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Saini A, Holla VV, Kalikavil Puthanveedu D, Mehta S, Elavarasi A, Pillai KS, Mohapatra P, Kumari R, Bari S, Singh I, Cherian A, Krishnan S, Radhakrishnan DM, Agarwal A, Garg D, Garg K, Singh M, Garg A, Muthusamy B, Lal V, Kishore A, Pal PK, Srivastava A, Faruq M, Rajan R. Novel PANK2 Variant in Asian Indians with Atypical Pantothenate Kinase Associated Neurodegeneration. Mov Disord 2024. [PMID: 38506547 DOI: 10.1002/mds.29737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Revised: 12/02/2023] [Accepted: 01/16/2024] [Indexed: 03/21/2024] Open
Affiliation(s)
- Arti Saini
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Vikram V Holla
- Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India
| | - Divya Kalikavil Puthanveedu
- Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
| | - Sahil Mehta
- Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | | | - Kanchana Soman Pillai
- Parkinson and Movement Disorder Centre, Centre for Excellence in Neurosciences, Aster Medcity, Kochi, India
| | - Prachi Mohapatra
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Riyanka Kumari
- Institute of Bioinformatics, Bengaluru, India
- Manipal Academy of Higher Education, Manipal, India
| | - Shreya Bari
- Council of Scientific and Industrial Research-Institute of Genomics and Integrative Biology, New Delhi, India
| | - Inder Singh
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Ajith Cherian
- Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
| | - Syam Krishnan
- Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
| | | | - Ayush Agarwal
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Divyani Garg
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Kanwaljeet Garg
- Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
| | - Manmohan Singh
- Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India
| | - Ajay Garg
- Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences, New Delhi, India
| | - Babylakshmi Muthusamy
- Institute of Bioinformatics, Bengaluru, India
- Manipal Academy of Higher Education, Manipal, India
| | - Vivek Lal
- Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Asha Kishore
- Parkinson and Movement Disorder Centre, Centre for Excellence in Neurosciences, Aster Medcity, Kochi, India
| | - Pramod Kumar Pal
- Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, India
| | - Achal Srivastava
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammed Faruq
- Council of Scientific and Industrial Research-Institute of Genomics and Integrative Biology, New Delhi, India
| | - Roopa Rajan
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
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2
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Khanna NN, Singh M, Maindarkar M, Kumar A, Johri AM, Mentella L, Laird JR, Paraskevas KI, Ruzsa Z, Singh N, Kalra MK, Fernandes JFE, Chaturvedi S, Nicolaides A, Rathore V, Singh I, Teji JS, Al-Maini M, Isenovic ER, Viswanathan V, Khanna P, Fouda MM, Saba L, Suri JS. Polygenic Risk Score for Cardiovascular Diseases in Artificial Intelligence Paradigm: A Review. J Korean Med Sci 2023; 38:e395. [PMID: 38013648 PMCID: PMC10681845 DOI: 10.3346/jkms.2023.38.e395] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 10/15/2023] [Indexed: 11/29/2023] Open
Abstract
Cardiovascular disease (CVD) related mortality and morbidity heavily strain society. The relationship between external risk factors and our genetics have not been well established. It is widely acknowledged that environmental influence and individual behaviours play a significant role in CVD vulnerability, leading to the development of polygenic risk scores (PRS). We employed the PRISMA search method to locate pertinent research and literature to extensively review artificial intelligence (AI)-based PRS models for CVD risk prediction. Furthermore, we analyzed and compared conventional vs. AI-based solutions for PRS. We summarized the recent advances in our understanding of the use of AI-based PRS for risk prediction of CVD. Our study proposes three hypotheses: i) Multiple genetic variations and risk factors can be incorporated into AI-based PRS to improve the accuracy of CVD risk predicting. ii) AI-based PRS for CVD circumvents the drawbacks of conventional PRS calculators by incorporating a larger variety of genetic and non-genetic components, allowing for more precise and individualised risk estimations. iii) Using AI approaches, it is possible to significantly reduce the dimensionality of huge genomic datasets, resulting in more accurate and effective disease risk prediction models. Our study highlighted that the AI-PRS model outperformed traditional PRS calculators in predicting CVD risk. Furthermore, using AI-based methods to calculate PRS may increase the precision of risk predictions for CVD and have significant ramifications for individualized prevention and treatment plans.
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Affiliation(s)
- Narendra N Khanna
- Department of Cardiology, Indraprastha APOLLO Hospitals, New Delhi, India
- Asia Pacific Vascular Society, New Delhi, India
| | - Manasvi Singh
- Stroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA, USA
- Bennett University, Greater Noida, India
| | - Mahesh Maindarkar
- Asia Pacific Vascular Society, New Delhi, India
- Stroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA, USA
- School of Bioengineering Sciences and Research, Maharashtra Institute of Technology's Art, Design and Technology University, Pune, India
| | | | - Amer M Johri
- Department of Medicine, Division of Cardiology, Queen's University, Kingston, Canada
| | - Laura Mentella
- Department of Medicine, Division of Cardiology, University of Toronto, Toronto, Canada
| | - John R Laird
- Heart and Vascular Institute, Adventist Health St. Helena, St. Helena, CA, USA
| | | | - Zoltan Ruzsa
- Invasive Cardiology Division, University of Szeged, Szeged, Hungary
| | - Narpinder Singh
- Department of Food Science and Technology, Graphic Era Deemed to be University, Dehradun, Uttarakhand, India
| | | | | | - Seemant Chaturvedi
- Department of Neurology & Stroke Program, University of Maryland, Baltimore, MD, USA
| | - Andrew Nicolaides
- Vascular Screening and Diagnostic Centre and University of Nicosia Medical School, Cyprus
| | - Vijay Rathore
- Nephrology Department, Kaiser Permanente, Sacramento, CA, USA
| | - Inder Singh
- Stroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA, USA
| | - Jagjit S Teji
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | - Mostafa Al-Maini
- Allergy, Clinical Immunology and Rheumatology Institute, Toronto, ON, Canada
| | - Esma R Isenovic
- Department of Radiobiology and Molecular Genetics, National Institute of The Republic of Serbia, University of Belgrade, Beograd, Serbia
| | | | - Puneet Khanna
- Department of Anaesthesiology, AIIMS, New Delhi, India
| | - Mostafa M Fouda
- Department of Electrical and Computer Engineering, Idaho State University, Pocatello, ID, USA
| | - Luca Saba
- Department of Radiology, Azienda Ospedaliero Universitaria, Cagliari, Italy
| | - Jasjit S Suri
- Asia Pacific Vascular Society, New Delhi, India
- Stroke Monitoring and Diagnostic Division, AtheroPoint™, Roseville, CA, USA
- Department of Computer Engineering, Graphic Era Deemed to be University, Dehradun, India.
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Singh J, Benjamin M, Pandey AK, Kumari S, Ali MS, Palanichamy JK, Bakhshi S, Singh A, Pushpam D, Kumar A, Seth R, Singh I, Tanwar P, Singh AR, Sharma G, Arora M, Chopra A. Prognostic relevance of surface expression of cytokine receptor-like factor 2 in pediatric B-lineage acute lymphoblastic leukemia. Am J Cancer Res 2023; 13:2452-2470. [PMID: 37424808 PMCID: PMC10326580] [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] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 03/23/2023] [Indexed: 07/11/2023] Open
Abstract
Overexpression of cytokine receptor-like factor 2 (CRLF2) resulting from its genomic rearrangement is the most frequent genetic alteration found in Philadelphia chromosome-like (Ph-like) B-cell acute lymphoblastic leukemia (B-ALL), a high-risk leukemia. Detection of CRLF2 expression by multiparameter flow cytometry has been proposed as a screening tool for the identification of Ph-like B-ALL. However, the prognostic relevance of flow cytometric expression of CRLF2 in pediatric B-ALL is not very clear. Additionally, its association with common copy number alterations (CNA) has not been studied in detail. Hence, in this study, we prospectively evaluated the flow cytometric expression of CRLF2 in 256 pediatric B-ALL patients and determined its association with molecular features such as common CNAs detected using Multiplex ligation-dependent probe amplification and mutations in CRLF2, JAK2 and IL7RA genes. Further, its association with clinicopathological features including patient outcome was assessed. We found that 8.59% (22/256) pediatric B-ALL patients were CRLF2-positive at diagnosis. Among CNAs, CRLF2 positivity was associated with presence of PAX5 alteration (P=0.041). JAK2 and IL-7R mutations were found in 9% and 13.6% CRLF2-positive patients, respectively. IGH::CRLF2 or P2RY8::CRLF2 fusions were each found in 1/22 individuals. CRLF2-positive patients were found to have inferior overall (hazard ratio (HR) =4.39, P=0.006) and event free survival (HR=2.62, P=0.045), independent to other clinical features. Furthermore, concomitant CNA of IKZF1 in CRLF2 positive patients was associated with a greater hazard for poor overall and event free survival, compared to patients without these alterations or presence of any one of them. Our findings demonstrate that the surface CRLF2 expression in association with IKZF1 copy number alteration can be used to risk stratify pediatric B-ALL patients.
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Affiliation(s)
- Jay Singh
- Laboratory Oncology, AIIMSNew Delhi, India
| | | | | | | | | | | | | | - Amitabh Singh
- Department of Pediatrics, Safdarjung HospitalNew Delhi, India
| | | | - Akash Kumar
- Department of Medical Oncology, AIIMSNew Delhi, India
| | - Rachna Seth
- Department of Pediatrics, AIIMSNew Delhi, India
| | - Inder Singh
- Department of Neurology, AIIMSNew Delhi, India
| | | | | | | | - Mohit Arora
- Department of Biochemistry, AIIMSNew Delhi, India
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4
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Reisdorfer E, Nesari M, Krell K, Johnston S, Dunlop RZ, Chute A, de Goes FDSN, Singh I. The Influence of Social Media on Alcohol Consumption of Mothers of Children and Adolescents: A Scoping Review of the Literature. Nurs Rep 2023; 13:682-696. [PMID: 37092489 PMCID: PMC10123727 DOI: 10.3390/nursrep13020061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Revised: 04/04/2023] [Accepted: 04/08/2023] [Indexed: 04/25/2023] Open
Abstract
Alcohol misuse is a common problem in many countries, where alcohol is often portrayed as a fun and interactive coping strategy for mothers to manage the demands of motherhood. Social media platforms have established themselves as a popular forum for mothers to share information and create an environment in which mothers may be exposed to and influenced by alcohol-related content. Given the increased social acceptance and normalization of drinking among mothers, especially during the recent pandemic, a critical analysis of social media influences on alcohol behaviours and consumption is warranted. A scoping review mapped the evidence on social media influences and alcohol consumption among mothers of children and teenagers younger than eighteen years old. Several databases were consulted, and the evidence was collated into two themes and seven subthemes. Factors related to alcohol consumption in motherhood include (1) community and social support, (2) coping and mental health, (3) motherhood expectations and identity, (4) alcohol consumption, (5) marketing strategies, (6) everyday issues, and (7) social media influence. Numerous social, economic, and health problems are associated with alcohol misuse. The current literature suggests that social media is a powerful tool to disseminate messages about alcohol and normalize mothers' drinking behaviours.
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Affiliation(s)
- Emilene Reisdorfer
- Department of Professional Nursing and Allied Health, Faculty of Nursing, MacEwan University, Edmonton, AB T5J 4S2, Canada
| | - Maryam Nesari
- Department of Human Health and Science, Faculty of Nursing, MacEwan University, Edmonton, AB T5J 4S2, Canada
| | - Kari Krell
- Department of Professional Nursing and Allied Health, Faculty of Nursing, MacEwan University, Edmonton, AB T5J 4S2, Canada
| | - Sharon Johnston
- Department of Human Health and Science, Faculty of Nursing, MacEwan University, Edmonton, AB T5J 4S2, Canada
| | - Randi Ziorio Dunlop
- Department of Human Health and Science, Faculty of Nursing, MacEwan University, Edmonton, AB T5J 4S2, Canada
| | - Andrea Chute
- Department of Nursing Foundations, Faculty of Nursing, MacEwan University, Edmonton, AB T5J 4S2, Canada
| | | | - Inder Singh
- Office of Research Services, MacEwan University, Edmonton, AB T5J 4S2, Canada
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5
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Alexander AT, Singh I, Sabu AM, Kurian N, Vohra Y. Kite string-induced facial trauma. Br Dent J 2023; 234:294. [PMID: 36899219 DOI: 10.1038/s41415-023-5631-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 02/21/2023] [Indexed: 03/12/2023]
Affiliation(s)
| | | | - A M Sabu
- Christian Dental College, Ludhiana, India.
| | - N Kurian
- Christian Dental College, Ludhiana, India.
| | - Y Vohra
- Christian Dental College, Ludhiana, India.
