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Phull T, Dadhwal H, Kaur R, Malhotra R, Jyoti D, Kaur R. Oral Pyogenic Granuloma at Different Spots: A Series of Case Reports. J Pharm Bioallied Sci 2024; 16:S999-S1001. [PMID: 38595587 PMCID: PMC11001051 DOI: 10.4103/jpbs.jpbs_703_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Revised: 08/25/2023] [Accepted: 08/29/2023] [Indexed: 04/11/2024] Open
Abstract
Pyogenic granuloma is an inflammatory non-neoplastic lesion of the oral cavity. Chronic, mild, local irritation, trauma, hormonal variables, and certain medications are typical causes of pyogenic granulomas. Women have a higher prevalence than men. The risk is greatest in the second to fifth decades of life. Clinically, the lesion appears smooth, with soft to firm consistency and nontender with a pedunculated or sessile base. Various modalities have been proposed for the treatment of lesion, which include the conventional approach, the use of laser, cryotherapy, and electrocauterization. This case series discusses three cases of pyogenic granuloma in female patients at different locations in the oral cavity. The lesion was subsequently treated with electrosurgery and surgical convention methods. No recurrence of the lesion has been seen in either of the cases.
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Affiliation(s)
- Tanvi Phull
- Department of Oral and Maxilofacial Surgery, Gian Sagar Dental College, Patiala, Punjab, India
| | - Hima Dadhwal
- Department of Periodontology, Government Dental College and Hospital, Patiala, Punjab, India
| | - Rajpreet Kaur
- Department of Periodontology, Government Dental College and Hospital, Patiala, Punjab, India
| | - Ritu Malhotra
- Department of Prosthodontics, ITS Centre for Dental Studies and Research, Ghaziabad, Uttar Pradesh, India
| | - Divya Jyoti
- Department of Oral Health Sciences (Periodontics), Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Ravneet Kaur
- Department of Periodontology, Punjab Government Dental College and Hospital, Amritsar, Punjab, India
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Ghosh A, Goyal K, Singh R, Lakshmi PVM, Kaur R, Kumar V, Muralidharan J, Puri GD, Ram J, Singh MP. High prevalence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) antibodies among unvaccinated children of Chandigarh, Northwest India, in a household-based paediatric serosurvey post-second wave of pandemic (June to July 2021). Public Health 2023; 225:160-167. [PMID: 37931485 DOI: 10.1016/j.puhe.2023.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 09/05/2023] [Accepted: 10/04/2023] [Indexed: 11/08/2023]
Abstract
OBJECTIVE Current national severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination policy covers children aged >12 years. Unvaccinated, uninfected children remain susceptible to SARS-CoV-2 and play a role in community transmission, as paediatric infection is mostly mild or asymptomatic. To estimate the proportion of susceptible children in a community for public health measures, there is a need to assess the extent of natural infection. STUDY DESIGN We performed a cross-sectional household serosurvey of SARS-CoV-2 antibodies in unvaccinated children aged between 6 and 18 years after the second COVID-19 wave. METHODS Anti-SARS-CoV-2 immunoglobin G (IgG) testing in serum was done using chemiluminescence immunoassay. We used a logistic regression model to investigate predicted factors of seropositivity. RESULTS We observed a high prevalence (weighted average: 68.3%) of anti-SARS-CoV-2 IgG in 2700 enrolled children. Logistic regression for predictors of IgG seropositivity showed lower odds in households with completely vaccinated adults (adjusted odds ratio [OR]: 0.43, 95% confidence interval [CI]: 0.26-0.71, P = 0.0011) compared with households with unvaccinated adults. Other factors for low seropositivity included frontline workers as family members (adjusted OR: 0.69, 95% CI: 0.52-0.91, P = 0.0091) and non-crowded households (adjusted OR: 0.74, 95% CI: 0.61-0.89, P = 0.0019). CONCLUSION A high SARS-CoV-2 IgG prevalence in unvaccinated children was indicative of previous exposure to potentially infected contacts. This implies in-person academic activities for children can be continued during future community transmission. Comparatively lower seropositivity in children of completely vaccinated households or frontline workers suggests decreased transmission due to vaccination-induced immunity of family members. Vaccination will still be required in these children to maintain protective IgG levels, particularly in low seroprevalence groups.
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Affiliation(s)
- A Ghosh
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - K Goyal
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - R Singh
- Department of Community Medicine & School of Public Health, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - P V M Lakshmi
- Department of Community Medicine & School of Public Health, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - R Kaur
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - V Kumar
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - J Muralidharan
- Advanced Pediatric Centre, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - G D Puri
- Department of Anaesthesiology & Critical Care, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - J Ram
- Department of Ophthalmology, Post-graduate Institute of Medical Education & Research, Chandigarh, India
| | - M P Singh
- Department of Virology, Post-graduate Institute of Medical Education & Research, Chandigarh, India.
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Kaur R, GholamHosseini H. Analyzing the Impact of Image Denoising and Segmentation on Melanoma Classification Using Convolutional Neural Networks. Annu Int Conf IEEE Eng Med Biol Soc 2023; 2023:1-4. [PMID: 38083686 DOI: 10.1109/embc40787.2023.10340135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
Early skin cancer detection and its treatment are crucial for reducing death rates worldwide. Deep learning techniques have been used successfully to develop an automatic lesion detection system. This study explores the impact of pre-processing steps such as data augmentation, contrast enhancement, and segmentation on improving the convolutional neural network (CNN) performance for lesion classification. The classification network was designed from scratch by uniquely organizing its layers and using a different number of kernels, depth of the network, size, and hyperparameters. In addition, the network's performance was improved by pre-processing and segmentation steps. The proposed network was compared with the current state-of-the-art to demonstrate its best performance on the benchmark HAM10000 lesion dataset. The experimental study revealed that the classification network using denoised+segmented data achieved an accuracy (ACC), precision (PRE), recall (REC), specificity (SPE), and F-score of 93.40%, 93.45%, 94.51%, 92.08%, and 93.98%, respectively. To conclude, classification performance can be improved by incorporating pre-processing and segmentation steps.
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Abstract
AIMS Considerable number of studies in the existing literature indicate the existence of stigma related to many diseases, disabilities, and disorders, but less attention has been given to diabetes-related stigma. This narrative review of literature aims to explore the existence of stigma surrounding type 1 diabetes mellitus (T1DM). METHODS Literature were searched using search engines, Google Scholar, PubMed, and Scopus electronic databases published from year 2000 to 2020. Both qualitative and quantitative studies focusing on the stigma associated with T1DM were included. A total of 21 articles met the inclusion criteria. Thematic analysis of collected research material was done. RESULTS Results provided substantial evidence that stigma associated with T1DM was experienced by T1DM patients and their caregivers at some point in their lives and it had affected their lives in different domains such as difficulty finding a spouse, discrimination at employment opportunities, educational institutions, management of disease, being misjudged as a druggie, poor quality of life of the patient and caregiver, depressive symptoms among parents of patients, constant worrying of their child's disease management, and so on. CONCLUSION Stigma related to T1DM is experienced by individuals suffering from it, and it is widespread. It not only affects the sufferers but their loved ones also. To reduce and cope-up with stigma, there is a need to increase public education and awareness at a mass level. Further research and awareness will serve to build our understanding of the experience of diabetes-related stigma.
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Affiliation(s)
- R Kaur
- Research Scholar (UGC-SRF), Department of Anthropology, Panjab University, Chandigarh 160014, India
| | - A K Sinha
- Professor, Department of Anthropology, Panjab University, Chandigarh, India
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Kaur R, Mishra S, Nevolin I, Roy Choudhury D, Singh M. Nutritional anemia: Patent landscape. World Patent Information 2022. [DOI: 10.1016/j.wpi.2022.102123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Kaur R, Garg AK, Gupta DK, Singla L, Aggarwal K. Effect of Twin Block Therapy Versus Fixed Functional Appliances on Pharyngeal Airway Space in Skeletal Class II Patients: A Prospective Cephalometric Study. Clin Ter 2022; 173:306-315. [PMID: 35857047 DOI: 10.7417/ct.2022.2439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND Class II malocclusion is one of the most common malocclusion with varied prevalence. Functional therapy with appliances like Twin Block or Fixed functional appliances forms the mainstay of treatment in growing Class II patients. These patients might demonstrate narrow airway due to the retrognathic position of the mandible. This study investigated the effects of twin block and fixed functional appliance therapy (Forsus™ FRD) on the pharyngeal airway space in skeletal Class II patients. METHODS Forty patients with Class II malocclusion were selected and divided into two equal groups of 20 patients each for both Twin block and Forsus group. Lateral cephalograms were obtained before and after the functional appliance therapy. Evaluation was done for changes in hyoid bone position, pharyngeal airway dimensions and tongue position. RESULTS The variables of the study showed better hyoid position in both the groups. In Twin Block group, an increase in hy-apw2 and hy-PoFH suggested anterior positioning of hyoid and a decrease in H-MP and hy-ML indicated superior positioning. In Forsus group an increase in H-H', hy-FH, hy-ML, hy-NL, hy-NSL and hy-OL suggested inferior positioning of hyoid, while an increase in hy-apw2, hy-CVT, hy-PoFH, hy-RL and hy'-tgo indicated anterior positioning of hyoid bone after functional therapy. CONCLUSION Both the twin block and Forsus™ FRD improved the position of the hyoid bone after the functional appliance therapy however the changes were not statistically significant. Twin block and Forsus™ had similar effect on the hyoid bone position, pharyngeal dimensions and the tongue position.
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Affiliation(s)
- R Kaur
- Consultant Orthodontist and Former PG Resident, Department of Orthodontics and Dentofacial Orthopedics, Panjab University Chandigarh, India
| | - A K Garg
- Associate Professor, Department of Orthodontics and Dentofacial Orthopedics, Panjab University Chandigarh, India
| | - D K Gupta
- rofessor, Department of Orthodontics and Dentofacial Orthopedics, Panjab University Chandigarh, India
| | - L Singla
- Senior Lecturer, Department of Orthodontics and Dentofacial Orthopedics, Panjab University Chandigarh, India
| | - K Aggarwal
- Consultant Orthodontist and Former PG Resident, Department of Orthodontics and Dentofacial Orthopedics, Panjab University Chandigarh, India
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Kaur R, Khullar P, Gupta A, Bakshi MS. In-situ synthesis of gold nanoparticles as an indicator of unfolding and solid–liquid interfacial adsorption of proteins. Appl Nanosci 2022. [DOI: 10.1007/s13204-022-02505-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Kaur R, Khullar P, Gupta A, Bakshi MS. Extraction of Bionanomaterials from the Aqueous Bulk by Using Surface Active and Water-Soluble Magnetic Nanoparticles. Langmuir 2021; 37:14558-14570. [PMID: 34866392 DOI: 10.1021/acs.langmuir.1c03074] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Surface active and water-soluble magnetic nanoparticles (NPs) were used to demonstrate the extraction of bionanomaterials from the aqueous bulk. Au NPs conjugated with different water-insoluble and water-soluble proteins were used as model bionanomaterials. UV-visible studies, zeta potential, and microscopic analyses were performed to quantify the extraction. Sodium dodecyl sulfate and dimethylene bis(dodecyldimethylammonium bromide) (12-2-12) stabilized surface active magnetic NPs were fully capable of extracting Au NPs conjugated with predominantly hydrophobic proteins from the aqueous bulk when placed at the aqueous-air interface. However, they were poor in extracting Au NPs from the aqueous bulk which were coated with predominantly hydrophilic water-soluble protein. On the other hand, water-soluble dodecyldimethyl-3-ammonio-1-propanesulfonate stabilized magnetic NPs proved to be fully capable of extracting all kinds of Au NPs conjugated with either water-soluble or water-insoluble proteins. The results highlight the remarkable ability of magnetic NPs in the extraction of bionanomaterials when placed at either biointerfaces or in the aqueous bulk of biological systems.
