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Kumar MPS, Keerthana A, Priya, Singh SK, Rai D, Jaiswal A, Reddy MSS. Exploration of culturable bacterial associates of aphids and their interactions with entomopathogens. Arch Microbiol 2024; 206:96. [PMID: 38349547 DOI: 10.1007/s00203-024-03830-x] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 12/27/2023] [Accepted: 01/01/2024] [Indexed: 02/15/2024]
Abstract
Aphids shelter several bacteria that benefit them in various ways. The associates having an obligatory relationship are non-culturable, while a few of facultative associates are culturable in insect cell lines, axenic media or standard microbiology media. In the present investigation, isolation, and characterization of the culturable bacterial associates of various aphid species, viz., Rhopalosiphum maidis, Rhopalosiphum padi, Sitobion avenae, Schizaphis graminum, and Lipaphis erysimi pseudobrassicae were carried out. A total of 42 isolates were isolated using different growth media, followed by their morphological, biochemical, and molecular characterization. The isolated culturable bacterial associates were found to belong to the genera Acinetobacter, Bacillus, Brevundimonas, Cytobacillus, Fictibacillus, Planococcus, Priestia, Pseudomonas, Staphylococcus, Sutcliffiella, and Tumebacillus which were grouped under seven families of four different orders of phyla Bacillota (Firmicutes) and Pseudomonata (Proteobacteria). Symbiont-entomopathogen interaction study was also conducted, in which the quantification of colony forming units of culturable bacterial associates of entomopathogenic fungal-treated aphids led us to the assumption that the bacterial load in aphid body can be altered by the application of entomopathogens. Whereas, the mycelial growth of entomopathogens Akanthomyces lecanii and Metarhizium anisopliae was found uninhibited by the bacterial associates obtained from Sitobion avenae and Rhopalosiphum padi. Analyzing persistent aphid microflora and their interactions with entomopathogens enhances our understanding of aphid resistance. It also fosters the development of innovative solutions for agricultural pest management, highlighting the intricate dynamics of symbiotic relationships in pest management strategies.
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Affiliation(s)
- M P Shireesh Kumar
- Dr. Rajendra Prasad Central Agricultural University, Pusa, Samastipur, 848125, Bihar, India
| | - Alagesan Keerthana
- Dr. Rajendra Prasad Central Agricultural University, Pusa, Samastipur, 848125, Bihar, India
| | - Priya
- Dr. Rajendra Prasad Central Agricultural University, Pusa, Samastipur, 848125, Bihar, India
| | - Satish Kumar Singh
- Dr. Rajendra Prasad Central Agricultural University, Pusa, Samastipur, 848125, Bihar, India
| | - Dinesh Rai
- Dr. Rajendra Prasad Central Agricultural University, Pusa, Samastipur, 848125, Bihar, India
| | - Aman Jaiswal
- Dr. Rajendra Prasad Central Agricultural University, Pusa, Samastipur, 848125, Bihar, India
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Jaiswal A, Katz A, Nesca M, Milios E. Identifying Risk Factors Associated With Lower Back Pain in Electronic Medical Record Free Text: Deep Learning Approach Using Clinical Note Annotations. JMIR Med Inform 2023; 11:e45105. [PMID: 37584559 PMCID: PMC10461403 DOI: 10.2196/45105] [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: 12/15/2022] [Revised: 05/11/2023] [Accepted: 06/03/2023] [Indexed: 08/17/2023] Open
Abstract
Background Lower back pain is a common weakening condition that affects a large population. It is a leading cause of disability and lost productivity, and the associated medical costs and lost wages place a substantial burden on individuals and society. Recent advances in artificial intelligence and natural language processing have opened new opportunities for the identification and management of risk factors for lower back pain. In this paper, we propose and train a deep learning model on a data set of clinical notes that have been annotated with relevant risk factors, and we evaluate the model's performance in identifying risk factors in new clinical notes. Objective The primary objective is to develop a novel deep learning approach to detect risk factors for underlying disease in patients presenting with lower back pain in clinical encounter notes. The secondary objective is to propose solutions to potential challenges of using deep learning and natural language processing techniques for identifying risk factors in electronic medical record free text and make practical recommendations for future research in this area. Methods We manually annotated clinical notes for the presence of six risk factors for severe underlying disease in patients presenting with lower back pain. Data were highly imbalanced, with only 12% (n=296) of the annotated notes having at least one risk factor. To address imbalanced data, a combination of semantic textual similarity and regular expressions was used to further capture notes for annotation. Further analysis was conducted to study the impact of downsampling, binary formulation of multi-label classification, and unsupervised pretraining on classification performance. Results Of 2749 labeled clinical notes, 347 exhibited at least one risk factor, while 2402 exhibited none. The initial analysis shows that downsampling the training set to equalize the ratio of clinical notes with and without risk factors improved the macro-area under the receiver operating characteristic curve (AUROC) by 2%. The Bidirectional Encoder Representations from Transformers (BERT) model improved the macro-AUROC by 15% over the traditional machine learning baseline. In experiment 2, the proposed BERT-convolutional neural network (CNN) model for longer texts improved (4% macro-AUROC) over the BERT baseline, and the multitask models are more stable for minority classes. In experiment 3, domain adaptation of BERTCNN using masked language modeling improved the macro-AUROC by 2%. Conclusions Primary care clinical notes are likely to require manipulation to perform meaningful free-text analysis. The application of BERT models for multi-label classification on downsampled annotated clinical notes is useful in detecting risk factors suggesting an indication for imaging for patients with lower back pain.
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Affiliation(s)
- Aman Jaiswal
- Faculty of Computer Science, Dalhousie University, Halifax, NS, Canada
| | - Alan Katz
- Manitoba Centre for Health Policy, Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Marcello Nesca
- Manitoba Centre for Health Policy, Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Evangelos Milios
- Faculty of Computer Science, Dalhousie University, Halifax, NS, Canada
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Konstantinidis I, Kompella R, Jaiswal A, McNamara-Diorio K, Gluck J, Maxfield A. Does Psychosocial Support Affect Survival in Patients with Left Ventricular Assist Devices? J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.776] [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: 04/05/2023] Open
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Riaz S, Konstantinidis I, Baker W, Jaiswal A. Impact of the Donor Organ Allocation Change on Heart Transplant of Latinos. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.539] [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: 04/05/2023] Open
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Riaz S, Hakim M, Mehta T, Jaiswal A, Scatola A. Successful Bridge From Va-Ecmo to Heart Transplant in an Adult after Mechanical Thrombectomy for Acute Ischemic Stroke. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.791] [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: 04/05/2023] Open
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Butler M, Juros D, Jaiswal A. Promoting Healthy Diet and Food Security in Patients with Heart Failure Through Novel Food4Health Clinic. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1300] [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: 04/05/2023] Open
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Riaz S, Konstantinidis I, Baker W, Jaiswal A. Impact of the Donor Organ Allocation Change on Heart Transplant of Patients with Small Body Surface Area. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.538] [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: 04/05/2023] Open
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Konstantinidis I, Riaz S, Baker W, Jaiswal A. Symptomatic Peripheral Vascular Disease Increases Long Term Mortality after Heart Transplantation. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.582] [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: 04/05/2023] Open
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Konstantinidis I, Riaz S, Baker W, Jaiswal A. Impact of the Donor Organ Allocation Change on Heart Transplant of Patients ≥65 Years of Age. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.540] [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: 04/05/2023] Open
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Upadhayay VK, Chitara MK, Mishra D, Jha MN, Jaiswal A, Kumari G, Ghosh S, Patel VK, Naitam MG, Singh AK, Pareek N, Taj G, Maithani D, Kumar A, Dasila H, Sharma A. Synergistic impact of nanomaterials and plant probiotics in agriculture: A tale of two-way strategy for long-term sustainability. Front Microbiol 2023; 14:1133968. [PMID: 37206335 PMCID: PMC10189066 DOI: 10.3389/fmicb.2023.1133968] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [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: 12/29/2022] [Accepted: 03/06/2023] [Indexed: 05/21/2023] Open
Abstract
Modern agriculture is primarily focused on the massive production of cereals and other food-based crops in a sustainable manner in order to fulfill the food demands of an ever-increasing global population. However, intensive agricultural practices, rampant use of agrochemicals, and other environmental factors result in soil fertility degradation, environmental pollution, disruption of soil biodiversity, pest resistance, and a decline in crop yields. Thus, experts are shifting their focus to other eco-friendly and safer methods of fertilization in order to ensure agricultural sustainability. Indeed, the importance of plant growth-promoting microorganisms, also determined as "plant probiotics (PPs)," has gained widespread recognition, and their usage as biofertilizers is being actively promoted as a means of mitigating the harmful effects of agrochemicals. As bio-elicitors, PPs promote plant growth and colonize soil or plant tissues when administered in soil, seeds, or plant surface and are used as an alternative means to avoid heavy use of agrochemicals. In the past few years, the use of nanotechnology has also brought a revolution in agriculture due to the application of various nanomaterials (NMs) or nano-based fertilizers to increase crop productivity. Given the beneficial properties of PPs and NMs, these two can be used in tandem to maximize benefits. However, the use of combinations of NMs and PPs, or their synergistic use, is in its infancy but has exhibited better crop-modulating effects in terms of improvement in crop productivity, mitigation of environmental stress (drought, salinity, etc.), restoration of soil fertility, and strengthening of the bioeconomy. In addition, a proper assessment of nanomaterials is necessary before their application, and a safer dose of NMs should be applicable without showing any toxic impact on the environment and soil microbial communities. The combo of NMs and PPs can also be encapsulated within a suitable carrier, and this method aids in the controlled and targeted delivery of entrapped components and also increases the shelf life of PPs. However, this review highlights the functional annotation of the combined impact of NMs and PPs on sustainable agricultural production in an eco-friendly manner.
