Publications by authors named "Shashidhara"

We present a case of a 37-year-old gentleman diagnosed with post-infectious Guillain-Barré syndrome (GBS) secondary to a Mycoplasma pneumoniae infection. This case highlights the subclinical presentation of neurological symptoms, often overlooked as a complication of M. pneumoniae infection.

View Article and Find Full Text PDF

Introduction: Gout is a common form of acute inflammatory arthritis caused by the deposition of monosodium urate crystals within synovium of joints. This leads to severe pain, reducing quality of life for patients with this condition.

Areas Covered: This review summarizes the treatment of both acute flares of gout and urate-lowering therapy based on guidance from various major international societies.

View Article and Find Full Text PDF

The bourgeoning field of wastewater-based epidemiology (WBE) for the surveillance of several respiratory viruses which includes Influenza A, H1N1pdm09, H3N2, respiratory syncytial viruses (RSV), and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is of interest for public health concerns. However, there are few long-term monitoring studies globally. In this study, respiratory viruses were detected and quantified from 11 sewer sheds by utilizing reverse transcription-quantitative polymerase chain reaction analysis in Pune city, India, from Jan 2022 to Dec 2023.

View Article and Find Full Text PDF
Article Synopsis
  • Infants not exclusively breastfed face higher risks for various health issues, while mothers who don't breastfeed are at increased cancer risk; this study reviews treatments for nipple pain and trauma in breastfeeding mothers.
  • The research utilized multiple electronic databases to analyze studies published from 2000 to 2022, focusing on nipple pain and trauma as key outcomes, with data processed through specific software.
  • Results showed that both lanolin and peppermint effectively reduced nipple trauma and pain among lactating mothers, suggesting these applications are beneficial preventive measures.
View Article and Find Full Text PDF
Article Synopsis
  • Tracking and monitoring SARS-CoV-2 variants has become complex due to reduced clinical testing, prompting a study of wastewater-based epidemiology (WBE) in Pune, India, to enhance variant surveillance.
  • Over 1,100 wastewater samples were analyzed, revealing "silent waves" of high viral load that occurred before clinical cases, indicating possible hidden transmission and allowing early detection of variants like XBB up to 253 days before they appeared in clinical data.
  • The study demonstrated that WBE captures a wider variety of circulating variants, providing valuable insights for public health officials to better manage and respond to potential future COVID-19 waves amidst decreasing clinical testing.
View Article and Find Full Text PDF

In the human brain, a multiple-demand (MD) network plays a key role in cognitive control, with core components in lateral frontal, dorsomedial frontal and lateral parietal cortex, and multivariate activity patterns that discriminate the contents of many cognitive activities. In prefrontal cortex of the behaving monkey, different cognitive operations are associated with very different patterns of neural activity, while details of a particular stimulus are encoded as small variations on these basic patterns (Sigala et al, 2008). Here, using the advanced fMRI methods of the Human Connectome Project and their 360-region cortical parcellation, we searched for a similar result in MD activation patterns.

View Article and Find Full Text PDF

A systemic lupus erythematosus (SLE) patient in her mid-30s presented with spontaneous splenic haematoma and rupture. She rapidly deteriorated despite packed red cells and fresh frozen plasma transfusions. She underwent emergent ultraselective angioembolisation of the splenic artery and got stabilised.

View Article and Find Full Text PDF

Background: Instrumental activities of daily living (iADLs) are crucial for older adults to live independently. Health care and technological advancements will increase the older adult population and life expectancy globally. Difficulties with iADLs impact older adults' quality of life.

View Article and Find Full Text PDF

The novel coronavirus SARS-CoV-2 resulted in a significant worldwide health emergency known as the COVID-19 pandemic. This crisis has been marked by the widespread of various variants, with certain ones causing notable apprehension. In this study, we harnessed computational techniques to scrutinize these Variants of Concern (VOCs), including various Omicron subvariants.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates how well elderly individuals with hypertension and type 2 diabetes follow prescribed diets and exercise regimens, highlighting the challenges they face in doing so.
  • - Out of 360 participants in rural areas, 80% showed moderate adherence to dietary guidelines, while only 37.8% engaged in regular exercise, with various socio-demographic factors influencing compliance levels.
  • - Key factors affecting dietary and exercise compliance include education level, occupation, income, health conditions, and cognitive abilities, indicating that multiple aspects need to be considered to improve adherence in this population.
View Article and Find Full Text PDF

Background: There are limited global data on head-to-head comparisons of vaccine platforms assessing both humoral and cellular immune responses, stratified by pre-vaccination serostatus. The COVID-19 vaccination drive for the Indian population in the age group 18-45 years began in April 2021 when seropositivity rates in the general population were rising due to the delta wave of COVID-19 pandemic during April-May 2021.