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Affiliation(s)
- Rajpreet Kaur
- Department of Chemistry, B.B.K. D.A.V. College for Women, Amritsar 143005, Punjab, India
- Amity Institute of Applied Sciences, AUUP, Noida 201304, India
| | - Poonam Khullar
- Department of Chemistry, B.B.K. D.A.V. College for Women, Amritsar 143005, Punjab, India
| | - Anita Gupta
- Amity Institute of Applied Sciences, AUUP, Noida 201304, India
| | - Mandeep Singh Bakshi
- Department of Chemistry, Natural and Applied Sciences, University of Wisconsin─Green Bay, 2420 Nicolet Drive, Green Bay, Wisconsin 54311-7001, United States
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Davis J, Dahlberg S, Marchetti P, Schumann C, Kaur R, Greenberg J, Bacon C, Scalia S, Sawicki G. 164: Short-term day-to-day variability and acceptability of home-based spirometry in cystic fibrosis. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)01589-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Kaur R, Hosseini HG, Sinha R. Lesion Border Detection of Skin Cancer Images Using Deep Fully Convolutional Neural Network with Customized Weights. Annu Int Conf IEEE Eng Med Biol Soc 2021; 2021:3035-3038. [PMID: 34891883 DOI: 10.1109/embc46164.2021.9630512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Deep learning techniques have been widely employed in semantic segmentation problems, especially in medical image analysis, for understanding image patterns. Skin cancer is a life-threatening problem, whereas timely detection can prevent and reduce the mortality rate. The aim is to segment the lesion area from the skin cancer image to help experts in the process of deeply understanding tissues and cancer cells' formation. Thus, we proposed an improved fully convolutional neural network (FCNN) architecture for lesion segmentation in dermoscopic skin cancer images. The FCNN network consists of multiple feature extraction layers forming a deep framework to obtain a larger vision for generating pixel labels. The novelty of the network lies in the way layers are stacked and the generation of customized weights in each convolutional layer to produce a full resolution feature map. The proposed model was compared with the top four winners of the International Skin Imaging Collaboration (ISIC) challenge using evaluation metrics such as accuracy, Jaccard index, and dice co-efficient. It outperformed the given state-of-the-art methods with higher values of the accuracy and Jaccard index.
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Kaur R. Drug Information Association (DIA) 2021 Global Annual Meeting (June 26-July 1, 2021 - Virtual Meeting). Drugs Today (Barc) 2021; 57:631-637. [PMID: 34713871 DOI: 10.1358/dot.2021.57.10.3365972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
At the 57th Global Annual Meeting of the Drug Information Association (DIA), attendees met virtually for the second time to support the theme of 'Collaboration without Boundaries.' Sessions included presenters and speakers from regulatory agencies, patient advocacy and academia, with patients at the forefront of discussions. This report covers a number of presentations and panel discussions from the 4-day meeting that primarily focused on the COVID-19 global pandemic.
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Affiliation(s)
- R Kaur
- Clarivate, Philadelphia, Pennsylvania, USA.
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Kaur R, Kaur M, Suri V. Phenotypic presentation of PCOS with respect to BMI in a north Indian population. Clin Ter 2021; 172:435-437. [PMID: 34625775 DOI: 10.7417/ct.2021.2354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract PCOS is one of the emerging health issues of women in their reproductive age with a range of associated signs and symptoms. In the present study, 250 PCOS subjects age ranged from 18 to 45 years and residing in the Chandigarh Capital Region (CCR) were selected from the OPD, PGIMER, Chandigarh, (North India). In the present study H+O phenotypic group (NIH criteria) was the most commonly occurring with the prevalence of 50.4% followed by complete PCO or classic PCOS phenotype (P+H+O) with 39.2% prevalence. The ovula-tory PCOS (P+H) and non-hyperandrogenic PCOS (P+O) demonstrated little prevalence of 6% and 4.4% respectively. Maximum overweight/obese PCOS women were recorded in the (H+O) phenotypic group (27.2%) followed by classic PCOS phenotype (20.4%), (P+H) phe-notype (4%) and lowest prevalence in P+O phenotype (1.2%), thereby indicating that hyperandrogenism and oligo-anovulation was common symptoms among overweight/obese PCOS women.
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Affiliation(s)
- R Kaur
- Research Scholar, Department of Anthropology, Panjab University, Chandigarh, India
| | - M Kaur
- Assistant Professor, Department of Anthro-pology, Panjab University, Chandigarh, India
| | - V Suri
- Professor and Head, Department of Obstetrics and Gynaecology, PGIMER, Chandi-garh, India
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Kaur R, Kumari A, Sharma G, Singh D, Kaur R. Biodegradation of endocrine disrupting chemicals benzyl butyl phthalate and dimethyl phthalate by Bacillus marisflavi RR014. J Appl Microbiol 2021; 131:1274-1288. [PMID: 33599367 DOI: 10.1111/jam.15045] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 02/05/2021] [Accepted: 02/15/2021] [Indexed: 11/27/2022]
Abstract
AIM The objectives of the present study were to explore the benzyl butyl phthalate (BBP) and dimethyl phthalate (DMP) degradation potential of Bacillus marisflavi RR014 isolated from the tap water of public toilet and also to optimize the phthalates degradation process using response surface methodology. METHODS AND RESULTS The minimal salt medium was used for the biodegradation analysis of phthalates. The quantification of phthalates and their intermediate metabolites identification were done by using UHPLC and LC-MS/MS respectively. The results revealed that B. marisflavi RR014 is capable of degrading both the phthalates under varying pH, temperature and salinity conditions. The formation of phthalic acid from the breakdown of BBP and DMP (500 mg l-1 ) in the medium was observed after 24 h. After 72 h, 61% of BBP and 98·9% of DMP in the medium was degraded as monitored by UHPLC. The identification of intermediate metabolites by LC-MS/MS revealed that hydrolysis of BBP and DMP produces phthalic acid. CONCLUSIONS The degradation rate of both the phthalates was increased as the parameters increased up to an optimum level. The three environmental factors (pH, temperature and salt concentration) strongly affect the rate of degradation of both the phthalates. The maximum degradation rate for both the phthalates was achieved at pH 7, temperature 35°C and salt concentration of 1% as observed from the central composite experimental design. SIGNIFICANCE AND IMPACT OF THE STUDY It is the first report on the phthalates biodegradation potential of B. marisflavi RR014 isolated from the tap water of public toilet. The bacterium is capable of degrading BBP and DMP under varying pH, temperature and salinity, therefore, ideal to treat the phthalate contaminated environments.
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Affiliation(s)
- R Kaur
- Department of Botanical and Environmental Sciences, Guru Nanak Dev University, Amritsar, Punjab, India
| | - A Kumari
- Department of Botanical and Environmental Sciences, Guru Nanak Dev University, Amritsar, Punjab, India
| | - G Sharma
- Department of Botanical and Environmental Sciences, Guru Nanak Dev University, Amritsar, Punjab, India
| | - D Singh
- Department of Molecular Biology and Biochemistry, Guru Nanak Dev University, Amritsar, Punjab, India
| | - R Kaur
- Department of Botanical and Environmental Sciences, Guru Nanak Dev University, Amritsar, Punjab, India
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Kaur R, Masisi K, Molaei M, Le K, Fischer G, Kobue-Lekalake R, Moghadasian MH. Anti-atherogenic properties of Kgengwe ( Citrullus lanatus) seed powder in low-density lipoprotein receptor knockout mice are mediated through beneficial alterations in inflammatory pathways. Appl Physiol Nutr Metab 2021; 46:169-177. [PMID: 32846097 DOI: 10.1139/apnm-2020-0015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Kgengwe fruits are commonly consumed in sub-Saharan countries. Recent reports indicated low coronary artery disease rates in those regions. To investigate anti-atherogenic properties and potential mechanisms of action of Kgengwe seed powder (KSP), male low-density lipoprotein receptor knockout (LDL-r-KO) mice were fed with an atherogenic diet supplemented with (treated, n = 10) or without (controls, n = 10) 10% (w/w) KSP for 20 weeks. Proximate analysis revealed that KSP contained 38% fibre and 15% lipids. KSP supplementation was not associated with significant changes in body weight gain rate, food intake, and plasma lipid levels. However, the average atherosclerotic lesion size in the aortic roots in the KSP-treated group was 58% smaller than that in the control group (0.26 vs 0.11 mm2, p < 0.05). This strong anti-atherogenic effect was associated with significant increases in the average plasma levels of certain cytokines such as IL-10 (6 vs 13 pg/mL, p < 0.05), GM-CSF (0.1 vs 0.2 pg/mL, p < 0.05), and EPO (7 vs 16 pg/mL, p < 0.05) along with reductions in the average levels of plasma MCP-1 (19 vs 14 pg/mL, p < 0.05) and MIP-2 (28 vs 13 pg/mL, p < 0.05). Except for relatively high levels of saturated fatty acids, KSP possesses balanced nutrient compositions with strong anti-atherogenic properties, which may be mediated through alterations in inflammatory pathways. Additional studies warrant confirmation and mechanism(s) of action of such effects. Novelty: Kgengwe seeds prevent atherogenesis in LDL-r-KO mice. Kgengwe seeds increase circulating levels of IL-10 and EPO. No reduction in plasma total cholesterol levels.
