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Ahuja A, Agrawal S, Daiya V, Batra N, Agarwal A. Unraveling Neurological Shades: Vitamin D Toxication and Central Pontine Myelinolysis Exposed. Cureus 2024; 16:e53806. [PMID: 38465127 PMCID: PMC10924149 DOI: 10.7759/cureus.53806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 02/07/2024] [Indexed: 03/12/2024] Open
Abstract
This case report is about a middle-aged female who presented with complaints of pain in the abdomen with intractable vomiting for three months, pain and weakness in bilateral lower limbs for two months, and irritability for three days. She was previously treated for lumbar disc bulge and severe narrowing of the spinal cord whose treatment also included vitamin D supplements. After taking high doses of a vitamin D supplement daily for approximately four months, it resulted in vitamin D toxicity. The sodium level of the patient was in the normal range throughout the treatment. Her magnetic resonance imaging brain revealed features of central pontine myelinolysis. The development of central pontine myelinolysis due to vitamin D toxicity, with normal sodium levels, makes this a rare case for discussion.
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Affiliation(s)
- Abhinav Ahuja
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Sachin Agrawal
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Varun Daiya
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Nitish Batra
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Aaditi Agarwal
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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Ahuja A, Agrawal S, Acharya S, Kumar S. A Comprehensive Review of the Immunomodulatory Effects of Vitamin D in Sepsis. Cureus 2024; 16:e53678. [PMID: 38455817 PMCID: PMC10918297 DOI: 10.7759/cureus.53678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 02/05/2024] [Indexed: 03/09/2024] Open
Abstract
Sepsis remains a critical global health challenge characterised by a dysregulated immune response to infection, leading to systemic inflammation and organ dysfunction. This review examines the immunomodulatory effects of Vitamin D in sepsis, focusing on its regulation of immune cell function, modulation of cytokine production, and enhancement of antimicrobial responses. While the potential of Vitamin D as an adjunctive therapy in sepsis management is evident, challenges such as variability in Vitamin D status, uncertainties regarding optimal dosages and patient heterogeneity, and potential adverse effects require careful consideration. The review highlights the implications for future research and clinical practice, emphasising the need for standardised measurement protocols, elucidation of optimal supplementation strategies, and integration of Vitamin D assessments into routine care. Despite the complexities, Vitamin D emerges as a promising avenue for personalised interventions in sepsis, necessitating ongoing research collaboration and evidence-based guidelines to harness its full therapeutic potential and improve clinical outcomes.
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Affiliation(s)
- Abhinav Ahuja
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Sachin Agrawal
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Sourya Acharya
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Sunil Kumar
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND
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Batra N, Acharya S, Ahuja A, Saboo K. Guarding Health: A Comprehensive Review of Nosocomial Infections in Sickle Cell Anemia, a Multifaceted Approach to Prevention. Cureus 2024; 16:e53224. [PMID: 38425631 PMCID: PMC10902742 DOI: 10.7759/cureus.53224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 01/29/2024] [Indexed: 03/02/2024] Open
Abstract
This comprehensive review explores the complex dynamics of nosocomial infections in individuals with sickle cell anemia (SCA) and advocates for a collaborative strategy to enhance prevention. SCA patients, marked by compromised immunity and susceptibility to infections, face unique challenges that necessitate tailored preventive measures. The review underscores the importance of vaccination, antibiotic prophylaxis, education, and environmental hygiene in mitigating the risk of nosocomial infections. Addressing socioeconomic factors, healthcare system limitations, patient-related issues, and cultural considerations is imperative for effective prevention. The call to action emphasizes the pivotal roles of healthcare professionals, policymakers, researchers, and community engagement in implementing targeted interventions. By fostering a collective effort, this review envisions an improved landscape for infection prevention in SCA patients, enhancing their overall health outcomes and quality of life.
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Affiliation(s)
- Nitish Batra
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Sourya Acharya
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Abhinav Ahuja
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Keyur Saboo
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND
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Daiya V, Ahuja A, Kumar S, Acharya S. Methylcobalamin Deficiency Presenting as Thalamic Syndrome in the Elderly: Association or Chance? Cureus 2024; 16:e52761. [PMID: 38389590 PMCID: PMC10882257 DOI: 10.7759/cureus.52761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 01/22/2024] [Indexed: 02/24/2024] Open
Abstract
Vitamin deficiency is common in the geriatric population and is responsible for majorly imbalanced hematological, neurological, and neuropsychiatric functioning. Methylcobalamin deficiency or vitamin B12 deficiency can be underestimated in some cases and be misdiagnosed as other illnesses, such as thalamic syndrome. Timely diagnosis of this deficiency is essential, especially in the geriatric population, as it might cause irreversible structural brain damage. This is also presented as elevated levels of homocysteine and methylmalonic acid. Clinically, it presents with the following symptoms: lower sensitivity levels to touch and light, psychosis, paresthesia, anemia, imbalance, fatigue, cognitive disturbances, difficulty remembering, and confusion. Symptoms are usually progressive and worsen over a period of time. In this case report, we present the case of a 62-year-old male with clinical symptoms of numbness and tingling in the right side of the body. The neurological presentations resembled left thalamic infarct, but the underlying reason was methylcobalamin deficiency.
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Affiliation(s)
- Varun Daiya
- Internal Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Abhinav Ahuja
- Internal Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Sunil Kumar
- Internal Medicine, Geriatric Medicine, Critical Care, and Palliative Care, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Sourya Acharya
- Internal Medicine and Endocrinology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
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Sood A, Kashikar SV, Mishra GV, Parihar P, Khandelwal S, Suryadevara M, Manuja N, Saboo K, Batra N, Ahuja A. The Spectrum of Shoulder Pathologies on Magnetic Resonance Imaging: A Pictorial Review. Cureus 2023; 15:e44801. [PMID: 37809114 PMCID: PMC10558894 DOI: 10.7759/cureus.44801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 09/06/2023] [Indexed: 10/10/2023] Open
Abstract
Patients present to the orthopedic outpatient department with complaints of shoulder pain on movement or restriction of movement in the shoulder joint and are referred for magnetic resonance imaging (MRI) of the shoulder joint. Almost all the patients have similar complaints but may have a wide range of pathology affecting the joint and causing pain. Rotator cuff tears or tendinopathy are the most common causes of shoulder pain. Ultrasound (USG) and MRI are the most commonly used imaging modalities for assessing rotator cuff pathologies. There is a wide range of pathologies affecting the shoulder joint, other than rotator cuff tendinopathies or tears, for which USG is less sensitive and specific in detecting accurate pathology. MRI is the choice of imaging for shoulder joint pathologies. We present a pictorial review discussing and depicting MRI features of a wide list of pathologies of the shoulder joint complex that should be kept in mind when the patient presents with shoulder pain.
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Affiliation(s)
- Anshul Sood
- Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Shivali V Kashikar
- Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Gaurav V Mishra
- Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Pratapsingh Parihar
- Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Shreya Khandelwal
- Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Manasa Suryadevara
- Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Nishtha Manuja
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Keyur Saboo
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Nitish Batra
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Abhinav Ahuja
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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Sood A, Mishra GV, Suryadevara M, Parihar P, Khandelwal S, Manuja N, Saboo K, Shelar SS, Ahuja A, Batra N. Role of Apparent Diffusion Coefficient in Evaluating Degeneration of the Intervertebral Disc: A Narrative Review. Cureus 2023; 15:e43340. [PMID: 37700953 PMCID: PMC10493165 DOI: 10.7759/cureus.43340] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 08/11/2023] [Indexed: 09/14/2023] Open
Abstract
Degeneration of the lumbar intervertebral disc is the most common cause of lower back pain. It is directly related to daily activities, mechanical stress, and other biological factors. We use imaging modalities to assess the degree of disc degeneration, out of which magnetic resonance imaging (MRI) is the most popular non-invasive modality. It is believed that early changes in disc degeneration are due to the biochemical events in the disc and can be evaluated by sequences in MRI involving the diffusion of water molecules. The apparent diffusion coefficient (ADC) is one such sequence that captures the signals based on the diffusion of water molecules. Ten articles were chosen from PubMed and Google Scholar using the MeSH terms 'lumbar spine degeneration' and 'apparent diffusion coefficient'. This review article has summarized various studies intending to gain a better understanding of the biochemical events leading to the development of disc degeneration. This study has also gathered the role of various sequences in MRI that can quantitatively assess disc degeneration.
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Affiliation(s)
- Anshul Sood
- Radiodiagnosis, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
| | - Gaurav V Mishra
- Radiodiagnosis, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
| | - Manasa Suryadevara
- Radiodiagnosis, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
| | - Pratap Parihar
- Radiodiagnosis, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
| | - Shreya Khandelwal
- Radiodiagnosis, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
| | - Nishtha Manuja
- Internal Medicine, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
| | - Keyur Saboo
- Internal Medicine, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
| | - Sheetal S Shelar
- Radiodiagnosis, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
| | - Abhinav Ahuja
- Internal Medicine, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
| | - Nitish Batra
- Internal Medicine, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND
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Ahuja A, Saboo K, Kumar S, Acharya S, Agrawal S. Amaurosis Fugax in Posterior Reversible Encephalopathy Syndrome: A Vexed Hurdle in a Postpartum Primigravida Patient. Cureus 2023; 15:e43703. [PMID: 37727199 PMCID: PMC10506359 DOI: 10.7759/cureus.43703] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 08/18/2023] [Indexed: 09/21/2023] Open
Abstract
In this case report, we highlight a case of a 24-year-old primigravida who suffered a sudden and painless loss of vision and headache in the immediate postpartum period. Vision loss was transient and remarkable. Her brain magnetic resonance imaging revealed vasogenic edema in parieto-occipital white matter, suggestive of posterior reversible encephalopathy syndrome. Posterior reversible encephalopathy syndrome is a clinical-radiological entity, having hemodynamic catastrophe also known as reversible posterior cerebral edema syndrome. It tends to occur during pregnancy complicated by eclampsia. Hypertension and a hypercoagulable tendency tend to engulf the entire homeostasis into its deadly clutches sending the autoregulation into a frizzy. It presents with a gamut of red flags like headache, seizures, encephalopathy, amaurosis fugax, cortical visual disturbances, and even blindness. Clinical improvement was seen with supportive treatment in this patient. Thus, timely diagnosis and intervention help reverse the dire consequences.
