In this research work, we construct an epidemic model to understand COVID-19 transmission vaccina... more In this research work, we construct an epidemic model to understand COVID-19 transmission vaccination and therapy considerations. The model's equilibria were examined, and the reproduction parameter was calculated via a next-generation matrix method, symbolized by $ \mathcal{R}_0 $. We have shown that the infection-free steady state of our system is locally asymptotically stable for $ \mathcal{R}_0 < 1 $. Also, the local asymptotic stability of the endemic steady state has been established for $ \mathcal{R}_0 > 1 $. We have used a partial rank correlation coefficient method for sensitivity analysis of the threshold parameter $ \mathcal{R}_0 $. The contribution of vaccination to the threshold parameter is explored through graphical results. In addition to this, the uniqueness and existence of the solution to the postulated model of COVID-19 infection is shown. We ran various simulations of the proposed COVID-19 dynamics with varied input parameters to scrutinize the complex dynamics of COVID-19 infection. We illustrated the variation in the dynamical behavior of the system with different values of the input parameters. The key factors of the system are visualized for the public health officials for the control of the infection.
Background Any inherited or acquired condition that increases the risk of developing deep venous ... more Background Any inherited or acquired condition that increases the risk of developing deep venous thrombosis or pulmonary embolism is considered a thrombophilic disorder. Some examples of inherited causes of thromboembolic disorders are Factor V Leiden mutation (FVL), Prothrombin gene mutation, Protein C deficiency (low or dysfunctional), Protein S deficiency (low or dysfunctional), Anti-thrombin (AT) deficiency (low or dysfunctional). Use of these studies in clinical practice has been questioned. We attempted to identify if there are populations of patients that undergo more inpatient screening for inherited causes of venous thromboembolism (VTE). Methods Retrospective chart review of patients admitted with PE or DVT in a community teaching hospital between May 2012 and December 2014. Only patients who had DVT confirmed with ultrasound or PE confirmed with CT angiogram or had high probability of PE on V/Q scan were included in the study. Individual charts were reviewed to see if thrombophilia workup was ordered. Results A total of 704 patients with acute venous thromboembolism were identified who met our inclusion criteria for the study. Of this 111 patients (15.76%) had one or more thrombophilia screening studies ordered. Risk factors related to venous thromboembolism were evaluated for all of the 704 patients. In our patient population, patients who were smokers (31% vs 20%), had history of sleep apnea (9% vs 3%), a past medical history (PMH) of VTE (37% vs 25%) or who had a family history (FH) of VTE (11% vs 4%) were more likely to have a thrombophilia workup ordered. Table 2 shows the frequency of individual thrombophilia studies ordered among the 111 patients who had testing performed and table 3 shows distribution of positive results. Table. Test Result Abnormal Test Results ANA 1 Decreased AT III 10 Decreased Protein C 10 Decreased Protein S 7 Increased Homocysteine 6 Factor V Leiden 4 PT Gene Mutation 1 APLA 1 Conclusion The largest numbers of positive test results were noted for Protein C, Protein S and Antithrombin III and these are known to be affected by acute thrombosis and therefore could be false positives. Our study shows that those patients with PMH or FH of VTE were more likely to have thrombophilia studies. There is no consensus opinion as to whether to perform thrombophilia screenings in acute care settings. Given this and the fact that personal or family history of VTE do not usually modify future treatment decisions and that there may be significant number of false positives we do not recommend routine screening in these patient populations. Figure 1. Figure 1. Figure 2. Figure 2. Disclosures No relevant conflicts of interest to declare.
