA screening rates, finding that 28.3% had received screening.
  • Results indicated that e-cigarette smokers were significantly less likely to undergo PSA screening compared to both never-smokers and tobacco smokers, potentially due to fewer primary care visits.
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Background: Specialty clinics can be challenging for students on the internal medicine clerkship. They often lack the specialized knowledge necessary to fully engage in the clinic and may be pushed into an observational role, rather than being afforded meaningful opportunities. These peripheral roles undermine self-efficacy, and, therefore, education and interest.

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Introduction: Lycium barbarum L., commonly known as red goji berry, is a widely recognized plant-based medicinal herb with nutritional and therapeutic properties. In this study, the effects of various cytokinins on the germination of L.

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Purpose: Coaching is a well-described means of providing real-time, actionable feedback to learners. We aimed to determine whether dual coaching from faculty physicians and real inpatients led to an improvement in history-taking skills of clerkship medical students.

Patients And Methods: Expert faculty physicians (on Zoom) directly observed 13 clerkship medical students as they obtained a history from 26 real, hospitalized inpatients (in person), after which students received immediate feedback from both the physician and the patient.

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Lung cancer remains a major global health challenge, characterized by aggressive malignancy and poor prognostic outcomes. This review article focuses on the pivotal role of claudins, a family of tight junction proteins, in the pathophysiology of lung cancer. Claudins are integral to maintaining epithelial barrier function and cellular polarity, yet they are intricately involved in the progression and metastasis of lung cancer.

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[Purpose] This study aimed to establish a connection between postural stability and falling in individuals with transfemoral amputation (TFA), particularly with muscle fatigue. [Participants and Methods] Fourteen participants were recruited. Muscle fatigue was induced using a sit-to-stand (STS) fatigue protocol.

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  • - The study examines the antibacterial properties of four types of periodontal bone graft materials: Hydroxyapatite, B TCP, Bioactive glass, and Calcium Phosphate, in relation to their effectiveness in preventing bacterial growth during dental grafting procedures.
  • - Testing involved a standardized bacterial culture assay to measure each material's antibacterial activity, with results showing Hydroxyapatite (Material A) had the highest inhibition of bacterial growth, followed by Bioactive glass (Material C), Calcium Phosphate (Material D), and B TCP (Material B).
  • - The conclusion highlights that Hydroxyapatite's strong antibacterial properties could lead to better clinical outcomes by minimizing the risk of infections after periodontal grafting, suggesting a need for further research to explore these effects
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Background: The gut microbiota plays an important role in primates, which may be associated with their habitat. In Malaysia, pig-tailed macaques (Macaca nemestrina) live in different habitat environments and have traditionally been used for coconut plucking for more than a century. There is currently no information regarding the gut microbiota of this macaque in Malaysia.

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Objectives: As cervical cancer screening programs are implemented and expanded, an increasing number of women require loop electrosurgical excision procedure (LEEP) for treatment of pre-invasive cervical disease. Our objective was to describe the pathological results of LEEP specimens performed as part of the MULHER study and identify factors associated with positive LEEP margins.

Methods: The MULHER study enrolled 9014 women who underwent HPV testing followed by visual assessment for treatment (VAT) using visual inspection with acetic acid (VIA) and thermal ablation for those with positive results.

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Background And Objective: Lower urinary tract symptoms (LUTS) and overactive bladder (OAB) intimately affect the psychological wellbeing and mental health of men. However, to date, the association of aggression with LUTS and OAB has not been investigated. To address this knowledge gap, we evaluated the association of aggression with LUTS and OAB in a large representative cohort of men at the population level.

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The aim of the present study is to investigate the complexity and stability of human ambulation and the implications on robotic prostheses control systems. Fourteen healthy individuals participate in two experiments, the first group run at three different speeds. The second group ascended and descended stairs of a five-level building block at a self-selected speed.

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  • The study examined the inhibitory effects of harmane, naucledine, and dihydrodeglycocadambine on butyrylcholinesterase (BChE), showing over 80% inhibition at 100 µg/mL for isolated fractions from plants.
  • Among the compounds, harmane was found to be the most potent inhibitor with an IC value of 22.08 µM, while naucledine and dihydrodeglycocadambine had slightly higher IC values.
  • Docking studies indicated effective binding of the compounds to BChE, while paralysis assays demonstrated that harmane and naucledine reduced paralysis in a transgenic model, although the effects were modest.
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