Publications by authors named "Rami A"

Article Synopsis
  • Hepatic peliosis is a rare condition in which blood-filled spaces develop in the liver, often going unnoticed until autopsy; a case of a newborn with abdominal distension led to its discovery.
  • The newborn, just one day old, was found to have hepatomegaly and multiple blood cavities in the liver, confirmed through imaging and biopsy.
  • The only potential risk factor identified was the mother's use of antihistaminic drugs during pregnancy, suggesting a possible but unexplained link to this uncommon condition in neonates.
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Purpose: The nodal burden of patients with residual isolated tumor cells (ITCs) in the sentinel lymph nodes (SLNs) after neoadjuvant chemotherapy (NAC) (ypN0i+) is unknown, and axillary management is not standardized. We investigated rates of additional positive lymph nodes (LNs) at axillary lymph node dissection (ALND) and oncologic outcomes in patients with ypN0i+ treated with and without ALND.

Methods: The Oncoplastic Breast Consortium-05/ICARO cohort study (ClinicalTrials.

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Solitary fibrous tumors (SFTs) are rare neoplasms that can occur in various locations, including the central nervous system (CNS). We present a case report of a 47-year-old male patient with an intracranial SFT who underwent subtotal resection followed by adjuvant radiotherapy. The patient initially presented with chronic left temporal headache and was diagnosed with an intra-axial double-component mass in the left temporoparietal lobe.

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  • The ADAM family consists of important proteins involved in biological functions like cell migration and signaling; this study focuses on proteins from the scorpion Hemiscorpius lepturus.
  • Researchers used bioinformatics tools to characterize five specific proteins (HLDisMet1-5), analyzing their structures and evolutionary relationships.
  • The study found that these proteins share similarities with those from various venomous species, suggesting a convergent evolution where different species develop similar venom components for similar ecological roles.
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Congenital hernia of the diaphragmatic dome is defined as a congenital embryopathy where all or part of the diaphragmatic dome fails to form during embryonic development. The classification is based on the location of the defect in the diaphragm. In this report, we present a case of Morgani hernia in a 52-year-old man whose sole initial symptom was dyspnea, occurring within the context of a SARS-CoV-2 (COVID-19) infection.

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  • The suprachiasmatic nucleus (SCN) in the hypothalamus is the central control hub for circadian rhythms in mammals, producing various neurotransmitters.
  • Researchers confirmed the presence of β-adrenergic receptors in the SCN and examined their effects on energy signaling through cAMP-regulated elements.
  • The study's findings suggest that stress-related increases in adrenaline can impact circadian functions and may help explain side effects of β-blockers used for hypertension.
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  • DEBCT is a new cell therapy that creates skin grafts from patients’ own iPS cells to treat Dystrophic Epidermolysis Bullosa (DEB).
  • This method combines CRISPR gene editing with cell reprogramming for faster production of corrected cells, leading to effective and diverse skin cell types.
  • Early studies show that these grafts are safe and can effectively improve skin conditions in DEB patients within a month of treatment.
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  • CAB + RPV LA is an HIV-1 treatment regimen given every 2 months that was evaluated in the CARISEL study for its effectiveness and patient outcomes after 12 months.
  • The study involved 430 patients who switched from daily oral therapy to this long-acting treatment, and the majority maintained low viral loads, with only a small percentage showing signs of treatment failure.
  • Overall, CAB + RPV LA was found to be safe, well-tolerated, and effective in keeping patients' HIV levels suppressed.
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Sven Ivar Seldinger, a Swedish radiologist, laid the cornerstone of modern interventional radiology in 1953 with the introduction of his innovative technique for catheter insertion. This technique, known as the Seldinger technique, represents a pivotal advancement in medical procedures, offering a safer, less invasive method for vascular access. The elegance and effectiveness of this technique not only refined angiography and other catheter-based interventions but also heralded the birth of interventional radiology as a major therapeutic specialty.

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Pneumorrhachis, a rare clinical entity, refers to the presence of air in the spinal canal. Air can enter the spinal canal through various pathways, including the lungs and mediastinum (the space between the lungs), or directly from external sources due to trauma or infection. In rare cases, pneumorrhachis may result from repeated secondary Valsalva maneuvers, which is a complication of large-area pneumothorax.

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Article Synopsis
  • * Researchers found low levels of cabotegravir in patients after 1 and 3 months, particularly in those who didn't have an oral lead-in before the injection.
  • * Additionally, higher body mass index (BMI) was linked to reduced cabotegravir concentrations, indicating that these factors can affect treatment efficacy.
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Background: Gas extravasation complications arising from perforated diverticulitis are common but manifestations such as pneumoperitoneum, pneumoretroperitoneum, and pneumomediastinum happening at the same time are exceedingly rare. This case report explores the unique presentation of these 3 complications occurring simultaneously, their diagnosis and their management, emphasizing the importance of interdisciplinary collaboration for accurate diagnosis and effective management.

Case Presentation: A 74-year-old North African female, with a medical history including hypertension, dyslipidemia, type 2 diabetes, goiter, prior cholecystectomy, and bilateral total knee replacement, presented with sudden-onset pelvic pain, chronic constipation, and rectal bleeding.