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Affiliation(s)
- Viabhav Kumar Upadhayay
- Department of Microbiology, College of Basic Sciences & Humanities, Dr. Rajendra Prasad Central Agricultural University, Samastipur, Bihar, India
- *Correspondence: Viabhav Kumar Upadhayay,
| | - Manoj Kumar Chitara
- Department of Plant Pathology, College of Agriculture, A.N.D University of Agriculture and Technology, Ayodhya, Uttar Pradesh, India
- Manoj Kumar Chitara,
| | - Dhruv Mishra
- Department of Biological Sciences, College of Basic Sciences and Humanities, G.B. Pant University of Agriculture and Technology, Pantnagar, Uttarakhand, India
| | - Manindra Nath Jha
- Department of Microbiology, College of Basic Sciences & Humanities, Dr. Rajendra Prasad Central Agricultural University, Samastipur, Bihar, India
| | - Aman Jaiswal
- Department of Microbiology, College of Basic Sciences & Humanities, Dr. Rajendra Prasad Central Agricultural University, Samastipur, Bihar, India
| | - Geeta Kumari
- Department of Microbiology, College of Basic Sciences & Humanities, Dr. Rajendra Prasad Central Agricultural University, Samastipur, Bihar, India
| | - Saipayan Ghosh
- Department of Horticulture, PGCA, Dr. Rajendra Prasad Central Agricultural University, Samastipur, Bihar, India
| | - Vivek Kumar Patel
- Department of Plant Pathology, PGCA, Dr. Rajendra Prasad Central Agricultural University, Samastipur, Bihar, India
| | - Mayur G. Naitam
- Department of Microbiology, College of Basic Sciences & Humanities, Dr. Rajendra Prasad Central Agricultural University, Samastipur, Bihar, India
| | - Ashish Kumar Singh
- Department of Biotechnology and Synthetic Biology, Center of Innovative and Applied Bioprocessing, Sector 81, Mohali, India
| | - Navneet Pareek
- Department of Soil Science, College of Agriculture, G. B. Pant University of Agriculture and Technology, Pantnagar, India
| | - Gohar Taj
- Department of Molecular Biology & Genetic Engineering, College of Basic Sciences and Humanities, GBPUA&; T, Pantnagar, Uttarakhand, India
| | | | - Ankit Kumar
- Department of Horticulture, College of Agriculture, G. B. Pant University of Agriculture and Technology, Pantnagar, Uttarakhand, India
| | - Hemant Dasila
- Department of Microbiology, Akal College of Basic Sciences, Eternal University, Sirmaur, Himachal Pradesh, India
| | - Adita Sharma
- College of Fisheries, Dholi, Dr. Rajendra Prasad Central Agricultural University, Muzaffarpur, Bihar, India
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Banoo M, Roy RS, Bhakar M, Kaur J, Jaiswal A, Sheet G, Gautam UK. Bi 4TaO 8Cl as a New Class of Layered Perovskite Oxyhalide Materials for Piezopotential Driven Efficient Seawater Splitting. Nano Lett 2022; 22:8867-8874. [PMID: 36346776 DOI: 10.1021/acs.nanolett.2c02900] [Citation(s) in RCA: 4] [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] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Piezocatalytic water splitting is an emerging approach to generate "green hydrogen" that can address several drawbacks of photocatalytic and electrocatalytic approaches. However, existing piezocatalysts are few and with minimal structural flexibility for engineering properties. Moreover, the scope of utilizing unprocessed water is yet unknown and may widely differ from competing techniques due to the constantly varying nature of surface potential. Herein, we present Bi4TaO8Cl as a representative of a class of layered perovskite oxyhalide piezocatalysts with high hydrogen production efficiency and exciting tailorable features including the layer number, multiple cation-anion combination options, etc. In the absence of any cocatalyst and scavenger, an ultrahigh production rate is achievable (1.5 mmol g-1 h-1), along with simultaneous generation of value-added H2O2. The production rate using seawater is somewhat less yet appreciably superior to photocatalytic H2 production by most oxides as well as piezocatalysts and has been illustrated using a double-layer model for further development.
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Affiliation(s)
- Maqsuma Banoo
- Department of Chemical Sciences, Indian Institute of Science Education and Research (IISER)-Mohali, Sector 81, Mohali, SAS Nagar, Punjab140306, India
| | - Raj Sekhar Roy
- Department of Chemical Sciences, Indian Institute of Science Education and Research (IISER)-Mohali, Sector 81, Mohali, SAS Nagar, Punjab140306, India
| | - Monika Bhakar
- Department of Physical Sciences, Indian Institute of Science Education and Research (IISER)-Mohali, Sector 81, Mohali, SAS Nagar, Punjab140306, India
| | - Jaspreet Kaur
- Department of Chemical Sciences, Indian Institute of Science Education and Research (IISER)-Mohali, Sector 81, Mohali, SAS Nagar, Punjab140306, India
| | - Aman Jaiswal
- Department of Chemical Sciences, Indian Institute of Science Education and Research (IISER)-Mohali, Sector 81, Mohali, SAS Nagar, Punjab140306, India
| | - Goutam Sheet
- Department of Physical Sciences, Indian Institute of Science Education and Research (IISER)-Mohali, Sector 81, Mohali, SAS Nagar, Punjab140306, India
| | - Ujjal K Gautam
- Department of Chemical Sciences, Indian Institute of Science Education and Research (IISER)-Mohali, Sector 81, Mohali, SAS Nagar, Punjab140306, India
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Jaiswal A, Verma A, Dannenfelser R, Melssen M, Tirosh I, Izar B, Kim T, Nirschl C, Devi S, Olson W, Slingluff C, Engelhard V, Garraway L, Regev A, Yoon C, Troyanskaya O, Elemento O, Suarez-Farinas M, Anandasabapathy N. 037 A systems immunology approach to classify melanoma tumor infiltrating lymphocytes (TILs) informs and models overall survival. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.091] [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: 11/16/2022]
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Jaiswal A, Holzhey P, Budhiraja S, Paramasivam A, Santhakumaran S, Cöté S, Boie NR, Savundranayagam M, Vincent C, Kröger E, Wittich W. 1011 CONTINUUM OF GERIATRIC CARE FOR OLDER ADULTS WITH DUAL SENSORY LOSS DURING THE COVID-19 PANDEMIC IN CANADA: LESSONS LEARNED. Age Ageing 2022. [PMCID: PMC9384318 DOI: 10.1093/ageing/afac126.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Introduction Around 1.1 million older Canadians live with combined hearing and vision impairment (dual sensory loss/DSL). Evidence highlights that they are at a high risk of cognitive impairment, functional decline, social isolation, falls, depression, and mortality. Compared to their non-DSL peers, older adults with DSL experience various challenges in accessing healthcare, which were exacerbated during the COVID-19 pandemic. This study aimed to explore the continuum of geriatric care for older adults with DSL by integrating their perspectives, those of caregivers who accompany them on healthcare visits, and their healthcare providers in Canada during the pandemic. Method We conducted a qualitative study with 32 older Canadians with DSL and their caregivers, and an online survey with 228 healthcare providers across the country. Qualitative interviews were audio-recorded using Zoom and transcribed verbatim, while the survey data were collected using Lime Survey. Thematic analysis was used to analyse qualitative data, whereas descriptive statistics were used for quantitative survey data. Results The findings highlighted the gaps in the continuum of care for this population. The reported gaps were lack of training on DSL among healthcare providers, lack of time and comfort to go beyond one’s specialty, lack or limited support to overcome communication challenges while providing care to older adults with DSL, difficulty in using technologies for virtual/telehealth, presence of comorbidities such as cognitive impairment, and restrictions in caregiver accompaniment during the pandemic. Conclusion Our findings indicate that the continuum of care for this group is negatively affected due to the pandemic, in a disproportionate manner, and structural barriers are experienced by older adults with DSL and their caregivers for access to care. To ensure effective care, healthcare professionals need training on DSL-specific accessibility and communication. A collaborative, cross-disciplinary geriatric care approach with the active involvement of essential care partners is an utmost need.
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Affiliation(s)
- A Jaiswal
- Université de Montréal
- Institut Nazareth et Louis-Braille
| | | | | | | | | | | | | | | | | | | | - W Wittich
- Université de Montréal
- Institut Nazareth et Louis-Braille
- Centre de réadaptation Lethbridge-Layton-Mackay
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Baker W, Moore T, Baron E, Jennings D, Jaiswal A. Development and Internal Validation of a Model to Predict Malignancy within a Year After Heart Transplantation in Adults. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1673] [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: 10/18/2022] Open
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Jaiswal V, Jaiswal A, Gupta S, Mukherjee D. Symptomatology, prognosis, and clinical findings of COVID 19 induced myocarditis: a systematic review. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
With the advent of the novel coronavirus (COVID-19) in December 2019, numerous case studies have been reported on its impact on cardiac cells, and we purpose to perform a systematic review that explains the symptomatology, prognosis, and clinical findings of COVID-19-related myocarditis patients.
Methods
PRISMA guidelines were employed and peer–reviewed journals in English related to COVID – 19 were included. Exclusion criteria included <50 y, known heart problems. Age criteria was guided by prior systematic report by Kariyanna et al (2020). Search engines included Pubmed, Google scholar, Cochrane Central and Web of Science database using “SARS-CoV-2” or “COVID 19” and “myocarditis”. The data were analyzed and synthesized qualitatively using MS Excel PIVOT and quality was rated using the “Research and Quality Scoring Method” by Sackett and Haynes, the Jadad scale, and the items published by Cho and Bero (Han et al., 2011).