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Affiliation(s)
- R Kaur
- Department of Food and Human Nutritional Sciences, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
- The Canadian Centre for Agri-Food Research in Health and Medicine, St Boniface Hospital Albrechtsen Research Centre, Winnipeg, MB R2H 2A6, Canada
| | - K Masisi
- Department of Food and Human Nutritional Sciences, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
- The Canadian Centre for Agri-Food Research in Health and Medicine, St Boniface Hospital Albrechtsen Research Centre, Winnipeg, MB R2H 2A6, Canada
| | - M Molaei
- The Canadian Centre for Agri-Food Research in Health and Medicine, St Boniface Hospital Albrechtsen Research Centre, Winnipeg, MB R2H 2A6, Canada
| | - K Le
- The Canadian Centre for Agri-Food Research in Health and Medicine, St Boniface Hospital Albrechtsen Research Centre, Winnipeg, MB R2H 2A6, Canada
| | - G Fischer
- Department of Pathology, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB R3E 3P5, Canada
| | - R Kobue-Lekalake
- Department of Food Science and Technology, Botswana University of Agriculture and Natural Resources, Botswana
| | - M H Moghadasian
- Department of Food and Human Nutritional Sciences, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
- The Canadian Centre for Agri-Food Research in Health and Medicine, St Boniface Hospital Albrechtsen Research Centre, Winnipeg, MB R2H 2A6, Canada
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Abstract
Stable colloidal zein nanoparticles (NPs) were synthesized by using controlled precipitation method. They were made fluorescence active by incorporating a small amount of fluorescence quinolinium surfactant. The incorporation of fluorescence surfactant provided both the colloidal stability and the fluorescence ability to determine the phase transition in zein NPs under the effect of temperature variation. Maintaining colloidal stability under the effect of temperature variation is an essential aspect of zein NPs applicability as a source of vegetarian protein supplement in different food suspensions. Different techniques such as fluorescence, DLS size, zeta potential, and FTIR measurements were applied to determine the influence of temperature on the colloidal stability of zein NPs. Zein NPs undergo phase transition well above room temperature while maintaining their size in nanometer range, and the phase transition temperature decreased with the amount of zein used in the synthesis of zein NPs. The results highlighted the potential use of zein NPs as a vegetarian supplement protein in different food products.
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Affiliation(s)
- Charlie Joe Croxford
- Department of Chemistry, Natural and Applied Sciences, University of Wisconsin–Green Bay, 2420 Nicolet Drive, Green Bay, WI 54311-7001, USA
| | - Rajpreet Kaur
- Department of Chemistry, Natural and Applied Sciences, University of Wisconsin–Green Bay, 2420 Nicolet Drive, Green Bay, WI 54311-7001, USA
| | - Kultar Singh
- Department of Chemistry, Khalsa College, G. T. Road, Amritsar, Punjab 143002, India
| | - Mandeep Singh Bakshi
- Department of Chemistry, Natural and Applied Sciences, University of Wisconsin–Green Bay, 2420 Nicolet Drive, Green Bay, WI 54311-7001, USA
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Singh P, Kaur R. Role of magnetic resonance imaging (MRI) in tuberculous meningitis (TBM). Int J Infect Dis 2020. [DOI: 10.1016/j.ijid.2020.09.1183] [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: 11/28/2022] Open
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Cardoso F, Paluch-Shimon S, Senkus E, Curigliano G, Aapro MS, André F, Barrios CH, Bergh J, Bhattacharyya GS, Biganzoli L, Boyle F, Cardoso MJ, Carey LA, Cortés J, El Saghir NS, Elzayat M, Eniu A, Fallowfield L, Francis PA, Gelmon K, Gligorov J, Haidinger R, Harbeck N, Hu X, Kaufman B, Kaur R, Kiely BE, Kim SB, Lin NU, Mertz SA, Neciosup S, Offersen BV, Ohno S, Pagani O, Prat A, Penault-Llorca F, Rugo HS, Sledge GW, Thomssen C, Vorobiof DA, Wiseman T, Xu B, Norton L, Costa A, Winer EP. 5th ESO-ESMO international consensus guidelines for advanced breast cancer (ABC 5). Ann Oncol 2020; 31:1623-1649. [PMID: 32979513 PMCID: PMC7510449 DOI: 10.1016/j.annonc.2020.09.010] [Citation(s) in RCA: 654] [Impact Index Per Article: 163.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 09/15/2020] [Accepted: 09/16/2020] [Indexed: 01/09/2023] Open
Affiliation(s)
- F Cardoso
- Breast Unit, Champalimaud Clinical Centre/Champalimaud Foundation, Lisbon, Portugal.
| | - S Paluch-Shimon
- Sharett Division of Oncology, Hadassah University Hospital, Jerusalem, Israel
| | - E Senkus
- Department of Oncology and Radiotherapy, Medical University of Gdansk, Gdansk, Poland
| | - G Curigliano
- Department of Oncology and Hemato-Oncology, European Institute of Oncology, IRCCS, Division of Early Drug Development, University of Milan, Milan, Italy
| | - M S Aapro
- Breast Center, Clinique de Genolier, Genolier, Switzerland
| | - F André
- Department of Medical Oncology, Institut Gustave Roussy, Villejuif, France
| | - C H Barrios
- Latin American Cooperative Oncology Group (LACOG), Grupo Oncoclínicas, Porto Alegre, Brazil
| | - J Bergh
- Department of Oncology-Pathology, Karolinska Institute & University Hospital, Stockholm, Sweden
| | - G S Bhattacharyya
- Department of Medical Oncology, Salt Lake City Medical Centre, Kolkata, India
| | - L Biganzoli
- Department of Medical Oncology, Nuovo Ospedale di Prato - Istituto Toscano Tumori, Prato, Italy
| | - F Boyle
- The Pam McLean Centre, Royal North Shore Hospital, St Leonards, Australia
| | - M-J Cardoso
- Breast Unit, Champalimaud Clinical Centre/Champalimaud Foundation, Lisbon, Portugal; Nova Medical School, Lisbon, Portugal
| | - L A Carey
- Department of Hematology and Oncology, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, USA
| | - J Cortés
- IOB Institute of Oncology, Quiron Group, Madrid & Barcelona, Spain; Department of Oncology, Vall d'Hebron Institute of Oncology, Barcelona, Spain
| | - N S El Saghir
- Division of Hematology Oncology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - M Elzayat
- Europa Donna, The European Breast Cancer Coalition, Milan, Italy
| | - A Eniu
- Interdisciplinary Oncology Service (SIC), Riviera-Chablais Hospital, Rennaz, Switzerland
| | - L Fallowfield
- SHORE-C, Brighton & Sussex Medical School, University of Sussex, Brighton, UK
| | - P A Francis
- Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
| | - K Gelmon
- Medical Oncology Department, BC Cancer Agency, Vancouver, Canada
| | - J Gligorov
- Breast Cancer Expert Center, University Cancer Institute APHP, Sorbonne University, Paris, France
| | - R Haidinger
- Brustkrebs Deutschland e.V., Munich, Germany
| | - N Harbeck
- Breast Centre, Department of Obstetrics and Gynaecology, University of Munich (LMU), Munich, Germany
| | - X Hu
- Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China
| | - B Kaufman
- Department of Oncology, Sheba Medical Center, Ramat Gan, Israel
| | - R Kaur
- Breast Cancer Welfare Association Malaysia, Petaling Jaya, Malaysia
| | - B E Kiely
- NHMRC Clinical Trials Centre, Sydney Medical School, Sydney, Australia
| | - S-B Kim
- Department of Oncology, Asan Medical Centre, University of Ulsan College of Medicine, Seoul, South Korea
| | - N U Lin
- Susan Smith Center for Women's Cancers - Breast Oncology Center, Dana-Farber Cancer Institute, Boston, USA
| | - S A Mertz
- Metastatic Breast Cancer Network, Inverness, USA
| | - S Neciosup
- Department of Medical Oncology, National Institute of Neoplastic Diseases, Lima, Peru
| | - B V Offersen
- Department of Oncology, Aarhus University Hospital, Aarhus, Denmark
| | - S Ohno
- Breast Oncology Centre, Cancer Institute Hospital, Tokyo, Japan
| | - O Pagani
- Medical School, Geneva University Hospital, Geneva, Switzerland
| | - A Prat
- Department of Medical Oncology, Hospital Clinic of Barcelona, Barcelona, Spain; Translational Genomics and Targeted Therapies in Solid Tumors, IDIBAPS, Barcelona; Department of Medicine, University of Barcelona, Barcelona
| | - F Penault-Llorca
- Department of Biopathology, Centre Jean Perrin, Clermont-Ferrand, France; University Clermont Auvergne/INSERM U1240, Clermont-Ferrand, France
| | - H S Rugo
- Breast Oncology Clinical Trials Education, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, USA
| | - G W Sledge
- Division of Oncology, Stanford School of Medicine, Stanford, USA
| | - C Thomssen
- Department of Gynaecology, Martin Luther University Halle-Wittenburg, Halle, Germany
| | - D A Vorobiof
- Oncology Research Unit, Belong.Life, Tel Aviv, Israel
| | - T Wiseman
- Department of Applied Health Research in Cancer Care, The Royal Marsden Hospital NHS Foundation Trust, London, UK
| | - B Xu
- Department of Medical Oncology, Cancer Hospital Chinese Academy of Medical Sciences, Beijing, China
| | - L Norton
- Breast Cancer Medicine Service, Memorial Sloan-Kettering Cancer Center, New York, USA
| | - A Costa
- European School of Oncology, Milan, Italy; European School of Oncology, Bellinzona, Switzerland
| | - E P Winer
- Susan Smith Center for Women's Cancers - Breast Oncology Center, Dana-Farber Cancer Institute, Boston, USA
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Kaur H, Kaur R. The relationship between career adaptability and job outcomes via fit perceptions: A three-wave longitudinal study. Australian Journal of Career Development 2020. [DOI: 10.1177/1038416220935677] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Drawing on the career construction theory and person–environment fit theory, the current research aimed to investigate whether career adaptability could enhance job outcomes. Further, the study examined the role of person–job fit as an underlying mechanism explaining the relationship between career adaptability and job outcomes. The data were collected in three waves from 239 Indian banking employees. The results suggest that possessing psychosocial meta-capacities in the form of career adaptability stimulates employees’ self-regulation in achieving a work–environment fit, consequently leading to favourable job outcomes. The current study is the first to validate the psychological pathways linking career adaptability and job outcomes via person–job fit. Study findings carry implications for career practitioners/counsellors to acknowledge the role of career adaptability in regulating individual capacities for career development. Elaborating the interconnection between domains of career and jobs, the study encourages organizations to consider career adaptability for improving fit and job outcomes.
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Kaur R, Tiwari SK. Identification and characterization of a halocin-producing haloarchaeon isolated from Pachpadra salt lake. Lett Appl Microbiol 2020; 71:620-626. [PMID: 32844475 DOI: 10.1111/lam.13377] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 08/15/2020] [Accepted: 08/15/2020] [Indexed: 01/06/2023]
Abstract
Haloarchaea are known to produce antimicrobial proteins, halocins which are generally stable at extreme conditions suggesting their potential biotechnological applications. Here, we report a halocin-producing haloarchaeon isolated from salt lake and identified as Haloferax larsenii HA4 using partial 16S rDNA sequence and biochemical properties. Whole-cell methanolysate showed ether-linked lipids, which is a characteristic feature of haloarchaea. Strain HA4 was able to grow at pH 6·0-10·0 and 15-30% NaCl. The growth response was normal but antimicrobial activity was detected only during the log-phase. Crude halocin HA4 was active in the pH range of pH 2·0-10·0 with stability up to 100°C. Cell-free supernatant (CFS) was also stable in different organic solvents and detergents tested. However, halocin activity was reduced after treatment with proteinase K suggesting the proteinaceous nature of the active compound. Concentrated CFS showed the presence of several proteins from 6·5-66 kDa but bioassay suggested ~14 kDa protein as halocin. Crude halocin preparation showed cytocidal activity against indicator strain, H. larsenii HA10 and inhibited the growth of other related strains such as H. larsenii HA3, HA8, HA9 and HA10.
