39 results on '"Gouda J"'
Search Results
2. Paediatric learning in a clinical attachment: undergraduate medical students’ perspectives
- Author
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Gouda, P., Fanous, S., Gouda, J., Boland, J., and Geoghegan, R.
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- 2016
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3. Malignant Brain Tumors Treated with IORT
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Gouda, J., primary, Brown, J., additional, Carter, D., additional, and Dobelbower, Jr., R.R., additional
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- 1997
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4. (632) - Predicting Renal Function After Lung Transplantation.
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Gouda, J., Kaur, K., Hirji, A., Weinkauf, J., Lien, D., Varughese, R., van den Bosch, L., Weatherald, J., Gauthier, P., and Halloran, K.
- Subjects
- *
LUNG transplantation , *KIDNEY physiology , *FORECASTING - Published
- 2024
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5. P149: Benign headache management in Alberta emergency departments: a chart review study to explore gaps in practice
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Gouda, J., primary, Runham, N., additional, Krebs, L., additional, Couperthwaite, S., additional, and Rowe, B., additional
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- 2019
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6. Association of child health and household amenities in high focus states in India: a district-level analysis
- Author
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Gouda, J., primary, Gupta, A. K., additional, and Yadav, A. K., additional
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- 2015
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7. Paediatric learning in a clinical attachment: undergraduate medical students’ perspectives
- Author
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Gouda, P., primary, Fanous, S., additional, Gouda, J., additional, Boland, J., additional, and Geoghegan, R., additional
- Published
- 2015
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8. From small to large: Fish bakeries Spakenburg use 1000 liter tanks (in dutch)
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Buisman, G.J.H., Arissen, G.J., Lammers, C., and Gouda, J.
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Life Science - Published
- 1997
9. Polymer gel structure elucidation by means of light scattering and photo-elasticity
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Donkersloot, M. C. A., primary, Gouda, J. H., additional, van Aartsen, J. J., additional, and Prins, W., additional
- Published
- 2010
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10. De zoektocht naar de Europese consument: heilige graal of het begin van een kansrijke missie?
- Author
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Steenkamp, J.-B.E.M., Verhallen, T.M.M., Gouda, J., Kamakura, J., Novak, T.P., and Tilburg University
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ComputingMilieux_LEGALASPECTSOFCOMPUTING - Published
- 1993
11. Malignant Brain Tumors Treated with IORT.
- Author
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Gouda, J., Brown, J., Carter, D., and Dobelbower, Jr., R.R.
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- 1998
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12. Road traffic accidents and injuries in India: High spending on hospitalised treatment
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Goli, S., Shruti, Mohammad Zahid Siddiqui, and Gouda, J.
13. Evidence for a micro‐mesomorphic structure in poly (2‐hydroxyethyl methacrylate) hydrogels
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Gouda, J. H., primary, Povodator, K., additional, Warren, T. C., additional, and Prins, W., additional
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- 1970
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14. Definition and proper usage of the various components in light scattering
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Gouda, J. H., primary and Prins, W., additional
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- 1970
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15. Incidence and predisposing factors of intraocular Lens tilt following secondary ciliary sulcus implantation in children: An ultrasound biomicroscopic study.
- Author
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Farag CS, Gouda J, Maher S, El-Fayoumi D, and Elhilali H
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- Humans, Retrospective Studies, Female, Male, Incidence, Child, Child, Preschool, Infant, Gonioscopy, Cataract Extraction adverse effects, Anterior Chamber diagnostic imaging, Postoperative Complications, Visual Acuity physiology, Risk Factors, Follow-Up Studies, Adolescent, Microscopy, Acoustic, Ciliary Body diagnostic imaging, Lens Implantation, Intraocular, Lenses, Intraocular, Intraocular Pressure physiology
- Abstract
Purpose: To evaluate the incidence and causes of intraocular lens (IOL) tilt and changes in anterior chamber angle after secondary IOL sulcus implantation following congenital cataract removal., Methods: A retrospective observational study was conducted on children who underwent secondary sulcus IOL implantation following pediatric cataract removal in the period from 2017-2020 in Cairo university Hospitals. Children were examined for IOL position, centration, and tilt. Intraocular pressure (IOP) measurement, fundus and gonioscopic examination was performed. Ultrasound biomicroscopy (UBM) was performed on both eyes in children with clinically detected tilt., Results: Ciliary sulcus secondary IOL implantation was performed in 102 eyes (57 children). IOL tilt was detected clinically in 16 eyes of 14 children (15.7%). UBM showed clinically undetected tilt in the fellow eye in additional 4 eyes. The mean angle of tilt was 12.8 ± 3.9° in clinically detected tilt compared to 7.5 ± 1.2° in UBM detected tilt. Mean anterior chamber depth (ACD) was 2.4 ± 0.5 mm IOP was >21 mmHg in 1.9% of eyes. Narrowing of the anterior chamber angle (ACA) after sulcus implantation occurred in 40% of eyes with open angle. Sulcus proliferations and obliterated sulcus were detected in all 20 eyes. Sommering's ring was found in 7 eyes (35%). Axial length, corneal diameter, and presence of persistent fetal vasculature did not affect IOL position., Conclusion: The presence of residual lens matter or an obliterated ciliary sulcus is associated with a higher incidence of IOL malposition following ciliary sulcus implantation., Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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- 2024
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16. Outcome of intraocular lens exchange for the management of myopic shift in pseudophakic children.
