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Velie BD, Shrestha M, Francois L, Schurink A, Stinckens A, Blott S, Ducro BJ, Mikko S, Thomas R, Sundquist M, Eriksson S, Buys N, Lindgren G. P6017 A high density genome-wide scan for genetic risk factors of insect bite hypersensitivity (IBH): A Horsegene Project Initiative. J Anim Sci 2016. [DOI: 10.2527/jas2016.94supplement4156a] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fegraeus KJ, Shrestha M, Schurink A, Eriksson S, Ducro BJ, Velie BD, Lindgren G. P5026 Genetic analysis of conformation traits in Icelandic horses. J Anim Sci 2016. [DOI: 10.2527/jas2016.94supplement4127b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Pomeroy-Stevens A, D’Agostino A, Shrestha M, Muzoora A, Adero N, Shrestha M. Estimating country-level nutrition investments: Global implications of a
two country study. Ann Glob Health 2016. [DOI: 10.1016/j.aogh.2016.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Schmitto J, Rojas S, Avsar M, Hanke J, Uribarri A, Burkhoff D, Tümler K, Ahrens P, Molitoris U, Martens A, Berliner D, Bauersachs J, Shrestha M, Cebotari S, Strueber M, Haverich A. Less-Invasive Left Ventricular Assist Device Implantations: Experience after More Than 100 Treated Patients. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Martens A, Koigeldiyev N, Beckmann E, Kaufeld T, Fleissner F, Umminger J, Krüger H, Haverich A, Shrestha M. Complex Aortic Arch Repair Can Be Performed with Good Outcome in Septuagenarians. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Martens A, Koigeldiyev N, Beckmann E, Kaufeld T, Fleissner F, Umminger J, Krüger H, Haverich A, Shrestha M. Pericardial Tube Grafts: Bail-out Option or Routine Concept for Thoracic Aortic Infections? Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Beckmann E, Alhadi F, Hoeffler K, Sarikouch S, Koigeldiev N, Kaufeld K, Umminger J, Shrestha M, Haverich A, Martens A. Does Rhythm Recover after Pacemaker Implantation for Atrioventricular Conduction Disorder after Sutureless Aortic Valve Replacement? Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571773] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Rojas S, Avsar M, Hanke J, Deniz E, Hillert M, Tümler K, Kühn C, Martens A, Warnecke G, Shrestha M, Cebotari S, Haverich A, Schmitto J. Less Invasive LVAD Surgery in Cardiogenic Shock. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Umminger J, Arar M, Höffler K, Martens A, Bara C, Haverich A, Sarikouch S, Shrestha M. Aortic Valve Replacement in Geriatric Patients: Are Sutureless Valves the Way to go? Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Goyama S, Schibler J, Gasilina A, Shrestha M, Lin S, Link KA, Chen J, Whitman SP, Bloomfield CD, Nicolet D, Assi SA, Ptasinska A, Heidenreich O, Bonifer C, Kitamura T, Nassar NN, Mulloy JC. UBASH3B/Sts-1-CBL axis regulates myeloid proliferation in human preleukemia induced by AML1-ETO. Leukemia 2015; 30:728-39. [PMID: 26449661 DOI: 10.1038/leu.2015.275] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2015] [Revised: 09/22/2015] [Accepted: 09/30/2015] [Indexed: 12/24/2022]
Abstract
The t(8;21) rearrangement, which creates the AML1-ETO fusion protein, represents the most common chromosomal translocation in acute myeloid leukemia (AML). Clinical data suggest that CBL mutations are a frequent event in t(8;21) AML, but the role of CBL in AML1-ETO-induced leukemia has not been investigated. In this study, we demonstrate that CBL mutations collaborate with AML1-ETO to expand human CD34+ cells both in vitro and in a xenograft model. CBL depletion by shRNA also promotes the growth of AML1-ETO cells, demonstrating the inhibitory function of endogenous CBL in t(8;21) AML. Mechanistically, loss of CBL function confers hyper-responsiveness to thrombopoietin and enhances STAT5/AKT/ERK/Src signaling in AML1-ETO cells. Interestingly, we found the protein tyrosine phosphatase UBASH3B/Sts-1, which is known to inhibit CBL function, is upregulated by AML1-ETO through transcriptional and miR-9-mediated regulation. UBASH3B/Sts-1 depletion induces an aberrant pattern of CBL phosphorylation and impairs proliferation in AML1-ETO cells. The growth inhibition caused by UBASH3B/Sts-1 depletion can be rescued by ectopic expression of CBL mutants, suggesting that UBASH3B/Sts-1 supports the growth of AML1-ETO cells partly through modulation of CBL function. Our study reveals a role of CBL in restricting myeloid proliferation of human AML1-ETO-induced leukemia, and identifies UBASH3B/Sts-1 as a potential target for pharmaceutical intervention.
