41 results on '"Mulla, Y."'
Search Results
2. On-Surface Amplification of L-Glutamate Using a Patterned Bi-enzymatic System
- Author
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Rand, D. R., Braeken, D., Mulla, Y., Borghs, G., Bartic, C., Magjarevic, Ratko, editor, Dössel, Olaf, editor, and Schlegel, Wolfgang C., editor
- Published
- 2010
- Full Text
- View/download PDF
3. Simulation of the condenser of the seawater greenhouse: Part II: Application of the developed theoretical model
- Author
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Tahri, T., Abdul-Wahab, S. A., Bettahar, A., Douani, M., Al-Hinai, H., and Al-Mulla, Y.
- Published
- 2009
- Full Text
- View/download PDF
4. Simulation of the condenser of the seawater greenhouse: Part I: Theoretical development
- Author
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Tahri, T., Abdul-Wahab, S. A., Bettahar, A., Douani, M., Al-Hinai, H., and Al-Mulla, Y.
- Published
- 2009
- Full Text
- View/download PDF
5. Understanding the neuroprotective effect of tranexamic acid: an exploratory analysis of the CRASH-3 randomised trial
- Author
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Brenner, A., Belli, A., Chaudhri, R., Coats, T., Frimley, L., Jamaluddin, S. F., Jooma, R., Mansukhani, R., Sandercock, P., Shakur-Still, H., Shokunbi, T., Roberts, I., Aeron-Thomas, A., Chaudary, M. A., Jamaluddin, S. F. B., Javaid, K., Kayani, A., Leech, C., Mahmood, K., Noor, J. M., Mejia-Mantilla, J., Moss, P., Pott, J., Vallecilla, L., Hartzenberg, H. B., Joshipura, M., Perel, P., Clarke, M. J., Ohaegbulam, S. C., Rodgers, A., Brady, T., Dewan, Y., Edwards, P., Komolafe, E. O., Arribas, M., Austin, E., Balogun, E., Barneston, L., Barrow, C., Beaumont, D., Benyahia, M., Brooks, I., Cargill, M., Carrington, L., Cook, L., Cornu-Hewitt, B., Geer, A., Gilbert, D., Gilliam, C., Gil-Onandia, J., Hetherington, D., Howe, C., Hughes, C., I'Anson, D., Jackson, R., Joshi, M., Kansagra, S., Kawahara, T., Ker, K., Kostrov, S., Mahmood, A., Miah, H., Ndungu, B., Needham, K., Okusi, C., Outtandy, A., Pardinaz-Solis, R., Pearson, D., Pepple, T., Pisani, C., Prieto-Merino, D., Prowse, D., Quashi, N., Quinn, A., Ramos, M., Reid, M., Roukas, C., Scrapa, G., Squires, C., Tanner, J., Thayne, A., Vidaurre, L., Woods, E., Fawole, B., Adetayo, O., Okunade, O., Gogichaishvili, T., de los Angeles Munoz-Sanchez, M., Olldashi, F., Krishnan, S., Djientcheu, V., Castellanos, J. L., Rasulo, F., Hama, Q., Mulla, Y., Florian, I. S., Tobar, J., Khamis, H., Deasy, C., Wellsh, B., Williams-Johnson, J., Chandra, S., Mutiso, V., Butt, R., Nasir, M. H., Ahmad, S., Aslam, F., Ishaque, K., Usmani, F., Rizvi, S., Ali, F., Sajjad, O., Zunair, A., Rehman, L., Rizvi, R., Javeed, F., Ahmed, S., Abbas, A., Afzal, A., Mikdad, A., Bashir, A., Chaudary, A., Salahuddin, T., Ahemed, B., Aziz, A., Ashraf, N., Hussain, S., Ahmad, U., Asif, M., Adil, M., Rauf, A., Khan, R., Ahmad, B., Afzal, U., Raza, H., Ain, Q., Yaqoob, S., Waseem, Q., Nishat, M., Semvel, S., Iqbal, J., Majeed, S., Zulfiqar, S., Iqbal, M., Majeed, N., Ahmed, M., Akhtar, N., Malik, M., Shehzad, Y., Yousaf, M., Wahid, A., Samad, A., Shah, S., Ali, M., Zeb, J., Khan, A. S., Irfan, A., Sharif, S., Memon, R., Bloom, B., Harris, T., Skene, I., Bellhouse, G., Boulton, O., Ward, G., Jarvis, C., Swann, C., Ratnam, S., Carrera, R., Yakoub, K., Davies, D., Fellows, E., Jarman, H., Rounding, S., Johnson, E., Loughran, C., Lecky, F., Clayton, K., Michael, A., Coumbarides, A., Kendall, J., Faulkner, B., Worner, R., Gendall, E., Hopkins, P., Riozzi, P., Cotton, H., Astin-Chamberlain, R., Wilson, M., Bodnar, J., Williams, R., Rigoni, A., Sattout, A., Fletcher, J., Edge, C., Maryanji, N., Boyle, A., Hardwick, S., Nichols, E., Hayhurst, C., Coffey, F., Gough, C., Miller, P., Ryan, L., Darwent, M., Espinosa, A., Beer, S., Norton, J., Maguire, H., Finney, K., Kehoe, A., Squire, R., Jeffery, A., Vorwerk, C., Foord, D., Wilkinson, E., Kuhrt, A., Ramlakhan, S., Reid, S., Curran, A., Mcmullan, S., Hassan, T., Nuttall, S., Haig, S., Al-Nahhas, S., Bulters, D., Zolnourian, A., Ribbons, T., Mew, I., de Weymarn, T., Hughes, V., Mcvicar, J., Mckiernan, C., Keating, L., Reschreiter, H., Wright, J., Chan, L., Kataria, H., Ireland, A., Body, R., Corfield, A., Francis, S., Townend, W., Gagg, J., Wilson, S., Cottingham, R., Tucker, S., Sutherland, F., Mitchell, L., Parker, L., Afolabi, O., Hunter, F., Jadav, M., Adeboye, K., Grocutt, M., May, G., Watson, D., Wootten, A., Robertshaw, S., Dorrian, S., Perry, R., Choi, H., Mcgroarty, C., Shone, P., Maritz, D., Jamaluddin, S., Noor, J., Rosli, N., Xian, L. L. S., De Jun, Y., Mohamed, F., Song, C. H., Hawari, A., Chin, L. Y., Hussein, H. M., Lotfi, M., Hamid, H., Udin, N., Lian, P., Choo, S., Wong, K., Gani, F., Jusoh, M., Rajakumar, D., Yang, C. B., Dzulkiflee, N. S. B., W. C., Ky, Azman, M. A. B. M., Osman, A. B., Ahmad, A. H., Ismail, R., Lai, S. Q., Mohidin, M. A. B., Deraman, N. B., Selamat, S. B., Abidin, I., Halim, N., Bakar, Z., Ismail, Z. M., Hisham, B., Kamal, R., Effendy, Z., Ismail, M., Azleen, N., Seng, L. Y., Baharuddin, K. A., Kandasamy, R., Kamalludin, A., Asmee, S., Fadzil, M., Basitz, A., Abdullah, N., Ingorokva, G., Ingorokva, S., Agdgomelashvili, I., Mumladze, K., Maisuradze, I., Kugusheva, I., Shalamberidze, B., Tomadze, G., Fernandez-Ortega, J., Seara-Valero, R., Ibanez-Botella, G., Garcia-Martinez, V., Martul, M. G., Ramos, S. F., Preciado, G. L., Garcia-Alfaro, C., Munoz-Sanchez, A., Bellido-Alba, R., Corcobado, C., Bueno, A., Ambros, A., Jimenez, J. T., Ramirez, J. R., Martin, J., Rodriguez, L. I., Fontanals, J., Jimenez-Moragas, J. M., Berbegal, J. P., Oluwole, O., Mahmud, R., Ukwu, N., Bankole, F., Oseni, A., Adebayo, B., Malomo, A., Tiamiyu, L., Adekanmbi, A., Thanni, L., Olubodun, A., Ojeblenu, F., Uwaezuoke, M., Komolafe, E., Owagbemi, O., Ishola, F., Durodola, A., Udoffa, U., James, A., Tella, A., Dongo, A., Ekpemiro, U., Anyanwu, S., Aigoro, N., Mezue, W., Shilong, D., Azeez, A., Babalola, O., Ibrahim, M., Obande, J., Franco, A. C., Salazar, E. V., Londono, S. B., Cardona, V. M., Morales, C., Naranjo, S., Agudelo, J., Carvajal, S., Fajardo-Gaviria, Y., Roka, Y., Ghising, U., Roka, N., Shrestha, M., Devkota, U., Vaidya, B., Nepal, P., Thapa, A., Kc, B., Shrestha, A., Jha, R., Shrestha, P., Hodaj, I., Spaho, E., Selaj, A., Bendo, N., Shoko, T., Endo, H., Senda, A., Hagihara, Y., Fuse, T., Masunaga, N., Otomo, Y., Egashira, R., Ohnuki, T., Almazmi, A., Saha, S., Suvarov, A., Aung, T. L., Tun, K. M., Khaing, T. T., Maw, T., Ndome, O., Moumi, M., Mbida, A., Fondop, J., Sebastien, M., Azim, A., Adil, J., Amiry, Z., Loria-Castellanos, J., Rubio, N. G., Leon, P. O., Estrada, F., de Oca-Garcia, E. M., Sanchez, H., Soria, A., Bonucci, P., Franchi, F., Girardini, A., Hameed, H., Basim, M., Stock, S., Hourt, E., Ilunga, A., Mulenga, J., Ples, H., Danil, A., Gorgan, M., Florian, I., Vlahovic, D., French, J., East, J., Kurniawan, A., and Kiboi, J.
