Search

Your search keyword '"Aseem, R"' showing total 731 results
Start Over Author "Aseem, R"
731 results on '"Aseem, R"'

11. Bladder and Cloacal Exstrophy

Author

Weiss, Dana A., Borer, Joseph G., Lee, Richard S., Kryger, John V., Roth, Elisabeth B., Groth, Travis W., Shukla, Aseem R., Mitchell, Michael E., Canning, Douglas A., and Mattei, Peter, editor

Published
2022
Full Text
View/download PDF

18. Caregiver distress: A mixed methods evaluation of the mental health burden of caring for children with bladder exstrophy

Author

Katelyn A. Spencer, Jaishri Ramji, Pooja Unadkat, Iqra Nadeem, Parth A. Lalakia, Jay Shah, Pramod P. Reddy, Douglas A. Canning, Joao Pippi-Salle, Paul Merguerian, Anjana Kundu, Dana A. Weiss, Aseem R. Shukla, Rakesh Joshi, and Jennifer R. Frazier

Subjects
bladder exstrophy-epispadias complex (BEEC), caregiver distress, quality of life, low- and middle-income countries (LMIC), stigma, Pediatrics, RJ1-570
Abstract

IntroductionCaring for children with bladder exstrophy-epispadias complex (BEEC) exacts a long-term emotional toll on caregivers. Previous studies leave a gap in understanding the impact that caring for a child with BEEC has on caregivers in low- and middle-income countries (LMIC). We hypothesize that families and caregivers experience psychological distress that has long gone unaddressed.Materials and methodsFrom 2018 to 2020, researchers conducted a multi-method evaluation of caregiver distress with participants recruited as part of the annual International Bladder Exstrophy Collaboration based in Ahmedabad, Gujarat, India. In 2018, pilot data was collected through cognitive interviews. In 2019, researchers conducted structured interviews predicated on themes from the previous year, which subsequently prompted formal mental health screenings in 2020. Caregivers who reported suicidal thoughts were immediately referred for intervention.ResultsIn 2018, caregivers described the primary source of stigma arose from their village (n = 9, 26.5%). Caregivers also identified long-term concerns (n = 18, 52.9%), including future fertility and marital prospects, as sources of anxiety. In 2019, caregivers substantiated preliminary findings with the primary source of anticipated (n = 9, 31%) and experienced (n = 19, 65.5%) stigma again stemming from their communities. Both cohorts identified the collaboration as a positive source of support (n = 23, 36.5%). In 2020, caregivers stated decreased emotional wellbeing as number of subsequent repairs increased (n = 54, 75%, p = 0.002). Caregivers of children who underwent initial surgery within 5 years of screening reported higher anxiety (n = 46, 63.8%) and this was exacerbated as the number of subsequent repairs increased (p = 0.043).ConclusionComplex, long-term course of care, including additional surgeries, significantly impacts caregiver distress in the LMIC setting. Screening for caregivers of children with complex congenital anomalies, like BEEC, should be an essential element of any comprehensive effort to alleviate the global burden of disease.

Published
2022
Full Text
View/download PDF

21. The complete primary repair of bladder exstrophy refinements through collaboration within the Multi-Institutional Bladder Exstrophy Consortium (MIBEC)

Author

Dana A. Weiss, John V. Kryger, Joseph G. Borer, Travis W. Groth, Elizabeth B. Roth, Michael E. Mitchell, Douglas A. Canning, and Aseem R. Shukla

Subjects
Bladder exstrophy, Reconstructive surgical procedures, Pediatrics, Complete primary repair of exstrophy (CPRE), Consortium, Surgery, RD1-811, Diseases of the genitourinary system. Urology, RC870-923
Abstract