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Shrestha M, Maharjan R, Prajapati A, Ghimire S, Shrestha N, Banstola A. Assessment of knowledge and practice of community pharmacy personnel on diabetes mellitus management in Kathmandu district: a cross sectional descriptive study. J Diabetes Metab Disord 2015; 14:71. [PMID: 26396963 PMCID: PMC4578402 DOI: 10.1186/s40200-015-0205-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Accepted: 09/17/2015] [Indexed: 01/24/2023]
Abstract
Background Pharmacists are the most reachable healthcare professionals to many chronically ill patients. It has been found that pharmacists see patients with diabetes up to five times more often than any other healthcare provider. Therefore, to provide quality health care to patients it is important that they have appropriate knowledge and practice on diabetes mellitus management. Thus, this study was conducted to assess the knowledge and practice of diabetes mellitus management among community pharmacy personnel involved in retail community pharmacies of Kathmandu. Methods Three hundred and fifteen community pharmacies, selected by systematic random sampling were surveyed by using pre-validated self-administered questionnaires. The first set of questionnaire evaluated the community pharmacy personnel’s diabetes knowledge based on a pre-validated 20-item questionnaire. The second set of questionnaire documented about the practice of community pharmacy personnel on diabetes mellitus management which contained 22 questions. Data was entered in EPI Data and analyzed by using SPSS version 20. Results This survey demonstrated that 76.5 % respondents had poor knowledge and 86.4 % had negative practice on diabetes mellitus (DM) management. Only 26.2 % respondents had good knowledge as well as good practice. 31.4 % of respondents had poor knowledge as well as poor practice on DM management. Conclusions Laws and regulations regarding community pharmacy personnel need to be implemented. There should be more advanced and experiment based training. Additionally, the provision for further education curriculum in pharmacy education should be implemented which should intensively include disease and proper management. Guidelines covering diabetes care should be distributed and implemented throughout community pharmacies.
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Lamichhane RS, Boaz K, Natrajan S, Shrestha M. A cytomorphometric analysis of the oral mucosa in patients with type 2 diabetes mellitus. JOURNAL OF PATHOLOGY OF NEPAL 2015. [DOI: 10.3126/jpn.v5i10.15664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background: Although many of the pathological conditions of oral mucosa are clinically distinguishable, most lesions require a definitive diagnosis. This article tried the use of exfoliative cytology as an alternative tool in the screening, diagnosis and follow-up of diabetes mellitus.Materials and Methods: After rinsing the mouth with normal saline, slides were prepared from buccal mucosa and dorsum of tongue and fixed in 95% ethyl alcohol. The slides were stained with Papanicolaou stain and Acridine orange. Fifty clearly defined cells in each slide were visualized under light microscope for cytomorphometric analysis of cells using Image J software and under fluorescence microscope for assessment of nuclear alterations like micronuclei, nuclear budding, binucleation, multinucleation and karyorrhexis.Results: Statistically significant increase in Nuclear area BM (p = 0.000057), Nuclear Area Tongue (p= 0.0000113), total Nuclear Area (p= 000079), Cellular Area BM (p= 0.0475), Cellular Area Tongue (p= 0.0105), Total Cellular Area (p= 0.00496), Cytoplasmic Area Tongue (p= 0.00358), Total Cytoplasmic Area (p= 0.00268) were obtained from epithelial cells in the diabetic group when compared with the control group. Also the epithelial cells from the diabetic group showed features such as nuclear budding, micronuclei, binucleation, karyorrhexis and perinuclear halo. Conclusion: The objective demonstration of cytomorphometric and nuclear alterations by the oral exfoliated cells indicate the presence of cytological changes in the oral mucosa of diabetic patients despite the apparently normal clinical appearance. Hence, cytomorphometric analysis would aid the health professional as an additional non-invasive tool for the screening and monitoring of Diabetes Mellitus.
