Publications by authors named "Eapen A"

Background: Groove pancreatitis (GP) is a form of pancreatitis that affects the pancreaticoduodenal groove area, which lies between the head of the pancreas, the second part of the duodenum and the distal bile duct, presenting as abdominal pain and gastric outlet obstruction. In this study, we present the clinical and radiological characteristics of individuals diagnosed with groove pancreatitis at our center and discuss the use of a conservative treatment approach in managing GP.

Methods: The data of patients with groove pancreatitis treated at our center between January 2012 and December 2021 was analyzed.

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Background: Nocturnal cough affects approximately 1 in 3 children, can negatively impact child health, and is often attributable to asthma. The association of the gut microbiome with nocturnal cough has not been investigated.

Objective: To investigate the association between early-life gut microbiome composition and nocturnal cough overall and in the context of asthma.

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Article Synopsis
  • Urbanization and varying microclimates in cities affect mosquito behavior and malaria transmission, particularly in urban slums.
  • This study analyses how different household roof types (thatched, asbestos, tiled) impact the survival of Anopheles stephensi mosquitoes and the development of Plasmodium vivax.
  • Findings reveal that thatched roofs promote higher parasite development and mosquito survival compared to asbestos and tiled roofs, highlighting the significance of environmental factors in malaria control strategies.
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Asthma is a chronic lung condition that may be affected by numerous medical comorbidities. Such comorbidities can influence the presentation and even the severity of asthma. Alternatively, asthma may be misdiagnosed as a comorbidity when symptoms overlap.

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A variety of tumors involve the anal canal because the anal canal forms the transition between the digestive system and the skin, and this anatomical region is made of a variety of different cells and tissues. Magnetic resonance imaging (MRI) is the modality of choice for diagnosis and local staging of the anal canal and perianal neoplasms. In this pictorial review, we demonstrate the MRI anatomy of the anal canal and perianal region and display the imaging spectrum of tumors in the region along with an overview of its management.

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The threat of zoonotic malaria remains largely overlooked in India, particularly in regions such as the Western Ghats (WG), a biodiversity hotspot. The WG has diverse species of non-human primates that serve as reservoir hosts for simian malaria parasites. The presence of the Leucosphyrus group of mosquitoes and other vectors of human malaria makes WG vulnerable to the risk of parasite spillover.

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Purpose: To study the prevalence of extramural vascular invasion (EMVI) in patients with gastric adenocarcinoma (GA) and its association with other prognostic factors.

Materials And Methods: In this retrospective study, consecutive patients with GA who underwent staging CT between January 2021 and December 2022 were included. Two radiologists reviewed the staging CT for EMVI and its grade and documented tumor location, thickness, and TNM stage.

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Article Synopsis
  • India accounted for a significant portion of the global malaria burden in 2021, with 79% of cases and 83% of related deaths in the South-East Asia Region, prompting the implementation of intensified malaria control programs supported by Global Funds.* -
  • A study is being conducted in 11 high malaria-endemic states, involving the assessment of malaria elimination interventions, healthcare system preparedness, and the attitudes of healthcare workers, involving interviews with nearly 38,000 households.* -
  • The findings of the study will be shared with ethical boards and the community, ensuring transparency, and will also be published in reputed journals, highlighting the local engagement through community outreach.*
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Background: Among cancers, carcinoma gallbladder has one of the most dismal prognosis. Early lesions are difficult to biopsy because of proximity to luminal structures and risk of biliary peritonitis. However, early surgery offers the only chance of a complete cure.

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Over the last decades, a significant rise in fruit consumption has been noticed as they contain numerous nutritional components, which has led to the rise in fruit production globally. However, fruits are highly liable to spoilage in nature and remain vulnerable to losses during the storage and preservation stages. Therefore, it is crucial to enhance the storage life and safeness of fruits for the consumers.

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Yerba Mate () is historically used as a beverage and its extracts are considered traditional medicine in South America. Extract use has been expanding to North American and European markets and the currently available genetic toxicology literature indicate discrepancies in genotoxicity findings for yerba mate. As botanical extract use expands, assumption in safety should be made with caution assuring a good understanding of the test material characterization.