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6
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Acero MA, Adamson P, Aliaga L, Anfimov N, Antoshkin A, Arrieta-Diaz E, Asquith L, Aurisano A, Back A, Baird M, Balashov N, Baldi P, Bambah BA, Bashar S, Bays K, Bernstein R, Bhatnagar V, Bhattarai D, Bhuyan B, Bian J, Booth AC, Bowles R, Brahma B, Bromberg C, Buchanan N, Butkevich A, Calvez S, Carroll TJ, Catano-Mur E, Childress S, Chatla A, Chirco R, Choudhary BC, Christensen A, Coan TE, Colo M, Cremonesi L, Davies GS, Derwent PF, Ding P, Djurcic Z, Dolce M, Doyle D, Dueñas Tonguino D, Dukes EC, Ehrlich R, Elkins M, Ewart E, Feldman GJ, Filip P, Franc J, Frank MJ, Gallagher HR, Gandrajula R, Gao F, Giri A, Gomes RA, Goodman MC, Grichine V, Groh M, Group R, Guo B, Habig A, Hakl F, Hall A, Hartnell J, Hatcher R, Hausner H, He M, Heller K, Hewes V, Himmel A, Jargowsky B, Jarosz J, Jediny F, Johnson C, Judah M, Kakorin I, Kaplan DM, Kalitkina A, Keloth R, Klimov O, Koerner LW, Kolupaeva L, Kotelnikov S, Kralik R, Kullenberg C, Kubu M, Kumar A, Kuruppu CD, Kus V, Lackey T, Lang K, Lasorak P, Lesmeister J, Lin S, Lister A, Liu J, Lokajicek M, Lopez JMC, Mahji R, Magill S, Manrique Plata M, Mann WA, Manoharan MT, Marshak ML, Martinez-Casales M, Matveev V, Mayes B, Messier MD, Meyer H, Miao T, Mikola V, Miller WH, Mishra S, Mishra SR, Mislivec A, Mohanta R, Moren A, Morozova A, Mu W, Mualem L, Muether M, Mulder K, Naples D, Nath A, Nayak N, Nelleri S, Nelson JK, Nichol R, Niner E, Norman A, Norrick A, Nosek T, Oh H, Olshevskiy A, Olson T, Ott J, Pal A, Paley J, Panda L, Patterson RB, Pawloski G, Petrova O, Petti R, Phan DD, Plunkett RK, Pobedimov A, Porter JCC, Rafique A, Prais LR, Raj V, Rajaoalisoa M, Ramson B, Rebel B, Rojas P, Roy P, Ryabov V, Samoylov O, Sanchez MC, Sánchez Falero S, Shanahan P, Shukla S, Sheshukov A, Singh I, Singh P, Singh V, Smith E, Smolik J, Snopok P, Solomey N, Sousa A, Soustruznik K, Strait M, Suter L, Sutton A, Swain S, Sweeney C, Sztuc A, Talaga RL, Tapia Oregui B, Tas P, Temizel BN, Thakore T, Thayyullathil RB, Thomas J, Tiras E, Tripathi J, Trokan-Tenorio J, Torun Y, Urheim J, Vahle P, Vallari Z, Vasel J, Vrba T, Wallbank M, Warburton TK, Wetstein M, Whittington D, Wickremasinghe DA, Wieber T, Wolcott J, Wu W, Xiao Y, Yaeggy B, Yallappa Dombara A, Yankelevich A, Yonehara K, Yu S, Yu Y, Zadorozhnyy S, Zalesak J, Zhang Y, Zwaska R. Measurement of the ν_{e}-Nucleus Charged-Current Double-Differential Cross Section at ⟨E_{ν}⟩=2.4 GeV Using NOvA. Phys Rev Lett 2023; 130:051802. [PMID: 36800478 DOI: 10.1103/physrevlett.130.051802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 09/13/2022] [Accepted: 11/08/2022] [Indexed: 06/18/2023]
Abstract
The inclusive electron neutrino charged-current cross section is measured in the NOvA near detector using 8.02×10^{20} protons-on-target in the NuMI beam. The sample of GeV electron neutrino interactions is the largest analyzed to date and is limited by ≃17% systematic rather than the ≃7.4% statistical uncertainties. The double-differential cross section in final-state electron energy and angle is presented for the first time, together with the single-differential dependence on Q^{2} (squared four-momentum transfer) and energy, in the range 1 GeV≤E_{ν}<6 GeV. Detailed comparisons are made to the predictions of the GENIE, GiBUU, NEUT, and NuWro neutrino event generators. The data do not strongly favor a model over the others consistently across all three cross sections measured, though some models have especially good or poor agreement in the single differential cross section vs Q^{2}.
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Affiliation(s)
- M A Acero
- Universidad del Atlantico, Carrera 30 No. 8-49, Puerto Colombia, Atlantico, Colombia
| | - P Adamson
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - L Aliaga
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - N Anfimov
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - A Antoshkin
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - E Arrieta-Diaz
- Universidad del Magdalena, Carrera 32 No 22-08 Santa Marta, Colombia
| | - L Asquith
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - A Aurisano
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - A Back
- Indiana University, Bloomington, Indiana 47405, USA
- Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011, USA
| | - M Baird
- Indiana University, Bloomington, Indiana 47405, USA
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
- Department of Physics, University of Virginia, Charlottesville, Virginia 22904, USA
| | - N Balashov
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - P Baldi
- Department of Physics and Astronomy, University of California at Irvine, Irvine, California 92697, USA
| | - B A Bambah
- School of Physics, University of Hyderabad, Hyderabad 500 046, India
| | - S Bashar
- Department of Physics and Astronomy, Tufts University, Medford, Massachusetts 02155, USA
| | - K Bays
- California Institute of Technology, Pasadena, California 91125, USA
- Illinois Institute of Technology, Chicago Illinois 60616, USA
| | - R Bernstein
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - V Bhatnagar
- Department of Physics, Panjab University, Chandigarh 160 014, India
| | - D Bhattarai
- University of Mississippi, University, Mississippi 38677, USA
| | - B Bhuyan
- Department of Physics, IIT Guwahati, Guwahati 781 039, India
| | - J Bian
- Department of Physics and Astronomy, University of California at Irvine, Irvine, California 92697, USA
- School of Physics and Astronomy, University of Minnesota Twin Cities, Minneapolis, Minnesota 55455, USA
| | - A C Booth
- Particle Physics Research Centre, Department of Physics and Astronomy, Queen Mary University of London, London E1 4NS, United Kingdom
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - R Bowles
- Indiana University, Bloomington, Indiana 47405, USA
| | - B Brahma
- Department of Physics, IIT Hyderabad, Hyderabad 502 205, India
| | - C Bromberg
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - N Buchanan
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
| | - A Butkevich
- Institute for Nuclear Research of Russia, Academy of Sciences 7a, 60th October Anniversary prospect, Moscow 117312, Russia
| | - S Calvez
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
| | - T J Carroll
- Department of Physics, University of Texas at Austin, Austin, Texas 78712, USA
- Department of Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
| | - E Catano-Mur
- Department of Physics, William & Mary, Williamsburg, Virginia 23187, USA
| | - S Childress
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Chatla
- School of Physics, University of Hyderabad, Hyderabad 500 046, India
| | - R Chirco
- Illinois Institute of Technology, Chicago Illinois 60616, USA
| | - B C Choudhary
- Department of Physics and Astrophysics, University of Delhi, Delhi 110007, India
| | - A Christensen
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
| | - T E Coan
- Department of Physics, Southern Methodist University, Dallas, Texas 75275, USA
| | - M Colo
- Department of Physics, William & Mary, Williamsburg, Virginia 23187, USA
| | - L Cremonesi
- Particle Physics Research Centre, Department of Physics and Astronomy, Queen Mary University of London, London E1 4NS, United Kingdom
| | - G S Davies
- Indiana University, Bloomington, Indiana 47405, USA
- University of Mississippi, University, Mississippi 38677, USA
| | - P F Derwent
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - P Ding
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - Z Djurcic
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - M Dolce
- Department of Physics and Astronomy, Tufts University, Medford, Massachusetts 02155, USA
| | - D Doyle
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
| | - D Dueñas Tonguino
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - E C Dukes
- Department of Physics, University of Virginia, Charlottesville, Virginia 22904, USA
| | - R Ehrlich
- Department of Physics, University of Virginia, Charlottesville, Virginia 22904, USA
| | - M Elkins
- Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011, USA
| | - E Ewart
- Indiana University, Bloomington, Indiana 47405, USA
| | - G J Feldman
- Department of Physics, Harvard University, Cambridge, Massachusetts 02138, USA
| | - P Filip
- Institute of Physics, The Czech Academy of Sciences, 182 21 Prague, Czech Republic
| | - J Franc
- Czech Technical University in Prague, Brehova 7, 115 19 Prague 1, Czech Republic
| | - M J Frank
- Department of Physics, University of South Alabama, Mobile, Alabama 36688, USA
| | - H R Gallagher
- Department of Physics and Astronomy, Tufts University, Medford, Massachusetts 02155, USA
| | - R Gandrajula
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics, University of Virginia, Charlottesville, Virginia 22904, USA
| | - F Gao
- Department of Physics, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA
| | - A Giri
- Department of Physics, IIT Hyderabad, Hyderabad 502 205, India
| | - R A Gomes
- Instituto de Física, Universidade Federal de Goiás, Goiânia, Goiás 74690-900, Brazil
| | - M C Goodman
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - V Grichine
- Nuclear Physics and Astrophysics Division, Lebedev Physical Institute, Leninsky Prospect 53, 119991 Moscow, Russia
| | - M Groh
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
- Indiana University, Bloomington, Indiana 47405, USA
| | - R Group
- Department of Physics, University of Virginia, Charlottesville, Virginia 22904, USA
| | - B Guo
- Department of Physics and Astronomy, University of South Carolina, Columbia, South Carolina 29208, USA
| | - A Habig
- Department of Physics and Astronomy, University of Minnesota Duluth, Duluth, Minnesota 55812, USA
| | - F Hakl
- Institute of Computer Science, The Czech Academy of Sciences, 182 07 Prague, Czech Republic
| | - A Hall
- Department of Physics, University of Virginia, Charlottesville, Virginia 22904, USA
| | - J Hartnell
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - R Hatcher
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - H Hausner
- Department of Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
| | - M He
- Department of Physics, University of Houston, Houston, Texas 77204, USA
| | - K Heller
- School of Physics and Astronomy, University of Minnesota Twin Cities, Minneapolis, Minnesota 55455, USA
| | - V Hewes
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - A Himmel
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - B Jargowsky
- Department of Physics and Astronomy, University of California at Irvine, Irvine, California 92697, USA
| | - J Jarosz
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
| | - F Jediny
- Czech Technical University in Prague, Brehova 7, 115 19 Prague 1, Czech Republic
| | - C Johnson
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
| | - M Judah
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
- Department of Physics, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA
| | - I Kakorin
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - D M Kaplan
- Illinois Institute of Technology, Chicago Illinois 60616, USA
| | - A Kalitkina
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - R Keloth
- Department of Physics, Cochin University of Science and Technology, Kochi 682 022, India
| | - O Klimov
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - L W Koerner
- Department of Physics, University of Houston, Houston, Texas 77204, USA
| | - L Kolupaeva
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - S Kotelnikov
- Nuclear Physics and Astrophysics Division, Lebedev Physical Institute, Leninsky Prospect 53, 119991 Moscow, Russia
| | - R Kralik
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - Ch Kullenberg
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - M Kubu
- Czech Technical University in Prague, Brehova 7, 115 19 Prague 1, Czech Republic
| | - A Kumar
- Department of Physics, Panjab University, Chandigarh 160 014, India
| | - C D Kuruppu
- Department of Physics and Astronomy, University of South Carolina, Columbia, South Carolina 29208, USA
| | - V Kus
- Czech Technical University in Prague, Brehova 7, 115 19 Prague 1, Czech Republic
| | - T Lackey
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
- Indiana University, Bloomington, Indiana 47405, USA
| | - K Lang
- Department of Physics, University of Texas at Austin, Austin, Texas 78712, USA
| | - P Lasorak
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - J Lesmeister
- Department of Physics, University of Houston, Houston, Texas 77204, USA
| | - S Lin
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
| | - A Lister
- Department of Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
| | - J Liu
- Department of Physics and Astronomy, University of California at Irvine, Irvine, California 92697, USA
| | - M Lokajicek
- Institute of Physics, The Czech Academy of Sciences, 182 21 Prague, Czech Republic
| | - J M C Lopez
- Physics and Astronomy Department, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - R Mahji
- School of Physics, University of Hyderabad, Hyderabad 500 046, India
| | - S Magill
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | | | - W A Mann
- Department of Physics and Astronomy, Tufts University, Medford, Massachusetts 02155, USA
| | - M T Manoharan
- Department of Physics, Cochin University of Science and Technology, Kochi 682 022, India
| | - M L Marshak
- School of Physics and Astronomy, University of Minnesota Twin Cities, Minneapolis, Minnesota 55455, USA
| | - M Martinez-Casales
- Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011, USA
| | - V Matveev
- Institute for Nuclear Research of Russia, Academy of Sciences 7a, 60th October Anniversary prospect, Moscow 117312, Russia
| | - B Mayes
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - M D Messier
- Indiana University, Bloomington, Indiana 47405, USA
| | - H Meyer
- Department of Mathematics, Statistics, and Physics, Wichita State University, Wichita, Kansas 67206, USA
| | - T Miao
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - V Mikola
- Physics and Astronomy Department, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - W H Miller
- School of Physics and Astronomy, University of Minnesota Twin Cities, Minneapolis, Minnesota 55455, USA
| | - S Mishra
- Department of Physics, Institute of Science, Banaras Hindu University, Varanasi 221 005, India
| | - S R Mishra
- Department of Physics and Astronomy, University of South Carolina, Columbia, South Carolina 29208, USA
| | - A Mislivec
- School of Physics and Astronomy, University of Minnesota Twin Cities, Minneapolis, Minnesota 55455, USA
| | - R Mohanta
- School of Physics, University of Hyderabad, Hyderabad 500 046, India
| | - A Moren
- Department of Physics and Astronomy, University of Minnesota Duluth, Duluth, Minnesota 55812, USA
| | - A Morozova
