1
|
Gorivale M, Sawant P, Kargutkar N, Hariharan P, Thaker P, Chiddarwar A, Nadkarni A. When a synonymous mutation breaks the silence in a thalassaemia patient. Br J Haematol 2024; 204:677-682. [PMID: 37742714 DOI: 10.1111/bjh.19115] [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: 05/16/2023] [Revised: 09/09/2023] [Accepted: 09/10/2023] [Indexed: 09/26/2023]
Abstract
Synonymous mutations were considered to lack functional roles in human diseases; however, distinguishing deleterious synonymous mutations from benign ones is still a challenge. In this article, we identified a deleterious synonymous mutation β-codon 16 (C>T). HBB: c.51C>T, in compound heterozygous form with known β-thalassaemia mutation patients who clinically presented as non-transfusion-dependent thalassaemia (NTDT). A total of 9 families with 11 compound heterozygous index cases were reported. In the heterozygous state, codon 16 (C>T) mutation results in borderline HbA2 (3.18 ± 0.36%) and slightly reduced RBC indices (RBCs: 4.73 ± 0.75 × 106 /μL, Hb: 12.26 ± 2.60 g/dL, MCV: 79.48 ± 8.40 fL, MCH: 25.95 ± 4.15 pg). The compound heterozygous patients showed elevated HbA2 (5.98 ± 1.17%) and HbF (12.75 ± 7.51%) and presented clinically as NTDT with a mean Hb of 6.95 ± 1.29 g/dL. Many of them were dependent on few transfusions and had mild splenomegaly. Of the 11 patients, 5 (45.4%) were treated with hydroxyurea. This study highlights the clinical significance of synonymous mutation, when inherited with other β-thalassaemia mutations leading to the phenotype of NTDT. Thus, the study would help to improve screening protocols for β-thalassaemia carriers, which will ultimately improve the prevention programme.
Collapse
Affiliation(s)
- M Gorivale
- ICMR-National Institute of Immunohaematology, Mumbai, India
| | - P Sawant
- ICMR-National Institute of Immunohaematology, Mumbai, India
| | - N Kargutkar
- ICMR-National Institute of Immunohaematology, Mumbai, India
| | - P Hariharan
- ICMR-National Institute of Immunohaematology, Mumbai, India
| | - P Thaker
- ICMR-National Institute of Immunohaematology, Mumbai, India
| | - A Chiddarwar
- ICMR-National Institute of Immunohaematology, Mumbai, India
| | - A Nadkarni
- ICMR-National Institute of Immunohaematology, Mumbai, India
| |
Collapse
|
2
|
Dhital R, Yoeli H, Adhikari A, Luitel NP, Nadkarni A, van Teijlingen E, Sin J. Participatory asset mapping and photovoice interviews to scope cultural and community resources to reduce alcohol harm in Chitwan, Nepal. Perspect Public Health 2023:17579139231180744. [PMID: 37357430 DOI: 10.1177/17579139231180744] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/27/2023]
Abstract
AIMS To scope the breadth of existing cultural and community assets and how alcohol drinkers and community health workers perceived them in relation to reducing alcohol-related harm. METHODS The study was conducted in Chitwan, south-central Nepal, which has considerable alcohol problems. Participatory asset mapping was conducted using field notes, photography, and through engaging with communities to explore how community assets affect alcohol consumption. Semi-structured photovoice interviews were conducted with harmful/hazardous drinkers (AUDIT score 8 to 19) and community health workers. Purposive and snowball sampling were used to recruit participants. During interviews, participants used their photographs to reflect on how community assets influenced alcohol use. Thematic framework analysis was used to analyse the data. RESULTS We recruited 12 harmful/hazardous drinkers (3 females) and 6 health workers (2 females). The mean AUDIT score of the former was 12.17 (SD ±2.86). Thematic analysis of the photovoice interviews produced three themes: 'influences and impact of families and communities'; 'culture and spirituality'; and 'nature and the environment'. The community mapping produced five assets that promoted alcohol consumption: (1) availability; (2) advertising; (3) negative attitudes towards users; (4) festivals/gatherings; and (5) illiteracy/poverty. Six assets that discouraged consumption were: (1) legislation restricting use; (2) community organisations; (3) cultural/spiritual sites; (4) healthcare facilities; (5) family and communities; and (6) women's community groups. Those from certain ethnic groups consumed more alcohol, experienced more family discord, or felt stigmatised due to their drinking. Assets 'festivals/gatherings' and 'negative attitudes toward users' and the theme 'family and communities' concerned with relationships and community activities were perceived to both promote and reduce alcohol use. CONCLUSIONS This study provides new insight into a variety of cultural and community assets that promote and reduce alcohol use. The study identifies new possibilities to build on visual participatory and arts-based methods that have potential to be effectively implemented at scale.
Collapse
Affiliation(s)
- R Dhital
- UCL Arts and Sciences Department, University College London, 33-35 Torrington Place, London WC1E 7LA, UK
| | - H Yoeli
- School of Health and Psychological Sciences, University of London, London, UK
| | | | - N P Luitel
- Transcultural Psychosocial Organization Nepal, Kathmandu, Nepal
| | - A Nadkarni
- Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK
- Addictions Research Group, Sangath, Goa, India
| | | | - J Sin
- School of Health and Psychological Sciences, University of London, London, UK
| |
Collapse
|
3
|
Peasgood T, Bhardwaj A, Brazier JE, Biggs K, Coghill D, Daley D, Cooper CL, De Silva C, Harpin V, Hodgkins P, Nadkarni A, Setyawan J, Sonuga-Barke EJS. What Is the Health and Well-Being Burden for Parents Living With a Child With ADHD in the United Kingdom? J Atten Disord 2021; 25:1962-1976. [PMID: 32552265 PMCID: PMC8527548 DOI: 10.1177/1087054720925899] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Objective: To explore the burden associated with childhood ADHD in a large observational study. Methods: We recruited familes with at least one child (6-18 years) with ADHD via 15 NHS trusts in the UK, and collected data from all family members. We made careful adjustments to ensure a like-for-like comparison with two different control groups, and explored the impact of controlling for a positive parental/carer ADHD screen, employment, and relationship status. Results: We found significant negative impacts of childhood ADHD on parents'/carers' hours and quality of sleep, satisfaction with leisure time, and health-related quality of life (measured by the EuroQol-5D [EQ-5D]). We found a decrement in life satisfaction, mental well-being (as measured by the Short-Warwick Edinburgh Mental Well-Being Scale [S-WEMWBS]), and satisfaction with intimate relationships, but this was not always robust across the different control groups. We did not find any decrement in satisfaction with health, self-reported health status, or satisfaction with income. Conclusion: The study quantifies the impact on the health and well-being of parents living with a child with ADHD using a survey of families attending ADHD clinics in the United Kingdom.