Results
A total of 22 studies on 37 patients were included; 6 were confirmed myocarditis while the rest have possible myocarditis. Among all these 62% were male and showing dominance. The most common presenting symptoms appear to be fever, chest pain, shortness of breath, and cough. Most of the patients have shown elevation in cardiac biomarkers (troponin levels, CRP, CK level, CK-MB, NT-pro BNP). Electrocardiogram changes include sinus rhythm, tachycardia, and non specific ST - segment elevation and T wave changes. Echocardiography results commonly found were left ventricular dysfunction and increased wall thickness. CMR was performed in 8 patients, with features of reduced ejection fraction, myocardial edema, and hypokinesia, whereas biopsy has been performed among 3 patients due to the invasive nature of the procedure and common findings include inflammatory biomarkers were raised. Overall Prognosis appears to be bad in which 25% of patients were not able to survive and 75% of them were recovered.
Conclusions
Myocarditis-related COVID-19 mortality continues to be high and under-estimated. The patient manifestations are identical and difficult to distinguish from COVID-19-related symptoms. Just a limited number of patients undergo confirmatory tests, such as an MRI or an endomyocardial biopsy, which may not be available. Further studies are needed to confirm and quantify the actual prognosis and outcomes of patients with COVID-19 myocarditis. Moreover, available data on the usage of glucocorticoids in the coronavirus infection is controversial to our knowledge. Corticosteroid therapy is unsuccessful in the treatment of viral myocarditis, according to a Cochrane systematic review conducted in 2013. It also allows viral clearance to be overdue. Corticosteroids, on the other hand, reduce the chance of mortality for ICU patients in Wuhan. To concede, more studies, clinical trials, and duration is needed for a thorough understanding of COVID – 19, and its impact on cardiac health
Funding Acknowledgement
Type of funding sources: Other.
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Affiliation(s)
- V Jaiswal
- AMA School of Medicine, Makati, Philippines
| | - A Jaiswal
- All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - S Gupta
- Lady Hardinge Medical College, New Delhi, India
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Elsadany M, Godoy Rivas C, Arora S, Jaiswal A, Weissler-Snir A, Duvall WL. The use of SPECT/CT quantification of 99mTc-PYP uptake to assess tafamidis treatment response in ATTR cardiac amyloidosis. Eur Heart J Cardiovasc Imaging 2021. [DOI: 10.1093/ehjci/jeab111.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background/Introduction
Nuclear scintigraphy with bone-avid radiotracers such as Tc-99m-PYP, Tc99m-DPC and Tc-99m-HMDP are used to diagnose transthyretin (ATTR) cardiac amyloidosis with limited quantification employing a semi-quantitative visual score and a heart to contralateral lung ratio. Therapy for ATTR cardiac amyloid currently is limited to a single FDA approved agent, tafamidis, however, there is no data regarding the longitudinal assessment of imaging findings in patients undergoing therapy. SPECT/CT acquisition and analysis with dedicated software can provide volumetric assessment and quantification of cardiac tracer uptake.
Purpose
The purpose of this study was to perform longitudinal assessment of cardiac ATTR amyloid 99mTc-PYP imaging findings to determine if treatment with tafamidis results in any change in quantitative measures of tracer uptake. There is no data on if treatment results in a decrease in cardiac amyloid burden as assessed by 99mTc-PYP imaging.
Methods
A prospective, single center, study of patients with ATTR cardiac amyloid being treated with tafamidis (either 80mg or 61mg dose) who have baseline and follow-up 99mTc-PYP studies. SPECT/CT quantification software was used to quantify heart, lung, and bone tracer uptake and generate standardized uptake values (SUVs). Comparison of baseline (before treatment) total SUVs, mean SUV value, percentage of the injected dose, mean SUV of heart to mean SUV of bone ratio and to mean SUV of right lung ratio was made to the values obtained at follow-up after tafamidis treatment. Measurements were obtained from the whole heart and the isolated left ventricle. Data was obtained by two physicians and the results averaged.
Results
5 patients were analyzed with a mean age 73.8 ± 7.7, 80% were males, and a mean length of tafamidis therapy at repeat imaging of 12.5 ± 3.8 months. At follow-up there was an average decrease in whole heart total SUV counts by -25.9 ± 10.3%, in the mean SUV value by -18.2 ± 18.2% and in the percentage of injected dose by -23.7 ± 14.0%. Similar decreases were seen in the isolated left ventricle measures. Heart to bone and heart to lung ratios showed a mixed response to therapy. Detailed results are provided in the table.
Conclusion
The measurements of total SUV counts, mean SUV value, and percentage of the injected dose showed improvement with tafamidis treatment. The ratios did not uniformly show improvement and the reason for this finding is unclear. This new technique offers a potential method for following tafamidis therapy and assessing the cardiac amyloid burden.
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Affiliation(s)
- M Elsadany
- Hartford Hospital, Department of Cardiology, Hartford, United States of America
| | - C Godoy Rivas
- Hartford Hospital, Department of Cardiology, Hartford, United States of America
| | - S Arora
- Hartford Hospital, Department of Cardiology, Hartford, United States of America
| | - A Jaiswal
- Hartford Hospital, Department of Cardiology, Hartford, United States of America
| | - A Weissler-Snir
- Hartford Hospital, Department of Cardiology, Hartford, United States of America
| | - WL Duvall
- Hartford Hospital, Department of Cardiology, Hartford, United States of America
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Baker W, Jennings D, Gadela N, Radojevic J, Gluck J, Arora S, Scatola A, Hammond J, Ali A, Jaiswal A. Prior Amiodarone Use Does Not Affect Long-Term Survival after Heart Transplant. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.798] [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: 10/21/2022] Open
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Jaiswal A, Gadela N, Radojevic J, Gluck J, Arora S, Scatola A, Hammond J, Ali A, Baker W. Absence of Obesity Paradox in Morbidly Obese Patients Listed for Heart Transplantation in Contemporary Era. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.773] [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: 10/21/2022] Open
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Jaiswal A, Gadela N, Radojevic J, Gluck J, Arora S, Scatola A, Hammond J, Ali A, Baker W. Recipient Morbid Obesity Worsens Post Heart Transplantation Survival. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.769] [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: 10/21/2022] Open
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Jaiswal A, Gadela N, Radojevic J, Gluck J, Arora S, Scatola A, Hammond J, Ali A, Baker W. Body Mass Index as a Continuous Predictor of Survival after Heart Transplantation. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.764] [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: 10/21/2022] Open
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Jaiswal A, Gadela N, Kurtzman E, Drake C, Underhill D, Gluck J. Cannula Position Confirmation before Transportation of Veno-Venous ECMO Patients is Not Necessary: A Mobile ECMO Program Experience. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1135] [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: 11/25/2022] Open
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SINGH PhD H, Prasad N, Jaiswal A, Misra D, Agarwal V. SAT-468 Can steroid responsiveness be regulated epigenetically in childhood nephrotic syndrome? Kidney Int Rep 2020. [DOI: 10.1016/j.ekir.2020.02.498] [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: 10/24/2022] Open
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Jaiswal A, Kabra D, Baheti N, Nitin NC. Finding solutions: Whatsapp consult with neurologist can guide physicians to thrombolyse acute ischemic stroke patients. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.543] [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: 10/25/2022]
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Gautam P, Jaiswal A, Aittokallio T, Hassan AA, Wennerberg K. Abstract P2-06-25: A phenotypic screening and machine learning platform efficiently identifies triple negative breast cancer-selective and readily druggable targets. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p2-06-25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Identifying effective oncogenic targets is challenged by the complexity of genetic alterations in cancer and their poorly understood relation to cell function and survival. This, combined with the fact that the majority of the proteome is predicted to be undruggable, may explain why genomic approaches have had only moderate success in identifying and translating oncogenic drug targets. There is a need for methods that rapidly and accurately identify “pharmacologically effective” targets without the requirement for priori knowledge of complex signaling networks. We developed an approach that uses machine learning to relate results from unbiased phenotypic screening of kinase inhibitors to their biochemical activity data. This process, which we call idTRAX (Identification of Drug TaRgets and Anti-targets by Cellular and Molecular Cross-referencing), identifies targets that are pharmacologically responsive and readily druggable. Additionally, the identified targets are not typically overcome by the robustness of signaling networks, because only targets that effectively induce a phenotype upon pharmacological engagement are selected. We applied this methodology to triple negative breast cancer, which still lacks targeted therapy. We screened 19 breast cancer cell lines with ˜500 small-molecule kinase inhibitors with annotated kinase activity data and identified cell-line specific kinase targets, i.e. kinases whose inhibition causes cell line-specific cytotoxicity or cytostaticity. We were able to identify various unique cell line selective kinase addictions along with well-known driver kinase addictions, for example, dependence on FGFR2 in the MFM-223 cell line and AKT kinases in MFM-223, CAL-148, and others. We also found that triple negative breast cancer cell lines exhibit heterogeneous target patterns, indicating the need of personalized medicine approach to tackle them. We further compared candidate targets identified by idTRAX with those reported from RNAi- and CRISPR-based screens. Strikingly, the correlation between targets identified by the pharmacological approach and those identified by knockdown/knockout-based screens was low [average rank correlation (ρ) = 0.0273- 0.1074], suggesting that gene-silencing approaches may not be the most efficient at identifying targets for small-molecule drug discovery or repurposing. Our approach provides a platform for rapidly identifying sample-specific drug targets and potentially guiding personalised therapy regimens.
Citation Format: Gautam P, Jaiswal A, Aittokallio T, Hassan A-A, Wennerberg K. A phenotypic screening and machine learning platform efficiently identifies triple negative breast cancer-selective and readily druggable targets [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P2-06-25.
