Publications by authors named "S Sudheer Khan"

13,109 Publications

Identifying impact of international trade and renewable energy consumption on environmental quality improvement and their role in global warming.

Environ Sci Pollut Res Int 2022 Jan 15. Epub 2022 Jan 15.

College of Economics and Management, Northwest A&F University, Yangling, 712100, Xianyang, People's Republic of China.

There is a lack of proper research that highlights the impact of institutional quality (IQ) and renewable energy consumption (REC) on the carbon emission (CE). The significance of IQ and REC in the achievement of zero CE is highlighted in this research. The current research reports the effects of these important factors on the consumption-based carbon emissions in the G-7 countries from 1995 to 2018. Based on the outcome of the cointegration test, the long-run connection is recognized between IQ, REC, GDP, exports, imports, and consumption-based CE. The findings also validated that there exist significant decrease and increase in the CE in both the short and long run; for instance, IQ, REC, and exports decrease the CE, while imports and GDP increase the CE. The estimates of causality test showed that policies aimed at improving IQ, REC, GDP, exports, and imports have a significant impact on the CE. Consequently, based on these results, policymakers in the G-7 must prioritize IQ and REC to enhance environmental quality and attain carbon neutrality.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11356-022-18574-8DOI Listing
January 2022

Pubescent Girl With Urinary Retention.

J Emerg Med 2022 Jan 12. Epub 2022 Jan 12.

Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jemermed.2021.10.016DOI Listing
January 2022

Validation of Heart Failure-Specific Risk Equations in 1.3 Million Israeli Adults and Usefulness of Combining Ambulatory and Hospitalization Data from a Large Integrated Health Care Organization.

Am J Cardiol 2022 Jan 11. Epub 2022 Jan 11.

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Heart failure (HF) prevalence is increasing worldwide and is associated with significant morbidity and mortality. Guidelines emphasize prevention in those at-risk, but HF-specific risk prediction equations developed in United States population-based cohorts lack external validation in large, real-world datasets outside of the United States. The purpose of this study was to assess the model performance of the pooled cohort equations to prevent HF (PCP-HF) within a contemporary electronic health record for 5- and 10-year risk. Using a retrospective cohort study design of Israeli residents between 2008 and 2018 with continuous membership until end of follow-up, HF, or death, we quantified 5- and 10-year estimated risks of HF using the PCP-HF equations, which integrate demographics (age, gender, and race) and risk factors (body mass index, systolic blood pressure, glucose, medication use for hypertension or diabetes, and smoking status). Of 1,394,411 patients included, 56% were women with mean age of 49.6 (SD 13.2) years. Incident HF occurred in 1.2% and 4.5% of participants over 5 and 10 years of follow-up. The PCP-HF model had excellent discrimination for 5- and 10-year predictions of incident HF (C Statistic 0.82 [0.82 to 0.82] and 0.84 [0.84 to 0.84]), respectively. In conclusion, HF-specific risk equations (PCP-HF) accurately predict the risk of incident HF in ambulatory and hospitalized patients using routinely available clinical data.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjcard.2021.12.017DOI Listing
January 2022

Colonoscopy related adverse events in patients with abnormal stool-based tests - A systematic review of literature and meta-analysis of outcomes.

Am J Gastroenterol 2021 Dec 29. Epub 2021 Dec 29.

Division of Gastroenterology, University of Minnesota & Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.

Introduction: Colorectal cancer (CRC) screening programs based on the fecal immunochemical test (FIT) and guaiac-based fecal occult blood (gFOBT) are associated with a substantial reduction in CRC incidence and mortality. We conducted a systematic review and comprehensive meta-analysis to evaluate colonoscopy related adverse events in individuals with a positive FIT or gFOBT.

Methods: A systematic and detailed search was run in January 2021 with the assistance of a medical librarian for studies reporting on colonoscopy related adverse events as part of organized colorectal cancer screening programs. Meta-analysis was performed using random-effects model and results were expressed in terms of pooled proportions along with relevant 95% confidence intervals (CI).

Results: A total of 771,730 colonoscopies were performed in patients undergoing CRC screening using either gFOBT or FIT across 31 studies. Overall pooled incidence of severe adverse events in the entire patient cohort was 0.42% (CI 0.20-0.64); I2=38.76%. In patients with abnormal gFOBT, the incidence was 0.2% (CI 0.1-0.3); I2=24.6% and in patients with a positive FIT, it was 0.4% (CI 0.2-0.7); I2=48.89%. The overall pooled incidence of perforation, bleeding and death was 0.13% (CI 0.09-0.21); I2=22.84%, 0.3% (CI 0.2-0.4); I2=35.58% and 0.01% (CI 0.00-0.01); I2=33.21%, respectively.

Discussion: Our analysis shows that in colonoscopies performed following abnormal stool-based testing, the overall risk of severe adverse events, perforation, bleeding, and death is minimal.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.14309/ajg.0000000000001614DOI Listing
December 2021

Central Pontine Myelinolysis in Pregnancy: A Case of Rare Occurrence.

Cureus 2021 Dec 8;13(12):e20281. Epub 2021 Dec 8.

Department of Internal Medicine, Medical Teaching Institution, Ayub Teaching Hospital, Abbottabad, PAK.

Central pontine myelinolysis is a non-inflammatory neurologic deficit and can have a wide array of clinical features, predisposing risk factors as well as different patterns of onset along with a big difference in prognosis ranging from asymptomatic cases to encephalopathy and also mortality. Apart from the common risk factors like hyponatremia and sudden correction of electrolyte imbalances, sometimes, the least prevalent risk factors such as pregnancy seem to link with the central pontine myelinolysis. Mostly its onset is sudden after the inciting factors. However, it is also likely to have cases of central pontine myelinolysis with gradual onset of clinical features. The purpose of the case report is to highlight the link between pregnancy and central pontine myelinolysis. The slow onset of clinical features in pregnancy-linked central pontine myelinolysis can also be considered. The patient in the case report presented with gradual onset clinical features of osmotic demyelination syndrome during the last months of pregnancy and immediately postpartum. All the possible predisposing risk factors for central pontine myelinolysis were ruled out through history, physical examination, and relevant investigations. The case study of the patient hypothesized that: (1) pregnancy should be considered as a risk factor for central pontine myelinolysis in pregnant and postpartum patients presenting with clinical features of the disease, (2) clinical features of central pontine myelinolysis in pregnancy can have a more gradual onset of symptoms compared to other causes of central pontine myelinolysis. Although, this case report signifies a relationship between pregnancy and osmotic demyelination syndrome. However, further studies should be done to develop a causal relationship and preventive measures for the condition.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.20281DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747984PMC
December 2021
-->