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Deuser K, Sanchez RP, Mendoza-Moran A, Winzeler B, Zheng Y, Trivedi S. Student perceptions of the impact of quality matters essential standards in an animal physiology course. Transl Anim Sci 2023; 7:txad112. [PMID: 37849525 PMCID: PMC10578200 DOI: 10.1093/tas/txad112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Accepted: 09/20/2023] [Indexed: 10/19/2023] Open
Abstract
As online learning becomes increasingly popular in higher education, the quality of courses that utilize this modality is becoming a focus of inquiry. Quality Matters (QM) is a leading quality assurance organization that reviews online and hybrid (partially online, partially in-person) courses for standards of pedagogy and instructional design and certifies courses that sufficiently meet these standards. In this study, we examine student perceptions of course quality in a hybrid three-credit-hour animal science course that has been certified by QM. The class met twice a week for 1.25 h with one class period online and one in person. It consisted of 11 modules, each of which included learning content, learning activities, and assessments. Upon completion, 46 of 114 students completed a survey in which they rated the course on each of the 21 QM essential standards (Fifth edition). Descriptive analysis revealed that for 19 of the 21 specific review standards, 75% to 91% of students agreed or strongly agreed that the course reflected the best practice described in the standard. For the other two standards, over half of students (72%, 63%) agreed or strongly agreed that best practices were reflected in course design. Another way to examine the data is to collapse specific review standards into eight general review categories as specified by QM; the collapsed data revealed that 75% to 88% of students agreed or strongly agreed that the course design reflected the eight general course design standards. The percentage of students disagreeing that the course reflected each best practice was 11% or lower. Cronbach analysis to examine the internal consistency of the QM questionnaire (0.96), indicated instrument reliability and stability. A principal component analysis of the data conducted to further examine features and patterns of student responses revealed four primary factors that students rated highly (learning objectives, learner interaction and engagement, accessibility and usability, and clarity) that explained 78% of the data variance. This study demonstrates that the high quality of course design and delivery in a QM-certified course is clear to students. and provides justification for the investment in high-quality online and hybrid course design. In the future, we plan to compare student perceptions of course quality in a course that has not been QM-certified with one that has, as well as the impact of those revisions on student outcomes.
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Affiliation(s)
- Kylie Deuser
- Animal Science Department, North Carolina State University, Raleigh, NC 27695
| | - Rebecca P Sanchez
- Digital Education and Learning Technology Applications (DELTA), North Carolina State University, Raleigh, NC 27695
| | - Arlene Mendoza-Moran
- Digital Education and Learning Technology Applications (DELTA), North Carolina State University, Raleigh, NC 27695
| | - Bethanne Winzeler
- Digital Education and Learning Technology Applications (DELTA), North Carolina State University, Raleigh, NC 27695
| | - Yaxin Zheng
- Statistics Department, North Carolina State University, Raleigh, NC 27695
| | - Shweta Trivedi
- Animal Science Department, North Carolina State University, Raleigh, NC 27695
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Trivedi S, Javed NB, Desai RS, Issar P. Diagnostic efficacy of chest CT imaging in diagnosis of COVID-19 cases based on duration of symptoms. Niger J Clin Pract 2023; 26:1171-1175. [PMID: 37635613 DOI: 10.4103/njcp.njcp_103_23] [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] [Indexed: 08/29/2023]
Abstract
Background Chest computed tomography (CT) imaging provides results more rapidly and with higher sensitivity than reverse transcription polymerase chain reaction in diagnosis of COVID-19. Aim To evaluate diagnostic efficacy of chest CT imaging in diagnosis of COVID-19 cases based on age and duration of symptoms. Materials and Methods A retrospective study conducted during December 2020 to June 2021 in a tertiary care hospital, India. Total 495 patients with typical clinical symptoms of COVID-19, reverse transcription polymerase chain reaction positive for COVID-19 and had undergone chest CT imaging were included. Descriptive statistical analysis was performed for all the variables. Receiver operating characteristic curve analysis was used to determine threshold value of chest CT severity score (CT_SS) based on duration of symptoms and age to diagnose COVID-19. Results Mean age of patients was 61.86 ± 10.77 years and 367 (71.4%) patients were male. Ground glass opacities were observed in 456 (92.1%) patients and in 332 (67.1%) patients, multilobes were affected. Total CT_SS showed positive correlation with age (r = 0.257) and duration of symptoms (r = 0.625). Total CT_SS >6 after a duration of 2 days of symptoms identified COVID-19 cases with sensitivity 90.8% (95% confidence interval [CI]: 87.5%-93.5%) and specificity 84.6% (95% CI: 76.2%-90.9%). Total CT_SS >11 in patients aged more than 60 years identified COVID-19 cases with sensitivity 47.4% (95% CI: 41.2%-53.6%) and specificity 87.3% (95% CI: 82.3%-91.4%). Conclusion Threshold value of CT_SS determined will help to expedite diagnosis of COVID-19 patients by the clinicians in an early stage especially in India and other developing countries which have a high patient volume and limited health resources.
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Affiliation(s)
- S Trivedi
- Department of Respiratory Medicine, Jawaharlal Nehru Hospital and Research Center, Bhilai Nagar, Chhattisgarh, India
| | - N B Javed
- Department of Public Health, College of Health Science, Saudi Electronic University, Dammam, Saudi Arabia
| | - R S Desai
- Department of Respiratory Medicine, Jawaharlal Nehru Hospital and Research Center, Bhilai Nagar, Chhattisgarh, India
| | - P Issar
- Department of Radiology, Jawaharlal Nehru Hospital and Research Center, Bhilai Nagar, Chhattisgarh, India
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Burnham CM, McKenney EA, van Heugten KA, Minter LJ, Trivedi S. Effects of age, seasonality, and reproductive status on the gut microbiome of Southern White Rhinoceros (Ceratotherium simum simum) at the North Carolina zoo. Anim Microbiome 2023; 5:27. [PMID: 37147724 PMCID: PMC10163733 DOI: 10.1186/s42523-023-00249-5] [Citation(s) in RCA: 2] [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] [Received: 07/19/2022] [Accepted: 04/22/2023] [Indexed: 05/07/2023] Open
Abstract
BACKGROUND Managed southern white rhinoceros (Ceratotherium simum simum) serve as assurance populations for wild conspecifics threatened by poaching and other anthropocentric effects, though many managed populations experience subfertility and reproductive failure. Gut microbiome and host health are inextricably linked, and reproductive outcomes in managed southern white rhinoceros may be mediated in part by their diet and gut microbial diversity. Thus, understanding microbial dynamics within managed populations may help improve conservation efforts. We characterized the taxonomic composition of the gut microbiome in the managed population of female southern white rhinoceros (n = 8) at the North Carolina Zoo and investigated the effects of seasonality (summer vs. winter) and age classes (juveniles (n = 2; 0-2 years), subadults (n = 2; 3-7 years), and adults (n = 4; >7 years)) on microbial richness and community structure. Collection of a fecal sample was attempted for each individual once per month from July-September 2020 and January-March 2021 resulting in a total of 41 samples analyzed. Microbial DNA was extracted and sequenced using the V3-V4 region of the 16S rRNA bacterial gene. Total operational taxonomic units (OTUs), alpha diversity (species richness, Shannon diversity), and beta diversity (Bray-Curtis dissimilarity, linear discriminant analysis effect size) indices were examined, and differentially enriched taxa were identified. RESULTS There were differences (p < 0.05) in alpha and beta diversity indices across individuals, age groups, and sampling months. Subadult females had higher levels of Shannon diversity (Wilcoxon, p < 0.05) compared to adult females and harbored a community cluster distinct from both juveniles and adults. Samples collected during winter months (January-March 2021) possessed higher species richness and statistically distinct communities compared to summer months (July-September 2020) (PERMANOVA, p < 0.05). Reproductively active (n = 2) and currently nonreproductive adult females (n = 2) harbored differentially enriched taxa, with the gut microbiome of nonreproductive females significantly enriched (p = 0.001) in unclassified members of Mobiluncus, a genus which possesses species associated with poor reproductive outcomes in other animal species when identified in the cervicovaginal microbiome. CONCLUSION Together, our results increase the understanding of age and season related microbial variation in southern white rhinoceros at the North Carolina Zoo and have identified a potential microbial biomarker for reproductive concern within managed female southern white rhinoceros.
