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Sharma R, Ahlawat S, Sehrawat R, Aggarwal RAK, Chandran PC, Kamal RK, Dey A, Tantia MS. Morphometric characteristics and microsatellite markers based diversity and differentiation recognizes the first prospective cattle breed from the Jharkhand state of India. Anim Biotechnol 2023; 34:2017-2029. [PMID: 35471856 DOI: 10.1080/10495398.2022.2064866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
India is bestowed with immense cattle biodiversity with 50 registered breeds. However, the majority (59.3%) is yet not characterized. Identification and characterization are the gateways to the management of prized indigenous resources. Present research described a unique cattle population of Jharkhand state, managed under a traditional low-input, low-output system. It was characterized by morphological traits, performance parameters, and management practices. Animals have the characteristic pre-scapular location of the hump. Genetic variation within this population and its differentiation with the six closely distributed cattle breeds were evaluated using FAO recommended microsatellite markers. Jharkhandi cattle have substantial genetic variation based on gene diversity (>0.6) and the average number of alleles per locus (>8). The population did not suffer from a genetic bottleneck in the recent past. Pairwise Nei's genetic distance, phylogenetic relationship, population differentiation, and the correct assignment of all the animals to self group substantiated its separate genetic identity. Since gene flow (Nm = 2.8-7.32) was identified and admixture was indicated by the Bayesian analysis there is a pressing need for scientific management of this population. Results endow authorities with critical information for registering a new Indian cattle breed (Medini) that contributes to the food security, livelihood, and economic sustainability of rural tribal households.
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Affiliation(s)
- Rekha Sharma
- ICAR-National Bureau of Animal Genetic Resources, Karnal, Haryana, India
| | - Sonika Ahlawat
- ICAR-National Bureau of Animal Genetic Resources, Karnal, Haryana, India
| | - Renuka Sehrawat
- ICAR-National Bureau of Animal Genetic Resources, Karnal, Haryana, India
| | - R A K Aggarwal
- ICAR-National Bureau of Animal Genetic Resources, Karnal, Haryana, India
| | - P C Chandran
- ICAR-Research Complex for Eastern Region, Patna, Bihar, India
| | - Reena K Kamal
- ICAR-Research Complex for Eastern Region, Patna, Bihar, India
| | - A Dey
- ICAR-Research Complex for Eastern Region, Patna, Bihar, India
| | - M S Tantia
- ICAR-National Bureau of Animal Genetic Resources, Karnal, Haryana, India
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Mittal T, Ahuja A, Dey A, Malik VK. Surgical Importance of Belseys Fat in Sleeve Gastrectomy-a Less Visited Topic. Obes Surg 2023; 33:4174-4175. [PMID: 37907676 DOI: 10.1007/s11695-023-06892-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 09/06/2023] [Accepted: 10/04/2023] [Indexed: 11/02/2023]
Affiliation(s)
- Tarun Mittal
- Department of Laparoscopic, Laser & General Surgery, Sir Ganga Ram Hospital, New Delhi, 110060, India.
| | - Anmol Ahuja
- Department of Laparoscopic, Laser & General Surgery, Sir Ganga Ram Hospital, New Delhi, 110060, India
| | - Ashish Dey
- Department of Laparoscopic, Laser & General Surgery, Sir Ganga Ram Hospital, New Delhi, 110060, India
| | - Vinod K Malik
- Department of Laparoscopic, Laser & General Surgery, Sir Ganga Ram Hospital, New Delhi, 110060, India
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Mani M, Mathiyazhagan C, Dey A, Faisal M, Alatar AA, Alok A, Shekhawat MS. Micro-morpho-anatomical transitions at various stages of in vitro development of Crinum malabaricum Lekhak and Yadav: A critically endangered medicinal plant. Plant Biol (Stuttg) 2023; 25:142-151. [PMID: 36040406 DOI: 10.1111/plb.13464] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 07/25/2022] [Accepted: 08/25/2022] [Indexed: 06/15/2023]
Abstract
Crinum malabaricum Lekhak & Yadav is a recently discovered and critically endangered aquatic bulbous plant of the family Amaryllidaceae. It gained attention as a wild source of the acetylcholinesterase inhibiting alkaloid 'galanthamine' used to treat Alzheimer and Parkinson diseases. The bulbs of this plant contain the highest amount of galanthamine among Crinum species. In vitro regeneration systems were developed to produce quality uniform plantlets of C. malabaricum. Bright field light microscopy was used to analyse micro-morpho-anatomical developments taking place in the leaves and roots during in vitro, ex vitro and in vivo transitions of plantlets. Leaves and roots of plants raised in vitro possessed a higher degree of microscopic structural anomalies, such as underdeveloped epicuticular wax deposition, immature and non-functional stomata, more aquiferous parenchyma with a reduced lumen. Roots developed in vitro were characterized by extremely large, uneven cortical cells and reduced intercellular spaces. The vascular tissues were under-developed and only primary vascular tissues were observed. As a result of ex vitro acclimation, there was a significant acceleration in the improvement of tissue systems in leaves and roots. Such plantlets can tolerate elevated temperatures and light under in vivo conditions. Thus, the microscopic evaluation of the structural trajectory in different stages of plantlet development provides an understanding of the acclimation process and structural adaptations, which could help enhance survival of in vitro raised plantlets under ex vitro and in vivo conditions.
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Affiliation(s)
- M Mani
- Biotechnology Unit, Kanchi Mamunivar Government Institute for Postgraduate Studies and Research, Puducherry, India
- Department of Botany, Siddha Clinical Research Unit, Central Council for Research in Siddha, Palayamkottai, Tamil Nadu, India
| | - C Mathiyazhagan
- Biotechnology Unit, Kanchi Mamunivar Government Institute for Postgraduate Studies and Research, Puducherry, India
| | - A Dey
- Department of Life Sciences, Presidency University, Kolkata, India
| | - M Faisal
- Department of Botany and Microbiology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - A A Alatar
- Department of Botany and Microbiology, College of Science, King Saud University, Riyadh, Saudi Arabia
| | - A Alok
- Department of Plant Pathology, University of Minnesota, Twin cities, Saint Paul, USA
| | - M S Shekhawat
- Biotechnology Unit, Kanchi Mamunivar Government Institute for Postgraduate Studies and Research, Puducherry, India
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Hussain S, Dey A, Shapiro C. Do Changes In Sleep Microenvironment Temperatures Influence Sleep Quality in Adults? Sleep Med 2022. [DOI: 10.1016/j.sleep.2022.05.212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Agrawal R, Dey A, Datta S, Supariwala A, Grubb W, Traughber B, Biswas T, Ove R, Podder T. Pattern of Radiotherapy Treatment for Prostate Cancer (PCa) Patients: Analysis of a Hospital Based Registry. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1143] [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: 10/31/2022]
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Sarkar S, Hossen MK, Mazumder U, Dey A. Surgical Outcome of Cauda Equina Syndrome Secondary to Disc Herniation Presenting Late in Developing Countries. Mymensingh Med J 2022; 31:1121-1127. [PMID: 36189561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Cauda equina syndrome (CES) is a serious neurologic state in which neurological dysfunction affects the lumbar and sacral nerve roots within the vertebral canal. The nerves of the cauda equine provide the muscles that manage the bladder, bowel and the legs and the dysfunction producing impairment of bladder, bowel or sexual function and perianal or saddle numbness. Identification of CES is not only important to neurosurgeons and spine surgeons, but also to prime care practitioners, emergency room physicians, physiotherapists and allied health care professionals concerned in management of back pain. It is a significant diagnosis from a clinical and medico-legal outlook. Early surgical decompression is endorsed by most authors to best support patient's revival and trim down long term disability. This cross sectional observational study was conducted at Shaheed Suhrawardy Medical College Hospitals, Dhaka, Bangladesh from January 2015 to January 2021 and the aim of this study was to find the predictors and the clinical outcome of cauda equina syndrome after spinal decompression with delayed presentation. Among 680 patients of degenerative disc diseases; 32 cases (4.7%) had CES, those presenting late in course of disease. Time interval between bladder and bowel dysfunction and admission to hospital varied from 2-64 days with mean delay of 15.4 days. The average follow-up was 22.6 months, ranging from 12 to 34 months. There was significant positive correlation (p<0.05) between duration taken for total recovery and delay in surgery and between delayed decompression and a poor outcome. Also there was a clear correlation between the presence of complete perineal anaesthesia and absence of anal wink as both univariate and multivariate predictors of a poor outcome. There was significant association between a slower onset of CES and a favourable outcome. There was no significant correlation found between initial motor function loss, bilateral sciatica and level of the lesions as predictors of a poor outcome.