- Subjects
medicine.medical_specialty ,Tranexamic acid ,Traumatic brain injury ,Epidemiology ,Critical Care and Intensive Care Medicine ,Placebo ,CRASH-3 trial ,Neuroprotection ,Intracranial haemorrhage ,law.invention ,Emergence care ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Internal medicine ,Medicine ,Humans ,030212 general & internal medicine ,Randomised controlled trial ,business.industry ,Multiple Trauma ,Research ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,030208 emergency & critical care medicine ,lcsh:RC86-88.9 ,Protective Factors ,medicine.disease ,Polytrauma ,Antifibrinolytic Agents ,3. Good health ,Neuroprotective Agents ,Relative risk ,Brain Injuries ,business ,medicine.drug - Abstract
Background The CRASH-3 trial hypothesised that timely tranexamic acid (TXA) treatment might reduce deaths from intracranial bleeding after traumatic brain injury (TBI). To explore the mechanism of action of TXA in TBI, we examined the timing of its effect on death. Methods The CRASH-3 trial randomised 9202 patients within 3 h of injury with a GCS score ≤ 12 or intracranial bleeding on CT scan and no significant extracranial bleeding to receive TXA or placebo. We conducted an exploratory analysis of the effects of TXA on all-cause mortality within 24 h of injury and within 28 days, excluding patients with a GCS score of 3 or bilateral unreactive pupils, stratified by severity and country income. We pool data from the CRASH-2 and CRASH-3 trials in a one-step fixed effects individual patient data meta-analysis. Results There were 7637 patients for analysis after excluding patients with a GCS score of 3 or bilateral unreactive pupils. Of 1112 deaths, 23.3% were within 24 h of injury (early deaths). The risk of early death was reduced with TXA (112 (2.9%) TXA group vs 147 (3.9%) placebo group; risk ratio [RR] RR 0.74, 95% CI 0.58–0.94). There was no evidence of heterogeneity by severity (p = 0.64) or country income (p = 0.68). The risk of death beyond 24 h of injury was similar in the TXA and placebo groups (432 (11.5%) TXA group vs 421 (11.7%) placebo group; RR 0.98, 95% CI 0.69–1.12). The risk of death at 28 days was 14.0% in the TXA group versus 15.1% in the placebo group (544 vs 568 events; RR 0.93, 95% CI 0.83–1.03). When the CRASH-2 and CRASH-3 trial data were pooled, TXA reduced early death (RR 0.78, 95% CI 0.70–0.87) and death within 28 days (RR 0.88, 95% CI 0.82–0.94). Conclusions Tranexamic acid reduces early deaths in non-moribund TBI patients regardless of TBI severity or country income. The effect of tranexamic acid in patients with isolated TBI is similar to that in polytrauma. Treatment is safe and even severely injured patients appear to benefit when treated soon after injury. Trial registration ISRCTN15088122, registered on 19 July 2011; NCT01402882, registered on 26 July 2011.
- Published
- 2020
6. On-Surface Amplification of L-Glutamate Using a Patterned Bi-enzymatic System
- Author
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Rand, D. R., primary, Braeken, D., additional, Mulla, Y., additional, Borghs, G., additional, and Bartic, C., additional
- Published
- 2009
- Full Text
- View/download PDF
7. The Cell: Strong, Soft Matter
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Mulla, Y., Koenderink, G.H., Physics of Living Systems, and LaserLaB
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biological soft matter ,cell mechanics ,fracture ,Synthetic cell ,catch bonds ,glassy rheology ,viscoelasticity - Published
- 2019
8. EHMTI-0304. Headache determines quality of life in idiopathic intracranial hypertension
- Author
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Sinclair, A, Mulla, Y, Markey, K, Mitchell, J, and Patel, S
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- 2014
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9. Predictive Risk Factors for Lymph Node Metastases in Patients with Resected Non-Small Lung Cancer: Single-center Experience
- Author
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Mulla, Y., additional, Krämer, S., additional, Doenst, T., additional, Steinert, M., additional, and Eichfeld, U., additional
- Published
- 2018
- Full Text
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10. Primary Malignant Bone Tumours at the University Teaching Hospital in Lusaka Zambia
- Author
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Sakala, D, Munthali, JC, and Mulla, Y
- Abstract
Introduction: Primary malignant bone tumours include malignancies arising primarily from bone tissue. This is opposed to secondary bone tumours in which case the neoplastic elements arise primarily from other sites within the body and secondarily spread to bone. Primary malignant bone tumours are generally considered rare. Wherever primary malignant bone tumours occur they tend to pose serious challenges in terms of diagnosis, management and morbidity and mortality. However there is a lack of organised local information demonstrating the burden of disease resulting from these tumours.Objectives: The main objective of this study was to establish the pattern of primary malignant bone tumour distribution at the UTH. The specific objectives of the study included to: Outline of the socio-demographic characteristics of patients, determining the frequency of primary malignant bone tumours at UTH and the hospital prevalence of primary malignant bone tumours including their histological distribution and the clinical presentation.Materials and Methods: A retrospective cross-sectional survey of patients who presented to The University Teaching Hospital (UTH), Lusaka, Zambia with histologically confirmed primary malignant bone tumours was conducted for the period from the 1st of January 2008 to the 31st of December 2012.Results: There were a total of hundred and fifty three (153) patients seen in total. Sixty six (43%) were females while 87 (57%) were males. The age range was 3yrs to 78yrs. The mean age was 31.6 yrs. Sixty nine percent (69%) of the patients were aged 40 years and below. The age distribution of primary malignant bone tumours showed a bimodal pattern of distribution with peaks in the second and sixth decades of life. The majority (35%) of the patients reported Lusaka Province as their domicile, while the least (2.0%) hailed from North Western Province. The highest number of patients, 39 (25.5%) was recorded in 2012 and the lowest number 20 (13%) was recorded in 2011. Based on National Cancer Registry data, from 2008 to 2011, the overall proportion of patients with primary malignant bone tumours compared to all the other cancers recorded at UTH ranged between 1.7 to 2.8%. The majority, 84 (55.3%), of the patients had osteosarcoma, followed, in descending order, by multiple myeloma 42 (27.6%), chondrosarcoma 11 (7.2%), Ewing’s sarcoma 8 (5.3%), fibrosarcoma 3 (2.0%) and lymphoma 2 (1.3%). The majority of patients (35.5%) reported pain and swelling alone as a presenting complaint while 19.8% of the patients presented with pathological fractures. The single and most commonly reported anatomical site was from multiple myeloma which has a general skeletal involvement (27%); the second most commonly involved site was the femur 23.7%, followed by the tibia 17.1%, and the humerus 7.5%.Conclusion: Notwithstanding the inconclusive nature of the information on geographic distribution of tumours, the findings in the study paralleled those reported in literature.Key words: Malignant Bone Tumour, Bone Neoplasms, Zambia.
