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Fitzgerald J, Spuur K, Singh C, Hayre C, Al Mousa DS. Australian radiographers' awareness of cardiac implantable electronic devices (CIEDs) in mammographic imaging. Radiography (Lond) 2023; 29:984-991. [PMID: 37597465 DOI: 10.1016/j.radi.2023.08.002] [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: 06/19/2023] [Revised: 07/25/2023] [Accepted: 08/03/2023] [Indexed: 08/21/2023]
Abstract
INTRODUCTION Women presenting for mammography occasionally have pacemakers or other cardiac-implantable electronic devices (CIEDs) in situ. This research investigates Australian radiographers' awareness of CIEDs in the diagnostic and screening settings. METHODS A survey of radiographers with mammography experience in Australia was conducted using SurveyMonkey™. Respondents were asked if they could confidently identify images of devices and whether they had imaged them mammographically. A Chi-squared test of independence was used to compare the association between demographics and CIED awareness. A value of p < 0.05 was deemed statistically significant. RESULTS There were 220 valid responses. All CIED types had been imaged. Most respondents had imaged a pacemaker (94.5%) and implantable cardioverter-defibrillator (ICD) (85.6%), compared to the three different implantable loop recorders (ILRs) (ILR-1: 63.4%; ILR-2: 14.1%; and IRL-3: 26.9% and the emerging subcutaneous ICDs (S-ICDs) (11.9%). Most respondents felt confident identifying the pacemaker (95%) and the ICD (86.1%). Only 19.4% of respondents could confidently identify the emerging S-ICD. CONCLUSION A lack of awareness of new and emerging devices may impact approaches to imaging and present significant risk to patients. The lack of studies comprehensively describing devices and their mammographic appearance to support radiographers' knowledge and awareness highlights an urgent need to progress research in this area. IMPLICATIONS FOR PRACTICE As a part of continuing professional development, radiographers performing mammography must ensure they remain up to date with current and emerging technology, including CIEDs. This study has identified a lack of awareness of the different types of CIEDs currently being implanted and imaged, which may translate to unsafe imaging practices. There is an urgent need for further education to bridge this knowledge gap and ensure the safety of practice in imaging women with CIEDs. FOOTLINE Mammography: CIED Imaging.
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Affiliation(s)
- J Fitzgerald
- Charles Sturt University, School of Dentistry and Medical Sciences, 7 Major Innes Rd, Port Macquarie, NSW 2444, Australia.
| | - K Spuur
- Charles Sturt University, School of Dentistry and Medical Sciences, Locked Bag 588, Wagga Wagga, NSW 2678, Australia.
| | - C Singh
- Charles Sturt University, School of Dentistry and Medical Sciences, Locked Bag 588, Wagga Wagga, NSW 2678, Australia.
| | - C Hayre
- Charles Sturt University, School of Dentistry and Medical Sciences, Locked Bag 588, Wagga Wagga, NSW 2678, Australia.
| | - D S Al Mousa
- Charles Sturt University, School of Dentistry and Medical Sciences, Locked Bag 588, Wagga Wagga, NSW 2678, Australia.
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Mange A, Singh C, Theriault BC, Hansen JE, An Y, Aneja S, Chiang VL. Selected-Lesion Stereotactic Radiosurgery in Treatment of Patients with Multiple Brain Metastases: A Single Institution Retrospective Study. Int J Radiat Oncol Biol Phys 2023; 117:e135. [PMID: 37784701 DOI: 10.1016/j.ijrobp.2023.06.939] [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: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Stereotactic Radiosurgery (SRS) has been increasingly used as first and subsequent-line treatments for brain metastases. While the appropriate cut-off number of lesions for SRS is still being debated nationally in patients with multiple brain metastases, some institutions use an alternate approach particularly for patients with >10-15 lesions. Selected-lesion SRS (SL-SRS) is where only a subset of lesions are chosen for initial SRS treatment leaving small and clinically inconsequential lesions for treatment using alternate or delayed treatments. This study aims to investigate the patient selection criteria, patient and tumor characteristics and analyze the outcomes in patients receiving SL-SRS for brain metastases at our institution. MATERIALS/METHODS Clinical data from patients treated using the SL-SRS approach from 2012-2022 at our institution were retrospectively reviewed. Patients were divided into cohorts based on overall survival from time of SL-SRS treatment and indications for using SL-SRS. We compared the patient characteristics (age, histology, KPS, dsGPA), tumor characteristics (cumulative tumor volumes, tumor dose, number of brain metastases found, number of metastases treated), treatment characteristics (chemotherapy, immunotherapy, previous SRS/ radiation, previous WBRT) and the reason for decision to recommend SL-SRS across these cohort. RESULTS A total of 102 patients were treated using the SL-SRS approach. Indications for using SL-SRS were immunotherapy trial (n = 40), CNS penetrating drug options available (n = 18), patient refusing WBRT (n = 6), palliative after prior WBRT/SRS (n = 28), WBRT planned to follow SRS (n = 9). 31 patients were alive at 12 months and 21 patients at 24 months. In patients surviving <12 months - the most common indications for SL-SRS were CNS palliation in the setting of progressive disease after prior WBRT or SRS. Patients in this group had median KPS< = 60 and had predominantly non-small cell carcinoma primary diagnosis. In those patients surviving >12 months - the most common indication for SL-SRS was participation in CNS-penetrant agent clinical trials without WBRT. Patients in this group were more likely to be female, had a median KPS of 90, had predominantly diagnoses of melanoma. Following the SL-SRS treatment, 14 patients required further SRS and 4 patients went on to WBRT in the >12-month survival group. No patients died of CNS progression alone. 10 patients survived 24 months without requiring further CNS radiation. CONCLUSION In our institution, SL-SRS has predominantly been used either as palliative treatment at time of disease progression or to facilitate entry onto clinical trial with immunotherapy or potentially CNS-penetrant agents. The latter indication resulted in 47.6% patients surviving >24 month without the need for additional radiation to the CNS and therefore SL-SRS should be considered a feasible, safe and effective alternative to either WBRT or SRS treatment of all radiographically visible brain metastases.
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Affiliation(s)
- A Mange
- Yale School of Medicine, New Haven, CT
| | - C Singh
- St. Jude Children's Research Hospital, Memphis, TN
| | | | - J E Hansen
- Department of Therapeutic Radiology, Yale School of Medicine, New Haven, CT
| | - Y An
- Department of Therapeutic Radiology, Yale School of Medicine, New Haven, CT
| | - S Aneja
- Department of Therapeutic Radiology, Yale School of Medicine, New Haven, CT
| | - V L Chiang
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT
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Singh C, Theriault BC, An Y, Yu JB, Knisely JPS, Shepard M, Wegner RE, Warnick RE, Peker S, Samanci Y, Trifiletti DM, Lee CC, Yang HC, Bernstein K, Kondziolka D, Tripathi M, Mathieu D, Mantziaris G, Pikis S, Sheehan JP, Chiang VL. Selected-Lesion SRS as a Novel Strategy in Treatment of Patients with Multiple Brain Metastases. Int J Radiat Oncol Biol Phys 2023; 117:e150-e151. [PMID: 37784735 DOI: 10.1016/j.ijrobp.2023.06.971] [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: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) With the increasing use of intracranial SRS (SRS) for treatment of patients with >10-15 brain metastases treatment; debate remains in the literature about how these patients should be treated. While many advocate for treatment of all lesions with either SRS or whole brain radiation therapy (WBRT), several groups are considering selected-lesion SRS (SL-SRS) where only a subset of intracranial lesions are treated. However, the current practice patterns of SL-SRS are not known. MATERIALS/METHODS A survey of 19 questions was created using open-ended and multiple-choice style questions on SL-SRS practices and indications. The survey was distributed to providers in the US and internationally who perform SRS frequently. Ten out of 50 institutions provided responses reflecting the practices of 16 providers. Descriptive statistics was used to compare answers to each question when applicable including percentages and ranges. RESULTS SL-SRS was performed at 8/10 institutions, (5 out of 6 US institutions and 3 out of 4 international institutions). Only 2 institutions had established clinical indications for SL-SRS (one in the US and one internationally) and one additional US institution reported clinical trials that require SL-SRS to study efficacy of CNS penetrating targeted therapies. One program reported research protocols for untreated brain metastases that would take priority over SL-SRS (program outside the US). Size of the lesion was cited as the most important factor (90%) when deciding to treat any single lesion. Next, lesion location and focal signs/symptoms were both considered moderately important. 80% ranked distance from prior SRS as the least important factor. Perilesional edema was also less important at most programs (90%). Lesion location and presence of symptoms were also considered important. There were several factors that would encourage providers to consider SL-SRS in a patient. Prior WBRT; progressing systemic disease and CNS-penetrating drug option available; and progressing systemic disease and immunotherapy option available were the most common responses. Most respondents cited "specific request by medical oncology" as well as "cooperative studies in this topic" as factors that might push them towards SL-SRS. Several institutions specified factors beyond the listed options. One institution reported that for patients with >20 lesions, they treated the largest lesions with SRS then follow with WBRT, termed the "pre-WBRT boost." Progression of untreated lesions was the most common reason why providers would bring back patients for additional treatment. CONCLUSION The responses to this survey demonstrate that patients with >15-20 intracranial lesions, prior WBRT, and worsening systemic disease with CNS penetrating systemic therapies available are being considered for SL-SRS.
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Affiliation(s)
- C Singh
- Yale University School of Medicine, New Haven, CT
| | | | - Y An
- Department of Therapeutic Radiology, Yale School of Medicine, New Haven, CT
| | - J B Yu
- Department of Radiation Oncology, Columbia University, New York, NY
| | - J P S Knisely
- Weill Cornell Medical College/New York-Presbyterian Hospital, New York, NY
| | - M Shepard
- Allegheny Health Network, Pittsburg, PA
| | - R E Wegner
- Allegheny Health Network Cancer Institute, Department of Radiation Oncology, Pittsburgh, PA
| | - R E Warnick
- Jewish Hospital, Mayfield Clinic, Cincinnati, OH
| | - S Peker
- Koc University School of Medicine, Istanbul, Turkey
| | - Y Samanci
- Koc University School of Medicine, Istanbul, Turkey
| | - D M Trifiletti
- Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL
| | - C C Lee
- Department of Neurosurgery, Taipei Veterans General Hospital, Taipei, Taiwan
| | - H C Yang
- Department of Neurosurgery, Taipei Veterans General Hospital, Taipei, Taiwan
| | - K Bernstein
- Department of Radiation Oncology, NYU Langone Health, New York, NY
| | - D Kondziolka
- Department of Neurosurgery, NYU Langone Health, New York, NY
| | - M Tripathi
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - D Mathieu
- Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - G Mantziaris
- Univers. Of Virginia Health System, Charlottesville, VA
| | - S Pikis
- Univers. Of Virginia Health System, Charlottesville, VA
| | - J P Sheehan
- Department of Neurosurgery, University of Virginia, Charlottesville, VA
| | - V L Chiang
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT
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Gupta NP, Singh C, Aggarwal A, Batra A, Sharma A, Sundar J. Newborn with Polyuria and Hydrocephalus. Neoreviews 2023; 24:e658-e664. [PMID: 37777618 DOI: 10.1542/neo.24-10-e658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/02/2023]
Affiliation(s)
- Naveen Parkash Gupta
- Department of Neonatology, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Chanchal Singh
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Amit Aggarwal
- Department of Pediatric Nephrology, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Anil Batra
- Department of Neonatology, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Anurag Sharma
- Department of Pediatric Neurosurgery, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Jayasree Sundar
- Department of Obstetrics and Gynecology, Madhukar Rainbow Children's Hospital, New Delhi, India
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Currie G, Singh C, Spuur K, Al-Hayek Y, Nabasenja C, Nelson T. Response to: ChatGPT in medical imaging higher education: Reply to Currie et al. Radiography (Lond) 2023; 29:868-869. [PMID: 37419046 DOI: 10.1016/j.radi.2023.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/09/2023]
Affiliation(s)
- G Currie
- Charles Sturt University, Australia.