Objective: To provide a step-by-step presentation of the complete primary repair of bladder exstrophy (CPRE). Design: Video presentation. Setting: Children's Hospital of Philadelphia, within the Multi-Institutional Bladder Exstrophy Collaboration Patient(s): A 3-month-old boy with the bladder exstrophy (BE) undergoing a CPRE after the family provided informed consent. Results: A ten-hour procedure, including a bilateral pelvic osteotomy and epidural catheter placement was completed. There was no intraoperative complication. The child was immobilized with a spica cast for 6 weeks. His bladder was cycled via the suprapubic tube until he could tolerate clamping for 24 h with no evidence of upper tract dilation. Conclusions: Through collaboration, we have significantly refined the CPRE technique for BE repair. We believe that for rare congenital anomalies such as bladder exstrophy, collaboration across institutions increases volume exposure, which in turn, correlates with improved outcomes. We continue to carefully follow treated patients for the long-term to observe these outcomes, and measure the burden of BE on families in terms of stigma, quality of life and psychosocial impacts.

Published
2022
Full Text
View/download PDF

23. Bladder Exstrophy Consortium (MIBEC) After 8 Years: The Short and Intermediate Term Outcomes

Author

Weiss, Dana A., primary, Groth, Travis W., additional, Abdulfattah, Suhaib Abdulfattah, additional, Eftekharzadeh, Sahar, additional, Lee, Ted, additional, Lee, Richard, additional, Canning, Douglas A., additional, Kryger, John V., additional, Shukla, Aseem R., additional, Roth, Elizabeth B., additional, Mitchell, Michael E., additional, and Borer, Joseph G., additional

Published
2024
Full Text
View/download PDF

32. An intriguing case of post-operative respiratory failure from an occult diaphragmatic hernia- be aware of the masquerader

Author

Biplob Borthakur, Vijay M Hanjoora, Viresh Mahajan, Aseem R Srivastava, Aman Jyoti, Monish Raut, and Anup Nawal

Subjects
congenital diaphragmatic hernia, congenital heart disease, respiratory failure, Anesthesiology, RD78.3-87.3, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Though respiratory complications after cardiac surgery for congenital heart disease are common, and malformations of the diaphragm can be expected in these patients, the presence of an occult diaphragmatic defect unrecognisible preoperatively and complicating the post operative course is very rare and need a high index of suspicion for diagnosis in the setting of post operative respiratory failure. We present here a case of post operative respiratory failure from a delayed presenting diaphragmatic hernia in a 2-month-old boy who underwent corrective surgery for Taussig bing anomaly and hypoplastic aortic arch. Surgical repair of the diaphragmatic defect and reduction of the bowel loops to the abdomen resulted in rapid weaning from ventilation and recovery with subsequent discharge from hospital.

Published
2020
Full Text
View/download PDF

35. Multi-Institutional Bladder Exstrophy Consortium After 8 Years: The Short- and Intermediate-Term Outcomes.

Author

Weiss, Dana A., Groth, Travis W., Abdulfattah, Suhaib Abdulfattah, Eftekharzadeh, Sahar, Lee, Ted, Lee, Richard, Canning, Douglas A., Kryger, John V., Shukla, Aseem R., Roth, Elizabeth B., Mitchell, Michael E., and Borer, Joseph G.

Subjects
HERNIA surgery, BLADDER exstrophy, VESICO-ureteral reflux, OPERATIVE surgery, RETENTION of urine, INTERMITTENT urinary catheterization, REIMPLANTATION (Surgery)
Abstract

