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Rajendran P, Saini S, Kumar N, Vashistha H, Thiruvengadam K, Ramamoorthy T, Gopalaswamy R, Kayesth J, Alavadi U, Moore M, Joshi RP, Ramachandran R, Anand S, Shanmugam S, Padmapriyadarsini C. Establishing proof of concept for utility of Trueprep ®-extracted DNA in line-probe assay testing. Int J Tuberc Lung Dis 2023; 27:742-747. [PMID: 37749831 PMCID: PMC10519390 DOI: 10.5588/ijtld.23.0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Accepted: 04/01/2023] [Indexed: 09/27/2023] Open
Abstract
BACKGROUND AND OBJECTIVES: With an increased demand for rapid, diagnostic tools for TB and drug resistance detection, Truenat® MTB-RIF assay has proven to be a rapid point of care molecular test. The present study aimed to establish a proof of concept of using Trueprep-extracted DNA for line-probe assay (LPA) testing.METHODS: A total of 150 sputum samples (MTB-positive at Truenat sites) were divided into two aliquots. One aliquot was used for DNA extraction using the Trueprep device and MTB testing. The second aliquot of the sample was subjected to GenoLyse® DNA extraction. DNA from both the Trueprep and GenoLyse methods was subjected to first-line (FL) and second-line (SL) LPA testing.RESULTS: Of 139 Trueprep-extracted DNA, respectively 135 (97%) and 105 (75%) had interpretable results by FL and SL-LPA testing. Of 128 GenoLyse-extracted DNA, all 128 (100%) had interpretable FL-LPA results and 114 (89%) had interpretable SL-LPA results.CONCLUSION: The results obtained in this study indicate that Trueprep-extracted DNA can be used in obtaining valid LPA results. However, the study needs to be conducted on a larger sample size before our recommendations can be used for policy-making decisions.
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Affiliation(s)
- P Rajendran
- National Institute for Research in Tuberculosis, Indian Council of Medical Research, New Delhi
| | - S Saini
- Infectious Disease Detection and Surveillance Project, United States Agency for International Development (USAID), ICF Incorporated, Reston, VA, USA
| | - N Kumar
- Central TB Division, Ministry of Health and Family Welfare, New Delhi
| | - H Vashistha
- Infectious Disease Detection and Surveillance Project, United States Agency for International Development (USAID), ICF Incorporated, Reston, VA, USA
| | - K Thiruvengadam
- National Institute for Research in Tuberculosis, Indian Council of Medical Research, New Delhi
| | - T Ramamoorthy
- National Institute for Research in Tuberculosis, Indian Council of Medical Research, New Delhi
| | - R Gopalaswamy
- National Institute for Research in Tuberculosis, Indian Council of Medical Research, New Delhi
| | - J Kayesth
- Infectious Disease Detection and Surveillance Project, United States Agency for International Development (USAID), ICF Incorporated, Reston, VA, USA
| | | | - M Moore
- Infectious Disease Detection and Surveillance Project, United States Agency for International Development (USAID), ICF Incorporated, Reston, VA, USA
| | - R P Joshi
- Central TB Division, Ministry of Health and Family Welfare, New Delhi
| | - R Ramachandran
- World Health Organization India Office, New Delhi, India
| | - S Anand
- World Health Organization India Office, New Delhi, India
| | - S Shanmugam
- National Institute for Research in Tuberculosis, Indian Council of Medical Research, New Delhi
| | - C Padmapriyadarsini
- National Institute for Research in Tuberculosis, Indian Council of Medical Research, New Delhi
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Shanmugam S, Sugumaran V, Thangavelu A, Sekaran K. Predicting rheumatoid arthritis from the biomarkers of clinical trials using improved harmony search optimization with adaptive neuro-fuzzy inference system. IFS 2022. [DOI: 10.3233/jifs-221252] [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: 11/15/2022]
Abstract
Rheumatoid Arthritis (RA) is a chronic autoimmune disease whose symptoms are hard to determine due to the overlapping indications of the condition with other illnesses such as dengue, malaria, etc. As the symptoms of RA disease are similar to inflammatory diseases, general physicians (GPs) find it difficult to detect the disease earlier. A computer aided framework is proposed in this study to assist and support the GPs to diagnose RA better. In this work Improved Harmony Search Optimization (IHSO) approach is proposed to select the significant feature subset of RA and Adaptive Neuro-Fuzzy Inference System (ANFIS) is used as a classification model. The performance of the proposed IHSO-ANFIS model is examined with metrics such as Balanced Accuracy (Bacc), Area under Curve (AUC), Sensitivity (Sen), Specificity (Spec), and Matthew’s Correlation Coefficient (MCC) using 10-Fold cross-validation. Additionally, the results of the IHSO-ANFIS are compared with HSO-ANFIS, ANFIS without any feature selection and standard bench mark datasets. IHSO-ANFIS attained 87.05% Bacc, 89.95% AUC and 0.6586 MCC on the RA dataset. From the results it is clear that IHSO-ANFIS could assist general physicians to diagnose RA earlier and pave the way for timely treatment.
