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Sinha V, Singh A, Singh A, Saraswati SSK, Rana AK, Kalra K, Natarajan K. Potassium ion channel Kir2.1 negatively regulates protective responses to Mycobacterium bovis BCG. J Leukoc Biol 2024:qiae068. [PMID: 38489665 DOI: 10.1093/jleuko/qiae068] [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: 12/12/2023] [Revised: 02/22/2024] [Accepted: 03/05/2024] [Indexed: 03/17/2024] Open
Abstract
Tuberculosis caused by the pathogen Mycobacterium tuberculosis leads to increased mortality and morbidity worldwide. The prevalence of highly drug resistant strains has reinforced the need for greater understanding of host-pathogen interactions at the cellular and molecular levels. Our previous work demonstrated critical roles of calcium ion channels in regulating protective responses to mycobacteria. In this report we deciphered the roles of inwardly rectifying K+ ion channel Kir2.1 in epithelial cells. Data showed that infection of epithelial cells (and macrophages) increases the surface expression of Kir2.1. This increased expression of Kir2.1 results in higher intracellular mycobacterial survival, since either inhibiting or knocking down Kir2.1 results in mounting of a higher oxidative burst leading to a significant attenuation of mycobacterial survival. Further, inhibiting Kir2.1 also led to increased expression of T cell costimulatory molecules accompanied with increased activation of MAP Kinases and transcription factors NF-κB and pCREB. Furthermore, inhibiting Kir2.1 induced increased autophagy and apoptosis that could also contribute to decreased bacterial survival. Interestingly, an increased association of heat shock protein-70 with Kir2.1 was observed. The above results showed that mycobacteria modulate the expression and function of Kir2.1 in epithelial cells to its advantage.
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Affiliation(s)
- Vishal Sinha
- Infectious Disease Immunology Laboratory, Dr. B.R. Ambedkar Center for Biomedical Research, University of Delhi, Delhi 110007, India
| | - Akshita Singh
- Infectious Disease Immunology Laboratory, Dr. B.R. Ambedkar Center for Biomedical Research, University of Delhi, Delhi 110007, India
| | - Aarti Singh
- Infectious Disease Immunology Laboratory, Dr. B.R. Ambedkar Center for Biomedical Research, University of Delhi, Delhi 110007, India
| | | | - Ankush Kumar Rana
- Infectious Disease Immunology Laboratory, Dr. B.R. Ambedkar Center for Biomedical Research, University of Delhi, Delhi 110007, India
| | - Kanika Kalra
- Infectious Disease Immunology Laboratory, Dr. B.R. Ambedkar Center for Biomedical Research, University of Delhi, Delhi 110007, India
| | - Krishnamurthy Natarajan
- Infectious Disease Immunology Laboratory, Dr. B.R. Ambedkar Center for Biomedical Research, University of Delhi, Delhi 110007, India
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Taya M, Corines MJ, Sinha V, Schweitzer AD, Lo GK, Dodelzon K, Min RJ, Belfi L. Evaluating the Impact of Annual Resident Retreats on Radiology Resident Wellbeing. Acad Radiol 2024; 31:409-416. [PMID: 38401986 DOI: 10.1016/j.acra.2023.10.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 10/23/2023] [Accepted: 10/28/2023] [Indexed: 02/26/2024]
Abstract
RATIONALE AND OBJECTIVES To investigate the effect of resident-run wellness retreats on measures of stress, resilience, and cohesion amongst radiology residents. MATERIALS AND METHODS All diagnostic and interventional radiology residents in a single academic medical center were invited to participate in a wellness-focused off-campus retreat. Three retreats were held on an annual basis from 2018 to 2022 and included physical exercises, nutritional wellness, and team-building activities. Participants were surveyed pre- and post- retreat attendance focusing on the following domains: Perceived Stress Scale, higher scores indicating higher levels of perceived stress; Brief Resilience Scale, higher scores indicating greater resilience; Cohesion Scale, higher scores indicating greater cohesion. Paired t-tests and linear regression models were used to compare mean Perceived Stress, Brief Resilience, and Cohesion Scales pre- and post-retreat across covariates. RESULTS Of 78 total retreat attendances, 75 residents (96%) completed pre- and/or post-surveys. Study population was 51% female and 49% male, with mean age 29 ± 2.8 years. Comparing post- with pre-surveys, retreat attendance was associated with a significant reduction in mean Perceived Stress (12.7 vs 16.3; 95% CI 2.1-5.3) and significant increase in Brief Resilience (3.9 vs 3.7; 95% CI 0.05-0.34) and Cohesion (33 vs 27; 95% CI 4.3-6.7). First year residents experienced the greatest increase in Cohesion compared to fourth year residents (p < 0.001). Pre-retreat cohesion was significantly lower in 2022 than in 2018-2019 (26.6 vs 28.7 vs 28.6; p = 0.04), with stress and resilience not significantly different by year. CONCLUSION An annual resident retreat decreased stress, while increasing resilience and cohesion within a radiology residency, supporting retreats as a potentially viable intervention to promote physician well-being.
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Affiliation(s)
- Michio Taya
- Department of Radiology, Weill Cornell Medicine / NewYork-Presbyterian Hospital, 525 East 68th St, New York, NY 10065.
| | - Marina J Corines
- Department of Radiology, Weill Cornell Medicine / NewYork-Presbyterian Hospital, 525 East 68th St, New York, NY 10065
| | - Vishal Sinha
- Department of Radiology, Weill Cornell Medicine / NewYork-Presbyterian Hospital, 525 East 68th St, New York, NY 10065
| | - Andrew D Schweitzer
- Department of Radiology, Weill Cornell Medicine / NewYork-Presbyterian Hospital, 525 East 68th St, New York, NY 10065
| | - Grace K Lo
- Department of Radiology, Weill Cornell Medicine / NewYork-Presbyterian Hospital, 525 East 68th St, New York, NY 10065
| | - Katerina Dodelzon
- Department of Radiology, Weill Cornell Medicine / NewYork-Presbyterian Hospital, 525 East 68th St, New York, NY 10065
| | - Robert J Min
- Department of Radiology, Weill Cornell Medicine / NewYork-Presbyterian Hospital, 525 East 68th St, New York, NY 10065
| | - Lily Belfi
- Department of Radiology, Weill Cornell Medicine / NewYork-Presbyterian Hospital, 525 East 68th St, New York, NY 10065
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Ahire M, Sinha V. After-COVID era: Workplace 4.0 as the new revolution of employee experience. CM 2022. [DOI: 10.18137/cardiometry.2022.23.272282] [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: 11/08/2022] Open
Abstract
Purpose: Analysis of the shift from Employee Engagement to Employee Experience, its effect on Organization Efficiency, and impact on Employee Advocacy. It aims to reframe human resource practices that fit better in the modern workplace. Design/Methodology: Conduct Survey with early adopters or in the stage of adopting Employee Experience concept across different sectors and Systematic & A critical review of Literature on Evolution, Global trends & Impact of Employee Experience. Findings: Employee Experience leads to great customer experience, which creates loyal customers and stronger financial results, resulting in Employee Advocacy and Employer Branding. Practical Applications: Employee Experience is considered the most trending HR practice and has implications on the workplace’s physical, technological & cultural environment. Originality Value: To retain the multigenerational workforce, we need to bring personalization in experiences across different stages of the employment cycle & employee-first approach rather than the traditional customer-first approach.
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Venkata D, Reddy S, Sinha V, Sriharsha A. To Assess the Factors Affecting Employee Engagement in Organizations during a COVID-19 Crisis. CM 2022. [DOI: 10.18137/cardiometry.2022.23.292309] [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: 11/08/2022] Open
Abstract
Purpose: To identify the steps taken by organizations during the time of crisis concerning Human Capital and understand the impact each of these steps has on the employee engagement for the employees within the organization. Proposed Design/Methodology/Approach: Post the literature review, qualitative research is conducted through indepth interviews with the Managers, who were part of the decision-making, in the organizations that went through crisis period (Sample size: 20-30) and a quantitative study is conducted to capture the perspectives of the employees from those organizations (Sample size: 70-100). Practical/Theoretical Implication: The study results enable organizations to stay cognizant of the pros and cons of the decisions they make in terms of employee engagement, which helps in successfully overcoming the crisis with minimal traction. Originality/Value: While there are standalone papers on each topic, this paper converges them coherently to study the overall effect from both employee’s and the organization’s perspectives.
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Bhardwaj S, Sinha V. Organizations Take Initiatives For The Development Of Women Leaders. CM 2022. [DOI: 10.18137/cardiometry.2022.23.283291] [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: 11/08/2022] Open
Abstract
Purpose: 1) To Understand the male to female ratio prevailing in the organization 2) To Understand how effective are women development initiatives in organizations from a women’s perspective to determine if they will be appreciated and perceived as positive by the women. 3) To understand if the presence of women leaders in the organization leads to better engagement. 4) To understand, as suggested by research, are women leaders warmer and more male leaders more aggressive? Research Methodology: Sample - The sample size would be 50 men and women from all over India belonging to different age groups between 25-50 and are currently working in various corporations • Primary Research: In-Depth Interview, Survey • Secondary research: literature review • Analysis of the collected data Practical Implications: This will help identify why, even though there is awareness about the importance of having women leaders, the initiatives were taken for their development have not contributed significantly. This paper will help understand if these initiatives are enough in the given culture of the organization that has pre-defined norms and expectations from a woman’s standpoint of view. Originality: This research will mainly focus on the view of women about development initiatives in the organization.
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Mandal S, Sinha V. A review of work-life and well-being of parents. CM 2022. [DOI: 10.18137/cardiometry.2022.22.203206] [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: 11/08/2022] Open
Abstract
Purpose: The transition from office to work-from-home (WFH) has lead to an increased interest in the effects of this transition, not only on the quality of work obtained but also on the mental health of individuals. Research in this topic is expanding with different perspectives in focus. This review aims to identify the significant factors influenced by WFH and the consequential effects on working parents. Methodology: To write this review, 4 databases are being explored - SCOPUS, Emerald, EBSCO, and Web of Science. Papers reviewed are selected using the keywords work from home, well-being, mental health, work-life balance, and family combined with parents, family, working mother, or working father. The papers have been selected for the past 25 years. An attempt is being made to review at least 53 articles. Findings/Theoretical Implications: This paper will highlight the advantages and disadvantages parents face while balancing work and family. The review will give a comprehensive impression of the mental health state of working parents. Value: The study will enable future researchers to identify currently unexplored issues and design their studies based on the same.
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Meidan D, Brown SS, Sinha V, Rudich Y. Nocturnal Atmospheric Oxidative Processes in the Indo-Gangetic Plain and Their Variation During the COVID-19 Lockdowns. Geophys Res Lett 2022; 49:e2021GL097472. [PMID: 35601504 PMCID: PMC9111199 DOI: 10.1029/2021gl097472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 03/24/2022] [Accepted: 03/28/2022] [Indexed: 06/15/2023]
Abstract
This study investigates selected secondary atmospheric responses to the widely reported emission change attributed to COVID-19 lockdowns in the highly polluted Indo-Gangetic Plain (IGP) using ground-based measurements of trace gases and particulate matter. We used a chemical box-model to show that production of nighttime oxidant, NO3, was affected mainly by emission decrease (average nighttime production rates 1.2, 0.8 and 1.5 ppbv hr-1 before, during and relaxation of lockdown restrictions, respectively), while NO3 sinks were sensitive to both emission reduction and seasonal variations. We have also shown that the maximum potential mixing ratio of nitryl chloride, a photolytic chlorine radical source which has not been previously considered in the IGP, is as high as 5.5 ppbv at this inland site, resulting from strong nitrate radical production and a potentially large particulate chloride mass. This analysis suggests that air quality measurement campaigns and modeling explicitly consider heterogeneous nitrogen oxide and halogen chemistry.
