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Ghosh A, Goyal K, Singh R, Lakshmi PVM, Kaur R, Kumar V, Muralidharan J, Puri GD, Ram J, Singh MP. High prevalence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) antibodies among unvaccinated children of Chandigarh, Northwest India, in a household-based paediatric serosurvey post-second wave of pandemic (June to July 2021). Public Health 2023; 225:160-167. [PMID: 37931485 DOI: 10.1016/j.puhe.2023.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 09/05/2023] [Accepted: 10/04/2023] [Indexed: 11/08/2023]
Abstract
OBJECTIVE Current national severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination policy covers children aged >12 years. Unvaccinated, uninfected children remain susceptible to SARS-CoV-2 and play a role in community transmission, as paediatric infection is mostly mild or asymptomatic. To estimate the proportion of susceptible children in a community for public health measures, there is a need to assess the extent of natural infection. STUDY DESIGN We performed a cross-sectional household serosurvey of SARS-CoV-2 antibodies in unvaccinated children aged between 6 and 18 years after the second COVID-19 wave. METHODS Anti-SARS-CoV-2 immunoglobin G (IgG) testing in serum was done using chemiluminescence immunoassay. We used a logistic regression model to investigate predicted factors of seropositivity. RESULTS We observed a high prevalence (weighted average: 68.3%) of anti-SARS-CoV-2 IgG in 2700 enrolled children. Logistic regression for predictors of IgG seropositivity showed lower odds in households with completely vaccinated adults (adjusted odds ratio [OR]: 0.43, 95% confidence interval [CI]: 0.26-0.71, P = 0.0011) compared with households with unvaccinated adults. Other factors for low seropositivity included frontline workers as family members (adjusted OR: 0.69, 95% CI: 0.52-0.91, P = 0.0091) and non-crowded households (adjusted OR: 0.74, 95% CI: 0.61-0.89, P = 0.0019). CONCLUSION A high SARS-CoV-2 IgG prevalence in unvaccinated children was indicative of previous exposure to potentially infected contacts. This implies in-person academic activities for children can be continued during future community transmission. Comparatively lower seropositivity in children of completely vaccinated households or frontline workers suggests decreased transmission due to vaccination-induced immunity of family members. Vaccination will still be required in these children to maintain protective IgG levels, particularly in low seroprevalence groups.
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Affiliation(s)
- A Ghosh
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - K Goyal
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - R Singh
- Department of Community Medicine & School of Public Health, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - P V M Lakshmi
- Department of Community Medicine & School of Public Health, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - R Kaur
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - V Kumar
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - J Muralidharan
- Advanced Pediatric Centre, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - G D Puri
- Department of Anaesthesiology & Critical Care, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - J Ram
- Department of Ophthalmology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - M P Singh
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India.
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Goyal A, O'Leary D, Goyal K, Rubin N, Janakiram M. Screening for second malignancies in mycosis fungoides: non-Hodgkin lymphoma, Hodgkin lymphoma, lung cancer, bladder cancer and melanoma. J Eur Acad Dermatol Venereol 2021; 35:1821-1829. [PMID: 34013554 DOI: 10.1111/jdv.17384] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 04/12/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Patients with mycosis fungoides (MF) are at increased risk of developing non-Hodgkin lymphoma (NHL), Hodgkin lymphoma (HL), lung cancer, bladder cancer and melanoma. The characteristics of patients developing these malignancies have not been specifically delineated. In addition, there are no established guidelines for screening MF patients for second malignancies. MATERIALS/METHODS We identified 742 patients with MF who developed second malignancies in the Surveillance Epidemiology and End Result-18 database. RESULTS The majority of second malignancy patients were white and male, mean age 55-67 years at diagnosis of MF, and mean age 61-72 years at diagnosis of second malignancy. The majority of patients diagnosed with second malignancies had early stage MF. MF patients with NHL, lung cancer, and bladder cancer tended to be diagnosed at earlier stages of the second malignancy than patients without MF and demonstrated better 5-year overall survival. There was no improvement in stage at diagnosis or survival for MF patients who were diagnosed with melanoma compared to patients without MF. CONCLUSIONS Improvements in survival in MF/NHL, MF/lung cancer and MF/bladder cancer patients may reflect differences in disease biology secondary to having MF or the importance of increased contact with the healthcare system. MF/melanoma data suggest that patients require regular pigmented-lesion-focused skin examinations. Tools for screening include regular lymph node examinations, pigmented-lesion-focused examinations and detailed review of systems questions. Smoking cessation counseling is key intervention in this population, as is ensuring that all age- and sex-specific cancer screenings are up-to-date (e.g. lung cancer screening, mammography, and colonoscopy). The utility of regular imaging for second malignancy screening and lab testing such as routine urinalysis requires additional study and expert consensus.