- Published
- 2016
11. Review of CD Rom: The Virtual Surgeon: ACL Reconstruction
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Mulla, Y
- Abstract
THE VIRTUAL SURGEON: ACL RECONSTRUCTIONProfessor George Bentley ChM FRCS, Russell E LVindsor MD,Mr Andrew Williams FRCS(0rth); 4150 + VAT(UK)The Virtual Surgeon - 3D Anatomy of the Knee 469 + VAT(UK).TVF Multimedia Ltd, 375 City Road, London, EClV lNB, UK
- Published
- 2016
12. ANALYSIS OF MICROCLIMATE AND CUCUMBER FRUIT YIELD IN A SCREENHOUSE AND AN EVAPORATIVELY COOLED GREENHOUSE IN A SEMI-ARID LOCATION.
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Al-Mulla, Y. A., Al-Balushi, M., Al-Busaidi, H., Al-Mahdouri, A., Kittas, C., and Katsoulas, N.
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CUCUMBER growing , *GREENHOUSE gases , *VAPOR pressure , *CUCUMBER industry , *AGRICULTURAL productivity - Abstract
The microclimate and cucumber crop response in a screenhouse and in an evaporatively cooled greenhouse were studied in Oman during winter/spring and spring/summer cultivation periods. Measurements were carried out in two similarly shaped structures: (1) a greenhouse equipped with a pad-and-fan system for evaporative cooling of the greenhouse environment and (2) a screenhouse with no cooling system. Analysis of the spring/summer period climate data showed that the evaporative cooling in the greenhouse reduced the mean air temperature by about 4.5°C compared to outside and maintained the leaf temperature close to the greenhouse air temperature. The 24 h mean leaf and air temperatures in the greenhouse reached 25.8°C ±1.3°C and 25.9°C ±0.8°C, respectively. On the other hand, the 24 h mean leaf and air temperatures in the screenhouse were higher by 1.0°C and 1.3°C, respectively, compared to outside. The 24 h mean leaf and air temperatures in the screenhouse reached 32.8°C ±1.2°C and 31.8°C ±1.5°C, respectively. Furthermore, the evaporative cooling in the greenhouse maintained the 24 h mean air vapor pressure deficit (VPD) values at levels lower than 1.1 kPa, while the 24 h mean air VPD in the screenhouse reached values up to 4.5 kPa. These differences resulted in a 50% decrease in crop fruit yield during the spring/summer period. The radiation and water use efficiency (WUE) values observed in the two structures were similar during the winter/spring period but were higher in the greenhouse during the spring/summer period. However, for the greenhouse, when the water evaporated in the wet pad was also considered, the overall WUE was at the same level in both structures during summer. Furthermore, the evaporative cooling applied in the greenhouse enhanced the mean values of fruit quality characteristics measured during the spring/summer, such as fruit dry matter content (5.6%), fruit firmness (5.0 kg cm-2), and chroma (18.6), compared to that of the screenhouse (5.0%, 4.9 kg cm-2 and 16.3, respectively), but did not significantly affect other fruit quality characteristics, such as mean fruit weight (128 g for greenhouse and 123 g for screenhouse), total soluble solids content (3.9 °Brix for both structures), and juice pH (5.7 for greenhouse and 5.6 for screenhouse). Overall, it can be concluded that under the weather conditions of Oman, although greenhouses are still needed during spring/summer, screenhouses can be used during winter without jeopardizing crop production quantity and quality. [ABSTRACT FROM AUTHOR]
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- 2018
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13. Baroreflex Activation Therapy in Resistant Arterial Hypertension: Results from Updated Prospective Ambulatory Blood Pressure Follow-up Registry.
- Author
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Mulla, Y., Krämer, S., Doenst, T., Steinert, M., and Eichfeld, U.
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BAROREFLEXES , *THERAPEUTICS , *HYPERTENSION , *AMBULATORY blood pressure monitoring , *DRUG resistance , *FOLLOW-up studies (Medicine) - Published
- 2018
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14. Joint replacement in Zambia: A review of Hip & Knee Replacement surgery done at the Zambian-Italian Orthopaedic Hospital
- Author
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Mulla, Y, Munthali, J, Makasa, E, and Kayumba, K
- Abstract
Background: Incidence of major joint replacement surgery is on the rise in Africa but this trend has not been matched by proper audits in the form of National Joint Registries.Objective: This paper presents the short-term findings from a joint replacement register started at the Zambian-Italian Orthopaedic Hospital (ZIOH) in Lusaka and compares the variables entered in this register with those captured in the Malawian National Joint Register for purposes of synchronizing these in the near future in the East, Central and Southern African region .Methods: Data captured by the different variables entered into the Joint Register covering the pre-op, intra-op and post-op period of all total hip and knee replacement surgery done at the ZIOH from 1998 to 2010 was entered into a spreadsheet after verification with individual patient medical records. This was then imported into spss for analysis yielding the following results.Results: 44 total hips and seven total knee replacement operations were done on 46 patients, 59% of which were female and 41% male. The average age was 58 years. The HIV sero-status of 86.3% was unknown. 36 (70.6%) of the patients had primary osteoarthritis as the diagnosis with pain and joint stiffness being the indication for surgery. Three consultants and one senior registrar did the operations mainly using the Hardinge approach to the hip. 43 (84.3%) were primary Total Hip replacement with only one revision. The 28mm hip head size was the commonest fitted with most patients, 48 (94.1%) being functionally mobile at six weeks post operation.Conclusion: This audit clearly shows a rising trend of major joint replacement over the years and highlights the gaps in variables entered into the ZIOH joint register such as HIV status. It also helps us recognize the need for setting up a National Joint Register that is comparable to others that have been set up in the region such as is the case in Malawi which is key in improving orthopaedic training and patient care.Keywords: Joint replacement, National Joint Register, HIV
- Published
- 2012
15. The Use of Solar Energy in the Desalination Sea Water in Agricultural Greenhouse
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Tahri, T, primary, Bettahar, A, additional, Douani, M, additional, Al Sulaiman Abdul-Wahab, S, additional, Al-Hinai, H, additional, and Al Mulla, Y, additional
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- 2015
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16. Integrating GIS and Numeric Weather Prediction Model with Wheat Simulation Model for Optimal Wheat Production Locations in Arid Regions
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Al-Habsi, R., primary, Al-Mulla, Y. A., primary, Charabi, Y., primary, Al-Busaidi, H., primary, and Al-Belushi, M., primary
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- 2015
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17. Increasing water productivity enhances water saving for date palm cultivation in Oman.