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Zedan R, Farag CS, Gouda J, Awadein A, Elhilali H, and Hassanein DH
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- Humans, Male, Female, Child, Child, Preschool, Retrospective Studies, Infant, Device Removal, Treatment Outcome, Cataract Extraction, Pseudophakia physiopathology, Pseudophakia surgery, Visual Acuity physiology, Lenses, Intraocular, Lens Implantation, Intraocular, Myopia physiopathology, Myopia surgery, Refraction, Ocular physiology, Reoperation
- Abstract
Purpose: To evaluate the visual outcome of intraocular lens (IOL) exchange for the management of myopic shift in pseudophakic children., Methods: The medical records of children who underwent IOL exchange for myopic shift were examined. The preoperative data, operative details and the postoperative outcome were analyzed., Results: Twenty-one eyes (16 patients) were identified. Mean age at cataract extraction was 20 ± 26 months (range, 2-84 months). Twelve patients (6 unilateral, 6 bilateral) had primary IOL implantation. Mean age at IOL exchange was 7.3 ± 3.2 years. Mean spherical equivalent (SE) at IOL exchange was -14 ± 5 D (range, -7 to -21 D): Mean SE at IOL exchange was -13.64
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- 2024
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17. Evidence-based literature review, not the meta-analysis: A rejoinder.
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Kampa RK, Padhan DK, Karna N, and Gouda J
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- 2024
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18. Randomized Controlled Trial of Patching versus Dichoptic Stimulation Using Virtual Reality for Amblyopia Therapy.
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Meqdad Y, El-Basty M, Awadein A, Gouda J, and Hassanein D
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- Adult, Humans, Child, Adolescent, Young Adult, Treatment Outcome, Follow-Up Studies, Sensory Deprivation, Visual Acuity, Vision, Binocular physiology, Amblyopia therapy
- Abstract
Purpose: To compare the outcomes of patching to dichoptic stimulation using virtual reality (VR) in moderate and severe amblyopia. Methods: This study was conducted on 86 subjects with unilateral anisometropic and mixed amblyopia. The subjects were randomized to the VR or patching group. The VR group received treatment using the Vivid Vision software (Vivid Vision Inc., San Francisco, USA) with each subject receiving weekly 2 h-sessions for 10 weeks. The patching group was prescribed patching for 10 weeks. Best-corrected visual acuity (BCVA) was measured using a single crowded letter in an ETDRS chart before, after 10 weeks of treatment, and after another 10 weeks of cessation of treatment. Near stereoacuity was measured using the TNO test. Results: Forty-two patients were randomized to the patching group and 44 to the VR group. The median age of the subjects was 12.0 (range 6.0 to 37.0) years. In the VR group, mean amblyopic eye BCVA showed statistically significant improvement by 0.89 line (95% confidence interval {CI}, 0.73 to 1.35 lines; p < 0.001) after 10 weeks of therapy, and after another 10 weeks of follow-up by 1.32 lines from baseline (95% CI, 1.15 to 1.7 lines; p < 0.001). Regarding the patching group, mean BCVA showed statistically significant improvement after 10 weeks by 1.38 lines (95% CI, 0.82 to 1.8 lines; p < 0.001), and after another 10 weeks by 1 line from baseline (95% CI, 0.06-0.147; 0.6 to 1.47 lines; p < 0.001). There was no significant difference between both groups at any time-point ( p values >0.05). No serious adverse events were noted. Adults and severe amblyopes in the VR group showed more significant VA improvement than their counterparts in the patching group. Conclusions: Amblyopes treated using VR dichoptic treatment demonstrated statistically significant VA improvement after 10 and 20 weeks of follow-up that is comparable to patching.
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- 2024
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19. Identifying the factors influencing plagiarism in higher education: An evidence-based review of the literature.
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Kampa RK, Padhan DK, Karna N, and Gouda J
- Abstract
The present study explores the major reasons for committing plagiarism, as reported in published literature. One hundred sixty-six peer-reviewed articles, which were retrieved from the Scopus database, were carefully examined to find out the research studies conducted to explore the most common reasons for academic cheating among students and researchers in different disciplines in higher education. An analysis of collected literature reveals that 19 studies were conducted to identify the perceived reasons of committing plagiarism. Four studies with similar constructs of perceived reasons of committing plagiarism, namely busy schedule, overload of homework and laziness, easy accessibility of electronic resources, poor knowledge in research writing and correct citation and lack of serious penalty, were conducted. The pooled mean and standard deviation of the four studies reveal that easy accessibility of electronic resources (Mean = 3.6, SD = 0.81), unawareness of instructions (Mean = 3.0, SD = 0.89), and busy schedule, overload of homework and laziness (Mean = 2.89, SD = 1.0) are important perceived reasons for committing plagiarism. The study findings could help create an effective intervention and a robust anti-plagiarism policy for academic institutions, administrators, and policymakers in detecting academic dishonesty while emphasizing the value of integrity in academic pursuit.