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Affiliation(s)
- R Kaur
- Department of Genetics, Maharshi Dayanand University, Rohtak, Haryana, India
| | - S K Tiwari
- Department of Genetics, Maharshi Dayanand University, Rohtak, Haryana, India
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21
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Kumar P, Mahajan P, Kaur R, Gautam S. Nanotechnology and its challenges in the food sector: a review. Mater Today Chem 2020; 17:100332. [PMID: 32835156 PMCID: PMC7386856 DOI: 10.1016/j.mtchem.2020.100332] [Citation(s) in RCA: 25] [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] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 06/29/2020] [Accepted: 07/01/2020] [Indexed: 05/05/2023]
Abstract
Antibacterial activity of nanoparticles has received significant attention worldwide because of their great physical and chemical stability, excellent magnetic properties, and large lattice constant values. These properties are predominate in the food science for enhancing the overall quality, shelf life, taste, flavor, process-ability, etc., of the food. Nanoparticles exhibit attractive antibacterial activity due to their increased specific surface area leading to enhanced surface reactivity. When nanoparticles are suspended in the biological culture, they encounter various biological interfaces, resulting from the presence of cellular moieties like DNA, proteins, lipids, polysaccharides, etc., which helps antibacterial properties in many ways. This paper reviews different methods used for the synthesis of nanoparticles but is specially focusing on the green synthesis methods owing to its non-toxic nature towards the environment. This review highlights their antibacterial application mainly in the food sector in the form of food-nanosensors, food-packaging, and food-additives. The possible mechanism of nanoparticles for their antibacterial behavior underlying the interaction of nano-particles with bacteria, (i) excessive ROS generation including hydrogen peroxide (H2O2), OH- (hydroxyl radicals), and O- 2 2 (peroxide); and (ii) precipitation of nano-particles on the bacterial exterior; which, disrupts the cellular activities, resulting in membranes disturbance. All these phenomena results in the inhibition of bacterial growth. Along with this, their current application and future perspectives in the food sector are also discussed. Nanoparticles help in destroying not only pathogens but also deadly fungi and viruses. Most importantly it is required to focus more on the crop processing and its containment to stop the post-harvesting loss. So, nanoparticles can act as a smart weapon towards the sustainable move.
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Affiliation(s)
- P Kumar
- Advanced Functional Materials Lab., Dr. S.S. Bhatnagar University Institute of Chemical Engineering & Technology, Panjab University, Chandigarh, 160 014, India
| | - P Mahajan
- Advanced Functional Materials Lab., Dr. S.S. Bhatnagar University Institute of Chemical Engineering & Technology, Panjab University, Chandigarh, 160 014, India
| | - R Kaur
- Advanced Functional Materials Lab., Dr. S.S. Bhatnagar University Institute of Chemical Engineering & Technology, Panjab University, Chandigarh, 160 014, India
| | - S Gautam
- Advanced Functional Materials Lab., Dr. S.S. Bhatnagar University Institute of Chemical Engineering & Technology, Panjab University, Chandigarh, 160 014, India
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Kaur R, Bakshi MS. Mechanistic Aspects of Simultaneous Extraction of Silver and Gold Nanoparticles across Aqueous-Organic Interfaces by Surface Active Iron Oxide Nanoparticles. Langmuir 2020; 36:7505-7516. [PMID: 32520570 DOI: 10.1021/acs.langmuir.0c01102] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Surface active iron oxide nanoparticles (NPs) were used for the simultaneous extraction of water soluble Ag and Au NPs across an aqueous-organic interface from aqueous bulk. The surface activity of iron oxide NPs was achieved by using cationic Gemini surfactants of different architectures during the in situ synthesis of iron oxide NPs in hydrothermal synthesis. Aqueous bulk solubility of Ag and Au NPs was achieved by stabilizing them with conventional surfactants of different polarities such as SDS, CTAB, and DDM. The amphiphilic nature of iron oxide NPs demonstrated their remarkable ability to extract Ag and Au NPs through both hydrophilic and hydrophobic interactions. The mechanism of extraction from aqueous bulk was monitored by placing different amounts of surface active iron oxide NPs on the aqueous-organic interface and was studied with the help of UV-visible, DLS, and IR measurements. XPS and TEM measurements were used for the quantitative estimation of efficiency of extraction. Extraction was facilitated when both hydrophilic and hydrophobic interactions were participating simultaneously. Results may help in designing a suitable method for purification of industrial effluents contaminated with metal particulates simply by applying an external magnetic field rather than going through a complicated conventional filtration process.
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Affiliation(s)
- Rajpreet Kaur
- Department of Chemistry, Natural and Applied Sciences, University of Wisconsin - Green Bay, 2420 Nicolet Drive, Green Bay, Wisconsin 54311-7001, United States
| | - Mandeep Singh Bakshi
- Department of Chemistry, Natural and Applied Sciences, University of Wisconsin - Green Bay, 2420 Nicolet Drive, Green Bay, Wisconsin 54311-7001, United States
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Mahajan P, Koushal V, Chhabra R, Dhaliwal N, Pandey N, Kaur R. Effectiveness of Interventional Strategies in Modulating Knowledge and Attitude of Health Care Professionals for Promoting Organ Donation: A Study in Tertiary Care Public Hospital of North India. Ann Neurosci 2020; 27:242-256. [PMID: 34556965 PMCID: PMC8455009 DOI: 10.1177/0972753121990238] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Objective: To evaluate the impact of interventional “educational module” on knowledge and attitude regarding organ donation amongst resident doctors and nurses in the Institute of National Importance. Study Design: Interventional and prospective. Methods: We devised an interactive educational module covering various aspects of organ donation through a series of audiovisual lectures and information booklets. Resident doctors and nurses posted in those areas of the 1948-bedded Postgraduate Institute of Medical Education and Research (PGIMER), where head injury patients were treated and were subject to intervention using this module. The pre and postinterventional scores of their knowledge and attitude regarding organ donation were compared to find out impact of the intervention. Results: A total of 242 nurses and 87 resident doctors participated in this research. Higher knowledge score was observed preintervention amongst doctors as compared to nurses. Significant improvement was seen in total knowledge scores of both groups postintervention. Doctors had better scores for the “concept of organ donation,” while nurses were more familiar with “procedures and protocols.” Both had low knowledge about “clinical criteria for brain death” and “legal issues” preintervention which improved significantly postintervention. The positive impact of intervention was also observed on attitude in both categories. A significant impact of intervention was observed on overall propensity of doctors and nurses to promote organ donation, for pledging their own organs and for counseling of the patient/attendants on this cause. Conclusion: Scientifically designed educational modules have a promising role in improving awareness and attitude of health care professionals regarding organ donation and their propensity to be prospective donors, effective counselors, and advocates of organ donation.
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Affiliation(s)
- Pranay Mahajan
- Department of Hospital Administration, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - V Koushal
- Department of Hospital Administration, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - R Chhabra
- Department of Neurosurgery, PGIMER, Chandigarh, India
| | - N Dhaliwal
- Department of Hospital Administration, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - N Pandey
- Department of Hospital Administration, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - R Kaur
- Transplant Coordinator, PGIMER, Chandigarh, India
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Regan AK, Arnaout A, Marinovich L, Marston C, Patino I, Kaur R, Gebremedhin A, Pereira G. Interpregnancy interval and risk of perinatal death: a systematic review and meta-analysis. BJOG 2020; 127:1470-1479. [PMID: 32378279 DOI: 10.1111/1471-0528.16303] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/20/2020] [Indexed: 12/28/2022]
Abstract
BACKGROUND Interpregnancy interval (IPI) <6 months is a potentially modifiable risk factor for adverse perinatal health outcomes. OBJECTIVE This systematic review evaluated the international literature on the risk of perinatal death associated with IPI. SEARCH STRATEGY Two independent reviewers screened titles and abstracts identified in MEDLINE, EMBASE and Scopus from inception to 4 April 2019 (Prospero Registration #CRD42018092792). SELECTION CRITERIA Studies were included if they provided a description of IPI measurement and perinatal death, including stillbirth and neonatal death. DATA COLLECTION AND ANALYSIS A narrative review was performed for all included studies. Random effects meta-analysis was used to compare unadjusted odds of perinatal death associated with IPI <6 months and IPI ≥6 months. Analyses were performed by outcome of the preceding pregnancy and study location. MAIN RESULTS Of the 624 unique articles identified, 26 met the inclusion criteria. The pooled unadjusted odds ratio of perinatal death for IPI <6 months was 1.34 (95% CI 1.17-1.53) following a previous live birth, 0.85 (95% CI 0.73-0.99) following a previous miscarriage and 1.07 (95% CI 0.84-1.36) following a previous stillbirth compared with IPI ≥6 months. However, few high-income country studies reported an association after adjustment. Fewer studies evaluated the impact of long IPI on perinatal death and what evidence was available showed mixed results. CONCLUSIONS Results suggest a possible association between short IPI and risk of perinatal death following a live birth, particularly in low- to middle-income countries. TWEETABLE ABSTRACT Short IPI <6 months after a live birth was associated with greater risk of perinatal death than IPI ≥6 months.
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Affiliation(s)
- A K Regan
- School of Public Health, Texas A&M University, College Station, TX, USA.,School of Public Health, Curtin University, Perth, WA, Australia
| | - A Arnaout
- School of Public Health, Curtin University, Perth, WA, Australia
| | - L Marinovich
- School of Public Health, Curtin University, Perth, WA, Australia
| | - C Marston
- London School of Tropical Medicine and Hygiene, London, UK
| | - I Patino
- School of Public Health, Texas A&M University, College Station, TX, USA
| | - R Kaur
- School of Public Health, Texas A&M University, College Station, TX, USA
| | - A Gebremedhin
- School of Public Health, Curtin University, Perth, WA, Australia
| | - G Pereira
- School of Public Health, Curtin University, Perth, WA, Australia.,Centre for Fertility and Health, Norwegian Public Health Institute, Oslo, Norway
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Agarwal S, Kaur R, Nehra A. Sagittal Spinopelvic Alignment: Effect of Posture. Semin Musculoskelet Radiol 2020. [DOI: 10.1055/s-0040-1722500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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26
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Yanes T, Kaur R, Meiser B, Scheepers-Joynt M, McInerny S, Barlow-Stewart K, Antill Y, Salmon L, Smyth C, James PA, Young MA. Women’s responses and understanding of polygenic breast cancer risk information. Fam Cancer 2020; 19:297-306. [DOI: 10.1007/s10689-020-00185-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Abstract
The market for functional foods, fortified with added nutrients such as minerals, vitamins, micronutrients, antioxidants and fibers, is on the rise. In this review, we discuss the concept and nature of functional foods, the constituents or ingredients that are commonly used to fortify these foods, and the purpose of fortification. Finally, the review surveys consumers� attitudes toward functional foods and their importance to help their development and marketing.
