114 results on '"Ahmed, Waqar"'
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2. Melatonin's chromatic magic: Examining its role in orchestrating pigment biosynthesis in horticultural crops
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Sabir, Irfan Ali, Manzoor, Muhammad Aamir, Shah, Iftikhar Hussain, Shah, Kamran, Ahmed, Waqar, Hu, Xinglong, Chen, Jiaxuan, Chen, Jiayi, and Qin, Yonghua
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- 2024
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3. ZnO intercalated into graphene oxide based 2-D binary composite for improved thermal properties using as a potential nanofluid
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Ahmed, Waqar, Zhang, Hongtao, Zhou, Xueling, Mehmood, Shahid, Nawaz, Noman, Kazi, S.N., and Zhan, Yiqiang
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- 2023
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4. Preparation, applications, stability and improved thermal characteristics of sonochemically synthesized nanosuspension using varying heat exchangers, a Review
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Ahmed, Waqar, Zhan, Yiqiang, Zhang, Hongtao, Zhou, Xueling, Shahid, Mehmood, Mudasar, Farhan, and Khan, Qudrat Ullah
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- 2023
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5. Recent advances in microbial electrosynthesis system: Metabolic investigation and process optimization
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Al-Mamun, Abdullah, Ahmed, Waqar, Jafary, Tahereh, Nayak, Jagdeep Kumar, Al-Nuaimi, Ali, and Sana, Ahmad
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- 2023
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6. Effect of iron concentration on the structure and thermoelectric performance of copper sulphide nanostructures
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Zubair, Muhammad, Naeem-ur-Rehman, Azeem, Waqar, Afzal, Hassan, Buzdar, Saeed Ahmad, Ahmed, Waqar, Asad, Muhammad, and Mahmood, Ghias
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- 2023
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7. Molecular phenotyping approaches for the detection and monitoring of carbapenem-resistant Enterobacteriaceae by mass spectrometry
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Dixon, Breanna, Ahmed, Waqar M, Felton, Tim, and Fowler, Stephen J
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- 2022
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8. A novel approach to analyze pion femtoscopy for particle emitting sources with Bose–Einstein condensation
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Bary, Ghulam, Ahmed, Waqar, Ahmad, Riaz, Ganie, Abdul Hamid, Alotaibi, Fakhirah, and Khan, Ilyas
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- 2022
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9. Bioinspired Slippery Asymmetric Bumps of Candle Soot Coating for Condensation and Directional Transport of Water
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Jamil, Muhammad Imran, Cai, Yuhang, Ahmed, Waqar, Zhan, Xiaoli, Chen, Fengqiu, Cheng, Dangguo, and Zhang, Qinghua
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- 2022
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10. Effect of palm-sesame biodiesel fuels with alcoholic and nanoparticle additives on tribological characteristics of lubricating oil by four ball tribo-tester
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Mujtaba, M.A., Kalam, M.A., Masjuki, H.H., Soudagar, Manzoore Elahi M., Khan, Haris Mehmood, Fayaz, H., Farooq, M., Gul, M., Ahmed, Waqar, Ahmad, Mushtaq, Munir, Mamoona, Yaqoob, Haseeb, Samuel, Olusegun D., and Razzaq, Luqman
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- 2021
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11. Regio- and stereoselective functionalization of alkenes with emphasis on mechanistic insight and sustainability concerns
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Bary, Ghulam, Jamil, Muhmmad Imran, Arslan, Muhammad, Ghani, Lubna, Ahmed, Waqar, Ahmad, Haseen, Zaman, Gohar, Ayub, Khurshid, Sajid, Muhammad, Ahmad, Riaz, Huang, Duohui, Liu, Futi, and Wang, Yue
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- 2021
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12. A review on recent advances in hierarchically porous metal and metal oxide nanostructures as electrode materials for supercapacitors and non-enzymatic glucose sensors
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Hassan, Israr U., Salim, Hiba, Naikoo, Gowhar A., Awan, Tasbiha, Dar, Riyaz A., Arshad, Fareeha, Tabidi, Mohammed A., Das, Ratnesh, Ahmed, Waqar, Asiri, Abdullah M., and Qurashi, Ahsanulhaq
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- 2021
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13. Liposome mediated-CYP1A1 gene silencing nanomedicine prepared using lipid film-coated proliposomes as a potential treatment strategy of lung cancer
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Zhang, Mengtian, Wang, Qin, Wan, Ka-Wai, Ahmed, Waqar, Phoenix, David A., Zhang, Zhirong, Elrayess, Mohamed A., Elhissi, Abdelbary, and Sun, Xun
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- 2019
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14. Understanding consumers’ behavior intentions towards dealing with the plastic waste: Perspective of a developing country
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Khan, Farhana, Ahmed, Waqar, and Najmi, Arsalan
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- 2019
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15. Sonochemically synthesized structures of manganese oxide (MO): A cathode material for oxygen reduction reaction in fuel cell applications.
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Mehmood, Shahid, Ahmed, Waqar, Katugampalage, Thilina Rajeendre, Ahmed, Usman, Elharrak, Abdechafik, Ait Ousaleh, Hanane, and Faik, Abdessamad
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OXYGEN reduction , *PROTON exchange membrane fuel cells , *MANGANESE oxides , *FUEL cells , *FIELD emission electron microscopy , *CARBON electrodes - Abstract
Tailored nanostructures of manganese oxide (MO) were synthesized using a single-step sonochemical method with various morphology-directing agents. The tailored nanostructures of MO were utilized as the cathode material to catalyze the oxygen reduction reaction (ORR) occurring within fuel cells. The obtained MO with various structures were characterized via X-ray diffraction (XRD) analysis, and morphological characterizations were carried out via field emission scanning electron microscopy (FESEM). Raman studies were done to assess the various modes of Raman for MO nanostructures. All the nanostructures of MO were used to modify the surface of the glassy carbon electrode (GCE) to enhance its efficacy in catalyzing the ORR. Amongst five different nanostructures and the conventionally used Pt/C catalyst, MO@NH 3 OH has shown excellent performance with a higher current density of −0.854 mA/cm2 and a shifted overpotential of −0.44 V. Methanol solution with a higher concentration of 0.5 M was used for the tolerance study and it was observed that MO@NH 3 OH had shown adequate tolerance and remained unsusceptible to methanol passed towards the cathode side. The stability of the nanostructures was assessed over ∼3000 s using chronoamperometry (CA) and it was found that nanostructures exhibited an impressive 97 % retention of current, which is comparable to the Pt/C electrocatalyst. Therefore, the nanostructure of MO with nanowire morphology could be regarded as a promising Pt-free electrocatalyst obtained via a facile one-step process offering remarkable selectivity and stability while maintaining cost-effectiveness. [Display omitted] • The tailored nanostructures of manganese oxide were prepared. • The sonochemical method of synthesis was used as a single-step cost-effective method. • The synthesized material was used as the cathode material for oxygen reduction reaction (ORR). • The application aimed was proton exchange membrane fuel cells (PEMs). [ABSTRACT FROM AUTHOR]
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- 2024
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16. Joint algorithm for burst detection and AGC improvement in high throughput software defined radio waveform
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Zeeshan, Muhammad, Jabir, Syed Ali, and Ahmed, Waqar
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- 2018
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17. Channelled tablets: An innovative approach to accelerating drug release from 3D printed tablets
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Sadia, Muzna, Arafat, Basel, Ahmed, Waqar, Forbes, Robert T., and Alhnan, Mohamed A.
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- 2018
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18. Adaptation of pharmaceutical excipients to FDM 3D printing for the fabrication of patient-tailored immediate release tablets
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Sadia, Muzna, Sośnicka, Agata, Arafat, Basel, Isreb, Abdullah, Ahmed, Waqar, Kelarakis, Antonios, and Alhnan, Mohamed A
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- 2016
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19. Novel paclitaxel formulations solubilized by parenteral nutrition nanoemulsions for application against glioma cell lines
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Najlah, Mohammad, Kadam, Alisha, Wan, Ka-Wai, Ahmed, Waqar, Taylor, Kevin M.G., and Elhissi, Abdelbary M.A
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- 2016
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20. A simple approach to predict the stability of phospholipid vesicles to nebulization without performing aerosolization studies
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Subramanian, Sneha, Khan, Iftikhar, Korale, Oshadie, Alhnan, Mohamed Albed, Ahmed, Waqar, Najlah, Mohammad, Taylor, Kevin M.G., and Elhissi, Abdelbary
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- 2016
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21. Proliposome powders prepared using a slurry method for the generation of beclometasone dipropionate liposomes
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Khan, Iftikhar, Yousaf, Sakib, Subramanian, Sneha, Korale, Oshadie, Alhnan, Mohamed Albed, Ahmed, Waqar, Taylor, Kevin M.G., and Elhissi, Abdelbary
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- 2015
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22. Characteristic of silicon doped diamond like carbon thin films on surface properties and human serum albumin adsorption
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Ahmed, Mukhtar H., Byrne, John A., and Ahmed, Waqar
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- 2015
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23. The effects of suspension particle size on the performance of air-jet, ultrasonic and vibrating-mesh nebulisers
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Najlah, Mohammad, Parveen, Ishrat, Alhnan, Mohamed Albed, Ahmed, Waqar, Faheem, Ahmed, Phoenix, David A., Taylor, Kevin M.G., and Elhissi, Abdelbary
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- 2014
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24. A study of the effects of sodium halides on the performance of air-jet and vibrating-mesh nebulizers
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Najlah, Mohammad, Vali, Asma, Taylor, Michael, Arafat, Basel T., Ahmed, Waqar, Phoenix, David A., Taylor, Kevin M.G., and Elhissi, Abdelbary
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- 2013
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25. Comparison between FTIR and XPS characterization of amino acid glycine adsorption onto diamond-like carbon (DLC) and silicon doped DLC
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Ahmed, Mukhtar H., Byrne, John A., McLaughlin, J.A.D., Elhissi, Abdelbary, and Ahmed, Waqar
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- 2013
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26. Chapter 20 - Clinical phenotyping
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Ahmed, Waqar, Brinkman, Paul, and Fowler, Stephen
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- 2020
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27. Ralstonia solanacearum differentially modulates soil physicochemical properties and rhizospheric bacteriome of resistant and susceptible tobacco cultivars.