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- 2024
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20. Convergence Excess Esotropia: Review.
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Awadein A, Gouda J, Elhilali H, and Arnoldi K
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- Humans, Treatment Outcome, Convergence, Ocular, Vision, Binocular physiology, Ophthalmologic Surgical Procedures, Esotropia surgery
- Abstract
Convergence excess esotropia is a condition characterized by an esotropia which is greater for near fixation than for distance fixation after full hypermetropic correction with a single focus lens. Convergence excess esotropia may be classified according to the AC/A ratio into two subtypes: accommodative type and non-accommodative type. Bifocal glasses are a suitable option for the management of patients with a high AC/A ratio and for the hypoaccommodative type. However, the overall success rate with bifocals is still low even in selected patients. Surgery is often eventually needed for most patients with convergence excess esotropia. Surgical options that do not directly address the variability of the angle of deviation entail medial rectus recession with the target angle based on the distance deviation, the near deviation, an augmented formula based on an intermediate angle, or on a prism adaptation test. Surgical options that directly address the variability of the angle include partial myotomy, medial rectus muscle posterior scleral fixation with or without recession, pulley fixation, slanting recession, Y-splitting, or combined recession-resection of the medial rectus muscle. The review article summarizes the surgical outcome of these strategies and suggests an algorithm for the management of patients with convergence excess esotropia.
- Published
- 2023
21. Identification of two QTLs, BPH41 and BPH42, and their respective gene candidates for brown planthopper resistance in rice.
- Author
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Tan HQ, Palyam S, Gouda J, Kumar PP, and Chellian SK
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- Animals, Genes, Plant, Plant Breeding, Plant Diseases genetics, Quantitative Trait Loci, Hemiptera genetics, Oryza genetics
- Abstract
The brown planthopper (BPH) is the leading cause of insect damage to rice plants and BPH infestations have caused profound losses in rice production since the 1970's. There is an urgent need to discover new BPH resistance genes to ensure the successful production of rice. Here, a new BPH resistance source provided by SeedWorks International Pvt. Ltd., SWD10, was used for this purpose. QTL mapping using 232 F
2 progenies and 216 polymorphic markers revealed two dominant BPH resistance QTLs, BPH41 and BPH42, located on chromosome 4. BPH resistance mechanism test revealed that antibiosis and antixenosis mechanisms both play a role in BPH resistance conferred by these two QTLs. The QTLs were delimited between markers SWRm_01617 and SWRm_01522 for BPH41, and SWRm_01695 and SWRm_00328 for BPH42. Additionally, using RNA-seq data of lines containing the resistant QTLs, we shortlisted four and three gene candidates for BPH41 and BPH42, respectively. Differential gene expression analysis of lines containing the QTLs suggested that SWD10 BPH resistance is contributed by the plant's innate immunity and the candidate genes may be part of the rice innate immunity pathway. Currently, the newly identified QTLs are being utilized for breeding BPH resistant rice varieties and hybrids., (© 2022. The Author(s).)- Published
- 2022
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22. Central corneal thickness profile in relation to pediatric cataract morphology.
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Elhusseiny AM, Gouda J, Farag C, Chauhan MZ, Arfeen SA, and Elhilali HM
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- Child, Humans, Lens Implantation, Intraocular, Postoperative Period, Eye, Cataract Extraction, Cataract
- Abstract
Several studies have demonstrated that central corneal thickness (CCT) increases in pediatric eyes after cataract extraction with or without intraocular lens (IOL) implantation. This thickening has been hypothesized to be the result of endothelial dysfunction caused by direct trauma during surgery, toxic effects of irrigating fluids, or postoperative inflammation. Limited literature is available regarding the preoperative profile of CCT in pediatric cataract eyes. The purpose of the current study was to evaluate the differences in the mean preoperative CCT in eyes with pediatric cataract related to the presence or absence of persistent fetal vasculature., (Copyright © 2022 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)
- Published
- 2022
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23. Nasal insertion of the superior oblique tendon presenting as Brown syndrome.