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Affiliation(s)
- Abhinav Ahuja
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Keyur Saboo
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Sunil Kumar
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Sourya Acharya
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Sachin Agrawal
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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Pawar T, Ahuja A, Sontakke T, Wanjari A, Acharya S, Kumar S. Acenocoumarol-Induced Diffuse Alveolar Hemorrhage: A Case Report. Cureus 2023; 15:e37581. [PMID: 37193442 PMCID: PMC10183222 DOI: 10.7759/cureus.37581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 04/13/2023] [Indexed: 05/18/2023] Open
Abstract
Diffuse alveolar hemorrhage (DAH) is bleeding into the alveolar spaces of the lung. DAH is often associated with systemic autoimmune diseases, coagulation disorders, drugs, inhaled toxins, or transplantation. This study describes a rare case of acenocoumarol-induced DAH, a pulmonary disorder, which has not been reported before. A 48-year-old male presented with a history of rheumatic heart disease with mitral stenosis with moderate mitral regurgitation status post mitral valve replacement. He was taking acenocoumarol but did not keep his prothrombin time-international normalized ratio (PT-INR) monitoring and came to the hospital with complaints of cough, hemoptysis, and breathlessness. Chest x-ray and high-resolution computed tomography (HRCT) thorax were done which revealed diffuse patchy opacities and pulmonary hemorrhage, respectively. After nine days of hospital stay with appropriate management with corticosteroids, antibiotics, and intravenous fluids, the patient was doing well.
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Affiliation(s)
- Twinkle Pawar
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Abhinav Ahuja
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Tushar Sontakke
- Department of Internal Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Anil Wanjari
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Sourya Acharya
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
| | - Sunil Kumar
- Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND
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Agarwal A, Ahuja A, Phate N, Kumar S. Rheumatoid Arthritis Presenting with Raynaud’s Phenomenon in an Elderly: End of Road? J Clin Diagn Res 2023. [DOI: 10.7860/jcdr/2023/59304.17631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
Abstract
Rheumatoid Arthritis (RA) is an autoimmune and chronic inflammatory disorder where the immune system of the body attacks the healthy cells and causes inflammation. Raynaud’s Phenomenon (RP) is a disorder of small blood vessels supplying the distal parts of the limbs where decrease in blood supply leads to infarction of that area. It occurs secondary to other disorders as in this case with RA. The report is about an 80-year-old female patient who presented with chief complaints of bluish discolouration over distal parts of hands and feet as well as pain in joints of all limbs. She had gangrene developing over the tips of fingers and toes, ulcer over the lower end of right foot, cold extremities, swelling over elbow and knee joints, oedematous hands and feet, and loss of pin prick needle sensations. With all the clinical presentations and investigation findings, the patient was diagnosed with RA presenting with RP. The patient was first started with the treatment for RA and then was managed symptomatically for vasculitis. Due to the old age factor and the advanced stage of the disease, the patient developed septicaemia and died due to cardiac arrest.
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Patel M, Kumar S, Acharya S, Mudey G, Bhagawati J, Patel S, Ahuja A. Serratia fonticola causing acute meningoencephalitis in a young male: A first case report. MS 2023. [DOI: 10.54905/disssi/v27i131/e15ms2666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Tyagi V, Pahwa M, Chadha S, Mittal T, Ahuja A. Robot-assisted radical cystectomy with intracorporeal urinary diversion - An experience with hybrid sandwich technique. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02186-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Festok R, Ahuja A, Chen J, Barron J, Yeung H. LB961 Clinical contexts of long-term antibiotic prescriptions for acne: A qualitative study. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Agrawal S, Sonawane S, Kumar S, Acharya S, Gaidhane SA, Wanjari A, Kabra R, Phate N, Ahuja A. Efficacy of Oral Versus Injectable Iron in Patients With Chronic Kidney Disease: A Two-Year Cross-Sectional Study Conducted at a Rural Teaching Hospital. Cureus 2022; 14:e27529. [PMID: 36060352 PMCID: PMC9427239 DOI: 10.7759/cureus.27529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 07/31/2022] [Indexed: 11/24/2022] Open
Abstract
Aim Anaemia (particularly iron deficiency) is of important concern in patients with chronic kidney disease (CKD) as it reflects the outcome of the disease. Current recommendations for the use of intravenous iron (IV) therapy in the management of anaemia in such patients are limited. This study highlights the comparison of oral to intravenous iron in patients with chronic kidney disease. Materials and methods This is a prospective case-control study comparing intravenous iron to oral iron in chronic kidney disease patients admitted to the Medicine Department of Acharya Vinoba Bhave Rural Hospital, in central India from October 2018 to October 2020. A total of 150 patients were divided into two groups of 75 each, one receiving oral iron (ferrous sulfate 325 mg tablets) and the other intravenous iron (IV iron sucrose). Results Serum iron, serum ferritin, and transferrin saturation (TS) showed increased levels in the IV iron group than in the oral iron group. In the IV group, a statistically significant increase was found in haemoglobin levels after therapy among all stages of kidney disease (p<0.05) while the same was not reported in the oral iron group. Conclusion IV iron sucrose therapy had been found to be effective, well-tolerated, and more successful than oral iron treatment in chronic kidney disease patients as far as the parameter of iron deficiency anaemia is concerned.
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Xiao N, Ahuja A, Patel R, Nemcek A, Resnick S. Abstract No. 77 Median arcuate ligament compression related pancreaticoduodenal arcade aneurysms: a 22-year single-center experience. J Vasc Interv Radiol 2022. [DOI: 10.1016/j.jvir.2022.03.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Gupta P, Bhinder O, Gupta V, Ahuja A, Pandey A, Mandal Ravi RN. Symptomatology and outcome of acute COVID-19 illness in children at Faridabad, India. Acta Med Int 2021. [DOI: 10.4103/amit.amit_138_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Abstract
IntroductionThe mental health of Adolescents in America is a major concern for the field of psychiatry. In particular, Lesbian, Gay, Bisexual and Transgender (LGBT) adolescents are at higher risk of adverse mental health outcomes. This is largely attributed to “minority stress” and from outright bullying and discrimination. In this presentation, this link between bullying and depression will be explored.ObjectivesBy the end of this presentation, the audience will be able to better understand the link between anti-LGBT bullying and mental illness and identify the ways to help their patients.MethodsThis presentation is informed by a literature search from PubMed In addition, it is informed by a symposium previously done at the American Psychiatric Association (APA) annual meeting in 2014.ResultsThere is clear evidence in the literature that bullying of LGBT adolescents is pervasive. In addition, LGBT people are more likely to be depressed than their heterosexual counterparts. This combination has led to 4-5 times higher rates of attempted suicide by LGBT adolescents. Having Gay-Straight Alliances in schools, supportive teachers and school administrators, and broader anti-discrimination legislation has a protective effect on this.ConclusionLGBT adolescents are exposed to more stress by being a minority in society and by being explicitly bullied and discriminated against. This can lead to depression in some of these adolescents, and can also lead to suicide in the most vulnerable among them. There are proven ways to reduce these risks, and psychiatrists have a role to play in advocating for these reforms.Disclosure of interestThe author has not supplied his declaration of competing interest.
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Gschwendtner E, Turner M, Adli E, Ahuja A, Apsimon O, Apsimon R, Bachmann AM, Batsch F, Bracco C, Braunmüller F, Burger S, Burt G, Buttenschön B, Caldwell A, Chappell J, Chevallay E, Chung M, Cooke D, Damerau H, Deubner LH, Dexter A, Doebert S, Farmer J, Fedosseev VN, Fiorito R, Fonseca RA, Friebel F, Garolfi L, Gessner S, Goddard B, Gorgisyan I, Gorn AA, Granados E, Grulke O, Hartin A, Helm A, Henderson JR, Hüther M, Ibison M, Jolly S, Keeble F, Kelisani MD, Kim SY, Kraus F, Krupa M, Lefevre T, Li Y, Liu S, Lopes N, Lotov KV, Martyanov M, Mazzoni S, Minakov VA, Molendijk JC, Moody JT, Moreira M, Muggli P, Panuganti H, Pardons A, Peña Asmus F, Perera A, Petrenko A, Pukhov A, Rey S, Sherwood P, Silva LO, Sosedkin AP, Tuev PV, Velotti F, Verra L, Verzilov VA, Vieira J, Welsch CP, Wendt M, Williamson B, Wing M, Woolley B, Xia G. Correction to 'Proton-driven plasma wakefield acceleration in AWAKE'. Philos Trans A Math Phys Eng Sci 2020; 378:20190539. [PMID: 31865874 PMCID: PMC6939239 DOI: 10.1098/rsta.2019.0539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
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Gschwendtner E, Turner M, Adli E, Ahuja A, Apsimon O, Apsimon R, Bachmann AM, Batsch F, Bracco C, Braunmüller F, Burger S, Burt G, Buttenschön B, Caldwell A, Chappell J, Chevallay E, Chung M, Cooke D, Damerau H, Deubner LH, Dexter A, Doebert S, Farmer J, Fedosseev VN, Fiorito R, Fonseca RA, Friebel F, Garolfi L, Gessner S, Goddard B, Gorgisyan I, Gorn AA, Granados E, Grulke O, Hartin A, Helm A, Henderson JR, Hüther M, Ibison M, Jolly S, Keeble F, Kelisani MD, Kim SY, Kraus F, Krupa M, Lefevre T, Li Y, Liu S, Lopes N, Lotov KV, Martyanov M, Mazzoni S, Minakov VA, Molendijk JC, Moody JT, Moreira M, Muggli P, Panuganti H, Pardons A, Peña Asmus F, Perera A, Petrenko A, Pukhov A, Rey S, Sherwood P, Silva LO, Sosedkin AP, Tuev PV, Velotti F, Verra L, Verzilov VA, Vieira J, Welsch CP, Wendt M, Williamson B, Wing M, Woolley B, Xia G. Proton-driven plasma wakefield acceleration in AWAKE. Philos Trans A Math Phys Eng Sci 2019; 377:20180418. [PMID: 31230571 PMCID: PMC6602911 DOI: 10.1098/rsta.2018.0418] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/25/2019] [Indexed: 06/09/2023]
Abstract
In this article, we briefly summarize the experiments performed during the first run of the Advanced Wakefield Experiment, AWAKE, at CERN (European Organization for Nuclear Research). The final goal of AWAKE Run 1 (2013-2018) was to demonstrate that 10-20 MeV electrons can be accelerated to GeV energies in a plasma wakefield driven by a highly relativistic self-modulated proton bunch. We describe the experiment, outline the measurement concept and present first results. Last, we outline our plans for the future. This article is part of the Theo Murphy meeting issue 'Directions in particle beam-driven plasma wakefield acceleration'.