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Affiliation(s)
- D. Meidan
- Department of Earth and Planetary SciencesWeizmann Institute of ScienceRehovotIsrael
| | - S. S. Brown
- NOAA Chemical Sciences LaboratoryBoulderCOUSA
- Department of ChemistryUniversity of ColoradoBoulderCOUSA
| | - V. Sinha
- Department of Earth and Environmental SciencesIndian Institute of Science Education and Research MohaliMohaliIndia
| | - Y. Rudich
- Department of Earth and Planetary SciencesWeizmann Institute of ScienceRehovotIsrael
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Bhatia S, Acharya V, Jalaeian H, Kumar J, Bryant E, Richardson A, Malkova K, Harward S, Sinha V, Kably I, Kava BR. Effect of Prostate Artery Embolization on Erectile Function - A Single Center Experience of 167 Patients. J Sex Med 2022; 19:594-602. [PMID: 35184995 DOI: 10.1016/j.jsxm.2022.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Revised: 01/03/2022] [Accepted: 01/10/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Prostate artery embolization (PAE) is an emerging therapy for lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH). AIM This retrospective study was conducted to assess the effect of prostate artery embolization (PAE) on erectile function in a cohort of patients with LUTS attributable to BPH at 3-months after the procedure. METHODS A retrospective review was performed on 167 patients who underwent PAE. Data collected included Sexual Health Inventory in Men (SHIM) scores at 3, 6, and 12 months post-PAE, in conjunction with the International Prostate Symptom Scores (IPSS), Quality of Life (QoL) scores, and prostate volumes. Primary outcome was erectile function as assessed by SHIM scores at 3 months after PAE. An analysis was performed to identify patients with a ±5-point SHIM change to group them according to this minimum clinically significant difference in erectile function. Adverse events were recorded using the Clavien-Dindo (CD) classification. OUTCOMES At 3 months following PAE, median IPSS decreased by 16.0 [IQR, 9.0-22.0] points, median QOL decreased by 4.0 [IQR, 2.0-5.0] points, and median prostate volume decreased by 33 g [IQR, 14-55]. RESULTS Median SHIM score was 17.0 [IQR, 12.0-22.0] at baseline, 18.0 [IQR, 14.0-23.0] at 3 months [P = .031], 19.0 [IQR, 14.5-21.5] at 6 months [P = .106] and 20 [IQR, 16.0-24.0] at 12 months [P = .010] following PAE. In patients with no erectile dysfunction (ED) at baseline, 21% (n = 9) reported some degree of decline in erectile function post-PAE. However, 38% (n = 40) of patients who presented with mild-to-moderate ED reported improvement in their erectile function 3 months following PAE. Overall, the changes in baseline SHIM score were relatively small; 82% (n = 137) of patients did not have more than 5 points of change in their SHIM scores at 3 months following PAE. CLINICAL IMPLICATIONS Our findings suggest PAE has no adverse impact on erectile function for most patients. STRENGTHS & LIMITATIONS The study was performed at a single center with 1 operator's experience, and is retrospective with no control group. CONCLUSION Findings suggest that prostate artery embolization has no adverse effect on erectile function in the majority of patients with LUTS attributable to BPH at 3 months after the procedure. Bhatia S, Acharya V, Jalaeian H, et al., Effect of Prostate Artery Embolization on Erectile Function - A Single Center Experience of 167 Patients. J Sex Med 2022;19:594-602.
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Affiliation(s)
- Shivank Bhatia
- Department of Interventional Radiology, University of Miami, Miller School of Medicine, Miami, FL, USA
| | - Vedant Acharya
- University of Miami, Miller School of Medicine, Miami, FL, USA
| | - Hamed Jalaeian
- Department of Interventional Radiology, University of Miami, Miller School of Medicine, Miami, FL, USA
| | - Jessica Kumar
- Department of Interventional Radiology, University of Miami, Miller School of Medicine, Miami, FL, USA.
| | - Evan Bryant
- University of Miami, Miller School of Medicine, Miami, FL, USA
| | - Andrew Richardson
- Department of Interventional Radiology, University of Miami, Miller School of Medicine, Miami, FL, USA
| | - Kseniia Malkova
- Department of Interventional Radiology, University of Miami, Miller School of Medicine, Miami, FL, USA
| | - Sardis Harward
- University of Massachusetts Medical School, Worcester, MA, USA
| | - Vishal Sinha
- Weill Cornell Department of Radiology, New York, NY, USA
| | - Issam Kably
- Department of Interventional Radiology, University of Miami, Miller School of Medicine, Miami, FL, USA
| | - Bruce R Kava
- Department of Urology, University of Miami, Miller School of Medicine, Miami, FL, USA
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Raj S, Clay R, Ramji S, Shaunak R, Dadrewalla A, Sinha V, Shaunak S. 660 Trapeziectomy Versus Joint Replacement for First Carpometacarpal (CMC-1) Joint Osteoarthritis: A Systematic Review and Meta-Analysis. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.1003] [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]
Abstract
Abstract
Aim
The challenge of managing first carpometacarpal (CMC-1) joint osteoarthritis is the lack of guidance on which surgical intervention is superior. This systematic review and meta-analysis compares joint replacement (JR) and trapeziectomy techniques to provide an update.
Method
In August 2020, MEDLINE, Embase and Web of Science were searched for eligible studies that compared these two techniques for the treatment of CMC-1 joint osteoarthritis (PROSPERO registration ID: CRD42020189728). Primary outcomes included the Disabilities of the Arm, Shoulder and Hand (DASH), QuickDASH and pain visual analogue scale (VAS) scores. Secondary outcomes, such as total complication, dislocation, and revision surgery rates, were also measured.
Results
From 1909 studies identified, 14 studies (1005 patients) were eligible. Our meta-analysis found that post-operative QuickDASH score was lower for patients in the JR group, indicating decreased disability following this technique (5 studies, p = 0.0002). However, pain VAS scores were similar between the two groups (5 studies, p = 0.22). Interestingly, JR techniques had significantly greater odds of overall complications (12 studies; OR 2.27; 95% CI 1.17-4.40, p = 0.02) and significantly greater odds of revision surgery (9 studies; OR 5.14; 95% CI 2.06-12.81, p = 0.0004).
Conclusions
Overall, based on low to moderate quality evidence, we found that JR treatments may result in better function with less disability with comparable pain (VAS) scores; however, JR has greater odds of complications and greater odds of requiring revision surgery. More robust RCTs that compare JR and TRAP with standardised outcome measures and long-term follow-up would add to the overall quality of evidence.
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Affiliation(s)
- S Raj
- King’s College London, GKT School of Medicine, London, United Kingdom
| | - R Clay
- King’s College London, GKT School of Medicine, London, United Kingdom
| | - S Ramji
- King’s College London, GKT School of Medicine, London, United Kingdom
| | - R Shaunak
- King’s College London, GKT School of Medicine, London, United Kingdom
| | - A Dadrewalla
- King’s College London, GKT School of Medicine, London, United Kingdom
| | - V Sinha
- King’s College London, GKT School of Medicine, London, United Kingdom
| | - S Shaunak
- NHS Kent, Surrey and Sussex Deanery, Department of Trauma and Orthopaedic Surgery, London, United Kingdom
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Sinha V, Sun D, Meijer EJ, Vlugt TJH, Bieberle-Hütter A. A multiscale modelling approach to elucidate the mechanism of the oxygen evolution reaction at the hematite-water interface. Faraday Discuss 2021; 229:89-107. [PMID: 33735341 DOI: 10.1039/c9fd00140a] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Photoelectrochemical (PEC) splitting of water to make hydrogen is a promising clean-energy technology. The oxygen evolution reaction (OER) largely determines the energy efficiency in PEC water-splitting. Hematite, which is a cheap and sustainable semiconductor material with excellent chemical properties, a favourable band gap (2.1 eV) and composed of earth abundant elements is a suitable model photoanode material for studying OER. To understand the design of energy efficient anodes, it is highly desirable to have mechanistic insight into OER at an atomistic level which can be directly connected to experimentally measured quantities. We present a multiscale computational model of OER which connects the thermodynamics and kinetics of elementary charge transfer reactions in OER to kinetics of OER at laboratory length and time scales. We couple density functional theory (DFT) and DFT based molecular dynamics (DFT-MD) simulations with solvent effects at an atomistic level with kinetic Monte Carlo (kMC) simulations at a coarse-grained level in our multiscale model. The time and applied bias potential dependent surface coverage, which are experimentally not known, and the O2 evolution rate during OER at the hematite-water interface are calculated by the multiscale model. Furthermore, the multiscale model demonstrates the effect of explicitly modelling the interaction of water with the electrode surface via direct adsorption.
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Affiliation(s)
- V Sinha
- Electrochemical Materials and Interfaces, Dutch Institute for Fundamental Energy Research (DIFFER), de Zaale 20, Eindhoven, 5612 AJ, The Netherlands. and Process and Energy Department, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Leeghwaterstraat 39, Delft, 2628CB, The Netherlands.
| | - D Sun
- Amsterdam Center for Multiscale Modelling, van' t Hoff Institute for Molecular Sciences, University of Amsterdam, Amsterdam, The Netherlands
| | - E J Meijer
- Amsterdam Center for Multiscale Modelling, van' t Hoff Institute for Molecular Sciences, University of Amsterdam, Amsterdam, The Netherlands
| | - T J H Vlugt
- Process and Energy Department, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Leeghwaterstraat 39, Delft, 2628CB, The Netherlands.
| | - A Bieberle-Hütter
- Electrochemical Materials and Interfaces, Dutch Institute for Fundamental Energy Research (DIFFER), de Zaale 20, Eindhoven, 5612 AJ, The Netherlands.