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Awadein A, Youssef AA, and Gouda J
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- Male, Female, Humans, Child, Preschool, Oculomotor Muscles surgery, Oculomotor Muscles abnormalities, Tendons surgery, Eye Movements, Ocular Motility Disorders diagnosis, Ocular Motility Disorders etiology, Ocular Motility Disorders surgery, Exotropia surgery
- Abstract
Background: Anomalous ocular muscle insertions are a rare cause of ocular motility disturbances., Methods: We report the clinical presentation and the intraoperative findings of two cases with an abnormally nasally inserted superior oblique tendons presenting with a Brown syndrome-like clinical picture., Results: Case no 1 was a 5-year-old girl presenting with a chin up position. There was bilateral limitation of elevation in adduction, -4 on the right side and -3 on the left side with +1 downshoot on adduction on either side Patient was orthotropic in down-gaze with small V-pattern exotropia. Case no 2 was a 4-year-old boy presenting with an esotropia of 35Δ that was partially corrected with his spectacles to 20Δ. Ductions showed -4 defective elevation in adduction of the right eye. Surgical exploration in both cases revealed abnormal nasal insertion of the superior oblique tendons. The line of insertion had a convexity facing superonasally. The posterior fibers were inserted 7-8 mm posterior and just nasal to the nasal border of the superior rectus insertion, while the anterior fibers were shorter and inserted 5 mm nasal and 4 mm posterior to the nasal edge of superior rectus insertion. In both cases, there was an improvement in the elevation on adduction after superior oblique lengthening., Conclusions: Abnormal nasal insertion of the superior oblique muscle enhances the depressor effect of the muscle and can create a Brown-like picture.
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- 2022
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24. Serum cortisol and adrenocorticotrophic hormone (ACTH) in infants receiving topical and subconjunctival corticosteroids following cataract surgery.
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Aly A, Gouda J, Awadein A, Soliman HM, and El-Fayoumi D
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- Adrenal Cortex Hormones, Adrenocorticotropic Hormone, Child, Dexamethasone, Glucocorticoids, Humans, Hypothalamo-Hypophyseal System, Infant, Male, Pituitary-Adrenal System, Prospective Studies, Cataract, Hydrocortisone
- Abstract
Purpose: Cushingoid features are occasionally encountered in infants after pediatric cataract surgery. The aim of this study is to evaluate whether the use of topical glucocorticoids (GCs) following congenital cataract surgery can result in endogenous adrenal suppression and/or systemic side effects similar to those seen with systemic steroids., Methods: A prospective study was performed on 20 infants with bilateral congenital cataract. All infants received a single subconjunctival betamethasone injection of 1 mg at the end of surgery in addition to topical dexamethasone eye drops 1 mg/ml for 6 weeks. All infants had anthropometric measurements and blood pressure measurements, serum cortisol, and ACTH level measurements before surgery and 2 months after. In addition, the total administered glucocorticoid adjusted per weight was calculated., Results: The mean age of the infants was 4.93 ± 2.58 months. Thirteen were males (65%). The total administered glucocorticoid dose was 18.7 mg and the mean cumulative dexamethasone equivalent dose administered was 2.75 ± 1.31 mg/kg. There was a statistically significant increase in the adjusted weight percentile for age (P = 0.009). Both the systolic and diastolic blood pressure were significantly elevated (P = 0.005 and P = 0.025 respectively). There was a statistically significant reduction in both the morning and afternoon serum ACTH levels (P = 0.023 and P = 0.014). The reduction in serum cortisol levels was statistically non-significant., Conclusions: Topical steroids following pediatric cataract surgery can result in both subclinical and clinical changes in the hypothalamic-pituitary-adrenal axis that can be easily overlooked and need careful attention and follow-up., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
- Published
- 2021
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25. Changes in Intraocular Pressure and Anterior Chamber Angle After Congenital Cataract Extraction.
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Gouda J, Tomairek RH, Elhusseiny AM, El-Fayoumi D, Awadein A, Gawdat G, and Elhilali H
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- Anterior Chamber diagnostic imaging, Child, Humans, Infant, Intraocular Pressure, Tonometry, Ocular, Cataract, Cataract Extraction
- Abstract
Precis: Anterior chamber angle (ACA) narrowing continues to occur for at least 2 years after congenital cataract surgery. Risk factors for intraocular pressure (IOP) elevation after congenital cataract surgery were higher central corneal thickness (CCT) and surgery at <2 months., Purpose: The purpose of this study was to study the changes in IOP and in the ACA during the first 2 years after pediatric cataract surgery and to determine risk factors for such changes., Patients and Methods: A retrospective observational study was done on infants who underwent pediatric cataract surgery in Cairo University Hospitals and completed a 1-year follow-up. Demographic and clinical characteristics were recorded including age at surgery, sex, corneal diameter, CCT pupil diameter, IOP, gonioscopic findings, presence of persistent hyperplastic primary vitreous, surgical approach, primary intraocular lens implantation, and perioperative subconjunctival steroid injection. Changes in IOP and in the ACA were recorded, and the risk factors for such changes were analyzed., Results: Postoperative IOP elevation >18 mm Hg occurred in 23 eyes of 206 eyes (11%), who completed Year 1 and in 9 (13%) of 86 eyes who completed Year 2. Risk factors for IOP elevation were larger preoperative CCT (P=0.01) in Year 1, and younger age at surgery (P=0.01), and aphakia (P=0.05) in Year 2. In multivariate analysis only younger age at surgery was a risk factor for IOP elevation in Year 2. ACA narrowing occurred in 49% and in 21% of the examined eyes in Years 1 and 2, respectively. Aphakia was not a significant risk factor of angle narrowing in Years 1 and 2 (P=0.17 and 0.42, respectively)., Conclusions: Higher preoperative CCT was a risk factor for early-onset IOP elevation. Surgery at >2 months was associated with lower susceptibility to late-onset IOP elevation., Competing Interests: Disclosure: The authors declare no conflict of interest., (Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2021
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26. Evidence-Based Guidelines for EMS Administration of Naloxone.