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Ahmed, Waqar, Dai, Zhenlin, Zhang, Jinhao, Shakeel, Qaiser, Kamaruzzaman, Md, Nosheen, Shaista, Mohany, Mohamed, Ahmed, Ayesha, Cai, Shujing, Wang, Yan, Gao, Yongfeng, Ahmad, Munir, Munir, Shahzad, and Wang, Xinrong
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RALSTONIA solanacearum , *CULTIVARS , *TOBACCO , *POTASSIUM , *BACTERIAL wilt diseases , *DRUG resistance in bacteria , *SOILS , *PRODUCTION losses - Abstract
Ralstonia solanacearum is a devastating soilborne pathogen which poses significant yield and economic losses to tobacco production globally. The impact of R. solanacearum on rhizosphere bacteriome and soil physicochemical characteristics in resistant and susceptible tobacco cultivars is poorly understood. This study aims to determine the effect of R. solanacearum on soil physicochemical parameters and rhizosphere bacteriome of resistant (K326) and susceptible (Hongda) tobacco cultivars at various growth stages. Results demonstrated that the contents of available potassium and phosphorus, as well as soil pH were significantly increased in K326 soils (CK and T2) compared with Hongda (T1) after 21, 42, and 63 days post-inoculation (dpi) of R. solanacearum except for available nitrogen which showed an opposite trend. The qPCR results showed a significant decrease in R. solanacearum population in rhizosphere of K326 (T2) compared to the Hongda (T1) at 21 and 63 dpi than that after 42 dpi. The rhizosphere bacteriome analysis through 16S rRNA amplicon sequencing revealed that rhizosphere bacterial community composition was significantly different between two tobacco cultivars (Hongda and K326) and this effect was more prominent after 63 dpi (93 days after post-transplantation), suggesting that each cultivar recruits a unique set of bacterial communities. There was no obvious difference observed in the rhizosphere bacteriome of CK (K326) and T2 (K326), which might be attributed to the same genetic makeup and inherent resistance of K326 to bacterial wilt infection. Analysis of co-occurrence networks revealed that the microbial network in T1 (Hongda) was more complex than those in T2 (K326) and CK (K326), while the networks in CK and T2 were almost identical. The present research highlights the time-course relationship between environmental factors and rhizosphere bacteriome of tobacco cultivars showing different levels of resistance against R. solanacearum. Conclusively, studying the plant-soil-microbe interaction system in susceptible and resistant tobacco cultivars may enable us to develop effective integrated disease control plans for the healthy production of tobacco crops. [ABSTRACT FROM AUTHOR]
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- 2024
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28. High cardiovascular risk in young Saudi males: Cardiovascular risk factors, diet and inflammatory markers
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Alissa, Eman M., Bahjri, Suhad M., Al-ama, Nabeel, Ahmed, Waqar H., and Ferns, Gordon A.A.
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- 2006
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29. Multivariate phase space reconstruction and Riemannian manifold for sleep stage classification.
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Zhou, Xueling, Wing-Kuen Ling, Bingo, Ahmed, Waqar, Zhou, Yang, Lin, Yuxin, and Zhang, Hongtao
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SLEEP stages ,RIEMANNIAN manifolds ,COVARIANCE matrices ,SLEEP deprivation ,DREAMS ,PHASE space - Abstract
• A novel covariance feature matrix architecture using multivariate phase space reconstruction (MPSR) is presented, which captured the geometric properties and the hidden dynamic characteristic of multiple physiological signals. • A novel classification strategy based on Riemannian manifold is employed to further perform the sleep state classification. • Compared to the traditional covariance method using sample covariance matrix (SCM), covariance feature matrix method using MPSR can successfully capture the differences in the spatial information of various sleep states. Sleep was highly imperative in human daily life. However, an increasing number of people were undergoing sleep deprivation and sleep disorders. Sleep stage classification became a highly essential process in sleep scoring. Nevertheless, the visual scoring of arousals during sleep routinely performed by sleep specialists was a challenging exercise. This paper introduced a novel approach for sleep stage classification using covariance feature matrix architecture with multivariate phase space reconstruction (MPSR). The goal was to capture the geometric properties and the hidden dynamic characteristics of multiple physiological signals. The covariance matrices constructed through the MPSR approach were considered as symmetric and positive definite (SPD) matrices, forming a Riemannian manifold space. These SPD matrices in the Riemannian manifold were mapped to the matrices in the tangent space, allowing them to be vectorized and treated as feature vectors in Euclidean space. Finally, an ensemble learning classifier was applied to perform various sleep stage tasks. Our proposed method was evaluated on three benchmark datasets to assess its effectiveness and robustness. For the tasks of both Five class and Six class sleep stages, the proposed approach in ten-fold cross validation achieved high accuracy of 93.57% and 92.56% for the Sleep EDF dataset, 86.36% and 84.18% for the DREAMS Subjects dataset, as well as 88.93% and 88.42% for the Sleep EDF Expanded dataset (95 subjects), respectively. In leave-one-subject-out cross validation, our proposed approach for the tasks of both Five class and Six class sleep stages yielded an accuracy of 84.46% and 80.73% for the Sleep EDF dataset, 82.50% and 79.51% for the DREAMS Subjects dataset, as well as 93.25% and 92.06% for the Sleep EDF Expanded-20 dataset (20 subjects), respectively. Compared to the traditional sample covariance matrix (SCM), the covariance feature matrix using the MPSR method successfully captured the distinction of spatial information among various sleep stages. Moreover, our proposed method obtained good performance without requiring computationally large artifact suppression or a long signal decomposition process. [ABSTRACT FROM AUTHOR]
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- 2024
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30. Management of Acute Coronary Syndrome During the MERS-CoV Outbreak - Single-Center Experience.
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Alasnag, Mirvat, Ahmed, Waqar, Bokhari, Fayez, and Al-Shaibi, Khaled
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ACUTE coronary syndrome , *MEDICAL personnel , *CORONARY artery bypass , *MERS coronavirus , *CARDIAC intensive care , *COVID-19 , *CORONARY care units , *TREATMENT of acute coronary syndrome , *SPECIALTY hospitals , *PREVENTION of communicable diseases , *CORONAVIRUS diseases , *MEDICAL care , *RETROSPECTIVE studies , *CARDIOVASCULAR system , *EPIDEMICS , *HOSPITAL care , *DISEASE complications - Abstract
Background: During the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) outbreak of 2014, tertiary care cardiac centers shouldered the responsibility of caring for patients presenting with Acute Coronary Syndromes (ACS). This entailed designing algorithms that ensured timely management of patients with ACS in the setting of an emerging novel viral infection that was rapidly spreading within the community with a high infectivity and case fatality rate. The objective of this study is to describe a single center experience and the adopted pathway for the management of ACS.Methods: This is a single center retrospective observational study of all patients who were admitted between March 1, 2014 and May 31, 2014 with an ACS. Total ACS admissions, bed turnover, procedures and healthcare personnels' infection rates were obtained from the annual statistics database and employee health records. All baseline characteristics, therapy received, outcomes and MERS-CoV status were obtained from the chart review.Results: A total of 148 patients with a diagnosis of ACS were admitted during that period of time. Of those, 59 had STEMI, 42 had NSTEMI and 47 had unstable angina. PCI was performed in 74, coronary artery bypass grafting (CABG) in 28 and conservative therapy was prescribed for 46 patients. The bed turnover was no higher than the previous or subsequent two months suggesting no change in practice. The infection rate of MERS-CoV was zero for healthcare workers.Conclusions: In times of a national health crisis it is imperative that best practices are upheld to sustain existing resources, reduce bed occupancy and preserve medical personnel. A key component of such a strategy depends on assigning centers dedicated to isolating and treating the highly infectious disease outbreak while allowing other centers to provide expeditious cardiac care. [ABSTRACT FROM AUTHOR]- Published
- 2021
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31. Relation between clinical presentation and angiographic findings in unstable angina pectoris, and comparison with that in stable angina
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Ahmed, Waqar H., Bittl, John A., and Braunwald, Eugene
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Unstable angina -- Diagnosis ,Angina pectoris -- Physiological aspects ,Coronary heart disease -- Prognosis ,Health - Abstract