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Affiliation(s)
- S. Shanmugam
- Department of Computing Technology, SRM Institute of Science and Technology, Chennai, Tamil Nadu, INDIA
| | - Vijayan Sugumaran
- Department of Decision and Information Sciences, School of Business Administration and Centre for Data Science and Big Data Analytics, Oakland University, Rochester, Michigan, USA
| | | | - Karthik Sekaran
- School of Bio Science and Technology, Vellore Institute of Technology, Vellore, Tamil Nadu, INDIA
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Palani N, Premkumar M, Vaishnavee V, Dinesh V, Thiruvengadam K, Lavanya J, Sridhar R, Frederick A, Sivaramakrishnan G, Mondal R, Padmapriyadarsini C, Shanmugam S. Trends in rifampicin and isoniazid resistance in patients with presumptive TB. Int J Tuberc Lung Dis 2022; 26:446-453. [PMID: 35505474 DOI: 10.5588/ijtld.21.0455] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND: Early diagnosis of drug-resistant TB (DR-TB) is crucial in preventing the spread of the disease in the community. Introduction of upfront decentralised drug susceptibility testing to district-level as part of universal drug susceptibility testing (UDST) policy increased the feasibility of rapid and early testing for drug resistance closer to the patient and has resulted in reduced circumstances for transmission. The introduction of the first-line line-probe assay (FL-LPA), GenoType® MTBDRplus v2, has had an extensive impact on the management of multidrug-resistant TB (MDR-TB) in India.MATERIALS and METHODS: Sputum samples of patients with presumptive TB and DR-TB from selected districts of Tamil Nadu received through National TB Elimination Programme (NTEP) were subjected to FL-LPA as per programme guidelines. In this study, we present trends in genotypic resistance to isoniazid (INH) and rifampicin (RIF) during the 4 years (2016-2019) among these patients. Band patterns were analysed as per the updated GLI (Global Laboratory Initiative) LPA interpretation and reporting guidelines.RESULTS: A total of 26,349 samples were received during the study period. Smear-positive samples (n = 20231) were directly subjected to FL-LPA; smear-negative samples were cultured in liquid media and M. tuberculosis-positive cultures were tested using FL-LPA. A total of 18,441 were MTB-positive on FL-LPA. INH monoresistance, RIF monoresistance and MDR-TB was observed in respectively 8.7%, 1.1% and 3.3% of the samples. There was a decreasing trend in all types of resistance observed particularly after 2017 (P < 0.001). MDR-TB showed a steady decrease from 5.6% to 1.8%. S531L (19.5%) and S315T (61.1%) were the most common mutations identified in the rpoB and katG genes, respectively. The percentage of inhA-c-15t promoter mutation, indicating low-level INH resistance, showed a consistent increase (P < 0.001).CONCLUSION: The impact of the UDST policy on the NTEP may have led to this decreasing trend in RIF and INH resistance observed in the study period. The increase in low-level INH resistance mutation inhA-c-15t may be associated with ethionamide/prothionamide resistance, and this should be taken into account when designing DR-TB regimen.
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Affiliation(s)
- N Palani
- Indian Council of Medical Research (ICMR)-National Institute for Research in Tuberculosis, Chennai, India
| | - M Premkumar
- Indian Council of Medical Research (ICMR)-National Institute for Research in Tuberculosis, Chennai, India
| | - V Vaishnavee
- Indian Council of Medical Research (ICMR)-National Institute for Research in Tuberculosis, Chennai, India
| | - V Dinesh
- Indian Council of Medical Research (ICMR)-National Institute for Research in Tuberculosis, Chennai, India
| | - K Thiruvengadam
- Indian Council of Medical Research (ICMR)-National Institute for Research in Tuberculosis, Chennai, India
| | | | - R Sridhar
- Goverment Hospital for Thoracic Medicine, Tambaram, India
| | | | - G Sivaramakrishnan
- Indian Council of Medical Research (ICMR)-National Institute for Research in Tuberculosis, Chennai, India
| | - R Mondal
- Indian Council of Medical Research (ICMR)-National Institute for Research in Tuberculosis, Chennai, India, ICMR-Bhopal Memorial Hospital & Research Centre, Bhopal, India
| | - C Padmapriyadarsini
- Indian Council of Medical Research (ICMR)-National Institute for Research in Tuberculosis, Chennai, India
| | - S Shanmugam
- Indian Council of Medical Research (ICMR)-National Institute for Research in Tuberculosis, Chennai, India
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Black C, Gray H, Shanmugam S. Consensus summary: Challenges and learning and development needs of FCPs when managing occupational health and sickness absence in primary care. Physiotherapy 2022. [DOI: 10.1016/j.physio.2021.12.272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Black C, Shanmugam S, Gray H. FCP's challenges and learning and development needs in response to managing fitness for work and sickness absence in primary care. Physiotherapy 2022. [DOI: 10.1016/j.physio.2021.12.096] [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: 10/19/2022]
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Shankar C, Basu S, Lal B, Shanmugam S, Vasudevan K, Mathur P, Ramaiah S, Anbarasu A, Veeraraghavan B. Aerobactin Seems To Be a Promising Marker Compared With Unstable RmpA2 for the Identification of Hypervirulent Carbapenem-Resistant Klebsiella pneumoniae: In Silico and In Vitro Evidence. Front Cell Infect Microbiol 2021; 11:709681. [PMID: 34589442 PMCID: PMC8473682 DOI: 10.3389/fcimb.2021.709681] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Accepted: 08/04/2021] [Indexed: 12/22/2022] Open
Abstract
Background The incidence of hypervirulent (hv) carbapenem-resistant (CR) Klebsiella pneumoniae (Kp) is increasing globally among various clones and is also responsible for nosocomial infections. The CR-hvKp is formed by the uptake of a virulence plasmid by endemic high-risk clones or by the uptake of plasmids carrying antimicrobial resistance genes by the virulent clones. Here, we describe CR-hvKp from India belonging to high-risk clones that have acquired a virulence plasmid and are phenotypically unidentified due to lack of hypermucoviscosity. Methods Twenty-seven CRKp isolates were identified to possess rmpA2 by whole-genome sequencing; and resistance and virulence determinants were characterized. By in silico protein modeling (and validation), protein backbone stability analysis, and coarse dynamics study, the fitness of RmpA, RmpA2, and aerobactin-associated proteins-IucA and IutA, were determined to establish a reliable marker for clinical identification of CR-hvKp. Results The CR-hvKp belonged to multidrug-resistant (MDR) high-risk clones such as CG11, CG43, ST15, and ST231 and carried OXA-232 as the predominant carbapenemase followed by NDM. The virulence plasmid belonged to IncHI1B replicon type and carried frameshifted and truncated rmpA and rmpA2. This resulted in a lack of hypermucoviscous phenotype. However, functional aerobactin was expressed in all high-risk clones. In silico analysis portrayed that IucA and IutA were more stable than classical RmpA. Furthermore, IucA and IutA had lower conformational fluctuations in the functional domains than the non-functional RmpA2, which increases the fitness cost of the latter for its maintenance and expression among CR-hvKp. Hence, RmpA and RmpA2 are likely to be lost among CR-hvKp owing to the increased fitness cost while coding for essential antimicrobial resistance and virulence factors. Conclusion Increasing incidence of convergence of AMR and virulence is observed among K. pneumoniae globally, which warrants the need for reliable markers for identifying CR-hvKp. The presence of non-functional RmpA2 among high-risk clones highlights the significance of molecular identification of CR-hvKp. The negative string test due to non-functional RmpA2 among CR-hvKp isolates challenges phenotypic screening and faster identification of this pathotype. This can potentially be counteracted by projecting aerobactin as a stable, constitutively expressed, and functional marker for rapidly evolving CR-hvKp.