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - W Mu
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - L Mualem
- California Institute of Technology, Pasadena, California 91125, USA
| | - M Muether
- Department of Mathematics, Statistics, and Physics, Wichita State University, Wichita, Kansas 67206, USA
| | - K Mulder
- Physics and Astronomy Department, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - D Naples
- Department of Physics, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA
| | - A Nath
- Department of Physics, IIT Guwahati, Guwahati 781 039, India
| | - N Nayak
- Department of Physics and Astronomy, University of California at Irvine, Irvine, California 92697, USA
| | - S Nelleri
- Department of Physics, Cochin University of Science and Technology, Kochi 682 022, India
| | - J K Nelson
- Department of Physics, William & Mary, Williamsburg, Virginia 23187, USA
| | - R Nichol
- Physics and Astronomy Department, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - E Niner
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Norman
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Norrick
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - T Nosek
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
| | - H Oh
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - A Olshevskiy
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - T Olson
- Department of Physics and Astronomy, Tufts University, Medford, Massachusetts 02155, USA
| | - J Ott
- Department of Physics and Astronomy, University of California at Irvine, Irvine, California 92697, USA
| | - A Pal
- National Institute of Science Education and Research, Khurda 752050, Odisha, India
| | - J Paley
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - L Panda
- National Institute of Science Education and Research, Khurda 752050, Odisha, India
| | - R B Patterson
- California Institute of Technology, Pasadena, California 91125, USA
| | - G Pawloski
- School of Physics and Astronomy, University of Minnesota Twin Cities, Minneapolis, Minnesota 55455, USA
| | - O Petrova
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - R Petti
- Department of Physics and Astronomy, University of South Carolina, Columbia, South Carolina 29208, USA
| | - D D Phan
- Department of Physics, University of Texas at Austin, Austin, Texas 78712, USA
- Physics and Astronomy Department, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - R K Plunkett
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Pobedimov
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - J C C Porter
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - A Rafique
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - L R Prais
- University of Mississippi, University, Mississippi 38677, USA
| | - V Raj
- California Institute of Technology, Pasadena, California 91125, USA
| | - M Rajaoalisoa
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - B Ramson
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - B Rebel
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
- Department of Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
| | - P Rojas
- Department of Physics, Colorado State University, Fort Collins, Colorado 80523-1875, USA
| | - P Roy
- Department of Mathematics, Statistics, and Physics, Wichita State University, Wichita, Kansas 67206, USA
| | - V Ryabov
- Nuclear Physics and Astrophysics Division, Lebedev Physical Institute, Leninsky Prospect 53, 119991 Moscow, Russia
| | - O Samoylov
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - M C Sanchez
- Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011, USA
| | - S Sánchez Falero
- Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011, USA
| | - P Shanahan
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - S Shukla
- Department of Physics, Institute of Science, Banaras Hindu University, Varanasi 221 005, India
| | - A Sheshukov
- Joint Institute for Nuclear Research, Dubna, Moscow region 141980, Russia
| | - I Singh
- Department of Physics and Astrophysics, University of Delhi, Delhi 110007, India
| | - P Singh
- Department of Physics and Astrophysics, University of Delhi, Delhi 110007, India
- Particle Physics Research Centre, Department of Physics and Astronomy, Queen Mary University of London, London E1 4NS, United Kingdom
| | - V Singh
- Department of Physics, Institute of Science, Banaras Hindu University, Varanasi 221 005, India
| | - E Smith
- Indiana University, Bloomington, Indiana 47405, USA
| | - J Smolik
- Czech Technical University in Prague, Brehova 7, 115 19 Prague 1, Czech Republic
| | - P Snopok
- Illinois Institute of Technology, Chicago Illinois 60616, USA
| | - N Solomey
- Department of Mathematics, Statistics, and Physics, Wichita State University, Wichita, Kansas 67206, USA
| | - A Sousa
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - K Soustruznik
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
| | - M Strait
- School of Physics and Astronomy, University of Minnesota Twin Cities, Minneapolis, Minnesota 55455, USA
| | - L Suter
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Sutton
- Department of Physics, University of Virginia, Charlottesville, Virginia 22904, USA
| | - S Swain
- National Institute of Science Education and Research, Khurda 752050, Odisha, India
| | - C Sweeney
- Physics and Astronomy Department, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - A Sztuc
- Physics and Astronomy Department, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - R L Talaga
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - B Tapia Oregui
- Department of Physics, University of Texas at Austin, Austin, Texas 78712, USA
| | - P Tas
- Charles University, Faculty of Mathematics and Physics, Institute of Particle and Nuclear Physics, Prague, Czech Republic
| | - B N Temizel
- Illinois Institute of Technology, Chicago Illinois 60616, USA
| | - T Thakore
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - R B Thayyullathil
- Department of Physics, Cochin University of Science and Technology, Kochi 682 022, India
| | - J Thomas
- Physics and Astronomy Department, University College London, Gower Street, London WC1E 6BT, United Kingdom
- Department of Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
| | - E Tiras
- Department of Physics, Erciyes University, Kayseri 38030, Turkey
- Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011, USA
| | - J Tripathi
- Department of Physics, Panjab University, Chandigarh 160 014, India
| | - J Trokan-Tenorio
- Department of Physics, William & Mary, Williamsburg, Virginia 23187, USA
| | - Y Torun
- Illinois Institute of Technology, Chicago Illinois 60616, USA
| | - J Urheim
- Indiana University, Bloomington, Indiana 47405, USA
| | - P Vahle
- Department of Physics, William & Mary, Williamsburg, Virginia 23187, USA
| | - Z Vallari
- California Institute of Technology, Pasadena, California 91125, USA
| | - J Vasel
- Indiana University, Bloomington, Indiana 47405, USA
| | - T Vrba
- Czech Technical University in Prague, Brehova 7, 115 19 Prague 1, Czech Republic
| | - M Wallbank
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - T K Warburton
- Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011, USA
| | - M Wetstein
- Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011, USA
| | - D Whittington
- Indiana University, Bloomington, Indiana 47405, USA
- Department of Physics, Syracuse University, Syracuse New York 13210, USA
| | | | - T Wieber
- School of Physics and Astronomy, University of Minnesota Twin Cities, Minneapolis, Minnesota 55455, USA
| | - J Wolcott
- Department of Physics and Astronomy, Tufts University, Medford, Massachusetts 02155, USA
| | - W Wu
- Department of Physics and Astronomy, University of California at Irvine, Irvine, California 92697, USA
| | - Y Xiao
- Department of Physics and Astronomy, University of California at Irvine, Irvine, California 92697, USA
| | - B Yaeggy
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - A Yallappa Dombara
- Department of Physics, Syracuse University, Syracuse New York 13210, USA
| | - A Yankelevich
- Department of Physics and Astronomy, University of California at Irvine, Irvine, California 92697, USA
| | - K Yonehara
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - S Yu
- Argonne National Laboratory, Argonne, Illinois 60439, USA
- Illinois Institute of Technology, Chicago Illinois 60616, USA
| | - Y Yu
- Illinois Institute of Technology, Chicago Illinois 60616, USA
| | - S Zadorozhnyy
- Institute for Nuclear Research of Russia, Academy of Sciences 7a, 60th October Anniversary prospect, Moscow 117312, Russia
| | - J Zalesak
- Institute of Physics, The Czech Academy of Sciences, 182 21 Prague, Czech Republic
| | - Y Zhang
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - R Zwaska
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
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Marhamati S, Qu L, Kangotra I, Desai P, Klein J, Bagla S, Singh I. Does prostate artery embolization prior to Aquablation® reduce peri-operative morbidity and increase the likelihood of same day discharge? Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00076-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Ningombam A, Verma D, Kumar R, Singh J, Ali MS, Pandey AK, Singh I, Bakhshi S, Sharma A, Pushpam D, Palanichamy JK, Tanwar P, Singh AR, Chopra A. Prognostic relevance of NPM1, CEBPA, and FLT3 mutations in cytogenetically normal adult AML patients. Am J Blood Res 2023; 13:28-43. [PMID: 36937459 PMCID: PMC10017593] [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] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 01/06/2023] [Indexed: 03/21/2023]
Abstract
BACKGROUND Acute myeloid leukemia with normal cytogenetics (CN-AML) is the largest group of AML patients with very heterogenous patient outcomes. The revised World Health Organization classification of the hematolymphoid tumours, 2022, has incorporated AML with Nucleophosphmin1 (NPM1) and CCAAT/enhancer binding protein-alpha (CEBPA) mutations as distinct entities. Despite the existing evidence of the prognostic relevance of FMS-like tyrosine kinase-3 internal tandem duplication (FLT3-ITD) in AML, it has not been included in the revised classification. METHOD In this prospective study, we determined the prevalence of NPM1, CEBPA, and FLT3 gene mutations in 151 de novo CN-AML adult patients (age ≥18 years) in a tertiary care hospital in north India. Additionally, the prognostic relevance of these mutations was also evaluated. RESULTS NPM1, FLT3-ITD, and CEBPA mutations were found in 33.11%, 23.84%, and 15.77% of CN-AML patients, respectively. CEBPA mutations were found at 3 domains: transactivation domain 1 (TAD1) in 10 (6.62%), transactivation domain 2 (TAD2) in 5 (3.31%), and basic leucine zipper domain (bZIP) in 11 (7.82%) patients. Patients with NPM1 mutation had better clinical remission rate (CR) (P=0.003), event-free survival (P=0.0014), and overall survival (OS) (P=0.0017). However, FLT3-ITD and CEBPA mutations did not show any association with CR (P=0.404 and 0.92, respectively). Biallelic CEBPA mutations were found in 12 (7.95%) patients and were associated with better OS (P=0.043). CONCLUSIONS These findings indicate that NPM1 and CEBPA mutations can be precisely used for risk stratification in CN-AML patients.
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Affiliation(s)
| | | | | | - Jay Singh
- Laboratory Oncology, AIIMSNew Delhi, India
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Joshi BD, Singh SK, Singh VK, Jabin G, Ghosh A, Dalui S, Singh A, Priyambada P, Dolker S, Mukherjee T, Sharief A, Kumar V, Singh H, Thapa A, Sharma CM, Dutta R, Bhattacharjee S, Singh I, Mehar BS, Chandra K, Sharma LK, Thakur M. From poops to planning: A broad non-invasive genetic survey of large mammals from the Indian Himalayan Region. Sci Total Environ 2022; 853:158679. [PMID: 36099955 DOI: 10.1016/j.scitotenv.2022.158679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 09/07/2022] [Accepted: 09/07/2022] [Indexed: 06/15/2023]
Abstract
Large forested landscapes often harbour significant amount of biodiversity and support mankind by rendering various livelihood opportunities and ecosystem services. Their periodic assessment for health and ecological integrity is essential for timely mitigation of any negative impact of human use due to over harvesting of natural resources or unsustainable developmental activities. In this context, monitoring of mega fauna may provide reasonable insights about the connectivity and quality of forested habitats. In the present study, we conducted a largest non-invasive genetic survey to explore mammalian diversity and genetically characterized 13 mammals from the Indian Himalayan Region (IHR). We analyzed 4806 faecal samples using 103 autosomal microsatellites and with three mitochondrial genes, we identified 37 species of mammal. We observed low to moderate level of genetic variability and most species exhibited stable demographic history. We estimated an unbiased population genetic account (PGAunbias) for 13 species that may be monitored after a fixed time interval to understand species performance in response to the landscape changes. The present study has been evident to show pragmatic permeability with the representative sampling in the IHR in order to facilitate the development of species-oriented conservation and management programmes.
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Affiliation(s)
- Bheem Dutt Joshi
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Sujeet Kumar Singh
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India; Present address: Amity Institute of Forestry and Wildlife, Amity University, Noida 201303, Uttar Pradesh, India
| | - Vinaya Kumar Singh
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Gul Jabin
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Avijit Ghosh
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Supriyo Dalui
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Abhishek Singh
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | | | - Stanzin Dolker
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Tanoy Mukherjee
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Amira Sharief
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Vineet Kumar
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Hemant Singh
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Avantika Thapa
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | | | - Ritam Dutta
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | | | - Inder Singh
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Balram Singh Mehar
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Kailash Chandra
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Lalit Kumar Sharma
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India
| | - Mukesh Thakur
- Zoological Survey of India, New Alipore, Kolkata 700053, West Bengal, India.