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  • A 45-year-old woman was diagnosed with low-grade endometrial stromal sarcoma (LGESS) after presenting with abnormal bleeding and a cervical mass, highlighting the need for thorough evaluation of uterine masses.
  • The report emphasizes the importance of MRI and pathology, including immunohistochemical analysis, for accurate diagnosis.
  • It stresses the necessity of a multidisciplinary management approach and further research to improve treatment strategies for this rare condition.
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  • Adult intestinal malrotation is a rare condition usually seen in infants but can also occur in adults, primarily causing intermittent abdominal pain and discomfort.
  • Diagnosis can be challenging due to vague symptoms, but imaging techniques like CT scans can reveal key anatomical issues.
  • Once diagnosed, treatment focuses on monitoring or addressing complications such as intestinal obstruction, emphasizing the importance of early detection and awareness among healthcare professionals.
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Thyroid carcinoma is a type of cancer that starts in the cells of the thyroid gland, which plays a crucial role in regulating the body's metabolism. Thyroid cancer can manifest in various forms. We report the case of an 89 year-old patient presenting an incidental intense Fluorine-18-fluorodeoxyglucose (18F-FDG) PET-computed tomography (PET-CT) uptake within a thyroid lesion and the role of 18F-FDG PET-CT guiding the anatomopathological examination.

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Background/aims: As oncology treatments evolve, classic assumptions of toxicity associated with cytotoxic agents may be less relevant, requiring new design strategies for trials intended to inform dosing strategies for agents that may be administered beyond a set number of defined cycles. We describe the overall incidence of dose-limiting toxicities during and after cycle 1, frequency of reporting subsequent cycle toxicities, and the impact of post-cycle 1 dose-limiting toxicities on conclusions drawn from oncology phase 1 clinical trials.

Methods: We conducted a systematic review of subsequent cycle toxicities in oncology phase I clinical trials published in the from 2000 to 2020.

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Primary lymphoma of the adrenal gland is an uncommon origin of adrenal tumors; it must be explicitly invoked anytime bilateral adrenal affections are revealed. We report a case of bilateral primary adrenal diffuse large B cell lymphoma and perform a review of the literature. Our patient was a 55-year-old man who presented night sweats and a feeling of cardiac palpitations all evolving in a context of deterioration of his general condition.

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Background: Excessive sodium (Na) and insufficient potassium (K) intake contribute to a high risk of cardiovascular events. Morocco lacks data on actual Na and K intake in adults. We estimated mean Na and K intake in a Moroccan population of adults residing in the Northwest region using 24-h urinary excretion and examined their association with blood pressure (BP).

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Pituitary stalk interruption syndrome (PSIS) is an uncommon congenital defect of the pituitary gland. It is considered one of the rare endocrinal causes of abnormally short stature. Herein, we present a case of a four-year-old girl who consulted for short stature and delayed growth.

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Background: Gene editing in induced pluripotent stem (iPS) cells has been hailed to enable new cell therapies for various monogenetic diseases including dystrophic epidermolysis bullosa (DEB). However, manufacturing, efficacy and safety roadblocks have limited the development of genetically corrected, autologous iPS cell-based therapies.

Methods: We developed Dystrophic Epidermolysis Bullosa Cell Therapy (DEBCT), a new generation GMP-compatible (cGMP), reproducible, and scalable platform to produce autologous clinical-grade iPS cell-derived organotypic induced skin composite (iSC) grafts to treat incurable wounds of patients lacking type VII collagen (C7).

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Background: Due to its high morbidity and mortality after open-heart surgery, sternal wound infection (SWI) is one of the most important consequences to avoid and manage.

Aim: To assess the incidence, risk factor, causative organisms, and mortality of SWIs in patients who had open-heart surgery over a 9-year period at King Abdulaziz University Hospital, Jeddah, Saudi Arabia.

Methods: A retrospective study was done on 634 patients who underwent open heart surgery.

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Nutcracker syndrome (NCS) belongs to a group of rare vascular disorders. It refers to compression of the left renal vein (LRV) generally between the abdominal aorta (AA) and the superior mesenteric artery (SMA). It is one of the most unknown causes of chronic abdominal pain.

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The involvement of the genital tract of a hydatid cyst is rare and the occurrence in the uterus is an extreme rarity. The diagnosis of this localization is difficult because the clinical and radiological findings are often misleading and the diagnosis is often worn during surgery and after histopathological examination of the surgical specimen. We report the case of a patient who consulted for primary infertility, with a clinical finding as the only anomaly significantly large uterus, and imaging pointing strongly toward an ovarian multilocular cyst, and in which the discovery of hydatid cyst was accidental intraoperative with double localization uterine and omental.

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Ferroptosis is a regulated form of cell death which is considered an oxidative iron-dependent process. The lipid hydroperoxidase glutathione peroxidase 4 prevents the iron (Fe)-dependent formation of toxic lipid reactive oxygen species. While emerging evidence indicates that inhibition of glutathione peroxidase 4 as a hallmark of ferroptosis in many cancer cell lines, the involvement of this biochemical pathway in neuronal death remains largely unclear.

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Article Synopsis
  • * It proposes a model using the water pipeline method to optimize the use of sensor nodes in agricultural water distribution, emphasizing the need for real-time monitoring to prevent issues like leaks.
  • * The paper also explores the application of ZigBee wireless protocols for better power consumption and communication in WSNs, providing a detailed analysis of their role in improving energy efficiency and monitoring water-saving processes in agriculture.
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