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Affiliation(s)
- Chaitra Shankar
- Department of Clinical Microbiology, Christian Medical College and Hospital, Vellore, India
| | - Soumya Basu
- Medical & Biological Computing Laboratory, School of Biosciences & Technology, Vellore Institute of Technology, Vellore, India
| | - Binesh Lal
- Department of Clinical Microbiology, Christian Medical College and Hospital, Vellore, India
| | - Sathiya Shanmugam
- Department of Clinical Microbiology, Christian Medical College and Hospital, Vellore, India
| | - Karthick Vasudevan
- Department of Clinical Microbiology, Christian Medical College and Hospital, Vellore, India
| | - Purva Mathur
- Department of Laboratory Medicine, Jai Prakash Narayan Apex, Trauma Centre, All India Institute of Medical Sciences, New Delhi, India
| | - Sudha Ramaiah
- Medical & Biological Computing Laboratory, School of Biosciences & Technology, Vellore Institute of Technology, Vellore, India
| | - Anand Anbarasu
- Medical & Biological Computing Laboratory, School of Biosciences & Technology, Vellore Institute of Technology, Vellore, India
| | - Balaji Veeraraghavan
- Department of Clinical Microbiology, Christian Medical College and Hospital, Vellore, India
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Shanmugam S, Haver HL, Knecht SM, Rajjoub R, Ali O, Chow R. Bilateral occipital lobe infarct neglect deficit (BLIND) syndrome. J Community Hosp Intern Med Perspect 2021; 11:678-681. [PMID: 34567463 PMCID: PMC8462920 DOI: 10.1080/20009666.2021.1974730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
Cortical blindness is characterized by loss of vision due to dysfunction of the visual cortices, most commonly secondary to bilateral ischemic infarcts of the occipital lobe. Other causes include surgery such as aortic valve replacement, laryngeal surgery, craniotomy, cerebral angiography, head trauma, and partial seizures. Visual anosognosia is a distinct feature of cortical blindness, wherein patients claim they can see and confabulate visual perceptions, despite loss of sight. We herewith present a rare phenomenon known as Anton Syndrome, an eponym named after the Austrian neurologist and psychiatrist, Gabriel Anton (1858-1933). There are a limited number of cases of Anton's Syndrome in the literature, with only 28 case reports published from 1965-2016. Although he was bestowed a neurologic eponym, Anton was an advocate of eugenics and racial hygiene. He publicly advocated for 'superior breeding' and 'selection' in order to 'build a brave and noble race.' We therefore propose replacing the eponym with Bilateral Occipital Lobe Infarct Neglect Deficit (BLIND) Syndrome, with intention of raising awareness of this unique presentation as well as of the widespread interest in eugenics in the early 1900s amongst physicians, notably Gabriel Anton.
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Affiliation(s)
- S Shanmugam
- University of Maryland Medical Center (Ummc) Midtown Campus, Baltimore, MD, USA
| | - H L Haver
- University of Maryland Medical Center (Ummc) Midtown Campus, Baltimore, MD, USA
| | - S M Knecht
- University of Maryland Medical Center (Ummc) Midtown Campus, Baltimore, MD, USA
| | - R Rajjoub
- University of Maryland Medical Center (Ummc) Midtown Campus, Baltimore, MD, USA
| | - O Ali
- University of Maryland Medical Center (Ummc) Midtown Campus, Baltimore, MD, USA
| | - R Chow
- University of Maryland Medical Center (Ummc) Midtown Campus, Baltimore, MD, USA
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Gopalaswamy R, Subbian S, Shanmugam S, Mondal R, Padmapriyadarsini C. Recent developments in the diagnosis and treatment of extrapulmonary non-tuberculous mycobacterial diseases. Int J Tuberc Lung Dis 2021; 25:340-349. [PMID: 33977901 DOI: 10.5588/ijtld.21.0002] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Diseases due to pathogenic mycobacteria cause significant health and economic impact on humans worldwide. Although mycobacterial diseases primarily affect the lungs, the involvement of extrapulmonary organs has also gained ground, particularly among individuals with co-existing medical conditions. Besides Mycobacterium tuberculosis complex organisms, non-tuberculous mycobacteria (NTM) are also known to cause pulmonary and extrapulmonary diseases. Primary and disseminated extrapulmonary mycobacterial infections affect the brain, eye, mouth, tongue, lymph nodes of the neck, spine, bones, muscles, skin, pleura, pericardium, gastro-intestinal, peritoneum and genito-urinary system. The clinical presentation of extrapulmonary mycobacterial diseases, including systemic symptoms, of M. tuberculosis-infected cases and NTM-infected cases is similar. Moreover, extrapulmonary mycobacterial diseases are complicated by the involvement of diverse bacterial species as aetiological agents. Culture and molecular techniques are used to differentiate NTM from Mycobacterium tuberculosis and to classify sub-species of the pathogens. As sub-speciation and drug susceptibility profiling are critical factors in treating extrapulmonary NTM diseases, there are often significant delays in initiating treatment and customising the therapeutic regimen. Here, we summarise the clinical symptoms of NTM diseases in various extrapulmonary organs, and discuss the recent trends in diagnosing and treating these diseases. We also highlight the complications associated with the management of extrapulmonary NTM disease.
