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Joshi M, Kar SK. Relevance of extended sessions and maintenance transcranial direct current stimulation in management of obsessive-compulsive disorder: A case study. Asian J Psychiatr 2024; 92:103883. [PMID: 38171226 DOI: 10.1016/j.ajp.2023.103883] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 11/02/2023] [Accepted: 12/17/2023] [Indexed: 01/05/2024]
Affiliation(s)
- Mohita Joshi
- Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India.
| | - Sujita Kumar Kar
- Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India.
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Joshi M, Kar SK. Allergic Cutaneous Drug Eruptions with Quetiapine: A Case Study. Indian J Psychol Med 2023; 45:441-442. [PMID: 37483567 PMCID: PMC10357913 DOI: 10.1177/02537176221148975] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/25/2023] Open
Affiliation(s)
- Mohita Joshi
- Dept. of Psychiatry, King George’s Medical University, Lucknow, Uttar Pradesh, India
| | - Sujita Kumar Kar
- Dept. of Psychiatry, King George’s Medical University, Lucknow, Uttar Pradesh, India
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Choudhary P, Agarwal A, Joshi M, Singh A, Kar SK. Spermatophagia Associated with Dhat Syndrome in a Patient with Schizophrenia: A Case Report. Indian J Psychol Med 2023; 45:437-438. [PMID: 37483587 PMCID: PMC10357912 DOI: 10.1177/02537176221140606] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/25/2023] Open
Affiliation(s)
- Prashant Choudhary
- Dept. of Psychiatry, King George’s Medical University, Lucknow, Uttar Pradesh, India
| | - Aditya Agarwal
- Dept. of Psychiatry, King George’s Medical University, Lucknow, Uttar Pradesh, India
| | - Mohita Joshi
- Dept. of Psychiatry, King George’s Medical University, Lucknow, Uttar Pradesh, India
| | - Amit Singh
- Dept. of Psychiatry, King George’s Medical University, Lucknow, Uttar Pradesh, India
| | - Sujita Kumar Kar
- Dept. of Psychiatry, King George’s Medical University, Lucknow, Uttar Pradesh, India
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Hammad K, Casey S, Taito R, Demas SW, Joshi M, Rita R, Maisema A. Implementation and use of a national electronic dashboard to guide COVID-19 clinical management in Fiji. Western Pac Surveill Response J 2023; 14:01-7. [PMID: 36936727 PMCID: PMC10017918 DOI: 10.5365/wpsar.2023.14.5.967] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/21/2023] Open
Abstract
Problem From April to September 2021, Fiji experienced a second wave of coronavirus disease (COVID-19) precipitated by the Delta variant of concern, prompting a need to strengthen existing data management of positive COVID-19 cases. Context With COVID-19 cases peaking at 1405 a day and many hospital admissions, the need to develop a better way to visualize data became clear. Action The Fiji Ministry of Health and Medical Services, the World Health Organization and the United Nations Office for the Coordination of Humanitarian Affairs collaborated to develop an online clinical dashboard to support better visualization of case management data. Outcome The dashboard was used across Fiji at national, divisional and local levels for COVID-19 management. At the national level, it provided real-time reports describing the surge pattern, severity and management of COVID-19 cases across the country during daily incident management team meetings. At the divisional level, it gave the divisional directors access to timely information about hospital and community isolation of cases. At the hospital level, the dashboard allowed managers to monitor trends in isolated cases and use of oxygen resources. Discussion The dashboard replaced previous paper-based reporting of statistics with delivery of trends and real-time data. The team that developed the tool were situated in different locations and did not meet physically, demonstrating the ease of implementing this online tool in a resource-constrained setting. The dashboard is easy to use and could be used in other Pacific island countries and areas.
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Affiliation(s)
- Karen Hammad
- World Health Organization Division of
Pacific Technical Support, Suva,
Fiji
- Menzies Health Institute Queensland, Griffith
University, Nathan, Queensland, Australia
- College of Nursing and Health Sciences,
Flinders University, Adelaide, South
Australia, Australia
| | - Sean Casey
- World Health Organization Regional
Office for the Western Pacific, Manila,
Philippines
- School of Population Health, University
of New South Wales, Sydney, New South
Wales, Australia
| | - Rigamoto Taito
- Lautoka Hospital, Lautoka,
Fiji
- Ministry of Health and Medical
Services, Suva,
Fiji
| | - Sara W Demas
- World Health Organization Division of
Pacific Technical Support, Suva,
Fiji
| | - Mohita Joshi
- Office of the Pacific Islands, United
Nations Office for the Coordination of Humanitarian Affairs,
Suva, Fiji
| | - Rashmi Rita
- Office of the Pacific Islands, United
Nations Office for the Coordination of Humanitarian Affairs,
Suva, Fiji
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Patel P, Suthar V, Suthar B, Joshi M, Patil D, Joshi C. 166 Intracytoplasmic morphological evaluation of. Reprod Fertil Dev 2022. [DOI: 10.1071/rdv35n2ab166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022] Open
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Singh P, Efstathiou J, Plets M, Jhavar S, Delacroix S, Tripathi A, Gupta A, Sachdev S, Jani A, Kirschner A, Tangen C, Bangs R, Joshi M, Costello B, Thompson I, Feng F, Lerner S. INTACT (S/N1806): Phase III Randomized Trial of Concurrent Chemoradiotherapy with or without Atezolizumab in Localized Muscle Invasive Bladder Cancer—Toxicity Update on First 213 Patients. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.475] [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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Joshi M, R N, Gupta R, Agarwal V, Aggarwal R, Gupta L. POS1565-PARE ASSESSMENT OF QUALITY AND RELIABILITY OF YOUTUBE VIDEOS FOR PATIENT AND PHYSICIAN EDUCATION ON INFLAMMATORY MYOSITIS. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3858] [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: 11/04/2022]
Abstract
BackgroundNowadays 80% of internet users access health information online, with YouTube being the second most popular search website worldwide. This study was undertaken to assess the reliability and quality of videos pertaining to myositis on YouTube and identify lacunae in information material on the platform.ObjectivesThis study aims to assess the quality and profile of myositis information videos on YouTube, and to compare and delineate attributes of useful and not useful videos using standard metrics.MethodsA thorough search was carried out on YouTube using 9 search terms related to myositis. The inclusion criteria were primary English content related to myositis, acceptable audio-video quality, and multi-part videos to be considered as one, while duplicates and advertisements were excluded. The videos were classified as useful, not useful or misleading, and patient experiences (Figure 1).Figure 1.Flowchart of selection of YouTube videos for the studyReliability of the videos was determined using the 5-point modified DISCERN (mDISCERN) criteria and quality by the 5-point Global Quality Scale (GQS) and 4-point JAMA scoring system. Score-based usefulness was defined as mDISCERN >4 or GQS >4 or JAMA >3. All values are in median and IQR.ResultsOf 453 analyzed videos 74% and 2% provided useful and not useful information respectively. 24% were patient experiences, and 324 (71%) were intended specifically for patients while 313 (69%) were for healthcare providers and students. Nearly one-thirds (n=143) reported information related to treatment of myositis.Noteworthily, useful and not useful videos had similar views count. However, number of likes and daily viewership were higher for useful videos (p=0.024, p=0.046). Nearly half (47%) of useful videos were by professional medical societies/patient support groups while not useful ones were often by nonmedical media (38%).Useful videos had higher mDISCERN reliability scores [4(3-4) vs 2(1-3), p<0.001] and better quality on GQS [4.5 (3.5-5) vs 1 (1-2.8), p<0.001] and JAMA [3 (3-4) vs 2.25 (2-3), p=0.004]. Physician predicted usefulness was discordant with score-based usefulness(κ=0.129). However, GQS score emerged significant (p=0.008) for predicting video usefulness in multivariate analysis (Table 1).Table 1.Factors predicting usefulness of video in binary logistic regression.VariableB coefficientS.E.Exp (B) and 95% CIp valueIntended audience Anyone/General public-5.452.5860.004 (0.0-0.68)0.035Average GQS-2.861.0760.05 (0.007-0.47)0.008GQS Global Quality Scale. Exp (B) is odd’s ratio, p<0.05 is significantConclusionMajority of English YouTube videos on myositis provide useful information for patients, largely related to treatment of myositis. However, the dynamic nature of YouTube could potentially change this equation in the future and physicians should correct any misinformation identified in face-to-face meetings or teleconsultations. High quality useful videos, often predicted by validated scores and produced by professional medical societies should be promoted as the first line of content consumed.Disclosure of InterestsNone declared
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Joshi M, Kar SK, Dalal PK. Safety and efficacy of early augmentation with repetitive transcranial magnetic stimulation in the treatment of drug-free patients with obsessive-compulsive disorder. CNS Spectr 2022; 28:1-7. [PMID: 35082003 DOI: 10.1017/s1092852922000013] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Obsessive-compulsive disorder (OCD) is a chronic psychiatric disorder that results in significant disability and substantial compromise in the quality of life. Until now, the role of repetitive transcranial magnetic stimulation (rTMS) has been primarily explored in individuals with treatment-resistant OCD. In this study, we investigated the safety and efficacy of rTMS as an early augmentation strategy in drug-free patients with OCD. METHODS This is a randomized double-blind, placebo-controlled study that involved the administration of a total of 20 sessions of rTMS (active/sham) to drug-naïve OCD patients using a standard protocol (1-Hz; 20 trains [80 pulses/train]; 1600 pulses per session at 100% resting motor threshold) at supplementary motor area. All patients (active and sham) were started on escitalopram 10 mg/d, which was subsequently increased to 20 mg/d after 10 days. RESULTS Out of the 24 patients, 13 received active and 11 received sham rTMS. At the end of rTMS therapy, there was a substantial reduction (P = .001) in total Yale-Brown Obsessive-Compulsive Scale, obsessions (P = .030) and compulsions (P = .001) between the groups. Only few patients (N = 8) reported mild side effect with rTMS, local pain, and headache being the commonest. The study revealed large effect size (Cohen's d = 1.6) of rTMS as an early augmentation strategy in drug-free patients of OCD. CONCLUSIONS rTMS is a safe and effective early augmentation strategy in the management of OCD. Larger randomized controlled trials are required to establish the therapeutic role of rTMS as early augmentation in OCD.