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Affiliation(s)
- A Goyal
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - D O'Leary
- Division of Hematology, Oncology, and Transplantation, University of Minnesota, Minneapolis, MN, USA
| | - K Goyal
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - N Rubin
- Biostatistics Core, Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA
| | - M Janakiram
- Division of Hematology, Oncology, and Transplantation, University of Minnesota, Minneapolis, MN, USA
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Gupta S, Mohindra R, Chauhan P, Singla V, Goyal K, Sahni V, Gaur R, Verma D, Ghosh A, Soni R, Suri V, Bhalla A, Singh M. SARS-CoV-2 Detection in Gingival Crevicular Fluid. J Dent Res 2021; 100:187-193. [PMID: 33138663 PMCID: PMC7642823 DOI: 10.1177/0022034520970536] [Citation(s) in RCA: 78] [Impact Index Per Article: 26.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Understanding the pathophysiology of the coronavirus disease 2019 (COVID-19) infection remains a significant challenge of our times. The gingival crevicular fluid being representative of systemic status and having a proven track record of detecting viruses and biomarkers forms a logical basis for evaluating the presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The study aimed to assess gingival crevicular fluid (GCF) for evidence of SARS-CoV-2 in 33 patients who were deemed to be COVID-19 positive upon nasopharyngeal sampling. An attempt was also made to comparatively evaluate it with saliva in terms of its sensitivity, as a diagnostic fluid for SARS-CoV-2. GCF and saliva samples were collected from 33 COVID-19-confirmed patients. Total RNA was extracted using NucliSENS easyMAG (bioMérieux) and eluted in the elution buffer. Envelope gene (E gene) of SARS-CoV-2 and human RNase P gene as internal control were detected in GCF samples by using the TRUPCR SARS-CoV-2 RT qPCR kit V-2.0 (I) in an Applied Biosystems 7500 real-time machine. A significant majority of both asymptomatic and mildly symptomatic patients exhibited the presence of the novel coronavirus in their GCF samples. Considering the presence of SARS-CoV-2 RNA in the nasopharyngeal swab sampling as gold standard, the sensitivity of GCF and saliva, respectively, was 63.64% (confidence interval [CI], 45.1% to 79.60%) and 64.52% (CI, 45.37% to 80.77%). GCF was found to be comparable to saliva in terms of its sensitivity to detect SARS-CoV-2. Saliva samples tested positive in 3 of the 12 patients whose GCF tested negative, and likewise GCF tested positive for 2 of the 11 patients whose saliva tested negative on real-time reverse transcription polymerase chain reaction. The results establish GCF as a possible mode of transmission of SARS-CoV-2, which is the first such report in the literature, and also provide the first quantifiable evidence pointing toward a link between the COVID-19 infection and oral health.
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Affiliation(s)
- S. Gupta
- Unit of Periodontics, Oral Health
Sciences Centre, Post Graduate Institute of Medical Education and Research (PGIMER),
Chandigarh, India
| | - R. Mohindra
- Department of Internal Medicine, PGIMER,
Chandigarh, India
| | - P.K. Chauhan
- Department of Virology, PGIMER,
Chandigarh, India
| | - V. Singla
- Department of Internal Medicine, PGIMER,
Chandigarh, India
| | - K. Goyal
- Department of Virology, PGIMER,
Chandigarh, India
| | - V. Sahni
- Dr. Harvansh Singh Judge Institute of
Dental Sciences & Hospital, Panjab University, Chandigarh, India
| | - R. Gaur
- Department of Virology, PGIMER,
Chandigarh, India
| | - D.K. Verma
- Department of Virology, PGIMER,
Chandigarh, India
| | - A. Ghosh
- Department of Virology, PGIMER,
Chandigarh, India
| | - R.K. Soni
- Department of Internal Medicine, PGIMER,
Chandigarh, India
| | - V. Suri
- Department of Internal Medicine, PGIMER,
Chandigarh, India
| | - A. Bhalla
- Department of Internal Medicine, PGIMER,
Chandigarh, India
| | - M.P. Singh
- Department of Virology, PGIMER,
Chandigarh, India
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Kumar S, Goyal K, Bhatt R, Bansal S, Mishra M. Primary pleural synovial sarcoma: a rare cause of hemorrhagic pleural effusion. Adv Respir Med 2021; 89:60-62. [PMID: 33471348 DOI: 10.5603/arm.a2020.0147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 07/18/2020] [Indexed: 11/25/2022]
Abstract
Primary pleural synovial sarcoma (PPSS) is a rare malignant pleural tumor comprising < 1% of all primary lung malignancies. Primary pleural mesothelioma (PPM) has many similar features that may cause a diagnostic dilemma due to overlapping clinical and histopathological features. We present the case of a young male with recurrent hemorrhagic pleural effusion without any obvious lung mass who was diagnosed with PPSS. This rare entity must be considered with a high index of suspicion while evaluating pleural tumors.
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Affiliation(s)
- Subodh Kumar
- All India Institute of Medical Sciences, Rishikesh, India
| | - Kashyap Goyal
- Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Bunei Darussalam, Brunei Darussalam
| | - Ritisha Bhatt
- Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Bunei Darussalam, Brunei Darussalam
| | - Saloni Bansal
- Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Bunei Darussalam, Brunei Darussalam
| | - Mayank Mishra
- Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Bunei Darussalam, Brunei Darussalam.
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Prakash V, Saini LK, Joshi P, Goyal K, Sindhwani G, Pai VS. Tuberculous vasculitic lung mass: Unique presentation of a common disease. Indian J Tuberc 2020; 67:571-574. [PMID: 33077061 DOI: 10.1016/j.ijtb.2020.07.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Revised: 07/20/2020] [Accepted: 07/22/2020] [Indexed: 11/25/2022]
Abstract
Tuberculosis is a common disease but it keeps on surprising with its unique presentations. It has been reported as lung mass but here we are reporting a case of Tuberculosis presented as vasculitic lung mass. A 61 years old female, known case of hypertension and secondary Sjogren syndrome, on treatment, presented with history of mild dyspnea and generalised weakness with incidental finding of Right hilar mass on chest X-ray undergoes a CECT thorax and CT guided biopsy. Histopathology contrary to expectations revealed granulomatous vasculitis with no microbiological evidence of TB, responded to antitubercular treatment and there was almost complete regression of the lesion after 6 weeks of ATT.
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Affiliation(s)
- Vipul Prakash
- Department of Pulmonary Medicine, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, 249201, India
| | - Lokesh Kumar Saini
- Department of Pulmonary Medicine, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, 249201, India.
| | - Prashant Joshi
- Department of Pathology, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, 249201, India
| | - Kashyap Goyal
- Department of Pulmonary Medicine, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, 249201, India
| | - Girish Sindhwani
- Department of Pulmonary Medicine, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, 249201, India
| | - Venkatesh S Pai
- Department of Internal Medicine, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, 249201, India
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Jhuria L, Muthu V, Gupta S, Singh MP, Biswal M, Goyal K, Pannu AK, Kumari S, Bhalla A, Mohindra R, Suri V. Coinfection of H1N1 Influenza and Scrub Typhus-A Review. QJM 2020; 113:465-468. [PMID: 32031635 DOI: 10.1093/qjmed/hcaa021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 11/25/2019] [Indexed: 11/13/2022] Open
Abstract
The H1N1 influenza infection usually coincides with the typical scrub typhus season in North India. This leads to diagnostic difficulties due to their similar and non-specific symptoms. We describe three patients with confirmed co-infection of pandemic (H1N1) influenza and scrub typhus who had presented with acute respiratory distress syndrome. A systematic review of database yielded one case of scrub typhus and H1N1 influenza co-infection reported from South Korea. Co-infection of influenza with tropical infections may not be uncommon in endemic countries and hence a high index of suspicion on the part of physicians coupled with appropriate investigations are needed. The true burden of co-infections needs to be evaluated during outbreaks of influenza in a systematic manner.
