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Dominianni C, Prasad D, Sharkey A, Solomon E, Seligson AL, Jasek JP. Sodium Intake and Sodium to Potassium Ratio among New York City Adults in the 2018 Heart Follow-Up Study. Curr Dev Nutr 2024; 8:102143. [PMID: 38638556 PMCID: PMC11024494 DOI: 10.1016/j.cdnut.2024.102143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Revised: 03/15/2024] [Accepted: 03/19/2024] [Indexed: 04/20/2024] Open
Abstract
Background High sodium and low potassium intake are positively associated with blood pressure, a significant risk factor for cardiovascular disease. The mean intake of sodium among United States adults exceeds the chronic disease risk reduction level of 2300 mg/d, whereas potassium intake remains lower than the recommended levels. From 2008 through 2019, there were several local and national initiatives to reduce sodium in New York City (NYC). Objectives We aimed to update and compare estimates of sodium intake among NYC adults overall and by covariates from the 2010 Heart Follow-Up Study (HFUS) with the 2018 HFUS. We also estimated the 2018 sodium-to-potassium ratio to understand overall diet quality among demographic groups. Methods This cross-sectional study used sodium and potassium measurements from 24-h urine collection and self-reported data from 2509 and 1656 participants in the 2018 and 2010 HFUS, respectively. The weighted mean daily intake of sodium and the sodium-to-potassium ratio were estimated. T-tests and multivariable linear regression models with tests for interactions were used to compare changes in sodium intake. Results The mean sodium intake of adult New Yorkers in 2018 was 3292 mg/d. Sodium intake did not change from 2010 (3234 mg/d, P = 0.45) to 2018 in the overall population, although there was a decrease in sodium intake among adults 18-24 y old (3445 mg/d to 2957 mg/d, P = 0.05). The daily mean sodium-to-potassium ratio was 1.7 mg/mg. The highest sodium-to-potassium ratios were among Black females 18-44 y old (2.0) and 45-64 y old (2.2) and Black (2.1) and Latino (2.1) males between 18 and 44 y old. Conclusions The lack of population-level changes in sodium intake and the high sodium-to-potassium ratios among Black females and younger Black and Latino males suggest that further efforts to reduce sodium in the food supply and address persistent inequities are needed.
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Affiliation(s)
- Christine Dominianni
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States
| | - Divya Prasad
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States
| | - Andrea Sharkey
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States
| | - Elizabeth Solomon
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States
| | - Amber Levanon Seligson
- Bureau of Epidemiology Services, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States
| | - John P Jasek
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States
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Bhardwaj A, Prasad D, Mukherjee S. Role of toll-like receptor in the pathogenesis of oral cancer. Cell Biochem Biophys 2024; 82:91-105. [PMID: 37853249 DOI: 10.1007/s12013-023-01191-8] [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: 07/12/2023] [Accepted: 10/06/2023] [Indexed: 10/20/2023]
Abstract
Toll-like receptors are important molecules of innate immunity. They are known as pattern recognition receptors. They recognise certain molecules known as pathogen-associated molecular pattern on a pathogen and release chemicals that causes inflammation. Toll-like receptors (TLR) help in the removal of the infected cell and thus stop the spread of infection and are being studied for their association with cancer. Oral carcinoma has emerged as a major problem of our country today; it is found ranks first in men and third in women. Toll-like receptors have been implicated in the development of cancer. Certain polymorphisms in toll-like receptor can make a cell more susceptible to develop oral cancer. The identification of toll-like receptors and the different genotypes that are involved in the development of cancer can be utilised for using them as biomarkers of the disease. The study revealed that toll-like receptors like TLR7 and TLR5 are found to have a role in suppression of oral cancer while toll-like receptors like TLR4 and TLR2 are found to be associated with the progression of oral cancer. Toll-like receptors can turn out as important target molecules in the future in designing therapeutic strategies for oral cancer.
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Affiliation(s)
- Ananya Bhardwaj
- Amity Institute of Biotechnology, Amity University Uttar Pradesh Lucknow Campus, Lucknow, Uttar Pradesh, India
| | - Divya Prasad
- Amity Institute of Biotechnology, Amity University Uttar Pradesh Lucknow Campus, Lucknow, Uttar Pradesh, India
| | - Sayali Mukherjee
- Amity Institute of Biotechnology, Amity University Uttar Pradesh Lucknow Campus, Lucknow, Uttar Pradesh, India.
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Crossa A, Leon S, Prasad D, Baquero MC. Associations Between Food Insufficiency and Health Conditions Among New York City Adults, 2017-2018. J Community Health 2024:10.1007/s10900-023-01296-4. [PMID: 38407756 DOI: 10.1007/s10900-023-01296-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2023] [Indexed: 02/27/2024]
Abstract
Food insecurity, a critical social determinant of health, has been measured nationwide in the United States for years. This analysis focuses on food insufficiency, a more severe form of food insecurity, in New York City (NYC) and its association with self-reported physical and mental health conditions. Data from the 2017-2018 NYC Community Health Survey were used to estimate the prevalence of food insufficiency citywide, by neighborhood, and across selected socioeconomic characteristics. Multivariable logistic regression was used to explore the associations between food insufficiency and hypertension, diabetes obesity, and depression, adjusting for selected sociodemographic characteristics. Approximately 9.4% (95% CI:8.8-10.0%]) of adult New Yorkers aged 18 + reported food insufficiency, with neighborhood variation from 1.7% (95% CI:0.5-6.2%) to 19.4% (95% CI:14.2-25.8%). Food insufficiency was more prevalent among Latinos/as (16.9%, 95% CI:15.5-18.3%, p < 0.001), Black (10.1%, 95% CI:8.8-11.5%, p < 0.001) and Asian/Pacific Islanders (6.6%, 95% CI:5.4-8.1%, p = 0.002) compared to White New Yorkers (4.2%, 95% CI:3.5-5.1%). Prevalence of food insufficiency was higher among NYC adults with less than a high school education, (19.6%, 95% CI:17.7-21.6%), compared to college graduates (3.8%, 95% CI:3.2-4.4%, p < 0.001). In the adjusted logistic regression model, food insufficiency was associated with diabetes (OR = 1.36; 95% CI:1.12-1.65), hypertension (OR = 1.58; 95% CI:1.32-1.89]) and depression (OR = 2.98; 95% CI:2.45-3.59), but not with obesity (OR = 0.99; 95% CI:0.84-1.21). Our findings highlight food insufficiency at an important intersection of inequity and disease burden which is critical to informing public health interventions in the context of a large, densely populated metropolis like NYC.
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Affiliation(s)
- Aldo Crossa
- New York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, NY, 11101, USA.
| | - Scherly Leon
- New York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, NY, 11101, USA
| | - Divya Prasad
- New York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, NY, 11101, USA
| | - María C Baquero
- New York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, NY, 11101, USA
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Machado FZ, da Mota MSS, Dos Santos EP, Prasad D, Cardoso TDA, Frey BN, Jansen K, Souza LDDM, Mondin TC, Kapczinski F, Moreira FP, da Silva RA. Factors associated with suicide risk in young women with premenstrual dysphoric disorder: A population-based study. Trends Psychiatry Psychother 2024. [PMID: 38315812 DOI: 10.47626/2237-6089-2023-0718] [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] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 01/22/2024] [Indexed: 02/07/2024]
Abstract
PURPOSE Women with premenstrual dysphoric disorder (PMDD) are more likely to report suicide ideation and behavior when compared to women without PMDD. However, there is a lack of studies investigating the risk factors for suicide risk in women with PMDD. Thus, the aim of this study is to assess the factors associated with suicide risk in young women with PMDD. METHODS This is a cross-sectional study including 128 young women with PMDD who were recruited from the community. PMDD and suicide risk were assessed by trained psychologists using the Mini International Neuropsychiatric Interview (MINI-PLUS). Suicide risk evaluation includes six questions that assess suicidal intention, planning and previous attempts. Subjects who answer yes to any of the six questions are classified as having current suicide risk. RESULTS The prevalence of current suicide risk in women with PMDD was 28.1%. The factors associated with suicide risk in this population were: presenting current panic disorder (OR: 18.71 [95% CI: 1.02 - 343.27], p=0.048), a non-white skin color (OR: 4.18 [CI 95%: 1.28 - 13.61], p=0.018), greater severity of depressive symptoms (OR: 1.22 [95% CI: 1.12 - 1.32], < 0.001), and history of childhood trauma (OR: 1.04 [95% CI: 1.01 - 1.08], 0.010). CONCLUSION Our findings indicate that there are key sociodemographic and clinical factors associated with suicide risk in young women with PMDD, enabling clinicians to identify at-risk individuals who could benefit from further screening and interventions.
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Affiliation(s)
- Francine Zanette Machado
- Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, RS, Brazil
| | - Manuela Silva Silveira da Mota
- Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, RS, Brazil. Laboratório de Cronobiologia e Sono, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Ester Pereira Dos Santos
- Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, RS, Brazil
| | - Divya Prasad
- Women's Health Concerns Clinic, St Joseph's Healthcare Hamilton, ON, Canada
| | - Taiane de Azevedo Cardoso
- Deakin University, IMPACT - the Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Geelong, Australia
| | - Benicio N Frey
- Women's Health Concerns Clinic, St Joseph's Healthcare Hamilton, ON, Canada. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada. Mood Disorders Program, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada
| | - Karen Jansen
- Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, RS, Brazil
| | | | - Thaise Campos Mondin
- Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, RS, Brazil. Pró-Reitoria de Assuntos Estudantis (PRAE), Universidade Federal de Pelotas, RS, Brazil
| | - Flavio Kapczinski
- Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. Graduate Program in Psychiatry and Behavioral Sciences, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Fernanda Pedrotti Moreira
- Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, RS, Brazil
| | - Ricardo Azevedo da Silva
- Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, RS, Brazil
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Maurya S, Prasad D, Mukherjee S. Matrix Metalloproteinases in Oral Cancer Pathogenesis and their Use in Therapy. Anticancer Agents Med Chem 2024; 24:3-17. [PMID: 37990427 DOI: 10.2174/0118715206270002231108071917] [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: 07/01/2023] [Revised: 09/18/2023] [Accepted: 09/29/2023] [Indexed: 11/23/2023]
Abstract
Matrix metalloproteinases (MMPs) are proteolytic enzymes that aid in extracellular matrix (ECM) remodeling. MMPs destroy the extracellular matrix, causing tumor growth and metastasis. MMPs are involved in the spread and metastasis of oral cancer. High levels of MMPs and oral squamous cell carcinoma have been linked to cancer prognosis. Modern medicine aims to prevent the illness from spreading through early intervention and examining changes in MMP genes. MMP gene polymorphism has recently been identified as one of the factors predicting susceptibility or risk in the development of oral carcinoma. This review aims to provide insight into the function of MMP subtypes involved in cancer. The genetic polymorphism in MMP genes and its predictive value in risk evaluation have been elaborated. Novel personalized therapeutic approaches for oral cancer, like the use of MMP inhibitors, nanoparticle-mediated targeting of MMP, or gene silencing by microRNA, can be designed.