Methods: Between June 30, 2021, and Jan 28, 2022, we enrolled 691 participants in the age group 18-45 years across four clinical sites in India.

View Article and Find Full Text PDF

Loss of facial structures has a physical, social and psychological impact on affected individuals. Ocular trauma caused by assaults, falls, road traffic accidents, and household or work-related accidents may necessitate eye enucleation. Enucleation is also performed to treat severe infections of the eye, intraocular tumours and painful blind eyes.

View Article and Find Full Text PDF

Theoretical models suggest that executive functions rely on both domain-general and domain-specific processes. Supporting this view, prior brain imaging studies have revealed that executive activations converge and diverge within broadly characterized brain networks. However, the lack of precise anatomical mappings has impeded our understanding of the interplay between domain-general and domain-specific processes.

View Article and Find Full Text PDF

The COVID-19 pandemic has emphasized the urgency for rapid public health surveillance methods to detect and monitor the transmission of infectious diseases. The wastewater-based epidemiology (WBE) has emerged as a promising tool for proactive analysis and quantification of infectious pathogens within a population before clinical cases emerge. In the present study, we aimed to assess the trend and dynamics of SARS-CoV-2 variants using a longitudinal approach.

View Article and Find Full Text PDF

Domestic violence, especially intimate partner violence (IPV), is an important issue worldwide, especially in India. Those that experience it may not always be able to come forward or have access to the required social support to act against it. We use National Family Health Survey data ( = 66,013 women) to create machine learning models which can predict IPV instances with a recall of 78%.

View Article and Find Full Text PDF

Childhood malnutrition impairs health, development, and productivity in adulthood. Underweight children have been found to have a variety of cognitive abnormalities. The present study examined the effect of a nutrition-focused intervention on cognitive development among malnourished preschool children between 3 and 5 years of age residing in selected villages of Udupi district, Karnataka.

View Article and Find Full Text PDF

Since April, India has been roiled by controversy around the excision of several topics, including evolution and the periodic table, from school textbooks (up to grade 10) by the National Council for Educational Research and Training (NCERT). This was projected as an exercise in "rationalization" of content aimed at reducing the study load on students. The move was opposed by large numbers of academics and worried citizens.

View Article and Find Full Text PDF

Hox genes encode Homeodomain-containing transcription factors, which specify segmental identities along the anterior-posterior axis. Functional changes in Hox genes have been directly implicated in the evolution of body plans across the metazoan lineage. The Hox protein Ultrabithorax (Ubx) is expressed and required in developing third thoracic (T3) segments in holometabolous insects studied so far, particularly, of the order Coleoptera, Lepidoptera and Diptera.

View Article and Find Full Text PDF

Background: Modern response to pandemics, critical for effective public health measures, is shaped by the availability and integration of diverse epidemiological outbreak data. Tracking variants of concern (VOC) is integral to understanding the evolution of SARS-CoV-2 in space and time, both at the local level and global context. This potentially generates actionable information when integrated with epidemiological outbreak data.

View Article and Find Full Text PDF

The drug discovery and research for an anti-COVID-19 drug has been ongoing despite repurposed drugs in the market. Over time, these drugs were discontinued due to side effects. The search for effective drugs is still under process.

View Article and Find Full Text PDF

Background: South and South-East Asian countries report a great liability for the world's road traffic injuries (RTIs) and deaths. A vast number of research studies tested various interventions including specific protective devices to prevent accidents, but no review papers have been conducted to find out the prevalence of RTIs in South-East and South Asian countries.

Objective: This review paper was an attempt to find out the prevalence of RTIs and their associated factors in South-East and South Asian countries.

View Article and Find Full Text PDF

Polytrauma, a patient's condition with multiple injuries that involve multiple organs or systems, is the leading cause of mortality in young adults. Trauma-related injuries are a major public health concern due to their associated morbidity, high disability, associated death, and socioeconomic consequences. Management of polytrauma patients has evolved over the last few decades due to the development of trauma systems, improved pre-hospital assessment, transport and in-hospital care supported by complementary investigations.

View Article and Find Full Text PDF

Purpose: This study aimed to assess and compare the changes in peripapillary retinal nerve fiber layer (RNFL) thickness in nondiabetics and diabetics with various stages of diabetic retinopathy (DR).

Methods: The study subjects were divided into four groups based on their diabetic status and findings, namely, controls (normal subjects without diabetes [NDM]), diabetics without retinopathy (NDR), nonproliferative DR (NPDR), and proliferative DR (PDR). Peripapillary RNFL thickness was assessed using optical coherence tomography.

View Article and Find Full Text PDF