| | - C Singh
- Charles Sturt University, Australia
| | - K Spuur
- Charles Sturt University, Australia
| | | | | | - T Nelson
- Charles Sturt University, Australia
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Currie G, Singh C, Nelson T, Nabasenja C, Al-Hayek Y, Spuur K. ChatGPT in medical imaging higher education. Radiography (Lond) 2023; 29:792-799. [PMID: 37271011 DOI: 10.1016/j.radi.2023.05.011] [Citation(s) in RCA: 17] [Impact Index Per Article: 17.0] [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: 04/13/2023] [Revised: 05/17/2023] [Accepted: 05/17/2023] [Indexed: 06/06/2023]
Abstract
INTRODUCTION Academic integrity among radiographers and nuclear medicine technologists/scientists in both higher education and scientific writing has been challenged by advances in artificial intelligence (AI). The recent release of ChatGPT, a chatbot powered by GPT-3.5 capable of producing accurate and human-like responses to questions in real-time, has redefined the boundaries of academic and scientific writing. These boundaries require objective evaluation. METHOD ChatGPT was tested against six subjects across the first three years of the medical radiation science undergraduate course for both exams (n = 6) and written assignment tasks (n = 3). ChatGPT submissions were marked against standardised rubrics and results compared to student cohorts. Submissions were also evaluated by Turnitin for similarity and AI scores. RESULTS ChatGPT powered by GPT-3.5 performed below the average student performance in all written tasks with an increasing disparity as subjects advanced. ChatGPT performed better than the average student in foundation or general subject examinations where shallow responses meet learning outcomes. For discipline specific subjects, ChatGPT lacked the depth, breadth, and currency of insight to provide pass level answers. CONCLUSION ChatGPT simultaneously poses a risk to academic integrity in writing and assessment while affording a tool for enhanced learning environments. These risks and benefits are likely to be restricted to learning outcomes of lower taxonomies. Both risks and benefits are likely to be constrained by higher order taxonomies. IMPLICATIONS FOR PRACTICE ChatGPT powered by GPT3.5 has limited capacity to support student cheating, introduces errors and fabricated information, and is readily identified by software as AI generated. Lack of depth of insight and appropriateness for professional communication also limits capacity as a learning enhancement tool.
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Affiliation(s)
- G Currie
- Charles Sturt University, Wagga Wagga, NSW, Australia.
| | - C Singh
- Charles Sturt University, Wagga Wagga, NSW, Australia
| | - T Nelson
- Charles Sturt University, Port Macquarie, NSW, Australia
| | - C Nabasenja
- Charles Sturt University, Port Macquarie, NSW, Australia
| | - Y Al-Hayek
- Charles Sturt University, Wagga Wagga, NSW, Australia
| | - K Spuur
- Charles Sturt University, Wagga Wagga, NSW, Australia
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Singh C, Shahnaz G, Dagar S, Shastri A, Kurana D, Thakur S. Performance of first-trimester ultrasound in detection of structural abnormalities in Indian women: A prospective observational study. Int J Gynaecol Obstet 2023; 160:1042-1043. [PMID: 36239234 DOI: 10.1002/ijgo.14511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 09/30/2022] [Accepted: 10/10/2022] [Indexed: 11/10/2022]
Affiliation(s)
- Chanchal Singh
- Madhukar Rainbow Children's Hospital and BirthRight, by Rainbow Hospitals, New Delhi, India
| | - Gazala Shahnaz
- Madhukar Rainbow Children's Hospital and BirthRight, by Rainbow Hospitals, New Delhi, India
| | - Savita Dagar
- Madhukar Rainbow Children's Hospital and BirthRight, by Rainbow Hospitals, New Delhi, India
| | - Aditi Shastri
- Madhukar Rainbow Children's Hospital and BirthRight, by Rainbow Hospitals, New Delhi, India
| | - Deeksha Kurana
- Indian Institute of Public Health, Public Health Foundation of India, Bengaluru, India
| | - Seema Thakur
- Madhukar Rainbow Children's Hospital and BirthRight, by Rainbow Hospitals, New Delhi, India
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Thakur S, Chaddha V, Gupta R, Singh C, Dagar S, Shastri A, Tiwari B, Sethia V, Malik M, Jain P, Kapoor A, Kapoor A, Kapoor T, Kapoor A, Kapoor R, Kumar M, Uppal R. Spectrum of fetal limb anomalies. J Clin Ultrasound 2023; 51:96-106. [PMID: 36639848 DOI: 10.1002/jcu.23273] [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] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Revised: 06/18/2022] [Accepted: 06/30/2022] [Indexed: 06/17/2023]
Abstract
PURPOSE Antenatal detection of limb anomalies is not uncommon, and pregnancies are usually terminated in view of the expected physical handicap. The aim of this retrospective observational study is to delineate the spectrum of fetal limb anomalies and provide evidence in support of complete postnatal evaluation in establishing recurrence risk. METHODS We present 54 cases of limb malformations detected antenatally and discuss the spectrum of abnormalities, the utility of fetal autopsy, and genetic testing to establish recurrence risk in subsequent pregnancies. RESULTS 16/54 cases were isolated radial ray anomalies. There were five cases of amniotic band syndrome, five limb body wall complex cases, three VACTERL (vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities) associations, one case of sirenomelia, two cases of limb pelvis hypoplasia, and one case of OEIS (Omphalocele Exstrophy Imperforate anus and spinal defects). Four fetuses with non-isolated radial ray anomaly had trisomy 18. One case with bilateral radial ray defect had a mutation in the FANC-E gene confirming fanconi anemia. Twelve cases were unclassified. CONCLUSION Autopsy is the most important investigation in fetuses with limb anomalies. We suggest chromosomal microarray (CMA) as a first-tier test after autopsy. However, in cases of bilaterally symmetrical limb anomalies, in case of previous similarly affected child, or history of consanguinity, whole exome sequencing (WES) can be offered as the primary investigation, followed by CMA if WES is normal.
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Affiliation(s)
- Seema Thakur
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, Delhi, India
- Department of Radiology, Fortis La Femme, New Delhi, India
- Department of Radiology, Fortis Hospital, New Delhi, India
| | | | | | - Chanchal Singh
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, Delhi, India
| | - Savita Dagar
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, Delhi, India
| | - Aditi Shastri
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, Delhi, India
| | - Beena Tiwari
- Department of Radiology, Fortis La Femme, New Delhi, India
| | - Vineet Sethia
- Department of Radiology, Fortis Hospital, New Delhi, India
| | - Manish Malik
- Department of Radiology, Fortis Hospital, New Delhi, India
| | - Puneet Jain
- Department of Radiology, Fortis Hospital, New Delhi, India
| | | | | | | | | | - Ravi Kapoor
- City X-ray & Scan Clinic Pvt. Ltd, New Delhi, India
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Yadav A, Singh C, Dagar S, Shastri A, Prakash R, Thakur S. A myriad of posterior fossa cysts: A single center experience. J Clin Ultrasound 2022; 50:1312-1319. [PMID: 35730722 DOI: 10.1002/jcu.23261] [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] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 06/02/2022] [Accepted: 06/06/2022] [Indexed: 06/15/2023]
Abstract
Antenatal posterior fossa cystic lesions are intimidating due to overlapping imaging features of benign and severe malformations. Sonographic assessment of the posterior fossa with good resolution median sagittal and axial views, either primary or secondarily reconstructed, plays the lead role in antenatal evaluation, further enhanced when sequential assessments are added. We present 10 cases of fetal posterior fossa cystic lesions diagnosed in the first and second trimesters that were sequentially analyzed and followed up till delivery or termination. The ultrasound imaging appearance, evolution, and morphometry have been presented in this article.
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Affiliation(s)
- Arushi Yadav
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, and BirthRight by Rainbow Hospitals, New Delhi, India
| | - Chanchal Singh
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, and BirthRight by Rainbow Hospitals, New Delhi, India
| | - Savita Dagar
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, and BirthRight by Rainbow Hospitals, New Delhi, India
| | - Aditi Shastri
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, and BirthRight by Rainbow Hospitals, New Delhi, India
| | - Ritika Prakash
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, and BirthRight by Rainbow Hospitals, New Delhi, India
| | - Seema Thakur
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, and BirthRight by Rainbow Hospitals, New Delhi, India
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Singh C, Pankaj P. Digital Infrastructure Management-Challenges and Opportunities in Post Covid Era. CM 2022. [DOI: 10.18137/cardiometry.2022.23.593596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Digital Infrastructure Management-Challenges and Opportunities in Post Covid Era are analyzed in this paper. The 2020 pandemic has been the most serious issue in medical as well as humanity’s history. It has impacted various lives in one way or another. There are multitudes of death cases globally, and the census is pacing at its fastest rate as possible. This lockdown has stressed the medical field and infrastructure and paved its way in the digitalization sector. While observing the lockdown, the world’s economy has faced a steep fall due to sudden and unexpected hampering to the daily work. This opened the door to digitalization. The Digital field has seen a great hike where all the work is shifted from offices to home. It has opened various opportunities but also faces major challenges which expect to furnish after the pandemic crisis. This paper deals with the aspects of digital infrastructure in the post-Covid-19 era.