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Affiliation(s)
- Mohita Joshi
- Department of Psychiatry, King George's Medical University, Lucknow, India
| | - Sujita Kumar Kar
- Department of Psychiatry, King George's Medical University, Lucknow, India
| | - Pronob K Dalal
- Department of Psychiatry, King George's Medical University, Lucknow, India
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Gopalakrishnan S, Chaurasia S, Sankar MJ, Paul VK, Deorari AK, Joshi M, Agarwal R. Stepwise interventions for improving hand hygiene compliance in a level 3 academic neonatal intensive care unit in north India. J Perinatol 2021; 41:2834-2839. [PMID: 34321595 DOI: 10.1038/s41372-021-01141-3] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2020] [Revised: 06/20/2021] [Accepted: 06/30/2021] [Indexed: 11/09/2022]
Abstract
OBJECTIVE We evaluated effect of sequentially introducing four WHO-recommended interventions to promote hand-hygiene compliance in tertiary-care NICU. STUDY DESIGN Four dedicated research nurses directly observed doctors and nurses to record success in hand-hygiene opportunities at randomly selected NICU beds and randomly sampled time-slots in four phases (of 4-weeks each): I-Baseline, II-Self-directed learning; III-Participatory learning; IV-Closed-Circuit Television (CCTV); and V-CCTV-plus (with feedback). FINDINGS Hand-hygiene compliance changed from 61.8% (baseline) to 77% (end) with overall relative change: 24.6% (95% CI 18, 32; p value= 0.003); compared with preceding phase, relative changes of 21% (15, 28; <0.001), 4% (0, 8; 0.008), -10% (-13, -6; <0.001), and 10% (5, 15; <0.001) during phases II, III, IV, and V, respectively were observed. Rise in hand-hygiene compliance was higher for after-WHO-moments (12.7%; upto 2.5-folds for moment 5, <0.001) compared to before-WHO-moments (5.2%). Educational interventions, feedback and monitoring WHO moments can improve hand-hygiene compliance significantly among health-care providers in NICU.
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Affiliation(s)
| | - Suman Chaurasia
- Department of Neonatology, All India Institute of Medical Sciences, Rishikesh, Dehradun, 249203, Uttarakhand, India.
| | - M J Sankar
- Newborn Health Knowledge Centre (NHKC) and WHO Collaborating Centre for Training and Research in Newborn Care, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
| | - V K Paul
- Department of Pediatrics, AIIMS, New Delhi, India
| | - A K Deorari
- WHO Collaborating Centre for Training & Research in Newborn Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India
| | - M Joshi
- WHO Collaborating Centre for Training & Research in Newborn Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India
| | - R Agarwal
- Newborn Health Knowledge Centre (NHKC) and WHO Collaborating Centre for Training and Research in Newborn Care, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India
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Gopalakrishnan S, Chaurasia S, Sankar MJ, Paul VK, Deorari AK, Joshi M, Agarwal R. Correction: Stepwise interventions for improving hand hygiene compliance in a level 3 academic neonatal intensive care unit in north India. J Perinatol 2021; 41:2847. [PMID: 34645955 DOI: 10.1038/s41372-021-01224-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
| | - Suman Chaurasia
- Department of Neonatology, All India Institute of Medical Sciences, Rishikesh, Dehradun, 249203, Uttarakhand, India.
| | - M J Sankar
- Newborn Health Knowledge Centre (NHKC) and WHO Collaborating Centre for Training and Research in Newborn Care, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
| | - V K Paul
- Department of Pediatrics, AIIMS, New Delhi, India
| | - A K Deorari
- WHO Collaborating Centre for Training & Research in Newborn Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India
| | - M Joshi
- WHO Collaborating Centre for Training & Research in Newborn Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India
| | - R Agarwal
- Newborn Health Knowledge Centre (NHKC) and WHO Collaborating Centre for Training and Research in Newborn Care, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India
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Agrawal A, Joshi M, Kar SK, Agarwal V. Role of repetitive transcranial magnetic stimulation in management of obsessive-compulsive disorder in patients of schizophrenia. Asian J Psychiatr 2021; 65:102822. [PMID: 34479023 DOI: 10.1016/j.ajp.2021.102822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 08/24/2021] [Indexed: 10/20/2022]
Affiliation(s)
- Aditya Agrawal
- King George's Medical University, Lucknow, Uttar pradesh, India.
| | - Mohita Joshi
- King George's Medical University, Lucknow, Uttar pradesh, India.
| | - Sujita Kumar Kar
- King George's Medical University, Lucknow, Uttar pradesh, India.
| | - Vivek Agarwal
- King George's Medical University, Lucknow, Uttar pradesh, India.
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Affiliation(s)
- M Joshi
- Department of Radiology, B.J. Medical College, Ahmedabad-380016, India
| | - S Yadav
- Department of Radiology, B.J. Medical College, Ahmedabad-380016, India
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Ospel JM, Hill MD, Menon BK, Demchuk A, McTaggart R, Nogueira R, Poppe A, Haussen D, Qiu W, Mayank A, Almekhlafi M, Zerna C, Joshi M, Jayaraman M, Roy D, Rempel J, Buck B, Tymianski M, Goyal M. Strength of Association between Infarct Volume and Clinical Outcome Depends on the Magnitude of Infarct Size: Results from the ESCAPE-NA1 Trial. AJNR Am J Neuroradiol 2021; 42:1375-1379. [PMID: 34167959 DOI: 10.3174/ajnr.a7183] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 03/17/2021] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Infarct volume is an important predictor of clinical outcome in acute stroke. We hypothesized that the association of infarct volume and clinical outcome changes with the magnitude of infarct size. MATERIALS AND METHODS Data were derived from the Safety and Efficacy of Nerinetide in Subjects Undergoing Endovascular Thrombectomy for Stroke (ESCAPE-NA1) trial, in which patients with acute stroke with large-vessel occlusion were randomized to endovascular treatment plus either nerinetide or a placebo. Infarct volume was manually segmented on 24-hour noncontrast CT or DWI. The relationship between infarct volume and good outcome, defined as mRS 0-2 at 90 days, was plotted. Patients were categorized on the basis of visual grouping at the curve shoulders of the infarct volume/outcome plot. The relationship between infarct volume and adjusted probability of good outcome was fitted with linear or polynomial functions as appropriate in each group. RESULTS We included 1099 individuals in the study. Median infarct volume at 24 hours was 24.9 mL (interquartile range [IQR] = 6.6-92.2 mL). On the basis of the infarct volume/outcome plot, 4 infarct volume groups were defined (IQR = 0-15 mL, 15.1-70 mL, 70.1-200 mL, >200 mL). Proportions of good outcome in the 4 groups were 359/431 (83.3%), 219/337 (65.0%), 71/201 (35.3%), and 16/130 (12.3%), respectively. In small infarcts (IQR = 0-15 mL), no relationship with outcome was appreciated. In patients with intermediate infarct volume (IQR = 15-200 mL), there was progressive importance of volume as an outcome predictor. In infarcts of > 200 mL, outcomes were overall poor. CONCLUSIONS The relationship between infarct volume and clinical outcome varies nonlinearly with the magnitude of infarct size. Infarct volume was linearly associated with decreased chances of achieving good outcome in patients with moderate-to-large infarcts, but not in those with small infarcts. In very large infarcts, a near-deterministic association with poor outcome was seen.