The diagnosis of unstable angina encompasses a broad spectrum of patients with myocardial ischemia, varying widely in cause, prognosis and responsiveness to therapy. A new clinical classification of unstable angina is based on the following 2 components: severity, and the clinical setting in which unstable angina develops. The hypothesis that this clinical classification correlates with the underlying coronary artery anatomy was tested. In 238 consecutive patients, an unstable angina score ranging from 2 to 6 was determined by adding the scores for severity (1 = unstable angina without pain at rest; 2 = pain at rest >48 hours before angiography; and 3 = pain at rest [less than or equal to]48 hours before angiographic evaluation) and the clinical setting of unstable angina (1 = unstable angina secondary to a noncardiac condition; 2 = primary unstable angina; and 3 = early postinfarction unstable angina). Fifty concurrently studied consecutive patients with stable angina were assigned a score of 0. Patients with unstable angina averaged 63 [+ or -] 11 years of age, and 165 were men (69%). Pain at rest occurred in 202 of 238 patients (85%), and angiography was performed [less than or equal to]48 hours in 139 of these patients (69%). Among patients with unstable angina, S (2%) had secondary unstable angina, 143 (60%) had primary unstable angina, and 90 (38%) had postinfarction unstable angina. Multivariable regression analysis identified the unstable angina score as the most important predictor of intracoronary thrombus (p = 0.011) and lesion complexity (p = 0.004) in the ischemia-related artery. The new clinical classification of unstable angina correlates with the underlying angiographic anatomy, and may thus aid in decisions regarding diagnostic procedures and provide a useful basis for comparing the response to therapy among patients with unstable angina. (Am J Cardiol 1993;72:544-550) The diagnosis of unstable angina is applied to several different conditions, each producing severe myocardial ischemia but manifesting a broad spectrum of severity, clinical presentations, angiographic findings and prognoses. The severity ranges from the abrupt intensification of chronic stable angina, or the onset of severe or frequent exercise-induced angina without pain at rest, to frequent episodes of angina at rest. Angiographic findings in unstable angina vary from an absence of serious coronary arterial obstruction[1-4] to high-grade stenoses sometimes containing nonocclusive thrombi.[2,3,1-8] The results of treatment of unstable angina range from complete resolution to refractory ischemia, myocardial infarction or death.[9-12] To help the clinician in dealing with this complex syndrome, a clinical classification was developed that considers both the severity of the condition (specifically, the occurrence and timing of pain at rest) and the clinical circumstances in which the unstable angina occurs.[13] This classification is being used increasingly in clinical studies.[14-17] The present study tests the hypothesis that this classification correlates with the underlying coronary artery morphology. A secondary aim was to describe the differences in coronary artery morphology between stable and unstable angina. METHODS Unstable angina: From January 1 to July 31, 1990, 1,169 patients underwent diagnostic coronary arteriography at the Brigham and Women's Hospital. Of these patients, 277 (24%) had unstable angina. Thirty-nine of these patients were excluded from this analysis for the following reasons: 11 had angiograms that were not available or suitable for analysis, 8 had prior coronary artery bypass surgery, 4 had charts pertaining to the hospital admission for unstable angina that were not available, and 16 could not be accurately classified from the available hospital records. Complete hospital records and suitable coronary arteriograms were available for 238 of 277 patients (86%). In this classification, the severity of unstable angina is expressed as follows: class 1, no pain at rest; class II, pain at rest with last episode >48 hours; and class III, pain at rest with last episode [less than or equal to]48 hours. The clinical circumstances in which unstable angina develops is expressed as follows: type A, unstable angina secondary to a noncoronary condition such as anemia (secondary unstable angina); type B, primary unstable angina; and type C, early ( Stable angina: Fifty consecutive patients with chronic stable angina who underwent cardiac catheterization during the same time period were also studied. These patients were identified as having had no change in their anginal pattern for [greater than or equal to]3 months before catheterization and by not fulfilling the clinical definition of unstable angina, as defined previously.[13] Most of these patients were referred for angiography because of severe but stable symptoms or a markedly abnormal exercise treadmill test, or were considered for coronary revascularization, or a combination. Coronary angiography: Cardiac catheterization was performed from the brachial or femoral approach using standard catheters and techniques. Coronary arteriograms were reviewed by an experienced angiographer unaware of the patients' clinical classifications. Qualitative and quantitative analyses were performed in the ischemia-related artery. In patients with 1-vessel disease, the diseased artery was considered the ischemia-related vessel, whereas in those with multivessel disease, a correlation between electrocardiographic changes during angina and coronary anatomy was used to identify the ischemia-related artery.[18] If there were no electrocardiographic changes, the vessel with thrombus was identified as the ischemia-related vessel. If no thrombus was apparent, the ischemia-related artery was determined to be the one containing the most complex stenosis (see later). Quantitative measurements of minimal lesion diameter and percent diameter stenosis were obtained using electronic calipers (Mitutoyo, Tokyo) in magnified, end-diastolic frames. Repeated measurements with the caliper system showed no evidence of bias related to vessel size; intraobserver estimation of stenosis severity (n = 20) showed a coefficient of variation of 10%.[19] Coronary artery flow was classified according to the Thrombolysis in Myocardial Infarction (TIMI) criteria.[20] The extent of collateral formation was scored according to Rentrop as follows: grade 3, brisk flow that fills the target artery completely; 2, partial filling of the target artery; and 1, barely detectable filling of collateral channels without apparent spillover of contrast into the target artery.[21] Coronary morphology: The complexity of coronary lesions was scored according to a classification modified from that described by Ambrose et al[22]: (1) A simple stenosis was classified as any luminal narrowing with 50% reduction in vessel diameter, causing a symmetric or asymmetric stenosis with smooth or slightly irregular borders (1 point). (2) A complex stenosis was defined as an asymmetric luminal narrowing of 50% reduction in diameter with overhanging edges or irregular borders, including lesion ulceration or severe diffuse irregularities (2 points). (3) Intracoronary thrombus was detected angiographically by an intracoronary filling defect, usually globular in shape, surrounded by contrast on [greater than or equal to]3 sides, proximal or distal to a stenosis with or without contrast staining (3 points). (4) Total occlusion (4 points). Statistical analysis: The unstable angina score was based on the clinical classification previously presented,[13] and was calculated from the added scores for severity (unstable angina without pain at rest [class I] = 1; pain at rest >48 hours before angiography [class II] = 2; and pain at rest within 48 hours [class III] = 3) and clinical circumstances (unstable angina secondary to a medical condition such as anemia [type A] = 1; primary unstable angina [type B] = 2; and unstable angina within 2 weeks of myocardial infarction [type C] = 3). The score for patients with stable angina was by definition 0, whereas that for those with unstable angina ranged from 2 to 6 (Table I). [TABULAR DATA I OMITTED] Baseline comparisons among the groups of patients were obtained with 1-way analysis of variance for continuous variables and with chi-square analysis for categoric variables.[23] Separate analyses were performed to determine whether the unstable angina score was predictive of intracoronary thrombus and lesion complexity. Logistic regression analysis was used to determine the correlation between the unstable angina score, age, sex, ST-segment change, diabetes, systemic hypertension, tobacco use or hypercholesterolemia and the presence of intracoronary thrombus. Variables associated with a p value RESULTS Clinical characteristics: Fifteen percent of patients had new onset of severe angina or accelerated angina without pain at rest (i.e., class I in the clinical classification).[13] Pain at rest was reported by 202 of 238 patients (85%) with unstable angina. More than 48 hours had elapsed between the most recent episode of pain at rest and coronary arteriography in 63 patients (class II, 26%) and Of 238 patients with unstable angina, only 5 (2%) had secondary unstable angina (type A). In these 5 patients, chronic stable angina had been intensified by anemia (n = 2), fever (n = 1), new-onset atrial fibrillation with a rapid ventricular response (n = 1), and acute anaphylactic reaction (n = 1). One hundred forty-three patients (60%) had primary unstable angina (type B), and 90 (38%) had early postmyocardial infarction unstable angina (type C). The average age of patients with unstable angina was 63 years; 69% were men. There were no significant differences among the 3 unstable angina classes and types with respect to coronary risk factors such as diabetes, hypertension, tobacco use and hypercholesterolemia (Table II). [TABULAR DATA II OMITTED] Of 238 patients with unstable angina, the ischemia-related artery was the left anterior descending coronary artery in 40%, the right in 36%, the circumflex in 17%, and the left main in 3%. This distribution did not differ in patients with stable versus unstable angina, nor was it affected by the class or type of unstable angina, or the unstable angina score (Table III). [TABULAR DATA III OMITTED] Angiographic morphology: Patients with unstable angina had a higher incidence of thrombus (p = 0.01) and complex lesions (p = 0.004) than did those with chronic stable angina. Minimal lesion diameter and percent stenosis showed no differences among patients with the 3 classes and types of unstable angina (Table III). The incidence of intracoronary thrombus varied widely (Figure 1), ranging from 0% in patients with secondary unstable angina (type A) to 20% in those with postinfarction unstable angina (type C). The incidence of intracoronary thrombus was 17% in patients with unstable angina without pain at rest (class I), 13% in those with pain at rest >48 hours before angiographic evaluation (class 11), and 17% in those with pain at rest A lesion with complex morphology, with either evidence of ulceration or an abrupt face to an eccentric lesion,[22] was observed in 12% of patients with stable angina, and in a higher proportion (32%) of all those with unstable angina (p = 0.004) (Table III). With use of the composite score for lesion complexity (Figure 2), we observed that patients