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Evans RA, Leavy OC, Richardson M, Elneima O, McAuley HJC, Shikotra A, Singapuri A, Sereno M, Saunders RM, Harris VC, Houchen-Wolloff L, Aul R, Beirne P, Bolton CE, Brown JS, Choudhury G, Diar-Bakerly N, Easom N, Echevarria C, Fuld J, Hart N, Hurst J, Jones MG, Parekh D, Pfeffer P, Rahman NM, Rowland-Jones SL, Shah AM, Wootton DG, Chalder T, Davies MJ, De Soyza A, Geddes JR, Greenhalf W, Greening NJ, Heaney LG, Heller S, Howard LS, Jacob J, Jenkins RG, Lord JM, Man WDC, McCann GP, Neubauer S, Openshaw PJM, Porter JC, Rowland MJ, Scott JT, Semple MG, Singh SJ, Thomas DC, Toshner M, Lewis KE, Thwaites RS, Briggs A, Docherty AB, Kerr S, Lone NI, Quint J, Sheikh A, Thorpe M, Zheng B, Chalmers JD, Ho LP, Horsley A, Marks M, Poinasamy K, Raman B, Harrison EM, Wain LV, Brightling CE, Abel K, Adamali H, Adeloye D, Adeyemi O, Adrego R, Aguilar Jimenez LA, Ahmad S, Ahmad Haider N, Ahmed R, Ahwireng N, Ainsworth M, Al-Sheklly B, Alamoudi A, Ali M, Aljaroof M, All AM, Allan L, Allen RJ, Allerton L, Allsop L, Almeida P, Altmann D, Alvarez Corral M, Amoils S, Anderson D, Antoniades C, Arbane G, Arias A, Armour C, Armstrong L, Armstrong N, Arnold D, Arnold H, Ashish A, Ashworth A, Ashworth M, Aslani S, Assefa-Kebede H, Atkin C, Atkin P, Aung H, Austin L, Avram C, Ayoub A, Babores M, Baggott R, Bagshaw J, Baguley D, Bailey L, Baillie JK, Bain S, Bakali M, Bakau M, Baldry E, Baldwin D, Ballard C, Banerjee A, Bang B, Barker RE, Barman L, Barratt S, Barrett F, Basire D, Basu N, Bates M, Bates A, Batterham R, Baxendale H, Bayes H, Beadsworth M, Beckett P, Beggs M, Begum M, Bell D, Bell R, Bennett K, Beranova E, Bermperi A, Berridge A, Berry C, Betts S, Bevan E, Bhui K, Bingham M, Birchall K, Bishop L, Bisnauthsing K, Blaikely J, Bloss A, Bolger A, Bonnington J, Botkai A, Bourne C, Bourne M, Bramham K, Brear L, Breen G, Breeze J, Bright E, Brill S, Brindle K, Broad L, Broadley A, Brookes C, Broome M, Brown A, Brown A, Brown J, Brown J, Brown M, Brown M, Brown V, Brugha T, Brunskill N, Buch M, Buckley P, Bularga A, Bullmore E, Burden L, Burdett T, Burn D, Burns G, Burns A, Busby J, Butcher R, Butt A, Byrne S, Cairns P, Calder PC, Calvelo E, Carborn H, Card B, Carr C, Carr L, Carson G, Carter P, Casey A, Cassar M, Cavanagh J, Chablani M, Chambers RC, Chan F, Channon KM, Chapman K, Charalambou A, Chaudhuri N, Checkley A, Chen J, Cheng Y, Chetham L, Childs C, Chilvers ER, Chinoy H, Chiribiri A, Chong-James K, Choudhury N, Chowienczyk P, Christie C, Chrystal M, Clark D, Clark C, Clarke J, Clohisey S, Coakley G, Coburn Z, Coetzee S, Cole J, Coleman C, Conneh F, Connell D, Connolly B, Connor L, Cook A, Cooper B, Cooper J, Cooper S, Copeland D, Cosier T, Coulding M, Coupland C, Cox E, Craig T, Crisp P, Cristiano D, Crooks MG, Cross A, Cruz I, Cullinan P, Cuthbertson D, Daines L, Dalton M, Daly P, Daniels A, Dark P, Dasgin J, David A, David C, Davies E, Davies F, Davies G, Davies GA, Davies K, Dawson J, Daynes E, Deakin B, Deans A, Deas C, Deery J, Defres S, Dell A, Dempsey K, Denneny E, Dennis J, Dewar A, Dharmagunawardena R, Dickens C, Dipper A, Diver S, Diwanji SN, Dixon M, Djukanovic R, Dobson H, Dobson SL, Donaldson A, Dong T, Dormand N, Dougherty A, Dowling R, Drain S, Draxlbauer K, Drury K, Dulawan P, Dunleavy A, Dunn S, Earley J, Edwards S, Edwardson C, El-Taweel H, Elliott A, Elliott K, Ellis Y, Elmer A, Evans D, Evans H, Evans J, Evans R, Evans RI, Evans T, Evenden C, Evison L, Fabbri L, Fairbairn S, Fairman A, Fallon K, Faluyi D, Favager C, Fayzan T, Featherstone J, Felton T, Finch J, Finney S, Finnigan J, Finnigan L, Fisher H, Fletcher S, Flockton R, Flynn M, Foot H, Foote D, Ford A, Forton D, Fraile E, Francis C, Francis R, Francis S, Frankel A, Fraser E, Free R, French N, Fu X, Furniss J, Garner L, Gautam N, George J, George P, Gibbons M, Gill M, Gilmour L, Gleeson F, Glossop J, Glover S, Goodman N, Goodwin C, Gooptu B, Gordon H, Gorsuch T, Greatorex M, Greenhaff PL, Greenhalgh A, Greenwood J, Gregory H, Gregory R, Grieve D, Griffin D, Griffiths L, Guerdette AM, Guillen Guio B, Gummadi M, Gupta A, Gurram S, Guthrie E, Guy Z, H Henson H, Hadley K, Haggar A, Hainey K, Hairsine B, Haldar P, Hall I, Hall L, Halling-Brown M, Hamil R, Hancock A, Hancock K, Hanley NA, Haq S, Hardwick HE, Hardy E, Hardy T, Hargadon B, Harrington K, Harris E, Harrison P, Harvey A, Harvey M, Harvie M, Haslam L, Havinden-Williams M, Hawkes J, Hawkings N, Haworth J, Hayday A, Haynes M, Hazeldine J, Hazelton T, Heeley C, Heeney JL, Heightman M, Henderson M, Hesselden L, Hewitt M, Highett V, Hillman T, Hiwot T, Hoare A, Hoare M, Hockridge J, Hogarth P, Holbourn A, Holden S, Holdsworth L, Holgate D, Holland M, Holloway L, Holmes K, Holmes M, Holroyd-Hind B, Holt L, Hormis A, Hosseini A, Hotopf M, Howard K, Howell A, Hufton E, Hughes AD, Hughes J, Hughes R, Humphries A, Huneke N, Hurditch E, Husain M, Hussell T, Hutchinson J, Ibrahim W, Ilyas F, Ingham J, Ingram L, Ionita D, Isaacs K, Ismail K, Jackson T, James WY, Jarman C, Jarrold I, Jarvis H, Jastrub R, Jayaraman B, Jezzard P, Jiwa K, Johnson C, Johnson S, Johnston D, Jolley CJ, Jones D, Jones G, Jones H, Jones H, Jones I, Jones L, Jones S, Jose S, Kabir T, Kaltsakas G, Kamwa V, Kanellakis N, Kaprowska S, Kausar Z, Keenan N, Kelly S, Kemp G, Kerslake H, Key AL, Khan F, Khunti K, Kilroy S, King B, King C, Kingham L, Kirk J, Kitterick P, Klenerman P, Knibbs L, Knight S, Knighton A, Kon O, Kon S, Kon SS, Koprowska S, Korszun A, Koychev I, Kurasz C, Kurupati P, Laing C, Lamlum H, Landers G, Langenberg C, Lasserson D, Lavelle-Langham L, Lawrie A, Lawson C, Lawson C, Layton A, Lea A, Lee D, Lee JH, Lee E, Leitch K, Lenagh R, Lewis D, Lewis J, Lewis V, Lewis-Burke N, Li X, Light T, Lightstone L, Lilaonitkul W, Lim L, Linford S, Lingford-Hughes A, Lipman M, Liyanage K, Lloyd A, Logan S, Lomas D, Loosley R, Lota H, Lovegrove W, Lucey A, Lukaschuk E, Lye A, Lynch C, MacDonald S, MacGowan G, Macharia I, Mackie J, Macliver L, Madathil S, Madzamba G, Magee N, Magtoto MM, Mairs N, Majeed N, Major E, Malein F, Malim M, Mallison G, Mandal S, Mangion K, Manisty C, Manley R, March K, Marciniak S, Marino P, Mariveles M, Marouzet E, Marsh S, Marshall B, Marshall M, Martin J, Martineau A, Martinez LM, Maskell N, Matila D, Matimba-Mupaya W, Matthews L, Mbuyisa A, McAdoo S, Weir McCall J, McAllister-Williams H, McArdle A, McArdle P, McAulay D, McCormick J, McCormick W, McCourt P, McGarvey L, McGee C, Mcgee K, McGinness J, McGlynn K, McGovern A, McGuinness H, McInnes IB, McIntosh J, McIvor E, McIvor K, McLeavey L, McMahon A, McMahon MJ, McMorrow L, Mcnally T, McNarry M, McNeill J, McQueen A, McShane H, Mears C, Megson C, Megson S, Mehta P, Meiring J, Melling L, Mencias M, Menzies D, Merida Morillas M, Michael A, Milligan L, Miller C, Mills C, Mills NL, Milner L, Misra S, Mitchell J, Mohamed A, Mohamed N, Mohammed S, Molyneaux PL, Monteiro W, Moriera S, Morley A, Morrison L, Morriss R, Morrow A, Moss AJ, Moss P, Motohashi K, Msimanga N, Mukaetova-Ladinska E, Munawar U, Murira J, Nanda U, Nassa H, Nasseri M, Neal A, Needham R, Neill P, Newell H, Newman T, Newton-Cox A, Nicholson T, Nicoll D, Nolan CM, Noonan MJ, Norman C, Novotny P, Nunag J, Nwafor L, Nwanguma U, Nyaboko J, O'Donnell K, O'Brien C, O'Brien L, O'Regan D, Odell N, Ogg G, Olaosebikan O, Oliver C, Omar Z, Orriss-Dib L, Osborne L, Osbourne R, Ostermann M, Overton C, Owen J, Oxton J, Pack J, Pacpaco E, Paddick S, Painter S, Pakzad A, Palmer S, Papineni P, Paques K, Paradowski K, Pareek M, Parfrey H, Pariante C, Parker S, Parkes M, Parmar J, Patale S, Patel B, Patel M, Patel S, Pattenadk D, Pavlides M, Payne S, Pearce L, Pearl JE, Peckham D, Pendlebury J, Peng Y, Pennington C, Peralta I, Perkins E, Peterkin Z, Peto T, Petousi N, Petrie J, Phipps J, Pimm J, Piper Hanley K, Pius R, Plant H, Plein S, Plekhanova T, Plowright M, Polgar O, Poll L, Porter J, Portukhay S, Powell N, Prabhu A, Pratt J, Price A, Price C, Price C, Price D, Price L, Price L, Prickett A, Propescu J, Pugmire S, Quaid S, Quigley J, Qureshi H, Qureshi IN, Radhakrishnan K, Ralser M, Ramos A, Ramos H, Rangeley J, Rangelov B, Ratcliffe L, Ravencroft P, Reddington A, Reddy R, Redfearn H, Redwood D, Reed A, Rees M, Rees T, Regan K, Reynolds W, Ribeiro C, Richards A, Richardson E, Rivera-Ortega P, Roberts K, Robertson E, Robinson E, Robinson L, Roche L, Roddis C, Rodger J, Ross A, Ross G, Rossdale J, Rostron A, Rowe A, Rowland A, Rowland J, Roy K, Roy M, Rudan I, Russell R, Russell E, Saalmink G, Sabit R, Sage EK, Samakomva T, Samani N, Sampson C, Samuel K, Samuel R, Sanderson A, Sapey E, Saralaya D, Sargant J, Sarginson C, Sass T, Sattar N, Saunders K, Saunders P, Saunders LC, Savill H, Saxon W, Sayer A, Schronce J, Schwaeble W, Scott K, Selby N, Sewell TA, Shah K, Shah P, Shankar-Hari M, Sharma M, Sharpe C, Sharpe M, Shashaa S, Shaw A, Shaw K, Shaw V, Shelton S, Shenton L, Shevket K, Short J, Siddique S, Siddiqui S, Sidebottom J, Sigfrid L, Simons G, Simpson J, Simpson N, Singh C, Singh S, Sissons D, Skeemer J, Slack K, Smith A, Smith D, Smith S, Smith J, Smith L, Soares M, Solano TS, Solly R, Solstice AR, Soulsby T, Southern D, Sowter D, Spears M, Spencer LG, Speranza F, Stadon L, Stanel S, Steele N, Steiner M, Stensel D, Stephens G, Stephenson L, Stern M, Stewart I, Stimpson R, Stockdale S, Stockley J, Stoker W, Stone R, Storrar W, Storrie A, Storton K, Stringer E, Strong-Sheldrake S, Stroud N, Subbe C, Sudlow CL, Suleiman Z, Summers C, Summersgill C, Sutherland D, Sykes DL, Sykes R, Talbot N, Tan AL, Tarusan L, Tavoukjian V, Taylor A, Taylor C, Taylor J, Te A, Tedd H, Tee CJ, Teixeira J, Tench H, Terry S, Thackray-Nocera S, Thaivalappil F, Thamu B, Thickett D, Thomas C, Thomas S, Thomas AK, Thomas-Woods T, Thompson T, Thompson AAR, Thornton T, Tilley J, Tinker N, Tiongson GF, Tobin M, Tomlinson J, Tong C, Touyz R, Tripp KA, Tunnicliffe E, Turnbull A, Turner E, Turner S, Turner V, Turner K, Turney S, Turtle L, Turton H, Ugoji J, Ugwuoke R, Upthegrove R, Valabhji J, Ventura M, Vere J, Vickers C, Vinson B, Wade E, Wade P, Wainwright T, Wajero LO, Walder S, Walker S, Walker S, Wall E, Wallis T, Walmsley S, Walsh JA, Walsh S, Warburton L, Ward TJC, Warwick K, Wassall H, Waterson S, Watson E, Watson L, Watson J, Welch C, Welch H, Welsh B, Wessely S, West S, Weston H, Wheeler H, White S, Whitehead V, Whitney J, Whittaker S, Whittam B, Whitworth V, Wight A, Wild J, Wilkins M, Wilkinson D, Williams N, Williams N, Williams J, Williams-Howard SA, Willicombe M, Willis G, Willoughby J, Wilson A, Wilson D, Wilson I, Window N, Witham M, Wolf-Roberts R, Wood C, Woodhead F, Woods J, Wormleighton J, Worsley J, Wraith D, Wrey Brown C, Wright C, Wright L, Wright S, Wyles J, Wynter I, Xu M, Yasmin N, Yasmin S, Yates T, Yip KP, Young B, Young S, Young A, Yousuf AJ, Zawia A, Zeidan L, Zhao B, Zongo O. Clinical characteristics with inflammation profiling of long COVID and association with 1-year recovery following hospitalisation in the UK: a prospective observational study. Lancet Respir Med 2022; 10:761-775. [PMID: 35472304 PMCID: PMC9034855 DOI: 10.1016/s2213-2600(22)00127-8] [Citation(s) in RCA: 144] [Impact Index Per Article: 72.