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Affiliation(s)
- S Sarkar
- Dr Saumitra Sarkar, Associate Professor & Head, Department of Neurosurgery, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh; E-mail:
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Bijapur K, Dey A, Algeri R, Agrawal U, Ajbani K, Sirsat R, Rodrigues C, Sunavala A, Almeida A. POS-049 GROWING RELEVANCE OF NOVEL URINARY PYROSEQUENCING TECHNIQUE FOR DIAGNOSIS OF GENITO-URINARY TUBERCULOSIS: A CASE SERIES. Kidney Int Rep 2022. [DOI: 10.1016/j.ekir.2022.07.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
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Mittal T, Ahuja A, Dey A, Malik VK, Sheikh MTM, Bansal NK, Kanuri H. Safety and efficacy of laparoscopic sleeve gastrectomy in patients with portal hypertension with liver function of Childs A. Surg Endosc 2022; 36:2942-2948. [PMID: 34129090 DOI: 10.1007/s00464-021-08587-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Accepted: 06/02/2021] [Indexed: 02/08/2023]
Abstract
INTRODUCTION Advanced liver disease and portal hypertension (PH) are seen as a relative contraindication for bariatric and metabolic surgery. Several studies have shown significant improvement in liver function and liver histology after bariatric surgery. There are very few studies describing bariatric surgery in patients with PH. The purpose of this retrospective study is to evaluate the feasibility and results of laparoscopic sleeve gastrectomy (SG) in patients with PH. MATERIAL AND METHODS We present our experience of performing laparoscopic SG in 15 patients with evidence of PH. All the patients were Childs Pugh Criteria A. PH was confirmed by the presence of dilated esophageal varices on endoscopy. RESULTS The mean operative time was 77.33 ± 15.22 min and mean blood loss was 80.67 ± 37.12 ml. The mean length of stay was 2.73 ± 0.59 days. There were no intraoperative or immediate postoperative complications. None of the patients required blood transfusion in the postoperative period. The weight, BMI, Excess body weight loss% (EBWL%), Total weight loss (TWL) and TWL% at 1 year were 86.05 ± 14.40 kg, 31.16 kg/m2 ± 3.82, 63.84% ± 15.24, 31.49 ± 9.54 kg and 26.50 ± 5.42%, respectively. Diabetes and hypertension resolution at 1 year was 80% and 72.72%, respectively. All the patients were followed up for mean 3 ± 1.5 years. There were no immediate or long-term morbidity and mortality noted. CONCLUSION SG is a feasible and safe option for the treatment of obesity in carefully selected patients with PH with good weight loss and comorbidity resolution.
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Affiliation(s)
- Tarun Mittal
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India.
| | - Anmol Ahuja
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
| | - Ashish Dey
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
| | - Vinod K Malik
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
| | - Mohammad Taha Mustafa Sheikh
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
| | - Naresh Kumar Bansal
- Institute of Liver Gastroenterology and Hepatobiliary Sciences, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
| | - Harish Kanuri
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
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Dey A, Symons N. 956 Retained Appendiceal Tip and Abdominal Wall Appendicolith - A Rare Combination of Post Appendicectomy Complications. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.343] [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
Appendicitis involving the appendix stump is a recognised post appendicectomy complication but the same involving the appendiceal tip is rare. Similarly, abdominal wall abscess secondary to retained appendicolith is also infrequently encountered. Our case highlights a rare combination of both complications arising separately.
A 29-year-old man presented with 3 days of generalised malaise and progressively worsening right iliac fossa pain some ten months after a laparoscopic appendicectomy. This had been complicated by residual right iliac fossa inflammation that was treated conservatively and serial scans demonstrated gradually resolving inflammation. He also had well controlled ulcerative colitis.
On examination, he was noted to be pyrexial with a tender fluctuant mass in the right flank. An ultrasound scan demonstrated inflammatory changes in the abdominal wall with no intra-abdominal collections. A diagnostic laparoscopy found an inflamed appendix tip, attached to the residual mesoappendix and embedded in the abdominal wall behind the mid-ascending colon. A completion appendicectomy was performed.
The patient recovered well but returned 4 months later with persistent pain and a fluctuant mass over the right iliac fossa. Radiological investigation revealed an abdominal wall collection containing a calcified appendicolith. The collection was refractory to ultrasound guided drainage and an exploration of the abdominal wall allowed extraction of the appendicolith followed by symptomatic relief.
This case emphasizes the importance of complete excision of the appendix and extraction of debris, which can be challenging when the appendix lies in a retro-colic position.
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Affiliation(s)
- A Dey
- John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
| | - N Symons
- Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
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Peters S, Rizvi N, Kuziora M, Lai Z, Shrestha Y, Dey A, Barrett J, Scheuring U, Poole L, Abbosh C, Raja R, Hellmann M. 1264P Early circulating tumour DNA (ctDNA) dynamics for predicting and monitoring response to immunotherapy (IO) vs chemotherapy (CT) in patients with 1L metastatic (m) NSCLC: Analyses from the phase III MYSTIC trial. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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11
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Dey A, Ahuja A, Mittal T, Sheikh MTM, Dhawan S, Malik VK. Proliferative fasciitis arising from the abdominal wall: A rare tumour excised by laparoscopy. J Minim Access Surg 2021; 18:136-138. [PMID: 34259207 PMCID: PMC8830567 DOI: 10.4103/jmas.jmas_317_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Proliferative fasciitis (PF) is a rare pseudosarcomatous lesion arising from the subcutaneous fascia and the fibrous septa. Only few hundred cases have been reported in the literature. In the largest series of 53 patients, only two patients had PF lesion arising from the flank. The most common site of origin is extremities followed by abdomen and head and neck. Its origin from the abdominal wall layer and presentation as the fever has been rarely reported in the literature. A PF lesion larger than 5 cm dimension has been sparsely noted. We report the presence of this rare entity in a 68-year-old gentleman who presented to us with low-grade fever and the presence of large lump arising from the abdominal wall. In our patient, the lesion was arising from transervsalis fascia and was excised in toto laparoscopically without damaging the abdominal muscles. It is imperative to differentiate both these lesions from sarcoma on histopathological examination as the follow-up treatment protocols for both vary.
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Affiliation(s)
- Ashish Dey
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | - Anmol Ahuja
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | - Tarun Mittal
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | | | - Shashi Dhawan
- Department of Pathology, Sir Ganga Ram Hospital, New Delhi, India
| | - Vinod K Malik
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India
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Dey A, Ahuja A, Mittal T, Malik VK. Webinars and Online Surgical Conferences: Is Fatigue Settling in? Indian J Surg 2021; 84:334-335. [PMID: 34025050 PMCID: PMC8121634 DOI: 10.1007/s12262-021-02861-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 02/22/2021] [Accepted: 04/19/2021] [Indexed: 10/26/2022] Open
Affiliation(s)
- Ashish Dey
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, 110060 India
| | - Anmol Ahuja
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, 110060 India
| | - Tarun Mittal
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, 110060 India
| | - Vinod Kumar Malik
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, 110060 India
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Dey A, Sastry P. 399 A Re-Audit of Secondary Prevention Medications Following Coronary Artery Bypass Grafting: Are We Still Compliant with The Updated Guidelines? Br J Surg 2021. [DOI: 10.1093/bjs/znab134.419] [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: 11/13/2022]
Abstract
Abstract
Introduction
In the years following myocardial revascularisation with bypass grafts, patients remain at risk for subsequent ischemia as a result of native coronary artery disease progression or development of graft occlusion. Therefore, secondary measures, primarily medical therapy, play an indispensable role in post-operative care. An audit conducted in 2014 identified reduced compliance to prescription of secondary prevention medications. This audit aims to re- evaluate the level of compliance to updated guidelines.
Method
A retrospective case-note review of 100 patients, who underwent CABG (Coronary Artery Bypass-Grafts), was conducted primarily focusing on prescription of secondary prevention drugs at discharge, indications, and contraindications.
Results
99% patients were discharged on anti-platelet agents. However, 12%, discharged on dual anti-platelet agents, did not have any indications for them. 97 % patients were discharged on beta-blocker. Of the 3 defaulters, one had contraindication to beta blockade. 96% patients were discharged on one or more lipid lowering agents and 74% were discharged on ACEi/ARBs. Of the 26% patients discharged without RAAS (Renin Angiotensin Aldosterone System) inhibitor, 9% had no clear indication for it whereas for 7%, it was contraindicated at discharge.
Conclusions
A generalised improvement in compliance rate is noted for secondary prevention medications prescription according to updated guidelines from the previous audit.
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Affiliation(s)
- A Dey
- John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
| | - P Sastry
- John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
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Elmasry M, Dey A, Marshall R. 637 Enterolith Ileus Secondary to Small Bowel Diverticulum: A Rare Cause of Small Bowel Obstruction. Br J Surg 2021. [DOI: 10.1093/bjs/znab134.308] [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: 11/13/2022]
Abstract
Abstract
Small intestinal diverticula are rare and possibly acquired secondary to bowel dyskinesia, abnormal peristalsis, or high intraluminal pressures. Enterolith formation and obstruction are a less encountered complication of these diverticula.