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Williams K, Lang ES, Panchal AR, Gasper JJ, Taillac P, Gouda J, Lyng JW, Goodloe JM, and Hedges M
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- Administration, Intranasal, Administration, Intravenous, Adult, Analgesics, Opioid adverse effects, Child, Drug Overdose drug therapy, Humans, Injections, Intramuscular, Injections, Intravenous, United States, Emergency Medical Services, Naloxone administration & dosage, Narcotic Antagonists administration & dosage, Opioid-Related Disorders complications, Opioid-Related Disorders therapy
- Abstract
The opioid crisis is a growing concern for Americans, and it has become the leading cause of injury-related death in the United States. An adjunct to respiratory support that can reduce this high mortality rate is the administration of naloxone by Emergency Medical Services (EMS) practitioners for patients with suspected opioid overdose. However, clear evidence-based guidelines to direct EMS use of naloxone for opioid overdose have not been developed. Leveraging the recent Agency for Healthcare Research and Quality (AHRQ) systematic review on the EMS administration of naloxone for opioid poisonings, federal partners determined the need for a clinical practice guideline for EMS practitioners faced with suspected opioid poisoning. Project funding was provided by the National Highway Traffic Safety Administration, Office of EMS, (NHTSA OEMS), and the Health Resources and Services Administration, Maternal and Child Health Bureau's EMS for Children Program (EMSC). The objectives of this project were to develop and disseminate an evidence-based guideline and model protocol for administration of naloxone by EMS practitioners to persons with suspected opioid overdose. We have four recommendations relating to route of administration, all conditional, and all supported by low or very low certainty of evidence. We recommend the intravenous route of administration to facilitate titration of dose, and disfavor the intramuscular route due to difficulty with titration, slower time to clinical effect, and potential exposure to needles. We equally recommend the intranasal and intravenous routes of administration, while noting there are variables which will determine which route is best for each patient. Where we are unable to make recommendations due to evidence limitations (dosing, titration, timing, and transport) we offer technical remarks. Limitations of our work include the introduction of novel synthetic opioids after many of the reviewed papers were produced, which may affect the dose of naloxone required for effect, high risk of bias and imprecision in the reviewed papers, and the introduction of new naloxone administration devices since many of the reviewed papers were published. Future research should be conducted to evaluate new devices and address the introduction of synthetic opioids.
- Published
- 2019
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27. Is fertility associated with the number of siblings of the couple? Evidence from India.
- Author
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Pradhan MR and Gouda J
- Subjects
- Data Collection, Humans, India, Middle Aged, Socioeconomic Factors, Family Characteristics, Fertility physiology, Siblings
- Abstract
The influence of family on an individual's fertility has long been an important topic of interest in fertility research. Although studies conducted mostly in developed countries found a significant bearing of fertility of the parents on the fertility of the children, there is a lack of formal research around this topic in India. The present study analyses the effect of sibling size of husband and wife on the completed family size of women using information of 5506 ever-married women aged 45-49 years incorporated in the India Human Development Survey-II (2011-2012). Inferential statistics, bivariate, Chi-square and Poisson regression were used as the methods of analysis. The unadjusted estimates of Poisson regression reveal sibling size of women (IRR: 1.02; p < 0.001) and husband (IRR: 1.01; p < 0.001) have a positive correlation with the completed family size of women. However, in the adjusted model, the effect of sibling size especially of husband diminishes gradually in the presence of socio-economic covariates of the women.
- Published
- 2019
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28. Late presentation of an anomalous left coronary artery from the pulmonary artery treated with conservative surgical management with long-term cardiac magnetic resonance imaging follow-up.
- Author
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Gouda P, Gouda J, Butler C, and Welsh RC
- Abstract
Anomalous origin of the left coronary artery from the pulmonary artery is rare congenital abnormality that most commonly presents in childhood and is associated with a high mortality. In the elderly, patients may present acutely with arrhythmias or signs of ischemia or with vague chronic presentations of shortness of breath and fatigue. In the high-risk elderly population, it is unclear as to whether conservative surgical management by means of suture ligation of the left coronary artery is associated with positive long-term outcomes. We present a case of a 69-year-old patient diagnosed with anomalous origin of the left coronary artery from the pulmonary artery, which was treated with conservative surgical management and followed up for 15 years with cardiovascular magnetic resonance imaging, with positive outcomes., Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2017
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29. SELF-REPORTED MORBIDITY AND BURDEN OF DISEASE IN UTTAR PRADESH, INDIA: EVIDENCE FROM A NATIONAL SAMPLE SURVEY AND THE MILLION DEATHS STUDY.