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Affiliation(s)
- R Gopalaswamy
- Department of Bacteriology, Indian Council of Medical Research (ICMR), National Institute for Research in Tuberculosis (NIRT), Chennai, India
| | - S Subbian
- Public Health Research Institute, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ, USA
| | - S Shanmugam
- Department of Bacteriology, Indian Council of Medical Research (ICMR), National Institute for Research in Tuberculosis (NIRT), Chennai, India
| | - R Mondal
- Department of Bacteriology, Indian Council of Medical Research (ICMR), National Institute for Research in Tuberculosis (NIRT), Chennai, India, Department of Microbiology, Bhopal Memorial Hospital & Research Centre, Bhopal, India
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Zaitceva O, Louis B, Beneteau V, Pale P, Shanmugam S, Evstigneyev E, Vasiliev A. Post-modified FAU zeolites as efficient catalysts for the synthesis of coumarins. Catal Today 2021. [DOI: 10.1016/j.cattod.2020.06.081] [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: 10/23/2022]
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Namagondlu G, Chauhan B, Chitralli D, Mani J, Shanmugam S, Thamaraikannan R, David A, Raju M, Huilgol A. SAT-364 Retrospective study comparing antibody depleting agents vs IL2R blockers as an induction agent in low risk kidney transplantation - A single centre experience. Kidney Int Rep 2020. [DOI: 10.1016/j.ekir.2020.02.385] [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: 11/26/2022] Open
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Shanmugam S, Kempenaar L, Gray H. Designing a pre-registration integrated Doctorate in Physiotherapy programme to address future workforce capacity. Physiotherapy 2019. [DOI: 10.1016/j.physio.2018.11.191] [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: 11/26/2022]
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Balasubramanian B, Ingale SL, Park JH, Rathi PC, Shanmugam S, Kim IH. Inclusion of dietary β-mannanase improves performance and ileal digestibility and reduces ileal digesta viscosity of broilers fed corn-soybean meal based diet. Poult Sci 2018; 97:3097-3101. [PMID: 29771358 DOI: 10.3382/ps/pey157] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Indexed: 11/20/2022] Open
Abstract
This study was aimed to evaluate the influence of dietary β-mannanase inclusion on growth performance, apparent ileal digestibility, digesta viscosity, blood metabolites and excreta noxious gas emissions in broilers fed corn-soybean meal based diet. A total of 600 conventional healthy 1-d-old ROSS 308 broilers with body weight 45 ± 0.50 g (mean ± SD) were randomly assigned to 4 dietary treatments with 10 replicates cages, with 15 broilers in each and fed basal diet supplemented to corn-SBM based diets with 0, 2400, 4800, and 7200 MNU β-mannanase/kg for 35 d feeding trial period. Significant results were observed on improved average daily gain and reduced feed conversion ratio during trial period and also reduced ileal digesta viscosity and improved apparent ileal digestibility of dry matter, nitrogen and energy. However, no significant effects were found on blood urea nitrogen and creatinine, excreta noxious gas emissions. In conclusion, the inclusion of dietary β-mannanase had potential to improve daily gain and feed efficiency and apparent ileal digestibility while decreasing digesta viscosity of broiler.
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Affiliation(s)
- B Balasubramanian
- Department of Animal Resource and Science, Dankook University, Cheonan-31116, South Korea
- Department of Food Science and Biotechnology, College of Life Science, Sejong University, Seoul - 05006, South Korea
| | - S L Ingale
- Advanced Enzymes Technologies Ltd., Thane (W), India
| | - J Hong Park
- Department of Animal Resource and Science, Dankook University, Cheonan-31116, South Korea
| | - P C Rathi
- Advanced Enzymes Technologies Ltd., Thane (W), India
| | - S Shanmugam
- Department of Animal Resource and Science, Dankook University, Cheonan-31116, South Korea
| | - I H Kim
- Department of Animal Resource and Science, Dankook University, Cheonan-31116, South Korea
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Gomes IA, de Carvalho FO, de Menezes AF, Almeida FM, Shanmugam S, de Souza Siqueira Quintans J, Quintans-Júnior LJ, de Moura TR, Oliveira PD, de Souza Araújo AA. The role of interleukins in vitiligo: a systematic review. J Eur Acad Dermatol Venereol 2018; 32:2097-2111. [PMID: 29704266 DOI: 10.1111/jdv.15016] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 03/20/2018] [Indexed: 12/30/2022]
Abstract
Vitiligo is a disorder of the skin that causes depigmentation and asymptomatic macules whose exact cause is still unclear. Although its aetiology is not fully elucidated, the main theory of its pathomechanism is that it is associated with the autoimmune process. There is few summarized information about the role of inflammatory mediators, as interleukins, in vitiligo, so our aim was to present a systematic review of the role of interleukins in vitiligo, focusing on interleukins. In this review, we included all studies assessing interleukin levels in vitiligo patients conducted up to June 2017. Quality assessment of these studies was performed using the Newcastle-Ottawa Scale (NOS). The interleukins mainly involved were IL-2, IL-4, IL-6, IL-10 and IL-17. The studies highlight the crucial role of IL-17 in the onset and progression of the disease, and its synergistic action with IL-2, IL-6 and IL-33. Dysregulated levels of the interleukins were also correlated with the stage of disease, the affected skin surface area, and indicated as the main factor for lymphocyte infiltration found in depigmented regions. These findings illustrate the growing need for new therapies targeting vitiligo and further research into the role of interleukins as an area of particular interest.
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Affiliation(s)
- I A Gomes
- Programa de Pós-Graduação em Ciências Farmacêuticas da Universidade Federal de Sergipe - UFS, Campus Universitário "Prof. Aloísio de Campos", São Cristóvão, SE, Brazil
| | - F O de Carvalho
- Núcleo de Pós-Graduação em Medicina da Universidade Federal de Sergipe - UFS, Rua Cláudio Batista S/N Bairro Sanatório, Aracaju, SE, Brasil
| | - A F de Menezes
- Núcleo de Pós-Graduação em Medicina da Universidade Federal de Sergipe - UFS, Rua Cláudio Batista S/N Bairro Sanatório, Aracaju, SE, Brasil
| | - F M Almeida
- Departamento de Farmácia, Universidade Federal de Sergipe, Campus Universitário "Prof. Aloísio de Campos", São Cristóvão, SE, Brazil
| | - S Shanmugam
- Programa de Pós-Graduação em Ciências Farmacêuticas da Universidade Federal de Sergipe - UFS, Campus Universitário "Prof. Aloísio de Campos", São Cristóvão, SE, Brazil
| | - J de Souza Siqueira Quintans
- Departamento de Fisiologia, Universidade Federal de Sergipe, Campus Universitário "Prof. Aloísio de Campos", São Cristóvão, SE, Brazil
| | - L J Quintans-Júnior
- Departamento de Fisiologia, Universidade Federal de Sergipe, Campus Universitário "Prof. Aloísio de Campos", São Cristóvão, SE, Brazil
| | - T R de Moura
- Departamento de Fisiologia, Universidade Federal de Sergipe, Campus Universitário "Prof. Aloísio de Campos", São Cristóvão, SE, Brazil
| | - P D Oliveira
- Programa de Pós-Graduação em Ciências Farmacêuticas da Universidade Federal de Sergipe - UFS, Campus Universitário "Prof. Aloísio de Campos", São Cristóvão, SE, Brazil
| | - A A de Souza Araújo
- Programa de Pós-Graduação em Ciências Farmacêuticas da Universidade Federal de Sergipe - UFS, Campus Universitário "Prof. Aloísio de Campos", São Cristóvão, SE, Brazil
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Finlayson J, Crockett J, Shanmugam S, Stansfield B. Lycra splinting garments for adults with intellectual disabilities who fall due to gait or balance issues: a feasibility study. J Intellect Disabil Res 2018; 62:391-406. [PMID: 29441642 DOI: 10.1111/jir.12477] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Revised: 12/15/2017] [Accepted: 01/08/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Adults with intellectual disabilities (IDs) experience high rates of falls and have high rates of gait or balance issues which contribute to falls. Lycra splinting garments (LSGs) have potential to improve gait or balance, but they have never before been tested with adults with IDs who fall due to gait or balance issues. The aim of this study was to test in adults with IDs, the feasibility of using LSGs to improve movement and function and reduce falls, whilst also exploring usability and likely compliance. METHOD A convenience sample of nine adults with IDs wore tailored LSGs over a 6-week assessment period. Laboratory-based foot clearance, balance, and gait measures were collected pre- and post-LSG-wear. Falls charts and questionnaires on usability and likely compliance were also completed. RESULTS Seven participants experienced a reduction in falls during their six weeks of LSG wear; most notably in the group of five participants who wore lycra splinting socks, compared with only two in the group of four who wore lycra splinting shorts or leggings only. CONCLUSION Lycra splinting socks are likely to bring about positive outcomes for adults with IDs who fall due to gait/balance issues on an individual case by case basis over time, but further research is required to test this hypothesis under randomised controlled trial conditions. Potential benefits of more intrusive LSGs are outweighed by reported problems with usability and compliance.
