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Kulkarni SR, Narnaware AS, Patil VU. Thought of one-Removed two. Indian Pediatr 2024; 61:395. [PMID: 38217276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2024]
Affiliation(s)
- Sakshi Ram Kulkarni
- Department of Internal Medicine, Vishwaraj Superspecialty Hospital, Loni Kalbhor, Pune, Maharashtra, India
| | - Anand S Narnaware
- Department of NICU and PICU, Vishwaraj Superspecialty Hospital, Loni Kalbhor, Pune, Maharashtra, India
| | - Vikram Uttam Patil
- Department of Gastroenterology, Vishwaraj Superspecialty Hospital, Loni Kalbhor, Pune, Maharashtra, India
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Tewari A, Patil VU, Goenka MK. Novel motorized spiral enteroscopy-assisted ERCP in a case of surgically altered anatomy. Endoscopy 2023; 55:E961-E962. [PMID: 37604455 PMCID: PMC10442192 DOI: 10.1055/a-2132-4897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Affiliation(s)
- Awanish Tewari
- Institute of Gastrosciences and Liver Transplant, Apollo Multispeciality Hospitals, Kolkata, India
| | - Vikram Uttam Patil
- Institute of Gastrosciences and Liver Transplant, Apollo Multispeciality Hospitals, Kolkata, India
| | - Mahesh Kumar Goenka
- Institute of Gastrosciences and Liver Transplant, Apollo Multispeciality Hospitals, Kolkata, India
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Goenka MK, Goenka U, Patil VU, Das SS, Afzalpurkar S, Jajodia S, Mukherjee M, Shah BB, Moitra S. Kinetics of Covid-19 antibodies in terms of titre and duration among healthcare workers: A longitudinal study. Natl Med J India 2023; 35:201-205. [PMID: 36715043 DOI: 10.25259/nmji_109_21] [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] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Background Most individuals with Covid-19 infection develop antibodies specific to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, the dynamics of these antibodies is variable and not well-studied. We aimed to determine the titres of naturally acquired antibodies over a 12-week follow-up. Methods We recruited healthcare workers who had tested positive on a specific quantitative reverse transcription-polymerase chain reaction (qRT-PCR) for SARS-CoV-2, and then tested for the presence of immunoglobulin G (IgG) antibody against the same virus at baseline and again at 6 and 12 weeks. The antibody titre was determined by a semi-quantitative assay based on signal/cut-off ratio. Healthcare workers with antibody positivity were divided into those with high titre (ratio ≥12) and low titre (<12). Their demographic details and risk factors were surveyed through a Google form and analysed in relation to the antibody titres at three time-points. Results Of the 286 healthcare workers, 10.48% had high antibody titres. Healthcare workers who had tested positive by qRT-PCR and those who had received the Bacille Calmette-Guérin (BCG) vaccination or other immune-boosters had a higher frequency of high antibody titres. While there was a significant decline in antibody titres at 6 and 12 weeks, 87.46% of individuals positive for IgG antibody persisted to have the antibody even at 12 weeks. Conclusion Healthcare workers who tested positive for SARS-CoV-2 on qRT-PCR had a high positivity for the specific antibody, which continued to express in them even at 12 weeks. Further follow-up is likely to enhance our understanding of antibody kinetics following SARS-CoV-2 infection.
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Affiliation(s)
- Mahesh Kumar Goenka
- Department of Clinical Imaging and Interventional Radiology, Apollo Multispeciality Hospitals, Institute of Gastrosciences and Liver, Kolkata, West Bengal, India
| | - Usha Goenka
- Department of Clinical Imaging and Interventional Radiology, Apollo Multispeciality Hospitals, Institute of Gastrosciences and Liver, Kolkata, West Bengal, India
| | - Vikram Uttam Patil
- Department of Clinical Imaging and Interventional Radiology, Apollo Multispeciality Hospitals, Institute of Gastrosciences and Liver, Kolkata, West Bengal, India
| | - Sudipta Sekhar Das
- Department of Transfusion Medicine and Blood Bank, Apollo Multispeciality Hospitals, Institute of Gastrosciences and Liver, Kolkata, West Bengal, India
| | - Shivaraj Afzalpurkar
- Department of Clinical Imaging and Interventional Radiology, Apollo Multispeciality Hospitals, Institute of Gastrosciences and Liver, Kolkata, West Bengal, India
| | - Surabhi Jajodia
- Department of Clinical Imaging and Interventional Radiology, Apollo Multispeciality Hospitals, Institute of Gastrosciences and Liver, Kolkata, West Bengal, India
| | - Muhuya Mukherjee
- Department of Biostatistics, Apollo Multispeciality Hospitals, Institute of Gastrosciences and Liver, Kolkata, West Bengal, India
| | - Bhavik Bharat Shah
- Department of Clinical Imaging and Interventional Radiology, Apollo Multispeciality Hospitals, Institute of Gastrosciences and Liver, Kolkata, West Bengal, India
| | - Saibal Moitra
- Department of Allergy and Asthma Research Centre, Apollo Multispeciality Hospitals, Institute of Gastrosciences and Liver, Kolkata, West Bengal, India
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Goenka M, Afzalpurkar S, Goenka U, Das SS, Mukherjee M, Jajodia S, Shah BB, Patil VU, Rodge G, Khan U, Bandyopadhyay S. Seroprevalence of COVID-19 Amongst Health Care Workers in a Tertiary Care Hospital of a Metropolitan City from India. J Assoc Physicians India 2020; 68:14-19. [PMID: 33187030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND Seroprevalence studies for COVID-19 evaluate the extent of undetected transmission in a defined community, with special significance among health care workers (HCW) owing to their greater exposure and potential to transmit. METHODS A total of 1122 HCW (approximately 25% of the employees) of a large tertiary care hospital in India were recruited for this cross-sectional study. COVID PCR-positive HCW were excluded. Based on their risk-assessment, participants were grouped into three categories. A questionnaire was administered and they were tested for SARS-CoV-2-IgG antibodies using the chemiluminescence. RESULTS The overall seroprevalence among workers was 11.94%, which included 19.85% in COVID units, 11.09% in non-COVID units, and 8% in administrative workers (p=0.007). Antibody prevalence was highest in the department of gastroenterology (11.94%), followed by oncology (10.53%), pathology (10.26%), emergency medicine (7.84%) and critical care medicine (7%). Housekeeping staff, food and beverage staff, lab assistants and technicians had higher seroprevalence rate than doctors and nurses (p < 0.0001). HCW with a history of BCG vaccination in childhood and those who received an adequate prophylactic dose of hydroxychloroquine (HCQ) had a lower seroprevalence as compared to those who did not (7.31% vs. 16.8% and 1.30% vs. 11.25% respectively). CONCLUSION BCG vaccination, HCQ prophylaxis, and the job profile influence the seroprevalence rate in HCW. Seroprevalence rate and follow-up evaluation of its durability may help hospitals to triage their staff at risk, rationalize their placement, prioritize the use of PPE, thereby potentially reducing the risk.