with unstable angina had a higher lesion complexity score than did those with stable angina (average 2.1 [+ or -] 1.3 vs 1.8 [+ or -] 1.3; p = 0.011). The probability of discovering thrombus-containing plaques, complex stenoses or total occlusions was high (61 %) for patients with unstable angina scores >3. Left ventricular ejection fraction: Ejection fraction was measured by left ventriculography at the time of cardiac catheterization in 30 of 50 patients with stable angina and in 150 of 238 with unstable angina (Table III). The mean ejection fraction tended to be higher in patients with stable than with unstable angina (68 [+ or -] 11% vs 64 [+ or -] 16%; p = 0.097). The mean ejection fraction did not differ significantly among patients in the 3 classes of unstable angina; however, it was higher in those with unstable angina without recent infarction (type B, 66 [+ or -] 14%) than in those with postinfarction angina (type C, 59 [+ or -] 16%; p = 0.003). Logistic regression analysis for intracoronary thrombus: The unstable angina score was found to be a powerful predictor of intracoronary thrombus by both univariable and multivariable analysis (Figure 3). For each incremental increase in score, the odds of intracoronary thrombus increased by 1.37 (95% confidence interval 1.08, 1.75; p = 0.006). Patients with pain at rest (classes II and III) were more likely to have intracoronary thrombus than were those with no pain at rest (class 1, OR 1.49 [1.04, 2.13]; p = 0.031 by univariable analysis). Increasing age showed an increased odds of intracoronary thrombus (OR 1.05 [1.01, 1.09] per additional year; p = 0.019), but other risk factors were not significantly associated with an increased incidence of intracoronary thrombus by logistic regression analysis. Linear regression analysis for lesion complexity: Multiple linear regression analysis was performed to identify predictors of lesion complexity. The model included continuous variables such as age, percent stenosis, minimal lumen diameter and lesion length, as well as discrete quantitative variables such as TIMI flow grade, extent of collateral formation, and unstable angina score (Table IV). Angiographic variables including minimal lumen diameter and TIMI flow measurements were inversely related to lesion complexity (p DISCUSSION The diagnosis of unstable angina is made in a heterogeneous group of patients with widely varying severities, clinical presentations and angiographic findings. It was the principal objective of this study to determine whether the severity and clinical presentation, as reflected in a recently developed classification[13] and a score derived therefrom, could be used to predict angiographic findings. Most patients referred to our cardiac catheterization laboratory with unstable angina had pain at rest. In particular, patients with pain at rest in the 48 hours before angiography (class III) predominated over those with new onset of severe or accelerated angina on effort without pain at rest (class I), with an intermediate number with pain at rest, but no episode within 48 hours. In regard to presentation, most patients had experienced severe myocardial ischemia in the absence of a noncardiac precipitating event such as fever or anemia (i.e., they had primary unstable angina [type B] or developed unstable angina within 2 weeks of the onset of acute myocardial infarction [type C]). The relatively small proportion of patients with unstable angina precipitated by a noncardiac condition (2%) (i.e., with secondary unstable angina [type A]) should not be interpreted to reflect the infrequency of this type of unstable angina; it probably reflects referral patterns to the cardiac catheterization laboratory. To assess the complexity of the angiographic lesions, we used a modification of the classification by Ambrose et al[22] in which simple stenosis, complex morphology without and with thrombus, and total occlusion are considered as progressively more complex in the spectrum of severity of atherosclerotic plaques. This classification enables standardization and comparison with other studies. However, 1 potential limitation of the present study was the use of angiography to determine the presence of intracoronary thrombus. Although angiographic assessment of thrombus is less sensitive than is angioscopic assessment,[2] the 2 techniques have not been compared in a broad range of patients with unstable angina, such as those in this study. Angioscopic observations in unstable angina have focused on a highly selected group of patients, such as those referred for bypass surgery,[7] and have excluded [greater than or equal to]20% of patients, because of technical difficulties.[8] The reported incidence of intracoronary thrombus varied widely in previous angiographic studies of unstable angina. This variability may be secondary to differences in: (1) the selection of patients, (2) the timing of angiography in regard to the occurrence of pain at rest,[26] and (3) the angiographic criteria for thrombus. In most patients in the present study, angiography was performed within 48 hours of the most recent episode of pain at rest, and a relation between acuity and the incidence of intracoronary thrombus was observed. Various angiographic definitions have been proposed for intracoronary thrombus.[5,22] We used the presence of filling defects that are surrounded by contrast medium on [greater than or equal to]3 sides in nonoccluded vessels. With the use of this rigorous definition, we observed that the probability of intracoronary thrombus ranged from 0 to 22%, depending on the unstable angina score. Previous studies that reported a higher incidence of intracoronary thrombi included some totally occluded vessels as containing thrombi,[2,5,6] whereas others have excluded totally occluded vessels.[4] We included totally occluded vessels in the assessment of lesion complexity, but did not consider such vessels to be thrombus-containing, thereby probably underestimating the incidence of the latter. In this series, the combination of intracoronary thrombus in nonoccluded vessels and total occlusion was found to occur in 32 and 44% of primary (type B) and postinfarction (type C) unstable angina, respectively. These percentages are in good agreement with the range of values reported in recent angiographic studies.[2,3,5,6] We observed that in comparison with a reference group of patients with chronic stable angina, those with unstable angina had a higher frequency of complex lesions and angiographically apparent thrombus. However, the principal finding of this study is that among patients with unstable angina, there was a significant correlation between the clinical findings, as reflected in the clinical classification (and the unstable angina score derived therefrom), and the angiographic findings. Patients with unstable angina considered as a group were more likely than those with chronic, stable angina to have complex, thrombus-associated lesions. The model accounts for only 31% of variability in the lesion complexity, and this suggests that other mechanisms, such as the severity of the underlying stenosis, and the progressive impairment endothelial vasoactive function that occurs with atherosclerosis, may also have a role.[27,28] The probability of discovering thrombus-containing plaques, complex stenoses or total occlusions was low in patients with stable angina or in those with unstable angina whose scores were 2 or 3. Since complications of unstable angina, such as progression to myocardial infarction, and the need for urgent revascularization because of ischemia refractory to medical therapy, are related to the underlying angiographic anatomy,[2] it can be deduced that patients with scores [less than or equal to]3 are less likely to have a complication of unstable angina than are those with higher scores. It would be desirable to evaluate this finding in a prospective study based on a broad cross section of patients with unstable angina rather than limit it to a group referred to a cardiac catheterization laboratory, such as that in the present study. The finding of reduced ejection fractions in patients with higher unstable angina scores is probably due to prior myocardial infarction, and this finding has potentially important prognostic information additive to underlying coronary morphology. Acknowledgment: We are grateful to Elliott Antman, MD, John D. Rutherford, MD, and Thomas J. Ryan, Jr., MD, for critical review of the manuscript. [1.] Bosch X, Theroux P, Waters D, Pelletier GB, Roy D. Early postinfarction ischemia: clinical, angiographic, and prognostic significance. Circulation 1987;75: 988-995. [2.] Williams AE, Freeman MR, Chisholm RJ, Patt NL, Armstrong PW. Angiographic morphology in unstable angina pectoris. Am J Cardiol 1988;62:1024-1027. [3.] Freeman MR, Williams AE, Chisholm RJ, Armstrong PW. Intracoronary thrombus and complex morphology in unstable angina. Relation of timing of angiography arid in-hospital cardiac events. Circulation 1989;80:17-23. [4.] Bugiardini R, Pozzati A, Borghi A, Morgagni GL, Ottani F, Muzi A, Puddu P. Angiographic morphology in unstable angina and its relation to transient myocardial ischemia and hospital outcome. Am J Cardiol 1901;67: [5.] Gotoh K, Mihamino T, Katoh O, Hamano Y, Fukui S, Hori M, Kusuoka H, Mishima M, Inoue M, Kamada T. The role of intracoronary thrombus in unstable angina: angiographic assessment and thrombolytic therapy during ongoing anginal attacks. Circulation 1988;77:526-534. [6.] Rehr R, DiSciascio G, Vetrovec F, Cowley M. Angiographic morphology of coronary artery stenoses in prolonged rest angina: evidence of intracoronary thrombus. J Am Coll Cardiol 1989; 14:1429-1437. [7.] Sherman CT, Litvack F, Grundfest W, Lee M, Hickey A, Chaux A, Kass R, Blanche C, Matloff J, Morgenstern L, Ganz W, Swan HJC, Forrester J. Coronary angioscopy in patients with unstable angina pectoris. N Engl J Med 1986;315: 913-919. [8.] Mizuno K, Satomura K, Miyamoto A, Arakawa K, Shibuya T, Arai T, Kurita A, Nakamura H, Ambrose JA. Angioscopic evaluation of coronary-artery thrombi in acute coronary syndromes. N Engl J Med 1992;326:287-291. [9.] Gold HK, Johns JA, Leinbach RC, Yasuda T, Grossbard E, Zusman R, Collen D. A randomized, blinded, placebo-controlled trial of recombinant tissue-type plasminogen activator in patients with unstable angina pectoris. Circulation 1987;75: 1192-1199. [10.] de Zwaan C, Bar FW, Janssen JHA, de Swart HB, Vermeer F, Wellens HJJ. Effects of