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Search Results: 1 - 10 of 355 matches for " Aleena Shafi Jallu "
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Clinical Predictors for Successful Uvulopalatopharyngoplasty in the Management of Obstructive Sleep Apnea
Aamir Yousuf,Zafarullah Beigh,Raja Salman Khursheed,Aleena Shafi Jallu,Rafiq Ahmad Pampoori
International Journal of Otolaryngology , 2013, DOI: 10.1155/2013/290265
Abstract: Objective. To assess the clinical parameters for successful uvulopalatopharyngoplasty in the management of obstructive sleep apnoea syndrome documented with pre- and postoperative polysomnography. Materials and Methods. A study group of 50 patients diagnosed as having OSA by full night polysomnography were assessed clinically and staged on basis of Friedman staging system. BMI and neck circumference were considered, and videoendoscopy with Muller’s maneuver was done in all to document the site of obstruction. The study group divided into surgical and nonsurgical ones. Twenty-two patients out of fifty were then selected for uvulopalatopharyngoplasty. The selection of surgical group was done primarily on basis of clinical parameters like neck circumference, Friedman stage of the patient and site, and/or level of obstruction of patient. Postoperative polysomnography was done six months after surgery to document the change in AHI score. Result. The study group consists of fifty patients with mean age of years. UPPP was done in twenty-two, and the result of the surgery as defined by 50% reduction in preoperative AHI with postoperative AHI < 20/h was seen to be 95.2%. Postoperative change in AHI done after 6-month interval was seen to be statistically significant with P value < 0.001. Conclusion. UPPP is ideal option for management of obstructive sleep apnoea syndrome in properly selected patients on the basis of Friedman stage and site of obstruction detected by videoendoscopy with Muller’s maneuver. 1. Introduction Obstructive sleep apnea (OSA) is a common condition, affecting 4% of men and 2% of women [1]. Currently the condition is diagnosed by history, physical examination, imaging studies, and polysomnography. Common symptoms of the condition have limited predictive value in identifying patients with OSA. The upper airway is the main anatomical site responsible for OSA. Clinical examination may point to severe retrognathia, hypertrophic tonsils, macroglossia and redundant pillars, elongated uvula, and a crowded oropharynx [2]. Endoscopic investigations have been performed in awake as well as in sleeping patients, with the pharynx in relaxed or active states, but their predictive value remains limited, both for diagnostic purposes and for identifying patients who may benefit from surgery [3]. The otolaryngologist has the unique opportunity to examine the palate, pharynx, and neck of the patient and suspect OSA when appropriate. Diagnosis of a disease is based on clinical symptoms and physical findings and is corroborated by laboratory examinations.
Rare Case of Renal Cell Carcinoma with Mandibular Swelling as Primary Presentation
Aleena Jallu,Manzoor Latoo,Rafiq Pampori
Case Reports in Urology , 2013, DOI: 10.1155/2013/806192
Abstract: Introduction. Renal cell carcinoma accounts for approximately 3% of adult malignancies and 90–95% of neoplasms arising from the kidney. This disease is characterized by a lack of early warning signs, diverse clinical manifestations, and resistance to radiation and chemotherapy. Approximately one-third of patients with renal cell carcinoma have metastatic disease at initial presentation. Fifteen percent of patients with renal cell carcinoma are said to present with metastases in the head and neck region. Most of the metastases from RCC to the head and neck involve the thyroid gland. The head and neck are unusual sites for metastases, but skin, skeletal muscle, thyroid gland, nasal cavity and paranasal sinus metastases have been reported. Case Report. The following report describes a rare case where the patient presented with mandibular swelling of short duration as the primary complaint without any symptom or sign pertaining to urinary tract and was found to have renal cell carcinoma on further workup. Conclusion. Metastatic renal cell carcinoma is a diagnostic dilemma especially when there is no pointer historically towards renal cell carcinoma as was in our case. An unusual vascular osteolytic lesion in head and neck in a middle-aged person should be dealt with high index of suspicion with renal cell carcinoma at the back of the mind. 1. Introduction Renal cell carcinoma is a kidney cancer that originates in the lining of the proximal convoluted tubule, the very small tubes in the kidney that filter the blood and remove waste products. The classic triad of hematuria, flank pain, and an abdominal mass occurs only in 10–15% of cases, and is generally indicative of more advanced disease. Today, the majority of renal tumors are asymptomatic and are detected incidentally on imaging, usually for an unrelated cause. Renal cell carcinoma is well known for its potential to metastasize to nearly every organ system in the body. The tumor is highly vascular and thought to metastasize via both hematogenous (via the Batson’s plexus) and lymphatic routes [1]. The most common sites for metastasis are the lung, bone, adrenal, liver, brain, and the contralateral kidney [2]. Though not as frequent, metastatic renal cell carcinoma to the head and neck has been identified in the thyroid, salivary glands, skull base, sinuses, pharynx, tonsils, tongue, lip and skin [3]. Renal cell carcinoma is the third most frequent neoplasm to metastasize to the head and neck region preceded only by breast and lung cancer. Only in 1% of patients with advanced renal cell carcinoma