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Affiliation(s)
- Mahesh Goenka
- Director and Head, Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Shivaraj Afzalpurkar
- Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Usha Goenka
- Director and Head, Department of Clinical Imaging and Interventional Radiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Sudipta Sekhar Das
- Senior Consultant and Head, Department of Transfusion Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Mohuya Mukherjee
- Clinical Data Analyst, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Surabhi Jajodia
- Consultant, Department of Clinical Imaging and Interventional Radiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Bhavik Bharat Shah
- Consultant, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Vikram Uttam Patil
- Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Gajanan Rodge
- Registrar, Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Ujjwayini Khan
- Consultant, Department of Microbiology, Apollo Gleneagles Hospitals, Kolkata, West Bengal
| | - Syamasis Bandyopadhyay
- Senior Consultant, Department of Internal Medicine, Apollo Gleneagles Hospitals, Kolkata, West Bengal
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Singhai P, Krishnan S, Patil VU. Thyrotoxic Channelopathies. J Assoc Physicians India 2017; 65:98-99. [PMID: 29322723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Thyrotoxic periodic paralysis (TPP), a disorder most commonly seen in Asian men, is characterized by abrupt onset of hypokalemia and paralysis. The condition primarily affects the lower extremities and is secondary to thyrotoxicosis. Early recognition of TPP is vital to initiating appropriate treatment and to avoiding the risk of rebound hyperkalemia that may occur if high-dose potassium replacement is given. Here we present a case of 31 year old male with thyrotoxic periodic paralysis with diagnostic and therapeutic approach.
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Patil VU, Fairbrother CF, Dunham BM. Use of the laryngeal mask airway for emergency or elective airway management situations in pigs. Contemp Top Lab Anim Sci 1997; 36:46-8. [PMID: 16450976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Affiliation(s)
- V U Patil
- Department of Anesthesiology, State University of New York Health Science Center at Syracuse, 13210, USA
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Fairbrother CR, Hile-Fallico D, Patil VU, Dunham BM. Two-part intubation catheter: a guide to endotracheal intubation in pigs. Contemp Top Lab Anim Sci 1995; 34:83-5. [PMID: 16457560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Affiliation(s)
- C R Fairbrother
- Department of Laboratory Animal Resources, State University of New York, Health Science Center at Syracuse, 13210, USA
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Abstract
We sought to determine the effectiveness of a magnet placed over the thyroid cartilage in the neck to guide an endotracheal tube into the trachea. Forty patients aged 18 to 60 yr with normal airway anatomy (ASA grade I) who required general anesthesia with an endotracheal tube and paralysis for their surgery were chosen and informed consents were obtained. The tip of the epiglottis was exposed with a No. 3 MacIntosh laryngoscope, and a magnet was held over the thyroid cartilage. A catheter with stylet was placed behind the epiglottis allowing the magnet to pull the stylet and catheter close to the glottic opening. The catheter was advanced into the trachea over the stylet and its position was confirmed by auscultating the lungs and by capnography. An extension tube was connected to the catheter, and the endotracheal tube was guided into the trachea over the catheter. The tracheas of 37 patients were intubated on the first attempt with the magnet. The tracheas of the remaining three patients could not be intubated on the first attempt but were successfully intubated without complications on the second attempt. An additional five patients with an anterior larynx whose tracheas could not be intubated with direct laryngoscopy also had tracheal intubation with a magnet. This magnet-guided technique can be used when it is difficult to expose a patient's larynx. It is noninvasive, simple, and can be used without any delay when expensive flexible fiberoptic endoscopes are not readily available. The procedure takes an average of 1 to 2 min.
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Affiliation(s)
- V U Patil
- Department of Anesthesiology, State University of New York Health Science Center, Syracuse 13210
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Arandia HY, Patil VU. PEEP and the Mapleson D circuit. Anesthesiology 1985; 62:846. [PMID: 3890620 DOI: 10.1097/00000542-198506000-00050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Patil VU, Stehling LC, Zauder HL, Chilcoat RT. An aid to blind endotracheal intubation. Anesth Analg 1984; 63:882-3. [PMID: 6465591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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