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Affiliation(s)
- A Bakshi
- School of Humanities and Social Sciences, Thapar Institute of Engineering and Technology, Patiala 147004, India
| | - S Chhabra
- School of Humanities and Social Sciences, Thapar Institute of Engineering and Technology, Patiala 147004, India
| | - R Kaur
- School of Humanities and Social Sciences, Thapar Institute of Engineering and Technology, Patiala 147004, India
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Abstract
Anxiety is a psychiatric disorder with unknown neurobiology; however, neurotransmitters like gamma-amino butyric acid, norepinephrine and serotonin (5-HT) play crucial roles in mediating anxiety. Present drug modules pose dependence risk to the patient; hence, there is a great need to develop complementary therapies to fight this disorder. Aromatherapy has also been employed in ancient times for a number of mental disorders. Mahamrituanjay Mantra, Om triambkum yajamahe, sughandhim puushtivardhanam, urvarukmev vandhanaat, mrityu mokshay mamritaat!!!!, the part of veda enlightens that aroma gives rise to good health (sughandhim puushtivardhanam). Hawan is a religious practice recommended for mental peace. Hawan is a process in which special herbs are offered in the fire of medicinal woods ignited in a specially designed fire pit. Analysis of literature demonstrates that the components of Hawan are having a number of volatile oils that are specifically useful for prevention and treatment of anxiety through some mechanism of action. Due to high temperature of fire, the vapors of these oils from herbs enter into the central nervous system through nasal route. As per modern science and ancient texts on medicine, nasal drug delivery systems are the best for the diseases related to brain and head. The routine of performing Hawan might keep the threshold value of the therapeutic components in the body and help in preventing anxiety. In the present manuscript, authors highlight and integrate the modern and ancient concepts for treatment and prevention of anxiety through scientific evidences.
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Affiliation(s)
- R K Romana
- University Centre of Excellence in Research, Baba Farid University of Health Sciences (BFUHS), Faridkot, 151203, India
| | - A Sharma
- Department of Psychiatric, Government Medical College, Faridkot, India
| | - V Gupta
- University Centre of Excellence in Research, Baba Farid University of Health Sciences (BFUHS), Faridkot, 151203, India
| | - R Kaur
- University Centre of Excellence in Research, Baba Farid University of Health Sciences (BFUHS), Faridkot, 151203, India
| | - S Kumar
- National Institute of Ayurvedic Pharmaceutical Research, CCRAS, Patiala, India
| | - P Bansal
- University Centre of Excellence in Research, Baba Farid University of Health Sciences (BFUHS), Faridkot, 151203, India.
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Kaur R, Kaur J, Kaur M, Kalotra V, Chadha P, Kaur A, Kaur A. An endophytic Penicillium oxalicum isolated from Citrus limon possesses antioxidant and genoprotective potential. J Appl Microbiol 2020; 128:1400-1413. [PMID: 31841255 DOI: 10.1111/jam.14553] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 08/20/2019] [Accepted: 12/12/2019] [Indexed: 01/29/2023]
Abstract
AIMS This study aimed at isolating endophytic fungi from Citrus limon (L.) possessing antioxidative and genoprotective potential. METHODS AND RESULTS Endophytic fungi were screened for antioxidant activity using 2,2-diphenyl,1-picryl hydrazyl radical scavenging assay and maximum activity (79·70%) was exhibited by culture MP1 identified to be Penicillium oxalicum on the basis of morphological and molecular characteristics. The ethyl acetate extract of MP1 was subjected to silica column chromatography followed by LH 20 column chromatography for purification of active metabolites. The partially purified active fraction of P. oxalicum MP1 possessed good antioxidant activity as detected using various assays. It also exhibited a strong DNA damage protection potential on pUC19 plasmid DNA treated with Fenton reagent. On exposure to active fraction of MP1 significant reduction (P < 0·05) in nuclear deformities (like nuclear buds, micronuclei, nuclear ridges and binucleated cells) was observed in human lymphocytes pretreated with a toxic concentration of H2 O2 . In vivo genoprotectivity studies were conducted in fresh water fish Channa punctatus pretreated with a damaging compound 4-nonyl phenol. The active fraction of P. oxalicum MP1 caused a reduction of 94·7 and 66·60% in micronuclei and aberrant cell formation, respectively. A significant reduction (P < 0·05) in tail length and tail DNA parameters was also observed in comet assay. CONCLUSION The endophytic P. oxalicum isolated in this study has the potential to produce metabolites possessing antioxidant and genoprotective activities. SIGNIFICANCE AND IMPACT OF THE STUDY The isolated culture can be exploited in the field of therapeutics by virtue of its in vitro and in vivo genoprotective potential.
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Affiliation(s)
- R Kaur
- Department of Microbiology, Guru Nanak Dev University, Amritsar, Punjab, India
| | - J Kaur
- Department of Microbiology, Guru Nanak Dev University, Amritsar, Punjab, India
| | - M Kaur
- Department of Zoology, Guru Nanak Dev University, Amritsar, Punjab, India
| | - V Kalotra
- Department of Human Genetics, Guru Nanak Dev University, Amritsar, Punjab, India
| | - P Chadha
- Department of Zoology, Guru Nanak Dev University, Amritsar, Punjab, India
| | - A Kaur
- Department of Human Genetics, Guru Nanak Dev University, Amritsar, Punjab, India
| | - A Kaur
- Department of Microbiology, Guru Nanak Dev University, Amritsar, Punjab, India
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Leow AST, Sia CH, Tan BYQ, Kaur R, Sim HW, Yeo TC, Chan MYY, Richards MA, Tay ELW, Loh JPY. P263 Characterisation of patients with acute myocardial infarction complicated by left ventricular thrombus. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehz872.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
None
Background/Introduction
Left ventricular (LV) thrombus is a widely recognized complication of acute myocardial infarction (AMI). Limited data are available from South East Asian patients with this post-infarction complication nor on whether patients with non-ST segment elevation myocardial infarction (NSTEMI) or STEMI with associated LV thrombosis exhibit differing clinical characteristics and/or outcomes. Left Ventricular Ejection Fraction (LVEF) ≤ 40% is a recognized predictor of LV thrombus formation, but there is limited data on LV thrombus patients with EF > 40% or in NSTEMI patients.
Purpose
This study aims to investigate and compare the clinical characteristics, treatment and outcomes of post-AMI patients with LV thrombus formation, with a particular emphasis on those with EF ≤ 40% and in NSTEMI patients.
Methods
Among 5829 consecutive echocardiogram results containing the keyword "thrombus" from August 2006 to September 2017, we identified 289 post-AMI patients with acute LV thrombus formation. Demographics, treatment and outcome measures were analysed.
Results
Cardiovascular risk factors such as dyslipidaemia (54.0%) and hypertension (50.5%) were commonly present in post-AMI patients with LV thrombus. Mean LVEF was 33.0 ± 10.4%. The majority (68.0%) of patients received triple therapy and 59.5% achieved thrombus resolution. NSTEMI patients had greater number of co-morbidities including heart failure (p < 0.01), documented history of ischaemic heart disease preceding the AMI leading to thrombus formation (p < 0.01) and lower LVEF (28.3 ± 9.3% vs. 34.8 ± 10.3% , p < 0.01) compared with STEMI cases. On multivariate analysis, having a lower EF was a significant independent predictor of stroke (HR 0.96, 95% CI 0.93-1.00, p = 0.03) and all-cause mortality (HR 0.95, 95% CI 0.92-0.99, p < 0.01). The categories of STEMI and NSTEMI did not predict thrombus resolution, stroke events or all-cause mortality after adjustment.
Conclusion(s)
Post-AMI LV thrombus patients with NSTEMI and STEMI differed in terms of their co-morbidities in their demographics and co-morbidities but it was a lower EF that was associated with an increased risk of stroke and all-cause mortality. Further studies on this topic are required.
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Affiliation(s)
- A S T Leow
- National University of Singapore, Yong Loo Lin School of Medicine, Singapore, Singapore
| | - C H Sia
- National University Heart Centre, Department of Cardiology, Singapore, Singapore
| | - B Y Q Tan
- National University Hospital, Department of Medicine, Singapore, Singapore
| | - R Kaur
- National University Heart Centre, Department of Cardiology, Singapore, Singapore
| | - H W Sim
- National University Heart Centre, Department of Cardiology, Singapore, Singapore
| | - T C Yeo
- National University Heart Centre, Department of Cardiology, Singapore, Singapore
| | - M Y Y Chan
- National University Heart Centre, Department of Cardiology, Singapore, Singapore
| | - M A Richards
- National University Health System, Cardiovascular Research Institute, Singapore, Singapore
| | - E L W Tay
- National University Heart Centre, Department of Cardiology, Singapore, Singapore
| | - J P Y Loh
- National University Heart Centre, Department of Cardiology, Singapore, Singapore
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Donkervoort S, Sabouny R, Yun P, Gauquelin L, Chao KR, Hu Y, Al Khatib I, Töpf A, Mohassel P, Cummings BB, Kaur R, Saade D, Moore SA, Waddell LB, Farrar MA, Goodrich JK, Uapinyoying P, Chan SS, Javed A, Leach ME, Karachunski P, Dalton J, Medne L, Harper A, Thompson C, Thiffault I, Specht S, Lamont RE, Saunders C, Racher H, Bernier FP, Mowat D, Witting N, Vissing J, Hanson R, Coffman KA, Hainlen M, Parboosingh JS, Carnevale A, Yoon G, Schnur RE, Boycott KM, Mah JK, Straub V, Foley AR, Innes AM, Bönnemann CG, Shutt TE. MSTO1 mutations cause mtDNA depletion, manifesting as muscular dystrophy with cerebellar involvement. Acta Neuropathol 2019; 138:1013-1031. [PMID: 31463572 PMCID: PMC6851037 DOI: 10.1007/s00401-019-02059-z] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 07/25/2019] [Accepted: 08/08/2019] [Indexed: 01/12/2023]
Abstract
MSTO1 encodes a cytosolic mitochondrial fusion protein, misato homolog 1 or MSTO1. While the full genotype–phenotype spectrum remains to be explored, pathogenic variants in MSTO1 have recently been reported in a small number of patients presenting with a phenotype of cerebellar ataxia, congenital muscle involvement with histologic findings ranging from myopathic to dystrophic and pigmentary retinopathy. The proposed underlying pathogenic mechanism of MSTO1-related disease is suggestive of impaired mitochondrial fusion secondary to a loss of function of MSTO1. Disorders of mitochondrial fusion and fission have been shown to also lead to mitochondrial DNA (mtDNA) depletion, linking them to the mtDNA depletion syndromes, a clinically and genetically diverse class of mitochondrial diseases characterized by a reduction of cellular mtDNA content. However, the consequences of pathogenic variants in MSTO1 on mtDNA maintenance remain poorly understood. We present extensive phenotypic and genetic data from 12 independent families, including 15 new patients harbouring a broad array of bi-allelic MSTO1 pathogenic variants, and we provide functional characterization from seven MSTO1-related disease patient fibroblasts. Bi-allelic loss-of-function variants in MSTO1 manifest clinically with a remarkably consistent phenotype of childhood-onset muscular dystrophy, corticospinal tract dysfunction and early-onset non-progressive cerebellar atrophy. MSTO1 protein was not detectable in the cultured fibroblasts of all seven patients evaluated, suggesting that pathogenic variants result in a loss of protein expression and/or affect protein stability. Consistent with impaired mitochondrial fusion, mitochondrial networks in fibroblasts were found to be fragmented. Furthermore, all fibroblasts were found to have depletion of mtDNA ranging from 30 to 70% along with alterations to mtDNA nucleoids. Our data corroborate the role of MSTO1 as a mitochondrial fusion protein and highlight a previously unrecognized link to mtDNA regulation. As impaired mitochondrial fusion is a recognized cause of mtDNA depletion syndromes, this novel link to mtDNA depletion in patient fibroblasts suggests that MSTO1-deficiency should also be considered a mtDNA depletion syndrome. Thus, we provide mechanistic insight into the disease pathogenesis associated with MSTO1 mutations and further define the clinical spectrum and the natural history of MSTO1-related disease.