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Affiliation(s)
- Stuti Maurya
- Amity Institute of Biotechnology, Amity University Uttar Pradesh Lucknow Campus, Lucknow, Uttar Pradesh, India
| | - Divya Prasad
- Amity Institute of Biotechnology, Amity University Uttar Pradesh Lucknow Campus, Lucknow, Uttar Pradesh, India
| | - Sayali Mukherjee
- Amity Institute of Biotechnology, Amity University Uttar Pradesh Lucknow Campus, Lucknow, Uttar Pradesh, India
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Harikrishnan S, Salim R, Ganapathi S, Sharma M, Prasad D, Phlilip G, Jeemon P. Development and validation of heart failure-specific quality-of-life measurement tool in India. Am Heart J Plus 2023; 35:100329. [PMID: 38511185 PMCID: PMC10946013 DOI: 10.1016/j.ahjo.2023.100329] [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] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 09/04/2023] [Accepted: 09/29/2023] [Indexed: 03/22/2024]
Abstract
Objective To develop and validate a sensitive tool for assessment of quality of life (QoL) in heart failure (HF) patients in Indian settings. Methods The authors conducted literature review, in depth interviews, clinical observations and designed the first draft of the QoL tool. The tool was validated using content and face validity by a panel of experts. For internal consistency reliability, the questionnaire was administered among 270 HF patients. Test-retest reliability was assessed in 20 HF patients. Principal component factor analysis with varimax rotation was employed to assess the dimensionality and to reduce the number of items. Cronbach's alpha, and Intra-class correlation coefficients (ICCs) were employed to investigate reliability of questionnaire. The responsiveness data were collected 6 months after the baseline data collection from 30 HF patients. IBM® SPSS® Statistics Version 21 was used for statistical analysis. Results The principal component factor analysis revealed mainly 5 domains. The final tool included 25 items. Cronbach's alpha (α) for the overall tool was 0.915. Intra-class correlation coefficients (ICCs) based on test-retest was 0.734. The final tool showed good responsiveness to changes with a mean ± SD of the change in response of 46 ± 12.4 and a standardized mean response of 3.7 within six-months. Conclusion The HF specific QoL tool developed for Indian patients is a valid and reliable instrument and it can be applied in daily clinical practice, and research. Short summary We had developed and validated a quality-of-life tool for heart failure patients in India. This is the first ever attempt to develop a measure for heart failure patients in India. We had used a mixed methodology approach to identify all the domains in the tool. The newly developed tool is a valid, reliable, sensitive and responsive tool to measure quality of life in HF patients in India. This tool can be applied in daily clinical practice, research and health system for patients with HF in India.
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Affiliation(s)
- Sivadasanpillai Harikrishnan
- ICMR-Centre for Advanced Research and Excellence in Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
| | - Reethu Salim
- ICMR-Centre for Advanced Research and Excellence in Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
| | - Sanjay Ganapathi
- ICMR-Centre for Advanced Research and Excellence in Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
| | - Meenakshi Sharma
- Division of Non-Communicable Diseases, Indian Council of Medical Research, New Delhi 110029, India
| | - Divya Prasad
- ICMR-Centre for Advanced Research and Excellence in Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
| | - Greeva Phlilip
- ICMR-Centre for Advanced Research and Excellence in Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
| | - Panniyammakal Jeemon
- ICMR-Centre for Advanced Research and Excellence in Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
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Fekrmandi F, Azad F, Goulenko V, Amin M, Belal A, Plunkett R, Fabiano A, Fenstermaker R, Lipinski L, Torka P, Cortese M, Hernandez-Ilizaliturri F, Prasad D. Stereotactic Radiosurgery as an Effective and Safe Treatment Modality in Central Nervous System Lymphoma, a Single Institution Experience. Int J Radiat Oncol Biol Phys 2023; 117:e103. [PMID: 37784631 DOI: 10.1016/j.ijrobp.2023.06.874] [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) CNS lymphoma (CNSL) is an aggressive liquid cancer with the potential for rapid progression. Standard treatment regimens for CNSL have included chemotherapy and whole brain radiotherapy (WBRT). WBRT carries a high risk of leukoencephalopathy (LE) manifesting as cognitive decline and is identifiable on brain MRI as fluid attenuation inversion recovery (FLAIR) changes. Stereotactic radiosurgery (SRS) can precisely deliver higher biologically effective doses of radiation, while minimizing damage to surrounding healthy brain tissue. SRS offers enhanced local control in CNSL with minimal risk of LE. MATERIALS/METHODS Patients undergoing SRS at an NCI-designated comprehensive cancer center from 2000 to 2022 were prospectively enrolled into a database. Twenty-nine consecutive patients diagnosed with relapsed primary CNSL (59%) or secondary CNSL (41%) were included in this study. Median age at diagnosis was 70 (range 23-91) years and 14 were female. Follow up MRI imaging was obtained at 1-, 3-, 6- and 12-months post-procedure. Measurement of tumor volumes was performed at treatment and each subsequent follow-up by image co-registration and tumor segmentation. Pre and post SRS brain MRIs were independently reviewed by a neuro-radiologist to score the grade of LE for each patient. Progression-free survival (PFS) and overall survival (OS) were calculated using Kaplan-Meier analyses and Log-rank tests using statistical software. RESULTS Twenty-nine patients treated for 50 tumors were studied. Twenty-four patients were treated for a single tumor, and 5 for multiple tumors. Six patients underwent repeat SRS treatment for 10 out-of-field recurrences and 1 patient for an in-field recurrence. Of the 35 SRS procedures performed, 32 (88%) were single session delivery and 3 were hypofractionated. Stereotactic immobilization was achieved with frame (57%) or thermoplastic mask (43%). Median prescribed dose was 14 Gy (range 10-21) to the 50% isodose line (range 40-100). Median coverage, selectivity and gradient index were 0.97, 0.69, and 2.9 respectively. Median follow-up time was 4.5 months (range 0.5-64). Twenty-six (52%) tumors completely responded to treatment with no residual enhancement, while the rest decreased in volume. No tumor failed to respond to treatment. Median time to best volumetric response was achieved in 2.9 months (range 1-6.1) and median volume of best response was zero cc (range 0-1.19). The median OS of the cohort was 7.0 months (95% CI 5.1-8.9), while the median PFS was 5.0 months (95% CI 1.2-8.8). Median score of LE was zero, and only one patient experienced grade 3 MRI FLAIR changes. CONCLUSION With a median time to response of 2.9 months, a 100% initial response rate and a single in-field failure, our analysis demonstrates a rapid and effective response of CNSL to SRS. Distant failures were controlled with repeat SRS. The absence of LE in the treated patients provides further evidence for safety and tolerability of SRS in CNSL.
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Affiliation(s)
- F Fekrmandi
- Roswell Park Comprehensive Cancer Center, Buffalo, NY; University at Buffalo, Graduate Medical Education, Buffalo, NY
| | - F Azad
- Roswell Park Comprehensive Cancer Center, Buffalo, NY; University at Buffalo, Graduate Medical Education, Buffalo, NY
| | - V Goulenko
- Roswell Park Comprehensive Cancer Center, Buffalo, NY; University at Buffalo, Graduate Medical Education, Buffalo, NY
| | - M Amin
- Roswell Park Comprehensive Cancer Center, Buffalo, NY; University at Buffalo, Graduate Medical Education, Buffalo, NY
| | - A Belal
- Roswell Park Comprehensive Cancer Center, Buffalo, NY
| | - R Plunkett
- Roswell Park Comprehensive Cancer Center, Buffalo, NY
| | - A Fabiano
- Roswell Park Comprehensive Cancer Center, Buffalo, NY
| | | | - L Lipinski
- Roswell Park Comprehensive Cancer Center, Buffalo, NY
| | - P Torka
- Roswell Park Comprehensive Cancer Center, Buffalo, NY
| | - M Cortese
- Roswell Park Comprehensive Cancer Center, Buffalo, NY
| | | | - D Prasad
- Roswell Park Comprehensive Cancer Center, Buffalo, NY
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Qadeer Shah A, Prasad D, Caropreso L, Frey BN, de Azevedo Cardoso T. The comorbidity between Borderline Personality Disorder (BPD) and Generalized Anxiety Disorder (GAD): A systematic review and meta-analysis. J Psychiatr Res 2023; 164:304-314. [PMID: 37392720 DOI: 10.1016/j.jpsychires.2023.06.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 06/03/2023] [Accepted: 06/15/2023] [Indexed: 07/03/2023]
Abstract
Borderline personality disorder (BPD) is a psychiatric condition characterized by severe instability in affect, impulse control, and interpersonal functioning. Existing literature has confirmed that BPD is highly comorbid with other psychiatric conditions, including anxiety disorders. Despite this, little research has investigated the nature of the relationship between generalized anxiety disorder (GAD) and BPD. The aim of this systematic review and meta-analysis is to synthesize the literature concerning the prevalence and clinical outcomes of BPD and GAD comorbidity in adults. The following three databases were searched on October 27, 2021: PsycINFO, PubMed, and Embase. Twenty-four studies were included (n = 21 reporting on prevalence of the comorbidity, n = 4 reporting on clinical outcomes associated with the comorbidity), 9 of which were included in a meta-analysis. The meta-analysis showed that the pooled prevalence for current GAD in individuals with BPD was 16.4% (CI 95%: 1.9%; 66.1%) in inpatient samples, and 30.6% (CI 95%: 21.9%; 41.1%) in outpatient or community samples. The pooled lifetime prevalence of GAD in individuals with BPD was 11.3% (CI 95%: 8.9%; 14.3%) in inpatient samples, and 13.7% (CI 95%: 3.4%; 41.4%) in outpatient or community samples. Comorbidity between BPD and GAD was associated with worse outcomes on measures of BPD severity, impulsivity, anger, and hopelessness. In conclusion, this systematic review and meta-analysis indicate that comorbid GAD and BPD is highly prevalent, although the pooled prevalence rates should be interpreted with caution considering the large and overlapping confidence intervals. Further, this comorbidity is associated with worse BPD symptom severity.
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Affiliation(s)
- Aimun Qadeer Shah
- School of Interdisciplinary Science, Life Sciences Program, McMaster University, Hamilton, ON, Canada
| | - Divya Prasad
- Women's Health Concerns Clinic, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK
| | - Luisa Caropreso
- Women's Health Concerns Clinic, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
| | - Benicio N Frey
- Women's Health Concerns Clinic, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada; Mood Disorders Program, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada
| | - Taiane de Azevedo Cardoso
- School of Interdisciplinary Science, Life Sciences Program, McMaster University, Hamilton, ON, Canada; Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.