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Affiliation(s)
- P Gautam
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland; University of Turku, Turku, Finland; University of Turku3The Miami Project to Cure Paralysis, Peggy and Harold Katz Family Drug Discovery Center, Sylvester Comprehensive Cancer Center, and University of Miami Miller School of Medicine, Miami, FL; Biotech Research & Innovation Centre (BRIC), University of Copenhagen, Copenhagen, Denmark
| | - A Jaiswal
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland; University of Turku, Turku, Finland; University of Turku3The Miami Project to Cure Paralysis, Peggy and Harold Katz Family Drug Discovery Center, Sylvester Comprehensive Cancer Center, and University of Miami Miller School of Medicine, Miami, FL; Biotech Research & Innovation Centre (BRIC), University of Copenhagen, Copenhagen, Denmark
| | - T Aittokallio
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland; University of Turku, Turku, Finland; University of Turku3The Miami Project to Cure Paralysis, Peggy and Harold Katz Family Drug Discovery Center, Sylvester Comprehensive Cancer Center, and University of Miami Miller School of Medicine, Miami, FL; Biotech Research & Innovation Centre (BRIC), University of Copenhagen, Copenhagen, Denmark
| | - A-A Hassan
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland; University of Turku, Turku, Finland; University of Turku3The Miami Project to Cure Paralysis, Peggy and Harold Katz Family Drug Discovery Center, Sylvester Comprehensive Cancer Center, and University of Miami Miller School of Medicine, Miami, FL; Biotech Research & Innovation Centre (BRIC), University of Copenhagen, Copenhagen, Denmark
| | - K Wennerberg
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki, Finland; University of Turku, Turku, Finland; University of Turku3The Miami Project to Cure Paralysis, Peggy and Harold Katz Family Drug Discovery Center, Sylvester Comprehensive Cancer Center, and University of Miami Miller School of Medicine, Miami, FL; Biotech Research & Innovation Centre (BRIC), University of Copenhagen, Copenhagen, Denmark
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Prakash A, Jaiswal A, Mittal S, Chatterjee P, Kotalwar S, Datta B. Barber′s neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure. Lung India 2019. [DOI: 10.4103/0970-2113.257713] [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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Kumar M, Patel A, Jaiswal A, Ranjan A, Mohanta D, Sahu S, Saraswat A, Rao P, Rao T, Mehta V, Ranjith kumar S, Bhattacharyay R, Rajendrakumar E, Malhotra S, Satyamurthy P. Engineering design and development of lead lithium loop for thermo-fluid MHD studies. Fusion Engineering and Design 2019. [DOI: 10.1016/j.fusengdes.2018.09.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Bhooshan N, Pabbi S, Singh A, Sharma A, Jaiswal A, Kumar A. Impact of blue green algae (BGA) technology: an empirical evidence from northwestern Indo-Gangetic Plains. 3 Biotech 2018; 8:324. [PMID: 30034988 DOI: 10.1007/s13205-018-1345-5] [Citation(s) in RCA: 6] [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: 05/09/2018] [Accepted: 07/09/2018] [Indexed: 11/29/2022] Open
Abstract
The focus of the current study is to assess the impact of blue green algae (BGA) technology on farming practices and economic conditions of farming households. The states of Punjab, Uttar Pradesh and Haryana considered as major rice-growing states of India were chosen for the primary survey. It was observed that use of BGA resulted in 25.2% of urea reduction with an overall 3.8% increase in the yield and a marginal decrease in per acre cultivation cost. Tobit model has been used to identify the determinants of increasing cropping area under BGA. Factors such as age, education, operated land holdings and leased-in land have a positive and significant impact on area under BGA. The study also provided the comparative analysis on yield of paddy, urea consumption and income with and without BGA application. It was observed that farmers earned about 3% greater income along with 41.1% reduction in dosage of urea while reaping 1% higher yield of paddy.
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Affiliation(s)
- Neeru Bhooshan
- 1Zonal Technology Management and Business Planning Division, ICAR-Indian Agricultural Research Institute, New Delhi, 110012 India
| | - Sunil Pabbi
- 2Division of Microbiology, ICAR-Indian Agricultural Research Institute, New Delhi, 110012 India
| | - Amarjeet Singh
- 1Zonal Technology Management and Business Planning Division, ICAR-Indian Agricultural Research Institute, New Delhi, 110012 India
| | - Akriti Sharma
- 1Zonal Technology Management and Business Planning Division, ICAR-Indian Agricultural Research Institute, New Delhi, 110012 India
| | - Aman Jaiswal
- 2Division of Microbiology, ICAR-Indian Agricultural Research Institute, New Delhi, 110012 India
| | - Anjani Kumar
- 3International Food Policy Research Institute, New Delhi, India
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Rana M, Upadhya M, Jaiswal A, Tyagi K. Evaluation of Surface Roughness of Nanofilled Composite Restorations after Simulated Tooth Brushing using Various Dentifrices. Kathmandu Univ Med J (KUMJ) 2018; 16:231-236. [PMID: 31719312] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Background Teeth restored with direct composite resin are constantly exposed to specific challenges of the oral cavity. These challenges can modify the material properties and, when associated with daily brushing, eventually change its surface roughness, allowing bacterial growth and retention of extrinsic pigments. Dentifrices plays an important role in dental wear (abrasion) and over time, can also cause an increase in the surface roughness of restorative materials. Objective To assess the effect of dentifrices on the longevity of direct nanofilled composite resins restorations as far as wear and roughness is concerned. Method Class V cavity were prepared on 90 extracted human teeth and restored with Filtek Z350 composite. Teeth were randomly divided into 6 experimental groups of 15 each labelled as Group-1 (Colgate Dental cream) Group-2 (Colgate Active Salt toothpaste), Group-3 (Pepsodent Regular toothpaste), Group-4 (Dabur red toothpaste), Group-5 (Dabur Lal tooth powder) and Group-6 Control (water). The samples were fixed on tooth brushing machine and subjected to mechanical tooth brushing using various dentifrices according to respective groups in 3 phases and reading of surface roughness (Ra) was recorded. Result Surface roughness (Ra) had increased in following order: Group 6 < Group 3 < Group 2 < Group 1 < Group 4 < Group 5. All the tooth pastes were compared, their behaviour was found to be similar as there was no statistically significant difference amongst them. Though all of them were inferior to control group and the difference was statistically significant. Whereas the only tooth powder Dabur lal tooth powder gave the maximum roughness when compared with the other tooth pastes and the difference was statistically significant. Conclusion With increase in time of brushing there was increase in surface roughness in all the 5 dentifrices among them Ra was maximum for Dabur lal tooth powder.
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Affiliation(s)
- M Rana
- Department of Conservative Dentistry and Endodontics, M.B. Kedia Dental College, Birgunj, Nepal
| | - M Upadhya
- Department of Conservative Dentistry and Endodontics, M.B. Kedia Dental College, Birgunj, Nepal
| | - A Jaiswal
- Department of Orthodontics, M.B. Kedia Dental College, Birgunj, Nepal
| | - K Tyagi
- Department of Oral Pathology, M.B. Kedia Dental College, Birgunj, Nepal
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Prakash AK, Datta B, Tripathy JP, Kumar N, Chatterjee P, Jaiswal A. The clinical utility of cycle of threshold value of GeneXpert MTB/RIF (CBNAAT) and its diagnostic accuracy in pulmonary and extra-pulmonary samples at a tertiary care center in India. Indian J Tuberc 2018; 65:296-302. [PMID: 30522616 DOI: 10.1016/j.ijtb.2018.05.021] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [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] [Received: 02/23/2018] [Revised: 05/23/2018] [Accepted: 05/24/2018] [Indexed: 12/19/2022]
Abstract
BACKGROUND There are knowledge gaps in the in-depth analysis of the most promising and robust diagnostic tool, GeneXpert MTB/RIF (CBNAAT). The cycle of threshold (CT) value of the CBNAAT test and its clinical implications has not been explored much. AIMS AND OBJECTIVES The study aimed at (a) estimating the diagnostic accuracy and incremental yield of Xpert MTB/RIF in various specimens (b) establishing the association between CT value category (high, medium, low, very low) and culture time-to-positivity (TTP). METHODS A total of 1000 samples, both pulmonary and extra-pulmonary were collected from presumptive TB cases in a large tertiary care hospital. Sensitivity and specificity of CBNAAT was calculated with culture as the gold standard. The association of CT value with culture TTP was also studied. RESULTS The overall sensitivity of CBNAAT was 88.5%, with bronchial washing specimen being the most sensitive (92.3%) and pleural fluid being the least (66.7%). In smear negative individuals, the sensitivity of CBNAAT was 80.9%. The additional yield of CBNAAT over smear microscopy was 10.9%. It was observed that as we move from high to very low CT category, culture positivity decreases significantly (p<0.001), whereas time taken for culture growth increases (p<0.001). CONCLUSION CBNAAT is a robust test for accurate diagnosis of tuberculosis both pulmonary and extra-pulmonary, smear negative as well, especially in resource-limited settings. The correlation between CT value and culture TTP has potential in predicting bacillary load, though further studies are required.
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Affiliation(s)
- Ashish K Prakash
- Department of Respiratory & Sleep Medicine, Medanta - The Medicity Gurgaon, India.
| | - B Datta
- Department of Respiratory & Sleep Medicine, Medanta - The Medicity Gurgaon, India
| | - J P Tripathy
- International Union Against Tuberculosis and Lung Disease, The Union South East Asia Office, New Delhi, India
| | - N Kumar
- Department of Microbiology, Medanta - The Medicity Gurgaon, India
| | - P Chatterjee
- Department of Respiratory & Sleep Medicine, Medanta - The Medicity Gurgaon, India
| | - A Jaiswal
- Department of Respiratory & Sleep Medicine, Medanta - The Medicity Gurgaon, India
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Jaiswal A, Malhotra A, Hay S, Kelly CP. Revision shoulder arthroplasty for failed surface replacement hemiarthroplasty. Musculoskelet Surg 2018; 103:69-75. [PMID: 29744735 DOI: 10.1007/s12306-018-0541-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 07/28/2017] [Accepted: 05/01/2018] [Indexed: 01/28/2023]
Abstract
PURPOSE The aim of this study was to assess the reasons of failure of shoulder surface replacement hemiarthroplasty (SRH) and to evaluate the outcome of revision surgery. METHOD The study group included 25 patients (26 shoulders) with failed SRHs. The mean time to revision surgery was 3.6 years. Their functional outcome was evaluated using adjusted Constant-Murley score at mean follow-up of 5.2 years (range 2-16 years). RESULT Most common cause of failure was glenoid erosion (42%) and progressive failure of rotator cuff (31%). Median adjusted Constant-Murley score at mean follow-up of 5.2 years was 51.6. Median adjusted Constant-Murley score in patients who had primary diagnosis of osteoarthritis and had revision performed to anatomic TSA (14 shoulders) was 85 (range 40-100) at mean follow-up of 5 years compared to 36.3 (range 20-66.3) in the remaining patients at 5.4 years, p = 0.00008. CONCLUSION Revision surgery for failed SRH can be technically challenging with variable results. Most common mode of failure was glenoid erosion. Functional outcomes are better in those with revision performed to anatomic TSA.
