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Gawey L, Naik T, Shaw C, Pinner A, Woodall C, Engel LS, Amoss J. Post-myocardial infarction ventricular septal defect due to interventricular septal rupture. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00067-8] [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: 01/28/2023]
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Gawey L, Denys I, Van A, Naik T, Woodall C, Engel LS, Amoss J. Diamond-blackfan anemia in an adult. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00226-4] [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: 01/28/2023]
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Arora RD, Jati M, Nagarkar NM, Galhotra A, Agrawal S, Mehta R, Naik T. Experience, Challenges and Outcome of Implementing Universal New Born Hearing Screening in a Medical College Hospital Set Up. Indian J Otolaryngol Head Neck Surg 2022; 74:3841-3846. [PMID: 36742634 PMCID: PMC9895630 DOI: 10.1007/s12070-021-02633-6] [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: 12/25/2020] [Accepted: 05/15/2021] [Indexed: 02/07/2023] Open
Abstract
In India, newborn hearing screening programs have been implemented as a part of research studies since early 1970s. Amongst the previously reported programs most are from the southern region and very few are from the west and the northern region of the country. There is a lack of evidence of such program in other region of the country. 1. To study the outcome, experience, and challenges faced during the implementation of the universal newborn hearing screening program in a medical college set up of Raipur, Chhattisgarh. 2. To determine the prevalence of hearing impairment with a two tier screening protocol with Otoacoustic emission and Auditory Brainstem Response. The Prospective Non randomised study was carried out between December 2017 and December 2019. A total of 1200 neonates delivered at the medical college, Raipur were screened using the two tier screening protocol. In our study, the prevalence of hearing loss was 2 per 1000 live births for bilateral hearing loss and 1 per 1000 live births for unilateral hearing loss. Implementing universal newborn screening in a vast country like India is a challenging task because of a high birth rate, diverse socio-economic and cultural background with limited resources. Though several hospitals and clinics have implemented the UNHS program, yet there is a dearth of literature regarding the program outcome, success, challenges, and lessons learnt. Therefore best practices of such evolved programs should be in public domain.
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Affiliation(s)
- Ripu Daman Arora
- Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh 492099 India
| | - Monalisa Jati
- Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh 492099 India
| | - Nitin M. Nagarkar
- Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh 492099 India
| | - Abhiruchi Galhotra
- Department of CFM, All India Institute of Medical Sciences, Raipur, Chhattisgarh 492099 India
| | - Sarita Agrawal
- Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Raipur, Chhattisgarh 492099 India
| | - Rupa Mehta
- Department of ENT and Head and Neck Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh 492099 India
| | - Tripty Naik
- Department of Paediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh 492099 India
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Verma NR, Naik G, Patel S, Padhi P, Naik T, Nanda R. A detailed observational study of maternal and neonatal variables affecting the thyroid-stimulating hormone levels in neonates. Egypt Pediatric Association Gaz 2021. [DOI: 10.1186/s43054-021-00080-0] [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: 11/10/2022] Open
Abstract
Abstract
Background
Thyroid hormones are essential for fetal growth and the central nervous system development. Thyroid-stimulating hormone (TSH) is the key regulatory hormone. Their levels are quite dynamic in the perinatal period and are influenced by multiple factors. These factors should be taken into consideration during newborn screening. This study aimed to observe the impact of maternal and neonatal factors on neonatal TSH status.
Results
Neonatal TSH (nTSH) depicted a positive correlation with parity (p = 0.066) while negative correlation recorded with maternal blood haemoglobin (p = 0.007) among maternal factors.
New-born length (p = 0.027) and birth weight (p < 0.001) exhibited a negative correlation with nTSH among neonatal factors.
Conclusions
This study concludes that among all the maternal and neonatal factors, birth weight shows the most influence on nTSH. However, the effect may be compounded by other factors. As these risk elements rarely occur singly, it is often difficult to find the exposure which confer the risk on children. These factors should be considered while interpreting the result of the screening program.