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Affiliation(s)
| | | | - E. Adli
- University of Oslo, Oslo, Norway
| | | | - O. Apsimon
- University of Manchester, Manchester, UK
- Cockcroft Institute, Daresbury, UK
| | - R. Apsimon
- University of Manchester, Manchester, UK
- Cockcroft Institute, Daresbury, UK
| | - A.-M. Bachmann
- CERN, Geneva, Switzerland
- Max Planck Institute for Physics, Munich, Germany
- Technical University Munich, Munich, Germany
| | - F. Batsch
- CERN, Geneva, Switzerland
- Max Planck Institute for Physics, Munich, Germany
- Technical University Munich, Munich, Germany
| | | | | | | | - G. Burt
- Cockcroft Institute, Daresbury, UK
- Lancaster University, Lancaster, UK
| | - B. Buttenschön
- Max Planck Institute for Plasma Physics, Greifswald, Germany
| | - A. Caldwell
- Max Planck Institute for Physics, Munich, Germany
| | | | | | | | | | | | | | - A. Dexter
- Cockcroft Institute, Daresbury, UK
- Lancaster University, Lancaster, UK
| | | | - J. Farmer
- Heinrich-Heine-University of Düsseldorf, Düsseldorf, Germany
| | | | - R. Fiorito
- Cockcroft Institute, Daresbury, UK
- University of Liverpool, Liverpool, UK
| | - R. A. Fonseca
- ISCTE - Instituto Universitéario de Lisboa, Portugal
| | | | | | | | | | | | - A. A. Gorn
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia
- Novosibirsk State University, Novosibirsk, Russia
| | | | - O. Grulke
- Max Planck Institute for Plasma Physics, Greifswald, Germany
- Technical University of Denmark, Lyngby, Denmark
| | | | - A. Helm
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - J. R. Henderson
- Cockcroft Institute, Daresbury, UK
- Lancaster University, Lancaster, UK
| | - M. Hüther
- Max Planck Institute for Physics, Munich, Germany
| | - M. Ibison
- Cockcroft Institute, Daresbury, UK
- University of Liverpool, Liverpool, UK
| | | | | | | | | | - F. Kraus
- Philipps-Universität Marburg, Marburg, Germany
| | | | | | - Y. Li
- University of Manchester, Manchester, UK
- Cockcroft Institute, Daresbury, UK
| | - S. Liu
- TRIUMF, Vancouver, Canada
| | - N. Lopes
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - K. V. Lotov
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia
- Novosibirsk State University, Novosibirsk, Russia
| | - M. Martyanov
- Max Planck Institute for Physics, Munich, Germany
| | | | - V. A. Minakov
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia
- Novosibirsk State University, Novosibirsk, Russia
| | | | - J. T. Moody
- Max Planck Institute for Physics, Munich, Germany
| | - M. Moreira
- CERN, Geneva, Switzerland
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - P. Muggli
- CERN, Geneva, Switzerland
- Max Planck Institute for Physics, Munich, Germany
| | | | | | - F. Peña Asmus
- Max Planck Institute for Physics, Munich, Germany
- Technical University Munich, Munich, Germany
| | - A. Perera
- Cockcroft Institute, Daresbury, UK
- University of Liverpool, Liverpool, UK
| | - A. Petrenko
- CERN, Geneva, Switzerland
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia
| | - A. Pukhov
- Heinrich-Heine-University of Düsseldorf, Düsseldorf, Germany
| | - S. Rey
- CERN, Geneva, Switzerland
| | | | - L. O. Silva
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - A. P. Sosedkin
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia
- Novosibirsk State University, Novosibirsk, Russia
| | - P. V. Tuev
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia
- Novosibirsk State University, Novosibirsk, Russia
| | | | - L. Verra
- CERN, Geneva, Switzerland
- University of Milan, Milan, Italy
| | | | - J. Vieira
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - C. P. Welsch
- Cockcroft Institute, Daresbury, UK
- University of Liverpool, Liverpool, UK
| | | | - B. Williamson
- University of Manchester, Manchester, UK
- Cockcroft Institute, Daresbury, UK
| | | | | | - G. Xia
- University of Manchester, Manchester, UK
- Cockcroft Institute, Daresbury, UK
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Ahuja A. Point-of-care testing: Right sample in the right place, with the right result. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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20
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Adli E, Ahuja A, Apsimon O, Apsimon R, Bachmann AM, Barrientos D, Barros MM, Batkiewicz J, Batsch F, Bauche J, Berglyd Olsen VK, Bernardini M, Biskup B, Boccardi A, Bogey T, Bohl T, Bracco C, Braunmüller F, Burger S, Burt G, Bustamante S, Buttenschön B, Caldwell A, Cascella M, Chappell J, Chevallay E, Chung M, Cooke D, Damerau H, Deacon L, Deubner LH, Dexter A, Doebert S, Farmer J, Fedosseev VN, Fior G, Fiorito R, Fonseca RA, Friebel F, Garolfi L, Gessner S, Gorgisyan I, Gorn AA, Granados E, Grulke O, Gschwendtner E, Guerrero A, Hansen J, Helm A, Henderson JR, Hessler C, Hofle W, Hüther M, Ibison M, Jensen L, Jolly S, Keeble F, Kim SY, Kraus F, Lefevre T, LeGodec G, Li Y, Liu S, Lopes N, Lotov KV, Maricalva Brun L, Martyanov M, Mazzoni S, Medina Godoy D, Minakov VA, Mitchell J, Molendijk JC, Mompo R, Moody JT, Moreira M, Muggli P, Mutin C, Öz E, Ozturk E, Pasquino C, Pardons A, Peña Asmus F, Pepitone K, Perera A, Petrenko A, Pitman S, Plyushchev G, Pukhov A, Rey S, Rieger K, Ruhl H, Schmidt JS, Shalimova IA, Shaposhnikova E, Sherwood P, Silva LO, Soby L, Sosedkin AP, Speroni R, Spitsyn RI, Tuev PV, Turner M, Velotti F, Verra L, Verzilov VA, Vieira J, Vincke H, Welsch CP, Williamson B, Wing M, Woolley B, Xia G. Experimental Observation of Proton Bunch Modulation in a Plasma at Varying Plasma Densities. Phys Rev Lett 2019; 122:054802. [PMID: 30822008 DOI: 10.1103/physrevlett.122.054802] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Indexed: 06/09/2023]
Abstract
We give direct experimental evidence for the observation of the full transverse self-modulation of a long, relativistic proton bunch propagating through a dense plasma. The bunch exits the plasma with a periodic density modulation resulting from radial wakefield effects. We show that the modulation is seeded by a relativistic ionization front created using an intense laser pulse copropagating with the proton bunch. The modulation extends over the length of the proton bunch following the seed point. By varying the plasma density over one order of magnitude, we show that the modulation frequency scales with the expected dependence on the plasma density, i.e., it is equal to the plasma frequency, as expected from theory.
