Publications by authors named "Manas Ranjan Behera"

Mastitis is a globally prevalent bacterial disease of lactating cows. Prevention and control of this multi-etiological complex disease relies upon administration of antibiotics. This has led to the emergence of newer multi-drug resistant strains.

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In recent years, Internet Addiction Disorder (IAD) has become a major mental health concern among adolescents, with detrimental effects on social relationships, academic performance, and emotional well-being. The focus of mindfulness-based interventions (MBIs) on improving self-awareness, emotional regulation, and cognitive flexibility has drawn interest in MBIs as possible therapeutic approaches for treating IAD. The purpose of this narrative review is to investigate how mindfulness interventions affect teenagers who are experiencing IAD.

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Background: Epidemiological evidence about the prevalence of adolescent mental health issues and their association with mental health literacy is crucial for sustained mental health promotion strategies. Adolescence is a critical life stage for mental health promotion. However, evidence is not available among Ethiopian school adolescents.

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Article Synopsis
  • - Leiomyomas are benign tumors, and while uterine versions are common, vulval leiomyomas are rare; this case involves a 41-year-old woman with a significant mass in her vulva and discomfort.
  • - A preoperative ultrasound indicated a likely vulval leiomyoma, leading to surgical excision, but the patient experienced acute postoperative delirium shortly after the procedure.
  • - After treatment for delirium, which included medication and electrolyte correction, the patient recovered well, and follow-up confirmed no recurrence, highlighting the need for awareness of postoperative complications in gynecological practices.
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Introduction Vaccination against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can upregulate the immune system and may contribute to glomerular disease (GD). Here, we describe a spectrum of GD that manifested following vaccination against SARS-CoV-2 (COVID-19 vaccinations). Material and methods This was a descriptive study of 10 cases enrolled between January 2021 and January 2023.

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Background: In Tanzania and Sub-Saharan Africa, the elderly population has grown significantly due to improved quality of life, subsequently leading to prolonged life expectancy. Despite global development initiatives, elders still face insufficient care. Through a community-based investigation, this study assessed outpatient department (OPD) healthcare utilization and its determinants among the elderly in Butiama and Musoma districts, Tanzania.

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Background: Chronic kidney disease (CKD) patients are at a high risk of tuberculosis (TB), with a relative risk of developing active TB of 10%-25%. Similarly, glomerular disease increases the risk of TB due to diminished glomerular filtration rate, proteinuria, and immunosuppression use. Further, the first-line anti-TB drugs are associated with acute kidney injury (AKI) even in patients with normal kidney functions.

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Introduction: The concerns of inaccessibility to essential medicines in India are well-studied and documented. Pradhan Mantri Bhartiya Janaushadhi Priyojana (PMBJP) is one of the policy initiatives to address the inaccessibility of essential medicine. Janaushadhi Kendra (People's Medicine Centre), which is part of PMBJP is being enquired in a limited way to understand its effectiveness.

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Background: Reactivation of cytomegalovirus (CMV) infection in transplant patients is high because of immunosuppression. We have evaluated the clinical and epidemiological characteristics of early versus late onset of CMV infection among renal transplant recipients.

Methods: A single center retrospective observational study was conducted among renal transplant recipients who underwent kidney transplant between January 2002 and December 2021.

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Objective: To describe the incidence, risk factors, and outcomes associated with serious infections in patients with Takayasu arteritis (TA).

Methods: Serious infections, defined as infections resulting in hospitalization or death or unusual infections like tuberculosis, were identified from a cohort of patients with TA. Corticosteroid and disease-modifying antirheumatic drug (DMARD) use at the time of serious infection was noted.

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Article Synopsis
  • The study aimed to compare the characteristics and outcomes of patients with prepulseless Takayasu arteritis (TAK) against those with pulse loss due to the condition.
  • Findings showed that prepulseless TAK patients often had worse renal function and higher rates of Hata's type IV disease, while experiencing fewer symptoms like claudication and asymmetric blood pressure.
  • Despite differences at presentation, both groups had similar long-term disease activity and survival rates, indicating that prepulseless TAK has a generally favorable prognosis.
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Background: Indigenous tribal people experience lower coverage of maternal, newborn and child healthcare (MNCH) services worldwide, including in India. Meanwhile, Indian tribal people comprise a special sub-population who are even more isolated, marginalized and underserved, designated as particularly vulnerable tribal groups (PVTGs). However, there is an extreme paucity of evidence on how this most vulnerable sub-population utilizes health services.