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Bhatia S, Kumar J, Acharya V, Jalaeian H, Bryant E, Harward S, Sinha V, Kably I, Kava B. 108 Erectile Function Following Prostate Artery Embolization in Patients with Larger Prostate Glands: A Large Single Center Experience. J Sex Med 2021. [DOI: 10.1016/j.jsxm.2021.01.127] [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: 12/01/2022]
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Iaccarino C, Kolias A, Adelson PD, Rubiano AM, Viaroli E, Buki A, Cinalli G, Fountas K, Khan T, Signoretti S, Waran V, Adeleye AO, Amorim R, Bertuccio A, Cama A, Chesnut RM, De Bonis P, Estraneo A, Figaji A, Florian SI, Formisano R, Frassanito P, Gatos C, Germanò A, Giussani C, Hossain I, Kasprzak P, La Porta F, Lindner D, Maas AIR, Paiva W, Palma P, Park KB, Peretta P, Pompucci A, Posti J, Sengupta SK, Sinha A, Sinha V, Stefini R, Talamonti G, Tasiou A, Zona G, Zucchelli M, Hutchinson PJ, Servadei F. Consensus statement from the international consensus meeting on post-traumatic cranioplasty. Acta Neurochir (Wien) 2021; 163:423-440. [PMID: 33354733 PMCID: PMC7815592 DOI: 10.1007/s00701-020-04663-5] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 11/28/2020] [Indexed: 12/26/2022]
Abstract
Background Due to the lack of high-quality evidence which has hindered the development of evidence-based guidelines, there is a need to provide general guidance on cranioplasty (CP) following traumatic brain injury (TBI), as well as identify areas of ongoing uncertainty via a consensus-based approach. Methods The international consensus meeting on post-traumatic CP was held during the International Conference on Recent Advances in Neurotraumatology (ICRAN), in Naples, Italy, in June 2018. This meeting was endorsed by the Neurotrauma Committee of the World Federation of Neurosurgical Societies (WFNS), the NIHR Global Health Research Group on Neurotrauma, and several other neurotrauma organizations. Discussions and voting were organized around 5 pre-specified themes: (1) indications and technique, (2) materials, (3) timing, (4) hydrocephalus, and (5) paediatric CP. Results The participants discussed published evidence on each topic and proposed consensus statements, which were subject to ratification using anonymous real-time voting. Statements required an agreement threshold of more than 70% for inclusion in the final recommendations. Conclusions This document is the first set of practical consensus-based clinical recommendations on post-traumatic CP, focusing on timing, materials, complications, and surgical procedures. Future research directions are also presented.
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Mishra AK, Sinha B, Kumar R, Barth M, Hakkim H, Kumar V, Kumar A, Datta S, Guenther A, Sinha V. Cropland trees need to be included for accurate model simulations of land-atmosphere heat fluxes, temperature, boundary layer height, and ozone. Sci Total Environ 2021; 751:141728. [PMID: 32890797 DOI: 10.1016/j.scitotenv.2020.141728] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2020] [Revised: 08/07/2020] [Accepted: 08/14/2020] [Indexed: 06/11/2023]
Abstract
Trees significantly impact land-atmosphere feedbacks through evapotranspiration, photosynthesis and isoprene emissions. These processes influence the local microclimate, air quality and can mitigate temperature extremes and sequester carbon dioxide. Despite such importance, currently only 5 out of 15 atmospheric chemistry climate models even partially account for the presence of cropland trees. We first show that the tree cover over intensely farmed regions in Asia, Australia and South America is significantly underestimated (e.g. only 1-3% tree cover over north-India) in the Model of Emissions of Gases and Aerosol from Nature (MEGAN) and absent in Noah land-surface module of the Weather Research and Forecasting (WRF-Chem) Model. By including the actual tree cover (~10%) over the north-west Indo Gangetic Plain in the Noah land-surface module of the WRF-Chem and the MEGAN module, during the rice growing monsoon season in August, we find that the latent heat flux alone increases by 100%-300% while sensible heat flux reduces by 50%-100%, leading to a reduction in daytime boundary layer height by 200-400 m. This greatly improves agreement between the modelled and measured temperature, boundary layer height and surface ozone, which were earlier overestimated and isoprene and its oxidation products which were earlier underestimated. Mitigating peak daytime temperatures and ozone improves rice production by 10 to 20%. Our findings from north west Indo-Gangetic Plain establish that such plantations mitigate heat stress, and have beneficial effects on crop yields while also sequestering carbon. Expanding agroforestry practices to 50% of the cropland area could result in up to 40% yield gain regionally. Implementing such strategies globally could increase crop production and sequester 0.3-30 GtC per year, and therefore future climate mitigation and food security efforts should consider stakeholder participation for increased cropland agroforestry in view of its beneficial effects.
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Affiliation(s)
- A K Mishra
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S Nagar, Manauli PO, Punjab 140306, India
| | - B Sinha
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S Nagar, Manauli PO, Punjab 140306, India
| | - R Kumar
- National Center for Atmospheric Research, Boulder, CO, USA
| | - M Barth
- National Center for Atmospheric Research, Boulder, CO, USA
| | - H Hakkim
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S Nagar, Manauli PO, Punjab 140306, India
| | - V Kumar
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S Nagar, Manauli PO, Punjab 140306, India
| | - A Kumar
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S Nagar, Manauli PO, Punjab 140306, India
| | - S Datta
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S Nagar, Manauli PO, Punjab 140306, India
| | | | - V Sinha
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S Nagar, Manauli PO, Punjab 140306, India.
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Mishra AK, Sinha V. Emission drivers and variability of ambient isoprene, formaldehyde and acetaldehyde in north-west India during monsoon season. Environ Pollut 2020; 267:115538. [PMID: 33254592 DOI: 10.1016/j.envpol.2020.115538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 08/13/2020] [Accepted: 08/25/2020] [Indexed: 06/12/2023]
Abstract
Isoprene, formaldehyde and acetaldehyde are important reactive organic compounds which strongly impact atmospheric oxidation processes and formation of tropospheric ozone. Monsoon meteorology and the topography of Himalayan foothills cause surface emissions to get rapidly transported both horizontally and vertically, thereby influencing atmospheric processes in distant regions. Further in monsoon, Indo-Gangetic Plain is a major rice growing region of the world and daytime hourly ozone can frequently exceed phytotoxic dose of 40 ppb O3. However, the sources and ambient variability of these compounds which are potent ozone precursors are unknown. Here, we investigate the sources and photochemical processes driving their emission/formation during monsoon season from a sub-urban site at the foothills of the Himalayas. The measurements were performed in July, August and September using a high sensitivity mass spectrometer. Average ambient mixing ratios (±1σ variability) of isoprene, formaldehyde, acetaldehyde, and the sum of methyl vinyl ketone and methacrolein (MVK+MACR), were 1.4 ± 0.3 ppb, 5.7 ± 0.9 ppb, 4.5 ± 2.0 ppb, 0.75 ± 0.3 ppb, respectively, and much higher than summertime values in May. For isoprene these values were comparable to mixing ratios observed over tropical forests. Surprisingly, despite occurrence of anthropogenic emissions, biogenic emissions were found to be the major source of isoprene with peak daytime isoprene driven by temperature (r ≥ 0.8) and solar radiation. Photo-oxidation of precursor hydrocarbons were the main sources of acetaldehyde, formaldehyde and MVK+MACR. Ambient mixing ratios of all the compounds correlated poorly with acetonitrile (r ≤ 0.2), a chemical tracer for biomass burning suggesting negligible influence of biomass burning during monsoon season. Our results suggest that during monsoon season when radiation and rain are no longer limiting factors and convective activity causes surface emissions to be transported to upper atmosphere, biogenic emissions can significantly impact the remote upper atmosphere, climate and ozone affecting rice yields.
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Affiliation(s)
- A K Mishra
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S. A. S. Nagar, Manauli PO, Punjab, 140306, India
| | - V Sinha
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S. A. S. Nagar, Manauli PO, Punjab, 140306, India.
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15
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Christianson B, Sinha V. "Redeployed" - A radiology resident's perspective in a converted intensive care unit. Clin Imaging 2020; 71:141-142. [PMID: 33249370 PMCID: PMC7645274 DOI: 10.1016/j.clinimag.2020.10.054] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 10/28/2020] [Indexed: 11/24/2022]
Affiliation(s)
- Blake Christianson
- New York Presbyterian - Weill Cornell Medicine, 525 East 68th Street, New York, NY 10065, United States of America.
| | - Vishal Sinha
- New York Presbyterian - Weill Cornell Medicine, 525 East 68th Street, New York, NY 10065, United States of America
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16
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Kulkarni SH, Ghude SD, Jena C, Karumuri RK, Sinha B, Sinha V, Kumar R, Soni VK, Khare M. How Much Does Large-Scale Crop Residue Burning Affect the Air Quality in Delhi? Environ Sci Technol 2020; 54:4790-4799. [PMID: 32189491 DOI: 10.1021/acs.est.0c00329] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Elevated PM2.5 concentrations frequently cause severe air pollution events in Delhi. Till recently, the effect of crop residue burning on the air quality in Delhi has not been fully quantified and the approaches to control the impact of fire emissions have not been effective. In this study, for the first time, we quantified the statewise contribution of post-monsoon crop residue burning in the northwestern states of India to surface PM2.5 concentrations in Delhi using several sensitivity experiments with the Weather Research and Forecasting model coupled with Chemistry (WRF-Chem) and FINNv1.5 fire emission inventory. Results were evaluated with ground-based observations in Delhi (21 stations), Punjab, and Haryana (14 stations). On average, ∼20% of PM2.5 concentration in Delhi during the post-monsoon season (October-November) was found to be contributed by nonlocal fire emissions. However, on typical air pollution events, fire emissions contributed as high as 50-75% (80-120 μg/m3) to PM2.5 in Delhi, highlighting the importance of both external transport and local emissions to PM2.5 pollution in Delhi.
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Affiliation(s)
- Santosh H Kulkarni
- Centre for Development of Advanced Computing (C-DAC), Pune 411007, Maharashtra, India
| | - Sachin D Ghude
- Indian Institute of Tropical Meteorology, Pune 411008, Maharashtra, India
| | - Chinmay Jena
- Indian Institute of Tropical Meteorology, Pune 411008, Maharashtra, India
| | - Rama K Karumuri
- Indian Institute of Tropical Meteorology, Pune 411008, Maharashtra, India
| | - Baerbel Sinha
- Indian Institute of Science Education and Research, Mohali, Punjab 140306, India
| | - V Sinha
- Indian Institute of Science Education and Research, Mohali, Punjab 140306, India
| | - Rajesh Kumar
- National Center for Atmospheric Research, Boulder, Colorado 80305, United States
| | - V K Soni
- India Meteorological Department, New Delhi 110003, India
| | - Manoj Khare
- Centre for Development of Advanced Computing (C-DAC), Pune 411007, Maharashtra, India
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17
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Sinha V, Gonzales M, Payton E. Datasets acquired with correlative microscopy method for delineation of prior austenite grain boundaries and characterization of prior austenite grain size in a low-alloy high-performance steel. Data Brief 2019; 27:104471. [PMID: 31656829 PMCID: PMC6806460 DOI: 10.1016/j.dib.2019.104471] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [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: 07/25/2019] [Revised: 08/12/2019] [Accepted: 08/26/2019] [Indexed: 12/01/2022] Open
Abstract
Prior studies on martensitic steel microstructures have either delineated the prior austenite grain boundaries via chemical etching or reconstructed the prior austenite grains from crystallographic orientations measured with electron backscattered diffraction (EBSD). To appropriately validate the reconstruction algorithms, the EBSD data need to be collected on martensitic microstructures, where the prior austenite grain boundaries are delineated with techniques such as chemical etching that can serve as ground truth for comparison with the reconstructed prior austenite grains. In this article, the method of correlative microscopy is employed to collect scanning electron microscope (SEM) image and automated EBSD scan data from the same region of an appropriately etched steel specimen. The SEM images and automated EBSD scan data are presented for five different fields of view in the specimen. These datasets are analyzed and discussed in the accompanying article titled "Correlative microscopy for quantification of prior austenite grain size in AF9628 steel" [1].