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Affiliation(s)
- E Adli
- University of Oslo, 0316 Oslo, Norway
| | - A Ahuja
- CERN, 1211 Geneva, Switzerland
| | - O Apsimon
- University of Manchester, M13 9PL Manchester, United Kingdom
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
| | - R Apsimon
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | - A-M Bachmann
- CERN, 1211 Geneva, Switzerland
- Max Planck Institute for Physics, 80805 Munich, Germany
- Technical University Munich, 80333 Munich, Germany
| | | | | | | | - F Batsch
- CERN, 1211 Geneva, Switzerland
- Max Planck Institute for Physics, 80805 Munich, Germany
- Technical University Munich, 80333 Munich, Germany
| | | | | | | | | | | | - T Bogey
- CERN, 1211 Geneva, Switzerland
| | - T Bohl
- CERN, 1211 Geneva, Switzerland
| | | | - F Braunmüller
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | - G Burt
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | | | - B Buttenschön
- Max Planck Institute for Plasma Physics, 17491 Greifswald, Germany
| | - A Caldwell
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | | | | | - M Chung
- UNIST, 44919 Ulsan, Republic of Korea
| | - D Cooke
- UCL, WC1E 6BT London, United Kingdom
| | | | - L Deacon
- UCL, WC1E 6BT London, United Kingdom
| | - L H Deubner
- Philipps-Universität Marburg, 35032 Marburg, Germany
| | - A Dexter
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | | | - J Farmer
- Heinrich-Heine-University of Düsseldorf, 40225 Düsseldorf, Germany
| | | | - G Fior
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - R Fiorito
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- University of Liverpool, L69 7ZE Liverpool, United Kingdom
| | - R A Fonseca
- ISCTE-Instituto Universitéario de Lisboa, 1649-026 Lisbon, Portugal
| | | | | | | | | | - A A Gorn
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | | | - O Grulke
- Max Planck Institute for Plasma Physics, 17491 Greifswald, Germany
- Technical University of Denmark, 2800 Lyngby, Denmark
| | | | | | | | - A Helm
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - J R Henderson
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | | | - W Hofle
- CERN, 1211 Geneva, Switzerland
| | - M Hüther
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - M Ibison
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- University of Liverpool, L69 7ZE Liverpool, United Kingdom
| | | | - S Jolly
- UCL, WC1E 6BT London, United Kingdom
| | - F Keeble
- UCL, WC1E 6BT London, United Kingdom
| | - S-Y Kim
- UNIST, 44919 Ulsan, Republic of Korea
| | - F Kraus
- Philipps-Universität Marburg, 35032 Marburg, Germany
| | | | | | - Y Li
- University of Manchester, M13 9PL Manchester, United Kingdom
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
| | - S Liu
- TRIUMF, V6T 2A3 Vancouver, Canada
| | - N Lopes
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - K V Lotov
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | | | - M Martyanov
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | | | - V A Minakov
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | - J Mitchell
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | | | - R Mompo
- CERN, 1211 Geneva, Switzerland
| | - J T Moody
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - M Moreira
- CERN, 1211 Geneva, Switzerland
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - P Muggli
- CERN, 1211 Geneva, Switzerland
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - C Mutin
- CERN, 1211 Geneva, Switzerland
| | - E Öz
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | | | | | - F Peña Asmus
- Max Planck Institute for Physics, 80805 Munich, Germany
- Technical University Munich, 80333 Munich, Germany
| | | | - A Perera
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- University of Liverpool, L69 7ZE Liverpool, United Kingdom
| | - A Petrenko
- CERN, 1211 Geneva, Switzerland
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
| | - S Pitman
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | | | - A Pukhov
- Heinrich-Heine-University of Düsseldorf, 40225 Düsseldorf, Germany
| | - S Rey
- CERN, 1211 Geneva, Switzerland
| | - K Rieger
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - H Ruhl
- Ludwig-Maximilians-Universität, 80539 Munich, Germany
| | | | - I A Shalimova
- Novosibirsk State University, 630090 Novosibirsk, Russia
- Institute of Computational Mathematics and Mathematical Geophysics SB RAS, 630090 Novosibirsk, Russia
| | | | | | - L O Silva
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - L Soby
- CERN, 1211 Geneva, Switzerland
| | - A P Sosedkin
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | | | - R I Spitsyn
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | - P V Tuev
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | | | | | - L Verra
- CERN, 1211 Geneva, Switzerland
- University of Milan, 20122 Milan, Italy
| | | | - J Vieira
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | | | - C P Welsch
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- University of Liverpool, L69 7ZE Liverpool, United Kingdom
| | - B Williamson
- University of Manchester, M13 9PL Manchester, United Kingdom
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
| | - M Wing
- UCL, WC1E 6BT London, United Kingdom
| | | | - G Xia
- University of Manchester, M13 9PL Manchester, United Kingdom
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
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21
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Turner M, Adli E, Ahuja A, Apsimon O, Apsimon R, Bachmann AM, Barros Marin M, Barrientos D, Batsch F, Batkiewicz J, Bauche J, Berglyd Olsen VK, Bernardini M, Biskup B, Boccardi A, Bogey T, Bohl T, Bracco C, Braunmüller F, Burger S, Burt G, Bustamante S, Buttenschön B, Caldwell A, Cascella M, Chappell J, Chevallay E, Chung M, Cooke D, Damerau H, Deacon L, Deubner LH, Dexter A, Doebert S, Farmer J, Fedosseev VN, Fior G, Fiorito R, Fonseca RA, Friebel F, Garolfi L, Gessner S, Gorgisyan I, Gorn AA, Granados E, Grulke O, Gschwendtner E, Guerrero A, Hansen J, Helm A, Henderson JR, Hessler C, Hofle W, Hüther M, Ibison M, Jensen L, Jolly S, Keeble F, Kim SY, Kraus F, Lefevre T, LeGodec G, Li Y, Liu S, Lopes N, Lotov KV, Maricalva Brun L, Martyanov M, Mazzoni S, Medina Godoy D, Minakov VA, Mitchell J, Molendijk JC, Mompo R, Moody JT, Moreira M, Muggli P, Öz E, Ozturk E, Mutin C, Pasquino C, Pardons A, Peña Asmus F, Pepitone K, Perera A, Petrenko A, Pitman S, Plyushchev G, Pukhov A, Rey S, Rieger K, Ruhl H, Schmidt JS, Shalimova IA, Shaposhnikova E, Sherwood P, Silva LO, Soby L, Sosedkin AP, Speroni R, Spitsyn RI, Tuev PV, Velotti F, Verra L, Verzilov VA, Vieira J, Vincke H, Welsch CP, Williamson B, Wing M, Woolley B, Xia G. Experimental Observation of Plasma Wakefield Growth Driven by the Seeded Self-Modulation of a Proton Bunch. Phys Rev Lett 2019; 122:054801. [PMID: 30822039 DOI: 10.1103/physrevlett.122.054801] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Indexed: 06/09/2023]
Abstract
We measure the effects of transverse wakefields driven by a relativistic proton bunch in plasma with densities of 2.1×10^{14} and 7.7×10^{14} electrons/cm^{3}. We show that these wakefields periodically defocus the proton bunch itself, consistently with the development of the seeded self-modulation process. We show that the defocusing increases both along the bunch and along the plasma by using time resolved and time-integrated measurements of the proton bunch transverse distribution. We evaluate the transverse wakefield amplitudes and show that they exceed their seed value (<15 MV/m) and reach over 300 MV/m. All these results confirm the development of the seeded self-modulation process, a necessary condition for external injection of low energy and acceleration of electrons to multi-GeV energy levels.
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Affiliation(s)
| | - E Adli
- University of Oslo, 0316 Oslo, Norway
| | - A Ahuja
- CERN, 1211 Geneva, Switzerland
| | - O Apsimon
- University of Manchester, M13 9PL Manchester, United Kingdom
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
| | - R Apsimon
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | - A-M Bachmann
- CERN, 1211 Geneva, Switzerland
- Max Planck Institute for Physics, 80805 Munich, Germany
- Technical University Munich, 80333 Munich, Germany
| | | | | | - F Batsch
- CERN, 1211 Geneva, Switzerland
- Max Planck Institute for Physics, 80805 Munich, Germany
- Technical University Munich, 80333 Munich, Germany
| | | | | | | | | | | | | | - T Bogey
- CERN, 1211 Geneva, Switzerland
| | - T Bohl
- CERN, 1211 Geneva, Switzerland
| | | | - F Braunmüller
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | - G Burt
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | | | - B Buttenschön
- Max Planck Institute for Plasma Physics, 17491 Greifswald, Germany
| | - A Caldwell
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | | | | | - M Chung
- UNIST, 44919 Ulsan, Republic of Korea
| | - D Cooke
- UCL, WC1E 6BT London, United Kingdom
| | | | - L Deacon
- UCL, WC1E 6BT London, United Kingdom
| | - L H Deubner
- Philipps-Universität Marburg, 35032 Marburg, Germany
| | - A Dexter
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | | | - J Farmer
- Heinrich-Heine-University of Düsseldorf, 40225 Düsseldorf, Germany
| | | | - G Fior
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - R Fiorito
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- University of Liverpool, L69 7ZE Liverpool, United Kingdom
| | - R A Fonseca
- ISCTE-Instituto Universitéario de Lisboa, 1649-026 Lisbon, Portugal
| | | | | | | | | | - A A Gorn