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Introduction: Subclinical hypothyroidism (SCH) is highly prevalent and associated with chronic kidney disease (CKD). However, it is still unanswered whether the restoration of euthyroid status in these patients will be beneficial in retarding a decline in glomerular filtration rate in early CKD patients. We aim to evaluate the efficacy of levothyroxine therapy versus placebo in slowing estimated glomerular filtration rate (eGFR) decline among CKD patients (stage 2-4) with SCH.

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  • A study analyzed the differences in presentation and survival rates of Takayasu arteritis (TAK) patients based on whether they had renal artery involvement (RAI).
  • Among 215 TAK patients, over half had RAI, with those affected experiencing earlier disease onset and higher rates of complications like chronic renal failure and hypertension.
  • Despite these increased health issues related to RAI, the study found that RAI did not significantly increase mortality risk compared to TAK without RAI.
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  • Obstetric fistula is a significant yet often overlooked issue affecting maternal health, particularly in low- and middle-income countries, with this study focusing on 15 survivors in North Central Nigeria.
  • The research highlighted the positive outcomes of rehabilitation, such as improved financial independence, social status, and psychological well-being, while also identifying challenges like stigma and lengthy recovery times.
  • To enhance social reintegration for fistula survivors, the study advocates for a comprehensive care management program, emphasizing the importance of community support and stigma reduction in the recovery process.
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National Tuberculosis Elimination Programme (NTEP) is a priority programme for India, given that India is one of the 20 countries with high burden of TB. Odisha (a state in Eastern India) in 2017 reported 159/lakh/year cases as against a national average incidence of 138.33/lakh/year.

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Takayasu arteritis (TA) is a chronic, idiopathic large vessel vasculitis mainly affecting the aorta and its major branches. It is one of the common causes of reno-vascular hypertension in Indian children. We report a ten-year-old boy who presented with hypertensive encephalopathy, proteinuria, and haematuria without any renal dysfunction.

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Objectives: To analyze the risk, causes, and predictors of mortality in Takayasu arteritis (TAK).

Methods: Survival was assessed in a cohort of patients with TAK using Kaplan-Meier curves. Age- and sex-standardized mortality ratio (SMR = observed: expected deaths) for TAK were calculated by applying age- and sex-specific mortality rates for the local population to calculate expected deaths.

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Objectives: A subset of Takayasu's arteritis (TAK) begins in the paediatric age group (≤18 years). Differences in prognosis between paediatric-onset and adult-onset TAK are unclear. We compared the differences in the presentation and survival between paediatric-onset and adult-onset TAK in our cohort of TAK.

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  • Late-onset Lupus Nephritis (LN) occurs predominantly in females diagnosed after age 47, with 90.65% of studied patients being women and a mean age of 49.5 years at diagnosis.
  • In this study of 53 late-onset LN patients, renal failure was common, with acute kidney injury being the most frequent presentation, and class IV and crescentic lesions seen in the biopsy samples.
  • The study highlights the high rate of infections (especially tuberculosis) and mortality in this patient group, emphasizing the need for careful management and immunosuppression after renal biopsy due to associated risks.
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Background: Despite unprecedented socio-economic growth experienced by Indians in the past few decades, and a long history of anti-anaemia public health measures, prevalence of anaemia in Indian non-pregnant women of reproductive age group (NPWRA) has not declined. This warrants a firm understanding of what explains the anaemia situation over time, preferably by sub-populations. Therefore, we aimed to examine the trends of anaemia in tribal NPWRA (least privileged) and compare with the trends in the NPWRA of general caste (most privileged) between 1998 to 2021.

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Antibiotic resistance (ABR) is a global issue that draws the attention of all healthcare experts in the veterinary and medical fields. Of various factors, indiscriminate and unregulated antibiotic usage in the animals reared for food production, especially in cows and buffaloes suffering from mastitis, contribute significantly to the rising incidence of resistant bacteria. A literature survey reveals the spread of resistant strains of mastitis-causing bacteria, like and , to humans.

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