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 03/23/2022] [Accepted: 03/31/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND No effective pharmacological or non-pharmacological interventions exist for patients with long COVID. We aimed to describe recovery 1 year after hospital discharge for COVID-19, identify factors associated with patient-perceived recovery, and identify potential therapeutic targets by describing the underlying inflammatory profiles of the previously described recovery clusters at 5 months after hospital discharge. METHODS The Post-hospitalisation COVID-19 study (PHOSP-COVID) is a prospective, longitudinal cohort study recruiting adults (aged ≥18 years) discharged from hospital with COVID-19 across the UK. Recovery was assessed using patient-reported outcome measures, physical performance, and organ function at 5 months and 1 year after hospital discharge, and stratified by both patient-perceived recovery and recovery cluster. Hierarchical logistic regression modelling was performed for patient-perceived recovery at 1 year. Cluster analysis was done using the clustering large applications k-medoids approach using clinical outcomes at 5 months. Inflammatory protein profiling was analysed from plasma at the 5-month visit. This study is registered on the ISRCTN Registry, ISRCTN10980107, and recruitment is ongoing. FINDINGS 2320 participants discharged from hospital between March 7, 2020, and April 18, 2021, were assessed at 5 months after discharge and 807 (32·7%) participants completed both the 5-month and 1-year visits. 279 (35·6%) of these 807 patients were women and 505 (64·4%) were men, with a mean age of 58·7 (SD 12·5) years, and 224 (27·8%) had received invasive mechanical ventilation (WHO class 7-9). The proportion of patients reporting full recovery was unchanged between 5 months (501 [25·5%] of 1965) and 1 year (232 [28·9%] of 804). Factors associated with being less likely to report full recovery at 1 year were female sex (odds ratio 0·68 [95% CI 0·46-0·99]), obesity (0·50 [0·34-0·74]) and invasive mechanical ventilation (0·42 [0·23-0·76]). Cluster analysis (n=1636) corroborated the previously reported four clusters: very severe, severe, moderate with cognitive impairment, and mild, relating to the severity of physical health, mental health, and cognitive impairment at 5 months. We found increased inflammatory mediators of tissue damage and repair in both the very severe and the moderate with cognitive impairment clusters compared with the mild cluster, including IL-6 concentration, which was increased in both comparisons (n=626 participants). We found a substantial deficit in median EQ-5D-5L utility index from before COVID-19 (retrospective assessment; 0·88 [IQR 0·74-1·00]), at 5 months (0·74 [0·64-0·88]) to 1 year (0·75 [0·62-0·88]), with minimal improvements across all outcome measures at 1 year after discharge in the whole cohort and within each of the four clusters. INTERPRETATION The sequelae of a hospital admission with COVID-19 were substantial 1 year after discharge across a range of health domains, with the minority in our cohort feeling fully recovered. Patient-perceived health-related quality of life was reduced at 1 year compared with before hospital admission. Systematic inflammation and obesity are potential treatable traits that warrant further investigation in clinical trials. FUNDING UK Research and Innovation and National Institute for Health Research.
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Singh C, Shahnaz G, Bajpai R, Sundar J. Knowledge, Attitude, and Practices of Pregnant Women Towards COVID-19: An On-site Cross-sectional Survey. Cureus 2022; 14:e27259. [PMID: 36039199 PMCID: PMC9402477 DOI: 10.7759/cureus.27259] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/25/2022] [Indexed: 11/06/2022] Open
Abstract
Objective: To assess the knowledge, attitude, and practices (KAP) of pregnant women towards coronavirus disease 2019 (COVID-19). Methods: This on-site cross-sectional survey was conducted in the antenatal and fetal medicine clinics in a tertiary care hospital in North India. Pregnant women attending the maternal-fetal unit filled out a 31-item questionnaire assessing their KAP towards COVID-19. Correlation between KAP was assessed by using Spearman’s rank correlation. Results: Some 302 questionnaires were analyzed: more than 90% of women had correct general knowledge of COVID, but only 12.3% scored 50% or more for pregnancy-related knowledge. Some 67% of women reported more than usual anxiety, and 7.7% reported severe anxiety levels. General knowledge improved with age, education, and occupation but pregnancy-related knowledge and anxiety score were unaffected by these variables. Conclusions: Pregnant women's knowledge of COVID-19 infection, in general, is excellent and they have the correct attitude towards preventive strategies. However, knowledge and attitude towards its effect on pregnancy are limited.
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Doley S, Srivastava M, Piplani A, Gupta R, Gautam Y, Singh C. Status of Dental Caries and Its Association with Oral Hygiene Practices among School-going Children of Rural and Urban Areas in Kamrup District of Assam. Int J Clin Pediatr Dent 2022; 15:182-186. [PMID: 37457203 PMCID: PMC10338935 DOI: 10.5005/jp-journals-10005-1936] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2023] Open
Abstract
Aim and objective The study aimed to assess and compare the prevalence of dental caries with its association with oral hygiene practices among 13-14 years old schoolchildren in urban and rural areas in Kamrup Metropolitan (M) District, Assam. Materials and methods A total of 1,501 schoolchildren in the age group of 13-14 years were included in the study and dental caries was recorded from decayed missing filled teeth (DMFT)/deft index as described by World Health Organization (WHO) (1997). The children were asked to fill in the basic information in the proforma by themselves. The statistical tests used in this study were unpaired t-test, Chi-square test, and one-way ANOVA test to compare the DMFT among the different age groups, gender, and location. Results A statistically significant difference was found in the prevalence of the decayed (D) component between the 14 years old (33.9%) and the 13 years old (28.5%) age groups and a highly statistical difference was found between the male (27.9%) and the female (35.7%) population. However, the prevalence of decayed components for the rural (30.1%) and the urban (33.1%) population was not statistically significant. Conclusion The overall prevalence of dental caries among schoolchildren of Kamrup (Metropolitan) District was 33.6%. Clinical Significance Dental caries is a major public dental health problem; hence, an active and effective preventive program for dental care is needed for the child population in the area. How to cite this article Doley S, Srivastava M, Piplani A, et al. Status of Dental Caries and Its Association with Oral Hygiene Practices among School-going Children of Rural and Urban Areas in Kamrup District of Assam. Int J Clin Pediatr Dent 2022;15(2):182-186.
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Affiliation(s)
- Sulekha Doley
- Department of Pedodontics and Preventive Dentistry, Regional Dental College, Guwahati, Assam, India
| | - Manvi Srivastava
- Department of Pedodontics and Preventive Dentistry, KD Dental College and Hospital, Mathura, Uttar Pradesh, India
| | | | - Roopali Gupta
- Department of Public Health Dentistry, KD Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Yatendra Gautam
- Department of Pedodontics and Preventive Dentistry, KD Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Chanchal Singh
- Department of Pedodontics and Preventive Dentistry, NIMS Dental College, Jaipur, Rajasthan, India
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Singh C, Kumar R, Mazumder A, Salahuddin, Kumar A, Sahu R, Mishra S, Abdullah MM. Benzothiazole: Synthetic Strategies, Biological Potential, and Interactions
with Targets. MINI-REV ORG CHEM 2022. [DOI: 10.2174/1570193x18666210308145703] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
:
Benzothiazole is a heterocyclic compound that contains a benzene ring fused with a five-member 1,3-thiazole ring. Several types of research have established its potential as an antimicrobial agent, anticancer agent, anti-epileptic agent, antiviral agent, etc. Nowadays, various effective drugs utilize the hybridization of two or more pharmacophores in a single-molecule for synergizing its pharmacological action or to interact with more than one target or to reduce the side effects associated with it. In this article, various strategies for the synthesis of different pharmacologically active hybrid compounds containing benzothiazole with different substituents are highlighted. Apart from presenting the synthesis strategies, the article also highlights various pharmacological actions and molecular interactions with different biological molecules of the potential drugs containing benzothiazole.