- Author
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Yadav AK, Gouda J, and Ram F
- Subjects
- Adolescent, Adult, Aged, Child, Child, Preschool, Cross-Sectional Studies, Female, Humans, India, Infant, Infant, Newborn, Male, Middle Aged, Young Adult, Cause of Death trends, Cost of Illness, Health Surveys statistics & numerical data, Morbidity trends, Mortality trends, Self Report
- Abstract
Uttar Pradesh is India's most populous state with a population of 200 million. Any change in its fertility and mortality is bound to bring change at the national level. This study analysed the burden of disease in the state by calculating the disability-adjusted life year (DALY) for infectious and non-communicable diseases. Data were from two rounds (52nd and 60th) of the National Sample Survey Organization (NSSO) survey conducted in 1995-96 and 2004, respectively, and the Million Deaths Study (MDS) of 2001-03. Descriptive and multivariate analyses were carried out to identify the determinants of different types of self-reported morbidity and DALY. The results show that in Uttar Pradesh the prevalence of all selected self-reported infectious and non-communicable diseases increased over the study period from 1995 to 2004, and in most cases by more than two times. The highest observed increase in prevalence was in non-communicable diseases excluding CVDs, which increased from 7% in 1995 to 19% in 2004. The prevalence was higher for those aged 60 and above, females, those who were illiterate and rich across the time period and for all selected morbidities. The results were significant at p<0.001. The estimation of the DALY revealed that the burden of infectious diseases was higher during infancy, noticeably among males than females in 2002. However, females aged 1-5 years were more likely to report infectious diseases than corresponding males. The age distribution of the DALY indicated that individuals aged below 5 years and above 60 years were more susceptible to ill health. The growing incidence of non-communicable diseases, especially among the older generation, puts an additional burden on the health system in the state. Uttar Pradesh has to grapple with the unresolved problem of preventable infectious diseases on the one hand and the growth in non-communicable disease on the other.
- Published
- 2016
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30. Indigenous and tribal peoples' health (The Lancet-Lowitja Institute Global Collaboration): a population study.
- Author
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Anderson I, Robson B, Connolly M, Al-Yaman F, Bjertness E, King A, Tynan M, Madden R, Bang A, Coimbra CE Jr, Pesantes MA, Amigo H, Andronov S, Armien B, Obando DA, Axelsson P, Bhatti ZS, Bhutta ZA, Bjerregaard P, Bjertness MB, Briceno-Leon R, Broderstad AR, Bustos P, Chongsuvivatwong V, Chu J, Deji, Gouda J, Harikumar R, Htay TT, Htet AS, Izugbara C, Kamaka M, King M, Kodavanti MR, Lara M, Laxmaiah A, Lema C, Taborda AM, Liabsuetrakul T, Lobanov A, Melhus M, Meshram I, Miranda JJ, Mu TT, Nagalla B, Nimmathota A, Popov AI, Poveda AM, Ram F, Reich H, Santos RV, Sein AA, Shekhar C, Sherpa LY, Skold P, Tano S, Tanywe A, Ugwu C, Ugwu F, Vapattanawong P, Wan X, Welch JR, Yang G, Yang Z, and Yap L
- Subjects
- Adult, Child, Educational Status, Global Health, Humans, Infant, Infant, Low Birth Weight, Infant, Newborn, Obesity ethnology, Population Groups statistics & numerical data, Socioeconomic Factors, Child Nutrition Disorders ethnology, Fetal Macrosomia ethnology, Health Status Disparities, Infant Mortality ethnology, Life Expectancy ethnology, Maternal Mortality ethnology, Pediatric Obesity ethnology, Population Groups ethnology, Poverty ethnology
- Abstract
Background: International studies of the health of Indigenous and tribal peoples provide important public health insights. Reliable data are required for the development of policy and health services. Previous studies document poorer outcomes for Indigenous peoples compared with benchmark populations, but have been restricted in their coverage of countries or the range of health indicators. Our objective is to describe the health and social status of Indigenous and tribal peoples relative to benchmark populations from a sample of countries., Methods: Collaborators with expertise in Indigenous health data systems were identified for each country. Data were obtained for population, life expectancy at birth, infant mortality, low and high birthweight, maternal mortality, nutritional status, educational attainment, and economic status. Data sources consisted of governmental data, data from non-governmental organisations such as UNICEF, and other research. Absolute and relative differences were calculated., Findings: Our data (23 countries, 28 populations) provide evidence of poorer health and social outcomes for Indigenous peoples than for non-Indigenous populations. However, this is not uniformly the case, and the size of the rate difference varies. We document poorer outcomes for Indigenous populations for: life expectancy at birth for 16 of 18 populations with a difference greater than 1 year in 15 populations; infant mortality rate for 18 of 19 populations with a rate difference greater than one per 1000 livebirths in 16 populations; maternal mortality in ten populations; low birthweight with the rate difference greater than 2% in three populations; high birthweight with the rate difference greater than 2% in one population; child malnutrition for ten of 16 populations with a difference greater than 10% in five populations; child obesity for eight of 12 populations with a difference greater than 5% in four populations; adult obesity for seven of 13 populations with a difference greater than 10% in four populations; educational attainment for 26 of 27 populations with a difference greater than 1% in 24 populations; and economic status for 15 of 18 populations with a difference greater than 1% in 14 populations., Interpretation: We systematically collated data across a broader sample of countries and indicators than done in previous studies. Taking into account the UN Sustainable Development Goals, we recommend that national governments develop targeted policy responses to Indigenous health, improving access to health services, and Indigenous data within national surveillance systems., Funding: The Lowitja Institute., (Copyright © 2016 Elsevier Ltd. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