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Al-Mulla, Y. A. and Al-Gheilani, H. M.
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DATE palm , *WATER conservation , *TILLAGE , *SUSTAINABLE agriculture , *IRRIGATION water , *CULTIVARS - Abstract
The total amount of water consumption needed to irrigate the cultivated lands in the Sultanate Oman is 1487 Mm³. There are 7.6 million date palm trees currently planted in the farms in Oman covering an area of 23241 hectares or 35% of total agricultural area in the Sultanate in addition to 0.9 million palm trees planted in homes or for landscaping in public parks and beside the roads. Hence, among all cultivated crops in Oman, date palms are the major water consuming plants. They consume 558 Mm³ that is 38% of total irrigation water and 31% of groundwater recharge that suffers an annual water deficit estimated at 316 Mm Keywords: Water productivity; irrigation water; economical return; date palm trees; Oman. These findings framed the main objectives of this study: (1) to describe the current status of date palm tree cultivation in the Sultanate; (2) to suggest solutions to reduce high consumption of water while improve dates production; and (3) to explore how irrigation water can be saved through increasing water productivity through alternative date palm cultivation and irrigation practices. The water saving recommendation in this study was based on the collected from different sources in addition to the investigation on the water loss during irrigation practices. We found that it is possible to save a total of 396 Mm³ of irrigation water by for instance reducing the cultivation of low quality/value date palm varieties and switching to modern over traditional irrigation systems. It is also important to determine the quality and value of the date palm cultivars to be planted in the proposed reduced area which will then contribute to an increased financial return for the farmers and thus to the country through increasing the water productivity by 64% of these new plots. [ABSTRACT FROM AUTHOR]
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- 2017
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18. Integrating GIS and numeric weather prediction model with wheat simulation model for optimal wheat production locations in arid regions.
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Al-Habsi, R., Al-Mulla, Y. A., Charabi, Y., Al-Busaidi, H., and Al-Belushi, M.
- Published
- 2015
19. MODELING HEAT EXCHANGE IN THE CONDENSER OF A SEAWATER GREENHOUSE IN OMAN
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Douani, M., primary, Tahri, T., additional, Abdul-Wahab, S. A., additional, Bettahar, A., additional, Al-Hinai, H., additional, and Al-Mulla, Y., additional
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- 2011
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20. Desalination of seawater using a humidification-dehumidification seawater greenhouse
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Tahri, T., primary, Abdul-Wahab, S.A., additional, Bettahar, A., additional, Douani, M., additional, Al-Hinai, H., additional, and Al-Mulla, Y., additional
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- 2009
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21. Commercial-Scale Synthesis of Protected 2′-Deoxycytidine and Cytidine Nucleosides
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Divakar, Kikkeri J., primary, Sawant, Chitra M., additional, Mulla, Y. A., additional, Zemse, Deepak V., additional, Sitabkhan, Sakina M., additional, Ross, Bruce S., additional, and Sanghvi, Yogesh S., additional
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- 2004
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22. Medical students' clerkship experiences and self-perceived competence in clinical skills.
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Katowa-Mukwato, P., Andrews, B., Maimbolwa, M., Lakhi, S., Michelo, C., Mulla, Y., and Banda, S. S.
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MEDICAL students ,CURRICULUM planning ,MEDICAL personnel ,EDUCATION - Abstract
Introduction. In a traditional curriculum, medical students are expected to acquire clinical competence through the apprenticeship model using the Halstedian 'see one, do one, and teach one' approach. The School of Medicine, University of Zambia, Lusaka, Zambia, used a traditional curriculum model from 1966 until 2011, when a competence-based curriculum was implemented. Objective. To explore medical students' clerkship experiences and self-perceived competence in clinical skills. Methods. A cross-sectional survey was conducted among 5th-, 6th-, and 7th-year medical students at the School of Medicine, University of Zambia, two months before the final examinations. Students were asked to rate their clerkship experiences with regard to specific skills on a scale of 1 - 4 and their level of self-perceived competence on a scale of 1 - 3. Skills evaluated were in four main domains: history-taking and communication, physical examination and procedural skills, professionalism, teamwork and medical decision-making. Using the Statistical Package for the Social Sciences (SPSS), correlations were performed between experiences and self-perceived competence of specific skills, within domains and overall. Results. Of clinical students (N=197), 138 (70%) participated in the survey. The results showed a significant increase in the proportion of students performing different skills and reporting feeling very competent with each additional clinical year. Overall correlations between experience and self-perceived competence were moderate (0.55). For individual skills, the highest correlation between experience and self-perceived competence was observed mainly with regard to medical- and surgical-related procedural skills, with the highest at 0.82 for nasogastric tube insertion and 0.76 for endotracheal intubation. Conclusion. Despite the general improvement in skills and self-perceived competence some deficiencies were noted, as significant numbers of final-year students had never attempted important common procedures, especially those performed in emergency situations. Deficiencies in certain skills may call for the incorporation of teaching/learning methods that broaden students' exposure to such skills. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
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23. MODELING THE EMERGENCE OF WINTER WHEAT IN RESPONSE TO SOIL TEMPERATURE, WATER POTENTIAL, AND PLANTING DEPTH.
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Al-Mulla, Y. A., Huggins, D. R., and Stöckle, C. O.
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SOIL temperature , *ARID regions agriculture , *SEEDLINGS , *SOIL moisture , *WHEAT varieties - Abstract
Seedling emergence is a critical stage in wheat (Triticum aestivum L.) establishment, particularly in dryland agriculture. Soil temperature, water potential, and planting depth are important factors influencing emergence. These factors can have considerable spatio-temporal variation, making it difficult to predict the timing and percentage of wheat seedling emergence. Our objectives were to: (1) measure the effect of soil temperature, water potential, and planting depth on seedling emergence of winter wheat; and (2) develop a population-based hydrothermal model to estimate time and percentage of winter wheat emergence planted at a given soil depth. The experiment was a 3 (wheat cultivars) x 3 (planting depths) x5 (temperatures) x5 (water potentials) factorial in a randomized complete block design (RCBD) with three replicates. Decreasing soil water potential from 0 to -1 MPa delayed emergence of Moro, Buchanan, and Rod by 13, 14, and 18 days after planting and prolonged the time to reach maximum emergence by 19, 21, and 27 days after planting, respectively. Decreasing soil temperature from 25°C to 5°C delayed the average starting emergence of the three wheat cultivars by 19 days and delayed their average maximum emergence by 25 days after planting. Increasing soil planting depth from 5 to 10 cm delayed starting emergence time for Moro, Buchanan, andRod by 6, 4, and 7 days, while maximum emergence was delayed by 12, 16, and 9 days after planting, respectively. Increasing the planting depth from 5 to 15 cm hindered the three cultivars from reaching 50% emergence. A hydrothermal time emergence model was developed that estimated observed emergence with 154 out of 207 data points having a root mean square error (RMSE) of<15%, whereas 19% of the simulated results did not exceed 19% RMSE and only 7% of the simulated data had RMSE greater than 20%. The simulations of the emergence model for maximum percent seedling emergence (Emax) and number of days after planting to reach maximum emergence (DAPmax) were compared with field data for three years and two cultivars (Rod and Moro). The emergence model gave reasonably good simulations of Emax and DAPmax for both winter wheat cultivars and in the three years of sowing dates. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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24. Commercial-Scale Synthesis of Protected 2′-Deoxycytidine and Cytidine Nucleosides.