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Affiliation(s)
- A Jaiswal
- Upper Limb Unit, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK.
| | - A Malhotra
- Upper Limb Unit, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK
| | - S Hay
- Upper Limb Unit, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK
| | - C P Kelly
- Upper Limb Unit, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK
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Prasad N, Manjunath R, Rangaswamy D, Jaiswal A, Agarwal V, Bhadauria D, Kaul A, Sharma R, Gupta A. Efficacy and Safety of Cyclosporine versus Tacrolimus in Steroid and Cyclophosphamide Resistant Nephrotic Syndrome: A Prospective Study. Indian J Nephrol 2018. [PMID: 29515301 PMCID: PMC5830809 DOI: 10.4103/ijn.ijn_240_16] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [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: 11/22/2022] Open
Abstract
Calcineurin inhibitors (CNIs) are the preferred drugs for treatment of childhood steroid-resistant nephrotic syndrome (SRNS) who are also resistant to cyclophosphamide (CYC). Although few studies have shown a benefit of one over the other, efficacy and safety of either CNIs (tacrolimus [TAC] or cyclosporine [CSA]) in this special population remained to be assessed in long-term studies. Forty-five children with SRNS who were also resistant to CYC (CYC-SRNS) from January 2006 to June 2011, were included in the study. Patients were treated with CNI either TAC or CSA based on 1:1 allocations and were prospectively observed. Patients who were nonresponsive to CNIs had been treated with mycophenolate mofetil. Outcomes were measured in terms of remission of NS, adverse effects of drugs, and progression of disease. After 6 months of treatment, 16/23 (69.5%) patients on CSA achieved remission and 18/22 (81.8%) on TAC achieved remission (P = 0.3). The side effects hypertrichosis, and gum hyperplasia were significantly less in TAC group as compared to CSA group (P < 0.001). The 1-, 2-, 3-, 4-, and 5-year estimated renal survival (doubling of serum creatinine as event) in CSA group was 96%, 91%, 85%, 54%, and 33% and in TAC group was 96%, 95%, 90%, 89%, and 79%, respectively (P = 0.02). Although TAC and CSA are equally efficacious, TAC has significantly less side effects. The long-term outcome of renal function was significantly better in patients who were treated with TAC as compared to CSA.
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Affiliation(s)
- N Prasad
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - R Manjunath
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - D Rangaswamy
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - A Jaiswal
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - V Agarwal
- Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - D Bhadauria
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - A Kaul
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - R Sharma
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - A Gupta
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
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Prasad N, Patel MR, Pandey A, Jaiswal A, Bhadauria D, Kaul A, Sharma RK, Mohindra S, Pandey G, Goel A, Gupta A. Direct-acting Antiviral Agents in Hepatitis C Virus-infected Renal Allograft Recipients: Treatment and Outcome Experience from Single Center. Indian J Nephrol 2018; 28:220-225. [PMID: 29962673 PMCID: PMC5998719 DOI: 10.4103/ijn.ijn_190_17] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 01/23/2023] Open
Abstract
Hepatitis C virus (HCV) infection in renal allograft recipient is associated with increased morbidity and mortality. At present, only few studies related to treatment and outcomes of HCV-infected renal allograft recipients with DAAs have been published. We aimed the study to assess the efficacy and safety of sofosbuvir-based regimens in HCV-infected renal allograft recipients. We analyzed data of 22 eligible HCV-infected renal allograft recipients (14 genotype-3, 6 genotype-1, one each genotype-2 and 4) who were treated with DAAs at our institute. DAA regimen included sofosbuvir and ribavirin with or without ledipasvir or daclatasvir for 12–24 weeks. Patients were followed up for 24 weeks after completion of treatment. A rapid viral response of 91%, end of therapy response of 100%, and sustained viral response at 12 and 24 weeks of 100% with rapid normalization of liver enzymes were observed. Therapy was well tolerated except for ribavirin-related anemia. A significant decrease in tacrolimus trough levels was observed and most patients required increase in tacrolimus dose during the study. Treatment with newer DAAs is effective and safe for the treatment of HCV-infected renal allograft recipients.
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Affiliation(s)
- N Prasad
- Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - M R Patel
- Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - A Pandey
- Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - A Jaiswal
- Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - D Bhadauria
- Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - A Kaul
- Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - R K Sharma
- Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - S Mohindra
- Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - G Pandey
- Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - A Goel
- Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - A Gupta
- Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
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Dani P, Patnaik N, Singh A, Jaiswal A, Agrawal B, Kumar AA, Varkhande SR, Sharma A, Vaish U, Ghosh P, Sharma VK, Sharma P, Verma G, Kar HK, Gupta S, Natarajan VT, Gokhale RS, Rani R. Association and expression of the antigen-processing gene PSMB8, coding for low-molecular-mass protease 7, with vitiligo in North India: case-control study. Br J Dermatol 2017; 178:482-491. [PMID: 28207947 DOI: 10.1111/bjd.15391] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2017] [Indexed: 12/19/2022]
Abstract
BACKGROUND Vitiligo is a multifactorial, autoimmune, depigmenting disorder of the skin where aberrant presentation of autoantigens may have a role. OBJECTIVES To study the association of two antigen-processing genes, PSMB8 and PSMB9, with vitiligo. METHODS In total 1320 cases of vitiligo (1050 generalized and 270 localized) and 752 healthy controls were studied for the PSMB9 exon 3 G/A single-nucleotide polymorphism (SNP), PSMB8 exon 2 C/A SNP and PSMB8 intron 6 G/T SNP at site 37 360 using polymerase chain reaction (PCR)-restriction fragment length polymorphism. Real-time PCR was used for transcriptional expression of PSMB8 and cytokines. Expression of ubiquitinated proteins and phosphorylated-p38 (P-p38) was studied by Western blotting. RESULTS Significant increases in PSMB8 exon 2 allele A (P < 2.07 × 10-6 , odds ratio 1·93) and genotypes AA (P < 1.03 × 10-6 , odds ratio 2·51) and AC (P < 1.29 × 10-6 , odds ratio 1·63) were observed in patients with vitiligo. Interferon-γ stimulation induced lower expression of PSMB8 in peripheral blood mononuclear cells of cases compared with controls, suggesting impaired antigen processing, which was confirmed by accumulation of ubiquitinated proteins in both lesional and nonlesional skin of patients with vitiligo. Expression of proinflammatory cytokines - interleukin (IL)-6, IL-1β and IL-8 - was higher in the lesional skin. P-p38 expression was variable but correlated with the amount of ubiquitinated proteins in the lesional and nonlesional skin, suggesting that the inflammatory cytokine responses in lesional skin could be a result of both P-p38-dependent and -independent pathways. CONCLUSIONS The PSMB8 exon 2 SNP is significantly associated with vitiligo. Accumulation of ubiquitinated proteins in skin of cases of vitiligo suggests their aberrant processing, which may promote the development of the disease.
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Affiliation(s)
- P Dani
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India
| | - N Patnaik
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India
| | - A Singh
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India.,Systems Biology Group, CSIR - Institute of Genomics and Integrative Biology, New Delhi, 110025, India
| | - A Jaiswal
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India
| | - B Agrawal
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India
| | - A A Kumar
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India
| | - S R Varkhande
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India
| | - A Sharma
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India
| | - U Vaish
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India
| | - P Ghosh
- Systems Biology Group, CSIR - Institute of Genomics and Integrative Biology, New Delhi, 110025, India
| | - V K Sharma
- Department of Dermatology, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - P Sharma
- Department of Dermatology, PGIMER, Dr Ram Manohar Lohia Hospital, New Delhi, 110001, India
| | - G Verma
- Department of Dermatology, PGIMER, Dr Ram Manohar Lohia Hospital, New Delhi, 110001, India
| | - H K Kar
- Department of Dermatology, PGIMER, Dr Ram Manohar Lohia Hospital, New Delhi, 110001, India
| | - S Gupta
- Department of Dermatology, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - V T Natarajan
- Systems Biology Group, CSIR - Institute of Genomics and Integrative Biology, New Delhi, 110025, India
| | - R S Gokhale
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India.,Systems Biology Group, CSIR - Institute of Genomics and Integrative Biology, New Delhi, 110025, India
| | - R Rani
- Molecular Immunogenetics Group, National Institute of Immunology, New Delhi, 110067, India.,Systems Biology Group, CSIR - Institute of Genomics and Integrative Biology, New Delhi, 110025, India
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Suleyman G, Alexis M, Markowitz N, Zervos M, Myneedu VP, Jaiswal A, Agarwal U, Gupta R. Antibiotic susceptibility patterns in an ICU at a tertiary hospital in New Delhi, India. J Glob Antimicrob Resist 2016; 3:313-314. [PMID: 27842884 DOI: 10.1016/j.jgar.2015.09.005] [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] [Received: 04/04/2015] [Revised: 08/21/2015] [Accepted: 09/24/2015] [Indexed: 11/24/2022] Open
Affiliation(s)
- G Suleyman
- Henry Ford Hospital System, Detroit, MI, USA.