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Affiliation(s)
- J M Ospel
- Department of Clinical Neurosciences (J.M.O., M.D.H., B.K.M., A.D., W.Q., A.M., M.A., C.Z., M.G.), University of Calgary, Calgary, Alberta, Canada.,Department of Radiology (J.M.O.), University Hospital of Basel, Basel, Switzerland
| | - M D Hill
- Department of Clinical Neurosciences (J.M.O., M.D.H., B.K.M., A.D., W.Q., A.M., M.A., C.Z., M.G.), University of Calgary, Calgary, Alberta, Canada.,Department of Radiology (M.D.H., B.K.M., A.D., M.A., M. Joshi, M.G.), University of Calgary, Calgary, Alberta, Canada
| | - B K Menon
- Department of Clinical Neurosciences (J.M.O., M.D.H., B.K.M., A.D., W.Q., A.M., M.A., C.Z., M.G.), University of Calgary, Calgary, Alberta, Canada.,Department of Radiology (M.D.H., B.K.M., A.D., M.A., M. Joshi, M.G.), University of Calgary, Calgary, Alberta, Canada
| | - A Demchuk
- Department of Clinical Neurosciences (J.M.O., M.D.H., B.K.M., A.D., W.Q., A.M., M.A., C.Z., M.G.), University of Calgary, Calgary, Alberta, Canada.,Department of Radiology (M.D.H., B.K.M., A.D., M.A., M. Joshi, M.G.), University of Calgary, Calgary, Alberta, Canada
| | - R McTaggart
- Department of Interventional Radiology (R.M., M. Jayaraman), Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - R Nogueira
- Department of Neurology (R.N., D.H.), Emory University School of Medicine, Atlanta, Georgia
| | - A Poppe
- Centre Hospitalier de l'Université de Montréal (A.P., D.R.), Montreal, Quebec, Canada
| | - D Haussen
- Department of Neurology (R.N., D.H.), Emory University School of Medicine, Atlanta, Georgia
| | - W Qiu
- Department of Clinical Neurosciences (J.M.O., M.D.H., B.K.M., A.D., W.Q., A.M., M.A., C.Z., M.G.), University of Calgary, Calgary, Alberta, Canada
| | - A Mayank
- Department of Clinical Neurosciences (J.M.O., M.D.H., B.K.M., A.D., W.Q., A.M., M.A., C.Z., M.G.), University of Calgary, Calgary, Alberta, Canada
| | - M Almekhlafi
- Department of Clinical Neurosciences (J.M.O., M.D.H., B.K.M., A.D., W.Q., A.M., M.A., C.Z., M.G.), University of Calgary, Calgary, Alberta, Canada.,Department of Radiology (M.D.H., B.K.M., A.D., M.A., M. Joshi, M.G.), University of Calgary, Calgary, Alberta, Canada
| | - C Zerna
- Department of Clinical Neurosciences (J.M.O., M.D.H., B.K.M., A.D., W.Q., A.M., M.A., C.Z., M.G.), University of Calgary, Calgary, Alberta, Canada
| | - M Joshi
- Department of Radiology (M.D.H., B.K.M., A.D., M.A., M. Joshi, M.G.), University of Calgary, Calgary, Alberta, Canada
| | - M Jayaraman
- Department of Interventional Radiology (R.M., M. Jayaraman), Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - D Roy
- Centre Hospitalier de l'Université de Montréal (A.P., D.R.), Montreal, Quebec, Canada
| | - J Rempel
- University of Alberta Hospital (J.R., B.B.), Edmonton, Alberta, Canada
| | - B Buck
- University of Alberta Hospital (J.R., B.B.), Edmonton, Alberta, Canada
| | | | - M Goyal
- Department of Clinical Neurosciences (J.M.O., M.D.H., B.K.M., A.D., W.Q., A.M., M.A., C.Z., M.G.), University of Calgary, Calgary, Alberta, Canada .,Department of Radiology (M.D.H., B.K.M., A.D., M.A., M. Joshi, M.G.), University of Calgary, Calgary, Alberta, Canada
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Punekar YS, Parks D, Joshi M, Kaur S, Evitt L, Chounta V, Radford M, Jha D, Ferrante S, Sharma S, Van Wyk J, de Ruiter A. Effectiveness and safety of dolutegravir two-drug regimens in virologically suppressed people living with HIV: a systematic literature review and meta-analysis of real-world evidence. HIV Med 2021; 22:423-433. [PMID: 33529489 PMCID: PMC8248313 DOI: 10.1111/hiv.13050] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [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] [Accepted: 12/01/2020] [Indexed: 01/21/2023]
Abstract
Objectives Dolutegravir (DTG) is widely recommended within three‐drug regimens. However, similar efficacy and tolerability have also been achieved with DTG within two‐drug regimens in clinical trials. This study evaluated the real‐world effectiveness and discontinuations in people living with HIV‐1 (PLHIV) switching to DTG with lamivudine (3TC) or rilpivirine (RPV). Methods This was a one‐arm meta‐analysis utilizing data from a systematic literature review. Data from real‐world evidence studies of DTG + RPV and DTG + 3TC were extracted, pooled and analysed. The primary outcome was the proportion of patients with viral failure (VF; ≥ 50 copies/mL in two consecutive measurements and/or ≥ 1000 copies/mL in a single measurement) at week 48 (W48) and week 96 (W96). Other outcomes included virological suppression (VS; < 50 copies/mL) and discontinuations (W48 and W96). Estimates were calculated for VF, VS as per snapshot (VSS) and on treatment analysis (VSOT), and discontinuations. Results Pooled mean estimates of VF for DTG + 3TC and DTG + RPV were 0.8% [95% confidence interval (CI): 0.4–1.3] and 0.6% (95% CI: 0.0–1.6), respectively, at W48. VSS rate at W48 was 85.0% (95% CI: 82.3–87.5) for DTG + 3TC regimen and 92.4% (95% CI: 85.0–97.7) in the DTG + RPV regimen. The DTG + 3TC and DTG + RPV regimens led to discontinuations in 13.6% (95% CI: 11.1–16.2) and 7.2% (95% CI: 2.1–14.4) of patients, respectively, at W48. Similar results were observed at W96. Conclusions Treatment with DTG + 3TC or DTG + RPV in clinical practice provides a low rate of VF and a high rate of VS when initiated in virologically suppressed PLHIV with diverse backgrounds.
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Affiliation(s)
| | - D Parks
- GlaxoSmithKline, Collegeville, PA, USA
| | - M Joshi
- GlaxoSmithKline Knowledge Centre, Gurgaon, India
| | - S Kaur
- Parexel India, Chandigarh, India
| | - L Evitt
- ViiV Healthcare, Brentford, UK
| | | | | | - D Jha
- GlaxoSmithKline Knowledge Centre, Gurgaon, India
| | | | - S Sharma
- Parexel India, Chandigarh, India
| | | | - A de Ruiter
- ViiV Healthcare, Brentford, UK.,Guy's and St Thomas' NHS Foundation Trust, London, UK
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Doultani S, Mootapally C, Nathani N, Suthar V, Highland H, Patil D, Joshi M, Joshi C. 130 Expression of selected biomarker candidate genes to confer invitro maturation in Indian buffaloes. Reprod Fertil Dev 2021. [DOI: 10.1071/rdv33n2ab130] [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: 11/23/2022] Open
Abstract
Invitro maturation (IVM) of oocytes is a crucial step and is directly related to better embryo production in buffaloes. Therefore, we planned to study gene expression of GDF9, HAS2, SPRY1, ARHGAP22, COL18A1, and GPC4 genes in IVM and immature cumulus–oocyte complexes (COCs). The COCs were recovered from follicles of slaughter origin ovaries of native buffaloes. COCs were observed under stereo zoom microscope and categorized in four grades according to morphology. Of the four grades, the first three grade COCs were considered and randomly allotted in two groups: immature treatment group (n=263) and IVM treatment group (n=272). IVM of COCs was carried out in 100-μL drops of BO-IVM medium overlaying embryo tested oil in a 35-mm petri dish under 5% CO2 in a 39.0°C incubator for 24h. Cumulus of COCs of both groups were removed by treating with 0.25% trypsin, and oocytes were stored in RNALater for future use. The expression of genes was evaluated using quantitative PCR, and the relative expression of each gene was calculated using the ΔΔCt method with efficiency correction. The logarithmic transformation of fold change (log2FC) of each candidate gene in the IVM oocyte group was computed against the immature oocyte group based on the observed cycle threshold values. Appropriate standard deviations were determined based on the observed deviations among the triplicates. The expression in the IVM treatment group of previously reported upregulated genes (GDF9, HAS2, SPRY1) was higher (up to 10-fold) compared with the immature treatment group (reference group). In the present study, relatively lower expression was observed for the other candidate genes (ARHGAP22, COL18A1, GPC4) in the bovine transcripts of oocyte, which were previously also reported as being downregulated.