- Author
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Divakar, Kikkeri J., Sawant, Chitra M., Mulla, Y. A., Zemse, Deepak V., Sitabkhan, Sakina M., Ross, Bruce S., and Sanghvi, Yogesh S.
- Subjects
PYRIMIDINE nucleotides ,NUCLEOSIDES ,URIDINE ,NUCLEOTIDES - Abstract
Transformation of 2′-deoxyuridine and uridine analogs to protected 2′-deoxycytidine and cytidine analogs has been investigated by two different methods. First, traditional triazolation protocol and second p-nitrophenoxylation method. Our studies conclude that the triazolation method is better and suitable for commercial scale--up. [ABSTRACT FROM AUTHOR]
- Published
- 2003
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25. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) a randomised, placebo-controlled trial
- Author
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Olldashi, F., Kerçi, M., Zhurda, T., Ruçi, K., Banushi, A., Traverso, M. S., Jiménez, J., Balbi, J., Dellera, C., Svampa, S., Quintana, G., Piñero, G., Teves, J., Seppelt, I., Mountain, D., Balogh, Z., Zaman, M., Druwé, P., Rutsaert, R., Mazairac, G., Pascal, F., Yvette, Z., Chancellin, D., Okwen, P., Djokam-Liapoe, J., Jangwa, E., Mbuagbaw, L., Fointama, N., Pascal, N., Baillie, F., Jiang, J. -Y, Gao, G. -Y, Bao, Y. -H, Morales, C., Sierra, J., Naranjo, S., Correa, C., Gómez, C., Herrera, J., Caicedo, L., Rojas, A., Pastas, H., Miranda, H., Constaín, A., Perdomo, M., Muñoz, D., Duarte, Á, Vásquez, E., Ortiz, C., Ayala, B., Delgado, H., Benavides, G., Rosero, L., Mejía-Mantilla, J., Varela, A., Calle, M., Castillo, J., García, A., Ciro, J., Villa, C., Panesso, R., Flórez, L., Gallego, A., Puentes-Manosalva, F., Medina, L., Márquez, K., Romero, A. R., Hernández, R., Martínez, J., Gualteros, W., Urbina, Z., Velandia, J., Benítez, F., Trochez, A., Villarreal, A., Pabón, P., López, H., Quintero, L., Rubiano, A., Tamayo, J., Piñera, M., Navarro, Z., Rondón, D., Bujan, B., Palacios, L., Martínez, D., Hernández, Y., Fernández, Y., Casola, E., Delgado, R., Herrera, C., Arbolaéz, M., Domínguez, M., Iraola, M., Rojas, O., Enseñat, A., Pastrana, I., Rodríguez, D., La Campa, S. Á, Fortún, T., Larrea, M., Aragón, L., Madrazo, A., Svoboda, P., Izurieta, M., Daccach, A., Altamirano, M., Ortega, A., Cárdenas, B., González, L., Ochoa, M., Ortega, F., Quichimbo, F., Guiñanzaca, J., Zavala, I., Segura, S., Jerez, J., Acosta, D., Yánez, F., Camacho, R., Khamis, H., Shafei, H., Kheidr, A., Nasr, H., Mosaad, M., Rizk, S., El Sayed, H., Moati, T., Hokkam, E., Amin, M., Lowis, H., Fawzy, M., Bedir, N., Aldars, M., Rodríguez, V., Tobar, J., Alvarenga, J., Shalamberidze, B., Demuria, E., Rtveliashvili, N., Chutkerashvili, G., Dotiashvili, D., Gogichaishvili, T., Ingorokva, G., Kazaishvili, D., Melikidze, B., Iashvili, N., Tomadze, G., Chkhikvadze, M., Khurtsidze, L., Lomidze, Z., Dzagania, D., Kvachadze, N., Gotsadze, G., Kaloiani, V., Kajaia, N., Dakubo, J., Naaeder, S., Sowah, P., Yusuf, A., Ishak, A., Selasi-Sefenu, P., Sibiri, B., Sarpong-Peprah, S., Boro, T., Bopaiah, K., Shetty, K., Subbiah, R., Mulla, L., Doshi, A., Dewan, Y., Grewal, S., Tripathy, P., Mathew, J., Gupta, B., Lal, A., Choudhury, M., Gupta, S., Chug, A., Pamidimukkala, V., Jagannath, P., Maharaj, M., Vommi, R., Gudipati, N., Chhang, W. H., Patel, P., Suthar, N., Banker, D., Patel, J., Dharap, S., Kamble, R., Patkar, S., Lohiya, S., Saraf, R., Kumar, D., Parihar, S., Gupta, R., Mangual, R., Alagumuthu, Kooper, D., Mohapatra, C., David, S., Rajaleelan, W., Pangi, A., Saraf, V., Chikareddy, S., Mankar, S., Golhar, A., Sakhare, R., Wagh, N., Hazarika, D., Chaudhuri, P., Ketan, P., Purohit, G., Purohit, Y., Pandya, M., Kiran, S., Walia, S., Goyal, S., Attri, A., Sharma, R., Oberai, A., Oberai, M., Oberoi, S., Tripathi, G. K., Peettakkandy, V., Karuthillath, P., Vadakammuriyil, P., Pol, J., Pol, S., Saste, M., Raul, S., Tiwari, S., Nelly, N., Chidambaram, M., Kollengode, V., Thampan, S., Rajan, S., Raju, S., Babu, S. V., Sumathi, C., Chatterjee, P., Agarwal, A., Magar, H., Magar, M., Singh, M., Gupta, D., Haloi, K., Sagdeo, V., Giri, P., Verma, N., Jariwala, R., Goti, A., Prabhu-Gaonkar, A., Utagi, S., Joshi, M., Agrawal, R., Sharma, G., Saini, G., Tewari, V., Yadav, Y., Parihar, V., Venkataramana, N., Rao, S., Reddy, N., Chander, S. G., Hathila, V., Das, V., Agaja, K., Purohit, A., Lahari, A., Bhagchandani, R., Vidyasagar, B., Sachan, P. K., Das, T., Vyas, S., Bhattacharjee, S., Sancheti, P., Manoj, T., Moideen, M., Pansey, K., Chandrasekaran, V. P., Saikia, K., Tata, H., Vhora, S., Shah, A., Rangad, G., Rajasekaran, S., Shankarlal, S. T., Devadoss, S., Saleem, M., Pillay, H., Hazarika, Z., Deshmukh, P., Murugappan, S. P., Jaiswal, A., Vangani, D., Modha, P., Chonzik, C., Praveen, M., Sethurayar, V., Ipe, S., Shetty, N., Gupta, R. P., Jain, V., Shah, K., Dwikoryanto, M., Golden, N., Atmadjaya, K., Wiargitha, K., Sudiasa, K., Suwedagatha, G., Bal Afif, F., Budipramana, V., Tabrani, Lemuel, A., Chandra, S., Ama, F., Sherafatkazemzadeh, E., Moradi, E., Sheikhi, A., Ziaee, A., Fanaei, A., Hajinasrollah, E., Amini, A., Mohammad, B., Hadi, N., Perone, G., Peri, E., Volpi, A., Johnson, J., Abe, M., Mutiso, V., Okanga, B., Ojuka, D., Abdullah, B., Rahman, H., Noh, Y., Jamaluddin, S., Dawal, H., Roslani, A., Law, C. -W, Devashanti, P., Wahab, Y., Velaiutham, S., Dato, R., Loría, J., Montes, E., Gómez, E., Cazales, V., Bautista, P., Bautista, R., Ahumada, D., Hernández, E., Velásquez, G., Ortega, P., Lira, G., Estrada, F., Casasola, J., Olaomi, O., Abubakar, Y., Apollo, K., Badejo, O., Ihekire, O., Iribhogbe, P., Oludiran, O., Obeta, E., Okojie, C., Udefiagbon, E., Komolafe, E., Olaleye, P., Uzochukwu, T., Onakpoya, U., Dongo, A., Uhunmwagho, O., Eighemerio, E., Morgan, E., Thanni, L., Afolabi, A., Akinola, T., Ademola, A., Akute, O., Khalid, L., Abubakar, L., Aminu, M., Ogirima, M., Attansey, A., Michael, D., Aremu, O., Olugbenga, O., Ukpong, U., Salman, Y., Obianyo, N., Ani, C., Ezeadawi, R., Kehinde, O., Olaide, A., Jogo, A., Bitto, T., Anyanwu, S., Mbonu, O., Oludara, M., Somoye, M., Shehu, B., Ismail, N., Katchy, A., Ndoma-Egba, R., Grace-Inah, N., Songden, Z., Abdulraheem, A., Otu, A., Nottidge, T., Inyang, D., Idiapho, D., Giebel, H., Hassan, R., Adisa, A., Akinkuolie, A., Okam, K., Musa, A., Falope, I., Eze, J., Caballero, J., Azabache, W., Salirrosas, O., Soto, A., Torres, E., Ramírez, G., Malca, C., Velez, J., Yepez, R., Yupanqui, H., Lagos, P., Rodriguez, D., Flores, J., Moya, A., Barrionuevo, A., Gonzales-Portillo, M., Nunez, E., Eldawlatly, A., Al