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Affiliation(s)
- Chanchal Singh
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute),
Greater Noida, India
| | - Rajnish Kumar
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute),
Greater Noida, India
| | - Avijit Mazumder
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute),
Greater Noida, India
| | - Salahuddin
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute),
Greater Noida, India
| | - Ajay Kumar
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute),
Greater Noida, India
| | - Rakesh Sahu
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute),
Greater Noida, India
| | - Shivali Mishra
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute),
Greater Noida, India
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Punia R, Singh C, Singh RP, Singh M, Singh RP. Physicochemical Properties of Silibinin-Phosphatidylcholine Complex and its Implications for Drug Formulations. Indian J Pharm Sci 2022. [DOI: 10.36468/pharmaceutical-sciences.992] [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: 11/22/2022] Open
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Kumar A, Salahuddin, Kumar R, Sahu R, Mishra S, Singh C, Tiglani D. Anti-Diabetic Potentials of Thiazolidinedione Analogues with Efficient
Synthetic Procedures: A Review of Literature. MINI-REV ORG CHEM 2022. [DOI: 10.2174/1570193x18666210224153849] [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: 11/22/2022]
Abstract
Background::
Diabetes mellitus refers to one of the leading cause of diseases that affect large
populations of human and is characterized by a high glucose level in the blood (also known as hyperglycemia).
Thiazolidinedione (TZD) is a five-member heterocyclic compound consisting of three carbons,
nitrogen and sulfur. It is also known as glitazones, can be used as potent hypoglycemic agents
and is also reduce many other cardiovascular risk factors including percutaneous coronary intervention,
carotid and coronary atherosclerosis. As it plays a very important role in the field of medicinal chemistry
or pharmaceutical sciences, novel medicine developed and many are on underdevelopment, these
derivatives have thiazolidinedione as their primary nucleus.
Objective::
This article has discussed the different synthetic procedures of thiazolidinediones that exhibited
potential antidiabetic activity by the activation of PPAR-γ, by reducing the blood glucose levels
and by different metabolic process incorporation.
Conclusion::
Thiazolidinediones has effective profile as the future investigational drug and can be processed
in drug discovery because of its efficient anti-diabetic potential.
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Affiliation(s)
- Ajay Kumar
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), 19, Knowledge Park II, Greater Noida, U.P. – 201306,India
| | - Salahuddin
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), 19, Knowledge Park II, Greater Noida, U.P. – 201306,India
| | - Rajnish Kumar
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), 19, Knowledge Park II, Greater Noida, U.P. – 201306,India
| | - Rakesh Sahu
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), 19, Knowledge Park II, Greater Noida, U.P. – 201306,India
| | - Shivali Mishra
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), 19, Knowledge Park II, Greater Noida, U.P. – 201306,India
| | - Chanchal Singh
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), 19, Knowledge Park II, Greater Noida, U.P. – 201306,India
| | - Devleena Tiglani
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), 19, Knowledge Park II, Greater Noida, U.P. – 201306,India
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Kumar R, Singh C, Mazumder A, Salahuddin, Abdullah MM, Kushwaha V, Giri PP. Synthetic Approach to Potential Anticancer Benzimidazole Derivatives- A Review. Mini Rev Med Chem 2021; 22:1289-1304. [PMID: 34598663 DOI: 10.2174/1389557521666211001122118] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Revised: 07/17/2021] [Accepted: 08/27/2021] [Indexed: 11/22/2022]
Abstract
Cancer is one of the deadliest diseases in many developed and developing countries. Continuous efforts are required for designing better therapeutic agents for the treatment of cancer with more efficacy, selectivity, and less toxicity. The fused heterocyclic ring system has been identified by several researchers as a privileged structure that can be used as a basis for drug discovery in medicinal chemistry. The hetero-aromatic bicyclic ring system acts as a pharmacophore in a wide range of drugs with therapeutic potential. According to studies in the literature, variously substituted benzimidazoles have distinct pharmacological profiles with multi-targeting ability, making them an important anchor for the production of novel therapeutic agents against complex cancers including breast cancer, skin cancer, and blood cancer. In this presented article we are discussed various synthetic methods for the synthesis of anticancer benzimidazoles and their derivatives in different solvent conditions, substrates, and various catalysts mainly those which are eco-friendly, and economical, which shows the anticancer activity. We also focused on various derivatives are under clinical trials containing Benzimidazole moiety.
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Affiliation(s)
- Rajnish Kumar
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), Greater Noida, India
| | - Chanchal Singh
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), Greater Noida, India
| | - Avijit Mazumder
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), Greater Noida, India
| | - Salahuddin
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), Greater Noida, India
| | - Md Mustaqeem Abdullah
- Department of Pharmaceutical Chemistry, ANA Institute of Pharmaceutical Sciences and Research, Bareilly-243501, India
| | - Vivek Kushwaha
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), Greater Noida, India
| | - Pavan Prakash Giri
- Department of Pharmaceutical Chemistry, Noida Institute of Engineering and Technology (Pharmacy Institute), Greater Noida, India
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Singh C, Thakur S, Shahnaz G, Dagar S, Shastri A, Khurana D. Clinical outcomes in higher-order multiples reduced to dichorionic diamniotic (DCDA) twins compared with primary twins and singletons: A prospective observational study. Int J Gynaecol Obstet 2021; 157:671-676. [PMID: 34460958 DOI: 10.1002/ijgo.13901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 06/10/2021] [Revised: 08/18/2021] [Accepted: 09/26/2021] [Indexed: 11/08/2022]
Abstract
OBJECTIVE To compare outcomes in higher-order multiple pregnancies reduced to dichorionic diamniotic (DCDA) twins with primary DCDA twins and singleton pregnancies. METHODS This prospective observational study included all higher-order multiple pregnancies that underwent ultrasound-guided transabdominal fetal reduction at 11-13 weeks of gestation from January 2018 to June 2020. Outcomes were compared with 100 primary DCDA twins and 1078 singletons. RESULTS Sixty-four higher-order multiples underwent reduction at mean gestational age of 11.46 weeks. Of the reduced pregnancies, 3.12% resulted in miscarriage before 24 weeks compared with 2% (2/100) of primary twins and 0.74% of singletons (P = 0.09). The mean gestational age at delivery was 33.48 weeks for reduced twins, 34.52 weeks for primary twins (P = 0.10) and 38.14 weeks for singletons (P < 0.001). Compared with primary twins, the adjusted odds of preterm delivery before 34 weeks and before 36 weeks for reduced twins were 0.56 (95% confidence interval [CI] 0.48-3.54, P = 0.62) and 0.84 (95% CI 0.78-8.85, P = 0.08), respectively. There was no significant difference in rates of pre-eclampsia, Cesarean delivery, birth weight below the 10th and 3rd centiles, and perinatal mortality among primary and reduced twins. All risks were significantly lower in singleton pregnancies. CONCLUSION Reduced twins have similar obstetric and perinatal outcomes as primary twins, but adverse outcomes are significantly higher in both groups when compared with singleton pregnancies.
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Affiliation(s)
- Chanchal Singh
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Seema Thakur
- Department of Medical Genetics and Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Gazala Shahnaz
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Savita Dagar
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Aditi Shastri
- Department of Fetal Medicine, Madhukar Rainbow Children's Hospital, New Delhi, India
| | - Deeksha Khurana
- Indian Institute of Public Health, Public Health Foundation of India, Bengaluru, India
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19
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Batra M, Sharma KA, Singh C, Devadasan S, Vikraman SK, Praveen TLN, Khurana A. SFM Clinical Practice Recommendations for Prenatal Invasive Diagnostic Procedures. J Fetal Med 2021. [DOI: 10.1007/s40556-021-00311-9] [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: 11/30/2022]
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20
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Singh C, Shahnaz G, Handa R, Gupta NP, Sundar J. A missing kidney and a hidden congenital diaphragmatic hernia. J Clin Ultrasound 2021; 49:401-404. [PMID: 32915995 DOI: 10.1002/jcu.22916] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 08/17/2020] [Accepted: 09/01/2020] [Indexed: 06/11/2023]
Abstract
Congenital intrathoracic kidney (ITK) is a rare condition, which is usually discovered incidentally in asymptomatic children who do not need any intervention. However, it may be associated with congenital diaphragmatic hernia (CDH), in which case it requires urgent surgical intervention. We present a case of prenatally diagnosed ITK associated with a left CDH that was operated on day 5 of life. The neonate is currently well at 15 months of age.
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Affiliation(s)
- Chanchal Singh
- Department of Fetal Medicine, Birthright, by Rainbow Children's Hospitals, New Delhi, India
| | - Gazala Shahnaz
- Department of Fetal Medicine, Birthright, by Rainbow Children's Hospitals, New Delhi, India
| | - Rakesh Handa
- Department of Paediatric Surgery, Rainbow Children's Hospitals, New Delhi, India
| | | | - Jayasree Sundar
- Department of Obstetrics and Gynaecology, Birthright, by Rainbow Children's Hospitals, New Delhi, India
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21
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Thakur S, Gupta R, Bansal D, Singh C, Agarwal D, Saxena KK. Clinical insights and molecular study of three foetuses with DYNC2H1 gene mutation causing short rib thoracic dystrophy. Clin Genet 2021; 99:853-854. [PMID: 33694158 DOI: 10.1111/cge.13953] [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: 01/07/2021] [Revised: 02/27/2021] [Accepted: 02/27/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Seema Thakur
- Department of Genetic and Fetal Medicine, Rainbow Children Hospital, New Delhi, India
| | - Rachna Gupta
- Department of Fetal Medicine, Sunehri Devi Hospital, Sonepat, Indraprastha Apollo Hospital, New Delhi, India
| | - Deepak Bansal
- Department of Fetal Medicine, Focus Scan and Xray Center, Jamalpur, Ludhiana, India
| | - Chanchal Singh
- Department of Genetic and Fetal Medicine, Rainbow Children Hospital, New Delhi, India
| | - Divya Agarwal
- Department of Medical Genetics, Max Hospital, Gurgaon, India
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Thakur UK, Kaman L, Singh C, Kumar M, Bhukal I, Shree R. Whipple's pancreaticoduodenectomy for cancer of the head of the pancreas in a patient with amyotrophic lateral sclerosis: perioperative challenges. Ann R Coll Surg Engl 2021; 103:e72-e73. [PMID: 33185456 PMCID: PMC9773894 DOI: 10.1308/rcsann.2020.7009] [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] [Accepted: 07/10/2020] [Indexed: 11/22/2022] Open
Abstract
The association of amyotrophic lateral sclerosis and pancreatic cancer is rare. Amyotrophic lateral sclerosis is a neurodegenerative disease characterised by pure motor symptoms in the form of progressive muscle weakness and wasting, and can involve the bulbar and respiratory muscles, leading to significant morbidity. Successful surgery for patients with amyotrophic lateral sclerosis for pancreatic cancer has rarely been reported. Surgery in such patients is a dual-edged sword and is decided based on risk-benefit ratio. Patients are at high risk for general anaesthesia because of muscular weakness, increased sensitivity to muscle relaxants and certain anaesthetic drugs. There is a high chance of prolonged postoperative ventilatory support, aspiration pneumonia and pulmonary complications. We report a patient with cancer of the head of the pancreas who underwent successful elective pancreaticoduodenectomy.