Collapse
Affiliation(s)
- Tessa Peasgood
- School of Health and Related Research
(ScHARR), Sheffield, UK
| | - Anupam Bhardwaj
- Cambridgeshire and Peterborough NHS
Foundation Trust, Cambridge, UK
| | - John E. Brazier
- School of Health and Related Research
(ScHARR), Sheffield, UK
| | - Katie Biggs
- Clinical Trials Research Unit (CTRU),
ScHARR, Sheffield, UK,Katie Biggs, Clinical Trials Research Unit,
School of Health and Related Research, Regent Court, 30 Regent Street, Sheffield
S1 4DA, UK.
| | - David Coghill
- Department of Paediatrics &
Department of Psychiatry, The University of Melbourne, Victoria, Australia
| | - David Daley
- Division of Psychiatry & Applied
Psychology & Centre for ADHD and Neurodevelopmental Disorders Across the
Lifespan, Institute of Mental Health, University of Nottingham, Nottingham, UK
| | | | | | - Val Harpin
- Sheffield Children’s NHS Foundation
Trust, UK
| | | | | | | | | |
Collapse
|
4
|
Krakauer EL, Dheda K, Kalsdorf B, Kuksa L, Nadkarni A, Nhung NV, Selwyn P, Shin S, Skrahina A, Jaramillo E. Palliative care and symptom relief for people affected by multidrug-resistant tuberculosis. Int J Tuberc Lung Dis 2020; 23:881-890. [PMID: 31533877 DOI: 10.5588/ijtld.18.0428] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
The World Health Organization (WHO) defines palliative care as the prevention and relief of the physical, psychological, social and spiritual suffering of adults and children with life-threatening illnesses and psycho-social support for their families. Palliative care and symptom relief (PCSR) also addresses suffering in nonlife-threatening situations such as after cure. PCSR should never be considered a substitute for tuberculosis (TB) prevention and treatment, but should be accessible by everyone in need. PCSR can reduce suffering and improve quality of life of patients with end-stage chronic illnesses while reducing costs for health care systems and providing financial risk protection for patients' families. It also may help enable patients to adhere to long and noxious treatments and thereby reduce mortality and help protect public health. Basic PCSR can be taught easily to TB specialists as well as primary care clinicians and delivered in hospitals, clinics or patients' homes combined with infection control. For these reasons, integration of PCSR into multidrug-resistant (MDR) and extensively drug-resistant TB (XDR-TB) treatment programs is medically and morally imperative. We propose an essential package of PCSR for people with M/XDR-TB that includes a set of safe, effective and inexpensive medicines and equipment, social supports for patients and caregivers living in extreme poverty, and necessary human resources. The package aligns with WHO guidance on programmatic management of drug-resistant (DR) TB and should be universally accessible by people affected by M/XDR-TB. We also describe the ethical practice of PCSR for people with M/XDR-TB and identify needed areas of research in PCSR for people with M/XDR-TB.
Collapse
Affiliation(s)
- E L Krakauer
- Division of Palliative Care and Geriatrics, Massachusetts General Hospital, Boston, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
| | - K Dheda
- University of Cape Town, Rondebosch, South Africa
| | - B Kalsdorf
- Forschungszentrum Borstel, Borstel, Germany
| | - L Kuksa
- Riga East University Hospital, Riga, Latvia
| | - A Nadkarni
- London School of Hygiene & Tropical Medicine, London, UK, Addictions Research Group, Goa, India
| | - N V Nhung
- National Tuberculosis Control Program, Hanoi, National Lung Hospital, Hanoi, Vietnam
| | - P Selwyn
- Albert Einstein College of Medicine, New York, NY
| | - S Shin
- Partners In Health, Boston, MA, USA
| | - A Skrahina
- Republican Research and Practical Centre for Pulmonology and Tuberculosis, Minsk, Belarus
| | - E Jaramillo
- Stop TB Department, World Health Organization, Geneva, Switzerland
| |
Collapse
|
5
|
Umare V, Nadkarni A, Nadkar M, Rajadhyksha A, Khadilkar P, Ghosh K, Pradhan VD. Do high sensitivity C-reactive protein and serum interleukin-6 levels correlate with disease activity in systemic lupus erythematosuspatients? J Postgrad Med 2019; 63:92-95. [PMID: 27531690 PMCID: PMC5414434 DOI: 10.4103/0022-3859.188550] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Introduction: Systemic Lupus Erythematosus (SLE) is an inflammatory autoimmune disease where an interplay between acute phase proteins and cytokines are involved in disease activation. Aim and Objectives: This case control study was performed to investigate interrelationship between high sensitivity C-reactive proteins (hs-CRP), Interleukin-6 (IL-6) levels and disease activity among SLE patients. Materials and Methods: One hundred forty one clinically diagnosed SLE cases were included and disease activity was noted by SLE Disease Activity Index (SLEDAI). Serum IL-6 levels were measure by cytokine multiplex assay. Serum hs-CRP, C3 and C4 levels were measure by nephelometer. The Pearson correlation test was used for correlation between hs-CRP, Il-6 and SLEDAI. Results: Based on SLEDAI, 126 patients (89.4 %) had active disease and 15 patients (10.6%) had inactive disease. Mean hs-CRP levels in SLE patients were significantly higher (12.1+ 11.5 mg/L) than controls (2.41+ 1.37 mg/L) (P < 0.0001). Hs-CRP levels among active SLE were significantly higher (13.5+ 11.4 mg/L) as compared with inactive SLE (4.4 + 2.9 mg/L) (P=0.0002). Similarly, IL-6 levels in SLE patients were significantly higher among active SLE (26.9 + 15.5 pg/ml) as compared with inactive SLE (13.9+ 10.2 pg/ml) (P=0.0001). An inverse correlation between Il-6 and hemoglobin levels between active and inactive SLE was noted (r=-0.46, P <0.0001). Conclusion: This study suggests a good correlation between hs-CRP, IL-6 and SLE disease activity indicating their direct involvement in inflammatory conditions associated with disease.
Collapse
Affiliation(s)
- V Umare
- Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Indian Council of Medical Research, Mumbai, Maharashtra, India
| | - A Nadkarni
- Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Indian Council of Medical Research, Mumbai, Maharashtra, India
| | - M Nadkar
- Department of Medicine, King Edward Memorial Hospital, Mumbai, Maharashtra, India
| | - A Rajadhyksha
- Department of Medicine, King Edward Memorial Hospital, Mumbai, Maharashtra, India
| | - P Khadilkar
- Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Indian Council of Medical Research, Mumbai, Maharashtra, India
| | - K Ghosh
- Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Indian Council of Medical Research, Mumbai, Maharashtra, India
| | - V D Pradhan
- Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Indian Council of Medical Research, Mumbai, Maharashtra, India
| |
Collapse
|
6
|
Keogh S, Bridle C, Siriwardena NA, Nadkarni A, Laparidou D, Durrant SJ, Kargas N, Law GR, Curtis F. Effectiveness of non-pharmacological interventions for insomnia in children with Autism Spectrum Disorder: A systematic review and meta-analysis. PLoS One 2019; 14:e0221428. [PMID: 31437211 PMCID: PMC6705823 DOI: 10.1371/journal.pone.0221428] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Accepted: 08/06/2019] [Indexed: 11/20/2022] Open
Abstract
Background Autism spectrum disorders (ASD) are a set of neurodevelopmental disorders characterised by behavioural, communication and social impairments. The prevalence of sleep disturbances in children with ASD is 40–80%, with significant effects on quality of life for the children and carers. This systematic review aimed to synthesise evidence of the effects of behavioural interventions to improve sleep among children with ASD. Methods Databases (MEDLINE, PsycINFO, CINAHL, ScienceDirect, Autism Data, CENTRAL, ClinicalTrials.gov and Current Controlled Trials) were searched for published, unpublished and ongoing randomised controlled trials evaluating the effect of non-pharmacological interventions for insomnia in children with autism spectrum conditions. Results Three studies met the inclusion criteria, one provided actigraphy data, one Children’s Sleep Habits Questionnaire (CSHQ) data, and one both actigraphy and CSHQ data for use in meta-analyses. There were significant differences between the behavioural intervention and comparison groups (actigraphy data) for total sleep time (24.41 minutes, 95% CI 5.71, 43.11, P = 0.01), sleep latency (-18.31 minutes, 95% CI -30.84, -5.77, P = 0.004) and sleep efficiency (5.59%, 95% CI 0.87, 10.31, P = 0.02). There was also a favourable intervention effect evident for the subjective CSHQ data (-4.71, 95% CI -6.70, -2.73, P<0.00001). Risk of bias was low across several key domains (randomisation, allocation concealment and reporting), with some studies being unclear due to poor reporting. Conclusions There are very few high quality randomised controlled trials in this area. Here we provide initial synthesised quantitative evidence of the effectiveness of behavioural interventions for treating sleep problems in children with ASD. Trial registration Protocol was registered (CRD42017081784) on the International Prospective Register of Systematic Reviews (http://www.crd.york.ac.uk/PROSPERO).