31. Overweight and obesity among women by economic stratum in urban India.
- Author
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Gouda J and Prusty RK
- Subjects
- Adolescent, Adult, Body Mass Index, Female, Humans, India epidemiology, Middle Aged, Obesity epidemiology, Prevalence, Risk Factors, Socioeconomic Factors, Young Adult, Health Surveys methods, Health Surveys statistics & numerical data, Overweight epidemiology, Social Class, Urban Population statistics & numerical data
- Abstract
Using data of the third round of the National Family Health Survey (NFHS) 2005-2006, this study examined the prevalence of overweight and obesity among women from different economic strata in urban India. The study used a separate wealth index for urban India constructed using principal components analysis (PCA). The result shows that prevalence of overweight and obesity is very high in urban areas, more noticeably among the non-poor households. Furthermore, overweight and obesity increase with age, education, and parity of women. The results of multinomial logistic regression show that non-poor women are about 2 and 3 times more at risk of being overweight and obese respectively. Marital status and media exposure are the other covariates associated positively with overweight and obesity. Thus, the growing demand which now appears before the Government or urban health planners is to address this rising urban epidemic with equal importance as given to other issues in the past.
- Published
- 2014
32. 30 More light on the axial structure appearing in relation to the developing somites of chick embryos (Gallus gallus domesticus).
- Author
-
Gouda J
- Published
- 2002
33. Delayed cervical epidural hemorrhage associated with silastic dural implant: case report.
- Author
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Gouda JJ, Brown JA, and Brinker RA
- Subjects
- Dura Mater pathology, Female, Hematoma, Epidural, Cranial diagnosis, Humans, Magnetic Resonance Imaging, Middle Aged, Neurologic Examination, Postoperative Complications diagnosis, Reoperation, Spinal Cord Compression diagnosis, Dura Mater surgery, Hematoma, Epidural, Cranial surgery, Laminectomy, Postoperative Complications surgery, Prostheses and Implants, Silicone Elastomers, Spinal Cord Compression surgery, Spinal Stenosis surgery
- Abstract
Objective and Importance: This is the first report of delayed cervical epidural hemorrhage caused by an onlay silastic graft placed over the dura after laminectomy. There are several reports of intracranial hemorrhage associated with silastic implants in the literature., Clinical Presentation: A 49-year-old woman suddenly developed severe neck pain and quadriplegia during sexual intercourse. A C5-C7 laminectomy had been performed 17 years earlier for cervical stenosis., Intervention: Magnetic resonance imaging showed an epidural mass compressing the cord at the level of the previous laminectomy. Laminectomy was performed within 5 hours of symptom onset. Postoperatively, the patient regained leg strength. After 2 months of physical therapy, she had minimal residual leg rigidity and returned to work., Technique: At surgery, the cervical cord was compressed by a solid fibrous scar surrounding a silastic onlay graft and the dura. An epidural hematoma was beneath the silastic implant. The dense scar tissue, hematoma, and silastic implant were removed., Conclusion: Bleeding associated with silastic sheets starts with movement of this nonadherent implant. The movement disrupts the underlying fine vessels on the surface of an encasing connective tissue membrane. Overgrowth of this membrane can cause mass effect and simulate a tumor, even without associated bleeding, within weeks. Delayed hemorrhage is more common. We recommend removal of these implants electively, especially if a thick membrane surrounding the dura is detected with postcontrast-enhanced magnetic resonance imaging.