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Affiliation(s)
- Christina M Burnham
- Department of Animal Science, North Carolina State University, 120 W Broughton Dr, Raleigh, NC, 27607, USA
| | - Erin A McKenney
- Department of Applied Ecology, North Carolina State University, 100 Brooks Ave, Raleigh, NC, 27607, USA
| | - Kimberly Ange- van Heugten
- Department of Animal Science, North Carolina State University, 120 W Broughton Dr, Raleigh, NC, 27607, USA
| | - Larry J Minter
- North Carolina Zoo, 4401 Zoo Parkway, Asheboro, NC, 27205, USA
| | - Shweta Trivedi
- Department of Animal Science, North Carolina State University, 120 W Broughton Dr, Raleigh, NC, 27607, USA.
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Burnham CM, McKenney EA, Heugten KA, Minter LJ, Trivedi S. Effect of fecal preservation method on captive southern white rhinoceros gut microbiome. WILDLIFE SOC B 2023. [DOI: 10.1002/wsb.1436] [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: 03/29/2023]
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Trivedi S, Clark JC, Long L, Daniel GA, Anderson SM, Zheng Y. Assessing the Mental Wellbeing and Help-Seeking Behaviors of Pre-Veterinary Undergraduates at a Land-Grant Institution. J Vet Med Educ 2023:e20220096. [PMID: 36927396 DOI: 10.3138/jvme-2022-0096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Recent research conducted within the veterinary profession has reported higher rates of depression and stress than the general US population. While this decline in mental wellbeing has been documented in Doctor of Veterinary Medicine (DVM) students and veterinary professionals, there is a lack of research on the mental wellbeing of the pre-veterinary population. This gap led the authors to conduct a survey in the fall of 2021 utilizing the DASS-21 and ATSPPH-sf inventories to assess the levels of depression, anxiety, stress, and help-seeking stigma in pre-veterinary students to better understand when the decline in veterinary mental wellbeing begins. A pre-test survey was completed by 233 pre-veterinary students in September, and an identical post-test survey was completed by 184 pre-veterinary students in November. From the pre- and post-test data, depression, anxiety, and stress scores increased as students advanced in academic status during their undergraduate degree. Juniors reported the highest averages of depression, anxiety, and stress compared to their peers. In the post-test, sophomores and juniors exhibited higher rates of depression than freshmen, and juniors and seniors exhibited higher rates of stress than freshmen. Current VMCAS applicants exhibited higher levels of stress than non-VMCAS applicants in the pre-test, and lower levels of stress in the post-test. In both the pre-test and post-test data, respondents averaged a neutral attitude toward help-seeking. Based on these results, a decline in pre-veterinary mental wellbeing occurs as students' progress in their undergraduate career and should be further studied to assess its impact on Doctor of Veterinary Medicine and veterinary professional wellbeing.
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Affiliation(s)
- Shweta Trivedi
- 120 Broughton Drive 123 Polk Hall, Campus Box 7621, Raleigh, NC 27695
| | - Jessica C Clark
- North Carolina State University, 2751 Cates Ave, Holmes Hall 235, Campus Box 7925, Raleigh, NC 27695 USA
| | - Linzi Long
- North Carolina State University College of Veterinary Medicine
| | | | | | - Yaxin Zheng
- SAS, 600 SAS Campus Drive, Cary, NC 27513 USA
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Patel K, Dessi D, Trivedi S. Case Report of Male Pseudohermaphroditism (Androgen Insensitivity Syndrome): Congenital Disorder of Sexual Differentiation. J Assoc Physicians India 2023; 71:1. [PMID: 37116050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
INTRODUCTION A broad spectrum of anomalies of sexual differentiation may exist at birth, which can be unreported until adolescence. A 17-year-old patent with female phenotype came with complaints of primary amenorrhea. On imaging (ultrasound and MRI) uterus and bilateral ovaries were absent. Small blind-ending vaginal pouch was noted along with features suggesting bilateral cryptorchidism. No definite male external genitalia/scrotal sac was seen except for subtle rudimentary bulbo-cavernous muscles. Karyotyping confirmed 46 XY consistent with Male Pseudohermaphroditism. MATERIALS Male pseudohermaphroditism refers to a condition that affects 46, XY individuals with differentiated testes who exhibit varying degrees of feminization. In these cases there is a spectrum of external genitalia; some individuals are completely phenotypically female. Androgen insensitivity syndrome (AIS), also known as the testicular feminization syndrome, results from end-organ resistance to androgens, particularly testosterone. As the appearance of the external genitalia often is not distinctive enough to make a specific diagnosis, this must be accomplished by clinical findings along with a combination of imaging, cytogenetic and biochemical studies. Ultrasound and MRI studies are extremely useful to diagnose such conditions at the earliest as these patients have an increased incidence of malignancy in the undescended testes. The treatment is influenced by genital tissue responsiveness to androgens and reconstructive surgical procedures. There is a need for counselling regarding pubertal development, sexual performance and fertility. RESULT A 17year old patent came with complaints of primary amenorrhea. On examination patient has normal external female genitalia, with developed breast. On laboratory correlation, it shows high testosterone level: 881 ng/dL and Normal progesterone level: 0.182 ng/mL. On karyotyping, it shows 46XY karyotype. On USG: Uterus is not well appreciated. There is iso-echogenic oval shaped soft tissue seen in bilateral inguinal regions with vascularity within-likely to be gonads. On MRI: Absence of uterus and bilateral ovaries are confirmed with evidence of symmetrical oval-shaped soft tissue lesions identified within bilateral inguinal canals - consistent with bilateral cryptorchidism. Male pseudohermaphroditism refers to a condition that affects 46, XY individuals with differentiated testes who exhibit varying degrees of feminization. CONCLUSION In cases of male pseudohermaphroditism, there is a spectrum of external genitalia; some individuals are completely phenotypically female, whereas others appear to be normal males with varying spermatogenesis and/or pubertal virilization. As the appearance of the external genitalia often is not distinctive enough to make a specific diagnosis, this must be accomplished by clinical findings along with a combination of cytogenetic, biochemical, and radiologic studies. Sonographic and radiographic studies are often used initially to evaluate such conditions. Male pseudohermaphrodites all possess testes yet exhibit incomplete virilization of the genital ducts and/or external genitalia. The findings depend on the underlying defect. Complete androgen insensitivity (testicular feminization) is an X-linked recessive disorder in which the absence of cytoplasmic testosterone receptors prevents specific gene activation and subsequent differentiation of the external genitalia. In this disorder, the external genitalia are completely feminized, while in the other forms of male pseudohermaphroditism various degrees of virilization occur. The absence of internal female genital tract structures reflects the synthesis of active Mullerian regression factor by the testes, which may be maldescended. Multiplanar MR images will confirm the absence of a uterus and demonstrate intraabdominal or inguinal testes. Integrated imaging in the form of ultrasound, genitography and MRI is important in demonstrating the anatomy, classification, possible effects or congenital malformations in other organs, warning patients of any risk of neoplasia and guiding the clinician to plan other investigations, hormonal replacement or reconstruction surgery if required. References Tanaka YO, Mesaki N, Kurosaki Y, et al. Testicular feminization: role of MRI in diagnosing this rare male pseudohermaphroditism. J Comput Assist Tomogr 1998;22(6):884-888. Nakhal RS, Hall-Craggs M, Freeman A, et al. Evaluation of retained testes in adolescent girls and women with complete androgen insensitivity syndrome. Radiology 2013;268(1):153-160.
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Cheng J, Chen G, Chakraborty D, Kutcher S, Wen J, Chen H, Trivedi S, Sobolewski R. (Cd,Mg)Te crystals for picosecond-response optical-to-x-ray radiation detectors. Rev Sci Instrum 2022; 93:113104. [PMID: 36461512 DOI: 10.1063/5.0101831] [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] [Received: 06/03/2022] [Accepted: 10/18/2022] [Indexed: 06/17/2023]
Abstract
We demonstrate a photodetector sensitive to both optical and x-ray picosecond pulses based on our in-house grown cadmium magnesium telluride (Cd,Mg)Te single crystal. Specifically, we developed In-doped Cd0.96Mg0.04Te material and discuss its femtosecond optical photoresponse, as well as the detector performance, such as <100-pA dark current and up to 0.22-mA/W responsivity for 780-nm wavelength optical radiation. The detector exposed to Ti fluorescence (K alpha) x-ray pulses at 4.5 keV, generated by a free-electron laser beam with the central energy of 9.8 keV and <100 fs pulse width, exhibited readout-electronics-limited 200-ps full-width-at-half-maximum photoresponse, demonstrating that it is suitable for coarse timing in free-electron laser x-ray/optical femtosecond pump-probe spectroscopy applications.