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Affiliation(s)
- J Finlayson
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
| | - J Crockett
- Head of Service for Physiotherapy, Glasgow Learning Disability Services, NHS Greater Glasgow and Clyde, Glasgow, Scotland, UK
| | - S Shanmugam
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
| | - B Stansfield
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
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Meyyazhagan A, Raman NM, Easwaran M, Balasubramanian B, Alagamuthu K, Bhotla HK, Shanmugam S, Inbaraj K, Ramesh Kumar M, Kumar P, Thangamani L, Piramanayagam S, Anand V, Mohd Y, Park S, Teijido O, Carril J, Cacabelos P, Keshavarao S, Cacabelos R. Biochemistry, Cytogenetics and DMD Gene Mutations in South Indian Patients with Duchenne Muscular Dystrophy. INT J HUM GENET 2017. [DOI: 10.1080/09723757.2017.1387381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- A. Meyyazhagan
- EuroEspes Biomedical Research Center, Institute of Medical Science and Genomic Medicine, Corunna, Spain
- Genomic Medicine, Continental University Medical School, Huancayo, Peru 3Human Genetics Laboratory, Department of Zoology, School of Life Sciences, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - N. M. Raman
- Department of Biotechnology, Dr. G. R. Damodaran College of Arts and Science, Coimbatore, Tamil Nadu, India
| | - M. Easwaran
- Department of Bioinformatics, Computational Biology Laboratory, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - B. Balasubramanian
- Department of Food Science and Biotechnology, College of Life Science, Sejong University, 209 Neundong-ro, Gwangjin-gu, Seoul-05006, South Korea
| | - K. Alagamuthu
- College of Life Science, Nanjing Normal University, No.1 Wenyuan Road, Qixia District, Nanjing, Jiangsu Province-210023, China
| | - H. Kuchi Bhotla
- Genomic Medicine, Continental University Medical School, Huancayo, Peru 3Human Genetics Laboratory, Department of Zoology, School of Life Sciences, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - S. Shanmugam
- Laboratory of Muscle Biology and Meat Science, Department of Animal Science, Chonbuk National University, 664-14 Duckjin-dong 1Ga, Jeonju City, Jeonbuk 561-756, South Korea
| | - K. Inbaraj
- Department of Conservation Biology, Bharathiar University, Bharathiar 641046, Tamil Nadu, India
| | - M. Ramesh Kumar
- Department of surgery, KMCH Hospital, Coimbatore, Tamil Nadu, India
| | - P. Kumar
- Department of Bioinformatics, Computational Biology Laboratory, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - L. Thangamani
- Department of Bioinformatics, Computational Biology Laboratory, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - S. Piramanayagam
- Department of Bioinformatics, Computational Biology Laboratory, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - V. Anand
- Medical Genetics and Epigenetics Laboratory, Department of Human Genetics and Molecular Biology, School of Life Sciences, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - Y. Mohd
- Medical Genetics and Epigenetics Laboratory, Department of Human Genetics and Molecular Biology, School of Life Sciences, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - S. Park
- Department of Food Science and Biotechnology, College of Life Science, Sejong University, 209 Neundong-ro, Gwangjin-gu, Seoul-05006, South Korea
| | - O. Teijido
- EuroEspes Biomedical Research Center, Institute of Medical Science and Genomic Medicine, Corunna, Spain
- Genomic Medicine, Continental University Medical School, Huancayo, Peru 3Human Genetics Laboratory, Department of Zoology, School of Life Sciences, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - J.C. Carril
- EuroEspes Biomedical Research Center, Institute of Medical Science and Genomic Medicine, Corunna, Spain
- Genomic Medicine, Continental University Medical School, Huancayo, Peru 3Human Genetics Laboratory, Department of Zoology, School of Life Sciences, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - P. Cacabelos
- EuroEspes Biomedical Research Center, Institute of Medical Science and Genomic Medicine, Corunna, Spain
| | - S. Keshavarao
- Genomic Medicine, Continental University Medical School, Huancayo, Peru 3Human Genetics Laboratory, Department of Zoology, School of Life Sciences, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
| | - R. Cacabelos
- EuroEspes Biomedical Research Center, Institute of Medical Science and Genomic Medicine, Corunna, Spain
- Genomic Medicine, Continental University Medical School, Huancayo, Peru 3Human Genetics Laboratory, Department of Zoology, School of Life Sciences, Bharathiar University, Bharathiar 641 046, Tamil Nadu, India
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Ghosh A, Hazeena P, Sugumar T, Shanmugam S, Venkatasubramanian S. A case of anti-Yo positive paraneoplastic cerebellar degeneration masquerading as post-infectious cerebellitis. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.859] [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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Abstract
The organic-inorganic nanocomposites were synthesized by sol-gel techniques. The constructed film renders photochromism, which can be tuned by choosing suitable polyoxometalates (POM). The molybdenum POMs show better photochromism than the tungsten POMs, which is well correlated with the first reduction potentials and band gap of the POM.