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Affiliation(s)
- L Jhuria
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - V Muthu
- Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - S Gupta
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - M P Singh
- Department of Virology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - M Biswal
- Department of Virology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - K Goyal
- Department of Virology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - A K Pannu
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - S Kumari
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - A Bhalla
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - R Mohindra
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
| | - V Suri
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India
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7
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Kaufman AE, Patel K, Goyal K, O'Leary D, Rubin N, Pearson D, Bohjanen K, Goyal A. Mycosis fungoides: developments in incidence, treatment and survival. J Eur Acad Dermatol Venereol 2020; 34:2288-2294. [PMID: 32141115 DOI: 10.1111/jdv.16325] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Accepted: 01/31/2020] [Indexed: 01/22/2023]
Abstract
BACKGROUND Prior studies have demonstrated improved disease-specific survival of mycosis fungoides (MF) patients over the last 50 years. OBJECTIVE To analyse patterns of survival and incidence from 1973 to 2016 and determine whether apparent improvements in MF-specific survival are due to lead-time bias rather than improvements in treatment. METHODS We performed an analysis of 10 155 patients diagnosed with MF from 1973 to 2016 in the United States cancer registries of SEER-18. We also performed a literature review of papers including stage data for unselected populations of MF patients prior to 2000. RESULTS Incidence of MF increased from 3.0 per million person-years in the 1970s to 5.9 in the 2010s. For all cohorts, non-Hodgkin lymphoma (including MF) was the leading cause of death. Survival analysis demonstrated marked improvement in disease-specific and overall survival from the 1970s to 2010s. Based on systematic review of the literature, 32%-73% of patients diagnosed prior to 2000 were diagnosed with early-stage disease, as opposed to 81% of patients in the SEER 2000-2016 cohort (P < 0.035 for all cohorts). CONCLUSIONS Although there have been improvements in MF-related survival over the last 50 years, these may reflect improvements in our ability to diagnose early-stage disease rather than improved treatment.
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Affiliation(s)
- A E Kaufman
- Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI, USA
| | - K Patel
- Department of Radiation Oncology, University of Minnesota, Minneapolis, MN, USA
| | - K Goyal
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - D O'Leary
- Division of Hematology, Oncology, and Transplantation, University of Minnesota, Minneapolis, MN, USA
| | - N Rubin
- Biostatistics Core, Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA
| | - D Pearson
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - K Bohjanen
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - A Goyal
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
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8
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Goyal K, Goyal A, Patel S, Morgan E, Foreman R. LB1090 Variable loss of CD30 expression by immunohistochemistry in recurrent cutaneous CD30+ lymphoid neoplasms treated with brentuximab vedotin. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.06.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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9
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Goyal A, Goyal K, Bohjanen K, Pearson D. Epidemiology of primary cutaneous γδ T‐cell lymphoma and subcutaneous panniculitis‐like T‐cell lymphoma in the U.S.A. from 2006 to 2015: a Surveillance, Epidemiology, and End Results‐18 analysis. Br J Dermatol 2019; 181:848-850. [DOI: 10.1111/bjd.17985] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [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)
- A. Goyal
- Department of Dermatology University of Minnesota Minneapolis MN U.S.A
| | - K. Goyal
- Department of Dermatology University of Minnesota Minneapolis MN U.S.A
| | - K. Bohjanen
- Department of Dermatology University of Minnesota Minneapolis MN U.S.A
| | - D. Pearson
- Department of Dermatology University of Minnesota Minneapolis MN U.S.A
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Kumar S, Mishra M, Goyal K, Bhatt R, Joshi P, Bansal S. Acute fibrinous organizing pneumonia: a rare lung pathology. Monaldi Arch Chest Dis 2019; 89. [PMID: 31170776 DOI: 10.4081/monaldi.2019.1016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Accepted: 05/27/2019] [Indexed: 11/23/2022] Open
Abstract
Acute fibrinous organizing pneumonia (AFOP) is a rare, non-infective lung pathology histologically characterized by patchy distribution of intra-alveolar fibrin "balls" and organizing pneumonia. It needs to be differentiated from other forms of acute pneumonia like community acquired pneumonia (CAP) because the treatment modalities are contrastingly different. Interesting case of a 45-year-old male initially suspected as a case of acute bacterial pneumonia but finally diagnosed as case of AFOP, is being reported. Initial empirical antimicrobial therapy was ineffective, and the main treatment to which the patient responded was corticosteroids.
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Affiliation(s)
- Subodh Kumar
- Department of Trauma and Emergency and Department of Pulmonary Medicine, All India Institute of Medical Sciences, Rishikesh.
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Goyal M, Goyal K, Narkeesh K, Samuel A, Arumugam N. Corrigendum to “Osteopathic manipulative treatment for post mastectomy lymphedema: A case report” [Int. J. Osteopath. Med. 26 (2017) 49–52]. INT J OSTEOPATH MED 2018. [DOI: 10.1016/j.ijosm.2018.09.001] [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: 11/24/2022]
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12
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Goyal K, Kumar S, Mishra M, Bhatt R, Babu AV, Tripathi M. A malignant wheeze! Monaldi Arch Chest Dis 2018; 88. [PMID: 33115222 DOI: 10.4081/monaldi.2018.972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Accepted: 11/18/2018] [Indexed: 11/22/2022] Open
Abstract
Asthma is a common disorder presenting with nonspecific features, which may mimic other conditions such as tracheal tumors. Tracheal tumors are often misdiagnosed as asthma. We report a case of a 38-year female who was being worked up for persistent wheeze that was initially attributed to acute asthma, only to be later discovered as tracheal tumor. A high index of suspicion for alternative diagnoses must be kept in mind while evaluating a patient who presents with clinical features suggestive of asthma, but fails to respond to standard therapy. The present case report emphasizes the fact that not all wheezes are asthma.