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Affiliation(s)
- UK Thakur
- Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - L Kaman
- Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - C Singh
- Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - M Kumar
- Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - I Bhukal
- Department of Anaesthesia, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - R Shree
- Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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23
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Singh C, Shahnaz G, Thakur S. Prenatal Invasive Procedures during the Peak of COVID-19 Pandemic. J Clin Diagn Res 2021. [DOI: 10.7860/jcdr/2021/48374.14948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
The current Coronavirus Disease 2019 (COVID-19) has had an immense adverse effect on provision of routine healthcare services including maternity care. Prenatal invasive procedures are amongst the most affected due to their availability at limited centres, reallocation of health resources, restricted mobility of individuals and the perceived ‘semi-elective’ nature of these procedures. However, these are essential procedures, even life-saving in cases of fetal anaemia, and time-sensitive especially considering the upper limit of legal age of medical termination of pregnancy in India. Data on COVID-19 is currently limited and the risk of vertical transmission is unknown. We present our experience of prenatal invasive procedure during April 2020 and May 2021, the peak months of COVID-19 and stringent lockdown.
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24
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Singh C, Thakur S, Arora N, Khurana D. Revisiting absent nasal bone in the second trimester. J Clin Ultrasound 2021; 49:3-7. [PMID: 32521052 DOI: 10.1002/jcu.22877] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Revised: 05/07/2020] [Accepted: 05/19/2020] [Indexed: 06/11/2023]
Abstract
PURPOSE To evaluate the outcomes of fetuses diagnosed with absent nasal bone in the second trimester. METHODS This prospective, observational study included all fetuses who were diagnosed at or referred to our fetal medicine center with an absent nasal bone from 16 weeks onwards from November 2017 to December 2019. Amniocentesis for fetal karyotype and microarray was offered to all women. Women who opted not to undergo invasive testing were also followed up and neonatal outcome noted. RESULTS 26 fetuses were eligible for inclusion in the study. 8 (30.8%) out of these were diagnosed with aneuploidy: 7 with trisomy 21 and one with trisomy 18. All fetuses with aneuploidy had additional ultrasound abnormality and/or high risk on biochemical screening. CONCLUSIONS Isolated absent nasal bone in the second trimester with prior low risk on combined screening performed by certified sonographers is unlikely to be associated with Down syndrome.
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Affiliation(s)
| | - Seema Thakur
- Birthright, by Rainbow Hospitals, New Delhi, India
| | - Nidhi Arora
- Birthright, by Rainbow Hospitals, New Delhi, India
| | - Deeksha Khurana
- Indian Institute of Public Health, Public Health Foundation of India, Bengaluru, India
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25
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Affiliation(s)
- C Singh
- Clinical Hematology Unit, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
| | - R Sharma
- Clinical Hematology Unit, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
| | - A Jain
- Clinical Hematology Unit, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
| | - D Lad
- Clinical Hematology Unit, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
| | - A Khadwal
- Clinical Hematology Unit, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
| | - G Prakash
- Clinical Hematology Unit, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
| | - P Malhotra
- Clinical Hematology Unit, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India
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26
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Chandra H, Singh C, Kumari P, Yadav S, Mishra AP, Laishevtcev A, Brisc C, Brisc MC, Munteanu MA, Bungau S. Promising Roles of Alternative Medicine and Plant-Based Nanotechnology as Remedies for Urinary Tract Infections. Molecules 2020; 25:E5593. [PMID: 33260701 PMCID: PMC7731396 DOI: 10.3390/molecules25235593] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 11/24/2020] [Accepted: 11/25/2020] [Indexed: 12/22/2022] Open
Abstract
Urinary tract infections (UTIs) are considered to be the most common infections worldwide, having an incidence rate of 40-60% in women. Moreover, the prevalence of this disorder in adult women is 30 times more than in men. UTIs are usually found in many hospitals and clinical practice; as disorders, they are complicated and uncomplicated; in uncomplicated cases, there is no structural or functional abnormality in the urogenital tract. However, obstruction, retention of urine flow and use of catheters increase the complexity. There are several bacteria (e.g., E. coli, Klebsiella pneumoniae, Proteus vulgaris, etc.) successfully residing in the tract. The diagnosis must not only be accurate but rapid, so early detection is an important step in the control of UTIs caused by uropathogens. The treatment of UTIs includes appropriate antimicrobial therapy to control the infection and kill the causal microbes inside the body. A long-time usage of antibiotics has resulted in multidrug resistance causing an impediment in treatment. Thus, alternative, combinatorial medication approaches have given some hope. Available treatments considered Homeopathic, Ayurvedic, Unani, and other herbal-based drugs. There are new upcoming roles of nanoparticles in combating UTIs which needs further validation. The role of medicinal plant-based nanotechnology approaches has shown promising results. Therefore, there must be active research in phyto-based therapies of UTIs, such as Ayurvedic Biology.
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Affiliation(s)
- Harish Chandra
- Department of Botany and Microbiology, Gurukula Kangri (Deemed to be University), Haridwar 249404, India;
| | - Chanchal Singh
- Department of Microbiology, Faculty of Science and Technology, Mewar University, Chittorgarh 312901, India;
| | - Pragati Kumari
- S-02, Scientist Hostel, Chauras Campus, Srinagar Garhwal, Uttarakhand 246174, India;
| | - Saurabh Yadav
- Department of Biotechnology, H.N.B. Garhwal University (A Central University), Srinagar (Garhwal) 246174, Uttarakhand, India
| | - Abhay P. Mishra
- Adarsh Vijendra Institute of Pharmaceutical Sciences, Shobhit University, Gangoh 247341, India
| | - Aleksey Laishevtcev
- Federal Research Center, Russian Scientific Research Institute of Experimental Veterinary Medicine Named after K. I. Skryabin and Y. R. Kovalenko of the Russian Academy of Sciences, 109428 Moscow, Russia;
- Laboratory of Biocontrol and Antimicrobial Resistance, Orel State University, Named after I. S. Turgenev, 302026 Orel, Russia
| | - Ciprian Brisc
- Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania; (C.B.); (M.C.B.); (M.A.M.)
| | - Mihaela Cristina Brisc
- Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania; (C.B.); (M.C.B.); (M.A.M.)
| | - Mihai Alexandru Munteanu
- Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania; (C.B.); (M.C.B.); (M.A.M.)
| | - Simona Bungau
- Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania;
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27
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Kaur A, Kaur S, Singh C, Pg G. Re: Comparison of the quality of life (QoL) of patients with mandibular third molars and mild pericoronitis treated by extraction or by a periodontal approach. Br J Oral Maxillofac Surg 2020; 58:872-873. [PMID: 32631757 DOI: 10.1016/j.bjoms.2020.05.007] [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: 04/09/2020] [Accepted: 05/05/2020] [Indexed: 12/01/2022]
Affiliation(s)
- A Kaur
- Oral and Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan.
| | - S Kaur
- Oral Medicine and Radiodiagnosis, Dashmesh Institute of Research and Dental Sciences, Faridkot, Punjab.
| | - C Singh
- Faculty of Dental Sciences, University of Toronto, Canada.
| | - G Pg
- Oral and Maxillofacial Surgery, Department of Dentistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan.
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28
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Bhattacharya R, Singh C, Verma P. Association of Irritable Bowel Syndrome with Psychiatric Disorder. J Assoc Physicians India 2020; 68:91. [PMID: 31979864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
| | - C Singh
- VMMC & Safdarjung Hospital, New Delhi
| | - P Verma
- VMMC & Safdarjung Hospital, New Delhi
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29
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Affiliation(s)
- Chanchal Singh
- Fetal Medicine, BirthRight by Rainbow Hospitals, New Delhi, India.
| | - Kavita Kotoch
- Obstetrics and Gynecology, BirthRight by Rainbow Hospitals, New Delhi, India
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30
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Singh C, Kotoch K. Diagnostic prénatal d'un vrai nœud du cordon ombilical. J Obstet Gynaecol Can 2019; 42:1067-1068. [PMID: 31402272 DOI: 10.1016/j.jogc.2019.04.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Chanchal Singh
- Fetal Medicine, BirthRight by Rainbow Hospitals, New Delhi, Inde
| | - Kavita Kotoch
- Obstetrics and Gynecology, BirthRight by Rainbow Hospitals, New Delhi, Inde
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31
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Singh GN, Singh C, Suman S. Revisit of a randomized response model for estimating a rare sensitive attribute under probability proportional to size sampling using Poisson probability distribution. COMMUN STAT-THEOR M 2019. [DOI: 10.1080/03610926.2018.1508718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- G. N. Singh
- Department of Applied Mathematics, Indian Institute of Technology (Indian School of Mines), Dhanbad, India
| | - C. Singh
- Department of Applied Mathematics, Indian Institute of Technology (Indian School of Mines), Dhanbad, India
| | - S. Suman
- Department of Applied Mathematics, Indian Institute of Technology (Indian School of Mines), Dhanbad, India
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32
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Nash E, Brokaar E, Casey R, Castellani C, Cotton C, Doe S, Duckers J, Edenborough F, Faulkner R, Garavaglia L, Hadjiliadis D, Singh C, Sutharsan S, Taylor-Cousar J. WS12-2-1 Pregnancy outcomes in women with cystic fibrosis on ivacaftor - an international survey. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30186-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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33
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Hundal J, Singh I, Wadhwa M, Singh C, Uppal C, Kaur G. Effect of Punica granatum and Tecomella undulata supplementation on nutrient utilization, enteric methane emission and growth performance of Murrah male buffaloes. J Anim Feed Sci 2019. [DOI: 10.22358/jafs/109237/2019] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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34
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Fernandez Turienzo C, Bick D, Bollard M, Brigante L, Briley A, Coxon K, Cross P, Healey A, Mehta M, Melaugh A, Moulla J, Seed PT, Shennan AH, Singh C, Tribe RM, Sandall J. POPPIE: protocol for a randomised controlled pilot trial of continuity of midwifery care for women at increased risk of preterm birth. Trials 2019; 20:271. [PMID: 31088505 PMCID: PMC6518651 DOI: 10.1186/s13063-019-3352-1] [Citation(s) in RCA: 5] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Accepted: 04/03/2019] [Indexed: 12/20/2022] Open
Abstract
Background High rates of preterm births remain a UK public health concern. Preterm birth is a major determinant of adverse infant and longer-term outcomes, including survival, quality of life, psychosocial effects on the family and health care costs. We aim to test whether a model of care combining continuity of midwife care with rapid referral to a specialist obstetric clinic throughout pregnancy, intrapartum and the postpartum period is feasible and improves experience and outcomes for women at increased risk of preterm birth. Methods This pilot, hybrid, type 2 randomised controlled implementation trial will recruit 350 pregnant women at increased risk of preterm birth to a midwifery continuity of care intervention or standard care. The intervention will be provided from recruitment (antenatal), labour, birth and the postnatal period, in hospital and community settings and in collaboration with specialist obstetric clinic care, when required. Standard care will be the current maternity care provision by NHS midwives and obstetricians at the study site. Participants will be followed up until 6–8 weeks postpartum. The composite primary outcome is the appropriate initiation of any specified interventions related to the prevention and/or management of preterm labour and birth. Secondary outcomes are related to: recruitment and attrition rates; implementation; acceptability to women, health care professionals and stakeholders; health in pregnancy and other complications; intrapartum outcomes; maternal and neonatal postnatal outcomes; psycho-social health; quality of care; women’s experiences and health economic analysis. The trial has 80% power to detect a 15% increase in the rate of appropriate interventions (40 to 55%). The analysis will be by ‘intention to treat’ analysis. Discussion Little is known about the underlying reasons why and how models of midwifery continuity of care are associated with fewer preterm births, better maternal and infant outcomes and more positive experiences; nor how these models of care can be implemented successfully in the health services. This will be the first study to provide direct evidence regarding the effectiveness, implementation and evaluation of a midwifery continuity of care model and rapid access to specialist obstetric services for women at increased risk of preterm birth. Trial registration ISRCTN37733900. Retrospectively registered on 21 August 2017.