An elderly man, with no history of abdominal surgery, presented with 10 days of colicky right iliac fossa pain and recurrent episodes of bilious vomiting. He initially reported diarrhoea but complained of eventual absolute constipation for last 5 days. Physical examination revealed distended abdomen with right-sided tenderness and no mass or faeces on rectal examination. Abdominal CT revealed a 3.5 cm calculus in the distal ileum causing obstruction initially flagged as gallstone ileus. No gallstones or pneumobilia were identified although some intrahepatic duct dilatation was noted. An emergency laparotomy was conducted, where the radiological findings were reinforced, and the calculus was extracted via enterotomy. There were no abnormal communications between gallbladder and intestinal tract. The small bowel traced from duodenojejunal flexure to terminal ileum did not reveal any further calculi or diverticula. FTIR spectrum analysis of the extracted specimen indicated similarities to enterolith. Retrospective analysis of radiological images revealed a possible duodenal diverticulum. The case highlights the diagnostic conundrum and therapeutic challenges of small bowel diverticular enterolith.
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Affiliation(s)
- M Elmasry
- John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
- Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
| | - A Dey
- John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
| | - R Marshall
- John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
- Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
- Horton General Hospital, Oxford University Hospitals NHS Foundation Trust, Banbury, United Kingdom
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Khetan M, Dey A, Bindal V, Suviraj J, Mittal T, Kalhan S, Malik VK, Ramana B. Correction to: e-TEP repair for midline primary and incisional hernia: technical considerations and initial experience. Hernia 2021; 25:1739. [PMID: 33871744 DOI: 10.1007/s10029-021-02414-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M Khetan
- Department of Minimal Access and Bariatric Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India. .,Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, Room no 400, SWB block, 4th floor Rajinder Nagar, New Delhi, 110060, India.
| | - A Dey
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - V Bindal
- Department of Minimal Access and Bariatric Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - J Suviraj
- Department of Minimal Access and Bariatric Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - T Mittal
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - S Kalhan
- Department of Minimal Access and Bariatric Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - V K Malik
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - B Ramana
- Calcutta Medical Research Institute, Kolkata, India
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Khetan M, Dey A, Bindal V, Suviraj J, Mittal T, Kalhan S, Malik VK, Ramana B. e-TEP repair for midline primary and incisional hernia: technical considerations and initial experience. Hernia 2021; 25:1635-1646. [PMID: 33826031 DOI: 10.1007/s10029-021-02397-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Accepted: 03/10/2021] [Indexed: 11/30/2022]
Abstract
INTRODUCTION The Enhanced-View Totally Extra Peritoneal Rives-Stoppa (e-TEP-RS) Technique for the repair of large, complex, ventral abdominal hernias has gained popularity especially in overcoming the disadvantages with Intra Peritoneal Onlay Mesh (IPOM) repairs and to enable siting of a large prosthetic mesh in an anatomical plane distinct from the abdominal cavity and its contents. Evolving variations of the original technique have allowed the definitive repair of such defects in a reproducible manner. We present our initial experience of this approach and detailed steps of our native technical modifications in overcoming the challenges in performing this complex and potentially challenging procedure. MATERIALS AND METHODS This is a retrospective review of the clinical data of midline, large, complex, ventral abdominal hernia patients who underwent e-TEP-RS with and without Transversus Abdominis Release (TAR). Patients, with or without Diastasis of Rectus Abdominis Muscle (DRAM) were included. Key outcomes measured were post-operative pain, operative morbidity, readmission, Quality of Life (QoL), hernia recurrence. RESULTS A total of 58 midline, ventral abdominal hernia patients who underwent e-TEP-RS with and without Transversus Abdominis Release (TAR), between March 2018 and December 2019 were studied. Mean defect area was 41.0 ± 28 cm2 and the mean mesh surface area was 473.5 ± 165 cm2. e-TEP-RS was done in 35 cases, e-TEP RS TAR in 15 cases and e-TEP-RS with e-TEP inguinal in 08 cases. There was no intraoperative morbidity. Mean duration of surgery was 156.2 ± 40 min and mean blood loss was 40.5 ± 26 cc. The CCS QoL scores improved from 34.6 (± 2) pre-operatively to 27.2 (± 4) at the end of 6 months. One patient had a supra-umbilical recurrence following bilateral TAR over the superior edge of the mesh. Follow-up ranged from 6 to 22 months, with a mean of 14 months. Major complications (n = 12; 20.7%) were seroma formation and prolonged ileus. CONCLUSION The e-TEP-RS technique for large, complex, midline, ventral abdominal hernias can be used with excellent results and acceptable morbidity. This technique is technically challenging and should be mastered in relatively smaller ventral hernias to achieve good results before attempting it in larger, complex ones.
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Affiliation(s)
- M Khetan
- Department of Minimal Access and Bariatric Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India.
- Institute of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, Room no 400, SWB block, 4th floor Rajinder Nagar, New Delhi, 110060, India.
| | - A Dey
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - V Bindal
- Department of Minimal Access and Bariatric Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - J Suviraj
- Department of Minimal Access and Bariatric Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - T Mittal
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - S Kalhan
- Department of Minimal Access and Bariatric Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - V K Malik
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - B Ramana
- Calcutta Medical Research Institute, Kolkata, India
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Mittal T, Ahuja A, Dey A, Malik VK, Sheikh MTM. Comment on: Relevance of Posterior Gastric Vessel in Bariatric Surgery. Obes Surg 2021; 31:2773. [PMID: 33474676 DOI: 10.1007/s11695-021-05229-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 12/15/2020] [Accepted: 01/13/2021] [Indexed: 10/22/2022]
Affiliation(s)
- Tarun Mittal
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India.
| | - Anmol Ahuja
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
| | - Ashish Dey
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
| | - Vinod K Malik
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
| | - Mohammad Taha Mustafa Sheikh
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajender Nagar, New Delhi, 110060, India
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Radhakrishna S, Agarwal S, Parikh PM, Kaur K, Panwar S, Sharma S, Dey A, Saxena KK, Chandra M, Sud S. Role of magnetic resonance imaging in breast cancer management. South Asian J Cancer 2020; 7:69-71. [PMID: 29721466 PMCID: PMC5909298 DOI: 10.4103/sajc.sajc_104_18] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Magnetic resonance imaging (MRI) of the breast is primarily used as a supplemental tool to breast screening with mammography or ultrasound. A breast MRI is mainly used for women who have been diagnosed with breast cancer, to help measure the size of the cancer, look for other tumors in the breast, and to check for tumors in the opposite breast. For certain women at high risk for breast cancer, a screening MRI is recommended along with a yearly mammogram. MRI is known to give some false positive results which mean more test and/or biopsies for the patient. Thus, although breast MRI is useful for women at high risk, it is rarely recommended as a screening test for women at average risk of breast cancer. Also, breast MRI does not show calcium deposits, known as micro-calcifications which can be a sign of breast cancer.
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Affiliation(s)
- Selvi Radhakrishna
- Department of Surgery, Chennai Breast Center, Chennai, Tamil Nadu, India
| | - S Agarwal
- Department of Medical Oncology, Sir Ganga Ram Hospital, New Delhi, India
| | - Purvish M Parikh
- Department of Oncology, Shalby Cancer and Research Institute, Ahmedabad, Gujarat, India
| | - K Kaur
- Department of Surgical Oncology, Medanta Hospital, Gurgaon, Haryana, India
| | - Shikha Panwar
- Department of Radiology, BLK Super Specialty Hospital, New Delhi, India
| | - Shelly Sharma
- Department of Radiology, Sir Ganga Ram Hospital, New Delhi, India
| | - Ashish Dey
- Department of Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | - K K Saxena
- Department of Radiology, Sir Ganga Ram Hospital, New Delhi, India
| | - Madhavi Chandra
- Department of Radiology, Sir Ganga Ram Hospital, New Delhi, India
| | - Seema Sud
- Department of CT Scan and MRI, Sir Ganga Ram Hospital, New Delhi, India
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19
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Dey A. Abbreviations and synonyms of various surgical techniques in management of rectal diastasis with primary ventral hernias. Hernia 2020; 25:1103-1104. [PMID: 33136211 DOI: 10.1007/s10029-020-02327-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Accepted: 10/19/2020] [Indexed: 01/20/2023]
Affiliation(s)
- A Dey
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India.
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Dey A, Das R, Misra H, Uppal S. Coronavirus disease 2019: scientific overview of the global pandemic. New Microbes New Infect 2020; 38:100800. [PMID: 33133611 PMCID: PMC7591944 DOI: 10.1016/j.nmni.2020.100800] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Revised: 10/09/2020] [Accepted: 10/22/2020] [Indexed: 12/24/2022] Open
Abstract
Coronavirus disease 2019 (COVID-19) is the disease caused by the novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Genome sequencing of the virus revealed that it is a new zoonotic virus that might have evolved by jumping from bats to humans with one or more intermediate hosts. The immediate availability of the sequence information in the public domain has accelerated the development of quantitative RT-PCR-based diagnostics. Numerous clinical trials have been prioritized globally for testing new vaccines and treatments against this disease. This review provides a broad insight into different aspects of COVID-19, an introduction to SARS-CoV-2 mitigation strategies and the present status of diagnostics and therapeutics.
