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Gupta S, Gupta A, Swarnakar CP, Rathore M, Beniwal R, Meena K, Simlot A, Gupta N. The Early Sonographic Prediction of Gestational Diabetes in Women From India. Journal of Diagnostic Medical Sonography 2022. [DOI: 10.1177/87564793211029882] [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: 11/17/2022]
Abstract
Objective: The purpose of this study was to look for the earliest, cost -effective method that can be added to the routine antenatal screening for identifying patients who might develop gestational diabetes mellitus (GDM) in a proactive manner, as opposed to the current reactive approach of screening and treating GDM, during the second trimester of pregnancy. Materials and Methods: 190 singleton pregnant women in the age group 18-35 years were selected for the study. On these women two step assessment was done. The current project was carried out to utilize sonography as an early, cost-effective method which could be added to routine antenatal screening for identifying patients, at risk for developing GDM. Results: Body mass index was found to have a significant association in those patients with GDM with a P < .001. There was a significant association between subcutaneous adipose tissue (SAT) depth and occurrence of GDM, with a P-value of <.001. Also, in the present study, the occurrence of GDM significantly increased with a rise in visceral adipose tissue (VAT), and there was a significant association between the two, with P < .001. It was noted that there were greater incidences of GDM as VAT depth increased. The existence of GDM greatly increased with a rise in total abdominal tissue (TAT), and there was a significant association between the two, with P < .001 Conclusion: The sonographic measurement of SAT, VAT, and TAT, could be potential marker to identify probable events for the development of GDM, among Asian Indian women who tend to have T2DM, due to differential distribution of fat.
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Affiliation(s)
- Shivani Gupta
- Department of Obstetrics and Gynecology, SMS Medical College & Attached Hospital, Jaipur, India
| | - Arjun Gupta
- Jawahar Lal Nehru Medical College, KLE University, Belagavi, India
| | - C. P. Swarnakar
- Department of Radiology, SMS Medical College & Attached Hospital, Jaipur, India
| | - Monika Rathore
- Department of Preventive and Social Medicine, SMS Medical College & Attached Hospital, Jaipur, India
| | - Ramesh Beniwal
- Department of Obstetrics and Gynecology, SMS Medical College & Attached Hospital, Jaipur, India
| | - Kiran Meena
- Department of Obstetrics and Gynecology, SMS Medical College & Attached Hospital, Jaipur, India
| | - Anita Simlot
- Department of Obstetrics and Gynecology, SMS Medical College & Attached Hospital, Jaipur, India
| | - Nidhi Gupta
- Research and Development Cell, IIS (Deemed to be University), Jaipur, India
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Rajagopal S, Gupta A, Parveen R, Shukla N, Bhattacharya S, Naravula J, Kumar S A, Mathur P, Simlot A, Mehta S, Bihari C, Mehta S, Mishra AK, Nair BG, Medicherla KM, Reddy GB, Sreenivasulu N, Kishor PK, Suravajhala P. Vitamin K in human health and metabolism: A nutri-genomics review. Trends Food Sci Technol 2022. [DOI: 10.1016/j.tifs.2021.12.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Gupta S, Tiwari P, Gupta N, Nunia V, Saxena AK, Simlot A, Kothari SL, Suravajhala P, Medicherla KM, Mathur P. Is Pouch Specific to Colon and Not Ileum? Curr Pediatr Rev 2019; 15:259-264. [PMID: 31465285 PMCID: PMC7040526 DOI: 10.2174/1573396315666190829155930] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Revised: 07/01/2019] [Accepted: 08/04/2019] [Indexed: 11/22/2022]
Abstract
BACKGROUND Congenital Pouch Colon (CPC) is an anorectal anomaly with an incidence of 3.5:1 in males and females, respectively. We have earlier reported CPC to be quite prevalent in north Indian tertiary care centers. OBJECTIVE In this article, we deliberate on the possible causes associated with CPC bringing the manifestation of the disease. In addition, we throw insights on the effective role of this congenital anomaly in Colon and provide systems genomic evaluation by comparing our recent analysis to that of Colon and Ileum based on Next-Generation Sequencing (NGS) studies. CONCLUSION In this commentary article, we argue that a host of epigenetic factors could be the reason why the disease is manifested in colon alone. We further hypothesize on the few unmet challenges linking epigenetics to understand the genetic variants.