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Lauchlan D, Gray H, Moffat F, Shanmugam S. The feasibility and acceptability of the Assessment of Physiotherapy Practice instrument during pre-registration student placements. Physiotherapy 2016. [DOI: 10.1016/j.physio.2016.10.352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Seenan C, Shanmugam S, Stewart J. Group peer teaching: a strategy for building confidence in communication and team working skills in physiotherapy students. Physiotherapy 2016. [DOI: 10.1016/j.physio.2016.10.282] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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20
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Zhao PY, Li TS, Shanmugam S, Kathannan S, Lan RX, Kim IH. 0954 Effect of dietary flaxseed oil on growth performance, nutrient digestibility, blood profiles, and meat quality in pigs. J Anim Sci 2016. [DOI: 10.2527/jam2016-0954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Nguyen DH, Kim HS, Kathannan S, Shanmugam S, Kim IH. 0922 Effect of a multi-enzyme component on growth performance, nutrient digestibility, carcass quality, and gas emission in broilers. J Anim Sci 2016. [DOI: 10.2527/jam2016-0922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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22
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Shanmugam S. SU-F-E-13: Design and Fabrication of Gynacological Brachytherapy Shielding & Non Shielding Applicators Using Indigenously Developed 3D Printing Machine. Med Phys 2016. [DOI: 10.1118/1.4955699] [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: 11/07/2022] Open
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Nguyen DH, Kim JK, Shanmugam S, Kim IH. 277 Effect of protease and anti-inflammatory supplementation with low nutrient diets on growth performance, nutrient digestibility, blood profile and fecal noxious gas in growing-finishing pigs. J Anim Sci 2016. [DOI: 10.2527/msasas2016-277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Shanmugam S, Goulding G, Gibbs NM, Taraporewalla K, Culwick M. Chewing Gum in the Preoperative Fasting Period: An Analysis of De-Identified Incidents Reported to Webairs. Anaesth Intensive Care 2016; 44:281-4. [DOI: 10.1177/0310057x1604400216] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The role of preoperative fasting is well established in current anaesthetic practice with different guidelines for clear fluids and food. However, chewing gum may not be categorised as either food or drink by some patients, and may not always be specified in instructions given to patients about preoperative fasting. The aim of this paper was to review anaesthesia incidents involving gum chewing reported to webAIRS to obtain information on the risks, if any, of gum chewing during the preoperative fasting period. There were nine incidents involving chewing gum reported between late 2009 and early 2015. There were no adverse outcomes from the nine incidents other than postponement of surgery in three cases and cancellation in one. In particular, there were no reports of aspiration or airway obstruction. Nevertheless, there were five cases in which the gum was not detected preoperatively and was found in the patient's mouth either intraoperatively or postoperatively. These cases of undetected gum occurred despite patient and staff compliance with their current preoperative checklists. While the risk of increased gastric secretions related to chewing gum preoperatively are not known, the potential for airway obstruction if the gum is not detected and removed preoperatively is very real. We recommend that patients should be specifically advised to avoid gum chewing once fasting from clear fluids is commenced, and that a specific question regarding the presence of chewing gum should be added to all preoperative checklists.
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Affiliation(s)
- S. Shanmugam
- Department of Anaesthesia, Royal Brisbane and Women's Hospital, Herston, Brisbane, Queensland, and University of Queensland, Brisbane, Queensland
| | - G. Goulding
- Department of Anaesthesia, Royal Brisbane and Women's Hospital, Herston, Brisbane, Queensland, and University of Queensland, Brisbane, Queensland, and Member, The Australian and New Zealand Tripartite Anaesthetic Data Committee
| | - N. M. Gibbs
- Department of Anaesthesia, Sir Charles Gairdner Hospital, Nedlands, Western Australia, and Chair, The Australian and New Zealand Tripartite Anaesthetic Data Committee
| | - K. Taraporewalla
- Department of Anaesthesia, Royal Brisbane and Women's Hospital, Herston, Brisbane, Queensland, and University of Queensland, Brisbane, Queensland
| | - M. Culwick
- Department of Anaesthesia, Royal Brisbane and Women's Hospital, Herston, Brisbane, Queensland, and University of Queensland, Brisbane, Queensland, and Medical Director, The Australian and New Zealand Tripartite Anaesthetic Data Committee
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Shanmugam S, Ravichandran K, Sankara Narayanan TSN, Lee MH. A facile electrochemical approach for the deposition of iron–manganese phosphate composite coatings on aluminium. RSC Adv 2015. [DOI: 10.1039/c4ra08195a] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Cathodic electrochemical treatment is a facile approach for the deposition of iron–manganese phosphate composite coatings on Al.
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Affiliation(s)
- S. Shanmugam
- Department of Analytical Chemistry
- School of Chemical Sciences
- University of Madras
- Chennai-600025
- India
| | - K. Ravichandran
- Department of Analytical Chemistry
- School of Chemical Sciences
- University of Madras
- Chennai-600025
- India
| | - T. S. N. Sankara Narayanan
- Department of Dental Biomaterials and Institute of Biodegradable Material
- Institute of Oral Bioscience and BK21 Project
- School of Dentistry
- Chonbuk National University
- Jeonju 561-756
| | - Min Ho Lee
- Department of Dental Biomaterials and Institute of Biodegradable Material
- Institute of Oral Bioscience and BK21 Project
- School of Dentistry
- Chonbuk National University
- Jeonju 561-756
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Vellingiri B, Kathanan S, Subramaniam M, Shanmugam S, Meyyazhagan A, Balasubramanian B, Shanawaz D, Priyadarshini S, Keshavarao S. P206: A case control study of cytogenetic and genotypic alterations in Rett syndrome (RTT) male patients. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50338-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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van de Wiel HJ, Galagan Y, van Lammeren TJ, de Riet JFJ, Gilot J, Nagelkerke MGM, Lelieveld RHCAT, Shanmugam S, Pagudala A, Hui D, Groen WA. Roll-to-roll embedded conductive structures integrated into organic photovoltaic devices. Nanotechnology 2013; 24:484014. [PMID: 24196842 DOI: 10.1088/0957-4484/24/48/484014] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Highly conductive screen printed metallic (silver) structures (current collecting grids) combined with poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS) are a viable replacement for indium tin oxide (ITO) and inkjet printed silver as transparent electrode materials. To provide successful integration into organic photovoltaic (OPV) devices, screen printed silver current collecting grids should be embedded into a substrate to avoid topology issues. In this study micron-thick conductive structures are embedded and integrated into OPV devices. The embedded structures are produced roll-to-roll with optimized process settings and materials. Topology measurements show that the embedded grids are well suited for integration into OPV devices since the surface is almost without spikes and has low surface roughness. JV measurements of OPV devices with embedded structures on a polyethylene terephthalate/silicon nitride (PET/SiN) substrate show an efficiency of 2.15%, which is significantly higher than identical flexible devices with ITO (1.02%) and inkjet printed silver (1.48%). The use of embedded screen printed silver instead of ITO and inkjet printed silver in OPV devices will allow for higher efficiency devices which can be produced with larger design and process freedom.