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32
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Kaur R, Singh K, Khullar P, Gupta A, Ahluwalia GK, Bakshi MS. Applications of Molecular Structural Aspects of Gemini Surfactants in Reducing Nanoparticle-Nanoparticle Interactions. Langmuir 2019; 35:14929-14938. [PMID: 31645104 DOI: 10.1021/acs.langmuir.9b02855] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Oppositely charged nanoparticle (NP)-nanoparticle (NP) interactions were studied by titrating sodium dodecyl sulfate (SDS) stabilized NPs with cetyltrimethylammonium bromide (CTAB) stabilized NPs at constant temperature with the help of UV-visible and dynamic light scattering measurements. CTAB stabilized NPs were systematically replaced with a series of cationic gemini surfactants to demonstrate the effect of head group and hydrocarbon tail modifications on the electrostatic interactions with SDS stabilized NPs. Introduction of the dimeric gemini head group (alkylammonium or imidazolium), spacer length, and double tail hydrocarbon length all significantly reduced the NP-NP interactions and delayed their salting-out process. They lead to the formation of stable colloidal aqueous solubilized NP-NP complexes. The results concluded that NP-NP interactions can be overcome if appropriately stabilized NPs are used to maintain their colloidal stability so as to achieve maximum applicability.
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Affiliation(s)
- Rajpreet Kaur
- Department of Chemistry , B.B.K. D.A.V. College for Women , Amritsar 143005 , Punjab , India
| | - Kultar Singh
- Department of Chemistry , Khalsa College , G.T. Road , Amritsar 143002 , Punjab , India
| | - Poonam Khullar
- Department of Chemistry , B.B.K. D.A.V. College for Women , Amritsar 143005 , Punjab , India
| | - Anita Gupta
- Amity Institute of Applied Sciences , AUUP , Noida 201304 , India
| | - Gurinder Kaur Ahluwalia
- Nanotechnology Research Laboratory , College of North Atlantic , Labrador City , Newfoundland and Labrador A2V 2K7 , Canada
| | - Mandeep Singh Bakshi
- Department of Chemistry, Natural and Applied Sciences , University of Wisconsin-Green Bay , 2420 Nicolet Drive , Green Bay , Wisconsin 54311-7001 , United States
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33
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Thrimawithana T, Kaur R, Ngo A, So B, Singh G. Stability of fish oil capsules in dose administration aids. Res Social Adm Pharm 2019. [DOI: 10.1016/j.sapharm.2019.03.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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34
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Kaur M, Chadha P, Kaur S, Kaur A, Kaur R, Yadav AK, Kaur R. Evaluation of genotoxic and cytotoxic effects of ethyl acetate extract of Aspergillus flavus on Spodoptera litura. J Appl Microbiol 2019; 126:881-893. [PMID: 30216609 DOI: 10.1111/jam.14105] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Revised: 08/28/2018] [Accepted: 09/03/2018] [Indexed: 01/31/2023]
Abstract
AIM Recent concerns about the possible adverse effects of agricultural chemicals on health and environment have generated a considerable interest in biological alternatives. This study aimed to test the insecticidal potential of fungus Aspergillus flavus and revealed its genotoxic and cytotoxic effects using Spodoptera litura (Fabricius) as a model. METHODS AND RESULTS The fungus was isolated from the surface of the dead insect and investigated for its insecticidal potential against S. litura by bioassay studies. Significant increase in mortality, prolonged development period and reduced adult emergence in S. litura were observed in larva fed on diet supplemented with fungal extract. In addition, fungus was also found to cause oxidative stress, DNA damage and cell death. Significantly higher percentages of necrotic cells and DNA damage were observed in larvae treated with fungal extract. Furthermore, DNA repair studies predicted the longevity of toxic effects induced by fungus. Phytochemical and ultra-high performance liquid chromatography studies revealed the presence of phenolic compounds in the extract and liquid chromatography-mass spectrometry indicated it to be a non-aflatoxin strain of A. flavus. Fungal extract was less toxic to mammalian cell lines as compared to cytotoxic drug doxorubicin (DOX) in the MTT assay. CONCLUSION The study highlights the insecticidal potential of A. flavus by revealing its genotoxicity and cytotoxicity causing potential. This is the first report showing the genotoxic and cytotoxic effects of the fungus A. flavus on S. litura. SIGNIFICANCE AND IMPACT OF THE STUDY The study provides a useful insight to explore microbial agents as biopesticides in order to reduce various environmental as well as human health problems due to synthetic pesticides.
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Affiliation(s)
- M Kaur
- Department of Zoology, Guru Nanak Dev University, Amritsar, India
| | - P Chadha
- Department of Zoology, Guru Nanak Dev University, Amritsar, India
| | - S Kaur
- Department of Zoology, Guru Nanak Dev University, Amritsar, India
| | - A Kaur
- Departments of Microbiology, Guru Nanak Dev University, Amritsar, India
| | - R Kaur
- Departments of Microbiology, Guru Nanak Dev University, Amritsar, India
| | - A K Yadav
- Department of Biotechnology, Guru Nanak Dev University, Amritsar, India
| | - R Kaur
- Department cum National Centre for Human Genome Studies and Research, Panjab University, Chandigarh, India
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35
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Kaur R, Khullar P, Mahal A, Gupta A, Singh N, Ahluwalia GK, Bakshi MS. Keto-Enol Tautomerism of Temperature and pH Sensitive Hydrated Curcumin Nanoparticles: Their Role as Nanoreactors and Compatibility with Blood Cells. J Agric Food Chem 2018; 66:11974-11980. [PMID: 30359007 DOI: 10.1021/acs.jafc.8b03893] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
In order to provide a solution for the poor aqueous solubility and poor bioavailability of curcumin, we present the synthesis and characteristic features of water-soluble curcumin hydrated nanoparticles (CNPs). They are stable and nearly monodisperse in the aqueous phase where the keto form of curcumin self-assembles into spherical CNPs, which are highly sensitive to temperature and pH variations. The CNPs are quite stable up to 40 °C and at neutral pH. A higher temperature range reduces their hydration and makes them unstable, thereby disintegrating them into smaller aggregates. Similarly, a higher pH converts the keto form of CNPs into the enol form by promoting their interparticle fusions driven by hydrogen bonding with a remarkable color change from yellow to bright orange-red which demonstrates their excellent photophysical behavior. The stable keto form CNPs are highly efficient nonreactors for the in situ synthesis of Au, Ag, and Pd NPs which are simultaneously entrapped in curcumin aggregates, thus promoting the metal NP carrying ability of curcumin aggregates. The CNPs also demonstrate their excellent dose-dependent biocompatibility with blood cells. A concentration range up to 5 mM of CNPs is quite safe for their applications in biological systems.
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Affiliation(s)
- Rajpreet Kaur
- Department of Chemistry , B.B.K. D.A.V. College for Women , Amritsar 143005 , Punjab India
| | - Poonam Khullar
- Department of Chemistry , B.B.K. D.A.V. College for Women , Amritsar 143005 , Punjab India
| | - Aabroo Mahal
- Department of Chemistry , B.B.K. D.A.V. College for Women , Amritsar 143005 , Punjab India
| | - Anita Gupta
- Amity Institute of Applied Sciences, AUUP , Noida 201304 , India
| | - Narpinder Singh
- Department of Food Science and Technology , Guru Nanak Dev University , Amritsar 143005 , Punjab India
| | - Gurinder Kaur Ahluwalia
- Nanotechnology Research Laboratory , College of North Atlantic , Labrador City , NL A2 V 2K7 Canada
| | - Mandeep Singh Bakshi
- Department of Natural and Applied Sciences , University of Wisconsin - Green Bay , 2420 Nicolet Drive , Green Bay , Wisconsin 54311-7001 , United States
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36
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Saade D, Bharucha-Goebel D, Norato G, Foley A, Waite M, Jain M, Debs S, Vasavada R, Nichols C, Kaur R, Donkervoort S, Neuhaus S, Hu Y, Lehky T, Gray S, Fink M. CMT AND NEUROGENIC DISEASE. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.385] [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: 11/28/2022]
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37
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Lim Z, Rajaram N, Song C, Kaur R, Taib NM, Muhamad M, Ong W, Schouwenburg M, See M, Teo SH, Saunders C, Yip C. Patient-Reported Outcome Measures Among Breast Cancer Survivors in Malaysia: A Comparative Study With Patients From High-Income Countries. J Glob Oncol 2018. [DOI: 10.1200/jgo.18.75100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Patient-reported outcome measures (PROMs) are essential for identifying how patients perceive the outcomes of their cancer treatment, and is the ultimate success of cancer care. Although a growing number of studies have focused on PROMs in high income countries (HICs), outcomes relevant to patients in developing countries are less understood. Furthermore, the lack of standardization in PROMs makes it difficult to interpret these data for research or quality monitoring. Aim: In this study, we compared the results of PROM measures between patients in Malaysia, a middle income country, and those in HICs, using standard PROMs questionnaires. We also explored the differences in perceived importance of patient reported outcomes within the multiracial Malaysian cohort. Methods: Breast cancer patients (n=1063) were recruited in hospitals serving suburban areas of Malaysia. Of these, 969 patients were eligible for analysis. The surveys were conducted through face-to-face interviews (68%) or were self-administered (30%). An outcome was considered important if it was scored between 7-9 on a 9-point Likert scale. We compared PROMs scores between Malaysian patients and data previously collected from patients in HICs using logistic regression models, adjusting for demographic and clinical characteristics. A two-step cluster analysis was conducted to explore differences in the perceived importance of PROMs between clusters of Malaysian patients. Results: Compared with 1777 patients from HICs, Malaysian patients were less likely to rate overall and recurrence free survival, as well as emotional, cognitive, social and sexual functioning as very important outcomes. Interestingly, more Malaysian women reported that pain (50% vs. 39%), breast symptoms (51% vs. 35%), and major complications (60% vs. 44%) were very important outcomes ( P < 0.001). Compared with young, married Malaysian women, the cluster of older married women (mean age of 57 vs. 52), who were less likely to have received breast reconstructive surgery (8.6% vs. 16.8%), was more likely to rate sexual functioning (32.8% vs. 25.0%, P = 0.036), body image (63.9% vs. 42.4%, P < 0.001), and satisfaction with the breast (50.7% vs. 37.0%, P = 0.011) as very important outcomes. Conclusion: The differences in breast cancer patient needs between and within populations should be considered carefully to better clinician-patient relationship, patient care and satisfaction and assess the outcomes of our cancer care. Future research is needed to find suitable targeted interventions to identify and address the diverse needs of breast cancer patients in low and middle income countries.
