Publications by authors named "A V Palkar"

Background: Knowledge of factors associated with TB mortality during treatment and post treatment will help us develop better monitoring and implementation strategies for TB control. We designed the present study to examine the factors associated with mortality in HIV-TB co-infected patients during and after the course of TB treatment.

Methods: This study is a cohort analysis of secondary data collected from 1804 HIV-TB co-infected individuals from 16 anti-retroviral therapy (ART) centres affiliated with the Mumbai Districts AIDS Control Society, Mumbai, India.

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, also known as , is a gene that encodes P-glycoprotein (P-gp), a membrane-associated ATP-dependent transporter. P-gp is widely expressed in many healthy tissues-in the gastrointestinal tract, liver, kidney, and at the blood-brain barrier. P-gp works to pump xenobiotics such as toxins and drugs out of cells.

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Objectives: To describe the implementation of screening for cryptococcal antigenaemia by point-of-care (POC) serum cryptococcal antigen (CrAg) lateral flow assay, measure the prevalence and factors associated with serum cryptococcal antigenaemia in the routine programmatic setting.

Design: Cross-sectional study.

Setting: Seventeen publicly funded antiretroviral therapy (ART) centres in Mumbai, India.

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Article Synopsis
  • People with Advanced HIV Disease (AHD) are more susceptible to TB and face challenges with current diagnostic tools.
  • The study evaluated the effectiveness and acceptance of the urine LF-LAM assay alongside standard tests in diagnosing TB among AHD patients in Mumbai.
  • Results showed a significant percentage of positive LF-LAM results, especially in patients with lower CD4 counts, highlighting the assay's potential to detect additional TB cases in routine care settings.
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Paracetamol (acetaminophen) use during pregnancy and early childhood was accepted as safe in the 1970s, but is now a subject of considerable concern. Careful analysis shows that initial acceptance of the drug was based on the false assumption that drug interactions in babies and adults are the same, and on a complete absence of knowledge regarding the impact of the drug on brain development. At least fourteen epidemiological studies now indicate that prenatal exposure to paracetamol is associated with neurodevelopmental problems.

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