Purpose: Bladder exstrophy (BE) poses challenges both during the surgical repair and throughout follow-up. In 2013, a multi-institutional BE consortium was initiated, which included utilization of unified surgical principles for the complete primary repair of exstrophy (CPRE), real-time coaching, ongoing video capture and review of video footage, prospective data collection, and routine patient data analysis, with the goal of optimizing the surgical procedure to minimize devastating complications such as glans ischemia and bladder dehiscence while maximizing the rate of volitional voiding with continence and long-term protection of the upper tracts. This study reports on our short-term complications and intermediate-term continence outcomes. Materials and Methods: A single prospective database for all patients undergoing surgery with a BE epispadias complex diagnosis at 3 institutions since February 2013 was used. For this study, data for children with a diagnosis of classic BE who underwent primary CPRE from February 2013 to February 2021 were collected. Data recorded included sex, age at CPRE, adjunct surgeries including ureteral reimplantations and hernia repairs at the time of CPRE, osteotomies, and immobilization techniques, and subsequent surgeries. Data on short-term postoperative outcomes, defined as those occurring within the first 90 days after surgery, were abstracted. In addition, intermediate-term outcomes were obtained for patients operated on between February 2013 and February 2017 to maintain a minimum follow-up of 4 years. Outcomes included upper tract dilation on renal and bladder ultrasound, presence of vesicoureteral reflux, cortical defects on nuclear scintigraphy, and continence status. Bladder emptying was assessed with respect to spontaneous voiding ability, need for clean intermittent catheterization, and duration of dry intervals. All operating room encounters that occurred subsequent to initial CPRE were recorded. Results: CPRE was performed in 92 classic BE patients in the first 8 years of the collaboration (62 boys), including 46 (29 boys) during the first 4 years. In the complete cohort, the median (interquartile range) age at CPRE was 79 (50.3) days. Bilateral iliac osteotomies were performed in 89 (97%) patients (42 anterior and 47 posterior). Of those undergoing osteotomies 84 were immobilized in a spica cast (including the 3 patients who did not have an osteotomy), 6 in modified Bryant's traction, and 2 in external fixation with Buck's traction. Sixteen (17%) patients underwent bilateral ureteral reimplantations at the time of CPRE. Nineteen (21%) underwent hernia repair at the time of CPRE, 6 of which were associated with orchiopexy. Short-term complications within 90 days occurred in 31 (34%), and there were 13 subsequent surgeries within the first 90 days. Intermediate-term outcomes were available for 40 of the 46 patients, who have between 4 and 8 years of follow-up, at a median of 5.7 year old. Thirty-three patients void volitionally, with variable dry intervals. Conclusions: Cumulative efforts of prospective data collection have provided granular data for evaluation. Short-term outcomes demonstrate no devastating complications, that is, penile injury or bladder dehiscence, but there were other significant complications requiring further surgeries. Intermediate-term data show that boys in particular show encouraging spontaneous voiding and continence status post CPRE, while girls have required modification of the surgical technique over time to address concerns with urinary retention. Overall, 40% of children with at least 4 years of follow-up are voiding with dry intervals of > 1 hour. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

36. Impact of the COVID-19 Pandemic on Emergency Adult Surgical Patients and Surgical Services: An International Multi-center Cohort Study and Department Survey