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Affiliation(s)
- V. Sinha
- Air Force Research Laboratory, Materials and Manufacturing Directorate, AFRL/RXCM, Wright-Patterson Air Force Base, OH 45433, USA
- UES, Inc., 4401 Dayton-Xenia Road, Dayton, OH 45432, USA
| | - M. Gonzales
- Air Force Research Laboratory, Materials and Manufacturing Directorate, AFRL/RXCM, Wright-Patterson Air Force Base, OH 45433, USA
| | - E.J. Payton
- Air Force Research Laboratory, Materials and Manufacturing Directorate, AFRL/RXCM, Wright-Patterson Air Force Base, OH 45433, USA
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18
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Hakkim H, Sinha V, Chandra BP, Kumar A, Mishra AK, Sinha B, Sharma G, Pawar H, Sohpaul B, Ghude SD, Pithani P, Kulkarni R, Jenamani RK, Rajeevan M. Volatile organic compound measurements point to fog-induced biomass burning feedback to air quality in the megacity of Delhi. Sci Total Environ 2019; 689:295-304. [PMID: 31276997 DOI: 10.1016/j.scitotenv.2019.06.438] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2019] [Revised: 06/25/2019] [Accepted: 06/26/2019] [Indexed: 06/09/2023]
Abstract
We report the first ambient measurements of thirteen VOCs for investigations of emissions and air quality during fog and non-fog wintertime conditions at a tower site (28.57° N, 77.11° E, 220 m amsl) in the megacity of Delhi. Measurements of acetonitrile (biomass burning (BB) tracer), isoprene (biogenic emission tracer in daytime), toluene (a traffic exhaust tracer) and benzene (emitted from BB and traffic), together with soluble and reactive oxygenated VOCs such as methanol, acetone and acetaldehyde were performed during the winters of 2015-16 and 2016-17, using proton transfer reaction mass spectrometry. Remarkably, ambient VOC composition changes during fog were not governed by solubility. Acetaldehyde, toluene, sum of C8-aromatics (e.g. xylenes), sum of C9-aromatics (e.g. trimethyl benzenes) decreased by ≥30% (>95% confidence interval), whereas acetonitrile and benzene showed significant increases by 20% (>70% confidence interval), even after accounting for boundary layer dilution. During fog, the lower temperatures appeared to induce an emissions feedback from enhanced open BB within Delhi for warming, releasing both gaseous and aerosol pollutants with consequences for fog chemistry, sustenance and intensity. The potential feedback is important to consider for improving current emission parametrizations in models used for predicting air quality and fog in such atmospheric environments.
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Affiliation(s)
- H Hakkim
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S. Nagar, Manauli PO, Punjab, 140306, India
| | - V Sinha
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S. Nagar, Manauli PO, Punjab, 140306, India.
| | - B P Chandra
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S. Nagar, Manauli PO, Punjab, 140306, India
| | - A Kumar
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S. Nagar, Manauli PO, Punjab, 140306, India
| | - A K Mishra
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S. Nagar, Manauli PO, Punjab, 140306, India
| | - B Sinha
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S. Nagar, Manauli PO, Punjab, 140306, India
| | - G Sharma
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S. Nagar, Manauli PO, Punjab, 140306, India
| | - H Pawar
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S. Nagar, Manauli PO, Punjab, 140306, India
| | - B Sohpaul
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, Sector 81, S.A.S. Nagar, Manauli PO, Punjab, 140306, India
| | - Sachin D Ghude
- Indian Institute of Tropical Meteorology, Pashan, Pune 411008, India
| | - P Pithani
- Indian Institute of Tropical Meteorology, Pashan, Pune 411008, India
| | - R Kulkarni
- Indian Institute of Tropical Meteorology, Pashan, Pune 411008, India; Savitribai Phule Pune University, Pune, India
| | - R K Jenamani
- Indian Meteorological Department, New Delhi 110003, India
| | - M Rajeevan
- Ministry of Earth Sciences, Government of India, New Delhi 110003, India
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19
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Tripathi A, Avasthi A, Grover S, Sharma E, Lakdawala BM, Thirunavukarasu M, Dan A, Sinha V, Sareen H, Mishra KK, Rastogi P, Srivastava S, Dhingra I, Behere PB, Solanki RK, Sinha VK, Desai M, Reddy YCJ. Gender differences in obsessive-compulsive disorder: Findings from a multicentric study from India. Asian J Psychiatr 2018; 37:3-9. [PMID: 30086467 DOI: 10.1016/j.ajp.2018.07.022] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Accepted: 07/31/2018] [Indexed: 11/28/2022]
Abstract
Obsessive-compulsive disorder (OCD) is phenotypically heterogeneous. Gender is an important factor mediating this heterogeneity. We examined gender differences in a large sample (n = 945) of OCD patients under a multi-centric study in India. Cross-sectional assessments were done on consecutive adult (>18 years) treatment-seeking patients with a DSM-5 diagnosis of OCD. Subjects were assessed on Structured Clinical Interview for DSM-5-Research Version for comorbid psychiatric illnesses, Yale Brown Obsessive Compulsive Scale for OCD phenomenology and symptom severity, Brown Assessment of Beliefs Scale for insight, Beck's Depression Inventory for severity of depressive symptoms, and the Obsessive Beliefs Questionnaire. On multivariate backward Wald logistic regression analysis, males (59.7%) had more years of education, had a higher rate of checking compulsions and comorbid substance use disorders. Women were more likely to be married, more commonly reported precipitating factors, had a higher rate of hoarding compulsions and comorbid agoraphobia. Findings from this large study validate gender as an important mediator of phenotypic heterogeneity in OCD. The mechanistic basis for these differences might involve complex interactions between biological, cultural and environmental factors.
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Affiliation(s)
| | - Ajit Avasthi
- Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Sandeep Grover
- Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Eesha Sharma
- National Institute of Mental Health and Neurosciences, Bangalore, India.
| | | | - M Thirunavukarasu
- SRM Medical College Hospital & Research Center, Kattankulathur, Kanchipuram District, 603203, India
| | | | | | | | | | - Pali Rastogi
- MGM Medical College & MYH Hospital, Indore, India
| | - Shruti Srivastava
- University College of Medical Sciences and GTBH, Dilshad Garden, Delhi, India
| | | | - Prakash B Behere
- Dr D.Y. Patil University Kasba Bawda, Kolhapur 416006, Maharashtra, India
| | | | - Vinod K Sinha
- Central Institute of Psychiatry, Ranchi, Jharkhand, India
| | - Mahesh Desai
- Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka India
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20
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Jabbari K, Bobbili DR, Lal D, Reinthaler EM, Schubert J, Wolking S, Sinha V, Motameny S, Thiele H, Kawalia A, Altmüller J, Toliat MR, Kraaij R, van Rooij J, Uitterlinden AG, Ikram MA, Zara F, Lehesjoki AE, Krause R, Zimprich F, Sander T, Neubauer BA, May P, Lerche H, Nürnberg P. Rare gene deletions in genetic generalized and Rolandic epilepsies. PLoS One 2018; 13:e0202022. [PMID: 30148849 PMCID: PMC6110470 DOI: 10.1371/journal.pone.0202022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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: 03/16/2018] [Accepted: 07/26/2018] [Indexed: 12/30/2022] Open
Abstract
Genetic Generalized Epilepsy (GGE) and benign epilepsy with centro-temporal spikes or Rolandic Epilepsy (RE) are common forms of genetic epilepsies. Rare copy number variants have been recognized as important risk factors in brain disorders. We performed a systematic survey of rare deletions affecting protein-coding genes derived from exome data of patients with common forms of genetic epilepsies. We analysed exomes from 390 European patients (196 GGE and 194 RE) and 572 population controls to identify low-frequency genic deletions. We found that 75 (32 GGE and 43 RE) patients out of 390, i.e. ~19%, carried rare genic deletions. In particular, large deletions (>400 kb) represent a higher burden in both GGE and RE syndromes as compared to controls. The detected low-frequency deletions (1) share genes with brain-expressed exons that are under negative selection, (2) overlap with known autism and epilepsy-associated candidate genes, (3) are enriched for CNV intolerant genes recorded by the Exome Aggregation Consortium (ExAC) and (4) coincide with likely disruptive de novo mutations from the NPdenovo database. Employing several knowledge databases, we discuss the most prominent epilepsy candidate genes and their protein-protein networks for GGE and RE.
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Affiliation(s)
- Kamel Jabbari
- Cologne Center for Genomics, University of Cologne, Cologne, Germany
- Cologne Biocenter, Institute for Genetics, University of Cologne, Cologne, Germany
| | - Dheeraj R. Bobbili
- Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Dennis Lal
- Cologne Center for Genomics, University of Cologne, Cologne, Germany
- Psychiatric and Neurodevelopmental Genetics Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States of America
- Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, United States of America
- Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, United States of America
| | - Eva M. Reinthaler
- Department of Neurology, Medical University of Vienna, Vienna, Austria
| | - Julian Schubert
- Department of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany
| | - Stefan Wolking
- Department of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany
| | - Vishal Sinha
- Institute for Molecular Medicine FIMM, University of Helsinki, Helsinki, Finland
| | - Susanne Motameny
- Cologne Center for Genomics, University of Cologne, Cologne, Germany
| | - Holger Thiele
- Cologne Center for Genomics, University of Cologne, Cologne, Germany
| | - Amit Kawalia
- Cologne Center for Genomics, University of Cologne, Cologne, Germany
| | - Janine Altmüller
- Cologne Center for Genomics, University of Cologne, Cologne, Germany
- Institute of Human Genetics, University of Cologne, Cologne, Germany
| | | | - Robert Kraaij
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands
| | - Jeroen van Rooij
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands
| | | | - M. Arfan Ikram
- Departments of Epidemiology, Neurology, and Radiology, Erasmus Medical Center, Rotterdam, The Netherlands
| | | | - Federico Zara
- Laboratory of Neurogenetics and Neuroscience, Institute G. Gaslini, Genova, Italy
| | - Anna-Elina Lehesjoki
- Folkhälsan Institute of Genetics, Folkhälsan Research Center, Helsinki, Finland
- Neuroscience Center and Research Programs Unit, Molecular Neurology, University of Helsinki, Helsinki, Finland
| | - Roland Krause
- Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Fritz Zimprich
- Department of Neurology, Medical University of Vienna, Vienna, Austria
| | - Thomas Sander
- Cologne Center for Genomics, University of Cologne, Cologne, Germany
| | - Bernd A. Neubauer
- Department of Neuropediatrics, Medical Faculty University Giessen, Giessen, Germany
| | - Patrick May
- Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Holger Lerche
- Department of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany
| | - Peter Nürnberg
- Cologne Center for Genomics, University of Cologne, Cologne, Germany
- Center for Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany
- Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany
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21
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Bradshaw NJ, Ukkola-Vuoti L, Pankakoski M, Zheutlin AB, Ortega-Alonso A, Torniainen-Holm M, Sinha V, Therman S, Paunio T, Suvisaari J, Lönnqvist J, Cannon TD, Haukka J, Hennah W. The NDE1 genomic locus can affect treatment of psychiatric illness through gene expression changes related to microRNA-484. Open Biol 2018; 7:rsob.170153. [PMID: 29142105 PMCID: PMC5717342 DOI: 10.1098/rsob.170153] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Accepted: 10/09/2017] [Indexed: 01/16/2023] Open
Abstract
Genetic studies of familial schizophrenia in Finland have observed significant associations with a group of biologically related genes, DISC1, NDE1, NDEL1, PDE4B and PDE4D, the ‘DISC1 network’. Here, we use gene expression and psychoactive medication use data to study their biological consequences and potential treatment implications. Gene expression levels were determined in 64 individuals from 18 families, while prescription medication information has been collected over a 10-year period for 931 affected individuals. We demonstrate that the NDE1 SNP rs2242549 associates with significant changes in gene expression for 2908 probes (2542 genes), of which 794 probes (719 genes) were replicable. A significant number of the genes altered were predicted targets of microRNA-484 (p = 3.0 × 10−8), located on a non-coding exon of NDE1. Variants within the NDE1 locus also displayed significant genotype by gender interaction to early cessation of psychoactive medications metabolized by CYP2C19. Furthermore, we demonstrate that miR-484 can affect the expression of CYP2C19 in a cell culture system. Thus, variation at the NDE1 locus may alter risk of mental illness, in part through modification of miR-484, and such modification alters treatment response to specific psychoactive medications, leading to the potential for use of this locus in targeting treatment.