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Abstract
Several authors have suggested a deep symmetry between the psychological processes that underlie our ability to remember the past and make predictions about the future. The judgment of recency (JOR) task measures temporal order judgments for the past by presenting pairs of probe stimuli; participants choose the probe that was presented more recently. We performed a short-term relative JOR task and introduced a novel judgment of imminence (JOI) task to study temporal order judgments for the future. In the JOR task, participants were presented with a sequence of stimuli and asked to choose which of two probe stimuli was presented closer to the present. In the JOI task, participants were trained on a probabilistic sequence. After training, the sequence was interrupted with probe stimuli. Participants were asked to choose which of two probe stimuli was expected to be presented closer to the present. Replicating prior work on JOR, we found that RT results supported a backward self-terminating search model operating on a temporally organized representation of the past. We also showed that RT distributions are consistent with this model and that the temporally organized representation is compressed. Critically, results for the JOI task probing expectations of the future suggest a forward self-terminating search model operating on a temporally organized representation of the future. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Singh I, Kumar S, R. Koloor SS, Kumar D, Yahya MY, Mago J. On Comparison of Heat Treated and Non-Heat-Treated LOM Manufactured Sample for Poly(lactic)acid: Mechanical and Morphological View Point. Polymers (Basel) 2022; 14:polym14235098. [PMID: 36501501 PMCID: PMC9737080 DOI: 10.3390/polym14235098] [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: 10/23/2022] [Revised: 11/16/2022] [Accepted: 11/18/2022] [Indexed: 11/27/2022] Open
Abstract
This work reports the comparison of heat-treated and non-heat-treated laminated object-manufactured (LOM) 3D-printed specimens from mechanical and morphological viewpoints. The study suggests that heat treatment of the FDM-printed specimen may have a significant impact on the material characteristics of the polymer. The work has been performed at two stages for the characterization of (a) non-heat-treated samples and (b) heat-treated samples. The results for stage 1 (non-heat-treated samples) suggest that the infill density: 70%, infill pattern: honeycomb, and six number of discs in a single LOM-manufactured sample is the optimized condition with a compression strength of 42.47 MPa. The heat treatment analysis at stage 2 suggests that a high temperature: 65 °C, low time interval: 10 min, works equally well as the low temperature: 55 °C, high time interval: 30 min. The post-heat treatment near Tg (65 °C) for a time interval of 10 min improved the compressive strength by 105.42%.
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Affiliation(s)
- I. Singh
- Department of Mechanical Engineering, CT University, Ferozepur Rd, Sidhwan Khurd, Ludhiana 142024, India
| | - S. Kumar
- Department of Mechanical Engineering, CT University, Ferozepur Rd, Sidhwan Khurd, Ludhiana 142024, India
- Correspondence: authors: (S.K.); (S.S.R.K.)
| | - S. S. R. Koloor
- Institute for Structural Engineering, Department of Civil Engineering and Environmental Sciences, Universität der Bundeswehr München, Werner-Heisenberg-Weg 39, Neubiberg, 85579 Munich, Germany
- Correspondence: authors: (S.K.); (S.S.R.K.)
| | - D. Kumar
- Department of Mechanical Engineering, CT University, Ferozepur Rd, Sidhwan Khurd, Ludhiana 142024, India
| | - M. Y. Yahya
- Centre for Advanced Composite Materials, School of Mechanical Engineering, Faculty of Engineering, Universiti Teknologi Malaysia, Johor Bahru 81310, Johor, Malaysia
| | - J. Mago
- Center for Automotive Research and Tribology, Indian Institute of Technology Delhi, Hauz Khas, New Delhi 110016, India
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Kumar S, Singh I, R. Koloor SS, Kumar D, Yahya MY. On Laminated Object Manufactured FDM-Printed ABS/TPU Multimaterial Specimens: An Insight into Mechanical and Morphological Characteristics. Polymers (Basel) 2022; 14:polym14194066. [PMID: 36236014 PMCID: PMC9573760 DOI: 10.3390/polym14194066] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Revised: 09/05/2022] [Accepted: 09/20/2022] [Indexed: 11/16/2022] Open
Abstract
Fused deposition modeling (FDM) printing of commercial and reinforced filaments is a proven and well-explored method for the enhancement of mechanical properties. However, little has hitherto been reported on the multi-material components, fused or laminated together into a single specimen by using the laminated object manufacturing (LOM) technique for sustainable/renewable polymers. TPU is one such durable and flexible, sustainable material exhibiting renewable and biocompatible properties that have been explored very less often in combination with the ABS polymer matrix in a single specimen, such as the LOM specimen. The current research work presents the LOM manufacturing of 3D-printed flexural specimens of two different, widely used polymers available viz. ABS and TPU and tested as per ASTM D790 standards. The specimens were made and laminated in three layers. They were grouped into two categories, namely ABS: TPU: ABS (ATA) and TPU: ABS: TPU (TAT), which are functionally graded, sandwiched structures of polymeric material. The investigation of the flexural properties, microscopic imaging, and porosity characteristics of the specimens was made for the above categories. The results of the study suggest that ATA-based samples held larger flexural strength than TAT laminated manufactured samples. A significant improvement in the peak elongation and break elongation of the samples was achieved and has shown a 187% increase in the break elongation. Similarly, for the TAT-based specimen, flexural strength was improved significantly from approximately 6.8 MPa to 13 MPa, which represents a nearly 92% increase in the flexural strength. The morphological testing using Tool Maker’s microscopic analysis and porosity analysis has supported the observed trends of mechanical behavior of ATA and TAT samples.
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Affiliation(s)
- S. Kumar
- Department of Mechanical Engineering, CT University, Ferozepur Rd, Sidhwan Khurd, Ludhiana 142024, Punjab, India
- Correspondence: (S.K.); (S.S.R.K.)
| | - I. Singh
- Department of Mechanical Engineering, CT University, Ferozepur Rd, Sidhwan Khurd, Ludhiana 142024, Punjab, India
| | - S. S. R. Koloor
- Institute for Structural Engineering, Department of Civil Engineering and Environmental Sciences, Universität der Bundeswehr München, Werner-Heisenberg-Weg 39, 85579 Neubiberg, Germany
- Correspondence: (S.K.); (S.S.R.K.)
| | - D. Kumar
- Department of Mechanical Engineering, CT University, Ferozepur Rd, Sidhwan Khurd, Ludhiana 142024, Punjab, India
| | - M. Y. Yahya
- Centre for Advanced Composite Materials, Faculty of Engineering, School of Mechanical Engineering, Universiti Teknologi Malaysia, Johor Bahru 81310, Johor, Malaysia
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Seifarth J, Pinaire M, Zicker J, Singh I, Bloch D. Circulating Illness and Changes in Thermometer Use Behavior: Series of Cross-sectional Analyses. JMIR Form Res 2022; 6:e37509. [PMID: 35998174 PMCID: PMC9506504 DOI: 10.2196/37509] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 07/27/2022] [Accepted: 08/19/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Temperature-taking behaviors vary with levels of circulating infectious illness; however, little is known about how these behaviors differ by demographic characteristics. Populations with higher perceived risks of illness are more likely to adopt protective health behaviors. OBJECTIVE We investigated differences in temperature-taking frequency and the proportion of readings that were feverish among demographic groups (age, gender, urban/rural status) over influenza offseason; influenza season; and waves 1, 2, and 3 of the COVID-19 pandemic. METHODS Using data from smart thermometers collected from May 1, 2019, to February 28, 2021, across the United States, we calculated the frequency of temperature-taking and the proportion of temperature readings that were feverish. Mixed-effects negative binomial and mixed-effects logistic regression analyses were performed to identify demographic characteristics associated with temperature-taking frequency and the proportion of feverish readings, respectively. Separate models were fit over five study periods: influenza offseason (n=122,480), influenza season (n=174,191), wave 1 of COVID-19 (n=350,385), wave 2 (n=366,489), and wave 3 (n=391,578). RESULTS Both temperature-taking frequency and the proportion of feverish readings differed by study period (ANOVA P<.001) and were the highest during influenza season. During all periods, children aged 2-5 years and 6-11 years had significantly higher frequencies of temperature-taking than users aged 19-30 years, and children had the highest proportion of feverish readings of all age groups, after adjusting for covariates. During wave 1 of COVID-19, users over the age of 60 years had 1.79 times (95% CI 1.76-1.83) the rate of temperature-taking as users aged 19-30 years and 74% lower odds (95% CI 72%-75%) of a reading being feverish. Across all periods, men had significantly lower temperature-taking frequency and significantly higher odds of having a feverish reading compared to women. Users living in urban areas had significantly higher frequencies of temperature-taking than rural users during all periods, except wave 2 of COVID-19, and urban users had higher odds of a reading being feverish in all study periods except wave 1 of COVID-19. CONCLUSIONS Temperature-taking behavior and the proportion of readings that were feverish are associated with both population disease levels and individual demographic characteristics. Differences in the health behavior of temperature-taking may reflect changes in both perceived and actual illness risk. Specifically, older adults may have experienced an increase in perceived risk during the first three waves of COVID-19, leading to increased rates of temperature monitoring, even when their odds of fever were lower than those of younger adults. Men's perceived risk of circulating infectious illnesses such as influenza and COVID-19 may be lower than that of women, since men took their temperature less frequently and each temperature had a higher odds of being feverish across all study periods. Infectious disease surveillance should recognize and incorporate how behavior impacts illness monitoring and testing.
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Affiliation(s)
- Jack Seifarth
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, United States
- Kinsa Inc, San Francisco, CA, United States
| | - Megan Pinaire
- Kinsa Inc, San Francisco, CA, United States
- Department of Biostatistics, Yale School of Public Health, New Haven, CT, United States
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Joshi R, Sekar A, Nada R, Nahar U, Bal A, Mitra S, Singh M, Rathi M, Kohli H, Aggarwal A, Singh I, Jain S, Radotra B. POS-031 Renal histomorphology in COVID autopsies - An institutional experience. Kidney Int Rep 2022. [PMCID: PMC9475104 DOI: 10.1016/j.ekir.2022.07.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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15
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Kam C, Singh I, Sola P, Solanas G, Bonjoch J, Matte-Martone C, Gonzalez D, Marsh E, Hirschi K, Greco V. LB892 Distinct endothelial behaviors orchestrate developing versus adult skin vascular responses. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.909] [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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16
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Verma D, Kumar R, Ali MS, Singh J, Arora M, Singh I, Kumari S, Bakhshi S, Sharma A, Palanichamy JK, Tanwar P, Singh AR, Chopra A. BAALC gene expression tells a serious patient outcome tale in NPM1-wild type/FLT3-ITD negative cytogenetically normal-acute myeloid leukemia in adults. Blood Cells Mol Dis 2022; 95:102662. [PMID: 35429905 DOI: 10.1016/j.bcmd.2022.102662] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Revised: 01/21/2022] [Accepted: 04/05/2022] [Indexed: 12/17/2022]
Abstract
Acute myeloid leukemia with normal cytogenetics (CN-AML) is the largest group of AML patients which is associated with a variegated patient outcome. Multiple molecular markers have been used to risk-stratify these patients. Estimation of expression of BAALC gene (Brain and Acute Leukemia, Cytoplasmic) mRNA level is one of the predictive markers which has been identified in multiple studies. In this study, we examined the clinical and prognostic value of BAALC gene expression in 149 adult CN-AML patients. We also utilized multi-omics databases to ascertain the association of BAALC gene expression with comprehensive molecular and clinicopathologic features in AML. BAALC overexpression was associated with CD34 positivity on leukemic blasts (p = 0.0026) and the absence of NPM1 gene mutation (p < 0.0001), presence of RUNX1 gene mutation (p < 0.001) and poor patient outcomes, particularly in NPM1-wild type/FLT3-ITD negative adult CN-AML patients. Additionally, BAALC expression was associated with the alteration of methylation of its promoter. Further, pathway analysis revealed that BAALC expression is correlated with MYC targets and Ras signalling. We conclude that high BAALC expression associates with poor patient outcome in NPM1-wild type/FLT3-ITD negative adult CN-AML patients.
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Affiliation(s)
| | | | | | - Jay Singh
- Laboratory Oncology, AIIMS, New Delhi, India
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17
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Probert A, Davis K, Singh I, Holleyman R, Gregson C, Johansen A. 996 EFFECT OF COVID-19 ON HIP FRACTURE CARE IN WALES - AN ANALYSIS OF HOW ORGANISATION OF SERVICES AFFECTED HOSPITAL LENGTH OF STAY. Age Ageing 2022. [DOI: 10.1093/ageing/afac124.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
The National Hip Fracture Database (NHFD) report that length of stay (LOS) fell (from 19.7 to 16.9 days) in the first year of the COVID-19 pandemic, as patients, families, cares, and staff in health and social care responded to this challenge. This analysis examines trends in Wales where LOS can be profiled very completely as it predominantly remains within a single health board.