Naami, M., Delvi, B., Khalid, K., Alyafi, W., Djurovic, B., Ng, I., Yaghi, A., Laincz, A., Trenkler, S., Valky, J., Modiba, M., Legodi, P., Rangaka, T., Wallis, L., Muñoz, Á, Serrano, A., Misis, M., Rubi, M., La Torre, V., Ellawala, R., Wijeratna, S., Gunaratna, L., Wijayanayaka, C., Nungu, K., Billy Haonga, Mtapa, G., Yutthakasemsunt, S., Kittiwattanagul, W., Piyavechvirat, P., Impool, T., Thummaraj, S., Salaeh, R., Tangchitvittaya, S., Wattanakrai, K., Soonthornthum, C., Jiravongbunrod, T., Meephant, S., Subsompon, P., Pensuwan, P., Chamnongwit, W., Jerbi, Z., Cherif, A., Nash, M., Harris, T., Banerjee, J., Freij, R., Kendall, J., Moore, S., Townend, W., Cottingham, R., Becker, D., Lloyd, S., Burdett-Smith, P., Mirza, K., Webster, A., Brady, S., Grocutt, A., Thurston, J., Lecky, F., Goodacre, S., Mulla, Y., Sakala, D., and Chengo, C.
26. Soil water and temperature in chemical versus reduced-tillage fallow in a mediterranean climate
- Author
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Al-Mulla, Y. A., Wu, J. Q., Singh, P., Markus Flury, Schillinger, W. F., Huggins, D. R., and Stöckel, C. O.
27. Invade to evade: E. coli's gutsy survival strategies.
- Author
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Mulla Y and Bollenbach T
- Subjects
- Animals, Mice, Intestines, Bacteria, Drug Resistance, Microbial, Escherichia coli genetics, Anti-Bacterial Agents pharmacology
- Abstract
Antibiotic resistance is often studied in vitro, limiting the understanding of in vivo mechanisms that affect antibiotic treatment. In this issue of Cell Host & Microbe, Rodrigues et al. show that specific mutations allow bacteria to invade intestinal cells in a mouse model, thereby evading antibiotic treatment., Competing Interests: Declaration of interests The authors declare no competing interests., (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Published
- 2024
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- View/download PDF
28. Weak catch bonds make strong networks.
- Author
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Mulla Y, Avellaneda MJ, Roland A, Baldauf L, Jung W, Kim T, Tans SJ, and Koenderink GH
- Subjects
- Protein Binding, Actins
- Abstract
Molecular catch bonds are ubiquitous in biology and essential for processes like leucocyte extravasion
1 and cellular mechanosensing2 . Unlike normal (slip) bonds, catch bonds strengthen under tension. The current paradigm is that this feature provides 'strength on demand3 ', thus enabling cells to increase rigidity under stress1,4-6 . However, catch bonds are often weaker than slip bonds because they have cryptic binding sites that are usually buried7,8 . Here we show that catch bonds render reconstituted cytoskeletal actin networks stronger than slip bonds, even though the individual bonds are weaker. Simulations show that slip bonds remain trapped in stress-free areas, whereas weak binding allows catch bonds to mitigate crack initiation by moving to high-tension areas. This 'dissociation on demand' explains how cells combine mechanical strength with the adaptability required for shape change, and is relevant to diseases where catch bonding is compromised7,9 , including focal segmental glomerulosclerosis10 caused by the α-actinin-4 mutant studied here. We surmise that catch bonds are the key to create life-like materials., (© 2022. The Author(s), under exclusive licence to Springer Nature Limited.)- Published
- 2022
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29. A Window into Evergreen 2021 from the Next Generation of Phage Researchers.
- Author
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Mulla Y, Enriquez K, Taslem Mourosi J, Muscat K, and Shamash M
- Published
- 2021
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30. Response of an actin network in vesicles under electric pulses.
- Author
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Perrier DL, Vahid A, Kathavi V, Stam L, Rems L, Mulla Y, Muralidharan A, Koenderink GH, Kreutzer MT, and Boukany PE
- Subjects
- Actin Cytoskeleton chemistry, Animals, Biomimetics, CHO Cells, Cell Membrane, Cell Membrane Permeability, Cricetinae, Cricetulus, Electricity, Humans, Kinetics, Microscopy, Confocal, Normal Distribution, Rabbits, Actins chemistry, Electroporation methods, Unilamellar Liposomes chemistry
- Abstract
We study the role of a biomimetic actin network during the application of electric pulses that induce electroporation or electropermeabilization, using giant unilamellar vesicles (GUVs) as a model system. The actin cortex, a subjacently attached interconnected network of actin filaments, regulates the shape and mechanical properties of the plasma membrane of mammalian cells, and is a major factor influencing the mechanical response of the cell to external physical cues. We demonstrate that the presence of an actin shell inhibits the formation of macropores in the electroporated GUVs. Additionally, experiments on the uptake of dye molecules after electroporation show that the actin network slows down the resealing process of the permeabilized membrane. We further analyze the stability of the actin network inside the GUVs exposed to high electric pulses. We find disruption of the actin layer that is likely due to the electrophoretic forces acting on the actin filaments during the permeabilization of the GUVs. Our findings on the GUVs containing a biomimetic network provide a step towards understanding the discrepancies between the electroporation mechanism of a living cell and its simplified model of the empty GUV.
- Published
- 2019
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31. Origin of Slow Stress Relaxation in the Cytoskeleton.