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Affiliation(s)
- Nicholas J Bradshaw
- Department of Neuropathology, Heinrich Heine University, 40225 Düsseldorf, Germany.,Department of Biotechnology, University of Rijeka, 51000 Rijeka, Croatia
| | - Liisa Ukkola-Vuoti
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland.,Institute for Molecular Medicine Finland FIMM, University of Helsinki, 00014 Helsinki, Finland.,Medicum, Clinicum, University of Helsinki, 00014 Helsinki, Finland
| | - Maiju Pankakoski
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland
| | | | - Alfredo Ortega-Alonso
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland.,Institute for Molecular Medicine Finland FIMM, University of Helsinki, 00014 Helsinki, Finland
| | - Minna Torniainen-Holm
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland.,Institute for Molecular Medicine Finland FIMM, University of Helsinki, 00014 Helsinki, Finland
| | - Vishal Sinha
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland.,Institute for Molecular Medicine Finland FIMM, University of Helsinki, 00014 Helsinki, Finland.,Medicum, Clinicum, University of Helsinki, 00014 Helsinki, Finland
| | - Sebastian Therman
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland
| | - Tiina Paunio
- Genomics and Biomarkers Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland.,Department of Psychiatry, University of Helsinki and Helsinki University Hospital, 00014 Helsinki, Finland
| | - Jaana Suvisaari
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland
| | - Jouko Lönnqvist
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland.,Department of Psychiatry, University of Helsinki and Helsinki University Hospital, 00014 Helsinki, Finland
| | - Tyrone D Cannon
- Department of Psychology, Yale University, New Haven, CT 06520, USA
| | - Jari Haukka
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland.,Department of Public Health, Clinicum, University of Helsinki, 00014 Helsinki, Finland
| | - William Hennah
- Mental Health Unit, Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland .,Institute for Molecular Medicine Finland FIMM, University of Helsinki, 00014 Helsinki, Finland.,Medicum, Clinicum, University of Helsinki, 00014 Helsinki, Finland
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22
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Bhatia S, Sinha V, Harward S, Gomez C, Kava B, Parekh D. 3:48 PM Abstract No. 9 Prostate artery embolization for prostate volumes ≥ 80g vs. <80g - clinical outcomes from a single institution. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.013] [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] Open
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23
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Bhatia S, Gomez S, Shaikh S, Sinha V, Kably I. 3:32 PM Abstract No. 7 Prostate artery embolization for chronic and recurrent urinary tract infections associated with benign prostatic hypertrophy. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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24
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Amin A, Sinha V, Sullivan T, Mehta N, Doshi M, Kuker R, Lencioni R, Narayanan G. 3:27 PM Abstract No. 184 Using FDG PET/CT to predict response to IRE in nonresectable pancreatic cancer: a retrospective analysis of 50 patients. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.207] [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] Open
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25
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Singh A, Kaushal SK, Misra SK, Agrawal R, Sinha V. Magnitude of depression and its determinants among older persons in urban community of Agra. Indian J Community Health 2018. [DOI: 10.47203/ijch.2018.v30i01.006] [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: 11/27/2022]
Abstract
Background: With increasing life expectancy people are living longer but they are not necessarily healthier than before. Nearly a quarter (23%) of the overall global burden of death and illness is in people aged over 60, and much of this burden is attributable to long-term illness like non-communicable diseases and mental health problems. Aims & Objectives: Aim of the study the magnitude of depression among elderly population of Agra. Objectives To estimate the prevalence of depression in elderly population of Agra. 2. To study the factors associated with depression among elderly population of Agra. Material and Methods: This study was conducted among 355 elderly in urban Agra. Data was collected by house to house visit using pre-designed and pre-tested schedule. Geriatric depression scale (GDS-30) was used to assess the burden of depression in study population. Results: The mean age of the study participants was 68.05 years. Depression was found in 50.1% among study population and 15.5% had severe depression. Depression was more among the Illiterates, Muslims, financial dependents, those who were suffering from chronic disease/s, encountered a stressor in the last 6 months, less religious, not living with partner or suffered elderly abuse. Conclusion: High burden of depression was found among the victims of elderly abuse. Stressful life events and absence of spouse were found to be significant risk factors for depression. To deal with these factors we suggest a link worker Geriatric Age Social Health Agent (G-ASHA) to act as a link between family, community and authorities.
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Chandra BP, Sinha V, Hakkim H, Kumar A, Pawar H, Mishra AK, Sharma G, Pallavi ,, Garg S, Ghude SD, Chate DM, Pithani P, Kulkarni R, Jenamani RK, Rajeevan M. Odd–Even Traffic Rule Implementation during Winter 2016 in Delhi Did Not Reduce Traffic Emissions of VOCs, Carbon Dioxide, Methane and Carbon Monoxide. CURR SCI INDIA 2018. [DOI: 10.18520/cs/v114/i06/1318-1325] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Bhatia S, Harward S, Sinha V, Gomez C, Kava B. 005 Improvement in Sexual Function Associated with Prostatic Artery Embolization (PAE): An Emerging Treatment Option for Men with Symptomatic BPH. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2017.11.024] [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: 10/18/2022]
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Sinha V, Sarin NB, Bhatnagar D. The efficacy of antisense-based construct for inducing resistance against Croton yellow vein mosaic virus in Nicotiana tabacum. Virus Genes 2017; 53:906-912. [PMID: 28762207 DOI: 10.1007/s11262-017-1499-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Accepted: 07/25/2017] [Indexed: 01/30/2023]
Abstract
Begomoviruses have increased pathogenicity because of their adaptation to a wide host range; consequently, these viruses cause a major loss to agroeconomic crops worldwide. In this study, we designed a gene construct representing an antisense coat protein gene. We also analyzed the efficacy of the induced resistance against Croton yellow vein mosaic virus (CrYVMV) affecting papaya in Nicotiana tabacum plants. Positive control plants developed typical leaf curl symptoms, whereas transgenic plants were symptomless. Moreover, the key component (i.e., short interfering RNA) of the antisense pathway was upregulated in transgenic plants. This finding demonstrates the activation of the gene silencing mechanism in transgenic plants. Thus, these results confirm that our construct is functional and effectively induces transient resistance against CrYVMV infections.
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Affiliation(s)
- V Sinha
- School of Life Sciences, Jawaharlal Nehru University, New Mehrauli Road, New Delhi, 110067, India.
- School of Biochemistry, Devi Ahilya University, Indore, 452017, India.
| | - N B Sarin
- School of Life Sciences, Jawaharlal Nehru University, New Mehrauli Road, New Delhi, 110067, India
| | - D Bhatnagar
- School of Biochemistry, Devi Ahilya University, Indore, 452017, India
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Anwar Z, Sinha V, Mitra S, Mishra AK, Ansari MH, Bharti A, Kumar V, Nigam AK. Erectile Dysfunction: An Underestimated Presentation in Patients with Diabetes Mellitus. Indian J Psychol Med 2017; 39:600-604. [PMID: 29200555 PMCID: PMC5688886 DOI: 10.4103/0253-7176.217015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
INTRODUCTION Erectile dysfunction (ED) is a common complication of diabetes mellitus. ED, like other sexual disorders, is often under-reported and under-diagnosed, as talking about sex is considered a taboo in our society. METHODOLOGY All the male patients with diabetes mellitus (with or without active complaints of ED) attending Medicine or Psychiatry OPD of the institute during the study period were enrolled in the study. They were investigated for their body-mass index (BMI), blood sugar and lipid profile; and were assessed on HAM-D, General Health Questionnaire-30, IIEF, sex myth checklist and QOL Instrument for Indian Diabetes Patients (QOLID). RESULT AND DISCUSSION In the present study, a total of 138 diabetic patients were assessed, and those with severe ED were found to have poor glycemic control, worse lipid profile, higher body mass index, later age of onset, and longer duration of untreated diabetes as compared to non-ED patients. ED patients also scored higher on depression rating scale, had poorer general health and quality of life (QOL). Early attention to ED in diabetic patients can improve general health and QOL of the sufferers. CONCLUSION DM patients with poor glycemic control and advanced age have a higher propensity of developing severe ED, which further deteriorates the already compromised health & QOL.
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Affiliation(s)
- Zeeshan Anwar
- Department of Psychiatry, S. N. Medical College, Agra, Uttar Pradesh, India
| | - Vishal Sinha
- Department of Psychiatry, S. N. Medical College, Agra, Uttar Pradesh, India
| | - Sayantanava Mitra
- Department of Psychiatry, S. N. Medical College, Agra, Uttar Pradesh, India
| | | | | | - Abhishek Bharti
- Department of Psychiatry, S. N. Medical College, Agra, Uttar Pradesh, India
| | - Vipin Kumar
- Department of Psychiatry, S. N. Medical College, Agra, Uttar Pradesh, India
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Mitra S, Singh M, Sinha V, Anwar Z. "Dhat syndrome" - How a man lost his bones! Asian J Psychiatr 2017; 28:181-182. [PMID: 28784384 DOI: 10.1016/j.ajp.2017.06.004] [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] [Received: 06/02/2017] [Accepted: 06/02/2017] [Indexed: 10/19/2022]
Affiliation(s)
| | - Manjeet Singh
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
| | - Vishal Sinha
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
| | - Zeeshan Anwar
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
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Dayal R, Kumar P, Garg N, Kumar D, Sinha V. Sleep Disorders and their Effect on Academic Performance in School Going Children. Indian J Pediatr 2017; 84:487-488. [PMID: 28271291 DOI: 10.1007/s12098-017-2321-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2016] [Accepted: 02/14/2017] [Indexed: 10/20/2022]
Affiliation(s)
- Rajeshwar Dayal
- Department of Pediatrics, S.N. Medical College, Agra, 282002, India
| | - Pankaj Kumar
- Department of Pediatrics, S.N. Medical College, Agra, 282002, India.