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Lamichhane RS, Boaz K, Natarajan S, Shrestha M. Assessment of Candidal carriage in patients with Type II Diabetes Mellitus. JOURNAL OF PATHOLOGY OF NEPAL 2015. [DOI: 10.3126/jpn.v5i9.13784] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background: It is generally acknowledged that patients with diabetes mellitus are more susceptible to fungal infections, particularly with Candida albicans. Oral infection by Candida can result in a number of clinical lesions, including median rhomboid glossitis (central papillary atrophy), denture stomatitis, squamous cell carcinoma, Radiation therapy, immunocompromised status, etc. Different studies have shown that patients with diabetes mellitus have increased frequency of oral candidal carriage and increased risk of candidiasis, which is related to poor metabolic control, neutrophil dysfunction, reduced salivary flow, high glucose concentration in blood and saliva and in medications.Materials and Methods: Subjects of both the groups were given 10 ml of sterile normal saline and asked to rinse the mouth for one minute. The subjects were then asked to return the oral rinse in a sterile clean, broad-mouthed container which was capped, labelled and taken to the laboratory. The samples were then inoculated onto the culture medium (Sabouraud’s dextrose agar with Chloramphenicol) with minimal delay (within 6-8 hours of collection of oral rinse). Candidal colonies were counted and compared with non-diabetics.Results: Statistically significant increase in colony forming units (p=0.0324) were obtainedin patients with diabetes mellitus.Conclusion: The results indicate significant increase in colonization and carriage of candida in the oral cavity among diabetics when compared with non-diabetics. However, further research using larger samples is required which may lend credibility to the suggestion of increased candidal CFUs in diabetics serving as a surrogate marker of serum glucose levels.Journal of Pathology of Nepal (2015) Vol. 5, 733-738
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Beckmann E, Martens A, Alhadi F, Ius F, Stiefel P, Haverich A, Shrestha M. Is ‘Bentall Procedure’ Still the Gold Standard for Acute Aortic Dissection with Involvement of the Aortic Root? Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544425] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Martens A, Koigeldiyev N, Beckmann E, Fleissner F, Kaufeld T, Krueger H, Haverich A, Shrestha M. Myocardial Perfusion during Complex Aortic Arch Repair Reduces Myocardial Damage and Improves Clinical Outcome. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Shrestha M, Krüger H, Beckmann E, Koigeldiyev N, Kaufeld T, Fleissner F, Haverich A, Martens A. Minimally Invasive Aortic Root Replacement is Safe: Results of First Fifty Patients. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Weber L, Pfeiffer S, Mazzitelli D, Rankin J, Stamm C, Pirk J, Choi YH, Detter C, Beyersdorf F, Shrestha M, Schreiber C, Lange R, Fischlein T. Prevalence of Leaflet Defects during Aortic Valve Repair with Normal and Aneurysmal Aortic Morphology. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Shrestha M, Krüger H, Beckmann E, Fleissner F, Kaufeld T, Koigeldiyev N, Haverich A, Martens A. Re-do Total Aortic Arch Replacements with Elephant Trunk (Classical & Frozen): A Technical Challenge? Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Rojas S, Avsar M, Hanke J, Deniz E, Bara C, Martens A, Shrestha M, Cebotari S, Haverich A, Schmitto J. Less Invasive Left Ventricular Assist Device Implantation with Outflow-Graft Tunnelling through the Sinus Transversus. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Shrestha M, Höffler K, Przybilla K, Zimmermann S, Koigeldiyev N, Martens A, Haverich A, Sarikouch S. Aortic Valve Replacement in Octogenarians with Three Different Rapid Deployment/ Sutureless Valves. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544286] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Karmacharya RM, Dangol S, Shrestha M, Koju R. Difficult journey from delivery to discharge, case of congenital diaphragmatic hernia. Kathmandu Univ Med J (KUMJ) 2015; 12:149-50. [PMID: 25552223 DOI: 10.3126/kumj.v12i2.13664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
We report a case of congenital diaphragmatic hernia which was diagnosed prenatally for which surgical correction was done on second day of life. The child was discharged in 17 days and has resulted in good post repair condition of patient.