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Affiliation(s)
| | - Subodh Kumar
- AIIMS Rishikesh, Department of Pulmonary Medicine.
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e Silva L, Liu X, Campbell R, Barbara D, Goyal K, Guarderas A, Sandefur B. 132 Clinical Features Associated With Nonhistaminergic and Histaminergic Angioedema in Emergency Department Patients. Ann Emerg Med 2018. [DOI: 10.1016/j.annemergmed.2018.08.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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14
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Kimball A, Augustin M, Gordon K, Krueger G, Pariser D, Fakharzadeh S, Goyal K, Calabro S, Lee S, Lin R, Li N, Srivastava B, Guenther L. Correlation of psoriasis activity with socioeconomic status: cross-sectional analysis of patients enrolled in the Psoriasis Longitudinal Assessment and Registry (PSOLAR). Br J Dermatol 2018; 179:984-986. [DOI: 10.1111/bjd.16737] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- A.B. Kimball
- Harvard Medical School and Beth Israel Deaconess Medical Center; Boston MA U.S.A
| | - M. Augustin
- University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - K.B. Gordon
- Medical College of Wisconsin; Milwaukee WI U.S.A
| | | | - D. Pariser
- Eastern Virginia Medical School and Virginia Clinical Research, Inc.; Norfolk VA U.S.A
| | | | - K. Goyal
- Janssen Scientific Affairs, LLC; Horsham PA U.S.A
| | - S. Calabro
- Janssen Scientific Affairs, LLC; Horsham PA U.S.A
| | - S. Lee
- Janssen Scientific Affairs, LLC; Horsham PA U.S.A
| | - R. Lin
- PRA Health Sciences; Blue Bell PA U.S.A
| | - N. Li
- Janssen Research & Development; LLC; Horsham PA U.S.A
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Blauvelt A, Ferris L, Yamauchi P, Qureshi A, Leonardi C, Farahi K, Fakharzadeh S, Hsu MC, Li S, Chevrier M, Smith K, Goyal K, Chen Y, Muñoz-Elías E, Callis Duffin K. Extension of ustekinumab maintenance dosing interval in moderate-to-severe psoriasis: results of a phase IIIb, randomized, double-blinded, active-controlled, multicentre study (PSTELLAR). Br J Dermatol 2017; 177:1552-1561. [DOI: 10.1111/bjd.15722] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/06/2017] [Indexed: 11/29/2022]
Affiliation(s)
- A. Blauvelt
- Oregon Medical Research Center; Portland OR U.S.A
| | - L.K. Ferris
- Department of Dermatology; University of Pittsburgh; Pittsburgh PA U.S.A
| | - P.S. Yamauchi
- Dermatology Institute and Skin Care Center; Santa Monica CA U.S.A
- Geffen School of Medicine at UCLA; Los Angeles CA U.S.A
| | - A. Qureshi
- Dermatology; Warren Alport Medical School of Brown University; Rhode Island Hospital; Providence RI U.S.A
| | - C.L. Leonardi
- Dermatology; Saint Louis University School of Medicine; Saint Louis MO U.S.A
| | - K. Farahi
- Janssen Pharmaceuticals Inc.; Horsham PA U.S.A
| | | | - M.-C. Hsu
- Janssen Research & Development LLC; Spring House PA U.S.A
| | - S. Li
- Janssen Research & Development LLC; Spring House PA U.S.A
| | - M. Chevrier
- Janssen Research & Development LLC; Spring House PA U.S.A
| | - K. Smith
- Janssen Research & Development LLC; Titusville NJ U.S.A
| | - K. Goyal
- Janssen Research & Development LLC; Horsham PA U.S.A
| | - Y. Chen
- Janssen Research & Development LLC; San Diego CA U.S.A
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Shear N, Alhusayen R, Fernandez-Obregon A, Kimball A, Menter A, Wu J, Goyal K, Patel H, Lin R, Armstrong A. Observations from our evaluation of bodyweight changes after initiation of a biologic therapy in the Psoriasis Longitudinal Assessment and Registry (PSOLAR). J Eur Acad Dermatol Venereol 2017. [DOI: 10.1111/jdv.14414] [Citation(s) in RCA: 2] [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] [Indexed: 12/20/2022]
Affiliation(s)
- N.H. Shear
- Sunnybrook Health Sciences Centre; University of Toronto; Toronto ON Canada
| | - R. Alhusayen
- Sunnybrook Health Sciences Centre; University of Toronto; Toronto ON Canada
| | | | - A.B. Kimball
- Harvard Medical School and Beth Israel Deaconess Medical Center; Boston MA USA
| | - A. Menter
- Baylor Research Institute; Dallas TX USA
| | - J.J. Wu
- Kaiser Permanente Los Angeles Medical Center; Los Angeles CA USA
| | - K. Goyal
- Janssen Scientific Affairs, LLC; Horsham PA USA
| | - H. Patel
- Janssen Scientific Affairs, LLC; Horsham PA USA
| | - R. Lin
- Janssen Research & Development, LLC; Springhouse PA USA
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Singh MP, Kaur M, Gupta N, Kumar A, Goyal K, Sharma A, Majumdar M, Gupta M, Ratho RK. Prevalence of high-risk human papilloma virus types and cervical smear abnormalities in female sex workers in Chandigarh, India. Indian J Med Microbiol 2017; 34:328-34. [PMID: 27514955 DOI: 10.4103/0255-0857.188325] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
PURPOSE Cervical cancer is the most common cancer among women in developing nations. Nearly 90% of the cases have been linked to the presence of high-risk human papillomavirus (hrHPV) types 16 and 18. The risk of cervical cancer may be high in female sex workers (FSWs) due to multiple sexual partners. This study aimed to determine the prevalence of cytological abnormalities and hrHPV types 16 and 18 in FSWs in Chandigarh, North India using the liquid-based cytology (LBC) approach. MATERIALS AND METHODS The cervical brush samples were collected from 120 FSW and 98 age-matched healthy controls (HCs). These were subjected to pap smear using conventional method, LBC and the detection of hrHPV types 16 and 18 was carried out using polymerase chain reaction. RESULTS The LBC samples showed better cytological details and also reduced the number of unsatisfactory smears from 11% in Pap to 1.5% in the LBC. A significantly higher number of inflammatory smears were reported in FSWs (51.7% vs. 34.7%, P = 0.01). The hrHPV types 16/18 were detected in 33/120 (27.5%) FSW versus 23/98 (23.5%) HCs. The risk of acquiring hrHPV was higher in FSWs, who had age at first sex ≤25 years, higher income and the habit of smoking. CONCLUSION The high prevalence of hrHPV among FSWs and HCs suggests the need for the implementation of effective National Screening Programme for early detection of hrHPV types to decrease the burden of cervical cancer, especially in high-risk population.