Aleena Sebastian
Journal of South Asian Studies , 2013,
Abstract: The present study is critical about the view that ‘textually defined Islamic practices’ are in confrontation with ‘un-Islamic’ matrilineal practices. Engaging with an idea of lived Islam while attempting to understand everyday life of the Muslims enables one to be sensitive to various ways in which Islam and local customs co-exist in Muslim societies. An exploration of matrilineal practices among Koyas of Kozhikode enable one to see how custom and religion co-exist in everyday life in muslim societies which entail dimensions of accommodation, negotiation and contestation. Koyas who constitute a minority Muslim group among Kerala Muslims embrace matriliny as part of their everyday engagement through diverse ways which is related to the specificity of nature of Islamization in Kerala, diverse colonial legacies and socio-economic transformations in post-colonial period. The study therefore tries to argue that Islam is diverse in practice and modifications in matrilineal practices among Koyas of Kozhikode are not due to the impact of Islam alone but through the interplay of multitude of interacting factors such as colonialism, post-Independence developments and neo-liberal trends.
Delivering information: A descriptive study of Australian women’s information needs for decision-making about birth facility
Rachel Thompson, Aleena M Wojcieszek
BMC Pregnancy and Childbirth , 2012, DOI: 10.1186/1471-2393-12-51
Abstract: Participants were 146 women residing in both urban and rural areas of Queensland, Australia who were pregnant and/or had recently given birth. A cross-sectional survey was administered in which participants were asked to rate the importance of 42 information items to their decision-making about birth facility. Participants could also provide up to ten additional information items of interest in an open-ended question.On average, participants rated 30 of the 42 information items as important to decision-making about birth facility. While the majority of information items were valued by most participants, those related to policies about support people, other women’s recommendations about the facility, freedom to choose one’s preferred position during labour and birth, the aesthetic quality of the facility, and access to on-site neonatal intensive care were particularly widely valued. Additional items of interest frequently focused on postnatal care and support, policies related to medical intervention, and access to water immersion.The women surveyed had significant and diverse information needs for decision-making about birth facility. These findings have immediate applications for the development of decision support tools about birth facility, and highlight the need for tools which provide a large volume of information in an accessible and user-friendly format. These findings may also be used to guide communication and information-sharing by care providers involved in counselling pregnant women and families about their options for birth facility or providing referrals to birth facilities.In Australia, the overwhelming majority of women give birth in conventional hospital or birth centre settings (96.9?% and 2.2?%, respectively), with less than 1?% of women giving birth at home or in other settings [1]. There is significant variation in the nature of the maternity care provided by different hospitals and birth centres in Australia. For example, there is marked variat
Cultural Influences on the Presentation of Depression  [PDF]
Ahmed Mohamed Abdel Shafi, Reem Mohamed Abdel Shafi
Open Journal of Psychiatry (OJPsych) , 2014, DOI: 10.4236/ojpsych.2014.44045

Depression is predicted to become the second highest disease burden by 2020 as well as being a common mental health condition across the globe. Nevertheless, the presentation of depression varies depending on several factors with the patient’s cultural background playing a significant role. Although depression is such a universal condition, the manner of how a patient presents not only affects the clinician’s ability to make a diagnosis, but ultimately affects the wellbeing of the patient. It is therefore paramount that as clinicians we appreciate how culture not only affects the presentation of depression but also how cultural beliefs affect the patient’s acceptance of such a diagnosis.