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | | | - O Grulke
- Max Planck Institute for Plasma Physics, 17491 Greifswald, Germany
- Technical University of Denmark, 2800 Lyngby, Denmark
| | | | | | | | - A Helm
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - J R Henderson
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | | | - W Hofle
- CERN, 1211 Geneva, Switzerland
| | - M Hüther
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - M Ibison
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- University of Liverpool, L69 7ZE Liverpool, United Kingdom
| | | | - S Jolly
- UCL, WC1E 6BT London, United Kingdom
| | - F Keeble
- UCL, WC1E 6BT London, United Kingdom
| | - S-Y Kim
- UNIST, 44919 Ulsan, Republic of Korea
| | - F Kraus
- Philipps-Universität Marburg, 35032 Marburg, Germany
| | | | | | - Y Li
- University of Manchester, M13 9PL Manchester, United Kingdom
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
| | - S Liu
- TRIUMF, V6T 2A3 Vancouver, Canada
| | - N Lopes
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - K V Lotov
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | | | - M Martyanov
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | | | - V A Minakov
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | - J Mitchell
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | | | - R Mompo
- CERN, 1211 Geneva, Switzerland
| | - J T Moody
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - M Moreira
- CERN, 1211 Geneva, Switzerland
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - P Muggli
- CERN, 1211 Geneva, Switzerland
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - E Öz
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | - C Mutin
- CERN, 1211 Geneva, Switzerland
| | | | | | - F Peña Asmus
- Max Planck Institute for Physics, 80805 Munich, Germany
- Technical University Munich, 80333 Munich, Germany
| | | | - A Perera
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- University of Liverpool, L69 7ZE Liverpool, United Kingdom
| | - A Petrenko
- CERN, 1211 Geneva, Switzerland
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
| | - S Pitman
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- Lancaster University, LA1 4YB Lancaster, United Kingdom
| | - G Plyushchev
- CERN, 1211 Geneva, Switzerland
- Swiss Plasma Center, EPFL, 1015 Lausanne, Switzerland
| | - A Pukhov
- Heinrich-Heine-University of Düsseldorf, 40225 Düsseldorf, Germany
| | - S Rey
- CERN, 1211 Geneva, Switzerland
| | - K Rieger
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - H Ruhl
- Ludwig-Maximilians-Universität, 80539 Munich, Germany
| | | | - I A Shalimova
- Novosibirsk State University, 630090 Novosibirsk, Russia
- Institute of Computational Mathematics and Mathematical Geophysics SB RAS, 630090 Novosibirsk, Russia
| | | | | | - L O Silva
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - L Soby
- CERN, 1211 Geneva, Switzerland
| | - A P Sosedkin
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | | | - R I Spitsyn
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | - P V Tuev
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | | | - L Verra
- CERN, 1211 Geneva, Switzerland
- University of Milan, 20122 Milan, Italy
| | | | - J Vieira
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | | | - C P Welsch
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
- University of Liverpool, L69 7ZE Liverpool, United Kingdom
| | - B Williamson
- University of Manchester, M13 9PL Manchester, United Kingdom
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
| | - M Wing
- UCL, WC1E 6BT London, United Kingdom
| | | | - G Xia
- University of Manchester, M13 9PL Manchester, United Kingdom
- Cockcroft Institute, WA4 4AD Daresbury, United Kingdom
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Adhau R, Angrish P, Ahuja A, Singh Sandhu A. Multiple muscle tear after fall on buttock-role of conservative management and exercise for early recovery and return to play. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.02.2014.11] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- R. Adhau
- Department of Sports and Exercise Medicine, Sports Medicine Centre, Pune, India
| | - P. Angrish
- Sports Medicine Spl AMC Centre and College, Lucknow, India
| | - A. Ahuja
- Department of Sports Medicine NSNIS, Patiala, India
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23
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Gupta A, Sardana K, Ahuja A, Kishan Gautam R. Complete cure of a large complex cutaneous leishmaniasis with a nonethanolic lipid based-amphotericin B gel. Clin Exp Dermatol 2018; 44:807-810. [PMID: 30592076 DOI: 10.1111/ced.13883] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2018] [Indexed: 11/29/2022]
Affiliation(s)
- A Gupta
- Department of Dermatology, PGIMER and Dr Ram Manohar Lohia Hospital, New Delhi, India
| | - K Sardana
- Department of Dermatology, PGIMER and Dr Ram Manohar Lohia Hospital, New Delhi, India
| | - A Ahuja
- Department of Pathology, PGIMER and Dr Ram Manohar Lohia Hospital, New Delhi, India
| | - R Kishan Gautam
- Department of Dermatology, PGIMER and Dr Ram Manohar Lohia Hospital, New Delhi, India
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24
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Gupta A, Khurana A, Ahuja A, Gautam RK. Description of a new pigmentary demarcation line (Type I). Clin Exp Dermatol 2018; 44:e145-e146. [PMID: 30267432 DOI: 10.1111/ced.13787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2018] [Indexed: 11/27/2022]
Affiliation(s)
- A Gupta
- Department of Dermatology, Dr Ram Manohar Lohia Hospital, New Delhi, India
| | - A Khurana
- Department of Dermatology, Dr Ram Manohar Lohia Hospital, New Delhi, India
| | - A Ahuja
- Department ofPathology, Dr Ram Manohar Lohia Hospital, New Delhi, India
| | - R K Gautam
- Department of Dermatology, Dr Ram Manohar Lohia Hospital, New Delhi, India
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25
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Adli E, Ahuja A, Apsimon O, Apsimon R, Bachmann AM, Barrientos D, Batsch F, Bauche J, Berglyd Olsen VK, Bernardini M, Bohl T, Bracco C, Braunmüller F, Burt G, Buttenschön B, Caldwell A, Cascella M, Chappell J, Chevallay E, Chung M, Cooke D, Damerau H, Deacon L, Deubner LH, Dexter A, Doebert S, Farmer J, Fedosseev VN, Fiorito R, Fonseca RA, Friebel F, Garolfi L, Gessner S, Gorgisyan I, Gorn AA, Granados E, Grulke O, Gschwendtner E, Hansen J, Helm A, Henderson JR, Hüther M, Ibison M, Jensen L, Jolly S, Keeble F, Kim SY, Kraus F, Li Y, Liu S, Lopes N, Lotov KV, Maricalva Brun L, Martyanov M, Mazzoni S, Medina Godoy D, Minakov VA, Mitchell J, Molendijk JC, Moody JT, Moreira M, Muggli P, Öz E, Pasquino C, Pardons A, Peña Asmus F, Pepitone K, Perera A, Petrenko A, Pitman S, Pukhov A, Rey S, Rieger K, Ruhl H, Schmidt JS, Shalimova IA, Sherwood P, Silva LO, Soby L, Sosedkin AP, Speroni R, Spitsyn RI, Tuev PV, Turner M, Velotti F, Verra L, Verzilov VA, Vieira J, Welsch CP, Williamson B, Wing M, Woolley B, Xia G. Acceleration of electrons in the plasma wakefield of a proton bunch. Nature 2018; 561:363-367. [PMID: 30188496 PMCID: PMC6786972 DOI: 10.1038/s41586-018-0485-4] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Accepted: 08/14/2018] [Indexed: 12/03/2022]
Abstract
High-energy particle accelerators have been crucial in providing a deeper understanding of fundamental particles and the forces that govern their interactions. To increase the energy of the particles or to reduce the size of the accelerator, new acceleration schemes need to be developed. Plasma wakefield acceleration1–5, in which the electrons in a plasma are excited, leading to strong electric fields (so called ‘wakefields’), is one such promising acceleration technique. Experiments have shown that an intense laser pulse6–9 or electron bunch10,11 traversing a plasma can drive electric fields of tens of gigavolts per metre and above—well beyond those achieved in conventional radio-frequency accelerators (about 0.1 gigavolt per metre). However, the low stored energy of laser pulses and electron bunches means that multiple acceleration stages are needed to reach very high particle energies5,12. The use of proton bunches is compelling because they have the potential to drive wakefields and to accelerate electrons to high energy in a single acceleration stage13. Long, thin proton bunches can be used because they undergo a process called self-modulation14–16, a particle–plasma interaction that splits the bunch longitudinally into a series of high-density microbunches, which then act resonantly to create large wakefields. The Advanced Wakefield (AWAKE) experiment at CERN17–19 uses high-intensity proton bunches—in which each proton has an energy of 400 gigaelectronvolts, resulting in a total bunch energy of 19 kilojoules—to drive a wakefield in a ten-metre-long plasma. Electron bunches are then injected into this wakefield. Here we present measurements of electrons accelerated up to two gigaelectronvolts at the AWAKE experiment, in a demonstration of proton-driven plasma wakefield acceleration. Measurements were conducted under various plasma conditions and the acceleration was found to be consistent and reliable. The potential for this scheme to produce very high-energy electron bunches in a single accelerating stage20 means that our results are an important step towards the development of future high-energy particle accelerators21,22. Electron acceleration to very high energies is achieved in a single step by injecting electrons into a ‘wake’ of charge created in a 10-metre-long plasma by speeding long proton bunches.