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Srinivasappa PM, Prasad D, Chaudhari NK, Samal AK, Thapa R, Siddharthan EE, Jadhav AH. Trimetallic Oxide Foam as an Efficient Catalyst for Fixation of CO 2 into Oxazolidinone: An Experimental and Theoretical Approach. ACS Appl Mater Interfaces 2023; 15:21994-22011. [PMID: 37114882 DOI: 10.1021/acsami.2c23019] [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] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
The excess anthropogenic CO2 depletion via the catalytic approach to produce valuable chemicals is an industrially challenging, demanding, and encouraging strategy for CO2 fixation. Herein, we demonstrate a selective one-pot strategy for CO2 fixation into "oxazolidinone" by employing stable porous trimetallic oxide foam (PTOF) as a new catalyst. The PTOF catalyst was synthesized by a solution combustion method using transition metals Cu, Co, and Ni and systematically characterized by X-ray diffraction (XRD), thermogravimetric analysis (TGA), field emission scanning electron microscopy (FE-SEM), high-resolution transmission electron microscopy (HR-TEM), N2 sorption, temperature-programmed desorption (TPD), and X-ray photoelectron spectroscopy (XPS) analysis. Due to the distinctive synthesis method and unique combination of metal oxides and their percentage, the PTOF catalyst displayed highly interconnected porous channels along with uniformly distributed active sites on its surface. Well ahead, the PTOF catalyst was screened for the fixation of CO2 into oxazolidinone. The screened and optimized reaction parameters revealed that the PTOF catalyst showed highly efficient and selective activity with 100% conversion of aniline along with 96% selectivity and yield toward the oxazolidinone product at mild and solvent-free reaction conditions. The superiority of the catalytic performance could be due to the presence of surface active sites and acid-base cooperative synergistic properties of the mixed metal oxides. A doubly synergistic plausible reaction mechanism was proposed for the oxazolidinone synthesis experimentally with the support of DFT calculations along with bond lengths, bond angles, and binding energies. In addition, stepwise intermediate formations with the free energy profile were also proposed. Also, the PTOF catalyst displayed good tolerance toward substituted aromatic amines and terminal epoxides for the fixation of CO2 into oxazolidinones. Very interestingly, the PTOF catalyst could be significantly reused for up to 15 consecutive cycles with stable activity and retention in physicochemical properties.
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Affiliation(s)
- Puneethkumar M Srinivasappa
- Centre for Nano and Material Science, JAIN University, Jain Global Campus, Bangalore 562112, Karnataka, India
| | - Divya Prasad
- Centre for Nano and Material Science, JAIN University, Jain Global Campus, Bangalore 562112, Karnataka, India
- Department of Chemical and Biomolecular Engineering, University of California, Berkeley, California 94720, United States
| | - Nitin K Chaudhari
- Department of Chemistry, School of Technology, Pandit Deendayal Petroleum University, Gandhinagar 382007, Gujarat, India
| | - Akshaya K Samal
- Centre for Nano and Material Science, JAIN University, Jain Global Campus, Bangalore 562112, Karnataka, India
| | - Ranjit Thapa
- Department of Physics, SRM University─AP, Amaravati 522240, Andhra Pradesh, India
| | | | - Arvind H Jadhav
- Centre for Nano and Material Science, JAIN University, Jain Global Campus, Bangalore 562112, Karnataka, India
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Sisti JS, Prasad D, Niederman S, Mezzacca TA, Anekwe AV, Clapp J, Farley SM. Sodium content of menu items in New York City chain restaurants following enforcement of the sodium warning icon rule, 2015-2017. PLoS One 2023; 18:e0274648. [PMID: 37134045 PMCID: PMC10156010 DOI: 10.1371/journal.pone.0274648] [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] [Received: 09/21/2022] [Accepted: 03/13/2023] [Indexed: 05/04/2023] Open
Abstract
In 2016, New York City (NYC) began enforcing a sodium warning regulation at chain restaurants, requiring placement of an icon next to any menu item containing ≥2,300 mg sodium. As menu labeling may improve menu nutritional composition, we investigated whether sodium content of menu items changed following enforcement of the sodium warning icon. All menu offerings at 10 quick-service (QSR) and 3 full-service (FSR) chain restaurants were photographed in 2015 (baseline) and 2017 (follow-up) and matched to nutritional information from restaurant websites; items were categorized as being available at both baseline and follow-up, or at only one timepoint. Linear and logistic regression models, respectively, assessed changes in calculated mean sodium-per-serving per menu item and the odds of an item containing ≥2,300 mg sodium. At baseline, mean per-serving sodium content was 2,160 mg at FSR and 1,070 mg at QSR, and 40.6% of FSR items and 7.2% of QSR items contained ≥2,300 mg sodium per serving. Sodium content did not differ when comparing all items offered at follow-up to all offered at baseline (21 mg, 95% CI: -60,101), or when comparing new versus discontinued items (17 mg, 95% CI: -154, 187). At follow-up, there was no change in the overall likelihood of items requiring a warning icon (OR = 1.32, 95% CI: 0.97,1.79), or when comparing new versus discontinued items (OR = 2.08, 95% CI: 1.02,4.24) (p = 0.04, not significant following Bonferroni correction for multiple analyses). Our findings that the sodium content of menu items did not change following the sodium warning icon regulation underscore difficulties in reducing sodium levels in restaurants; however, our results may be limited by follow-up data collection occurring less than one year post-enforcement. It may take additional time and similar action from other jurisdictions for restaurants to reduce the sodium content of menu items.
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Affiliation(s)
- Julia S Sisti
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, New York City, New York, United States of America
| | - Divya Prasad
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, New York City, New York, United States of America
| | - Sarah Niederman
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, New York City, New York, United States of America
| | - Tamar Adjoian Mezzacca
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, New York City, New York, United States of America
| | - Amaka V Anekwe
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, New York City, New York, United States of America
| | - Jenifer Clapp
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, New York City, New York, United States of America
| | - Shannon M Farley
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, New York City, New York, United States of America
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Prasad D, Jasek JP, Anekwe AV, Dominianni C, Mezzacca TA, Sisti JS, Farley SM, Kessler K. Changes in consumer purchasing patterns at New York City chain restaurants following adoption of the sodium warning icon rule, 2015-2017. PLoS One 2023; 18:e0274044. [PMID: 37093825 PMCID: PMC10124888 DOI: 10.1371/journal.pone.0274044] [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] [Received: 08/19/2022] [Accepted: 02/03/2023] [Indexed: 04/25/2023] Open
Abstract
In 2016, New York City (NYC) began enforcing a sodium warning regulation at chain restaurants, requiring placement of an icon next to any menu item containing ≥2,300 mg sodium. As shifts in consumer purchases are a potential outcome of menu labeling, we investigated whether high-sodium purchases from NYC chains changed following policy implementation. Using receipts for verification, consumer purchases were assessed at 2 full-service (FSR) and 2 quick-service (QSR) chain restaurants in NYC and Yonkers, NY, which did not implement sodium menu labeling, in 2015 and 2017. Primary outcomes included the proportion of respondents purchasing high-sodium item(s) (containing ≥2,300 mg sodium) and mean sodium content of purchases; changes were assessed by difference-in-difference regression models, adjusted for demographic and location co-variates. At both FSR and QSR, there was not a significant change in the proportion of NYC respondents purchasing 1 or more high-sodium items, relative to Yonkers (FSR difference-in-difference: -4.6%, p = 0.364; QSR difference-in-difference: -8.9%, p = 0.196). Among NYC FSR respondents, mean sodium content of purchases significantly declined compared to Yonkers (difference-in-difference: -524 mg, p = 0.012); no changes in mean sodium were observed among QSR participants (difference-in-difference: 258 mg, p = 0.185). Although there was a reduction in mean sodium content of purchases among NYC FSR patrons following sodium warning icon implementation, the mechanism behind the relatively larger NYC decline is unknown.
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Affiliation(s)
- Divya Prasad
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States of America
| | - John P Jasek
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States of America
| | - Amaka V Anekwe
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States of America
| | - Christine Dominianni
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States of America
| | - Tamar Adjoian Mezzacca
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States of America
| | - Julia S Sisti
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States of America
| | - Shannon M Farley
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States of America
| | - Kimberly Kessler
- Bureau of Chronic Disease Prevention, New York City Department of Health and Mental Hygiene, Long Island City, NY, United States of America
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Kidd KN, Prasad D, Cunningham JEA, de Azevedo Cardoso T, Frey BN. The relationship between parental bonding and mood, anxiety and related disorders in adulthood: A systematic review and meta-analysis. J Affect Disord 2022; 307:221-236. [PMID: 35378151 DOI: 10.1016/j.jad.2022.03.069] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 03/05/2022] [Accepted: 03/29/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND A strong bond between parents and their children is essential in promoting healthy psychological development. Poor quality parent-child relationships can render children vulnerable to various adverse outcomes. Although extensive research has highlighted the association between abnormal parent-child bonding and mood and anxiety-related psychopathology in offspring, no systematic review or meta-analysis has assessed this relationship in adults. METHODS A literature search was conducted in five databases (MEDLINE, Embase, PsycINFO, CINAHL, Web of Science) on January 4th, 2021. Studies that assessed the relationship between parental bonding and the presence of a mood or anxiety disorder in adults were eligible for inclusion. RESULTS Fifty-seven studies were included in the systematic review (n = 44 in the meta-analysis). Quantitative results indicated that individuals with major depression, panic disorder, or persistent depressive disorder reported lower parental care and higher overprotection compared to individuals without psychiatric diagnoses. Qualitative results indicated that individuals with diagnoses of mood or anxiety disorders tended to report higher parental abuse than controls. LIMITATIONS The measures of parental bonding used by the included studies are retrospective and subject to biases. All studies had a case-control design and thus, causal-relationships cannot be drawn from the results. CONCLUSIONS Our findings suggest that poor-quality parental bonding early in life may place offspring at greater risk for mood and anxiety disorders during adulthood. Future research should extend these results by confirming the relationship between parental bonding and other psychiatric disorders, as well as identifying which factors mediate the relationship between abnormal parental bonding and psychiatric disorders.
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Affiliation(s)
- Katrina N Kidd
- Neuroscience Graduate Program, McMaster University, Hamilton, Canada
| | - Divya Prasad
- Neuroscience Graduate Program, McMaster University, Hamilton, Canada; Women's Health Concerns Clinic, St. Joseph's Healthcare Hamilton, Hamilton, Canada
| | | | - Taiane de Azevedo Cardoso
- Mood Disorders Program, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
| | - Benicio N Frey
- Women's Health Concerns Clinic, St. Joseph's Healthcare Hamilton, Hamilton, Canada; Mood Disorders Program, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada.