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Affiliation(s)
- A. Dey
- Molecular Genetics Section, Molecular Biology Division, Bhabha Atomic Research Centre, Trombay, Mumbai, India
| | - R. Das
- Molecular Genetics Section, Molecular Biology Division, Bhabha Atomic Research Centre, Trombay, Mumbai, India
- Homi Bhabha National Institute, Anushakti Nagar, Mumbai, India
| | - H.S. Misra
- Molecular Genetics Section, Molecular Biology Division, Bhabha Atomic Research Centre, Trombay, Mumbai, India
- Homi Bhabha National Institute, Anushakti Nagar, Mumbai, India
| | - S. Uppal
- Molecular Genetics Section, Molecular Biology Division, Bhabha Atomic Research Centre, Trombay, Mumbai, India
- Homi Bhabha National Institute, Anushakti Nagar, Mumbai, India
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21
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Dey A, Mittal T, Ahuja A, Malik VK, Bambrule P. Biliopancreatic Limb Lengths Affects Weight Loss in Roux-en-Y Gastric Bypass: Are We Close to the Truth? Obes Surg 2020; 31:1349-1350. [PMID: 33089385 DOI: 10.1007/s11695-020-05033-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 10/01/2020] [Accepted: 10/06/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Ashish Dey
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India.
| | - Tarun Mittal
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - Anmol Ahuja
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - Vinod K Malik
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
| | - Parmeshwar Bambrule
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, 110060, India
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Gupta S, Tomar S, Dey A, Chandurkar D. Assessing inequities in community health worker’s interaction and its impact in Uttar Pradesh, India. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Given the high Neo-natal mortality in the state of Uttar Pradesh, India, an emphasis has been given to community health workers (CHW). CHW provides behavior push to pregnant women for utilizing health services, through the strategies of household contact and messaging. However, the disparity in health outcomes and interaction of CHW is profoundly affected by socio-economic determinants; still, the evidence is limited. This study aims to explore socio-economic inequities in quantity and quality of contacts by the CHW and its differential effect on health service utilization.
Multistage sampling design identified live births in the last 12 months across the 25 highest-risk districts of Uttar Pradesh(n = 3703). Regression models described the relation between household demographics and CHW contact & specific messaging and interactions of demographics and CHW contact & messaging in predicting health service utilization ( > = 4 antenatal care (ANC) visits, Institutional delivery and 100 iron folic acid (IFA) consumption).
No differential likelihood in contact of CHW and specific messaging is found. Further, association of CHW contacts and specific messaging with health outcomes were significantly affected by socio-economic determinants.2 or more contacts along with specific messaging increased the odds of 4+ ANC to a higher degree among illiterate women compared to literate women(AOR:3.39, 95% CI:2.28-5.04 vs AOR:1.44, 95% CI:1.09-1.92). Similarly, the odds of facility delivery increased to a higher degree among lower wealth women compared to higher wealth women (AOR:3.41, 95% CI:2.47-4.71 vs. AOR:1.53, 95% CI: 1.09-2.15).
Specific messaging, along with CHW contacts, have a higher magnitude of effects on the marginalized population. This study provides evidence for adjusting implementation strategies based on socio-economic determinants to achieve equitable health service utilization. However, further research on training of CHW on heterogeneous interaction is recommended
Key messages
There exists differential effects of quantity and quality of contact by community health workers on health service utilization across the different socio-economic strata. Implementation agencies in the LMIC can reduce health inequity by shifting from coverage-oriented target approach towards more prioritized and focused interaction across socio-economic groups.
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Affiliation(s)
- S Gupta
- Research, Sambodhi, Noida, India
| | - S Tomar
- Center on Gender Equity and Health, University of California, San Diego, USA
| | - A Dey
- Center on Gender Equity and Health, University of California, San Diego, USA
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Sarkar S, S S, Sarkar S, Dey A, Morshed MMH. Racemose Pattern of Intracranial Tuberculoma at the Basal, Suprasellar and Perimesencephalic Cisterns – A Case Report. Surg Case Rep 2020. [DOI: 10.31487/j.scr.2020.08.13] [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: 11/12/2022] Open
Abstract
Central nervous system tuberculosis may present as meningitis, tuberculoma, abscesses, cerebritis or miliary
tuberculosis. The most common site of tuberculoma has been reported to be at the grey-white matter junction
and the periventricular region. They may even be found in the epidural, subdural and subarachnoid spaces,
and the brain stem. Although tuberculosis is very common in developing countries, with the increasing
prevalence of immunosuppression owing to human immunodeficiency virus and patients surviving
chemotherapy or organ transplantation, the incidence of tubercular infections has been rising in developed
countries. The authors report a 15-year-old boy of intracranial tuberculoma at the basal, suprasellar and
perimesencephalic cisterns in a patient. Tuberculous involvement was noted in a racemose pattern in the
subarachnoid space. The patient’s clinical symptoms resolved with no recurrence of symptoms but only
persistence of the radiological abnormality after antitubercular chemotherapy.
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24
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Price S, Chikersal P, Doryab A, Villalba D, Dutcher J, Tumminia M, Cohen S, Creswell K, Mankoff J, Dey A, Creswell D. 0258 Early Semester Sleep Variability Predicts Depression Among College Students. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.256] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Sleep is a critical behavior predicting mental health and depressive symptomatology in young adults.The extant scientific literature generally focuses on self-reported sleep measures over relatively short time frames. Here, we examine whether actigraphy-measured sleep variables early in the academic semester predict depressive symptomatology at the end of the semester among first and second year college students. There is currently debate in the sleep literature about which sleep variables are the most robust predictors of depression among young adults. In this study, we evaluate total sleep time, midpoint sleep time, and sleep variability where variability is defined by the mean-squared successive difference (MSSD) of midpoint sleep as predictors of depression.
Methods
The sample consisted of 160 first and second year college students at a private American university. The students completed a beginning and end of semester assessment of depressive symptomatology using the Center for Epidemiologic Studies Depression Scale (CES-D), and wore a Fitbit throughout the semester to capture sleep features of interest: total sleep time (TST), midpoint sleep, and midpoint MSSD.
Results
When controlling for beginning of semester CES-D, early semester (weeks 3–6) midpoint sleep MSSD significantly (p < 0.05) predicted increased end of semester CES-D. These effects were specific to the sleep variability measure (MSSD). Total sleep time and sleep chronotype (i.e. midpoint sleep) were not significant predictors of end of semester depressive symptomatology.
Conclusion
Early semester sleep window variability among college freshmen, particularly during stressful midterm exams, is a robust risk factor for depression among college students. This work contributes to initial actigraphy studies suggesting that MSSD measures of sleep window variability foster increased mental health risks among young people. This work calls for further investigation to understand possible causal relationships between sleep variability and mental health.
Support
This work was supported by the Life@CMU project funded by the Carnegie Mellon University Provost’s Office.