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Affiliation(s)
- Z.Y. Lim
- Cancer Research Malaysia, Subang Jaya, Malaysia
| | - N. Rajaram
- Cancer Research Malaysia, Subang Jaya, Malaysia
| | - C.V. Song
- Cancer Research Malaysia, Subang Jaya, Malaysia
| | - R. Kaur
- Cancer Research Malaysia, Subang Jaya, Malaysia
| | | | - M. Muhamad
- Cancer Research Malaysia, Subang Jaya, Malaysia
| | - W.L. Ong
- Cancer Research Malaysia, Subang Jaya, Malaysia
| | | | - M.H. See
- Cancer Research Malaysia, Subang Jaya, Malaysia
| | - S.-H. Teo
- Cancer Research Malaysia, Subang Jaya, Malaysia
| | - C. Saunders
- Cancer Research Malaysia, Subang Jaya, Malaysia
| | - C.H. Yip
- Cancer Research Malaysia, Subang Jaya, Malaysia
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38
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Donkervoort S, Hu Y, Shieh P, Koliwer J, Tsai L, Cummings B, Snyder M, Chao K, Kaur R, Bharucha-Goebel D, Iannaccone S, MacArthur D, Foley A, Schwake M, Bönnemann C. NEW GENES, FUNCTIONS AND BIOMARKERS. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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39
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Islam T, Musthaffa S, Hoong S, Harun F, Hassan A, Jamaris S, Din NA, Rahman Z, Mohamed K, Ho G, Kaur R, Taib N. Effectiveness of Breast Care Nurse Led Video Orientation Programme on Information and Navigation for Newly Diagnosed Breast Cancer Patients at University Malaya Medical Center, Malaysia. J Glob Oncol 2018. [DOI: 10.1200/jgo.18.60500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Advancement in medical treatment with wider treatment options have made breast cancer (BC) care more complex. Short consultation time with physicians, treatment complexities, patients' fears and poor coping skills at the time of diagnosis may affect patient´s decision that cause treatment delays and nonadherence. Main reasons for advance BC presentation in Malaysia are delay in taking treatment decision and poor breast health literacy on disease and treatment outcomes may contribute to nonadherence to treatments. To address this knowledge gap, a breast care nurse (BCN) led orientation video for new patients to navigate them through complex multimodal treatment processes. This audio-visual educational tool address multimodal treatments and its side effects and in addition navigating admission, discharge and follow-up, advice on diet and exercise to maintain a healthy life style during survivorship period was developed in layperson language in Malay, Mandarin and English. Aim: To assess the effectiveness of BCN led video orientation on the improvement of patient knowledge and satisfaction. Methods: A pilot study was carried out in 50 patients to assess the effectiveness of the video, and found that patients needed a face to face interaction to watch the video. Hence, a BCN led orientation was developed to use the video. A self-administered pre- and postsurvey on 246 newly diagnosed breast cancer patients in University Malaya Medical Center (UMMC) was performed to evaluate expectations, satisfactions and knowledge (a Likert scale response using items 4 number scale was used, 0 means “no knowledge” and 4 means “a great degree of knowledge”). The scoring was done before and after the video orientation was done. A Wilcoxon matched-paired signed-rank test was perform to analyze the changes in the scoring. Results: Among 247 patients, who received the BCN led video orientation program, 79.3% (n= 197) found that the video met or exceeded their expectations. 23.9% (n=59) and 56.3% (139) consecutively found the video very effective and effective in broadening their perspective on BC treatments. And 171 (69.2%) of them overall rated the video highly met their expectations. There were significant improvement in knowledge for treatment options for BC, mean scores (M=0.93 versus M=2.97) before and after watching the video ( P < 0.001). Similar findings were found in different types of operation for BC; procedure for admission in UMMC, information on chemotherapy; radiotherapy; hormone therapy and alternative medicine for BC. It also showed improved knowledge scores for healthy diet; physical activity after treatments and care of the arm after operation ( P < 0.001). Conclusion: Video-based information on treatments and navigating care through a BCN led service had effectively improved patients' knowledge and satisfaction. This approach can be used to educate cancer patients in a middle resource setting.
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Affiliation(s)
- T. Islam
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - S. Musthaffa
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - S.M. Hoong
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - F. Harun
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - A. Hassan
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - S. Jamaris
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - N. Abdullah Din
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - Z. Rahman
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - K.N. Mohamed
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - G.F. Ho
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - R. Kaur
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
| | - N.A. Taib
- University of Malaya, Department of Surgery, Kuala Lumpur, Malaysia
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40
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Kaur R. A tandem bio-chemo catalytic approach to the sustainable production of malic acid from glucose. N Biotechnol 2018. [DOI: 10.1016/j.nbt.2018.05.887] [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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41
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Kaur J, Kaur R, Datta R, Kaur S, Kaur A. Exploration of insecticidal potential of an alpha glucosidase enzyme inhibitor from an endophytic Exophiala spinifera. J Appl Microbiol 2018; 125:1455-1465. [PMID: 29877011 DOI: 10.1111/jam.13947] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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: 03/12/2018] [Revised: 05/10/2018] [Accepted: 05/25/2018] [Indexed: 11/30/2022]
Abstract
AIM The present study aimed to isolate and screen endophytes from Trachyspermum ammi with the ability to inhibit alpha glucosidase enzyme and evaluate their insecticidal potential. METHODS AND RESULTS Endophytic fungi isolated from T. ammi were screened for alpha glucosidase inhibitory activity. Maximum inhibition (96%) was observed in an isolate AZ-9, identified to be Exophiala spinifera on morphological and molecular basis. Production of fungal metabolites was carried out in malt extract broth followed by extraction with ethyl acetate. Brown coloured gummy residue obtained after evaporation of ethyl acetate was partially soluble in water yielding white precipitates. The precipitate exhibiting α-glucosidase inhibitory activity was purified by repeated washing and centrifugation. The insecticidal activity of inhibitor was evaluated on Spodoptera litura (Fab.) by feeding this pest on diet amended with inhibitor. It resulted in significant larval mortality as well as deformities in emerging adults. A reduction in vivo digestive enzyme activity was also observed. Nutritional analysis revealed the toxic effect of AZ-9 inhibitor on various food utilization parameters of S. litura. A significant reduction was recorded in relative growth and consumption rate of S. litura. CONCLUSIONS This is the first report on production of an alpha glucosidase inhibitor from E. spinifera with insecticidal activity. SIGNIFICANCE AND IMPACT OF THE STUDY The study highlights the importance of endophytes in providing protection against insect pests to the host. It also suggests the insecticidal potential of alpha glucosidase inhibitor from E. spinifera against polyphagous pest S. litura.
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Affiliation(s)
- J Kaur
- Department of Microbiology, Guru Nanak Dev University, Amritsar, Punjab, India
| | - R Kaur
- Department of Microbiology, Guru Nanak Dev University, Amritsar, Punjab, India
| | - R Datta
- Department of Zoology, Guru Nanak Dev University, Amritsar, Punjab, India
| | - S Kaur
- Department of Zoology, Guru Nanak Dev University, Amritsar, Punjab, India
| | - A Kaur
- Department of Microbiology, Guru Nanak Dev University, Amritsar, Punjab, India
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42
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Kaur R, Panesar P, Singh R. Utilization of agro-industrial residues for the production of β-Galactosidase using fungal isolate under solid state fermentation conditions. Acta Alimentaria 2018. [DOI: 10.1556/066.2018.47.2.4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- R. Kaur
- Food Biotechnology Research Laboratory, Department of Food Engineering & Technology, Sant Longowal Institute of Engineering and Technology, Longowal-148106, Punjab. India
| | - P.S. Panesar
- Food Biotechnology Research Laboratory, Department of Food Engineering & Technology, Sant Longowal Institute of Engineering and Technology, Longowal-148106, Punjab. India
| | - R.S. Singh
- Department of Biotechnology, Punjabi University, Patiala 147 002 . India
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Clark CEF, Kaur R, Millapan LO, Golder HM, Thomson PC, Horadagoda A, Islam MR, Kerrisk KL, Garcia SC. The effect of temperate or tropical pasture grazing state and grain-based concentrate allocation on dairy cattle production and behavior. J Dairy Sci 2018; 101:5454-5465. [PMID: 29550132 DOI: 10.3168/jds.2017-13388] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 02/06/2018] [Indexed: 11/19/2022]
Abstract
Grain-based concentrate (GBC) supplement is of high cost to dairy farmers as a feed source as opposed to grazed pasture. Milk production response to GBC is affected by the composition and nutritive value of the remainder of the diet, animal factors, and interactions between forage type and level of GBC. In grazing systems, dairy cattle encounter contrasting pasture states, primarily because the social structure of the herd affects the timing of when each animal accesses a paddock after milking as a result of a relatively consistent cow milking order. However, the effect of feed management, namely pasture state and GBC allocation, on dairy cattle production and behavior is unknown. We examined the effect of varying GBC allocation for dairy cattle grazing differing states of kikuyu grass (Pennisetum clandestinum, a tropical pasture species; experiment 1) and annual ryegrass (Lolium multiflorum L., a temperate pasture species; experiment 2) on dry matter intake, milk production and composition, and grazing behavior. For each experiment, 90 lactating dairy cattle were randomly allocated to 2 consistent (fresh-fresh and depleted-depleted) and 2 inconsistent (fresh-depleted and depleted-fresh pasture state treatments (defined as sequences of pasture state allocation for the morning and afternoon grazing events) and 3 GBC treatments [2.7, 5.4, and 8.1 kg of dry matter (DM)/cow per day], giving 12 treatment combinations for each experiment. The duration of each experiment was 14 d, with the first 7 d used as adaptation to treatment. In each experiment, 3 cattle were selected from each of the 12 pasture type × GBC treatment groups within the experimental herd to determine herbage intake and total DM digestibility using the n-alkanes method (n = 36). There was no interaction between kikuyu grass or ryegrass pasture state and GBC level for intake, digestibility, or milk yield or components. Dairy cattle offered fresh-fresh and depleted-fresh ryegrass produced 9% more milk yield, in line with greater pasture intakes, compared with fresh-depleted and depleted-depleted pasture states. Dairy cattle offered fresh-fresh kikuyu grass had 8% more milk yield and 14% more milk protein yield than other pastures states, but there was no effect of pasture state on milk composition. Milk yield increased with GBC level for both pasture species (∼0.7-0.8 kg of milk/kg of DM GBC) as GBC level increased from 2.5 to 5.4 kg of DM/cow per day. There was a poor response (0.3 kg of milk/kg of DM GBC), and no response, when GBC levels increased from 5.4 to 8.1 kg of DM/cow per day for kikuyu grass and ryegrass, respectively, in line with pasture DMD. Time spent grazing, lying, and ruminating were not associated with kikuyu grass pasture state, GBC, or their interaction. Despite this, there was a linear increase in grazing time in the afternoon coinciding with a linear decrease in lying and rumination time for both kikuyu grass and ryegrass pasture. Together these findings reveal the effect of pasture state and GBC allocation on dairy cattle production and behavior. Tailoring GBC allocation to the state of pasture accessed by cattle appears unwarranted, but there is an opportunity to alter the timing of pasture access to increase herd-level milk production efficiency.