| | - Neha Garg
- Department of Pediatrics, S.N. Medical College, Agra, 282002, India
| | | | - Vishal Sinha
- Department of Psychiatry, S.N. Medical College, Agra, India
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Bhatia S, Harward S, Sinha V, Narayanan G. Safety and feasibility of prostate artery embolization via transradial access: a single-center experience. J Vasc Interv Radiol 2017. [DOI: 10.1016/j.jvir.2016.12.912] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Ghude SD, Bhat GS, Prabhakaran T, Jenamani RK, Chate DM, Safai PD, Karipot AK, Konwar M, Pithani P, Sinha V, Rao PSP, Dixit SA, Tiwari S, Todekar K, Varpe S, Srivastava AK, Bisht DS, Murugavel P, Ali K, Mina U, Dharua M, Rao J, Padmakumari B, Hazra A, Nigam N, Shende U, Lal DM, Chandra BP, Mishra AK, Kumar A, Hakkim H, Pawar H, Acharja P, Kulkarni R, Subharthi C, Balaji B, Varghese M, Bera S, Rajeevan M. Winter Fog Experiment Over the Indo-Gangetic Plains of India. CURR SCI INDIA 2017. [DOI: 10.18520/cs/v112/i04/767-784] [Citation(s) in RCA: 61] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Grover S, Avasthi A, Sinha V, Lakdawala B, Bathla M, Sethi S, Mathur DM, Kathuria P, Shah S, Baalasubramanian DS, Agarwal V, Deka K. Indian psychiatric society multicentric study: Correlates of prescription patterns of psychotropics in India. Indian J Psychiatry 2016; 58:417-424. [PMID: 28196999 PMCID: PMC5270267 DOI: 10.4103/0019-5545.196703] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
BACKGROUND There is a lack of information on the clinical and sociodemographic correlates of prescription of psychotropics by psychiatrists. AIM AND OBJECTIVE This study aimed to evaluate the relationship of prescription patterns with various clinical and sociodemographic variables. METHODOLOGY Data of prescription patterns, psychiatric diagnosis, sociodemographic variables, and comorbid physical illnesses were collected for 4480 patients, across 11 centers. RESULTS Females are more often prescribed escitalopram, sertraline, amitriptyline, amisulpride, nonlithium mood stabilizers, and benzodiazepines, whereas males are more often prescribed fluoxetine, olanzapine, two antipsychotics concurrently, typical antipsychotics, valproate, lithium, and more than one benzodiazepine. Elderly (>65 years) participants are more often prescribed sertraline when compared to adolescents. In addition, elderly more often receive quetiapine and less often are prescribed benzodiazepines. Those with comorbid neurological disorders are commonly prescribed antipsychotics, amitriptyline, and more than one antidepressant and are less commonly prescribed lithium, combination of two mood stabilizers, and benzodiazepines. Those with cardiac ailments are more commonly prescribed sertraline, quetiapine, and lithium and less frequently prescribed amitriptyline, fluoxetine, olanzapine, risperidone, and typical antipsychotics. Those with diabetes mellitus more often received escitalopram and quetiapine. Presence of more than one psychiatric diagnosis was associated with the use of more number of medications. Further, diagnosis of affective disorders was associated with the use of a higher number of medications. CONCLUSION Findings of the present study suggest that sociodemographic variables and physical and psychiatric comorbidity influence the prescription patterns of psychotropics.
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Affiliation(s)
| | - Ajit Avasthi
- Department of Psychiatry, PGIMER, Chandigarh, India
| | - Vishal Sinha
- Department of Psychiatry, S N Medical College, Agra, Uttar Pradesh, India
| | - Bhavesh Lakdawala
- Department of Psychiatry, B J Medical College and Civil Hospital, Ahmedabad, Gujarat, India
| | - Manish Bathla
- Department of Psychiatry, MM Institute of Medical Sciences and Research, Mullana, Ambala, India
| | | | - D M Mathur
- Department of Psychiatry, Gitanjali Medical College Hospital, Udaipur, Rajasthan, India
| | | | - Sandip Shah
- Department of Psychiatry, SBKS MI & RC, Sumandeep Vidyapeeth, Pipaira, Vadodara, Gujarat, India
| | - D Sai Baalasubramanian
- Department of Psychiatry, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India
| | - Vivek Agarwal
- Department of Psychiatry, KGMU, Lucknow, Uttar Pradesh, India
| | - Kamla Deka
- Department of Psychiatry, Guwahati Medical College, Guwahati, Assam, India
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Affiliation(s)
- V. Sinha
- Department of Neurosurgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India
| | - Trilochan Srivastava
- Department of Neurology, SMS Medical College and Hospital, Jaipur, Rajasthan, India
| | - Pawan Verma
- Department of Neurosurgery, SMS Medical College and Hospital, Jaipur, Rajasthan, India
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Ahnaou A, de Boer P, Lavreysen H, Huysmans H, Sinha V, Raeymaekers L, Van De Casteele T, Cid J, Van Nueten L, Macdonald G, Kemp J, Drinkenburg W. Translational neurophysiological markers for activity of the metabotropic glutamate receptor (mGluR2) modulator JNJ-40411813: Sleep EEG correlates in rodents and healthy men. Neuropharmacology 2016; 103:290-305. [DOI: 10.1016/j.neuropharm.2015.11.031] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2015] [Revised: 11/28/2015] [Accepted: 11/28/2015] [Indexed: 12/31/2022]
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Grover S, Avasthi A, Gupta S, Dan A, Neogi R, Behere PB, Lakdawala B, Tripathi A, Chakraborty K, Sinha V, Bhatia MS, Patjoshi A, Rao TSS, Rozatkar A. Phenomenology and beliefs of patients with Dhat syndrome: A nationwide multicentric study. Int J Soc Psychiatry 2016; 62:57-66. [PMID: 26142412 DOI: 10.1177/0020764015591857] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIM To assess the phenomenology and associated beliefs in patients with Dhat syndrome. METHODS A total of 780 male patients aged more than 16 years were recruited from 15 centers spread across the country and were assessed on Dhat Syndrome Questionnaire. RESULTS The most commonly reported reasons for passage of Dhat were excessive masturbation (55.1%), sexual dreams (47.3%), excessive sexual desire (42.8%) and consumption of high energy foods (36.7%). The most common situation in which participants experienced passage of Dhat were as 'night falls' (60.1%) and 'while passing stools' (59.5%). The most common consequence due to passage of Dhat was weakness in sexual ability (75.6%). In terms of psychological and somatic symptoms, the common symptoms included bodily weakness (78.2%); feeling tired or having low energy (75.9%); feeling down, depressed, or hopeless (67.9%); and little interest or pleasure in doing things (63.7%). In terms of treatment expectations, about half of the patients (49.1%) expected that energizing medications like vitamins/tonics/tablets were required and more than one-third (38.2%) expected that there was a need for taking energizing injections. CONCLUSION Present study shows that Dhat syndrome is a distinct clinical entity seen all over India, with its characteristic features.
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Affiliation(s)
- Sandeep Grover
- Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Ajit Avasthi
- Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Sunil Gupta
- NIMS Medical College & Hospital, Jaipur, India
| | - Amitava Dan
- Calcutta National Medical College (CNMC), Kolkata, India
| | | | | | | | | | - Kaustav Chakraborty
- College of Medicine & JNM Hospital, West Bengal University of Health Sciences (WBUHS), Kalyani, India
| | | | - Manjeet Singh Bhatia
- Guru Teg Bahadur hospital, University College of Medical Sciences, New Delhi, India
| | | | | | - Abhijit Rozatkar
- Shaheed Hasan Khan Mewati Government Medical College, Mewat, India
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Singh M, Anwar Z, Sinha V, Narwal V, Mitra S, Bharti A, Mishra AK. Mirtazapine in Paroxetine Induced Hyper-prolactinemic Galactorrhoea. Clin Psychopharmacol Neurosci 2015; 13:222-3. [PMID: 26243854 PMCID: PMC4540036 DOI: 10.9758/cpn.2015.13.2.222] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/10/2015] [Accepted: 04/13/2015] [Indexed: 11/18/2022]
Affiliation(s)
- Manjeet Singh
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, India
| | - Zeeshan Anwar
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, India
| | - Vishal Sinha
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, India
| | - Vipin Narwal
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, India
| | - Sayantanava Mitra
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, India
| | - Abhishek Bharti
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, India
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Misztal PK, Hewitt CN, Wildt J, Blande JD, Eller ASD, Fares S, Gentner DR, Gilman JB, Graus M, Greenberg J, Guenther AB, Hansel A, Harley P, Huang M, Jardine K, Karl T, Kaser L, Keutsch FN, Kiendler-Scharr A, Kleist E, Lerner BM, Li T, Mak J, Nölscher AC, Schnitzhofer R, Sinha V, Thornton B, Warneke C, Wegener F, Werner C, Williams J, Worton DR, Yassaa N, Goldstein AH. Atmospheric benzenoid emissions from plants rival those from fossil fuels. Sci Rep 2015; 5:12064. [PMID: 26165168 PMCID: PMC4499884 DOI: 10.1038/srep12064] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [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: 02/18/2015] [Accepted: 06/16/2015] [Indexed: 11/11/2022] Open
Abstract
Despite the known biochemical production of a range of aromatic compounds by plants and the presence of benzenoids in floral scents, the emissions of only a few benzenoid compounds have been reported from the biosphere to the atmosphere. Here, using evidence from measurements at aircraft, ecosystem, tree, branch and leaf scales, with complementary isotopic labeling experiments, we show that vegetation (leaves, flowers, and phytoplankton) emits a wide variety of benzenoid compounds to the atmosphere at substantial rates. Controlled environment experiments show that plants are able to alter their metabolism to produce and release many benzenoids under stress conditions. The functions of these compounds remain unclear but may be related to chemical communication and protection against stress. We estimate the total global secondary organic aerosol potential from biogenic benzenoids to be similar to that from anthropogenic benzenoids (~10 Tg y−1), pointing to the importance of these natural emissions in atmospheric physics and chemistry.