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Affiliation(s)
- M P Singh
- Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - M Kaur
- School of Public, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - N Gupta
- Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - A Kumar
- Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - K Goyal
- Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - A Sharma
- Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - M Majumdar
- Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - M Gupta
- School of Public, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - R K Ratho
- Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Kaushal A, Bindra A, Kumar N, Goyal K, Rath G. Evaluation of prognostic factors of outcome in severe traumatic brain injury patients following decompressive craniectomy. Journal of Neuroanaesthesiology and Critical Care 2017. [DOI: 10.1055/s-0038-1646229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- A. Kaushal
- Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
| | - A. Bindra
- Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
| | - N. Kumar
- Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
| | - K. Goyal
- Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
| | - G. Rath
- Department of Neuroanaesthesiology and Critical Care, AIIMS, New Delhi, India
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Koli G, Shandilya M, Goyal K, Singh R, Gharu S, Palecha S, Jhirwal S, Gahlot T. Amputation of fore limb following compound fracture of radius ulna in a female camel. J CAMEL PRACT RES 2017. [DOI: 10.5958/2277-8934.2017.00050.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Banik S, Bindra A, Jain V, Goyal K, Rath GP. Abstract PR085. Anesth Analg 2016. [DOI: 10.1213/01.ane.0000492491.65436.8d] [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: 11/05/2022]
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21
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Mease P, Gottlieb A, Menter A, Ritchlin C, Kalia S, Kerdel F, Kafka S, Morgan J, Langholff W, Fakharzadeh S, Goyal K. THU0450 All-Cause Mortality and Malignancies in Psoriasis Patients with Psoriatic Arthritis in The Psoriasis Longitudinal Assessment and Registry Study. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.1921] [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: 11/03/2022]
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22
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Singh MP, Goyal K. Rapid action by Chandigarh: Flew away the threat of bird flu. Indian J Med Microbiol 2016; 34:250-1. [PMID: 27080788 DOI: 10.4103/0255-0857.176855] [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: 11/04/2022]
Affiliation(s)
- M P Singh
- Department of Virology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Srivastava R, Sharma P, Saini G, Sethi J, Aggarwal A, Goyal K, P M. EP-1816: A hybrid approach for head-neck cancer using on-line image guidance and off-line adaptive planning. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)33067-5] [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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Menter A, Papp KA, Gooderham M, Pariser DM, Augustin M, Kerdel FA, Fakharzadeh S, Goyal K, Calabro S, Langholff W, Chavers S, Naessens D, Sermon J, Krueger GG. Drug survival of biologic therapy in a large, disease-based registry of patients with psoriasis: results from the Psoriasis Longitudinal Assessment and Registry (PSOLAR). J Eur Acad Dermatol Venereol 2016; 30:1148-58. [PMID: 27027388 PMCID: PMC5071685 DOI: 10.1111/jdv.13611] [Citation(s) in RCA: 185] [Impact Index Per Article: 23.1] [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] [Revised: 07/14/2015] [Accepted: 01/06/2016] [Indexed: 12/18/2022]
Abstract
Background Drug survival is a marker for treatment sustainability in chronic diseases such as psoriasis. Objective The aim of these analyses was to assess survival of biologic treatments in the PSOriasis Longitudinal Assessment and Registry (PSOLAR). Methods PSOLAR is a large, prospective, international, disease‐based registry of patients with psoriasis receiving (or eligible for) systemic therapy in a real‐world setting. Drug survival is defined as the time from initiation to discontinuation (stop/switch) of biologic therapy on registry. The number of patients who discontinued each treatment and the duration of therapy were recorded. Using Kaplan–Meier survival curves and Cox‐regression analyses [hazard ratios (HR) and 95% confidence intervals (CIs)], time to discontinuation was compared across cohorts undergoing first‐, second‐ or third‐line treatment with ustekinumab, infliximab, adalimumab or etanercept. Results As of the 2013 data cut, 12 095 patients with psoriasis were enrolled in PSOLAR. Of the 4000 patients initiating any new biologic therapy, approximately 3500 started a first‐line, second‐line or third‐line biologic therapy during the registry. Lack of effectiveness was the most common reason for discontinuation across biologic therapies. Based on the multivariate analysis, significantly shorter times to discontinuation were observed for infliximab [HR (95%CI) = 2.73 (1.48–5.04), P = 0.0014]; adalimumab [4.16 (2.80–6.20), P < 0.0001]; and etanercept [4.91 (3.28–7.35) P < 0.0001] compared with ustekinumab [reference treatment]) for first‐line biologic use; results were similar for treatment effects for second/third‐line therapies. Although limited in power, analyses in patients with concurrent psoriatic arthritis confirmed by a rheumatologist reflect observations in the overall psoriasis population. Conclusion Drug survival was superior for ustekinumab compared with infliximab, adalimumab and etanercept in patients with psoriasis.
