Dr. Amanur Mohammed Rahman  Md image

Dr. Amanur Mohammed Rahman Md

100 Woods Rd
Valhalla NY 10595
914 942-2440
Medical School: Other - Unknown
Accepts Medicare: No
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: No
License #: 271450
NPI: 1104162502
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Evaluation of Aspirin and Clopidogrel resistance in patients with Acute Coronary Syndrome by using Adenosine Diposphate Test and Aspirin Test. - Pakistan journal of medical sciences
To evaluate Aspirin and Clopidogrel resistance/non-responders in patients with acute coronary syndrome (ACS) by using adenosine diposphate and aspirin tests.In the study patients with ACS loaded with 300 mg of clopidogrel and 300 mg aspirin and patients on stable daily dose of 75 mg of clopidogrel (more than 3 days) underwent PCI. Response to clopidogrel and Aspirin was assessed by Adenosine Diphosphate (ADP) Test (20 µmol/L) and Aspirin Test (Acetyl Acid) (ASP) 20 µmol/L, respectively, using the Multiplate Platelet Function Analyzer (Dynabyte Medical, Munich, Germany).Sixty four patients were included in this study out of which 57 were with ACS and 7 scheduled for percutaneous coronary intervention (PCI) electively. The proportion of Aspirin good responders and adequate responders were 76.56% and 18.75%, respectively while adequate response and good response to Clopidogrel accounted for 29.7 and 48.4%, respectively Hyperlipidaemia was only co-morbidity associated with higher AUC ADP value (p: 0.046). Hypertriglyceridaemia and serum calcium were weakly correlated with higher AUC ADP serum calcium r=0.08, triglyceride r=0.12. Patients admitted for scheduled PCI and on stable dose of 75mg clopidogrel exhibited lower AUC ADP value as compared to those admitted with acute coronary syndrome given loading dose of 300mg of Clopidogrel. Post loading dose measurement of anti-platelet therapy among ACS patients using the Multiplate Platelet Function Analyzer showed comparable results with other methods. Conclusions : As determined by Multiplate Platelet Function Analyzer, Aspirin resistance/non-responders in this study in acute coronary syndrome patients accounted for 4.69% while Non-responders in Clopidogrel was 21.9%.
Intramuscular sternohyoid hemangioma: an unusual neck mass. - The Medical journal of Malaysia
A neck mass with soft consistency suggests the diagnosis of a cyst which is usually congenital in origin. Needle aspiration yielding blood should alert the physician the possibility of hemangioma although it is very rare. Ultrasonography and computed tomography will delineate the extent and nature of the lesion and provide the roadmap for surgical excision. We report a case of a girl who presented with a painless neck mass which was later found to be a hemangioma originating from the sternohyoid muscle. The morphology and immunohistochemical stain were consistent with hemangioma.
Pharmacovigilance of the cutaneous drug reactions in outpatients of dermatology department at a tertiary care hospital. - Journal of clinical and diagnostic research : JCDR
To study the various clinical patterns, causality, severity, and preventability of cutaneous drug reactions among the out patients of the Dermatology Department in a tertiary care hospital.One hundred eighty one patients with suspected drug allergy were screened and 59 patients with Cutaneous Drug Reactions (CDRs) were recruited for this observational study which was conducted among the outpatients in the Department of Dermatology from June to December 2011. The history of drug intake, the morphology of the cutaneous reactions and their causality, severity and preventability were analyzed.The mean age of the patients with the cutaneous drug reactions was 30.5 years. Most of them were in the age group of 26-37 years, with 52.5% females and 47.5% males. The most common reactions observed were urticaria (32.2%), fixed drug eruptions (25.4%), acneform eruptions (13.6%), morbilliform eruptions (6.8%), maculopapular rashes (5.1%), and angio-oedema (3.4%) . The most common drugs which caused the reactions were Non Steroidal Anti-Inflammatory Drugs (NSAIDs) (39.1%), Quinolones (22.1%), Amoxicillin (8.5%) and Corticosteroids (8.5%). Most of the reactions were mild to moderate in severity and all of them were preventable.The patterns of the cutaneous adverse drug reactions and the drugs which caused them varied in our study population according to the pattern of the drug intake, the associated illness and the susceptibility of the patients. A sound knowledge of the adverse drugs reactions, a careful history taking and a cautious approach during the prescription of new drugs can prevent most of these adverse drug reactions.

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