- Published
- 1997
- Full Text
- View/download PDF
34. Atypical facial pain and other pain syndromes. Differential diagnosis and treatment.
- Author
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Gouda JJ and Brown JA
- Subjects
- Brain surgery, Chronic Disease, Diagnosis, Differential, Electric Stimulation, Eye Diseases complications, Eye Diseases diagnosis, Facial Pain classification, Facial Pain therapy, Head and Neck Neoplasms complications, Headache etiology, Humans, Musculoskeletal Diseases complications, Musculoskeletal Diseases diagnosis, Personality Disorders etiology, Syndrome, Tooth Diseases complications, Tooth Diseases diagnosis, Trigeminal Neuralgia complications, Facial Pain etiology, Head and Neck Neoplasms diagnosis, Trigeminal Neuralgia diagnosis
- Abstract
Knowledge of each differential diagnosis of prosopalgia is important to any neurosurgeon who treats facial pain. Pain control is possible with treatment specific to the diagnosis, including those forms of facial pain known to be the most difficult to treat. An outline for the management of atypical facial pain, anesthesia dolorosa, and postherpetic neuralgia is presented with a review of the correlative anatomy for each surgical procedure.
- Published
- 1997
35. Malignant brain tumors treated with IORT.
- Author
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Gouda J, Brown J, Carter D, and Dobelbower RR Jr
- Subjects
- Adolescent, Adult, Aged, Brain Neoplasms surgery, Combined Modality Therapy, Female, Humans, Intraoperative Period, Male, Middle Aged, Brain Neoplasms radiotherapy
- Published
- 1997
- Full Text
- View/download PDF
36. Percutaneous balloon compression of the trigeminal nerve.
- Author
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Brown JA and Gouda JJ
- Subjects
- Adult, Aged, Aged, 80 and over, Catheterization, Peripheral adverse effects, Follow-Up Studies, Humans, Middle Aged, Multiple Sclerosis complications, Recurrence, Trigeminal Neuralgia diagnosis, Trigeminal Neuralgia etiology, Catheterization adverse effects, Trigeminal Nerve surgery, Trigeminal Neuralgia therapy
- Abstract
Balloon compression is a simple and effective percutaneous approach for the treatment of classic trigeminal neuralgia or trigeminal neuralgia secondary to multiple sclerosis. The operation injures large myelinated fibers, removing the "trigger" to the presumed ephaptic transmission of pain. Because unmyelinated fibers, which mediate the corneal reflex, are preserved, compression may be of advantage in the treatment of first division pain, since the corneal reflex is mediated by the small unmyelinated fibers. In the author's series of 141 consecutive patients treated by balloon compression, overall recurrence rate was 26%, with 80% of patients experiencing mild numbness postoperatively.
- Published
- 1997
37. Percutaneous balloon compression of the trigeminal nerve for treatment of trigeminal neuralgia.
- Author
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Brown JA, Chittum CJ, Sabol D, and Gouda JJ
- Abstract
The technique of percutaneous balloon compression for treatment of trigeminal neuralgia is demonstrated by using embedded audiovisual kernels. A text-based description with linked images is also provided to accomodate varying computer hardware capabilities. A new needle system for guiding the balloon catheter to the entrance of Meckel's cave and a balloon pressure monitoring system for the procedure is described and demonstrated. Results from a series of 141 consecutive patients treated during the period between 1983 and 1995 indicate an initial success rate of 92%. Fifty-seven percent of patients have postoperative numbness, which is described as mild to moderate by 94% of them. Sixteen percent have ipsilateral masseter-pterygoid weakness after compression. The overall recurrence rate is 26%. A Kaplan-Meier survival curve indicates that 60% of patients are pain free 8 years after surgery without recurrence requiring reoperation. The recurrence rate does not significantly differ from patients with first division pain to patients without first division involvement. An absent corneal reflex has not occurred, nor has anesthesia dolorosa. Balloon compression injures the myelinated fibers that mediate the "trigger" to the lancinating pain of trigeminal neuralgia. Because the corneal reflex is mediated by unmyelinated fibers, selective, monitored compression of myelinated fibers should preserve the corneal reflex when first division pain is present.
- Published
- 1996
- Full Text
- View/download PDF
38. Levels of HIAA and VMA in c.s.f. of schizophrenics before and after treatment.
- Author
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Okasha A, Eid SZ, Bishry Z, Lotaif F, and Gouda JF
- Subjects
- Catecholamines antagonists & inhibitors, Dopamine Antagonists, Electroconvulsive Therapy, Female, Humans, Hydroxyindoleacetic Acid therapeutic use, Male, Narcotic Antagonists, Norepinephrine metabolism, Schizophrenia drug therapy, Schizophrenia therapy, Serotonin metabolism, Hydroxyindoleacetic Acid cerebrospinal fluid, Schizophrenia cerebrospinal fluid, Vanilmandelic Acid cerebrospinal fluid
- Published
- 1978
39. Proceedings: Closure of the neural tube in relation to the developing somites in the chick embryo.
- Author
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Gouda JG
- Subjects
- Animals, Chick Embryo, Gestational Age, Microscopy, Electron, Scanning, Central Nervous System embryology, Embryo, Mammalian physiology, Embryo, Nonmammalian
- Published
- 1974
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