Collapse
Affiliation(s)
- Sophie Keogh
- Lincolnshire Partnership Foundation Trust, Lincoln, United Kingdom
| | - Christopher Bridle
- Lincoln Institute for Health, University of Lincoln, Lincoln, United Kingdom
| | | | - Amulya Nadkarni
- Lincolnshire Partnership Foundation Trust, Lincoln, United Kingdom
| | - Despina Laparidou
- Lincoln Institute for Health, University of Lincoln, Lincoln, United Kingdom
| | - Simon J. Durrant
- Lincoln Institute for Health, University of Lincoln, Lincoln, United Kingdom
| | - Niko Kargas
- Lincoln Institute for Health, University of Lincoln, Lincoln, United Kingdom
| | - Graham R. Law
- Lincoln Institute for Health, University of Lincoln, Lincoln, United Kingdom
| | - Ffion Curtis
- Lincoln Institute for Health, University of Lincoln, Lincoln, United Kingdom
- * E-mail:
| |
Collapse
|
7
|
Amin A, Keshishian A, Zhang Q, Dina O, Dhamane A, Nadkarni A, Carda E, Liu X, Rosenblatt L, Baser O, Baker C. P3844Effectiveness, safety, and composite clinical outcomes of apixaban, dabigatran, rivaroxaban, relative to warfarin in non-valvular atrial fibrillation patients in the US Medicare population. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3844] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A Amin
- University of California Irvine, Irvine, Ca, United States of America
| | - A Keshishian
- STATinMED Research, Ann Arbor, MI, United States of America
| | - Q Zhang
- STATinMED Research, Ann Arbor, MI, United States of America
| | - O Dina
- Pfizer, Inc, New York, NY, United States of America
| | - A Dhamane
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - A Nadkarni
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - E Carda
- Pfizer, Inc, New York, NY, United States of America
| | - X Liu
- Pfizer, Inc, New York, NY, United States of America
| | - L Rosenblatt
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - O Baser
- Columbia University Medical Center, New York, NY, United States of America
| | - C Baker
- Pfizer, Inc, New York, NY, United States of America
| |
Collapse
|
8
|
Lip GYH, Keshishian A, Li X, Hamilton M, Masseria C, Dhamane A, Luo X, Mardekian J, Friend K, Nadkarni A, Pan X, Baser O, Deitelzweig S. P2903Comparative effectiveness and safety between non-VKA oral anticoagulants in non-valvular atrial fibrillation patients: a dose subgroup analysis of the ARISTOPHANES study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G Y H Lip
- University of Birmingham, Institute of Cardiovascular Sciences, Birmingham, United Kingdom
| | - A Keshishian
- STATinMED Research, Ann Arbor, MI, United States of America
| | - X Li
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - M Hamilton
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - C Masseria
- Pfizer, Inc, New York, NY, United States of America
| | - A Dhamane
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - X Luo
- Pfizer, Inc, Groton, CT, United States of America
| | - J Mardekian
- Pfizer, Inc, New York, NY, United States of America
| | - K Friend
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - A Nadkarni
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - X Pan
- Bristol-Myers Squibb Company, Wallingford, CT, United States of America
| | - O Baser
- Columbia University Medical Center, New York, NY, United States of America
| | - S Deitelzweig
- Ochsner Clinic Foundation, New Orleans, LA, United States of America
| |
Collapse
|
9
|
Amin A, Bassalobre Garcia A, Li X, Dhamane A, Luo X, Di Fusco M, Nadkarni A, Friend K, Rosenblatt L, Mardekian J, Pan X, Baser O, Keshishian A. P979Comparison of effectiveness, safety, and healthcare costs in non-valvular atrial fibrillation patients with heart failure prescribed direct oral anticoagulants. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Amin
- The University of California, Irvine, CA, United States of America
| | | | - X Li
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - A Dhamane
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - X Luo
- Pfizer, Inc, Groton, CT, United States of America
| | - M Di Fusco
- Pfizer, Inc, New York, NY, United States of America
| | - A Nadkarni
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - K Friend
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - L Rosenblatt
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - J Mardekian
- Pfizer, Inc, New York, NY, United States of America
| | - X Pan
- Bristol-Myers Squibb Company, Wallingford, CT, United States of America
| | - O Baser
- Columbia University Medical Center, New York, NY, United States of America
| | - A Keshishian
- STATinMED Research, Ann Arbor, MI, United States of America
| |
Collapse
|
10
|
Lip GYH, Keshishian A, Li X, Hamilton M, Masseria C, Dhamane A, Luo X, Mardekian J, Friend K, Nadkarni A, Pan X, Baser O, Deitelzweig S. P2568Comparisons of clinical and economic outcomes between non-VKA oral anticoagulants and warfarin among non-valvular atrial fibrillation patients: the ARISTOPHANES study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- G Y H Lip
- University of Birmingham, Institute of Cardiovascular Sciences, Birmingham, United Kingdom
| | - A Keshishian
- STATinMED Research, Ann Arbor, MI, United States of America
| | - X Li
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - M Hamilton
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - C Masseria
- Pfizer, Inc, New York, NY, United States of America
| | - A Dhamane
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - X Luo
- Pfizer, Inc, Groton, CT, United States of America
| | - J Mardekian
- Pfizer, Inc, New York, NY, United States of America
| | - K Friend
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - A Nadkarni
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - X Pan
- Bristol-Myers Squibb Company, Wallingford, CT, United States of America
| | - O Baser
- Columbia University Medical Center, New York, NY, United States of America
| | - S Deitelzweig
- Ochsner Clinic Foundation, New Orleans, LA, United States of America
| |
Collapse
|
11
|
Deitelzweig S, Keshishian A, Li X, Hamilton M, Masseria C, Dhamane A, Luo X, Mardekian J, Friend K, Nadkarni A, Pan X, Baser O, Lip GYH. P2567Comparisons of clinical and economic outcomes between non-VKA oral anticoagulants among non-valvular atrial fibrillation patients: the ARISTOPHANES study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S Deitelzweig
- Ochsner Clinic Foundation, New Orleans, LA, United States of America
| | - A Keshishian
- STATinMED Research, Ann Arbor, MI, United States of America
| | - X Li
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - M Hamilton