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Affiliation(s)
- J Cheng
- Materials Science Graduate Program, University of Rochester, Rochester, New York 14627, USA
| | - G Chen
- Materials Science Graduate Program, University of Rochester, Rochester, New York 14627, USA
| | - D Chakraborty
- Materials Science Graduate Program, University of Rochester, Rochester, New York 14627, USA
| | - S Kutcher
- Brimrose Technology Corp, Sparks, Maryland 21152, USA
| | - J Wen
- Brimrose Technology Corp, Sparks, Maryland 21152, USA
| | - H Chen
- Brimrose Technology Corp, Sparks, Maryland 21152, USA
| | - S Trivedi
- Brimrose Technology Corp, Sparks, Maryland 21152, USA
| | - Roman Sobolewski
- Materials Science Graduate Program, University of Rochester, Rochester, New York 14627, USA
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Malik P, Trivedi S, Kolte A, Sejian V, Bhatta R, Rahman H. Diversity of rumen microbiota using metagenome sequencing and methane yield in Indian sheep fed on straw and concentrate diet. Saudi J Biol Sci 2022; 29:103345. [PMID: 35770269 PMCID: PMC9234715 DOI: 10.1016/j.sjbs.2022.103345] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 05/06/2022] [Accepted: 06/10/2022] [Indexed: 11/18/2022] Open
Abstract
Bacteroidetes and Firmicutes were most prevalent bacteria in the sheep rumen. Bacteroidetes were negatively correlated with the Euryarchaeota. Archaea constituted ∼2.5% of the ruminal microbiota. Methanobrevibacter gottschalkii constituted > 50% of the ruminal archaea. Hydrogenotrophic methanogens distribution leads to the variability in methane yield.
An in vivo study aiming to investigate the rumen methanogens community structure was conducted in Mandya sheep fed on straw and concentrate diet. The ruminal fluid samples were collected and processed for unravelling the rumen microbiota and methanogens diversity. Further, the daily enteric methane emission and methane yield was also quantified using the SF6 tracer technique. Results indicated that the Bacteroidetes (∼57%) and Firmicutes (25%) were two prominent affiliates of the bacterial community. Archaea represented about 2.5% of the ruminal microbiota. Methanobacteriales affiliated methanogens were the most prevalent in sheep rumen. The study inveterate that the ruminal archaea community in sheep is composed of 9 genera and 18 species. Methanobrevibacter represented the largest genus of the archaeome, while methylotrophs genera constituted only 13% of the community. Methanobrevibacter gottschalkii was the prominent methanogen, and Methaobrevibacter ruminantium distributed at a lower frequency (∼2.5%). Among Methanomassiliicoccales, Group 12 sp. ISO4-H5 constituted the most considerable fraction (∼11%). KEGG reference pathway for methane metabolism indicated the formation of methane through hydrogenotrophic and methylotrophic pathways, whereas the acetoclastic pathway was not functional in sheep. The enteric methane emission and methane yield was 19.7 g/d and 20.8 g/kg DMI, respectively. Various species of Methanobrevibacter were differently correlated, and the distribution of hydrogenotrophic methanogens mainly explained the variability in methane yield between the individual sheep. It can be inferred from the study that the hydrogenotrophic methanogens dominate the rumen archaeal community in sheep and methylotrophic/aceticlastic methanogens represent a minor fraction of the community. Further studies are warranted for establishing the metabolic association between the prevalent hydrogenotrophs and methylotrophs to identify the key reaction for reducing methane emission.
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Affiliation(s)
- P.K. Malik
- Bioenergetics and Environmental Science Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore 560030, India
- Corresponding author.
| | - S. Trivedi
- Bioenergetics and Environmental Science Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore 560030, India
| | - A.P. Kolte
- Animal Nutrition Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore 560030, India
| | - V. Sejian
- Animal Physiology Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore 560030, India
| | - R. Bhatta
- Director, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore 560030, India
| | - H. Rahman
- International Livestock Research Institute, South Asia Regional Office, New Delhi 110 012, India
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Trivedi S, Clark JC, Royal KD. The Impact of COVID-19 on Pre-Veterinary Opportunities and Recommendations for DVM Admissions. J Vet Med Educ 2022; 49:280-288. [PMID: 34003737 DOI: 10.3138/jvme-2020-0145] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
During the summer of 2020, a survey-based study was conducted at North Carolina State University, a land-grant university, to evaluate the impact of COVID-19 on pre-veterinary students' ability to gain experience hours for Doctor of Veterinary Medicine (DVM) admissions. Of the 286 respondents (47% of the respondent pool), 92% reported losing at least one animal, veterinary, research, extracurricular, or work opportunity due to COVID-19, and 59% were not able to find a replacement. Of the lost experiences, 74 (20.8%) were for academic credit, resulting in 131 total academic credit hours lost, while only 12 credit hours were gained via alternative experiences. Of respondents, 30% (29.7%) identified as applicants of the 2020-2021 Veterinary Medical College Application Service (VMCAS) cycle. More than half (52.6%) of the sample identified being concerned about the strength of their VMCAS experiences due to these lost opportunities. Many respondents reported considering delaying application submissions by taking a gap year (17.5%) or having had their intended graduation timeline affected (14.8%). Since the majority of veterinary colleges utilize a holistic review process, this study provides a basis for understanding the effects of COVID-19 on the duration, depth, and diversity of experiences gained by future DVM applicants. This article also provides recommendations for DVM admissions adaptations based on the outcomes of the data.
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Meuffels J, Bertschinger H, Tindall B, Pohlin F, Luther-Binoir I, Trivedi S, Boshoff CR, Lueders I. Arterial Blood Gases and Cardiorespiratory Parameters in Etorphine-Medetomidine-Midazolam Immobilized Free-Ranging and Game-Farmed Southern White Rhinoceroses (Ceratotherium simum simum) Undergoing Electro-Ejaculation. Front Vet Sci 2022; 9:862100. [PMID: 35573418 PMCID: PMC9094040 DOI: 10.3389/fvets.2022.862100] [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: 01/25/2022] [Accepted: 03/24/2022] [Indexed: 11/16/2022] Open
Abstract
With the rapid loss of individuals in the wild, semen cryopreservation has gained importance to safeguard the genetic diversity of white rhinoceroses (Ceratotherium simum). For semen collection via electro-ejaculation, immobilization of free-ranging individuals requires the potent opioid etorphine, which is routinely combined with azaperone, but causes hypoxemia, hypercarbia, acidemia, muscle rigidity, tachycardia, and systemic hypertension. In this study, the suitability of two alternative immobilization protocols including etorphine, medetomidine, and midazolam at different doses (high vs. low etorphine) was evaluated in adult white rhinoceros bulls in two different management systems (free-ranging vs. game-farmed) and undergoing electro-ejaculation. Fourteen free-ranging (Group 1) and 28 game-farmed rhinoceroses (Group 2) were immobilized with ≈2.5 μg/kg etorphine (high dose), ≈2.5 μg/kg medetomidine, ≈25 μg/kg midazolam and 1,500–1,700 IU hyaluronidase and received ≈2.5 μg/kg of butorphanol intravenously at first handling. Twenty game-farmed animals (Group 3) received ≈1 μg/kg etorphine (low dose), ≈5 μg/kg medetomidine, ≈25 μg/kg midazolam and 1,700 IU hyaluronidase. Respiratory rate, heart rate and peripheral hemoglobin oxygen saturation (SpO2) were measured at 5-min intervals; non-invasive oscillometric blood pressures and arterial blood gases at first handling and before reversal of the immobilization; serum clinical chemistry analytes and hematocrit at first handling. Generalized mixed models (fixed factors: group, time, recumbency; random factor: individual rhinoceros) were applied to compare longitudinal changes between free-ranging and game-farmed rhinoceroses immobilized with the higher etorphine dose (Groups 1 and 2), and between the two protocols tested in the game-farmed rhinoceroses (Groups 2 and 3). All animals were successfully immobilized, presented with normal lactate concentrations (<5 mmol/L), experienced no muscle tremors and recovered uneventfully. Hypoxemia and hypertension persisted throughout the immobilization in all groups. Acidemia and hypercarbia were absent in Group 1, but present in the game-farmed animals. The lower etorphine dose in Group 3 resulted in significantly longer induction times, however, tachycardia was not observed. SpO2 was higher for sternal vs. lateral recumbency. Semen-rich fractions were recovered following electro-stimulation in 46 out of the 62 animals. Our findings suggest that etorphine-medetomidine-midazolam provides effective immobilization with fewer side effects compared to previous reports in white rhinoceroses and is suitable for successful electro-ejaculation.