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Gadkari R, Ali SW, Joshi M, Rajendran S, Das A, Alagirusamy R. Leveraging antibacterial efficacy of silver loaded chitosan nanoparticles on layer-by-layer self-assembled coated cotton fabric. Int J Biol Macromol 2020; 162:548-560. [DOI: 10.1016/j.ijbiomac.2020.06.137] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 05/29/2020] [Accepted: 06/14/2020] [Indexed: 12/28/2022]
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17
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Joshi M, Zakharia Y, Kaag M, Kilari D, Holder S, Emamekhoo H, Sankin A, Liao J, Merrill S, DeGraff D, Zheng H, Warrick J, Hauke R, Gartrell B, Stein M, Drabick J, Tuanquin L. Concurrent Durvalumab And Radiation Therapy (DUART) followed by Adjuvant Durvalumab in Patients with Localized Urothelial Cancer of Bladder: BTCRC-GU15-023. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.2124] [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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18
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Suwa Y, Joshi M, Poynter L, Endo I, Ashrafian H, Darzi A. Obese patients and robotic colorectal surgery: systematic review and meta-analysis. BJS Open 2020; 4:1042-1053. [PMID: 32955800 PMCID: PMC7709366 DOI: 10.1002/bjs5.50335] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [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: 04/17/2020] [Accepted: 07/05/2020] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Obesity is a major health problem, demonstrated to double the risk of colorectal cancer. The benefits of robotic colorectal surgery in obese patients remain largely unknown. This meta-analysis evaluated the clinical and pathological outcomes of robotic colorectal surgery in obese and non-obese patients. METHODS MEDLINE, Embase, Global Health, Healthcare Management Information Consortium (HMIC) and Midwives Information and Resources Service (MIDIRS) databases were searched on 1 August 2018 with no language restriction. Meta-analysis was performed according to PRISMA guidelines. Obese patients (BMI 30 kg/m2 or above) undergoing robotic colorectal cancer resections were compared with non-obese patients. Included outcome measures were: operative outcomes (duration of surgery, conversion to laparotomy, blood loss), postoperative complications, hospital length of stay and pathological outcomes (number of retrieved lymph nodes, positive circumferential resection margins and length of distal margin in rectal surgery). RESULTS A total of 131 full-text articles were reviewed, of which 12 met the inclusion criteria and were included in the final analysis. There were 3166 non-obese and 1420 obese patients. A longer duration of surgery was documented in obese compared with non-obese patients (weighted mean difference -21·99 (95 per cent c.i. -31·52 to -12·46) min; P < 0·001). Obese patients had a higher rate of conversion to laparotomy than non-obese patients (odds ratio 1·99, 95 per cent c.i. 1·54 to 2·56; P < 0·001). Blood loss, postoperative complications, length of hospital stay and pathological outcomes were not significantly different in obese and non-obese patients. CONCLUSION Robotic surgery in obese patients results in a significantly longer duration of surgery and higher conversion rates than in non-obese patients. Further studies should focus on better stratification of the obese population with colorectal disease as candidates for robotic procedures.
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Affiliation(s)
- Y. Suwa
- Department of Surgery and CancerImperial College LondonLondonUK
- Department of Gastroenterological SurgeryYokohama City UniversityYokohamaJapan
| | - M. Joshi
- Department of Surgery and CancerImperial College LondonLondonUK
| | - L. Poynter
- Department of Surgery and CancerImperial College LondonLondonUK
| | - I. Endo
- Department of Gastroenterological SurgeryYokohama City UniversityYokohamaJapan
| | - H. Ashrafian
- Department of Surgery and CancerImperial College LondonLondonUK
| | - A. Darzi
- Department of Surgery and CancerImperial College LondonLondonUK
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Necchi A, Siefker-Radtke A, Loriot Y, Park S, Garcia-Donas J, Huddart R, Burgess E, Fleming M, Rezazadeh A, Mellado B, Varlamov S, Joshi M, Duran I, Zakharia Y, Fu M, Santiago-Walker A, O'Hagan A, Monga M, Tagawa S. 750P Erdafitinib (ERDA) in patients (pts) with locally advanced or metastatic urothelial carcinoma (mUC): Subgroup analyses of long-term efficacy outcomes of a pivotal phase II trial (BLC2001). Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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20
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Joshi M, Kumar R, Jha D, Punekar Y. PIN3 Is Dolutegravir Cost Effective in Treating Patients Living with HIV? Value Health Reg Issues 2020. [DOI: 10.1016/j.vhri.2020.07.250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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21
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Joshi M, Karat I, Leff DR. COVID 19 and breast surgery - silver linings? Br J Surg 2020; 107:e359. [PMID: 32687599 PMCID: PMC7404887 DOI: 10.1002/bjs.11784] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 05/18/2020] [Indexed: 11/08/2022]
Affiliation(s)
- M Joshi
- Imperial College London, Department of Surgery & Cancer, UK.,Frimley Health NHS Foundation Trust, UK
| | - I Karat
- Frimley Health NHS Foundation Trust, UK
| | - D R Leff
- Imperial College London, Department of Surgery & Cancer, UK
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22
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Soliman M, Rosenblatt R, Joshi M, Chung C, Mitry M, Oh K, Talenfeld A, Samstein B, Brown R, Halazun K, Fortune B, Charalel R. 3:27 PM Abstract No. 130 Hospitalization and complication rates following radiation segmentectomy versus microwave ablation for small hepatocellular carcinoma. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.162] [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: 11/16/2022] Open
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23
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Joshi M, Rosenblatt R, Chung C, Mitry M, Soliman M, Oh K, Askin G, Talenfeld A, Samstein B, Brown R, Halazun K, Fortune B, Charalel R. Abstract No. 532 Comparative efficacy of transarterial embolization versus transarterial embolization plus microwave ablation for hepatocellular carcinoma 3 to 5 cm in size. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Jain AK, Thakur VC, Joshi M, Mukherjee PK, Patel RC, Bhattacharyya K, Singhal S, Agarwal KK, Dixit R, Deshmukh G, Mohan M. Tectonics of the Western, Sikkim and Arunachal Himalaya. PINSA 2020. [DOI: 10.16943/ptinsa/2020/49781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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25
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Posthuma LM, Downey C, Visscher MJ, Ghazali DA, Joshi M, Ashrafian H, Khan S, Darzi A, Goldstone J, Preckel B. Remote wireless vital signs monitoring on the ward for early detection of deteriorating patients: A case series. Int J Nurs Stud 2020; 104:103515. [PMID: 32105974 DOI: 10.1016/j.ijnurstu.2019.103515] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [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: 09/17/2019] [Revised: 12/24/2019] [Accepted: 12/28/2019] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Remote wireless monitoring is a new technology that allows the continuous recording of ward patients' vital signs, supporting nurses by measuring vital signs frequently and accurately. A case series is presented to illustrate how these systems might contribute to improved patient surveillance. METHODS AND RESULTS Five hospitals in three European countries installed a remote wireless vital signs monitoring system on medical or surgical wards. Heart rate, respiratory rate and temperature were measured by the system every 2 min. Four cases of (paroxysmal) atrial fibrillation are presented, two cases of sepsis and one case each of pyrexia, cardiogenic pulmonary edema and pulmonary embolisms. All cases show that the remote monitoring system revealed the first signs of ventilatory and circulatory deterioration before a change in the trends of the respective values became obvious by manual vital signs measurement. DISCUSSION This case series illustrates that a wireless remote vital signs monitoring system on medical and surgical wards has the potential to reduce time to detect deteriorating patients.
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Affiliation(s)
- L M Posthuma
- Department of Anaesthesiology, Amsterdam UMC, location AMC, H1-148, Amsterdam UMC, location AMC, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands
| | - C Downey
- Leeds Institute of Medical Research at St. James's, University of Leeds, United Kingdom
| | - M J Visscher
- Department of Anaesthesiology, Amsterdam UMC, location AMC, H1-148, Amsterdam UMC, location AMC, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands
| | - D A Ghazali
- Emergency Department, University Hospital of Bichat, Paris, France
| | - M Joshi
- Department of Surgery & Cancer, Academic Surgical Unit, St Mary's Hospital, Imperial College London, London, United Kingdom; Chelsea and Westminster Hospital NHS Foundation Trust, West Middlesex University Hospital, London, United Kingdom
| | - H Ashrafian
- Department of Surgery & Cancer, Academic Surgical Unit, St Mary's Hospital, Imperial College London, London, United Kingdom
| | - S Khan
- Chelsea and Westminster Hospital NHS Foundation Trust, West Middlesex University Hospital, London, United Kingdom
| | - A Darzi
- Department of Surgery & Cancer, Academic Surgical Unit, St Mary's Hospital, Imperial College London, London, United Kingdom
| | - J Goldstone
- Chief Intensivist, King Edward VII Hospital, The London Clinic and University College London Hospitals NHS Trust, London, United Kingdom
| | - B Preckel
- Department of Anaesthesiology, Amsterdam UMC, location AMC, H1-148, Amsterdam UMC, location AMC, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.
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Shrestha AK, Joshi M, DeBono L, Naeem K, Basu S. Laparoscopic repair of type III/IV giant para-oesophageal herniae with biological prosthesis: a single centre experience. Hernia 2019; 23:387-396. [PMID: 30661178 DOI: 10.1007/s10029-019-01888-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Accepted: 01/09/2019] [Indexed: 12/11/2022]
Abstract
PURPOSE Repair of giant paraoesophageal herniae (GPEH) is technically challenging and requires significant experience in advanced foregut surgery. Controversy continues on suture versus mesh cruroplasty with the most recent systematic review and meta-analysis putting the onus on the operating surgeon. Study aim was to review whether the biological prosthesis (non-cross-linked bovine pericardium and porcine dermis) and the technique adopted for patients with GPEH had an influence on clinical and radiological recurrences. METHOD A retrospective analysis of a prospectively collected data of 60 consecutive patients with confirmed 5 cm hiatus hernia and ≥ 30% stomach displacement in the thorax that were operated in the upper gastrointestinal unit of a large district general hospital between September 2010 and August 2017. Pre and post-surgery Gastro-Oesophageal Reflux Disease Questionnaire [(GORD-HRQOL)] and a follow up contrast study were completed. RESULTS 60 included 2 (3%) and 58 (97%) emergency and elective procedures respectively with a male: female ratio of 1:3, age 71* (Median) (42-89) years, BMI 29* (19-42) and 26 (43%) with ASA III/IV. Investigations confirmed 46* (37-88) mm and 42* (34-77) mm transverse and antero-posterior hiatal defect respectively with 60* (30-100)% displacement of stomach into chest. Operative time and length of stay was 180* (120-510) minutes and 2* (1-30) days respectively. One (2%) converted for bleeding and 2 (3%) peri-operative deaths. Five (8%), 5 (8%) and 4 (7%) have dysphagia, symptomatic and radiological recurrences respectively. GORD-HRQOL recorded preoperatively was 27* (10-39) dropping significantly postoperatively to 0* (0-21) (P < 0.005) with 95% patient satisfaction at a follow up of 60* (36-84) months. CONCLUSIONS Our technique of laparoscopic GPEH repair with biological prosthesis is safe with a reduced symptomatic and radiological recurrence and an acceptable morbidity and mortality.