An Appraisal of Gender Mainstreaming in Census of India 2011  [PDF]
Mohmad Saleem Jahangir, Aneesa Shafi
Advances in Applied Sociology (AASoci) , 2013, DOI: 10.4236/aasoci.2013.35029

Population census is a total process of collecting, compiling, evaluating, analyzing and publishing demographic, economic and social data pertaining, at a specified time, to all persons in a country or in a well defined part of a country, drawing valid conclusions in situations of uncertainty and variability. Usually in the context of prevailing gender discrimination issues, the figures revealed by means of census also have divulged gender bias. Taking notice of this, efforts were made to make Census of India 2011 gender sensitive in order to reveal a gender sensitive and objective picture of Indian population. The present paper aims to understand and evaluate the whole activity of Census of India 2011 as a tool ensuring gender mainstreaming.

Tariq Shafi
Trends in Information Management , 2007,
Abstract: The study reports an exploratory investigation conducted on two search engines (Google and Yahoo) to find the retrieval percentage, duplication and ranking status of OAI-PMH Compliant resources harvested from five repositories in the field of Medical Sciences. The first twenty hits are analysed to reveal the findings in accordance with the laid down objectives for the study. The results show that Google is more comprehensive in retrieving OAI-PMH Compliant Medical Literature as compared to Yahoo. The study reveals that more duplication of results under different URLs in Google than in Yahoo. The results indicate that Google index 88.89% resources among the first 10 hits and 11.11% beyond the 10th hit, whereas Yahoo retrieves 82.61% results from the .first 10 hits and 17.39% above the 10th hit.
Mathematical foundations of modern cryptography: computational complexity perspective
Shafi Goldwasser
Computer Science , 2002,
Abstract: Theoretical computer science has found fertile ground in many areas of mathematics. The approach has been to consider classical problems through the prism of computational complexity, where the number of basic computational steps taken to solve a problem is the crucial qualitative parameter. This new approach has led to a sequence of advances, in setting and solving new mathematical challenges as well as in harnessing discrete mathematics to the task of solving real-world problems. In this talk, I will survey the development of modern cryptography -- the mathematics behind secret communications and protocols -- in this light. I will describe the complexity theoretic foundations underlying the cryptographic tasks of encryption, pseudo-randomness number generators and functions, zero knowledge interactive proofs, and multi-party secure protocols. I will attempt to highlight the paradigms and proof techniques which unify these foundations, and which have made their way into the mainstream of complexity theory.
On the Work of Madhu Sudan: the 2002 Nevalinna Prize Winner
Shafi Goldwasser
Computer Science , 2002,
Abstract: Madhu Sudan's work spans many areas of computer science theory including computational complexity theory, the design of efficient algorithms, algorithmic coding theory, and the theory of program checking and correcting. Two results of Sudan stand out in the impact they have had on the mathematics of computation. The first work shows a probabilistic characterization of the class NP -- those sets for which short and easily checkable proofs of membership exist, and demonstrates consequences of this characterization to classifying the complexity of approximation problems. The second work shows a polynomial time algorithm for list decoding the Reed Solomon error correcting codes. This short note will be devoted to describing Sudan's work on probabilistically checkable proofs -- the so called {\it PCP theorem} and its implications.
Minimum Dominating Set for a Point Set in $\IR^2$
Ramesh K. Jallu,Prajwal R. Prasad,Gautam K. Das
Computer Science , 2013,
Abstract: In this article, we consider the problem of computing minimum dominating set for a given set $S$ of $n$ points in $\IR^2$. Here the objective is to find a minimum cardinality subset $S'$ of $S$ such that the union of the unit radius disks centered at the points in $S'$ covers all the points in $S$. We first propose a simple 4-factor and 3-factor approximation algorithms in $O(n^6 \log n)$ and $O(n^{11} \log n)$ time respectively improving time complexities by a factor of $O(n^2)$ and $O(n^4)$ respectively over the best known result available in the literature [M. De, G.K. Das, P. Carmi and S.C. Nandy, {\it Approximation algorithms for a variant of discrete piercing set problem for unit disk}, Int. J. of Comp. Geom. and Appl., to appear]. Finally, we propose a very important shifting lemma, which is of independent interest and using this lemma we propose a $\frac{5}{2}$-factor approximation algorithm and a PTAS for the minimum dominating set problem.
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