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Affiliation(s)
- C Fernandez Turienzo
- Department of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK
| | - D Bick
- Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Gibbet Hill, Coventry, CV4 7A, UK
| | - M Bollard
- Lewisham and Greenwich NHS Trust, Lewisham High Street, London, SE13 6HL, UK
| | - L Brigante
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, James Clerk Maxwell Building, London, SE1 8WA, UK
| | - A Briley
- Department of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK
| | - K Coxon
- Department of Midwifery, Kingston University and St. George's, University of London, Hunter Wing, Cranmer Terrace, London, SW17 0RE, UK
| | - P Cross
- Department of Public Health, London Borough of Lewisham, Laurence House, London, SE6 4RU, UK
| | - A Healey
- Centre for Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, David Goldberg Centre, De Crespigny Park, Denmark Hill, London, SE5 8AF, UK
| | - M Mehta
- Lewisham and Greenwich NHS Trust, Lewisham High Street, London, SE13 6HL, UK
| | - A Melaugh
- Centre for Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, David Goldberg Centre, De Crespigny Park, Denmark Hill, London, SE5 8AF, UK
| | - J Moulla
- Lewisham and Greenwich NHS Trust, Lewisham High Street, London, SE13 6HL, UK
| | - P T Seed
- Department of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK
| | - A H Shennan
- Department of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK
| | - C Singh
- Department of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK
| | - R M Tribe
- Department of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK
| | - J Sandall
- Department of Women and Children's Health, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
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Behera DP, Sethi APS, Singh C, Singh U, Wadhwa M. Effect of citrus waste on blood parameters of broiler birds with and without cocktail of enzymes. Vet World 2019; 12:483-488. [PMID: 31190702 PMCID: PMC6515825 DOI: 10.14202/vetworld.2019.483-488] [Citation(s) in RCA: 5] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Accepted: 01/29/2019] [Indexed: 12/05/2022] Open
Abstract
Aim: This study aimed to assess the effect of different levels of citrus waste (CW) with or without enzyme cocktail on blood profile of broilers. Materials and Methods: CW was sun-dried and grounded to powder CW. 256-day-old birds were distributed into eight groups; control (C), CW-supplemented diets (2.5% CW, 5.0% CW, and 7.5% CW), enzyme (E) cocktail supplemented diets (CE, 2.5% CWE, 5.0% CWE, and 7.5% CWE). The diets were fed during starter (0-14 days), grower (15-21 days), and finisher (22-42 days) phases. Blood was collected from the wing vein from four birds per treatment. Serum was separated out after centrifugation and stored at −20°C until further analysis. The samples were analyzed for liver function test (glucose, total protein [TP], albumin [ALB], and globulin), lipid profile (cholesterol and triglyceride), kidney function test (alanine aminotransferase, aspartate aminotransferase [AST], blood urea nitrogen [BUN], and creatinine), and antioxidant levels (catalase, superoxide dismutase [SOD], lipid peroxidation [LPx], glutathione peroxidase [GPx], glutathione [GSH], and Vitamins E and C). Results: Blood profile data revealed that supplementation of CW showed no effect on TP, ALB, globulin, and BUN levels. Plasma cholesterol, triglyceride, and AST levels decreased linearly with an increase in the levels of CW in the diet. Catalase and SOD activity increased non-significantly with an increase in inclusion level of CW in the diets. LPx, GPx, and GSH activities decreased (p≤0.05) up to 5% CW-fed groups. Vitamin E and C activity were found to be highest (p≤0.05) in birds fed with diet supplemented with 5% CW. GPx and GSH activities and serum Vitamin C levels were observed to be highest (p<0.05) in birds fed CW (at 5%)-based diet supplemented with enzymes. Conclusion: The blood profile showed that supplementation of CW up to 5% decreased cholesterol, triglyceride, and AST levels and improved the antioxidant status. Vitamin C levels were observed to be highest (p<0.05) in birds fed CW (at 5%)-based diet supplemented with enzymes.
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Affiliation(s)
- Devi Prasad Behera
- Department of Animal Nutrition, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India
| | - Amrit Pal Singh Sethi
- Department of Animal Nutrition, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India
| | - Chanchal Singh
- Department of Veterinary Biochemistry, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India
| | - Udeybir Singh
- Department of Animal Nutrition, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India
| | - Manju Wadhwa
- Department of Animal Nutrition, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India
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Singh GN, Singh C, Suman S. Estimation of a rare sensitive attribute for two-stage randomized response model in probability proportional to size sampling using Poisson probability distribution. STATISTICS-ABINGDON 2019. [DOI: 10.1080/02331888.2019.1566906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- G. N. Singh
- Department of Applied Mathematics, Indian Institute of Technology, Indian School of Mines, Dhanbad, India
| | - C. Singh
- Department of Applied Mathematics, Indian Institute of Technology, Indian School of Mines, Dhanbad, India
| | - S. Suman
- Department of Applied Mathematics, Indian Institute of Technology, Indian School of Mines, Dhanbad, India
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Yu J, Singh C, Bindra R, Contessa J, Husain Z, Hansen J, Park H, Roberts K, Bond J, Tien C, Guo F, Colaco R, Housri N, Magnuson W, Omay B, Chiang V. A Pilot/Phase II Study of Stereotactic Radiosurgery for Brain Metastases Using Rational Dose Selection. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1113] [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: 11/28/2022]
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Rajendran V, Singh C, Ghosh PC. Improved efficacy of doxycycline in liposomes against Plasmodium falciparum in culture and Plasmodium berghei infection in mice. Can J Physiol Pharmacol 2018; 96:1145-1152. [PMID: 30075085 DOI: 10.1139/cjpp-2018-0067] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
The rate at which Plasmodium falciparum is developing resistance to clinically used antimalarial drugs is alarming. Therefore, there is a compelling need to develop an efficient drug delivery system to improve the efficacy of existing antimalarial agents and circumvent drug resistance. Here, we report the antibacterial drug doxycycline (DOXY) in liposomal formulations exhibits enhanced antiplasmodial activity against blood stage forms of P. falciparum (3D7) in culture and established Plasmodium berghei NK-65 infection in murine model. Parasite killing on blood stage forms in culture was determined by a radiolabeled [3H] hypoxanthine incorporation assay and infected erythrocytes stained with Giemsa were counted using microscopy in vivo. The 50% inhibitory concentration (IC50) of DOXY-stearylamine liposome (IC50 0.36 μM) and DOXY-SPC:Chol-liposome (IC50 0.85 μM) exhibited marked growth inhibition of parasites compared with free DOXY (IC50 14 μM), with minimal toxicity to normal erythrocytes. Administration of polyethylene glycol distearoyl phosphatidylethanolamine-methoxy-polyethylene glycol2000 (DSPE-mPEG-2000) coated liposomes loaded with DOXY at 2.5 mg/kg per day resulted in efficacious killing of blood parasites with improved survival in mice relative to the free drug in both chloroquine sensitive and resistant strains of P. berghei infection. This is the first report to demonstrate that DOXY in liposomal system has immense chemotherapeutic potential against plasmodial infections at lower dosages.
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Affiliation(s)
- Vinoth Rajendran
- Department of Biochemistry, University of Delhi South Campus, Benito Juarez Road, New Delhi 110021, India.,Department of Biochemistry, University of Delhi South Campus, Benito Juarez Road, New Delhi 110021, India
| | - Chanchal Singh
- Department of Biochemistry, University of Delhi South Campus, Benito Juarez Road, New Delhi 110021, India.,Department of Biochemistry, University of Delhi South Campus, Benito Juarez Road, New Delhi 110021, India
| | - Prahlad C Ghosh
- Department of Biochemistry, University of Delhi South Campus, Benito Juarez Road, New Delhi 110021, India.,Department of Biochemistry, University of Delhi South Campus, Benito Juarez Road, New Delhi 110021, India
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Aggarwal A, Singh C, Sharma S, Reddy A, Kaul A. A Case of a Complete Hydatidiform Molar Pregnancy with a Co-existent Live Fetus. J Fetal Med 2018. [DOI: 10.1007/s40556-018-0179-x] [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: 11/28/2022]
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40
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Gholkar N, Singh C, Kaul A. Antenatal Detection of Mosaic Trisomy 22 with a Finding of Blake’s Pouch Cyst. J Fetal Med 2018. [DOI: 10.1007/s40556-017-0144-0] [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: 11/30/2022]
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41
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Alageeli MH, Yan B, Zepeda-Gomez S, Alshankiti S, Stitt L, Thomas BS, Bahreini Z, Homenauth R, Dang T, ROFAIEL R, Al-Zahrani M, Townsend CM, Yoo D, Jarosh J, Kloc M, Smith A, Singh C, Luhoway J, Merotto L, Gilani O, Friedland J, Sey M. A217 EXTERNAL VALIDATION OF THE PARK SCORE FOR BOWEL PREPARATION CLEANLINESS DURING CAPSULE ENDOSCOPY. J Can Assoc Gastroenterol 2018. [DOI: 10.1093/jcag/gwy009.217] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - B Yan
- Medicine, Gastroenterology, Western University, London, ON, Canada
| | - S Zepeda-Gomez
- Gastroenterology, University of Alberta, Edmonton, AB, Canada
| | - S Alshankiti
- Provincial Health Services Authority, Vancouver, BC, Canada
| | | | - B S Thomas
- Medicine, Western University, London, ON, Canada
| | - Z Bahreini
- Gastroenterology, Western University, London, ON, Canada
| | - R Homenauth
- Adult Gastroenterology, University of Alberta, Edmonton, AB, Canada
| | - T Dang
- Medicine, University of Alberta, Edmonton, AB, Canada
| | | | | | - C M Townsend
- Medicine, University of Western Ontario, London, ON, Canada
| | | | | | | | | | | | | | | | | | | | - M Sey
- Western University, London, ON, Canada
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Kour G, Masih U, Singh C, Srivastava M, Yadav P, Kushwah J. Insulin Syringe: A Gimmick in Pediatric Dentistry. Int J Clin Pediatr Dent 2018; 10:319-323. [PMID: 29403222 PMCID: PMC5789132 DOI: 10.5005/jp-journals-10005-1458] [Citation(s) in RCA: 7] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Accepted: 10/18/2017] [Indexed: 11/26/2022] Open
Abstract
Aim The management of pain and anxiety in dentistry encompasses a number of procedural issues, including the delivery of anesthetic solution. One of the most important ways to manage the behavior of children is pain control. Trypanophobia is very common among dental patients and the most important goal of guidelines on behavior guidance for pediatric dental patient is to ease fear and anxiety in dental procedures in children. For the stated reasons, the purpose of the present study was to record child’s pain sensation both objectively and subjectively while receiving dental local anesthesia using conventional syringes and diabetic needles. Materials and methods Twenty children of age group 6 to 12 years undergoing routine dental procedures participated in the study. Every child acted as one’s own control, while receiving treatment on the opposite side of the same arch. Each patient was randomly assigned to receive the injection either with conventional syringe or diabetic needle for the first visit, while the injection with the other needle was administered during the second visit. Rating scales were used for objective and subjective evaluations. Results Statistical analysis of the measurements were made using Wilcoxon signed U test and Mann-Whitney U test which showed the mean sound, eye, motor (SEM) score difference using insulin syringe. The outcome was statistically significant when compared using the mean ranks between male and female patients with that of control group. Conclusion It can be concluded that diabetic syringes exhibit clinical advantage and its use in pediatric dentistry for local anesthetics (LA) infiltration can prove beneficial. How to cite this article: Kour G, Masih U, Singh C, Srivastava M, Yadav P, Kushwah J. Insulin Syringe: A Gimmick in Pediatric Dentistry. Int J Clin Pediatr Dent 2017;10(4):319-323.