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Martens A, Koigeldiyev N, Beckmann E, Fleissner F, Kaufeld T, Krueger H, Haverich A, Shrestha M. 330-I * "LET IT BEAT": CONTINUOUS CARDIAC PERFUSION DURING COMPLEX AORTIC ARCH REPAIR. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Shrestha M, Laborde F, Carrel T, Fischlein T, Meuris B, Madonna F, Misfeld M, Haverich A. 013 * EUROPEAN MULTICENTRE EXPERIENCE WITH SUTURELESS PERCEVAL VALVE: CLINICAL AND HAEMODYNAMIC OUTCOMES UP TO 5 YEARS IN OVER 700 PATIENTS. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu276.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Shrestha M, Chaudhary P, Tumbhahangphe M, Poudel J. Prevention of Mother to Child Transmission (PMTCT) Program at Paropakar Maternity and Women’s Hospital: A Review. NEPAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY 2014. [DOI: 10.3126/njog.v7i2.11138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Aims: Vertical transmission from mother to fetus is the main route of HIVinfection among children. This study is an effort to review utilization of prevention of mother to child transmission (PMTCT) services by pregnant women seeking care in Paropakar Maternity and Women’s Hospital (PMWH). Methods: Case records of 165 pregnant women with HIV positive status who delivered at Paropakar Maternity and Women’s Hospital, Kathmandu from April 2005 to Dec 2011 were reviewed. Demographic profile of these women and interventions to prevent mother to child transmission (MTCT) including antiretroviral prophylaxis (ARV), mode of delivery, infant feeding practice as well as HIV status of their children were recorded. Results: Hospital records showed 109262 antenatal attendees and 120823 deliveries including 165 HIV infected women who delivered in this facility. Prevalence of HIV infection among antenatal attendees was 0.11 % and 0.13% in hospital deliveries. Migrant worker spouse (44.2%) was the main source of infection in their wives. Eighty eight (55.7%) out of 150 eligible women received ARV drugs and 97% babies received antiretroviral prophylaxis . Spontaneous vaginal delivery occurred in 60% women and caesarean section performed in the rest. While 60.8% women opted for exclusive breast feeding, remaining 39.2% chose formula feeding. For prophylaxis of opportunistic infection, Cotrimoxazole was given to 70.3% children. The incidence of HIV infection in babies born to HIV infected mother was 5.1%. Conclusions: Integrating PMTCT services into existing maternal and child health system can significantly reduce perinatal transmission of HIV infection to children. DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11138 Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 25-28
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Shrestha S, Shrestha NC, Dongol Singh S, Shrestha RPB, Kayestha S, Shrestha M, Thakur NK. Bacterial Isolates and its Antibiotic Susceptibility Pattern in NICU. ACTA ACUST UNITED AC 2014; 11:66-70. [DOI: 10.3126/kumj.v11i1.11030] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background Neonatal sepsis is one of the major causes of morbidity and mortality among the newborns in the developing world. Objectives To determine the common bacterial isolates causing sepsis in neonatal intensive care unit and its antibiotic susceptibility pattern. Methods A one year discriptive prospective study was conducted in neonatal intensive care unit to analyse the results of blood culture and to look into the sensitivity of the commonly used antibiotics. Results The blood culture yield by conventional method was 44.13% with nosocomial sepsis accounting for 10.79%. 84.08% were culture proven early onset sepsis and 15.95% were late onset sepsis. Klebsiella infection was the commonest organism isolated in early, late and nosocomial sepsis but statistically not significant. Gram positive organisms were 39.36% in which Staphylococcus aureus was the leading microorganism followed by coagulase negative staphylococcus areus. Gram negative organisms were 60.64% amongst them Klebsiella was the most often encountered followed by Pseudomonas. The most common organism Klebsiella was 87.5% and 78.3% resistance to ampicillin and gentamycin respectively. Among gram negative isolates 87.5% and 77.2% were resistance to ampicillin and gentamycin respectively. Among gram positive isolates 58.5% and 31.5% resistance were noted to ampicillin and gentamycin respectively. Resistance to cefotaxim to gram negative and gram positive isolates were 87.34% and 59.35% respectively. Conclusion Klebsiella is most common organism which is almost resistance to first line antibiotics. Resistance to both gram negative and gram positive isolates among firstline antibiotics and even with cefotaxim is emerging and is a major concern in neonatal intensive care unit. DOI: http://dx.doi.org/10.3126/kumj.v11i1.11030 Kathmandu University Medical Journal Vol.11(1) 2013: 66-70
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