thrombolytic therapy on unstable angina: clinical and angiographic results. J Am Coll Cardiol 1988; 12:301-309. [11.] Topol EJ, Nicklas JM, Kander NH, Walton JA, Ellis SG, Gorman L, Pitt B. Coronary revascularization after intravenous tissue plasminogen activator for unstable angina pectoris: results of a randomized, double-blind, placebo-controlled trial. Am J Cardiol 1988;62:368-371. [12.] Theroux P, Ouimet H, McCans J, Latour JG, Joly P, Levy G, Pelletier E, Juneau M, Stasiak J, deGuise P, Pelletier G, Rinzler D, Waters D. Aspirin, heparin, or both to treat acute unstable angina. N Engl J Med 1988;319:1105-1111. [13.] Braunwald E. Unstable angina. A classification. Circulation 1989;80:410,AI4. [14.] Seggeweiss H, Fassbender D, Gleichmann U, Mannebach H, Vogt J, Minami K. Perkutane transluminale Koronarangioplastie (PTCA) bei instabiler Angina pectoris: Ergebnisse und Komplikationen unter Beruecksichtigung einer neuen Klassifikation. Z Kardiol 1991;80:423-430. [15.] de Feyter P, Serruys P, Brand M, Hugenholtz P. Percutaneous transluminal angioplasty for unstable angina. Am J Cardiol 1991;68:125B-135B. [16.] Renkin J, Wijns W, Ladha Z, Col J. Reversal of segmental hypokinesis by coronary angioplasty in patients with unstable angina, persistent T wave inversion, and left anterior descending artery stenosis. Additional evidence for myocardial stunning in humans. Circulation 1990;82:913-921. [17.] Hamm CW, Ravkilde J, Gerhardt W, Jorgensen P, Peheim E, Ljungdahl L, Goldmann B, Katus HA. The prognostic value of serum troponin T in unstable angina. N Engl J Med 1992;327:146-150. [18.] Fuchs RM, Achuff SC, Grunwald L, Yin FC, Griffith LS. Electrocardiographic localization of coronary artery narrowings: studies during myocardial ischemia and infarction in patients with one-vessel disease. Circulation 1982;66:1168-1176. [19.] Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1:307-310. [20.] TIMI Study Group. The Thrombolysis in Myocardial Infarction (TIMI) trial. Phase I findings. TIMI Study Group. N Engl J Med 1985;312:932-936. [21.] Rentrop KP, Cohen M, Blanke H, Phillips RA. Changes in collateral channel filling immediately after controlled coronary artery occlusion by an angioplasty balloon in human subjects. Circulation 1989;80:1166-1175. [22.] Ambrose JA, Winters SL, Stern A, Eng A, Teichholz LE, Gorlin R, Fuster V. Angiographic morphology and the pathogenesis of unstable angina pectoris. J Am Coll Cardiol 1985;5:609-616. [23.] Zar JH. Analysis of Variance. In: Zar JH, ed. Biostatistical Analysis. Englewood Cliffs, NJ: Prentice-Hall, 1984:162-252. [24.] Glantz SA, Slinker BK. Regression with a qualitative dependent variable. In: Glantz SA, Slinker BK, eds. Primer of Applied Regression and Analysis of Variance. New York: McGraw-Hill, 1990:512-568. [25.] Zar JH. Multiple regression and correlation. In: Zar JH, ed. Biostatistical Analysis. Englewood Cliffs, NJ: Prentice-Hall, 1984:328-360. [26.] Capone G, Wolf NM, Meyer B, Meister SG. Frequency of intracoronary filling defects by angiography in angina pectoris at rest. Am J Cardiol 1985;56:403-406. [27.] Lassila R, Badimon JJ, Vallabhajosula S, Badimon L. Dynamic monitoring of platelet deposition on severely damaged vessel wall in flowing blood: effects of different stenosis on thrombus growth. Atherosclerosis 1990;10:306-315. [28.] Zeiher AM, Drexler H, Wollschlager H, Just H. Modulation of coronary vasomotor tone in humans: progressive endothelial dysfunction with different early stages of coronary atherosclerosis. Circulation 1991;83:391-401. From the Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts. Manuscript received November 30, 1992; revised manuscript received and accepted May 10, 1993. Address for reprints: John A. Bittl, MD, Brigham and Woman's Hospital, Boston, Massachusetts 02115.
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- 1993
32. A comparison study of diamond adhesion on ductile metals
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Ali, Nasar, Hua Fan, Qi, Grácio, J, Pereira, E, and Ahmed, Waqar
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- 2000
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33. Contributors
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Abegg, Sebastian, Ahmed, Waqar, Alkhalifah, Yaser, Apolonski, Alexander, Bean, Heather D., Beauchamp, Jonathan D., Beck, Olof, Berna, Amalia Z., Bikov, Andras, Borras, Eva, Brinkman, Paul, Brodrick, Emma, Corradi, Massimo, Cristescu, Simona M., Cumeras, Raquel, Davis, Cristina E., Davis, Michael D., de Lacy Costello, Ben, Di Natale, Corrado, Dragonieri, Silvano, Dweik, Raed, Egeghy, Peter P., Eiceman, Gary A., Focant, Jean-François, Fowler, Stephen, Frank, Matthias, Geer Wallace, M. Ariel, Ghorbani, Ramin, Gierschner, Peter, Giese, Roger, Gould, Oliver, Güntner, Andreas T., Hackner, Klaus, Haick, Hossam, Hamm, Peter, Hanna, George B., Herbig, Jens, Hill, Jane E., Högman, Marieann, Hohlfeld, Jens M., Holz, Olaf, Jones, Alan W., King, Julian, Köhler, Heike U., Küntzel, Anne, Lan, Jiayi, Lazar, Zsofia, Lehtimäki, Lauri, Madden, Michael C., Malinovschi, Andrei, Marco, Santiago, Mayhew, Christopher A., McCartney, Mitchell M., McCord, James P., Metsälä, Markus, Michils, Alain, Miekisch, Wolfram, Miller, Justin J., Mochalski, Paweł, Modak, Anil S., Nakhleh, Morad K., Nylander-French, Leena A., Odom John, Audrey R., Parte, Francisco Blanco, Pleil, Joachim D., Ranzieri, Silvia, Ratcliffe, Norman M., Reinhold, Petra E., Risby, Terence H., Ruszkiewicz, Dorota, Ruzsanyi, Veronika, Ryter, Stefan W., Salman, Dahlia, Schivo, Michael, Schmidt, Florian M., Schubert, Jochen K., Schwarz, Katharina, Smith, David, Smolinska, Agnieszka, Sobus, Jon R., Solga, Steven F., Spacek, Lisa A., Španěl, Patrik, Stavropoulos, Georgios, Stefanuto, Pierre-Hugues, Stiegel, Matthew A., Teschl, Gerald, Teschl, Susanne, Thomas, C. L. Paul, Unterkofler, Karl, van der Schee, Marc P., van Schooten, Frederik-Jan, Vidal-de-Miguel, Guillermo, Vishinkin, Rotem, Wiesenhofer, Helmut, Williams, Antony J., Yeates, Laura C., Zanella, Delphine, and Zenobi, Renato
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- 2020
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34. TAVR in Patients with a Low STS Score: A Cohort Study with a Mean Follow Up of 2 Years.
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Al-Shaibi, Khaled, Ahmed, Waqar, Abukhudair, Walid, Nosir, Yousef, Al-Shaibi, Abdulaziz, Kateb, Rayan, and Alasnag, Mirvat
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LONGITUDINAL method , *COHORT analysis , *OLDER patients , *CORONARY disease - Abstract
Background: Partner 2 and SURTAVI trials (mean STS score of 5.8 and 4.5) support extending TAVR into the intermediate risk group. We present our results of TAVR in a group with mean STS score of 2.9 and 2 year follow up.Methods: This is a prospective cohort study of 46 consecutive patients undergoing TAVR between 2011 and 2016. All patients had severe symptomatic AS. Age, functional status, coronary disease, co-morbidity and imaging parameters were assessed. Patients were followed up for 12-60 months.Results: 46 patients with a mean age of 75 years were enrolled. Mean EF 56%, mean MG 52 mm Hg and mean PG 87 mm Hg. The mean STS score was 2.9. Forty-two underwent transfemoral and 4 transaortic TAVR. Forty-five of 46 valves were implanted successfully. One patient had moderate perivalvular regurgitation (PVR). Post-procedure mean MG was 11 mm Hg. There was one procedure related stroke and one intraprocedural death. Five patients (10.8%) required a permanent pacemaker. 30-day mortality was 2 of 46 (4.3%). Mean follow up was 28 months. Mean MG at 2 years was 12 mm Hg. Late cardiac mortality occurred in 1 patient.Conclusion: TAVR in this group with a low STS score was successful with excellent valve performance. Although the STS score identifies intermediate and high risk patients, it does not account for the overall frailty and limited mobility of many elderly patients placing them at a higher surgical risk despite their low STS scores. A scoring system that captures all such factors is required. Finally, a large scale randomized trial with long term follow up determining the validity of TAVR in truly low risk individuals is necessary. [ABSTRACT FROM AUTHOR]- Published
- 2019
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35. Natural pigments: Anthocyanins, carotenoids, chlorophylls, and betalains as colorants in food products.
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Nabi, Brera Ghulam, Mukhtar, Kinza, Ahmed, Waqar, Manzoor, Muhammad Faisal, Ranjha, Muhammad Modassar Ali Nawaz, Kieliszek, Marek, Bhat, Zuhaib F., and Aadil, Rana Muhammad
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BETALAINS ,PLANT pigments ,CAROTENOIDS ,ANTHOCYANINS ,PIGMENTS ,CHLOROPHYLL ,FOOD additives - Abstract
Natural pigments are widely utilized as food additives nowadays to impart color or improve the taste of the food products. These pigments are significant food compounds used in the food industry due to their diverse nutritional and functional attributes. Color is the essential part of any food as it affects the consumer acceptability of the products. Recently consumer interest has shifted towards natural pigments as food colorants due to their high safety margins. Food industries prefer the use of natural pigments for foods and drinks owing to the harmful and undesirable effects of artificial pigments. These pigments include betalains-betaxanthin, betacyanin, flavonoids–anthocyanins, carotenoids–lutein, zeaxanthin, β-carotene, and chlorophylls-chlorophyllins, etc. There are some restrictions associated with the use of natural pigments based on the source of the pigment, quantity, and product nature. This review illustrates applications of permitted pigments in diversified food models and highlights their advantages as food ingredients. [Display omitted] • Natural pigments are preferred over artificial pigments due to their harmful effects. • Consumption of pigments is restricted based on pigment, quantity & product nature. • Pigments are utilized but sensitivity to light, oxygen & oxidation may cause obstacles. • Loss of mg during extraction may limit chlorophyll uses as colorants in processing. [ABSTRACT FROM AUTHOR]
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- 2023
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36. Fenestration of a Papyrus PK covered stent to recover the occluded left main bifurcation after sealing a left main perforation during a CTO procedure.