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Affiliation(s)
- E Adli
- University of Oslo, Oslo, Norway
| | | | - O Apsimon
- University of Manchester, Manchester, UK.,Cockcroft Institute, Daresbury, UK
| | - R Apsimon
- Cockcroft Institute, Daresbury, UK.,Lancaster University, Lancaster, UK
| | - A-M Bachmann
- CERN, Geneva, Switzerland.,Max Planck Institute for Physics, Munich, Germany.,Technical University Munich, Munich, Germany
| | | | - F Batsch
- CERN, Geneva, Switzerland.,Max Planck Institute for Physics, Munich, Germany.,Technical University Munich, Munich, Germany
| | | | | | | | - T Bohl
- CERN, Geneva, Switzerland
| | | | | | - G Burt
- Cockcroft Institute, Daresbury, UK.,Lancaster University, Lancaster, UK
| | - B Buttenschön
- Max Planck Institute for Plasma Physics, Greifswald, Germany
| | - A Caldwell
- Max Planck Institute for Physics, Munich, Germany
| | | | | | | | | | | | | | | | - L H Deubner
- Philipps-Universität Marburg, Marburg, Germany
| | - A Dexter
- Cockcroft Institute, Daresbury, UK.,Lancaster University, Lancaster, UK
| | | | - J Farmer
- Heinrich-Heine-University of Düsseldorf, Düsseldorf, Germany
| | | | - R Fiorito
- Cockcroft Institute, Daresbury, UK.,University of Liverpool, Liverpool, UK
| | - R A Fonseca
- ISCTE-Instituto Universitéario de Lisboa, Lisbon, Portugal
| | | | | | | | | | - A A Gorn
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia.,Novosibirsk State University, Novosibirsk, Russia
| | | | - O Grulke
- Max Planck Institute for Plasma Physics, Greifswald, Germany.,Technical University of Denmark, Lyngby, Denmark
| | | | | | - A Helm
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - J R Henderson
- Cockcroft Institute, Daresbury, UK.,Lancaster University, Lancaster, UK
| | - M Hüther
- Max Planck Institute for Physics, Munich, Germany
| | - M Ibison
- Cockcroft Institute, Daresbury, UK.,University of Liverpool, Liverpool, UK
| | | | | | | | | | - F Kraus
- Philipps-Universität Marburg, Marburg, Germany
| | - Y Li
- University of Manchester, Manchester, UK.,Cockcroft Institute, Daresbury, UK
| | - S Liu
- TRIUMF, Vancouver, British Columbia, Canada
| | - N Lopes
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - K V Lotov
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia.,Novosibirsk State University, Novosibirsk, Russia
| | | | - M Martyanov
- Max Planck Institute for Physics, Munich, Germany
| | | | | | - V A Minakov
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia.,Novosibirsk State University, Novosibirsk, Russia
| | - J Mitchell
- Cockcroft Institute, Daresbury, UK.,Lancaster University, Lancaster, UK
| | | | - J T Moody
- Max Planck Institute for Physics, Munich, Germany
| | - M Moreira
- CERN, Geneva, Switzerland.,GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - P Muggli
- CERN, Geneva, Switzerland.,Max Planck Institute for Physics, Munich, Germany
| | - E Öz
- Max Planck Institute for Physics, Munich, Germany
| | | | | | - F Peña Asmus
- Max Planck Institute for Physics, Munich, Germany.,Technical University Munich, Munich, Germany
| | | | - A Perera
- Cockcroft Institute, Daresbury, UK.,University of Liverpool, Liverpool, UK
| | - A Petrenko
- CERN, Geneva, Switzerland.,Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia
| | - S Pitman
- Cockcroft Institute, Daresbury, UK.,Lancaster University, Lancaster, UK
| | - A Pukhov
- Heinrich-Heine-University of Düsseldorf, Düsseldorf, Germany
| | - S Rey
- CERN, Geneva, Switzerland
| | - K Rieger
- Max Planck Institute for Physics, Munich, Germany
| | - H Ruhl
- Ludwig-Maximilians-Universität, Munich, Germany
| | | | - I A Shalimova
- Novosibirsk State University, Novosibirsk, Russia.,Institute of Computational Mathematics and Mathematical Geophysics SB RAS, Novosibirsk, Russia
| | | | - L O Silva
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - L Soby
- CERN, Geneva, Switzerland
| | - A P Sosedkin
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia.,Novosibirsk State University, Novosibirsk, Russia
| | | | - R I Spitsyn
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia.,Novosibirsk State University, Novosibirsk, Russia
| | - P V Tuev
- Budker Institute of Nuclear Physics SB RAS, Novosibirsk, Russia.,Novosibirsk State University, Novosibirsk, Russia
| | | | | | - L Verra
- CERN, Geneva, Switzerland.,University of Milan, Milan, Italy
| | | | - J Vieira
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - C P Welsch
- Cockcroft Institute, Daresbury, UK.,University of Liverpool, Liverpool, UK
| | - B Williamson
- University of Manchester, Manchester, UK.,Cockcroft Institute, Daresbury, UK
| | | | | | - G Xia
- University of Manchester, Manchester, UK.,Cockcroft Institute, Daresbury, UK
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26
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Affiliation(s)
- V Ahuja
- M.D.S, Senior Lecturer, Department of Pedodontics & Preventive Dentistry
| | - A Ahuja
- M.D.S, Senior, Department of Periodontics & Implant Dentistry, Sharad Pawar Dental College and Hospital, Wardha, Maharashtra, India
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27
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Amjad H, Ahuja A, Wolff J, Lyketsos C, Samus Q, Roth D. PATTERNS AND DISPARITIES IN FORMAL DEMENTIA DIAGNOSIS AND AWARENESS OF DIAGNOSIS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- H. Amjad
- Johns Hopkins University School of Medicine, Baltimore, Maryland,
| | - A. Ahuja
- Johns Hopkins University School of Medicine, Baltimore, Maryland,
- Center on Aging and Health, Johns Hopkins University, Baltimore, Maryland,
| | - J.L. Wolff
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
- Center on Aging and Health, Johns Hopkins University, Baltimore, Maryland,
| | - C.G. Lyketsos
- Johns Hopkins University School of Medicine, Baltimore, Maryland,
| | - Q. Samus
- Johns Hopkins University School of Medicine, Baltimore, Maryland,
| | - D.L. Roth
- Johns Hopkins University School of Medicine, Baltimore, Maryland,
- Center on Aging and Health, Johns Hopkins University, Baltimore, Maryland,
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Hui E, Ma B, Mo F, Kam M, Chan S, Loong H, Ho R, Leung S, King A, Wang K, Ahuja A, Chan C, Hui C, Wong C, Chan A. Axitinib in recurrent or metastatic nasopharyngeal carcinoma (NPC): final result of a phase 2 clinical trial with pharmacokinetic (PK) correlation. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw376.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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29
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Vise E, Das S, Garg A, Karam A, Ghatak S, Sen A, Shakuntala I, Puro K, Sanjukta R, Ahuja A, Bhattacharjee U, Kakoty K, Sharma N. Isolation and identification of a novel Non-tuberculous Mycobacterium species of canine origin by multiple gene sequencing approach. Int J Infect Dis 2016. [DOI: 10.1016/j.ijid.2016.02.884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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30
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Robinson MJF, Fischer AM, Ahuja A, Lesser EN, Maniates H. Roles of "Wanting" and "Liking" in Motivating Behavior: Gambling, Food, and Drug Addictions. Curr Top Behav Neurosci 2016; 27:105-136. [PMID: 26407959 DOI: 10.1007/7854_2015_387] [Citation(s) in RCA: 92] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The motivation to seek out and consume rewards has evolutionarily been driven by the urge to fulfill physiological needs. However in a modern society dominated more by plenty than scarcity, we tend to think of motivation as fueled by the search for pleasure. Here, we argue that two separate but interconnected subcortical and unconscious processes direct motivation: "wanting" and "liking." These two psychological and neuronal processes and their related brain structures typically work together, but can become dissociated, particularly in cases of addiction. In drug addiction, for example, repeated consumption of addictive drugs sensitizes the mesolimbic dopamine system, the primary component of the "wanting" system, resulting in excessive "wanting" for drugs and their cues. This sensitizing process is long-lasting and occurs independently of the "liking" system, which typically remains unchanged or may develop a blunted pleasure response to the drug. The result is excessive drug-taking despite minimal pleasure and intense cue-triggered craving that may promote relapse long after detoxification. Here, we describe the roles of "liking" and "wanting" in general motivation and review recent evidence for a dissociation of "liking" and "wanting" in drug addiction, known as the incentive sensitization theory (Robinson and Berridge 1993). We also make the case that sensitization of the "wanting" system and the resulting dissociation of "liking" and "wanting" occurs in both gambling disorder and food addiction.
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Affiliation(s)
- M J F Robinson
- Department of Psychology, Wesleyan University, 207 High Street, Judd Hall, Middletown, CT, 06459, USA.
| | - A M Fischer
- Department of Psychology, Wesleyan University, 207 High Street, Judd Hall, Middletown, CT, 06459, USA
| | - A Ahuja
- Department of Psychology, Wesleyan University, 207 High Street, Judd Hall, Middletown, CT, 06459, USA
| | - E N Lesser
- Department of Psychology, Wesleyan University, 207 High Street, Judd Hall, Middletown, CT, 06459, USA
| | - H Maniates
- Department of Psychology, Wesleyan University, 207 High Street, Judd Hall, Middletown, CT, 06459, USA
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31
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Chaudhary P, Bhadana U, Singh RAK, Ahuja A. Primary hepatic angiosarcoma. Eur J Surg Oncol 2015; 41:1137-43. [PMID: 26008857 DOI: 10.1016/j.ejso.2015.04.022] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2014] [Revised: 04/22/2015] [Accepted: 04/27/2015] [Indexed: 02/07/2023] Open
Abstract
Primary hepatic angiosarcoma is a rare, aggressive tumor; composed of spindle or pleomorphic cells that line, or grow into, the lumina of pre-existing vascular spaces like sinusoids and terminal hepatic venules; with only about 200 cases diagnosed annually worldwide but it is the most common primary malignant mesenchymal tumor of the liver in adults and accounts for 2% of all primary hepatic malignancies. HAS occurs in association with known chemical carcinogens, but 75% of the tumors have no known etiology. Patients present with vague symptoms like abdominal pain, weight loss, fatigue or an abdominal mass. Hepatic angiosarcoma is usually multicentric and involves both lobes, entire liver may also found to be involved. CD31 is the most reliable marker. These tumors lack specific features on imaging, so, pathological diagnosis is necessary. There are no established treatment guidelines because of low frequency and aggressive nature of tumor, chemotherapy is only palliative, liver resection is indicated for solitary mass and liver transplant is contraindicated. The aim of this article is to comprehensively review all the available literature and to present detailed information and an update on primary hepatic angiosarcoma.
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Affiliation(s)
- P Chaudhary
- Lady Hardinge Medical College and Associated Dr Ram Manohar Lohia Hospital, New Delhi, India.
| | - U Bhadana
- Lady Hardinge Medical College and Associated Dr Ram Manohar Lohia Hospital, New Delhi, India
| | - R A K Singh
- Dr Ram Manohar Lohia Hospital, New Delhi, India
| | - A Ahuja
- Department of Pathology, Dr Ram Manohar Lohia Hospital, New Delhi, India
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32
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Singh V, Bhakta P, Ahuja A. Epidural catheter knot immediately after catheter insertion. Anaesth Intensive Care 2015; 43:280-281. [PMID: 25735704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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33
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Kiernan F, Ahuja A. Airway management of low tracheal rupture. Anaesth Intensive Care 2015; 43:134-135. [PMID: 25579304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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34
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Srivastava A, Koul V, Dwivedi SN, Upadhyaya AD, Ahuja A, Saxena R. Performance analysis of newly developed point-of-care hemoglobinometer (TrueHb) against an automated hematology analyzer (Sysmex XT 1800i) in terms of precision in hemoglobin measurement. Int J Lab Hematol 2014; 37:483-5. [PMID: 25418886 DOI: 10.1111/ijlh.12314] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2014] [Accepted: 10/13/2014] [Indexed: 11/30/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the performance of the newly developed handheld hemoglobinmeter (TrueHb) by comparing its performance against and an automated five-part hematology analyzer, Sysmex counter XT 1800i (Sysmex). METHODS Two hundred venous blood samples were subjected through their total hemoglobin evaluation on each device three times. The average of the three readings on each device was considered as their respective device values, that is, TrueHb values and Sysmex values. The two set of values were comparatively analyzed. The repeatability of the performance of TrueHb was also evaluated against Sysmex values. RESULTS The scatter plot of TrueHb values and Sysmex values showed linear distribution with positive correlations (r = 0.99). The intraclass correlation (ICC) values between the two set of values was found to be 0.995. Regression coefficients through origin, β, was found to be 0.995, with 95% confidence intervals (CI) ranging between 0.9900 and 1.0000. The mean difference in Bland-Altman plots of TrueHb values against the Sysmex values was found to be -0.02, with limits of agreement between -0.777 and 0.732 g/dL. Statistical analysis suggested good repeatability in results of TrueHb, having a low mean CV of 2.22, against 4.44, that of Sysmex values, and 95% confidence interval of 1.99-2.44, against 3.85-5.03, that of Sysmex values. CONCLUSION These results suggested a strong positive correlation between the two measurements devices. It is thus concluded that TrueHb is a good point-of-care testing tool for estimating hemoglobin.