Polymorphism in cytochrome P450 (CYP) 2C9 enzyme is known to cause significant inter-individual d... more Polymorphism in cytochrome P450 (CYP) 2C9 enzyme is known to cause significant inter-individual differences in drug response and occurrence of adverse drug reactions. Different alleles of the CYP2C9 gene have been identified but the notable alleles responsible for reduced enzyme activity are CYP2C9*2 and CYP2C9*3. No pharmacogenetic data is available on CYP2C9*2 and CYP2C9*3 alleles in Pakistani population. In Pakistan pharmacogenetics which examines the relationship between genetic factors and drug response, are in the early stages of development. We for the first time investigated the association between the CYP2C9 variant alleles CYP2C9*2 and CYP2C9*3 and the incidence of hypoglycemia in diabetic patients who were receiving the sulfonylurea medications. A total of n=400 individuals of Pashtun ethnicity were recruited from ten different districts of Khyber Pakhtunkhwa, Pakistan to participate in the study. The study participants were divided into two distinct groups: the case grou...
Coronary Artery Diseases (CAD) remains the top among Non-communicable Diseases (NCDs). Variations... more Coronary Artery Diseases (CAD) remains the top among Non-communicable Diseases (NCDs). Variations in Apolipoprotein E (APOE) and Paroxonase 1 (PON1) have been associated with Myocardial Infarction (MI) in several populations. However, despite the high prevalence of CAD, no such study has been reported in the Pashtun ethnic population of Pakistan. We have conducted a two-stage (i.e., screening and validation) case-control study in which 200 cases and 100 control subjects have been recruited. In the first stage, Whole Exome Sequencing (WES) was used to screen for pathogenic variants of Myocardial Infarction (MI). In the second stage, selected variants of both APOE and PON1 genes (rs7412, rs429358, rs854560, and rs662) were analyzed through MassARRAY genotyping. Risk Allele Frequencies (RAFs) distribution and association of the selected SNPs with MI were determined using the Chi-square test and logistic regression analysis. WES identified a total of 12 sequence variants in APOE and 16 ...
Green ammonia is an efficient, carbon‐free energy carrier and storage medium. The ammonia synthes... more Green ammonia is an efficient, carbon‐free energy carrier and storage medium. The ammonia synthesis using green hydrogen requires an active catalyst that operates under mild conditions. The catalytic activity can be promoted by controlling the geometry and electronic structure of the active species. An exsolution process is implemented to improve catalytic activity by modulating the geometry and electronic structure of Ru. Ru nanoparticles exsolved on a BaCe0.9Y0.1O3‐δ support exhibit uniform size distribution, 5.03 ± 0.91 nm, and exhibited one of the highest activities, 387.31 mmolNH3 gRu−1 h−1 (0.1 MPa and 450 °C). The role of the exsolution and BaCe0.9Y0.1O3‐δ support is studied by comparing the catalyst with control samples and in‐depth characterizations. The optimal nanoparticle size is maintained during the reaction, as the Ru nanoparticles prepared by exsolution are well‐anchored to the support with in‐plane epitaxy. The electronic structure of Ru is modified by unexpected in...
Human leukocyte antigen (HLA) system is the most polymorphic and gene dense region of human DNA t... more Human leukocyte antigen (HLA) system is the most polymorphic and gene dense region of human DNA that has shown many disease associations. It has been further divided into HLA classes I, II, and III. Polymorphism in HLA class II genes has been reported to play an important role in the pathogenesis of type 1 diabetes (T1D). It also showed association with T2D in different ethnic populations. However, a little is known about the relationship of HLA class I gene polymorphism and T2D. This study has evaluated the association of HLA-B (class I gene) variants with T2D in Pashtun ethnic population of Khyber Pakhtunkhwa. In the first phase of the study, whole exome sequencing (WES) of 2 pooled DNA samples was carried out, and DNA pools used were constructed from 100 diabetic cases and 100 control subjects. WES results identified a total of n = 17 SNPs in HLA-B gene. In the next phase, first 5 out of n = 17 reported SNPs were genotyped using MassARRAY® system in order to validate WES results ...