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Mulla Y, MacKintosh FC, and Koenderink GH
- Subjects
- Actin Cytoskeleton chemistry, Actins chemistry, Humans, Models, Chemical, Nonlinear Dynamics, Rheology, Stress, Mechanical, Cytoskeleton chemistry
- Abstract
Dynamically cross-linked semiflexible biopolymers such as the actin cytoskeleton govern the mechanical behavior of living cells. Semiflexible biopolymers nonlinearly stiffen in response to mechanical loads, whereas the cross-linker dynamics allow for stress relaxation over time. Here we show, through rheology and theoretical modeling, that the combined nonlinearity in time and stress leads to an unexpectedly slow stress relaxation, similar to the dynamics of disordered systems close to the glass transition. Our work suggests that transient cross-linking combined with internal stress can explain prior reports of soft glassy rheology of cells, in which the shear modulus increases weakly with frequency.
- Published
- 2019
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32. Frustrated binding of biopolymer crosslinkers.
- Author
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Mulla Y, Wierenga H, Alkemade C, Ten Wolde PR, and Koenderink GH
- Subjects
- Actins metabolism, Fluorescence Recovery After Photobleaching, Humans, Models, Biological, Rheology, Actin Cytoskeleton metabolism, Biopolymers metabolism
- Abstract
Transiently crosslinked actin filament networks allow cells to combine elastic rigidity with the ability to deform viscoelastically. Theoretical models of semiflexible polymer networks predict that the crosslinker unbinding rate governs the timescale beyond which viscoelastic flow occurs. However a direct comparison between network and crosslinker dynamics is lacking. Here we measure the network's stress relaxation timescale using rheology and the lifetime of bound crosslinkers using fluorescence recovery after photobleaching (FRAP). Intriguingly, we observe that the crosslinker unbinding rate measured by FRAP is more than an order of magnitude slower than the rate measured by rheology. We rationalize this difference with a three-state model where crosslinkers are bound to either 0, 1 or 2 filaments, which allows us to extract crosslinker transition rates that are otherwise difficult to access. We find that the unbinding rate of singly bound crosslinkers is nearly two orders of magnitude slower than for doubly bound ones. We attribute the increased unbinding rate of doubly bound crosslinkers to the high stiffness of biopolymers, which frustrates crosslinker binding.
- Published
- 2019
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33. Crack Initiation in Viscoelastic Materials.
- Author
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Mulla Y, Oliveri G, Overvelde JTB, and Koenderink GH
- Abstract
In viscoelastic materials, individually short-lived bonds collectively result in a mechanical resistance which is long lived but finite as, ultimately, cracks appear. Here, we provide a microscopic mechanism by which a critical crack length emerges from the nonlinear local bond dynamics. Because of this emerging length scale, macroscopic viscoelastic materials fracture in a fundamentally different manner from microscopically small systems considered in previous models. We provide and numerically verify analytical equations for the dependence of the critical crack length on the bond kinetics and applied stress.
- Published
- 2018
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34. The Medical Education Partnership Initiative (MEPI): Innovations and Lessons for Health Professions Training and Research in Africa.
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Omaswa F, Kiguli-Malwadde E, Donkor P, Hakim J, Derbew M, Baird S, Frehywot S, Gachuno OW, Kamiza S, Kibwage IO, Mteta Kien A, Mulla Y, Mullan F, Nachega JB, Nkomazana O, Noormohamed E, Ojoome V, Olalaye D, Pillay S, Sewankambo NK, and De Villiers M
- Subjects
- Africa, Diffusion of Innovation, Education, Medical methods, Education, Medical organization & administration, Humans, Intersectoral Collaboration, Program Development, Biomedical Research organization & administration, Education, Nursing organization & administration, Health Occupations education, International Cooperation, Organizational Objectives, Schools, Medical organization & administration, Schools, Nursing organization & administration
- Abstract
MEPI was a $130 million competitively awarded grant by President's Emergency Plan for AIDS Relief (PEPFAR) and National Institutes of Health (NIH) to 13 Medical Schools in 12 Sub-Saharan African countries and a Coordinating Centre (CC). Implementation was led by Principal investigators (PIs) from the grantee institutions supported by Health Resources and Services Administration (HRSA), NIH and the CC from September, 2010 to August, 2015. The goals were to increase the capacity of the awardees to produce more and better doctors, strengthen locally relevant research, promote retention of the graduates within their countries and ensure sustainability. MEPI ignited excitement and stimulated a broad range of improvements in the grantee schools and countries. Through in-country consortium arrangements African PIs expanded the programme from the 13 grantees to over 60 medical schools in Africa, creating vibrant South-South and South-North partnerships in medical education, and research. Grantees revised curricular to competency based models, created medical education units to upgrade the quality of education and established research support centres to promote institutional and collaborative research. MEPI stimulated the establishment of ten new schools, doubling of the students' intake, in some schools, a three-fold increase in post graduate student numbers, and faculty expansion and retention.Sustainability of the MEPI innovations was assured by enlisting the support of universities and ministries of education and health in the countries thus enabling integration of the new programs into the regular national budgets. The vibrant MEPI annual symposia are now the largest medical education events in Africa attracting global participation. These symposia and innovations will be carried forward by the successor of MEPI, the African Forum for Research and Education in Health (AFREhealth). AFREhealth promises to be more inclusive and transformative bringing together other health professionals including nurses, pharmacists, and dentists., Competing Interests: The authors have no competing interests to declare., (© 2018 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.)
- Published
- 2018
- Full Text
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35. Shaping up synthetic cells.
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Mulla Y, Aufderhorst-Roberts A, and Koenderink GH
- Subjects
- Artificial Cells chemistry, Biomimetic Materials chemistry, Cytoplasmic Vesicles chemistry, Cytoskeleton chemistry
- Abstract
How do the cells in our body reconfigure their shape to achieve complex tasks like migration and mitosis, yet maintain their shape in response to forces exerted by, for instance, blood flow and muscle action? Cell shape control is defined by a delicate mechanical balance between active force generation and passive material properties of the plasma membrane and the cytoskeleton. The cytoskeleton forms a space-spanning fibrous network comprising three subsystems: actin, microtubules and intermediate filaments. Bottom-up reconstitution of minimal synthetic cells where these cytoskeletal subsystems are encapsulated inside a lipid vesicle provides a powerful avenue to dissect the force balance that governs cell shape control. Although encapsulation is technically demanding, a steady stream of advances in this technique has made the reconstitution of shape-changing minimal cells increasingly feasible. In this topical review we provide a route-map of the recent advances in cytoskeletal encapsulation techniques and outline recent reports that demonstrate shape change phenomena in simple biomimetic vesicle systems. We end with an outlook toward the next steps required to achieve more complex shape changes with the ultimate aim of building a fully functional synthetic cell with the capability to autonomously grow, divide and move.
- Published
- 2018
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- View/download PDF
36. Medical Education Partnership Initiative gives birth to AFREhealth.
- Author
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Omaswa F, Kiguli-Malwadde E, Donkor P, Hakim J, Derbew M, Baird S, Frehywot S, Gachuno OW, Kamiza S, Kibwage IO, Mteta KA, Mulla Y, Mullan F, Nachega JB, Nkomazana O, Noormohamed E, Ojoome V, Olalaye D, Pillay S, Sewankambo NK, and de Villiers M
- Subjects
- Africa, Biomedical Research organization & administration, Congresses as Topic, Humans, United States, Education, Medical organization & administration, International Cooperation, Organizations organization & administration
- Published
- 2017
- Full Text
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37. Strengthening and expanding the capacity of health worker education in Zambia.