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - C Masseria
- Pfizer, Inc, New York, NY, United States of America
| | - A Dhamane
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - X Luo
- Pfizer, Inc, Groton, CT, United States of America
| | - J Mardekian
- Pfizer, Inc, New York, NY, United States of America
| | - K Friend
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - A Nadkarni
- Bristol-Myers Squibb Company, Lawrenceville, NJ, United States of America
| | - X Pan
- Bristol-Myers Squibb Company, Wallingford, CT, United States of America
| | - O Baser
- Columbia University Medical Center, New York, NY, United States of America
| | - G Y H Lip
- University of Birmingham, Institute of Cardiovascular Sciences, Birmingham, United Kingdom
| |
Collapse
|
12
|
Amin A, Bassalobre Garcia A, Li X, Dhamane A, Luo X, Di Fusco M, Nadkarni A, Friend K, Rosenblatt L, Mardekian J, Pan X, Baser O, Keshishian A. P6590Comparison of effectiveness, safety, and healthcare costs of direct oral anticoagulants with warfarin in nonvalvular atrial fibrillation patients with heart failure. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Amin
- The University of California, Irvine, Ca, United States of America
| | | | - X Li
- Bristol-Myers Squibb Company, Lawrencville, NJ, United States of America
| | - A Dhamane
- Bristol-Myers Squibb Company, Lawrencville, NJ, United States of America
| | - X Luo
- Pfizer, Inc, Groton, CT, United States of America
| | - M Di Fusco
- Pfizer, Inc, New York, NY, United States of America
| | - A Nadkarni
- Bristol-Myers Squibb Company, Lawrencville, NJ, United States of America
| | - K Friend
- Bristol-Myers Squibb Company, Lawrencville, NJ, United States of America
| | - L Rosenblatt
- Bristol-Myers Squibb Company, Lawrencville, NJ, United States of America
| | - J Mardekian
- Pfizer, Inc, New York, NY, United States of America
| | - X Pan
- Bristol-Myers Squibb Company, Wallingford, CT, United States of America
| | - O Baser
- Columbia University Medical Center, New York, NY, United States of America
| | - A Keshishian
- STATinMED Research, Ann Arbor, MI, United States of America
| |
Collapse
|
13
|
Nadkarni A, Cardwell L, Mahler S, Feldman S. Most common dermatology diagnoses to the emergency department in the paediatric population. J Eur Acad Dermatol Venereol 2017; 32:e144-e146. [DOI: 10.1111/jdv.14631] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- A. Nadkarni
- Department of Dermatology; Center for Dermatology Research; Wake Forest School of Medicine; Winston-Salem NC USA
| | - L.A. Cardwell
- Department of Dermatology; Center for Dermatology Research; Wake Forest School of Medicine; Winston-Salem NC USA
| | - S. Mahler
- Department of Emergency Medicine; Wake Forest School of Medicine; Winston-Salem NC USA
| | - S.R. Feldman
- Department of Dermatology; Center for Dermatology Research; Wake Forest School of Medicine; Winston-Salem NC USA
- Department of Pathology; Wake Forest School of Medicine; Winston-Salem NC USA
- Department of Public Health Sciences; Wake Forest School of Medicine; Winston-Salem NC USA
| |
Collapse
|
14
|
Li X, Lip G, Keshishian A, Hamilton M, Horblyuk R, Gupta K, Luo X, Mardekian J, Friend K, Nadkarni A, Pan X, Deitelzweig S. P3603Effectiveness and safety of standard and lower dose apixaban compared to warfarin in non-valvular atrial fibrillation patients: a propensity score matched analysis. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
15
|
Li X, Deitelzweig S, Keshishian A, Hamilton M, Horblyuk R, Gupta K, Luo X, Mardekian J, Friend K, Nadkarni A, Pan X, Lip G. P3588Effectiveness and safety of apixaban versus warfarin among high-risk subgroups of non-valvular atrial fibrillation patients: a propensity score matched analysis. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
16
|
Mehta P, Upadhye D, Hariharan P, Italia K, Sawant P, Nadkarni A, Subramanian G, Mukherjee MB. Identification of high oxygen affinity hemoglobin (Hb Andrew-Minneapolis) in an Indian family. Int J Lab Hematol 2017; 39:e51-e54. [PMID: 28042696 DOI: 10.1111/ijlh.12608] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- P Mehta
- National Institute of Immunohaematology, (ICMR), K.E.M Hospital Campus, Parel, Mumbai, India
| | - D Upadhye
- National Institute of Immunohaematology, (ICMR), K.E.M Hospital Campus, Parel, Mumbai, India
| | - P Hariharan
- National Institute of Immunohaematology, (ICMR), K.E.M Hospital Campus, Parel, Mumbai, India
| | - K Italia
- National Institute of Immunohaematology, (ICMR), K.E.M Hospital Campus, Parel, Mumbai, India
| | - P Sawant
- National Institute of Immunohaematology, (ICMR), K.E.M Hospital Campus, Parel, Mumbai, India
| | - A Nadkarni
- National Institute of Immunohaematology, (ICMR), K.E.M Hospital Campus, Parel, Mumbai, India
| | - G Subramanian
- Sri Manakula Vinayagar Medical College, Madagadipet, Puducherry, India
| | - M B Mukherjee
- National Institute of Immunohaematology, (ICMR), K.E.M Hospital Campus, Parel, Mumbai, India
| |
Collapse
|
17
|
Vira H, Pradhan V, Umare V, Chaudhary A, Rajadhyksha A, Nadkar M, Ghosh K, Nadkarni A. Role of MMP-7 in the pathogenesis of systemic lupus erythematosus (SLE). Lupus 2016; 26:937-943. [PMID: 28420044 DOI: 10.1177/0961203316682855] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Systemic lupus erythematosus (SLE) is a clinically heterogeneous chronic, inflammatory autoimmune disorder. The association of MMP-7 and disease severity is still unclear. A total of 150 SLE patients and matched healthy controls were recruited for this study. Disease activity was scored according to SLEDAI (98 active and 52 inactive disease). Mean serum MMP-7 levels were significantly higher in SLE patients than controls ( p < 0.001). Patients with active disease showed higher levels (16.24 ± 6.2 ng/ml) as against inactive disease (10.50 ± 3.97 ng/ml) ( p ≤ 0.0001). Mean MMP-7 mRNA expression was significantly higher in patients (RQ = 3.16 ± 0.93) as compared to controls (RQ = 2.21 ± 0.89, p = 0.006). A positive correlation between MMP-7 levels, mRNA expression and SLEDAI score was observed ( r = 0.563, r = 0.427). The MMP-7 -181 G allele was found to be significantly higher among SLE patients ( p < 0.0001). A significant association was noted between MMP-7 -181 A/G +G/G genotypes with renal ( p = 0.0027) and CNS ( p = 0.0031) manifestations and anti-dsDNA autoantibodies ( p = 0.0312). Serum MMP-7 levels and mRNA expression were elevated in advanced stages of SLE, indicating that MMP-7 is associated with disease activity in SLE.