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Prasad D, Ahmad M, Katyal S, Thakral AK, Husain M, Mohsin M. Large Solitary Pyogenic Liver Abscesses: A Review of Their Management at a Tertiary Care Hospital. Cureus 2022; 14:e23170. [PMID: 35433141 PMCID: PMC9008598 DOI: 10.7759/cureus.23170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2022] [Indexed: 11/05/2022] Open
Abstract
Background and objective Liver abscesses are one of the common surgical diseases to be treated as an emergency in any tertiary care hospital in India. The formation of abscesses in the liver is still a major problem and associated with significant morbidity in developing countries. We come across all types of liver abscesses, such as amoebic (most common), pyogenic, mixed, and occasionally fungal. There have been several studies on the percutaneous modality of treatment for pyogenic liver abscesses. Most of the studies suggest that percutaneous catheter drainage (PCD) offers a better approach than aspirations for treating pyogenic liver abscesses. However, a few recent studies suggest that percutaneous aspiration leads to equally good results when compared to percutaneous drainage. In this study, we aimed to review the management of solitary large pyogenic liver abscesses and to assess the effectiveness of ultrasonography (USG)-guided aspiration in the procedure. Methods A retrospective study was carried out at the Department of General Surgery of our institute. In this study, a total of 27 patients treated for solitary pyogenic liver abscess were included. All patients with a large liver abscess greater than 5 cm without the features of frank peritonitis were included. These patients were followed up regularly for six months. Results The single-attempt USG-guided aspiration was successful in 70.3% of patients. Repeat USG-guided aspiration was performed in 18.5% of patients. In 7.4% of patients, a USG-guided percutaneous pigtail catheter was placed. And only 3.7% of cases required exploratory laparotomy. Conclusion Based on our findings, USG-guided aspiration is a fairly efficient method for treating a large solitary pyogenic abscess with acceptable results, shorter hospital stays, and minimal complications.
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Patil KN, Prasad D, Manoorkar VK, Bhanushali JT, Jadhav AH, Nagaraja BM. Selective vapour-phase dehydrocyclization of biomass-derived 1,4-butanediol to γ-butyrolactone over Cu/ZnAl2O4-CeO2 catalyst. J IND ENG CHEM 2022. [DOI: 10.1016/j.jiec.2021.10.018] [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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Thakral A, Prasad D, Katyal S, Kumar A. Characteristics and Outcomes of Psoas Abscess: Experience From a Tertiary Care Center in North India. Cureus 2022; 14:e21358. [PMID: 35198272 PMCID: PMC8851413 DOI: 10.7759/cureus.21358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/18/2022] [Indexed: 11/12/2022] Open
Abstract
Background Psoas abscess (PA) is an uncommon disease involving infection of the psoas muscle with abscess formation. The evidence concerning clinical and diagnostic characteristics of PA and its outcomes is limited. The literature is heterogenous, with varying presentations and outcomes in different regions worldwide. We present a retrospective analysis of the clinical, radiological, and laboratory characteristics of PA, its management, and outcomes from a tertiary care center in North India. Methodology We reviewed the clinical records of confirmed cases of PA treated in our institute from January 2016 to December 2020 with a minimum follow-up of one year. Further, we performed a descriptive analysis of demographic characteristics, clinical features, laboratory parameters, radiological investigations, the basis of diagnosis confirmation, causative microorganisms, definitive management, treatment outcomes, and complications. Results We reviewed 33 cases with a mean age of 29.9 ± 16.8 years. Overall, 48.4% of PAs were right-sided, and 24.2% were bilateral. Abdominal discomfort was the most common presenting symptom. Blood laboratory parameters were mostly within the near-normal range except for the elevated erythrocyte sedimentation rate, C-reactive protein, and neutrophil-to-lymphocyte ratio. Ultrasonography was the most commonly performed radiological investigation and was the basis of diagnosis confirmation. Mycobacterium tuberculosis was the most common causative microorganism. Most patients required percutaneous drainage, and around one-fourth required open drainage. All patients had symptomatic as well as radiological improvement and no major complications. Conclusions Tuberculosis is the most prevalent cause of PA in the North Indian population. Most patients respond well to the less invasive treatment with percutaneous therapeutic drainage and antitubercular drugs, with few patients requiring open drainage. However, tissue diagnosis may remain inconclusive in a few patients, and antitubercular treatment may need to be initiated based on the clinicoradiological evaluation. Nevertheless, the rate of complications is low, with nil mortality probably related to the mild-to-moderate disease course of tuberculosis.
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Wadwale NB, Prasad D, Jadhav AH, Karad AR, Khansole GS, Choudhare SS, Navhate SV, Bhosale VN. Synthetic Development and Assessment of Antioxidant Activity of Imino[1,2,4]triazolo[1,5-a]pyrimidine-6-carbonitrile and Its Derivatives. Russ J Org Chem 2022. [DOI: 10.1134/s1070428021120204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Patil KN, Prasad D, Manoorkar VK, Nabgan W, Nagaraja BM, Jadhav AH. Engineered nano-foam of tri-metallic (FeCuCo) oxide catalyst for enhanced hydrogen generation via NaBH 4 hydrolysis. Chemosphere 2021; 281:130988. [PMID: 34289632 DOI: 10.1016/j.chemosphere.2021.130988] [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: 02/26/2021] [Revised: 04/27/2021] [Accepted: 05/22/2021] [Indexed: 06/13/2023]
Abstract
Catalytic hydrolysis of sodium borohydride can potentially be considered as a convenient and safe method to generate hydrogen, an environmentally clean and sustainable fuel for the future. The present effort establishes the development of FeCuCo tri-metallic oxide catalyst by a simple, single-step solution combustion synthesis (SCS) method for hydrogen generation from NaBH4 hydrolysis. Amongst series of FeCuCo tri-metallic oxide catalyst synthesized, FeCuCo with 50:37.5:12.5 wt% respective precursor loading displayed remarkable activity by generating hydrogen at the rate of 1380 mL min-1 g-1 (1242 mL in 18 min) with turnover frequency (TOF) of 62.02 mol g-1 min-1. The catalyst was characterized by using various techniques to understand their physiochemical and morphological properties. The results revealed that the catalyst synthesized by combustion method led to the formation of FeCuCo with appreciable surface area, porous foam-like morphology and high surface acidity. Major factors affecting the hydrolysis of NaBH4 such as catalyst loading, NaOH concentration and temperature variation were studied in detail. Additionally, the FeCuCo catalyst also displayed substantial recyclability performance up to eight cycles without considerable loss in its catalytic activity. Therefore, FeCuCo oxide can be demonstrated as one of the most efficient, cost effective tri-metallic catalyst so far for application in the hydrogen generation.
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Affiliation(s)
- Komal N Patil
- Centre for Nano and Material Science (CNMS), Jain University, Jain Global Campus, Bangalore, 562112, India
| | - Divya Prasad
- Centre for Nano and Material Science (CNMS), Jain University, Jain Global Campus, Bangalore, 562112, India
| | - Vilas K Manoorkar
- Centre for Nano and Material Science (CNMS), Jain University, Jain Global Campus, Bangalore, 562112, India
| | - Walid Nabgan
- School of Chemical and Energy Engineering, Universiti Teknologi Malaysia, Johor, 81310, Malaysia
| | - Bhari Mallanna Nagaraja
- Centre for Nano and Material Science (CNMS), Jain University, Jain Global Campus, Bangalore, 562112, India.
| | - Arvind H Jadhav
- Centre for Nano and Material Science (CNMS), Jain University, Jain Global Campus, Bangalore, 562112, India.
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Prasad D, Wollenhaupt-Aguiar B, Kidd KN, de Azevedo Cardoso T, Frey BN. Suicidal Risk in Women with Premenstrual Syndrome and Premenstrual Dysphoric Disorder: A Systematic Review and Meta-Analysis. J Womens Health (Larchmt) 2021; 30:1693-1707. [PMID: 34415776 PMCID: PMC8721500 DOI: 10.1089/jwh.2021.0185] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [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: 11/13/2022] Open
Abstract
Purpose: Women with premenstrual dysphoric disorder (PMDD) and premenstrual syndrome (PMS) experience substantial functional impairment and decreased quality of life. While previous research has highlighted a relationship between premenstrual disturbances and suicide risk, no meta-analysis has been conducted to quantitatively assess the findings. Methods: A systematic review and meta-analysis was conducted by searching the literature in three databases (Pubmed, PsycINFO, and EMBASE) on July 15, 2020. Studies that assessed the relationship between suicidality (attempt, ideation, and/or plan) and premenstrual disturbance (PMDD, PMS, and/or premenstrual symptoms) were included. Results: Thirteen studies were included in the qualitative review (n = 10 included in meta-analysis). Results revealed that women with PMDD are almost seven times at higher risk of suicide attempt (OR: 6.97; 95% CI: 2.98-16.29, p < 0.001) and almost four times as likely to exhibit suicidal ideation (OR: 3.95; 95% CI: 2.97-5.24, p < 0.001). Similarly, women with PMS are also at increased risk of suicidal ideation (OR: 10.06; 95% CI: 1.32 to -76.67, p = 0.03), but not for suicide attempt (OR: 1.85; 95% CI: 0.77 to -4.46, p = 0.17). Conclusions: Women with PMDD and PMS are at higher risk of suicidality compared with women without premenstrual disturbances. These findings support routine suicidal risk assessments for women who suffer from moderate-to-severe premenstrual disturbance. Furthermore, psychosocial treatments for women diagnosed with PMS/PMDD should consider and target suicidality to minimize risk and improve well-being.
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Affiliation(s)
- Divya Prasad
- Neuroscience Graduate Program, McMaster University, Hamilton, Ontario, Canada.,Women's Health Concerns Clinic, St. Joseph's Healthcare, Hamilton, Canada
| | - Bianca Wollenhaupt-Aguiar
- Mood Disorders Program, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
| | - Katrina N Kidd
- Biology & Psychology, Neuroscience, and Behaviour Honours Program, McMaster University, Hamilton, Canada
| | - Taiane de Azevedo Cardoso
- Mood Disorders Program, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
| | - Benicio N Frey
- Women's Health Concerns Clinic, St. Joseph's Healthcare, Hamilton, Canada.,Mood Disorders Program, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
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Patil KN, Prasad D, Bhanushali JT, Kakade B, Jadhav AH, Nagaraja BM. Chemoselective hydrogenation of cinnamaldehyde over a tailored oxygen-vacancy-rich Pd@ZrO2 catalyst. NEW J CHEM 2021. [DOI: 10.1039/d0nj05595f] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Selective hydrogenation of cinnamaldehyde to hydrocinnamaldehyde is captivating due to its industrial relevance.