Method
We used data from the NHFD www.nhfd.co.uk to define pre-pandemic LOS (in the year to 1st March 2020) and compare this with the following 18 months. We set figures for all 12 hospitals in Wales against the changes in service organisation which each reported to the NHFD's 2020 Facilities Survey, and against the local incidence of COVID-19 among their hip fracture patients.
Results
Monthly LOS fell markedly at the pandemic's onset; the national figure falling 8.3 days (from 31.2–22.9 days) between February and June 2020. Overall LOS in Wales fell by 1.6 days across the year as a whole, but this ranged from a fall of 6.3 days in one hospital to a rise of 4.5 days in another. Five hospitals reported a rise in LOS. These hospitals had either never had orthogeriatric support, or lost this to COVID-19 duties, they did not achieve the initial fall in LOS in response to the pandemic, and they reported pressures with ‘outliers’ after the first wave. Unlike other units in Wales they cited problems with workload, particularly in terms of physiotherapy.
Discussion
NHFD data provide a detailed picture of hospitals’ response to the COVID-19 pandemic, and allow us to examine service factors underpinning their resilience in the face of this challenge. More detailed work should be carried out for the 150 hospitals in England using the same sources of data.
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Affiliation(s)
- A Probert
- Cardiff and Vale University Health Board , Cardiff, UK
| | - K Davis
- Cardiff and Vale University Health Board , Cardiff, UK
| | - I Singh
- Aneurin Bevan University Health Board , Gwent, UK
| | - R Holleyman
- Newcastle University and Newcastle upon Tyne Hospitals NHS Foundation Trust , UK
| | - C Gregson
- Musculoskeletal Research Unit , Bristol Medical School, , Bristol, UK
- University of Bristol , Bristol Medical School, , Bristol, UK
| | - A Johansen
- University Hospital of Wales , and School of Medicine, , UK
- Cardiff University , and School of Medicine, , UK
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Kumari S, Ali MS, Singh J, Arora M, Verma D, Pandey AK, Benjamin M, Bakhshi S, Palanichamy JK, Sharma A, Singh I, Tanwar P, Singh AR, Pushpam D, Qamar I, Chopra A. Prognostic utility of key copy number alterations in T cell acute lymphoblastic leukemia. Hematol Oncol 2022; 40:577-587. [DOI: 10.1002/hon.3030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Revised: 04/26/2022] [Accepted: 05/21/2022] [Indexed: 11/08/2022]
Affiliation(s)
- Sarita Kumari
- Laboratory Oncology Unit Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
- School of Biotechnology Gautam Buddha University Uttar Pradesh201312 India
| | - Md Shadab Ali
- Department of Pulmonary Medicine and Sleep Disorders All India Institute of Medical Sciences New Delhi New Delhi110029 India
| | - Jay Singh
- Laboratory Oncology Unit Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
| | - Mohit Arora
- Department of Biochemistry All India Institute of Medical Sciences New Delhi110029 India
| | - Deepak Verma
- Laboratory Oncology Unit Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
| | - Avanish Kumar Pandey
- Laboratory Oncology Unit Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
| | - Mercilena Benjamin
- Laboratory Oncology Unit Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
| | - Sameer Bakhshi
- Laboratory Oncology Unit Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
| | | | - Atul Sharma
- Department of Medical Oncology Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
| | - Inder Singh
- Department of Neurology All India Institute of Medical Sciences New Delhi New Delhi110029 India
| | - Pranay Tanwar
- Laboratory Oncology Unit Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
| | - Amar Ranjan Singh
- Laboratory Oncology Unit Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
| | - Deepam Pushpam
- Department of Medical Oncology Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
| | - Imteyaz Qamar
- School of Biotechnology Gautam Buddha University Uttar Pradesh201312 India
| | - Anita Chopra
- Laboratory Oncology Unit Dr. BRA‐IRCH All India Institute of Medical Sciences New Delhi110029 India
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19
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Rawat V, Tyagi R, Singh I, Das P, Srivastava AK, Makharia GK, Sharma U. Cerebellar Abnormalities on Proton MR Spectroscopy and Imaging in Patients With Gluten Ataxia: A Pilot Study. Front Hum Neurosci 2022; 16:782579. [PMID: 35655925 PMCID: PMC9152097 DOI: 10.3389/fnhum.2022.782579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 03/21/2022] [Indexed: 11/13/2022] Open
Abstract
Gluten ataxia is a rare immune-mediated neurological disorder caused by the ingestion of gluten. The diagnosis is not straightforward as antibodies are present in only up to 38% of patients, but often at lower titers. The symptoms of ataxia may be mild at the onset but lead to permanent damage if remain untreated. It is characterized by damage to the cerebellum however, the pathophysiology of the disease is not clearly understood. The present study investigated the neurochemical profile of vermis and right cerebellum and structural changes in various brain regions of patients with gluten ataxia (n = 6, age range 40–65 years) and compared it with healthy controls (n = 10, 40–55 years). Volumetric 3-D T1 and T1-weighted magnetic resonance imaging (MRI) in the three planes (axial, coronal, and sagittal) of the whole brain and single-voxel 1H- magnetic resonance spectroscopy (MRS) of the vermis and right cerebellum were acquired on 3 T human MR scanner. The metabolite concentrations were estimated using LC Model (6.1–4A) while brain volumes were estimated using the online tool volBrain pipeline and CERES and corrected for partial volumes. The levels of neuro-metabolites (N-acetyl aspartate + N-acetyl aspartate glutamate, glycerophosphocholine + phosphocholine, and total creatine) were found to be significantly lower in vermis, while N-acetyl aspartate + N-acetyl aspartate glutamate and glycerophosphocholine + phosphocholine was lower in cerebellum regions in the patients with gluten ataxia compared to healthy controls. A significant reduction in the white matter of (total brain, cerebellum, and cerebrum); reduction in the volumes of cerebellum lobe (X) and thalamus while lateral ventricles were increased in the patients with gluten ataxia compared to healthy controls. The reduced neuronal metabolites along with structural changes in the brain suggested neuronal degeneration in the patients with gluten ataxia. Our preliminary findings may be useful in understanding the gluten-induced cerebral damage and indicated that MRI and MRS may serve as a non-invasive useful tool in the early diagnosis, thereby enabling better management of these patients.
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Affiliation(s)
- Vishwa Rawat
- Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, India
| | - Ritu Tyagi
- Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, India
| | - Inder Singh
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Prasenjit Das
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | | | - Govind K. Makharia
- Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India
| | - Uma Sharma
- Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, India
- *Correspondence: Uma Sharma
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20
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Sathe A, Singh I, Singh P, Diderichsen P, Wang X, Chang P, Phan SC, Girish S, Othman A. 189P Pharmacokinetics (PK) of sacituzumab govitecan (SG) in patients (Pts) with metastatic triple-negative breast cancer (mTNBC) and other solid tumors. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.03.208] [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] Open
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21
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Sharief A, Singh H, Joshi BD, Singh I, Mukherjee T, Chandra K, Thakur M, Sharma LK. Understanding distribution and occupancy of Himalayan monal in Uttarkashi district, Uttarakhand for conservation and management planning. Wildlife Biology 2022. [DOI: 10.1002/wlb3.01013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Amira Sharief
- Zoological Survey of India, New Alipore Kolkata West Bengal India
- Wildlife Inst. of India Dehradun Uttarakhand India
| | - Hemant Singh
- Zoological Survey of India, New Alipore Kolkata West Bengal India
| | - Bheem Dutt Joshi
- Zoological Survey of India, New Alipore Kolkata West Bengal India
| | - Inder Singh
- Zoological Survey of India, New Alipore Kolkata West Bengal India
| | - Tanoy Mukherjee
- Zoological Survey of India, New Alipore Kolkata West Bengal India
| | - Kailash Chandra
- Zoological Survey of India, New Alipore Kolkata West Bengal India
| | - Mukesh Thakur
- Zoological Survey of India, New Alipore Kolkata West Bengal India
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22
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Bloch D, Zicker J, Somhegyi H, Philips P, Singh I, Daitch A. 1214. Household Transmission of Febrile Illness Measured by Smartphone-Connected Thermometers, United States, 2016-2021. Open Forum Infect Dis 2021. [PMCID: PMC8643819 DOI: 10.1093/ofid/ofab466.1406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Understanding household transmission dynamics of infectious diseases can help develop mitigation strategies. Traditional methods of population-level disease surveillance do not capture household transmission. Data collected from smartphone-connected thermometers that can differentiate among individuals in a household can be used to study these characteristics. Using this technology, we estimated the household secondary attack rate (SAR) of febrile illness, assessed its correlation with CDC-reported influenza-like illness (ILI) and COVID-19 case incidence, and identified risk factors for secondary transmission.
Methods
We conducted a retrospective cohort study among 596,096 febrile illness index cases recorded from August 1, 2016 to January 20, 2021 in households with two or more individuals in all 50 states. Fevers were measured using the Kinsa Smart Thermometer and mobile device app. Secondary cases were defined as household members who recorded a fever 1–10 days after an index case. We calculated SAR prior to and during the COVID-19 pandemic within the study period, and assessed correlation to ILI and COVID-19 case incidence using Spearman’s rank correlation coefficient. Bivariate and multivariable mixed logistic regression models were used to identify risk factors for secondary transmission.
Results
SAR in the pre-COVID-19 period was 5.9% (95% CI: 5.8%–6.0%) during flu season (November to April), and 3.7% (95% CI: 3.6%–3.7%) in flu off-season, and weekly SAR was significantly correlated with ILI reported from CDC (ρ=0.84, p< 0.001). Secondary transmission was 40% more likely to occur in households where the index case’s initial temperature was ≥ 39.1°C. During the COVID-19 period, SAR was 3.3% (95% CI: 3.3%–3.4%), and daily SAR was significantly correlated with national daily COVID-19 incidence rates (ρ=0.86, p< 0.001). Households in census tracts with >50% essential workforce were 50% more likely to experience secondary transmission.
Conclusion
Household SAR was highly correlated with ILI and COVID-19 cases. Capturing household transmission of febrile illness through routine public health surveillance may identify risk factors for infectious disease transmission, allowing for more targeted interventions.
Disclosures
Danielle Bloch, MPH, Kinsa Health (Employee, Shareholder) John Zicker, MS, Kinsa Health (Employee, Shareholder) Hannah Somhegyi, PhD, Kinsa Health (Employee, Shareholder) Patrick Philips, n/a, Kinsa Health (Employee, Shareholder) Inder Singh, n/a, Kinsa Health (Board Member, Employee, Shareholder) Amy Daitch, PhD, Kinsa Health (Employee, Shareholder)
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23
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Mitsiev I, Rubio K, Ranvir VP, Yu D, Palanisamy AP, Chavin KD, Singh I. Combining ALT/AST Values with Surgical APGAR Score Improves Prediction of Major Complications after Hepatectomy. J Surg Res (Houst) 2021; 4:656-670. [PMID: 35098141 PMCID: PMC8794434 DOI: 10.26502/jsr.10020179] [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] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Hepatectomy is a complex procedure with high morbidity and mortality. Early prediction/prevention of major complications is highly valuable for patient care. Surgical APGAR score (SAS) has been validated to predict post-surgical complications (PCs). We aimed to define a simple complications classification following hepatectomy based on a therapy-oriented severity Clavien-Dindo classification (CDC). 119 patients undergoing liver resection were included. PCs were determined at follow-up based on CDC. Clinicopathological factors were used to calculate SAS. A receiver-operator characteristic (ROC) curve analysis estimated the predictive value of SAS for PCs. Circulating markers levels of liver injury were analyzed as critical elements on PCs. SAS (P=0.008), estimated blood-loss (P=0.018) and operation time (P=0.0008) were associated with PCs. SAS was reduced in patients with (+) compared to those without (-) complications (6.64±1.84 vs 5.70±1.79, P=0.0079). The area-under-the-curve was 0.646 by ROC, indicating an acceptable discrimination with 65% possibility to distinguish (-) and (+) groups (P=0.004). Best cutoff value for SAS was ≤6/≥7, at which sensitivity and specificity were maximal. ALT/ASL levels were significantly different within the group with 9-10 SAS points (P=0.01 and 0.02). In conclusion, SAS provides accurate risk stratification for major PCs after hepatectomy, and might help improving the overall patient outcome.