Author

Winter Beatty, Jasmine, Clarke, Jonathan M., Sounderajah, Viknesh, Acharya, Amish, Rabinowicz, Simon, Martin, Guy, Warren, Leigh R., Yalamanchili, Seema, Scott, Alasdair J., Burgnon, Elizabeth, Purkayastha, Sanjay, Markar, Sheraz, Kinross, James M., Kinross, J.M., Markar, S., Clarke, J.M., Winter Beatty, J., Sounderajah, V., Acharya, A., Rabinowicz, S., Yalamanchili, S., Scott, A.J., Martin, G., Warren, L.R., Burgnon, E., Purkayastha, S., Di Marco, A., Sugand, K., Sarraf, K.M., Kulshreshtha, A., Aseem, R., Deurloo, E.K., Quinnen, N.C., DeLa Cruz, N.J.M., Yiu, A.J., Khan, N., Markiewicz, O., Goh, E.T., Denning, M., Aggarwal, R., Mason, S., Chidambaram, S., Erridge, S., Dryden, S.D., Serban, O., Vaghela, U., Mechera, R., Glover, A., Papachristos, A., Xuan, R., Poels, D., Tree, K., Daniel, M.S., Karim, S., Islam, N., Rahman Mitul, A., Dhondt, B., Azab, M.A., Azzam, A.Y., Balalis, D., Fradelos, E., Korkolis, D.P., Skotsimara, A., Baili, E., Kyros, E., Felekouras, E., Vagios, I., Karydakis, L., Mpoura, M., Syllaios, A., Davakis, S., Liakakos, T., Charalabopoulos, A., Manatakis, D., Tasis, N., Fulop, A., Szijarto, A., Khan, M., Baba, A., Nanda, S., Bhat, J., Parray, F., Aziz, G., Chowdri, N., Wani, R., Shah, Z., Muzamil Andrabi, S., Mehraj, A., Fowler, A.L., Chaudhary, A., Murphy, B., van der Hoef, D., Ryan, E., OʼBeirn, E., Marzouk, F., McKevitt, K., Nizami, K., Grewal, H., Hennessy, O., Roden, Y., Elwahab, S.A., Collins, C., Hassanin, A., Walsh, S.R., Zafar, A.S., Aherne, T.M., Devine, M., Toale, C., Nally, D.M., Ahmed, W., Hannan, E., Ullah, F., Twyford, M., Foley, N., O’Donnell, O., Peirce, C., Da Roit, A., Milana, F., Marano, S., Basato, S., Castoro, C., Fazzin, M., Torchiaro, M., Fabbri, N., Feo, C.V., Meima-van Praag, E.M., Van Haeren, M.M.T., Sharabiany, S., Hompes, R., Ingwersen, E.W., Meijer, F., Voeten, D.M., Gisbertz, S.S., Van Berge Henegouwen, M.I., Lee, D., Mason, B.J., Stott, S.N., Beamish, R.E., Akinmade, A., Fayose, E., Alabi, K., Larri, S., Enoch, E., Kayode-Nissi, V., Okunlola, A., Adeyeye, A., Yusuf, A., Shittu, A., Irmiya, S.N., Abdullah, J., Qaiser, A., Bilal, M., Noman, A.D., Bukhari, S.I., Ciubotaru, C., Negoita, V.M., Stoica, B., Negoi, I., Ayed, S., Alwade, H., Aldaya, M., Magboul, N.A., Mushabab Ali, A., Betoret, L., Baeza, M., Aguilar, J., Hamid, H.K.S., Eltayeb, M., Awadelkarim, M.E., Elbahari, H., Yalcinkaya, A., Sahin, C., Yavas, M., Yavuz, A., Gobut, H., Bostanci, H., Sare, M., Yuksel, O., Kozan, R., Altiner, S., Leventoglu, S., Kara, Y., Aybar, E., Can Sari, A., Colak, E., Harky, A., Panda, A., Popescu, F., Abdulhakeem, M., Al Nahian, S., Kirmani, B.H., Mahendran, B., Goodworth, J., Saxena, S., Clark, J., Truelove, A., Penna, M., Patel, N., Marinos-Kouris, S., De Jong, M.C., Mihai, R., Khan, S., Van Den Heede, K., Chander, N., Palazzo, F., Tolley, N., Di Marco, A., Law, J., Papakonstantinou, A., Vigneswaran, N., Nikolaou, S., Mangam, S., Verstegen, M.H.P., Greenfield, S., Ezzat, A., Day, A., Ma, J., Carswell, K., Hall, R., Maher, S., Small, S., Belgaumkar, A., Parkins, K., Spencer, N., Egan, R.J., Gowda, A., Malcolm, F.L., Bhatti, I., Maqsood, M., Daliya, P., Richardson, S., Klimach, S., Pike, S., Chia, Z., Madhok, B., Khalil, A., Mirnezami, R., Williams, K.J., Owen, H.A., Donald, N., Buksh, M., Ratnasingham, K., Irukulla, S., Varatharajan, L., Trivedi, P., Pearce, P., Moussa, O., Arhi, C., Karagianni, C., Borg, C.M., Lee, L., Erotocritou, M., Mccluney, S.J., Randhawa, S.M.K., Parmar, C., Selaru, H., Khougali, H.S., Suresh, J., Nowak, K., Conroy, M., Elliott, M., Ocana, N., Ayoub, N., Kabani, S., Tryliskyy, Y., Colucci, G., Rooney, S., Nandasena, M., Balakrishnan, A., Riley, L., Rajagopal, P., Hamrang-Yousefi, S., Perikleous, Y., Jawad, Z.A.R., Pai, M., Spalding, D., Fehervari, M., Hani, A., Datoo, Z., Wright, E.V., Selmi, H., Furey, J., Ginnelly, L., Somashekar, N., Kalifa, R., Nahas, S., Ponugoti, N., Aujayeb, A., Murtada, A., Pavithran, A., Martin, E., Raghunath, R., Arulampalam, T., Aladeojebi, A., Barmayehvar, B., Kobe, I., Nair, N., Rajagopalan, S., Sadia, U., Murali, V., Gudaru, K., Jaipersad, A., Chandarana, K., Kutywayo, K., Caruana, E., Aframian, A., Morgan, C., Flaherty, D., Bray, E., Rahman, K., Pakroo, N., Dela Cruz, N.J.M., Lee, N., Wharton, R., Tanna, S., Dattani, R., Kabariti, R., Khaleeq, T., Rhee, J., Hinsche, A., Zhang, M., Rowlands, E., Smith, N., Smith, C., Mousa, A., Lin, B., Koutsouris, S., Tan, Y.C., Lee, G., Clough, O., Kutuzov, V., Evans, D., Davies, A., Park, C., Krishna, L., Ogundere, D., Judkins, N., Malik, C., Doe, M., Ridgway, A., Sudlow, A., Grewal, A., Finch, E.L., Richardson Banks, H.J., Quinn, M., Brewster, O., Dyer, S., Choo, S., El Jichi El Mutasem, T., Browning, N., and Pournaras, D.J.

