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Joshua V, Chatzidionysiou K, Reynisdottir G, Hensvold A, Hansson M, Nogueira L, Eklund A, Serre G, Grunewald J, Catrina A. FRI0137 Association between Number and Type of Different ACPA Fine Specificities and Parenchymal Lung Changes in High Resolution Computed Tomography in Patients with Early Rheumatoid Arthritis: Table 1. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Krishnamurthy A, Sun M, Rethi B, Joshua V, Tarasova N, Wähämaa H, Amara K, Malmström V, Ytterberg J, Catrina A. THU0020 Immature Dendritic Cell Are Potent Osteoclasts Precursors in RA and Are Targeted by RA-Specific Antibodies. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.4735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Liu Y, Krishnamurthy A, Hensvold A, Joshua V, Sun M, Engstrom M, Wähämaa H, Malmström V, Jopling L, Rethi B, Catrina A. AB0078 Role of IL-8 and Its Receptor in Anti-Citrullinated Protein Antibody Mediated Osteoclastogenesis in RA. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5380] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Sun M, Joshua V, Haj Hensvold A, Catrina S, Ospelt C, Malmström V, Amara K, Engström M, Wähämaa H, Rethi B, Catrina A. OP0298 Anti-Citrullinated Protein Antibodies Promote Synovial Fibroblasts Migration and Adhesion through A Peptidylarginine Deiminases (PAD) Dependent Pathway. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.2748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Chatzidionysiou K, Reynisdottir G, Joshua V, Frisell T, Askling J, Catrina A. FRI0136 Risk for Lung Cancer in RA and Different RA Phenotypes: Results from A Population-Based Case-Control Study. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.2519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Scher J, Joshua V, Ubeda C, Artacho A, Grunewald J, Segal L, Catrina A. AB0109 The Lung Microbiome in Rheumatoid Arthritis and Associated Local/systemic Autoimmunity. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.4731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Velayutham B, Kangusamy B, Joshua V, Mehendale S. The prevalence of disability in elderly in India - Analysis of 2011 census data. Disabil Health J 2016; 9:584-92. [PMID: 27174073 DOI: 10.1016/j.dhjo.2016.04.003] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2015] [Revised: 03/28/2016] [Accepted: 04/06/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND Advancing age leads to physical and sensory impairment with varying degrees of disability. There is lack of publication focusing on disability of elderly in India with a countrywide state-based analysis of all types of disabilities. OBJECTIVE To measure the prevalence of disability and describe the types of disability in the elderly Indian population by gender, advancing age, states and geographical regions. METHODS The 2011 Census cross-sectional survey data restricted to elderly in India was analyzed. 'Elderly' is defined as a person who is of age 60 years or above. Disability rates per 100,000 elderly population and age-adjusted disability rates were calculated. RESULTS A total of 5,376,205 elderly individuals were disabled in India in 2011; disability rate of 5178 per 100,000 elderly population. Movement and seeing disabilities individually accounted for 25% of total disabilities and disability in hearing was 19%. Disability rates in 17 Indian States and Union Territories were above the national average. Disability rates increased as age advanced with the highest disability rate of 8409 per 100,000 among people aged 80 yrs or above. The disability rates were higher in males than females (5314 vs. 5045 per 100,000) and in rural compared to urban areas (5593 vs. 4181 per 100,000). Currently married and working populations had lower disability rates. CONCLUSION One in every twenty Indian citizens aged 60 yrs and above is either physically or mentally disabled. Identification of the underlying causes, employing effective and focused preventive strategies will help to reduce the prevalence of disability in the elderly.