Objective The FlywheelMS study will explore the use of a real-world health record data set genera... more Objective The FlywheelMS study will explore the use of a real-world health record data set generated by PicnicHealth, a patient-centric health records platform, to improve understanding of disease course and patterns of care for patients with multiple sclerosis (MS). Materials and Methods The FlywheelMS study aims to enroll 5000 adults with MS in the United States to create a large, deidentified, longitudinal data set for clinical research. PicnicHealth obtains health records, including paper charts, electronic health records, and radiology imaging files from any healthcare site. Using a large-scale health record processing pipeline, PicnicHealth abstracts standard and condition-specific data elements from structured (eg, laboratory test results) and unstructured (eg, narrative) text and maps these to standardized medical vocabularies. Researchers can use the resulting data set to answer empirical questions and study participants can access and share their harmonized health records ...
Multi-step generalized differential transform method (MSGDTM) is one of the most proficient and e... more Multi-step generalized differential transform method (MSGDTM) is one of the most proficient and effective method, which provides better and improved approximate solution for a system than other numerical and analytic methods for frictional derivatives and it’s performance and reliability is superior than other methods. In this research paper we will employ Multi-Step Generalized Differential Transform Method (MSGDTM) to find the approximate solution of the frictional order Host-Vector Dengue disease model and the non-negativity of the solutions of frictional order Host-Vector model will be presented.
Chaos: An Interdisciplinary Journal of Nonlinear Science, 2021
In this research paper, a novel approach in dengue modeling with the asymptomatic carrier and rei... more In this research paper, a novel approach in dengue modeling with the asymptomatic carrier and reinfection via the fractional derivative is suggested to deeply interrogate the comprehensive transmission phenomena of dengue infection. The proposed system of dengue infection is represented in the Liouville–Caputo fractional framework and investigated for basic properties, that is, uniqueness, positivity, and boundedness of the solution. We used the next-generation technique in order to determine the basic reproduction number R0 for the suggested model of dengue infection; moreover, we conduct a sensitivity test of R0 through a partial rank correlation coefficient technique to know the contribution of input factors on the output of R0. We have shown that the infection-free equilibrium of dengue dynamics is globally asymptomatically stable for R0<1 and unstable in other circumstances. The system of dengue infection is then structured in the Atangana–Baleanu framework to represent the ...
In this research work, we construct an epidemic model to understand COVID-19 transmission vaccina... more In this research work, we construct an epidemic model to understand COVID-19 transmission vaccination and therapy considerations. The model's equilibria were examined, and the reproduction parameter was calculated via a next-generation matrix method, symbolized by $ \mathcal{R}_0 $. We have shown that the infection-free steady state of our system is locally asymptotically stable for $ \mathcal{R}_0 &lt; 1 $. Also, the local asymptotic stability of the endemic steady state has been established for $ \mathcal{R}_0 &gt; 1 $. We have used a partial rank correlation coefficient method for sensitivity analysis of the threshold parameter $ \mathcal{R}_0 $. The contribution of vaccination to the threshold parameter is explored through graphical results. In addition to this, the uniqueness and existence of the solution to the postulated model of COVID-19 infection is shown. We ran various simulations of the proposed COVID-19 dynamics with varied input parameters to scrutinize the complex dynamics of COVID-19 infection. We illustrated the variation in the dynamical behavior of the system with different values of the input parameters. The key factors of the system are visualized for the public health officials for the control of the infection.