Collapse
Affiliation(s)
- H Vira
- 1 Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Mumbai, India
| | - V Pradhan
- 1 Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Mumbai, India
| | - V Umare
- 1 Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Mumbai, India
| | - A Chaudhary
- 1 Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Mumbai, India
| | - A Rajadhyksha
- 2 Department of Medicine, King Edward Memorial Hospital, Mumbai, India
| | - M Nadkar
- 2 Department of Medicine, King Edward Memorial Hospital, Mumbai, India
| | - K Ghosh
- 1 Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Mumbai, India
| | - A Nadkarni
- 1 Department of Clinical and Experimental Immunology, National Institute of Immunohaematology, Mumbai, India
| |
Collapse
|
18
|
Hariharan P, Colaco S, Colah R, Ghosh K, Nadkarni A. Delta globin gene variations leading to reduction in HbA2levels. Int J Lab Hematol 2016; 38:610-615. [DOI: 10.1111/ijlh.12548] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Accepted: 05/27/2016] [Indexed: 11/26/2022]
Affiliation(s)
- P. Hariharan
- National Institute of Immunohaematology (ICMR); K.E.M. Hospital Campus; Parel Mumbai India
| | - S. Colaco
- National Institute of Immunohaematology (ICMR); K.E.M. Hospital Campus; Parel Mumbai India
| | - R. Colah
- National Institute of Immunohaematology (ICMR); K.E.M. Hospital Campus; Parel Mumbai India
| | - K. Ghosh
- Surat Raktadan Kendra and Research Center; Udhana Surat India
| | - A. Nadkarni
- National Institute of Immunohaematology (ICMR); K.E.M. Hospital Campus; Parel Mumbai India
| |
Collapse
|
19
|
Chaudhary AK, Chaudhary S, Ghosh K, Nadkarni A. Pleiotropic Roles of Metalloproteinases in Hematological Malignancies: an Update. Asian Pac J Cancer Prev 2016; 17:3043-3051. [PMID: 27509927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
Controlled remodeling of the extracellular matrix (ECM) is essential for cell growth, invasion and metastasis. Matrix metalloproteinases (MMPs) are a family of secreted, zincdependent endopeptidases capable of degradation of ECM components. The expression and activity of MMPs in a variety of human cancers have been intensively studied. They play important roles at different steps of malignant tumor formation and have central significance in embryogenesis, tissue remodeling, inflammation, angiogenesis and metastasis. However, increasing evidence demonstrates that MMPs are involved earlier in tumorigenesis. Recent studies also suggest that MMPs play complex roles in tumor progression. MMPs and membrane type (MT)MMPs are potentially significant therapeutic targets in many cancers, so that designing of specific MMP inhibitors would be helpful for clinical trials. Here, we review the pleiotropic roles of the MMP system in hematological malignancies invitro and invivo models.
Collapse
Affiliation(s)
- Ajay K Chaudhary
- Department of Immunohematology, National Institute of Immunohematology, KEM Hospital Campus, Parel, Mumbai, India Email :
| | | | | | | |
Collapse
|
20
|
Peasgood T, Bhardwaj A, Biggs K, Brazier JE, Coghill D, Cooper CL, Daley D, De Silva C, Harpin V, Hodgkins P, Nadkarni A, Setyawan J, Sonuga-Barke EJS. The impact of ADHD on the health and well-being of ADHD children and their siblings. Eur Child Adolesc Psychiatry 2016; 25:1217-1231. [PMID: 27037707 PMCID: PMC5083759 DOI: 10.1007/s00787-016-0841-6] [Citation(s) in RCA: 59] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Accepted: 03/07/2016] [Indexed: 12/19/2022]
Abstract
Childhood attention-deficit/hyperactivity disorder (ADHD) has been associated with reduced health and well-being of patients and their families. The authors undertook a large UK survey-based observational study of the burden associated with childhood ADHD. The impact of ADHD on both the patient (N = 476) and their siblings (N = 337) on health-related quality of life (HRQoL) and happiness was quantified using multiple standard measures [e.g. child health utility-9D (CHU-9D), EuroQol-5D-Youth]. In the analysis, careful statistical adjustments were made to ensure a like-for-like comparison of ADHD families with two different control groups. We controlled for carers' ADHD symptoms, their employment and relationship status and siblings' ADHD symptoms. ADHD was associated with a significant deficit in the patient's HRQoL (with a CHU-9D score of around 6 % lower). Children with ADHD also have less sleep and were less happy with their family and their lives overall. No consistent decrement to the HRQoL of the siblings was identified across the models, except that related to their own conduct problems. The siblings do, however, report lower happiness with life overall and with their family, even when controlling for the siblings own ADHD symptoms. We also find evidence of elevated bullying between siblings in families with a child with ADHD. Overall, the current results suggest that the reduction in quality of life caused by ADHD is experienced both by the child with ADHD and their siblings.
Collapse
Affiliation(s)
- Tessa Peasgood
- School of Health and Related Research (ScHARR), Regent Court, 30 Regent Street, Sheffield, S1 4DA UK
| | - Anupam Bhardwaj
- North East London Foundation Trust and University College of London, London, UK
| | - Katie Biggs
- School of Health and Related Research (ScHARR), Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK.