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Affiliation(s)
- I Mitsiev
- Horst Schmidt Kliniken Wiesbaden, Ludwig-Erhard-Straße 100, 65199 Wiesbaden, Germany
| | - K Rubio
- International Laboratory EPIGEN, Universidad de la Salud del Estado de Puebla, 72000 Puebla, Mexico
| | - VP Ranvir
- Emmy Noether Research Group Epigenetic Machineries and Cancer, Division of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany
| | - D Yu
- Nanjing University Medical School Affiliated Nanjing Drum Tower Hospital, Nanjing, Jiangsu, China
| | - AP Palanisamy
- Department of Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA
- Division of Transplant and Hepatobiliary Transplant Surgery, University Hospital Cleveland Medical Center, Cleveland, OH, USA
| | - KD Chavin
- Department of Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA
- Division of Transplant and Hepatobiliary Transplant Surgery, University Hospital Cleveland Medical Center, Cleveland, OH, USA
| | - I Singh
- Emmy Noether Research Group Epigenetic Machineries and Cancer, Division of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany
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Singh I, Swarup V, Shakya S, Kumar V, Gupta D, Rajan R, Radhakrishnan DM, Faruq M, Srivastava AK. Impact of SARS-CoV-2 Infection in Spinocerebellar Ataxia 12 Patients. Mov Disord 2021; 36:2459-2460. [PMID: 34529277 PMCID: PMC8662285 DOI: 10.1002/mds.28811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 09/05/2021] [Accepted: 09/08/2021] [Indexed: 11/09/2022] Open
Affiliation(s)
- Inder Singh
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Vishnu Swarup
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Sunil Shakya
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Vikash Kumar
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Deepika Gupta
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | - Roopa Rajan
- Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
| | | | - Mohammed Faruq
- CSIR-Institute of Genomics and Integrative Biology, New Delhi, India
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25
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Narang T, Kamat D, Thakur V, Lavania M, Singh I, Ahuja M, Dogra S. Equal rates of drug resistance in leprosy cases with relapse and recurrent /chronic type 2 reaction; Time to revise the guidelines for drug resistance testing in leprosy. Clin Exp Dermatol 2021; 47:297-302. [PMID: 34382256 DOI: 10.1111/ced.14884] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Revised: 07/12/2021] [Accepted: 08/09/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Leprosy relapse/recurrence is a serious concern especially in a leprosy endemic nation like India. It is believed that bacilli persisting even after multi-drug therapy could cause relapse; recently however drug resistance as a cause for recurrences and chronic erythema nodosum leprosum (ENL) has been speculated. Our objective was to study drug resistance patterns in cases of leprosy relapse and chronic/recurrent ENL's. METHODOLOGY This cross-sectional study conducted over a period of 1 year included patients diagnosed as leprosy relapse and those with chronic/recurrent (c/r) ENL. Skin biopsy specimens were subjected to conventional PCR for resistance testing for rifampicin, dapsone and ofloxacin, targeting rpoB, folP and gyrA gene of M.leprae respectively. RESULTS A total of 61 patients (25 smear negative) were included in the study. Of these, 37 were diagnosed as leprosy relapse and 24 had c/r ENL. Drug resistance to at least one drug was identified in 10 (16.4%) cases. Rates of drug resistance were 5.4% (2/37) for dapsone, 10.8% (4/37) for rifampicin and 2.7% (1/37) for ofloxacin amongst cases of relapse where as it was 12.5% (3/24) and 8.3% (2/24) for dapsone and rifampicin respectively amongst those with c/rENL.. Multi drug resistance was seen in 3.3% (2/61) patients. CONCLUSION Drug resistance rate amongst those with c/rENL was almost equaled that of relapse. Smear negative leprosy relapse cases also had resistance to bactericidal drugs. These findings call for modifications in criteria for testing under leprosy drug resistance surveillance and all cases of relapse and those with recalcitrant c/rENL should be tested.
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Affiliation(s)
- T Narang
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India
| | - D Kamat
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India
| | - V Thakur
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India
| | - M Lavania
- Enteric Viruses Group, ICMR-National Institute of Virology, Pune, India
| | - I Singh
- Department of Molecular Biology, Stanley Browne Laboratory, TLM Community Hospital, New Delhi, India
| | - M Ahuja
- Department of Molecular Biology, Stanley Browne Laboratory, TLM Community Hospital, New Delhi, India
| | - S Dogra
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India
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Kaushal R, Kumar A, Alam NM, Singh I, Mandal D, Tomar JMS, Mehta H, Lepcha STS, Long TT, Durai J. Assessment of eco-hydrological parameters for important sympodial bamboo species in Himalayan foothills. Environ Monit Assess 2021; 193:468. [PMID: 34226956 DOI: 10.1007/s10661-021-09231-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Accepted: 06/22/2021] [Indexed: 06/13/2023]
Abstract
Bamboos due to high soil water conservation potential are gaining increased attention in plantation programs across the globe. Large-scale plantation of fast-growing bamboo, however, can have important hydrological consequences. The study aims to quantify the eco-hydrological parameters, viz., throughfall (TF), stemflow (SF), and interception (I) in seven important sympodial bamboo species in north western Himalayan foothills of India. The species selected include Bambusa balcooa, Bambusa bambos, Bambusa vulgaris., Bambusa nutans, Dendrocalamus hamiltonii, Dendrocalamus stocksii, and Dendrocalamus strictus. Throughfall versus gross rainfall (GR) relationship in different species indicated high throughfall production during high rainfall events with r2 > 0.90. Average throughfall was lowest (62.1%) in D. hamiltonii and highest in B. vulgaris (74.6%). SF ranged from 1.32% in B. nutans to 3.39% in D. hamiltonii. The correlation coefficient (r) between leaf area index (LAI), number of culms, and crown area with the interception were 0.746, 0.691, and 0.585, respectively. The funneling ratio (F) was highest (27.0) in D. hamiltonii and least in B. nutans. Canopy storage capacity was highest in D. strictus (3.57 mm) and least in D. hamiltonii (1.09 mm). Interception loss was highest (34.4%) in D. hamiltonii and lowest in B. vulgaris (23.5%) and D. strictus (23.6%). Higher interception in bamboos make them suitable for soil conservation, but careful selection of species is required in low rainfall areas.
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Affiliation(s)
- Rajesh Kaushal
- ICAR-Indian Institute of Soil and Water Conservation, Dehradun, 248 195, India.
| | - Ambrish Kumar
- ICAR-Indian Institute of Soil and Water Conservation, Dehradun, 248 195, India
| | - N M Alam
- ICAR-Indian Institute of Soil and Water Conservation, Dehradun, 248 195, India
| | - I Singh
- ICAR-Indian Institute of Soil and Water Conservation, Dehradun, 248 195, India
| | - D Mandal
- ICAR-Indian Institute of Soil and Water Conservation, Dehradun, 248 195, India
| | - J M S Tomar
- ICAR-Indian Institute of Soil and Water Conservation, Dehradun, 248 195, India
| | - H Mehta
- ICAR-Indian Institute of Soil and Water Conservation, Dehradun, 248 195, India
| | - S T S Lepcha
- National Bamboo Mission (NBM), Ministry of Agriculture & Farmers Welfare, New Delhi, India
| | - T T Long
- International Network on Bamboo and Rattan (INBAR), Beijing, China
| | - Jayaraman Durai
- International Network on Bamboo and Rattan (INBAR), Beijing, China
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Shetty R, Singh I, Sumayli HA, Jafer MA, Abdul Feroz SM, Bhandi S, Raj AT, Patil S, Ferrari M. Effect of prosthetic framework material, cantilever length and opposing arch on peri-implant strain in an all-on-four implant prostheses. Niger J Clin Pract 2021; 24:866-873. [PMID: 34121735 DOI: 10.4103/njcp.njcp_398_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Aim To evaluate the effect of prosthetic framework material and cantilever length on peri-implant strain in mandibular all-on-four implant-supported prostheses with different types of arch antagonist forces. Materials and Methods Models simulating a completely edentulous mandibular arch fabricated in heat-cured acrylic resin were used. On the acrylic models, four implants were placed at regions 34, 32, 42, and 44 simulating all-on-four implant placements. Implant-supported screw-retained fixed prosthesis frameworks were fabricated using three different materials (cobalt-chromium, zirconia, and polyetheretherketone) and with three different cantilever lengths (zero mm, 15 mm, and 25 mm). Strain gauges were attached on the model at the buccal and lingual positions of each implant. Forces simulating opposing natural dentition, conventional complete denture, and the parafunctional habit were applied to the models. The peri-implant strain in each strain gauge was recorded. Results Least peri-implant strains (67 microstrains) were observed when forces simulating conventional complete dentures were applied on the models and the highest peri-implant strains (9091 microstrains) were observed when forces simulating parafunctional habit were applied. One-way ANOVA test followed by Tukey's post hoc analysis was performed to compare the mean deformation scores between different materials at 50 N load. The level of significance [P-value] was set at P < 0.05. Tests showed significant differences between zero mm and the other types in all the different materials, and also between 1.5 x AP and 2.5 x AP for Zirconia and Peek material at P = 0.02 & P = .008, respectively. The results showed that the type of framework material, cantilever length, and occlusal forces from the opposing arch influence the peri-implant strain in the bone in all-on-four implant-supported prostheses. Conclusion Rehabilitation of a single, completely edentulous arch with implant-supported prostheses should consider the situation of the opposing arch. The choice of framework material, as well as the cantilever length, should be altered based on the forces from the opposing arch.
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Affiliation(s)
- R Shetty
- Department of Prosthodontics, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India
| | - I Singh
- Department of Prosthodontics, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India
| | | | - M A Jafer
- Department of Preventive Dentistry, College of Dentistry, Jazan University, Saudi Arabia; Health Promotion Department, Maastricht University, The Netherlands
| | - S M Abdul Feroz
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Saudi Arabia
| | - S Bhandi
- Department of Restorative Dental Sciences, Division of Operative Dentistry, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - A T Raj
- Department of Oral Pathology and Microbiology, Sri Venkateswara Dental College and Hospital, Chennai, Tamil Nadu, India
| | - S Patil
- Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - M Ferrari
- Department of Prosthodontics and Dental Materials and Dean, School of Dental Medicine, University of Siena, Italy
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Jones M, Pourali S, Kohn A, Gutierrez Y, Rajkumar J, Singh I, Armstrong A. 240 Differences in acne therapy prescribing patterns between pediatricians and dermatologists. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.02.262] [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: 11/29/2022]
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Gutierrez Y, Pourali S, Singh I, Armstrong A. 238 Pemphigus and bullous pemphigoid in the United States: A population-based study evaluating patient clinical characteristics and treatment trends. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.02.260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Kassardjian AA, Chat VS, Archuleta L, Hekmatjah J, Sierro TJ, Read C, Chen AY, Singh I, Armstrong AW. Words matter: a randomized controlled study evaluating the impact of decision-framing on treatment preferences in adults with psoriasis and psoriatic arthritis. Br J Dermatol 2021; 184:971-973. [PMID: 33332578 DOI: 10.1111/bjd.19746] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 12/11/2020] [Accepted: 12/12/2020] [Indexed: 11/27/2022]
Affiliation(s)
- A A Kassardjian
- Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - V S Chat
- Medical College of Georgia at Augusta University, Augusta, GA, USA
| | - L Archuleta
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - J Hekmatjah
- Western Michigan University, Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
| | - T J Sierro
- Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - C Read
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.,Department of Medicine, Imperial College London, London, UK
| | - A Y Chen
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - I Singh
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - A W Armstrong
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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Berdeja J, Madduri D, Usmani S, Singh I, Zudaire E, Yeh T, Allred A, Olyslager Y, Banerjee A, Goldberg J, Schecter J, Geng D, Wu X, Carrasco-Alfonso M, Rizvi S, Fan F, Jakubowiak A, Jagannath S. UPDATE OF CARTITUDE-1: A PHASE 1B/2 STUDY OF JNJ-68284528 (JNJ-4528), A B-CELL MATURATION ANTIGEN (BCMA)-DIRECTED CHIMERIC ANTIGEN RECEPTOR T (CAR-T) CELL THERAPY, IN RELAPSED/REFRACTORY MULTIPLE MYELOMA (MM). Hematol Transfus Cell Ther 2020. [DOI: 10.1016/j.htct.2020.10.466] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Garnett E, Consortium T, Singh I, Jackson B, Wang J, Procop G, Bierl C. What’s in a Name? Comparative Analysis of Laboratory Test Naming Guidelines as Applied to Common Confusing Test Names. Am J Clin Pathol 2020. [DOI: 10.1093/ajcp/aqaa161.351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction/Objective
Laboratory test names frequently do not enable easy understandability or promote correct test utilization, which leads to difficulty for providers in finding the correct test and results in unnecessary cost and medical errors. Laboratory test names are also largely unstandardized and are not named by a consistent set of conventions. To address these issues, the TRUU-Lab (Test Renaming for Understanding & Utilization) initiative aims to generate a consensus test naming guideline for better human understandability of laboratory test names. These studies address the first aim of the TRUU-Lab initiative: to identify root causes and challenges in understanding and using laboratory test names.
Methods
We conducted survey studies to capture the most problematic laboratory test names, then performed analysis of these names to identify aspects of these names that led to confusion among providers. A subset of these test names were used to evaluate five existing laboratory test naming guidelines (LOINC, ONC TigerTeam, Pan- Canadian iEHR Viewer Name, Standards for Pathology Informatics (Australia), and ARUP Laboratories internal style guides) for their ability to produce understandable test names.