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Chatzidionysiou K, Reynisdottir G, Joshua V, Frisell T, Askling J, Catrina AI. A10.16 Risk for lung cancer in ra and different ra phenotypes: Results from a population-based case-control study. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-209124.188] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Liu Y, Krishnamurthy A, Hensvold AH, Joshua V, Wähämaa H, Sun M, Engstrom M, Malmström V, Rethi B, Jopling LA, Catrina AI. A1.16 Role of IL-8 and its receptor in anti-citrullinated protein antibody mediated osteoclastogenesis in ra. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-209124.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Joshua V, Scher JU, Ubeda C, Artacho A, Segal L, Grunewald J, Catrina AI. A3.05 The lung microbiome in rheumatoid arthritis and associated local/systemic autoimmunity. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-209124.82] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Sun M, Joshua V, Hensvold AH, Engström M, Catrina SB, Ospelt C, Malmström V, Amara K, Wähämaa H, Rethi B, Catrina AI. A2.13 Ra-associated autoantibodies promote synovial fibroblast migration and adhesion through a peptidylarginine deiminases (pad) dependent pathway. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-209124.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Krishnamurthy A, Sun M, Rethi B, Joshua V, Wähämaa H, Tarasova N, Amara K, Malmström V, Ytterberg J, Catrina AI. A2.29 Immature dendritic cells are potent osteoclasts precursors in ra and are targeted by ra-specific antibodies. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-209124.64] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Joshua V, Mehendale S, Gupte M. Bayesian model, ecological factors & transmission of leprosy in an endemic area of South India. Indian J Med Res 2016; 143:104-6. [PMID: 26997022 PMCID: PMC4822349 DOI: 10.4103/0971-5916.178618] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Krishnamurthy A, Joshua V, Amara K, Cerqueira C, Lundberg K, Klareskog L, Malmström V, Wähämaa H, Catrina A. SAT0043 Identification and Characterization of Novel Molecular Mechanisms for ACPA-Driven Osteoclastogenesis. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.4943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Sun M, Joshua V, Hensvold AH, Catrina SB, Malmström V, Amara K, Wähämaa H, Catrina AI. A3.2 Anti-citrullinated proteins antibodies promote synovial fibroblast migration in rheumatoid arthritis. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-207259.73] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Krishnamurthy A, Joshua V, Wähämaa H, Tarasova N, Cerqueira CF, Vivar N, Engström M, Amara K, Malmström V, Klareskog L, Ytterberg J, Catrina AI. A4.17 Anti-citrullinated proteins antibodies promotes osteoclastogenesis and bone destruction in rheumatoid arthritis. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-207259.99] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Fredrick T, Ponnaiah M, Murhekar MV, Jayaraman Y, David JK, Vadivoo S, Joshua V. Cholera outbreak linked with lack of safe water supply following a tropical cyclone in Pondicherry, India, 2012. JOURNAL OF HEALTH, POPULATION, AND NUTRITION 2015; 33:31-8. [PMID: 25995719 PMCID: PMC4438646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
In the aftermath of a severe cyclonic storm on 7 January 2012, a cluster of acute diarrhoea cases was reported from two localities in Pondicherry, Southern India. We investigated the outbreak to identify causes and recommend control measures. We defined a case as occurrence of diarrhoea of more than three loose stools per day with or without vomiting in a resident of affected areas during 6-18 January 2012. We used active (door-to-door survey) and stimulated passive (healthy facility-based) surveillance to identify cases. We described the outbreak by time, place, and person. We compared the case-patients with up to three controls without any apparent signs and symptoms of diarrhoea and matched for age, gender, and neighbourhood. We calculated matched odds ratio (MOR), 95% confidence intervals (CI), and population attributable fractions (PAF). We collected rectal swabs and water samples for laboratory diagnosis and tested water samples for microbiological quality. We identified 921 cases and one death among 8,367 residents (attack rate: 11%, case-fatality: 0.1%). The attack rate was the highest among persons of 50 years and above (14%) and females (12%). The outbreak started on 6 January and peaked on the 9th and lasted till 14 January. Cases were clustered around two major leakages in water supply system. Nine of the 16 stool samples yielded V. cholerae O1 Ogawa. We identified that consumption of water from the public distribution system (MOR=37, 95% CI 4.9-285, PAF: 97%), drinking unboiled water (MOR=35, 95% CI 4.5-269, PAF: 97%), and a common latrine used by two or more households (MOR=2.7, 95% CI 1.3-5.6) were independently associated with cholera. Epidemiological evidence suggested that this outbreak was due to ingestion of water contaminated by drainage following rains during cyclone. We recommended repair of the water supply lines, cleaning-up of the drains, handwashing, and drinking of boiled water.