| | - John E. Brazier
- School of Health and Related Research (ScHARR), Regent Court, 30 Regent Street, Sheffield, S1 4DA UK
| | - David Coghill
- The Department of Psychiatry, The University of Dundee, Dundee, UK
| | - Cindy L. Cooper
- School of Health and Related Research (ScHARR), Regent Court, 30 Regent Street, Sheffield, S1 4DA UK
| | - David Daley
- Division of Psychiatry & Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK
| | | | - Val Harpin
- Sheffield Children’s NHS Foundation Trust, Sheffield, UK
| | - Paul Hodgkins
- Global HEOR and Epidemiology, Shire, 725 Chesterbrook Boulevard, Wayne, PA 19087 USA
| | - Amulya Nadkarni
- Lincolnshire Partnership NHS Foundation Trust, Lincolnshire, UK
| | - Juliana Setyawan
- Global HEOR and Epidemiology, Shire, 725 Chesterbrook Boulevard, Wayne, PA 19087 USA
| | | |
Collapse
|
21
|
Pradhan V, Kemp EH, Nadkar M, Rajadhyaksha A, Lokhandwala K, Patwardhan M, Weetman AP, Nadkarni A, Ghosh K. Association between the angiotensin-converting enzyme gene insertion/deletion polymorphism and susceptibility to systemic lupus erythematosus in an Indian population. Scand J Rheumatol 2015; 44:425-7. [DOI: 10.3109/03009742.2015.1022214] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
22
|
Nadkarni A, Dabke P, Colah R, Ghosh K. Molecular understanding of Indian untransfused thalassemia intermedia. Int J Lab Hematol 2015; 37:791-6. [DOI: 10.1111/ijlh.12407] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2015] [Accepted: 06/29/2015] [Indexed: 01/19/2023]
Affiliation(s)
- A. Nadkarni
- National Institute of Immunohaematology (ICMR); Mumbai India
| | - P. Dabke
- National Institute of Immunohaematology (ICMR); Mumbai India
| | - R. Colah
- National Institute of Immunohaematology (ICMR); Mumbai India
| | - K. Ghosh
- National Institute of Immunohaematology (ICMR); Mumbai India
| |
Collapse
|
23
|
Harrold L, Gandhi K, Etzel C, Nadkarni A, Saunders K, Kelly S, Kremer J. AB0468 Channeling of Biologic Agents: Comparing Baseline Characteristics of Biologic Naïve Rheumatoid Arthritis Patients Initiating Abatacept, as Compared to Other Biologic Agents and Small Molecule Agents. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
24
|
Harrold L, Gandhi K, Etzel C, Nadkarni A, Saunders K, Kelly S, Greenberg J. OP0160 The Impact of Rheumatoid Arthritis on Patient Reported Outcomes and Quality of Life Prior to Biologic Initiation. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
25
|
Thomson E, Nadkarni A, Brouillette M, Johnston S. AB0414 Real-World Cost of Treating Inadequate Responders to Anti-Tumour Necrosis Factor Therapy. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.1737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
26
|
Fowler R, McMorrow D, Smith D, Nadkarni A. FRI0364 Real-World Incidence of Biologic Dose Escalation and Impact on Biologic Costs Among Patients with Rheumatoid Arthritis Treated with Intravenous Agents Abatacept, Infliximab or Tocilizumab: Table 1. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.1503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
27
|
Upadhye D, Koduri P, Tarakeshwari S, Mehta P, Surve R, Warang P, Kedar P, Nadkarni A, Ghosh K, Colah R. Hb M Hyde Park and Hb M Boston in two Indian families - a rare cause of methaemoglobinemia. Int J Lab Hematol 2014; 37:e40-3. [PMID: 25079170 DOI: 10.1111/ijlh.12281] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- D Upadhye
- National Institute of Immunohaematology (ICMR), Parel, Mumbai, India
| | | | | | | | | | | | | | | | | | | |
Collapse
|
28
|
Hochberg M, Janssen K, Broglio K, Walsem A, Nadkarni A. SAT0233 Comparison of Abatacept and Other Biologic DMARDS for the Treatment of Rheumatoid Arthritis Patients: A Systematic Literature Review and Network Meta-Analysis: Table 1. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.5331] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
29
|
Fleischmann R, Weinblatt M, Schiff M, Khanna D, Maldonado M, Nadkarni A, Fay J, Furst D. SAT0246 Correlation of Clinical Response with Patient-Reported Outcomes in the AMPLE (Abatacept Versus Adalimumab Comparison in Biologic-Naïve RA Patients with Background Methotrexate) Trial: 2-Year Results: Table 1. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.2113] [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: 11/03/2022]
|
30
|
Nadkarni A, Lobo F, Juday T. AB1028 Rates of Switching and Healthcare Costs Associated with Switching Biological Disease-Modifying Antirheumatic Drugs in A Commercial Population: Evidence from Real-World Observational Studies. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.1139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
31
|
Chowdhary N, Jotheeswaran AT, Nadkarni A, Hollon SD, King M, Jordans MJD, Rahman A, Verdeli H, Araya R, Patel V. The methods and outcomes of cultural adaptations of psychological treatments for depressive disorders: a systematic review. Psychol Med 2014; 44:1131-1146. [PMID: 23866176 PMCID: PMC3943384 DOI: 10.1017/s0033291713001785] [Citation(s) in RCA: 155] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2013] [Revised: 06/11/2013] [Accepted: 06/15/2013] [Indexed: 12/20/2022]
Abstract
BACKGROUND Cultural adaptations of evidence-based psychological treatments (PTs) are important to enhance their universal applicability. The aim of this study was to review systematically the literature on adaptations of PTs for depressive disorders for ethnic minorities in Western countries and for any population in non-Western countries to describe the process, extent and nature of the adaptations and the effectiveness of the adapted treatments. METHOD Controlled trials were identified using database searches, key informants, previous reviews and reference lists. Data on the process and details of the adaptations were analyzed using qualitative methods and meta-analysis was used to assess treatment effectiveness. RESULTS Twenty studies were included in this review, of which 16 were included in the meta-analysis. The process of adaptation was reported in two-thirds of the studies. Most adaptations were found in the dimensions of language, context and therapist delivering the treatment. The meta-analysis revealed a statistically significant benefit in favor of the adapted treatment [standardized mean difference (SMD) -0.72, 95% confidence interval (CI) -0.94 to -0.49]. CONCLUSIONS Cultural adaptations of PTs follow a systematic procedure and lead primarily to adaptations in the implementation of the treatments rather than their content. Such PTs are effective in the treatment of depressive disorders in populations other than those for whom they were originally developed.
Collapse
Affiliation(s)
- N. Chowdhary
- Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, UK, and Sangath, India
| | - A. T. Jotheeswaran
- Institute of Psychiatry, King's College, London, UK, Public Health Foundation of India, and Sangath, India
| | - A. Nadkarni
- London School of Hygiene and Tropical Medicine, UK
| | | | - M. King
- Faculty of Brain Sciences, University College London Medical School, UK
| | - M. J. D. Jordans
- London School of Hygiene and Tropical Medicine, UK
- HealthNet TPO, Amsterdam, The Netherlands
| | | | - H. Verdeli
- Teachers College, Columbia University and Columbia College of Physicians and Surgeons, NY, USA
| | | | - V. Patel
- Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, UK, and Sangath, India
| |
Collapse
|
32
|
Nadkarni A, Shahmanesh M, Patel V. P4.141 Predictors of Incident and Persistent Common Mental Disorder (CMD) in People Living with HIV (PLHIV)- A Longitudinal Follow Up Study in Goa, India. Br J Vener Dis 2013. [DOI: 10.1136/sextrans-2013-051184.1037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
33
|
Hochberg M, Berry S, Broglio K, Nadkarni A, Rosenblatt L, Trivedi D, Hebden T. AB0552 Relative efficacy and tolerability of intravenous and subcutaneous abatacept compared with tumor necrosis factor inhibitors in rheumatoid arthritis patients with an inadequate response to conventional disease-modifying antirheumatic drugs. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
34
|
Abstract
BACKGROUND This study was undertaken to analyse cases of microcytosis, and/or haemolytic anaemia where an unusual peak on HPLC or an abnormal electrophoretic mobility in isolation or along with common beta-globin gene defects was found, and to identify the molecular abnormality in them. PATIENTS AND METHODS Investigations included a complete blood count, HPLC analysis, cellulose acetate electrophoresis (pH 8.9), heat stability test and DNA sequencing. RESULTS Five alpha chain variants were identified. This is the first report of Hb Jackson and Hb O Indonesia in the Indian population. The presence of Hb J Meerut along with Hb E and Hb J Paris I with heterozygous beta-thalassaemia are uncommon associations. Hb Sun Prairie would have remained undetected in the heterozygous state. The presence of a homozygous child in the family helped to identify this variant. CONCLUSIONS This study emphasizes the need to undertake systematic investigations while screening for the beta haemoglobinopathies to identify rare alpha chain variants in a population.