| | - M Alexis
- Henry Ford Hospital System, Detroit, MI, USA
| | - N Markowitz
- Henry Ford Hospital System, Detroit, MI, USA
| | - M Zervos
- Henry Ford Hospital System, Detroit, MI, USA; Wayne State University, Detroit, MI, USA
| | - V P Myneedu
- National Institute of Tuberculosis and Respiratory Diseases, New Delhi, India
| | - A Jaiswal
- National Institute of Tuberculosis and Respiratory Diseases, New Delhi, India
| | - U Agarwal
- National Institute of Tuberculosis and Respiratory Diseases, New Delhi, India
| | - R Gupta
- National Institute of Tuberculosis and Respiratory Diseases, New Delhi, India
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Najumudeen AK, Jaiswal A, Lectez B, Oetken-Lindholm C, Guzmán C, Siljamäki E, Posada IMD, Lacey E, Aittokallio T, Abankwa D. Cancer stem cell drugs target K-ras signaling in a stemness context. Oncogene 2016; 35:5248-5262. [PMID: 26973241 PMCID: PMC5057041 DOI: 10.1038/onc.2016.59] [Citation(s) in RCA: 67] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2015] [Revised: 01/22/2016] [Accepted: 01/25/2016] [Indexed: 01/02/2023]
Abstract
Cancer stem cells (CSCs) are considered to be responsible for treatment relapse and have therefore become a major target in cancer research. Salinomycin is the most established CSC inhibitor. However, its primary mechanistic target is still unclear, impeding the discovery of compounds with similar anti-CSC activity. Here, we show that salinomycin very specifically interferes with the activity of K-ras4B, but not H-ras, by disrupting its nanoscale membrane organization. We found that caveolae negatively regulate the sensitivity to this drug. On the basis of this novel mechanistic insight, we defined a K-ras-associated and stem cell-derived gene expression signature that predicts the drug response of cancer cells to salinomycin. Consistent with therapy resistance of CSC, 8% of tumor samples in the TCGA-database displayed our signature and were associated with a significantly higher mortality. Using our K-ras-specific screening platform, we identified several new candidate CSC drugs. Two of these, ophiobolin A and conglobatin A, possessed a similar or higher potency than salinomycin. Finally, we established that the most potent compound, ophiobolin A, exerts its K-ras4B-specific activity through inactivation of calmodulin. Our data suggest that specific interference with the K-ras4B/calmodulin interaction selectively inhibits CSC.
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Affiliation(s)
- A K Najumudeen
- Turku Centre for Biotechnology, Åbo Akademi University, Turku, Finland
| | - A Jaiswal
- Institute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland
| | - B Lectez
- Turku Centre for Biotechnology, Åbo Akademi University, Turku, Finland
| | - C Oetken-Lindholm
- Turku Centre for Biotechnology, Åbo Akademi University, Turku, Finland
| | - C Guzmán
- Turku Centre for Biotechnology, Åbo Akademi University, Turku, Finland
| | - E Siljamäki
- Turku Centre for Biotechnology, Åbo Akademi University, Turku, Finland
| | - I M D Posada
- Turku Centre for Biotechnology, Åbo Akademi University, Turku, Finland
| | - E Lacey
- Microbial Screening Technologies Pty. Ltd., Building C, Smithfield, New South Wales, Australia
| | - T Aittokallio
- Institute for Molecular Medicine Finland, FIMM, University of Helsinki, Helsinki, Finland
| | - D Abankwa
- Turku Centre for Biotechnology, Åbo Akademi University, Turku, Finland
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Izrailit J, Jaiswal A, Zheng W, Moran MF, Reedijk M. Cellular stress induces TRB3/USP9x-dependent Notch activation in cancer. Oncogene 2016; 36:1048-1057. [PMID: 27593927 DOI: 10.1038/onc.2016.276] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Revised: 05/29/2016] [Accepted: 06/21/2016] [Indexed: 01/23/2023]
Abstract
Expression of the Notch ligand JAG1 and Notch pathway activation promote poor prognosis, basal-like breast cancer. We have recently shown that the pseudokinase Tribbles homolog 3 (TRB3) regulates JAG1 expression in this malignancy. TRB3 is a stress and metabolic sensor, and here we show that nutrient deprivation or endoplasmic reticulum stress markedly upregulate TRB3, which serves as a scaffold for the deubiquitinase USP9x. USP9x in turn stimulates JAG1 activity through two mechanisms: (1) through TRB3 deubiquitination and stabilization, and (2) through deubiquitination and activation of Mind Bomb 1, an E3 ligase required for JAG1 ubiquitination-mediated endocytosis and Notch activation. These USP9x activities are confined to the signal-sending cell of a cell pair undergoing Notch signaling. We demonstrate that USP9x is required for TRB3 upregulation and Notch activation in response to cellular stress in basal-like breast cancer cells. These data suggest that TRB3 functions as a sensor of tumor microenvironmental stress and together with USP9x induces the cell survival and tumor-promoting activities of Notch. These findings identify a novel mechanism by which cancer cells survive in their hostile environment and provide potential therapeutic targets in breast cancer.
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Affiliation(s)
- J Izrailit
- Campbell Family Institute for Cancer Research, Ontario Cancer Institute, Toronto, ON, Canada.,Department of Medical Biophysics, University of Toronto, Ontario Cancer Institute, Princess Margaret Hospital, Toronto, ON, Canada
| | - A Jaiswal
- Campbell Family Institute for Cancer Research, Ontario Cancer Institute, Toronto, ON, Canada.,Department of Medical Biophysics, University of Toronto, Ontario Cancer Institute, Princess Margaret Hospital, Toronto, ON, Canada
| | - W Zheng
- Campbell Family Institute for Cancer Research, Ontario Cancer Institute, Toronto, ON, Canada
| | - M F Moran
- Program in Molecular Structure and Function, The Hospital for Sick Children, Toronto, ON, Canada.,Department of Molecular Genetics, University of Toronto, Toronto, ON, Canada
| | - M Reedijk
- Campbell Family Institute for Cancer Research, Ontario Cancer Institute, Toronto, ON, Canada.,Department of Medical Biophysics, University of Toronto, Ontario Cancer Institute, Princess Margaret Hospital, Toronto, ON, Canada.,Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada
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Chaudhary RP, Ummethala G, Jaiswal A, Hawal S, Saxena S, Shukla S. One-step, subwavelength patterning of plasmonic gratings in metal–polymer composites. RSC Adv 2016. [DOI: 10.1039/c6ra22604c] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Two photon patterning of sub-wavelength resolved metallic nanostructures using single photon absorbing photo initiator.
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Affiliation(s)
- R. P. Chaudhary
- Nanostructures Engineering and Modeling Laboratory
- Department of Metallurgical Engineering and Materials Science
- Indian Institute of Technology Bombay
- Mumbai
- India 400076
| | - G. Ummethala
- Nanostructures Engineering and Modeling Laboratory
- Department of Metallurgical Engineering and Materials Science
- Indian Institute of Technology Bombay
- Mumbai
- India 400076
| | - A. Jaiswal
- Nanostructures Engineering and Modeling Laboratory
- Department of Metallurgical Engineering and Materials Science
- Indian Institute of Technology Bombay
- Mumbai
- India 400076
| | - S. Hawal
- Nanostructures Engineering and Modeling Laboratory
- Department of Metallurgical Engineering and Materials Science
- Indian Institute of Technology Bombay
- Mumbai
- India 400076
| | - S. Saxena
- Nanostructures Engineering and Modeling Laboratory
- Department of Metallurgical Engineering and Materials Science
- Indian Institute of Technology Bombay
- Mumbai
- India 400076
| | - S. Shukla
- Nanostructures Engineering and Modeling Laboratory
- Department of Metallurgical Engineering and Materials Science
- Indian Institute of Technology Bombay
- Mumbai
- India 400076
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Alexis M, Zervos J, Agarwal U, Markowitz N, Myneedu V, Prentiss T, Zervos M, Jaiswal A. Antibiotic susceptibility patterns in an intensive care unit at a
tertiary hospital in New Delhi, India. Ann Glob Health 2015. [DOI: 10.1016/j.aogh.2015.02.520] [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: 12/01/2022] Open
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Jaiswal A, Sabnani I, Baran DA, Zucker MJ. A unique case of rituximab-related posterior reversible encephalopathy syndrome in a heart transplant recipient with posttransplant lymphoproliferative disorder. Am J Transplant 2015; 15:823-6. [PMID: 25648447 DOI: 10.1111/ajt.13021] [Citation(s) in RCA: 9] [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: 07/10/2014] [Revised: 09/04/2014] [Accepted: 09/06/2014] [Indexed: 01/25/2023]
Abstract
Rituximab is commonly used as a first line therapy to treat posttransplant lymphoproliferative disorders (PTLDs). It has also proved useful in the management of refractory antibody mediated graft rejection. We report an unusual case in which a heart transplant recipient being treated with rituximab for PTLD developed altered mental status, hallucinations and visual symptoms and magnetic resonance imaging (MRI) findings of symmetrical enhancement suggestive of posterior reversible leukoencephalopathy syndrome (PRES). Resolution of these clinical symptoms and radiological findings after discontinuation of therapy confirmed the diagnosis. This is the first case of PRES seen due to rituximab in a heart transplant recipient. Another unique feature of the case is the development of PRES after second cycle of rituximab as compared to prior reports in nonheart transplant patients in which the syndrome developed after first dose administration. The objective of this case report is to increase the awareness of this rare entity amongst immunocompromised transplant patients.