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Affiliation(s)
- S Price
- Carnegie Mellon University, Pittsburgh, PA
| | | | - A Doryab
- Carnegie Mellon University, Pittsburgh, PA
| | - D Villalba
- Carnegie Mellon University, Pittsburgh, PA
| | - J Dutcher
- Carnegie Mellon University, Pittsburgh, PA
| | - M Tumminia
- University of Pittsburgh, Pittsburgh, PA
| | - S Cohen
- Carnegie Mellon University, Pittsburgh, PA
| | - K Creswell
- Carnegie Mellon University, Pittsburgh, PA
| | - J Mankoff
- University of Washington, Seattle, WA
| | - A Dey
- University of Washington, Seattle, WA
| | - D Creswell
- Carnegie Mellon University, Pittsburgh, PA
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25
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Yeboah PP, Konadu LA, Hamidu JA, Poku EA, Wakpal D, Kudaya PY, Dey A, Siddiq SM. Comparative analysis of hatcheries contribution to poor development of day-old chicks based on biological and immunological performance. Vet World 2019; 12:1849-1857. [PMID: 32009765 PMCID: PMC6925051 DOI: 10.14202/vetworld.2019.1849-1857] [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: 07/16/2019] [Accepted: 10/17/2019] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND AND AIM The quality of day-old chicks is a cornerstone to successful poultry production. Chicks with a poor quality start slowly in the field and may have high feed intake, poor growth rate, and poor feed conversion ratio. The current study aimed to assess chick quality challenges encountered from day-old chicks hatched in most commercial hatcheries in Ghana. MATERIALS AND METHODS A total of 300 day-old chicks each were obtained from commercial hatcheries in Ghana and Europe. The chicks were labeled as locally hatched broiler day-old chicks (LBDOC) and foreign hatched broiler day-old chicks (FBDOC), respectively. Chicks were reared and monitored from day old to 21 days post-hatch. Sample of chicks (n=25) from each hatchery was euthanized weekly at 1, 7, 14, and 21 days and blood samples collected for analysis. The parameters measured included physical, hematological, immunological, histological, and bacteriological characteristics. All data were analyzed by SAS Proc GLM at p<0.05. RESULTS The live weight of chicks was higher in FBDOC compared to LBDOC on the 1st day. The chick length and shank length of FBDOC were longer than the LBDOC. The 7-day chick mortality was 6% in LBDOC as compared to 1.5% in FBDOC. The LBDOC also had a higher wet and dry residual yolk sac percentages as well as higher residual yolk sac fluid volume than the FBDOC. The rate of yolk sac disappearance of the FBDOC was higher than the LBDOC. More than half of the LBDOC had developed navel strings and leaky navel compared to FBDOC. The LBDOC recorded Escherichia coli, Proteus, Streptococcus spp., and Gram-negative bacteria in the residual yolk sac isolated through the 21 days while FBDOC recorded E. coli, Proteus, and Gram-negative bacteria. The intestinal villi count, lengths, width, and surface area were all not significantly different. The blood monocyte levels appeared higher in FBDOC than LBDOC, which give evidence of higher immunity in FBDOC than LBDOC. CONCLUSION The results indicate a challenging situation in maintaining the quality of locally hatched broiler day-old-chicks compared to foreign hatched broiler-day-old-chicks. The study demonstrates that chick quality impact goes beyond the physical characteristics of chick weight and chick length, and the higher performance of FBDOC may be influenced by compliance with international hatchery standards and vaccination protocols.
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Affiliation(s)
- P. P. Yeboah
- Department of Animal Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana
| | - L. A. Konadu
- Department of Animal Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana
| | - J. A. Hamidu
- Department of Animal Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana
| | - E. A. Poku
- Department of Animal Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana
| | - D. Wakpal
- Department of Animal Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana
| | - P. Y. Kudaya
- Department of Animal Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana
| | - A. Dey
- Department of Animal Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana
| | - S. M. Siddiq
- Department of Animal Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana
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26
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Guha A, Dey A, McKinley G, Jneid H, Addison D. P5570Contemporary trends and outcomes of percutaneous and surgical mitral valve replacement or repair for mitral insufficiency in cancer patients. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Importance
Severe mitral valve insufficiency (MR) is managed using mitral valve replacement or repair. Transcatheter mitral valve repair (TMVR) is an emerging non-invasive treatment option for MR. Cancer patients stand to benefit from non-invasive treatment of MR given the nature of this intervention. Objective:We sought to assess the relative utilization, outcomes, and dispositions associated with TMVR vs. surgical mitral valve procedures (SMVP) in cancer patients.
Methods
The 2012–2015 National Inpatient Sample, a retrospective observational study was queried using ICD-9 codes for adults >18 years with comorbid MR (ICD-9 – 424.0) and cancer without metastatic disease. To maintain a homogenous study population and to limit confounding, those with mitral stenosis, rheumatic disease, infective endocarditis, aortic valve disease, or those undergoing any other vascular or cardiac surgery in the same admission were excluded from the analysis. Multiple in-hospital and disposition outcomes were evaluated. Since the baseline population undergoing SMVP (ICD-9: 35.23, 35.24, 35.12) is quite different from TMVR (ICD-9: 35.97), parallel analyses for outcomes and dispositions were presented but no direct statistical comparisons.
Results
A total of 410,175 out of 2,449,010 patients with mitral insufficiency were found to have non-metastatic cancer (16.7%). A total of 3,600 TMVR procedures were performed during the study period. Over the study period, there has been an increase in the proportion of patients undergoing TMVR among all patients undergoing mitral valve procedures (figure). The increase is higher in cancer patients in the most recent year (14.2% vs. 8.2%, p<0.0001). The four major cancers comprise of 50% of these TMVR patients. TMVR was associated with 1.4% vs. 2.2% in-hospital mortality (p=0.55), 0.7% vs. 0.8% stroke (p=0.87), 9.2% vs. 11.8% major bleeding (p=0.31), 14.1% vs. 16.5% acute kidney injury (p=0.52), 62.0% vs. 64.6% home discharge (p=0.58), and 13.3% vs. 12.0% discharge to nursing home (p=0.58) among cancer vs. non-cancer patients, respectively. On the other hand, SMVP was associated with 3.1% vs. 3.5% in-hospital mortality (p=0.35), 2.6% vs. 3.1% stroke (p=0.16), 35.0% vs. 30.5% major bleeding (p<0.0001), 19.5% vs. 19.6% acute kidney injury (p=0.88), 32.8% vs. 38.6% home discharge (p<0.0001), 37.2% vs. 35.0% home health care use (p<0.0001), and 26.8 vs. 22.8% discharge to nursing home (p=0.05), among cancer vs. non-cancer patients respectively.
TMVR percent in mitral valve procedures
Conclusion
TMVR utilization for MR in cancer has steadily increased in both cancer and non-cancer patients, although it is proportionately higher among cancer patients in recent years. Overall, TMVR was associated with low in-hospital mortality and a similar safety profile in cancer and non-cancer patients, while SMVP appears to have a slightly worse safety profile in cancer patients. Our findings, suggest that TMVR is a reasonable strategy in selective cancer patients with MR.
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Affiliation(s)
- A Guha
- University Hospitals Case Medical Center, Cleveland, United States of America
| | - A Dey
- National Institutes of Health, Bethesda, United States of America
| | - G McKinley
- The Ohio State University, Cardiovascular diseases, Columbus, United States of America
| | - H Jneid
- Baylor College of Medicine, Houston, United States of America
| | - D Addison
- The Ohio State University, Cardiovascular diseases, Columbus, United States of America
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Guha A, Dey A, Arora S, Cavender M, Vavalle J, Jneid H, Addison D. P2271Contemporary trends and outcomes of percutaneous vs. surgical aortic valve replacement in cancer patients. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Importance
Cancer patients with severe AS are often ineligible for surgical aortic valve replacement (SAVR). Transcatheter aortic valve replacement (TAVR) is an emerging non-invasive treatment option for severe AS. Cancer patients likely stand to benefit from TAVR given its non-invasive nature; however, there is a paucity of data regarding the comparative effectiveness of TAVR vs. SAVR in cancer. We sought to assess the relative utilization, outcomes, and dispositions associated with TAVR vs. SAVR in cancer and non-cancer patients.
Methods
The US-based National Inpatient Sample was queried between 2012 and 2015 using ICD-9 codes for adults>18 years with comorbid AS and cancer without metastatic disease. Multiple in-hospital and disposition outcomes were evaluated. Comparison of TAVR vs SAVR required propensity score estimation using demographic, socio-economic, comorbidity, and hospital specific variables. A standardized morbidity ratio (SMR) weight was calculated by assigning TAVR a weight of 1, and those undergoing SAVR weight of PS/(1-PS). SMR-weighted generalized logistic regression was conducted to estimate the average effect of TAVR compared with SAVR. Finally, the Cochran–Mantel–Haenszel (CMH) test for propensity-matched data was utilized to compare the effect modification of cancer on these outcomes.
Results
A total of 979,912 out of 5,611,173 patients with AS were found to have non-metastatic cancer (17.5%). Average Elixhauser's mortality score of patients undergoing TAVR and SAVR was 8.9 vs. 8.1 and 8.5 vs. 7.1 for cancer vs. non-cancer respectively (p<0.0001). Over time, patients undergoing AVR increased in both groups, primarily driven by significantly increased rates of TAVR utilization in the cancer group. Over the study time period, an increase in the proportion of patients undergoing TAVR among all patients undergoing AVR was noted (figure) with 21.8% and 19.6% patient with prostate and breast cancer in 2015. TAVR in cancer patients was associated with lower odds of acute kidney injury [AKI; odds ratio (OR): 0.6, 95% confidence interval (CI): 0.5- 0.8], cardiogenic shock [OR: 0.6 (0.4–0.8)] and major bleeding [OR: 0.4 (0.3–0.5)] with no difference in in-hospital mortality and stroke compared to SAVR. Additionally, TAVR was associated with higher odds of home-discharge [OR: 1.9 (1.7–2.2)], and lower need for nursing facility transfer [OR: 0.7 (0.6–0.8) compared to SAVR among cancer patients. Similar outcomes are noted in the non-cancer cohort upon comparing TAVR to SAVR. However, favorable effect-modification of cancer was noted in regard to AKI (p=0.003), home discharge (p<0.0001), and less nursing facility transfer (p=0.0003), suggesting safety.
Conclusions
Compared to patients without cancer, the utilization of AVR in cancer patients has steadily increased. The benefits of TAVR over SAVR appear to extend to patients, regardless of cancer status. TAVR might be a more suitable procedure for cancer patients with AS.