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Affiliation(s)
- Gurpreet Kour
- Student, Department of Pedodontics and Preventive Dentistry, K.D. Dental College & Hospital, Mathura, Uttar Pradesh, India
| | - Updesh Masih
- Professor, Department of Pedodontics and Preventive Dentistry, K.D. Dental College & Hospital, Mathura, Uttar Pradesh, India
| | - Chanchal Singh
- Professor and Head, Department of Pedodontics and Preventive Dentistry, K.D. Dental College & Hospital, Mathura, Uttar Pradesh, India
| | - Manvi Srivastava
- Student, Department of Pedodontics and Preventive Dentistry, K.D. Dental College & Hospital, Mathura, Uttar Pradesh, India
| | - Priti Yadav
- Student, Department of Pedodontics and Preventive Dentistry, K.D. Dental College & Hospital, Mathura, Uttar Pradesh, India
| | - Jagriti Kushwah
- Student, Department of Pedodontics and Preventive Dentistry, K.D. Dental College & Hospital, Mathura, Uttar Pradesh, India
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Singh GN, Singh C, Pandey AK, Suman S. An Improved Exponential Method of Estimation for Current Population Mean in Two-Occasion Successive Sampling. ACTA ACUST UNITED AC 2017. [DOI: 10.18576/jsap/060314] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Singh GN, Singh C, Suman S, Kumar A. A two-stage unrelated randomized response model for estimating a rare sensitive attribute in probability proportional to size sampling using Poisson distribution. COMMUN STAT-THEOR M 2017. [DOI: 10.1080/03610926.2017.1361992] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- G. N. Singh
- Department of Applied Mathematics, Indian Institute of Technology (Indian School of Mines), Dhanbad, India
| | - C. Singh
- Department of Applied Mathematics, Indian Institute of Technology (Indian School of Mines), Dhanbad, India
| | - S. Suman
- Department of Applied Mathematics, Indian Institute of Technology (Indian School of Mines), Dhanbad, India
| | - A. Kumar
- Department of Applied Mathematics, Indian Institute of Technology (Indian School of Mines), Dhanbad, India
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Singh C, Tsang D, Khan R, Merchant T. Hyperbaric Oxygen Therapy for Radiation-Related CNS Necrosis in Children with Brain Tumors: A Single Institution Experience. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1976] [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: 10/18/2022]
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Solanki RK, Sharma P, Tyagi A, Singh C. Serum Levels of Neuroactive Steroids in First-episode Antipsychotic-naïve Schizophrenic Patients and Its Correlation with Aggression: A Case-control Study. East Asian Arch Psychiatry 2017; 27:79-84. [PMID: 28652501] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
BACKGROUND The evidence of hypothalamic-pituitary-adrenal axis dysfunction in schizophrenia has been reviewed in the context of the stress-diathesis model. Overactivation of this axis leads to altered blood levels of cortisol and dehydroepiandrosterone sulfate (DHEA-S). These neurosteroids in turn act on the hippocampus and interact with gamma-aminobutyric acid and N-methyl-D-aspartate receptors leading to neurotoxicity and may be involved in the neurobiology of aggression. This study aimed to explore the blood level of these neurosteroids and ascertain its correlation with state aggression and psychopathology in first-episode antipsychotic-naïve schizophrenic patients. METHODS A total of 30 patients with first-episode schizophrenia along with 20 age- and gender-matched healthy controls participated in the study. Both groups were subjected to serum cortisol and DHEA-S measurement after assessment of psychopathology and aggression on a standardised psychometric scale. RESULTS Serum DHEA-S level was significantly higher in the patient group (p = 0.001). No difference was noted between males and females in the patient group (p = 0.93) but female controls had a significantly lower serum DHEA-S level than male controls (p < 0.01). Serum DHEA-S inversely correlated with scores on Modified Overt Aggression Scale (p = 0.01) but not with Positive and Negative Syndrome Scale (p = 0.39) or Clinical Global Impression Scale (p = 0.28). CONCLUSION The first-episode antipsychotic-naïve schizophrenic patients showed a significantly higher blood level of DHEA-S compared with healthy controls. Serum DHEA-S level has an inverse relationship with aggression and may serve as a biological adaptive mechanism to antagonise the neuronal damage caused by cortisol.
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Affiliation(s)
- R K Solanki
- Department of Psychiatry, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
| | - P Sharma
- Department of Psychiatry, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
| | - A Tyagi
- Department of Psychiatry, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
| | - C Singh
- Department of Psychiatry, Sawai Man Singh Medical College, Jaipur, Rajasthan, India
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Sharma S, Singh C, Verma S, Rastogi H, Kaul A. Prenatal Diagnosis and Management of Morbidly Adherent Placenta. J Clin Diagn Res 2017; 11:QJ01-QJ02. [PMID: 28384943 DOI: 10.7860/jcdr/2017/19365.9243] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2016] [Accepted: 06/21/2016] [Indexed: 11/24/2022]
Affiliation(s)
- Shreyasi Sharma
- Research Fellow, Apollo Centre for Fetal Medicine, Indraprastha Apollo Hospital , New Delhi, India
| | - Chanchal Singh
- Consultant, Apollo Centre for Fetal Medicine, Indraprastha Apollo Hospital , New Delhi, India
| | - Sohani Verma
- Senior Consultant, Department of Obstetrics and Gynaecology, Indraprastha Apollo Hospital , New Delhi, India
| | - Harsh Rastogi
- Senior Consultant, Department of Radiology, Indraprastha Apollo Hospital , New Delhi, India
| | - Anita Kaul
- Senior Consultant, Apollo Centre for Fetal Medicine, Indraprastha Apollo Hospital , New Delhi, India
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Abstract
AIM The aim of this study is to present a case of large maxillary median diastema closed by bodily movement of central incisors using Bapat power arm (BPA). MATERIALS AND METHODS After extraction of mesiodens, a power chain with a force of 120 gm was applied to BPA ligated to preadjusted edgewise brackets bonded to maxillary central incisors to move them over round steel wire for closure of resultant diastema. Bonded retainer was placed after the closure of median diastema. RESULTS The median diastema was completely closed in 5 months period with almost bodily movement of incisors, which was confirmed by periapical X-ray. CONCLUSION Bapat power arm was efficient in closing diastema without any discomfort or injury and was well accepted by the patient. HOW TO CITE THIS ARTICLE Bapat SM, Singh C, Bandejiya P. Closing a Large Maxillary Median Diastema using Bapat Power Arm. Int J Clin Pediatr Dent 2017;10(2):201-204.
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Affiliation(s)
- Shirish M Bapat
- Director, Principal, Professor and Head, Department of Orthodontics and Dentofacial Orthopedics K.D. Dental College & Hospital, Mathura, Uttar Pradesh, India
| | - Chanchal Singh
- Professor and Head, Department of Pedodontics and Preventive Dentistry, K.D. Dental College & Hospital, Mathura, Uttar Pradesh, India
| | - Prashant Bandejiya
- Postgraduate Student, Department of Orthodontics and Dentofacial Orthopedics K.D. Dental College & Hospital, Mathura, Uttar Pradesh, India
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Violari E, Georgiades C, Singh C, Arici M, Tendler B, Malchoff C. Determination of the correct Selectivity Index (SI) for pre-ACTH and post-ACTH stimulation adrenal vein sampling (AVS). J Vasc Interv Radiol 2017. [DOI: 10.1016/j.jvir.2016.12.935] [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] Open
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50
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Kaul A, Singh C, Gupta R, Arora N, Gupta A. Observational study comparing the performance of first-trimester screening protocols for detecting trisomy 21 in a North Indian population. Int J Gynaecol Obstet 2017; 137:14-19. [PMID: 28099747 DOI: 10.1002/ijgo.12087] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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: 08/15/2016] [Revised: 11/01/2016] [Accepted: 12/19/2016] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To evaluate first-trimester screening protocols for detecting trisomy 21 in an Indian population. METHODS The present prospective study collected data from women with singleton pregnancies and a crown-to-rump length of 45-84 mm who presented at the fetal medicine unit of a tertiary care center in North India between June 1, 2006, and December 31, 2015, for combined first-trimester screening. Maternal age, nuchal translucency, nasal bone, and maternal serum levels of free beta human chorionic gonadotropin and pregnancy-associated plasma protein A were assessed for calculating the risk of trisomy 21. Tricuspid regurgitation and qualitative analysis of ductus venosus data were available from June 2010, and were included where available. Trisomy-21 detection rates were calculated for various screening protocols and were compared. RESULTS There were 4523 women screened and 24 records of trisomy 21. Combined screening with maternal age, nuchal translucency, nasal bone, tricuspid regurgitation, and ductus venosus demonstrated optimal detection and false-positive rates of 93.8% and 1.9%, respectively. Screening using only maternal age yielded a detection rate of 37.5%; using fixed nuchal translucency cut-off values of 2.5 and 3 mm resulted in detection rates of 66.7% and 37.5%, respectively. CONCLUSION Combined first-trimester screening performed well in an Indian population; combining maternal age, nuchal translucency, nasal bone, ductus venosus, and tricuspid regurgitation yielded the most accurate screening.
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Affiliation(s)
- Anita Kaul
- Apollo Centre for Fetal Medicine, Indraprastha Apollo Hospitals, New Delhi, India
| | - Chanchal Singh
- Apollo Centre for Fetal Medicine, Indraprastha Apollo Hospitals, New Delhi, India
| | - Rachna Gupta
- Apollo Centre for Fetal Medicine, Indraprastha Apollo Hospitals, New Delhi, India
| | - Nidhi Arora
- Apollo Centre for Fetal Medicine, Indraprastha Apollo Hospitals, New Delhi, India
| | - Abha Gupta
- Department of Biochemistry, Indraprastha Apollo Hospitals, New Delhi, India
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