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Affiliation(s)
- Komal N. Patil
- Centre for Nano and Material Science (CNMS)
- JAIN (Deemed-to-be University)
- Bangalore-562112
- India
| | - Divya Prasad
- Centre for Nano and Material Science (CNMS)
- JAIN (Deemed-to-be University)
- Bangalore-562112
- India
| | - Jayesh T. Bhanushali
- Centre for Nano and Material Science (CNMS)
- JAIN (Deemed-to-be University)
- Bangalore-562112
- India
| | - Bhalchandra Kakade
- Department of Chemistry
- SRM Research Institute
- SRM Institute of Science and Technology
- Chennai
- India
| | - Arvind H. Jadhav
- Centre for Nano and Material Science (CNMS)
- JAIN (Deemed-to-be University)
- Bangalore-562112
- India
| | - Bhari Mallanna Nagaraja
- Centre for Nano and Material Science (CNMS)
- JAIN (Deemed-to-be University)
- Bangalore-562112
- India
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Shetty NK, Prasad D. Optic Neuritis in Patients with Type 2 Diabetes Mellitus: A Case Series. J Clin Diagn Res 2021. [DOI: 10.7860/jcdr/2021/46609.14733] [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
Diabetes mellitus is a group of metabolic disorders characterised by a high blood sugar level over a prolonged period of time. Ocular associations of diabetes include diabetic retinopathy, cataract, diabetic papillopathy, ocular movement disorders and optic neuritis. Optic neuritis is a clinical condition causing inflammation of the myelin sheet of optic nerve. This leads to alteration in the nerve conduction towards the brain. Diabetics are more commonly affected with anterior ischaemic optic neuropathy compared to papillitis or optic neuritis. The present case series is of diabetes associated papillitis. The patients were in the age range of 35-60 years. All the patients had poor visual acuity at presentation, mild disc oedema and disc elevation with no peripapillary haemorrhage, suggestive of papillitis. The patients had minimum background retinopathy and were hyperglycaemic at the time of presentation. The response to Intravenous (IV) methyl prednisolone, at a dose of 1 gm IV in 100 mL of normal saline, was good. Improvement to vision was seen within 3-5 days and improvement in colour vision was seen at the end of 11-15 days. Papillitis can be a manifestation of diabetes and should be kept as a differential diagnosis to non-arteritic ishaemic optic neuropathy. Optic neuropathies and background retinopathy may not co-exist. Poor systemic control of glycaemic level may directly co-relate to papillitis manifestation.
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Prasad D, Patil KN, Chaudhari NK, Kim H, Nagaraja BM, Jadhav AH. Paving way for sustainable earth-abundant metal based catalysts for chemical fixation of CO2 into epoxides for cyclic carbonate formation. Catalysis Reviews 2020. [DOI: 10.1080/01614940.2020.1812212] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Divya Prasad
- Centre for Nano and Material Science (CNMS), Jain University, Jain Global Campus, 562112, Bangalore, Karnataka, India
| | - Komal N. Patil
- Centre for Nano and Material Science (CNMS), Jain University, Jain Global Campus, 562112, Bangalore, Karnataka, India
| | - Nitin K. Chaudhari
- Department of Chemistry, School of Technology, Pandit Deendayal Petroleum University, Gandhinagar, Gujarat, 382007, India
| | - Hern Kim
- Department of Energy Science and Technology, Smart Living Innovation Technology Center, Myongji University, 17058, Yongin, Gyeonggi-do, South Korea
| | - Bhari Mallanna Nagaraja
- Centre for Nano and Material Science (CNMS), Jain University, Jain Global Campus, 562112, Bangalore, Karnataka, India
| | - Arvind H. Jadhav
- Centre for Nano and Material Science (CNMS), Jain University, Jain Global Campus, 562112, Bangalore, Karnataka, India
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Bhanushali JT, Prasad D, Patil KN, Reddy KS, Kainthla I, Rao KSR, Jadhav AH, Nagaraja BM. Tailoring the catalytic activity of basic mesoporous Cu/CeO2 catalyst by Al2O3 for selective lactonization and dehydrogenation of 1,4-butanediol to γ-butyrolactone. CATAL COMMUN 2020. [DOI: 10.1016/j.catcom.2020.106049] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Prasad D, Mezzacca TA, Anekwe AV, Lent M, Farley SM, Kessler K, Angell SY. Sodium, calorie, and sugary drink purchasing patterns in chain restaurants: Findings from NYC. Prev Med Rep 2020; 17:101040. [PMID: 32055437 PMCID: PMC7005460 DOI: 10.1016/j.pmedr.2019.101040] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Revised: 11/27/2019] [Accepted: 12/27/2019] [Indexed: 11/18/2022] Open
Abstract
At chain restaurants, purchases are often exceptionally high in calories and sodium. At quick-service chains, most sugary drink purchases had at least 50 g of sugar. Most participants at full-service chains purchased more than the daily sodium limit. Fostering a healthier restaurant environment would promote healthier purchases.
To understand how consumer purchases in chain restaurants relate to nutrients of public health concern, sodium, calories and sugary drinks purchased for personal consumption were assessed through a customer intercept receipt study at a sample of New York City quick- and full-service chain restaurants (QSR and FSR) in 2015. The percentages of respondents purchasing ≥2,300 mg sodium, ≥2,000 calories, and a sugary drink, respectively, were 14%, 3% and 32% at QSR, and 56%, 23%, and 22% at FSR. Sodium content of purchases averaged 1,260 mg at QSR and 2,897 mg at FSR and calories averaged 770 at QSR and 1,456 at FSR. 71% of QSR sugary drink purchases contained at least 200 calories. Purchasing patterns that are exceptionally high in sodium and calories, and that include sugary drinks, are common in chain restaurants. Because restaurant-sourced foods are a cornerstone of the American diet, fostering conditions that support healthful purchases is essential to reduce preventable disease and advance health.
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Affiliation(s)
- Divya Prasad
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
- Corresponding author.
| | - Tamar Adjoian Mezzacca
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Amaka V. Anekwe
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Megan Lent
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Shannon M. Farley
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Kimberly Kessler
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Sonia Y. Angell
- New York City Department of Health and Mental Hygiene, Division of Prevention and Primary Care, 42-09 28 Street, Long Island City, NY 11101, United States
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Prezzano K, Hermann G, Farrugia M, Prasad D. A Single-Institution Review of Patients with EGFR-positive Non-Small Cell Lung Cancer with Brain Metastases at Presentation. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.2360] [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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Bhanushali JT, Prasad D, Patil KN, Babu GVR, Kainthla I, Rao KSR, Jadhav AH, Nagaraja BM. The selectively regulated vapour phase dehydrogenation of 1,4-butanediol to γ-butyrolactone employing a copper-based ceria catalyst. NEW J CHEM 2019. [DOI: 10.1039/c9nj03067k] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Copper-based ceria catalysts were synthesized for the dehydrogenation of 1,4-BDO to GBL and results exhibited a conversion of 93% and 98% selectivity with stable activity for up to 7 h.
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Affiliation(s)
- Jayesh T. Bhanushali
- Centre for Nano and Material Sciences
- Jain University
- Jain Global Campus
- Bangalore 562112
- India
| | - Divya Prasad
- Centre for Nano and Material Sciences
- Jain University
- Jain Global Campus
- Bangalore 562112
- India
| | - Komal N. Patil
- Centre for Nano and Material Sciences
- Jain University
- Jain Global Campus
- Bangalore 562112
- India
| | | | - Itika Kainthla
- Centre for Nano and Material Sciences
- Jain University
- Jain Global Campus
- Bangalore 562112
- India
| | - Kamaraju Seetha Rama Rao
- Catalysis & Fine Chemicals Division
- CSIR-Indian Institute of Chemical Technology
- Hyderabad 500007
- India
| | - Arvind H. Jadhav
- Centre for Nano and Material Sciences
- Jain University
- Jain Global Campus
- Bangalore 562112
- India
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Prasad D, Patil KN, Bhanushali JT, Nagaraja BM, Jadhav AH. Sustainable fixation of CO2 into epoxides to form cyclic carbonates using hollow marigold CuCo2O4 spinel microspheres as a robust catalyst. Catal Sci Technol 2019. [DOI: 10.1039/c9cy00945k] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
The present work demonstrates the chemical fixation of CO2 for the synthesis of organic carbonates using mesoporous hollow marigold CuCo2O4 spinel microspheres as a catalyst prepared using the solvothermal method.
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Affiliation(s)
- Divya Prasad
- Centre for Nano and Material Science
- JAIN University
- Bangalore 562112
- India
| | - Komal N. Patil
- Centre for Nano and Material Science
- JAIN University
- Bangalore 562112
- India
| | | | | | - Arvind H. Jadhav
- Centre for Nano and Material Science
- JAIN University
- Bangalore 562112
- India
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Kumar V, Kumar V, Kumari K, Talwar KK, Prasad D, Agarwal S, Yadav MS, Bashir H, Jatain S, Gupta SK. Clinical safety profile of ticagrelor compared to clopidogrel in 1208 patients: Real world evidence. Egypt Heart J 2018; 70:375-378. [PMID: 30591758 PMCID: PMC6303273 DOI: 10.1016/j.ehj.2018.05.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [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: 03/17/2018] [Accepted: 05/21/2018] [Indexed: 11/27/2022] Open
Abstract
Introduction Dual antiplatelet treatment is recommended by current clinical practice guidelines for patients undergoing PCI. The PLATO trial showed superiority of ticagrelor to clopidogrel in reducing the rate of death from vascular causes, myocardial infarction and stroke without increase in the rate of overall major bleeding in ACS patients. However, real world evidence in Indian patients is limited. The objective of this study is to compare safety profile of ticagrelor with clopidogrel in real world settings. Methodology In this single centered retrospective observational study, a total of 1208 serial patient records undergoing PCI (ACS and stable angina patients as well) treated with Ticagrelor or Clopidogrel were collected and analyzed to look into in hospital outcomes. We excluded the patient’s data that were incomplete. Results In total of 1208 patients, 604 patients received ticagrelor and similarly 604 patient received clopidogrel. No significant differences in the rates of major life threatening bleeding and any major bleeding were observed between ticagrelor and clopidogrel group (0.2% (n = 1) vs. 0.7% (n = 4), p = 0.18 and 2.8% (n = 17) vs. 3% (n = 18), p = 0.86 respectively). There was increase in minor bleeding rate with ticagrelor compared to clopidogrel (21.4% & 13.6%, p = 0.00). Conclusion In the real world settings, patients undergoing PCI treated with ticagrelor showed similar safety profile compared to clopidogrel but with increase in minor bleeding rate. The observed results were in alignment with PLATO clinical trial.