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Affiliation(s)
- Janine Meuffels
- Cryovault, Hemmersbach Rhino Force NCP, Hoedspruit, South Africa
- Department of Production Animal Studies, Faculty of Veterinary Science, University of Pretoria, Pretoria, South Africa
- *Correspondence: Janine Meuffels
| | - Henk Bertschinger
- Department of Production Animal Studies, Faculty of Veterinary Science, University of Pretoria, Pretoria, South Africa
| | | | - Friederike Pohlin
- Department of Interdisciplinary Life Sciences, Research Institute of Wildlife Ecology, University of Veterinary Medicine Vienna, Vienna, Austria
| | - Ilse Luther-Binoir
- Cryovault, Hemmersbach Rhino Force NCP, Hoedspruit, South Africa
- GEOsperm, Wildlife Reproduction and Biotechnology Services, Brits, South Africa
| | - Shweta Trivedi
- Department of Animal Science, North Carolina State University, Raleigh, NC, United States
| | | | - Imke Lueders
- Cryovault, Hemmersbach Rhino Force NCP, Hoedspruit, South Africa
- Mammal Research Institute, Faculty of Natural and Agricultural Sciences, University of Pretoria, Hatfield, South Africa
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Trivedi S, Stefani L, Byth K, Brown P, Qian P, Kumar S, Thomas S, Thomas L. Left Ventricular Diastolic Dysfunction and Left Atrial Myopathy Independently Predict Atrial Fibrillation Recurrence Post Pulmonary Vein Isolation. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.026] [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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Stefani L, Boyd A, Ferkh A, Zada M, Devine K, Trivedi S, Tchan M, Thomas L. Basal Segmental Strain as a Marker of Cardiac Involvement in Anderson-Fabry Disease. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.226] [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: 10/16/2022]
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Trivedi S, Stefani L, Byth K, Brown P, Qian P, Kumar S, Thomas S, Thomas L. Medium-term Maintenance of Sinus Rhythm Post Pulmonary Vein Isolation Results in Significant Cardiac Reverse Remodelling. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.175] [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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14
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Karna ST, Gouroumourty R, Ahmad Z, Trivedi S, Thaware P, Singh P. Performance of prognostic scores in prediction of 30-day postoperative mortality in COVID-19 patients after emergency surgery: A retrospective cohort study. J Postgrad Med 2022; 68:199-206. [PMID: 36255012 PMCID: PMC9841536 DOI: 10.4103/jpgm.jpgm_1197_21] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Background : Risk assessment with prognostic scoring, though important, is scarcely studied in emergency surgical patients with COVID-19 infection. Methods and Material We conducted a retrospective cohort study on adult emergency surgical patients with COVID-19 infection in our institute from 1 May 2020 to 31 October 2021 to find the 30-day postoperative mortality and predictive accuracy of prognostic scores. We assessed the demographic data, prognostic risk scores (American Society of Anesthesiologists-Physical Classification (ASA-PS), Sequential Organ Failure Assessment (SOFA), Quick SOFA (qSOFA), Physiologic and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) and Portsmouth-POSSUM (P-POSSUM) scores), surgical and anesthetic factors. We assessed the postoperative morbidity using the Clavien-Dindo scale and recorded the 30-day mortality. Correlation of prognostic scores and mortality was evaluated using Univariate Cox proportional hazards regression, receiver operating characteristic curve (ROC), Youden's index and Hosmer- Lemeshow goodness of fit model. Results Emergency surgery was performed in 67 COVID-19 patients with postoperative complication and 30-day mortality rate of 33% and 19%, respectively. A positive qSOFA and ASAPS IIIE/IVE had a 9.03- and 12.7-times higher risk of mortality compared to a negative qSOFA and ASA-PS IE/IIE (P < 0.001), respectively. Every unit increase of SOFA, POSSUM and P-POSSUM scores was associated with a 50%, 18% and 17% higher risk of mortality, respectively. SOFA, POSSUM and P-POSSUM AUCROC curves showed good discrimination between survivors and non-survivors (AUC 0.8829, 0.85 and 0.86, respectively). Conclusions SOFA score has a higher sensitivity to predict 30-day postoperative mortality as compared to POSSUM and P-POSSUM. However, in absence of a control group of non-COVID-19 patients, actual risk attributable to COVID-19 infection could not be determined.
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Affiliation(s)
- ST Karna
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India,Address for correspondence: Dr. Karna ST, E-mail:
| | - R Gouroumourty
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
| | - Z Ahmad
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
| | - S Trivedi
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
| | - P Thaware
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
| | - P Singh
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
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Trivedi S, Clark JC, Deprospero D, Royal K, See MT. A novel career development course for animal science students pursuing veterinary college admissions. Transl Anim Sci 2021; 5:txab106. [PMID: 34632311 PMCID: PMC8495951 DOI: 10.1093/tas/txab106] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 06/09/2021] [Indexed: 11/13/2022] Open
Abstract
A one-credit hour, elective, professional development course was created at North
Carolina State University to introduce pre-veterinary track students to the
admissions process and the breadth of the veterinary profession. The course was
designed to facilitate career exploration while building self-efficacy through
vicarious learning, interacting with speakers in various veterinary subfields,
and addressing misperceptions about veterinary admissions. To evaluate the
student learning objectives and improve upon the current practices of the
course, data from two pretest and posttest course surveys for 235 course
participants between Spring 2014 and 2017 were analyzed. The results of the
study showed that students experienced significant gains in self-appraisal
(Cohen’s d ranged 1.88 to 2.53), gathering occupational
information (Cohen’s d ranged 1.59 to 2.53), goal
selection (Cohen’s d ranged 2.14 to 2.53), and planning
and problem-solving (Cohen’s d ranged 1.88 to 2.77) as
well as experienced a decrease in five misperceptions about veterinary
admissions. This novel course is presented as a prospective course for other
universities.
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Affiliation(s)
- Shweta Trivedi
- Department of Animal Science, North Carolina State University, Raleigh, NC 27695, USA
| | - Jessica C Clark
- Department of Animal Science, North Carolina State University, Raleigh, NC 27695, USA
| | - Dylan Deprospero
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27695, USA
| | - Kenneth Royal
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27695, USA
| | - Miles Todd See
- Department of Animal Science, North Carolina State University, Raleigh, NC 27695, USA
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Singh G, Mukherjee S, Trivedi S, Joshi A, Kaur A, Sahoo S. Observational study to compare the effect of altitude on cardiopulmonary reserves of different individuals staying more than 6 weeks at 10,000 ft and 15,000 ft. Med J Armed Forces India 2021; 77:419-425. [PMID: 34594070 DOI: 10.1016/j.mjafi.2021.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 07/04/2021] [Indexed: 10/20/2022] Open
Abstract
Background The variation in heights beyond high altitude has different effects on the cardiorespiratory profile of individuals because of variation in oxygen density with every thousand feet. This study was planned to analyze and compare the effects of difference in altitudes on cardiorespiratory profile from anesthesiologist's point of view. Methods A multicenter observational study was done involving two different groups of 600 patients at 10,000 ft (Group A) and 15,000 ft (Group B). Observation and comparison of oxygen saturation, 6-min walk test, and breath holding time was carried out. Results Fifty-five percent of subjects in Group A had oxygen saturation of more than 93% in comparison to 5.5% in Group B. This was statistically significant (P < 0.001). Two percent of subjects in Group A in comparison to 63.5% of Group B had oxygen saturation of less than 88% (P < 0.001). Percentage increase of more than 15% of heart rate was found to be statistically significant in all the age groups. Overall, 3.8% of individuals in Group A had breath holding time less than 15 s in comparison to 16.6% of individuals in Group B (P value < 0.001). Conclusion The study demonstrates that there is a significant fall in oxygen saturation, significant rise in the heart rate in 6-min walk test, and significant fall in the breath holding time in the group located at 15,000 ft. Heights beyond 10,000 ft should be restricted to life and limb saving surgeries, and logistics should be focused more on "scoop and run" than "stay and play" policy.