Results
274 survey responses yielded ~100 unique laboratory tests cited as confusing, and highlighted substantial diversity both in the names of these tests between institutions and in respondent opinion on the best alternative names. The top 10 most commonly-cited tests yielded ≥ 3 unique names, and the top 2 tests (Vitamin D and anti- factor Xa) yielded ≥ 10 unique names. Post-survey analysis identified eight characteristics associated with poor understandability of a test name, including ambiguity, abbreviations, homophones, multiple indications for a single test, proprietary names, synonyms, truncation, and “panels” where components are obfuscated. Existing guidelines produced highly variable names given the same prompt, and varied in their ability to avoid pitfalls associated with poor understandability.
Conclusion
These studies highlight aspects of existing laboratory test names that lead to confusion among ordering providers, and identify the inability of existing laboratory test naming practices to adequately address these issues. Efforts are ongoing within TRUU-Lab to use these results to inform novel laboratory test naming guidelines to promote universal human understandability.
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Affiliation(s)
- E Garnett
- Pathology and Immunology, Baylor College of Medicine, Houston, Texas, UNITED STATES
| | - T Consortium
- Pathology and Immunology, Baylor College of Medicine, Houston, Texas, UNITED STATES
| | - I Singh
- Pathology and Immunology, Baylor College of Medicine, Houston, Texas, UNITED STATES
| | - B Jackson
- University of Utah School of Medicine and ARUP Laboratories, Salt Lake City, Utah, UNITED STATES
| | - J Wang
- Medical Scientist Training Program, Baylor College of Medicine, Houston, Texas, UNITED STATES
| | - G Procop
- Lerner College of Medicine, Cleveland Clinic, Cleveland, Ohio, UNITED STATES
| | - C Bierl
- Department of Pathology and Laboratory Medicine, Children’s Hospital of Philadelphia and Perelman School of Medicine, Philadelphia, Pennsylvania, UNITED STATES
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Wang J, Garnett E, Singh I, Bierl C, Jackson B. TRUU-Lab: Methods for Optimizing Test Names for Understanding and Utilization. Am J Clin Pathol 2020. [DOI: 10.1093/ajcp/aqaa161.264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction/Objective
Poor understandability of laboratory test names increases the risk for inappropriate test utilization and medical errors. Yet, human understandability has not been a major consideration in existing laboratory test names or naming guidelines. TRUU-Lab (Test Renaming for Understanding and Utilization for Laboratory Test Names) is a national initiative that now has more than 45 members representing more than 20 academic and industry organizations, the CDC, and the FDA. The goals of the initiative include: 1) Identify root causes and challenges in understanding and using laboratory test names; 2) Share resources related to potential solutions; 3) Develop consensus guidelines for laboratory test naming; 4) Establish consensus names for existing laboratory tests; and 5) Promote the adoption and implementation of consensus laboratory test names.
Methods
We previously addressed the first two goals of this initiative by identifying problematic test names and features of test names that contribute to misutilization. We also identified the advantages and limitations of current test naming guidelines and previous standardization efforts. This current study addresses goals 3 and 4. We developed an iterative process of guideline development. This process includes collecting feedback on consensus names to improve guidelines, which then informs the improvement of the consensus names.
Results
By analyzing test name characteristics, we found that the requirements for understandability vary with respect to the clinical scenario and provider background. We have used these results to design a 30-min long survey to test candidate names. The survey will be distributed through the Brand Institute, which offers expertise in pharmaceutical name and brand identity development. This pilot survey will be sent to primary care providers to assesses intuitive name preferences given a short and specific prompt. The second phase will take place in a simulated electronic medical record environment to present clinical scenarios where physicians will select an appropriate test.
Conclusion
We expect that results from survey studies will directly inform the development of TRUU-Lab naming guidelines, in turn permitting development of better-optimized laboratory test names. This process represents a new strategy for the intentional design of laboratory test names that are understandable and promote correct provider utilization.
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Affiliation(s)
- J Wang
- Medical Scientist Training Program, Baylor College of Medicine, Houston, Texas, UNITED STATES
| | - E Garnett
- Department of Pathology and Immunology, Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas, UNITED STATES
| | - I Singh
- Department of Pathology and Immunology, Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas, UNITED STATES
| | - C Bierl
- Pathology and Laboratory Medicine, Children’s Hospital of Philadelphia and the Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, UNITED STATES
| | - B Jackson
- University of Utah School of Medicine, ARUP Laboratories, Salt Lake City, Utah, UNITED STATES
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Seth N, Kumar J, Garg A, Singh I, Meher R. Computed tomographic analysis of the prevalence of International Frontal Sinus Anatomy Classification cells and their association with frontal sinusitis. J Laryngol Otol 2020; 134:1-8. [PMID: 33054871 DOI: 10.1017/s0022215120002066] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVES To determine the radiological prevalence of frontal cells according to the International Frontal Sinus Anatomy Classification in patients undergoing computed tomography of the paranasal sinuses for clinical symptoms of chronic rhinosinusitis, and to examine the association between cell classification and frontal sinusitis development. METHODS A total of 180 (left and right) sides of 90 patients were analysed. The prevalence of each International Frontal Sinus Anatomy Classification cell was assessed. Logistic regression analysis was used to compare the distribution of various cells in patients with and without frontal sinusitis. RESULTS The agger nasi cell was the most commonly occurring cell, seen in 95.5 per cent of patients. The prevalence rates for supra agger cells, supra agger frontal cells, supra bullar frontal cells, supra bullar cells, supra-orbital ethmoid cells and frontal septal cells were 33.3 per cent, 22.2 per cent, 21.1 per cent, 36.1 per cent, 39.4 per cent and 21.1 per cent, respectively. There was no significant difference in the occurrence of any of the cell types in patients with frontal sinusitis compared to those without (p > 0.05). CONCLUSION The presence of any of the International Frontal Sinus Anatomy Classification cells was not significantly associated with frontal sinusitis.
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Affiliation(s)
- N Seth
- Department of Radiodiagnosis, Maulana Azad Medical College and Associated Lok Nayak Hospital, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research ('GIPMER') and Guru Nanak Eye Centre ('GNEC') Hospitals, New Delhi, India
| | - J Kumar
- Department of Radiodiagnosis, Maulana Azad Medical College and Associated Lok Nayak Hospital, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research ('GIPMER') and Guru Nanak Eye Centre ('GNEC') Hospitals, New Delhi, India
| | - A Garg
- Department of Radiodiagnosis, Maulana Azad Medical College and Associated Lok Nayak Hospital, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research ('GIPMER') and Guru Nanak Eye Centre ('GNEC') Hospitals, New Delhi, India
| | - I Singh
- Department of Otorhinolaryngology, Maulana Azad Medical College and Associated Lok Nayak Hospital, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research ('GIPMER') and Guru Nanak Eye Centre ('GNEC') Hospitals, New Delhi, India
| | - R Meher
- Department of Otorhinolaryngology, Maulana Azad Medical College and Associated Lok Nayak Hospital, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research ('GIPMER') and Guru Nanak Eye Centre ('GNEC') Hospitals, New Delhi, India
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Jones L, Singh S, Edwards C, Goyal N, Singh I. Prevalence of Vertebral Fractures in CTPA's in Adults Aged 75 and Older and Their Association with Subsequent Fractures and Mortality. Geriatrics (Basel) 2020; 5:geriatrics5030056. [PMID: 32967139 PMCID: PMC7555387 DOI: 10.3390/geriatrics5030056] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Revised: 09/16/2020] [Accepted: 09/17/2020] [Indexed: 01/29/2023] Open
Abstract
Identifying vertebral fractures is prudent in the management of osteoporosis and the current literature suggests that less than one-third of incidental vertebral fractures are reported. The aim of this study is to determine the prevalence of reported and unreported vertebral fractures in computerized tomography pulmonary angiograms (CTPA) and their relevance to clinical outcomes. All acutely unwell patients aged 75 or older who underwent CTPAs were reviewed retrospectively. 179 CTPAs were reviewed to identify any unreported vertebral fractures. A total of 161 were included for further analysis. Of which, 14.3% (23/161) were reported to have a vertebral fracture, however, only 8.7% (14/161) of reports used the correct terminology of ‘fracture’. On subsequent review, an additional 19.3% (31/161) were noted to have vertebral fractures. Therefore, the overall prevalence of vertebral fractures was 33.5% (54/161). A total of 22.2% (12/54) of patients with a vertebral fracture on CTPA sustained a new fragility fracture during the follow-up period (4.5 years). In comparison, a significantly lower 10.3% (11/107) of patients without a vertebral fracture developed a subsequent fragility fracture during the same period (p = 0.04). Overall mortality during the follow-up period was significantly higher for patients with vertebral fractures (68.5%, 37/54) as compared to those without (45.8%, 49/107, p = 0.006). Vertebral fractures within the elderly population are underreported on CTPAs. The significance of detecting incidental vertebral fractures is clear given the increased rates of subsequent fractures and mortality. Radiologists and physicians alike must be made aware of the importance of identifying and treating incidental, vertebral fragility fractures.
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Affiliation(s)
- Llewelyn Jones
- Health Education and Improvement Wales (HEIW), Wales CF15 7QQ, UK;
| | - Sukhdev Singh
- Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport NP20 4SZ, UK; (S.S.); (N.G.)
| | - Chris Edwards
- Department of Dermatology, St Wollas Hospital, Aneurin Bevan University Health Board, Newport N20 2UB, UK;
| | - Nimit Goyal
- Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport NP20 4SZ, UK; (S.S.); (N.G.)
| | - Inder Singh
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Ystrad Mynach CF82 7EP, UK
- Correspondence: ; Tel.: +44-144-380-2234; Fax: +44-144-380-2431
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Singh I, Borba A, Uy A, Chen A, Armstrong A. 380 Differences in topical corticosteroid prescribing patterns between primary care providers and dermatologists for atopic dermatitis. J Invest Dermatol 2020. [DOI: 10.1016/j.jid.2020.03.388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Kassardjian A, Chat V, Archuleta L, Hekmatjah J, Sierro T, Read C, Chen A, Singh I, Armstrong A. 489 Words matter: A randomized controlled study evaluating the impact of decision framing on treatment preferences in adults with psoriasis and psoriatic arthritis. J Invest Dermatol 2020. [DOI: 10.1016/j.jid.2020.03.498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Singh I, Attrey A, Patel R, Khambhampaty S, Jose V. SAT0451 COMPARISON OF PHARMACOKINETIC, PHARMACODYNAMIC AND SAFETY OF A TERIPARATIDE BIOSIMILAR AND REFERENCE TERIPARATIDE. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.2009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Intas is developing a biosimilar teriparatide. This teriparatide biosimilar has shown similarity to European Union approved teriparatide (EU teriparatide) and United States approved teriparatide (US-teriparatide) in analytical (structural and functional assays) and animal studies1.Objectives:To primarily asses pharmacokinetic (PK) equivalence and to compare pharmacodynamic (PD) and safety profiles of teriparatide biosimilar against EU- and US-teriparatide in healthy men and postmenopausal women with potentially similar in-clinic real-life user profiles.Methods:In this assessor-blind, three-period study, 105 subjects were randomized (1:1:1) to receive single subcutaneous 20μg dose each of teriparatide biosimilar, EU-teriparatide, and US-teriparatide in a crossover manner on 3 consecutive days. The primary PK endpoints were area under the curve (AUC) from time zero to t (AUC0-t), AUC from time zero to infinity (AUC0-∞), and maximum concentration (Cmax). Secondary endpoints were total serum calcium level as a pharmacodynamic marker and safety.Results:The mean age of 48 men was 38.4 years and 57 women was 43.9 years. Mean serum teriparatide concentrations were similar for teriparatide biosimilar, EU- and US-teriparatide (Figure 1). The 90% confidence intervals (CI) of the geometric least square mean ratios (GMR) of Cmax, AUC0-tand AUC0-∞of teriparatide biosimilar relative to EU- and US-teriparatide were within the predefined acceptance range of 80.00% to 125.00% (Table 1). The baseline-adjusted and non-adjusted corrected total serum calcium levels were similar (Table 2). A total of 42 adverse events (AE) were reported by 31 (29.52%) subjects (9 subjects, teriparatide biosimilar; 14 subjects, EU-teriparatide; 13 subjects, US-teriparatide), with headache and pain in extremity being the most common AEs. No death or serious AEs were reported.Table 1.Summary of Statistical Analysis of Pharmacokinetic Parameters of TeriparatideParametersNGLSMNGLSMRatio (T/R1) %90% Confidence IntervalTeriparatide Biosimilar (T)EU-Teriparatide (R1)lnCmax(pg/mL)10499.31410499.229100.195.50 - 104.89lnAUC0-t(pg.h/mL)103130.402103129.067101.096.37 - 105.93lnAUC0-∞(pg.h/mL)103150.589103144.887103.999.19 - 108.90Teriparatide Biosimilar (T)US-Teriparatide (R2)Ratio (T/R2) %lnCmax(pg/mL)10499.25510496.397103.098.74 - 107.37lnAUC0-t(pg.h/mL)102131.212102126.837103.498.90 - 108.21lnAUC0-∞(pg.h/mL)102150.564102143.860104.799.88 - 109.67GLSM: Geometric least squares mean; N: Number of subjects.Table 2.Summary of Corrected Total Serum Calcium Levels after Administration of TeriparatideParameterTeriparatide BiosimilarEU-TeriparatideUS-TeriparatideNMean (SD)NMean (SD)NMean (SD)Baseline-adjustedEmax(mg/dL)1010.314 (0.142)1010.333 (0.179)1020.341 (0.153)AUEC0-t(mg.h/dL)1011.764 (1.305)982.051 (1.816)1012.253 (1.732)Tmax(h)1015.457 (4.185)1015.023 (2.728)1025.252 (3.543)Baseline non-adjustedEmax(mg/dL)1049.724 (0.268)1049.719 (0.272)1049.729 (0.261)AUEC0-t(mg.h/dL)104222.215 (13.588)104223.389 (9.397)104223.972 (9.156)Tmax(h)1045.406 (4.149)1045.022 (2.691)1045.266 (3.510)Figure 1.Mean Serum Concentration vs. Time Curve for TeriparatideConclusion:This study showed PK equivalence as well as similar PD and safety profiles between teriparatide biosimilar, EU-teriparatide and US-teriparatide in healthy subjects.References:[1]Data on fileDisclosure of Interests:Inderjeet Singh Employee of: Intas Pharmaceuticals Limited, Anshul Attrey Employee of: Lambda Therapeutics Research Limited, Ronak Patel Employee of: Lambda Therapeutics Research Limited, Sridevi Khambhampaty Employee of: Intas Pharmaceuticals Limited, Vinu Jose Employee of: Intas Pharmaceuticals Limited
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Jones L, Singh S, Edwards C, Goyal N, Singh I. 72 Prevalence of Reported and Unreported Vertebral Fractures in Ctpas in Older Adults Above 75 Years. Age Ageing 2020. [DOI: 10.1093/ageing/afz188.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Identifying vertebral fractures is prudent in the diagnosis of osteoporosis as they occur early in this hidden condition. Unfortunately, due to their unspecific presentation, only 25% are clinically recognised. Computerised Tomography Pulmonary Angiogram (CTPA) are frequently requested to confirm pulmonary thromboembolisms, but could also aid in detecting clinically silent vertebral fractures. Current literature suggests that less than one-third of incidental vertebral fractures are reported. The aim of this study is to measure the prevalence of vertebral fractures in CTPA and its relevance to clinical outcomes.