Background Any inherited or acquired condition that increases the risk of developing deep venous ... more Background Any inherited or acquired condition that increases the risk of developing deep venous thrombosis or pulmonary embolism is considered a thrombophilic disorder. Some examples of inherited causes of thromboembolic disorders are Factor V Leiden mutation (FVL), Prothrombin gene mutation, Protein C deficiency (low or dysfunctional), Protein S deficiency (low or dysfunctional), Anti-thrombin (AT) deficiency (low or dysfunctional). Use of these studies in clinical practice has been questioned. We attempted to identify if there are populations of patients that undergo more inpatient screening for inherited causes of venous thromboembolism (VTE). Methods Retrospective chart review of patients admitted with PE or DVT in a community teaching hospital between May 2012 and December 2014. Only patients who had DVT confirmed with ultrasound or PE confirmed with CT angiogram or had high probability of PE on V/Q scan were included in the study. Individual charts were reviewed to see if thrombophilia workup was ordered. Results A total of 704 patients with acute venous thromboembolism were identified who met our inclusion criteria for the study. Of this 111 patients (15.76%) had one or more thrombophilia screening studies ordered. Risk factors related to venous thromboembolism were evaluated for all of the 704 patients. In our patient population, patients who were smokers (31% vs 20%), had history of sleep apnea (9% vs 3%), a past medical history (PMH) of VTE (37% vs 25%) or who had a family history (FH) of VTE (11% vs 4%) were more likely to have a thrombophilia workup ordered. Table 2 shows the frequency of individual thrombophilia studies ordered among the 111 patients who had testing performed and table 3 shows distribution of positive results. Table. Test Result Abnormal Test Results ANA 1 Decreased AT III 10 Decreased Protein C 10 Decreased Protein S 7 Increased Homocysteine 6 Factor V Leiden 4 PT Gene Mutation 1 APLA 1 Conclusion The largest numbers of positive test results were noted for Protein C, Protein S and Antithrombin III and these are known to be affected by acute thrombosis and therefore could be false positives. Our study shows that those patients with PMH or FH of VTE were more likely to have thrombophilia studies. There is no consensus opinion as to whether to perform thrombophilia screenings in acute care settings. Given this and the fact that personal or family history of VTE do not usually modify future treatment decisions and that there may be significant number of false positives we do not recommend routine screening in these patient populations. Figure 1. Figure 1. Figure 2. Figure 2. Disclosures No relevant conflicts of interest to declare.
Polymorphism in cytochrome P450 (CYP) 2C9 enzyme is known to cause significant inter-individual d... more Polymorphism in cytochrome P450 (CYP) 2C9 enzyme is known to cause significant inter-individual differences in drug response and occurrence of adverse drug reactions. Different alleles of the CYP2C9 gene have been identified but the notable alleles responsible for reduced enzyme activity are CYP2C9*2 and CYP2C9*3. No pharmacogenetic data is available on CYP2C9*2 and CYP2C9*3 alleles in Pakistani population. In Pakistan pharmacogenetics which examines the relationship between genetic factors and drug response, are in the early stages of development. We for the first time investigated the association between the CYP2C9 variant alleles CYP2C9*2 and CYP2C9*3 and the incidence of hypoglycemia in diabetic patients who were receiving the sulfonylurea medications. A total of n=400 individuals of Pashtun ethnicity were recruited from ten different districts of Khyber Pakhtunkhwa, Pakistan to participate in the study. The study participants were divided into two distinct groups: the case grou...
Coronary Artery Diseases (CAD) remains the top among Non-communicable Diseases (NCDs). Variations... more Coronary Artery Diseases (CAD) remains the top among Non-communicable Diseases (NCDs). Variations in Apolipoprotein E (APOE) and Paroxonase 1 (PON1) have been associated with Myocardial Infarction (MI) in several populations. However, despite the high prevalence of CAD, no such study has been reported in the Pashtun ethnic population of Pakistan. We have conducted a two-stage (i.e., screening and validation) case-control study in which 200 cases and 100 control subjects have been recruited. In the first stage, Whole Exome Sequencing (WES) was used to screen for pathogenic variants of Myocardial Infarction (MI). In the second stage, selected variants of both APOE and PON1 genes (rs7412, rs429358, rs854560, and rs662) were analyzed through MassARRAY genotyping. Risk Allele Frequencies (RAFs) distribution and association of the selected SNPs with MI were determined using the Chi-square test and logistic regression analysis. WES identified a total of 12 sequence variants in APOE and 16 ...