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Affiliation(s)
- Gunjan Singh
- Classified Specialist (Anesthesiology & Trained in Pediatric Anesthesiology), Command Hospital (WC), Chandimandir, India
| | - S Mukherjee
- Consultant & Head (Anaesthesiology & Critical Care), Command Hospital (WC), Chandimandir, India
| | - S Trivedi
- Senior Advisor (Anesthesiology & Intensive Care), Command Hospital (WC), Chandimandir, India
| | - A Joshi
- Graded Specialist (Anaesthesiology), 153 GH, C/o 56 APO, India
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17
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Malik PK, Trivedi S, Mohapatra A, Kolte AP, Sejian V, Bhatta R, Rahman H. Comparison of enteric methane yield and diversity of ruminal methanogens in cattle and buffaloes fed on the same diet. PLoS One 2021; 16:e0256048. [PMID: 34379691 PMCID: PMC8357158 DOI: 10.1371/journal.pone.0256048] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 07/28/2021] [Indexed: 11/19/2022] Open
Abstract
An in vivo study was conducted to compare the enteric methane emissions and diversity of ruminal methanogens in cattle and buffaloes kept in the same environment and fed on the same diet. Six cattle and six buffaloes were fed on a similar diet comprising Napier (Pennisetum purpureum) green grass and concentrate in 70:30. After 90 days of feeding, the daily enteric methane emissions were quantified by using the SF6 technique and ruminal fluid samples from animals were collected for the diversity analysis. The daily enteric methane emissions were significantly greater in cattle as compared to buffaloes; however, methane yields were not different between the two species. Methanogens were ranked at different taxonomic levels against the Rumen and Intestinal Methanogen-Database. The archaeal communities in both host species were dominated by the phylum Euryarchaeota; however, Crenarchaeota represented <1% of the total archaea. Methanogens affiliated with Methanobacteriales were most prominent and their proportion did not differ between the two hosts. Methanomicrobiales and Methanomassillicoccales constituted the second largest group of methanogens in cattle and buffaloes, respectively. Methanocellales (Methanocella arvoryza) were exclusively detected in the buffaloes. At the species level, Methanobrevibacter gottschalkii had the highest abundance (55-57%) in both the host species. The relative abundance of Methanobrevibacter wolinii between the two hosts differed significantly. Methanosarcinales, the acetoclastic methanogens were significantly greater in cattle than the buffaloes. It is concluded that the ruminal methane yield in cattle and buffaloes fed on the same diet did not differ. With the diet used in this study, there was a limited influence (<3.5%) of the host on the structure of the ruminal archaea community at the species level. Therefore, the methane mitigation strategies developed in either of the hosts should be effective in the other. Further studies are warranted to reveal the conjunctive effect of diet and geographical locations with the host on ruminal archaea community composition.
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Affiliation(s)
- P. K. Malik
- Bioenergetics and Environmental Science Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, Karnataka, India
| | - S. Trivedi
- Bioenergetics and Environmental Science Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, Karnataka, India
| | - A. Mohapatra
- Bioenergetics and Environmental Science Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, Karnataka, India
| | - A. P. Kolte
- Animal Nutrition Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, Karnataka, India
| | - V. Sejian
- Animal Physiology Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, Karnataka, India
| | - R. Bhatta
- Bioenergetics and Environmental Science Division, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, Karnataka, India
| | - H. Rahman
- International Livestock Research Institute, South Asia Regional Office, New Delhi, India
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Trivedi S, Clark JC, See MT. Veterinary Professions Advising Center: an innovative approach to preveterinary advising for Animal Science students. Transl Anim Sci 2021; 5:txab064. [PMID: 34124590 PMCID: PMC8191483 DOI: 10.1093/tas/txab064] [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] [Received: 01/21/2021] [Accepted: 04/02/2021] [Indexed: 11/13/2022] Open
Abstract
Veterinary Professions Advising Center (VetPAC) is a unique undergraduate advising center that combines Career Center services with preprofessional advising for preveterinary students at North Carolina State University (NCSU). During the past 10 years, VetPAC has created five distinct internships, three annual study abroad courses, and a competitive annual high school summer camp, provided holistic advising, and hosted large-scale advising events that consistently provide resources to more than 800 students annually. The VetPAC provided outreach to an average of 13 local high schools per academic year and educated over 300 visiting students about VetPAC and preveterinary life at NCSU since 2015. NCSU College of Veterinary Medicine has had a minimum of 26% and a maximum of 45% DVM students in the incoming classes who accessed VetPAC resources and advising. This article presents the impact VetPAC has had on preveterinary student success at NCSU and provides an outline of VetPAC's first 10 years of development as a model of combined career services and preprofessional advising for peer institutions.
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Affiliation(s)
- Shweta Trivedi
- Department of Animal Science, North Carolina State University, NC, USA
| | - Jessica C Clark
- Department of Animal Science, North Carolina State University, NC, USA
| | - M Todd See
- Department of Animal Science, North Carolina State University, NC, USA
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Zada M, Lo Q, Trivedi S, Harapoz M, Boyd A, Devine K, Sadick N, Tchan M, Thomas L. Electrocardiographic Characteristics in Fabry Disease Patients: Impact of Impaired Longitudinal Strain and Left Ventricular Hypertrophy. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.066] [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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20
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Kolte A, Dhali A, Trivedi S, Malik P, Bhatta R. Effect of DNA isolation method and host species on the metagenomic DNA recovery and microbial community coverage. ANIM NUTR FEED TECHN 2021. [DOI: 10.5958/0974-181x.2021.00015.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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21
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Stefani L, Gan G, Trivedi S, Ferkh A, Altman M, Thomas L. LA Strain Mechanics are Altered in Hypertensive Patients vs Healthy Individuals. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.221] [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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22
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Ferkh A, Stefani L, Trivedi S, Brown P, Altman M, Thomas L. Comparison of 2-Dimensional Single Plane, Biplane and Triplane With 3-Dimensional Left Atrial Strain. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.198] [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: 11/27/2022]
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23
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Trivedi S, Bennett R, Byth K, Campbell T, Turnbull S, Stefani L, Kumar S, Thomas L. Speckle Tracking Echocardiography Predicts Arrhythmia Recurrence in Patients With Structural Heart Disease Following Ventricular Tachycardia Ablation. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.012] [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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24
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Trivedi S, Tang S, Otton J, Delaney G, Holloway L, Liney G, Koh E, Thomas L. Regional cardiac dysfunction determined by radiation dose in patients with breast cancer. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3276] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Subclinical left ventricular (LV) dysfunction by 2D global longitudinal strain (GLS) immediately following radiotherapy (RT) and persisting at 12 months has been described in breast cancer (BC) patients. We hypothesised that persistent LV dysfunction may be regional and correlate with segmental RT.
Methods
Transthoracic echocardiograms were performed at baseline, 6 weeks and 12 months post-RT on 61 chemotherapy-naïve women with left sided BC.
Results
Anterior and anteroseptal regions received the highest radiation dose, and posterior and inferior segments the lowest radiation dose (Figure 1). Within each region, there was a progressive increase in the radiation dose received from base to apex. At 6 weeks, the greatest reduction in strain was observed in the anterior and anteroseptal regions, with the most significant reduction in strain in the apical segments. At 12 months, despite improvement in strain, the percentage reduction in strain was similar. There was a significant interaction between both region and segment, on the percentage change in strain at 6 weeks (p<0.001) and at 12 months (p=0.007). Pairwise comparisons of apical to basal percentage change in strain demonstrated the most significant reductions in the anterior region at 6 weeks and 12 months (Table 1).
Conclusions
RT causes segmental myocardial dysfunction, with areas receiving the highest RT demonstrating the largest impairment in strain, with these changes persisting at 12 months. Long term correlation with adverse events is required.