Collapse
Affiliation(s)
- S Nair
- National Institute of Immunohaematology (I.C.M.R.), Mumbai 400 012, India
| | | | | | | | | | | |
Collapse
|
35
|
Kedar P, Hamada T, Warang P, Nadkarni A, Shimizu K, Fujji H, Ghosh K, Kanno H, Colah R. Spectrum of novel mutations in the human PKLR gene in pyruvate kinase-deficient Indian patients with heterogeneous clinical phenotypes. Clin Genet 2008; 75:157-62. [PMID: 18759866 DOI: 10.1111/j.1399-0004.2008.01079.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Eighteen unrelated pyruvate kinase (PK)-deficient Indian patients were identified in the past 4 years with varied clinical phenotypes ranging from a mild chronic haemolytic anaemia to a severe transfusion-dependent disorder. We identified 17 different mutations in the PKLR gene among the 36 mutated alleles. Ten novel mutations were identified: 427G>A, 499C>A, 1072G>A, 1180G>T, 1216G>A, 1220A>G, 644delG, IVS5 (+20) C>A, IVS9 (+44) C>T, and IVS9 (+93) A>C. A severe syndrome was commonly associated with some mutations, 992A>G, 1436G>A, 1220A>G, 644delG and IVS9 (+93) A>C, in the PKLR gene. Molecular graphics analysis of human red blood cell PK (RPK), based on the crystal structure of human PK, shows that mutations located near the substrate or fructose 1,6-diphosphate binding site may change the conformation of the active site, resulting in very low PK activity and severe clinical symptoms. The mutations target distinct regions of RPK structure, including domain interfaces and catalytic and allosteric sites. In particular, the 1216G>A and 1219G>A mutations significantly affect the interdomain interaction because they are located near the catalytic site in the A/B interface domains. The most frequent mutations in the Indian population appear to be 1436G>A (19.44%), followed by 1456C>T (16.66%) and 992A>G (16.66%). This is the first study to correlate the clinical profile with the molecular defects causing PK deficiency from India where 10 novel mutations that produce non-spherocytic haemolytic anaemia were identified.
Collapse
Affiliation(s)
- P Kedar
- National Institute of Immunohaematology, Indian Council of Medical Research, K.E.M. Hospital Campus, Parel, Mumbai, India
| | | | | | | | | | | | | | | | | |
Collapse
|
36
|
Colah R, Nadkarni A, Gorakshakar A, Phanasgaonkar S, Sawant P, Surve R, Mohanty D, Ghosh K. Hb Showa Yakushiji [beta 110 (G12) Leu-->Pro] in 3 families from Western India: first report on homozygous Hb Showa Yakushiji. Blood Cells Mol Dis 2008; 41:166-8. [PMID: 18495504 DOI: 10.1016/j.bcmd.2008.04.001] [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] [Received: 04/08/2008] [Revised: 04/11/2008] [Accepted: 04/15/2008] [Indexed: 10/22/2022]
|
37
|
Nadkarni A, Surve R, Colah R, Ghosh K, Holay M, Dani A, Shrikhande A, Bharti V, Suryawanshi S. Thalassemia intermedia due to homozygosity for an Asian Indian (Agammadeltabeta) degrees deletional inversion. Clin Chim Acta 2007; 385:81-3. [PMID: 17727830 DOI: 10.1016/j.cca.2007.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2007] [Revised: 07/10/2007] [Accepted: 07/10/2007] [Indexed: 10/23/2022]
|
38
|
Abstract
We report on three novel polymorphisms in and around the beta globin gene. Two of them are intronic (IVS2) polymorphisms (IVS 2 nt 200-203 (-CTTT) and IVS2 82-83 (-AG)). The third is a novel G-->C substitution at nt +1707 related to the beta globin cap site. This +1707 G-->C polymorphism was detected in 23.5% of chromosomes among 140 samples from India. It seems to be a novel but common polymorphism among Indians. There was no linkage between these novel polymorphisms and any beta thalassemia mutation.
Collapse
Affiliation(s)
- A Nadkarni
- Department of Hematogenetics, Institute of Immunohaematology, Indian Council of Medical Research, Mumbai, India
| | | | | | | | | | | | | |
Collapse
|
39
|
Nadkarni A, Sakaguchi T, Gorakshakar A, Phanasgaonkar S, Kiyama R, Colah R, Mohanty D. An interplay of alleviating mutations in the clinical phenotype of beta-thalassaemia intermedia. ACTA ACUST UNITED AC 2004; 26:419-22. [PMID: 15596001 DOI: 10.1111/j.1365-2257.2004.00638.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Prediction of a beta-thalassaemia major phenotype from the beta-genotype is generally relatively straightforward. However, despite the ability to accurately define the beta-thalassaemia mutations, prediction of a beta-thalassaemia intermedia phenotype from the genotype sometimes remains problematic and this has important implications in genetic counselling and prenatal diagnosis. We report a 11-year-old Indian male child with a thalassaemia intermedia phenotype. beta-Globin gene analysis of the family showed that he was a compound heterozygote with the -88 (C-->T) beta+-mutation and the IVS1 nt 130 (G-->C) beta0-mutation. Both these mutations are rare among Indians. The propositus was also found to be heterozygous for the XmnI polymorphism and had a normal alpha-genotype. In this family interplay of two alleviating mutations (a milder promoter mutation along with a gene for raised HbF) might have synergistically compensated for lack of globin chains in the patient. Hence, the nature of the beta-genotype as well as the knowledge of the presence or absence of alleviating factors will help the clinician to decide whether early commencement of a regular transfusion regime is necessary.
Collapse
Affiliation(s)
- A Nadkarni
- Institute of Immunohaematology (I.C.M.R.), K.E.M. Hospital Campus Parel, Mumbai, India
| | | | | | | | | | | | | |
Collapse
|
40
|
Nadkarni A, Gorakshakar AC, Lu CY, Krishnamoorthy R, Ghosh K, Colah R, Mohanty D. Molecular pathogenesis and clinical variability of beta-thalassemia syndromes among Indians. Am J Hematol 2001; 68:75-80. [PMID: 11559945 DOI: 10.1002/ajh.1156] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Sixty-four homozygous beta-thalassemia patients comprising 40 patients with beta-thalassemia major and 24 patients with beta-thalassemia intermedia were investigated for the nature of their beta-thalassemia mutations, associated alpha-thalassemia, and XmnI polymorphism in the gamma gene which are known to affect the clinical course of the disease. This study was undertaken to look for the contribution of these associated factors in reducing the clinical severity of homozygous beta-thalassemia from a severe disease to a beta-thalassemia intermedia phenotype. Clinical severity of these patients was assessed by the degree of transfusion dependency and the age at which the patient presented with symptoms. Globin chain synthetic ratio was taken as the biochemical pointer of severity of the disease. Eleven different beta-thalassemia mutations were encountered among 128 beta-thalassemia chromosomes. It was observed that the nature of the beta-thalassemia mutations was not very different between the beta-thalassemia major and beta-thalassemia intermedia groups in our patients, but co-inheritance of one or more alpha-globin gene deletions (-alpha(3.7)) and the presence of the XmnI polymorphism were associated with lesser severity of the disease in Indians.