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Affiliation(s)
- A Menter
- Baylor University Medical Center, Dallas, TX, USA
| | - K A Papp
- K Papp Clinical Research and Probity Medical Research, Inc., Waterloo, Ontario, Canada
| | - M Gooderham
- SKIN Centre for Dermatology and Probity Medical Research, Peterborough, Ontario, Canada
| | - D M Pariser
- Eastern Virginia Medical School and Virginia Clinical Research, Norfolk, VA, USA
| | - M Augustin
- University Medical Center, Hamburg-Eppendorf, Hamburg, Germany
| | - F A Kerdel
- Florida Academic Dermatology Centers, Miami, FL, USA
| | | | - K Goyal
- Janssen Scientific Affairs, LLC, Horsham, PA, USA
| | - S Calabro
- Janssen Scientific Affairs, LLC, Horsham, PA, USA
| | - W Langholff
- Janssen Research & Development, LLC, Horsham, PA, USA
| | - S Chavers
- Janssen Research & Development, LLC, Titusville, NJ, USA
| | | | - J Sermon
- Janssen-Cilag NV, Beerse, Belgium
| | - G G Krueger
- University of Utah School of Medicine, Salt Lake City, UT, USA
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Mishra RK, Mahajan C, Bindra A, Goyal K. Postoperative visual loss following dorsal root entry zone rhizotomy: A dreaded complication after a benign procedure. Saudi J Anaesth 2016; 10:449-452. [PMID: 27833493 PMCID: PMC5044734 DOI: 10.4103/1658-354x.177337] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Postoperative visual loss (POVL) is a rare but grave postoperative complication. It has been mainly reported in patients undergoing cardiac and spinal surgeries. Dorsal root entry zone (DREZ) is pain relieving procedure performed in patients with refractory neuropathic pain with minimal complication rate. We present a case of unilateral POVL following DREZ rhizotomy in prone position in a patient having brachial plexus neuropathy. Exact etiology of vision loss was though not clear; hypotension, use of vasopressors and hemodilution may have led to vision loss in this patient. This case report highlights the associated risk factors for development of this hazardous complication.
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Affiliation(s)
- R K Mishra
- Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
| | - C Mahajan
- Department of Neuroanaesthesiology and Critical Care, Neurosciences Center, All India Institute of Medical Sciences, New Delhi, India
| | - A Bindra
- Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
| | - K Goyal
- Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
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Thakkar P, Arora K, Goyal K, Das RR, Javadekar B, Aiyer S, Panigrahi SK. To evaluate and compare the efficacy of combined sucrose and non-nutritive sucking for analgesia in newborns undergoing minor painful procedure: a randomized controlled trial. J Perinatol 2016; 36:67-70. [PMID: 26583940 DOI: 10.1038/jp.2015.122] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [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] [Received: 03/21/2015] [Revised: 08/19/2015] [Accepted: 08/20/2015] [Indexed: 11/09/2022]
Abstract
OBJECTIVE The objective of this study was to evaluate and compare the efficacy of combined sucrose and non-nutritive sucking (NNS) for analgesia in newborn infants undergoing heel-stick procedures. STUDY DESIGN This randomized control trial was conducted in the neonatal intensive care unit of a tertiary care hospital over a period of 1 year. One hundred and eighty full-term neonates with birth weight >2200 g and age >24 h were randomized to one of four interventions administered 2 min before the procedure: 2 ml of 30% sucrose (group I, n=45) or NNS (group II, n=45) or both (group III, n=45) or none (group IV, n=45). Primary outcome was composite score based on Premature Infant Pain Profile (PIPP) score. RESULT Baseline variables were comparable among the groups. Median (interquartile range) PIPP score was 3 (2 to 4) in group III as compared with 7 (6.5 to 8) in group I, 9 (7 to 11) in group II and 13 (10.5 to 15) in group IV. Group III had significant decrease in the median PIPP score compared with other groups (P=0.000). Median PIPP score also decreased significantly with any intervention as compared with no intervention (P=0.000). CONCLUSION Sucrose and/or NNS are effective in providing analgesia in full-term neonates undergoing heel-stick procedures, with the combined intervention being more effective compared with any single intervention.
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Affiliation(s)
- P Thakkar
- Department of Paediatrics, Government Medical College and Hospital, Vadodara, India
| | - K Arora
- Division of Neonatology, Department of Paediatrics, Dayanand Medical College and Hospital, Ludhiana, India
| | - K Goyal
- Department of Paediatrics, Government Medical College and Hospital, Vadodara, India
| | - R R Das
- Department of Pediatrics, All India Institute of Medical Sciences, Bhubaneswar, India
| | - B Javadekar
- Department of Paediatrics, Government Medical College and Hospital, Vadodara, India
| | - S Aiyer
- Department of Paediatrics, Government Medical College and Hospital, Vadodara, India
| | - S K Panigrahi
- Department of Community Medicine, IMS and SUM Hospital, Bhubaneswar, India
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Menter A, Papp K, Krueger G, Augustin M, Kerdel F, Gooderham M, Goyal K, Fakharzadeh S, Langholff W, Sermon J, Calabro S, Pariser D. SAT0561 Persistence of Biologic Therapy in Psoriatic Disease: Results from the Psoriasis Longitudinal Assessment and Registry (PSOLAR). Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Kalb R, Fiorentino D, Lebwohl M, Leonardi C, Toole J, Poulin Y, Cohen A, Goyal K, Calabro S, Langholff W, Fakharzadeh S. SAT0560 Serious Infection Events in the Psoriasis Longitudinal Assessment and Registry Study: Current Status of Observations. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Fiorentino D, Lebwohl M, Ho V, Langley R, Goyal K, Fakharzadeh S, Calabro S, Langholff W. SAT0559 Malignancies in the Psoriasis Longitudinal Assessment and Registry (PSOLAR) Study: Current Status of Observations. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2000] [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: 11/03/2022]
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Abstract
Innate and adaptive immunity play a significant role in urogenital infections. Innate immunity is provided by the epithelial cells and mucus lining along with acidic pH, which forms a strong physical barrier against the pathogens in female reproductive tract. Cells of innate immune system, antimicrobial peptides, cytokines, chemokines and adaptive immunity in the reproductive tract are evolved during infection, and a pro-inflammatory response is generated to fight against the invading pathogen Trichomonas vaginalis, a primary urogenital protozoa, the etiological agent of human trichomoniasis, a curable sexually transmitted infection. The involvement of the urogenital tract by other protozoal infections such as P. falciparum, Trypanosoma, Leishmania, Toxoplasma, Entamoeba histolytica and Acanthamoeba infection is rarely reported. Trichomonas induce pro-inflammatory and immunosuppressive responses in infected subjects. Multifactorial pathogenic mechanisms including parasite adherence, cysteine proteases, lipophosphoglycan, free radical, cytokine generation and Toll-like receptors appear to interplay with the induction of local and systemic immune responses that ultimately determine the outcome of the infection. However, the involvement of urogenital pathogen-specific immune mechanisms and effect of normal local resident flora on the outcome (symptomatic vs. asymptomatic) of infection are poorly understood. Moreover, immune interactions in trichomoniasis subjects co-infected with bacterial and viral pathogens need to be elucidated.