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Affiliation(s)
- Viveka Kumar
- Department of Cardiology, Max Super Speciality Hospital, Saket, New Delhi, India
| | - Vivek Kumar
- Department of Cardiology, Max Super Speciality Hospital, Saket, New Delhi, India
| | - Kajal Kumari
- Department of Pharmacology, Delhi Institute of Pharmaceutical Sciences and Research, New Delhi, India
| | - K K Talwar
- Department of Cardiology, Max Super Speciality Hospital, Saket, New Delhi, India
| | - Divya Prasad
- Hamdard Institute of Medical Sciences and Research, New Delhi, India
| | - Sunil Agarwal
- Department of Cardiology, Max Super Speciality Hospital, Saket, New Delhi, India
| | - M S Yadav
- Department of Cardiology, Max Super Speciality Hospital, Saket, New Delhi, India
| | - Hamed Bashir
- Department of Cardiology, Max Super Speciality Hospital, Saket, New Delhi, India
| | - Suman Jatain
- Department of Cardiology, Max Super Speciality Hospital, Saket, New Delhi, India
| | - S K Gupta
- Department of Pharmacology, Delhi Institute of Pharmaceutical Sciences and Research, New Delhi, India
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Dheer A, Jain V, Kushwah N, Kumar R, Prasad D, Singh S. Temporal and Spatial Changes in Glial Cells During Chronic Hypobaric Hypoxia: Role in Neurodegeneration. Neuroscience 2018; 383:235-246. [DOI: 10.1016/j.neuroscience.2018.04.026] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Revised: 04/16/2018] [Accepted: 04/18/2018] [Indexed: 01/05/2023]
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Magge SN, Prasad D, Zemel BS, Kelly A. Vitamin D3 supplementation in obese, African-American, vitamin D deficient adolescents. J Clin Transl Endocrinol 2018; 12:1-7. [PMID: 29892560 PMCID: PMC5992315 DOI: 10.1016/j.jcte.2018.03.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Revised: 03/15/2018] [Accepted: 03/20/2018] [Indexed: 12/17/2022]
Abstract
Objectives Obese, African-American (AA) adolescents are at increased risk for vitamin D deficiency. The primary objective of this pilot study was to examine the effect of vitamin D supplementation upon 25-hydroxy vitamin D (25OHD) levels in obese, AA adolescents. Methods A randomized, double-blinded, controlled pilot study included 26 obese (BMI ≥ 95%ile), vitamin D deficient (25OHD < 20 ng/mL), pubertal AA adolescents (ages 12-17). Subjects received cholecalciferol 1000 IU or 5000 IU daily for 3 months. Serum 25OHD, vitamin D binding protein, parathyroid hormone, and cardiometabolic risk markers were obtained at baseline and post-treatment. Results Of 39 subjects enrolled, 26 (67%) were vitamin D deficient (mean 25OHD 12.0 ± 3.8 ng/mL) at baseline and were randomized, with 22 completing the study. Sex, age, season, pubertal stage, BMI, insulin resistance (HOMA-IR) and 25OHD were similar at baseline between the 1000 IU and 5000 IU groups. Post-treatment, 25OHD increased less in the 1000 IU group (5.6 ng/mL, p = 0.03) vs. the 5000 IU group (15.6 ng/mL, p = 0.002). 83% of the 5000 IU group and 30% of the 1000 IU group reached post-treatment 25OHD ≥ 20 ng/mL (p = 0.01); 50% of the 5000 IU group, but no subject from the 1000 IU group, achieved 25OHD ≥ 30 ng/mL (p = 0.009). We detected no group differences in mineral metabolites or cardiometabolic risk markers following supplementation. Conclusions Cholecalciferol dosing in excess of the current Institute of Medicine dietary reference intakes was required to achieve 25OHD levels ≥20 ng/mL in obese, AA adolescents. Supplementation of 5000 IU may be required to achieve the desired goal.
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Key Words
- 25OHD, 25-hydroxy vitamin D
- AA, African-American
- AAP, American Academy of Pediatrics
- BG, blood glucose
- BMI, body mass index
- CHOP, The Children’s Hospital of Philadelphia
- CMR, cardiometabolic risk
- CTRC, Clinical and Translational Research Center
- CV, coefficient of variation
- DRIs, dietary reference intakes
- DXA, dual X-ray absorptiometry
- ELISA, enzyme-linked immunosorbent assay
- FA, fat area
- FMI, fat mass index
- HDL-C, high-density lipoprotein cholesterol
- HOMA-IR, homeostatic model assessment of insulin resistance
- IOM, Institute of Medicine
- IU, international units
- LDL-C, low-density lipoprotein cholesterol
- NMR, nuclear magnetic resonance
- PTH, parathyroid hormone
- SD, standard deviation
- TC, total cholesterol
- TG, triglycerides
- VDBP, vitamin D binding protein
- hs-CRP, high-sensitivity C-reactive protein
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Affiliation(s)
- Sheela N Magge
- Division of Pediatric Endocrinology, Johns Hopkins University School of Medicine, United States
| | - Divya Prasad
- Division of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, United States
| | - Babette S Zemel
- Division of GI, Hepatology and Nutrition, The Children's Hospital of Philadelphia, United States
| | - Andrea Kelly
- Division of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, United States
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Xanthopoulos MS, Walega R, Xiao R, Prasad D, Pipan MM, Zemel BS, Berkowitz RI, Magge SN, Kelly A. Caregiver-Reported Quality of Life in Youth with Down Syndrome. J Pediatr 2017; 189:98-104.e1. [PMID: 28751125 PMCID: PMC5614822 DOI: 10.1016/j.jpeds.2017.06.073] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Revised: 05/24/2017] [Accepted: 06/30/2017] [Indexed: 12/14/2022]
Abstract
OBJECTIVES To describe caregiver-reported quality of life (QOL) in youth with Down syndrome (DS) and to examine the role of obesity on QOL. STUDY DESIGN Caregivers of youth with and without DS aged 10 through 20 years completed questionnaires examining QOL (Pediatric Quality of Life Questionnaire) and weight-related QOL (Impact of Weight on Quality of Life - Kids). Age- and sex-specific z scores were generated for body mass index. Obesity was defined as a body mass index ≥95th percentile for age and sex. RESULTS Caregiver-reported Total QOL, Physical Health, and Psychosocial Health summary scores were all lower in the DS group compared with the non-DS controls (P < .001). Social and School Functioning were also lower (P < .001), but Emotional Functioning did not differ between DS and non-DS groups (P = .31). Physical Functioning (P = .003) and Total scores (P = .03) differed between youth without DS with and without obesity, but no differences were reported between youth with DS with and without obesity. On the Impact of Weight on Quality of Life - Kids, caregivers of youth with DS reported greater Body Esteem (P = .020) and Social Life scores (P = .03) than caregivers of non-DS youth. Caregivers of youth with obesity, regardless of DS status, reported significantly lower weight-specific QOL scores than caregivers of youth without obesity. CONCLUSION Caregivers reported lower QOL in youth with DS compared with youth without DS with the exception of emotional functioning. Obesity influences most domains of weight-related QOL in youth with and without DS; therefore, providers should address weight concerns in youth with obesity even in the presence of DS. CLINICAL TRIAL REGISTRATION NCT01821300.
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Affiliation(s)
- Melissa S Xanthopoulos
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA.
| | - Rachel Walega
- Division of Endocrinology and Diabetes, Center for Translational Science, Children's National Health System, Washington, DC
| | - Rui Xiao
- Department of Pediatrics, Division of Biostatistics, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Divya Prasad
- Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Mary M Pipan
- Division of Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Babette S Zemel
- Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Robert I Berkowitz
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Sheela N Magge
- Division of Endocrinology and Diabetes, Center for Translational Science, Children's National Health System, Washington, DC
| | - Andrea Kelly
- Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA
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Rivers C, Tranquilli M, Winograd E, Elmarzouky R, Plunkett R, Fenstermaker R, Fabiano A, Podgorsak M, Prasad D. Preservation of Normal Brain Tissue in Patients With Multiple Metastatic Lesions Using Stereotactic Radiosurgery (SRS). Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.833] [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: 10/20/2022]
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Hatch-Stein JA, Zemel BS, Prasad D, Kalkwarf HJ, Pipan M, Magge SN, Kelly A. Body Composition and BMI Growth Charts in Children With Down Syndrome. Pediatrics 2016; 138:peds.2016-0541. [PMID: 27630073 PMCID: PMC5051207 DOI: 10.1542/peds.2016-0541] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/05/2016] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND AND OBJECTIVES New US Down syndrome (DS) BMI growth charts were recently published, but their utility in identifying children with excess adiposity or increased cardiometabolic risk (CMR) remains unknown. We sought to compare the ability of the Centers for Disease Control and Prevention (CDC) BMI 85th percentile and DS-specific BMI 85th percentile to identify excess adiposity in children with DS. METHODS Participants with DS aged 10 to 20 years were enrolled in a cross-sectional CMR study. Data from typically developing children enrolled in the Bone Mineral Density in Childhood Study (BMDCS) were used for comparison. Sensitivity and specificity were calculated to assess the CDC BMI 85th percentile in the BMDCS and DS groups, and the DS-specific BMI 85th percentile in the DS group, relative to fat mass index (FMI) ≥80th percentile, a threshold associated with increased CMR. RESULTS Included were 121 DS participants (age 14.8 ± 3.3 years, 57% girls) and 7978 BMDCS reference data points (age 15.0 ± 3.0 years, 51.3% girls). The CDC BMI 85th percentile identified FMI ≥80th percentile with 96.9% sensitivity and 87.4% specificity in typically developing children. Similarly, the CDC BMI 85th percentile identified FMI ≥80th percentile with 100% sensitivity and 78.3% specificity in children with DS. In contrast, the sensitivity of the DS-specific BMI 85th percentile was only 62.3% (P < .0001), but was 100% specific. CONCLUSIONS For children with DS ≥10 years, the CDC BMI growth chart 85th percentile is a better indicator of excess adiposity, than the new DS-specific BMI charts. Additional studies are needed to clarify the relationships of BMI and FMI with CMR in DS.
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Affiliation(s)
| | | | | | - Heidi J. Kalkwarf
- Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and
| | - Mary Pipan
- Behavioral Pediatrics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Sheela N. Magge
- Division of Endocrinology and Diabetes, Children’s National Health System, Washington, District of Columbia
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Gandhi K, Raveendran N, Dsouza A, Prasad D, Malhotra V, Agrawal D, Beniwal P. Bilateral renal cortical necrosis in a patient undergoing in vitro fertilization. Indian J Nephrol 2016; 26:311-2. [PMID: 27512312 PMCID: PMC4964700 DOI: 10.4103/0971-4065.175980] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Prasad D, Prasad B, Prasad D, Shetty P, Kumar K. GC-MS Compositional Analysis of Essential Oil of Leaf and Fruit Rind of Citrus maxima (Burm.) Merr. from Coastal Karnataka, India. ACTA ACUST UNITED AC 2016. [DOI: 10.7324/japs.2016.60511] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Mathur M, D'Souza AVL, Prasad D, Garsa R, Bansal N, Jhorawat R, Sharma S, Beniwal P, Agrawal D, Malhotra V. A comparative study of central versus posterior approach for internal jugular hemodialysis catheter insertion. Indian J Nephrol 2015; 25:265-8. [PMID: 26628790 PMCID: PMC4588320 DOI: 10.4103/0971-4065.151356] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Internal jugular (IJ) catheter insertion for hemodialysis (HD) is an indispensable procedure in the management of patients with renal failure. The central approach is favored over posterior approach to insert IJ catheters. There are no studies comparing the outcomes between the two approaches. The aim of this study was to compare central approach with posterior approach for IJ HD catheter insertion and to analyze various outcomes like procedure-related complication rates, catheter insertion failure rates, interruptions during dialysis due to blood flow obstruction and catheter infection rates between the two methods among patients receiving HD. All patients requiring IJ HD catheter insertion during a 1-month period were randomly assigned to undergo catheter insertion via either conventional central approach or posterior approach. Patients were followed-up till the removal of the catheter. Among 104 patients included in the study, 54 were assigned to the central approach group and 50 to the posterior approach group. The central approach group had higher rate of procedure-related complications (14.81% vs. 6%, P = 0.04). Catheter insertion failure rates were marginally higher in posterior approach group (20% vs. 12.96%, P = 0.07). One or more instance of interruption during HD due to obstruction in blood flow was more common in posterior approach (46% vs. 9.25%, P < 0.01). Catheter infection rates were similar between the two groups; 16.66% (n = 9) in central group vs. 14% (n = 7) in posterior group. Posterior approach is a reasonable alternative to conventional central approach in IJ cannulation for HD catheter. It is, however, associated with a significantly high rate of interruption in HD blood flow and catheter insertion failure rates. The posterior approach can be used in patients with local exit site infection or in failed attempts to cannulate IJ vein via the conventional central approach.
