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1.
J Pak Med Assoc ; 70(3): 526-530, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32207440

RESUMO

Advancements in the Neuro-rehabilitation across Pakistan is warranted to effectively and efficiently deal with the disease burden of neurological conditions. Being a developing country, an in-expensive treatment approach is required to culminate the rise in the disease occurrence in Pakistan. Brain-Computer Interfaces (BCIs) have come up as a new channel for communication and control, eliminating the need of physical input, opening doors to a wide array of applications in terms of assistive and rehabilitative devices for paralyzed patients and those with neuromuscular disorders. Even with a promising prospect, BCIs and electroencephalograms (EEG) can be very expensive and therefore, they are not practically applicable. For this reason, the purpose of the current study was to come up with a possibility of an inexpensive BCI for rehabilitation of patients with neuro-muscular disorders in Pakistan by using a low-cost and readily available equipment like Emotiv EPOC+ EEG headset and electrical muscle stimulator.


Assuntos
Interfaces Cérebro-Computador , Eletroencefalografia , Reabilitação Neurológica , Doenças Neuromusculares/reabilitação , Interfaces Cérebro-Computador/economia , Interfaces Cérebro-Computador/provisão & distribuição , Equipamentos e Provisões Elétricas , Eletroencefalografia/instrumentação , Eletroencefalografia/métodos , Desenho de Equipamento , Humanos , Reabilitação Neurológica/instrumentação , Reabilitação Neurológica/métodos , Doenças Neuromusculares/diagnóstico , Doenças Neuromusculares/fisiopatologia
2.
J Oncol Pharm Pract ; 25(6): 1500-1508, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30079802

RESUMO

Patients undergoing cytotoxic or immunosuppressive therapy for cancer have an established predilection for hepatitis B virus reactivation; however, the risk associated with newer molecularly targeted agents has not been well investigated. Imatinib, a small molecule tyrosine kinase inhibitor, induces rapid and sustained clinical benefit by inhibiting a number of signaling pathways, including BCR-ABL and c-KIT. We report the case of a patient who developed hepatitis B virus reactivation while receiving imatinib therapy for gastrointestinal stromal tumor. Furthermore, a structured literature search of the medical databases consisting of MEDLINE and PubMed was performed using the terms "hepatitis B", "reactivation", and "imatinib". The search identified nine case reports only. The data on patients' characteristics, epidemiology, clinical features, comorbid conditions, diagnosis, and management are summarized. Imatinib-associated hepatitis B virus reactivation was reported in seven patients with chronic myeloid leukemia, one with desmoid tumor, and one with gastrointestinal stromal tumor. This review serves to outline our current understanding of the epidemiology, risk factors, and pathophysiology of chronic hepatitis B virus reactivation secondary to imatinib therapy as well as the current approaches to diagnosis and management of this condition. We aim to increase awareness about this possible association and advocate for hepatitis B virus screening prior to imatinib therapy, especially in patients who are at increased risk for chronic hepatitis B virus infection.


Assuntos
Antineoplásicos/efeitos adversos , Vírus da Hepatite B/efeitos dos fármacos , Mesilato de Imatinib/efeitos adversos , Ativação Viral/efeitos dos fármacos , Idoso de 80 Anos ou mais , Neoplasias Gastrointestinais/tratamento farmacológico , Tumores do Estroma Gastrointestinal/tratamento farmacológico , Hepatite B/induzido quimicamente , Hepatite B/diagnóstico , Vírus da Hepatite B/fisiologia , Humanos , Masculino , Fatores de Risco , Ativação Viral/fisiologia
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