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Affiliation(s)
- N Malla
- Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Kimball AB, Leonardi C, Stahle M, Gulliver W, Chevrier M, Fakharzadeh S, Goyal K, Calabro S, Langholff W, Menter A. Demography, baseline disease characteristics and treatment history of patients with psoriasis enrolled in a multicentre, prospective, disease-based registry (PSOLAR). Br J Dermatol 2014; 171:137-47. [PMID: 24684204 PMCID: PMC4232924 DOI: 10.1111/bjd.13013] [Citation(s) in RCA: 94] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/25/2014] [Indexed: 01/10/2023]
Abstract
BACKGROUND Psoriasis is associated with several comorbidities and behavioural risk factors. OBJECTIVES To evaluate demographic and disease characteristics in patients enrolled in the Psoriasis Longitudinal Assessment and Registry (PSOLAR). METHODS PSOLAR is a global, prospective, longitudinal, disease-based registry that includes a postmarketing commitment to evaluate safety in patients with psoriasis. Enrolled patients had to be receiving, or be eligible to receive, conventional systemic or biological agents. Demographic/disease characteristics, medical histories, lifestyle risk factors and previous treatments are collected at enrolment. Efficacy and safety data are collected every 6 months for 8 years, and data are extracted annually. Selected parameters are evaluated by age quartile using post hoc analyses. RESULTS As of 23 August 2012, 11 900 patients were enrolled at 301 sites in North America, Europe and Latin America. Over half of the PSOLAR population (54·7%) is male, with a mean age of 48·6 years and mean body mass index of 30·9 kg m(-2) at enrolment. Mean duration of disease at enrolment was 17·5 years, and mean Physician's Global Assessment score was 2·0. Psoriatic arthritis (35·5%) and cardiovascular diseases (38·2%) were highly prevalent. Diabetes mellitus type II was reported in 11·4% of patients. Depression and anxiety were noted in 14·7% and 11·1% of patients, respectively; 79·0% reported any alcohol use and 56·7% reported smoking or a history of smoking. The occurrence of most comorbidities, including cardiovascular disease and risk factors, increased with age. CONCLUSIONS In the PSOLAR population, multiple and age-appropriate comorbidities are associated with psoriasis and may affect the selection of psoriasis treatments.
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Affiliation(s)
- AB Kimball
- Harvard Medical School and Massachusetts General HospitalBoston, MA, U.S.A
| | - C Leonardi
- St. Louis UniversitySt. Louis, MO, U.S.A
| | - M Stahle
- Karolinska InstitutetStockholm, Sweden
| | - W Gulliver
- Memorial University of Newfoundland and New Lab Life SciencesSt. John's, NL, Canada
| | - M Chevrier
- Janssen Scientific AffairsLLC, Horsham, PA, U.S.A
| | | | - K Goyal
- Janssen Scientific AffairsLLC, Horsham, PA, U.S.A
| | - S Calabro
- Janssen Scientific AffairsLLC, Horsham, PA, U.S.A
| | - W Langholff
- Janssen Research & DevelopmentLLC, Horsham, PA, U.S.A
| | - A Menter
- Baylor University Medical CenterDallas, TX, U.S.A
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Tan K, Zhan J, Chiu S, Pasian S, Goyal K, Leung G, Moody A. Abstract No. 337: MRI molecular imaging of VCAM-1. J Vasc Interv Radiol 2010. [DOI: 10.1016/j.jvir.2009.12.126] [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: 11/24/2022] Open
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Abstract
The nematode Caenorhabditis elegans contains over 20 genes for TRP (transient receptor potential) channels which include members of all of the subclasses identified in mammalian cells. These proteins include three members of the TRPM (TRP melastatin) family: gon-2 (abnormal gonad development), gtl-1 (gon-2-like 1) and gtl-2. Although studies of these genes are at an early stage, we are beginning to understand their functions in the life of C. elegans. Mutations in gon-2 have defective gonad formation because of failures in the cell division of the somatic gonad precursor cells. gon-2 and gtl-1 are both expressed in the intestine of the animal. Experiments on gon-2,gtl-1 double mutants show that they have a severe growth defect that is ameliorated by the addition of high levels of Mg(2+) to the growth medium. gon-2,gtl-1 double mutants have defective magnesium homoeostasis and also have altered sensitivity to toxic levels of Ni(2+). Furthermore gon-2 mutants have reduced levels of I(ORCa) (outwardly rectifying calcium current) in the intestinal cells. Thus these two channels appear to play an important role in cation homoeostasis in C. elegans. In addition, perturbing the function of gon-2 and gtl-1 disrupts the ultradian defecation rhythm in C. elegans, suggesting that these channels play an important role in regulating this calcium-dependent rhythmic process. The tractability of C. elegans as an experimental animal and its amenability to techniques such as RNAi (RNA interference) and in vivo imaging make it an excellent system for an integrative analysis of TRPM function.
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Affiliation(s)
- H A Baylis
- Department of Zoology, University of Cambridge, Downing Street, Cambridge CB2 3EJ, UK.