Methods
This is retrospective observational study based on the analysis of existing CTPA for acutely unwell patients admitted to medical assessment unit or A & E across three acute sites within Aneurin Bevan University Health board, Wales, UK between January and December 2015. All CTPA reports were reviewed for fragility factures and CTPA images were reassessed for any unreported vertebral fractures. Age and gender were recorded for all patients. Analysis was done for all patients in respect to subsequent fragility fractures and mortality. Difference of proportion test was used to compare two groups with and without vertebral fractures.
Results
179 CTPA were reviewed, 161 patients were included for further analysis. 14.3% (n=23/161) were reported to have a vertebral fracture, however only 8.7% (n=14/161) of reports used the correct terminology of ‘fracture’. On subsequent review, an additional 24.2% (n=39/161) vertebral fractures were noted. Therefore, overall prevalence of vertebral fractures was 38.5% (n=62/161). Only 9.1% (n=9/99) of patients without a vertebral fracture developed a subsequent fragility fracture. In comparison, 22.5% (n=14/62) of patients with a previous vertebral fracture sustained a new fragility fracture over next 4 years and this was significantly higher (p = 0.017). Overall mortality over 4 years follow-up was significantly higher for patients with vertebral fractures (64.5%, n=40/62) as compared to those without fractures (43.4%, n=43/99, p = 0.009). Only 48.4% (n=30/62) received osteoporosis treatment.
Conclusions
Vertebral fractures could be underreported by radiologists, likely due to human factors as they might be concentrating on the clinical scenario to exclude a pulmonary embolism. However, considering a significant higher mortality in patients with underlying vertebral fracture, it justifies that radiologists could be asked to examine sagittal view in the bone window for possible underlying vertebral fractures, to ensure osteoporosis is treated to guidance.
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Affiliation(s)
- L Jones
- Year 4 medical Student, Cardiff Medical School, Cardiff University UK
| | - S Singh
- Consultant Radiologist, Royal Gwent Hospital, Aneurin Bevan University Health Board, UK
| | - C Edwards
- Consultant Clinical Scientist, Academic Dermatologist, Aneurin Bevan University Health Board, UK
| | - N Goyal
- Consultant Radiologist, Royal Gwent Hospital, Aneurin Bevan University Health Board, UK
| | - I Singh
- Consultant Geriatrician, Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, UK
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Srivastava A, Swarup V, Kumar V, Faruq M, Singh H, Singh I. CRISPR/Cas9 technology in neurological disorders: An update for clinicians. Ann Mov Disord 2020. [DOI: 10.4103/aomd.aomd_39_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Jerome A, Bhati J, Mishra D, Chaturvedi K, Rao A, Rai A, Sikka P, Singh I. MicroRNA-related markers associated with corpus luteum tropism in buffalo (Bubalus bubalis). Genomics 2020; 112:108-113. [DOI: 10.1016/j.ygeno.2019.01.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Revised: 09/27/2018] [Accepted: 01/18/2019] [Indexed: 02/08/2023]
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Leung W, Singh I, Stockler S, Ipsiroglu O. Iron deficiency and sleep - a scoping review. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.988] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Singh I, Leung W, Stockler S, Ipsiroglu O. Iron deficiency and neurodevelopmental disorders (Adhd, Autism, Fetal Alcohol Spectrum Disorder/Fasd) - a scoping review. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.987] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Miller AC, Peterson RA, Singh I, Pilewski S, Polgreen PM. Improving State-Level Influenza Surveillance by Incorporating Real-Time Smartphone-Connected Thermometer Readings Across Different Geographic Domains. Open Forum Infect Dis 2019. [DOI: 10.1093/ofid/ofz455] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Timely estimates of influenza activity are important for clinical and public health practice. However, traditional surveillance sources may be associated with reporting delays. Smartphone-connected thermometers can capture real-time illness symptoms, and these geo-located readings may help improve state-level forecast accuracy.
Methods
Temperature recordings were collected from smart thermometers and an associated mobile phone application. Using temperature recordings, we developed forecasting models of real-time state-reported influenza-like illness (ILI) 2 weeks before the availability of published reports. We compared time-series models that incorporated thermometer readings at various levels of spatial aggregation and evaluated out-of-sample model performance in an adaptive manner comparing each model to baseline models without thermometer information.
Results
More than 12 million temperature readings were recorded from over 500,000 devices from August 30, 2015 to April 15, 2018. Readings were voluntarily reported from anonymous device users, with potentially multiple users for a single device. We developed forecasting models of real-time outpatient ILI for 46 states with sufficient state-reported ILI data. Forecast accuracy improved considerably when information from thermometers was incorporated. On average, thermometer readings reduced the squared error of state-level forecasting by 43% during influenza season and more than 50% in many states. In general, best-performing models tended to result from incorporating thermometer information at multiple levels of spatial aggregation.
Conclusion
Local forecasts of current influenza activity, measured by outpatient ILI, can be improved by incorporating real-time information from mobile-devices. Information aggregated across neighboring states, regions, and the nation can lead to more reliable forecasts, benefiting local surveillance efforts.
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Affiliation(s)
- Aaron C Miller
- Department of Epidemiology, College of Public Health, University of Iowa
| | - Ryan A Peterson
- Department of Biostatistics, College of Public Health, University of Iowa
- Department of Biostatistics, College of Public Health, University of Colorado
| | | | | | - Philip M Polgreen
- Department of Epidemiology, College of Public Health, University of Iowa
- Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa
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Shakya S, Kumari R, Suroliya V, Tyagi N, Joshi A, Garg A, Singh I, Kalikavil Puthanveedu D, Cherian A, Mukerji M, Srivastava AK, Faruq M. Whole exome and targeted gene sequencing to detect pathogenic recessive variants in early onset cerebellar ataxia. Clin Genet 2019; 96:566-574. [PMID: 31429931 DOI: 10.1111/cge.13625] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Revised: 07/18/2019] [Accepted: 07/23/2019] [Indexed: 01/26/2023]
Abstract
Over 100 genetically distinct causal known loci for hereditary ataxia phenotype poses a challenge for diagnostic work-up for ataxia patients in a clinically relevant time and precision. In the present study using next-generation sequencing, we have investigated pathogenic variants in early-onset cerebellar ataxia cases using whole exome sequencing in singleton/family-designed and targeted gene-panel sequencing. A total of 98 index patients were clinically and genetically (whole exome sequencing (WES) in 16 patients and targeted gene panel of 41 ataxia causing genes in 82 patients) evaluated. Four families underwent WES in family based design. Overall, we have identified 24 variants comprising 20 pathogenic and four likely-pathogenic both rare/novel, variations in 21 early onset cerebellar ataxia patients. Among the identified variations, SACS (n = 7) and SETX (n = 6) were frequent, while ATM (n = 2), TTPA (n = 2) and other rare loci were observed. We have prioritized novel pathogenic variants in RARS2 and FA2H loci through family based design in two out of four families.
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Affiliation(s)
- Sunil Shakya
- Department of Neurology, Neuroscience Centre, All India Institute of Medical Sciences, New Delhi, India
| | - Renu Kumari
- Genomics and Molecular Medicine, CSIR-Institute of Genomics and Integrative Biology (CSIR-IGIB), Delhi, India.,CSIR-Institute of Genomics and Integrative Biology (CSIR-IGIB), Academy of Scientific and Innovative Research(AcSIR), New Delhi, India
| | - Varun Suroliya
- Department of Neurology, Neuroscience Centre, All India Institute of Medical Sciences, New Delhi, India
| | - Nishu Tyagi
- Genomics and Molecular Medicine, CSIR-Institute of Genomics and Integrative Biology (CSIR-IGIB), Delhi, India
| | - Aditi Joshi
- Genomics and Molecular Medicine, CSIR-Institute of Genomics and Integrative Biology (CSIR-IGIB), Delhi, India
| | - Ajay Garg
- Neuroradiology Department, Neuroscience Centre, All India Institute of Medical Sciences, New Delhi, India
| | - Inder Singh
- Department of Neurology, Neuroscience Centre, All India Institute of Medical Sciences, New Delhi, India
| | - Divya Kalikavil Puthanveedu
- Department of Neurology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, India
| | - Ajith Cherian
- Department of Neurology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum, India
| | - Mitali Mukerji
- Genomics and Molecular Medicine, CSIR-Institute of Genomics and Integrative Biology (CSIR-IGIB), Delhi, India.,CSIR-Institute of Genomics and Integrative Biology (CSIR-IGIB), Academy of Scientific and Innovative Research(AcSIR), New Delhi, India
| | - Achal K Srivastava
- Department of Neurology, Neuroscience Centre, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammed Faruq
- Genomics and Molecular Medicine, CSIR-Institute of Genomics and Integrative Biology (CSIR-IGIB), Delhi, India.,CSIR-Institute of Genomics and Integrative Biology (CSIR-IGIB), Academy of Scientific and Innovative Research(AcSIR), New Delhi, India
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Duric D, Anwar A, Green K, Edwards C, Singh I. 47BURDEN OF OSTEOPOROSIS IN ACUTE OLDER PATIENTS IN THE HOSPITAL: IMPACT OF QUALITY INITIATIVES. Age Ageing 2019. [DOI: 10.1093/ageing/afz076.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- D Duric
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - A Anwar
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - K Green
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - C Edwards
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - I Singh
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
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Singh I, Hooton K, Edwards C, Lewis B, Anwar A, Johansen A. 75INPATIENT HIP FRACTURES: DEMOGRAPHIC PROFILE, CLINICAL OUTCOMES AND RISK FACTORS. Age Ageing 2019. [DOI: 10.1093/ageing/afz059.06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- I Singh
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Heath Board, Wales
| | - K Hooton
- Quality and Patient Safety, Aneurin Bevan University Health Board, Wales
| | - C Edwards
- Royal Gwent Hospital, Newport, Aneurin Bevan University Health Board, Wales
| | - B Lewis
- Quality and Patient Safety, Aneurin Bevan University Health Board, Wales
| | - A Anwar
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Heath Board, Wales
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Wells S, Evans L, Nelson A, Anwar A, Singh I, Aithal S. 102PREVALENCE OF ATRIAL FIBRILLATION AND ITS IMPACT ON COGNITION IN PEOPLE WITH IDIOPATHIC PARKINSON’S DISEASE. Age Ageing 2019. [DOI: 10.1093/ageing/afz064.03] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S Wells
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - L Evans
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - A Nelson
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - A Anwar
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - I Singh
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - S Aithal
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
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Anwar A, Duric D, Edwards C, Singh I. 50PROFILE OF FRAGILITY FRACTURE IN ACUTE DEMENTIA PATIENTS IN THE HOSPITAL SETTING. Age Ageing 2019. [DOI: 10.1093/ageing/afz076.05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A Anwar
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - D Duric
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - C Edwards
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
| | - I Singh
- Department of Geriatric Medicine, Ysbyty Ystrad Fawr, Aneurin Bevan University Health Board, Wales
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