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Werner, Gerald S. and Ahmed, Waqar H.
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SURGICAL stents , *ARTERIAL occlusions , *CORONARY artery bypass , *DILATATION & curettage ,CORONARY artery abnormalities - Abstract
Covered stents are indicated for coronary perforations, but they may seal off major side branches in that process. We report the successful sealing of an ostial left main perforation, induced by a guide catheter in the course of a retrograde approach to treat a chronic total occlusion (CTO) of the right coronary artery (RCA) in a 76year old woman with prior CABG. The implanted Papyrus covered stent, however, overlapped the left main bifurcation and occluded the non-grafted circumflex artery (CX) resulting in acute ischemia. Through a double lumen catheter advanced over the wire located in the left anterior descending coronary artery (LAD) territory, a stiff recanalization wire could be advanced from the side-port to penetrate the stent membrane towards the CX. This was successfully achieved, and after subsequent dilatation, a drug-eluting stent was implanted in Culotte-fashion from the CX to the left main with subsequent kissing-balloon dilatation. The clinical symptoms subsided immediately, and the RCA was finally recanalized in antegrade parallel wire technique. No periprocedural infarct was observed during 48h of follow-up before discharge. At clinical follow-up of 6months the patient is symptom-free. [ABSTRACT FROM AUTHOR]
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- 2017
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37. Formalization of Reliability Block Diagrams in Higher-order Logic.
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Ahmed, Waqar, Hasan, Osman, and Tahar, Sofiène
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RELIEF models ,BLOCK diagrams ,MATHEMATICAL logic ,COMPUTER simulation ,ELECTROMECHANICAL analogies - Abstract
Reliability Block Diagrams (RBDs) allow us to model the failure relationships of complex systems and their sub-components and are extensively used for system reliability, availability and maintainability analyses. Traditionally, these RBD-based analyses are done using paper-and-pencil proofs or computer simulations, which cannot ascertain absolute correctness due to their inaccuracy limitations. As a complementary approach, we propose to use the higher-order logic theorem prover HOL to conduct RBD-based analysis. For this purpose, we present a higher-order logic formalization of commonly used RBD configurations, such as series, parallel, parallel-series and series-parallel, and the formal verification of their equivalent mathematical expressions. A distinguishing feature of the proposed RBD formalization is the ability to model nested RBD configurations, which are RBDs having blocks that also represent RBD configurations. This generality allows us to formally analyze the reliability of many real-world systems. For illustration purposes, we formally analyze the reliability of a generic Virtual Data Center (VDC) in a cloud computing infrastructure exhibiting the nested series-parallel RBD configuration. [ABSTRACT FROM AUTHOR]
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- 2016
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38. Blood flow through sutured and coupled microvascular anastomoses: A comparative computational study.
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Wain, Richard A.J., Whitty, Justin P.M., Dalal, Milind D., Holmes, Michael C., and Ahmed, Waqar
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Summary: This study uses computational fluid dynamics (CFD) to model blood flow through idealised sutured and coupled arterial anastomoses to investigate the affect of each technique on intravascular blood flow. Local flow phenomena are examined in detail to study characteristics that potentially initiate thrombus formation; for example, changes in velocity profile, wall shear stress (WSS), and shear strain rate (SSR). Idealised geometries of sutured and coupled anastomoses were created with dimensions identical to microvascular suture material and a commercially available coupling device using CFD software. Vessels were modelled as non-compliant 1 mm diameter ducts, and blood was simulated as a Newtonian fluid, in keeping with previous studies. All analyses were steady-state and performed on arteries. The sutured simulation revealed a reduced boundary velocity profile; high WSS; and high SSR at the suture sites. The coupled anastomosis simulation showed a small increase in maximum WSS at the anastomotic region compared to a pristine vessel, however, this was less than half that of the sutured model. The coupled vessel displayed an average WSS equivalent to a pristine vessel simulation. Taken together these observations demonstrate a theoretically more thrombogenic profile in a sutured anastomosis when compared to a coupled vessel. Data from simulations on a coupled anastomosis reveal a profile that is nearly equivalent to that of a pristine vessel. Based purely on the combination of less favourable flow properties shown using these idealised arterial models, the sutured method is potentially more thrombogenic than a coupled anastomosis. [Copyright &y& Elsevier]
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- 2014
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39. Biochar suppresses bacterial wilt disease of flue-cured tobacco by improving soil health and functional diversity of rhizosphere microorganisms.
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Li, Chengjiang, Ahmed, Waqar, Li, Dafei, Yu, Liangjun, Xu, Long, Xu, Tianyang, and Zhao, Zhengxiong
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BACTERIAL wilt diseases , *BIOCHAR , *SOIL amendments , *TOBACCO , *RHIZOSPHERE , *SOILS - Abstract
Bacterial wilt caused by Ralstonia solanacearum is a devastating disease of flue-cured tobacco production. Amendments of biochar in soil suppress the incidence of bacterial wilt disease by improving soil health and functional diversity of rhizosphere microbes. In this study, we observed the effect of 0–5% application rate of tobacco stem biochar on soil health and the occurrence of tobacco bacterial wilt disease. Results demonstrated that the application of 2% tobacco stem biochar significantly improves soil physicochemical properties, microbial biomass carbon and nitrogen, and the functional diversity of microbes in the rhizosphere. The ability of rhizosphere microorganisms to utilize six types of carbon sources was significantly improved under the 2% application rate of tobacco stem biochar, which reduced the incidence of bacterial wilt disease and R. solanacearum population in the rhizosphere of tobacco plants. Biochar also increases the accumulation of dry matter contents in the roots, stems, and leaves of tobacco plant. We conclude that tobacco stem biochar at a certain level improves the soil physicochemical properties, functional diversity of rhizosphere microorganisms, mitigates the pathogen population, and reduces disease incidence. This study highlights the potential use of tobacco stem biochar to manage the bacterial wilt disease. • Soil health and microbial diversity plays an important role in disease development • Application of biochar in soil improves soil physicochemical properties • Amendments of biochar in soil suppress the incidence of tobacco bacterial wilt • Microbial diversity is potentially improved in the presence of biochar [ABSTRACT FROM AUTHOR]
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- 2022
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40. CRT-100.89 Drug-Coated Balloons for Side Branches of Coronary Bifurcation Lesions Assessed by Cardiac Computed Tomography.
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Alasnag, Mirvat, AlHadad, Abduh, Ahmed, Waqar, and Al-Shaibi, Khaled
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- 2022
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41. Do Indus Delta mangroves and Indus River contribute to organic carbon in deltaic creeks and coastal waters (Northwest Indian Ocean, Pakistan)?
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Ahmed, Waqar, Wu, Ying, Kidwai, Samina, Li, Xiuzhen, Mahmood, Tariq, and Zhang, Jing
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MANGROVE plants , *TERRITORIAL waters , *MANGROVE forests , *DISSOLVED organic matter , *CARBONACEOUS aerosols , *COLLOIDAL carbon , *CONTINENTAL shelf , *MARINE phytoplankton - Abstract
The biogeochemistry of organic carbon (OC) is of great significance to regional and global biogeochemical cycles. Studies on dissolved organic carbon (DOC) and particulate organic carbon (POC) concentrations and their fluxes from the Indus River, Indus Delta and coastal waters of the shelf area off the Indus Delta are limited. Major creeks of the Indus Delta (Waddi Khuddi Creek (WK), Dabbo Creek (DC), Hajamro Creek (HC) and Khobar Creek (KC)), along with the Indus River and the adjacent offshore area of the Arabian Sea, were sampled in the winter, summer, and post and pre-monsoon periods to investigate the fate, transformation, and source of OC. In this study, a high concentration (3.1 mg L-1) of POC was found in KC (the main river channel), which is directly influenced by runoff. The POC concentration varied seasonally in the creeks (WK, HC and DC). The POC% decreased as the total suspended matter (TSM) increased, and this correlation strengthens during the southwest monsoon (SW monsoon). The concentrations of DOC and POC have decreased (by 19.3 and 22.7%, respectively) relative to values reported in previous studies from the Indus River. The source of the DOC and POC was mainly the mangrove litter and benthic microalgae. Stable carbon (δ13C) was used as a proxy to trace the autochthonous and allochthonous sources of DOC and POC in the creeks. The contribution of POC to TOC in WK, DC, HC, and KC was 19.2 ± 7.5%, 26.5 ± 10.7%, 27.1 ± 8.7%, and 61.3%, respectively, increasing from west to east in the creeks; the contribution of POC to TOC in the offshore region was 22.3 ± 17.2%. There was clear evidence through the isotopic studies that the mangroves contribute significantly to the DOC and POC in the Indus Deltaic creeks. Towards to the Arabian Sea, high fluxes of TSM (5.43 × 1013 kg year-1), were recorded during the SW monsoon period when there were rains and floods. In comparison with the previous studies, POC and DOC flux is reduced from 1.30 × 109 to 2.42 × 105 kg year-1 and 3.83 × 109 to 2.89 × 105 kg year-1, respectively. In comparison with the Himalayan rivers (Brahmaputra and Ganges), the reduction in POC and DOC flux is also observed due to the low discharge of Indus River. There is still need of the study for the discharge and fluxes (TSM, DOC and POC) of the creeks of eastern and western side of Indus River for the complete transfer of OC through the creeks of Indus Delta to the world oceans. • The river discharge influenced the concentration of organic carbon and TSM. • Mangroves contribute significantly to the DOC and POC in the Indus Delta. • In the dry season, DOC increased from creeks towards offshore. • POC was composed of marine phytoplankton and estuarine microalgae in coastal water. • High concentration of chlorophyll a was observed in the nearshore. [ABSTRACT FROM AUTHOR]
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- 2021
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42. Epstein-Barr virus noncoding small RNA (EBER1) induces cell proliferation by up-regulating cellular mitochondrial activity and calcium influx.