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Affiliation(s)
- A Jaiswal
- Tulane University Heart and Vascular Institute, New Orleans, LA
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Jaiswal A, Prasad N, Agarwal V, Yadav B, Tripathy D, Rai M, Nath M, Sharma RK, Modi DR. Regulatory and effector T cells changes in remission and resistant state of childhood nephrotic syndrome. Indian J Nephrol 2014; 24:349-55. [PMID: 25484527 PMCID: PMC4244713 DOI: 10.4103/0971-4065.132992] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [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: 11/21/2022] Open
Abstract
Idiopathic minimal change disease is a disorder of T-cell dysfunction. The relative predominance of regulatory T cells (Tregs), Th1, and Th2 cells in nephrotic syndrome (NS) remains controversial. Imbalance in peripheral blood regulatory and effector T cells (Teff) are linked to cell mediated immune response and may be associated with steroid response in NS. Peripheral blood CD4 + CD25 + FoxP3 + (Tregs), CD4 + IFN-γ+ (Th1), and CD4 + IL-4 + (Th2) lymphocytes were analyzed in 22 steroid-sensitive NS (SSNS) patients in sustained remission, 21 steroid-resistant NS (SRNS) and 14 healthy controls. The absolute percentage values and ratio of Th1/Tregs, Th2/Tregs, and Th1/Th2 were compared between SSNS, SRNS and control subjects. The percentage of Tregs was lower in SRNS patients (P = 0.001) compared with that of SSNS and healthy control. The percentage of Th1 cells was higher in SRNS (P = 0.001) compared to that of SSNS patients; however, it was similar to healthy controls (P = 1.00). The percentage of Th2 cells in SRNS (P = 0.001) was higher as compared to SSNS and controls. The ratio of Th1/Treg cells in SRNS (P = 0.001) was higher as compared to SSNS patients and controls. The ratio of Th2/Treg was also higher in SRNS as compared to SSNS and controls. The ratio of Th1/Th2 cells in SSNS, SRNS, and healthy controls were similar. The cytokines secretion complemented the change in different T-cell subtypes in SSNS, SRNS and healthy controls. However, the IFN-γ secretion in healthy controles was low inspite of similar percentage of Th1 cells among SRNS cases. We conclude that greater ratio of Tregs compared to that Th1 and Th2 favor steroid sensitivity and reverse ratio results in to SRNS. The difference in ratio is related to pathogenesis or it can be used as marker to predict steroid responsiveness needs further evaluation.
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Affiliation(s)
- A Jaiswal
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - N Prasad
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - V Agarwal
- Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - B Yadav
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - D Tripathy
- Department of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - M Rai
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - M Nath
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - R K Sharma
- Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - D R Modi
- Department of Biotechnology, Babasaheb Bhimrao Ambedkar University, Lucknow, Uttar Pradesh, India
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Habib M, Tanwar YS, Jaiswal A, Singh SP, Sinha S, Lal H. Anconeus pedicle olecranon flip osteotomy: an approach for the fixation of complex intra-articular distal humeral fractures. Bone Joint J 2014; 96-B:1252-7. [PMID: 25183599 DOI: 10.1302/0301-620x.96b9.33343] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
In order to achieve satisfactory reduction of complex distal humeral fractures, adequate exposure of the fracture fragments and the joint surface is required. Several surgical exposures have been described for distal humeral fractures. We report our experience using the anconeus pedicle olecranon flip osteotomy approach. This involves detachment of the triceps along with a sliver of olecranon, which retains the anconeus pedicle. We report the use of this approach in ten patients (six male, four female) with a mean age of 38.4 years (28 to 51). The mean follow-up was 15 months (12 to 18) with no loss to follow-up. Elbow function was graded using the Mayo Score. The results were excellent in four patients, good in five and fair in one patient. The mean time to both fracture and osteotomy union was 10.6 weeks (8 to 12) and 7.1 weeks (6 to 8), respectively. We found this approach gave reliably good exposure for these difficult fractures enabling anatomical reduction and bicondylar plating without complications.
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Affiliation(s)
- M Habib
- RML Hospital and PGIMER, Department of Orthopedic Surgery, New Delhi, 110001, India
| | - Y S Tanwar
- RML Hospital and PGIMER, Department of Orthopedic Surgery, New Delhi, 110001, India
| | - A Jaiswal
- Bokaro General Hospital, Bokaro, Jharkhand, India
| | - S P Singh
- RML Hospital and PGIMER, Department of Orthopedic Surgery, New Delhi, 110001, India
| | - S Sinha
- RML Hospital and PGIMER, Department of Orthopedic Surgery, New Delhi, 110001, India
| | - H Lal
- RML Hospital and PGIMER, Department of Orthopedic Surgery, New Delhi, 110001, India
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Roy S, Pathy S, Kumar R, Mohanti B, Raina V, Jaiswal A, Malhotra A, Thulkar S, Mohan A, Mathur S, Behera D. Efficacy of Pet-Ct in Evaluation of Response in Locally Advanced Non-Small Cell Lung Cancer. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu348.22] [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: 11/13/2022] Open
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Sbehari S, Jaiswal A, Srivastava A. Surgical Strategy of Bilateral Vestibular Schwannomas. Skull Base Surg 2014. [DOI: 10.1055/s-0034-1384007] [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: 10/20/2022]
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Charalampaki C, Eyth C, Morgan M, Charalampaki C, Eyth C, Morgan M, Charalampaki C, Eyth C, Morgan M, Ogiwara H, Kiyotani C, Terashima K, Morota N, Charalampaki C, Igressa A, Igressa A, Charalampaki C, Pettorini B, Pizer B, Kanwar A, Avula S, Mallucci C, Leroy HA, Baroncini M, Delestret I, Vinchon M, Kato T, Hankinson T, Dudley R, Poonia S, Torok M, Handler M, Liu A, Harter D, Karajanis M, Wisoff J, Weiner H, Toidze I, Tsikarishvili V, Lobjanidze N, Elizbarashvili I, Akiashvili N, Maisuradze T, Jaiswal A, Jaiswal S, Mehrotra A, Srivastava A, Sahu R, Behari S, Jaiswal S, Jaiswal A, Mehrotra A, Behari; S, Hankinson T, Curry D, Honeycutt J, O'Neill B, Handler M, George T, Gerber NU, Muller A, Bozinov O, Berger C, Grotzer MA, Kamaly-Asl I, Alston R, McCabe M, Birch J, Gattamaneni R, Estlin E, Coelho G, Kunsler F, Lessa L, Epelman S, Zanon N. NEUROSURGERY. Neuro Oncol 2014; 16:i105-i108. [PMCID: PMC4046293 DOI: 10.1093/neuonc/nou077] [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: 01/02/2024] Open
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Berthelot L, Robert T, Tabary T, Vuiblet V, Drame M, Toupance O, Rieu P, Monteiro RC, Toure F, Ferrario S, Cantaluppi V, De Lena M, Dellepiane S, Beltramo S, Rossetti M, Manzione AM, Messina M, Gai M, Dolla C, Biancone L, Camussi G, Pontrelli P, Oranger AR, Accetturo M, Rascio F, Gigante M, Castellano G, Schena A, Fiorentino M, Zito A, Zaza G, Stallone G, Gesualdo L, Grandaliano G, Pattonieri EF, Gregorini M, Corradetti V, Rocca C, Milanesi S, Peloso A, Ferrario J, Cannone M, Bosio F, Maggi N, Avanzini MA, Minutillo P, Paulli M, Maestri M, Rampino T, Dal Canton A, Wu KST, Coxall O, Luque Y, Candon S, Rabant M, Noel LH, Thervet E, Chatenoud L, Snanoudj R, Anglicheau D, Legendre C, Zuber J, Hruba P, Brabcova I, Krepsova E, Slatinska J, Sekerkova A, Striz I, Zachoval R, Viklicky O, Scholbach TM, Wang HK, Loong CC, Yang AH, Wu TH, Hruba P, Brabcova I, Krepsova E, Slatinska J, Sekerkova A, Striz I, Zachoval R, Viklicky O, Guberina H, Rebmann V, Dziallas P, Dolff S, Wohlschlaeger J, Heinemann FM, Witzke O, Zoet YM, Claas FHJ, Horn PA, Kribben A, Doxiadis IIN, Prasad N, Yadav B, Agarwal V, Jaiswal A, Rai M, Hope CM, Coates PT, Heeger PS, Carroll R, Zaza G, Masola V, Secchi MF, Onisto M, Gambaro G, Lupo A, Matsuyama M, Kobayashi T, Yoneda Y, Chargui J, Touraine JL, Yoshimura R, Vizza D, Perri A, Lupinacci S, Toteda G, Lofaro D, Leone F, Gigliotti P, La Russa A, Papalia T, Bonofilgio R, Sentis Fuster A, Kers J, Yapici U, Claessen N, Bemelman FJ, Ten Berge IJM, Florquin S, Glotz D, Rostaing L, Squifflet JP, Merville P, Belmokhtar C, Le Ny G, Lebranchu Y, Papazova DA, Friederich-Persson M, Koeners MP, Joles JA, Verhaar MC, Trivedi HL, Vanikar AV, Dave SD, Suarez Alvarez B, Garcia Melendreras S, Carvajal Palao R, Diaz Corte C, Ruiz Ortega M, Lopez-Larrea C, Yadav AK, Bansal D, Kumar