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Background Objectives: Anopheles stephensi is responsible for the transmission of malaria in urban areas. Vector competence of An. stephensi from a non-malarious (Coimbatore) and highly malarious (Chennai) urban area were investigated to find out the reason for the non-transmission of malaria in Coimbatore.

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Background: The global temperature has significantly risen in the past century. Studies have indicated that higher temperature intensifies malaria transmission in tropical and temperate countries. Temperature fluctuations will have a potential impact on parasite development in the vector Anopheles mosquito.

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  • Some women trying to get pregnant with embryo transfers have a hard time, known as recurrent implantation failure (RIF), and doctors are looking for ways to help them.
  • This study looked at whether a special type of medicine, called immunomodulators, could increase the chances of having a baby for women with RIF who were undergoing treatment.
  • The results showed that women who took immunomodulators had a better chance of having a baby compared to those who only received standard treatment, with a live birth rate of 20.9% versus 15.8%.
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 The aim of this study was to characterize the tissue involving the margin and study if this information will affect margin prediction on restaging magnetic resonance imaging (MRI) in low rectal adenocarcinoma (LRC) patients treated with neoadjuvant long-course chemoradiotherapy (LCCRT).  In this retrospective study of nonmetastatic LRC (distal margin <5 cm from the anal verge) treated with LCCRT followed by surgery, a radiologist blinded to outcome reread the restaging MRI and documented if the radial margin was involved by tumor, fibrosis, or mucin reaction using T2 high-resolution (HR) and diffusion-weighted imaging (DWI). The diagnostic performance of tumor-involving margin on restaging MRI was assessed using surgical histopathology as a reference.

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Background: Discordant findings are often noted between PET-CT and CT images of 18F-FDG PET-CT scans and cause ambiguity in image interpretation.This study aimed at determining the significance of these findings in the management of oncology patients.

Context: Discordant findings are often noted between PET-CT and CT images of 18F-FDG PET-CT scans and cause ambiguity in image interpretation.

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  • * A study analyzing data from 1991 to 2021 showed a consistent decline in malaria morbidity and mortality, notably reporting zero malaria deaths from 2011 to 2019.
  • * The introduction of interventions such as Long-Lasting Insecticidal Nets (LLIN), Rapid Diagnostic Tests (RDT), and biological control with Guppy and Gambusia fishes has significantly impacted malaria incidence and outcomes across the state.
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Purpose: Total neoadjuvant therapy (TNT) with pre-operative chemotherapy and chemoradiotherapy results in improved survival and is becoming the new standard of care in locally advanced rectal cancer (LARC). We describe our experience with TNT consisting of induction chemotherapy followed by chemoradiotherapy using full dose 5FU without oxaliplatin.

Methods: Adults with biopsy-proven, newly diagnosed LARC with high-risk characteristics on pelvic MRI (T4a or T4b, extramural vascular invasion, N2, mesorectal fascia involvement, enlargement/tumor deposits on lateral lymph nodes) were included.

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  • * Out of 212 analyzed scans, there was a strong concordance between DS scores and treatment plans, especially with lower scores (1-3), where 95.2% of patients had good outcomes.
  • * The findings showed that the DS is an effective tool for managing HL treatment and indicated strong agreement among different observers interpreting the scans.
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Background: Tracking the emergence and spread of antimalarial drug resistance has become critical to sustaining progress towards the control and eventual elimination of malaria in South Asia, especially India.

Methods: An amplicon sequencing protocol was used for high-throughput molecular surveillance of antimalarial drug resistance in a total of 158 isolates at three sites in India: Chennai, Nadiad and Rourkela. Five genes of the implicated in antimalarial resistance were investigated here; for chloroquine resistance, for pyrimethamine resistance, for sulfadoxine resistance, for artemisinin resistance and for resistance to multiple antimalarials.

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India experienced the second wave of SARS-CoV-2 infection from April 3 to June 10, 2021. During the second wave, Delta variant B.1617.

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