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Ahmed, Waqar, Hassan, Zubaida, Abdelmowla, Yasmeen A.A., Philip, Pretty S, Shmygol, Anatoliy, and Khan, Gulfaraz
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CELL proliferation , *NON-coding RNA , *EPSTEIN-Barr virus , *DNA synthesis , *INTRACELLULAR calcium - Abstract
• EBER1 transfected sepithelial, B and T cell lines proliferate at a higher rate, have higher metabolic activity and increased DNA synthesis. • The Mitochondrial number and activity was higher in the EBER1 transfected cell lines. • Store operated calcium entry (SOCE) were potentiated in the EBER1 expressing cells. • Genes associated with cell proliferation were upregulated in the EBER1 transfected cell lines. Epstein-Barr virus encoded RNAs (EBER1 and EBER2) are two non-polyadenylated, non-protein coding small RNAs expressed at high levels in all forms of EBV latent infections. Although not directly involved in cell transformation, a number of studies have reported that these RNAs may be involved in cell proliferation. However, which of the two EBERs play a major role in this process and the mechanisms involved remains unknown. The aim of this study was to investigate the role and mechanism of EBER1-induced cell proliferation. Using stably transfected EBER1 cell lines, and multiple methodologies, we show that EBER1 transfected epithelial, B and T cell lines proliferate at a higher rate, have higher metabolic activity and increased DNA synthesis. The mitochondrial number and activity was also observed to be higher in the EBER1 transfected cells. Moreover, cytochrome c activity and store operated calcium entry (SOCE) were potentiated in the EBER1 expressing cells. Finally, the genes associated with cell proliferation were also observed to be up-regulated in the EBER1 transfected cells. Taken together, our data has unravelled the role of mitochondria and cellular calcium pathway that appear to be involved in EBER1 induced cell proliferation of EBV infected cells. [ABSTRACT FROM AUTHOR]
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- 2021
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43. Relationship between indices of iron status and coronary risk factors including diabetes and the metabolic syndrome in Saudi subjects without overt coronary disease.
- Author
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Alissa, Eman M., Ahmed, Waqar H., Al-ama, Nabeel, and Ferns, Gordon A.A.
- Subjects
IRON in the body ,FERRITIN ,DIABETES ,METABOLIC syndrome - Abstract
Abstract: There have been inconsistent reports on the relationship between iron status and coronary artery diseases (CAD), and little data on this relationship in non-Caucasian populations. We assessed dietary iron by questionnaire and measured serum iron and ferritin levels in 270 Saudi male subjects without established CAD, 130 of whom were angiogram negative. Serum lipid profile, glucose, high sensitivity-C reactive protein (hs-CRP), serum soluble intercellular adhesion molecules-1 (sICAM-1), and caeruloplasmin were measured in all subjects. The angiogram negative patients, had lower serum ferritin (p<0.05) and iron (p<0.0001) levels than the 140 subjects without reported cardiovascular diseases (CVD). Serum iron correlated with serum triglycerides (p<0.0001) and total cholesterol (p<0.05) levels for this latter group and the groups combined. Serum ferritin correlated with serum total cholesterol and low-density lipoprotein (LDL)-cholesterol in the combined group (p<0.05), and was correlated with blood glucose and serum LDL-cholesterol (p<0.05) in the subjects without reported CVD. After adjustment for confounding variables, serum iron levels remained a significant correlate with total calorie intake and serum triglycerides. Serum ferritin also correlated significantly with cholesterol intake and fasting serum total cholesterol. Dietary iron was significantly related to dietary cholesterol and fiber, age, smoking habits, and serum total cholesterol level. Hence, indices of iron status were related to several coronary risk factors in the Saudi population. [Copyright &y& Elsevier]
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- 2007
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44. Trace element status in Saudi patients with established atherosclerosis.
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Alissa, Eman M., Bahjri, Suhad M., Ahmed, Waqar H., Al-ama, Nabeel, and Ferns, Gordon A.A.
- Subjects
ATHEROSCLEROSIS ,DISEASE risk factors ,PATIENTS ,METABOLISM - Abstract
Abstract: Background: Traditional coronary risk factors do not fully explain variations in the incidence of cardiovascular disease (CVD). Epidemiological studies have implicated perturbations in selenium, copper, and zinc metabolism in the aetiology of CVD. However, these studies have been principally undertaken in Caucasian populations, in whom trace element intake is generally sufficient. Method: We have measured serum and urine selenium, copper, and zinc; and superoxide dismutase, glutathione peroxidase, and lipid peroxide concentrations in 130 Saudi male subjects with established CVD, and 130 age-matched controls. Results: Diabetes mellitus, positive smoking habit (p<0.0001 for both), and hypertension (p<0.05) were more prevalent among CVD patients. Urinary copper (p<0.0001) and zinc (p<0.05) were higher among controls. Serum selenium concentrations were lower among CVD patients (p<0.001), and a high proportion (52%) had selenium levels below 79μg/L compared to controls (22%) (p<0.0001). Conditional logistic regression analysis, showed the characteristics differentiating CVD patients from controls were serum zinc (odds ratio (OR) 0.92, confidence interval (CI) 0.85–0.99, p<0.05), serum copper/zinc ratio (OR 0.31, CI 0.10–0.96), serum selenium (OR 0.07, CI 0.02–0.31, p<0.0001), and urine selenium (OR 3.34, CI 1.40–7.99, p<0.01). Conclusion: Measures of trace metals status appear to be associated with the risk of atherosclerosis in a Saudi male population. [Copyright &y& Elsevier]
- Published
- 2006
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45. Chemical vapour deposition of diamond films onto tungsten carbide dental burs
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Ahmed, Waqar, Sein, Htet, Jackson, Mark, and Polini, Riccardo
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- *
CHEMICAL vapor deposition , *POLYCRYSTALS , *METAL cutting , *BRIDGES (Dentistry) - Abstract
Considerable literature is now available on the deposition of CVD diamond onto flat substrates the most common being silicon. However, very little work has been reported on the deposition of diamond onto complex three-dimensional substrates such as dental burs, micro drills and biomedical implants. Diamond is hard, wear resistant, biocompatible and corrosion resistant and therefore is an attractive candidate for uses in dental tools and for medical devices. This study focuses on the deposition of diamond, using a hot filament CVD system, on cobalt-cemented tungsten carbide (WC-Co) rotary cutting dental burs. Conventional dental burs are generally made of sintered polycrystalline diamond (PCD). These have a number of problems associated with heterogeneity of the crystallite, decreased cutting efficiency and a short life. A preferential (1 1 1) faceted diamond has been obtained after 12 h deposition at a growth rate of 1.2 μm/h. Diamond coated WC-Co dental burs and conventional sintered burs are used in turning, milling and drilling operations for machining materials made from metal alloys and borosilicate glass. After machining with excessive cutting performance, calculations can be made on flank and crater wear areas. Diamond coated WC-Co dental bur offer significantly lower erosion and higher wear resistance compared to uncoated WC-Co tools and sintered burs. [Copyright &y& Elsevier]
- Published
- 2004
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46. Performance and characterisation of CVD diamond coated, sintered diamond and WC–Co cutting tools for dental and micromachining applications
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Sein, Htet, Ahmed, Waqar, Jackson, Mark, Woodwards, Robert, and Polini, Riccardo
- Subjects
- *
IRON metallurgy , *MICROMACHINING , *SURFACES (Technology) , *THIN films - Abstract
Diamond coatings are attractive for cutting processes due to their high hardness, low friction coefficient, excellent wear resistance and chemical inertness. The application of diamond coatings on cemented tungsten carbide (WC–Co) tools was the subject of much attention in recent years in order to improve cutting performance and tool life. WC–Co tools containing 6% Co and 94% WC substrate with an average grain size 1–3 μm were used in this study. In order to improve the adhesion between diamond and WC substrates, it is necessary to etch away the surface Co and prepare the surface for subsequent diamond growth. Hot filament chemical vapour deposition with a modified vertical filament arrangement has been employed for the deposition of diamond films. Diamond film quality and purity have been characterised using scanning electron microscopy and micro-Raman spectroscopy. The performance of diamond coated WC–Co bur, uncoated WC–Co bur, and diamond embedded (sintered) bur have been compared by drilling a series of holes into various materials such as human teeth, borosilicate glass and porcelain teeth. Flank wear has been used to assess the wear rates of the tools. The materials subjected to cutting processes have been examined to assess the quality of the finish. Diamond coated WC–Co microdrills and uncoated microdrills were also tested on aluminium alloys. Results show that there was a 300% improvement when the drills were coated with diamond compared to the uncoated tools. [Copyright &y& Elsevier]
- Published
- 2004
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47. Application of diamond coatings onto small dental tools
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Sein, Htet, Ahmed, Waqar, and Rego, Christopher
- Subjects
- *
SURFACE coatings , *DENTISTRY , *DIAMONDS - Abstract
Small dental tools such as burs and drills are commonly used in dental practice and laboratory. Conventional diamond burs used for grinding operations have a number of problems associated with heterogeneity of the crystallites, decreased cutting efficiency, need for repeated sterilisation and short life. These burs are manufactured by imbedding diamond particles into the burs using a suitable binder matrix material. The use of a diamond coating may offer an improvement in dental bur technology. Chemical vapour deposition (CVD) of diamond coatings onto the cemented tungsten carbide WC–Co substrate is problematic. Generally the adhesion of diamond coating to cemented carbide substrate is poor. It is obvious that the binder materials such as cobalt can suppress diamond growth and enhance graphitic deposits, which cause poor adhesion and low diamond nucleation density. The effects of key process parameters such as filament position, filament and substrate temperature and pre-treated substrate material on the coating properties have been investigated using a variety of analytical techniques. Characterisations of the substrates and polycrystalline diamond film morphology were analysed by scanning electron microscopy (SEM). The chemical composition was evaluated by energy dispersive spectroscopy (EDS). Raman spectroscopy was used to assess the carbon-phase purity and give an indication of the stress levels in the as-grown polycrystalline diamond films. [Copyright &y& Elsevier]
- Published
- 2002
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48. Heat transfer growth of sonochemically synthesized novel mixed metal oxide ZnO+Al2O3+TiO2/DW based ternary hybrid nanofluids in a square flow conduit.