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Affiliation(s)
- H J van de Wiel
- TNO, Materials for Integrated Products, De Rondom 1, 5612 AP, Eindhoven, The Netherlands. Holst Centre, PO BOX 8550, 5605 KN Eindhoven, The Netherlands
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Gouse Peera S, Tintula K, Sahu A, Shanmugam S, Sridhar P, Pitchumani S. Catalytic activity of Pt anchored onto graphite nanofiber-poly (3,4-ethylenedioxythiophene) composite toward oxygen reduction reaction in polymer electrolyte fuel cells. Electrochim Acta 2013. [DOI: 10.1016/j.electacta.2013.06.098] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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El Farran CA, Sekar A, Balakrishnan A, Shanmugam S, Arumugam P, Gopalswamy J. Prevalence of biofilm-producing Staphylococcus epidermidis in the healthy skin of individuals in Tamil Nadu, India. Indian J Med Microbiol 2013; 31:19-23. [PMID: 23508424 DOI: 10.4103/0255-0857.108712] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
PURPOSE Staphylococcus epidermidis is a major commensal bacteria. Various strains of S. epidermidis are capable of forming biofilms by attaching to several surfaces. Biofilm-forming ability of this organism is found to be associated with many hospital-acquired infections and can even impair wound healing. S. epidermidis strains producing polysaccharide-biofilms possess the intercellular adhesion (ica) operon while strains forming the protein adhesion-mediated biofilms possess the accumulation associated protein (aap) gene. We screened for biofilm-forming S. epidermidis in the skin of healthy individuals in Tamil Nadu in order to determine the risk of acquiring S. epidermidis infections in hospital settings. MATERIALS AND METHODS Skin swabs were taken from seventy two subjects residing in Chennai with healthy skin who showed no visible signs of skin lesions or allergies. S. epidermidis was isolated from 58 samples out of the 72 collected. The presence of ica operon in S. epidermidis isolates was determined by PCR and biofilm production was examined using quantitative tissue culture plate assay. RESULTS Majority of the samples (47/72; 65.3%) showed pure S. epidermidis growth, (14/72; 19.4%) showed pure Staphylococcus aureus growth and the remainder (11/72; 15.3%) showed mixed growth. Biofilm-forming S. epidermidis were found in the majority of samples (53/58; 91.4%) and ica operon was detected in 19 samples out of 58 (32.8%) which is a significantly higher percentage when compared to other studies conducted at different parts of the globe ( P = 0.0003). CONCLUSION We inferred that ica operon and biofilm-forming S. epidermidis are common in the healthy skin of individuals in Tamil Nadu. Measures have to be taken to reduce the risk of hospital-acquired S. epidermidis infections.
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Affiliation(s)
- C A El Farran
- Research Core Facility GM 01/01, Faculty of Medicine, Kuwait University, Jabriya, P.O. Box 24923, Safat 13110, Kuwait
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Shanmugam S, Merchant W, Clark S. Solitary progressive congenital nodule. Clin Exp Dermatol 2013; 38:441-2. [PMID: 23495676 DOI: 10.1111/ced.12121] [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] [Accepted: 11/04/2012] [Indexed: 11/26/2022]
Affiliation(s)
- S Shanmugam
- Department of Dermatology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
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Shanmugam S, Gahlaut R, Edwards S, Hussain W. Periocular keratotic nodule. Dermatol Online J 2013; 19:11. [PMID: 23552008] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
Affiliation(s)
- S Shanmugam
- Leeds Centre for Dermatology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
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Shanmugam S, Gahlaut R, Edwards S, Hussain W. Periocular keratotic nodule. Dermatol Online J 2013. [DOI: 10.5070/d334m1r1pj] [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: 11/08/2022] Open
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Manoj Kumar S, Shanmugam S, Ramalakshmi M, Jaishankar S. Various Treatment Modalities and Visceral Organ Involvement (Cardiac) in Oral Submucous Fibrosis: A Clinical Study. JIAOMR 2011. [DOI: 10.5005/jp-journals-10011-1125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Manoj Kumar S, Elangovan S, Shanmugam S, Srividhya S. Juvenile Aggressive Ossifying Fibroma: A Rare Case Report. JIAOMR 2011. [DOI: 10.5005/jp-journals-10011-1193] [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: 11/23/2022] Open
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Shanmugam S. Save antibiotics for future of mankind. J Assoc Physicians India 2011; 59:64-65. [PMID: 21751673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Abstract
Lichen planus is a common dermatologic disease to manifest in the oral cavity. Recurrent aphthous ulcers are the most common ulcers of the oral cavity causing discomfort to the patients. These two diseases have different clinical manifestations which require appropriate treatment after correct diagnosis. Though numerous etiological factors have been proposed for these diseases, their true etio-pathogenesis is not yet established and therefore all therapies are palliative and none is effective universally. In light of this, the role of nitric oxide as a mediator in the etio-pathogenesis of these diseases was considered. The present study was undertaken to note the salivary nitric oxide levels as measured through its product nitrite in oral mucosal diseases like lichen planus and recurrent aphthous ulcers and also to ascertain whether salivary nitric oxide level has a role to play as a pathophysiological mediator in these diseases
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Affiliation(s)
- M Sunitha
- Department of Oral Medicine and Radiology, Sree Mookambika Institute of Dental Sciences, Kulasekharam, Tamilnadu
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Shanmugam S, Kurian K, Vishwanath R, Mani MS. Paget′s Disease - Report of two cases with Review of literature. J Indian Acad Oral Med Radiol 2007. [DOI: 10.4103/0972-1363.168442] [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: 02/25/2023] Open
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Kurian K, Shanmugam S, Harsh Vardah T, Gupta S. Chondroectodermal dysplasia (Ellis van Creveld syndrome): A report of three cases with review of literature. Indian J Dent Res 2007; 18:31-4. [PMID: 17347543 DOI: 10.4103/0970-9290.30920] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Chondroectodermal dysplasia is a rare mesenchymal - ectodermal dysplasia first described in 1940 by Richard W.B. Ellis and Simon van Creveld now known as Ellis van Creveld syndrome. It is also known as Mesvectodermal dysplasia. Majority of cases were characteristically seen in one particular inbred population from the Amish community of Lancaster County, Pennsylvania, U.S.A. The syndrome manifests with several skeletal anomalies, oral mucosal and dental anomalies, congenital cardiac defects and nail dysplasia. Ellis van Creveld syndrome may be differentiated from other chondrodystrophies like achondroplasia, chondroplasia punctata, asphyxiating thorasic dystrophy and Morquio's syndrome. The presence of oral mucosal and dental alterations like notching of the lower alveolar process, fusion of the upper lip with gingival mucosal margin, occasional presence of neonatal teeth, oligodontia and conical shape of anterior teeth will confirm the diagnosis of Ellis van Creveld syndrome and hence its importance to dentists.