Figure 1. Radiation dose by region and segment
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- S Trivedi
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - S Tang
- Liverpool Hospital, Department of Cardiology, Sydney, Australia
| | - J Otton
- Liverpool Hospital, Department of Cardiology, Sydney, Australia
| | - G Delaney
- Liverpool Hospital, Department of Cardiology, Sydney, Australia
| | - L Holloway
- Liverpool Hospital, Department of Cardiology, Sydney, Australia
| | - G Liney
- Liverpool Hospital, Department of Cardiology, Sydney, Australia
| | - E Koh
- Liverpool Hospital, Department of Cardiology, Sydney, Australia
| | - L Thomas
- Westmead Hospital, Department of Cardiology, Sydney, Australia
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Malik PK, V LJ, More RP, Kolte AP, Trivedi S, Arun AS, Thirumalaisamy G, Bhatta R. EXPLORING THE METABOLICALLY ACTIVE RUMEN MICROBIOTA AND ITS FIBROLYTIC POTENTIAL IN CROSSBRED CATTLE FED ON FIBROUS DIET THROUGH METATRANSCRIPTOMICS. J microb biotech food sci 2020. [DOI: 10.15414/jmbfs.2020.10.2.182-189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
The rumen wharves conglomerate of symbiotic fibrolytic microflora with the potential to produce repertoire of carbohydrate-active enzymes to elicit the degradation of recalcitrant plant lignocellulosic complex into simpler forms that can be utilized by the host. A metatranscriptomics approach was adopted to explore the metabolically active microbiota and the transcripts involved in the deconstruction of lignocellulose in Indian crossbred cattle rumen. The experimental animals were fed with mixed diet for a period of twenty-one days and the total RNA was isolated from the rumen digesta using a modified total RNA extraction protocol. After mRNA enrichment, the cDNA libraries were subjected to sequencing under Illumina HiSeq platform and generated about 2.89 GB of raw sequences. The contig assembly was accomplished using two different tools and the redundant sequences were removed before further processing. A total of 133,930 orfs were predicted from the assembled contigs using MetaGeneMark tool and the taxonomic affiliation of orfs were achieved using MEGAN 6.0 Community Edition. A total of 17 bacterial, 5 eukaryotic and 1 archaeal phylum were identified from rumen metatranscriptomic dataset. Phylum Bacteroidetes were acknowledged as the most abundant and metabolically active rumen bacterial populations in cattle rumen with 36,414 orfs corresponding to it, followed by Firmicutes with 6,349 orfs. Further, MEGAN annotation of metatranscriptomic data at species level revealed that Prevotella brevis and Prevotella ruminicola as the most metabolically active bacterial populations representing 4,022 and 2,725 orfs each. The functional annotation of metatranscriptomic data using COG database revealed that a large number of transcripts (~16%) were corresponding to translation, ribosomal structure and biogenesis and carbohydrate transport and metabolism (15%). dbCAN annotation of rumen metatranscriptomic data identified and classified 5,267 transcripts belonging to 168 CAZyme families (GH-52%, GT-26%, CBM-14%, CE-6%, PL-2% and AA-0%). The microbial community analysis of the CAZyme encoding transcripts using M5NR database revealed that a significant proportion of CAZymes were contributed by genera Prevotella (37%) and Bacteroides (21%). The cattle rumen microbiome metatranscriptome analysis presented in this study facilitated the detection of large number of transcripts encoding diverse CAZymes that actively take part in the hydrolysis of plant lignocellulose complex that may be useful for improving livestock and biofuel generation.
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Thirumalaisamy G, Malik PK, Kolte AP, Trivedi S, Dhali A, Bhatta R. Effect of silkworm ( Bombyx mori) pupae oil supplementation on enteric methane emission and methanogens diversity in sheep. Anim Biotechnol 2020; 33:128-140. [PMID: 32573336 DOI: 10.1080/10495398.2020.1781147] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
In vitro and in vivo studies were conducted to examine the effect of silkworm pupae oil on methane (CH4) emission and methanogens diversity. Five graded levels (2, 4, 6, 8 and 10%) of silkworm pupae oil were tested in vitro. Eighteen Mandya adult sheep were divided into three groups. All the animals were fed on similar basal diet except the oil supplementation in test groups. Oil level for supplementation was decided on the basis of in vitro study. In vitro study indicated a reduction of 22% in CH4 production with 2% oil supplementation. Animals in test groups were supplemented with oil (2%) either daily (CON) or intermittently (INT) on every alternate week for all the seven days. A significant reduction of 17-20% in enteric CH4 emission (g/d) was achieved due to oil supplementation in sheep. However, No variation was established between test groups CON and INT. In present study, Methanobrevibacter was major genus contributed ∼90% of the total rumen methanogens; whilst Methanobrevibacter gottschalkii was the most abundant methanogens species. Abundance of Methanobrevibacter ruminantium was affected with the oil supplementation. It can be concluded that the silkworm pupae oil at 2% can decrease CH4 emission by 15-20%.
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Affiliation(s)
- G Thirumalaisamy
- Energy Metabolism Laboratory, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, India
| | - P K Malik
- Energy Metabolism Laboratory, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, India
| | - A P Kolte
- Energy Metabolism Laboratory, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, India
| | - S Trivedi
- Energy Metabolism Laboratory, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, India
| | - A Dhali
- Energy Metabolism Laboratory, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, India
| | - R Bhatta
- Energy Metabolism Laboratory, ICAR-National Institute of Animal Nutrition and Physiology, Bangalore, India
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Vijayvargiya P, Trivedi S, Song H, Liu Y, Steuer C, Stokes W, Kaka A, Patel M, Chen G, Shin D, Beitler J, Aiken A, Saba N. Comparison of the 7th and 8th editions of the American Joint Committee on Cancer (AJCC) staging for oropharyngeal squamous cell carcinomas (OPSCC): A Surveillance, Epidemiology and End Results Program (SEER) database analysis. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2019.11.052] [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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Trivedi S, Stefani L, Brown P, Kizana E, Kumar S, Thomas S, Thomas L. P353 Structural, functional, and electromechanical alterations in patients with paroxysmal atrial fibrillation compared to healthy controls. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.204] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background and Methods
We sought to evaluate the clinical and echocardiographic differences between healthy controls and paroxysmal atrial fibrillation (AF) patients. Clinical and echocardiographic parameters (performed in sinus rhythm) in 46 paroxysmal AF patients were compared with a departmental database of 83 health controls.
Results
AF patients were older and had increased body size (Table 1). 39/46 (84%) of AF patients had hypertension and 23/46 (50%) had diabetes mellitus.
AF patients had increased left ventricular (LV) mass, and reduced diastolic function (lower e’ and increased E/e’ ratio) when compared to healthy controls. Left atrial (LA) volumes were significantly increased in the AF group. All strain parameters – reservoir, conduit, and contractile strain – were impaired in AF patients compared to controls. LA mechanical dispersion (MD) was significantly increased in AF patients. A ratio of indexed LA volume/LA reservoir strain was significantly higher in AF patients over controls.
The duration of AF had an inverse correlation with LA reservoir strain (Fig 1) (r=–0.78; p < 0.001).
Conclusions
Compared to healthy controls, patients with paroxysmal AF have significant structural, functional and electromechanical alterations. LA strain is significantly impaired in paroxysmal AF and correlates with AF duration.
Table 1. Echocardiographic parameters Parameter Controls (mean ± SD) AF patients (mean ± SD) P value Age (years) 48 ± 18 58 ± 14 0.001 Body surface area (m2) 1.9 ± 0.2 2 ± 0.2 0.014 LV mass (g) 178 ± 48 223 ± 68 <0.001 Average e’ velocity (cms-1) 10.3 ±2.7 8.1 ± 2.2 <0.001 E/e’ 7.4 ± 1.9 9.3 ± 3.4 0.001 Indexed LA end systolic volume (ml/m2) 27.2 ± 7.1 39.0 ± 11.6 <0.001 LA ejection fraction 55.2 ± 10.4 48.5 ± 14.0 0.007 LA functional index 43.7 ± 14.6 29.8 ± 14.3 <0.001 LA reservoir strain (%) 34.3 ± 6.8 27.9± 8.1 <0.001 LA conduit strain (%) 18.4 ± 6.2 13.5 ± 4.7 <0.001 LA contractile strain (%) 15.9 ± 3.9 14.4 ± 5.5 0.007 LA mechanical dispersion (ms) 25.8 ± 9.6 30.9 ± 11.6 0.018 Indexed LA volume / Reservoir strain ratio 0.8 ± 0.3 1.6 ± 0.9 <0.001 LV = left ventricular; LA = left atrium; SD = standard deviation
Abstract P353 Figure. Fig 1. AF duration vs. Reservoir strain
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Affiliation(s)
- S Trivedi
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - L Stefani
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - P Brown
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - E Kizana
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - S Kumar
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - S Thomas
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - L Thomas
- Westmead Hospital, Department of Cardiology, Sydney, Australia
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Emerson P, Mahendran S, Deshmukh T, Stefani L, Trivedi S, Hogg M, Brown P, Altman M, Panicker S, Gottlieb D, Thomas L. 072 Altered LA Strain in Bone Marrow Transplant (BMT) Patients Previously Treated With Anthracyclines: A Marker of an Atrial Myopathy. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.079] [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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Ferkh A, Stefani L, Trivedi S, O'Keefe E, Duggins A, Evans A, Robert Denniss A, Kizana E, Thomas L. 366 Left Atrial Mechanical Dispersion in Patients With Embolic Stroke: A Marker of Underlying Atrial Dysfunction. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Trivedi S, Claessen G, Stefani L, Flannery D, Brown P, Janssens K, Thomas L, La Gerche A. P970 Significant differences in atrial structural and functional parameters leading to differing mechanisms of atrial fibrillation in athletes compared to non-athletes. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.602] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background/Introduction: There is an increased incidence of atrial fibrillation (AF) in endurance athletes. We sought to evaluate the likely mechanistic basis for this phenomenon.