Published
2021
Full Text
View/download PDF

50. Persistent Positive Anomalies in Geopotential Heights Promote Wildfires in Western North America

Author

Aseem R. Sharma, Piyush Jain, John T. Abatzoglou, and Mike Flannigan

Subjects
Atmospheric Science
Abstract

During summer, persistent positive anomalies (PPAs) of midtropospheric geopotential heights in North America are often associated with extreme weather, including heatwaves. We evaluate the link between prolonged summertime PPAs in 500-hPa geopotential heights and wildfire activity across western North America and examine temporal trends in PPA characteristics. On average, 17% of May–September days experience PPA events over the study domain. Large fires (burned area > 500 ha) were 7 times as likely to start during a PPA, with approximately 40% of these fires’ ignitions coincident with PPA events. A positive correlation exists between the fraction of May–September PPA days and burned area for most of the study domain. Additionally, the presence of a PPA exerts greater influence on fire ignition and burned area in higher latitudes than lower latitudes of western North America. We find a statistically significant expansion in the spatial extent of PPA events during 1979–2020. The observed expansion of the PPAs is likely due to thermodynamic changes in midlatitude synoptic patterns. These findings may improve our understanding of the connections between PPA events and wildfires in western North America, enhance the short-term predictability of wildfire events, and have important implications for increased fire risk in a warming climate. Significance Statement Persistent positive anomalies (PPAs) of the upper air atmospheric flow, a slow progression of planetary waves, are synoptic-scale patterns that cause heatwaves and contribute to wildfire activity. We seek to understand how these events relate to fire weather and fire activity over western North America. The presence of PPA events increases the likelihood of fire ignition by a factor of 7, with higher likelihood over northern regions. The mean area of the PPA events has grown significantly in recent decades, exposing larger areas and populations to increased fire risks. These results improve our understanding of the connections between upper air atmospheric patterns and wildfires, signal how it may change in future warmer climate and scenarios, and enhance the near-future predictability of fire events in this region.

Published
2022
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results