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Goyal K, Browne JA, Burnell AM, Tunnacliffe A. Dehydration-induced tps gene transcripts from an anhydrobiotic nematode contain novel spliced leaders and encode atypical GT-20 family proteins. Biochimie 2005; 87:565-74. [PMID: 15935281 DOI: 10.1016/j.biochi.2005.01.010] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2004] [Revised: 01/20/2005] [Accepted: 01/21/2005] [Indexed: 11/21/2022]
Abstract
Accumulation of the non-reducing disaccharide trehalose is associated with desiccation tolerance during anhydrobiosis in a number of invertebrates, but there is little information on trehalose biosynthetic genes in these organisms. We have identified two trehalose-6-phosphate synthase (tps) genes in the anhydrobiotic nematode Aphelenchus avenae and determined full length cDNA sequences for both; for comparison, full length tps cDNAs from the model nematode, Caenorhabditis elegans, have also been obtained. The A. avenae genes encode very similar proteins containing the catalytic domain characteristic of the GT-20 family of glycosyltransferases and are most similar to tps-2 of C. elegans; no evidence was found for a gene in A. avenae corresponding to Ce-tps-1. Analysis of A. avenae tps cDNAs revealed several features of interest, including alternative trans-splicing of spliced leader sequences in Aav-tps-1, and four different, novel SL1-related trans-spliced leaders, which were different to the canonical SL1 sequence found in all other nematodes studied. The latter observation suggests that A. avenae does not comply with the strict evolutionary conservation of SL1 sequences observed in other species. Unusual features were also noted in predicted nematode TPS proteins, which distinguish them from homologues in other higher eukaryotes (plants and insects) and in micro-organisms. Phylogenetic analysis confirmed their membership of the GT-20 glycosyltransferase family, but indicated an accelerated rate of molecular evolution. Furthermore, nematode TPS proteins possess N- and C-terminal domains, which are unrelated to those of other eukaryotes: nematode C-terminal domains, for example, do not contain trehalose-6-phosphate phosphatase-like sequences, as seen in plant and insect homologues. During onset of anhydrobiosis, both tps genes in A. avenae are upregulated, but exposure to cold or increased osmolarity also results in gene induction, although to a lesser extent. Trehalose seems likely therefore to play a role in a number of stress responses in nematodes.
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Affiliation(s)
- K Goyal
- Institute of Biotechnology, University of Cambridge, Tennis Court Road, Cambridge CB2 1QT, UK
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Krishna MG, Rao KS, Goyal K. Prosthodontic management of severely worn dentition: including review of literature related to physiology and pathology of increased vertical dimension of occlusion. J Indian Prosthodont Soc 2005. [DOI: 10.4103/0972-4052.16877] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Abstract
A 33-year-old achondroplastic female was scheduled to undergo vesico-vaginal fistula repair by the abdominoperineal route. Preoperative examination suggested a difficult airway so a combined spinal epidural technique was used. Subarachnoid block (sensory loss to T6) was established using 0.5% hyperbaric bupivacaine 1 ml. Anaesthesia was prolonged with incremental doses of epidural bupivacaine 0.5% (total 10 ml) and postoperative analgesia was provided with epidural morphine boluses.
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Affiliation(s)
- A Trikha
- Department of Anesthesiology and Intensive Care, All India Institute of Medical Sciences, New Delhi
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40
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Goyal K, Selvakumar P, Hayashi K. Characterization of a thermostable β-glucosidase (BglB) from Thermotoga maritima showing transglycosylation activity. ACTA ACUST UNITED AC 2001. [DOI: 10.1016/s1381-1177(01)00003-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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41
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Abstract
We report the case of a myodil cyst causing a thoracic radiculopathy in a patient who had undergone a myelogram 30 years previously. Although myodil is no longer used, sequelae can continue to be seen for many years.
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Affiliation(s)
- M O Fitzpatrick
- Department of Neurosurgery, Southern General Hospital NHS Trust, Glasgow, UK
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42
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43
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Abstract
In a previous paper on mortality audit we reported on the use of treatment limiting decisions (TLDs) in a neurosurgical unit in the year 1988. In this paper we compare the findings of a similar audit for 1997. It appears that our unit's policy of openly discussing all TLDs in patients who die had led to such decisions being made at a more appropriate stage in the patient's illness. Regular review of TLDs is probably helpful in increasing the confidence of clinicians to make these difficult decisions openly and timeously.
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Affiliation(s)
- M O Fitzpatrick
- Department of Neurosurgery, Southern General Hospital NHS Trust, Glasgow
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44
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Goyal SM, Joo HS, Mourning JR, McPherson SW, Goyal K. Comparison of three serotests for the detection of pseudorabies antibodies in pigs. Comp Immunol Microbiol Infect Dis 1987; 10:167-71. [PMID: 2827946 DOI: 10.1016/0147-9571(87)90028-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The serum-neutralization test (SN), enzyme-linked immunosorbent assay (ELISA) and the radial immunodiffusion enzyme assay (RIDEA) were compared for the detection of pseudorabies (PRV) antibodies in swine sera. A total of 1285 serum samples were tested. All three tests were considered useful in determining the PRV antibody status of swine on a herd basis, but available evidence supports the continued use of SN as the definitive test because of possible false positive reactions associated with ELISA and RIDEA.
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Affiliation(s)
- S M Goyal
- Department of Veterinary Diagnostic Investigation, College of Veterinary Medicine, University of Minnesota, St Paul 55108
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45
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Chahar CK, Shekhawat V, Goyal K, Mathur HC. Citrobacter meningitis. J Indian Med Assoc 1983; 80:143-4. [PMID: 6644052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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46
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Clark HE, Myers P, Goyal K, Rinehart J. Influence of variable quantities of lysine, tryptophan and isoleucine on nitrogen retention of adult human subjects. Am J Clin Nutr 1966; 18:91-9. [PMID: 4951503 DOI: 10.1093/ajcn/18.2.91] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
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47
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Clark HE, Kenney MA, Goodwin AF, Goyal K, Mertz ET. Effect of Certain Factors on Nitrogen Retention and Lysine Requirements of Adult Human Subjects. J Nutr 1963; 81:223-9. [PMID: 14083236 DOI: 10.1093/jn/81.3.223] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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