- Author
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Ahmed, Waqar, Kazi, S.N., Chowdhury, Z.Z., Johan, Mohd Rafie Bin, Mehmood, Shahid, Soudagar, Manzoore Elahi M., Mujtaba, M.A., Gul, M., and Ahmad, Muhammad Shakeel
- Subjects
- *
HEAT transfer in turbulent flow , *HEAT transfer , *NANOFLUIDS , *HEAT transfer coefficient , *THERMAL conductivity , *ZINC oxide , *METALLIC oxides - Abstract
In the current investigation, the heat transfer development with the turbulent flow of novel metal oxide-based ternary composite nanofluids of ZnO + Al 2 O 3 +TiO 2 /DW at varying wt.% concentrations (0.025, 0.05, 0.075, and 0.1) in a square heat exchanger below constant heat flux conditions was discussed. The new ternary composite nanofluids were synthesized by using the sonochemical technique. The ZnO + Al 2 O 3 +TiO 2 /DW based ternary composite nanofluids with their respective wt. % reveals an enhancement in effective thermal conductivity and heat transfer coefficient local and average with Reynolds numbers varying from 4550 to 20,367. The extreme growth in overall effective thermal conductivity was noticed up to 1.149 W/m-K at 0.1 wt% for ternary hybrid composite nanofluids at a maximum temperature 45 °C. Similarly, at 0.075 wt%, 0.05 wt%, and 0.025 wt% the overall effective thermal conductivity was recorded 1.118 W/m-K, 1.091 W/m-K, and 1.079 W/m-K correspondingly, which is greater than that of base fluid (DW), with improved thermo-physical characteristics for novel ZnO + Al 2 O 3 +TiO 2 /DW ternary hybrid composite nanofluids. Also, it shows an improvement in local and average heat transfer with a maximum growth of 0.1 wt %. The maximum heat transfer was observed for ZnO + Al 2 O 3 +TiO 2 /DW based Ternary hybrid composite nanofluids at 0.1 wt % concentrations, up to 900–5700 W/m2K, which is 89% higher than distilled water. While, an enhancement of 900–3870 W/m2K, 900–3350 W/m2K, 900–2750 W/m2K were observed for the other three wt. % 0.075, 0.05 and 0.025, respectively. The study revealed that the metal oxide based ternary hybrid composites nanofluids are suitable for nano coolant applications due to improved thermophysical characteristics and also it is applicable for energy management in industrial applications. • The sonochemical synthesis route for ZnO nanoparticles has discussed. • Preparation of Ternary composite nanofluids (varying wt.%) by using high probe sonication. • The study of different thermophysical and hydrodynamic characteristics of novel Ternary hybrid nanofluids. • Analysis of heat transfer growth in the square channel by using ZnO + Al 2 O 3 +TiO 2 /DW Ternary composite nanofluids. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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49. A remarkable chaotic analysis for coherence fraction order with its applications.
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Bary, Ghulam, Ahmed, Waqar, Sajid, Muhammad, Ahmad, Riaz, Alshammari, Nawa, and Khan, Ilyas
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- *
PROPERTIES of matter , *QUANTUM statistics , *QUANTUM correlations , *HEAVY nuclei , *PARTICLE emissions , *FRACTIONS - Abstract
Multi-particle quantum statistical correlations measured in the collisions of heavy nuclei at the unrivaled energies. Remarkable consequences have been observed and speculated that such significant repercussions may arise due to non-chaotic and granular nature particle emanated sources. To study such kind of chaotic fraction as well as the particles emission, we have demonstrated and analyzed the ejection of particles from the disseminated agglomeration of tiny droplets which produced quantum statistics multi-particle correlations which do not only reflect the size of the fluid droplets but also contribute the specific clues about the congenital properties of chaos-coherence matter produced during the collisions. Such correlations possess the existence of gesture of the mixed-phase of chaotic and coherent fractions in the considered collisions. The main object of this research is that we investigate the intrinsic properties of produced matter by intensity correlations to utilize it in engineering applications. The purpose of these findings is to analyze the meticulous correlations to expedite the nature of the particle ejecting sources and observe remarkable suppression in the cumulant correlations relative to the full three and four particles interferences in the granular nature sources. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
50. Spatial and temporal variations of nutrients and chlorophyll a in the Indus River and its deltaic creeks and coastal waters (Northwest Indian Ocean, Pakistan).
- Author
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Ahmed, Waqar, Wu, Ying, Kidwai, Samina, Li, Xiuzhen, Zhang, Guosen, and Zhang, Jing
- Subjects
- *
CHLOROPHYLL , *SPATIAL variation , *CONTINENTAL shelf , *AGRICULTURAL pollution , *FISH productivity - Abstract
Nutrient dynamics play an important role in mangroves and adjacent coastal ecosystems. This paper discusses the spatiotemporal variation of physicochemical factors in two monsoons and intermonsoons and their influence on chlorophyll a and the dissolved inorganic nutrient concentrations in selected creeks. The present study focused on dense mangrove cover creeks (Waddi Khuddi (WK) and Dabbo (DC)), sparse mangrove cover creek (Hajamro (HC)), and no mangrove to mixed terrestrial and agricultural vegetation (Khobar (KC)) along with the Indus River and adjacent NE Arabian Sea. Silicate (SiO 3 2–) was the most abundant nutrient, and its concentration increased from the northeast to the southwest monsoon and decreased during the fall intermonsoon. Erosion of the riverbank catchment area, weathering, and sand mining are the major sources of elevated SiO 3 2–. The highest concentration of nitrate (NO 3 –) was found in the main river channel (KC) throughout the year, with maximum concentration (37.42 ± 5.05 μM) in the river (KC) during the rainy season (SW monsoon) due to the agricultural runoff that resulted in an increase in chlorophyll a. The concentration of nitrite (NO 2 –) was high in the creek (DC) with mangroves and agricultural runoff input. The concentration of phosphate (PO 4 3–) was high in mangrove-dominated creeks (WK and DC), suggesting litterfall as a major source of PO 4 3− from the creeks. The river with no mangrove cover (KC) indicated that PO 4 3– was a limiting factor. In the case of DSi:DIN ratios, SiO 3 2–was not limited throughout the sampling period for primary production. The chlorophyll a concentration increased from upstream to downstream in the river and was positively correlated with SiO 3 2– and NO 3 –, resulting in the dominance of diatoms during the SW monsoon. The study confirms that natural sources (river/terrestrial runoff and geomorphological factors) and anthropogenic factors (application of fertilizers, manure, construction of dams, and industrialization) significantly influenced the nutrients and chlorophyll a , both spatially and temporally. On a global scale, SiO 3 2– concentrations in the Indus River during the southwest monsoon were lower than those in the Himalayan rivers (Brahmaputra, Ganges, Huanghe, and Yangtze Rivers). The NO 3 – concentration is comparable with that of Narmada, Tapti, and Pangani Rivers but lower than that for rivers originating from the Himalayas. Nutrient enrichment and eutrophication in coastal waters were mainly caused by urbanization and population increase, which affect the higher trophic level productivity and fish abundance in the coastal and shelf areas. Therefore, an integrated approach for the management and monitoring of upstream river systems is required for a better future. • The river discharge influenced the nutrients, chlorophyll a , TSM and salinity. • Groundwater showed elevated silicate concentrations. • Mangrove-dominated creeks were not limited by phosphate. • Light and turbidity play an important role in chlorophyll a concentration. • The delta has a strong tidal influence that keeps the system well mixed. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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