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Patel S, Verma NR, Padhi P, Naik T, Nanda R, Naik G, Mohapatra E. Retrospective analysis to identify the association of various determinants on birth weight. J Family Med Prim Care 2021; 10:496-501. [PMID: 34017777 PMCID: PMC8132747 DOI: 10.4103/jfmpc.jfmpc_1493_20] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 09/29/2020] [Accepted: 10/12/2020] [Indexed: 11/04/2022] Open
Abstract
Objectives: LBW is the strong determinant of neonatal morbidity and mortality with a global prevalence of nearly 15%. India's prevalence, though not yet established, ranges from 16-30% and influenced by maternal nutritional status, antenatal care and associated maternal morbidity. Hence, the study was aimed to determine the influencing parameters for occurrence of LBW. Study Design: A retrospective observational study conducted for all live newborns delivered in a tertiary care centre during the study period of twenty four months. Methods: Data from institutional medical record section was recorded on predesigned questionnaire from a total of 1216 newborns. Results: The percentage of LBW was found to be 27.55% (335/1216) with a proportion of LBW to NBW babies was approximately 1:3. The occurrence of LBW was significantly higher in babies of anemic mothers (59.39%, P < 0.0001), young mothers (30.39%, P < 0.01), mothers with parity ≥ 3 (35.71%, P < 0.05), those with <3 ANC check-up (56.88%, P < 0.0001) and those with premature delivery (71.57%, P < 0.0001). Maternal anemia (OR 4.7, 95%CI 3.4-6.7, P < 0.001); ANC with <3 visits (OR 2.2, 95%CI 1.4-3.4, P < 0.01) and prematurity (OR 7.6, 95%CI 5.1-11.2, P < 0.0001) were considered as independent risk factor for LBW. Significant association of neonatal complications was found with LBW babies (OR 1.6, 95%CI 1.1-2.5, P < 0.05). Conclusions: Inadequate antenatal care, maternal anemia and other maternal illness causing premature delivery are considered critical determinants for LBW and thus associated with high neonatal mortality and morbidity. Continued focus for improving the overall maternal health status would lead to lowering burden of LBW.
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Affiliation(s)
- Suprava Patel
- Associate Professor, Department of Biochemistry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Neha R Verma
- Senior Resident, Department of Biochemistry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Phalguni Padhi
- Assistant Professor, Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Tripty Naik
- Assistant Professor, Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Rachita Nanda
- Additional Professor, Department of Biochemistry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Gitismita Naik
- Senior Resident, Department of Community and Family Medicine, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Eli Mohapatra
- Professor, Department of Biochemistry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
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Sarzetto F, Naik T, Narang I, Kassner A. 0873 Obstructive Sleep Apnea Impacts Brain Development in Obese Children and Adolescents: An MRI Study. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Obstructive sleep apnea (OSA) is a breathing disorder characterized by episodes of nocturnal hypoxia and chronic systemic inflammation, affecting more than 50% of obese youths. Both obesity and OSA independently have a negative impact on brain structure and function, but their combined effect on the developing brain is unknown. The purpose of this study was to assess MRI measurements of cortical thickness (CT) in obese youths with various degrees of OSA severity. We hypothesized that CT is abnormal in obese adolescents with OSA.
Methods
55 obese subjects (26 females, 29 males, mean 14.3 ± 2.4 years) were included in the analysis. All subjects were assessed with polysomnography (PSG) to evaluate presence and severity of OSA. T1-weighted MPRAGE images were acquired using a 3T MRI scanner following PSG. CT was extracted using the CIVET 2.1.1 pipeline, and statistical analysis was performed on SurfStat to examine global and regional CT in relation to age using a general linear model.
Results
Based on PSG outcome, subjects were divided into 3 groups, no OSA (OAHI < 1.5 events/hr., n = 15), mild OSA (OAHI < 5, n = 14), and moderate/severe OSA (OAHI ≥ 5, n = 26). Cortical thickness analysis revealed a negative-trending correlation between global CT and age in no OSA (T = -0.49, P > 0.6), as seen in typical development. This correlation weakened in the presence of mild OSA (T = -0.20, P > 0.8) and became significantly positive in moderate/severe OSA (T = 3.87, P = 0.001), affecting several cortical areas.
Conclusion
These results indicate that brain development in obese adolescents with moderate/severe OSA significantly deviates from the typical trajectory of cortical thinning. This thickening could be due to exacerbated inflammation from the combined effect of both diseases, or a neurotrophic effect of leptin. More data is needed to validate these findings.