Methods
36 endurance athletes in sinus rhythm, with a previous history of AF (ATH-AF) were compared to age and gender matched endurance athletes with no prior history of AF (ATH), non athletes with paroxysmal AF (NONATH-AF) and age and gender matched healthy controls (CONTROL). A detailed transthoracic echocardiogram was performed with all groups in sinus rhythm, with detailed left atrial (LA) and left ventricular (LV) measurements, including strain analysis.
Results
All athletes had increased LA and LV size when compared with healthy controls (Table 1). Non athletes with paroxysmal AF had increased LA size when compared with controls. However, indexed LA/LV ratio was preserved in athletes and similar to healthy individuals, whilst AF patients had significantly increased LA/LV ratio. Athletes with AF had higher e’ velocity and lower E/e’, whereas e’ was reduced and E/e’ elevated in non-athlete AF patients.
Athletes had impaired LA reservoir and contractile strain, and reduced LV global longitudinal strain (GLS) compared with healthy controls.
Conclusions
Compared to healthy controls, athletes have reduced LA and LV strain, with preserved LV diastolic function and LA/LV ratio. In contrast, altered diastolic function with differential increase in LA volume was observed in AF patients. The increased risk of AF in athletes is likely mediated by different mechanistic processes other than an atrial myopathy consequent to diastolic dysfunction as observed in non-athletes with AF.
Table 1. LA and LV parameters Parameter ATH-AF ATH NONATH-AF CONTROL P value LVEDV indexed (ml/m2) 84 ± 12 79 ± 14 57 ± 10 51 ± 13 <0.001 LVESV indexed (ml/m2) 35 ± 6 34 ± 7 25 ± 8 27 ± 33 0.02 LV ejection fraction (%) 58 ± 4 56 ± 4 56 ± 10 58 ± 8 0.586 LV global longitudinal strain (%) 19.2 ± 1.7 18.9 ± 2.1 21 ± 3.1 21.7 ± 2.9 <0.001 e’ vel (cm/s) 10 ± 2 10 ± 3 8 ± 2 9 ± 2 0.007 E/e’ 5.7 ± 1.3 5.9 ± 1.8 9.1 ± 3.3 7.5 ± 1.5 <0.001 LAV max indexed (ml/m2) 45 ± 11 43 ± 12 38 ± 11 27 ± 8 <0.001 Indexed LAV/LVEDV ratio 0.5 ± 0.1 0.6 ± 0.2 0.7 ± 0.2 0.5 ± 0.1 <0.001 LA reservoir strain (%) 27.2 ± 4.8 28.2 ± 3.7 27.9 ± 8.4 33.2 ± 7.0 <0.001 LA conduit strain (%) 14.2 ± 4.5 14.4 ± 4.0 14.9 ± 5.5 16.6 ± 6.3 0.182 LA contractile strain (%) 13.0 ± 3.1 13.8 ± 3.6 13.0 ± 5.1 16.6 ± 3.1 <0.001 LV = left ventricular, LAV = left atrial volume, LA = left atrial
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Affiliation(s)
- S Trivedi
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - G Claessen
- Baker Heart and Diabetes Institute, Melbourne, Australia
| | - L Stefani
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - D Flannery
- Baker Heart and Diabetes Institute, Melbourne, Australia
| | - P Brown
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - K Janssens
- Baker Heart and Diabetes Institute, Melbourne, Australia
| | - L Thomas
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - A La Gerche
- Baker Heart and Diabetes Institute, Melbourne, Australia
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Ferkh A, Stefani L, Trivedi S, Brown P, Pathan F, Thomas L. P1504 Inter-vendor comparison of left atrial 2-dimensional strain using multilayer analysis. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.928] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
BACKGROUND
Left atrial strain (LAS) is increasingly being accepted as a marker of left atrial function. Different vendors utilise different techniques of measuring LAS in echocardiography.
AIMS
To determine the difference between multilayer endocardial and mid-myocardial measurements of LA strain on General Electric (GE) Echopac compared to the TOMTEC system which tracks endocardial strain.
METHODS
Peak reservoir left atrial strain (LAS) was measured on 50 healthy controls using the two different echocardiographic software packages. GE Echopac (v201) 2D-speckle tracking echocardiography technique (LV package) was used to measuremid-myocardial (GE-mid) and endocardial (GE-endo) LAS. This was compared to LAS measurement using TOMTEC (v4.6) which uses an endocardial tracking technique. LAS was measured in 4ch and 2ch views and average biplane strain measurement was obtained.
RESULTS
The mean of GE-mid LAS was 36.3 ± 6.3%, GE-endo LAS was higher with a mean of 44.1 ± 8.0%, while TOMTEC LAS was 42.1 ± 6.3 %. GE-mid and GE-endo LAS correlated well with TOMTEC LAS (r = 0.9, p < 0.001 for both). On Bland-Altman Analysis, GE-mid LAS measurements were systematically lower than TOMTEC LAS (mean difference -5.77), whereas GE-endo LAS had no systematic bias (mean difference 1.99).
CONCLUSIONS
Mid-myocardial peak reservoir left atrial strain, which is routinely measured using GE Echopac software, systematically underestimates LAS as compared to TOMTEC LAS or GE endocardial LAS. This suggests that serial follow up of LAS measurements for patients should be performed on the same software.
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Affiliation(s)
- A Ferkh
- University of Sydney, Sydney, Australia
| | - L Stefani
- University of Sydney, Sydney, Australia
| | - S Trivedi
- University of Sydney, Sydney, Australia
| | - P Brown
- Westmead Hospital, Sydney, Australia
| | - F Pathan
- University of Sydney, Sydney, Australia
| | - L Thomas
- University of Sydney, Sydney, Australia
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Stefani L, Trivedi S, Altman M, Thomas L. 335 Effects of Healthy Aging on Left Atrial Phasic Function Using Strain Analysis. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.342] [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: 11/27/2022]
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Trivedi S, Kumar S, Thomas L. P1783 Concealed structural abnormalities detected by 2D speckle tracking strain echocardiography persist post ablation in patients with idiopathic ventricular arrhythmias. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.1139] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Idiopathic ventricular arrhythmias (IVA) occurs in patients without overt heart disease. 2D speckle tracking strain echocardiography parameters, including global longitudinal strain (GLS) and mechanical dispersion (MD), have been shown to predict ventricular arrhythmias. It is unclear if the abnormalities are due to structural substrate abnormality, or substrate abnormality consequent to electrical alterations. Aim: We sought to assess whether patients with IVA have impaired left ventricular (LV) strain indices, and if so, whether these persist following successful treatment with radiofrequency ablation (i.e. correction of electrical alteration). Methods: 2D strain analysis was performed (in sinus rhythm) in 23 consecutive patients with IVA (no structural heart disease by cardiac magnetic resonance imaging (MRI); Group A) prior to electrophysiological mapping/ablation, and compared to 23 age and gender matched healthy controls (Group B). Follow up echocardiography and multiday Holter monitoring was performed 12 months post ablation. Results: Baseline characteristics were similar for indexed LV end diastolic volume (EDV) and ejection fraction (EF) (p = 0.1 for both) (Table 1). LV GLS was lower (p = 0.03) and LV MD was increased (p = 0.002) in the IVA group prior to treatment. At follow up, 18 patients (78%) (Group C) remained free of ventricular arrhythmias – in these patients, LV GLS improved and was similar to controls (p = 0.217); however, LV MD remained significantly increased at 12 months compared to controls (p = 0.009). In the 5 patients (22%) (Group D) that continued to have ventricular arrhythmias at follow up, both LV GLS (p = 0.04) and LV MD (p = 0.008) remained significantly impaired compared to controls. Conclusion: Despite demonstrable absence of structural abnormalities with cardiac MRI, 2D strain can detect subtle alterations in myocardial contraction heterogeneity. Furthermore, 12 months post successful ablation treatment, the increase in MD persists. This suggest the presence of subtle substrate abnormality that results in IVA. In uncured patients, both myocardial deformation parameters remain impaired, suggesting the need for close future surveillance of these patients. Long term follow up with greater number of patients is required to further validate these findings.