Collapse
Affiliation(s)
- A Nadkarni
- Institute of Immunohaematology (ICMR), 13(th) Floor, NMS Building, KEM Hospital Campus, Parel, Mumbai, India
| | | | | | | | | | | | | |
Collapse
|
41
|
Colah R, Wadia M, Surve R, Nadkarni A, Phanasgaonkar S, Gorakshakar A, Mohanty D, Promé D, Wajcman H. Hb D-Agri [beta9(A6)Ser --> Tyr;beta121(GH4)Glu --> Gln]: a new Indian hemoglobin variant with two amino acid substitutions in the same beta chain. Hemoglobin 2001; 25:317-21. [PMID: 11570725 DOI: 10.1081/hem-100105225] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- R Colah
- Institute of Immunohaematology [Indian Council of Medical Research], Parel, Mumbai.
| | | | | | | | | | | | | | | | | |
Collapse
|
42
|
Nadkarni A, Parkin A, Dogra N, Stretch DD, Evans PA. Characteristics of children and adolescents presenting to accident and emergency departments with deliberate self harm. J Accid Emerg Med 2000; 17:98-102. [PMID: 10718229 PMCID: PMC1725329 DOI: 10.1136/emj.17.2.98] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVES The aim of this study was to provide a description of the characteristics of children and adolescents presenting to the accident and emergency (A&E) department with deliberate self harm. METHODS Descriptive analysis of data collected by reviewing the notes of all children and adolescents aged 16 years and under, presenting during the period of study (1 January to 31 December) with a history of deliberate self harm. RESULTS A total of 100 children (18 boys, 82 girls) were responsible for 117 episodes of deliberate self harm. Nine repeaters were responsible for 22% of the attendances; 38% had made use of emergency ambulance service and 6% were referred by their general practitioner (GP). Sixty nine per cent were accompanied by immediate family and 21% children presented alone. Seventy four per cent presented within three hours of the attempt and 37% presented between 6 pm and midnight; 77% presented during weekdays and 30% of attempts had occurred during spring. Ninety two per cent had used a pharmaceutical drug. Sixty five per cent had made the attempt at home and 12% in a public place. Twenty five per cent had prior or current contact with the child psychiatric services and a similar proportion had prior or current contact with social services. CONCLUSIONS Few of the children and adolescents presenting with deliberate self harm to the A&E department have been referred by their GP. They frequently present alone or are accompanied by people who are not family members making assessment and treatment difficult. Many already have other services involved in their care and thus the gathering and dissemination of information can become quite lengthy. The time of presentation is usually out of hours, further complicating this process. A small number of young people present with repeated self harm, who are known to be most vulnerable for completing suicide.
Collapse
Affiliation(s)
- A Nadkarni
- Thorneywood Child and Adolescent Mental Health Service, Nottingham
| | | | | | | | | |
Collapse
|
43
|
Nadkarni A, Ghosh K, Gorakshakar A, Colah R, Mohanty D. Variable clinical severity of Hb E beta-thalassemia among Indians. J Assoc Physicians India 1999; 47:966-8. [PMID: 10778688] [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: 02/16/2023]
Abstract
OBJECTIVE The aim of this preliminary report was to look at the effect of genetic variations in the alpha, beta and gamma globin genes in 7 cases of hemoglobin E/beta-thalassemia with diverse clinical expression of the disease. METHODS beta-thalassemia mutations were characterized by PCR and dot blot hybridization. G gamma gene polymorphism (Xmnl) was determined by PCR followed by restriction enzyme digestion and polyacrylamide gel electrophoresis. alpha genotyping was done by Southern blot hybridization. RESULTS Six cases had a severe beta+ mutation [IVS 1 nt 5 (G-->C)] and one case had a beta zero mutation [F/S 41/42 (-CTTT)]. Hence, the beta-thalassemia mutation does not seem to contribute towards the clinical diversity. alpha-genotyping showed a single alpha-gene deletion of the rightward type in three of the five milder cases. The -158 G gamma (C-->T) substitution was present at least in heterozygous state (+/-) in all the milder cases. CONCLUSIONS Deletional alpha thalassemia and presence of the -158 G gamma (C->T) substitution are the two factors which appear to be more important in decreasing the severity of the disease rather than the nature of the beta thalassemia mutation.
Collapse
Affiliation(s)
- A Nadkarni
- Dept. of Hematogenetics, (ICMR), KEM Hospital Campus, Parel, Mumbai, India
| | | | | | | | | |
Collapse
|
44
|
Abstract
This paper describes six Indian families in which silent-gene beta-thalassemia was encountered by us in the past 2 years. This stresses the importance of globin-chain synthesis in the diagnosis of beta-thalassemia. Of these six cases, five were diagnosed retrospectively when they had a homozygous beta-thalassemia offspring. The beta/alpha synthetic ratios ranged from 0.45 to 0.60. Four belong to group-I silent beta-thalassemia and two cases to group II. The severity of thalassemia major in the offspring of these silent carriers cannot be predicted.
Collapse
Affiliation(s)
- A Nadkarni
- Institute of Immunohematology (ICMR), Kem Hospital Campus, Parel, Bombay, India
| | | | | | | | | |
Collapse
|
45
|
Gorakshaker AC, Colah R, Nadkarni A, Desai S. Evaluation of the single tube osmotic fragility test in detection of β-thalassaemia trait. Natl Med J India 1990; 3:171-173. [PMID: 29843344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
NESTROFT (the Naked Eye Single Tube Red Cell Osmotic Fragility Test) is a simpleand inexpensivemethod for detecting the β-thalassaemiatrait in the general population. Its results, however, depend on visual interpretation. We assessed interobserver variability in the recording of results by three individuals on 380 samples of blood collected intravenously. We also tested 745 samples by finger prick using a drop of blood or a uniform (20 μl) volume and found that when a uniform volume was tested the proportion of false positive results was7% (28/380)as compared to 22% (79/365) when a drop was used. We found that although there-was little variation in recording negative results, there was more variation in recording positive or doubtful results.We conclude that when the NESTROFT in field tests is positive or doubtful, then the blood should be further tested in a laboratory for Hb A2 and a uniform volume of blood rather than an arbitrary drop should be used in the test. NESTROFT is suitable for large scale preliminary screening for the β-thalassaemiatrait in India.
Collapse
Affiliation(s)
- A C Gorakshaker
- Institute of Immunohaematology, 13th Floor, New Multistoreyed Complex, K.E.M. Hospital Campus, Parel, Bombay 400012, India
| | - R Colah
- Institute of Immunohaematology, 13th Floor, New Multistoreyed Complex, K.E.M. Hospital Campus, Parel, Bombay 400012, India
| | - A Nadkarni
- Institute of Immunohaematology, 13th Floor, New Multistoreyed Complex, K.E.M. Hospital Campus, Parel, Bombay 400012, India
| | - S Desai
- Institute of Immunohaematology, 13th Floor, New Multistoreyed Complex, K.E.M. Hospital Campus, Parel, Bombay 400012, India
| |
Collapse
|
46
|
|