Support
None
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Affiliation(s)
- F Sarzetto
- University of Toronto, Toronto, ON, CANADA
| | - T Naik
- The Hospital for Sick Children, Toronto, ON, CANADA
| | - I Narang
- The Hospital for Sick Children, Toronto, ON, CANADA
- University of Toronto, Toronto, ON, CANADA
| | - A Kassner
- The Hospital for Sick Children, Toronto, ON, CANADA
- University of Toronto, Toronto, ON, CANADA
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Handa S, Voutsas G, Katz S, Kassner A, Blinder H, Naik T, Narang I. The association of respiratory duration and anthropometric measures in a pediatric population with obesity. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Katz S, Blinder H, Naik T, Barrowman N, Harrison MA, Narang I. Does Neck Circumference Predict Obstructive Sleep Apnea In Children With Obesity? Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Chandrasoma B, Balfe D, Naik T, Elsayegh A, Lewis M, Mosenifar Z. Pulmonary function in patients with amyotrophic lateral sclerosis at disease onset. Monaldi Arch Chest Dis 2013; 77:129-33. [PMID: 23461249 DOI: 10.4081/monaldi.2012.146] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder affecting both the upper and lower motor neurons. Deteriorating pulmonary function as a reflection of progressive respiratory muscle weakness is a common feature, accounting for the majority of deaths. The aim of the study was to describe a trend in initial pulmonary function tests (PFT) of amyotrophic lateral sclerosis (ALS) patients, in addition, differentiating between the types of disease onset, bulbar, limb muscle, and a combination. METHODS Initial PFT were gathered from 32 consecutive patients in our clinic with the diagnosis of ALS, they were categorized by the type of disease onset. Values obtained were referenced to the 95% confidence limits for normality. RESULTS There was evidence of significant reductions in both the FEV1 (64.7% predicted) and FVC (61.2%), with preservation of the FEV1/FVC (81.7%). The MVV was significantly reduced (43%). Total lung capacity was 93.2%, the residual volumes was increased at 145.7%. Subgroup analysis failed to show significant differences between types of disease onset. In the bulbar onset group (versus the limb group) there was a trend for the MVV to be further reduced (p = 0.15) and the RV to be higher (157.4% versus 135.9%, P = 0.24). CONCLUSIONS ALS is a devastating disease that invariably leads to respiratory failure. Abnormal spirometric variables such as the FVC and MVV, likely reflect inspiratory muscle weakness and increased RV likely reflect expiratory muscle weakness. The type of disease onset did not result in a different pattern of PFT abnormalities.
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Affiliation(s)
- B Chandrasoma
- Division of Pulmonary/Critical Care Medicine, Cedars-Sinai Medical Center, 8700 Beverly Blvd #6732, Los Angeles, CA 90048, USA
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Ghosh S, Kobayashi N, Ishino M, Naik T. Molecular characterization of VP1-3 and NSP1-3 genes of porcine group A rotavirus G12 strain RU172: Evidence for porcine origin of human G12 strains. Int J Infect Dis 2010. [DOI: 10.1016/j.ijid.2010.02.1828] [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] Open
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Naik T, Peacock P, Agoritsas K, Quinn D, Agrawal A. 270: Initiation of Computer-Entry Medication Reconciliation in the Emergency Department. Ann Emerg Med 2008. [DOI: 10.1016/j.annemergmed.2008.01.241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Sun L, Shukair S, Moazed F, Naik T, Ardehali H. 63 MITOCHONDRIAL BINDING AND GLUCOSE PHOSPHORYLATION ARE BOTH NEEDED FOR THE PROTECTIVE EFFECTS OF HEXOKINASE I AND II. J Investig Med 2007. [DOI: 10.1136/jim-55-02-63] [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: 11/04/2022]
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Sun L, Shukair S, Moazed F, Naik T, Ardehali H. Mitochondrial Binding and Glucose Phosphorylation are Both Needed for the Protective Effects of Hexokinase I and Ii. J Investig Med 2007. [DOI: 10.1177/108155890705500263] [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: 01/09/2023]
Affiliation(s)
- L. Sun
- Northwestern University, Chicago, IL
| | | | - F. Moazed
- Northwestern University, Chicago, IL
| | - T. Naik
- Northwestern University, Chicago, IL
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Mandal BK, Mukherjee PP, Murphy C, Mukherjee R, Naik T. Adult susceptibility to varicella in the tropics is a rural phenomenon due to the lack of previous exposure. J Infect Dis 1998; 178 Suppl 1:S52-4. [PMID: 9852974 DOI: 10.1086/514262] [Citation(s) in RCA: 59] [Impact Index Per Article: 2.3] [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: 01/14/2023] Open
Abstract
In the industrialized countries of the West, varicella is largely a childhood disease, whereas reports from tropical countries indicate a significant incidence of varicella among adults. High ambient temperature, epidemiologic interference from other viruses, and race have been blamed. We tested our hypothesis that less exposure to varicella-zoster virus (VZV) during childhood in rural areas accounts for the reported greater frequency of varicella in adults in tropical climates by comparing rates of VZV seropositivity among urban and rural adult Bengalee populations living in identical climatic conditions in India. Only 5 (3.4%) of 153 urban adults were seronegative compared with 74 (31.1%) of 246 rural adults. Ninety-six percent of urban adults were immune by the age of 25, compared with 42% in the rural group. The results suggest that higher adult susceptibility to varicella is seen only in rural areas of the Tropics and is due to reduced transmission of VZV.
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Affiliation(s)
- B K Mandal
- Department of Infectious Diseases and Tropical Medicine, North Manchester General Hospital, United Kingdom
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