Green ammonia is an efficient, carbon‐free energy carrier and storage medium. The ammonia synthes... more Green ammonia is an efficient, carbon‐free energy carrier and storage medium. The ammonia synthesis using green hydrogen requires an active catalyst that operates under mild conditions. The catalytic activity can be promoted by controlling the geometry and electronic structure of the active species. An exsolution process is implemented to improve catalytic activity by modulating the geometry and electronic structure of Ru. Ru nanoparticles exsolved on a BaCe0.9Y0.1O3‐δ support exhibit uniform size distribution, 5.03 ± 0.91 nm, and exhibited one of the highest activities, 387.31 mmolNH3 gRu−1 h−1 (0.1 MPa and 450 °C). The role of the exsolution and BaCe0.9Y0.1O3‐δ support is studied by comparing the catalyst with control samples and in‐depth characterizations. The optimal nanoparticle size is maintained during the reaction, as the Ru nanoparticles prepared by exsolution are well‐anchored to the support with in‐plane epitaxy. The electronic structure of Ru is modified by unexpected in...
Human leukocyte antigen (HLA) system is the most polymorphic and gene dense region of human DNA t... more Human leukocyte antigen (HLA) system is the most polymorphic and gene dense region of human DNA that has shown many disease associations. It has been further divided into HLA classes I, II, and III. Polymorphism in HLA class II genes has been reported to play an important role in the pathogenesis of type 1 diabetes (T1D). It also showed association with T2D in different ethnic populations. However, a little is known about the relationship of HLA class I gene polymorphism and T2D. This study has evaluated the association of HLA-B (class I gene) variants with T2D in Pashtun ethnic population of Khyber Pakhtunkhwa. In the first phase of the study, whole exome sequencing (WES) of 2 pooled DNA samples was carried out, and DNA pools used were constructed from 100 diabetic cases and 100 control subjects. WES results identified a total of n = 17 SNPs in HLA-B gene. In the next phase, first 5 out of n = 17 reported SNPs were genotyped using MassARRAY® system in order to validate WES results ...
Objective The FlywheelMS study will explore the use of a real-world health record data set genera... more Objective The FlywheelMS study will explore the use of a real-world health record data set generated by PicnicHealth, a patient-centric health records platform, to improve understanding of disease course and patterns of care for patients with multiple sclerosis (MS). Materials and Methods The FlywheelMS study aims to enroll 5000 adults with MS in the United States to create a large, deidentified, longitudinal data set for clinical research. PicnicHealth obtains health records, including paper charts, electronic health records, and radiology imaging files from any healthcare site. Using a large-scale health record processing pipeline, PicnicHealth abstracts standard and condition-specific data elements from structured (eg, laboratory test results) and unstructured (eg, narrative) text and maps these to standardized medical vocabularies. Researchers can use the resulting data set to answer empirical questions and study participants can access and share their harmonized health records ...
Multi-step generalized differential transform method (MSGDTM) is one of the most proficient and e... more Multi-step generalized differential transform method (MSGDTM) is one of the most proficient and effective method, which provides better and improved approximate solution for a system than other numerical and analytic methods for frictional derivatives and it’s performance and reliability is superior than other methods. In this research paper we will employ Multi-Step Generalized Differential Transform Method (MSGDTM) to find the approximate solution of the frictional order Host-Vector Dengue disease model and the non-negativity of the solutions of frictional order Host-Vector model will be presented.
Chaos: An Interdisciplinary Journal of Nonlinear Science, 2021
In this research paper, a novel approach in dengue modeling with the asymptomatic carrier and rei... more In this research paper, a novel approach in dengue modeling with the asymptomatic carrier and reinfection via the fractional derivative is suggested to deeply interrogate the comprehensive transmission phenomena of dengue infection. The proposed system of dengue infection is represented in the Liouville–Caputo fractional framework and investigated for basic properties, that is, uniqueness, positivity, and boundedness of the solution. We used the next-generation technique in order to determine the basic reproduction number R0 for the suggested model of dengue infection; moreover, we conduct a sensitivity test of R0 through a partial rank correlation coefficient technique to know the contribution of input factors on the output of R0. We have shown that the infection-free equilibrium of dengue dynamics is globally asymptomatically stable for R0<1 and unstable in other circumstances. The system of dengue infection is then structured in the Atangana–Baleanu framework to represent the ...
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Papers by M Asif Jan