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Affiliation(s)
- A Srivastava
- Technology Business Incubation Unit, Indian Institute of Technology - Delhi, New Delhi, India
| | - V Koul
- Centre for Biomedical Engineering, Indian Institute of Technology - Delhi, New Delhi, India
| | - S N Dwivedi
- Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
| | - A D Upadhyaya
- Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
| | - A Ahuja
- Department of Hematology, All India Institute of Medical Sciences, New Delhi, India
| | - R Saxena
- Department of Hematology, All India Institute of Medical Sciences, New Delhi, India
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35
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Kataria A, Ahuja A, Taneja A, Chanan N, Mangat GS. Economic Implications Of Chronic Renal Disease With And Without Co-Morbid Diabetes In China, Post-2005. Value Health 2014; 17:A744. [PMID: 27202685 DOI: 10.1016/j.jval.2014.08.157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- A Kataria
- HERON™Commercialization, PAREXEL Consulting, PAREXEL International, Chandigarh, India
| | - A Ahuja
- HERON Health Pvt. Ltd., Chandigarh, India
| | - A Taneja
- HERON™Commercialization, PAREXEL Consulting, PAREXEL International, Chandigarh, India
| | - N Chanan
- HERON™Commercialization, PAREXEL Consulting, PAREXEL International, Chandigarh, India
| | - G S Mangat
- HERON™Commercialization, PAREXEL Consulting, PAREXEL International, Chandigarh, India
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36
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Ahuja A, Gupta R, Sharma A, Bagga A, Bhowmik DM, Agarwal SK, Dinda AK. Idiopathic collapsing glomerulopathy: A clinicopathologic analysis of 30 cases. Indian J Nephrol 2014; 24:239-42. [PMID: 25097337 PMCID: PMC4119337 DOI: 10.4103/0971-4065.133009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Collapsing glomerulopathy (CG) is a distinct clinicopathologic entity associated with various infections, medications and acute ischemia. There have been few scattered reports of CG from India. This study aimed at evaluating the clinicopathologic features of idiopathic CG in Indian patients with comparison between adult-onset and childhood CG. This study included all cases of idiopathic CG diagnosed over a period of 4 years (2006-2009). Appropriate clinical details and laboratory findings were retrieved. Renal biopsies were reviewed and detailed pathologic features assessed. Statistical analysis was performed to compare various features between adult-onset and childhood CG. Over these 4 years, 30 cases of idiopathic CG were diagnosed. Of these, 11 were children. Childhood CG cases had longer duration of symptoms and lower serum urea and creatinine levels compared with adult patients. In renal histology, tubular atrophy and interstitial fibrosis was frequent in our cases. Pediatric cases of CG showed a higher proportion of segmental glomerulosclerosis. On clinical follow-up, nine of the 30 patients progressed to end-stage renal disease and these included two pediatric patients. Idiopathic CG is a significant cause of renal dysfunction in both pediatric and adult patients. Childhood and adult-onset CG differ in few clinicopathologic features. Early and accurate diagnosis of CG is imperative for appropriate management of these patients.
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Affiliation(s)
- A Ahuja
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - R Gupta
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - A Sharma
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - A Bagga
- Department of Paediatrics, All India Institute of Medical Sciences, New Delhi, India
| | - D M Bhowmik
- Department of Nephrology, All India Institute of Medical Sciences, New Delhi, India
| | - S K Agarwal
- Department of Nephrology, All India Institute of Medical Sciences, New Delhi, India
| | - A K Dinda
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
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Sen A, Saravanan P, Balamurugan V, Bhanuprakash V, Venkatesan G, Sarkar J, Rajak KK, Ahuja A, Yadav V, Sudhakar SB, Parida S, Singh RK. Detection of subclinical peste des petits ruminants virus infection in experimental cattle. Virusdisease 2014; 25:408-11. [PMID: 25674614 DOI: 10.1007/s13337-014-0213-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2014] [Accepted: 04/05/2014] [Indexed: 11/29/2022] Open
Abstract
The present study was undertaken to investigate the possible involvement of cattle in the epidemiology of peste des petits ruminants (PPR) as subclinical carriers. Cattle were exposed experimentally to PPR virus (PPRV) infection or placed in contact with PPR infected goats. Clinical samples including heparinized/EDTA blood, plasma, peripheral blood monocyte cells (PBMCs) and clotted blood (for serum) were collected periodically from 21 days post infection (dpi) to 397 dpi (21, 45, 50, 57, 65, 95, 111, 119, 148, 190, 203 and 397 dpi) and tested for PPRV antigen, nucleic acid and antibody. Exposed cattle seroconverted and maintained PPRV specific haemagglutinin antibodies and detectable PPRV antigen/nucleic acid in blood, plasma and PBMCs from 21 to 397 dpi. PPRV was recovered from blood and PBMC collected from experimental animals at 21 dpi, initially in B95a cells and then adapted to Vero cells. The study indicated that PPRV can infect cattle subclinically and PPRV antigen/nucleic acid persist in cattle for at least 397 days.
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Affiliation(s)
- A Sen
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India ; Animal Health Division, Indian Council of Agricultural Research-North Eastern Hill Region, Meghalaya, 793103 India
| | - P Saravanan
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India ; Indian Veterinary Research Institute, Bangalore Campus, Bangalore, 560 024 Karnataka India
| | - V Balamurugan
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India ; National Institute of Veterinary Epidemiology and Disease Informatics (NIVEDI), Formerly Project Directorate on Animal Disease Monitoring and Surveillance (PD_ADMAS), Hebbal, Bangalore, 560 024 Karnataka India
| | - V Bhanuprakash
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India ; Indian Veterinary Research Institute, Bangalore Campus, Bangalore, 560 024 Karnataka India
| | - G Venkatesan
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India
| | - J Sarkar
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India
| | - K K Rajak
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India
| | - A Ahuja
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India
| | - V Yadav
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India
| | - S B Sudhakar
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India
| | - S Parida
- Institute for Animal Health, Pirbright Laboratory, Woking, Surrey UK
| | - R K Singh
- Division of Virology, Indian Veterinary Research Institute, Campus Mukteswar, Nainital District, 263 138 Uttarakhand India ; National Research Centre on Equines, Sirsa Road, Hisar, 125 001 Haryana India
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Dubal Z, Mawlong M, Susngi B, Sanjukta R, Puro K, Ghatak S, Sen A, Shakuntala I, Barbuddhe S, Ahuja A, Bhattacharjee U. Comparison of agarose gel electrophoresis and RNA-PAGE for rapid detection of rotavirus from faecal samples. Journal of Applied Animal Research 2014. [DOI: 10.1080/09712119.2014.896262] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Qureshi MJ, Ali J, Baboota S, Ahuja A, Mallikarjun C. Pharmacokinetic Study of a Capsule-based Chronomodulated Drug Delivery System of Salbutamol Sulphate in Rabbits. TROP J PHARM RES 2014. [DOI: 10.4314/tjpr.v13i1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Qureshi MJ, Ali J, Baboota S, Ahuja A, Mallikarjun C. Pharmacokinetic Study of a Capsule-based Chronomodulated Drug Delivery System of Salbutamol Sulphate in Rabbits. TROP J PHARM RES 2014. [DOI: 10.4314/tjpr.v13i1.3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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41
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Ghatak S, Singha A, Sen A, Guha C, Ahuja A, Bhattacharjee U, Das S, Pradhan NR, Puro K, Jana C, Dey TK, Prashantkumar KL, Das A, Shakuntala I, Biswas U, Jana PS. Detection of New Delhi metallo-beta-lactamase and extended-spectrum beta-lactamase genes in Escherichia coli isolated from mastitic milk samples. Transbound Emerg Dis 2013; 60:385-9. [PMID: 23870003 DOI: 10.1111/tbed.12119] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2013] [Indexed: 01/09/2023]
Abstract
In this study, eight Escherichia coli isolates were obtained from milk samples of dairy cattle suffering from clinical/subclinical mastitis. Isolates were characterized for antimicrobial resistance traits and virulence genes. Results revealed that one isolate was harbouring New Delhi metallo-beta-lactamase gene (blaNDM ). Cloning and sequencing of the PCR amplicon confirmed the identity of the gene (GenBank accession no. KC769583) having 100% homology with blaNDM-5 (GenBank accession no. JN104597.1), and this isolate was susceptible to colistin, chloramphenicol and tetracycline only. Moreover, another isolate carried extended-spectrum beta-lactamase (ESBL) gene - blaCTX-M , and all isolates possessed blaTEM gene. Of the eight isolates, only one isolate was positive for shiga toxin gene (stx2), and none were harbouring stx1 gene. Occurrence of New Delhi metallo-beta-lactamase (blaNDM ) in one E. coli isolate and ESBL genes in other isolates poses a potential threat to human health following possible entry and spread through food chain.