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Affiliation(s)
- Sonal Gupta
- Department of Biotechnology and Bioinformatics, Birla Institute of Scientific Research, Jaipur 302001, RJ, India.,Department of Biotechnology, Amity University Rajasthan, Jaipur 303002 RJ, India
| | - Pradeep Tiwari
- Department of Chemistry, School of Basic Sciences, Manipal University Jaipur, Jaipur 303007, RJ, India
| | - Nidhi Gupta
- Department of Biotechnology, IIS (Deemed to be University), Mansarovar, Jaipur 302020, India
| | - Vandana Nunia
- Department of Zoology, University of Rajasthan, Jaipur 302004, RJ, India
| | - Amulya K Saxena
- Department of Pediatric Surgery, Imperial College London, United Kingdom
| | - Anita Simlot
- Department of Obstretrics and Gynaecology, SMS Medical College, JLN Marg, Jaipur 302004 RJ, India
| | - Shanker Lal Kothari
- Department of Biotechnology, Amity University Rajasthan, Jaipur 303002 RJ, India
| | - Prashanth Suravajhala
- Department of Biotechnology and Bioinformatics, Birla Institute of Scientific Research, Jaipur 302001, RJ, India
| | - Krishna Mohan Medicherla
- Department of Biotechnology and Bioinformatics, Birla Institute of Scientific Research, Jaipur 302001, RJ, India
| | - Praveen Mathur
- Department of Pediatric Surgery, SMS Medical College, JLN Marg, Jaipur 302004 RJ, India
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Mathur P, Nunia V, Sharma R, Simlot A, Medicherla KM. Congenital Pouch Colon: Role of Genetics or Environmental Influence? Pathobiology 2018; 85:332-341. [PMID: 30223255 DOI: 10.1159/000492432] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Accepted: 07/25/2018] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Congenital pouch colon (CPC), a high type of anorectal malformation, is a sporadic disease and several environmental factors are known to be involved in its pathology. To the best of our knowledge, no familial incidence of CPC has been reported anywhere in the literature so far. AIM In the present study, which is first of its kind, we have reported the familial incidences of CPC and also tried to elucidate the role of genetics in this pathology. METHODS We have reported 1 familial pedigree of CPC and 2 incidences of dizygotic twins (DZ), out of them one is affected and another one is normal. Highly comprehensive microarray CytoScan HD from Affymetrix was employed to understand the defects underlying submicroscopic genomic imbalance like segment duplication and deletion of the twin patients vis-à-vis their parents and unaffected siblings in these DZ twins. RESULTS A total of 21 copy number variations (CNVs) were reported in the patient samples that did not overlap with the CNVs in normal parents and healthy sibling, including 5 loss, 3 LOH and 13 gain with size varied from 95 bp to 77 kbp. Genetic analysis revealed involvement of 12 potential genetic loci on Chr 1, 2, 3, 4, 6, 11, and 16. CONCLUSION Genetic study found that CPC could be a developmental disorder. These findings are important for further elucidating genetic causes of CPC pathogenesis.
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Affiliation(s)
- Praveen Mathur
- Department of Pediatric Surgery, SMS Medical College, Jaipur,
| | - Vandana Nunia
- Department of Zoology, University of Rajasthan, Jaipur, India
| | - Rakesh Sharma
- Bioinformatics Infrastructure Facility, University of Rajasthan, Jaipur, India
| | - Anita Simlot
- Department of Gynaecology and Obstetrics, SMS Medical College, Jaipur, India
| | - Krishna Mohan Medicherla
- Department of Biotechnology and Bioinformatics, Birla Institute of Scientific Research, Jaipur, India
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Mathur P, Gupta R, Simlot A, Goyal RB. Congenital Pouch Colon with Double Meckel's Diverticulae. J Neonatal Surg 2013; 2:48. [PMID: 26023468 PMCID: PMC4420301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Accepted: 09/17/2013] [Indexed: 11/23/2022] Open
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Abstract
Please see fulltext
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Abstract
BACKGROUND Management guidelines with regard to congenital pouch colon (CPC) are not clearly defined with regard to the type of pouch present. The aim of this study was to outline the management strategy and surgical approach to CPC using the Saxena-Mathur classification based on anatomical morphology of the pouch. METHODS During a 12-year period (1995-2007), 426 patients were surgically managed for anorectal malformations at the RNT Medical College, Udaipur. Congenital pouch colon was documented in 80 patients and categorized into 5 types according the anatomical morphology. The management strategy depended upon the location of the pouch and its condition at the time of the surgery. RESULTS In type 1 and type 2 CPC, a 1-stage (pouch excision and pull-through) or 3-stage procedure (ileostomy, pouch-coloplasty with pull-through, and ileostomy closure) was performed depending on the condition of the pouch (ischemic or healthy). In type 3 and type 4 CPC, a 3-stage procedure (pouch excision with colostomy, pull-through, and colostomy closure) was performed in all patients. In type 5 CPC, a 3-stage procedure (distal pouch excision with proximal pouch-coloplasty with ileostomy, pull-through, and colostomy closure) was successful. CONCLUSION Management of CPC patients according the Saxena-Mathur classification provides a well-defined algorithm in the surgical approach according to the anatomical morphology of the pouch.
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Affiliation(s)
- Praveen Mathur
- Department of Pediatric Surgery, RNT Medical College, Udaipur, India
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Mathur P, Rana YPS, Simlot A, Soni V. Congenital pouch colon with duplicate bladder exstrophy. J Pediatr Surg 2008; 43:E9-11. [PMID: 18485937 DOI: 10.1016/j.jpedsurg.2007.12.070] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2007] [Revised: 12/25/2007] [Accepted: 12/27/2007] [Indexed: 10/22/2022]
Abstract
Congenital pouch colon, an unusual high anorectal malformation, is rarely associated with exstrophy variants. We describe a case of congenital pouch colon associated with duplicate bladder exstrophy, never reported before in literature. The relevant literature is reviewed, and the possible embryogenesis of this complex anomaly is suggested.
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Affiliation(s)
- Praveen Mathur
- Department of Pediatric Surgery, RNT Medical College and M.B. Hospital, Udaipur, Rajasthan 31 3001, India.
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