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Affiliation(s)
- K Kurian
- Department of Oral Medicine and Radiology, Ragas Dental College and Hospital, Chennai, India.
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Affiliation(s)
- S Shanmugam
- From the Super Scans, 31-a, Kaliappa Pillai Street, Tuticorin - 628 001, India
| | - D Vijayasekaran
- From the Super Scans, 31-a, Kaliappa Pillai Street, Tuticorin - 628 001, India
| | - M G Marimuthu
- From the Super Scans, 31-a, Kaliappa Pillai Street, Tuticorin - 628 001, India
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Pachamuthu B, Shanmugam S, Nagalingeswaran K, Solomon SS, Solomon S, Solomon S. HIV-1 drug resistance among untreated patients in India: Current status. J Postgrad Med 2006; 52:183-6. [PMID: 16855318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/10/2023] Open
Abstract
HAART has dramatically improved survival and quality of life among people living with HIV and AIDS globally. However, drug resistant mutations of HIV are a great challenge to the benefits of HAART. Antiviral resistance can be mediated either by changes in the molecular target of therapy (the primary mechanism observed in HIV-1) or in other viral proteins that indirectly interfere with a drug's activity. Drug resistant mutations easily evolve in the presence of sub-optimal adherence. With the introduction of generic HAART, there has been a steep increase in the number of patients put on HAART in India. It should also be noted that since most patients pay for medications out of their own pockets, interruptions in therapy due to monetary constraints are not uncommon. There is little information on HIV drug resistance in resource constrained settings like India where the predominant circulating HIV-1 sub-type is C. The transmissibility of drug-resistant forms of the virus is also a major concern especially when formulating treatment guidelines. This article reviews published data available on the patterns of HIV-1 drug resistance among treatment naïve in India.
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Affiliation(s)
- B Pachamuthu
- YRG Centre for AIDS Research and Education, Voluntary Health Services Campus, Taramani, Chennai-600113, India.
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Kurian K, Elangovan C, Anitha B, Shanmugam S. Nasolabial Cyst - A Review and Report of 2 Cases. J Indian Acad Oral Med Radiol 2006. [DOI: 10.4103/0972-1363.169270] [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: 02/25/2023] Open
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Saraswathi TR, Ranganathan K, Shanmugam S, Sowmya R, Narasimhan PD, Gunaseelan R. Prevalence of oral lesions in relation to habits : Cross-sectional study in South India. Indian J Dent Res 2006; 17:121-5. [PMID: 17176828 DOI: 10.4103/0970-9290.29877] [Citation(s) in RCA: 89] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Smoking, drinking and chewing tobacco product, common habits in India have been positively associated with oral lesions. No study has been conducted in this part of Tamilnadu regarding the prevalence of oral lesions in relation to habits. METHODS A hospital based cross-sectional study was carried out at Ragas Dental College, Chennai. Already existing data of two thousand and seventeen consecutive patients from sub-urban areas of Chennai, who attended the outpatient department, at Ragas Dental College, for dental complaints during a period of three months in 2004, who underwent oral examination and interviewer based questionnaire was used. RESULTS Oral soft tissue lesions were found in 4.1% of the study subjects. The prevalence of leukoplakia, OSF and oral lichen planus was 0.59%, 0.55%, and 0.15% respectively. The prevalence of smoking, drinking alcoholic beverages and chewing was 15.02%, 8.78% and 6.99% respectively. Smoking and chewing were significant predictors of leukoplakia in this population. DISCUSSION The prevalence of leukoplakia, OSF and oral lichen planus in our study population is similar to those found in other populations. The prevalence of consumption of alcoholic beverages in our study population was higher when compared to the Indian National Sample Survey study. However the prevalence of smoking and chewing was found to be lower. Smokers were more likely to develop smoker's melanosis compared to other lesions. Among those who consumed alcoholic beverages alone, the prevalence of leukoplakia was higher compared to other lesions. OSF was the most prevalent lesion among those who chewed panmasala or gutkha or betel quid with or without tobacco.
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Affiliation(s)
- T R Saraswathi
- Department of Oral and Maxillofacial Pathology, Ragas Dental College and Hospital, Chennai, India
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Sivakumar R, Vetrichelvan T, Rajendran NN, Devi MI, Sundaramoorthi K, Shankar ASK, Shanmugam S. Antibacterial activity of mushroomOsmoporus odoratus. Indian J Pharm Sci 2006. [DOI: 10.4103/0250-474x.27836] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Shanmugam S, Bhagavati A. Prenatal evaluation of vein of galen malformation with three dimensional doppler angiography - a case report. Indian J Radiol Imaging 2006. [DOI: 10.4103/0971-3026.32340] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Sunitha M, Shanmugam S. Intraoral Non-hodgkin′s Lymphoma In a HIV Patient. J Indian Acad Oral Med Radiol 2006. [DOI: 10.4103/0972-1363.169268] [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: 02/25/2023] Open
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Shanmugam S, Viswanathan B, Varadarajan T. Preparation of noble metal supported carbon electrodes using photochemically reduced heteropolyanions in composite films. ACTA ACUST UNITED AC 2005. [DOI: 10.1016/j.molcata.2005.06.063] [Citation(s) in RCA: 6] [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: 12/01/2022]
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John A, Elangovan C, Kurian K, Shanmugam S, Christy W. Frontometaphyseal Dysplasia - A Case Report. J Indian Acad Oral Med Radiol 2005. [DOI: 10.4103/0972-1363.169243] [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: 02/25/2023] Open
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