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Affiliation(s)
- M Mathur
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
| | - A V L D'Souza
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
| | - D Prasad
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
| | - R Garsa
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
| | - N Bansal
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
| | - R Jhorawat
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
| | - S Sharma
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
| | - P Beniwal
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
| | - D Agrawal
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
| | - V Malhotra
- Department of Nephrology, SMS Hospital and Medical College, Jaipur, Rajasthan, India
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Gandhi K, Prasad D, Malhotra V, Agrawal D, Beniwal P, Mathur M. Periodic Peritoneal Dialysis in End Stage Renal Disease: Is it Still Relevant? A Single Center Study from India. Ann Med Health Sci Res 2015; 5:379-84. [PMID: 27057374 PMCID: PMC4804647 DOI: 10.4103/2141-9248.177979] [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: 11/04/2022] Open
Abstract
BACKGROUND High cost of maintenance hemodialysis (HD) and continuous ambulatory peritoneal dialysis (PD) in India has made renal replacement therapy out of reach of many patients with end stage renal disease (ESRD). Repeated puncture PD although inferior to HD biochemically, is easily and freely available across Rajasthan, India, and is simple to perform, and does not require sophisticated machines, thus making it an attractive option for dialysis for ESRD. AIM To analyze the outcomes of periodic PD in patients with ESRD requiring dialysis support. SUBJECTS AND METHODS A prospective study analyzing the data of patients who underwent PD between August 2010 and January 2013 in Sawai Man Singh Hospital, Jaipur, India was conducted. Patients were divided into three groups based on the time period between first and second session of PD. Detailed demographic and clinical data during the study period were collected along with PD related complications. The main outcome studied was technique survival 1 year post initiation of PD. RESULTS 234 patients received an initial session of PD, of which 174 had a good response and were included in the study. 19 patients received the second PD within 7 days of first (Group 1), 45 patients within 8-14 days (Group 2) and 110 patients within 15-21 days (Group 3). The overall 1 year technique survival was 68.4% (91/133), with a rate of 50% (5/10), 56.8% (21/37), and 75.6% (65/86) for Group 1, Group 2, and Group 3, respectively. The time duration between first and second PD proved to be reliable indicator of the subsequent response, with a technique survival rate significantly lower in Group 1 patients compared to Groups 2 and 3 (P = 0.04). Median dialysis free days were 11, 16 and 21 days in Group 1, Group 2, and Group 3, respectively. Peritonitis rate observed was 2.1% (49/2261) during the study period. CONCLUSION Periodic PD is a simple, safe and cheap procedure, which can be considered as used as a palliative measure in terminal uremia in underprivileged areas.
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Affiliation(s)
- K Gandhi
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
| | - D Prasad
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
| | - V Malhotra
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
| | - D Agrawal
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
| | - P Beniwal
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
| | - M Mathur
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
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Mix M, Elmarzouky R, O'Connor T, Plunkett R, Prasad D. Clinical Outcomes in Patients With Brain Metastases From Breast Cancer Treated With Single Fraction Stereotactic Radiosurgery With or Without Whole-Brain Radiation Therapy. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Budd N, Cuccia A, Jeffries JK, Prasad D, Frick KD, Powell L, Katz FA, Gittelsohn J. B'More Healthy: Retail Rewards--design of a multi-level communications and pricing intervention to improve the food environment in Baltimore City. BMC Public Health 2015; 15:283. [PMID: 25885923 PMCID: PMC4379588 DOI: 10.1186/s12889-015-1616-6] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Accepted: 03/05/2015] [Indexed: 12/31/2022] Open
Abstract
Background Low-income black residents of Baltimore City have disproportionately higher rates of obesity and chronic disease than other Maryland residents. Increasing the availability and affordability of healthy food are key strategies to improve the food environment and can lead to healthier diets. This paper describes B’More Healthy: Retail Rewards (BHRR), an intervention that tests the effectiveness of performance-based pricing discounts and health communications, separately and combined, on healthy food purchasing and consumption among low-income small store customers. Methods/design BHRR is 2x2 factorial design randomized controlled trial. Fifteen regular customers recruited from each of 24 participating corner stores in Baltimore City were enrolled. Food stores were randomized to 1) pricing intervention, 2) communications intervention, 3) combined intervention, or 4) control. Pricing stores were given a 10-30% price discount on selected healthier food items, such as fresh fruits, frozen vegetables, and baked chips, at the point of purchase from two food wholesale stores during the 6-month trial. Storeowners agreed to pass on the discount to the consumer to increase demand for healthy food. Communications stores received visual and interactive materials to promote healthy items, including signage, taste tests, and refrigerators. Primary outcome measures include consumer food purchasing and associated psychosocial variables. Secondary outcome measures include consumer food consumption, store sales, and associated storeowner psychosocial factors. Process evaluation was monitored throughout the trial at wholesaler, small store, and consumer levels. Discussion This is the first study to test the impact of performance-based pricing and communications incentives in small food stores, an innovative strategy to encourage local wholesalers and storeowners to share responsibility in creating a healthier food supply by stocking, promoting, and reducing costs of healthier foods in their stores. Local food wholesalers were involved in a top-down, participatory approach to develop and implement an effective and sustainable program. This study will provide evidence on the effectiveness of price incentives and health communications, separately and combined, among a low-income urban U.S. population. Trial registration ClinicalTrials.gov: NCT02279849 (2/18/2014).
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Affiliation(s)
- Nadine Budd
- Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
| | - Alison Cuccia
- Army Institute of Public Health, Health Promotion & Wellness Portfolio, USAPHC, ATTN: MCHB-IP-H, 5158 Blackhawk Road, Aberdeen Proving Ground, Aberdeen, MD, 21010, USA.
| | - Jayne K Jeffries
- The Gillings School of Global Public Health at the University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599, USA.
| | - Divya Prasad
- Joseph Stokes, Jr. Research Institute, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
| | - Kevin D Frick
- Carey Business School, Johns Hopkins University, 100 International Drive, Baltimore, MD, 21202, USA.
| | - Lisa Powell
- Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
| | - Fred A Katz
- Carey Business School, Johns Hopkins University, 100 International Drive, Baltimore, MD, 21202, USA.
| | - Joel Gittelsohn
- Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
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Mathur M, Sharma S, Prasad D, Garsa R, Singh AP, Kumar R, Beniwal P, Agarwal D, Malhotra V. Incidence and profile of C3 Glomerulopathy: A single center study. Indian J Nephrol 2015; 25:8-11. [PMID: 25684865 PMCID: PMC4323919 DOI: 10.4103/0971-4065.136889] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
C3 glomerulopathy has recently been described as a distinct entity. The underlying mechanism is unregulated activation of the alternate pathway of the complement system. The most common presentation is with an acute nephritic syndrome. The diagnosis is made on immunofluoroscence by the presence of isolated or dominant C3 staining. In this retrospective study, renal biopsy data were collected from 2010 to 2013 patients with C3 glomerulopathy identified and their clinical and biochemical parameters analyzed. Out of 514 biopsies available for analysis, the incidence of C3 glomerulopathy was 1.16% (n = 6). The mean age of the presentation was 26 years and the average estimated glomerular filtration rate was 30.65 ml/min/1.73 m(2). The most common histopathological pattern was membranoproliferative glomerulonephritis (n = 4).
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Affiliation(s)
- M Mathur
- Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India
| | - S Sharma
- Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India
| | - D Prasad
- Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India
| | - R Garsa
- Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India
| | - A P Singh
- Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India
| | - R Kumar
- Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India
| | - P Beniwal
- Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India
| | - D Agarwal
- Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India
| | - V Malhotra
- Department of Nephrology, SMS Medical College, Jaipur, Rajasthan, India
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Gandhi K, Prasad D, Malhotra V, Beniwal P. Glomerulonephritis with monoclonal IgG deposits. Indian J Nephrol 2015; 25:187-8. [PMID: 26060375 PMCID: PMC4446930 DOI: 10.4103/0971-4065.153327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Prasad D, Agarwal D, Malhotra V, Beniwal P. Renal tubular dysfunction presenting as recurrent hypokalemic periodic quadriparesis in systemic lupus erythematosus. Indian J Nephrol 2014; 24:315-7. [PMID: 25249723 PMCID: PMC4165058 DOI: 10.4103/0971-4065.133019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
We report recurrent hypokalemic periodic quadriparesis in a 30-year-old woman. Patient had also symptoms of multiple large and small joint pain, recurrent oral ulceration, photosensitivity and hair loss that were persisting since last 6 months and investigations revealed systemic lupus erythematosus (SLE) with distal tubular acidosis. Our patient was successfully treated with oral potassium chloride, sodium bicarbonate, hydroxychloroquine and a short course of steroids. Thus, tubular dysfunction should be carefully assessed in patients with SLE.
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Affiliation(s)
- D Prasad
- Department of Nephrology, SMS Hospital, Jaipur, Rajasthan, India
| | - D Agarwal
- Department of Nephrology, SMS Hospital, Jaipur, Rajasthan, India
| | - V Malhotra
- Department of Nephrology, SMS Hospital, Jaipur, Rajasthan, India
| | - P Beniwal
- Department of Nephrology, SMS Hospital, Jaipur, Rajasthan, India
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Affiliation(s)
- K Gandhi
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
| | - D Prasad
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
| | - V Malhotra
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
| | - D Agrawal
- Department of Nephrology, Sawai Man Singh Hospital, Jaipur, Rajasthan, India
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Pardilla M, Prasad D, Suratkar S, Gittelsohn J. High levels of household food insecurity on the Navajo Nation. Public Health Nutr 2014; 17:58-65. [PMID: 23369257 PMCID: PMC10282355 DOI: 10.1017/s1368980012005630] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2012] [Revised: 11/15/2012] [Accepted: 12/06/2012] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To assess levels of and identify factors associated with food insecurity on the Navajo Nation. DESIGN A cross-sectional study was conducted utilizing the ten-item Radimer/Cornell food insecurity instrument. Sociodemographic, psychosocial and anthropometric data were collected. SETTING Navajo Nation, USA. SUBJECTS Two hundred and seventy-six members of the Navajo Nation were randomly selected at food stores and other community locations. RESULTS Of the sample, 76·7% had some level of food insecurity. Less education (mean years of schooling: P = 0·0001; non-completion of higher education: P = 0·0003), lower full-time employment rates (P = 0·01), and lower material style of life (P = 0·0001), food knowledge (P = 0·001) and healthy eating self-efficacy (P < 0·0001) scores were all positively associated with food insecurity. Perceived expensiveness (P < 0·0001) and perceived inconvenience (P = 0·0001) of healthy choices were also positively associated with food insecurity. CONCLUSIONS Food insecurity rates on the Navajo Nation are the highest reported to date in the USA and are likely attributable to the extremely high rates of poverty and unemployment. Reducing food insecurity on the Navajo Nation will require increasing the availability of affordable healthy foods, addressing poverty and unemployment, and providing nutrition programmes to increase demand.