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Affiliation(s)
- A Guha
- The Ohio State University, Cardiovascular diseases, Columbus, United States of America
| | - A Dey
- National Institutes of Health, Bethesda, United States of America
| | - S Arora
- University of North Carolina Hospitals, Chapel Hill, United States of America
| | - M Cavender
- University of North Carolina Hospitals, Chapel Hill, United States of America
| | - J Vavalle
- University of North Carolina Hospitals, Chapel Hill, United States of America
| | - H Jneid
- Baylor College of Medicine, Houston, United States of America
| | - D Addison
- The Ohio State University, Cardiovascular diseases, Columbus, United States of America
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Podder T, Dey A, Datta S, Biswas T. Overall Survival and Radiation Treatment Modality for Low-risk and Intermediate-risk Prostate Cancer: Analysis of a Hospital-based Big Database. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.1860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Mandal R, Joseph S, Sahai AK, Phani R, Dey A, Chattopadhyay R, Pattanaik DR. Real time extended range prediction of heat waves over India. Sci Rep 2019; 9:9008. [PMID: 31227766 PMCID: PMC6588722 DOI: 10.1038/s41598-019-45430-6] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [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: 10/19/2018] [Accepted: 05/28/2019] [Indexed: 11/09/2022] Open
Abstract
Heat waves over India occur during the months of March-June. This study aims at the real-time monitoring and prediction of heat waves using a multi-model dynamical ensemble prediction system developed at Indian Institute of Tropical Meteorology, India. For this, a criterion has been proposed based on the observed daily gridded maximum temperature (Tmax) datasets, which can be used for real-time prediction as well. A heat wave day is identified when either (1) Tmax (a)≥ its climatological 95th percentile (calculated from daily values during March-June and for 1981-2010), (b) >36 °C, and (c) its departure from normal is >3.5 °C, Or, (2) when the Tmax >44 °C. Three heat wave prone regions, namely, northwest, southeast and northwest-southeast regions are recognized and heat wave spells of minimum consecutive six days are identified objectively for each region during 1981-2018. It is noticed that the prediction system has reasonable skill in predicting the heat waves over heat wave prone regions of India. Forecast verification of heat wave spells during 2003-2018 reveals that the prediction system has great potential in providing overall indication about the onset, duration and demise of the forthcoming heat wave spell with sufficient lead time albeit with some spatio-temporal error.
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Affiliation(s)
- Raju Mandal
- Indian Institute of Tropical Meteorology, Pune, India.,Department of Atmospheric and Space Sciences, Savitribai Phule Pune University, Pune, India
| | | | - A K Sahai
- Indian Institute of Tropical Meteorology, Pune, India.
| | - R Phani
- Indian Institute of Tropical Meteorology, Pune, India.,Centre for Prototype Climate Modelling, New York University Abu Dhabi, Abu Dhabi, UAE
| | - A Dey
- Indian Institute of Tropical Meteorology, Pune, India
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Pulle MV, Mittal T, Dey A, Malik VK. Emphysematous Cholecystitis: Rare Scenario Revisited. Indian J Surg 2019. [DOI: 10.1007/s12262-018-1847-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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31
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Okrah K, Tarighat S, Liu B, Koeppen H, Wagle MC, Cheng G, Sun C, Dey A, Chang MT, Sumiyoshi T, Mounir Z, Cummings C, Hampton G, Amler L, Fridlyand J, Hegde PS, Turley SJ, Lackner MR, Huang SM. Transcriptomic analysis of hepatocellular carcinoma reveals molecular features of disease progression and tumor immune biology. NPJ Precis Oncol 2018; 2:25. [PMID: 30456308 PMCID: PMC6237857 DOI: 10.1038/s41698-018-0068-8] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Accepted: 09/19/2018] [Indexed: 02/06/2023] Open
Abstract
Hepatocellular carcinoma (HCC) develops in the context of chronic inflammatory liver disease and has an extremely poor prognosis. An immunosuppressive tumor microenvironment may contribute to therapeutic failure in metastatic HCC. Here, we identified unique molecular signatures pertaining to HCC disease progression and tumor immunity by analyzing genome-wide RNA-Seq data derived from HCC patient tumors and non-tumor cirrhotic tissues. Unsupervised clustering of gene expression data revealed a gradual suppression of local tumor immunity that coincided with disease progression, indicating an increasingly immunosuppressive tumor environment during HCC disease advancement. IHC examination of the spatial distribution of CD8+ T cells in tumors revealed distinct intra- and peri-tumoral subsets. Differential gene expression analysis revealed an 85-gene signature that was significantly upregulated in the peri-tumoral CD8+ T cell-excluded tumors. Notably, this signature was highly enriched with components of underlying extracellular matrix, fibrosis, and epithelial-mesenchymal transition (EMT). Further analysis condensed this signature to a core set of 23 genes that are associated with CD8+ T cell localization, and were prospectively validated in an independent cohort of HCC specimens. These findings suggest a potential association between elevated fibrosis, possibly modulated by TGF-β, PDGFR, SHH or Notch pathway, and the T cell-excluded immune phenotype. Indeed, targeting fibrosis using a TGF-β neutralizing antibody in the STAM™ model of murine HCC, we found that ameliorating the fibrotic environment could facilitate redistribution of CD8+ lymphocytes into tumors. Our results provide a strong rationale for utilizing immunotherapies in HCC earlier during treatment, potentially in combination with anti-fibrotic therapies.
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Affiliation(s)
- K. Okrah
- Department of Biostatistics, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - S. Tarighat
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - B. Liu
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - H. Koeppen
- Department of Research Pathology, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - M. C. Wagle
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - G. Cheng
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - C. Sun
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - A. Dey
- Department of Research, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - M. T. Chang
- Department of Research, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - T. Sumiyoshi
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - Z. Mounir
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - C. Cummings
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - G. Hampton
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - L. Amler
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - J. Fridlyand
- Department of Biostatistics, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - P. S. Hegde
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - S. J. Turley
- Department of Research, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - M. R. Lackner
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
| | - S. M. Huang
- Department of Oncology Biomarker Development, Genentech, 1 DNA Way, South San Francisco, CA 94080 USA
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Parr R, Dey A, McCloskey E, Aras N, Balogh A, Borelli A, Krishnan S, Lobo G, Qin L, Zhang Y, Cvijetic S, Zaichick V, Lim-Abraham M, Bose K, Wynchank S, Iyengar G. Contribution of Calcium and Other Dietary Components to Global Variations in Bone Mineral Density in Young Adults. Food Nutr Bull 2018. [DOI: 10.1177/15648265020233s135] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A research project on comparative international studies of osteoporosis using isotope techniques was organized by the International Atomic Energy Agency (IAEA) with the participation of 12 countries (Brazil, Canada, Chile, China, Croatia, Hungary, Philippines, Russia, Singapore, South Africa, Turkey, and the United Kingdom). Participating centers in 11 countries (all but the UK) made measurements and collected data on men and women aged 15 to 49 years. In addition to studies of bone mineral density (BMD) at the femoral neck and lumbar spine using DEXA, anthropometric, lifestyle, and nutritional data were also collected. The results of the nutritional studies are reviewed in this paper. Overall, about 8% of the observed variability in spine BMD could be attributed to nutritional factors in men and women; in men, no such relationship could be determined. No single nutritional component (not even calcium) stood out as being of particular importance across all participating centers.
