Publications by authors named "Manish Kulshrestha"

Background: The National Quality Assurance Standards (NQAS) have been developed keeping in specific requirements for public health facilities as well global best practices. Standards are primarily meant for providers to assess their quality for improvement through predefined standards and to bring up their facilities for certification.

Objectives: To study the effect of National Accreditation Board for Hospitals (NABH)-recommended training on patient care standards based on NQAS guidelines.

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  • Clinical biochemistry analyzers are crucial for disease diagnosis, but purchasing decisions often focus only on the initial costs, neglecting the total cost of ownership.
  • A new method was developed to calculate cost-per-reportable-test (CPRT) by including all hidden and fixed expenses, making it easier to compare financial results of different analyzer bids.
  • This approach revealed that costs for maintenance-free reagent rental bids were 47.4% lower than previous purchase-based costs, highlighting significant savings and more accurate comparisons among analyzers.
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  • Chronic kidney disease (CKD) often coexists with diabetes, anemia, and uremia, presenting challenges in monitoring HbA1c levels.
  • A study conducted at Dr. Ram Manohar Lohia Institute analyzed HbA1c values in 127 non-dialysis CKD patients using two methods: turbidimetric inhibition immunoassay (TINIA) and high-pressure liquid chromatography (HPLC).
  • Results showed TINIA was unable to detect HbA1c in 21.26% of patients, particularly anemic ones, and generally produced lower values than HPLC, especially in diabetic patients.
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This study investigates the genetic variations in FcεR1β-109 C/T (rs512555) and TNF-α-308 G/A (rs1800629) genes and examines whether the mosquito repellent transfluthrin (TFT) modifies the risk for asthmatic children. A case-control study was conducted involving 130 asthmatic children and 123 age-sex matched controls. Differential leukocyte counts, IgE, and hs-CRP levels were estimated using a five-part haematology analyzer and Beckman Coulter (AU480), respectively.

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  • This study investigates the role of essential metals in obesity and type 2 diabetes (T2DM) by comparing metal levels and fetuin-A (Fet-A) among different groups: diabetic obese, diabetic non-obese, non-diabetic obese, and non-diabetic non-obese subjects.
  • Results show that Fet-A levels are significantly higher in T2DM patients and differ notably between the various groups, correlating positively with insulin resistance and negatively with insulin sensitivity.
  • Metal levels, particularly copper, selenium, zinc, and iron, were found to be lower in diabetic patients and also show significant correlations with Fet-A and insulin metrics, indicating their potential importance in the diabesity-related pathology.
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In screening a library of plant extracts from ~1000 species native to the Southeastern United States, Lobelia cardinalis was identified as containing nicotinic acetylcholine receptor (nicAchR) binding activity which was relatively non-selective for the α4β2- and α7-nicAchR subtypes. This nicAchR binding profile is atypical for plant-derived nicAchR ligands, the majority of which are highly selective for α4β2-nicAchRs. Its potential therapeutic relevance is noteworthy since agonism of α4β2- and α7-nicAchRs is associated with anti-inflammatory and neuroprotective properties.

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We report a young 15-year-old boy with 6 months history of headache, vomiting, and seizure. He underwent septostomy followed by right ventriculoperitoneal shunt for obstructive hydrocephalus and was managed with empirical antituberculosis treatment. Magnetic resonance imaging (MRI) revealed solid, nodular, enhancing masses in bilateral lateral ventricles and 4(th) ventricle.

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Objective: Pre-eclampsia is associated with ischemia and increased oxidative stress, which may lead to modification of plasma albumin to ischemia modified albumin (IMA).

Methods: IMA levels were estimated in cord blood of 30 newborns born to pre-eclamptic mothers and compared with 30 normal newborns. IMA was estimated colorimetrically and the results were compared statistically.

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Background: Chronic myelogenous leukemia (CML), a myeoloproliferative disorder, is characterized by the presence of the fusion gene BCR-ABL in hematopoietic cells. Leptin, considered a link between cancer and obesity, has been reported to be actively involved in hemopoiesis and pathophysiology of CML. There are few and conflicting reports about the status of serum leptin levels and recently alteration in leptin has been reported due to imatinib mesylate.

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The alpha7 nicotinic acetylcholine receptor (nAChR) is a potential target in neuroinflammation. Screening a plant extract library identified Solidago nemoralis as containing methyl-quercetin derivatives that are relatively selective ligands for the alpha7 nAChR. Flavonoids are not known for this activity, so we screened a small library of pure flavonoids to confirm our findings.

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Objectives: Influenza causes annual seasonal epidemics around the world. Periodically, a genetically novel strain of influenza circulates worldwide, causing an influenza pandemic. The present study aims to assess the clinical profile, factors determining the response, prognosis of the disease and outcome in H1N1 positive patients during 2009-2010 H1N1 pandemic, so that epidemiology of the disease could be known and high risk groups can be identified.

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We report here a case of Shapiro syndrome who presented with episodic generalized sweating, hypotension, and hypothermia. Brain magnetic resonance imaging demonstrated corpus callosum agenesis with colpocephaly. Patient was treated with Clonidine and Propranolol.

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Catharanthus roseus produces a large array of terpenoid indole alkaloids (TIAs) that are an important source of natural or semisynthetic anticancer drugs. The biosynthesis of TIAs is tissue specific and induced by certain phytohormones and fungal elicitors, indicating the involvement of a complex transcriptional control network. However, the transcriptional regulation of the TIA pathway is poorly understood.

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In the present study we describe a novel agent, SoRI-6238 (ethyl 5-amino-3-(3,4-dichlorophenyl)-1,2-dihydropyrido[3,4-b]pyrazin-7-ylcarbamate) that partially inhibits 5-HT transporter (SERT) binding and allosterically modulates SERT function. Membranes were prepared from rat brain. SoRI-6238 partially inhibited SERT binding to brain membranes with a plateau at about 40% of control.

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