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Affiliation(s)
- C E F Clark
- Dairy Science Group, Sydney Institute of Agriculture, School of Life and Environmental Sciences, Faculty of Science, University of Sydney, Camden, NSW 2570, Australia.
| | - R Kaur
- Dairy Science Group, Sydney Institute of Agriculture, School of Life and Environmental Sciences, Faculty of Science, University of Sydney, Camden, NSW 2570, Australia
| | - L O Millapan
- Department of Animal Production, Faculty of Agronomy, University of Buenos Aires, Buenos Aires 1417, Argentina
| | | | - P C Thomson
- Dairy Science Group, Sydney Institute of Agriculture, School of Life and Environmental Sciences, Faculty of Science, University of Sydney, Camden, NSW 2570, Australia
| | - A Horadagoda
- Dairy Science Group, Sydney Institute of Agriculture, School of Life and Environmental Sciences, Faculty of Science, University of Sydney, Camden, NSW 2570, Australia
| | - M R Islam
- Dairy Science Group, Sydney Institute of Agriculture, School of Life and Environmental Sciences, Faculty of Science, University of Sydney, Camden, NSW 2570, Australia
| | - K L Kerrisk
- Dairy Science Group, Sydney Institute of Agriculture, School of Life and Environmental Sciences, Faculty of Science, University of Sydney, Camden, NSW 2570, Australia
| | - S C Garcia
- Dairy Science Group, Sydney Institute of Agriculture, School of Life and Environmental Sciences, Faculty of Science, University of Sydney, Camden, NSW 2570, Australia
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Singh G, Kaur R, Harikumar S. Possible role of ATP-sensitive potassium and MPTP channels in pharmacological postconditioning in mouse brain. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.303] [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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Watts KJ, Meiser B, Zilliacus E, Kaur R, Taouk M, Girgis A, Butow P, Kissane DW, Hale S, Perry A, Aranda SK, Goldstein D. Perspectives of oncology nurses and oncologists regarding barriers to working with patients from a minority background: Systemic issues and working with interpreters. Eur J Cancer Care (Engl) 2017; 27:e12758. [PMID: 28892208 DOI: 10.1111/ecc.12758] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/22/2017] [Indexed: 11/29/2022]
Abstract
This study aimed to ascertain the systemic barriers encountered by oncology health professionals (HPs) working with patients from ethnic minorities to guide the development of a communication skills training programme. Twelve medical and five radiation oncologists and 21 oncology nurses were invited to participate in this qualitative study. Participants were interviewed individually or in a focus group about their experiences working with people from minority backgrounds. All interviews were transcribed verbatim and analysed thematically. HPs encountered language and communication barriers in their interactions with patients and their families, which were perceived to impact negatively on the quality and amount of information and support provided. There was a shortage of, and poor processes for engaging, interpreters and some HPs were concerned about the accuracy of interpretation. HPs expressed a need for training in cultural awareness and communication skills with a preference for face-to-face delivery. A lack of funding, a culture of "learning on the job", and time constraints were systemic barriers to training. Oncologists and oncology nurses encounter complex challenges in clinical interactions with minority patients and their families, including difficulties working with interpreters. Formal training programmes targeted to the development of culturally competent communication skills are required.
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Affiliation(s)
- K J Watts
- Prince of Wales Clinical School, The University of New South Wales, Sydney, Australia
| | - B Meiser
- Prince of Wales Clinical School, The University of New South Wales, Sydney, Australia
| | - E Zilliacus
- Prince of Wales Clinical School, The University of New South Wales, Sydney, Australia
| | - R Kaur
- Prince of Wales Clinical School, The University of New South Wales, Sydney, Australia
| | - M Taouk
- Prince of Wales Clinical School, The University of New South Wales, Sydney, Australia
| | - A Girgis
- Prince of Wales Clinical School, The University of New South Wales, Sydney, Australia.,Centre for Oncology Education and Research Translation, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, University of New South Wales, Sydney, Australia
| | - P Butow
- Psycho-Oncology Co-operative Research Group, Centre for Medical Psychology and Evidence-based Decision-Making, The University of Sydney, Sydney, Australia
| | - D W Kissane
- Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia
| | - S Hale
- Faculty of Arts and Social Sciences, University of New South Wales, Sydney, Australia
| | - A Perry
- Multicultural Health Service, South Eastern Sydney Local Health District, Sydney, Australia
| | - S K Aranda
- School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia.,Cancer Council Australia, Sydney, Australia
| | - D Goldstein
- Prince of Wales Clinical School, The University of New South Wales, Sydney, Australia.,Department of Medical Oncology, Prince of Wales Hospital, Sydney, NSW, Australia
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Stokes CA, Kaur R, Edwards MR, Mondhe M, Robinson D, Prestwich EC, Hume RD, Marshall CA, Perrie Y, O'Donnell VB, Harwood JL, Sabroe I, Parker LC. Human rhinovirus-induced inflammatory responses are inhibited by phosphatidylserine containing liposomes. Mucosal Immunol 2017; 10:829. [PMID: 28435153 DOI: 10.1038/mi.2017.40] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
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Kaur R, Singh R, Phillips S, Abdullah K, Desai S, Shah P. The Role of Beta Blockers in the Prevention of Gastrointestinal Bleeding After Left Ventricular Assist Device Implantation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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How KN, Tang MM, Kaur R, Johar A. Contact sensitisation in adults: a 5-year retrospective review in hospital Kuala Lumpur. Med J Malaysia 2017; 72:113-118. [PMID: 28473674] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
BACKGROUND The pattern of contact sensitisation should be monitored in order to detect the changing trend of sensitising allergens. We aim to evaluate contact sensitisation in adults suspected to have allergic contact dermatitis. METHODS This is a five-year retrospective review on contact sensitisation in adults patch-tested with the European Standard and extended series between 2011 and 2015 in the Department of Dermatology, Hospital Kuala Lumpur. RESULTS There were 689 adults (M:F= 1:2.04; mean age 40.5 years) who were patch-tested. The majority (175, 25.4%) were white collar workers and 118 (17.1%) were healthcare workers. The provisional diagnoses of patients included contact dermatitis (80.8%); endogenous eczema (7.9%); hand eczema (3.2%); hand and foot eczema (3.5%); foot eczema (1.4%) and photodermatitis (1.2%). The allergens selected for testing were based on past and present history of exposure. Almost all (688, 99.8%) were patch-tested with the European standard allergens and 466 (67.6%) were tested with the extended series. About three quarter (528, 76.6%) developed at least one positive reaction. The top five most frequent reactions were to nickel sulphate (35.3%); potassium dichromate (16.5%); methylchloroisothiazolinone (12.9%), fragrance mix I (12.6%), and cobalt chloride (10.2%). The commonest sensitisations identified in the extended series were palladium chloride (23/105, 21.9%), stannous chloride (18/85, 21.2%), miconazole (7/44, 15.9%), gold(I)sodium thiosulfate (16/105, 15.2%) and thimerosal (29/202, 14.4%). CONCLUSION Contact sensitisation was detected in 76.6% of adults patch-tested. Nickel sulphate was found to be the most frequently sensitising allergen. The rising prevalence of methylchloroisothiazolinone/methylisothiazolinone sensitization poses significant concern.
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Affiliation(s)
- K N How
- Hospital Kuala Lumpur, Department of Dermatology, Kuala Lumpur, Malaysia.
| | - M M Tang
- Hospital Kuala Lumpur, Department of Dermatology, Kuala Lumpur, Malaysia
| | - R Kaur
- Hospital Kuala Lumpur, Department of Dermatology, Kuala Lumpur, Malaysia
| | - A Johar
- Hospital Kuala Lumpur, Department of Dermatology, Kuala Lumpur, Malaysia
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Kaur R, Razee H, Seale H. Setting the right foundations: improving the approach used to teach concepts of hand hygiene to medical students. J Hosp Infect 2017; 95:355-358. [PMID: 28228244 DOI: 10.1016/j.jhin.2017.01.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Accepted: 01/11/2017] [Indexed: 11/26/2022]
Abstract
A pre- and postintervention study was conducted to evaluate the impact of a new hand hygiene (HH) teaching module on the knowledge and attitudes amongst medical students towards HH. The teaching module significantly improved knowledge about HH indications and duration (T1=7.9, T2=9.2, T3=9.1; P=0.001), the use of HH materials (T1=1.3, T2=3.8, T3=4.3; P=0.004), and the 'Five Moments for HH' (T1=3.1, T2=6.7, T3=5.9; P=0.012). It also improved the students' attitudes towards HH (T1=48.5, T2=56.2, T3=54.1; P=0.04). Additional studies are warranted to evaluate the impact of this intervention on actual HH compliance of medical students.
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Affiliation(s)
- R Kaur
- School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, New South Wales, Australia.
| | - H Razee
- School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, New South Wales, Australia
| | - H Seale
- School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, New South Wales, Australia
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