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Affiliation(s)
- A K Shrestha
- Department of General Surgery, East Kent Hospitals University NHS Foundation Trust (EKHUFT), Ashford, Kent, UK
| | - M Joshi
- Department of General Surgery, East Kent Hospitals University NHS Foundation Trust (EKHUFT), Ashford, Kent, UK
| | - L DeBono
- Department of Surgery, One Ashford Hospital, Willesborough, Ashford, Kent, UK
| | - K Naeem
- Department of Radiology, EKHUFT, Ashford, Kent, UK
| | - S Basu
- Department of Surgery, EKHUFT, Ashford, Kent, UK. .,Department of Surgery, William Harvey Hospital, Ashford, Kent, TN24 0LZ, UK.
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27
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Malbari K, Gonsalves H, Chintakrindi A, Gohil D, Joshi M, Kothari S, Srivastava S, Chowdhary A, Kanyalkar M. In search of effective H1N1 neuraminidase inhibitor by molecular docking, antiviral evaluation and membrane interaction studies using NMR. Acta Virol 2018; 62:179-190. [PMID: 29895159 DOI: 10.4149/av_2018_209] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Considering the need for discovery of new antiviral drugs, in view to combat the issue of resistance particularly to anti-influenza drugs, a series of 2'-amino, 3'-amino and 2', 4'-dihydroxy chalcone derivatives were designed. Structure-based drug design was used to design inhibitors of influenza virus - H1N1 neuraminidase enzyme. These were further optimized by a combination of iterative medicinal chemistry principles and molecular docking. Based on the best docking scores, some chalcone derivatives were synthesized and characterized by infrared spectroscopy (IR) and proton nuclear magnetic resonance (NMR). The molecules were evaluated for their anti-influenza action against influenza A/Pune isolate/2009 (H1N1) virus by in vitro enzyme-based assay (neuraminidase inhibition assay). We have then selected few of them for multinuclear NMR studies, 31P NMR, in order to probe the molecular mechanism of their antiviral action. Reasonably good correlation between docking scores; anti-influenza activity; and 31P NMR results were observed. The computational predictions were in consensus with the experimental results. It was observed that among tested compounds, derivative 1A, viz. 2', 4'-dihydroxy-4-methoxy chalcone, showed highest activity (IC50 = 2.23 μmol/l) against the virus under study. This derivative 1A can be explored further to provide a future therapeutic option for the treatment and prophylaxis of H1N1 viral infections.
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Gupta P, Sinha S, Joshi M, Kumar P, Bhalla S. PO520 A Unique Education Program On Diabetes and Cardiovascular Disease For Primary Care Physicians In India: A Support to WHO Global Action Plan. Glob Heart 2018. [DOI: 10.1016/j.gheart.2018.09.397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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29
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Yu H, Chen Z, Ballman K, Watson M, Govindan R, Beer D, Bueno R, Herman M, Franklin W, Gandara D, Joshi M, Merrick D, Richards W, Rivard C, Shepherd F, Tsao M, Bokhoven A, Harpole D, Hirsch F. P1.04-23 Expression of Emerging Immunotherapy Targets in Early-Stage Squamous Lung Carcinoma. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.738] [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: 11/16/2022]
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30
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Maharjan BR, Bhandary S, Upadhyay S, Ghimire S, Shrestha I, Joshi M, Vaidya S, Pradhan P. Developing tool and Measuring Integration Characteristics of Basic Science Curriculum to Improve Curriculum Integration. Kathmandu Univ Med J (KUMJ) 2018; 16:338-344. [PMID: 31729350] [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: 06/10/2023]
Abstract
Background Integrated curriculum enhances students' learning and the retention of knowledge. At Patan Academy of Health Sciences, integrated organ system based curriculum is used with Problem Based Learning as the principle teaching learning method to foster students' learning. In addition, other approaches of integration were under taken such as integrated assessment; logical arrangement teaching learning methods (lectures and practicals); joint effort of faculty in curriculum planning and delivery; conducive environment to foster hidden curriculum. This study describes the perception of faculty and students on integration characteristics of Basic Science curriculum. Objective To measure the integration characteristics of Basic Science Curriculum. Method Tool was developed to measure integration characteristics of Basic Science Curriculum and ensure whether such planned integration has been achieved. Mixed method was used to measure the perception of the integration characteristics i) quantitatively by questionnaire survey to faculty and students ii) qualitatively by in-depth interview of students. Result Both faculty and students perceived that all the blocks in Basic Science was well integrated in the quantitative questionnaire survey. But, in the in-depth interview, students perceived integration of curriculum in organ system blocks were better integrated compared to Principle of Human Biology blocks where fundamentals of basic science disciplines were delivered. Students reflected that Problem Based Learning not only integrated Basic Science disciplines but also with clinical sciences and the social context. But, students perceived that Community Health Sciences curriculum was not so well integrated with Basic Science subjects. Conclusion Overall, this study showed that planned integration in Basic Science curriculum was successfully executed during curriculum implementation.
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Affiliation(s)
- B R Maharjan
- Department of Biochemistry, School of Medicine, Patan Academy of Health Sciences, Lagankhel-5, Lalitpur, Nepal
| | - S Bhandary
- Department of Community Health Sciences, School of Medicine, Patan Academy of Health Sciences, Lagankhel-5, Lalitpur, Nepal
| | - S Upadhyay
- Department of Community Health Sciences, School of Medicine, Patan Academy of Health Sciences, Lagankhel-5, Lalitpur, Nepal
| | - S Ghimire
- Department of Anatomy, School of Medicine, Patan Academy of Health Sciences, Lagankhel-5, Lalitpur, Nepal
| | - I Shrestha
- Department of Physiology, School of Medicine, Patan Academy of Health Sciences, Lagankhel-5, Lalitpur, Nepal
| | - M Joshi
- Department of Pharmacology, School of Medicine, Patan Academy of Health Sciences, Lagankhel-5, Lalitpur, Nepal
| | - S Vaidya
- Department of Pathology, School of Medicine, Patan Academy of Health Sciences, Lagankhel-5, Lalitpur, Nepal
| | - P Pradhan
- Department of Microbiology, School of Medicine, Patan Academy of Health Sciences, Lagankhel-5, Lalitpur, Nepal
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31
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Joshi M, Szatmary P, Howes N. Survival comparison from upper GI cancers based on intention-to-treat and definitive staging, following surgery with or without neo-adjuvant therapy. Int J Surg 2018. [DOI: 10.1016/j.ijsu.2018.05.583] [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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32
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Raiteri CM, Villata M, Acosta-Pulido JA, Agudo I, Arkharov AA, Bachev R, Baida GV, Benítez E, Borman GA, Boschin W, Bozhilov V, Butuzova MS, Calcidese P, Carnerero MI, Carosati D, Casadio C, Castro-Segura N, Chen WP, Damljanovic G, D'Ammando F, Di Paola A, Echevarría J, Efimova NV, Ehgamberdiev SA, Espinosa C, Fuentes A, Giunta A, Gómez JL, Grishina TS, Gurwell MA, Hiriart D, Jermak H, Jordan B, Jorstad SG, Joshi M, Kopatskaya EN, Kuratov K, Kurtanidze OM, Kurtanidze SO, Lähteenmäki A, Larionov VM, Larionova EG, Larionova LV, Lázaro C, Lin CS, Malmrose MP, Marscher AP, Matsumoto K, McBreen B, Michel R, Mihov B, Minev M, Mirzaqulov DO, Mokrushina AA, Molina SN, Moody JW, Morozova DA, Nazarov SV, Nikolashvili MG, Ohlert JM, Okhmat DN, Ovcharov E, Pinna F, Polakis TA, Protasio C, Pursimo T, Redondo-Lorenzo FJ, Rizzi N, Rodriguez-Coira G, Sadakane K, Sadun AC, Samal MR, Savchenko SS, Semkov E, Skiff BA, Slavcheva-Mihova L, Smith PS, Steele IA, Strigachev A, Tammi J, Thum C, Tornikoski M, Troitskaya YV, Troitsky IS, Vasilyev AA, Vince O. Blazar spectral variability as explained by a twisted inhomogeneous jet. Nature 2017; 552:374-377. [PMID: 29211720 DOI: 10.1038/nature24623] [Citation(s) in RCA: 85] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 10/06/2017] [Indexed: 11/09/2022]
Abstract
Blazars are active galactic nuclei, which are powerful sources of radiation whose central engine is located in the core of the host galaxy. Blazar emission is dominated by non-thermal radiation from a jet that moves relativistically towards us, and therefore undergoes Doppler beaming. This beaming causes flux enhancement and contraction of the variability timescales, so that most blazars appear as luminous sources characterized by noticeable and fast changes in brightness at all frequencies. The mechanism that produces this unpredictable variability is under debate, but proposed mechanisms include injection, acceleration and cooling of particles, with possible intervention of shock waves or turbulence. Changes in the viewing angle of the observed emitting knots or jet regions have also been suggested as an explanation of flaring events and can also explain specific properties of blazar emission, such as intra-day variability, quasi-periodicity and the delay of radio flux variations relative to optical changes. Such a geometric interpretation, however, is not universally accepted because alternative explanations based on changes in physical conditions-such as the size and speed of the emitting zone, the magnetic field, the number of emitting particles and their energy distribution-can explain snapshots of the spectral behaviour of blazars in many cases. Here we report the results of optical-to-radio-wavelength monitoring of the blazar CTA 102 and show that the observed long-term trends of the flux and spectral variability are best explained by an inhomogeneous, curved jet that undergoes changes in orientation over time. We propose that magnetohydrodynamic instabilities or rotation of the twisted jet cause different jet regions to change their orientation and hence their relative Doppler factors. In particular, the extreme optical outburst of 2016-2017 (brightness increase of six magnitudes) occurred when the corresponding emitting region had a small viewing angle. The agreement between observations and theoretical predictions can be seen as further validation of the relativistic beaming theory.