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Affiliation(s)
- R.M. Parr
- Department of Nuclear Sciences and Applications, International Atomic Energy Agency in Vienna, Austria
| | - A. Dey
- WHO Collaborating Centre for Metabolic Bone Diseases in Sheffield, UK
| | - E.V. McCloskey
- WHO Collaborating Centre for Metabolic Bone Diseases in Sheffield, UK
| | - N. Aras
- Middle East Technical University in Ankara, Turkey
| | - A. Balogh
- University of Debrecen in Debrecen, Hungary
| | - A. Borelli
- Hospital das Clinicas in Sao Paulo, Brazil
| | | | - G. Lobo
- Clinica Indisa in Santiago, Chile
| | - L.L. Qin
- China-Japan Friendship Hospital in Beijing, China
| | - Y. Zhang
- Institute of Nuclear Research in Shanghai, China
| | - S. Cvijetic
- Institute for Medical Research in Zagreb, Croatia
| | - V. Zaichick
- Medical Radiological Research Centre in Obninsk, Russian Federation
| | | | - K. Bose
- National University Hospital in Singapore
| | - S. Wynchank
- Medical Research Council in Tygerberg, South Africa
| | - G.V. Iyengar
- Department of Nuclear Sciences and Applications, International Atomic Energy Agency in Vienna, Austria
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Biswas T, Podder T, Chung E, Dey A, Datta S, Machtay M. The Use of Prophylactic Cranial Irradiation (PCI) and Consolidative Thoracic Radiation (TRT) in Extensive Stage Small Cell Lung Cancer (ES-SCLC) in the United States (US) and its Survival Benefit. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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34
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Biswas T, Dey A, Podder T. OA11.01 Role of Post-Operative Radiation in Different Histologic Subgroups of Thymoma: Result Based on National Cancer Data Base (NCDB). J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.294] [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: 10/28/2022]
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35
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Dey A, Ghosh K, Hazra N. Effects of probiotics-encapsulated live feed on growth and survival of juvenile Clarias batrachus (Linnaeus, 1758) after differential exposure to pathogenic bacteria. ACTA ACUST UNITED AC 2018. [DOI: 10.3329/sja.v16i1.37427] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Growth and survival of Clarias batrachus juveniles (10-day old) fed probiotic Bacillus cereus (KR809412) encapsulated live feed (chironomid larvae) have been evaluated after differential exposure to the pathogenic Aeromonas hydrophila (MTCC 1739). Catfish juveniles were stocked at a density of 30 fish per tank in five experimental groups (T1-T5) along with a control group in triplicate and fed twice @ 5% of body weight day-1 for four weeks. Groups T1 and T2 were fed probiotic-encapsulated (PR) or pathogen-inoculated (PGN) live feed respectively, for initial three weeks. During this period groups T3 (PGN-PR-PR), T4 (PR-PGN-PR), and T5 (PR-PR-PGN) were differentially exposed to the pathogen. Live feed without probiotic and pathogen was offered to the control group throughout the experimental period and all other treatment groups (T1-T5) during the 4th week. Continuous exposure to probiotics in group T1 resulted in significantly higher (P<0.05) specific growth rate (SGR, % d-1) and survivability than other groups, whereas, pathogen exposed and probiotic deprived group (T2) noticed with the lowest SGR and the highest mortality. Among other treatment groups (T3, T4 and T5), group T4 resulted in improved SGR and survivability. The coefficient (r value) of 0.867 along with regression slope suggested a positive correlation (0.01 levels) between RNA: DNA and SGR. The study might suggest protective effects of probiotic B. cereus in pathogen exposed C. batrachus juveniles.SAARC J. Agri., 16(1): 105-113 (2018)
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36
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Sorokin A, Kotani K, Dey A, Harrington C, Lerman J, Chung J, Rodante J, Bluemke D, Chen M, Playford M, Mehta N. Psoriasis specific changes in oxidized lipoproteins and its association with non-calcified coronary plaque. Atherosclerosis 2018. [DOI: 10.1016/j.atherosclerosis.2018.06.793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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38
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Mittal T, Dey A, Siddhartha R, Nali A, Sharma B, Malik V. Efficacy of ultrasound-guided transversus abdominis plane (TAP) block for postoperative analgesia in laparoscopic gastric sleeve resection: a randomized single blinded case control study. Surg Endosc 2018; 32:4985-4989. [PMID: 29869078 DOI: 10.1007/s00464-018-6261-6] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Accepted: 05/29/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Pain following bariatric surgery can be quite troublesome and prolongs recovery. Transversus abdominis plane (TAP) block is a new regional anesthetic technique to reduce postoperative pain and is an important part of current analgesic regimen for many abdominal surgeries. The primary objective of our study was to assess the efficacy of the TAP block in controlling postoperative pain in laparoscopic sleeve gastrectomy. Secondary outcomes assessed in this study were postoperative nausea and vomiting (PONV), time to ambulate, readiness for discharge, and whether it leads to improved patient satisfaction. METHODS This is a prospective single blind randomized controlled study. A total of 60 patients were included in the study. Patients were allocated in two groups, using a computer generated randomization sequence using http://www.randomization.com . Test group included 30 patients who received Ultrasound-guided transversus abdominis plane (USG-TAP) block along with systemic analgesia and the Control group included 30 patients who received only systemic analgesia. Postoperatively patients were evaluated for pain and satisfaction using VAS scores and 'Capuzzo' satisfaction score, respectively. RESULTS Sixty patients were enrolled in the study after fulfilling the eligibility criteria. No patient was lost to follow-up. The difference of VAS scores between test (TAP) and control (Non-TAP) was statistically significant both at rest and on movement. The patient satisfaction score in TAP group was higher than the control group (p value < 0.001). The patients who received TAP block showed earlier readiness for discharge, early ambulation, early resumption of bowel activity, and decreased incidence of PONV as compared to the non-TAP group. CONCLUSION USG-guided TAP block is a feasible, minimally invasive technique and can be a part of an effective multimodal analgesia in morbidly obese patients undergoing bariatric surgery. Limitations of this study would be the small sample size and the study being Single-blinded.
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Affiliation(s)
- Tarun Mittal
- Department of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India. .,Department of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, Room No. 1316, Old Building, New Delhi, India.
| | - Ashish Dey
- Department of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | - Rahul Siddhartha
- Department of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | - Abhilash Nali
- Department of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | - Bimla Sharma
- Department of Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India
| | - Vinod Malik
- Department of Laparoscopic and General Surgery, Sir Ganga Ram Hospital, New Delhi, India
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39
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Buechel M, Dey A, Dwivedi S, Crim A, Banerjee Mustafi S, Zhang R, Ding K, Moore K, Bhattacharya R. Targeting BMI1 for the treatment of endometrial cancer. Gynecol Oncol 2018. [DOI: 10.1016/j.ygyno.2018.04.400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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40
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Gelfand J, Joshi A, Shin D, Dey A, Torrigian D, Rader D, Playford M, Ahlman M, Alavi A, Mehta N. 393 A trial to determine the effect of psoriasis treatment (adalimumab, phototherapy, and placebo) on cardiometabolic disease: The vascular inflammation in psoriasis (VIP) trial. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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41
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Shekhar S, Rai N, Yadav S, Dey A, Dey S. TAU, P-TAU 181, AND γ-SECRETASE LEVEL: BLOOD-BASED MARKER FOR AD AND MCI. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S. Shekhar
- All India Institute of Medical Sciences, New Delhi, Delhi, India
| | - N. Rai
- All India Institute of Medical Sciences, New Delhi, Delhi, India
| | - S.K. Yadav
- All India Institute of Medical Sciences, New Delhi, Delhi, India
| | - A. Dey
- All India Institute of Medical Sciences, New Delhi, Delhi, India
| | - S. Dey
- All India Institute of Medical Sciences, New Delhi, Delhi, India
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Singh H, Chatterjee P, Narang R, Dey A. GERIATRIC SYNDROMES WITH HEART FAILURE, CROSS-SECTIONAL STUDY WITH IMPLICATION IN CLINICAL PRACTICE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- H. Singh
- ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, NEW DELHI, India,
| | - P. Chatterjee
- ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, NEW DELHI, India,
| | - R. Narang
- CARDIOLOGY, ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, NEW DELHI, India
| | - A. Dey
- ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, NEW DELHI, India,
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Banerjee J, Dey A, Chatterjee P, Ambashtha A. PRE-TREATMENT QUALITY OF LIIFE IN OLDER CANCER PATIENTS: A PERSISTENT PREDICTOR OF SURVIVAL. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J. Banerjee
- Geriatric Medicine, All India Institute Of Medical Sciences, New Delhi, India
| | - A. Dey
- Geriatric Medicine, All India Institute Of Medical Sciences, New Delhi, India
| | - P. Chatterjee
- Geriatric Medicine, All India Institute Of Medical Sciences, New Delhi, India
| | - A. Ambashtha
- Geriatric Medicine, All India Institute Of Medical Sciences, New Delhi, India
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Buechel M, Crim A, Dey A, Dwivedi S, Banerjee Mustafi S, Bhattacharya R. Decreasing levels of BMI1 as a therapeutic approach in endometrial cancer. Gynecol Oncol 2017. [DOI: 10.1016/j.ygyno.2017.03.244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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45
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Patel B, Kirkwood AA, Dey A, Marks DI, McMillan AK, Menne TF, Micklewright L, Patrick P, Purnell S, Rowntree CJ, Smith P, Fielding AK. Pegylated-asparaginase during induction therapy for adult acute lymphoblastic leukaemia: toxicity data from the UKALL14 trial. Leukemia 2017; 31:58-64. [PMID: 27480385 PMCID: PMC5154375 DOI: 10.1038/leu.2016.219] [Citation(s) in RCA: 81] [Impact Index Per Article: 11.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Revised: 07/06/2016] [Accepted: 07/08/2016] [Indexed: 11/23/2022]
Abstract
Safety and efficacy data on pegylated asparaginase (PEG-ASP) in adult acute lymphoblastic leukaemia (ALL) induction regimens are limited. The UK National Cancer Research Institute UKALL14 trial NCT01085617 prospectively evaluated the tolerability of 1000 IU/m2 PEG-ASP administered on days 4 and 18 as part of a five-drug induction regimen in adults aged 25-65 years with de novo ALL. Median age was 46.5 years. Sixteen of the 90 patients (median age 56 years) suffered treatment-related mortality during initial induction therapy. Eight of the 16 died of sepsis in combination with hepatotoxicity. Age and Philadelphia (Ph) status were independent variables predicting induction death >40 versus ⩽40 years, odds ratio (OR) 18.5 (2.02-169.0), P=0.01; Ph- versus Ph+ disease, OR 13.60 (3.52-52.36), P<0.001. Of the 74 patients who did not die, 37 (50.0%) experienced at least one grade 3/4 PEG-ASP-related adverse event, most commonly hepatotoxicity (36.5%, n=27). A single dose of PEG-ASP achieved trough therapeutic enzyme levels in 42/49 (86%) of the patients tested. Although PEG-ASP delivered prolonged asparaginase activity in adults, it was difficult to administer safely as part of the UKALL14 intensive multiagent regimen to those aged >40 years. It proved extremely toxic in patients with Ph+ ALL, possibly owing to interaction with imatinib.