V, Kumar V, Minz M, Jha V, Kaminska D, Koscielska-Kasprzak K, Chudoba P, Mazanowska O, Banasik M, Zabinska M, Boratynska M, Lepiesza A, Korta K, Klinger M, Csohany R, Prokai A, Pap D, Balicza-Himer N, Vannay A, Fekete A, Kis-Petik K, Peti-Peterdi J, Szabo A, Masajtis-Zagajewska A, Muras K, Niewodniczy M, Nowicki M, Pascual J, Srinivas TR, Chadban S, Citterio F, Henry M, Legendre C, Oppenheimer F, Lee PC, Tedesco-Silva H, Zeier M, Watarai Y, Dong G, Hexham M, Bernhardt P, Vincenti F, Rocchetti MT, Pontrelli P, Rascio F, Fiorentino M, Zito A, Stallone G, Gesualdo L, Grandaliano G, Su owicz J, Wojas-Pelc A, Ignacak E, Janda K, Krzanowski M, Su owicz W, Dellepiane S, Cantaluppi V, Mitsuhashi M, Murakami T, Benso A, Biancone L, Camussi G, Scholbach TM, Wang HK, Loong CC, Wu TH, Leuning D, Reinders M, Lievers E, Duijs J, Van Zonneveld AJ, Van Kooten C, Engelse M, Rabelink T, Assounga A, Omarjee S, Ngema Z, Ersoy A, Gultepe A, Isiktas Sayilar E, Akalin H, Coskun F, Oner Torlak M, Ayar Y, Riegersperger M, Plischke M, Steinhauser C, Jallitsch-Halper A, Sengoelge G, Winkelmayer WC, Sunder-Plassmann G, Foedinger M, Kaziuk M, Kuz'Niewski M, Ignacak E, B Tkowska- Prokop A, Pa Ka K, Dumnicka P, Kolber W, Su Owicz W. TRANSPLANTATION BASIC SCIENCE, ALLOGENIC AND XENOGENIC TOLERANCE. Nephrol Dial Transplant 2014. [DOI: 10.1093/ndt/gfu179] [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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Proletov I, Sipovskii V, Smirnov A, Hayashi N, Akiyama S, Okuyama H, Matsui Y, Fujimoto K, Atsumi H, Adachi H, Yamaya H, Maruyama S, Imai E, Matsuo S, Yokoyama H, Prasad N, Jaiswal A, Agarwal V, Yadav B, Rai M, Shin DH, Han IM, Moon SJ, Yoo TH, Faria B, Henriques C, Matos AC, Daha MR, Pestana M, Seelen M, Lundberg S, Carlsson MC, Leffler H, Pahlsson P, Segelmark M, Camilla R, Donadio ME, Loiacono E, Peruzzi L, Amore A, Chiale F, Vergano L, Gallo R, Boido A, Conrieri M, Bianciotto M, Bosetti FM, Mengozzi G, Puccinelli MP, Guidi C, Lastauka I, Coppo R, Nishiwaki H, Hasegawa T, Nagayama Y, Komukai D, Kaneshima N, Sasai F, Yoshimura A, Wang CL, Wei XY, Lv L, Jia NY, Vagane AM, Knoop T, Vikse BE, Reisaeter AV, Bjorneklett R, Mezzina N, Brunini F, Trezzi B, Gallieni M, D'Amico M, Stellato T, Santoro D, Ghiggeri GM, Radice A, Sinico RA, Kronbichler A, Kerschbaum J, Mayer G, Rudnicki M, Elena GS, Paula Jara CE, Jorge Enrique RR, Manuel P, Paek J, Hwang E, Park S, Caliskan Y, Aksoy A, Oztop N, Ozluk Y, Artan AS, Yazici H, Kilicaslan I, Sever MS, Yildiz A, Ihara K, Iimori S, Okado T, Rai T, Uchida S, Sasaki S, Stangou M, Bantis C, Skoularopoulou M, Toulkeridis G, Labropoulou I, Kasimatis S, Kouri NM, Papagianni A, Efstratiadis G, Mircescu G, Stancu S, Zugravu A, Petrescu L, Andreiana I, Taran L, Suzuki T, Iyoda M, Yamaguchi Y, Watanabe M, Wada Y, Matsumoto K, Shindo-Hirai Y, Kuno Y, Yamamoto Y, Saito T, Iseri K, Shibata T, Gniewek K, Krajewska M, Jakuszko K, Koscielska-Kasprzak K, Klinger M, Nunes AT, Ferreira I, Neto R, Mariz E, Pereira E, Frazao J, Praca A, Sampaio S, Pestana M, Kim HJ, Lee JE, Proletov I, Galkina O, Bogdanova E, Zubina I, Sipovskii V, Smirnov A, Oliveira CBL, Oliveira ASA, Carvalho CJB, Sette LHBC, Fernandes GV, Cavalcante MA, Valente LM, Ismail G, Andronesi A, Jurubita R, Bobeica R, Finocchietti D, Cantaluppi V, Medica D, Daidola G, Colla L, Besso L, Burdese M, Segoloni GP, Biancone L, Camussi G, Goto S, Nakai K, Ito J, Fujii H, Tasaki K, Suzuki T, Fukami K, Hara S, Nishi S, Hayami N, Ubara Y, Hoshino J, Takaichi K, Suwabe T, Sumida K, Mise K, Wang CL, Tian YQ, Wang H, Saganova E, Proletov I, Galkina O, Bogdanova E, Zubina I, Sipovskii V, Smirnov A, Stancu S, Mandache E, Zugravu A, Petrescu L, Avram A, Mircescu G, Angelini C, Reggiani F, Podesta MA, Cucchiari D, Malesci A, Badalamenti S, Laganovi M, Ars E, ivko M, eljkovic Vrki T, Cori M, Karanovi S, Torra R, Jelakovi B, Jia NY, Wang CL, Zhang YH, Nan L, Nagasawa Y, Yamamoto R, Shinzawa M, Hamahata S, Kida A, Yahiro M, Kuragano T, Shoji T, Hayashi T, Nagatoya K, Yamauchi A, Isaka Y, Nakanishi T, Ivkovic V, Premuzic V, Laganovic M, Dika Z, Kos J, Zeljkovic Vrkic T, Fistrek Prlic M, Zivko M, Jelakovic B, Gigliotti P, Leone F, Lofaro D, Papalia T, Mollica F, Mollica A, Vizza D, Perri A, Bonofilgio R, Meneses G, Viana H, Santos MC, Ferreira C, Calado J, Carvalho F, Remedio F, Nolasco F, Caliskan Y, Oztop N, Aksoy A, Ozluk Y, Artan AS, Turkmen A, Kilicaslan I, Yildiz A, Sever MS, Nagaraju SP, Kosuru S, Parthasarathy R, Bairy M, Prabhu RA, Guddattu V, Koulmane Laxminarayana SL, Oruc A, Gullulu M, Acikgoz E, Aktas N, Yildiz A, Gul B, Premuzic V, Laganovic M, Ivkovic V, Coric M, Zeljkovic Vrkic T, Fodor L, Dika Z, Kos J, Fistrek Prlic M, Zivko M, Jelakovic B, Bale CB, Dighe TA, Kate P, Karnik S, Sajgure A, Sharma A, Korpe J, Jeloka T, Ambekar N, Sadre A, Buch A, Mulay A, Merida E, Huerta A, Gutierrez E, Hernandez E, Sevillano A, Caro J, Cavero T, Morales E, Moreno JA, Praga M. PRIMARY AND SECONDARY GLOMERULONEPHRITIDES 1. Nephrol Dial Transplant 2014. [DOI: 10.1093/ndt/gfu151] [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: 11/14/2022] Open
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Baran D, Jaiswal A, Adzic A, Pieretti J, Gidea C, Morlend R, Murthy S, Camacho M, Zucker M. Does Sequence Matter? Outcomes of Donors Rejected by Local Centers. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.709] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Stevenson JD, Jaiswal A, Gregory JJ, Mangham DC, Cribb G, Cool P. Diffuse pigmented villonodular synovitis (diffuse-type giant cell tumour) of the foot and ankle. Bone Joint J 2013; 95-B:384-90. [PMID: 23450025 DOI: 10.1302/0301-620x.95b3.30192] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Pigmented villonodular synovitis (PVNS) is a rare benign disease of the synovium of joints and tendon sheaths, which may be locally aggressive. We present 18 patients with diffuse-type PVNS of the foot and ankle followed for a mean of 5.1 years (2 to 11.8). There were seven men and 11 women, with a mean age of 42 years (18 to 73). A total of 13 patients underwent open or arthroscopic synovectomy, without post-operative radiotherapy. One had surgery at the referring unit before presentation with residual tibiotalar PVNS. The four patients who were managed non-operatively remain symptomatically controlled and under clinical and radiological surveillance. At final follow-up the mean Musculoskeletal Tumour Society score was 93.8% (95% confidence interval (CI) 85 to 100), the mean Toronto Extremity Salvage Score was 92 (95% CI 82 to 100) and the mean American Academy of Orthopaedic Surgeons foot and ankle score was 89 (95% CI 79 to 100). The lesion in the patient with residual PVNS resolved radiologically without further intervention six years after surgery. Targeted synovectomy without adjuvant radiotherapy can result in excellent outcomes, without recurrence. Asymptomatic patients can be successfully managed non-operatively. This is the first series to report clinical outcome scores for patients with diffuse-type PVNS of the foot and ankle.
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Affiliation(s)
- J D Stevenson
- Greater Manchester and Oswestry Soft Tissue Sarcoma Service (GMOSS), RJAH Orthopaedic Hospital, Oswestry, Shropshire SY10 7AG, UK.
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Abstract
The revised Tokuhashi, Tomita and modified Bauer scores are commonly used to make difficult decisions in the management of patients presenting with spinal metastases. A prospective cohort study of 199 consecutive patients presenting with spinal metastases, treated with either surgery and/or radiotherapy, was used to compare the three systems. Cox regression, Nagelkerke's R(2) and Harrell's concordance were used to compare the systems and find their best predictive items. The three systems were equally good in terms of overall prognostic performance. Their most predictive items were used to develop the Oswestry Spinal Risk Index (OSRI), which has a similar concordance, but a larger coefficient of determination than any of these three scores. A bootstrap procedure was used to internally validate this score and determine its prediction optimism. The OSRI is a simple summation of two elements: primary tumour pathology (PTP) and general condition (GC): OSRI = PTP + (2 - GC). This simple score can predict life expectancy accurately in patients presenting with spinal metastases. It will be helpful in making difficult clinical decisions without the delay of extensive investigations.
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Affiliation(s)
- B Balain
- Robert Jones & Agnes Hunt Orthopaedic and District Hospital NHS Trust, Oswestry, UK
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