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Affiliation(s)
- P K Misztal
- 1] University of California Berkeley, Environmental Science, Policy, and Management, Berkeley, CA 94720, USA [2] National Center for Atmospheric Research, Atmospheric Chemistry Division, Boulder, CO 80301, USA
| | - C N Hewitt
- Lancaster Environment Centre, Lancaster University, Lancaster LA1 4YQ, UK
| | - J Wildt
- Institut IBG-2, Phytosphäre, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - J D Blande
- Department of Environmental Science, University of Eastern Finland, 70211 Kuopio, Finland
| | - A S D Eller
- 1] CIRES, University of Colorado, Boulder CO 80309 USA [2] University of Colorado, Department of Ecology and Evolutionary Biology, Boulder, Colorado 80309 USA
| | - S Fares
- 1] University of California Berkeley, Environmental Science, Policy, and Management, Berkeley, CA 94720, USA [2] Council for Agricultural Research and Economics, Research Centre for the Soil-Plant System, Rome, Italy
| | - D R Gentner
- 1] University of California Berkeley, Department of Civil and Environmental Engineering, Berkeley, CA 94720, USA [2] Yale University, Chemical and Environmental Engineering, New Haven, CT 06520, USA
| | - J B Gilman
- 1] CIRES, University of Colorado, Boulder CO 80309 USA [2] ESRL-NOAA, Chemical Sciences Division, Boulder CO 80305 USA
| | - M Graus
- 1] CIRES, University of Colorado, Boulder CO 80309 USA [2] ESRL-NOAA, Chemical Sciences Division, Boulder CO 80305 USA
| | - J Greenberg
- National Center for Atmospheric Research, Atmospheric Chemistry Division, Boulder, CO 80301, USA
| | - A B Guenther
- 1] National Center for Atmospheric Research, Atmospheric Chemistry Division, Boulder, CO 80301, USA [2] Pacific Northwest National Laboratory, Atmospheric Sciences and Global Change Division, Richland, WA, USA [3] Washington State University, Department of Civil and Environmental Engineering, Pullman, WA, USA
| | - A Hansel
- University of Innsbruck, Institute for Ion Physics and Applied Physics, 6020 Innsbruck, Austria
| | - P Harley
- 1] National Center for Atmospheric Research, Atmospheric Chemistry Division, Boulder, CO 80301, USA [2] Estonian University of Life Sciences, Department of Plant Physiology, Tartu, Estonia
| | - M Huang
- National Center for Atmospheric Research, Atmospheric Chemistry Division, Boulder, CO 80301, USA
| | - K Jardine
- Lawrence Berkeley National Laboratory, Climate Sciences Department, Berkeley, CA 94720, USA
| | - T Karl
- University of Innsbruck, Institute of Atmospheric And Cryospheric Sciences, 6020 Innsbruck, Austria
| | - L Kaser
- 1] National Center for Atmospheric Research, Atmospheric Chemistry Division, Boulder, CO 80301, USA [2] University of Innsbruck, Institute for Ion Physics and Applied Physics, 6020 Innsbruck, Austria
| | - F N Keutsch
- Department of Chemistry, University of Wisconsin-Madison, Madison, WI 53706, USA
| | - A Kiendler-Scharr
- Institut IEK-8, Troposphäre, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - E Kleist
- Institut IBG-2, Phytosphäre, Forschungszentrum Jülich, 52425 Jülich, Germany
| | - B M Lerner
- 1] CIRES, University of Colorado, Boulder CO 80309 USA [2] ESRL-NOAA, Chemical Sciences Division, Boulder CO 80305 USA
| | - T Li
- Department of Environmental Science, University of Eastern Finland, 70211 Kuopio, Finland
| | - J Mak
- Stony Brook University, School of Marine and Atmospheric Sciences, Stony Brook, NY, USA
| | - A C Nölscher
- Max Planck Institut für Chemie, 55128 Mainz, Germany
| | - R Schnitzhofer
- University of Innsbruck, Institute for Ion Physics and Applied Physics, 6020 Innsbruck, Austria
| | - V Sinha
- Department of Earth and Environmental Sciences, Indian Institute of Science Education and Research Mohali, India
| | - B Thornton
- University of Northern Colorado, School of Biological Sciences, Greeley, CO 80639, USA
| | - C Warneke
- 1] CIRES, University of Colorado, Boulder CO 80309 USA [2] ESRL-NOAA, Chemical Sciences Division, Boulder CO 80305 USA
| | - F Wegener
- University Bayreuth, AgroEcosystem Research, BAYCEER, 95447 Bayreuth, Germany
| | - C Werner
- University Bayreuth, AgroEcosystem Research, BAYCEER, 95447 Bayreuth, Germany
| | - J Williams
- Max Planck Institut für Chemie, 55128 Mainz, Germany
| | - D R Worton
- 1] University of California Berkeley, Environmental Science, Policy, and Management, Berkeley, CA 94720, USA [2] Aerosol Dynamics Inc., Berkeley, CA, 94710, USA
| | - N Yassaa
- 1] USTHB, University of Sciences and Technology Houari Boumediene, Faculty of Chemistry, Algiers, Algeria [2] Centre de Développement des Energies Renouvelable, CDER, Algiers, Algeria
| | - A H Goldstein
- University of California Berkeley, Environmental Science, Policy, and Management, Berkeley, CA 94720, USA
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Abstract
There is a lot of diversity in the medical realm; where unspecified sign and symptoms might confuse and force even experienced clinicians to commit mistakes. Paper eating is presently included in pica, but certain rare compulsions may mimic this and cause confusion for unsuspecting observers. We report a case of paper eating as a manifestation of compulsion in a 15-year-old girl, and reiterate that missing on rare presentations might cause the patient sufferings from inadvertent pharmacological treatment efforts.
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Affiliation(s)
- Abhishek Bharti
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
| | - Ashwani Kumar Mishra
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
| | - Vishal Sinha
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
| | - Zeeshan Anwar
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
| | - Vipin Kumar
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
| | - Sayantanava Mitra
- Department of Psychiatry, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India
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Choi SL, Loghin C, Garhyan P, Knadler MP, Lam E, Sinha V, Porksen N, Linnebjerg H. A single-dose pharmacokinetic study of basal insulin peglispro (BIL) in subjects with hepatic impairment. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1549750] [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: 10/23/2022]
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Grover S, Avasthi A, Gupta S, Dan A, Neogi R, Behere PB, Lakdawala B, Tripathi A, Chakraborty K, Sinha V, Bhatia MS, Pattojoshi A, Rao TSS, Rozatkar A. Comorbidity in patients with Dhat syndrome: a nationwide multicentric study. J Sex Med 2015; 12:1398-401. [PMID: 25904237 DOI: 10.1111/jsm.12899] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
INTRODUCTION There are limited numbers of studies on Dhat syndrome. Major limitations of the existing literature are heterogeneous assessment methods used to describe the comorbidity and small sample size from isolated centers. AIM To assess comorbidity with a common methodology in patients with Dhat syndrome from multiple centers across India. METHODS Using a cross-sectional design, this multicentric study involved assessment of 780 male patients, aged more than 16 years, across 15 study centers. MAIN OUTCOME MEASURES ICD-10 criteria (for evaluation of psychiatric morbidity and sexual dysfunction) RESULTS About one-third (32.8%) of the cases had no comorbidity. One-fifth (20.5%) of the patients had comorbid depressive disorders and another one-fifth (20.5%) had comorbid neurotic, stress-related and somatoform disorders. Half (51.3%) of the study sample had comorbid sexual dysfunction. When various combinations of comorbidities were evaluated, it was seen that more than one-fourth (28.7%) of the patients had only comorbid sexual dysfunction and one-sixth (15.9%) had only comorbid depressive/anxiety disorders. A little more than one-fifth (22.6%) had comorbidity of both sexual dysfunction and depressive/anxiety disorders. CONCLUSION Comorbid sexual dysfunction is seen in half of the cases of Dhat syndrome, and it is more common than comorbid depressive and anxiety disorders.
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Affiliation(s)
- Sandeep Grover
- Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Ajit Avasthi
- Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Sunil Gupta
- 2-NIMS Medical College & Hospital, Jaipur, India
| | - Amitava Dan
- Calcutta National Medical College (CNMC), Kolkata, India
| | | | | | | | | | - Kaustav Chakraborty
- College of Medicine & J N M Hospital, West Bengal University of Health Sciences (WBUHS), Kalyani, India
| | | | | | | | - T S S Rao
- J S S Medical College, Mysore, India
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Wagner C, Zhao P, Pan Y, Hsu V, Grillo J, Huang SM, Sinha V. Application of Physiologically Based Pharmacokinetic (PBPK) Modeling to Support Dose Selection: Report of an FDA Public Workshop on PBPK. CPT Pharmacometrics Syst Pharmacol 2015; 4:226-30. [PMID: 26225246 PMCID: PMC4429576 DOI: 10.1002/psp4.33] [Citation(s) in RCA: 180] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2015] [Accepted: 03/12/2015] [Indexed: 12/17/2022] Open
Abstract
The US Food and Drug Administration (FDA) public workshop, entitled "Application of Physiologically-based Pharmacokinetic (PBPK) Modeling to Support Dose Selection focused on the role of PBPK in drug development and regulation. Representatives from industry, academia, and regulatory agencies discussed the issues within plenary and panel discussions. This report summarizes the discussions and provides current perspectives on the application of PBPK in different areas, including its utility, predictive performance, and reporting for regulatory submissions.
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Affiliation(s)
- C Wagner
- Office of Clinical Pharmacology, Office of Translational Sciences, US Food and Drug Administration, Silver SpringMaryland, USA
| | - P Zhao
- Office of Clinical Pharmacology, Office of Translational Sciences, US Food and Drug Administration, Silver SpringMaryland, USA
| | - Y Pan
- Office of Generic Drugs, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver SpringMaryland, USA
| | - V Hsu
- Office of Clinical Pharmacology, Office of Translational Sciences, US Food and Drug Administration, Silver SpringMaryland, USA
| | - J Grillo
- Office of Clinical Pharmacology, Office of Translational Sciences, US Food and Drug Administration, Silver SpringMaryland, USA
| | - SM Huang
- Office of Clinical Pharmacology, Office of Translational Sciences, US Food and Drug Administration, Silver SpringMaryland, USA
| | - V Sinha
- Office of Clinical Pharmacology, Office of Translational Sciences, US Food and Drug Administration, Silver SpringMaryland, USA
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Grover S, Avasthi A, Shah S, Lakdawala B, Chakraborty K, Nebhinani N, Kallivayalil RA, Dalal PK, Sinha V, Khairkar P, Mukerjee DG, Thara R, Behere P, Chauhan N, Thirunavukarasu M, Malhotra S. Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses as perceived by their family caregivers and health-care providers. Indian J Psychiatry 2015; 57:181-9. [PMID: 26124525 PMCID: PMC4462788 DOI: 10.4103/0019-5545.158185] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
AIM To study the health-care needs of the patients with severe mental disorders as perceived by their family caregivers and the treating psychiatrists. MATERIALS AND METHODS Caregivers of patients with severe mental disorders and their treating psychiatrists were assessed using Camberwell Assessment of Need-Research Version (CAN-R) scale and indigenously designed Supplementary Assessment of Needs Scale (SNAS). RESULTS The study included 1494 patients recruited from 15 centers. The mean needs as per the CAN-R, perceived by the caregivers were 7.8 and treating psychiatrists were 8.1. About one-third of needs were unmet. On SNAS, both caregivers and treating psychiatrists reported a mean of 7.9 needs, of which more than half were unmet as per the caregivers. As per the treating psychiatrists, 45.5% of the needs as assessed on SNAS were unmet. There was a high level of correlation between needs perceived by the patients, caregivers and the treating psychiatrists. On CAN-R, main domains of needs as reported by the caregivers were those of money, relief of psychological distress, information about the illness and treatment, welfare benefits, transport, company and food. As per the treating psychiatrists, the most common total needs identified were those of relief of psychological distress, welfare benefits, information about the illness and treatment, money, transport, company self-care and physical health. The most common domains of needs as assessed on SNAS as per the caregivers were those of free treatment, medical reimbursement, psychoeducation, financial help, social support, insurance, more time from the clinicians and travel concession. The treating psychiatrists identified dealing with caregiver's stress as the most common need. CONCLUSIONS According to the family caregivers and treating psychiatrists, about one-third of the needs of the patients as assessed using CAN-R and about half of the needs as assessed using SNAS are unmet.