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Affiliation(s)
- C M Raiteri
- INAF, Osservatorio Astrofisico di Torino, I-10025 Pino Torinese, Italy
| | - M Villata
- INAF, Osservatorio Astrofisico di Torino, I-10025 Pino Torinese, Italy
| | - J A Acosta-Pulido
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - I Agudo
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - A A Arkharov
- Pulkovo Observatory, 196140 St Petersburg, Russia
| | - R Bachev
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - G V Baida
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - E Benítez
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - G A Borman
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - W Boschin
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain.,INAF, TNG Fundación Galileo Galilei, E-38712 La Palma, Spain
| | - V Bozhilov
- Department of Astronomy, Faculty of Physics, University of Sofia, BG-1164 Sofia, Bulgaria
| | - M S Butuzova
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - P Calcidese
- Osservatorio Astronomico della Regione Autonoma Valle d'Aosta, I-11020 Nus, Italy
| | - M I Carnerero
- INAF, Osservatorio Astrofisico di Torino, I-10025 Pino Torinese, Italy
| | - D Carosati
- INAF, TNG Fundación Galileo Galilei, E-38712 La Palma, Spain.,EPT Observatories, Tijarafe, E-38780 La Palma, Spain
| | - C Casadio
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain.,Max-Planck-Institut für Radioastronomie, D-53121 Bonn, Germany
| | - N Castro-Segura
- Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain.,School of Physics and Astronomy, University of Southampton, Southampton SO17 1BJ, UK
| | - W-P Chen
- Graduate Institute of Astronomy, National Central University, Jhongli City, Taoyuan County 32001, Taiwan
| | | | - F D'Ammando
- Dipartimento di Fisica e Astronomia, Università di Bologna, I-40129 Bologna, Italy.,INAF, Istituto di Radioastronomia, I-40129 Bologna, Italy
| | - A Di Paola
- INAF, Osservatorio Astronomico di Roma, I-00040 Monte Porzio Catone, Italy
| | - J Echevarría
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - N V Efimova
- Pulkovo Observatory, 196140 St Petersburg, Russia
| | - Sh A Ehgamberdiev
- Ulugh Beg Astronomical Institute, Maidanak Observatory, Tashkent 100052, Uzbekistan
| | - C Espinosa
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - A Fuentes
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - A Giunta
- INAF, Osservatorio Astronomico di Roma, I-00040 Monte Porzio Catone, Italy
| | - J L Gómez
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - T S Grishina
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - M A Gurwell
- Harvard-Smithsonian Center for Astrophysics, Cambridge, Massachusetts 02138, USA
| | - D Hiriart
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - H Jermak
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool L3 5RF, UK
| | - B Jordan
- School of Cosmic Physics, Dublin Institute For Advanced Studies, Dublin, Ireland
| | - S G Jorstad
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia.,Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - M Joshi
- Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - E N Kopatskaya
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - K Kuratov
- NNLOT, Al-Farabi Kazakh National University, Almaty, Kazakhstan.,Fesenkov Astrophysical Institute, Almaty, Kazakhstan
| | - O M Kurtanidze
- Abastumani Observatory, Mt Kanobili, 0301 Abastumani, Georgia.,Engelhardt Astronomical Observatory, Kazan Federal University, Tatarstan, Russia.,Landessternwarte, Zentrum für Astronomie der Universität Heidelberg, 69117 Heidelberg, Germany.,Center for Astrophysics, Guangzhou University, Guangzhou 510006, China
| | - S O Kurtanidze
- Abastumani Observatory, Mt Kanobili, 0301 Abastumani, Georgia
| | - A Lähteenmäki
- Aalto University Metsähovi Radio Observatory, FI-02540 Kylmälä, Finland.,Aalto University Department of Electronics and Nanoengineering, FI-00076 Aalto, Finland.,Tartu Observatory, 61602 Tõravere, Estonia
| | - V M Larionov
- Pulkovo Observatory, 196140 St Petersburg, Russia.,Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - E G Larionova
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - L V Larionova
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - C Lázaro
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - C S Lin
- Graduate Institute of Astronomy, National Central University, Jhongli City, Taoyuan County 32001, Taiwan
| | - M P Malmrose
- Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - A P Marscher
- Institute for Astrophysical Research, Boston University, Boston, Massachusetts 02215, USA
| | - K Matsumoto
- Astronomical Institute, Osaka Kyoiku University, Osaka 582-8582, Japan
| | - B McBreen
- School of Physics, University College Dublin, Dublin 4, Ireland
| | - R Michel
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico
| | - B Mihov
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - M Minev
- Department of Astronomy, Faculty of Physics, University of Sofia, BG-1164 Sofia, Bulgaria
| | - D O Mirzaqulov
- Ulugh Beg Astronomical Institute, Maidanak Observatory, Tashkent 100052, Uzbekistan
| | - A A Mokrushina
- Pulkovo Observatory, 196140 St Petersburg, Russia.,Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - S N Molina
- Instituto de Astrofísica de Andalucía (CSIC), E-18080 Granada, Spain
| | - J W Moody
- Department of Physics and Astronomy, Brigham Young University, Provo, Utah 84602, USA
| | - D A Morozova
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - S V Nazarov
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | | | - J M Ohlert
- Michael Adrian Observatorium, Astronomie Stiftung Trebur, 65468 Trebur, Germany.,University of Applied Sciences, Technische Hochschule Mittelhessen, 61169 Friedberg, Germany
| | - D N Okhmat
- Crimean Astrophysical Observatory RAS, Nauchny 298409, Russia
| | - E Ovcharov
- Department of Astronomy, Faculty of Physics, University of Sofia, BG-1164 Sofia, Bulgaria
| | - F Pinna
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - T A Polakis
- Command Module Observatory, Tempe, Arizona, USA
| | - C Protasio
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - T Pursimo
- Nordic Optical Telescope, E-38700 Santa Cruz de La Palma, Spain
| | - F J Redondo-Lorenzo
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - N Rizzi
- Osservatorio Astronomico Sirio, I-70013 Castellana Grotte, Italy
| | - G Rodriguez-Coira
- Instituto de Astrofisica de Canarias (IAC), La Laguna, E-38200 Tenerife, Spain.,Departamento de Astrofisica, Universidad de La Laguna, La Laguna, E-38205 Tenerife, Spain
| | - K Sadakane
- Astronomical Institute, Osaka Kyoiku University, Osaka 582-8582, Japan
| | - A C Sadun
- Department of Physics, University of Colorado Denver, Denver, Colorado 80217-3364 USA
| | - M R Samal
- Graduate Institute of Astronomy, National Central University, Jhongli City, Taoyuan County 32001, Taiwan
| | - S S Savchenko
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - E Semkov
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - B A Skiff
- Lowell Observatory, Flagstaff, Arizona, USA
| | - L Slavcheva-Mihova
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - P S Smith
- Steward Observatory, University of Arizona, Tucson, Arizona, USA
| | - I A Steele
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool L3 5RF, UK
| | - A Strigachev
- Institute of Astronomy and NAO, Bulgarian Academy of Sciences, 1784 Sofia, Bulgaria
| | - J Tammi
- Aalto University Metsähovi Radio Observatory, FI-02540 Kylmälä, Finland
| | - C Thum
- Instituto de Radio Astronomía Milimétrica, E-18012 Granada, Spain
| | - M Tornikoski
- Aalto University Metsähovi Radio Observatory, FI-02540 Kylmälä, Finland
| | - Yu V Troitskaya
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - I S Troitsky
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - A A Vasilyev
- Astronomical Institute, St Petersburg State University, 198504 St Petersburg, Russia
| | - O Vince
- Astronomical Observatory, 11060 Belgrade, Serbia
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Sokwalla S, Joshi M, Amayo E, Mecha J, Acharya K, Mutai K. Quality of sleep and risk for obstructive sleep apnoea in ambulant individuals with type 2 diabetes mellitus at a tertiary referral hospital in Kenya: a cross-sectional, comparative study. Sleep Med 2017. [DOI: 10.1016/j.sleep.2017.11.915] [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: 11/16/2022]
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Voigt S, Joshi M, Speicher P, Tong B, Onaitis M, Crawford J, D'Amico T, Harpole D. MA 19.09 The Role of Neoadjuvant Chemotherapy in Patients with Malignant Pleural Mesothelioma. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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35
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Mishra R, Joshi M, Meisenberg O, Gierl S, Prajith R, Kanse SD, Rout R, Sapra BK, Mayya YS, Tschiersch J. Deposition and spatial variation of thoron decay products in a thoron experimental house using the Direct Thoron Progeny Sensors. J Radiol Prot 2017; 37:379-389. [PMID: 28418936 DOI: 10.1088/1361-6498/aa6408] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Experiments have been carried out using the deposition-based Direct Thoron Progeny Sensors (DTPS) in a thoron experimental house. The objective was to study the thoron decay product characteristics such as the deposition velocities, spatial variability and dependence on aerosol particle concentrations. Since the deposition velocity is an important characteristic in the calibration of the DTPS, it is very important to study its dependence on aerosol concentration in a controlled environment. At low aerosol concentration (1500 particles/cm3) the mean effective deposition velocity was measured to be 0.159 ± 0.045 m h-1; at high aerosol concentration (30 000 particles/cm3) it decreased to 0.079 ± 0.009 m h-1. The deposition velocity for the attached fraction of the thoron decay products did not change with increasing aerosol concentration, showing measurement results of 0.048 ± 0.005 m h-1 and 0.043 ± 0.014 m h-1, respectively. At low particle concentration, the effective deposition velocity showed large scattering within the room at different distances from center. The attached fraction deposition velocity remained uniform at different distances from the wall. The measurements in the thoron experimental house can be used as a sensitivity test of the DTPS in an indoor environment with changing aerosol concentration. The uniform spatial distribution of thoron decay products was confirmed within the experimental house. This indicates that direct measurement of thoron decay product concentration should be carried out instead of inferring it from thoron gas concentration, which is very inhomogeneous within the experimental house.