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Affiliation(s)
- Marla Pardilla
- Center for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205-2179, USA
| | - Divya Prasad
- Center for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205-2179, USA
| | - Sonali Suratkar
- Center for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205-2179, USA
| | - Joel Gittelsohn
- Center for Human Nutrition, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205-2179, USA
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Mallick I, Gupta S, Das S, Prasad D, Chatterjee S, Achari R. Prospective Evaluation of Dose–Volume Parameters Predicting Acute Diarrhea During Pelvic Radiation Therapy. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1125] [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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Prasad D, Kumar C, Jain A, Kumar R. Accuracy and applicability of the revised WHO classification (2009) of dengue in children seen at a tertiary healthcare facility in northern India. Infection 2013; 41:775-82. [PMID: 23381875 DOI: 10.1007/s15010-013-0405-3] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2012] [Accepted: 01/04/2013] [Indexed: 11/30/2022]
Abstract
BACKGROUND Revised case definitions of dengue into dengue with/without warning signs (DWS/D) and severe dengue (SD) was proposed by the World Health Organization (WHO)/Tropical Disease Research (TDR) in 2009. To date, there has been no Indian study that has applied this classification. AIMS AND OBJECTIVES To assess the accuracy and applicability of the revised WHO classification (2009) of dengue in children seen at a tertiary healthcare facility in India. MATERIALS AND METHODS Over a period of 1 year children from the pediatric ward and Out Patient Department (OPD) of the King George Medical University Hospital, Lucknow were enrolled in the study according to predefined criteria and tested for dengue. Each dengue-positive patient was classified according to both the older system [dengue fever (DF), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS)] and the new system (D, DWS, and SD). The severity of dengue was compared to the level of treatment received. RESULTS A total of 56 patients tested positive for dengue--51 from the pediatric ward and five from the OPD. According to the older WHO classification, 42 (75 %) patients were classified as DF and 13 (23.2 %) as DHF/DSS; one patient was unclassifiable. Five patients (8.9 %) received level 1 treatment, ten (17.8 %) received level 2 treatment, and 41 (73.2 %) received level 3 treatment. According to the new WHO/TDR classification, 46 (82.1 %) patients were classified as SD, nine (16 %) as DWS, and only one (1.7 %) as D. Many of the severe manifestations (encephalopathy, shock, mucosal bleed, platelet count <20,000, respiratory distress, liver enzymes >1,000 U/L) were seen in patients who were classified as DF according to old classification, whereas these patients were mostly classified as SD by the new classification. Sensitivity of the older and new classifications was 24.8 and 98 %, respectively. CONCLUSIONS The revised WHO/TDR (2009) classification has very high sensitivity for identifying severe dengue and is easy to apply.
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Affiliation(s)
- D Prasad
- Department of Pediatrics, King George Medical University, Lucknow, UP, 226003, India
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Magge SN, Prasad D, Koren D, Gallagher PR, Mohler ER, Stettler N, Levitt Katz LE, Rader DJ. Prediabetic obese adolescents have a more atherogenic lipoprotein profile compared with normoglycemic obese peers. J Pediatr 2012; 161:881-6. [PMID: 22622051 PMCID: PMC3430826 DOI: 10.1016/j.jpeds.2012.04.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2011] [Revised: 02/16/2012] [Accepted: 04/16/2012] [Indexed: 12/28/2022]
Abstract
OBJECTIVE To compare lipoprotein profiles of prediabetic to normoglycemic obese adolescents. STUDY DESIGN Cross-sectional study of 95 obese, pubertal adolescents (12-17 years), who underwent oral glucose tolerance test, lipid panel, and lipoprotein subclass particle analysis (nuclear magnetic resonance spectroscopy). Univariate and linear regression analyses compared prediabetic and normoglycemic groups. RESULTS Of 95 obese adolescents enrolled in the study, 22.1% (n = 21) had prediabetes. They were similar to normoglycemic adolescents (n = 74) in age, race, body mass index, standard lipids, total low-density lipoprotein particles (LDL-P), and total high-density lipoprotein particles (HDL-P). However, prediabetics had higher concentrations of small LDL-P (714.0 ± 288.0 vs 537.7 ± 266.5 nmol/L, P = .01) and smaller LDL-P size (20.73 ± 0.41 vs 21.18 ± 0.65 nm, P = .003), than normoglycemic youth. Prediabetics had higher small HDL-P (18.5 ± 3.8 vs 16.6 ± 3.9 umol/L, P = .046), lower large HDL-P (4.49 ± 2.0 vs 6.32 ± 2.6 umol/L, P = .004), and smaller HDL-P size (8.73 ± 0.31 vs 9.01 ± 0.39 nm, P = .003). After adjusting for demographics, Tanner stage, and body mass index using multiple linear regression, all differences remained significant except for small HDL-P. After additional adjustment for Homeostasis Model Assessment-Insulin Resistance Index, only LDL-P size difference remained significant. CONCLUSION Obese prediabetic adolescents have a significantly more atherogenic lipoprotein profile compared with obese normoglycemic peers. Prediabetic adolescents may benefit from more aggressive interventions to decrease future cardiovascular risk.
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Affiliation(s)
- Sheela N. Magge
- Division of Endocrinology and Diabetes, The Children’s Hospital of Philadelphia,Perelman School of Medicine at the University of Pennsylvania
| | - Divya Prasad
- Division of Endocrinology and Diabetes, The Children’s Hospital of Philadelphia
| | - Dorit Koren
- Division of Endocrinology and Diabetes, The Children’s Hospital of Philadelphia,Perelman School of Medicine at the University of Pennsylvania
| | - Paul R. Gallagher
- Clinical and Translational Research Center, The Children’s Hospital of Philadelphia
| | - Emile R. Mohler
- Cardiovascular Medicine, Hospital of the University of Pennsylvania,Perelman School of Medicine at the University of Pennsylvania
| | - Nicolas Stettler
- Division of Gastroenterology, Hepatology, and Nutrition, The Children’s Hospital of Philadelphia,Perelman School of Medicine at the University of Pennsylvania
| | - Lorraine E. Levitt Katz
- Division of Endocrinology and Diabetes, The Children’s Hospital of Philadelphia,Perelman School of Medicine at the University of Pennsylvania
| | - Daniel J. Rader
- Cardiovascular Medicine, Hospital of the University of Pennsylvania,Perelman School of Medicine at the University of Pennsylvania
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Rai UN, Prasad D, Verma S, Upadhyay AK, Singh NK. Biomonitoring of metals in Ganga water at different ghats of Haridwar: implications of constructed wetland for sewage detoxification. Bull Environ Contam Toxicol 2012; 89:805-810. [PMID: 22869393 DOI: 10.1007/s00128-012-0766-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2012] [Accepted: 07/26/2012] [Indexed: 06/01/2023]
Abstract
An assessment of Ganga river water quality at different ghats of Haridwar, showed high TDS (782.15 mg L(-1)) and BOD (21.76 mg L(-1)) levels at the mixing points of sewage discharge channels and the water was found to be contaminated with appreciable amounts of toxic metals; Cu, Pb, Zn, Cr and Mn (0.178, 0.566, 0.199, 0.177 and 0.160 mg L(-1)). The Ganga water supported exuberant growth of algae and aquatic macrophytes in littoral zone of river, which accumulated appreciable amount of metals in their tissues. Results showed possibility of using metal accumulation potential of plants and algae for monitoring low level of metal contamination vis-a-vis their use in renovating sewage by treating into especially designed constructed wetland.
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Affiliation(s)
- U N Rai
- Plant Ecology and Environmental Science Division, CSIR-National Botanical Research Institute, Lucknow 226001, India.
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Prasad D, Das P, Saha N, Nandi M, Guha S, Chatterjee S, Achari R, Mallick I. PD-0355 CAN OFFLINE CORRECTIONS EFFECTIVELY SUBSTITUTE FOR DAILY ONLINE IMAGING IN RADIOTHERAPY OF CARCINOMA OF PROSTATE? Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)70694-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Sekar G, Dandapat A, Korupalli C, Prasad D, Singh R. An Efficient Copper(I) Iodide Catalyzed Synthesis of Diaryl Selenides through CAr-Se Bond Formation Using Solvent Acetonitrile as Ligand. SYNTHESIS-STUTTGART 2011. [DOI: 10.1055/s-0030-1260078] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Dodd KJ, Taylor NF, Shields N, Prasad D, McDonald E, Gillon A. Progressive resistance training did not improve walking but can improve muscle performance, quality of life and fatigue in adults with multiple sclerosis: a randomized controlled trial. Mult Scler 2011; 17:1362-74. [PMID: 21677021 DOI: 10.1177/1352458511409084] [Citation(s) in RCA: 98] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Few high-quality trials have examined the effects of progressive resistance training (PRT) on people with multiple sclerosis (MS). OBJECTIVE To determine the effectiveness of PRT for people with MS, focusing on improving the gait deficits common in this population. METHODS Using a single blind randomized controlled trial, people with relapsing-remitting MS were randomly allocated to either a PRT program targeting the lower limb muscles twice a week for 10 weeks (n = 36), or usual care plus an attention and social program conducted once a week for 10 weeks (n = 35). Outcomes were recorded at baseline, week 10 and week 22. RESULTS Participants attended 92% of training sessions, with no serious adverse events. At 10 weeks, no differences were detected in walking performance. However, compared with the comparison group PRT demonstrated increased leg press strength (16.8%, SD 4.5), increased reverse leg press strength (29.8%, SD 12.7), and increased muscle endurance of the reverse leg press (38.7%, SD 32.8). Improvements in favor of PRT were also found for physical fatigue (Mean difference -3.9 units, 95%CI -6.6 to -1.3), and the physical health domain of quality of life (Mean difference 1.5 units, 95%CI 0.1 to 2.9). At week 22 almost no between-group differences remained. CONCLUSION PRT is a relatively safe intervention that can have short-term effects on reducing physical fatigue, increasing muscle endurance and can lead to small improvements in muscle strength and quality of life in people with relapsing-remitting MS. However, no improvements in walking performance were observed and benefits do not appear to persist if training is completely stopped.
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Affiliation(s)
- K J Dodd
- La Trobe University, Victoria, Australia.
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