- Author
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Michelo C, Zulu JM, Simuyemba M, Andrews B, Katubulushi M, Chi B, Njelesani E, Vwalika B, Bowa K, Maimbolwa M, Chipeta J, Goma F, Nzala S, Banda S, Mudenda J, Ahmed Y, Hachambwa L, Wilson C, Vermund S, and Mulla Y
- Subjects
- Capacity Building, Clinical Competence, Curriculum, Education, Medical organization & administration, Educational Technology, Humans, Motivation, Program Development, Staff Development, Zambia, Faculty, Health Personnel education, Public Health education, Students, Health Occupations
- Abstract
Introduction: Zambia is facing a chronic shortage of health care workers. The paper aimed at understanding how the Medical Education Partnership Initiative (MEPI) program facilitated strengthening and expanding of the national capacity and quality of medical education as well as processes for retaining faculty in Zambia., Methods: Data generated through documentary review, key informant interviews and observations were analyzed using a thematic approach., Results: The MEPI program triggered the development of new postgraduate programs thereby increasing student enrollment. This was achieved by leveraging of existing and new partnerships with other universities and differentiating the old Master in Public Health into specialized curriculum. Furthermore, the MEPI program improved the capacity and quality of training by facilitating installation and integration of new technology such as the eGranary digital library, E-learning methods and clinical skills laboratory into the Schools. This technology enabled easy access to relevant data or information, quicker turn around of experiments and enhanced data recording, display and analysis features for experiments. The program also facilitated transforming of the academic environment into a more conducive work place through strengthening the Staff Development program and support towards research activities. These activities stimulated work motivation and interest in research by faculty. Meanwhile, these processes were inhibited by the inability to upload all courses on to Moodle as well as inadequate operating procedures and feedback mechanisms for the Moodle., Conclusion: Expansion and improvement in training processes for health care workers requires targeted investment within medical institutions and strengthening local and international partnerships.
- Published
- 2017
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- View/download PDF
38. Transforming health professions' education through in-country collaboration: examining the consortia among African medical schools catalyzed by the Medical Education Partnership Initiative.
- Author
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Talib ZM, Kiguli-Malwadde E, Wohltjen H, Derbew M, Mulla Y, Olaleye D, and Sewankambo N
- Subjects
- Africa, Humans, International Cooperation, United States, Cooperative Behavior, Education, Medical, Health Occupations education, Schools, Medical
- Abstract
Background: African medical schools have historically turned to northern partners for technical assistance and resources to strengthen their education and research programmes. In 2010, this paradigm shifted when the United States Government brought forward unprecedented resources to support African medical schools. The grant, entitled the Medical Education Partnership Initiative (MEPI) triggered a number of south-south collaborations between medical schools in Africa. This paper examines the goals of these partnerships and their impact on medical education and health workforce planning., Methods: Semi-structured interviews were conducted with the Principal Investigators of the first four MEPI programmes that formed an in-country consortium. These interviews were recorded, transcribed and coded to identify common themes., Results: All of the consortia have prioritized efforts to increase the quality of medical education, support new schools in-country and strengthen relations with government. These in-country partnerships have enabled schools to pool and mobilize limited resources creatively and generate locally-relevant curricula based on best-practices. The established schools are helping new schools by training faculty and using grant funds to purchase learning materials for their students. The consortia have strengthened the dialogue between academia and policy-makers enabling evidence-based health workforce planning. All of the partnerships are expected to last well beyond the MEPI grant as a result of local ownership and institutionalization of collaborative activities., Conclusions: The consortia described in this paper demonstrate a paradigm shift in the relationship between medical schools in four African countries. While schools in Africa have historically worked in silos, competing for limited resources, MEPI funding that was leveraged to form in-country partnerships has created a culture of collaboration, overriding the history of competition. The positive impact on the quality and efficiency of health workforce training suggests that future funding for global health education should prioritize such south-south collaborations.
- Published
- 2015
- Full Text
- View/download PDF
39. Headache determines quality of life in idiopathic intracranial hypertension.
- Author
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Mulla Y, Markey KA, Woolley RL, Patel S, Mollan SP, and Sinclair AJ
- Subjects
- Adult, Body Mass Index, Female, Headache psychology, Health Surveys, Humans, Middle Aged, Prospective Studies, Pseudotumor Cerebri psychology, Surveys and Questionnaires, Young Adult, Headache complications, Pseudotumor Cerebri complications, Quality of Life psychology
- Abstract
Background: The effect of idiopathic intracranial hypertension (IIH) on quality of life (QOL) is poorly understood. Our objectives were to compare QOL in IIH to the normal UK population; to investigate QOL changes with treatment of IIH, using a weight loss intervention, and to determine which clinical factors influence QOL., Methods: This was a prospective cohort evaluation of QOL, using the 36-Item Short Form (SF-36) Health Survey questionnaire, before and after a therapeutic dietary intervention which resulted in significant reduction in body mass index (BMI), intracranial pressure (ICP), papilloedema, visual acuity, perimetric mean deviation (Humphrey 24-2) and headache (six-item headache impact test (HIT-6) and headache diary). Baseline QOL was compared to an age and gender matched population. The relationship between each clinical outcome and change in QOL was evaluated., Results: At baseline, QOL was significantly lower in IIH compared to an age and gender matched population in most domains, p < 0.001. Therapeutic weight loss led to a significant improvement in 10 out of 11 QOL domains in conjunction with the previously published data demonstrating significant improvement in papilloedema, visual acuity, perimetry and headache (p < 0.001) and large effect size. Despite significant improvement in clinical measures only headache correlated significantly (p < 0.001) with improving QOL domains., Conclusions: QOL in IIH patients is significantly reduced. It improved with weight loss alongside significant improvement in clinical measures and headache. However, headache was the only clinical outcome that correlated with enhanced QOL. Effective headache management is required to improve QOL in IIH.
- Published
- 2015
- Full Text
- View/download PDF
40. Strengthening faculty recruitment for health professions training in basic sciences in Zambia.
- Author
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Simuyemba M, Talib Z, Michelo C, Mutale W, Zulu J, Andrews B, Nzala S, Katubulushi M, Njelesani E, Bowa K, Maimbolwa M, Mudenda J, and Mulla Y
- Subjects
- Humans, United States, Zambia, Allied Health Personnel education, Faculty supply & distribution, Health Occupations education, International Cooperation, Personnel Selection, Science education
- Abstract
Zambia is facing a crisis in its human resources for health, with deficits in the number and skill mix of health workers. The University of Zambia School of Medicine (UNZA SOM) was the only medical school in the country for decades, but recently it was joined by three new medical schools--two private and one public. In addition to expanding medical education, the government has also approved several allied health programs, including pharmacy, physiotherapy, biomedical sciences, and environmental health. This expansion has been constrained by insufficient numbers of faculty. Through a grant from the Medical Education Partnership Initiative (MEPI), UNZA SOM has been investing in ways to address faculty recruitment, training, and retention. The MEPI-funded strategy involves directly sponsoring a cohort of faculty at UNZA SOM during the five-year grant, as well as establishing more than a dozen new master's programs, with the goal that all sponsored faculty are locally trained and retained. Because the issue of limited basic science faculty plagues medical schools throughout Sub-Saharan Africa, this strategy of using seed funding to build sustainable local capacity to recruit, train, and retain faculty could be a model for the region.
- Published
- 2014
- Full Text
- View/download PDF
41. Graduate tracking systems for the medical schools in Africa: processes for developing an implementation framework.
- Author
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Simuyemba MC, Mariam DH, Michelo C, Mokone GG, Moodley K, Mugagga K, Nolen K, Settle D, Dogbe J, Mulla Y, and Chen C
- Subjects
- Africa South of the Sahara, Humans, Program Evaluation, United States, Data Collection methods, Employment statistics & numerical data, International Cooperation, Schools, Medical organization & administration
- Published
- 2014
- Full Text
- View/download PDF
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