Table 1. Echocardiographic parameters Group Indexed LVEDV (ml/m2) LVEF (%) LV GLS (%) LV MD (ms) IVA (Group A) 55 ± 15 61 ± 5 -19.9 ± 3* 44 ± 12* Controls (Group B) 54 ± 14 64 ± 7 -21.2 ± 2 33 ± 9 Group C 12 months follow up -21.7 ± 3 42 ± 11* Group D 12 month follow up -19.8 ± 2* 43 ± 11* * denotes p < 0.05
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Affiliation(s)
- S Trivedi
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - S Kumar
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - L Thomas
- Westmead Hospital, Department of Cardiology, Sydney, Australia
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Trivedi S, Campbell T, Stefani L, Kumar S, Thomas L. 031 Speckle-Tracking Strain Echocardiography in the Assessment of Myocardial Mechanics in Patients With Idiopathic Ventricular Arrhythmias: A Longitudinal Follow-Up Study. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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36
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Trivedi S, Steuer C, Tkaczuk A, Shin D, Klein A, Saba N. Systemic bevacizumab for the treatment of recurrent respiratory papillomatosis: A retrospective analysis from an academic tertiary care center. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz252.025] [Citation(s) in RCA: 1] [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: 11/14/2022] Open
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37
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Trivedi S, Kumar S, Thomas L. Speckle Tracking Echocardiography Identifies Selective Regional Pattern of Strain Abnormalities and Propensity for Ventricular Arrhythmias in Patients with Non Ischaemic Cardiomyopathy. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.321] [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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38
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Trivedi S, Kumar S, Thomas L. Idiopathic Ventricular Arrhythmias in the Absence of Structural Heart Disease are Associated with Concealed Structural Abnormalities as Detected by Speckle Tracking Strain Echocardiography. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.274] [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: 10/26/2022]
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39
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Ferkh A, Trivedi S, Stefani L, Brown P, Pathan F, Thomas L. Multivendor Analysis of Left Atrial Strain using Multilayer Analysis. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.293] [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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40
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Trivedi S, Tang S, Koh E, Otton J, Delaney G, Holloway L, Liney G, Thomas L. Radiation Dose Determines Segmental Cardiac Dysfunction in Breast Cancer. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.313] [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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41
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Trivedi S, Zia Y, Tang J, Lameck C, Tegha G, Kourtis A. Medroxyprogesterone acetate (MPA) concentrations among HIV-infected depot MPA (DMPA) users receiving tenofovir antiretroviral therapy (art) in Lilongwe, Malawi. Contraception 2018. [DOI: 10.1016/j.contraception.2018.07.117] [Citation(s) in RCA: 1] [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: 11/28/2022]
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42
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Trivedi S, Choudhary P, Lo Q, Sritharan H, Batumalai V, Delaney G, Thomas L. P3498Persistent reductions in Global Longitudinal Strain late after completion of radiotherapy in chemotherapy naive patients with left sided breast cancer. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S Trivedi
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - P Choudhary
- Westmead Hospital, Department of Cardiology, Sydney, Australia
| | - Q Lo
- Liverpool Hospital, Department of Cardiology, Sydney, Australia
| | - H Sritharan
- Liverpool Hospital, Department of Cardiology, Sydney, Australia
| | - V Batumalai
- Liverpool Hospital, Cancer Therapy Centre, Sydney, Australia
| | - G Delaney
- Liverpool Hospital, Cancer Therapy Centre, Sydney, Australia
| | - L Thomas
- Westmead Hospital, Department of Cardiology, Sydney, Australia
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Affiliation(s)
- S. Trivedi
- Dept. of Chemical Engineering &TechnologyIndian Institute of Technology (BHU)Varanasi 221005 India
| | - R. Prasad
- Dept. of Chemical Engineering &TechnologyIndian Institute of Technology (BHU)Varanasi 221005 India
| | - S. K. Gautam
- Dept. of Chemical Engineering &TechnologyIndian Institute of TechnologyKanpur 208016 India
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44
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Trivedi S, Switchenko J, Patel M, Steuer C, El-Deiry M, Higgins K, Solares C, McDonald M, Shin D, Gillespie T, Beitler J, Saba N. The Effect of Hospital Volume and Insurance Status on Overall Survival in Sinonasal Carcinoma: A National Cancer Database (NCDB) Analysis. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2017.12.202] [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: 10/17/2022]
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45
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Trivedi S, Thomas L, Kumar S. Alterations in Myocardial Mechanics and Tachycardia-Mediated Cardiomyopathy. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.389] [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: 11/27/2022]
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Abstract
The present study is devoted to formulating a doped spinel catalyst by a novel route of calcination for the oxidation of the CO–CH4 mixture emitted from compressed natural gas (CNG) vehicles.
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Affiliation(s)
- S. Trivedi
- Department of Chemical Engineering & Technology
- IIT (BHU)
- Varanasi-221005
- India
| | - R. Prasad
- Department of Chemical Engineering & Technology
- IIT (BHU)
- Varanasi-221005
- India
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Trivedi S, Choudhary P, Lo Q, Sritharan H, Batumalai V, Delaney G, Thomas L. Persistent Reductions in Global Longitudinal Strain Late After Radiotherapy in Chemotherapy Naive Left-Sided Breast Cancer Patients. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.490] [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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48
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Moreau P, Rabin N, Plesner T, Weisel K, Sonneveld P, Mateos MV, Schecter J, Amin H, Trivedi S, Dimopoulos M. Management of infusion-related reactions (IRRs) in patients (pts) receiving daratumumab plus standard of care for the treatment of multiple myeloma (MM) in the phase 3 studies CASTOR and POLLUX. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx373.004] [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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49
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Trivedi S, Prasad R. Selection of cobaltite and effect of preparation method of NiCo2O4for catalytic oxidation of CO-CH4mixture. ASIA-PAC J CHEM ENG 2017. [DOI: 10.1002/apj.2087] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- S. Trivedi
- Department of Chemical Engineering & Technology; Indian Institute of Technology (BHU); Varanasi 221005 India
| | - R. Prasad
- Department of Chemical Engineering & Technology; Indian Institute of Technology (BHU); Varanasi 221005 India
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50
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Dwivedi A, Srinivasan A, Kumar S, Trivedi S, Shukla VK, Shukla RC. The longest tumor diameter in one dimension as a predictor for skeletal metastasis in renal cell carcinoma. Indian J Cancer 2017; 53:420-422. [PMID: 28244474 DOI: 10.4103/0019-509x.200649] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
INTRODUCTION Renal cell carcinoma (RCC) comprises a diverse group of malignant neoplasms that have multifarious histopathological features and biological behavior. One-third of RCC patients develops skeletal metastasis with a poor 5-year survival rate. Data explaining how some of these tumors show sooner bony metastasis than expected is sparse. The objective of this study was to identify whether tumor size can act as a predictor of bony metastases among patients of RCC. MATERIALS AND METHODS We retrospectively reviewed contrast enhanced computed tomography (CECT) scan and clinical records of 66 patients with RCC, who fulfilled specified inclusion criteria. Patients who had bony metastasis at the time of presentation were selected as case and those without skeletal metastasis were referred to as controls. Receiver operating characteristic (ROC) curve analysis was used to determine the appropriate cut-off value for tumor size, which was measured as the longest tumor diameter (LTD) in one-dimensional (1D). RESULTS Of the 66 patients selected, 30% developed bone metastasis. The tumor size of RCCs significantly correlated with the presence of skeletal metastasis in our study. None of the patients with 1D LTD <4.8 cm on CECT were found to have skeletal metastasis. ROC analysis revealed that the accuracy of the LTD in predicting bone metastasis was high with an area under ROC curve of 0.823. A cut-off value of 7.5 cm had a sensitivity of 78.9% and specificity of 80.9%. CONCLUSION The 1D LTD with a cut-off value of 7.5 cm, at the time of presentation is an important predictor of skeletal metastasis. The result of this study may have role in triage of patients into a subgroup which mandates more aggressive treatment and monitoring.
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Affiliation(s)
- And Dwivedi
- Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - A Srinivasan
- Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - S Kumar
- Department of Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - S Trivedi
- Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - V K Shukla
- Department of Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
| | - R C Shukla
- Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
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