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Affiliation(s)
- B Patel
- Barts Cancer Institute, The London School of Medicine, Queen Mary University of London, London, UK
| | | | - A Dey
- Cancer Institute, University College London, London, UK
| | - D I Marks
- Centre for Clinical Haematology, Nottingham City Hospital, Nottingham, UK
| | | | - T F Menne
- Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK
| | | | - P Patrick
- CR UK and UCL Cancer Trials Centre, London, UK
| | - S Purnell
- CR UK and UCL Cancer Trials Centre, London, UK
| | | | - P Smith
- CR UK and UCL Cancer Trials Centre, London, UK
| | - A K Fielding
- Cancer Institute, University College London, London, UK
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Constantinidis P, Hirsch F, Fischer I, Dey A, Rijs AM. Products of the Propargyl Self-Reaction at High Temperatures Investigated by IR/UV Ion Dip Spectroscopy. J Phys Chem A 2016; 121:181-191. [DOI: 10.1021/acs.jpca.6b08750] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- P. Constantinidis
- Institute
of Physical and Theoretical Chemistry, University of Würzburg, Am
Hubland, D-97074 Würzburg, Germany
| | - F. Hirsch
- Institute
of Physical and Theoretical Chemistry, University of Würzburg, Am
Hubland, D-97074 Würzburg, Germany
| | - I. Fischer
- Institute
of Physical and Theoretical Chemistry, University of Würzburg, Am
Hubland, D-97074 Würzburg, Germany
| | - A. Dey
- Radboud University, Institute for Molecules and
Materials, FELIX Laboratory, Toernooiveld 7c, 6525 ED Nijmegen, The Netherlands
| | - A. M. Rijs
- Radboud University, Institute for Molecules and
Materials, FELIX Laboratory, Toernooiveld 7c, 6525 ED Nijmegen, The Netherlands
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Chaudhry R, Kokkayil P, Gosh A, Bahadur T, Kant K, Sagar T, Kabra S, Lodha R, Dey A, Menon V. Prevalence of Bartonella henselae infection and its diagnosis in diverse clinical conditions in a tertiary care hospital in North India. Int J Infect Dis 2016. [DOI: 10.1016/j.ijid.2016.11.309] [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: 11/17/2022] Open
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48
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Tripathy A, Ghosh A, Dey A, Pakhira BP, Ghosh D. Attenuation of the cyproterone acetate-induced testicular hypofunction by a novel nutraceutical lycopene: a genomic approach. Andrologia 2016; 49. [PMID: 27882589 DOI: 10.1111/and.12709] [Citation(s) in RCA: 8] [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] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/25/2016] [Indexed: 12/27/2022] Open
Abstract
This study was designed to explore the cyproterone acetate (CPA)-induced andrological hypofunction and its correction by oral administration of lycopene. In this concern, spermatogenic, biochemical, histological and genomic profiles were studied. Cyproterone acetate administration for 1 month helped to develop infertile model rats. A significant recovery was noted in sperm motility, sperm count, sperm viability, hypo-osmotic swelling tail-coiled spermatozoa; activities of testicular ∆5 , 3β-hydroxysteroid dehydrogenase (HSD), 17β-HSD, catalase (CAT) and superoxide dismutase (SOD); and levels of conjugated diene (CD), malondialdehyde (MDA), testicular cholesterol and serum testosterone after the administration of lycopene at 1.5 mg/0.5 ml Tween-80/100 g body weight/day for last 1 month to infertile model rats. Simultaneously, qRT-PCR study of Bax, Bcl-2, caspase-3, ∆5 , 3β-HSD and 17β-HSD genes in testicular tissue showed a significant rectification towards the control in CPA-pre-treated cum CPA-lycopene-cotreated rats. Side-by-side histological and histometric studies showed a significant correction in qualitative analysis of spermatogenesis and seminiferous tubular diameter (STD) in CPA-pre-treated cum CPA-lycopene-cotreated rats. Lycopene showed outstanding efficacy in the management of CPA-induced testicular hypofunction with special reference to correction in oxidative stress-induced testicular apoptosis at genomic level.
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Affiliation(s)
- A Tripathy
- Molecular Medicine and Nutrigenomics Research Laboratory, Department of Bio-Medical Laboratory Science and Management, Vidyasagar University, West Bengal, India
| | - A Ghosh
- Molecular Medicine and Nutrigenomics Research Laboratory, Department of Bio-Medical Laboratory Science and Management, Vidyasagar University, West Bengal, India
| | - A Dey
- Molecular Medicine and Nutrigenomics Research Laboratory, Department of Bio-Medical Laboratory Science and Management, Vidyasagar University, West Bengal, India
| | - B P Pakhira
- Molecular Medicine and Nutrigenomics Research Laboratory, Department of Bio-Medical Laboratory Science and Management, Vidyasagar University, West Bengal, India
| | - D Ghosh
- Molecular Medicine and Nutrigenomics Research Laboratory, Department of Bio-Medical Laboratory Science and Management, Vidyasagar University, West Bengal, India
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Ghoshal U, Dey A, Ranjan P, Khanduja S, Agarwal V, Ghoshal UC. Identification of opportunistic enteric parasites among immunocompetent patients with diarrhoea from Northern India and genetic characterisation of Cryptosporidium and Microsporidia. Indian J Med Microbiol 2016; 34:60-6. [PMID: 26776120 DOI: 10.4103/0255-0857.174114] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
PURPOSE Enteric parasitic infestation is a major public health problem in developing countries. Parasites such as Cryptosporidium spp., Cyclospora spp., Cystoisospora spp. and Microsporidia may cause severe diarrhoea among immunocompromised patients. There is scanty data on their frequency among immunocompetent patients. Accordingly, we studied the frequency of enteric opportunistic parasites among immunocompetent patients with diarrhoea from northern India; we also performed genetic characterisation of Cryptosporidia and Microsporidia among them. PATIENTS AND METHODS Stool samples from 80 immunocompetent patients with diarrhoea, and 110 healthy controls were examined. Parasites were detected by direct microscopy, modified acid-fast (Kinyoun's) and modified trichrome stain. Polymerase chain reaction--restriction fragment length polymorphism was used for genetic characterisation of selected species such as Cryptosporidia and Microsporidia. RESULTS Enteric parasites were detected in 16/80 (20%) patients (mean age 28.8±20 years, 45, 56% males) and in 2/110 (1.8%) healthy controls (P=0.00007). Parasites detected were Cryptosporidium spp. (8/16, 50.0%), Cystoisospora spp. (4/16, 25%), Microsporidia (1/16, 6.25%), Cyclospora spp. (1/16, 6.25%) and Giardia spp. (1/16, 6.25%). One patient had mixed infection with Cystoisospora spp. and Giardia spp. The species of Cryptosporidia and Microsporidia detected were Cryptosporidium hominis and Enterocytozoon bieneusi, respectively. Parasites were more often detected in younger patients (≤20 years of age) than in older. Most of the parasite infected patients presented with chronic diarrhoea. CONCLUSION Opportunistic enteric parasitic infestation was more common among immunocompetent patients with diarrhoea than healthy subjects. Special staining as well as molecular methods are essential for appropriate diagnosis of these parasites.
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Affiliation(s)
- U Ghoshal
- Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
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Abstract
Congenital absence of the common bile duct (CBD) is an extremely rare developmental anomaly with right and left hepatic ducts draining directly into the gallbladder (GB). Other synonyms for this clinical condition are "cholecystohepatic ducts", "transverse lie of the GB" or "interposition of the GB". The potential for iatrogenic injury is high, because of either inadvertent division or ligation of the ducts. Diagnosis is mostly made intraoperatively, and needs some form of biliary reconstruction. Herein, we are reporting a case of congenital absence of the CBD in a 36-year-old lady that was detected intraoperatively.
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Affiliation(s)
- Tarun Mittal
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | - Mohan V Pulle
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | - Ashish Dey
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India
| | - Vinod K Malik
- Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India
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