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Affiliation(s)
- R Mishra
- Bhabha Atomic Research Centre, Radiological Physics and Advisory Division, Mumbai 400 085, India
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36
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Hendra L, Shrestha A, Joshi M, Basu S. Open intraperitoneal onlay mesh repair for medium-large lateral abdominal wall herniae. Ann R Coll Surg Engl 2016; 98:595-596. [PMID: 27412806 DOI: 10.1308/rcsann.2016.0206] [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: 11/22/2022] Open
Affiliation(s)
- L Hendra
- Isle of Wight Healthcare NHS Trust , UK
| | - A Shrestha
- East Kent Hospitals University NHS Foundation Trust
| | - M Joshi
- East Kent Hospitals University NHS Foundation Trust
| | - S Basu
- East Kent Hospitals University NHS Foundation Trust
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37
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Tuanquin L, McDermott D, Mackley H, Holder S, Wagner H, Rosenberg J, Drabick J, Kaag M, Joshi M, Raman J, Merrill S. The Outcomes of Adjuvant Radiation Therapy in Postcystectomy Muscle-Invasive Bladder Cancer. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.1329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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38
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Agarwal N, Joshi M. Effectiveness of amitriptyline and lamotrigine in traumatic spinal cord injury-induced neuropathic pain: a randomized longitudinal comparative study. Spinal Cord 2016; 55:126-130. [PMID: 27527240 DOI: 10.1038/sc.2016.123] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Revised: 06/29/2016] [Accepted: 07/01/2016] [Indexed: 11/09/2022]
Abstract
STUDY DESIGN Randomized longitudinal comparative study. OBJECTIVES To compare the efficacy of lamotrigine and amitriptyline in the management of traumatic spinal cord injury (SCI)-induced neuropathic pain (NP). SETTING Sawai Man Singh Medical College and Hospital, Jaipur, India. METHODS A total of 147 individuals with NP were randomized for a 3-week trial of either amitriptyline or lamotrigine. Amitriptyline was administered orally at doses of 25, 50 and 100 mg once daily at night time, and lamotrigine was administered orally at doses of 25, 50 and 100 mg twice daily, both for 1 week by means of optional titration. Assessment of NP was done at baseline and thereafter at 1, 2 and 3 weeks using Short-form MC Gill Pain Questionnaire-2 (SFMPQ2) scores. RESULTS There was a significant difference between the mean values of the SFMPQ2 score at baseline and those at each follow-up for amitriptyline. Similar results were seen in the lamotrigine group. When the differences in mean SFMPQ2 scores at different time frames from baseline were compared with those of the other group, values were found to be nonsignificant as seen on the Mann-Whitney U-test. CONCLUSIONS These findings support the use of both amitriptyline and lamotrigine in the management of NP after traumatic SCI.
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Affiliation(s)
- N Agarwal
- Physical Medicine and Rehabilitation, Sawai Man Singh Medical College and Hospital, Jaipur, India
| | - M Joshi
- Department of PMR, SMS Medical College & Associate Hospital Jaipur, Jaipur, India
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Gupta P, Sinha S, Joshi M, Vats S, Sharma M, Srivastava R, Bhalla S, Mohan V, Tandon N, Unnikrishnan A, Reddy K, Prabhakaran D. PS218 Education Programs for Primary Care Physicians: An Experience From Various Capacity Building Initiatives on Chronic Conditions in India. Glob Heart 2016. [DOI: 10.1016/j.gheart.2016.03.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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40
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Skittrall JP, Eid-Arimoku L, Joshi M, Newport MJ, Moore EM. Rigid sigmoidoscopy: no contamination of the sigmoidoscopist's face with faecal flora in a small study. J Hosp Infect 2016; 93:112-3. [PMID: 26996086 DOI: 10.1016/j.jhin.2016.01.017] [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: 01/21/2016] [Accepted: 01/22/2016] [Indexed: 10/22/2022]
Affiliation(s)
- J P Skittrall
- Brighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK.
| | - L Eid-Arimoku
- Brighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK
| | - M Joshi
- Brighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK
| | - M J Newport
- Brighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK
| | - E M Moore
- Brighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, UK
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Affiliation(s)
- U. Chatterjee
- Department of Textile Technology; I.I.T; Delhi 110 016 India
| | - B. S. Butola
- Department of Textile Technology; I.I.T; Delhi 110 016 India
| | - M. Joshi
- Department of Textile Technology; I.I.T; Delhi 110 016 India
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Agarwal TK, Joshi M, Sahoo BK, Kanse SD, Sapra BK. Effect of 220Rn gas concentration distribution on its transmission from a delay chamber: evolving a CFD-based uniformity index. Radiat Prot Dosimetry 2016; 168:546-552. [PMID: 26152566 DOI: 10.1093/rpd/ncv361] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 06/05/2015] [Indexed: 06/04/2023]
Abstract
(220)Rn mitigation can be achieved by delay chamber technique, which relies on the advantage of its short half-life. However, flow rate as well as inlet-outlet position for the delay chamber can have a significant impact on (220)Rn concentration distribution patterns and hence transmission factor. In the present study, computational fluid dynamics simulations to estimate the concentration distribution has been carried out in a chamber of 0.5 m(3) for the combination of six different inlet-outlet positions and five different flow rates. Subsequently, the transmission factor (TF) for the chamber was evaluated and found to be highly dependent on the flow rate and inlet-outlet positions. For ease of scale up, the dependency of TF on the flow rate and the inlet-outlet positions is best summarised by relative transmission factor (RTF), which is the ratio of the TFs for the case of inlet and outlet on different faces to that on the same face.