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Affiliation(s)
- Sandeep Grover
- Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Ajit Avasthi
- Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Sandip Shah
- Department of Psychiatry, SBKS MI and RC, Sumandeep Vidyapeeth, Pipaira, Vadodara, Gujarat, India
| | - Bhavesh Lakdawala
- Department of Psychiatry, B. J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India
| | - Kaustav Chakraborty
- Department of Psychiatry, College of Medicine and J.N.M. Hospital, Kalyani, India
| | | | - Roy A Kallivayalil
- Department of Psychiatry, Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala, India
| | - Pranob K Dalal
- Department of Psychiatry, KGMU, Lucknow, Uttar Pradesh, India
| | - Vishal Sinha
- Department of Psychiatry, S. N. Medical College, Agra, Uttar Pradesh, India
| | - Praveen Khairkar
- Department of Psychiatry, Mahatma Gandhi Institute of Medical Sciences, Sevagram, India
| | - Divya G Mukerjee
- Department of Psychiatry, R. G. Kar Medical College, Kolkata, West Bengal, India
| | - R Thara
- Schizophrenia Research Foundation (SCARF), Chennai, India
| | - Prakash Behere
- Department of Psychiatry, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
| | | | - M Thirunavukarasu
- Department of Psychiatry, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India
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Romero K, Ito K, Rogers JA, Polhamus D, Qiu R, Stephenson D, Mohs R, Lalonde R, Sinha V, Wang Y, Brown D, Isaac M, Vamvakas S, Hemmings R, Pani L, Bain LJ, Corrigan B. The future is now: model-based clinical trial design for Alzheimer's disease. Clin Pharmacol Ther 2015; 97:210-4. [PMID: 25669145 PMCID: PMC6463482 DOI: 10.1002/cpt.16] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2014] [Accepted: 10/24/2014] [Indexed: 11/08/2022]
Abstract
Failures in trials for Alzheimer's disease (AD) may be attributable to inadequate dosing, population selection, drug inefficacy, or insufficient design optimization. The Coalition Against Major Diseases (CAMD) was formed in 2008 to develop drug development tools (DDT) to expedite drug development for AD and Parkinson's disease. CAMD led a process that successfully advanced a clinical trial simulation (CTS) tool for AD through the formal regulatory review process at the US Food and Drug Administration (FDA) and European Medicines Agency (EMA).
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Affiliation(s)
- K Romero
- Critical Path Institute, Tucson, Arizone, USA
| | - K Ito
- Pfizer, Groton, Connecticut, USA
| | - JA Rogers
- Metrum Research Group, Tariffville, Connecticut, USA
| | - D Polhamus
- Metrum Research Group, Tariffville, Connecticut, USA
| | - R Qiu
- Pfizer, Groton, Connecticut, USA
| | | | - R Mohs
- Eli Lilly, Lilly Corporate Center, Indianapolis, Indiana, USA
| | | | - V Sinha
- US Food and Drug Administration, Silver Spring, Maryland, USA
| | - Y Wang
- US Food and Drug Administration, Silver Spring, Maryland, USA
| | - D Brown
- European Medicines Agency, London, UK
| | - M Isaac
- European Medicines Agency, London, UK
| | | | | | - L Pani
- European Medicines Agency, London, UK
| | - LJ Bain
- Critical Path Institute, Tucson, Arizone, USA
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Grover S, Avasthi A, Shah S, Lakdawala B, Chakraborty K, Nebhinani N, Kallivayalil RA, Dalal PK, Sinha V, Khairkar P, Mukerjee DG, Thara R, Behere P, Chauhan N, Thirunavukarasu M, Malhotra S. Indian Psychiatric Society multicentric study on assessment of health-care needs of patients with severe mental illnesses. Indian J Psychiatry 2015; 57:43-50. [PMID: 25657456 PMCID: PMC4314916 DOI: 10.4103/0019-5545.148520] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
AIM To assess the health-care needs of the patients with severe mental disorders. MATERIALS AND METHODS Patients with the diagnosis of a severe mental disorder (schizophrenia and related psychotic disorders, bipolar disorder, recurrent depressive disorder, major depressive disorder and obsessive compulsive disorder) were assessed using Camberwell Assessment of Need-Research version (CAN-R) Scale and indigenously designed Supplementary Needs Assessment Scale (SNAS). RESULTS The study included 1494 patients recruited from 15 centers. The most common diagnostic group was that of affective disorders (55.3%), followed by psychotic disorders (37.6%). The mean number of total needs as perceived by the patients was 7.6 on the CAN-R. About two-third of the needs as assessed on CAN-R were met, and one-third were unmet. On CAN-R, main domains of needs as reported by patients were those of money, welfare benefits, transport, information about the illness and treatment, relief of psychological distress, company, household skills and intimate relationships. On SNAS, the mean number of total needs as perceived by the patients was 7.6 of which 4.1 were met needs. The most common domains of needs as assessed on SNAS were those of financial help, medical reimbursement, psychoeducation, free treatment, certification of mental illness, flexible work/job timings, addressing the caregiver stress and legal aid. CONCLUSION About two-third of the needs, of the patients with severe mental disorders are met as assessed using CAN-R. However, higher percentages of unmet needs are identified on SNAS. In view of the commonly reported needs, a change in the orientation of services offered to people with mental disorders is very much called for. At the government level, desired policies must be formulated to support the patients with mental disorders.
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Affiliation(s)
- Sandeep Grover
- Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Ajit Avasthi
- Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Sandip Shah
- Department of Psychiatry, SBKS MI and RC, Sumandeep Vidyapeeth, Pipaira, Vadodara, Gujarat, India
| | - Bhavesh Lakdawala
- Department of Psychiatry, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India
| | - Kaustav Chakraborty
- Department of Psychiatry, College of Medicine and J.N.M. Hospital, Kalyani, India
| | | | | | - Pranob K Dalal
- Department of Psychiatry, KGMU, Lucknow, Uttar Pradesh, India
| | - Vishal Sinha
- Department of Psychiatry, S. N. Medical College, Agra, Uttar Pradesh, India
| | - Praveen Khairkar
- Department of Psychiatry, Mahatma Gandhi Institute of Medical Sciences, Sevagram, India
| | - Divya G Mukerjee
- Department of Psychiatry, R. G. Kar Medical College, Kolkata, West Bengal, India
| | - R Thara
- Schizophrenia Research Foundation (SCARF), Chennai, India
| | - Prakash Behere
- Department of Psychiatry, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
| | | | - M Thirunavukarasu
- Department of Psychiatry, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India
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Grover S, Avasthi A, Sinha V, Lakdawala B, Bathla M, Sethi S, Mathur DM, Kathuria P, Shah S, Baalasubramanian DS, Agarwal V, Deka K. Indian Psychiatric Society multicentric study: Prescription patterns of psychotropics in India. Indian J Psychiatry 2014; 56:253-64. [PMID: 25316936 PMCID: PMC4181180 DOI: 10.4103/0019-5545.140632] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND There is a lack of national level data from India on prescription of psychotropics by psychiatrists. AIM AND OBJECTIVE This study aimed to assess the first prescription handed over to the psychiatrically ill patients whenever they contact a psychiatrist. MATERIALS AND METHODS Data were collected across 11 centers. Psychiatric diagnosis was made as per the International Classification of Diseases Classification of Mental and Behavioural Disorders 10(th) edition criteria based on Mini International Neuropsychiatric Interview, and the data of psychotropic prescriptions was collected. RESULTS Study included 4480 patients, slightly more than half of the subjects were of male (54.8%) and most of the participants were married (71.8%). Half of the participants were from the urban background, and about half (46.9%) were educated up to or beyond high school. The most common diagnostic category was that of affective disorders (54.3%), followed by Neurotic, stress-related and somatoform disorders (22.2%) and psychotic disorders (19.1%). Other diagnostic categories formed a very small proportion of the study participants. Among the antidepressants, most commonly prescribed antidepressant included escitalopram followed by sertraline. Escitalopram was the most common antidepressant across 7 out of 11 centers and second most common in three centers. Among the antipsychotics, the most commonly prescribed antipsychotic was olanzapine followed by risperidone. Olanzapine was the most commonly prescribed antipsychotic across 6 out of 11 centers and second most common antipsychotic across rest of the centers. Among the mood stabilizers valproate was prescribed more often, and it was the most commonly prescribed mood stabilizer in 8 out of 11 centers. Clonazepam was prescribed as anxiolytic about 5 times more commonly than lorazepam. Clonazepam was the most common benzodiazepine prescribed in 6 out of the 11 centers. Rate of polypharmacy was low. CONCLUSION Escitalopram is the most commonly prescribed antidepressant, olanzapine is the most commonly prescribed antipsychotic and clonazepam is most commonly prescribed benzodiazepine. There are very few variations in prescription patterns across various centers.
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Affiliation(s)
| | - Ajit Avasthi
- Department of Psychiatry, PGIMER, Chandigarh, India
| | - Vishal Sinha
- Department of Psychiatry, S N Medical College, Agra, Uttar Pradesh, India
| | - Bhavesh Lakdawala
- Department of Psychiatry, B J Medical College and Civil Hospital, Ahmedabad, Gujarat, India
| | - Manish Bathla
- Department of Psychiatry, MM Institute of Medical Sciences and Research, Mullana, Ambala, India
| | | | - D M Mathur
- Department of Psychiatry, Gitanjali Medical College Hospital, Udaipur, Rajasthan, India
| | | | - Sandip Shah
- SBKS MI & RC, Sumandeep Vidyapeeth, Pipaira, Vadodara, Gujarat, India
| | | | | | - Kamla Deka
- Guwahati Medical College, Guwahati, Assam, India
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Sinha V, Zhao P, Huang SM, Zineh I. Physiologically based pharmacokinetic modeling: from regulatory science to regulatory policy. Clin Pharmacol Ther 2014; 95:478-80. [PMID: 24747236 DOI: 10.1038/clpt.2014.46] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Assessment of controllable sources of intra- and interpatient variability in drug response is of critical importance in the regulatory evaluation of new drugs.(1) Although determinants of response variability would ideally be understood and accounted for before approval of a new pharmaceutical product, this is rarely the case for all; clinical trials in specific populations that definitively test optimal dosing in patient management strategies are not routinely performed prior to drug approval.
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Affiliation(s)
- V Sinha
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
| | - P Zhao
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
| | - S M Huang
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
| | - I Zineh
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
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Morrow L, Hompesch M, Jacober S, Choi SL, Qu Y, Sinha V. LY2605541 (LY) exhibits a Flatter Glucodynamic profile than insulin Glargine (GL) at steady state in subjects with Type 1 Diabetes (T1D). DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1374973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Vieira MDLT, Kim MJ, Apparaju S, Sinha V, Zineh I, Huang SM, Zhao P. PBPK model describes the effects of comedication and genetic polymorphism on systemic exposure of drugs that undergo multiple clearance pathways. Clin Pharmacol Ther 2014; 95:550-7. [PMID: 24556783 DOI: 10.1038/clpt.2014.43] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Accepted: 02/06/2014] [Indexed: 01/07/2023]
Abstract
An important goal in drug development is to understand the effects of intrinsic and/or extrinsic factors (IEFs) on drug pharmacokinetics. Although clinical studies investigating a given IEF can accomplish this goal, they may not be feasible for all IEFs or for situations when multiple IEFs exist concurrently. Physiologically based pharmacokinetic (PBPK) models may serve as a complementary tool for forecasting the effects of IEFs. We developed PBPK models for four drugs that are eliminated by both cytochrome P450 (CYP)3A4 and CYP2D6, and evaluated model prediction of the effects of comedications and/or genetic polymorphism on drug exposure. PBPK models predicted 100 and ≥70% of the observed results when the conventional "twofold rule" and the more conservative 25% deviation cut point were applied, respectively. These findings suggest that PBPK models can be used to infer effects of individual or combined IEFs and should be considered to optimize studies that evaluate these factors, specifically drug interactions and genetic polymorphism of drug-metabolizing enzymes.
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Affiliation(s)
- M D L T Vieira
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
| | - M-J Kim
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
| | - S Apparaju
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
| | - V Sinha
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
| | - I Zineh
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
| | - S-M Huang
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
| | - P Zhao
- Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research, US Food and Drug Administration, Silver Spring, Maryland, USA
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