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Affiliation(s)
- S Ghatak
- Division of Animal Health, ICAR Research Complex for NEH Region, Umiam, India.
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Qureshi J, Ali J, Baboota S, Ahuja A, Mallikarjun C. Development and Evaluation of Chronotherapeutic Drug Delivery System for the Management of Nocturnal Asthma. TROP J PHARM RES 2013. [DOI: 10.4314/tjpr.v11i5.2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Ahuja A, Sen A, Yogisharadhya R, Rajak KK, Shivachandra SB. Prokaryotic expression and purification of highly soluble partial glycoprotein erns of Indian strain of classical Swine Fever virus. Indian J Virol 2012; 23:397-401. [PMID: 24293833 DOI: 10.1007/s13337-012-0110-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Accepted: 08/29/2012] [Indexed: 11/29/2022]
Abstract
Classical swine fever (CSF) or hog cholera, caused by a positive stranded RNA virus belonging to the genus Pestivirus of the Flaviviridae family, is highly contagious and fatal disease of pigs. We report the novel design of construct for production of highly soluble glycoprotein Erns fragment using prokaryotic expression system. A truncated fragment of the Erns gene (coding for aa 109-170) denoted as 'Erns-Ag' was subcloned and expressed as hexa-histidine tag fusion on both terminus of protein in Escherichia coli. The highly soluble recombinant Erns-Ag protein with purity >95 % was purified by one step Ni-NTA affinity chromatography under native condition. Anti Erns-Ag polyclonal antibodies raised in guinea pig was found to react with CSFV antigen in infected MDCK cell line during immunoperoxidase test. The described methodology of producing a highly soluble recombinant protein with native conformation would likely to assist in development of differential diagnostic test as well as its application in raising hyperimmune sera for detection of CSFV antigen either in tissue materials or infected cell lines.
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Affiliation(s)
- A Ahuja
- Division of Virology, Indian Veterinary Research Institute (IVRI), Regional Campus, Mukteswar, 263138 Nainital, Uttarakhand India
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Ma BBY, Kam MKM, Leung SF, Hui EP, King AD, Chan SL, Mo F, Loong H, Yu BKH, Ahuja A, Chan ATC. A phase II study of concurrent cetuximab-cisplatin and intensity-modulated radiotherapy in locoregionally advanced nasopharyngeal carcinoma. Ann Oncol 2012; 23:1287-1292. [PMID: 21948811 DOI: 10.1093/annonc/mdr401] [Citation(s) in RCA: 95] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/06/2023] Open
Abstract
BACKGROUND Based on our previous work on the clinical activity of cetuximab in recurrent nasopharyngeal carcinoma (NPC), we evaluated the feasibility of adding cetuximab to concurrent cisplatin and intensity-modulated radiotherapy (IMRT) in locoregionally advanced NPC. PATIENTS AND METHODS Patients with American Joint Committee on Cancer stage III-IVB NPC were given an initial dose of cetuximab (400 mg/m(2)) 7-10 days before receiving concurrent IMRT, weekly cisplatin (30 mg/m(2)/week) and cetuximab (250 mg/m(2)/week). RESULTS Thirty patients (median age of 45 years) with stage III (67%), IVA (30%) and IVB (3%) nonkeratinizing NPC were enrolled. Grade 3-4 oropharyngeal mucositis occurred in 26 (87%) patients and 10 (33%) patients required short-term nasogastric feeding. Grade 3 radiotherapy-related dermatitis occurred in six patients (20%) and three patients (10%) had grade 3 cetuximab-related acneiform rash. These grade 3-4 skin and mucosal toxic effects were manageable and reversible. At a median follow-up of 31.8 months [95% confidence interval (CI) 26.2-32.1 months], the 2-year progression-free survival was 86.5% (95% CI 74.3% to 98.8%). CONCLUSIONS Concurrent administration of cetuximab, weekly cisplatin and IMRT is a feasible strategy against locoregionally advanced NPC. Preliminary survival data compare favorably with historic data and further follow-up is warranted.
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Affiliation(s)
- B B Y Ma
- State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute. The Chinese University of Hong Kong.
| | - M K M Kam
- State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute. The Chinese University of Hong Kong
| | - S F Leung
- State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute. The Chinese University of Hong Kong
| | - E P Hui
- State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute. The Chinese University of Hong Kong
| | - A D King
- Imaging and Interventional Radiology, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, China
| | - S L Chan
- State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute. The Chinese University of Hong Kong
| | - F Mo
- State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute. The Chinese University of Hong Kong
| | - H Loong
- State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute. The Chinese University of Hong Kong
| | - B K H Yu
- State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute. The Chinese University of Hong Kong
| | - A Ahuja
- Imaging and Interventional Radiology, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, China
| | - A T C Chan
- State Key Laboratory in Oncology in South China, Sir YK Pao Centre for Cancer, Department of Clinical Oncology, Hong Kong Cancer Institute. The Chinese University of Hong Kong
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Ahuja A, Iyer VK, Mathur S, Vijay MK. Fine needle aspiration cytology diagnosis of metastatic adult granulosa cell tumour showing Call-Exner bodies. Cytopathology 2012; 24:346-7. [PMID: 22515425 DOI: 10.1111/j.1365-2303.2012.00980.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Affiliation(s)
- A Ahuja
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
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Singhal G, Akhter MZ, Stern DF, Gupta SD, Ahuja A, Sharma U, Jagannathan NR, Rajeswari MR. DNA triplex-mediated inhibition of MET leads to cell death and tumor regression in hepatoma. Cancer Gene Ther 2011; 18:520-30. [PMID: 21660063 DOI: 10.1038/cgt.2011.21] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Mesenchymal epithelial transition factor (MET) is one of the critical cell signaling molecules whose aberrant expression is reported in several human cancers. The aim of the study is to investigate the antigene and antiproliferative effect of short triplex forming oligonucleotides, TFO-1 (part of the positive regulatory element) and TFO-2 (away from the transcription start site) on MET expression. HepG2 cells transfected only with TFO-1 (but not with TFO-2 and non-specific TFO) significantly decreased MET levels, which is accompanied by decrease in antiapoptotic proteins and increase in pro-apoptotic proteins. Phosphoproteome-array analysis of 46 intracellular kinases revealed hypophosphorylation of about 15 kinases including ERK, AKT, Src and MEK, suggesting the growth inhibitory effect of TFO-1. Further, the efficacy of TFO-1 was tested on diethylnitrosamine-induced liver tumors in wistar rats. T2-weighted magnetic resonance imaging showed decrease in liver tumor volume up to 90% after treatment with TFO-1. Decreased MET expression and elevated apoptotic activity further indicate that TFO-1 targeted to c-met leads to cell death and tumor regression in hepatoma. Formation of stable DNA triplex between TFO-1 and targeted gene sequence was confirmed by circular dichroic spectroscopy and gel retardation assay. Therefore, it can be concluded that DNA triplex-based therapeutic approaches hold promise in the treatment of malignancies associated with MET overexpression.
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Affiliation(s)
- G Singhal
- Department of Biochemistry, All India Institute of Medical Sciences, New Delhi, India
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Nandi S, Muthuchelvan D, Ahuja A, Bisht S, Chander V, Pandey AB, Singh RK. Prevalence of classical swine fever virus in India: a 6-year study (2004-2010). Transbound Emerg Dis 2011; 58:461-3. [PMID: 21429182 DOI: 10.1111/j.1865-1682.2011.01218.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A study was undertaken regarding the prevalence of classical swine fever virus (CSFV) antibodies and antigens in sera and suspected tissue samples of domestic pigs. The samples were received between January 2004 and September 2010. A total of 594 serum samples from 12 states and 287 tissue samples from 13 states of India were tested using commercial enzyme-linked immunosorbent assay (ELISA) kits. The mean prevalence of CSFV antibodies in suspected sera was 63.3% (376/594), whereas 76.7% (220/287) of the suspected samples were found to contain CSFV antigen. The high prevalence of CSFV antibodies suggests that the disease is endemic in the country. This baseline data will be of use in the formulation of control and eradication programmes.
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Affiliation(s)
- S Nandi
- Centre for Animal Disease Research and Diagnosis (CADRAD), Indian Veterinary Research Institute (IVRI), Izatnagar, Bareilly, India.
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Pandita D, Ahuja A, Lather V, Dutta T, Velpandian T, Khar RK. Development, characterization and in vitro assessement of stearylamine-based lipid nanoparticles of paclitaxel. Pharmazie 2011; 66:171-177. [PMID: 21553646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The objective of the study was to design and evaluate a solid lipid nanoparticle (SLN) drug delivery system for delivery of paclitaxel. Components of the SLN were lipid (stearylamine) and surfactants (Pluronic F68 and Soya lecithin). The paclitaxel loaded nanoparticles were prepared by a modified solvent injection method. Experiments were carried out with excipients, where surfactants, lipid and drug molar ratios were varied to optimize the formulation characteristics. The in vitro drug release profile from the nanoparticles followed a diffusion controlled mechanism. The modified solvent injection method ensured high entrapment efficiency (approximately 75%), produced smaller, stable nanoparticles with a narrow size distribution and proved to be a reproducible and fast production method. The present study describes the feasibility and suitability of stearylamine based SLN produced using a mixture of surfactants to develop a clinically useful system with targeting potential for poorly soluble antineoplastic drugs.
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Affiliation(s)
- D Pandita
- Department of Pharmaceutics, Faculty of Pharmacy, Jamia Hamdard, Hamdard University, New Delhi, India.
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