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Joshua V, Reynisdottir G, Ytterberg A, Engström M, Eklund A, Malmström V, Grunewald J, Klareskog L, Catrina A. OP0171 Characterization of Lung Inflammation and Identification of Shared Citrullinated Targets in the Lungs and Joints of Early RA. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.4449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Joshua V, Bhoopathi K, Paranjape RS, Subramanian T, Mehendale S. Cluster detection of HIV infection for clients of female sex workers in selected districts of Tamil Nadu, South India. BMC Infect Dis 2014. [PMCID: PMC4080233 DOI: 10.1186/1471-2334-14-s3-o27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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Reynisdotirr G, Karimi R, Joshua V, Haj Hensvold A, Ossipova E, Ytterberg J, Nyren S, Harju A, Grunewald J, Lundberg K, Eklund A, Jakobson PJ, Zubarev R, Klareskog L, Sköld M, Catrina A. FRI0101 Lung changes are present in ACPA positive RA already at disease onset. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.2558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Joshua V, Elangovan A, Selvaraj V, Ahluwalia T, Mehendale S. Public health & GIS: Views & opinions of Indian users. Indian J Med Res 2012; 136:299-300. [PMID: 22960900 PMCID: PMC3461745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Reynisdottir G, Joshua V, Nyren S, Hensvold A, Karimi R, Harju A, Engström M, Sköld M, Eklund A, Grunewald J, Klareskog L, Catrina AI. Lung changes detected by high resolution tomography are present in ACPA positive RA patients already at disease onset. Ann Rheum Dis 2012. [DOI: 10.1136/annrheumdis-2011-201231.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Takum T, Padung D, Joshua V, Manickam P, Murhekar MV. Programmatic and beneficiary-related factors for low vaccination coverage in Papum Pare district, Arunachal Pradesh, India. J Trop Pediatr 2011; 57:251-7. [PMID: 20881003 DOI: 10.1093/tropej/fmq086] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Vaccination coverage in Papum Pare district, Arunachal Pradesh was observed to be low. We evaluated the universal immunization programme (UIP) through survey of health facilities in the district and collected data about inputs and processes for childhood vaccination, cold-chain maintenance, supervision and monitoring. Using cluster sampling methodology, we selected 697 children aged 12-23 months from 41 clusters and interviewed their mothers to collect information about vaccination status, socio-demographic factors, knowledge, attitude and practices. Only 50% health facilities in the district were conducting fixed-day immunizations. Of the children surveyed, 55% were fully vaccinated. Mothers who were informed about next due date by health workers, possessed immunization card, attended antenatal clinics, or who delivered in hospital were likely to complete the vaccination schedule of their children. In order to increase the vaccination coverage, all health facilities in the district need to be made functional for conducting immunization. Educating health workers to remind mothers about due date of vaccination will also help increasing the vaccination coverage.
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Joshua V, Gupte MD, Bhagavandas M. A Bayesian approach to study the space time variation of leprosy in an endemic area of Tamil Nadu, South India. Int J Health Geogr 2008; 7:40. [PMID: 18644128 PMCID: PMC2533653 DOI: 10.1186/1476-072x-7-40] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2008] [Accepted: 07/21/2008] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In leprosy endemic areas, patients are usually spatially clustered and not randomly distributed. Classical statistical techniques fail to address the problem of spatial clustering in the regression model. Bayesian method is one which allows itself to incorporate spatial dependence in the model. However little is explored in the field of leprosy. The Bayesian approach may improve our understanding about the variation of the disease prevalence of leprosy over space and time. METHODS Data from an endemic area of leprosy, covering 148 panchayats from two taluks in South India for four time points between January 1991 and March 2003 was used. Four Bayesian models, namely, space-cohort and space-period models with and without interactions were compared using the Deviance Information Criterion. Cohort effect, period effect over four time points and spatial effect (smoothed) were obtained using WinBUGS. The spatial or panchayat effect thus estimated was compared with the raw standardized morbidity (leprosy prevalence) rate (SMR) using a choropleth map. The possible factors that might have influenced the variations of prevalence of leprosy were explored. RESULTS Bayesian models with the interaction term were found to be the best fitted model. Leprosy prevalence was higher than average in the older cohorts. The last two cohorts 1987-1996 and 1992-2001 showed a notable decline in leprosy prevalence. Period effect over 4 time points varied from a high of 3.2% to a low of 1.8%. Spatial effect varied between 0.59 and 2. Twenty-six panchayats showed significantly higher prevalence of leprosy than the average when Bayesian method was used and it was 40 panchayats with the raw SMR. CONCLUSION Reduction of prevalence of leprosy was 92% for persons born after 1996, which could be attributed to various intervention and treatment programmes like vaccine trial and MDT. The estimated period effects showed a gradual decline in the risk of leprosy which could be due to better nutrition, hygiene and increased awareness about the disease. Comparison of the maps of the relative risk using the Bayesian smoothing and the raw SMR showed the variation of the geographical distribution of the leprosy prevalence in the study area. Panchayat or spatial effects using Bayesian showed clustersing of leprosy cases towards the northeastern end of the study area which was overcrowded and population belonging to poor economic status.
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