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Affiliation(s)
- T K Agarwal
- Bhabha Atomic Research Centre, Trombay, Mumbai 400085, India
| | - M Joshi
- Bhabha Atomic Research Centre, Trombay, Mumbai 400085, India
| | - B K Sahoo
- Bhabha Atomic Research Centre, Trombay, Mumbai 400085, India
| | - S D Kanse
- Bhabha Atomic Research Centre, Trombay, Mumbai 400085, India
| | - B K Sapra
- Bhabha Atomic Research Centre, Trombay, Mumbai 400085, India
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Subramani E, Jothiramajayam M, Dutta M, Chakravorty D, Joshi M, Srivastava S, Mukherjee A, Datta Ray C, Chakravarty BN, Chaudhury K. NMR-based metabonomics for understanding the influence of dormant female genital tuberculosis on metabolism of the human endometrium. Hum Reprod 2016; 31:854-65. [PMID: 26851602 DOI: 10.1093/humrep/dew003] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [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: 10/27/2015] [Accepted: 01/05/2016] [Indexed: 01/13/2023] Open
Abstract
STUDY QUESTION Does investigation of metabolic perturbations in endometrial tissue of women with dormant genital tuberculosis (GTB) during the window of implantation (WOI) assist in improving the understanding of endometrial receptivity? SUMMARY ANSWER In dormant GTB cases significant alterations in endometrial tissue metabolites occur, largely related to energy metabolism and amino acid biosynthesis in dormant GTB cases. WHAT IS KNOWN ALREADY As an intracellular pathogen, Mycobacterium tuberculosis strongly influences the metabolism of host cells causing metabolic dysregulation. It is also accepted that dormant GTB impairs the receptive status of the endometrium. Global metabolic profiling is useful for an understanding of disease progression and distinguishing between diseased and non-diseased groups. STUDY DESIGN, SIZE, DURATION Endometrial tissue samples were collected from patients reporting at the tertiary infertility care center during the period September 2011-March 2013. Women having tested positive for GTB were considered as the study group (n = 24). Normal healthy women undergoing sterilization (n = 26) and unexplained infertile women with repeated IVF failure (n = 21) volunteered to participate as controls. PARTICIPANTS/MATERIALS, SETTING, METHODS Endometrial tissue samples were collected 6-10 days after confirmation of ovulation. PCR and BACTEC-460 culture were used for diagnosing GTB. Proton nuclear magnetic resonance (1H NMR) spectra of tissue were recorded using a 700 MHz Bruker Avance AV III spectrometer. Following phase and baseline correction of all NMR spectra by Bruker Topspin 2.1 software, spectral peak alignment of the data was performed. Multivariate analysis was applied to all spectra and individual metabolites identified and multiple correlation analysis was performed. MAIN RESULTS AND THE ROLE OF CHANCE Leucine, isoleucine, acetate, lactate, glutamate, glutamine, methionine, lysine, creatine, glycogen, glycine, proline and choline were found to be significantly increased (P < 0.05) in endometrial tissue of women with dormant GTB compared with unexplained infertile women with repeated implantation failure. Valine, citrate, succinate and aspartate were also observed to be significantly up-regulated (P < 0.01). Furthermore, a significant decrease in glucose (P < 0.05), threonine (P < 0.05), tyrosine (P < 0.01) and phenylalanine (P < 0.0001) was observed in women with dormant GTB. Pearson's correlation analysis between the expression of various endometrial receptivity markers and metabolites showed a significant negative correlation (-0.236 to -0.545, P < 0.05). Also, the metabolites were positively correlated with endometrial receptivity markers (0.207 to 0.618, P < 0.05). LIMITATIONS, REASONS FOR CAUTION It is often difficult to diagnose dormant GTB because it tends to exist without any clinical signs or symptoms. In addition, the diagnosis of GTB by culture remains a challenge due to low detection rates and its paucibacillary nature. Testing for prostate-specific antigen or the Y chromosome in order to account for the possible influences of recent exposure to semen on endometrial metabolism would be important. WIDER IMPLICATIONS OF THE FINDINGS The metabolic changes associated with the dormant tubercle infection are of potential relevance to clinicians for the treatment of dormant GTB-related infertility. STUDY FUNDING/COMPETING INTERESTS Government of India, Indian Council of Medical Research. There are no conflicts of interest.
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Affiliation(s)
- E Subramani
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
| | - M Jothiramajayam
- Cell Biology and Genetic Toxicology Laboratory, Centre of Advanced study, Department of Botany, University of Calcutta, Kolkata 700019, India
| | - M Dutta
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
| | - D Chakravorty
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
| | - M Joshi
- National Facility for High-field NMR, Tata Institute of Fundamental Research, Mumbai 400005, India
| | - S Srivastava
- National Facility for High-field NMR, Tata Institute of Fundamental Research, Mumbai 400005, India
| | - A Mukherjee
- Cell Biology and Genetic Toxicology Laboratory, Centre of Advanced study, Department of Botany, University of Calcutta, Kolkata 700019, India
| | - C Datta Ray
- Department of Obstetrics and Gynaecology, Institute of Post-Graduate Medical Education and Research (IPGME&R) and SSKM Hospital, Kolkata 700020, India
| | | | - K Chaudhury
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
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Holder SL, Drabick J, Zhu J, Joshi M. Dexamethasone may be the most efficacious corticosteroid for use as monotherapy in castration-resistant prostate cancer. Cancer Biol Ther 2015; 16:207-9. [PMID: 25756508 PMCID: PMC4622618 DOI: 10.1080/15384047.2014.1002687] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [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: 11/06/2022] Open
Abstract
Corticosteroids have been used in the therapy for castration-resistant prostate cancer (CRPC) for decades, both as monotherapy and in combination with additional agents. In this article the authors report the results of a phase II trial of dexamethasone versus prednisolone as monotherapy for CRPC. The study suggests improved PSA and radiographic response rates as well as improved time to PSA progression for dexamethasone over prednisolone therapy; however the differences only trend toward statistical significance. Nonetheless, in light of these data, when treating patients with corticosteroid monotherapy for CRPC it may be prudent to consider using daily dexamethasone over prednisone/prednisolone.
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Affiliation(s)
- S L Holder
- a Division of Hematology/Oncology; Department of Internal Medicine ; Penn State Milton S. Hershey Cancer Institute ; Hershey , PA USA
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45
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Sillo T, Joshi M. Surgeons' perceptions on the impact of language barriers in the delivery of healthcare. Int J Surg 2015. [DOI: 10.1016/j.ijsu.2015.07.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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46
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Constandinou T, Ogunsanya L, Joshi M, Hathaway C, Davies H. A local audit on the content and quality of operation notes using the royal college of surgeons' guidelines. Int J Surg 2015. [DOI: 10.1016/j.ijsu.2015.07.317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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47
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Dadu T, Sehgal K, Joshi M, Khodaiji S. Evaluation of the immature platelet fraction as an indicator of platelet recovery in dengue patients. Int J Lab Hematol 2015; 36:499-504. [PMID: 25356498 DOI: 10.1111/ijlh.12177] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Thrombocytopenia is a common complication in many disorders (such as aplastic anemia, ITP, dengue fever,), the etiology being multifactorial. Immature platelet fraction (IPF) is a new parameter which is a measure of reticulated platelets that reflects the rate of thrombopoiesis. We tried to evaluate IPF as an indicator to predict the recovery of platelets in patients with dengue. METHODS A total of 32 patients suffering from dengue fever (as confirmed by NS1 antigen or IgM antibody positivity for dengue) were taken for the study. The platelet count and IPF value of all these patients were evaluated on a daily basis. RESULTS It was found out that IPF has a strong correlation with the recovery of platelet counts in patients with dengue. 84.3% patients showed recovery within 24 h after attaining the peak IPF, 93.75% of the patients showed recovery within 24-48 h of the rise of the IPF compared with the previous day's value, and 100% patients showed a recovery within 24 h of the fall of the IPF compared with the previous days. It was also observed that 93.75% of the patients show platelet recovery within 24-48 h if the IPF was more than 10%. CONCLUSION Based on our study, we concluded that IPF can be used to evaluate the recovery of platelets in patients with dengue. It holds a great promise of becoming a reliable future guide for decisions concerning platelet transfusions.
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Kain V, Ingle K, Prabhu S, Serhan C, Joshi M, Halade G. RvD1 Activates Resolution of Inflammation Following Myocardial Infarction Leading To Improved Ventricular Function. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.285.4] [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: 11/11/2022]
Affiliation(s)
- V Kain
- MedicineThe University of Alabama at BirminghamAL
| | - K Ingle
- MedicineThe University of Alabama at BirminghamAL
| | - S Prabhu
- MedicineThe University of Alabama at BirminghamAL
| | - C Serhan
- MedicineHarvard Medical SchoolMA
| | - M Joshi
- PharmacologyMidwestern UniversityIL
| | - G Halade
- MedicineThe University of Alabama at BirminghamAL
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Denys P, Dmochowski R, Aliotta P, Castro-Diaz D, Blok B, Ethans K, Joshi M, Ni Q, Kennelly M. 1092 Positive response to first onabotulinumtoxinA treatment persists long-term with repeat treatments in patients with neurogenic detrusor overactivity. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/s1569-9056(15)61080-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Chauhan N, Chauhan RP, Joshi M, Agarwal TK, Aggarwal P, Sahoo BK. Study of indoor radon distribution using measurements and CFD modeling. J Environ Radioact 2014; 136:105-111. [PMID: 24929505 DOI: 10.1016/j.jenvrad.2014.05.020] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2014] [Revised: 04/16/2014] [Accepted: 05/22/2014] [Indexed: 06/03/2023]
Abstract
Measurement and/or prediction of indoor radon ((222)Rn) concentration are important due to the impact of radon on indoor air quality and consequent inhalation hazard. In recent times, computational fluid dynamics (CFD) based modeling has become the cost effective replacement of experimental methods for the prediction and visualization of indoor pollutant distribution. The aim of this study is to implement CFD based modeling for studying indoor radon gas distribution. This study focuses on comparison of experimentally measured and CFD modeling predicted spatial distribution of radon concentration for a model test room. The key inputs for simulation viz. radon exhalation rate and ventilation rate were measured as a part of this study. Validation experiments were performed by measuring radon concentration at different locations of test room using active (continuous radon monitor) and passive (pin-hole dosimeters) techniques. Modeling predictions have been found to be reasonably matching with the measurement results. The validated model can be used to understand and study factors affecting indoor radon distribution for more realistic indoor environment.
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Affiliation(s)
- Neetika Chauhan
- Department of Physics, National Institute of Technology, Kurukshetra 136119, India.
| | - R P Chauhan
- Department of Physics, National Institute of Technology, Kurukshetra 136119, India
| | - M Joshi
- Radiological Physics and Advisory Division, Bhabha Atomic Research Centre, Mumbai 400 085, India
| | - T K Agarwal
- Radiological Physics and Advisory Division, Bhabha Atomic Research Centre, Mumbai 400 085, India
| | - Praveen Aggarwal
- Department of Civil Engineering, National Institute of Technology, Kurukshetra 136119, India
| | - B K Sahoo
- Radiological Physics and Advisory Division, Bhabha Atomic Research Centre, Mumbai 400 085, India
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